HomeMy WebLinkAboutCOMA2016-3992 111ppp lll�,��� ti OCT 21 2016
—�--��
•r E ,` 1 A:�'�1� DATE OF ISSUANCE:
.J x •.A s OC PERMIT
BUILDING PERMIT APPLICATION
(PLEASE PRINT LEGIBLY—COMPLETE ENTIRE FORM)
JOB ADDRESS: /J j 7 w8ff r Va SUITE #
LOT: BLOCK: SUBDIVISION:
BUILDING CONTRACTOR(company name):
CURRENT MAILING ADDRESS: DS� a
CITY/STATE/ZIP: ,� �� _�L� PH:# Fax#
PROPERTY OWNER:
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: I 7. PHONE NUMBER
PROJECT VALUE: $_a���.�� _ FIRE SPRINKLERED? YES V1 NO
WHAT TRADES WILL BE NEEDED?(check ones that apply)ELECTRIC PLUMBING MECHANICAL
DESCRIPTION OF WORK TO BE DONE:-JkL4Z nd Z_a_.�
USE OF BUILDING OR STRUCTURE: )a-_a Ld 4
NAME OF BUSINESS: A 11A 14 Id,I -f,.i zj f S41
Total Square Footage under roof: ' Square Footage of alteration/addition:
2( I hereby certify that plans have been reviewed and the building will be inspected by a certified energy code inspector in accordance with
State Law. Plan review and inspection documentation shall be made available to the Building Department(required for new buildings,
alterations and additions)
❑ I hereby certify that plans have been submitted to the Texas-Department of Licensing and Regulation for Accessibility Review.
Control Number: (Not required for 1&2 family dwellings)
❑ I hereby certify that an asbestos survey has been conducted for this structure in accordance with the regulatory requirements of the Texas
Department of Health.
(REQUIRED FOR DEMOLITIONS,ADDITIONS AND OR ALTERATION TO COMMERCIAL AND PUBLIC BUILDINGS)
I hereby certify that the foregoing is correct to the best of my knowledge and all work will be performed according to the documents approved by
the Building Department and in compliance with the City Of Grapevine Ordinance regulating construction. It is understood that the issuance of
this permit does not grant or authorize any violation of any code or ordinance of the City Of Grapevine. FURTHERMORE UNDERSTAND
THAT PLANS AND SPECIFICATIONS ARE NOT REVIEWED FOR HANDICAPPED ACC TY BY THE CITY,AND THAT THE
DESIGN PROFESSIONAL/OWNER IS RESPONSIBLE FOR OBTAINING SUCH APPR AL- 11 THE APPROPRIATE STATE AND
OR FEDERAL AGENC (S).
PRINT NAME AOWAnA SIGNATURE
PHONE#: I` r 0�.�-V EMAIL:
THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Construction Type:JIL 13 Permit Valuation: $ R$00•d0 Setbacks Approval to Issue
Occupancy Group: Fire Sprinkler: YES NO Front: -- Electrical
Division: Building Depth: Left: — Plumbing
Zoning: G,G Building Width: Rear: Mechanical --
Occupancy Load: Right:
Plan Review A royal: Date: 10'j-1 20 f6 Building Permit Fee: zZS'
Site Plan Approval: Date: Plan Review Fee:
1jjFire
Department: a-vl<eY Date: ,d►19 ,201b Lot Drainage Fee:
Public Works De artment: Date: Sewer Availability Rate:
Health Department: Date: Water Availability Rate:
Approved for Permit: Date I D'1"T..,1.6� Total Fees: �3
Lot Drainage Submitted: Approved: Total Amount Due: //
P.O.BOX 95104.GRAPEVINE.TX76099(8171410-3165 O:FORMSIDSPERMITAPPLICATIONS 1102-R..11104.. .2RZ4 ..4111 ��
BUILDING --- COMMERCIAL ALTERATION
GR.�P �. E Issue Date:October 21,2016
1 5PROJECT DESCRIPTION:Interior Demolition"Ava Salon Suites&Spa"(CO16-3992)
PROJECT# (817)410-3010 WWW.mygov.uS
COMA-16-3992 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
P.O.Box 95104 1217 W State 114 Hwy. Vacant Towne Center Addition#2 Blk
Grapevine,TX 76099
Suite#124 1 Lot 4r1
(817)410-3165 Voice Grapevine,TX 76051 Vacant
(817)410-3012 Fax
CONTRACTOR INFORMATION
Ava Salon Suites&Spa *APPLICATION STATUS In Review
1217 West Highway 114 *CONDITIONAL USE REQUIRED? N/A
Grapevine,TX 76051 *OCCUPANCY GROUP M
(214)680-5534 Phone
"OCCUPANCY LOAD N/A
(214)680-5534 Mobile
*ZONING DISTRICT CC
**NAME OF BUSINESS Ava Salon Suites&Spa
OWNER **APPLICANT NAME B.J.Adhamy
Grapevine/tate Jv **APPLICANT PHONE NUMBER 214-680-5534
3102 Maple Ave Ste 500 *SITE PLAN/SPECIAL USE/CU? N/A
Dallas,TX 75201-1262
ph.(214)720-6659 1)Certified Energy Code Inspected YES
2)Accessibility Review N/A
AVAILABLE INSPECTIONS 3)Control Number
► Building Framing(required) 4)Asbestos Survey YES
► Building Energy Code(required)
► Final Fire Dept Inspection (required) Acreage
Landscaping(required) APPROVED TO ISSUE ELECTRIC NO
► Building Final (required)
► Final Building C/O Inspection(required) APPROVED TO ISSUE MECHANICAL NO
APPROVED TO ISSUE PLUMBING NO
County Tarrant
Fire Sprinkler System? YES
Square Footage 6317
VALUATION 2500
What is use of Building/Structure? Salon
Zoning CC-Community Commercial
FEES TOTAL=$123.34
Building Permit Fee $74.75
Building Plan Review $48.59
PAYMENTS TOTAL=$123.34
Ava Salon Suites&Spa(B. J.Adhamy) $48.59
MYGOV.US City of Grapevine I BUILDING---COMMERCIAL ALTERATION I COMA-16-3992 1 Printed 10/21116 at 1:42 p.m. Page 1 of 3
Payment Voided Check on 1011412016
Note:wrong permit type
Ava Salon Suites&Spa(B. J.Adhamy)
Check on 1011412016 ($48.59)
Note:CK096
Ava Salon Suites&Spa(B.J.Adhamy)
Check on 1011412016 ($48.59)
Note:CK6317
Ava Salon Suites&Spa(B.J.Adhamy)
Other on 1012112016 ($74.75)
Note:CC4214
NOTICES
1)ALL work must be done in compliance with the 2006 INTERNATIONAL
BUILDING CODE.
2)A copy of the signed permit and approved plans must be on site at all times.
3)The project address must be clearly posted at the job site.
READ AND SIGN
hereby certify that the foregoing is correct to the best of my knowledge and all
work will be performed according to the documents approved by the Building
Department and in compliance with the City of Grapevine Ordinance regulating
construction. It is understood that the issuance of this permit does not grant or
authorize any violation of any code or ordinance of the City of Grapevine. I
FURTHERMORE UNDERSTAND THAT PLANS AND SPECIFICATIONS ARE
NOT REVIEWED FOR HANDICAPPED ACCESSIBILITY BY THE CITY,AND
THAT THE DESIGN PROFESSIONAL/OWNER IS RESPONSIBLE FOR
OBTAINING SUCH APPROVAL FROM THE APPROPRIATE STATE AND OR
FEDERAL ACE NCY(S).
Siyrifule Date
I
MYGOV.US City of Grapevine I BUILDING---COMMERCIAL ALTERATION I COMA-1 6-39921 Printed 10/21/16 at 1:42 p.m. Page 2 of 3
Oct 21, 2016 00 —3c?9 �---
To Whom It May Concern
I Bijan Adhami give my consent so that Mr. Al Akbar may pick up the building demolition permit
for AVA Salon Suites & SPA located at 1217 W State Highway 114, Grapevine, TX 76051. Any
questions regarding this consent can be directed to me using the following contact information:
Bijan Adhami
4405 Constitution Drive
Frisco, TX 75034
Mobile: 214-680-5534
Thank you for your assistance in this matter.
