HomeMy WebLinkAboutDOCUMENT 230 Cyteworth Dr Asbestos Report 2020-04-06Banyan Environmental 1540 Main St. Suite 218 Windsor, CO 80550
970.222.6849 banyanenv@gmail.com
Asbestos Inspection and Sampling Report
230 Cyteworth Rd. Estes Park, CO
Presented To:
State Farm
Heidi Royalty
CLAIM # 0605T091J
Insured:
James Gunter
230 Cyteworth Rd.
Estes Park, CO
Performed & Prepared By:
Andy Dunnell
Banyan Environmental
1540 Main St. Suite 218
Windsor, CO 80550
970.222.6849
Project Details:
Project Number: BD3347
Conducted: April 6, 2020
TABLE OF CONTENTS
PROJECT OVERVIEW
1.0 Introduction
2.0 Scope of Work
3.0 Site Description
4.0 Certifications
5.0 Inspection, Sampling & Analytical Procedures
5.1 Inspection Procedures
5.2 Sampling Procedures
5.3 Analytical Procedures
6.0 Homogeneous Areas
6.1 Material Friability
6.2 Material Classifications
6.3 Material Conditions
6.4 Sample Quantities
7.0 Overview of Findings
8.0 Findings & Recommendations
9.0 Asbestos Abatement & Demolition Requirements
10.0 Disclaimer & Limitations
PROJECT OVERVIEW
1.0 Introduction
On April 6, 2020, Brett Darco with Banyan Environmental conducted a full asbestos inspection and
collected asbestos bulk-samples of suspect asbestos-containing materials (ACM) within the single-family
residence located at 230 Cyteworth Rd. Estes Park, Colorado.
The purpose of the full inspection was to identify and sample potentially hazardous friable and non-friable
ACM that has either been affected by a recent fire loss and/or may be impacted by subsequent restoration
activities.
2.0 Scope of Work
The scope of the full inspection and bulk-sampling was not limited to specific areas of the residence defined
by the restoration company. These areas included all the accessible rooms and levels. The remaining areas
within the property, garage or any out-building on the property were not included in the scope of the
inspection. The full asbestos inspection did constitute a full building inspection and does fulfill the asbestos
inspection requirements for structures that are to be demolished.
3.0 Site Description
The residence is a wood-framed, single-family residence with an unfinished basement with dirt floor. The
exterior of the house has wood paneling with wood cedar shingles on the roof. The windows were newer
with no glazing. No asbestos containing materials were found at the time of the inspection.
4.0 Certifications
The full asbestos inspection and bulk-sampling was conducted by Brett Darco with Banyan Environmental
is a Colorado Department of Public Health and Environment (CDPHE) certified Asbestos Consulting Firm,
Registration No. 16780. Mr. Dunnell is a CDPHE certified Building Inspector; having certification number
12584.
5.0 Inspection, Sampling & Analytical Procedures
5.1 Inspection Procedures
The full asbestos inspection was conducted by an Environmental Protection Agency (EPA) and CDPHE
certified Building Inspector. The inspection procedures included identifying and sampling suspect ACM
within the pre-defined areas, submitting samples to an accredited laboratory for analysis, classifying the
materials and assessing their condition, and compiling a final report detailing the inspection and the
analytical results of the bulk-samples.
5.2 Sampling Procedures
Statistically random bulk-samples representative of the suspect ACM of each homogeneous area were
collected according to the guidelines published as EPA Final Rule: Title II of the Toxic Substances Control
Act (TSCA), 15 USC, Sections 2641 through 2654 and in compliance with 40 CFR, Part 763 and CDPHE
Regulation Number 8, Part B- Asbestos (Reg. 8).
Banyan Environmental has collected the appropriate number of bulk-samples to meet all regulatory
requirements for the classification and quantity of each homogeneous area. Some minor destructive
sampling was conducted; however, walls, columns and perimeter pipe chases were not broken into in
order to locate and quantify suspect ACM. Banyan is not responsible for repairing the damage from
collecting bulk samples. It should be noted that additional ACM might be located in these and other
inaccessible areas.
Materials containing less than 1% asbestos are not regulated by CDPHE Regulation 8, Part B – Asbestos.
