HomeMy WebLinkAboutB17-0227 Asbestos Test Results.pdfDemofition Asbestos Survey
5185 Main Gore Drive
Vail, CO 81657
Prepared For:
Peter-Murray Development
C/O: Brian Clyadon
970-390-3489
PeterM urrayG rou p@gmaiI.com
Prepared By:
Summit Asbestos Testing, LLC
Nicole Rolfe
PO Box 927
Breckenridge, CO 80424
970-406-8038
nicole@summitasbestostest.com
Survey Date: June 7, 2017
Summit Asbestos Testingjob Number: 2792
Limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail, CO
CERTIFICATION STATEMENT
As the certified inspector responsible for the development of this inspection report, I certify that it
has been written and reviewed in a manner of full compliance with applicable rules and regulations
as required by Federal and State regulations. See Appendix B for copies of certifications.
Respectfully Submitted,
Signature: A/~&, &,.~
Nicole Rolfe
Summit Asbestos Testing, LLC
PO Box 927
Breckenridge, CO 80424
(970) 406-8038
Date: r 12-, 2..017
Summit Asbestos Testing, LLC, Asbestos Consulting Firm License# ACF-22742
Expiration Date: February 19, 2018
Nicole Rolfe
CDPHE Asbestos Building Inspector, Certification Number: 22581
Expiration Date: February 19, 2018
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Table of Contents
Limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail, CO
CERTIF•CATION STATEMENT ........................................................................................... 1
1. EXECUTIVE SUMMARY/ SCOPE OF SERVICES ......................................................... 3
2. SITE DESCRIPTION .................................................................................................. 3
3. ASBESTOS INSPECTION METHODOLOGY ................................................................ 3
3.1 Asbestos Sample Density ................................................................................................................... 4
3.2 Homogeneous Areas/Materials ......................................................................................................... 4
3.3 Physical Assessment .......................................................................................................................... 4
3.4 Sample Collection .............................................................................................................................. 5
3.5 Analytical Laboratory Information .................................................................................................... 5
4. ASBESTOS SUMMARY TABLES ................................................................................ 7
4.1 Table 1: Homogeneous Areas in Scope of Work ............................................................................... 7
4.2 Table 2: Bulk Sample Locations and Results .................................................................................... 10
4.3 Table 3: Photo Log ........................................................................................................................... 14
5. FINDINGS ............................................................................................................. 14
6. RECOMMENDATIONS .......................................................................................... 14
7. STATE and FEDERAL COMPLIANCE & REGULATORY REQUIREMENTS ................... 15
7.1 Colorado Air Quality Control Commission Requirements ............................................................... 15
7.2 National Emission Standards for Hazardous Pollutants (NESHAPS) ................................................ 16
7.3 Asbestos Hazard Emergency Response Act (AHERA) ...................................................................... 16
7.4 Occupational Safety and Health Administration {OSHA} ................................................................ 16
8. LIMITATIONS AND ASSUMPTIONS ....................................................................... 17
Appendix A: Sample Area Diagram ............................................................................... 18
Appendix B: Certifications ............................................................................................ 21
Appendix C: Laboratory Analytical Report and Chain of Custody .................................. 23
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Limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail, CO
1. EXECUTIVE SUMMARY/ SCOPE OF SERVICES
Summit Asbestos Testing was contracted by Brian Claydon of Peter-Murray Development to perform an
AHERA asbestos building survey to located Asbestos Containing Building Materials (ACBM} due to the
planned demolition at 5185 Main Gore Drive, Vail, CO 81657.
Asbestos Containing Material (ACM) is defined by state and federal regulations as any material that contains
greater than 1 % asbestos. The results of this limited asbestos containing materials survey
determined that asbestos was not 'detet:ted in any of the samples submitted for laboratory analysis.
The survey, conducted on June 7, 2017, consisted of a building walk-through of all areas, delineation and
quantification of homogeneous areas, an assessment as to whether the suspect ACBM is friable or non-
friable, a physical assessment of the condition of the suspect ACBM, collection of representative bulk
samples, and delivery of bulk samples of suspect ACBM to an independent analytical laboratory. The scope
of the survey included all accessible suspect building materials and interior and exterior building finishes.
2. SITE DESCRIPTION
The property is a 4 story single family home with 4 bedrooms and 4.5 half baths located at 5185 Main Gore
Drive, Vail, Colorado. According to the Eagle County Assessor's Office records, the date of original
constructfon ~ 1987 and the home is approximatety 4,630 square feet. At the time of the survey, several
windows and doors were removed.
3. ASBESTOS INSPECTION METHODOLOGY
ACM is defined by state and federal regulations as any material that contains greater than 1 % asbestos as
determined by laboratory analysis.
State and Federal regulations requires that all suspect ACBM be properly sampled and analyzed prior to
conducting any renovation or demolition activities above the established trigger levels (32 square feet, or 50
linear feet, or the equivalent of a 55 gallon drum for residential properties, and 160 square feet, 260 linear
feet, or the equivalent of a 55 gallon drum for commercial properties).
This survey involved identification and sampling of suspect ACBM within the identified scope of work prior
to potential renovations. Suspect ACBM includes nearly all building materials with the exception of metal,
glass and wood. However, if the metal, glass or wood material contains a coating, then these materials fall
into the suspect ACBM category. The sampling protocol and methodology employed by Summit Asbestos
Testing is outlined in this section.
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3.1 Asbestos Sample Density
Limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail, CO
AH ERA regulations specify sampling density protocol based on the quantity and type of material. Sample
locations in the facility were selected by Summit Asbestos Testing to be representative of the various
homogeneous materials. The Summit Asbestos Testing inspector collected the appropriate number of
representative samples at selected locations using a random sampling scheme.
Sample density was selected using the following regulatory criteria:
(• for surfacing materiais, a minimum of 3 bulk samples collected of homogeneous areas less
than 1,000 square feet. At least 5 bulk samples collected for homogeneous areas between
1,000 square feet and 5,000 square feet. Seven or more bulk samples collected for
homogeneous areas greater than 5,000 square feet.
•!• For thermal system insulation (TSI), not assumed to be ACM: At least 3 bulk samples from
each homogeneous area. At least 1 bulk sample from each homogeneous area of patched TSI
if the patched section is less than 6 linear feet or less than 6 square feet. As many samples as
necessary from each mechanical system where cement or plaster is used on fittings such as
tees, elbows, or valves.
•!• For suspect miscellaneous material, not assumed to be ACM, bulk samples are collected in a
manner sufficient to determine whether the material is ACM or non-ACM.
3.2 Hon1ogeneous Areas/Materials
Prior to collecting any samples, Summit Asbestos Testing performed a visual inspection of all areas within
the areas identified in the scope of work to determine the presence of suspected ACBM. Homogeneous
areas and materials were identified and listed to develop a sampling plan. The square footage of each
homogeneous area was measured in order to determine the appropriate number of samples to be
collected. Summit Asbestos Testing attempts to capture the square footage measurements as exacting as
possible; however for the purpose of this report the measurements are considered an estimate. This
information was recorded on the Homogeneous Areas in Scope of Work Form; see Section 4.1 (Table 1 ).
