EFTA00283831.pdf

HYGENIX, Inc. 49 Woodside Street Stamford, CT 06902 ASBESTOS PRE-DEMOLITION SURVEY REPORT INSPECTION SITE: CLIENT: Lesley Groff INSPECTOR: Ryan Ebenhack (CT Inspector License #000418) INSPECTION DATE: August 17, 2012 BUILDING TYPES: Residential SAMPLES COLLECTED: 40 collected / 40 analyzed BACKGROUND The building at the above referenced location is slated for demolition. Lesley Groff, hired HYGENIX, Inc. to document the presence of asbestos-containing building materials (ACBM'S), and to comment on the impact these materials will have on the proposed demolition project. The results of the asbestos survey are presented in this report. Please note that the residence was occupied at the time of the inspection. ASBESTOS SAMPLING PROTOCOL During the inspection of accessible spaces, the inspectors identified "functional spaces or building systems" (e.g. dwelling spaces, storage rooms, boiler rooms, roof systems, heating systems, etc.), and categorized the construction materials within functional spaces and/or system as "homogeneous", based on uniformity in color, age, texture and use. The inspector then compiled a list of building materials suspected to contain asbestos, and recorded the condition, location and approximate quantity of homogeneous, suspect materials. From each homogeneous area or building system, the inspectors collected representative "bulk" samples of construction materials suspected to contain asbestos. Samples of suspect materials were analyzed at AmeriSci New York by polarized light microscopy (PLM) in accordance with EPA procedures. The National Voluntary Laboratory Approval Program (NVLAP) accredits AmeriSci New York to perform bulk asbestos analysis. 1 EFTA00283831 INTERPRETATION OF TEST RESULTS The regulations of CT Department of Public Health and the US EPA define asbestos containing materials (ACM's) as materials containing greater than I -04 asbestos. If one or more bulk samples of a homogeneous material are found to contain greater than I -% asbestos, then all of the homogeneous material is classified as ACM. The US OSHA Asbestos Construction Industry Standard requires designation as presumed asbestos containing materials (PACM's), all surfacing materials and thermal system insulation which have not been tested, or for which the number of samples collected and analyzed was less than the previously listed minimums. This requirement does not apply if the building in which the material is found was constructed after 1980. The results of the PLM laboratory testing arc summarized in Appendix A. GENERAL DISCUSSION - ASBESTOS ABATEMENT REGULATIONS Asbestos management and abatement activities in the State of Connecticut are governed by the following State and federal regulations: I. US EPA National Emission Standards for Hazardous Air Pollutants (NESHAPs) The NESHAPs regulations for asbestos prohibit the emission of airborne asbestos dust to the environment. These regulations require notification of the regional office of US EPA at least 10 days in advance of an asbestos abatement project involving more than 260 linear feet, 160 square feet, or 35 cubic feet of material containing more than I% asbestos. The NESHAPs regulations require the asbestos-containing materials to be kept in a wet condition during handling and removal, and specify requirements for labeling, transport and disposal of asbestos waste. 2. US OSHA Asbestos Construction Industry Standard The OSHA Asbestos Construction Industry Standard protects workers who may be exposed to asbestos in construction. The OSHA standard specifies permissible exposure limits, and procedures for handling various forms and quantities of asbestos containing building materials. The standard describes regulated areas, exposure monitoring, respiratory protection and protective clothing, hygiene facilities, hazard communication, housekeeping, medical surveillance, record keeping, and worker training requirements. 