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HomeMy WebLinkAboutB12-0064 ASBESTOS FINAL AIR►� � �.��
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CHC
COLORAD� HAZARD CONTROL..�
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ANTLERS AT VAIL
�1NIT 20Lf
680 W. LIONSHEAD PL.
VAIL, CO 8i657
FINAL PROJECT CLOSEOUT
MAY 16, 2012
PROJECT NO. So27-Ai2
36 North Research Drive, Pueblo West, Colorado 81007 • 719.547.2785 • fax: 719.547.2788 • www.coloradohazard.com
CHC
COL❑RAD❑ HAZARD C�NTROL..�
ANTLERS AT VAIL
UNIT 204
GHO W. LIONSHEAD PL.
VAIL� CO 8i657
Project No. So�7-Ai�
Table of Contents
May i6, zoiz
1.-- Final Project Summary
z.-- Project Daily Sign in Sheets
3.-- Project Daily Logs
4.-- Safety Meeting Documents
5.-- Containment Sign in Sheets
6.-- Project Related Permitting
7.-- Final Clearance Documents
8.-- Waste Disposal Documentation
g.-- Workers Certifications—Available Upon Request
36 North Research Drive, Pueblo West, Colorado 81007 • 719.547.2785 • fax: 719.547.2788 • www.coloradohazard.com
_ CHC
COLORAD❑ HAZARD CONTR❑L.��
Final Project Summary
Antlers at V ail
Unit 204
680 W. Lionshead Pl.
Vail, CO 81657
Colorado Hazard Control, LLC Project No. S027-Al2
May 16, 2012
On Monday, April 23, 2012 Colorado Hazard Control, LLC mobilized to the above referenced site to
perform the removal and disposal of asbestos containing building materials. The scope of work included
the removal of approximately 960 ft2 of asbestos containing drywall and approximately 680 ft2 of ceiling
texture.
The removal work was performed under full containment engineering controls including, the appropriate
work area postings, HEPA equipped negative pressure maintained at a minimum - 0.02 inches of water
column exhausted to the exterior, a view port capable of providing visual access to the work area no
smaller than 12" X 12", a minimum of 4 air changes per hour, 6 mil critical barriers, the use of
appropriate PPE, an attached waste load out unit consisting of at least 2 chambers with triple flaps
separating the chambers from the work area and the exterior of the work area, an attached
decontamination unit consisting of at least 3 chambers with triple flaps separating the chambers from the
work area and the exterior of the work area, the decontamination unit was constructed with a fully
functioning shower where all water used in the shower was filtered down to 5 microns and disposed of
into a municipal sanitary sewer, 2 layers of 6 mil polyethylene sheeting on the walls, 2 layers of 6 mil
polyethylene sheeting on the floors and waste disposal in an approved EPA landfill. Upon completion of
the final clean in the work area, cleaning verification samples were taken. The work was performed in
compliance with applicable EPA, CDH and OSHA regulations.
Project asbestos removal work areas were cleared by representatives of DNS and Associates after the
identified scope of work was completed.
Generated asbestos waste was disposed of at the Waste Connections Of Colorado Inc., 7515 Hwy 78
West, Pueblo, CO 81005.
Asbestos abatement activities were considered complete with project demobilization activities on
Thursday, Apri126, 2012.
36 North Research Drive, Pueblo West, Colorado 81007 • 719.547.2785 • fax: 719.547.2788 • www.coloradohazard.com
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COLORAD❑ HAZARD C�NTRQL«�
Daily Project Sign In Sheet
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COLORADO HAZARD C�NTRQL ��
Daily Project Sign In Sheet
Project No: ��-;� r!� � L Project Name: ��,� �Y j� �� '�r'/
Day:, .�` Date: �,�/ , �f�
Employee Name Employee Signature Time In Time Out Time In Time Out Total Hrs.
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Total Daily Hours: ��
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COLORADO HAZARD CONTROL «�
Daily Project Sign In Sheet
Project No: S��G ��� Project Name: �,1�, `� f� �� C%C-r`�
Day: ,�,� , Date: �5 ��
Employee Name Employee Signature Time In Time Out Time In Time Out Total Hrs.
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Total Daily Hours: ��.
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COLDRADO HAZARD C�NTROL ���
Daily Project Sign In Sheet
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�L=SCRlP"1�lQ� UF PEI;�i��IUN: "�°'°
li1G�1�'3'I ���ZC�'Z!1� S�h � i..✓K �+i✓S , Cr� � � '
CERTIFIED R
SIT�RS
-ATUS A
:NOVAI"OR PR
(Check All That
S1TE: f� � f�l,;,±
JITTlNG TIME:
ED TRAINING:
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i� r:o� � c. -r rv,i� r� ��c � r; S�f �__.��x-%_ ���-s r� Zh 1�,.
