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Memorandum To: Interested Contractors From: John Winkler, General Manager Date: December 31, 2019 Re: Invitation for Bids for Arlington Property Cleanup Bids Received by: January 10, 2020 10:00 AM The Papio-Missouri River Natural Resources District (District) will receive bids for the cleanup of a residential property in Arlington, Nebraska. The work consists of demolition of a residential structure at 460 North 2 nd Street in Arlington, Nebraska. All utilities will be removed from the site by January 12, 2020. The Work will be completed in all respects on or before January 31, 2020. Items to be included in the bid: Removal of building debris to an approved landfill (this includes debris from the burning of structures, garages, driveways, sidewalks, and above-grade concrete slabs); Permitted disposal of fuel tanks that support a residential use only, if applicable; Removal of all structure foundation walls to at least 1 foot below the finish grade of the site; Termination of all abandoned utilities at least 2 feet below the finish grade of the site; and Grading, leveling, and seeding of all sites. A map of the property and a contractor agreement form are attached. Minimum insurance requirements are outlined in the contractor agreement form and are required in order to bid this project. Bidders should provide their bid and a signed agreement to be considered. Bids addressed to General Manager, Papio-Missouri River Natural Resources District, 8901 South 154 th Street, Omaha, Nebraska 68138, and marked “Bid Enclosed – Arlington Demolition” must be on file in such office on or before 10:00 am on January 10, 2020. Any Bids received after the specified time will not be considered. The bids to be opened and read by the General Manager before bidders and the public commencing at 10:00 am on that same date at the District’s office. Inquiries regarding this matter may be addressed to Lori Laster at [email protected]. Papio- Missouri River NRD staff may be reached by telephone at 402-444-6222.
Transcript
Page 1: Memorandum - Papio NRD

Memorandum To: Interested Contractors From: John Winkler, General Manager Date: December 31, 2019 Re: Invitation for Bids for Arlington Property Cleanup Bids Received by: January 10, 2020 10:00 AM

The Papio-Missouri River Natural Resources District (District) will receive bids for the cleanup of a residential property in Arlington, Nebraska. The work consists of demolition of a residential structure at 460 North 2nd Street in Arlington, Nebraska. All utilities will be removed from the site by January 12, 2020. The Work will be completed in all respects on or before January 31, 2020. Items to be included in the bid:

• Removal of building debris to an approved landfill (this includes debris from the burning of structures, garages, driveways, sidewalks, and above-grade concrete slabs);

• Permitted disposal of fuel tanks that support a residential use only, if applicable;

• Removal of all structure foundation walls to at least 1 foot below the finish grade of the site;

• Termination of all abandoned utilities at least 2 feet below the finish grade of the site; and

• Grading, leveling, and seeding of all sites.

A map of the property and a contractor agreement form are attached. Minimum insurance requirements are outlined in the contractor agreement form and are required in order to bid this project. Bidders should provide their bid and a signed agreement to be considered. Bids addressed to General Manager, Papio-Missouri River Natural Resources District, 8901 South 154th Street, Omaha, Nebraska 68138, and marked “Bid Enclosed – Arlington Demolition” must be on file in such office on or before 10:00 am on January 10, 2020. Any Bids received after the specified time will not be considered. The bids to be opened and read by the General Manager before bidders and the public commencing at 10:00 am on that same date at the District’s office. Inquiries regarding this matter may be addressed to Lori Laster at [email protected]. Papio-Missouri River NRD staff may be reached by telephone at 402-444-6222.

Page 2: Memorandum - Papio NRD

Contractor Agreement(this “Contract”)

Papio-Missouri River Natural Resources District (District)

Contractor Information (Contractor)

8901 S. 154th Street Name:

Omaha, NE 68138 Address:

Phone: (402) 444-6222 City/State/Zip:

Fax: (402) 895-6543 Phone:

Work to be performed for the District (the Work):

Contract Price:

Contractor shall commence the Work on ____________________ and shall complete the Work by ____________________. Time is of the essence for the Work. Contractor shall be responsible for obtaining any and all licenses, permits, and authorizations required for the Work. This Contract may only be amended or supplemented by a written change order executed by the District. Contractor shall not be entitled to any additional compensation in excess of the Contract Price, without The District’s prior written approval in the form of a written change order.

