HomeMy WebLinkAbout2021 CORTE QUINTA MAR; ; CB043932; Permit10-19-2004
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Demolition Permit Permit No CB043932
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Occupancy Group
# Dwelling Units
Bedrooms
Project Title
2021 CORTE QUINTA MAR CBAD
DEMO Full Demo
2151600800 Lot#
Reference #
1 Structure Type
4 Bathrooms
LA COSTA RESORT DEMO SFD
SFD
2
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
10/19/2004
SB
10/19/2004
10/19/2004
Applicant
KSL LA COSTA I L L C
C/O KSL RECREASTION CORP
50-905 AVENIDA BERMUDA
LA QUINTA CA 92253
Owner
KSL LA COSTA I L L C
C/O KSL RECREASTION CORP
50-905 AVENIDA BERMUDA
LA QUINTA CA 92253
Building Permit
Plumbing Fee
Other Fee
Additional Fees
TOTAL PERMIT FEES
$2000
$1000
$3000
$000
$6000
Total Fees $60 00 Total Payments To Date $0 00 Balance Due $6000
3576 10/19/04 0002 0:1 0?
CGP &0.00
A i
Inspector
FINAL
Date
ROVAL
Clearance
NOTICE Please take NOTICE that approval of your project includes the: Imposition" of fees: dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions ' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
1. , PROJECT INFORMATION
_ "2-g>7-|
FOR OFFICE USE ONLY
PLAN CHECK NO & 1
EST VAL
Plan Ck Deposit
Validated By_
Date \l
coiorS
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor's Parcel #Existing Use Proposed Use
H-
Description of Work
CONTACT.PERSON (If different from.applicant)
SQ FT #of Stories # of Bedrooms # of Bathrooms
Name Address City
13 . 'APPLICANT •'„ Q Contractor ' i. Q?A.gentlfgr£prttrector •],', Qi Owner, /^ (SjJifCgent for Owner
State/Zip Telephone #Fax #
Name
4.: •; PROPERTY;
JC5>L LJ>r
Address City State/Zip Telephone #
'Address City State/Zip Telephone #Name
B1.'., coNTRACjpRyCQMPANYijYAME' i*i^-> * k'O':/' " "• ": WJ "„' : •- .-''<: ," , .: • .'" .' .,.•''-.: -,, •••,-• " " ' ,,.",.1 .•'. „. A, '" :.r
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged
exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001)
Name
State License if
Address
License Class
City State/Zip
City Business License #
Telephone tt
Designer Name Address City State/Zip Telephone
State License # !
6 '."...WORKERS' COMPENSATION „ „;,.,,.• ...... ,,.,, ... . ' , ..." , V
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
C] I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued i
n I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued My worker's compensation insurance carrier and policy number are
Insurance Company Policy No Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
f~l CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California
WARNING Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($ljDO,000),,in additipfflto Ihe cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees
VSIGNATURE "^ J F /L^T DATE ///7?//K
^/V7 OWNER-BUILDER DECLARATION T
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
l~l I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale
(Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does
such work himself or through his own employees, provided that such improvements are not intended or offered for sale If, however, the building or improvement is
soldyWithm one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale)
Ba I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law) '
[~1 I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement l~l YES flNO
2 I (have / have not) signed an application for a building permit for the proposed work
3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number)
4 I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number / contractors license number) __
5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work) !
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMI,tS-QNLYjrii.ii;4 ,. ,. , • ,; ,,. ^ .„ a' .,_Ui*^* ...'",• ..,;, ,r, , ,,
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES C] NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? f~l YES l~1 NO
IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
=8.,, CONSTRUfit'ON. LENDING AGENCY. ^"l^i ^ ,,,., „ ' ". 'JV * Y, '. -'...... „,.. •
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code)
LENDER'S NAME ^//f~ LENDER'S ADDRESS
,9.". APPLICANT CERTIFICATIONMW/; .,.,- .-„.:,-..,-..-;: . , ; „ ,,,., ;,-' • ... i ... ' ... , , : , , , "\. V", ," -\...... ,,,t ,..',.
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all
City ordinances and State laws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned
property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height
EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced withm 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced for % period of 180 days (Section 106 4 4 Uniform Building Code)
^ 6 ~\ DATE _APPLICANT'S SIGNATURE
WHITE File YELLOW Applicant PINK Finance /
DEMOLITION ASBESTOS CERTIFICATION
ADDRESS:
USE OF BUILDING TO BE DEMOLISHED: I
SQUARE FEET ?oS ' ?%£? j *?SL X NUMBER OF STORIES "U.
PROPERTY OWNER: feL LA~
ADDRESS: V-lOO £*&*- &&L. WWL OofaP _ PHONE -
APPLICANT:
ADDRESS: ^IPD C*Sr*- Q&L- /w+*L fc)/hO PHONE
Section 19827.5 of California Health and Safety Code states in part:
"A demolition permit shall not be issued by any city ...as to any building or other
structure except upon receipt from the permit applicant of a copy of each written
asbestos notification regarding the building that has been required to be submitted to the
United States Environmental Protection Agency or to a designated state agency, or both,
pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to
that part. The permit may be issued without the applicant submitting a copy of the
written notification if the applicant declares that the notification is not applicable to the
scheduled demolition project."
As applicant for a demolition permit in the City of Carlsbad, I certify that; I have read
the excerpt from Section 19827.5 of the Health and Safety Code provided above; the
information I have provided on this form is true and correct; and I further certify the
following:^
On the attached pages are copies of all written asbestos notifications
regarding the above referenced building that are required to be submitted to the
United States Environmental Protection Agency or to Part 61 of Title 40 of the
Code of Federal Regulations, or successor to that part.
( ) I declare that the written asbestos notification is not applicable to the scheduled
demolition project.
