HomeMy WebLinkAboutAppendix 8-4_Hazardous Materials Documentation_Asbestos ReportRED
Asbestos and Lead Identification Survey
Proposed Chick-fil-A Restaurant No. 4003
Main & Almond FSU
202 South Main Street
Orange, California
Prepared for:
Chick-fil-A, Inc.
Irvine, California
May 24 , 2017
Project No. 2E-1610014
Asbestos and Lead Building
Inspection/Survey
Future Chick Fil A
202 South Main Street
Orange, CA 92868
Presented to:
Monica Sell
Giles Engineering Associates, Inc.
1965 N. Main Street
Orange, CA 92865
Inspection Date:
May 10, 2017
Conducted by:
Anthony M. De Arcos
Certified Asbestos Consultant
Certified Lead Inspector/Assessor
Registered Environmental Property Assessor
National Analytical Laboratories, Inc.
2201 Francisco Dr., Ste.140-261
El Dorado Hills, CA 95762
Office: (916) 361-0555 | Fax: (916) 361-0540
E-Mail: NAL1@NAL1.com | Web Page: www.NAL1.com
38085/38086
May 15, 2017
Monica Sell
Giles Engineering Associates, Inc.
1965 N. Main Street
Orange, CA 92865
RE: Asbestos and Lead Building Inspection/Survey – Demolition Project
Future Chick Fil A
202 South Main Street
Orange, CA 92868
Dear Ms. Sell,
The following report is in regards to the building inspection conducted at the above address. Of
the thirty four (34) suspected asbestos containing samples collected, two (2) were found
to contain asbestos containing construction materials (ACCM). Of the thirty-three (33)
Portable X-ray Fluorescent (XRF) lead shots collected at the site, combined into nine (9)
suspected lead containing areas tested, two (2) were found to contain Lead Containing
Material (LCM). Although the property was constructed in the early 1960’s, the interior of
property was fully gutted and renovated in 2007. Anthony M. De Arcos, Certified Asbestos
Consultant, Certified Lead Inspector/Assessor, and Registered Environmental Property
Assessor, for National Analytical Laboratories, Inc. (N.A.L.), conducted the inspection on May
10, 2017.
SUMMARY OF FINDINGS -
Based on the asbestos sample results, the Gray-Black Mastic (~225 sf), Main and Lower
Roofs, were found to contain ACCM. All square footage should be verified by contractor.
Based on the lead sample results, the Multi-Colored Paint surfaces were found to contain
LCM levels above the OSHA Limit of Detection.
SECTION I: ASBESTOS INSPECTION -
The inspection was completed according to the EPA’s Asbestos Containing Building Materials
(ACBM) In-Schools Rule; 40 CFR 763.85 (Inspection and Re-Inspection). Currently, EPA
regulations classify ACBM as materials containing more that 1-percent (1%) of asbestos. Cal-
OSHA currently regulates asbestos to 1/10th of 1% (0.1%) and requires that a certified asbestos
worker conduct this work.
Upon completion of the visual inspection, the suspect asbestos bulk sample materials were
collected in accordance with EPA and OSHA protocol. They were placed into new, air tight,
Asbestos and Lead Building Inspection/Survey
Future Chick Fil A
202 South Main Street, Orange, CA
May 15, 2017
Page 3 of 9
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plastic bags, sealed, and identified with unique identification numbers. The bulk samples were
transported to the laboratory under chain of custody protocol for analysis.
Destructive sampling was conducted during the site visit, as the building is scheduled for
demolition. If during the demolition work reveals any unforeseen suspect materials; the
contractor shall stop work and contact the project manager for further testing.
MicroTest Laboratories, Inc. located in Fair Oaks, California analyzed the bulk suspect asbestos
containing samples utilizing Polarized Light Microscopy (PLM) Method. National Voluntary
Laboratory Accreditation Program (NVLAP) Certification #200999-0 certifies MicroTest
Laboratories, Inc.
Although not all the rooms or materials throughout the site were sampled, the like materials that
were not tested will be treated as homogeneous to the materials that were tested, and will be
considered as containing ACCM or non-ACCM in accordance to the results.
