Pohl, Eric

From: Sent:

Wagner, David <DWagner@city.cleveland.oh.us>

Friday, January 27, 2017 11:41 AM

To: Pohl, Eric

Subject: RE: Wisco/Balunek Asbestos Site

Attachments: notification package for CL 11 1034.pdf; 2011 NESHAP notification.pd!; 2011

survey.pdf; 2011 original NESHAP.pdf

Good morning, Erle!

I attached our records as a PDFs. The first PDF is our in-house review of the notification. The second PDF are the

revisions made to the original notification . The fourth PDF is the initial notification .

Respectfully,

David Wagner

Cleveland Division of Air Quality

Phones: 216/857-1553(c) and 216/664-3004(0)

From: Pohl, Eric [mailto:pohl.eric@epa.gov] Sent: Friday, January 27, 2017 11:24 AM To: Wagner, David Subject: Re: Wisco/Balunek Asbestos Site

We are looking for the records for 2523, the small building. Just crossing some Ts that my attorney wants in the Record.

I have the Assessment report that I'll send you this afternoon. I'm in a training and need to pull out my laptop to get it to

you.

Thanks!

Eric

Sent from my iPhone

On Jan 27, 2017, at 11:17, Wagner, David <DWagner@city.cleveland.oh.us> wrote:

Hey, Eric!

Are you looking for information about the address that was appropriately demolished or the other

property? At one time, there were a couple of properties: 2525 E. 93'd Street (the demolition pile that

your crew worked on) and 2523 E. 93'' Street (small building wrecked in 2011 by bona fide demolition

and asbestos contractors).

Would you send the POLREP about your crew's August work?

Respectfully submitted,

David Wagner

Cleveland Division of Air Quality

Phones: 216/857-1553(c) and 216/664-3004(0) 1

From: Pohl, Eric [mailtQ;pohl.&ri<;_@spa,gov]

Sent: Thursday, January 26, 2017 2:12 PM To: Wagner, David Subject: Wisco/Balunek Asbestos Site

Hi David,

I was wondering if you might be able to provide copies of demolition records/inspections related to the

2011 activity that occurred on the Site for 2525 93'd St? We're trying to tie up some loose ends in our

Administrative Record, I believe that for this activity, CDAQ received proper notification of the demo by

the contractor?

Thanks for your help! Hope you're welL

Eric

Eric Pohl On Scene Coordinator

U5, EPA - Region 5

25063 Center Ridge Rd.

Westlake, OH 44145

(440) 250-1740 [desk]

(440) 759-7785 [mobile]

(440) 250-1750 [fax]

2

Evaluation Checklist for Notifications of Demolition and Renovation CL Number 11 1034 : 2523E. 93rd St.

Section

I=

n: III:

rv: v: VI=

VII:

VIII:

IX:

x: XI: XII:

XIII:

XIV:

xv: XVI:

xvn: XVIII:

Evaluation

OK OK OK OK OK OK OK OK OK OK OK OK OK not applicable

n/a

OK OK OK

[ ] Survey was provided

[ ] Request Full Survey

[ x ] Accepted

[ ] Not Accepted (Explain below)

[ x ] Do not Request Survey

[ ] Request Summary of Survey

Comments and updates/timeline: 9/14111- CDAQ/dlw left a phone call for Don King, William F. Baumann, Inc. What is the Cat. I and II ACM that needs to be removed?

9/15/11- Mr. King returned CDAQ/dlw's phone call

9/16/11- CDAQ/dlw called Mr. King again in the morning. Mr. King left a phone message for CDAQ/dlw.

9/20/11 - According to Mr. King, the notification is properly noted. The pipe quantity is a transite pipe to be removed and the 400 ft2 of surface material to be removed is floor tile but will be completed in a negative pressure enclosure.

Application Reviewed by: David L. Wagner on 9/1311

Facility File and L:\Data\Facilities\+ Programs"\Asbestos'\Notification Revie\vs\CL 11 1034\2523 E 93rd St.docx

09128/2011 rs:sa·

(91-7108-2i'13-3936-3760-4790) OHIO ENVIRONMENT AL PROTECTION AGENCY NOTIFICATION OF DEMOLITION AND RENOVATION Page 1 of 2

L

Operator Project# 211042

Il. Facility Description (include building name, nwnber, and floor or room number) ]3uil�[ng Nan1e: Cement Block Building Address: 2523 E. 93rd SL City: C1eve1and State: OIDO Zip Code: '°'4"'4"104=. _ __ .County: Cuyahoga

Site Location (specific): _E�·�9�3r�d�&�W�o�o� d�l au_d _________________________ _

Building Size (square feet): �5.,0"'0"'0 _ ___ ________ __,# of Fl oors: -�2� __ .Age in Years: �9�0 __

PresentUse: Vacant PriorUse: Storage

ID. Type of Operation (check one): Renovation Emergency Renovation Fire Training

IV. Is Asbestos Present? (check one):

V. Facility Information

Owner Name: Jondavid Balunek

Address: P.O. Box 202

No

City: Centerville State: �TN= _ _ _ .Zip Code: �3�7�03�3�-----Contact: Ryan Simon (Great Lakes Construction) Telepbone: (330 \ 220-3947 Fax: (330 )220-7670 Removal Contractor Name: William F. Baumann, Inc.

Address: 4510 E. 71" St. Suite 6 License #-A�C�l�3� 2�1 _______ _

City: Cleveland State: �O�H� ___ .Zip Code: �44=10�5�-----Contact: DonR. King Telephone: (216 l 429-1700 Fax: C216 l 429-1717 O ther Operator (demolition/genera)): B & B Wrecking & Exe., Inc. License #�N�l�A�---------Address: 4510 E. 71� St. Suite 6

City: Cleveland State: �O�H� ___ .Zip Code: �44=10�5�-----Contact: Brian J. Baumann Telephone: ( 216 )429-1700 Fax:(216 )429-1717

VI. Procedure, including analytical methods, employed to detect the presence of and to estimate the quantity of RA CM and Category I and Category II nonfriable ACM:

Ohio Asbestos Hazard Evaluation Specialist �D=aru=·e=l�C=·�P�e=d=er=s---------�=E,.. s.,,3"° 1"'1"'3"'4.._.,.,

________ _

Name Certification #

VI!. Approximate Amount of Asbestos Materials:

Nonfriable Asbestos Material to be Removed

Nonfiiable Asbestos Material NOT to be Removed

RACM to be Removed Category I Category II Category I Category II

P ipes (linear feet) 15 Surface Area (square feet) 400 5000

Facility Components (cubic feet)

VIII. Scheduled Dates Demolition or Renovation: Start: 09126/11 Complete: 09/28/11

IX. Dates for Asbestos Removal (MMIDDIYY) Start: 09/21/11 Complete: 09/21/11

Days of the Week: Monday Tuesday Wednesday Thursday Friday Saturday Sunday

HoursofOperation: 7:00-3:30 7:00-3:30 :00-3:30 7:00-3:30 :00-3:30

Complete all unshaded spaces, except demolitions which in-valve less than 260 linear feet, 160 square feet,. or 35 cubic feet ofRACM� need not complete spaces XI, XII ,xm, XlV, and XV, Notifications for Emergency Demolition or Emergency Renovation must supply attachments.