Contractor agrees to undertake the Work as an independent contractor without creation of an employee-employer relationship between Contractor and the District. To the fullest extent permitted by law, Contractor will defend, indemnify and hold harmless the District, its directors, officers and employees, from and against all claims and demands of all persons arising out of the performance of the Work including but not limited to claims by Contractor, Contractor’s employees, and/or third parties for damages to persons or property, except as may be caused directly by the sole negligence or willful misconduct of the District or of its directors, officers or employees. Contractor shall not subcontract any portion of the Work or assign any portion of this Contract without the prior written consent of the District, which consent may be withheld in the District’s sole discretion.

Page 3: Memorandum - Papio NRD

Contractor agrees to and shall maintain the following types and minimum limits of insurance during the term of this contract, and at the commencement of the Work and at other times as reasonably requested by the District, to furnish Certificates of Insurance to the District evidencing the same:

A. Commercial General Liability - $1,000,000 – naming the District as an additional insuredB. Workers Compensation – Statutory limitsC. Commercial Auto Liability - $1,000,000

Contractor affirmatively waives any and all claims by Contractor against the District for indirect or consequential damages, including but not limited to, lost or anticipated profits. Contractor further hereby waives any and all lien rights it may have with respect to the Work and/or any property related to the Work.

Contractor agrees to perform the Work skillfully, carefully, diligently and in a good and workmanlike manner, and guarantees and warrants the Work against all defects in materials or workmanship for 2 years after completion of the Work. Contractor agrees to comply with all Federal, State and local laws, codes, regulations, and the policies of the District, which can be found at http://www.papionrd.org/about-nrd/policies-and-manuals/ (collectively, “Laws and Regulations”). Contractor further agrees to pay all taxes imposed by any Federal, State or local law, and any employment insurance, pensions or old age retirement funds, due as a result or incident of the Work.

Contractor shall submit a written invoice to the District for the Work completed up to the date of the invoice. The District will review the invoice to determine whether the invoice accurately represents the amount completed and, in its sole discretion, determine whether to approve the full invoice or pay a portion of the invoice for the Work completed at the date of the invoice. The invoiced amount as approved by the District will be paid to the Contractor no later than forty-five (45) days after the date the invoice was received by the District.

The District may terminate this Contract, for its convenience, at any time and for any or no reason upon seven (7) days prior written notice to the Contractor. In the event of Contractor’s material breach of the Contact, the District reserves the right to immediately terminate the Contract without prior notice to Contractor. If the Contract is terminated, Contractor shall only be entitled to the portion of the Contract Price for which Contractor has performed the Work. The District reserves any and all rights in the event of termination of the Contract.

Pursuant to Neb. Rev. Stat. § 48-1122, Contractor and his subcontractors shall not discriminate against any employee or applicant for employment, to be employed in the performance of this contract, with respect to his or her hire, tenure, terms, conditions, or privilege of employment because his or her race, color, religion, sex, disability, or national origin.

Pursuant to Neb. Rev. Stat. § 4-114, Contractor shall utilize a federal immigration verification system to determine the work eligibility status of new employees physically performing services related to this contract.

Nothing herein or in any other agreement between Contractor and the District shall be construed as a waiver of all or any part of, or as in any way limiting, the sovereign immunity afforded to the District pursuant to Laws and Regulations.

Accepted and agreed to:

Papio-Missouri River NRD Contractor:Print Name/Title: Print Name/Title:

Signature/Date: Signature/Date:

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“This contractor and subcontractor shall abide by the requirements of 41 C.F.R. §§ 60-1.4(a), 60-300.5(a)

and 60-741.5(a). These regulations prohibit discrimination against qualified individuals based on their

status as protected veterans or individuals with disabilities, and prohibit discrimination against all

individuals based on their race, color, religion, sex, national origin, sexual orientation, or gender

identity. Moreover, these regulations require that covered prime contractors and subcontractors take

affirmative action to employ and advance in employment individuals without regard to race, color,

religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability.”