The location and results of suspect samples found to contain ACCM are as follows:
Sample ID # Material Description Sample Location Category Results
202-30 Gray-Black Mastic Exterior Main & Lower Flat Roofs, Roof
Penetrations, Various Areas
I 3% Chrysotile
202-31 Gray-Black Mastic Main Roof, North End, West & East,
HVAC Units, Patches & Repairs,
Various Areas
I 3% Chrysotile
sf = Square Feet; Category I & II are non-friable/non-hazardous materials
The Gray-Black Mastic is considered Category I, non-friable/non-hazardous material, which can
be removed and disposed of at a non-hazardous waste facility.
The following samples were non-asbestos containing materials:
Sample ID # Material Description Sample Location Results
202-1 Seam Tape/Gray Mastic Lower South & Main Roofs, HVAC Round
Ducts (-80 sf)
None Detected
202-2 2'x4' Pin Hole-Tiny Fissure
Acoustical Ceiling Tile
Kitchen, South End, North Locker Room
(-16 sf)
None Detected
202-3 2'x4' Sheetrock Panel Kitchen & Southwest Storage Room (-600 sf) None Detected
202-4 Plaster Kitchen, North Storage Room, North Wall, East
End (-4,300 sf)
None Detected
202-5 Plaster Kitchen, North Storage Room, North Wall,
Center
None Detected
202-6 Plaster Kitchen, North Storage Room, North Wall,
West End
None Detected
202-7 Plaster Kitchen, North Storage Room, West Restroom,
East Wall,
None Detected
Asbestos and Lead Building Inspection/Survey
Future Chick Fil A
202 South Main Street, Orange, CA
May 15, 2017
Page 4 of 9
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Sample ID # Material Description Sample Location Results
202-8 Plaster Kitchen, South Storage-Locker Room, North
Wall
None Detected
202-9 Sprayed-on Acoustic
Overspray
2nd Floor, Pink Room, Attic Truss' Above
Access Panel (-15 sf)
None Detected
202-10 Sheetrock-Joint
Compound
Southeast Dining Room, Northwest Outside
Corner
None Detected
202-11 Sheetrock-Joint
Compound
Northwest Exit Corridor, South Wall None Detected
202-12 Sheetrock-Joint
Compound
Women's Restroom, North Stall, Ceiling Above
Door (water damage)
None Detected
202-13 Sheetrock-Joint
Compound
Kitchen, South Center Room, Outside Corner None Detected
202-14 Sheetrock-Joint
Compound
2nd Floor, Pink Room, Bar Area, Outside
Corner
None Detected
202-15 Sheetrock-Joint
Compound
Lower Banquet Room, Northeast Seating Area,
Soffit Ceiling
None Detected
202-16 Carpet Yellow-Black
Mastic
South Waiting Room, Southeast Corner None Detected
202-17 1/2"x6" W ood Plank Floors
Yellow-Black Mastic
Interior 1st Floor, South End None Detected
202-18 Carpet Yellow Glue Northwest Exit Corridor None Detected
202-19 FRP Tan Mastic Kitchen, Storage & Restrooms None Detected
202-20 24" Tan Ceramic Tile
Grout
Northeast Dining Room, Concrete Floor None Detected
202-21 6" Red Ceramic Tile Grout Kitchen, Storage & Restroom Floors None Detected
202-22 Ceramic Tile Mortar Men & W omen Restrooms, Wall & Floor None Detected
202-23 6" Red Ceramic Tile
Mortar
Kitchen, Storage & Restrooms None Detected
202-24 24" Tan Ceramic Tile
Mortar
Northeast Dining Room None Detected
202-25 Mortar Exterior South Brick & Decorative Rock None Detected
202-26 Concrete Main Building, 1st & Lower Floors, 5 Hit
Composite
None Detected
202-27 Built-Up Brown Roofing Exterior Lower Flat Roofs (~640 sf) None Detected
202-28 Grout Men & W omen Restrooms, Wall & Floor None Detected
202-29A Brown Composition Roof
Shingle
Main Truss' Roof, Northwest Corner, Top
Layer
None Detected
202-29B Black Roof Felt Main Truss' Roof, Northwest Corner, 2nd Layer None Detected
202-29C Brown Composition Roof
Shingle
Main Truss' Roof, Northwest Corner, 3rd Layer None Detected
202-29D Black Roof Felt Main Truss' Roof, Northwest Corner, Bottom
Layer
None Detected
sf = Square Feet
Asbestos and Lead Building Inspection/Survey
Future Chick Fil A
202 South Main Street, Orange, CA
May 15, 2017
Page 5 of 9
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ASBESTOS RECOMMENDATION –
Federal and state regulations require that anyone disturbing asbestos containing materials are
properly trained certified and have the required respiratory protection and medical surveillance.
