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HomeMy WebLinkAbout2203 S Shields St - Special Inspections/Field Verification - 06/01/2011F�`o`r`�t_ Collml Fort Collins Utilities RegWatory and Government Affairs Division 700 Wood Street Fort Collins, CO 80522 970.221.6900 970.221.6970 - fax kgov.com/ufiiifies Letter of Findings: Inspection for Asbestos -Containing Materials City Of Fort Collins, Rolland Moore Park 2201 S. Shields Street Report Date: 6/1/2011 Prepared For. Eileen Scholl City of Fort Collins Parks Project M a Prepared by: l Matt Zoccadi, City of Fort Collins, Environdent4i Regulatory Specialist State of Colorado Certified Building Inspector Reviewed By: (.1" _0.0o 0Q = (e! i 1 ( I Carol Webb, City of Fort Collins, Regulatory and Government Affairs Manager STATE OF COLORADO ASBESTOS . . CER1IFICATI6N* ` V" Colorado Department of Public Health and Environment:' w w. Air Pollut�onlControl Division�T T. 479 P ' is certifies'that�� Matthew J. Zoccali 4r Certi ati No• 15932 4 has met the. requirements.,of 25 7-507, C.R!S. and Air Quality Control Commission Regulation No"�8, PartB, and is hereby certified by the state of Colorado in the following discipline Inspector/Management Planner* V Issued: 1/21/2011 h =$s� ffi Expires on: 1/21/2012 This certificate is valid only with the possession of current DJvisionapproi�ed training course certification in the Arcipline specified above Appendix B: Field Sampling Documents Rolland Moore Bathroom Inspection (ACM) Report May 16, 2011 10- Fort Collins No Text No Text No Text No Text No Text No Text No Text No Text , - ���t`�� ExecutiveSummary....................................................................................................................3 1. Introduction .........................................................................................................................4 1.1 Background...................................................................................................................4 1.2 Regulatory Compliance- EPA, NESHAP, OSHA and CDPHE Programs...........4 2 Methodology and Scope of Work...................................................................................... 5 2.1 Asbestos Inspection Methodologies.......................................................................... 5 2.2 Homogenous Materials Identification......................................................................6 2.3 Friable and Non-friable Materials ............................................................................. 6 2.4 Sampling Strategy........................................................................................................ 6 Table1 Sampling Strategy.................................................................................................. 7 2.5 Laboratory Analysis for Asbestos ............................................................................. 7 3 Asbestos Inspection Findings............................................................................................. 7 4 Recommendations................................................................................................................ 8 5 Limitations............................................................................................................................ 8 QualificationsAppendixB: .......................................................................................................9 AppendixB:................................................................................................................................ ]0 FieldSampling Documents..................................................................................................... 10 Chain of Custody and Laboratory Report............................................................................ 