----- ----- --------- ------ - --------- --------0912812011 1G:5B··· ·· (FAX)2164291717 P.0031003

x.

XI.

OHIO ENVIRONMENTAL PROTECTION AGENCY NOTIFICATION OF DEMOLITION AND RENOVATION Page2 of 2

Description of planned Demolition or Renovation work to be performed and method(s) to be employed, including demolition or renovation techniques to.be used and description of affected facility components: Structure to be razed by backhoe or loader. Demolition debris from structure to be hauled off site to a demolition landfill.

.. . ·- - - ·-- . - 'De5criPtiOn--ofwOrk p�acti��S-�d en-�ileering controls to be used to comply with the requirements, including asbestos

. . removal and 'vaste handling emission control procedures: All friable asbestos to be removed prior to demolition using w methods} containment or glove bag used, HEPA AFDtS and vacuums as appropriate or cut & wrap. Cat Il removed intact, wrapped and labeled. Demolition process to be kept wet unless temperature is below freezing and would create a hazardous condition.

XII. Waste Transporter #1 Name: B & B Wrecking & Excavating, Inc. Address: 4510E. 71"'St. Suite6 City: Cleveland State: OH Zip Code: 44105 Contact: Brian J. Bawnann Telephone: (216 )429-1700 Fax:{Zl6 ) 42 9-1717 Waste Transporter #2 Name: Address: City: State: Zip Code: Contact: Telephone: ( ) Fax: f )

XIII. Waste Disposal - CD&D and *Waste Management -NF Asbestos and Minerva Enterprises .. Asbestos Name: Kurtz Bros. 6§:!0 Cochran Rd. 8955 Minerva Rd. S.E. Address: 950 Valle)' Belt Rd. Sojgn, OH44139 Wamesbyrg, OH 44688; P-330-866-3435 City: BrooklY!l Hts., OH 44131 State: Zip Code: Contact; Cindy -216-986-7035 Telephone: (*440 )428-5700 Fax: f )

XIV. Emergency Demolition (complete Item XIV and all other sections, only if this project is an Emergency Demo.) L Attach a copy of the Order to this notice. 2. Name of Authority Issuing Order: Title: 3. Authority of Order (Citation of Code): 4. Date of Order (MMIDDNY): Date Ordered to Begin:

xv. Emergency Renovation {Attach separate sheet with the following information if project is Emergency Reno,) !. Date and Hour of the Emergency 2. Description of the Sudden, Unexpected Event 3. Explanation of how the event caused unsafe conditions or equipment damage or an umeasonable financial burden.

XVI. Description of procedures to be followed in the event that unexpected RACM: is found or nonfriable ACM becomes crumbled, pulverized or reduced to powder. In the elient unexpected asbestos is found or previously nonfriable asbestos becomes friable, work will cease that would disturb the material The owner will be notified and all removal, clean�up, and disposal will be done according to all applicable regulations.

XVJ1. I certify that an individual trained in the provisions of NESHAPS ( 40 CFR PART 61, SUBPART M) will be on-site during the Demolition or Renovation and evidence that the required training has been accomplished by this person will be available during normal business hours.

�;(.� 9/28/11 Don R. King, Project Manager Signature of Owner/Op� Date Type or Print Name and Title

xvm. I acknowledge the existence of laws prohibiting the submission of false or misleading statements and I certify that facts contained in this notification are true, accurate, and complete. Sj-::; ·.f. -;7',,({:} _ 9/28/11 Don R. King, Project Manager Signature of Owner/Operator /7 Date Type or Print Name and Tille

Original Notification must be mailed or hand delivered at least ten working days (Monday-Friday excluding weekends) before demolition or renovation begins, except emergency demolitions and emergency renovations (see regulation)

which must be submitted as soon as po::.:;ible before operations begin, but no later than the foUowing work day. (Form Revised 1/5/09)

- - -- ---

0912212011 15:42

.... ··-· -

4510 East 71• street, Suits 6 Cleveland, OH 44105 P: 216-429-1700 F:216429-1717

Fax

(FAX)2164291717

B & B Wrecking & · · Excavating, Inc.

Dl'leaseReply

-

P.0011003

0912212011 15:42 (f AX)2164291717 P.0021003

(91-7108-2133-3936-3760-4790) OHIO ENVIRONMENTAL PROTECTION AGENCY NOTIFICATION OF DEMOLITION AND RENOVATION Pagel of 2

I.

Operator Project# 211042

Il.. Facility Description (include building name, number, and floor or room number) Building Name:. Cement Block Buildin� Address: 2523 E. 93rd St. City: Cleveland State: OIDO Zip Code: .o44ccc 10"'4,_ __ County: Cuyahoga Site Location (specific): _,E,o._,9,,3,.,rd._&,,,...W=o,,o,,dl.,,an,,d"----------------------------Building Size (square feet): �5<>0"'0"'0'-____________ #, of Floors: -�2�-�Age in Years: �9�0�--PresentUse: Vacant Prior Use: Storage

ill. Type of Operation (check one): Emergency Renovation Fire Training

IV. Is Asbestos Present? (ch�k one):

V.. Facility Information

Owner Name: Jondavid Balunek

Address: P.O. Box 202 City: Centerville State: �1N=--�Zip .. Code: �3�7�03=3�-----Contact: Ryan Simon (Great Lakes Construction) Telephone: ( 330 ) 220-3947 Fax: ( 330 l 220-7670 Removal Contractor Name: William F .. Baumann, Inc.. Address: 4510 E. 71" St. Sulte 6

License #�A=C=1= 3= 2�1 _______ _

City: Cleveland Contact: Don R. King

State: �·o=H�--�Zip Code: _4�4�1� 0�5 _____ _

Telephone:( 216 1429-1700 Fax:(216 )429-1717 Other Operator {demolition/general): B & B Wrecking & Exe., Inc. Ad dress: 4510 E. 71" St. Suite 6

License #�N�/�A�---------

City: Cleveland State: �O=H�--�Zip Code: _44=10=5�-----Contact Brian J. Baumann Telephone: C 216 )429-1700 Fax:(216 )429-1717

VI. Procedure, including analytical methods, employed to detect the presence of and to estimate the quantity of RACM and Category I and Category Il nonfriable ACM:

Ohio Asbestos Hazard Evaluation Specialist: _,D,,an""ie"'l'"'C� ._,P'"'e"'d,, ers..,,_ ________ �'="'E"Se;3'!' 1" 1"!3" 4�---------N anie Certification#

VII. Approximate Amount of Asbestos Materials:

RACM to be Removed

Pipes (l inear feet) Surfuce Area (square feet) Facility Components (cubic feet) Vill. Scheduled Dates Demolition or Renovation: Start: Hold

N onfriable Asbestos Material to be Removed

Category I Category II 15

400

Nonfriable Asbestos Material NOT to be Removed

Category I Category II

5000

Complete: 11/30/l!