However, all demolition/abatement activities should be performed following the applicable Occupational
Safety and Health Administration (OSHA) regulations. This would include, but not limited to, the
appropriate asbestos training for the type of material being removed/disturbed as well as having a
properly trained supervisor onsite, using wet removal methods, wearing adequate personal protective
equipment (HEPA-filtered particulate respirators), medical surveillance of workers, personal-exposure air
monitoring, area air monitoring in occupied buildings, etc. There may also be landfill disposal requirements
for these materials, depending on the facility. Banyan recommends that all demolition/renovation areas
involving any amount of asbestos be subjected to visual inspections and a final clearance air testing by a
CDPHE-certified Air Monitoring Specialist (AMS) after the work has been completed, but before any
containments are dismantled and the area is reoccupied.
5.3 Analytical Procedures
All asbestos bulk-samples were analyzed by a National Voluntary Laboratory Accreditation Program
(NVLAP) accredited laboratory via Polarized Light Microscopy (PLM) for asbestos content (see Appendix B
for laboratory report).
6.0 Homogeneous Areas
A Homogeneous Area (HA) includes materials that are uniform in appearance, color, texture and date of
application. The asbestos content of the bulk-samples collected within a homogeneous area can be applied
to the entire homogenous area if they conform to the above characteristics and the regulated minimum
sample quantities of each type of material are collected and analyzed.
6.1 Material Friability
A material can either be friable or non-friable. A friable material is one that, when dry, can be pulverized, or
reduced to powder by hand pressure, a non-friable material cannot. A non-friable material may become
friable if its condition had deteriorated or has been impacted by forces that have rendered it friable.
6.2 Material Classifications
Sampled materials are divided into one of the following three categories:
• Surfacing Material: sprayed or troweled onto structural building members
• Thermal System Insulation (TSI): any type of pipe, boiler, tank, or duct insulation
• Miscellaneous Material: all other materials not classified in the above two categories
6.3 Material Conditions
Sampled materials are placed into one of the three following categories of conditions:
• Good: none to very little visible damage or deterioration
• Damaged: 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, or one-quarter if the
damage is localized
• Significantly Damaged: the surface is crumbling, blistered, water-stained, gouged, marred or
otherwise abraded over greater than one-tenth of the surface if the damage is evenly distributed, or
one-quarter if the damage is localized
6.4 Sample Quantities
Banyan Environmental collected at least the minimum number of samples from each homogeneous area
necessary to meet all regulatory requirements for the quantity of material to be disturbed. The quantities
listed in this report are approximate and on-site verification of the exact quantity of each material is
required. The following outlines the minimum sample quantities required per homogeneous area:
• Surfacing Materials: up to 1,000 ft2 of material requires a minimum of three (3) samples; between
1,000 ft2 and 5,000 ft2 of material requires a minimum of five (5) samples; over 5,000 ft2 of
material requires a minimum of seven (7) samples; one (1) sample of each patch
• Thermal System Insulation (TSI): each homogeneous area requires a minimum of three (3) samples;
at least one (1) sample must be collected from each patch; and collect enough samples sufficient to
adequately assess the material and determine the asbestos content for TSI fittings such as pipe
elbows or T’s.
• Miscellaneous Materials : collect enough samples sufficient to determine the asbestos content
7.0 Overview of Findings
Asbestos was not reported within any of the materials collected. Banyan Environmental collected a
total of twenty-eight (28) bulk-samples of nine (9) homogeneous areas. These areas included a knockdown
surfacing texture found in the basement bedroom, bathroom and laundry room, sheet vinyl flooring in the
basement bathroom and laundry room and a miscellaneous floor covering in the basement bathroom
storage closet.
Table 1 below describes the materials composing each homogeneous area as well as the locations of each
bulk-sample collected. Also listed is the classification, condition, friability and estimated quantity of
material to be removed and/or disturbed, as well as the asbestos content within each bulk-sample. Please
see Appendix B: Analytical Data for the layer break-down of each bulk-sample.
