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COMPREHENSIVE ASBESTOS
SURVEY REPORT
FOR
1901 Chubasco
Newport Bach, CA
Prepared for
Spinnaker
DATE
9/08/2018
Report # 1809-084-729708
CONDUCTED BY
Jackson Environmental
120 Tustin Ave C-1121
Newport Beach, CA 92663
949-230-9779
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
INTRODUCTION
Jackson Environmental was retained by; Spinnaker, to conduct a COMPREHENSIVE
Asbestos Survey for the property located 1901 Chubasco, Newport Beach,CA , on
September 1 st 201 B. 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, Spinnaker, to conduct a COMPREHENSIVE
Asbestos Survey for the property located, at 1901 Chubasco, Newport Beach. The
sampling was conducted by Michael Jackson an Osha certified asbestos consultant #
04-3635
FACILITY DESCRIPTION
The subject property is a single story, wood frame building, set on a foundation with.
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'Approximate
Roof Mastic
Roof pentrations
Non Friable
G
15
Transits Pipe
Roof Vent
Non Friable
G
10
Exterior Plaster <1%
Stucco
Non Friable
G
3000
"Please note square footages are approximate estimates only and should not be used
as a basis for bidding purposes"
=490 ti]�VAWOI57GllIN]0& 1
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.
SECTION II
COMPREHENSIVE ASBESTOS INSPECTION
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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.
CLASSIFICATION OF BULK BUILDING MATERIALS
"S" Significantly Damaoed 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
Michael Jackson
Project Manager
CAC # 04-3635
949-230-9779
Report # 1809-084-729708
SECTION III
BULK SAMPLE ANALYSIS
Certificate of Analysis
PLM Asbestos Identification
Pagel of 3
tel • 114-599-8900
free -&4&743.0998
fax -114-899-1188
M
Palriod-ali.cain
10415. Placentia hveoue,heiedan,(A92831
Environmental Laboratory Service
Jackson Environmental
Report Number: 729708
Revision
7545 Irvine Center Dr Suite 200
Project Number:
Irvine, CA 92618
Project Name: 1901 Chubasco
Project Location: 1901 Chubasco
Newport Beach, CA
Date Collected:
Collected By:
Date Received:
9/4/2018
Claim Number:
Date Analyzed:
9/6/2018
PO Number:
Date Reported:
9/7/2018
Number of Samples: 12
Lab/Client ID/Layer Location
Material Description
Color Composition (%)
729708-001
Kitchen
Flooring
White 100%Non-
I
Fibrous Material
Total Asbestos
None Detected
729708-002
Kitchen
Flooring
White 100%Non-
2
Fibrous Material
Total Asbestos
None Detected
729708-003
Kitchen
Flooring
White 100%Non-
3
Fibrous Material
Total Asbestos
None Detected
729708-004
Living Room
Int Plaster
White 80% Minerals
4
15% Carbonate
5% Paint
Total Asbestos
None Detected
729708-005
Bedroom
Int Plaster
White 80% Minerals
5
15% Carbonate
5% Paint
Total Asbestos
None Detected
729708-006
M Bed
Int Plaster
White 80% Minerals
6
15% Carbonate
5% Paint
Total Asbestos
None Detected
Pagel 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:
729708 Revision
1901 Chubasco
1901 Chubasco
Newport Beach, CA
let • 114.899.8906
free • W-743.099&
tax - 714 -SN -1188
Nrtofl ab.conr
1041 S. Placentia Avenue, futluton, CA 92831
Date Collected:
Collected By:
Ext Plaster
Date Received: 9/4/2018
Claim Number:
8
Date Analyzed: 9/6/2018
PO Number:
Date Reported: 9/7/2018
Number of Samples: 12
None Detected
Lab/Client ID/Layer Location
Material Description Color
Composition (%)
729708-007 Side
Ext Plaster White
80% Minerals
7
80% Minerals
15% Carbonate
5% Paint
Chrysotile <1 %
Total Asbestos <1%
729708-008
Rear
Ext Plaster
Grey
80% Minerals
8
20% Carbonate
Total Asbestos
None Detected
729708-009
Side E
Ext Plaster
Grey
80% Minerals
9
20% Carbonate
Total Asbestos
None Detected
729708-010
Roof
Roof Tile
Brown
100%Non-
10
Fibrous Material
Total Asbestos
None Detected
729708-011
Roof
Roof Tile
Brown
100%Non-
11
Fibrous Material
Total Asbestos
None Detected
729708-012
Roof
Roof Tile
Brown
100%Non-
12
Fibrous Material
Total Asbestos
None Detected
Page 2 of 3
Certificate of Analysis
PLM Asbestos Identification
Jackson Environmental Report Number:
7545 Irvine Center Dr Suite 200 Project Number:
Irvine, CA 92618
Project Name:
Project Location:
Date Collected:
Collected By:
Date Received: 9/4/2018
Claim Number:
Date Analyzed: 9/6/2018
PO Number:
Date Reported: 9/7/2018
Number of Samples:
729708 Revision
1901 Chubasco
1901 Chubasco
Newport Beach, CA
12
tel - N-1199.8900
free .888.743.0998
fax • 714.849.1188
pdtrlotLatt(OM
1041 S. faatentia Avenue, Fullerton, (A 92831
Lab/Client ID/Layer Location Material Description Color Composition (%)
Note: This is an amended report issued 9/7/2018, re -issued same day. Project name and location
have been updated.
