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Home My WebLink About2525 EL CAMINO REAL; ; PREV2017-0026; PermitCr'city of Carlsbad Print Date: 11/08/2018 Permit No: PREV2017-0026 2525 El Camino Real BLDG-Permit Revision 1563020900 $ 0.00 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: U Dwelling Units: Bedrooms: Project Title Description: Work Class: Commercial Permit Revi5 Status: Closed - Finaled Lot U: Applied: 02/03/2017 Reference U: Issued: 04/20/2017 Construction Type Permit 11/08/2018 Finaled: Bathrooms: Inspector: Orig. Plan Check U: CB163654 Final Plan Check U: Inspection: THE SHOPPES: RESTAURANT ROW RENOVATION - DEFERRED SUBMITTAL TO C13163654, DEMO PORTION OF ROOF AND ADD SHORING Applicant: Owner: TRENTON M R P I CARLSBAD LP 1130 W Trenton Ave Orange, CA 92867-3536 1114 Avenue Of The Americas, Floor 45 New York, NY 10036-7700 214-660-5232 x215232 FEE AMOUNT MANUAL BUILDING PERMIT FEE $580.00 Total Fees: $ 580.00 Total Payments To Date : $ 580.00 Balance Due: $0.00 Building Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 1 760-602-2700 1 760-602-8560 f I www.carlsbadca.gov crcityof Carlsbad PLAN CHECK REVISION APPLICATION B-15 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Plan Check Revision No. ?pjlc7 0oq4 Original Plan Check No.0 ((cs 65 Project Address 22-c f Ccv'no 2€t Date c3, -e Ig.1 Contact Ph 576 )- )•'3 ()T) "I or Fax UM Z3r"17 Email Tr- Ah9 r'\- \ro' I Contact Address tt'0 irv' v- City o r-e,,~L Zip General Scope of Work Original plans prepared by an architect or engineer, revisions must be signed & stamped by that person. 1. Elements revised: Plans Calculations fl Soils 0 Energy Other 2. Describe revisions in detail 3. List page(s) where each revision is shown 4. List revised sheets that replace existing sheets rO 54A on) L. ) 4-0 S.pPo'+ -,c j\vtfur j?v- o C-C. -• w , ee- Does this revision, in any way, alter the exterior of the project? fl Yes E] No Does this revision add ANY new floor area(s)? Yes No Does this revision affect any fire related issues? fl Yes El No Is this a complete set? E Yes fl No 1635 Faraday Avenue, Carlsbad, CA 92008 ti: 760-602- 2719 E: 760-602-8558 Email: building@carlsbadca.gov wwwcarlsbadca.gov EsGil Corporation In Partnership with government for cBuiCting Safety DATE: MAR. 28, 2017 U APPLICANT JURIS. JURISDICTION: TAkl4pkdc U PLAN REVIEWER U FILE PLAN CHECK NO.: 16-3654 (REV. #1) - NEW PREV 2017-0026 SET: II PROJECT ADDRESS: 2525 EL CAMINO REAL PROJECT NAME: THE SHOPPES @ CARLSBAD - PHASE II RENOVATION - RESTAURANT ROW The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. E] The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. LI The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at EsGil Corporation until corrected plans are submitted for recheck. El The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. El The applicant's copy of the check list has been sent to: Please see below EsGil Corporation staff did not advise the applicant that the plan check has been completed. El EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Trenton or Telephone #: 619-623-1299 Date contacted: (by:.- Email: trentonmillerenviron mental. com Mail Telephone Fax In Person REMARKS: Shoring plans and calculations are under this plan revision. [81/2"xl 1" package are submitted for review & approval]. By: ALl SADRE, S.E. Enclosures: EsGil Corporation El GA LI EJ El MB LI PC 3/23 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 EsGil Corporation In Partnership with government for Building Safety DATE: FEB. 13, 2017 U 0,PPLICANT JURIS. JURISDICTION: CARLSBAD U PLAN REVIEWER U FILE PLAN CHECK NO.: 16-3654 (REV. #1) - NEW PREV 2017-0026 SET:! PROJECT ADDRESS: 2525 EL CAMINO REAL PROJECT NAME: THE SHOPPES @ CARLSBAD - PHASE II RENOVATION - RESTAURANT ROW El The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information. The plans are being held at EsGil Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: Please see below EsGil Corporation staff did not advise the applicant that the plan check has been completed. EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Trenton Telephone #: 619-623-1299 date contacted: jj/, (by:Y\(j Email: trentonmiIIerenvironmental,com MaiI T\IephoryS Fax In Person REMA: Shoring plans and calculations are under this plan revision. [81/2"x11" package are submitted for review & approval]. By: AL! SADRE, S.E. Enclosures: EsGil Corporation F-1 GA LIEJ LIMB El PC 2/6 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 CARLSBAD 16-3654 (REV. #1) - NEW PREV 2017-0026 FEB. 13, 2017 . GENERAL Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. Bring TWO corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. . To facilitate rechecking, please identify, next to each item, the sheet of the plans upon which each correction on this sheet has been made and return this sheet with the revised plans. . PLANS Please provide section & elevation plans for the shoring members including W8x10's, 7W Alum Stringers, cross bracing elements, etc. Please detail a positive connection between the scaffolding member(s) and the floor/ or roof member(s) to be supported. Please provide shoring calculations as applicable to this phase of the project. [The testing results from the manufacturer are not a replacement for calc's]. The project engineer to demonstrate that the existing floor (ribs) have the capacity to support the reactions from the shoring legs. I.e., see gridline "D". The project engineer to stamp the shoring plans & documents stating they have been reviewed and no exceptions are taken. A reminder that the revised plans and calculations need to be stamped and signed by the shoring design engineer responsible for their preparation. CA Business & Professional Code. . ADDITIONAL The jurisdiction has contracted with EsGil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact AL! SADRE, S.E. at EsGil Corporation. Thank you. CARLSBAD 16-3654 (REV. #1) - NEW PREV 2017-0026 FEB. 13, 2017 [DO NOT PAY - THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: CARLSBAD PLAN CHECK NO.: 16-3654 (REV. #1) - NEW PREV 2017-0026 PREPARED BY: AL! SADRE, S.E. DATE: FEB. 13, 2017 BUILDING ADDRESS: 2525 EL CAMINO REAL BUILDING OCCUPANCY: M; III-B/SPR. BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) REMODEL & 56000 114.04 STRUCTURAL REBUILT Air Conditioning 56000 6.37 Fire Sprinklers 56000 3.94 TOTAL VALUE Jurisdiction Code JCB IBY Ordinance Bldg. Permit Fee by Ordinance V Plan Check Fee by Ordinance V Type of Review: 0 Complete Review Other El Repetitive Fee V Repeats Hourly EsGil Fee * Based on hourly rate 0 Structural Only 4 Hrs.@* $116.00 I $580.00I I $464.00I Comments: Plan revisions are under this permit. Sheet 1 of 1 macvalue.doc + Page 1 of 3 PLAN CHECK COMMENTS Daryl K. James & Associates, Inc. 205 Colina Terrace Vista, CA 92084 T. (760) 724-7001 Email: kitfiresbcglobal.net APPLICANT: Steven Ruiz Checked by: Daryl Kit James Date: October 10, 2016 JURISDICTION: Carlsbad Fire Department PROJECT NAME: The Shoppes at Carlsbad Phase II PROJECT ADDRESS: 2525 El Camino Real PROJECT DESCRIPTION: C8163654 56.00031 Restaurant Row renovation and modernization: Remove portion of upper level roof and structure to provide raised ceiling height for new restaurant tenants. Relocate loading dock. Provide new trash enclosure for restaurants. New upgraded storefronts, plazas and site improvements. New toilet rooms, electrical rooms, and service elevators. RESUBMITTAL INSTRUCTIONS TO AVOID DELAY IN EXPEDITED RECHECK SERVICES Corrections or modifications to the plans must be clouded and provided with numbered deltas and revision dates. Provide a written response, following each comment On This Correction List explaining how and where each plan review comment has been addressed. Provide a copy of Building Department (EsGil) comments. Input fire revisions onto the Building Dept. plan check. Please direct any questions regarding this review to: Daryl K. James 760-724-7001 or kitfiresbcglobal.net COMMENTS MUST BE SUBMITTED DIRECTLY TO THE FOLLOWING ADDRESS DARYL K. JAMES & ASSOCIATES, INC. 205 COLINA TERRACE VISTA, CA 92084 PLEASE DO NOT REQUIRE MY SIGNATURE TO ACCEPT DELIVERY OF REVISED PLANS COMMENTS GENERAL - Responses may generate additional comments - Each sheet in the plans must be stamped and signed by the person responsible for their preparation, even if there are no structural changes. Business and professions code. - Waiting for Phase 1.5 corrections, therefore, not all sheets will be included in this review of Phase II. Page 2 of 3 AO.0 Sheet Index Sheets A3.9, LD2.3, LD3.8 are missing. Please provide. These sheets were removed during development of the CDs. They are not issued at Bldg Dept I OTB submittal set as shown on index There are two sheets titled LD 4.0. Retitle the second sheet. Light Details sheet changed to LD4.1 Mark Fire Sprinkler sheets FP4.0 & FP4.1 and Fire Alarm sheet FA1 .0 as; Not a Part of Phase II. Noted as differed submittal on AO.1 & additionally noted on all Fire & Safety sheets AO.1 VII. Deferred Submittal Revise the List of Deferred Submittals as per the Following: Fire Sprinkler System 2013 CFC 903 and 2013 NFPA 13. Fire Department Connection 2013 CFC 903.3.7 and 2013 NFPA 24. Fire Alarm System 2013 CFC 907 including CFC 907.2 sections applicable to occupancy groups, and 2013 NFPA 72. Noted as differed submittal on AO.1 & additionally noted on all Fire & Safety sheets Exit Calculations Exit calculations are not a part of Phase II review. Restaurant Row exit calculation to be determined using CBC 402.8 and 1004. Occupancy & Exit calcs for Tenant Improvements to be reviewed under separate permit Site Plan Provide manufacturer's specifications for Automatic Sliding Breakaway Entry Door Manufacturer's cut sheet provided in attached Address trash enclosure requirements. CFC 304.3 Comply with CFC 304.3, There are no combustible walls near containers. Paths of Travel Not reviewed under Phase II. Path of Travel for Tenant Improvements to be reviewed under separate permit. Demolition Plans-General Provide a note: All demolition work shall be in accordance with CFC Chapter 33. Note added to General Notes on sheet A1.0 Floor Plans-General Clearly match walls on the floor plan to Wall Legend symbols. Plan & Legend clarified for consistency Verify the accuracy of references to details. Denote any changes to key box location(s), if applicable. No key box locations changed Clarify the omission of door numbers on lower level Corridor 127. All Lower level doors shown on Phase 1.5 Permit# 16-3219, Reference Notes 35 Denote signage for the fire riser. Verify that emergency response to the new fire riser, as well as all other fire protection equipment, is readily accessible and unobstructed by trash compactors, storage and any other material or objects. Clarified reference note 35 44 Denote a minimum 3-ft clearance between the new fire hydrants and trees. CFC 507.5.5 Denote guard posts where required. CFC 507.6 Clarified reference note 44 56 Address CFC 308 compliance for open flame appliance at Entry 4. (A6.6 Detail 2) Fire Pit in compliance with CFC 308, clarified reference note 56 & detail 2 I A6.6 Roof Plans-General Page 3 of 3 Verify the accuracy of references to details. Corrected splice detail callout Verify new roofing materials match existing Class A roofing. Clarified in legend on roof plans A2.2B&C Verify that roof drains will not impact the path of egress to a public way or in the path of emergency personnel access to fire protection equipment. Not impacting Path of Egress A2.5 Door Schedule All doors to service areas, fronting an exit passageway, shall be minimum 1-hr rated. Verify compliance with CBC 402.8.7 & 716.5. Door schedule modified Exterior Elevation Plans-General