Table 1
HA
#
Sample
Number
Material
Class Material and Location Material
Condition
Estimated
Quantity
Material
Friability
Asbestos
Content
1
SM-1.1
SM
Main level living room drywall
west wall. Orange peel txt SD
<1000 sqft
Friable ND
SM-1.2 Main level living room drywall
east wall. Orange peel txt SD Friable ND
SM-1.3 Main level living room ceiling
drywall. Orange peel txt SD Friable ND
2
VIN-4
MM
Kitchen vinyl flooring SD
~148 sqft
Friable ND
VIN-5 Kitchen vinyl flooring SD Friable ND
3
VIN-6
MM
Bathroom vinyl flooring SD
~64 sqft
Friable ND
VIN-7 Bathroom vinyl flooring SD Friable ND
4
SM-2.8
SM
Living room drywall east wall
large patch close to kitchen.
Trawled txt
SD
~32 sqft
Friable ND
SM-2.9
Living room drywall east wall
large patch close to kitchen.
Trawled txt
SD Friable ND
SM-2.10
Living room drywall east wall
large patch close to kitchen.
Trawled txt
SD Friable ND
5
SM-3.11
SM
Kitchen drywall above cabinets
north wall. Orange peel txt SD
<1000 sqft
Friable ND
SM-3.12 Kitchen drywall east wall. Orange
peel txt SD Friable ND
SM-3.13 Kitchen soffit drywall. Orange
peel txt SD Friable ND
6
SM-4.14
SM
Kitchen ceiling drywall. Orange
peel txt SD
~148 sqft
Friable ND
SM-4.15 Kitchen ceiling drywall. Orange
peel txt SD Friable ND
SM-4.16 Kitchen ceiling drywall. Orange
peel txt SD Friable ND
1
SM-1.17
SM
Living room drywall south wall.
Orange peel txt SD
Friable ND
SM-1.18 Living room drywall north wall.
Orange peel txt SD Friable ND
7
SM-8.19
SM
Bedroom drywall walls at
damaged area. Orange peel txt SD
<5000 sqft
Friable ND
SM-8.20 Bedroom drywall walls at
damaged area. Orange peel txt SD Friable ND
SM-8.21 Bedroom ceiling drywall. Orange
peel txt SD Friable ND
SM-8.22 Bedroom ceiling drywall. Orange
peel txt SD Friable ND
SM-8.23 Bedroom ceiling drywall. Orange
peel txt SD Friable ND
8
MM-24
SM
Pink attic insulation SD
~675 sqft
Friable ND
MM-25 Pink attic insulation SD Friable ND
9
DEB-29
SM
Debris on ground by front porch SD
Friable ND
DEB-30 Debris on ground by front porch SD Friable ND
DEB-31 Debris on ground by front porch SD Friable ND
HA- Homogenous Area G- Good SM- Surfacing Material
ND- Non-detect D- Damaged MM Miscellaneous Material
TR- Trace, <1% SD- Significantly Damaged TSI- Thermal System Insulation
8.0 Findings & Recommendations
ACM was not identified within the areas of the residence that were within the scope of the full inspection
and bulk-sampling performed on April 6, 2020 ; therefore, no professional abatement activities are
required to remove or disturb the above-referenced sampled materials.
9.0 Asbestos Abatement & Demolition Requirements
If ACM is to be removed or disturbed in a single-family residence, and the total quantity exceeds any of the
regulatory trigger levels of 50 linear ft. on pipes, 32 ft2 on other surfaces, or the volume equivalent of a 55-
gallon drum, a CDPHE-certified General Abatement Contractor (GAC) is required to perform the work. The
regulatory trigger levels within a commercial building are 260 linear ft. on pipes, 160 ft2 on other surfaces,
or the volume equivalent of a 55-gallon drum. In addition, formal notification to CDPHE prior to the
abatement of ACM as well as air monitoring, visual inspections, and final air clearances by a CDPHE-
certified Asbestos AMS is required.
CDPHE regulations allow for the demolition of a building that contains non-friable asbestos-containing
materials, such as caulking, mastic or resilient floor tiles. However, demolition must be completed without
causing the non-friable ACM to be rendered friable. Burning a building with any ACM is prohibited.
Operations such as sanding, cutting, crushing, grinding, pneumatic jacking, etc. of ACM are not permitted.
Recycling of building materials such as concrete, metal, or wood that are bonded or contaminated with
ACM, e.g. glue, caulking, or mastic is also prohibited. If any of the non-friable asbestos containing materials
are to be recycled and rendered friable after demolition (i.e. crushing mastic-coated concrete), these
materials must be abated of all ACM prior to shipping offsite for recycling.
