Asbestos Survey Report - Louisiana€¦ · Responsive Resourceful Reliable 1 ASBESTOS SURVEY REPORT 103 Company Canal Road Bourg Louisiana Terracon Project No. ET187062 March 23,

Asbestos Survey Report103 Company Canal Road

Bourg, Louisiana

March 23, 2018Terracon Project No. ET187062

State Project No. H.001498

Prepared for:

Louisiana Department of Transportation and DevelopmentBaton Rouge, Louisiana

Prepared by:

Terracon Consultants, Inc.New Orleans, Louisiana

TABLE OF CONTENTS

1.0 INTRODUCTION .......................................................................................................... 11.1 Project Objective................................................................................................. 1

2.0 BUILDING DESCRIPTION ........................................................................................... 13.0 FIELD ACTIVITIES ...................................................................................................... 2

3.1 Visual Assessment ............................................................................................. 23.2 Physical Assessment .......................................................................................... 23.3 Sample Collection ............................................................................................... 23.4 Sample Analysis ................................................................................................. 2

4.0 REGULATORY OVERVIEW ........................................................................................ 35.0 FINDINGS AND RECOMMENDATIONS ...................................................................... 46.0 GENERAL COMMENTS .............................................................................................. 6

APPENDICES

APPENDIX A Confirmed Asbestos Containing Materials

APPENDIX B Asbestos Survey Sample Summary

APPENDIX C Laboratory Analytical Report

APPENDIX D Certifications

APPENDIX E Photographs

APPENDIX F LDEQ Form AAC-2 (a)

APPENDIX G ACM Location Exhibit

Asbestos Survey Report103 Company Canal Road ■ Bourg, LouisianaMarch 23, 2018 ■ Terracon Project No. ET187062

EXECUTIVE SUMMARY

A summary of findings is provided below. It should be recognized that details were not included orfully developed in this section, and the report must be read in its entirety for a comprehensiveunderstanding of the items contained herein.

Terracon Consultants, Inc. (Terracon) conducted an asbestos survey for the Louisiana Departmentof Transportation and Development (LDOTD) of the vacant residential structure located at 103Company Canal Road in Bourg, Louisiana. It is our understanding that LDOTD is planning todemolish the structure. The purpose of this survey was to identify and sample suspect asbestos-containing materials (ACM) and provide information regarding the identity, location, condition andapproximate quantities of ACM in building components.

The survey was conducted on March 20, 2018, by Mr. Michael V. Milano, a Louisiana Departmentof Environmental Quality (LDEQ) certified Asbestos Inspector, in general accordance with thesampling protocols established in Environmental Protection Agency (EPA) 40 Code of FederalRegulations (CFR) 763. Thirty-three (33) bulk samples were collected from eleven (11)homogeneous areas of suspect ACM. Asbestos in concentrations greater than one percent (>1%)were identified in the following sampled materials:

n Fiber Backing associated with Tan Pebbled Sheet Flooringn White Exterior Wall Siding

Asbestos-containing fiber backing in the bathroom closet is considered friable Regulated AsbestosContaining Material (RACM). According to LDEQ and EPA NESHAP regulations, friable ACM isconsidered RACM and is required to be abated prior to demolition.

As the results of this survey indicated the structure contains RACM, all section of the AAC-2 Formmust be completed and submitted to LDEQ prior to demolition activities and an Asbestos DisposalVerification Form (ADVF) requested. Upon proper notification the Department will issue an ADVFto provide approval to begin renovation or demolition activities and to insure that the ACM isremoved and disposed of properly. The ADVF must be onsite during all RACM renovation ordemolition activities. A copy of the most current form approved by the Department can be found athttp://www.deq.louisiana.gov.

According to LDEQ and EPA NESHAP regulations, Category II non-friable ACM is any material,excluding Category I non-friable ACM, that when dry, cannot be crumbled, pulverized, or reducedto powder by hand pressure. Category II non-friable ACM that has a high probability of becomingor has become crumbled, pulverized, or reduced to powder by the forced expected to act on thematerial in the course of demolition operations are considered Regulated Asbestos ContainingMaterials (RACM) and are required to be abated prior to demolition.

Asbestos Survey Report103 Company Canal Road Bourg, LouisianaMarch 23, 2018 ■ Terracon Project No. ET187062

Asbestos was identified in concentrations of less than 1% in the ceiling tile adhesive; therefore, thismaterial is not considered ACM. However, the OSHA Asbestos standard for construction (29 CFR1926.1101) regulates workplace exposure to asbestos regardless of concentration. The OSHAstandard requires that employee exposure to airborne asbestos fibers be maintained below 0.1asbestos fibers per cubic centimeter of air (0.1 f/cc). The disturbance of this material has thepotential to result in the release of airborne asbestos fibers.

Terracon recommends that the identified ACM be removed by a State of Louisiana licensedasbestos abatement contractor prior to demolition. LDEQ requires an Asbestos AbatementNotification Form AAC-2 be submitted prior to demolition.

A summary of the classification, condition and approximate quantity of each identified ACM ispresented in Appendix A. Laboratory analytical reports are included in Appendix C.

Responsive ■ Resourceful ■ Reliable 1

ASBESTOS SURVEY REPORT103 Company Canal Road

Bourg LouisianaTerracon Project No. ET187062

March 23, 2018

1.0 INTRODUCTION

Terracon Consultants, Inc. (Terracon) conducted an asbestos survey for the Louisiana Departmentof Transportation and Development (LDOTD) of the vacant residential structure located at 103Company Canal Road in Bourg, Louisiana. The survey was conducted on March 20, 2018, by Mr.Michael V. Milano, a LDEQ certified Asbestos Inspector, in accordance with the Task Order Number6. Interior and exterior building components were surveyed and homogeneous areas of suspectasbestos-containing materials (ACM) were visually identified and documented. Suspect ACMsamples were collected in general accordance with the sampling protocols outlined inEnvironmental Protection Agency (EPA) 40 Code of Federal Regulations (CFR) 763, AsbestosHazard Emergency Response Act, (AHERA). Samples were delivered to an accredited laboratoryfor analysis by polarized light microscopy (PLM).

1.1 Project Objective

We understand this asbestos survey was requested due to the planned demolition of the structure.EPA regulation 40 CFR 61, Subpart M, National Emission Standards for Hazardous Air Pollutants(NESHAP) and Louisiana Administrative Code (LAC) Title 33, Part III, Section 5151, prohibits therelease of asbestos fibers to the atmosphere during renovation or demolition activities. The EPANESHAP and LDEQ regulations requires that potentially regulated asbestos-containing buildingmaterials be identified, classified and quantified prior to planned disturbances or demolitionactivities.