____.__� .._.�� ____.__
CC�TIC=IED �ENOV�',TOr: � ;�%r�,`�v � f�/';l':��i^�
� tin Warnin Si ns ✓GVaste Handlin
aintaining Containment _ Setfing Up Barriers
INSPECTtONS MADE / TESTS PERFORMED: /�
��'LS_�__4! .Pj�'(�rn'�".
CLEANiNG VERiFi�AT10N -- WET ANb DRY C�OTNS USED: Area 1- Wet
J�rea 2- Wet
Area 3- Wet
Area 4- Wet
-- � Area 5- Wet
EXF�LAI�� EXTERIOR CLEANUP VERIFICATION:
WEATHER CONDITIONS: ,
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SIGI�ATURE: ,
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Pass (on what
f�ass
Pass
Pass
Pass
Control
Renovation Cleanin
Area 6- Wet Di
Area 7- Wet � Di
Area 8- Wet Di
Area 9- Wet Dr
Area 10- Wet D
Pass
Pass
Pass
Pass
Pass
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CClLC�h�DCI F-;A7_!-�RD COh1Tf�C7L ,,,
GHC
C�LORADO HAZARD CONTROL „�
DAILY SAFETY MEETING
Date: �-���2
Supervisor: �� �c%S�c/
Goal:
Safety Reminders: �PL'��;�c
rk D
Accidents discussed (if any): 1�[[��
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Project No: �'�� (��
Project Name: ��,�%%'� C.�'-� V��t�
i-�
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By signing my name, I agree to abide by all safety, operating rutes, and procedures set
forth by Colorado Hazard Control.
Print Empioyee Name:
.� �
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Comments: Any inspections� changes in personnel, field changes, etc.:
Visitors on site: Please si n i
XI �
GHG
COLORADO HAZARD C�NTROL..�
Date: �-{ l Ly flL �i.� .
Supervisor: i� b`�'y
DAILY SAFETY MEETING
Project No: ��������f �
Project Name: I-�% `��r°5 c�'� L�?��l
Goal: To have an Accident Free Work Dav, Evervdav.
Safety Reminders: l�2t�� ���('�, f�T��> �:���J`�.-
Accidents discussed (if any): �� ��
�r
By signing my name, I agree to abide by all safety, operating rules, and procedures set
forth by Colorado Hazard Control.
Print Employee.Name:
��� �C�������i c� ���1 �s �
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Sig ature•
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Comments: Any inspections, ch�anges in personnel, field changes, etc.:
Visitors on site: P/ease siqn it�
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COLORADO HAZARD CONTR�L �:�
Date: �'JI "��/I 1 �'`�ll�
Supervisor: ��� �'�'%
/
DAILY SAFETY MEETING
Project No: ���—t'�'lZ�
Project Name: �l��i �� f C�i �
Goal: To have an Accident Free Work Dav. Evervdav.
Safety Reminders:
Accidents discussed (if any):
By signing my name, I agree to abide by all safety, operating rules, and procedures set
forth by Colorado Ftazard Control.
Print Employee Name:
r . �� �
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Signatu
r�
��,,--��� .--�
- .�,� �. _ _
Comments: Any ins�ections, changes in personnel, field changes, etc.:
Visitors on site: Please si in
��'�
_GHC
COLORADO HAZARD CONTROL..�
Date: L�(��D((1- 7"'T�j'
Supervisor: � �'i�
DAILY SAFETY MEETING
Project No: ��% �CZ
Project Name: ��i�f�f � �� �
Goal: To have an Accident Free Work Dav, Evervdav.
Safety Reminders: C �. G•�`? ��-
ct.� ��. ��� •
Accidents discussed (if any): �//"�
G� �r�.
By signing my name, I agree to abide by all safety, operating rutes, and procedures set
forth by Colorado Hazard Control.
Print Employe Name:
����.
��.r� �_�,�r
Signature:
`�'u �--
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Comments: Any insqections, changes in personnel, field changes, etc.:
Visitors on site: Please si n in
,�
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.._ �... ��`.�i� _ �
C�LORAD� HAZARD GDi'�1TR�L..�
SAFETY INSPECTION CHECKLIST
i�coject FJame: f"Nl'� I�i� G"� V�� � Project No.: �r�Z�— � 2
vu�3ervEsar Name: I:�,; PU���f Date: ��Z� (Z i�i� �
THIS FORM MUST BE COMPLETED REGULARY OIJ EACH PROJECT
�,€16�,�IE�IS1 RATfONI:
Are ali required personnel records current as of today?
Are copies of EPA required training certificates on site?
Has the 15` aid kit been inspected today?
