ASBESTOS AND LEAD INSPECTION REPORT - San Diego · ASBESTOS AND LEAD INSPECTION REPORT 2544 Collier...
Transcript of ASBESTOS AND LEAD INSPECTION REPORT - San Diego · ASBESTOS AND LEAD INSPECTION REPORT 2544 Collier...
Prepared by:
Wm. Brad Blondet
ASBESTOS AND LEAD INSPECTION REPORT
2544 Collier Ave. & 2746 Copley Ave. BUILDINGS TO BE RELOCATED
December 11, 2013 ALMP Project#6937
Reviewed by:
Alan J. Johanns
ENVIRONMENTAL S ERVICES D EPAR T M E NT
Asbestos & Lead Program Inspector CA Asbestos Site Surveillance Tech #99-2689 CDPH Lead Certification# 1-5464
Asbestos & Lead Program Manager CA Asbestos Consultant #92-0842 CDPH Lead Certification #1-7770
City of San Diego Environmental Services Department Office of Environmental Protection and Sustainability Asbestos & Lead Management Program 9601 Ridgehaven Court, Ste 320 San Diego, CA 92123 Tel: (858) 573-1262 Fax: (858) 492-5089
Asbestos and Lead Inspection Rrr.,..rt ,,...,.,4 Collier Ave. & 2746 Copley Ave. -------------------------
December 11, 2013
1. Overview
The City of San Diego's Asbestos and Lead Management Program (ALMP) was requested to perform an environmental inspection for the presence of asbestos and lead prior the relocation of the privately owned residences at 2544 Collier Ave. and 2746 Copley Ave., San Diego CA 92116. The inspection was performed October 22, and November 22,2013.
2. Summary of Asbestos Containing Materials
Friable asbestos containing material and Category II asbestos containing materials must always be removed by an asbestos abatement contractor prior to demolition. ALMP recommends removal of all asbestos containing materials prior to any disturbance created by demolition activities. Asbestos containing materials likely to be disturbed by any structure relocation activities must also be removed.
This survey may not have included all materials concealed behind walls and hard ceilings. If suspect materials are found during demolition, renovation, or relocation activities that are not mentioned in this report then work must stop and ALMP must be notified.
In certain cases, materials are assumed to contain asbestos and not sampled. Asbestos cement vent pipes were found at the properties and identified by visual inspection only.
The summary below lists materials sampled for asbestos. Materials that were found positive for asbestos are shaded.
2544 COLLIER AVE
Sample# Material Location Condition %Asbestos 6937a-Ol Gray Stucco Garage Exterior Good ND 6937a-02 Gray Stucco Garage Exterior .. Good ND. 6937a-03 Gray Stucco Garage Exterior Good ND 6937a-04 Black Roofing Paper Garage Roof Good ND 6937a-05 Black Roofing Paper Garage Roof Good ND 6937a-06 Black Roofing Paper Garage Roof Good ND 6937a-07 Gray Window Putty Garage Exterior Good ND 6937a-08 Gray Window Putty Garage Exterior Good ND 6937a-09 Gray Window Putty Garage Exterior Good ND 6937a -10 Gray Roof Penetration Mastic House Roof Good 10% 6937a -11 Gray Roof Penetration Mastic House Roof Good 10% 6937a-12 Gray Roof Penetration Mastic House Roof Good 10% 6937a-13 Black Roofing Material House Roof Good ND 6937a -14 Black Roofing Material House Roof Good ND 6937a-15 Black Roofing Material House Roof Good ND 6937a -16 Friable Gray Insulation on House Crawl Good 20%
ducting space 6937a-17 Friable Gray Insulation on House Crawl Good 20%
ducting space 6937a -18 Friable Gray Insulation on House Crawl Good 20%
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Asbestos and Lead Inspection Rer 2~'' Collier Ave. & 2746 Copley Ave. -· --------------------December 11, 2013
ducting space 6937a-19 Gray Window Putty House Exterior Good ND 6937a-20 Gray Window Putty House Exterior Good ND 6937a-21 Gray Window Putty House Exterior Good ND 6937a-22 White Stucco House Exterior Good ND 6937a -23 White Stucco House Exterior Good ND 6937a-24 White Stucco House Exterior Good ND 6937a-25 White Plaster Kitchen Good ND 6937a-26 White Plaster East Bedroom Good ND 6937a-27 White Plaster Upstairs Hall Good ND Assumed Transite Asbestos Cement Vent Vent for Heater Good 40-60%
Pipe
2746 COPLEY AVE
Sample# Material Location Condition %Asbestos 6937b-Ol White Plaster Living Room Good ND 6937b-02 White Plaster Kitchen Good ND 6937b-03 White Plaster Bedroom I Good ND 6937b-04 Brown Linoleum Kitchen Good ND 6937b-05 Brown Linoleum Kitchen Good ND 6937b-06 Brown Linoleum Kitchen Good ND 6937b-07 White Stucco Exterior Good ND 6937b-08 White Stucco Exterior Good ND
6937b-09 White Stucco Exterior Good ND 6937b-IO Black Roof Paper Tiled Roof Good ND 6937b-ll Black Roof Paper Tiled Roof Good ND 6937b-12 Black Roof Paper Tiled Roof Good ND
6937b-13 Gray Roof Penetration Mastic Flat Roof Good 20% 6937b-14 Gray Roof Penetration Mastic Flat Roof Good 20% 6937b-15 Gray Roof Penetration Mastic Flat Roof Good 20% 6937b-!6 Black Rolled Roofing Flat Roof Good ND 6937b-17 Black Rolled Roofmg I Flat Roof Good ND
'
6937b-18 Black Rolled Roofing Flat Roof Good ND Assumed Transite Asbestos Cement Vent Vent for Heater Good 20-40%
Pipe
3. Summary of Lead Paint
An inspection was performed using an XRF analyzer to detennine which deteriorated painted surfaces had levels oflead that may pose a lead exposure risk during demolition. The threshold used was 0.10 mg/cm2 because it has an established regulatory correlation with 600 ppm, which is the level of lead currently allowed in new paint.
All non-intact (loose, flaking) paint containing over 600 mg/Kg or 0.10 ing/cm2 must be
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Asbestos and Lead Inspection R'· '"~rt ~- ~4 Collier Ave. & 2746 Copley Ave. ------------------------- ~
December 11, 2013
removed by lead trained employees prior to activities which will disturb the painted surfaces.
All paint chips, regardless of their lead content, must be segregated from other waste and characterized as hazardous or nonhazardous (or assumed to be hazardous) prior to disposal.
The summary below lists the areas of non-intact paint with greater than 0.10 mg/cm2.
2544 Collier; XRF Sample #5: Exterior Garage Window Sills, Brown paint
2544 Collier; XRF Sample #8: Exterior Garage Eaves, Brown paint
2544 Collier; XRF Sample #9: Exterior Garage Eaves, Brown paint
2544 Collier; XRF Sample #23: Exterior House Window Sills, Brown paint
2544 Collier; XRF Sample #24: Exterior House Iron Bars, Black paint
2544 Collier; XRF Sample #66: Interior House Window Sills, White paint
2746 Copley; XRF Sample #72: Exterior Gate, Black paint
2746 Copley; XRF Sample #73: Exterior Window Bars, Black paint
2746 Copley; XRF Sample #78: Exterior Windows Casings, Blue/Green paint
2746 Copley; XRF Sample #79: Exterior Windows Casings, Blue/Green paint
2746 Copley; XRF Sample #80: Exterior Windows Casings, Blue/Green paint
All surfaces that will be disturbed during demolition, renovation, or relocation activities where paint containing over 1,000 mg/Kg or .5 mg/cm2 must be contained using "lead safe work practices" as defined by the City of San Diego's lead paint ordinance.
6. Attachments
1. Asbestos Laboratory Reports 2. Lead XRF Report 3. Inspector Certifications
Page 4
Attachment # 1
ASBESTOS LAB ORA TORY REPORTS
Sampling Map and Property Sketch
Address: 2544 Collier Ave., San Diego CA Job# 6937a Inspection Date: 10-22-2013
c
)( t)-G~
Y\ X 10-12 ~ Roof Mastics
I 1----- -
Flue Vent X
H ouse Entry HVAC Unit with ducting k-r- A insulation in crawl space X 16-18
B D --Kitchen
X Positive Asbestos Sample Locations
Roof Mastics
Casita/Garage
A
H.M. Pitt Labs, Inc. Lab Number: 132206-169546 2434 Southport Way· Suite L · National City, CA 91950 Tel: 619-474-8548 · Fax: 619-474-6128
Company: Date Entered: 11/26/2013 City of San Diego Environmental Services Analyzed By: Justin C. Russ Department 9601 Ridgehaven Court, Suite 310 Date Analyzed: 12/02/13 San Diego, CA 92123 Customer PO I Claim#:
Contract Number:
Job Site: Project No. 6937a Date Sampled Who Sampled 11/22/2013 Wm. Brad Blondet
Lab Notes: 72 hr. TAT
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT- EPA-600/M4-82-020 Analysis Number: 132206-6
Customer Number: 06
Classification: Description: Garage, Roofing Paper, Black
Results: Non-Asbestos: 30% Synthetic Fibers in Black Roofing Paper
Analysis Number: 132206-7
Customer Number: 07
Classification: Description: Garage, Window Putty, Gray
Results: Non-Asbestos: Non-Fibrous Grey Window Putty
Analysis Number: 132206-8
Customer Number: 08
Classification: Description: Garage, Window Putty, Gray
Results: Non-Asbestos: Non-Fibrous Grey Window Putty
Analysis Number: 132206-9
Customer Number: 09
Classification: Description: Garage, Window Putty, Gray
Results: Non-Asbestos: Non-Fibrous Grey Window Putty
·All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC.
