Report (60) . amass sk,,3Sk
EG(RI RECEIVE
off1NOV G 2018
CITY OF TIGARD
BUILDING DIVISION
ASBESTOS SURVEY
For
Pape Machinery
6955 SW SAND ERG ROAD
TIGARD, OREGON
Produced for:
Pape Machinery
KELSAY
Environmental Consulting
3693 SE Francis St
Portland. Oregon 97202
September 2018
PAPE MACHINERY ASBESTOS SURVEY INDEX
Asbestos Survey
prepared for
Pape Machinery
For the location at
6955 SW Sandberg Road
Tigard, Oregon 97223
This report is for the exclusive use of the client and is not to be
photographed, photocopied, or similarly reproduced in total or in part
without the expressed written consent of the client.
KELSAY
Environmental Consulting
3693 SE Francs St
Portland, Oregon 97202
September 2018
KELSAY ENVIRONMENTAL CLIENT: Pape Machinery
PAPE MACHINERY ASBESTOS SURVEY INDEX
Asbestos Inspection
Scope of Work/Signature Page
Inspection Summary
ACBM Quantities Table 1
Discussion of Findings
Asbestos Sampling Inventory Table 2
Photo Documentation
Laboratory Reports/Chain of Custody
KELSAY ENVIRONMENTAL CLIENT: Pape Machinery
PAPE MACHINERY HAZARDOUS MATERIALS SURVEY
SURVEY SCOPE Kelsay Project No. 8000.00
Kelsay Environmental provided an asbestos survey and compiled a report following the scope of work
presented below.
SCOPE OF WORK
1. Inspect and sample suspect asbestos-containing building materials (ACBM) in accordance with
state and federal regulations (OSHA and AHERA).
2. Bulk samples to be analyzed for asbestos by PLM (Polarized Light Microscopy) by CA Labs, LLC.
3. Identify asbestos findings, approximate quantities and cost estimates for abatement.
CERTIFICATION
Kelsay Environmental has conducted a physical inspection of the building and compiled this report
consistent with the survey scope and certifies that the information is correct and accurate within the
standards of professional quality and contractual obligations.
Lisa Janik
Environmental Professional/AHERA Inspector 167150
KELSAY ENVIRONMENTAL CLIENT: Pape Machinery
PAPE MACHINERY HAZARDOUS MATERIALS SURVEY
ASBESTOS INSPECTION SUMMARY
Kelsay Environmental conducted an asbestos survey of suspect asbestos-containing materials at the
following site:
Pape Machinery
6955 SW Sandberg Road
Tigard, Oregon 97223
The asbestos survey was conducted by Lisa Janik(AHERA Accredited Inspector) on September 12, 2018.
The survey team was comprised of Lisa Janik,AHERA Accredited Inspector. The Guidelines for the survey
and sampling were established by the Environmental Protection Agency (EPA) in the Guidance for
Controlling Asbestos Containing Materials in Buildings, and the 40 CFR Part 763 Asbestos Hazard
Emergency Response Act (AHERA), and the Occupational Safety Health Administration (OSHA) testing
protocol for minimizing Worker Exposure Rules (1994). All bulk samples of suspect ACMs were analyzed
by CA Labs, LLC using Polarized Light Microscopy(PLM), as described in 40 CFR Part 763 and the National
Emissions Standard for Hazardous Air Pollutants (NESHAPS).
The building consists of a two-story structure with a warehouse and office spaces. The following material
was tested for asbestos: Sheet Vinyl Flooring, Cove Base/Glue, Rubber Stair Riser, Lay-in Ceiling Tile and
Texture/Wallboard/Joint Compound. Asbestos containing thermal system insulation and hard fittings
were not observed, however, they may be concealed within wall cavities and plenums. Table 2 outlines
the tested materials, locations and results.
The black mastic under grey sheet vinyl layers tested positive for asbestos.
