HomeMy WebLinkAboutFile Documents.1395 Riverside Dr.0021.2019 (8).ARBKCHC Training
Nationwide Training &Certification Experts
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303.412.6360
855.60.CERTIFY
1775 West 55th Avenue
Denver,CO80221,
United States of America
Colorado State Approval No.22651
C'ERTIFICATE OF ACHIEVEMENT
This certificate is awarded to:
JOHN R.PETERMAN
In recognition of satisfactory completion of the EPA-approved annual asbestos
refresher training course under section 206 of the Toxic Substance Control Act (TSCA),
Title II entitled:
BUILDING INSPECTOR
COURSE DATE:
EXPIRATION DATE
COURSE HOURS:
DECEMBER 19,2018
DECEMBER 19,2019
4.0
CHC Training Certificate No.
R18-2280-AI-CO
.91t7_"~ym,tY,>,t)1,!#vy,htl!.rl
CEO &Training Program Manager
0)(•/oa ("J/J,JlfUI/",:£.7"',.~J("D~II'/r.
Instructor
Credential License ID:
12269323
V~rjfy_thisgede!1tial '.'_._._.__...__.,__:
02/14/2019
This certifies that
Registratio-n No.:ACF -16522
has met the registration requirements of 25-7 -507,C.R.S.and the Air Quality Control
Commission Regulation No.8,Part B,and.is hereby authorized to perform asbestos consulting
activities as required under Regulalion No 8,P,;.artB,in the state of Colorado.
02/14/2019
Colorado Department
of Public HealthandEnvironment
ASBESTOS
CERTIFICATION*
This certifies that
John R.Peterman
Certification No.:6601
has met the requirements of25-7-507,C.R.S.and Air Quality Control
Commission Regulation No.8,Part B,and is hereby certified by the
state of Colorado in the following discipline:
Building Inspector*
Expires:
May 01,2018
June 07,2019
Issued:
*This certificate is valid only with the possession of a
current Dlvlsion-approved training course certification
ill the discipline specified above.
02/14/2019
***********
P.O.Box 1230 Clifton,CO.81520-1230
Cell 970-270-3689 E-Mail adasbtest@gmail.com
A &D Asbestos Testing and Consulting
John R.Peterman
INSPECTION REPORT PREPARED FOR:
Kaegebein Fine Homebuilding,LLC
225 Main St.#301
Carbondale,Co.81623
LOCATION:
Residence
1395 Riverside Dr.
Aspen,Co.
REPORT PREPARED BY:
~(2~
John R.Peterman
Inspector Manager
COLORADO Certificate No.6601
COLORADO Registration #ACF-16522
2
02/14/2019
A &D Asbestos Testing and Consulting
John R.Peterman
Asbestos Testing and Consulting
INTRODUCTION:
On January 21st,2019 an inspection/survey was conducted and 5 bulk
samples were collected from:
Residence
1395 Riverside Dr.
Aspen,Co.
The purpose of the inspection/survey was to locate and sample
suspected Asbestos containing materials that might be present in the area of
the Residence that is planned for selective renovation.
The inspection was made,and the samples were collected by John R.
Peterman,an A.H.E.R.A.and State of Colorado Certified Asbestos
Inspector.Great care was taken during the inspection and sampling to be as
accurate as possible.
All samples were analyzed by DCM Science Lab in Wheat Ridge,
CO.This laboratory is deemed "Proficient"in the E.P.A.Quality Assurance
(QA)program for the determination of asbestos in bulk materials,and is
accredited by the American Hygiene Association (AHA).
SAMPLING PROTOCOL:
A random sampling scheme was used to sample the suspect materials that
were discovered.If during any future demolition or renovation work,
suspect material is discovered that hasn't been sampled and would be
disturbed,work should be halted until the material has been tested.
3
02/14/2019
..
A &D Asbestos Testing and Consulting
John R.Peterman
Asbestos Testing and Consulting
Residence
1395 Riverside Dr.
Aspen,Co.
