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HomeMy WebLinkAboutBuilding Miscellaneous 2010-10-20 0?!17!2011 11:42 5419951015 ATEZ: INC PAGE 01 ! ..IL .__~. e._~ ('(JV()..1 ~._h , '- A VERIFIED SERVICE-DI$A6LED VETERAN-OWNED HUB-ZONED SMALL BUSINESS 23525 Highway 99 E. Harrisburg, OR, 97446 Phone 541-995-6008 Fax 541-995-1015 Email atez@atezinc.com CCB #64090 Email jodie@atezinccom Website www.atezinc.com fiIK To: City of Springfield Building Inspector At1n: Mr. Robert Castile From: Jodie Pages: 4 Fax: Re: 541-7263l169 Paperwork 645 Main Date: 5/17/11 cc: o Urgent 0 For Review 0 Please Comment 0 Please ReplY . Comments: Hello Mr. Castile. Mr. Kevin Davis asked that I fax this information ol/er to you. The packet is not complete because the roofing has not been remol/ed as yet Thank You Jodie ~- 0~!17!2011 11:42 "5419951015 ATEZ: INC PAGE 02 If Yes TEN-DAY AHD NON-FRIABLE NOTIFICATION OF ltm::NT TO REMOVE Oft ENCAPsuLATE ASllESTOS IN lAME COUtnY, OREGOtl Lane Reslan<<IAtr Prvtectton ~~114 1010 MaIn Street SprII~, Oft 974n s.t1 7. 6:-1056 FIlX: 541 726-1205 toll free 8n 285-7272 Type of Ab.rtement Project Catesory and REQUIRED Fee " Demolition [J Emergency Waiver lAdd 50% to required fl!ll!) $ a Ilemoval $ <IS "Non-Friable (S-Day Notice) o fncapsulatlon $ <IS [J Residential Project (Oo::upied ResIdence. lll!l for Demolition) " Renovation. $ 48 a ~ '10 IIn/SO. sq ft (Small Scale, Short Duration) ):( Malntenence/Repalr $ 102 a > 40 linear/SO SQUllre feet; ~ 260 llnear/160 square feet Other_ " $410 [J >26OIinear/16Osqft;~l,30011near/800sqft $ 514 0 > 1,300 llnear/8lXl sqft; .! 2,600 llnear/1,600 sqft S 889 0 > 2,600 Ilnear/1,600 sqft;! 5,000 llnear/3,500 sqft $ 1,025 0 > 5,000 llnear/3,500 sqft; ! 10,000 Iinear/6,ooo sqft S 1,642 )( > 10,000 Llnear/6,ooo sqft; ~ 26,000 llnear/16,ooo sqft $ 2,737 [J > 26,000 lfnear/16,000 sqft; ~ 260,000 llnear/16O,OOO sqft S 3,422 ,,~260000 lfnear/l60000 sqft. Far lRAPA Usit: Projea: F_ Rec'd: $ Chedt ,: Has a survey been completed? Vest( "'0 D By ~ WhomC&m:.-~ I 1;/l~ Is this a revtslon to a 4!'rious notl1'lcatlonl Yes 0 No ABATEMENT PRQ.JECT I"FORMA 00" Site Name. _~'YY"\ 0 a ~~. Q..J,lt . . Phone ' ~ SlteAddres-k14'>,/I.4-/e.., ffig....i;..... >:\' . City .s~''''''l~~On\l. location of Asbestos at the slte~; bl ~ Site CatelOry: D S'1Iool D residence 0 call. D indUSJr!al )(commen:ial D other Start Date_ \Q l \ 6 \ 10 Completion Dat0;3tj.j, t l+-. ~ on SIte ~ II"- 'V'""" Days on Site. \N.....o Emeliency project OOt\#ic.ation requested: 0 No 0 yef -~scussed Wlltt Dllte TYPE OF ASBESToS MATERIAL Type & Percent of As!:Jestos ~ln r L.