Clearly match walls on the floor plan to Wall Legend symbols. Plan & Legend clarified for consistency A3.5 Floor plan of Yard House Space 210- Not reviewed as a T.I. under the review of Phase II. Provide Sheet A3.9 A3.9 removed during development of the CDs. Not issued at Bldg Dept I OTB submittal set as shown on index Remove duplicate Sheet A5.IC A5.2 Detail D Specifications and California State Fire Marshal listings as well as other acceptance criteria for flame spread and smoke developed index for acoustical ceilings will be provided upon request. Note added to D I A5.2 Provide Sheet A6.4 A6.4 removed during development of the CDs. Not issued at Bldg Dept I OTB submittal set as shown on index FP4.0. FP4.1 & FAI.O Mark FF4.0, FF4.1 and FA1 .0 as; Not a Part of Phase II (deferred). Noted as differed submittal on AO.1 & additionally noted on all Fire & Safety sheets Mechanical Roof Plans Imprint Carlsbad Roof Policy 80-6 Provide this note: Intent B (Fireman Safety) will be provided and maintained on improved roofs. Added to Mechanical Roof Plans END OF COMMENTS Phase 2 Addendum C Date: November 4th, 2016 Project Number: RP1603 Project Name: The Shoppes at Carlsbad Phase 2 Project Location: Carlsbad, CA Addendum No.: C The following changes, deletions, additions, additions, and / or alterations in, on and to the drawings and specifications shall apply to proposals made for and to the execution of the various parts of the work affected thereby. Careful note of this Addendum shall be taken by all parties of interest so that the proper allowance may be made in all computations, estimates and contracts, and all trades affected shall be fully advised in the performance of the work which will be required of them. This Addendum supersedes all previous drawings, specifications, and instructions pertaining to the items of work herein. In case of conflict between drawings, specifications, and this Addendum, the architect shall determine what governs. -- Description of Addendum Items City Corrections: Refer to LDA responses on EsGil correction list. Refer to LDA responses on Fire correction list Refer to LDA responses on Engineering correction list - No Corrections Directory added @ Entry #4 & 5 Plaza Added power and data for new Directory locations. Refer to A2.1B-C & Electrical Docs Low Voltage Coordination Granite, CCTV & DAS infrastructure locations coordinated with Owner Vendor documentation, refer to Ceiling Plans & Electrical Documents Yard House Modifications Patio storefront shifted east, refer to A2.1C, A3.5 Menu Box Added, refer to A3.5 S. Modified wall sconce spec @ Yard House. Refer to lighting & Electrical docs Finish changes A3.5-A3.7 Pay Phones Removed relocated Pay phones from scope. A1.1B-C & A2.1B-C 3500 West Burbank Boulevard, Burbank, California 91505 T: 818-972-5080 F: 818-848-3895 www.LDAdesigngroup.com Electrical Equipment @ Switchgear Rm #4 Modified to replace Electrical equipment and doors. A2.1B & Electrical Documents Trench Drain @ Loading Dock and Trash Enclosure revised to coordinate with "Ph2 RFI 00008": A2.113-C, A6.3, A6.5 Phone Rm 212 removed from scope: A2.1C, A3.8, A5.1C, Structural, lighting, & MEP documents Zara Mechanical Shaft modification Modified shaft opening, ductwork, and RTU locations. Coordinate with Phase 1. 5, refer to A2.1C, A2.2C, Structural, MEP documents AO.0 Corrected Issue dates for AO.6 & A2.00 AO.4 & AO.5 Modified sheet to coordinate with Phase 1.5 plan check corrections a) Color coded legend, added wails defined in Phase 1.5 & clarified scale of drawing AO.6 Green Code Sheet added for clarification A2.2B&C 1. Clarified ref note 5 & 10 to direct to details A2.2D 1. Corrected detail numbers 13A&B and 17 A2.4B&C Added detail F/A2.4B and corrected callout on A2.4C near Toilet Rm 214. Added detail B/A2.4C and corrected callout on A2.4C @ expansion joint A2.6 1. Clarified finish schedule A3.0-A3.8 1. Clarified finish and wall legends A4, A4.10 1. Corrected ref callouts - MECHANICAL Sheets MO. 0 1. Added M9.1 Sheets MO.2 Updated notes on PACKAGED ROOFTOP HEAT PUMP UNIT SCHEDULE. Revised cfm in SPLIT SYSTEM AIR CONDITIONING FAN COIL SCHEDULE. Sheets M2.1C Page 2 Updated plans to reflect updated mechanical shaft size. Added ductwork routing for exhaust and outside air serving Mens/Womens toilet room Sheets M2.2B Showed refrigerant lines for CU-2 Added keynote 8 Sheets M2.2C Revised HP #1-5 locations Showed power exhaust/economizers, ductwork, and duct smoke detectors Showed locations of roof terminations for exhaust and outside air. Sheets M4. 0 Updated enlarged plan #2. Added fire smoke dampers and re-routed ductwork. Sheets M9. 0 Updated detail 5 Added detail 10-12 Sheets M9.1 1. Added new detail sheet. 1. Sheets E0.0 1. Updated electrical drawing index, abbreviations, and electrical scope of work. Sheets ED1.0 1. Revised the keyed notes. Sheets E02.1BAiVD E02.1C 1. Added sheet note #H. Sheets ED5.2 Revised existing switchboard layout and demo single line diagram for switchgear room #4. Added keyed note 3. Sheets E1.0 Revised utility service locations. Miscellaneous revisions on sheet notes and keyed notes. Sheets E2.OB & E2.00 Added sheet note #A. Added existing to remain panels and inverter for information only. Sheets E2. 1B Added outlets and conduits for granite grid IT system infrastructure. Added power connection for fire pit. Added power connection for new directories. Added location of future PV/Solar system inverter. Miscellaneous revisions on sheet notes and keyed notes. Sheets E2.1C 1. Added conduits for granite grid IT system infrastructure. Page 3 Added power connection for new directories. Added 2" conduit w/ pull strings for tenant roof top unit. Deleted power and low voltage connections near gridlines 'D' and '12' in future tenant space 214. S. Added junction boxes and conduits for future connections for tenant 210. Miscellaneous revisions to rooms 214 thru 216 per updated background. Added power connections to fire smoke dampers in rooms 214 and 215. Added back box and conduit for Yard House future menu board. Added point of connection to Yard House future water feature. Miscellaneous revisions on sheet notes and keyed notes. 1. Sheets E2.2B & E2.2C Added receptacles on roof. Added solar zone and conduit stub-outs. Revised power plans per mechanical revisions. Sheets E3.1B Added exit signs. Added sheet notes J and K. Added keyed note 8. Sheets E3.1C Added exit signs. Added sheet notes J and K. Added keyed note 8. Miscellaneous lighting revisions per updated background. Sheets E4.0 1. Revised detail 1 per plan check correction and updated single line diagram. Sheets E4.1 Added power connection to elevator smoke curtain, detail S. Added sheet notes and keyed notes to detail 1 per plan check correction. Revised detail 2. Sheets E5.O & E5.1 Miscellaneous revisions to single line diagrams. Miscellaneous revisions to sheet notes and keyed notes. Sheets E6. 0 1. Updated load calculations. Sheets E6.1 1. Updated lighting control panel schedule per miscellaneous lighting and power revisions. Sheets E6.2 Updated panel schedules per miscellaneous power revisions. Added schedule for panel '1HR1E'. Sheets E6.3 1. New sheet- Added schedules for dimming panels. Sheets E9.1 Page 4 1. Revised grounding detail 2/E9.1 and 3/E9. I. Sheets E9.2 1. New sheet - Added electrical distribution system grounding and concrete encased duct bank details. Sheets P0.0 1. Added General Notes #62. Sheets P0.1 1. Added FD-2 & AD-1 to Plumbing Fixture Schedule. Sheets P1.0 Revised drainage and vent at Loading Dock 226. Added info for fire pit. Added and revised gas meter info Revised storm drains, SD pipe size, square footage, terminations. S. Revised/added Keyed Notes Sheets P2.00 1. Revised storm drains, SD pipe size, square footage. Sheets P2.1B Revised drainage, vent, and water at Loading Dock 226. Revised/added Keyed Notes Sheets P2.1C Revised drainage, vent, water, and gas. Revised/added Keyed Notes Sheets P3.OB 1. Added Keyed Note. Sheets P2. 1R Added Keyed Note. Sheets P4.0 Revised Enlarged Plan 1 &2 Revised detail 5 Added detail 6 End of Addendum a Page 5 S - C) I I Ln rc: yj Z8 ~z mrn omo >0 cd -ko rn 0 09 m Z C) i: Fn rri 1 2153 C) rno rn 00 '1 0 rn 10 U) P PREV20I7-0026 - - 2525 EL CAMINO REAL Ri THE SHOPPES: RESTAURANT ROW RENOVATION - FD 0 DEFERRED SUBMITTAL TO CB163654, DEMO PORTION ((1)) OF ROOF AND ADD SHORING rn 1563020900 L ( CB163654 21312017 PREV20I7-0026 SLT TEST REPORT No. : SC120620723 Date: Jun. 19, 2012 Page: 1 of 4 TIANJIN WELLMADE SCAFFOLD CO., LTD DAQIUZHUANG, JINGHAJ COUNTY, TIANJIN, CHINA The following sample(s) was/ were submitted and identified on behalf of the client as: Sample Name :2'X 4' SHORING FRAME (4 FEET HIGH,2 FEET CENTRE TO CENTRE OF LEGS) Sample Number : SC120620723 Test Required :1)Scaffold tower (3 tiers high) load capacity 2)Test on horizontal member (one frame tower) Test Method :With reference to CANICSA-S269.2-M87: 1987(R2003) Date of Receipt : Jun. 12, 2012 Test Period :Jun. 12, 2012 to Jun. 19, 2012 Test result(s) :For further details, please refer to the following page(s) To be continued****** Signed for SGS-CSTC Standards Technical Services (Shanghai) Co., Ltd. Hebe He Authorized signatory at htlpi!waw.ngncotnleniTenns.and-Cortditions.aspo and for electronic format documents. subject to Terms and Conditions for Electronic This documents issued by the Company subject to its General Conditions of Service printed overteaf. available on requant or accessible Doctimrinin at Trttp:llthith.titi rnJfiti/Ter.tin-and.CondtinnnlTarmu-e.Document.axpu. Attention to drawn to the limitation of liability. the Companys Ondhrgs at the time of its interoanhlon onty and mitten the limits of Citerds ions.ifeny. The Cornpanyu note ronponntbiuty fl ratalned tot 30 dapa only in to its Client and thin document does not exonerate parties too transaction from exercising all their rights and obligations under the indemnIficatIon rind juriridictiotiuirirititidrifinod thirnin.Any holder of thtddoinimiitts advised that information contained hereon reflects lsenxaction documents. Thin document cannot be reproduced except is tail without prior written approval of the Company. =unauthorized etteration. forgery or fainilication of the content or appearance of this document is unlawful end offenders may be prosecuted to the tallest extent of the taw. Unless otherwise stated the results shown in this test report refer only to the in (a) tested end such sample(s) are Attention: T. chant, the authenticity of tenting ltsapectten rep-art C certIficate, pie.n. centlut .rc at telephone: ifl-755)$31171443. Tooting bernice aff er em t:cN,pacctfpçffffgg.cqrn KrAlk I No. 5, Cenfral Avenue. TAEA. China, 300345 I (8)5188 f (105803777 wnw.s9550up.0om.at I : 300345 t (86.22)59803788 I (8fl)59830777 e Member of the SGS Group (SGS SA) TEST REPORT No. : SC120620723 Date: Jun. 19,2012 Page: 2 of 4 Test method: With reference to CAN/CSA-S269.2-M87:1987(R2003) Access scaffolding for construction purposes Structures (Design) I. Load capacity of scaffold frame tower Assemble the scaffold to three tiers high in accordance with manufacturer's instruction. Use a reaction frame for loading. Apply a vertical load, equally distributed on 4 standards, steadily increase the load until failure of any part of the scaffold occurs or the load can not be increased availably. Record the maximum load and observe the sample's condition. Test item Test result Description Scaffold tower test F = 603.17kN Three Tier Deflection II. Uniformly distributed load test on horizontal members Assemble the scaffold to one tier high in accordance with manufacturer's instruction. Use a universal testing machine to apply a vertical load, uniformly distributed on the two ledgers, steadily