OSHA regulations regarding occupational exposure during demolition activities is still mandatory. OSHA 29
CFR 1926.1101 requires that workers performing construction-related activities be protected from
asbestos fibers in excess of the permissible exposure limit of 0.1 f/cc of air. Contractors are must comply
with applicable provisions of OSHA 29 CFR 1926.1101 during demolition and renovation activities. These
OSHA provisions include, but are not limited to, PPE and respirators, personnel training, personal-exposure
air monitoring, employee medical surveillance, wet removal methods, signage for regulated areas, etc.
10.0 Disclaimer & Limitations
The activities outlined in this report were conducted in a manner consistent with a level of care and
expertise exercised by members of the environmental consulting and industrial hygiene profession. All
activities were performed in accordance with all applicable federal, state, and local regulations as well as
generally accepted standards and professional practice. No warranty is either expressed or implied. Banyan
Environmental assumes no responsibility or liability for error in public information utilized, statements
from sources other than Banyan, or developments resulting from situations outside the scope of this
project.
The details provided within this report outline the inspection activities on the date(s) indicated and should
not be relied upon to represent conditions at a later date, the limited number of bulk-samples collected,
and the laboratory results of those bulk-samples. The laboratory results contained in this report apply
specifically to the materials in which bulk-samples were collected. The results do not include or apply to
any other materials within the structure that were not sampled, but may contain asbestos; including
materials that may be hidden or inaccessible. All work must stop and additional inspection and bulk-
sampling activities would be required to determine if any other materials contain asbestos.
This report has been prepared on behalf of and exclusively for use by the Client, with specific application to
their project as discussed in the scope of work. The results of any surfacing material indicated in this report
also includes any associated overspray of that material, e.g., under carpet, above suspended ceilings, etc.
The information contained in this report is intended as supplementary material for abatement design and
is not to be used as the scope of work for abatement activities, bidding or billing purposes. Contractors or
consultants reviewing this report must draw their own conclusions regarding further investigation or
remediation deemed necessary.
Thank you for your business.
Sincerely,
State of Colorado Building Inspector Accreditation No: 15895 exp. 10/17/2020
TECHNOLOGY
LABORATORY, INC.
1012 Centre Avenue, Suite 101
Fort Collins, Colorado 80526
www.techlabusa.com
info@techlabusa.com
Phone: 970-490-1414 ¸ Fax: 970-472-5488
Banyan Environmental
1540 Main St.
Windsor, CO 80550
Re: Analysis of Bulk Asbestos Samples
Order #: B9156
Project #: BD-3347 SMF
Project Location or Name: 230 Cyteworth Rd. Estes Park
Dear Client:
Attached are the results of the analyses for asbestos materials that were submitted to this facility on 04/07/2020.
Please note that:
x Technology Laboratory, Inc. (TLI) analyzes bulk asbestos samples following procedures developed by the
McCrone Research Institute and in compliance with guidelines established by the Environmental
Protection Agency (App. E to Sub. E of 40 CFR Part 763 and 600/R-93/116).
x TLI is accredited for bulk asbestos analysis by the National Voluntary Laboratory Accreditation Program
(NVLAP) of the National Institute of Standards and Technology (NIST). Our NVLAP Laboratory Code is
600232-0. Our State of Colorado certification number is AL-25683. TLI complies with NVLAP requirements
unless otherwise noted. This report must not be used by the client to claim product certification,
approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
x The analytical results provided in this report apply only to the samples submitted to the laboratory. This
report is confidential. Details of this report will not be discussed with any person or agency not associated
with you or your organization. This report must be reproduced in its entirety (including this cover
document) and shall not be copied in part or used by the client to claim product endorsement by NVLAP
or any agency of the U.S. Government. Samples will be held for a minimum of sixty days unless longer
storage is requested. If you have any questions regarding the contents of this report, please call TLI at
970-490-1414.
