HomeMy WebLinkAboutB15-0026_AsbestosReport1_1424122500.pdf /3to i ao
Boulder Environmental Management, Inc.,
2400 Broadway,Unit B,Boulder,CO 80304,Phone: (303)382-1175,Fax: 1 (866) 699-4121,Email: Chris@BouldeiEnvironmental.com
BULK SAMPLE LOG
LOCATION: 2°ISo i )c::a Creek Or, 0%1 916,7) DATE: I /25 i t3
Detached garages, outbuildings, etc.: / ZIP CODE: Q i Gs
Copy report or demo app to: C� l
COMPANY BILLING INFO: Uco Val(y Com, 2v,1deS
Address ,City Zip:
NAME:
Phone Mobile Fax Email
SCOPE: Complete building demolition 0 Renovation/restoration 0 Sample per client's direction
❑AHE Protocol followed-Minimum 3 samples,5 samples for surfacing materials 1,000s.f.-5,000s.f.,7 samples if>5,000s.f
CONSTRUCTION ERA:
SAMPLE ID MATERIAL SAMPLED BUILDING/LOCATION QUANTITY
1- - Cp (A kidt.c'ior oCCO N\ Itkdoc cJ E end
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0 Duct-work 0 Boiler insulation 0 Pipes(radiant/domestic) ❑Flue 0 Breeching cement—)
ACCESSSED: ❑ Crawl space 0 Basement❑Attic 0 Roof 0 under carpeting,built up floors
0 Type of heating system(s) 0 Steam,0 Forced air,0 Electric baseboard,0 Stove
PACMAREA(s)INACCESSIBLE
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SAMPLES COLLECTED BY: A DATE: liZ �s3 IME:
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SAMPLES RECEIVED BY: DATE: J/7 j 734E: Pi
Boulder Environmental Management, Inc., I I aca
5 Deer Trail Road,Boulder,CO 80302,Phone: (303)449-1175,Fax: 1 (866)699-4121,Email: Cmaron3000@aol.com
BULK SAMPLE LOGI
LOCATION: ,°750 R 04 Cres, -br. ,City U°11 %)CS )1 DATE: I /2,S-1)3
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