HomeMy WebLinkAboutASB07-0019APPLICATION WILL NOT BE ACCEPTED IF INCOMPLETE OR UNSIQ ( S
Project #: 1
C O O/ Building Permit #: O 7_6028
7}WN *i' —v- - -- - - - l Asbestos Permit #: l
Required per Ordinance No. 19, Series of 1998
75 S. Frontage Rd. Permit application will not be accepted without the following:
Vail, Colorado 81657 1. Copies of General Abatement Certificate and State of Colorado Certification
2. A copy of written arrangements with the facility operators for any temporary disabling of the
air handling systems, fire sprinkler system, and alarm systems with the names and contact
phone numbers of these individuals.
3. Site plan with details addressing: waste container storage location. waste load out area
location. entry and exiting details of abatement area. details of entry and exiting plans for the
occupants of the structure in unaffected areas.
CONTRACTOR INFORMATION
On Site Abatement Contractor: Town of Vail Reg. No.: I [Contact and Phone #s: MDK coy- -C) "( i 1011 4/ 7 -S 3 ys� C51 6 S IIx J. -'\
E -Mail Address: ,/i102 r1AeVZN a 4 yle7�
Contractor Signature:
COMPLETE VALUATION FOR ASBESTOS ABATEMENT PERMIT (Labor & Materials)
Asbestos Abatement: Z
Contact Eagle cbuj7tvAssessors office at 970 328 -8640 or visit /
V05, Cog
www, ea e -coup . com for Parcel '7
Job Name: t. s fF , <
J ,Zc w OG;
Job Address:
3M L. C6' I C0
Legal Description Lot: , A, Block: N, A I Fling:
Owners Name: Tnuzs1►rtN�1 Address-3_3,3,.,,,,,_,,.,,,
A,$. A. Subdivision: Z
Phone:
v en
Project Manager: Address:
Phone:
Project Designer: IV 4 Address:
Phone:
Air Monitoring Specialist: Address: �_ �.
Detailed description of work:
pe -Mevc COP-601M ce- kit!- s e r=t -011 •f',10-1,
, t3 one: Ph
363 - q13 - oly(5.)
the h,,Al m of r'/te .jeefte .L' e,.rt- cf 1i,e
Start Date: jr 7 0, i End Date: 5 �� � �
Start Time: 7. C o.h
Quit Time:
Amount of Asbestos: Linear Feet: Square Feet: Z1 c 55 /Gal Drums:
Work Class: New () Addition( ) Remodel (X)
Repair ( ) Demo ( ) Other( )
Work Type: Interior (>0 Exterior ( ) Both( )
T of BU 2.: Sin le -fami Two-fami Murd-farnity
commerdal Restaurant Other
Does a Fire Alarm Exist: Yes (x) No( )
Does a Fire Sprinkler System Exist: Yes( ) No (X)
t#, t**, t+ r** t, a * * *,►�f #,r *,r�r *r * * * * *,r * # * * * «* *FOR OFFICE USE ONLY,tf *,r *,►,► * *t,r #,r * *s :,rte : *,r r : *,e,t * *,rt * *,t *,r
93
a
F:\ cxiw\ FOwdslPernlb \Frelasbestos_perm_10-19- 06.Doc ; Page 1 of 1 10/19/06
t�
Date: May 2, 2007
To: Town of Vail
75 South Frontage Rd.
Vail, Colorado 81657
From: MDR Corporation
10650 Irma Drive, Unit #15
Northglenn, Colorado 80233
(303) 457 -0502
Re: Attachment to asbestos abatement permit application
Job Address: Unit # 205 & 206, Lodge at Lionshead, 380 E. Lionshead Cir., Vail, CO
Item 41: Attached is a copy of the General Abatement Certificate & State of Colorado
Certification.
Item #2: Contact Information
Onsite project manager: Nick Gonzales
Cell phone: 720 -581 -4643
Backup project manager: Marvin Shelbourn
Cell phone: 720 -581 -4641
MDR Corporation office phone: 303457 -0502
Item #3: Start Date: 5/17/07 End Date: 5/22/07
Item #4: Disabling the air handling system, fire sprinkler system and alarms are not
applicable to this project.
Item #5: Site Plan (see drawings)
Note: Building will be vacant during the work.
Item #6: Note: Negative air machines are serviced on a regular basis. This is usually
done at the time when the HEPA filters are due for replacement. Most have been
serviced in the last six months depending on the hours they were in use. The age of the
machines range from three to six years.
is
Nicolas,
ion ,
supervlsgC
Cart. # :4457
Expires: 12/l/2007
�� i
X'lllI!_11_l k >1
jj
tX ..
unl'i vjttk W110 '6
1 a
�t o6
�p uJGY �VGt L)p (}e..r+�� GI
waste er w'% 11
adr 1-io�s �� Par�i+1�, ale
anJ�o�"� b f"'uck
—_.— A-ba��erne� Arec� ��n1bs� c �� the Tr'a�`.Ie✓.