A
S'
Bi' ami
Manda Pancholy
From: Manda Pancholy
Sent: Monday, October 17, 2016 3:22 PM
To: '
Subject: 16-3992 1217 W Hwy 114 Suite 124(Demo)
G J Adhamy,
In reference to above permit please provide asbestos report in two hard copies.
Manda Pancholy
Plans Examiner
City of Grapevine
817-410-3160
i
Lone Tree Resources .Consulting Envirommma, ceo Technics,sery
LIMITED ASBESTOS INSPECTION
(LAI)
Vacant Retail Space
1217 W. Highway 114, Suite 124
Grapevine, Tarrant County, Texas 75056
Prepared for:
Mr. Bijan Adhamy
ADHACO, Inc.
13733 Omega Road
Dallas, TX. 75244
Prepared by:
LTRC, Inc.
4000 N. McDonald Street
McKinney, Texas 75071
LTRC Project No. P16-1004
October 11, 2016
RESPUNbL
TO COMMENTS
-3�� �.. OFFICE COPY
OCT 18 2016
1a�1 � 5 ,e- RY may. #-Q+
Lone Tree Resources & Consulting Envimnmental&Geo Technical Services
October 11, 2016
Mr. Bijan Adhamy
ADHACO, Inc.
13733 Omega Road
Dallas, TX. 75244
RE: Pre-Renovation Limited Asbestos Inspection
Future Retail Space
1217 W. Highway 114, Suite 124
Grapevine, Tarrant County, Texas, 76051
Dear Mr. Adhamy:
In accordance with our agreement dated October 7, 2016, Lone Tree Resources & Consulting,
Inc. (LTRC, Inc.) has performed a Limited Asbestos Inspection (LAI) of the above-referenced
property (site) in the City of Grapevine, Tarrant County, Texas. The objective of this
assessment was to evaluate quality and quantity of potential presence of asbestos containing
building material (ACBM) in the above referenced retail structure.
The findings of the assessment are presented in the attached report.
We appreciate the opportunity to serve you. Should you have any questions regarding this site
or any other environmental matter, please do not hesitate to call under sign.
Very truly yours,
LTRC, Inc.
Farzin R. Afshar, PG, REM, CIAQM
Individual Asbestos Management Planner
TDSHS License No. 20-5360
Enclosure:
Cover Page
Letter of Transmittal
Table of Contents
4000 N.McDonald Street McKinney,Texas,75071 ♦PH:(972)548-0000,FAX:(972)548-0356
TABLE OF CONTENTS
Page
1.0 EXECUTIVE SUMMARY 1
1.1 Introduction 1
1.2 Summary of Findings 1
2.0 OBJECTIVES 2
3.0 BUILDING DESCRIPTION AND GENERAL OBSERVATIONS 2
3.1 Asbestos Health Hazard 3
4.0 BULK SAMPLING OF SUSPECTED ACMs 3
4.1 Sampling Methodology 3
4.2 Sample Collection Methods 4
5.0 SAMPLE ANALYSIS OF SUSPECTED ACMs 4
5.1 Sample Analysis 4
5.2 Results of Sampling and Analyses 5
6.0 CONCLUSIONS g
ATTACHMENTS
1 - Site Plan Indicating Sample Locations
2 - Summary Table of Testing for ACMs
3 - Asbestos Laboratory Analytical Reports & Chain of Custody (COC)
4 - Certifications
LIMITED ASBESTOS INSPECTION
Future Retail Space
1217 W. Highway 114, suite 124
Grapevine, Tarrant County, Texas 76051
LTRC Project No. P16-1004
October 11, 2016
1.0 EXECUTIVE SUMMARY
1.1 Introduction
Lone Tree Resources & Consulting, Inc. (LTRC, Inc.) was retained by Mr. Bijan Adhamy of
ADHACO, Inc. (Client) of Dallas, Texas to perform a Limited Asbestos Inspection (LAI) of a
Vacant Retail Space for future renovation activities "site" located at 1217 W. Highway 114, Suite
124, Grapevine, Texas, 76051. The purpose of this LAI was to identify and sample any
suspected asbestos-containing materials (ACMs) in the designated area that may be disturbed
during future renovation operations, analyze collected samples, and submit a final report.
The subject site is comprised of a one-story retail space, consisting of an end cap to a larger
retail center, constructed of a metal framed structure with glue down carpet on bare concrete
floor throughout lobby area, 12"x12" vinyl composite tile (VCT) floor covering in storage area,
metal decking interior ceiling, and textured drywall on sheetrock interior walls throughout the
retail space.
LTRC Project Manager, Farzin Afshar, conducted the LAI and site visit on October 7, 2016.
1.2 Summary of Findings
This site Inspection was limited to non-destructive investigation. During the site inspection,
LTRC personnel did observe suss asbestos containing building materials.
Twenty one (21) bulk samples were collected from interior portion of the retail space and
submitted to the laboratory for analysis of presence of asbestos fibers in samples.
2.0 OBJECTIVES
This LAI is based on a request by Mr. Bijan Adhamy of ADHACO of Dallas, Texas on October 7,
2016. This LAI has been performed for use by the client in evaluating potential asbestos
environmental issues associated with the subject site. The Texas Department of state Health
Services (TDSHS) Demolition/Renovation Notification form combines the requirement of the
National Emission Standards for Hazardous Air Pollutants, 40 CFR, Subpart M (NESHAP) and
the Texas Asbestos Health Protection Act (TAHPA). Both of these regulations require that
Limited Asbestos Inspection
Pre Renovation Inspection
1217 W.Hwy 114,Suite 124
Grapevine,Texas 76051
LTRC Project No.:P16-1004
October 11,2016 LTRC,Inc.
written notification be submitted before beginning b2ginning renovation and/or demolition pLojects which
include the disturbance of any ACMs in a building or facility(40 CFR, §61.145).
To conduct this Inspection, LTRC performed the following tasks:
• Conducted a walk-through of the retail space for observations of suspected ACMs and
assessment of the potential hazards from the suspect ACMs,
• Collected bulk samples from suspected building materials and submitted to an analytical
laboratory licensed by the TDSHS for analysis, and
• Prepared this LAI report summarizing analytical results, a discussion based on our
observations, tables that identify the data collected during sampling activities, quantities
of ACM, and diagrams detailing the locations of ACMs.
This study did not include assessments for the presence of radon, pesticides, herbicides, PCBs,
lead paint, or urea-formaldehyde, or for compliance with provisions of the Clean Air Act. In
addition, no air quality monitoring or chemical analyses of building materials (except for the LAI),
soil, surface water, or groundwater were performed as part of this assessment.
3.0 BUILDING DESCRIPTION AND GENERAL OBSERVATIONS
On October 7, 2016, LTRC Project Manager, Farzin Afshar, conducted a visual inspection of the
subject site. Farzin Afshar holds current license as Asbestos Inspector from the TDSHS. The
on-site assessment was limited to a walk-through of the said service space. On-site
observations are summarized as follows:
• The subject site is comprised of an approximately 6,320 SF retail space of a shopping
building that formerly was used as "Men's Warehouse" and composed of metal framed
structure, CMU and manufactures stone veneer exterior walls; textured covered drywall
covered interior walls, drop ceiling system below metal deck, bare concrete floor
covering throughout the interior space with glue down carpet. Municipal record indicated
that, the site building was constructed on or about 1995 and has been completely
remodeled during past operations.
• The interior space layout of the site consists of open lobby area to the west, storage and
restrooms area to the east of the site building. At the time of the site visit, the retail
space was vacant.
• Site building was served by municipal drinking water supply and municipal sewerage
system.
Page 2 of 8
Limited Asbestos Inspection
Pre Renovation Inspection
1217 W.Hwy 114,Suite 124
Grapevine, Texas 76051
LTRC Project No.:P16-1004
October 11,2016 LTRC,Inc.
