asbestos inspection report · 3/17/2014 · 16-2540 basement-on chimney - east side - dark gray...

ASBESTOS INSPECTION REPORT Job Site:

1 Family Dwelling 2540 North Buffum Street

Milwaukee, Wisconsin

For:

City ofMilwaukee Department of Neighborhood Services

Attn: Marge Piwaron 841 North Broadway 1st Floor

Milwaukee, Wisconsin 53202-3613

HMG Report No.: 12-0210.2540 Contract No.: 360-12-0553

Asbestos Inspector No. All -14370

Prepared by:

HARENDA MANAGEMENT GROUP P. 0. Box 511305

New Berlin, Wisconsin 53151-2105

July 2012

P.O. Box 511305 ·New Berlin, Wisconsin 53151-2105 · (414) 383-4800 · (414) 383-4805

TABLE OF CONTENTS

I. Introduction .............. .................... .......... ...... ...... .................. ....................... .... ......... 2

II. Building Survey ..................................................... .... .......... ... ........... .... .................. 2

III. The Laboratory ....................... ........................... ....................... .. .......... .. ..... .... ......... 2 A. Method of Analysis

IV. Findings and Observations ............. ................ ................................................ .......... 3

V. Exclusions ...... ............................ .... .......................................................................... 5

VI. Limitations ..... ....... .............. .... ... .............................................................................. 5

VII. Pre-Demolition Environmental Checklist ................................................ 7

VIII. Laboratory Results .. ................................. ....... ................. .. ........ ........... ................. 11

IX. HMG Certifications ................................................................................ .. ............. 12

I Family Dwelling Asbestos Inspection 2540 NoJtb BuJfum Street Milwaukee, Wisconsin Contract# 360- 12-0553

W:/Word!HMG/ 12 Projects/12·0210.2540 July31, 20 12

HMG Project # 12-0210

I. INTRODUCTION

Harenda Management Group (HMG) was retained by the City of Milwaukee Department of Neighborhood Services to conduct an inspection for possible asbestos containing materials in the dwelling at 2540 North Buffum Street, Milwaukee, Wisconsin.

The inspection included plaster, drywall/joint compound, tar paper, paper insulation, linoleum, window glazing compound, flue packing, furnace insulation, ceiling tile, and duct paper to determine if asbestos containing materials were present within the space as required by US EPA NESHAP regulation 40 CFR 61 Subpart M

II. BUILDING SURVEY

Marge Piwaron, of the City of Milwaukee Department ofNeighborhood Services, authorized HMG to conduct a building survey and to analyze samples taken during the inspection.

On July 19, 2012, HMG conducted an asbestos inspection of a one family dwelling, scheduled for mechanical demolition, located at 2540 North Buffum Street, Milwaukee, Wisconsin. The inspection was conducted by Dean Jacobsen, Wisconsin License No. All -14370.

The inspection was comprised of three elements: 1. A visual determination as to the extent of suspect materials within the

building. 2. Sampling and documentation of observable suspect materials. Category I

nonfriable materials were assumed to be asbestos containing and not sampled.

3. Quantification of observable positive materials existing within the spaces.

The results of the survey integrated with the Polarized Light Microscopy with Dispersion Staining (PLM/DS) analysis ofbulk samples taken are outlined in this document. If you have any questions please contact HMG at (414) 383-4800.

III. THE LABORATORY

A. METHOD OF ANALYSIS

Analysis is performed by using the bulk samples for visual observation and slide preparation(s) for microscopical examination and identification. The slides are analyzed for asbestos ( chrysotile, amosite, crodcidolite, anthophyllite, and actinolite/ tremolite ), fibrous non asbestos constituents (mineral wool, paper, etc.), and nonfibrous constituents. Asbestos is identified by refractive indices (obtained by using dispersion staining), morphology, color, pleochroism, birefringence, extinction characteristics, and signs of elongation. The same characteristics are used to identify the non asbestos constituents.

I Family Dwelling Asbestos Inspection 2540 Nonh Buffum Strw }o.ifilwaukee, Wisconsin Contnct N l6G-12.0553

2 W:/Word/HMG/ 12 Projects/12..0210.2540 luly31,2012

HMG Project # 12..()210

The microscopist visually estimates relative amounts of each constituent using a stereoscope if necessary. The test results are based on a visual determination of relative volume of the bulk sample components. The results are valid only for the item tested. Current US EPA NESHAP regulations state asbestos materials means material containing more than 1% asbestos as determined using the method specified in Appendix E, Subpart E, 40 CFR Part 763 Section I, Polarized Light Microscopy. Refer to 29 CFR 1926.1101 (Construction) and 29 CFR 1910.1001 (General Industry) for specific OSHA requirements.

IV. FINDINGS AND OBSERVATIONS

The materials identified as suspect asbestos containing materials (ACM) include plaster, drywall/joint compound, tar paper, paper insulation, linoleum, window glazing compound, flue packing, furnace insulation, ceiling tile, and duct paper. These materials were sampled and the following results were noted:

Sample # Location and Description

1-2540 1 '' floor - front entry - under floor tile - paper insulation

2-2540 1 '' floor -west bedroom - under carpet - orange linoleum Quantity includes back entry & 2nd floor west bedroom

3-2540 1 '' floor - north bedroom - orange linoleum

4-2540 2n<1 floor - east bedroom - orange linoleum

5-2540a 1 '' floor- west bedroom - ceiling - plaster base coat

5-2540b 151 floor - west bedroom - ceiling - plaster skim coat

6-2540a 1 '' floor - stair- west wall- plaster base coat 6-2540b 151 floor - stair- west wall- plaster skim coat 7-2540a 151 floor - pantry - east wall - plaster base coat 7-2540b 151 floor - pantry - east wall - plaster skim coat 8-2540a 151 floor - north bedroom - north wall- plaster

base coat 8-2540b 151 floor - north bedroom - north wall- plaster

skim coat 9-2540a 2"<1 floor - west bedroom - south wall - plaster

base coat 9-2540b 2"<1 floor- west bedroom - south wall - plaster

skim coat 10-2540 2"<1 floor- east bedroom - east side - tan and

black linoleum 11-2540 2"<1 floor- west bedroom- west window -

glazing compound 12-2540 1 51 floor - pantry - north window - glazing

compound 13-2540 Basement - south window - glazing compound

I Family Dwelling Asbestos Inspection 2540 North Buffum Street 'Milwaukee, Wisconsin Contract# 360-12~553

3

Results

Negative

Positive 20% Chrysotile


Positive 20% Chrysotile Negative

Negative

Negative Negative Negative Negative Negative

Negative

Negative

Negative

Negative

Negative

Negative

Negative

Approximate Homogeneous Quantity Code

NIA MPI

560 Sq. Ft. MFLo

Reference MFLo #2-2540

Reference MFLo #2-2540

N/A SPI

NIA SPl

N/A SPI N/A SPI N/A SPI N/A SPl N/A SPl

N/A SPl

N/A SPI

N/A SPl

N/A MFLtk

N/A MPG

N/A MPG

N/A MPG

W:/Word/HMG/12 Projects/12-02 1 0.2540 July 3 1, 2012

HMGProject # 12~2 10

Location and Description

14-2540 Basement - on chimney - west side near top -light gray flue packing

15-2540 Basement- on chimney - west side near middle -gray flue packing

16-2540 Basement- on chimney - east side - dark gray flue packing

I 7-2540 Basement - on duct near center - duct paper

18-2540 Basement - on duct west side - duct paper

19-2540 Basement - on return - duct paper

20-2540 Basement - on west side of furnace - exterior insulation

21-2540 151 floor - kitchen - east side under floor tile - tar paper

22-2540 151 floor - kitchen - west side under floor tile - tar paper

23-2540 151 floor - pantry -under floor tile - tar paper 24-2540 1st floor - kitchen - west side - 1' x 3' ceiling tile 25-2540 151 floor- kitchen - center- 1' x 3 ' ceiling tile 26-2540 151 floor - north bedroom - I ' x 3' ceiling tile 27-2540 151 floor- bathroom- yellow linoleum

28-2540 151 floor - dining room - west side - 18" ceiling tile

29-2540 151 floor - dining room - center- 18" ceiling tile 30-2540 151 floor - dining room - east side - 18" ceiling

tile 31-2540 Quality Assurance/ Quality Control Sample of

Sample 1-2540 32-2540 Quality Assurance/ Quality Control Sample of

Sample 10-2540

Notes: N/A = Not Applicable Sq. Ft. = Square Feet

Results

Positive 20% Cb_!)'Sotile

Positive 4% Cbrysotile


Positive 60% Cbr_ysotile



Negative

Negative

Negative Negative Negative Negative


Negative Negative

Negative

Negative

A ssume d c t a e~ory I N F . bl A b t C t . . M t . 1 on- na e s es os on ammg a ena: Floor Level Location Description


1 Sq. Ft. TFPyligbt

2 Sq. Ft. TFPy

1 Sq. Ft. TFPydark

200 Sq. Ft. TDW

Reference TDW 17-2540


N/A TFE

N/A MPT

N/A MPT

N/A MPT NIA MSCT13 N/A MSCT13 N/A MSCT13

30 Sq. Ft. MFLI

N/A MSCT18

N/A MSCT18 N/A MSCT18

N/A QAQC

N/A QAQC

Approximate Quantity

Roof Dwelling A~halt Shingles & Flashing 900 Sq. Ft. 1st /2nd Dwelling Asphalt Shingle Siding

l st Front Entry/Pantry/Kitchen Floor Tile & Mastic lSI Kitchen/Living Room/Dining Floor & Wall Mastic

Room/Bathroom/Bedroom/Back Entry 2na Bedrooms Floor Mastic

Homogeneous Material Codes SPl Plaster MDW Drywall/Joint Compound MPT Tar Paper MPI Paper Insulation MPG Window Glazing Compound

I Family Dwelling Asbestos lnspoctioo 2540 North Buffiun Street Milwaukee, Wisconsin Contract # 360-12-0553

4

1,500 Sq. Ft. 600 Sq. Ft.

1,300 Sq. Ft.

400 Sq. Ft.

W:/Word/HMG/ 12 Projects/12.()2 10.2540 July 3 1, 2012

HMG Project# 12-0210

Homogeneous Material Codes MFLo Orange Linoleum MFLtk Tan & Black Linoleum MFLI Yellow Linoleum MSCT13 I' x 3' Ceiling Tile MSCT18 18" Ceiling Tile TFPy Gray Flue Packing TFPylight Light Gray Flue Packing TFPydark Dark Gray Flue Packing TDW Duct Paper TFE Exterior Furnace Insulation QA/QC Quality Assurance/Quality Control Sample

Note#l: Category I-Non-Friable Asbestos Containing Materials may become friable during mechanical demolition activities or maybe considered friable prior to demolition activities due to its current condition.

Note#2: If additional materials are discovered during demolition that are not listed above they are to be assumed to be asbestos containing.

Note#3: A copy of this report should be transmitted to the demolition contractor.

Note#4: Additional duct paper may be discovered within walls and ceilings. Exploratory demolition required for exact quantity.

Note#S: Estimated cost for friable asbestos removal

V. EXCLUSIONS

No visible or accessible areas or material were excluded from this scope of work.

HMG is not and shall not represent the building owner as its agent or representative for the purpose of the US EPAINESHAP and/or the WDNRINR447 regulations, as owner/ operator.

This report represents the condition of the building and its visible/accessible suspect asbestos containing materials at the date and the times of the onsite inspection. Hidden materials or those materials that could be present at the point of inspection, over and above those stated in the inspection report, are the responsibility of the building owner and the demolition contractor.

VI. LIMITATIONS

The care and skill given to our procedures insures the most reliable test results possible. HMG utilizes Schneider Laboratories for our Polarized Light Microscopy, unless otherwise specified by the client. The findings and conclusions ofHMG represent our professional opinions extrapolated from limited data. Significant limited data is gathered during the course of the preliminary asbestos specific site assessment. No other warranty is expressed or implied. Prior to any abatement or renovation activities, it is recommended that HMG be provided the opportunity to review such plans in order that

I Family Dwelling Asbestos Inspection 2540 Nonh Buffum Street Mil~ukee, Wisconsin Contract# 360-12-0553

5 W :/Word!HMGfl2 Projects/12-0210.2540 July 3 1, 2012

HMO Project# 12-0210

the inspection and assessments contained herein are properly interpreted and implemented.

This report and the information contained herein are prepared for the sole and exclusive use and possession of the City of Milwaukee Department of Neighborhood Services. No other person or entity may rely on this report or any information contained herein. Any dissemination of the Report or any information contained herein is strictly prohibited without prior written authorization from Harenda Management Group.

I Family Dwelling Asbestos Inspection 2540 North Bulfurn Street Mil"<Wkee, Wisconsin Con11act # 360-12~553

6 W:/Word/HMG/12 Projeas/12-021 0 .2540 July 31, 2012

HMG Project N 12~210

VII. PRE-DEMOLITION ENVIRONMENTAL CHECKLIST

1 Family Dwelling Asbestos lnspeetion 2540 North Buffum Street Milwaukee, Wisconsin Contract # 360-12-0553

7 W:/Word/HMG/12 Projeets/12-0210.2540 July 31, 2012

HMG Project # 12·0210

This guide lists materials and products commonly found in buildings with examples. It is not intended as a substitute for reading the rules and statutes and making your own independent determination of their applicability to your demolition project. These examples presented here do not represent an exhaustive listing of types of materials that may be required to be removed from the building prior to demolition.

ASBESTOS Persons conducting inspections for asbestos must hold a valid asbestos inspector certification card issued by the State of Wisconsin, Dept. of Health & Family Services. Please follow the Asbestos Inspection and Sampling Protocol for Buildings to be Demolished or Renovated.

CFCs and HALONS Equipment that may contain CFCs and Halons:

N/A Air Conditioners (rooftop, room, and central)

N/ A Dehumidifiers

N/ A Heat Pumps

N/ A Refrigerators, Freezers, Chillers

N/ A Vending Machines, Food Display Cases

N/A Walk-in Coolers

N/A Water Fountains (bubblers)

N/ A Fire Extinguishers (both portable and installed HALON suppression systems)

Nl A Water Coolers

LEAD Lead or Lead Based Paint (LBP) is common in many older buildings. When recycling construction and demolition debris, be aware that wood containing lead paint may not be chipped and spread for landscaping. State law also prohibits the sale or transfer of any fixture or other object containing LBP that might be placed upon any surface of a dwelling, which is ordinarily accessible to children.

I Family Dwelling Asbestos Insp«:tion 2540 North Bulfum Street ~1ilwaukee, Wisconsin Contract# 36().12.0553

8 W :/Word!HMG/ 12 Projects/12.0210.2540 July 31. 2012

HMG Project # 12.0210

MERCURY Products that may contain mercury:

LIGHTING 1

NIA

Fluorescent Lights - Living Room

High Intensity Discharge -Metal Halide -High Pressure Sodium -Mercury Vapor

NIA Neon

N/ A Switches for lighting using mercury relays -Look for any control associated with exterior or automated lighting systems such as "Silent" wall switches.

HVAC Check thermostats and any control associated with air handling units for switches containing mercury.

HEATING, VENTILATING AND AIR CONDITIONING SYSTEMS

1 Old Thermostats- Living Room

N/A Aquastats

NIA Firestats

N/ A Manometers

Nl A Thermometers

BOILERS, FURNACES, HEATERS, AND TANKS - 1 Furnace & 1 Water Heater in Basement

NIA Mercury Flame Sensors by pilot lights

N/ A Manometers, Thermometers, Gauges

NIA Pressure-trol

N/ A Float or Level Controls

NIA Space Heaters

I Family Dwelling Asbestos Inspection 2540 North Buffum Street .Milwaukee, Wisconsin Contract # 360- 12-0553

9 W:/Word/HMG/12 Proje<:ts/12 -02 10.2540 July 31, 2012

HMG Project# 12-Q210

ELECTRICAL SYSTEMS- 1 Breaker Box in Basement

Nl A Load Meters and Supply Relays

Nl A Phase Splitters

N/ A Microwave Relays

Nl A Mercury Displacement Relays

PCBs For electrical devices manufactured prior to 1987, it is safe to assume that they contain PCBs and should be managed accordingly. Most equipment manufactured after this time will say "PCB Free". The following is a list of areas in a building were PCBs may be found:

Nl A Transformers

N/A Capacitors (appliances, electronic equipment)

NIA Heat Transfer Equipment

Nl A Light Ballasts

Nl A Specialty Paints (such as for swimming pools or other industrial applications)

NIA Sumps or Oil Traps (in maintenance and industrial facilities)

OTHER ENVIRONMENTAL ISSUES

Nl A Hazardous Waste

1 Oil Tanks- Basement

N/ A Well Abandonment

3 Junk Auto Tires - Basement

Nl A Junk Vehicles

* 7 Gallons Paint and 1 Water Meter in Basement

I Family Dwelling Asbestos Inspection 2540 Nonh BuJ!Um Street Milwaukee. \Vi.SCOnsi.n Contract # 360-12.0553

10 W:/Word/HMG/ 12 Projeas/12.0210.2540 July 31,2012

HMG Project# 12.0210

I Family Dwelling Asbestos Inspection 2540 Nonh Buffum Street Milwaukee, Wisconsin Contract# 360-12-0553

VIII. LABORATORY RESULTS

II W:/Word/HMG/12 Projccts/12-0210.2540 July 31,2012


07/ ~1 / 201 2 12: 29 8046581708 SCHNEIDER LABS PAGE Bl/68

SCHNEIDER LABOR A TORIES GLOBAL INCORPORATED

2512 W. Cary Street • Richmond, Virginia • 23220-5117 804-353-6778 • 800-785-LABS (5227) • (FAX) 804-359-1475 Over 25 Years of Excellence in Service and Technology

AIHA/ELLAP 100527,150/IEC 17025, NVLAP 101150·0, VELAP 460135, NYELAP/NELAC 11413

LABORATORY ANALYSIS REPORT Asbestos Identification by EPA Method' 600/R-93/116

ACCOUNT#: 4001 -12·711

CLIENT: ADDRESS:

Harenda Management Group 1237 West Bruce Street

Milwaukee, WI 53204

PROJECT NAME: DNS JOB LOCATION: PROJECT NO.: 12-0210.2540

PONO.:

Client SLI Sample

Sample Sample/ ldenttrlcation/ No. layeriD Layer Name

1-2540 31542686

Layer 1: Fibrous Material Black/Beige, Fibrous

2-2540 31542687

Layer 1: Flooring Beige, Org.Bound!Fibrous

3·2540 31542688

Layer 1; Flooring Beige, Org.Bound!Fibrous

4-2540 31542689

Layer 1: Flooring Beige, Org.Bound/Fibrous

5-2540 31542690

Layer 1: Plaster Gray, Granular

Tot11l Number of Pages In Report: 5

Results relate only to samples as received by the laboratory.

Using SLI A6

DATE COLLECTED: DATE RECEIVED: DATE ANAL VZED: DATE REPORTED:

Sample Type:

7/20/2012 7/24/2012

7/25/2012

BULK

PLM Analysis Results Asbestos Fibers

None Detected

20o/o CHRYSOTILE

20% CHRYSOTILE

20o/o CHRYSOTILE

None Dotected

Other Materials

65% CELLULOSE Fl BER

15% MINERAUGLASS WOOL

20% NON FIBROUS MATERIAL

20% CELLULOSE FIBER

10o/o MINERAUGLASS WOOL

50o/o NON FIBROUS MATERIAL

20% CELLULOSE ABER

10% MINERAUGLASS WOOL 50o/a NON FIBROUS MATERIAL

20% CELLULOSE ~IBER


50o/a NON FIBROUS MATERIAL

100"/o NON FIBROUS MATERIAL

VIsit www.slabinc.com for current certifications.

Samples Bnsly=d by the EPA Test Mt:~thod :are subject to the limitation$ of liQht microsCOIJY Including matrix Interference. Gravlmerrlc reduction and correlative analyses are recommended for all non-friable, organically bovnd materials. This method has a reporting limit of 1% or greater. Visual estimation contains an Inherent range of uncertainty. This report must not be r9producsd except In full with the approval of Che lab, snd must not be used to claim NVLAP or other gov't agency endorsement.

07/31/2012 12:29 8046581708 SCHNEIDER LABS PAGE 02/ 08

Account- Workorder 4001-12-711 (Continued) Page 2 (Continued)

Client su Sample

Sample Sample/ Identification/ PLM Analysis Results No. Layer 10 Layer Name Asbestos Fibers Other Materials

Layer 2: Skim Coat None Detected 100% NON FIBROUS MATtRlAL

White, Granular

6-2540 31542691

Layer 1: Plaster None Detected 100% NON FIBROUS MATI:RtAL

Gray, Granular

Layer 2: Skim Coat None Detected 100o/. NON FIBROUS MATERIAL

White, Granular

7-2540 31542692

Layer 1: Plaster None Oetectad 100",(, NON FIBROUS MATERIAL

Gray, Granular

layer 2: Skim Coat None Detected 100o/. NON FIBROUS MATERIAl.

White, Granular

8-2540 31542693

Layer 1: Plaster None Detected 100% NON FIBROUS MATERIAL

Gray, Granular

Layer2: Skim Coat None Detected 100"/o NON FIBROUS MATERIAL

White, Granular

9-2540 31542694


Gray, Granular

Layer 2: Skim Coat None Detected 100% NON FIBROUS MATERIAL

White, Granular

10-2540 31542695

Layer 1: Flooring None Detected 35% CRLULOSE FIBER

Black/Beige, Org.Bound/Fibrous 50% NON FIBROUS MATERIAL 15% MINERAUGLASS WOOL

11-2540 31542696

Layer 1: Granular Material None Detected 100% NON FIBROUS MATERIAL

Gray, Granular

Tolal Number of Pages In Report: 5

Results relate only to samples as received by the laboratory. Visit www.slablnc.com for current certifications.

Samples analyz9d by tht!! EPA T9sl Method are subject to rhe /imitations of light microscopy including matrix interference. Gravimetric reduction and correlativfJ analyses are ftlcommended for all nan-friable, organically bound mater/8ls. This method has a reporring limit of 1% or greater. Visual estimation comains an inherenr range of uncerta/nry. This report must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other go v't agency endorsement.

07 /31/2012 12:29 8046581708 SCHNEIDER LABS PAGE 03/08


Client SLI Sample

Sample Sample/ Identification/ PLM Analysis Results No. LayeriD Layer Name Asbestos Fibers other Materials

12-2540 31542697

Layer 1: Granular Material Nont Detected 2'1<. CELLULOSE ABER

Beige/Brown, Granular 98% NON FIBROUS MATERIAL

13-2540 31542698

Layer1: Granular Material None Detected 2"1.. CELLULOSE FIBER

Beige/Brown, Granular 98% NON FIBROUS MATERIAL

14-2540 31542699

Layer 1; Powdery Material 20% CHRYSOTILE 80% NON FIBROUS MATERIAL

Beige, Powdery

15-2540 31542700

Layer 1: Granular Material 4o/o CHRYSOTILE 96% NON FIBROUS MATERIAL

Green/Beige, Granular

16-2540 31542701

Layer 1: Fibrous Material 10% CHRYSOTILE 40% CELLULOSE FIBER

Brown, Fibrous 20"/o MINERAUGLASS WOOL 30o/. NON FIBROUS MATERIAL

17-254{) 31542702

Layer 1: Fibrous Material 60% CHRYSOTILE 20'Yo CELLULOSE ABER

Beige, Fibrous 10.,.o MINERAUGLASS WOOL 10% NON FIBROUS MAiERIAL

18-2540 31542703

Layer 1: Fibrous Material 60% CHRYSOTILE 20% CELLULOSE FIBER

Beige, Fibrous 10% MINERAUGLASS WOOL 10o/o NON FIBROUS MATERIAL

19-2540 31542704

Layer 1; Fibrous Material 60% CHRYSOTlLE 20% CELLULOSE ABER

Beige, Fibrous 10% MINERAUGLASS WOOL 10% NON FIBROUS MATERIAL

20-2540 31542705

Layer 1: Granular Material None Detected 1 00% NON FIBROUS MATERIAL

Gray, Granular

Total Number of Pages In Report: 5

Results relate only to samples as received by the laboratory. VIsit www.slabinc.com for current certifications.

Samplt!l$ anaJyzQd by the EPA Test M9thod are sub}t!JCt to th9 limitations of light microscopy including matrix Interference. Gravimetric reduction ana correlative analyses are recommended for all non-friable, organically bound materials. This method has a r9porting limit of 1% or greater. VIsual estimation contains an inherent range of uncertainty. This report must not be reprodvced except in full with the approval of the lab, and must not be vsed to claim NVLAP or other gov't agency endorsement.

07/31/2012 12:29 8El465817El8 SCHNEIDER LABS PAGE Eld / 08

Account - Workorder 4001-12-711 (Continued) Page 4 (Continued)

Client SLI Sample Sample Sample/ Identification/ PLM Analysis Results No. L8yerl0 Layer Name Asbestos Fibers 01har Materials

21-2540 31542706

Layer 1: Fibrous Material None DGtscted 6SOJ. CELLULOSE FIBER

Brown/Black, Fibrous 15% MINERAUG~SS WOOL 20"/. NON FIBROUS MATERIAL

22·2540 31542707

Layer 1: Fibrous Material None Detected 65% CELLULOSE FIBER

Brown/Brown, Fibrous 150f. MINERAUGLASS WOOL


23-2540 31542708

layer 1: Fibrous Material Nons Det(lcted 65% CELLULOSE FIBER

Brown/Black, Fibrous 15% MINERAUGLASS WOOL 20°/. NON FIBROUS MATERIAL

24-2540 31542709

Layer 1: Ceiling Tile None Detected 85':4 CELLUlOSE FIBER

Tan. Fibrous 15% NON FIBROUS MATERIAL

25-2540 31542710

Layer 1: Ceiling Tile None Delecttld 85% CELLULOSE FIBER

Tan, Fibrous 15% NON FIBROUS MATERIAL

26-2540 31542711

Layer 1: Ceiling Tile None Detected 85o/. CELLULOSE FIBER

Tan, Fibrous 15% NON FIBROUS MATI:RIAL

27-2540 31542712

Layer 1: Flooring 20% CHRYSOTilE 20% CELLULOSE FIBER

Tan, Org.Bound/Fibrous 10% MINERAUGLASS WOOL 50% NON FIBROUS MATERIAL

28-2540 31542713

Layer 1: Ceiling Tile None Detected 85% CELLULOSE FIBER


29-2540 31542714

Layer 1: Ceiling Tile None Detected 85% CELLULOSE FIBE:R


Total Number of Pages In Report: 5 Results relate only to samples as received by the laboratory. Visit www.slablnc.com for current certifications.

Samples analyziXJ by th~ EPA Test M9thod are subject to th9/imitations of light microscopy including mstrfx interference. Grsvlmarric reduction and correlsrlve analyses sre recommended for all non-friable, organically bound materials. This method has a reporting limit of 1% or greater. Visual estimation contains sn inherent range of uncertainty. This report must not be ITJproduced except in full with the approval of the lab, and must nor be used to claim NVLAP or other gov't agency endorsement.

07/3~/2012 12:29 8046581 708

Account · Workorder 4001-12-711 (Continued)

Client SLI Sample Sample Sample/ ldan1iflcatlon/ No. LayeriD L!lyerName

30-2540 31542715

layer 1: Ceiling Tile Tan, Fibrous

31-2540 31542716

Layer 1: Fibrous Material Black/Beige, Fibrous

32-2540 31542717

layer 1: Flooring Beige/Black, Org.Bound/Fibrous

Analyst: MOHAMMED B. HASHIM



SCHNE IDER LABS PAGE 05/ 08

Page 5 (Continued)

PLM Analysis Results Asbestos Fibers

None Detected

None Detected

None Detected

Reviewed By;

Other Materials

85% CELLULOSE FIBER 1So/o NON FIBROUS MATERIAL

65% CELLULOSE FIBI:R 15% MINERAUGLASS WOOL 20% NON FIBROUS MATERIAL

35% CELLULOSE FIBER 15% MINERAUGLASS WOOL 50"/o NON FISROUS MATERIAL

Reel Hashim, Analyst

Visit www.slablnc.com for current certifications.

Samples analyzed by the EPA Tast Method are subject to the limitations of light microscopy Including matrix interlerence. Gravimetric reduction and correlative analyses are recommended for all non-friable, organice.Jiy bound materials. This m9thod has a reporting limit of 1% or greater. VIsual gstimation conralns an inherent range of unc9rtainfy. This rgport must not be reproduced except in full with the approval of the lsb, and must not be used to claim NVLAP or other gov't agency endorsement

07/31/2012 12:29 8045581708 SCHNEIDER LABS

. . . SCHNEIDER LABORATORIES, INC. Li ·. 2512 West Cary Street, Richmond, Virginia 23220-5117

. --~ 804-353-6778 • 800-785-LABS (5227) • Fax 804-359-1475

www.slabinc.com e-mail: [email protected] Submi!Dng I ~=· ., _____ _

~_£C~o·~-~~lat~•~na~M~3~~~~GM~·-~------------~W~O~a~------------------J I ~~• Phone#

.... w lertln.. WI 53151 4001

.. ~. &

E-mail

PAGE 0~/08

414-383-4800

414-31~05 d)[email protected]

ProJect Name: DNS Spucfallnstructlons [(ndude reouests for SD~Ial reDortlnJL or data DaclcaaesJ

Prol.et Loeatlon: DO NOT ANALYZE MASTICS

ProJtct Number: 12·0210. ·z';5"t.tu Stet& Of Collection WI

::i~~m~~:r.-r~~~:;~:~~~~ .n~~ ~:;:~t; ::.;~(·::;:~ ·:::J~i~~.:~:~m:D.~ ii,:~~i~~ti~ldi~~r~f;~::l~·l :~:\i~~;~t~~;.~i::::!f:~~;~\ 1~. ;:1~::. ~-~~ti~~::;r.:;;.=~~•,~tii~~-i~~:~.~~~.~~·~tl i~:~,~~tii;:;:: ~ : ~~ ~;~! : ;;~r~;:~~!~~~;.':\·~~;·j1f~~:·~~f;; :: ~: ~ .. ~:;:~~~ .. D 2 hours' All umples on ronn should ba at SAME :;'~;;!~~~j;'; ~~!iai~~!:i /:': :~l.:i;~''~~~ i'Z~:~:~::;;;;;:; ·;;~; :~:;;;1:~i~f:~~:t~i:iS&UJi:i~~-:; ;rF

~ Us9 sddldons/ forms ss needed. [J Same day> 0PCM (NIOSH7400) 181 PLM lePA soo, 1982) OLQd

[J 1 bualnesa day•

O 2 bu5ine!ia day•

!BJ3 business d:w.s•

[J 5 bU&imn;s days•

D f(jl TCLP (10d)

D weeket~.s•

OAir

0Aqueou&

~B(jk

[JSotld

Owe:de

D WQS!ewater

0 HI..Vol FUtar (PM10) QWater,Drinking

0 HI-VOI Fll!er (TSP) O Compliance

CJOil 0 Wpe

0TEM (AHERA) 0 PLM (EPA Point Count) 0 RCRA Metals

LITEM {EPA Lsvslll) 0 PI.M (Qualitatiw Qnly) D ILl D NYELAP 198.1/.4/.6

ID·:<!:Mitd~~!ri~Uf~e~ii . ::::(;: 0 CAELAP (EPA Interim)

OTo1al Dusl(NIOSH 0500) [JTeM (Chlll11eld) r::JTCLP /lead

O!taap. Dt.lat(NIOSH 0600) p.ln--. _________ -IDTCL.P I RCRAMetals

• not available for all tests D Paint D Wipe, Composite 0SIIIea. FTIR (NJOSH 7602) FOR ASBESTOS AIR: nTCLP I Full (w/ onJanics)

$chodulo na1t O'iao!ler. mulfl. 0 Sludge 0 ------ 0Siica - XRD (NIOSH 7500) TYPE OF RESPIRATOR f, · ~· .. -;.:-i·:.;i ::_:;_;;;~~ ·,~ . -~:::::f.f}R~:u:!~J'~~ meujJHaW:::.!':..tl~ln .-So~ 0 10 USED: 0

Sample#

l -2.71-to

2.-'2.5"<0

5·25l.(o

1-2-S<to

Date Sampled

Time Sampled

Sample ldenUflcaUon (e.q. Emplovee SSN Bldj:~. Ma:t.erial)_

Wiped Type1 11me2 · Raw Rate~ .. -.. . Area (ltl) A B P.EI---S-ta-rt--.--5-~top---+--S-t_a_rt--r---S-to--p~

Totat4 Air Vol

1Typa: A=area B=bla~tk P•peraonel E=axcuralon 2eeglnnln!J(I:nd of Sample Period 3Pump Calibl"lltlon In LltereiMinuta 4voluma In Litera [tlmeln mint\ flow In Umhl]

isampled by Relinquished to lab by ( !\.~~ NAME NAMe Dean Jacobsen ~~

,r:/ fT'-' OweD:~ B I /A) f $1GNA1'URE SJGNA1'UR~ / . :'t{)LJ-pATEITIME DATEITlME "'\_ ... {;9/12 17:00 ./ ~ .._.. v

\ / ,-j ~ ID Samole return reauested 0 Ambient temo 0 Ice °C DH Cl DR Y"S D X .... · n corotinur:tf inlr!monv within li>b. Tcvms :md condi6onB IJIH162.

