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Greg Schroeder Enterprises, Inc ~ CP15007
CITY OF TIGARD,OREGON-CONTRACT SUMMARY FORM (Tars FORMMUST ACCOMPANY EVERY CONTRACT) Contract Title: Hazardous Material Abatement and �� 1 Structure Demolition Zuber House—9025 SW Burnham Number: l Contractor: Greg Schroeder Enterprises, Inc. Contract Total: 529,768.00 Contract Overview: Work to be completed under this contract consists of abatement of the facility followed up by demolition and haul-off of the facility. Initial Risk Level: ❑ Extreme ® High ❑ Moderate ❑ Low Risk Reduction Steps: Performance of an Asbestos and Lead Paint Survey to determine abatement areas Worked with Contracting and Risk to determine required pollution liabilitycoverage Risk Comments: Risk Signature: Contract Manager: Teff Peck Ext: 2466 Department: PW- Engineering Type: ❑ Purchase Agreement ❑ Personal Service _XgGeneral Service ❑ Public Improvement ❑ IGA ❑ Other: Start Date: 3/30/15 End Date: 5/15/15 Quotes/Bids/Proposal: FIRM AmoLTNT/ScoRiF, GSE Inc. $29,768.00 AAM (-Incomplete Quote—Abatement Only1 $5,150.00 Account String: Fund-Division-Account Work Order—ActivityType Amount Year 1 940-8000-56005 97025-140 29 768.00 Year 2 Year 3 Year 4 Year 5 Approvals - LCRB Date: N/A Department Comments: Public Improvement Contract—Solicited 3 Contractors and received 1 Complete Quote. Department Signature: 921 Purchasing Comments: ; Purchasing Signature: City Manager Comments: City Manager Signature:\_ff/l After securing all required approvals, forward original copy to the Contracting and Purchasing Office along with a completed Contract Checklist. Contract CITY OF TIGARD,OREGON AGREEMENT FOR SERVICES RELATED TO HA7ARDOUs MATERIAL ABATEMENT AND STRUCTURE DEMOLITION ZUBER HOUSE—9025 SW BURNHAM STREET THIS AGREEMENT made and entered into this 306'day of March,2015 by and between the City of Tigard, a municipal corporation of the State of Oregon, hereinafter called "City", and Greg Schroeder Enterprises, hereinafter called"Contractor",collectively known as the"Parties." RECITALS WHEREAS, the City's 2014-2015 fiscal year budget provides for hazardous material abatement and demolition services related to the City's Zuber House project;and WHEREAS,Contractor has submitted a bid or proposal to City to provide specific services;and WHEREAS, Contractor is in the business of providing specific services, and is aware of the purposes for which City requires the services;and WHEREAS, Contractor holds a license issued by the Department of Environmental Quality under ORS 468A.720;and WHEREAS, City and Contractor wish to enter into a contract under which City shall purchase the services described in Contractor's bid or proposal, THEREFORE,The Parties agree as follows: 1. SERVICES TO BE PROVIDED Contractor agrees to provide services related to hazardous material abatement and demolition of the structure located at 9025 SW Burnham Street as detailed in Exhibit A—Scope of Services and by this reference made a part hereof. 2. EFFECTIVE DATE AND DURATION Contractor shall initiate services upon receipt of City's notice to proceed, together with an executed copy of this Agreement This Agreement shall become effective upon the date of execution and shall expire,unless otherwise terminated or extended,on May 15,2015. All services shall be completed prior to the expiration of this Agreement 3. COMPENSATION City agrees to pay Contractor an amount not exceeding Twenty Nine Thousand Seven Hundred Sixty Eight and No/100 Dollars ($29,768.00) for performance of those services described herein, which payment shall be based upon the following applicable terms: A. Payment will be made in installments based on Contractor's invoice, subject to the approval by the City, and not more frequently than monthly. Payment shall be made only for work actually completed as of the date of invoice. B. Payment by City shall release City*from any'further-obligation for payment to Contractor, for services performed or expenses incurred as of the date of the invoice. Payment shall not be considered acceptance or approval of any work or waiver of any defects therein. C. Contractor shall make payments promptly, as due, to all persons supplying labor or materials'for the prosecution of this work. D. Contractor shall not permit any lien or claim to be filed or prosecuted against the City on any account of any labor or material furnished. E. Contractor shall pay to the Department of Revenue all stuns withheld from employees pursuant to ORS 316.167. F. If Contractor fails, neglects or refuses to make prompt payment of any claim for labor or services furnished to Contractor or a subcontractor by any person as such'claim becomes due, City may pay such claim and charge the amount of the payment against funds due or to become due the Contractor. The payment of the claim in this manner shall not relieve Contractor or their surety from obligation with respect to any unpaid claims: G. Contractor shall pay employees at least tune and a half pay for all overtime worked in excess of 40 hours in any one work week except for individuals under the contract who are excluded under ORS 653.010 to 653.261 or under 29 USC sections 201 to 209 from receiving overtime. H. Contractor shall promptly, as due, make payment to any person, co-partnership, association or corporation, furnishing medical, surgical, hospital care or.other needed care. and attention incident to sickness or injury to the employees of Contractor or all sums which'Contractor I grees to pay for such services and,all moneys and sums which Contractor collected or deducted from the wages of employees pursuant to any law, contract or agreement for the purpose of providing or paying for such service. 1. The City certifies that sufficient funds are available and authorized for expenditure to finance costs of this contract during the current fiscal year. Appropriations for future fiscal years shall be subject to budget approval by.the City Council. 4. PREVAILING WAGE The provisions of ORS Chapters 279A and 279C and all other Oregon and Federal,provisions pertaining to minimum salaries and wages are incorporated herein by reference as if fully set forth. The Contractor agrees that the workmen in each trade or occupation required for the work to be done pursuant to the contract, employed in the performance of the Contract, either by the Contractor or Subcontractor or other person doing or contracting to do any part of the work contemplated by the Contractor shall be paid not less than the prevailing, minimum hourly rate of wage specified by the Commissioner of the Bureau of Labor,and attached hereto. If this project is subject to both Federal Davis-Bacon Act requirement and State of Oregon Prevailing Wage Rate requirements,the Contractor must ensure that workers will be paid the higher of the applicable federal or state rate. If the Contractor fails to pay for labor or services, the City 21Page may pay for those labor and services and withhold these amounts from payments that are due the Contractor in accordance with ORS 279C.515 Contractor shall provide proof as requested to the City prior to the beginning of any of the work that the Contractor has filed a public works bond with a corporate surety in the amount of$30,000 with the Construction Contractors Board as required under Oregon PWR law. Contractor shall also require in every subcontract to this Agreement that the subcontractor fide a public works bond with the Construction Contractors Board in the amount of$30,000 prior to starting work on this project unless otherwise exempt. For contracts $50,000 or greater, the City shall pay a fee equal to one-tenth of one percent (.001) of the price of the contract to the Bureau of Labor and Industries. The fee shall be paid on or before the first progress payment or sixty (60) days from the date work first began,whichever comes first. 5. ASSIGNMENT/DELEGATION Neither party shall assign or transfer any interest in or duty under this Agreement without the written consent of the other and any attempted assignment or transfer without the written consent of the other party shall be invalid. 6. SUBMITTING BILLS AND MAKING PAYMENTS All notices and bills shall be made in writing and may be given by personal, delivery, mail or fax. Payments may be made by personal delivery,mail, or electronic transfer. The following addresses shall be used to transmit notices,bills,payments,and other information: Attn: Jeff Peck Attn: Greg Schroeder Address: 13125 SW Hall Blvd. Address: 9812 SE Wichita Avenue Tigard, Oregon 97223 Milwaukie, Oregon 97222 Phone: (503) 718-2466 Phone: (503) 6544734 Email: jeffpgtiigard-or.gov Email: gse48@yahoo.coin 7. TERMINATION The parties agree that any decision by either party to terminate this Agreement before the 15`r'day of May, 2015 shall be accompanied by five (5) days written notice to the other party prior to the date termination would take effect. There shall be no penalty for early termination. I£City terminates the contract pursuant to this paragraph,it shall pay Contractor for services rendered prorated to the date of termination. 8. ACCESS TO RECORDS City shall have access to such books, documents, papers and records of Contractor as are directly pertinent to this Agreement for the purpose of making audit,examination,excerpts and transcripts. 9. FORCE MATEURE Neither City not Contractor shall be considered in default because of any delays in completion and responsibilities hereunder due to causes beyond the control and without fault or negligence on the pair of the parties so disenabled, including but not restricted to, natural disaster,war, civil unrest,volcano, earthquake, fire, flood, epidemic, quarantine restriction, area-wide strike, freight embargo, unusually 3 1 Page. severe weather or delay of subcontractor or supplies due to such cause; provided that the parties so disenabled shall within ten (10) days from the beginning of such delay, notify the other party in writing of the cause of delay and its probable extent. Such notification shall not be the basis for a claimm for additional compensation. Each party shall,however;make all reasonable efforts to remove or eliminate such a cause of delay or default and shall,upon cessation of the cause,diligently pursue performance of its obligation under the Agreement. 