11 ' Rolland Moore Bathroom Inspection(ACM)Report May 16,2011 _y_ RESERVOIRS ENVIRONMENTAL,!IN.C. . NVIAP Lab Code 101896-0 Page 2 of..3, TDH Licensed Laboralory#'30-0136 TABLE PLM BULK ANALYSIS, PERCENTAGE COMPOSITIONBY VOLUME RES Job Number: RES 213100-1 Client:. City of Fort Coliins Client Project"Number/P.O.: None Given Clienf Project Description: Rolland Moore Rark Bathroom.Demo Date Samples Received: May 19,2011 Analysis Type: PLM, Short Report Turnaround: 3-5 Day Date Analyzedc May 27,2011 ien a L ,;�,FAsbestos Content. ,� on on 5ample ID Number A Sub Asbestos Fibrous Number Y Physical Part ; Fibrous Component E Description (%) nninerai , visuai omponents (%) - R �; Estimate(% % RB-001 EM 741031 A Whits wall covering 's 100 ND 15 ' 85 PS,-001 EM 741032 A Colorless resinous ma4erial t TR : ND 0 100 B White resinous material w/-white fibrous 2 ND 15 85 , . _ material C Green resinous material 98 ND 0 100 WC-001 EM 741D33 A White resinous material 100 ND 0 100 CT-001 EM. .741034 A White compound,w/.gray granularmateriaf 100 ND TR ' 100 8 wnite/yellow paint � CT-002 EM 741035 A White compound w/:white/multi-colored 100 ND TR 100 paint' CT-003 EM 741036 A White;texture w/white paint 40 ND 0 100 B White compound w/white/muiti=cqiored 60 NO 0 100 paint ; 6T-0OA EM 741037 A White compound w/white paint ; 1 ND 0 100 8 Graygranular:materiai w/biue paint 99 NO 0 100 ,. EM-001. EM� 741038 A Gray granular materia►w/blue paint 100 ND -0 100 FS-001 EM 741039 A Gray foam 10 ND 0 100 B Gra resinous material 90 ND 0 100 NU=Npnc Unmtcd . . � . M......., TR=Troc<.<I9L Visiwl L'•5iinmic . Trcii�-nt�=Pmmplioo-Aciinoliie �{�L "� �..�nr:? Nme:Eunhct m�alysix by'PLA7 is rccommonckJ for nrgm�icolly butmU matcriul(i.c.Uour lilcj "" �rE�.M«,�,��«,�: Data QA RESERVOIRS ENVIRONMENTAL, INC. . NVLAP Lab Cotle 101896-0 Page 3 of 3� TDH iicensed Laboratory#30-0136' TABLE PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BYYOWME RES Job Number.� RE5 213100-1 Client: City of Fort Collins Client Project Number/P:O:: None Given Client Project Description: Rolland Moore Paric Bathroom Demo Date Samples'Received: May 19,2011 Analysis Type: PLM, Short Report Tumaround: 3-5 Day Date Analyzed: May 27,2011 ien _ a L �'K��mAsbesto_s,�Conte�n�,,,t�M� on on Sample, ID Num6er A Sub Asbestos Fibrous Num6er Y Physical Part � Fibrous Component E Description (%) nninerai � visuai omponents {°�) R � Estimata(°� % FS-002 EM 741040 A Gray resinous material 100 ND 0 100 T-001 EM 741041 A Brown fibrous material w/white paint 100 ND 90 10 FI-001 EM 741042 A Tan/pink fibrous material 100 ND 95 5 DC-001 EM 741043 A Greenlmulti-colored paint 20 ND 0 100 B Tan resinous material 80 ND 0 100 :�k{� Nb'=Nonc UclectcJ wr�.b.......,.. 'I'N�1'nce.�:I°o\'i;�wl ls�imaie `�W'�;,(;:,upwe• ��ICIII.ACt��r{;ITOIi1L'-AilllWlilC Y a��anu urom Nut<:FurvLccmialy>is Uy'I'FM iirccommendcJ 1"wnrgunic511y 6owiJ maicriNl{i�.c.Oiu�r.�ilej ifPLM.rcwhxurc_I^a. � �Oata QA Due Dats: S 2.f��--�"Z'�' RES 21;�'�00 � + _.ma � ���, Due Time: � s qE�LIaB RLSLI'Vp%/`5 E�v�ronmeriyta/� //7C�. r�u- � SE01 lopu�9l D.nw.C08pY16.P�;yp7 g5,-1DW•fw�3W.d7).r173•Tdl f'oo:886 RESI�ENV . . . . Pagor:307•5084098 . .. . . .. ... INVpICETO: �IFDIFFERE CONTACTWFORMATION: �O°'�''Gq of faq Cdl'cis �O^m��Matl Zoccyi' �O"�'O:Mau Zocctll C0^�: Adtoa: ' . . Ahtoaa: - � �. .. ... . � . . P"0°O�B7q-22<6008 � aew:. . . . . . . P.O.Box680 � . . 7ppWoot/SVae1 fOi:970.Y21�8819 .. F� . FMCoYIrtM1.0080522 � FOrICdIinB.�C0805�.. . .. 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Ecd10757:H7.Ccliturtns.Saureus _2i hr. 2 DaY _3-S Ouy� � �� "d� ���; �� ,� �� �gg k � � j�. ? Salmonel�a.Listerla.EcoU�APC� a8 hr. 3S Day g, ^y p a u.�i uf�� : g�y ^ ._.. Yoaat•.Moid _3-SOaY_7DaY c@5�� - gl „g'y ��/ ,: I� 9 ,�t,�I.a . .. . ..