HomeMy WebLinkAboutB15-0274_Asbestos Report_1438723560.pdf·,
P.O.Box 1230
Cell 970-270-3689
Clifton,CO.81520-1230
Home Phone 970-464-5265
A &D Asbestos Testing and Consulting
John R.Peterman
***********
INSPECTION REPORT PREPARED FOR:
Shaeffer Hyde Construction
P.O.Box 373
Vail,Co.81658
LOCATION:
Residence
165 Forest Rd.
Vail,Co.
REPORT PREPARED BY:
John R.Peterman
Inspector Manager
COLORADO Certificate No.6601
COLORADO Registration #ACF-16522
2
A &D Asbestos Testing and Consulting
John R.Peterman
Asbestos Testing and Consulting
INTRODUCTION:
On May 20,2015 an inspection/survey was conducted and 14 bulk
samples were collected from:
Residence
165 Forest Rd.
Vail,Co.
The purpose of the inspection/survey was to locate and sample
suspected Asbestos containing materials that might be present in the
residence that is planned for demolition.
The inspection was made,and the samples were collected by John R
Peterman,an A.H.E.R.A.and State of Colorado Certified Asbestos
Inspector.Great care was taken during the inspection and sampling to be as
accurate as possible.It should be noted that minimal damage was done to
the existing building structures during the inspection so there is no
documentation for unseen conditions or stored items.
All samples were analyzed by DCM Science Lab in Wheat Ridge,
CO.This laboratory is deemed "Proficient"in the E.P.A.Quality Assurance
(QA)program for the determination of asbestos in bulk materials,and is
accredited by the American Hygiene Association (AHA).
SAMPLING PROTOCOL:
A random sampling scheme was used to sample the suspect materials that
were discovered.Ifduring any future demolition or renovation work,
suspect material is discovered that hasn't been sampled and would be
disturbed,work should be halted until the material has been tested.
3
A &D Asbestos Testing and Consulting
John R.Peterman
Asbestos Testing and Consulting
Residence
165 Forest Rd.
Vail,Co.
BUILDING DESCRIPTION:
The residence at 165 Forest Rd.is planned for demolition.The exterior walls
are covered with wood siding and soffits,rock and mortar and stucco.The
roof is covered with wood shake shingles.The interior walls are covered
with two types of sheetrock one with a troweled on texture and one with a
light texture.The ceiling is covered with sheetrock like the walls.The floor
is covered in wood,ceramic tiles,carpet,stone tile WI mortar and painted
concrete.The heating is provided by a hot water system no suspect materials
were visible on the heating system.
CONCLUSIONS &RECOMMENDATIONS:
Laboratory analysis of the bulk samples indicates that no Asbestos was
detected in any of the samples.
4 ,
Date:May 29,2015
Location:Residence 165 Forest Rd.Vail,Co.
SAMPLE LOCATIONS
SAMPLE NUMBER AREA SAMPLE REMOVED FROM DESCRIPTION FRIABLE
165FR-B 001 TF W.Bedroom Closet Wall Composite Sheetrock WI Texture No
165FR-B 002 TF Livingroom Wall Composite Sheetrock WI Texture No
165FR-B 003 MF Ski Room WaU Composite Sheetrock WI Texture No
165FR-B 004 MF Rear Entry Wall Composite Sheetrock WI Texture No
165FR-B 005 BF Game Room Wall Composite Sheetrock WI Texture No
165FR-B 006 BF Under Stairs Closet Wall Composite Sheetrock WI Texture No
165FR-B 007 BF W.Bedroom Closet Wall Composite Sheetrock WI Texture No
165FR-B 008 MF Laundry Room Wall Composite Sheetrock WI Texture No
165FR-B 009 MF Hallway Closet Wall Composite Sheetrock WI Texture No
165FR-B 010 E.Exterior Wall Exterior Stucco No
165FR-B 011 N.Exterior Wall Exterior Stucco No
165FR-B 012 N.Exterior Wall Exterior Stucco No
165FR-B 013 N.Exterior Wall Exterior Stucco No
165FR-B 014 W.Exterior Wall Exterior Stucco No
Key:TF-Top Floor MF-Middle Floor BF-Bottom Floor
Date:May 29,2015
Location:Residence 165 Forest Rd.Vail,Co.