~ <y>t. Lc...... D Estimate ~b t Quantity of asbestos In project WUO \ 0 linear ~uare 0 Cubic feet. ~ Cl pipe Insulation D tape 0 cementatious(~: translte) I)(ftoor tile )I(rooflRl D felt 0 sorayon o valve paddng )( mlJStic 'l( sheet Vinyl ~ other WORK PRACTlas AND REMOVAl PROCEaURES s( ....e<t method r:l dry methods with air Rltering r:l gloveball ~ontalnment lS(IleBat1ve air oz.HEPA lqIclJUm " vaOJum truck with HEPA filter c other ""(JD- f"""~'''' ^ Ambient alr monitor1n!l to be performed: j(yes 0 no DISPOSAL PflOCEDURES CJ d1ute to dropbox D hand-load dropbox ~ed and double bawed' 0 other D waste stored on site In secured contaiMr .ld:.waste secured off site aL ,Ii(W8Ste removed dally 1:1 oltter DISPOsAl SITE ' c Short Moi.nUlin Coffin Ilune 0 other ABAlDAElO' COtlTRACTOR Contractor Hame A'l'EZ. Inc. license No. FSC 535 Mafllng Address :nO:;;lt; R'~ qq ~ CIty Harrisburq State OR ZIP 974~6 Phone '541_ClQO:;_60011 Competent penonJ'n I ':i ' . 0 mClA I" o. .JO Certfftcate No. gj ?~.!.I '1 Cell/Patel' No. ""54 Ir~1 <%0 I'RunK"rl'.OWH~ ~ .Q .!., ~ ~~;~~ }~~fu(A;'lOl?~ ;:te :ZIP~ Phone.:2:U~ Id~ 9~ o A'l"EZ, Inc. Phone Date Nb:f17/0I/10 Form Available on lRAPA websfte: _.I"lPll.orv ;. 0?!17!2011 11:42 5419951015 ATEZ: INC l'"""'~J~bo--it"c..!. DR CONSULTING Da.... Rcible, c...-.s"Imn' t$&'J;l67.1Ztrd or 1641)l'.D4..1W Air Monitoring Cleal-ance T6sting ~- ElLIII< Sornplesllead iOa '. 41~ Street. Cocs ~GY. OR 97420 Pro;. tf._~"',~o.2- Number of Sal1"lpie$. ~ Page .-L of ..L_ Client.~..q~:... LocaUon_e1.s -",':14~_.i;: _._____.. Abac",""nt F"'''-,2.Z~'''2:..__._ $.ptI--i:#1lL~~A:. ~~~l1.!J:...-O,'n ;:lidb~~~:E:.- RP.terlllll:\ClI!I S!l~,ft-.h:,~ FIf -..!..~_~ Sarrl04~d By ,-:",,--:-":,?e /~..<L~_. Ot:l~~~~,. ~'I~I arl.e~-i.___flekl Area..El?'L'f.-J>-- :;j;(J1QlT'*fl9f....:~_ alllnk:$..'ilmplr:&..JiaL:1..~~A y~ ...~..~~ oal.!&r"L".:'~_ Blank C()1..I/'I:I____.,,~~~L.~._o'__L.E_~ ___ ~~-. ~".,\.t"" b\_bd"""",...'f:..",t.t.o Results to "QJ!.:' ;..~...=,..~_~,_...,._~___._..___ S<Jr:lplt.,*/o..;:.f~ ::;;;-.. ;y~..;-,~...1 ~~~.t_1':=:;~f:"(~CiiTG-n: 6~;K-;~':"'-~~.A'~'''''''~' ::;:~-;~':J~ PU.-:.TJP # -i2..L__. PrOI.ectjon.~~~:.__; ~ f.;6~ . . De\'D~ j) .J...!~,__-i Ob$enJBtlo.1S: f;.i....-4.7;...r -"',. ":"~t-:tf.'-a.. J""L':: __ .. ~ En"'lrQ!'~ment,c.'~hit'i _~______~. ~t}!!,e .-v~ SS# ~:!:...~.. Cart#: ~~. FLOW RA1!.llPM) RESULT Fibers/CC "f):.r77"",~~-,,,,~" ~~^ "m;;r-~ ~ '1 ,I ~ri!_;;- t'-.~/It~ () L!" 00 '.f ~~"'S,,, . 1'.:1'Il:/J'~( .,_____...:-.~_~...L,_____ ...-:..