Asbestos Survey Report - Duluth, · PDF fileAsbestos Survey Report City of Duluth Duluth, Georgia 5/4/2012 Terracon Project No. 49127125 Responsive Resourceful Reliable 2Authors: Alfred

Asbestos Survey Report

Downtown Duluth

‘Old City Hall Block’—Buildings for renovation

3087 Main Street, 3097 Main Street, New Dawn Theater, 3530 W. Lawrenceville Street, Old City Hall/Church

Duluth, Georgia

May 4, 2012

Terracon Project No. 49127125

Prepared for:

City of Duluth

Duluth, Georgia

Prepared by:

Terracon Consultants, Inc.

Duluth, Georgia

TABLE OF CONTENTS

EXECUTIVE SUMMARY – 'Old City Hall Block'--Buildings for Renovation ...................... i

1.0 INTRODUCTION ......................................................................................................... 1 1.1 Project Objective .................................................................................................. 1

2.0 BUILDING DESCRIPTION ......................................................................................... 2

3.0 FIELD ACTIVITIES ..................................................................................................... 3 3.1 Visual Assessment ............................................................................................... 3 3.2 Physical Assessment ........................................................................................... 3 3.3 Sample Collection ................................................................................................ 4 3.4 Sample Analysis ................................................................................................... 4

4.0 REGULATORY OVERVIEW ....................................................................................... 4

5.0 FINDINGS AND RECOMMENDATIONS .................................................................... 5

6.0 GENERAL COMMENTS ............................................................................................. 6 LIST OF APPENDICES Appendix A Asbestos Survey Sample Summary Appendix B Confirmed Asbestos-Containing Materials Appendix C Asbestos Analytical Laboratory Data Appendix D Certifications Appendix E Photographs Appendix F GA Notification Form Appendix G Mold Observation Summary

i

EXECUTIVE SUMMARY – ‘Old City Hall Block’—Buildings for Renovation

Terracon Consultants, Inc. (Terracon) conducted an asbestos survey of the specific site structures located in downtown Duluth, Georgia. It is our understanding that these site buildings are planned for renovation by the City of Duluth. The purpose of this survey was to identify and sample suspect asbestos-containing materials (ACM) and provide information regarding the identity, location, condition and approximate quantities of ACM in interior and exterior building components.

The survey was conducted on April 3 and 5, 2012, by Asbestos Hazard Emergency Response Act (AHERA)-accredited building inspectors in general accordance with the sampling protocols established in Environmental Protection Agency (EPA) 40 Code of Federal Regulations (CFR) 763. Two-hundred forty-one (241) bulk samples were collected from one-hundred eight (108) homogeneous areas of suspect ACM from the buildings scheduled to be demolished. Asbestos was identified in each of the five buildings covered by this assessment in the following materials:

Window frame caulk

Joint compound associated with gypsum board

Caulking

Floor tile and mastic

Sheet flooring

Silver paint

Tar/mastic Please refer to Appendix B for specific materials and locations of the identified ACM. Terracon recommends that the identified ACM be removed and disposed of by a GA-licensed asbestos abatement contractor prior to the demolition activity that will disturb the asbestos-containing materials identified in the site buildings.

ASBESTOS SURVEY REPORT

DOWNTOWN DULUTH ‘OLD CITY HALL BLOCK’—BUILDINGS FOR RENOVATION

3087 MAIN STREET; 3097 MAIN STREET; NEW DAWN THEATER; 3530 W. LAWRENCEVILLE STREET;OLD CITY HALL/CHURCH

DULUTH, GEORGIA

Terracon Project No. 49127125

1.0 INTRODUCTION Terracon Consultants, Inc. (Terracon) conducted an asbestos survey of the specific site structures located in downtown Duluth, Georgia. The survey was conducted on April 3 and 5, 2012 by Asbestos Hazard Emergency Response Act (AHERA)-accredited asbestos inspectors in general accordance with our proposal dated March 26, 2012. Interior and exterior building components were surveyed and homogeneous areas of suspect asbestos-containing materials (ACM) were visually identified and documented. Although reasonable effort was made to survey accessible suspect materials, additional suspect but un-sampled materials could be located in walls, in voids or in other concealed areas. Suspect ACM samples were collected in general accordance with the sampling protocols outlined in EPA regulation 40 CFR 763 AHERA. Samples were delivered to an accredited laboratory for analysis by Polarized Light Microscopy (PLM). The buildings scheduled for renovation include:

3087 Main Street

3097 Main Street

New Dawn Theater

3530 W. Lawrenceville Street (large warehouse)

Old City Hall/Church

1.1 Project Objective

We understand this asbestos survey was requested due to the planned renovation of these five buildings in downtown Duluth for future development. EPA regulation 40 CFR 61, Subpart M, National Emission Standards for Hazardous Air Pollutants (NESHAP), prohibits the release of asbestos fibers to the atmosphere during demolition activities. The asbestos NESHAP requires that potentially regulated asbestos-containing building materials be identified, classified and quantified prior to planned disturbances or demolition activities.

Asbestos Survey Report City of Duluth ■ Duluth, Georgia 5/4/2012 ■ Terracon Project No. 49127125

Responsive ■ Resourceful ■ Reliable 2

2.0 BUILDING DESCRIPTION 3087 Main Street (Consignment store) This approximately 2,625 square foot (sf) one-story building was reportedly built in 1959. The exterior consists of brick with metal framed doors and windows. Interior walls consist of brick, plaster, and gypsum board. Ceilings consist of 1’x1’ acoustic ceiling tiles. Flooring consists of 12”x12” floor tile, carpet, wood floors, and vinyl sheet flooring. The heating ventilation and air-conditioning (HVAC) system is located in the storage room. 3097 Main Street (FYI Design) This approximately 2,523 sf one-story building was reportedly built in 1910 and has undergone numerous renovations. The current tenant renovated the interior of the building approximately 2 years ago. The exterior consists of brick with metal framed doors and windows. Interior walls consist of brick and gypsum board. Ceilings consist of metal decking, gypsum board, 2’x2’ and 1’x1’ ceiling tiles. Flooring consists of sheet flooring, concrete, carpet and numerous types of 12”x12” floor tile. The sheet flooring in the mechanical room is original while the carpet and numerous 12”x12” floor tiles were installed by the tenant and are displays of the different types of flooring they sell. The HVAC system is located in the mechanical room. New Dawn Theater This approximately 5,500 sf one–story building was reportedly built in 1961. The exterior consists of brick with metal and wood framed doors and windows. Interior walls consist of brick and gypsum board. Ceilings consist of 2’x4’ suspended ceiling tiles. Flooring consists of floor tile, carpet, and concrete. Roof-top package units for the Theatre tenant space are located on the ‘alleyway’ roof. 3530 W. Lawrenceville Street (large warehouse) This approximately 12,376 sf one–story building with a basement was reportedly built in 1954. The exterior consists of brick with metal and wood framed doors and windows. Interior walls consist of brick and gypsum board. Ceilings consist of gypsum board, 1’x1’ acoustic ceiling tiles, 2’x4’ suspended ceiling tiles, concrete, metal, and wood decking. Flooring consists of 9”x9” and 12”x12” floor tiles, carpet, and concrete. Roof-top package units condition the building. 3578 W. Lawrenceville Street (former city hall/church) This approximately 19,200 sf two–story building with a basement and attic was reportedly built in 1938 and 1940. The north side of the building houses the former city hall and a former church occupies the south portion of the building. The exterior consists of brick and stone with metal and wood framed doors and windows. Interior walls consist of concrete masonry unit (CMU) walls, brick, wood paneling, and gypsum board. Ceilings consist of gypsum board, 1’x1’ acoustic ceiling tiles, 2’x2’ and 2’x4’ suspended ceiling tiles, and metal decking. Flooring



consists of 9”x9” and 12”x12” floor tiles, ceramic tile, carpet, and concrete. HVAC system is located on the roof and in the attic. 3.0 FIELD ACTIVITIES The survey was conducted by Mr. David DeSavigny and Mr. Chester Kosmalski, AHERA-accredited asbestos inspectors. Copies of Mr. DeSavigny’s and Mr. Kosmalski’s asbestos inspector certificates are attached as Appendix D. The survey was conducted in general accordance with the sample collection protocols established in EPA regulation 40 CFR 763 (AHERA). A summary of survey activities is provided below.

3.1 Visual Assessment

Our survey activities began with visual observation of the interior and exterior of the site buildings covered by this assessment to identify homogeneous areas (HA) of suspect ACM. An HA consists of building materials that appear similar throughout in terms of color, texture and date of application. Interior and exterior assessment was conducted throughout visually accessible areas of the site buildings. Building materials identified as concrete, glass, wood, masonry, metal or rubber were not considered suspect ACM. In the consignment store, 3087 Main Street, the tenant was not present on the day of the assessment and Terracon was not allowed access into a small locked storage area. The 2nd floor mechanical room of the Old City Hall was locked on the day of the assessment and no key was available to open the door. Terracon lifted floor coverings in several areas in the buildings, where possible, and did not observe additional floor coverings/layers except where noted in this report; however, as Terracon could not assess beneath all floor coverings in all areas, there may be isolated areas of additional suspect material present beneath existing flooring. Roofing systems were not assessed per our scope of work. Additionally, Terracon assessed accessible areas of the buildings for evidence of water damage and mold growth. Terracon’ observations are provided in Appendix G.

3.2 Physical Assessment

A physical assessment of each HA of suspect ACM was conducted to assess the friability and condition of the materials. A friable material is defined by the EPA as a material which can be crumbled, pulverized or reduced to powder by hand pressure when dry. Friability was assessed by physically touching suspect materials.



3.3 Sample Collection

Based on results of the visual observation, bulk samples of suspect ACM were collected in general accordance with AHERA sampling protocols. Random samples of suspect materials were collected in each homogeneous area. Sample team members collected bulk samples using wet methods as applicable to reduce the potential for fiber release. Samples were placed in sealable containers and labeled with unique sample numbers using an indelible marker. Two-hundred forty-one (241) bulk samples were collected from one-hundred eight (108) homogeneous areas of suspect ACM from the buildings scheduled to be demolished. A summary of suspect ACM samples collected during the survey is included as Appendix A.

3.4 Sample Analysis

Bulk samples were submitted under chain of custody to Steve Moody Micro Services, Inc. (SMMS) of Farmers Branch, Texas for analysis by PLM with dispersion staining techniques per EPA’s Method for the Determination of Asbestos in Bulk Building Materials (600/R-93-116). The percentage of asbestos, where applicable, was determined by microscopical visual estimation. SMMS is accredited under the National Voluntary Laboratory Accreditation Program (NVLAP Accreditation No. 102056). As the client requested Terracon to reduce sample costs where possible, Terracon instructed the laboratory to analyze the miscellaneous material samples utilizing the positive–stop method where once the first sample out of the HA is identified to contain asbestos, the remaining samples of the HA are not analyzed to thereby reduce laboratory costs. 4.0 REGULATORY OVERVIEW The asbestos NESHAP (40 CFR Part 61, Subpart M) regulates asbestos fiber emissions and asbestos waste disposal practices. It also requires the identification and classification of existing building materials prior to demolition or renovation activity. Under NESHAP, asbestos-containing building materials are classified as either friable, Category I non-friable or Category II non-friable ACM. Friable materials are those that, when dry, may be crumbled, pulverized or reduced to powder by hand pressure. Category I non-friable ACM includes packings, gaskets, resilient floor coverings and asphalt roofing products containing more than 1% asbestos. Category II non-friable ACM are any materials other than Category I materials that contain more than 1% asbestos.



Friable ACM, Category I and Category II non-friable ACM which is in poor condition and has become friable or which will be subjected to drilling, sanding, grinding, cutting or abrading and which could be crushed or pulverized during anticipated renovation or demolition activities are considered regulated ACM (RACM). RACM must be removed prior to renovation or demolition activities which will disturb the materials. If the amount of RACM exceeds 10 linear feet or 10 square feet, the owner or operator must provide the State of Georgia with written notification of planned removal activities at least 10 working days prior to the commencement of asbestos abatement activities. Removal of RACM must be conducted by an appropriately accredited and licensed asbestos abatement contractor. Please note that demolition of any structure, which is defined as removal of a load-bearing member, requires a 10-day notification even when no asbestos is present. The OSHA Asbestos standard for construction (29 CFR 1926.1101) regulates workplace exposure to asbestos. The OSHA standard requires that employee exposure to airborne asbestos fibers be maintained below 0.1 asbestos fibers per cubic centimeter of air (0.1 f/cc). The OSHA standard classifies construction and maintenance activities which could disturb ACM, and specifies work practices and precautions which employers must follow when engaging in each class of regulated work. 5.0 FINDINGS AND RECOMMENDATIONS Asbestos was identified in each of the five buildings covered by this assessment in the following materials:

Window frame caulk

Joint compound associated with gypsum board

Caulking

Floor tile and mastic

Sheet flooring

Silver paint

Tar/mastic Please refer to Appendix B for specific materials and locations of the identified ACM. Terracon recommends that the identified ACM be removed and disposed of by a GA-licensed asbestos abatement contractor prior to the renovation activity that will disturb the asbestos-containing materials identified.



At the request of the client, Terracon can provide a proposal for the development of asbestos abatement (removal) specifications, conduct an asbestos-abatement contractor bid-walk for obtaining abatement proposals, and provide asbestos abatement air monitoring services during and after the abatement prior to renovation activities for the City of Duluth. It should be noted that suspect materials, other than those identified during the April 3 and 5, 2011 survey may exist within the site buildings. Should suspect materials other than those which were identified during this survey be uncovered prior to or during the demolition process, those materials should be assumed asbestos-containing until sampling and analysis can confirm or deny their asbestos content. Laboratory analytical reports are included in Appendix C. 6.0 GENERAL COMMENTS This asbestos survey was conducted in a manner consistent with the level of care and skill ordinarily exercised by members of the profession currently practicing under similar conditions in the same locale. The results, findings, conclusions and recommendations expressed in this report are based on conditions observed during our survey of the site buildings. The information contained in this report is relevant to the date on which this survey was performed, and should not be relied upon to represent conditions at a later date. This report has been prepared on behalf of and exclusively for use by the City of Duluth for specific application to their project as discussed. This report is not a bidding document. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. Terracon does not warrant the work of regulatory agencies, laboratories or other third parties supplying information which may have been used in the preparation of this report. No warranty, express or implied is made.

