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'��.pet.Siwqw u IN ., CY •tln �i U W 6 Off"%: IV m .icl �: z' YW. mo.". m ma 4i N9 aN 3zm Y's >� I,q_�t �," % c rtm5 c m >. is m (^ W m¢ _ o G 'ro.' m E m ro m o S mmo ng� Z ❑ UaaOt�y c E cUm�' E_ c Ita s 4u E` N cac❑m_cLJm❑m9'i n. r$J `_�"s �s❑o.IJSci zhrl6 ina'C ^W W % I VW I ut2 via wo Nora COMPREHENSIVE ASBESTOS SURVEY REPORT FOR 612 Via Lido Nord Newport Beach, CA Prepared for Mark Kelenian DATE 03/13/2020 Report # 2003-131-805992 CONDUCTED BY Jackson Environmental 120 Tustin Ave C-1121 Newport Beach, CA 92663 949-230-9779 TABLE OF CONTENTS INTRODUCTION SECTION I ASBESTOS SURVEY SUMMARY Executive Summary Facility Description Survey Findings SECTION II BUILDING INSPECTION FOR ASBESTOS Bulk Sampling Bulk Sample Analysis Quality Assurance Limitation of Sampling Suspect Asbestos Containing Materials SECTION III LABORATORY REPORTS Asbestos Laboratory Reports I�111tie] millet dLaIki1 Jackson Environmental was retained by Mark Kelegian, to conduct a COMPREHENSIVE Asbestos Survey for the property on 612 Via Lido Nord, Newport Beach, CA on February, 28th, 2020 The purpose of this survey was to identify Asbestos Containing Material (ACBM) in all areas of the building. Work consisted of collecting bulk samples of all materials suspect of containing asbestos. THE REPORT The survey report is divided into three major sections, which provide identification of all suspected ACBM. Section I presents a summary of the Asbestos Survey and a general description of the area inspected. Survey findings are also provided in this section. Section II describes the methodology used to perform the survey and includes Jackson Environmental, and our Analytical quality control procedures. Section III of this report summarizes the locations and materials which were identified as containing asbestos. Results of the bulk samples are included in this section. ASBESTOS SURVEY SUMMARY EXECUTIVE SUMMARY Jackson Environmental was retained by Mark Kelegian, to conduct a COMPREHENSIVE Asbestos Survey for the property located, 612 Via Lido Nord, Newport Beach, CA. The sampling was conducted by Michael Jackson an Osha certified asbestos consultant # 04-3635 FACILITY DESCRIPTION The subject property is a single family, 1 story wood frame building, set on a foundation. While on -site the Certified Personnel noted the condition of the materials. This is noted in the survey findings below. SURVEY FINDINGS The following building materials were identified and or assumed as containing asbestos: Buildina Material Location FriablelNonFriablel Condition SQ' Approximate Oct. None Detected "Please note square footages are approximate estimates only and should not be used as a basis for bidding purposes" RECOMMENDATIONS: All Significantly Damaged and Damaged areas should be repaired or removed as soon as possible to avoid any potential hazards that may result from further disturbance of ACM. SCAQMD's Rule 1403 requires a Procedure 5 Work Plan for any unscheduled asbestos fiber release episode involving ACM or Class II non -friable ACM. SECTION II COMPREHENSIVE ASBESTOS INSPECTION BULK SAMPLING Bulk samples of areas containing suspect ACBM were collected. A homogeneous area is defined as surfacing material, thermal insulation, or miscellaneous material that is uniform in color, texture, or date of application. Samples were collected using wet methods; where they are deemed appropriate, to minimize fiber release. Prior to sampling, the location is misted with water from a spray bottle. A sample of the suspect material is then collected using a chisel, core borer, knife, or other appropriate tool. After the sample was collected, the bulk material was placed in a sample bag which was sealed to prevent fiber release or contamination by outside sources. Samples are documented by entering the sample data on a bulk log, including a description of the material, a unique sample number is assigned to each sample and the sample bag was labeled with that number. During the survey, the technician also notes the condition of the material being sampled, its location, condition, and friability. Note: The amended National Emission Standard for Hazardous Air Pollutants (NESHAP), November 20, 1990, included a requirement that when the asbestos content of a bulk sample material is determined using procedures outlined in the Interim Method and the asbestos content is estimated to be less than 10% by method other than Point Counting, the parties legally responsible for a building (owner/operator) may elect to assume the amount to be greater than 1 % and treat the material as a regulated asbestos containing material. If the owner or operator