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HomeMy WebLinkAbout11459 W I-70 Frontage Road Ni CITY OF WHEAT RIDGE �i Building Inspection Division r (303) 235-2855 Office INSPECTION NOTICE Inspection Type: - f Job Address: `� , -7 , - Permit Number: t" ; ❑ No one available for inspection: Tim€./PM Re -Inspection required: Yes When corrections are complete, schedule re -inspection online. In CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: S �/ ?F1 Job Address: fvs) L-1/ / - 7co) ry X/' Permit Number: ? C-2 V , c`_ P e- IJ No one available for inspection: Time )T �/M Re -inspection required: Yes No When corrections are complete, schedule re -inspection online. Date: Inspector: DO NOT REMOVE THIS NOTICE Ile, del- -)e Ir e;o 5) IJ No one available for inspection: Time )T �/M Re -inspection required: Yes No When corrections are complete, schedule re -inspection online. Date: Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division l (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: 5 f l Ur Permit Number: , t)jU] U No one available for inspection: Time =1cj q AM/PM Re -Inspection required: Yes No When corrections are complete, schedule re -inspection online. Date: ': d, c u « Inspector: k1, - DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: P' rtz i Job Address: t. �h s R� Fr c ao A�' Permit Number: Illfff ;: ❑ No one available for inspection: Time ?' AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: httpYAwww.ci. wheatridge.co.usVinspection Date: s � }tt�_l Inspector: DO NOT REMOVE THIS NOTICE V i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:��� Job Address: ; 04 t} ± t d - 7' ; � ,fi c : r i2 0 Permit Number: } ; o, 3 0,)c) 3 6 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No when corrections have been made, schedule for re -inspection online at: httpYlwww.ci. wheatridge.co.usinspection Date:'; i . ✓. v '.' Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: ' ��i 1 ��1 l i-eC)n,r,,_ os) (\i Permit Number: (}en4i!-i 1�^ C �,i 1f ro �, ii i( '1 - ❑ No one available for inspection: Time AM/PM Re -Inspection required: Y s j No When corrections have been made, call for re -inspection at 303-234-5933 Date: .0,�Z 6 Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: D 1.41 ,5 Job Address: //--VS c? 762 A,"o, A(I-AV Permit Number: U No one available for inspection: Time ""-? 2 V AMjrMM Re -inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http.IA,vww.ci.wheatridge.co.uslinspection Date: f e5"' 7, -, —,c 7 eVinspector: DO NOT REMOVE THIS NOTICE 1' = -CITY.OF WHEAT RIDGE Building Inspection Division 3W234-59-384nspeGVon4Vne-- (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 11!:7 R, Job Address: 1t z �, W I -70 Lox/aw } i� Permit Number: F—t Z O r-- J `V ; ❑ No one available for inspection: Time �'AM/PM Re -Inspection required: Yes No i When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE � ► 44" City of Wheat Ridge '/� Comm. Tenant Finish PERMIT - 202002030 PERMIT NO: 202002030 ISSUED: 11/05/2020 JOB ADDRESS: 11459 W I-70 Frontage Rd N EXPIRES: 11/05/2021 JOB DESCRIPTION: Adding a demising wall for a sub tenant to deck. Separate lighting and switches between units. Sq. ft: 8,123 **REVISION: Add an additional uni sex ADA restroom: combine a storage room with an existing ADA water closet stall, widen the door way to the restroom, add a sink & faucet, FRP, relocate the light fixture, use the existing door that will be removed, infill where door was, add additional VCT. Added valuation: $2,900 *** CONTACTS *** OWNER ( 72 0 ) 989-8828 WBC INDUSTRIAL LLC GC (303)888-2968 MIKE MUELLER 090040 FIVE STAR CONTRACTING LLC SUB (303)587-2049 JUELL SEIDEL 110222 SEIDEL ELECTRIC LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 420 / Storage Warehouse; 0 BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,400.00 FEES Total Valuation 0.00 Plan Review Fee 194.61 Use Tax 323.40 Permit Fee 299.40 ** TOTAL ** 817.41 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. Approved per plans and red -line notes on plans. Must comply with 2018 IBC, 2020 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. **Prior to final inspection approval - As-builts are required before approval of the Building Final Inspection and Certificate of Occupancy can be issued. � ► 44" City of Wheat Ridge '/� Comm. Tenant Finish PERMIT - 202002030 PERMIT NO: 202002030 ISSUED: 11/05/2020 JOB ADDRESS: 11459 W I-70 Frontage Rd N EXPIRES: 11/05/2021 JOB DESCRIPTION: Adding a demising wall for a sub tenant to deck. Separate lighting and switches between units. Sq. ft: 8,123 **REVISION: Add an additional uni sex ADA restroom: combine a storage room with an existing ADA water closet stall, widen the door way to the restroom, add a sink & faucet, FRP, relocate the light fixture, use the existing door that will be removed, infill where door was, add additional VCT. Added valuation: $2,900 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Farm is Subject: Online Form Submittal: Commercial Interior Remodel/Tenant Finish Date: Wednesday, October 21, 2020 12:31:17 PM Commercial Interior Remodel/Tenant Finish Application for Commercial Remodel/Tenant Finish This application is for Commercial Remodels and Tenant Finishes. Do not being work until the permit has been issued to the General Contractor. Required to Submit Proof of Submission to Fire Department Proof of Submission to Fire Department Begin Application Arvada Fire Aoolication.odf PROPERTY INFORMATION Property Address 11459 West 1-70 Frontage Road N Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" WBC