Persone -1 Deco�,
Q->. A,*- q(Q4-ive 4;ir /n4cklKv Low- Ca-
ABATP-MeNT SITE PLAN 380 , Lio %�fi cl Cic%
X�cx 'Tfr?'� Exitand waste muff ON IT # 205 4 2 06 UCH i I C v !o rte! c
® F� r C.arn 6 (VI tiv► it
e £xf,;,yuis6c,
Note: U ro-f w1 I� b e vet cant+
Wasfe - ocs�c4 v� * dv,r; n� Yee u o 4 .
TOWN OF VAIL, COLORADO Statement
Statement Number: R070001160 Amount: $116.00 07/05/200701:15 PM
Payment Method: Check Init: JS
Notation: 20460 /MDR
CORPORATION
Permit No: ASB07 -0019 Type: ASBESTOS
Parcel No: 2101 - 064 - 0500 -8
Site Address: 380 E LIONSHEAD CR VAIL
Location: LODGE AT LIONSHEAD UNITS 205 & 206
Total Fees: $116.00
This Payment: $116.00 Total ALL Pmts: $116.00
Balance: $0.00
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
BP 00100003111100 BUILDING PERMIT FEES 58.00
PF 00100003112300 PLAN CHECK FEES 58.00
Fax to: Town of Vail 970- 479 -2452
Fax to: Vail Fire Department 970 -479 -2176
Date: D °7
To: Town of Vail
75 South Frontage Rd.
Vail, Colorado 81657
From: MDR Corporation
10650 Irma Drive, Unit #15
Northglenn, Colorado 80233
(303) 457 -0502
Re: Asbestos Abatement Completion Certification Letter
Dear Town of Vail:
The asbestos abatement has been completed at /Odfe at 1 d ns`I eaci, ��Jc
c'O�T 3 �, C r`o ns%6VL d �` /��C f� , Vail, Colorado.
If there are any questions please feel free to call.
Thank you,
MDR Corporation
Marvin Shelbo
President
Attachments:
1. Drawing of the area of abatement
2. Final Air Sample Results
3. Certification of Visual Inspection
P.S. Originals to be mailed today.
)% IfIII1K11
I �
I I
i f
be jAv-4 I
� I
4 l �
lower 1,e-\JCA
1
1 �
urp., L eve,(
eta i
u1�st� `7"cai'ler w;11 be prk�d
al J-i o c,s head Par "[i,1�, sic
will be -hrc►nJPo. -itd bjr 'frvek
i Ll PersoneI Decop%
'CE-> Aomja -tive- Rig- /Ylackihv- �oc�� cxt �iorir�t�
ABATP-MENT SITE PLAN 3ga ;�. LionxAeucl Cic%
X)C)C � rtir�, exi�"gn d Wane �rrJtt- 205+206 tip i � C � 10 r� o
ON:r T
n� us c
r cornb'V, 1 Lh it)
Note : U r",,i W i 4 b-e ►va caw+ LT7 %-00 -4 ou F
duvqn� 14ie w��%.
Wcccycle En, ron.mcn(al Co; 5U1tlnP, Inc.
5375
Boulder, CC 8C _ .
(303) a 13-CW 5:
F-
- W54'3407
i 53171i:i C Sample Location
Numbee
14, .1 ' i T ►so -�
A I R MONITORING SUMMARY
CLIENT: Naive x'11IDR
Address
PROJECT NUMBER: WES 0713 Client
PROJECT NA'vE : LIaAd HC V j IL
LOC ',T,ON R.•r►, z a c-
L,L 2 i�y� •..or Wes! PNd
C_ L., 3 sT>l�rwG1I
C 24Jj r CNr�
1 '3 i- w !o (3 w,,tv f7
elf. Frmm,
GLI 5-
I
I
! S—Pk M
UNT
S(aninbTime(min)
Starr Stop Mtn
FlowRate(lit
Begin End
Iolo
v
d
IS 3 /S3
Id
�, I
s3 Is.4
1'21
132__
�o
IS is3
''' 3
1532
's• Ir
0S1013
141)►3
4k-ro
Is3 15.3
P PL
X S I (2.4)Cj"
I
I
3- s i• 3 !33�! • 4s 2. z
3•Z
Page t of
TFN PCM
:rs /min)
Avg,
TOTAL
VOLUME
Fibers/
Fields
Fibers/cc
Laboratory
15_?
h 2-4
)5-3
IS 3
2
11 lov
1311, c)
ooh
. 00q
• ��
1532
8 -d
%140 o
,poi
P PL
/REFERENCE
REFERENCE
Date:5- ° 0 NIF'A: L0735"EFA: il' HSE/NPL k- PHASE
Reference Slide: Fibers: 00 z Tf
�_ _Fields: $�- F /mm t P/F
Location: Status: Disposed_Archivet"*'-Other Scope €l:
Hygienist: pPPvld Sh'WiT'5kY Date:. 5-130 %o7
Analyst: Av'j J J�Lv I+'T'5 K Date:5-/36 O
t
Analyst Signature:
Wcrcycle En, ;ror.rr.rn,a! Consultinp. Inc.