••TumNounO Wney�snWis�a Nbora�ory prbr:ty.wqal m bCnrato wlww ay y�not I J � � 5'�+ F i �� . ♦ �. n e�+�.�m.b.�aa�u�w r.�, 8 ..� � � � � ' �E � apaY�++�af�amours.HeekendamMta110ays.•• Q .� Hd� my•. � i 9 � � � � SpeC7i1 h18fNCWnB: _ .. �� - .. . � . . . . �g. ��'` �� 1`0- �� �n B o .. � T � � � . >'-U. :"c Please analyze ai( layers �� . Q � ; �� 'Q E �� E � _ � • m� � 9, EM Num6er a � ,� 8 q' v a .s �. Date Timr- Clientsam IelDnumber 3 E � °' � u "' w x W � " ' = e � '� o' l�°�ato+YUseOny} � dSampis ID's must ba uniqun d � �� � r. ��' Co�iected Co1Wr�er! ��t� � 0 8 4C O .. 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Relin uished B : ` Datellime: S 1� ��1 1 :� Samp�eConmtlon: .on ke Sea�ed �ntaa LabOfatOry U .ly y� � �.-..-� �..�5 Temp.(F°) Yes/No Yes/No Yes 1 No RaceWed By: Dete/Time: `'�j-I�-�I I . . /�"�-{� Canier.. . . R��� Co�tact Pa a Phone Email fax Oate 7ime Initlals Coniaq P e ph�e EmaL Fax Dale Tuno Inflials � Contact P � Plwne Email Fax Oa�e Time Initlals CoMaa Pa Phpne Emall Fax �Date Timo IMifals . DueDate:S'2 J'`�ZCo �, Job� '�I.3IZX� Due Time:___A1� 07E1 1.A6 R�sei-voirs Envirvnmenta/� //7C� Page 1 of' T 51{01 Wpnn S4 O�urv�r.CO Bp476•VR 90193L19B6.Fan 7014771275•Toll Froe:dW HEY4ENV i �Papor:3035a9+2098 INVOICE TO: IF DIFFEREN CONTACT INFORMATION: . �'"�''CAY d Fwt Cdlins �� �001�'�"Y�A1yt ZocwG 'buu 7qccali � �"'^atl� . amna¢� Ada•u: �^^�970.224•8008 ~�T Pnono: . . . . . P,O.Boz 580 700 Wood Sueec F°'�970.227RBt9 ra` � �FM CApins.CO 80522 Fo�Cdlhs.CO 80522. ��°a�8705562556 ..... . . dvpoper. ' �PwJr+NumErcaiWorP.0.1; .. . . .. . .. fbWOWDYwrdbbEwlN�lb�u: . . P'^hnD�wii��� ^p Y� ti�,,,,, . .,,�,.,,, � mzoccali@fcgov.com� .� A38ESTOS LABORATORY HOURS:Weekda s: 7am-7 m� �� - REQUESTED ANALYSIS ��� � �� YALID btATRIX CODES LAB NOTES:� PLM PCIO f TEM ;RUSH(Same Day)_AR�ORITY(Nnal Day) STANDARO ; ; j� q��e q , g�1k=g � � (RushPCbf=Yhr,TEM=6hc) i : � Dust=D Paint=P 'CHEMISTRY LABORATORY NOURS:Weekda s: 8am-5 m . I � '. � �__ Maql s 1 Dust RUSH 24 bc 35 Oa � � �, ;. , ��=S . Wipe=W ( 1 — — — Y � � � I Swab=SW P=Food RCRA 8/Netals 6 Wofding � "Prlor rowlcatlon 4 �. 9 w �, � �— . . . �� 6 �' Onnlvi Water=DW WastaWata=Ww Fume Scan/TCLP —RUSH_$day_10 day� r¢quiro0 br RUSH � � g � : �� I g . — turnaiounda^ � � � .. 9 � I ;��. �O=O�her Organlp _24 hr.�_3 tlaY_5 Qay' 6�� o a � � t� :Q' ,�:�:_`s "a4TM Et792 aDGrova1 wGwmediaonty" � . . MICROBlOLOGY LABORATORY HOURS:Weakda : 8am-6 m � `—' ` � ° 3 � - �.E.wIi�0157:H7.Coliforms.8.auraus � - � �, �� � = g m j ��.��� � . i 24 hc 2 Oay �_3•5 Day ' � Salmonoila,Llstaria;E.wii.APC 48 hr. 3-5 08Y. rn _� `� 4 � u "� � ::�I� � � O � . . — — c o p _ � g � r i Yeast:A7ald� _350ay_7 DaY 9 '� o� g `o g .� .� p' ,o g h . - .•r�.�,rwrw�mee o.�wu.n a weo.,wn o�����r..wiea a i,aorawn�ouw,o a�e an noi a���ow.n�avo�ui rroi � g.. t�..i� �; ��� ' g i �c3 � , .;. � ' ! . . . , - aPVlytoraRcmowc�wwYsotlianGnelWiY}'". � � yLL� (0 r ��9 � � � � � • . .. � . �; '� . d a' . � m� 'a , �� � m i @ Speciallcsstructlons: � .. . - � w �S�i.t'- • � � u ` ° � : � >° m c. Please analyze all layecs �' �q "I� �� '� �i s��= � '� � ; � w a� j �i� oa� Timo ���yUsoO�j) � E � ,� w�� I w u m r = E� E � �pliected- Coliec[ed . . Client sam te ID number Sample ID'smust ba unique) � �,g d o �� �o ���a,�r o u�� � � � ,,,dea,r, ,,,,n�,�u 7 T _'�O 1 . � I i i � � ► ti t q tt 3f5. �L O�1 2 ._v0 � � � d l t�ao t.: . �-l2 3 _ � � �� � . ;� '� ;� � i6 t �e�t5-�� `-�3 — . . , , . . ; 4 ' . ' � � — i . . � . ; �' . . . . . . . . . . . ':. � .i i i� I . � . s , � I 7 � i � � .I � a ; : � � _ � 9 � � : ; , � � ' � 10 ' ; ` � -= ! � i I � ` . � —____ _ . Numbor of sampes receivee:; .. {nCditiena�samples shau be 6etetl on aUad�atl wng totm.) � ����� " MOTE:REI wN�mly»Y�ooRYg tampW p,mW upon 7Nama�ipn�eeoire0 w0�+il noi M�pansids b�rtasu pnlatlw m ealu'1aliD�u ruutr4ip 4om tne hueaucy of mIpYW dna.By dp�0n9��W�^Y�^P��+Wew Uul a�bnbwn ol un .. ����`i�+md+�tor rpu�nb cnaF/auao'uwicswOonitikfhainolGWo6yanet wYen iul�erWcvpr�emedwiNpaymomtamvWN2T70duya.Nmi.weompy+�Uhpaympntamsmeyrewntna73%ammN�eotawcArgo:�. Relin uished : � Da�ma:7ll�0 20�� ��30 SampleConditbn: Onlce Seabd act L:abo18tory U Ny Temp.