RENOVATION AREA DESCRIPTION:
The Residence located at 1395 Riverside Dr.is planned for renovation.The
interior walls are covered in sheetrock with a trowel texture and tiles with
mortar.The ceiling is covered with sheetrock like the walls.The floor is
covered with carpet,stone and mortar,wood and ceramic tiles with mortar.
CONCLUSIONS &RECOMMENDATIONS:
Laboratory analysis of the bulk samples indicates that no Asbestos was
detected in any of the samples.
4
02/14/2019
II II
aO\~r I I (.1
closer F"~1 ,..'f.+-__...,_.....,r;...;_J;:.=:.=:~
AJ..~
e,uz...
~j Bedroom #4
IfIL"11ILG :royBedroom#2
rau
L------I '------'E:.o1c><JI
...,,""''''''
~I~
1 ~FJ.."u ~;I I ':f Bedroom #3
£
Entire Level
flr-ceiling 8'-4"G
0"~L_~L_~rT-1lS.o't.lrI2'.QW7~Closet
++
GrnlOINI..._"~+FIIIIliI?'Room
++
8 it;,~
I II U I I
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2'10'18
,'ICHELON LOWER LEVEL 1/4"=1'.(1"
:;,;::,""~..,",RESIDENCE FURNITURE PLAN SHEET NUMBER,6
02/14/2019
~r:
~
~5Q)l1I'&ill)15.$§~u~J
01 OPTION 1
.-
~
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.';.'I(}I='u~G f5~I rJ:.:n Q n:.:.n
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01 OPTION 2
:t;:I;l:l:iU I.h.
MICHELON
RESIDENCE
MAIN FLOOR
FURNITURE PLAN
12.04.18
1/4"=1'..0"
SHEET NUMBER:
1
02/14/2019
Date:January 24,2019
Location:Residence 1395 Riverside Dr.Aspen,Co.
SAMPLE LOCATIONS
SAMPLE NUMBER AREA SAMPLE REMOVED FROM
1395-B
1395-B
1395-B
1395-B
1395-B
001
002
003
004
005
Key-
DS Bedroom #4 Wall
DS Bedroom #4 Wall
OS Bedroom #4 Closet Wall
MF Master Bathroom Wall
MF Master Bathroom Wall
CS-Core Sample
DS-Down Stairs
DESCRIPTION
CS/SR Texture -Drywall Mud
CS/SR Texture -Drywall Mud
CS/SR Texture -Drywall Mud
CS/SR Texture -Drywalll Mud
CS/SR Texture -Drywatl Mud
SR-Sheetrock
MF-Main Floor
FRIABLE
No
No
·No
No
No
<,.-~
02/14/2019
Date:January 24,2019
Location:Residence 1395 Riverside Dr.Aspen,Co.
SAMPLE RESULTS
SAMPLE NUMBER DESCRIPTION ASBESTOS TYPE %%
1395-B 001 CS/SR Texture -Drywall Mud No Asbestos Detected Tex-O OM -0
1395-B 002 CS/SR Texture -Drywall Mud No Asbestos Detected Tex-O OM -0
1395-B 003 CS/SR Texture -Drywall Mud No Asbestos Detected Tex-O OM -0
1395-B 004 CS/SR Texture -Drywall Mud No Asbestos Detected Tex-O OM -0
1395-B 005 CS/SR Texture -Drywall Mud No Asbestos Detected Tex-O OM -0
Key-CS-Core Sample
Tex-Texture I DM-Drywall Mud
SR-Sheetrock
",-~
02/14/2019
Date:January 24,2019
Location:Residence 1395 Riverside Dr.Aspen,Co.
HOMOGENEOUS AREAS LIST
SAMPLE
1395-8
1395-8
1395-8
1395-8
1395-8
NUM8ER HOMOGENEOUSAREAS LIST
001 Texture #1 I Drywall Mud #2
002 Texture #1 I Drywall Mud #2
003 Texture #1 I Drywall Mud #2
004 Texture #1 I Drywall Mud #2
005 Texture #1 I Drywall Mud #2
APPROX.SQUAREFOOTAGE
<5000
<5000
<5000
<5000
<5000
".-~
02/14/2019
Date:January 24,2019
Location:Residence 1395 Riverside Dr.Aspen,Co.