~

07/ ~1 /2012 12:29 8045581708 SCHNEIDER LABS PAGE El7/08

,.[i . ~~~-

SCHNEIDER LABORATORIES, INC. 2512 West Cary Street, Richmond, Virginia 23220-5117

804-353-6778 • 800-785-LABS (5227) ·Fax 804-359-1475

www.slabinc.com e-mail: [email protected]

Submitting I ~=· ~~C~o~. --~~·~·e~n~u~M~an~·~~·m~Mrt~~G~~~L-----------~WOI

WOU!Iel:

... o. Ilene 511305

1-:"r.co"'"ouJn-------------------i I"P!®o • Fax•

4001 &

E-mail

414-383·4800

414-383-41105 d)acobsen@harend•.coorn

for,_t_ect Name: DNS Spociallnstntctlons flntluda rfKl~uts for 1111eciat reDortlntt or daUJ DM:kaaesl

Project location: DO NOT ANALYZE MASTICS

Proiect Number: 12-0210. '2 51{<:> ~ Stale Of Collection I.--nLNumbtr. IINI i;ir,it;~~~, i<rliiirid'r111~i<t : :.: ,,_;)'~~~~;&~:r:,;~ %~i~~:o~~'~'';'<, ::,~~V .. ;';.::::r.f:p;if.;'~ ·:::':::::i'.;-~:;'<'· ;'::r'~&:i·~~~~~ i~i~~,~~~,~t'i·;~I~G;~; ;_ ;·;rJt · ·,: :;~~;:,i;;i;:_~;:::~1i:·,;'~:i. Clz hou/'11· M ssmptss on fotrn should be of SAME :·A~~~ "~i'/~\li.~:~~~- ' · .-:.: :~~bc;~~~~liW~~b~io·i.:: · ;i !~,i; ~::~·~~~~ii~~ic~~~i[~jj~·y ;.i

!J!Oirir jyp& Uso eddtt/Onst fbrms as needed. D Same day• 0PCM (NJOSH HDO) 1!1 PLM (EPA 600, 1982) 0Lead

QAir

0Aqueous

!B) Bulk

Osolid owaa!a

0WasleWater

0 H._ Vol Filtllr (PM1 D) 0 Watar.Omking

O HI-Vol Fi~r (TSP) 0 Compliance

0TEM (AHERA) 0 PLM {EPA Point Count)

0TEM (EPA l.evelll) 0 PLM (QuaJJtaUve only)

D 0 NYEI.AP 198.1/.41.6

~-;)(~-~-.~~~;;i;~f~l::~- - . 0 CAELAP (EPA Interim)

0RCRAMebl&

D 0

onar O..Cat (NIOSH OSOO) D TEM (Chatfield) D TCLP /lee.d

0 1 buslne3s 12sy•

0 2 busin85& day'

[813 buslnaaa day&•

0 5 bU$lneu .Uys•

D Full TCLP {1 Od)

0Weekend• oou D wrpe OResp. oust (NrosH osoo) l'"ln.._ _______ -iD rcLP r RCRA Metal&

• not available for illl tests D Paint 0 \/VIpe, Compoa~e 0Siliea • FTIR (NIOSH 7602) FOR ASBESTOS AIR: lnTCLP I Full (w/ organics}

Schedule Nlll OlfiB/1/U, mu~ [J Sludge IIMI8II & waakend 141strin f..-,

0 0S~ie4 • XRO (NIOSH 7!00) TYPE OF RESPIRATOR

e~IIU. ILJ Sotl D 0 usee· lo Oate 11me Sample JdenlltlcaUon · • - \Mped l)'pe 1 Tim at · Flow Rata' ·

(e.Q. Emplovee SSN BldQ. Material) Area lft"l A_.B ~-1--s=-ta-rt,--:.;F-S-::-t-oo--+-"'"'s-ta...:rt-=;r-:-.:::=s:...tOP-----4 Total' Air Vol Samole# Samoled Samoled

(~ ·2?1-o

1Type; A=area Bllblank P-peraonal E=excunlon :leeglnnlng/End of ~mple Period sPump Callbr.ttlon In Lltan!Minute

f':;ampled by Rallnqulshad to lab by

~AME NAME Dea~Jacobsen

SIGNATURE ~IGNATU~E r:k~ DATE/TIME PATE/TIME -,.. UQ/12 17·00

[J Sample retum reauasled Ambient te:mo Ice

'Volum•ln Liters (lime In min • flow In Umln]

DFX []UPS 1:1 U9M []HD [J DB

WB; _ _ _

07/31/2012 12:29 8045581708 SCHNEIDER LABS PAGE 08/08

SCHNEIDER LABORATORIES, INC. 2512 West Cary Street. Richmond, Virginia 23220-5117

804-353-ene • eoo-785--LABS (5227) ·Fax 804-359-1475


WOLab1l:

414-383-4800 ,,o. lloJt 811305

4001 414-383-4805

cQac:obsonQharenda.com

ProJect N1111J1: JlNS SJJ«IIJIInstrucfJons I include requests for spfiCIIII reporting_ or data pc~c#r.Jg96J

Protect Loc.tlon; DO NOT ANALYZE MASTICS

ProJtct Number: 12..()210. ~ 5'<.-o .__ Stat. Of Collection L ---1 n.o Number. IV\11 (ii/~iiii;;~~t~:~-ii~ .:+ ~): ;-·· -~~IJ~ -i ~i~.TY~:(~~,~~~i!if::,:, .': :::/~:-~, ·,,,;t~r.~t.( .- ;_, :<;~1:r;;r .. +~':t-i~Mitt;~~iAtt~'~t ~~~)·,-:/~~#:;::-:: ,, __ ,~:;~z:~!::t:)_.~;i:f 0 ~ hour-5" An sampleS on form should be of SAME .; ,~~~~it; /~i~~'td~~i- :,t·~: A~b;;~tl;~1~!k';~~~:fi:i:)J} J-:');'-t;~tt~tl~,~~?i::;:~:--~;;

matrix tvpe_ vse ae1t11ttonal forms es needed. 0Sarrt41 dooy< OPCM (NIOSH 7-400) ~PLM (EPA600,1982) 0Lead

0Air

0AquOOU$

1BJ Bulk

0Bolid

0WB&III

0 \Naatawater

0 Hi-Vol Filt.r (PM1 0) 0 Wa!sr,Orinking

CJ HJ..Vol Fittw (TSP) O Compliance

CJTEM (AHEAA) 0 PLM (EPA Pofnl Counl) ORCRAMebts

CJTEM (EPA leve111) CJ PLM (Qualltadve only) 0 D D NYE~P 198.1/ ... /.6 n i ;!_:;;~·f.illj~~.ih'~~; i~~=;-.;;;,:~,~;- D CAELAP (EPA lnrem)

CJTo131 Ou.st (NIOSH 0500) 0 TEM (Chatfield) 0 TCLP I Lead

CJ 1 busine5S day•

0 2 bu&inn& day"

IBJ3 bu&ina&& days•

0 5 buaine&& da)'$"

0 FuU TCLP (10d)

Oweekeno• CJ 08 [J Wipe 0Rosp. 011~1 (NIOSH 0600) 1'"10....__ _______ -lOTCLP I RCRA Metals

• not available fol' all tests QPainl D IMpe, Composite CJSnice- FTIR (NIOSH 7802) FOR ASBESTOS AIR: inTCLP I Full CWI omanlcsl

0 ----- CJSitiea • XRO (NIOSH 7500) TYPE OF RESPIRATOR

Date Time Sample# Samoled Samoled

0 0 · Sample tdenllllcatlon · · ·

(e.a. Emolovee SSN Bldg, Malarial\

USED: 0 Wiped Type 1 Tlme2 Flow Rate,

Area (!rl A B P .J;J---:S-tart___.:..::.r::....S_t_oo- +--S-ta...:rt...:.::.:;...:....:::;.;.S;;..t_oo--1 Total4

Air Vol

1rype: Aaaraa B=blank P•pen~onal E=eJCcuralon 2t~eglnnlng/End of S11111pla PeriOd 3Pump C•ffbratlon In UIOrs/Mlnuto "volume In Lltera(tlmaln min • flow In Umln)

Sampled by Relinquislled to tab by

NAME NAME Dean Jacobsen

SIGNATlJ~E: StGNAT\JR..,l__.~"""\----1'>....:;:_-----DATEITlME DATE/TIME 7/19/12 17-00

Samole relum reai.JEl&led 0 Ambient temo [] Ice "C oH Cl DR OS OX hla!n.oi-Cu•~nm~

DFX 0UPS OVSM CJ HO [JOB we: ___ l

· n <:x>nlinur:d illlern8flv wilhitl lab. Tetms IIJid condlrlons ,.,., 2

I Family Dwelling Asbestos Inspection 2540 Nonh Buffum Street Milwaukee, Wt>COnsin Contract# 360-12-0553

IX. HMG CERTIFICATION

12 W:/Word/HMG/ 12 Projects/12-0210.2540 July31, 201 2


ASBESTOS INSPECTOR .. l\>i>>CClBr

• • • STATEOFWISCONSlN

1)ept. ofHealth Ser-vices

ti5o lbs s os· 12/l!ll96J Male

P.O. Box 511305 · New Berlin, Wisconsin 53151-2105 · (414) 383-4800 · (414) 383-4805

ASBESTOS INSPECTION REPORT

Job Site:

1 Family Dwelling

5012 West Medford Avenue


For:

City of Milwaukee

Department of Neighborhood Services

Attn: Marge Piwaron

841 North Broadway 1st Floor


HMG Report No.: 13-2000-068.5012

Contract No.: 360-13-0745

________________________ Dean Jacobsen

Asbestos Inspector No. AII – 14370

Prepared by:

HARENDA MANAGEMENT GROUP

P. O. Box 511305


June 2013

1 Family Dwelling Asbestos Inspection W:/Word/HMG/13 Projects/13-2000-068.5012

5012 West Medford Avenue June 19, 2013

Milwaukee, Wisconsin HMG Project # 13-2000-068.5012

Contract # 360-13-0745

1

TABLE OF CONTENTS

I. Introduction ..............................................................................................................2

II. Building Survey .......................................................................................................2

III. The Laboratory .........................................................................................................2

A. Method of Analysis

IV. Findings and Observations .......................................................................................3

V. Exclusions ................................................................................................................5

VI. Limitations ...............................................................................................................5

VII. Pre-Demolition Environmental Checklist…………………………………………6

VIII. Laboratory Results .................................................................................................10

IX. HMG Certifications ...............................................................................................11




Contract # 360-13-0745

2

I. INTRODUCTION

Harenda Management Group (HMG) was retained by the City of Milwaukee Department

of Neighborhood Services to conduct an inspection for possible asbestos containing

materials in the dwelling at 5012 West Medford Avenue, Milwaukee, Wisconsin.

The inspection included linoleum, ceiling tile, ceiling tile glue pods, drywall with texture,

tar paper, window glazing compound and attic insulation to determine if asbestos

containing materials were present within the space as required by US EPA NESHAP

regulation 40 CFR 61 Subpart M.

II. BUILDING SURVEY

Marge Piwaron, of the City of Milwaukee Department of Neighborhood Services,

authorized HMG to conduct a building survey and to analyze samples taken during the

inspection.

On June 04, 2013, HMG conducted an asbestos inspection of a one family dwelling

scheduled for mechanical demolition, located at 5012 West Medford Avenue,

Milwaukee, Wisconsin. The inspection was conducted by Craig Dekutowski,

Wisconsin License No. AII – 500.

The inspection was comprised of three elements:

1. A visual determination as to the extent of suspect materials within the

building.

2. Sampling and documentation of observable suspect materials. Category I

nonfriable materials were assumed to be asbestos containing and not

sampled.


The results of the survey integrated with the Polarized Light Microscopy with Dispersion

Staining (PLM/DS) analysis of bulk samples taken are outlined in this document. If you

have any questions please contact HMG at (414) 383-4800.

III. THE LABORATORY


Analysis is performed by using the bulk samples for visual observation and slide

preparation(s) for microscopical examination and identification. The slides are analyzed

for asbestos (chrysotile, amosite, crodcidolite, anthophyllite, and actinolite/ tremolite),

fibrous non asbestos constituents (mineral wool, paper, etc.), and nonfibrous constituents.

Asbestos is identified by refractive indices (obtained by using dispersion staining),

morphology, color, pleochroism, birefringence, extinction characteristics, and signs of

elongation. The same characteristics are used to identify the non asbestos constituents.




Contract # 360-13-0745

3

The microscopist visually estimates relative amounts of each constituent using a

stereoscope if necessary. The test results are based on a visual determination of relative

volume of the bulk sample components. The results are valid only for the item tested.

Current US EPA NESHAP regulations state asbestos materials means material containing

more than 1% asbestos as determined using the method specified in Appendix E, Subpart

E, 40 CFR Part 763 Section I, Polarized Light Microscopy. Refer to 29 CFR 1926.1101

(Construction) and 29 CFR 1910.1001 (General Industry) for specific OSHA

requirements.


The materials identified as suspect asbestos containing materials (ACM) linoleum, ceiling

tile, ceiling tile glue pods, drywall with texture, tar paper, window glazing compound and

attic insulation. These materials were sampled and the following results were noted:

Sample # Location and Description Results Approximate

Quantity

Homogeneous

Code

1-5012 1st floor – south east entrance – west side – light

brown linoleum

Negative N/A MFLn light

2-5012 1st floor – kitchen – top layer – white/tan linoleum Negative N/A MFLwt

3-5012 1st floor – kitchen – middle layer – tan/gray

linoleum

Negative N/A MFLty

4-5012a 1st floor – kitchen – bottom layer – beige/pink

linoleum

Negative N/A MFLep

4-5012b 1st floor – kitchen – bottom layer – linoleum Negative N/A MFLep

4-5012c 1st floor – kitchen – bottom layer – tan/brown

floor tile

Negative N/A MFLep

5-5012 1st floor – bathroom – top layer – dark brown

linoleum

Negative N/A MFLn dark

6-5012 1st floor – bathroom – 2nd layer – dark gray

linoleum

Negative N/A MFLy dark

7-5012 1st floor – bathroom – 3rd layer – light gray

linoleum

Negative N/A MFLy light

8-5012a 1st floor – bathroom – 4th layer – tan linoleum Negative N/A MFLt

8-5012b 1st floor – bathroom – 4th layer – cream linoleum Negative N/A MFLc

9-5012 1st floor – south east entrance – cream 9”x9”

ceiling tile

Negative N/A MSCT9x9c

10-5012 1st floor – kitchen – white 2’x4’ ceiling tile Negative N/A MSCT2x4w

11-5012 1st floor – living room – off white 2’x4’ ceiling

tile

Negative N/A MSCT2x4w –

off

12-5012 1st floor – bedroom – cream 2’x4’ ceiling tile Negative N/A MSCT2x4c

13-5012 1st floor – north east room – white 9”x9” ceiling

tile

Negative N/A MSCT9x9w

14-5012 1st floor – south east entrance – tan ceiling tile

glue pod

Negative N/A MGPt

15-5012 1st floor – living room – brown ceiling tile glue

pod

Negative N/A MGPn

16-5012 1st floor – north east room – dark brown ceiling

tile glue pod

Negative N/A MGPn dark

17-5012 1st floor – south east entrance – north east wall –

texture

Negative N/A STX




Contract # 360-13-0745

4


Quantity

Homogeneous

Code

18-5012a 1st floor – living room – beneath floor tile – black

tar paper

Negative N/A MPT

18-5012b 1st floor – living room – beneath floor tile – black

tar

Negative N/A MPT

19-5012 1st floor – bedroom – beneath floor tile – black tar

paper

Negative N/A MPT

20-5012 1st floor – south east entrance – transite pipe Positive 20%

Chrysotile

12 Ln. Ft. MTP

21-5012 1st floor – west entrance – near front door –

window glazing compound

Negative N/A MPG

22-5012 2nd floor – attic crawlspace – blown in insulation Negative N/A MBI

Notes: N/A = Not Applicable

Sq. Ft. = Square Feet

Assumed Category I Non-Friable Asbestos Containing Material:

Floor Level Location Description Approximate Quantity

Roof Dwelling Asphalt Shingles & Flashing 300 Sq. Ft.

1st South East Room/Living Room &

Bedroom

Floor Tile & Mastic 230 Sq. Ft.

Homogeneous Material Codes

MFLn light Light Brown Linoleum

MFLwt White/Tan Linoleum

MFLty Tan/Gray Linoleum

MFLep Beige/Pink Linoleum

MFLn dark Dark Brown Linoleum

MFLy dark Dark Gray Linoleum

MFLy light Light Gray Linoleum

MFLt Tan Linoleum

MSCT9x9c Cream 9”x9” Ceiling Tile

MSCT2x4w White 2’x4’ Ceiling Tile

MSCT2x4w-off Off White 2’x4’ Ceiling Tile

MSCT2x4c Cream 2’x4’ Ceiling tile

MSCT9x9w White 9”x9” Ceiling Tile

MGPt Tan Ceiling Tile Glue Pod

MGPn Brown Ceiling Tile Glue Pod

MGPn dark Dark Brown Ceiling Tile Glue Pod

STX Texture

MPT Tar Paper

MTP Transite Pipe

MPG Window Glazing Compound

MBI Blown in Insulation

Note#1: Category I – Non-Friable Asbestos Containing Materials may become friable during mechanical

demolition activities or maybe considered friable prior to demolition activities due to its current

condition.

Note#2: If additional materials are discovered during demolition that are not listed above they are to be

assumed to be asbestos containing.





Contract # 360-13-0745

5

Note#4: Additional transite piping may be discovered between structural walls and ceilings. Exploratory

demolition is required for exact quantity.

Note#5: Estimated cost for friable asbestos removal…

V. EXCLUSIONS

Attic not accessible. Roof visible only from ground. No other visible or accessible

areas or material were excluded from this scope of work.

HMG is not and shall not represent the building owner as its agent or representative for

the purpose of the US EPA/NESHAP and/or the WDNR/NR447 regulations, as

owner/operator.

This report represents the condition of the building and its visible/accessible suspect

asbestos containing materials at the date and the times of the onsite inspection. Hidden

materials or those materials that could be present at the point of inspection, over and

above those stated in the inspection report, are the responsibility of the building owner

and the demolition contractor.

VI. LIMITATIONS

The care and skill given to our procedures insures the most reliable test results possible.

HMG utilizes Quantem Laboratories for our Polarized Light Microscopy, unless

otherwise specified by the client. The findings and conclusions of HMG represent our

professional opinions extrapolated from limited data. Significant limited data is gathered

during the course of the preliminary asbestos specific site assessment. No other warranty

is expressed or implied. Prior to any abatement or renovation activities, it is

recommended that HMG be provided the opportunity to review such plans in order that

the inspection and assessments contained herein are properly interpreted and

implemented.

This report and the information contained herein are prepared for the sole and exclusive

use and possession of the City of Milwaukee Department of Neighborhood Services. No

other person or entity may rely on this report or any information contained herein. Any

dissemination of the Report or any information contained herein is strictly prohibited

without prior written authorization from Harenda Management Group.




Contract # 360-13-0745

6





Contract # 360-13-0745

7

This guide lists materials and products commonly found in buildings with examples. It is

not intended as a substitute for reading the rules and statutes and making your own

independent determination of their applicability to your demolition project. These

examples presented here do not represent an exhaustive listing of types of materials that

may be required to be removed from the building prior to demolition.

ASBESTOS

Persons conducting inspections for asbestos must hold a valid asbestos inspector

certification card issued by the State of Wisconsin, Dept. of Health & Family Services.

Please follow the Asbestos Inspection and Sampling Protocol for Buildings to be

Demolished or Renovated.

CFCs and HALONS

Equipment that may contain CFCs and Halons:

N/A Air Conditioners (roof top, room, and central)

N/A Dehumidifiers

N/A Heat Pumps

N/A Refrigerators, Freezers, Chillers

N/A Vending Machines, Food Display Cases

N/A Walk-in Coolers


N/A Fire Extinguishers (both portable and installed HALON

suppression systems)

N/A Water Coolers

LEAD

Lead or Lead Based Paint (LBP) is common in many older buildings. When recycling

construction and demolition debris, be aware that wood containing lead paint may not be

chipped and spread for landscaping. State law also prohibits the sale or transfer of any

fixture or other object containing LBP that might be placed upon any surface of a

dwelling, which is ordinarily accessible to children.




Contract # 360-13-0745

8

MERCURY

Products that may contain mercury:

LIGHTING

N/A Fluorescent Lights

N/A High Intensity Discharge

-Metal Halide

-High Pressure Sodium

-Mercury Vapor

N/A Neon

N/A Switches for lighting using mercury relays

-Look for any control associated with exterior or automated

lighting systems such as "Silent" wall switches.

HVAC

Check thermostats and any control associated with air handling units for switches

containing mercury.


N/A Old Thermostats

N/A Aquastats

N/A Firestats

N/A Manometers

N/A Thermometers

BOILERS, FURNACES, HEATERS AND TANKS

N/A Mercury Flame Sensors by pilot lights

N/A Manometers, Thermometers, Gauges

N/A Pressure-trol

N/A Float or Level Controls

N/A Space Heaters




Contract # 360-13-0745

9

ELECTRICAL SYSTEMS

N/A Load Meters and Supply Relays

N/A Phase Splitters

N/A Microwave Relays

N/A Mercury Displacement Relays

PCBs

For electrical devices manufactured prior to 1987, it is safe to assume that they contain

PCBs and should be managed accordingly. Most equipment manufactured after this time

will say "PCB Free". The following is a list of areas in a building were PCBs may be

found:

N/A Transformers


N/A Heat Transfer Equipment

N/A Light Ballasts

N/A Specialty Paints (such as for swimming pools or other industrial

applications)

N/A Sumps or Oil Traps (in maintenance and industrial facilities)


N/A Hazardous Waste

N/A Oil Tanks

N/A Well Abandonment

N/A Junk Auto Tires

N/A Junk Vehicles

* 1 Gas Meter – Exterior




Contract # 360-13-0745

10


2033 Heritage Park Drive I Oklahoma City, OK 73120 I (405) 755-7272/ Fax (405) 755-2058

Polarized Light Microscopy Asbestos Analysis Report

QuanTEM Lab No. 222427 Client: Harenda Management Group Jolene Harenda Account Number: B929

Date Received:

Received By:

Date Analyzed:

Analyzed By:

Methodology:

QuanTEM Sample ill

06/06/2013

Joanna Mueller

06/11/2013

Sandy Baker

EPA/600/R-93/116

Client Sample ID Composition

P.O. Box 511305 New Berlin, WI 53151-2105

Project: DNS

Project Location: Milwaukee, Wl

Project Number: 13-2000-068.5012

Color I Description Asbestos (%)

Non-Asbestos Fiber(%)

Non Fibrous

----------------------------· ------

006 6-5012

007 7-5012

008 8-5012

008a

009 9-5012

010 10-5012

011 11-5012

Homogeneous

Homogeneous

Layered

Layered

Homogeneous

Homogeneous

Homogeneous

Tan

Floor Tile

Tan

Sheet Vinyl

Gray

Sheet Vinyl Backing

Cream

Sheet Vinyl

Cream

Ceiling Tile

White

Ceiling Tile

White

Ceiling Tile

Asbestos Not Present







Unless otherwise noted, upon receipt the condition of the sample was acceptable for analysis.

NA Vinyl CaC03

Cellulose 10 Vinyl Glass Fiber 5 Binder

Glass Fiber 5 Binder

Synthetic 5

Cellulose 10 Vinyl Binder

Glass Fiber 90 Paint

Cellulose 55 Perlite

Glass Fiber 5 Paint

Cellulose 30 Perlite

Glass Fiber 30 Paint

QuanTEM is a NVLAP accredited TEM and PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/6001M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement byNVLAP or any

other agency of the US Government. This report may not be reproduced except in full, without the written approval of the laboratory_

Page 2 of 4

2033 Heritage Park Drive 1 Oklahoma City, OK 73120 I (405) 755-7272 1 Fax (405) 755-2058


QuanTEM Lab No. 222427 Client: Harenda Management Group

Account Number: B929 Jolene Harenda P.O. Box 511305

Date Received: . 06/06/2013 New Berlin, WI 53 151-2105 Received By: Joanna Mueller

Date Analyzed: 06/ 11/2013 . Project: DNS

Analyzed By: Sandy Baker Project Location: Milwaukee, WI

Methodology: EPA/600/R-93/ 116 Project Number: 13-2000-068.5012

QuanTEM Client Color I Non-Asbestos 1'-ion Fibrous SampleiD Sample ID Composition Description Asbestos (%) Fiber(%)

... ~- ····-·--------012 12-5012 Homogeneous Wbite Asbestos Not Present Cellulose 30 Perlite

Ceiling Tile Glass Fiber 30 Paint

013 13-5012 Homogeneous White Asbestos Not Present Glass Fiber 90 Paint

Ceiling Tile

014 14-5012 Layered White Asbestos Not Present Glass Fiber 90 Paint

Ceiling Tile

014a Layered Brown Asbestos :Not Present NA Glue

Mastic

015 15-5012 Homogeneous Brov.n Asbestos ?'lot Present NA Glue

Mastic

016 16-5012 Homogeneous Brov.n Asbestos Not Present NA Glue

Mastic

01 7 17-5012 Homogeneous Green Asbestos Not Present NA CaCOJ

Texture Paint

Unless otherwise noted, upon receipt the condition of the sample was acceptable for. analysis.

QuanTEM is a NVL.u> accredited TEM and PLM laboratol)· (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizingEPN600/M4-82-020 and EPN600/R-93/ll6 methods. This report may not be used to claim product endorsement by N'v'LAP or any

other agency of the US Government. This report may not be reproduced except in full, without the v.ritten approval of the laboratory.

·Page 3 of 4

®




06/06/2013 Date Received:

Received By:

Date Analyzed:

Analyzed By:

Methodology:

QuanTEM Sample ID

018

018a

019

020

021

022

J canna Mueller

06/11/2013

Sandy Baker

EPA/600/R-93/116

Client Sample ID

18-5012

19-5012

20-5012

21-5012

22-5012

Composition

Layered

Layered

Homogeneous

Homogeneous

Homogeneous

Homogeneous


Project DNS

Project Location: Ivlilwaukee, WI


Color I Description Asbestos(%)


Non Fibrous

···-------------------------------

Black

TarPaper

Black

Tar

Black

Tar Paper

Gray

Transite

Tan

Window Glazing

Brov.n

Insulation




Asbestos Present

Chrysotile 20


Asbestos ~ot Present

6/11!2013

Date of Report

Cellulose 60 Tar

NA

NA

KA

NA

Cellulose 100

Tar

Tar

Quartz CaC03

CaCOJ Paint


QuanTEM is a NVLAP accredited TEM and PLM laboratory (Lab Code: 101959-0) _ This report relates only to the specific items tested_ NVLAP accreditation applies only to analys is performed utilizing EPAI600!1vf4-82-020 and EPA/600./R-93/116 methods . This report may not be used to claim product endorsement by NVLAP or any

other agency of the US Government. This report may not be reproduced except in full, without the written approval of the laboratory_

Page 4 of 4

._.MauRATORIES www.QuanTEM.com

ASBESTOS CHAIN OF CUSTODY 2033 Heritage Park Drive, Oklahoma City, OK 73120-7502 (800) 822-1650 • (405) 755-7272 • Fax: (405) 755-2058

LEGAL DoCUMENT ;. PLEASE PRINT LEGIBLY '

Projectlocation: Milwaukee, WI --------------------·

1 3-2000-068.5012

r::~~:>£·~\[~}fj.;:i'f<';;:~· >.jr ., .. t , · ,, 0:.:./ .. •. II _·· _.· , Y'"li' ..... , ......... , .... .• lr·.o'•"·'•.··)·"'···,:·•····

Air- NIOSH 7402 Bulk- Quantitative [weight%)- Chatfield

Air-15010312

Drinking Water- EPA 100.2 Dust- Quantitative [fibers/sq.cm)- ASTM 05755 f ! ,.. . • ,. •• .• ·l f-:1 ~==::-il-----___...

8 ~5D(z.,

9 ~2-

- %JZ....

Page of "2.

SATURDAY SAMPLE DELIVERY - CALL TO SCHEDULE • Use this address for Saturday Delivery only: 4220 N. Santa Fe Ave., Oklahoma City, OK 73105-8517 • Mark Package "Hold for Saturday Pickup"

23

24

25

26

29

30

I..ADuRATORIES www.QuanTEM.com


LEGAL DoCUMENT .- PLEASE PRINT LEGIBLY

Page 2 of ~

SATURDAY SAMPLE DELIVERY- CALL TO SCHEDULE • Use this address for Saturday Delivery only: 4220 N. Santa Fe Ave., Oklahoma City, OK 73105-8517 • Mark Pacbge "Hold for Saturday Pickup"




Contract # 360-13-0745

11



2 Family Dwelling 3731 West Stark Street Milwaukee, Wisconsin

For:

City of Milwaukee Department ofNeighborhood Services

Attn: Marge Piwaron 841 North Broadway 151 Floor


HMG Report No.: 13-2000-068.3731 Contract No.: 360-13-0745

Prepared by:



May 2013

P.O. Box 5 11305 · New Berlin, Wisconsin 53 15 1-2 105 · (414) 383-4800 · (4 14) 383-4805

TABLE OF CONTENTS

I. Introduction ................... ...... ........... ...... .. ... ... .. ......... .... ............................................. 2

II. Building Survey .. .. ... ... ........ ..... ........... .... .................. ..... ...... ...... ... .... ............... ... ... .. 2

III. The Laboratory ..... ............ .. ... ...... .......... ......... .. ........................ .... ........ .. ............ ...... 2 A. Method of Analysis

IV. Findings and Observations ................................. ....... .. .................... ........................ .3

V. Exclusions ...... ..... ........ .. ... .... .. ..... ... ..... .......... ... .... .................... ........................... .... . 6

VI. Limitations ............ ........ ... ..... ..... ............ ... ....................... ... ............. ......... ........ ....... 6

VII. Pre-Demolition Environmental Checklist. .... ... ...... ... ......... . ... . ......... .. ..... . 7

VIII. Laboratory Results ................... .. .. .... .... ..... .. ... ..................... .... .. ........ ... ............ .... .. 11

IX. HMG Certifications ...... ....... .. .... ... ......................................................................... 12

2 f amily Dwelling Asbestos Inspecrion 373 1 West Stark Street Milwaukee. Wisconsin Contract # 360·1l·0745

W./Word/HMG/13 Projects/13-2000-068 3731 May 7. 2013

HMG Project# 13·2000-068

I. INTRODUCTION

Harenda Management Group (HMO) was retained by the City of Milwaukee Department of Neighborhood Services to conduct an inspection for possible asbestos containing materials in the dwelling at 373 1 West Stark Street, Milwaukee, Wisconsin.

The inspection included plaster, ceiling tile, linoleum, blown in insulation, window glazing compound, duct wrap, ceramic floor tile, transite, paper insulation, tar paper, drywall/joint compound, texture and flue packing to determine if asbestos containing materials were present within the space as required by US EPA NESHAP regulation 40 CFR 61 Subpart M

II. BUILDING SURVEY

Marge Piwaron, of the City of Milwaukee Department ofNeighborhood Services, authorized HMO to conduct a building survey and to analyze samples taken during the inspection.

On April23, 2013, HMG conducted an asbestos inspection of a two family dwelling scheduled for mechanical demolition, located at 3731 West Stark Street, Milwaukee, Wisconsin. The inspection was conducted by Jazmin Spears, Wisconsin License No. All -111055.


1. A visual determination as to the extent of suspect materials within the building.

2. Sampling and documentation of observable suspect materials. Category I nonfriable materials were assumed to be asbestos containing and not sampled.


The results of the survey integrated with the Polarized Light Microscopy with Dispersion Staining (PLM/DS) analysis of bulk samples taken are outl ined in this document. If you have any questions please contact HMO at (414) 383-4800.

III. THE LABORATORY


Analysis is performed by using the bulk samples for visual observation and slide preparation(s) for microscopical examination and identification. The slides are analyzed for asbestos ( chrysotile, amosite, crodcidolite, anthophyllite, and actinolite/ tremolite ), fibrous non asbestos constituents (mineral wool, paper, etc.), and nonfibrous constituents. Asbestos is identified by refractive indices (obtained by using dispersion staining),

2 Family Dwelling Asbestos lnspect10n 373 I West Srark Srreer ~·1ilwaukee, Wisconsin Conrracr # 360- 13-0745

2 W /Word/HMG/ 13 Projecrs/13-2000-068 3731 May 7. 2013

HMG Projecr il 13-2000-068

morphology, color, pleochroism, birefringence, extinction characteristics, and signs of elongation. The same characteristics are used to identify the non asbestos constituents. The microscopist visually estimates relative amounts of each constituent using a stereoscope if necessary. The test results are based on a visual determination of relative volume of the bulk sample components. The results are valid only for the item tested. Current US EPA NESHAP regulations state asbestos materials means material containing more than 1% asbestos as determined using the method specified in Appendix E, Subpart E, 40 CFR Part 763 Section I, Polarized Light Microscopy. Refer to 29 CFR 1926.1101 (Construction) and 29 CFR 1910.1001 (General Industry) for specific OSHA requirements.