NVLAP Lab Code 600232-0
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;App͘ E ƚo SƵb͘ E of ϰϬ CFR Parƚ ϳϲϯ and ϲϬϬͬRͲϵϯͬϭϭϲͿ
Projecƚ η͗BDͲϯϯϰϳ SMF
Daƚe Receiǀed͗ϰͬϲͬϮϬϮϬ
Daƚe AnalLJnjed͗ϰͬϳͬϮϬϮϬ
BanLJan Enǀironmenƚal
ϭϱϰϬ Main Sƚ͘
WindƐŽƌ͕ CO ϴϬϱϱϬ
TECHNOLOGY LABORATORY, INC.
1012 CHQWUH AYHQXH
FRUW CROOLQV, CRORUadR 80526
(970) 490-1414
CERTIFICATE OF ANALYSIS
NŽne DeƚecƚedSMͲϮ͘ϵ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh Gƌeen Painƚ͕ YellŽǁ͕ ϮϰΣCBϵϭϱϲͲϬϵ
Ϯϱй
ϳϱй
ϭϬй Žf TŽƚal SamƉle
NŽne Deƚecƚed Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ Ϯ
TedžƚƵƌe ǁiƚh Whiƚe Painƚ͕ WhiƚeBϵϭϱϲͲϬϵA
Ϯϱй
ϳϱй
ϭϬй Žf TŽƚal SamƉle
NŽne Deƚecƚed CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ ϯ
DƌLJǁall͕ GƌaLJͬTanBϵϭϱϲͲϬϵB
ϮϬй
ϴϬй
ϴϬй Žf TŽƚal SamƉle
NŽne DeƚecƚedSMͲϮ͘ϭϬ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh Gƌeen Painƚ͕ YellŽǁ͕ ϮϰΣCBϵϭϱϲͲϭϬ
Ϯϱй
ϳϱй
ϭϱй Žf TŽƚal SamƉle
NŽne Deƚecƚed Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ Ϯ
TedžƚƵƌe ǁiƚh Whiƚe Painƚ͕ WhiƚeBϵϭϱϲͲϭϬA
Ϯϱй
ϳϱй
ϭϱй Žf TŽƚal SamƉle
NŽne Deƚecƚed CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ ϯ
DƌLJǁall͕ GƌaLJͬTanBϵϭϱϲͲϭϬB
ϯϬй
ϳϬй
ϳϬй Žf TŽƚal SamƉle
NŽne DeƚecƚedSMͲϯ͘ϭϭ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh Off Whiƚe Painƚ͕ Whiƚe͕
ϮϰΣC
BϵϭϱϲͲϭϭ
ϯϬй
ϳϬй
ϯϬй Žf TŽƚal SamƉle
NŽne Deƚecƚed CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ Ϯ
DƌLJǁall͕ WhiƚeͬTanBϵϭϱϲͲϭϭA
ϯϱй
ϲϱй
ϳϬй Žf TŽƚal SamƉle
NŽne DeƚecƚedSMͲϯ͘ϭϮ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh Off Whiƚe Painƚ͕ Whiƚe͕
ϮϰΣC
BϵϭϱϲͲϭϮ
ϯϬй
ϳϬй
ϯϱй Žf TŽƚal SamƉle
Page ϯ Žf ϳ
Sample ID η Sample DeƐcripƚion AƐbeƐƚoƐ
ConƐƚiƚƵenƚƐ
NonͲAƐbeƐƚoƐ
ConƐƚiƚƵenƚƐ
Order η͗Bϵϭϱϲ
Daƚe Reporƚed͗ϰͬϳͬϮϬϮϬ
BƵlk AƐbeƐƚoƐ Fiber AnalLJƐiƐ bLJ Polarinjed Lighƚ MicroƐcopLJ ;PLMͿ EPA
;App͘ E ƚo SƵb͘ E of ϰϬ CFR Parƚ ϳϲϯ and ϲϬϬͬRͲϵϯͬϭϭϲͿ
Projecƚ η͗BDͲϯϯϰϳ SMF
Daƚe Receiǀed͗ϰͬϲͬϮϬϮϬ
Daƚe AnalLJnjed͗ϰͬϳͬϮϬϮϬ
BanLJan Enǀironmenƚal
ϭϱϰϬ Main Sƚ͘
WindƐŽƌ͕ CO ϴϬϱϱϬ
TECHNOLOGY LABORATORY, INC.
