13050 SW Walnut Street - Asbestos Survey - 1999 r
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ASBESTOS SURVEY
FOR
13050 SW WALNUT STREET
TIGARD, OREGON
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rr OCL#124105
99-828/K-1587
CERTIFIED ENVIRONMENTAL CONSULTING, INC.
EXECUTIVE SUMMARY
Enclosed are the results of the asbestos survey conducted by C.E.C., Inc. at 13050 SW Walnut
Street, in Tigard, Oregon. This survey was coordinated with you and conducted on December
15, 1999 by Rend Garrett an AHERA certified inspector.
The asbestos survey revealed asbestos in the brown floor tile, tan floor tile and cove base mastic.
All samples were taken in a random manner as required by EPA AHERA rules and analyzed
using polarized light microscopy with dispersion staining according to EPA and OSHA
methodology.
.. The asbestos survey report contains the following elements:
♦ Summary sheet - details the type and construction of the building with approximate amounts
of asbestos in the building.
♦ Sample result sheets - contains the individual sample numbers and results, description of
materials and homogeneous areas of material.
♦ Assessment of materials - contains an assessment of asbestos materials.
♦ Response actions recommended - contains the response actions we recommend to address the
�. asbestos identified.
♦ Laboratory analysis sheet - contains the results of our laboratory analysis.
♦ Inspector certification documentation.
M We appreciate the opportunity to have worked with you on this project. If you have any
questions or if we can be of any further service, please contact this office.
dw Sincerely,
Rend Garrett
r President
RG/cz
12806 N.E. 40TH CIRCLE VANCOUVER, WASHINGTON 98682
PORTLAND (503) 221-7904 VANCOUVER (360) 254-9385 FAX (360) 891-9633
.r OCL 4124105
99-828/K-1587
1W CERTIFIED ENVIRONMENTAL CONSULTING, INC.
SUMMARY SHEET
Building: 13050 SW Walnut Street
Owner or Representative: City of Tigard
13125 SW Hall Blvd.
Tigard, Oregon 97223
Address: 13050 SW Walnut Street City: Tigard State: Oregon
Owner/Rep. Telephone Number: John Roy (503) 639-4171 ext-335
Surveyed by: Rene Garrett- Accreditation Number: IMPR 991481
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CONSTRUCTION DATA:
Year Built: Approx: 1960's Size : Approx: 2,000 Square Feet
Construction Type: Wood Roof Materials: Asphalt shingles
Heating System: Gas furnace Attic Insulation: Fiber lass
Pipe Insulation: Non-insulated
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PRODUCT AMOUNT FRIABLE CONDITION SAMPLE# RESULTS
*W Cove Base Mastic 10%Anthophyllite
70 LF No Good 9
Condition
g. Brown Floor Tile& Floor Tile:
Mastic 90 SF No Good 15 3%Chrysotile
Condition Mastic:
None Detected
aw <1%Asbestos
Tan Floor Tile& Floor Tile:
Mastic 40 SF No Good 16 3%Chrysotile
rr Condition Mastic:
None Detected
<1%Asbestos
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OCL#124105
99-828/K-1587
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CERTIFIED ENVIRONMENTAL CONSULTING, INC.
SAMPLE RESULTS
13050 SW Walnut Street- Tigard, Oregon
SAMPLE`# SAMPLE SAMPLE HOMOGENEOUS ASBESTOS CONTENT
DESCRIPTION LOCATION AREA
Ceiling Tile Bedroom Through-Out None Detected
1 <I%Asbestos
on
Ceiling Tile Kitchen None Detected
2 <1%Asbestos
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Troweled On Family Room Bedroom None Detected
3 Ceiling Texture <1%Asbestos
Troweled On Bedroom Family Room None Detected
4 Ceiling Texture <I%Asbestos
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Troweled On Family Room Bedroom None Detected
5 Ceiling Texture <1%Asbestos
White Sheet Floor Kitchen-Top Layer None Detected
6 Vinyl <1%Asbestos
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Brown Sheet Floor Kitchen- Second None Detected
7 Vinyl& Mastic Layer <1%Asbestos
air
White&Black Bathroom None Detected
8 Sheet Floor Vinyl <1%Asbestos
Cove Base Mastic Kitchen Utility Room 10%Anthophyl I ite
9
Green Floor Tile& Utility None Detected
°�` 10 Mastic <1%Asbestos
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OCL#124105
99-828/K-1587
CERTIFIED ENVIRONMENTAL CONSULTING, INC.
