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BUILDING PERMIT
CITY OF GOLLEbE STATION
1101 TEXAS AVENUE, COLLEGE STATION, TX 77840
PHONE: (979)764-3570 FAX: (979)764-3496
http://bpinspect.cstx.gov
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Application Number . . . . . 08-00001854 Date 7/01/08
Application pin number . . . 343340
Property Address . . . . . . 1101 WILLIAM D FITCH PKWY
Property ID: 106200-0001-0010
R #: R110385
Application type description COMMERCIAL, REMODEL/RENOVATION
Subdivision Name . . . . . . ALAM ADDITION
Property Use . . . . . . . . BUSINESS
Property Zoning . . . . . . . UNKNOWN
Application valuation . . . . 35000
Owner Contractor
------------------------ ------------------------
CARG COLLEGE STATION INC TEXAS CIMARRON, INC
3309 VANCOUVER DR P.O. BOX 690207
953559754 HOUSTON TX 77269
(281) 890-1400
--- Structure Information 000 000 COFFEE BAR REMODEL
Construction Type . . . . . COMBUSTIBLE (UNPROTECTED)
Occupancy Type . . . . . . ASSEMBLY (IBC)
Other struct info . . . . . IMPACT/PRORATA FEES PAID NA
HEATED AREA 200.00
INTERIOR WALL TYPE SHEETROK
SEWER TYPE PUBLIC
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Permit . . . . . . BUILDING PERMIT
Additional desc . . CC
Permit pin number 584862
Permit Fee 185.00 Plan Check Fee .00
Issue Date 7/01/08 Valuation . . . . 35000
Expiration Date 12/28/08
Qty Unit Charge Per Extension
BASE FEE 15.00
34.00 5.0000 THOU BLDG, VAL 1001-50000 170.00
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Special Notes and Comments
PROVIDE ADDRESS ON COMMERCIAL BUILDINGS -FRONT: 5" ADDRESS
NUMBERS, AND ON REAR DOOR(S): 2" HIGH ADDRESS NUMBERS AND
NAME OF BUSINESS. FOR MULTI -FAMILY RESIDENTIAL PROVIDE UNIT
NUMBER ON FRONT DOOR AND IDENTIFY EACH UNIT FROM A REAR FIRE
LANE. IDENTIFY MULTI -FAMILY BUILDINGS WITH 12" BUILDING
NUMBERS, VISIBLE FROM ALL ADJACENT/NEARBY FIRE LANES. ALL
NUMBERS AND LETTERS SHALL HAVE CONTRASTING BACKGROUNDS.
Permit Number provided by the COCS shall be conspicuously
posted in the lower right hand corner of the banner.
-------------------------- ---------- - ----------------
BUILDING DEPT REPff�NTATIVE:
� n n
APPLICANT:
BUILDING PERMIT
CITY OF COLLEGE STATION
1101 TEXAS AVENUE, COLLEGE STATION, TX 77840
PHONE: (979)764-3570 FAX: (979)764-3496
http://bpinspect.cstx.gov
Application Number . . . . . 08-00001854
Application pin number . . . 343340
Page 2
Date 7/01/08
Special Notes and Comments
Shall be mounted parallel to the face of a building or
permanent structure.
Shall advertise only the name of, uses of, or goods or
services available within the building or tenant lease
space to which the banner is attached.
Shall not be located within public road ROW (State or
Local) .
Shall not obstruct any window, door, stairway, or other
opening inteded for ingress or for needed ventilation or
light.
Shall not exceed the top of the structure to which it is
attached.
NOTE FROM WATER DEPT--REDUCED PRESSURE ASSEMBLY REQUIRED FOR
CAR WASH, POSTMIX CARBONATER, AND HEATING/AC WITH DIRECT
CONNECTION TO WATER SUPPLY, WATER SUPPLY LINES SERVING THE
THIRD FLOOR OR HIGHER, AND LAWN IRRIGATION SYSTEMS.