2.0 BUILDING DESCRIPTION

The structure is a vacant, one-story, approximately 855 square-foot residential building with anunknown construction date. The building is a wood-framed structure constructed on a slab-on-grade concrete foundation, and topped with a gabled metal roof. The exterior walls are finishedwith vinyl siding over asbestos-containing cement board siding. Doors are wooden with woodframes and windows are aluminum framed. Interior floors are vinyl floor tiles installed throughoutthe house on sheets of plywood with a vapor barrier underneath. Interior walls are non-insulatedwood panels, and the ceilings are acoustical ceiling tiles adhered to wooden panels. Drywallgypsum wallboards were used to construct the HVAC closet in the northeast bedroom and thewalls of the stairwell to the attic.



3.0 FIELD ACTIVITIES

The survey was conducted by Mr. Michael V. Milano, a LDEQ certified Asbestos Inspector. A copyof Mr. Milano’s Asbestos Inspector certificate is attached in Appendix D. The survey was conductedin general accordance with the sample collection protocols established in EPA regulation 40 CFR763, AHERA. A summary of survey activities is provided below.

3.1 Visual Assessment

Our survey activities began with visual observation of the interior and exterior of the structure toidentify homogeneous areas of suspect ACM. A homogeneous area consists of building materialsthat appear similar throughout in terms of color, texture with consideration of the date of application.The interior and exterior assessment was conducted throughout visually accessible areas of thestructure. Building materials identified as concrete, glass, wood, masonry, metal or rubber were notconsidered suspect ACM.

3.2 Physical Assessment

A physical assessment of each homogeneous area of suspect ACM was conducted to assess thefriability and condition of the materials. A friable material is defined by the EPA as a material whichcan be crumbled, pulverized or reduced to powder by hand pressure when dry. Friability wasassessed by physically touching suspect materials.

3.3 Sample Collection

Based on results of the visual observation, bulk samples of suspect ACM were collected in generalaccordance with AHERA sampling protocols. Random samples of suspect materials were collectedin each homogeneous area. The inspector collected bulk samples using wet methods as applicableto reduce the potential for fiber release. Samples were placed in sealable containers and labeledwith unique sample numbers using an indelible marker. Thirty-three (33) bulk samples werecollected from eleven (11) homogeneous areas of suspect ACM.

3.4 Sample Analysis

Bulk samples were submitted under chain of custody to Moody Labs of Farmers Branch, Texas foranalysis by PLM with dispersion staining techniques per EPA methodology (40 CFR 763, SubpartE). The percentage of asbestos, where applicable, was determined by microscopic visualestimation or point counting. CEI is accredited under the National Voluntary LaboratoryAccreditation Program (NVLAP Accreditation No. 102056-0) and Louisiana EnvironmentalLaboratory Accreditation Program (LELAP Certificate Number 04089).



4.0 REGULATORY OVERVIEW

The asbestos NESHAP (40 CFR Part 61, Subpart M) regulates asbestos fiber emissions andasbestos waste disposal practices. The asbestos NESHAP regulation also requires theidentification and classification of existing ACM according to friability prior to demolition orrenovation activity. Friable ACM is a material containing more than 1% asbestos that, when dry,can be crumbled, pulverized or reduced to powder by hand pressure.

The asbestos NESHAP regulation classifies ACM as either Regulated Asbestos Containing Material(RACM), Category I non-friable ACM or Category II non-friable ACM. RACM includes all friableACM, along with Category I and Category II non-friable ACM that has become friable, will be or hasbeen subjected to sanding, grinding, cutting or abrading, or ACM that has a high probability ofbecoming or has become crumbled, pulverized, or reduced to powder in the course of renovationor demolition activity. All friable ACM is considered regulated asbestos containing material (RACM).Category I non-friable ACM are exclusively asbestos-containing packings, gaskets, resilient floorcoverings, resilient floor covering mastics and asphalt roofing products that contain more than 1%asbestos. Category II non-friable ACM are all other non-friable materials other than Category I non-friable ACM that contain more than 1% asbestos. Category II non-friable ACM generally includesbut is not limited to cementitious material such as: cement pipes, cement siding, cement panels,glazing, mortar and grouts.

The State of Louisiana has established Chapter 27 of the ERC (LAC 33:III.Chapter 27) to regulatethe identification, management, and abatement of ACM in schools and state buildings. Chapter 27requires any asbestos-related activity in a school or state building to be performed by an individualor company accredited by the State of Louisiana, through the LDEQ. An asbestos-related activityconsists of the disturbance (whether intentional or unintentional) or abatement of ACM, theperformance of asbestos surveys, the development of management plans and response actions,asbestos project design, the collection or analysis of asbestos samples, monitoring for airborneasbestos or any other activity required to be accredited under Louisiana Department ofEnvironmental Quality (LDEQ) Chapter 27 Appendix A.

In non-state, non-school buildings, the State of Louisiana sets forth emission standards for asbestosunder Chapter 51 of the ERC (LAC 33:III.Chapter 51). Per Chapter 51 Section P, the followingactivities must be performed by accredited individuals: asbestos surveys, asbestos abatement,monitoring for airborne asbestos, and project design.

The Louisiana Air Quality Regulations (LAC 33:III.Chapter 51, Subchapter M) require that aninspection be conducted by a person currently accredited as an LDEQ asbestos inspector. LDEQrequires a notification by submitting either an AAC-2 (a) form or AAC-2 (b) form. An AAC-2 (a)form is required when requesting Asbestos Disposal Verification Forms (ADVF) for AsbestosContaminated Debris Activities (ACDA), Demolition, Renovation, and/or Response Actionprojects where Regulated Asbestos Containing Material (RACM) is present, or assumed to bepresent, above the established thresholds or as otherwise required by LAC 33:III.5151.F.1. TheAAC-2 (a) form must be either postmarked or hand delivered to the Department at least 10



working days prior to the scheduled dates of asbestos removal. An AAC-2 (b) form is requiredwhen greater than 64 square feet of Vinyl Asbestos Tile (VAT) is removed without the intent ofmaking it RACM, or when lab analysis of properly sampled materials indicates that no ACM ispresent; that ACM present is not RACM and will not be made RACM by the demolition; or that allRACM present is less than established thresholds. The established thresholds per LAC33:III.5151.F.1 include the combined amount of RACM less than 60 linear feet on pipes, 64 squarefeet on other facility components or 27 cubic feet of facility where length or area could not bemeasured previously. A Form AAC-2 (b) must be postmarked or hand delivered to the Departmentat least 5 working days prior to the scheduled date of asbestos removal or 3 working days if theremoval only includes resilient floor covering per LAC 33:III.5151.F.2.c.