SAMPLE RESULTS
13050 SW Walnut Street- Tigard, Oregon
Page 2
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SAMPLE# SAMPLE SAMPLE HOMOGENEOUS ASBESTOS CONTENT
DESCRIPTION LOCATION AREA
White&Gray Master Bedroom None Detected
11 Vinyl&Mastic Top Layer <1%Asbestos
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White Floor Tile& Master Bedroom- None Detected
12 Mastic Second Layer <I%Asbestos
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Green Sheet Floor NE Bedroom None Detected
13 Vinyl&Mastic <I%Asbestos
Tan Sheet Floor Hallway Living Room None Detected
14 Vinyl&Mastic <1%Asbestos
Brown Floor Tile& SE Bedroom Floor Tile:
'o 15 Mastic 3%Chrysotile
Mastic:
None Detected
t+ <1%Asbestos
Tan Floor Tile& SE Bedroom Floor Tile:
16 Mastic 3%Chrysotile
00 Mastic:
None Detected
<I%Asbestos
Tan&Red Floor SW Bedroom None Detected
17 Tile&Mastic <I%Asbestos
r Gypsum Wall SW Bedroom Through-Out None Detected
18 Board <I%Asbestos
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Black Floor Tile& Shed None Detected
19 Mastic <1%Asbestos
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Asphalt Shingle Roof-Top Layer Entire Roof None Detected
21 <1%Asbestos
to
Asphalt Shingle Roof- Second Layer Entire Roof None Detected
22 <1%Asbestos
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OCL#124105
99-828/K-1587
dW CERTIFIED ENVIRONMENTAL CONSULTING, INC.
" ASSESSMENT OF MATERIALS
Building: 13050 SW Walnut Street- Tigard, Oregon
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ow
Sample Functional Space Asbestos Material&Condition Comments Sq.&
#'s Type % Linear
Footage
to Kitchen Anthophyllite Cove Base Mastic See Response
9 10% Good Condition Action 70 LF
do SE Bedroom Chrysotile Brown Floor Tile See Response
15 3% Good Condition Action 90 SF
SE Bedroom Tan Floor Tile See Response
LL6 Chrysotile 3% Good Condition Action 40 SF
Inspector: Rene Garrett- Accreditation Number: IMPR 991481
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dW Signature: AV, Date: December 20, 1999
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4W OCL#124105
99-828/K-1587
.o CERTIFIED ENVIRONMENTAL CONSULTING, INC.
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RESPONSE ACTIONS RECOMMENDED
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Building: 13050 SW Walnut Street- Tigard, Oregon
do MATERIAL LOCATION RECOMMENDED RESPONSE ACTIONS
Cove Base Mastic Kitchen Cove base adhesive is currently in a friable
condition. The cove base must be left intact, in
a undisturbed condition. Do not drill through,
'" sand on,puncture, break or otherwise disturb
material. Must be removed prior to
demolition.
do
Floor Tile SE Bedroom Floor tile is a non-friable material that is
currently in good condition and non-hazardous
in its present condition. Do not drill through,
sand on,break, or otherwise disturb material.
Must be removed prior to renovation or
demolition.
Management Planner: Rene Garrett- Accreditation Number: IMPR 991481
Signature: Date: December 20, 1999
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40 OCL#124105
99-828/K-1587
❖CERTIFIED ENVIRONMENTAL CONSULTING, INC.❖
BULK SAMPLE ANALYSIS REPORT
■
CLIENT: CITY OF TIGARD SOURCE: 13050 SW WALNUT ST.-TIGARD OR
dw 13125 SW HALL BLVD. SAMPLED BY: RENS GARRETT
TIGARD,OREGON 97223 LAB#: 99-828/K-1587
ANALYZED BY: TOM THOMPSON
r
DATE SAMPLED: 12-15-99
r DATE RECEIVED: 12-15-99
DATE COMPLETED: 12-16-99
ANALYTICAL METHOD: EPA,40 CFR Part 763, Section 1, Subpart F,
Appendix A,PLM/Dispersion Staining
SAMPLE SAMPLE SAMPLE LOCATION ASBESTOS CONTENT OTHER MATERIAL
ID # DESCRIPTION
CEILING TILE BEDROOM NONE DETECTED 95%CELLULOSE,
I <1%ASBESTOS BINDER, PAINT
.r
CEILING TILE KITCHEN NONE DETECTED 95%CELLULOSE,
2 <1%ASBESTOS BINDER, PAINT
so
TROWELED ON FAMILY ROOM NONE DETECTED CALCIUM SULFATE,
3 CEILING TEXTURE <I%ASBESTOS BINDER,
Wr TROWELED ON BEDROOM NONE DETECTED CALCIUM CARBONATE,
4 CEILING TEXTURE <I%ASBESTOS BINDER,
• TROWELED ON FAMILY ROOM NONE DETECTED CALCIUM CARBONATE,
5 CEILING TEXTURE <1%ASBESTOS BINDER
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ANALYST: REVIEWED BY:
DEVIATION FROM METHOD: NONE.
PERCENTAGES ARE ESTIMATES.
TEST RESULTS PERTAIN ONLY TO ITEMS TESTED.
