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Home My WebLink AboutABATEMENT REPORT - 21-00268 - Teton Bowling Lane - Demolitionnepjl.� Great Basin Services, Inc P.O. Box 238 Blackfoot, Idaho 83221 Office: 208-785-1767 Cell: 208-681-6462 J3-30-2021 RE: Asbestos removal, Teton Lanes Bowling, 585 North 2"d East, Rexburg, Idaho To Whom it may concern: Great Basin Services, Inc has removed aprox 1500 sq fl of Asbestos floor tiles and mastic located at the approach to the bowling lanes. This is the asbestos materials identified in the Asbestos inspection report. These materials were removed using a full negative air containment with hand removal methods. All work was done by trained and certified asbestos workers using EPA approved removal methods. All materials removed were taken to the Bannock County Landfill for disposal, which is an EPA approved landfill that accepts asbestos waste. A Signed landfill manifest have been provided to show proper disposal as required. Dave Price, Owner, Great Basin Services, Inc { �yv„ u�u.c...vwn,:nvpernorscratns C'QLU, lTanspener Mail" PINK, WDS mmlm YELLOW and sends completed WHrrE.copy. tooperator in item 2, xer<,...tP•wr. sic. 'scorn. m u_i • na)rs rasa 40% IT.S EPA WASTE SHIPMENT RECORD FOR REGULATED ASBESTOS WASTE MATERIAL. R.Q..Hazardous Substance: Solid N.O.S. (asbestos); ORM-E NA -9188 GENERATOR 1 Wurksitenante: —01-13 T&tow A,4,ues 1 otJl.i'n 6/- _ Location: /15, Aexiiau xD Mailing Address: a G3_v CIS V c 1 1D r, LLsJ :p e,5 lo f r r Owner's:Name: 4AY ) Owner's Phone: ,6 r7Z 7 2 Operator's Name: Great Basin Services, Inc.uRl) y Contractor I.D. J Mailing Address: P.O. Box 238 GS i< i k05?:R(j •-0 Blackfoot, ID 83221 Contact Person: Dave Price Operator's Phone; 208-785-1767 3 Waste Disposal Site (WDS) DESTINATION: Name: Bannock County Landfill WDS Phone: 208-236-0607 Mailing Address: 1500 N. Fort Hall Mine Rd. Pocatello, ID 83201 Site Addressilocation: 1500 N. Fort Hall Mine Rd.. q Nance and address of responsible agency (tocol, District or EPA Office where demoliti n renovation notification }ras sent): 5 Description of waste materials 6, C61ltainers ' 7. Total.Quantity- . Number Type (Cubic Yards) tTE—G Special Handling Instructions and additional information: 9 OPERATOR'S CERTIFICATION: I bereby declare that the contents of Ibis consignment are fully and accumtely described above by proper shipping came and ore classified, packed, moiled trod labeled, and are in all respects inti n by highway according to applicable _ iatemadocal and govemment regulations. (Obtain sigaoturo in hem 10 before miring Golds set for pc) Dave Price__ Owner �'e- --c�• 2 7 __ frintedityped Nvne Title Signature `�.�•.7 Date (nffVDD/1•Y) TRANSPORTER If j Transporter I (Acknowledgement of receipt of materials) Name: Great Basin Services, Inc. Phone: Address: P.O. Box 238 2_� Blackfoot, ID 83221 I —/-__c.7�/ i Pdntedkyped Nmneenc Dave _ Tian caner signs uie Date (xns+oturri 1'1 Transporter 2 (Acknowledgement of receipt of matenals) Nance: Phone: Address: Prieted/typcd Name Tide -""" --•_ 1 Signature Date (snwom5 WASTE DISPOSAL SITE 12 Discrepancy indication space.. 13 WASTE DISPOSAL SITE CERTIFICATION: I hereby certify cat the above named material cnepted'rmd to he best of knowledge the, for iis�it-u�e�, accurate complete except as n{ootteddliinnlIttent 12. �cang �j �7 7-0 n �•/ 7 l � r ' Pn . 7V_ typea Name itleSignature Date tatwnoriy) �yv„ u�u.c...vwn,:nvpernorscratns C'QLU, lTanspener Mail" PINK, WDS mmlm YELLOW and sends completed WHrrE.copy. tooperator in item 2, xer<,...tP•wr. sic. 