APPENDIX A

APPENDIX A



DULUTH, GEORGIA

Terracon Project No. 49127125 HA Sample No. Description Sample Location

3087 Main Street (Consignment Store)

1 1-1 1’x1’ ceiling tile, white with large holes Store

1-2 1’x1’ ceiling tile, white with large holes Store

2 2-1 1’x1’ ceiling tile, white with small holes Rear of store

2-2 1’x1’ ceiling tile, white with small holes Rear of store

3 3-1 1’x1’ ceiling tile, white Rest room 3-2 1’x1’ ceiling tile, white Rest room

4 4-1 Sheet flooring, white Rest room

4-2 Sheet flooring, white Rest room

5 5-1 Gypsum board and joint compound, walls Storage room

5-2 Gypsum board and joint compound, walls Store

5-3 Gypsum board and joint compound, walls Store

6 6-1 12”x12” floor tile, tan with black and white spots Storage room 6-2 12”x12” floor tile, tan with black and white spots Storage room

7 7-1 Sheet flooring red square pattern Storage room

7-2 Sheet flooring red square pattern Storage room

8 8-1 2nd layer flooring Rest room

8-2 2nd layer flooring Rest room

9 9-1 Plaster walls Store 9-2 Plaster walls Store 9-3 Plaster walls Store

10 10-1 Carpet mastic, yellow Store

10-2 Carpet mastic, yellow Store

11 11-1 2nd layer flooring Store

11-2 2nd layer flooring Store 3097 Main (Design store)

1 1-1 2’x2’ ceiling tile, white with pinholes and small cuts Hallway 1-2 2’x2’ ceiling tile, white with pinholes and small cuts Hallway

2 2-1 Gypsum board and joint compound, walls Mechanical room

2-2 Gypsum board and joint compound, walls Back hall

2-3 Gypsum board and joint compound, walls NE showroom

HA Sample No. Description Sample Location

3 3-1 1’x1’ ceiling tile, white Mechanical room

3-2 1’x1’ ceiling tile, white Mechanical room

4 4-1 Sheet flooring red square pattern Mechanical room 4-2 Sheet flooring red square pattern Mechanical room

5 5-1 Gypsum board and joint compound, ceiling Mechanical room 5-2 Gypsum board and joint compound, ceiling Mechanical room

5-3 Gypsum board and joint compound, ceiling Mechanical room New Dawn Theater

1 1-1 12”x12” floor tile, beige mix Kitchen

1-2 12”x12” floor tile, beige mix Behind stage

2 2-1 Gypsum board and joint compound, walls Small dressing room 2-2 Gypsum board and joint compound, walls By projection booth

Gypsum board and joint compound, walls East entrance

3 3-1 2’x4’ ceiling tile, white Lobby

3-2 2’x4’ ceiling tile, white Private room

4 4-1 12”x12” floor tile, brown diamond pattern Small dressing room

4-2 12”x12” floor tile, brown diamond pattern Small dressing room

5 5-1 2’x4’ ceiling tile, white with pinholes and indentions Small dressing room 5-2 2’x4’ ceiling tile, white with pinholes and indentions Small dressing room

6 6-1

2’x4’ ceiling tile, white with pinholes and lengthwise indentions

Small dressing room

6-2 2’x4’ ceiling tile, white with pinholes and

lengthwise indentions Small dressing room

7 7-1 2’x4’ ceiling tile, white with pinholes Small dressing room 7-2 2’x4’ ceiling tile, white with pinholes Small dressing room

8 8-1 12”x12” floor tile, brown mix Closet 8-2 12”x12” floor tile, brown mix Hall

9 9-1 2nd layer flooring Small dressing room

9-2 2nd layer flooring Small dressing room

10 10-1 Leveling compound Hall

10-2 Leveling compound Hall

11 11-1 Carpet mastic, black/yellow Main entrance 11-2 Carpet mastic, black/yellow Main entrance


1 1-1 12”x12” floor tile, beige with black spots Front entrance

1-2 12”x12” floor tile, beige with black spots Front entrance

2 2-1 Carpet mastic, yellow Front office

2-2 Carpet mastic, yellow Front office

3 3-1 1’x1’ ceiling tile, white with holes Front office 3-2 1’x1’ ceiling tile, white with holes Front office

4 4-1 Door frame caulk Front door 4-2 Door frame caulk Front door

5 5-1 HVAC mastic, white West room

5-2 HVAC mastic, white West room

6 6-1 Wall texture Front entrance 6-2 Wall texture Front entrance 6-3 Wall texture Front entrance


7 7-1 Ceiling texture Front room

7-2 Ceiling texture Front room

7-3 Ceiling texture Front room

8 8-1 Cove base mastic, yellow Front room 8-2 Cove base mastic, yellow Front room

9 9-1 9”x9” floor tile, green Front office

9-2 9”x9” floor tile, green Front office

10 10-1 9”x9” floor tile, white Front office

10-2 9”x9” floor tile, white Front office

11 11-1 12”x12” floor tile Front room 11-2 12”x12” floor tile Front room

12 12-1 Paper underlayment North room 12-2 Paper underlayment North room

13 13-1 Window glazing (interior window) Front office

13-2 Window glazing (interior window) Front office

14 14-1 Window glazing (exterior window) Front office

14-2 Window glazing (exterior window) Front office

15 15-1 Exterior sealant Exterior 15-2 Exterior sealant Exterior

16 16-1 Textured paint Front room

16-2 Textured paint North room

17 17-1 Wire insulation West room

17-2 Wire insulation West room

18 18-1 Wire insulation West room 18-2 Wire insulation West room

19 19-1 Pipe dope, multicolored Warehouse area

19-2 Pipe dope, multicolored Warehouse area

20 20-1 Gypsum board and joint compound, walls West room

20-2 Gypsum board and joint compound, walls West room

20-3 Gypsum board and joint compound, walls West room

21 21-1 Fiberglass insulation, paper wrap, black mastic Warehouse area 21-2 Fiberglass insulation, paper wrap, black mastic Warehouse area

22 22-1 12”x12” floor tile, black 1st floor rest room

22-2 12”x12” floor tile, black 1st floor rest room

23 23-1 12”x12” floor tile, white 1st floor rest room

23-2 12”x12” floor tile, white 1st floor rest room

24 24-1 Sheet flooring, yellow 1st floor rest room 24-2 Sheet flooring, yellow 1st floor rest room

25 25-1 Textured ceiling Ramp to basement 25-2 Textured ceiling Ramp to basement

25-3 Textured ceiling Ramp to basement

26 26-1 1’x1’ ceiling tile, white with large holes Basement south side room

26-2 1’x1’ ceiling tile, white with large holes Basement south side room

27 27-1 1’x1’ ceiling tile, white with small holes Basement south side room 27-2 1’x1’ ceiling tile, white with small holes Basement south side room

28 28-1 12”x12” floor tile, green Basement south side room

28-2 12”x12” floor tile, green Basement south side room


29 29-1 Cementitious patching Basement middle room

29-2 Cementitious patching Basement middle room

30 301 Silver paint Basement cooler room 30-2 Silver paint Basement cooler room 30-3 Silver paint Basement cooler room

31 31-1 Cementitious board Basement cooler room

31-2 Cementitious board Basement cooler room

31-3 Cementitious board Basement cooler room

32 32-1 Joint compound Basement cooler room

32-2 Joint compound Basement cooler room 32-3 Joint compound Basement cooler room

33 33-1 Light weight cement walls Basement cooler room 33-2 Light weight cement walls Basement cooler room

33-3 Light weight cement walls Basement cooler room

34 34-1 HVAC mastic, black Basement middle area

34-2 HVAC mastic, black Basement middle area

35 35-1 2’x4’ ceiling tiles, white with pinholes and cuts Basement north office 35-2 2’x4’ ceiling tiles, white with pinholes and cuts Basement north office

36 36-1 12”x12” floor tile, multicolored Basement north office 36-2 12”x12” floor tile, multicolored Basement north office

37 37-1 Cove base mastic, beige Basement north office

37-2 Cove base mastic, beige Basement north office

38 38-1 Fire stop, white Basement west room 38-2 Fire stop, white Basement west room

39 39-1 2’x4’ ceiling tile, multi-sized holes Basement south side 39-2 2’x4’ ceiling tile, multi-sized holes Basement south side

40 40-1 2nd layer flooring Basement south side room

40-2 2nd layer flooring Basement south side room

41 41-1 Cove base mastic, brown Basement south side

41-2 Cove base mastic, brown Basement south side

42 42-1 1’x1’ ceiling tile, white Basement south side 42-2 1’x1’ ceiling tile, white Basement south side

43 43-1 Mastic, black Basement middle area

43-2 Mastic, black Basement middle area

44 44-1 Wall texture Exterior

44-2 Wall texture Exterior

44-3 Wall texture Exterior

45 45-1 Caulk, beige Exterior 45-2 Caulk, beige Exterior


1 1-1 Window frame caulk Exterior

1-2 Window frame caulk Exterior

2

2-1 Gypsum board and joint compound 1st floor bike room

2-2 Gypsum board and joint compound 1st floor middle room 2-3 Gypsum board and joint compound 2nd floor North middle room 2-4 Gypsum board and joint compound 2nd floor SW corner

2-5 Gypsum board and joint compound 3rd floor north side middle room

2-6 Gypsum board and joint compound 3rd floor north side middle room

2-7 Gypsum board and joint compound 3rd floor SE office


3 3-1 2’x4’ ceiling tile, white with pinholes and cuts 1st floor hall 3-2 2’x4’ ceiling tile, white with pinholes and cuts 1st floor hall

4 4-1 Glue dots 1st floor hall

4-2 Glue dots 1st floor hall

5 5-1 Cove base mastic, yellow and brown 1st floor hall

5-2 Cove base mastic, yellow and brown 1st floor S W room

6 6-1 Leveling compound, white 1st floor NE room 6-2 Leveling compound, white 1st floor NE room

7 7-1 Floor covering remnants 1st floor NE room

7-2 Floor covering remnants 1st floor NE room

8 8-1 Caulking 1st floor NE room

8-2 Caulking 1st floor NE room

9

9-1 Gypsum board and joint compound 1st floor elevator equipment room



10 10-1 Lightweight concrete 1st floor NE room

10-2 Lightweight concrete 1st floor NE room

11 11-1 Caulking, yellow 1st floor NE room

11-2 Caulking, yellow 1st floor NE room

12 12-1 1’x1’ ceiling tile, white with holes 1st floor by elevator room 12-2 1’x1’ ceiling tile, white with holes 1st floor by elevator room

13 13-1 Tar expansion joint, fiber 1st floor NE room

13-2 Tar expansion joint, fiber 1st floor NE room

14 14-1 2’x2’ ceiling tile, white with pinholes and cuts 1st floor bike room

14-2 2’x2’ ceiling tile, white with pinholes and cuts 1st floor middle room

15 15-1 Caulk, yellow 1st floor SE office 15-2 Caulk, yellow 1st floor SE office

16 16-1 2’x4’ ceiling tile, white with pinholes and indentions 1st floor hall 16-2 2’x4’ ceiling tile, white with pinholes and indentions 1st floor hall

17 17-1 Expansion joint, fibrous Jail area

17-2 Expansion joint, fibrous Jail area

18 18-1 Mastic, black Jail area

18-2 Mastic, black Jail area

19 19-1 Canvas pipe wrap 1st floor NW room 19-2 Canvas pipe wrap 1st floor NW room

20 20-1 Pipe elbow 1st floor NW room

20-2 Pipe elbow 1st floor NW room

21 21-1 Floor tread mastic NW stair well

21-2 Floor tread mastic NW stair well

22 22-1 12”x12” floor tile, blue 2nd floor NW rest room 22-2 12”x12” floor tile, blue 2nd floor NW rest room

23 23-1 9”x9” floor tile 2nd floor, NW room

23-2 9”x9” floor tile 2nd floor middle room

24 24-1 Gypsum board and joint compound 2nd floor NW room

24-2 Gypsum board and joint compound 2nd floor NW room

24-3 Gypsum board and joint compound 2nd floor NW room


25 25-1 Cove base mastic, beige Elevator

25-2 Cove base mastic, beige Elevator

26 26-1 Sheet flooring, pebble pattern Elevator 26-2 Sheet flooring, pebble pattern Elevator

27 27-1 Fiberglass insulation, paper wrap, black mastic 3rd floor NE room 27-2 Fiberglass insulation, paper wrap, black mastic 3rd floor NE room

28 28-1 Floor mastic, black 3rd floor

28-2 Floor mastic, black 3rd floor

29 29-1 Fiberglass insulation, paper wrap, black mastic 3rd floor north side

29-2 Fiberglass insulation, paper wrap, black mastic 3rd floor north side

30 30-1 Duct tape 3rd floor mechanical room 30-2 Duct tape 3rd floor mechanical room

31 31-1 Plaster ceiling 3rd floor star well

31-2 Plaster ceiling 3rd floor star well

31-3 Plaster ceiling 3rd floor star well

32 32-1 Plaster wall Church

32-2 Plaster wall Church 32-3 Plaster wall Church

33 33-1 Carpet mastic, yellow Church 33-2 Carpet mastic, yellow Church

34 34-1 Gypsum board and joint compound walls Church

34-2 Gypsum board and joint compound walls Church

34-3 Gypsum board and joint compound walls Church

35 35-1 12”x12” floor tile, gray Church 35-2 12”x12” floor tile, gray Church

36 36-1 Stair tread mastic, yellow Church

36-2 Stair tread mastic, yellow Church

APPENDIX B

APPENDIX B

CONFIRMED ASBESTOS-CONTAINING MATERIAL



DULUTH, GEORGIA Terracon Project No. 49127125

3087 Main Street (Consignment Store)

HA No. Description Material

Location Percent/Type

Asbestos NESHAP

Classification Condition Estimated

Quantity*

7 Sheet flooring

red square pattern

Storage room ND – sheet flooring

45%C – fiber backing Category I non-friable Good 100 sf

* Quantities are estimates only. sf = square feet C = Chrysotile asbestos ND = None Detected





3097 Main Street (Design store)



Asbestos NESHAP


Quantity*

4 Sheet flooring,

red square pattern

Mechanical room ND – sheet flooring

65%C – fiber backing Category I non-friable Fair 100 sf






New Dawn Theater

HA No. Description Material Location

Percent/Type Asbestos

NESHAP Classification

Condition Estimated Quantity*

9 2nd layer flooring Small dressing

room 5%C – floor tile

5%C – black mastic Category I non-friable Good 210 sf

11 Carpet mastic, black and yellow

Main entrance ND – yellow mastic 5%C – black mastic

Category I non-friable Good 150 sf









Asbestos NESHAP


Quantity*

13 Window glazing

(interior windows)

Front office and basement

2%C – window glazing Category II non-friable Good 6 windows

15 sealant Exterior, front wall 3%c - sealant Category II non-friable Good 30 lf

28 12”x12” floor tile, green

Basement, south room beneath

carpet

ND yellow mastic 5%C – floor tile

3%C – black mastic


30 Silver paint Basement cooler

room

2%C – silver paint 5%C –tar ND - foam


34 HVAC mastic, black

Basement middle room

10%C – black mastic Category II non-friable Good 10 lf

36 12”x12” floor tile, multicolored

Basement north office

ND – floor tile 5%C – black mastic


40 2nd layer tile Basement south

room 5%C – floor tile

5%C – black mastic Category I non-friable Good 500 sf

* Quantities are estimates only. C = Chrysotile asbestos ND = None Detected








Asbestos NESHAP


Quantity*

1 Window frame caulk, white

Exterior 2%C - caulking Category II non-friable Good 50 windows

2 Gypsum board

and joint compound walls

Throughout Old City Hall

ND – drywall material 2%C – joint compound

Category II non-friable Good 2,500 sf

7 Floor covering remnants

1st floor NE room ND – flooring material

ND – yellow mastic <1%C – black mastic

Category I non-friable Good 20 lf

8 Caulking Interior windows 2%C - caulking Category II non-friable Good 50 windows

9

Gypsum board and joint

compound ceiling

Elevator equipment room

ND – drywall material 2%C – joint compound

Category II non-friable Good 150 sf

11 Caulking, yellow 1st floor NE room 2%C - caulking Category II non-friable Good 40 lf

18 Black mastic Jail (on toilet

piping) 2%C – black mastic

Category I non-friable Good 30 lf

20 Pipe elbows 1st floor NW room 3%C – black mastic Category II non-friable Good

1 elbow observed

22 12”x12” floor tile, blue

2nd floor NW rest room

ND – floor tile 5%C – black mastic


23 9”x9” floor tile Strips of floor tile

on 2nd and 3rd floor

5%C –floor tile ND – tan mastic


28 Floor mastic, black

3rd floor 5%C – black mastic Category I non-friable Good

Included with HA 23

30 Duct tape, white 3rd floor

mechanical room 60% C – asbestos tape Friable/RACM Good 50 lf

* Quantities are estimates only. sf = square feet lf = linear feet C = Chrysotile asbestos ND = None Detected

APPENDIX C

ASBESTOS ANALYTICAL LABORATORY DATA

PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :

Terracon - Duluth, GA

City of Duluth, 3087 Main Street

49127125

Asbestos, Bulk Sample Analysis

Sample Number Client Sample Description / Location Asbestos Content

Sample Date :

On 4/27/2012, twenty four (24) bulk material samples were submitted by David DeSavigny of Terracon - Duluth, GA for asbestos analysis by PLM/DS.

