HomeMy WebLinkAbout38971; HOLIDAY PARK RESTROOM REPLACEMENT; LIMITED ASBESTOS AND LEAD-BASED PAINT SURVEY; 2003-06-20I
I
I
Mr. Dale Schuck
I City of Carlsbad
405 Oak Avenue
Carlsbad, California 92008
0 rg F/Jeff &
'v' V Geotechnical and En
I Subject: Limited Asbestos and Lead-based Paint Survey
Holiday Park Restroom
I 3215 Eureka Place
Carlsbad, California
I Dear Mr. Schuck:
I In accordance with your authorization to proceed, Ninyo & Moore has performed a Limited
Asbestos Survey and has coordinated the performance of a Limited Lead-based Paint Survey of
the Holiday Park Restroom, located at 3215 Eureka Place in the city of Carlsbad, California. The
I attached report presents our methodology, findings, opinions, and recommendations regarding
our survey.
I We appreciate the opportunity to be of service to you on this important project. Should you have
any questions regarding this report, please contact the undersigned at your convenience.
I Sincerely,
NINYO & MOORE
I
I
I
I
l-
Jerry R. Sherman, C. C. V
Project Environmental Scientist
JRS/PHG/LAC/kmflmsf
Distribution: (2) Addressee
Lori A. Cathcart, R.E.A.
Principal Environmental Scientist
I
I 57 10 Ruffin Road San Diego, California 92123 • Phone (858) 576-1000 • Fax (858) 576-9600
San Diego • Irvine • Ontario • Los Angeles • Oakland • Las Vegas Salt Lake City • Phoenix
City of Carlsbad
Holiday Park Restroom, Carlsbad
June 20, 2003
Project No. 104995001
TABLE OF CONTENTS
Page
1. INTRODUCTION....................................................................................................................1
2. PURPOSE AND SCOPE OF SERVICES ................................................................................. 1
3. SITE DESCRIPTION...............................................................................................................1
4. PHYSICAL LIMITATIONS.....................................................................................................2
5. SAMPLE COLLECTION.........................................................................................................2
5.1. Asbestos Survey............................................................................................................2
5.2. Paint Survey..................................................................................................................3
6. LABORATORY ANALYSES AND RESULTS .....................................................................3
6.1. Asbestos Analysis.........................................................................................................3
6.2. Paint Analysis ...............................................................................................................3
7. FINDINGS AND OPINIONS ................................................................................................... 4
7.1. Asbestos........................................................................................................................4
7.2. Paint..............................................................................................................................4
8. RECOMMENDATIONS .......................................................................................................... 4
9. LIMITATIONS ..............
.
........................................................................................................... 5
Figure
Figure 1 - Sample Location Map
Table
Table 1 - Asbestos Survey Results
Appendices
Appendix A - Allstate Services, Lead-based Paint Survey Report
Appendix B - Asbestos Analytical Results and Chain-of-Custody Records
I.j117y8&4ttI1Qv
4995001r.doc i
I
City of Carlsbad June 20, 2003
I Holiday Park Restroom, Carlsbad Project No. 104995001
INTRODUCTION
In accordance with your request and authorization to proceed, Ninyo & Moore has performed a
limited Asbestos Survey and has coordinated the performance of a limited Lead-based Paint
(LBP) Survey of the Holiday Park Restroom (site or subject site), located at 3215 Eureka Place in
the city of Carlsbad, and county of San Diego, California.
This report has been prepared in accordance with generally accepted environmental science and
I engineering practices. This report is based upon conditions at the subject building at the time of
the sampling activities, and provides documentation of our findings and recommendations.
I
PURPOSE AND SCOPE OF SERVICES
I The purpose of the limited survey was to evaluate the subject building for the presence of asbes-
tos-containing materials (ACMs) and LBP. The objective of the survey was to gain information
regarding site conditions to assist in planning for proposed demolition activities. The Ninyo &
I
Moore team performed the following services:
conducted a visual reconnaissance of the readily accessible areas of the site to evaluate the
I
possible presence of ACMs and LBP,
collected 12 building material samples and submitted these samples to an independent labo-
ratory for analysis of asbestos content,
collected 44 x-ray fluorescence (XIRF) readings of potential lead-based paint,
I • prepared sample location map showing sample locations, and
prepared this report, summarizing our field activities, laboratory test results, conclusions,
I and recommendations.
1 3. SITE DESCRIPTION
The subject site consists of a public restroom facility encompassing approximately 400 square
feet (SF). The building is constructed primarily of concrete block, with concrete block exterior
and interior walls. Floors are unfinished concrete. Ceilings are finished with wood. Exterior and
I 4995001rdoc 1
I
City of Carlsbad June 20, 2003
Holiday Park Restroom, Carlsbad Project No. 104995001
interior walls are finished with paint. Roofing materials consist of pea-gravel, a built-up roofing
membrane, and wood.
I . PHYSICAL LIMITATIONS
Physical limitations, such as locked rooms and fenced areas, were not encountered during survey
I activities. However, since non-destructive sampling techniques were used, there is a possibility
I
that additional ACMs and LBPs may be encountered during building demolition activities in ar-
eas that were inaccessible at the time of our survey (e.g. interstitial wall spaces).