The materials identified as suspect asbestos containing materials (ACM) plaster, ceiling tile, linoleum, blown in insulation, window glazing compound, duct wrap, ceramic floor tile, transite, paper insulation, tar paper, drywall/joint compound, texture and flue packing. These materials were sampled and the following results were noted:

Location and Description Results Approximate Homogeneous Quantity Code

IAa I 51 floor - front room - east wall - white plaster Negative N/A SPI skim coat

lAb I 51 floor - front room - east wall - white plaster

IBa

IBb

! Ca

ICb

2Aa

2Ab

2Ba 2Bb 2Ca

2Cb

3Aa 3Ab 4A SA 6A 7 8

base coat I 51 floor - kitchen - west wall - white plaster skim coat I 51 floor - kitchen - west wall - white plaster base coat I 51 floor - west bedroom - south wall - white plaster skim coat I ' 1 floor - west bedroom - south wall - white plaster base coat 2nd floor - north bedroom - plaster skim coat no. 2 2nd floor - north bedroom - plaster base coat no. 2 2na floor - hallway - plaster skim coat no. 2 2nd floor - hallway - plaster base coat no. 2 2nd floor - north west bedroom- west wall -plaster skim coat no. 2 2nd floor - north west bedroom - west wall -plaster base coat no. 2 Attic stairwell -south wall - plaster skim coat Attic stairwell - south wall - plaster base coat I 51 floor - front room - ceiling tile I 51 floor - front entrance - ceiling tile I 51 floor - east bedroom - ceiling tile I ' 1 floor - hallway - tan linoleum I 51 floor - bathroom - beneath sink - yellow linoleum

2 Family Dwelling Asbestos Inspection 3731 West Stark Street Milwaukee. Wisconsin

3

Contract # J60-13-074S

Negative

Negative

Negative

Negative

Negative

Negative

Negative

Negative Negative Negative

Negative

Negative Negative Negative Negative Negative Negative Negative

N/A SPI

N/A SPI

N/A SPI

N/A SPI

NIA SPI

NIA SPI #2

N/A SPI #2

NIA SPI #2 NIA SPI #2 NIA SPJ #2

NIA SPI #2

NIA SP I N/A SPJ N/A MSCT N/A MSCT NIA MSCT N/A MFLt N/A MFLI

W /Word/HMG/13 ProjectS/13-2000-068 3731 May 7, 2013

H.'-'IG Project # 13-2000-068

Sample# Location and Description

9 I 51 floor - north bedroom - inside south wall -blown in insulation

10 2na floor - north bedroom - inside east wall -blown in insulation

lOA Attic stairwell - inside west wall - blown in insulation

I lA Basement - south window- window glazing compound

liB I 51 floor - kitchen - east window - window glazing compound

IIC 2na floor - east bedroom - west window -window g lazing compound

12A I 51 floor - kitchen - duct wrap

12B I 51 floor - living room - duct on south wall - duct wrap

12C 2na floor- bathroom - duct on east wall - duct wrap

13a I 51 floor - kitchen - ceramic floor tile 13b I 51 floor- kitchen -ceramic floor tile grout 14A Exterior - south side of house- transite s iding

14B Exterior - north side of house - transite siding

14C Exterior- west side of house- transite siding

ISA Exterior - south side, beneath transite siding -silver paper insulation

ISB Exterior - west side, beneath transite siding -silver paper insulation

ISC Exterior - north side, beneath transite siding -silver paper insulation

16A Exterior- north side, beneath transite siding and paper insulation - tar paper

17Aa Garage - interior east wall - brown paper insulation

17Ab Garage - interior east wall - brown insulation 178 Garage - interior south wall - brown paper

insulation 17C Garage - interior west wall - brown paper

insulation 18Aa 151 floor - kitchen - north wall - drywall 18Ab I 51 floor - kitchen- north wall - joint compound 188 Attic - north room - ceiling - drywall 18C 19A Rear stairwell - on steps and landings - gray

linoleum 20A Rear stairwell - on 6m step from top - cream/gray

linoleum

2 Family Dwelling Asbestos lnspection 3731 West Stark S1reet

4 Milwaukee, Wisconsin Con1ract # 360·13-0745

Results

Negative

Negative

Negative

Negative

Negative

Negative



Positive 75% Chrysotile Negative Negative




Negative

Negative

Negative

Negative

Negative Negative

Negative

Negative Negative Negative Negative Negative

Negative

Approximate Homogeneous Qua~tity Code

N/A MBI

N/A MBI

N/A MBI

N/A MPG

N/A MPG

N/A MPG

55 Sq. Ft. TDW

Reference TDW #12A

Reference TDW #12A N/A MCTM N/A MCTM

1 ,800 Sq. Ft. MTP

Reference MTP #14A

Reference MTP #14A N/A MPis

NIA MP!s

N/A MPis

NIA MPT

N/A MP!n

N/A MP!n NIA MP!n

NIA MP!n

N/A MOW N/A MOW NIA MOW NIA MOW NIA MFLy

NIA MFLcy

W./Word/HMG/13 Projeots/13·2000·068 3731 May7, 20 13

HMG Project # 13·2000-068

Sample# Locaiion and Description Results Approximate Homogeneous

21A 2"0 floor- north west bedroom - top layer -brown linoleum

22A 2"0 floor - north west bedroom - bottom layer -brown/black linoleum

23A 2M floor - north west bedroom - scrap on floor -white linoleum

24A Attic - west room - ceiling- texture 248 Attic - west room - south wall - texture 24C 2M floor - rear stairwell - east wall - texture 25A 2"0 floor - front stairwell -on steps - tan/brown

linoleum 26A Basement stairwell - on steps - brown/gray

linoleum 27A Basement - on chimney - flue packing

Notes: N/A = Not Applicable Sq. Ft. = Square Feet

Negative

Negative

Negative

Negative Negative Negative Negative

Negative

Negative


Quantity Code

NIA MFLn

NIA MFLnk I

N/A MFLw I

NIA STX NIA STX NIA STX N/A MFLtn '

NIA MFLny '

N/A TFP


Roof Dwelling Asphalt Shingles & Flashing 750 Sq. Ft. Siding Dwelling (East & West Sides Only) Asphalt Shingle Siding I ,800 Sq. Ft. Roof Garage Asphalt Shingles & Flashing 400Sq. Ft.

1st Hallway

Homogeneous Material Codes SPI Plaster SPI #2 Plaster No.2 MSCT Ceiling Tile MFLt Tan Linoleum MFLI Yellow Linoleum

Blown In Insulation MBI MPG TDW MCTM MTP MPis MPT MPin MDW MFLy MFLcy MFLn MFLnk MFLw STX MFLtn MFLny TFP

Window Glazing Compound Duct Wrap

2 Family Dwelling Asbestos lnspection 373 I West Stark Street Milwaukee, Wisconsin Contract # 360· I 3·0745

Ceramic Floor Tile & Grout Transite Siding Silver Paper Insulation Tar Paper Brown Paper Insulation DrywalVJoint Compound Gray Linoleum Cream/Gray Linoleum Brown Linoleum Brown/Black Linoleum White Linoleum Texture Tan/Brown Linoleum Brown/Gray Linoleum Flue Packing

5

Floor Tile & Mastic 30 Sq. Ft.

W:/Wo rd/HMGIJ 3 Projects/13·2000·068 3731 May 7. 2013

HMG Project# 13·2000·068

Note#l: Category 1- Non-Friable Asbestos Containing Materials may become friable during mechanical demolition activities or maybe considered friable prior to demolition activities due to its current condition.



Note#4: Additional duct wrap may be discovered between structural walls and ceilings. Exploratory demolition is required for exact quantity.

Note#S: Estimated cost for friable asbestos removal ..

V. EXCLUSIONS

Roof visible only from ground. No visible or accessible areas or material were excluded from this scope of work.

HMO is not and shall not represent the building owner as its agent or representative for the purpose ofthe US EPA/NESHAP andJor the WDNR/NR447 regulations, as owner/operator.


VI. LIMITATIONS

The care and skill given to our procedures insures the most reliable test results possible. HMG utilizes Quantem Laboratories for our Polarized Light Microscopy, unless otherwise specified by the client. The findings and conclusions of HMG represent our professional opinions extrapolated from limited data. Significant limited data is gathered during the course of the preliminary asbestos specific site assessment. No other warranty is expressed or implied. Prior to any abatement or renovation activities, it is recommended that HMO be provided the opportunity to review such plans in order that the inspection and assessments contained herein are properly interpreted and implemented.

This report and the information contained herein are prepared for the sole and exclusive use and possession of the City of Milwaukee Department of Neighborhood Services. No other person or entity may rely on this report or any information contained herein. Any dissemination of the Report or any information contained herein is strictly prohibited without prior written authorization from Harenda Management Group.

2 Family Dwelling Asbes1os Inspection 373 I West Stark Street Milwaukee, Wisconsin Contract # 360-13-0745

6 W /Word/HMG/ 13 Projeetslll-2000-068.373 I May 7, 2013

HMG Project # 13-2000-068

VII.

2 Family Dwelling Asbestos Inspection 373 I WeSI Stark Street Milwaukee, Wisconsin Contract # 360- 13-0745

PRE-DEMOLITION ENVIRONMENTAL CHECKLIST

7 W /Word!HMG/13 ProJects/13-2000-068 3731 May 7, 2013

HMG Project # I 3-2000-068

This guide lists materials and products commonly found in buildings with examples. It is not intended as a substitute for reading the rules and statutes and making your own independent determination of their applicability to your demolition project. These examples presented here do not represent an exhaustive listing oftypes of materials that may be required to be removed from the building prior to demolition.



Nl A Air Conditioners (roof top, room, and central)

Nl A Dehumidifiers

N/ A Heat Pumps



NIA Walk-in Coolers

NIA Water Fountains (bubblers)

NIA Fire Extinguishers (both portable and installed HALON suppression systems)

Nl A Water Coolers


2 Family Dwelling Asbestos Inspection 3 731 West Stark Street Milwaukee, Wisconsin Contract# 360-13-0745

8 IV /Word/HMG/ 13 Projects/ll-2000-068 3731 May 7, 2013

HMG Project # 13-2000-068


LIGHTING _ 1_

NIA

Fluorescent Lights - I st Floor Hall


NIA Neon

NIA Switches for lighting using mercury relays -Look for any control associated with exterior or automated lighting systems such as "Silent" wall switches.



NIA Old Thermostats

Nl A Aquastats

Nl A Firestats

Nl A Manometers

Nl A Thermometers

BOILERS, FURNACES, HEATERS AND TANKS - 2 Furnaces & 2 Hot Water Heaters in the Basement

Nl A Mercury Flame Sensors by pilot lights

Nl A Manometers, Thermometers, Gauges

Nl A Pressure-trol


Nl A Space Heaters

2 Family Dwelling Asbestos Inspection J 731 West Stark Street Milwaukee, Wisconsin Contract # 360· 13·0745

9 W:/Word/HMG/13 Projects/13-2000-068 373 1 May 7, 20 13

HMO Project# IJ-2000-068

ELECTRICAL SYSTEMS

N/ A Load Meters and Supply Relays

N/ A Phase Splitters


N/ A Mercury Displacement Relays


Nl A Transformers



N/ A Light Ballasts

N/A Specialty Paints (such as for swimming pools or other industrial applications)



N/A Hazardous Waste

2 Oil Tanks - Basement


N/A Junk Auto Tires

N/A Junk Vehicles

* * 2 Gas Meters in the Basement * * 1 Quart of Motor Oil in the Garage

2 Family Dwelhng Asbestos Inspection 3 731 WeSI Stark Street Milwaukee, Wisconsin Contract # 360·13·0745

10 W ./Wordltt\1G/13 Proj<cts/13-2000-068 3731 May 7. 2013

HMG Project # 13-2000·068

2 Family Dwelling Asbestos Inspection 3731 West Stark Street Milwaukee, Wisconsin Contract # 360-13-0745


II WJWord/HMG/ 13 Projects/13-2000-068 373 1 May7, 2013

HMG Project# 13-2000-068

®

2033 Heritage Park Drive I Oklahoma City, OK 73120/ (405) 755-7272 / Fax (405) 755-2058


QuanTEM Lab No. 221036

Account Number: B929 Client: Harenda Management Group

Jolene Harenda

Date Received: 05/0312013 Received By: Date Analyzed:

Analyzed By: Methodology:

QuanTEM SampleiD

001

OOla

002

002a

003

003a

004

Barbara Holder 05/06/2013

Gayle Ooten EPA/600/R.-93/116

Client SampleiD

lA

IS

IC

2A

Composition

Layered

Homogeneous

Layered

Layered

Layered

Layered

Layered

Project: DNS

P.O. Box 511305 NewBerlin, WI5315l-2105

Project Location: Milwaukee, WI Project Number: 13-2000-068.3731

Color/ Description

White

Skim Coat

White

Plaster

White

Skim Coat

White

Plaster

White

Skim Coat

White

Plaster

'\Vhite

Skim Coat

Asbestos (%)









NA

NA

NA

NA

NA

NA

NA


Non Fibrous

Quartz CaC03 Paint

Gypsum Perlite

Quartz CaC03 Paint

Gypsum Perlite

Quartz CaC03 Paint

Gypsum Perlite

Quanz CaC03 Paint

Quan TEM is a NV LAP accredited TEM and PLM laboratory {Lab Code: 10 l959·0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis·performed utilizing EPN6001M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any

other agency of the US Government. This report may not be reproduced except in full, \\ithout the written approval of the laboratory.

Page 1 of 9


Polarized Light Microscopy Asbestos. Analysis Report

QuanTEM Lab No. 22l036 Account Number: B929

Client: Harenda Management Group Jolene Harenda

Date Received:

Received By:

Date Analyzed: Analyzed By: Methodology:

QuanTEM Sample ID

05/03/2013

Barbara Holder

05/06/2013 Gayle Ooten

EPA/600/R-93/116

Client SamplelD Composition

---------

004a Layered

005 2B Layered

005a Layered

006 2C Layered

006a Layered

007 JA Layered

007a Layered


Project: DNS Proje~t L{)cation: Milwaukee, WI ·

Proj~ct Number: 13-2000-068.3731

Color I Non-Asbestos Description Asbestos (%) Fiber(%)

White Asbestos Not Present NA

Plaster


Skim Coat

Tan Asbestos Not Present NA

Plaster


Skim Coat


Plaster

White Asb'estos Not Present NA

Skim Coat


Plaster

t:nless otherwise noted, upon receipt the condition of the sample was acceptable for analysis.

Non Fibrous

Gypsum Perlite

CaC03 Paint

Quartz CaC03

CaC03 Paint

Quartz CaC03

CaC03 Paint

Quartz CaC03

QuanTE~ is a NVlAP accredited TEM and PLM laboratory (lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-82,020 and EPA/600/R-93/ 116 methods. This report may not be used to claim product endorsement by NVLAP or any

other agency of the US Government. Tbis report may !lot be reproduced except in full, without the written approval of the laboratory.

Page 2 of9



QuanTEM Lab No. 221036 . Client: Harenda Management Group Jolene Harenda Account Number: B929

Date Received: Received By:

Date Analyzed: Analyzed By:

Methodology:

QuanTEM SampleiD

008

009

010

Oil

Of2

013

014

05/03/2013


Gayle Ooten

EPA/600/R-93/116

Client SamplciD

4A

5A

6A

7

8

9

10

Composition

Homogeneous

Homogeneous

Homogeneous

Homogeneous

Homogeneous

Homogeneous

Homogeneous

P.O. Box 511305 New Berlin, WI 53151-2L05

Project: DNS

Project Location: Milwaukee, WI


Color I Description

White

Ceiling Tile

White

Ceiling Tile

White

<;eiling Tile

Beige

Linoleum

Yellow Floor Tile

Gray

Insulation

.Gray

Insulation

Asbestos (%)








Non-Asbestos Non Fibrous Fiber(%)

Cellulose 80 Paint

Cellulose 80 Paint

Cellulose . 80 Paint

Cellulose 25 Tar

NA

Cellulose I 00

Cellulose I 00

Vinyl CaCQ3

Unless otherwise noted, upon receipt the coadition of the sample was acceptable for analysis.

Quan1EM is a NVlAP accredited TEM and PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EP • .tV600/lvf4-82-020 and EP N600/R-93/ll6 methods. This report may not be used to claim product endorsement by ~1.AP or any

other agency of the US Government. This report may not be reproduced except in full, without the written approval of the laboratory.

Page 3 of9

2033 Heritage Part< Drive I Oklahoma City, OK 73120./ (405) 755-7272/ Fax (405) 755-2058


QuanTEM Lab No. 221036 Client: Harenda Management Group Jolene Harenda Account Number: 8929 P.O. Box 511305

Date Received: 05/03/2013

Barbara Holder

05/06/2013

New Berlin. WI 53151-2105 Received By:

Date Analyzed:

Analyzed By:

Methodology:

QuanTEM Sample ID

015

016

017

018

019

020

021

Gayle Ooten

EPA/600/R-931116

Client Sample ID

lOA

llA

liB

llC

12A

12B

12C

Composition

Homogeneous

Homogeneous

Homogeneous

Homogeneous

Homogeneous

Homogeneous

Homogeneous

Project: DNS Project Location: Milwaukee, WI


Color I Descriptiob

Gray

£nsulation

White

Window Glazing

White

Window Glazing

White

Window Glazing

Gray

Insulation

Gray

Insulation

Gray

Insulation

Asbestos(%)





Asbestps Present Chrysotile 75

Asbestos Present Chrysotile 75

Asbestos Presen~ Chrysotile 75

Unless otherwise noted, upon receipt the condition of the sample was acceptable for anal}-sis.


Cellulose

NA

NA

NA

Cellulose

Cellulose

Cellulose

Non Fibrous

100

CaC03

CaC03

CaC03

20 Binder

20 Binder

20 Binder

Quan TEM is a NVlAP accredited TEM and PLM laboratory (Lab Code: 10 1959-0). This report relates only to the specific items tested. NVlAP accreditation applies only to analysis perfonned utilizing EPA/600/M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endo!SCillent by NVLAP or any


Page 4 of9

2033 Heritage Park Drive I Oklahoma City, OK 73120 I (405) 755-7272 1 Fax (405} 755-2058



Account Number: B929

Client: Harenda Management Group Jolene Harenda

Date Received:

Received By: Date Analyzed:

Analyzed By: Methodology:

QuanTEM SampleiD

022

022a

023

024

025

026

027

05/03/2013

Barbara Holder

05/06/2013

Gayle Ooten EPA/600/R-93/116

Client Sample ill

13

14A

14B

14C

15A

158

Composition

Layered

Layered

Homogeneous

Homogeneous

Homogeneous

Homogeneous

Homogeneous


Project: DNS



Color I Description

· White

Ceramic Tile

White

Grout

Gray

Transite

Gray

Transite

Gray

Transite

Silver/Black

Wrap

Silver/Black

Wrap

Asbestos(%)



Asbestos Present Cluysotile 20

Asbestos Present Chrysotile 20

Asbestos Present Cbrysotile 20




NA

NA

NA

NA

~A

Cellulose

Cellulose

40

40


Non Fibrous

Clay

Quartz CaC03

CaC03

CaC03

CaC03

Tar Foil

Tar Foil

QuanTEM is a NVLAP accredited TEM and PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVI.AP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020·and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any

other agency of the US Government. This report may not be reproduced except in full, ?.i thout the wrincri approval of the laboratory.

Page 5 of 9

2033 Heritage Park Drive I Oklahoma City, OK 73120 I (405) 755-7?:72/ Fax (405) 755-2058



Account Number: B929 Client: Haren cia Management Group

Jolene H.arenda

Date Received:

Received By:

Date Analyzed:

Analyzed By: .

Methodology:

QuanTEM SampleiD

028

029

0~0

030a

031

032

033

05/03/2013

Barbara Hol~er

05/06/2013

Gayle Ooten EPA/600~-93/116

Client SampleiD

15C

16A

17A

178

17C

18A

Composition

Homogeneous-

Homogeneous

Layered

Layered

Homogeneous

Homogeneous

Layered

P.O. Box 511305 New Berlin, Wl53151-2105

Project: DNS

Project Location: Milwaukee, WI Project Number: 13-2000-068.3731

Color / Description

Silver/Black

Wrap

Black

Tar Paper

Black/Brown

Tar Paper

Brown

Insulation

Black/Brown

TarPaper

Brown/Black

Tar Paper

White

Texture

Asbestos(%)









Cellulose

Cellulose

Cellulose

Cellulose

Cellulose

Cellulose

~A

40

40

40

90

45

45


Non Fibrous

Tar Foil

Tar

Tar

Binder

Tar

Tar

CaC03 Paint

QuanTEM is a NVLAP accredited TEM and PLM !~oratOry (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP a<A:reditation applies only to analysis performed utilizing EPA/600~14-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any

other agency of the US Government This report m~y not be reproduced except in full, without the written approval of the laboratory.

Page 6 of 9

®

2033 Heritage Pai'X Drive i Oklahoma City, OK 73120 I (405) 755-7272/ Fa.IC (405) 755-2058





Received By:

Date Analyzed: Analyzed By: Methodology:

QuanTEM SampleiD

033a

034

035

036

037

038

039


Gayle Ooten EPA/600/R-93/116

Client Sample 1D

18B

18C

19A

20A

21A

22A

Composition

Layered

Homogeneous

Homogeneous

Homogeneous

Homogeneous

Homogeneous

Homogeneous

Project: DNS

Client: Harenda Management Group Jolene Harenda P.O. Box 511305 New Berlin, WI 53151-2105



Color/ Description

White

Sheetrock

White

Sheetrock

White

Sheetrock

Tan

Backing

Tan

Backing

Bro"'n

Sheet Vinyl

Tan

Linoleum

Asbestos (%)



. .<\sbestos Not Present



Asbestos "Not Present



Non Fibrous

Cellulose 20 Gypsum

Cellulose 15 Gypsum

Cellulose 20 Gypsum

Cellulose 40 Binder Synthetic 40

Cellulose 80 Binder

Cellulose 20 Vinyl

Cellulose 25 Tar

Unless otherwise noted, upon receipt the condition of tile sample was acceptable for analysis.

QuanTEM is a NVL6J> accredited TEM and PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020 and EPA/600/R-93/1 16 methods. This report may not be used to claim product endorsement by NVLAP or any

other agency of the US Government This report may not be reproduced except in full, without the wrinen approval of the laboratory.

Page7of9

.,~....... M® ~I».'.:'~L .I ~LABORAtORIES

2033 Heritage Park Diive I Oklahoma City, OK 73120 I (405) 755-7272/ Fax (405) 755-2058



Date Received:

Received By:

Date Analyzed: Analyzed By:

Methodology:

QuanTEM SampleiD

05/03/2013

Barbara Holder 05/06/2013 Gayle Ooten

EPAJ600nt-93/116



Project: DNS Project Location: Milwaukee, WI Project Number: 13-2000-068.3731

Color/ Description Asbestos (%)


Non Fibrous

-- ·-··-··- .. ........ ····· -· -·- ··---- . -·----------- - --

040 23A Homogeneous Cream Asbestos Not Present Cellulose 25 Vinyl

Sheet Vinyl

041 24A Homogeneous White Asbestos Not Present NA CaC03

Ceiling. Texture Paint

042 24B Homogeneous White Asbestos Not Present NA CaC03

Ceiling Texture Paint

043 24C Homogeneous White Asbestos Not Present NA CaC03


044 25A Homogeneous Tan Asbestos Not Present Cellulose 25 Tar

Linoleum

045 26A Homogeneous Beige Asbestos Not Present Cellulose 10 CaC03

Linoleum Synthetic 10

~

046 27A Homogeneous Gray Asbestos l"ot Present NA Quartz Mortar CaC03

Unless otherwise noted, upon receipt the condition of the swnple was acceptable for analysis.

QuanTEM is a NVLAP accredited TEM and PLM laboratory (lab Code: 101959·0). Tnis report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPN600/M4-82-<J20 and EPN600/R-931116 methods. This report may not be used to claim producr endoJSement byNVLAP or any

other agency oftJ_te US Govemment. This report may not be reproduced except in full, without the writm~ approval of the laboratory.

Page 8 of9

... lUI® ••• LABORATORIES

2033 Heritage Paik Drive I Oklahoma City, OK 73120 I {405) 755-7272/ Fax (405) 755-2058


QuanTEMLab No. 221036 Client: Harenda Management Group Jolene Harenda Accowtt Number: B929

Date Received: Received By:

Date Analyzed:

Analyzed By:

Methodology:

QuanTEM Sample ID

05/03/2013

Barbara Holder

05/0612013

Gayle Ooten

EPA/600/R-93/1 16

Client SampleiD Composition


Project: DNS


Project Nwnber: 13-2000-068.3731

Color/ Description Asbestos (%)


--··---------··-----·---·---.,.---

51612013 Date of Report

Unless otherwise noted, upon receipt the condition of the sample was acceptable tbr analysis.

Non Fibrous

QuanTE!\{ is a NY LAP accredited TEM and PLM laboratory (Lab Code: 101959..()). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/6001M4-82-020 and EPA/6001R-93/ll6 methods. This repon may not be used to claim product endorsement by NVLAP or any


Page 9of9

RATORIES www.QuanTEM.com

ASBESTOS CH.AIN OF CUSTODY 2033 Heritage Park Drive, Oklahoma City, OK 73120· 7502 (800) 822·1650 • (405) 7$5-7272 • Fax: (405) 755-2058

LEGAL DOCUMENT!'" PLEASE PRINT LEGIBLY

Cell Phone: ProJectLocation: Milwaukee, WI - ---------------

13-2000·068.3731 . ~ . ~·. -·- E-mail: djacob::[email protected] 11 .~•-oi_ect_ID_: _ ______ _

Bulk· Quantitative [weight%)· Chatfield

Dust- Quantitative (fibers/sq.cm)· ASTM 05755

I •

Page 1 of

Other .email

SATURDAY SAMPLE DELIVERY· CALL TO SCHEDULE • Use this address for Saturday Delivery only: 4220 N. Santa Fe Ave., Oklahoma City, OK 73105-8517 • Mark Package "Hold for Saturday Pkkup"

LABORATORIES www.QuanTEM.com

ASBESTOS CHAIN OF CUSTODY 2033 Heritage Park Drive, Oklahoma City, OK 73120-7502 (800) 822-1650 • (405) 755·7272 • Fax: (405) 755-2058

'

LEGAL DoCUMENT·- PLEASE PRINT LEGIBLY

Page 2 of _ _

SATURDAY SAMPLE DELIVERY- CALL TO SCHEDULE • Use this address for Saturday Delivery only: 4220 N. Santa Fe Ave., Oklahoma City, OK 73105-8517 • Mark Package "Hold for Saturday Pickup"

50

ASBESTOS CHAIN OF CUSTODY 2033 Heritage Park Drive, Oklahoma City, OK 73120-7502 (800} 822-1650 • (405) 755-7272 • Fax: (405) 755-2058

\

LEGAL DOCUMENT • PLEASE PRINT LEGIBLY

Page 3 of

SATURDAY SAMPLE DELIVERY - CALL TO SCHEDULE • Use thisaddress for Saturday Delivery only: 4220 N. Santa Fe Ave., Oklahoma City, OK 73105-8517 • Mark Package "Hold for Saturday Pickup"

2 Family Dwelling Asbestos lnspecrion 3731 Wes1 Stark Street Milwaukee, Wisconsin Contract # 360-13-0745


12 W /Word/HMG/ 13 Projects/13-2000-068373 1 May 7, 20 1l

HMG Project# I J-2000-068

Scott Walker Governor

Kitty Rhoades Secretary

May 1, 2013

JAZMIN K C SPEARS

1237 W BRUCE ST

MILWAUKEE WI 53204-1218

State of Wisconsin Department of Health Services

DIVISION OF PUBLIC HEALTH .

ID# AII-111055

1 WEST WILSON STREET

P 0 BOX2659 MADISON WI 53701-2659

Telephone: 608 266-1251 FAX: 608 267-2832 TIY: 888-701-1253

dhs.wisconsln.gov

Congratulations, your new card for Wisconsin asbestos or lead certification is enclosed. Please contact our office immediately if any of the infonnation on the card is incorrect.

You must have this card with you whenever you are at a regulated asbestos or lead work site.

Renewing Your Certification You may not perfonn regulated asbestos or lead activities after the expiration date on your card.

Asbestos Disciplines: Schedule your annual asbestos refresher training 30-90 days before your training due date and submit your renewal application online or by mail at least one month before your current card expires.

Lead Disciplines: Schedule your lead refresher training up to 12 months before the training due date and submit your renewal application online or by mail at least one month before your current card expires.

Submit your renewal application by mail if paying by check or money order, or online at www.dhs.wisconsin.gov/waldo if paying by VISA or MasterCard credit or debit card.

Certified Company Mfiliation You must be affiliated with an appropriately certified Asbestos, Exterior Asbestos, Lead or LeadSafe Company by ownership, employment or contract before you may perform regulated lead or asbestos work in ·wisconsin. Contact the Asbestos and Lead Section for more information.

To Update Information and Apply Online You may make changes to your mailing address, other contact information, or your employer information by going to www.dhs.wisconsin.gov/waldo and selecting Asbestos and Lead Online Certification. You may also send changes in writing to the Asbestos and Lead Section at the address below.

Asbestos and Lead Section, Room 137 P.O. Box 2659 Madison WI 53701-2659

Phone: (608) 261-6876 Email: [email protected] In~emet: www,dhs.wisconsin.gov

ASBESTOS 1:-\SPECTOR

STATE OF WISCONSI:-i

Dc:pt. of He-<~l lh Scr.·iccs

Jazmio K C Spears

1237 W Bruce: St

Milwaukee: Wl53204-1218

198 lbs 5' 08"

I AII-111055 I Exo: 03/17/2014 10/1911974 \talc:

Training due by: 03127/2014

1237 West Bruce Street · Milwaukee, Wisconsin 53204 · (414) 383-4800 · (414) 383-4805

ASBESTOS SNIP INSPECTION REPORT

Job Site:

One Family Dwelling

3215 North 23rd

Street


For:

City of Milwaukee


Attn: Marge Piwaron



HMG Report No.: 13-2000-399.3215


________________________ Dean Jacobsen


Prepared by:


1237 West Bruce Street

Milwaukee, Wisconsin 53204

December 2013

1 Family Dwelling SNIP Asbestos Inspection W:/Word/HMG/13 Projects/13-2000-399.3215

3215 North 23rd Street December 23, 2013


Contract # 360-13-0745

1

TABLE OF CONTENTS

I. Introduction ..............................................................................................................2





V. Exclusions ................................................................................................................4

VI. Limitations ...............................................................................................................4







Contract # 360-13-0745

2

I. INTRODUCTION

Harenda Management Group (HMG) was retained by the City of Milwaukee Department of

Neighborhood Services to conduct an inspection for possible asbestos containing materials in the

dwelling at 3215 North 23rd Street, Milwaukee, Wisconsin.

The inspection included plaster, texture, drywall, blown in insulation, duct paper, linoleum, flue

packing, joint compound patch, window glazing compound, and asphalt shingle siding to

determine if asbestos containing materials were present within the space as required by US EPA

NESHAP regulation 40 CFR 61 Subpart M.

II. BUILDING SURVEY

Marge Piwaron, of the City of Milwaukee Department of Neighborhood Services, authorized

HMG to conduct a building survey and to analyze samples taken during the inspection.

On December 13, 2013, HMG conducted an asbestos inspection of a one family dwelling,

scheduled for mechanical demolition, located at 3215 North 23rd Street, Milwaukee,

Wisconsin. The inspection was conducted by Dean Jacobsen, Wisconsin License No. AII –

14370.



2. Sampling and documentation of observable suspect materials. Category I non-friable

materials were assumed to be asbestos containing and not sampled.



Staining (PLM/DS) analysis of bulk samples taken are outlined in this document. If you have

any questions please contact HMG at (414) 383-4800.

III. THE LABORATORY


Analysis is performed by using the bulk samples for visual observation and slide preparation(s)

for microscopical examination and identification. The slides are analyzed for asbestos

(chrysotile, amosite, crodcidolite, anthophyllite, and actinolite/ tremolite), fibrous non asbestos

constituents (mineral wool, paper, etc.), and nonfibrous constituents. Asbestos is identified by

refractive indices (obtained by using dispersion staining), morphology, color, pleochroism,

birefringence, extinction characteristics, and signs of elongation. The same characteristics are

used to identify the non asbestos constituents.

The microscopist visually estimates relative amounts of each constituent using a stereoscope if

necessary. The test results are based on a visual determination of relative volume of the bulk




Contract # 360-13-0745

3

sample components. The results are valid only for the item tested. Current US EPA NESHAP

regulations state asbestos materials means material containing more than 1% asbestos as

determined using the method specified in Appendix E, Subpart E, 40 CFR Part 763 Section I,

Polarized Light Microscopy. Refer to 29 CFR 1926.1101 (Construction) and 29 CFR 1910.1001

(General Industry) for specific OSHA requirements.


