HomeMy WebLinkAboutFile Documents.430 W Hallam St.0291.2017 (81).ARBK 1
HealthSafe Inspections Inc
390 Apple Drive
Basalt CO 81621
970-920-2100
Jim Baker
CDPHE Asbestos Building Inspector, Asbestos Air Monitoring Specialist (AMS) &
Project Designer Certification #13437
CDPHE Lead-Based Paint Inspector & Lead Hazard Assessor Certification #23607
ASBESTOS REPORT
DATE
10/16/2017
CLIENT
430 West Hallam, LLC.
c/o Forum PHI, LLC.
715 W Main St, Ste 204
Aspen CO 81611
PROJECT PROPERTY ADDRESS
430 West Hallam Street, Aspen, Colorado 81611
2
COLORADO & FEDERAL ASBESTOS REGULATIONS SUMMARY
Regulation No. 8 Part B – Asbestos of the Colorado Department of Public Health and
Environment (CDPHE), Air Quality Control Commission requires a State-certified
Asbestos Building Inspector to inspect and collect bulk samples of all suspect asbestos
containing materials (ACM) or suspect asbestos containing building materials (ACBM)
prior to their disturbance, removal or demolition and disposal. The suspect materials shall
be analyzed by a NVLAP accredited laboratory by polarized light microscopy (PLM)
using EPA 600 analytical method. A material which is estimated to contain more than 1%
asbestos is classified as ACM/ACBM and regulated by the State and Federal
governments. Any friable (able to crush or reduce to powder by finger pressure) asbestos
with trace amounts of asbestos fibers or less than 1% must be point-counted using EPA
400 analytical method to prove that it is indeed less than 1%; if not, it must be classified
as ACM/ACBM and shall be treated as a State and Federal regulated material. Any
friable asbestos containing material (greater than 1% asbestos concentration) or
ACM/ACBM that could be rendered friable during its removal or demolition and disposal
shall require an asbestos abatement by a certified asbestos abatement contractor to
remove and dispose of the material(s).
A Colorado State (CDPHE) issued asbestos abatement permit is required for the
following trigger levels of ACM/ACBM:
1. Residential buildings of four or fewer units--if more than 32 square feet of any
surface coverage (e.g., gypsum wallboard or drywall and associated applied surfacing
materials/textures, acoustic sprays, joint compounds, plaster, etc.), 50 feet of asbestos
covered or asbestos insulated pipe or any material which would fill a 55-gallon drum is
going to be disturbed, removed or disposed of, an asbestos abatement permit is required.
2. Residential complexes with more than four residential units, public access areas to a
residential building, commercial and retail buildings, public and civic buildings,
industrial buildings--if more than 160 square feet of surfacing materials, 260 linear feet
or more than 35 cubic feet (NESHAP) or 55-gallon drum (CDPHE) of suspect
ACM/ACBM is going to be disturbed, removed or disposed of, an asbestos abatement
permit is required under NESHAP and by the CDPHE.
The regulations require an absolute minimum of 3 samples (EPA suggests 9) per
homogenous suspect surfacing and TSI materials and an absolute minimum of 1 sample
of homogenous miscellaneous materials or any number of “samples sufficient to
determine whether a material is ACM” (Reg8.IV.D.3). More samples are required based
on surface area or volume. These are minimums; the asbestos building inspector has the
field responsibility to determine homogenous materials and the number of samples to
collect per material; more than the minimum number of samples may be necessary at the
discretion of the inspector. An assessment of friability and functional space conditions of
the materials are also the inspector’s field responsibilities.
OSHA compliance is required for all employers and employees no matter the
quantity of asbestos present, and therefore it does not matter what the quantity or
3
trigger levels are: all suspect ACM/ACBM shall be inspected and tested for asbestos
prior to their disturbance, removal and disposal for worker protection and safety.
See EPA 40 CFR 763.121 Worker Protection Rule, OSHA 29 CFR 1910.134 Respirator
Protection Standard, OSHA 29 CFR 1910.1001 General Industry Standard and OSHA 29
CFR 1926.1101 Construction Standard regulations when dealing with asbestos hazards.