· These test results relate only to the sample(s) identified above. · This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. · This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. · Samples are archived for 2 years from date of receipt and will be disposed of properly following this period. · Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of 1%.
APPROVm BY:_~_U-4\_J_s_._~_· __ Dated: 12/02/2013 fl .. ~
REVIWEDBY:_UV'U-______ _ LELAND S. PITT, CIH Ginger Russ
Page 2 of6
H.M. Pitt Labs, Inc. Lab Number: 132206-169546 2434 Southport Way · Suite L · National City, CA 91950 Tel: 619-474-8548 · Fax: 619-474-6128
Company: Date Entered: 11/26/201 3 City of San Diego Environmental Services Analyzed By: Justin C. Russ Department 9601 Ridgehaven Court, Suite 31 0 Date Analyzed: 12/02/13 San Diego, CA 92123 Customer PO I Claim#:
Contract Number:
Job Site: Project No. 6937a Date Sampled Who Sam~led
72 hr. TAT 11/22/2013 Wm. Brad Blondet
Lab Notes:
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT- EPA-600/M4-82-020 Analysis Number: 132206-10
Customer Number : 10
Classification: Description: House, Flat Roof, Penetration Mastic, Gray
Results: Asbestos: 10% Chrysotile in Black Penetration Mastic Note: Client requests analysis to stop at first positive.
Analysis Number: 132206-11
Customer Number : 13
Classification: Description: House, Flat Roof, Rolled Roofing, Black
Results: a. Non-Asbestos: 10% Glass Fibers in Black Roofing Material b. Non-Asbestos: 10% Glass Fibers in Black Roofing Material c. Non-Asbestos: 10% Glass Fibers in Black Roofing Material
Analysis Number: 132206-12
Cus tomer Number : 14
Classification: Description: House, Flat Roof, Rolled Roofing, Black
Results: a. Non-Asbestos: 10% Glass Fibers in Black Roofing Material b . Non-Asbestos: 10% Glass Fibers in Black Roofing Material c. Non-Asbestos: 10% Glass Fibers in Black Roofing Material
Analysis Number : 132206-1 3
Cus tomer Number: 15
Classifica tion: Description: House, Flat Roof, Rolled Roofing, Black
Results: a. Non-Asbestos: 10% Glass Fibers in Black Roofing Material b . Non-Asbestos: 10% Glass Fibers in Black Roofing Material c. Non-Asbestos: 10% Glass Fibers in Black Roofing Material
· All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC.
· These test results relate only to the sample(s) identified above. · This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. · This report shall not be reproduced, except in full , without written approval of H.M. Pitt Labs, Inc. · Samples are archived for 2 years from date of receipt and will be disposed of properly following this period. · Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of 1%.
APPROVEDBY:_~_UA-\_J_s:_._Q<{_· __ Dated: 12/0212013 fl . . ~
REVIWEDBY:_ rw-u--______ _ LELAND S. PITT . CIH Ginger Russ
Page 3 of6
..... " H.M. Pitt Labs, Inc. Lab Number: 132206-169546 . \ ~ 2434 Southport Way· Suite L · National City, CA 91 950 Tel: 619-474-8548 · Fax: 619-474-6128 .
'"~ro .. ~"'-~
Company: Date Entered: 11/26/2013 City of San Diego Environmenta l Services Analyzed By: Justin C. Russ Department 9601 Ridgehaven Court, Suite 310 Date Analyzed: 12/02/13
San Diego, CA 92123 Customer PO I Claim#: Contract Number:
Job Site: Project No. 6937a Date Sampled Who Sampled 11/22/2013 Wm. Brad Blondet
Lab Notes: 72 hr. TAT
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT- EPA-600/M4-82-020 Analysis Number: 132206-14
Customer Number: 16
Classification: Description: House, Vent Insulation, Crawl Space
Results: Asbestos: 20% Chrysotile in Gray Insulation Note: Client requests analysis to stop at first positive.
Analy sis Number: 132206-15
Customer Number: 19
Classification: Description: House, Ext. , Window Putty, Gray
Results: Non-Asbestos: Non-Fibrous Gray W indow Putty
Analy sis Number: 132206-16
Customer Number: 20
Classification: Description: House, Ext. , Window Putty, Gray
Results: Non-Asbestos: Non-F ibrous Gray W indow Putty
Analysis Number: 132206-17
Customer Number: 21
Classification: Description: House, Ext., Window Putty, Gray
Res ults: Non-Asbestos: Non-Fibrous Gray Window Putty
· All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M . PITT LABS, INC.
· These test results relate only to the sample(s) identified above. · This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. · This report shall not be reproduced, except in full, without wri tten approval of H.M. Pitt Labs, Inc. · Samples are archived for 2 years from date of receipt and will be disposed of properly following this period. · Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of 1%.
APPROVEDBY:_ d/u_ UM_ J'_ s_. _Qz{_ · __ Dated: 12/02/2013 /1 . • ~
REVIWEDBY:_rwv--______ _ LELAND S. PITT, CIH Ginger Russ
Page 4 of6
H.M. Pitt Labs, Inc. Lab Number: 132206-169546 2434 Southport Way· Suite L · National City, CA 91950 Tel: 619-474-8548 · Fax: 619-474-61 28
Company: Date Entered: 11/26/2013 City of San Diego Environmental Services Analyzed By: Justin C. Russ Department
9601 Ridgehaven Court, Suite 31 0 Date Analyzed: 12/02/13
San Diego, CA 92123 Customer PO I Claim#: Contract Number:
Job Site: Project No. 6937a Date Sampled Who Sampled 11/22/201 3 Wm. Brad Blondet
Lab Notes: 72 hr. TAT
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT- EPA-600/M4-82-020 Analysis Number: 132206-18
Customer Number: 22
Classification: Description: House, Ext. , Stucco, White
Results: a. Non-Asbestos: Non-Fibrous White Color Coat b. Non-Asbestos: Non-Fibrous Gray Stucco
Analysis Number: 132206-19
Customer Number: 23
Classification: Description: House, Ext., Stucco, White
Results: a. Non-Asbestos: Non-Fibrous White Color Coat b. Non-Asbestos: Non-Fibrous Gray Stucco
Analysis Number: 132206-20
Customer Number: 24
Classification: Descript ion: House, Ext., Stucco, White
Results : Non-Asbestos: Non-Fibrous Gray Stucco
Analysis Number: 132206-21
Customer Number: 25
Classification: Descript ion: House, Interior Plaster, White
Results: a. Non-Asbestos: Non-F ibrous White Color Coat b. Non-Asbestos: Non-Fibrous Gray Stucco
· All samples tested as submitted to the lab. H.M. PITI LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITI LABS, INC.
· These test results relate only to the sample(s) identified above. · This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. · T his report sha ll no t be reproduced, except in full , without written approval of H.M. Pitt Labs, Inc. · Samples are archived for 2 years from date of receipt and will be disposed of properly following this period. · Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of 1%.
APPROVEDBY:_dfi_UA-t_J'_s_._~_· __ Dated: 12/02/2013 /\. ~
REVIEWEDBY:_rwv-______ _ LELAND S. PITT, CIH Ginger Russ
Page 5 of6
H.M. Pitt Labs, Inc. Lab Number: 132206-169546 2434 Southport Way · Suite L · National City, CA 91950 Tel: 619-474-8548 · Fax: 619-474-6128
Company: Date Entered: 11/26/201 3 City of San Diego Environmental Services Analyzed By: Justin C. Russ Department 9601 Ridgehaven Court, Suite 310 Date Analyzed : 12/02/13 San Diego, CA 92123 Customer PO I Claim#:
Contract Number:
Job Site: Project No. 6937a Date Sampled Who Sampled 11/22/2013 Wm. Brad Blondet
Lab Notes: 72 hr. TAT
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT- EPA-600/M4-82-020 Analysis Number: 132206-22
Customer Number: 26
Classification: Description: House, Interior Plaster, White
Results: Non-Asbestos: Non-Fibrous Gray Stucco
Analysis Number: 132206-23
Customer Number: 27
Classification: Description: House, Interior Plaster, White
Results: a. Non-Asbestos: Non-Fibrous Peach Color Coat b. Non-Asbestos: Non-Fibrous Gray Stucco
· All samples tested as submitted to the lab. H.M. PITI LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC.
· These test results relate only to the sample(s) identified above. · This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. · This report shall not be reproduced, except in full , without written approval of H.M. Pitt Labs, Inc. · Samples are archived for 2 years from date of receipt and will be disposed of properly following this period. · Quantitative value is based on PLM CVES (Calibrated Visua l Estimates) with a detection limit of 1%.