Supplementary Conditions

December 31, 2019

The following conditions are to be met and included in the bid:

• Demolition of structure(s) located at 460 N. 2nd Street (See Attachment A for site map).

• Obtain all necessary permits (demolition permit).

• Removal of demolition debris and household hazardous wastes to an approved landfill (this includes debris from the demolition of houses, garages, driveways, sidewalks, and above-grade concrete slabs);

• Permitted disposal of fuel tanks that support a residential use only;

• Removal of all structure foundation and basement walls to at least 1 foot below the finish grade of the site;

• Filling of basements with compacted clean fill (basement floors must have a minimum 1-foot-diameter hole in the floor to allow for drainage);

• Removal of only those trees that restrict the demolition work on any structure;

• Termination of all abandoned utilities at least 2 feet below the finish grade of the site; and

• Grading, leveling, and seeding of all demolition sites.

• All work must be completed by January 31, 2020.

I have read and accept these Supplemental Conditions.

_____________________________________________

Name/Company

______________________________________________

Signature

______________________________________________

Date

Page 6: Memorandum - Papio NRD

NESHAP ASBESTOS SURVEY

PREPARED FOR: Ms. Lori Ann Laster

Papio-Missouri River Natural Resource District 8901 S 154th Street

Omaha, Nebraska 68137

PROJECT LOCATION:

Residential Property 460 N 2nd Street

Arlington, Nebraska 68002

Project Date(s): November 6, 2019

Report Date: November 20, 2019

ATC Project ID: 204BS02754

ATC Group Services LLC 11117 Mockingbird Drive

Omaha, NE 68137

Page 7: Memorandum - Papio NRD

11117 Mockingbird Drive Omaha, Nebraska 68137

www.atcgroupservices.com (402) 697-6747

i

November 20, 2019 Ms. Lori Ann Laster Stormwater Management Engineer Papio-Missouri River Natural Resource District 8901 S 154th Street Omaha, Nebraska 68137 Re: NESHAP Asbestos Survey

Residential Property 460 N 2nd Street Arlington, Nebraska 68002

ATC Project Number: 204BS02754 Ms. Laster: ATC Group Services LLC (ATC) is pleased to submit the attached NESHAP Asbestos Survey conducted at the above-referenced site. This report includes procedures, methodologies and analytical laboratory results. Asbestos was not identified as a result of this inspection. ATC appreciates the opportunity to perform these services for Papio-Missouri River Natural Resource District, and we look forward to working with you in the future. If you need any assistance with the implementation of the recommendations contained in this report, please feel free to give us a call at (402) 697-9747 and we will respond promptly to your needs. Sincerely, ATC GROUP SERVICES LLC

Johnny Thor Tim Jacobsen Nebraska Inspector Project Manager

Page 8: Memorandum - Papio NRD

T A B L E O F C O N T E N T S

LETTER OF TRANSMITTAL .................................................................................... i

1.0 SCOPE OF SERVICES ................................................................................................. 1

2.0 GENERAL SITE CONDITIONS ................................................................................... 1

3.0 ASBESTOS SURVEY REPORT .................................................................................. 1 3.1 Regulation Review ................................................................................................ 2

3.2 Homogeneous Areas ............................................................................................ 2

3.3 Sampling Strategy ................................................................................................. 3