Table I
ASBESTOS FINDINGS/QUANTITIES/COST ESTIMATE
Material Description Location Condition Approximate Approximate
F/NFD/NF Quantity Cost to Abate
Observed
Black Mastic under grey Mezzanine Janitor's closet NFD 20 SF Determined by
sheet vinyl layers between bathrooms Abatement
Contractor
NFD-Non-Friable until removed, disturbed or damaged
KELSAY ENVIRONMENTAL CLIENT: Pape Machinery
PAPE MACHINERY HAZARDOUS MATERIALS SURVEY
Discussion of Findings
Mastic:
Mastic was found to be positive for asbestos. It's associated with floor tile and is a non-friable material
that becomes friable during abatement. It should be removed under a full-containment negative
pressure enclosure by a certified abatement contractor prior to renovation or disturbance and disposed
of per DEQ regulations (OAR 340-032-5650).
KELSAY ENVIRONMENTAL CLIENT: Pape Machinery
PAPE MACHINERY HAZARDOUS MATERIALS SURVEY
TABLE 2
ASBESTOS BULK SAMPLING INVENTORY
Pape Machinery
Sample No. Material Description Location Results(%by weight)
8000-001 Tan 12" Sheet Vinyl/Glue Mezzanine NAD
8000-002 Tan 12" Sheet Vinyl/Glue Mezzanine NAD
8000-003 Grey Cove Base/Glue Mezzanine NAD
8000-004 Grey Cove Base/Glue Mezzanine NAD
8000-005 Lay-In Ceiling Tile Mezzanine NAD
8000-006 Lay-In Ceiling Tile Mezzanine NAD
8000-007 Green Sheet Vinyl/Glue Mezzanine NAD
8000-008 Green Sheet Vinyl/Glue Mezzanine NAD
8000-009 Sheet Vinyl Layers/Black Mezzanine Black Mastic: 4%CHR
Mastic
8000-010 Texture/Wallboard/Joint Mezzanine NAD
Compound
8000-011 Texture/Wallboard/Joint Mezzanine NAD
Compound
8000-012 Texture/Wallboard/Joint Mezzanine NAD
Compound
8000-013 Grey Sheet Vinyl/Glue Main Level NAD
8000-014 Grey Sheet Vinyl/Glue Main Level NAD
8000-015 Grey Stair Riser Main Level NAD
8000-016 Texture/Wallboard/Joint Main Level NAD
Compound
8000-017 Texture/Wallboard/Joint Main Level NAD
Compound
8000-018 Texture/Wallboard/Joint Main Level NAD
Compound
8000-019 Texture/Wallboard/Joint Main Level NAD
Compound
8000-020 Gypsum Wallboard/Joint Main Level NAD
Compound
8000-021 Gypsum Wallboard/Joint Main Level NAD
Compound
8000-022 Gypsum Wallboard/Joint Main Level NAD
Compound
CHR:Chrysotile Asbestos
NAD:No Asbestos Detected
KELSAY ENVIRONMENTAL CLIENT: Pape Machinery
PAPE MACHINERY HAZARDOUS MATERIALS SURVEY
TABLE 1 continued
ASBESTOS BULK SAMPLING INVENTORY
Pape Machinery
Sample No. Material Description Location Results(%by weight)
8000-023 Tan Sheet Vinyl/Mastic Main Level NAD
8000-024 Tan Sheet Vinyl/Mastic Main Level NAD
8000-025 Texture/Wallboard/Joint Main Level NAD
Compound
KELSAY ENVIRONMENTAL CLIENT: Pape Machinery
•
CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C.