increase the load until failure of any part of the scaffold occurs or the load can not be increased availably. Record the maximum load and observe the sample's condition. Test item Test result Description Test on horizontal members Fmax = 66kN The ledgers are bended. iooeconunuea ----- Is Issued by the Company subject tots General Conditions of Service printed Ovartoaf, available on request or at ts.comienflerms-and-Condutlons.aspx and, for electronic format documents, subject to Teens and Conditions forth Irtip Fiwww ogs comb /ie mn anti Conditlonsf`rerms-e.Document.aspx. Attention to drown to the limitation of Is to Its Client and tins document does not exonerate parties too transaction from exerclstng alt thai, rights and obiigotions under the the Compunys findlns at the time of Its Intervention only end within the 50/ ClIent's InstrucIIons,a any. The Coo ann's soles spo transaction documents. This document consul be reproduced except In full, without prior written approval of the Company. Any unauthorized etterotfon, loem or falnlflcabon of the coxteet or apppamece of this cument In ut cod offendere may be prosecuted to the fullest extent of the law. Unless otherwise stated the results shown Is this test report refer only In the sample(n) tested end such ssmple(n) are retained for 30 days only Atlenllovl To check the authenticity of testing Ilnsp.cllon report th certificate, please contact east telephone (46-7115)113071443,Teuting Servicey/.' a, emaiL CN.Oorcftqckego.cenn J No. 555. Central Aumere, TAA. China 300345 I (B6.22)503788 I (86-22)503777 www.tgsgrctip.com.an • *1555 : 300345 I (59800788 8 (88.259803777 0 ogS.th0taSgs Member of the SGS Group (SGS SA) SGSL_ TEST REPORT No. : SC120620723 Date: Jun. 19,2012 Page: 3 of 4 Test photos: Scaffold frame tower test arrangement To be continued***** at http:/twww.oqs.comlenlTemrs-end-Conditionn.aspn and far electronic format doccmentn. subject to Terms and Conditions for ElectronIc Thin document is Issued by the Company subject to its General Conditions of Service printed overteaf, available on request or accessible DocmelIstit httö:llwosgn.midcterifTèfrds-add.Condi'ttonniTerms.e.Dacument.enpo. Attention is drawn to the limitation of liabltity. the Company's findings at the time Of its IntervenlIan only usa within the limits of Client's instructions, Sony. The Company's sole responsibilily Is to its Client and thin document does not exonerate perttes to a transaction from exercising alt their rights and oblIgations under the Altntlon Is chech the outhenticlly ef t,etlng Iieupectlon repofl £ certificate, pious. contest us at telephone: (ti5'755)1? 443 indemnIficatIon and jurtsdictiod tssaes defined frereinAriy hotdri of thl&docawirl Isadytsed that Information contained hereon reflects transaction documents. ThIs document cannot be reproduced except In felt, without prior written approval 01 the Company. Any unauthorized etteretion. forgery or fetatfilietion of the content on appearance alibis document in antowful end offendern may be prosecuted to the fullest SG$ extent of the tow. Unless otherwise stated the resuttn shown Is this teat report refer Only to the sample(s) tested and such sample(s) are retained for 31) days only. , Teatrng Service . smelt: CNpuch,pfrsgg,c,m fr,1I1 No. MS. Cenlod Avenue. TAEA. Qdna 330345 t (B8.)5S8a3788 f (ffff.22)593777 Www.sgsgrsup.com.co kwo- R1111 *i1555 : 300345 1 (8)598788 f (86.22)59303777 e sgs.cdlina@sgs corn Member of the SGS Group (SGS SA) C -IG TEST REPORT No. : SC120620723 Date: Jun 19, 2012 Page: 40f 4 Horizontal members test arrangement End of report This document Is issued Dv the Company nubjoct to its General Conditions of Service printed onorleaf, available on request or accessible at htlp:i/www.ogn.comieru etms-and.Condltions.aspo end. tot electronic format documents, subJect to Terms and Conditlans for Electronic Documents of 5ttp ein/OriITeirris.aAd'Cosditinna/Terms-eDocumest.eapx. Attention Is drawn to the iimitatlon of iiebiiity, the Company's findings at the smest Its Intervention only and within the ilman of Client's instructions, deny. The Company's sole responsibility Attention: To ch.ch the aulh.nticlly ort.sting iinnp.ctinn raport A cilGeM.. places Confect cc at tetaphoen: (06.Th5)$357 1443. tndemntiicatlon and Jurlddiclienissues defined lhsireinAnvhdldeiOf thindocumnt in adidsed that intormation Contained hereon reflects Is to Its Client ovd this document dues not exonerate purlies toe transaction from exercising cii their rights end obligations under the transaction documents. This document cannot be reprodaced except in fuii, without prior written approval of the Company. Any unauthorized alteration, torynry or falsification of the content or oppearsnce at thin document Is unlawful and offenders may be prosecuted to the tiniest SG$ 10 extent of the raw. Unless otherwise ntstod the results shown In (Iris test report refer only to the sample(s) tested and such sample(s) are retained tar 30 days only. Teating Service 9 Sr email: cN,omc.checkepap,cow I No. ths. Central Avenue, TAEA China. 300345 I (f5.22)59033753 IF (f22)593777 wrwi.sgsgrretp.com.ca 6**55 l: 300345 t (03788 f (88.22)59033m e sgn,tina@sfiu.cam Member of the SGS Group (SGS SA) 'wr WHITING-TURNER Whiting-Turner Contracting Co 2525 El Camino Real Carlsbad CA 92008 PROJECT No 00171 PROJECT: The Shoppes at Carlsbad Renovation To: LDA Design Group 3500 W. Bourbank Blvd. Burbank CA 91505 ATTN: Steven Ruiz DATE: 03/06/2017 RE: 02A.2-001-Demolition - Shoring Shop Drawings and Calculation JOB: 016405 WE ARE SENDING Shop Drawings '/ SUBMITTED FORi ACTION Approval - TAKEN Approved as Submitted Letter Your Use - Approved as Noted Prints As Requested - Returned After Loan - Change Order Review and Comment - Resubmit - Plans - Submit Samples Returned Specifications tached Separate Cover 7Other: Returned for Corrections Other: Calculations -MAIL Due Date: / Submittal: - Other: Line Item Package Code Rev. QTY Date Description Status 1 Submittal 02A.2-001 200.024100-0001 2 1 03/06/2017 DEMOLITION - Shoring Shop 03. Submitted Drawings 2 Submittal 02A.2-001 200.024100-0002 2 1 03/06/2017 DEMOLITION - Shoring Calculations 03. Submitted REMARKS: PHASE 2 - Please note that the shop drawing notes have been updated per Thornton Tomasettis request in first revise and resubmit response dated 0211612017. CC Signed: Alexander Inab net PREV20I 7-0026 2525 EL CAMINO REAL THE SHOPPES: RESTAURANT ROW RENOVATION - DEFERRED SUBMITTAL TO 0B163654, DEMO PORTION OF ROOF AND ADD SHORING 1563020900 CB163654 3/21/2017 PREV20I 7-0026 Wr WHmP.IGTURNER Whiting-Turner Submittal Package #02A.2-001 Demolition — Shoring Shop Drawings & Calculations DATE: MarO8.2017 BY: REVIEWED BY 0 REVIEWED DEVIEWED AS NOTED 0 REVISE & RESUBMIT 0 SUBMIT SPECIFIED ITEM IDRAWINGS THE WHITING-TURNER CONTRACTING CO. 0 REJECTED It RECORD COPY DATE 03/06/2017 BY Alex Inabnet S REEW IS FOR COMPLIANCE WITH THE DESIGN INTENT OF THE AND SPECIFICATIONS. APPROVAL DOES NOT RELEASE THE CONTRACTOR OR SUBCONTRACTORS FROM ANY RESPONSIBILITIES AS DEMOLITION Shoring - Shop Drawings OUTLINED IN DRAWINGS OR SPECIFICATIONS. THIS REVIEW SHALL NOT CONSTITUTE ACCEPTANCE OF COMPONENTS OR ASSEMBLIES NOT IN COMPLIANCE WITH CODE REQUIREMENTS, NOR SHALL A REVIEW CONSTITUTE ACCEPTANCE OF CONSTRUCTION MEANS AND METHODS THESE ITEMS SHALL REMAIN THE SOLE RESPONSIBILITY OF THE CONTRACTOR AND SUBCONTRACTORS. 3500 Wool BurbankBlvd. Burbank, CA 91505 3.918.972.5060F:818.848.3895 wow.LDAdevlgngrovp.com WT SUBMITTAL NO. 200.024100-0001 Architect Approval Whiting-Turner Approval DELEGATED DESIGN SUBMITTAL RENEW ffi na819090 0080109118000 o ml 009119190301111098010030050FF 10301101 11093088(05 P9108 B 1.80110 10 *3000819 V!IORE 9139119 BY 99 C9119091000191813. TIE 01190111110 EFFECT Cf 99118108 80900FF 1913081*10091W 1008191019110088101 9090 BY IT. #1008 000100180. 0*113830.13. lIE 0000SIIATO8BVIIEFBII910I50IIS&90119001011391 VB 91 11100111911811(090111101915 1191 III! 1101 91000800819099111 NW 09891111009091391 011030 £8130008191 El TI B 09 09119CC 00030118 8000190! !98JC#&* P*IMY1Bl8191*111391 BY 11011)9 090080100*80410.1104 014410W 098 PlOT 0918110FF *3 1190*8011 19101 BY 1111*1 100190301131109 BY1YWCWBI900TQI**1*W.B81E 1410 C0111080101 3041248 302.1 808YQYSB.0 FF11 0001183191 *118 1140 90904241418 19 1111 COBII8ICT 01900!! 113131111410Y909090109E1133080190311E1119 TIc 90100908101903090919019900091 EIEVAITFFO*400908131000091 CISC Thornton Tomasetti BY MY 0.0111 03108117 Engineer Approval (2) WBXIO 5' LONG 7' ALUM STRINGER P. WBX1O OR ALUM BEAM WoX1O 5' LONG 4' WOE SHORING FRAME \ W/ 4' CROSSBRACE "- T. 3' WOE FRAI W/ 7' CROSSBRAI 7': (E) FLOOR DECK NOTE: NOTE: RE-SHORE LEG FOR LEG CONTRACTOR TO PROTECT SHORING FROM All W/ SAME TOWER DOWN ACTIVITIES IN THE AREA TOSOG (E)SOG SECTION A SEC11ON B (E) ROOF ORDER NOTE: SHORING DESIGNED FOR VERTICAL LOAD ONLY EXISTING STRUCTURE MEMBER REST ON TOP OF SHORING WITH FRICTION Kc ENGINEERING 25431 CABOT ROAD, SUITE 109 LACUNA HILLS, CA 92653-5526 ItU (949) .380-8186 FAX: (949) 589-1684 STEEL CITY 09 17 CPU THE SHOPPES AT CARLSBAD ROOF SHORING F.B. r68 R.G.M. DATE IREMARKS 1111117 2/15117 R-1 2128117 R-2 566885 IS ThE PRERTY ". I F,' O88ECR MIS MAY NOT \ I 56 #56 ITS 09615615 I 009 IN Ni! ._ #115001 095650 1 NOf101 PISUISI 1.02 ) NOTE: RE-SHORE LEG FOR LEG W/ SAME TOWER DOWN TO SOC ¼! 4 WIDE SHORING FRAME ' W/ 4' cROSSBRACE - rIP. AC11V111ES IN THE AREA H hI If x1O 5' LONG TYP. (2) W8X1O 5' LONG - - W8X1O OR I - 3' WIDE FRAME f ALUM BEAM / W/ 7' CROSSRRACE 1'YP• 7r ALUM I rIP. STRINGER rIp. CENTER OF HINGE k'ft (2) W8X1O WOOD PAD 0 HINGE -' I 5' LONG POINT NOTE: WOOD PAD HERE CONTRACTOR TO PROTECT SHORING FROM ALL Kcj ENGINEERING thn, 254.31 CABOT ROAD, SUITE 109 LAGUNA HIU. CA 92653-5528 1U. (949) 380-8188 FAX (949) 588-1984 STEEL CITY LINE I3TO3 SIMILAR AS 3 TO 1 'L 99 RCE /17 THE SHOPPES AT CARLSBAD ROOF SHORING F.B. R.G.M. DATE REMARKS 1111117 2/15/17 R-1 ORAMNO IS THE PRERfi'\ ( R II110I P091 *C MAY NOT HE NHE ITS CTHfTTNTS USHER NIT F09 IR1MISHOUT 091805 8008 Ei.oi Wr WTING-TURNER Whiting-Turner Submittal Package #02A.2-001 Demolition — Shoring Shop Drawings & Calculations EVIEWED BY NG-TURNER CONTRACTING CO. 6/2017 BY Alex Inabnet F N — Shoring Calculations Architect Approval WT SUBMITTAL NO. 200.024100-0002 Whiting-Turner Approval DELEGATED DESIGN SUEW1TAL REVIEW 10000011100 Dm10 o 1010100 Ills 10403100101311316 llsllsflfl BY laBial (110 RENEW S 4011100 TO Ifl1SIA *1010 1001(100 BY TIE EOBI000TDOENNIIIE TOE 31*1000111010101110(11(3001(10 IMPOSED BY TIll 101.105*0 TOM 0*4 ThE 0111001111010 0,111W 100*0*00 0511. AtOM 0W3011SI10 soson 1130011 011110 aBW1101EIGFYTOEIEBT11111115*I1110WO10IW001000OM 1011009051*00 N010111ENT 00*1111* 110 0011510*0*006*315*111.11*100001010000*0 031010 [11001000 BY Ti 04 1110 *04110101 5*1040411 01(1003MI ?00XASE 050*0100051313001005 TIll 110 *04121010001001102*00040*01011 NOT *0675111004 BIflVI101T00013MYUIST TI 1)1(01 004 TaB10IT0106 BTTI0110BTRPCIOM&10000S*1E TAE1WT200TOBIE*nhlsfl005101*1*SMYflCNIRWICE 0100 110 1000005411 1* TIll 0101113101 X010ITI 111*00.50* BAt 40140*0*00181110*10*6710010 aejommEppar.1a001310*0G'c.Br& Thornton Ibmasetti 1111 MY AlOE 03108117 Engineer Approval KCJ Engineering Inc. sheet I of 25431 Cabot, Suite 109 Client: Steel City Laguna Hills, Ca. 92653 Project: The Shoppes Tel (949) 380-8186 Date: q Fax (949) 588-1 R.cF 540" t?ecl CD Ü°S i fcf C CiAt-c: OO12 1JT 6-61a4O T1' (?:)'&/). c(/ / CJ-Ck r,°o 7 /°Cc 7 & UC5 4ut? UQCe. fl6zc2 7f 7g KCJ Engineering Inc. sheet Of 25431 Cabot, Suite 109 Client: Steel City Laguna Hills, Ca. 92653 Project: The Shoppes Tel (949) 380-8186 Date: Fax (949) 555-1664 use U'( cKO ooe 1rY) (/Q 5uO,t-( /J(,Q1) P I I / C43 h F( tk KCJ Engineering Inc. sheet Is of 25431 Cabot, Suite 109 