The PLM Detail Report is attached; additional information may be found therein. The results are summarized below:

Page 1 of 2

Lab Job No. :

Report Date :

12B-04923

04/05/2012

05/02/2012

2051 Valley View Lane

Farmers Branch, TX 75234 Phone: (972) 241-8460

Steve Moody Micro Services, LLC NVLAP Lab No. 102056

TDSHS License No. 30-0084

Polarized Light Microscopy / Dispersion Staining (PLM/DS)

EPA Method 600 / R-93 / 116

1-1 1' x 1' Ceiling Tile (Large Holes) None Detected - Acoustic Tile

1-2 1' x 1' Ceiling Tile (Large Holes) None Detected - Acoustic Tile

2-1 1' x 1' Ceiling Tile (Small Holes) None Detected - Acoustic Tile

2-2 1' x 1' Ceiling Tile (Small Holes) None Detected - Acoustic Tile

3-1 1' x 1' Ceiling Tile (White) None Detected - Acoustic Tile


4-1 Sheet Flooring (White) None Detected - Sheet Flooring

None Detected - Fiber Backing

None Detected - Yellow Mastic

4-2 Sheet Flooring (White) None Detected - Sheet Flooring



5-1 Gypsum Board and Joint Compound None Detected - Drywall Material

None Detected - Joint Compound





6-1 12" x 12" Floor Tile (Tan with Black and White Spots) None Detected - Floor Tile


6-2 12" x 12" Floor Tile (Tan with Black and White Spots) None Detected - Floor Tile


7-1 Sheet Flooring (Red Square Pattern) None Detected - Sheet Flooring

45% Chrysotile - Fiber Backing

7-2 Sheet Flooring (Red Square Pattern) Not Analyzed - Positive Stop

PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



49127125



Sample Date :

On 4/27/2012, twenty four (24) bulk material samples were submitted by David DeSavigny of Terracon - Duluth, GA for asbestos analysis by PLM/DS.


Page 2 of 2

Lab Job No. :

Report Date :

12B-04923

04/05/2012

05/02/2012






EPA Method 600 / R-93 / 116

8-1 Flooring (2nd Layer) None Detected - Floor Tile

None Detected - Clear Mastic

None Detected - Leveling Compound




9-1 Plaster Walls None Detected - Brown Plaster

None Detected - White Plaster





10-1 Carpet Mastic (Yellow) None Detected - Yellow Mastic








Tommie SmithAnalyst(s):

Lab Director : Steve Moody Approved Signatory :

Thank you for choosing Steve Moody Micro Services

These samples were analyzed by layers. Quantification, unless otherwise noted, is performed by calibrated visual

estimate. Results may not be reproduced except in full. This test report relates only to the samples tested. These

test results do not imply endorsement by NVLAP or any agency of the U.S. Government. Accredited by the

National Voluntary Laboratory Accreditation Program for Bulk Asbestos Fiber Analysis under Lab Code 102056.

Lab Manager : Bruce Crabb Approved Signatory :

PLM Detail Report

Project # : 49127125

Page 1 of 3

Sample Number Layer Components% Of

Sample

Analysis

Date

% of

LayerAnalyst

Supplement to PLM Summary Report

Client :

Project :



Lab Job No. :

Report Date :

12B-04923

05/02/2012





Wood Fibers1-1 Acoustic Tile (Tan) 100% 05/01100% TS






Synthetic Foam4-1 Sheet Flooring (White) 50% 05/0170% TS

Vinyl Binders4-1 Sheet Flooring (White) 50% 05/0130% TS

Cellulose Fibers4-1 Fiber Backing (Light Grey) 50% 05/0150% TS

Glass Wool Fibers4-1 Fiber Backing (Light Grey) 50% 05/015% TS

Calcite / Binders4-1 Fiber Backing (Light Grey) 50% 05/0145% TS

Glue Binders4-1 Yellow Mastic (Yellow) <1% 05/01100% TS

Synthetic Foam4-2 Sheet Flooring (White) 50% 05/0170% TS

Vinyl Binders4-2 Sheet Flooring (White) 50% 05/0130% TS





Glass Wool Fibers5-1 Drywall Material (White) 70% 05/012% TS

Cellulose Fibers5-1 Drywall Material (White) 70% 05/011% TS

Gypsum / Binders5-1 Drywall Material (White) 70% 05/0197% TS

Cellulose Fibers5-1 DW Paper Facing (Tan) 15% 05/01100% TS

Calcite / Talc / Binders5-1 Joint Compound (White) 15% 05/01100% TS




Cellulose Fibers5-2 DW Paper / Tape (Tan / White) 65% 05/01100% TS


PLM Detail Report

Project # : 49127125

Page 2 of 3


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04923

05/02/2012










Calcite / Vinyl Binders6-1 Floor Tile (Tan) 100% 05/01100% TS




Synthetic Foam7-1 Sheet Flooring (Brown) 50% 05/0170% TS

Vinyl Binders7-1 Sheet Flooring (Brown) 50% 05/0130% TS

Chrysotile7-1 Fiber Backing (Light Grey) 50% 05/0145% TS


Binders / Fillers7-1 Fiber Backing (Light Grey) 50% 05/0125% TS

7-2 Not Analyzed - Positive Stop 100% 05/01 TS


Glue Binders8-1 Clear Mastic (Clear) 1% 05/01100% TS

Calcite / Binders8-1 Leveling Compound (Off-White) 10% 05/01100% TS


Glue Binders8-2 Clear Mastic (Clear) 1% 05/01100% TS


Aggregate9-1 Brown Plaster (Brown) 90% 05/0165% TS

Calcite / Binders9-1 Brown Plaster (Brown) 90% 05/0135% TS

Binders / Fillers9-1 White Plaster (White) 10% 05/01100% TS




PLM Detail Report

Project # : 49127125

Page 3 of 3


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04923

05/02/2012








Glue Binders10-1 Yellow Mastic (Yellow) 100% 05/01100% TS


Calcite / Vinyl Binders11-1 Floor Tile (Light Tan) 85% 05/01100% TS



Calcite / Vinyl Binders11-2 Floor Tile (Light Tan) 85% 05/01100% TS



PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



94127125



Sample Date :

On 4/27/2012, twelve (12) bulk material samples were submitted by David DeSavigny of Terracon - Duluth, GA for asbestos analysis by PLM/DS. The

PLM Detail Report is attached; additional information may be found therein. The results are summarized below:

Page 1 of 1

Lab Job No. :

Report Date :

12B-04922

04/05/2012

05/01/2012






EPA Method 600 / R-93 / 116

1-1 2' x 2' Ceiling Tile (Pinholes and Small Cuts) None Detected - Ceiling Tile

1-2 2' x 2' Ceiling Tile (Pinholes and Small Cuts) None Detected - Ceiling Tile

2-1 Gypsum Board and Joint Compound, Walls None Detected - Drywall Material






3-1 1' x 1' Ceiling Tile (White) None Detected - Ceiling Tile

3-2 1' x 1' Ceiling Tile (White) None Detected - Ceiling Tile

4-1 Sheet Flooring (Red Square Pattern) None Detected - Sheet Flooring

65% Chrysotile - Fiber Backing

4-2 Sheet Flooring (Red Square Pattern) Not Analyzed - Positive Stop

5-1 Gypsum Board and Joint Compound, Ceiling None Detected - Drywall Material






Steve MoodyAnalyst(s):








PLM Detail Report

Project # : 94127125

Page 1 of 2


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04922

05/01/2012





Cellulose Fibers1-1 Ceiling Tile (Light Grey) 100% 05/0150% SM

Mineral Wool Fibers1-1 Ceiling Tile (Light Grey) 100% 05/0130% SM

Perlite1-1 Ceiling Tile (Light Grey) 100% 05/0120% SM

Cellulose Fibers1-2 Ceiling Tile (Light Grey) 100% 05/0150% SM

Mineral Wool Fibers1-2 Ceiling Tile (Light Grey) 100% 05/0130% SM

Perlite1-2 Ceiling Tile (Light Grey) 100% 05/0120% SM

Cellulose Fibers2-1 Drywall Material (Off-White) 75% 05/012% SM

Gypsum / Binders2-1 Drywall Material (Off-White) 75% 05/0198% SM

Cellulose Fibers2-1 DW Paper / Tape (Tan / White) 15% 05/01100% SM

Calcite / Talc / Binders2-1 Joint Compound (White) 10% 05/01100% SM



Cellulose Fibers2-2 DW Paper (Tan / White) 10% 05/01100% SM




Cellulose Fibers2-3 DW Paper (Tan / White) 10% 05/01100% SM


Wood Fibers3-1 Ceiling Tile (Tan) 100% 05/01100% SM

Wood Fibers3-2 Ceiling Tile (Tan) 100% 05/01100% SM

Calcite / Vinyl Binders4-1 Sheet Flooring (Red) 50% 05/01100% SM

Chrysotile4-1 Fiber Backing (Light Grey) 50% 05/0165% SM

Binders / Fillers4-1 Fiber Backing (Light Grey) 50% 05/0135% SM

4-2 Not Analyzed - Positive Stop 100% 05/01 SM

Cellulose Fibers5-1 Drywall Material (Light Grey) 80% 05/012% SM

Gypsum / Binders5-1 Drywall Material (Light Grey) 80% 05/0198% SM



PLM Detail Report

Project # : 94127125

Page 2 of 2


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04922

05/01/2012













PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :


City of Duluth, Theater

49127125



Sample Date :

On 4/27/2012, twenty three (23) bulk material samples were submitted by David DeSavigny of Terracon - Duluth, GA for asbestos analysis by PLM/DS.


Page 1 of 2

Lab Job No. :

Report Date :

12B-04920

04/05/2012

05/02/2012






EPA Method 600 / R-93 / 116

1-1 12" x 12" Floor Tile (Beige Mix) None Detected - Floor Tile





None Detected - Paint





3-1 2' x 4' Ceiling Tile (Brown) None Detected - Acoustic Tile


4-1 12" x 12" Floor Tile (Brown Diamond) None Detected - Floor Tile




5-1 2' x 4' Ceiling Tile (White with Pinholes and Indentions) None Detected - Acoustic Tile


6-1 2' x 4' Ceiling Tile (White with Pinholes and Lengthwise

Indentions)

None Detected - Acoustic Tile


Indentions)


7-1 2' x 4' Ceiling Tile (White with Pinholes) None Detected - Acoustic Tile


8-1 12" x 12" Floor Tile (Brown Mix) None Detected - Floor Tile


PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



49127125



Sample Date :



Page 2 of 2

Lab Job No. :

Report Date :

12B-04920

04/05/2012

05/02/2012






EPA Method 600 / R-93 / 116



9-1 Flooring (2nd Layer) 5% Chrysotile - Floor Tile

5% Chrysotile - Black Mastic

9-2 Flooring (2nd Layer) Not Analyzed - Positive Stop

10-1 Leveling Compound None Detected - Yellow Mastic

None Detected - Black Mastic





11-1 Carpet Mastic (Black and Yellow) None Detected - Yellow Mastic


11-2 Carpet Mastic (Black and Yellow) Not Analyzed - Positive Stop

Shaun WilkersonAnalyst(s):








PLM Detail Report

Project # : 49127125

Page 1 of 3


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04920

05/02/2012





Calcite / Vinyl Binders1-1 Floor Tile (Beige) 99% 05/02100% SW

Glue Binders1-1 Yellow Mastic (Yellow) 1% 05/02100% SW



Glass Wool Fibers2-1 Drywall Material (White) 89% 05/022% SW

Cellulose Fibers2-1 Drywall Material (White) 89% 05/021% SW

Gypsum / Binders2-1 Drywall Material (White) 89% 05/0297% SW

Cellulose Fibers2-1 DW Paper Facing (Tan) 10% 05/02100% SW

Pigment / Binders2-1 Paint (Off-White) 1% 05/02100% SW





Calcite / Talc / Binders2-2 Joint Compound (White) 15% 05/02100% SW




Cellulose Fibers2-3 DW Paper / Tape (Tan / White) 10% 05/02100% SW


Wood Fibers3-1 Acoustic Tile (Tan) 100% 05/02100% SW


Calcite / Vinyl Binders4-1 Floor Tile (Brown) 99% 05/02100% SW

Glue Binders4-1 Clear Mastic (Clear) 1% 05/02100% SW



Cellulose Fibers5-1 Acoustic Tile (Tan) 100% 05/0250% SW

Mineral Wool Fibers5-1 Acoustic Tile (Tan) 100% 05/0230% SW

Perlite5-1 Acoustic Tile (Tan) 100% 05/0220% SW

PLM Detail Report

Project # : 49127125

Page 2 of 3


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04920

05/02/2012
























Chrysotile9-1 Floor Tile (Brown) 95% 05/025% SW


Chrysotile9-1 Black Mastic (Black) 5% 05/025% SW

Tar Binders9-1 Black Mastic (Black) 5% 05/0295% SW

9-2 Not Analyzed - Positive Stop 100% 05/02 SW



Calcite / Binders10-1 Leveling Compound (Off-White) 94% 05/02100% SW

PLM Detail Report

Project # : 49127125

Page 3 of 3


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04920

05/02/2012












PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :


City of Duluth, Large Warehouse

49127104



Sample Date :

On 4/10/2012, one hundred (100) bulk material samples were submitted by David DeSavigny of Terracon - Duluth, GA for asbestos analysis by PLM/DS.