1929 Old Denton Road 12232 lndustriplex, Suite 32
Dedicated to Carroflton, TX 75006 Baton Rouge,LA 70809
Quality Phone 972-242-2754 Phone 225-751-5632
Fax 972-242-2798 Fax 225-751-5634
Materials Characterization - Bulk Asbestos Analysis
Laboratory Analysis Report- Polarized Light
Kelsay Environmental Attn: Brad Kelsay
833 SE Main St. Ste 410 Customer Project: Pate Machinery
Portland, OR 97214 Reference#: CBR18094385 Date: 9/18/2018
Analysis and Method
Summary of polarizing light microscopy(PLM/Stereomicroscopy bulk asbestos analysis)using the methods described in 40CFR Part 763
Appendix E to Subpart E(Interim and EPA 600/R-93/116(Improved). The sample is first viewed with the aid of stereomicroscopy.Numerous
liquid slide preparations are created for analysis under the polarized microscope where identifications and quantifications are preformed.Calibrated
liquid refractive oils are used as liquid mouting medium.These oils are used for identification(dispersion staining).A calibrated visual estimation is
reported,should any asbestiform mineral be present.Other techniques such as acid washing are used in conjugation with refractive oils for
detection of smaller quantities of asbestos.All asbestos percentages are based on calibrated visual estimation traceable to NIST standards for
regulated of asbestos.Traceability to measurement and calibration is achieved by using known amounts and types of asbestos from standards
where analyst and laboratory accuracy are measured. As little as 0.001%asbestos can be detected in favorable samples,while detection in
unfavorable samples may approach the detection limit of 0.50%(well above the laboratory definition of trace).
Discussion
Vermiculite containing samples may have trace amounts of actinolite-tremolite,where not found be PLM should be analyzed using TEM methods
and/or water separation techniques.Suspected actinolite/vermiculite presence will be indicated through the sample comment section of this report.
Fibrous talc containing samples may even contain a related asbestos fiber known as anthophyllite.Under certain conditions the same fiber may
actually contain both talc and anthophyllite(a phenomenon called intergrowth).Again,TEM detection methods are recommended.CA Labs PLM
report comments will denote suspected amounts of asbestiform anthophyllite with talc,where further analysis is recommended.
Some samples(floor tiles,surfacings,etc.)may contain fibers too small to be delectable by PLM analysis and should be analyzed by TEM bulk
protocols.
A"trace asbestos'will be reported if the analyst observes far less than 1%asbestos.CA Labs defines"trace asbestos"as a few fibers detected
by the analyst in several preparations and will indicate as such under these circumstances.
Quantification of<1%will actually be reported as<=1%(allowable variance close to 1%is high).Such results are ideal for point counting,and the
technique is mandatory for friable samples(NESHAP,Nov. 1990 and clarification letter 8 May 1991)under 1%percent asbestos and the"trace
asbestos". In order to make all initial PLM reports issued from CA Labs NESHAP compliant,all<1%asbestos results(except floor tiles)will
be point counted at no additional charge.
Qualifications
CA Labs is accredited by the National Voluntary Accreditation Program(NVLAP)for selected test methods for airborne fiber analysis(TEM),and
for bulk asbestos fiber analysis(PLM).All analysts have a college degree in a natural science(geology,biology,or environmental science)or are
recognized by a state professional board in one these disciplines.Extensive in-house training programs are used to augment education background
of the analyst.The group leader of polarized light has received supplemental McCrone Research training for asbestos identification.This report is
not covered by the scope of AIHA accreditation.Analysis performed at CA Labs,LLC 12232 lndustriplex,Suite 32 Baton Rouge,LA 70809.
Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370
LDEQ
Page 1 of 9
CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C.
1929 Old Denton Road I 12232 Industriplex,Suite 32
Dedicated to Carrollton, TX 75006 Baton Rouge,LA 70809
Quality Phone 972-242-2754 Phone 225-751-5632
Fax 972-242-2798 Fax 225-751-5634
Overview of Project Sample Material Containing Asbestos
Customer Project: Pate Machinery CA Labs Project#: CBR18094385
Sample# Layer Analysts Physical Description of Asbestos type/
# Subsample calibrated visual List of Affected Building
estimate percent Material Types
Black Mastic
009 4 Black Mastic 4%Chrysotile
Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370
LDEQ
Glossary of abbreviations(non-asbestos fibers and non-fibrous minerals):
ca -carbonate pe-perlite fg-fiberglass pa-palygorskite(clay)
gypsum-gypsum qu-quartz mw-mineral wool
bi-binder wo-wollastinite
or-organic to-talc
ma-matrix sy-synthetic
mi-mica ce-cellulose
ve-vermiculite br-brucite
of-other ka-kaolin(clay)
This report relates to the items tested.This report is not to be used by the customer to claim product certification,approval or endorsement by NVLAP,NIST,AIHA LAP,LLC,or any other agency of
the federal government.This report may not be reproduced except in full without written permission from CA Labs.These results are submitted pursuant to CA Labs'current terms and sale,condition
of sale,including the company's standard warranty and limitations of liability provisions and no responsibility or liability is assumed for the manner in which the results are used or interpreted.Unless
notified in writing to return the samples covered by this report,CA Labs will store the samples for a period of ninety(90)days before discarding.A shipping or handling fee may be assessed for the
return of any samples.