Applicant's Signature Dat
h \word\front counter handouts\demolition permit requirements doc
REV July 10, 2003
O-1S-O4 1O 21AM SDQE 7 3 O 48Q 757i
San Diego Gas & Electric Company
A Sempra Energy Company
SDG&E Customer Project Planning Department
Confidential Letter Of Transmittal
To
From
Re
CC
Mike Cusick
KSLDev Corp
Notice of Service Discontinuance
Maria Higgms (760) 480-7647
Fax: 7609296313
Date 10/18/2004
Pages 7
D Urgent D For Review D Please Comment D Please Reply D Please Recycle
Notes Project #. 243319 La Costa Resort Villas 1
Please find attached copies of the "Notice of Discontinuance" for the
following addresses:
Street Name: Corte Quinta Mar, Carlsbad
# • 2021, 2024,2025, 2036, 2047, 2047
Please call me if you have any questions.
Rosemary 760-480-7645
This message is intended only for the individual or entity to whom it is addressed, and may contain information that is privileged and/or confidential
Receipt by an unintended recipient does not constitute a waiver of any applicable privilege Reading, disclosure, discussion, dissemination,
distribution or copying of this information by anyone other than the intended recipient or his/her employees or agents is strictly prohibited If you
have received this communication in error, please contact us by telephone and return this to us via the postal service
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2434 SOUTHPORT WAY, SUITE L
NATIONAL CITY, CA 91950
PHONE (619)-4 74-8548
FAX(619)-474-Ol2S
E-MAIL lpitt@hmpittlabs com
H. M. Pitt Labs, Inc.
March 11, 2004
Mr Mike Cusik
La Costa Resort & Spa
2100 Costa Del Mar Road
Carlsbad, Ca 92009
Re Lab # 52154 - 2021 A, 2024 A, 2036 C, 2048 D, 2047 E & 2025 F Corta Quinta Mar, Lead-
Based Paint and Asbestos results summary
Dear Mr Cusik,
State and Federal Standards identify Lead-Based paint (LBP) as paint of other surface
coatings that contain an mount of lead equal to or in excess of one milligram per square centimeter
(Img/cm2),or more than half of one percent (0 5%) by weight Weight measures are also identified
as LBP in excess of 5000 parts per million (ppm), 5000 mg/kg or 5000ug/g
Building materials are identified by the EPA as Asbestos-containing materials (ACM) when
the fiber concentration of the material is identified as containing Asbestos fibers in excess of one
percent (>1%)
Below, I have summarized the Lead-based paint, lead containing materials and asbestos
containing materials identified at the above locations Attached are the XRF readings, XRF identified
positives, field calibration forms, building material sample analysis for asbestos and sample location
maps
Lead results
The lead-based paint and lead containing materials identified by XRF at the above locations
are as follows
2021 A Corte Qiunta Mar
XRF reading numbers 19, 29, 51, 69, 78, 79, 81, 89, 97 and 109 identify wall paint in the
bathroom on wall D, door casing paint and ceramic tiles to be lead based
March 11,2004
Page 2
2024 B Corta Qumta Mar
XRF reading numbers 132, 141, 142, 150, 151, 153, 160, 169, 177, 185, 191,202,230, 139
and 248 identify ceramic tiles and door casing paint to be lead based
2048 D Corta Quinta Mar
XRF reading numbers 276, 277, 278, 281, 289, 295, 301, 308, 322, 329, 336, 337, 344 and
349 identify ceramic tiles and door casing paint to be lead based
2047 E Corta Qumta Mar
XRF reading numbers 392, 404, 410, 411, 425, 434, 435, 436, 443, 451, 453, 454 and 460
identify ceramic tiles, door casing, facia board and garage wall A to be lead based
2036 C Corta Quinta Mar
XRF reading numbers 483, 491, 502, 509, 517, 518, 531, 532, 543, 545 and 546 identify
ceramic tiles and door casing paint as lead based
2025 F Corta Qumta Mar
XRF reading numbers577, 583, 595, 601, 603, 304, 305, 306, 626, 627, 628, 641 and 64'>
identify ceramic tiles, door casings and extenor paint as lead based
Should you have any questions regarding XRF analysis, please feel free to call the lab
Attached are your XRF reading location maps
\f March 11, 2004
Page 3
SideC
T
Side
B
253—
252 —
19820QZ81
-194 Kitthan
—^302 199"" " '
192
T
206
-205 Diiungarea
Z07
203
*
130 133 134132
-129 135-
Livmgroom 1
L28
la's
•187 Bedroom 4
189
.jm1BU
Bedroom 3
•HL79 18 r — •
--182
178 18448}
193 ,_J^1 1
139 143 144
1J Bathl 140—
M38 136
Ay 142^1^1
15^7 1^> ISO
H56 Laundry
<154 155
rso hi 148 ^**
147 Blth 2
146 152 145
l\ ''\ _A^173 175 17ET77
472 Bedroom 2
174—
171 170
168 169 W5 ld7 16S —
Bedroom 1
- -J64 162r
2/1
-— 210r
2(4
Liwngroom 2 212 —
208 211— —
T\
^wV22
fyY\
123 Foyer ^427
/
24T/
24/
-458 24</
-i53
149
Side A
rfl J,
XW reading locations Kay Best DHS # 7170
t
Office 216 221 — •
1
^- -v^ | / V
^-.
s ^ Swfr f
^^rr<f ^
Closet
"^225 227
Bedroom 5
230 224/ "p
U J /j U
\ 234 239 235
232 237 £38
Gstage
SideD
-255
Map is not to scale
La Costa Resort 0, Spa
Unit 2024 B
3/3/04
2i6
* March 11, 2004
Page 4
SideC
m H-*LJ^:127621 624
•^£28629 625—
Bedroom 2
817-
615
Side B
>09
ID 631
-632
-626 Bath 2
614 B2?.
61?
