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A so rS10 S & LEAD HFM OV'\L SPl CI !\ l IS rs · R EM ED IA TION e. RE S TORAT ION 5 E H V I C ES ASBESTOS INSPECTION REPORT For thc Subject Property: 1519 Woodland Ave, Kalispell Mt Report Date: 10-18-201 2 Onsite Inspection Datc: 10-09-2012 Prepared by: Mikc Foust Abatement Contractors of Montana (AC M) Prepared for: University of Montana 32 Campus Drive Missoula Mt 59812 Abatement Contractors of Montana. LLC Po Box 8747 Missoula Montana
Transcript
Page 1: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

A so rS10 S & LEAD HFM OV'\L S P l C I !\ l IS rs · R EM ED IA TION e. RE S TORAT ION 5 E H V I C ES

ASBESTOS INSPECTION REPORT

For thc Subject Property:1519 Woodland Ave, Kalispell Mt

Report Date: 10-18-201 2Onsite Inspection Datc: 10-09-2012

Prepared by:Mikc Foust

Abatement Contractors of Montana (AC M)

Prepared for:University of Montana

32 Campus DriveMissoula Mt 59812

Abatement Contractors of Montana. LLC Po Box 8747 Missoula Montana

Page 2: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

APPENDIX I--REPORT

APPENDIX II RESULTS

APPENDIX III DRAWING

APPENDIX IV CITY FORMS

Page 3: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

1ABA1aIENTCONTRACTORS

"f" I "'1, . . - , ", ~""'I....:\..- J ~

" ~tSl::'.:> IU ~ t~ t e x u IllMllVAl ~1' t: <""I ,\ll~ I~. Ill:. M I:: UIAI I ON & In~ IU HA 'I UN s tn vr c r s

10-17-2012

Brad EvengerUniversity of Montana32 Campus DrMissoula Mt 59812

RE: Report for Comprehensive Asbestos Inspection1519 Woodland Ave in Kalispell Mt .

Dear Mr. Evenger,

Abatement Contractors of Montana, LLC. (ACM) is pleased to provide this sampling reportfor a Asbestos Inspection conducted at the referenced site. The inspection was performedon Date by Mr. Mike Foust, a Montana Department of Environmental Quality (DEQ)accredited asbestos inspector. His credentials are attached.

ACM collected a total of Total 19 bulk samples representing Quantity (6) homogeneousareas of suspected asbestos-containing building materials (ACBM). A floor plan drawingwith sample locations is attached.

Property Description:This property is a unique 1 level residential unit originally buill in 1930 and landimprovements in 1980 with detached garage. This property has had some additions to theoriginal structure. These bUildings are comprised of the following components :

House Exterior:1. Foundation -is 1176 square feet of Concrete and cinder block (small

crawlspace for furnace) :2. Exterior Walls-wood sheathing with foam and vinyl siding3. Windows-Aluminum single pane4. Roofing- Asphalt shingle under white metal roofing5. Attic- gable roof with blow-in (recycled paper top layer) and paper insulation on

the base layerHouse Interior:

1. Heating -Central forced air Fuel type is electric2. Bedrooms - 23. Bathrooms-1 full bath4. Fire Places-1 in use5. Walls-Plaster walls, sheetrock, panel boards6. Floors-wood joist and ply wood on the original structure, concrete where the

original garage was.Detached Garage

1. Foundation -is Concrete2. Exterior Walls-wood sheathing with foam and vinyl siding3. Windows-Aluminum single pane4. Roofing- Asphalt shingle under white metal roofing

P.O. Bo x 8747, Missoula, MT 59807www.montanaabatemenl.com

PHONE 406 .549.8489FAX 406.728.9416

Page 4: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

Page2Report for Asbestos Inspection

Samples listed in Table 1 tested POSITIVE for asbestos.

The inspection was performed in accordance with the Occupational Health and SafetyAdministration (OSHA) 29 Code of Federal Regulation (CFR) 1926.11 01(k), DEQ and theNational Emission Standards for Hazardous Air Pollutants (NESHAP) 40 CFR 61, SubpartsA and M, and applicable portions of the currently recognized standard protocol developedfor schools under the Asbestos Hazard Emergency Response Act (AHERA) and aspromulgated in Title 40, Code of Federal Regulations (40 CFR), Part 763 and as amendedin the Federal Register. One (1) copy of the laboratory analytical results are attached.