ALL DEVICES MUST BE TESTED UPON INSTALLATION BY CERTIFIED
TESTER REGISTERED WITH THE.CITY OF COLLEGE STATION PUBLIC
UTILITIES DEPT. LAWN IRRIGATION MAY USE A PRESSURE VACCUM
BREAKER INSTALLED PER AWWA STANDARDS AND CITY'S ORD #2394.
ALL DEVICES MUST BE INSTALLED PER AWWA AND CITY'S ORD#2394
PROVIDE COMBUSTION AIR: FOR GAS -FIRED APPLIANCES PER SECTION
304 OF THE 2006 INTERNATIONAL FUEL GAS CODE; FOR OTHER FUELS
TO COMPLY WITH CHAPTER 7 OF THE 2006 IMC.
*ALL UTILITIES MUST BE DISCONNECTED BEFORE DEMOLITION
BEGINS. PLUMBING SEWER LINES MUST BE CAPPED TO AVOID STORM
WATER FLOWING INTO LINES. MAINTAIN SAFE JOB SITE AND REMOVE
ALL DEBRI PROMPTLY.
*ELECTRICAL SHALL BE INSTALLED PER 2005 National Electrical
Code & LOCAL AMENDMENTS
*Engineered Bracing Methods Used To Meet Windbracing
Requirements.
PROVIDE FIRE EXTINGUISHERS) - VERIFY LOCATION AND PLACEMENT
WITH THE FIRE MARSHALL'S OFFICE (MIN. 2A10BC)
*Assure Proper GFI Locations, Including One Within 25' Of
Outside A/C Unit
INTERIOR LIGHTING SHALL MEET THE CONTROLS AND WATTAGE
REQUIREMENTS OF SECTION 505 OF THE 2006 INTERNATIONAL ENERGY
CONSERVATION CODE.
CONSTRUCTION ACTIVITY BETWEEN THE HOURS OF 10:00 PM AND
7:00 AM MUST COMPLY WITH THE NOISE ORDINANCE (MAX. 55 DBA)
BUILDING DEPT REPREwfyn
VE:
APPLICANT:
BUILDING PERMIT
CITY OF COLLEGE STATION
1101 TEXAS AVENUE, COLLEGE STATION, TX 77840
PHONE: (979)764-3570 FAX: (979)764-3496
http://bpinspect.cstx.gov
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Page
3
Application Number . . . . . 08-00001854 Date
7/01/08
Application pin number . . . 343340
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Special Notes and Comments
*If PEX water supply piping is sleeved below the slab, seal
annular space at ends with caulk, foam or other means.
Also assure proper protection of pipe to U.V. light.
*ANY CHANGES OR ALTERATIONS TO SUBMITTED PLANS MUST BE
RESUBMITTED AND APPROVED BEFORE WORK IS DONE IN ORDER TO
ASSURE CODE COMPLIANCE
*POST PERMIT CARD ON JOB SITE TO BE VISIBLE FROM ROAD
AS PER THE ZONING ORDINANCE SECTION 12.3.L; ATTACHED
SIGNS SHALL NOT EXTEND MORE THAN ONE FOOT AWAY
FROM EXTERIOR BUILDING FACE
*ALL SILLS AND BOTTOM PLATES IN CONTACT WITH CONRETE MUST BE
TREATED OR NATURALLY RESISTANT TO INSECTS AND DECAY
*TEMPERED GLASS REQUIRED IN WINDOWS WITHIN 24" OF DOORS IN
ADJACENT WALLS
*ALL PLUMBING, ELECTRICAL, AND HVAC (mechanical) WORK MUST
BE PERFORMED BY LICENSED CONTRACTORS. CONTACT BUILDING
DEPARTMENT FOR INSPECTIONS PRIOR TO COVERING ANY WORK
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Fee summary Charged Paid Credited Due
----------------------------------------
-----------------
Permit Fee Total 185.00 185.00 .00
.00
Plan Check Total .00 .00 .00
.00
Grand Total 185.00 185.00 .00
.00
--------------------------------------------
BUILDING DEPT REPR E AyT�IIVE:
APPLICANT:
For Office Use Only
-
1 APPLICATION FOR BUILDING PERMIT DATE: 0. eU�RCC REG
CITY OF COLLEGE STATION 195
1101 TEXAS AVENUE APPLICATION #
COLLEGE STATION, TX 77840
Iv' TEMP POLE #
CITY OF COLLEGE STiVrIO
rlanu:ng&nr<rtnpraenl.Sen�i<�t�, (979) 764-3570 (979) 764-3496 FAX
WWW.CSTX.GOV 11,A.