Page 1 of 7

Lab Job No. :

Report Date :

12B-04211

04/02/2012

04/13/2012






EPA Method 600 / R-93 / 116

1-1 12" x 12" Floor Tile (Beige with Black Spots) None Detected - Floor Tile


1-2 12" x 12" Floor Tile (Beige with Black Spots) None Detected - Floor Tile




3-1 1" x 1" Ceiling Tile (White with Holes) None Detected - Acoustic Tile

3-2 1" x 1" Ceiling Tile (White with Holes) None Detected - Acoustic Tile

4-1 Door Frame Caulk None Detected - Caulking

4-2 Door Frame Caulk None Detected - Caulking

5-1 HVAC Mastic (White) None Detected - White Mastic

5-2 HVAC Mastic (White) None Detected - White Mastic

6-1 Wall Texture None Detected - Texture



7-1 Ceiling Texture None Detected - Drywall Material

None Detected - Texture







8-1 Cove Base Mastic (Yellow) None Detected - Yellow Mastic

8-2 Cove Base Mastic (Yellow) None Detected - Yellow Mastic

PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



49127104



Sample Date :



Page 2 of 7

Lab Job No. :

Report Date :

12B-04211

04/02/2012

04/13/2012






EPA Method 600 / R-93 / 116

9-1 9" x 9" Floor Tile (Green) None Detected - Yellow Mastic

None Detected - Sheet Flooring


None Detected - Brown Mastic





10-1 9" x 9" Floor Tile (White) None Detected - Yellow Mastic




10-2 9" x 9" Floor Tile (White) None Detected - Yellow Mastic




11-1 12" x 12" Floor Tile None Detected - Yellow Mastic

None Detected - Floor Tile


11-2 12" x 12" Floor Tile None Detected - Yellow Mastic

None Detected - Floor Tile


12-1 Paper Underlayment None Detected - Paper Underlayment


12-2 Paper Underlayment None Detected - Paper Underlayment


13-1 Window Glazing 2% Chrysotile - Window Glazing

13-2 Window Glazing Not Analyzed - Positive Stop

14-1 Window Glazing None Detected - Window Glazing

14-2 Window Glazing None Detected - Window Glazing

PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



49127104



Sample Date :



Page 3 of 7

Lab Job No. :

Report Date :

12B-04211

04/02/2012

04/13/2012






EPA Method 600 / R-93 / 116

15-1 Sealant 3% Chrysotile - Sealant

15-2 Sealant Not Analyzed - Positive Stop

16-1 Textured Paint None Detected - Texture



17-1 Wire Insulation None Detected - Cotton Wrap

None Detected - Black Coating

17-2 Wire Insulation None Detected - Cotton Wrap

None Detected - Black Coating

18-1 Wire Insulation None Detected - Wire Insulation

18-2 Wire Insulation None Detected - Wire Insulation

19-1 Pipe Dope (Multicolored) None Detected - Pipe Material

19-2 Pipe Dope (Multicolored) None Detected - Pipe Material







21-1 Mastic (Black) None Detected - Thermal Insulation

None Detected - Paper / Tar Wrap


None Detected - Paper / Tar Wrap

22-1 12" x 12" Floor Tile (Black) None Detected - Floor Tile


PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



49127104



Sample Date :



Page 4 of 7

Lab Job No. :

Report Date :

12B-04211

04/02/2012

04/13/2012






EPA Method 600 / R-93 / 116

22-2 12" x 12" Floor Tile (Black) None Detected - Floor Tile


23-1 12" x 12" Floor Tile (White) None Detected - Floor Tile


23-2 12" x 12" Floor Tile (White) None Detected - Floor Tile


24-1 Sheet Flooring (Yellow) None Detected - Sheet Flooring

24-2 Sheet Flooring (Yellow) None Detected - Sheet Flooring

25-1 Textured Ceiling None Detected - Drywall Material



25-2 Textured Ceiling None Detected - Drywall Material



25-3 Textured Ceiling None Detected - Joint Compound


26-1 1" x 1" Ceiling Tile (White with Large Holes) None Detected - Acoustic Tile

26-2 1" x 1" Ceiling Tile (White with Large Holes) None Detected - Acoustic Tile

27-1 1" x 1" Ceiling Tile (White with Small Holes) None Detected - Acoustic Tile

27-2 1" x 1" Ceiling Tile (White with Small Holes) None Detected - Acoustic Tile


5% Chrysotile - Floor Tile


28-2 12" x 12" Floor Tile (Green) Not Analyzed - Positive Stop

29-1 Cementitious Patch None Detected - Cement

29-2 Cementitious Patch None Detected - Cement

PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



49127104



Sample Date :



Page 5 of 7

Lab Job No. :

Report Date :

12B-04211

04/02/2012

04/13/2012






EPA Method 600 / R-93 / 116

30-1 Paint (Silver) over Styrofoam 2% Chrysotile - Silver Paint

5% Chrysotile - Tar

None Detected - Foam


5% Chrysotile - Tar



5% Chrysotile - Tar


31-1 Cement Board None Detected - Cement

None Detected - Tar



None Detected - Tar



None Detected - Tar


32-1 Joint Compound None Detected - Joint Compound

None Detected - Glass Fiber Mesh





33-1 Light Weight Cement Walls None Detected - Cement






PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



49127104



Sample Date :



Page 6 of 7

Lab Job No. :

Report Date :

12B-04211

04/02/2012

04/13/2012






EPA Method 600 / R-93 / 116

34-1 HVAC Mastic (Black) 10% Chrysotile - Black Mastic

34-2 HVAC Mastic (Black) Not Analyzed - Positive Stop

35-1 2" x 4" Ceiling Tile (Pinholes and Cut) None Detected - Acoustic Tile

35-2 2" x 4" Ceiling Tile (Pinholes and Cut) None Detected - Acoustic Tile

36-1 12" x 12" Floor Tile (Multicolored Brown) None Detected - Floor Tile


36-2 12" x 12" Floor Tile (Multicolored Brown) Not Analyzed - Positive Stop

37-1 Cove Base Mastic (Beige) None Detected - Cove Base

None Detected - Mastic

37-2 Cove Base Mastic (Beige) None Detected - Cove Base

None Detected - Mastic

38-1 Fire Stop (White) None Detected - Fire Stop

38-2 Fire Stop (White) None Detected - Fire Stop

39-1 2" x 4" Ceiling Tile (Multi Sized Holes) None Detected - Acoustic Tile

39-2 2" x 4" Ceiling Tile (Multi Sized Holes) None Detected - Acoustic Tile




41-1 Cove Base Mastic (Brown) None Detected - Cove Base


41-2 Cove Base Mastic (Brown) None Detected - Brown Mastic

42-1 1" x 1" Ceiling Tile (White with Indentions) None Detected - Acoustic Tile

42-2 1" x 1" Ceiling Tile (White with Indentions) None Detected - Acoustic Tile

43-1 Mastic (Black) None Detected - Black Mastic

PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



49127104



Sample Date :



Page 7 of 7

Lab Job No. :

Report Date :

12B-04211

04/02/2012

04/13/2012






EPA Method 600 / R-93 / 116

43-2 Mastic (Black) None Detected - Black Mastic

44-1 Wall Texture None Detected - Paint / Texture



45-1 Caulk (Beige) None Detected - Caulking

45-2 Caulk (Beige) None Detected - Caulking









PLM Detail Report

Project # : 49127104

Page 1 of 10


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04211

04/13/2012













Calcite4-1 Caulking (White) 100% 04/1150% SW

Binders / Fillers4-1 Caulking (White) 100% 04/1150% SW

Calcite4-2 Caulking (White) 100% 04/1150% SW

Binders / Fillers4-2 Caulking (White) 100% 04/1150% SW

Cellulose Fibers5-1 White Mastic (White) 100% 04/115% SW

Pigment / Binders5-1 White Mastic (White) 100% 04/1195% SW

Cellulose Fibers5-2 White Mastic (White) 100% 04/115% SW

Pigment / Binders5-2 White Mastic (White) 100% 04/1195% SW

Calcite / Binders6-1 Texture (White) 100% 04/11100% SW







Calcite / Talc / Binders7-1 Texture (White) 20% 04/11100% SW

PLM Detail Report

Project # : 49127104

Page 2 of 10


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04211

04/13/2012




















Cellulose Fibers9-1 Sheet Flooring (Green) 45% 04/1150% SW

Calcite / Vinyl Binders9-1 Sheet Flooring (Green) 45% 04/1150% SW

Cellulose Fibers9-1 Fiber Backing (Black) 48% 04/1185% SW

Tar Binders9-1 Fiber Backing (Black) 48% 04/1115% SW

Glue Binders9-1 Brown Mastic (Brown) 2% 04/11100% SW


Cellulose Fibers9-2 Sheet Flooring (Green) 45% 04/1150% SW

Calcite / Vinyl Binders9-2 Sheet Flooring (Green) 45% 04/1150% SW




PLM Detail Report

Project # : 49127104

Page 3 of 10


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04211

04/13/2012






Cellulose Fibers10-1 Sheet Flooring (White) 45% 04/1150% SW

Calcite / Vinyl Binders10-1 Sheet Flooring (White) 45% 04/1150% SW





Cellulose Fibers10-2 Sheet Flooring (White) 45% 04/1150% SW

Calcite / Vinyl Binders10-2 Sheet Flooring (White) 45% 04/1150% SW










Cellulose Fibers12-1 Paper Underlayment (Tan) 95% 04/1160% SW

Glass Wool Fibers12-1 Paper Underlayment (Tan) 95% 04/1140% SW


Cellulose Fibers12-2 Paper Underlayment (Tan) 95% 04/1160% SW

Glass Wool Fibers12-2 Paper Underlayment (Tan) 95% 04/1140% SW


Chrysotile13-1 Window Glazing (Grey) 100% 04/112% SW

Calcite / Talc13-1 Window Glazing (Grey) 100% 04/1120% SW

Binders / Fillers13-1 Window Glazing (Grey) 100% 04/1178% SW


Calcite14-1 Window Glazing (Red) 100% 04/1160% SW

Binders / Fillers14-1 Window Glazing (Red) 100% 04/1140% SW

PLM Detail Report

Project # : 49127104

Page 4 of 10


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04211

04/13/2012





Calcite14-2 Window Glazing (Red) 100% 04/1160% SW

Binders / Fillers14-2 Window Glazing (Red) 100% 04/1140% SW

Chrysotile15-1 Sealant (Black) 100% 04/113% SW

Calcite15-1 Sealant (Black) 100% 04/1117% SW

Tar Binders15-1 Sealant (Black) 100% 04/1180% SW


Aggregate16-1 Block (Grey) 95% 04/1165% SW

Cement Binders16-1 Block (Grey) 95% 04/1135% SW




Calcite / Gypsum Binders16-2 Texture (White) 5% 04/11100% SW



Calcite / Gypsum Binders16-3 Texture (White) 5% 04/11100% SW

Cotton Fibers17-1 Cotton Wrap (Off-White) 65% 04/12100% SW

Tar Binders17-1 Black Coating (Black) 35% 04/12100% SW

Cotton Fibers17-2 Cotton Wrap (Off-White) 65% 04/12100% SW

Tar Binders17-2 Black Coating (Black) 35% 04/12100% SW

Cotton Fibers18-1 Wire Insulation (Brown) 100% 04/1230% SW

Glass Wool Fibers18-1 Wire Insulation (Brown) 100% 04/1215% SW

Rubber Binders18-1 Wire Insulation (Brown) 100% 04/1245% SW

Tar Binders18-1 Wire Insulation (Brown) 100% 04/1210% SW

Cotton Fibers18-2 Wire Insulation (Brown) 100% 04/1230% SW

Glass Wool Fibers18-2 Wire Insulation (Brown) 100% 04/1215% SW

Rubber Binders18-2 Wire Insulation (Brown) 100% 04/1245% SW

Tar Binders18-2 Wire Insulation (Brown) 100% 04/1210% SW

Cellulose Fibers19-1 Pipe Material (Light Grey) 100% 04/1220% SW

Binders / Fillers19-1 Pipe Material (Light Grey) 100% 04/1280% SW

PLM Detail Report

Project # : 49127104

Page 5 of 10


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04211

04/13/2012





Cellulose Fibers19-2 Pipe Material (Light Grey) 100% 04/1220% SW

Binders / Fillers19-2 Pipe Material (Light Grey) 100% 04/1280% SW
















Mineral Wool Fibers21-1 Thermal Insulation (Yellow) 80% 04/1295% SW

Resin Binders21-1 Thermal Insulation (Yellow) 80% 04/125% SW

Cellulose Fibers21-1 Paper / Tar Wrap (Tan / Black) 20% 04/1270% SW

Tar Binders21-1 Paper / Tar Wrap (Tan / Black) 20% 04/1230% SW

Mineral Wool Fibers21-2 Thermal Insulation (Yellow) 80% 04/1295% SW

Resin Binders21-2 Thermal Insulation (Yellow) 80% 04/125% SW

Cellulose Fibers21-2 Paper / Tar Wrap (Tan / Black) 20% 04/1270% SW

Tar Binders21-2 Paper / Tar Wrap (Tan / Black) 20% 04/1230% SW

Calcite / Vinyl Binders22-1 Floor Tile (Black) 99% 04/12100% SW


Calcite / Vinyl Binders22-2 Floor Tile (Black) 99% 04/12100% SW


PLM Detail Report

Project # : 49127104

Page 6 of 10


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04211

04/13/2012





Calcite / Vinyl Binders23-1 Floor Tile (White) 99% 04/12100% SW


Calcite / Vinyl Binders23-2 Floor Tile (White) 99% 04/12100% SW


Synthetic Foam24-1 Sheet Flooring (Yellow) 100% 04/1270% SW

Vinyl Binders24-1 Sheet Flooring (Yellow) 100% 04/1230% SW

Synthetic Foam24-2 Sheet Flooring (Yellow) 100% 04/1270% SW

Vinyl Binders24-2 Sheet Flooring (Yellow) 100% 04/1230% SW


















PLM Detail Report

Project # : 49127104

Page 7 of 10


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04211

04/13/2012






Chrysotile28-1 Floor Tile (Green) 95% 04/125% SW

Calcite / Vinyl Binders28-1 Floor Tile (Green) 95% 04/1295% SW




Aggregate29-1 Cement (Grey) 100% 04/1265% SW

Cement Binders29-1 Cement (Grey) 100% 04/1235% SW



Chrysotile30-1 Silver Paint (Silver) 2% 04/122% SW

Pigment / Binders30-1 Silver Paint (Silver) 2% 04/1298% SW

Chrysotile30-1 Tar (Black) 68% 04/125% SW

Tar Binders30-1 Tar (Black) 68% 04/1295% SW

Synthetic Foam30-1 Foam (White) 30% 04/12100% SW















PLM Detail Report

Project # : 49127104

Page 8 of 10


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04211

04/13/2012













Aggregate32-1 Joint Compound (White) 95% 04/1265% SW

Calcite / Binders32-1 Joint Compound (White) 95% 04/1235% SW

Glass Wool Fibers32-1 Glass Fiber Mesh (White) 5% 04/12100% SW




Synthetic Foam32-2 Foam (Blue) 5% 04/12100% SW




Synthetic Foam32-3 Foam (Blue) 5% 04/12100% SW












PLM Detail Report

Project # : 49127104

Page 9 of 10


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04211

04/13/2012
















Calcite / Vinyl Binders37-1 Cove Base (Brown) 95% 04/12100% SW

Glue Binders37-1 Mastic (Beige) 5% 04/12100% SW


Glue Binders37-2 Mastic (Beige) 5% 04/12100% SW

Calcite / Gypsum Binders38-1 Fire Stop (White) 100% 04/12100% SW

Calcite / Gypsum Binders38-2 Fire Stop (White) 100% 04/12100% SW

Cellulose Fibers39-1 Acoustic Tile (Light Grey) 100% 04/1250% SW

Mineral Wool Fibers39-1 Acoustic Tile (Light Grey) 100% 04/1230% SW

Perlite39-1 Acoustic Tile (Light Grey) 100% 04/1220% SW

Cellulose Fibers39-2 Acoustic Tile (Light Grey) 100% 04/1250% SW

Mineral Wool Fibers39-2 Acoustic Tile (Light Grey) 100% 04/1230% SW

Perlite39-2 Acoustic Tile (Light Grey) 100% 04/1220% SW

Chrysotile40-1 Floor Tile (Beige) 95% 04/125% SW





PLM Detail Report

Project # : 49127104

Page 10 of 10


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04211

04/13/2012






Talc Fibers41-1 Brown Mastic (Brown) 5% 04/122% SW


Talc Fibers41-2 Brown Mastic (Brown) 100% 04/122% SW








Binders / Fillers43-1 Black Mastic (Black) 100% 04/12100% SW

Binders / Fillers43-2 Black Mastic (Black) 100% 04/12100% SW

Aggregate44-1 Plaster (Grey) 95% 04/1265% SW

Calcite / Binders44-1 Plaster (Grey) 95% 04/1235% SW

Calcite44-1 Paint / Texture (White) 5% 04/1225% SW

Pigment / Binders44-1 Paint / Texture (White) 5% 04/1275% SW









Calcite45-1 Caulking (Beige) 100% 04/1250% SW

Binders / Fillers45-1 Caulking (Beige) 100% 04/1250% SW

Calcite45-2 Caulking (Beige) 100% 04/1250% SW

Binders / Fillers45-2 Caulking (Beige) 100% 04/1250% SW

PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :


City of Duluth, Old City Hall

49127125



Sample Date :

On 4/27/2012, eighty two (82) bulk material samples were submitted by David DeSavigny of Terracon - Duluth, GA for asbestos analysis by PLM/DS.


