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Home My WebLink AboutPermit Demolition 2010-12-15 . CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-$PR2010-00903 IVR Number: 811188648659 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/15/2010 ISSUED: APPLIED: 12/15/2010 12/15/2010 I 225 Fifth St Sphngfield,OR 97477 Phbne: 541-726-3753 I ' Inspection Phone: 541-726-3769 FaX: 541-726-3676 I permitcenler@ci.springfield.or.us EXPIRES: VALUE: 06/13/2011 $0.00 SITE ADDRESS: 1096 MAIN ST, APT# 1, Springfield, OR 97477-4818 ASSESOR'S PARCEL NO: 1703354104600 SCOPE: Apartment Building WORK INVOLVED: Demolition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Demolish tri~plex Phone Number: OWNER: ADDRESS: SPFLD CHURCH OF THE BRETHREN 1072 MAIN ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type General Contractor Contractor Name MElLI CONSTRUCTION CO Lic Type CCB BUILDING INFORMATION ~ # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 63771 Phone 541-485-1417 Lic Exp 01/20/2012 Lot Size: Sq Ft1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information ~ Engineered-Fill: Fill Volume: Flood Hazard Area: quires you to Land Hazard,Areajl;rTENTION: Oregon la~hre Oregon Utility Retaining Wall: foliow rules adopted by r~les are set forth Soils Report Req~8\llication Center. Th~~~U9h OAR 952-00,- in OAR 952-001.0~;~~ copies of the rules by 0090. You may 0 a Note: the telephone caliing the center. ( Utility NotificatIOn number for the, or1e~g~_332_2344). . Ce~M~ - - . ,." \"'~~:::;'.i~~~i~;>;jj>":"' NOTICE: E \f1HEWOR1<. . THIS PERMlT SHI\L~ ;X~~ PERMlT IS NOT: AUTHORIZED UNDE I\BANDONEO FOR ,;.;. COMMENCED OR IS . .... . ANY 180 DAY PERIOD., . " Springfield Building Permit 12/15/201 1;37;34PM Page 1 of3 . www.ci.springfield.or.US CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPRi010-00903 IVR Number: 811188648659 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: 155 ued 12/15/2010 ISSUED: APPLIED: 12/15/2010 12/15/2010 EXPIRES: VALUE: 06/13/2011 $0.00 SITE ADDRESS: 1096 MAIN ST, APT# 1, Springfield, OR 97477-4818 ASSESOR'S PARCEL NO: 1703354104600 SCOPE: Apartment Building WORK INVOLVED: Demolition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Demolish tri-plex Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: - Sidewalk Type: Downspout/Drains: Valuation Description ~ Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Description Demolition of a Building O! Structure Technology~_e (5% of permit lcJ!"l) Admin fee (10% of applicable fees) Total Amount Paid Amount Paid $58.00 $2.90 $5.80 $66.70 Date Paid ReceiDt # 12/15/2010 375140 12/15-/2010 ---'-'375140 ---- 12/15/2010 375140-- " Springfield Building Permit 12/15/201 1:37:34PM Page 2 of 3 SP~I.IN...G.. FIEL~ ~.". ..-... ""t~ (1!;tJ . .-.'\ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00903 IVR Number: 811188648659 www.cLspringfield.or.us 225 Fifth St Springfield,OR 97477 Phone. 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or,us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued 12/15/2010 12/15/2010 12/15/2010 EXPIRES: VALUE: 06/13/2011 $0.00 SITE ADDRESS: 1096 MAIN ST, APT# 1, Springfield, OR 97477-4818 ASSESOR'S PARCEL NO: 1703354104600 SCOPE: Apartment Building WORK INVOLVED: Demolition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Demolish tri-plex Plan Review I Deoartment Application Acceptance Result Over the Counter Received Due Date 12/15/2010 12/15/2010 ComDleted 12/15/2010 Permit Issuance 12/15/2010 12/15/2010 12/15/2010 Issued , - ~;-_.A IPui)licWorks.Review : "'- "12/15/2010, 121.15/2010','121.15/2010., ':' , N6~Required.', tco:~;n~n~s~:, "b~~r"ihe;p~_~~t~~ieer-m.lt~?_~_:"~~::i:~-:-'~"~:-'::~::. ~;'_ .:t "\:.-~~..:.,_; jF -' Structural Review 12/15/2010 12/15/2010 12/15/2010 Not Required Comments: Over the counter permit PlanningReitle~',c,'~~:;t" > 12/.15/201,0 ~ 1Z1~/201q'"': _ -Comme~ts: oVei'tti~:couriter'perm,t ,J , - ., " .:.:::J",-,~ ':'-.'M,- -', , ',';' ",/,u*,:', ."" ! , 12/15/2019,:" Notl3equired; ',' "'," , "0' ,= . "'~_ "0', ~'->"" ", +'4'~;:. ,''' 'i. ~"_ INSPECTIONS REQUIRED I Inspections 1820 Demolition Reviewer David Bowlsby David Bowlsby qa:;id'B.o~isby i V_'''''''''''_''~' ,':':- :" . David Bowlsby " D~~id Bow!sby:,' 1 ., :J'" ',," , ",-,,' '", . - ~,' ",':, Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and inspection is requested and approved, and all debris is removed from the site. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY wilt be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. '/P(l.I;VC, f,b'l..~ Lr<V/J..ClI f/F(1fe flReJ11I<<S-,"; ~-AQ If ~~n' Owner or Contractor Signature DcJ<= If' , Date Springfield Building Permit 12/15/201 1:37:34PM 20/0 Page 3 of3 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00903 1096 MAIN ST APT 1 CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541~726-3753 permitcenler@ci.springfield.or.us 1l:)E~CRII'TION" Demolition of a Building or Structure Technology fee (5% of permit total) Admin fee (10% of applicable fees) RECORD NO: 81 I-SPR2010-0090J DATE: 12/15/2010 . .. -,{~::?;:'l-'~~i::P'QuN:Lc_QQE~"".;-::r: {{;'-:AlMQ!JNI:DJ-IgC;-',' . : I 224-00000-425602 $56.00 100-00000-425605 $2.90 224-00000-426605 $5.60 ------ TOTAL DUE: $66.70 ":PAY9R':'{SASHJER'DBO\'JLS~Y:.~CCJ;1MMgJ.jIS":'::'" -, "t'.'..:, 'H ;-'v'AMOUNT-pAID ; . ____~_J RECEIPT NO: 2010001054 r:'P.AYMENT TYPE' Check 2144 SPFLD CHURCH OF THE BRETHREN $66.70 $66.70 CITY OF SPRJNGFIELl!, OREGON "., 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 DEMOLmON PERMIT APPLICATIONS Your demolition permit is currently being processed. There may be a slight delay, of up to 2 working days for small structures, due to tlIe time required to review tlIe history of tlIe structure to determine if it needs to be documented before demolition. This documentation is for arc1p.v~Hp~~es Ql!!M,an~:%il\ JiQt affect tlIe granting of tlIe demolition permit. If tlIe structure is very large or complicated the . documentation process may take up to a maximum of 4 working days. Documentation will consist of photographing tlIe building, taking measurements and making scaled drawings. The documentation will be undertaken by tlIe City at no cost to you. Documentation is being done on all structures dated prior to 1940 tlIat may have historic importance to tlIe City's development. THIS DOCUMENTATION WILL NOT IMPEDE THE DEMOLITION PROCESS. An age cut-off of 1940 was chosen because tlIis is tlIe date tlIat tlIe National Parks Service and The Springfield Development Code use to determine potential historic significance. If you would prefer to complete tlIis documentation yourself you must provide tlIe City witlI tlIe following information: 1) black and white photographs of each elevation, a floor plan witlI measurements, and 2) a set of elevation drawings witlI measurements. Thank you for your patience. I grant tlIe City of Springfield permission to enter my property to complete documentation prior to tlIe requested demolition of tlIe structure located at: Address: /096 ('1/1ltJ ST ~t~ft"!?""Tf T-1/FIA)T2 (i--2-~ T-] S'PRINAFi:IL). 'Hl/p,{~~ r-/f~ iJRHl1rtf!V Property Owner Signature: ~~((.~ JobNumber:S;>a.'l..C>I~. 00 'O~ Date: Dex /)'7-0/0 , I' I I I ! : CITY, QF S:jlRlNGFIELD; GRIf<?ON , 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 DEMOLmON PERMIT APPLICATION Address: 10 Cj 6 MA-IIJ hRUT Structure to be Demolished: I A I P /. f X Job Number: S ~(t ZOIC. t:::> ~ '703 The applicant is hereby notified that any redevelopment of the subject site must comply with all of the applicable laws, codes, ordinances, polices and plans in effect at the time the redevelopment proposal is accepted as complete for City review. This would include correction of substandard conditions associated with the present development Examples of such corrections may include modification of inadequate drainage facilities; compliance with building set- backs from property lines; correction of substandard sidewalks and street improvements, including driveway width and placement; and other corrections which may be necessary to comply with existing development standards. Furthermore, if an existing use is demolished or otherwise removed prior to the development of the proposed use, then the system development charge credit for the previously existing use shall expire two years after the date of issuance of the demolition permit or other removal of the previously existing use. (Springfield Municipal Code 3.416(1)). My signature below indicates that I have read and understand the above conditions relating to the demolition of the above mentioned structure. JPr./Jl/C, F, ~t t> {1-tUPj"' of 'rHe &(1. trTl1/1.,,/V ~~ ;r~ v . ~!J'Z I> 2010 , Signature Date Zc.'