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Home My WebLink AboutX2018-3152 - MiscNO X2098-3052 1 NO Sa lboa BW W ACKSO ENVIRONMENT COMPREHENSIVE ASBESTOS SURVEY REPORT FOR 1820 W Balboa Blvd Newport Beach, CA Prepared for Mark Mitchell DATE 10/1/2018 Report# 1810-011-733502 CONDUCTED BY Jackson Environmental 120 Tustin Ave C-1121 Newport Beach, CA 92663 949-230-9779 0 0�� ora TABLE OF CONTENTS INTRODUCTION SECTION I ASBESTOS SURVEY SUMMARY Executive Summary Facility Description Survey Findings SECTION II BUILDING INSPECTION FOR ASBESTOS Bulk Sampling Bulk Sample Analysis Quality Assurance Limitation of Sampling Suspect Asbestos Containing Materials SECTION III LABORATORY REPORTS Asbestos Laboratory Reports o INTRODUCTION Jackson Environmental was retained by; Mark Mitchell, to conduct a COMPREHENSIVE Asbestos Survey for the property located at 1820 W Balboa Blvd, on September 25th 2018. The purpose of this survey was to identify Asbestos Containing Material (ACBM) in all areas of the building. Work consisted of collecting bulk samples of all materials suspect of containing asbestos. THE REPORT The survey report is divided into three major sections, which provide identification of all suspected ACBM. Section I presents a summary of the Asbestos Survey and a general description of the area inspected. Survey findings are also provided in this section. Section II describes the methodology used to perform the survey and includes Jackson Environmental, and our Analytical quality control procedures. Section III of this report summarizes the locations and materials which were identified as containing asbestos. Results of the bulk samples are included in this section. SECTION I ASBESTOS SURVEY SUMMARY EXECUTIVE SUMMARY Jackson Environmental was retained by, Mark Mitchell to conduct a COMPREHENSIVE Asbestos Survey for the property located, at 1820 W Balboa Blvd. The sampling was conducted by Michael Jackson an Osha certified asbestos consultant # 04-3635 FACILITY DESCRIPTION The subject property is a single family two story, wood frame building, set on a foundation with rear unit and garage. While on-site the Certified Personnel noted the condition of the materials. This is noted in the survey findings below. SURVEY FINDINGS The following building materials were identified and assumed as containing asbestos: Building Material Location Friable/NonFriable/ act. Condition SQ' Aooroximate Exterior Plaster <1% Throughout Non Friable G 3000 Transite Pie Roof Vent Non Friable G 11 Roof Mastic Roof penetrations Non Friable G 15 `*Please note square footages are approximate estimates only and should not be used as a basis for bidding purposes" RECOMMENDATIONS: All Significantly Damaged and Damaged areas should be repaired or removed as soon as possible to avoid any potential hazards that may result from further disturbance of ACM. °oma ons �o uun coc � c SECTION II COMPREHENSIVE ASBESTOS INSPECTION BULK SAMPLING Bulk samples of areas containing suspect ACBM were collected. A homogeneous area is defined as surfacing material, thermal insulation, or miscellaneous material that is uniform in color, texture, or date of application. Samples were collected using wet methods; where they are deemed appropriate, to minimize fiber release. Prior to sampling, the location is misted with water from a spray bottle. A sample of the suspect material is then collected using a chisel, core borer, knife, or other appropriate tool. After the sample was collected, the bulk material was placed in a sample bag which was sealed to prevent fiber release or contamination by outside sources. Samples are documented by entering the sample data on a bulk log, including a description of the material, a unique sample number is assigned to each sample and the sample bag was labeled with that number. During