HomeMy WebLinkAboutAsbestos Report.pdfOty.Description Cost
A &D Asbestos Testing and Consulting
John R.Peterman
*****************
P.O.Box 1230
Cell 970-270-3689
Clifton,CO.81520-1230
Home Phone 970-464-5265
February 2,2016
To:Shaeffer Hyde Construction
P.O.Box 373
Vail,Co.81658
Attn:Jon /Travis
RE:Asbestos inspection and testing at the Residence 3090 Booth Creek Rd.
Vail,Co.
16 -Bulk Samples (3-5 day turn around)@ $45.00 each $720.00
1 -Days Labor $400.00
I TOTAL AMOUNT DUE TillS INVOICE $1120.00
Due and Payable upon Receipt -Thank you for your business
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
Vali,Co.81658
LOCATION:
Residence
3090 Booth Creek 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 January 27th,2016 an inspection/survey was conducted and 16
bulk samples were collected from:
Residence
3090 Booth Creek 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
3090 Booth Creek Rd.
Vail,Co.
BUILDING DESCRIPTION:
The Residence at 3090 Booth Creek Rd.is a two story building with an
attached garage that is planned for demolition.The exterior walls are
covered with wood siding and soffits.The roof is covered with metal
roofmg.The interior walls are covered in sheetrock with four types of finish.
The ceiling is covered in sheetrock like the walls.The floor is covered in
wood,carpet and ceramic tiles.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:February 2,2016
Location:Residence 3090 Booth Creek Rd.Vail,Co.
SAMPLE LOCATIONS
SAMPLE NUMBER AREA SAMPLE REMOVED FROM DESCRIPTION FRIABLE
3090-8 001 1st Floor Entry Closet Wall Composite Sheetrock WI Texture No
3090-8 002 1st Floor Master Closet Wall Composite Sheetrock WI Texture No
3090-8 003 2nd Floor E Bedroom Wall Composite Sheetrock WI Texture No
3090-8 004 1st Floor Den WalJ Composite Sheetrock 'WI Texture No
3090-8 005 1st Floor Master Bedroom Wall Composite Sheetrock WI Texture No
3090-8 006 1st Floor Livingroom Wall Composite Sheetroc.k WI Texture No
3090-8 007 2nd Floor Middle Bedroom Wall Composite Sheetrock WI Texture No
3090-8 008 2nd Floor W Bedroom Wall Composite Sheetrock WI Texture No
3090-8 009 1st F'loor Laundry Room Ceiling ,Composite Sheetrock WI Texture No
3090-8 010 1'stFloor Master Closet Ceiling Composite Sheetrock WI Texture No
3090-B 011 1st Floor Entry Closet Ceiling Composite Sheetrock WI Texture No
3090-B 012 2nd Floor W Bedroom Ceiling Composite Sheetrock WI Texture No
3090-8 013 2nd Floor W Bedroom Ceiling Composite Sheetrock WI Texture No
3090-B 014 Garage Wall Composite Sheetrock WI Texture No
3090-B 015 GarageWaU Composite Sheetrock WI Texture No
3090-8 016 Garage Wall Composite Sheetrock WI Texture No
Date:February 2,2016
Location:Res'idence 3090 Booth Creek Rd.Vail,Co.
SAMPLE RESULTS
SAMPLE NUMBER DESCRIPTION ASBESTOS TYPE %
3090-B 001 Composite Sheetrock WI Texture No Asbestos Detected 0
3090-B 002 Composite Sheetrock WI Texture No Asbestos Detected 0
3090-B 003 Composite Sheetrock WI Texture No Asbestos Detected 0
3090-B 004 Composite Sheetrock WI Texture No Asbestos Detected 0
3090-B 005 Composite Sheetrock WI Texture No Asbestos Detected 0
3090-B 006 Composite Sheetrock WI Texture No Asbestos Detected 0
3090-8 007 Composite Sheetrock WI Texture No Asbestos Detected 0
3090-8 008 Composite Sheetrock WI Texture No Asbestos Detected 0
3090-B 009 Composite Sheetrock WI Texture No Asbestos Detected 0
3090-B 010 Composite Sheetrock WI Texture No Asbestos Detected 0
3090-B 011 Composite Sheetrock WI Texture No Asbestos Detected 0
3090-B 012 Composite Sheetrock WI Texture No Asbestos Detected 0
3090-B 013 Composite Sheetrock WI Texture No Asbestos Detected 0
3090-B 014 Composite Sheetrock WI Texture No Asbestos Detected 0
3090-8 015 Composite Sheetrock WI Texture No Asbestos 'Detected 0
3090-B 016 Composite Sheetrock WI Texture No Asbestos Detected 0
Date:February 2,2016
Location:Residence 3090 Booth Creek Rd.Vail,Co.