10. N0N_DI$CRIMINAT1QN Contractor agrees to comply with alll applicable requirements of federal and state civil rights and rehabilitation statues, rules, and regulations. Contractor also shall comply with the Americans with Disabilities Act of 1990, ORS 659A.14-2, and all regulations and administrative rules established pursuant to those laws. 11. INDEMNITY Contractor agrees to and shall defend, indemnify and hold harmless City, City's officers, employees, agents and representatives from and against all liability; claims, costs, demands, judgments,penalties, and causes of action- of any kind or character, or. other costs or expenses incidental, to the investigation and defense thereof, of whatever nature, resulting from or arising out of the.activities of the Contractor or its subcontractors, agents, or employees in performance of this contract, except,however, that the foregoing shall not apply,to liability that arises out of the City's,its officers, employees,agents and representatives sole negligence. If any aspect of this indemnity shall be found to be illegal or invalid for any reason whatsoever, such illegality or invalidity shall not affect the remainder of this indemnification.. 12. INSURANCE Contractor shall maintain insurance acceptable to City in full force and effect throughout the term of this contract. Such insurance shallcovet risks arising directly or indirectly out of Contractor's activities or work hereunder. The policy or policies of insurance maintained by the Contractor shall provide at least the following _ limits and coverages: - A. Commercial General LiabilitV Insurance Contractor shall obtain, at contractor's expense, and beep in effect during the term of this contract, 'Comprehensive General Liability Insurance covering bodily Injury and Property Damage on an "occurrence" form (CG 2010 1185 or equivalent). This coverage shall include Contractual Liability insurance for the indemnity provided under this contract. The following insurance will be carried: Coverage Limit General Aggregate 3,000,000 Products--Completed Operations Aggregate 2,000,000 Personal&Advertising Injury 1,000,000 Each Occurrence 2,000,000 Fire Damage(any one fire) 50,000 41Page B. Pollution Exposure Contractor shall obtain coverage for the duration of the contract for pollution legal liability, including investigation and legal defense costs, for bodily injury and property damage, including loss of use of damaged property or of property that has not been physically damaged or destroyed. Such coverage must provide coverage' for both on-site and.off-site clean-up costs and cover gradual and sudden pollution: Coverage shall be maintained in an amount of at least: 1. $1,000,000 each occurrence for Contractor's operations at the site;and 2. $1,000,000 each occurrence for all treatment, storage and disposal facilities, including transportation to such facilities 3. If the policy contains a general aggregate limit or policy limit,it shall be at least$1,000,000 C. Commgrcial Automobile Insurance Contractor shall also obtain, at contractor's expense, and keep in effect during the term of the contract, Commercial Automobile Liability coverage including coverage for all owned, hired, and non-owned vehicles on an"occurrence"form.The Combined Single Limit per occurrence shall not be less than$2,000,000. If Contractor uses a personally-owned vehicle for business use under this contract, the Contractor shall obtain, at Contractor's expense, and keep in effect during the term of the contract, business automobile liability coverage for all owned vehicles on an "occurrence" form. The Combined Single Limit per occurrence shall not be less than$2,000,000.: D. Workers' Compensation.Insurance The contractor, its Subcontractors;if any,and all employers providing work;labor, or materials under this Contract that are subject employers under the Oregon Workers' Compensation Law shall comply with ORS 656.017, which requires them to .provide workers' compensation coverage that satisfies Oregon law.for.all their subject workers. Out-o£state employers must provide Oregon workers' compensation coverage for their workers who work,at a single location within Oregon for more than 30 days in a calendar year. Contractors who perform work without the assistance or labor of any employee need not obtainworkers', compensation coverage. All non-exempt employers shall provide Employer's Liability Insurance with coverage limits of not less than$1,000,000 each accident. E. Additional_Insured Provision All policies aforementioned, other than Workers' Compensation and Professional Liability, shall include the City its officers, employees, agents and representatives as additional insureds with respect to this contract. F. Insurance Carrier Rating Coverages provided by the Contractor must be underwritten by an insurance company deemed acceptable by the City. All policies of insurance must be written by companies having an A.M. Best rating of "A-VII" or better, or equivalent. The City reserves the right to reject all or any insurance carrier(s)with an unacceptable.financial rating. 5 Page: G. 5r1£•Insurance The City understands that some Contractors xnay self-insure for business rids and the City will considerz whether. such self-insurance is acceptable if it meets the minimum insurance requirements for the type of coverage required. If the Contractor is self-insured for commercial general liability or automobile liability insurance the Contractor must provide evidence of such self-insurance. The Contractor must provide a Certificate of Insurance showing evidence of the coverage amounts on a form acceptable to the City. The City reserves the right in its sole discretion to determine whether self-insurance is adequate: H. Cer figates of Insurance As evidence of the insurance coverage' required by the contract, the Contractor shall furnish a Certificate of Insurance to the City. No contract shall be effective until the required Certificates of Insurance have been received and approved by the City. I The certificate will specify and document all;provisions within this contract and include a copy of Additional Insured Endorsement. A renewal certificate will be sent to the below address prior to coverage expiration. 1. lade endgnt Contractor Status The service or services to be rendered finder this contract are those of an independent contractor. Contractor is not an officer, employee or agent of the City as those terms are used in ORS 30.265. J. Primary Covera=Clarificatior The parties agree that Contractor's coverage shall be primary to the extent permitted by law. The parties further agree that other insurance maintained by the City,is excess and not contributory insurance with the insurance required in this section. . K. Cross,Liability Clause A cross-liability- clause or separation of insureds clause will be included in all general liability, professional liability,pollution and errors and omissions policies required by this contract. A certificate in form satisfactory to the City certifying to the issuance of such insurance will be forwarded to: City of Tigard Attn: Contracts and Purchasing Office 13125 SW Hall Blvd. Tigard,Oregon 97223 At the discretion of the City, a copy of each insurance policy, certified as a true copy by an authorized representative of the issuing insurance company may be required to be forwarded to the.above address. Such policies or certificates must be delivered prior to commencement of the work. The procuring of such required insurance shall not be construed to limit contractor's liability hereunder. Notwithstanding said insurance, Contractor shall be obligated for the total amount of any damage, injury,or loss caused by negligence or neglect connected with this contract. 6l Page 12. ATTORNEY'S FEES In case suit or action is instituted to enforce the provisions of this contract, the parties agree that the losing party shall pay such sum as the court may adjudge reasonable attorney fees and court costs, including witness fees (expert and non-expert),attorney's fees and court costs on appeal. 13. COMPLIANCE WITH STATE AND FEDERAL AWS/MULES Contractor shall comply with all applicable federal, state and local laws, rules and regulations, including, but not limited to, the requirements concerning working hours, overtime, medical care, workers compensation insurance, health care payments, payments to employees and subcontractors and income tax withholding contained in ORS Chapters 279A, 279B, and 279C, the provisions of which are hereby made a part of this agreement. 14. DEO LICENSE The Contract certifies by signature below, that they will maintain throughout the duration of this Agreement a current license, issued by the Department of Environmental Quality, under ORS 468A.720, to properly handle asbestos abatement projects. 