>~ C') C'::'."'''SSl~'~ f+( ()R"IIJT rC(l",q- liP '11)- 21. he'L! Cd,!'!. "'\1!l'r H'rAe I'L/lo/-.. ~.''''..~''';,. [ SffirOS.'R 1 ~. / ~. .~'J cV. A SERVICE-DISABLED VETERAN-OWNED HUB-ZONED SMAU BUSINESS 'Environmental Remediation Asbestos/Lead/Mold/Ilrug labs/PCBs/Heat & Moisture Detection/C02 Dry Ice Blasting A COMMITMENT TO EXCEUENCE 23525 Hwy. 99 E. Harrisburg, OR 97446 PH 541-995-600B FX541-995-1015 Snail ate ZlW.;:te zinc. com VWbslte www.atezinc.com CC B #64090 PRE-DEMOLITION ASBESTOS SAMPLING TRI-PLEX-1082 MAIN STREET SPRINGFI.ELD, OREGON 97477-4818 FOR BRETHREN COMMUNITY SERVICES , A VERIFIED SERVICE-DISABLED VETERAN-DWNED HUB-ZONED SMALL BUSINESS Environmental Remediation Asbestos/Lead/Mold/Drug Labs/PCBs/Heat 8< Moisture Detection/C02 Dry Ice Blasting A COMMITMENT TO EXCELLENCE ~-~ ('DVO" \ ~..A <NO 23525 Hwy. 99 E. Harrisburg, OR 97446 PH 541-995-6008 FX 541-995-1015 Email atez@atezinc.com Website www.atezinc.com CCB #64090 August 23,2010 '"'W'~""."~'_-~'-""'-''''''''''''-'''''~'~''!~''P""::':''~'' i~"'~'Fwg'~~'-"''''~~''~~-:''''-'-~'~-'~l''''-w''~'''''r~-''~::""~~""'"''''''~'~Y'-''''''';';'':'''I''''P'~''''4-''''~c;''''<;,''~''~'''-- ~~"<~'~~_'-'__"'_~o_~ ~81;~BE~QM~ml.~~i;<<S:6E$lIiQS:"S:~M~I.!I~G,~~~B~ml~Ei$.WMM~B~ ****TRI-PLEX-1082 MAIN STREET, SPRINGFIELD OREGON 97477-4818**** :J TABLE OF CONTENTS .:. Profile Sheet .:. Scope and Intent .:. OSHA-Posting Survey .:. Immediate Synopsis POSITIVE Materials .:. Bulk Sample Table ALL Materials .:. Description of Unit .:. Legal ,Requirements .:. Informational .:. Policy-Legal-Liability-Warranty .:. Glossary .:. CAD .:. Certifications Page 2 Page 3 Page 4 Page 5 Pages 6-8 Page 9 Page 10 Pages 11-14 Page 15 Pages 16-19 Attached Attached Insurance: $5,000,000/$5,000,000 Bonding: $500,000 Statutory PW Bond: $30,000 DUNS #: 610.103442 SAIF #: 812051 Asbestos, Pollution, LBP, Mold Coverage Errors & Omissions Insurance 1 ~.~~~~ill!iEf~.!:t~M~BlY{~.[i;~ltg~-August 23, 2010 1082 MAIN STREET, SPRINGFIELD OREGON 97477-4818 PROFILE SHEET Project Number: 100823 Sampling Firm: ATEZ, Inc. 23525 Highway 99E Harrisburg, Oregon 97446 PH: 541.995.6008 CCB No. 64090 Sampling Inspector: Mr. Dan Spangler ATEZ, Inc. AHERA Inspector Certification No. IN-09-0492B (Expiration Date: 10-30-2010) Laboratory: Environmental Hazards Services, L.L.C. 7469 White Pine Road Richmond, Virginia 23237 804.275.4788 NVLP No,: 101882-0 AIHA No,: 100420 Owner/Client: Brethren Community Services (BCS) 1072 Main Street Springfield, Oregon 97477 541.746,2278 spfldcob@efn.orq Owner Contact: Mr. Dale Seese 239 West 'K' Street Springfield, Oregon 97477 541.729,0405 dseese@efn,orq Mr. Micheal T. Roberts 1919 Myers Road Eugene, Oregon 97401 541.968,1166 m@robertspm,biz loiJ"lG Tri-Plex: ~ain Street Springfield, Oregon 97477-4818 Owner's PrOject Manager: Structure Sampled: Sampling Purpose: Demolition Sampling Dates: Sampling: Tuesday, August 17, 2010 Summary: Tuesday, August 24, 2010 Attached: Laboratory analysis by EHS LLC Chain of Custody for samples EHS LLC So Certified, Mr. Dan Spangler, ATEZ, Inc. 2 f\HE~Jn~f)~c:torC13rt,ific:~ti()n~t-Jo-'.!t:!~09-0492B (Expiration Date: 10-30-2010) N~B8l~jJ]!KE:j~MI'lt~B:Yl~~ESmQ~-August 23, 2010 1082 MAIN STREET, SPRINGFIELD OREGON 97477-4818 SCOPE & INTENT-SITE VISIT-CLIENT-DISCLAIMER I SCOPE & INTENT' This is not an AHERA survey. An AHERA Accredited Building Inspector performed the inspection. However, AHERA surveys pertain to schools K-12. This is asbestos sampling performed because the structure will be demolished. The intent is to visibly inspect & sample observable, accessible materials that are suspect for containing asbestos, to identify them for abatement prior to demolition disturbance. SITE VISIT: On Tuesday, August 17, 2010, Dan Spangler, AHERA Asbestos Building Inspector Certification No. IN-09-0492B (Expiration Date: 10-30-2010), inspected the Tri-plex located at~ Main Street in Springfield, Oregon for asbestos containing materials (ACM). /Orib The work practice standards for this inspection were consistent with the model curriculum prepared under sponsorship of the U.S. Environmental Protection Agency (EPA) Asbestos Model Accreditation Plan and developed by the Environmental Science And Technology Laboratory of Georgia Tech Research Institute. CLIENT: Mr. Micheal T. Roberts as the Owner's Project Manager contacted our offices to perform pre- demolition asbestos sampling on the Tri-plex. DISCLAIMER: ATEZ, Inc. does not profess to have the ability to locate or identify all ACM within a facility. We take no responsibility for anything buried, underground, or accessible only through massive destructive processes. We take time to carefully inspect the entire structure; under the floor (if possible), inside the walls, up inside the attic space(s), the outside, floors and behind moldings and coverings. Even with this thorouah investiaation. we mav miss somethina that mav be found durina destruction. The existence of unique or concealed ACM and associated debris is a possibility within any facility. In addition, sampling and laboratory analysis constraints may hinder the investigation. Anyone working on the project must have a copy of the sample results and be familiar with them. "un- sampled building materials are encountered during future construction activities, they must be considered ACMs until testing proves otherwise. Handling of un-sampled building materials must be conducted as if they were ACMs. This is especially true in a structure where several remodels 'have been done and there are multiple layers of materials, such as flooring and roofing. If any suspect material not tested is found, work should stop until further testing can be done. ALL STRUCTURES WITH EMPLOYEES AND/OR PUBLIC ACCESS ARE REQUIRED PER OSHA GENERAL INDUSTRY ASBESTOS STANDARD OAR 437-02-1910.1001 TO HA VE AN ASBESTOS INSPECTION PERFORMED BY AN AHERA INSPECTOR. THE REQUIRED MANAGEMENT PLAN IS BASED UPON THE INFORMATION IN THE SURVEY. PER EPAlDEQ/LRAPA, ALL STRUCTURES BUlL T BEFORE 1988 ARE REQUIRED TO HA VE AN ASBESTOS SURVEY PRIOR TO DEMOLITION, BURNING OR RENOVA TlON. 3 ~~R"~~J!\1[~1~<QM~~l!~<<~~~E5.[~<;l~-August23,2010 1082 MAIN STREET, SPRINGFIELD OREGON 97477-4818 OSHA-POSTING THE REPORT OSHA When sampling a subject property with OSHA concerns, OSHA requires three samples of the same material to prove the material is negative for asbestos. If our client directs us to send three samples of the same material, we instruct the laboratory to analyze these same materials to the first positive result, and then stop, in an effort to keep the cost to the client at a minimum. If all three samples of the same material test negative, OSHA accepts the material as negative. ' To the best of our knowledge, taking three samples of the same material to prove a negative is not being done in this area. It is our client's responsibility to direct us to take three samples of the same material. During this inspection, our client did not direct us to take three (3) or more samples to prove a negative result, so we did not. OSHA EMPLOYEE REQUIREMENTS Any employee working in a structure containing asbestos must have a minimum of two hours Asbestos Awareness training.. IMPORTANT NOTATION-THIS REPORT MUST BE DISPLAYED AT THE JOBSITE DURING WORK Anyone reading this report needs to review the entire report (following) for a full understanding of all methods, locations, descriptions and recommendations