The materials identified as suspect asbestos containing materials (ACM) include included plaster,

texture, drywall, blown in insulation, duct paper, linoleum, flue packing, joint compound patch,

window glazing compound, and asphalt shingle siding. These materials were sampled and the

following results were noted:


Quantity

Homogeneous

Code

1-3215 2nd floor – east room – west wall – plaster Negative N/A SPl

2-3215 2nd floor – east room – ceiling – plaster Negative N/A SPl

3-3215 1st floor – dining room – west wall – plaster base

coat

Negative N/A SPl

4-3215 1st floor – front room – north wall – plaster Negative N/A SPl

5-3215 Basement – stair – south wall – plaster Negative N/A SPl

6-3215a 2nd floor – east room – west wall – joint compound Negative N/A MDW

6-3215b 2nd floor – east room – west wall – joint compound

layer 2

Negative N/A MDW

6-3215c 2nd floor – east room – west wall – drywall Negative N/A MDW

7-3215a 2nd floor – main room – south wall – joint

compound

Negative N/A MDW

7-3215b 2nd floor – main room – south wall – joint

compound layer 2

Negative N/A MDW

7-3215c 2nd floor – main room – south wall – drywall Negative N/A MDW

8-3215a 1st floor – kitchen – west wall – joint compound Negative N/A MDW

8-3215b 1st floor – kitchen – west wall – joint compound

layer 2

Negative N/A MDW

8-3215c 1st floor – kitchen – west wall – drywall Negative N/A MDW

9-3215 2nd floor – northeast crawl space – in wall – blown

in insulation

Negative N/A MBI

10-3215 1st floor – kitchen – in ceiling – blown in insulation Negative N/A MBI

11-3215 1st floor – dining room – in south wall – blown in

insulation

Negative N/A MBI

12-3215 1st floor – north bedroom – on south wall duct –

duct paper Quantity includes 1st floor and

basement ducts

Positive 25%

Chrysotile

6 Sq. Ft. TDW

13-3215a 1st floor – bathroom – on walls – texture layer 1 Negative N/A STX

13-3215b 1st floor – bathroom – on walls – texture layer 2 Negative N/A STX

13-3215b 1st floor – bathroom – on walls – texture layer 3 Negative N/A STX

14-3215 1st floor – rear stair – beige linoleum Negative N/A MFLe

15-3215 Basement – on chimney – flue packing Negative N/A TFP

16-3215 Basement – on north wall – joint compound patch Negative N/A MJC

17-3215 Basement – south window – glazing compound Negative N/A MPG

18-3215 Exterior – west wall – asphalt shingle siding Negative N/A MSS

19-3215 Exterior – east wall – asphalt shingle siding Negative N/A MSS




Contract # 360-13-0745

4


Quantity

Homogeneous

Code

20-3215 Exterior – south wall – asphalt shingle siding Negative N/A MSS





Roof Dwelling Asphalt Shingles & Flashing 1,200 Sq. Ft.

1st Stair Floor Mastics 50 Sq. Ft.


SPl Plaster

STX Texture

MDW Drywall

MPG Glazing Compound


MJC Joint Compound Patch

MFLe Beige Linoleum

MSS Asphalt Shingle Siding

TDW Duct Paper

TFP Flue Packing



condition.




Note#4: Additional duct paper may be within walls and ceilings.


V. EXCLUSIONS

Roof visible only from ground. No visible or accessible areas were excluded from the scope

of work.

HMG is not and shall not represent the building owner as its agent or representative for the

purpose of the US EPA/NESHAP and/or the WDNR/NR447 regulations, as owner/operator.

This report represents the condition of the building and its visible/accessible suspect asbestos

containing materials at the date and the times of the onsite inspection. Hidden materials or those

materials that could be present at the point of inspection, over and above those stated in the

inspection report, are the responsibility of the building owner and the demolition contractor.




Contract # 360-13-0745

5

VI. LIMITATIONS

The care and skill given to our procedures insures the most reliable test results possible. HMG

utilizes Quantem Laboratories for our Polarized Light Microscopy, unless otherwise specified by

the client. The findings and conclusions of HMG represent our professional opinions

extrapolated from limited data. Significant limited data is gathered during the course of the

preliminary asbestos specific site assessment. No other warranty is expressed or implied. Prior

to any abatement or renovation activities, it is recommended that HMG be provided the

opportunity to review such plans in order that the inspection and assessments contained herein

are properly interpreted and implemented.

This report and the information contained herein are prepared for the sole and exclusive use and

possession of the City of Milwaukee Department of Neighborhood Services. No other person or

entity may rely on this report or any information contained herein. Any dissemination of the

Report or any information contained herein is strictly prohibited without prior written

authorization from Harenda Management Group.




Contract # 360-13-0745

6





Contract # 360-13-0745

7






ASBESTOS





CFCs and HALONS



N/A Dehumidifiers

N/A Heat Pumps



N/A Walk-in Coolers




N/A Water Coolers

LEAD









Contract # 360-13-0745

8

MERCURY


LIGHTING



-Metal Halide


-Mercury Vapor

N/A Neon




HVAC


containing mercury.


N/A Old Thermostats

N/A Aquastats

N/A Firestats

N/A Manometers

N/A Thermometers




N/A Pressure-trol


N/A Space Heaters




Contract # 360-13-0745

9

ELECTRICAL SYSTEMS


N/A Phase Splitters



PCBs




found:

N/A Transformers



N/A Light Ballasts


applications)



N/A Hazardous Waste

N/A Oil Tanks


N/A Junk Auto Tires

N/A Junk Vehicles




Contract # 360-13-0745

10





Date Received:

Received By:

Date Analyzed:

Analyzed By:

Methodology:

QuanTEM Sample ID

001

002

003

004

005

006

006a

12/16/2013

Alex Raymond

12/17/2013

Crista! Veech

EPN600/R-93/116

Client Sample ID

1-3215

2-3215

3-3215

4-3215

5-3215

6-3215

Composition

Homogeneous

Homogeneous

Homogeneous

Homogeneous

Homogeneous

Layered

Layered

1237 West Bruce St. Milwaukee, WI 53204

Project: DNS



Color I Description

White

Sheetrock

White

Sheetrock

Gray

Plaster

Gray

Plaster

Gray

Plaster

White

Texture

White

Joint Compound

Asbestos(%)


ASbestos Not Present







Cellulose I 0 Gypsum Mica

Cellulose 10 Gypsum Mica

NA Sand Gypsum

Cellulose 2 Sand Gypsum

Cellulose 2 Sand Glass Fiber <1 Gypsum

NA CaC03

NA

Perlite Paint

CaC03 Perlite


QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 10 1959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis perfonned utilizing EPN600/M4-82-020 and EPN600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency

of the US Government. This report may not be reproduced except in full, without the written approval of the laboratory.

Page 1 of 5




Account Number: B929 Jolene Harenda 1237 West Bruce St.

Date Received: 12/ 16/2013 Milwaukee, WI 53204

Received By: Alex Raymond

Date Analyzed: 12/ 17/2013 Project: DNS

Analyzed By: Crista! Veech Project Location: Milwaukee, WI

Methodology: EPA/600/R-931116 Project Number: 13-2000-399.3215

QuanTEM Client Color I Non-Asbestos Non Fibrous Sample JD Sample ID Composition Description Asbestos(%) Fiber(%)

006b Layered White Asbestos Not Present Cellulose 3 Gypsum

Sheetrock

007 7-3215 Layered White Asbestos Not Present NA CaC03

Texture Perlite Paint

007a Layered White Asbestos Not Present NA CaC03

Joint Compound Perlite


Sheetrock


Texture

008a Layered White Asbestos Not Present NA CaC03

Joint Compound


Sheetrock


QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: I 01959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPN600/M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency


Page 2 of 5

2033 Heritage Park Drive I Oklahoma City, OK 73120 I (405) 755-7272 / Fax (405) 755-2058


QuanTEM Lab No_ 230012 Client: Harenda Management Group


Date Received: 12/ 16/2013 Milwaukee, WI 53204 Received By: Alex Raymond


Analyzed By: Cristal Veech Project Location: Milwaukee, WI

Methodology: EPA/600/R-93/116 Project Number: 13-2000-399.3215

QuanTEM Client Color I Non-Asbestos Non Fibrous Sample ID Sample ID Composition Description Asbestos(%) Fiber(%)

009 9-3215 Homogeneous Tan Asbestos Not Present Cellulose 100

Insulation


Insulation


Insulation

012 12-3215 Homogeneous Gray Asbestos Present NA Vinyl

Sheet Vinyl Chrysolite 25


Texture Paint

013a Layered Tan Asbestos Not Present NA Gypsum

Skim Coat Sand

013b Layered White Asbestos Not Present Cellulose 3 Sand

Plaster Gypsum

Unless otherwise noted, upon reeeipt the condition of the sample was acceptable for analysis.

QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis perfom1ed utilizing EPA/600!M4-82-020 and EPA/600/R-931116 methods. This report may not be used to claim product endorsement by NVLAP or any agency

of the US Government This report may not be reproduced except in full, without the written approval of the laboratory.

Page 3 of 5

1111!!!1!!.-!!!.J!!!!!® ---~iii ••• LABORATORIES

2033 Heritage Park Drive f Oklahoma City, OK 73120 I (405) 755-7272/ Fax (405) 755-2058


QuanTEM Lab No. 230012 Client: Harenda Management Group Jolene Harenda Account Nwnber: 8929

Date Received:

Received By:

Date Analyzed:

Analyzed By:

Methodology:

QuanTEM Sample ID

014

015

016

017

018

019

020

12/16/2013

Alex Raymond

12/17/2013

Cristal V eech

EPA/600/R~93/ll6

Client SampleiD

14-3215

15-3215

16-3215

17-3215

18-3215

19-3215

20-32 15

Composition

Homogeneous

Homogeneous

Homogeneous

Homogeneous

Homogeneous

Homogeneous

Homogeneous


Project: DNS



Color I Description

Tan

Sheet Vinyl Backing

Yellow

Plaster

Gray

Plaster

Tan

Window Glazing

Gray

Siding

Gray

Siding

Gray

Siding

Asbestos (%)









Cellulose 90 Binder

NA Sand CaC03 Paint

Cellulose 2 Sand

Glass Fiber <1 CaC03

NA CaC03

Cellulose 40 Tar Sand




QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: I 0 1959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EP AI600/M4-82-020 and EP A/600/R -93/ I t 6 methods. This report may not be used to claim product endorsement by NVLAP or any agency


Page 4 of5

2033 Heritage Park Drive / Oklahoma City, OK 73120 I (405) 755-7272/ Fax (405) 755-2058



Date Received: 12/16/2013 1237 West Bruce St. Milwaukee, WI 53204

Received By:

Date Analyzed:

Analyzed By:

Methodology:

Alex Raymond

12/17/2013

Crista! V eech

EPA/600/R-93/116

Project: DNS



QuanTEM Client Color I

~~~~ Qr~~·ption · Cci.tal V0<oh,ll.JY;l

Asbestos(%)

12/ 17/2013 Date of Report

Unless otherwise noted, upon receipt the condition of the sample WIIS acceptable for analysis.

Non-Asbestos F iber(%)

Non Fibrous

QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency


Page 5 of 5


LEGAL DOCUMENT- PLEASE PRINT LEGIBLY

Page 1 of .:(

~--····--·-·-··-·-·-

For Lab US« Only

Lab No. '~> c:s::) l ?-.

~ Reject . . . .....___......-------.

. . : ~roject Information Report Results (ltf one bOX) · Contact lllformation · .... ·· ··

Company: Harenda Management Group

Contact: Dean Jacobsen

Account 1: 8929

SAMPLED BY: I Nam~ " " RELINQUISHfD8Y ,·-·.

_\_)~\Yd~ \

,.

PhoM: ( 414) 383-4800 Project Name: DNS D QuanTEM Website

Cell Phone: ProJectLocation: Milwaukee, WI 0 Other email

E-mail: [email protected] II Project ID: 13-2000-399.3215

Date: P.O. Number:

· J~DAtf& TIME.·.·. [ · ... ·. VIA I ' .. RECEIVED BY' DATE&TIME

I!Z/Cz.l\~ l~ I fc-JXl( J..~~ IV/~ I t!> r <::b.--..

( REOuesTeo s~RVJ~s · {PI~~~~~J':ih~-~pj:,rop~e foxes> ·

'" PlJ\,t> Pi..M~ _ . _. : . TEM~ <; ·· . TEM TURNAROUND TIME [iJ. BulkAnalysis(EPA600/R-93/116) D VermicullteAtticlnsulation 0 Air- AHERA 0 Bulk-Presence/AbsenceEPA600/R-93/116 0 Rush

r {EPA 600/R-o-t/004) D 400 Point Count D Other 0 Air- NIOSH 7402 0 Bulk- Quantitative [weight%]- Chatfield 0 Same Day

0 1000 Point Count 0 Air- ISO 103~2 0 Dust- Presence / Absence 0 24- Hour

0 G~'"'""' ""'"'~"'" I :. . ·: · ' •. · · .P<i'M . ., j 0 D•lnking ,.,.,_EPA 1002 O """-Q"'"'"""' (ftboW"l-=1-ASTM 05755 ~ 3 _ Day l D Particle ID 0 I NIOSH 7400 0 Waste Water- EPA 600/4-83-043 0 Other 0 5 - Day

No.I (-t.Q,:.:rtJ:~MI~), .--~ ~ ~'I' ,~ :. I~: :'_ ~~lor < •. _,,.,, • . . , .. , •• • ~ • •

Comm~nts.l Notes .. · ~;;~·-, : ... ~:. , .. : •. (:•••.)i~~~~riptifn '.·· vOlume/Area · .. (isa~l~e)

1 I I~ 3215 I ~ 2 IZr-32!5 I C 3 13 -32(5

4 ' '{~ aJ 5 15- ~2(5 OJ 6 I f>--£\5 I1J 7 1 7-32(~ [ 8 l 'g- 3Zt5"" [ 9 fY -3'45 [ 10 I[;) -~5 ~


BORA TORIES www.QuanTEM.com

ProJect Information · ·.. . .. (-'· .. ... · .. .·

company: Harenda Management Group

No. Sample tO . . ··· lit· To Be 1 Color·.· ..... .... (1 0-Charact,rs .Max) . ·.A~ ·.· . .. ·. · .. . · ..

11 q --326 u;:J 12 /'l. ~ 32-CS [ 13 (3 -~2(5 [ 14 I <-{ - "3Zlt; [ 15 {5 -32L5 [ 16 t0 -32(.) [ 17 \r-32ts [ 18 \i' -=)Zl5 [ 19 l/-~2l_5 [ D 20 '2D ~?;2{5 B c: 21 D 22 D 23 D 24 D 25 D 26 D 27 0 28 D 29 D 30 ,_ D -

ASBESTOS CHAIN OF CUSTODY 2033 Heritage Park Drive, Oklahoma City, OK 731 20-7502 (800) 822-1650 • (405) 755-7272 • Fax: (405) 755-2058

LEGAL DOCUMENT - PLEASE PRINT LEGIBLY

.. .......... ....... · ...............

Page 2 of 'Z..... ,-----·-·--··-·--·---··--·----·--·--·

For .Lab use only

Lab No. ~36o 1 '?-Accept Re;ect

.

I Project Name: DNS I Project Location: Milwaukee, WI

. .. · · Oes~ription Volume./ Area .• Comment~ I Notes . . ·.• <.(c)s iippiable> 1

·.

.1b ~ \ e(t ~+..t

-

-

SATURDAY SAMPlE DEliVERY -CALl TO SCHEDULE • Use this address for Saturday Delivery only: 4220 N. Santa Fe Ave., Oklahoma City, OK 73105-8517 • Mark Package "Hold for Saturday Pi(kup"

"'

I

'




Contract # 360-13-0745

11




Job Site:

One Family Dwelling

3227 North 25th

Street


For:

City of Milwaukee


Attn: Marge Piwaron



HMG Report No.: 13-2000-399.3227


________________________ Dean Jacobsen


Prepared by:




December 2013


3227 North 25th Street December 23, 2013


Contract # 360-13-0745

1

TABLE OF CONTENTS

I. Introduction ..............................................................................................................2





V. Exclusions ................................................................................................................4

VI. Limitations ...............................................................................................................5







Contract # 360-13-0745

2

I. INTRODUCTION



dwelling at 3227 North 25th Street, Milwaukee, Wisconsin.

The inspection included plaster, tar paper, drywall/joint compound, blown in insulation,

linoleum, duct paper, flue packing, and window glazing compound to determine if asbestos

containing materials were present within the space as required by US EPA NESHAP regulation

40 CFR 61 Subpart M.

II. BUILDING SURVEY



On December 13, 2013, HMG conducted an asbestos inspection of a one family dwelling,

scheduled for mechanical demolition, located at 3227 North 25th Street, Milwaukee,

Wisconsin. The inspection was conducted by Demicca Coe, Wisconsin License No. AII –

156385.









III. THE LABORATORY














Contract # 360-13-0745

3








tar paper, drywall/joint compound, blown in insulation, linoleum, duct paper, flue packing, and

window glazing compound. These materials were sampled and the following results were noted:


Quantity

Homogeneous

Code

1-3227 Exterior – east wall under wood – tar paper Negative N/A MPT

2-3227 Exterior – north wall under wood – tar paper Negative N/A MPT

3-3227 Exterior – west wall under wood – tar paper Negative N/A MPT

4-3227a 2nd floor – dining room – south wall – plaster skim

coat

Negative N/A SPl

4-3227b 2nd floor – dining room – south wall – plaster base

coat

Negative N/A SPl

5-3227a 2nd floor – west bedroom – south wall – plaster

skim coat

Negative N/A SPl

5-3227b 2nd floor – west bedroom – south wall – plaster

base coat

Negative N/A SPl

6-3227a 2nd floor – rear stair – north wall – plaster skim

coat

Negative N/A SPl

6-3227b 2nd floor – rear stair – north wall – plaster base

coat

Negative N/A SPl

7-3227a Basement – stair – ceiling – plaster skim coat Negative N/A SPl

7-3227b Basement – stair – ceiling – plaster base coat Negative N/A SPl

8-3227a Attic – stair – west wall – plaster skim coat Negative N/A SPl

8-3227b Attic – stair – west wall – plaster base coat Negative N/A SPl

9-3227a 1st floor – bathroom – west wall – joint compound Negative N/A MDW

9-3227b 1st floor – bathroom – west wall – drywall Negative N/A MDW

10-3227a 1st floor – rear stair – east wall – joint compound Negative N/A MDW

10-3227b 1st floor – rear stair – east wall – drywall Negative N/A MDW

11-3227 Attic – bedroom – ceiling – drywall Negative N/A MDW

12-3227 Attic – bedroom – on floor – blown in insulation Negative N/A MBI

13-3227 Attic – west side – on floor – blown in insulation Negative N/A MBI

14-3227 Attic – north side – in ceiling – blown in insulation Negative N/A MBI

15-3227 1st floor – front entry – blue linoleum Negative N/A MFLb

16-3227 1st floor – kitchen – blue linoleum #2 Negative N/A MFLb2

17-3227 1st floor – bathroom – cream linoleum Negative N/A MFLc

18-3227 Basement – on stair – cream linoleum #2 Negative N/A MFLc2

19-3227 Basement – on boots – duct paper Quantity

includes 1st floor ducts

Positive 80%

Chrysotile

12 Sq. Ft. TDW

20-3227 1st floor – living room – on floor – tar paper #2 Negative N/A MPT2



23-3227 1st floor – rear stair – west window – glazing

compound

Negative N/A MPG




Contract # 360-13-0745

4


Quantity

Homogeneous

Code

24-3227 1st floor – north bedroom – north window – glazing

compound

Negative N/A MPG

25-3227 Basement – south window – glazing compound Negative N/A MPG






Roof Dwelling Asphalt Shingles & Flashing 1,100 Sq. Ft.

1st Front Entry/Kitchen/Bathroom/

Hall/Stair

Floor Tile & Mastics 250 Sq. Ft.


SPl Plaster

MPT Tar Paper

MPT2 Tar Paper #2

MDW Drywall/Joint Compound


MFLb Blue Linoleum

MFLb2 Blue Linoleum #2

MFLc Cream Linoleum

MFLc2 Cream Linoleum


TDW Duct Paper

TFP Flue Packing



condition.






V. EXCLUSIONS


of work.








Contract # 360-13-0745

5



VI. LIMITATIONS

















Contract # 360-13-0745

6





Contract # 360-13-0745

7






ASBESTOS





CFCs and HALONS



N/A Dehumidifiers

N/A Heat Pumps



N/A Walk-in Coolers




N/A Water Coolers

LEAD









Contract # 360-13-0745

8

MERCURY


LIGHTING



-Metal Halide


-Mercury Vapor

N/A Neon




HVAC


containing mercury.


N/A Old Thermostats

N/A Aquastats

N/A Firestats

N/A Manometers

N/A Thermometers




N/A Pressure-trol


N/A Space Heaters




Contract # 360-13-0745

9

ELECTRICAL SYSTEMS – 1 Breaker Box in Basement


N/A Phase Splitters



PCBs




found:

N/A Transformers



N/A Light Ballasts


applications)



N/A Hazardous Waste

N/A Oil Tanks


N/A Junk Auto Tires

N/A Junk Vehicles

* ½ Gallon Ammonia in Kitchen

* 1 Gas Meter in Basement




Contract # 360-13-0745

10






Date Received: 12/16/2013 Milwaukee, WI 53204


Date Analyzed: 12/18/2013 Project: DNS


Methodology: EPA/600/R-931116 Project Number: 13-2000-399.3227

QuanTEM Client Color/ Non-Asbestos Non Fibrous SampleiD Sample lD Composition Description Asbestos (%) Fiber(%)

001 1-3227 Homogeneous Black Asbestos Not Present Cellulose 60 Tar

TarPaper


Tar Paper


Tar Paper

004 4-3227 Layered White Asbestos Not Present Cellulose 2 Quartz

Plaster Sand Paint

004a Layered Tan Asbestos Not Present Cellulose 2 Quartz

Plaster Sand

005 S-3227 Layered White Asbestos Not Present NA Quartz

Plaster Sand Paint

005a Layered Tan Asbestos Not Present NA Quartz

Plaster Sand


QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 1 01959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EP N600/M4-82-020 and EP N6001R-93/1 16 methods. This report may not be used to claim product endorsement by NV LAP or any agency

ofthe US Government. This report may not be reproduced except in full, without the written approval of the laboratory.

Page 1 of5

2033 Heritage Park Drive I Oklahoma City, OK 73120 I (405) 755-72721 Fax (405) 755-2058



Jolene Harenda Account Number:

Date Received:

Received By:

Date Analyzed:

Analyzed By:

Methodology:

QuanTEM Sample lD

B929

12/16/2013

Alex Raymond

12/18/2013

Sandy Baker

EPA/600/R-93/116


Project: DNS

123 7 West Bruce St. Milwaukee, WI 53204





·--· --- --- ·-- --- ·--- ---~~- ·---------

006 6-3227 Layered White Asbestos Not Present Cellulose

Plaster

006a Layered Tan Asbestos Not Present Cellulose

Plaster


Plaster


Plaster


Plaster


Plaster


2

2

<1

3

2

2

Non Fibrous

Quartz Sand Paint

Quartz Sand

Quartz Sand Paint

Quartz Sand

Quartz Sand Paint

Quartz Sand

QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPN600fM4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency

of the US Government. This report may not be reproduced except in full, without the ·written approval of the laboratory.

Page 2 of5

2033 Heritage Park Drive I Oklahoma City, OK 73120 I (405) 755-7272 1 Fax (405) 755-2058




Date Received: 12116/2013 Milwaukee, WI 53204






- -·-- - ·


Texture Paint

009a Layered White Asbestos Not Present Cellulose 30 Gypsum

Sheetrock


Joint Compound

OIOa Layered White Asbestos Not Present Cellulose 30 Gypsum

Sheetrock

011 I 1-3227 Homogeneous White Asbestos Not Present Cellulose 35 Gypsum

Sheetrock


Insulation


Insulation


QuanTEM is a NV LAP accredited PLM laboratory (Lab Code: I 01959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency


Page 3 of 5

2033 Heritage Pari< Drive I Oklahoma City, OK 73120 I (405) 755-7272/ Fax (405) 755-2058






Date Analyzed: 12118/2013 Project: DNS



QuanTEM Client Color I Non-Asbestos Non Fibrous

Sample ID Sample ID Composition Description Asbestos(%) Fiber(%)

----


Insulation

015 15-3227 Homogeneous Brown Asbestos Not Present Cellulose 25 Vinyl

Sheet Vinyl Glass Fiber 5 Foam

016 16-3227 Homogeneous Tan/Brown Asbestos Not Present Cellulose 25 Vinyl


017 17-3227 Homogeneous Tan Asbestos Not Present Cellulose 25 Vinyl


018 18-3227 Homogeneous Cream Asbestos Not Present Cellulose 25 Vinyl


019 19-3227 Homogeneous Light Gray Asbestos Present NA Debris

Insulation Chrysotile 80


Tar Paper


QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NV LAP or any agency


Page 4 of 5



QuanTEM Lab No. 230008 Client Harenda Management Group







QuanTEM Client Color I Non-Asbestos Non Fibrous

Sample ID Sample ID Composition Description Asbestos(%) Fiber(%)


Tar Paper


Tar Paper

023 23-3227 Homogeneous Tan Asbestos Not Present NA CaC03

Window Glazing Paint

024 24-3227 Homogeneous Tan Asbestos Not Present NA CaC03

Window Glazing Paint

025 25-3227 Homogeneous Black Asbestos Not Present NA CaC03

Window Glazing

026 26-3227 Homogeneous Light Gray Asbestos Not Present NA CaC0 3

Window Glazing

12118/2013

Date of Report

Unless o erwise noted, upon receipt the condition of the sample was acceptable for analysis.

Q uanTEM is a NV LAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPN600/M4-82-020 and EPN600fR-93/1 16 methods . This report may not be used to claim product endorsement by NVLAP or any agency

of the US Government. This report may not be reproduced except in full, without the written approval ofthe laboratory.

Page 5 of 5

ASBESTOS CHAIN OF CUSTODY Page 1 of ~

~-t~I:IY~ .2033 Heritage Park D rive, Oklahoma City, OK 73120-7502 ~ - ·--·- -·

(800) 822-1650 • (405) 755-7272 • Fax: (405) 755-2058 For Lab Use Only

LABORATORIES d~ ·.' · Lab No. J.2 COo "'~ www.QuanTEM.com LEGAL DOCUMENT - PLEASE PRINT LEGIBLY ~ Reject

Contact thformation · · .. Proj~ct Information ..

·Report Restnts (li:1 on~ box) . Company; Harenda Management Group Phone: ( 414) 383-4800 Project Name: DNS D QuanTEM Website

Contact: Dean Jacobsen Cell Phone: ProJectlocation: Milwaukee, WI 0 Other email Account 1: 6929 E-mail: [email protected] ProjectiO: 13-2000-399.3227

SAMPLEP Br. .1 Name: Date: P.O. Number:

. ( \ ·· \'\RCEtiNQUISHEDBY. ·. '•· . •· <<DATE~ TIME' .. . .

·.· . . .. VIA RECEIVJ;O ·BY .DATE&TJME

\ 1 i;n)'JJ UA (Z{rz./t?J ~ f~ JJ~~) /')..jf &/( 3 /Oo. ,.__ ....

\ (} .... ·:,.. .. , ; ·- JteOUESTEO·SUVf(;E,~ .f~- Ql'·. the.~,r~PiYate aOx.e$) ·. ·.' .. ::: .. :

· Pl M · .···· .·, · ~~· > .. ··.: .. :. ·/ TfM· ' · TEM ·· TURNAROUND TIME ·.· ' ~ .. . . . ' · .. · ....

liJ Bulk Analysis (EPA 600/R-93/ 116) D Vermiculite Attic Insulation D Alr- AHERA D Bulk- Presence I Absence EPA600/R-93/116 D Rush

C (EPA 600/ R-04/004)

D D D 400 Point Count

D Air- NIOSH 7402 Bulk- Quantitative [weight%)- Chatfield Same Day

Other r- 1000 Point Count D Air- ISO 10312 D Dust- Presence I Absence D 24 - Hour ..-

Gravimetric Preparation I ·· .. ·PCM · . I D Drinking Water- EPA 1 00.2 D Dust- Quantitative [fibers/sq.cm)- ASTM 05755 ~ 3 - Day

D Particle 10 : t:l l NI~SH ';40~ ·- . . : D Waste Water- EPA 600/4-83-043 D Other D 5-Day

No~ · ~mple' IP : _ ·. it! To Be .. COlOr, . : ; _ .... ·., ·_. , _;: ., . : oesctilp~~"'\ <~-~. ~ :.·:: ·~ .. . ·. ···.·. . Volume / Area ·•. Comments/ Notes

·. {IO ~haracters ·Max>· .. · :~; ·· ... ·~..: .. _)~- : .- .:.- · .. _

- ·····~~>·· : •.

1 ( -3221 [(] ·-

2 () -~ [ 3 '3-?221 [ 4 ~ -~ZZI [ 5 5 -"322( [ 6 ~-?Qz( _[ 7 7~~27.1 [ 8 :o-~' [ 9 9-?Jzzl [ 10 tu-~r J!]_

-

SATURDAY SAMPLE DELIVERY · CALL TO SCHEDULE • Use thisaddress for Saturday Delivery only: 4220 N. Santa Fe Ave., Oklahoma City, OK 73105-8517 • Mark Padcage "Hold fM Saturday Pkkupn

.. -.DvRATORIES www.QuanTEM.com

Project lnfprml)tion


No. ·sample 10 lti.ToBe {10 Characters Max)· Analyzed

11 (( . ")22[ 00 12 12.-:a-, [ 13 !.? -~~ h 14 /'7-~1 [ 15 15 -?;a_( [ 16 l?::>-~( [ 17 11-~\ [ 18 rg -""t>'l2r [] 19 I'? -~"2.2.( [ 20 2;:)-~221 [ 21 -z1 -'3Zzc c 22 22--~227 c 23 "23 ·-?2Zr [ 24 2~-322.7 [ 25 zs_ ~a-r c 26 "-322.\ ~ 27 D 28 D 29 D 30 D

Color. .

ASBESTOS CHAIN OF CUSTODY 2033 Heritage Park Drive, Oklahoma City, OK 73120-7502 (BOO) 822-1650 • (405) 755-7272 • Fax: (405) 755-2058

LEGAL DoCUMENT - PLEASE PRINT LEGIBLY

Page 2 of ~ For lab Use Only

Lab No. '~:>ceo <(,

Accept Reject

.

I Project Name; DNS I ProjectLocation: Milwaukee, WI

Description : ·· · . . Volume I Area Comments/ Notes (as applicable)

~0 ~.;t T~-t ~'i:,"t-.c:..

I

~





Contract # 360-13-0745

11


ASBESTOS INSPECTOR

STATE OF WISCONSIN

Dept. of lleahh Services

Demicca Andrea Marie Coe

1237 W Bruce St

Milwaukee WI 53204-12 18

ISO lbs 5' 0 I "

All-156385 Ex : 09/26/2014 09/081197 1 Female

Training due by: 09/26/20 14


Fire Damaged 1 Family Dwelling

3310 North 301b Street


For:


Attn: Marge Piwaron 841 North Broadway 1st Floor



~~~ Dean Jacobsen Asbestos Inspector No. All - 14370

Prepared by:



February 2013

P.O. Box 511305 ·New Berlin, Wisconsin 53151-2 105 · (414) 383-4800 · (414) 383-4805

TABLE OF CONTENTS

I. Introduction ......... .. ...... ........................................................... ........................... ...... . 2

II. Building Survey ........................ .... ............. ...... .... .................... .. ... ................... ........ 2

III. The Laboratory .. ........... ...... .. ... .... ............... ...... ............... .... .. .. ........ .... .................. ... 2 A. Method of Analysis

IV. Findings and Observations ................................ ....... ................... .. ....... ... ..... .... ... .... .3

V. Exclusions ................ ................... ..... ........................ ....... .. .. ....... ..... ............ .......... ... 6

VI. Limitations ....... ...... ............ ... .. .. .... ........... ........... .... .............. ....... ....... .. ............... .... . 6

VII. Pre-Demolition Environmental Checklist .. . .......... ..... . ... . ..... .. ...... .. . .. ..... . . 7

VIII. Laboratory Results ...................... .. ......................... .............................................. .. 11

IX. HMG Certifications ....................................... ....... ... ... ...... ............ .................... ..... 12

I family Dwelling Asbestos Inspection 3310 North 30"' Street Milwaukee. Wisconsin Contract# 360-Jl-0745

W:/Word/HMG/ 13 Projectsfl3·0105.33 10 february 19. 2013

HMG Project il 13-0105

I. INTRODUCTION

Harenda Management Group (HMG) was retained by the City of Milwaukee Department of Neighborhood Services to conduct an inspection for possible asbestos containing materials in the dwelling at 3310 North 30th Street, Milwaukee, Wisconsin.

The inspection included plaster, texture, linoleum, flue packing, drywall/joint compound, ceramic tile, ceiling tile, and window glazing compound to determine if asbestos containing materials were present within the space as required by US EPA NESHAP regulation 40 CFR 61 Subpart M

II. BUILDING SURVEY

Marge Piwaron, of the City of Milwaukee Department ofNeighborhood Services, authorized HMG to conduct a building survey and to analyze samples taken during the inspection.