Client: Steel City Laguna Hills, Ca. 92653 Project: The Shoppes Tel (949) 380-8186 Date: Fax (949) 588-1664 / % 0 A- 1) W&x 0 A Po 94 O C 4wv) Cvk 6c 'öi2 : ot oG 1 L)t 10d g/)icMç feii'i<y' S)/ CLARK SElF CLARK, INC. HEALTH & SAFETY ENGINEERING • ENVIRONMENTAL July 22, 2016 Ms. Kendra Tindall Rouse Properties 2525 El Camino Real, #100 Carlsbad, California 92008 Re: Limited Lead-Based Paint Survey The Shoppes at Carlsbad Units 105, 107, and 109 2525 El Camino Real Carlsbad, California 92008 Dear Ms. Tindall: Attached is the asbestos and lead-based paint survey report for the subject facility. It represents our evaluation of the subject site with regard to asbestos-containing and lead-based painted materials in accordance with our agreement for a survey. The objective of the evaluation was to identify asbestos and lead containing materials that are present at the site. The attached report documents our findings, assessments and recommendations. If you have any questions concerning the report, please call our office. Sincerely, Norbert E. Kramer, Jr. Regional Manager Asbestos Consultant Certification #92-0582 CA Accredited Lead Inspector/Assessor #1-129 1 Enc. CLARK SElF CLARK, INC. HEALTH & SAFETY • ENGINEERING • ENVIRONMENTAL LIMITED ASBESTOS and LEAD-BASED PAINT SURVEY REPORT THE SHOPPES AT CALRSBAD UNITS 105, 107, AND 109 2525 EL CAMINO REAL CARLSBAD, CALIFORNIA Prepared For: Ms. Kendra Tindall Rouse Properties 2525 El Camino Real, #100 Carlsbad, California 92008 CSC Project No. 11002701 July 22, 2016 ASBESTOS and LEAD-BASED PAINT SURVEY REPORT TABLE OF CONTENTS Page I. LETTER OF TRANSMITTAL ii. TABLE OF CONTENTS EXECUTIVE SUMMARY ........................................................................................................I BUILDING PROFILE................................................................................................................1 SURVEY DESCIRPTION.........................................................................................................1 SURVEY RESULTS...................................................................................................................2 CONCLUSIONS.........................................................................................................................3 LIMITATIONS...........................................................................................................................3 APPENDIX A: ASBESTOS ANALYSIS RESULTS APPENDIX B: LEAD-BASED PAINT ANALYSIS RESULTS APPENDIX C: FORM 8552 CSC 11315 Rancho Bernardo Rd., Ste #150, San Diego, CA 92127: Tel 858-675-1088; Fax 858-675-1066 csceng.com Page 1 Limited Asbestos and Lead-Based Paint Report The Shoppes at Carlsbad Units 105, 107, &109 Carlsbad, California CSC Project Number-11002701 1. EXECUTIVE SUMMARY The Shoppes at Carlsbad retained Clark Seif Clark, Inc. (CSC) to perform limited asbestos and lead-based paint survey of Units 105, 107, and 109 at 2525 El Camino Real, Carlsbad, California. Mr. Norbert E. Kramer, Jr., State of California Certified Asbestos Consultant #92-0582 and Accredited Lead Inspector/Assessor #1291 conducted the survey on July 11, 2016. The survey included visual observations for ACM and suspected lead-based paint, sampling of accessible suspect materials, and laboratory analysis. Findings of the survey, recommendations and conclusions are summarized below. Materials containing detectable quantities of asbestos - legally defined in California as materials containing percentages of asbestos greater than one percent (1%) by area - were not found at this facility. Materials with these concentrations of asbestos are regulated by various government agencies. Materials containing less than 1% asbestos were not identified in the building. In the State of California, materials that contain between <1% asbestos but greater than 0.1% by weight asbestos are considered to be Asbestos Containing Construction Material (ACCM). ACCM must be abated by a licensed and register asbestos abatement contractor, but can be disposed of as construction debris. The State of California defines LBP as those materials, which contain greater than 1.0 mg/cm2 or 5,000 parts per million (ppm) lead. The County of San Diego defines LBP as having a lead concentration greater than 0.5 mg/cm 2. LBP identified in the building. The State of California also requires that if LBP with a lead concentration over 600ppm is to be disturbed, that the individuals performing the work have the proper lead training and wear personal protective equipment. The purpose of this limited investigation is to sample and test suspect asbestos-containing materials (ACM) and lead-based painted components, which may present an exposure risk or will be disturbed during the upcoming renovation/demolition activities 2. BUILDING PROFILE The retail units consisted of a former restaurant and two clothing stores. CSC believes that the date of the buildings construction was in the 1970's. 3. SURVEY DESCRIPTION ASBESTOS The asbestos survey was performed in accordance with EPA regulations and the criteria of the Asbestos Hazard Emergency Response Act (AHERA, EPA 40 CFR 763). CSC collected twelve (12) samples of suspect asbestos containing materials. The samples were submitted to L.A. Testing, Inc., in Garden Grove, California for analysis by Polarized Light Microscopy (PLM). L.A. Testing is accredited for bulk asbestos analysis through the Environmental Laboratory Accreditation Program (ELAP) and the National Voluntary Laboratory Accreditation Program (NVLAP) of the National Institute of Standards and Technology. The results are presented in units of area percentage, and are compared to the EPA threshold of 1% by area for classification as ACM. CSC 11315 Rancho Bernardo Rd., Ste #150, San Diego, CA 92127: Tel 858-675-1088; Fax 858-675-1066 csceng.com Page 2 Limited Asbestos and Lead-Based Paint Report The Shoppes at Carlsbad Units 105, 107, &109 Carlsbad, California CSC Project Number-I1002701 The following presumed asbestos-containing materials were sampled during the survey: Drywall; Drywall Mud; 2' x4' Ceiling tiles; LEAD-BASED PAINT The lead survey was performed using a Niton XLp Series 703, X-Ray Fluorescence analyzer (XRF). The XRF provides on-site readings of the concentration of lead. HUD defines lead-Based Paint (LBP), as those materials, which contain 1.0 mg/cm2 of lead by XRF analysis. However, the County of San Diego has a criterion for LBP at 0.5 mg/cm2 of lead by XRF analysis. The San Diego criterion was used for this survey. The survey was conducted in accordance with HUD guidelines, and the materials tested were selected based on color, component type, and substrate. A total of 23 readings, including calibrations, were taken in the complex. CSC referenced all building components as existing on either side "A", "B", "C", or "D" of the building. For the building's interior, CSC reports designated side A, B, C and D as follows: Side A is the side facing the mall hallway Side B is the side to the left of Side A Side C is the rear of the unit Side D is the wall directly to the right of side A. 4. SURVEY RESULTS ASBESTOS The following table is a list of the samples of suspected asbestos-containing materials and their analytical results: TABLE I ASBESTOS ANALYTICAL RESULTS Sample No Material Type Location % Asbestos 105-1 Drywall Mud Unit 105 Entry N.D. 105-2 Drywall Mud Unit 105, Kitchen N.D. 105-3 Drywall-Ceiling Tile Unit 105 throughout N.D. 105-4 Drywall Mud Unit 105, Dining Room N.D. 105-6 Drywall Restrooms N.D. 107-1 Drywall Unit 107, Store Room N.D. 107-2 Drywall Mud Unit 107, Store Room N.D. 107-3 Drywall Mud Unit 107, Restroom N.D. Page 3 Limited Asbestos and Lead-Based Paint Report The Shoppes at Carlsbad Units 105, 107, &109 Carlsbad, California CSC Pro iect Number-11002701 TABLE 1 ASBESTOS ANALYTICAL RESULTS Sample Na. Material Type Location % Asbestos 109-1 2x4 Ceiling Tiles Unit 109, Throughout N.D. 109-2 Drywall Mud Unit 109, Sales Area N.D. 109-3 Drywall mud Back Room N.D. 109-4 Drywall Unit 109, Office N.D. LEAD RESULTS The results of the XRF analysis indicated that, none of the components tested had a lead concentration over 0.5 mg/cm2. This is below both the San Diego and HUD criteria. All of the interior painted surfaces were intact or in fair condition. 5. CONCLUSIONS ASBESTOS Based on the analytical results, none of the samples collected indicated the presence of asbestos. Therefore, no further action is required. The insulation on the water pipes, above the ceiling, was visually identified as being insulated with fiberglass. LEAD LBP was not identified in the units tested. 6.0 LIMITATION The field observations, measurements, and research reported herein are considered sufficient in detail and scope to form a reasonable basis for a limited asbestos and lead-based paint survey of this subject property. The assessment, conclusions, and recommendations presented herein are based upon the subjective evaluation of limited data. They may not represent all conditions at the subject property as they reflect the information gathered from specific locations. CSC warrants that the findings and conclusions contained herein have been promulgated in accordance with generally accepted industrial hygiene methodology and only for the subject property described in this report. No other warranties are implied or expressed. USE BY THIRD PARTIES This report was prepared pursuant to the contract CSC has with the Client. That contractual relationship included an exchange of information between CSC and its Client about the subject site that was unique, and serves as the basis upon which this report was prepared. Because of the importance of the Page 4 Limited Asbestos and Lead-Based Paint Report The Shoppes at Carlsbad Units 105, 107, &109 Carlsbad, California CSC Project Number-11002701 communication between CSC and its Client, reliance or any use of this report by anyone other than the Client, for whom it was prepared, is prohibited and therefore not foreseeable to CSC. Reliance or use by any such third party without explicit authorization in the report does not make said third party a third party beneficiary to CSC's contract with the Client. Any such unauthorized reliance on or use of this report, including any of its information or conclusions, will be at third party's risk. For the same reasons, no warranties or representations, expressed or implied in this report, are made to any such third party. UNIDENTIFIABLE CONDITIONS This limited asbestos investigation has been developed to provide the Client with information regarding apparent conditions relating to the subject property. Although CSC believes that the findings and conclusions provided in this report are reasonable, the assessment is necessarily limited to the conditions observed and to the information available at the time of the work. Due to the nature of the work, there is a possibility that there may be existing conditions which could not be identified within the scope of the assessment or which were not apparent at the time of our site work. The assessment is also limited to information available from the Client at the time it was conducted. It is also possible that the testing methods employed at the time of the report may later be superseded by other methods. CSC does not accept responsibility for changes in the state of the art. CSC does not guarantee that all asbestos-containing materials in the subject property were recognized during our evaluation. This report is limited only to the samples taken and locations sampled. Additional sampling may be needed to further identify other materials inside the property. We have employed state-of-the-art practices to perform this analysis of risk and