Homogeneous areas are defined by AHERA protocol and state regulation as an area of surfacing material,
thermal system insulation material, or miscellaneous material that is uniform in color, appearance, texture,
date of application, and/or manufacturers' labels.
3.3 Physical Assessment
Summit Asbestos Testing conducted a physical assessment of each identified homogeneous material. The
assessment included determining the condition, potential for disturbance, and the friability of the material.
By regulatory definition, friable means that materia~ when dry, may be crumbled, pulverized, or reduced to
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5185 Main Gore Drive, Vail, CO
powder by hand pressure, and includes previously nonfriable material that becomes damaged to the extent
that when dry it may be crumbled, pulverized, or reduced to powder by hand pressure.
The condition of all confirmed ACBMs were evaluated as:
•!• Good (no visible damage or showing only very limited damage),
•!• Damaged (less than 25% localiied damage or 10% distributed damage),
•!• Significantly damaged (25% or greater localized damage or 10% or greater distributed damaged)
3.4 Sample Collection
Bulk samples of suspect ACBM were collected in general conformance with AHERA protocols as outlined in
CDPHE's-Colorado Regulation 8. The sampling locations are selected so that they are representative of the
homogeneous area with regard to the material present and its potential asbestos content. When fewer than
9 samples are collected per homogeneous area, a random sampling scheme is used to determine the
sample locaOon,
Each sample collected in this inspection was placed in a sealable container at the time of sampling and
assigned a unique sample ID. This unique sample ID was recorded on the sampling container with indelible
marker. Sample IDs and sample locations were recorded on the Bulk Sample Locations and Results Form
(see Section 4.2-Table 2) and on the Sample Area Diagram (see Appendix A). Each sample location was
photographed, however only photographs of confirmed asbestos are included. These photographs are
available upon request. See the Photo Log (Section 4.3, Table 3), if applicable.
Once sampling was complete, all unique sample IDs were recorded on a chain of custody form, and then
submitted to an accredited laboratory. The sampling tools were cleaned between each sample collection to
prevent cross contamination.
3.5 Analytical Laboratory Information
Forty-three (43) bulk samples were collected and submitted under chain of custody to EMSL, Analytical of
Denver, CO (AIHA Lab ID 189946). The samples were analyzed using Polarized Light Microscopy (PLM), per
EPA method 600/R-93/116. EMSL, Analytical participates in the National Voluntary Laboratory Accreditation
Program (NVLAP), a quality assurance program for PLM analysis.
By regulation, a homogeneous area shall be determined to contain ACM based on a finding that the result of
any single sample collected from that homogeneous area shows that asbestos is present in an amount
greater than one percent. Additionally, a homogeneous area is considered not to contain ACM only if the
results of fill samples required to be collected from the area show asbestos in amounts of one percent or
less.
If the asbestos content of ai Sat'ilnlp)Je of ffJable asbestos is estimated to be 1 % asbestos m: less, but greater
than 0% (trace), by a method other than point counting (such as visual estimation), the determination shall
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Limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail, CO
be repeated using the point counting technique with PLM. If the result obtained by point count is different
from a result obtained by visual estimation, the point count result must be used.
Any materials that contains greater than one percent (1 %) asbestos by PLM analysis is considered an ACM
and must be handled in accordance with OSHA, EPA, and applicable state and local regulations.
Laboratory analysis results for this project are summarized in Section 4.2. See Appendix C for laboratory
report and chain of custody.
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Limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail, CO
4. ASBESTOS SUMMARY TABLES
4.1 Table 1: Homogeneous Areas in Scope of Work
Material Physical Qty in Scope Samples HA# Functional Space/Locations (approximate Category Description sq ft) Collected
1 SM Orange stucco Lower portions of exterior of house 355 3 exterior/grey thin-set
2 MISC Black roofing tar
paper Between roof and wooden shingles 2,000 1
3 MISC White insulation Exterior of house between stucco and
wood wall 355 1
Main Floor: 2 car garage walls and ceiling,
1 car garage walls
1st Floor: LR Walls/Kitchen Walls and
ceiling, Bedroom walls and ceiling,
Hallway walls and ceiling
4 SM White orange peel 2"d Floor: Hallway walls and ceiling, Spare >7,000 7 surfacing material bedroom (west of stairs) walls and
ceiling,
3rd Floor: Kitchen west wall, living room
walls and ceiling, fireplace room walls
and ceiling, western room watts and
ceiling
5 MISC Drywall/Joint Behind HA4 >7,000 2 Compound
Tan Swirl 6x6 tile-1st floor kitchen west wall, counter tops, 6 MISC 70 1 grey thin set 1st floor office counter tops
Cream wallpaper
7 MISC with pink 1st floor LR west, north wall, 2nd floor 376 1 flowers/gold east bathroom walls
adhesive
8 MISC Brown/white 1st Floor LR east and south wall 317 1
checked wallpaper
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Limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail, CO
with white adhesive
Cream/blue specked
9 MISC wallpaper/gold 1st floor bath off kitchen-walls 105 1
adhesive
1st floor bath off kitchen-shower walls
10 MISC 4x4 tan tile/gold and counter top--1st floor SW Office-250 1 mastic Counter top, 2hd floor hall shower walls-
2nd floor master bath shower walls
11 MISC Tan design tile with
tan thin-set
1st floor bath (off kitchen)-floor, 2nd
85 1 floor halll bath floor
Tan small octagon 1st floor entrance flooring, hallway
floorrng, 1st floor hallway bath floor and 12 MISC floor tile with grey counter top, 2nd floor east bath flooring-335 1
thin-set 2nd floor master bath floor
8x8 white ceramic 1st Floor-SW Office Flooring-hot tub 13 MISC tile/gold 265 1
adhesive/grey thinset room wall tiles
White floral
14 MISC wallpaper/gold 1st floor SW office walls 425 1
adhesive
White cove 15 MISC base/clear adhesive Garage trim, 1st floor hot water room 65 1
Blue floral
16 MISC wallpaper/gold 2nd Floor east bedroom walls 380 1
adhesive
White/blue/tan
17 Mt SC striped 2nd Floor hall bathroom walls 250 1 wallpaper/gold
adhesive
2nd floor hall bathroom walls, Behind WP
18 SM White Skim Coat SM in the Following: 1st floor LR Walls, 1st 1,350 5 floor hall bath, 2nd floor utility Room,
2nd floor East Bathroom (off bedroom}
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Limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail, CO
19 MISC Drywall/Joint Behind HA 20 OW: 1,350 1 Compound J/C: 700