3.1 Asbestos Health Hazard
Asbestos is considered to be a carcinogen and must be treated with caution. The inhalation of
asbestos fibers is potential to lead to the development of an asbestos related disease, i.e., lung
cancer, mesothelioma, and asbestosis. All are lung diseases, but digestive tract diseases such
as colon and stomach cancer have also been associated with asbestos exposure. Minor health
hazards have been noted from skin contact, but no known life threatening disease has been
associated with this type of exposure.
4.0 BULK SAMPLING OF SUSPECTED ACMs
This LAI was conducted by Farzin Afshar, the TDSHS Asbestos Inspector (License No. 20-
5360). LTRC collected twenty one (21) bulk samples from existing building materials in the
designated retail space. During the walk-through inspection of the site building, the inspector
visually checked for the presence of suspected ACBM in all observed interior spaces.
4.1 Sampling Methodology
The inspector identified homogeneous areas of suspected ACM during the LAI. A
homogeneous sampling area is defined as an area of friable or non-friable material that has the
same visual appearance (same color, texture, or pattern) and that was either applied or
constructed during the same general period of time. Friable is defined by the U.S. EPA as any
material that hand pressure can crumble, pulverize, or reduce to a powder when dry. The
sample collection procedures were per guidelines mandated by the TDSHS in the Texas
Administration Code Title 25. Part 1 Chapter 295 Subcha ter C. Rule 295.58 h . Samples
were chosen based on the homogeneous material identified and a random, representative,
selection process. The survey did not include exterior components of the building (e.g. soffit) or
inaccessible interior components (e.g. pipe insulation in concealed chases).
4.2 Sample Collection Methods
Suspect materials are either assumed to contain asbestos or are sampled to determine whether
asbestos is present. The latter involves extracting or removing a small piece or core of the
suspect material and submitting it to an accredited laboratory for analysis. To avoid disturbing
the suspected ACM more than necessary and to minimize any unnecessary release of asbestos
fibers during sample collection, the inspector performed bulk sampling in accordance with the
TDSHS Rule §295.58 (h) guidelines. Bulk samples were collected using amended water to
reduce the potential for fiber release during sampling. Each sample was collected in a clean
sealable plastic container and labeled with a unique sample identification number. All samples
were logged on a chain-of-custody form included in attachment to this report.
Page 3 of 8
Limited Asbestos Inspection
Pre Renovation Inspection
1217 W.Hwy 114,Suite 124
Grapevine,Texas 76051
LTRC Project No.:P16-1004
October 11,2016 LTRC,Inc.
6.0 SAMPLE ANALYSIS OF SUSPECTED ACMs
5.1 Sample Analysis
Bulk samples were analyzed for asbestos content by polarized light microscopy (PLM) with
dispersion staining (Method Referenced: 40 CFR, Chapter 1, Part 763, Subpart F, Appendix A).
This analytical method, which the U.S. EPA currently recommends for the determination of
asbestos in bulk samples, is used for the qualitative identification of six morphologically different
types of asbestos fibers: chrysotile, amosite, crocidolite, anthoplyllite, tremolite, and actinolite.
The fibrous composition of bulk samples is reported in percentages of asbestos and non-
asbestos materials(i.e., cellulose, fibrous glass, synthetic).
Bulk samples were submitted to Cates Laboratories at the end of the survey and were
accompanied by the Chain-of-Custody (COC) form. Cates Laboratories has received
accreditation for PLM analysis under the National Voluntary Laboratory Accreditation Program
of the National Institute of Standards and Technology. Cates Laboratories is licensed as a
TDSHS licensed Asbestos Laboratory (I.D. 30-0287). The laboratory also participates regularly
in the Proficiency Analytical Testing (PAT) Program administered by the AIHA.
6.2 Results of Sampling and Analyses
LTRC collected twenty one (21) bulk samples of suspected building materials for asbestos analysis
from the building. In general, ACMs have been categorized into three principle material groupings:
* Thermal System Insulation
* Surfacing Material
* Miscellaneous Materials
Thermal system insulation includes materials on pipes, pipes fitting (valves, tee's etc.), tanks,
boiler jacketing, flue and stack insulation, turbine jackets, and similar applications. Surfacing
materials include spray or trowel applied fireproofing and acoustical finishes. A miscellaneous
material includes items such as gasket materials, vinyl asbestos floor tile, ceiling tiles,
adhesives, mastics, and small amounts of packing or caulking materials.
Representative bulk samples of suspect materials were acquired from the site building. The
types of suspect material observed included:
Painted Texture and joint compound covered Wallboard,
Painted drywall, and
12"x12" VCT Floor Tile with yellow mastic.
Page 4 of 8
Limited Asbestos Inspection
Pre Renovation Inspection
1217 W.Hwy 114,Suite 124
Grapevine, Texas 76051
LTRC Project No.:P16-1004
October 11,2016 LTRC,Inc.
Of the materials sampled, the laboratory analysis revealed that asbestos fibers were not
detected in collected samples from planed renovation areas.
Asbestos analytical results from laboratory and associated summary Table-I are presented in
the attachment portion of this report. Included in Table-I is information on each homogeneous
area, such information includes: sample identification number; material location, quantity of
material; type and percentage of asbestos; and friability, condition, and potential for damage of
the material.
Please refer to the attached site plan for bulk samples locations.
6.0 CONCLUSIONS AND RECOMMENDATIONS
LTRC has completed this LAI of retail commercial property located at 1217 W. Highway 114,
Suite 124, Grapevine Texas, 76051. A total of twenty one (21) samples of suspected building
material were collected from the site building. As a result following recommendation is issued.
The results of the laboratory analysis indicated that asbestos fibers were not present in
samples collected from planned renovation area.
As such, there are no ACM issues exist in the planned renovation areas of the subject
retail space. 'Therefore. LTRC recommends. "No farther action reuuired in reward to.ACM
materials at this time,,,
We appreciate the opportunity to serve you. Should you have any questions regarding this site
or any other environmental matter, please do not hesitate to call.
Very truly yours,
LTRC, Inc.
Farzin R. Afshar, REM, CIAQM
Individual Asbestos Management Planner
TDH License No. 20-5360
Attachments
Page 5of8
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PLM REPORT SUMMARY
J9Cates Laboratories NVLAP Lab No.200569-0
1.339 Motor Circle TDSHS:License No.30-0287
Dallas,Texas 75207(214)920-5006
Client: LTRC, Inc. Lab Job NTo.: PLM-13115
Project: 1217 W. Hwy. 114, Suite 124, Grapevine,TX 76051 Set No.: 19551
Project No: P16-1004 Report.Date: 10/12/2016
Identification: Asbestos, Bulk Sample Analysis Sample Date: 10/6/2016
Test Method: Polarized Light Microscopy/Dispersion Staining (PLM/DS)
EPA Method 600/R-93/116 Page 1 of 3
On 10i7/2016,twenty-one(21)bulk samples were submitted by Mr.Farzin Afshar of LTRC,Inc.for asbestos analysis by PLIVIMS.
Copies of the lab data sheets are attached:additional information may be found therein.The results are summarized below:
Lab Client Sample Description/Location Asbestos Content
Sample No. Field I.D.