5375 Wratc:-n Avr Sw;c _ n
e«ilec,CO s
(303) 41 5:
Fig a (3,31 : , _.
A I R MONITORING SUMMARY
CLIENT: Name #,64 M
Address
PRO:IECT NUMBER: WES 0
PROTECT NAIL: LOt1 e
L0C.',T1ON -Ae ,C a h, Zr,
-713s a) (307
T
Si
Number
Sample Location _
'
9�ac
yrn - Flab F L<S'r
L L 2
v e. r-twc.- wes r
L L_ a- -
C. L.L Li
Lj-
Ufl°ea- JZLOO I-- C eNt e(
IC7S r
o,
K23
�1��S
Starting Time(min)
Start Stop MIn
TOTAL
VOLUME
t 5^
9�ac
r 3
TY<
f:3
15=3
rsj
o,
K23
�1��S
$2y I
qj -4C,
/PIS
RECOUNT
F:rn T' S (2.1)Q.412
I '
I I i
d.
13' / ! 3 • I ' 3 I3' 6 .3
Origi —I �QG 11.5
y
Flow Rate(liters /min)
Begin End Avg.
TOTAL
VOLUME
t 5^
9�ac
r 3
130 r
f:3
15=3
rsj
o,
S:3
JS'
13ol
113
/PIS
lSJ'
12'n,
Page l of
TEty PCM_
Fibers/
Fields
Fibers/cc
Laboratory
9�ac
•oo
Wee`�cL�
12/oo
.00s-
003
�rrdo
.0�5'
REFERENCE ,
Date: 3 MTA: 0. 0i - ,"EFA: ✓ / HSE/NPL it / PHASE
Reference Slide: 1,5 f —!I Fibers: T3 — Fields: OQ F /mm,lik -t P/F�
Location: Status: Disposed_Archis'eil"—Other_Scope aX:
Hygienist: pfpyicl SfiWITS`( Date• 3 O
Analyst: QAWj S,�wl try K Date: 6 I31� 7
Analyst Signature:
CERTIFICATE OF FINAL VISUAL INSPECTION
Project Number: (9"1135,
Project Address: L laM We_*J I.adg-e Up. I,_ L G
Containment Location: JdOLA t �
Date of Visual: s /30 /07 Date of Air Sampling: S / 30 / 0 7
Contractor's Certification
The supervisor certifies that he /she has visually inspected the work area (all
surfaces including pipes, beams, ledges, walls, ceiling, floors, decontamination
unit, behind criticals and all poly left in containment) and has found no dust,
debris or residue.
By: (Signature)
Name: (Print) N i 6-Gµ ertification Number: 1-1,157
Title: (Print) Svh u r yr f i1-
Certified Air Monitoring Specialist
The Colorado State Certified Air Monitoring Specialist hereby certifies that he /she
has been accompanied by the supervisor of the project on the visual inspection
and verifies that this inspection has been thorough and to the best of his /her
ability. No visible debris, dust or residue has been found inside the containment,
behind the criticals, in the decontamination unit, or load out. This final visual
was performed in accordance with Colorado State Regulation 8, section III.P.
and ASTM Standard Practice for Visual Inspection of Asbestos Abatement
Projects. A
By: (Signature)
Name: (Print) ppvi p SPc.,11Kk Certification Number: 131-f C 3
Title: (Print) H Y e w 1.5f
CERTIFICATE OF FINAL VISUAL INSPECTION
Project Number: 07 13.S'
Project Address. 3 &0 F L- aAIS P�u�
Containment Location: 62M 2 o t
Date of Visual: / / o? Date of Air Sampling: _K / 07
Contractor's Certification
The supervisor certifies that he /she has visually inspected the work area (all
surfaces including pipes, beams, ledges, walls, ceiling, floors, decontamination
unit, behind criticals and all poly left in containment) and has found no dust,
debris or residue.
By: (Signature) 11,t, /,�Y✓
Name: (Print) N /ro..y, 6OAM.4 C -"e, Certification Number: "AY 5_7
Title: (Print) 5.0 b V 150,11,
Certified Air Monitoring Specialist
The Colorado State Certified Air Monitoring Specialist hereby certifies that he /she
has been accompanied by the supervisor of the project on the visual inspection
and verifies that this inspection has been thorough and to the best of his /her
ability. No visible debris, dust or residue has been found inside the containment,
behind the criticals, in the decontamination unit, or load out. This final visual
was performed in accordance with Colorado State Regulation 8, section III.P.
and ASTM Standard Practice for Visual Inspection of Asbestos Abatement
Projects.
By: (Signature)
Name: (Print) DAu i D SRc�l1Ts \yeertification Number: 13 Lf C 3
Title: (Print) T/ycluS i h/A-L_ H Y,;�re7v li f
06/29/2007 11:19 FAX 3034570506 MDR CORPORATION
Fax to: Town of Vail 970 - 479 -2452
Fax to: Vail Fire Department 970 - 479 -2176
Date: e -7
To: Town of Vail
75 South Frontage Rd.
Vail, Colorado 81657
From: MDR Corporation
10650 Irma Drive, Unit #15
Nor#lenn, Colorado 80233
(303) 457 -0502
Re: Asbestos Abatement Completion Certification Letter
Dear Town of Vail:
14001/006
The asbestos abatement has been completed at o dG -e at 1 !R0 A S A eezC , ql�?e5
she2.d ei'fcle- - , Vail, Colorado.