White with blue
20 MISC striped 2nd floor master bedroom walls 535 1 wallpaper/gold
adhesive
Blue tiny floral 3rd floor kitchen wa11s and hallway walls 21 MISC wallpaper/gold 500 1
adhesive to spa room
6x6 white ceramic Backsplash 3rd floor kitchen walls, spa 22 MISC 250 1 tile/ gold adhesive flooring
Cream colored
23 SM orange peel surfacing 3rd floor hot tub room walls 330 3
material
Drywall/Joint OW: 330 24 MISC Behind HA 23 1 Compound J/C: 170
12x12brown
25 MISC tile/brown 3rd floor fireplace wall 130 1
grout/grey thin-set
26 MISC Bare Drywall 1st floor Hot Water Room, 2nd floor 500 1 plumbing room (behind utility room)
Black ThK:k Tar 27 MISC Impregnated Paper Exterior Wafrs behind wood siding 4,000 1
Grey exterior tile Main level entrance way, stairs up to 1st 28 MISC 12x12 and 6x6, grey 275 1
grout, white thin set floor, 1st floor entrance
HA=Homogeneous Area
Material Category Abbreviations: SM= Surfacing Material, TSI= Thermal System Insulation, MISC= Miscellaneous
OW= Drywall, JC= Joint Compound
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1st floor exterior-1 STUC-SM-01 north wall
1st floor exterior-1 STUC-SM-02 north wall
1st floor exterior--1 STUC-SM-03 north wall
2 TARP-M-04 Exterior roof
3 tNS-M-05 Exterior-north wa4~
2 car garage, east
4 OP-SM-06 wall
1st level kitchen-
4 OP-SM-07 ceffing
2nd floor east
4 OP-SM-08 bedroom, north wall
2nd floor hallway,
4 OP-SM-09 south wall
3rd Floor, western
4 OP-SM-10 fireplace room-
south Wall
Below east window
(of 1st floor office
space I
Above western
window
Between middle and
eastern windows, 7'
west of east exterior
wall
South side of roof
over 2 car garage
Below east window
(of 1st floor office
space)
At the south edge of
east wall, 1.8' from
floor
1' east of west waJI on
ceiling, 10' south of
north wall
3.6' from floor, 2' west
of east wall
1.4' from floor, 1.6'
east of entrance into
master bedroom
Below the eastern
large window, 1' from
floor
Limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail. CO
D F F ND
D F F NO
D F F ND
G NF NF ND
so f F NO
G F F ND
G F F ND
D F F ND
D F F ND
D F F ND
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limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail, CO
3rd floor, fireplace Bottom on the south 4 OP-SM-11 room--northern G F F ND
Pillar side, 1' above manter
1st level east/west 5. 7' from floor, at
4 OP-SM-12 corner with entrance G F F ND hallway-north wall into 1st floor office
1st level east/west 5. 7' from floor, at
5 DW/JC-M-13 corner with entrance G F F ND hallway-north wall into 1st floor office
3rd level West FP S wall-west of the
5 DW/JC-M-14 large Eastern D F F ND Room Window-
1st level kitchen East edge of counter, 6 TSW-M-15 D NF F ND counter 2'north of south wall
7 CRWP-M-16 1st floor living 4.3' from floor, 8.1' G F F ND room-north wall east of west wall
8 BRWH-M-17 1st floor living 4.1' from floor, 6.3' G F F ND room-east wall south of north wall
1st floor bathroom 4.4' from floor-just
9 CRBL-M-18 (off kitchen), north west of entrance into G F F ND
wall bathroom
1st floor bathroom
10 4x4Tan-M-19 (off kitchen), west Center on wall D F F ND
shower wall
1st floor bathroom Southeast corner floor 11 BAFL-M-20 (off kitchen), floor tile D F F ND
12 OCT-M-21 2nd floor master
bath floor South side D F F ND
13 8x8-M-22 3rd floor spa room-Top southern tile on
east wall east wall G F F ND
1st floor office-At corner w west wall, 14 WFWP-M-23 G F F ND north wall 4' from ffoor
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Limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail, CO
15 CB-M-24 2 car garage, south
wall
Floor trim, 2.6' west of
threshold into garage G NF NF ND
2nd floor east 5.1' from floor,
16 BF-M-25 4.3'east of entrance G F F ND bedroom-south wall into room
17 STRIPE-M-26 2nd floor hall bath, 3.1' from floor, 1.5' D F F ND north wall west of door entrance
18 SK-SM-27 2nd floor master
bath-north wall
4.5' from floor, 2.2'
west of entrance door G F F ND
18 SK-SM-28 1st floor living 3.9' from floor, 5.2' G F F ND room-North Wall south of north wall
2nd floor master adjacent to west wall, 18 SK-SM-29 bath-south wall 5.5' from floor G F F ND
DW/JC-M-30 2nd floor master adjacent to west wall, 19 G F F ND bath-south wall 5.5' from floor
2nd floor master 5' from floor, 8.3' west 20 BLWH-M-31 D F F ND bedroom, north wall of east wall
3rd floor kitchen --North facing side, 2.2'
21 BLFL-M-32 from floor, 8" east of G F F ND northern short wall the west edge of wall
3rd floor kitchen-4' from floor, 7 .7'west :n GxGWH-M-33 D F F ND south wall of east wall
4rd floor hot tub 5.4' from floor, 8" 23 CR-SM-34 room, west wall south of north wall G F F ND
4th floor hot tub Above window, 6.6'
23 CR-SM-35 from floor, 3.6' south G F F ND room; east wall of north wall
4th floor hot tub Adjacent to west wall, 23 CR-SM-36 G F F ND room, south wall 3.6' from floor
DW/JC-M-37 4th floor hot tub Adjacent to west wall, 24 G F F ND room, south wall 3.6' from floor
Page 12
25
18
18
26
27
28
12x12-M-38
SK-SM-39
SK-SM-40
DW/JC-M-41
TH-M-42
GR-M-43
Limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail, CO
3rd Floor Fireplace Bottom, most
Room, west side northern tile G NF
1st floor, hallway East wall as enter
bathroom, 4.3' from bathroom (by floor, 1.2' south of stairwell) north wall
G F
2nd Floor Utility 3.4' from floor, 2.1'
Room, east Wall south of north wall G
1st floor hot water 3.9' from floor, 2.2'
room, east wall north of south wall D F
1st floor exterior, Just as enter outside,
5' from floor, 1' from east wall south edge of wall
D NF
Exterior stairwell up 3rd stair to 1st level G NF
HA= Homogeneous Area
Condition Abbreviations: SD= Significantly Damaged, D= Damaged, G= Good
Results: ND= None Detected
1 Current Condition: Is the Material Friable or Non-Friable in Current Condition:
F= Friable NF=Non-Friable
F ND
F ND
ND
F ND
NF ND
F ND
2 Due To Reno/Demo: If the Material is Non-Friable in Current Condition, Will it Become Friable
when Disturbed by Renovation or Demolition:
F= Friable NF=Non-Friable
If any samples in the same Homogeneous Area (HA#) contain asbestos, then all samples in the same
Homogeneous Area (HA#) must be considered asbestos containing.
Page 13
4.3 Table 3: Photo Log
Limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail, CO
Only photos of sample locations of confirmed asbestos are shown in the photo log. Forty-three (43)
samples were submitted for lab analysis. All samples came back non-detect for asbestos. Photos of sample
locations are available upon request.
5. FINDINGS
The results of this asbestos building survey conducted at 5185 Main Gore Drive, Vail, Colorado 81657
indicate that:
None of the suspect building materials sampled were found to contain more than one percent (1%)
asbestos.
If any suspect asbestos containing material is discovered during renovation or demolition, not identified in
this report and within the scope of renovation, it must be sampled by a Colorado State Certified Asbestos
Inspector prior to proceeding with work.