Required prior to renovation or demolition of building materials, the asbestos inspectionconsisted of a detailed survey of all building materials which will be disturbed by therenovation process. Suspect ACBM were visually identified and touched prior to sampling.Samples were placed into homogeneous area (HA) groups, using a coding method toclassify each material by type , texture, color, and location . Components of the inspectionincluded:

• Identification of homogeneous suspect materials on a room-by-room basis;• Collection and analysis of bulk samples to confirm or deny the presence of

asbestos; and. • Bulk samples were not collected from any homogeneous material made of

fiberglass, wood, foam, glass, or rubber.

A minimum of three (3) samples were collected from random locations of each HA ofsuspect material. Selected materials were limited to HA's affected by the renovationarea. Samples were collected from existing damaged materials , as applicable. Sampleswere placed in pre-labeled plastic conta iners for transport to the laboratory.

Samples were shipped, under chain-of-custody protocol for Standard analysis, to SanAirTechnologies Laboratory in Powhatan, Virginia, for bulk asbestos analysis utilizingPolarized Light Microscopy (PLM) coupled with dispersion staining for asbestosidentification.

The inspection was completed under the National Emissions Standards for Hazardous AirPollutants (NESHAP) 40 CFR 61, which governs asbestos inspections and abatement ofACBM prior to demolition or renovation of all residential, commercial, or public facilities.Building materials confirmed as containing asbestos in concentrations greater than one (1)percent (>1%) are placed into one (1) of three (3) NESHAP categories:

• Category I: non-friable ACBM includinq packings, gaskets, floor coverings, roofingproducts;

• Category II: non-friable ACBM including transite, shingles, piping and electricalwiring, excluding Category I non-friable ACBM, containing >1% asbestos; or

• Regulated Asbestos-Containing Material (RACM): friable ACBM, Category I non­friable ACBM that will or may be SUbjected to sanding, grinding, culling , orabrading, and/or Category II non-friable ACBM that have a high probability ofbecoming or have become crumbled, pulverized, or reduced to powder by forcesexpected to act on the material in the course of demolition or renovation operations.

P.O. Box 8747, Missoula, MT 59807www.montanaabatement.com

PHONE 406.549.8489FAX 406.728.9416

Page 5: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

Page 3Report for Asbestos Inspection

ACM collected Total of 19 bulk samples representing Quantity (6) HA's of suspectedACBM . Materials testing positive for asbestos are summarized in Table 1:

Table 1: Summary of ACBMs

SampleHA Description Location

Quantity NESHAP ResponseNo. ISF) Cate9~ Action

P-3Plasterljoint

Soulhwall RACMRemove be

compound --- renovationOr

disturbance

SF =Square Feel RACM =Regulaled Asbestos-containing Malerial• Materials disturbed during renovationshall beabated prior to renovation

Laboratory analysis confirmed that asbestos was not present (none-detected) inthe following HA's sampled during the inspection.

Code Material Description Location

P-1,2L-1,2,3R-1,2,3KL-1,2,3WB-1,2,3S-1,2,3,4

Summary

plasterlwhite +pinkWhite Linoleum

Asphalt roofingyellow linoleum

pink wall boardSheetrock

originat house ( assume all 4 sides)bathroom floorroofing under metal roofkitchen floor and backsplashbehind bathroom vanitymaster bed, kitchen, through out

Prior to renovation of the building, a Monlana-accred~ed asbestos abatement contractorshall abate all ACBMs listed in Table 1 in accordance with federal , state. and local laws.DEQ may require a final air clearance be conducted after abatement.

Limitations

This asbestos inspection summary was prepared based on information gathered duringour site visit and interpretations of laboratory results of bulk samples collected during theinspection. The inspection was limited to selected areas within the structure(s).Addi tiona l sampling may be required if add itional HA's are exposed during materialremoval. or the scope of work is expanded to include HA's that have not been inspectedor analyzed for asbestos content.If you have any questions regarding this report or have addfional needs, please call me at406.549.8489.