Page 1 of 6

Lab Job No. :

Report Date :

12B-04921

04/02/2012

05/02/2012






EPA Method 600 / R-93 / 116

1-1 Window Frame Caulk (White) 2% Chrysotile - Caulking

1-2 Window Frame Caulk (White) Not Analyzed - Positive Stop












2% Chrysotile - Joint Compound



3-1 2' x 4' Ceiling Tile (White, Pinholes and Cuts) None Detected - Acoustic Tile

3-2 2' x 4' Ceiling Tile (White, Pinholes and Cuts) None Detected - Acoustic Tile

4-1 Glue Dots (Brown) None Detected - Brown Mastic

4-2 Glue Dots (Brown) None Detected - Brown Mastic

5-1 Cove Base Mastic (Yellow and Brown) None Detected - Brown Mastic


5-2 Cove Base Mastic (Yellow and Brown) None Detected - Brown Mastic


PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



49127125



Sample Date :



Page 2 of 6

Lab Job No. :

Report Date :

12B-04921

04/02/2012

05/02/2012






EPA Method 600 / R-93 / 116

6-1 Leveling Compound (White) None Detected - Leveling Compound 1

None Detected - Leveling Compound 2



6-2 Leveling Compound (White) None Detected - Leveling Compound 1

None Detected - Leveling Compound 2



7-1 Floor Covering Remnants None Detected - Concrete

None Detected - Flooring Material



7-2 Floor Covering Remnants None Detected - Flooring Material


<1% Chrysotile - Black Mastic

8-1 Caulking 2% Chrysotile - Caulking

8-2 Caulking Not Analyzed - Positive Stop







10-1 Light Weight Concrete None Detected - Concrete

10-2 Light Weight Concrete None Detected - Concrete

11-1 Caulking (Yellow) 2% Chrysotile - Caulking

11-2 Caulking (Yellow) Not Analyzed - Positive Stop

12-1 1' x 1' Ceiling Tile (White with Holes) None Detected - Acoustic Tile

PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



49127125



Sample Date :



Page 3 of 6

Lab Job No. :

Report Date :

12B-04921

04/02/2012

05/02/2012






EPA Method 600 / R-93 / 116

12-2 1' x 1' Ceiling Tile (White with Holes) None Detected - Acoustic Tile

13-1 Tar Expansion Joint (Fiber) None Detected - Expansion Joint

13-2 Tar Expansion Joint (Fiber) None Detected - Expansion Joint

14-1 2' x 2' Ceiling Tile (Pinholes and Cuts) None Detected - Acoustic Tile

14-2 2' x 2' Ceiling Tile (Pinholes and Cuts) None Detected - Acoustic Tile

15-1 Caulk (Yellow) None Detected - Caulking

15-2 Caulk (Yellow) None Detected - Caulking



17-1 Expansion Joint (Fibrous) None Detected - Expansion Joint

17-2 Expansion Joint (Fibrous) None Detected - Expansion Joint

18-1 Mastic (Black) 2% Chrysotile - Black Mastic

18-2 Mastic (Black) Not Analyzed - Positive Stop

19-1 Canvas Pipe Wrap None Detected - Cotton Wrap

19-2 Canvas Pipe Wrap None Detected - Cotton Wrap

20-1 Pipe Elbows 3% Chrysotile - Thermal Insulation

20-2 Pipe Elbows Not Analyzed - Positive Stop

21-1 Floor Tread Mastic None Detected - Yellow Mastic

21-2 Floor Tread Mastic None Detected - Yellow Mastic

22-1 12" x 12" Floor Tile (Blue) None Detected - Floor Tile


22-2 12" x 12" Floor Tile (Blue) Not Analyzed - Positive Stop

PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



49127125



Sample Date :



Page 4 of 6

Lab Job No. :

Report Date :

12B-04921

04/02/2012

05/02/2012






EPA Method 600 / R-93 / 116

23-1 9" x 9" Floor Tile 5% Chrysotile - Floor Tile

None Detected - Tan Mastic

23-2 9" x 9" Floor Tile Not Analyzed - Positive Stop


None Detected - Joint Compound /

Textured Paint



None Detected - Textured Paint



None Detected - Textured Paint

25-1 Cove Base Mastic (Beige) None Detected - Beige Mastic

25-2 Cove Base Mastic (Beige) None Detected - Beige Mastic

26-1 Sheet Flooring (Pebble Pattern) None Detected - Sheet Flooring



26-2 Sheet Flooring (Pebble Pattern) None Detected - Sheet Flooring




None Detected - Tar Paper Facing

None Detected - Tar Wrap


None Detected - Tar Paper Facing

None Detected - Tar Wrap

28-1 Floor Mastic (Black) 5% Chrysotile - Mastic

28-2 Floor Mastic (Black) Not Analyzed - Positive Stop

PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



49127125



Sample Date :



Page 5 of 6

Lab Job No. :

Report Date :

12B-04921

04/02/2012

05/02/2012






EPA Method 600 / R-93 / 116


None Detected - Mastic Paper Facing


None Detected - Mastic Paper Facing

30-1 Duct Tape (White) 60% Chrysotile - Asbestos Tape

30-2 Duct Tape (White) Not Analyzed - Positive Stop

31-1 Plaster Ceiling None Detected - Plaster



32-1 Plaster Walls None Detected - Grey Plaster














35-1 12" x 12" Floor Tile (Gray) None Detected - Floor Tile


PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



49127125



Sample Date :



Page 6 of 6

Lab Job No. :

Report Date :

12B-04921

04/02/2012

05/02/2012






EPA Method 600 / R-93 / 116

35-2 12" x 12" Floor Tile (Gray) None Detected - Floor Tile


36-1 Stair Tread Mastic (Yellow) None Detected - Yellow Mastic

36-2 Stair Tread Mastic (Yellow) None Detected - Yellow Mastic

Tommie SmithAnalyst(s):








PLM Detail Report

Project # : 49127125

Page 1 of 9


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04921

05/02/2012





Chrysotile1-1 Caulking (White) 100% 05/022% TS

Binders / Fillers1-1 Caulking (White) 100% 05/0298% TS
























PLM Detail Report

Project # : 49127125

Page 2 of 9


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04921

05/02/2012









Chrysotile2-6 Joint Compound (Off-White) 75% 05/022% TS

Calcite / Talc / Binders2-6 Joint Compound (Off-White) 75% 05/0298% TS







Cellulose Fibers3-1 Acoustic Tile (Light Grey) 100% 05/0250% TS

Mineral Wool Fibers3-1 Acoustic Tile (Light Grey) 100% 05/0230% TS

Perlite3-1 Acoustic Tile (Light Grey) 100% 05/0220% TS




Glue Binders4-1 Brown Mastic (Brown) 100% 05/02100% TS





Talc Fibers5-2 Yellow Mastic (Yellow) 65% 05/021% TS

Tremolite (Non-fibrous)5-2 Yellow Mastic (Yellow) 65% 05/022% TS

Calcite / Talc5-2 Yellow Mastic (Yellow) 65% 05/0250% TS


PLM Detail Report

Project # : 49127125

Page 3 of 9


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04921

05/02/2012





Calcite / Binders6-1 Leveling Compound 1 (White) 89% 05/02100% TS

Cement Binders6-1 Leveling Compound 2 (Grey) 5% 05/02100% TS


Tar Binders6-1 Black Mastic (Black) 1% 05/02100% TS

Calcite / Binders6-2 Leveling Compound 1 (White) 69% 05/02100% TS

Cement Binders6-2 Leveling Compound 2 (Grey) 1% 05/02100% TS


Tar Binders6-2 Black Mastic (Black) <1% 05/02100% TS

Aggregate7-1 Concrete (Grey) 87% 05/0265% TS

Cement Binders7-1 Concrete (Grey) 87% 05/0235% TS

Binders / Fillers7-1 Flooring Material (Tan) 5% 05/02100% TS



Binders / Fillers7-2 Flooring Material (Tan) 89% 05/02100% TS


Chrysotile7-2 Black Mastic (Black) 1% 05/02<1% TS


Chrysotile8-1 Caulking (Grey) 100% 05/022% TS

Binders / Fillers8-1 Caulking (Grey) 100% 05/0298% TS












PLM Detail Report

Project # : 49127125

Page 4 of 9


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04921

05/02/2012














Chrysotile11-1 Caulking (Tan) 100% 05/022% TS

Binders / Fillers11-1 Caulking (Tan) 100% 05/0298% TS




Cellulose Fibers13-1 Expansion Joint (Black) 100% 05/0225% TS

Tar Binders13-1 Expansion Joint (Black) 100% 05/0275% TS

Cellulose Fibers13-2 Expansion Joint (Black) 100% 05/0225% TS

Tar Binders13-2 Expansion Joint (Black) 100% 05/0275% TS







Calcite15-1 Caulking (Yellow) 100% 05/0250% TS

Binders / Fillers15-1 Caulking (Yellow) 100% 05/0250% TS

Calcite15-2 Caulking (Yellow) 100% 05/0250% TS

Binders / Fillers15-2 Caulking (Yellow) 100% 05/0250% TS

PLM Detail Report

Project # : 49127125

Page 5 of 9


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04921

05/02/2012











Wood Fibers17-1 Expansion Joint (Tan) 100% 05/02100% TS

Wood Fibers17-2 Expansion Joint (Tan) 100% 05/02100% TS

Chrysotile18-1 Black Mastic (Black) 90% 05/022% TS

Calcite / Tar Binders18-1 Black Mastic (Black) 90% 05/0298% TS

Cotton Fibers18-1 Duct Tape (Silver) 10% 05/0225% TS

Vinyl Binders18-1 Duct Tape (Silver) 10% 05/0250% TS

Glue Binders18-1 Duct Tape (Silver) 10% 05/0225% TS


Cotton Fibers19-1 Cotton Wrap (Off-White) 100% 05/02100% TS

Cotton Fibers19-2 Cotton Wrap (Off-White) 100% 05/02100% TS

Chrysotile20-1 Thermal Insulation (Light Grey) 100% 05/023% TS

Mineral Wool Fibers20-1 Thermal Insulation (Light Grey) 100% 05/0220% TS

Binders / Fillers20-1 Thermal Insulation (Light Grey) 100% 05/0277% TS




Calcite / Vinyl Binders22-1 Floor Tile (Blue) 95% 05/02100% TS

Chrysotile22-1 Black Mastic (Black) 5% 05/025% TS



Chrysotile23-1 Floor Tile (Beige) 95% 05/025% TS

Calcite / Vinyl Binders23-1 Floor Tile (Beige) 95% 05/0295% TS

Glue Binders23-1 Tan Mastic (Tan) 5% 05/02100% TS

PLM Detail Report

Project # : 49127125

Page 6 of 9


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04921

05/02/2012










Quartz Grains24-1 Joint Compound / Textured Paint

(White)

5% 05/022% TS

Pigment / Binders24-1 Joint Compound / Textured Paint

(White)

5% 05/0298% TS






Quartz Grains24-2 Textured Paint (White) 35% 05/022% TS

Pigment / Binders24-2 Textured Paint (White) 35% 05/0298% TS






Quartz Grains24-3 Textured Paint (White) 35% 05/022% TS

Pigment / Binders24-3 Textured Paint (White) 35% 05/0298% TS

Talc Fibers25-1 Beige Mastic (Tan) 100% 05/021% TS

Tremolite (Non-fibrous)25-1 Beige Mastic (Tan) 100% 05/022% TS

Calcite / Talc25-1 Beige Mastic (Tan) 100% 05/0250% TS

Glue Binders25-1 Beige Mastic (Tan) 100% 05/0247% TS

Talc Fibers25-2 Beige Mastic (Tan) 100% 05/021% TS

Tremolite (Non-fibrous)25-2 Beige Mastic (Tan) 100% 05/022% TS

Calcite / Talc25-2 Beige Mastic (Tan) 100% 05/0250% TS

Glue Binders25-2 Beige Mastic (Tan) 100% 05/0247% TS

PLM Detail Report

Project # : 49127125

Page 7 of 9


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04921

05/02/2012





Calcite / Vinyl Binders26-1 Sheet Flooring (Pebble Pattern) 50% 05/02100% TS





Calcite / Vinyl Binders26-2 Sheet Flooring (Pebble Pattern) 50% 05/02100% TS





Mineral Wool Fibers27-1 Thermal Insulation (Pink) 20% 05/0295% TS

Resin Binders27-1 Thermal Insulation (Pink) 20% 05/025% TS

Cellulose Fibers27-1 Tar Paper Facing (Black) 75% 05/0290% TS

Tar Binders27-1 Tar Paper Facing (Black) 75% 05/0210% TS

Tar Binders27-1 Tar Wrap (Black) 5% 05/02100% TS

Mineral Wool Fibers27-2 Thermal Insulation (Pink) 20% 05/0295% TS

Resin Binders27-2 Thermal Insulation (Pink) 20% 05/025% TS

Cellulose Fibers27-2 Tar Paper Facing (Black) 75% 05/0290% TS

Tar Binders27-2 Tar Paper Facing (Black) 75% 05/0210% TS

Tar Binders27-2 Tar Wrap (Black) 5% 05/02100% TS

Chrysotile28-1 Mastic (Black) 100% 05/025% TS

Calcite28-1 Mastic (Black) 100% 05/0230% TS

Tar Binders28-1 Mastic (Black) 100% 05/0265% TS


Mineral Wool Fibers29-1 Thermal Insulation (Yellow) 85% 05/0295% TS

Resin Binders29-1 Thermal Insulation (Yellow) 85% 05/025% TS

Cellulose Fibers29-1 Mastic Paper Facing (Black) 15% 05/0290% TS

Tar Binders29-1 Mastic Paper Facing (Black) 15% 05/0210% TS

PLM Detail Report

Project # : 49127125

Page 8 of 9


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04921

05/02/2012





Mineral Wool Fibers29-2 Thermal Insulation (Yellow) 5% 05/0295% TS

Resin Binders29-2 Thermal Insulation (Yellow) 5% 05/025% TS

Cellulose Fibers29-2 Mastic Paper Facing (Black) 95% 05/0290% TS

Tar Binders29-2 Mastic Paper Facing (Black) 95% 05/0210% TS

Chrysotile30-1 Asbestos Tape (Light Grey) 100% 05/0260% TS

Cellulose Fibers30-1 Asbestos Tape (Light Grey) 100% 05/0235% TS

Binders / Fillers30-1 Asbestos Tape (Light Grey) 100% 05/025% TS


Cellulose Fibers31-1 Plaster (Light Grey) 100% 05/025% TS

Vermiculite31-1 Plaster (Light Grey) 100% 05/0260% TS

Binders / Fillers31-1 Plaster (Light Grey) 100% 05/0235% TS







Cellulose Fibers32-1 Grey Plaster (Light Grey) 35% 05/025% TS

Vermiculite32-1 Grey Plaster (Light Grey) 35% 05/0260% TS

Binders / Fillers32-1 Grey Plaster (Light Grey) 35% 05/0235% TS










PLM Detail Report

Project # : 49127125

Page 9 of 9


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04921

05/02/2012







Glass Wool Fibers34-1 Drywall Material (White) <1% 05/022% TS

Cellulose Fibers34-1 Drywall Material (White) <1% 05/021% TS

Gypsum / Binders34-1 Drywall Material (White) <1% 05/0297% TS












Calcite / Vinyl Binders35-1 Floor Tile (Gray) 99% 05/02100% TS


Calcite / Vinyl Binders35-2 Floor Tile (Gray) 99% 05/02100% TS




PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



49127125



Sample Date :



Page 1 of 2

Lab Job No. :

Report Date :

12B-04920

04/05/2012

05/02/2012






EPA Method 600 / R-93 / 116






None Detected - Paint














Indentions)



Indentions)






PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



49127125



Sample Date :



Page 2 of 2

Lab Job No. :

Report Date :

12B-04920

04/05/2012

05/02/2012






EPA Method 600 / R-93 / 116












11-1 Carpet Mastic (Black and Yellow) None Detected - Yellow Mastic


11-2 Carpet Mastic (Black and Yellow) Not Analyzed - Positive Stop









PLM Detail Report

Project # : 49127125

Page 1 of 3


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04920

05/02/2012













Pigment / Binders2-1 Paint (Off-White) 1% 05/02100% SW




















PLM Detail Report

Project # : 49127125

Page 2 of 3


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04920

05/02/2012
























Chrysotile9-1 Floor Tile (Brown) 95% 05/025% SW








PLM Detail Report

Project # : 49127125

Page 3 of 3


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

12B-04920

05/02/2012












APPENDIX D

CERTIFICATIONS

APPENDIX E

PHOTOGRAPHS

Asbestos Survey - Terracon Project No. 49127125 Project Name: ‘Old City Hall Block’—Renovation Date Photos Taken: April 3 and 5, 2012

Photo 1: Exterior of 3087Main Street (Consignment Store). Photo 2: Interior of 3087 Main Street.