Note: County or City regulations may be more stringent.
CLIENT BACKGROUND
430 West Hallam, LLC. through Forum PHI, LLC. hired HealthSafe Inspections, Inc.
(hereinafter, HealthSafe) to perform an asbestos re-inspection to verify that the
HealthSafe asbestos report dated April 9, 2015 for Ted Koutsoubos and 430 West Hallam,
LLC. is currently accurate, and that there have been no changes to the interior or exterior
of the current building.
VISUAL RE-INSPECTION FINDINGS
Jim Baker, the author and inspector of the April 9, 2015 asbestos building inspection
report re-inspected the house on the morning of October 16, 2017 to verify that the
original report is accurate to the state and conditions of the house as it was during the first
and original asbestos inspection and report. This report confirms that all materials are as
they were on April 9, 2017 and that nothing has changed or been added to the house
today as compared to the original inspection.
HealthSafe verifies that the April 9, 2015 remains accurate as the house is today. No
additional testing of materials is required.
Sincerely Submitted,
Jim Baker
HealthSafe Inspections Inc
1052 Vine St
Aspen CO 81611
970-920-2100
Jim Baker
CDPHE Asbestos Building Inspector Certification #13437
ASBESTOS REPORT
DATE:
04/09/2015
CLIENT:
430 Hallam LLC
C/O Ali Gidfar, Studio 303, Inc
4383 Apple Ct
Boulder CO 80301
PROJECT PROPERTY ADDRESS:
430 West Hallam Street, Aspen, Colorado 81611
COLORADO ASBESTOS REGULATIONS SUMMARY:
Colorado State Regulation 8 requires a State certified Asbestos Building Inspector to
inspect and sample for suspect asbestos containing materials (ACM) or suspect asbestos
containing building materials (ACBM) prior to the disturbance, removal or demolition.
In residential buildings of four or fewer units if more than 32 square feet of any surface
coverage (e.g., gypsum wallboard or drywall and associated applied surfacing
materials/textures, acoustic sprays, joint compounds, plaster, etc.), 50 feet of asbestos
covered or asbestos insulated pipe or any material which would fill a 55 gallon drum—if
these materials are going to be disturbed or removed—an asbestos inspection is required
by a state certified asbestos building inspector. For buildings with more than four
residential units (considered public), including commercial, public (including public
access areas to a residential building), civic or industrial buildings, if more than 160
square feet of surfacing materials, 260 linear feet or more than 35 cubic feet of suspect
ACM/ACBM is going to be disturbed, an asbestos inspection is required under NESHAP.
County or City regulations may be more stringent. The regulations require an absolute
minimum of 3 samples (EPA suggests 9) per homogenous suspect surfacing and TSI
1
materials and an absolute minimum of 1 sample of homogenous miscellaneous materials
or any number of “samples sufficient to determine whether a material is ACM”
(Reg8.IV.D.3). More samples are required based on surface area or volume. In order for
the contractor to proceed with restoration, renovation or demolition the suspect materials
have to be sampled and analyzed by a NVLAP accredited laboratory by polarized light
microscopy (PLM) methods. OSHA compliance is required for all employers/employees
no matter the quantity of asbestos present.
CLIENT BACKGROUND:
The Client is planning to demolish the above addressed single family two-story house
with attached two car garage. Prior to submittal for a demolition permit, an asbestos
building inspection was required. HealthSafe Inspections, Inc. was hired by Studio 303,
Inc. to perform the asbestos inspection services.
VISUAL INSPECTION & LABORATORY FINDINGS:
An inspection was conducted by Jim Baker of HealthSafe Inspections, Inc. on Monday,
March 30, 2015 with no other person present during this original inspection and
sampling. A subsequent inspection was conducted by the same inspector on Tuesday,
April 7, 2015 with Ted Koutsoubos, the property owner, present. Suspect ACM/ACBM
were identified and sampled for the purpose of this slated demolition. Those suspect
materials were the following:
1. A homogenous miscellaneous material, gray colored roof tar/sealant applied to a
number of areas on the roof from roof top mechanical to roof flashings and
roofing asphaltic material [GRY-RF-TAR]. This material was applied
sporadically, not over large sections of roof. The PLM analytical estimated
results: 12% Chrysotile asbestos.