On-Site Observation should be conducted by N.A.L.’s Certified Asbestos Consultant or Certified
Site Surveillance Technician to verify that the work plan/specification is being followed. Once a
certified asbestos contractor has removed the ACCM, following EPA and OSHA requirements;
at the minimum a visual inspection should be completed at the site prior to the demolition of the
building. The clearance will confirm that the general contractor can reoccupy the work area(s),
without concern for exposure to asbestos airborne fibers to their employees thus allowing the
demolition work to be completed by the general contractor.
SECTION II: LEAD INSPECTION -
The lead suspect samples were collected according to the Housing Urban Development (HUD)
Guidelines, the Environmental Protection Agency (EPA) and California Public Health
Department (formally DHS), who regulate and require the abatement or in-place management of
LBP hazards equal to or greater than 1.0 milligram per square centimeter (1.0 mg/cm2) of lead
by XRF Analysis or more than 0.5% lead by weight by laboratory flame atomic absorption. The
following regulation shall be adhered to because OSHA considers all surfaces to contain lead:
OSHA’s 29 CFR 1926.62, California Occupational Safety and Health Standard, Title 8
(Cal/OSHA 8 CCR 1532.1).
Upon completion of the visual inspection, suspect painted finishes and/or materials were
sampled for potential lead content, in accordance with EPA and OSHA protocol. They were
labeled with a unique identification number and analyzed.
Justin S. Gardner, utilizing the Thermo Scientific Portable X-ray Fluorescent (XRF) analyzer,
analyzed the lead samples. When a sample is measured using XRF, each element present in
the sample emits its own unique fluorescent x-ray energy spectrum. By simultaneously
measuring the fluorescent x-rays emitted by the different elements in the sample, we can rapidly
determine the presence of lead in the sample.
Although not all the rooms or materials (non-suspect) were sampled, the like materials that were
not tested and their results will be treated as homogeneous and the materials will be treated as
containing LCM throughout the site.
Asbestos and Lead Building Inspection/Survey
Future Chick Fil A
202 South Main Street, Orange, CA
May 15, 2017
Page 6 of 9
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The locations and results of the suspect samples found to be LCM are as follows:
Sample ID # Material Description
Sample Location
Component XRF #’s Mg/cm²
202-8L Multi-Colored Paint Exterior W indow Trim,
Various Areas
24-29 0.5 LBP
202-9L Multi-Colored Paint Exterior W ood Siding,
Rafter Tails & Overhangs,
Various Areas
30-35 0.24 LCM
Prior to the demolition work being completed and/or the transporting of the debris from the site,
Health and Safety Code 25157.8 (AB 2784 National Resources) requires that all lead debris be
sampled for Waste Characterization. This will assist the Contractor in making a determination of
whether or not the material is to be considered Hazardous or Non-Hazardous Lead waste or
general construction debris. The sequence of testing to be completed by the Contractor is as
follows:
i Total Threshold Limit concentration (TTLC) with a result of 50 mg/kg or more but less
than 1,000 mg/kg of lead must be retested using the Soluble Threshold Limit
concentration (STLC) method;
i A STLC result of 5.0 mg/L or greater is considered California Hazardous Waste;
i Total Characteristic Leaching Procedure (TCLP) testing shall only be accomplished when
approved by the Owners Representative; This procedure shall be generally reserved for
out-of-state shipments; and A TCLP result of 5.0 mg/L or more deems the waste Federal
RCRA materials; and
i The California hazardous waste threshold for total lead using STLC is 5 mg/L and
i Lead paint that is intact on a surface does not permit the material to be classed as non-
hazardous. Waste profiling shall be accomplished if the paint contains more than 350
ppm by Flame AAS. Exception: Metals that are coated with paint are to be recycled.