LOT BLOCK SUBDIVISION
i_
W-_eq4W=Z-_ 110/ MUM P. 5thMmy
SEC/PH
BUSINESS/OWNER NAME: PHONE: G91 +7 '2- 5ZZ—
CONTRACTOR/HOM WNER: g; �; ` � PHONE: � D " 7 (/Z.-
CONTACT PERSON FOR REVIEW COMMENTS: 191& / �� C�HONE: '/ e
FAX:/� „► EMAIL:/ /� / ELECTRICIAN:
HVAC:
ACCESSORY/STORAGE
ADDITION
DEMOLITION (ASBES O , U
DUPLEX (LANDSCAPE PLANS REQUIRED)
LOCATION
RETAINING WALL
DESCRIPTION OF
PROPOSED USE:
STRUCTURE USE: b
GOOD CENTS (Residential only):
MOVING
NEW CONSTRUCTION*
PORTABLE STORAGE (RESIDENTIAL)
PORTABLE STORAGE (NON-RESIDENTIAL)
REMODEL/RENOVATION"
HOMEOWNER ASSOCIATION/ARCHITECTUAL OR DESIGN REVIEW COMMITTEE APPROVAL:
TEXAS ACCESSIBILITY STANDARD (TAS) PROJECT REGISTRATION NO. EABPRJ
VALUATION: $ " /j �64'dn' e5l`� TOTAL AREA: HEATED AREA:
(CosT6f Labor and Materials)
❑ PUBLIC SEWER
❑ SEPTIC/TREATMENT SYSTEM
SEWER TAP:
❑ WATER TAP:
❑ OTHER TAP:
❑ TEMP POLE
GARAGE TYPE
SIZE
SIZE
SIZE
SINGLE E]
ATTACHED
NUMBER OF BEDROOMS:
NUMBER OF BATHROOMS:
INTERIOR WALL TYPE:
EXTERIOR WALL TYPE:
FOUNDATION TYPE:
ROOF TYPE:
DOUBLE F__j TRIPLE
ED F—] CARPORT
RE -ROOF
SHELL ONLY
SLAB ONLY
SWIMMING POOL
TENT
SIGNATURE OF APPLICANT: rj'(W'd4Aj/ 1
*If proposed work involves new commer-c aI construc n or facade improvements/renovations to an existing
commercial property, building elevations are required.
Official Use Only
Comments:
0A
r NO
Plans Examiner Zoning Official
Energy Code Compliance Information
% Glazing of exterior walls
Insulation R value of exterior walls
Insulation R value of ceiling 1 (flat areas)
Insulation R value of ceiling 2 (vaulted areas/no attic)
Glazing SHGC (Solar Heat Gain Coefficient)
Glazing U-Factor
R value of ductwork
A/C SEER Rating
Protection Against Subterranean Termites
❑ Chemical Termiticide Treatment (Soil Treatment)
❑ Chemical Termiticide Treatment (Field Applied Wood Treatment)
❑ Physical Barriers
❑ Other
* Verification of Application shall be submitted to the City of College Station
Building Division prior to issuance of the Certificate of Occupancy.
ADVANCED ENVIRONMENTAL ANAL YSIS, INC.
25694 NELSON RD.
HEMPSTEAD, TEXAS 77445
I
March 10, 2008
Mr. Frank Pedrique
McDonald's
25675 Overlook Pkwy., Apt. 305
San Antonio, Texas 78260
Re: AEA Job # 5248-B
Dear Mr; Pedrique;
Please find enclosed the Limited CBB Bulk Survey Report conducted by Advanced Environmental
Analysis, Inc. (A.E.A.) on February 28, 2008 at the McDonald's Restaurant (42-2241) located at
101 Greens Prairie, in College Station, Texas.
Please keep in mind, if you are planning any future asbestos remediation, A.E.A. is capable of
conducting a full range of asbestos consulting services. These services include but are not to:
Project Design, Project Management, Written Specifications, Written O & M Plans or Management
Plans, Contractor Bid Processes, Building Surveys, Air Monitoring and Microscopic Analysis.
