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Home My WebLink About201 W FAIRMONT PKWY____________G_ 201 W FAIRMONT STRIP CTR-DO NOT Received Log Over the counter P9• Received from/ Phone number: What -Received RIM W11,2171�IAIIFATE fill I • KIM d Y I �• sEFE =MEN WOO S Drive (CityShares)/ City Planning Share/ 04- Inspections Division/ Inspections/ Received Log Over the Counter 0 r�Q�EIVE 5:1 AN 5 , u BY: CAM 8NVIROM�N. ENTA -SERVICES.: FOR,WORK I PERFORMED AT. Former Kroger Grocery Store 201 Weat Fairmont Parkway La Porte, Texas 77045 I CCAOAO w. .40= AYkk. ENVIRONMENTAL SERVICES 817 Southrnore,r Ste. 400 Pasadena, Texas 77602 713-920-8919 CAM PROJECTNUMBER: 00032647 PREPARED FOR: Malachite Group Of Texas Ms. Map)(le Allen - i 1955w, TC Jester Houston; Texas ,77008 REPORT DATE: December 25,2009 qb Project Information CAM PROJECT NUMBER: 00032547 CAM Environmental Services (CAM) was retained to conduct a Limited Asbestos Inspection in the Former Kroger Grocery Store located at 201 West Fairmont Parkway in La Porte, Texas. This report documents the surveyactivitiesand the sample results as well as the methods used. CLIENT: Malachite Group'ofrTexas Mss.Wickie Allen 1955 W TC Jester Houston; Texas 77008 ' CAM -•PROJECT'NUMBEft: ' 00032647 PROJECT LOCATION: Former Kroger Grocery Store 201 West Fairmont Parkway La Porte; -Texas 77045 PROJECT DATE: September 29, 2009 FIELD'WORK'CONDUCTED BY: ' ` REPORT WRITTEN BY: Jimmy D."Farrler 'Jillian Brown Asbe'stosnspector Asbestos Management Planner TDSHS License #105703 DSHS License # 20-5654 CAM`Envir'o'AmentalSeriices " CAM 'Environmental 'Services REPORT REVIEWED BY: William.B: Davis Commercial Department Manager CAM, Environmental Services JAN5-2010 La December 25, 2009 Malachite Group of Texas• - Ms: Mackie Allen 1955 W. TC Jester Houston; Texas 77008. RE: Limited As bestosSampling-i6 ihe'FormerKroger Grocary�Store'located -at 261 West Fairmont Parkway"in'Lapofte, Texas. Deik Ms: `Allen: i This report presents the results of the limited asbestos sampling in the Former Kroger Grocery Store located,at 201 West Fairmont Parkway in La Porte, ,Texas..The inspection was, performed in,accordance with. 1 n'afe Bill 509 and.'to.comply with the U,$. EPA's,Nabonal,Emissions Standard for Hazardous Air Pollutants regulations,(known as NESHAP, 40 CFR 61„Subpart M), and,the .Texas Asbestos, Health Protection Rules (known as TAHPR, 25 TAC 295.31 - .71). Mr. Jimmy Farrier of CAM Envi�onmenta( Services Pasadena office perforrned.the.asbestos inspection on September,29; 2009. All sampling was conducted utilizirig ,the accepted Asbestos Hazard.Emergency Response Act (AHERA) protocol specified in 40 CFR 763.85-763.88. The-followind' is the report of 'findings from the sampling conducted. Included with this report are (1) Polarized Light Microscopy (PLM) Laboratory Results; (2) Chain of Custody Forms; (3) DSHS Certificates and"Licenses: SCOPE OF WORK At the`dir6d'on 'of the'Malachite`Group, the areas inspected'as partof this'asbestos-inspection were limited`to the"Fom er'Kroger Grocery Store's'interior'sheetrock components and acoustical ceiling tiles prior to planned demolition activities. Interior flooring materials and exterior component were not included withinCAM's scope 'of work." The" inspection'included identification and'bulk sampling- "of the honiogenous'areas suspected to contain asbestos A `homogenous 'area (HA) is an area of 'srirfacing- material, thermal system' insulation, or miscellaneous` material'that'-is.uniform in color and texture; 'apparently applied at'similar times, and appearsidentical in everyotFier respect.' SUSPECT MATERIALS SUMMARY During the asbestos sampling,six,(6) material. samplesvere collected from two (2) homogenous areas in the Former Kroger Grocery Store located ats201 West -Fairmont Parkway in La Porte,, -Texas. The following'table.represents