The following painted surfaces were found to be less than (<) the OSHA’s Limit of Detection:
Sample ID # Material Description
Sample
Location/Component XRF #’s Mg/cm²
202-1L Brown-White Paint Interior Door Components,
Various Areas
3-5 <0.02
202-2L White-Brown Paint Interior Trim & Baseboard,
Various Areas
6-8 <0.02
202-3L Tan-White Paint Interior Sheetrock Walls 9-11 <0.02
202-4L Brown Paint Northeast Dining & Entry
East Wall
12-14 <0.02
202-5L 6" Red Ceramic Tile Kitchen Floors, Over
Concrete
15-17 <0.02
202-6L 24" Tan Ceramic Tile Northeast Dining Floor 18-20 <0.02
202-7L 6" Tan Cove Base
Ceramic Tile
Men's, Women's & Kitchen
Walls
21-23 <0.04
Asbestos and Lead Building Inspection/Survey
Future Chick Fil A
202 South Main Street, Orange, CA
May 15, 2017
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LEAD RECOMMENDATION -
In order to stabilize the current lead conditions, N.A.L. recommends Lead Certified Workers
certified by The California Department of Public Health or/a EPA certified Renovator, Repair and
Painting (RRP) designation, conduct in-place management work of the LCM surfaces scheduled
for demolition. The Contractor shall be required to abate/remove all loose and flaky LBM debris
from the building by bagging or burrito wrapping loose flaky paint, prior to the removal of the
debris from the work area(s), and subsequently the site.
Once the abatement, in-place management, and/or prep work is completed and the areas are
stabilized, the existing surfaces will be in good condition and not create a health or safety
concern to the workers conducting the general construction work at the site. A Scope of Work,
and/or specifications, should be utilized to conduct the lead work at the site.
Included at the end of this report are site photographs, laboratory analytical results, chain of
custody forms, and asbestos sample location map. If you have any questions regarding this
report or if we can be of further assistance, please contact our office.
Reviewed and submitted by:
Anthony M. De Arcos
Certified Asbestos Consultant
DOSH #92-0261
Certified Lead Inspector/Assessor
CDPH #2406
Registered Environmental Property Assessor
REPA #938322039
Asbestos and Lead Building Inspection/Survey
Future Chick Fil A
202 South Main Street, Orange, CA
May 15, 2017
Page 8 of 9
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Photograph # 1 202 South Main Street,
Orange
Date of Inspection: May 10, 2017
Subject:
Photograph # 2 202 South Main Street,
Orange
Date of Inspection: May 10, 2017
Subject:
Asbestos and Lead Building Inspection/Survey
Future Chick Fil A
202 South Main Street, Orange, CA
May 15, 2017
Page 9 of 9