2. A homogenous miscellaneous material, black colored roof tar/sealant applied to
larger sections of roofing materials and flashings, including the asphaltic roofing
material [BLK-RF-TAR]. This material was applied more widely than the gray
tar above. The PLM analytical estimated results: NONE DETECTED.
3. A homogenous miscellaneous material, black and white colored asphaltic rolled
roofing material over all of the house flat roofs of the house and garage [ROL-RF]
estimated to be over 1,000 sf, but less than 5,000 sf. The PLM analytical
estimated results: NONE DETECTED.
4. A homogenous taped and joint compounded drywall system (classified as a
miscellaneous material as a complete integral system) [OP-CLG-J-1,2]; these
composite layered taped and joint compounded drywall materials were on ceilings
of the majority of the house. The estimated impact area was more than 1,000 sf,
but less than 5,000 sf, requiring a minimum of at least one composite core sample
of all drywall layers. The PLM analytical estimated results: NONE DETECTED.
5. A homogenous spray-applied surfacing material/texture (“orange peel”) [OP-
CLG-T-1,2,3,4,5,6,7]. This surfacing material/texture was on ceilings of the
house interior. The estimated impact area was more than 1,000 sf, but less than
2
5,000 sf, requiring a minimum of at least 5 surfacing/texture material samples.
The PLM analytical estimated results: NONE DETECTED.
6. A homogenous taped and joint compounded drywall system (classified as a
miscellaneous material as a complete integral system) [WL-FLT-J-2]; these
composite layered taped and joint compounded drywall materials were on walls
of the majority of the house with a flat finish. The estimated impact area was
more than 1,000 sf, but less than 5,000 sf. The PLM analytical estimated results:
NONE DETECTED.
7. A homogenous trowel-applied flat surfacing material/texture (“flat finish”) [WL-
FLT-T-1,2,3,4,5]. This surfacing material/texture was on walls of the house
interior. The estimated impact area was more than 1,000 sf, but less than 5,000 sf,
requiring a minimum of at least 5 surfacing/texture material samples. The PLM
analytical estimated results: NONE DETECTED.
8. A homogenous taped and joint compounded drywall system (classified as a
miscellaneous material as a complete integral system) [GAR-BASE-MECH-OP-
J]; these composite layered taped and joint compounded drywall materials were
on walls and ceilings of the garage interior with a spray-applied “orange peel”
surfacing material/texture—sample taken from the garage southwest inside
corner. The estimated impact area was more than 32 sf, but less than 1,000 sf.
The PLM analytical estimated results: NONE DETECTED.
9. A homogenous spray-applied surfacing material/texture (“orange peel”) [GAR-
BASE-MECH-OP-T-2,3 & GAR-OP-T-4]. This surfacing material/texture was on
ceiling and walls of the garage interior—samples taken from the west, east and
south walls. The estimated impact area was more than 1,000 sf, but less than
5,000 sf, requiring a minimum of at least 3 surfacing/texture material samples.
The PLM analytical estimated results: NONE DETECTED.
10. A homogenous taped and joint compounded drywall system in the mechanical
stairwell area, the end of the hallway near the garage/hallway entry door and other
framed old doorway (removed) where the breaker box is located (this section of
the end of the hallway is noticed by the door frame at the end of the hallway—
without door--before the breaker box and garage door; opposite the breaker box is
the doorway to the basement mechanical room. This section of drywall was
evidently not removed due to the breaker box; the basement mechanical room
drywall remained as is since the construction of the house, partially painted. The
PLM analytical estimated results: 2% and 3% Chrysotile asbestos in the joint
compound and applied surfacing material of the composite joint sample [WL-
FLT-J-1, data report #316162-1].