does not want to assume the material is asbestos containing, verification of the amount of asbestos by the Point Counting method may be required. The purpose of this procedure is to minimize false negative analysis, and false positive. Point Counting was included in NESHAP in response to an HEPA study that found unacceptable amounts of false positive and false negative analyses by methods outlined in the Interim Method. Unless otherwise directed, American Analytical will assume that PLM analysis is acceptable for this survey. CLASSIFICATION OF BULK BUILDING MATERIALS "S" Significantly Damaged Material with one or more of the following characteristics: The surface is crumbling or blistered over at least one tenth of the surface if the damage is evenly distributed :( one quarter or more if the damage is localized). One tenth (one quarter or more, if localized) of material hanging from the surface, deteriorated, or showing adhesive failure. Water stains, gouges, or mars over at least one tenth of the surface if the damaged is evenly distributed (one quarter or more if the damage is localized). Accumulation of powder, dust, or debris similar in appearance to the suspect material on surfaces beneath the material can be used as confirmatory evidence. We recommend immediate removal of Significantly Damaged material and clean up of the area by a Licensed Asbestos Abatement Contractor. "D" Damaged Material with the following characteristics: The surface is crumbling, blistered, water -stained, gouged, marred or otherwise abraded over less than one tenth of the surface if the damage is evenly distributed (less than one quarter if the damage is localized). Accumulation of powder, dust, or debris similar in appearance to the suspect material on surfaces beneath the material can be used as confirmatory evidence. We recommended removal of damaged material and clean up of the area by a Licensed Asbestos Abatement Contractor. "G" GOOD Material with no visible damage or deterioration, or showing only very damage or deterioration. We recommended materials identified as in good condition be placed on an Operations and Maintenance Program (O & M). BULK SAMPLE ANALYSIS All bulk samples were analyzed by Patriot Laboratory an NVLAP accredited laboratory. The laboratory accreditations are as follows: NVLAP #200642-0 National Voluntary Laboratory Accreditation Program (Federal) Approximately 10% of the bulk samples were split for quality control purpose. All bulk samples were analyzed by Polarized Light Microscopy (PLM) with dispersion staining in accordance with the EPA Method #600/R-931116. 40 CFR 783.87. The reliable limit of detection for PLM is 1.0%. Where "None Detected" or ND appears in the report, it should be interpreted as meaning that no asbestos was actually observed in the sample. Samples containing, "Trace" level of asbestos indicates a possible contamination and is considered ACBM. NOTE: If a sample contains greater than 1.0% asbestos, it is considered to be a regulated material by Federal Government Standards. Under the California State Education Code, materials containing greater than 0.1 % in asbestos content are considered regulated. QUALITY ASSURANCE Statement of Quality Assurance At Jackson Environmental Quality Assurance is priceless! Jackson Environmental is committed to providing analytical services and data to its clients that are of the highest quality and legally defensible. Quality Assurance (QA) procedures were employed to ensure reliable results for analysis of bulk samples as follows: The laboratory is currently participating in the NVLAP Quality Assurance Program. Quality control is processed on at least 10% of all bulk samples on a daily basis. Laboratory results of samples submitted to the laboratory were within 3% of the original side by side sample. LIMITATION OF SAMPLING OF SUSPECT ASBESTOS CONTAINING MATERIAL Reasonable effort is made by Jackson Environmental `s staff to locate and sample suspect materials. However, for any facility the existence of unique or concealed asbestos containing material and debris is a possibility. In addition, sampling and laboratory analysis constraints typically hinder the investigation. American Analytical does not warrant, guarantee or profess to have the ability to locate or identify all asbestos containing materials in any given facility. This report is intended to be used in planning for construction or demolition. This report is not intended to be a construction document. Jackson Environmental is not, and has no responsibility as, a generator, operator, treater, storer, transporter or disposer of hazardous materials or waste found or identified as a result of