Photo 3: Non-ACM 2nd layer tile beneath carpet in store. Photo 4: ACM sheet flooring red square pattern and non-ACM 12”x12” floor

tile in storage room.


Photo 5: Exterior of 3097Main Street (Design Store). Photo 6: Back hall of the Design Store.

Photo 7: ACM sheet flooring red square pattern in mechanical room. Photo 8: Show room floor of the Design Store.


Photo 9: New Dawn Theater. Photo 10: New Dawn Theater.

Photo 11: ACM 2nd layer tile beneath the non-ACM 12”x12” floor tile in small dressing room.

Photo 12: Main entrance of New dawn Theater which has ACM carpet mastic..


Photo 13: ACM black carpet mastic in New Dawn Theater. Photo 14: 3530 W. Lawrenceville Street (large Warehouse).

Photo 15: Non-ACM floor tile in front office of large warehouse. Photo 16: ACM window caulk on interior windows of large warehouse.


Photo 17: ACM silver paint and tar on ceiling of cooler room in basement of large warehouse.

Photo 18: ACM silver paint and tar on ceiling of cooler room in basement of large warehouse.

Photo 19: ACM 12”x12” floor tile, green, and 2nd layer tile beneath carpet in basement of large warehouse.

Photo 20: Old City Hall.


Photo 21: Old sanctuary entrance of church. Photo 22: ACM window caulking around the windows of the Old City Hall.

Photo 23: ACM floor tile remnants in Old City Hall. Photo 24: ACM joint compound in elevator equipment room of the Old City

Hall.


Photo 25: ACM joint compound associated with gypsum board walls in Old City Hall.

Photo 26: 2nd floor of Old City Hall.

Photo 27: ACM9”x9” floor tile strips on 2nd and 3rd floor of Old City Hall. Photo 28: ACM duct tape in 3rd floor mechanical room of the Old City Hall.


Photo 29: Interior of old sanctuary. Photo 30: Non-ACM 12”x12” gray floor tile in old sanctuary.

APPENDIX F

GA NOTIFICATION FORM

GEORGIA PROJECT NOTIFICATION FORM FOR ASBESTOS RENOVATION, ENCAPSULATION, OR DEMOLITION ARE YOU SUBMITTING AN ADVANCE NOTIFICATION? EPD STRONGLY DISCOURAGES SUBMITTAL OF ADVANCE NOTIFICATIONS, BUT IF IT IS ENTIRELY UNAVOIDABLE, CHECK ( ) THE BOX BELOW AND FAX THE FIRST PAGE ONLY OF THIS FORM TO (404) 362-2563. WHEN SUBMITTING AN ADVANCE NOTIFICATION, YOU ARE STILL REQUIRED TO COMPLETE THIS FORM IN ITS ENTIRETY AND SUBMIT IT VIA MAIL TO THE ADDRESS PROVIDED. EPD NO LONGER ACCEPTS ‘FAX ONLY’ DOCUMENTS!!

PLEASE ACCEPT THIS FORM AS ADVANCE NOTIFICATION OF THE PROJECT DESCRIBED BELOW:

PERSON SUBMITTING ADVANCE NOTIFICATION: CONTACT PHONE: ____________

FAILURE TO SUBMIT ACCURATE AND COMPLETE FORMS WITHIN THE REQUIRED TIME FRAME AND AS INSTRUCTED MAY RESULT IN ENFORCEMENT ACTIVITY BY EPD! INCOMPLETE OR INACCURATE FORMS WILL BE REJECTED AND RETURNED. USE AN ATTACHMENT TO

PROVIDE ADDITIONAL INFORMATION FOR ANY SECTION WHEN NEEDED TO PROVIDE COMPLETE DETAILS. DO NOT LEAVE ANY SECTION BLANK – INSERT UNKNOWN OR N/A IF NEEDED!

FOR PROJECTS WHERE FEES ARE DUE: EPD ASBESTOS FEES LOCKBOX

POST OFFICE BOX 101173 ATLANTA, GEORGIA 30392

(SEE SECTION 6 FOR FEE CALCULATION INSTRUCTIONS)

FOR PROJECTS WHERE FEES ARE NOT DUE: EPD ASBESTOS PROGRAM

ATTN: ASBESTOS NOTIFICATIONS 4244 INTERNATIONAL PARKWAY, SUITE 104

ATLANTA, GEORGIA 30334

SECTION 1A - TYPE OF NOTICE (USE THE APPROPRIATE CHECKBOX TO INDICATE THE TYPE OF NOTICE YOU ARE SUBMITTING)

ORIGINAL INITIAL ANNUAL BLANKET ($1,000.00 FEE DUE NOW) CANCELLATION

REVISION (IF REVISION, REVISION #________) REVISION NOTE: CHECK THE REVISION BOX IN THE SECTION BEING REVISED AND INSERT THE CORRECTED INFORMATION WHERE APPROPRIATE

SECTION 1B - TYPE OF PROJECT CHECK IF SECTION IS BEING REVISED FROM A PREVIOUS SUBMITTAL

RENOVATION/ABATEMENT ONLY RENOVATION/ABATEMENT PRIOR TO DEMOLITION ENCAPSULATION DEMOLITION ONLY JOINT DEMOLITION/RENOVATION ORDERED DEMOLITION

EMERGENCY (SEE ASBESTOS RULES FOR DEFINITION OF EMERGENCY) COURTESY (FOR NON-FRIABLE PROJECTS OR UNDER TRIGGER QUANTITY PROJECTS ONLY!!!)

SECTION 2 – SITE INFORMATION CHECK IF SECTION IS BEING REVISED FROM A PREVIOUS SUBMITTAL

PROJECT NAME:

PROJECT ADDRESS:

PROJECT CITY: ZIP: COUNTY:

NEAREST MAJOR INTERSECTION:

BLDG SIZE IN SQ. FT: AGE OF BUILDING IN YEARS: NUMBER OF FLOORS IN BUILDING:

SPECIFIC LOCATION IN BUILDING OF ASBESTOS BEING REMOVED:

SECTION 3A – ABATEMENT CONTRACTOR CHECK IF SECTION IS BEING REVISED FROM A PREVIOUS SUBMITTAL

ASBESTOS REMOVAL CONTRACTOR:

CONTRACTOR STREET ADDRESS: COMPANY CERTIFICATE #:

CITY: STATE: ZIP: PHONE: FAX:

LICENSED AGENT: AGENT’S ID: EXPIRES: CELL PHONE:

3b Other Contractor CHECK IF SECTION IS BEING REVISED FROM A PREVIOUS SUBMITTAL

GENERAL/SUB/DEMOLITION CONTRACTOR: JOB CONTRACTED:

OTHER CONTRACTOR STREET ADDRESS:


SECTION 4 – ACM INFORMATION CHECK IF SECTION IS BEING REVISED FROM A PREVIOUS SUBMITTAL

IS ASBESTOS PRESENT? YES NO UNKNOWN FRIABLE NON-FRIABLE BOTH

DID AN AHERA ACCREDITED INSPECTOR INSPECT THIS SITE? YES NO ASSUMED ASBESTOS

INSPECTOR NAME: INSPECTOR PHONE:

ACCREDITATION COURSE: CERTIFICATE NUMBER: EXPIRES:

SECTION 5 – WORK SCHEDULES (10 WORKING DAY ADVANCE NOTIFICATION REQUIRED FOR NON-EMERGENCY NOTIFICATIONS!!!)

CHECK IF SECTION IS BEING REVISED FROM A PREVIOUS SUBMITTAL

ABATEMENT START DATE

ABATEMENT END DATE WORK DAYS (MON-SUN) WORK HOURS (EX : 7-4)

DEMOLITION START DATE

DEMOLITION END DATE WORK DAYS (MON-SUN) WORK HOURS (EX : 7-4)

REV083005F

SECTION 6 – ACM AMOUNTS, TYPE CODES, AND FEE CALCULATION

CHECK IF SECTION IS BEING REVISED FROM A PREVIOUS SUBMITTAL FIRST, LOCATE THE MATERIAL TO BE REMOVED IN COLUMN A. COLUMN B SHOWS THE USUAL NESHAP CATEGORY FOR THE MATERIAL. COLUMN C SHOWS THE CATEGORY THE MATERIAL WILL LIKELY BECOME DURING ABATEMENT, AND THAT IS THE CODE THAT SHOULD BE USED FOR COMPLETING THIS FORM. NOW, ENTER THE SQ. FT AND/OR L.F. AMOUNTS OF ACM TO BE ABATED DURING THIS PROJECT UNDER THE CORRECT HEADING ACCORDING TO TYPE IN COLUMN D, E, AND/OR F. THEN, LOCATE THE CORRESPONDING TYPE CODE(S) FOR THE MATERIAL(S) IN COLUMN G AND ENTER THE CODES IN THE SPACES PROVIDED BEFORE PROCEEDING TO THE FEE CALCULATION SECTION.

COL. A COL. B COL. C SF OR LF AMOUNT TO BE ABATED DURING THIS

PROJECT COL. G1

USUAL NESHAP CATEGORY ACM TYPE

CAT 1

CAT 2

RACM

WILL LIKELY BECOME WHEN

ABATED

COL. D

CAT 1

COL. E

CAT 2

COL. F

RACM ACM TYPE CODE

ASBESTOS ASPHALT SHINGLES 1 AAS ASBESTOS CEMENT (TRANSITE) PANELS 2 OR RACM ACP

ASBESTOS CEMENT (TRANSITE) ROOFING RACM ACR ASBESTOS CEMENT (TRANSITE) SIDING SHINGLES RACM ACS

ASBESTOS FLASHING 1 AF ASBESTOS GASKET 1 & RACM AG

BOILER INSULATION RACM BI BUILT-UP ROOFING 1 BUR

COVE (BASEBOARD) MOLDING MASTIC 1 CM CEILING PLASTER RACM CP

CEILING TILE RACM CT DUCT SEAM MASTIC 1 DSM

DUCT VIBRATION DAMPENERS 1 DVD EXTERIOR (OUTSIDE) DUCT INSULATION RACM EDI

FELT DUCT TAPE RACM FDT FLOOR MASTIC 1 FM FIREPROOFING RACM FP

FIREPROOFING AND OVERSPRAY RACM FPO FLOOR TILE 1 FT

FLOOR TILE AND MASTIC 1 OR RACM FTM INTERIOR (INSIDE) DUCT INSULATION RACM IDI

JOINT COMPOUND ONLY RACM JC LIGHT WEIGHT CONCRETE 2 OR RACM LWC

OTHER: FLOOR LEVELING COMPOUND, CAULKING, ETC.) 1 OR RACM OTR PIPE INSULATION STRAIGHT RUNS RACM PI

PIPE INSULATION ELBOWS AND FITTINGS RACM PIE RESILIENT FLOOR COVERINGS (SHEET FLOORING; LINOLEUM) 1 OR RACM RFC

ROOF MASTICS AND COATINGS 1 RMC ROOFING SILVER COATING 1 OR RACM RSC

TEXTURED CEILING RACM TC TEXTURED CEILING PLASTER RACM TCP

TANK INSULATION RACM TI WALL BOARD AND JOINT COMPOUND RACM WBJC

WINDOW GLAZING 1 OR RACM WG WALL PLASTER RACM WP

COL. G2: Enter the ACM Type Codes From Col. G 1 For Each Category Below. CAT 1: ________________________________________________________________ CAT 2: ________________________________________________________________ RACM: ________________________________________________________________

COL. D TOTAL

______

COL. E TOTAL ______

COL. F TOTAL ______

CALCULATING FEES – Now, Check The Box Next To The Project Type To Indicate Whether This Is A Residential Or Non-Residential Project.