for this structure. This report, or a copy thereof, must be placed in a conspicuous location at the site prior to and during any demolition, burning or renovation for the use and inspection of all who may come into contact with any of the sampled materials. .If un-sampled building materials are encountered during future construction activities, they must be considered to be *ACMs until testing proves otherwise. Handling of un-sampled building materials must be conducted as if they were ACMs. This is especially true in a structure where several remodels have been done and there are multiple layers of materials, such as flooring and roofing. "ACM Asbestos Containing Material is by EPA standard, any material that contains more than one percent asbestos. A TEZ, Inc. considers any material that contains a trace amount to be ACM since no known safe limit of asbestos exposure has been conclusively documented. . Chrysotile is known as the "white asbestos" and is the only asbestos mineral in the serpentine group. Chrysotile is the most commonly used type of asbestos and accounts for 95% of the asbestos found in buildings. . Amosite is known as the "brown asbestos" and is found in the amphibole group. Amosite is the second most common asbestos found in buildings. . Crocidolite is known as the "blue asbestos. and is also an amphibole. Crocidolite was used as a high temperature insulating material. 4 '---lj r'\J\C~ C;!J \,"'i-LtC; 0 (,,1:.(....' -II ., Y CV'1.t-/t.. NARRATIVE;SUMMARY'ASBESTOS-August 23, 1010 1082 MAIIIISTR.EET,SPR.iIllGi=iELi> OREGON 97477-4818 MATERIALS TESTING POSITIVE FOR ASBESTOS l /1./ (0 IMMEDIATE SYNOPSIS ASBESTOS-CONTAINING MATERIALS MATERIALS TESTING,POSITIVE FOR ASBESTOS CONTAINING MATERIALS IACM\ Any materials sampled that test positive for AeM must be assumed to be positive anywhere eise this same material is found, unless client wishes to perform additional testing to prove otherwise, ANALYSIS RESULTS: TWENTY-TWO (22) samples of suspect materials were taken by the inspector, (See Tables, below). TWENTY-TWO (22) samples were analyzed by the Laboratory for asbestos content. (See Tables, below). Of tho TWENTY-TWO (22) oamplee, NONE (001 teeted poeitive for asbestos and NONE (00) tested for 'Trace' amounts of asbestos at 1% or less. (See Tables, below). I POSITIVE BULK SAMPLE MATERIALS TABLE I Sample Material Friabie-F location Asbestos %. Non- Quantity" I.:iQg Number Description ..... . .. . Friable-N "lLS"",pi.];PARlOAS ALL ALL ALL No Asbestos .ALL ALL ALL J Detected "Materials testing for Trace amounts of asbestos are not regulated by EPA, LRAPA or DEQ. However, OSHA does not recognize any level of asbestos as safe. "Quantities are approximate. All concerned parties must field measure to their satisfaction. A TEZ, Inc. is not responsible for exact quantities. MISCELLANEOUS MATERIAL IMBM) Any material that is not TSI orsurfacing material such as floor tiles, ceiling tiles, sheet floor covering, ete SURFACING MATERIAL (SM) Sprayed-on, troweled-on, or similarly applied materials installed on a surfa~ substrate of gypsum board, steel structure, etc. Surfacing materials indude fireproOfing. .popcomn ceiling textures and spray-on acoustical materials. THERMAL SYSTEMS INSULATION /TSIl Thermal System Insulation. Materials applied to pipes, fittings, boilers. breechlng. tanks, ducts or other components to prevent heat loss or gain. or water condensation. End of Positive Materials Table"****************************** 5 . .._~_..___u__........______..___...._ ..-n-.-____...____n___.._....___. _... ,d_"u1_'U___~'__..,T"------- CaflReGf/iJ> p,;K€ 1Ll:C'1> /1::7' ~1'1,f(1 M~6Mj!jL'!!;:1~1:!J'!JM~B\(ri~~.~J:_~!g~-August 23,2010 - ''l/l /io 1082 MAIN STREET, SPRINGFIELD OREGON 97477-4818 MATERIALS TESTING POSITIVE FOR ASBESTOS IMMEDIATE SYNOPSIS ASBESTOS-CONTAINING MATERIALS MATERIALS TESTING POSITIVE FOR ASBESTOS CONTAINING MATERIALS (ACM) Any materials sampled that test positive for ACM must be assumed to be positive anywhere else this same material is found, unless client wishes to perform additional testing to prove otherwise. ANALYSIS RESULTS: TWENTY-TWO (22) samples of suspect materials were taken by the inspector. (See Tables, below). TWENTY-TWO (22) samples were analyzed by the Laboratory for asbestos content. (See Tables, below).', '~M' (p 0') . Of the TWENTY -TWO (22) samples, TW 2) tested' positive for asbestos and NONE (00) tested for 'Trace' amounts of~sbestos at 1% or J 55. (See Tables, b~lgw). '. I POSITIVE BULK SAMPLE MATERIALS TABLE I . '" "-",. . ,. ,,:;",/./..,,' ;".'..' ~._..,;--. ' : Friable~F . . . .' ." .,.., Sample . Material " .'.' " Number Descriotion' " 'Location . <: > ;"'Asbestos % . . . Non:''- Quantity" ~ i ". . . .-> ,. . ,.;" ." .... - Friable-N AtL SAM~hED AREAs ALL ALL ALL No Asbestos ALL ALL ALL Detected "Materials testing for Trace amounts of asbestos are not regulated by EPA, LRAPA or DEQ. However, OSHA does not recognize any level of asbestos as safe.. "Quantities are approximate. All concerned parties must field measure to their satisfaction. A TEZ, Inc. is not responsible for exact quantities. MISCELLANEOUS MATERIAL (MBMl Any material that is not TSI or surfacing material such as floor tiles, ceiling tiles, sheet floor covering, etc. SURFACING MATERIAL (SMl Sprayed-on, troweled-on, or similarly applied materials installed on a surface substrate of gypsum board, steel structure, etc, Surfacing materials include fireproofing, "Popcom" ceiling textures and spray-on acoustical materials. THERMAL SYSTEMS INSULATION (TSIl Thermal System Insulation. Materials applied to pipes, fittings, boilers, breeching, tanks, ducts or other components to prevent heat loss or gain, or water condensation. End of Positive Materials Table*....uuAuu--_.... '// 1)i7 I cA>tlll if," (.,'-, IV Jio - "I~J-G~"o tlAv'~ _. Pfl-u BI}.{Ji-'1 r::lJ/l(.,.r;T rD i:--V'1 r,{l,'tr ti~ 1trA'1PLft-f c t-Il.f{c hY ). {'(oJ,jn K1!:Futl.{ /l,.I(.7"r-r r,f(,t:~ c" 5 .~!![R~~JtI~1~J[M_~~'B~~~B~~~~-August23, 2010 1082 MAIN STREET, SPRINGFIELD OREGON 97477-4818 ALL MATERIALS TESTED FOR ASBESTOS J Sample. ' . Material. " Friable-F . :Number ' '. '. Description '. , Location Asbestos %. -.:Non-. Quantity' ~ " . '. .' . Friable-N '. ROOF Brown with ~it~!!i$.!:IIN(:~Jt.,g No Asbestos AB01MR081710 White Aggregate N N/A MBM 3,Tab Shinole From SW comer of roof Detected AB02MR081710 Black 3'TAB'SHINGL!E No Asbestos N N/A MBM Roofinn Felt Beri'~aihsamDTeAB01 Detected WINDOW Clear, Rubbery ljiMI!'All] No Asbestos 16,Each AB03MROB1710 From aluminum window on south N MBM Window Sealant side of house at east end Detected Windows LIVING ROOM,L.:'1 Light Creme YfAUI! No Asbestos AB04MROB1710 Covebase Mastic From east wall in middle Detected N N/A MBM behind white vinvl base Tan Sheet Vinyl FicieR No Asbestos =,~~,~._, AB05MROB1710 with widely spaced From near north wall at east end Detected N N/A MBM Green,Red & Blue (Also small 5-SF section in R-2) Small Dots AB06MROB1710 Light Creme F"OOR No Asbestos N N/A MBM Floorina Mastic Beneath SamoieAB05 on olvwood Detected Light Beige with ~g:9Q~ AB07MROB1710 White Wisp Pattern No Asbestos N N/A MBM Peel-n-Stick From east wall near north end Detected Floor Tile WAUL: White, Thick From south viaii'aiwest end over No Asbestos ABOBMROB1710 Troweled-on plaster over wood lath Detected N N/A SM Wall Texture (Located throughout structure exceDt R-1, L-2, B-3 & S-1\ CEIIiING White From (;'ente'rof room No Asbestos AB09MROB1710 12"X 12" Ceiling Tile (Located throughout structure Detected N N/A MBM (Stapled; no glue) except B-1, R-2, B-2, B-3, R-4, B-4, S-1 L-3, B-5 & R~51 KITCHENK'1 Grey with 6" WA~g Square Pattern From east side of kitchen No Asbestos AB10MR081710 White Borders with on plywood floor Detected N. N/A MBM Mottled White Pattern Sheet Vinvl (Also in Bedroom R-1) AB11MROB1710 Amber F"'OOR No Asbestos N N/A MBM Floonna Mastic Beneath Samoie-AB10 on olvwood Detected Dark Brown COUNTERTOI! No Asbestos N N/A MBM AB12MROB1710 Formica Mastic Beneath wiijieFor;;;~"Countertoo Detected AB13MR081710 Grey Plaster WAIiI! No Asbestos N N/A MBM oainted White From west iaiii'g;'olaster wall Detected BATHROOMB'1 Grey-White,Green BlOOR No Asbestos ..