--=_........--.-J I'll.\mtl ~o, ntNf:ls.erd.eci ~~r,J( '!!t:~.....~- ___~ ~_~_~ S.mpl€ltl.,?:;...(J~.. T'lle'~3K_"'_jLoC<lticll1' ~^-~- ", \ P~I'!E!'______~_ Promctlo~__..__.___ '~ Decoo OooervBUOlls .........,--..---".. Env'I'?:~~~! --~=l,________.._._____. Name SSIf (;e!f# F.-TIME FL;)W RATE(lPM) -, jEESULT--Fit)<!ffl!CC-. ,..-- r.;;---- - "'~.....,~" I~'~---;-~ rl1'~: '\~1iI'" L~.. J..,.r ~ ' .I'")..~ I ; I"'" ______ .,~_____,,_,_.__ _ __ '--:-=::.... ) No.'t1o a. ,,:SN 01 rtt'P:"AOttn~ "1'I"lofl.'llr.l'~ . samPIe#~-;;::;;lTYP('~~..i;:-;':;k..-- . *~<H1------. ---I p~E.L____ Prol~(rtion______,. '".---- I De~.o" Otlservarton6. . --. Dale En'ironriierJ"..:-:::--- _____ ...._ __J ,.foim;,- SS# Cefl1l i FL~W RAT~(LPfij[,___ RESCJLT-- FibersiCC"-, 100 .' ~l-r~:Jl _.__._f:.o::=--=--=,~ .Ftnvirr;nrr~. " D'!)'!e <:..~/I~/I';;J ~TIME'- [i"It~/i~Cl T~...~ ~1b 03.!e TIME b""'" '"", E.1lfl !N'l NQn.'!.~~l!!..~~~~ ~-;'P~'J":'ij;i Sample Type., ......-g. Lif'ltl"P" '-~-6eeont.arlijnation CCt'ltl'"?I$: "",'.'\<a,"i-)'l,gQ\i:.Il1llul>.L.tl.PltIebI!:I':/f,D:'Il ~~.,.,I.-.(j.GI",It~rOF'''>b/lItJf1.. ~t;;.~l;f\'>>"". C:qj.lQl;l ,.I"'l,OoJ Ilgl.ll1l"" ""Ill.' ':l.:':I~""~;:o U.(I,II~IC'. RII~'Jl.i.11Ill tit". ,.r]..~f(!r-..i G:9""I<lI,fQ ,.~~ P.'''':Mill .!:n::1JI~o:n 1:"':'_""",,~.~""'~'(\'".rwIl'I'II. r...C.l;::ll'I!IUQJ~ll<.>".I......n...-M;. (,.I;.,..,.-f".-=-=,"..III~'_'..\l::",,.s;l. "'-1ol"~.".c':lJf'II ;;I.~'I.:Klfl....,.tl~ .....!o."Q..JwlI...it [;.Dooon ...'tM': ."""_^ H.N- Hli:"A l!Il'ld """lIllr... c.. :..pA..fi..I...._I~, ,.t..j;~~ll.lI1. H':P;-" L\':l--..;II~ ~1.(;.H.'! 'llU~''''V\ll''''' r,'...Ii.~~,..J.,......... PAGE 03 p_3 ._--_.__._+_.~--.-.._.- .,-.__.._----~-.~._.~-----~~-_._,_._-_.~---- 0?!17!2011 11:42 5419951015 ATEZ: INC t;:)"'IJ J~oi:i-i:j')21 . OR CONSIA. 1\"0 On.. Rullle, ~r ("''''7-7_ '" ("'_TOIl! Ai< MonilDfing Clearance T .'Iing Bull< Samples/Lead ,4111 Slreet, (",QOs BlIy, OR 97420 Proj, # 10/19,2 '1- ,,;;t. Number of Samples_ '7' Page _-1-, of --4.-_ Client /7:/,." -7 Location t: .~ ~ ....,J...... 4"V. S.mpll!(I~ L':-_)~ /';;'..r'./J....t:,. ". . An''''''''''bYJ'~,';;'''''_ t&/..{~ . AJ:atw'r'I8I"it f"irrn Rr~~,. <;".<:,.:.yh~Jd!__ _"""'.~""-.,C.llb~~ R~rencc ~~ FrF ~?1pJ::) o.t,,~3'.,~::;"/.:....f'l:$rill9~&'i!.5 P.k1Ai"82,o~j"~ R~r~~ 81.,/11 5amlJle'~~.:;:..~~~~_Bs"&~'"~~'~:"1' ~-Q", OIIo_~~BIanl<::olJl1\.. .--L_<1I Ie'/? _ Rosu'" 10:. (;..) ,. .. :.:;:;;' Date _7',..//;:: /t'" / Loe.atiOn:''':.If..,p_'':V--;7~/';'; - C-e.,.....,r',=,,""L ~ ObS9,.,.,tiona: ,1'1 ~~ ^!- 7:,,',;_ . " I c ""-""eo.l''''' _ .' -- . .... ....