Bedroom 1
Hall
way
Closet
^74
i76
-577
611—
602
"-B01 596
600—
607 Baft 1
:
4
5
5
648 in
XRF reading locations Kay BEst DHS#7170
LivingAimmg
area
571
578
1580
Kitchen
579
6V
Garage
650
--646
567
582—
590
CSB9 -
587 \
Lu,B«
SidtD
591
-S92
693
.sundry
Map is not to scale
La Costa Resort 8 Spa
Unit 2Q2S F
3/4/04
-648
March 11, 2004
Page 5
SideC
Side B
L
4t
4«
LivingRoom 1
•468
\69
463
j6 —
7-
x
[]
47
i
n
6477
/ 475
E —
. Eqtry
4^74 472
Dining / LivingRoom 473—
470 ^
""479 HaJlwiy 480 J,
478 485 483 481- —kr-C — ^/ . < | 497—^s. !^\/ ^
*,ncr'Storage Batkl ^r>
*84/8J, 4^4 502
533 55455T 5^ 492 4i
XRF reading locations Kay Best DHSS7170
56S—,.
5SS—
Garage
SideC
Map is not to scale
La Costa Resort 8 Spa
2036 C- Downstairs
3/4/04
h562
Side A
March 11, 2004
Page 6
SideC
SideB
505 SOBj^;
sor
•404
50B--
bedroom 1 509"
518—
503
•513 sta
Bath*, m
\
7>
\
5
Hall
522 525
523sai
Bedroom 2
520 524
@ [HWC
540S>14543-~
542-\
539537
541—
Battil
538 545 546-f — \ — -(--
[533 3ath 3
H4 526 530-
536 S31-
550 —
-€43
Bedroom 3
ITK >,
XRF reading locations Kay Best DHSS7170
SideD
Mapis not to scale
La Costa Resort & Spa
2036 C Upstairs
3/4/D4
Side A
r March 11. 2004
Page?
456 Slde C
/6
Master
415 Bedroom
444
SideB
455— __
417-
408
403^
414
Bathl
•^\
^tu/
>H3 405
39B 403 402
40/
399-
Kitchei
•^97
395
3P6
390 334
389 Livingroom 2
388
"378
3)9
Dining/living area
331
—
| [ ' |
43$ 4
Bedroom 2
.438
437
^r ^443 / 44T*ia44a. *"
44? .
448 —
446 83812444^
4^5450
S5i»4
385
•383„„.
380-
/382 388 376
' 387
381-^
/
«b
// 1 423-
.. / ^ Bprirnrm 1
\^ 4^4^5466 -^
N^^ 426 430v
r~^-Hio B?9i 3 Y~-421
427 431 432 ,4!44
420
/ \3/7
. — 457
SideD
45145/453
MQD is not to scsls
La Costa Resort & Spa
Unit 2D47 E
3/4/04 T
XRF reading locations Kay Best DHS # 7170 Side A
4B1
482
Garage " 468
March 11, 2004
PageS
Bedroom 3
337 333 33
332 330 336~
Bath 3
338 331 U3S1
324 Bedroom 2
3?3
317 Bedroom 1
Map is not to scale
La Costa Resort & Spia
Unit 2048 D/ Upstairs
3/3/04
XRF reading locatons Kay Best DHS # 7170
March 11, 2004
Page 9
5ST
27fX'
2TB--
273—
XR
•305 306
Diningroom
30ft 309.308 310-^—^
298 308—
?03 Kitcnen
303 296
2« 293
OUice 295jV 2
200 ^61
??<27b ^"^ ztfs 282 286— 2
. 279 27i" Ba(h1 28SL
Balh2 384 288
2J3^ -287 2^3 ~1
867
270 2S9
Playroom
F reading locations Kay Best DHS 7170
360 361
aU
311 —362
3-|5_
I2 ,..
LivingRoom
Foyer 26\
7 J-^ik I ! i i 1
/ SI \ \ I '
SS^SSS" 35V \
Map is not to scale
La Costa Resort & Spa
384- • • Unit 2D4B D / Downstair s
Garage 3/3j04
— 386
m 368 3E>
March 11,2004
Page. 10
SideC
SideB
Garage
" 7 J21
XRF reading locations Kay Best DHS #7170
SideO
aTflT
-84 82 Be dio om 3 86
88
83 as
Side A
Map is not to scale
La Costa Resort & Spa
Unit 21 01 A
3/3/04
March 11, 2004
Page 11
Asbestos results
The asbestos-containing materials identified at the referenced locations are
summarized below
Unit 2101 A
Sample # Ab-008 - transite pipe in the exterior water closet
Unit 2048 D
Sample # Ab-045 - flooring material in the dining room
Sample # Ab-046 - flooring material in the kitchen
Unit 2047 E
Sample # Ab-063 - flooring material in the kitchen
Sample # Ab-064 - transite in the water closet
Sample # Ab-074 - roof penetration mastic
Unit 2036 C
Sample # Ab-081 - transite in the water closet
Sample # Ab-084 - HVAC insulation
Sample # Ab-087 - utility room flooring material
Unit 2025 F
Sample # Ab-097 - transite in the laundry room
The following pages age your building material sample location maps
March 11, 2004
Page 12
SideC
Side
B
DmingRoomKitchen
Ab28
Ab16
Livingroom 1 *
Ab22
J Ab13 A
Bedroom 4 fl"la| |Ab19
^ |_ Bath 1
Ab14 I &£»
\ Ab20 I sundry '
om3 \J lAb21
Ab27 [ , Bath 2
/ I \Ab26
Bedroom 2 | Bedroom 1
ftb32
Foyer
b1' \
Livingraom 2
Ab29
Abl7
Office
^ -^^ \ / \
Ab'18
Ab24
Bedroom 5
-^, \ LJ
Closet A Bath3
SideD
Map is not to scale
La Costa Resort &
Unit 2024 B
3OJC4
Asbestos sampling locations
Side A
Git age
March 11, 2004
Page 13
AB-98
0
Master
Bedroom
Bath 2
AB-90
Closet
\
/
AB-M
AB-S9
Livmgroom
AB95
Bedroom 1
Ab-91
Bathl
Asbestos sampling locations
AB-SS
Dmingroom
Kitchen
AB-93
AB-97
.AB-92
Laundry
AB-99
Map is not to scale
La Costs Resort & Spa
Unit 7025 F
3/4/D4
March 11, 2004
Page 14
AB-85
LivmgRoom 1
Dining / LivmgRoom
AB-81 AB-8
3 -
Eqtry
Storage Bath
AB-87
Utility
AB-86
Kitchen
Asbestos sampling locations
Map is not to scale
La Costa Resort S Spa
2036 C- Downstairs
3/4A34
March 11, 2004
Page 15
Bedroom 1
AB-76
Bath 2 AB-79
Asbestos sampling locations
Adam Ada
Hell
AB-81.