~,.~,-,-,-,~ AB14MR081710 & Pink Tiny Square From bathroom plywood floor Detected N N/A MBM Pattern Sheet Vinvl lBath B-1 onM AB15MR081710 Light Yellow EIiOOR No Asbestos N N/A MBM Floonna Mastic Beneath Sam~ieABi 4 on olvwood Detected 6 N~R~~TI'i[,~{$.QMMK~~'!~~!~J:t,QA-August 23,2010 1082 MAIN STREET, SPRINGFIELD OREGON 97477-4818 ALL MATERIALS TESTED FOR ASBESTOS .. " .. Friable-F Sample Material' " ',.,' , <. Number ,Description Location " ,.Asbestos%, "Non- Quantity' ~ "~ . .' .. ' ... , " .. .. Friable-N BE:DR()()I'!'I'~'1, White wAlil3 AB16MR081710 COMPOSITE From'east wall No Asbestos N N/A Sheetrock and Detected MBM Joint Compound (Also in S-1) BE,DR()()M'R'2 White-Grey-Tan- ffJAQ.9R. No Asbestos AB17MR081710 Creme Mottled From center of plywood floor N N/A MBM Pattern Sheet Vinyl (Also in B-2) Detected AB18MR081710 Amber F.LOOR No Asbestos N N/A MBM Floorino Mastic Beneath Sampi!i' AB17 on plYWOOd Detected Brown WAI!I1 No Asbestos AB19MR081710 From west 'w.:iiTiit south end N N/A MBM Coyebase Mastic behind brown yinyl base Detected White with Red F,;~9.QR. No Asbestos AB20MR081710 Streaks Floor Tile From NE quadrant on plywood Detected N N/A MBM (SmaIl1-SF section) AB21MR081710 Light Amber !i~Q()R. No Asbestos N N/A MBM Floorina Mastic Beneath Sample AB20 on plywood Detected WI.NDOW White, Rubbery C;:~!J!!,l< No Asbestos 02-Each AB22MR081710 From white aluminum window on N MBM Windaw Caulk west side of house outside L-2 Detected Windows L1VING,R091\11.L:'2 Blue-Grey-Red !;!;.9.QR. No Asbestos AB23MR081710 Tiny Square From NW quadrant of plywood floor Detected N N/A MBM Pattern Sheet Vinvl IAlso in K-2 & R-3) AB24MR081710 Light Creme 1fliQQR. No Asbestos N N/A MBM Floorinq Mastic Beneath Sample AB23 on plYWOOd Detected KITCI:li:NK'2 Beige-White & Pink EhQQ.l3 AB25MR081710 Square Pattern From west end of plywood floor No Asbestos N N/A MBM on top of AB23 Detected Sheet Vinyl IAlso in B-3, R-4 & B-4'i AB26MR081710 Caramel F;1l00R No Asbestos N N/A MBM Floorinq Mastic Beneath SanipleAB25 on AB23 Detected AB27MR081710 AmberlYellow c:Q!JlIJERIQ!l No Asbestos N N/A MBM Formica Mastic Beneath White Formica CountertoD Detected BA:rHR091'!'1'B'~ Dark Amber ~J!Q~E:Bl.l?J,J'tR._Q.UJ!lJ:>' No Asbestos AB28MR081710 Formica Mastic Beneath Beige Detected N N/A MBM Formica Shower Surround lIVING'~OOML,2 F.1l0gR Black, Tar-like From beneath wood floor at east No Asbestos AB29MR081710 Insulation Mastic side of room on Kraft paper on Detected N N/A MBM fiberglass batt insulation (Assumed Ihrouohoufl 7 N!!i~~T!\[~j~9~~~J(Ii!l~~~~~~-August23,2010 1082 MAIN STREET, SPRINGFIELD OREGON 97477-4818 ALL MATERIALS TESTED FOR ASBESTOS J . '. .. . ' .Friable-F . . Sample .:Material. . Location . '1' .,'Asbestos % : ~ . Non" Quantitv* .I~ Number Description' '. .. -, F~able-N . .,', .. ", .. . LIVING!WOM1;i3 White Ceiling Tile with ~~JID~g No Asbestos AB30MR081710 Pin-holes and From east end of room Detected N N/A MBM Worm Hole Pattern (Also located in R-5, 8-5 & K-3) (Stapled; no alue) , End of All Materials Table*u'uu'*******......-.-** 8 '~_.'7""'-~' . -r'"""'''-~-'-'- -..-. ';:1 '~-'-','~~'-~-"'.'" ....-.- -_.,- ~~RF.t~IJ~~s.~M~RrlAs.~~~)!Q~-August23,2010 1082 MAIN STREET, SPRINGFIELD OREGON 97477-4818 DESCRIPTION OF THE UNIT TRI-PLEX . 3- Tab roof over roofing felt . Stick frame construction . Crawl space . Concrete stem walls . Wood shingle siding, white with blue trim . Aluminum windows . Lath and plaster walls . The odd sheetrock wall . No water or power . Wood subfloor with plywood underlayment . No pipe insulation observed . Acoustical ceiling tiles . Some wall-texture . Vinyl Covebase with Mastic . Sheet Vinyl flooring goods . Associated Mastics . All sampled, accessible building materials tested negative for asbestos 9 ~~~~I~~~J~.~M~~~j(f~s'~j;~JL~~-August23,2010 1082 MAIN STREET, SPRINGFIELD OREGON 97477-4818 LEGAL REQUIREMENTS =:J If positive, friable materials are to be disturbed during any activity they must be removed by a certified, Ircensed abatement contractor only; (LRAPA Title 43; Oregon DEQ 340-268; Oregon OSHA 29 CFR 1926.1101), REGULATED ASBESTOS BY PERCENTAGE By federal regulation any product containing over 1% asbestos is a regulated asbestos product Any product 1% or under bv weiuht {'Trace') is not a regulated asbestos product, unless the specific jurisdiction determines to enforce more stringent regulations. For instance, the state of Washington has determined that any product containing 1% asbestos and over is a regulated asbestos product and any product under 1% ('Trace') is not a regulated asbestos product For those samples with asbestos concentrations between 1 and 10 percent based on visual estimation, the EPA recommends a procedure known as pOint counting (NESHAPS, 40 CFR Part 61). Point counting is a statistically more accurate means of quantification for samples with low concentrations of asbestos. If you would like us to further refine the concentration estimates of asbestos in these samples using point counting, please let us know. Client did not direct us to point count any samples that tested under 10% asbestos, so we did not. Even thouah the Department of Environmental Qualitv IDEQ) & the Environmental Protection Aaencv (EPA) consider materials containina 1% or less asbestos bv weiQht a non-reQulated material. the Occupational Safetv & Health Aaencv (OSHA) considers any amount of asbestos in a material a health hazard. and has strict protocols for the removal of materials testina positive for all levels of asbestos. DEFINITION: ASBESTOS-CONTAINING MATERIALS fACM); NAD: NO ASBESTOS DETECTED Any materials sampled that test positive for ACM must be assumed to be positive anywhere else this same material is found, unless client wishes to perform additional testing to prove otherwise. RECOMMENDATIONS FRIABLE ASBESTOS MATERIALS Any positive, friable materials that will be disturbed by demolition must be removed by a certified, licensed abatement contractor prior to disturbance by others, LEGAL REQUIREMENTS: Positive, friable materials must be removed by a certified, licensed abatement contractor only; (LRAPA Title 43; Oregon DEQ 340-268; Oregon OSHA 29 CFR 1926.1101). EXCEPTION The exception to this rule: Homeowners may perform their own abatement, of either Friable or Non- Friable asbestos containing materials, in their own home, as long as they reside in the dwelling both prior to and after abatement. In the case of Bum-to-Leam projects, all asbestos containina materials must be abated prior to burning. RECOMMENDATIONS NON-FRIABLE ASBESTOS MATERIALS Any positive, non-friable materials that will be disturbed by demolition may be removed by others, but if they are not the occupying homeowner, they must possess Asbestos Awareness Training. All the material must be handled, removed, bagged, labeled & disposed of properly. following all the rules & regulations an abatement contractor must abide by, In the case of Bum-to-Learn projects, all asbestos containina materials must be abated prior to burning. 10 'NARRA"'ivE~slJMMARY1ASBESf0S-Au ust 23 2010 -'e'--'"""''''~'~'''_M.C,~~.l"__"":"~"",,,,_,__~__-:'''',"[I_._,,'C-_.,,,, ._~~~..._..........". 