Any individual or company contracted to perform a demolition or renovation activity which disturbsRACM must be recognized by the Louisiana Licensing Board for Contractors to perform asbestosabatement.

The United States Occupational Safety and Health Administration (USOSHA) asbestos standardfor construction (29 CFR 1926.1101) regulates workplace exposure to asbestos. The USOSHAstandard requires that employee exposure to airborne asbestos must not exceed 0.1 fibers percubic centimeter of air (0.1 f/cc) as an eight hour time weighted average (TWA) and not exceed 1.0fibers per cubic centimeter of air (1.0 f/cc) over a 30 minute time period known as an excursion limit(EL). The TWA and EL are known as USOSHA’s asbestos permissible exposure limits (PELs). TheUSOSHA standard classifies construction and maintenance activities which could disturb ACM, andspecifies work practices and precautions which employers must follow when engaging in each classof regulated work.

5.0 FINDINGS AND RECOMMENDATIONS

Asbestos in concentrations greater than one percent (>1%) were identified in the following sampledmaterials:

n Fiber Backing associated with Tan Pebbled Sheet Flooringn White Exterior Wall Siding

Asbestos-containing fiber backing in the bathroom closet is considered friable Regulated AsbestosContaining Material (RACM).

Asbestos-containing fiber backing in the bathroom closet is considered friable Regulated AsbestosContaining Material (RACM). According to LDEQ and EPA NESHAP regulations, friable ACM isconsidered RACM and is required to be abated prior to demolition.

As the results of this survey indicated the structure contains RACM, all section of the AAC-2 Formmust be completed and submitted to LDEQ prior to demolition activities and an Asbestos DisposalVerification Form (ADVF) requested. Upon proper notification the Department will issue an ADVFto provide approval to begin renovation or demolition activities and to insure that the ACM is



removed and disposed of properly. The ADVF must be onsite during all RACM renovation ordemolition activities. A copy of the most current form approved by the Department can be found athttp://www.deq.louisiana.gov.

According to LDEQ and EPA NESHAP regulations, Category II non-friable ACM is any material,excluding Category I non-friable ACM, that when dry, cannot be crumbled, pulverized, or reducedto powder by hand pressure. Category II non-friable ACM that has a high probability of becomingor has become crumbled, pulverized, or reduced to powder by the forced expected to act on thematerial in the course of demolition operations are considered Regulated Asbestos ContainingMaterials (RACM) and are required to be abated prior to demolition.



A summary of the classification, condition and approximate quantity of each identified ACM ispresented in Appendix A. Laboratory analytical reports are included in Appendix C.



A summary of the classification, condition and approximate quantity of each identified ACM ispresented in Appendix A. A summary of the survey sample descriptions and locations is presentedin Appendix B. Laboratory analytical reports are included in Appendix C. Photographicdocumentation is included in Appendix E. The LDEQ Form AAC-2 (a) is included in Appendix F.



6.0 GENERAL COMMENTS

This asbestos survey was conducted in a manner consistent with the level of care and skill ordinarilyexercised by members of the profession currently practicing under similar conditions in the samelocale. The results, findings, conclusions and recommendations expressed in this report are basedon conditions observed during our survey of the structure. The information contained in this reportis relevant to the date on which this survey was performed, and should not be relied upon torepresent conditions at a later date. This report has been prepared on behalf of and exclusively foruse by the LDOTD for specific application to their project as discussed. This report is not a biddingdocument. Contractors or consultants reviewing this report must draw their own conclusionsregarding further investigation or remediation deemed necessary. Terracon does not warrant thework of regulatory agencies, laboratories or other third parties supplying information which mayhave been used in the preparation of this report. No warranty, expressed or implied is made.

APPENDIX A

CONFIRMED ASBESTOS CONTAINING MATERIALS103 COMAPANY CANAL ROAD

BOURG, LOUISIANA

HA Material Description Material Location NESHAP Category Condition Lab Results Quantity*

04 Fiber Backing associated withTan Pebbled Sheet Flooring

Bathroom closet understairwell RACM Good

Sheet Flooring – NoneDetected

Fiber Backing – 65%Chrysotile

18 SF

11 White Exterior Wall Siding Exterior walls behind vinylsiding

Category II Non-Friable

Good 15% Chrysotile 1,050 SF

* Quantities are estimates only.SF = Square feetLF = Linear feet

APPENDIX B

ASBESTOS SURVEY SAMPLE SUMMARY103 COMAPANY CANAL ROAD

BOURG, LOUISIANA

HA SampleNumber Material Description Material

Location Condition Lab Results

0101-FT2-01 Cream 12” x 12” Floor

Tile with Yellow Adhesive Throughout house GoodNone Detected

01-FT2-02 None Detected01-FT2-03 None Detected

0202-WB1-04 White Drywall Gypsum

and White JointCompound

HVAC closet and attic stairwell GoodNone Detected

02-WB1-05 None Detected02-WB1-06 None Detected

0303-WB4-07 White Popcorn Ceiling

Texture Kitchen GoodNone Detected

03-WB4-08 None Detected03-WB4-09 None Detected

04

04-FC1-10

Tan Pebbled SheetFlooring

Bathroom closet under stairwell Good

Sheet Flooring – None DetectedFiber Backing – 65% Chrysotile

04-FC1-11 Sheet Flooring – None DetectedFiber Backing – 65% Chrysotile

04-FC1-12 Sheet Flooring – None DetectedFiber Backing – 65% Chrysotile

0505-PM5-13 Wall Coverings and

Adhesive Bathroom closet GoodNone Detected

05-PM5-14 None Detected05-PM5-15 None Detected

0606-MG8-16 White Fiber Reinforced

Panel with CreamAdhesive

Bathroom GoodNone Detected

06-MG8-17 None Detected06-MG8-18 None Detected

0707-CA5-19

White Bathroom Caulk Bathroom GoodNone Detected

07-CA5-20 None Detected07-CA5-21 None Detected

0808-MI4-22 HVAC Duct Wrap with

White Mastic Attic GoodNone Detected

08-MI4-23 None Detected08-MI4-24 None Detected

0909-FC5-25

Black Vapor Barrier Throughout house GoodNone Detected

09-FC5-26 None Detected09-FC5-27 None Detected

HA SampleNumber Material Description Material

Location Condition Lab Results

1010-MG6-28 Dark Brown Ceiling Tile

Adhesive Throughout house GoodNone Detected

10-MG6-29 None Detected10-MG6-30 None Detected

1111-CP4-31

White Exterior Wall Siding Exterior walls behind vinylsiding Good

15% Chrysotile11-CP4-31 15% Chrysotile11-CP4-31 15% Chrysotile

APPENDIX C

LABORATORY ANALYTICAL REPORT

PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :

Terracon - New Orleans

LA 24 & LA 316: Company Canal Bridge, 103 Company Canal

ET187062

Asbestos, Bulk Sample Analysis

Sample Number Client Sample Description / Location Asbestos Content

Sample Date :

On 3/21/2018, thirty three (33) bulk material samples were submitted by Mike Milano of Terracon - New Orleans for asbestos analysis by PLM/DS. The

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

Page 1 of 3

Lab Job No. :

Report Date :

18B-03531

03/20/2018

03/21/2018

LELAP ID#04089

NVLAP Lab Code 102056-0

TDSHS License No. 30-0084

Polarized Light Microscopy / Dispersion Staining (PLM/DS)

EPA Method 600 / R-93 / 116

2051 Valley View Lane

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

01-FT2-01 12" x 12" Floor Tile (Cream), Hallway None Detected - Floor Tile

None Detected - Yellow Mastic

01-FT2-02 12" x 12" Floor Tile (Cream), Kitchen None Detected - Floor Tile


01-FT2-03 12" x 12" Floor Tile (Cream), South Bedroom None Detected - Floor Tile


02-WB1-04 Drywall Gypsum (White) and Joint Compound (White),

HVAC Closet

None Detected - Drywall Material

None Detected - Joint Compound


Attic Stairwell




Attic Stairwell



03-WB4-07 Ceiling Texture (Popcorn, White), Kitchen None Detected - Acoustic Texture



04-FC1-10 Sheet Flooring (Tan Pebbled), Bathroom Closet None Detected - Sheet Flooring

65% Chrysotile - Fiber Backing





05-PM5-13 Wall Coverings and Adhesive, Bathroom Closet None Detected - Wall Coverings

None Detected - Adhesive





PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



ET187062



Sample Date :



Page 2 of 3

Lab Job No. :

Report Date :

18B-03531

03/20/2018

03/21/2018

LELAP ID#04089




EPA Method 600 / R-93 / 116



06-MG8-16 Fiber Reinforced Panel (White) with Adhesive (Cream),

Bathroom

None Detected - Fiberglass Panel



Bathroom




Bathroom



07-CA5-19 Bathroom Caulk (White), Bathroom None Detected - Caulking



08-MI4-22 HVAC Duct Wrap with Mastic (White), Attic None Detected - Insulation

None Detected - Paper / Foil Wrap

None Detected - Mastic







09-FC5-25 Vapor Barrier (Black), Kitchen None Detected - Vapor Barrier

09-FC5-26 Vapor Barrier (Black), Kitchen None Detected - Vapor Barrier

09-FC5-27 Vapor Barrier (Black), Hallway None Detected - Vapor Barrier

10-MG6-28 Ceiling Tile Adhesive (Dark Brown), Hallway None Detected - Acoustic Tile

<1% Chrysotile - Brown Mastic

10-MG6-29 Ceiling Tile Adhesive (Dark Brown), South Bedroom None Detected - Acoustic Tile


10-MG6-30 Ceiling Tile Adhesive (Dark Brown), North Bedroom None Detected - Acoustic Tile


PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



ET187062



Sample Date :



Page 3 of 3

Lab Job No. :

Report Date :

18B-03531

03/20/2018

03/21/2018

LELAP ID#04089




EPA Method 600 / R-93 / 116



11-CP4-31 Exterior Wall Siding, East Side Wall 15% Chrysotile - Cement Asbestos

Board

11-CP4-32 Exterior Wall Siding, North Side Wall 15% Chrysotile - Cement Asbestos

Board

11-CP4-33 Exterior Wall Siding, West Side Wall 15% Chrysotile - Cement Asbestos

Board

Heather LopezAnalyst(s):

Lab Director : Bruce Crabb Approved Signatory :

Thank you for choosing Moody Labs

Lab Manager : Heather Lopez Approved Signatory :

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

estimate. The test report shall not be reproduced, except in full, without written approval of the laboratory. The results

relate only to the items tested. These test results do not imply endorsement by NVLAP or any agency of the U.S.

Government. Accredited by the National Voluntary Laboratory Accreditation Program for Bulk Asbestos Fiber Analysis

under Lab Code 102056-0.

This Page Left Intentionally Blank

PLM Detail Report

Project # : ET187062

Page 1 of 4

Sample Number Layer Components% Of

Sample

Analysis

Date

% of

LayerAnalyst

Supplement to PLM Summary Report

LELAP ID#04089

Client :

Project :



Lab Job No. :

Report Date :

18B-03531

03/21/2018



Moody Labs NVLAP Lab Code 102056-0


Calcite / Vinyl Binders01-FT2-01 Floor Tile (Cream) 98% 03/21100% HL

Glue Binders01-FT2-01 Yellow Mastic (Yellow) 2% 03/21100% HL





Cellulose Fibers02-WB1-04 Drywall Material (White) 55% 03/215% HL

Gypsum / Binders02-WB1-04 Drywall Material (White) 55% 03/2195% HL

Cellulose Fibers02-WB1-04 DW Paper Facing (Tan) 15% 03/21100% HL

Calcite / Talc / Binders02-WB1-04 Joint Compound (White) 30% 03/21100% HL

Cellulose Fibers02-WB1-05 Drywall Material (Light Grey) 60% 03/215% HL

Gypsum / Binders02-WB1-05 Drywall Material (Light Grey) 60% 03/2195% HL

Cellulose Fibers02-WB1-05 DW Paper / Tape (Tan / White) 30% 03/21100% HL


Cellulose Fibers02-WB1-06 Drywall Material (Light Grey) 50% 03/215% HL

Gypsum / Binders02-WB1-06 Drywall Material (Light Grey) 50% 03/2195% HL

Cellulose Fibers02-WB1-06 DW Paper / Tape (Tan / White) 45% 03/21100% HL


Vermiculite03-WB4-07 Acoustic Texture (White) 100% 03/2115% HL

Calcite / Binders03-WB4-07 Acoustic Texture (White) 100% 03/2185% HL





Calcite / Vinyl Binders04-FC1-10 Sheet Flooring (Tan) 50% 03/21100% HL

Chrysotile04-FC1-10 Fiber Backing (Light Grey) 50% 03/2165% HL

Binders / Fillers04-FC1-10 Fiber Backing (Light Grey) 50% 03/2135% HL

PLM Detail Report


Page 2 of 4


Sample

Analysis

Date

% of

LayerAnalyst


LELAP ID#04089

Client :

Project :



Lab Job No. :

Report Date :