15. CITY OF TIGARD BUSINESS LICENSE Contractor shall obtain, prior to the execution of any performance under this Agreement, a City of Tigard Business License. The .Tigard Business License is based on a calendar year with a December 31 st expiration date. New businesses operating in Tigard after June 30th of the current year will pay a pro-rated fee though the end of the calendar year. 16. GOVERNING LAWS Contractor shall comply with all applicable federal, state and local laws; and rules and regulations on non-discrimination in employment because of race, color, ancestry, national origin, religion, sex, marital status, age, medical condition or disability. The provisions of this Agreement shall be construed in accordance with the provisions of the laws of the State of Oregon. All provisions required by ORS Chapter 279 to be included in a contract of this type are incorporated into this Agreement as though fully set forth herein. Any action or suits involving any question arising under this Agreement must be brought in the appropriate court of the State of Oregon. Contractor shall further comply with all current federal, state, and local laws pertaining to any demolition, renovation, repair, construction or maintenance activity of any public or private facility that involves the repair, enclosure, encapsulation, removal, salvage, handling or disposal of any material with the potential of releasing asbestos fibers from asbestos-containing material.into the air. 17. CONFLICT BETWEEN TERMS It is further expressly agreed by and between the parties hereto that should there be any conflict between the terms of this instrument in the proposal of the contract, this instrument shall control and nothing herein shall be considered as an acceptance of the terns of proposal conflicting herewith. 18. SEVERABILITY In the event any provision or portion of this Agreement is held to be unenforceable or invalid by any court of competent jurisdiction, the validity of the remaining terms and provisions shall not be affected to the extent that it did not materially affect the intent of the parties when they entered into the agreement. 71Pa. ge 19. COMPLETE AGREEMENT This Agreement, including the exhibits, is intended both as a final expression of the Agreement between the Parties and as a complete and exclusive statement of the terms. In the event of an inconsistency between a provision in the main body of the Agreement and a provision in the Exhibits, the provision in the main body of the Agreement shall control. In the event of an inconsistency between Exhibit A and Exhibit B,Exhibit A shall control. No waiver, consent, modification,or change of terms of this Agreement shall bind either party unless in writing and signed by both parties. Such waiver, consent,modification,or change if made, shall be effective only in specific instances and for the specific purpose given. There are no understandings, agreements, or representations, oral or written, not specified herein regarding this Agreement. Contractor, by the signature of its authorized representative, hereby acknowledges that he/she has read this Agreement,understands it and agrees to be bound by its terms and conditions. IN WITNESS WHEREOF, City has caused this Agreement to be executed by its duly authorized undersigned officer and Contractor has executed this Agreement on the date hereinabove first written. CITY OF TIGARD GREG SCH OEDER ENT RISES By:Authorized City Representative By:Authorized Contractor Representative Date Date 8Page EXHIBIT A SCOPE OF SERVICES The Contractor shall abate and demo an existing house located at 9025 SW Burnham Street in Tigard, Oregon. The house is located at the intersection of Burnham Street and Ash Avenue. This is a two story house with a basement. Asbestos and other hazardous materials detailed in the City's abatement survey that is attached to this Agreement as Attachment 1. All abatement work shall be performed prior to any demolition work and must be conducted by firm holding a current license,issued by the Department of Environmental Quality, under ORS 468A.720,to properly handle asbestos abatement projects. During the demolition phase of the work,the building and basement walls are to be removed. The floor can remain but needs to be crushed in place to allow for drainage. The Contractor shall fill in the basement with structural fill. The City requires the Contractor to meet our structural lot fill.requirements which are: • Min. percent compaction required—90% • Test method required to determine maximum density—AASHTO T-180 • Frequency of density testing—a test for every 2 feet of fill. • Assumed that basement will require 5' of structural fill. Likely,200 cy. Contractor may use the parking lot rock if you desired to run a proctor on it. Taking a foot down is roughly 200 cy as well. The schedule for this project is a 2-week time frame, starting on or around April 15`' While this contract itself does not reach prevailing wage requirements,it is part of a larger project at the site and as such prevailing wage requirements are in effect. The estimated cost increase for prevailing wage over the original proposal is $4,920 for a revised project estimate of$29,768. 91Page EXHIBIT B CrQNTRACTOR'S PROPOGSE imc. SAL 9892 S.E. 11lfich1ta e4.V�. GREG SCMNUFOER ENTEnPRISES Milwaukle, OR 97222 �//!/�n• aria p- 503-654-4734 VAX 508-652-2383 CC8##89783 PROPOSAL TO: City of Tigard Date: Mar&26,tom 13125 SW)-Tall Blvd Attn: Jeff Peck Tigard,Olt 97223 Phone.503-639-4111 We hereby propose to furnish materials/labor necessary for the completion of: RB: Zuber' ouse—9025 SW Burnham St. Install erosion measures.: Remove all asbestos. Demo and haul house to landfill, Remove and haul off foundation walls. Break.-up concrete floor.: Backli basement with onsite material. Cap last one foot with%o"crushed rock. TOT AL $ 24,848.00 EXCLUSIONS: Permits or)Fees All utaterlat is guaranteed to be as specified. Ail work to be eoiapleted to a substantial workmanlike manner according to specifications submitted,got�MwMnrdtfi►,a lees. Apy-alteration or deviation from above specifications involving eytra casts rv`il'be executed only u o 16itten oi'ders,and will become an extra charge over and above the estiutato./�<)or workers are Pi[q c ored by'Worker's Compensation Insurance. This Proposal way b!�Vodahxu5 by us if not t cepte within&days Authorized Signature. ACCEPTANCE OF C"iiOPOSAt, The above prices specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Accepted By: Date: . . apalmy worms 7(k16 c'w ° 6d2t53"« cs �lB� ARi7 � 10 Page ATTACHMENT 1 ABATEMENT SURVEY—9025 SW BURNHAM STREET 111 Page Forensic Analytical ENVIRONMENTAL HEALTH CONSULTANTS Asbestos and Limited Lead Containing Paint Survey for Demolition City of Tigard Residential Property - Zuber House 9025 SW Burnham Street Tigard, Oregon 97223 February 23, 2014 Prepared for: Jeff Peck City of Tigard, Oregon 13125 SW Hall Blvd. Tigard, OR 97223 Jeff p(a)_tigard-or.gov Prepared by: Robin Sharpe-Yablonka Forensic Analytical Consulting Services 17400 SW Upper Boones Ferry Rd Suite 245 Portland, OR 97224 503-595-1001 ♦ rsharpe(aDforensicanalytical.com FACS Project #PJ25448 ©Forensic Analytical Consulting Services Table of Contents ExecutiveSummary............................................................................................................................... 1 Introduction............................................................................................................................................ 1 Methodology .......................................................................................................................................... 1 SiteCharacterization ............................................................................................................................. 2 Findingsand Conclusions .................................................................................................................... 2 Limitations.............................................................................................................................................. 4 APPENDIX A: Diagram of Asbestos Containing Material Locations APPENDIX B: Asbestos Sample Inventory APPENDIX C: Limited Lead-Containing Paint Sample Inventory APPENDIX D: Laboratory Reports and Chain of Custody Forms APPENDIX E: Accreditation City of Tigard, Zuber House—Asbestos and Limited Lead Paint Survey for Demo (2/23/15) Page 1 of 3 Executive Summary Forensic Analytical Consulting Services, Inc. (FACS) was retained by the City of Tigard to perform a pre- demolition asbestos and limited lead-containing paint survey at the residential building located at 9025 SW Burnham Street, Tigard, OR. Todd Kreuter, a certified asbestos building inspector of FACS, conducted the field inspection on January 27 and February 10, 2015. Five of the 72 building material samples tested positive for asbestos (representing vinyl floor tiles, floor tile mastic, duct seam tape, and ceiling texture in several areas of the building). Four of the 10 paint chip samples had detectable levels of lead, and of those positive samples, two are considered lead-based paints (defined by equal to or exceeding 0.5!% by weight). A more complete discussion of findings and conclusions is provided below. Introduction Forensic Analytical Consulting Services, Inc. (FACS) performed an inspection for asbestos containing materials and limited lead-containing paint sampling at the residential building located at 9025 SW Burnham Street, Tigard, OR. Todd Kreuter, a certified asbestos building inspector of FACS conducted the field inspection on January 27, 2015 at the direction of Jeff Peck of The City of Tigard. The asbestos survey consisted of a visual and tactile inspection, and sampling of suspect asbestos containing materials throughout the interior and exterior of the building. The limited lead-containing paint inspection consisted of sampling of the predominant painted surfaces and colors throughout the interior and exterior of the building. The purpose of the inspection was to identify these materials that will need to be addressed prior to scheduled demolition. Methodology Asbestos Materials suspected of containing asbestos were sampled in accordance with the Federal EPA AHERA protocols (40 CFR 763 subpart E). Materials determined by the inspector to be non-suspect, such as wood, metal, glass, and fiberglass insulation, were not sampled. Additional suspect building materials may be present in areas that were inaccessible, unsafe to inspect, or obscured from view during the inspection process. Suspect materials were grouped and classified as homogeneous materials based on their appearance, usage, and age of the building. Representative samples of each homogeneous material were collected for laboratory analysis. Samples were collected in such a manner