APPROVED BY: _ odfi_ UM._ Jl_ s_. _Qc{_ · __ Dated: 12/02/2013 fl .. ~
REVIWED BY: _uw-rr-_~-----LELAND S. PITT, CIH Ginger Russ
Page 6 of 6
• CITY OF SAN DIEGO
Environmental Services Department ALMPILSHHP- Laboratory Submittal
13:lUJb
Submitted by: Wm. Brad Blondet •''•~""-•'''"' •"''"'"C''·n "''''"'-n,O•.'O~_-;,o'""'-~"~''•"<"'O,;, '"'" •"• ,._._,,
The receiving Laboratory is required to complete the following: 1. All Invoices are to be sent to: Attn. Alan Johanns- City of San Diego- Environmental Services Department, 9601 Ridge haven Court, Suite 310
San Diego, CA 92123 2. Lab reports{invoices are to contain the Project Number listed above. Do not include Purchase Order Numbers on Invoices 3. Email report to: [email protected]
lab Sample No. Location Media Time On/Off Flow Volume Number
-10 House, Flat Roof, Penetration mastic, Gray Ab bulk --'-- Positive Stop
-11 House, Flat Roof, Penetration mastic, Gray Ab bulk -'-+ -12 House, Flat Roof, Penetration mastic, Gray Ab bulk --'---13 House, Flat Roof, Rolled roofing, Black Ab bulk ; 1=. ihp -14 House, Flat Roof, Rolled roofing, Black Ab bulk
---15 House, Flat Roof, Rolled roofing, Black Ab bulk --'---16 House, Vent Insulation, Crawl Space Ab bulk --'-- Positive Stop
-17 House, Vent Insulation, Crawl Space Ab bulk :+ -18 House, Vent Insulation, Crawl Space Ab bulk
--'--NOTES:
Relinquished by: wm.Brad81cndet {;:; Relinquished by: '- Vf:21·. :C.fil.._
Date/Time: 11/22/2013 Date/Time: (f 4CA'"( / ,-1--r <;;;,
Received by: "-- /ciA. ::.?'"- Received by:~-~ -<"
Date/Time: I V.,.<c as J...L., ~ Date/Time: //- zt:,- /-=-. "tiosY
~ I ~•'"-'"'-'1~1:1 '..[It 'l_t f_ E 5.
"'r'-"' ·''~' \
Analyses Requested
PLM --PLM --PLM --PLM
PLM
PLM --PLM --PLM
PLM
• - -CITY OF SAN DIEGO
Environmental Services Department ALMPILSHHP- Laboratory Submittal
/3~~ -.
Submitted by: Wm. Brad Blondet --' -~"'"'-"';;! ''""·"''''"" '"""' ,,_,-.;;._,-,,,.,,,,_ __ ,,,,..,n,,',"'"'"'"'" '~' '"'"~"'"~-~) '"'-'1
The receiving Laboratory is required to complete the following: 1. All Invoices are to be sent to: Attn. Alan Johanns- City of San Diego- Environmental Services Department, 9601 Ridgehaven Cow1, Suite 310
San Diego, CA 92123 2. Lab reports/invoices are to contain the Project Number listed above. Do not include Purchase Order Numbers on Invoices 3. Email report to: WBiondet@sandiego~gov
Lab Sample No. Location Media Time On/Off Flow Volume Number
-01 Garage, Stucco, White Ab bulk I Positive Stop
I~ -02 Garage, Stucco, White Ab bulk
-03 Garage, Stucco, White Ab bulk __ / __ -04 Garage, Roofing paper, Black Ab bulk
:=t= Stop
-05 Garage, Roofing paper, Black Ab bulk
-06 Garage, Roofing paper, Black Ab bulk __ / __ -07 Garage, Window Putty, Gray Ab bulk __ / __ Positive Stop
-08 Garage, Window Putty, Gray Ab bulk ;+ -09 Garage, Window Putty, Gray Ab bulk
--'--NOTES:
-------------- ----------- - -- --· -~-- -Relinquished by: Wrn. Brad B10ndet { Relinquished by: '--J//;ll _7t--., Date/Time: 11122/2013 Date/Time: f!/;z.i~' 6((,
Received by: '-- .J/h"-?'h Received by: _.--/~ 7-&xf~ Date/Time: /i ~ )f__J. -_-_ )$""-")
--~-----
Date/Time:_//- 2~- /33 ___"l;o
~ '·" .. "'''•'"'-..''' -;I ~ "' <: ~ ~ l>r ~·HI "l ~ l
Analyses Requested
PLM ~-
PLM
PLM
PLM ~-
PLM
PLM ~-
PLM
PLM
PLM
~ ~
CITY OF SAN DIEGO Environmental Services Department ALMP!LSHHP- Laboratory Submittal
13 2.. ;?..()"
The receiving Laboratory is required to complete the following: 1. All Invoices are to be sent to: Attn. Alan Johanns- City of San Diego- Environmental Services Department, 9601 Ridgehaven Court, Suite 310
San Diego, CA 92123 2. Lab reports/invoices are to contain the Project Number listed above. Do not include Purchase Order Numbers on Invoices 3. Email report to: [email protected]
-19 House, Ext., Window Putty, Gray Ab bulk Positive Stop
-20 House, Ext., Window Putty, Gray Ab bulk ;+ -21 House, Ext., Window Putty, Gray Ab bulk
-~~-~
-22 House, Ext., Stucco, White Ab bulk I Positive Stop
/=};= -23 House, Ext., Stucco, White Ab bulk
-24 House, Ext., Stucco, White Ab bulk -~~-~
-25 House, Interior Plaster, White Ab bulk -~~-~
Positive Stop
-26 House, Interior Plaster, White Ab bulk ;+ -27 House, Interior Plaster, White Ab bulk
__ ! __
NOTES:
Relinquished by: Wm. Brad Blondet (_ .:r·- ./ Relinquished by: . '-.. l.-44 _ 7n Date/Time: 11/2212013 Date/Time: 1(/ZC/,;?:/ '" if-r <;..
Received by: '--- )__,{;:'.( ;/'"'- Received by: IL·M~~
0 ESJ ., 1. "v' c r ~ "rr•>-r.~li ~~
Requested
PLM
PLM
PLM
PLM --PLM
PLM --PLM --PLM
PLM
Date/Time: I V7.C.l73 7"7?_ Date/Time:~.// _-_z,k -- /..3 _9:.o_,_'[ -- --
Sampling Map and Property Sketch
Address: 2764 Copley Ave., San Diego CA Job# 6937b Inspection Date: 11-22-2013
c
Garage
l Kitchen -l
I 1
B J
l D
Flue Vent X
l I House Entry
Porch
X 13-15 Roof
X Positive Asbestos Sample Locations
A
.~ H.M. Pitt labs, Inc. lab Number: 132207-169547 ~ 2434 Southport Way· Suite L · National City, CA 91950 Tel: 619-474-8548 · Fax: 619-474-6128
"--?W"'"~"'·
Company: Date Entered: 11/26/2013 City of San Diego Environmental Services Analyzed By: Alethea Ramos Department 9601 Ridgehaven Court, Suite 31 0 Date Analyzed: 11/26/13 San Diego, CA 92123 Customer PO I Claim#:
Contract Number:
Job Site: Project No. 6937b Date Sampled Who Sampled 11/22/2013 Wm. Brad Blondet
Lab Notes: 72 hr. TAT
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT- EPA-600/M4-82-020 Analysis Number: 132207-1
Customer Number: 01
Classification: Description: Living Room, Plaster, White
Results: Non-Asbestos: Non-Fibrous Pink Plaster
Analysis Number: 132207-2
Customer Number: 02
Classification: Description: Kitchen, Plaster, White
Results: a. Non-Asbestos: Non-Fibrous White Skim Coat b. Non-Asbestos: 3% Synthetic Fibers in Gray Plaster
Analysis Number: 132207-3
Customer Number: 03
Classification: Description: Bed 1, Plaster, White
Results: a. Non-Asbestos: Non-Fibrous Pink Skim Coat b. Non-Asb~stos : Non-Fibrous Gray Plaster
Analysis Number: 132207-4
Customer Number: 04
Classification: Description: Kitchen, Linoleum, Brown
Results: a. Non-Asbestos: 50% Cellulose Fibers and 40% Glass Fibers in Gray Paper Backing b. Non-Asbestos: Non-Fibrous White Floor Tile Mastic c. Non-Asbestos: Non-Fibrous Beige Floor Tile
· All samples tested as submitted to the Jab. H.M. PITI LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PJTI LABS, INC.
·These test results relate only to the sample(s) identified above. · This report may not be used tq claim endorsement by NV LAP or any agency of the Federal Government. ·This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. · Samples are archived for 2 years from date of receipt and will be disposed of properly following this period. ·Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of 1%.