Page 2 of 9
CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C.
1929 Old Denton Road12232 Industriplex,Suite 32
Dedicated to Carrollton, TX 75006 -- Baton Rouge,LA 70809
Quality Phone 972-242-2754 Phone 225-751-5632
Fax 972-242-2798 Fax 225-751-5634
Polarized Light Asbestiform Materials Characterization
Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#:
Kelsay Environmental CBR18094385
833 SE Main St. Ste 410 Pate Machinery
Portland, OR 97214 Date: 9/18/2018
Turnaround Time: 3 day Samples Received: 9/13/2018
Phone# 503-705-0514 Date Of Sampling:
Fax# Purchase Order#:
Sample# Com Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type
ment # Subsample geneo calibrated visual type/percent /percent
us estimate percent
(Y/N)
001 1 Tan Self-Adhesive Floor Tile Y None Detected 100%qu, ma
002 1 White Self-Adhesive Floor Tile Y None Detected 100%qu, ma
003 1 Gray Cove Base Y None Detected 100%qu, ma
2 Yellow Mastic Y None Detected 100%qu, bi
3 White Compound Y None Detected 100%qu, mi, ca
004 1 Gray Cove Base Y None Detected 100%qu, ma
2 Yellow Mastic Y None Detected 100%qu, bi
Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370
LDEQ
Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116)
Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for
identification of asbestos types by dispersion attaining/becke line method.
ca -carbonate mi-mica fg-fiberglass ce-cellulose
gypsum-gypsum ve-vermiculite mw-mineral wool br-brucite
bi-binder at-other wo-wollastinite ka-kaolin(clay)
or-organic pe-perlite to-talc pa-palygorskite(clay) Approved Signatories:
ma-matrix qu-quartz
.,, sy-synthetic
tit GIi_V4 t
Daniel LaCour Senior Analyst Laboratory Director
Analyst Alicia Stretz Chris Williams
1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 6.Anthophyllite in association with Fibrous Talc
2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other building materials
3.Actinolite in association with Vermiculite 8.Favorable scenario for water separation on vermiculite for possible analysis by another method
4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9. <1%Result point counted positive
5.Not enough sample to analyze 10.TEM analysis suggested
Page 3 of 9
CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C.
1929 Old Denton Road12232 Industriplex,Suite 32
Dedicated t0 Carrollton, TX 75006 �~ Baton Rouge,LA 70809
Quality Phone 972-242-2754 Phone 225-751-5632
Fax 972-242-2798 Fax 225-751-5634
Polarized Light Asbestiform Materials Characterization
Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#:
Kelsey Environmental CBR18094385
833 SE Main St. Ste 410 Pate Machinery
Portland, OR 97214 Date: 9/18/2018
Turnaround Time: 3 day Samples Received: 9/13/2018
Phone# 503-705-0514 Date Of Sampling:
Fax# Purchase Order#:
Sample# Corn Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type
ment # Subsample geneo calibrated visual type/percent /percent
us estimate percent
(Y/N)
3 White Compound Y None Detected 100%qu, mi,ca
20%fg
005 1 Tan Ceiling Tile Y None Detected 70%ce 10%qu,pe
006 1 White Surfacing Y None Detected 100%qu,bi,ca
20%fg
2 Tan Ceiling Tile Y None Detected 70%ce 10%qu,pe
007 1 Green Linoleum Y None Detected 25%ce 75%qu,ma
2 Yellow Mastic Y None Detected 100%qu,bi
008 1 Green Linoleum Y None Detected 25%ce 75%qu,ma
Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370
LDEQ
Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116)
Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for
identification of asbestos types by dispersion attaining/becke line method.
ca -carbonate mi-mica fg-fiberglass ce-cellulose
gypsum-gypsum ve-vermiculite mw-mineral wool br-brucite
bi-binder of-other wo-wollastinite ka-kaolin(clay)
or-organic pe-perlite to-talc pa-palygorskite(clay) Approved Signatories:
ma-matrix qu-quartz sy-synthetic
G+uUl d CSNI..