as to minimize release of the material into the surroundings. Material type, sample number, sample location and other pertinent information were recorded at the time of sampling. Each sample was placed in a sample container labeled with a unique sample number, sealed, and submitted to Forensic Analytical Laboratory, Inc. (FALI), an AIHA and NVLAP (National Voluntary Laboratory Accreditation Program) accredited laboratory for analysis under chain of custody documentation. Samples were analyzed in accordance with EPA Method 600/R-93-116, using PLM (Polarized Light Microscopy)with dispersion staining and using visual area estimation to determine percent asbestos content. This method allows for the identification of the primary types of asbestos used in building materials. The lower limit of detection for this method is one percent. Samples containing less than one percent asbestos by PLM with visual area estimation are reported as Trace. © Forensic Analytical Consulting Services www.forensicanalyticaL com City of Tigard, Zuber House—Asbestos and Limited Lead Paint Survey for Demo (2/23/15) Page 2 of 3 Lead-Containing Paint Representative samples of the painted surfaces were collected for laboratory analysis. Additional suspect painted surfaces may be present in areas that were inaccessible, unsafe to inspect, or obscured from view during the sampling process. Samples were collected in such a manner as to minimize release of the material into the surroundings. Paint color, sample number, sample location and other pertinent information were recorded at the time of sampling. Each sample was placed in a sample container labeled with a unique sample number, sealed, and submitted to FALI, an AIHA and NLLAP (National Lead Laboratory Accreditation Program)accredited laboratory, for analysis under chain of custody documentation. Samples were analyzed in accordance with EPA Method 305013/7420, to determine percent by weight content of lead. OSHA defines materials containing any detectable lead to be lead-containing. Site Characterization The subject property is a two-story residential house with a finished basement. The exterior construction consists of metal siding with a composition shingle roof. Floor coverings include carpet, vinyl floor tile and sheet vinyl over wood substrate on the first and second floors and a concrete subfloor in the basement. The walls throughout the house are finished drywall, plaster in the basement stairway, and some areas of exposed concrete and wood framing in the basement. Ceilings are finished drywall and plaster in the basement stairway. Findings and Conclusions Asbestos Asbestos was detected in five of the materials sampled: Floor Tile, 9" x 9" Green, and Black Mastic under Carpet (Checkered Pattern)—This material is located in the SW room and hallway in the basement. Floor Tile, 9" x 9" Red, and Black Mastic under Carpet (Checkered Pattern)—This material is located in the SW room and hallway in the basement. Residual Black Mastic—This material is located in the NW room in the basement. Duct Seam Tape, White —This material is located throughout the HVAC ducting on seams. Ceiling Texture, Heavy—This material is located on the 1 s'floor in the kitchen, SE room and the SW room, and in the 2"u floor east room. A diagram showing approximate locations of asbestos-containing materials is provided in Appendix A. A detailed sampling data able including sample locations, material description, and results is contained in Appendix B of this report. Positive results are highlighted in red. Materials for which sample analysis by PLM results in greater than one percent asbestos (in any one sample collected from a homogeneous material) are classified as ACM under regulations promulgated by, but not limited to, the following agencies: federal EPA and federal OSHA, including local organizations that enforce the regulations of these agencies. Materials that test positive for asbestos shall be removed in accordance with all Federal, State, and Local regulations by a licensed asbestos abatement contractor prior to renovation or demolition activities that will impact them. If any suspect materials are encountered during the course of demolition, renovation, remodeling, or maintenance work that are not reflected in this survey report or that have not been sampled by a certified asbestos building inspector, such material(s)shall not be disturbed until further sampling can determine whether or not it is asbestos containing. Alternatively, these © Forensic Analytical Consulting Services www.forensicanalyticaL com City of Tigard, Zuber House—Asbestos and Limited Lead Paint Survey for Demo (2/23/15) Page 3 of 3 materials may be assumed to be ACM and removed by a licensed asbestos abatement contractor. For detailed regulatory requirements in specific situations, Forensic Analytical should be consulted, or the applicable regulations should be examined. Lead-Containing Paint Lead was detected in four of the ten painted surfaces sampled during this inspection: Interior white paint on wood door— sample collected from the door to the 2nd floor SE closet. Interior white paint on wood window sill — sample collected from the north window in the 1St floor restroom. Exterior light green paint on siding — sample collected at the north elevation. Interior yellow paint on concrete wall — sample collected from the north wall in the basement water heater room. A detailed sampling data table including paint color, sample locations, lead percentage, and condition can be found in Appendix C. Positive results are highlighted in red. Note that OSHA regulations apply to all construction work where an employee may be occupationally exposed to lead. Any work done on painted surfaces that contain detectable lead must be performed using manual methods that minimize the potential release of and exposure to airborne lead. This applies to activities (e.g. demolition, removal, repair, renovation, alteration, or maintenance) that may disturb surfaces that contain any amount of lead. Any contractor impacting materials that contain detectable lead should be informed that they are doing so per OR-OSHA Lead Standard for the Construction Industry 1926.62 as well as OSHA Hazard Communication requirements. Other applicable provisions include but may not be limited to: exposure assessment, training, personal protective equipment, hand-washing facilities, and others. Also note that any chips of paint or other debris with detectable lead that is generated by any construction, renovation, or painting activities should be disposed of according to Federal, State and local regulations as well as individual landfill requirements. © Forensic Analytical Consulting Services www.forensicanalyticaL com City of Tigard, Zuber House—Asbestos and Limited Lead Paint Survey for Demo (2/23/15) Page 4 of 3 Limitations This investigation is limited to the conditions and practices observed and information made available to FACS. The methods, conclusions, and recommendations provided are based on FACS'judgment, experience and the standard of practice for professional service. They are subject to the limitations and variability inherent in the methodology employed. As with all environmental investigations, this investigation is limited to the defined scope and does not purport to set forth all hazards, nor indicate that other hazards do not exist. The regulated building materials and conditions presented in this report represent those observed on the dates we conducted the sampling. This sampling is intended for the exclusive use of The City of Tigard for specific application to the referenced property. This assessment does not replace, nor can be used as, professionally developed construction or demolition plans, specifications, or bidding documents. This report is not a legal opinion. Please do not hesitate to contact our office at 503-595-1001 if you have any additional questions or concerns. Thank you for the opportunity to assist the City of Tigard in promoting a more healthful environment. Respectfully, Reviewed by: FORENSIC ANALYTICAL FORENSIC ANALYTICAL Robin Sharpe-Yablonka Barbara L. Epstien, MPH, CIH, FAIHA Project Manager Senior Project Manager © Forensic Analytical Consulting Services www.forensicanalyticaL com Appendix A: Diagram of Asbestos Containing Material Locations © Forensic Analytical Consulting Services www.forensicanalytical.com 2nd Floor Floor Tile, 9"x 9" Green, and Black Mastic(Checkered Pattern) Floor Tile, 9"x 9" Red, and Black Mastic(Checkered Pattern) Residual Black Mastic under Laminate Flooring Ceiling Texture, Heavy ACM Not Shown: Duct Seam Tape, White- Located throughout HVAC Duct Seams 1 st Floor Basement JR503/595.1001 0rCnSiC Anal �tiC l 0 �+} W2CLIENT: Zuber House Tigard DATE: 'moo Clty of Tlgard m ��a 1$I LOCATON: 9025 SW Burnham Street2-23-15 400 SW Upper Boones Ferry Road, Suite 245 m o < ema Tigard,Oregon 97223 DRN.BY: rtland, Oregon 97224 m Zuber House p =aARASP O + PAGE3/595.1006, fax ACM LocationsPROJECT#:PJ95448 ACM.forensicanal ticaI.com Appendix B: Asbestos Sample Inventory © Forensic Analyl Consulting Services www.forensicana l ytical.com City of Tigard —Zuber House, Asbestos Sample Inventory (PJ25448) Analytical Estimated Sample ID Material Description Sample location Material Location o Results Quantity (/o Asbestos) 25448-1 Sheet Vinyl, Grey 6" x 6" 1St Floor— Restroom -- ND -- Pattern 25448-2 Vapor Barrier Paper, Brown 1St Floor— Hallway, under ND -- Wood Flooring 25448-3 Floor Tile, 12"x 12" Green 1St Floor— NE Room -- ND -- Marbled, and Tan Adhesive 25448-4 Carpet Adhesive, Tan 1St Floor—SE Room -- ND -- 25448-5 Wall Texture, Heavy 1St Floor—SE Room, West ND -- Wall 25448-6 Wall Texture, Heavy 1St Floor— NE Room, North ND -- Wall 25448-7 Wall Texture, Heavy 1St Floor—SW Office, North ND -- Wall 25448-8 Wall Texture, Heavy 1St Floor— NW Room, East ND -- Wall 25448-9 Cove Base, 4" Grey, and 1St Floor— Restroom -- ND -- Beige Adhesive © Porensic Analytical Consulting Services