I
5. SAMPLE COLLECTION
On June 12, 2003, Ninyo & Moore personnel conducted a limited asbestos survey, and Allstate
Services Environmental, Inc. (Allstate) conducted a limited LBP survey of the site. The surveys
followed U.S. Environmental Protection Agency (USEPA) guidelines, within the limitations of
the scope of this assessment. The asbestos survey was performed by a California Certified Asbes-
tos Consultant, and consisted of collecting building materials from the subject structures. The
LBP survey was conducted by a California Certified Lead Paint Inspector/Assessor. A copy of the
limited LBP report is included as Appendix A.
5.1. Asbestos Survey
I
A preliminary visual assessment and bulk-sampling survey of suspect ACMs was performed.
Representative samples of these suspect ACMs were collected after identification of homo-
geneous sampling areas (areas in which the materials are uniform in color, texture, construction
or application date, and general appearance). Each homogeneous area was observed for mate-
rial type, location, condition, and friability. Representative samples were collected from each
area of proposed demolition, except areas of assumed ACM, within the limitations of the sur-
vey Samples were collected using USEPA-recommended sampling procedures. Building
materials that were sampled and analyzed for the presence of asbestos are presented in Table 1,
I and the locations of bulk asbestos samples are shown on Figure 1.
I 4995001rd0c 2
I
City of Carlsbad June 20, 2003
I Holiday Park Restroom, Carlsbad Project No. 104995001
5.2. Paint Survey
I To properly assess the painted surfaces for both waste characterization and future contractor
worker safety, portable XRF spectrum analyzer technology was utilized. The survey was
I conducted in general accordance with accepted environmental science and engineering prac-
tices. The XRF sample points are presented in the lead-based paint inspection report
I (Appendix A).
6. LABORATORY ANALYSES AND RESULTS
The following sections describe the laboratory analyses performed and results obtained for sam-
ples collected during the survey.
6.1. Asbestos Analysis
I Twelve samples of suspect ACMs were collected and transferred to EMC Laboratories
(EMC) for analysis. EMC is a laboratory accredited in the National Voluntary Laboratory
I Accreditation Program (NVLAP) for bulk asbestos fiber analysis. Because of material layer-
ing, of the 12 samples collected, 19 separate analyses were performed. The samples were
I analyzed for the presence and quantification of asbestos fibers, using polarized light micros-
copy with dispersion staining (PLMIds) in general accordance with USEPA Method 600/M4-
82-020. The lower limit of reliable detection for asbestos using the PLM methOd is approxi-
mately 1% by volume. Materials in which no asbestos was detected are defined in the
I laboratory report as "No" (no asbestos detected). Materials containing asbestos in amounts
I
less than 1% but greater than 0.1% are defined as containing "trace" amounts. Suspect mate-
rials sampled and the analytical results are summarized in Table 1. Copies of the laboratory
analytical report and chain-of-custody records are presented in Appendix B.
6.2. Paint Analysis
Currently, the USEPA stipulates what concentrations of lead in nonvolatile components of
I surface coatings or materials determine whether a material is considered to be a lead-based
I 4111150
4995001rdoc
June 20, 2003
Project No. 104995001
I
City of Carlsbad
I Holiday Park Restroom, Carlsbad
paint. The USEPA stipulates that materials containing an amount equal to or in excess of one
milligram per square centimeter (1.0 mg/cm2), or more than half of one percent (0.5%) by
weight, constitute a lead-based paint. The XRF results are presented in the lead-based paint
inspection report in Appendix A.
FINDINGS AND OPINIONS
The findings of this survey are based on our visual observations, limited analysis of suspect
building materials, and XRF assays collected from the subject area.
7.1. Asbestos
Based on the analytical results of bulk samples collected during this limited survey, ACMs
are not located at the subject site.
7.2. Paint
Based on the analytical results of XRF assays collected during our survey, no painted sur-
faces were found to contain concentrations of lead at or above the threshold level of 1.0
mg/cm2, or 5,000 mg/kg.
RECOMMENDATIONS
No ACMs or LBPs have been identified at the subject site; however, the following recommenda-
tion and precaution is provided:
Because non-destructive sampling techniques were used, there is a possibility that additional
suspect ACMs or LBPs may be found during building demolition. Ninyo & Moore recom-
mends that should additional suspect materials, not sampled or assessed in this report, be
uncovered during building demolition: (a) samples of suspect materials should be collected
for laboratory analysis or analyzed using XRF equipment, and all activities that may impact
the materials should cease until laboratory analytical results are reviewed, or (b) the materi-
als should be assumed to be hazardous and handled as such.
jingo &4ttuur
4
I
I
I
I
I
I
I
I
I
I
1
I
I
I
I
I
I
City of Carlsbad June 20, 2003
Holiday Park Restroom, Carlsbad Project No. 104995001
9. LIMITATIONS
Ninyo & Moore's opinions and recommendations regarding environmental conditions, as pre-
sented in this report, are based on limited sampling and chemical analysis. Further assessment of
potential adverse environmental impacts may be accomplished by a more comprehensive as-
sessment. The samples collected and used for testing, and the observations made, are believed to
be representative of the area(s) evaluated. However, if additional suspect ACMs or LBPs are en-
countered during demolition activities, these materials should be sampled by qualified personnel,
and analyzed for content prior to further disturbance. In addition, please note that quantities of
ACMs and LBPs are approximate. These numbers should be confirmed prior to removal or repair
activities.
The environmental services described in this report have been conducted in general accordance
with current regulatory guidelines and the standard-of-care exercised by environmental consult-
ants performing similar work in the project area. No warranty, expressed or implied, is made
regarding the professional opinions presented in this report. Variations in site conditions may ex-
ist and conditions not observed or described in this report may be encountered during subsequent
activities. Please also note that this study did not include an evaluation of geotechnical conditions
or potential geologic hazards.