6. RECOMMENDATIONS
Based on the laboratory analytical results, any identified asbestos containing materials should be removed
by a Colorado State Certified General Abatement Contractor prior to conducting any removal or demolition
activities associated with these materials. All work associated with these materials must be performed in
· accordance with all Local, State and Federal regulations.
Contractors and employees working in this building should be made aware of the possibility that concealed
ACBM may be found during renovation or demolition. Any discovered material must not be disturbed
without consulting the owner or manager of the building to determine if those materials were previously
identified and sampled to determine if it is ACBM.
As per AHERA, a suspect material is to be considered as asbestos containing unless it is proven otherwise by
appropriate sampling. Please work safely and if you encounter any other suspect asbestos building
materials not listed in this report, please contact a state certified asbestos building inspector for additional
sampling. Furthermore, if additional areas are added to the scope of work not identified in this report,
sampling of all suspect ACBM within the new areas must be performed prior to renovation/demolition
activities, per state and federal regulations.
At the time of this report, the EPA has not prohibited the manufacture and import of miscellaneous
materials, such as vinyl floorings, mastics, roofing materials, etc., which may be asbestos containing. As a
result, Summit Asbestos Testing recommends testing of future replacement materials for the presence of
asbestos prior to installation.
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5185 Main Gore Drive, Vail, CO
7. STATE and FEDERAL COMPLIANCE & REGULATORY REQUIREMENTS
This survey was performed in accordance with Federal, State and local regulations for conducting asbestos
building surveys to meet Colorado Air Quality Control Commission (AQCC), Occupational Safety and Health
Administration (OSHA), Environmental Protection Agency (EPA), and National Emission Standards for
Hazardous Air Pollutants (NESHAP) requirements.
7.1 Colorado Air Quality Control Commission Requirements
Colorado Regulation 8 definitions and requirements include:
LB. D€finitions:
"'Demolition' means the wrecking or taking out of any load-supporting structural member of a facility
together with any related handling operations or the intentional burning of any facility ... "
111.C.S. Asbestos Spill Response:
''In the event of an asbestos spill involving less than SO linear feet on pipes, 32 square feet on other
surfaces, or the volume equivalent of one SS-gallon drum, the building owner should ... " (Refer to pages
8.114 and 8.11 S for exact recommendations).
''In the event of an asbestos spill involving greater than SO linear feet on pipes, 32 square feet on other
surfaces, or the vo~ume equivalent of one SS-gallon drum, the owner shall..." (Refer to page 8.11 S for exact
requirements).
111.C.6. Renovation and Demolition Projects:
"Prior to any renovation or demolition in any single family housing which may disturb SO linear feet of
material on pipes, 32 square feet of material on other surfaces, or the volume equivalent of one SS-gallon
drum of material identified by the EPA as a suspect asbestos-containing material the facility components(s)
to be affected by the renovation or demolition shall have an inspection performed by a building inspector
certified under these regulations. The inspection must be performed to the AH ERA standards as given in 40
CFR Part 763 (1992)."
Note: Effective March 30, 2003, State Legislature, House Bill 1016 enacts a quantity change, as well as other
regulatory requirements that will alter all of the following minimum level requirements. This format of
quantities will remain the same with this notation, until CAQCC Regulation 8 is revised.
"Prior to any renovation or demolition in any public or commercial building which may disturb 260 linear
feet of material on pipes, 160 square feet of material on other surfaces, or the volume equivalent of one SS-
gallon drum of material identified by the EPA as a suspect asbestos-containing material, the facility
component(s) to be affected by the renovation or demolition shall have an inspection performed by a
building inspector certified under these regulations. The inspection must be performed to the AHERA
standards as given in 40 CFR Part 763 {1992)."
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7.2 National Emission Standards for Hazardous Pollutants (NESHAPS)
NESHAPS definitions and requirements include:
Section 61.141 Definitions:
"Demolition means the wrecking or taking out of any load-supporting structural member of a facility
together with any related handling operations or the intentional burning of any facility."
Section 61.145 Standard of demolition and renovation:
"Prior to the commencement of the demolition or renovation, thoroughly inspect the affected facility or part
of the facility or part of the facility where the demolition or renovation operation will occur for the presence
of asbestos, including Category I and Category II no friable ACM ... "
"If a facility is being demolished .. .i~ the combined amount of RACM is at least 260 linear feet on pipes or at
least 160 square feet on other facility components, or at least 35 cubic feet off facility components where
the length or area could not be measured previously ... "
"In a facility being renovated, including any individual nonscheduled renovation operation, if the combined
amount of RACM to be stripped, removed, dislodged, cut, drilled, or similarly disturbed ... is at least 260
linear feet on pipes or at least 160 square feet on other facility components, or at least 35 cubic feet off
facility components where the length or area could not be measured previously ... "
7.3 Asbestos Hazard Emergency Response Act (AHERA)
AHERA definitions and requirements include:
As referenced in 40 C.F.R. Part 763 (1992), " ... requires a minimum number of samples for surfacing
materials, thermal system insulating materials, and requires samples in a manner sufficient to determine
whether the material is ACM or not ACM for miscellaneous materrats.
7.4 Occupational Safety and Health Administration (OSHA)
OSHA definitions and requirements include:
Any material that contains over one-percent (1 %) of any type of Asbestos is considered Asbestos containing
material (ACM) and must be handled according to OSHA and EPA regulations if disturbed.
Compliance and Implementation of OSHA 1926.1101 (replaces OSHA 1926.58) is required, as published, no
later than October 01, 1995 which requires the Building Owner Methods of Compliance, Respiratory
Protection, Hygiene Facilities and Practices for Employees. Communication of Hazards, Housekeeping,
Medical Surveillance and the Designation and Training of Competent Persons, including:
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5185 Main Gore Drive, Vail, CO
The Building/Facility Owner (including a lessee) must identify the presence, location and quantity of ACM
and/or PACM(presumed asbestos-containing material) at the work site before beginning work.
The Building/Facility Owner must notify, (in writing or in person), the presence, location and quantity of ACM
or PACM at the work sites to prospective employers whose employees will work in or next to areas with ACM
or PACM. Owner's employees who will work in or next to such areas, all employers on multi-employer
worksites whose employees will work in or next to such areas, tenants who will occupy such areas, etc.
"An employer or owner may demonstrate that PACM (Presumed Asbestos Containing Material) does not
contain asbestos by the following: (A) Having an complete inspection conducted pursuant to the
requirements of AHERA (40 CFR Part 763, Subpart E) which demonstrates that the material is not ACM; (B)
Performing tests of the material containing PACM which demonstrates that no asbestos is present in the
material. .. the tests, evaluation and sample collection shall be conducted by an accredited inspector."
Note: The aforementioned regulatory phrases are not the regufations i:n their entirety. Consult the
regu~atory ag~ncy, which may apply.
8. LIMITATIONS AND ASSUMPTIONS
Summit Asbestos Testing and the findings presented in this Asbestos Survey Report make no
representations or assumption as to past and/or future conditions/occurrences of the specific areas
surveyed and are based solely oo the coodit~oos observed dunng our survey aind that are noted in this
report.