11. A homogenous spray-applied surfacing material/texture (“orange peel”) [GAR-
BASE-MECH-OP-T-1]. This surfacing material/texture was on the ceiling and
walls of the same small section at the end of the hallway and mechanical
basement room/stairwell as mentioned in paragraph #10 directly above. The
estimated impact area was more than 32 sf, but less than 1,000 sf, requiring a
minimum of at least 3 surfacing/texture material samples; However, one sample
was sufficient to assume the whole area as ACM. The PLM analytical estimated
results: 3% Chrysotile asbestos.
3
A total of 24 suspect homogenous ACM/ACBM bulk samples were collected and 24
samples were analyzed. The bulk samples were analyzed by PLM by a NVLAP
accredited laboratory in accordance with Colorado State Regulation 8 for the presence of
asbestos mineral fibers.
See supporting Reservoirs Environmental, Inc. data: reports #316162-1 and #316867-1.
HEALTHSAFE CONCLUSIONS:
1. The gray tar on the roof with an estimated 12% Chrysotile asbestos is in an
asphaltic tar solution and will not be rendered friable during a demolition. It will
not require asbestos abatement prior to demolition of the property.
2. The drywall between the drywall covered door frame (approximately 3' from the
garage door) at the end of the hallway off the kitchen and at the garage entry door
at the very end of the hallway (the section where the electric breaker panel and
basement mechanical doorway), including the drywall inside the mechanical
basement stairwell and basement with orange peel spray-applied texture will
require asbestos abatement prior to demolition of the house and attached
garage.
3. All other ceiling and wall drywall materials inside the house and garage will not
require asbestos abatement prior to the demolition other than that area specified in
paragraph #2 directly above.
Colorado State Certified Asbestos Contractors and Consultants can be found at:
http://www.colorado.gov/cs/Satellite/CDPHE-AP/CBON/1251594599673
Sincerely Submitted,
Jim Baker
4
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective January 1, 2015
T:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
Subcontract Number:NA
Laboratory Report:RES 316162-1
Project # / P.O. # Ted Koutsoubos
Project Description:430 W. Hallam, Aspen CO 81611
RES 316162-1
Sincerely,
April 6, 2015
Dear Customer,
Reservoirs Environmental,Inc.is an analytical laboratory accredited for the analysis of Industrial Hygiene and
Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP),Lab Code 101896-0
for Transmission Electron Microscopy (TEM)and Polarized Light Microscopy (PLM)analysis and the American
Industrial Hygiene Association (AIHA),Lab ID 101533 -Accreditation Certificate #480 for Phase Contrast
Microscopy (PCM)analysis.This laboratory is currently proficient in both Proficiency Testing and PAT programs
respectively.
Reservoirs Environmental,Inc.has analyzed the following samples for asbestos content as per your request.The
analysis has been completed in general accordance with the appropriate methodology as stated in the attached
analysis table. The results have been submitted to your office.
HealthSafe Inspections, Inc.
1052 Vine St.
Aspen CO 81611
Jim Baker
is the job number assigned to this study. This report is considered highly confidential
and the sole property of the customer.Reservoirs Environmental,Inc.will not discuss any part of this study with
personnel other than those of the client.The results described in this report only apply to the samples analyzed.
This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the
U.S.Government.This report shall not be reproduced except in full,without written approval from Reservoirs
Environmental,Inc.Samples will be disposed of after sixty days unless longer storage is requested.If you have any
questions about this report, please feel free to call 303-964-1986.
Jeanne Spencer
President
P: 303-964-1986
F: 303-477-4275
5801 Logan Street, Suite 100 Denver, CO 80216
Page 1 of 1
1-866-RESI-ENV
www.reilab.com
RES Job Number:
Client:
Client Project Number / P.O.:
Client Project Description:
Date Samples Received:
Turnaround:
Date Samples Analyzed:
RES 316162-1
HealthSafe Inspections, Inc.