'scorn. m u_i • na)rs rasa 40% u z �H O Cl ° N .y V F U • a canna 5wdins 0 N O N N N N ,NN 'N a E' CV 0 O' C o z�U o� Lzo Q 0Z. r vzUw F F 0 O LAW O Gartner SWdim Presented to Dixie Mwrphy / RMBH Partnership Building located at 585 North 2nd East, Rexburg, Idaho Bowling Alley 2-24-2021 Presented by: Great Basin Services, Inc Blackfoot, Idaho 208-785-1767 Dave Price, Inspector Certificate # BIR110120-01 Introduction On 2-15-2021, accredited EPA Asbestos Inspector, Dave Price, of Great Basin Services, Inc., conducted a site inspection and collected samples of suspect Asbestos Containing Building Materials from the building located at 585 North V East, Rexburg, Idaho. This building is a bowling center. The purpose of this inspection and sample collection was to identify and locate any possible asbestos containing materials that might be present in the building prior to Demolition/burning. The suspect ACBM samples were cataloged and uniquely labeled onsite and then submitted under standard chain -of -custody (COC) protocol to EMSL Analytical, a National Voluntary laboratory Accreditation Program (NVLAP) accredited laboratory for analysis of materials using Polarized Light Microscopy (PLM), EPA/600/R-93/116 methodology. This PLM method is standard for Asbestos Bulk testing. This inspection was an initial inspection and sampling. Because of the snow on the roof, more sampling may be need when the entire roof is visible. Background The bowling alley has been partially demolished inside, The ceiling tile and drywall over the lanes has been removed and most of the insulation and ceiling tile still remain on the floor. The insulation in this area was fiberglass bats and the ceiling was exposed up to the plywood decking. There was floor file located at the start of the lanes. This area had 2 different layers of tile, with several colors on the bottom layer. The area at the start of the lanes was the only place floor tile was found. However, there was sheet vinyl flooring in the bathrooms. The front half of the building had offices, rooms, bathrooms and a bar that all had drywall with texture on the walls. On the ceiling in these areas there was spray on texture over the drywall. The Insulations found in the building were all fiberglass. We did sample some white styrofoam looking insulations from the exterior cinder block wall cavities. All of the exterior walls were of cinder block, and the roofing components were of typical wood construction methods. As indicated above, because of snow on the roof, we were not able to inspect the entire roof for mastics or other roofing materials. We were able to inspect and sample the bottom eve of the front ends of the building It appears that there is only wood decking, with metal over that. The complete roof will need to be inspected once the snow has melted, just to make sure. This may require further sampling. Sampling Dave Price, accredited Asbestos inspector, collected a total of 21 original PLM samples of suspect Asbestos Containing Building Materials (ACBM) from the building and trailer houses. These 21 samples were analyzed, at the lab using the PLM/600/R-93/116 methodology and broke down into a total of 43 individual materials that were analyzed separately. All of the original samples were of materials that were identified as possible ACM. in this sampling scheme, sampling locations