Industrial LLC nate@gbcapitalllc.com Electronic Payment Form SIGNED.Odf APPLICANT INFORMATION Contact Name of Mike Mueller Person Submitting Application What is your role in the General Contractor project? Wheat Ridge Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contact Phone Number (enter WITH dashes, eg 303-123-4567) Contact Email Address for Plan Review Questions M I KEFI V ESTARCO@AOL. CO M Retype Contact Email MIKEFIVESTARCO@AOL.COM Address DESCRIPTION OF WORK Is this for a new No tenant? Business Name of The Denver Post Tenant Detailed Scope of Work - Provide a detailed description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc Iii .: a STMO 7: Square Footage Area of Work Being Performed Asbestos Report - if applicable Construction Plans scanned on 11 "x17" or larger Add an additional uni sex ADA restroom: combine a storage room with an existing ADA water closet stall, widen the door way to the restroom, add a sink & faucet, FRP, relocate the light fixture, use the existing door that will be removed, infill where door was, add additional VCT M, 1111 117499r,UI 100 Asbestos Test for 11455 - 11459.odf 11459 FULL SET.odf Project Value (contract 2,900. $2,900 Valuation is OK value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for FIVE STAR CONTRACTING LLC Permit Email not displaying correctly? View it in your browser. 10/21/2020 Print Preview Permit Application - Print Preview Address: Addr/Street: 11459 West Interstate 70 Frontage Road City/State: Wheat Ridge CO Zip Code: 80033 Pro erty Owner. First Name: Nate Last Name: Perry Business Name: WBC Industrial LLC Phone: 720 989 8838 Phone AH: Cell Phone: 720 989 8838 Fax: Addr: 2993 S. Peoria Street Su ite: 105 City/State: Aurora CO Zip Code: 80014 Email: nate@gbcapitalllc.com Occupant: Building: Occupant: The Denver Post Su ite: Property Use Type: Commercial Job: Job Type: Tenant Finish/Remodel Sq Ft: 4,123.00 Cost: $2,900.00 Desc: ADD AN ADDITIONAL RESTROOM. NEW RESTROOM TO BE ADA COMPLIANT Comments: https://www.mobile-eyes.com/PA_PrintPreview.asp 1/1 F'3650 Mi� WFOWTFMIPhone: Chestnut Place, Denver, Colorado 80216 303.296. 6022 / Fax: 303.292.1451 October 8, 2013 Kirby Kunz Six Oak Limited Partnership 11457 West I-70 Frontage Road Wheatridge, Colorado 80033 RE: Limited Asbestos Inspection 11455 West I-70 Frontage Road — Wheatridge, Colorado 80033 Family Environmental Project Number: 092013-1 .1 t 1A.579 Dear Mr. Kunz: Family Environmental Compliance Services, Inc. (Family Environmental) is pleased to submit this report summarizing our limited Asbestos Containing Materials (ACM) inspection. This report details the fieldwork completed and analytical results of samples collected. This work was authorized by you on September 18, 2013. It is our understanding that you are planning renovation activities at the above referenced address. Per the United States Environmental Protection Agency (EPA) procedures published in Code of Federal Regulations (CFR) Title 40 Part 763, Subpart E — Asbestos -containing Materials in Schools and Colorado Regulation 8 (Regulation 8), suspect Asbestos Containing Building Materials (ACBM) must be properly sampled and analyzed prior to any renovation or demolition activities. The purpose of this sampling was to evaluate for the presence of any ACM in the areas identified. The inspection was conducted in accordance with Regulation 8. These inspection protocols specify requirements for the inspector (Section 763.85), laboratory (Section 763.87), and number of samples collected during an inspection (Section 763.86). 1.0 FIELD ACTIVITIES The inspection was conducted by a Colorado State Certified Asbestos Building Inspector on September 20, 2013 and on October 8, 2013. This inspection involved identification and sampling of suspect ACM in the planned renovation area. Bulk samples of suspect ACM were collected by the Inspector in general conformance with Asbestos Hazardous Emergency Response Act (AHERA) protocols as outlined in Regulation 8. Random samples of suspect materials were collected in each homogeneous area (see Table 1 - enclosure). Samples were placed in sealable containers and labeled with unique sample numbers using an indelible marker. 2.0 LABORATORY ANALYSIS Fifty -Four (54) samples were submitted under chain of custody procedures to River North Environmental Testing (RNET), for analysis by polarized light microscopy (PLM) with dispersion staining techniques per EPA methodology (40 CFR 763, Subpart F). Visual estimations were used in obtaining the percentage of asbestos in bulk samples. RNET is accredited under the National Voluntary Laboratory Accreditation Program (NVLAP) Lab Code: 200448-0. A copy of the original laboratory report is attached to this summary report. 3.0 FINDINGS Suspect ACM includes nearly all building materials except bare concrete, glass, wood, masonry, metal or rubber. ACM contains asbestos greater than 1 percent, (> 1% asbestos) as confirmed by an accredited laboratory. ACM is categorized as Friable or Non -friable asbestos. Friable asbestos can be crumbled, pulverized, or reduced to a powder by hand pressure when dry. Non - friable asbestos is any material that cannot be crumbled, pulverized or reduced to a powder by hand pressure when dry. Our Inspector observed the following suspect ACM during this inspection: Friable: • Heavy Orange Peel Surfacing Material; • Light Orange Peel Surfacing Material; • Tape Joint Compound; • Block Filler; • Linoleum; • Wall Glue; • Carpet Glue, and • Ceiling Tile. Non -Friable: • Wallpaper; • Cove Base and Mastic, and • Floor Tile. Table 2, enclosed, contains a summary of samples and results. 