1012 CHQWUH AYHQXH
FRUW CROOLQV, CRORUadR 80526
(970) 490-1414
CERTIFICATE OF ANALYSIS
NŽne DeƚecƚedSMͲϯ͘ϭϮ CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ Ϯ
DƌLJǁall͕ WhiƚeͬTanBϵϭϱϲͲϭϮA
ϰϬй
ϲϬй
ϲϱй Žf TŽƚal SamƉle
NŽne DeƚecƚedSMͲϯ͘ϭϯ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh Off Whiƚe Painƚ͕ Whiƚe͕
ϮϰΣC
BϵϭϱϲͲϭϯ
ϯϬй
ϳϬй
ϯϬй Žf TŽƚal SamƉle
NŽne Deƚecƚed CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ Ϯ
DƌLJǁall͕ WhiƚeͬTanBϵϭϱϲͲϭϯA
ϯϱй
ϲϱй
ϳϬй Žf TŽƚal SamƉle
NŽne DeƚecƚedSMͲϰ͘ϭϰ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh Off Whiƚe Painƚ͕ Whiƚe͕
ϮϰΣC
BϵϭϱϲͲϭϰ
Ϯϱй
ϳϱй
ϭϬй Žf TŽƚal SamƉle
NŽne Deƚecƚed CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ Ϯ
DƌLJǁall͕ WhiƚeͬTan͕ ϮϰΣCBϵϭϱϲͲϭϰA
ϮϬй
ϴϬй
ϵϬй Žf TŽƚal SamƉle
NŽne DeƚecƚedSMͲϰ͘ϭϱ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh Off Whiƚe Painƚ͕ Whiƚe͕
ϮϰΣC
BϵϭϱϲͲϭϱ
Ϯϱй
ϳϱй
ϭϬй Žf TŽƚal SamƉle
NŽne Deƚecƚed CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ Ϯ
DƌLJǁall͕ WhiƚeͬTan͕ ϮϰΣCBϵϭϱϲͲϭϱA
ϮϬй
ϴϬй
ϵϬй Žf TŽƚal SamƉle
NŽne DeƚecƚedSMͲϰ͘ϭϲ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh Off Whiƚe Painƚ͕ Whiƚe͕
ϮϰΣC
BϵϭϱϲͲϭϲ
Ϯϱй
ϳϱй
ϭϬй Žf TŽƚal SamƉle
NŽne Deƚecƚed CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ Ϯ
DƌLJǁall͕ WhiƚeͬTan͕ ϮϰΣCBϵϭϱϲͲϭϲA
ϮϬй
ϴϬй
ϵϬй Žf TŽƚal SamƉle
Page ϰ Žf ϳ
Sample ID η Sample DeƐcripƚion AƐbeƐƚoƐ
ConƐƚiƚƵenƚƐ
NonͲAƐbeƐƚoƐ
ConƐƚiƚƵenƚƐ
Order η͗Bϵϭϱϲ
Daƚe Reporƚed͗ϰͬϳͬϮϬϮϬ
BƵlk AƐbeƐƚoƐ Fiber AnalLJƐiƐ bLJ Polarinjed Lighƚ MicroƐcopLJ ;PLMͿ EPA
;App͘ E ƚo SƵb͘ E of ϰϬ CFR Parƚ ϳϲϯ and ϲϬϬͬRͲϵϯͬϭϭϲͿ
Projecƚ η͗BDͲϯϯϰϳ SMF
Daƚe Receiǀed͗ϰͬϲͬϮϬϮϬ
Daƚe AnalLJnjed͗ϰͬϳͬϮϬϮϬ
BanLJan Enǀironmenƚal
ϭϱϰϬ Main Sƚ͘
WindƐŽƌ͕ CO ϴϬϱϱϬ
TECHNOLOGY LABORATORY, INC.