and number of samples were selected so that they were representive of the homogeneous sampling areas with regard to the material present and It's potential asbestos content. The sampling scheme was designed to be comprehensive and intended to identity ACM that might be disturbed during Demolition/ Renovation activities. The initial testing method used is a Polarized Light Microscopy ( PLM) method. This Is an EPA accepted method for Asbestos testing. ACM ,under current regulation, is defined as material with an asbestos content of Greater than 19/0. Any sample analyzed by "polarized light microscopy" ( PLM) method, as containing "Greater than 1 % Asbestos", will need to be re -analyzed using an EPA 400 point count method with Gravimetric Reduction, or be assumed to be ACM. The EPA 400 point count is a more precise and accurate method of analyzing a sample for asbestos. in some cases, point counting can provide a lower percentage of asbestos Ina sample, to an amount of asbestos under the EPA threshold amount. Point counting a sample will not always reflect a lower percentage of asbestos. The type of materials tested, and the percentage of asbestos found using the PLM method, can affect the point count results. All samples were sent to EMSL Analytical, San Leandro, California. ( see attached accreditation cert for lab) Conclusions The following identifies the sample Numbers, sample materials tested, and location of sample. Out of the 43 individual PLM sample results. 4 Individual sample results indicated the that asbestos was present In the amounts or "Greater than I%". which by EPA rule, are considered to be Asbestos Containiast Materials. Ifany material is found to contain 1% or less asbestos, by EPA role, the sample is considered to be non -asbestos materials and can be disposed of as general construction debris. The following are the 4 samples that tested above EPA regulated amounts: 1. FT -03 -Mastic -1 Q 2% asbestos. This is the black mastic on the bottom of the red floor tile on the lower concrete approach of the lanes. This sample was taken on the south side of the building 2. FT -04 -Mastic -2 Q 2% asbestos. This is the black mastic on the bottom of the orange floor tile on the lower concrete approach of the lanes. The orange layer is the top layer in this ares. This sample was taken on the south side of the building 3. FT -05 -Mastic -2 Q 4% asbestos. This is the black mastic on the bottom of the white floor tile on the lower concrete approach of the lanes. The white tile is the bottom layer of flooring In this are&. This sample was taken on the North side of the building 4. PT -06 -B -Mastic 2 Q 2%a This is the black mastic on the bottom of the Red floor tile on the lower concrete approach of the lanes. The red the is the bottom layer of flooring in this area This sample was taken on the North side of the building '( there were 2 samples of sheet vinyl flooring in the men and women's bathrooms that tested at <1% asbestos but because they are under the EPA threshold amount, removal is not needed before demolition. Ibis material can be disposed of as general construction debris) -All of the black mastic under the floor tile and any floor tile that has black mastic on it is considered to be Asbestos Containing Material ( ACM). These are both under a non asbestos layer of the and glue. Ifthe top layer of the can be separated from the bottom layer, it can be disposed of as non- asbestos waste and can remain