3.1 Identified Asbestos Containing Materials Based on the completed PLM results, asbestos was identified in some of the floor tile samples collected. 2 Famiro w x a� 4.0 CONCLUSION & RECOMMENDATION All identified asbestos containing materials must be removed by a Colorado state certified General Abatement Contractor if they are to be affected during restoration activities. Final air clearance testing must be performed according to Colorado Regulation 8 Part B: for Asbestos following the removal of the above mentioned materials. Only materials listed were tested or quantified as part of this inspection. If materials are encountered that have not been discussed in this report, stop all activities in the area and contact a Colorado Certified Asbestos Inspector to test those materials prior to continuing with activities in the general area of the materials. 5.0 LIMITATIONS This asbestos inspection was conducted in a manner consistent with the level of care and skill ordinarily exercised by members of the profession currently practicing under similar conditions in the same locale. The results, findings, conclusions and/or recommendations expressed in this report are based on conditions observed during our limited inspection of the areas in question. The information contained in this report is relevant to the date on which this survey was performed, and should not be relied upon to represent conditions at a later date. This limited asbestos inspection report is not considered a comprehensive asbestos inspection report and it must be understood that the existence of unique or concealed ACM may be possible. This report has been prepared on behalf of and exclusively for use by the client for specific application to the project as discussed. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. Family Environmental does not warrant the work of regulatory agencies or other third parties supplying information which may have been used in the preparation of this report. No warranty, express or implied is made. This report is not intended as a bidding document. Should you have any questions or require additional information, please feel free to contact me at (303) 296-6022. Sincerely, Family Environmental Compliance Services, Inc. Tim Fiegel Colorado State Certified Asbestos Building Inspector #20020 Enclosures: Table 1 - Homogenous Areas Table 2 - Summary of Asbestos Samples and Results Laboratory Analytical Report FdMijT\,-WFOWTPtdl TABLE 1 HOMOGENEOUS MATERIALS TABLE FdOMFOPUFMI HOMOGENOUS MATERIALS TABLE 11455 West I-70 Frontage Road Wheatridge, Colorado 80033 Homogenous Description Estimated Location Material uantity 1 Heavy Orange Peel Surfacing Material NA Throughout Building 2 Light Orange Peel Surfacing Material NA Throughout Building 3 Tape Joint Compound NA Throughout Building 4 Block Filler NA Throughout Building 5 Linoleum NA Throughout Building 6 Wall Glue NA Throughout Building 7 Carpet Glue NA Throughout Building 8 Ceiling Tile NA Throughout Building 9 Wallpaper NA Throughout Building 10 Cove Base and Mastic NA Throughout Building 11 Floor Tile About 1,500 ft2 Throughout Building FamiMropuptdi TABLE 2 SUMMARY OF COLLECTED SAMPLES AND ANALYTICAL RESULTS Q H QJ H U ` °1 a v X � v o m N H Q v o v z u � o E Z Ln z or o 0 0 0 0 0 0 0 0 0 x aa �F Q z Q z Q z Q z Q z Q z A zto z U C - 0,0p -. u U' N CC N CCS N cd N C� Ln Ln R3 :d N N C� N c� a w o � rrtew., z E E Q' v crcti, c d 4ct3 w 4M4 U U U cz cc � 0 � wx D z ul) Ln C/) coo cn cr Q H QJ H U ` °1 a v X � v o m N H Q v o v z u � o E Z Ln _ z 00 w� 0 0 0 0 O O M M N N N N M M M M O� V x oaa H mom, z z z z z z z z z �C o`er d � N Gi _ �p n cd ¢ c� «S ceS «S eC ai c0 et3 a3 Q W z o I. W c a a a a a ao, a a a a to w w� CAU) 3 3 3 3 3 tonz _ -a v m N Ln U ` Q Q X CJ v N v O N {A a U, N Q o Z CU it 0. in Z cn z Irlw A C: (2 s v o� v x ow a F z z z zz z z z z z z U z o O o o a cd d ~ ~ e� d cd Q .04 cd cd R3 as A � W �-+ a 0 z 0 U .V. o QO cz 0 b 'O O C C O O R CC3 w F CL d- kr) „ -a v m N Ln U ` Q Q X CJ v N v O N {A a U, N Q o Z CU it 0. in Z cn a) V) L c (� cu v a� y x CU L 0 m H N a +' o v z a It E ou .��. Z O C W z A C7 g g C7 C7 C7 L7 C7 C7 O U �W� o Ji =Ulu z z z .F—u2u U2U z F'U FU U O am E~ -O U ON N — - - - M Aj 3 O Q A I w �3 a a z o a � 0 0 0 0 0 0 0 W � a) V) L c (� cu v a� y x CU L 0 m H N a +' o v z a It E ou aj Z' C cuL v CL c � c 0 0 0 Wp�A� L7 Z A C,� t7 C7 C7 C7 C7 C7 C7 L7 L7 c� o x oaF z z z z z z z z z z � c Ly Q D M U O N N O� Q1 N N a w 3 W *-� a a z cz. a U V U U W E 5¢ F I I 1 1 1 1 w w w 3 U U U U rte= aj Z' C cuL v CL c ram!raxrxntal LABORATORY ANALYTICAL REPORT CEILADS ASBESTOS LABORATORY REPORT Prepared for Family Environmental Compliance Services Inc. PROJECT: 092013-1 CEI LAB CODE: A13-11370 DATE ANALYZED: 09/23/13 DATE REPORTED: 09/23/13 TOTAL SAMPLES ANALYZED: 42 # SAMPLES >1% ASBESTOS: 7 TEL: 866-481-1412 www.ceitabs.com Asbestos Report Summary By: POLARIZING LIGHT MICROSCOPY METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020 CEI LAB CODE: A13-11370 ASBESTOS Client ID Layer Lab ID Color Sample Description % SMI -1 A1560544 Off-white Surface Material None Detected SMI -2 A1560545 Off-white Surface Material None Detected SMI -3 Al56OW Off-white Surface Material None Detected SMI -4 A1560547 Off-white Surface Material None Detected SMI -5 A1560548 Off-white Surface Material None Detected SMI -6 A1560549 Off-white Surface Material None Detected SMI -7 A1560550 Off-white Surface Material None Detected SM2-1 A1560551 Off-white Surface Material None Detected SM2-2 A1560552 Off-white Surface Material None Detected SM2-3 A1560553 Off-white Surface Material None Detected SM2-4 A1560554 Off-white Surface Material None Detected SM2-5 A1560555 Off-white Surface Material None Detected SM2-6 A1560556 Off-white Surface Material None Detected SM2-7 A1560557 Off-white Surface Material None Detected WPI -1 A1560558 Off-white Wallpaper None Detected WPI -2 A1560559 Off-white Wallpaper None Detected WP1-3 A1560560 Off-white Wallpaper None Detected WP1-4 A1560570 Al 560561 Off-white Wallpaper None Detected WP1-5 Grey A1560562 Off-white Wallpaper None Detected WPI -6 Baseboard A1560563 Off-white Wallpaper None Detected WP1-7 A1560564 Off-white Wallpaper None Detected TJC1-1 --------------------------------------------------------------- Layer 1 Layer 2 A1560565 A1560565 Off-white Off-white Joint Compound & Tape Drywall None Detected None Detected TJC1-2 --------------------------------------------------------------- Layer 1 Layer 2 A1560566 A1560566 Off-white Off-white Joint Compound & Tape Drywall None Detected None Detected BFI -1 A1560567 Grey Block Filler None Detected BFI -2 A1560568 Grey Block Filler None Detected BF1-3 A1560569 Grey Block Filler None Detected BF1-4 A1560570 Grey Block Filler None Detected BFI -5 A1560571 Grey Block Filler None Detected CBMI-1 A1560572A Brown Baseboard None Detected Page 1 of 2 CEILOABS' PROJECT: 092013-1 Asbestos Report Summary By: POLARIZING LIGHT MICROSCOPY METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020 CEI LAB CODE: Al 3-11370 ASBESTOS Client ID Layer Lab ID Color Sample Description % A1560572B Tan Mastic None Detected CBMI-2 A1560573A Brown Baseboard None Detected A1560573B Tan Mastic None Detected CBM1-3 A1560574A Brown Baseboard None Detected A1560574B Tan Mastic None Detected FTI -1 A1560575A Off-white,Tan Floor Tile • A1560575B Black Mastic • LIN1-1 A1560580 Tan,Brown Linoleum None Detected WG1-1 Al 560581 -w i e, eige FloorTile None Dete None Detected A1560576B Black Mastic etected FTI -30577A None Detected Off-white,Beige Floor Tile None Detected White A156057 ell None Detected FTI -4 A1560578A O oor e • FTI -4 A1560578A hite, T • None Detected 8B Black - FTI -5 A1560579A Off-white,Tan Floor Tile - A1560579B Black Mastic • LIN1-1 A1560580 Tan,Brown Linoleum None Detected WG1-1 Al 560581 Yellow Glue None Detected CG1-1 A1560582 Yellow Glue None Detected CT1-1 A1560583 White Ceiling Tile None Detected CT1-2 A1560584 White Ceiling Tile None Detected CT1-3 A1560585 White Ceiling Tile None Detected Page 2 of 2 ASBESTOS BULK ANALYSIS EILASS By: POLARIZING LIGHT MICROSCOPY Client: Family Environmental Compliance Services Inc. CEI Lab Code: A13-11370 3650 Chestnut Place Date Received: 09-23-13 Denver, CO 80216 Date Analyzed: 09-23-13 Date Reported: 09-23-13 Project: 092013-1 ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON -ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non -Fibrous °% SM1-1 Surface Material Heterogeneous 75% Calc Carb None Detected A1560544 Off-white 20% Binder Non-fibrous 5% Paint Bound SMI -2 Surface Material Heterogeneous 75% Calc Carb None Detected A1560545 Off-white 20% Binder Non-fibrous 5% Paint Bound SMI -3 Surface Material Heterogeneous 75% Calc Carb None Detected A1560546 Off-white 20% Binder Non-fibrous 5% Paint Bound SMI -4 Surface Material Heterogeneous 75% Calc Carb None Detected A1560547 Off-white 20% Binder Non-fibrous 5% Paint Bound SMI -6 Surface Material Heterogeneous 75% Calc Carb None Detected A1560548 Off-white 20% Binder Non-fibrous 5% Paint Bound SM1-6 Surface Material Heterogeneous 75% Calc Carb None Detected A1560549 Off-white 20% Binder Non-fibrous 5% Paint Bound SMI -7 Surface Material Heterogeneous 75% Calc Carb None Detected A1560550 Off-white 20% Binder Non-fibrous 5% Paint Bound Page 1 of 9 ASBESTOS BULK ANALYSIS wsW By: POLARIZING LIGHT MICROSCOPY CEILABS Client: Family Environmental Compliance Services Inc. CEI Lab Code: A13-11370 3650 Chestnut Place Date Received: 09-23-13 Denver, CO 80216 Date Analyzed: 09-23-13 Date Reported: 09-23-13 Project: 092013-1 ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON -ASBESTOS COMPONENTS ASBESTOS I Lab ID I. Description Attributes Fibrous Non -Fibrous ° SM2.1 Surface Material Homogeneous 100% Paint None Detected Al 660551 Off-white Non-fibrous Bound SM2-2 Surface Material Homogeneous 100% Paint None Detected A1560552 Off-white Non-fibrous Bound SM2-3 Surface Material Homogeneous 100% Paint None Detected A1560553 Off-white Non-fibrous Bound SM2-4 Surface Material Homogeneous 100% Paint None Detected A1560554 Off-white Non-fibrous Bound SM2-5 Surface Material Homogeneous 100% Paint None Detected A1560555 Off-white Non-fibrous Bound SM2-6 Surface Material Homogeneous 100% Paint None Detected A1560556 Off-white Non-fibrous Bound SM2-7 Surface Material Heterogeneous 75% Calc Carb None Detected A1560557 Off-white 20% Binder Non-fibrous 5% Paint Bound Page 2 of 9 ASBESTOS BULK ANALYSIS EILA13S By. POLARIZING LIGHT MICROSCOPY Client: Family Environmental Compliance Services Inc. CEI Lab Code: A13-11370 3650 Chestnut Place Date Received: 09-23-13 Denver, CO 80216 Date Analyzed: 09-23-13 Date Reported: 09-23-13 Project: 092013-1 ACRPCTf1C cu q w Pf M FPA RAA MFTwrin Client ID Lab Lab NON -ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non -Fibrous % WP1-1 Wallpaper Homogeneous 100% Paint None Detected A1560558 Off-white Paint Non-fibrous A1560560 Bound WPI -2 Wallpaper Homogeneous 100% Paint None Detected A1580559 Off-white Non-fibrous Non-fibrous Bound WP1-3 Wallpaper Homogeneous 100% Paint None Detected A1560560 Off-white Non-fibrous Bound WPI -4 Wallpaper Homogeneous 100% Paint None Detected Al 560561 Off-white Non-fibrous Bound WP1-5 Wallpaper Homogeneous 100% Paint None Detected A1560562 Off-white Non-fibrous Bound WP1-6 Wallpaper Homogeneous 100% Paint None Detected A1560563 Off-white Non-fibrous Bound WP1-7 Wallpaper A1560564 Homogeneous Off-white Non-fibrous Bound 100% Paint None Detected Page 3 of 9 ASBESTOS BULK ANALYSIS EIL"mA�[ By: POLARIZING LIGHT MICROSCOPYiS Client: Family Environmental Compliance Services Inc. CEI Lab Code: A13-11370 3650 Chestnut Place Date Received: 09-23-13 Denver, CO 80216 Date Analyzed: 09-23-13 Date Reported: 09-23-13 Project: 092013-1 ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab ID Des Lab NON -ASBESTOS COMPONENTS ASBESTOS Attributes Fibrous Non -Fibrous % TJC1-1 Joint Compound & Heterogeneous 20% Cellulose 60% Calc Cart None Detected Layer 1 Tape Off-white Silicates 15% Binder Paint A1560565 Bound Fibrous 5% Paint Page 4 of 9 ------ Bound - Layer 2 ------------ Drywall ---------- Homogeneous ---- 5% ------- Cellulose ---- 95% --------- Gypsum ------- - - - - -- None Detected A1560565 Off-white Fibrous Bound TJC1-2 Joint Compound & Heterogeneous 20% Cellulose 60% Calc Cat None Detected Layer 1 Tape Off-white 15% Binder A1560566 Fibrous 5% Paint ------- - Bound Layer 2 ----------- Drywall ---------- Homogeneous ---- 5% ------- Cellulose ---- 95% --------- Gypsum ------- - - - - -- None Detected A1560566 Off-white Fibrous Bound BFI -1 Block Filler Heterogeneous 60% Binder None Detected A1560567 Grey 35% Silicates Non-fibrous 5% Paint Bound BFI -2 Block Filler A1560568 Heterogeneous Grey Non-fibrous Bound 60% 35% 5% Binder None Detected Silicates Paint BFI -3 Block Filler Heterogeneous 60% Binder None Detected A1560569 Grey 35% Silicates Non-fibrous 5% Paint Bound Page 4 of 9 ASBESTOS BULK ANALYSIS EIL-A13S By: POLARIZING LIGHT MICROSCOPY Client: Family Environmental Compliance Services Inc. CEI Lab Code: A13-11370 3650 Chestnut Place Date Received: 09-23-13 Denver, CO 80216 Date Analyzed: 09-23-13 Date Reported: 09-23-13 Project: 092013-1 ASBESTOS BULK Client ID Lab Lab ID Des EPA 600 METHOD Lab NON -ASBESTOS COMPONENTS ASBESTOS Attributes Fibrous Non -Fibrous % BF1-4 Block Filler Heterogeneous 60% Binder None Detected A1560570 Grey 35% Silicates Non-fibrous 5% Paint Bound BF1-5 Block Filler Heterogeneous 60% Binder None Detected Al 560571 Grey 35% Silicates Non-fibrous 5% Paint Bound CBM1-1 Baseboard Heterogeneous 100% Rubber None Detected A1560572A Brown Non-fibrous Bound A1560572B Mastic Heterogeneous 100% Mastic None Detected Tan Non-fibrous Bound �CBM1-2 Baseboard Heterogeneous 100% Rubber None Detected A1560573A Brown Non-fibrous Bound A1560573B Mastic Heterogeneous 100% Mastic None Detected Tan Non-fibrous Bound CBM1-3 Baseboard Heterogeneous 100% Rubber None Detected A1560574A Brown Non-fibrous Bound Page 5 of 9 ASBESTOS BULK ANALYSIS By: POLARIZING LIGHT MICROSCOPY CEILA19S Client: Family Environmental Compliance Services Inc. CEI Lab Code: A13-11370 3650 Chestnut Place Date Received: 09-23-13 Denver, CO 80216 Date Analyzed: 09-23-13 Date Reported: 09-23-13 Project: 092013-1 ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON -ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non -Fibrous % A156o57413 Mastic Heterogeneous 100% Mastic None Detected Tan Non-fibrous Bound FTI -1 Floor Tile Homogeneous 98% Vinyl 2% Chrysotile A1560575A Off-white,Tan Fibrous Bound A1560575B Mastic Homogeneous 95% Mastic 5% Chrysotlle Black Fibrous Bound FT1-2 Floor Tile Homogeneous 100% Vinyl None Detected A1660576A Off-white, Beige Non-fibrous Bound A1560576B Mastic Homogeneous 5% Cellulose 95% Mastic None Detected ed� Black Fibrous Bound FTI -3 Floor Tile Homogeneous 100% Vinyl None Detected A1560577A Off-white, Beige Non-fibrous Bound A1560577B Mastic Homogeneous 100% Mastic None Detected Yellow Non-fibrous Bound Page 6 of 9 ASBESTOS BULK ANALYSIS ins By: POLARIZING LIGHT MICROSCOPY CEILA135 Client: Family Environmental Compliance Services Inc. CEI Lab Code: A13-11370 3650 Chestnut Place Date Received: 09-23-13 Denver, CO 80216 Date Analyzed: 09-23-13 Date Reported: 09-23-13 Project: 092013-1 i&SRFST()R Pill K DI M DDA Ann MDTWFin Client ID Lab Lab NON -ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non -Fibrous % FT1-4 Floor Tile Homogeneous 98% Vinyl 2% Chrysotile A1560578A Off-white,Tan Fibrous Bound FTI -4 Floor Tile Homogeneous 98% Vinyl 2% Chrysotile A1560578A Off-white,Tan Fibrous Bound A1560578B Mastic Homogeneous 95% Mastic 5% Chrysotile Black Fibrous Bound FTI -5 Floor Tile Homogeneous 98% Vinyl 2% Chrysotile A1560579A Off-white,Tan Fibrous Bound A1560579B Mastic Homogeneous 95% Mastic 5% Chrysotile Black Fibrous Bound LIN1-1 Linoleum Heterogeneous 5% Fiberglass 95% Vinyl None Detected A1560580 Tan, Brown <1% Mastic Fibrous Bound WGI-1 Glue Homogeneous 100% Glue None Detected A1560581 Yellow Non-fibrous Bound Page 7of9 ASBESTOS BULK ANALYSIS EI A, By: POLARIZING LIGHT MICROSCOPY mLAC35 Client: Family Environmental Compliance Services Inc. CEI Lab Code: A13-11370 3650 Chestnut Place Date Received: 09-23-13 Denver, CO 80216 Date Analyzed: 09-23-13 Date Reported: 09-23-13 Project: 092013-1 &C92FCTr1C 92111 k DI M GDA ann NICTWf%r1 Client ID Lab Lab NON -ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non -Fibrous % CG1-1 Glue Homogeneous 100% Glue