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Home My WebLink AboutX2017-4008 - MiscCertificate of Analysis PLM Asbestos Identification tel- 714-889-8900 free - 888-743-0998 fax - 714-899-7098 www.patriotial).com 1041 S. Placentia Avenue, Fullerton, CA 92831 Jackson Environmental Report Number: 7545 Irvine Center Dr Suite 200 Project Number: Irvine, CA 92618 Project Name: Project Location: X2017 -JM 6223 Balboa 131vj' 669999 E Balboa Blvd 1223 E Balboa Blvd Newport Beach CA Date Collected: Collected By: Date Received: 7/6/2017 Claim Number: Date Analyzed: 7/7/2017 PO Number: Date Reported: 7/7/2017 Number of Samples: 11 Lab/Client ID/Layer Location Material Description Color Composition (%) 669999-001 Bedroom Acoustic White 80% Carbonate 1 15% Foam 5% Paint - Total Asbestos None Detected 669999-002 Bedroom Drywall White 85% Sulfate 2 6% Carbonate 5% Cellulose 4% Paint Total Asbestos None Detected 669999-003 Bathroom Linoleum Tan 70% Non - 3 Fibrous Material 25% Cellulose 5% Glass. Fibers Total Asbestos None Detected 669999-003M Bathroom Mastic Black 98% Tar 3 Chrysotile 2 % Total Asbestos 2 % 669999-004 Roof Roofing Black 60% Tar 4 15% Glass Fibers 10% Minerals 15% Cellulose ° Total Asbestos None Detected ° ° e ° Page Iof3 00 000 0 e 0u° °s° moo 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 - 7.14899-8900 free - 888-7434998 fax - 7.14899-7098 www.l)atriotial).com 1041 S. Placentia Avenue, Fullerton, CA 92831 E Balboa Blvd 1223 E Balboa Blvd Newport Beach CA Date Collected: Collected By: Exterior Plaster White Date Received: 7/6/2017 Claim Number: Date Analyzed: 7/7/2017 PO Number: Date Reported: 7/7/2017 Number of Samples: 11 5% Paint Lab/Client ID/Layer Location Material Description Color Composition (%) 669999-005 Roof Roofing Black 60% Tar 5 80% Carbonate 15% Glass Fibers 10% Minerals 15% Cellulose Total Asbestos None Detected 669999-006 Roof Penetration Roof Mastic Black 95% Tar 6 5% Cellulose Total Asbestos None Detected 669999-007 Rear Exterior Plaster White 80% Minerals 7 15% Carbonate 5% Paint Total Asbestos None Detected 669999-008 Side Exterior Plaster White 80% Minerals 8 15% Carbonate 5% Paint Total Asbestos None Detected 669999-009 Hall Acoustic White 80% Carbonate 9 15% Foam 5% Paint Total Asbestos None Detected e �,e o�° oma ooc o<o m o cc 00� 0 c. c c coo cco °pO Page 2of3 0 00 000 o c eco oe oco 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- 714-899-8900 free - 888-743-0998 fax - 7.14-899-7098 www.patriotlab.com 1049 S. Placentia Avenue, Fullerton, CA 92831 E Balboa Blvd 1223 E Balboa Blvd Newport Beach CA Date Collected: Collected By: Date Received: 7/6/2017 Claim Number: Date Analyzed: 7/7/2017 PO Number: Date Reported: 7/7/2017 Number of Samples: 11 Lab/Client ID/Layer Location Material Description Color Composition (%) 669999-010 Bedroom Drywall White 85% Sulfate 10 6% Carbonate 5% Cellulose 4% Paint Total Asbestos None Detected 669999-003 Sample contains mastic. Raul Lanuza - 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 -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. -<1%- (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 200359-0) 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 MST, NVLAP, FLAP or any government agency. U 000 GO f POS !. 9 p 0 O(C O Q O 0 [O 1l0 P GC 00(i 1 G O % 000 000 O ( ( 000 Page 3 of 3 Lab Use Only Report Number: RIM tel - 714.099-8900 free - 808-743-0998 fax - 714-899.1098 www.patriottab.com 10415. Placentia Avenue, Fullerton, (A 921131 CHAIN OF CUSTODY Client: Jackson Environmental Project No.: Contact Person: MichaelJacksnn Project Name: - /t, - Client Address: Project Location: t7,23 C 6t1(ioa 7545 Irvine Center Drive Suite 200, Irvine CA 92618 ,. G Contact Phone: 949-230-9779 Sam les Collected BY: Contact Fax: Authorized by: Claim #: PO #: HOW d0 you Want your report? Circle Mail Fax Web E-mail: iecreports®gman.mm Special Instructions: Analysis Requested Turnaround Time business hours/days) RUSH (4 hours) ❑ RUSH (8 hours) ❑ 1 24 Hr,4"J1 1 48 Hr ❑ 1 72 Hr ❑ 1 Other (specify)[] Nelas: 4HR TATavei/abla until fEK viable AMIsomles nurul. 5.7 days mmanundmialmum.aamarial cultures require minimum 30hrTAT. STL CAL-wFTami TCLPminlmum TATamr3hrs. Asbestos PCM (fiber count) NIOSH 7400A ❑ PLM (bulk asbestos) EPA 6001R-931118 Point Count 400 0 CARS 435 Point Count 1000 f� Gravimetric Reduction (Gravimetric Reduction Requires Minimum 10hr TAT) (� Microbiolon Full Non -Viable Air - Spore Trap, SOP IV.4.lmt2m ❑ Viable (Colony ID & Enumeration) Air ❑ Swab/Bulk ❑ Non -Viable Surface Tape Lift/Swah/Bulk, SOP IV.4.3m/4m ❑ - - - Bacteria (Samples must be received by the laboratory vAthin 24hrs GI collection or results maybe invalid) ❑ Total Coliform and E. toll -Surfaces, Swabs, and Bulk Solids, Liquids (non -potable, non -wastewater)— Presence 7 Absence Chemistry Lead by Flame AA - EPA 305oB/7420mod, NIOSH 7082mad: Pain ❑ Air ❑ Dust Wipe ❑. Water (non -potable) ❑ - Soils/Sdids ❑ Lead Waste Profile (by Flame AA) 1: TTLC Total Threshold by EPA 30508 ❑ 2: wET I Article 5 App 2 ❑ 3: TCLP EPA 1311 ❑ mod STLC/CAL Title 22 CCR Ohl Note: 200 Ib.) for Check here to for disposal ❑ Please provide at approx. grams (approx. % of sample complefe pile. perform all teat necessary Rotometer Calibration ❑ pH testing (sobs, mise. solids, d liquids) EPA 9045 ❑ Client Sample Sample Date Location Sampled Description of Sample Start stop Avg. Total notal vol (Flow x ID Type Sampled qn, (Material type, dimensions, etc) Time Time (LPM) Min. Tat. Min) o a a �,, Relin ui5hed By: Print) Michael Jackson Sig Date:Time: Received B (Print) Si n: Date: Time: Relinquished By: (Print) Sign: Date: Time: Received By: (Print) Sign: Date: Time: Method of Shiimaht i Preservation During Shipment: o" Condit oneoYSan 111118:�Aceptabls: YES / NO o m , eommenls: ° c Note: Patriot's holding time for all samples submitted is 30 days for solid samples, 7 days for digests, and immediate fr,rlead in air after analytical results are reported. Unless customer provides written instructions to extend holding time. samples will be disposed of in accordance with local, state and federal laws. age 1 of v.8.16.2014 L-Drive/Patriot CoC oti &vu c o ou oo� spa