SAMPLE RESULTS
SAMPLE NUMBER DESCRIPTION ASBESTOS TYPE %
165FR-B 001 Composite Sheetrock WI Texture No Asbestos Detected 0
165FR-B 002 Composite Sheetrock WI Texture No Asbestos Detected 0
165FR-B 003 Composite Sheetrock WI Texture No Asbestos Detected 0
165FR-B 004 Composite Sheetrock WI Texture No Asbestos Detected 0
165FR-B 005 Composite Sheetrock WI Texture No Asbestos Detected 0
165FR-B 006 Composite Sheetrock WI Texture No Asbestos Detected 0
165FR-B 007 Composite Sheetrock WI Texture No Asbestos Detected 0
165FR-B 008 Composite Sheetrock WI Texture No Asbestos Detected 0
165FR-B 009 Composite Sheetrock WI Texture No Asbestos Detected 0
165FR-B 010 Exterior Stucco No Asbestos Detected 0
165FR-B 011 Exterior Stucco No Asbestos Detected 0
165FR-B 012 Exterior Stucco No Asbestos Detected 0
165FR-B 013 Exterior Stucco No Asbestos Detected 0
165FR-B 014 Exterior Stucco No Asbestos Detected 0
Date:May 29,2015
Location:Residence 165 Forest Rd.Vail,Co.
SUSPECT MATERIAL CONDITION
SAMPLE NUMBER TYPE OF SUSPECT MATERIAL OVERALL DAMAGED %TYPE OF
CONDITION DAMAGE
165FR-B 001 Surfaceing Good No 0 N/A
165FR-B 002 Surfaceing Good No 0 N/A
165FR-B 003 Surfaceing Good No 0 N/A
165FR-B 004 Surfaceing Good No 0 N/A
165FR-B 005 Surfaceing Good No 0 N/A
165FR-B 006 Surfaceing Good No 0 N/A
165FR-B 007 Surfaceing Good No 0 N/A
165FR-B 008 Surfaceing Good No 0 N/A
165FR-B 009 Surfaceing Good No 0 N/A
165FR-B 010 Surfaceing Good No 0 N/A
165FR-B 011 Surfaceing Good No 0 N/A
165FR-B 012 Surfaceing Good No 0 N/A
165FR-B 013 Surfaceing Good No 0 N/A
165FR-B 014 Surfaceing Good No 0 N/A
Date:May 29,2015
Location:Residence 165 Forest Rd.Vail,Co.
POTENTIAL FOR DISTURBANCE
SAMPLE NUMBER ACCESSABILITY POTENTIAL INFLUENCE BY POTENTIAL PLENUM
YES I NO CONTACT VIBRATION AIR EROSION
165FR-B 001 Yes High Low Low No
165FR-B 002 .Yes High Low Low No
165FR-B 003 Yes High Low Low No
165FR-B 004 Yes High Low Low No
165FR-B 005 Yes High Low Low No
165FR-B 006 Yes High Low Low No
165FR-B 007 Yes High Low Low No
165FR-B 008 Yes High Low Low No
165FR-B 009 Yes High Low Low No
165FR-B 010 Yes High Low Low No
165FR-B 011 Yes High Low Low No
165FR-B 012 Yes High Low Low No
165FR-B 013 Yes High Low Low No
165FR-B 014 Yes High Low Low No
CLIENT:
A&D ASBESTOS TESTING AND CONSULTING
P.O.BOX 1230
CLIFTON,CO 81520-1230
DCMSL CLIENT
S~PLE S~LE
NUMBER NUMBER
S~LE
DATE DESCRIPTION
5-20-15 A WIllTEPAINT
B.TAN FIBROUS
C.WIllTE TEXTURE
D.WHITE DRYWALL
5-20-15 A WIllTE PAINT
B.TANFIBROUS
C.WIllTE TEXTURE
D.WIllTEDRYWALL
5-20-15 A WIllTEPAINT
B.TANFIBROUS
C.WIllTE TEXTURE
D.WHITEDRYWALL
5-20-15 A.WIllTEPAINT
B.TAN FIBROUS
C.WIllTE TEXTURE
D.WIllTE DRYWALL
5-20-15 A WIllTEPAINT
B.WIllTE TEXTURE
C.TAN FIBROUS
D.WIllTEDRYWALL
a_Rf~'
12421 W.49TH AVEiNUE,UNIT #6
WHEAT RIDGE,CO 80033 (303)463-8270
BULK ASBESTOS TEST REPORT
PAGE IOF4
ANALYSIS DATE:
REPORTING DATE:
RECEIPT DATE:
CLIENT JOB NO.:
PROJECT TITLE:
DCMSL PROJECT:
PERCENTAGE COMPOSITION BY VISUAL ESTlMA TE
PERCENT
OFS~LE
ASBESTOS
TYPE RANGE %IN SAMPLE CONSTITUENTS CONSTITUENTS
5-26-15
5-27-15
5-21-15
RESIDENCE
165FOREST RD -VAIL,CO
ADAT963
TOTAL
ASBESTOS OTHER FIBROUS NON-FIBROUS
TOTAL
PERCENTAGE
IDENTIFIED
MATERIALS
-1 16SFR-B-001
-2 I65FR-B-002
-3 I65FR-B-003
-4 I65FR-B-004
-s 16SFR-B-OOS
2.0%NO
4.0%NO
12.0%NO
82.0%NO
3.0%ND
40%NO
6.0%NO
87.0%NO
3.0%NO
5.0%NO
60%NO
86.0%NO
2.0%NO
4.0%NO
6.0%NO
88.0%NO
20%NO
4.0%NO
5.0%NO
89.0%NO
NO
NO
NO
NO
ND
0.0 100.0 100.0
100.0 0.0 100.0
0.0 100.0 100.0
1.0 99.0 100.0
0.0 100.0 100.0
100.0 0.0 100.0
0.0 100.0 100.0
1.0 99.0 100.0
0.0 100.0 100.0
100.0 0.0 100.0
0.0 100.0 100.0
1.0 99.0 100.0
0.0 100.0 100.0
100.0 0.0 100.0
0.0 100.0 100.0
1.0 99.0 100.0
0.0 100.0 100.0
0.0 100.0 100.0
100.0 0.0 100.0
LO 99.0 100.0
CLIENT:
A&D ASBESTOS TESTING AND CONSULTING
P.O.BOX 1230
CLIFTON,CO 81520-1230
DCMSL CLlENT
SAMPLE SAMPLE
NUMBER NUMBER
SAMPLE
DATE DESCRIPTION
5-20-15 A.WHITE PAINT
B.WHITE TEXTURE
C.TAN FIBROUS
D.WIllTE DRYWALL
5-20-15 A.WHITE PAINT
B.WIllTE TEXTURE
C.TAN FIBROUS
D.WIllTE DRYWALL
5-20-15 A.WHJTE PAINT
B.WIllTE TEXTURE
C.WIllTE DRYWALL MUD
D.TAN FIBROUS
E.WHITE DRYWALL
5-20-15 A.WIllTE PAINT
B.WHITE TEXTURE
C.WlllTEDRYWALLMUD
D.TAN FIBROUS
E.WHITE DRYWALL
5-20-15 A.WIllTE PAINT
B.wurrs CONCRETE
-6 165FR-B-006
-7 16SFR-B-007
-8 165FR-B-008
-9 J65FR-B-009
-10 165FR-B-OIO
§}_J?I9.N¥'.-_JNe
1.2421W.49T.H AVENUE,UNIT #6
WHEAT RIDGE,CO 80033 (303)463-8270
BULK ASBESTOS TEST REPORT
PAGE 2 OF 4
ANALYSIS DATE:
REPORTING DATE:
RECEIPT DATE:
CLIENT JOB NO.:
PROJECT TITLE:
DCMSL PROJECT:
5-26-15
5-27-15
5-21-15
RESIDENCE
165FOREST RD -VAIL,CO
ADAT963
PERCENTAGE COMPOSITION BY VISUAL ESTIMATE
PERCENT
OF SAMPLE
ASBESTOS
TYPE RANGE %IN SAMPLE CONSTITUENTS CONSTITUENTS
2.0%ND
3.0%ND
5.0%ND
90.0%ND
2.0%NO
5.0%ND
6.0%NO
87.0%ND
2.0%NO
4.0%ND
5.0%ND
6.0%ND
83.0%NO
1.0%ND
2.0%ND
3.0%NO
6.0%ND
88.0%NO
15.0%NO
85.0%NO
TOTAL
ASBESTOS OTHER FffiROUS NON-FIBROUS
TOTAL
PERCENTAGE
IDENTIFIED
MATERIALS
NO
ND
NO
ND
NO
0.0 100.0 100.0
0.0 100.0 100.0
100.0 0.0 100.0
l.0 99.0 100.0
0.0 100.0 100.0
0.0 100.0 100.0
100.0 0.0 100.0
1.0 990 100.0
0.0 100.0 100.0
0.0 100.0 100.0
0.0 100.0 100.0
100.0 0.0 100.0
1.0 99.0 100.0
0.0 100.0 100.0
0.0 100.0 100.0
0.0 100.0 100.0
100.0 0.0 100.0
1.0 99.0 100.0
0.0 100.0 100.0
0.0 100.0 100.0
CLIENT:
A&D ASBESTOS TESTlNG AND CONSULTlNG
P.O.BOX 1230
CLIFTON,CO 81520-1230
DCMSL CLIENT
SAMPLE SAMPLE
NUMBER NUMBER
SAMPLE
DATE DESCRJPTION
5-20-15 A.WHlTE PAlNT
B.WHJTE CONCRETE
5-20-15 A.GREY CONCRETE
B.WHJTE CONCRETE
5-20-15 A.WHITE PAlNT
B.WHITE CONCRETE
C.GREY CONCRETE
5-20-15 A.WHITE PAlNT
B.GREY CONCRETE
C.WlllTE CONCRETE
-II 16SFR-B-0Il
-12 I6SFR-B-0 12
-13 165FR-B-013
-14 165FR-B-014
FOR CALCULATION PURPOSES,TRACE (TR)IS ASSUMED TO BE O.S%.