SUSPECT MATERIAL CONDITION
SAMPLE NUM8ER TYPE OF SUSPECT MATERIAL OVERALL DAMAGED %TYPE OF
CONDITION DAMAGE
3090-8 001 Surfacejng Good No 0 N/A
3090·B 002 Surfaceing Good No 0 N/A
3090·8 003 Surfaceing Good No 0 N/A
3090·8 004 Surfaceing Good No 0 N/A
3090·B 005 Surface,ing Good No 0 N/A
3090·B 006 Surfaceing Good No 0 N/A
3090·8 007 Surfaceing Good No 0 N/A
3090·B 008 Surfaceing Good No 0 N/A
3090·8 009 Surfaceing Good No 0 N/A
3090·8 010 Surfaceing 'Good No 0 N/A
3090·B 011 Surfaceing Good No 0 N/A
3090·B 012 Surfaceing Good No 0 N/A
3090·B 013 Surfaceing Good No 0 N/A
3090-B 014 Surfaceing Good No 0 N/A
3090·B 015 Surfaceing Good No 0 N/A
3090·8 016 Surfaceing Good No 0 N/A
Date:February 2,2016
Location:Residence 3090 Booth Creek Rd.Vail,Co.
POTENTIAL FOR DISTURBANCE
SAMPLE NUMBER ACCESSABILITY POTENTIAL INFLUENCE BY POTENTtAL PLENUM
YES/NO CONTACT VIBRATION AIR EROSION
3090-B 001 Yes High Low Low No
3090-B 002 Yes High Low Low No
3090-B 003 Yes High Low Low No
3090-B 004 Yes High Low Low No
3090-B 005 Yes High Low Low No
3090-B 006 Yes High Low Low No
3090-B 007 Yes High Low Low No
3090-B 008 Yes High Low Low No
3090-B 009 Yes High Low Low No
3090-B 010 Yes High Low Low No
3090-B 011 Yes High Low Low No
3090-B 012 Yes High Low Low No
3090-B 013 Yes High Low Low No
3090-B 014 Yes High Low Low No
3090-B 015 Yes High Low Low No
3090-B 016 Yes High Low Low No
CLIENT:
A&D ASBESTOS TESTING AND CONSULTING
P.O.BOX 1230
CLIFTON,CO 81520-1230
OCMSL CLIENT
SAMPLE SAMPLE
NUMBER NUMBER
SAMPLE
DATE DESCRIPTION
1-27-16 A.WHITE PAINT
B.WHITE TEXTURE
C.TAN FIBROUS
D.WHITEDRYWALL
1-27-16 A.WHITE PAINT
B.TAN FIBROUS
C.WHITE TEXTURE
D.WHITE DRYWALL
1-27-16 A.WHITE TEXTURE
B.WHITE PAINT
C.WHITE DRYWALL MUD
D.TAN FIBROUS
E.WHITE DRYWALL
1-27-16 A.WHITE PAINT
B.TANFIBROUS
C.WHITE TEXTURE
D.WHITEDRYWALL
1-27-16 A.MULTICOLORED PAINT
B.WHITE TEXTURE
C.WHITE DRYWALL MUD
D.TAN FIBROUS
E.WHITE DRYWALL
a_R'~NM----wooo.<1I1OI\1"C
12421 W.49TH AVENUE,UNIT ~6
WllEAT RIDGE.CO 10033 (303)463-1270
BULK ASBESTOS TEST REPORT
PAGE IOF5
ANALYSIS DATE:
REPORTING DATE:
RECEIPT DATE:
CLIENT JOB NO.:
PROJECT TITLE:
DCMSL PROJECT:
1-28-16
2-2-16
1-28-16
RESIDENCE
3090 BOOTH CREEK ROAD -VAIL,CO
ADATl030
PERCENTAGE COMPOSmON BY VlSUAL ESTIMATE
PERCENT
OF SAMPLE
TOTAL
ASBESTOS ASBESTOS OTHER FIBROUS NON-FIBROUS
TYPE RANGE %IN SAMPLE CONSTITUENTS CONSTITUENTS
TOTAL
PERCENTAGE
IDENTIFIED
MATERIALS
-I 3090-B-OOI
-2 3090-B-002
-3 3090-8-003
-4 3090-B-004
-5 3090-B-005
2.0%NO
5.0"10 ND
10.0%NO
83.0%NO
2.0%NO
6.0%NO
7.0%NO
85.0%NO
1.0%NO
2.0%NO
3.0"10 NO
5.0"10 NO
89.0%NO
3.0%NO
5.0"10 NO
7.0%NO
85.0"10 NO
2.0"10 NO
3.0"10 NO
4.0"10 NO
8.0"10 NO
83.0"10 NO
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
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
0.0 100.0 100.0
100.0 0.0 100.0
1.0 99.0 100.0
0.0 100.0 100.0
100.0 0.0 1000
0.0 100.0 100.0
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
NO
NO
NO
NO
NO
CLIENT:
A&D ASBESTOS TESTING AND CONSULTING
P.O.BOX 1230
CLIFTON,CO 81S20-1230
DCMSL CLIENT
SAMPLE SAMPLE
NUMBER NUMBER.