-o.;.'I.:..~!.--" ~ Samp " --0 Type&;.. ~ "', Pume # v I proleCIlOn""1 ,,_ Oe<;an 0.'1 "'-" Enviro""''"''t..-~. , ,',.. , Name. ~ mE F~TErLPM) 51al1:/-1"rIC ,_ :;IUI/S. G;1 A\IQ'" t.,$~tJ ...U <"" ~"I;/ EnO/~ ,C;' N_ & SSN ri ,;,.;..,;._ ""'_: A~"" Somplo#.,,,, '_." Type.4. -. Pume It '" / prmectlOn ~J "- OeamnJLA.->' -:-____ ObservatlollS::f';lPPE...-;;"~;'-e- ..e.e.-.......P"',~...1,..7.; ,~~,(!:l......c.~~ ~ En~lrQnmentA' ':5f A j "&, , NaI1"le~~ SSIJ ~v..."7 Cl?:t't# ......v......4 ~~ TIME FLOW RATEILPMI ' RESULT FIbenu'CC '/"..:? TdIli: E~/.s.e; ~"'/"."'" l...1IIln.- ~, =r ,_. J1 v I;".. ~ -,'" , -I". J3....".C-' ,'-??I..: '-.' (." En4:1.!J? I ~J f!:1(;l/~'r..; '....:., " - " Nanw & SSN 01 .."..an,"" """'IOOM"......"'_..., Sampl_____~ Type, Pume # I'rotec;t\on D,.;an EIlv;ronment Name FLOW RATEILPMl .... ~~". RESULT CerUt "'"'" . Fi!l8nlICC ""- 1.J'7~" I~/ ). ;0 ,o.t)clf Loea1ion;B-"9(.,J.....I..*J/':'.. " C_e ...... -; .,--<-. Date -{.,-/r ?,,,.,. Dale Location: .7 .,8/",,",k, Oba8iiiation.: - . ot7l-'=("1,2.,._.~$.J..r.t7" CJ~3~,,;{ ...o~ -V(;lo liME CeI1# RESULT Flbe",ICC ~~ I'-:J= SS# ....., -.- A... ,..... End- nd N..... & SSN 01.........""" ....._: Sam pi.. Types: Deconllln1lnatlolL En...ironme ,t Gon1l'015: ,..~a H.loI_Pllli.d-,.a.d ~_P".~..... P.,c.P-"'~!Ilf, ~II. :t.'"'W-v.lW'f_ a<Jl~ ~ c..,C~~l\.;;,....r,"'_f_h D.~~""~ilr'll___ l1o~wCuI;ln O.~""!<JWoW ................Joi<I l.IJ:iIIE:pl"'~ r-t,.... I1f.:P.....-.;l" igllll.... O.~..,...... Kr-AQC....~CIIl<<lW'w. 1-lntoldatt9-J-md""'- P,e.P.PR.~lbo CL,.cI....~ O.owlll. r.tIv.Jl.-!,iUq F,C-l"ullt1Jo1l. H~PA. CO\'IIl\IIb P<;.P.-.o.lfl \ilo'llf~"ll P'C.P8tiDW i.a:\..rJolDn ....:;.H,!trr.ul<.~;. - ."~,._~~..,,,.,~'~_.'~-'--'~'-~~~~'.-'~-""-------------"""_.~ PAGE 04 F. 5 ' -- ..- J 0~!17!2011 11:42 5419951015 ATEZ: INC PAGE 05 ASN4 .' IOIOd3 ASBESTOS WASTE SHIPMENT REPORT FORM nMAIIl'RII'lT QR 1'YI'Kl If yap hal-. 'l....aons, Q)Il""" )'0...-1_1 DEQ Resional Of'l\c;o: in PQNond _1(503 ).e 2" S36f, llUm.(SOJ'):J7I..I24O CI1.~72,Mc:dli,ml.. (541) T7~IO Cltt. 2J5, or~ at (54!) 388-6146..,. m. :)R 0111 (100) 4S2~1! IDr lhsloclclGn!of yv1lr Iocall1llian&l DSQ ofll..., .' c...o.,. lop Pllone: '73-{ 1- 0'i0.L] ~ JIml:Z, JU::;,' Phone: I li41 I QQ'>-fiOOR i B1IRRISBtIlG I OR LlR'I 9744 6 CIl)/SIIIo c.-y Up , 3. W....~:dlt:-fI'.:..J- T~JC:: Phone: (5411 745-2018 28972 ~JZII !IJ\l'm lIJIlD I CIJM\LLIS, OR J:Il2'I'U,.' m .:~ - .. ~ ,f....'" ~i. 4. ~bo__~.: roJj, --t,-I(4 rli\rY +110 I ~~ i)lYv.((A rY1r.\L__~ 5. r , ~ Nurtbor. . ~ . T>1"" \ 0 . 