1012 CHQWUH AYHQXH
FRUW CROOLQV, CRORUadR 80526
(970) 490-1414
CERTIFICATE OF ANALYSIS
NŽne DeƚecƚedSMͲϭ͘ϭϳ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh Gƌeen Painƚ͕ Whiƚe͕ ϮϰΣCBϵϭϱϲͲϭϳ
Ϯϱй
ϳϱй
ϭϱй Žf TŽƚal SamƉle
NŽne Deƚecƚed CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ Ϯ
DƌLJǁall͕ WhiƚeͬTanBϵϭϱϲͲϭϳA
ϮϬй
ϴϬй
ϴϱй Žf TŽƚal SamƉle
NŽne DeƚecƚedSMͲϭ͘ϭϴ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh Gƌeen Painƚ͕ Whiƚe͕ ϮϰΣCBϵϭϱϲͲϭϴ
Ϯϱй
ϳϱй
ϮϬй Žf TŽƚal SamƉle
NŽne Deƚecƚed CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ Ϯ
DƌLJǁall͕ WhiƚeͬTanBϵϭϱϲͲϭϴA
ϯϬй
ϳϬй
ϴϬй Žf TŽƚal SamƉle
NŽne DeƚecƚedSMͲϱ͘ϭϵ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh Lighƚ GƌaLJ Painƚ͕ Whiƚe͕
ϮϰΣC
BϵϭϱϲͲϭϵ
Ϯϱй
ϳϱй
ϭϬй Žf TŽƚal SamƉle
NŽne Deƚecƚed CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ Ϯ
DƌLJǁall Ceiling Tile͕ WhiƚeͬTanBϵϭϱϲͲϭϵA
ϮϬй
ϴϬй
ϵϬй Žf TŽƚal SamƉle
NŽne DeƚecƚedSMͲϱ͘ϮϬ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh GƌaLJ Painƚ͕ Whiƚe͕ ϮϰΣCBϵϭϱϲͲϮϬ
Ϯϱй
ϳϱй
ϯϬй Žf TŽƚal SamƉle
NŽne Deƚecƚed CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ Ϯ
DƌLJǁall Ceiling Tile͕ WhiƚeͬTanBϵϭϱϲͲϮϬA
ϯϱй
ϲϱй
ϳϬй Žf TŽƚal SamƉle
NŽne DeƚecƚedSMͲϱ͘Ϯϭ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh Off Whiƚe Painƚ͕ Whiƚe͕
ϮϰΣC
BϵϭϱϲͲϮϭ
Ϯϱй
ϳϱй
ϯϬй Žf TŽƚal SamƉle
Page ϱ Žf ϳ
Sample ID η Sample DeƐcripƚion AƐbeƐƚoƐ
ConƐƚiƚƵenƚƐ
NonͲAƐbeƐƚoƐ
ConƐƚiƚƵenƚƐ
Order η͗Bϵϭϱϲ
Daƚe Reporƚed͗ϰͬϳͬϮϬϮϬ
BƵlk AƐbeƐƚoƐ Fiber AnalLJƐiƐ bLJ Polarinjed Lighƚ MicroƐcopLJ ;PLMͿ EPA
;App͘ E ƚo SƵb͘ E of ϰϬ CFR Parƚ ϳϲϯ and ϲϬϬͬRͲϵϯͬϭϭϲͿ
Projecƚ η͗BDͲϯϯϰϳ SMF
Daƚe Receiǀed͗ϰͬϲͬϮϬϮϬ
Daƚe AnalLJnjed͗ϰͬϳͬϮϬϮϬ
BanLJan Enǀironmenƚal
ϭϱϰϬ Main Sƚ͘
WindƐŽƌ͕ CO ϴϬϱϱϬ
TECHNOLOGY LABORATORY, INC.