the survey, the technician also notes the condition of the material being sampled, its location, condition, and friability. Note: The amended National Emission Standard for Hazardous Air Pollutants (NESHAP), November 20, 1990, included a requirement that when the asbestos content of a bulk sample material is determined using procedures outlined in the Interim Method and the asbestos content is estimated to be less than 10% by method other than Point Counting, the parties legally responsible for a building (owner/operator) may elect to assume the amount to be greater than 1 % and treat the material as a regulated asbestos containing material. If the owner or operator does not want to assume the material is asbestos containing, verification of the amount of asbestos by the Point Counting method may be required. The purpose of this procedure is to minimize false negative analysis, and false positive. Point Counting was included in NESHAP in response to an HEPA study that found unacceptable amounts of false positive and false negative analyses by methods outlined in the Interim Method. Unless otherwise directed, American Analytical will assume that PLM analysis is acceptable for this survey. [a] W& I --i l y [lf_I l [•] . [61 A -1I1 K1111:111 1491 L` Lei J, /_11 d 4 N F_1 ci "S" Significantly Damaged Material with one or more of the following characteristics: The surface is crumbling or blistered over at least one tenth of the surface if the damage is evenly distributed :( one quarter or more if the damage is localized). One tenth (one quarter or more, if localized) of material hanging from the surface, deteriorated, or showing adhesive failure. Water stains, gouges, or mars over at least one tenth of the surface if the damaged is evenly distributed (one quarter or more if the damage is localized). Accumulation of powder, dust, or debris similar in appearance to the suspect material on surfaces beneath the material can be used as confirmatory evidence. We recommend immediate removal of Significantly Damaged material and clean up of the area by a Licensed Asbestos Abatement Contractor. "D" Damaged Material with the following characteristics: The surface is crumbling, blistered, water -stained, gouged, marred or otherwise abraded over less than one tenth of the surface if the damage is evenly distributed (less than one quarter if the damage is localized). Accumulation of powder, dust, or debris similar in appearance to the suspect material on surfaces beneath the material can be used as confirmatory evidence. We recommended removal of damaged material and clean up of the area by a Licensed Asbestos Abatement Contractor. "G" GOOD Material with no visible damage or deterioration, or showing only very damage or deterioration. We recommended materials identified as in good condition be placed on an Operations and Maintenance Program (O & M). BULK SAMPLE ANALYSIS All bulk samples were analyzed by Patriot Laboratory an NVLAP accredited laboratory. The laboratory accreditations are as follows: NVLAP #200642-0 National Voluntary Laboratory Accreditation Program (Federal) Approximately 10% of the bulk samples were split for quality control purpose. All bulk samples were analyzed by Polarized Light Microscopy (PLM) with dispersion staining in accordance with the EPA Method #600/R-93/116. 