If there are any questions please Feel free to call.
Thank you,
MDR Corporation
Marvin Shelbo
President
Attachments:
1. Drawing of the area of abatement
2. Final Air Sample Results
3. Certification, of Visual Inspection
P.S. Originals to be mailed today.
as
s
W)Z
n
K
i
la we►r to—VCA
Ab&feme#cf Area
Persone1 f}eCOVti
f 1tp.�e e� a4ive- A;4r
E6,�fyd exi -'and waste muff_
F; re Ert-i:.,.uisher
Waste f-oxd ou
1
1 �
BJ4'MMENT SITE- PLAN
UM IT .# 205 q- 2 DG
cdTn) *lv;%-a Qvi 1 y
Dote; hif w; t be vaComm- '
-the work,
Up p,,r 1„e j a.(
9
ufdd 7,rr�f�er ,;ll 6z pa.t d
ate Parkin
�Iph3� �'Mtic�G
u3� l I be . fyanJ�� -kd by
00 ee ett / r otit 1tc�nd
-38o CR, Lf o ni-A62 aC Ci c lf,
U..i !) C 010 cad o
sJ .2107
AIR MONITORING SUMMARY
Weccydc E •..: onrr:trt31 Cr:u5uJt+no, Inc CLIENT: Nam! n DR
s3 75 wmar, C_: Address
�
' `C sc.: PRO.JECT NUIVMER: WES 0 713 Client
L OC %TIO?q _ �.«�, Z 0.
-
! Sample Location
f lrumcr ,
; pr Fov H��
� Fl T 6s•� vesr PN
I L
�C-�— 3 sr 6 o
' spa« -w ti
��j �2�r��od�- Derr Erg
C L. �j_2rrd _Ft.od1 -- w ,1: rl
i
RECOUNI
i
CLI s
S+ma4 n
Srarrmg Time (min)
Slart Stag MID
�alti r} j �a
toll
ro3 1�Itlrkoo !
Id 4
.- . ° i <Ir f:mrn� i JFIrnm� I �'��• \:I � �
9, %I,w .
3.5-i •3
Ortet - 3 +2—
F]GAY Rnf.e(literslMn}
Begin End Avg.
TOTAL
VOLUME
is3
f -3
!T:3
la 2-14
s.3
Is,3
}r3
i
+r3
1
f T'
Jr.
!S I
ar e
172.ti
1<i el d.s
'Woo
1! lov
�Iba
Fiberslcc
0•
� f
P_-&C I or f
: EM Pcm !
Laboratory
Weer -YCLC
s i�axyw� REFERENCE
j Dater 0? MTA; Q SZjSZFA: 6""' kl"' PHASE r'
Reference Slider Fibers: d8
_ `Ficlds: T Status: Disposed— ArchivcJ�Otber Scope 9
Hyoeaisl; !� '� �}� - �/�G11 Ts tf Date: /3410'7
Analyst: AVI Skw' ?T� is Date:�36 0
c
Analyst Signature
Wecizyde Em..rinmrn;3! Caesukinj. [ac.
5575 Wea -A- --C-4
C -a
Saukcr. CC' sr
'Aa) 4 ! 3414: _
AIR MONITORING SUMMARY
CLIENT: :Vatne m
Address
PROJECT NU?vWF -R: W ES O
PROTECT P Lori C- L.1
LOCATION CTri QEj4 i-en,.,
-713'(D 630 7
Begin
End
Avg.
S l I Sample Location l
31;3 n i ng Time(?nio)
Number
Stacl
Stop
Min
E C. LI .I i tltft
Fiberslrc
.00
•00 -
�3
0-3
.� 2 -
3
C-L 3 fl - r-Loo a, (-cxrr'rI•
I,w fir. ±moo +11 r-
C L s- wtJ
2y t
q.k
- r [ C? LJ- Q L AXt r
RECOUNT
f3 6
L5 -
--7/00
Flnw RaleOlterslmin)
Begin
End
Avg.
S
r�•3
13
TOTAL
VOLUME
3�
1301
a1
3-o1
Fibersi
Fields
y /oc
P /� 00
S laic
Fiberslrc
.00
•00 -
�3
�01
0-3
•panes S�
3
1r.3
f.�3
Lien(
TOTAL
VOLUME
3�
1301
a1
3-o1
Fibersi
Fields
y /oc
P /� 00
S laic
Fiberslrc
.00
•00 -
�3
�01
rr
•panes S�
/roe
I �I /C�
I iltr✓!�
REFERENCE
Date. M'A:
Reference Slide: _F)bers:�,q
Location: States: Disposed_
Hygienist- Qf�U IU Sh-W r 7-sky
Analyst; a1'lV 3h '�r5!y
Analyst Signature.