On February 7, 2013, HMG conducted an asbestos inspection of a one family dwelling scheduled for mechanical demolition, located at 3310 North 30th Street, Milwaukee, Wisconsin. The inspection was conducted by Dean Jacobsen, Wisconsin License No. All- 14370.




3. · Quantification of observable positive materials existing within the spaces.

The results of the survey integrated ~th the Polarized Light Microscopy with Dispersion Staining (PLMIDS) analysis of bulk samples taken are outlined in this document. If you have any questions please contact HMG at (414) 383-4800.

III. THELABORATORY


Analysis is performed by using the bulk samples for visual observation and slide preparation(s) for microscopical examination and identification. The slides are analyzed for asbestos (chrysotile, amosite, crodcidolite, anthophyllite, and actinolite/ tremolite), fibrous non asbestos constituents (mineral wool, paper, etc.), and nonfibrous constituents. Asbestos is identified by refractive indices (obtained by using dispersion staining),

1 Family Dwelling Asb<stos Inspection 33 10North 30"'Street Milwaukee, \Visconsin Contract # 360-13.()745

2 W:/Word!HMG/13 Projectsl13-0105.33 10 February 19. 2013

HMG Project ~ 13-0 I OS



The materials identified as suspect asbestos containing materials (ACM) include plaster, texture, linoleum, flue packing, drywall/joint compound, ceramic tile, ceiling tile, and window glazing compound. These materials were sampled and the following results were noted:


1-3310 I '1 floor - front entry - top layer - brown and gray linoleum

2-33 IO 1 '' floor - front entry- bottom layer - tan linoleum

3-3310 I st floor - bathroom - top layer - brown and red linoleum

4-3310 1 '' floor- bathroom- under plywood- tan and gray linoleum

5-3310 Basement - on north side of chimney- top layer - gray flue packing

6-3310 Basement- on north side of chimney - bottom layer - white flue packing

7-3310a Basement - on east and west sides of chimney -light gray flue packing

7-3310b Basement - on east and west sides of chimney -plaster

8-3310a 1st floor -kitchen- ceiling - plaster base coat 8-33 10b 1st floor - kitchen - ceiling -plaster skim coat 9-3310a 1 ' 1 floor - northeast bedroom - ceiling - plaster

base coat 9-3310b 1 ' ' floor- northeast bedroom- ceiling- plaster

skim coat 10-3310a 1 '1 floor -northwest bedroom - ceiling - plaster

base coat 10-3310b I '1 floor- northwest bedroom - ceiling - plaster

skim coat I l-3310a 1st floor - dining room- ceiling - plaster base

coat ll -33IOb 1 '' floor- dining room - ceiling - plaster skim

coat

1 Family Dwelling Asbestos Inspection 331 o Nonb >o" Street

3 Milwaukee, Wisconsin Contract # 3~ 13-0745

Results

Negative

Negative

Negative

Negative

Negative

Negative

Negative

Negative


Negative

Negative

Negative

Negative

Negative


N/A MFLny

NIA MFLt

N/A MFLnr

N/A MFLty

NIA TFPy

N/A TFPw

N/A TFPy

N/A TFPy

NIA SPl N/A SPl N/A SPl

N/A SPl

N/A SPl

NIA SPl

NIA SPl

NIA SPl

W:/Word/HMG/13 Projects/13..0105.3310 February 19, 20 13

HMG Project# 13..0105


12-3310a I 51 floor - living room- south wall - plaster base coat

l2-3310b I'' floor - living room - south wall - plaster skim coat

13-3310 I'' floor- northeast bedroom- ceiling- texture 14-3310 I 51 floor - northwest bedroom - ceiling - texture 15-3310 I 51 floor- living room- ceiling- texture 16-33 10a Basement - south wall - plaster #2 16-3310b Basement - south wall - plaster #2 skim coat 17-3310a Basement - north wall - plaster #2 17-3310b Basement - north wall - plaster #2 skim coat 18-3310a Basement - east wall - plaster #2 18-3310b Basement - east wall - plaster #2 skim coat 19-3310 151 floor - northeast bedroom - west wall -

texture #2 20-3310 151 floor- northwest bedroom- south wall-

texture #2 21-3310 151 floor - dining room - north wall - texture #2 22-3310 151 floor - northeast bedroom- north wall -

drywall 23-3310 1 '' floor- bathroom - south wall - drywall 24-3310 151 floor - front entry -north wall - drywall

25-3310a 151 floor -bathroom - on wall near floor - gray ceramic tile

25-33 10b 151 floor -bathroom- on wall near floor - gray ceramic tile grout

26-3310 1 ' ' floor - bathroom - on east and west walls -cream ceramic tile

27-3310a 151 floor - bathroom - on northeast corner wall -red and yellow ceramic tile

27-3310b 151 floor - bathroom - on northeast corner wall -red and yellow ceramic tile !!rout

28-3310 151 floor- dining room- 1' x 1' ceiling tile 29-3310 151 floor- living room - east side - 1' x 1' ceiling

tile 30-3310 151 floor - living room - west side- 1' x 1' ceiling

tile 31-3 310 I 51 floor - dining room- on east wall- white and

red ceramic tile 32-3310 I 51 floor- bathroom - ceiling east side - texture

#3 33-3310 I'' floor- bathroom - ceiling center - texture #3 34-3310 151 floor - bathroom - ceiling west side - texture

#3 35-33 10 I 51 floor - living room - south window- glazing

compound 36-33 10 Quality Assurance/ Quality Control Sample of

SampJe 2-3310 37-3310 Quality Assurance/ Quality Control Sample of

Sample 3-3310

I Family Dwelling Asbestos Inspection 3310 Nonh 30lb Street

4 Milwaukee, Wisconsin Contnct N 360-13-0745

Results

Negative

Negative

Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative

Negative

Negative Negative


Negative

Negative

Negative

Negative

Negative Negative

Negative

Negative

Negative

Negative Negative

Negative

Negative

Negative


N/A SPI

N/A SPl

N/A STX N/A STX N/A STX NIA SPI2 N/A SPI2 N/A SP12 N/A SPI2 N/A SPI2 N/A SPI2 N/A STX2

N/A STX2

N/A STX2 N/A MDW

N/A MDW N/A MDW N/A MCTMy

N/A MCTMy

N/A MCTMc

N/A MCTMrl

N/A MCTMrl

NIA MSCT11 N/A MSCTil

N/A MSCT11

N/A MCTMwr

N/A STX3

N/A STX3 N/A STX3

N/A MPG

NIA QAQC

N/A QAQC

WJWord/HMG/ 13 Projects/13-0105.3310 February 19, 2013


Notes: N/A =Not Applicable Sq. Ft.= Square Feet

A ssume d c t a egory I N F . bl A b t C t . . M t . I on- na e s es os on ammg a ena: Floor Level Location Description Approximate Quantity

Roof Dwelling Asphalt Shingles & Flashing 1 SI/ 2Dd Dwelling Asphalt Shingle Siding

J Sl Kitchen/Bathroom Floor Tile & Mastic } St Front Entry/Dining Room/Bathroom Floor & Wall Mastic


SPI SPI2 STX STX2 STX3 MPG MFLny MFLt MFLnr MFLty MFLy MDW MCTMy MCTMc MCTMrl MSCTll TFPw TFPy TFPylight QAIQC

Plaster Plaster #2 Texture Texture #2 Texture #3 Window Glazing Compound Brown & Gray Linoleum Tan Linoleum Brown & Red Linoleum Tan & Gray Linoleum Gray Linoleum DrywalVJoint Compound Gray Ceramic Tile Cream Ceramic Tile Red & Yellow Ceramic Tile 1' x I ' Ceiling Tile White Flue Packing Gray Flue Packing Light Gray Flue Packing Quality Assurance/Quality Control Sample

950 Sq. Ft. 1,300 Sq. Ft. 580 Sq. Ft. 180 Sq. Ft.

Note#l: Category I - Non-Friable Asbestos Containing Materials may become friable during mechanical demolition activities or maybe considered friable prior to demolition activities due to its current condition.



I Family Dwelling AsbeSios Inspection 33 10 Nonh 30~ Street Milwaukee, Wiscoruin ConlraCI # 360-13-0745

5 W:/WordiHMG/13 Projecu/13-0105.3310 February 19, 20\3

HMO Projecl # 13-0105

V. EXCLUSIONS

No access to 2 nd floor and attic. Roof visible only from ground. No visible or accessible areas or material were excluded from this scope of work.

HMG is not and shall not represent the building owner as its agent or representative for the purpose of the US EPA/NESHAP and/or the WDNRINR447 regulations, as owner/ operator.

This report represents the condition ofthe building and its visible/accessible suspect asbestos containing materials at the date and the times of the onsite inspection. Hidden materials or those materials that could be present at the point of inspection, over and above those stated in the inspection report, are the responsibility of the building owner and the demolition contractor.

VI. LIMITATIONS

The care and skill given to our procedures insures the most reliable test results possible. HMG utilizes Schneider Laboratories for our Polarized Light Microscopy, unless otherwise specified by the client. The findings and conclusions ofHMG represent our professional opinions extrapolated from limited data. Significant limited data is gathered during the course of the preliminary asbestos specific site assessment. No other warranty is expressed or implied. Prior to any abatement or renovation activities, it is recommended that HMG be provided the opportunity to review such plans in order that the inspection and assessments contained herein are properly interpreted and implemented.

This report and the information contained herein are prepared for the sole and exclusive use and possession of the City of Milwaukee Department of Neighborhood Serv{ces. No other person or entity may rely on this report or any information contained herein. Any dissemination of the Report or any information contained herein is strictly prohibited without prior written authorization from Harenda Management Group.

I Family Dwelling Asbestos Inspection 3310 Nonh 30~ Street Milwaulcee, Wisconsin Contract N 360-13~745

6 W:JWord/HMG/ 13 Projects/13~105.3310

Fcbru..-y 19. 2013 HMG Project# 13·0105


1 Family Dwelling Asbestos Inspection 3310 Nonh 301b Str~t ~ii.lwaukee. Wis.consin Contract# 360-13-0745

7 W:/Word/HMG/13 Projects/13-0105.3310 febtuaiY 19, 2013

HMG Project II 13-0105





N/ A Dehumidifiers

N/ A Heat Pumps

2 Refrigerators, Freezers, Chillers - Kitchen, Basement


N/A Walk-in Coolers

NIA Water Fountains (bubblers)


N/A Water Coolers


I Family Dwelling Asbestos Inspection 3310 Nonh 30" Street MHwaukee, Wisconsin Contract 11360-13..0745

8 W:/Word.IHMG/1 3 Projects/13-0105.3310 Februa!)' 19, 2013

HMG Project II 13..0!05


LIGHTING 3

NIA

Fluorescent Lights - Basement


NIA Neon

Nl A Switches for lighting using mercury relays -Look for any control associated with exterior or automated lighting systems such as "Silent" wall switches.



Nl A Old Thermostats

N/ A Aquastats

N/ A Firestats

N/ A Manometers

N/ A Thermometers

BOILERS, FURNACES, HEATERS AND TANKS - 1 Furnace in Basement

N/ A Mercury Flame Sensors by pilot lights


N/ A Pressure-trol


N/ A Space Heaters

I Family Dwelling Asbestos Inspection 33 10 Nonb 30" Street Milwaukee, \Visconsin Contract# 360·13.0745

9 W:/Word/HMG/1 3 Projec1SII3.0105.3310 February 19, 2013

HMGProject # 13.0105

ELECTRICAL SYSTEMS


Nl A Phase Splitters

Nl A Microwave Relays

Nl A Mercury Displacement Relays


NIA Transformers

NIA Capacitors (appliances, electronic equipment)

Nl A Heat Transfer Equipment

3 Light Ballasts - Basement

NIA Specialty Paints (such as for swimming pools or other industrial applications)

NIA Sumps or Oil Traps (in maintenance and industrial facilities)


N/A Hazardous Waste

NIA Oil Tanks

NIA Well Abandonment

Nl A Junk Auto Tires

NIA Junk Vehicles

* 1 Gas Meter & 5 Gallons Paint in Basement

I Family Dwelling Asbestos Inspection 3310Nortb 30., Street Milwaukee, Wisconsin Contract ;, 360-13-0745

10 W:/Word/HMG/13 Projects/13-0105.33 10 February 19, 2013


I family Dwelling Asbestos Inspection 33 10 Nonh 30~ Street Milwaukee, \Vuco!Uin Contract# 360-13-0745


11 W:/Word/HMG/ 13 Projects/13.0105.3310 february 19, 2013



SCHNEIDER LABORATORIES GLOBAL INCORPORATED

2512 W . Cary Street • Richmond, Virginia • 23220-5117 804-353-6778 • 800-785-LABS (5227) • (FAX) 804-359-1475 Over 25 Years of Excellence In Service and Technology

AIHA/ELLAP 100527,150/IEC 17025, NVLAP 101150-0, VELAP 460135, NYELAP/NELAC 11413

LABORATORY ANALYSIS REPORT Asbestos Identification by EPA Method1 600/R-93/116, EPA 600/M4-82-020

ACCOUNT#: 4001-13-847 CLIENT: ADDRESS:

Harenda Management Group 1237 West Bruce Street Milwaukee, WI 53204

PROJECT NAME: DNS JOB LOCATION: PROJECT NO.: 13-0105.3310 PONO.:

Client SLI Sample

Sample Sample/ Identification/

No. LayeriD Layer Name

1-3310 31776973

Layer1 : Flooring

Gray, Org.Bound/Fibrous

2-3310 31776974

Layer 1: Flooring Gray, Org.Bound/Fibrous

3-3310 31776975

layer 1: Flooring Red, Org.Bound/Fibrous

4-3310 31776976

Layer 1: Flooring Red, Org.Bound/Fibrous

5-3310 31776977

Layer1: Granular Material Gray, Granular

Totai Number of Pages In Report: 6

Using SLI A6

DATE COLLECTED:

DATE RECEIVED: DATE ANAL VZED: DATE REPORTED:

Sample Type:

2/11 /2013

2/11/2013 2/11/2013

BULK

PLM Analysis Results

Asbestos Rbers Other Materials

None Detected 40% CELLULOSE FIBER








None Detected 100% NON FIBROUS MATERIAL

Results relate only to samples as received by the laboratory. Visit www.slabinc.com for current certifications.

Samples analyzed by the EPA Test Method are subject to the limitations of light microscopy including matrix interference. Gravimetric reduction and co"elative analyses are recommended tor all non-friable, organically bound materials. This method has a reporting limit of 1% or greater. Visual estimation contains an inherent range of uncertainty. This report must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other gov't agency endorsement. The EPA states that any asbestos found in vermiculite is a concern and the sample should be treated as asbestos containing material.

02/ 14/2008 02:25 8045581708 SCHNEIDER LABS PAGE 02/10


Client SLI Sample Sample Sample/ Identification/ PLM Analysis Results No. LayeriD Layer Name Asbestos Fibers Other Materials

6-3310 31776978

Layer 1: Powdery Material None Detected 4% CEU.ULOSE FIBER

White, Powdery 96% NON FIBROUS MATERIAL

7-3310 31776979

Layer1: Plaster None Detected 100% NON FIBROUS MATERIAL

Gray, Granular

Layer 2: Skim Coat None Detected 100o/., NON FIBROUS MATERIAL

White, Granular

8-3310 31776980


White, Granular

Layer 2: Skim Coat None Detected 100"k NON FIBROUS MATERIAL

White, Granular

9-3310 31776981

Layer 1: Plaster None Detected 100"k NON FIBROUS MATERIAL

Gray, Granular


White, Granular

10-3310 31776982


Gray, Granular


White, Granular

11-3310 31776983


Gray, Granular


White, Granular



Samples analyzed by the EPA Test Method are subject to the limitations of light microscopy including matrix interference. Gravimetric reduction and correlative analyses are recommended for all non-friable, organically bound materials. This method has a reporting limit of 1% or greater. Visual estimation contains an inherent range of uncertainty. This report must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other gov't agency endorsement. The EPA states that any asbestos found in vermiculite is a concern and the sample should be treated as asbestos containing material.



Client SLJ Sample

Sample Sample/ Identification/ PLM Analysis Results No. LayeriD Layer Name Asbestos Fibers Other Materials

12-3310 31776984


Gray, Granular


White, Granular

13-3310 31776985

Layer 1: Granular Material None Detected 100"/o NON FIBROUS MATERIAL

Gray, Granular

14-3310 31776986


Gray, Granular

15-3310 31776987


Gray, Granular

16-3310 31776988


Gray, Granular

Layer 2: Skim Coat None Detected 100"/o NON FIBROUS MATERIAL

White, Granular

17-3310 31776989


Gray, Granular


White, Granular

18-3310 31776990

layer 1 : Plaster None Detected 100% NON FIBROUS MATERIAL

Gray, Granular



Samples analyzed by the EPA Test Method are subject to the limitations of light microscopy including matrix interference. Gravimetric reduction and correlative analyses are recommended tor all non-trtabfe, organically bound materiafs. This method has a reponing limit of 1% or greater. Visual estfmation contains an inherent range of uncertainty. This report must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other gov~ agency endorsement. The EPA states that any asbestos found in vermiculite is a concern and the sample should be treated as asbestos containing material.


Account- Workorder 4001-13-847 {Continued) Page 4 {Continued)

Client SLI Sample



White, Granular

19-3310 31776991


Beige/Black, Granular

20-3310 31776992



21-3310 31776993



22-3310 31776994

Layer 1: Powdery Material None Detected 4% CELLULOSE FIBER


23-3310 31776995



24-3310 31776996



25-3310 31776997

Layer 1: Ceramic Tile None Detected 100% NON FIBROUS MATERIAL

White, Hard


Gray, Granular

26-3310 31776998


White, Hard



Samples analyzed by the EPA Test Method are subject to the limitations of light microscopy including matrix interference. Gravimetric reduction and correlative analyses are recommended for aff non-friable, organically bound materials. This method has a reporting limit of 1% or greater. Visual estimation contains an inherent range of uncertainty. This report must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other goVt agency endorsement. The EPA states that any asbestos found in vermiculite is a concern and the sample should be treated as asbestos containing material.

02/ 14/2008 02:26 8046581708 SCHNEIDER LABS PAGE 05/10


Client SLI Sample


27-3310 31776999


Red, Hard

layer 2: Grout None Detected 100o/o NON FIBROUS MATERIAL

Gray, Granular

28-3310 31777000

layer 1: Ceiling Tile None Detected 90% CELLULOSE FIBER

Brown, Fibrous 10% NON FIBROUS MATERIAL

29-3310 31777001



30-3310 31777002



31-3310 31777003


White, Hard

32-3310 31777004

Layer 1: Mastic None Detected 100% NON FIBROUS MATERIAL

Tan, Soft

33-3310 31777005


Gray, Granular

34-3310 31777006


Gray, Granular



Samples analyzed by the EPA Test Method are subject to the limitations of light microscopy including matrix interference. Gravimetric reduction and correlative analyses are recommended for all non-friable, organically bound materials. This metflod has a reporting limit of 1% or greater. Visual estimation contains an inherent range of uncertainty. This report must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other gov't agency endorsement. The EPA states that any asbestos found in vermiculite is a concern and the sample should be treated as asbestos containing material.

02/14/2008 02:26 8046581708

Account- Workorder 4001~13-847 (Continued}

Client SLI Sample



35-3310 31777007

Layer 1 : Granular Material Gray, Granular

36-3310 31777008

layer 1 : Flooring Beige, Org.Bound/Fibrous

37-3310 31777009

Layer 1 : Flooring Red, Org.Bound/Fibrous

Analyst: Ali Musa


SCHNEIDER LABS PAGE 06/10

Page 6 (Continued}

PLM Analysis Results Asbestos Fibers Other Materials

None Detected 100% NON FIBROUS MATERIAL



None Detected 40% CELLULOSE ABER


<"'"'i=-- ... -

Reviewed By: Samani Abdelfadiel, Analyst

Results relale only to samples as received by the laboratory. Visit www.slabinc.com for current certifications.

Samples analyzed by the EPA Test Method are subject to the limitations of light microscopy including matrix interference. Gravimetric reduction and correlative analyses are recommended for all non-friable, organically bound materials. This method has a reporting limit of 1% or greater. Visual estimation contains an inherent range of uncertainty. This report must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other gov't agency endorsement. The EPA states that any asbestos found in vermiculite is a concern and the sample should be treated as asbestos containing material.


woiirliiliSMIWIII&IDI -


v . \ 9 3 6 \ 9 3 6 6 9 91

804-353-6778 • 800-785-LA.BS (5227) • Fax 804-359-1475


Submitting L, Lab

lh~l-11-" ~\l .... _____________

Uae-Co. arenda Manaaament Grouo WO# -----

ACCUI I Phone# 414-383-4800 P.O. Box 511305 t-axlJ

& 414-3834805 New Berlin. WI 53151 4001 E-mail [email protected]

Project Name: PNS Sl?_ec/altnstructions [include requests for special reportJng or data packages

ProJect Location: DO NOT ANALYZE MASTICS

J>rolect Number: ~3-0105. 3?LO

.,ONumber: State Of Collec:tlon ~

. ' -Tum Around"11me .:Matrix I Sample-l\rpe(SeleCt ONE} Teate I AnlilvtasiSelect ALL.that Appl'i) .. ' . -0 2 hours• AI/ samples on form should be of SAME Asbestos Air·~ Fiber Counts • Asbeatbs Bulk f'Asb 10 Metala·Totai ·Conc:

maflix typo Use additional forms as needed. Osameday• 0PCM (NIOSH 7400) (&I PLM (EPA600, 1982) 0Lead

0 1 business day• 0Air OSolid 0TEM (AHERA) 0 PLM (EPA Point Count) 0 RCRA Metals

0 2 business day• 0Aqueous 0Wasle 0TEM (EPA Level II) 0 PLM (Qualitative only) 0

(g) 3 business daya• fig Bulk 0 Wastewater 'n 0 NYELAP 198.1/.4/.6 :n := -

0 5 business days• 0 Hi-Vol Fllter(PM10) 0Water,Drinking ,. Mlacellaneoas Testa • 0 CAELAP (EPA Interim) . Metala-Extract

0 Full TCLP (10d) 0 Hi-Vol F~ter (TSP) 0 Compliance OTotal Oust (NIOSH 0500) 0 TEM (Ctla1field) OTCLP /Lead

0VVeekand• oou 0Wpe OResp. Oust(NIOSH 0600) In 0 TCLP I RCRA Metals

• not avaiable for all teats 0Paint 0 Wpe, Composite 0Silica- FTIR (NIOSH 7602) FOR ASBESTOS AIR: [OTCLP I Full (w/ omanics) . Schedule =h OtfiWJles, mulfj. 0Siudge 0 0Silica- XRD (NIOSH 7500) TYPE OF RESPIRATOR ·., .. Others ., r

metals & w-end tats in 0Sotl 0 lo 0 advance. USED:

Date Time Sample Identification IMped Type1 ..

Time2 AowRate3 Totar-4

Sample# Sampled Sampled (_e.g. Employee SSN Bldg, Material) Area(ft") A.BP.E Start Stop Start Step Air Vol

( ~?~o Q-33£o

f3~33£o

lcr-~(o

5-~

C.c33lo 7-3:Xv

~-33<.-o

)-~o

{'> -330

I( ~33£-o

12. -~3t0 1Type: A=area B=blank P=personal E=excurslon 2Beglnnlng/End of Sample Period 3Pump Calibration In Litera/Minute 4volume In Liters [tlme In min • flow In Umin]

~ampled by ~elinquished to lab by of3 Fx:;:-0UPS

~ME ~ME Dean Jacobsen 0 USM

~IGNATURE~ 0 HO

SIGNATURE 0 DB

DATE/TIME f>ATEITIME 2lalj3 jz'QQ lbr~ ,_:::::;;?.,..., -:h.J m v 10 Samole retum reouested D Ambient temp D Ice oc PH Cl OR 11l6DX ., I '-

02/14/2008 02: 26 8046581708 SCHNEIDER LABS PAGE 08/ 10

. WOL.abel:


804-353-6778 • 800-785-LABS (5227) • Fax 804-359-1475


Submitting~~ LaD Uae-

Co. arende Meneaement Orouo WO# 1 Acct# Phone# 414-383-4800

IP.o. Box 511305 fax# & 414-383-4805

New Berlin WI 53151 4001 E-mail [email protected]

Prolect Nama: DNS Soeclsllnstructions [include reauests for soeclsl reoortinCl or data oackBCles

ProJect Location: bb NOT ANALYZE MASTICS

Pn>"ect Number: 13-0105. 53(0 PO Number:

State Of Collection ~

Matttx I Sam. ole Tv.;. fSelecf ONE1 -

Teets tA~~a'(_Select ALL-thalAoolvl ~ '""' ... ~.~

Tum Around 11me. . . 02hours• All samples on fonn should be of SAME AsbestO. 'Air I Fiber Counta ':ASbeslo$ Buill/ Aab.ID Met.ala·TotatCOnc'.

ms/rix l)tDe Use additional fonns ss ne&ded. 0PCM (NIOSH 7400) I8J PLM (EPA 600, 1982) 0Lead Osameday•

0 1 business day• OAir 0Solid OrEM {AHERA) 0 PLM (EPA Point Count) 0 RCRA Metals

0 2 business day• 0Aqueous 0Waste QTEM (EPA level II) 0 PLM (Qualitative only) 0

l8J 3 business days• IE) Sulk 0 Wastewater lo 0 NYELAP 198.1/.4/.6 lo Mlaceilaneouadesta

' J ,.,

0 5 business days• 0 Hi-Vol Filter (PM10) 0 Water, Drinking 0 CAELAP (EPA Interim) Metals-Extract

0 Full TCLP {10d) 0 Hi-Vol Filter {TSP) 0 Compliance OTolal Dust (NIOSH 0500) 0 TEM {Chatfield) OTCLP/lead

0Weel\cnd* 00fl 0Wpe OResp. Dust {NIOSH 0600) lo 0 TCLP I RCRA Metals

• not available for all tests 0Paint 0 'Mpe, Composite 0Salca- FTIR {NIOSH 7602) FOR ASBESTOS AIR: IDTCLP I Futl (w/ Qrganics)

0Siudge D 0Silica- XRD (NIOSH 7500) .. - ~ J , .. Scheduletwh orvanles, multi- TYPE OF RESPIRATOR .Othere

metals & wHictnd -In O soi 0 !o 0 adv.nce. USED:

Date Time Sample Identification Wiped Type1 Time2 Flow Rate3 Totar-4

Sample# Sampled Sampled (e.g. Eml)loy_ee SSN Bldg._Materi<!l) Area (ft2) IABPE Start SIQQ Start Stoo Air Vol

{3--:,3£~

~~ -33fo (5'-~

{(, -33to

{1-~\)

('e-33fo

/'7-33t-u

~-~CO

d\~

~~33ro

(;8..-:f>m

61-f-33CD 1Type: A=area B=blank P.personal E• excurslon 2Beglnnlng/End of Sample Period 3Pump Calibration in Liters/Minute "volume In Litera [time In min • flow In Umln)

Sampled by Relinquished to lab by ~ CJ UPS

NAME NAME ~nJacobsen 0 USM 0 HD

SIGNATURE SIGNATURe0~ ct• DATEI11ME ./2/8£:13 jZ·QQ lk/~.~~ : ~-,~ ~ DATE111ME

intemal~laU~ ~~ OOCtJ 2. J Sam ole return reauested D Ambient temo D Ice oc pH Cl _OR l:lJ.5 OX Y"-._ \. ~- _j


WOLabel:


804-353-6778 • 800-785-LABS (5227) • Fax 804-359-1475


Submitting L, LaD Uaa-

Co. arenda Manauament Group_ WO#

A"tiF Phone# 414-383-4800 P.O. Box 511305 fUll'

& 414-383-4805 New Berlht WI 53151 4001 E-mail [email protected]

ProJect Name: DNS S_p_ecia/lnstructions [Include reqpests for special reporting or data packages

Prolect Location: 00 NOT ANALYZE MASTICS

ProJect Number: 13-a1os. ~?c.o

PO Number: Stata Of Collection ~~

Tum Around Tlme- Matrhd Samola Tvoe.fS;lecit ONE}. .

Testa·/ AnatvtJ f&iiect ALL that AppiV} - - ~ ....

.,. ..... . . -02hours• All samples on form should be of SAME . Asbestos Air I Flber.Courtta Asbastoa.Bulk /:Asb ID- ..., Metals-Total cone. ,

matrix type Use additional forms as needed. osameday• 0PCM (NIOSH 7400) 18) PLM (EPA 600, 1982} 0Lead

0 1 business day• 0Air Osolid 0TEM {AHERA) 0 PLM (EPA Point Count) 0 RCRA Metals

0 2 business day• QAqueous owaste 0TEM (EPA level II) 0 PLM (Qualitative only) 0

~ 3 business days• IBJ Bulk 0 Wastewater 0 0 NYELAP 198.1/.4/.6 lo i'

MIBcellaneou. Testa Metala-Ex&-;.ct 0 5 business days• 0 HI-Vol Fllter{PM10) 0Water,Drinking 0 CAELAP (EPA Interim) ' ' D Full TCLP (10d) D HI-Vol Filter (TSP) 0 Compliance 0Total Dust (NIOSH 0500) 0 TEM (Chatfield) OTCLPILead

0Weekend' 00il 0 VVIpa 0Resp. Dust(NIOSH 0600) In 0 TCLP I RCRA Metals

• not avaUable for all tests 0 Paint 0 'Mpe, Composite 0Silica - FTIR {NIOSH 7602) FOR ASBESTOS AIR: n TCLP I Full (w/ Otllanics) -\'::;_._,..;.)

. ,rl Se/ledul• rwh otr~anks, multi- 0Siudge 0 0Silica • XRD (NIOSH 7500) TYPE OF RESPIRATOR ... OtherS.:'-~s & weekend t~os~sln

IDsoil D IO 0 •dvance. USED:

Date Time Sample Identification Vlliped Type1 limel · FlowRate3 Total4

Sample# Sampled Sampled (e.g. Employee, SSN BldQ. MateriaO Area (ft') ABP,E Start Stop Start Stop Air Vol

~5-?x\)

~h-~o 'CX7-~-o

~~-~

~~?,)(.'0

?o-~3t-o

~( -~£'0

~~-~10

33-~

~--35-o 2f5~3:x~

~-3Yo 1Type: A" area B" blank P>=personat E=excurslon 2BeglnnlngJEnd of Sample Period 3Pump Calibration In U1era/Minute 4volume In Liters [time In min • flow In Umin]

Sampled by ~elinqulshed to lab by ~ 0 UPS

NAME ~E Dean Jacobsen 0 USM OHD

SIGNATURE ~!GNAT~ 0 DB

c:tc.rc::; DATE/TIME pATE/TIME -------;8/jJ :1Z·QQ l~ \ ' linued lnte2.,h!n ;;,lr~~~s oaoe 2. ID Samole retum reouested D Ambient temp D Ice °C pH Cl ORr::vrDX . ... .,_ I - /

02/14/2008 02: 25 8045581708 SCHNEIDER LABS PAGE 10/ 10

WOUibel:


804-353-6778 • 800-785-LABS (5227) • Fax 804-359-1475


Submitting L, UID Use-

Co. arenda Manaaemant Grouo WOtJ

Ac:ct# Phone# 414-383-4800 P.O. Box 511305 t'Uif

& 414-383-4805 New Bertin WI 531!51 4001 E-mail [email protected]

E>rolect Name: ioNS Special Instructions {Include reQuests for special reportinq or data 11Bcksqes

ProJect Location: DO NOT ANALYZE MASTICS

ProJect Number: ~3-0105. 3x-a Po Number: State Of Collection Wl

·' . Matrla /-Sample TvpefSei;J ON 'a Teats/ Analvtu (Select All.that A~Divl -· . " . :rum'Around,Ttme . . . - - . _,

02 hours• All samples on form should be of SAME Aebeatcis Air I liiber-cdunta - · Asbenos Bulk:/.A:ab 10 -· . Matals•Totafc(:()nc.. . maMx ty_po Use addffjonal forms as naedad.

osarneday• 0PCM (NIOSH 7400) lEJ PLM (EPA 600, 1982) 0Lead

0 1 business day• O Air OSolid 0TEM (AHERA) 0 PLM (EPA Point Count) 0 RCRA Metals

O 2 business day' 0Aqueous 0Waste 0TEM (EPA Level II) 0 PLM (Qualitative only} n IEJ 3 business days• ~Bulk 0 Wastewater In 0 NYElAP 198.1/.4/.6 lD 0 5 business days• 0 Hi-Vel FOter (PM10) QWater,Orinking .; Mlec:ellaneous-Taata 0 CAELAP (EPA Interim) h • Metals-E'rtrad . 0 Full TCLP (10d} 0 Hi-Vol FHter (TSP) O Compliance OTotal Oust (NIOSH 0500) 0 TEM (Chatfield) O TCLP/ Lead

0Weekend' oon 0 Wipe OResp. Oust(NIOSH 0600} !0 0 TCLP I RCRA Metals

• not avaiable tor all tests 0Painl 0 Wipe, Compostte 0Silice- FTlR (NIOSH 7602) FOR ASBESTOS AIR: !n TCLP I FuN (w/ organics)

but~,. .. ~

Schedule rush Otflanlcs, mui!J. 0Siudge 0 QSaice - XRO (NIOSH 7500) TYPE OF RESPIRATOR !· -mml$ & weekend t.m in

DSoil 0 0 0 a<:Jv.nce. USED:

Date Time Sample Identification 'Mped Type1 Time2 Flow Ratel Totat4 SamPle# Sam'pfed Sampled (e.a. Emplovee SSN Biela. MateriaO Area (ft") ABP.E Start Stoo Start Stoo Air Vol

3?-?)t..,:)

1Type: A=area B=blank P=peraonal E=eacuralon 2Beglnning/End of Sample Period 3Pump Calibration In Liters/Minute 4volume In Liters [time In min • flow In UmlnJ

~ampled by ~elinquished to lab by 0 FX -0 UPS

~AME NAME Dean Jacobsen 0 USM

$~NAWRE a~ OHO

~!GNATURE oos

CJo/~ bATEmME DATE/TIME ·_. -- lZ'OQ

b~.lmenra~ ccn6n~~l. "'-J Sample return requested 0 Ambient temp 0 lee •c PH Cl DR[JSDX . 9fii1'D>n<Jiliol>s I"'Q6 2.