identification, but this evaluation is limited in scope to the areas listed above and per Client's request. No demolition or product review was performed in attempts to reveal material compositions. Our services consist of professional opinions and recommendations made in accordance with generally accepted engineering principles and practices, and are designed to provide an analytical tool to assist the client. CSC or those representing CSC bear no responsibility for the actual condition of the structure or safety of a site pertaining to asbestos or lead-based paint regardless of the actions taken by the Client. Clark Seif Clark, Inc. prepared this asbestos survey under agreement with the Client. No warranties expressed or implied, are made by Clark Seif Clark, Inc. or its employees as to the use of any information, apparatus, product or process disclosed in this report. Though reasonable efforts have been made to assure correctness, if a Contractor is employed he should bring any discrepancies to the immediate attention of Clark Seif Clark, Inc. Clark Seif Clark appreciated having the opportunity to inspect your property. If you have any questions regarding this report, please do not hesitate to contact us at 858-675-1088. Pages Limited Asbestos and Lead-Based Paint Report The Shoppes at Carlsbad Units 105, 107, &109 Carlsbad, California CSC Project Number-11002701 APPENDIX A LABORATORY ANALYSIS REPORTS [ LA Testing Order: 331612512 I Customer ID: CLCL62 I Customer P0: L Project ID: Phone: (858) 675-1088 Fax: (858) 675-1033 Received Date: 07/11/2016 3:20 PM Analysis Date: 07/13/2016 Collected Date: LA Testing 5431 Industrial Drive Huntington Beach, CA 92649 Tel/Fax: (714) 828-4999 / (714) 828-4944 http://wwwLATestingcom / gardengrovelab@latesting.com Attention: Norm Kramer Clark Seif Clark, Inc. 11315 Rancho Bernardo Road Suite 150 San Diego, CA 92127 Project: 11002701 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance % Fibrous % Non-Fibrous % Type 105-1 Drywall mud entry White 100% Non-fibrous (Other) None Detected Non-Fibrous 331612512-0001 Homogeneous 105-2 Drywall mud kitchen White 100% Non-fibrous (Other) None Detected Non-Fibrous 331612512-0002 Homogeneous 105-3-Drywall Ceiling tiles kitchen Brown/White 10% Cellulose 60% Gypsum None Detected Fibrous 30% Non-fibrous (Other) 331612512-0003 Heterogeneous Ceiling files not found in the sample 105-4 Drywall mud dining rm White 100% Non-fibrous (Other) None Detected Non-Fibrous 331612512-0004 Homogeneous 105-5-Mud Drywall restroom White 100% Non-fibrous (Other) None Detected Non-Fibrous 331612512-0005 Homogeneous 105-5-Drywall Drywall restroom Brown/White 10% Cellulose 60% Gypsum None Detected Fibrous 30% Non-fibrous (Other) 331612512-0005.9 Heterogeneous 107-1 Drywall #107 Brown/White 6% Cellulose 60% Gypsum None Detected Fibrous 2% Glass 32% Non-fibrous (Other) 331612512-0006 Heterogeneous 107-2 Drywall mud White 100% Non-fibrous (Other) None Detected Non-Fibrous 331612512-0007 Homogeneous 107-3 Drywall mud White/Pink 100% Non-fibrous (Other) None Detected Non-Fibrous 331612512-0008 Heterogeneous 109-1 2x4 ceiling the Gray/White 40% Cellulose 30% Non-fibrous (Other) None Detected Fibrous 30% Mm. Wool 331612512-0009 Heterogeneous 109-2 Drywall mud sales White 100% Non-fibrous (Other) None Detected Non-Fibrous 331612512-0010 Homogeneous 109-3 Drywall mud backyard White 100% Non-fibrous (Other) None Detected Non-Fibrous 331612512-0011 Homogeneous 109-4 Drywall Brown/White 3% Cellulose 70% Gypsum None Detected Fibrous 2% Glass 25% Non-fibrous (Other) 331612512-0012 Heterogeneous (Initial Report From: 07/13/2016 09:27:29 AS&Pf_M_0008 - 171 Printed: 7/13/2016 9:27 AM Page 1 012 LA Testing 5431 Industrial Drive Huntington Beach, CA 92649 Tel/Fax: (714) 828-4999 / (714) 828-4944 http://www.LATesting.com / gardengrovelab@latesting.com [ LA Testing Order: 331612512 I Customer ID: CLCL62 I Customer 1P0: L Project ID: Analyst(s) Mindy Le (13) Michael DeCavallas, Laboratory Manager or Other Approved Signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the dient. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetnc reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by LA Testing Huntington Beath, CA NVLAP Lab Code 101384-0, CA ELAP 1406 (ial Report From: 07/13/2016 09:27:29 1 ASBPLM0008- 1.71 Printed: 7/13/2016 9:27 AM Page 2 of 2 OrderiD: 331612512 Aic_ ~ EMSLANALVT1CAL. INC. Asbestos Chain of Custody EMSL Order Number (Lab Use Only): #331612512 7916 Convoy Court San Diego, CA 92111 PHONE: (858) 499-1303 FAx: (858) 499-1304 Company CSC - EMSL-Bill to: fllDifferenL 171 Same If miII to is Different no'Itructions in Con Street: 11315 RANCHO BERNARDO RD #150 Third Party Billing requires written authorization from third party City: SAN DIEGO __________ State/Province: CA Country: States Report To (Name): NORM KRAMER Telephone #: 858-675-1088 Email Address: nkramercscengcorn __ Fax #: 8586751066 Purchase Order: 11002701 Project Name/Number 11002701 - *_____ Please Provide Results [II] FAX E7]riflai LJMa1l U.S. State Samples Taken: CA Connecticut Samples: LI Commercial LI Residential Turnaround Time (TAT) Options* -Please Check LJ3Hour I 0 Hour j EI24Hour I UJ48Hour ID 72 Hour I LI 96 Hour I LiWeek ID 2Week For TEM Air 3 hr through 6 hr, please call ahead to schedule There is premium charge for 3 Hour TEM AHERA or EPA Level It TAT You will be asked to sign an authorization form for this service. Analysis completed in accordance with EMSLs Terms and Conditions located in the Ana!ytióal Price Guide. PCM - Air LI Check if samples are from NY TEM - Air LI 4-4.5hr TAT (AHERA only) TEM-, Dust LI NIOSH 7400 LI AHERA 40 CFR, Part 763 LI Microvac - ASIM D 5755 LI WI OSHA 8hr. IVVA LI NIOSH 7402 LI EPA Level II 0 Wipe - ASTM 06480 LI Carpet Sonication (EPA 600/J-93/167) PLM - Bulk (reporting limit) ii PLM EPA 600/R-931116 (<1%) 0 ISO 10312 Soil/Rock/Vermiculite I TEM Bulk o PLM EPA NOB (<1%) LI PLM CARB 435 A (0.25% sensitivity) Point Count LI TEM EPA NOB 0 PLM CARB 435-8(0.1% sensitivity) LI 400 (<0.25%) 0 1000 (<0.1%) LI NYS NOB 198.4 (non-friable-NY) LI TEM CARB 435-8 (0.1% sensitivity) Point Count w/Gravimetric LI Chatfield SOP 0 TEM CARB 435 - C (0.01% sensitivity) E3 400 (<0.25%) 0 1000 (<0.1%) LI TEM Mass Analysis-EPA 600 sec. 2.5 LI TEM Qual. via Filtration Technique TEM —Water: EPA 100.2 U NYS 198.1 (friable in NY) 0 TEM Qual. via Drop-Mount Technique 0 NYS 198.6 NOB (non-friable-NY) Fibers >lopm LI Waste [I] Drinking Other: U NIOSH 9002 (<1%) All Fiber Sizes LI Waste LI Drinking 0 Check For Positive Stop -Clearly Identify Homogenous Group I Filter Pore Size (Air Samples): LI 0.8pm LI 0.451im Samplers Name: Norm Kramer Samplers Signature: Volume/Area (Air) Date/Time Sample # Sample Description HA # (Bulk) Sampled lk __ Client Sample # (s): L.Total # of Samples: I.I.I.T. Relinquished (Client) Date * Time Received (Lab) .I1W (L.' Date Time ' Comments/Special Instructions: Page 1 of _____ pages Page lOf 2 7916Convoy Court AML Asbestos Chain of Custody EMSL Order Number (Lab Use Only): San Diego CA 92111 PHONE" (858) 499-1303 #33 1 6 1 2 5 12 FAx (858) 499-1304 Additional Pages of the Chain of Custody are only necessary if needed for additional sample information OrderiD: 331612512 Sample # Sample De cription Volume/Area (Air) HA # (Bulk) Date/Time Sampled II 1L Comments/Special Instructions: Page ____ of pages Page 2 Of Page 6 Limited Asbestos and Lead-Based Paint Report The Shoppes at Carlsbad Units 105, 107, &109 Carlsbad, California CSC Project Number-11002701 APPENDIX B LEAD-BASED PAINT XRF ANALYSIS RESULTS CSC Project No. 11002701 Site: The Shoppes at Carlsbad Units 105, 107 109 CLARK SElF CLARK, INC. Site Address: 2525 El Camino Real, Carlsbad, CA 92008 HEALTH & SAFETY. ENGINEERING. ENVIRONMENTAL _________ XRF LEAD-BASED MATERIALS INSPECTION REPORT ri iiiflliii iistrat- U. - Result ______ .1 42 SHUTTER CALIBRATION 1.65 0 cps 43 NIST CALIBRATION 2573 Positive 1.1 0.1 mg / cm 12 44 NIST CALIBRATION 2573 Positive 1.1 0.1 mg/cm "2 45 NIST CALIBRATION 2573 Positive 0.9 0.1 Mg/CM "2 46 105 DINING ROOM WALL DRYWALL B INTACT BEIGE Null 0 0.02 mg / cm "2 47 105 DINING ROOM WALL DRYWALL B INTACT BEIGE Negative 0 0.02 mg /cm "2 48 105 DINING ROOM WALL DRYWALL B INTACT BEIGE Null 0 0.02 mg / cm "2 49 105 DINING ROOM WALL CERAMIC TILE C INTACT WHITE Negative 0.01 0.02 mg/cm"2 50 105 DINING ROOM WALL DRYWALL D INTACT BEIGE Negative 0.01 0.04 mg / cm "2 51 105 DINING ROOM WALL DRYWALL A INTACT YELLOW Negative 0 0.02 mg / cm "2 52 105 DINING ROOM WALL CERAMIC TILE A INTACT BLACK Negative 0 0.02 mg/cm"2 53 107 BATHROOM WALL DRYWALL A INTACT WHITE Negative 0 0.02 mg / cm "2 54 107 BATHROOM FLOOR CERAMIC TILE LOWER INTACT WHITE Negative 0.01 0.03 mg/cm"2 55 107 SALES COLUMN DRYWALL B INTACT BLACK Negative 0 0.02 mg/cm"2 56 109 SALES WALL DRYWALL B INTACT WHITE Negative 0.13 0.35 mg/cm "2 57 109 SALES WALL DRYWALL C INTACT WHITE Negative 0 0.02 mg / cm "2 58 109 REAR ENTRY WALL CONCRETE C INTACT GRAY Negative 0 0.02 mg / cm "2 59 109 REAR ENTRY WALL DRYWALL D INTACT GRAY Negative 0 0.02 mg / cm "2 60 109 REAR ENTRY DOOR METAL D INTACT YELLOW Negative 0 0.02 mg / cm "2 61 109 BATHROOM WALL CERAMIC TILE B INTACT WHITE Negative 0.01 0.02 mg/cm"2 62 109 OFFICE WALL DRYWALL B INTACT GRAY Negative 0 0.02 mg /CM A2 63 NIST CALIBRATION 2573 Positive 1.1 0.1 mg / cm "2 64 NIST CALIBRATION 2573 Positive 1.1 0.1 mg fern "2 Clark Seif Clark, Inc.- 110 Pine Avenue, Suite 925, Long Beach, CA 90802 (562) 435-8080, Fax (562) 590-8795, web: csceng.com Page 1 of 2 CSC Project No. 11002701 Site: The Shoppes at Carlsbad Units 105, 107 109 CLARK SElF CLARK, INC. Site Address: 2525 El Camino Real, Carlsbad, CA 92008 HEALTH & SAFETY ENGINEERING ENVIRONMENTAL X 1 XRF LEAD-BASED 1MATERIALSIINSPECTIONREPORT Shot ite Roor( Conponent Substrate, Sidj Con4tjpn Coipr . Results Pb4 Pbc Eror Uilts NIST-CALIBRATION 2573 Action Level 1.0 mg/cm Inspection Comments: California identifies XRF readings with ~ 1.0 mg/cm2 as lead based paint. Inspection date 7/11/2016 performed with a NITON XLp 300 serial number 25374. None of the tested components contained lead at or above 1.0 mg/cm'. I/A 1291 Inspector signature CDPH Certification No. July 22, 2016 Date Clark Seif Clark, Inc.