9 I 1082 MAIN STREET, SPRINGFIELD OREGON 97477-4818 INFORMATIONAL RECOMMENDATIONS 'TRACE', <1% ASBESTOS MATERIALS Any materials with 'Trace' asbestos content, which means 1% or less Asbestos, that will be disturbed by demolition is not regulated by the EPNDEQ or LRAPA (Lane County). However, . the Occupational Safetv & Health Aaencv (OSHA) considers any amount of asbestos in a material a health hazard, and has strict protocols for the removal of materials testinq positive for all levels of asbestos. In the case of Burn-Io-Learn projects, all asbestos containina materials must be abated prior to burning. EPAlDEQ/LRAPA DECISIONS CONCERNING ASBESTOS IN STRUCTURES . The EPA has determined that all structures are presumed to contain asbestos until proven otherwise. However, the DEQ & LRAPA have modified these guidelines in Oregon, determining that at this time, they will enforce their guidelines determining that all structures constructed prior to 1989 are presumed to contain asbestos until proven otherwise. HAS ASBESTOS BEEN BANNED? No. Many people believe asbestos has been banned in the USA The EPA Asbestos Materials Ban Clarification dated May 18, 1999 states the following materials have been banned: 1. Most sprav-applied Surfacing ACM (fireproofing/insulating and decorative surfacing) 2. Thermal Systems Insulation (TSI, which is wet-applied & pre-formed pipe insulation & pre-formed block insulation on boiler & hot water tanks) 3. Corrugated paper 4. Rollboard 5. Certain textured paint 6. Certain wall patching compounds 7. Commercial paper 8. Specialty paper 9. Flooring felt 10. New uses of asbestos ASBESTOS PRODUCTS THAT ARE NOT BANNED 1. Asbestos cement corrugated sheet 2. Asbestos cement flat sheet 3. Asbestos clothing 4. Pipeline wrap 5. Roofing felt 6. Vinyl asbestos floor tile 7. Asbestos cement shingle 8. Millboard 9. Asbestos cement pipe 10. Automatic transmission components 11. Clutch facings 12. Friction materials 13. Disc brake pads 14. Drum brake linings 15. Brake blocks 16. Gaskets 17. Non-roofing coatings 18. Roof coatings 19. Troweled-on Surfacing ACM 11 NARRATIVE1SUMM~RYl ,..;'-'. ...---~~..~.<--..-,.~.,""L~~!1.!;~lI:9~ August 23,2010 1082 MAIN STREET, SPRINGFIELD OREGON 97477-4818 INFORMATIONAL Many building materials are imported into the usA from overseas, Canada & Mexico: Both Canada & Mexico have thriving asbestos industries. In addition, Canada is required to recycle their sheetrock, thus, asbestos containing sheetrock is mixed with new sheetrock resulting in a brand new product, which can be asbestos containing, and sold in the USA In addition, USA manufacturers still produce many asbestos-containing products for internal consumption. IDENTIFICATION OF ASBESTOS CONTAINING MATERIALS (ACMs) All known ACMs in a structure with employees/occupants must be identified by labeling, signage or posters. Building occupants must be informed of the presence of these materials. Custodial is required to possess at least two hours awareness training before performing work where ACMs are present. Anyone performing maintenance in the structure must be made aware of the location(s) of the ACMs. Any person disturbing the ACMs must possess sixteen hours awareness training. TYPES OF ASBESTOS Asbestos, a naturally occurring mineral, is differentiated from other minerals in that its crystals form long, thin fibers. Found throughout the world, the main locations for prOductions are Russia, Canada, China, Brazil, Zimbabwe and South Africa. In modest quantities it is also mined in California and Vermont. Asbestos is divided in two groups: Serpentine & Amphibole. The differentiation is established by the structure of the crystals. Amphiboles have a structure that is chain like; Serpentine minerals have a layered structure. Chrysotile is the only asbestos mineral in the Serpentine classification. The most commonly used type of asbestos, it accounts for 95% of what is found in structures in the United States. Amos/te, ernc/dolite, Anthophyllite, Tremol/te and Actinolite are the five types of Amphibole asbestos. Of these, only Amos/te (brown asbestos) and Crnc/dolite (blue asbestos) have commercial applications. The others are mostly found as contaminants in these two main types. CATEGORIES OF ASBESTOS -CONTAINING BUILDING MATERIALS EPA identifies three categories of Asbestos-Containing Building Materials (ACM) used in structures. The classifications of asbestos types 'come from AHERA standards. SM: Surfacing Materials; TSI: Thermal Systems Insulation and MBM: Miscellaneous Building Materials. Each of these materials is further characterized as either friable or non-friable (explanations in glossary), The condition of the asbestos containing material (ACM) can also be stipulated, as can be the potential for future disturbance of the material. . SUrfacino Materials (SM): ACM sprayed or troweled on surfaces (walls, ceilings, structural members) for acoustical, decorative or fireproofing purposes. This includes plaster and fireproofing insulation. · Thermal Svstems Insulation (TS!): ACM insulation or paper used to inhibit heat transfer or prevent condensation on pipes, boilers, tanks, ducts and various other components o~ h?t and cold water systems and heating, ventilation and air conditioning (HVAC) systems. This Includes pipe lagging, pipe wrap, block, batt and blanket insulation; cements and "muds'" and a variety of other products such as gaskets and ropes. · Miscellaneous Buildino Materials (MBM): Other, largely non-friable products and materials such as floor tile, ceiling tile, roofing felt, roofing material, caulking, mastics, concrete pipe, outdoor siding and fabrics. 12 N~RRA'iTlvErsUnifMARY/~SBESf. ~'-A -"""-~_"~".=_"'__".h.._=._"_.~..__~..Q.~ ugust 23,2010 1082 MAIN STREET, SPRINGFIELD OREGON 97477-4818 INFORMATIONAL FRIABLE VERSUS NON-FRIABLE ACM The EPA distinguishes between friable and non-friable forms of ACM. Friable ACM can be "crumbled, pulverized or reduced to powder by hand pressure to become airborne when dry". Other things being equal, friable ACM is thought to release fibers into the air more readily than non-friable; however, many types of non-friable ACM can also release fibers if disturbed. NON-FRIABLE ROOFING MATERIALS In many cases non-friable asbestos containing roofing materials that are encapsulated in a petroleum- base binder are typically exempt from some DEQ abatement rules (OAR-340-248-0010 through 0290) and are allowed to be removed as construction debris with proper handling. If you have any questions regarding the handling of these materials contact the Lane Regional Air Pollution Authority (LRAPA) at 541.736.1056 or the DEQ. In the case of Bum-fa-Learn projects all asbestos containino materials must be. abated prior to burning. NON-FRIABLE MASTIC REMOVAL When there are non-friable asbestos containing mastics beneath the flooring materials on concrete and the concrete is to be disposed of in an approved lined landfill and not crushed to be used for site-fill the mastic is considered exempt and does not need to be abated. However, if the concrete is to be crushed and used for site-fill the mastics must be abated prior to such use. TESTING METHOD While it is often possible to "suspect" that a material or product is or contains asbestos by visual determination, actual determinations can only be made by instrumental analysis. The EPA requires that. the asbestos content of suspect materials be determined by collecting bulk samples and analyzing them by Polarized Light Microscopy (PLM). The PLM technique determines both the percent and type of asbestos in the bulk material. . Polarized Light Microscopy (PLM) is the standard test performed by laboratories (using EPA 600/R- 93/116) to determine the presence of asbestos in building materials. If the PLM test shows trace quantities of ACM on your samples and you desire to test for the presence of smaller fibers than PLM can determine, Transmission Electron Microscopy (TEM) is available. TEM is simply another type of test for asbestos that has the ability to 'see' smaller fibers than the PLM test is able to 'see'. TEM costs roughly six times what PLM costs, but it is available should your circumstances dictate its use. REGULATIONS: There are many EPA and OSHA rules and regulations covering the management or removal of asbestos containing materials in buildings. Anyone doing work on the building must be familiar with the regulations. A TEZ, Inc. takes no responsibility for rules and regulations for which the client is responsible that may not be addressed in this report. By federal regulation any product containing over 1 % asbestos by weight is a regulated asbestos product. The EPA recommends any product containing under 10% asbestos by weight be point counted. METHODOLOGY: This inspection was conducted in accordance with the sampling protocol in 40 CFR 763.86. The analysis of suspect material has been done in a laboratory accredited by NIST (National Institute of Standards and Technology) under NVLAP (National Voluntary Laboratory Accreditation Program). 