Sincerely ,Mike FoustAttachments: Inspector Credentials

Sample Location DrawingAsbestos Laboratory Analyt ical Results

P.O. Box 8747 , Missou la, MT 59807www.montanaabatement.com

PHONE 406.549.8489FAX 406 .728.9416

Page 6: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

APPENDIX II

RESULTS

Page 7: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

SanAir Technologies Laboratory

Analysis Report

prepared for

Abatement Contractors ofMontana, LLC

Report Date: 10/17/2012Project Name: 1519 WoodlandProject #: IH 118SanAlr 10#: 12020783

r:-n""I7~£~· ~~;~;~:':~~~O<flJ'J 'J t~UI. IEICI!CUlCt_......_----

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(/Toxa~i l Jum~#fd \'.fNAJ AJI ,Y/$r1.

\. L"l /Wt :l!Of)'/-'-_/

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www.sanarr.com

Page 8: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

~i!. SanAir Technologies Laboratory, Inc.1551 Oakbridge Drive. Suite B. Powha tan, VA 23139804.897.1177 ToUFree: 888.895.1177 Fax: 604.897.0070Web: hllp:JJ\o/w'w.sana ir.com E-mail: [email protected]

sanAir ID number

12020783FIRAt. REPORT

Name:Address:

Abalemenl Contractors 01 Monlana, LLC 'PO Box 8747Missoula, MT 598 07

Project Number:P,O, Number:

Proje ct Name:

Collected Date:Received Date:

Report Date:Analyst :

IH 118

1519 Woodland

10/9/20121011 61201210:15:00 AM10/17/201210:29:40 AMTallert, Jonathan G,

Asbestos Bulk PLM EPA 600/R-93/116Stereoscop c l<!lDJJll!nm1lI Asbestos

SanAir 10 I Description , " Appearance % Flbroue % Non-Abroue AbersP-l I 12020783-001Pl~stcr . Pl as ter

P - l I 120 20783-001Plas t er, Skim Coa t

Greyr:on -f' i brousHomoge ne ou si·:hite:lon · f i br ousHomogeneous

100 % Ot her

l OOt Other

x cnc De t ected

< 1'4 c hrvsot H e

Stereoscop c l<!lDJJll!nm1lI s tosnAir 10 I Description Appearance % Abrous % Non-Abrous Abera

P-2 / "12 02 0783 -002pf a st c r, Plaster

~-2 I 12020783 - 002Plaster , Skim Co~t

Gr eynon~Fi brous

Ho mogene o us

t'lh i texon- r I brcuslIomOlJeneous

10 0 \ Other

100? oth e r

< l"t Chrys ol ile

<: 1'to Chrysotile

Stereoscop c l<!lDJJll!nm1lI As stosSanAlr 10 I Description Appearance % Fibrous % Non-Fibrous Fibersp- 3 I l 2 0 ~ 0 7 8 3 - 00 3

r'Jes c cr- , Pl aster

P-3 I 12020783 - 003Plaste r, Sk im Coa t

P-3 I 120 2078 3-00 3Plaster . J o i n t Compound

Gr eyncn - t'Lbr c usHomogE."neou~

Nhitctron 4:-i br cusnoeoceneousBe i g etrc n - r IbrousHotr.OQetleous

1 0 0~ Ol her

l OOt Othe r

9 8 ~ Othe r

<: 1% Chryso l.i l e

< 1t chr ysot. Lrc

2\ Chrysot.i Le

Stereoscopic ~ AsbestosanAlr 10 I Description Appearance % Abrous % Non·Abrous Abers

L- l I 120207B3-004Ba t hroom Linol eum

Nhi t eNon-Fibr ousHomogene ous

15% c ellulose 85~ Other No ne Det ected

Stereoscopic l<!lDJJll!nm1lI "" -,,,,,,. ,."Y. ': ,,- • Asbestos ,ro, -" "snAi r 10 I Description Appearance % Fibrous % Non-l'Ibrous ' " -Flbers ' __'_' .,'.