the suspect materials sampled; •location and results: Hpm�g�eneoue Area ,,, Lrocation L Material �'`k '� , Pip �Sample.Numbersaa Former Kroger Grocery A Sheetrock Wall Components 01 - 03 Store Former Kroger Grocery B 2' x 4' Acoustical Ceiling Tile 04 - 05 Store v a 0 JAN 5 - 2010 AV. Out of the six (6) material samples collected and analyzed for asbestos content, none of the samples were found to contain asbestos greater than 1.0%. It is possible that additional suspect materials may befioundin' the building area during demolition that was not accessible during the time CAM collected samples. � .IIFra r557Mr.r1.41111111 Current regulations specify that a homogeneous sampling area (HSA) be considered as an ACM if any one of thessamples obtainedfrom that:area•is foundto contain asbestos: In this_regaro once; one (1).sample is found,.torcontain-more than one percent (1"/0) asbestos, -the remaining -,samples obtained from • that:particular homogeneous area must also be considered ACM. -All of:the .samples obtained from.a homogeneous area mustbe analyzed and-found,tacontaimequal to or less than one'percent (1%) asbestos before that -area can be considered non -ACM. Itis CAMS:understanding.thatthere:are-planned demolition activities in theFormerKroger.Grocey:Store located at 201 ;West Fairmont' -Parkway in La Porte; Texas..=Prior;to>these activities; state and federal laws, trequire the :remova[:of all. --friable and non -friable ACM (which may become friable during the demolition process) by a TDSHS licensed abatement contractor with third party independent consulting and,air.monitoring .bya:TDSHS licensed asbestos,.consultant.: if any, additional suspect materials other thanAhose contained.in this report: are found -during the demolition activities, these materials should be tested immediatelyby:a,TDSHS licensedasbestos:inspector. LABORATORY ANALYSIS: QA/QC Asbestos bulk analysis was conducted by CAM's laboratory in Pasadena, Texas. Samples were analyzed by Polarized Light Microscopy with Dispersion Staining, EPA Method 600/-80-020. CAM's laboratory is accredited by the National Voluntary Laboratory Accreditation Program (NVLAP # 200240-0) for asbestos bulk and fiber analysis. The analysis for asbestos fibers consisted of the determination of the optical properties such as morphology, color, refractive indices and other properties as outlined in Appendix A, Subpart F, 40 CFR Part 763, Section 1, Polarized Light Microscopy. An asbestos containing material is defined to be one that contains greater than one percent (1%) asbestos. Portions of each bulk material were immersed in known refractive index oil and compared to known asbestos types, for identification and characterization. Additionally, the EPA indicates that further analysis by point counting be performed to confirm asbestos content for friable materials found to contain less than ten percent (10%) asbestos by polarized light microscopy. In general, because of the limitations of the analytical methodology, and our experience with historical data from local laboratories, any material found to contain more than approximately four percent (4%) asbestos is not generally recommended for �. point counting. Optical, estimates were made by comparing the quantity of non -asbestos material to asbestos fibers. Quality assurance and quality control procedures were implemented at the completion of the inspection to ensure, that reliable sampling, analysis, and documentation occurred. CAM's Laboratory Director reviewed all analytical procedures. CAM's laboratory performs QA/QC on asbestos bulk samples by duplicating the analysis on ten percent (10%) of daily samples for accuracy. METHODOLOGY AND.SAMPLING The asbestos inspection was conducted utilizing acceptable protocols for Public Buildings as set forth in the current Texas Asbestos Health Protection Rules (TAHPR) Section 