3.4 Suspect Asbestos-Containing Materials ............................................................ 3

3.5 Laboratory Analytical Results .............................................................................. 4

4.0 CONCLUSIONS AND RECOMMENDATIONS ........................................................ 4

5.0 ASSUMPTIONS AND LIMITATIONS ......................................................................... 5

APPENDICES APPENDIX A LABORATORY ANALYTICAL REPORT APPENDIX B INSPECTOR ACCREDITATIONS

Page 9: Memorandum - Papio NRD

1

ASBESTOS SURVEY

Residential Property 460 N 2nd Street

Arlington, Nebraska 68002 ATC Project Number: 204BS02754

1.0 SCOPE OF SERVICES

The purpose of this project was to perform a NESHAP Asbestos Survey at the above-referenced property. ATC Group Services LLC (ATC) provided a representative asbestos survey at the identified building in accordance with the referenced agreement and as outlined below:

1. Review any existing asbestos reports relating to the site, if available. 2. Survey the site building(s), excluding the roof. 3. Identify accessible suspect asbestos-containing materials (ACM) in

accordance with the USEPA National Emission Standard for Hazardous Air Pollutants (NESHAP), (ref.: 40 CFR, Part 61).

4. Collect and analyze bulk samples of suspect materials. 5. Quantify any asbestos-containing materials and record location.

2.0 GENERAL SITE CONDITIONS The survey was conducted at the Residential Property located at 460 N 2nd Street in Arlington, Nebraska. The property is a single story building with interior finishes typical of residential building containing wood floors, vinyl floor tile, and drywall. The exterior surfaces consisted of wood and plastic siding, with a shingled low-sloped roof. The property also contained a detached garage that consisted of wood walls and a shingled roof.

3.0 ASBESTOS SURVEY REPORT

On November 6, 2019 the Residential Property located at 460 N 2nd Street in Arlington, Nebraska was inspected for asbestos-containing building materials by inspector Johnny Thor of ATC. Mr. Thor has completed the requisite training for asbestos accreditation as an inspector at a state approved training provider under TSCA Title II. Mr. Thor’s State of Nebraska Inspector number is 1317.

Page 10: Memorandum - Papio NRD

2

The site was visually inspected for the presence of suspect asbestos-containing materials (ACM). Materials that were hidden, not accessible, or when sampled would damage the integrity of the structure, were not sampled as part of this survey. Materials visibly identified as non-asbestos (fibrous glass, foam rubber, wood, etc.) were not sampled. The asbestos survey consisted of three basic steps: 1) a visual inspection of the proposed site; 2) a determination of homogeneous areas with suspect surfacing, thermal system insulation, and miscellaneous materials; and 3) sampling accessible, friable and non-friable, suspect materials.

3.1 Regulation Review The U.S. EPA qualifies asbestos-containing materials (ACM) as materials with an asbestos content greater than 1%. According to Iowa OSHA, ACM is any material found to contain asbestos, regardless of its concentration, and shall be regulated as hazardous waste. The following definitions are taken from Section 61.141 of Subpart M, Part 61 of Title 40: Protection of Environment of the Code of Federal Regulations (CFR).

“Category I non-friable asbestos-containing material (ACM)” is defined as asbestos-containing packings, gaskets, resilient floor covering, and asphalt roofing products containing more than 1% asbestos as determined using the method specified in appendix E, subpart E, 40 CFR part 763, section 1, Polarized Light Microscopy (PLM).

“Category II non-friable ACM” is defined as any material, excluding Category I non-friable ACM, containing more than 1% asbestos as determined using the methods specified in appendix E, subpart E, 40 CFR part 763, section 1, PLM that, when dry, cannot be crumbled, pulverized, or reduced to powder by hand pressure.

“Friable asbestos material” is defined as any material containing more than

1% asbestos as determined using the methods specified in appendix E, subpart E, 40 CFR part 763, section 1, PLM that when dry, can be crumbled, pulverized, or reduced to powder by hand pressure. If the asbestos content is less than 10% as determined by a method other than point counting by PLM, verify the asbestos content by point counting using PLM.

3.2 Homogeneous Areas

Prior to sampling, homogeneous areas were identified in order to facilitate a sampling strategy. A homogeneous sampling area can be described as one or more areas with suspect material similar in appearance and texture that have the same installation date and function. The actual number of samples collected from each homogeneous sampling area may vary, dependent upon material type and the professional judgment of the inspector.