SUSPECT MATERIAL CONDITION
SAMPLE NUMBER TYPE OF SUSPECT MATERIAL OVERALL DAMAGED %TYPE OF
CONDITION DAMAGE
1395-B 001 Surfacing I Miscellaneous Good No 0 N/A
1395-B 002 Surfacing I Miscellaneous Good No 0 N/A
1395-B 003 Surfacing I Miscellaneous Good No 0 N/A
1395-B 004 Surfacing I Miscellaneous Good No 0 N/A.1395-B 005 Surfacing I Miscellaneous Good No 0 N/A
..-...
02/14/2019
Date:January 24,2019
Location:Residence 1395 Riverside Dr.Aspen,Co.
POTENTIAL FOR DISTURBANCE
SAMPLE NUMBER ACCESSABILITY POTENTIAL INFLUENCE BY POTENTIAL PLENUM
YES I NO CONTACT VIBRATION AIR EROSION
1395-B 001 Yes High Low Low No
1395-B 002 Yes High Low Low No
1395-B 003 Yes High Low Low No
1395-B 004 Yes High Low Low No.1395-B 005 Yes High Low Low No
".-'i
02/14/2019
CLIENT:
A&D ASBESTOS TESTING AND CONSULTING
P.O.BOX ]230
CLIFTON,CO 81520·1230
DCMSL CLIENT
SAMPLE SAMPLE
NUMBER NUMBER
SAMPLE
DATE DESCRIPTION
1·2]·19 A.YELLOW PAINT
B.WHITE TEXTURE
C.TAN FIBROUS
D.WHITE DRYWALL
1·21-19 A.YELLOW PAINT
B.WIDTE TEXTURE
C.TAN FmROUS
D.WHITE DRYWALL
1·21·19 A.YELLOW PAINT
B.TAN FmROUS
C.WHITE TEXTURE
D.WHITE DRYWALL
1-21-19 A.YELLOW PAINT
B.TAN FffiROUS
C.WHITE TEXTURE
D.WHITE DRYWALL
·IR I395·B-OO1
·2R 1395·8-002
-3R 1395·8-003
-4R 1395-8-004
~RI9.N¥.-t.AIKIWOII'<lNC
12421 W.49TH AV£NUE,UNIT #6
WHEAT RIDOE.CO BOOJJ(J03)46J·8210
BULK ASBESTOS TEST REPORT
PAGE 1OF3
ANALYSIS DATE:
REPORTING DATE:
RECEIPT DATE:
CLIENT JOB NO.:
PROJECT TITLE:
DCMSL PROJECT:
]·23-19
1·24·19
]·23·19
RESIDENCE
1395 RIVERSIDE DR.
ADATl236
PERCENT AGE COMPOSITION BY VISUAL ESTIMATE
PERCENT
OF SAMPLE
TOTAL
ASBESTOS ASBESTOS OTHER FffiROUS NON-FmROUS
TYPE RANGE %IN SAMPLE CONSTITUENTS CONSTITUENTS
TOTAL
PERCENTAGE
IDENTIFIED
MATERIALS
3.0%ND
4.0%ND
6.0%ND
87.0%ND
2.0%ND
3.0%NO
5.0%NO
90.0%NO
2.0%ND
5.0%ND
7.0%NO
86.0%ND
2.0%ND
4.0%ND
10.0%ND
84.0%ND
0.0 100.0 100.0
0.0 100.0 100.0
100.0 0.0 ]00.0
1.0 99.0 100.0
0.0 100.0 100.0
0.0 100.0 100.0
100.0 0.0 100.0
1.0 99.0 100.0
0.0 100.0 100.0
100.0 0.0 ]00.0
0.0 100.0 100.0
1.0 99.0 100.0
0.0 100.0 100.0
100.0 0.0 100.0
0.0 100.0 100.0
1.0 99.0 100.0
~.-'4j
ND
NO
NO
NO
02/14/2019
,
CLIENT:
A&D ASBESTOS TESTING AND CONSULTING
P.O.BOX 1230
CLlFTON,CO 81520-1230
DCMSL CLIENT
SAMPLE SAMPLE SAMPLE
NUMBER NUMBER DATE DESCRIPTION
-5R 1395-B-005 1-21-19 A.YELLOW PAINT
B.TAN FIBROUS
C.WHlTE TEXTURE
D.WHITE DRYWALL
FOR CALCULATION PURPOSES,TRACE (TR)IS ASSUMED TO BE 0.5%.