L- 2 I 120207A3- 005Bat hroom Li noleum. Lino l eum

L- 2 I 12020783 -005Bathroom Linol eum. Mds t i c

Certification

~Jh ite

Non- Fi br ousn c eo a cnc ous

Ye llowlion -F i brousHOillOQcncous

15% Cell ulose 85 \ Ot he r

I DOl Ot h e r

None De t e c t ed

no ne Detected

Signature:

Date:~

10 /1 7 / 2 01 2

I)

ReVjeWed :):(/<?>~~ b-r:n::;jDate: 1 0 117 n on Page 1 of 4

Page 9: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

~.i.r SanAir Technologies Laboratory, Inc.1551 Oakbridge Drive. Suite B, Powhatan. VA 23139804 .897.1177 Toll Free: 888.695 .1177 Fax : 804.897.0070Web: htlp:f/www.sanair.com E-mail: [email protected]

SanAir ID Number

12020783F INAL REPORT

Name:Address:

Abalement Contractors 01 Montana. LLCPO Box 8747Missoula. MT 59807

Pro ject Number:P.O. Number:

Project Name :

Collected Date:Received Date:

Report Date:Analysl:

IH 118

1519 Woodland

10/9/201210/161201210:15:00 AM10/17/2012 10:29:40 AMTallett, Jonathan G.

Asbestos Bulk PLM EPA 600/R-93/116StereoscopIc ~ Asbestos

anAlr 10I OescrlpUon Appeamnce % Fibrous % Non·Flbrous FibersL- 3 I 12020783 - 00 6Ba t hroom t.Ino l eua , r.Ino t eun

L -3 I 12020783 -00 6Bathroom Linoleum. Maslic

~':h i tel-Ion - Fi br owiHomogeneous

vc I I owNon-F i brou suonoaeneous

1 5~ Cell ulose B5~ Ot her

JOO't Ot h e r

Uon e Detected

x on o De t ected

lereoscop c ~ s stosnAir 10I DescrlpUon Appeamnce % Fibrous % Non·Flbrous Fibers

R-l I 1202 0783 -007Asphalt Roofing Under I1cta lRoofing

BlackNon - Fi br oustrcmocencous

10% Cell ul ose 9 0 'l. Ot he r None Detected

Siereoscopic ~ AsbastosanAlr 10 I Description Appesmnce % Fibrous % Non·Flbrous Fibers

R- 2 / 120 201 83 -008As pha Lt; Roofing under Ne t e lRoo f i ng

Blackflon- Fibr ousHomogen eo us

10\ Cellul ose 90 't Ot her None Detected

Stereoscopic ~ AsbestossanAlr 10 I OescrlpUon Appearence % Fibrous % Non-Fibrous FibersR-3 / 12 020783 -009Aspha lt Roofing Under Me t a lRoof i ng

Al a c kNon - f i br ousliomogCllc om;

1 0 ~ Ce ll u l o se 9 0~ Ot he r None Detected

Stereoscopic ~ AsbestosSanAlr 10I DescrlpUon Appearance % Fibrous % Non·Flbrous FibersKL-1 / 12020783-010Li no l eum On Floor J\nduocksp lesb I n Hi t chcn , Linc I e um

KL-1 / 1202 0783 -010Linoleum On Floor Andnacks p t e s h I n xt t cnen . 1·~J,.s t i c

Yel lo....'Non- FibrousHomogeneousYello....·Non-FibrougHomogcncoug

10 0% Ot her

l OOf. Ot he r

None Detected

Non e Vt"tected

Stereoscopic ~ .···c·-, AsbestosnAir 10 I Oescrlpllon Appeamnce % Fibrous % Non·Flbrous FIbers

KL- 2 / 12020783-011Linoleum On Floor Anduackspfesh I n l:i t c hen . Li nol eumKI.- 2 / 12020783 - 0 11Linole um On m oor Andg a r-ks p jaa h I n j t i t c hc n , :'ld ~;ti c

Certification

Yel l ownon- r Ibrousucmoacncous

Ye llo·.~'

Non-FibrollsHomogeneous

100~ Other

10 0 ~ Other

llo ne Detected

None Detcct:ed

Signalure:

Dale: 10 / 17 / 2 01 2

/7ReViewed:A""'~~ c: , 'I~

Dale: 10 /1 7 /7. 01 2 Page 2 of4

Page 10: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

SanAir Technologies Laboratory, Inc.1551 Oakbridge Drive. Suae B. Pcwnatan. VA 23 139804.897.1177 Toll Free: 888.895.t 177Fax: 804.897.0070Web: hup:ll www.sanair.com E-mai l: [email protected]

SanAi r I C Number

12020783FItlAL RE PORT

Name:Address:

Abalcmcnl Contractors 01Monlana. llCPO Box 8747MiSsoula. MT 59807

Pro ject Numb er:P.O. Number:

Project Name:

Collected Oate:Received Date:

Report Date:Analysl:

IH 118

1519 Woodland

101912012101161201210:15:00 AM10/17/201210:29:40 AMTaIiM . Jonathan G.

Asbestos Bulk PLM EPA 600/R-93/116Slereoscopic ~ Asbestos

sanAlr 10/ Descrlp tJon Appearance % FIbrous % Non-FIbrous Flberaf~-3 I 12020783-012Linoleu:n. D:1 Floor AndBacksplash In Kit chen . Linolc~..KL-3 I 12020783 ·012Lino leum On Fl oor AndBackspldsh In Ki t chen. l{Josti e

Ye llowNon-Fi b r ousI lomogcncou~

Yel lowNon-f' ibrou~

Homog eneou s

10 0\ Ot her

100 \ Ot her

xone Cetect.ed

xcnc Detec t ed

Slereosco c ~ As estossanAlr 10/ Descrfptlon Appearance % FIbrous % Non-FIbrous Flbere~m-l I 12020783- 013;-;.:111 Co ver i ng Behind Ba throomSink

pir.kFibrousHo:nog e n e o u::>

50 \ Cellu lose 50% Other No n e De t e c t ed

Slereoscop c ~ As eslosSanAlr 10I Descrfpllon Appearance % FIbrous % Non-FIbrous FlberaWB- 2 I 120201B3 -0 14\':<1 11 Covering Beh I ud Bo t h r oo mSink

PinkPibrousncracco neous

50'~ Cell u lose 50 % Other None De tected

Slereoscop c ~ AsbestosSsnAlr 10 / Description Appearance % FIbrous % Non·Abrous Abe",~B ·3 I 12020783-015t'ra ll Covering neh Ind Bat hroomSi nk

PinkPibrousuomoqeneous

50'f. Ce l lulose 501 OLhe r None Det ected

Sleraoscopic ~ AsbeslosanAlr 10I Descrfptlon Appearance % FIbrous % Non·Flbrous Flbera

S-l I 12020783-016She e t r ock I n Ma r-t e r BedroomKi t.che:l

to/hitel\on- FibrousHomogeneous

10 0 , Other None Detected

Slereoscop c ~ s OS

nAir 10I DescrfptJon Appesrance 'Yo FIbrous % Non-FIbrous Flbera5-2 I 12020783-017Sheetrock In Mas t er Bedr oomKi t chen . SheetrockS-2 I 12020783 -0 17Sheetrock I n Master BedroomKitchen . Texture

Certification

t"Jhit e}l;on-PlbrolJsHomogeneous\"lh iteIron - f' i brousHo eoueueo os

5\ Ce llulose 95 \ Other lIone Detected

Ilo n e Detected

Signature:

Date:~

10 / 17 12 012

11ReViewed:A'''''"~de b-r : ''l:;J

Dale: 10 117 / 2 01 ? Page 3 of 4

Page 11: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

$~I)Atr SanAir Technologies Laboratory, Inc.1551 Oakbridge Drive. Suite B, Powhatan. VA 23 139804.897.1177 TollFree: 888.895.1177Fax: 804.897.0070Web : hllp:l/wVlw.sanair.com E-mail: [email protected]

SanAl r ID Number

12020783F I NAL REPO RT

Name:Address:

Abalemenl Contractors 01Montana, LLCPO (Jox 8747Missoula. MT 59807

Project Number:P.O. Number:

Pro ject Name:

Collected Dale:Received Dal e:

Rep ort Date:Analyst:

IH 118

1519 Woodland

10191201210116/201210:15:00 AM10/17/2012 10:29:40 AMTallert. Jonalhan G.

