Loading...
HomeMy WebLinkAboutX2021-2362 - MiscX 7�21 � �3taz 11 0-�iB9S borou�j�n M COMPREHENSIVE ASBESTOS SURVEY REPORT tm 423 Poinsettia Corona Del Mar, CA Prepared for Aha Development DATE 4/20/2018 Report # 1804-202-710155 CONDUCTED BY Jackson Environmental 120 Tustin Ave C-1121 Nm0Trf each, 0A®92663 0 o ° 949 000977L ® m o om m o m duo G G C G 00 04 UGO © O Gfi Oi) 040 TABLE OF CONTENTS INTRODUCTION SECTION I ASBESTOS SURVEY SUMMARY Executive Summary Facility Description Survey Findings SECTION 11 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 ° ° ° ono °°° INTRODUCTION Jackson Environmental was retained by; Aha Development to conduct a COMPREHENSIVE Asbestos Survey for the property located at 423 Poinsettia, Corona Del Mar on April 10th 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 surrey 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 11 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, Aha Development to conduct a COMPREHENSIVE Asbestos Survey for the property located, at 423 Poinsettia, Corona Del Mar, CA. The sampling was conducted by Michael Jackson an Osha certified asbestos consultant # 04-3635 FACILITY DESCRIPTION The subject property is a multi family, one story, wood frame building, set on a foundation. 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 li Location Friable{NonFriablet Condition SQ' Approximate '.. ect. Floor Tile Front Unit Bedroom 1 Non Friable G _ _ 200 ,_Floor RearUnt Non Friable G -- -- - Roof Mastic Roof Penetrations Non Friable G 25 **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,hpz�rds that Ifioay resyltgf'rpm further disturbance of ACM. ° o° occ o 0 oco ooc c. c o ago 0 co ooc o o °o °o 00 SECTION If 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. o ° ° oc °oo 0 0 oso o ° < c 0o vec on CLASSIFICATION OF BULK BUILDING MATERIALS "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" Damaaed 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). o c° or,a u vno e n c m oao c c o c co oe, o c Eo oec ooc 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. G C G � GCS OV OVI 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. m e��e a aac. c e c e e o a e c o 0 ce e a m o 0 e ca a eU e o� o ooa eo ooc ee oc ooc e eoo e c r.�c o e cec c o e o c c c w < e o ec oae o c cep cc� eeo 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 5�51ca: Gel^prcu,l Ren' CanrodAshratuaCo(srlhu,710155 Michaol S Jackson: .�T.:; ,'aC�.4rarOd7fi1f L Fri,+jn �IIsy18:,. AkM./y/IL. \ iJNisWI v lei �'Lp:4(vl i J � �; 8[Bi r(i.a;li: Gar�Riur�Rsbusksv Gonsel7taR/ Mlehool S Jaekaon Oil" I O 0,7,�15118 a Michael Jackson Project Manager CAC # 04-3635 949-230-9779 a 0 o c0o 0o c o o c o co c o 0 00 0 000 0 000 00 ooc c. oo n o0 0 c oc c e oc ooe o 0 00� ova oos SECTION III BULK SAMPLE ANALYSIS 6m° Certificate of Analysis PLM Asbestos Identification Jackson Environmental 7545 Irvine Center Dr Suite 200 Irvine, CA 92618 Date Collected: Date Received: 4/17/2018 Date Analyzed: 4/18/2018 Date Reported: 4/ 1812018 11 i 1 rt) Ilrn huihaStn�.(rj- i?141 S, i'iatei.tia A°revue, f pRrttrnt to 418;1 Report Number: Project Number: Project Name: Project Location Collected By: Claim Number: PO Number: Number of Samples: 710155 Envu 423 Poinsettia 423 Poinsettia Corona del Mar, CA 23 Lab/Client ID/Layer Location Material Description Color Composition (%) 710155-001 Front Unit Bed 2 Floor Tile Brown 97% Non - I Fibrous Material Chrysotile 3 % Total Asbestos 3 % 710155-O01M I Front Unit Bed 2 Mastic Black 100%Tar Total Asbestos None Detected 710155-002M Front Unit Bed 1 Mastic Black 100% Tar 2 Total Asbestos None Detected 710155-003M Living Room Mastic Black 100%Tar 3 Total Asbestos None Detected 710155-004 Living Room Interior Plaster White 80% Minerals 4 15% Carbonate 5% Paint Total Asbestos None Detected 