APPROVED BY:_~_UM_J_s_._~_· __ Dated: 12/02/2013 ft . . ~
REVIWED BY: _rw--rr-_;__ ____ _ LELAND S. PITT, CIH Ginger Russ
Page 1 of 4
.-.m. H.M. Pitt Labs, Inc. Lab Number: 132207-169547 ~ 2434 Southport Way · Suite L · National City, CA 91950 Tel: 619-474-8548 · Fax: 619-474-6128
~~'Onn.e"'*
Company: Date Entered: 11/26/2013 City of San Diego Environmental Services Analyzed By: Alethea Ramos Department 9601 Ridgehaven Court, Suite 31 0 Date Analyzed: 11/26/13 San Diego, CA 92123 Customer PO I Claim#:
Contract Number:
Job Site: Project No. 6937b Date Sampled Who Sampled 11/22/2013 Wm. Brad Blondet
Lab Notes: 72 hr. TAT
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT - EPA-600/M4-82-020 Analysis Number: 132207-5
Customer Number: 05
Classification: Description: Kitchen, Linoleum, Brown
Results: Non-Asbestos: Non-Fibrous Beige Linoleum
Analysis Number: 132207-6
Customer Number: 06
Classification: Description: Kitchen, Linoleum, Brown
Results: Non-Asbestos: 20% Wood Fibers in Beige Linoleum
Analysis Number: 132207-7
Customer Number: 07
Classification: Description: Exterior, Stucco, White
Results: a. Non-Asbestos: Non-Fibrous White Skim Coat b. Non-Asbestos: Non-Fibrous Gray Stucco
Analysis Number: 132207-8
Customer Number: 08
Classification: Descrip tion: Exterior, Stucco, White
Results: a. Non-Asbestos: Non-Fibrous White Skim Coat b. Non-Asbestos: Non-Fibrous Gray Stucco
· All samples tested as submitted to the lab. H.M. PllT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PllT LABS, INC.
· These test results relate only to the sample(s) identified above. · This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. · This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. · Samples are archived for 2 years from date of receipt and will be disposed of properly fol lowing this period. · Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of 1%.
APPROVED BY:_~_teM_J_s_._~_-__ Dated: 12/02/2013 fl .. ~
REVIWEDBY:_ rwv-_:__ ____ _ LELAND S. PITT, CIH Gi nger Russ
Page 2 of4
H.M. Pitt Labs, Inc. Lab Number: 132207-169547 2434 Southport Way· Suite L · National City, CA 91950 Tel: 619-474-8548 · Fax: 619-474-6128
Company: Date Entered: 11 /26/2013 City of San Diego Environmental Services Analyzed By: Alethea Ramos Department 9601 Ridgehaven Court, Suite 310 Date Analyzed: 11 /26/13 San Diego, CA 92123 Customer PO I Claim#:
Contract Number:
Job Site: Project No. 6937b Date Sampled Who Sampled 11/22/2013 Wm . Brad Blondet
Lab Notes: 72 hr. TAT
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT- EPA-600/M4-82-020 Analysis Number: 132207-9
Customer Number: 09
Classification: Description: Exterior, Stucco, White
Results: a. Non-Asbestos: Non-Fibrous White Skim Coat b. Non-Asbestos: Non-Fibrous Gray Stucco
Analysis Number: 132207-10
Customer Number: 1 0
Classification: Description: Tiled Roof, Paper, Black
Results: Non-Asbestos: 20% Synthetic Fibers and 50% Cellulose Fibers in Black Roofing Paper
Analysis Number: 132207-11
Customer Number: 11
Classification: Description : Tiled Roof, Paper, Black
Results: Non-Asbestos: 20% Synthetic Fibers and 50% Cellulose Fibers in Black Roofing Paper
Analysis Number: 132207-12
Customer Number: 12
Classification: Description: Tiled Roof, Paper, Black
Results: Non-Asbestos: 20% Synthetic Fibers and 50% Cellulose Fibers in Black Roofing Paper
· All samples tested as submitted to the lab. H.M. PITT LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC.
· These test results relate only to the sample(s) identified above. · This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. · This report shall not be reproduced, except in ful l, without written approval of H.M. Pitt Labs, Inc. · Samples are archived for 2 years from date of receipt and will be disposed of properly following this period. ·Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of 1%.
APPROVEDBY:_dfu_ UM_ J_ s_._CJ{_ · __ Dated: 12/02/2013 fl .. ~
REVIWED BY: _rw-u--______ _ LELAND S. PITT, CIH Ginger Russ
Page 3 of 4
H.M. Pitt Labs, Inc. Lab Number: 132207-169547 2434 Southport Way · Suite L · National City, CA 91950 Tel: 619-474-8548 · Fax: 619-474-6128
Company: Date Entered: 11/26/2013 City of San Diego Environmental Services Analyzed By: Alethea Ramos Department 9601 Ridgehaven Court, Suite 310 Date Analyzed : 11/26/13
San Diego, CA 92123 Customer PO I Claim#: Contract Number:
Job Site: Project No. 6937b Date Sampled Who Sampled
11/22/201 3 Wm. Brad Blondet Lab Notes: 72 hr. TAT
POLARIZED LIGHT MICROSCOPY (PLM) ANALYSIS REPORT- EPA-600/M4-82-020 Analysis Number: 132207-13
Customer Number: 13
Classification: Descrip tion: Flat Roof, Penetration Mastic, Gray
Results: Asbestos: 20% Chrysotile in Black Penetration Mastic (20% Cellulose Fibers also present) Note: Client requests analysis to stop at first positive.
Analysis Number: 132207-16
Customer Number: 16
Classifica tion: Descrip tion: Flat Roof, Rolled Roofing, Black
Results: Non-Asbestos: 20% Glass Fibers in Black Roofing Material
Analysis Number: 132207-17
Customer Number: 17
Classification: Descrip tion: Flat Roof, Rolled Roofing, Black
Results: Non-Asbestos: 20% Glass Fibers in Black Roofing Material
Analysis Number: 132207-18
Customer Number: 18
Classification: Descrip tion: Flat Roof, Rolled Roofing, Black
Results : Non-Asbestos: 20% Glass Fibers in Black Roofing Material
· All samples tested as submitted to the lab. H.M. PITI LABS, INC. does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H. M. PITI LABS, INC.
· These test results relate only to the sample(s) identified above. · This report may not be used to claim endorsement by NV LAP or any agency of the Federal Government. · This report shall not be reproduced, except in full, without written approval of H.M. Pitt Labs, Inc. · Samples are archived for 2 years from date of receipt and will be disposed of properly following this period. · Quantitative value is based on PLM CVES (Calibrated Visual Estimates) with a detection limit of 1%.
APPROVED BY:_~_~_J_s_._Qz{_· __ Dated: 12/02/2013 !'. . ~
REVIEWED BY:_rw--u--_:__ ____ _ LELAND S . PITT, CIH Ginger Russ
Page 4 of 4
• '
.
.
CITY OF SAN DIEGO Environmental Services Department ALMPILSHHP- Laboratory Submittal
The receiving Laboratory is required to complete the following:
/3.2..:207
1. All Invoices are to be sent to: Attn. Alan Johanns- City of San Diego- Environmental Services Department, 9601 Ridgehaven Court, Suite 310 San Diego, CA 92123
2. Lab reports/invoices are to contain the Project Number listed above. Do not include Purchase Order Numbers on Invoices 3. Email report to: [email protected]
Lab Sample No. Location Media Time On/Off Flow Volume Number
-01 Living Room, Plaster, White Ab bulk __ ! __ Pc.•:; ,;,v.-:._ <;'tv, _f
-02 Kitchen, Plaster, White Ab bulk ;-+ -03 Bed 1, Plaster, White Ab bulk
-04 Kitchen, Linoleum, Brown Ab bulk __ / __ rJ~ (, 1-tV<- U•p -05 Kitchen, Linoleum, Brown Ab bulk ;± -06 Kitchen, Linoleum, Brown Ab bulk
-07 Exterior, Stucco, White Ab bulk __ 1 __ f"'5,f.,u S'hp
-08 Exterior, Stucco, White Ab bulk ;+ -09 Exterior, Stucco, White Ab bulk
__ / __ NOTES:
Relinquished by; wm. Brad Blonde! G. Relinquished by: "- \~'-o·ate/Time: 11/22/2013 Date/Time: /(/ 2-6/-(~( ~ o(( Received by: ~.J . ./..<~C. ::}"---.. Received by:'--?? .c/')/,~lt~
Date/Time: f c -j'"'-,(! /r 3 15"5 Date/Time: /I· ZCv I?! q:/10 '
~ ''·•""'""'·'"'" Sl~VIt:;ES
IHtO ~~ Mi.r<i
Analyses Requested
PLM
PLM
PLM
PLM
PLM
PLM
PLM
PLM
PLM
~ ~
CITY OF SAN DIEGO Environmental Services Department ALMP/LSHHP- Laboratory Submittal
The receiving Laboratory is required to complete the following:
13l'-07
1. All Invoices are to be sent to: Attn. Alan Johanns- City of San Diego- Environmental Services Department. 9601 Ridgehaven Court, Suite 310 San Diego, CA 92123
2. Lab reports/invoices are to contain the Project Number listed above. Do not include Purchase Order Numbers on Invoices 3. Email report to: [email protected]
' '· 1'"······1 S I N @\:i<:J1''' amp e o. Location Media Time On/Off Flow Volume
-10 Tiled Roof, Paper, Black Ab bulk __ I __ (a,,f,-v-<-. {f.t,f
-11 Tiled Roof, Paper, Black Ab bulk ;+ -12 Tiled Roof, Paper, Black Ab bulk
-13 Flat Roof, Penetration mastic, Gray Ab bulk __ / __ p_,-,f-,'ve _s-+-vp
-14 Flat Roof, Penetration mastic, Gray Ab bulk
-~ + -15 Flat Roof, Penetration mastic, Gray Ab bulk
-16 Flat Roof, Rolled roofing, Black Ab bulk r f'os-,-:;., lK_ .5fnr ---- ;
-17 Flat Roof, Rolled roofing, Black Ab bulk ;+ -18 Flat Roof, Rolled roofing, Black Ab bulk
__ I __
NOTES:
I Relinquished by: Wm. Brad Blondet (SA~ Date/Time: 11122/2013
Relinquished by: <. "\ /l ~)V.. Date/Time: !J/zP.A-'1. ,.