'\ .. ' c. _..,. r r_s

I Family Dwelling Asbestos Inspection 3310 Nonh 30" Street Milwaukee. Wisconsin Contract~ 360-13-0745


12 W:/Word/HMGI13 Projects'I3-0I 05.3310 February 19, 2013


/ /

:izai!B>

;o.:srAt'EOF vm;c()NSIN

t;lepL--ef:Beab:b ~

~~ lW;JIS~~~~~Dr

P.O. Box 511305 · New Berlin, Wisconsin 53151-2105 · (414) 383-4800 · (414) 383-4805


Job Site:

One Family Dwelling

4629 North 30th

Street


For:

City of Milwaukee


Attn: Marge Piwaron



HMG Report No.: 13-2000-068.4629


________________________ Dean Jacobsen


Prepared by:


P. O. Box 511305


July 2013


4629 North 30th

Street July 10, 2013


Contract # 360-13-0745

1

TABLE OF CONTENTS

I. Introduction ..............................................................................................................2





V. Exclusions ................................................................................................................5

VI. Limitations ...............................................................................................................5





4629 North 30th



Contract # 360-13-0745

2

I. INTRODUCTION

Harenda Management Group (HMG) was retained by the City of Milwaukee Department

of Neighborhood Services to conduct an inspection for possible asbestos containing

materials in the dwelling at 4629 North 30th Street, Milwaukee, Wisconsin.

The inspection included plaster, texture, ceramic tile, linoleum, glazing compound,

drywall/joint compound, transite, paper insulation, tar paper, and blown in insulation to

determine if asbestos containing materials were present within the space as required by

US EPA NESHAP regulation 40 CFR 61 Subpart M.

II. BUILDING SURVEY

Marge Piwaron, of the City of Milwaukee Department of Neighborhood Services,

authorized HMG to conduct a building survey and to analyze samples taken during the

inspection.

On July 3, 2013, HMG conducted an asbestos inspection of a one family dwelling,

scheduled for mechanical demolition, located at 4629 North 30th

Street, Milwaukee,

Wisconsin. The inspection was conducted by Dean Jacobsen, Wisconsin License No.

AII – 14370.


1. A visual determination as to the extent of suspect materials within the

building.

2. Sampling and documentation of observable suspect materials. Category I

nonfriable materials were assumed to be asbestos containing and not

sampled.



Staining (PLM/DS) analysis of bulk samples taken are outlined in this document. If you

have any questions please contact HMG at (414) 383-4800.

III. THE LABORATORY


Analysis is performed by using the bulk samples for visual observation and slide

preparation(s) for microscopical examination and identification. The slides are analyzed

for asbestos (chrysotile, amosite, crodcidolite, anthophyllite, and actinolite/ tremolite),

fibrous non asbestos constituents (mineral wool, paper, etc.), and nonfibrous constituents.

Asbestos is identified by refractive indices (obtained by using dispersion staining),


4629 North 30th



Contract # 360-13-0745

3

morphology, color, pleochroism, birefringence, extinction characteristics, and signs of

elongation. The same characteristics are used to identify the non asbestos constituents.

The microscopist visually estimates relative amounts of each constituent using a

stereoscope if necessary. The test results are based on a visual determination of relative

volume of the bulk sample components. The results are valid only for the item tested.

Current US EPA NESHAP regulations state asbestos materials means material containing

more than 1% asbestos as determined using the method specified in Appendix E, Subpart

E, 40 CFR Part 763 Section I, Polarized Light Microscopy. Refer to 29 CFR 1926.1101

(Construction) and 29 CFR 1910.1001 (General Industry) for specific OSHA

requirements.


The materials identified as suspect asbestos containing materials (ACM) include plaster,

texture, ceramic tile, linoleum, glazing compound, drywall/joint compound, transite,

paper insulation, tar paper, and blown in insulation. These materials were sampled and

the following results were noted:


Quantity

Homogeneous

Code

1-4629a 1st floor – kitchen floor – top layer – beige

ceramic tile

Negative N/A MCTMe

1-4629b 1st floor – kitchen floor – top layer – grout Negative N/A MCTMe

2-4629 1st floor – kitchen – under plywood – white

linoleum

Negative N/A MFLw

3-4629 1st floor – kitchen closet – red linoleum Negative N/A MFLr

4-4629 1st floor – back entry – white and gray linoleum Negative N/A MFLwy

5-4629 2nd floor – bedroom – ceiling – texture Negative N/A STX

6-4629 2nd floor – bathroom – south wall – texture Negative N/A STX

7-4629a 1st floor – front entry – north wall – texture Negative N/A STX

7-4629b 1st floor – front entry – north wall – texture layer

2

Negative N/A STX

8-4629 2nd floor – south east room – tan and beige

linoleum

Negative N/A MFLte

9-4629a 2nd floor – bathroom floor – tan ceramic tile Negative N/A MCTMt

9-4629b 2nd floor – bathroom floor – grout Negative N/A MCTMt

10-4629 2nd floor – bathroom floor – under ceramic tile –

mortar

Negative N/A MCTMM

11-4629 2nd floor – bathroom – under plywood – cream

linoleum

Negative N/A MFLc

12-4629 1st floor – living room – north wall – texture #2 Negative N/A STX2

13-4629 1st floor – living room – south wall – texture #2 Negative N/A STX2

14-4629 1st floor – bedroom – west wall – texture #2 Negative N/A STX2

15-4629a 2nd floor – southeast room – north wall – joint

compound

Negative N/A MDW

15-4629b 2nd floor – southeast room – north wall – drywall Negative N/A MDW

16-4629a 2nd floor – bedroom – north wall – joint

compound

Negative N/A MDW

16-4629b 2nd floor – bedroom – north wall – joint

compound #2

Negative N/A MDW

16-4629c 2nd floor – bedroom – north wall – drywall Negative N/A MDW


4629 North 30th



Contract # 360-13-0745

4


Quantity

Homogeneous

Code

17-4629a 1st floor – utility room – east wall – joint

compound

Negative N/A MDW

17-4629b 1st floor – utility room – east wall – drywall Negative N/A MDW

18-4629a 2nd floor – bathroom – north wall – patch layer Negative N/A SPl

18-4629b 2nd floor – bathroom – north wall – plaster skim

coat

Negative N/A SPl

18-4629c 2nd floor – bathroom – north wall – plaster base

coat

Trace <1%

Chrysotile

N/A SPl

18-4629c POINT COUNT RESULT Negative N/A SPl

19-4629a 2nd floor – bedroom – west wall – plaster skim

coat

Negative N/A SPl

19-4629b 2nd floor – bedroom – west wall – plaster base

coat

Trace <1%

Chrysotile

N/A SPl

19-4629b POINT COUNT RESULT Negative N/A SPl

20-4629a 1st floor – kitchen – north wall – plaster skim coat Negative N/A SPl

20-4629b 1st floor – kitchen – north wall – plaster base coat Negative N/A SPl

21-4629 1st floor – living room – ceiling – texture #3 Negative N/A STX3



24-4629 2nd floor – exterior – south wall – transite siding Positive 30%

Chrysotile

400 Sq. Ft. MTP

25-4629 2nd floor – exterior – east wall – transite siding Positive 30%

Chrysotile

Reference

24-4629

MTP

26-4629 2nd floor – exterior – north wall – transite siding Positive 30%

Chrysotile

Reference

24-4629

MTP

27-4629 2nd floor – exterior – south wall – under transite

siding – paper insulation

Negative N/A MPI

28-4629 2nd floor – exterior – east wall – under transite


Negative N/A MPI

29-4629 2nd floor – exterior – north wall – under transite


Negative N/A MPI

30-4629a 2nd floor – exterior – under transite seams – tar

paper

Negative N/A MPT

30-4629b 2nd floor – exterior – under transite seams – tar Negative N/A MPT

31-4629 1st floor – living room – on window – glazing

compound

Negative N/A MPG

31-4629 1st floor – utility room – on floor – blown in

insulation

Negative N/A MBI

33-4629 Quality Assurance/Quality Control sample of 3-

4629

Negative N/A QA/QC


Ln. Ft. = Linear Feet



Roof Building Asphalt Shingles & Flashing 500 Sq. Ft.

1st Kitchen/Stair/Back Entry Floor Tile & Mastic 190 Sq. Ft.

2nd Bathroom/Closets Floor Tile & Mastic 110 Sq. Ft.


4629 North 30th



Contract # 360-13-0745

5


SP1 Plaster

STX Texture

STX2 Texture #2

STX3 Texture #3

MCTMe Beige Ceramic Tile

MCTMt Tan Ceramic Tile

MCTMM Mortar

MFLw White Linoleum

MFLr Red Linoleum

MFLwy White & Gray Linoleum

MFLte Tan & Beige Linoleum

MFLc Cream linoleum


MTP Transite

MPI Paper Insulation

MPT Tar Paper



QA/QC Quality Assurance/Quality Control Sample



condition.




Note#4: Estimated cost for friable asbestos …

V. EXCLUSIONS

No access to attic. Roof visible only from ground. No visible or accessible areas

were excluded from the scope of work.

HMG is not and shall not represent the building owner as its agent or representative for

the purpose of the US EPA/NESHAP and/or the WDNR/NR447 regulations, as

owner/operator.

This report represents the condition of the building and its visible/accessible suspect

asbestos containing materials at the date and the times of the onsite inspection. Hidden

materials or those materials that could be present at the point of inspection, over and

above those stated in the inspection report, are the responsibility of the building owner

and the demolition contractor.

VI. LIMITATIONS

The care and skill given to our procedures insures the most reliable test results possible.

HMG utilizes Quantem Laboratories for our Polarized Light Microscopy, unless


4629 North 30th



Contract # 360-13-0745

6

otherwise specified by the client. The findings and conclusions of HMG represent our

professional opinions extrapolated from limited data. Significant limited data is gathered

during the course of the preliminary asbestos specific site assessment. No other warranty

is expressed or implied. Prior to any abatement or renovation activities, it is

recommended that HMG be provided the opportunity to review such plans in order that

the inspection and assessments contained herein are properly interpreted and

implemented.

This report and the information contained herein are prepared for the sole and exclusive

use and possession of the City of Milwaukee Department of Neighborhood Services. No

other person or entity may rely on this report or any information contained herein. Any

dissemination of the Report or any information contained herein is strictly prohibited

without prior written authorization from Harenda Management Group.


4629 North 30th



Contract # 360-13-0745

7



4629 North 30th



Contract # 360-13-0745

8






ASBESTOS





CFCs and HALONS


N/A Air Conditioners (roof top, room, and central) Room

N/A Dehumidifiers

N/A Heat Pumps



N/A Walk-in Coolers




N/A Water Coolers

LEAD







4629 North 30th



Contract # 360-13-0745

9

MERCURY


LIGHTING



-Metal Halide


-Mercury Vapor

N/A Neon




HVAC


containing mercury.


N/A Old Thermostats

N/A Aquastats

N/A Firestats

N/A Manometers

N/A Thermometers




N/A Pressure-trol


N/A Space Heaters


4629 North 30th



Contract # 360-13-0745

10

ELECTRICAL SYSTEMS – 1 Breaker Box in Back Entry


N/A Phase Splitters



PCBs




found:

N/A Transformers



N/A Light Ballasts


applications)



N/A Hazardous Waste

N/A Oil Tanks


N/A Junk Auto Tires

N/A Junk Vehicles

* 4 Gallons Paint in Kitchen


4629 North 30th



Contract # 360-13-0745

11


2033 Heritage Park Drive I Oklahoma City, OK 73120 I (405) 755-72721 Fax (405) 755-2058


QuanTEM Lab No. 223815 Client: Han!nda Management Group


Date Received: 07/05/2013 New Berlin, WI 53151-2105 Received By: Joanna Mueller





-----·-001 1-4629 Layered Beige Asbestos Not Present NA Clay

Ceramic Tile

OOla Layered Gray Asbestos Not Present NA Quartz

Grout Clay

002 2-4629 Homogeneous Light Gray Asbestos Not Present Glass Fiber 10 Vinyl

Sheet Vinyl Binder

003 3-4629 Homogeneous Tan/Brov.n Asbestos Not Present Cellulose 20 Vinyl

Sheet Vinyl Glass Fiber 5 Binder

'()04 4-4629 Homogeneous Light Gray Asbestos Not Present Cellulose 25 Vinyl


005 5-4629 Homogeneous White Asbestos Not Present NA CaC03


006 6-4629 Hom.ogeneous White Asbestos Not Present ]';-A CaC03



QuanTE1'.1 is aNVLAP accredited TEM and PLM laboratory {Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any

other agency ofthe US Government. This report may not be reprodu~ed except in full, without the v.Titten approval of the laboratory.

Page 1 of 7

2033 Heritage Park Drive I Oklahoma City. OK 73120 I (405) 755-7272/ Fax (405) 755-2058




Date Received: 07/05/2013 New Berlin, WI 53151-2105 Received By: Joanna Mueller




QJ.lanTEM Client Color/ Non-Asbestos ~on Fibrous SampleiD Sample ID ·Composition Description Asbestos (%) Fiber(%)



007a Layered Tan Asbestos Not Present NA CaC03


008 8-4629 Homogeneous Peach Asbestos Not Present NA Vinyl

Sheet Vinyl

009 9-4629 Layered Beige Asbestos Not Present NA Clay

Ceramic Tile

009a Layered Gray Asbestos Not Present NA Quartz

Grout Clay

010 10-4629 Homogeneous Gray Asbestos Not Present NA Glue

Mastic

011 11 -4629 Homogeneous B~ige Asbestos Not Present Cellulose 25 Vinyl



QuanTEM is aNVLAP accredited TEM and PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-&:i-020 and EPA/600/R-93!1 16 methods. This report may not be used to claim product endorsement byN'VLAP or any

other agency of the US Government. This report may not be reproduced except in full, without the "ritten approval of the laboratory.

Page 2 of 7






Received By: Joanna Mueller

Date Analyzed: 07/08/2013

i\nalyzed By: Sandy Baker

Methodology: EPN600/R-93/116

QuanTEM Client Sample ID Sample ID Composition

012 12-4629 Homogeneous



015 15-4629 Layered

015a Layered

016 16-4629 Layered

016a Layered

Project:

Project Location:

Project Number:

Color I Description

White

Texture

White .

Texture

White

Texture

White

Texture

White

Sheetrock

\X<'hite

Ceiling Texture

\Vhite

Joint Compound

Jolene Harenda P.O. Box 511305 New Berlin, WI 53151-2105

DNS

Milwaukee, WI

13-2000-068.4629

Non-Asbestos Asbestos(%) Fiber(%)

Asbestos Not Present NA




Asbestos Not Present KA


Asbestos Kat Present NA


Non Fibrous

CaC03 Paint

CaC03 Paint

CaC03 Paint

CaC03 Paint

Gypsum

CaC03 Paint

CaC03

QuanTEM is a NVLAP accredited TEM and PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVL-\P accreditation applies only to analysis performed utilizing EP A/600/M4-82 -020 and EP A/600/R -93/ 116 methods . This report may not be used to claim product endorsement by NVLAP or any

other agency of the US Government. This report may not be reproduced except in full, without the written atfproval of the laboratory. '

Page 3 of 7




AC{;ount Number: B929 Jolene Harenda P.O. Box 511305

Date Received: 07/05i2013 New Berlin, Wl53151-2105 Received By: Joanna Mueller

Date Analyzed: 07./08/2013 Project: DNS


Methodology: EP A/600/R-93/116 ·Project Number: 13-2000-068.4629


-·----016b Layered White Asbestos Not Present Cellulose 35 Gypsum

Sheetrock


Texture

017a Layered Wbite Asbestos Not Present Cellulose 30 Gypsum

Sheetrock

018 ·18-4629 Layered White Asbestos Not Present NA CaC03

Texture Paint

018a Layered Light Gray Asbestos Not Present Talc . 10 Quartz

Skim Coat CaC03

018b Layered Gray Asbestos Present Animal Hair 3 Quartz

Plaster Chrysotile <1 Sand

019 19-4629 Layered White Asbestos Not Present NA Quartz

Skim Coat CaC03


QuanTEM is a NVLAP accredited TEM and PLM laboratory (Lab Code: l 0 19 59-0). This report relates only to the specific items tested. NVLr'\P accreditation appiies only to analysis performed utilizing EP A/600/M4-82-020 and EP A/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any

other agency of the US Government. This report may not be reproduced except in full, without the written approval of the laboratory ..

Page 4 of 7



QuanTEM Lab No. 223815 Client: Harenda Management Group Account Number: B929 Jolene Harenda

P.O. Box 511305 Date Received: 07/05/2013 New Berlin, WI 53151-2105 Received By: Joanna Mueller

Date Analyzed: 07/08/2013 Project: DNS Analyzed By: Sandy Baker Project Location: Milwaukee, WI Methodology: EP A/600/R-93/116 Project Number: 13-2000-068.4629

QuanTEM Client Color I Non-Asbestos Non Fibro"us Sample ID Sample ID Composition Description Asbestos (%) Fiber(%)

019a Layered Gray Asbestos Present Cellulose <1 Quartz

Plaster Chrysotile <1 Animal Hair 2 Sand

020 20-4629 Layered Tan Asbestos Kot Present NA Quartz

Skim Coat CaC03

020a Layered Gray Asbestos Not Present Cellulose < 1 Quartz

Plaster Animal Hair 2 Sand

021 2 1-4629 Homogeneous White Asbestos Not Present. Cellulose 5 CaC03


022 22-4629 Homogeneous 'N"'hite Asbestos Not Present NA CaC03

Texture Paint

023 23-4629 Homogeneous White Asbestos Not Present NA CaC03

Texture Paint

024 24-4629 Homogeneous Gray Asbestos Present NA CaC03

Transite Chrysotile 30 Paint


QuanTEM is a NVLAP accredited TEM and PLM laboratory (Lab Code: 10 1959-0). This report relates only to the specific itell!S tested. NVLAP accreditation applies only to analysis performed u tilizing EP A/600!M4-82-020 and EP A/600/R -93/116 methods . This report may not be used to claim product endorsement by NV LAP or any

other agency ofthe US Government. This re,Port may not be reproduced except in full , without the v.Titten approya[ of the laboratory.

Page 5 of 7



QuanTEM Lab No. 223815 Client: Harenda Management Group Account Number: B929 Jolene Harenda

P.O. Box 511305 Date Received: 07/05/2013 New Berlin, WI 53151-2105 Received By: Joanna Mueller




QuanTEM Client Color/ Non-Asbestos Non Fibrous Sample ID Sample ID Composition Description Asbestos(%) Fiber(%)





027 27-4629 Homogeneous Silver/Tan Asbestos Not Present Cellulose 90 Foil

Pipe Covering


Pipe Covering


Pipe Covering

030 30-4629 Layered Black Asbestos Not Present Cellulose 60 Tar

Tar Paper

030a Layered Black Asbestos Not Present NA Tar

Tar


QuanTEM is a NVLAP accredited TEM and PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies orJy to analysis performed utilizing EPA/600/lv14-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any

other agency of the L'S Government. This report may not be reproduced except in full, without the written approval of th~ laboratory.

Page 6 of7

jl.fl e LABORATORIES

2033 Her~age Park Drive I Oklahoma City, OK 73120 I (405) 755-7272 / Fax (405) 755-2ose


QuanTEMLabNo. 223815





Analyzed By:

Methodology:

QuanTEM Sample ID

031

032

033

Sandy Baker

EPA/600/R-93/ 116

Client SampleiD

31-4629

32-4629

33-4629

Composition

Homogeneous

Homogeneous

Homogeneous

Client: Harenda Management Group Jolene Harenda P.O. Box 511305 New Berlin, WI 53151-2105

Project: DNS



Color I Description

Tan

Window Glazing

Silver/Tan

. Pipe Covering

Brown

Sheet Vinyl

Asbestos(%)

Asbes1os Not Present


Asbes1os Not Present

7/8/2013 --- -

Date of Report


NA

Non Fibrous

CaC03 Paint

Cellulose 90 Paint

Cellulose 25 Vinyl

Glass Fiber 5 Binder


QuanTEM is a WLAP accredited TEM and PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. ~VLAP accreditation appl ies o11\y to analysis performed utilizing EP N600fM4-82-020 and EP A/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any

other agency of the US Govel1111?ent. This report may not be reproduced except in full, without the V.'l'itten approval of the laboratory.

Page 7 of 7

BORA TORIES www.QuanTEM.com

( -L(_bl>J

2 l d-~b29 -"'lb2-9 ---

4 I l.f~ '-{'5fl-9

5 15 -'-{(o~'} 6 ' f?~ L£b?~ 7 /-'-«d,Q 8 %~~~q 9 -:-i&;lq_

[!1-· .l : 10 [() -<./{dq I --

ASBESTOS CHAIN OF CUSTODY 2033 Heritage Park Drive, Okla~ma City, OK 73120-7502 (800) 822-1650 • (405) 755-72Y2 • Fax: (405) 755-2058


. Milwaukee, WI ------~ , - ----------

13-2000-068.4629

Air- NIOSH 7402 Bulk- Quantitative [weight%]- Chatfield

Dust- Presence I Absence

Drinking Water- EPA 100.2 Dust - Quantitative [tibers/ sq.cml- ASTM 05755

---'---~+....;;..;.."'----------'·"--·;- - - " ":' ' . -~· .•..• " ····~·. 'f"