18B-03531

03/21/2018











Cellulose Fibers05-PM5-13 Wall Coverings (Multi-colored) 99% 03/2180% HL

Vinyl Binders05-PM5-13 Wall Coverings (Multi-colored) 99% 03/2120% HL

Glue Binders05-PM5-13 Adhesive (Clear) 1% 03/21100% HL







Glass Wool Fibers06-MG8-16 Fiberglass Panel (White) 85% 03/2160% HL

Resin Binders06-MG8-16 Fiberglass Panel (White) 85% 03/2140% HL

Calcite06-MG8-16 Adhesive (Cream) 15% 03/2150% HL

Glue Binders06-MG8-16 Adhesive (Cream) 15% 03/2150% HL









Silicone Binders07-CA5-19 Caulking (White) 100% 03/21100% HL


PLM Detail Report


Page 3 of 4


Sample

Analysis

Date

% of

LayerAnalyst


LELAP ID#04089

Client :

Project :



Lab Job No. :

Report Date :

18B-03531

03/21/2018






Mineral Wool Fibers08-MI4-22 Insulation (Yellow) 60% 03/2195% HL

Resin Binders08-MI4-22 Insulation (Yellow) 60% 03/215% HL

Cellulose Fibers08-MI4-22 Paper / Foil Wrap (Tan / Silver) 35% 03/2150% HL

Glass Wool Fibers08-MI4-22 Paper / Foil Wrap (Tan / Silver) 35% 03/2120% HL

Metal Foil08-MI4-22 Paper / Foil Wrap (Tan / Silver) 35% 03/2130% HL

Pigment / Binders08-MI4-22 Mastic (Light Grey) 5% 03/21100% HL













Cellulose Fibers09-FC5-25 Vapor Barrier (Black) 100% 03/2185% HL

Tar Binders09-FC5-25 Vapor Barrier (Black) 100% 03/2115% HL





Wood Fibers10-MG6-28 Acoustic Tile (Tan) 70% 03/21100% HL

Chrysotile10-MG6-28 Brown Mastic (Brown) 30% 03/21<1% HL

Talc Fibers10-MG6-28 Brown Mastic (Brown) 30% 03/211% HL

Glue Binders10-MG6-28 Brown Mastic (Brown) 30% 03/2199% HL

PLM Detail Report


Page 4 of 4


Sample

Analysis

Date

% of

LayerAnalyst


LELAP ID#04089

Client :

Project :



Lab Job No. :

Report Date :

18B-03531

03/21/2018













Chrysotile11-CP4-31 Cement Asbestos Board (Grey) 100% 03/2115% HL

Cement Binders11-CP4-31 Cement Asbestos Board (Grey) 100% 03/2185% HL





APPENDIX D

CERTIFICATIONS

Michael Milano

8I188143

7/26/2017

188143

9/23/2018

ASBESTOS INSPECTOR

CB

United States Department of Commerce

National Institute of Standards and Technology

Certificate of Accreditation to ISO/IEC 17025:2005

NVLAP LAB CODE: 102056-0

Steve Moody Micro Services, LLCFarmers Branch, TX

is accredited by the National Voluntary Laboratory Accreditation Program for specific services,

listed on the Scope of Accreditation, for:

Asbestos Fiber Analysis

2017-07-01 through 2018-06-30

Effective Dates For the National Voluntary Laboratory Accreditation Program

This laboratory is accredited in accordance with the recognized International Standard ISO/IEC 17025:2005.

This accreditation demonstrates technical competence for a defined scope and the operation of a laboratory quality

management system (refer to joint ISO-ILAC-IAF Communique dated January 2009).

National Voluntary Laboratory Accreditation Program

SCOPE OF ACCREDITATION TO ISO/IEC 17025:2005

Page 1 of 1

For the National Voluntary Laboratory Accreditation Program

Effective 2017-07-01 through 2018-06-30

Steve Moody Micro Services, LLC2051 Valley View Lane

Farmers Branch, TX 75234-8956

Mr. Bruce Crabb

Phone: 972-241-8460 Fax: 972-241-8461

Email: [email protected]

http://www.moodylabs.com

ASBESTOS FIBER ANALYSIS NVLAP LAB CODE 102056-0

Bulk Asbestos Analysis

Code Description18/A01 EPA -- Appendix E to Subpart E of Part 763 -- Interim Method of the Determination of Asbestos in

Bulk Insulation Samples

18/A03 EPA 600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials

Airborne Asbestos Analysis

Code Description18/A02 U.S. EPA's "Interim Transmission Electron Microscopy Analytical Methods-Mandatory and

Nonmandatory-and Mandatory Section to Determine Completion of Response Actions" as found in

40 CFR, Part 763, Subpart E, Appendix A.

APPENDIX E

PHOTOGRAPHS

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Photograph No. 1HA-01: Cream 12” x 12” Floor Tile with Yellow Adhesive.

Photograph No. 2HA-02: White Drywall Gypsum and White Joint Compound.

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Photograph No. 3HA-03: White Popcorn Ceiling Texture.

Photograph No. 4HA-04: Tan Pebbled Sheet Flooring .

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Photograph No. 5HA-05: Wall Coverings and Adhesive.

Photograph No. 6HA-06: White Fiber Reinforced Panels and Cream Adhesive.

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Photograph No. 7HA-07: Wall Bathroom Caulk.

Photograph No. 8HA-08: HVAC Duct Wrap with White Mastic.

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Photograph No. 9HA-09: Black Vapor Barrier.

Photograph No. 10HA-10: Dark Brown Ceiling Tile Adhesive.

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Photograph No. 11HA-11: White Exterior Wall Siding.

APPENDIX F

LDEQ FORM AAC-2 (a)

form_7077_r06 NOTIFICATION OF DEMOLITION AND RENOVATION AND ASBESTOS CONTAMINATED DEBRIS ACTIVITY FORM AAC-2(a)09/19/2016 Page 1 of 4

NOTIFICATION OF DEMOLITION AND RENOVATION ANDASBESTOS CONTAMINATED DEBRIS ACTIVITY FORM AAC-2(a)

Louisiana Department of Environmental QualityOffice of Environmental Services

Public Participation and Permit Support DivisionNotifications and Accreditations Section

Phone (225) 219-3244

For LDEQ Use OnlyA.I. No.

Ck./Voucher No.

Amt. Received

Postmark Date

Please type and complete all required sections. ADVF No.

No. of Asbestos Disposal Verification Forms (ADVFs) Requested

Note: This form is to be used only when requesting ADVFs for Asbestos Contaminated Debris Activities (ACDA), Demolition,Renovation, and/or Response Action projects where Regulated Asbestos-containing Material (RACM) is present, or assumed to bepresent, above the established thresholds or as otherwise required by LAC 33:III.5151.F.1.