This document is intended to be used only in its entirety. No portion of the document, by itself, is
designed to completely represent any aspect of the project described herein. Ninyo & Moore
should be contacted if the reader requires any additional information, or has questions regarding
content, interpretations presented, or completeness of this document.
The environmental interpretations and opinions contained in this report are based on the results
of laboratory tests and analyses intended to detect the presence and concentration of specific
chemical or physical constituents in samples collected from the subject site. The testing and
analyses have been conducted by an independent laboratory which is certified by the State of
California to conduct such tests. Ninyo & Moore has no involvement in, or control over, such
4111iff8&4(to10re
499500 r.doc 5
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
City of Carlsbad June 20, 2003
Holiday Park Restroom, Carlsbad Project No. 104995001
testing and analysis. Ninyo & Moore, therefore, disclaims responsibility for any inaccuracy in
such laboratory results.
Our conclusions, recommendations, and opinions are based on an analysis of the observed site
conditions. It should be understood that the conditions of a site can change with time as a result
of natural processes or the activities of man at the subject site or nearby sites. In addition,
changes to the applicable laws, regulations, codes, and standards of practice may occur due to
government action or the broadening of knowledge. The findings of this report may, therefore, be
invalidated over time, in part or in whole, by changes over which Ninyo & Moore has no control.
jingo &/.jlunr!
4995001r.doc 6
ASBOO8
WOMEN'S
ASBOI RESTROOM
MEN'S ASBOO4 RESTROOM
ASBOO6
ASBOO9
ASBOOI STORAGE
ASBOII
ASBOO7
ASB003 ASBOO5
ASBOIO
LEGEND
A ASBOIO Approximate location of asbestos roof sample
AS113003 Approximate location of asbestos sample MR)
Not to scale
i0i0 . 1nh,o &IVluur t
[ SAMPLE LOCATION MAP
HOLIDAY PARK RESTOOM
3215 EUREKA PLACE
CARLSBAD, CALIFORNIA
PROJECT NO. I DATE
104995001 6/03
J RE
- - - - - - - - - - - - - - - - - - - City of Carlsbad June 20, 2003
Holiday Park Restroom, Carlsbad Project No. 104995001
Table 1 - Asbestos Survey Results
Sample No
:V.
Sample Location 1 -Sampl€ DescriptionLø'
ASB-001
Asbestos 'Quantity 4 ne
(YIN) r Condition
Ito-
Content4h.
Storage room west wall at top of brick wall Joint putty N/A N/A N/A ND
ASB-002 Storage room west wall at top of brick wall Joint putty N/A N/A N/A ND
ASB-003 Storage room south wall at top of brick Joint putty N/A N/A N/A ND
ASB-004 Exterior east wall at window Brick mortar N/A N/A N/A ND
ASB-005 Exterior southeast corner Brick mortar N/A N/A N/A ND
ASB-006 Exterior west wall at window Brick mortar N/A N/A N/A ND
ASB-007A Roof at southeast corner Roof membrane core - 1st layer N/A N/A N/A ND
ASB-007B Roof at southeast corner Roof membrane core - 2nd layer N/A N/A N/A ND
ASB-008A Roof at north side Roof membrane core - 1st layer N/A N/A N/A ND
ASB-008B Roof at north side Roof membrane core - 2nd layer N/A N/A N/A ND ASB-008C Roof at north side Roof membrane core - 3rd layer N/A N/A N/A ND
ASB-008D Roof at north side Roof membrane core - 4th layer N/A N/A N/A ND
ASB-009A Roof at center Roof membrane core - 1st layer N/A N/A N/A ND
ASB-009B Roof at center Roof membrane core - 2nd layer N/A N/A N/A ND
ASB-009C Roof at center Roof membrane core - 3rd layer N/A N/A N/A ND
ASB-009D Roof at center Roof membrane core - 4th layer N/A N/A N/A ND
ASB-010 Roof at south flashing Roof mastic N/A N/A N/A ND
ASB-011 Roof at center vent pipe Roof mastic N/A N/A N/A ND
ASB-012 Roof at north vent pipe Roof mastic N/A N/A N/A ND
III %J I
ND = None detected
N/A = Not applicable
4995001 table.xls 1 of 1
City of Carlsbad June 20, 2003
Holiday Park Restroom, Carlsbad Project No. 104995001
APPENDIX A
ALLSTATE SERVICES, LEAD-BASED PAINT SURVEY REPORT
4995001 rdoc
I Professional Environmental Consulting
and Training
I
I
I
I
Allstate Services
Environmental, Inc.
Working for a clean environment
5797 Chesapeake Court, Suite 103
San Diego, California 92123
(858) 279-0835 (800) 497-5323
Fax (858) 279-0837
I LEAD-BASED PAINT INSPECTION
Loa
3225 EUREKA PLACE
CARLSBAD, CA 92008
I PREPARED FOR:
MR. JERRY SHERMAN
NINYO AND MOORE I 5710 RUFFIN ROAD
SAN DIEGO, CA 92123
I
I
- CITY OF CARLSBAD
I HOILIDAY PARK RESTROOM
3225 EUREKA PLACE
CARLSBAD, CA 92008
I
I PREPARED BY:
JAMES M. BEGIN
I INSPECTOR/ASSESSOR
CERTIFICATION #1-8053
I
JUNE 129 2003
Los Angeles, CA Phoenix, AZ Corona, CA Brooklyn, NY
(800) 320-LEAD (800) 661-LEAD (909) 340-1717 (800) 406-LEAD
0
Professional Environmental Consulting
and Training
I
I
Allstate Services
Environmental, Inc.