UF
N
co
N
O
0
Pyre l of 1
Tzm PCM-' co
x
co
0
Laboratur}• u°,
0
1,11t!eC- �-,Ct_e-
i/ EiSE1NPL ioe*"- PHASE !o"-
Fields: 49(3 Ffm;;Aj&.3 WF�
— Arcisivd,O—Other Scope #:
Date- 3
Date: (! f .1
m
0
0
a
Co
x
Lz .
0
0
A
O
O
m
06/2912007 11:19 FAX 3034570506 MDR CORPORATION
CERTIFICATE OF FINAL VISUAL INSPECTION
Project Number: (97135-0 1
Project Address; L141,6 koJ I.c4e- V ra C&
Containment Location: adgW. _ I a
Date of Visual: Ic /3° / 07 Date of Air Sampling: s / Y° / 07
Contractor's Certification
The supervisor certifies that he/she has visualiy inspected the work area (all
surfaces including pipes, beams, ledges, walls, ceiling, floors, decontamination
unit, behind criticals and all poly left in containment) and has found no dust,
debris or residue.
By: (Signature) s,..�../
Name: (Print) N i i+G"-►T-.,& r ertification Number: "11157
Title: (Print) 5y& u r yr s.r
Certified Air Monitoring Specialist
1a005/006
The Colorado State Certified Air Monitoring Specialist hereby certifies that he /she
has been accompanied by the supervisor of the project on the visual inspection
and verifies that this inspection has been thorough and to the best of his /her
ability. No visible debris, dust or residue has been found inside the containment,
behind the criticals, in the decontamination unit, or load out. This final visual
was performed in accordance with Colorado State Regulation 8, section III.P.
and ASTM Standard Practice for Visual Inspection of Asbestos Abatement
Projects. A Br
By: (Signature)
Name: (Print) DAwD S&wfT -Y &certification Number: I3 -f 3
Title: (Print) I JuS -r /,/A r 0 nrerd 15t
06129/2007 11:19 FAX 3034570506 MDR CORPORATION
CERTIFICATE OF FINAL VISUAL INSPECTION
Project Number: 7 1 3P i
Project Address, 3�SU F L /o�rJ ���d C t v c L e,
Containment Location: _ d2M_ 2 o t
Date of Visual: C / � /07 Date of Air Sampling: ! . / 07
Contractor's Certification
The supervisor certifies that he /she has visually inspected the work area (all
surfaces including pipes, beams, ledges, walls, ceiling, floors, decontamination
unit, behind criticals and all poly left in containment) and has found no dust,
debris or residue.
By: (Signature)
Name: (Print) eaAti.1_Lu4 Certification Number: h h' T 7
Title: (Print)
Certified Air Monitoring Specialist
1a006/006
The Colorado State Certified Air Monitoring Specialist hereby certifies that he /she
has been accompanied by the supervisor of the project on the visual inspection
and verifies that this inspection has been thorough and to the best of his /her
ability. No visible debris, dust or residue has been found inside the containment,
behind the criticals, in the decontamination unit, or load out. This final visual
was performed in accordance with Colorado State Regulation 8, section III.P.
and ASTM Standard Practice for Visual Inspection of Asbestos Abatement
Projects.
By: (Signature)
Name: (Print) QbuiD , � Ac, (KtOC e rtifi cation Number: 13 L-f C 3
Title: (Print) 1: JUu wiAL_ P eH Is
06129/2007 11:16 FAX 3034570506 MDR CORPORATION
Fax to: Town of Vail 970 - 479 -2452
Fax to: Vail Fire Department 970- 479 -2176
Date: 12110 7
To: Town of Vail
75 South Frontage Rd.
Vail, Colorado 81657
From: MDR Corporation
10650 Irma Drive, Unit # 15
Northglenn, Colorado 80233
(303) 457 -0502
Re: Asbestos Abatement Completion Certification Letter
2001/006
Dear Town of Vail:
Thpasbestos abatement has been completed at Zodqllel a-f 1 / ^anSAe4z
ect-d C y G �� , Vail, Colorado.
If there are any questions please feel fxee to call.
Thank you,
MDR Corporation
Margin Shelbo
President
Attachments:
1. Drawing of the area of abatement
2. Final Air Sample Results
3, Certification of Visual Inspection
P.S. Originals to be mailed today. JUN 2 9 1001.