Are Physician's Written Opinions current for all workers?
Was an Em�loyee Safety Talk conducted today?
Were new em{stoyees provided a Safety Orientation?
Are required posters and notices displayed?
�EC`sUL�TED AR�AS:
Nas barrier tape been posted to denote the Work Area?
Are OSHA Warning Signs properly posted?
Have workers' been warned about the use of tobacco in Regulated Areas?
Has a Regulated Area been established where waste bags are to be stored?
E%�:Q�E{ AREAS:
Have ihe HVAC Systen�s been turned off?
Are the apenings af the HVAC Systems sealed?
f�re ail Gritical Barriers in place?
VWhere required, are the walls in the Work Area covered with poly?
�f1lhere required, are the floors in the Work Area covered with poly?
,4re all openings in the Work area correctly sealed?
Are a!I penetrations to the Work Area correctly sealed?
Are Entry and Exit curtains in place and aperating properly?
Are there sufficient fire extinguishers located in every Work Area?
Has each fire extinguisher within the Work Area been inspected?
i3�COf�TAfr�INAYION UF�I�S:
Ar� �vorkers sha�vzring out of containment?
Are there ar� adequate number of showers for the number of ernplaye�s?
/�re alt shawers functioning praperly with hot and cold water?
Is there an adequat� amount of soap and towels?
!s there an adequate "Water Filtration System" used in each Decon?
V�lere all D�con Units "Smake Tested" at the beginning of this shift?
YES NO
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�azEiy Ir�spection Checklist
t�age 2
�r�ject i�[ame: J�/7iTJ�!''" � � `{ � � Project No.: ��1� % —/�/�
[��te: �f �3 /l Z
L�i��EREPJTIAL PRESSURE COh1TAINfdIENTS:
YES NO
Eire all Air Filtering Devices in operation? �
Has required Differential Pressure been achieved? �
Is a �rAanometer being used and is it functioning correctly?
Is the paper print aut working correctly on the Manometer? � ❑
Are all containments "Smoke Tested at the beginning of this shift? p,�j
Is "E�o Smoking, Eatii�g, Drinking, etc." enforced within the Containment? ��
Enter the Manometer's current Differential pressure reading: �- -�j�a `'
d��f�SOhtAL PROTECTIVE EQUIPfiI�ENT:
Is Air Monitoring being conducted and are results properly used?
Is each job being analyzed to determine the PPE required for that job?
Are Hard Hats being worn properly by all personnel in the work area?
Are the correct Respiratars being utilized on this job?
Are the R�spirators inspected, cleaned, and stored correctly?
Is Disposable Clothing being worn and correctly disposed of prop�erly?
Fi?Of3K i�RACTICES:
Are 05HA Work Practices being followed:
!s Q.CM being "Adequatefy Wetted" prior to removal?
Is removed regulated waste properly bagged?
Are the bags that contain waste labeled with the "Goose-M1leck Sealed?"
Is the ACM in sealed bags "Adequately WeY' by Regulatory Standards?
Are bags praperly decantaminated before removal from Containment?
Is afl debris cleaned up at the end of each shift?
�L��iRiCAL EQUIPiViENT:
Have all wires in Containment been checked for live valtage?
Are all vrorkers in Containment protected against live valtage?
Is a GFCI or GFI Circuit �reaker being used for all electrical cords?
Are all GFCI arsd GFI Circuit Breaker tested daily?
Are all circuits being tested for ground before use?
Have all electrical cords been checked and found to be intact?
Are all exposed �lectrical p«rts protected against accidental contact?
Have all electrical cards been placed to prevent a tripping hazard?
Nave aEl l�ulbs I�een replaced in apen and broken sockets?
Ct�hR�CTiVE ACTIONS TO BC 7AKEN:
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Colorado Department of Public Health and Environment
'. Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Unit
o� 4300 Cherry Creek Drive South, APCD-IE-B1
i ���u � � Denver, Colorado 80246-1530
Phone: 303-692-3100 — Fax: 303-782-0278
�-� `� �<.
E-mail: asbestos@state.co.us
�_ : � : �_ � .� � - �, ,, �>
l .'
This permit is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 21, 2007,
and effective January 30, 2008, the Colorado Air Pollution Prevention and Control Act (25-7-101 or 25-7-501 et seq., C.R.S.) and
the following provisions. It is only for the purpose of allowing asbestos abatement.
ADDITIONAL PERMIT PROVISIONS:
By performing work under this pernut the abatement contractor agrees that the Division may revoke or suspend this permit
should the Division fmd that the contractor: .