Daniel LaCour Senior Analyst Laboratory Director
Analyst Alicia Stretz Chris Williams
1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 6.Anthophyllite in association with Fibrous Talc
2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other building materials
3.Actinolite in association with Vermiculite 8.Favorable scenario for water separation on vermiculite for possible analysis by another method
4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.<1%Result point counted positive
5.Not enough sample to analyze 10.TEM analysis suggested
Page 4 of 9
CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C.
1929 Old Denton Road 12232 Industriplex,Suite 32
Dedicated to Carrollton, TX 75006 Rouge,LA 70809
Quality Phone 972-242-2754 /i Phone 225-751-5632
Fax 972-242-2798 Fax 225-751-5634
Polarized Light Asbestiform Materials Characterization
Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#:
Kelsey Environmental CBR18094385
833 SE Main St. Ste 410 Pate Machinery
Portland,OR 97214 Date: 9/18/2018
Turnaround Time: 3 day Samples Received: 9/13/2018
Phone# 503-705-0514 Date Of Sampling:
Fax# Purchase Order#:
Sample# Corn Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type
ment # Subsample geneo calibrated visual type/percent /percent
us estimate percent
(Y/N)
2 Tan Mastic Y None Detected 100%qu, bi
009 1 Green Linoleum Y None Detected 25%ce 75%qu, ma
2 Tan Mastic Y None Detected 100%qu,bi
3 White Floor Tile Y None Detected 100%qu, ma,ca
4 Black Mastic Y 4%Chrysotile 2%ce 94%qu,bi
White Surfaced White 100%qu, mi,pe,
010 1 Compound N None Detected bi,ca
2 White Drywall with Paper N None Detected 10%ce 90%qu,gy
Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370
LDEQ
Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116)
Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for
identification of asbestos types by dispersion attaining/becke line method.
ca -carbonate mi-mica fg-fiberglass ce-cellulose
gypsum-gypsum ve-vermiculite mw-mineral wool br-brucite
bi-binder of-other wo-wollastinite ka-kaolin(clay)
or-organic pe-perlite to-talc pa-palygorskite(clay) Approved Signatories:
ma-matrix ,tj qu-quartz sy-synthetic
4 `
CA-I, a Claitil.
Daniel LaCour Senior Analyst Laboratory Director
Analyst Alicia Stretz Chris Williams
1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 6.Anthophyllite in association with Fibrous Talc
2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other building materials
3.Actinolite in association with Vermiculite 8.Favorable scenario for water separation on vermiculite for possible analysis by another method
4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.n 1%Result point counted positive
5.Not enough sample to analyze 10.TEM analysis suggested
Page 5 of 9
CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C.
1929 Old Denton Road 12232 Industriplex,Suite 32
Dedicated to Carrollton, TX 75006 Baton Rouge,LA 70809
Quality Phone 972-242-2754 1 Phone 225-751-5632
Fax 972-242-2798 Fax 225-751-5634
Polarized Light Asbestiform Materials Characterization
Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#:
Kelsay Environmental CBR18094385
833 SE Main St. Ste 410 Pate Machinery
Portland, OR 97214 Date: 9/18/2018
Turnaround Time: 3 day Samples Received: 9/13/2018
Phone# 503-705-0514 Date Of Sampling:
Fax# Purchase Order#:
Sample# Corn Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type
ment # Subsample geneo calibrated visual type/percent /percent
us estimate percent
(Y/N)
100%qu, mi, pe,
011 1 Tan Surfaced White Compound N None Detected bi,ca
2 White Drywall with Paper N None Detected 10%ce 90%qu, gy
100%qu, mi, pe,
012 1 Tan Surfaced White Compound N None Detected bi,ca
2 White Drywall with Paper N None Detected 10%ce 90%qu,gy
013 1 Gray Vinyl Flooring Y None Detected 3%ce 97%qu, ma
2 Yellow Mastic Y None Detected 100%qu,bi
3 Gray Leveling Plaster Y None Detected 100%qu, ma, ca
Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370
LDEQ
Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116)
Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for
identification of asbestos types by dispersion attaining/becke line method.