IX. Dates for Asbestos Removal (MM/DDfYY) Start: 09/21/11 Complete: 09/21/11 Days of the Week: Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Hours of Operation: :00-3:30 7:00-3:30 7:00-3:30 7:00-3:30 7:00-3:30

Complete all unshaded spaces, except demolitions which involve less than 260 linear feet. 160 square feet, or 35 cubic feet ofRACM,, need not complete spaces XI, XII )CTII. XIV. and XV. Notifications for Emergency Demolition or Emergency Renovation must supply attachments.

--- - --- _,. _ _ --- ---0912212011 15:42 (FAX)2164291717 P .0031003

x.

XL

xn.

OHIO ENVIRONMENTAL PROTECTION AGENCY NOTIFICATION OF DEMOLITION AND RENOVATION Page2 of 2

Description of planned Demolition or Renovation work to be performed and m.ethod(s} to be employed, including demolition or renovation techniques to be used and description of affected facility components: Structure to be razed by backhoe or loader. Demolition debris from structure to be hauled off site to l;l demolition landfill

Description of work practices and engineering controls to be used to comply with the requirements, including asbestos removal and waste handling emission control procedures: All friable asbestos to be removed prior to demolition using w methods,. containment or glove bag used, HEPAAFD'S and vacuums as appropriate or cnt & wrap. Cat TI removed intact; wrapped and labeled. Demolition process to be kept wet unless temperature is below freezing and would create a hazardous.condition.

Waste Transporter #1 Name: B & B Wrecking & Excavating. Inc. Address: 4510E. 7l"St. Suite6 City: Cleveland State: OH Zip Code: 44105 Contact: Brian J. B�umann Telephone: (216 ) 429-1700 Fax: (216 )429-1717 Waste Transporter #2 Name: Address: City: State: Zip Code: Contact: Telephone: ( ) Fax:( )

XIII. Waste Disposal - CD&D and *Waste Management- NF Asbestos and Minerva Enterprises -Asbestos Name: Kurtz Bros. 664 0 Cochran Rd. 8955 Minerva Rd. S.E. Address: 950 Valley Belt Rd. Solo!!, OH 44139 Wamesburg, OH 44688· P-330-866-3435 City: Brooklvn Hts., OH 44131 State: Zip Code: Contact: Cindy - 216-986-7035 Telephone: [*44 0 J 498-5700 Fax: ( )

XIV. Emergency Demolition (complete Item XIV and all other sections, only if this p roject is an Emergency Demo.) I. Attach a copy of the Order to this notice. 2. Name of Authority Issuing Order: Tit le: 3. Authority of Order (Citation of Code): 4. Date of Order (MMIDD!YY): Date Ordered to Begin:

xv. Emergency Renovation (Attach separate sheet with the following information if project is Emergency Reno.) L Date and Hour of the Emergency 2. Description of the Surlden, Unexpected Event 3. Explanation of how the event caused unsafe conditions or equipment damage or an unreasonable :financial burden.

XVI. Description of procedures to be followed in the event that unexpected RACM is found or nonfriab1e ACM becomes crumbled, pulverized or reduced to powder. In the event unexpected asbestos is found or previously nonfriable asbestos becomes friable, work will cease that would disturb the material. The owner will be notified and all removal, clean-up, and disposal will be done according to all applicable regulations.

XVII. I certify that an individual trained in the provisions ofNESHAPS {40 CFR PART 61, SUBPART M) will be on-site during the Demolition or Renovation and evidence that the required training has been accomplished by this person will be available d�ring normal business hours.

'.nh-,t� 9/22/11 Don R. King, Project Manager Signature of Own� Date Type or P rint Name and Title

XVIlL I acknowledge the existence of laws prohibiting the submission of false or misleading statements and I certify that facts contained in this notification are true, aceurater and complete. <fm._£ f / ,.-! 9/22/11 Don R. King, Project Manager Signature of Owner/Operatol\j Date Type or Print N arne and Title

Original Notification must be mailed or hand delivered at least ten working days (Monday-Friday excluding weekends) before demolition or renovation begins, except emergency demolitions and emergency renovations (see regulation)

which must be submitted as soon as possible before operations begln, but no later than the following work day. (Form Revised 1/5/09)

0910212011 17:51

4510 East 71" Street, Suite 6 Cleveland, OH 44105 P: 216-429-1700 F: 2.16-429-1717 www.bbwrecking.com

Fax

(FAX)2164291717

B & B Wrecking & - Excavating, Inc.

Pages: J Date: t/-,1,-/ /

D Urgent D For Review D Please Comment D Please Reply D Please Recycle

•Comments:

�- VIII +/)C- ��-

P.0011003

0910212011 17:51 (FAX)2164291717 P.002!003

omo ENVIRONMENTAL PROTECTION AGENCY NOTIFICATION OF DEMOLITION AND RENOVATION Pag� 1of2

L

Operator Project# 211042

Il. Facility Description (inc]ude building name, number, and floor or room number) Building Name: Cement Block Building Address: 2523 E. 93rd S City: Cleveland State: OIDO Zip Code: -=44=1�0�4 ___ C.ounty: Cuyahoga Site Location (specific): �E� . ..,9�3r�d�&�W�o�o�dl� an�d _________________________ _

Building Size (square feet): �5�0�0�0�------------�# ofF!oors: _ _,2,_ __ Age in Years: "'9�0�-­PresentUse: Vacant Prior Use: Storage

III. Type of Operation (check one): Renovation Emergency Renovation Fire Training

IV. Is Asbestos Present? (check one):

V. Facility Information

Owner Name: Jondavid Balnnek

Address: P.O. Box 202 CitY: Centerville State: �TN...,_ ___ ,Zip Code: �3'-'7_,,03,,,3,_ ____ _

Contact: Ryan Simon (Great Lakes Construction) Telephone: ( 330 ) 220-3947 Fax: ( 330 ) 220-7670 Removal Contractor Name: William F. Baumann, Inc.