Working for a clean environment
5797 Chesapeake Court, Suite 103
San Diego, California 92123
(858) 2790835 (800) 497-5323
Fax (858) 279-0837
I
June 12, 2003
Mr. Jerry Sherman
Ninyo and Moore
5710 Ruffin Road
San Diego, CA 92123
RE: Lead-based paint inspection @ 3225 Eureka Place, Carlsbad, California
Dear Mr. Sherman:
I In accordance with your request and authorization, Allstate Services Environmental, Inc.
conducted a lead-based paint inspection at 3225 Eureka Place, in Carlsbad, California on June
12, 2003. The on-site work was conducted by James M. Begin, a California Certified Lead
I Inspector/Assessor.
"The results of this inspection indicate that no lead in amounts greater than or equal to 1.0
I mg/cm' in paint was found on any building components, using the inspection protocol in Chapter
7 of the HUD Guidelines for the Evaluation and Control of Lead-Based Paint Hazards in
I Housing (1997 Revision). Therefore, this dwelling qualifies for the exemption in 24 CFR part 35
and 40 CFR part 745 for target housing being free of lead-based paint, as defined in the rule.
However, some painted surfaces may contain levels of lead below 1.0 mg/cm2, which could
I create lead dust or lead-contaminated soil hazards if the paint is turned into dust by abrasion,
Scraping, or sanding. This report should be kept by the inspector and should also be kept by the
owner and all future owners for the life of the dwelling."
I If you need any further assistance after reviewing your report, please do not hesitate to contact
me. Allstate Services Environmental, Inc. remains available to assist you in anyway possible.
I Sinerely,
I
Ja es M. Begin
District Manager
I
Los Angeles, CA Phoenix, AZ Corona, CA Brooklyn, NY
(800) 320-LEAD (800) 661-LEAD (909) 340-1717 (800) 406-LEAD
ALLSTATE SERVICES Working for a clean environment
TABLE OF CONTENTS
Description Page
1.0 Testing Methodology ................................................. 1
2.0 Building Description..................................................2
3.0 Lead-Based Paint Findings ............................. . ........... 2
4.0 California State Requirements ................ . .................... 2
5.0 Federal Requirements..................................................3
Appendices
A. Summary Inspection Notice
B, Detailed XRF Testing Results
Floor Plan
Inspector/Assessor Certifications
DHS Form 8552 - Lead Hazard Evaluation Report
I
I ALLSTATE SERVICES Working for a clean environment
1.0 TESTING METHODOLOGY
Lead-based paint testing was conducted using portable x-ray fluorescence (XRF) spectrum
analyzer, Model MAP-4, Manufactured by KEYMASTER of Kennewick, Washington. The
MAP-4 is calibrated to measure the K-shell and the L-shell x-ray emissions of lead. The K-shell
normally used for paint analysis because it measures lead in all layers of paint films, including
the lower layers where higher concentrations of lead are usually found.
I Lead-based paint testing was conducted in accordance with Title 17, California Code of
Regulations, Division 1, Chapter 8, Accreditation, Certification, and Work Practice in Lead
Related Construction, Section 36000 and the United States Department of Housing and Urban
U Development's Guidelines for the Evaluation and Control of Lead-Based Paint Hazards in
Housing, Chapter 7 Lead-Based Paint Inspections, as published in June 1995 and revised in
1997.
The purpose of this inspection is to identify surfaces which contain lead-based paint as per
I
California regulations, the HUD Guidelines and section 403 of the Toxic Substances Control Act.
The state of California, HUD and the EPA currently define lead-based paint as a paint or other
surface coating which contains lead equal to or greater than 1.0 milligrams of lead per square
I centimeter of surface area (mg/cm2).
XRF readings were taken using the "Unlimited" mode of the MAP-4. "Unlimited" mode I measurements have no predetermined testing length, and automatically adjust to account for
various types of substrates and material's densities. The precision of the XRF readings is
I proportional to the square root of the number of x-rays counted by the scanner. The longer the
test, the higher the level of precision as compared against the set threshold level of 1.0 mg/cm2
I In the "Unlimited" mode, the MAP-4 tests until a K-shell result is indicated as either positive or
negative, compared to the threshold level based on the current precision of the test. Correction
for paint matrix and substrate effects is performed automatically. The correction function is
I based on measurements performed by the manufacturer with NIST paint film standards laid over
a variety of substrates typically encountered in construction.
I Based on the XRF Performance Characteristic Sheet (PCS) jointly released by HUD and EPA
(effective June 26, 1996), the inconclusive range of the MAP-4 in the "Unlimited" mode is 0.91
mg/cm. to 1.19 mg/cm2. Results are classified as positive if they are greater than the upper limit
of the inconclusive range. Results are classified as negative if they are less than the lower limit
of the inconclusive range. No substrate correction is required for testing using the "Unlimited"
mode.
I
H
I
I
I 2
ALLSTATE SERVICES Working for aclean environment
XRF readings were made on testing combinations in all room equivalents in an effort to test
typical materials which are representative of the room equivalent. Testing combinations were
tested non-destructively by holding the MAP-4 against the surface being tested. At each XRF
sample location the MAP-4 shutter is opened, and one reading was made using the "Unlimited"
testing mode. Results of each test were read from the digital display of the instrument console
and recorded on the XRF Detailed Testing Data Sheet attached in Appendix B.