40 CFR 783.87. The reliable limit of detection for PLM is 1.0%. Where "None Detected" or ND appears in the report, it should be interpreted as meaning that no asbestos was actually observed in the sample. Samples containing, 'Trace" level of asbestos indicates a possible contamination and is considered ACBM. NOTE: If a sample contains greater than 1.0% asbestos, it is considered to be a regulated material by Federal Government Standards. Under the California State Education Code, materials containing greater than 0.1 % in asbestos content are considered regulated. QUALITY ASSURANCE Statement of Quality Assurance At Jackson Environmental Quality Assurance is priceless! Jackson Environmental is committed to providing analytical services and data to its clients that are of the highest quality and legally defensible. Quality Assurance (QA) procedures were employed to ensure reliable results for analysis of bulk samples as follows: The laboratory is currently participating in the NVLAP Quality Assurance Program. Quality control is processed on at least 10% of all bulk samples on a daily basis. Laboratory results of samples submitted to the laboratory were within 3% of the original side by side sample. LIMITATION OF SAMPLING OF SUSPECT ASBESTOS CONTAINING MATERIAL Reasonable effort is made by Jackson Environmental 's staff to locate and sample suspect materials. However, for any facility the existence of unique or concealed asbestos containing material and debris is a possibility. In addition, sampling and laboratory analysis constraints typically hinder the investigation. American Analytical does not warrant, guarantee or profess to have the ability to locate or identify all asbestos containing materials in any given facility. This report is intended to be used in planning for construction or demolition. This report is not intended to be a construction document. Jackson Environmental is not, and has no responsibility as, a generator, operator, treater, storer, transporter or disposer of hazardous materials or waste found or identified as a result of Jackson Environmental's work. STATE REQUIREMENTS In accordance with State of California Regulation, all surveys are conducted by personnel holding a minimum of a Site Surveillance Technician certificate. This certificate is awarded to individuals who have fulfilled specific educational and experience requirements, as well as having completed extensive training in asbestos specific courses. Additionally, the State also mandates these individuals pass a rigorous examination. This examination is prepared, proctored, and graded by State officials. The Certified Asbestos Consultant must fulfill all the education and experience requirements as the Site Surveillance Technician, but must have additional and more extensive asbestos related training. Candidates for Certified Asbestos Consultant must also pass a more rigorous examination before being approved by the State of California. In compliance with State of California Requirements surveys and reports prepared by a Certified Site Surveillance Technician are reviewed, approved and signed by a Certified Asbestos Consultant. Certified Asbestos Consultant Report# 1809-011-733502 Michael Jackson Project Manager CAC # 04-3635 949-230-9779 o C("o CO 4 . CG4 L` SECTION 111 BULK SAMPLE ANALYSIS Q u Out Vf C4 Certificate of Analysis PLM Asbestos Identification Jackson Environmental 7545 Irvine Center Dr Suite 200 Irvine, CA 92618 Date Collected: Date Received: 9/28/2018 Date Analyzed: 10/1/2018 Date Reported: 10/1/2018 lel 714-899.89114 free • 888•T43.4998 fax • 714.899.1188 PairlotLabsom I041 S. Pfaceatia Avenue, Fullerton, to 97831 Report Number: Project Number: Project Name: Project Location: Collected By: Claim Number: PO Number: Number of Samples: 733502 F Envi 1820 W Balboa Blvd 1820 W Balboa Blvd Newport Beach CA 13 Lab/Client 1D/Layer Location Material Description Color Composition (%) 733502-001 Hall Acoustic White 85% Carbonate 1 10% Vermiculite 5% Paint Total Asbestos None Detected 733502-002 Bedroom Acoustic White 85% Carbonate 2 10% Vermiculite 5% Paint Total Asbestos None Detected 733502-003 R Bed Acoustic White 85% Carbonate 3 10% Vermiculite 5% Paint Total Asbestos None Detected 733502-004 Hall Closet NA Grey 75% Minerals 4 25% Carbonate Total Asbestos None Detected 733502-005 Rear Bedroom NA Blue 75% Minerals 5 20% Carbonate 5% Paint Total Asbestos None Detected 733502-006 Rear Unit Bed Int Plaster White 75% Minerals 6 20% Carbonate v..5% Paint ° oo° Total Asbestos None Detected Page 1 of 3 °oma coo o v coo oo�� coo Certificate of Analysis PLM Asbestos Identification Jackson Environmental 7545 Irvine Center Dr Suite 200 Irvine, CA 92618 Report Number: Project Number: Project Name: Project Location: tel - TI4-899-8900 free - OU 143, M98 fax - 714.