Address: 4510E.71•s1. Suite 6 License# �A:.C"-"13"'2"1'---------

City: Cle eland Contact: Don R. King

State: _,O,,H,,__ ___ .Zip Code: _:4,,,4"1"' 05,_ ____ _

Telephone: ( 216 l 429-1700 Fax: (216 } 429-1717 Other Operator (demolition/general): B & B Wrecking & Exe .• Inc. Address: 4510 E. 71• St. Suite 6

License #�N.,,l,cA..._ ________ _

City: Cleve!aod State: _,o.,,H.,_ __ _,Zip Code: .:;44=10,.,5,_ ____ _

Contact: Brian J. Baumann Telephone: (216 )429-1700 Fax: (216 )429-1717

VI. Procedure, including analytical methods, employed to detect the presence of and to estimate the quantity of RACM and Category I and Category Il nonfriable ACM:

Ohio Asbestos Hazard Evaluation Specialist: -"D�am�· e�l_,C�."' P_,e,.d�ers�--------� """'E"' S'"3"' 1"1"'3" 4�---------'---Name Certification #

VII. Approximate Amount of Asbestos Materials:

Nonftiable Asbestos Material to be Removed

Nonfriable Asbestos Material NOT to be Removed RACM to be Remc.ved

Category I Pipes (linear feet)

Surface Area (square feet) 400

Facility Components (cubic feet)

VIII. Scheduled Dates Demolition or Renovation: Start: 9/08/11

IX. Dates for Asbestos Removal (MM/DD/YY) Start: 9/08/11

Days o.fthe Week: Monday

Hours of Operation: 7:00-3:30

Tuesday

:00-3:30

Wednesday Thursday

:00-3:30 7:00-3:30

Category 11 Category I Category II 15

5000

Complete: 10/31/1 I Complete: 10131111

Friday Saturday Sunday

7:00-3:30

Complete all unshaded spaces,. except demolitions which involve less than 260 linear feet, 160 square feet, or 35 cubic feet ofRACM, need not complete spac� XI, XII XIII, XIV, and XV. Notifications for Emergency Demolition or Emergency Renovation must supply attachments.

0910212011 17:51 (FAX)2164291717 P.0031003

x.

XI.

xrr.

omo ENVIRONMENTAL PROTECTION AGENCY NOTIFICATION OF DEMOLITION AND RENOVATION Page 2 of 2

Description of planned Demolition or Renovation work to-be performed and metbod(s} to be employed, including demolition or renovation techniques to be used and description of affected facility components: Structure to be razed by backhoe or loader. Demolition debris from structure to be hauled off site to a demolition landfilt

Description of work practices and engineering controls to be used to comply with the requirements, including asbestos removal and w3.ste handling emission control procedures: All friable asbestos to be removed prior to demolition using w methods, containment or glove bag used, HEPAAFD'S and vacuums as appropriate or cut & wrap. Cat Il removed intact, "Wrapped and labeled. Demolition process to be kept wet unless temperature is below freezing and wouJd create a hazardous condition.

Waste Transporter #1 Name: B & B Wr§cking & Excavating, Inc. Address: 4510 E. 71" St., Suite 6 City: Cleveland State: OH Zip Code: 44105 Contact: Brian J. Baumann Telephone: ( 216 ) 422-1700 Fax:(216 ) 429-1717 Waste Transporter #2 Name: Address: City: State: Zip Code: Contact: Telephone: ( ) Fax: r 1

XIII. Waste Disposal - CD&D and *Waste Management -NF Asbestos and Minerva Enterprises - Asbestos Name: Kurtz Bros. 6640 Cochran Rd 8955 Minerva Rd S.E. Address: 950 Va\li;yBeltll,d. Solon, OH 44139 WaYJ!esburg, OH 44688; P-330-866-3435 City: Brookl:im Hts., OH 44131 State: Zip Code: Contact Cind::t -216-986-7035 Telephone: (*440 ) 498-5700 Fax: r )

XIV. Emergency Demolition (complete Item XIV and all other sections, only if this project is an Emergency Demo.) l. Attach a copy of the Order to this notice. 2. Name of Authority Issulng Order: Title: 3. Authority of Order (Citation of Code): 4. Date ofOrder(MMfDDIYY): Date Ordered to Begin:

xv. Emergency Renovation (Attach separare sheet with the following information if project is Emergency Reno.) I. Date and Hour of the Emergency 2. Description of the Sudden, Unexpected Event 3, Explanation of how the event caused unsafe conditions or equipm ent damage or an unreasonable financial burden.

XVI. Description o f procedures to be followed in the event that unexpected RACM is found or nonfriable ACM becomes crumbled, pulverized or reduced to po,vder. In the event unexpected asbestos is found or previously nonfriable asbestos becomes friable, work will cease that would disturb the material. The o'vner 'viii be notified and all removal,. clean-up, and disposal will be done according to all applicable regulations.

XVII. I certify that an individual trained in the provisions ofNESHAPS (40 CFR PART 61, SUBPART M) will be on-site during the Demolition or Renovation and evidence that the required training haS been accomplished by this person will;:•;; d:�;al business hou:�

02/l l Don R. King, Project Manager Signature of Owner/Operator y Date Type or Print Name and Title

xvm. I ackno\vledge the existence of Jaws prohibiting the submission of false or misleading statements and I certify that facts contained in this n�fication are true, accurate, and complete.

rA , r7h--- / �A-I 9/02/l l Don R. King, Project Manager

Sigoature of Owner/Operator l Date Type or Print Name and Title

Original Notification must be mailed or hand delivered at least ten working days (Monday�Friday excluding weekends) before demolition or renovation begins, except emergency demolitions and emergency renovations (see regulation}

which must be submitted as soon as possible before operations begin, but no later than the following work day. (F onn Revised 1/5/09)

I.

II.

ID. IV. v.

VI.

--- --------------OHIO ENVIRONMENTAL PROTECTION AGENCY

NOTIFICATION OF DEMOLITION AND RENOVATION Page 1 of 2

Operator Project·# 211042

... ... +'.i·1� ��Tt ···\t 1· �)'71d > . . ... · . . -.. 7\ . . . l. .lD.5�. Type of Notification (check one): [8JOrigir1al .._Revised lJCanceled

..

Facility Description (include building name, number, and floor or room number) Building Name: Cement Block Building

Address: 2523 E. 93rd St.