&'!(, Received by: ··~ Received by: 7/W"Y-& ~.r_
Date/Time:/ '/-z. <,r(...3.-'"" 7S< Date/Time: } /-2.b ~/"'3. 7:7h7
~ "'·'"'-"'"'~' ~I ~VI<: f_.;
'""'"''"f.-'''
Requested
PLM
PLM
PLM
PLM --PLM
PLM --PLM
PLM --PLM
Attachment # 2
LEAD XRF REPORTS
Reading No. Time
1 10122113 9:19 2 10122113 9:22 3 10122113 9:23 4 10/22113 9:24 5 10122/13 9:26 6 1 0/22/13 9:26 7 10/22/13 9:29 8 10/22/13 9:29 9 10/22/13 9:31 10 10/22/13 9:33 11 10/22113 9:35 12 10/22/13 10:08 13 10/22/13 10:09 14 10/22113 10:09 15 10/22113 10:10 16 10/22113 10:11 17 10/22/13 10:11 18 10/22113 10:12 19 10/22113 10:12 20 10/22113 10:15 21 10/22/13 10:22 22 10/22113 10:37 23 10/22/13 10:39 24 10/22/13 10:40 25 10/22/13 10:41 26 10/22113 10:41 27 10/22/13 10:42 28 10/22/13 10:42 29 10/22113 10:43 30 10/22/13 10:43 31 10/22113 10:44 32 10/22/13 10:44 33 10/22/13 10:45 34 10/22113 10:45 35 10/22/13 10:46 36 10/22113 10:46 37 10/22113 10:47 38 10/22113 10:48 39 10/22113 10:48 40 10/22113 10:48 41 10/22/13 10:50 42 10/22/13 10:50 43 10122113 10:51 44 10122/13 1Q:51
Inspector: Wm. Brad Blonde! CDPH Inspector/Assessor #5464
Type Duration Mode
SHUTTER CAL 66.12 PAINT 20 K&L PAINT 20 K &L PAINT 20 K&L PAINT 1.35 Std. PAINT 1.35 Std. PAINT 1.35 Std. PAINT 1.34 Std. PAINT 1.35 Std. PAINT 1.34 Std. PAINT 1.33 Std. PAINT 1.34 Std. PAINT 1.35 Std. PAINT 1.35 Std. PAINT 1.33 Std. PAINT 1.36 Std. PAINT 1.35 Std. PAINT 1.35 Std. PAINT 1.35 Std. PAINT 5.38 Std. PAINT 1.34 Std. PAINT 1.34 Std. PAINT 2.25 Std. PAINT 1.34 Std. PAINT 1.78 Std. PAINT 3. 15 Std. PAINT 1.36 Std. PAINT 1.35 Std. PAINT 2.24 Std. PAINT 1.79 Std. PAINT 1.81 Std. PAINT 1.36 Std. PAINT 3.13 Std. PAINT 3.59 Std. PAINT 1.36 Std. PAINT 1.35 Std. PAINT 4.5 Std. PAINT 1.35 Std. PAINT 3.58 Std. PAINT 3.56 Std. PAINT 2.7 Std. PAINT 1.36 Std. PAINT 2.24 Std. PAINT 1.34 Stet. _
City of San Diego Lead Safety and Healthy Homes Program
2544 Collier Ave., San Diego CA
XRF Assay Results
Location Room Side Component
CALIB. CHECK CALIB. CHECK CALIB. CHECK
2544 COLLIER CASITA/GARAGE EXT c W INDOW SILL 2544 COLLIER CASITA/GARAGE EXT c WINDOW SILL 2544 COLLIER CASITA/GARAGE EXT c EAVES 2544 COLLIER CASITA/GARAGE EXT c EAVES 2544 COLLIER CASITA/GARAGE EXT B EAVES 2544 COLLIER CASITA/GARAGE EXT B EAVES 2544 COLLIER CAS IT A/GARAGE EXT B FENCE 2544 COLLIER CAS IT A/GARAGE EXT B WALL 2544 COLLIER CAS IT A/GARAGE EXT c WALL 2544 COLLIER CAS IT A/GARAGE EXT c DOOR 2544 COLLIER CAS IT A/GARAGE EXT c DOOR CASING 2544 COLLIER HOUSE EXT c DOOR 2544 COLLIER HOUSE EXT c DOOR CASING 2544 COLLIER HOUSE EXT c THRESHOLD 2544 COLLIER HOUSE EXT A WINDOW CASING 2544 COLLIER HOUSE EXT c WINDOW CASING 2544 COLLIER HOUSE EXT c WINDOW SASH 2544 COLLIER HOUSE EXT A EAVES 2544 COLLIER HOUSE EXT B WINDOW SILL 2544 COLLIER HOUSE EXT B IRON BARS 2544 COLLIER HOUSE EXT A WALL 2544 COLLIER HOUSE EXT B WALL 2544 COLLIER FOYER A WALL 2544 COLLIER DINING ROOM A WALL 2544 COLLIER NOOK A WALL 2544 COLLIER NOOK A WALL 2544 COLLIER LAUNDRY A WALL 2544 COLLIER LIVING ROOM A WALL 2544 COLLIER EAST BEDROOM A WALL 2544 COLLIER EAST BATH A WALL 2544 COLLIER HALL A WALL 2544 COLLIER NORTH BEDROOM A WALL 2544 COLLIER UPSTAIRS SOUTH BEDROOM A WALL 2544 COLLIER UPSTAIRS HALL A WALL 2544 COLLIER UPSTAIRS BATH A WALL 2544 COLLIER UPSTAIRS NORTH BEDROOM A WALL 2544 COLLIER LAUNDRY A WINDOW SILL 2544 COLLIER LAUNDRY A DOOR CASING 2544 COLLIER LAUNDRY D DOOR
_2544 COLLIER KITCHEN - ~A_ ___ QQQR
Nilan XLp303A Serial #20132
Condition Substrate Color
RED RED RED
POOR WOOD BROWN POOR WOOD BROWN POOR WOOD BROWN POOR WOOD BROWN POOR WOOD BROWN POOR WOOD BROWN POOR W OOD TAN
INTACT STUCCO TAN INTACT STUCCO TAN INTACT WOOD BROWN INTACT WOOD BROWN INTACT WOOD BROWN INTACT WOOD BROWN INTACT WOOD BROWN INTACT WOOD BROWN INTACT W OOD BROWN INTACT WOOD BROWN INTACT W OOD BROWN POOR WOOD BROWN POOR METAL BLACK
INTACT STUCCO TAN INTACT STUCCO TAN INTACT PLASTER WHITE INTACT PLASTER W HITE INTACT PLASTER WHITE INTACT PLASTER W HITE INTACT PLASTER WHITE INTACT PLASTER W HITE INTACT PLASTER W HITE INTACT PLASTER WHITE INTACT PLASTER WHITE INTACT PLASTER WHITE INTACT PLASTER WHITE INTACT PLASTER WHITE INTACT PLASTER WHITE INTACT PLASTER WHITE INTACT WOOD WHITE INTACT WOOD WHITE INTACT WOOD W HITE INTACT WOOD W HITE
lead Safety and~ W ealthy 11 fam es PROGRAM
Results PbC Units
6.5 CDS Positive 1 mglcm'2 Positive 1.1 mq/cm'2 Positive 1.1 mg/cm'2 NeQative 0.5 mg /em ' 2 Negative 0.3 mg I em '2 Negative 0 mg /em '2 NeQative 0.19 mg/cm '2 NeQative 0.3 mg /em "2 Negative 0 mal em '2 Negative 0 mQ /em "2 Negative 0.01 mg/cm "2 Negative 0.01 mg/cm '2 Negative 0.3 mg/cm "2 Negative 0.4 mg /em '2 Negative 0.05 mg /em "2 Negative 0.06 mg I em '2 Negative 0 mg/em '2 Negative 0.04 mg /em '2 Negative 0.8 mg / em '2 Negative 0 mg /em '2 Negative 0.5 mg / em '2 Negative 0.6 mg /em '2 Negative 0.15 mg /em '2 NeQative 0.01 mQ /em '2 Negative 0.02 mg /em '2 Negative 0.1 1 mg /em '2 NeQative 0 mQ /em '2 Negative 0.03 mg /em '2 Negative 0 mg /em '2 Negative 0.18 mg /em '2 Negative 0 mg /em '2 Negative <LOD mo / em '2 Negative 0.14 mg /em '2 Negative 0 mg / em '2 Neaative 0 rna / em '2 Negative 0.24 mg /em '2 Negative 0 mg /em '2 Negative 0.11 mgl em '2 Negative <LOD mg / em '2 Negative 0.5 mg /em '2 Negative 0.17 mo /em '2 Negative < LOD mg /em '2 Negative 0.4 mg /em ' 2
Page 1 of 2
~ ~
Reading No.