(F°� YesJNo' Yesl.No 'Yes No- Retelve0 B : Dat�rr�e: S'7 4- 1� �f. Carriar. �jS'j�' Rasuit5: ��� � � page PMne Emall iex Dale Time� IniUals ConUct P PMne Emal Fax Date '�Time hdliaL� Contad � Page PFwne Email Fau Dula Time initfals Contact P Phone Email Fa� Data '7ima . hdtiel� .. ...._.. .. . . . . �t� ��i� Executive Summary This Letter of Findings provides an overview of the inspection of the restroom facility located at Rolland Moore Park, south playground. Matt Zoccali, employee of the City of Fort Collins, conducted a site inspection for asbestos-containing materials (ACM) on May 16, 2011. The restroom structure was built in 1983'. T'he structure is typically open for public use from May through December of each year. The structure is scheduled for demolition and replacement in 2012. The interior and exterior of the structure were inspected and bulk samples of suspect building materials were collected and submitted to an analytical laboratory for analysis. This Letter of Findings presents the results of the InspeCtiOn.�City of Fort Collins Risk Management BuIlding Inventory� Matt Zoccali performed�the inspection subject to federal, state and local requirements. The data gathered from the visual inspection, collection of bulk samples of accessible building materials, and the interpretation of analytical results is intended to provide information that meets federal, state and local requirements for identifying the presence of asbestos-containing materials (ACMs). 1. A material is considered ACM if the asbestos content, as determined by laboratory analysis, is greater than one percent. The inspection and laboratory analysis did not identify any building materials that contain greater than one percent asbestos. Current regulations established by the Colorado Department of Public Health and Environment (CDPHE) require this inspection prior to any demolition activities. A Notification of Demolition Form must be submitted to the CDPHE, even if no asbestos was found during the inspection, and payment of a notification fee and ten (10) working day waiting period is required before the demolition can proceed. Rolland Moore Bathroom Inspection(ACM)Report May 16,2011 -3- ;�ort` C�, tl�ns 1. Introduction 1.1 Background This Letter of Findings provides a summary of the inspection of the restroom facility located at Rolland Moore Park, south playground. Matt Zoccali, employee of the City of Fort Collins, conducted a site inspection for asbestos-containing materials (ACM) on May 16, 2011. The inspection was performed subject to federal, state and local requirements. The data gathered from the visual inspection, collection of bulk samples of accessible building materials, and the interpretation of analytical results is intended to provide information that meets federal, state and local requirements for identifying the presence of ACMs. The sampling and inspection process was conducted in accordance with the following standards: • Asbestos Hazard Emergency Response Act (AHERA)-40 CFR 763 Subpart E 763.80 to 763.99 • Colorado Department of Public Health and Environment (CDPHE) Regulation No. 8 • United States Environmental Protection Agency (EPA) National Emission Standards for Hazardous Air Pollutants (NESHAP)-40 CFR 61 Part M • Occupational Safety and Health Administrarion(OSHA) asbestos regulations-29 