CL.486100 MWH-1 TX 4'Acoustic Ceiling Tile-Back Room None Detected
CL486101 MWH-2 TX 4'Acoustic Ceiling Tile-Back Room None Detected
CL486102 MWH-3 2'X 4'Acoustic Ceiling Tile-Back.Room None Detected
C:L486103 MWH-4 2'X 2'Tegular Ceiling Tile-Lobby None Detected
CL486104 MWH-5 2'X 2'Tegular Ceiling Tile-Lobby None Detected
C.L486105 MWH-6 2'X 2'Tegular Ceiling Tile-.Lobby None Detected
CL486106 MWH-7 Drywall&Joint Compound-Lobby(north wall) None Detected-Paint Layer
None Detected-Joint Compound
None Detected-Paper
None Detected-Wallboard Material
C1,486107 MWH-8 Drywall&Joint Compound-Lobby(east wall) None Detected-Paint Layer
None Detected-Joint-Compound
None Detected-Paper
None Detected-Wallboard Material
C:L486108 MWH-9 Drywall&Joint Compound-Lobby(back room) None Detected-Paint:Layer
None Detected-Joint Compound
None Detected-Paper
None Detected-Wallboard Material
CL486109 MWH-10 12"X 12"Vinyl Floor"rile(light gray)-.Back Room None Detected-Floor Tile
None Detected-Yellow Mastic
CL486110 MWH-11 12"X 12"Vinyl Floor Tile(light gray)-.Back Room None Detected-Floor Tile
None Detected-Yellow Mastic
C1,486111 MW.H.-12 12"X 12"Vinyl Floor Tile(light gray)-Back Room None Detected-Floor Tile
None Detected-Yellow Mastic
CL48611.2 MWH-13 12"X 12"VCT(off-white)-Restroont Floor None Detected-Floor Tile
None Detected-Yellow Mastic
CL486113 MWH-14 12"X 12"VCT(off-white)-Restroom Floor None Detected-Floor Tile
None Detected-Yellow Mastic
These samples were analyzed by layers. The overall percent asbestos for the sample is reported when relevant.The EPA considers a material to be asbestos containing
only if it contains greater than one percent asbestos by Calibrated Visual Area Estimation(CVAE_).EPA regulations also indicate that Regulated Asbestos Containing
Materials(RACM)—materials that are friable or may become friable—be further analyzed by point counting when the results indicate less than ten percent asbestos by
CVAE.CatesLab utilizes CVAE on a routine basis and does not include point counting unless specifically requested by the client. The results may not be reproduced
except in full.
PLM REPORT SUMMARY
Cates Laboratories NVLAP Lab No.200569-0
jg1339.Motor Circle TDSHS License No.30-0287
Dallas,Texas 75207(214)920-5006
Client: LTRC, Inc. Lab Job No.: PLM-13115
Project: 1217 W. Hwy. 114, Suite 124, Grapevine, TX 76051 Set No.: 19551
ProjectNo: P16-1004 Report.Date: 10/12/2016
Identification: Asbestos, Bulk Sample Analysis Sample Date: 10/6/2016
Test Method: Polarized Light Microscopy/Dispersion Staining (PLM/DS)
EPA Method 600/R-93/116 Page 2 of 3
On 10/7/2016,twenty-one(21)bulk samples were submitted by Mr.Farzin Afshar of LTRC,Inc.for asbestos analysis by PI-MUDS.
Copies of the lab data sheets are attached:additional information may be found therein.The results are summarized below:
Lab Client Sample Description/Location Asbestos Content
Sample No. Field I.D.
CL486114 MWH-15 1.2"X 12"VCT(off-white)-Restroom Floor None Detected-Floor Tile
None Detected-Yellow Mastic
CL486115 MWII-16 Leveling Compound under Carpet-Lobby None Detected
CL486116 MWII-1.7 Leveling Compound under Carpet-Lobby None Detected
CL486117 MWH-18 Leveling Compound under Carpet-Lobby None Detected
CL486118 MWFI-19 Cove Base&Mastic-Lobby None Detected
CL486119 MWH-20 Cove Base&Mastic-Lobby None Detected
CL486120 MWH-21 Cove Base&Mastic-Lobby None Detected
These samples were analyzed by layers. The overall percent asbestos for the sample is reported when relevant.The EPA considers a material to be asbestos containing,
only if it contains greater than one percent asbestos by Calibrated Visual Area Estimation(CVAE).EPA regulations also indicate that Regulated Asbestos Containing
Materials(RACM)—materials that are friable or may become fi-iable—be further analyzed by point counting when the results indicate less than ten percent asbestos by
CVAE.CatesLab utilizes CVAE on a routine basis and does not include point counting unless specifically requested by the client. The results may not be reproduced
except in hill.
PLM REPORT SUMMARY
Cates Laboratories NVLAP Lab No.200569-0
1339 Motor Circle TDSIIS License No.30-0287
Dallas'rexa, 75207(214)920-5006
Client: LTRC, Inc. Lab Job No.: PLM-13115
Project: 1217 W. Hwy. 114, Suite 124, Grapevine,TX 76051 Set Into.: 19551
Project No: P16-1004 Report Date: 10/12/2016
Identification: Asbestos, Bulk Sample Analysis Sample Date: 10/6/2016
Test Method: Polarized Light Microscopy/Dispersion Staining (PLM/DS)
EPA Method 600/R-93/116 Page 3 of 3
On 10/7/2016,twenty-one(21)bulk samples were submitted by Mr.Farzin Afshau of LTRC,Inc.for asbestos analysis by PLMLDS.
Copies of the lab data sheets are attached:additional information may be found therein.
STATEMENT OF LABORATORY ACCREDITATION
The samples were analyzed in general accordance with the procedures outlined in the Method for the
Determination of Asbestos in Bulk Building Materials, .E.PA/600/R-93/116 or the U.S. Environmental
Protection Agency method, under AHERA (EPA 600/M4-82-020), for the analysis of asbestos in building
materials by polarized light microscopy. The results of each bulk sample relate only to the material tested and
the results shall not be used by the client to claim product certification, approval, or endorsement by NVLAP,
MIST,or any agency of the Federal Government.
Specific questions concerning bulk sample results shall be directed to the Laboratory Director.
Analyst: Jessica Scott ?A1`4 *t
Laboratory Director: John R. Cates,P.G.
Approved Signatory:
J� CR)
1�1
NVLAP LAB CODE 200569-0
CATES LABORATORIES CHAIN OF CUSTODY
CLR*dNm PLM-13115
sAAAGS)
company; JRC, Inc-
ContacUResutts to: Farzin Afshar Verbal ❑ Eme �K roc ❑ (check all that apply)
Emed(s) _ ,
Telephone No.: . 972-548-0000 Fax No,:
Project 1217 W. Hwy 114 Project No.: P16-1004
Address: 1217 W. Hwy 114, Suite 124, Grapevine, TX. 76051 PA No
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❑ ❑ ❑
RUSH ASAP RUSH 24HR 2 DAY(standard) �� 3.4 D Y
Asbestos Tafflng Services check all that
PLM-BULK_ PCM-AIR
EPA600lR4W16 X NOSH 7400 ❑
Point Count(400) ❑ OSHA:TWA ❑
CatesLab No.Rarme tLab Sample Date
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1339 Motor C/rcle,Dallas,TX 75207*(214)920-5006,Fax 1-972-767-0167 1 ILI
NVLAP Code 20056",TDH Lab License 30-0287,AZ Lab Cert.AZO948
CATES LABORATORIES CHAIN OF CUSTODY
cLPmodNo. PLN1-IS I15
Additional Sample Page g }_10155
1
P a 11bo W. Hwy 114, Suite 124, Grapevine, TX. 76051 N-: P16-1004
Sample Sample DesclipUonfLocalion Volume
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AF72014-07-Issued 11IM"O
1339 Motor Circle,Dallas,7X 75207`(214)920-5006,Fax 1-972-767-0167
NVLAP Code 200569.0,TDH Lab License 30.0287,AZ tab Curt AZ0948 d ��
Bulk Asbestos Analysis Sheet