45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72
Time
10122113 10:52 10122113 10:53 10122113 10:55 10122113 10:55 10122/13 10:56 10/22/13 10:57 10122113 10:57 10/22113 10:58 10/22/13 10:59 10/22/1 3 11 :01 10/22/1 3 11 :01 10/22/13 11 :02 10122113 11:03 10122/13 11:03 10/22113 11:30 1012211311:30 10122113 11:30 10122/131 1:31 10122113 11:31 10122/13 11:32 10122113 11:32 10122113 11:33 10122113 11:33 10122113 11:34 10/22113 11 :34 10/22113 11:35 10122113 11:36 10122113 11:36
Inspector: Wm. Brad Blondet CDPH Inspector/Assessor #5464
Ty pe
PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT
Duration Mode
1.78 Std. 20 Std.
1.36 Std. 1.35 Std. 1.35 Std. 1.35 Std. 3.59 Std. 1.34 Std. 0.45 Std. 13.01 Std. 19.69 Std.
3.6 Std. 20 Std.
4.03 Std. 1.34 Std. 1.34 Std. 1.35 Std. 1.79 Std. 1.34 Std. 1.34 Std. 1.35 Std. 1.34 Std. 1.35 Std. 1.35 Std. 1.33 Std. 20 K &L 20 K &L 20 K &L
City of San Diego Lead Safety and Healthy Homes Program
2544 Collier Ave., San Diego CA
XRF Assay Results
Location Room Side Component
2544 COLLIER KITCHEN c DOOR 2544 COLLIER NOOK D DOOR 2544 COLLIER DINING ROOM B WINDOW 2544 COLLIER FOYER D WINDOW 2544 COLLIER FOYER D HANDRAIL 2544 COLLIER LIVING ROOM D WINDOW 2544 COLLIER LIVING ROOM D FIRE PLACE 2544 COLLIER NORTH BEDROOM D DOOR 2544 COLLIER NORTH BATH D CERAMIC 2544 COLLIER EAST BEDROOM D WINDOW SILL 2544 COLLIER EAST BEDROOM D WINDOW SASH 2544 COLLIER EAST BEDROOM A WINDOW SILL 2544 COLLIER EAST BEDROOM A DOOR 2544 COLLIER EAST BEDROOM c DOOR 2544 COLLIER UPSTAIRS SOUTH BEDROOM c DOOR 2544 COLLIER UPSTAIRS SOUTH BEDROOM A WINDOW SILL 2544 COLLIER UPSTAIRS SOUTH BEDROOM A WINDOW SASH 2544 COLLIER UPSTAIRS NORTH BEDROOM c WINDOW SILL 2544 COLLIER UPSTAIRS NORT H BEDROOM B WINDOW SILL 2544 COLLIER UPSTAIRS NORT H BEDROOM B DOOR 2544 COLLIER UPSTAIRS HALL B CABINETS 2544 COLLIER UPSTAIRS HALL B WINDOW 2544 COLLIER UPSTAIRS HALL c DOOR 2544 COLLIER UPSTAIRS HALL B FLOOR 2544 COLLIER UPSTAIRS HALL B BASEBOARD
CALIB.CHECK CALIB.CHECK CAL/8. CHECK
Niton Xlp303A Serial #20132
w~~iih~d~ ,. romes/" "''\ PROGRAM
Condition Substrate Color Results PbC Units
INTACT WOOD WHITE Ne(lative 0.19 mQ I em '2 INTACT WOOD WHITE Null 1 mg I em '2 POOR WOOD BROWN Neoative 0.07 mq I em '2
INTACT WOOD BROWN Ne(lative 0.12 mg /em '2 INTACT METAL BLACK Negative 0.01 mg I em '2 INTACT WOOD BROWN NeCJative 0 mg I em '2 INTACT WOOD WH Neoative 0.17 mgl em '2 INTACT WOOD BROWN NeCJative 0.07 mq /em '2 INTACT TILE GREEN Positive 4.9 mg I em '2 INTACT WOOD WH Posit i ve 1.2 lll9-' em '2 INTACT WOOD WH Positive 1.3 mg I em '2 INTACT WOOD WH Positive 2.2 mg I em '2 INTACT WOOD WH Null 1 mQ I em '2 INTACT WOOD WH Ne9ative 0.8 mg I em ' 2 INTACT WOOD WH Neoative 0.26 mq /em '2 INTACT WOOD WH Ne9ative 0.24 mg I em '2 INTACT WOOD WH Ne(lative 0.21 mg /em '2 INTACT WOOD WH Neoative 0.3 mq I em '2 INTACT WOOD WH Ne(lative 0.17 mg I em '2 INTACT WOOD WH Neqative 0.2 mq I em '2 INTACT WOOD WH Ne9ative 0.05 mg I em '2 POOR WOOD WH Neoative 0.14 mq I em '2
INTACT WOOD WH NeQative 0.08 mQ /em '2 INTACT WOOD WH Ne9ative 0.04 mg I em '2 INTACT WOOD WH Neoative 0.19 mq I em '2
RED Positive 1.1 mg/cm '2 RED Positive 1.1 mglcm '2 RED Positive 1.1 mqlcm '2
Page 2 of 2
Reading No. Time
1 11122113 8:55 2 11122113 8:57 3 11/22113 8:57 4 11122113 8:58 5 11/22/1 3 9:23 6 11/22/13 9:24 7 11/22/13 9:24 8 11/22/13 9:24 9 11122/13 9:25 10 11/22/13 9:26 11 11/22113 9:26 12 11/22113 9:27 13 11/22113 9:27 14 11/22113 9:28 15 11/22113 9:28 16 11/22113 9:29 17 11/22113 9:30 18 11122113 9:31 19 11/22113 9:31 20 11122/13 9:32 21 11/22113 9:34 22 11/2211 3 9:34 23 11/22113 9:35 24 11/22/13 9:35 25 11/22/13 9:36 26 11/22/13 9:36 27 11/22/13 9:36 28 11122113 9:37 29 11/22/13 9:37 30 11122113 9:38 31 11/22/1 3 9:38 32 11/22/13 9:39 33 11 /22113 9:39 34 11122113 9:40 35 11/22/13 9:41 36 11/22113 9:41 37 11122113 9:42 38 11122113 9:42 39 11122113 9:43 40 11122113 9:43 41 11/22113 9:44 42 11122113 9:44 43 11/22/13 9:45
Inspector: Wm. Brad Blondet CDPH Inspector/Assessor # 5464
Type
SHUTTER CAL PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT PAINT
Duration Mode
68.13 20 K& L 20 K&L 20 K&L
2.57 Std. 2.14 Std. 2.56 Std. 2.57 Std. 1.28 Std. 1.28 Std. 1.29 Std. 1.3 Std.
3.44 Std. 3.01 Std. 1.72 Std. 1.28 Std. 2.99 Std. 1.28 Std. 1.28 Std. 1.3 Std. 1.3 Std. 1.28 Std. 3.42 Std. 1.72 Std. 3.44 Std. 3.43 Std. 3.84 Std. 2.15 Std. 2.15 Std. 1.28 Std. 1.3 Std.