*DETECTION LIMIT IS LESS THAN 1%ASBESTOS.
NON ASBESTOS MATERIALS ARE NOT NECESSARILY LISTED.
�iYll
12806 NE 40TH CIRCLE VANCOUVER, WASHINGTON 98682
PORTLAND (503)221-7904 • VANCOUVER(360)254-9385
OCL#124105
to +CERTIFIED ENVIRONMENTAL CONSULTING, INC.****
BULK SAMPLE ANALYSIS REPORT
CLIENT: CITY OF TIGARD SOURCE: 13050 SW WALNUT ST.-TIGARD OR
wr 13125 SW HALL BLVD. SAMPLED BY: RENS GARRETT
TIGARD, OREGON 97223 LAB#: 99-828/K-1587
ANALYZED BY: TOM THOMPSON
r
DATE SAMPLED: 12-15-99
DATE RECEIVED: 12-15-99
DATE COMPLETED: 12-16-99
r
ANALYTICAL METHOD: EPA,40 CFR Part 763, Section 1, Subpart F,
Appendix A,PLM/Dispersion Staining
me
SAMPLE SAMPLE SAMPLE LOCATION ASBESTOS CONTENT OTHER MATERIAL
ID # DESCRIPTION
WHITE SHEET KITCHEN-TOP LAYER NONE DETECTED VINYL, CALCITE,
6 FLOOR VINYL <]%ASBESTOS ADHESIVE
Wr BROWN SHEET KITCHEN-SECOND NONE DETECTED TRACE CELLULOSE,
7 FLOOR VINYL& LAYER <1%ASBESTOS VINYL, CALCITE,
MASTIC ADHESIVE
WHITE&BLACK BATHROOM NONE DETECTED 20%CELLULOSE,
8 SHEET FLOOR <I%ASBESTOS VINYL, CALCITE,
VINYL ADHESIVE
COVE BASE MASTIC KITCHEN 10%ANTHOPHYLLITE ADHESIVE, CLAY
9
GREEN FLOOR TILE UTILITY NONE DETECTED 35% CELLULOSE,VINYL,
10 &MASTIC <1%ASBESTOS CALCITE, TAR
.r
ANALYST:
REVIEWED BY:
•
DEVIATION FROM METHOD: NONE.
PERCENTAGES ARE ESTIMATES,
TEST RESULTS PERTAIN ONLY TO ITEMS TESTED.
*DETECTION LIMIT IS LESS THAN I%ASBESTOS.
NON ASBESTOS MATERIALS ARE NOT NECESSARILY LISTED.
orr
12806 NE 40TH CIRCLE VANCOUVER, WASHINGTON 98682
PORTLAND (503)221-7904 • VANCOUVER (360)254-9385
OCL#124105
❖CERTIFIED ENVIRONMENTAL CONSULTING, INC.❖
BULK SAMPLE ANALYSIS REPORT
"'• CLIENT: CITY OF TIGARD SOURCE: 13050 SW WALNUT ST.-TIGARD OR
13125 SW HALL BLVD. SAMPLED BY: RENS GARRETT
TIGARD, OREGON 97223 LAB#: 99-828/K-1587
ANALYZED BY: TOM THOMPSON
"r DATE SAMPLED: 12-15-99
DATE RECEIVED: 12-15-99
DATE COMPLETED: 12-16-99
ANALYTICAL METHOD: EPA,40 CFR Part 763, Section 1, Subpart F,
Appendix A, PLM/Dispersion Staining
SAMPLE SAMPLE SAMPLE LOCATION ASBESTOS CONTENT OTHER MATERIAL
ID # DESCRIPTION
WHITE&GRAY MASTER BEDROOM NONE DETECTED 25%CELLULOSE,
11 VINYL&MASTIC TOP LAYER <I%ASBESTOS VINYL, CALCITE,
ADHESIVE
as WHITE FLOOR TILE MASTER BEDROOM- NONE DETECTED CALCIUM CARBONATE,
12 &MASTIC SECOND LAYER <1%ASBESTOS VINYL, BINDER, TAR
4w GREEN SHEET NE BEDROOM NONE DETECTED 45%CELLULOSE,
13 FLOOR VINYL& <I%ASBESTOS VINYL, CALCITE, TAR,
MASTIC ADHESIVE
m TAN SHEET FLOOR HALLWAY NONE DETECTED 25%CELLULOSE,
14 VINYL&MASTIC <1%ASBESTOS VINYL, CALCITE,
ADHESIVE
BROWN FLOOR TILE SE BEDROOM FLOOR TILE: 1%CELLULOSE,
dr 15 &MASTIC 3%CHRYSOTILE CALCIUM CARBONATE,
MASTIC: VINYL, BINDER,
NONE DETECTED ADHESIVE
,rr <I%ASBESTOS
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ANALYST: !F p' �v�`1 REVIEWED BY: —
DEVIATION FROM METHOD: NONE.