The survey did incorporate destructive sampling techniques to identify materials in previously inaccessible
areas (behind walls, above ceilings, etc.). These activities created small openings for investigation, but are
limited in that full observation is not possible due to the presence of floors, ceilings, etc. Reasonable effort
was made by Summit Asbestos Testing to locate and sample accessible suspect building materials within the
potential renovation areas identified in the scope of work described in.Section 1. However, it is possible
that asbestos-containing materials may be concealed within structures and not identified in this report. The
selection of sample locations and frequency of sampling was based on Summit Asbestos Testing's
observations and the assumption that like materials in the same area are homogeneous in content (as per
AHERA definitions).
Summit Asbestos Testing is not responsible or liable for any opinions, conclusions or recommendations
provided by others regarding the data presented in this Limited Asbestos Survey.
Page 17
I
\
Limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail, CO
Appendix A: Sample Area Diagram
(Not To Scale)
1 Car Garage
20
Bedroom
-,
Ground Level
South
6
i I -H
~Q
l::.'. I
1st Level
South
Hot Water Room
2 Car Garage
Office __ ,
Outside
l Roof Over 2 Car Ga@ge
Page 18
L.., ""'"'~·
33
• •
•
• Kitchen
•
I • -
Utility Room
40
-!
_J-
lr -
' ...•...
, __ I
Limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail, CO
Hall bath
26
2nd Floor
South
Hall Bedroom
3rd Floor
South
Fireplace Room
Master Bath
27
Master Bedroom
31 -.J
14 .,
• •
•
-1111111111111111111111La
-
Page 19
Limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail, CO
Hot Tub Room Above 3rd Floor
South
35
I r .. _____ ,.
-
~-... "I'"---
Page 20
Limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail, CO
Appendix B: Certifications
Colorado Department
of Public Health
and Environment
ASBESTOS
CERTIFICATION*
This certifies that
Nicole Rolfe
Certification No.: 22581
has met the requirements of 25-7-507, C.R.S. and Air Quality Control
Commission Regulation No. 8, Part B, and is hereby certified by the
state of Colorado in the following discipline:
Building Inspector*
Issued: February 02, 2017
Expires: February 19, 2018
• nm cMi/hvttlt is Wlltd 0111}· wifll llu ~"" of.
CIUTlllU Dllliido~Hll trtlhttng '""'~' ""'1iji"'1tlnn
in IU dbdp#IM lp«if/d 11"°1¥.
Page 21
Limited Asbestos Containing Materials Survey
5185 Main Gore Drive, Vail, CO
1775 We:it ~S'~ Awnue
Denver, CO 80221
303.410 4941
trainingchc.com
Certif1e5 that
Nicole Rolfe
Wi81
Has Successfully Completed the EPA-Approved Annual Asbestos Refresher Training Course
Under Section 206 of the Toxic Substance Control Act (TSCA), nt1e II.
BUILDING INSPECTOR
Course Date· Oc.tober 21, 2016
Certificate No_: R16-1214-At-CO Frank Hulce -Instructor
No. ol Hours:
-·· ----~.!'r...J!-v~---Expiration Date: October 21, 2017
Danaya Benedetto· Traimng Program Manager
ASBESTOS CONSULTING FIRM
Summit Asbestos Testing, LLC
Repcraifoe No.: ACf • 21742
has. t1Wt 1he regisua1lon requircmenLS -of 25~ 7 .. 5Q7, C.. .R.S. and tJJc. Air f,Juahty C..:Onlrol
c~ llephuiea No." Pate. an<1 ahecdly-1&pnfonnl!Sbes1Ds~
acUvilles ••required under it<:gulatioil N·o 8, httlt, iii tli.ief.statc uf•t::.micaua.
J"""81)' 311, 2017
Fchniory 19, 2018
Page 22
•
EMSL Analytical, Inc.
3356 West Catalina Drive Phoenix, AZ 85017
Tel/Fax: (602) 276-4344 / (602) 276-4053
http://www.EMSL.com I phoenixlab@emsl.com
Attention: Nicole Rolfe
Summit Asbestos Testing
PO Box 927
Breckenridge, CO 80424
Project: 5185 Main Gore Drive -Vail, CO
EMSLOrder: 121703400
Customer ID: SMAT42
Customer PO:
Project ID:
Phone: (970) 406-8038
Fax:
Received Date: 06/12/2017 9:30 AM
Analysis Date: 06/12/2017
Collected Date: 06/07/2017
Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized
Light Microscopy
Sample Description Appearance
STUC-SM-01-Stucco 1 Orange Exterior Peach
Stucco Non-Fibrous
1217034()(}-0001 Homogeneous
STUC-SM-01-Stucco 2 Orange Exterior Gray
Stucco Non-Fibrous
121703400-0001A Homogeneous
STUC-SM-02-Stucco 1 Orange Exterior Peach
Stucco Non-Fibrous
1217034oa-D002 Homogeneous
STUC-SM-02-Stucco 2 Orange Exterior Gray
Stucco Non-Fibrous
1217034oa-D002A Homogeneous
STUC-SM-03-Stucco 1 Orange Exterior Orange
Stucco Non-Fibrous
1217034()(}-0003 Homogeneous
STUC-SM-03-Stucco 2 Orange Exterior Gray
Stucco Non-Fibrous
121703400-0003A Homogeneous
TARP-M-04 Black Tar Roofing Black
Paper Fibrous
121703400-0004 Homogeneous
INS-M-05 White Insulation Yellow
Fibrous
1217034()(}-0005 Homogeneous
OP-SM-06 White Orange f'eet WMe
Surfacing Mtl Non-Fibrous
121703400-0006 Homogeneous
Paint excluded.
OP-SM-07 White Orange Peel White
Surfacing Mtl Non-Fibrous
1217034()(}-0007 Homogeneous
Paint excluded.
OP-SM-08 White Orange Peel White
Surfacing Mtl Non-Fibrous
1217034()(}-0008 Homogeneous
Paint excluded.
OP-SM-09 White Orange Peel White
Surfacing MtJ Non-Fibrous
1217034()(}-0009 Homogeneous
Paint excluded.
OP-SM-10 White Orange Peel White
Surfacing Mtl Non-Fibrous
121703400-0010 Homogeneous
Paint excluded.
OP-SM-11 White Orange Peel White
Surfacing Mtl Non-Fibrous
1217034()(}-0011 Homogeneous
Paint excluded.
{ Initial report from: 06/12/2017 15:22:07
ASB_PLM_0008_0001 -1.78 Printed: 6/12/2017 12:22 PM
Non-Asbestos
% Fibrous % Non-Fibrous
2% Glass 98% Non-fibrous (Other)
100% Non-fibrous (Other)
2% Glass 98% Non-fibrous (Other)
100% Non-fibrous (Other)
2% Glass 98% Non-fibrous (Other)
100% Non-fibrous (Other)
80% Cellulose 20% Non-fibrous (Other)
5% Glass 95% Non-fibrous (Other)
20% Ca Carbonate
80% Non-fibrous (Other)
20% Ca Carbonate
80% Non-fibrous (Other)
20% Ca Carbonate
80% Non-fibrous (Other)
20% Ca Carbonate
80% Non-fibrous (Other)
20% Ca Carbonate
80% Non-fibrous (Other)
20% Ca Carbonate
80% Non-fibrous (Other)
Asbestos
%Type
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
N'one Detected'
None Detected
None Detected
None Detected
None Detected
None Detected
Page 1 of 5
•
EMSL Analytical, Inc.