For demolitions where RACM is absent or amount present is below established thresholds, use Asbestos Negative DeclarationDemolition Notification Form AAC-2(b).

Emergency Note: Emergency notification is allowable only for a sudden, unexpected event that would cause an unsafecondition (or health hazard), equipment damage, or would pose an unreasonable financial burden, per LAC33:III.5151.F.2.d.xvi.

Revision ADVF #s to be revisedCancellation ADVF #s to be canceled

I. Type of Notification (check only one box)

Original Disposal Only Additional Latest ADVF# Issued

Annual (Maintenance) Check if Form AAC-2(a) is for non-scheduled operations for repair or maintenance less than 1 Cubic Yardof RACM per operation. (Indicate total volume in Section V as bin size)

II. Type of Operation (check only one box)

Reno & Demo (ACM* or RACM removal & subsequent demo) Renovation ACDARACM Demo (entire structure treated as RACM) Response Action (schools & state buildings)

Is structure being demolished under order of a state or local government agency? No Yes (Complete Sec. XIII)*ACM=Asbestos-containing Material

III. Facility Description

Facility NameProject Designer La. AccreditationNo. (schools & state buildings)

Physical Address Parish

City State Zip Building Size (sq.ft.)

Owner Name No. Floors Age of Building (Yrs)

Contact NameLocation on site (Bldg, Floor,Room, etc.) where work is done

Mailing Address PresentUse

School

Residential

State Bldg.

Industrial

Public/Commercial

InstallationCity State Zip

OtherContact Phone ( )

PriorUse

School

Residential

State Bldg.

Industrial

Public/Commercial

InstallationContact Email

Other


IV. Determination of Asbestos Present Known or Assumed Asbestos Present (if checked, all suspect materials are ACM)

Asbestos Determined to be Present Per Inspection and/or Lab Analysis (if checked,complete the items below)

Inspector’s Name Certified Lab Name

Inspector’s Accreditation No. Lab Accreditation No.

Inspection Date(mm/dd/yy) Analysis Date (mm/dd/yy)

Procedure, including analytical method, if appropriate,used to detect the presence of asbestos material

Attach the following copies: • Signature page of inspection report for inspection date indicated (above)• Lab Analysis Report for analysis date indicated (above)

NOTE: The Notification of Demolition and Renovation and Asbestos Contaminated Debris Activity Form AAC-2(a) will not beprocessed without these attachments if inspection or lab analysis was performed.

V. Approximate Amount of Asbestos

Removal Times (check applicable times) Business Hours After Hours Weekends Holidays

Material to be Removed Nonregulated ACM Not to be RemovedPrior to Demolition (if applicable)

RACM CAT I/CAT II CAT I/CAT II

Type ofAsbestosMaterial

TSI Ceiling VAT Transite VAT Asphalt Roofing Fireproofing VAT Piping Mastic Mastic Other Other Other

Amount ofAsbestos

Linear Feet Linear Feet Linear FeetSquare Feet Square Feet Square FeetRACM Cubic Yard ACM Cubic Yard ACM Cubic YardACD* Cubic Yard

*ACD-Asbestos-contaminated Debris

VI. Asbestos Removal Contractor Information for RACM/ACDAsbestos RemovalContractor Name

Name of On-siteSupervisor

LA Contractor’sLicense No.

On-site SupervisorAccreditation No.

Mailing Address Supervisor Accred. Expir. Date

City State Zip Contact Name

Phone ( ) A.I. No. Contact Email

VII. Other Operator/Demolition Contractor

Contractor Name Contact Name

Mailing Address Contact Email

City State Zip Phone ( )


VIII. Scheduled Dates for Asbestos Removal or Activities that may disturb Asbestos Material in a Demolition, Renovation, ResponseAction, or ACDA

Start Date (mm/dd/yy) Completion Date (mm/dd/yy)

IX. Scheduled Demolition Dates

Start Date (mm/dd/yy) Completion Date (mm/dd/yy)

X. Solid Waste Transporter to Landfill for RACM/ACD

Transporter Name Contact Name

LDEQ SW Transporter No. T- Contact Email

Mailing Address Contact Phone ( )

City State Zip

XI. Solid Waste Transporter Only if Taken to Offsite Premises and Stored Prior to Disposal (RACM/ACD)

Transporter NamePhysical Locationof Drop Off Area

LDEQ SW Transporter No. T- City State Zip

Mailing Address Contact Name

City State Zip Contact Email

Contact Phone ( )

XII. Recognized Asbestos Landfill (RAL) for RACM/ACDDisposal Site for RACM

Name Contact Name

Physical Address Contact Phone ( )

City State Zip Mailing Address

City State Zip

XIII. Governmental Agency Ordered Demolition (Complete only if you checked “Yes” in Section II)Gov’t AgencyRepresentative Name Government Agency

Representative’s Title

Date Issued (mm/dd/yy) Date Ordered to Begin (mm/dd/yy)

Attach a copy of the Demolition Order from the governmental agency identified (above).NOTE: The Notification of Demolition and Renovation and Asbestos Contaminated Debris Activity Form AAC-2(a) will not beprocessed without this attachment.

XIV. Emergency Renovations Involving RACM (Complete only for emergency event indicated by checked “Emergency” box on page 1)

Date of Emergency (mm/dd/yy) Time of Emergency

Describe the sudden, unexpected event requiring immediate attention


Explain how event would cause an unsafe condition (health hazard), equipmentdamage, or pose unreasonable financial burden (per LAC 33:III.5151.F.2.d.xvi)

XV. Planned Demolition, Renovation Work, Response Action, or ACDA

Description of activity including techniques of removal and facility components

Description of work practices & engineering controls includingasbestos removal and waste handling emission control procedures

Describe procedures to be followed in the event unexpected RACM isfound or CAT II nonfriable becomes RACM (per LAC 33:III.5151.F.2.d.xvii)

XVI. Comments Provide any additional comments /information relevant to this notification

XVII. CertificationI certify that the above information is correct and that personnel performing Demolition or Renovation Activities, ResponseAction, or ACDA are trained and accredited in accordance with LAC 33:III.5151 when RACM is present, and that the evidenceof the required training will be available on the project site for inspection by LDEQ personnel.

Printed Name of Owner or Operator/Contractor Signature of Owner or Operator/Contractor Date (mm/dd/yy)

ADVF Fees $66 each For non-emergencies (minimum of 10 working days notification given).$99 each For emergencies (less than 10 working days notification given). No vouchers will be accepted for emergencies.NO FEE For revisions or cancellations.