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3

3.3 Sampling Strategy

The sampling strategy incorporated AHERA requirements, quantities of suspect material, and the inspector’s judgment to aid in the identification of suspect asbestos-containing materials. ATC’s sampling strategy was to identify and collect accessible suspect asbestos-containing materials (ACM) in accordance with the USEPA National Emission Standard for Hazardous Air Pollutants (NESHAP), (ref.: 40 CFR, Part 61). If the analytical results indicated that all the samples collected per homogeneous area did not contain asbestos, then the homogeneous area (material) was considered non-asbestos-containing. However, if the analytical results of one or more of the samples collected per homogeneous area indicated that asbestos was present in quantities greater than one percent asbestos (as defined by EPA), all of the homogeneous area (material) was treated as an asbestos-containing material regardless of any other analytical results. Materials which were visually determined to be non-asbestos (i.e. fibrous glass, foam rubber, etc.) by the accredited inspector were not required to be sampled. Actual collection of a bulk asbestos sample involves physically removing approximately one square inch (1 in2) of material and placing it in an airtight sample container. Sample containers were marked with a unique identification number, which was documented in the field notes.

3.4 Suspect Asbestos-Containing Materials The following table contains a list of eighteen (18) sampled accessible building materials suspected of containing asbestos:

T A B L E 1 : S U S P E C T B U I L D I N G M A T E R I A L S

MATERIAL LOCATION SAMPLE NUMBER

Drywall w/ Joint Compound Throughout building 001

Black 12” x 12” Floor Tile West bedroom 002

Brown Linoleum Sheet Flooring West bedroom 003

Brown 12” x 12” Floor Tile Bathroom 004

Green 12” x 12” Floor Tile Bathroom 005

White Linoleum Sheet Flooring Laundry room 006

Grey Sink Under Coating Kitchen 007

White Window Glazing Windows 008

Black Roof Flashing Roof Penetrations 009

Grey Roof Shingle Roof 010

Page 12: Memorandum - Papio NRD

4

T A B L E 1 : S U S P E C T B U I L D I N G M A T E R I A L S

MATERIAL LOCATION SAMPLE NUMBER

Black Roof Finishing Felt Roof 011

Black Roof Base Felt Roof 012

Grey Roof Shingles Garage Roof 013

No asbestos was identified as a result of this inspection.

3.5 Laboratory Analytical Results Bulk samples were analyzed by EMSL Analytical, Inc. located at 200 Route 130 North Cinnaminson, New Jersey. Polarized Light Microscope analysis, utilizing dispersion staining techniques (ref.: EPA Method 600/M4-82-020), was performed to determine the asbestos content of the bulk samples collected at the site. This laboratory is currently a proficient participant in the American Industrial Hygiene Association (AIHA) Bulk Asbestos Proficiency Analytical Testing Program; a quality assurance program for polarized light microscopy analysis. Any material that contains greater than one percent asbestos is considered an ACM and must be handled according to Occupational Safety and Health Administration (OSHA), EPA, and all applicable state and local regulations. Details of sample analysis are included in Appendix A, which contains a listing of all analyzed samples, sample locations, and analytical results relating to the site. Asbestos analytical results are reported as percentage and type. Other common non-asbestos components may also be noted in the analytical report.

4.0 CONCLUSIONS AND RECOMMENDATIONS

The results of the asbestos survey conducted of the Residential Property located at 460 N 2nd Street in Arlington, Nebraska indicate that none of the accessible suspect building materials sampled were found to contain more than 1% asbestos. As a result, no recommendations area warranted at this time. Contractors and employees working in this building should be made aware of the possibility that concealed PACMs may be found during demolition/renovation. They should be advised not to disturb known or suspect ACMs without owner approval. Any concealed building materials discovered during maintenance or renovation activities, which are suspected to contain asbestos, should be sampled and analyzed to confirm the presence or absence of asbestos prior to disturbing.