3356 West Catalina Drive Phoenix, AZ 85017
Tel/Fax: (602) 276-4344 / (602) 276-4053
http://www.EMSL.com I phoenixlab@emsl.com
EMSL Order: 121703400
Customer ID: SMAT42
Customer PO:
Project ID:
Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized
Light Microscopy
Non-Asbestos A!!!!!!2!
Sample Description Appearance % Fibrous % Non-Fibrous %Type
OP-SM-12 White Orange Peel White 20% Ca Carbonate None Detected
Surfacing Mtl Non-Fibrous 80% Non-fibrous (other)
1217034()(}-()()12 Homogeneous
Paint excluded.
DW/JC-M-13-Joint Drywall/Joint White 20% Ca Carbonate None Detected
Compound Compound Beneath Non-Fibrous 80% Non-fibrous (other)
HA4 Homogeneous
12f70340C>-0013
DW/JC-M-13-Drywall Drywall/Joint Brown/White 10% Cellulose 85%Gypsum None Detected
Compound Beneath Fibrous 2%Glass 3% Non-fibrous (Other)
121703400-0013A HA4 Heterogeneous
DW/JC-M-14-Joint Drywall/Joint White 20% Ca Carbonate None Detected
Compound Compound Beneath Non-Fibrous 80% Non-fibrous (other)
HA4 Homogeneous
1217034()()-0014
DW/JC-M-14-Drywall Drywall/Joint Brown/White 10% Cellulose 85%Gypsum None Detected
Compound Beneath Fibrous 2%Glass 3% Non-fibrous (Other)
121703400-0014A HA4 Heterogeneous
TSW-M-15-Tile Tan Swirl 6x6 Tile -White/Beige 100% Non-fibrous (other) None Detected
Firey Thinset Non-Fibrous
121703400-0015 Heterogeneous
TSW-M-15-Thinset Tan Swirl 6x6 Tile -Gray 100% Non-fibrous (Other) None Detected
Firey Thinset Non-Fibrous
121703400-0015A Homogeneous
CRWP-M-16-Wanpaper Cream Wallpaper White 40% Cellulose 150% Non-fibrous (Other) None Detected
W/Pink Flowers/Gold Fibrous
121703400-0016 Adhesive Heterogeneous
CRWP-M-16-Adhesive Cream Wallpaper Beige 100% Non-fibrous (Other} None Detected
W/Pink Flowers/Gold Non-Fibrous
121703400-0016A Adhesive Homogeneous
BRWH-M-17-Wallpaper White/Brown White 40% Cellulose 60% Non-fibrous (Other) None Detected
Checked Fibrous
121703400-0017 Wallpaper/White Heterogeneous
Adhesive
BRWH-M-17-Adhesive White/Brown White 100% Non-fibrous (Other) None Detected
Checked Non-Fibrous
121703400-0017A Wallpaper/White Homogeneous
Adhesive
CRBL-M-18-Wallpaper Cream/Blue Speckled White 40% Cellulose 60% Non-fibrous (Other) None Detected
Wallpaper With Gold Fibrous
121703400-0018 Adhesive Heterogeneous
CRBL-M-18-Adhesive Cream/Blue Speckled White 100% Non-fibrous (Other) None Detected
Wallpaper With Gold Non-Fibrous
121703400-0018A Adhesive Homogeneous
4X4TAN-M-19-Tile 4x4 Tan Tile -Gold White 100% Non-fibrous (Other) None Detected
Mastic Non-Fibrous
121703400-0019 Heterogeneous
4X4TAN-M-19-Mastic 4x4 Tan Tile -Gold Tan 100% Non-fibrous (Other) None Detected
Mastic Non-Fibrous
121703400-0019A Homogeneous
BAFL-M-20-Ceramic Tan Designed Tile Tan 100% Non-fibrous (Other) None Detected
Tile With Tan Thin-Set Non-Fibrous
Heterogeneous
121703400-0020
BAFL-M-20-Thinset Tan Designed Tile Beige 100% Non-fibrous (Other) None Detected
With Tan Thin-Set Non-Fibrous
121703400-002DA Homogeneous
( Initial report from: 06/12/2017 15:22:07
ASB_PLM_OOOB_0001·1.78 Printed: 6/12/201712:22 PM Page 2 of 5
•
EMSL Analytical, Inc.
3356 West Catalina Drive Phoenix, AZ. 85017
Tel/Fax: (602) 276-4344 / (602) 276-4053
http://www.EMSL.com I phoenixlab@emsl.com
EMSL Order: 121703400
Customer ID: SMAT42
Customer PO:
Project ID:
Test Report: Asbestos Analysis of Bulk Materials via EPA 6(}(]/R-931116 Method using Polarized
Light Microscopy
Sample Description Appearance
OCT-M-21-Ceramic Tile Tan Small Octogon Beige
Tile -Grey Thin-Set Non-Fibrous
121703400-0021 Heterogeneous
OCT-M-21-Thinset Tan Small Octogon Gray
Tile -Grey Thin-Set Non-Fibrous
121703400-0021A Homogeneous
8X8-M-22-Tile 8x8 White Ceramic White/Rust
Tile, Gold Adhesi11e Non-Fibrous
121703400-0022 Grey Thin-Set Heterogeneous
8X8-M-22-Adhesive 8x8 White Ceramic Tan
Tile, Gold Adhesive Non-Fibrous
121703400-0022A Grey Thin-Set Homogeneous
8X8-M-22-Thinset 8x8 White Ceramic Gray
Tile, Gold Adhesive Non-Fibrous
121703400-00228 Grey Thin-Set Homogeneous
WFWP-M-23-Wallpaper White Floral Various
Wallpaper W/Gold Fibrous
121703400-0023 Adhesive Heterogeneous
WFWP-M-23-Adhesive White Floral Tan
Wallpaper W/Gold Non-Fibrous
121703400-0023A Adhesive Homogeneous
CB-M-24-Cove Base White Cove Base White
Non-Fibrous
121703400-0024 Homogeneous
CB-M-24-Mastic White Cove Base Beige
Non-Fibrous
121703400-0024A Homogeneous
BF-M-25-Wallpaper Blue Floral Wallpaper Various
Fibrous
121703400-0025 Heterogeneous
BF-M-25-Adhesive Blue Floral Wallpaper Beige
Non-Fibrous
121703400-0025A Homogeneous
STRIPE-M'-26-White/Bklell'an 8eige
Wallpaper Striped Wallpaper Fibrous
W/Gold Adhesive Heterogeneous
121703400-0026
No Adhesive present
SK-SM-27 White Skimcoat White
Surfacing Mtl Non-Fibrous
121703400-0027 Homogeneous
Paint excluded.
SK-SM-28 White Skimcoat White
Surfacing Mii Non-Fibrous
121703400-0028 Homogeneous
Paint excluded.
SK-SM-29 White Skimcoat White
Surfacing Mtl Non-Fibrous
121703400-0029 Homogeneous
Paint excluded.