2.14 Std. 1.72 Std. 1.3 Std.
3.44 Std. 2.15 Std. 1.72 Std. 2.99 Std. 1.29 Std. 2.13 Std. 1.28 Std. 1.29 Std. 3.01 Std.
-
City of San Diego Asbestos and Lead Management Program
2746 Copley Ave., San Diego CA
XRF Assay Results
Location Room Side Component
GAL/B. CHECK GAL/B. CHECK GAL/B. CHECK
2746 COPLEY AVE LIVING RM A WALL 2746 COPLEY AVE LIVING RM B WALL 2746 COPLEY AVE LIVING RM c WALL 2746 COPLEY AVE LIVING RM D WALL 2746 COPLEY AVE LIVING RM D WINDOW SILL 2746 COPLEY AVE LIVING RM D WINDOW SASH 2746 COPLEY AVE LIVING RM A BASEBOARD 2746 COPLEY AVE LIVING RM A FLOOR 2746 COPLEY AVE LIVING RM D FIRE PLACE 2746 COPLEY AVE LIVING RM D FIRE PLACE 2746 COPLEY AVE LIVING RM D FIRE PLACE TILE 2746 COPLEY AVE LIVING RM A FRONT DOOR 2746 COPLEY AVE LIVING RM A FRONT DOOR JAMB 2746 COPLEY AVE DINING RM A DOOR FRAME 2746 COPLEY AVE DINING RM D W INDOW SILL 2746 COPLEY AVE DINING RM D WINDOW SASH 2746 COPLEY AVE DINING RM c DOOR 2746 COPLEY AVE DINING RM c DOORJAMB 2746 COPLEY AVE DINING RM c WINDOWSILL 2746 COPLEY AVE DINING RM c WINDOW SASH 2746 COPLEY AVE KITCHEN A WALL 27 46 COPLEY AVE KITCHEN B WALL 2746 COPLEY AVE KITCHEN c WALL 27 46 COPLEY AVE KITCHEN D WALL 2746 COPLEY AVE KITCHEN D CABINET DOOR 2746 COPLEY AVE KITCHEN B CABINET DOOR 2746 COPLEY AVE KITCHEN B CABINET DOOR 2746 COPLEY AVE HALL B WALL 2746 COPLEY AVE HALL D WALL 2746 COPLEY AVE HALL B CABINET DOOR 2746 COPLEY AVE BED 2 A WALL 2746 COPLEY AVE BED 2 B WALL 2746 COPLEY AVE BED2 c WALL 2746 COPLEY AVE BED 2 D WALL 2746 COPLEY AVE BED 2 c WINDOW SILL 2746 COPLEY AVE BED 2 c W INDOW SASH 2746 COPLEY AVE BED2 A DOOR 2746 COPLEY AVE BED 2 A DOOR JAM 2746 COPLEY AVE BED 2 A BASEBOARD
Niton XLp303A Serial #20132
w~~~h;d~ 11 femes / " I\' PROGRAM
Condition Substrate Color Results PbC Units
6.27 cps RED Positive 1.1 mg / cmA2 RED Negative 0.9 mg l cm A2 RED Positive 1 mg l cm A2
INTACT PLASTER WHITE Negative 0.01 mg I em A2 INTACT PLASTER WHITE Negative < LOD mg /em A2 INTACT PLASTER WHITE Negative 0 mg I em A2 INTACT PLASTER WHITE Neoative 0 mo /cm A2 INTACT WOOD BROWN Neoative 0.09 mo /cm A2 INTACT WOOD BROWN Neoative 0.6 mo / cmA2 INTACT WOOD BROWN Neoative O.Q3 mo/cmA2 INTACT WOOD WOOD STAIN Neoative 0 mo / cmA2 INTACT PLASTER WHITE Neoative 0 mo / cmA2 INTACT BRICK WHITE Neqative 0.07 mq / cmA2 INTACT TILE BROWN Neqative 0.03 mq / cm A2 INTACT WOOD WOOD STAIN Neqative 0.06 mq / cmA2 INTACT WOOD BROWN Negative 0.7 mq / cmA2 INTACT WOOD BROWN Negative 0.5 mq / cm A2 INTACT WOOD BROWN Negative 0.03 mg / cm A2 INTACT WOOD BROWN Negative 0.6 mg l em A2 INTACT WOOD WHITE Negative 0 mg l cm A2 INTACT WOOD WHITE Neoative 0.4 mo l em A2 INTACT WOOD WHITE Positive 1.9 mg / cm A2 INTACT WOOD WHITE Neqative 0.3 mol em A2 INTACT PLASTER WHITE Neqative 0.13 mo l em A2 INTACT PLASTER WHITE Neqative 0 mq /cm A2 INTACT PLASTER WHITE Negative 0.3 mg / em A2 INTACT PLASTER WHITE Negative 0 mg l em A2 INTACT WOOD WHITE Positive 2.3 mg / cm A2 INTACT WOOD WHITE Negative 0.05 mo l em A2 INTACT WOOD WHITE Neoative 0.16 mo l em A2 INTACT PLASTER WHITE Neoative 0.01 mo l em A2 INTACT PLASTER WHITE Neoative 0 mq l cm A2 INTACT WOOD WHITE Negative 0.1 mq / cm A2 INTACT PLASTER WHITE Negative 0.06 mg / cm A2 INTACT PLASTER WHITE Negative 0.02 mg / cm A2 INTACT PLASTER WHITE Negative 0.02 mg / cm A2 INTACT PLASTER WHITE Negative 0.01 mg / cmA2 INTACT WOOD WHITE Negative 0.18 mg l cm A2 INTACT WOOD WHITE Negative 0.4 mg l cmA2 INTACT WOOD WHITE Neoative 0.12 mo / cmA2 INTACT WOOD W HITE NeQative 0.3 mq / cm A2 INTACT WOOD WHITE Neqative 0. 17 mq / cm A2
Page 1 of 2
({I)
Reading No. Time
44 11/22/13 9:46 45 11/22/13 9:47 46 11/22/139:48 47 11/22/13 9:48 48 11/22113 9:49 49 11/22113 9:49 50 11/22/13 9:49 51 11/22113 9:50 52 11/22/13 9:51 53 11/22/13 9:52 54 11/22/13 9:52 55 11/22/13 9:53 56 11/22113 9:53 57 11/22113 9:54 58 11/22/13 9:54 59 11/22/13 9:55 60 11/22/13 9:55 61 11/22/13 9:55 62 11/22/13 9:56 63 11/22/13 9:56 64 11/22/13 9:56 65 11/22/13 9:57 67 11 122/13 10:36 68 11 /22/13 10:36 69 11 122/13 10:37 70 11 /22/13 10:38 71 11 /22/13 10:40 72 11 122/13 10:41 73 11 /22/13 10:42 74 11/22113 1 0:43 75 11/22/13 10:43 76 11122113 10:45 77 11/22113 10:46 78 11/22/1310:47 79 11/22/1310:47 80 11/22113 10:48 81 1112211310:49 82 11122113 11:09 83 11122113 11:09 84 11122113 11:10
Inspector: Wm. Brad Blonde! CDPH Inspector/Assessor# 5464
Type Duration Mode
PAINT 0.43 Std. PAINT 0.43 Std. PAINT 2.59 Std. PAINT 3.86 Std. PAINT 3.43 Std. PAINT 3.43 Std. PAINT 7.71 Std. PAINT 1.29 Std. PAINT 8.17 Std. PAINT 2.58 Std. PAINT 0.43 Std. PAINT 1.72 Std. PAINT 1.28 Std. PAINT 1.72 Std. PAINT 1.72 Std. PAINT 2.15 Std. PAINT 2.16 Std. PAINT 1.28 Std. PAINT 1.28 Std. PAINT 1.29 Std. PAINT 3.87 Std. PAINT 3.42 Std. PAINT 1.72 Std. PAINT 2.58 Std. PAINT 3.44 Std. PAINT 2.57 Std. PAINT 1.28 Std . PAINT 1.3 Std. PAINT 1.3 Std. PAINT 0.43 Std. PAINT 2.14 Std . PAINT 10.79 Std. PAINT 20 Std. PAINT 1.29 Std. PAINT 1.3 Std. PAINT 5.58 Std. PAINT 1.28 Std. PAINT 20 K&L PAINT 20 K&L PAINT 20 K&L
City of San Diego Asbestos and Lead Management Program
2746 Copley Ave., San Diego CA
XRF Assay Results
Location Room Side Component
2746 COPLEY AVE BATH A BASEBOARD 2746 COPLEY AVE BATH c WALL 2746 COPLEY AVE BATH A FLOOR 2746 COPLEY AVE BATH A WALL 27 46 COPLEY AVE BATH B WALL 27 46 COPLEY AVE BATH c WALL 2746 COPLEY AVE BATH D WALL 2746 COPLEY AVE BATH D W INDOW SILL 2746 COPLEY AVE BATH D WINDOW SASH 2746 COPLEY AVE BATH B CABINET 2746 COPLEY AVE BATH B CABINET TILE 27 46 COPLEY AVE BATH D DOOR 27 46 COPLEY AVE BATH D DOORJAMB 27 46 COPLEY AVE BED 1 A WALL 27 46 COPLEY AVE BED 1 B WALL 27 46 COPLEY AVE BED 1 c WALL 2746 COPLEY AVE BED 1 D WALL 27 46 COPLEY AVE BED 1 c DOOR 27 46 COPLEY AVE BED 1 c DOORJAMB 2746 COPLEY AVE BED 1 A WINDOWSILL 2746 COPLEY AVE BED 1 A WINDOW SASH 2746 COPLEY AVE BED 1 c BASEBOARD 2764 COPLEY AVE EXTERIOR A WALL 2764 COPLEY AVE EXTERIOR B WALL 2764 COPLEY AVE EXTERIOR c WALL 2764 COPLEY AVE EXTERIOR D WALL 2764 COPLEY AVE EXTERIOR A EAVES 2764 COPLEY AVE EXTERIOR A GATE 2764 COPLEY AVE EXTERIOR D WINDOW BARS 2764 COPLEY AVE EXTERIOR A DECO TILE 2764 COPLEY AVE EXTERIOR A PORCH FLOOR 2764 COPLEY AVE EXTERIOR D PORCH DOOR 2764 COPLEY AVE EXTERIOR D PORCH DOOR CASING 2764 COPLEY AVE EXTERIOR A WINDOW CASING 2764 COPLEY AVE EXTERIOR A WINDOW CASING 2764 COPLEY AVE EXTERIOR c WINDOW CASING 2764 COPLEY AVE EXTERIOR c PATIO FLOOR
CAL/B. CHECK GAL/B. CHECK GAL/B. CHECK
Niton XLp303A Serial #20132
w~·~irh~d~ 1• fomes/" 1'." PROGRAM
Condition Substrate Color Results PbC Units