Megan De Lara - Analyst Kwin Legaspi - 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 -600/R-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- FLAP (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 MST, NVLAP, ELAP or any government agency.
Page 3 of 3
Lab Use Only401 w
ReportNumber: 0415, Placentia Avenue,
lel - 714-899-8900
tree - 888443-0998
fax -?14.899-7098
CA 92831
CHAIN OF CUSTODY
a
rilizi
Laboratory Services, Inc.
Client: Jackson Environmental
Project No.:
Contact Person: Michael Jackson
Project Name:
120 Tustin Ave, C-1121,
Project Location:
Newport Beach, CA 92663
k)
Contact Phone: 949-230-9779
Sam le s) Collected By.
Contact Fax:
Authorized by; Claim #: PO #:
HOW d0 you want your report? (Circle)
Mail Fax Web E-mail: lacrepmns®gmall.com
Special Instructions:
Test to first positive
Analysis Requested_'
Turnaround Time (business hours/days)
RUSH (4 hours) ❑ I RUSH (8 hours) ❑ I
24 Hr ❑ I 48 Hro I. ` 72 Hr ❑ I Other (specify)E]
Ndes:400i TATave1fe0/eunt111PAV1a6fa Nnel enmpleareuiras-7deawmammdminlmum..6eatede1 outturn urrc dllnlmum Behr TA T. sTLC/.CAL-w Taad TCLPm/nlmum TATaro72Na.
Asbestos PCM (fiber count) NIOSH 7400A ❑
PLM (bulk asbestos) EPA 500/R.93/116 Point Count 400
CARS 435 E:1 Point Count 1000 O
Coravl(nOO ric Reduction. (Gravlreetdc Reduction Requires Miolmarn Lahr TAT) Q
Microblolouv
Fungi
Non -Viable Air Spore Trap, SOP IVA.1 m/2m
❑ Viable (Colony ID -& Enumeration) Air ❑ Swab/Bulk ❑
Non -Viable Surface Tape LifUSwab/Bulk, SOP IV.4.3m/4m ❑
Bacteria (Samples must be received bythe laboratory within 24hrs of
collection or resultsmay be,invalid)
❑
Total Coliform and E. coil - Surfaces, Swabs, and Bulk
Solids, Liquids.(non+potable, non -wastewater)— Presence /Absence
Chemistry
Lead by Flame AA - EPA 3050B/7420mod, NIOSH.7,082mod:
Paint ❑ Air ❑ �_ Dust Wipe ❑ water .(non -potable) ❑ -Solls/Solids ❑
Lead Waste Profile (by Flame AA) -
1:'ITLC Total Threshold by EPA 30508 mad ❑ 2: STLCICAL VVET Title 22 CCR Ch11 Article 5 App 2 ❑ 3: TCLP EPA 1311 ❑
Note: Please provide at approz 200 prams (apprpx. h Ib) ofsample
for complete prefile. Check here to perform all test necessary for disposal ❑
Rotometer Calibration
❑
pH.testing (soils, misc. solids, S liqufds) EPA 9045 ❑
Client-
Sample
Sample
Type
Date
Sampled
Location Sampled.
Description of Sample
. (Material type, dimenslons, etc)
Start
.Time
stop
Time
Avg.
(LPM)
Total
Min.
Total vol
Flow x
Tot. Min)
ID
I-
� a f C f3/✓
Car^ •'vim
elinquished g' : (Print) Michael Jackson
Sign: pate. -Time:
Received By* (Print) ` �1
Sign: Date:C C Time_
Relin uished By: (Print)
Sign: Date: ` Tilne:
Received By: (Print)
Sign: Date: Time:
Method of Shipment I Preservation During Shipment:
Condition of Sample$: Acceptable: YES- I NO
Comments:
Note: Palnors holding time for alUsamples,SUDMitted IS 3d days ,tor sono sampies, r days Tor aliases, ano tmmeolaveror ]eau to an diel anuiyauui wsuaa die
reported. Unless customer provides written inatructlons to extendholding time;: samples will be disposed of in accordance with local, state and fedora] laws.
Page 1 of - v.8.16.2014
L-Drive/Patriot CoC
lei - 714-099.0900 e
free - 888-743,09M
E Lab Use Only olroe - 114-899 7090 ,
Report Number 10&wwtvuahio ab or .
a -, 1041 S. Plarentla A enuc. fnlledon, (A M31 Envlrort�rlen rxtl Laboratory Services, Inc.
Client
Sample
p
ID
Sample
Type
Date
Sampled
Location Sampled
Description of Sample
(Material type, dimensions. etc)
Sten
Time
Stop
71me
Avg•
(IPM)
Total
Min.
Tatel vol
(F7owx
Tot. Min)
/Lj 0�
r r
R
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: Patriots holding time for all samples submitted is 30 days far sono samples, 7 days tor digests, and Immediate wrlead in air aner ana yucai reswrs nlc
reported. Unless customer provides written instructions to extend holding time, samples will be disposed of in accordance with local, slate and federal laws.
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