I

f \Y

3 Page 1 of

SATURDAY SAMPLE DELIVERY- CALL TO SCHEDULE • Use this address for Saturday Delivery only: 4220 N. Santa Fe Ave., Oklahoma City, OK 731 OS-85 17 • Mark Package "Hold for Saturday Pickup"

~~~9 1--- ...,..

tL-<.((ol; -

1~ 14 /';-<{~q

15 I I C: • ({, _...,. I ffi

-16 -

17

I I

I

ASBESTOS CHAIN OF CUSTODY 2033 Heritage Park Drive, Okla~oma City, OK 73120-7502 (800) 822-1650 • (405) 755-7272 • Fax: (405)755-2058


. . :..

.. ,

Page 2 of 3


34 I

35 I

36 I

37 i

38 I

39 I

40 I

41 :

42 I

43 I

44 I

45 I

:~ I 48

49 I

so I

... ulJvRATORI ES www.QuanTEM.com

I D D -

i D I D

D D D

I D I D

D D

I D D

•

D D

I D D

! ASBESTOS CHAIN OF CUSTODY 2033 Heritage Park Drive, Okla~oma City, OK 73120-7502 (800) 822-1650 • (405) 755-72,172 • Fax: (405) 755-2058

i

LEGAL DOCUMENT - P~EASE PRINT LEGIBLY '

·------- ·-·' !

Page 3 of 3

SATURDAY SAMPLE DELIVERY - CALL TO SC HE DU LE • Use this address for Saturday Delivery only: 4220 N. Santa Fe Ave., Oklahoma City, OK 731 05-8517 • Mark Package "Hold for Saturday Pickup"



QuanTEM Lab No. 224053 Client: Harenda Management Group Jolene Harenda AccountNumber: B929

Date Received:

Received By:

Date Analyzed:

Analyzed By:

Methodology:

·QuanTEM Sample ID

001

002

07/11/2013

Sherrie Leftwich

07/11/2013

Sandy Baker

EPA/600/R-93/116



Project: PT CT for 223815, DNA





.......... ········-·--------

18-4629

19-4629

Homogeneous

Homogeneous

Gray

Plaster

Gray

Plaster


400 Point Count


400 Point Count

7/1112013

Date of Report


NA

NA

Non Fibrous

QuanTEM is a NVLAP accredited TEM and PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPN600/M4-82-020 and EPN600/R-93/116 methods. This report may not be used to claim product endorsement byNVLAP or any

other agency of the US Government. This report may not be reproduced e:::cept in full , without the written approval of the laboratory.

Page 1 of 1

LAIIOKATORIES www.QuanTEM.corn

ASBESTOS CHAIN OF CUSTODY 2033 Heritage Park Drive. Oklahoma City, OK 73120-7502 (800} 822-1650 • (4DS}7SS-7272 • Fax: (405) 755-2058

lEGAL DoCUMENT - PLEASE PRINT LEGIBLY

f~~~~!1~g]j[} U~fim£~~~Tq<I~F ''~i\~~r"'::jr · ··'''~'liif'll~~'P~~~on~~~~~

f ::~::Y ~=~:~~:~~:~~~-~ment~~~~p ---- - .. \ :::~=: -(~-1- ~~ - ~~3-480~--~ ~ :::~~~~: Milwaukee, WI

;--~~~:~~r-:~ --8929 I e---~~;~ja~o~~~~@harenda.~~ : ; Pro~~o: ---1·3~2ooo-os.S .4629 ~~~w····.·. ""1 __ ,.,""-"'' j··· --······--·--···· ···-·- -----------· ·····-·-·····--··· ........... T .. . - ---- --- -··· ~~ - -~~aW.:~~: j. Nam<!: 1 Date: ___ L~~-~~~~':

Page of _1_

Other email

I J ~ t ; - ----- ·---.. . .... . ~ --------,;- :===:_··t· ···-----·-

! Bulk- Quant itative {weight"~)- Chatfield ·------ --··--··-·····---·"-·--·

.. ·-·· ····-···' ·-·-· ·-·-·-- ····--····-·--·---·--··--···· ... ..... -------·4 \-""""'--+----------·-·-·---·--· Dust· Quantitative [fibers/sq.cm]- ASTM 05755

··--~---------·•o ·--- --·--H-

r~~J~:-~~~I~~f,~-U~''L'-1''"-"'-~0---· ~'-''--:.. ... ... , .... ,'!",, ...... _._,.,,"

18-~~~-? __ .. ... :. ....... _[21 2 19-4629 0 3 0 4 0 5 0

i .. ··-r-· t

.... l I - -..L---..--·-······

6 0

I I

7 0 8 D

l . i ·----- 1 -1-- .

-- f -· ·· -· - ... · ··-···· · 9 D

·-·----···- . ···-·-·· · - -··-·---

10 D ··- · - ···· •. .J ... J ... . i .

SATURDAY SAMPLE DELIVERY· CALL TO SCHEDULE • Use this address for Saturday Delivery only: 4nO N. Santa Fe Ave~ Oklahoma City, OK 73105-8517 • Mark PliCk.age wHQid for Saturday Pi<kup"


4629 North 30th



Contract # 360-13-0745

12


Dean Jacobs


Fire Damaged 2 Family Dwelling

2829-31 North 33rd Street Milwaukee, Wisconsin

For:


Attn: Marge Piwaron 841 North Broadway 151 Floor



Asbestos Insp ctor No. Ail - 14370

Prepared by:

HARENDAMANAGEMENTGROUP P. 0. Box 511305


October 2012

P.O. Box 511305 · New Ber~ Wisconsin 53 151-2105 · (414) 383-4800 · (414) 383-4805

TABLE OF CONTENTS

I. Introduction ........................ ....... ....... ............ ...... ...... .... ......... .. ............... .................. 2

II. Building Survey .......... ........... ..... ......... ........ .............. ................. .... ......................... 2

III. The Laboratory ... .......... ....... .. ................................. ......................... .. ......... ..... ......... 2 A. Method of Analysis

IV. Findings and Observations ............. .... ........ ........ .. .......... .. .................... ......... ........... 3

V. Exclusions .... .. ............ ........ ... .................. ........... ... ......... ......... ....... .. ................. ... .... 6

VI. Limitations ....... .... ................ ............. .. .... ... ..... .. .. ............ ........ .......... .. ... ............. .... . 6

VII. Pre-Demolition Environmental Checklist .. . ... . ... .... . . .. . .. . ... .... ... ...... . .. . . . .. . . 7

VIII. Laboratory Results ... ..... ........... ..... ........... ...... .... .............. .......... ............ ..... ........... 11

IX. HMG Certifications .. ................... ... .. ............... .. .......... ....... ...... .... ......... .. .. ... .... .... . 12

2 Family Dwelling AsbeStos Inspection 2829·3 1 North 33"' Street Milwaukee, Wisconsin Contract# 360-12-0553

WJWord/HMG112 Projects/12· 0210.2829 October 12, 2012

HMG Project # 12·0210

I. INTRODUCTION

Harenda Management Group (HMG) was retained by the City of Milwaukee Department ofNeighborhood Services to conduct an inspection for possible asbestos containing materials in the dwelling at 2829-31 North 33rd Street, Milwaukee, Wisconsin.

The inspection included plaster, tar paper, drywaiVjoint compound, linoleum, blown in insulation, duct paper, flue packing, and window glazing compound to determine if asbestos containing materials were present within the space as required by US EPA NESHAP regulation 40 CFR 61 Subpart M

II. BUILDING SURVEY

Marge Piwaron, ofthe City of Milwaukee Department ofNeighborhood Services, authorized HMG to conduct a building survey and to analyze samples taken during the inspection.

On October 5, 2012, HMG conducted an asbestos inspection of a two family dwelling scheduled for mechanical demolition, located at 2829-31 North 33rd Street, Milwaukee, Wisconsin. The inspection was conducted by Dean Jacobsen, Wisconsin License No. All -14370.





The results of the survey integrated with the Polarized Light Microscopy with Dispersion Staining (PLM/DS) analysis of bulk samples taken are outlined in this document. If you have any questions please contact HMG at (414) 383-4800.

III. THE LABORATORY


Analysis is performed by using the bulk samples for visual observation and slide preparation(s) for microscopical examination and identification. The slides are analyzed for asbestos ( chrysotile, amosite, crodcidolite, anthophyllite, and actinolite/ tremolite ), fibrous non asbestos constituents (mineral wool, paper, etc.), and nonfibrous constituents. Asbestos is identified by refractive indices (obtained by using dispersion staining),

2 Family Dwelling Asbestos Inspection 2829-3 1 North 33"' Street Milwaukee. Wisconsin Contract# 360-!2-0553

2 W:/Word/HMG/ 12 Projects/12-02 10.2829 October 12. 2012




The materials identified as suspect asbestos containing materials (ACM) include plaster, tar paper, drywall/joint compound, linoleum, blown in insulation, duct paper, flue packing, and window glazing compound. These materials were sampled and the following results were noted:


I-2829a I st floor - front stair- on landing - tan and brown linoleum

I-2829b I 51 floor - front stair - on landing- leveling compound

2-2829a 2nd floor - front stair - on landing - brown linoleum

2-2829b 2no floor - front stair- on landing - leveling compound

3-2829 Attic- east side under floor - blown in insulation 4-2829 Attic - center under floor - blown in insulation 5-2829 Attic - west side under floor - blown in insulation 6-2829 2nd floor - rear stair - on landing - orange and

brown linoleum 7-2829 151 floor - rear stair- on landing- brown and

gray linoleum 8-2829 151 floor- pantry - under floor tile - tan linoleum

9-2829 151 floor - kitchen - west side under floor tile - tar paper

10-2829 151 floor - kitchen - center under floor tile - tar paper

11-2829 2no floor - hall - under floor tile -tar paper 12-2829 1st floor- bathroom - under floor tile - beige and

orange linoleum l3-2829a 151 floor - dining room- north wall- plaster base

coat 13-2829b 1 ' 1 floor- dining room- north wall- plaster skim

coat 14-2829a 151 floor - living room - west wall - plaster base

coat

2 Family Dwelling Asbesros Inspection 2829·3 1 Nonh 33'" Streel

3 Milwaukee, W"1$C0nsin Conrract # 360-12.0553

Results






Negative

Negative Negative

Negative

Negative

Negative

Approximate Romogeneous Quantitv Code

15 Sq. Ft. MFLtn

N/A MFLtn

15 Sq. Ft. MFLn

N/A MFLn

N/A MBI N/A MBI N/A MBI

20 Sq. Ft. MFLon

N/A MFLny

24 Sq. Ft. MFLt

N/A MPT

NIA MPT

N/A MPT N/A MFLeo

N/A SPl

NIA SP1

N/A SPl

W:/Word/HMG/ 12 Projects/12.0210 .2829 October 12, 2012

HMG Project M 12.021 o


14-2829b }51 floor- living room -west wall - plaster skim

coat 15-2829 151 floor - kitchen - south wall - plaster base coat

15-2829b 1 '1 floor - kitchen - south wall- plaster skim coat 16-2829a l st floor - northeast bedroom - south wall -

plaster base coat 16-2829b I 51 floor- northeast bedroom - south wall -

plaster skim coat 17-2829a 2nd floor - northeast bedroom - east wall - plaster

base coat 17-2829b 2nd floor - northeast bedroom - east wall - plaster

skim coat 18-2829a 2nd floor - dining room- west wall- plaster base

coat 18-2829b 2nd floor - dining room - west wall - plaster skim

coat 19-2829a 2nd floor - southeast room - east wall - plaster

base coat 19-2829b 2na floor - southeast room - east wall - plaster

skim coat 20-2829 151 floor - living room - east window - glazing

compound 21-2829 Basement - west window - glazing compound 22-2829 Attic - east window - glazing compound

23-2829a 1st floor - dining room - ceiling - plaster #2 23-2829b l st floor - dining room - ceiling - texture 24-2829a 1st floor- kitchen - ceiling - plaster #2 24-2829b 1st floor - kitchen - ceiling - texture 25-2829a I st floor- kitchen - ceiling- plaster #2 25-2829b 1st floor - kitchen - ceiling - texture 26-2829 151 floor - kitchen - on south wall - cream

linoleum 27-2829 1 '1 floor- kitchen - on north wall - cream

linoleum 28-2829 I 51 floor - kitchen - on west wall - cream

linoleum 29-2829 Basement - on north side of chimney - top layer

- gray flue packing 30-2829 Basement - on north side of chimney - bottom

layer - white flue I>_acking 31-2829 Basement - on south side of chimney - light gray

flue Jlacking 32-2829 Basement- south wall- plaster #3 33-2829 Basement - west wall - plaster #3 34-2829 Basement - north wall - plaster #3 35-2829 Basement- on boot - duct paper

36-2829 Basement - on return - duct paper

37-2829 Basement- on duct on floor - duct paper

38-2829 2"a floor - bathroom - beige linoleum

2 Family Dwelling Asbestos Inspection 2829-3 I Nonh 33'" Street 4 MiiWllllkee, Wisconsin Cootraet # 360- 12-0SSJ

Results

Negative


Negative

Negative

Negative

Negative

Negative

Negative

Negative

Negative

Negative Negative Negative Negative Negative Negative Negative Negative Negative

Negative

Negative

Negative

Negative

Negative

Neg_ative Negative Negative



Positive 60% Chrysoti1e Negative


N/A SPI

N/A SPI N/A SPI N/A SPl

NIA SPl

N/A SPI

NIA SPI

NIA SPI

NIA SPI

N/A SPI

NIA SPI

N/A MPG

NIA MPG NIA MPG NIA SP12 NIA SPI2 NIA SP12 N/A SP12 NIA SP12 NIA SP12 N/A MFLc

NIA MFLc

N/A MFLc

NIA TFPy

NIA TFPw

N/A TFPylight

N/A SPI3 NIA SPI3 NIA SPI3

20 Sq. Ft. TDW



N/A MFLe

W:/WordiHMG/ 12 Projects/12-02 10.2829 October 12.2012



39-2829 2nd floor- kitchen - west side under floor tile -gray and tan linoleum

40-2829 2nd floor- kitchen - east side under floor tile-gray and tan linoleum

41-2829 2nd floor - kitchen - north side under floor tile -gray and tan linoleum

42-2829 Quality Assurance/ Quality Control Sample of Sample 1-2829

37-2651 Quality Assurance/ Quality Control Sample of Sample 6-2829

Notes: N/A = Not Applicable Sq. Ft.= Square Feet

Results

Negative

Negative


Positive 20% Chry_sotile


Assumed Cate o I Non-Friable Asbestos Containin Floor Level

Roof

Floor Tile Mastic Carpet Mastic

Bedroom


MFLtn MFLn MBI MFLon MFLny MFLt MPT MFLeo SPl MPG SP1 #2 MFLc TFPy TFPw TFPy light SP1#3 TDW MFLe MFLyt QA/QC

Tan/Brown Linoleum Brown Linoleum Blown In Insulation Orange/Brown Linoleum Brown/Gray Linoleum Tan Linoleum Tar Paper Beige/Orange Linoleum Plaster Window Glazing Compound Plaster No. 2 Cream Linoleum Gray Flue Packing White Flue Packing Light Gray Flue Packing Plaster No. 3 Duct Wrap Beige Linoleum Gray/Tan Linoleum Quality Assurance/Quality Control Sample


NIA MFLyt

NIA MFLyt

150 Sq. Ft. MFLyt

N/A QAQC

N/A QAQC

230 Sq. Ft.

Note# I: Category I - Non-Friable Asbestos Containing Materials may become friable during mechanical demolition activities or maybe considered friable prior to demolition activities due to its current condition.


2 Family Dwelling Albestos Inspection 2829·31 North 33,. Streer Milwaukee, \V!SCOnsin Contra<! # 360-12.0553

5 W:/Word!HMG/12 Projec!SI12.0210.2829 October 12,2012

HMG Projec~ # 12.02 10


Note#4: Additional duct paper may be discovered within walls and ceilings. Exploratory demolition required for exact quantity.

Note#S: Estimated cost for friable asbestos removal

V. EXCLUSIONS

Roof visible only from ground. No visible or accessible areas or material were excluded from this scope of work.

HMG is not and shall not represent the building owner as its agent or representative for the purpose of the US EPAINESHAP and/or the WDNR/NR447 regulations, as owner/operator.


VI. LIMITATIONS

The care and skill given to our procedures insures the most reliable test results possible. HMG utilizes Schneider Laboratories for our Polarized Light Microscopy, unless otherwise specified by the client. The findings and conclusions ofHMG represent our professional opinions extrapolated from limited data. Significant limited data is gathered during the course of the preliminary asbestos specific site assessment. No other warranty is expressed or implied. Prior to any abatement or renovation activities, it is recommended that HMG be provided the opportunity to review such plans in order that the inspection and assessments contained herein are properly interpreted and implemented.

This report and the information contained herein are prepared for the sole and exclusive use and possession of the City of Milwaukee Department of Neighborhood Services. No other person or entity may rely on this report or any information contained herein. Any dissemination of the Report or a71y information contained herein is strictly prohibited without prior written authorization from Harenda Management Group.

2 Family Dwelling Asbestos Inspectioo 2829·3 I North 33"' Street Milwaukee, \Vlseoosin Contract # 360-12-0553

6 W:/Word/HMG/12 Proje<t$112..0210.2829 October 12, 2012

HMG Project# 12·02 10


2 Family Dwelling Asbestos Inspection 2829-3 1 Norlh 33,. Slreet Milwaukee. WlSCOnsin Contract # 360-12-CSSJ

7 W:/Word/HMG/12 Projects/12-C210.2829 October 12, 2012

1-D.iG Projectii12-C210





N/ A Dehumidifiers

N/ A Heat Pumps


N/ A Vending Machines, Food Display Cases

N/A Walk-in Coolers



N/A Water Coolers


2 Family Dwelling Asbestos Inspection 2829-3 1 Nonh 33,. Stree1 Milwaukee, Wisconsin Contract# 360-12-0553

8 W:JWo rd/HMG/12 Projects/12-0210.2829 October 12, 2012



LIGHTING N/A

NIA

Fluorescent Lights


NIA Neon

Nl A Switches for lighting using mercury relays -Look for any control associated with exterior or automated lighting systems such as "Silent" wall switches.



N/A Old Thermostats

N/ A Aquastats

N/ A Firestats

N/ A Manometers

N/ A Thermometers

BOILERS, FURNACES, HEATERS AND TANKS- 2 Furnaces & 2 Hot Water Heaters in the Basement

N/ A Mercury Flame Sensors by pilot lights


N/ A Pressure-trol


N/ A Space Heaters

2 Family Dwelling Asbestos Inspection 2829-31 Nonh 33" Street Milwaukee, Wisconsin Contract 11360-12.0553

9 W:/Word/HMG/ 12 Projects/12-0210.2829 October 12, 2012

HMG Project# 12.0210

ELECTRICAL SYSTEMS- 2 Electric Breaker Boxes in the Basement


NIA Phase Splitters


N/ A Mercury Displacement Relays


N/ A Transformers


N/ A Heat Transfer Equipment

N/A Light Ballasts

N/ A Specialty Paints (such as for swimming pools or other industrial applications)



N/A Hazardous Waste

N/ A Oil Tanks


N/ A Junk Auto Tires

N/ A Junk Vehicles

* 1 Water Meter in the Basement * 1 Gallon of Paint in the Attic * 1 Gallon ofUsed Oil in the Back Yard *One 5 Gallon Can of Paint in the 1st Floor Foyer

2 F amiJy Dwelling Asbestos insp<ction 2829· 31 Nonh 33,. Street Milwaukee, Wisconsin Contract# 36().12.0553

10 W:/Worci/HMG/12 Projects/12.0210.2829 October 12, 2012

HMGProject # 12·0210

2 Family Dwelli.og Asbestos Inspection 2829-31 Nonh 33" Street .Milwaukee, Wisconsin Contract # 360-12-0553


11 W:/Word/HMG/12 Projects/12-0210.2829 October 12, 2012


SCHNEIDER LABORATORIES GLOBAL INCORPORATED

2512 W. Cary Street· Richmond, Virginia • 23220-5117 804-353-6778 • 800-785-LABS (5227) • (FAX) 804-359-1475 Over 25 Years of Excellence in Service and Technology

AIHAIELLAP 100527, ISO/IEC 17025, NVLAP 101150-0, VELAP 460135, NYELAP/NELAC 11413

LABORATORY ANALYSIS REPORT Asbestos Identification by EPA Method1 600/R-93/116

ACCOUNT#: 4001-12-768

CLIENT: Harenda Management Group

ADDRESS: 1237 West Bruce Street

Milwaukee, WI 53204 PROJECT NAME: DNS

JOB LOCATION:

PROJECT NO.: 12-0210.2829 PONO.:

Client SLI Sample


No. Layer 10 Layer Name

1-2829 31641414

Layer 1: Linoleum Beige, Org.Bound/Fibrous

Layer 2: Skim Coat White, Granular

2-2829 31641415



3-2829 31641416

Layer 1: Insulation Beige, Fibrous


Total Number of Pages in Report: 7


Using SLI AG

DATE COLLECTED:

DATE RECEIVED: DATE ANALYZED:

DATE REPORTED:

Sample Type:

10/8/2012

10/8/2012 10/9/2012

BULK


Asbestos Fibers Other Materials

20% CHRYSOTILE 20% CELLULOSE FIBER

None Detected

20% CHRYSOTILE

None Detected

None Detected

None Detected

10% MINERAU GLASS WOOL



20% CELLULOSE FIBER




65% CELLULOSE FIBER




Visit www.slabinc.com for current certifications.

Samples analyzed by the EPA Test Method are subject to the limitations of light microscopy including matrix interference. Gravimetric reduction and correlative analyses are recommended for all non-friable, organically bound materials. This method has a reporting limit of 1% or greater. Visual estimation contains an inherent range of uncertainty. This report must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other gov't agency endorsement.

Account- Workorder 4001-12-768 (Continued)

Client SLI Sample



4-2829 31641417



5-2829 31641418


6-2829 31641419


7-2829 31641420

Layer 1: Flooring Black, Org.Bound/Fibrous

8-2829 31641421


9-2829 31641422

Layer 1: Felt Black, Fibrous

10-2829 31641423


11-2829 31641424




Page 2 (Continued)


Asbestos Fibers

None Detected

None Detected

None Detected

20% CHRYSOTILE

None Detected

20% CHRYSOTILE

None Detected

None Detected

None Detected

Other Materials

65% CELLULOSE FIBER




65% CELLULOSE FIBER



20% CELLULOSE FIBER 10% MINERAUGLASS WOOL


35% CELLULOSE FIBER



20% CELLULOSE FIBER



65% CELLULOSE FIBER



65% CELLULOSE FIBER 15% MINERAUGLASS WOOL 20% NON FIBROUS MATERIAL

65% CELLULOSE FIBER

15% MINERAUGLASS WOOL 20% NON FIBROUS MATERIAL




Client SLI Sample

Sample Sample/ Identification/ PLM Analysis Results No. Layer ID Layer Name Asbestos Fibers Other Materials

12-2829 31641425

Layer 1: Flooring None Detected 35% CELLULOSE FIBER

Beige, OrgJ=!ound/Fibrous 15% MINERAUGLASS WOOL


13-2829 31641426


Beige, Granular


White, Granular

14-2829 31641427


Beige, Granular


White, Granular

15-2829 31641428


Beige, Granular


White, Granular

16-2829 31641429


Beige, Granular


White, Granular

17-2829 31641430


Beige, Granular


White, Granular





Client SLI Sample


18-2829 31641431


Gray, Granular

Layer 2: Textured Material None Detected 100% NON FIBROUS MATERIAL

Beige, Granular

19-2829 31641432


Gray, Granular


Beige, Granular

20-2829 31641433


Beige, Granular

21-2829 31641434


Beige, Granular

22-2829 31641435


Green, Granular

23-2829 31641436


Beige, Granular


Beige, Granular

24-2829 31641437


Beige, Granular





Client SLI Sample



Beige, Granutar

25-2829 31641438


Beige, Granular


Beige, Granular

26-2829 31641439


Beige/Black, Org.Bound/Fibrous 15% MINERAUGLASS WOOL


27-2829 31641440




28-2829 31641441




29-2829 31641442


Gray, Granular

30-2829 31641443


Gray, Granular

31-2829 31641444


Gray, Granular

32-2829 31641445

Layer 1: Granular Material None Detected 2% CELLULOSE FIBER

Gray, Granular 98% NON FIBROUS MATERIAL





Client SLI Sample


No. Layer 10 Layer Name

33-2829 31641446

Layer 1: Granular Material Gray, Granular

34-2829 31641447

Layer 1: Granular Material Gray, Granular

35-2829 31641448


36-2829 31641449


37-2829 31641450


38-2829 31641451


39-2829 31641452


40-2829 31641453


41-2829 31641454




Page 6 (Continued)


Asbestos Fibers

None Detected

None Detected

60% CHRYSOTILE

60% CHRYSOTILE

60% CHRYSOTILE

None Detected

None Detected

None Detected

20% CHRYSOTILE

Other Materials

2% CELLULOSE FIBER


2% CELLULOSE FIBER


20% CELLULOSE FIBER



20% CELLULOSE FIBER



20% CELLULOSE FIBER



35% CELLULOSE FIBER



35% CELLULOSE FIBER



35% CELLULOSE FIBER



20% CELLULOSE FIBER






Client SLI Sample


No. Layer ID Layer Name

42-2829 31641455


43-2829 31641456


Analyst: MOHAMMED B. HASHIM



Page 7 (Continued)


Asbestos Fibers

20% CHRYSOTILE

20% CHRYSOTILE

Other Materials

20% CELLULOSE FIBER



20% CELLULOSE FIBER



Reviewed By: Hind Eldanaf, Microscopy Supervisor



I

I I \

p.o. Box 511305

~ew Bertin WI 53151

Proleet Name: bNS

Prolect Location:


804-353-.ena • 800-785-LABS (5227) • Fax 804-359-1475


4001

WOLabsl:

Phone I# FD.If

& E-rn.all

414-383-4800

414-383-4805 [email protected]

Soeciallnstructions [include reauests for special reportina or dttta oacka_ll_SS]

bO NOT ANALYZE MASTICS ProiKt Number: 12-0210.2829

0Weekend•

• not available for all tests 0Palnt

TYPE OF RESPIRATOR

Po Number: St.lto Of Collection Wt 'I )t~. ~~~,~~·~:d··;,rh~(.':'.;·: x// .;,..·;~~~I&;_~~,:~~ {sJt~~ 'b~~~·.t ,:·. / '·. ·~,:·!.<;;~\ ':~·:<·;~\':·~;·~·.:-:):_f."';· ·:.:r~~tJi A~~~;i:iS'et~ iii ~ihiA~~tJ(:::;·{~:·.::;,.';, ; ·;::;:, ·,:·;:n'::::::~. ··i'.

D 2 hours• All samples on form should be of SAMe J',J.-~~~t~ :ri;;:f~i'~i do~~-r \ :: :~~~ e~'l.k't~~hld:;;·~::·.· ~'</:~·~~~:i~(;.~~:b'~t~;::\'U,:'!: matrix typg Use additional forms as needed.

0 Same day• 0PCM (NIOSH 7400) IB.J PLM (EPA 600, 1982) 0 Leacl

\

1

0 1 business day• D Air 0 Solid 0TEM (AHERA) 0 PLM (EPA Point Count) 0 RCRA Metals

0 2 business-day• 0 Aqueous 0 Waste. 0TEM (EPA Levell!) 0 PLM (Qualitative only) OL-L--------1 IEJ3 business days• IBl Bulk 0 Wastewa.ter lD 0 NYELA? 198.11.41.6 1-"D..._,.,~.....,..~.,......,.,,....,.,..,...,.__,,---~

0 .5 business days• 0 Hi-Vol Filter (PM10) O Water, Drinking )/:::~~~ir~n~~~ ~~~-_:;;:;_;: 0 C~LAP (EP~ Interim) \. ~\\.j·'.i: ~b;)~~~a:,•;':,·, './.;:\ .. ~ O Full TCLP (10d) 0 Hi-Vol Filter (TSP) O Compliance OTotal Oust (NIOSH 0500) O TEM (Chatfield) 0 TCLP I Lead

Don 0 \Mpe OResp. Oust (NIOSH 0000) ... ln~--------!OTCLP I RCRA Metals

QSUica- FTIR (NIOSH 7602) FOR ASBESTOS AIR: inTCLP I Full (wl omanicsl

-:;y:,.,;\'.~:::~··; ' .(~~~~;:·~;{tif: ·::.'·; 0 ~pe.Co~stte

I Schedulerosholflanks,mulfl. 0Siudge 0----- osmca-XRD(NIOSH7500) . . '!!!f!Jis _&_~r;!~il}__ Os-• ·- · . n I .-. 0

· ·~- ~==~~~·~~~====~~~======~~=· ===== .. ====~'~w======~====~~us~E~D~: ==~==~~7=~~~~~~~===; Date Time Sample ldentificatlon Wiped . Type 1 Timr .. · !'low Rate3 •• .. . • -: TotaJ4 ·

Sample# Samoled SamQ.Ied (e.a. Emolovee SSN Blc!fL Materian Area Cft"l A B.P _J;; Start Stop Start Stop Air Vol

~~~~,-~~~~~-+----~---+--------------~---+--~--~--+---,_--~--~ I 'i~ ztz_9 ;5-2829

1~282.9

I 1{V'"~

11Type: A=ar&a B"blank P"l)8rsonal E=excursfon 2Beglnnfng/End of Sample Perfocl 3Pump Calibration in Liters/Minute

l$ampled by ~elinqulshed to lab by

~ME ~AME I ~~GNATURE ---------p~&nME _____________ __

~IGNATURE

PATE/TIME

10 Samole return reouested D Ambient tem...Q D Ice

~en l/1 10/5/12 11·00 /r-:_.... A

oc oH Cl nR IllS OX. [,c'1L'\. ( latlon

4volume In Liters [time in min • flow in Umfnl

1'--" / ... __ _

i i I

I l l

(jL; •. SCHNEIDER LABORATORIES, INC. WOL.abel:

2512 West Cary Street, Richmond, Virginia 23220-5117

-~- 804-353-6778 • 800-785-LABS (5227) • Fax 8Q4-.359-1475 . . . . ..

www.slabinc.com e-mail: [email protected] ..

Submitting _l Lab

Co. aronda Mllnaaement Group_ Usa-WO#

P.O. Box 511305 ACct# Phone#

Fax# 414-383-4800

& 414-383-4805 ti•w Bertin. WI 631_$1 4001 E-mail [email protected]

ProJect Name: bNS Special /nstructlons !include reczuestt; for SJJ_ec/al reoortina or dBta packages

f>ro:lect Location: PO NOT ANALYZE MASTICS

Pr9ject Number. 112-0210.2829

i>o Number: Stolte Of Collection ~I ::~xGu;~r~~~~d'Ti~'t• •• • :f': ·Ma'i.fi /~ol~' ~~t~~i~-oN'ei'h,; \};·· '· ~) .· .·-· .. ·, '• -1 _:~x ·' ·' ·. '· .. : . ·' ' ' .... '·. ' :•. · .. , . . " .; .>.yi::'.'/(i';·,:.>;, ••. ;;\~:1> ;i. '·. •;- .: .. '.::Teat. /.Aru.ivw:a ts&IOct'ALL'thafA~i)lvi., • · :. :, -.--,:.;'..

02hours• All samples on form should be of SAME · ~t~~ ~i-i ~iii~~,~~~::·. >· .~A.i~.-~-~'ui-~/k~-(o.'>··,_ '•_',<1 '':M~~f&::t~~~\ci~~~: ._,:•\'>· matzjx tvoe. Use acWtl/onal fonns as needed.

0 PCM (NIOSH 7400) 0 Same day" IBJ PLM (EPA 600, 1982) 0Lead

0 1 business day• OAir 0Sor!d 0TEM (AHERA) 0 PLM (EPA Point Count} 0 RCRA Metals

0 2 business day• 0Aqueous owasle 0TEM (EPA Level II) 0 PLM (Qualitative only} n IEJ3 business days• [8) Bulk 0 Wastewater In 0 NYELAP 198.1/.4/.6 ID 0 5 business days• 0 Hi-Vol Filter (PM1 O) O Water, Drinking .i;/·:. -~!Sri~lra~~~Ta~~--~/::··; 0 CAELAP (EPA Interim) ;-··;.-/\··.· M~t;·i~~~~i;·,;/(:+:i'.: Q Futl TCLP (10d) 0 Hi-Vot Filter (TSP) O Compliance OTotal Dust (NIOSH 0500} 0 TEM (Chatfleld) OTCLP / Leacl

0Weekend* oo~ 0 'Mpe QResp. Dust (NlOSH 0600) In QTCLP I RCRA Metals

• not available for all tests QPaint 0 IMpe, Composite QSRica • FTIR (NIOSH 7602} FOR ASBESTOS AIR: [n TCLP I Fufl Cw/ o_manic&j

Sc"*<<u/e rush 01J1at!IC3, multi- 0 Siudge 0 0 SVica • XRD (NIOSH 7500} TYPE OF RESPIRATOR .-:= .. t~::_-'.:·:!··.N:\~-·~ }:: ~~·;i:~~~;{~---:~~>·;·i·~:::/~: metals &. we.kend tulllln

IDsol _Q_ :o lr1 advtmee. USED:

Date Time ·· - sample Identification · \Niped. ' 'Type1 . · ·Time2 Flow Rate3 ·rotaf4·· Sample# Sampled Sarnpled ~_,g. Em_Q!~ee SSN Bldtl. Material) Area~ ABP,E Start Stop Start Stop Air Vol

\3-25~9

I~''Z.&l-9

I (S-~/ I

\ ((p -'2.'SZ:/

n-~

~ '8 -'"2&:2."

(Cf -75$;2.9

-k>-7.82.1 i le ( .-1..&2."? I ~-232.9

~3 _c.gC)

f2~-uz.q I

\ 1Type: A=area Bzblank P=pareonal E=excursion 2aeglnnlng/End of Sample Period JPump Calibration In WtereiMlnute "volume in Liters (tlmo in min • flow in Lim In]

~mpledby ~eltnqulshed to lab by •. ...£:tTiX 0 UPS

~~ME ~a~acobsen 0 USM ~AME OHO

\~ ODB jsiGNATURE !siGNATURE

10~2 17:00 V" ~uJ!TMlnsTL6sc£2 I

pATE!TlME pATEITIME .. --.::;:?__,~ ' / __ l

ID Sample return [eg__uested 0 Ambient temp 0 Ice oc pH Cl .ll_R Clt\5 OX I '\...._ \ ~ -

·((i~· SCHNEIDER LABORATORIES, WOL.abel:

INC. 2512 West Cary Street, Richmond, Virginia 23220-5117

804-353-6778 • 800-785-LABS (5227) • Fax 804-359-1475 : -:-.

www.slabinc.com e-mail: [email protected] Submitting _LI Lab

Co. arenda Manaal!mant Groug ua ... WO#

,..O.IIox 511305 AC:Clll Phone1ll

Fax# 414-383-4800

& 414-383-4805 Nllw Berlin WJJ 31151 4001 E-m all [email protected]:om

Proli!Ct Name: bNS Special Instructions !Include reouests for soecial reoortina or data packages]

ProJect Loc:at!on: DO NOT ANALYZE MASTICS

ProJect Number. ~2-0210.2829

PO Number: State Of CollecUon ~I .:f,\ ~~;.{X:b~~ ii~~ :: ·: : \/.<: ·rJi~~i ·~~~~~· -r,;·~.is~i~'il~Ei('<;.:.:.: ·. -:. <'· .: :; ", \ .. . ; ~· .. ~ -::'/ .. ~· .. \···:;.·:< r~~''/i~~~· ts~~ Al.~ ·~~t ·A~i~}?/;·.=~: ;:.;, ,J,• :·1.::./~\!;;:··;./} \:'.;. ·' :~ 02hours• ' ':·.''.· .. ·; :.:::. : ,: : . ·; .• .-· .. ~· : ~. ;·.: . .. : := :::.

;;.~~~ ·~·&;;~~ ·a~f~/i~~ i&;' /· ·::.·;.,;:;:. ~~~~~f~titt:ci~'r:~: !.·-·);';-. All samples on form should b& of SAME . AsbestoS' Ai'r'l Fiber. counts-". metriiC tyoo Use additions/ forms ss needed.

0Sameday• 0PCM (NIOSH 7400) IBJ PLM (EPA 600, 1982) 0Lead 0 1 business day• OAir 0Solld 0TEM (AHERA) 0 PLM (EPA Point Count) 0 RCRA Metals 0 2 business day• QAquaous 0Waste QTEM (EPA Level II) 0 PLM (Qualitative only) 0 [29 3 business days• IBJBulk 0 Wastewater n 0 NYELAP 198.1/.4/.6 lo 0 5 buslnS&s days• 0 HI-Vol F~ter(PM10) 0 Water, Drinking ·. '·\·~~~~~·ii~ r~~;' >A 0 CAELAP (EPA interim) l\·(;~,'; ~i"ta~~~ci}::::>•); Q Full TCLP (10d) 0 Hl-Vol Filer (TSP) 0 Compfiance QTotal Dust (NiOSH 0500) 0 TEM {Chatfield) QTCLP/Lead 0Weekend• QOil 0 'Mpe 0Resp. Dust (NIOSH 0600) lrJ 0 TCLP I RCRA Metals • not avaMable for all tests QPaint 0 Wipe, Composite QSUica • FTIR (NiOSH 7602) FOR ASBESTOS AIR: lnTCLP I Full lwf organics)

Sc/H:dua TUSh oiJlan/a, multi- QSiudge 0 QSDk:a - XRD (NIOSH 7500) TYPE OF RESPIRATOR G:_\<<<>'''::~~~:>::;iy>.;;,:: ~·· mew• & weeJcfltld re.ttstn ID son D ID ID adv;mco. USED: -.. . ·- .. .

Date· Tinie .. .

- ·· Sample IdentificatiOn" - ·· Wipad ·-r-ype1 ... - Ttri1'e2 . ..... - · •· ·.· · Flow Rate3 ~ - . "lotal4.

Samole# Samoled Samoled (e.a. Employee SSN Bldg, Material) Area(ft"} ABPE Start Sto_p Start Stoo Air Vol

\ ;?5~~

l~b-~ \ ~n~~ !

~'8-U2<}

23 .-ZJ'.Z::,

3o~23'2.'1 ' I

P(r-~1 I

I IP~ .. :z.gl.?

I

133-'2329 I

'f:!f'~ I

3;5-Lm 1"~~'282.9

1Type: A=area B=blank P=pensonal E=excunslon 2eeglnningfEnd of Sample Period 3Pump Calibration In Llte1111Minuto "vorume In Litera (time in min • flow In Umln]

s~mpled by 13 FX -Relinquished to lab by OUPS I

NAME Dean Jacobsen 0USM NAME OHD l P.GNATURE~ . c!fi.b¥-~IGNATURE

P~TE!TIME ~ATetTIME 17'00 l!aJ~ conl,Q~~T.J...3ndcondi5ons-2. I \

lrl• Samo!e return reouested Cl Ambient temo Ice oc oH Cl DRI:n:GOX \_ ~ ~

! ;

i-


804-353-6778 • 800-785-I..ABS {5227) • Fax 804-359-1475

www.slabinc.com

Ll . . Submitting Co. aronda Manaaement GrouD

e-mail: [email protected] l..aD

Use· WO#

IP.o. ao .. a113o5 'ACCtll'

k-.rew Berlin. WI 53181 4001

WOLabel:

Phone# l'axll

& E-mail

414-383-4800

414-383-4805 [email protected]

F>ro·ect Name: DNS Special Instructions [Include requests for special reporting or data oackB.C/es

Pro feet Location: DO NOT ANALYZE MASTICS

Proiect Number: ~ 2-021 0.2829

Po Number: stat& Of Collection ~I :~;t:'} fu~ i~~~~ ).;~~·:, ;·~ :\:''::,.'' ~Jiiisa.ri~ii ~~~-·~s~!ectb~~, ,; ;•:: ~: ··i ·-j/ '··: : ·:>,;· ·;:_·, ;~. ;~:.. , \ ;fribil,\~~~~-ts&~~·A((' ttiilt.:A~,~;;;;~;{>~ ',,::, -~~:;;: :~;\::. :\:)-;:;:\: ';;;\ 0 2 hours• All samples on form should be of SAME . A~6i~ci~· Alr·iF~'b~/rio~rifii •, ;?,;'::i~~~t);. But~ 1 A~b ioi~· ' 1• :\\.' . ·~g~~~T~~i'tc\nclSi•·<-<:

mafriK type Use additional forms as ne&ded. 0 Same day• 0PCM (NIOSH 7400) [g) PLM (EPA 600, 1982) 0 l ead

0 1 business day•

0 2 business day•

IEJ3 business days•

0 5 business days•

0 Full TCLP (1 Od)

oweekend•

0Air 0Solid

0 Aqueous 0 Waste

IEJ Bulk 0 Wastewater

0 Hi-Vol FITter (PM10) 0Watet,Drinking

0 Ht-Vol F~lln (TSP) O Compliance

QOii O VIJipe

QTEM (AHERA) 0 PLM (EPA Point Count) D RCRA Metals

QTEM (EPA l.evelll) 0 PLM (Qualitative only) LO....._ _____ _

In o NYeLAP 198.1/.4/.a ~-~.lo...L.~,..,.,~~~,_.,..,...,.,...,.,..,..,.~ 1·\:i M~~~;j~~u~ii~~':o>\·. 0 CAELAP (EPA Interim} >~'./ :~,~~~:~tr::y;_;_~: :·'; QTotal Dust (NIOSH 0500} O TEM (Chatfield) OTCLP I Lead

QResp. Dust (NIOSH 0600) 1"'10""'---------i QTCLP I RCRA Metals

• not available for all tests 0 Paint

s~~le rush 0111an~. mufti. 0 Sludge metal$ & weekend teats in O

0 Wl(Je, Composite QSUica - FTIR {NIOSH 7602)

0 ------ QSHica- XRD {NIOSH 7500)

FOR ASBESTOS AIR:

TYPE OF RESPIRATOR

lnTCLP I Full (WI ornanics)

. ,j~·.:··:x~:,'&h~'-rit-.::·'~?;::~). :c: .:_ 0 a<tv•nce. S01l D ID USED:

· - lime'! Row Rate3 - · · • · Torar··-

1 Samole# Date

Samoled -Time

Samoled · ··- Sample Identification · (e.a. Emolovee SSN Blda Material)

Wiped - ·Type1

Area (ft2) A B P,E Start Stop start Sloe Air Vol

I ~.-7l>29

I 'i:Z-288 \~----~--~~---+----------------4---~---r---+---+----r----+--~ . t.e-21)2.9

\ 1Typ&: A "llre& B=blank P=parsonal E=axcurslon 2Beglnnlng/End of Sam pia Period 3Pump Calibration In Liters/Minute "volume In Liters (time In min • flow in l./min]

ampled by ~elinquished to lab by

AME NAME Oea~Jaoobsen

~~GNATURE SIGNATURE a.,~ p~TErTIME pATEITIME 1~/12 11:0n 6 , 6-:---:--,.--~==:L-.::~~~~ I~ __.::::... ' 1m Samole return reauestedn Ambient temo D Ice oc p_H Cl R f::JS OX t~ _.;::-L

.... / -

2 Family Dwelling Asbestos Inspection 2829-31 North 33" Street Milwaukee, \Visconsin Contract# 360-12-0553


12 W:/Word/HMG/12 Projects/12-0210.2829 October 12,2012

HMG Ptojtct # 12-0210

~·I

ASBESTOS INSPECTOR ·

STATE OF WISCONSlN

~ of1:kahh Semces

&an 'T·Jaoobsen

W i3<1s9'¥8l ·,tplin~ ·Dr .M.nske,ge 'Wf~3 fS0--.3401

Tfllin.mg due~y: IMHJ!Ol2



Job Site:

Fire Damaged

One Family Dwelling

3319 North 38th

Street


For:

City of Milwaukee


Attn: Marge Piwaron



HMG Report No.: 13-2000-068.3319


________________________ Dean Jacobsen


Prepared by:




October 2013


3319 North 38th Street October 15, 2013


Contract # 360-13-0745

1

TABLE OF CONTENTS

I. Introduction ..............................................................................................................2





V. Exclusions ................................................................................................................4

VI. Limitations ...............................................................................................................4







Contract # 360-13-0745

2

I. INTRODUCTION



dwelling at 3319 North 38th Street, Milwaukee, Wisconsin.