BOX H. IS THIS A RESIDENTIAL PROJECT? YES (USE TOTAL FROM COL. F TO COMPLETE THIS SECTION)

RESIDENTIAL FEE SCHEDULE: 10¢ PER LF/SF OF FRIABLE ACM SUBJECT TO A MINIMUM FEE OF $25 AND A MAXIMUM FEE OF $50 PER RESIDENCE

RESIDENTIAL PROJECT COL. F TOTAL

H (a)._________ SF/LF

X .10 EQUALS

TOTAL FEES DUE AND PAYABLE NOW

H (b). $______________________ (NOT TO BE LESS THAN $25 OR MORE THAN $50)

BOX I. IS THIS A NON – RESIDENTIAL PROJECT? YES (USE TOTAL FROM COL. F. TO COMPLETE THIS SECTION)

NON-RESIDENTIAL FEE SCHEDULE: 10¢ PER LF/SF OF FRIABLE ACM SUBJECT TO A MINIMUM FEE OF $25 AND A MAXIMUM FEE OF $1,000 PER FACILITY

NON-RESIDENTIAL PROJECT COL. F TOTAL

I(a).__________SF/LF

X .10 EQUALS

TOTAL FEES DUE AND PAYABLE NOW

I (b). $____________________ (NOT TO BE LESS THAN $25 OR MORE THAN $1,000)

Finally, Enter The Check Number For The Fee Payment You Are Submitting, Or Explain WHY The Fee Is Not Being Submitted And WHEN And By WHOM It Will Be Sent

CHECK NUMBER _________________ FOR THE AMOUNT SHOWN IN THE TOTAL FEES DUE COLUMN (S) ABOVE HAS BEEN SENT: YES

IF NOT, WHY NOT? ______________________________________________________________________________________________

REV 083005F

SECTION 7 - WASTE TRANSPORTER, DISPOSAL SITE, AND BUILDING OWNER INFORMATION CHECK IF SECTION IS BEING REVISED FROM A PREVIOUS SUBMITTAL

WASTE TRANSPORTER

WASTE TRANSPORTER NAME TRANSPORTER CONTACT PERSON:

TRANSPORTER’S MAILING ADDRESS:


DISPOSAL SITE

DISPOSAL SITE NAME: DISPOSAL SITE COUNTY:

DISPOSAL SITE STREET ADDRESS:


PROJECT OWNER

PROJECT OWNER’S NAME: OWNER’S REPRESENTATIVE:

OWNER’S STREET ADDRESS:

OWNER’S MAILING ADDRESS (IF DIFFERENT):


SECTION 8 - WORK METHODS: METHOD OF DEMOLITION AND/OR RENOVATION ACTIVITY (DESCRIPTION OF WORK PRACTICES AND ENGINEERING CONTROLS TO BE USED) CHECK IF SECTION IS BEING REVISED FROM A PREVIOUS SUBMITTAL

SECTION 9 – ADDITIONAL PROJECT INFORMATION CHECK IF SECTION IS BEING REVISED FROM A PREVIOUS SUBMITTAL

WILL ASBESTOS REMAIN IN THE PROJECT AREA? NO YES UNKNOWN

EXPLAIN ‘YES’ OR ‘UNKNOWN’:

IF NO ASBESTOS IS PRESENT, WAS THIS PROJECT PREVIOUSLY ABATED? NO YES UNKNOWN

PRIOR ABATEMENT COMPANY: YEAR ABATED:

THAT COMPANY CONTACT PERSON: PHONE:

CERTIFICATION OF INFORMATION AND ACKNOWLEDGEMENT CHECK IF SECTION IS BEING REVISED FROM A PREVIOUS SUBMITTAL

I THE UNDERSIGNED CERTIFY THAT AN INDIVIDUAL TRAINED IN THE PROVISIONS OF FEDERAL REGULATIONS (NESHAP/40 CFR PART 61 SUBPART M) WILL BE ON THE PROJECT SITE DURING DEMOLITION AND/OR RENOVATION ACTIVITIES DESCRIBED IN THE NOTIFICATION. EVIDENCE THAT THIS PERSON AND ALL OTHER PROJECT PERSONNEL HAVE ACCOMPLISHED THIS TRAINING WILL BE AVAILABLE FOR INSPECTION DURING NORMAL BUSINESS HOURS AND ANYTIME REGULATED ACTIVITIES ARE BEING CONDUCTED ON SITE. I FURTHERMORE UNDERSTAND THAT I AM RESPONSIBLE FOR THE ACCURACY AND COMPLETENESS OF THE INFORMATION CONTAINED WITHIN THIS NOTIFICATION SUBMITTAL, AND FOR PROMPT SUBMITTAL OF ALL REVISIONS, SUPPORTING DOCUMENTS, AND PROJECT FEES.

PRINTED NAME OF AGENT/DESIGNEE:

SIGNATURE OF AGENT/DESIGNEE: DATE:

REPRESENTING: OWNER CONSULTING FIRM OTHER TRADE CONTRACTOR OTHER TRADE TYPE:

GA ABATEMENT CONTRACTOR COMPANY CERTIFICATE # EXPIRATION DATE:

• ALWAYS REFER TO THE INSTRUCTIONS WHEN IN DOUBT ABOUT PROPER COMPLETION OF ANY SECTION • NEVER LEAVE BLANK SPACES – INSERT ‘N/A’ OR ‘UNKNOWN’ FOR ANY BLANK WHERE YOU DO NOT HAVE THE INFORMATION

REQUESTED

• ALWAYS PRINT RESPONSES NEATLY AND LEGIBLY • ALWAYS KEEP A COPY OF THIS FORM FOR YOUR RECORDS, AND PROVIDE COPIES TO ALL OTHER INVOLVED PARTIES

• DO NOT FAX THE ENTIRE NOTIFICATION WHEN SUBMITTING ADVANCE NOTIFICATIONS – USE THE FIRST PAGE ONLY OF THIS FORM. SUBMIT THE ENTIRE FORM VIA MAIL TO THE LOCKBOX FOR FEE PROJECTS OR TO THE EPD OFFICES FOR COURTESY & DEMOLITION NOTIFICATIONS

• EPD NO LONGER ACCEPTS ‘FAX ONLY DOCUMENTS’ – DO NOT FAX THE ENTIRE PROJECT NOTIFICATION – SUBMIT THE ENTIRE FORM VIA MAIL.

• NEVER SUBMIT PROJECTS WHERE FEES ARE DUE WITHOUT ATTACHING THE REQUIRED FEE CHECK OR MONEY ORDER

• NOTIFICATIONS WITH FEES MUST BE MAILED TO THE EPD ASBESTOS FEES POST OFFICE ADDRESS. NOTIFICATIONS WITHOUT FEES MAY BE MAILED DIRECTLY TO THE EPD OFFICES.

• DO NOT SUBMIT ‘TWO-SIDED’ PHOTO COPIES IT IS YOUR RESPONSIBILITY TO SUBMIT THIS FORM ACCURATELY COMPLETED AND ACCOMPANIED BY ALL APPLICABLE FEES. EFFECTIVE IMMEDIATELY, YOU WILL BE ISSUED A NOTICE OF DEFICIENCY FOR THE FIRST FAILURE TO SUBMIT A COMPLETE & ACCURATE FORM AND ALL APPLICABLE FEES, A NOTICE OF VIOLATION ON THE SECOND FAILURE, AND WILL BE REQUIRED TO ATTEND AN ENFORCEMENT CONFERENCE ON THE THIRD FAILURE. BEGINNING JULY 31, 2006, PROJECT NOTIFICATIONS SUBMITTED ON ANY FORM OTHER THAN THIS ONE FORMS WILL BE RETURNED AND YOU WILL BE REQUIRED TO RESUBMIT THE NOTIFICATION ON THE CORRECT FORM

REV 083005F

INSTRUCTIONS FOR COMPLETING THE GEORGIA EPD

PROJECT NOTIFICATION FOR ASBESTOS RENOVATION, ENCAPSULATION, OR DEMOLITION PROJECTS

The Georgia EPD realizes that paperwork completion is tedious and time-consuming, but treats paperwork infractions with the same gravity with which it views work practice violations. It is incumbent upon all individuals engaged in regulated asbestos-related activities to become familiar with all state and federal requirements, including proper paperwork completion. The following instructions are a step-by-step guide that should lead you successfully through the notification completion process. Should you still have questions or need assistance with completion of the notification documents, please call the Asbestos Program at (404) 363-7026. HOW SHOULD YOU SUBMIT YOUR NOTIFICATION?‘ADVANCE NOTIFICATIONS’: EPD STRONGLY discourages the submittal of advance notifications. However, if it is completely unavoidable due to extenuating circumstances, EPD requests that you not submit the entire project notification via fax. If you must submit an advance notification, ONLY FAX THE COMPLETED FIRST PAGE OF THE NOTIFICATION FORM! Submit the entire completed form via mail, following instructions for submittal of notifications that EITHER do or do not involve fees.

FOR PROJECTS WHERE FEES ARE DUE: EPD ASBESTOS FEES LOCKBOX

POST OFFICE BOX 101173 ATLANTA, GEORGIA 30392

(SEE SECTION 6 FOR FEE CALCULATION INSTRUCTIONS)

FOR PROJECTS WHERE FEES ARE NOT DUE: EPD ASBESTOS PROGRAM

ATTN: ASBESTOS NOTIFICATIONS 4244 INTERNATIONAL PARKWAY, SUITE 104

ATLANTA, GEORGIA 30334

MAILED FORMS: If your notification is a courtesy notification (see explanation below); a demolition only notification (the only two types of projects that are fee exempt); or a revision of a previously submitted notification where the fee amount does not change (a date change revision, for example), you may send the form directly to the EPD office at the address shown on the right above (not the lockbox address). WHAT TYPE OF NOTICE SHOULD YOU SUBMIT? (SECTION 1A) Asbestos Project Notifications will always fall into one of the following categories. ALWAYS check the box ( ) applicable to your current submittal:

ORIGINAL INITIAL - The first time a project notification is submitted for the project to which the notification applies.

ANNUAL BLANKET – The Annual Blanket Notification runs for one calendar year (January through December) and is designed solely for use on single large facilities where multiple small projects (less than 160 square feet, 260 linear feet, or 35 cubic feet in size) are to be conducted, but where the TOTAL amount of small abatement work will exceed these parameters. Typical candidates for the annual blanket notification include factories, power plants, and large educational facilities. Recipients of an Annual Blanket Notification must still submit a separate 10-Day project notification and fees when any single project exceeds the ‘small project’ definition. Each individual project handled under the Annual Blanket Notice must be less than 160 square feet, 260 linear feet or 35 cubic feet of friable asbestos containing material. A $1,000 fee must be submitted with each Blanket Notification.

REVISION – To notify the EPD of any changes to the project after the Original Initial notification has been submitted. Correct use of the revision option can prevent the need to submit a separate Notice of Change for the project, and is a convenience for Contractors and Building Owners when used as it is designed to be used. To submit a revision, CHECK THE BOX ( ) in Section 1A and list the revision number. Also check the box in the heading of the section you are revising, strike through the incorrect information, and insert the correction. If additional fees are due, be sure to submit them to the lockbox and include the additional fee check information in the fee schedule. DATE CHANGE REVISIONS SHOULD BE SENT DIRECTLY TO THE EPD OFFICE STREET ADDRESS. For all revisions, re-sign and re-date the certification section of the project notification before resubmitting.

CANCELLATION – Many times despite the best of planning a project must be cancelled. To cancel a project, resubmit the notification form IN WRITING and place a ( ) in the cancellation box. You may submit a written Letter of Credit for fees previously paid for this project and mail it to the EPD office along with the cancelled notification. If you are requesting a refund, be sure to include your federal employer identification (FEI) or Social Security number on your refund request, and allow 6-8 weeks for the refund to be processed and mailed to you.

WHAT TYPE OF PROJECT ARE YOU CONDUCTING? (SECTION 1B) This section is designed to allow you to communicate the type of project you will be conducting. You can also use this space to indicate that you are submitting an emergency notification. Frequently, more than one of these boxes should be checked ( ) to completely convey the type of project you will be conducting. It is very important that ALL applicable boxes be checked.

RENOVATION/ABATEMENT ONLY – Where the project only involves the removal and disposal of asbestos containing materials. “Renovation” means the altering of, taking out, stripping, clean up, disposal of, or removal of friable or potentially friable asbestos containing materials from any facility, facility component or residential dwelling, equal to or greater than 10 square feet or 10 linear feet, for renovation or maintenance purposes.

RENOVATION/ABATEMENT PRIOR TO DEMOLITION - Removal/abatement of friable asbestos containing materials equal to or greater than 10 square feet or 10 linear feet (see definition of Renovation Only above), in preparation for demolition activities to be performed by someone else.

DEMOLITION ONLY – Where the projects only entails demolition of any structure that has been thoroughly inspected for the presence or absence of asbestos. "Demolition" means the wrecking or taking out of any load supporting structural member of a facility together with related handling operations, or the intentional burning of any structure. Notification is required regardless of the p esence or absence of asbestos containing materials. r

ENCAPSULATION – A project in which special coatings approved for asbestos encapsulation will be used to cover the asbestos containing materials and prevent any future release of asbestos fibers. ‘Encapsulation’ means the process of coating, binding, or resurfacing walls, ceilings, pipes, or other structures with a sealant to prevent friable asbestos from becoming airborne.

JOINT RENOVATION/DEMOLITION – Where both renovation and demolition activities as described above will be conducted by the same Contractor. In other words, if the same Contractor will perform the removal/abatement of friable asbestos containing materials equal to or greater than 10 square feet or 10 linear feet followed by demolition activities, then he may submit a Joint Notification If demolition is to be conducted by a different company, that company must submit a separate notification.

ORDERED DEMOLITION – A demolition project ordered by a government agency. If the property has been condemned, the Order of Condemnation must be included with the project notification.

REV 083005F

ADDITIONAL PROJECT NOTATIONS EMERGENCY – Abatement, Encapsulation or Demolition projects that were unplanned, but result from a sudden, unexpected event that if not immediately

attended to presents a safety or public health hazard, is necessary to protect equipment from damage, or is necessary to avoid imposing an unreasonable financial burden. Waiver of the requi ed 10 working day notifica ion period will be granted on a case by-case basis. A letter of explanation regarding the emergency situation from the Owner of the Project, or their representative, must accompany the notification. EPD must be notified of the emergency situation within 24 hours from the time of its occurrence, or from the time you are contacted with a request for emergency work to be performed. We highly recommend you call an associate in the EPD Asbestos Program to discuss the situation to obtain their agreement on the emergency project. The main number for the Asbestos Program is 404-363-7026. Complete and fax the FIRST PAGE only of the Project Notification form to (404)362-2563. The entire original notification and fee payment must be mailed to the Lockbox address within 7 days from the date of emergency work beginning.

r t -

COURTESY – A Courtesy Notification is ONLY submitted for small asbestos abatement/disturbance/encapsulation projects that ordinarily would not be regulated. In other words, any project involving friable asbestos removal of less than 10 square feet or 10 linear feet; it may also be used to cover a non-friable asbestos removal project.

SECTION 2 – SITE INFORMATION PROJECT NAME - Identify the exact location where abatement or demolition work is going to take place. Provide the name of the building, company, or other description of all structures involved in the project here. For example: “Vacant House”, “Residence”, “Commercial Bldg”, “ABC Company”, “Office Bldg”). If the project is part of a DOT road-widening project, please include parcel number and structure number. PROJECT ADDRESS - Street address where abatement, encapsulation, or demolition will take place. *If project involves multiple buildings/structures at one location, list all addresses, building names, unit numbers, etc. Use a separate sheet of paper as an attachment, if necessary. *If project involves multiple buildings/structures at different addresses, you may group together those addresses on the same street and/or adjacent streets, (within a few block radius). Use a separate sheet of paper as an attachment, if necessary. Include a site map or diagram showing locations. CITY/ZIP/COUNTY - Complete all areas. YOU MUST LIST THE COUNTY – DO NOT SUBMIT THE NOTIFICATION WITHOUT THE COUNTY NAME

INCLUDED!

NEAREST MAJOR INTERSECTION - For example: “State Hwy 41 near Windy Hill Rd”; “South Houston Lake Rd near State Hwy 96”) BLDG SIZE IN SQ. FEET - Square foot measurement of the entire building (all floors and spaces) combined. AGE OF BLDG IN YEARS - Age of building in years. NUMBER OF FLOORS IN BUILDING - Total number of floors in building, including sub-basement, basement, mezzanine, attic, and penthouse. Each

level that can be occupied should be counted as a separate floor. SPECIFIC LOCATION OF ASBESTOS BEING REMOVED - Provide specific area(s) of the structure that are being abated or demolished. For example:

“Roof”, “Kitchen Floor”, “Steam Pipes in Basement”, “Throughout Building”, “Hallway”, “Floor Number _____”, “Room Number______”, etc). SECTION 3 – PROJECT CONTRACTORS In this section, you must list all CONTRACTORS to be involved with the actual removal and/or demolition of the project. If you are a Contractor removing the asbestos prior to a demolition, you should still list the name of the demolition company if known. BE SURE TO CHECK ( ) THE CORRECT BOX FOR THE TYPE OF PROJECT YOU ARE DIRECTLY RESPONSIBLE FOR CONDUCTING AND FOR WHICH YOU ARE SUBMITTING THE NOTIFICATION!!!