CFR 1926 Parts 58 and 1101, and 29 CFR 1910 Parts 134 and 1001 1.2 Regulatory Compliance- EPA, NESHAP, OSHA and CDPHE Programs ACMs identified in this report are subject to the NESHAP Regulations for Asbestos (40 CFR 61 Part M) and CDPHE Regulation No. 8. CDPHE is responsible for administering the EPA NESHAP program in Colorado. ACMs are also subject to OSHA Standards for Asbestos (29 CFR 1926 Parts 58 and 1101, and 29 CRF 1910 Parts 134 and 1001). Materials containing one percent asbestos of less may be subject to OSHA regulations if air concentrations sampled during demolition/renovation activities are at or above the permissible exposure limit(PEL) of 0.10 fibers per cubic centimeter (f/cc) as an eight- hour time weighted average or the excursion limit of 1.0 f/cc as averaged over a 30- minute sampling period. Revised OSHA regulations for General Industry (29 CFR 1910 Part 1001) and the Construction Industry (29 CFR 1926 Part 1101) include the following provisions for the Rolland Moore Bathroom Inspection(ACM)Report , May 16,2011 ' -4- �F�ort C�llins communication of hazards to building owner employees (or by the sub contractor to subcontractor employees): • Employer must inform housekeeping/maintenance employees and the subcontractors whether building components they maintain may expose them to asbestos. • Building owner shall maintain records concerning the presence, location, and quantity of ACMs in the building for the duration of ownership or occupancy, and records shall be transferred to successive owners • Where a building owner of employer identifies ACMs, labels or signs shall be affixed or posted so employees will be notified of what materials contain asbestos. These signs or labels shall be placed on materials or in areas where they will be noticed by employees who are likely to be exposed such as entrances to mechanical rooms and pipe chases. 2 Methodology and Scope of Work The inspection oF building materials was perfarmed in accordance with EPA, AHERA, and CDPHE regulations. Asbestos inspection activities were performed by AHERA and CDPHE accredited personnel. Certifications are included in Appendix A. 2.1 Asbestos Inspection Methodologies The scope of the asbestos inspection was to identify ACM and included the following steps: • Review of previous asbestos inspection reports (none available) • Visual inspection of all accessible areas of the building to identify suspect materials • Determination of Eriability by touching all accessible suspect material • Development of a sampling plan for each material based on homogeneous material type, friability, accessibility and location. Homogenous and non- homogeneous materials were submitted for laboratory analysis by polarized light microscopy (PLM). Rolland Moore Bathroom Inspection(ACM)Report May 16,2011 -5- City of -/""�°�„--t�, 2.1.1 Homogenous Areas A homogenous area (material) is defined as an area containing a material that appears similar throughout with regard to color texture, and date of application. 'The inspection of the residential dwelling at the Roman House property included the following building systems: • Ceiling System • Flooring System • Structural System • T'hermal/Mechanical Systems • Wall/Partition Systems • Electrical System • Miscellaneous System (including building exterior and roo� Homogenous materials that were inspected but not suspected to contain asbestos are not included in this report. Such materials include concrete, wood and plastic products. 2.2 Homogenous Materials Identification A visual inspection/walk-through of the structure was used as the basis in determining homogenous materials at the location. Each type of homogenous material was assigned an alpha numeric code to identify the different varieties of suspect building materials. 