(I)INSEPARABLE LAYERS ND -NONE DETECTED
§}_R,9.NM
-WKJIlA'fOII,t.1HC.
12421 W.49TH AVENUE,UNTTiUi
WHEAT RIDGE.CO BOOll (l03)463-8270
BULK ASBESTOS TEST REPORT
PAGE 2 OF3
ANALYSIS DATE:
REPORTING DATE:
RECEIPT DATE:
CLIENT JOB NO.:
PROJECT TITLE:
DCMSL PROJECT:
PERCENT AGE COMPOSITION BY VISUAL ESTIMATE
1-23-19
1-24-19
1-23-19
RESIDENCE
1395 RIVERSIDE DR.
ADAT1236
OTHER FlBROUS
CONSTITUENTS
TOTAL
PERCENTAGE
IDENTIFIED
MATERIALS
PERCENT
OF SAMPLE
TOTAL
ASBESTOS ASBESTOS
TYPE RANGE %IN SAMPLE
NON-FlBROUS
CONSTITUENTS
2.0%ND 0.0 [00.0 100.0
3.0%ND 100.0 0.0 100.0
4.0%ND 0.0 100.0 100.0
91.0%ND 1.0 99.0 100.0
ND
THE SAMPLES WERE RECEIVED IN ACCEPTABLE CONDITION.THIS TEST REPORT RELATES ONLY TO THE ITEMS TESTED.THIS REPORT MAY NOT BE REPRODUCED EXCEPT IN FULL,
WITHOUT THE WRITTEN APPROVAL OF THE LABORATORY.
...-"
02/14/2019
12421 W.49th Avenue,Unlt16
Wheat Ridge,CO 80033
OCMPnJjeGt Ng.:ADAl 1236
CUentJob Mo.:1395 RNERStDE DR.ASPEN
Bulk Sampfe Analy.i.
BULK SAMPLE ANALYSIS PROCEDURES:
OCM Science Labota1ory,Inc.analyzes bulk asbestos samples following prooedUles deVeloped by the
McCrone Research Instirule and in compfiance Withguidelines established by the eravlTonmentai Protection
Agen~(EPMW0JM4-82-020,1982and EPA~-931116.JUly.1993).
Bulk samples are prepated for analysis using a 1OX-eox stereo miaascope in a heps filter hood whid1 provides
a contamination-free enVfronment.The sample is then analyzed by polariZed light microscopy (PUA)at 100X.
When the sample consists of more than one layer,e3Ch fclyer is prepared and analyZed separately.Fiber and
matrix materials are identified by the charactef'izatin of optical properties Jnduding coIot and plecchroJsm.
form,deavage,relief,birefringence.extilCtion.orientation.bIIiIIning,interference figure and 0Ihet distinguishingfeatures.Dispelsion stainitlg is also used to further aid in minerai identification.AI percentages of asbestos.
other fibers and non--fibrousoonstiluent$are calculated from the values obtained from analyses using the
stereo and PLM rrNcl'OSCOpeS.Il1-house and NIST standards as wei as a chart prepared by R.D.Tetry and
G.V.ChHinger10r "The Journal of Sedimentary Petrology'"(Volume 24.pp.229-234,1955)provide a guide forestiTlatingpercentages..All sam~are arttdved for six montl\S unless other arrangements are made by the
cient.
ACCREDITATION:
OCMSL Is accredited by NVLAP (since April.1989).Our NVlAP lab Code is 1O'25~.OCMSL oomPieswithNVlAPrequirementsunlessotherwisenoted.
EN:)()RSEMENT:
The results of this analysrs must not be used by the client to claim endotsemel1t by NVlAP or any agency of theU.S.Govetnmenl
The analysIS was performed by :
Ron Schott
laboratory DItector
NVl..AP Lab Coda 10t2!e.4
02/14/2019
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