To ensure that the XRF equipment was working properly, various quality control tests were
performed before, during and after the on-site work. At the beginning of the workday, three start
up validation measurements were made in the "Test" mode, using the calibration check standard
associated with the particular MAP-4 that was used. This painted standard contains a known
quantity of lead and allows the XRF operator to determine whether the instrument is functioning
within acceptable tolerance ranges for accuracy and precision, as determined by the
manufacturer.
In addition to the three starts up tests, calibration readings were taken on the red 1.02 mg/cm2
Standard Reference Material (SRM) paint film, developed by the National Institute of Standards
and Technology (NIST). Results of each reading, along with computed readings averages were
recorded on the XRF Calibration Form, and compared against the calibration tolerance range
defined the MAP-4 PCS. This calibration check was also performed after four hours and at the
end of the day. The quality control tests taken during testing at the subject property were within
the acceptable performance range prescribed by the PCS and by the XRF equipment
manufacturer. Documentation of the quality control calibration check is included in Appendix B,
following the detailed testing data.
2.0 BUILDING DESCRIPTION
The property tested is a single men and women's restroom building built in 1952. The exteriors
contain concrete brick walls with wood doors and metal window frames. The interiors contain
wood ceilings and concrete brick walls with wood doors, metal window grates and cement
flooring.
3.0 LEAD-BASED PAINT FINDINGS
No Lead-based paint was found at or above the threshold level of 1.0 mg/cm2.
4.0. CALIFORNIA STATE REQUIREMENTS
Allstate Services Environmental, Inc. is required under California regulations (Title 17, CCR,
Division 1, Chapter 8) to notify California Department of Health Services that a lead hazard
evaluation survey was conducted at the subject property.
Please see Appendix E for DHS Form 8552, Lead Hazard Evaluation Report.
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
ALLSTATE SERVICES Working for a clean environment
5.0 FEDERAL REQUIREMENTS
A copy of this summary must be provided to new lessees (tenants) and purchaser of this property
under federal law (24 CFR part 35 and 40 CFR part 745) before they become obligated under a
lease or sales contract. The complete report must also be provided to new purchasers and it must
be made available to tenants. Landlord (lessors) and sellers are also required to distribute an
educational pamphlet approved by the U. S. Environmental Protection Agency and include
standard warning language in their lease or sales contracts to ensure that parents have the
information they need to protect their children from lead-based paint hazards.
3
I
ALLSTATE SERVICES Working for a clean environment
I
LI
Li
I
APPENDIX A
I SUMMARY INSPECTION NOTICE
I
LI
I
I
I
I
I
I
I
I
U
Professional Environmental Consulting
/ and Training
Allstate Services
Environmental, Inc.
Working for a clean environment
5797 Chesapeake Court, Suite 103
San Diego, California 92123
(858) 279-0835 (800) 497-5323
Fax (858) 279-0837
I
I
I
I
I
I
I
I
Summary Notice of Lead-Based Paint Inspection
Address/location of property or structure this summary notice applies to:
3225 Eureka Place, Carlsbad, California 92008
Lead-based paint inspection description:
Date of inspection: June 12, 2003
Summary of inspection results (check all that apply):
X No lead-based paint was found.
______ Lead-based paint was found.
______ A brief summary of the findings of the inspection is provided below (required if
I lead-based paint is found)
Prepared by: Jame M. Begin
I Signature: , :A k!~~
I V
I
I
I
I
i
I
CertificationNumber: #1-8053
Date: June 12, 2003
Los Angeles, CA Phoenix, AZ Corona, CA Brooklyn, NY
(800) 320-LEAD (800) 661-LEAD (909) 340-1717 (800) 406-LEAD
I
I ALLSTATE SERVICES Working for a clean environment
I
I
I
I
APPENDIX B
I DETAILED XRF TESTING RESULTS
I
I
I
[1
P P
I
I
I
I
I
I
•
:
:i•
WA
Address: 3225 Eureka Place, Carlsbad, CA 9200C
htities
Room Side . . For Entire..