on site. -Estimated sq It of the floor tile and mastic is 1850 sq ft of surface area that would need to be removed. The location or the floor tile is at the start of the lanes to the raised floor, and from the North end of the building to the south end of the building. EPA does state that floor tile can remain during demolition as long as they are not made to become friable airborne) using demolition methods. However, most landfills will not accept debris with any asbestos materials in them. Our recommendation is to remove these asbestos materials before demo. Because this is a commercial building, removal of asbestos materials should only be done by trained and certified asbestos workers using approved EPA removal methods. The materials removed are required by EPA to be disposed of at an approved landfill that accepts asbestos. Because this is a commercial building, a 10 day EPA notification for the asbestos removal and also the demolition is required. These notifications can be done by the individual abatement companies or Demolition companies, or a combination of each. See the attached copy of a typical EPA 10 day Notification. Great Basin Services, Inc P.O. Box 238 Blackfoot, Idaho 83221 Office: 208-785-1767 Cell: 208-681-6462 /3-28-2021 RE: Additional inspection of roof, Teton Lanes Bowling, 585 North 2nd East, Rexburg, Idaho To Whom it may concern: Great Basin Services, Inc has re -inspected the exterior of the roof. On the initial inspection the roof was covered with aprox 10 inches of snow. After the re -inspection was completed, there were no new materials found on the roof, only the same materials as previously sampled, on the initial inspection. This should information should be added to the initial report. Dave Price, Owner, Great Basin Senuise M I Sample Results OrderID: 092102347 ( 2 3 H Qg21mg7- c'�'1�IL 2-20-2.1 q:Olia m. Pogo 1 ol,9— pages Page 1 Of 2 Asbestos Chain of Custody 4 .'S� A"�n1Q"L INC. _ EMSLOrder Number (Lab use ony); SAN4L MDROOCA94577 PHONE 610.896.3876 1 9 8 o: 13 Silann"eren Com an -, Great Basin Services, n UeabGOdlaerdrmla WWderubiCaavrwib" a a Aom tAW MalPostal Code: 8 224 Country: Use Street: 190 Seat 400 North CI • Slookfoot 9 Provi co; Idaho Rsoort To Name: Dave Price Telephone 0: Email Address: 9bo1797®hotmoil.com Fax tl: Purchase Order. ProJac) Name: wp Jt S� o -A Please Provide Results: O Fax Emsll aL� U.U. Slolo 3ampoe aken: a CT Samples:0 CommorclaVraxa o O Roal enUa eX Exempt TumeroundTlme AI opuanr+ PleaseC Ba 03 Hour 0 6 Hour 0 24 our 1 1348 HOUr I 0 72 ourASB our O eek 0 2 oo •farTE6fAlrJArM gn6N. Pbuses$W+ssdfo $Nwluk•T$asG sprallhmdapo 6v3lGa WAWSIAL"flrAr. YocmYlasdradlosgn auaaa 1 I Urar fa7amalwifhies Ano PCM . Air O Check if sample$ are from NY TEM-AI04-4.8hrTATpN&um:d TEM. Duet O NIOSH 7400 O AHERA 40 CFR, Part 783 OMlaovao-ASTM D 5765 . O WI OSHA 8hr. TWA 0 NIOSH 7402 O Wipe • ASTM 08480 PLM.Bulk fr000rtlna llmltt O EPA Level 11 OCe al Sonteation PASWJ-8311 XPLM EPA OOOIR-931118(%1%) 13IS010312 SolORadWermIcullia 0 PLM EPA NOB (11%) TEM . But O PLM CARS 438 • A 1016% sensitivity) Paint Cowl 0 TEM EPA NOB O PLM CARD 436 • B (0.1%seD$Wvily) 0400(%0.26%)01000(%0.1%) O NYS NOS 198A(non.fdable-NY) 0TEM CARS 430-8(0.1%sanallivity) Point Count WIGravimmric O Chatfield SOP O TEM CARS 435 - C (0.01% sensitivity) 0400 (10.26%) O 1000 (10.1%) 0 TEM Maas Analy3la,EPAGGO sm. 2.6 O TEM Oust. via Fillrellon Tedidque 0 NYS 199.1 (:ruble In NY) SEM- Wetor; EPA 1002 EM Oual. via Dro Mount•Technl ue 0 NYS 198.6 NOS (non.9iablo•NY) Fibors-10pm OWaste 0Dnnking r13 ONIOSH9002(41%) AllFlberSlras OWaele O Drinking O Chock For Positive Sto - 0109FIV IdentifyHo 0 onous Group M Alr a 0.46 Sam tore Ncmo: Dave Prlcv 8am lata 91 nature• Semple tlSample Sam le Descrl tion o um a e a HA III Bulk Sam le !