TOWN OF VAIL
� 1 1
4
1 F
Lo toe r (�v�
1
4 �
1 _ ,
f�o�t ° iwas Park;K J,
"dpppp�
air 4 -fry /�k
%Yd� lP.✓.
w9'T�'•'
�.,.�
Ql
Ab �eme4 Area
SI LSAT° t,,
Persone1 becoh
'[� --�-
JU�xci�ivc i4;r /Y1cck�K�
kodye at Lrooritead
AB4TFI�'1CNT SITE PLi9N
380 g, L%o,,,•l�eoct Ci���
xxx
.st�,� ExitQnd Wade c t�
ON I T 205 'i ' 2 46,
Co b iv i
ua i I, C d to d-cxd o
Fire ,
r
fi s Vac o�l-vf ►
$/2 0.7
L�D
lNaTt� /-OaAou
d�r�;n� e ,,),n�k,
Wcccycic F,n..,ar. .rnc3) Cr:- �uI.,iaZ. Inc_
.Oc ac ;
7135-T.5,3007
AIR MONITORING SUMMARY
CLIENT: Name
Address
PRO.1ECT NUMBER: WF-S D 7135-P Client
PRO iECT LIOMf OCAd 1 IL
O
C73
N
co
t
N
O
O
Fsc t or 1 1
Tom+✓ pCM- ,� O�
Sample Laca(lon
I rtum5c:
It T I.aew vest P,,t
�CLI 2
r i- 3 ; -9 rIIV -wAL1
Slar<ino Time(min)
S(art Stop
fo It 11 V
0 l2 132-
MIn
8a
o
o
Flow
Begla
1F-3
Ira
(S•
IS3
Rale(li(ers
End
I5,3
Is3
Ir•
jS•3
/miq)
Ax-g,
5 3
15-3
►s.3
IS.j
1S3 -12-2-4
TOTAL
VOLUME
(Z 2
Z
2-
Z
Fibers/
Fields
Fiberslcc Labor[on'
-
4G
l� /vo
tllov
13 /a d
$
• 04v w eec-Y CLc-
. 00S,-
_00
, 10 03
f3DL-
Fw0' E 101 ,1t
—- --
CL_5 ,2n Fi,oda~ wes��N Ivey I(13�
(3
iI
i
i 1 —r �uC rmmr v�Flrnrn� I C
i GL! i I
s—Pk 3, S I j I�t37 1 • 2-- -2-
I
Via, 1--2- 3-2-1
REFERENCE
Da(e:s t1 MFA: 0_ ILD - S EFA: N r HSEJI PL (� PRASE P'
Reference Slide: �56�3 Fibers_ 1697 Field P/mtn Fi P/F
Location: Status: Disposed_Archivev�-Olher Scope Fl:
Hygienist: - S/- w►TSkY Date: 5430107
Analyst: pAut Date: 3a a
l
Analyst Signature:
T
a
x
W
O
W
O
cs,
O
CD
0
CD
-o
0
a
H
O
2
0.
O
O
W
i
O
O
cn
AIR MONITORING SUMMARY
Wttcwlc Cci,cukine.Inc. CLIENT. Nwne MD
M5 Wc5,�, . =.vc ._,:c c Address
PRO.IECT NUMBER: WES O Client _
PPO'iECT NANE: Lod,[ e- L '101vf efib
LOC. T 10N _'t -+6 W ►y 2-03
Page E f r
TEi, PCM )6
j Sas;:;c Sample Locxlian S
S[artina Time(min) F
Flow Rateoiters /min) T
TOTAL F
Fibers/ F
Fibers/cc L
Laboratory
,G�i I ;V��- FcowD` l�sr �
�� �
��15 .
. 'S C
CSC t
t� -3 1
130 9
91,00 +
+00 I
Iwe- ecYwc r-
L,L vier ftm- Lve-rr
IV &
&-S' 3
3 1
15--3 i
is3 X
X301 1
12 /`00 -
-00�
`c Oft- JZLOOt_ CrNTeL
1 Y k 9
9S S
S3 K
K- 3 r
r•S', I
o,
g !x �
�
L-,i Lc►w H- F"or y
y �
� 9. i
ird (
(P.-f t
t o �
� � lGb I
I + 0 C
FieJz CLyjP4)r
L- Q r% _ I-- A- {3 _ (3 L- @N K i
i '
'0/40 L
L
I j
j
l
I
1
13+ q 13-7 •3 .6 lop z,3
70 0 13
'pl"j�1
REFERENCE `
Date: 3 KFA: A G " EFA: ✓ HSE)I`fPL il PFIAS);
RerereoceSlide: f s6' y Fibers: T_ Fields: I 4v F /mm ,i lR•3 PIF
LAcation. Slatus: Disposed_Archive6o'-Other Scope AI:
Hygienist: P�,o J S/j'W I Z5kY Date_ 113107
Analysi: AVlj .�jT(iv�11�tC Date: (I31e) 7
Analyst Signature. -
'pl"j�1
REFERENCE `
Date: 3 KFA: A G " EFA: ✓ HSE)I`fPL il PFIAS);
RerereoceSlide: f s6' y Fibers: T_ Fields: I 4v F /mm ,i lR•3 PIF
LAcation. Slatus: Disposed_Archive6o'-Other Scope AI:
Hygienist: P�,o J S/j'W I Z5kY Date_ 113107
Analysi: AVlj .�jT(iv�11�tC Date: (I31e) 7
Analyst Signature. -
06/29/2007 11:17 FAX 3034570506 MDR CORPORATION
CERTIFICATE OF FINAL VISUAL INSPECTION
Project Number: (9_713S4 1
Project Address: L l°t,6 kp� iQdke V P. IL L U
Containment Location: dZja�,,4_
Date of Visual: S /30 / 07 Date of Air Sampling: T /,?0 / 07
Contractor's Certification
The supervisor certifies that he /shb has visually inspected the work area (all
surfaces including pipes, beams, ledges, walls, ceiling, floors, decontamination
unit, behind criticals and all poly left in containment) and has found no dust,
debris or residue.