City: Cleveland State: OIDO Zip Code: 44104 County: Cuyahoga Site Location (specific): E. 93rd & Woodland Building Size (square feet): 5 000 #of Floors: 2 Age in Years: 90 Present Use: Vacant Prior Use· � ' Type of Operation (check one): iZ(JDemo lJOrdered Demo LJR e� ,JI t.U Renovation

•. �?� �-� LJFire Training

Is Asbestos Present? (check one): IZSJYes

Facility Information

Owner Name: Jondavid Balunek

Address: P.O. Box 202

City: Centerville Contact: Ryan Simon (Great Lakes Construction)

L cx.\lscM · .!/- "'q __... Df'1C; · .· I 0 ·· j:f,:�t&"'"

Telephone: L

e,,c.... " � . . rt � .

--t- \ ,, J1,}1,j r· JA . vJ �: 37033

D .I.A _,, J >"'-' "' . . Fax: ( 330 ) 220-7670

Removal Contractor Name: William F. Baumann, Inc. ��· '"'" w!' . v License# AC1321 Address: 4510 E. 71 �St. Suite 6 City: Cleveland State: OH Zip Code: 44105 Contact: Don R. King Telephone: ( 216 ) 429-1700 Fax: (216 )429-1717 Other Operator{demolition/general): B & B Wrecking & Exe., Inc. License# NIA Address: 4510 E. 71 �St. Suite 6

City: Cleveland State: OH Zip Code: 44105 Contact: Brian J. Baumann Telephone: ( 216 ) 429-1700 Fax: (216 )429-1717

Procedure, including analytical methods, employed to detect the presence of andto_,est�giatf�th�u�ntity, of-_�CM and Category I and Category Il nonfriable ACM: • • \ IE, IQ, t� .. t . .\L�i' : • .

,,\ AUG 26 2011 1

Ohio Asbestos Hazard Evaluation Specialist: Daniel C. Peders .

ES31134 Name Certification # 1 .· . . .

VII. Approximate Amount of Asbestos Materials:

Nonfriable Asbestos Material Nonfriable Asbestos Material to be Removed NOT to be Removed

RACM to be Removed Category I Category II Category I Category II

Pipes (linear feet) 15 Surface Area (square feet) 400 5000 Facility Components (cubic feet)

VIll. Schedu1ed Dates Demolition or Renovation: Start: 9/06/11 Complete: 10/31/11

IX. Dates for Asbestos Removal (MMJDDNY) Start: 9/06/1 I Complete: 10/31/1 I

Days of the \Veek: Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Hours of Operation: 7:00-3:30 7:00-3:30 7:00-3:30 7:00-3:30 7:00-3:30 Complete all unshaded spaces, except demolitions which involve less than 260 linear feet, 160 square feet, or 35 cubic feet ofRACl\.1, need not

complete spaces XI, XII ,XIII, XIV, and XV. Notifications for Emergency Demolition or Emergency Renovation 1nust supply attachments.

x.

XL

xn.

-- - ----·-------------

OHIO ENVIRONMENTAL PROTECTION AGENCY

NOTIFICATION OF DEMOLITION AND RENOVATION Page 2 of 2

Description of planned Demolition or Renovation work to be performed and method(s) to be employed, including demolition or renovation techniques to be used and description of affected facility components: Structure to be razed by backhoe or loader. Demolition debris from structure to be hauled off site to a demolition landfill.

Description of work practices and engineering controls to be used to comply with the requirements, including asbestos removal and waste handling emission control procedures: All friable asbestos to be removed prior to demolition using w methods, containment or glove bag used, HEPA AFD'S and vacuums as appropriate or cut & wrap. Cat Il removed intact, wrapped and labeled. Demolition process to be kept wet unless temperature is below freezing and would create a hazardous condition.

Waste Transporter #1 Name:· B & B Wrecking & Excavating, Inc. Address: 4510 E. 71 �St. Suite 6 City: Cleveland State: OH Zip Code: 44105 Contact: Brian J. Baumann Telephone: ( 216 l 429-1700 Fax: ( 216 ) 429-1717 Waste Transporter #2 Name: Address: City: State: Zip Code: Contact: Telephone: ( ) Fax:! )

XIII. Waste Disposal - CD&D and *Waste Management-NF Asbestos and Minerva Enterprises - Asbestos Name: Kurtz Bros. 6640 Cochran Rd. 8955 Minerva Rd. S.E. Address: 950 Valley Belt Rd. Solon, OH 44139 Waynesburg, OH 44688; P-330-866-3435 City: Brooklyn Hts., OH 44131 State: Zip Code: Contact: Cindy- 216-986-7035 Telephone: (*440 ) 498-5700 Fax:! )

XIV. Emergency Demolition (complete Item XIV and all other sections, only_if this project is an Emergency Demo.)

xv.

XVI.

XVII.

1. Attach a copy of the Order to this notice. 2. Name of Authority Issuing Order: Title: 3. Authority of Order (Citation of Code): 4. Date of Order (MM/DD!YY): Date Ordered to Begin: Emergency Renovation (Attach separate sheet with the following information if project is Emergency Reno.) 1. Date and Hour of the Emergency 2. Description of the Sudden, Unexpected Event 3. Explanation of bow the event caused unsafe conditions or equipment damage or an unreasonable financial burden.

Description of procedures to be followed in the event that unexpected RACM is found or nonfriable ACM becomes crumbled, pulverized or reduced to po,vder. In the event unexpected asbestos is found or previously nonfriable asbestos becomes friable, work 'vill cease that would disturb the material. The owner will be notified and all removal, clean-up, and disposal will be done according to all applicable regulations.

I certify that an individual trained iu the provisions ofNESHAPS (40 CFR PART 61, SUBPART M) will be on-site during the Demolition or Renovation and evidence that the required training has been accomplished by this person will be available during normal business hours. A;:., I i(, � .1 s124111 Signature of Owner/Operatoy Date

Don R. King, Project Manager Type or Print Name and Title

xvru. I acknowledge the existence of laws prohibiting the submission of false or misleading statements and I certify that facts contained in this notification are true, accurate, and complete.

%"?� ,(!_ � 8/24/11 Don R. King, Project Manager Signature of Ovvner/Operatory Date Type or Print Name and Title

Original Notification must be mailed or hand delivered at least ten working days (Monday-Friday excluding "\veekends) before demolition or renovation begins, except emergency de1nolitions and emergency renovations (see regulation)

which must be submitted as soon as possible before operations begin, but no later than the following V\'Ork day. (Form Revised 115109)

ASBESTOS MATERIAL SURVEY

Vacant Cement Block Suilding

2523 East 93•d Street

Cleveland, Ohio 44104

PREPARED FOR:

The Great lakes Construction Co.