13 NJl;RRATIVE'SUMM,r l '---~'-,~ '_ ,. ,-"~,_.",-8j__.,~RY;}\~!;~J@~ August 23, 2010 1082 MAIN STREET, SPRINGFIELD OREGON 97477-4818 INFORMATIONAL SAMPLING PROTOCOLS: A Homogeneous Area is an area of surfacing material, thermal insulation or miscellaneous material that in its original application, is uniform in color, appearance, application, date and texture. Under AHERA ' rules when performing an AHERA survey, nine (9) samples per homogeneous sampling area are recommended, However, due to cost or other constraints the following table can be used, TABLE 1 Size of Samplina Area 1. An area less than 1,000 square feet 2. Areas between 1,000 & 5,000 sq. ft, 3. Areas greater than 5,000 square ft, Recommended Number of Samples to be Collected 9 9 9 Minimum Number of SamplesTo be Collected 3 5 7 'However, when not performing an AHERA survey, it is not necessary to follow the above guidelines (in order to minimize the number of samples taken and cost impact upon the client), It is the owner Iclient's responsibility to direct us, In addition, large spaces may contain many areas with the same type (homogenous) of suspect material (Le, a structure with 'Popcorn' ceilings throughout), In this case a representative sample of the repeatin~l material should be taken, with the rule being the number of samples taken would represent at least 25% of all the ceilings in the structure, A TEZ, Inc. departed from the quantity protocols if, based upon the judgment of the inspector: · The building materials do not usually contain asbestos (e.g" metal, fasteners, wood, concrete, furniture, electrical equipment, fiberglass, rubber, glass, terrazzo and architectural brick). · The building material would be damaged in order to collect the sample (e.g., fire doors, mudded joints above plaster ceilings, ceramic tile, etc,). (Except in the case of the structure being demolished or burned, in which case the damage would be acceptable to client). . The building materials were shown to contain asbestos in nearby areas. Any materials sampled that test positive for ACM must be assumed to be positive anywhere else this same material is found, unless client wishes to perform additional testing to prove otherwise, WORKSITE DOCUMENTATION: This survey must be posted at the job-site for review by all interested parties. Anyone working on the project should have a copy of the sample results and be familiar with them, If any suspect material not tested is found, work should stop until further testing can be done, This is especially true in a structure where several remodels have been done and there are multiple layers of materials, such as flooring and roofing. ABATEMENT SPECIFICATION: This document is not intended to be used as an asbestos abatement specification. Prior to any demolition or renovations of the building, an asbestos project design needs to be performed. SamDles will be disDosed of thirtv (30) davs after the initial survev unless client notifies A TEZ. Inc. 14 'N~I~B~m1MJ;!"~QMMARm!!=!.~~0~-August 23,2010 1082 MAIN STREET, SPRINGFIELD OREGON 97477-4818 POLICY-LEGAL PROCEEDINGS-LIABILITY LIMIT -HEALTH CONCERNS-WARRANTY POLICY Reports and test results will not be released to any third party without prior consent from our client. LEGAL PROCEEDINGS We charge $200.00 per hour to appear in court, take depositions, or any other legal proceedings. LIABILITY LIMIT In the event of litigation against ATEl, Inc. damages shall be limited to not exceed the value of the costs incurred in the creation of this report. HEALTH CONCERNS Neither this report nor any laboratory report is intended to provide medical advice, nor shall it be interpreted as an indicator or cure-all of potential medical or safety problems. If you have concerns or questions relating to health issues, please contact your physician for advice. ADDITIONAL DOCUMENTS Retrieval and submission of all additional documents pertaining to this project will be charged on a Time & Material basis at the rate of $50 per hour. WARRANTY No warranty, expressed or implied, is made. 15 I GLOSSARY ACM Asbestos Containing. Material is by EPA standard, any material that contains more than one percent asbestos. ATEZ, Inc. considers any matenal that contains a trace amount to be ACM since no known safe limit of asbestos exposure has been conclusively documented. ~ AIR CELL PIPE INSULATION Trade name for manufactured corrugated cardboard-like asbestos pipe insulation. Two cylindrical halves were typically filled around a pipe and held in place through an outer layer of lagging compound. ACCESS With reference to mat~rial assessments; the lack of the inspector's ability to actually take a sample of the material, or to, through the.configuratlon of bUilding components or other, to see or physically reach potentially suspect material. Materials which are bUried, enclosed behind walls or plaster ceilings, under metal jackets, etc., are not accessible. ACCESSIBILITY With reference to material assessments, subject to disturbance by building occupants, custodial or maintenance personnel in the course of their normal activity. ACCESSIBLE AREAS With reference to surveys, areas of a building that can be physically or visually accessed without damaging building components. These areas include ceiling tiles, pipe chases with access doors, pipe tunnels with access hatches and similar spaces. AHERA Asbestos Hazard Emergency Response Act. AIR CELL JACKET Trade name for manufactured corrugated heavy paper project applied in sheets to insulate boilers, tanks, ductwork, etc. On boilers and tanks, jacket was typically held in place with lagging compound. ACOUSTICAL CEILING TILES Typically, a fibrous mat, manufactured in one foot by one foot squares, or similar size that has a patchwork of holes on the exposed side. They are very light and have no structural integrity of their own. These tiles are not supported by a suspended grid or other system as they are commonly glued directly to the ceiling. The mastic (glue) that is used to allach them to the surface is otten ACM. ASSESSMENT CRITERIA Materials are assessed in this report with consideration given to the following criteria: CURRENT DAMAGE Documents the extent and condition of the damaged areas of a material. UNDAMAGED AREA Documents the condition of the mate,rial exclusive of the damaged areas. Considers only the portion olthe material not damaged. FRIABILITY Documents the material's ability, when dry, to crumble, crush, pulverize, or be reduced to powder by hand pressure. ACCESSIBILITY Documents the material's proximity to building occupants either directly or via air currents. ASPHALT -IMPREGNATED SHEATHING Typically, a wood-composite board that has been instilled with asphatt to help waterproof the panel. BUILT-UP-ROOFING IBURI . Typically, multi-layers of rolled roofing, one layer on top of the other. The roofing itself can be positive for Asbestos and the mastic (adhesive) on the underside of the layer(s) can also be positive for Asbestos. CEMENT ASBESTOS BOARD ICABI A manufactured rigid cemenmious board with asbestos fibers bound into the material's matrix. Typically referred to as 'Transite'. CATEGORY I Any Nonfriable packing, gasket, resilient floor covering or asphalt roofing product, which contains more that 1 % asbestos 16 I 'GLOSSARY CATEGORY II Any material, excluding Category I Nonfriable ACM, containing more that 1 % asbestos. Examples are cement siding (CAB) and Transite board shingles and Transne pipe. CLASS I The Removal of TSI (including air-cell, mag block, mud, cements, pipe lagging, pipe wrap, batt & blanket) & SURFACING ACM (including ACM paper & felt, popcom, fireproofing, paint, ACM sprayed or troweled on wall, ceilings and structural members) CLASS II The Removal of anything that is not TSI or SURFACING MATERIAL. This included miscellaneous building materials such as sheet