Asbestos Bulk PLM EPA 600/R-93/116Steneoscoplc ~ Asbestos

nAir 10I Descrlplfon Appearance % Flbnous % Non-Flbnous FlbersS- 3 I 12020783- 018Sheet rock In }~ster Bedroo=.Kitchen, Sheetrock

5- 3 I 120207B 3- 01 8Shee t r o d : In reeae e r aedroomKi tchen . Textur e

t"!hitctron - r Ibr ou sUo:nogeneou5

~·.l1i t e

lion -Fibr ou sHomogeneous

10 ~ Cellu l ose 9 01. Other

10 0 "t. Other

!'lone Detected

no ne pct.occcd

Steneoscop c ~ s estosanAlr ID I Descrlpllon Appearance % Fibrous % Non-Flbnous Flbers

5 -1 I 120 20783-019Shee ::. roc k In Haster BP.drooml: i rchen, Sheet rock5 -1 I 12020783 - 01 9sheet rccx In neate r a ed roorni: i t.ch en , Jo int Co mpo und

Certification

t·.'hiteNon-Fibrou olIon\Oge n(!ousBeigeNon-Fibrou$ttomooen eous

l Ot Ce ll u los e 90 'f, Ot h e r

10 0~ Other

Non e Det ected

-c n ch r vao t.Ll c

Signature:

Dale:~~

10 /17 1?01 2

11ReViewed;)'(/"",,~~ /;,.-( ,',-..::;)

Date; 10/17 ( 201 2 Page 4 of 4

Page 12: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

Disclaimer

The final report cannot be reproduced, except in full. without writtenauthorization from SanAir.Fibers smaller than 5 microns cannot be seen with this method due to scope limitations. Theaccuracyof the resulls is dependent upon the dient's sampling procedure and informationprovided to the laboratory by the client. SanAir assumes no responsibility for the samplingprocedure and will provide evaluation reports basedsolely on the sample and informationprovided by the client. This report may not be used by the client to claim product endorsementbyNVLAP. AIHA or any other agency of the U.S. govemment; and may not be cenitiea by everytocet. stale and federal regulalory agencies.

Revision Date 1/17/201J Page I or I

Page 13: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

SanAlrTecho I lies Lablratlrv.1 c. SanAir 10 Number

1551 Oakbridge Drive, s oae B - Powhatan, VA 23139 Asbestos IQjcQJ7S3804·897-1177 J888-895-1177JFax 804-897-Q070 Chain of Custodywww.sanair.com

Comp!...ny.AbalemenlCo!!-lJaclols_of "'!~!!.liI_n!':..!-..!:.<';:___._ __,_____ ly--!.oj~c1 # : IH 116 Phone ' ; 406·549·6469 - -Address: PO B Oll 87..7 ~ecI N amc: 1 S1 9 ~odl1Jnd Phone 3: 4~.54~:_! ~!7___ _ _-_._-_. _._._.-

.-fi!y. 51. . Zip: Missoula. MT 59807 Dale Collcclcd: 10-9-2012 Fax #: 406·728-9416

Samples Collected BV: Mik~ Foust P.O. Number: Email. [email protected] . - .

BulkAsbestos Analysis Types

Air SoliNermiculileABB PLMEPA 600/R·931116

..-ABA PCMNIOSH 7400 ID ABSE P ' LM EPA 600/R-9~~ 16 (Qual.)X D

Posilive Stop X ABA-2 OSHAwi TWA" D ABSP PLM CARB435 (LOD <1%) D-ABEPA PLM EPA400 Point Counl

_ . ..A BTEi-C 'TE'M-AHE~-

.- 'ji,Bsi' ,- ' PL M'CARB 435 (LOD025%)0 IJ DABB1K PLMEPA 1000 Po;nl Count

U ABATN TEMNIOSH 7402 U ABSP2 PLM CARB 435 (LOD0.1%) n_ .. _-- ... .- - - ..._-- .. _...._-PLMEPA NOB D ABT2 TEM Level II U. -- ._....- -

ABBCH TEMChalIJeld DABBTM TEM EPA NOB - WaterD Dust---- 'TEMNYELAP19if4" -- ' TEMW;peASTM 0:6460---00ABBNY

~ABHE EPA 100.2 0 ABWA

OTHER!-_. ------ --- --_._--

0 ABDMV TEM M;c,ovac ASTM 0-5755 0I Matrix : • • l....-. ..:.J

Turn Around 3 HR (4 HR TEM) .l"!....... 6 HR (8HR TEM)x 12 HR U 24 HR U- --_ .._.._- - - 1--. -- .- .. _..Times 2 Days IJ 3 Days U 4 Days 0 5 Days 0- - - - - - -- - -- . --- --

[-- .