Crates Laboratories EPA Method 600/R-93/116 NVLAP Lab No.200569-0
7-139 Motor Circle W TDSHS License No.30-0237
Dallas,Texas 75207(214)920-5006
Client: LTRC, Inc. Lab Proj#: PLM-13116
Project: 1217 W.Hwy.114,Suite 124,Grapevine,TX 76061 Set#: 19661
Project#: P16-1004 Sample#: CL486100
Field ID#: MWH-1 Page I of I
Seunple Description: 2'X 4'Acoustic Ceiling Tile-Back Room
Layer 1 Ceiling Tile Stereoscopic Examination
Color Texture Honxieeneous? %Fibrous %Asbestos %of Sample
Beige wlwht pt Fibrous Yes 60 ND 100
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % +/- Morpholon Pleocliroism Ref.Index Ref Index Biref Angle rlon-at�ion
Cellulose Fibers 60 ribbons high
Perlite 30 Glass Foam 0
Binders/Paint 10 Non-fibrous
Pre Areatment: mechanical separation Asbestos Content: None Detected
Comments: Analyst: Jessica Scott
Date Analyzed: 10/12/2016
Lab Job#: PLM-13115 San rle#:CL486100
Bulk Asbestos Analysis Sheet
J9Cates Laboratories EPA Method 600/R-93/116 NVLAP Lab No.200569-0
1339 Motor Circle TDSHS License No,30-0287
Dallas.Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj#: PLM-13115
Project: 1217 W. Hwy. 114,Suite 124,Grapevine,TX 76051 Set#: 19661
Project#: P16-1004 Sample#: CL486101
Field ID#: MWH-2 Page 1 of 1
Sample Description: 2'X 4'Acoustic Ceiling Tile-Back Room
Layer 1 Ceiling Tile Stereoscopic Examination
Color 'Texture flomoLeneous? %Fibrous %Asbestos %of Samnle
Beige wlwht pt Fibrous Yes 60 ND 100
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % +/- Morphology Pleochroism Ref.Index Ref Index Biref Angle Elongation
Cellulose Fibers 60 ribbons high
Perlite 30 Glass Foam 0
Binders I Paint 10 Non-fibrous
Prep/treatment: mechanical separation Asbestos Content: None Detected
- - -- - -- - - ------ - - - ----- -- -- -- - - ------------
Comments: Analyst: Jessica Scott
Date Analyzed: 1 011 212 01 6
lab Job#: PLM-13115 I Sam•le#:CL486101
Bulk Asbestos Analysis Sheet
Cates Laboratories EPA Method 600/R-93/116 NVLAP Lab No.200569-0
1339 Motor Circle TDSHS:License No.30-0237
Dallas,Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj#: PLM-13116
Project: 1217 W. Hwy.114,Suite 124,Grapevine,TX 76061 Set#: 19551
Project#: P16-1004 Sample#: CL486102
Field ID#: MWH-3 Page I of 1
Sample Description: 2'X 4'Acoustic Ceiling Tile-Back Room
Layer 1 Ceiling Tile Stereoscopic Examination
Color Texture Homogeneous? %Fibrous %Asbestos %of Sample
Beige w/wht pt Fibrous Yes 60 ND 100
PLM Examination:
Color/ Pauallel Perpendicular Extinction Sign of
Components % +/- Momholoev Pleochroism Ref.Index Ref Index Biref Angle Elon a�tion
Cellulose Fibers 60 ribbons high
Perlite 30 Glass Foam 0
Binders/Paint 10 Non-fibrous
Prep/treatment: mechanical separation Asbestos Content: None Detected
---- - ---------------- --------------- ------
Comments: Analyst-. Jessica Scott
Date Analyzed: 1 011 21201 6
"b Job#: PLM-13115 I Sample#:CL486102
Bulk Asbestos Analysis Sheet
Cates Laboratories EPA Method 600/R-93/116 NVLAP Lab No.200569-0
1339 Motor Circle TDSHS License No.30-0287
Dallas,Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj#: PLM-13115
Project: 1217 W. Hwy.114,Suite 124,Grapevine,TX 76051 Set#: 19551
Project#: P16-1004 Sample 4: CL486103
Field ID#: MWH-4 Page 1 of 1
Sample Description: 2'X 2'Tegular Ceiling Tile-Lobby
Layer 1 Ceiling Tile Stereoscopic Examination
Color Texture Homo eneous? %Fibrous %Asbestos %of Sample
Beige w/wht pt Fibrous Yes 60 ND 100
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Com:onents % +/- MoThology Pleochroism Ref.Index Ref Index Biref Angle Elongation
Cellulose Fibers 60 ribbons high
Perlite 30 Glass Foam 0
Binders I Paint 10 Non-fibrous
Prep/treatment mechanical separation Asbestos Content: None Detected
-- -- - - -- - - - - - - - - - - ----- - - - - - - - -------------
Comments: Analyst: Jessica Scott
Date Analyzed: 1 011 2/201 6
Lab Job#: PLM-13115 I Sam i le#:CL486103
Bulk Asbestos Analysis Sheet
Cates Laboratories EPA Method 6001R-93/1 l6 NVLAP Lab No.200569-0
li 39 Motor Circle TDSHS License No.30-0237
Dallas,Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj#: PLM-13115
Project: 1217 W. Hwy. 114,Suite 124,Grapevine,TX 76051 Set#: 19661
Project#: P16-1004 Sample#: CL486104
Field ID#: MWH-5 Page 1 of 1
Sample Description: 2'X 2'Tegular Ceiling Tile-Lobby
Layer 1 Ceiling Tile Stereoscopic Examination
Color Texture Homogeneous? %Fibrous %Asbestos %of Sample
Beige w/whtpt Fibrous Yes 60 ND 100
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % +/- Morpholot.- Pleochroism Ref.Index Ref.Index Biref An k Elon aQ tion
Cellulose Fibers 60 ribbons high
Perlite 30 Glass Foam 0
Binders i Paint 10 Non-fibrous
Prep/treatment: mechanical separation Asbestos Content: None Detected
- ------------- -- ---- ------- ---------- -----
Comments: Analyst: Jessica Scott
Date Analyzed: 1 011 21201 6
Iab.tob#: PLM-13115 I Sam•le4:CL486104
Bulk Asbestos Analysis Sheet
Cates Laboratories EPA Method 600/R-93/1 16 NVLAP Lab No.200569-0
1339 Motor Circle TDSHS License No.30-0287
Dallas,Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj#: PLM-13115
Project: 1217 W. Hwy. 114,Suite 124,Grapevine,TX 76051 Set#: 19551
Project#: P16-1004 Sample#: CL486105
Field ID#: MWH-6 Page I of 1
Sample Description: 2'X 2'Tegular Ceiling Tile-Lobby
Layer 1 Ceiling Tile Stereoscopic Examination
Color Texture Homogeneous? %Fibrous %Asbestos %of Sam fle
Beige w/wht pt Fibrous Yes 60 ND 100
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Com-onents % +/- Morphology Pleochroism Ref Index Ref Index Biref Angle Elongation
Cellulose Fibers 60 ribbons high
Perlite 30 Glass Foam 0
Binders I Paint 10 Non-fibrous
Prep/treatment: mechanical separation Asbestos Content: None Detected
-- - - -- - - -- -- - - - ----- ----------------------
Comments: Analyst: Jessica Scott
Date Analvzed: 10/12/2016
Lab.lob#: PLM-13115 I Sam le#:CL486105
Bulk Asbestos Analysis Sheet
A9Cates Laboratories TPA Method 600/R-93/116 NVLAP Lab No.200569-0
1339 Motor Circle TDSHS License No.30-0237
Dallas,Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj#: PLM-13115
Project: 1217 W.Hwy.114,Suite 124,Grapevine,TX 76051 Set#: 19651
Project#: P16-1004 Sample#: CL486106
Field ID#: MWH-7 Page i of 1
Sample Description: Drywall&Joint Compound-Lobby(north wail)
Layer 1 Paint Layer Stereoscopic Examination
Color Texture Homogeneous? %Fibrous %Asbestos %of Sample
Grey Hard Yes ND ND 5
PLM Examination-
Color/ Parallel Perpendicular Extinction Sign of
Components % +/- Moroholoa Pleochroism Ref Index Ref.Index Biref Angle Elongation
Paint 100
Prep/treatment; heat/melt Asbestos Content: None Detected
- --------- --------------------------- -----
Layer 2 Joint Compound Stereoscopic[examination
Color Texture Homogeneous? %Fibrous %Asbestos %of Sample
White Blocky Yes ND ND 30
PLM Examination.