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Photograph # 3 202 South Main Street,
Orange
Date of Inspection: May 10, 2017
Subject:
Photograph # 4 202 South Main Street,
Orange
Date of Inspection: May 10, 2017
Subject:
IndexReading NoTime InspectorSite Side Room Color Substrate Component PbC Units DurationDepth Index
1 2 2017-05-1215:38 JG CALIBRATE 1.70 +/- 0.50 mg/ cm ^2 1.08 1.23
2 3 2017-05-1215:41 JG 202S MAINST INTERIOR BROWN-WHITE WOOD DOOR 0.00 +/- 0.02 mg/ cm ^2 1.07 1.00
3 4 2017-05-1215:41 JG 202S MAINST INTERIOR BROWN-WHITE WOOD DOOR 0.00 +/- 0.02 mg/ cm ^2 1.07 1.00
4 5 2017-05-1215:41 JG 202S MAINST INTERIOR BROWN-WHITE WOOD DOOR 0.00 +/- 0.02 mg/ cm ^2 1.07 1.00
5 6 2017-05-1215:42 JG 202S MAINST INTERIOR WHITE-BROWN WOOD TRIM-BASEBOARD 0.00 +/- 0.02 mg/ cm ^2 1.08 1.00
6 7 2017-05-1215:43 JG 202S MAINST INTERIOR WHITE-BROWN WOOD TRIM-BASEBOARD 0.00 +/- 0.02 mg/ cm ^2 1.08 1.00
7 8 2017-05-1215:43 JG 202S MAINST INTERIOR WHITE-BROWN WOOD TRIM-BASEBOARD 0.00 +/- 0.02 mg/ cm ^2 1.07 1.00
8 9 2017-05-1215:44 JG 202S MAINST INTERIOR TAN DRYWALL WALL 0.00 +/- 0.02 mg/ cm ^2 1.07 1.00
9 10 2017-05-1215:44 JG 202S MAINST INTERIOR TAN DRYWALL WALL 0.00 +/- 0.02 mg/ cm ^2 1.08 1.00
10 11 2017-05-1215:44 JG 202S MAINST INTERIOR TAN DRYWALL WALL 0.00 +/- 0.02 mg/ cm ^2 1.08 1.00
11 12 2017-05-1215:46 JG 202S MAINST NEDINING BROWN DRYWALL WALL 0.00 +/- 0.02 mg/ cm ^2 1.71 1.00
12 13 2017-05-1215:46 JG 202S MAINST NEDINING BROWN DRYWALL WALL 0.00 +/- 0.02 mg/ cm ^2 1.28 1.00
13 14 2017-05-1215:47 JG 202S MAINST NEDINING BROWN DRYWALL WALL 0.00 +/- 0.02 mg/ cm ^2 1.07 1.00
14 15 2017-05-1215:48 JG 202S MAINST KITCHEN RED CERAMIC TILE FLOOR 0.00 +/- 0.02 mg/ cm ^2 2.03 1.00
15 16 2017-05-1215:48 JG 202S MAINST KITCHEN RED CERAMIC TILE FLOOR 0.00 +/- 0.02 mg/ cm ^2 2.25 1.00
16 17 2017-05-1215:48 JG 202S MAINST KITCHEN RED CERAMIC TILE FLOOR 0.00 +/- 0.02 mg/ cm ^2 1.71 1.00
17 18 2017-05-1215:49 JG 202S MAINST NEDINING BEIGE CERAMIC TILE FLOOR 0.01 +/- 0.05 mg/ cm ^2 1.07 1.63
18 19 2017-05-1215:49 JG 202S MAINST NEDINING BEIGE CERAMIC TILE FLOOR 0.00 +/- 0.02 mg/ cm ^2 1.07 1.00
19 20 2017-05-1215:50 JG 202S MAINST NEDINING BEIGE CERAMIC TILE FLOOR 0.00 +/- 0.02 mg/ cm ^2 1.92 1.00
20 21 2017-05-1215:51 JG 202S MAINST MENS RR TAN CERAMIC TILE COVEBASE 0.01 +/- 0.03 mg/ cm ^2 1.08 1.00
21 22 2017-05-1215:51 JG 202S MAINST MENS RR TAN CERAMIC TILE COVEBASE 0.01 +/- 0.04 mg/ cm ^2 1.07 1.25
22 23 2017-05-1215:51 JG 202S MAINST MENS RR TAN CERAMIC TILE COVEBASE 0.01 +/- 0.04 mg/ cm ^2 1.08 1.34
23 24 2017-05-1215:53 JG 202S MAINST EXWINDOW WHITE WOOD TRIM 0.50 +/- 0.30 mg/ cm ^2 3.13 1.00