Submittal Information· For Emergencies-Information may be submitted by: fax (225-325-8283); email ([email protected]);

phone (225-219-3244); or hand-delivery. If faxed or emailed, a follow-up form with original signature and applicable feepayment must be submitted to the LDEQ by one of the methods of delivery (below) within 5 working days.

· For Non-emergencies-Information MAY NOT BE FAXED. Forms may be submitted by email([email protected]) with a follow-up form with an original signature submitted within 5 working days.The form with an original signature and applicable fee payment must be submitted to the LDEQ by one of the followingmethods of delivery:

By Mail: or By Overnight or Hand-delivery:

LDEQ Office of Environmental ServicesPublic Participation and Permit Support DivisionNotifications & Accreditations SectionP. O. Box 4313Baton Rouge, LA 70821-4313

LDEQ Office of Environmental ServicesPublic Participation and Permit Support DivisionNotifications & Accreditations Section602 North 5th StreetBaton Rouge, LA 70802

Pursuant to La. R.S. 40.1574 A&B, be advised that no construction or renovation can begin until the plans and specifications arereviewed by the Office of the State Fire Marshall or it is determined by that Office that plans are not required to be submitted.

Page 1 of 5 – Revised 10/12/2016

Louisiana Department of Environmental QualityOES, Permit Support Services DivisionNotifications and Accreditations Section

P.O. Box 4313, Baton Rouge, LA 70821-4313Physical: 602 N. 5th St, BR, LA 70802

Phone (225) 219-3244

Notification of Demolition and Renovation Form and Asbestos Contaminated Debris Form(AAC-2a)

General Information and Instructions

1. Demolition or Renovation involving Regulated Asbestos Containing Material (RACM)After proper notification is received, the Department issues an Asbestos Disposal Verification Form(ADVF) to provide approval to begin renovation and to ensure that the ACM removed is disposed ofproperly. The ADVF must be onsite during all RACM renovation or demolition activities.

The AAC-2 form must be either postmarked or hand delivered to the Department at least 10 working daysprior to the scheduled dates of asbestos removal (Section VIII). The completed AAC-2 form should besubmitted to the Department at the address at the top of the AAC-2 form.

Note: The AAC-2 form MUST be typed, properly completed with an original signature, and beaccompanied by the appropriate fee. The AAC-2 Form MUST be submitted to LDEQ on the most currentform approved by the Department, and can be located on the Asbestos web site athttp://www.deq.louisiana.gov/portal/tabid/2883/Default.aspx. Modified forms will not be accepted.

A. Notification of Demolition and Renovation Form, AAC-2 Instructions

1. Box at the top of the Form: No. of ADVFs Requested - One ADVF is required per load of AsbestosContaining Waste Material (ACWM) being transported. Exception: Residential or Commercialdemolition structures financed by FEMA as part of Hurricane projects may use the procedures noted in:

§ Addendum to ADVF Procedure for Residential ACWM Sample Addendum (Implemented 3/29/2006; Revised 5/31/07)

§ Addendum to ADVF Procedure "ADVF 1" for Commercial ACWM (9/27/07)

which is located on the Demolition website at: http://www.deq.louisiana.gov/portal/tabid/2885/Default.aspx.

2. Boxed Area for LDEQ Use Only: Please leave these spaces blank.

3. Check if the Notice is an Emergency and complete the information in Section XIV: Emergenciesare defined in LAC 33:III.5151.B Definitions:

Emergency Demolition/Renovation Operation—a demolition or renovation operation that was not planned but results from asudden unexpected event that, if not immediately attended to, presents a safety or public health hazard, is necessary to protectequipment from damage, or is necessary to avoid imposing an unreasonable financial burden. This term includes operationsnecessitated by nonroutine failures of equipment.

4. Check if this notification is a revision of a previous notification. If it is a revision, please note thenumber of the most recent ADVF issued for the project. Highlite or mark in some manner all changedsections on the AAC2. Note that none of the Types of Notifications in Section I may be used on the

General Information and Instructions for AAC-2 form (continued)

Page 2 of 5

same form as a Revision.

5. Check if the ADVF is Canceled, and note the ADVF number issued by the LDEQ.

Sections on the AAC-2 Form:I. Type of Notification: Check the appropriate selection:

Original: The first notification of the particular removal activity.

Additional: Request additional ADVF(s) for a particular activity. Document the number of theoriginal or first ADVF number issued in which the additional ADVF(s) are necessary.

Annual: Any individual asbestos renovation and/or demolition operation necessitated solely bythe need for the repair or maintenance of facility components, and involves a total of less

(Annual Maintenance) than 1 cubic yard of RACM per operation. Note the Total Volume in Section V as anestimate only. Storage bin size may be used for an estimate.

Disposal Only If the asbestos is for disposal only, check the box noted as “ Disposal Only” .

II. Type of Operation - Check the appropriate selection:Demo: The wrecking or taking out of any load-supporting structural member of a facility

together with any related handling operations or the intentional burning of any facility.Note: Intentional burning of any facility that contains any type of asbestos is strictlyprohibited.

Reno: Altering a facility or one or more facility components in any way, including the strippingor removal of RACM from a facility component that is to be returned or remain in place.

RACM Demo: Entire structure treated as RACM

ACDA: Asbestos Containing Debris Activities

Response Action: RACM operations for schools or State buildings

Ordered: Demolition is ordered by a local or state government agency.

III. Facility Description: Enter the following information for the facility where the actual activity will take place:

Facility Name: Legal name of the facility.Project Designer: LDEQ Accreditation no. of the Project Designer is required only for schools and

State buildings. Leave blank if the facility is not a school or state building.Physical Address: The physical address where the activity will take place. Specific directions

to the site, should the address prove inadequate. (i.e. Two miles past Highway X on the right.) Include the city, state, zip code and parish where the facility is located. No P.O. Box Numbers are accepted.

Owner Name: Include contact name, mailing address, phone number, and email

Site Location: Building name or number, equipment or component name (i.e. Bldg 2-A, Boiler 1) wherethe work is being done.

Telephone No: Telephone no. of the facility where the asbestos activity will take place.


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Building Size: Estimate in square meters or square feet.No. of Floors: Enter the no. of floors including the basement or ground level floors.Age in Years: The approximate age of the facility.Present Use: Describe the current primary use of the facility.Prior Use: Describe the former primary use of the facility

IV. Determination of Asbestos Present? Check “known or assumed” or “determined by inspection”. Include: Inspection Date (MM/DD/YY) Month/Day/Year; Inspectors Name; LDEQ Inspector Accreditation number; and Procedure used to identify the asbestos material, including analytical method. (“Assumed” or “Known” to be asbestos containing is acceptable.)

If the material is “known” or “assumed” to be asbestos and the inspection information is not known,check that box in lieu of the inspection information.