- 110 Pine Avenue, Suite 925, Long Beach, CA 90802 (562) 435-8080, Fax (562) 590-8795, web: csceng.com Page 2 of 2 Page 7 Limited Asbestos and Lead-Based Paint Report The Shoppes at Carlsbad Units 105, 107, &109 Carlsbad, California CSC Project Number-11002701 APPENDIX C FORM 8552 State of California—Health and Human Services Agency California Department of Public Health LEAD HAZARD EVALUATION REPORT Section 1 - Date of Lead Hazard Evaluation July 11, 2016 Section 2 - Type of Lead Hazard Evaluation (Check one box only) Lead Inspection Risk assessment Lii Clearance Inspection Other (specify) Section 3— Structure Where Lead Hazard Evaluation Was Conducted Address [number, street, apartment (if applicable)] City County Zip Code 2525 El Camino Real Units 105,107,&109 Carlsbad San Diego 92001 Construction date (year) Type of structure (check one box only) of structure Multi-unit building Ej School or daycare Single family dwelling 1970's Other (specify) Shopping Center Section 4— Owner of Structure (if business/agency, list contact person) Name Telephone number Rouse Properties- Kendra Tindall - 760-729-6183 Address [number, street, apartment (if applicable)] City State Zip Code 2525 El Camino Real Carlsbad CA 92008 Section 5— Results of Lead Hazard Evaluation (check all that apply) FVj No lead-based paint detected. Lead-based paint detected. No lead hazards detected. Lead hazards detected. Section 6— Individual Conducting Lead Hazard Evaluation Name Telephone number Norbert E Kramer, Jr 562-435-8080 Address (number, street, apartment (if applicable)] City State Zip Code 110 Pine, #925 Long Beach CA 90802 CDPH certification number Signature Date 1920 7/22/16 Name and CDPH certification number of any other individuals conducting sampling or testing (if applicable) Section 7—Attachments A foundation diagram or sketch of the structure indicating the specifc locations of each lead hazard or presence of lead-based paint; Each testing method, device, and sampling procedure used; All data collected, including quality control data, laboratory results, including laboratory name, address, and phone number. First copy and attachments retained by inspector Second copy and attachments retained by owner CDPH 8552 (6/07) Third copy only (no attachments) mailed or faxed to California Department of Public Health Childhood Lead Poisoning Prevention Branch Reports 850 Marina Bay Parkway, Building P, Third Floor Richmond, CA 94804-6403 Fax: (510) 620-5656 CLARK SEiF CLARK, INC. / HEALTH & SAFETY • ENGINEERING • ENVIRONMENTAL June 15, 2016 Ms. Kendra Tindall Rouse Properties 1515 El Camino Real #100 Carlsbad, California 92008 Re: Post Abatement Clearance The Shoppes at Carlsbad 2525 El Camino Real Carlsbad, CA Job Number - 11002692 Dear Ms. Tindall: Rouse Properties retained Clark Seif Clark, Inc. to perform site visual and clearance inspection subsequent to the removal of asbestos containing material(s) in the contained work areas at the conclusion of the abatement work at the aforementioned property. Mr. Grover Montano, of Clark Seif Clark, Inc. performed the visual and clearance inspection at the conclusion of the abatement work in the aforementioned area(s) on June 14, 2016. Clark Seif Clark's report is for the exclusive use of Rouse Properties and applies only to the areas designated. No one other than Rouse Properties may utilize reference or otherwise rely on this report without prior written consent from Clark Seif Clark, Inc. The clearance inspection included visually inspecting the work area(s) in its entirety for any remaining visible asbestos containing materials and debris. The building materials removed included VCT flooring and mastic, Transite panels, and pipe insulation. The following observations were made: No visible debris, area clean and encapsulated. On the survey date, a total of three (3) Phase Contrast Microscopy (PCM) air samples were collected inside the above contained work areas. All samples during this process were analyzed via NIOSH 7400 Method, utilizing Polarized Contrast Microscopy (PCM) and were analyzed on-site by an accredited NIOSH 582 analyst. Table 1: Air Clearance Results Sample Total Total _!L!c....flesults Sampling Location. Time(Mih) Volume (L) Field Count. F/cc ------------------ ---------------- 2692-6/14- 01 90 1260 ----------------- 0.0087 South-West Quadrant 40 Clearance 1260 5 0.0048 2692-6/14- 02 90 North Area 40 Clearance 90 1260 6 0.0058 r2692-6/14- 1 03 - North-East Quadrant 40 The results for the PCM air samples revealed less than 0.01 f/cc of air inside the aforementioned work area(s). Both the visual inspection and the air sample results confirmed that the asbestos containing materials have been adequately removed. Clark Seif Clark, Inc. appreciated having the opportunity to inspect the property. If you have any questions regarding this survey or other environmental hazards, please don't hesitate to contact us (858) 675-1088. Written By, Reviewed by: Grover Montano Norbert E. Kramer, Jr. Project Manager Regional Manager Clark Seif Clark, Inc. Attachments: Notification Contractor Documents Air Data Site Map Appendix A Notification SAN DIEGO AIR POLLUTION CONTROL DISTRICT 360124 OLD GROVE ROAD, SAN DIEGO, CA 92131 PHONE (858) 586-2650 FAX (85 8 ) 5 8 6 - 2 6 5 1 Postmark Received Feel Receipt Notification # Entered Sector Inspector Assigned/Date NOTIFICATION OF ASBESTOS RE N O V A T I O N O R D E M O L I T I O N O P E R A T I O N S Completed by: Melinda Morgan Company: Harbor Environmental Group, Inc. 0 Original 0 Cancellation 0 Other (specify): NOTIFICATION 0 Revision 0 Change in asbestos amount K3 Change in start/end date (Indicate type of revision) (greater than 20%) PROJECT TYPE o Demolition 0 Ordered Demolition l Renovation (removal) D Emergency Removal 0 Emergency Demolition 0 Planned Renovation (annual) FA(41 TTV TNFORMATION Facility Name: Shoppes at Carlsbad Addre;: 2525 El Camino Real Cross Street: City: C arlsbad, CA Zip Code: 92008 Facility Owner: RPl Carlsbad, L.P. Address: 1114 Avenue of the Americas, S u i t e 2 8 0 0 City: New York State: NY Zip Code: 10036 Contact Kendra Tindall Title: Phone No: Building Size (sq. ft): 32,370 sf Building Age (years): 40+ Number of Floors: 2 Number of Units: I Building prior/present use: ElCommercial 0 Hospital 0 Industrial U Public Bldg 0 House/Condo 0 Ship 0 Office 0 K-12 School U Univ/College 0 Other - PROJECT INFORMATION Asbesto Survey Is Asbestos Present? Will the asbestos be removed? Is the building to be demolished? Performed?* J Yes 0 No El Yes 0 No El Yes 0 No 0 Yes El No Friable Category I Category II Total Asbestos Pipes: Pipes: Pipes: Amount to be Surface Area: 30,560 Sf Surface Area: 1,810 Sf Surface Area: 32,370sf removed (sq/In ft): Facility Component: _______ acuity, Component: Facility Component: Revised A mounts (if a revisbijn) Asbestos Removal Start Date: 5/16/2016 DemolitIon Operation Start Date: As e Demolition Operation End Date: vi or re s - ns only W06/1 For revisions only =b__pl Revised Start Date: Revis R 6/14/16 _-' Revised End Date: Removal Contractor: Name: Harbor Env. Grp., Inc. Phone No: 714) 257-9680 CSLB License#: 936557 Address: F 0. Box 9476 City/State/Zip: Brea, CA 92821 Site Supervisor: Lois Sanchez Demolition Contractor: Name: N/A Phone No: CSLB License#: Address: City/State/Zip: 1 Site Supervisor: - 'Asbestos Sunays are required prior to Renov a t i o n a n d D e m o l i t i o n , h o w e v e r t h e a c t u a l s u r v e y i s n o t r e q u i r e d t o b e s u b m i t t e d w i t h t h e n o t i f i c a t i o n . SDAPCD -SUBPART M - Rule 361.145 Page 1 of 2 ti/os NOTIFICATION OF ASBESTOS RENOVATION OR DEMOLITION OPERATIONS Waste I ransporter#1: Waste Transporter#2: Name: E,C.T.I. Name: Addressj P.O. Box 7318 Address: .Ctty/Stae/Zip: San Bernardino, CA 92411 City/State/Zip: Contact erson: Phone: 800) 664-7773 Contact Person: Phone: Waste 4isposai Site (Landfill): Name: Azusa Land Reclamation Addressj, 1211 W. Gladstone St. City/state/zip: Azusa, CA 91702 Contact $erson: Phone: 626) 334-0719 Detection Procedures: Check the appropriate procedures and analytical methods used to detect the presence of Asbestcr asbestos containing materials. El Suey l?1 Inspection 0 TEM 0 PCM J Bult Sampling El PLM El Other: Describ work practices and engineering controls to be used. Check applicable methods below:. C3 Water El Demolition w/roofing materials in place El Skid Loaders/bobcats/Top Loaders El Amnded Water using sledge hammers. 11 ierminator" El Ro( fing Cutting Saws El Axes 0 Shovels o Implosion o Hig i Pressure Water Blast El Demolition w/Cat I Floor tiles in place o Explosion [1 In4red Machines El Ice Chippers El Pry Bars El Negative Air Machines El Crates (wrecking ball, El Bulldozer El Full Containment cla4ishell. bucket) El Intentional Burning 0 3 Stage Decon El Zathboni El Backhoes El Glove Bag El Bed Blast El Other: Hand Tools [1 Critical Barriers El Floàr Buffer For Ordered Demolition provide a copy of the order and complete the information below: It Agency iame: N/A Authorizing Person: Title: Date of 4rder: Date Ordered to Begin: Phone: 11 Describe actions to be followed if unexpected asbestos is found during demolition or Contingncy Plan removal or asbestos material becomes disturbed, crumbled, pulverized or reduced to ______________________ powder.. All work }vill stop and personnel will vacate premises. After required notification, containments will be constructed to remove asbestos materials and area cleared prior to restarting work. I certify that an individual trained in the provisions of this regulation (CFR Part 61, Subpart M) Trainln Certification will be on site during the removal and evidence that the required training has been accomplished by this person will be available for inspection during normal business h urs. Date: 126/16 Print Name: Adela Miller - (Owner/Operator) (Owner/Operator) Information Certification: I certify that the above information is con-ed. Date: 26/16 Print Name: Adela Miller ~(o t\ Al MA ur (Owner/Operator) nor/Operator) Original notifications are to be submitted to the District at least 10 working days prior to removal or demolition. Revised notices.are to be submitted as soon as posible but no later than the original start date. Original notifications cannot be accepted without the required fee(s) (Rule 40(f)(2)), however revised notifications will be accepted without the required fee provided the fee is paid prior to the start date of the original notification. SDAPC -SUBPART M - Rule 361.145 Page 2 of 2 Appendix B Contractor Documents PROJECT DESCRIPTION Date: April27, 2016 Estimator: AM - PA SELECT:(TJ., Demo, ASS, R, M, LBP, 0) Supervisor: LS Tl/CC*ISTRUCTIONI I DEMOI I ASBIX I OTHERI I ROOFING IF ABATEAENT IS INVOLVED: 10 Day Notification: XX Project Number: HEGI 16-16 LA. Fire Dept. Permit: lCompletion Start Date: 5/16/2016 EmergencyNotification: .Date: 5/24116 Man Days: 60 Site Name Shoppes at Carlsbad Site Contact Kendra Tindall Address:, 2525 El Camino Real City, Statt & Zip: Carlsbad, CA 92008 Site Phone: 619-301-7383 Address: j 1114 Avenue of the Americas, Suite 2800 Email: jCity, Stat & Zip: New York, NY 10036 S.-. Phone: Cell: Client: The Shoppes at Carlsbad Contact: Kendra Tindall Address: 2525 El Camino Real Email: kendra.tindall@museproperties.com City, State& Zip Carlsbad, GA 92008 P.O. or W.O. No.: Phone: 750-729-6183 Invoice Date: Fax: Cell: 619-3017383 Consultant Contact. Grover Montana Cell (760) 805-9919 Consultant CSC Email: Phone: 1 562435-8080 Pay Scale:t MXX Private DState Drederal Transporter: Disposal Site: Azusa EPA lD# CAC002861675 DACM Non Haz Hazard Waste QTrash [ Type of Material Quantity (SF) Location HAZ Non I-IAZ jt VCTfloorrig 15,250 basement offices XX Jj1aslic 15250 Basement and basement offices XX 3 Transite pdnels 1810 basement offices/stairwell/hallway XX 4 Pipe Insulation 60 basement XX Are There: OPlaris GSpecifications Surveys DRemove per AQMD Specs? Notes: I 2 Demolition: XX Power XX Water L 8uilding Age No. of Floors:2 XX Bldg Reoccupied Building Size Removal Predure: XX I Full Containmt 2 Glove Bag 3 Adequate Water (Select One) 1 14 Dry Removal 5 Procedure 5 Other - Explain *Are there additional insured required? Yes. See requirements (already provided cert) *Is there a geral contractor? No. Have you submitted your estimating sheet? See attached COMMENTS Ma1I-ACM-01 ca® IE7. c kH ri A. k*Ifi L it b . .. . . ... . . ..... . .... Iàt P . . . . . . . . . . • . 