2.3 Friable and Non-friable Materials The EPA distinguishes between to friable and non-friable forms of ACM. Friable materials, when dry, can be easily crushed to powder by hand pressure. Non-friable material cannot be crushed to powder by hand pressure. No friable ACM material was discovered during this inspection. Many non-friable ACMs may remain in place during demolition/renovation activiHes provided that work procedures do not render the material friable and the workers are adequately protected. 2.4 Sampling Strategy The bulk sampling strategy used to determine the appropriate number of samples to be collected of each suspected material was developed using requirements of the AHERA regulation and are summarized in the table below: Rolland Moore Bathroom Inspection(ACM)Report May 16,2011 -6- Fort Coll�ns ��r�. Table 1 Sam lin Strate Matei�al � Homogen'`us� �LTni�s � ��G�Mi�nz i N�'wn}ier of' ���� � �� � � �. �`� �� � � �" o�,� ,n.., , y �Samt les� o'b���oll�ected� ����.<�, .� �s r �Area ��- �, Friable < 1000 �Square Feet 3 J�� Surfacing 1000 to 5000 Square Feet 5 >5000 S uare Feet 7 T'hermal ----- Linear 3 System Feet/Square Insulation Feet/Each Miscellaneous ----- Linear Inspector's Discretion Materials Feet/Square Feet/Each City inspectors collected bulk samples in a random and representative manner. Samples were collected by obtaining a sample that included all layers within the suspected material. Each sample was identified and documented on field sampling worksheets; please see Appendix B for field sampling forms and documents. Upon completion of the sample collection, the numerical identification information was transferred to a chain of custody document to accompany the samples to the analytical laboratory. The chain-of-custody forms can be found in Appendix C. 2.5 Laboratory Analysis for Asbestos T'he bulk samples were submitted for analysis to Reservoirs Environmental, Inc. Reservoirs Environmental, Inc. is an accredited laboratory by EPA's National Voluntary Laboratory Accreditation Program (NVLAP). Analysis of the bulk samples was performed using PLM to determine asbestos type and content. The PLM analyses are reported as percent asbestos by weight and by a calibrated visual estimation. Copies of the laboratory results and chain-of-custody documentation are included in Appendix C. 3 Asbestos Inspection Findings Thirteen (13) bulk samples were collected from multiple suspect building materials. EPA and OSHA define ACM as material containing more than once percent asbestos or a material that is assumed to contain asbestos. No samples were found to contain greater than one percent asbestos. Rolland Moore Bathroom Inspection(ACM)Report May 16,2011 -�- ���� �� Fort Collins Utilities Regulatory and Government Affairs Division O�� �O��'�� 700 Wood Street Fort Collins,CO 80522 970.221.6900 970.221.6970-fax �`� fcgov.com/utilities 4 Recommendations Current regulations established by the Colorado Department of Public Health and Environment(CDPHE) require this pre-renovation/demolition inspection prior to any demolition activities. A Notification of Demolition Form must be submitted to the CDPHE, even if no asbestos was found during the inspection,and payment of a notification fee and ten (10) working day waiting period is required before the demolition can proceed. 5 Limitations The inspection intended to identify those accessible materials that were reasonably suspect to contain asbestos. Asbestos has been added to over 3,000 products produced in the United States. This inspection does not guarantee that every potential ACM this location has been identified and sampled. -g- City of ;�,,.FO!'t CO��lt1S Appendix A: Qualifications Rolland Moore Bathroom Inspecflon(ACM)Report May 16,2011 -9-