V. Approximate Amount of Asbestos, including:Check if removal times will be during:

Business Hours, After Hours, Weekend, or Holidays.ACM to be Removed:

Describe the RACM, and Category I or II to be removed. Describe thematerial, i.e. thermal system insulation (TSI), ceiling, transite siding, vinylasbestos tile (VAT), etc.

Unit of Measurement: For Pipes, note linear footage; and for Surface Material, note square footage.

The “Total Volume of RACM” in cubic yards is mandatory. Note the total amount of asbestoscontaining waste material in cubic yards for the entire project.

Non-Regulated ACM Not to Be Removed Prior to Demolition:Enter information on any ACM left in the building during demolition. Note: Only Category IACM that is in good condition, and will remain in good condition by the forces expected to actupon the material during demolition, may remain in the structure prior to demolition. For adefinition of Category I and/or Category II non-friable Asbestos Containing Material, see theLouisiana Air Quality regulations, LAC 33:III.Chapter 51. Subchapter M athttp://www.deq.louisiana.gov/portal/tabid/1674/Default.aspx.

VI. Asbestos Removal Contractor Information:Enter the licensed asbestos removal contractor’s name; State AI number; the licensed asbestosremoval contractor’s license number issued by the La. State Licensing Board for Contractors; andthe name, LDEQ accreditation no, and expiration date of the Supervisor/ Contractor in charge of theproject.

Enter the licensed asbestos removal contractor’s mailing address, including city, state, and zip code;a contact name, and telephone, fax number, and email address for the contact person.

VII. Other Operator/Demolition Contractor:If another operator/ contractor is handling demolition activities (whether the structure containsasbestos or not), such as a general contractor, or any other person who leases, controls or supervises


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the site activity, enter the operator or contractor’s mailing address, including city, state, and zipcode; a contact name, telephone no. and email address.

VIII. Scheduled Dates of Asbestos Removal:Enter the dates (Month/Day/Year) for asbestos removal work. Asbestos removal work includes anyactivity which dislodges or disturbs asbestos materials, including site preparation.

IX. Scheduled Dates of Demolition:Enter the dates for beginning and ending the demolition or renovation activity. For renovations,Sections IX and X may be (and usually are) the same.

X. Solid Waste Transporter for RACM/ACD to the Landfill:Enter the name, address, contact person, Solid Waste (SW) Transporter no, and telephone no. of thecompany responsible for transporting the asbestos waste from the removal site to the waste disposalsite. Please contact Sheryl Grimmer of the LDEQ Permit Support Services Division, Notificationsand Accreditations Section at 225-219-1665 to apply for a SW transporter number.

XI. Solid Waste Transporter for RACM/ACD to a Designated Site for Storage:Enter the name, address, contact person, Solid Waste Transporter no, telephone no. of the companyresponsible for transporting the asbestos waste from the removal site to a designated area prior totransporting to the asbestos waste disposal site. Please contact Sheryl Grimmer of the LDEQ PermitSupport Services Division, Notifications and Accreditations Section at 225-219-1665 to apply for aSolid Waste transporter number.

XII. Asbestos Waste Disposal Site (RAL) for RACM/ACD:Identify the asbestos waste disposal site, including the complete name, location, telephone number,and contact person of the facility. The disposal site must be permitted by the LDEQ, WasteDivision and recognized by the LDEQ, Permit Support Services Division. A listing of approvedsites can be found at http://www.deq.louisiana.gov/portal/tabid/2883/Default.aspx under theheading, Louisiana Recognized Asbestos Landfills.

XIII. Government Ordered Demolition Information:Provide the name of the responsible official, title and agency, authority under which the order wasissued, the dates of the order and the dates the ordered demolition will begin. Attach a copy of theGovernment Order to the AAC-2 form.

XIV. Emergency Renovation Information:Provide the date and time of the emergency, a description of the sudden unexpected event; and adescription of unsafe conditions, equipment damage, or financial burden resulting from the event.The information should be detailed enough for DEQ to evaluate whether a renovation falls withinthe emergency exception.

The Louisiana Air Quality regulations note emergencies as:

1- a sudden, unexpected event that necessitated the renovation; 2- an unsafe condition, or condition that would cause equipment damage; or

3- an unreasonable financial burden.


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Louisiana Air Quality regulations: http://www.deq.louisiana.gov/portal/tabid/1674/Default.aspx

For emergencies, verbal telephone notification must be made immediately, but in no case later thanfour hours after learning of the incident. If additional space is needed, write the information on aseparate sheet of paper and attach it to the AAC-2 form. The Department will determine whetherthe project is a true emergency, and will enforce the ten (10) day notification period if the project isnot deemed an emergency.

XV. Description of Planned Demolition, Renovation, Response Action, or ACDA Work Method(s) tobe Used: Describe the demolition or renovation techniques to be used, and the areas and types offacility components that will be affected. (eg. Adequately wet material, use leak-tight bags, etc.)

XVI. Comments: Provide additional comments relevant to this notification.

XVII. Certification of an Asbestos Renovation or Demolition Activity: If the activity involves Regulated ACM, read and certify by signature if the statement is accurate.

Note: All blanks on the AAC-2 form that are non-applicable must be completed with "NA". Please donot leave any blanks empty. If there are any blanks left empty; the processing of the AAC-2 will bedelayed until the required information is submitted to the department.

APPENDIX G

ACM LOCATION EXHIBIT

Project Mngr:

Approved By:

Checked By:

Drawn By:

Project No.

Scale:

Date:

File No. Consulting Engineers and Scientists

EXHIBITACM LOCATION EXHIBIT

1ASBESTOS SURVEY

LA 24 & LA 316: COMPANY CANAL BRIDGE103 COMPANY CANAL ROAD

BOURG, LOUISIANA

MVM

MVM

ZLD

ZLD

ET187062

NOT TO SCALE

EXHIBITS.DWG

MARCH 2018 524 ELMWOOD PARK BLVD NEW ORLEANS, LA 70123(504) 818-3638 (504) 818-3890THIS DIAGRAM IS FOR GENERAL LOCATION ONLY, AND IS NOT INTENDED FOR CONSTRUCTION PURPOSES

NOT TO SCALE

ACM FIBER BACKINGACM SIDING

LEGEND

LIVING ROOM BATHROOM NORTH BEDROOM

HVACCLOSET /

STAIRWELL

HALLWAY

KITCHEN SOUTH BEDROOM

Documents

Asbestos Survey Report - Louisiana€¦ · Responsive Resourceful Reliable 1 ASBESTOS SURVEY REPORT 103 Company Canal Road Bourg Louisiana Terracon Project No. ET187062 March 23,