2608 Great Lakes Way

Hinckley, OH 44233-9590

330-220-3900

PREPARED BY:

3175 Independence Rd., Station 86 Cleveland, Ohio 44105

216-429-7419, fax 216-429-7405

July 12, 2011

Project Number: E11-045

PROJECT S UMMARY

SCOPE OF WORK

INSPECTIONS LIMITATIONS

RESULTS

RECOMMENDATIONS

TABLE OF CONTENTS

APPEN D IX A -Table 1: Asbestos-Containing Material Summary

APPENDIX B - Analytical Reports

PAGE

1

2

2

2

3

PROJECT SUMMARY

CMM Inc. performed an asbestos material survey of the vacant cement block building at 2523 East 93rd Street in Cleveland, Ohio. The asbestos material survey was performed to identify potential asbestos exposure concerns prior to demolition of the structure as required by the Occupational Safety and Health Administration (OSHA) and the Environmental Protection Agency (EPA) NESHAPS.

CMM lnc.'s Environmental Project Manager, Mr. Daniel C. Peders, performed an inspection of all areas on July 7, 2011. Mr. Peders identified the following:

Friable Asbestos-Containing Materials - Friable asbestos is strictly regulated and must be removed prior to building demolition and/or equipment dismantling. There were no Friable asbestos materials identified for these structures.

Non-friable asbestos is materials that cannot be crumbled by hand pressure when dry and is divided into two categories: Category I and Category II.

Category I non-friable material is material such as floor covering and roof shingles that are not expected to release significant amounts of asbestos fibers during normal demolition activities. These materials are also strictly regulated and can remain in place as long as it will not be subjected to sanding, grinding, cutting or abrading. The following Category I non-friable asbestos materials was sampled and verified to be asbestos­containing:

- Asphalt-based roofing

Category II non-friable material is material such as asbestos-cement products, drywall or plaster that is expected to release significant amounts of asbestos fibers during normal demolition activities. Depending on the potential for fiber release these materials may be required to be removed prior to demolition if the material is expected to release significant fibers. The following Category I non-friable asbestos materials were assumed to be asbestos-containing:

Cement flue pipe - Window glazing on metal casement windows

Table 1 in the report provides a summary of estimated quantities. Table 2 in Appendix A provides summary of the asbestos-containing materials and the analytical results.

1

SCOPE OF WORK

CMM Inc. was retained by the Great Lakes Construction Co. to perform an asbestos material survey of the vacant cement block building at 2523 East 93rd Street in Cleveland Ohio. Ohio Department of Health Certified Asbestos Hazard Evaluation Specialist, Mr. Daniel C. Peders ( CAHES #31134), visually inspected all accessible areas of these structures.

INSPECTION'S LIMITATIONS

The results of this survey are based on areas identified by a representative of Great Lakes Construction. All areas were accessible by the inspector.

The structure is a one and two story block building with a flat roof and metal and wood beams and supports. The construction date is estimated as 1950 and consists of approximately 5,000 square feet of space. The information from the 1912-1951 composite Sanborn Fire Insurance identifies the building as Pattern and Miscellaneous Storage at the South and a Coal Room and Boiler Room North for the Peerless Plant.

RESULTS

All accessible friable and non-friable materials in the identified functional spaces were sampled and submitted for analysis. A total of 7 homogeneous materials were noted during the inspection. A total of 11 bulk samples were collected from these materials.

The bulk samples were analyzed by Amianthus Labs LLC laboratory that is enrolled in the American Industrial Hygiene Associations Bulk Asbestos Proficiency Analytical Testing (BAPAT) Program, laboratory ID number 198622, for the analysis of asbestos bulk material samples.

All samples were analyzed using Polarized Light Microscopy with Dispersion Staining (PLM/DS) techniques in accordance with the methodology approved by the U.S. Environmental Protection Agency (EPA). The percentage of asbestos present in the samples was determined on the basis of visual area estimation. As set forth in the Code of Federal Regulations, 40 CFR Part 763, Appendix A to Subpart F, Section 1.2 and 1.7.2.4, the lower limit of reliable detection for asbestos using the PLM method is approximately one percent (1%) by volume.

When "None Detected" ( ND) appears in this report, it should be interpreted as meaning no asbestos was observed in the sample material above the reliable limit of detection for the PLM method (1 %). Material reported to contain 1 % or less of asbestos by point count analysis is not considered hazardous by U.S. EPA, and therefore, do not require removal and disposal prior to demolition or renovation.

2

The following table summarizes the type of ACM identified in this limited survey:

Table 1 : ACM Estimated Quantity Summary Shaded items can remain in place during normal demolition activities

Homogeneous Material Description G roup #

WG1 Window glazing on perimeter metal casement windows

MM1 Asbestos-cement flue pipe

S.F. = Square Feet L.F. = Linear Feet

RECOMMENDATIONS

Estimated Quantity

-20 windows, -400 S.F. of windows or -68 S.F. of glazing

15 L. F.

The Environmental Protection Agency (EPA) National Emission Standards for Hazardous Air Pollutants ( NESHAP) requires that Regulated Asbestos Containing Material (RACM) that will be disturbed during demolition be removed. RACM is defined as; (a) friable ACM; (b) category I non-friable ACM that has become friable; (c) category I non-friable ACM that will be or has been subjected to sanding, grinding cutting or abrading; or (d) category II non-friable ACM that has a high p robability of becoming or has become crumbled, p ulverized, or reduced to powder by forces expected to act on the material in the course of demolition o r renovation operation.

Based on the understanding that these structures will be demolished, EPA NESHAP regulation requires the removal of all RACM prior to demolition or renovation activities that may disturb these materials.

If you have any questions or concerns regarding the above information, please contact the undersigned at 2 16-346-7694.

S incerely,

1?Q_�� · "--.�· Daniel C. Peders Certif ied Asbestos Hazard Evaluation Specialist, OOH CAHES#33134

3

APPENDIX A

Table 2: Asbestos-Containing Material Summary

Sample Homo-Number Geneous

l.D.

E93-01 and 02 DBI

E93-03, 04 & 05 DWI

E93-06 & 07 ' · WGI

E93-08 & 09 WG2

E93-10 FL!

E93-l l BUR!

Assumed MM!