WH\ IHVAQ
AB-77
Bedroom 2
AB-78
Bath 4
Bath 3
Bedroom 3
AB-80
Mapis not to scale
La Costa Resort & Sps
2036 C Upstairs
3/4/D4
March 11, 2004
Page 16
Ab73
Master
Ab70
-Ab60
Ab71
Ab63
Kitchen
Ab66
Dnngroom
Ab74
Ab58
Ab75
Livingroom 2
Ab67
Ab69
Ab7? Bedrooms Bath 2 Hpr,rnnm 1
flhfi7 Bath 3 J Ab61
AsbestDS 93mplmg locations
Adam Ada
Ab65
Livmgroom 1
Map is not to scale
La Costa Resort a Sps
Unit 2047 E
3/4/04
March 11,2004
Page 17
Bedroom 3
AB47
j r
H
AB-3S
Balh 3
ABJ6
Bedroom 2
ABJ9
Bedroom 1 ABJ8
AB-35
AsbesrtDJ sampling locatons
Adam Ada
Map is not to scale
La Costa Resort & S
Unit 2048 D / Upstair
3O/04
March 11, 2004
Page 18
AB45
AB 52 Kitchen
AB40
Dinmgroom
AB-49
Office
AB46
Bath 2
AB-48
Bathl
AB41
A 1-51
Playroom
AB-53
JB43
AB44
LivingRoom
Foyer
\
AB47
ftB-55-flB-50
Garage
-AB-5t
Map is not to scale
La Costa Resort & Spa
Unit 2048 0 / Downstairs
3/3/04
March 11, 2004
Page 19
Livmgroom 1
AB-8
Master Bedroom
Bath 2
Bathl
AB-3
Garage
Asbestos sampling locations
Adam Ada
AB-9
AB-11
Dining Room
r
Kitchen
AB4
AB-1
Livmgroom 2
ftB-2
Bath 3 Bedroom 1
Bath 4
ABO
X
Bedroom 3
AB-7
Bedroom 2
Map is not to scale
•.a Costa Resort & Spa
Jn*2101 A
3/3/04
Should you have any questions, please feel free to contact the lab
Kay Best
H M Pitt Labs DHS #7170
H.M. Pitt Labs, inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-1
Customer Number Ab-001
Description Acoustic Ceiling - 2101 A , Foyer Approx 140 Sq Ft
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-2
Customer Number Ab-002
Description Acoustic Ceiling - 2101 A, Livmgroom 2 Approx 120 Sq Ft
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-3
Customer Number Ab-003
Description Acoustic Ceiling - 2101 A, Hall Approx 88 Sq Ft
Results Non-asbestos non-fibrous white acoustic ceiling
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated: 03/11/2004 REVIEWED BY
LELANDS PITT CIH
Page 1 of 27
H.M. Pitt Labs, inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-4
Customer Number Ab-004
Description Vinyl Flooring - 2101 A, Kitchen Approx 295 Sq Ft
Results Ab-04A Non-asbestos 18-19% cellulose fibers and 1-2% glass fibers in white sheet vinyl
Ab-04B Non-asbestos non-fibrous white floor tile
Ab-04C Non-asbestos 18-19% cellulose fibers in yellow sheet vinyl
Ab-04D Non-asbestos non-fibrous white stick down floor tile
Analysis Number 52154-5
Customer Number Ab-005
Description Drywall/Patch - 2101 A, Foyer
Results Non-asbestos non-fibrous white plaster
Analysis Number
Customer Number
Description
Results
52154-6
Ab-006
Drywall/Patch - 2101 A, Livmgroom/Foyer
Non-asbestos 2-3% cellulose fibers in white plaster
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY -S~-Dated: 03/11/2004 REVIEWED BY
LELANDS PITT, CIH
Page 2 of 27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-7
Customer Number Ab-007
Description Drywall/Patch - 2101 A, Bedroom 3
Results Non-asbestos 1-2% cellulose fibers in white plaster
Analysis Number 52154-8
Customer Number Ab-008
Description Transite Pipe - 2101 A, Exterior H20 Closet
Results Asbestos 10-12% chrysotile in grey non-friable transite
Analysis Number 52154-9
Customer Number Ab-009
Description Roof Paper - 2101 A, Approx 3500 Sq Ft
Results Non-asbestos 10-12% cellulose fibers in black roofing material
Analysis Number 52154-10
Customer Number Ab-010
Description Brownish Colored Stucco - 2101 A
Results Non-asbestos non-fibrous white/peach stucco
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY-Dated: 03/11/2004 REVIEWED BY
LELANDS PITT CIH
Page 3 of 27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim*
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MiCROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-11
Customer Number Ab-011
Description Acoustic Ceiling - 2101 A, Roof Tile Approx 3500 Sq Ft
Results Non-asbestos non-fibrous brown roofing material
Analysis Number 52154-12
Customer Number Ab-012
Description Acoustic Ceiling - 2024 B, Edge of Foyer/Livmgroom 1
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-13
Customer Number Ab-013
Description Acoustic Ceiling - 2024 B, Half
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-14
Customer Number Ab-014
Description Acoustic Ceiling - 2024 B, Bedroom 3
Results Non-asbestos non-fibrous white acoustic ceiling
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated 03/11/2004 REVIEWED BY
LELANDS PITT, CIH 6 Page 4 of 27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-15
Customer Number Ab-015
Description Acoustic Ceiling - 2024 B, Bedroom 4
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-16
Customer Number Ab-016
Description Acoustic Ceiling - 2024 B, Livmgroom 1
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-17
Customer Number Ab-017
Description Acoustic Ceiling - 2024 B, Office
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number
Customer Number
Description
Results
52154-18
Ab-018
Acoustic Ceiling - 2024 B, Bedroom 5
Non-asbestos non-fibrous white acoustic ceiling
(Note Sample received wet Sample dried at low temperature prior to analysis)
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated: 03/T1/2004 REVIEWED BY
LELANDS PITT, CIH (7 Page 5 of 27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim*
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-19