/ r t /1 n it r l It /IlM}h rSit?✓G A n —Sample h rr n p rl Client 9 (s). ]Total#a19s se nollriquiahod(Cllont): e10:� p' / ra Received [Lob): f��. / Data; 2,+��21 ma: l JrL•IS,�lh c'�'1�IL 2-20-2.1 q:Olia m. Pogo 1 ol,9— pages Page 1 Of 2 OrderID: 092102347 0 023.1 7- . I-gap- Y. Asbestos Chatn of Custody t WSLA YMP4IM200 130 n, EMSLOrder Numberpbuseonyr CHMMM"Jo8m P (800) 2203871 a Add ilanai Pages of Na Chain of Custody are o* neeassinyYmeded for adAbnal semde btfwmstb ft LPM Pega(, ol�pagea , G�� W r....w.,,•..n.r,ap.w.„u>.� G/f4r1'iL 2 0�._Z/ 1rOO4,L, Pacie 2 OF. 2 ` tr n— • IFSAIQWF .L, .y •J r MMA n:.. Pega(, ol�pagea , G�� W r....w.,,•..n.r,ap.w.„u>.� G/f4r1'iL 2 0�._Z/ 1rOO4,L, Pacie 2 OF. 2 ` EMSi_ Analytical, Inc. 464 McCormick $beat San Leandro, CA 94577 TauFoa (510)895.3675!(510)895.3660 hupolwmv.EMSLwrn 1 sanieandrolab@tunsl.com EMSL Order. 092102347 CustomeriD: GBSV62 Customer PO: Project ID:. Attention: Dave Price Phone: (208) 785-1767 Great Basin Services, Inc. Fax: (208) 785AO53 PO Box 238 Received Date:. 021191202112:15 PM Blackfoot,ID 83221 Analysis Date: 021242021 Collected Date Project: BOWLING ALLEY @ 585 NORTH 2ND EAST, REXBURY IDAHO Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R.931116 Method using Polarized Light Microscopy Non,Asb.stos Asbestos Sample Description Appearance %Fibrous %Non -Fibrous •A Typo WOW -01 -Drywall WALL DRYWALL, White 3% Cellulose 80% Gyps= None Detected TEXTURE,TAPE Non -Fibrous 17%Non-fibrous (Other) waun+>awr JOINT 112 WALL Homogeneous EAST END OF WDW-07-Texture WALL DRYWALL, While a0%Ca Carbonate None Detected TEXTURE, TAPE Non -Fibrous 20%Non-fibrous (Other) *u WVn.00rA JOINT 112 WALL Homogeneous WALL DRYWALL, While 3%Glass 80% Gypsum None Detected EAST ENO OF Non -Fibrous 17%Non-fibicus(Other) wzr0z++rmo0 TEXTURE, WALL Homogeneous ALLEY NORTH SIDE, WDW.01•Tape Joint WALL DRYWALL, White 80% Ca Carbonate None Detected TEXTURE,TAPE Non-Flbrous 20% Non-ribrous (Other) a93ralN+-0a.ra JOINT 1/2 WALL Homogeneous EAST END OF ALLEY WDW42-Drywall WALL DRYWALL, White 2% Class 60% Gypsum None Detected TAPE JOINT, Non -Fibrous 18% NonAbrous(Other) asnan+xcooz TEXTURE, WALL BY Homogeneous SOUTH DOOR WDW-02-Taxlure WALL DRYWALL, White 80% Ca Carbonate NoneOetected TAPEJOINT, Non -Fibrous 20%Non-fibrous(Other) Mflu n.cly: TEXTURE, WALL BY Homogeneous WDW-02-Tape Joint WALL DRYWALL, Layer Not Present 80%CO Carbonate, TAPE JOINT, osz+ 11s 0x28 TEXTURE. WALL BY 20%Non-ibrous(Other) SOUTH DOOR TEXTURE, WALL WOW -03 -Drywall WALL DRYWALL, While 3%Glass 80% Gypsum None Detected TAPE JOINT, Non -Fibrous 17%Non-fibicus(Other) wzr0z++rmo0 TEXTURE, WALL Homogeneous STMT OF LA14ES NORTH SIDE, iNDW-03Toxtur0 WALL DRYWALL, White 80%CO Carbonate, None Detected TAPE JOINT, Non -Fibrous 20%Non-ibrous(Other) ulzrsla+z.oa-.,t TEXTURE, WALL Homogeneous NORTH SIDE, STMT OF LA14ES WDW-03-Tape Joint WALL DRYWALL, While 70% Ce Carbonate None Detected TAPE JOINT, Non -Fibrous 3011. Non•fibrous(OIhoo osnovnmzo TEXTURE, WALL Homogeneous NORTH SIDE, START OF LANES WOW -04 -Drywall WALL DRYWALL, White 2%01055 80% Gypsum Non. Detected TAPE JOINT, Non -Fibrous 18%Non-fibrous (Other) 0110"+r4m+ TEXTURE, WALL Homogeneous NORTH EAST ROOM WDW-04-Texture WALL DRYWALL White 80% Ca Carbonate None Detected TAPE JOINT, Non -Fibrous 20%Non-0broas(Other) 0210z1+1a0oU TEXTURE, WALL Homogeneous NORTH EAST ROOM ituairepon(rom:.02/24=i 1221:11 AS8 PLM 0008_0001.1.78 Printed: 2/24/2021.12:21 PM Page 1 o14 EMSL Analytical, Inc. EMSL.Order: 092102347 Customer ID: GBSV62 404 McCormick Slroet Son Leandro, CA 94577 TegFax: (510) 895-3675 r (510) 895.3680 Customer PO: hllpliw .EMSLmmisanleandrolab@emsl.com Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized Light Microscopy SCT -02 SPRAY TEXTURE While Non -Asbestos Asbestos Sample Description Appearance %Fibrous %Non -Fibrous •%Typo WDW-04-Tape iolnt WALL DRYWALL, While 80% Ca Carbonate None Detected 70% Ca Carbonate None Detected TAPE JOINL Non -Fibrous 20°%Non-0brous(Other) 30% Non-fibrous (Other) 022103347swr5 TEXTURE, WALL Homogeneous 70% Cellulose 4:Periito None Detected Non -Fibrous NORTH EAST ROOM Fibrous 10% Min. Wool 16% NonAbrous(Olhet) SCT -01 SPRAY TEXTURE While 70% Ca Carbonate None Deledad ONCEILINGABOVE Non -Fibrous 30%Non-fibrous (Other) 4921ea47-oaxs FRONT ENTRY Homogeneous SCT -02 SPRAY TEXTURE While 70% Cc Carbonate Nona Detected 5%Pwiilo None Detected ON CEILING N.E. Non•Fibrous 30%Non-fibrous (Other) M1073Qax6 ROOM Homogeneous FLOORS, WEST SCT -03 SPRAY TEXTURE While 70% Ca Carbonate None Detected END OF BUILDING ON CEILING IN BAR Non -Fibrous 30% Non-fibrous (Other) 021027urmo7 ROOM, S.E. Homogeneous 70% Cellulose CT -01 CEILING TILE Gray 60%Cetluloso 5%Pwiilo None Detected Fibrous FOUND ON Fibrous 10%Min.Wosl 25Y°Non-fibrous (Other) =14ex174,00e FLOORS, WEST Homogeneous START OF LANES END OF BUILDING BOTTOM LAYER Clear 20% Ca Carbonate None Detected CT -02 CEILING TILE Grayfron 70% Cellulose 4:Periito None Detected Non -Fibrous FOUND IN SMALL Fibrous 10% Min. Wool 16% NonAbrous(Olhet) 02102.H7A009 ROOMBYFRONT Homogeneous FT -01 -Flaw Tite TOP LAYER FLOOR Brawn 25% Cellulose 50%Mabix None Detected TILE 12'X12SOUTH Fibrous 5% Glass 20%Non-fibrous (OOmQ 021421n0010 SIDE,STARTOF Homogeneous Homogeneous 10%Non-fibrous (Other) LANES START OF LANES flus iso mmposgo nsWl a(borh Hnyl arWWcvrnplayor BOTTOM LAYER Clear 20% Ca Carbonate None Detected FT-01-Masgc TOP LAYER FLOOR Beige 4% Cellulose 10% C2 Cafbonile None Detected TILE 12'X12'SOUTH Non -Fibrous Homogeneous 76%Matrix "V,xW7tomA SIDE, START OF Homogeneous 1179 Non-fibrous (Other) FT -02 -Floor Tile BOTTOM LAYER White 30% Ca Cafbonaw None Detected WHITE FLOOR TILE Non -Fibrous 60% Matrix 49210s;R74tlu SOUTH SIDE, Homogeneous 10%Non-fibrous (Other) START OF LANES FT -02 -Mastic; 1 BOTTOM LAYER Clear 20% Ca Carbonate None Detected - WHITE FLOOR TILE Non -Fibrous 60% Matrix "1=47-011A SOUTH SIDE, Homogeneous 20%Non-0brous (Other) FT-02-Mastic2 BOTTOM LAYER You" BS%Matrix None Detected WHITE FLOOR TILE Non -Fibrous 15% Non-fibrous (Other) se'4230f 110 SOUTH SIDE, Homogeneous 20%Non-fibrous (Omar) START OF LANES FT -02 -Compound BOTTOM LAYER White 20% on Carbonate N0n0 Detact0d - WHITE FLOOR TILE Non -Fibrous 60%Gypsum mxraz3a7.00nc SOUTH SIDE, '^ Homogeneous 20%Non-fibrous (Other) FT -03 -Floor Tile BOTTOM LAYER Red 30% Ca Carbonate Nano Detected REDFLOORTILE Non -Fibrous 50% Matrix QW.02w7.e012 SOUTH SIDE. Homogeneous 20%Non-fibrous (Omar) START OF LANES FT-03-Masgc 1 BOTTOM LAYER Tawalack 10% Ca Carbonate 2% Chrysolile REDFLOORTILE Non-Fibraus 70% matrix o9xmx2rr.opr2A SOUTH SIDE, -^ Homogeneous 18%Non-fibrous (Olher) Initiel ropott from: 021241202112:21:11 RSB PLIB 0008 0001. 