710155-005 FU Bed 2 Interior Plaster White 80% Minerals 5 15% Carbonate 5% Paint Total Asbestos None Detected Page Iof5 °o aoo ° o 00 00 o°n 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 - iW M 810 tree-HCilt143 018 fax - 71.1 SN 1185 Pa!riottnb.com I" ;I c, P!:Kemtid'kmiue, Iulierte[t CA 92831 710155 423 Poinsettia 423 Poinsettia Corona del Mar, CA Date Collected: Collected By: Date Received: 4/17/2018 Claim Number: Date Analyzed: 4/18/2018 PO Number: Date Reported: 4/18/2018 Number of Samples: 23 Lab/Client ID/Layer Location Material Description Color Composition (%a) 710155-006 Bedroom 1 Interior Plaster White 80% Minerals 6 15% Carbonate 5% Paint Total Asbestos None Detected 710155-007 Rear Unit Living Room Drywall White 85% Sulfate 7 8% Cellulose 7%%Glass Fibers Total Asbestos None Detected 710155-008 RU Living Room Drywall White 85% Sulfate 8 8% Cellulose 7% Glass Fibers Total Asbestos None Detected 710155-009 Rear Unit Bedroom Interior Plaster Grey 80% Minerals 9 15% Carbonate 5% Paint Total Asbestos None Detected 710155-010 Rear Unit LR Tape and Mud ,iC White 85% Sulfate to 6% Carbonate 5% Cellulose 2% Glass Fibers 2% Paint Total Asbestos None Detected 0 0 o s c s 0 0 00 o c o a o o c Eoo 0 0 0 0 00 000 o aoo 00 0 000 Page 2 of 5 `L o o� 000 u o oco aoo ono Certificate of Analysis PLM Asbestos Identification let - n4-699.6900 tree 0-743-YM lax 761899-1188 'att otla4min KAI S. Pfatet�lia Avznuc, lullerton, to 92831 Jackson Environmental Report Number: 710155 7545 Irvine Center Dr Suite 200 Project Number: Irvine, CA 92618 Project Name: 423 Poinsettia Project Location: 423 Poinsettia Corona del Mar, CA Date Collected: Collected By: Date Received: 4/17/2018 Claim Number: Date Analyzed: 4/18/2018 PO Number: Date Reported: 4/18/20t8 Number of Samples: 23 Lab/Client ID/Layer Location Material Description Color Composition (%) 710155-011 Rear Unit LR Tape and Mud JC White 85% Sulfate 11 6% Carbonate 5% Cellulose 2% Glass Fibers 2% Paint Total Asbestos None Detected 710155-012 Rear Unit Bed Tape and Mud.JC White 85%Sulfate 12 6% Carbonate 5% Cellulose 2% Glass Fibers 2% Paint Total Asbestos None Detected 710155-013 Rear Unit Bed Floor Tile Tan 95% Non- 13 Fibrous Material Chrysotile 5 % Total Asbestos 5 % 710155-013M ':Rear Unit Bed Mastic Black 100%Tar 13 Total Asbestos None Detected 710155-014M Rear Unit Bed Mastic Black 100% Tar 14 Total Asbestos None Detected O PCO 00C 6 O O O C O ® G G 0 O OOP P OPO P 0 c` `•. c P c. c, o° c <. Page 3 of 5 c_ c <. E Pc ooc. c P PP oo Pa.o Certificate of Analysis PLM Asbestos Identification Jackson Environmental Report Number: 7545 Lvine Center Dr Suite 200 Project Number: Irvine, CA 92618 Project Name: Project Location: Ix{ FI-0-�79-ftz109 Iree UBN-id3-I1r,9� lax 714.859-..IiU Pxinait a on I'ttlli 4rec0a ;,vynue.iuGerten.!A Iil 710155 423 Poinsettia 423 Poinsettia Corona del Mar, CA Date Collected: Collected By: Date Received: 4/17/2018 Claim Number: Date Analyzed: 4/18/2018 PO Number: Date Reported: 4/18/2018 Number of Samples: 23 Lab/Client ID/Layer Location Material Description Color Composition (%) 710155-015M Rear Unit RR Mastic Black 100%Tar 15 Total Asbestos None Detected 710155-016 Front Unit Side Exterior Plaster Grey 80% Minerals 16 15% Carbonate 5% Paint Total Asbestos None Detected 710155-017 Rear Unit Side Exterior Plaster Grey 80% Minerals 17 15% Carbonate 5% Paint Total Asbestos None Detected. 