Customer Number Ab-019
Description Vinyl - 2024 B, Bath 1
Results Non-asbestos 18-19% cellulose fibers in white/grey sheet vinyl
Analysis Number 52154-20
Customer Number Ab-020
Description
Results
Vinyl - 2024 B, Laundry
Ab-20A Non-asbestos 18-19% cellulose fibers and 1-2% glass fibers in white/grey sheet vinyl
Ab-20B Non-asbestos non-fibrous white stick down floor tile
Analysis Number
Customer Number
Description
Results
52154-21
Ab-021
Vinyl - 2024 B, Bath 2
Non-asbestos 18-19% cellulose fibers and 1-2% glass fibers in white sheet vinyl
(Note Mastic and sheet vinyl were analyzed together and reported as one result)
Analysis Number 52154-22
Customer Number Ab-022
Description Tile - 2024 B, Livmgroom 1
Results Non-asbestos non-fibrous white floor tile
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated. 03/11/2004 REVIEWED BY
LELANDS PITT, CIH
/}
Page 6 of 27
H.M. Pitt Labs, inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number
Customer Number
Description
Results
52154-23
Ab-023
Vinyl - 2024 B, Kitchen
Ab-23A Non-asbestos 18-19% cellulose fibers, 2-3% glass fibers, and 1-2% synthetic fibers in white/grey
sheet vinyl
Ab-23B Non-asbestos non-fibrous white plaster
Ab-23C Non-asbestos 2-3% glass fibers in grey/brown sheet vinyl
Ab-23D Non-asbestos non-fibrous white plaster
Analysis Number
Customer Number
Description
Results
Analysis Number
Customer Number
Description
Results
52154-24
Ab-024
Vinyl - 2024 B, Bath 4
Ab-24A Non-asbestos 18-19% cellulose fibers and 1-2% glass fibers in white/grey sheet vinyl
Ab-24B Non-asbestos non-fibrous white plaster
52154-25
Ab-025
Drywall/Patch - 2024 B, Laundry
Non-asbestos non-fibrous white plaster
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated: 03/11/2004 REVIEWED BY.
LELANDS PITT CIH c/Page 7 of 27
H.M. Pitt Labs, inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim*
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-26
Customer Number Ab-026
Description Drywall/Patch - 2024 B, Bedroom 1
Results Non-asbestos non-fibrous white plaster
Analysis Number 52154-27
Customer Number Ab-027
Description Drywall/Patch - 2024 B, Bedroom 3
Results Non-asbestos non-fibrous white plaster
Analysis Number 52154-28
Customer Number Ab-028
Description Drywall/Patch - 2024 8, Dining Room
Results Non-asbestos non-fibrous white plaster
Analysis Number 52154-29
Customer Number Ab-029
Description Drywall/Patch - 2024 B, Livmgroom 2
Results Non-asbestos 5-6% cellulose fibers in white wallboard/drywall
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY.
LELANOS PITT, CIH
Dated: 03/11/2004 REVIEWED BY Y^pSAL/v£
Page 8 of 27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes-
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-30
Customer Number Ab-030
Description Drywall/Patch - 2024 B, Bedroom 5
Results Non-asbestos 4-5% cellulose fibers in white wallboard/drywall
Analysis Number 52154-31
Customer Number Ab-031
Description Stucco/Brown - 2024 B, Exterior Southwest Corner of Bedroom 2
Results Non-asbestos non-fibrous brown/white stucco
(Note Sample ground to powder in mortar and pestle)
Analysis Number 52154-32
Customer Number Ab-032
Description Stucco/Brown - 2024 B, Exterior Northeast Dining Room
Results Non-asbestos non-fibrous brown/white stucco
(Note Sample ground to powder in rnortar and pestle)
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full without written approval of H M Pitt Labs, inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY.Dated 03/0/2004 REVIEWED BY
LELANOS PITT, C1H
Page 9 of 27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number
Customer Number
Description
Results
52154-33
Ab-033
Brick Morter - 2024 B, Fireplace Livingroom 2
Non-asbestos non-fibrous grey brick mortar
(Note Sample ground to powder in mortar and pestle)
Analysis Number 52154-34
Customer Number Ab-034
Description Roofing Paper - 2024 B
Results Non-asbestos 3-4% cellulose fibers in black roofing material
Analysis Number 52154-35
Customer Number Ab-035
Description Acoustic Ceiling - 2048 D, Bedroom 1
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number
Customer Number
Description
Results
52154-36
Ab-036
Acoustic Ceiling - 2048 D, Bedroom 2
Non-asbestos non-fibrous white acoustic ceiling
(Note Sample received wet Sample dried at low temperature prior to analysis)
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated. 03/11/2004 REVIEWED BY
LELANDS PITT CIH
Page 10 of27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site- La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number
Customer Number
Description
Results
52154-37
Ab-037
Acoustic Ceiling - 2048 D, Bedroom 3
Non-asbestos non-fibrous white acoustic ceiling
(Note Sample received wet Sample dried at low temperature prior to analysis)
Analysis Number 52154-38
Customer Number Ab-038
Description Acoustic Ceiling - 2048 D, Bedroom 3
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-39
Customer Number Ab-039
Description Drywall/Patch - 2048 D, Hall
Results Non-asbestos non-fibrous white plaster
Analysis Number 52154-40
Customer Number Ab-040
Description Drywall/Patch - 2048 D, Bedroom 1
Results Non-asbestos non-fibrous white plaster
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated: 03/11/2004 REVIEWED BY.