24 25 2017-05-1215:53 JG 202S MAINST EXWINDOW WHITE WOOD TRIM 0.50 +/- 0.30 mg/ cm ^2 3.12 1.00
25 26 2017-05-1215:53 JG 202S MAINST EXWINDOW WHITE WOOD TRIM 0.00 +/- 0.02 mg/ cm ^2 2.77 1.00
26 27 2017-05-1215:54 JG 202S MAINST EXWINDOW WHITE WOOD TRIM 0.00 +/- 0.02 mg/ cm ^2 2.25 1.00
27 28 2017-05-1215:54 JG 202S MAINST EXWINDOW WHITE WOOD TRIM 0.00 +/- 0.02 mg/ cm ^2 3.75 1.00
28 29 2017-05-1215:56 JG 202S MAINST EXWINDOW WHITE WOOD TRIM 0.01 +/- 0.02 mg/ cm ^2 6.24 2.93
29 30 2017-05-1215:59 JG 202S MAINST EXTERIOR MULTI COLORED WOOD SIDING-OVERHANG 0.24 +/- 0.12 mg/ cm ^2 3.01 1.72
30 31 2017-05-1216:00 JG 202S MAINST EXTERIOR MULTI COLORED WOOD SIDING-OVERHANG 0.10 +/- 0.06 mg/ cm ^2 3.86 2.52
31 32 2017-05-1216:00 JG 202S MAINST EXTERIOR MULTI COLORED WOOD SIDING-OVERHANG 0.01 +/- 0.02 mg/ cm ^2 3.97 1.61
32 33 2017-05-1216:00 JG 202S MAINST EXTERIOR MULTI COLORED WOOD SIDING-OVERHANG 0.11 +/- 0.09 mg/ cm ^2 2.48 1.50
33 34 2017-05-1216:01 JG 202S MAINST EXTERIOR MULTI COLORED WOOD SIDING-OVERHANG 0.10 +/- 0.16 mg/ cm ^2 0.75 1.03
Page 1of 2 05/12/1713:15:23
IndexReading NoTime InspectorSite Side Room Color Substrate Component PbC Units DurationDepth Index
34 35 2017-05-1216:01 JG 202S MAINST EXTERIOR MULTI COLORED WOOD SIDING-OVERHANG 0.25 +/- 0.15 mg/ cm ^2 2.80 2.15
35 36 2017-05-1216:09 JG CALIBRATE 4.40 +/- 3.30 mg/ cm ^2 0.21 1.42
Page 2of 2 05/12/1713:15:23
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Login #
1 of 1
38086 NAL LOG-IN RECORD
Ph: 916.361.0555 Fx: 916.361.0540
National Analytical Laboratories, Inc. Job Site/Job #:
Client#-Lot# 1103 / 186 Future Chick-Fil A: Date 5/11/2017
Giles Engineering Associates, Inc. 202 South Main Street Sampling Date: 5/10/2017
Phone Number Orange, CA 92868 Sampling Time 10:00:00 AM
FAX Number Type Of Work: Lead BI
Contact Monica Sell No. of Samples 9
E-Mail Address Turnaround: 6 hours
Chain of Custody Information
Released By Signature Date/
Time Received By Signature Date/
Time Due: 05/11/17
0830
Released By Signature Date/
Time Received By Signature Date/
Time At:
Num. Sample ID# Location/Description
1 202-1L Interior Door Components, Various Areas \ Brown-White Paint
2 202-2L Interior Trim & Baseboard, Various Areas \ White-Brown Paint
3 202-3L Interior Sheetrock Walls \ Tan-White Paint
4 202-4L Northeast Dining & Entry East Wall \ Brown Paint
5 202-5L Kitchen Floors, Over Concrete \ 6" Red Ceramic Tile
6 202-6L Northeast Dining Room \ 24" Tan Ceramic Tile
7 202-7L Men's, Women's & Kitchen Walls \ 6" Tan Cove Base Ceramic Tile
8 202-8L Exterior W indow Trim, Various Areas \ Multi-Colored Paint
9 202-9L Exterior W ood Siding, Rafter Tails & Overhangs, Various Areas \ Multi-Colored Paint
9-
14-