vinyl, floor tile, ceiling tile, glue, siding, wallboard, joint compound, roofing materials and gaskets CLASS III Maintenance involving the 'Disturbance' of ACM CLASS IV Maintenance that does not involve disturbing ACM DAMAGE A material that has deteriorated or sustained physical injury such that the intemal structure (cohesion) in inadequate, or had delaminated such that it's bond to the substrate (adhesion) is flaking, blistering, crumbling, has water stains, displays gouges, scrapes, mars, and/or shows the presence of asbestos debris. DAMAGE POTENTIAL Documents the likelihood and severity that the material will be further damaged or will become damaged. FAIR CONDITION I"DAMAGED") A material that has the surface crumbling, blistered, water-stained, gouged, marred or otherwise abraded over less than one tenth of the surface ilthe damage is evenly distributed (one quarter if the damage is localized). FELT WRAP PIPE INSULA nON Layers of heavy fel! used as pipe insulation. Felts are typically thicker than paper layers. Tow cylindrical halves were generally fitted around a pipe and held in place with a layer of lagging cloth. FRIABLE As defined by NESHAP as any material containing more than one percent (1%) asbestos that when dry, can be crumbled, pulverized or reduced to pOWder by hand pressure. GLUED-QN TILES Tiles, usually one foot by one foot, attached directly to the building structure using various types of adhesives. GOOD CONDITION A material with no visible damage or deterioration, or showing only very limited damage or deterioration. HARD FITTINGS An insulating cement packed around pipe fittings such as elbows, valves, tees, etc. The hard cement is typically protected by lagging cloth contiguous with the adjacent pipe insulation. HEPA High Efficiency Particulate Air filter capable of screening 99.97% of particles 0.3 microns or larger. HEPA filters are used in respirators, special vacuums, negative air machines and other equipment. HIGH CONCERN A material that is friable, accessible, in poor condition and with a high potential for future damage. I! does not represent the extreme situation of an Immediate Health Concem, but it is an assessment indicating that positive actions should be taken in a timely manner. Example: Hi9hly friable sprayed-on fireproofing. . HOMOGENEOUS AREA An area of surfacing material, thermal insulation or miscellaneous material that, in its original application, is uniform in color, appearance, application, date and texture. 17 I GLOSSARY I IMMEDIATE HEALTH CONCERN Highly friable asbestos material w~ich is in a deteriorated condition, easily accessible, and easily capable of emitting fibers into the air. Example: Damaged mag Insulation creating substantial quantities of debris and located in an accessible area. INSULATING CEMENT Cementitious mixture applied typically to or adjacent to tanks, boiler, etc. for insulation value or to seal openings. The insulating cement is sometimes protected with lagging, but is often exposed. LAGGING ON PIPE INSULATION Cementitious compound and layer(s) of heavy felt lagging covering paper wrap, air cell, fiberglass or other types of pipe material. . LOW CONCERN Generally a material that is non-friable. It can also include moderately friable materials in good condition that are in remote locations. Example: Vinyl asbestos floor tiles and cement asbestos board. MAGNESIUM.TYPE PIPE INSULATION Manufactured white, fluffy magnesia asbestos pipe insulation. Two cylindrical halves were typically fitted around.a pipe and held in place through an outer layer of lagging cloth and/or metal clamps. . MASTIC Adhesive. Mastics can be found in every part of a structure. Mastics are used in roofing, flooring, siding, ceilings, and walls, as waterproofing and as a sealaht. Mastics are COmmonly ACM. MATERIAL DEBRIS Fragments of asbestos-containing materials that have completely separated from their original "Parenl" application. MECHANICAL ISOLATION CLOTH A heavy woven fabric located typically between air handling equipment and an adjacent air duct to prevent the transmission of vibrations. MISCELLANEOUS BUILDING MATERIAL IMBM) Any material that is not TSI or surfacing material such as floor tiles, ceiling tiles, sheet floor covering, etc. MODERATE CONCERN Moderately friable or potentially friable materials that are in good condition or located in areas that are not easily accessible with a moderate potential for future damage. Example: Air cell pipe insulation in good condition. NAD No Asbestos Detected NON.FRIABLE An ACM material that when dry, cannot be crumbled, crushed, pulverized or reduced to powder by hand pressure. EPA also defines two categories of Nonfriable ACM, Category I and Category II Nonfriable ACM. PAPER WRAP PIPE INSULATION Non-corrugated heavy paper pipe insulation. Two cylindrical halves were typically fitted around a pipe and held with lagging. Typically contains multiple layers of different paper types. PERMALlTE Manufactured white, fluffy perlite pipe insulation, visually similar to magnesia pipe insulation. Two cylindrical halves were typically fitted around a pipe and held in place through an outer layer of lagging compound. POOR CONDITION '''SIGNIFICANTLY DAMAGED" as defined in AHERAI A material with one or more of the following characteristics: The surface crumbling or blistered over at least one tenth of the surface if the damage is evenly distributed (one quarter if the damage is localized). One tenth (one quarter, if localized) of material hanging from the surface, deteriorated, or showing adhesive failure. Water stains, gouges, or mars over at least on tenth of the surface if the damage is evenly distributed (one quarter if the damage is localized). POTENTIAL FOR DAMAGE A material in an area regularly used by building occupants with indications that there is a reasonable likelihood that it will become damaged. Indications include maintenance practices, equipment movement, occupancy use patterns, accessibility to traffic and changes in building use. 18 I GLOSSARY RACM Regulated Asbestos-Containing Material. RACM is: (A) A friable asbestos material, (8) Category I Nonfriable ACM that has become friable, (C) Category I Nonfriable ACM that will be or has. been subject to sanding, grinding, cutting or abrading, or (D) Category" Nonfriable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations. SIGNIFICANT DAMAGE Damage that is both extensive and severe. In reference to surfacing materials, that damage would generally be at least ten percent when evenly distributed over and area, or twenty-five percent when localized. SURFACING MATERIAL ISM) Sprayed-on, troweled-on, or similarly applied materials installed on a surface substrate of gypsum board, steel structure, etc. Surfacing materials include fireproofing, "Popcom" ceiling textures and spray-on acoustical materials. SUSPENDED CEILING TILES Acoustical ceiling tiles, fibrous in content with a patchwork of holes on the exposed side, commonly manufactured in two feet by four feet sheets, placed in a suspended metal grid that is supported with wires attached into the above structure. TEXTURED CEILING MATERIAL A material sprayed on to a ceiling substrate to create a textured appearance. It is usually applied for decorative andlor acoustical purposes. THERMAL SYSTEMS INSULATION ITSIl Thermal Systems Insulation. Materials applied to pipes, fittings, boilers, breeching, tanks, ducts or other components to prevent heat loss or gain, or water condensation. THREE-TAB ASPHALT SHINGLES {AsDha" ComDosition Shinalesl Typically, an asphaltic shingle, manufactured in one piece but made to look like three separate shingles by slicing two vertical grooves in the shingle during the manufacturing process from the bottom of the shingle two-thirds of way up into the body of the shingle. These shingles are pliable and have an adhesive on the back of the shingles which adhere to bottom layer of shingles after placement. VINYL FLOOR TILE Manufactured floor tiles typically nine inches by nine inches or twelve inches by twelve inches, composed of a dense vinyl matrix that often contains asbestos and is adhered to the substrate with a mastic that often contains asbestos. VINYL SHEET FLOORING Manufactured vinyl typically in rolls, composed of a dense vinyl matrix that often contains asbestos and is adhered to the substrate with a mastic that often contains asbestos. A VERIFIED SERVICE-DISABLED VETERAN-OWNED HUB-ZONED SMALL BUSINESS 19 '" 0 - E m m 0 < < 0 ~ "0_ Ill. ... mil:: Cl m E < '" 0 Cl 0 Q~Nf") m Il:: ---- " < m.mmm III ... "'''' Ol <<<< .r: Cl ClCl " ,B_ m mm 's:- .