PERCENTAGES ARE ESTIMATES.
TEST RESULTS PERTAIN ONLY TO ITEMS TESTED.
*DETECTION LIMIT IS LESS THAN 1%ASBESTOS.
NON ASBESTOS MATERIALS ARE NOT NECESSARILY LISTED.
12806 NE 40TH CIRCLE VANCOUVER, WASHINGTON 98682
PORTLAND (503)221-7904 • VANCOUVER(360)254-9385
OCL#124105
❖CERTIFIED ENVIRONMENTAL CONSULTING, INC.***
+� BULK SAMPLE ANALYSIS REPORT
do CLIENT: CITY OF TIGARD SOURCE: 13050 SW WALNUT ST.-TIGARD OR
13125 SW HALL BLVD. SAMPLED BY: RENE GARRETT
TIGARD, OREGON 97223 LAB#: 99-828/K-1587
at ANALYZED BY: TOM THOMPSON
do DATE SAMPLED: 12-15-99
DATE RECEIVED: 12-15-99
DATE COMPLETED: 12-16-99
+r
ANALYTICAL METHOD: EPA,40 CFR Part 763, Section 1, Subpart F,
to Appendix A,PLM/Dispersion Staining
SAMPLE SAMPLE SAMPLE LOCATION ASBESTOS CONTENT OTHER MATERIAL
do ID # DESCRIPTION
TAN FLOOR TILE& SE BEDROOM FLOOR TILE: 1%CELLULOSE,
16 MASTIC 3%CHRYSOTILE CALCIUM CARBONATE,
MASTIC: VINYL, BINDER,
do NONE DETECTED ADHESIVE
<1%ASBESTOS
TAN &RED FLOOR SW BEDROOM NONE DETECTED 2% WOLLASTONITE
+rr 17 TILE&MASTIC <1%ASBESTOS CALCIUM CARBONATE,
VINYL, BINDER, TAR
GYPSUM WALL SW BEDROOM NONE DETECTED 10%CELLULOSE,
18 BOARD <I%ASBESTOS CALCIUM SULFATE,
BINDER
BLACK FLOOR TILE SHED NONE DETECTED TRACE CELLULOSE,
19 &MASTIC <1%ASBESTOS CALCIUM CARBONATE,
VINYL, BINDER, TAR
ASPHALT SHINGLE ROOF-TOP LAYER NONE DETECTED 30%FIBERGLASS,
20 <1%ASBESTOS TAR,AGGREGATE
dw
ASPHALT SHINGLE ROOF-SECOND LAYER NONE DETECTED 30%FIBERGLASS,
21 <1%ASBESTOS TAR, AGGREGATE,
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+0 ANALYST: REVIEWED BY:
DEVIATION FROM METHOD: NONE.
PERCENTAGES ARE ESTIMATES.
+r TEST RESULTS PERTAIN ONLY TO ITEMS TESTED.
*DETECTION LIMIT IS LESS THAN 1%ASBESTOS.
NON ASBESTOS MATERIALS ARE NOT NECESSARILY LISTED.
s
12806 NE 40TH CIRCLE VANCOUVER, WASHINGTON 98682
PORTLAND (503)221-7904 • VANCOUVER(360)254-9385
OCL#124105
d1w
VA�
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Certificate of Completion
Ebiz i.5 to certifp that
Rene Garrett
0.
V-
a.5 oatidactorilp completeb
mac'
4 Douro of refrezber training az an t-7
Asbestos Building Inspector
j.t At
to compip witli t1je training requirements of
CA Zitle 3J35 40 (E
_13R 763
Certificate Number 991481
Z;Z �
V lan 27,199-9---.-
tt rai g ministratitJ on Date(s)of Training
SAFETY
TRAINING-INDUSTRIAL
HYGIENE—
AHERA Certified:BIR 189(VT) ) Expiration Date:Jan 27,2000
Argus Pacific,Inc.•424 3rd Ave W•Suite 101•Seattle,Washington•98119•(206)285 3373•fax(206)285.3927
V
Certift'rate of Completion
Ebi5 i5 to rertifp that
Rene Garrett
bass 5atizfartorilp rompleteb
4 boung of refrrqber training az a
Management Planner
rr to complp Wiff)t1je training requiretnent5 of
MBCA Zitle 3H / 40 C-13A 763
Certificate Number 991483
KFRM> —_Lan2-7 1999
ai ministration Date(s)of Training
SAFETY-TRAINING-INDUSTRIAL HYGIENE M
ERA Certified:MPR (VT) n Expiration Date:Jan 27,20
IM
Argus Pacific,Inc.-4243rd Ave W•Suite 101•Seattle,Washington-98119•(206)285.3373-fax(206)
AIN
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