INTACT TILE BLACK Positive 30.7 mg /em '2 INTACT TILE GREEN Positive 4.9 mg /em '2 INTACT TILE PINK Negative 0.01 mg I em '2 INTACT PLASTER WHITE Negative 0.25 mg I em '2 INTACT PLASTER WHITE Negative 0.07 mg I em '2 INTACT PLASTER WHITE Neg_ative 0.21 ma I em '2 INTACT PLASTER WHITE Neoative 0.5 ma I em '2 INTACT WOOD PINK Neqative 0.3 mq / cm'2 INTACT WOOD PINK Negative 0.8 mg / em '2 INTACT WOOD PINK Negative 0.4 mg I em '2 INTACT TILE PINK Positive 5.1 mglem '2 INTACT WOOD WHITE Negative 0.26 ma I em '2 INTACT WOOD WHITE Neqative 0.4 mq I em '2 INTACT PLASTER WHITE Neqative 0.01 mq/em'2 INTACT PLASTER WHITE Negative 0.03 mq I em '2 INTACT PLASTER WHITE Negative 0.01 mg I em '2 INTACT PLASTER WHITE Negative 0.02 mg I em '2 INTACT WOOD WHITE Negative 0.27 mg I em '2 INTACT WOOD WHITE Negative 0.1 4 mg I em '2 INTACT WOOD WHITE Positive 4 mg lem '2 INTACT WOOD WHITE Negative 0.5 mg I em '2 INTACT WOOD WHITE Negative 0.4 ma I em ' 2 INTACT STUCCO WHITE Neaative 0.01 ma / em '2 INTACT STUCCO WHITE Negative 0.02 mq / em ' 2 INTACT STUCCO WHITE Negative 0 mq / em '2 INTACT STUCCO WHITE Negative 0 mg / em '2 INTACT WOOD BROWN Negative 0.13 mg I em '2
FAIR METAL BLACK Neqative 0.17 mq /em '2 POOR METAL BLACK Negative 0.13 mq /em '2
INTACT TILE TAN Positive 35.7 mg /em '2 INTACT TILE TAN Negative 0.01 mg/em '2 INTACT WOOD TAN Positive 1.2 mg /em '2 INTACT WOOD BLUE GREEN Positive 1 mg /em '2 POOR WOOD BLUE GREEN Negative 0.4 mg/ em '2 POOR WOOD BLUE GREEN Negative 0.1 mg I em '2 POOR WOOD BLUE GREEN Positive 1.2 mg I em '2 POOR CONCRETE RED Negative 0.01 mal em '2
RED Positive 1. 1 mg/cm ' 2 RED Positive 1.1 mg/cm '2 RED Positive 1.1 mg/cm '2
- ------
Page 2 of 2
Attachment # 3
INSPECTOR CERTIFICATIONS
- --- ··----------------------------------------------------------------------------~
STATE OF CALIFORNIA
DEPARTMENT OF INDUSTRIAL RELATIONS Division of Occupational Safety and Health Asbestos Unit 2424 Arden Way, Suite 495 Sacramento, CA 95825-2417 (9 16) 574-2993 Office (916) 483-0572 Fax http://www.dir.ca.gov/dirdatabases.html actu'@.dir.ca.gov
9112226891 194
William Bradley Blondet
Edmund G. Brown, Jr. Governor
December 02, 2013
Dear Certified Asbestos Consultant or Technician:
Enclosed is your certification card . To maintain your certification, you must abide by the rules printed on the back of the certification card.
Your certification is valid for a period of one year. If you wish to renew your certification, you must apply for renewal at least 60 days before the expiration date shown on your card. [8 CCR 341 .15(h)(1)].
Please hold and do not send copies of your required AHERA refresher renewal certificates to our office until you apply for renewal of your certification.
Certificates must be kept current if you are actively working as a CAC or CSST. The grace period is only for those who are not actively working as an asbestos consultant or site suNeillance technician.
Please contact our office at the above address, fax number or email; of any changes in your contact/mailing information within 15 days of the change.
Si erely,
{~ Jeff errell Senior Safety Engineer
Attachment: Certification Card
cc: File
Renewal- Card Attached (Revised 10/24/2012)
State of California Division of Occupational Safety and Health
Certified Site Surveillance Technician
William Bradley Blondet Name
Certification No. 99"2689
Expires on 12110114
This certification was Issued by !he DMsion of ()cQJpalionaf Safety and Health as authorized by Sections 7180 el seq. of lhe Business and Professions Code
D_D_D_D_D_D_D_D_D_D_D_D_D_D_D_D _ _ D_D_D-DIIDIIDIIDIIDIID-DIIDIIDIIDIIDIIDIID D- c ;/'; ifT . . 0 11 II D ertz., zcate o .1 raznzng II D 0 II This is to certify that D II liD William Blondet liD Dll Dll II D has successfully completed 8 flours of formal training entitled II L ~~ AHERA Contractor Supervisor Refresher ~~
D II as approved by the Cttlifornia Division of Occupational Safe(v and Healtlt D II am/ as certified by tlte Environmental Protection Agency and approvetl by AHERA under TSCA Title II
liD liD D II Presented by: D II 11 D D 11 Design For Health Training Center 11 D D II II D
3574 Kettner Blvd. D 11 San Diego, CA 92101 II D Phone: (619) 291-1777 ~Fax: (619) 291-4318 II D
dflt tcsd@gma if. com D II www.design(orltetlltfltrainingcenter.com D II liD . . liD D II By: DOSH Approval #OJ 1-04 D II
Virgil a L. Sltefa B.S., M.N.S , C.I.A.Q.P. Certificate #1013CSR/78224 II D Presidellf Course Date: 101712013 II D Exam Date: NIA DIll This is an annual certification. It must be renewetl by: 1017120/4 D II
liD liD DIIDIID-DIIDIIDIIDIID-DIIDIID-DIIDII DII DII DII IIDIIDIIDIIDIIDIIDIID-DIIDIIDIIDIID-DIIDIID IID
D_D_D_D_D_D_D_D_D_D_D_D_D_D_D_D _ _ D_D_D_D_D_OIID_D_D_DIIDIIDIID-DIID-D 0- Certificate of Training 011 liD T.'I · . ifJ , -D D - 1IIS ts to cerlt y t wt D II liD William Blondet liD 011 o-11 0 It as successful()' completed 4 !tours of formal trainiug entitled II L
~~ AHERA Building Inspector Refresher ~~ D II as £tpproved by tlte California Division of Occupational Safety and Ilea/tit D II II D and as certified by tlte Environmental Protection Agency and approved by A HERA under TSCA Title II II D 0 II Presented by D II liD D 0. Design For Health Training Center • D II
11 D 3574 Kettner Blvd. D II
II D San Diego, CA 92101 II D Phone: (619) 291-1777 *Fax: (619) 291-4318 D II f(f7rtcs£[email protected] D II
11 O www.desigu[orllealtfltrainingcenter.com - D
011 . - 011 II 0 By: DOSH Approval #OJ 1-06 II D D II
Virgini . Slzefa B.S., M.N.Sc., Certificate# 1013BIRJ78232 D II President Course Date: 1018(2013
II D Exam Date: NIA II D This is mt annual certification. It must be renewed by: 101812014
0-D-DIID-DIID_O_D_D_D_D_D_D_D_D_D_ IID_D_D_D_D _D _D _D_D_D_O_D_DIIDIIDIID
DIIDIIDIIDIIDIIDIIDIIDIIDIIDIIDIIDIIDII DII DII DIIDIIDIIDIIDIIDIIDIIDIIDIIDIIDIIDIIDIIDIIDIID IID 011 Certificate of Training Dll liD r.·'· . ifj , liD D II 11lS ts to certt y t wt D II liD William Blondet liD 011 Dll II D lras successfully completed 4 hours of forma/training entitled II L i~ AHERA Management Planner Refresher i~ D II as approved by the Califomia Division of Occupational Safety am/ Health D II II 0 and as certified by the Environmental Protection Agency am/ approved by A HERA under TSCA Title II II D D II Presented by D II IIDDII Dill Design For Health Training Center
011D
11 Ill D 3574 Kettner Blvd.
liD San Diego, CA 92101 liD Phone: (619) 291-1777 #Fax: (619) 291-4318
D II [email protected] D I( 11 O www.design{orftealtfttrainingcenter.com II D
Dll ' ' . Dll II D By: DOSH Approval #011-08 II D D II
Virgini L. Sllefa B.S., M.N.Sc. , C .A.Q.P. Certificate# 1013MPR178236 D II President Course Date: /0/8/2013
II D Exam Date: NIA II D This is an annual certification. It must be renewed by: 101812014
DIIDIIDIIDIID-DIIDIID_D_DIID_D_D_DII DIIDII IIDIIDIIDIIDIIDIIDIIO-DIIDIIDIIDIIDIIDIIDIIDIID
State of Californ ia Department of Public Health Lead-Related Certificate E!!Djratton Construction ~ QAt!
Certificate 07101/201 .. 07101/201 .. 07101/2014
Certificate Trai i g a Successful Course Com etion
Renovator- Initial Course (English) This training course meets the requirements of 40 CFR Part 745.225
Training Manager
Awarded to:
'
Course Date: . 19, Examination Date: 19, 2010
Expiration Date: Marcil 19, 2015 Certificate Number:
March 19, 2010 Date Issued
Allstate Services 2279 Eagle Glen Parkway, Suite 12-206, Corona, CA 92883
(951) 245-3700 (800) 497- LEAD