Volume Sample Flow Time'Sample # Sample Identification/Location or Area Type Rate" Start - Stop

P-l,2,3 Piaster, white & pink

L-l,2,3 Bathroom linoleum (white)

R-l,2,3 Asphalt roofing under white metal roofing

KL -l,2,3 Linoleum on tloor and backsplash in kitchen

WB -l ,2,3 Pink wall cove ring behind bathroom sink ..-S~1,213.4 Sheetrock in master bedroom, kitchen

..

..--

Rellnaulshed bv Date Time Receive by Date TimeMike faust 10-9-2012 4:05pm ..t / ) nr-r , " ' . f.....~

~ / ...-- r-- • v cu'c .,Unless scheduled, the tum around tIme for all samples ",ceived ~ pm Friday wi ll beg in at 8 am Monday morning .

ISpecial Instructions I

Weekend or Holiday work must be scheduled ahead of time and is charg ed for rush tum around time .Work with standard lum around time sent Priority Overnight and Bill ed To Recipient will be charged a $10 shipping fee.

Page_of__

Page 14: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

APPENDIX III

DRAWING OF SAMPLE LOCATIONS

Page 15: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

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Page 16: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

1519 Woodland -Kalispell Mt

. .-- ....-- ...-.---

Page 17: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

1519 Woodland -Ka lispell Mt

Page 18: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

APPENDIX IV

CITY PERMIT FORM

Page 19: ASBESTOS INSPECTION REPORT - University of Montana Inspection Report... · Materials testing positive for asbestos are summarized in Table 1: Table 1: Summary of ACBMs Sample HA Description

_.'---..~. ..;..~.~~.;J. :'~~;-..~~'/ < ~.- . - '::-".-'"NlI SS0UL h.

---

( -ily " r Mi"OIlI<1l.llli ldi ll [~ Ikparllnenlc.l .3 :' Ryman

i\ l i" oli la. MT 5 ')X ( "~

I'holl<:: ( ' lOr») 552-()()·JOJ":\ X: ( '-! IJ(,! 552-C,OY;

Dale: 10 -- n ·o.JJ.-City o f Mi~',ou l il

Building Inspcctlcn Division"n~) Hym an SI repl

MiWlIJla, M -l ~9HO?

{" Idrc- ',-; .m rl/or I'roipe! N"mp- ISi?- [ <..-0 0::0 ({l l"D Gtf t....

r\ ., he .'ilo ~. InspeClor/ Compa ny:

. --.!._-- .-~ - '- '- - - - - - ----, -

, --

.....!-._-

I-- ---- .--- - _.

I. . ~ ._':._.:._1_._:._'.. _!__ __ _ . 1 rtn <lccrerlii ed il ',hpSlo\

ios!Jpcto r. ha ve co rnploto rl lh(~ asbestos surve v at the above ;Jddr0SS il lHJ the MontanaD~~ pilrlnlPn t of Env iro run r-n ta l Qua lity ha~ be en flo tified of t h e co n te n ts.

Sl<1tt' o f M on tan<1Department of Environmental Quality

I\sh (! sto~ Cont rol Program

('lOG) '14') 53 00

MIKEA FOUST_ .. 1-' tontana Admh\islralivc Rule 17.74.3()2

h S met thercqulfemcn...,. 0 I~' ,'d! 17 74 363 furaccreditation in the following asbcsto~-Iype

an or . . . . ..I- Ie(s)occupatlon(s) us indicated byan exprranou U4I •

~n ; R p;•

MT DEQAsbestosControl Program

cs MP01/1212013

WK

MTA·2741

PO11109/2012

IN06/1012012


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