The information contained in this report is indicative of the conditions that existed at the time of the
survey. Any change in these conditions could require a revision of the recommendations made. If
you have any questions or if we can be of further assistance, please contact A.E.A at (281) 351-
1301 or FAX us at (281) 255-6162.
Sincerely,
I
M. Lance Hendrix
Asbestos Consultant
DSHS #'10-5096
Advanced Environmental Analysis, Inc.
i
Enclosure
cc: File
Job # 5248-B
ADVANCED ENVIRONMENTAL ANALYSIS, INC. PHONE (281) 351-1301, FAX (281) 255-6162
i
PREPARED FOR:
Mr. Frank Pedrique
McDonald's
25675 Overlook Pkwy., Apt. 305
San Antonio, Texas 78260
REPORT # 5248-b
PROJECT LOCATION
McDonald's Restaurant (42-2241)
101 Greens Prairie
College Station, Texas
CONDUCTED BY:
M. Lance Hendrix
DSHS # 10-5096
DATE OF SURVEY:
February 28, 2008
DATE OF REPORT:
March 10, 2008
TABLE OF CONTENTS
1.0 INTRODUCTION
2.0 RESULTS
3.0 RECOMMENDATIONS
APPENDICES
APPENDIX A INSPECTION REPORT
APPENDIX B LABORATORY REPORT
APPENDIX C TEXAS DEPARTMENT OF STATE HEALTH
SERVICES LICENSURE
1.0 INTRODUCTION
On February 28, 2008, samples were collected during a survey conducted by A.E.A. at the
existing McDonald's Restaurant (42-2241) located at 101 Greens Prairie, in College Station,
Texas. Mr. M. Lance Hendrix of A.E.A performed the inspection.
The purpose of the survey was to determine the presence of asbestos in the suspect building
materials before renovations. Mr. Alex Fazzio with Castles Design Group of Houston, Texas
specified the scope of work. A total of eleven (11) samples were collected from the location.
TAHPR requires that at least three (3) samples of each suspect material be collected.
The results given in this report are compared to current Environmental Protection Agency (EPA)
standards / guidelines. The EPA considers materials which contain asbestos in a quantity of
greater than one percent (>01 %) to be Asbestos Containing Materials (ACM). In layered
materials (such as a textured wall), each layer is to be sampled individually.
This report contains data, which is indicative of the conditions that existed at the time of the
survey. It should be noted that these conditions could change as a result of any number of
factors. Please keep in mind that some materials may have been hidden or inaccessible during
the survey. This is the reason that the Texas Department of State Health Services (DSHS)
requires a National Emission Standard for Hazardous Air Pollutants (NESHAP) trained people
on a site during any demolition. This report may not be reproduced except in full without the
written permission of Advanced Environmental Analysis, Inc.
2.0 RESULTS
Results from the analysis of the collected materials indicated that zero (0) of the eleven (11)
sample's taken contained asbestos greater than 1 % asbestos.
The location and condition of the material are outlined in the following Building Inspection
Form found in Appendix A. The bulk analyzation laboratory report from CA Labs, LLC of
Baton Rouge, LA. is provided in Appendix B.
Appendix A Contains a table outlining:
A. Description of specific sample locations.
,B. Type of material sampled.
C. Type and percentage of asbestos detected.
Appendix B Contains a copy of the CA Labs, LLC Laboratory report including:
A. Description of analysis method(s) used.
B. Record of all regulations governing the analysis of the samples.
C. Table showing sample ID, result, (if asbestos is present) type and percentage of
asbestos detected and any other type of fibers detected.
Appendix C Texas Department of State Health Services Licensure
3.0 RECOMMENDATION
A. The DSHS regulation 295.34 subpart (g) requires that any asbestos remediation project
consisting of 160 square feet, 260 linear feet or 35 cubic feet of material be designed by a
licensed Asbestos Consultant.