Jackson Environmental's work. STATE REQUIREMENTS In accordance with State of California Regulation, all surveys are conducted by personnel hnlding a minimum Of a Site Surveillance Technician certificate This certificate is awarded to individuals who have fulfilled specific educational and experience requirements, as well as having completed extensive training in asbestos specific courses. Additionally, the State also mandates these individuals pass a rigorous examination. This examination is prepared, proctored, and graded by State officials. The Certified Asbestos Consultant must fulfill all the education and experience requirements as the Site Surveillance Technician, but must have additional and more extensive asbestos related training. Candidates for Certified Asbestos Consultant must also pass a more rigorous examination before being approved by the State of California. In compliance with State of California Requirements surveys and reports prepared by a Certified Site Surveillance Technician are reviewed, approved and signed by a Certified Asbestos Consultant. Certified Asbestos Consultant Michael Jackson Project Manager CAC # 04-3635 949-230-9779 Report # 2003-131-805992 SECTION III BULK SAMPLE ANALYSIS Certificate of Analysis PLM Asbestos Identification Jackson Environmental 120 Tustin Ave C-1121 Newport Beach, CA 92663 tel - 714.899-8900 free -888 743 0998 fax-114.899-1188 Patriollah.com 10415. Placentia Avenue, Fullerton, (A 91831 Report Number: Project Number: Project Name: Project Location: 805992 led PATRW Environmental Laboratory Services, Inc.. 612 Via Lido Nord 612 Via Lido Nord Newport Beach, CA Date Collected: Collected By: Date Received: 2/28/2020 Claim Number: Date Analyzed: 3/2/2020 PO Number: Date Reported: 3/2/2020 Number of Samples: 12 Lab/Client ID/Layer Location Material Description Color Composition (%) 805992-001 MBedroom Int Plaster White 100%Non- 1 Fibrous Material Total Asbestos None Detected 805992-002 Bedroom Int Plaster White 100%Non- 2 Fibrous Material Total Asbestos None Detected 805992-003 Laundry Int Plaster White 100%Non- 3 Fibrous Material Total Asbestos None Detected 805992-004 Garage Acoustic White 90%Non- 4 Fibrous Material 10% Vermiculite Total Asbestos None Detected 805992-005 Garage Acoustic White 90%Non- 5 Fibrous Material 10% Vermiculite Total Asbestos None Detected 805992-006 Garage Acoustic White 100%Non- 6 Fibrous Material Total Asbestos None Detected Page 1 of 3 Certificate of Analysis PLM Asbestos Identification Jackson Environmental 120 Tustin Ave C-1121 Newport Beach, CA 92663 Report Number: Project Number: Project Name: Project Location: tel - 714-899.8900 free- 888-703-0998 fax - 714-899.1188 Patriottab.com 1041 S. Placentia Amin, Fullerton, (A 92831 805992 612 Via Lido Nord 612 Via Lido Nord Newport Beach, CA Date Collected: Collected By: Date Received: 2/28/2020 Claim Number: Date Analyzed: 3/2/2020 PO Number: Date Reported: 3/2/2020 Number of Samples: 12 Lab/Client ID/Layer Location Material Description Color Composition (%) 805992-007 Side Ext Plaster White 100% Non- 7 Fibrous Material Total Asbestos None Detected 805992-008 Rear Ext Plaster White 100% Non- 8 Fibrous Material Total Asbestos None Detected 805992-009 Front Ext Plaster White 100% Non- 9 - ' Fibrous Material Total Asbestos None Detected 805992-010 Roof Roof Tile Red 100% Non- 10 Fibrous Material Total Asbestos None Detected 805992-011 Roof Roof Tile Red 100%Non- 11 Fibrous Material Total Asbestos None Detected 805992-012 Roof Roof Tile Red 100% Non- 12 Fibrous Material Total Asbestos None Detected Page 2 of 3 Certificate of Analysis PLM Asbestos Identification tel - 714499-8900 ftee - 888-743-0998 tax -714.899-1188 Patriatlah.com 10415. Placentia Avenue, Fullerton, (A 92831 Jackson Environmental Report Number: 805992 120 Tustin Ave C-1121 Project Number: Newport Beach, CA 92663 Project Name: 612 Via Lido Nord Project Location: 612 Via Lido Nord Newport Beach, CA Date Collected: Collected By: Date Received: 2/28/2020 Claim Number: Date Analyzed: 3/2/2020 PO Number: Date Reported: 3/2/2020 Number of Samples: 12 Lab/Client ID/Layer Location Material Description Color Composition (%) Lyn Terry - Analyst Ian Reyes - Approved By Bulk sample(s) submitted was (were) analyzed in accordance with the procedure outlined in the US Federal Register 40 CFR 763, Subpart F, Appendix A; EPA-600/R-93/116 (Method for Determination of Asbestos in Building Materials), and EPA-600/M4-82-020 (US EPA Interim Method for the Determination of Asbestos in Bulk Insulation Samples).Samples were analyzed using Calibrated Visual Estimations (CVES); therefore, results may not be reliable for samples of low asbestos concentration