Sam Up Ark ~iuIa1egt1 Tested Gmpj btr or J j onjn
1 Interior Room 1 - Store Room A Wall Concrete White Poor -0.45 Negative
nterior Roomt - Store Room B Wall Concrete White Poor 0.14 Negative
Interior Rooml - Store Room C Wall Concrete White Poor 0.19 Negative
Interior Rooml - Store Room D Wall Concrete White Poor 0.30 Negative
Interior Rooml - Store Room A Door Wood Yellow Fair 004 Negative
Interior Rooml - Store Room A Door Casing Wood Yellow Fair 0.32 Negative
7 Interior Rooml - Store Room A Door Jamb Wood Red Fair -0.09 Negative
-interior Room 1 - Store Room - Ceiling Wood Yellow Poor 0.11 Negative
- Interior Room 2 - Store Room A Wall Concrete Grey Poor 0.20 Negative
10 Interior Room 2 - Store Room B Wall Concrete Grey Poor 0.21 Negative
11 Interior Room 2 - Store Room C Wall Concrete Grey Poor 0.05 Negative
12 Interior Room 2 - Store Room D Wall Concrete Grey Poor 0.03 Negative
13 Interior Room 2 - Store Room B Door Casing Wood Red Fair -0.80 Negative
14 Interior Room 2 - Store Room B Door Jamb Wood Red Fair 0.00 Negative
15 Interior Room 2 - Store Room - Ceiling Wood Brown Poor 0.33 Negative
16 Interior Room 3 - Mens Room A Wall Concrete White Poor 0.12 Negative
17 interior Room 3 - Mens Room B Wall Concrete White Poor -0.13 Negative
18 Interior Room 3 - Mens Room C Wall Concrete White Poor 0.21 Negative
19 Interior Room 3 - Mens Room D Wall Concrete White Poor 0.11 Negative
20 Interior Room 3 - Mens Room A Door Casing Wood White Poor -0.07 Negative
21 Interior Room 3 - Mens Room A Door Jamb Wood White Poor 0.18 Negative
22 Interior Room 3 - Mens Room A Metal Grate Metal White Fair 0.32 Negative
23 Interior Room 3 - Mens Room C I Metal Grate Metal White Fair 0.25 Negative
24 Interior Room 4- Womens Room A lWall Concrete White Poor 0.17 Negative
25 Interior Room 4- Womens Room B Wall Concrete White Poor 0.15 Negative
26 Intehor Room 4- Womens Room C Wall Concrete White Poor 0.42 Negative
27 Intehor Room 4- Womens Room D Wall Concrete White Poor 0.17 Negative
28 Interior Room 4- Womens Room D Door Casing Wood
Wood
- White Poor 0.14 Negative
29 Interior Room 4 - Womens Room D Door Jamb White Poor -0.19 Negative
30 Interior Room 4- Womens Room - Ceiling Wood White Poor -0.57 Negative
31 1 nterior Room 4 - Womens Room A Metal Grate Metal White Fair 0.11 Negative
32 Exterior Exterior A Wall Concrete White Poor 0.03 Negative
33 Exterior Exterior B Wall Concrete White Poor 0.23 Negative
34 Exterior Exterior C Wall Concrete White Poor 0.34 Negative
35 Exterior Exterior D Wall Concrete White Poor 0.17 Negative
36 Exterior Exterior A Door Wood White Poor 0.27 Negative
37 Exterior Exterior A Door Jamb Wood White Poor -0.03 Negative
38 Exterior Exterior A Door Casing Wood White Poor 0.09 Negative
39 Exterior Exterior C Roof Wood White Poor 0.00 Negative
40 Exterior Exterior C Eaves Wood White Poor 0.23 Negative
41 Exterior Exterior A Metal Grate Metal White Poor 0.54 Negative
42 Exterior Exterior D Electric Box Metal Grey Poor 0.48 Negative
43 Exterior Exterior D Electric Box Metal Grey Poor 0.49 Negative
Allstate Services Environmental, Inc. Page 1 Project #SD03-227
- - - - - - - - - - - - - - - - - - -
Room ? Side
jpIe rea Eq jehtL Te(ed Component Substrate
44 Exterior Exterior I D Metal Grate IMetal
-Uuantities- - - ----- -.---.---- __T____
•; -- -. --Eor'Entire - -.---- -.I--.- 4-r- - -- ECondition !Leadj ,ResUtts rea -- [Comineht
Fair 0.45 Neaative
Allstate Services Environmental, Inc. Page 2 Project #SD03-227
ALLSTATE SERVICES Working for a clean environment
ALLSTATE SERVICES ENVIRONMENTAL
XRF CALIBRATION FORM
Address/Unit: 3225 Eureka Place, Carlsbad, California 92008
Device: EDAX/MAP-4 M41511
Date: June 12, 2003
Inspector: James M.. Begin
Calibration Check Tolerance Used:-0.6 mg/cm2 - 1.2 mg/cm2 (Inclusive)
Use Level III (1.02 mg/cm) NIST SRM Paint film
First Calibration Check Time: 10:00 am
1st Reading 2nd Reading 3 rReading 1st Average
.94 1.01 .96 .97
Second Calibration Check Time: 11:30 am
1st Reading 2nd Reading 3rd Reading 1" Average
.93 1.02 .96 .97
Third Calibration Check (If Needed) Time:
1st Reading 2nd Reading 3rd Reading 3rd Average
Use the Test Mode Reading
Tolerance Values for EDAXIMAP-4: 0.6 mg/ern' to 1.2 mg/cm' (Inclusive)
I
ALLSTATE SERVICES Working for a clean environment
i
I
I
I
I APPENDIX C
I FLOOR PLAIN
I
I
I
n
I
I
El
Ll
I
I
I
— — — — — — — — — — — — — — — — — — —
C
Lon DI
T4'Tc 5797 CHESAPEAKE COURT., SUITE 103 LEAD-BASED PAINT INSPECTION AT: DATE 6/12/03
ENV]k 'S J'Ai INC SAN DIEGO, CA 92123 3225 EUREKA PLACE JOB # sD03-227
(800) 497-5323 SAN DIEGO, CALIFORNIA 92008 SCALE N.T.S.