Color/ Parallel Perpendicular Extinction Sign of
Components % +11- Morphology Pleochroism Ref.Index Ref.Index Biref Angle Elon ation
Perlite 5 Glass Foam 0
Aggregate/Binders/Paint 95 Non-fibrous
Pre,:/treatment: mechanical separation Asbestos Content: None Detected
- -------------- - ----------------- - - - - -- - - - - -
Layer 3 Paper Stereoscopic Examination
Color Texture homogeneous? %Fibrous %Asbestos %of Sample
Tan Fibrous Yes 100 ND 10
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
ComLonents %% +/- Morphology Pleochroism Ref.Index Ref.Index Biref Angle Elongation
Cellulose Fibers 100 ribbons high
Prep/treatment: mechanical separation Asbestos Content: None Detected
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ------------
Layer 4 Wallboard Material Stereoscopic Examination
Color Texture Homogeneous? %Fibrous %Asbestos %of Sample
White Blocky Yes 2 ND 55
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % +/- Morphology Pleochroism Ref.Index Ref.Index Biref Angle Elongation
Cellulose Fibers 1 ribbons high
Glass Fibers 1 straight none none
Aggregate 3 Non-fibrous
Gypsum Binders 95 Non-fibrous
Prepr`treahnent mechanical separation Asbestos Content: None Detected
- ----------- - ------------------------------
Comments: Analyst: Jessica Scott
Date Analyzed: 10112/2016
Lab Job#: PLM-13115 Sam le 4:CL486106
Bulk Asbestos Analysis Sheet
Cates Laboratories EPA Method 600/R-93/1 16 NVLAP Lab No.200569-0
1339 Motor Circle TDSHS License No.30-0287
Dallas,Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj*: PLM-13115
Project: 1217 W. Hwy.114,Suite 124,Grapevine,TX 76051 Set#: 19551
Project#: P16-1004 Sample 4: CL486107
Field ID#: MWH-8 Page 1 of 1
Sample Description: Drywall&Joint Compound-Lobby(east wall)
Layer 1 Paint Layer Stereoscopic Examination
Color Texture Homogenous? %Fibrous %Asbestos %of Sample
Grey Hard Yes ND ND 5
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % +/- Morphology Pleochroism Ref.Index Ref Index Biref Angle Elon at ion
Paint 100
Prep/treatment: heat/melt Asbestos Content: None Detected
--------------------------------- - - - - - - - ---
Layer 2 Joint Compound Stereoscopic Examination
Color Texture [I m�ggeneous? %Fibrous %Asbestos %of Sample
White Blocky Yes ND ND 30
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Comronents %b +/- Morphology Pleochroism Ref.Index Ref Index Biref Angle Elongation
Perlite 5 Glass Foam 0
Aggregate/Binders/Paint 95 Non-fibrous
Prep/treatment: mechanical separation Asbestos Content: None Detected
- --- - - - - --- - -- - - - - - ----- -------------------
Layer 3 Paper Stereoscopic Examination
Color Texture Homogeneous? %Fibrous %Asbestos %of Sample
Tan Fibrous Yes 100 ND 10
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components °/u +!- Morphology Pleochroism R.ef.Index Ref Index Biref Angle Elongation
Cellulose Fibers 100 ribbons high
PrePre /treatment: mechanical separation Asbestos Content: None Detected
Layer 4 Wallboard Material Stereoscopic Examination
Color Texture Homogeneous? %Fibrous %Asbestos %of Sample
White Blocky Yes 2 ND 55
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Component s % +;- Morphology Pleochroism Ref.Index Ref.Index Biref Angle Elongation
Cellulose Fibers 1 ribbons high
Glass Fibers 1 straight none none
Aggregate 3 Non-fibrous
Gypsum Binders 95 Non-fibrous
Prep/treatment: mechanical separation Asbestos Content: None Detected
Comments: Analyst: Jessica Scott
Date Analyzed: 1 0/1 21201 6
Lab Job#: PLM-13115 I Sam le#:CL486107
Bulk Asbestos Analysis Sheet
'9 Cates Laboratories EPA Method 600/.R-93/116 NVLAP Lab No.200569-0
1339 Motor Circle TDSHS License No.30-0287
Dallas,Texas 75207(214)920-5006
Client: LTRC, Inc. Lab Proj#: PLM-13115
Project: 1217 W. Hwy.114,Suite 124,Grapevine,TX 76051 Set#: 19551
Project#.: P16-1004 Sample#: CL486108
Field ID#: MWH-9 Page 1 of 1
Sample Description: Drywall&Joint Compound-Lobby(back room)
Layer 1 Paint Layer Stereoscopic Examination
Color Texture H_omogeneous? %Fibrous %Asbestos %of Sample
Grey Hard Yes ND ND 5
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % +/- Morphologk Pleochroism Ref.hndex Ref.Index Biref Aagk Elongation
Paint 100
Prep/treatment: heat/melt Asbestos Content: None Detected
---------- -- --- - - - --------------------------
Layer 2 Joint Compound Stereoscopic Examination
Color Texture Homogeneous? %Fibrous %Asbestos %of Sample
White Blocky Yes ND ND 30
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % /- Morphology Pleochroism Ref.Index Ref.Index Biref A_n& Elongation
Perlite 5 Glass Foam 0
Aggregate/Binders/Paint 95 Non-fibrous
Pr�reatment: mechanical separation ,4sbestos Content: None Detected
- ---------- --- ------ - ------------ - - - - - - - - - -
Layer 3 Paper Stereoscopic Examination
Color Texture Homogeneous' %Fibrous %Asbestos %of Samrlc
Tan Fibrous Yes 100 ND 10
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components %n +i- Mo hr ology Pleochroism Ref.index Ref.index Biref An-_le Elongation
Cellulose Fibers 100 ribbons high
Prep/treatment: mechanical separation Asbestos Content: None Detected
- - - - - - - - - - - - - - - - - - - -- - - - - - - - -- - - - -------------
Layer 4 Wallboard Material Stereoscopic Examination
Color 'texture Homogeneous? %Fibrous %Asbestos %of Saml le
White Blocky Yes 2 ND 55
PLM Examination:
Color"" Parallel Perpendicular Extinction Sign of
Comp onents % +/- Morphology Pleochroism Ref:Index Ref.Index Biref Angle Eton ae tion
Cellulose Fibers 1 ribbons high
Glass Fibers 1 straight none none
Aggregate 3 Non-fibrous
Gypsum Binders 95 Non-fibrous
Prep/treahment: mechanical separation Asbestos Content: None Detected
- ------- ------ --- - ---------------- --------
Comments: Analyst: Jessica Scott
Date Analvzed: 1 011 212 01 6
Lab Job#: PLM-13115 I Sam le#:CL486108
Bulk Asbestos Analysis Sheet
Cates Laboratories EPA Method 600/R-93/1 16 NVLA13 Lab No.200569-0
1339 Motor Circle TDSHS License No.30-0287
Dallas,Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj#: PLM-13115
Project: 1217 W. Hwy.114,Suite 124,Grapevine,TX 76051 Set 4: 19551
Project#: P16-1004 Sample#: CL486109
Field ID#: MWH-10 Page I of I
Sample Description: 1 T'X 12"Vinyl Floor Tile(light gray)-Back Room
Layer 1 Floor Tile Stereoscopic Examination
Color Texture Homogeneous'; %Fibrous %Asbestos %of Sample
Lt.Grey Hard Yes ND ND 99
PI-M Examination:
Color' Parallel Perpendicular Extinction Sign of
Components % +I- Morphology Pleochroism Ref.Index Ref.Index Biref Angle Elongation
Aggregate/Vinyl Binders 100 Non-fibrous
Prep/treatment: heat/melt Asbestos Content: None Detected
Layer 2 Yellow Mastic Stereoscopic Examination
`olor Texture Homogeneous? %Fibrous %Asbestos %of Sample
Yellow-Tan Rubbery Yes ND ND 1
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % +/- Morphology Pleochroism Ref.Index Ref.Index Biref Angle Elongation
Glue Binders 100 Non-fibrous