www.forensicanalytical.com City of Tigard —Zuber House, Asbestos Sample Inventory (PJ25448) Analytical Estimated Sample ID Material Description Sample location Material Location o Results Quantity (/o Asbestos) 25448-10 Wall Texture, Heavy 2nd Floor—South Room, ND -- East Wall Carpet Adhesive, Tan, and 25448-11 2nd Floor—West Room -- ND -- 2nd Layer Sheet Flooring, Red 25448-12 Wall Texture, Knockdown 2nd Floor— Hallway, South ND -- Wall 25448-13 Wall Texture, Knockdown 2nd Floor— Hallway, North ND -- Wall 25448-14 Wall Texture, Knockdown 2nd Floor— Restroom, North -- ND -- Wall 25448-15 Wall Texture, Knockdown 2nd Floor—West Room, ND -- West Wall 25448-16 Wall Texture, Knockdown 2nd Floor— Landing, East ND -- Wall Floor tile, 12" x 12" Beige 4"x 4" Pattern, Self-Stick, and 25448-17 2nd Floor— Restroom -- ND -- 2nd Layer Sheet Flooring, Red, and Black Mastic © nForensic Analytical Consulting Services www.forensicanalyticaL com City of Tigard —Zuber House, Asbestos Sample Inventory (PJ25448) Analytical Estimated Sample ID Material Description Sample location Material Location o Results Quantity (/o Asbestos) Carpet Adhesive, Tan, and 25448-18 2nd Floor—South Room -- ND -- 2nd Layer Red Sheet Flooring 25448-19 Drywall and Joint Compound 2nd Floor—South Room ND -- Closet, South Wall Basement— SW room 450 sq. ft. (total and hallway to stairs, checkered under carpet Floor Tile—5% pattern area) Floor tile, 9" x 9" Green, and Basement— SW Room, Chrysotile 25448-20 Black Mastic (checkered Residual black mastic pattern) under Carpet also located in the Mastic—5% 90 sq. ft. Basement— NW room Chrysotile (residual mastic under laminate under laminate flooring flooring) 450 sq. ft. (total Basement— SW room checkered and hallway to stairs, Floor Tile—5% pattern area) Floor tile, 9"x Red, and Basement— SW Room, under carpet Chrysotile 25448-21 Black Mastic (checkered pattern) under Carpet Residual black Mastic Mastic—5/ 90 sq. ft. also located in the Chrysotile (residual mastic Basement— NW room under laminate flooring) 1 25448-222Sheet Vinyl, Grey 6"x6", and 25448-22 Basement— Restroom -- ND -- 2nd Layer Sheet Vinyl, White © nForensic Analytical Consulting Services www.forensicanalVtical.com City of Tigard —Zuber House, Asbestos Sample Inventory (PJ25448) Analytical Estimated Sample ID Material Description Sample location Material Location o Results Quantity (/o Asbestos) 25448-23 Cove Base, 4"Tan, and Beige Basement— Restroom -- ND -- Adhesive 25448-24 Braided Electrical Wire Basement— NE Room -- ND -- Insulation 25448-25 Wall Texture, Heavy Basement— NW Room, ND -- West Wall 25448-26 Wall Texture, Heavy Basement— Hallway, North ND -- Wall 25448-27 Wall Texture, Trowelled On Basement—Water Heater ND -- Room, West Wall 25448-28 Wall Texture, Trowelled On Basement— Restroom ND -- Ceiling 25448-29 Wall Texture, Trowelled On Basement— Restroom, East ND -- Wall 25448-30 Duct Seam Tape, White Basement— SE Room, Throughout HVAC 80% Chrysotile Not Quantified HVAC Duct Seam Duct Seams 25448-31 Ceiling Texture, Heavy Basement— NW Room, ND -- Ceiling © PForensic Analytical Consulting Services www.forensicanalytical.com City of Tigard —Zuber House, Asbestos Sample Inventory (PJ25448) Analytical Estimated Sample ID Material Description Sample location Material Location o Results Quantity (/o Asbestos) 25448-32 Ceiling Texture, Heavy Basement—SE Room, ND -- Ceiling 25448-33 Drywall and Joint Compound Basement—Stairway -- ND -- 25448-34 Ceiling Texture, Light Popcorn 1St Floor— NW Entrance, ND -- Ceiling 25448-35 Ceiling Texture, Light Popcorn 1St Floor— NW Entrance, ND -- Ceiling 25448-36 Ceiling Texture, Heavy 1St Floor— NE Room, ND -- Ceiling Throughout Ceilings in: 15t Floor—SE Room, Ist Floor— NE Room, o 25448-37 Ceiling Texture, Heavy Ceiling SE Room and SW 2% Chrysotile 900 sq. ft. total Room 2nd Floor-West Room 25448-38 Ceiling Texture, Light Popcorn 2nd Floor-South Room -- ND -- © nForensic Analytical Consulting Services www.forensicanalyticaL com City of Tigard —Zuber House, Asbestos Sample Inventory (PJ25448) Analytical Estimated Sample ID Material Description Sample location Material Location o Results Quantity (/o Asbestos) Throughout Ceilings in: 2nd Floor—West Room, ,est Floor— NE Room, 25448-39 Ceiling Texture, Heavy Ceiling SE Room and SW 2% Chrysotile 900 sq. ft. total Room 2nd Floor—West Room 25448-40 Vapor Barrier Paper, Brown Exterior, North Elevation — ND with Foil Backing behind Siding 25448-41 Brick Mortar Exterior—Chimney -- ND -- 25448-42 Composition Roofing Roof, East Side -- ND -- 25448-43 Composition Roofing Roof, East Side, 2nd Layer -- ND -- 25448-44 Attic Insulation, Blown In Attic -- ND -- 25448-45 Wall Texture—Heavy 1St Floor— Hallway, South -- ND -- Knockdown Wall 25448-46 Wall Texture—Heavy 1St Floor— Hallway, South ND -- Knockdown Wall 25448-47 Wall Texture—Heavy 1St Floor— Hallway, South ND -- Knockdown Wall © nForensic Analytical Consulting Services www.forensicanalyticaL com City of Tigard —Zuber House, Asbestos Sample Inventory (PJ25448) Analytical Estimated Sample ID Material Description Sample location Material Location o Results Quantity (/o Asbestos) 25448-48 Wall Texture—Knockdown 1St Floor— Hallway, North ND -- Wall 25448-49 Wall Texture—Knockdown 1St Floor— NW Room, East _ ND -- Wall 25448-50 Wall Texture - Popcorn 1St Floor— NE Room Add- ND On, North Wall 25448-51 Wall Texture - Popcorn 1St Floor— NE Room Add- ND On, North Wall 25448-52 Wall Texture - Popcorn 1St Floor— NE Room Add- ND On, East Wall 25448-53 Drywall &Joint Compound 1St Floor— NE Room, North -- ND -- Wall 25448-54 Wall Texture—Orange Peel 1St Floor— SW Room, ND -- Closet 25448-55 Ceiling Texture—Orange Peel 1St Floor— SW Room, ND -- Closet 25448-56 Wall Texture—Orange Peel 1St Floor— SW Room, ND -- Closet © nForensic Analytical Consulting Services www.forensicanalytical.com City of Tigard —Zuber House, Asbestos Sample Inventory (PJ25448) Analytical Estimated Sample ID Material Description Sample location Material Location o Results Quantity (/o Asbestos) 25448-57 Wall Texture - Knockdown 2nd Floor—South Bedroom, ND -- North Wall 25448-58 Wall Texture - Knockdown 2nd Floor—South Bedroom, ND -- South Wall 25448-59 Ceiling Texture 2nd Floor— Restroom, ND -- Ceiling 25448-60 Wall Texture 2nd Floor— Restroom, East ND -- Wall 25448-61 Wall Texture 2nd Floor— Restroom, West ND -- Wall 25448-62 Plaster Basement Stairway— ND -- Ceiling 25448-63 Plaster Basement Stairway— North ND -- Wall 25448-64 Plaster Basement Stairway—South ND -- Wall 25448-65 Ceiling Texture, Medium Basement— Hallway, North -- ND -- 25448-66 Ceiling Texture, Medium Basement— Hallway, West -- ND -- © nForensic Analytical Consulting Services www.forensicanalytical.com f City of Tigard —Zuber House, Asbestos Sample Inventory (PJ25448) Analytical Estimated Sample ID Material Description Sample location Material Location Results Quantity (% Asbestos) 25448-67 Ceiling Texture, Medium Basement— Hallway, Center -- ND -- 25448-68 Wall Texture, Medium Basement— Hallway, South ND -- Wall 25448-69 Wall Texture, Medium Basement— Hallway, North ND -- Wall 25448-70 Ceiling Texture, Knockdown Basement—SW Room ND -- Ceiling 25448-71 Wall Texture, Knockdown Basement—SW Room, ND -- North Wall 25448-72 Wall Texture, Knockdown Basement—SW Room, ND -- South Wall ND—No Asbestos Detected © PForensic Analytical Consulting Services www.forensicanalVtical.com Appendix C: Limited Lead-Containing Paint Sample Inventory © Forensic Analytical Consulting Services www.forensicanalytical.com City of Tigard—Zuber House, Limited Lead-Containing Paint Sample Inventory(PJ25448) Lead % by Method Material Sample ID Description/Color Sample Location Component Substrate Weight Reporting Condition Limit 25448-Pbl Interior, Light Blue 2nd Floor—West Room, Door Frame Wood <0.02 0.02 Good East Wall 25448-Pb2 Interior, White 2nd Floor— Southeast Door Wood 2.2 0.2 Good Closet 25448-Pb3 Interior, White Basement—Cabinet Cabinet Wood <0.02 0.02 Good 25448-Pb4 Interior, Brown 1 St Floor—SE Room, Wall Drywall <0.02 0.02 Good South Wall 25448-Pb5 Interior, White 1St Floor— Restroom, Window Sill Wood 0.11 0.02 Good North Window 25448-Pb6 Exterior, Light Exterior, North Siding Metal 2.6 0.2 Good Green Elevation 25448-Pb7 Exterior, White Exterior, North Door Frame Wood <0.02 0.02 Good Elevation at Entrance 25448-Pb8 Interior, Off-White 2nd Floor—South Wall Drywall <0.04 0.04 Good Room, South Wall Basement—Water 25448-Pb9 Interior, Yellow Heater Room, North Wall Concrete 0.34 0.02 Good Wall 25448-Pb10 Interior, White Basement—Hallway, Wall Drywall <0.03 0.03 Good East Wall Any work that is performed on painted surfaces that contain detectable lead should be done using manual methods. Any contractor impacting or painting surfaces that contain detectable lead should be informed that they are doing so per CFR 1926.62. Any paint chips of paint with detectable lead generated by any construction or painting activities should be disposed of according to Federal, State and local regulations as well as individual landfill requirements. IN © Forensic Analytical Consulting Services www.forensicanalyticaL com Appendix D: Laboratory Reports and Chain of Custody Forms © Forensic Analytical Consulting Services www.forensicanalVtical.com Forensic Analytical Laboratories Final Report Bulk Asbestos Analysis (EPA Method 600/R-93-116,Visual Area Estimation) Forensic Analytical Consulting Svcs Client ID: PE21 Robin Sharpe Report Number: B200841 17400 SW Upper Boones Ferry Rd Date Received: 01/28/15 Suite 245 Date Analyzed: 01/30/15 Durham, OR 97224 Date Printed: 01/30/15 First Reported: 01/30/15 Job ID/Site: PJ25448; 9025 SW Burnham St.,Portland OR 97223 FALI Job ID: PE21 Total Samples Submitted: 43 Date(s)Collected: 01/27/2015 Total Samples Analyzed: 43 Asbestos Percent in Asbestos Percent in Asbestos Percent in Sample ID Lab Number Type Layer Type Layer Type Layer 25448-1 11604355 Layer: Grey Sheet Flooring ND Layer: Fibrous Backing ND Layer: Yellow Mastic ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(20%) Synthetic(10%) 