ALLSTATE SERVICES Working for a clean environment
APPENDIX D
INSPECTOR CERTIFICATIONS
L
ALLSTATE SERVICES Working for a clean environment
I
1
I
I
APPENDIX E
I DHS FORM 8552 - LEAD HAZARD EVALUATION
REPORT
I
I
I
I
I
I
U
I
I
I
I
I
I
I
I
I
I
I
State of California—Health and Human Services Agency Department of Health Services
LEAD HAZARD EVALUATION REPORT
Section 1—Date of Lead Hazard Evaluation 06/12/03
Section 2—Type of Lead Hazard Evaluation (Check one box only)
Lead inspection 0 Risk assessment 0 Clearance inspection 0 Other (specify)
Section 3—Structure Where Lead Hazard Evaluation Was Conducted
Address [number, street. apartment (if applicable)] City County ZIP code
3225 Eureka Place Carlsbad San Diego 92008
Construction date (year) of Type of structure (check one box only)
S
1952
e 0 Single family dwelling 0 Multi-unit building 0 Child-occupied facility Ja Other (specify) Public Restroom
Section 4—Owner of Structure (If business/agency, list contact person)
Name Telephone number
City of Carlsbad, Scout House ( 760 ) 434-2836
Address [number, street, apartment (if applicable)] City State ZIP code
3225 Eureka Place Carlsbad CA 92008
Section 5—Results of Lead Hazard Evaluation (Check one box only)
No lead-based paint detected.
A lead inspection was conducted following the procedures outlined in Title 17, California Code of Regulations, Division 1,
Chapter 8. No lead-based paint was detected during this lead inspection. This structure is found to be lead-based paint
free.
El No lead hazards detected.
Lead hazard evaluation was conducted following the procedures outlined in Title 17, California Code of Regulations,
Division 1, Chapter 8. No lead hazards were detected.
El Lead-based paint and/or lead hazards detected.
Lead hazard evaluation was conducted following the procedures outlined in Title 17, California Code of Regulations,
Division 1, Chapter 8. Lead-based paint and/or lead hazards were detected.
Section 6—Individual Conducting Lead Hazard Evaluation
Telephone number
(858 ) 279-0835
Address (number, street, apartment (if applicable)] City - - State ZIP code
5797 Chesapeake Court, Suite 103 San Diego CA 92123
Brand name and serial number of any portable x-ray fluorescence (XRF) instrument used (ifapplicable)
EDAXIMAP-4M41511
OHS certification number Date
1-8053 06/12/03
Section 7—Attachments
A foundation diagram or ske4)i of the structure indicating the specific locations of each lead hazard or presence of
lead-based paint; V
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 Third copy only (no attachments) mailed to:
Department of Health Services
Childhood Lead Poisoning Prevention Branch
Reports
1515 Clay Street, No. 1801
Oakland, CA 94612
FAX (510) 622-5002
DHS 8552 (2199)
I
I
1
I
I
I
I
I
Name
James M. Begin
City of Carlsbad
Holiday Park Restroom, Carlsbad
APPENDIX B
ASBESTOS ANALYTICAL RESULTS
AND CHAIN-OF-CUSTODY RECORDS
I
June 20, 2003
Project No. 104995001
EMC LABS, INC. Laboratory Report
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 0012081
Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
Bulk Asbestos Analysis by Polarized Light Microscopy
NVLAJ'#101926-0
Client: NINYO & MOORE Job# / P.O. :
Address: 5710 RUFFIN RD Date Received: 06/13/2003
SAN DIEGO CA 92123 Date Analyzed: 06/16/2003
Collected: 06/12/2003 Date Reported: 06/16/2003
Project Name! 3215 EUREKA PL. EPA Method: EPA 600/M4-82-020
Address: CARLSBAD, CA Submitted By: JERRY SHERMAN
Collected By: Customer
Lab ID Sample Layer Name I Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0012081-001 STORAGE RMW. No
ASB-001 WALL @ TOP OF Joint Putty, Yellow
BRICK WALL
Carbonates
Quartz
Binder/Filler 1000/0
0012081-002 STORAGE RMW. No
ASB-002 WALL @ TOP OF Joint Putty, Yellow
BRICK WALL
Carbonates
Quartz
Binder/Filler 100%
0012081-003 STORAGE RM S. No
ASB-003 WALL @ TOP OF Joint Putty, Yellow
BRICK WALL
Carbonates
Quartz
Binder/Filler 1000/.
0012081-004 EXT. EAST WALL No
ASB-004 @ WINDOW Brick Mortar, White, Beige
Quartz
Gypsum
Carbonates
Mica
Binder/Filler 1000%
0012081-005 EXT. SE CORNER No -
ASB-005 Brick Mortar, White, Beige Quartz
Gypsum
Carbonates
Mica
Binder/Filler 100%
Page 1 of 3
EMC LABS, INC. Laboratory Report
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 0012081
Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
Bulk Asbestos Analysis by Polarized Light Microscopy
NVLAP#101926-0
Client: NINYO & MOORE Job# / P.O. #:
Address: 5710 RUFFIN RD Date Received: 06/13/2003
SAN DIEGO CA 92123 Date Analyzed: 06/16/2003
Collected: 06/12/2003 Date Reported: 06/16/2003
Project Name! 3215 EUREKA PL. EPA Method: EPA 600/M4-82-020
Address: CARLSBAD, CA Submitted By: JERRY SHERMAN
Collected By: Customer
Lab ID Sample Layer Name / Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0012081-006 EXT. W. WALL @ No
ASB-006 WINDOW Brick Mortar, White, Beige
Quartz
Gypsum
Carbonates
Mica
Binder/Filler 1000/0
0012081-007 ROOF @ SE LAYER# 1 No Fibrous Glass 25%
ASB-007 CORNER Membrane Core, Black
Carbonates
Quartz
Binder/Filler 75%
LAYER# 2 No Cellulose Fiber 5%
Membrane Core, Black Carbonates
Quartz
Binder/Filler 951/0
0012081-008 ROOF @ NORTH LAYER# 1 No Fibrous Glass 25%
ASB-008 SIDE Membrane Core, Black
Carbonates
Binder/Filler 75%
LAYER# 2 No Fibrous Glass 25%
Membrane Core, Black Carbonates
Binder/Filler 75%
LAYER# 3 No Fibrous Glass 250/.