Prep/treatment: heat/melt Asbestos 4'ontent: None Detected
- - - - - - - - - - ----------------- -- -- ----- - ---- ----
Comments: Analyst: Jessica Scott
Date Analyzed: 1 0/1 21201 6
Lab Job#: PLM-13115 I Sample#:CL486109
Bulk Asbestos Analysis Sheet
'9 Cates Laboratories _ EPA Method 600/R-93/116 NVLAP Lab No.20OS69-0
1339 Motor Circle TDSHS License No.30-0237
Dallas,Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj#: PLM-13115
Project: 1217 W.Hwy.114,Suite 124,Grapevine,TX 76051 Set#: 19551
Project#: P16-1004 Sample#: CL486110
Field ID#: MWH-11 Page I of I
Sample Description: 12"X 12"Vinyl Floor Tile(light gray)-Back Room
Layer 1 Floor Tile Stereoscopic.Examination
Color Texture Homogeneous? %Fibrous %Asbestos %of Sainnle
Lt.Grey Hard Yes ND ND 99
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Component % +/- Morp1101061Y Pleochroism Ref Index Ref.Index I3iref Angle Elongation
Aggregate/Vinyl Binders 100 Non-fibrous
PrQATeatment: heat/melt Asbestos Content: None Detected
- - - ----------- - ---- - --- --------------------
Layer 2 Yellow Mastic Stereoscopic Examination
Color Texture Homogeneous? %Fibrous %Asbestos %of Sample
Yellow-Tan Rubbery Yes ND ND 1
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % 4- Morphology Pleochroism Ref.Index Ref.Index Biref Angle Elongation
Glue Binders 100 Non-fibrous
Prep/treatment: heat/melt Asbestos Content: None Detected
- ----- -------- --- --- ----------- -- - ---------
Comments: Analyst: Jessica Scott
Date Analvzed: 10/12/2016
Lab Job#: PLM-13115 I Sam ple#:CL486110
Bulb Asbestos Analysis Sheet
Cates Laboratories EPA Method 600/R-93/I 16 NVLAP Lab No.200569-0
1339 Motor Circle TDSHS License No.30-0287
Dallas,Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj#: PLM-13115
Project: 1217 W. Hwy.114,Suite 124,Grapevine,TX 76051 Set#: 19651
Project#: P16-1004 Satuple#: CL486111
Field ID#: MWH-12 Page I of I
Sample Description: 12"X 12"Vinyl Floor Tile(light gray)-Back Room
Layer 1 Floor Tile Stereoscopic Examination
Color Texture Homoeeneous? %Fibrous %Asbestos %of Sample
Lt.Grey Hard Yes ND ND 99
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % _/- Morphology Pleochroism Ref,Index Ref Index Biref Angle Elongation
Aggregate/Vinyl Binders 100 Non-fibrous
Prep/treatment: heat 1 melt Asbestos Content: None Detected
---- -- --------------- --------------- - - -- ---
Layer 2 Yellow Mastic Stereoscopic Examination
Color Texture Homoeeneous? %Fibrous %Asbestos %of Sample
Yellow-Tan Rubbery Yes ND ND 1
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components 0/ ±L Morphology Pleochroism Ref Index Ref Index Biref A_R& Elongation
Glue Binders 100 Non-fibrous
Preh/treatment: heat I melt Asbestos Content: None Detected
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ------------
Comments: Analyst: Jessica Scott
Date Analyzed: 1 011 21201 6
Lab Job#: PLM-13115 I Sam--le#:CL486111
Bulk Asbestos Analysis Sheet
Cates Laboratories EPA Method 600/R-93/116 NVLAP Lab No.200569-0
13 39 Motor Circle 7DSH.S License No.30-0237
Dallas,Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj#: PLM-13115
Project: 1217 W. Hwy.114,Suite 124,Grapevine,TX 76051 Set#: 19661
Project#: P16-1004 Sample#: CL486112
Field ID#: MWH-13 Page 1 of I
Sample Description: 12"X 12"VCT(off-white)-Restroom Floor
Layer 1 Floor Tile Stereoscopic Examination
Color Texture Homogeneous? %Fibrous %Asbestos %of Sample
Off White Hard Yes ND ND 99
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % +/- Morphology Pieochroism Ref.Index Ref.Index Biref AnSk Elongation
Aggregate/Vinyl Binders 100 Non-fibrous
Prep/treatment: heat 1 melt Asbestos Content: None Detected
--------------- - -- ------------ -- - - --------
Layer 2 Yellow Mastic Stereoscopic Examination
Color Texture Homogeneous? %Fibrous %Asbestos %of Sample
Yellow-Tan Rubbery Yes ND ND 1
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % = Morphology Pleochroism Ref.Index Ref.Index Biref Anp_le Elongation
Glue Binders 100 Non-fibrous
Pre :treatment: heat I melt Asbestos Content: None Detected
- --- --- ------------ --------- - ------ -- - -----
Comments: Analyst: Jessica Scott
Date Analyzed: 10112/2016
Lab Job#: PLM-13115 I Sam ale#:CL486112
Bulk Asbestos Analysis Sheet
Cates Laboratories EPA Method 600/R-93/1 16 NVLAP Lab No.200569-0
1339 Motor Circle TDSHS License No.30-0287
Dallas,Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj#: PLM-13115
Project: 1217 W. Hwy. 114,Suite 124,Grapevine,TX 76051 Set#: 19551
Project#: P16-1004 Sample#: CL486113
Field ID#: MWH-14 Page 1 of 1
Sample Description: 12"X 12"VCT(off-white)-Restroom Floor
Layer 1 Floor Tile Stereoscopic Examination
Color Texture flomoseneous? %Fibrous %Asbestos %of Sample
Off White Hard Yes ND ND 99
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % +/- Morpholow Pleochroism Ref.Index Ref Index Biref Angle Elongation
AggregateiVinyl Binders 100 Non-fibrous
Prep/treatment: heat!melt Asbestos Content: None Detected
--------------------------------- --- - -- - - - -
Layer 2 Yellow Mastic Stereoscopic Examination
Color Texture Ilomo eneous? %Fibrous %Asbestos %of Sample
Yellow-Tan Rubbery Yes ND ND 1
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % +/- Morphology Pleochroism Ref.Index Ref.Index Biref Angle Elongation
Glue Binders 100 Non-fibrous
Pre)lltreatment: heat/melt Asbestos Content: None Detected
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ------------
Comments: Analyst: Jessica Scott
Date Analyzed: 10112/2016
Lab.lob#: PLM-13115 I Same le#:CL486113
Bulk Asbestos Analysis Sheet
'9 Cates Laboratories EPA Method 600/R-93/116 NVLAP Lab No.200569-0
1339 Nlotor Circle TDSHS License No.30-0237
Dallas,Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj#: PLM-13115
Project: 1217 W.Hwy.114,Suite 124,Grapevine,TX 76061 Set#: 19651
Project#: P16-1004 Sample#: CL486114
Field ID#: MWH-15 Page 1 of 1
Sample Description: 12"X 12"VCT(off-white)-Restroom Floor
Layer 1 Floor Tile Stereoscopic Examination
Color Texture Homogeneous? %Fibrous °o Asbestos %of Sample
Off White Hard Yes ND ND 99
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % +!- morphologn, Pleochroism Ref.Index Ref.Index Biref Angle Elon a� tion
Aggregate/Vinyl Binders 100 Non-fibrous
Prei-Areatment:, heat 1 melt Asbestos Content: None Detected
-- --- ---------- -- -- ----- ------------------
Layer 2 Yellow Mastic Stereoscopic Examination
Color Texture Homo--eneous? %Fibrous %Asbestos %of Sample
Yellow-Tan Rubbery Yes ND ND 1
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components °fo +;= Morphology Pleochroism Ref.Index Ref.index Biref Angle Elongation
Glue Binders 100 Non-fibrous
Prep/treatment: heat/melt Asbestos Content: None Detected
- -- ---------------- -- -- ------------- ------ --
Comments: Analyst: Jessica Scott
Date Analyzed: 1 011 212 01 6
Lab Job#: PLM-13115 I Sam,le#:CL486114
Bulk Asbestos Analysis Sheet
Cates Laboratories EPA Method 600/R-93/116 NVLAP Lab No.200569-0