levels. Samples of wall systems containing discrete and separable layers are analyzed separately and reported as composite unless specifically requested by the customer to report analytical results for individual layers. Thisreport applies only to the items tested. Results are representative of the samples submitted and may not represent the entire material from which the samples were collected. "None Detected" means that no asbestos was observed in the sample. "<l%" (less than one percent) means that asbestos was observed in the sample but the concentration is below the quantifiable level of 1%. This report was issued by a NIST/NVLAP (Lab Code 200358-0) and CADOHS- ELAP (Cert. No. 2540) accredited laboratory and may not be reproduced, except in full without the expressed written consent of Patriot Environmental Laboratory Services, Inc. This report may not be used to claim product certification, approval or endorsement by NIST, NVLAP, ELAP or any government agency. Asb_Rep_8.14 Page 3 of 3 let - 714-899.8900 998 Lab Use Only •Q /\ f fax - na 899-1188 IPATRMr Report Number• u U Patriouab.rom 1041S.Pia(entlif Avenue, Fullerton, (A92831 Environmental Laboratory Services, Inc. CHAIN OF CUSTODY Client: Jackson Environmental Project No.: Contact Person: Michael Jackson Project Name: 617 V.' ov o Client Address: Project Location: GJ2 U/a f-'V I& A)In/ o 4 Contact Phone: 9 sect lea Collected B . Contact Fax: Authorized by: Claim #: PO #: HOW do you Want your report? Circle Mail Fax Web E-mail: Special Instructions: Test to first Positive Analysis Requested Turnaround Time (business hours/days) RUSH (4 hours) ❑ I RUSH (S hours) ❑ I 24 Hr ❑ JAN10* 1 72 Hr ❑ I Other (specify)[] NDtes:4lfRTATawilableunalaPa.wabtafu iq lea uire�rda tumaroundm/nrmum. ea:teriat oultureereuirs iffininnumallor TAT. 6CAL-WE/'and TCLPmlahnum Were Tahm. TLG Asbestos PCM (fiber count) NIOSH 7400A ❑ Point Count 400 CARB 435 O Point Count 1000 0 Gravimetrie Reduction (eravlmeldc Reduction Requires Minimum 1ehrTAT) M Microbioloov Fungi Non -Viable Air Spore Trap, SOP IVAAm/2m Viable (Colony ID & Enumeration) Air[} Swab/Bulk❑ Non -Viable Surface Tape Lift(Swab/Bulk, SOP IV.4.3m/4m Bacteria (Samples must be received by the laboratory within 24hrs of collection or results maybe Invalid) ❑ Total Coliform and E. coli - Surfaces, Swabs, and Bulk Solids, Liquids (non -potable,. non -wastewater) — Presence / Absence Chemistry Lead by Flame AA - EPA 30508/7420mod, NIOSH 7082mod: Paint ❑ Air ❑ Dust Wipe ❑ Water (non -potable) ❑ Soils/Solids ❑ Lead Waste Profile (by Flame AA) 1: TTLC Total Threshold by EPA 305013 mad ❑ 2: STLC/CAL WET Title 22 CCR Chl1 Artois, 5 App 2 ❑ 3: TCLP EPA 1311 ❑ Note: Please provide at approx. 200 grams (approx F4 Ill.) of sample for comp/etepro0le. Check hereto perform all test necessary fordisposal ❑ Rotometer Calibration ❑ pH testing (soils, mist. solids, & liquids) EPA 9045❑ Client SamDple Sample Date Location Sampled Description of Sample Stan Stop Avg. Total Total Vat x (Flow Type Sampled (Material type, dimensions, etc) Time time (LPM) Min. Min) 14 eo!�K � 1 A 1 1/^/T 1u5-16 — t.✓rT A.dlw LV �" bl r/ y Yx L r Relinquished By: Print Michael Jackson Si Date: Time: Received B.:(Print) C-NSign: Date: Time: W1I Relinquished By: (Print) Sign: Date: Time: [Received By: (Print) Sign: Date: Time: Method of shipment Preservation During Shipment: Condition Of SampleS: Acceptable: YES / NO Comments: Note: Pandora holding time for all samples submitted Is 30 days for solid samples, 7 days for digests, and immediate for lead in air after analytical results are reported. Unless customer provides written instructions to extend holding time, samples will be disposed of in accordance with local, state and federal laws. Page 1 of v.1.3.2019 L-Drive/Patriot COG J so 31 i k.4 Lab Use Only r808.7 3 el- 14-899.080 90 Free- 9 Report Number: ras-na-a99-nae Patrlottab.com 1041 S. Placentia Avenue, Fullerton, (A 92831 MM& Client SamDple Semple Type Date Sampled Location Sampled Description of Sample (Material type, dimensions, etc) start Time Stop Time Avg. (LPM) Total Min. Total vol o Tot. Min) I i y 4 / i© 0' 7 i Relinquished By: (Print) Si Date: Time: Received By: (Print) Slip: Date: 7i Time: Relinquished B Print Sign: Date: Time: Received By: (Print) Sign: Date: Time: NOW Patriots holding time for all samples submitted is 30 days for solid samples, 7 days for digests, and Immediate for lead In air after analytical results are reported. Unless customer provides written Instructions to extend holding time, samples will be disposed of in accordance with local, state and federal laws. Page 2 Of -2— v.1.3.2019 L-Drive/Patriot CoC rj .! 7019 1120 0001 9226 5727