None Detected A1560582 Yellow Non-fibrous Bound CTI -1 Ceiling Tile Heterogeneous 35% Cellulose 25% Perlite Norte Detected A1560583 White 35% Fiberglass 5% Paint Fibrous Bound CT1-2 Ceiling Tile Heterogeneous 35% Cellulose 25% Perlite None Detected A1560594 White 35% Fiberglass 5% Paint Fibrous Bound CTI -3 Ceiling Tile Heterogeneous 35% Cellulose 25% Perlite None Detected A1560585 White 35% Fiberglass 5% Paint Fibrous Bound Page 8 of 9 CEIL=��ASS LEGEND: Non-Anth = Non-Asbestiform Anthophylite Non-Trem = Non-Asbestiform Tremolite Calc Carb = Calcium Carbonate METHOD: EPA 600 / R93 / 116 and EPA 6001 M4-82 / 020 The detection limit for the method is <1 % by visual estimation and 0.25% by 400 point counts or 0.1 % by 1,000 point counts. Due to the limitations of the EPA 600 Method, nonfriable organically bound materials (NOBs) such as vinyl floor tiles can be difficult to analyze via polarizing light microscopy (PLM). EPA recommends that all NOBs analyzed by PLM, and found not to contain asbestos, be further analyzed by Transmission Electron Microscopy (TEM). Please note that PLM analysis of dust and soil samples for asbestos is not covered under NVLAP accreditation. This report may not be reproduced, except in full, without written approval by CEI LABS. CEI LABS makes no warranty representation regarding the accuracy of client submitted information in preparing and presenting analytical results. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U. S. Government. ANALYST: APPROVED BY: IG�VV� Lynn Burkholder Tianbao Bai, Ph.D. Laboratory Director NVLA NVLAP Lab Code 101768-0 CEI Labs, 107 New Edition Court, Cary, NC 27511, Phone: (866) 481-1412 Page 9 of 9 CHAIN OF CUSTODY LAQS 107 New Edition Court, Cary, NC 27511 Tel: 866-481-1412; Fax: 919-481-1442 t �>..0"4.� 3s iL..�M4,13" .a+ h�.� ...1 .�'� r -: � � .aL r .ate ; sufficient weight for TEM analysis. IAddress: [ Accept Samples Job Contact: ❑ Reject Samples 171ig i PLM BULK EPA 600 is, ❑ ❑ ❑ ❑ POSITIVE STOP ANALYSIS ❑ SOUTH CAROLINA SAMPLES ❑ REMARKS: If needed, combine samples from the same group to achieve sufficient weight for TEM analysis. [ Accept Samples ❑ Reject Samples 171ig PLM BULK EPA 600 is, ❑ ❑ ❑ ❑ ❑ TEM BULK CHATFIELD ❑ ❑ ❑ ❑ ❑ PLM POINT COUNT 400 EPA 600 ❑ ❑ ❑ ❑ ❑ ❑ PLM POINT COUNT 1000 EPA 600 ❑ ❑ ❑ ❑ ❑ ❑ PLM GRAVIMETRIC EPA 600 ❑ ❑ ❑ ❑ ❑ PLM GRAV w POINT COUNT 600 ❑ ❑ ❑ ❑ ❑ --EPA OTHER: -+ ❑ Q ❑ ❑ ❑ ❑ POSITIVE STOP ANALYSIS ❑ SOUTH CAROLINA SAMPLES ❑ REMARKS: If needed, combine samples from the same group to achieve sufficient weight for TEM analysis. [ Accept Samples ❑ Reject Samples 171ig Call to confirm RUSH analvsis. Samoles will be disposed of 30 days after analvsis VERSION SCCC.06.12.1.112.LD Customer COC Page 1 CEILASS SAMPLING FORM l Pt F r� Company: U 01 t'O n Job Contact: i Project Name: �+W6�t. ' A r PLM TEM Project ID #: q Tel: S (,j U t2—S-2 l Pt F r� � r Ti ` 4C �,'•y� ��+ IIL. no f� $p.'1i �+W6�t. ' A r PLM TEM �i-y t k' ❑ ���. PLM TEM ❑ PLM ED TEM ❑ PLM TEM ❑ PLM TEM ❑ PLM TEM ❑ .- PLM TEM ❑ PLM ED TEM ❑ PLM TEM ❑ PLM TEM ❑ PLM TEM ❑ _ S PLM QD TEM ❑ PLM EO TEM ❑ PLM TEM ❑ PLM TEM ❑ _ a PLM TEM ❑ PLM TEM ❑ PLM TEM ❑ _ PLM TEM ❑ PLM TEM ❑ / PLM ED PLM ED TEM TEM ❑ ❑ PLM ED TEM ❑ S 1 PLM TEM ❑ . a PLM TEM ❑ PLM TEM ❑ r PLM TEM ❑ PLM TEM ❑ PLM TEM ❑ a PLM TEM Page of VERSION SCCC.06.12.1.212.LD Customer COC Page 2 ...... CEILOA19S x)13-- 03-70 SAMPLING FORM 0 AWA )QQKACT;INFORMATI N Company: tl 1 Y'D r, ryl Job Contact: I r,% �I Project Name: Project ID #: l -� c - ITel: 025— Page of VERSION SCCC.06.12.1.2/2.LD Customer COC Page 2 C @ st f,c PLM TEM ❑ -- r' PLM TEM ❑ D PLM TEM ❑ PLM ® TEM ❑ PLM ® TEM ❑ PLM TEM ❑ — PLM TEM ❑ PLM TEM ❑ PLM TEM ❑ PLM TEM ❑ PLM TEM ❑ 1 PLM TEM ❑ PLM ❑ TEM ❑ PLM ❑ TEM ❑ PLM ❑ TEM ❑ PLM ❑ TEM ❑ PLM ❑ TEM ❑ PLM ❑ TEM ❑ PLM ❑ TEM ❑ PLM ❑ TEM ❑ PLM ❑ TEM ❑ PLM ❑ TEM ❑ PLM ❑ TEM ❑ PLM ❑ TEM ❑ PLM ❑ TEM ❑ PLM ❑ TEM ❑ PLM ❑ TEM ❑ PLM ❑ TEM ❑ PLM ❑ TEM ❑ PLM ❑ TEM ❑ Page of VERSION SCCC.06.12.1.2/2.LD Customer COC Page 2 rliii■►`'.� October 8, 2013 Family Environmental Professional Services 3650 Chestnut Place Denver, CO 80216 Re: 11457 W. I-70 Frontage Road PLM13-594 Mr. Felgel, River North Environmental Testing, Inc. 3650 Chestnut Place 303.297-0079 Denver CO 80216 Fax 303-292-1451 www metesting corn info@metesting com Attached are the results of Polarized Light Microscopic analysis (PLM) for asbestos contained In the bulk sample materials submitted to this facility on 10/08/2013. Bulk samples are analyzed in accordance with USEPA test method EPA/600/M4-82-020 and EPA/600/R-93/116, which requires that distinctly different materials or layers present within a sample be analyzed and reported separately. (For measurement uncertainty, refer to table 2.1 in EPA/600/R-93/116 method.) Sometimes it is not possible to completely separate thin or strongly adhering layers, such as paint or adhesive, and a combined result is given. For some complex materials, such as drywall/tape/mud joints, a composite or overall asbestos content may be reported in addition to individual layer results. RNET, Inc. Is currently accredited for bulk asbestos analysis by the National Voluntary Laboratory Accreditation Program (NVLAP) of the National Institute of Standards and Technology (NIST). Our NVLAP laboratory code number is 200448-0. The analytical results provided in this report apply only to the samples actually submitted. This report is considered confidential. Details of this report will not be discussed with any person or agency not associated with you or your