Ted Koutsoubos
430 W. Hallam, Aspen CO 81611
March 31, 2015
3-5 Day
April 06, 2015
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective January 1, 2015
Q:\QAQC\LAB\Reservoirs Environmental QA Manual.doc
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
Client
Sample
Number
Lab
ID Number
L
A
Y
E
R
Mineral
Method:EPA 600/R-93/116 - Short Report, Bulk
Physical
Description
Sub
Part
(%)
Visual
Estimate (%)
ND=None Detected
TR=Trace, <1% Visual Estimate
Trem-Act=Tremolite-Actinolite
Non
Asbestos
Fibrous
Components
(%)
Non-
Fibrous
Components
(%)
Asbestos Content
12 Chrysotile100A Black tar EM 1376554GRY-RF-TAR 3 85
ND 100A Black tar EM 1376555BLK-RF-TAR 15 85
ND 10A Black tar EM 1376556ROL-RF 10 90
ND 90B Black/white shingle 20 80
ND 6A White compound EM 1376557OP-CLG-J-1 0 100
ND 10B Off white tape 98 2
ND 14C White compound w/ cream paint 0 100
ND 70D White/tan drywall 15 85
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
Analyst / Data QAAnalystAnalystAnalystAnalyst
P: 303-964-1986
F: 303-477-4275
1-866-RESI-ENV
www.reilab.com
5801 Logan Street, Suite 100, Denver, CO 80216
Page 1 of 5
RES Job Number:
Client:
Client Project Number / P.O.:
Client Project Description:
Date Samples Received:
Turnaround:
Date Samples Analyzed:
RES 316162-1
HealthSafe Inspections, Inc.
Ted Koutsoubos
430 W. Hallam, Aspen CO 81611
March 31, 2015
3-5 Day
April 06, 2015
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective January 1, 2015
Q:\QAQC\LAB\Reservoirs Environmental QA Manual.doc
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
Client
Sample
Number
Lab
ID Number
L
A
Y
E
R
Mineral
Method:EPA 600/R-93/116 - Short Report, Bulk
Physical
Description
Sub
Part
(%)
Visual
Estimate (%)
ND=None Detected
TR=Trace, <1% Visual Estimate
Trem-Act=Tremolite-Actinolite
Non
Asbestos
Fibrous
Components
(%)
Non-
Fibrous
Components
(%)
Asbestos Content
ND 10A White compound EM 1376558OP-CLG-J-2 15 85
ND 15B Off white tape 98 2
ND 35C Off white texture w/ white paint 0 100
ND 40D White/tan drywall 20 80
ND 20A Tan drywall paper EM 1376559OP-CLG-T-1 95 5
ND 80B Cream paint w/ off white texture 0 100
ND 2A Tan drywall paper EM 1376560OP-CLG-T-3 98 2
ND 98B Cream paint w/ white texture 0 100
ND 100A White texture w/ cream paint EM 1376561OP-CLG-T-4 0 100
ND 100A Cream paint w/ white texture EM 1376562OP-CLG-T-5 0 100
ND 100A Cream paint w/ white texture EM 1376563OP-CLG-T-6 0 100
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
Analyst / Data QAAnalystAnalystAnalystAnalyst
P: 303-964-1986
F: 303-477-4275
1-866-RESI-ENV
www.reilab.com
5801 Logan Street, Suite 100, Denver, CO 80216
Page 2 of 5
RES Job Number:
Client:
Client Project Number / P.O.:
Client Project Description:
Date Samples Received:
Turnaround:
Date Samples Analyzed:
RES 316162-1
HealthSafe Inspections, Inc.