By: (Signature) _4,g_i
Name: (Print) N i cdr- #s 6-G- At"GwPertification Number: `?ti 5-11
Title: (Print) 5yl, r vfso,
Certified Air Monitoring Specialist
Ia 003006
The Colorado State Certified Air Monitoring Specialist hereby certifies that he/she
has been accompanied by the supervisor of the project on the visual inspection
and verifies that this inspection has been thorough and to the best of his /her
ability. No visible debris, dust or residue has been found inside the containment,
behind the criticals, in the decontamination unit, or load out. This final visual
was performed in accordance with Colorado State Regulation 8, section III,P.
and ASTM Standard Practice for Visual Inspection of Asbestos Abatement
Projects. 1 A
By: (Signature)
Name: (Print) QAui D ,Sgojir4\ yCertification Number: 131-f C' 3
Title: (Print) H Y-:�, e N 15f
06/29/2007 11:17 FAX 3034570506 MDR CORPORATION
CERTIFICATE OF FINAL VISUAL INSPECTION
Project Number: o 7 13 P
Project Address: 3 [5o IF �_JC�A'S N «d C 1 {. c Le-_
Containment Location: d2 m l e t
Date of Visual: - / ,� / O? Date of Air Sampling: Z_/ 3 / U7
Contractor's Certification
The supervisor certifies that he /she has visually inspected the work area (all
surfaces including pipes, beams, ledges, walls, ceiling, floors, decontamination
unit, behind criticals and all poly left in containment) and has found no dust,
debris or residue.
By: (Signature) �is.e�sy" fir✓
Name: (Print) Nrto.,o4. 6OU�4a44e Certification Number: T7
Title: (Print)
Certified Air Monitoring Specialist
a 0061006
The Colorado State Certified Air Monitoring Specialist hereby certifies that he /she
has been accompanied by the supervisor of the project on the visual inspection
and verifies that this inspection has been thorough and to the best of his /her
ability. No visible debris, dust or residue has been found inside the containment,
behind the criticals, in the decontamination unit, or load out. This final visual
was performed in accordance with Colorado State Regulation 8, section III.P.
and ASTM Standard Practice for Visual Inspection of Asbestos Abatement
Projects.
By: (Signature)
Name: (Print) Isla u i D ,S'p.w tKk' Certification Number: 13 q C 3
Title: (Print) H Y eN 15t
05/20/2008 13:19 FAX 3034570508 MDR CORPORATION
Fax to: Town of Vail 970- 479 -2452
Fax to. Vail
hire Department
970 - 479.2176
Dater
f le r m l f 0-: 8,07-60-2e
To: Town of Vail
75 South Frontage Rd,
Vail, Colorado 81657
From MDR Corporation
10650 Irma Drive, Unit # 15
Northglenn, Colorado 80233
(303) 457 -0502
Re: Asbestos Abatement Completion Certification Y.ettex
Dear Town of Vail:
As&'� - 00/9
Z 0011008
The asbestos abatement has been completed at O
Ito
Vail, Colorado.
If there are'any questions please feel free to call.
Thank you,
MDR Corporation -7*
Marvin Shelbo
President
Attachments:
1. Drawing of the area of abatement
2. Final Air Sample Results
3. Certification of Visual Inspection
P.S. Originals to be mailed today.
19
x
Y,
Eiji
� t i
I
ff44 t
U1hb l/% l ll be
1 }
1 � �
1
1 �
� 1 be-
aten�
Dl� ��ohs Par
lr lie *anJfo•'fed 0; -fruck
Abaleffle.i Area
uJl
Persone.i Df!ccv%
x�ac
��,� exrf'�na waste ���
,9BAT :t SITE PLAN
380 . Lrort� l�ic� Crate
205 qL' 20G
F c4rnbjyld-A JA, t)
Uri +) Cv+a irc&ctG
LO
Waste
sfe ��d vu f
ate ; r�rf ur, I be ua ccmf
d�,�; �� y4liZ
wer[ydc $n..ror-nrn:31 consurianE_ Inc.
3373 waocm A,
i303) 413-0e 1
Fae = Do;) e
7135'T.5'3007
S pic i Sampie Location
C
A I R MONITORING SUMMARY
CLIENT: Name R
Address
PRQ.1ECT NLfNiBER: WES D 7 / 3
PROTECT INA;E: LICK! VA client
I L. K -2—
'r 7 r MIL NCS} Q,�
1 C i-- s r
c L 4 7-1-1 Wbdw
•' C pt4,j�- wr•sr hr
f3L-anf -
i
RECOUNT
CLI
S-UPk m _ g'r!!oa ! 12. 1
! f
O+klr..c J /� f tS • Z.