(1)-lNSEP ARABLE LAYERS NO -NONE DETECTED
a_J19.lr~.
-u.:tIOMlOIttl~
12421 W.49Tf,IAVENUE,UNITN6
Wf,lEAT RIDGE,CO 80033 (303)463-8270
BULK ASBESTOS TEST REPORT
PAGE 3OF 4
ANALYSIS DATE:
REPORTlNG DATE:
RECEIPT DATE:
CLIENT JOB NO.:
PROJECT TITLE:
DCMSL PROJECT:
5-26-15
5-27-15
5-21-15
RESIDENCE
165FOREST RD -VAIL,CO
ADAT963
PERCENTAGE COMPOSITION BY VISUAL ESTIMATE
PERCENT
OF SAMPLE
ASBESTOS
TYPE RANGE %IN SAMPLE CONSTITUENTS CONSTITUENTS
15.0%NO
85.0%NO
30.0%NO
70.0%NO
15.0%NO
25.0%ND
60.0%ND
15.0%NO
20.0%NO
65.0%NO
TOTAL
ASBESTOS OTHER FIBROUS NON-FffiROUS
TOTAL
PERCENTAGE
IDENTIFIED
MATERIALS
NO
ND
ND
NO
0.0 100.0 100.0
0.0 100.0 100.0
0.0 100.0 100.0
0.0 100.0 100.0
0.0 100.0 100.0
0.0 100.0 100.0
0.0 100.0 100.0
0.0 100.0 100.0
0.0 100.0 100.0
0.0 100.0 100.0
THE SAMPLES WERE RECEIVED IN ACCEPT ABLE CONDITION.THIS TEST REPORT RELA TES ONLY TO THE ITEMS TESTED.THIS REPORT MAY NOT BE REPRODUCED EXCEPT INFULL,
WlTHOUT THE WRITTEN APPROVAL OF THE LABORATORY.
12421 W.49th Avenue,Unit #6
Wheat Ridge,CO 80033
OCM Project No.:ADAT 963
Client Job No.:165 FOREST RD.
Bulk Sample Analysis
Page _j_of t.J
BULK SAMPLE ANALYSIS PROCEDURES:
DCM Science Laboratory,Inc.analyzes bulk asbestos samples following procedures developed by the
McCrone Research Institute and in compliance with guidelines established by the Environmental Protection
Agency (EPA-600/M4-82-020,1982 and EPA-600/R-93/116,July,1993).
Bulk samples are prepared for analysis using a 10X-80X stereo microscope in a hepa filter hood which
provides a contamination-free environment.The sample is then analyzed by polarized light microscopy (PLM)
at 100X.When the sample consists of more than one layer,each layer is prepared and analyzed separately.
Fiber and matrix materials are identified by the characterization of optical properties including color and
pleochroism,form,cleavage,relief,birefringence,extinction,orientation,twinning,interference figure and other
distinguishing features.Dispersion staining is also used to further aid in mineral identification.All percentages
of asbestos,other fibers and non-fibrous constituents are calculated from the values obtained from analyses
using the stereo and PLM microscopes.In-house and NIST standards as well as a chart prepared by R.D.
Terry and G.v.Chilinger for ''The Journal of Sedimentary Petrology",(Volume 24,pp.229-234,1955)provide a
guide for estimating percentages.All samples are archived for six months unless other arrangements are
made by the client.
ACCREDITATION:
DCMSL is accredited by NVLAP (since April 1,1989).Our NVLAP Lab Code is 101258-0.DCMSL complies
with NVLAP requirements unless otherwise noted.
ENDORSEMENT:
The results of this analysis must not be used by the client to claim endorsement by NVLAP or any agency of
the U.S.Government.
The analysis was performed by :
Ron Schott,Analyst
Ron Schott
Laboratory Director Date
~W~£~
NVLAP Lab Code 101258-0