710155-018 Garage Exterior Plaster Grey 80% Minerals 18 15% Carbonate 5% Paint Total Asbestos None Detected 710155-019 Roof Roofing Black 60% Tar 15 % Glass 9 Fibers 10% Minerals 15% Cellulose Total Asbestos None Detected c o c © a o e 0 oc a coo m coo e CC OUG O 6 FOO c c o 000 � Page 4ot5 wn oo c o c c u 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: tei-11a&99-a9oo free- 0-743-Ma I:ix'r1d8dlfip Pstrlaltah.wni IC4fS,;11'.1 ntia'4ianue,WIQfton,CA92831 710155 423 Poinsettia 423 Poinsettia Corona del Mar, CA Date Collected: Collected By: Date Received: 4/17/2018 Claim Number: Date Analyzed: 4/18/2018 PO Number: Date Reported: 4/18/2018 Number of Samples: 23 Lab/Client ID/Layer Location Material Description Color Composition (%) 710155-020 Roof Roofing Black 60% Tar 20 15% Glass Fibers 10% Minerals 15% Cellulose Total Asbestos None Detected 710155-021 Roof Roofing Black 60% Tar 21 15% Glass Fibers LO% Minerals 15% Cellulose Total Asbestos None Detected 710155-001 Stopped at first positive. 710155-013 Stopped at first positive. Kwin Legaspi - 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. "<I%a" (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 (Carl. 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 m endorsement by NIST, NVLAP. FLAP or any government agency. 0 0 ° moo 0 x ° ooc o o: mor c o moc Page 5 of 5 u let 114-899 8900 free-8 4430998 Is ,n , a CSS tax -(fd-fl99109N ie , Lab Use Only `i Ivwvrpainutlab�om 'S ��, Report Number: m41 S. Placeiiia Avenue, rullerlon, (A 92851 Environmental Laboratory Seivlces, Inc. CHAIN OF CUSTODY Client: Jackson Environmental Project No.: Contact Person:. Michael Jackson Project Name: ,23 120 Tustin Ave, C-1121. /' Project Location: iV23 Aa ,,jet,&,a Newport Beach, CA 92663 y i 4me, Contact Phone: 849-230-9779 Sam le s Collected By, Contact Fax: Authorized by: Claim #: PO #: How do you want your report.? (Circle) Mail Fax web E-mail: JecrePorsOgmaitcorn Special Instructions: Analysis Re uested Turnaround Time Sbusiness hours/days) RUSH (4 hours) ❑ I RUSH (8 hours) ❑ I •24 Hr ❑ I 48- HrJ 72 Hc:i[] ,Other (specify) ❑ Notm:4HRTATavelka/a until PM. V/ebk inn loom tun vlre b•]tle_.rumaroundminlmum: Beotodal oultuma:re aim mf,Iga 3ph iAT..�STLGC L.MTend TCLPminlmum TATma]2hm Asbestos PCM (fiber count) NIOSH 7400A ❑ PLM (bulk asbestos) EPA 800/R-93/116 Point Count 400 CARE 435 0 Point Count 1000 Sal Gravimetric Reduction (Grawmetrle Reduction Requires Minimum 10hr TAT) O Microbiology Funa1 Non -Viable Air Spore Trap, SOP IV.4.tml2m ❑ Viable (Colony ID &.Enumeration) Air ❑ Swab/Sulk❑ Non -Viable Surface Tape Lift/Swab/Bulk, SOP IV.4.3m/4m ❑ Bacteria (Samples must be received by the laboratory within 24hre of collection or results may be )nvalid) El Conform and E. coli - Surfaces, Swabs, and Bulk Solids; Liquids (non -potable, non-wastewatpr) — Presence / Absence Chemistry Lead by Flame AA - EPA 30508/7420mod, NIOSH 7082mod: Paint ❑ Air ❑ Dust Wipe ❑ Water (non potable) ❑ Soils/Sollds ❑ Lead Waste Profile (by Flame AA) ❑ 2: STLC/CAL WET Title 22 CCR Ch41 Article 5 App:,2 ❑ 3 TCLP EPA,1311 ❑ 1: TTLC Total Threshold by EPA 3050E mod : Check here to test necessary for disposal El Please provide at approx. 200 grams (approx. Y/ Ib.) of sample,for.complpte profile parlorm all Rotometer Calibration ❑ pH.testing (soils, misc. solids,.& liquids) EPA 9045 ❑ Salient Semple Sample Type Data Sampled 1 Location Sampled Description of Sample (Material type, dimensions, etc) Start Time stop Time Avg. (LpM) Total Min. Tote) Vol Tolo x l. Min) ID / r y fo Relin uished By: (Print) Michael Jackson S Date: Time: Received By: , (Print) Gz- - Sign: Datei Time: Relinquished By: (Print) Si n: Date: Urge: Received By: (Print) Sign: Date:. The Method of Shipment/ Preservation During Shipment: Condition of Samples:: Acceptable: YES rI 'Ni:T - Comments: Note: Patftots R010ing nine Tor an SamPlea Seemitteu U so ieye Lei sonu son spies, , uays �� u,yeam, .^. u�^.'„ ^..„`-"."""o••--• - reported. Unless customer provides wriden instructions to extend holdinotime; samples,%i'-be dispoerad of in accordance with local;state and federal laws. G o Pagel of v.8.162014 L-Ddve/Patriot CoC cc ccc o ° c cco r r < ° c c c c < c c co ®oo �is