- , < << .- , >::>:: ...J...J '" - ... '" m - - < .r: m m -- < < <u, mal ..... E -- Cl_ mm 0 "IN 0 mm << ~ .r: << "ON -", Ill, <U , mil:: mal . E I 0 0 ~ "0", Ill, mil:: E 0 " 0 ... III "'''' Il:: "I .r: "IN M'" Ol m ,B", III III '" "IN " < .- . << "I mm :~~ >::>:: m << f- < ...J...J Z .. <C "I .r: :;; m -", < <U, "I mal' E .. Cl 0 - 0 ~ >< .r: '5l"t w iU"t ...J mil:: lL alal . 1i2 E f- ClQ, "0 -"I Cl... Ill_ "I.. III .r:, -M ~ . III III ....., N "I" _"I III Ol- +S ::I" Ol" " ::IE '0 III c(;; Z .r: ,B", .- , >::>:: 5 0 Cl Il:: M Ol III .r: < " w -'" ":;:M '" <U, .- , mill ...J...J '" ,.. <U E 3 ..r: 0 "Ol 0 ".- ~ _:I: "0", N'lI). Ill, mil:: wN f-'" <l:l M Cl m < z o Cl w Il:: o C ...J W il: Cl z 1i2 lL III f- W W Il:: III _"I ClCl Illm << Ol S Ol "I III N.c IllOl <'1' " o " S o " III "0 l!! III .c E ::I " .. '5. E <U III >:: o :s m '" 3 ... '" " o Ol l!f-LL. Oca.n -Cl_ OlCl Cl ~"'- ::I . . .c"'''' Ol"'''' E"!"! <U-- :r::1;:1; /EHS~ Laboratories' Asbestos Bulk Analysis Report Environmental Hazards Services, L.L.C. 7469 Whitepine Rd Richmond, VA 23237 Telephone: 800.347.4010 Report Number: 10-08-02809 Client: ATEZ Inc. P.O. Box 126 Harrisburg, OR 97446 Received Date: Analyzed Date: Reported Date: 08/19/2010 08/20/2010 08/23/2010 ProjectlTest Address: 100823-Brethren Community Services; Tri-plex; 1802 Main Street; Spfld. Or. Client Number: 38-1287 Laboratory Results Fax Number: 541-995-1015 Lab Sample Number Client Sample Number Layer Type Lab Gross Description Asbestos Other Materials 10-08-02809-001 AB01MR081710 Black Fib.; Brown Gran. NAD 30% Fibrous Glass 70% Non-Fibrous 10-08-02809-002 AB02MR081710 Black Fib. NAD 80% Cellulose 10% Synthetic 10% Non-Fibrous 10-08-02809-003 AB03MR081710 Clear Rubbery; Brown Fib.; Blue Paint-Like NAD 25% Cellulose 75% Non-Fibrous 10-08-02809-004 AB04MR081710 Pale Beige Adhes. NAD 2% Cellulose 2% Synthetic 96% Non-Fibrous 10-08-02809-005 AB05MR081710 Gray Fib.; Gray/Green Vinyl-Like NAD 40% Cellulose 10% Fibrous Glass 5% Synthetic 45% Non-Fibrous Page 1 of 6 Environmental Hazards Services, L.L.C Client Number: 38-1287 ProjectlTest Address: 100823-Brethren Community Services; Tri-plex; 1802 Main Street; Spfld. Or. Report Number: 10-08-02809 Lab Sample Number Client Sample Number Layer Type Lab Gross Description Asbestos 10-08-02809-006 AB06MR081710 Pale Yellow/Beige Adhes. NAD Other Materials 5% Cellulose 2% Fibrous Glass 2% Synthetic 91 % Non-Fibrous 10-08-02809-007 AB07MR081710 TanlWhite Vinyl-Like NAD 2% Cellulose 98% Non-Fibrous 10-08-02809-008 AB08MR081710 White Gran.; White NAD Textured 100% Non-FibrouH 10-08-02809-009 AB09MR081710 Brown Fib.; White NAD Paint-Like 90% Cellulose 10% Non-Fibrous 10-08-02809-010 AD10MR081710 Gray Fib.; Gray/Beige NAD Vinyl-Like 40% Cellulose 15% Fibrous Glass 10% Synthetic 35% Non-Fibrous 10-08-02809-011 AB11MR081710 Yellow Adhes. NAD 5% Cellulose 2% Fibrous Glass 2% Synthetic 91 % Non-Fibrous 10-08-02809-012 AB12MR081710 Ok. Brown Adhes. NAD 8% Cellulose 92% Non-Fibrous Page 2 of 6 Environmental Hazards Services, L.L.C Client Number: 38-1287 ProjectlTest Address: 1 00823-Brethren Community Services; Tri-plex; 1802 Main Street; Spfld. Or. Report Number: 10-08-02809 Lab Sample Number ClienfSample Number Layer Type Lab Gross Description Asbestos 10-08-02809-013 AB13MR081710 Pale Gray Gran. NAD Other Materials 2% Cellulose 98% Non-Fibrous 10-08-02809-014 AB14MR081710 Gray Fib.; Gray Vinyl-Like NAD 40% Cellulose 15% Fibrous Giass 10% Synthetic 35% Non-Fibrous 10-08-02809-015 AB15MR081710 Pale Yellow Adhes. NAD 5% Cellulose 2% Fibrous Glass 2% Synthetic 91 % Non-Fibrous 10-08-02809-016 AB16MR081710 White Chalky; Brown Fib.; NAD White/Off-White Gran.; White Paint-Like 25% Cellulose 75% Non-Fibrous 10-08-02809-017 AB17MR081710 Gray Fib.; Pale Gray NAD Vinyl-Like 40% Cellulose 15% Fibrous Glass 10% Synthetic 35% Non-Fibrous 10-08-02809-018 AB18MR081710 Yellow Adhes. NAD 5% Cellulose 2% Fibrous Glass 2% Synthetic 91% Non-Fibrous 10-08-02809-019 AB19MR081710 Brown Adhes. NAD 100% Non-Fibrous Page 3 of 6 Environmental Hazards Services, L.L.C Client Number: 38-1287 ProjectlTest Address: 100823-Brethren Community Services; . Tri-plex; 1802 Main Street; Spfld. Or. Report Number: 10-08-0280SI Lab Sample Number Client Sample Number Layar Typo Lab Gross Description Asbestos 10-08-02809-020 AB20MR081710 Off-White/Red Gran. NAD Other Materials 100% Non-Fibrous' 10-08-02809-021 AB21MR081710 Yellow Adhes. NAD 2% Cellulose 98% Non-Fibrous 10-08-02809-022 AB22MR081710 White Rubbery NAD 100% Non-Fibrous 10-08-02809-023 AB23MR081710 Gray Fib.; Gray Vinyl-Like NAD 40% Cellulose 10% Fibrous Glass 15% Synthetic 35% Non-Fibrous 10-08-02809-024 AB24MR081710 Pale Yellow/Beige Adhes. NAD 5% Cellulose 2% Fibrous Glass 2% Synthetic 91 % Non-Fibrous 10-08-02809-025 AB25MR081710 Off-White/Gray Vinyl-Like NAD 40% Cellulose 15% Fibrous Glass 10% Synthetic 35% Non-Fibrous 10-08-02809-026 AB26MR081710 Brown Adhes. NAD 5% Cellulose 2% Fibrous Glass. 2% Synthetic 91 % Non-Fibrous Page 4 of 6 Environmental Hazards Services, L.L.C Client Number: 38-1287 ProjectlTest Address: 100823-Brethren Community Services; Tri-plex; 1802 Main Street; Spfld. Or. Report Number: 10-08-02809 Lab Sample Number Client Sample Number Layer Type Lab Gross Description Asbestos 10-08-02809-027 AB27MR081710 Pale Yellow Adhes. NAD Other Materials 20% Cellulose 80% Non-Fibrous 10-08-02809-028 AB28MR081710 Brown Adhes. NAD 100% Non-Fibrous 10-08-02809-029 AB29MR081710 Brown Fib.; Black Tar-Like' NAD 75% Cellulose 25% Non-Fibrous 10-08-02809-030 AB30MR081710 Tan Fib.; White Paint-Like NAD 50% Cellulose 35% Fibrous Glass 5% Synthetic 10% Non-Fibrous Page 5 of 6 Environmental Hazards Services, L.L.C Client Number: 38-1287 ProjectlTest Address: 100823-Brethren Community Services; Tri-plex; 1802 Main Street; Spfld. Or. Report Number: 10-08-02809 Lab Sample Number Client Sample Number Layer Type Lab Gross Description Asbestos Other Materials QC Sample: QC Blank: Reporting Limit: Method: Analyst: 68-NY -26-5025 SRM 1866 Fiberglass 1 % Asbestos Reviewed By Authorized Signatory: JkAU ~~. EPA Method 600/R-93/116 Timothy Harris Irma Faszewski The condition of the samples analyzed was acceptable upon receipt per laboratory protocol unless otherwise noted on this report. Results represent the analysis of samples submitted by the client. Sample location, description, area, volume, etc., was provided by the client. This report cannot be used by the client to claim product endorsement by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without the written consent of the Environmental Hazards Service, L.L.C. California Certification #2319 NY ELAP #11714. All information concerning sampling location, date, and time can be tound on Chain-ot-Cusfody. Environmental Hazards Services, L.L.C. does not perform any sample collection. Environmental Hazards Services, L.L.C. recommends reanalysis by pOint count (for more accurate quantification) or Transmission Electron Microscopy (TEM), (for enhanced detection capabilities) for materials regulated by EPA NESHAP (National Emission Standards for Hazardous Air Pollutants) and found to contain less than ten percent (<10%) asbestos by polarized light microscopy (PLM). Both services are available for an additional fee. . /oJ1 California sampies analyzed by POlarized pght Microscopy, EPA Method 600/M4-82-Q20. Dec. 1982. LEGEND: NAD = no asbestos detected Page 6 of 6 " , " t;:- ~ (~ ,~ ) . , c -<. CD " UI "" "'I' z o f'-. 0000 III III 111 III -- --..... 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