5-1 I / •, • - ---f-- _fr_ Mall-ACM-08 Mall-ACM-02 Mall-ACM-09 Westfield Carlsbad Mall Explanation FJ E N E R C 0 N 2525 ED C,WIRp_R Carlsbad, CA Sample Location Diagram 2nd Floor Locations Project No: ASBTS 1484 Appendix C Chain of Custody - Air Data 2f Requested TAT (Circle.Onc Same Day One Day (24hr) Normal (48hr) HEALTH • ENGINEERING. ENVIRONMENTAL Asbestos Chain of Custody Analysis Type (Circle One) i'CNI TEM Other: Air Sampling CC Project # [Client Project # JSampliriiB By # of Sam Date(s) T ken LPage # Total Pages 77 zc I Grover Montano /4// 76 1 Of Pro ect Name & Location Client Information -- 5 / Saryipl jnndJortiding J Sample # • _______ SampIe Type Sampling Location Pump # Start Flow Rate End Flow Rate Start Time EndTime Total Time (Min.) Total Volume (L) Fiber Count Field Count - Results Ficc z-Øj -a, ___________ _____ ______ ______ q , I • ___ - - ------------------ 8s n Refinguisbect By (PrintT) Received By (Prrnt& Sign) Date & Time L_ AnaIysis,p & Sign) / . I Grover Montano f Fibers I Fields I Graticle told area X Filter area / Time I How rate I lOUiJ = F ICC Clark Self Clark, Inc. 11315 Rancho Bernardo Road, Suite 150, San Diego, CA 92127 Phone: (858) 675-1088 • Fax: (858) 675-1033 www.csceng.com Appendix D Site Map 0 [a C) Area sampled on 06/14/16 Site Map ZEN 2525 El Camino Real 11002692 Carlsbad, CA 92008 CLARK SElF CLARK, INC. HEALTH & SAFETY . ENGINEERING ENVIRONMENTAl. CLARK SEIF CLARK, INC HEALTH & SAFETY • ENGINEERING' ENVIRONMENTAL LIMITED LEAD DUST WIPE SAMPLING REPORT Shoppes at Carlsbad Basement Office 3 2525 El Camino Real Carlsbad, California Prepared for: Ms. Adela Miller Harbor Environmental Group 591 W. Explorer Street Suite 200 Brea, California 92821 CSC Project # 11002708 July 28, 2016 8875 Research Drive, Irvine, CA 92618* PH (9490 453-8177 * Fax (949) 453-8176 * e-mail: csc44cscengconi www.csceng.com TABLE OF CONTENTS INTRODUCTION . PURPOSE AND SCOPE.................................. METHODOLOGY ............ 1 BULKSAMPLING RESULTS .........................................................................................................2 CONCLUSION...................................................................................................................................2 LIMITATIONS....................................................................................................................................2 APPENDICES: ANALYTICAL RESULTS SITE MAP 8875 Research Drive, Irvine, CA 92618* PH (9490 453-8177 * Fax (949) 453-8176 * e-mail: esc4icsceng.com www.csceng.com Page 1 Limited Lead Survey Report Shoppes at Carlsbad Basement Office 3 Carlsbad, California CSC Project # 11002708 INTRODUCTION Clark Seif Clark, Inc. (CSC) performed a limited wipe sampling, for lead containing dust, inside of Basement Office 3 at 2525 El Camino Real, Carlsbad, California. Mr. Grover Montano, CDPH Accredited Lead Inspector/Assessor, No. 19066, of Clark Seif Clark, Inc. conducted the survey on July 22,2016. Clark Seif Clark's report is for the exclusive use of Harbor Environmental Group and applies only to the areas referenced above. No one other than Harbor Environmental Group may utilize reference or otherwise rely on this report without prior written consent from Clark Seif Clark, Inc. PURPOSE AND SCOPE The purpose of this limited investigation was to collect lead wipe samples from areas that were suspected to be contaminated with lead dust created by the demolition of lead containing ceramic tile. Dust wipe samples were collected in accordance with the HUD guidelines, Appendix 13, and ASTM method E 1728. Our inspectors collected dust wipe samples from interior floors and windowsills. All samples were collected using the Ghost Wipe TM sample media as recommended by the ASTM. After each sample was collected, it was placed in a sealed hard plastic container and delivered to the laboratory for analysis. Title 17, California Code of Regulations, Division 1, Chapter 8, Accreditation, Certification, and Work Practices For Lead-Based Paint and Lead Hazards, defines lead contaminated dust as dust that contains greater than 40 micrograms of lead per square foot (40 ig/ft2). CSC collected random wipe samples from a one square foot area on the floor of the bathrooms from which the tiles were removed. METHODOLOGY CSC collected two (2) wipe samples of suspect lead containing dust. The samples were submitted to L.A. Testing in Huntington Beach, California, for analysis by EPA reference method SW 846 3050B and 7420. L.A. Testing is accredited for lead analysis through the Environmental Laboratory Accreditation Program (ELAP) for lead. 11315 Rancho Bernardo Road, Suite 150, San Diego, CA 92127 * TEL 858-675-1088 * FAX 858-675-1033 csc@csceng.com - www.csceng.com Page 2 Limited Lead Survey Report Shoppes at Carlsbad Basement Office 3 Carlsbad, California CSC Project # 11002708 BULK SAMPLING RESULTS Clark Seif Clark, Inc. does not perform destructive sampling. Areas sampled were those accessible to visual inspection and per Client's request as the sampling was limited to the structures. No additional suspect lead-based paint was observed that are not mentioned in this survey report. ANALYTICAL RESULTS Sample # Location Lead (Fig/ft) 2708-7/22-01 Bathroom! <10 2708-7/22-02 Bathroom2 20 CONCLUSION The analytical results of the samples collected indicated the presence of lead below the State of California criteria of 40 lg/ft2. Based on the analytical results, no further action is required. LIMITATIONS The field observations, measurements and research reported herein are considered sufficient in detail and scope to form a reasonable basis for a limited lead contamination investigation of this subject property. The assessment, conclusions, and recommendations presented herein are based upon the subjective evaluation of limited data. They may not represent all conditions at the subject property and they reflect the information gathered from specific locations. CSC warrants that the findings and conclusions contained herein have been promulgated in accordance with generally accepted industrial hygiene methodology and only for the subject property described in this report. No other warranties are implied or expressed. 11315 Rancho Bemardo Road, Suite 150, San Diego, CA 92127 * TEL 858-675-1088 * FAX 858-675-1033 csc@csceng.com - www.csceng.com Page 3 Limited Lead Survey Report Shoppes at Carlsbad Basement Office 3 Carlsbad, California CSC Project # 11002708 USE BY THIRD PARTIES This report was prepared pursuant to the contract CSC has with the Client. That contractual relationship included an exchange of information between CSC and its Client about the subject site that was unique, and serves as the basis upon which this report was prepared. Because of the importance of the communication between CSC and its Client, reliance or any use of this report by anyone other than the Client, for whom it was prepared, is prohibited and therefore not foreseeable to CSC. Reliance or use by any such third party without explicit authorization in the report does not make said third party a third party beneficiary to CSC's contract with the Client. Any such unauthorized reliance on or use of this report, including any of its information or conclusions, will be at third party's risk. For the same reasons, no warranties or representations, expressed or implied in this report, are made to any such third party. UNIDENTIFIABLE CONDITIONS This limited lead investigation has been developed to provide the Client with information regarding apparent conditions relating to the subject property. Although CSC believes that the findings and conclusions provided in this report are reasonable, the assessment is necessarily limited to the conditions observed and to the information available at the time of the work. Due to the nature of the work, there is a possibility that there may exist conditions which could not be identified within the scope of the assessment or which were not apparent at the time of our site work. The assessment is also limited to information available from the Client at the time it was conducted. It is also possible that the testing methods employed at the time of the report may later be superseded by other methods. CSC does not accept responsibility for changes in the state of the art. CSC does not guarantee that all lead-based paint on the subject property was recognized during our evaluation. This report is limited only to the samples taken and locations sampled. Additional sampling may be needed to further identify other materials inside the property. We have employed state-of-the-art practices to perform this analysis of risk and identification, but this evaluation is limited in scope to the areas listed above and per Client's request. No demolition or product review was performed in attempts to reveal material compositions. Our services consist of professional opinions and recommendations made in accordance with generally accepted engineering principles and practices, and are designed to provide an analytical tool to assist the client. CSC or those representing CSC bear no responsibility for the actual condition of the structure or safety of a site pertaining to fungal contamination regardless of the actions taken by the Client. Clark Self Clark, Inc. prepared this lead survey under agreement with Client. No warranties expressed or implied, are made by Clark Seif Clark, Inc. or its employees as to the use of any information, apparatus, product or process disclosed in this report. Though reasonable efforts have been made to assure 11315 Rancho Bernardo Road, Suite 150, San Diego, CA 92127 * TEL 858-675-1088 * FAX 858-675-1033 esc@cseeng.com - www.csceng.com Page 4 Limited Lead Survey Report Shoppes at Carlsbad Basement Office 3 Carlsbad, California CSC Project # 11002708 correctness, if a Contractor is employed he should bring any discrepancies to the immediate attention of Clark Seif Clark, Inc. Clark Seif Clark appreciated having the opportunity to inspect your property. If you have any questions regarding this survey or other environmental hazards, please don't hesitate to contact us at (858) 675- 1088. Respectfully submitted by Reviewed by Grover Montano Norbert E. Kramer, Jr. Accredited Lead Inspector/Assessor - 19066 Regional Manager Clark Seif Clark, Inc. I 1315 Rancho Bernardo Road, Suite 150, San Diego, CA 92127 * TEL 858-675-1088 * FAX 858-675-1033 csccsceng.com - www.csceng.com Page 5 Limited Lead Survey Report Shoppes at Carlsbad Basement Office 3 Carlsbad, California CSC Project # 11002708 ANALYTICAL RESULTS 11315 Rancho Bemardo Road, Suite 150, San Diego, CA 92127 TEL 858-675-1088 * FAX 858-675-1033 csccsceng.com - www.csceng.com LA Testing 5431 Industrial Drive, Huntington Beach, CA 92649 Phone/Fax: (714) 828-4999 /(7 14) 828-4944 - http://wwLATesting.com gardenorovelabc5latestingcom LA Testing Order: 331613418 CustomeriD: CLCL62 CustomerPO: L 0iect1 Attn: Grover Montano Phone: (858) 675-1088 Clark Seif Clark, Inc. Fax: (858)675-1033 11315 Rancho Bernardo Road Received: 07/25/16 10:20 AM Suite 150 Collected: 7/22/2016 San Diego, CA 92127 Project: Shoppes at Carlsbad -2525 El Camino Real, Carlsbad,C A 92008-11002708 Test Report: Lead in Dust by Flame AAS (SW 846 3050B/7000B)* Client SampleD escription Collected Analyzed Area Sampled RDL Lead Concentration 2708-7122-01 7/22/2016 144 in' 10 pg/ft2 <10 pg/ft2 331613418-0001 2708-7122-02 7/22/2016 144 in' 10 pg/ft2 20 pg/ft2 331613418-0002 Michael ChapmanLab oratory Manager or other approved signatory Sample received in acceptable condition unless otherwise noted. Reporting limit is 10 ugtwipe. The CC data associated with these sample results included in this reportm eel the method quality control requirements, unless specifically indicated otherwise. Unless rroted,r esults in this reportare notb lank corrected This reportre lates only to the samples reported above and may notbe reproduced, excepti n full, wilhoutw ntten approval by EMSL. B MSL bears no responsibility for sample collection activities. slightni oditications to methods applied Samples analyzed by LA Testing Huntington Beach, CA AIHA-LAP,L LC--ELLAP Accredited #101680, CA ELAP 1406 Initial reportf rom 07/25/2016 12:04:26 Test Report PB w/RDL-7.32.3 Printed: 7/25/2016 12:04:26 PM Page 1 of 1 II ErderID: 331613418 EMSL ANALYTICAL INC. Chain of Custody EMSL Order Number (Lab Use Only): -331613418 EMSL Analytical, Inc. 200 Route 130 North Cinnaminson, NJ 08077 PHONE: 1-800-220-3675 FAX [ASM 7RR-fQ74 Clark Self Clark Inc EMSL.