LELANDS PITT CIH
Page 11 of27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company i
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / CIaim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-41
Customer Number Ab-041
Description Acoustic Ceiling - 2048 D, Playroom
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-42
Customer Number Ab-042
Description Acoustic Ceiling - 2048 D, Office
Results Non-asbestos non-fibrous white acoustic ceiling
A nalysis Number 52154-43
Customer Number Ab-043
Description Acoustic Ceiling - 2048 D, Dining Room
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-44
Customer Number Ab-044
Description Acoustic Ceiling - 2048 D Foyer
Results Non-asbestos non-fibrous white acoustic ceiling
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated: 03/11/2004 REVIEWED DY
LELANDS PITT CIH
Page 12 of27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-45
Customer Number Ab-045
Description Vinyl - 2048 D, Dining Room
Results Ab-45A Asbestos 18-19% chrysotile in yellow/brown friable sheet vinyl (1% cellulose fibers also present)
Ab-45B Asbestos 18-19% chrysotile in white friable sheet vinyl (1% cellulose fibers also present)
Analysis Number 52154-46
Customer Number Ab-046
Description Vinyl - 2048 D, Kitchen
Results Ab-46A Non-asbestos 18-19% cellulose fibers and 1-2% glass fibers in pink/yellow sheet vinyl
Ab-46B Non-asbestos non-fibrous white floor filler
Ab-46C Asbestos 18-19% chrysotile in yellow/white friable sheet vinyl (1% cellulose fibers also present)
Ab-46D Asbestos 18-19% chrysotile in yellow/white friable sheet vinyl (1% cellulose fibers also present)
Analysis Number 52154-47
Customer Number Ab-047
Description Drywall/Patch - 2048 D, Livingroom
Results Non-asbestos non-fibrous white plaster
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated: 03/H/2004 REVIEWED BY
LELANDS PITT CIH V Page 13 of 27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-48
Customer Number Ab-048
Description Drywall/Patch - 2048 D, Bath 2
Results Non-asbestos non-fibrous white plaster
Analysis Number 52154-49
Customer Number Ab-049
Description Drywall/Patch - 2048 D, Office
Results Non-asbestos non-fibrous white plaster
Analysis Number 52154-50
Customer Number Ab-050
Description Drywall/Patch - 2048 D, Dining Room
Results Non-asbestos non-fibrous white plaster
Analysis Number 52154-51
Customer Number Ab-051
Description Stucco - 2048 D
Results Non-asbestos non-fibrous grey/white stucco
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated: 03/11/2004 REVIEWED BY
LELANDS PITT CIH
Page 14 of 27
H.M. Pitt Labs, inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-52
Customer Number Ab-052
Description HVAC Wrap - 2048 D
Results Non-asbestos 80% cellulose fibers in white woven fibers
Analysis Number
Customer Number
Description
Results
52154-53
Ab-053
Stucco - 2048 D
Non-asbestos non-fibrous grey stucco
(Note Sample ground to powder in mortar and pestle)
Analysis Number 52154-54
Customer Number Ab-054
Description Roofing Paper - 2048 D
Results Non-asbestos 5-6% cellulose fibers in black roofing material
Analysis Number
Customer Number
Description
Results
52154-55
Ab-055
Roofing Paper - 2048 D, Garage
Ab-55A Non-asbestos 5-6% cellulose fibers in black roofing matenal
Ab-55B Non-asbestos 5-6% cellulose fibers in black roofing matenal
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated: 03/H/20M REVIEWED BY _J_
LELANDS PITT, CIH
f/-
Page 15 of 27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
03/03/2004
Tracey Caudle
03/08/04
DatejSarn&!ed_ Who Sampled
03/03/2004 K Best, A Ada
03/04/2004 K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-56
Customer Number Ab-056
Description
Results
Stucco - 2048 D, Garage
Non-asbestos non-fibrous grey stucco
(Note Sample ground to powder in mortar and pestle)
Analysis Number 52154-57
Customer Number Ab-057
Description Acoustic Ceiling - 2047 E, Foyer
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-58
Customer Number Ab-058
Description Acoustic Ceiling - 2047 E, Livingroom 1
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-59
Customer Number Ab-059
Description Acoustic Ceiling - 2047 E, Livingroom 2
Results Non-asbestos non-fibrous white acoustic ceiling
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated: 03/11/2004 REVIEWED BY-
LELANDS PITT CIH
tffoj
Page 16 of 27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-60
Customer Number Ab-060
Description Acoustic Ceiling - 2047 E, Master Bedroom
R0sults Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-61
Customer Number Ab-061
Description Acoustic Ceiling - 2047 E, Bedroom 1
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-62
Customer Number Ab-062
Description Acoustic Ceiling - 2047 E, Bedroom 2
Results Non-asbestos non-fibrous white acoustic ceiling
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated: 03/11/2004 REVIEWED BY
LELAND S PITT CIH
(_/Page 17 of 27
H.M. Pitt Labs, inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-63
Customer Number Ab-063
Description
Results
Flooring - 2047 E, Kitchen
Ab-63A Non-asbestos
Ab-63B Non-asbestos
non-fibrous white/black stick down floor tile
non-fibrous white floor tile
Ab-63C Non-asbestos 15-16% cellulose fibers and 5-6% glass fibers in yellow/brown sheet vinyl
Ab-63D Non-asbestos 15-16% cellulose fibers and 5-6% glass fibers in white/yellow sheet vinyl
Ab-63E Asbestos 18-19% chrysotile in yellow/white friable sheet vinyl (1% cellulose fibers also present)
Analysis Number 52154-64
Customer Number Ab-064
Description Transite - 2047 E, H20 Closet