Ted Koutsoubos
430 W. Hallam, Aspen CO 81611
March 31, 2015
3-5 Day
April 06, 2015
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective January 1, 2015
Q:\QAQC\LAB\Reservoirs Environmental QA Manual.doc
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
Client
Sample
Number
Lab
ID Number
L
A
Y
E
R
Mineral
Method:EPA 600/R-93/116 - Short Report, Bulk
Physical
Description
Sub
Part
(%)
Visual
Estimate (%)
ND=None Detected
TR=Trace, <1% Visual Estimate
Trem-Act=Tremolite-Actinolite
Non
Asbestos
Fibrous
Components
(%)
Non-
Fibrous
Components
(%)
Asbestos Content
ND 100A White texture w/ cream paint EM 1376564OP-CLG-T-7 0 100
3 Chrysotile10A White compound EM 1376565WL-FLT-J-1 0 97
ND 12B Off white tape 98 2
2 Chrysotile28C White compound w/ cream paint 0 98
ND 50D White/tan drywall 25 75
ND 10A White compound EM 1376566WL-FLT-J-2 0 100
ND 15B Off white tape 98 2
ND 15C White compound w/ off white paint 0 100
ND 60D White/tan drywall 15 85
ND 100A White texture w/ white paint EM 1376567WL-FLT-T-1 0 100
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
Analyst / Data QAAnalystAnalystAnalystAnalyst
P: 303-964-1986
F: 303-477-4275
1-866-RESI-ENV
www.reilab.com
5801 Logan Street, Suite 100, Denver, CO 80216
Page 3 of 5
RES Job Number:
Client:
Client Project Number / P.O.:
Client Project Description:
Date Samples Received:
Turnaround:
Date Samples Analyzed:
RES 316162-1
HealthSafe Inspections, Inc.
Ted Koutsoubos
430 W. Hallam, Aspen CO 81611
March 31, 2015
3-5 Day
April 06, 2015
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective January 1, 2015
Q:\QAQC\LAB\Reservoirs Environmental QA Manual.doc
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
Client
Sample
Number
Lab
ID Number
L
A
Y
E
R
Mineral
Method:EPA 600/R-93/116 - Short Report, Bulk
Physical
Description
Sub
Part
(%)
Visual
Estimate (%)
ND=None Detected
TR=Trace, <1% Visual Estimate
Trem-Act=Tremolite-Actinolite
Non
Asbestos
Fibrous
Components
(%)
Non-
Fibrous
Components
(%)
Asbestos Content
ND 100A White texture w/ white paint EM 1376568WL-FLT-T-2 (Labeled WL-
FLT-J-2 / Duplicate
Sample Labeling)
0 100
ND 100A White texture w/ white paint EM 1376569WL-FLT-T-3 0 100
ND 100A White paint w/ white texture EM 1376570WL-FLT-T-4 0 100
ND 100A White paint w/ white texture EM 1376571WL-FLT-T-5 0 100
ND 10A White compound EM 1376572GAR-BASE-MECH-OP-J 0 100
ND 12B Off white tape 98 2
ND 28C White compound w/ off white paint 0 100
ND 50D White/tan drywall 12 88
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
Analyst / Data QAAnalystAnalystAnalystAnalyst
P: 303-964-1986
F: 303-477-4275
1-866-RESI-ENV
www.reilab.com
5801 Logan Street, Suite 100, Denver, CO 80216
Page 4 of 5
RES Job Number:
Client:
Client Project Number / P.O.:
Client Project Description:
Date Samples Received:
Turnaround:
Date Samples Analyzed:
RES 316162-1
HealthSafe Inspections, Inc.