ca -carbonate mi-mica fg-fiberglass ce-cellulose
gypsum-gypsum no-vermiculite mw-mineral wool br-brucite
bi-binder of-other wo-wollastinite ka-kaolin(clay)
or-organic pe-perlite to-talc pa-palygorskite(clay) Approved Signatories:
ma-matrix qu-quartz sy-synthetic
Daniel LaCour Senior Analyst Laboratory Director
Analyst Alicia Stretz Chris Williams
1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 6.Anthophyllite in association with Fibrous Talc
2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other building materials
3.Actinolite in association with Vermiculite 8.Favorable scenario for water separation on vermiculite for possible analysis by another method
4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.<1%Result point counted positive
5.Not enough sample to analyze 10.TEM analysis suggested
Page 6 of 9
CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C.
1929 Old Denton Road12232 Industriplex,Suite 32
Dedicated to Carrollton, TX 75006 — Baton Rouge, LA 70809
Quality Phone 972-242-2754 Phone 225-751-5632
Fax 972-242-2798 Fax 225-751-5634
Polarized Light Asbestiform Materials Characterization
Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#:
Kelsay Environmental CBR18094385
833 SE Main St. Ste 410 Pate Machinery
Portland,OR 97214 Date: 9/18/2018
Turnaround Time: 3 day Samples Received: 9/13/2018
Phone# 503-705-0514 Date Of Sampling:
Fax# Purchase Order#:
Sample# Corn Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type
ment # Subsample geneo calibrated visual type/percent /percent
us estimate percent
(Y/N)
014 1 Gray Vinyl Flooring Y None Detected 3%ce 97%qu, ma
2 Yellow Mastic Y None Detected 100%qu,bi
015 1 Gray Stair Y None Detected 100%qu, ma
2 Brown Mastic Y None Detected 100%qu, bi
100%qu, mi, pe,
016 1 Tan Surfaced White Compound N None Detected bi,ca
2 White Drywall with Paper N None Detected 10%ce 90%qu, gy
White Surfaced White 100%qu, mi, pe,
017 1 Compound N None Detected bi,ca
Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370
LDEQ
Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116)
Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for
identification of asbestos types by dispersion attaining/becke line method.
ca -carbonate mi-mica fg-fiberglass ce-cellulose
gypsum-gypsum ve-vermiculite mw-mineral wool br-brucite
bi-binder of-other wo-wollastinite ka-kaolin(clay)
or-organic pe-perlite to-talc pa-palygorskite(clay) Approved Signatories:
ma-matrix qu-quartz sy-synthetic
ttAulzl 1,0 C l l , v
Daniel LaCour Senior Analyst Laboratory Director
Analyst Alicia Stretz Chris Williams
1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 6.Anthophyllite in association with Fibrous Talc
2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other building materials
3.Actinolite in association with Vermiculite 8.Favorable scenario for water separation on vermiculite for possible analysis by another method
4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.<1%Result point counted positive
5.Not enough sample to analyze 10.TEM analysis suggested
Page 7 of 9
CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C.