Results Asbestos 10-12% chrysotile in grey non-friable transite
Analysis Number 52154-65
Customer Number Ab-065
Description Drywall/Patch - 2047 E, Livingroom 1
Results Non-asbestos 2-3% cellulose fibers in white wallboard/drywall
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated 03/11/2004 REVIEWED BY
LELANDS PITT CIH
Page18of27
H.M. Pitt Labs, inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/20C4
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-66
Customer Number Ab-066
Description Drywall/Patch - 2047 E, Kitchen
Results Non-asbestos non-fibrous white plaster
Analysis Number 52154-67
Customer Number Ab-067
Description Drywall/Patch - 2047 E, Hall
Results Non-asbestos 2-3% cellulose fibers in white plaster
Analysis Number 52154-68
Customer Number Ab-068
Description Drywall/Patch - 2047 E, Bath 3
Results Non-asbestos non-fibrous white plaster
Analysis Number 52154-69
Customer Number Ab-069
Description Drywall/Patch - 2047 E, Bedroom 2
Results Non-asbestos non-fibrous white plaster
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, !NC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated- 03/11/2004 REVIEWED BY
LELANDS PITT CIH
Page 19 of 27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
| 2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site. La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-70
Customer Number Ab-070
Description Drywall/Patch - 2047 E, Master Bedroom Closet
Results Non-asbestos 2-3% cellulose fibers in white wallboard/drywall
Analysis Number 52154-71
Customer Number Ab-071
Description HVAC Duct Wrap - 2047 E, Master Bedroom Closet
Results Non-asbestos 80% cellulose fibers in white woven fibers
Analysis Number 52154-72
Customer Number Ab-072
Description Exterior Stucco Peach - 2047 E
Results Non-asbestos non-fibrous grey stucco
Analysis Number 52154-73
Customer Number Ab-073
Description Exterior Stucco Peach - 2047 E
Results Non-asbestos non-fibrous grey stucco
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full without written approval of H M Pitt Labs Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY:Dated- 03/11/2004 REVIEWED DY
LELANDS PITT CIH
Page 20 of 27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
If 2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered.
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Qate_Sa_rnpled_
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-74
Customer Number Ab-074
Description Roof - 2047 E, Penetration Mastic
Results Asbestos 2-3% chrysotile in black non-friable roofing material
Analysis Number 52154-75
Customer Number Ab-075
Description Roofing Shingles & Paper - 2047 E
Results Ab-75A Non-asbestos 5-6% cellulose fibers in black roofing matenal
Ab-75B Non-asbestos 1-2% glass fibers in black roofing material
Ab-75C Non-asbestos 3-4% glass fibers in black roofing matenal
Ab-75D Non-asbestos 3-4% glass fibers in black roofing material
Analysis Number 52154-76
Customer Number Ab-076
Description Acoustic Ceiling - 2036 C, Bedroom 1
Results Non-asbestos non-fibrous white acoustic ceiling
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated: 03/fl/2004 REVIEWED BY
LELANDS PITT CIH
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-77
Customer Number Ab-077
Description Acoustic Ceiling - 2036 C, Bedroom 2
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-78
Customer Number Ab-078
Description Acoustic Ceiling - 2036 C, Bedroom 3
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-79
Customer Number Ab-079
Description Drywall/Patch - 2036 C, Bath 2
Results Non-asbestos non-fibrous white plaster
Analysis Number
Customer Number
Description
Results
52154-80
Ab-080
Drywall/Patch - 2036 C, Bath 3
Non-asbestos non-fibrous white plaster
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY.Dated- 03/W2004 REVIEWED BY
LELANDS PITT CIH
LLL
Page 22 of 27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes.
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-81
Customer Number Ab-081
Description Transite - 2036 C H20 Closet
Results Asbestos 7-10% chrysotile in grey non-friable transite
Analysis Number 52154-82
Customer Number Ab-082
Description Acoustic Ceiling - 2036 C, Livmgroom
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number
Customer Number
Description
Results
52154-83
Ab-083
Acoustic Ceiling - 2036 C, Hall Downstairs
Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-84
Customer Number Ab-084
Description HVAC Insulation - 2036 C, H20 Closet Near Entrance
Results Asbestos 90% chrysotile in grey friable HVAC Insulation
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated: 03/11/2004 REVIEWED BY
LELANDS PITT, CIH
Page 23 of 27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim*
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-85
Customer Number Ab-085
Description Joint Compound - 2036 C, Livmgroom
Results Non-asbestos non-fibrous white joint compound
Analysis Number 52154-86
Customer Number Ab-086
Description Joint Compound - 2036 C, Utility Room
Results Non-asbestos 1-2% cellulose fibers in white joint compound
Analysis Number 52154-87
Customer Number Ab-087
Description
Results
Floor Tile - 2036 C, Utility Room
Ab-87A Non-asbestos non-fibrous grey/blue stick down floor tile
Ab-87B Asbestos 18-19% chrysotile in yellow friable sheet vinyl (1% cellulose fibers also present)
Analysis Number 52154-88
Customer Number Ab-088
Description Acoustic Ceiling - 2025 F, Livmgroom
Results Non-asbestos non-fibrous white acoustic ceiling
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated. 03/11/2004 REVIEWED BY.