Ted Koutsoubos
430 W. Hallam, Aspen CO 81611
March 31, 2015
3-5 Day
April 06, 2015
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective January 1, 2015
Q:\QAQC\LAB\Reservoirs Environmental QA Manual.doc
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
Client
Sample
Number
Lab
ID Number
L
A
Y
E
R
Mineral
Method:EPA 600/R-93/116 - Short Report, Bulk
Physical
Description
Sub
Part
(%)
Visual
Estimate (%)
ND=None Detected
TR=Trace, <1% Visual Estimate
Trem-Act=Tremolite-Actinolite
Non
Asbestos
Fibrous
Components
(%)
Non-
Fibrous
Components
(%)
Asbestos Content
3 Chrysotile100A Off white texture w/ off white paint EM 1376573GAR-BASE-MECH-OP-T-1 0 97
ND 100A Off white texture w/ cream paint EM 1376574GAR-BASE-MECH-OP-T-2 0 100
ND 15A Light yellow compound EM 1376575GAR-BASE-MECH-OP-T-3 0 100
ND 85B White texture w/ white paint 0 100
ND 5A Tan drywall paper EM 1376576OP-CLG-T-2 (Not on
Original COC)
95 5
ND 95B White texture w/ white paint 0 100
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
Analyst / Data QAAnalystAnalystAnalystAnalyst
P: 303-964-1986
F: 303-477-4275
1-866-RESI-ENV
www.reilab.com
5801 Logan Street, Suite 100, Denver, CO 80216
Page 5 of 5
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective January 1, 2015
T:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
Subcontract Number:NA
Laboratory Report:RES 316867-1
Project # / P.O. # Ted Koutsonbos
Project Description:430 W Hallam, Aspen, CO 81611
RES 316867-1
Sincerely,
is the job number assigned to this study. This report is considered highly confidential
and the sole property of the customer.Reservoirs Environmental,Inc.will not discuss any part of this study with
personnel other than those of the client.The results described in this report only apply to the samples analyzed.
This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the
U.S.Government.This report shall not be reproduced except in full,without written approval from Reservoirs
Environmental,Inc.Samples will be disposed of after sixty days unless longer storage is requested.If you have any
questions about this report, please feel free to call 303-964-1986.
Jeanne Spencer
President
April 7, 2015
Dear Customer,
Reservoirs Environmental,Inc.is an analytical laboratory accredited for the analysis of Industrial Hygiene and
Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP),Lab Code 101896-0
for Transmission Electron Microscopy (TEM)and Polarized Light Microscopy (PLM)analysis and the American
Industrial Hygiene Association (AIHA),Lab ID 101533 -Accreditation Certificate #480 for Phase Contrast
Microscopy (PCM)analysis.This laboratory is currently proficient in both Proficiency Testing and PAT programs
respectively.
Reservoirs Environmental,Inc.has analyzed the following samples for asbestos content as per your request.The
analysis has been completed in general accordance with the appropriate methodology as stated in the attached
analysis table. The results have been submitted to your office.
HealthSafe Inspections, Inc.
1052 Vine St.
Aspen CO 81611
Jim Baker
P: 303-964-1986
F: 303-477-4275
5801 Logan Street, Suite 100 Denver, CO 80216
Page 1 of 1
1-866-RESI-ENV
www.reilab.com
RES Job Number:
Client:
Client Project Number / P.O.:
Client Project Description:
Date Samples Received:
Turnaround:
Date Samples Analyzed:
RES 316867-1
HealthSafe Inspections, Inc.
Ted Koutsonbos
430 W Hallam, Aspen, CO 81611
April 07, 2015
2 Hour
April 07, 2015
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective January 1, 2015
Q:\QAQC\LAB\Reservoirs Environmental QA Manual.doc
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
Client
Sample
Number
Lab
ID Number
L
A
Y
E
R
Mineral
Method:EPA 600/R-93/116 - Short Report, Bulk
Physical
Description
Sub
Part
(%)
Visual
Estimate (%)
ND=None Detected
TR=Trace, <1% Visual Estimate
Trem-Act=Tremolite-Actinolite
Non
Asbestos
Fibrous
Components
(%)
Non-
Fibrous
Components
(%)
Asbestos Content
ND 100A White/off white compound w/ white paint EM 1382095GAR-OP-T-4 TR 100
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
Analyst / Data QAAnalystAnalystAnalystAnalyst
P: 303-964-1986
F: 303-477-4275
1-866-RESI-ENV
www.reilab.com
5801 Logan Street, Suite 100, Denver, CO 80216
Page 1 of 1
Colorado Department
of Public Health
and Environment
ASBESTOS
CERTIFICATION*
This certifies that
Jim Baker
Certification No.:13437
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*
Issued:April 22,2014
April 22,2015Expires:
*This certificate is valid only with the possession of a
current Division-approved training course certification
in the discipline specified above.
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