295.58, paragraph (h). All suspect asbestos materials to be disturbed for sampling purposes were fully wetted with amended water prior to sampling. Destructive sampling was not performed. Asbestos containing materials are sometimes found in areas that are inaccessible at the time the sampling is performed. Suspect materials were sent for PLM analysis. Only those persons necessary for sampling were allowed in the a a� Sin I were collected to obtain III layers of the suspect materials to the substrate. JAILS z010 LIMITATIONS CAM Environmental Services (CAM) warrants that services provided shall be performed in accordance with established and recognized general industry standards and analytical testing procedures. No other warranties, expressed or implied, are made by CAM. The scope of this report is limited to matters expressly covered. All recommendations, findings and conclusions stated in this report are based upon the facts and circumstances, as they existed at the time that this report was prepared,(e.g;wFederal; State, arid, Local laws;;rules, regulations and general industry standards). A change in any factor circumstances upon which this report is based may adversely affect the recommendations, findings, and conclusions expressed in this report. The conclusions and recommendations describe only the conditions present at the time of our survey that could be observed in accessible areas. Other similar conditions may exist in inaccessible areas, such as behind walls, above permanent ceilings or beneath flooring. CAM does not warrant or guarantee any quantity estimations or cost estimations presented in this report. Although CAM believes estimates presented in this report are reasonable, the use of such estimates shall be at the user's own risk and shall constitute a release and agreement to defend and indemnify CAM from and against any liability in connection with cost and/or quantity estimations. JAN � - 20f0 BY:�� '= H : Asbestos Bulk Sample Analysis., • : ..,:H: •: ; . 2CM- BY.- 1 cc.� ASBESTOS BULK SAMPLE ANALYSIS REPORT CAM ErlVirOn mental Services 312 S Richey Pasadena, TX 77506 Phone #: 713-475-9003 Fax#: 713-980-3126 Report To: Sample Date: 9/29/2009 CAM Project # 00032547 Receipt Date: 9/29/2009 Lab Batch #: 56510 Analysis Date: 9/30/2009 Charge / PO Number: Report Date: W3012009 Project: 201. W Fairmont Parkway Laporte Attention: Sample ID: Sample Location Asbestos Lab ID: Layer *Sample Description Color Present MAL-W.JF092909-01 Old kroger West Wall, NO Asbestos Material % 193535 A • Joint Compound White Chrysotile: comments: Non -Fibrous Material % Fibrous Material % Fibrous Material % Amosite: Other 100 Fibrous Glass: Synthetic Fiber: Crocidollte: Mineral Wool: Wollastone: Cellulose: Other % ' MAL-01JF092909-M Old kroger West Well. NO Asbestos Material % 193535 B • Shestrock White I Brown Chrysotlle: Comments: Non -Fibrous Material % Fibrous Material % Fibrous Material % Amosite: Other 97 Fibrous Glass: Synthetic Fiber. Crocidolite: Mineral Wool: Wollastone: Cellulose: 3 Other % ' MAL-01-JF092909-02 Old kroger East Wall. No Asbestos Material % 193536 A • Joint Compound White Chrysotile: Comments: Non -Fibrous Material % Fibrous Material % Fibrous Material Amosite: Other 100 Fibrous Glass: Synthetic Fiber: Crocidolite: Mineral Wool: Wollastone: Cellulose: Other % MAL-01-JF092909-02 Old kroger East Wall. NO Asbestos Material % 193536 B • Sheatrock White Brown Chrysotile: - Comments: Non -Fibrous Material % Fibrous Material % Fibrous Material Amosite: Other 90 Fibrous Glass: Synthetic Fiber. Crocidolite: Mineral Wool: Wollastone: Cellulose: 10 Other% ' MAL-01-JF092909-03 Old kmger South Well. No Asbestos Material % 193537 A * Joint Compound White Chrysotile: Comments: Non -Fibrous Material % Fibrous Material % Fibrous Materiel % Amosite: Other 100 Fibrous Glass: Synthetic Fiber. Crocidolite: Mineral Wool: Wollastone: Cellulose: Other % Semoles haae been snahzed by Me EPA Intadm Method 500/M662 20 and EPA Mtlbod ilarvaY116. The test ruulb M1emin mob only to the umole aubmmed no enalned. This resort may oniv be mmoducad In Nit w Ns onnnuf of the Bulk Asbeshs Laborahry or cAM EnNronmenbl SarNcez. The above osmenbaaz am Nzual uamatu of am cement. CAM Environmental Services la not nsoomibb Nr env'more'ulBno hom Imomoer or Incorrect samohno or shloolna orocodums Nr samuha not mH.W by CAM EnWronrmnbl Servigz. Ths+e semolss will be mbirred Nr • r»rlod orW days. Accreditation by M )` In no ov cunsONbs or'moues omduot ceraaution, aooroval. or endorsement by MIST Soma mahrbls. esnecially Boor ales. contain eabuhs floor,; roc thin to be dahaed by this method. NVLAP Lab Cud.: 92002A0 Soh or Tens Lab Llcansa p30-0075 Analyzed By: Scope 10: 170 Nikon Approved NVLA�P/Siiignatory: Priscilla Stolitza Page 1 of 2 Daniel Perez JAN5-2010 BY:_ ASBESTOS BULK SAMPLE ANALYSIS REPORT CAM Environmental Services 312 S Ricney Pasadena, TX 77506 Phone #: 113-475-9003 Fm M 713-980-3126 Report To: Sample Date: 9/2912009 CAM Project # 00032547 Receipt Date: 9/292009 Lab Batch #: 56510 Analysis Date: 9/302009 Charge ! PO Number: Report Date: 9/30/2009 Project: 201, W Fairmont Parkway Laporte Attention: Sample ID: Sample Location Asbestos Lab ID: Layer *Sample Description Color Present MAL-01-JF092909-03 Old krogerSouth Wall. No Asbestos Material % 193537 B « Sheetrock White/Brown Chrysotile: Comments: Non -Fibrous Material % Fibrous Material % Fibrous Material % Amosite: Other 97 Fibrous Glass: Synthetic Fiber: Mineral Wool: Wollaston: Crocidolite: Cellulose: 3 Other% MAL-01JF092909-04 Entry way Fur Down. No Asbestos Material % 193538 A « Ceiling Tlle White I Yellow Chrysotlle: - CommnerMs: Non -Fibrous Material % Fibrous Material % Fibrous Material Amosite: Other 10 Fibrous Glass: 90 Synthetic Fiber: Mineral Wool: Wollastone: Crocidolite: Cellulose: Other MAL-0I-JF092909-05 Entry way Fur Down. No Asbestos Material % 193539 A * Ceiling The White/Yellow Chrysotile: Comments: Non -Fibrous Material % Fibrous Material % Fibrous Material % Amosite: Other 10 Fibrous Glass: 90 Synthetic Fiber. Mineral Wool: Wollaston: Crocidolite: Cellulose: Other % MAL-01JF092909-06 Entry way Fur Down. NO Asbestos Material % 193540 A « Ceiling Tile White / Yellow Chrysotile: commeats: Non -Fibrous Material % Fibrous Material % Fibrous Material % Amosite: Other 10 Fibrous Glass: 90 Synthetic Fiber: Mineral Wool: Wollaston: Crocidolite: Cellulose: Other % SsmoMs ham Wen enalvsad by the EPA Inrenm Method 60(0M 2420 and EPA Method 800U43N16. The bsi results herein relate only to the ssmole submtthd snd snslned This retort may only be nemtluced In roll wIM Me aoomval o/ the Bulk MDestos L«Wraury of GM Envlmnmmbl Servlus. The aWve wmendves are vlsoel estlmebs of" oa c t CAM Environmental SMvices Is not...W. tar env errors nsuhlnv from Imorowr or Inromct semolina or shlovinv mocedures {or samPies not rolrecud or LAM Eavlrommnfsl Services. These samo4s will W rebimtl tar a vedatl of B0 tlays. Accretlhatlon by NVLAP In no wav ronstlbbs or Imdiu orodvct ceriMudon. aoomval, or endobemwf DV NIST Some mebda/s. eaeeclelly floor tlles. conb/n nbaeba eWra too thin b W tlMecfetl by M/s method. NVLAP Lab Curie: 0200210-0 sure of Taxes "b License #10-0075 Analyzed By: Priscilla Stolitza Scope ID: 1707 Nikon Page 2 of 2 Approved NVLA/�P/SSiiJgnatory: Jam&' t-aiKF z- Daniel Pe - C G- J= 1 tliif 1 JAN5-1010` Av. l JAN5-2010 BY:�_ CAM 312 S. Richey • Pasadena, Texas 77506 • (713) 475-9003 • FAX (713) 472-2111 CHAIN OF CUSTODY Client: Relinqui (signatur _ Relinquished By: (signature) Proojject / Job #: Date and e: Date and Time: Number/ Typt of Sample. Accept b : (signature) Accepted by: (signature) Date Sam ed: �1 D i nd Ti @ .,, , Date and Time: .1D TURNAROUND TIME: IM EDIATE / On -Site (PCM Only) ❑ 2 — 5 DAYS (ROUTINE) < 24 HOURS (Rush) ❑ OTHER: (Specify) (NOTE: All Turnaround Times are Based on the Date / Time the Sample is Received by the Laboratory) P.O. or Charge Contact erson: Bi I Davis Phone #: Special Instr ns: Client Work Order # LABORATORY ID NUMBER SAMPLE NUMBER SAMPLE DESCRIPTION j —v� CAM Project No: 0 1 MALB-F%71-A Chain of Custody I.DOC " LAB USE ONLY " Analyst: _ _ �_ ' E�i_�fVOlo LB-F071-A Revision A 12/182008 ~N 5 ` BY:�_ h Licenses and Certifications ECEIVE JAN,S 7'2010 . BY: n TEXAS DEPARTMENT OF "STATE HEALTH SERVICES CLEAR VENTURES ;,LTC DBA CAM E-NVIRONMOTAL SERVIES u cep td to perform as a. Asbestos Consultant Agency in the State of Texas within the purview of Texas Occupations Code, chapter 1954, so long as this license is not suspended or revoked and is renewed according_ to the rules adopted by the Tetras Board ofHealth.. License Number: 1.00083 Control. Number: 96201 DAVID LAKEY, M.D. CONIMISSIONER OF HEALTH VOID IF ALTERED NON —TRANSFERABLE Expiration Date: 4/17/201.1 (Void After Expiration Date) 9 ._ �1- i— r-- r— r— �— i— ram— P — �- J' TEXAS DEPARTMENT OF STATE HEALTH. SERVICES ' , CLEAR VENTURES INC dba CA1VI ENVIRONNIENTAL SERVICES is certified to perform as a Asbestos Laboratory PCM; PUNT in the State of Texas within the purview of Texas Occupations Code, chapter 1954, so long as this license is not suspended or revoked'and is renewed according to the rules adopted by the Texas Board of Health. DAVID L.AKEY, M.D. COMMISSIONER OF HEALTH License Number: 300075 Expiration Date: 4i 1 S!2011 Control Number: 95564 (Void After Expiration Date) VOID IF ALTERED NON -TRANSFERABLE TEXAS DEPARTMENT OF STATE HEALTH SERVICES DAVID L. LAKEY. M.D. COMMISSIONER MARCH 6, 2009 JIMMY D FARRIER 5102 KARENBETH DR HOUSTON, TX 77084 1100 West 49th Street • Austin, Texas 78756 P.O. Box 149347 • Austin, Texas 78714-9347 1-888-963.7111 • www.dshs.state.tx.us TTY: 1-800-735-2989 This is to verify that the individual shown below holds a valid credential to practice' as an ASBESTOS INDIVIDUAL CONSULTANT in the State of Texas. NAME: JIMMY D FARRIER LICENSE TYPE: ASBESTOS INDIVIDUAL CONSULTANT LICENSE NUMBER: 105703 CONTROL NUMBER: 95740 EXPIRATION DATE: 3/4/2011 If you have any questions, please contact us by phone at 512-834-6600, by fax at 512/834-66.14. We encourage you to visit our website at http://www.dshs.state.tx.us for frequently updated infomiation, including rules, laws, publications and forms. You may also verify a credential through this website. Environmental & Sanitation Licensing Group An Equal Employment Opportunity Employer and Provider a,, t N , E + { ... �JAN5-2010 BY: b 1 TEXAS DEPARTMENT OF STATE HEALTH SERVICES DAVID L. LAKEY, M.D. COMMISSIONER JUNE 16, 2009 JILLIAN A BROWN 3333 CUMMINS APT 401 HOUSTON, TX 77027 1100 West 49th Street • Austin, Texas 78756 P.O. Box 149347 • Austin, Texas 78714-9347 1-888-963-7111 • www.dshs.state.tx.us TTY: 1-800-735-2989 This is to verify that the individual shown below holds a valid credential to practice as an ASBESTOS INDIVIDUAL MANAGEMENT PLANNER in the State of Texas. NAME: JILLIANABROWN LICENSE TYPE: ASBESTOS INDIVIDUAL MANAGEMENT PLANNER LICENSE NUMBER: 205654 CONTROL NUMBER: 95695 EXPIRATION DATE: 6/11/2011 If you have any questions, please contact us by phone at 512-834-6600, by fax at 512/834-6614. We encourage you to visit our website at http://www.dshs.state.tx.us for frequently updated information, including rules, laws, publications and forms. You may also verify a credential through this website, Environmental & Sanitation Licensing Group 6 Fly- 0 7RLICK occ.rl T) CIC RECEIVED 11 to 2 2 20 E i .- 4 Ir544 5p� Zo I '.D I 4,1 ' 88 L 5133' tl+"- A\ PP �JOS�V NAGS H S-ew WEST I EASE 5PACF- 2 .6,242 rmF. ( I 3/ 6 1) m, 4196(o LD+ 41110 72' — — — — — — — ---q - — — — — — — — — — — — — — J--- --i 0 W 0 Ul --j m ui