SAMPLE
DATE DESCRIPTION
1-27-16 A.MULTICOLORED PAINT
B.WHITE TEXTURE
C.TANFffiROUS
D.WHITEDRYWALL
1-27-16 A.GREYTEXTURE
B.WHITE PAINT
C.TAN FffiROUS
D.WHITE TEXTURE
E.WHITEDRYWALL
1-27-16 A.WHITE PAINT
B.WHITE TEXTURE
C.TANFffiROUS
D.WHITEDRYWALL
1-27-16 A.WHITEDRYWALLMUD
B.MULT~OLOREDPAINT
C.WHITE TEXTURE
D.TAN FffiROUS
E.WHITEDRYWALL
1-27-16 A.WHITEPAINT
B.TAN FffiROUS
C,WHITE TEXTURE
D.WHITEDRYWALL
-6 3090·B-006
-7 3090-B-007
-8 3090-8-008
-9 3090-8-009
-to 3090-B-O 10
~R,9.N¥.----~'Qtr,r.;c
12421 W.49TH AVENUE,UNIT #6
WHEAT RIDGE,CO g0033 (303)463-11270
BULK ASBESTOS TEST REPORT
PAGE20FS
ANALYSIS DATE:
REPORTING DATE:
RECEIPT DATE:
CLlENT JOB NO.:
PROJECT TITLE:
DCMSL PROJECT:
PERCENTAGE COMPOSITION BY VISUAL ESTIMATE
PERCENT
OF SAMPLE
ASBESTOS
TYPE RANGE %IN SAMPLE CONSTITUENTS CONSTITUENTS
NON-FffiROUS
4.0%NO
7.0%NO
15.0%NO
74.0%NO
2.0%NO
3.0%NO
4.0%NO
9.0%NO
82,0%NO
2.0%NO
3.0%NO
6.0%NO
89.0%NO
10%NO
2.0%NO
3.0%NO
S.O%NO
89.0%NO
1.0%NO
6,0%NO
13.0%NO
80.0%NO
1-28-16
2-2-16
1-28-16
RESIDENCE
3090 BOOTH CREEK ROAD -VAll,CO
ADATl030
TOTAL
ASBESTOS OTHER FIBROUS
TOTAL
PERCENTAGE
IDENTIFIED
MATERIALS
0.0 100.0 100.0
0.0 100.0 100.0
100.0 0.0 100.0
10 99.0 100.0
0.0 100.0 100.0
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
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
100.0 0.0 100.0
0,0 100.0 100,0
1.0 99.0 100.0
NO
NO
NO
NO
NO
CLIENT:
A&DASBESTOS TESTING AND CONSULTING
P,O,BOX 1230
CLIFTON,CO 81520-1230
DCMSL CLIENT
SAMPLE SAMPLE
NUMBER NUMBER
SAMPLE
DATE DESCRIPTION
1-27-16 A.WHITE PAINT
B.TAN FIBROUS
C,WHlTETEXTURE
D,WHITEDRYWALL
1-27c16 A.WHITE PAINT
B.WHITE TEXTURE
C,TANFIBROUS
D_WHITEDRYWALL
1-27-16 A.WHITE PAINT
B,WHITE TEXTURE
C_TAN FIDROUS
D,WHITE DRYWALL
1-27-16 A.WHITE DRYWALL MUD
B.TANPAINT
C TAN FIBROUS
D,WHITE DRYWALL
1-27-16 A.TANPAINT
B.WHlTEDRYWALLMUD
c TAN FIBROUS
D,WHITE DRYWALL
-II 309O-B-Oll
-1,2 3090-B-012
-13 309O-B-013
-14 309O-B-014
-15 3090-B-015
§}_R.9.NM-LA!!OOAlIlO't.l>(:
12421 W,49TI1 AVENUE,UNIT fI6
WHEAT RIDGE,CO 80033 (303)463-1270
BULK ASBESTOS TEST REPORT
PAGE30F5
ANALYSIS DATE:
REPORTING DATE:
RECEIPT DATE:
CLIENT JOB NO.:
PROJECT TITLE:
DCMSL PROJECT:
PERCENTAGE COMPOSmON BY VISUAL ESTIMATE
PERCENT
OF SAMPLE
ASBESTOS