25448-2 11604356 Layer: Brown Fibrous Material ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(95 %) 25448-3 11604357 Layer: Green Tile ND Layer: Yellow Mastic ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-4 11604358 Layer: Yellow Mastic ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-5 11604359 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-6 11604360 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-7 11604361 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 1 of 6 3777 Depot Road,Suite 409,Hayward,CA 94545 / Telephone:(510)887-8828 (800)827-FASI / Fax:(510)887-4218 Report Number: B200841 Client Name: Forensic Analytical Consulting Svcs Date Printed: 01/30/15 Asbestos Percent in Asbestos Percent in Asbestos Percent in Sample ID Lab Number Type Layer Type Layer Type Layer 25448-8 11604362 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-9 11604363 Layer: Grey Non-Fibrous Material ND Layer: White Mastic ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-10 11604364 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-11 11604365 Layer: Tan Mastic ND Layer: Tan Sheet Flooring ND Layer: Black Fibrous Backing ND Layer: Red-Brown Mastic ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(20%) Synthetic(10%) 25448-12 11604366 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-13 11604367 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-14 11604368 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-15 11604369 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 2 of 6 3777 Depot Road,Suite 409,Hayward,CA 94545 / Telephone:(510)887-8828 (800)827-FASI / Fax:(510)887-4218 Report Number: B200841 Client Name: Forensic Analytical Consulting Svcs Date Printed: 01/30/15 Asbestos Percent in Asbestos Percent in Asbestos Percent in Sample ID Lab Number Type Layer Type Layer Type Layer 25448-16 11604370 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-17 11604371 Layer: Off-White Tile ND Layer: Clear Mastic ND Layer: Tan Sheet Flooring ND Layer: Black Fibrous Backing ND Layer: Red-Brown Mastic ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(20%) Synthetic(10%) 25448-18 11604372 Layer: Yellow Mastic ND Layer: Black Fibrous Material ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(50%) 25448-19 11604373 Layer: White Drywall ND Layer: White Joint Compound ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(10%) Fibrous Glass(5 %) 25448-20 11604374 Layer: Green Tile Chrysotile 5 % Layer: Black Mastic Chrysotile 5 % Total Composite Values of Fibrous Components: Asbestos(5%) Cellulose(Trace) 25448-21 11604375 Layer: Red Tile Chrysotile 5 % Layer: Black Mastic Chrysotile 5 % Total Composite Values of Fibrous Components: Asbestos(5%) Cellulose(Trace) 25448-22 11604376 Layer: Grey Sheet Flooring ND Layer: Fibrous Backing ND Layer: Yellow Mastic ND Layer: White Sheet Flooring ND Layer: Fibrous Backing ND Layer: Yellow Mastic ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(20%) Synthetic(10%) Comment: Bulk complex sample. 3 of 6 3777 Depot Road,Suite 409,Hayward,CA 94545 / Telephone:(510)887-8828 (800)827-FASI / Fax:(510)887-4218 Report Number: B200841 Client Name: Forensic Analytical Consulting Svcs Date Printed: 01/30/15 Asbestos Percent in Asbestos Percent in Asbestos Percent in Sample ID Lab Number Type Layer Type Layer Type Layer 25448-23 11604377 Layer: White Non-Fibrous Material ND Layer: White Mastic ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-24 11604378 Layer: Tan Fibrous Material ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(90%) 25448-25 11604379 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-26 11604380 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-27 11604381 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-28 11604382 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-29 11604383 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-30 11604384 Layer: White Tape Chrysotile 80 % Total Composite Values of Fibrous Components: Asbestos(80%) Cellulose(15 %) 25448-31 11604385 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 4 of 6 3777 Depot Road,Suite 409,Hayward,CA 94545 / Telephone:(510)887-8828 (800)827-FASI / Fax:(510)887-4218 Report Number: B200841 Client Name: Forensic Analytical Consulting Svcs Date Printed: 01/30/15 Asbestos Percent in Asbestos Percent in Asbestos Percent in Sample ID Lab Number Type Layer Type Layer Type Layer 25448-32 11604386 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-33 11604387 Layer: White Drywall ND Layer: White Joint Compound ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(10%) Fibrous Glass(5 %) 25448-34 11604388 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-35 11604389 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-36 11604390 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-37 11604391 Layer: Off-White Texture Chrysotile 2 % Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(2%) Cellulose(Trace) 25448-38 11604392 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-39 11604393 Layer: Off-White Texture Chrysotile 2 % Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(2%) Cellulose(Trace) 5 of 6 3777 Depot Road,Suite 409,Hayward,CA 94545 / Telephone:(510)887-8828 (800)827-FASI / Fax:(510)887-4218 Report Number: B200841 Client Name: Forensic Analytical Consulting Svcs Date Printed: 01/30/15 Asbestos Percent in Asbestos Percent in Asbestos Percent in Sample ID Lab Number Type Layer Type Layer Type Layer 25448-40 11604394 Layer: Tan Fibrous Material ND Layer: Foil ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(95 %) 25448-41 11604395 Layer: Grey Cementitious Material ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-42 11604396 Layer: Black Roof Shingle ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) Fibrous Glass(45 %) 25448-43 11604397 Layer: Black Roof Shingle ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) Fibrous Glass(45 %) Tad Thrower,Laboratory Supervisor,Hayward Laboratory Note: Limit of Quantification('LOQ')= 1%. 'Trace'denotes the presence of asbestos below the LOQ. 'ND'_'None Detected'. Analytical results and reports are generated by Forensic Analytical Laboratories Inc.(FALI)at the request of and for the exclusive use of the person or entity(client)named on such report.Results,reports or copies of same will not be released by FALI to any third party without prior written request from client.This report applies only to the sample(s)tested. Supporting laboratory documentation is available upon request.This report must not be reproduced except in full,unless approved by FALI.The client is solely responsible for the use and interpretation of test results and reports requested from FALI. Forensic Analytical Laboratories Inc. is not able to assess the degree of hazard resulting from materials analyzed.FALI reserves the right to dispose of all samples after a period of thirty(30)days,according to all state and federal guidelines,unless otherwise specified. All samples were received in acceptable condition unless otherwise noted. 6 of 6 3777 Depot Road,Suite 409,Hayward,CA 94545 / Telephone:(510)887-8828 (800)827-FASI / Fax:(510)887-4218 Forensic Analytical r amt TAL WALMe�R TAr BULK SAMPLE REQUEST FORM Page L of PE21 FACS Portland Chem: Sampled of TigardOr on Sampled by: s' PM: Robin Sharps Date:�*s- 7 Special E-mail results to rsharpe@fommicmalytical.com and Contact Robin Sharpe Phone: (503) 5951001 Instructions: rtenorio@forensicanalyhud e TK(iE �=r���p.r,uS;Ca.�al vF�u.-I, c'o Site: 9025 SW Burnham St. Turnaround 1-Day 2-Day 3-D 5-Day Other Due Date and Time: Portland OR 97223 Time: El ❑ Client C3716 FACS PJ25448 Analysis: PLM Standard I ❑ oim Count / ❑Flame AA(Pb) Job#: Other Sample Number Material Description Sample Location Friable Cond. Quantity Z ' Iq 11 �+CC/L5;,S- �n�� SVrA <� .o� g, fC- 1 Cig cl / Gl"a- J Ems; I6 {4�✓ I� r � Md �lrUri s- 73dZ WB-Wa11M JC-John Compound FT-Floor Ttle FTM-Floor Tile Mastic BBM-Baseb M.M Friable Good/ RSF-Resilient Sbea H nag CT-CaGa Tile SAA.M-S m -A IiWAamstical Mat A WT-Wall Texture Yes/No Fah/Poor Shipped via: Fed Ex Aitbome UPS US Mail ❑Courier j Drop Off Lj Other: Rehnga' y Date,&Time: Received by: Date&Time:0 Ap : R C V 1 O /` 1/� r -w Condition Ameplavle lJ�es51 6170 Relinqu' ed by: Dade&Time: Received by: Date&Time: Condition Ameptable❑Yes❑No Forensic Analytical � ...,e.... .a noxsw..n BULK SAMPLE REQUEST FORM Page �,£ Client: ityCE2o1 FACS PDortlland regon Sampled b _.PM: Robin Sharpe Date: a� z Special E-nmil results to rsharpe@Ibremicanalydcal.com and Contact: Robin Sharpe Phone: (503)595-1001 rienoforansicanal icatco Instructions: ri a7 �=1.,ryZ, /AN5 1 Y4 /frti � • Cvv� Site: 9025 SW Burnham St. Turnaround 1-Day 2-➢ay 3-0ay 5-Day I Other I Due Dateand Time: Portland OR 97223 Time: ❑ ❑ ❑ ❑ Client C3716 FACS PJ25448 Analysis: I M Standard / ❑Paint Cowt / ❑Flame AA(Pb) Job#: I E]other Sample Number Material Description Sample Location Friable Cond. Quantity I r C� F I � 2 f4i $ lZ hkfrfvy va Ir Tc,c � l�� �x(1 �'� �1r< L�.,.-�-?e' 1ZrJ� + WB—Wallboard JC-Joico Compm FT-Fbor Tde FTM-Fbor Tile Mastic BBM-B.aeb.W Mastic Friable ( di ELF-Reailiml sheet F'Iw- C I-Galin Tile $AAM-b Iii Acpuvtiwl Malcnal WT-Wall TcxNre Ycs/No Fair/Poor Shippey, hi ed vis: Fed Ex AirborneLj UPS Lj US Mail Lj Courier Drop Off Other. Rehnq,u by Date& me Received by Date& lime 5 q�p �� L v� (fir"^— Condition Acc�ptab�e�lYes LJ No 9 R C V D Relinquished by: Date&Time. Received by: Date& rime: Condition Acceptable❑Yes[ No Forensic Analytical arsmapaatan•:.i nein.consai r.�rs BULK SAMPLE REQUEST FORM Page 3 ofr— Client PE21 FACS Portland Sampled by: 7� PM: Robin Sharpe Date: p1/Z 7/1 CI of Ti ar Or oa Special E-mail results to rsharpe(g)forensicanalytical.com and Contact: Robin Sharpe Phone: (503) 595-1001 Instructions. rtenorioCa;forensicanal 'ca com Site: 9025 SW Burnham St. Turnaround I-Day 2-6ay 3-Day 5-Day Other Due Dace and Time: Portland OR 97223 Time: ❑ ❑ ❑ Client 03716 FACS PJ25448 Analysis: PLM Standard ❑Point Count / ❑Flame AA(Pb) No.: Job#: U Other. Sample Number Material Description Sample Location Friable Cond. Quantity rlS ' Z 1 eu- 9'1�S '^-�sr- /}cc.asr��. ?