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5

5.0 ASSUMPTIONS AND LIMITATIONS The results, findings, conclusions, and recommendations expressed in this report are based solely on conditions noted during the November 6, 2019, ATC inspection of the Residential Property located at 460 N 2nd Street in Arlington, Nebraska. ATC did not perform significant destructive sampling. It was not within ATC’s scope of work to remove surface materials to investigate portions of the structure or materials that may lay beneath the surface -- thus, any materials that could not be visually identified on the surface were not inspected and would not be noted in this report. ATC’s selection of sample locations and frequency of sampling was based on the inspector’s assumption that like materials in the same area are homogeneous in content. The report is designed to aid the building owner, architect, construction manager, general contractor, and potential asbestos abatement contractor in locating ACM. Under no circumstances is the report to be utilized as a bidding document or as a project specification document since it does not have all the components required to serve as an Asbestos Project Design document or an Abatement Work plan. Additional ACM may be present at the site in inaccessible or concealed spaces. These spaces include, but are not limited to, pipe chases, spaces between wall/ceiling/door/floor cavities, interior of mechanical components such as boiler cavities, interior ducts, beneath foundation pads, etc. If future renovation or demolition activities make these areas accessible, ATC recommends that a thorough assessment of these spaces be conducted at that time to identify and confirm the presence or absence of additional ACMs. Until then, all such unidentified materials should be treated as Presumed ACM (PACM) in accordance with 29 CFR 1926.1101 and 1910.1001. Our professional services have been performed, our findings obtained, and our conclusions and recommendations prepared in accordance with customary principles and practices in the fields of environmental science and engineering. This statement is in lieu of other statements either expressed or implied. This report does not warrant against future operations or conditions, nor does it warrant against operations or conditions present of a type or at a location not investigated. This report is intended for the sole use of Papio-Missouri River Natural Resource District, on behalf of Ms. Lori Ann Laster. The scope of services performed in execution of this evaluation may not be appropriate to satisfy the needs of other users, and use or re-use of this document or the findings, conclusions, or recommendations is at the risk of said user.

Page 14: Memorandum - Papio NRD

APPENDIX A

LABORATORY ANALYTICAL REPORT

Page 15: Memorandum - Papio NRD

EMSL Analytical, Inc.200 Route 130 North Cinnaminson, NJ 08077

Tel/Fax: (800) 220-3675 / (856) 786-5974

http://www.EMSL.com / [email protected]

041932367EMSL Order:

Customer ID: ATC55

Customer PO:

Project ID:

Attention: Phone:Johnny Thor (402) 697-9747

Fax:ATC Group Services LLC (402) 597-8532

Received Date:11117 Mockingbird Drive 11/07/2019 9:20 AM

Analysis Date:Omaha, NE 68137 11/07/2019

Collected Date: 11/06/2019

Project: 204BS02754 / 460 N 2nd St Arlington, NE

Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized

Light Microscopy

Sample Description Appearance % Fibrous % Non-Fibrous

Non-Asbestos Asbestos

% Type

001-Drywall

041932367-0001

None DetectedNon-fibrous (Other)85%Cellulose15%Brown/White

Non-Fibrous

Homogeneous

Throughout Building -

Drywall - White

HA: 001

001-Joint Compound

041932367-0001A

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Throughout Building -

Joint Compound -

WhiteHA: 001

002

041932367-0002

None DetectedNon-fibrous (Other)100%Black

Non-Fibrous

Homogeneous

West Bedroom - 12 x

12 Floor Tile - Black

HA: 002

003

041932367-0003

None DetectedNon-fibrous (Other)66%Cellulose

Synthetic

30%

4%

Brown

Fibrous

Homogeneous

West Bedroom -

Linoleum - Brown

HA: 003

004

041932367-0004

None DetectedNon-fibrous (Other)100%Brown

Non-Fibrous

Homogeneous

Bathroom - 12 x 12

Floor Tile - Brown

HA: 004

005

041932367-0005

None DetectedNon-fibrous (Other)100%Tan/Green

Non-Fibrous

Homogeneous

Bathroom - 12 x 12

Floor Tile - Green

HA: 005

006

041932367-0006

None DetectedNon-fibrous (Other)77%Cellulose

Glass

8%

15%

White

Fibrous

Homogeneous

Laundry Room -

Linoleum - White

HA: 006

007

041932367-0007

None DetectedNon-fibrous (Other)85%Cellulose15%White

Fibrous

Homogeneous

Kitchen - Sink

Undercoating - Gray

HA: 007

008

041932367-0008

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Windows - Glazing -

White

HA: 008

009

041932367-0009

None DetectedNon-fibrous (Other)75%Cellulose25%Black

Fibrous

Homogeneous

Roof Penetrations -

Roofing Flashing -

BlackHA: 009

010

041932367-0010

None DetectedNon-fibrous (Other)75%Glass25%Gray/Red/Black

Fibrous

Homogeneous

Roof - Roofing

Shingles - Gray

HA: 010

011

041932367-0011

None DetectedNon-fibrous (Other)20%Cellulose80%Black

Fibrous

Homogeneous

Roof - Roof Finishing

Felt - Black

HA: 011

Initial report from: 11/08/2019 08:17:19

Page 1 of 2ASB_PLM_0008_0001 - 1.78 Printed: 11/8/2019 8:17 AM

Page 16: Memorandum - Papio NRD

EMSL Analytical, Inc.200 Route 130 North Cinnaminson, NJ 08077

Tel/Fax: (800) 220-3675 / (856) 786-5974

http://www.EMSL.com / [email protected]

041932367EMSL Order:

Customer ID: ATC55

Customer PO:

Project ID:

Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized

Light Microscopy

Sample Description Appearance % Fibrous % Non-Fibrous

Non-Asbestos Asbestos

% Type

012

041932367-0012

None DetectedNon-fibrous (Other)15%Cellulose85%Black

Fibrous

Homogeneous

Roof - Roof Base Felt

- Black

HA: 012

013

041932367-0013

None DetectedNon-fibrous (Other)65%Cellulose35%White/Black

Fibrous

Homogeneous

Garage Roof -

Roofing Shingles

Garage - GrayHA: 013

Analyst(s)

Olufunke Akintunde (14) Samantha Rundstrom, Laboratory Manager

or Other Approved Signatory

EMSL maintains liability limited to cost of analysis . The above analyses were performed in general compliance with Appendix E to Subpart E of 40 CFR (previously EPA 600/M4-82-020 "Interim

Method"), but augmented with procedures outlined in the 1993 ("final") version of the method. This report relates only to the samples reported above, and may not be reproduced, except in full, without

written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations . Interpretation and use of test results are the responsibility of the client. All

samples received in acceptable condition unless otherwise noted. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of

the federal government. EMSL recommends gravimetric reduction for all non -friable organically bound materials prior to analysis. Estimation of uncertainty is available on request.

Samples analyzed by EMSL Analytical, Inc. Cinnaminson, NJ NVLAP Lab Code 101048-0, AIHA-LAP, LLC-IHLAP Lab 100194, NYS ELAP 10872, NJ DEP 03036, PA ID# 68-00367, LA #04127

Initial report from: 11/08/2019 08:17:19

Page 2 of 2ASB_PLM_0008_0001 - 1.78 Printed: 11/8/2019 8:17 AM

Page 17: Memorandum - Papio NRD

OrderID: 041932367

Page 1 Of 2

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OrderID: 041932367

Page 2 Of 2

Page 19: Memorandum - Papio NRD

APPENDIX B

INSPECTOR ACCREDITATIONS

Page 20: Memorandum - Papio NRD

State of Nebraska Department of Health and Human Services

Division of Public Health

Expiration: License #: Status:

1317

Johnny Vong Thor

05/22/2021

Asbestos Inspector

Active


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