3A – ABATEMENT CONTRACTOR – Name of the company that will perform the actual asbestos renovation/abatement. • CONTRACTOR STREET ADDRESS – The actual physical location of the Asbestos Removal Contractor’s place of business. DO NOT USE A POST OFFICE BOX IN THIS SPACE! • COMPANY CERTIFICATE NUMBER – Recently issued asbestos contractor company certificates include a new identifying number. For established contractors, this number is being assigned as licenses are renewed, so if you have not yet been issued a certificate number there is no need for alarm. You will be issued the number during your next license renewal. The certificate issued for your Company license bears or will bear a number similar to this: “20-0708-123”. When your new certificate is issued, or if you already have the revised Asbestos Contractor License Certificate, this is the number you should list in the Company Certificate space. CITY/STATE/ZIP/PHONE/FAX – You must complete each space. LICENSED AGENTS NAME – Name of the person licensed by EPD as the Principal Agent for this company AGENT’S ID NUMBER – The agent’s identification card issued by EPD bears a number similar to this one: “50123”, and should be placed here. EXPIRES – The date on which the above described identification card expires. CELL PHONE – The cellular or pager number for the Principal Agent.

3B – OTHER (DEMO/SUB/GENERAL) CONTRACTOR – Name of company performing work OTHER THAN asbestos removal. • JOB CONTRACTED – Place a short, concise description of the additional work contracted here. For example: “General Contractor”, “Demolition”, “Clearing & Grading”, “Debris Clean-up”, etc. • OTHER CONTRACTOR STREET ADDRESS – The actual physical location of this Contractor’s place of business. DO NOT USE A POST OFFICE BOX IN THIS SPACE! • CITY/STATE/ZIP/PHONE/FAX – You must complete each blank.

(If more than 2 Contractors are involved with the project, use a separate sheet as an attachment to provide additional information)

SECTION 4 – ASBESTOS CONTAINING MATERIAL(S) (ACM) INFORMATION IS ASBESTOS PRESENT? • YES – A thorough inspection for the presence of absence of asbestos has been conducted and the written results indicate that asbestos IS present. • NO – A thorough inspection for the presence of absence of asbestos has been conducted and the written results indicate that asbestos IS NOT present. • FRIABLE – “Friable Asbestos-Containing Material” means any material which is applied onto ceilings, walls, structural members, piping, boilers, tanks, pumps, ductwork or any other part of the building containing more than 1 percent asbestos, by weight, and which when dry may be crumbled, pulverized, or reduced to powder by hand pressure. (See Definitions Section of Instructions & Section 6 of Notification Form) • NON-FRIABLE – “Non-Friable Asbestos-Containing Material” means any asbestos-containing material that does not meet the definition of “FRIABLE”. See Definitions Section of Instructions & Section 6 of Notification Form) • BOTH – Both “Friable” and “Non-friable” materials are present on this project. REV 083005F

DID AN AHERA ACCREDITED INSPECTOR INSPECT THIS SITE? Was the portion of the abatement project, or demolition area described in Section 2 of this form, thoroughly inspected by an AHERA Accredited Asbestos

Inspector? Check the appropriate answer. • YES • NO • UNKNOWN • ASSUMED ASBESTOS - A thorough inspection for the presence of absence of asbestos HAS NOT been conducted but based on the type of material(s)

being disturbed the decision has been made to treat the material(s) as ACM, meaning that all necessary precautions and procedures will be followed. • INSPECTOR NAME – Name of individual who performed the inspection. • INSPECTOR PHONE – Number at which the Inspector may be reached, starting with area code. • ACCREDITATION COURSE – Name of course taken to obtain ASBESTOS INSPECTOR accreditation. For example: “Asbestos Inspector Initial”,

“Inspector Refresher” • CERTIFICATE NUMBER – Number on the Asbestos Inspector Certificate of Completion issued by the Training Provider. • EXPIRES – Expiration date on certificate issued by Training Provider. SECTION 5 – WORK SCHEDULES

FOR ALL PROJECTS –

IMPORTANT NOTICE: A 10 (TEN) WORKING DAY NOTIFICATION IS REQUIRED FOR NON-EMERGENCY NOTIFICATIONS PRIOR TO COMMENCING ANY REGULATED ASBESTOS ACTIVITY!!!!

WORKING DAYS ARE CONSIDERED MONDAY THROUGH FRIDAY. A HOLIDAY FALLING ON THESE DAYS WILL BE COUNTED AS A WORKING DAY. WORKING DAYS ARE COUNTED FROM THE DATE OF:

US POST OFFICE POSTMARK DATE FEDEX/UPS SHIPPING DATE HAND DELIVERY OF NOTIFICATION DATE OF ADVANCE NOTIFICATION VIA FAX ELECTRONIC FILING OF PROJECT NOTIFICATION

NOTIFICATIONS POSTMARKED ON A SATURDAY OR SUNDAY DO NOT BEGIN THE 10 WORKING DAY NOTIFICATION PERIOD UNTIL THE FOLLOWING MONDAY.

Provide the project START date and END dates. NOTE: If the Consultant or Project Owner is submitting the project notification, and project dates are as yet undetermined, submit dates as TBD (To Be Determined). THE ABATEMENT OR DEMOLITION CONTRACTOR WHO RECEIVES THE CONTRACT MUST SUBMIT A REVISION TO UPDATE THE PROJECT DATES BEFORE WORK BEGINS. WORK DAYS - Provide actual days of the week on which work will be performed – NOT the number of days worked per week. For example: “M, Tu, Th” or “M-F” WORK HOURS - Provide the actual times of the day the crew will be on site – NOT the number of hours worked per day. For example “7A – 4P” or “5P – MIDNIGHT” PHASED PROJECTS - If multiple buildings/structures are involved, break project into Phases, and identify project dates per Phase. Use an additional page to described phased project start and stop dates and work hours in detail. SECTION 6 – ACM TYPES INFORMATION AND FEE SCHEDULE Use this section to identify and type and total quantity of asbestos that will be disturbed during this project and calculate fees owed based on your findings. All ACM’s identified in Section 4 must be described completely here. ACM TYPE(S)

• Step 1 - Locate the type of ACM you will be disturbing in COLUMN A. Use the Category 1, 2 and RACM headings in COLUMN B to determine the material’s current status, then locate the category the material will MOST LIKELY BECOME as a result of your abatement activities in COLUMN C.

• Step 2 - Show the combined LINEAR FOOT (LF) and/or SQUARE FOOTAGE of the material to be disturbed in COLUMN D, E, or F, depending on the

determination made from the code in COLUMN C • Step 3 - In COLUMN G1, circle the corresponding ACM type code for any material amount listed in COLUMN(S) D, E, or F. In COLUMN G2, enter the

type code(s) in the space(s) labeled CAT 1, CAT 2, and RACM; and • Step 4 – Total COLUMNS D, E, and F and insert the total(s) in the appropriate space(s) provided.

DEFINITIONS: CATEGORY 1 NON-FRIABLE ACM includes asbestos-containing packing, gaskets, resilient floor covering, mastics, and asphalt roof products that contain greater than 1% asbestos. Catego y 1 materials that will ikely become friable as a result of removal activity mus be listed in the RACM category instead of here.r l t

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CATEGORY 2 NON-FRIABLE ACM includes any material, excluding Category 1 non-friable ACM, containing more than 1% asbestos that, when dry, cannot be crumbled, pulverized, or reduced to powder by hand pressure. These are the asbestos-cement products, including Transite. Category 2 materials that will likely become f iable as a result of removal activity must be listed in the RACM category ins ead of here. RACM (Regulated Asbestos-Containing Material) means friable asbestos containing material, Category 1 non-friable ACM that has become friable, Category 1 non-friable ACM that will be or has been subjected to sanding, grinding, cutting, or abrading, or Category 2 non-friable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations REV 083005F

FEE CALCULATION SECTION

Step 1 - Use the check box to indicate whether the project is RESIDENTIAL (BOX H.) or NON-RESIDENTIAL (BOX I.).

Step 2 - Place the total from COLUMN F on the correct line provided in either “BOX H(a). – RESIDENTIAL” or “BOX I(a). – NON-RESIDENTIAL”.

Step 3 – Multiply the number in BOX H.(a) or I(a) by .10 (Ten Cents - 10¢) and place the resulting amount in line H(b). or I(b). THE RESULTING FIGURE IS THE AMOUNT OF FEES OWED AND WHICH MUST ACCOMPANY THE NOTIFICATION, SUBJECT TO THE MINIMUM/MAXIMUM FESS OUTLINED BELOW. IF FEES ARE DUE FOR ANY PROJECT, SHOW THE CHECK NUMBER AND TOTAL AMOUNT OF FEES DUE IN THE SPACE PROVIDED. IF YOU ARE NOT IMMEDIATELY SUBMITTING THE FEE CHECK, YOU MUST EXPLAIN WHY NOT AND IDENTIFY WHO IS RESPONSIBLE FOR THE FEE PAYMENT AND WHEN IT WILL BE SUBMITTED. RESIDENTIAL PROJECTS: Residential projects are subject to a minimum fee of $25 and a maximum fee of $50. THEREFORE, THE FEE YOU SUBMIT FOR RESIDENTIAL PROJECTS SHOULD NEVER BE LESS THAN $25 AND NEVER BE MORE THAN $50.

NON-RESIDENTIAL PROJECTS: Non-residential projects are subject to a minimum fee of $25 and a maximum fee of $1,000. THEREFORE, THE FEE YOU SUBMIT FOR NON-RESIDENTIAL PROJECTS SHOULD NEVER BE LESS THAN $25 AND NEVER BE MORE THAN $1,000.

DEFINITIONS: RESIDENTIAL PROJECT: A residential dwelling means any family residence or apartment building with four or fewer dwelling units.

NONRSIDENTIAL PROJECT: A non-residential project means any project conducted on any building that would fall outside the guidelines established by the definition of a residential dwelling. I.E.: any non-residential structure, or any residential structure with five or more dwelling units.

SECTION 7 – BUILDING OWNER, WASTE TRANSPORTER, AND DISPOSAL SITE INFORMATION WASTE TRANSPORTER:

• NAME OF COMPANY • CONTACT NAME: Name of person at Transport Company to call, if necessary. • ADDRESS/CITY/STATE/ZIP/PHONE/FAX: Complete all areas

DISPOSAL SITE INFORMATION

• WASTE DISPOSAL SITE NAME: Name of Landfill • DISPOSAL SITE COUNTY: Provide County name • ADDRESS/CITY/STATE/ZIP/PHONE/FAX: Complete all areas

BUILDING OWNER • OWNER OF PROJECT SITE/FACILITY: Name of legal owner of facility/property. • OWNER’S REPRESENTATIVE: Name of person (other than Contractor) acting on behalf of Owner, particularly if completing & submitting this form. • OWNER’S STREET ADDRESS: For service of legal process if required. • OWNER’S MAILING ADDRESS • CITY/STATE/ZIP/PHONE/FAX Complete all areas • TELEPHONE NUMBER: Number at which Contact person may be reached, starting with area code

SECTION 8 – WORK PRACTICES The method(s) of demolition and/or renovation activity and a description of work practices and engineering controls to be used on this project. Describe fully what types of abatement and/or demolition activities are going to take place, the method(s) of removal and/or demolition that will be used, and controls in place to prevent asbestos emissions. Describe what clearance criteria will be used. Attach a separate sheet of paper if more room is needed to answer this section. FOR EXAMPLE: • “Wet spud bar and chemical removal of FT M with c itical barriers. 1 negative air. Visual clearance only”; r

f f

• “Wet spud bar removal of ACS over 6 mil plastic on ground. Place in plastic lined roll o f dumpster. Visual clearance only” • “Demo with front end loader. Push down, wet, and machine load into 30 CY roll o f dumpster” SECTION 9 - ADDITIONAL PROJECT INFORMATION • WILL ASBESTOS REMAIN IN THE PROJECT AREA? Please answer “YES”, “NO”, or “UNKNOWN”, and explain a YES or UNKNOWN answer. • IF NO ASBESTOS IS PRESENT, WAS THIS THE RESULT OF A PREVIOUS ABATEMENT? • IF THE PROJECT WAS PREVIOUSLY ABATED, PROVIDE ALL REQUESTED INFORMATION FOR THE PRIOR ABATEMENT COMPANY.

CERTIFICATION OF INFORMATION AND ACKNOWLEDGEMENT PROVIDE ALL REQUESTED INFORMATION - DO NOT LEAVE ANY SPACES BLANK AND INCLUDE SIGNATURE

PRINTED NAME OF AGENT/DESIGNEE - Print or type full name of person submitting form SIGNATURE OF AGENT OR DESIGNEE - The person submitting this form must sign here DATE - Date project notification is signed REPRESENTING - Place check ( ) mark at appropriate title

OWNER - Owner of Facility in which project is being performed

CONSULTING FIRM - Asbestos or Environmental Consultant; Architect, Engineer

OTHER TRADE CONTRACTOR/OTHER TRADE TYPE – Representing any other trade involved on this project. For example: “General Contractor”, “Demolition”, “Clearing & Grading”, “Debris Clean-up”, etc.

GA ABATEMENT CONTRACTOR – An EPD Licensed Asbestos Abatement Contractor • COMPANY CERTIFICATE NUMBER – See “Company Certificate Number” Information in Section 3 Instructions. • EXPIRATION DATE - The date the company certificate expires

NOTE: If an Advance Project Notification form is submitted by someone other than the Contractor(s) who perform the asbestos abatement or demolition activities - such as the Consultant or Owner - in order to start the 10 working day notification period while the contract is out for bid, A REVISED NOTIFICATION MUST BE SUBMITTED BY THE CONTRACTOR TO WHOM THE PROJECT IS AWARDED BEFORE WORK BEGINS, AND THAT CONTRACTOR MUST SIGN THE CERTIFICATION AREA OF THE REVISED NOTIFICATION FORM.

REV 083005F

APPENDIX G

MOLD OBSERVATION SUMMARY

Appendix G

Mold Observation Summary

3530 W. Lawrenceville Street Duluth, Georgia

Area/Room Observations

Anticipated Response Action

1st floor Water staining/damage ( 50 ft2) on

wood roof decking

Repair roof field and replace damaged

decking as needed

Basement Water staining (50-75 ft2) on ceiling

deck and west wall

Prime and paint (if needed)

Terracon did not observe water staining or mold growth in the other buildings on the days

Terracon assessed.

Terracon accessed all tenant spaces that ownership made accessible to look for indications of significant water infiltration and visible mold growth in readily accessible areas of the buildings. This included observing visibly accessible surfaces, but did not include observations of hidden conditions such as unexposed areas, interior of wall cavities, secured HVAC systems, or behind vinyl wall coverings that had not become detached. Based on the limited assessment, Terracon noted the apparent source of water infiltration and included our opinion of a response action to address the mold or water infiltration. A more thorough evaluation, including destructive testing, could find conditions not apparent within the scope of this work. That being said, no conditions warranting destructive testing were identified.

Documents

Asbestos Survey Report - Duluth, · PDF fileAsbestos Survey Report City of Duluth Duluth, Georgia 5/4/2012 Terracon Project No. 49127125 Responsive Resourceful Reliable 2Authors: Alfred