&1l188 Pabiotl ab mm 1041 S. Placentia Avenue, fulketten, (A 92831 733502 1820 W Balboa Blvd 1820 W Balboa Blvd Newport Beach CA Date Collected: Collected By: Date Received: 9/28/2018 Claim Number: Date Analyzed: 10/1/2018 PO Number: Date Reported: 10/1/2018 Number of Samples: 13 Lab/Client ED/Layer Location Material Description Color Composition (%) 733502-007 Garage Int Plaster Blue 75% Minerals 7 20% Carbonate 5% Paint Total Asbestos None Detected 733502-008 Side Ext Plaster White 75% Minerals 8 20% Carbonate 5% Paint Chrysotile <1 % Total Asbestos <1% 733502-009 Rear 9 Chrysotile <1 % Total Asbestos <1% 733502-010 Garage 10 Total Asbestos None Detected Ext Plaster White 75% Minerals 20% Carbonate 5% Paint Ext Plaster White 75% Minerals 20% Carbonate 5% Paint 733502-011 Roof Roofing Black 65% Tar 11 15% Glass Fibers 20% Minerals Total Asbestos None Detected < E Page 2 of 3 Certificate of Analysis PLM Asbestos Identification Jackson Environmental 7545 Irvine Center Dr Suite 200 Irvine, CA 92618 Report Number: Project Number: Project Name: Project Location: Date Collected: Collected By: Date Received: 9/28/2018 Claim Number: Date Analyzed: 10/1/2018 PG Number: Date Reported: 10/1/2018 Number of Samples: tel I 114-899.8900 free 688.743.0998 fax 714.899-1188 painatlabsom 1041 S. Placentia Prenue, Whiten. (A 92831 733502 1820 W Balboa Blvd 1820 W Balboa Blvd Newport Beach CA 13 Lab/Client ID/Layer Location Material Description Color Composition M 733502-012 Roof Roofing Black 85% Cellulose 12 15% Tar Total Asbestos None Detected 733502-013 Roof Roofing Black 65% Tar 13 15% Glass Fibers 20% Minerals Total Asbestos None Detected Lyn Terry - Analyst Ian Reyes - Approved By Bulk sample(s) submitted was (were) analyzed in accordance with the procedure outlined in the US Federal Register 40 CFR 763, Subpart F, Appendix A; EPA -60018-93/116 (Method for Determination of Asbestos in Building Materials), and EPA -600/M4-82-020 (US EPA Interim Method for the Determination of Asbestos in Bulk Insulation Samples).Samples were analyzed using Calibrated Visual Estimations (CVES); therefore, results may not be reliable for samples of low asbestos concentration levels. Samples of wall systems containing discrete and separable layers are analyzed separately and reported as composite unless specifically requested by the customer to report analytical results for individual layers. This report applies only to the items tested. Results are representative of the samples submitted and may not represent the entire material from which the samples were collected. "None Detected" means that no asbestos was observed in the sample. "<I%" (less than one percent) means that asbestos was observed in the sample but the concentration is below the quantifiable level of 1%. This report was issued by a NIST/NVLAP (Lab Code 200358-0) and CADOHS- ELAP (Cert. No. 2540) accredited laboratory and may not be reproduced, except in full without the expressed written consent of Patriot Environmental Laboratory Services, Inc. This report may not be used to claim product certification, approval or endorsement by NIST, NVLAP, ELAP or any government agency. Page 3 of 3 0 oro ucc c oco v - e c oe n c °u Biu a u � c cu � v Page 3 of 3 Lab Use Only '\ Report Number: 3 OZ IPI714,899.8900 tree - 888.743-0999 fax 714-899-7098 1mvi