organization. This report must be reproduced in its entirety and shall not be copied in part or used by the client to claim product endorsement by NVLAP or any agency of the U.S. Government, if you have any questions regarding the content of this report or would like to make any suggestions, which may improve our services to our clients, please submit them in writing, via facsimile, or call us. If RNET, Inc. may be of further assistance in other health and safety areas of concern, please let us know. Katie I Shaw Asbestos Analyst kshaw@familyenvironmental.com Cell: 307-631-4020 Louis J Mitchell, CIH ANALYST Imitchell@rnetesting.com Cell: 303-587-3181 ?NL AP L.b Cc& 200"9-0 River North Environmental Testing, Inc. WT4 3650 Chestnut Place 303-297-0079 Denver, CO 80215 Fax 303-292.1451 www.metesting.com info@metesting corn REPORT OF TEST RESULTS PLM Bulk Asbestos Analysis NVLAP Lab Code 200448-0 CLIENT: Family Environmental Compliance Services PROJECT; PLM13-594 Lab-ID No. Layer No, Asbestos Non-Asbestos Sample ID Description Layer % Type (°lo) Components (%) PLM 13-594.01 FT 11-1 LAYER 1 LAYER 1 None Detected Cellulose Fiber Trace Floor Tile, Tan, Non-homogeneous, 95% Binder/Filler 100% Resinous LAYER 2 LAYER 2 None Detected Cellulose Fiber 5% Mastic, Black, Homogeneous, 5% Other Non-Fibrous 5% Resinous Material 90% PLM13-594-02 FT 2-1 LAYER 1 LAYER 1 None Detected Cellulose Fiber Trace Floor Tile, Tan, Non-homogeneous, 95% Binder/Filler 100% Resinous LAYER 2 LAYER 2 None Detected Cellulose Fiber 5% Mastic, Yellow, Homogeneous, 5% Other Non-Fibrous 6% Resinous Material 90% PLM13-594-03 —�.-- ---- — FT 3-1 LAYER 1 LAYER i None Detected Cellulose Fiber Trace Floor Tile, Tan, Non-homogeneous, 97% Binder/Filler 100% Resinous LAYER 2 LAYER 2 None Detected Cellulose Fiber 5% Inseparable Mastics, Yellow and 3% Other Non-Fibrous 5% black, Non-homogeneous, Resinous Material 90% PLM 13-594-04 FT 4-1 LAYER 1 LAYER 1 None Detected Cellulose Fiber Trace Inseparable Mastics, Black and 5% Other Non-Fibrous 5% brown, Non-homogeneous, Resinous Material 95% LAYER 2 LAYER 2 None Detected Cellulose Fiber Trace Floor Tile, Tan, Non-homogeneous, 95% BinderrFilier 10 MA Resinous PLM13-594-05 - — -- --- — -- -- FT 5-1 LAYER 1 LAYER 1 Chrysotile 8% Cellulose Fiber Trace Mastic, Black, Homogeneous, 3% Other Nan-Fibrous 5% Resinous Material 87% LAYER 2 LAYER 2 Chrysotile 3% Cellulose Fiber Trace Floor Tile, Tan, Non-homogeneous, 97% Binder/Filler 97% Resinous Page 1 of 3 CLIENT: PROJECT: Lab -ID No. Sample ID PLM 13-594-06 FT 6-1 PLM 13-594-07 FT 7-1 PLM13-5941013 River North Environmental Testing, Inc. 3650 Chestnut Place 303-297-0079 Denver CO 80216 Fax 303-292-1451 www metesting.com info@rnetest'tng com REPORT OF TEST RESULTS PLM Bulk Asbestos Analysis NVLAP Lab Code 200448-0 Family Environmental Compliance Services PLM 13-594 Layer No. Asbestos Description Layer °% Type LAYER 1 LAYER 1 LAYER 1 Mastic, Black, Homogeneous, 1% Resinous 99% 3% Cenulose Fiber LAYER 2 Binder/Filler LAYER 2 Floor Tile, Tan, Non-homogeneous, 99% Resinous Mastic, Black, LAYER 1 1% LAYER 1 Floor Tile, Tan, Non-homogeneous, 99% Resinous LAYER 2 FT 9-1 LAYER 2 Mastic, Brown, Homogeneous, 1 % Resinous Non-homogeneous, 98% FT 8-1 LAYER 1 10% Cellulose Fiber LAYER 1 Other Non -Fibrous Floor Tile, Tan, Non-homogeneous, 99% 3% Cenulose Fiber Resinous Binder/Filler 97% LAYER 2 LAYER 2 Mastic, Black, Non-homogeneous, 1% Resinous PLM13-594-09 FT 9-1 LAYER 1 LAYER 1 Floor Tile, Tan, Non-homogeneous, 98% Resinous LAYER 2 LAYER 2 Mastic, Black, Homogeneous, 2% Resinous PLM13-594-10 FT 10-1 LAYER 1 LAYER 1 Floor Tile, Tan, Non-homogeneous, 970% Resinous LAYER 2 LAYER 2 Mastic, Tan, Homogeneous, 3°% Resinous Chrysotile Chrysotile Non -Asbestos (°k) Components (°/°) 10% Cellulose Fiber Trace Other Non -Fibrous 5°% Material 85% 3% Cenulose Fiber Trace Binder/Filler 97% None Detected None Detected Chrysotile 2% None Detected Chrysotile 2% None Detected None Detected None Detected Cellulose Fiber Binder/Filler Cellulose Fiber Other Non -Fibrous Material Cellulose Fiber Binder/Filler Cellulose Fiber Other Non -Fibrous Material Cellulose Fiber Binder/Filler Cellulose Fiber Other Non -Fibrous Material Cellulose Fiber Binder/Filler Cellulose Fiber Other Non -Fibrous Material Trace 100% Trace 5% 95% Trace 98% 5% 5°% 90°% Trace 100% Trace 5°% 95% Trace 100°% Trace 5°% 95°% Page 2 of 3 River North Environmental Testing, Inc. 3650 Chestnut Place 303-297-0079 Denver CO 80216 Fax 303-292.1451 www mstesting com info@mete sting, corn REPORT OF TEST RESULTS PLM Bulk Asbestos Analysis NVLAP Lab Code 200446-0 CLIENT: Family Environmental Compliance Services PROJECT: PLM13-594 Lab -11D No. Layer No. Asbestos Non -Asbestos Sample ID Description Layer % Type M Components (%) PLM13.594-11 FT 12.1 LAYER 1 LAYER f None Uetected Cellulose Fiber Trace Floor Tile, Tan, Non-homogeneous, s9% Binder/Filler 10011/0 Resinous LAYER 2 LAYER 2 None Detected Cellulose Fiber 1% Mastic, Tan, Homogeneous, 1% Other Non -Fibrous 5% Resinous Material 94% PLM13-594.12— FT 13-1 LAYER 1 LAYER 1 None Detected Cellulose Fiber Trace Floor Tile, Tan, Non-homogeneous, 97% Binder/Filler 100% Resinous LAYER 2 LAYER 2 None Detected Cellulose Fiber 1% Inseparable Mastics, Black and 3% Other Non -Fibrous 5% Yellow, Non-homogeneous, Material 94% Resinous Resin ADDITIONAL COMMENTS: All separable parts or layers (except paint) within the same sample are analyzed and reported individually. Composite asbestos percent is reported, if applicable, by visual estimation. ND = None Detected TR = Trace, less than 1.0% Analyst: �� Date: 10/08/2013 "Katie Shaw Page 3 of 3 Page I of L�w, Ej D River North Environmental Testing, Inc ' 3650 Chestnut Place a Denver, CO 80216 Ph: 303-297-0079 a Fax: 303-292-1451 � www.rnetesting.corn a Info@rnetesting.com Client. Contact: Address: Phone #: Fax #/Emall: Date Sampled: _ Sample Location: Special Instructions: Lab ID Client ID Description Type of Analysis Volume/other a L/"9 is -Sol `/- 1 f= -T11-1 (o,- rT' ( � Requested Turnaround Time: SH ** Zes -o 41 '* * RUSH Tumarou required prior notification. Additional fees may apply. Call lab for more details. Relinquished by: -0� 3-1 �Q �j -%3 7f 35aw1 Received by: i _, rti ��, Date/Time: 'i-1 Relinquished by: Date/Time: Received by Date/Time_ -OC -07 -03 -oq 9-1 - 0 td -I !