Sranind Time min)
Start Stap Mln
FIONv Ra Leo iterslmin)
Begin End AN -g.
g•
TOTAL
Fibers!
Fibers /ce
F•ieids
solo ; v
o
15' 3
/5:3
1i 3
2-
1/do
1 ,011 t, 1
-
t s3
l s.3
K -3
Z
1vo
•O
.005
181.1 �3�
�a
ir3
� s3
ls.3
Z
��
10 1133
-�
r �•
i t• °3
3
I ]r3
Z
i
i t
y +11311
o
I
I5.3
1
f6
H-
r ��
t 60
pia o
PL
° //oa
j3f)rr
X I c �lgYn
i
3.5- + - 3 -wf 2.L
3•Z.
O
[h
N
O
N
O
0
Go
+ w
Page I of
T l PCM-x co
T
La ho rm or-
Wee
RE FEREN
CE Dae 1 � ? lgA:O� EFA: % H
r
Reference SGI- Fibers: - dd FHSEl1PL
edLocation: Flt-m l S' PfF Status: D sposed_Archi,.•eieQthcr Scapc
Hygienist: ppbu �j sh-W 1 TSki
—
Date.- %3s o 7
Analyst: Avttl �f,V` �7� iv Date:�7 3a a
t
Analyst Signature:
1
AIR MONITORING SUMMARY
Wcccydc Ent::Or.rt;:•o[al Cmisultinp. CU F NT.' Namc
5375 Westcm A,, Ad[{lCSS
ao,d .Co 80.v-
;�c3)et3�s: PROJECT N2;91vs� Q Client
PROJECT NAME LI
LCJC.',Tla�t- �...- t�
ZVA
O
Ch
N
O
N
O
0
{ co
Pnge { or I
3 EM Pcm °
T
a
x
REFERENCE
Dale: 3 iViFA: 0• D073_s'�FA: HSE/KPL il' PHASE Y
Reference Slitfe: _Fibers: _Fields: @d F/MmAle -Z PIF�
Lacatfoa: Status_ Disposed_Archivep— olher`Scope d; Q
fiygienim: �g+�+ld .S j}-W l Tjk y Date: 3 —*J-
knalym: —P8 ����Date: d /-?/d
At3 a]y2i t Signature-
05/20/2008 13:20 FAX 3034570506 MDR CORPORATION
CERTIFICATE OF FINAL VISUAL. INSPECTION
Project Number: 67 1 35-0) 1
Project Address: L taMS Head L -Ciae. V a lL' Co
Containment Location:
Date of Visual: -! � 07 Date of Air Sampling: S /2010-7
Contractor's Certification
The supervisor certifies that he /she has visually inspected the work area (all
surfaces including pipes, beams, ledges, walls, ceiling, floors, decontamination
unit, behind criticals and all poly left in containment) and has found no dust,
debris or residue,
By: (Signature)
Name- (Print) i!e �N ertification Nurnber: 41,1 7 7
Title: (Print) 5acc r v, F.,,-
Certified Air Monitorina Specialist
IA 005/006
The Colorado State Certified Air Monitoring Specialist hereby certifies that he /she
has been accompanied by the supervisor of the project on the visual inspection
and verifies that this inspection has been thorough and to the best of his /her
ability. No visible debris, dust or residue has been found inside the containment,
behind the criticals, in the decontamination unit, or load out, This final visual
was performed in accordance with Colorado State Regulation 8, section III.P.
and ASTM Standard Practice for Visual Inspection of Asbestos Abatement
Projects. I r—�\ A Jr
By: (Signature)
Name: (Print) ertification Number: 13 `f C 3
Title: (Print) duS h /AL- R yc. e-H 16
05/20/2008 13:20 FAX 3034570506 MDR CORPORATION
CERTIFICATE OF FINAL VISUAL INSPECTION
Project Number:
Project Address; 3 &U E WaAIS oe-pd G r k C L C-
Containment location: 62 N► 2 e c
Date of Visual: C / I o? Date of Air Sampling- / D�7
Contractor's Certification
The supervisor certifies that he /shd has visually inspected the work area (all
surfaces including pipes, beams, ledges, walls, ceiling, floors, decontamination
unit, behind criticals and all poly left in containment) and has found no dust,
debris or residue,
BY: (Signature)
Name: (Print) N rte. Gcnc4. cd Certification Number: h!h' Y 7
Title: (Print) ! sar
Certified Air Monitoring Specialist
1a006/006
The Colorado State Certified Air Monitoring Specialist hereby certifies that he /she
has been accompanied by the supervisor of the project on the visual inspection
and verifies that this inspection has been thorough and to the best of his /her
ability. No visible debris, dust or residue has been found inside the containment,
behind the criticals, in the decontamination unit, or load out. This final visual
was performed in accordance with Colorado State Regulation 8, section III.P.
and ASTM Standard Practice for visual Inspection of Asbestos Abatement
Projects.
By: (Signature)
Name: (Print) pvi,[� �J�� /hertification Number: f 3' -}6',3
Title: (Print) du5 �•�,�� ca.e-,q 16