B. The DSHS regulation 295.58 subpart (i) states that any asbestos remediation project must
be monitored for the presence's of airborne fibers and also must be visually cleared at the
end of the project by a licensed Asbestos Consultant or a licensed Asbestos Project
Manager to whom this work has been delegated.
C. Removal, clean-up, repairs, or abatement of asbestos containing materials should be
accomplished by competent personnel who are skilled at this type of work and who will
adhere to the strict OSHA and EPA regulations associated with asbestos abatement
activities.
D. All materials that could become friable should be removed prior to demolition or
renovation.
E. Before demolition or renovation, a comprehensive survey of the area should be
performed.
PREPARED BY:
M. Lance Hendrix
Asbestos Consultant
DSHS # 10-5096
Advanced Environmental Analysis, Inc.
# 5248-B
APPENDIX A
- INSPECTION REPORT -
LIMITED CBB INSPECTION REPORT
MCDONALDS RESTAURANT (42-2241)
101 Greens Prairie
College Station, Texas
Sample ID
Location & Description
Type of Asbestos
Percent
Condition
IA
2' x 2' ceiling tile in the lobby area
None
00%_
Fair
I B
" "
None
00%
Fair
1 C
None
00%
Fair
2A
2' x 2' sheetrock type ceiling tile in kitchen
None
00%
Fair
2B
" "
None
00%
Fair
2C
" "
None
00%
Fair
3A
Sheetrock with joint compound in the CBB area
None
00%
Fair
3B
None
00%
Fair
3C
4C 44 64 44 4C 46None
00%
Fair
4A
Exterior window caulking at drive thru
None
00%
Fair
5A
Texture on exterior of building @ drive-thru
None
00%
Fair
APPENDIX B
- LABORATORY REPORT -
Polarized Light Microscopy Report
Analysis Method: interim (40CFR Part 763 Appendix E to Subpart E) / Improved
(EPA-600 / R-93/116)
Preparation Method: HCL acid washing for carbonate based samples, chemical
rcductmn for organically bound components, oil immersion for
identification of asbestos types by dispersion attaming / becke line method.
Client Information:
Client Project:
CA Labs Project #
Advanced Environmental Analysis
2241
CBR0803826
25694 Nelson Road
Date: 03/07/08
Hempstead, TX 77445
Phone: 281-351-1301
Turnaround Time: 5 day
Samples Received: 03/03/08
Fax: 281-255-6162
Attn: Lance Hendrix
Purchase Order #:
Sample#
Layer #
Analysts Physical Description
Homo-
Asbestos type / calibrated
Non -asbestos fiber type / percent
Non -fibrous type / percent
of Subsample
geneous
visual estimate percent
(Y/N)
(none detected = absent /
asb.and visual% = resent
lA
1
white ceiling tile
Y
None Detected
30% cellulose
40% fiberglass
10% carbonates
20% binder
1 B
1
white ceiling tile
Y
None Detected
30% cellulose
40% fiberglass
10% carbonates
20% binder
I C
1
white ceiling tile
Y
None Detected
30% cellulose
40% fiberglass
10% carbonates
20% binder
2A
1
brown tape
Y
None Detected
100% cellulose
2
white sheet rock
Y
None Detected
10% cellulose
20% binder
70% gypsum
213
1
brown tape
Y
None Detected
100% cellulose
2
white sheet rock
Y
None Detected
10% cellulose
20% binder
70% gypsum
2C
1
brown tape
Y
None Detected
100% cellulose
Melissa Newman
Analyst
NVLAP # 200772-0
LDEQ LELAP # 03069
TDH # 30-0370
Page 1 of 3
Approved Signatories:
Cody Newton
Laboratory Director
Notes:
Some samples (floor tiles, surfacing, etc.) may contain fibers too small too be detectable by PLM. TEM Chatfield analysis of bulk material is recommended in this case. All asbestos percentages are based on calibrated
visual estimates traceable to MST standards for regulated asbestos types. Analysts' percentages fall within a range of acceptable percentages, depending on the actual concentration of asbestos. CA Labs is accredited
by the National Voluntary Laboratory Accreditation Program (NVLAP) for selected test methods for bulk asbestos fiber analysis (PLM) and airborne fiber analysis (TEM). This test report relates only to the item
tested. CA labs participates in the AIHA EMPAT proficiency program. This test reports relates only to the item tested. Neither NVLAP nor EPA accreditation implies endorsement by any US Government agency.