Table 2 - Summary of Asbestos-Containing Materials

Sample Description Asbestos (YIN)

Unfinished drywall board N

Finished drywall (drywall board, joint N compound and tape)

Window glazing y

Window glazing N

Asphalt-based roof flashing y

Asphalt-based built-up roof material y

Asbestos-cement flue pipe y

Location

1st floor Southeast corner office walls. Some 2nd floor partition walls.

znd floor Southeast comer offi9e walls

Metal casement windows on perimeter walls

Wood windows on interior partition walls

Around perimeter edges and penetration of flat roof

Flat roof

1 Bt and 2nd floor along West wall loose and laying on ground also as debris on 1st floor

Page 1 of ! RACM Analytical (YIN)* Results

N None Detected

N None Detected

y 1.25 % PC - 5% Chrvsotile

N None Detected

N 35% Chrysotile

N 15% Chrysotile

y Assumed

Field Notes: Exterior: Cement block structure. Interior: Perimeter and partition walls are cement block. Heavy timber and metal beams and supports. Cement floor. Some wood paneling over walls. znd floor mezzanine-like area wood floor some metal ceiling.

Asbestos as Asbestos-Containing which by definition is greater than one percent (1 %) by weight as analyzed by the Point Count (PC) method. RACM classification is based on normal demolition procedures and does not apply if the structnre will be burned intentional for live fire training or recycled.

("�¥ · c 1 r---- --· · · . .

Daniel C. Peders, Certified Asbestos Hazard Evaluation Soecialist, ODH CAHES#33 !34

APPENDIX B

Analytical Reports

Amiantlms Labs LLC Environmental Consultants

583 Grayton Road Berea, Ohio 44017

440-346-7694 fax 440-891-0022

CERTIFICATE OF ANALYSIS Client: The Great Lakes Construction Co.

2608 Great Lakes Way

Hinkley, Ohio 44233

Report Date: July 8, 201 1 Project No.: 11-06-083 Log No.: 358

BULK SAMPLE ANALYSIS SUMMARY

Sample Identification:

Eleven (11) samples from the vacant gray cement block building at 2523 East 93"' Street, Cleveland, Ohio were submitted by Daniel C. Peders.

These bulk samples were delivered to Amianthus Labs, Berea, Ohio for asbestos content determination.

Analytical Method:

Analytical procedures were performed in accordance with the U. S. Environmental Protection Agency (EPA) Recommended Method for the Determination of Asbestps in Bulk Samples by Polarized Light Microscopy and Dispersion Staining (PL!vl/DS) (EPA-600/M4-82-020, EPA-600/R-93-116). This report relates only to those samples actually analyzed, and may not be indicative of other similar appearing materials existing at this, or other sites.

Quantification of asbestos content was detemrined by Calibrated Visual Estimation.

The EP AS requires that fiiable samples with analytical results of 10% or less asbestos, by visual estimation, be treated as asbestos-containing material unless these quantities are verified using the point counting method. The point counting method is a systematic technique for estimating concentration, also using PLM. The point counting method, however, does not increase the analyst's ability to detect fibers.

In any given material, fibers with a small diameter (<025µm) may not be detected by the PLM method. Floor tile and other resinously bound material may yield a false negative if the asbestos fibers are too small to be resolved using PLM. Additional analytical methods may be required.

Analysis Performed By: Daniel C. Peders Date: July 8, 201 1 Daniel C. Peders

Laboratory Director

AIHA PAT for Bulk Asbestos no. 198622 This confidential report relates only to those ilem(s) tested and does not represent an endOtSement by A/HA or any agency of the U.S. Govemment

Analysis Method: EPA 600/R-93/1 16

Report Date: 7108/2011 1 1-06-083 358

Project: Log No.:

0 z .c 3 Client No. Description

4342 E93-01 Diywall board, unfinished

4343 E93-02

4344 E93-03 Finished drywall

4345 E93-04

4346 E93-05

4347 E93-06 Window glazlng

4348 E93-07

4349 E93-08 Window glazing

4350 E93-09

4351 E9S.10 Roof flashing

4352 E9S.11 Built�up roof material

Asbestos Type(s) Detected

!!l � "' � ID 0 "' ,, � � ·g 6 0

Location Color ... ... ... 181 floor Southeast comer

White 0 0 0 office wall

2nd floor partition wall Whtte 0 0 0

2nd floor Southeast comer White 0 0 0

office Vvalls VVhite 0 0 0

Whtte 0 0 0

Metal casement v.o;ndows on \l\lhite

1.25 0 0

perimeter walls PC

White 5 0 0

Wood v..;ndows on interior Gray 0 0 0

partition wans Gray 0 0 0

Flat roof Black 35 0 0

Black 15 0 0

AIHA PAT for Bulk Asbestos no. 198622

Non-Asbestos Materials

� 8 "l E � "' 11 !l ;1: "-" .lll � � .§ � E ·!:'!! B u: � 0 fl ... ... � :E * :;

0 3 0 0

0 3 0 0

0 3 0 0

0 3 0 0

0 3 0 0

0 0 0 0

0 0 0 0

0 3 0 0

0 5 0 0

0 30 0 0

0 15 15 0

This confidential report rola1es only to those ffem(s) tested and does not represent an erKiotsemenf by A/HA or any agency of the U.S. Government Analysis Method: EPA 600IR..93n 16

�· · , . tt>f:fi .. ..

·.· ... wi�.�vni

1 of 1

� � .c u: .!2 § ·@ z 1il * ::::;:: Comments

97

97

97 Sample indudes drywall board. joint

97 compound and tape

97

98.75

95

97

95

35 Multiple layers

55

Comments: PLM is not consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound materials. Before this material C<ll1 be considered or treated as non� containing, confirmation must be made by quantitative 1E!vf. (PC) Indlcatcs Stratified Point Count Performed. Method not performed unless stated. Quantification at <0.25% by volume is possible with this method. (PC Trace) represents this limitation of quantitation. (PC­T race) means that asbestos � detected but is not quantifiable under the Point Count regimen.

Analysis Perfonned By: _D=•n�ie�l�C�·�P�ed=ers�-----­Date: July 8. 2011

� Approved By: · l\/.Y:.-.... ......,.--······ Daniel C. Peders

Laboratory Director

(91"7}�2133-3936-3760-4790) OHIO ENVIRONMENTAL PROTECTION AGENCY

··--,L._ ,

NOTIFICATION OF DEMOLITION AND RENOVATION Page 1 of 2

I.