LELANDS PITT CIH
//
Page 24 of 27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
\liii7
Company
Job Site
Lab Notes
2434 Southport Way Suite L National City, CA 91950
La Costa Resort and Spa
21 00 Costa Del Mar Rd
Carlsbad, Ca 92009
La Costa Resort and Spa
Tel 619-474-8548 Fax 619-474-6128
Date Entered 03/03/2004
Analyzed By Tracey Caudle
Date Analyzed 03/08/04
Customer PO / Claim#
Contract Number
Date Sampled Who Sampled
03/03/2004 K Best, A Ada
03/04/2004 K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-89
Customer Number Ab-089
Description Acoustic Ceiling - 2025 F, Livingroom
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-90
Customer Number Ab-090
Description Acoustic Ceiling - 2025 F, Master Bedroom
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-91
Customer Number Ab-091
Description Acoustic Ceiling - 2025 F, Bedroom 1
Results Non-asbestos non-fibrous white acoustic ceiling
Analysis Number 52154-92
Customer Number Ab-092
Description Floor Tile - 2025 F Laundry/Utility
Results Ab-92A Non-asbestos 7-10% synthetic fibers and 5-6% glass fibers in white sheet vinyl
Ab-92B Non-asbestos 7-10% glass fibers in white sheet vinyl
Ab-92C Non-asbestos non-fibrous white floor filler
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated. 03/11/2004 REVIEWED BY
LELANDS PITT CIH C/Dage25of27
H.M. Pitt Labs, Inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Dei Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tel 619-474-8548 Fax 619-474-6128
Date Entered
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/20C4
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-93
Customer Number Ab-093
Description Joint Compound - 2025 F, Kitchen
Results Non-asbestos non-fibrous white joint compound
Analysis Number 52154-94
Customer Number Ab-094
Description Joint Compound - 2025 F, Livingroom
Results Non-asbestos non-fibrous white joint compound
Analysis Number 52154-95
Customer Number Ab-095
Description Joint Compound - 2025 F, Bedroom 1
Results Non-asbestos non-fibrous white joint compound
Analysis Number 52154-96
Customer Number Ab-096
Description Joint Compound - 2025 F, Master Bedroom Closet
Results Non-asbestos non-fibrous white joint compound
All samples tested as submitted to the lab H M PITT LABS INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated: 03/11/2004 REVIEWED BY-
LELANDS PITT CIH (7 Page 26 of 27
H.M. Pitt Labs, inc.Lab Number: 52154-36729
2434 Southport Way Suite L National City, CA 91950
Company
La Costa Resort and Spa
2100 Costa Del Mar Rd
Carlsbad, Ca 92009
Job Site La Costa Resort and Spa
Lab Notes
Tei 619-474-8548 Fax 619-474-6128
Date Entered.
Analyzed By
Date Analyzed
Customer PO / Claim#
Contract Number
Date Sampled
03/03/2004
03/04/2004
03/03/2004
Tracey Caudle
03/08/04
Who Sampled
K Best, A Ada
K Best, A Ada
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA/600/R-93/116
Analysis Number 52154-97
Customer Number Ab-097
Description Transite - 2025 F, Laundry/Utility
Results Asbestos 7-10% chrysotile in grey non-friable transite
Analysis Number 52154-98
Customer Number Ab-098
Description Stucco - 2025 F, Exterior Near Master Bedroom Window
Results Non-asbestos non-fibrous pink/grey stucco
Analysis Number 52154-99
Customer Number Ab-099
Description Stucco - 2025 F, Exterior Near Back Door
Results Non-asbestos non-fibrous pink/grey stucco
Analysis Number 52154-100
Customer Number Ab-100
Description Roofing Material - 2025 F, Front Door Overhang
Results Non-asbestos 7-10% cellulose fibers in black roofing material
All samples tested as submitted to the lab H M PITT LABS, INC does not assume responsibility for the accuracy of the information
submitted with the samples unless done by an employee of H M PITT LABS, INC
These test results relate only to the sample(s) identified above
This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government
This report shall not be reproduced, except in full, without written approval of H M Pitt Labs, Inc
Samples are archived for 2 years from date of receipt and will be disposed of properly following this period
APPROVED BY Dated: 03/11/2004 REVIEWED BY
LELANDS PITT, CIH
Page 27 of'27
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XRF CALIBRATION FORM
Lab
Address/Unit o?/r / y<u j </ -* ~j ^ -y £' fa„ / (*£,, y,
D\V\CQ ^NitoiiXL^lQC^
Date
Inspector _ ~^?2
Calibration Check Tolerance Used 0 9rng/cm2 - i 2 mg/cin2 (Inciusise)
Use ! 06 mg/cm2 SR.M Paint Film ,
First Calibration Check Time-
Reading l~~^ :~2lia"keadinti ;v J> T3i!rReadinV"~ " "^ S~| I"' Averaye
Second Calibration Check Tune. >'
1st Reading - ~>^ / Reading __ ^-^5=)_ 3Reaciiag -•" j> ? j vrage~ " " ~ ' " '
Third Calibration Check ___ Tune: __ ^ r< J -...
P'Reading ^r ^ ^ | 2lflReadmii ^ ? 7C "] 3rJ Reading" "* > ? ' \ 3'u Average
Tolerance Values tor Niton XL-300 0 9 m<i''cin2 to 1 2 nm/cm2 ( inclusive)
Inspector Signature
DHS Certification ^
H Vf Pitt I
.v iV 11, \ ? :\ •> .1 * v 1. ,i j !
\RF CALIBRATION FORM
Labs
Address/Unit
Divice NitOiiXL-jQQ
Date
Inspectoi
^
Calibration Check Tolerance Used_Q_9mg/cm2 - I 2 me/cin2 (inclusive)
Use [ 06 tnu/cm2 SRM Paint Film
First Calibration Check Time.
f Is'"Readme" ^373 l^Readmo ~"*3Tv ! 31TrRead!im i"' A\eraye
I - Q.I / 3 ± O 1~ ! / /3
Second Calibration Check Time:
>. /
Third Calibration Check Time
1" Reading ! 2IW Readme i 3 Readme^-t_ j ^ | c?_
"'Tolerance Values for Niton XL-j(JO 0 9 mg/cm2 to 1 2 mg/cm2 ( Inclusive)
Inspector Signatuie
DHS Certification F
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