�a, r-•�--.� �'l-t- S'�../ N se 2Z f2w�1� /a-�er- Sl/ -Z 3 2_5 N✓ wo„I e z& a� -4- tix Z Wa—Wallboard IC-Jnim Compound FT-Floor Tile -Floor Tile Mastic BBM-BaseboaN Mastic Friable Good/ RSF-Resilient Shat uwin CT-Colin Tik SAAM-S a -A HWAw Axal MamiW Wr-Wall Texture Y./No Fair/Poor Shipped via: ed F.x Airborne iJPS US Mail Courier Drop Off U Other: Relinquirhe Dare& 75 e.' Rerrrved b7- Dare& n X11- A ' 79 CVD 7/-e (r- / �!/t/ 3�� Condition Amepta6le 098-1 Yes[J 1Jo ReliWurshed by: ' Dare&Time Recen y: Dare&Time: Condition Acceptable Yes❑No Forensic Analytical exva+ar.ur_xr..rrr.rnreoxswnwrs BULK SAMPLE REQUEST FORM Page A of . Client: PE21 FACS Portland Sampled by: PM: Robin Sharpe Date: Z Cit of Tigard,Oregon 751 d/7 1 Special E-mail results to mbarye(a)forensicanalytical.com and Contact: Robin Sharpe Phone: (503)595-1001 Instructions: mnorio@fommicanalytigaj.com NS Gw r � Site: 9025 SW Burnham St. Tumnround 1 ny2-0a 3-llay 5-➢ay Other Due Date and Time: Portland OR 97223 Time: ❑ ❑ ❑ Client C3716 FACS PJ25448 Analysis; �FrtcM Slandafd / ❑Point Co=t i [IFlame AA(Pb) No.: Job k: E] other: Sample Number Material Description Sample Location able Cond. Quantity t�G^71, CwM(� — Jews 3g L� 2�✓ 2 NW ilwy,, )2,,t er.c✓ d'Pyr fe/t: rP 9, ; iv f w / WB-Wallboard JC-Joim(7 urd T7-Flare Tile FPM-M.7.leM.w BBM-Baseboard Mastic Friable Good/ ASP-Itniliem Sh Flornw CT-Ceilin Tile $AAM-S -A lied Acwstical Mamrial WT-Wall Teatme Ya/No Pair/Poor Shipped via: ed Ex Airborne UPS UUSmail LICourier LIDropoff Other. Relinquis Dare&Time: Receeved Dale&Time: 7��p r,e l,p 1 r /z ip / Condlti..Accepraole)jYP91-]0 1 CVD Relinquished by: Dare& Time.: Received kA Date&Time: Condition Acceptable❑Yes❑No Forensic Analytical BULK SAMPLE REQUEST FORM Page Sof Client: PE21 FACS Portland Sampled by: PM: Robin Sharpe Date: City ofrt ard,OrMn Special E-mail results to rsharpe(ylforeasicanalytical.com and Contact: Robin Sharpe Phone: (503) 595-1001 Instructions: nenorio@forensicanalytical.com Site: 9025 SW Burnham St. Tumaround 1-Day 2-Day 3-Day 5-Day Other Due Dateand Time: Portland OR 97223 Time: El Portland ❑ ❑ Client C3716 - FACS Pi Analysis: ❑ PLM Standard i ❑Point Count / ❑Flame AA(Pb) / No.: Job#: ❑ other: Sample Number Material Description Sample Location Friable Cond. Quantity ?S`j L_ f /_iLKiz S L C�ti_Y� 6C�u ler Z We-Wallbead JC-Joint Compound PT-Floor Tile FTM-Fbo,Tile Mastic BBM Base Mak Fmble Good/ aSF-R ilimt Sht Flomin CI-Cemn,,Tile SA -S lied Acouaucel Materiel WT-Wall Texture Ycal No Feai Poor S ed via: Fed Ex Airbome UPS US MailLjCouner IjDmpOff LjOther RelingmsAed h Dar f L Time Received by: Ddte&Tile 2$ �A I el�9 C VD _>'� l �/W y✓•aw Condition Acceptable Yea LJ o Relin fished 6y: Date&Tane: Received by Dale&Time. Condition Acceptable I]Yes❑No Forensic Analytical Laboratories Final Report Bulk Asbestos Analysis (EPA Method 600/R-93-116,Visual Area Estimation) Forensic Analytical Consulting Svcs Client ID: PE21 Robin Sharpe Report Number: B201447 17400 SW Upper Boones Ferry Rd Date Received: 02/11/15 Suite 245 Date Analyzed: 02/17/15 Durham, OR 97224 Date Printed: 02/17/15 First Reported: 02/17/15 Job ID/Site: PJ25448; 9025 SW Burnham St.,Portland OR 97223 FALI Job ID: PE21 Total Samples Submitted: 29 Date(s)Collected: 02/10/2015 Total Samples Analyzed: 29 Asbestos Percent in Asbestos Percent in Asbestos Percent in Sample ID Lab Number Type Layer Type Layer Type Layer 25448-44 11608811 Layer: Brown Fibrous Material ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(95 %) 25448-45 11608812 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-46 11608813 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-47 11608814 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-48 11608815 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-49 11608816 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-50 11608817 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(2%) 1 of 5 3777 Depot Road,Suite 409,Hayward,CA 94545 / Telephone:(510)887-8828 (800)827-FASI / Fax:(510)887-4218 Report Number: B201447 Client Name: Forensic Analytical Consulting Svcs Date Printed: 02/17/15 Asbestos Percent in Asbestos Percent in Asbestos Percent in Sample ID Lab Number Type Layer Type Layer Type Layer 25448-51 11608818 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(2%) 25448-52 11608819 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(2%) 25448-53 11608820 Layer: White Drywall ND Layer: White Joint Compound ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(20%) 25448-54 11608821 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-55 11608822 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-56 11608823 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-57 11608824 Layer: Paint ND Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-58 11608825 Layer: Paint ND Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(2%) 2 of 5 3777 Depot Road,Suite 409,Hayward,CA 94545 / Telephone:(510)887-8828 (800)827-FASI / Fax:(510)887-4218 Report Number: B201447 Client Name: Forensic Analytical Consulting Svcs Date Printed: 02/17/15 Asbestos Percent in Asbestos Percent in Asbestos Percent in Sample ID Lab Number Type Layer Type Layer Type Layer 25448-59 11608826 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-60 11608827 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-61 11608828 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-62 11608829 Layer: Off-White Plaster ND Layer: White Plaster ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-63 11608830 Layer: Off-White Plaster ND Layer: White Plaster ND Layer: Paint ND Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-64 11608831 Layer: Off-White Plaster ND Layer: White Plaster ND Layer: Paint ND Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-65 11608832 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 3 of 5 3777 Depot Road,Suite 409,Hayward,CA 94545 / Telephone:(510)887-8828 (800)827-FASI / Fax:(510)887-4218 Report Number: B201447 Client Name: Forensic Analytical Consulting Svcs Date Printed: 02/17/15 Asbestos Percent in Asbestos Percent in Asbestos Percent in Sample ID Lab Number Type Layer Type Layer Type Layer 25448-66 11608833 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-67 11608834 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-68 11608835 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-69 11608836 Layer: Brown Non-Fibrous Material ND Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-70 11608837 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-71 11608838 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 25448-72 11608839 Layer: White Texture ND Layer: Paint ND Total Composite Values of Fibrous Components: Asbestos(ND) Cellulose(Trace) 4 of 5 3777 Depot Road,Suite 409,Hayward,CA 94545 / Telephone:(510)887-8828 (800)827-FASI / Fax:(510)887-4218 Report Number: B201447 Client Name: Forensic Analytical Consulting Svcs Date Printed: 02/17/15 Asbestos Percent in Asbestos Percent in Asbestos Percent in Sample ID Lab Number Type Layer Type Layer Type Layer Tad Thrower,Laboratory Supervisor,Hayward Laboratory Note: Limit of Quantification('LOQ')= 1%. 'Trace'denotes the presence of asbestos below the LOQ. 'ND'_'None Detected'. Analytical results and reports are generated by Forensic Analytical Laboratories Inc.(FALI)at the request of and for the exclusive use of the person or entity(client)named on such report.Results,reports or copies of same will not be released by FALI to any third party without prior written request from client.This report applies only to the sample(s)tested. Supporting laboratory documentation is available upon request.This report must not be reproduced except in full,unless approved by FALI.The client is solely responsible for the use and interpretation of test results and reports requested from FALI. Forensic Analytical Laboratories Inc. is not able to assess the degree of hazard resulting from materials analyzed.FALI reserves the right to dispose of all samples after a period of thirty(30)days,according to all state and federal guidelines,unless otherwise specified. All samples were received in acceptable condition unless otherwise noted. 5 of 5 3777 Depot Road,Suite 409,Hayward,CA 94545 / Telephone:(510)887-8828 (800)827-FASI / Fax:(510)887-4218 Forensic Analytical a. a .rTw 111 „avn BULK SAMPLE REQUEST FORM Page BULK -2. Clint: PE21 FACS Portland Sampled by: PM: Robin Sharpe Date:oLo,1115- Contact: /o l City of Ti ard,Ore on Special -mail results to rsharpe@foremicanalylical.com and Contact: Robin Sharpe Phone: (503) 595-1001 Instructions: nenorio(oferensicanalytical.com Site: 9025 SW Burnham St. Turnaround I-Day 2-Day 3-Da -Da 5y Other ue DDate and Time: Portland OR 97223 Time: ❑ ❑ ❑ Client C3716 FACS PJ25448 Analysis: LM Standard / Eloint Count / E]Flame AA(Ph) No.: Job At: El Otho Sample Number Material Description Sample Location Friable Cond. Quantity ZS y�l b $ tq Mrrr;J (� �I wt,'/ t( r-v nail t Ait rlr.,,SII U �NLc�L ,l•,�� W✓1 ) i � , 1 �� ✓✓L.� K � alI- T A./ �o si WB—Wallb JC-loml Qrmpoavd Fr-Floor Tile FFA/-Floor Tile Mastic BBM-BaseWad MuLai Riable GnmI RSF-Reiliea Sh«t ooriv CT-Ccdin lile SAAM- APWWAcoaaticalMau l WT-Wall Texture Ya!No Fain Poor Shipped via: k4ed Fac AirborneLj UPS US Mail Lj Courier ❑Drop Off LjOrheT: RelinquMliedby. Date&Time: Received by: Date"' "aa"aa 11 -15A10: 2 2 CAJAIiA,Aoc le Yw❑No Relinquished by: --- Date& 77me- Received by: I Dale& Time: Condition Acceptable❑Yes❑No Forensic Analytical z «„ :,, •.v : BULK SAMPLE REQUEST FORM Page_of} . Client: PE21 FACS Portland Sampled by: PM: Robin Sharpe Date:��0 �� City of Tigard,Oregon Special .4'-mail results to nhlupe@forensicanalytical.com and Contact: Robin Sharpe Phone: (503) 595-1001 Instructions: nenorio@forenneanalytical.eom Site: 9025 SW Burnham St. Tumaround I I-D., 2-Dav 3-Day 5-Day Other Due Date and Time: Portland OR 97223 Time: ❑ ❑ ❑ Client C3716 FACS PJ25448 Analysis: LM Standard / Ll Point Count [I Flume AA(Pb) No.: Job #: ❑other: Sample Number Material Description Sample Location Friable Cond. Quantity Will,1Syy�- S5 �P� M ; > lam Coo j5 sS, ✓ s' b 1,✓�, l 7r�x JZfL l 7i a 5 w.,KT !