patrioltab.tom 1041 S. Plaunlia Avenue, Fullerton, CA. 92831 CHAIN OF CUSTODY Environmental LaboratoryServices, lnc:,= ORONO Client: Jackson Environmental Project No.: Contact Person: Michael Jackson Project Name: It, 131il pl- 120 Tustin Ave, C-1121, Project Location:�52P/ 4.l 4i`iaa vuj Newport Beach, CA 92663 Contact Phone: 949-230-9778 Sample(s)Collected B Contact Fax: Authorized b : Claim M PO M How d0 you want your report? (Circle) Mall Fax Web E-mail: lecrepartsagmail.com Special Instructions: Test to first positive Analysis Requested. Turnaround Time (business hoursidays) RUSH (4 hours) ❑ I RUSH (8 hours) ❑ 1 24 Hr ❑ L AIWHrZ I: 7'Q Hr ❑ I Other(specify)❑ Nates: 4HR TA revisable umII avm. viable i lsv /es reuine 5.7 dearumemiLd_ lmum.:aaatedal eulturec require minim. 3ehr TAT. STLGCAL-WETendTCLPminlmum TAT are Mrs. Asbestos PCM (fiber count) NIOSH 7400A ❑ PLM: (bulk asbestos)-- EPA 13001R-93/196 Rn Point Count 400 CARB 435 D Point Count 1000 O - Gravimetric Reduction(GravimablaiReduction Requires Minimum lohr TAT)O MicrobiolooFunalv Non -Viable Air Spare Trap, SOP IV.4.1m/2m ;: ❑ ",Viable (Colony ID.& Erlyrneration) Air ❑ Swab/Bulk❑ Non -Viable Surface Tape Lift/Sweb/Bulk, SOP IV.4 3m%4m ❑ Bacteria (Samples must be received by the laboratorywahin24hmolcollectlonarmaults11 May be invalid) - Total Coliform and E. coli - Surfaces, Swabs,. and Bulk Sollds-Liquids (non -potable, nomwestewater) -Presence -GAbsence ❑ Chemistry - Lead by Flame AA - EPA 305oB17420mod, NIOSH 7082mod: Paint ❑ Air ❑ Dust Wipe ❑., .water (non,pptable),❑ Solls/Solids ❑ Lead Waste Profile (by Flame AA) 1: TTLC Total Threshold by EPA 3050B mod ❑ -2 STLC/CAL WET Title 22 CCR Chl1 Article 5 App•2 ❑ 3 TCLP EPAJ3t1 El Please provide at approx. 200 grams (Opprox. !/ M.) of sample for complete. profile. Check here to perform all teat necessary for disposal ❑ Rotometer Calibration ❑ pH testing (sails, misc.•solids, &liquids) EPA 9045 E]Client Sample Sample Type Data Sampled Location Sampled Description of Sample (Material rype,_dimensions, elc) sten 71me stop:. Tim* i Avg. (LPM) Total Mln. Tolet vol (Flowx Ib Tat. Min) t Relinquished B` : (Print) .Michael Jackson Sign: Date: Time: Received B (print)Si-gn, Date: ime: i Relinquished B (Print) Sign: Date:. f Time: Received By: (Print) Sign: DaL;: T16-te: Methodof Shipment Preservation During shipment:= Cgndlflon of Samples: Acceptable: YES I NO Commehts: " - ••—... �..... . �• a �•.,•.,p,c ,,,•�•, ,a u uvya iu, su m sanipiea, I uay-, iub 4'igesrb, anm nnniymare for ieaq in air aneranaiyricai resurLs are reported. Unless customer provides written Instructions to extend -holdlRg4�r(�.,`samples vrlll h€ dlspos�,d o4 in accordance with local, state and federal laws. Lis c c c o Page 1 of �`a c- SIO ` a v8182014 L-Drive/Patrlot CoC c ° � c ¢. c i,� ncc c. � on nc ooc A A tel -714-699-8900 free 88043.0998 +.•,:,:;�n Lab Use Only ��7��jJ lax -714-899.1098 wrvw. gn Report Number: pafriottab.rom PATRV1 - , , �^ 10415. Plumilla Avenue, Fullerton, rA 92631 environmental Laboratory Services, Inc. Client Sample ID Sample Type Date Sampled Location Sampled Description of Sample (Material type, dimensions, etc) Start Tim. atop Time Avg. (LPM) Total Min. TORI Vol T ll Min ) p/ v� Z A� I C G a `� Relinquished By: (Print) Michael Jackson Sign: Date: Time: Received B (Print) Sign: Date: Time: Relinquished By: (Print) Sign: Date: Time: Received By: (Print) Sign: Date: Time: note: vatnors noiomg time rot an samples suomnteo is su aays Tor WHO sample$, r Odra TOT OsJe$t., Hr u -e IrIICU@le lYI.ICtlY I1PCl1 OLLG� GUAIytWC� ,Od4un cre reported. Unless customer provides written Instructions 4o extend hoiding4me, sanBplae; rfill be tls0gse of n accordance withlecal, state and federal laws. r T � cuc coo Page of v.6.16.2014 zz L-Drive/Patriot COG o � o c cc 0 0 v v uco uc o� o0o v c