-Bill to4_ame[]Different If Bill to is Different note Inafructions In CommentV Third Party Billing requires written authorization from third party Street: 11315 Rancho Bernardo Road Suite 150 City San Diego State/Province CA Zip/Postal Code 92127 I Country United States Report To (Name): Grover Montano Telephone #: 858-675-1088 Email Address: gmontanocsceng.com Fax #: 858-675-1033 I Purchase Order: Project Name/Number: Please Provide Results: [_j FAX [JE-mai1 L_JMail U.S. State Samples Taken: CA Connecticut Samples: Commercial Residential Turnaround Time (TAT) Options* - Please Check 0 3 Hour I 6 Hour I 0 24 Hour J D 48 Hour I 0 72 Hour 096 Hour J 0 1 Week 0 2 Week 1 For RUSH TArs Please Call Ahead to Conitrn Lab Hours and Availability. Not all TAT options are valid for every test Materials Science and fAQ TATS are In Business Days rather than Hours (i.e. 24 Hour = End of Next Business Day) Asbestos PCM - Air PLM - Bulk TEM - Bulk NIOSH 7400 0 PLM EPA 600/R-93/116 0 TEM EPA NOB El wl 8hr. TWA 0 PLM EPA NOB (<1%) 0 NYS 198.1 (friable -NY) 0 NYS NOB 198.4 (non-friable-NY) 0 Chatfield SOP TEM— AIrD4.4 5hrTAT(AHERA ONLY) AHERA4O CFR Part 763 0 NYS 1986 (non-friable-NY) Soil/Rock/Vermiculite 0 NIOSH 7402 Point Count 0 400 (<0.25%) 0 1000 (<0 1%) 0 PLM CARB 435 - A (025% sensitivity) EPA Level ii Point Count w/ Gravimetnc 0 PLM CARS 435— B (0.1% sensitivity) 0 ISO 10312 0400 (<0 25%) 0 1000 (<0 10/6) 0 TEM CARB 435—B (0 1% sensitivity) 0 EPA Reg I Screening Protocol (Qualitative) TEM Water TEM Dust Fibers >lopm 0 waste Drinking 0 Microvac - ASIM D 5755 Other All Fiber Sizes 0-Waste 0 Drinking 0 Wipe-ASTM D6480 Lead 'Pb) Materials Science Flame Atomic Absorotion IcP Common Particle ID (large particles) Chips SW846 70008 or AOAC 974.02 0 Air NIOSH 7300 Modified 0 Full Particle ID (environmental dust) Soil SVV846-7000817420 flnon ASTM Wipe SW846-6010B or C 0 Basic Material ID (solids) El Air NIOSH 7082 DASTM Wipe SW846-6010B or C 0 Advanced Material ID Wastewater SM3I1IB or, SW846-7000817420 0 Soil SW846-6010 B or C 0 Physical Testing (Tensile Compression) 0 Waste Water SW8466010B or C 0 Combustion-by-products (soot char etc) 0 TCLP SW846-131117420/SM 3111 B 0 TCLP SW84660108 or C 0 X Ray Fluorescence (elem.analysis) Dx Ray Diffraction (Crystalline Part.) Graphite Furnace Atomic Absorption Other 0 D Soil SW846-7421 0 Wastewater EPA 2009 0 MMVF S (Fibrous glass RCF 5) 0 Air NIOSH 7105 0 Dnnklng Water EPA 200 9 0 Particle Size (sieve/microscopy/laser) 0Cornbustible Dust 0 Petrraphic Examination Microbiology Wwe and Bulk Samples Air SamDlps El Mold & Fungi - Direct Examination 0 Mold & Fungi (Spore Trap) Other: U JAQ 0 Mold & Fungi Culture (Genus Only) 0 Mold & Fungi Culture (Genus Only) 0 Mold & Fungi Culture (Genus & Species) 0 Mold & Fungi (Genus & Species) Nuisance Dust NIOSH 00500 00600 0 Bacterial Count & ID (Up to Three Types) 0 Bacterial Culture & ID (Up to Three Types) Airborne Dust 0 PMIO 0 TSP 0 Bacterial Count & ID (Up to Five Types) 0 Bacterial Culture & ID (Up to Five Types) Silica Analysis 0 All Species 0 MRSA 0 Endotoxin Testing Silica Analysis - Single Species Real Time Q-PCR (See Analytical Guide for Code) Code: 0 Pseudomonas aeniginosa 0 Alpha Quartz DCnstobalite 0 Tridymite 0 HVAC Efficiency Water Samples El Total Coiiform & E.coli (P/A) Legionella 0 Carbon Black El Fecal Coliform (SM 9222D) DLevel 1 0Level 2 ULevel 3 OLevel 4 0 Airborne Oil Mist Other: 0 Sewage Screen Radon Testing: Call for Kit and CDC 0 Heterotrophic Plate Count (SM 9215) 1 Other 0 SEE ATTACHED "Comments/ Special Instructions: 1' BiiiTo: Clark Soil Clark, inc., 11315 Reecho Boenardo Road, Suite 150, Sun Oleo, CA, 92127, United Slates Attention: Vanes Crain Phone: 858-675-1088 Email: vcrelarSicsceea.corn Purchase Order: Client Sample #'s lZVVV,, /2.Z.. ' X "— Total # of Samples: 2— Relinquished (Client)646Date: Z h. [Date: Time: / 3 C) Received (Lab): -- £.fr-yZ4i'Z Time: /07jfl- Analysis Completed in Accordance with EMSL's Terms and Conditions located in the Analytical Price Guide Page lOf 2 OrderiD: 331613418 Requested Turn around time HEA&IH 4 SAFETY • $NEER$N4 • -3 3161 U1S CHAIN OF CUSTODY FORM PB WIPE SAMPLING CSC Job # Sampling BY Date Taken # Samples Page # Of Total Pages 1) &> 2, ?-6 0 1 Grover Montano z- Z 72 Job Name & Location j BillIng Info -SJop5 (&) C,- b&ø( Af I5 - Cfl L fl -P //1<f AV -I 1k A04--air C z -,- isJ CA ' 2a $ 25 t 2 _ /tj Type Analysis SiJ Lab Submitted to Id # Location of sample Sample Wipe Sample using Ghost Wipe Sample Area Notes 29 -J&2=-P-----------AJZ'' Z1 L-.------- 3---------- SAMPUNs COMMENTS: LABORATORY SUBMITTED TO: Relinquished By Date & lime Received By: Date & Time Page 2Of 2 Page 6 Limited Lead Survey Report Shoppes at Carlsbad Basement Office 3 Carlsbad, California CSC Project # 11002708 SITE MAP 11315 Rancho Bemardo Road, Suite 150, San Diego, CA 92127 *TEL 858-675-1088 *FAX 858-675-1033 csccsceng.com - www.csceng.com Area sampled on 07/22/16 .................... .................................. . . . ........... . 0 j1 0 -o I 2525 El Camino Real Site Map 11002708 CLARK SEIF CLARK, INC. HEALTH & SAFETY ENGINEERINGENVIRONMENTAL Carlsbad, CA 92008 SAN DIEGO AIR POLLUTION CONTROL DISTRICT 10124 OLD GROVE ROAD, SAN DIEGO, CA 92131 PHONE (858) 586-2650 FAX (858) 586-2651 A!a ADffl IP flJ! V Postmark Received Feel Receipt Notification # Entered Sector Inspector Assigned/Date NOTIFICATION OF ASBESTOS RENOVATION OR DEMOLITION OPERATIONS Completed by: Xrvstal Sunseri Company: Miller Environmental, Inc. Original 0 Cancellation 0 Other (specify): NOTIFICATION 0 Revision 0 Change in asbestos amount 0 Change in start/end date (Indicate type of revision) (greater than 20%) PROJECT TYPE Demolition U Ordered Demolition L2 Renovation (removal) 0 Emergency Removal 0 Emergency Demolition 0 Planned Renovation (annual) FACILITY INFORMATION Facility Name: Shoppes at Carlsbad Phase 1.5 & 2 Address: 2525 El Camino Real Cross Street: City: Carlsbad Zip Code: 92008 Facility Owner: Rouse Properties Address: 6991 Carnelback Rd. City: Scottsdale State: AZ Zip Code: 85251 Contact: Title: Phone No: Building Size (sq. ft): 120,000 Building Age (years): 51 Number of Floors: 2 Number of Units: 0 Building prior/present use. o Commercial U Hospital 0 Industrial Public Bldg 0 House/Condo 0 Ship 0 Office D K-12 School U Univ/College 0 Other PROJECT INFORMATION Asbestos Survey Is Asbestos Present? Will the asbestos be removed? Is the building to be demolished? Performed?* I Yes 0 No 0 Yes 0 No 0 Yes 0 No Yes U No Friable Category I Category II Total Asbestos Pipes:Pipes: Pipes: Amount to be removed Surface Area: Surface Area: Surface Area: (sq/in ft): Facility Component: acuity Component: Facility Component: _______ Revised Amounts (if a revision) Asbestos Removal Start Date: Demolition Operation Start Date: 2/03/2017 Asbestos Removal End Date: Demolition Operation End Date: 3/31/2017 For revisions only For revisions only Revised Start Date: Revised Start Date: Revised End Date: Revised End Date: Removal Contractor: Name: Phone No: CSLB Ucense#: Address: City/State/Zip: Site Supervisor: Demolition Contractor: Name: Miller Environmental, Inc Phone No: 714-385-0099 CSLB License#: 772797 Address: 1130 W. Trenton Ave. J City/State/Zip: Orange, CA 92867 Site Supervisor: Shane LaPlante Asbestos Surveys are required prior to Renovation and Demolition, however the actual survey is not required to be submitted with the notification. SDAPCD -SUBPART M - Rule 361.145 Page 1 of 2 Il/os NOTIFICATION OF ASBESTOS RENOVATION OR DEMOLITION OPERATIONS Waste Transporter# 1: Waste Transporter#2: Name: BDC Special Waste Services Name: Address: 1211 E. Gladstone St. Address: City/State/Zip: Azusa, CA 91744 City/State/Zip: Contact Person: Robert Oberg Phone: 626-221-4232 Contact Person: Phone: Waste Disposal Site (Landfill): Name: Azusa Land Reclamation Address: 1211 W. Gladstone Street City/State/Zip: Azusa, CA 91702 Contact Person: Phone: Asbestos Detection Procedures: Check the appropriate procedures and analytical methods used to detect the presence of asbestos containing materials. Survey U Inspection 0 TEM PCM Bulk Sampling 0 PLM U Other: Describe work practices and engineering controls to be used. Check applicable methods below: Water 0 Demolition w/roofing materials in place 0 Skid Loaders/bobcats/Top Loaders O Amended Water using sledge hammers. 0 Terminator TM C:1 Roofing Cutting Saws 0 Axes 0 Shovels o Implosion U High Pressure Water Blast 0 Demolition w/Cat I Floor tiles In place 0 Explosion Infrared Machines U Ice Chippers 0 Pry Bars U Negative Air Machines Cranes (wrecking ball, U Bulldozer 0 Full Containment clamshell, bucket) 0 Intentional Burning o 3 Stage Decon Zamboni 0 Backhoes 0 Glove Bag 0 Bead Blast U Other: o Critical Barriers D Floor Buffer For Ordered Demolition provide a copy of the order and complete the information below: Agency Name: Authorizing Person: Title: Date of Order: Date Ordered to Begin: Phone: Describe actions to be followed if unexpected asbestos is found during demolition or Contingency Plan removal or asbestos material becomes disturbed, crumbled, pulverized or reduced to I powder. Stop work, isolate area, notifly owners immediately and revise notification as necessary. I certify that an individual trained in the provisions of this regulation (CFR Part 61, Subpart M) Training Certification will be on site during the removal and evidence that the required training has been accomplished by this person will be available for inspection during normal business hou Date: 1/26/17 Print Name: Gregg Miller I (Owner/Operator) OLr/Operator)_ — Information Certification: I certify that the above information is correct. Date: 1/26/17 Print Name: Gregg Miller I Signature: V::~, (Owner/Operator) (Owner/Operator) . Original notifications are to be submitted to the District at least 10 working days prior to removal or demolition. Revised notices are to be submitted as soon as possible but no later than the original start date. Original notifications cannot be accepted without the required fee(s) (Rule 40(f)(2)), however revised notifications will be accepted without the required fee provided the fee is paid prior to the start date of the original notification. SDAPCD -SUBPART M - Rule 361.145 Page 2 of 2 Disposal Site: Azusa Landfill, 1211 W. Gladstone Street, Azusa, CA Certified Person: GREGG MILLER Signature Qualified Person: GREGG MILLER Signature DEMOLITION NOTIFICATION RENOVATION NOTIFICATION Date: 1/19/2017 Miller's Job Number: 3546 Mail to: CAL OSHA Phone Number: 818-901-5403 6150 Van Nuys Blvd., Ste. 405 Fax Number: 818-901-5578 Van Nuys, CA 91401 Contractor: Miller Environmental, Inc. Phone Number: (714) 385-0099 1130 W. Trenton Ave. DOSH#: 741 Orange, CA 92867 Contractors License: 772797 Owners Name: Rouse Properties Address: 6991 Camelback Rd. State: AZ Zip: 85251 Contact Name: Facility Name: Shoppes at Carlsbad Address: 2525 El Camino Real State: CA Zip: 92008 Contact Name: Shane La Plante City: Scottsdale Phone Number: City: Carlsbad Phone Number: 619-623-1299 County: San Diego Age: 51 Size 120,000 SqFt Present Use: Public Bldg Work Area: Work Description: Demolition Type of Asbestos: N/A Friable: LF: SQ. FT. Non-FriableLF SQ. FT. Start Date: 2/03/2017 Completion Date: 3/31/2017 Work Hours:7:OOAM-3:3OPM Method of Removal: All asbestos shall be removed wet, in small sections and cleaned up promptly. Use of local exhaust ventilation and collection system designed and operated to capture the particulate asbestos material produced by stripping. Asbestos containing materials will be placed in double 6-mil poly bags or wrapped in double 6-mil poly sheeting and properly labeled. MILLER ENVIRONMENTAL, INC. personnel will be provided with the required protective clothing, rubber gloves and respirators with HEPA filters attached.