6. Teal qualI)' (c:abic ,.0.): , 0 7. 0I'a4101i11J . TIOf(:i, hoiu.y doclllR lbsI!be coula113 oflhi. =i;l>mcm IIR liUJ} and acanlclr . r I..." r'~i" .~~~ iii ...--....1 . <vi.,........., lobcIc4, a Ire iull rapocu in IIlIpIf -.._.... by:;;; ~ 1I).u tP-a.-4 '""11'.......",.. All nlO.~.6d ofdlis asbqllU' .......1 1 _~It~:dodClll .W.,..ll _..~ROl:I!llIlPCll'lll. NID: . PmlZ. DlC. ~1J.-I( ~- ConIpony: A'I'F.7., TNC_ PbQnc: (541 1 995-6008 0-: '3~ -vr I I ~.I--4..'Il): .. 1\ . .. 'I: ,.... AddIaI: 9. T~'<J. _ ~ --: s~ Comp.ny; . Phone: , Duo: DISfQSAL~~~' or~:''''''''''a~.--.lbylhis....;i:It._D- in i_ll_.) 10. W_~......-_ . L.;- __nia.: f~(j~/~De:~',~'/J ". ~~ 1..pt . . .. !'bone: r~l ~ ~'>-2018 II. DIllCIq1AJl1CY SPAfK--~ -+-~) , , '''-'2101) ,05/17/2011 11:42 5419951015 ATEZ: INC PAGE 06 ASN4 I 10 I Od 3> ASBESTO$ WASTE SHIPMENT REPORT FORM I'l:IAaIl'PIUJlfT qa TYP21 Jf~ ba.. ~-gno, ....n...,. yow I_I DEQ R"1Iion" Omce in P."IlU1n.. (lOJll,~. 5164,....... (~37l-124OlIllCl!2n, MlIIlbrd.. (541) n6-6010 oxt. 235, or Bond", (5'1) 388-6146 <l<', 126. OR 0&11 (800) 452~1'. fi>r lho 100000ll!af)'Ow loc:aJ "'Sional DBQ om"", 7":'::':.-:.. -;:;'::;;-?;:;t ~,p,.. {p Ii" /(,,4 3 ~IY\~ . CO' ,;iQr!~ [l!.tml 0, 7'-11] - . 'r'5 ,CL , C, /S_ c_1} Z,p Co/lll:l panan: PD &y 7r"n ~ 7.." 'f ~ (!Jl '17 'IO/Pbtme: ~'l.i I - k,~ - q 30") 2, 0penI0rl; riImc 1Ild~: 1I~ JiIIr' Phon., (S4 1 I 'l'l<;"'61l0R 23525 "I_-J 99 P.A9I' i HARRISBUllG, OR ~ -- ~ c:.....y ) W_~s\ll::' \l1Ii.J~ r.ANl'JF'Tjr.r.c: . Phone: (5411 745~20'B 28972 44'F JIl EI11'l!l JlCAO 'CXRVALLIs, OR a&u\.l'/ - CIt)fSaoe C.....,. 4, DacribellSbllllDsnllJlBrials: (10 1~;S" ~' ~ '" "-- / T.~: IkQ \, c...1llh...: ,.\llL......, , ,r- _~ 'r 9-7446 Zip 97330 lip ~')trLfB 6. TOIIIl ~ {<Ubi. :ronIaj: 7. OI'IIIA TOJlAl (;!UC"J Jl'1CA TIOfoi:; I hanlby dec:lfIre 1l1Illhc: WIIIIlnt> of !hi. consii/llTlCllt ~ ft..Uy IIfId ",,~Icl)' dal:rilal1IIcw by 't: ,"'\~"'~:md iii ~I_fl-d. P'" i _ ',..-bd orulla.bolad, lIIId ore in oJl rapacI5 in !"PI 'llI IrIbcl tbr br . . ~ II) all F....- "'iIIIstions. All mo-.........l ofllU. --.", -~ -'aJ il.~.w CIIl . 'If_ Sblpmem Record fonn. , :' , I' , ,.,..,.", . . CornpoJ,y: ATEZ lOC. S~ ~ Due: TItA.._ _I~: .. 1\ . "'":" ~l: (,& 01 ,a ~ ApIi: A4dnII: Sia:nm=: Cctnpuly: ATR7. r DC' Pbon.: (:1) ~i~~j /1 9_ TI~_ : b' \. .1 b...... I\IPiC ..-: ~y:' , Phon.: Si~: D....: DIlIPOIlAL: (CortIIl=lau or.-,. or......... ~ - b,- thi:llllOlliliost, _ as __ in i_ Ill>clo...) 10. ;s~::,fY~~<dL cpS '"' :~'tl ~-~ - . Phone:' (5411 745-2018 II. O~.ulCYSPACB.t.-(A46 I".~) . . (~12!O1)