Membrane Core, Black Carbonates
Binder/Filler 75%
LAYER# 4 No Cellulose Fiber 95%
Membrane Core, Brown Binder/Filler 5%
Page 2 of 3
EMC LABS, INC. Laboratory Report
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 0012081
Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
Bulk Asbestos Analysis by Polarized Light Microscopy
NVLAP#101926-0
Client: NINYO & MOORE Job# / P.O. #:
Address: 5710 RUFFIN RD Date Received: 06/13/2003
SAN DIEGO CA 92123 Date Analyzed: 06/16/2003
Collected: 06/12/2003 Date Reported: 06/16/2003
Project Name! 3215 EUREKA PL. EPA Method: EPA 600/M4-82-020
Address: CARLSBAD, CA Submitted By: JERRY SHERMAN
Collected By: Customer
Lab ID Sample Layer Name / Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0012081-009 ROOF® CENTER LAYER# I No Fibrous Glass 25%
ASB-009 Membrane Core, Black Carbonates
Binder/Filler 75%
LAYER# 2 No Fibrous Glass 25%
Membrane Core, Black Carbonates
Binder/Filler 75%
LAYER# 3 No Fibrous Glass 25%
Membrane Core, Black Carbonates
Binder/Filler 75%
LAYER# 4 No Cellulose Fiber 951/0
Membrane Core, Brown Binder/Filler 5%
0012081-010 ROOF® SOUTH No Cellulose Fiber 100/0
ASB-010 FLASHING Mastic, Black Synthetic Fiber 5%
Carbonates
Binder/Filler 85%
0012081-011 ROOF @ CENTER No Cellulose Fiber l0°/o
ASB-0 11 VENT PIPE Mastic, Black Synthetic Fiber 5%
Carbonates
Binder/Filler 85%
0012081-012 ROOF® NORTH No Cellulose Fiber 101/0
ASB-012 VENT PIPE Mastic, Black Synthetic Fiber 5%
Carbonates
Binder/Filler 85%
Analyst - Brad Yanbin .&i tSignatory - Lab Director - Kurt Kettler
SiSy stratillied. oassepoblo bya ofsarnplesm ooeaed as m6sarnplesofft o,tdo eM are reputed separate eedsdsebIe byOs. Si ooas Oss d&'od fro eMth05ed MOsI eSibMe aMmed eebtS peoa 001005 othe,wt,e roted. The ,opol opptes to the stoethoto dse00 lde,ditled o,01 bathe 05o10(s) ths The test r00s are sot nOsOsOsbybebtOtod eyesoeethtiseotthe 9It10s of the lot ,e wheth the swepbe was hewa Osof op wa5ytoostied po& wade they ,etoeserf 0500 gopohtyossousce p000n 5O wrMOd The 'epoto etotheexobedeeoseeftheosb*essed (dent oed C they ed sot be ,etoodaced efoty one put for estoslbisgonotter pepsoes woo our signaheesobs cortriodkmoottsos, some wdWopeeMssdttee ponossiom The roped abet not be reproduced except is kA hod neOten epynmof by our btasetwy. The seeysiss sob deshnyot is tentisga,erebened onnaisss.ssotthklythyn. The totneeby ,n sooeesdthwomtdeigbethetest nOthod m nçsçeocbretofy 01% bywisgbt
51e0den00 end Teclesdogy. Vobsolery Laborabcrydomestitohon Pspoeos for Selected test esothnd for oobes The eoemtitotiw, o any sepwba ge,seseted by this toboetoy is so way cormtkutesoniepties loosbot tibtehoO nppmeeter esslonsonesO by the Netinnot Is deofSbndonth end Tedsroksgy. The report newt not to seM byessyentbybthi,, teob.desnJesonso0by fiPo any egeooydtheU.S. Gevosessest bezed Light Mkospy may not be sonsinteetyseleble es detedisa asbestos in (too cocoisqa and senihe no,4,thbto orgynboby hosed ntotenob
Page 3 of 3
- - - - - - - - - - - - - - -
ASBESTOS BULK SAMPLE DATA SHEET
Ninyo & Moore Project Name: /Oia /ck -rw. Sampled By: f#- Laboratory:
5710 Ruffin Road
San Diego, CA 92123
Project No.:
Project Manager: Z1IS
Sampled By:
Sampled By:_ -
Tel: (858) 576-1000 APN:
Site Address: 3215 _rc.k_ffac-.e_ Date Sampled: ltO3 Tel:
Fax: (858) 576-9600 I Fax:
CHAIN OF CUSTODY INFORMATION:
uished By: (sign/print) Company. Date Time (24 hr.) Received By: (sign/print) Laboratory
/ Ninyo&Moore
LabiD Sample ID Building
Number Sample Location Sample Description Quantity
(SFILFIEA)
Friable
(YIN) Condition
Stca& w' 'J5* J4L
64
5oc-4t -LC &
__________ Ec..lL W,./(
- r
E s-te— tJ
________
iL j/or C-
2 orcL
If + P_
Asbestos Samplel