SK-SM-39 White Skimcoat White
Surfacing Mtl Non-Fibrous
121703400-0030 Homogeneous
Paint excluded.
SK-SM-40 White Skimcoat White
Surfacing Mtl Non-Fibrous
121703400-0031 Homogeneous
Paint excluded.
( Initial report from: 06/12/2017 15:22:07
ASB_PLM_OOOB_0001 -1.78 Printed: 6/12/2017 12:22 PM
Non-Asbestos
"lo Fibrous "lo Non-Fibrous
100% Non-fibrous (Other)
100% Non-fibrous (Other)
100% Non-fibrous (Other)
100% Non-fibrous (Other)
100% Non-fibrous (Other)
40% Cellulose 60% Non-fibrous (Other)
100% Non-fibrous (Other)
100% Non-fibrous (Other)
100% Non-fibrous (Other)
40% CeUulose 60% Non-fibrous (Other)
100% Non-fibrous (Other)
40% Cellulose 60% Non-fibrous (Other)
20% Ca Carbonate
80% Non-fibrous (Other)
20% Ca Carbonate
80"/o Non-fibrous (Other)
20% Ca Carbonate
80% Non-fibrous (Other)
20% Ca Carbonate
80% Non-fibrous (Other)
20% Ca Carbonate
80% Non-fibrous (Other)
Asbestos
%Type
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
Page 3 of 5
•
EMSL Analytical, Inc.
3356 West Catalina Drive Phoenix, AZ. 85017
Tel/Fax: (602) 276-4344 / (602) 276-4053
http://www.EMSL.com I phoenixlab@emsl.com
EMSL Order: 121703400
Customer ID: SMAT42
Customer PO:
Project ID:
Test Reporl: Asbestos Analysis of Bulk Materials via EPA 600'R-931116 Method using Polarized
Light Microscopy
Non-Asbestos Asbestos
Sample Description Appearance % Fibrous "lo Non-Fibrous "!.Type
DW/JC-M-30-Joint Drywall/Joint White 20% Ca Carbonate None Detected
Compound Compound Beneath Non-Fibrous 80% Non-fibrous (Other)
HA18 Homogeneous
121703400-0032
DW/JC-M-30-Orywa!! 'DrywaWJoint Brown 10% Cellu1ose 85"!.Gypsum None Detected
Compound Beneath Fibrous 2%Glass 3% Non-fibrous (Other)
121703400-0032A HA18 Hetero~eneous
BLWH-M-31-Wallpaper White W/Blue Stripes White/Blue 40% Cellulose 60% Non-fibrous (Qt'ner) None Detected
Wallpaper Gold Fibrous
121703400-0033 Adhesive Heterogeneous
BLWH-M-31-Adhesive White W/Blue Stripes White 100% Non-fibrous (Other) None Detected
Wallpaper Gold Non-Fibrous
121703400-0033A Adhesive Homogeneous
BLFL-M-32-Wallpaper Tiny Blue Floral Various 40% Cellulose 60% Non-fibrous (Other) None Detected
Wallpaper Gok! Filurous
121703400-0034 Adhesive Heterogeneous
BLFL-M-32-Adhesive Tiny Blue Floral Beige 100% Non-fibrous (Other) None Detected
Wallpaper Gold Non-Fibrous
12170340<J-0034A Adhesive Homogeneous
6X6WH-M-33-Ceramic 6x6 White Ceramic White 100% Non-fibrous (Other) None Detected
Tile Tile W/ Gold Adhesive Non-Fibrous
Homogeneous
121703400-0035
6X6WH-M-33-Adhesive 6x6 White Ceramic Tan 100% Non-fibrous (Other) None Detected
ne W/ Gold Adhesive Non-Fibrous
1217034-00--0035A Homogeneous
CR-SM-34 Cream Colored White 20% Ca Carbonate None Detected
Orange Peel Non-Fibrous 80% Non-fibrous (Other)
121703400-0036 Surfacing Mtl Homogeneous
Paint excluded.
CR-SM-35 Cream Colored White 20% Ca Carbonate None Detected
Orange Peel Non-Fibrous 80% Non-fibrous (Other)
121703400-0037 Surfacing Mtl Homogeneous
Paint excluded.
CR-SM-36 Cream Colored White 20% Ca Carbonate None Detected
Orange Peel Non-Fibrous 80% Non-fibrous (Other)
121703400-0038 Surfacing Mtl Homogeneous
Paint excluded.
DW/JC-M-37-Joint Drywall/Joint White 100% Non-fibrous (Other) None Detected
Compound Compound Beneath Non-Fibrous
HA23 Homogeneous
121703400-0039
DW/JC-M-37-Drywall Drywall/Joint Brown 10% Cellulose 85% Gypsum None Detected
Compound Beneath fibrous 2% G4ass 3% Non-fibrous (Other)
12170340().()l)39A HA23 Heterogeneous
12X12-M-38-Tile 12x12 Brown Tile -Brown 100% Non-fibrous (Other) None Detected
Brown Grout -Grey Non-Fibrous
121703400-0040 Thin-Set Heterogeneous
12X 12-M-38-Grout 12x12 Brown Tile -Brown 100% Non-fibrous (Other) None Detected
Brown Grout -Grey Non-Fibrous
121703400-0040A Thin-Set Homogeneous
12X12-M-38-Thinset 12x12 Brown Tile -Gray 100% Non-fibrous (Other) None Detected
Brown Grout -Grey Non-Fibrous
121703400-00408 Thin-Set H'omogeneous
DW/JC-M-41-Joint Bare Drywall W/Joint White 20% Ca Carbonate None Detected
Compound Compound At Seams Non-Fibrous 80% Non-fibrous (Other)
Homogeneous
121703400-0041
(Initial report from: 06/12/201715:22:07
ASB_PLM_0008_0001 -1.78 Printed: 6/12/2017 12:22 PM Page 4 of 5
•
EMSL Analytical, Inc.