1.78 Printed: 2/24202112:21 PM Page 2 of EMSL. Analytical, Inc. 404 McCormick Street San Leandro, CA 94577 TeOFax:(510)895.36751(510)895-3680 hltD:IIWWW.EMSL.ccm I sanleandralab@omsl.com EMSLOrder, 092102347 Customer ID: GBSV62 Customer PO: Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized Light Microscopy FT-04-MwiJc2 TOP LAYER FLOOR Black Nan•Ashoslos sbastos 6ampla Ooseription Appearance %Fibrous %NonFlbrvus %Typo FT-Mlvlas0e2 BOTTOM LAYER While 30% Ca Carbonate None Detected nusux&iC -a Os Wncevl urfr sapvaDM v(faGlvdmalOdW RED FLOOR TILE Non -Fibrous 60%Matrix 15% Cc Carbonate 4s71ma74Wa SOUTH SIDE, Homogoncoos 10%Non-fibmus(Other) Red FLOORTILE,WHITE START OF LANES 60% Matrix wrm$+7401+ IrX127,NORTH FT-04-Floot Tile TOP LAYER FLOOR SrmrVOmngo 26% Cellulose 10% Cc Carbonate Nona Detected SIDE, START OF TILE, ORANGE Fibrous 50% Matrix Rp$WI IIIfp+daSa SNaa eman(If a11n50paNbro offacllOdmalodal 07rlaaNr-000 12-X12-, NORTH Homogeneous 15% Non-fibrous (Other) SIDE, START OF LANES Thivisaseepadla rasvlr f hath,kW andbaclJng/ayer FT-04-MasBe1 TOP LAYER FLOOR 0rowm 80%Mabix - None Detected TILE, ORANGE Non-Flbrous 20%NoMbrous (Other) m71ma+7.4a+3A 12-X12', NORTH Homogeneous SIDE, START OF FT-04-MwiJc2 TOP LAYER FLOOR Black 80% Matrix 2%Chryso0e 17%Nan-fibmus (Other) TILE, ORANGE Non -Fibrous 18%Non-fibrous(Other) xis?ro7N7400e 12-X12', NORTH Homogeneous LANES: SIDE, START OF nusux&iC -a Os Wncevl urfr sapvaDM v(faGlvdmalOdW LANES SV-01-Shaol Vinyl SHEET VINYL- whilo Bolge 10% Glass 15% Cc Carbonate FT -05 -Floor Tito BOTTOM LAYER While 30% Cc Carbonate None Detected Red FLOORTILE,WHITE Nan-Flbrous 60% Matrix wrm$+7401+ IrX127,NORTH Homogeneous 10%Non-11brous(Other) FT-05•Masdc lBOTTOM LAYER White 20% Ca Carbonate None Detected FLOORTILE,WHITE Non-fibrous 70%Mal t plar0n+>mex 12''X72`, NORTH Homogeneous 10%Non-fibrous(Other) SIDE, START OF FT-05-Mastic2 BOTTOM LAYER Tun/Black 6091 Co Carbonate 4%Chrysclikc 17%Nan-fibmus (Other) FLOORTILE,WHITE Non -Fibrous 16%Non-8bmus(Other) o,:Im.N7mr+s 12-X12-, NORTH Homogeneous LANES: SIDE, START OF nusux&iC -a Os Wncevl urfr sapvaDM v(faGlvdmalOdW LANES SV-01-Shaol Vinyl SHEET VINYL- whilo Bolge 10% Glass 15% Cc Carbonate Result lndedvra sme0 amount olinsepamblo aaashodmalodal MENS BATHROOM Fibrous FT-06•B•Floor Tila BOTTOM LAYER Red 30% Cal Carbonate None Detected FLOOR TILE, REO Non -Fibrous 60% Matrix tnxma+?-w15 12-X12-, NORTH Homogeneous 10% Non-fibrous (Other) 80% Matrix SIDE, START OF 02107147L 10 Homogeneous 16% Non-fibrous (Other) FT46-B4as8cI BOTTOM LAYER While 20% Co Carbonate None Detected FLOOR TILE, RED Non-Flbrous 70% Matrix 00+072+1Salsx 12'X12', NORTH Homogeneous 10% Non-fibrous (Other) SIDE, START OF FT-06-B-Maslic2 BOTTOM LAYER Black 80% Matrix 3%Chrysol8e. FLOOR TILE, RED Non -Fibrous 17%Nan-fibmus (Other) M21021+7ae160 12"X12", NORTH Homogeneous SIDE, START OF LANES: nusux&iC -a Os Wncevl urfr sapvaDM v(faGlvdmalOdW SV-01-Shaol Vinyl SHEET VINYL- whilo Bolge 10% Glass 15% Cc Carbonate None Detected MENS BATHROOM Fibrous 60% Matrix waolensvls Homogeneous 15% Non-fibrous (Other) IN, is aceeicedf rosuevlbanvw and bj kM1yleyvr SV -01 -Mastic SHEET VINYL- BrawruBlack 5% Ca Carbonate <1%Cnrysoluo MENS BATHROOM Non -Fibrous 80% Matrix 02107147L 10 Homogeneous 16% Non-fibrous (Other) Rp$WI IIIfp+daSa SNaa eman(If a11n50paNbro offacllOdmalodal Initial rvDon from: 02242021 1221:71 ASe_PLNr 0008 0001. 