This report may not be reproduced except in full without written permission from CA Labs.
The results are submitted pursuant to CA Labs' current term and condition of sale, including the company's standard warranty and limitation of liability provisions and no responsibility or liability is assumed for
the manner in which the results are used or interpreted. Unless notified in writing to return the sample's covered by this report, CA Labs will store the samples for a period of nmety (90) days before discarding. A
shipping and handling fee may be assessed for the return of any samples.
Analysis perfomwd at C.A. Labs 12232 Industriplex. Suite 32: Baton Rouge, LA 70809: phone (225) 751-5632, fax (225) 751-5634, mobile (225) 806.5416
Polarized Light Microscopy Report
Analysis Method: Intenm (40CFR Part 763 Appendix E to Subpart E) / Improved (EPA-600 f R-93/116)
Preparation Method: HCL acid washing for carbonate based samples, chemical reduction for organically bound components, oil immersion for
identification of asbestos types by dispersion attaining / becke line method.
Client Information:
Client Project:
CA Labs Project #
Advanced Environmental Analysis
2241
CBR0803826
25694 Nelson Road
Date: 03/07/08
Hempstead, TX 77445
Phone: 281-351-1301
Turnaround Time: 5 day
Samples Received: 03/03/08
Fax: 281-255-6162
Attn: Lance Hendrix
Purchase Order #:
Sample#
Layer #
Analysts Physical Description
Homo -
Asbestos type / calibrated
Non -asbestos fiber type / percent
Non -fibrous type / percent
of Subsample
geneous
visual estimate percent
I
(Y/N)
(none detected = absent/
asb.and visual% = resent)
2C 2
white sheet rock
Y
None Detected
10% cellulose
20% binder
70% gypsum
3A 1
white texture material
Y
None Detected
5% quartz
5% mica
90% carbonates
2
white joint compound
Y
None Detected
20% binder
80% carbonates
3
brown tape
Y
None Detected
100% cellulose
4
white sheet rock
Y
None Detected
10% cellulose
20% binder
70% gypsum
3B I
white texture material
Y
None Detected
5% quartz
5% mica
90% carbonates
2
white joint compound
Y
None Detected
20% binder
80% carbonates
3
brown tape
Y
None Detected
100% cellulose
Melissa Newman
Analyst
N V LAP # 200772-0
LDEQ LELAP # 03069
TDH # 30-0370
Page 2 of 3
Approved Signatories:
Cody Newton
Laboratory Director
Notes:
Some samples (floor tiles, surfacing, etc.) may contain fibers too small too be detectable by PLM. TEM Chatfield analysis of bulk material is recommended in this ease. All asbestos percentages are based on calibrated
visual estimates traceable to MST standards for regulated asbestos types. Analysts' percentages fall within a mnge of acceptable percentages, depending on the actual concentration of asbestos. CA Labs is accredited
by the National Voluntary Laboratory Accreditation Program (NVLAP) for selected test methods for bulk asbestos fiber analysis (PLM) and airborne fiber analysis (TEM). This test report relates only to the items
tested. CA labs participates in the AIHA EMPAT proficiency program. This test reports relates only to the items tested. Neither NVLAP nor EPA accreditation implies endorsement by any US Government agency.
This report may not be reproduced except in full without written permission from CA Labs.
These results arc terms
submitted pursuant to CA Labs' current tes and condition of sale, including the companyis standard warranty and limitation of liability provisions and no responsibility or liability assumed for
the manner in which the results are used or interpreted. Unless notified in writing to return the samples covered by this report, CA Labs will store the samples for a period of ninety (90) days before discarding. A
shipping and handling fee maybe assessed for the return of any samples.
Analysis performed at C.A. Labs 12232 Industriplex, Suite 32: Baton Rouge, LA 70809: phone (225) 751-5632. fax (225) 751-5634, mobile (225) 806-5416.