The inspection included plaster, blown in insulation, window glazing compound, duct paper,

drywall/joint compound, and flue packing to determine if asbestos containing materials were

present within the space as required by US EPA NESHAP regulation 40 CFR 61 Subpart M.

II. BUILDING SURVEY



On October 8, 2013, HMG conducted an asbestos inspection of a one family dwelling,

scheduled for mechanical demolition, located at 3319 North 38th Street, Milwaukee,

Wisconsin. The inspection was conducted by Demicca Coe, Wisconsin License No. AII –

156385.









III. THE LABORATORY















Contract # 360-13-0745

3






The materials identified as suspect asbestos containing materials (ACM) include plaster, blown

in insulation, window glazing compound, duct paper, drywall/joint compound, and flue packing.

These materials were sampled and the following results were noted:


Quantity

Homogeneous

Code

1-3319 1st floor – living room – south wall – plaster Negative N/A SPl

2-3319a 1st floor – west bedroom – north wall – plaster

skim coat

Negative N/A SPl

2-3319b 1st floor – west bedroom – north wall – plaster

base coat

Negative N/A SPl

3-3319a 1st floor – north bedroom – west wall – plaster

skim coat

Negative N/A SPl

3-3319b 1st floor – north bedroom – west wall – plaster

base coat

Negative N/A SPl

4-3319 1st floor – kitchen – east wall – plaster Negative N/A SPl

5-3319a 1st floor – kitchen – ceiling – plaster skim coat Negative N/A SPl

5-3319b 1st floor – kitchen – ceiling – plaster base coat Negative N/A SPl

6-3319 1st floor – living room – on floor – blown in

insulation

Negative N/A MBI

7-3319 1st floor – west bedroom – on floor – blown in

insulation

Negative N/A MBI

8-3319 Attic – on floor – blown in insulation Negative N/A MBI

9-3319 1st floor – dining room – south window – glazing

compound

Negative N/A MPG

10-3319 1st floor – bathroom – north window – glazing

compound

Negative N/A MPG

11-3319 1st floor – rear hall – west window – glazing

compound

Negative N/A MPG

12-3319 1st floor – dining room – on vent – duct paper Positive 45%

Chrysotile

12 Sq. Ft. TDW

13-3319 1st floor – bathroom – on vent – duct paper Positive 45%

Chrysotile

Reference

12-3319

TDW

14-3319 Basement – on duct above sink – duct paper Positive 45%

Chrysotile

Reference

12-3319

TDW

15-3319a 1st floor – rear hall – ceiling – joint compound Negative N/A MDW

15-3319b 1st floor – rear hall – ceiling – drywall Negative N/A MDW

16-3319a Attic – south wall – joint compound Negative N/A MDW

16-3319b Attic – south wall – drywall Negative N/A MDW

17-3319a Attic – ceiling – joint compound Negative N/A MDW

17-3319b Attic – ceiling – drywall Negative N/A MDW

18-3319a Basement – top layer on chimney – gray flue

packing

Negative N/A TFPy

18-3319a Basement – bottom layer on chimney – tan flue

packing

Positive 3%

Chrysotile

1 Sq. Ft. TFPt




Contract # 360-13-0745

4






1st Kitchen/Hall Floor Tile & Mastics 150 Sq. Ft.


SPl Plaster



MDW Drywall

TDW Duct Paper

TFPy Gray Flue Packing

TFPt Tan Flue Packing



condition.




Note#4: Additional duct paper may be within walls and ceilings. Exploratory demolition required for exact

quantity.

Note#5: Estimated cost for friable asbestos removal …

V. EXCLUSIONS


of work.







VI. LIMITATIONS









Contract # 360-13-0745

5












Contract # 360-13-0745

6





Contract # 360-13-0745

7






ASBESTOS





CFCs and HALONS



N/A Dehumidifiers

N/A Heat Pumps



N/A Walk-in Coolers




N/A Water Coolers

LEAD









Contract # 360-13-0745

8

MERCURY


LIGHTING

4 Fluorescent Lights – Living Room


-Metal Halide


-Mercury Vapor

N/A Neon




HVAC


containing mercury.


N/A Old Thermostats

N/A Aquastats

N/A Firestats

N/A Manometers

N/A Thermometers




N/A Pressure-trol


N/A Space Heaters




Contract # 360-13-0745

9

ELECTRICAL SYSTEMS – 1 Electric Meter on Exterior. 1 Breaker Box in

Basement


N/A Phase Splitters



PCBs




found:

N/A Transformers



N/A Light Ballasts


applications)



N/A Hazardous Waste

N/A Oil Tanks


N/A Junk Auto Tires

N/A Junk Vehicles

* 1 Gas Meter on Exterior




Contract # 360-13-0745

10


2033 Heritage Park Drtve I Oklahoma City, OK 73120 I (405) 755-7272 / Fax (405) 755-2058







Analyzed By: Crista] Veech

Methodology: EPA/600/R-93/ 116

QuanTEM Client Sample ID SamplelD Composition


002 2-33 19 Layered

002a Layered

003 3-3319 Layered

003a Layered


Project:

Project Location:

Project Number:

Color I Description

Gray

Plaster

Tan

Skim Coat

Gray

Plaster

Tan

Skim Coat

Tan

Plaster

Gray

Plaster

Jolene Harenda 1237 West Bruce St. Milwaukee, WI 53204

DNS

Milwaukee, WI

13-2000-068.33 19

Non-Asbestos Asbestos (%) Fiber{%)

Asbestos Not Present Wollastonite




Asbestos Not Present Cellulose

Asbestos Not Present Cellulose

Unless otherwise noted, upon receipt the condition ofthe sample was acceptable for analysis.

<I

<I

2

Non Fibrous

Gypsum Perlite

Gypsum Perlite Sand

Gypsum Perlite Sand

Gypsum Perlite Sand

Gypsum Perlite Sand

Gypsum Perlite Sand

QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPN600/M4-82-020 and EPN6001R-93/1 16 methods. This report may not be used to claim product endorsement by NVLAP or any agency


Page 1 of4

2033 Heritage Park Drive I Oklahoma City, OK 73120 I (405) 755-7272 / Fax (405) 755-2058







Analyzed By: Crista! Veech

Methodology: EPA/600/R-93/ 116

QuanTEM Client SamplelD SampleiD Composition

005 5-3319 Layered

005a Layered





Project:

Project Location:

Project Number:

Color I Description

Tan

Skim Coat

Tan

Plaster

Gray

Insulation

Gray

Insulation

Gray

Insulation

Tan

Window Glazing

Jolene Harenda 1237 West Bruce St. Milwaukee, WI 53204

DNS Milwaukee, WI

13-2000-068.33 19

Non-Asbestos Asbestos(%) Fiber(%)


Asbestos Not Present Cellulose 2 Wollastonite <t

Asbestos Not Present Cellulose 100




Non Fibrous

Gypsum Perlite Sand

Gypsum Perlite Sand

CaC03 Talc

010 10-3319 Homogeneous Tan

Window Glazing

Asbestos Not Present Cellulose <1 CaC03


QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NV LAP accreditation applies only to analysis performed utilizing EPN600/M4-82-020 and EPN600/R-93/116 methods. This report may not be used to claim product endorsement by NV LAP or any agency


Page 2 of4

2033 Heritage Park Drive I Oklahoma City, OK 73120 I (405) 755-7272/ Fax (405) 755·2058



Date Received:

Received By:

Date Analyzed:

Analyzed By:

Methodology:

QuanTEM Sample ID

Oil

012

013

014

015

015a

10/ 10/2013

Joanna Mueller

10/ 15/2013

Crista) Veech

EPA/600/R-93/ 116

Client Sample ID

11-3319

12-33 19

13-3319

14-3319

15-3319

Composition

Homogeneous

Homogeneous

Homogeneous

Homogeneous

Layered

Layered


Project: DNS


Project Number: 13-2000-068.33 19

Color I Description

Tan

Window Glazing

Gray

Insulation

Gray

Insulation

Gray

Insulation

White

Joint Compound

White

Sheetrock

Asbestos(%)


Asbestos Present

Chrysotile

Asbestos Present

Chrysotile

Asbestos Present

Chrysotile



45

45

45

Non-Asbestos Fiber (%)

NA

Cellulose

Cellulose

Cellulose

NA

Cellulose


50

50

50

10

Non Fibrous

CaC03

Binder

Binder

Binder

Gypsum Perlite Paint

Gypsum

QuanTEM is a NV LAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPN600/M4-82-020 and EPN600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency

ofthe US Government. This report may not be reproduced except in full, without the written approval of the laboratory.

Page 3 of4

®




Date Received:

Received By:

Date Analyzed:

Analyzed By:

Methodology:

QuanTEM Sample ID

016

016a

017

017a

018

018a

10/ 10/2013

Joanna Mueller

10/ 15/2013

Crista! V eech

EPA/600/R-93/116

Client Sample ID

16-3319

17-3319

18-3319

Composition

Layered

Layered

Layered

Layered

Layered

Layered


Project: DNS


Project Number: 13 • 2000-06 8.3 319

Color / Description

White

Joint Compound

White

Sheetrock

White

Joint Compound

White

Sheetrock

Gray

Coating

Tan

Stucco

Asbestos(%)






Asbestos Present

Chrysotile

I 0/15/2013 - - -Date of Report

3


Non Fibrous

- - - - ·- - ----NA CaC03

Perlite Paint

Cellulose 10 Gypsum

NA Gypsum Perlite Paint

Cellulose 10 Gypsum

Wollastonite 45 Gypsum Paint

NA Quartz CaC03


QuanTEM is a NV LAP accredited PLM laboratory (Lab Code: 1 01959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement byNVLAP or any agency


Page 4 of 4



Contact 1nformation 1 ProjectlnfO:trri'i'ti'Ob·':

company: Harenda Management Group Phone: (414) 383-4800 ' ProJectName: DNS - ----If-- ·· - - ---

Contact: Dean Jacobsen Celt Phone: Projectlocation: Milwaukee, WI

Account II: £-mail: [email protected] II ProjectiO' 13-2000-068.3319

Bulk- Quantitative (weight%]- Chatfield

Oust- Quantitative (fibers/sq.cm]- ASTM 05755

Page of~

QuanTEM Website · --

Other email

~ ~B ~--.~ SATU RDAV SAMPLE DELIVERY- CALL TO SCHEDULE • Use this address for Saturday Delivery only: 4220 N. Santa Fe Ave., Oklahoma City, OK 73105-8517 • Mark Package "Hold for Saturday Pickup"

LADUKATORIES www.QuanTEM.com


LEGAL DoCUMENT- PLEASE PRINT LEGIBLY

Page 2 of _;;;;z

0~-~ ~~\3-3Y) I 0 I

---· .. . . 3 22 - . 0 _ .--· _

~: 11· ' . 1-, 2

[ 3o · ~ I

SATURDAY SAMPLE DELIVERY - CALL TO SCHEDULE • Use this address for Saturday Delivery only: 4220 N. Santa Fe Ave., Oklahoma City, OK 73105-8517 • Mark Package "Hold for Saturday Pickup"




Contract # 360-13-0745

11




Job Site:

Fire Damaged

Two Family Dwelling

2529-31 North 39th

Street


For:

City of Milwaukee


Attn: Marge Piwaron



HMG Report No.: 13-2000-399.2529


________________________ Dean Jacobsen


Prepared by:




December 2013


2529-31 North 39th

Street December 20, 2013


Contract # 360-13-0745

1

TABLE OF CONTENTS

I. Introduction ..............................................................................................................2





V. Exclusions ................................................................................................................5

VI. Limitations ...............................................................................................................5





2529-31 North 39th



Contract # 360-13-0745

2

I. INTRODUCTION



dwelling at 2529-31 North 39th Street, Milwaukee, Wisconsin.

The inspection included plaster, texture, blown in insulation, fiberboard, drywall/joint

compound, ceramic tile, linoleum, window glazing compound, tar paper, ceiling tile, duct paper,

flue packing, and transite siding to determine if asbestos containing materials were present within

the space as required by US EPA NESHAP regulation 40 CFR 61 Subpart M.

II. BUILDING SURVEY



On December 13, 2013, HMG conducted an asbestos inspection of a two family dwelling,

scheduled for mechanical demolition, located at 2529-31 North 39th

Street, Milwaukee,

Wisconsin. The inspection was conducted by Dean Jacobsen, Wisconsin License No. AII –

14370.









III. THE LABORATORY












2529-31 North 39th



Contract # 360-13-0745

3








texture, blown in insulation, fiberboard, drywall/joint compound, ceramic tile, linoleum, window

glazing compound, tar paper, ceiling tile, duct paper, flue packing, and transite siding. These

materials were sampled and the following results were noted:


Quantity

Homogeneous

Code

1-2529a 2nd floor – north bedroom – west wall - plaster

skim coat

Negative N/A SPl

1-2529b 2nd floor – north bedroom – west wall - plaster

base coat

Negative N/A SPl

2-2529a 2nd floor – dining room – ceiling - plaster skim coat Negative N/A SPl

2-2529b 2nd floor – dining room – ceiling - plaster base coat Negative N/A SPl

4-2529 Basement – stair – ceiling – plaster Negative N/A SPl

5-2529 1st floor – front entry – south wall – plaster Negative N/A SPl

6-2529a 1st floor – hall – ceiling – patch layer Negative N/A SPl

6-2529b 1st floor – hall – ceiling – plaster skim coat Negative N/A SPl

6-252cb 1st floor – hall – ceiling – plaster base coat Negative N/A SPl

7-2529a 1st floor – south bedroom – east wall – plaster skim

coat

Negative N/A SPl

7-2529b 1st floor – south bedroom – east wall – plaster base

coat

Negative N/A SPl

8-2529 1st floor – living room – on floor – blown in

insulation

Negative N/A MBI

9-2529 2nd floor – hall – on floor – blown in insulation Negative N/A MBI

10-2529 2nd floor – dining room – on floor – blown in

insulation

Negative N/A MBI

11-2529 1st floor – north bedroom – on floor – fiberboard Negative N/A MFB



14-2529 1st floor – south bedroom – north wall – drywall Negative N/A MDW

15-2529a 2nd floor – stair – south wall – joint compound Negative N/A MDW

15-2529b 2nd floor – stair – south wall – drywall Negative N/A MDW

16-2529 Attic – east wall – drywall Negative N/A MDW

17-2529 1st floor – kitchen – on south wall – yellow ceramic

tile

Negative N/A MCTMl

18-2529 1st floor – rear entry – brown linoleum Negative N/A MFLn

19-2529 1st floor – living room – east window – glazing

compound

Negative N/A MPG

20-2529 2nd floor – kitchen – west window – glazing

compound

Negative N/A MPG

21-2529 Basement – north window – glazing compound Negative N/A MPG

22-2529 1st floor – rear entry – under linoleum – tar paper Negative N/A MPT


2529-31 North 39th



Contract # 360-13-0745

4


Quantity

Homogeneous

Code

23-2529 2nd floor – kitchen – top layer west side – tan

linoleum

Negative N/A MFLt

24-2529 2nd floor – kitchen – top layer north side – tan

linoleum

Negative N/A MFLt

25-2529 2nd floor – kitchen – top layer east side – tan

linoleum

Negative N/A MFLt

26-2529a 2nd

floor – kitchen – bottom layer – yellow

linoleum

Positive 25%

Chrysotile

260 Sq. Ft MFLl

26-2529b 2nd floor – kitchen – under yellow linoleum –

leveling compound

Negative N/A MLC

27-2529 Attic – bathroom – bottom layer – cream linoleum Negative N/A MFLc

28-2529 2nd floor – bathroom – beige linoleum Negative N/A MFLe

29-2529 2nd floor – bathroom – ceiling tile Negative N/A MSCT

30-2529 2nd floor – dining room – ceiling – texture Negative N/A STX

31-2529a 2nd floor – dining room – ceiling – texture Negative N/A STX

31-2529b 2nd floor – dining room – ceiling – plaster patch Negative N/A STX

32-2529a 2nd floor – dining room – ceiling – texture Negative N/A STX

32-2529b 2nd floor – dining room – ceiling – plaster patch Negative N/A STX

33-2529 Basement – southwest on boots – duct paper Positive 65%

Chrysotile

5 Sq. Ft. TDW


35-2529 Attic – bathroom – top layer – gray linoleum Negative N/A MFLy

36-2529 Exterior – east wall – transite siding Positive 20%

Chrysotile

2,700 Sq. Ft. MTP

37-2529 Exterior – south wall – transite siding Positive 20%

Chrysotile

Reference 36-

2529

MTP

38-2529 Exterior – west wall – transite siding Positive 20%

Chrysotile

Reference 36-

2529

MTP






1st Kitchen/Rear Hall Floor & Wall Mastics 70 Sq. Ft.

2nd Kitchen/Bathroom Floor Mastics 290 Sq. Ft.

Attic Bathroom Floor Mastics 40 Sq. Ft.


SPl Plaster

STX Texture


MFB Fiberboard


MCTMl Yellow Ceramic Tile


MFLn Brown Linoleum

MFLt Tan Linoleum

MFLl Yellow Linoleum

MFLc Cream Linoleum

MFLe Beige Linoleum


2529-31 North 39th



Contract # 360-13-0745

5


MFLy Gray Linoleum

MPT Tar Paper

MSCT Ceiling Tile

MTP Transite

TDW Duct Paper

TFP Flue Packing



condition.






V. EXCLUSIONS

1st floor bathroom, bedroom, and kitchen floors buried in fire debris and not accessible.


of work.







VI. LIMITATIONS













2529-31 North 39th



Contract # 360-13-0745

6




2529-31 North 39th



Contract # 360-13-0745

7



2529-31 North 39th



Contract # 360-13-0745

8






ASBESTOS





CFCs and HALONS



N/A Dehumidifiers

N/A Heat Pumps



N/A Walk-in Coolers




N/A Water Coolers

LEAD







2529-31 North 39th



Contract # 360-13-0745

9

MERCURY


LIGHTING



-Metal Halide


-Mercury Vapor

N/A Neon




HVAC


containing mercury.


1 Old Thermostats – 1st Floor Living Room

N/A Aquastats

N/A Firestats

N/A Manometers

N/A Thermometers




N/A Pressure-trol


N/A Space Heaters


2529-31 North 39th



Contract # 360-13-0745

10

ELECTRICAL SYSTEMS – 2 Breaker Boxes in Basement


N/A Phase Splitters



PCBs




found:

N/A Transformers



N/A Light Ballasts


applications)



N/A Hazardous Waste

N/A Oil Tanks


3 Junk Auto Tires – Basement

N/A Junk Vehicles

* 10 Gallons Paint in Basement


2529-31 North 39th



Contract # 360-13-0745

11


®





Date Received:

Received By:

Date Analyzed:

Analyzed By:

Methodology:

QuanTEM Sample ID

001

OOla

002

002a

003

12/17/2013

Joanna Mueller

12/18/2013

Gayle Ooten

EPA/600/R-93/116

Client Sample ID

1-2529

2-2529

3-2529

Composition

Layered

Layered

Layered

Layered

....

No Sample in Container



Project: DNS

Client: Harenda Management Group Jolene Harenda 1237 West Bruce St. Milwaukee, WI 53204



Color I Description

White

Skim Coat

Tan

Plaster

White

Skim Coat

Tan

Plaster

** **

Gray

Plaster

Gray

Plaster

Asbestos(%)





..




NA

NA

NA

NA

Not Analyzed

NA

NA


Non Fibrous

CaC03 Paint

Quartz CaC03

CaC03 Paint

Quartz CaC03

Quartz CaC03

Quartz CaC03

QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 10 1959-Q). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency


Page 1 of 7

1111!!!!!!1 ..... ® -----••• LABORAlORIES

2033 Heritage Park Drive I Oklahoma City, OK 73120 I (405} 755-7272/ Fax (405} 755-2058



Account Number: 8929 Jolene Harenda 1237 West Bruce St.

Date Received: 12117/2013 Milwaukee, W1 53204 Received By: Joanna Mueller


Analyzed By: Gayle Ooten Project Location: Milwaukee, WI


QuanTEM Client Color I Non-Asbestos Sample ID Sample ID. Composition Description Asbestos(%) Fiber(%)

006 6-2529 Layered White Asbestos Not Present NA

Texture

006a Layered White Asbestos Not Present NA

Skim Coat

006b Layered Gray Asbestos Not Present NA

Plaster

007 7-2529 Layered White Asbestos Not Present NA

Skim Coat

007a Layered Gray Asbestos Not Present NA

Plaster

008 8-2529 Homogeneous Brown Asbestos Not Present Glass Fiber 99

Insulation

009 9-2529 Homogeneous Brown Asbestos Not Present Glass Fiber 99

Insulation


Non Fibrous

CaC03

CaC03 Paint

Quartz CaC03

Quartz CaC03

Quartz CaC03

Binder

Binder

QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959·0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPN600/M4-82-{)20 and EPN600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency

of the US Government. This report may not be reproduced except in full, without the written approval ofthe laboratory.

Page 2 of7

2033 Heritage Pari< Drive I Oklahoma City, OK 73120 I (405) 755-7272/ Fax (405) 755-2058

Polarized Ligbt Microscopy Asbestos Analysis Report



Date Received: 12/17/2013 Milwaukee, WI 53204 Received By: Joanna Mueller

Date Analyzed: 12/1 8/2013 Project: DNS


Methodology: EP A/600/R-93/116 Project Number: 13-2000-399.2529

QuanTEM Client Color! Non-Asbestos Non Fibrous Sample ID SampleiD Composition Description Asbestos(%) Fiber(%)

010 10,.2529 Homogeneous Brown Asbestos Not Present Glass Fiber 99 Binder

Insulation

011 11-2529 Homogeneous Brown Asbestos Not Present Cellulose 100

Fiberboard


Fiberboard


Fiberboard

014 14-2529 Homogeneous White Asbestos Not Present Cellulose 20 Gypsum

Sheetrock Paint


Joint Compound Paint

015a Layered White Asbestos Not Present Cellulose 20 Gypsum

Sheetrock


QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: I 01959·0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency


Page 3 of7

2033 Heritage Pari< Drive 1 Oklahoma City, OK 73120 I (405) 755-72721 Fax (405) 755-2058




Date Received: 12/ 17/2013 Milwaukee, WI 53204 Received By: Joanna Mueller


Analyzed By: Gayle Ooten Proj ect Location: Milwaukee, WI


QuanTEM Client Color I Non-Asbestos Non Fibrous Sample ID Sample ID Composition Description Asbestos(%) Fiber (%)

016 16-2529 Homogeneous White Asbestos Not Present Cellulose 20 Gypsum

Sheetrock

017 17-2529 Homogeneous Yellow Asbestos Not Present NA Clay

Ceramic Tile

0 18 18-2529 Homogeneous Tan Asbestos Not Present Cellulose 25 CaC03

Linoleum Synthetic 10 Binder

0 19 19-2529 Homogeneous Tan Asbestos Not Present NA CaC03

Window Glazing

020 20-2529 Homogeneous Cream Asbestos Not Present NA CaC03

Window Glazing

021 2 1-2529 Homogeneous Cream Asbestos Not Present NA CaC03

Window Glazing


Tar Paper


QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP acc~ditation applies only to analysis perfonned utilizing EPA/600/M4-82-020 and EPA/600/R-9311 16 methods. This ~port may not be used to claim product endorsement by NVLAP or any agency

of the US Government. This ~port may not be reproduced except in full, without the written approval of the laboratory.

Page 4 of7

~IL .. liiiii LABORATORIES

2033 Heritage Park Drive/ Oklahoma City, OK 73120 I (405) 755-7272/ Fax (405) 755-2058





Received By:

Date Analyzed:

Analyzed By:

Methodology:

QuanTEM SampleJD

023

024

025

026

026a

Joanna Mueller

12/18/2013

Gayle Ooten

EPN600/R-931116

Client Sample ID

23-2529

24-2529

25-2529

26-2529

Composition

Homogeneous

Homogeneous

Homogeneous

Layered

Layered

Client: Harenda Management Group Jolene Harenda 1237 West Bruce St. Milwaukee, WI 53204

Project: DNS



Color/ Description

Tan

Flooring

Beige

Flooring

Tan

Flooring

Yellow

Sheet Vinyl

White

Leveling Compound

Asbestos (%)




Asbestos Present

Chrysotile 25



NA

NA

NA

NA

NA

Non Fibrous

Vinyl

Vinyl

Vinyl

Vinyl

CaC03

027 27-2529 Homogeneous Cream

Sheet Vinyl

Asbestos Not Present Cellulose 20 Vinyl

028 28-2529 Homogeneous Beige

Sheet Vinyl



Cellulose 20 Vinyl

QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis perfonned utilizing EPN600/M4-82-020 and EPN600/R·93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency


Page 5 of7




Account Number: 8929 Jolene Harenda 1237 West Bruce St.

Date Received: 12/17/2013 Milwaukee, WI 53204 Received By: Joanna Mueller


Analyzed By: Gayle Ooten Project Location: Milwaukee, WI Methodology: EPN600/R-93/116 Project Number: 13-2000-3 99.2529


029 29-2529 Homogeneous White Asbestos Not Present Cellulose 30 Paint

Ceiling Tile Glass Fiber 30 Perlite

030 30-2529 Homogeneous White Asbestos Not Present NA Quartz

Plaster CaC03 Paint


Texture Paint

031a Layered White Asbestos Not Present NA Quartz

Plaster CaC03


Texture Paint

032a Layered White Asbestos Not Present NA Quartz

Plaster CaC03

033 33-2529 Homogeneous Gray Asbestos Present Cellulose 30 Binder

Insulation Chrysotile 65


QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the speciftc items tested. NVLAP accreditation applies only to analysis performed utilizing EP N600/M4-82-020 and EP N600/R-931116 methods. This report may not be used to claim product endorsement by NVLAP or any agency


Page 6 of ?

M® LABORATORIES




Account Nwnber: B929 Jolene Harenda 1237 West Bruce St.





Methodology: EPA/600/R-93/ 116 Project Nwnber: 13-2000-399.2529

QuanTEM Client Color I Non-Asbestos Non Fibrous Sample lD Sample ID Composition Description Asbestos (%) Fiber(%)

- - - ··

034 34-2529 Homogeneous Gray Asbestos Not Present NA Quartz

Plaster CaC03

035 35-2529 Homogeneous Beige Asbestos Not Present NA Vinyl

Flooring


Transite Chrysotile 20





12/19/2013 ---Date of Report


QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 1 01959-0). This report relates only to the specific items tested. NV LAP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020 and EPA/600/R-93/1 16 methods. This report may not be used to claim product endorsement by NVLAP or any agency


Page 7 of7

-. --~:~ ...... r~,.·;~,,

BORATORIES . ::;· ·

www.QuanTEM.com


LEGAL DOCUMENT- PLEASE PRINT LEGIBLY

Page 1 of ____i_ r------·-····-·-·------- . ------

... For lab Use Only

Lab No. 23oO Cfz. ~ Reject

Harenda Management Group

···•¢ontact.tilformation I

Phone: (414) 383-4800 I D~~P<Oject lnform~~lon .I cr~=:~.:.box)

Company: Project Name:

contact: Dean Jacobsen

Account#: 8929

SAMPL~D Bv: I Name:

r<-: ,....RELINQUISHED BY

1~ \!__

, 0 Other ..email r-----------------------------------~

Cell Phone: Pro]ecttocation: Milwaukee. WI

E·mall: [email protected] II Project 10: 13-2000-399.2529

Date: P.O. Number:

·· ·· .. OATe :& TIME · VIA . ~ RECEIVED BY . D~TE 4c TIME

I 2/t~ ~~~ (8Du F&£>'-- (_LA,,()_~ 12./1 '7/13 )/.'IX.

// ' · · · · . • ··REQUESTED SERVl.CE~'{PJease ·~the App~~te 8ox~s)

:P:J.M.. .··.·•···· > · · PlM~ . , .. . ,· . "· ·TEM TEM TURNAROUND TIME ~~ Bulk Analysis (EPA 600/R-93/116) 0 Vermiculite Attic Insulation 0 Air- AHERA 0 Bulk- Presence I Absence EPA600/R-93/11 6 0 Rush

(EPA 600/R~/004)

D 400 Point Count D D Air- NIOSH 7402 0 Sulk- Quantitative [weight%]- Chatfield D Same Day Other 0 lOOOPointCount 0 Air-15010312 0 Dust-Presence / Absence 0 24-Hour

0 G""m"'"' P~po.at;M r . •. . ' ' PGM . ;, .. 1 0 """""'-·-EPA 100,2 0 ""*a ....... ,. [fib•rthq.ont A5TM 05755 1?1 3 • O.y 0 Particle 10 0 I NIOSH 7400 0 Waste Water- EPA 600/4-83~3 0 Other _ lO 5 :!- Day

. No. ;!~ .· ...... ·.S~,.)P.t' 10 - j·. •. itJ. foBe ·I :(Qt~r:. .· .. :I ,. .,. . ·· ~~~(~p~lon • . • · .. · · .... , .. Vi .. blume/AreaJ Comments/ Notes .· · (10~racter$_Max) A,aly;zed · · h. .,, . ·: •'· .· . . : . . .'.< · ~s appllc.atile)

1 I -lSLC) U2l 2 ~ ~252') [] 3 3-252.9 m 4 l t ~ZSZ-9 ID s 15.-?SZ"l UJ 6 b-252':) [J 7 ~25Z9 -c 8 [

[ []1

SATURDAY SAMPLE DELIVERY - CALL TO SCHEDULE • Use this address for Saturday Delivery only: 4220 N. Santa Fe Ave., Oklahoma City, OK 73105-8517 • Mark Package HHold for Saturday Pickup"

~.MDUK.MTORIES

www.QuanTEM.com

.· Project lnfQrm.ation. · .. < . ··'


No. . Sclhi~eiD . ~ToBe .

Color do thitr~c~$ Max) . • An .. ~

11 I\ --?St ') 0 12 12.. -25'-9 [ 13 13-2$2.; Q 14 •'1 . '-~' c 15 {5. ?.Sz.7 [ 16 I ~2..52:7 _b 17 11~ 2.5~ [ 18 t'8'-2529 [ 19 !j-2SZ' ~~ 20 ()o-252.'7 lD 21 Q \· 2 Sc?Y [ 22 ~2Sl9 [ 23 98 --252'? [ 24 ~'1 -252.' Q 25 ~ -2S2.'7 [ 26 Z,b.-2.SZ9 c 27 -;).7 ,252.') r 28 ()0 - 25::? Q] 29 2' - 2._52_<) c 30 3u -2SZ..."r _l!l



·:.· .... .. .· .. · . . . . . . . : : : ~ :

Page 2 of 3_ __ ,,., .. , _ , ,, ............ .

Reject

' I ProjectName: DNS J Project Location: Milwaukee, WI

.· 'pe$criptlon · · VoJdmei Area .· Comments l Notes : .. · ·... <• applicable} ·:, . ..·· .·· ···· :·. · . ... ..

j) J N-:>-+ \ ~st- ~'de I

I

1

I I

~


I

i

I

I

.. ,.u~v RATO Rl ES www.QuanTEM.com

ProJect truorm.at~~m


N(). ·1·· · ·· Sa. mp.le u>. · 1·.ftl .. •.··· li.o Be ... ·. ·.·j•· .•. ·· .· ' Color . · · . ·.·. . (10 Cl)aracterH"•x) Anal~ < 31 I '3 \ .--2)l.'} [41 32 I~ -252:} en 33 153-2529 [] 34 13\.{~~ [p 35 105-252.9 l] 36 13.0~~ [] 37 en- 252.<=.> rn 38 , .., ~-2SZ<"j

39

~ 0

-

40 0 -

41 0 -

42 0 -

43 0 -44 0 -45 0 -46 0 -47 D -48 D -49 0 -50 0


LEGAL DoCUMENT- PLEASE PRINT LEGIBLY

< ._ ... _

Page 3 of~ -----------------------

I Project Name: DNS j ProJect Location: Milwaukee, WI

Descflptlo:n, : -·;.

. VOlume I Area 1··.• · ·.·. Commertts 1 Notes (as~lcable) , _;,

~ Not- ~t ll~-i~

SATURDAY SAMPLE DELIVERY - CALL TO SCHEDULE • Use this address for Saturday Delivery only: 4220 N. Santa Fe Ave., Oklahoma City, OK 73105-851 7 • Mark Package "Hold for Saturday Pickup"


2529-31 North 39th



Contract # 360-13-0745

12


asbestos inspection report · 3/17/2014 · 16-2540 basement-on chimney - east side - dark gray...

Documents