3356 West Catalina Drive Phoenix, AZ 85017
Tel/Fax: (602) 276-4344 I (602) 276-4053
http://www.EMSL.com I phoenixlab@emsl.com
EMSL Order: 121703400
Customer ID: SMAT42
Customer PO:
Project ID:
Test Report: Asbestos Analysis. ot Bulk Materials via EPA 600IR•93/116 Method· usirrg Polarized
Light Microscopy
Sample
DW/JC-M-41-Drywall
121703400-0041 A
TH-M-42-Tar
121703400-0042
TH-M-42-Paper
121703400-0042A
GR-M-43-Tile
121703400-0043
GR-M-43-Grout
121703400-004311
GR-M-43-Thinset
121703400-00438
Analyst(s)
lsai Portillo (30)
Peter Donato ( 41)
Description
Bare Drywall W/Joint
Compound At Seams
Thick Black Tar
Impregnated Paper
Thick Black Tar
Impregnated ?aper
Grey Exterior 12x12
Tile & 6x6 Tile Grey
Grout, White Thin-Set
Grey Exterior 12x 12
Tile & 6x6 Tile Grey
G~oot, Whiae lkli11.-5et
Grey Exterior 12x12 ne & 6x6 T~e Grey
Grout, White Thin-Set
Non-Asbestos
Appearance % Fibrous
Brown/White 10% Cellulose
Fibrous
Heterogeneous
Black 20% Synthetic
Fibrous
Homogeneous
Black 80% Cellulose
Fibrous
Homogeneous
Gray
Non-Fibrous
Homogeneous
Gray
Non-Fibrous
HomogeJJeous
Gray
Non-Fibrous
Homogeneous
% Non-Fibrous
85% Gypsum
5% Non-fibrous (Other)
80% Non-fibrous (Other)
20% Non-fibrous (Other)
100% Non-fibrous (Other)
100% Non-fibrous (Other)
100% Non-fibrous (Other)
Michelle Wilson, Laboratory Manager
or Other Approved Signatory
Asbestos
"•Type
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no
responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim
product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL
recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless
requested by the client, building materials manufactured with muttiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1 %
Samples analyzed by EMSLAnalytical, Inc. Phoenix, AZ NVLAP Lab Code 200811-0, AZ.0937
( Initial report from: 06/12/2017 15:22:07
ASB_PLM_OOOB_0001 -1. 78 Printed: 611212017 12:22 PM Page 5 of5
OrderID: 121703400
• EM•L ANALYTICAL, INC_.
l..AaOllAT'Olft'•NMIOUCTa•~
Asbestos Chain of Custody
EMSL Or er Number (Lab Use Only):
-I -lj/) -
'--------~-~~--------~
EMSL-Bill to:
EMSL ANAL n:CAL INC
1010 YUMA STREET
DENVER CO 80204
PHONE \3031 740-5700
FAX (303) 741-1400
Different
C~mpa~y: ~ummit Asbestos Testing, LLC If 8111 to is Different note instructions in Comments··
~------------Th_ird_P_arty~B_il_lin~g_re_q~u_ire_s_w_n_·tten authorization from _third~
[ State/Province: co Zip/Postal Code: 80424 '. Country: USA
Street: PO Box 927
City: Breck~_nridge
Report To (Name): Nicole Rolfe Fax#:
Telephone#: 970-406-8038 Email Address: Nicole@summitasbestostestcom
Project Name/Number: ) I lf 5 fv\M N fio ilK '\>~ r-,.... VA-\ L-1 l O
Please Provide Results: 0 Fax 0 Email · Purch~O_r:~~:_ _____ ~~~~_!m~S Taken: CQ____=-~
---------Turnaround Time TAT 0 tions* -Please Check --
0 3 Hour u6.Hour___ 24 Hour 0 48 Hour 0 72 Hour-· l:::J96Hour -01Week 0 iWeek--
·For TEM Atr 3 hr through 6 hr please call ahead to schedule •There is a premtUm charge for 3 Hour TEM AHERA or EPA Level II TAT You will be asked to SJgn
an authonzat1on form for this service Anal sis com leted m accordance with EMSL ·s Terms and Cond1t1ons located m the Analytical Pnce Gwde
PCM -Air i TEM -Air 0 4-4.5hr TAT (AHERA only) I TEM-Dust
0 NIOSH 7400 0 AHERA 40 CFR. Part 763 · 0 Microvac -ASTM D 5755
0 w/ OSHA 8hr. TWA 0 NIOSH 7402 0 Wipe -ASTM D6480
PLM -Bulk (reporting limit) 0 EPA Level II [ 0 Carpet Sonication (EPA 600/J-93/167)
l&_pLM EPA 600/R-93/116 (<1%) 0 ISO 10312 Soil/RockNermiculite
0 PLM EPA NOB (<1°/o) TEM -Bulk . 0 PLM CARB 435 - A (0.25% sensitivity)
Point Count I 0 TEM EPA NOB 0 PLM CARB 435 - B (0.1 % sensitivity)
0 400 (<0.25%) 0 1000 (<0.1%) ! 0 NYS NOB 198.4 (non-friable-NY) i 0 TEM CARB 435 - B (0.1% sensitivity)
Point Count w/Gravimetric 0 Chatfield SOP : 0 TEM CARB 435 -C (0.01% sensitivity)
0 400 (<0.25%) 0 1000 (<0.1 %) 0 TEM Mass Analysis-EPA 600 sec. 2.5 ' 0 EPA Protocol (Semi-Quantitative) I -0 NYS 198.1 (friable in NY) TEM -Water: EPA 100.2 0 EPA Protocol (Quantitative)
D NYS 198.6 NOB (non-friable-NY) Fibers >10µm 0 V'.'aste [1 Drinking Other:
O NIOSH 9002 <1 % All Fiber Sizes_ 0 _waste 0 Drinking O
O Check For Positive Stop -Clearly Identify Homogenous Group
Samplers Name: Nicole Rolfe
Sample#
Samplers Signature: l/\ C1 U ~
Volume/Area
HA# Bulk
~,~~ W_l---+-__ Lf
t-----~-------t ·---t-~
OI --13 --------~To-~~;-~fSa~;~-s:-ID~V--/.-y-~--~-~-.r~~
D~_te~~)};l.At -:f. /dl_f-Time: ~'. 3 ") W\-
Dat_e: ' 1 0 fCf I JJ Time: I
Client Sample# (s):
Relinquished (Client):
Received (Lab):
Comments/Special Instructions:
t?fnf)(
Cor.t;-ol.~ ()oc..;"'lem -Asbe!i.lCS coc -R2 -~ ·2 20~0
\&UJd·-~y\\ u llr/n 91u
Page 1 of -1_ pages
") I 1.J Lt4 • .,t1 Paoe 1 of 4
,-. --
. . OrderID: 121703400
• IE ...... L ~ALY!l(;AL. ~·
ur..aOllATOllY•PlitOOUCH•~
Asbestos Chain of Custody
EMSL~er Number (La~ use Only! Jl~D1L/DO __ _
EMSL ANALYTICAL, INC
1010 YUMA STREET
DENVER CO 80204
PHONE (303) 740-5700
FAX (3031741-1400
Additional Pages of the Chain of Custody are only necessary if needed for additional sample information
Sam le#
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*Comments/Special Instructions:
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Page_ 2-._ of _1__ pages
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Volume/Area (Air)
HA# Bulk
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-• OrderID: 121703400
• EM•L ANALYTICAL. INC.
Asbestos Chain of Custody
EMSL Order Number (Lab Use Only)
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EMSL ANALYTICAL INC
1010 YUMA STREET.
DENVER CO 80204
PHONE i 303 I 7 40-5700
FAX 1)03) 741-1400
Additional Pages of the Chain of Custody are only necessary if needed for additional sample information
Sam le#
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Page _l__ of _1_ pages
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Asbestos Chain of Custody
EMSL Order Number (Lab Use Only):
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EMSL ANALYTICAL INC
1010 YUMA STREET
DENVER CO 80204
PHONE I 303) 7 40-5700
FAX (303l 741-1400
Additional Pages of the Chain of Custody are only necessary if needed for additional sample information
Volume/Area (Air) Date/Time
Sample# Sample Description HA# (Bulk) Sampled
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*Comments/Special Instructions:
Page _1_ of __j_ pages
l _____ _ Paqe 4 Of 4 ------------------------------------