1339 Motor Circle TDSHS License No.30-0287
Dallas,Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj*: PLM-13115
Project: 1217 W. Hwy. 114,Suite 124,Grapevine,TX 76051 Set#: 19551
Project#: P16-1004 Sample#: CL486115
Field 1D#: MWH-16 Page 1 oi'1
Sample Description: Leveling Compound under Carpet-Lobby
Layer 1 Leveling Compound Stereoscopic Examination
Color "Texture fiomoaeneow? %Fibrous %Asbestos %of'Samnle
White Blocky Yes ND ND 100
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % +/- Morphology Pleochroism Ref Index Ref.Index Biref Angle Elongation
Aggregate/Binders 100 Non-fibrous
Prep/treatment: mechanical separation Asbestos Content: None Detected
--------------------------- - - -- - ---- -
Comments: Analyst: Jessica Scott
Date Analyzed: 101/212016
L,ab Job#: PLM-13115 I Sample#:CL486115
Bulk Asbestos Analysis Sheet
Cates Laboratories EPA Method 6001R-93/1 l6 NVLAP Lab No.200569-0
1339 Motor Circle TDSHS License No.30-0237
Dallas,Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj#: PLM-13115
Project: 1217 W. Hwy.114,Suite 124,Grapevine,TX 76051 Set#: 19651
Project#: P16-1004 Sample#: CL486116
Field ID#: MWH-17 Page I of I
Sample Description: Leveling Compound under Carpet-Lobby
Layer 1 Leveling Compound Stereoscopic Examination
Color Texture HomoeeneouO %Fibrous %Asbestos %of Sample
White Blocky Yes ND ND 100
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % -+/- Morphology Pleochroism Ref Index Ref.Index I3iref Angle Elongation
Aggregate/Binders 100 Non-fibrous
Pren/treatment: mechanical separation Asbestos Content: None Detected
Comments: Analyst: Jessica Scott
Date Analyzed: 10/12/2016
I.ab Job#: PLM-13115 Samrie#:CL486116
Bulk Asbestos Analysis Sheet
Cates Laboratories EPA Method 600/R-93/116 NVLAP Lab No.200569-0
1339 Motor Circle TDSHS License No.30-0287
Dallas,Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj#: PLM-13115
Project: 1217 W. Hwy.114,Suite 124,Grapevine,TX 76051 Set#: 19551
Project#: P16-1004 Sample#: CL486117
Field ID#: MWH-18 Page 1 of 1
Sample Description: Leveling Compound under Carpet-Lobby
Layer 1 Leveling Compound Stereoscopic Examination
Color Texture F(ornmeneous'? %Fibrous %Asbestos %of'Sample
White Blocky Yes ND ND 100
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % +/- MoMhology Pleochroism Ref.Index Ref Index Biref And Elongation
Aggregate/Binders 100 Non-fibrous
Prep/treat,nent: mechanical separation Asbestos Content: None Detected
------------------------------------ - - -- - - -
Comments: Analyst: Jessica Scott
Date Analyzed: 1 0/1 21201 6
Lab Job#: PLM-13115 I Sam le#:CL486117
Bulk Asbestos Analysis Sheet
Cates Laboratories EPA Method 600/R-93/116 NVLAP Lab No.200569-0
1339 Motor Circle TDSHS License No.30-0287
Dallas,Texas 75207(214)920-5006
Client: LTRC, Inc. Lab Proj#: PLM-13115
Project: 1217 W.Hwy.114,Suite 124,Grapevine,TX 76051 Set#: 19551
Project#: P16-1004 Sample#: CL486118
Field ID#: MWH-19 Page 1 of 1
Sample Description: Cove Base&Mastic-Lobby
Layer 1 Cove Base Stereoscopic Examination
Color Texture Homogeneous? %Fibrous %Asbestos %of Sample
Black Rubbery Yes ND ND 95
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components %u +(- Morphology Pleochroism Ref.htdex Ref Index Biref Angle Elongation
AggregateNinyl Binders 100 Non-fibrous
Prr/treatment: heat/melt Asbestos Content: None Detected
- --------- - --- --- -------------------- - ----
Layer 2 Yellow Mastic Stereoscopic Examination
Color Texture Flomotreneous? %Fibrous %Asbestos %of Sample
Yellow-Tan Rubbery Yes ND ND 5
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % I- MoMhologyr Pleochroism Ref.Index Ref Index Biref Angle Elongation
Glue Binders 100 Non-fibrous
Pren/treatrnent: heat/melt Asbestos Content: None Detected
-------------- ---------- ------------ ---- - --
Comments: Analyst: Jessica Scott
Date Analvzed: 1 0/1 21201 6
Lab Job#: PLM-13115 I Sam le#:CL486118
Bulk Asbestos Analysis Sheet
Cates Laboratories EPA Method 600lR-93/116 NVLAP Lab No.200569-0
t339 Motor Circle TDSHS License No.30-0287
Dallas,Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj 4: PLM-13115
Project: 1217 W. Hwy.114,Suite 124,Grapevine,TX 76051 Set#: 19551
Project#: P16-1004 Sample#: CL486119
Field III#: MWH-20 Page I of I
Sample Description: Cove Base&Mastic-Lobby
Layer 1 Cove Base Stereoscopic Examination
Color Texture Homo eneous? %Fibrous %Asbestos %of Sample
Black Rubbery Yes ND ND 95
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % +/- Morpholoav Pleochroism Ref Index Ref Index Biref Angle Elongation
AggregatelVinyl Binders 100 Non-fibrous
Prep/treatment: heat/melt Asbestos Content: None Detected
---------------------------------- - --- - - - - --
Layer 2 Yellow Mastic Stereoscopic Examination
Color Texture tI m�Yeneous? %Fibrous %Asbestos %of Sample
Yellow-Tan Rubbery Yes ND ND 5
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % +/- Morphology Pleochroism Ref.Index Ref.Index Biref An& Elongation
Glue Binders 100 Non-fibrous
Prep/treatment: heat/melt Asbestos Content: None Detected
- - - - - - - -- - - - - -- - - - - - - - - - - - - - -- - - - - ------------
Comments: Analyst: Jessica Scott
Date Analyzed: 10/12/2016
Lab Job#: PLM-13115 Sam le#:CL486119
Bulk Asbestos Analysis Sheet
Cates Laboratories EPA Method 600L11-93/116 NVLAP Lab No.200569-0
1339 Motor Circle TDSIIS License No.30-0287
Dallas,Texas 75207(214)920-5006
Client: LTRC,Inc. Lab Proj#: PLM-13115
Project: 1217 W.Hwy.114,Suite 124,Grapevine,TX 76051 Set#: 19561
Project#: P16-1004 Sample#: CL486120
Field ID#: MWH-21 Page 1 of 1
Sample Description: Cove Base&Mastic-Lobby
Layer 1 Cove Base Stereoscopic Examination
Color Texture Homogeneous? %Fibrous %Asbestos %of Sample
Black Rubbery Yes ND ND 95
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % +/- Morpholoa Pleochroism Ref Index Ref.Index Biref Angle Elongation
Aggregate/Vinyl Binders 100 Non-fibrous
PrePre /tit: heat I melt Asbestos Content: None Detected
---- -------- ------- ----- -------------------
Layer 2 Yellow Mastic Stereoscopic Examination
Color Texture Homogeneous? %Fibrous %Asbestos %of Sample
Yellow-Tan Rubbery Yes ND ND 5
PLM Examination:
Color/ Parallel Perpendicular Extinction Sign of
Components % I- Morphology Pleochroism Ref Index Ref.Index Bi_ref Angle Elongation
Glue Binders 100 Non-fibrous
Pren.%treatment: heat I melt Asbestos Content: None Detected
--------- - --------------- ---------------- --
Comments: Analyst: Jessica Scott
Date Analvzed: 10112/2016
Lab Job#: PLM-13115 I Sam ple#:CL486120
Texas Department of Texas Department of
State Health Services State health Services
Mold Assessment Consultant Asbestos fndMdual Management Planner
FARZ1N R AFSHAl7 - FARZIN R AFSHAR
License No.MAC0138 License No.205360
Control No.8176 -
Control No.96072
Expiration[date: 12/8/2016 �� Expiration Bate:615/2017
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