(% �` 4Z al IU /Dir/13 Total Number of Samples: Sample Condition (Accept/Reject): Requested Turnaround Time: SH ** Zes ( ) Next Day {) 3-5 Days '* * RUSH Tumarou required prior notification. Additional fees may apply. Call lab for more details. Relinquished by: Date/Time: �Q �j -%3 7f 35aw1 Received by: i _, rti ��, Date/Time: Relinquished by: Date/Time: Received by Date/Time_ �i4f City of `�,,�Wh6atpsd ge CUNITY DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Electrical Subcontractor This form must be completed & signed by the ELECTRICAL SUBCONTRACTOR performing electrical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 11459 WEST 1.70 FRONTAGE ROAD NORTH General Contractor: FIVE STAR CONTRACTING LLC FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: SEIDEL ELECTRIC Contact Phone #: 303 587 2049 Wheat Ridge Contractor License #: 110222 (required field) n/a State License #: 8055 Master License #: 00030213 JUELL SEIDEL Printed Name of Authorized Agent s of Authorized Agent Id,'? 3� 0? - Date City of Wheat �idge COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033 -8001 P: 303.235.2846 F: 303.235.2857 May 8, 2014 OFFICIAL ADDRESS NOTIFICATION (ZIP CODE CORRECTION) NOTIFICATION is hereby given that the following address has been assigned to the property /properties as indicated below: PROPERTY OWNER(S): Six Oak Limited Partnership OLD ADDRESS: 11455 W. I -70 Frontage Rd. N., Wheat Ridge CO 80033 NEW ADDRESS: 11459 W. I -70 Frontage Rd. N., Wheat Ridge CO 80033 (additional address) SUBDIVISION: Wheat Ridge Industrial Park LOT(s): 08 KEY: SECTION: 16 PARCEL NO: 39- 163 -03 -007 NOTES: This is a courtesy notification. AUTHORIZED BY: DATE: s' DISTRIBUTION: 1. Property Owner 2. Jefferson County Assessor, ATTN: Data Control, 100 Jefferson County Parkway, Golden, 80419 3. Jefferson County Mapping, ATTN: Addressing, 100 Jefferson County Parkway, Golden, 80419 4. Jefferson County Elections, ATTN: S. Stormer, 3500 Illinois Ave., Laramie Building, Suite 1100, Golden, CO 80401 5. Jefferson County Elections, ATTN: H. Roth, 3500 Illinois Ave., Laramie Building, Suite 1100, Golden, CO 80401 6. U.S. Post Office, 4210 Wadsworth Blvd., Wheat Ridge, CO 80033 7. Xcel Energy, ATTN: Correspondence, 1123 W. 3` Ave., Denver, CO 80223 8. Century Link, Capacity Provisioning Specialist, 5325 Zuni St., Room 728, Denver, CO 80221 9. Comcast, Attn: Scott Moore, 6850 S. Tucson Way, Englewood, CO 80112 10. Valley Water District 11. Fruitdale Sanitation District 12. Arvada Fire Department 13. Wheat Ridge Planning Division 14. Wheat Ridge Building Division 15. Wheat Ridge Police Department 16. GIS Specialist 17. Log File 18. Other: NOTE: Please notify all other parties concerned. ADDRESS MAP UPDATED BY: DATE: www.ci.w heatridge. co. u s Vicinity Map Site This certificate verifies that the building constructed and/co the use proposed of the building and/or premises, under t above permit number and on property described below, does comp with the Wheat Ridge Building Code and development standards the zone district in which it is located and may be occupie All «. 11 re ,.. Ci mus b ,„. . t �' ! ♦ `r Owner: SIX OAK LIMITED P 11 457 F RONTAGE R N WHE AT M; : ii Contractor: Make Mueller 16935 W 48TH PL GOLDEN CO 801403 -1620 Followin For the Pur po se: # i M * A w 11 A I r s or meteriats to lae usea, etc.) "�q ? � A'� g � � a � MI At )'I ' . Sq. FULF Btu's Gallons Am ps Squares Other (contract value or the cost of a Limaterials and labor included in the Aaft project) 7,0 Vo -: . Divisio "Po AA", - 1?✓, l p, w6 7 I SF CONSTRUCTION TYPE: F1 - NON SPRINKLED B TO F1 - B TO F1 INDUSTRIAL 7,396 1/100 =74 OFFICE AREA: 727 1/100 =7 TOTAL OCCUPANCY 81 - 2 EXIT DOORS EXISTING 4 VITS $WALL BE 1 HOUR RATED AND INSULATED /8' FINE- SHIELD GYPSUM BOARD APPLIED 2 WO STUDS 24' O.C. WITH 1 1/4' TYPE C. AT VERTICAL JOINTS AND 12' O.C. AT THE VNER$ AND INTERMEDIATE STUDS. JOINTS 'OSITE SIDE. THE ADA RESTROOMS WILL BE 3 -0 X 6 -8 SOLID VG DOORS EXTERIOR OF THE BUILDING USED FOR FIRE EXCAPE TYPE OR PANIC HARDWARE MINIMUM OF 1' LETTERS 'DOOR TO REMAIN UNLOCKED WHEN THE BUILDING IS OCCUPIED' 4 Wheat 1�dge Building Department proved BUILDING OFFICIAL DATE Validity of permit: The iewance of a permit or approval of plans, specifications and computations shah rat be a permit for, or an approval of, any violation to any of the provisions of the building code or of any City ordinances. Permits presuming to give authority to violate or cancel the provisions of the building codes or other ordinances of the City shall not be valid. Work shall comply with 2006 IBC, 1pC, IMC, IFGC, IFC, 2005 NEC and any applicable City of Wheat Ridge Municipal Codes. ,y NORTH Z ° fY W C7 � Q M t O zo 000 N LL. 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