1J6Primed: 224120211221 PM Page 3 oro EMSL Analytical, Inc. EMSL Order. 092102347 464 McCormick Street Son Loandro, CA 84577 Customer ID: GB$V62 Tol(Fa t: (510) 695-2676 1(510) 895.3680 Customer Po: hIP1lwww.EMSL.tom I sonleandrolab@amsi.cam Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized Light Microscopy INS -02 W21027474011 INSULATION FROM EXTERIOR BLOCK WALL CAVITY, SOUTH White Non -Fibrous Homogeneous Non.Aabeslos Asbestos Sample Doccrlp8on Appearance %Fibrous %Non-Flbrous %Type SV -02 -Shoot Vinyl SHEETVINYLr- While 10% Glass 15% Co Carbonate None Detected 04102ar2a02o LADIES BATHROOM Fibrous 60% Matrix 0221=170017 CORNER, LOWER Homogeneous 15%Nan-ribrous (Other) Tlu_ is a composira msw ofti,h v9syr and woofing Is,, ROOF SV-02-Maslic SHEETVINYL. BrownrBlads 5% Ca Carbonate e1%ChrysoWe Nona Detected LADIES BATHROOM Non -Fibrous 80% Matrix 20% Matrix 0210srmnA MIM17e021 Homogeneous 15%NonAbrous (Other) 15%Nan-ribrous(Other) Rowilmoforet a smug amount at iftwpomtda almcaadoeladW CORNER,UPPER INS -01 INSULATION FROM While 100%Non-Gbrous(Other) None Detected EXTERIOR BLOCK Non -Fibrous a�am2aowm WALL CAVITY, Homogeneous INS -02 W21027474011 INSULATION FROM EXTERIOR BLOCK WALL CAVITY, SOUTH White Non -Fibrous Homogeneous 100% Non-fibrous(Other) None Detected FP -01 FELTPAPER BrowrdSIaCk 60%Collulose 26% Matrix None Detected UNDER METAL Fibrous 15%Nan-ribrous(Other) 04102ar2a02o ROOFINGN.E. Homogeneous CORNER, LOWER ROOF FP -02 FELT PAPER BmwNBlack 6D%Ccliuloso 5%, Ca Carbonate Nona Detected UNDER METAL Fibrous 20% Matrix MIM17e021 ROOFING S.E. Homogeneous 15%Nan-ribrous(Other) CORNER,UPPER FT -06-T TOP LAYER Brown/Orange 25%ColAdose 10% GO Carbonate None Detected ORANGE. NORTH Fibrous 5% Synthetic 50% Matrix ee21UN74o22 SIDE OF LANES Homogeneous 10%Non-fibrous (Omer) TM'sisa.posilo mswwaalbvinyl urmbadhh9 bYor Analysl(s) Gavin Leo (23) KoWn Lares (20) Cadge Yu, Laboratory Manager Or Other Approved Signatory ELISL malnlaina 6abisly "so to at of mody.e. ImerµcWlion and use of lest nnogs are Na respaae'd'Ry al do agenl. Ties ween MU105 only to mo samples madded above, and may not be mpmducae.eauµ la fulLwithout writma approval by EMSL EMSL boars ro raspon.ibshy for eampla aage an..uAksar.nalytcal meshed ludmadna. no mpennods the smoplas as rawwd. Results era generated from um role sampling dam (a,npgng volumes and areas, loonlans; ote.)pmvided by the disni on Iho Chain of Custody. Samples are wterin qua6tymmrol criteria and mel molhad s150dlii0ons volass mherwice noWd. Mu, above anetysos worn penormed in general econ0anee wM Appendix E to Subpart E of 40 CFR (µeviouNy EPA 5000M82-020'Inumm Motrad) but augmonsad with pmandufes vualnut N the 1003('Mon vanlan at ma-Qlh f TNs mean moat not be used by the dlam to claim product connalian, approve, or moonstone by NVLAP. NIST or any pgon.T of dm (moral gmommem. NM44allo,garvrolly bound matmials Pasunt a Problem move mW aerofom EMSL recommends gmvonouic mdueten prior to MaWs. Unless roquaslml by sob ditm WlWing mmcd3s manulaclurod with multiple myam (La. linoleum, vro board, eta.) aro mponod as a single sample. E,11manon of uncertainly Is available an request. Samples andrWO by EMSL Anolytiwl, Oro Son LuarWra, CA NVLAP Lab Code 1010460, WA 0064 I NIOal report bome 0212A/2021 12:21:11 AS0 PLM 0008 0001.1.79 Printed: M412021 1221 PM Page 4 of 4 Certifications � �� .�/� � ' \\� d� \dam � d�� \ r O La O m� Y ♦® S2 •® W .a s in pt G 0