Polarized Light Microscopy Report
Analysis Method: Interim (40CFR Pan 763 Appendix E to Subpart E) / Improved (EPA-600 / R-9311 16)
Preparation Method: HCL acid washing for carbonate based samples, chemical reduction for organically bound components, oil immersion for
identification of asbestos types by dispersion attaining / becke line method.
Client Information: Client Project: CA Labs Project #
Advanced Environmental Analysis 2241 CBR0803826
25694 Nelson Road
Hempstead, TX 77445
Phone: 281-351-1301
Fax: 281-255-6162
Turnaround Time: 5 day
Attn: Lance Hendrix
Date: 03/07/08
Samples Received: 03/03/08
Purchase Order #:
Sample#
Layer #
Analysts Physical Description
Homo-
Asbestos type / calibrated
Non -asbestos fiber type / percent
Non -fibrous type / percent
of Subsample
geneous
visual estimate percent
(Y/N)
(none detected = absent /
asb.and visual% = resent)
313
4
white sheet rock
Y
None Detected 10% cellulose
20% binder
70% gypsum
3C
1
white texture material
Y
None Detected
5% quartz
5% mica
90% carbonates
2
white joint compound
Y
None Detected
20% binder
80% carbonates
3
brown tape
Y
None Detected 100% cellulose
4
white sheet rock
Y
None Detected 10% cellulose
20% binder
70% gypsum
4A
1
gray material
Y
None Detected
90% binder
10% carbonates
5A
1
off white plaster
Y
None Detected
25% quartz
material
35% binder
40% carbonates
Melissa Newman
Analyst
NVLAP # 200772-0
LDEQ LELAP # 03069
TDH # 30-0370
Page 3 of 3
Approved Signatories:
Cody Newton
Laboratory Director
Notes:
Some samples (floor tiles, surfacing, etc.) may contain fibers too small too be detectable by PLM. TEM Chatfield analysis of bulk material is recommended in this case. All asbestos percentages are based on calibrated
visual estimates traceable to MST standards for regulated asbestos types. Analysts' percentages fall within a range of acceptable percentages, depending on the actual concentration of asbestos. CA Labs is accredited
by the National Voluntary Laboratory Accreditation Program (NVLAP) for selected test methods for bug: asbestos fiber analysis (PLM) and airborne fiber analysis ITEM). This test report relates only to the items
tested. CA labs participates in the AIHA EMPAT proficiency program This test reports relates only to the items tested. Neither NVLAP nor EPA accreditation implies endorsement by any US Government agency.
This report may not be reproduced except in full without written permission from CA Labs.
These results are submitted pursuant to CA Labs' current terns and condition of sale, including the companys standard warranty and limitation of liability provisions and no responsibility or liability is assumed for
the manner in which the results are used or interpreted. Unless notified in writing to return the samples covered by this report, CA Labs will store the samples for a period of ninety (90) days before discarding. A
shipping and handling fee my be assessed for the return of any samples.
Analysis performed at C.A. Labs 12232 Industriplex, Suite 32; Baton Rouge, LA 70809; phone (225) 751-5632, fax (225) 751-5634, mobile (225) 806-5416.
APPENDIX C
- TEXAS DEPARTMENT OF STATE HEALTH -
- SERVICES LICENSURE -
EXAS DEPARTMENT OF STATE HEALTH SERVICES
ADVANCED ENVIRONMENTAL ANALYSIS, INC
i
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*' • ' TEXAS •
Asbestos Consultant Agency Control
rut
Stalc uJ T'etuc tvnhut the purviett• of /'etas Qecupatians ('ndr, c hnpter /954, sv IurrK as this lu etrse r.c nut , , State
or 41
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vsPt•rrdt•d ur rewlked and is renett.ed ur,v»'di,rg to the "Id- tillapted In, the Tetas Iluard ujfleu/dt EP%+tYMent of State +
tIL Neatt6 Sen.ices cer-tifie. that:
C. HF.'YD
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iva! (Irn.
1rlt,tstt
DAVIO I.AKFY, M.1)
COMMISSIONER OF HEAL m
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