• has violated or has aided and abetted in the violation of 25-7-101 or 25-7-501 et seq., C.R.S. or Regulation No. 8, Part B, or
an order of the Division or Commission,
• has failed to meet any permit and notification requirement or failed to correct any violations cited by the Division �uring any
inspection within a reasonable period of time, as may be determined by the Division,
• has used misrepresentation or fraud in obtauung this permit, or,
� has committed any act or omission which does not meet generally accepted standards of the practice of asbestos abatement.
As a contractor, you may be subject to other licenses and permits, depending on the requirements of the county and municipality
in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control
Division strongly suggests that you check with county and municipal authorities in order to determine any other local
building/permitting requirements that must be met.
THE ORIGINAL PERMIT MUST BE POSTED ON SITE AT ALL TIMES.
bnmediately notify theAsbestos/IAQ U�tit ofproject modificatio�zs by fax (number above) or e-mail (address above) a�zd
the appropriate county healtlt department by fcc� Project �nodifications include char�ges i�z the scope of work or the
sclieduled work dates, efc.
This asbestos abatement pernut is valid beginning 4/23/2012 through 11:59 PM on 5/22/2012.
The actual scheduled work dates are from 4/23/2012 through 4/27/2012.
Approval issued on: 3/30/2012 Fee paid: $400.00
Record number: 83482 Check number: CC 8017
Notice N►�Enber: 12�A1219A
Variance: None
Comments: None
For the location specified below:
Antlers at Vail
Unit 204
680 W. Lionshead Place
Vail
Eagle County
This permit has been issued to:
Colora�io Hazard Control LLC
36 North Research, Ste B
Pueblo West, CO 81007
Project Supervisor:
Wiliiam Ralph Posey, Jr.
Cerification No.: 1967
Project AMS:
Richard L. Ralston
Cerification No.: 4261
Project Manager:
Issued by: RWJ
_�
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WASTE CONNECTIONS BLD N� 3 6 7
oF coLO�DO IN�. COLORADO LANDFILL DIVISION
ConnedwitbtbeFuture• NON-HAZARDOUS SPECIAL WASTE MANIFEST
Name�°B�iNir�-ReIJ@# -
Site Address * Site Addres G�; �-� �
G6i6�dd0-S-pi°it�gS;-��.9.D_4__ � , ,
Phone No. 7�',�°—���6�--1 ��1\�if`'//�t�d�e No. _���96�-� �,1�.. ���lt� ;� y� Units
Non Friable Waste Code m�
Friable Waste Code �� s f - D-Drums
Description of Waste Quantity Units B" Bags
* * Y - Yards
� Non Friable Asbestos � �
( * check one) T - Tons
�iable Asbestos < � o - other
GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state
law, has been properly described, ciassified and packaged, and is in proper condition for transportation according to applicable regulations; AND, if the waste is a
treatment residue of a previously restricted hazardous waste subject to the Land Disposal R striction, I certify and warrant that the waste has been treated in ac-
cordance with the requirements of 40 CFR Part 268 and is no lor�g a hazardous waste a efined by 40 CFR Part 261.
��4q-B�aif:iVVii�'� ���! i�7�- ��� 1 t � �, * / ` _.� ; !�� �- � * �f � C. .} �
__�___« � .�r � -1 � i
Generator Authorized Agent Name (PrinUType) Signature Shipment Date
� . � . .
Transporter Name Baldwin Rolloff Phone No. �19-634-0611
Address 1975 Sunny Brook Cir. *Truck # ��
Colorado Springs, CO 80904 *Vehicle License No./State �� �1
Acknowledgment of receipt of materials.
� C_, I �./C%,U � ( r . , �
Driver Name (Print/Type)
�
�;
* 1�11 _ f �� /�r"� %
Signature 1
SITE INFORMATION
� ueblo - 5715 Highway 78 West • Pueblo, CO 81005 • 719-948-2900
❑ Fountain - 10000 Squirrel Creek Road • Fountain, CO • 719-382-9661
Discrepancy Indication Space
I hereby certify that the above named material has been accepted and to the best of my knowledge
the foregoing is true and accurate.
/; �
�
% r'C ��,!� j � , �.�,n J ii (.,�} (l /`�=o_ /"�',�� �� � �
Authorized Agent Name (Print/Type) Signature
�°�:J� (�
Receipt Date
* J � �
c� l l -
Shipment ate
DISPOSAL INSTRUCTIONS
ASBESTOS CELL .�
BURYAT BASE
DIG A TRENCH
MIX WITH REFUSE
SAFETY PRECAUTIONS
AVOID SKIN & EYE CONTACT
AVOID BREATHING DUST
DISPOSAL COORDINATES
.� �` � ?� l�' �
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GENERATOR-WHITE' LANDFILL SITE-CANARY' TRANSPORTER-PINK' GENERATOR FILE-GOLDENROD