1012 CHQWUH AYHQXH
FRUW CROOLQV, CRORUadR 80526
(970) 490-1414
CERTIFICATE OF ANALYSIS
NŽne DeƚecƚedSMͲϱ͘Ϯϭ CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ Ϯ
DƌLJǁall Ceiling Tile͕ WhiƚeͬTanBϵϭϱϲͲϮϭA
ϯϱй
ϲϱй
ϳϬй Žf TŽƚal SamƉle
NŽne DeƚecƚedSMͲϱ͘ϮϮ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh Off Whiƚe Painƚ͕ Whiƚe͕
ϮϰΣC
BϵϭϱϲͲϮϮ
Ϯϱй
ϳϱй
ϯϬй Žf TŽƚal SamƉle
NŽne Deƚecƚed CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ Ϯ
DƌLJǁall͕ WhiƚeͬTanBϵϭϱϲͲϮϮA
ϯϱй
ϲϱй
ϳϬй Žf TŽƚal SamƉle
NŽne DeƚecƚedSMͲϱ͘Ϯϯ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh Off Whiƚe Painƚ͕ Whiƚe͕
ϮϰΣC
BϵϭϱϲͲϮϯ
Ϯϱй
ϳϱй
ϭϬй Žf TŽƚal SamƉle
NŽne Deƚecƚed CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ Ϯ
DƌLJǁall͕ WhiƚeͬTanBϵϭϱϲͲϮϯA
ϮϬй
ϴϬй
ϵϬй Žf TŽƚal SamƉle
NŽne DeƚecƚedMMͲϮϰ Mineƌal WŽŽlInƐƵlaƚiŽn͕ Pink͕ HŽmŽgenŽƵƐ͕ ϮϰΣC
BϵϭϱϲͲϮϰ
ϭϬϬй
ϭϬϬй Žf TŽƚal SamƉle
NŽne DeƚecƚedMMͲϮϱ Mineƌal WŽŽlInƐƵlaƚiŽn͕ Pink͕ HŽmŽgenŽƵƐ͕ ϮϰΣC
BϵϭϱϲͲϮϱ
ϭϬϬй
ϭϬϬй Žf TŽƚal SamƉle
NŽne DeƚecƚedDebͲϮϵ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh Off Whiƚe Painƚ͕ Whiƚe͕
ϮϰΣC
BϵϭϱϲͲϮϵ
Ϯϱй
ϳϱй
ϭϬй Žf TŽƚal SamƉle
NŽne Deƚecƚed CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ Ϯ
DƌLJǁall͕ WhiƚeͬTanBϵϭϱϲͲϮϵA
Ϯϱй
ϳϱй
ϵϬй Žf TŽƚal SamƉle
Page ϲ Žf ϳ
Sample ID η Sample DeƐcripƚion AƐbeƐƚoƐ
ConƐƚiƚƵenƚƐ
NonͲAƐbeƐƚoƐ
ConƐƚiƚƵenƚƐ
Order η͗Bϵϭϱϲ
Daƚe Reporƚed͗ϰͬϳͬϮϬϮϬ
BƵlk AƐbeƐƚoƐ Fiber AnalLJƐiƐ bLJ Polarinjed Lighƚ MicroƐcopLJ ;PLMͿ EPA
;App͘ E ƚo SƵb͘ E of ϰϬ CFR Parƚ ϳϲϯ and ϲϬϬͬRͲϵϯͬϭϭϲͿ
Projecƚ η͗BDͲϯϯϰϳ SMF
Daƚe Receiǀed͗ϰͬϲͬϮϬϮϬ
Daƚe AnalLJnjed͗ϰͬϳͬϮϬϮϬ
BanLJan Enǀironmenƚal
ϭϱϰϬ Main Sƚ͘
WindƐŽƌ͕ CO ϴϬϱϱϬ
TECHNOLOGY LABORATORY, INC.
1012 CHQWUH AYHQXH
FRUW CROOLQV, CRORUadR 80526
(970) 490-1414
CERTIFICATE OF ANALYSIS
NŽne DeƚecƚedDebͲϯϬ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh Off Whiƚe Painƚ͕ Whiƚe͕
ϮϰΣC
BϵϭϱϲͲϯϬ
Ϯϱй
ϳϱй
ϭϬй Žf TŽƚal SamƉle
NŽne Deƚecƚed CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ Ϯ
DƌLJǁall͕ WhiƚeͬTanBϵϭϱϲͲϯϬA
ϮϬй
ϴϬй
ϵϬй Žf TŽƚal SamƉle
NŽne DeƚecƚedDebͲϯϭ Oƚheƌ
CalciƵm CaƌbŽnaƚe
LaLJeƌ ϭ
TedžƚƵƌe ǁiƚh Off Whiƚe Painƚ͕ Whiƚe͕
ϮϰΣC
BϵϭϱϲͲϯϭ
Ϯϱй
ϳϱй
ϮϬй Žf TŽƚal SamƉle
NŽne Deƚecƚed CellƵlŽƐe
GLJƉƐƵm
LaLJeƌ Ϯ
DƌLJǁall͕ WhiƚeͬTanBϵϭϱϲͲϯϭA
ϯϬй
ϳϬй
ϴϬй Žf TŽƚal SamƉle
Page ϳ Žf ϳ