Operator Proj eel # 2 1 1 042

n. Facility Description (include building name, number, and floor or room number) Building Name: Cement Block Building Address: 2523 E. 93rd St. City: Cleveland State: OHIO Zip Code: �44=10"'4,_ __ County: Cuyahoga Site Location (specific): _,E�.�9"'3"'rd,,_&"'--W""'o"'odl""'ao'"d"----------------------------Building Size (square feet): �5�0�0�0 ______________ # of Floors: -�2�-�Age in Years: �9�0�--Present Use: Vacant Prior Use: Storage

ID. Type of Operation (check one): Renovation Emergency Renovation Fire Training

IV. Is Asbestos Present? (check one):

V. Facility Information Owner Name: Jondavid Balunek Address: P.O. Box 202 City: Centerville State: _,TN� ___ ,Zip Code: �3u.7,,,0"'33,._ ____ _

Contact: Ryan Simon (Great Lakes Construction) Telephone: ( 330 ) 220-3947 Fax: C 330 ) 220-7670 Removal Contractor Name: William F. Baumann, Inc. Address: 45 1 0 E. 71'' St. Suite 6

License # �A"'C"'l'-'3"'2,,1 _______ _

City: Cleveland Contact: Don R. King

State: �O�H� ___ .Zip Code: _4�4�!�05�-----Telephone: ( 216 ) 429-1700 Fax: (2 1 6 l 429-1717

Other Operator (demolition/general): B & B Wrecking & Exe., Inc. Address: 45 1 0 E. 71" St. Suite 6

License # �N�l�A�----------

City: Cleveland State: _,O"'HC!..., ___ .Zip Code: _:4"4"1,,_05,,_ ____ _

Contact: Brian J. Baumann Telephone: ( 2 1 6 ) 429-1700 Fax: (21 6 ) 429-1717

VI. Procedure, including analytical methods, employed to detect the presence of and to estimate ·*)l�:.flu�iiticy�OfRA�M and Category I and Category IT non friable ACM:

·· !' ' - ' ., <.

Ohio Asbestos H azard Evaluation Specialist: "'D"'an'°""ie"'l"C"'-'. Pcce,,,d,,e"-rs"------------�;,E.,s,,3,.i,.13,,,;4'-. �-----"--�-Name Certification #

'V""II. Approximate Amount of Asbestos Materials:

Nonfriable Asbestos Material to be Removed

Non:friable Asbestos Material NOT to be Removed

RACM to be Removed Category I

Pipes (linear feet)

Surface Area (square feet) . 400 Facility Components (cubic feet)

VID. Scheduled Dates Demolition or Renovation: Start: 9/2 1/1 I IX. Dates for Asbestos Removal (MM/DDNY) Start: 9/21/11

Days of the Week: Monday

Hours of Operation: :00-3:30 Tuesday

7:00-3:30 \Vednesday Thursday

7:00-3:30 7:00-3 :30

Category II Category ! Category II 1 5

5000

Complete: 1 1/30/ 1 1

Complete: 1 1/30/1 1

Friday Saturday Sunday

7:00-3 :30 Complete all unshaded spaces, except demolitions -,,.,rhich involve less than 260 linear feet, 160 square feet, or 35 cubic feet ofRAC1\.1, need not

complete spaces XI, XII ,XIIL XIV, and.XV. Notifications for Emergency Demolition or Emergency Renovation must supply attachments.

.· . .ti..

XI.

XII.

OHIO ENVIRONMENTAL PROTECTION AGENCY

NOTIFICATION OF DEMOLITION AND RENOVATION Page 2 of 2

Description of planned Demolition or Renovation work to be performed and method(s) to be employed, including demolition or renovation techniques to be used and description of affected facility components: Structure to be razed by backhoe or loader. Demolition debris from structure to be hauled off site to a demolition landfill.

Description of work practices and engineering controls to be used to comply with the requirements, including asbestos removal and waste handling emission control procedures: AU friable asbestos to be removed prior to demolition using n' methods, containment or glove bag used, HEPA AFD'S and vacuums as appropriate or cut & wrap. Cat II removed intact, wrapped and labeled. Demolition process to be kept wet unless temperature is below freezing and \vould create a hazardous condition.

Waste'Transporter #1 Name: B & B Wrecking & Excavating, Inc. Address: 45 1 0 E. 71° St. Suite 6 City: Cleveland State: OH Zip Code: 44105 Contact: Brian J. Baumann Telephone: ( 2 1 6 } 429-1700 Fax: ( 2 1 6 )429-1717 Waste Transporter #2 Name: Address: . City: ( State: Zip Code: Contact: Telephone: f ) Fax: f )

XIII. Waste Disposal - CD&D and *Waste Management - NF Asbestos and Minerva Enterprises - Asbestos Name: Kurtz Bros. 6640 Cochran Rd. 8955 Minerva Rd. S.E. Address: 950 Valley Belt Rd. So lo!), OH 4413 9 WaYJ)esburg, OH 44688; P-330-866-3435 City: Brooklvn Hts. OH44!31 State: Zip Code: Contact: Cindy - 21 6-986-7035 Telephone: (*440 ) 498-5700 Fax: ( \

XIV. Emergency Demolition (complete Item XIV and all other sections, only if this project is an Emergency Demo.) I . Attach a copy of the Order to this notice. 2. Name of Authority Issuing Order: Title: 3. Authority of Order (Citation of Code): 4. Date of Order (MMIDD/YY): Date Ordered to Begin:

xv. Emergency Renovation (Attach separate sheet with the following information if project is Emergency Reno.) I . Date and Hour of the Emergency 2. Description of the Sudden, Unexpected Event 3. Explanation of how the event caused unsafe conditions or equipment damage or an unreasonable financial burden.

XVI. Description of procedures to be followed in the event that unexpected RACM is found or nonfriable ACM becomes

XVII.

crumbled, pulverized or reduced to powder. In the event unexpected asbesto_s is found or previously nonfriable asbestos becomes friable, work will cease that would disturb the material. The owner will be notified and all ren1oval, clean-up, and disposal will be done according to all applicable regulations.

I certify that an individual trained in the provisions of NESHAPS (40 CFR PART 61, SUBPART M) will be on-site during the DemoJition or Renovation and evidence that the required training has been accomplished by this person will be available during normal business hours. C\ /?. � LJ .,f'-' \.. I t, - c . , . . i ,;1, 910111 1 Signature of Owner/Operator .r Date

Don R. King, Project Manager Type or Print Name and Title

�vrn. I acknowledge the existence of Jaws prohibiting the submission offaJse or misleading statements and I certify that

( . . . . !i>ct•,contained in !Jlis nrion are true, accurate, and complete. 'ft fU � . . , _ 9/07/ 1 1 Don R. King, Project Manager Signature of0Wher/0perator ;# Date Type or Print Name and Title

Original Notification must bel�ailed or hand delivered at least ten \Vorking days (Monday�Friday excluding weekends) before demolition or renovation begins, except emergency demolitions and emergency renovations (see regulation)

which must be submitted as soon as possible before operations begin, but no later than the fo1Jo\ving \Vork day. (Foffil Revised 1/5/09)