3. CT DOPH CT Standards for Asbestos Abatement The CT regulations describe the allowable procedures for asbestos abatement, licensing of personnel involved in asbestos abatement, and reoccupancy testing requirements. A 10-day advance notification of the agency is required for asbestos removal projects involving more than 25 square feet or 10 linear feet of interior friable and/or non-friable asbestos-containing material. 2 EFTA00283832 PRE-DEMOLITION INVENTORY OF ASBESTOS CONTAINING BUILDING MATERIALS: All asbestos containing materials must be removed from the building prior to demolition activities that will disturb them. A Connecticut licensed asbestos abatement contractor must remove the asbestos containing materials and a clearance must be performed by a Connecticut licensed project monitor. ACBM Description Location (s) in Building Estimated Quantity Comments (Tested or Assumed) Minor glue I" tloor bedroom bathroom I large minor Not tested assumed to be ACM INVENTORY OF NON-ASBESTOS CONTAINING BUILDING MATERIALS: - Kitchen flooring - Den flooring - Drywall - Flue packing DISCLAIMER - Building paper - Plaster - Joint compound - Sink insulation - Cove base glue - Window glazing - Ceramic tile glue HYGENIX, Inc. has performed its services, within the limits prescribed by our clients, with the usual thoroughness and competence of the industrial hygiene profession. The findings in this report are based upon observations and information available to the inspector during the time of the rendering of the services as described in this report and are based on procedures currently required by applicable laws, regulations and ordinances. HYGENIX cannot be responsible for conditions or materials the inspector did not observe due to lack of access or was not otherwise reasonably observable. The conclusions in this report are professional opinions based solely upon these findings. The findings and conclusions are intended exclusively for the purpose outlined herein within the scope of work and at the site location and project indicated. This report is for the sole use of the client. The scope of work performed in execution of this inspection may not be appropriate to satisfy the needs of other users and any reuse of this document or the findings, conclusions, or recommendations presented herein is at the sole risk of said user. Ryan Ebenhack HYGENIX, Inc. Date 3 EFTA00283833 APPENDIX A PLM BULK ASBESTOS ANALYSIS REPORTS 4 EFTA00283834 Please Reply To: AMERI So TEL:4 FACSIMILE TELECOPY TRANSMISSION AmeriSci New York 117 EAST 30TH ST. NEW YORK, NY 10016 To: Robert Urown From: Bella J. Chernis llygenix. Inc. AmeriSci Job It: 212084268 Fax tl: Subject: PLM 5 day Results Client Project: Email: Date: Wednesday. August 22, 2012 Time: 19:55:02 Comments: Number of Pages: li (including cover shoal CONFIDENTIALITY NOTICE: Unless otherwise indicated, the infonnation contained in this communication is confidential information intended for use of the individual named above. If the reader of this communication is not the intended roe ipient. you are hereby notified thai any dissemination. distribution or copying of this communication is prohibited. If wan have received this communication in error. please immediately notify the sender by telephone and return the original message to the above address via the US Postal Service in our expense. Preliminary data repotted here will be verified before final report is issued. Samples arc disposed of in 60 days or unless otherwise instructed by the protocol or special instructions in writing. Thank You. Certified Analysis Service 24 Hours A Da • 7 Da s .4 Week Competitive Prices visit our web site- Boston • Los Angeles • New York • Richmond EFTA00283835 AMERI SCI Hygenix, Inc. Attn: Robert Brown TEL. AmeriSci New York 117 EAST 30TH ST. NFW YORK NY Innis PLM Bulk Asbestos Report Date Received 08/18/12 Date Examined 08/22/12 RE: AmeriSci Job # # Pane 1 of 212084268 8 Client No. / HGA Lab No. Asbestos Present Total % Asbestos 8-17-01 212084268-01 No NAD Location: Kitchen / Glue (by CVES) by Bella J. Chemis on 08/22)12 Analyst Description: Yellow, Homogeneous, Non-Fibrous. Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % 8-17-02 212084268-02 Location: Kitchen / 12x12 Floor Tile Analyst Description: White/Black, Homogeneous. Non-Fibrous. Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % No NAD (by CVES) by Bella J. Chernis on 08/22/12 8-17-03 212084268-03 No NAD Location: Kitchen Glue (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: Yellow. Homogeneous. Non-Fibrous. Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % 8-17-04 212084268-04 Location: Kitchen 12x12 Floor Tile Analyst Description: White/Black. Homogeneous, Non-Fibrous. Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % No NAD (by CVES) by Bella J. Chernis on 08/22/12 8-17-05 Location: Kitchen Glue 212084268-05 No NAD (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: Yellow, Homogeneous. Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % See Reporting notes on last page EFTA00283836 AmeriSci Job #: 212084268 Client Name: Hygenix, Inc. PLM Bulk Asbestos Report Lab No. Page 2 of 8 Client No. / HGA Asbestos Present Total % Asbestos 8-17-06 212084268-06 Location: Kitchen / 12x12 Floor Tile Analyst Description: White/Black, Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % No NAD (by CVES) by Bella J. Chernis on 08/22(12 8-17-07 212084268-07 No NAD Location: Kitchen / Building Paper (by CVES) by Bella J. Chemis on 08/22/12 Analyst Description: Black, Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Cellulose 40 %, Non-fibrous 60 % 8-17-08 212084268-08 No NAD Location: Exterior / Building Paper (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: Black, Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Cellulose 5 %, Fibrous glass 12 %, Non-fibrous 83 % 8-17-09 212084268-09 No NAD Location: Exterior / Building Paper (by CVES) by Bella J. Chemis on 08/22/12 Analyst Description: Black, Homogeneous, Fibrous. Bulk Material Asbestos Types: Other Material: Cellulose 8 %. Fibrous glass 8 %. Non-fibrous 84 % 8-17-10 212084268-10 Yes Trace (<1 %)1 Location: Kitchen / Cove Base Glue (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: Brown. Homogeneous. Non-Fibrous, Bulk Material Asbestos Typos: Chrysotile <1. % Other Material: Non-fibrous 100 % 8-17-11 212084268-11 No NAD Location: Kitchen / Cove Base Glue (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: Brown, Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100 % See Reporting notes on last page EFTA00283837 AmeriSci Job #: 212084268 Client Name: Hygenix, Inc. Page 3 of 8 PLM Bulk Asbestos Report Client No. / HGA Lab No. Asbestos Present Total % Asbestos 8-17-12 212084268-12 No NAD Location: Kitchen / Cove Base Glue (by CVES) by Bella J. Chemis on 08/22/12 Analyst Description: Brown, Homogeneous, Non-Fibrous. Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100% 8-17-13 Location: Den 1 Glue 212084268-13 No NAD (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: Yellow, Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % 8-17-14 212084268-14 No NAD Location: Den / 12x12 Floor Tile (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: White, Heterogeneous, Non-Fibrous. Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % 8-17-15 212084268-15 No NAD Location: Den / Glue (by CVES) by Bella J. Chemis on 08/22/12 Analyst Description: Yellow, Homogeneous, Non-Fibrous. Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100 % 8-17-16 212084268-16 No NAD Location: Den / 12x12 Floor Tile (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: Green. Heterogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % 8-17-17 212084268-17 No NAD Location: Den / Glue (by CVES) by Bella J. Chernis on 08122/12 Analyst Description: Yellow, Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % See Reporting notes on last page EFTA00283838 AmeriSci Job #: 212084268 Client Name: Hygenix, Inc PLM Bulk Asbestos Report Page 4 of 8 Client No. / HGA Lab No. Asbestos Present Total % Asbestos 8-17-18 212084268-18 No NAD Location: Den / 12x12 Floor Tile (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: Green, Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % 8-17-19 212084268-19 No NAD Location: 2nd / Plaster - White (by CVES) by Bella J. Chemis on 08/22/12 Analyst Description: White, Homogeneous, Non-Fibrous. Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % 8-17-20 212084268-20 No NAD Location: 2nd / Plaster - Grey (by CVES) by Bella J. Chemis on 08/22/12 Analyst Description: Grey, Homogeneous, Non-Fibrous, Cementitious, Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % 8-17-21 212084268-21 No NAD Location: 1st / Plaster - White (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: White, Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % 8-17-22 212084268-22 No NAD Location: 1st / Plaster - Grey (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: Grey. Homogeneous, Non-Fibrous, Cementitious. Bulk Material Asbestos Types: Other Material: Animal hair Trace, Non-fibrous 100% 8-17-23 212084268-23 No NAD Location: Kitchen / Plaster - White (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: White, Homogeneous, Non-Fibrous. Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % See Reporting notes on last page EFTA00283839 AmeriSoi Job #: 212084268 Client Name: Hygenix, Inc PLM Bulk Asbestos Report Page 5 of 8 Client No. / HGA Lab No. Asbestos Present Total % Asbestos 8-17-24 212084268-24 No NAD Location: Kitchen / Plaster - Grey (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: Grey. Homogeneous, Non-Fibrous, Cementitious, Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % 8-17-25 212084268-25 No NAD Location: Window / Glazing (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: White/Grey, Homogeneous. Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % 8-17-26 212084268-26 No NAD Location: Window/Glazing (by CVES) by Bella J. Chemis on 08/22/12 Analyst Description: White/Grey, Homogeneous. Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % 8-17-27 212084268-27 No NAD Location: Window I Glazing (by CVES) by Bella J. Chemis on 08/22/12 Analyst Description: White/Grey, Homogeneous. Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % 8-17-28 212084268-28 No NAD Location: Attic / Dryall (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: OffWhite, Homogeneous, Fibrous, Bulk Material Asbestos Types: Other Material: Cellulose 25 %, Non-fibrous 75 % 8-17-29 212084268-29 No NAD Location: Mech Room / Drywall (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: OffWhite, Homogeneous, Fibrous, Bulk Material Asbestos Types: Other Material: Cellulose 30 %, Non-fibrous 70% See Reporting notes on last page EFTA00283840 AmeriSci Job #: 212084268 Client Name: Hygenix, Inc PLM Bulk Asbestos Report Page 6 of 8 Client No. / HGA Lab No. Asbestos Present Total % Asbestos 8-17-30 212084268-30 No NAD Location: Garage / Drywall (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: OffWhite, Homogeneous, Fibrous. Bulk Material Asbestos Types: Other Material: Cellulose 20 %, Fibrous glass 2 %, Non-fibrous 78 % 8-17-31 212084268-31 No NAD Location: 2nd Floor / Joint Compound (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: White, Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % 8-17-32 212084268-32 No NAD Location: Attic !Joint Compound (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: White, Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % 8-17-33 212084268-33 No NAD Location: Garage / Joint Compound (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: White, Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % 8-17-34 212084268-34 No NAD Location: Mech Room I Flue Packing (by CVES) by Bella J..Chernis on 08/22/12 Analyst Description: Grey, Homogeneous. Non-Fibrous. Cementitious, Bulk Material Asbestos Types: Other Material: Wollastonite 2 %. Non-fibrous 98 % 8-17-35 212084268-35 No NAD Location: Mech Room / Flue Packing (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: Grey. Homogeneous. Non-Fibrous. Cementitious. Bulk Material Asbestos Types: Other Material: Wollastonite 2 %. Non-fibrous 98 % See Reporting notes on last page EFTA00283841 AmeriSci Job #: 212084268 Client Name: Hygenix, Inc PLM Bulk Asbestos Report Page 7 of 8 Client No./ HGA Lab No. Asbestos Present Total % Asbestos 8-17-36 212084268-36 Location: Mech Room / Flue Packing No NAD (by CVES) by Bella J. Chemis on 08/22/12 Analyst Description: Grey. Homogeneous, Non-Fibrous, Cementitious, Bulk Material Asbestos Types: Other Material: Wollastonite 3 %. Non-fibrous 97 % 8-17-37 212084268-37 No NAD Location: 2-nd BatIVCeramic Tile Glue (by CVES) by Bella J. Chernis on 08/22/12 Analyst Description: Tan, Homogeneous, Non-Fibrous, Bulk Material Asbestos Types: Other Material: Cellulose Trace, Non-fibrous 100 % 8-17-38 212084268-38 No NAD Location: 2-nd Bath/Ceramic Tile Glue (by CVES) by Bella J. Chemis on 08/22/12 Analyst Description: Tan, Homogeneous. Non-Fibrous, Bulk Material Asbestos Types: Other Material: Cellulose Trace. Non-fibrous 100 % 8-17-39 212084268-39 Location: Kitchen/Sink Insulation Analyst Description: Grey, Homogeneous. Non-Fibrous. Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % No NAD (by CVES) by Bella J. Chemis on 08/22/12 8-17-40 212084268-40 Location: Kitchen/Sink Insulation Analyst Description: Grey, Heterogeneous. Non-Fibrous. Bulk Material Asbestos Types: Other Material: Non-fibrous 100 % No NAD (by CVES) by Bella J. Chemis on 08/22/12 See Reporting notes on last page EFTA00283842 AmeriSci Job #: 212084268 Client Name: Hygenix, Inc. PLM Bulk Asbestos Report Page 8 of 8 Reporting Notes: ( I) TEM confirmation of PLM results recommended C/t - — Analyzed by. Bella J Chemis kt..„...1 .NADINsD =no asbestos detected; NA =not analyzed; NA/PS-not analyzed/positive stop; eLM Bulk Asbestos Analysis by EPA 600/M4-82-020 per 40 CFR 763 (NVLAP Lab Code 200546-0), ELAP PLM Method 198 I for NY friable samples or 198.6 for NOB samples (NY ELAP lab 1011480): Note:PLM is not consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound materials. NAD or Trace results by PLM are inconclusive. TEM is currently the only method that can be used to determine if this material can be considered or treated as non asbestos-containing in NY State (also see EPA Advisory for floor tile, FR 59.146,38970.8/1/94) National Institute of Standards and Technology Accreditation requirements mandate that this report must not be reproduced except in full without the approval of the tab. This PLM report relates ONLY to the items tested. AIHA Lab a 102843, RI Cert#AAL-094. CT Corti/PH-0186. Mass CenWAA000054. Reviewed By. END OF REPORT EFTA00283843 212084268 BULK SAMPLE LOG Client: Lesley Groff Type: PLM Environmental HYGENIX, Inc. Consulting & Laboratory Services 49 Woodside Street Stamford. CT 06902 Site: Tech: RE Date 8/17/12 A aft LAB ID/ SAMPLE # SAMPLING LOCATION DESCRIPTION QTY. RESULT 8-17-01 Kitchen Glue 8-17-02 Kitchen 12x12 Flour tile 8-17-03 Kitchen Glue 8-17-04 Kitchen 12x12 Floor tile 8-17-05 Kitchen Glue 8-17-06 Kitchen 12x12 Floor tile 8-17-07 Kitchen Building paper 8-17-08 Exterior Building paper 8-17-09 Exterior Building paper 8-17-10 Kitchen Cove base glue 8-17-1 I Kitchen Cove base glue 8-17-12 Kitchen Cove base glue 8-17-13 Den Glue 8-17-14 Den I2x12 floor tile 8-17-15 Den Glue 8-17-16 Den 12x12 floor tile 8-17.17 Den Glue 8-17.18 Den I 2x12 floor tile CHAIN OF Relinquished By: Date;Time: CUSTODY yRgceived By: DateiTi e: Notes: Till Positive, 5 Day TAT " If mastic is positive does not read the tile. If tile is positive, do not read other tile and adhesivejyers Ebenhack 8/17/12 IAA' L- , EFTA00283844 212084268 BULK SAMPLE LOG Client: Lesley Groff Type: PLM HYGENIX, Inc. En% ironmental Consulting & laboratory Services 49 Woodside Street 902 Site: Tech: RE Date 8/I712 fax) LAB ID# SAMPLE # SAMPLING LOCATION DESCRIPTION QTY. RESULT 8-17-19 2Thi Plaster — White 8-17-20 2" Plaster — grey 8-17-21 I" Plaster— White 8-17-22 In Plaster — grey 8-17-23 Kitchen Plaster— White 8-17-24 Kitchen Plaster — grey 8-17-25 Window Glazing 8-17-26 Window Glazing 8-17-27 Window Glazing_ 8-17-28 Attic Drywall 8-17-29 Mech Room Dr, n all 8-17-30 Garage Dry wall 8-17-31 2'4 floor Joint compound 8-17-32 Attic Joint compound 8-17-33 Garage Joint compound 8-17-34 Mech Room Flue packing 8-17-35 Mech Room Flue packing 8-17-36 Mech Room Flue packing CHAIN OF CUSTODY Relinquished By: Date/Time: Received By: Dateam Notes: Till Positive. S Day TAT * If mastic is positive does not read the tile. If tile is positive, do not read other tile and adhesive lavers Ebenhack 8/17/12 ortt,L........_ SO Lei tv2 r 7r. 64;r '11 4- 71/ ZO-7 EFTA00283845