✓�t \ WB Wallboard JC-Joint Compound FT-Fluor Tile FTM Floor Tile Mask BBM-Baseboard Mastic Friable Goudl RSF-Rent.t Sbeel Flr Ch Lein Tik SAAM-S •A liolAum,twWMaterial WF-Wall Texture Yes!No Favi Poor Shipped via: ffe elirbomeW UPS ❑US Mail Lj Courier I I Dr Off I I Other. Rrllnqurs - Dare& Tme: _ L Received by: - D�a�le& Ii- a_z b /S � / -02-11 -15410 : 22 Cond aon Ace ale Yes�No Relinquished by: Dare& e: Received bv: Dare& Time: Condition Acceptable❑ Yes❑No Forensic Analytical BULK SAMPLE REQUEST FORM Page 3 of . 7�E21 FACS Portland Sampled by: PM: Robin Sharpe Date:7 ,, Ci of Tigard,Oregon tl Client P Special E-mail results to tsharpe(Ra)forensicanalyticaloom and Contact: Robin Sharpe Phone: (503)595-1001 Instructions: nenorit)@Ifmensicanalytical.com Site: 9025 SW Burnham St. Tumuound I-Day 2-Day 3 5-Day othcr Due Date aMTime: Portland OR 97223 Timc: El -D ❑ ❑ Client C3716 FACS Pi Analysis: PLM Standard / ❑ Point Count / E)Flame AA(Pb) / No.: Job#: Other: Sample Number 'Material Description Sample Location Friable Cond. Quantity 2J ((' US- r �^�%fin f � n5�. /S lG . r b'1 e Vj IV PSC - ter WB-Wallboard JC-JO tCmpound FT-Flom Tile r -Floor Tile Mastle BBM-ease idMustic Friable Oocdr RSP-R.iliem Sheer 'n CT-Ceilm Tile 5AAM-S -A IWAc 4ical Maunal WT-W'all Textmc Ya!N,, kav/Paver Shi ed via: Fed Ex ❑Airbome WUPS LJUSMad LjCouner LjDmpOff ❑Other. Relinquished yv Dute&Tip��e: Recehed by. Dpa�le❑& Tim J/G/S �q 2-11-1 `'A 1 0 23 Ctlh�iSon Acceptable Yus❑No Relmgttuhed by: Date& Time. Received by: Dale& Time: Condition Acceptab le❑Yes❑No Final Report Forensic Analytical Laboratories Metals Analysis of Paints Forensic Analytical Consulting Svcs Client ID: PE21 Robin Sharpe Report Number: M157724 17400 SW Upper Boones Ferry Rd Date Received: 01/28/15 Suite 245 Date Analyzed: 02/02/15 Durham, OR 97224 Date Printed: 02/02/15 First Reported: 02/02/15 Job ID/Site: PJ25448; 9025 SW Burnham St.,Portland OR 97223 FALI Job ID: PE21 Date(s)Collected: 1/27/15 Total Samples Submitted: 7 Total Samples Analyzed: 7 Result Reporting Method Sample Number Lab Number Analyte Result Units Limit* Reference 25448-PB1 30704443 Pb <0.02 wt% 0.02 EPA 305013/7420 25448-PB2 30704444 Pb 2.2 wt% 0.2 EPA 305013/7420 25448-PB3 30704445 Pb <0.02 wt% 0.02 EPA 305013/7420 Comment: Insufficient sample size for repeatable analysis. 25448-PB4 30704446 Pb <0.02 wt% 0.02 EPA 305013/7420 25448-PB5 30704447 Pb 0.11 wt% 0.02 EPA 305013/7420 25448-PB6 30704448 Pb 2.6 wt% 0.2 EPA 305013/7420 Comment: Insufficient sample size for repeatable analysis. 25448-PB7 30704449 Pb <0.02 wt% 0.02 EPA 305013/7420 Comment: Insufficient sample size for repeatable analysis. *The Reporting Limit represents the lowest amount of analyte that the laboratory can confidently detect in the sample, and is not a regulatory level. The Units for the Reporting Limit are the same as the Units for the Final Results. �n- , Daniele Siu,Laboratory Supervisor,Hayward Laboratory Analytical results and reports are generated by Forensic Analytical at the request of and for the exclusive use of the person or entity(client)named on such report.Results, reports or copies of same will not be released by Forensic Analytical to any third party without prior written request from client.This report applies only to the sample(s) tested.Supporting laboratory documentation is available upon request.This report must not be reproduced except in full,unless approved by Forensic Analytical.The client is solely responsible for the use and interpretation of test results and reports requested from Forensic Analytical.Forensic Analytical is not able to assess the degree of hazard resulting from materials analyzed. Forensic Analytical reserves the right to dispose of all samples after a period of thirty(30) days,according to all state and federal guidelines,unless otherwise specified. Any modifications that have been made to referenced test methods are documented in Forensic Analytical's Standard Operating Procedures Manual.Sample results have not been blank corrected. Quality control and sample receipt condition were acceptable unless otherwise noted. 1 of 1 3777 Depot Road,Suite 409, Hayward,CA 94545 / Telephone:(510)887-8828 (800)827-FASI / Fax: (510)887-4218 Forensic Analytical PAINT CHIP SAMPLE REQUEST FORM Page Iof Client: PF21 FACS Portland Sampled by: /C_ PM: Robin Sharpe Date:,,/ z Ci oJ S iT' and Oregon 7 /S' Contact: Robin Sharpe Phone: (.503)595-1001 Special E-mail results to rsharpe@forensieamlytical.com and Instructions: renorio@forensicanatly� atcorn - �✓rcocc (�,�S:carc� YN'r�' 9025 SW Burnham St. Turnaround 1-Day I 2-Day 3-D'y 5-Day Other Due Date and Time: Site: Portland OR 97223 Time: 1-1 El ❑ ❑ Client C3716 FACS PJ25448 Analysis: (Pb) No.: Job #: ❑ Other: Sample Number Sample Location Component Color Substrate Condition 1-07 cJd 7J LI C Subs"tc: wood meml emcme p1mur all bnck Shi ed viz: ❑Airborne ❑UPS ❑ US Mail ❑ Courier OUMpOff ❑ Other: Reli y' Date&/. Dme: Received by. _ Date&Time: �5 e 1 J7 > " r� Cnndirion AcceptaRlJ Oex C]NA Relinquishedby: Date&Time: R,cei'valb, I Date& Time: Condition Acceptable❑Yes❑No Final Report Forensic Analytical Laboratories Metals Analysis of Paints Forensic Analytical Consulting Svcs Client ID: PE21 Robin Sharpe Report Number: M158144 17400 SW Upper Boones Ferry Rd Date Received: 02/11/15 Suite 245 Date Analyzed: 02/12/15 Durham, OR 97224 Date Printed: 02/12/15 First Reported: 02/12/15 Job ID/Site: PJ25448; 9025 SW Burnham St.,Portland OR 97223 FALI Job ID: PE21 Date(s)Collected: 2/10/15 Total Samples Submitted: 3 Total Samples Analyzed: 3 Result Reporting Method Sample Number Lab Number Analyte Result Units Limit* Reference 25448-PB8 30705505 Pb <0.04 wt% 0.04 EPA 305013/7420 Comment: Insufficient sample size for repeatable analysis. 25448-PB9 30705506 Pb 0.34 wt% 0.02 EPA 305013/7420 25448-PB10 30705507 Pb <0.03 wt% 0.03 EPA 305013/7420 Comment: Insufficient sample size for repeatable analysis. *The Reporting Limit represents the lowest amount of analyte that the laboratory can confidently detect in the sample, and is not a regulatory level. The Units for the Reporting Limit are the same as the Units for the Final Results. �n- , Daniele Siu,Laboratory Supervisor,Hayward Laboratory Analytical results and reports are generated by Forensic Analytical at the request of and for the exclusive use of the person or entity(client)named on such report.Results, reports or copies of same will not be released by Forensic Analytical to any third party without prior written request from client.This report applies only to the sample(s) tested.Supporting laboratory documentation is available upon request.This report must not be reproduced except in full,unless approved by Forensic Analytical.The client is solely responsible for the use and interpretation of test results and reports requested from Forensic Analytical.Forensic Analytical is not able to assess the degree of hazard resulting from materials analyzed. Forensic Analytical reserves the right to dispose of all samples after a period of thirty(30) days,according to all state and federal guidelines,unless otherwise specified. Any modifications that have been made to referenced test methods are documented in Forensic Analytical's Standard Operating Procedures Manual.Sample results have not been blank corrected. Quality control and sample receipt condition were acceptable unless otherwise noted. 1 of 1 3777 Depot Road,Suite 409, Hayward,CA 94545 / Telephone:(510)887-8828 (800)827-FASI / Fax: (510)887-4218 Forensic Analytical r n�NEM.k�� =„coxsutr u s PAINT CHIP SAMPLE REQUEST FORM Page Jot Client: PE21 FACS Portland Sampledby: 75�C' PM: Robin Sharpe Date:6z �„ City at'fi , d,Oregon hr Special E-mail results to rsharpe©foreusicanalytical.com and Contact: Robin Sharpe Phone: (503) 595-Y OOY Instructions: rtenoria©forensicanalytical.eom Site: 9025 SW Burnham St. Turnaround 1-Day 2-Day 3-D�y 5-Day Other Duo Data and Time: Portland OR 97223 Time : . ❑ El11 Client C3716 FACS PJ25448 Analysis: Flame AA (Pb) / No.: Job#: ❑ Other: Sample Number Sample Location Component Color Substrate Condition /le Substrate: woad metal concrete looter d vaii brick Shipped via' Fed Ex ❑ AirboJne, ❑UPS ❑US Mail ❑ courier ❑—Drop Off ❑Other: Re/ingrucJra?Ti . Dale&Timer Received by: - Date&Tin e: 02-11— t� Rd X� Pa El No G 15A10 : on ifi A 'e t 6� Yes Relinquished by: Dale&Tin Received by: I I Dale&7Fme: Coaditim Adoptable❑yes❑No Appendix E: Accreditation © Forensic Analytical Consulting Services www.forensicana lytical.com Certificate • a y Todd • • has satisfactorily completed 4 hours of refresher training as an h AsbestosBuilding to comply with the training requirements ofi tTSCA Title 11 ' 1 CFR 763RA 148482 certificate Number Sep 24, 2014 � ski or ARGUE x� >> ExpirationTRAINING CONSULTINGn Exam Score: NA •. _p 24, 2015 ; ! 4' rgusnc. Nickerson, Suite 3 15 - Seattle,Washington 981 19 206.285.3373 fax 206.285.3927 gc �.x f. l fid► �. �P'y t uw Forensic Analytical ENVIRONMENTAL HEALTH CONSULTANTS "The solution is in the FA CS. " At Forensic Analytical Consulting Services (FACS) our mission is to leave our scientific fingerprint on every client we serve. We accomplish this by delivering data and expertise that is accurate, cost effective, and contextually useful in solving issues of public and environmental health. Our expert teams are available to respond nationally to help resolve a broad range of chemical, physical and biological concerns: California Nevada Los Angeles 310-668-5600 Las Vegas 702-784-0040 Sacramento 916-726-1303 Oregon San Diego 858-504-0033 Portland 503-595-1001 San Francisco 510-266-4600 www.forensicanalytical.com © Forensic Analytical Consulting Services www.forensicana l ytical.com