1929 Old Denton Road 12232 /ndustriplex,Suite 32
Dedicated to Carrollton, TX 75006 Baton Rouge,LA 70809
Quality Phone 972-242-2754 Phone 225-751-5632
Fax 972-242-2798 Fax 225-751-5634
Polarized Light Asbestiform Materials Characterization
Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#:
Kelsey Environmental CBR18094385
833 SE Main St. Ste 410 Pate Machinery
Portland,OR 97214 Date: 9/18/2018
Turnaround Time: 3 day Samples Received: 9/13/2018
Phone# 503-705-0514 Date Of Sampling:
Fax# Purchase Order#:
Sample# Com Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type
ment # Subsample geneo calibrated visual type/percent /percent
us estimate percent
(Y/N)
2 White Drywall with Paper N None Detected 10%ce 90%qu,gy
White Surfaced White 100%qu, mi, pe,
018 1 Compound N None Detected bi,ca
White Surfaced White 100%qu, mi,pe,
019 1 Compound N None Detected bi,ca
White Surfaced White 100%qu, mi,pe,
020 1 Compound N None Detected bi,ca
2 White Drywall with Paper N None Detected 10%ce 90%qu,gy
021 1 White Drywall Y None Detected 3%ce 97%qu,gy
Gray Surfaced White 100%qu, mi, pe,
022 1 Compound N None Detected bi,ca
Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370
LDEQ
Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116)
Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for
identification of asbestos types by dispersion attaining/becke line method.
ca -carbonate mi-mica fg-fiberglass ce-cellulose
gypsum-gypsum ve-vermiculite mw-mineral wool br-brucite
bi-binder of-other wo-wollastinite ka-kaolin(clay)
or-organic pe-perlite to-talc pa-palygorskite(clay) Approved Signatories:
ma-matrix qu-quartz sy-synthetic
� kG\fit
Daniel LaCour Senior Analyst Laboratory Director
Analyst Alicia Stretz Chris Williams
1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 8.Avthophyllite in association with Fibrous Talc
2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other building materials
3.Actinolite in association with Vermiculite 8.Favorable scenario for water separation on vermiculite for possible analysis by another method
4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.u 1%Result point counted positive
5.Not enough sample to analyze 10.TEM analysis suggested
Page 8 of 9
CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C.
1929 Old Denton Road12232 Industriplex,Suite 32
Dedicated to Carrollton, TX 75006 = — Baton Rouge,LA 70809
Quality Phone 972-242-2754 Phone 225-751-5632
Fax 972-242-2798 Fax 225-751-5634
Polarized Light Asbestiform Materials Characterization
Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#:
Kelsay Environmental CBR18094385
833 SE Main St. Ste 410 Pate Machinery
Portland, OR 97214 Date: 9/18/2018
Turnaround Time: 3 day Samples Received: 9/13/2018
Phone# 503-705-0514 Date Of Sampling:
Fax# Purchase Order#:
Sample# Corn Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type
ment # Subsample geneo calibrated visual type/percent /percent
us estimate percent
(Y/N)
2 White Drywall with Paper N None Detected 10%ce 90%qu,gy
023 1 Gray Linoleum Y None Detected 25%ce 75%qu,ma
2 Tan and Brown Mastic N None Detected 100%qu, bi
024 1 Gray Linoleum Y None Detected 25%ce 75%qu,ma
2 Yellow Mastic Y None Detected 100%qu,bi
100%qu, mi,pe,
025 1 Tan Surfaced White Compound N None Detected bi,ca
2 White Drywall with Paper N None Detected 10%ce 90%qu,gy
Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370
LDEQ
Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116)
Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for
identification of asbestos types by dispersion attaining/becke line method.
ca-carbonate mi-mica fg-fiberglass ce-cellulose
gypsum-gypsum ye-vermiculite mw-mineral wool br-brucite
bi-binder of-other wo-wollastinite ka-kaolin(clay)
or-organic pe-pulite to-talc pa-palygorskite(clay) Approved Signatories:
ma-matrix qu-quartz sy-synthetic
tLO 10.
Daniel LaCour Senior Analyst Laboratory Director
Analyst Alicia Stretz Chris Williams
1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 8.Anthophyllite in association with Fibrous Talc
2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other building materials
3.Actinolite in association with Vermiculite 8.Favorable scenario for water separation on vermiculite for possible analysis by another method
4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.u 1%Result point counted positive
5.Not enough sample to analyze 10.TEM analysis suggested
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