TYPE RANGE %IN SAMPLE CONSTITIJENTS CONSTITUENTS
NON-FIBROUS
3,0%NO
5,0%NO
7.0%NO
85,0%NO
2,0%NO
4,0%NO
6,0%NO
88,0";'NO
3,0%NO
5,0%NO
7,0%NO
85,0%NO
2,0%NO
3,0%NO
5,0%NO
90,0%NO
2_0%NO
7,0%NO
10,0"10 NO
81.0%NO
1-28-16
2-2-16
1-28-16
RESIDENCE
3090 BOOTH CREEK ROAD -VAIL,CO
ADATl030
TOTAL
ASBESTOS OTHER FIBROUS
TOTAL
PERCENTAGE
IDENTIFIED
MATERlALS
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
l.0 99,0 LOO.O
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
100.0 0.0 )00,0
1.0 99,0 100,0
0,0 100_0 100,0
0,0 100.0 100,0
100.0 0.0 100,0
1.0 99.0 100,0
NO
NO
NO
NO
NO
a.!?,9.NM----.__IIIC:
12421 W.49TH AVENUE,UNIT 116
WHEAT lUDGE,CO 80003 (300)463-3270
BULK ASBESTOS TEST REPORT
PAGE40F5
CLIENT:ANALYSIS DATE:
REPORTING DATE:
RECEIPT DATE:
CLIENT JOB NO.:
PROJECT TITLE:
DCMSl PROJECT:
A&D ASBESTOS TESTING AND CONSULTING
P.O.BOX 1230
CLIFTON,CO 81520-1230
PERCENTAGE COMPOSITION BY VISUAL ESTIMATE
1-28-16
2-2-16
1-28-16
RESIDENCE
3090 BOOTH CREEK ROAD -VAIL,CO
ADATl030
DCMSL CLIENT
SAMPLE SAMPLE
NUMBER NUMBER
PERCENT
OF SAMPLE
TOTAL
ASBESTOS ASBESTOS OTHER FIBROUS NON-FIBROUS
TYPE RANGE %IN SAMPLE CONSTITUENTS CONSTITUENTS
SAMPLE
DATE DESCRIPTION
TOTAL
PERCENTAGE
IDENTlFIED
MATERIALS
-16 3090-B-016 1-27-16 A.WHlTEDRYWALLMUD
B.TANPAINT
C.TAN FIBROUS
D.WIDTE DRYWALL
3.0"10 ND 0.0 100.0 100.0
4.0%ND 0.0 100.0 100.0
6.0%ND 100.0 0.0 100.0
87.0%ND 1.0 99.0 100.0
ND
FOR CALCULATION PURPOSES,TRACE (TR)[SASSUMED TO BE 0.5%,
(1)-INSEPARABLE LAYERS ND -NONE DETECTED
THE SAMPLES WERE RECEIVED IN ACCEPTABLE CONDITION.THIS TEST REPORT RELATES ONLY TO THE ITEMS TESTED.THIS REPORT MAY NOT BE REPRODUCED EXCEPT INFULL,
WITHOUT THE WRITTEN APPROVAL OF THE LABORATORY.
12421 W.49th Avenue,Unit #6
Wheat RIdge,CO 80033
OCM ProjeCt No.:ADAT 1030
Client Job No.:3090 BOOTHCREEK
Bulk Sample Analysis
Page _5 of 5
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 otherdistinguishingfeatures.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 aguideforestimatingpercentages.All samples are archived for six months unless other arrangements aremadebytheclient.
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,~nalyst
Ron Schott l :t1"6 -/{p
Laboratory Director Date
~W~~
NVLAP Lab Code 101258-0