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A so rS10 S & LEAD HFM OV'\L S P l C I !\ l IS rs · R EM ED IA TION e. RE S TORAT ION 5 E H V I C ES
ASBESTOS INSPECTION REPORT
For thc Subject Property:1519 Woodland Ave, Kalispell Mt
Report Date: 10-18-201 2Onsite Inspection Datc: 10-09-2012
Prepared by:Mikc Foust
Abatement Contractors of Montana (AC M)
Prepared for:University of Montana
32 Campus DriveMissoula Mt 59812
Abatement Contractors of Montana. LLC Po Box 8747 Missoula Montana
APPENDIX I--REPORT
APPENDIX II RESULTS
APPENDIX III DRAWING
APPENDIX IV CITY FORMS
1ABA1aIENTCONTRACTORS
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10-17-2012
Brad EvengerUniversity of Montana32 Campus DrMissoula Mt 59812
RE: Report for Comprehensive Asbestos Inspection1519 Woodland Ave in Kalispell Mt .
Dear Mr. Evenger,
Abatement Contractors of Montana, LLC. (ACM) is pleased to provide this sampling reportfor a Asbestos Inspection conducted at the referenced site. The inspection was performedon Date by Mr. Mike Foust, a Montana Department of Environmental Quality (DEQ)accredited asbestos inspector. His credentials are attached.
ACM collected a total of Total 19 bulk samples representing Quantity (6) homogeneousareas of suspected asbestos-containing building materials (ACBM). A floor plan drawingwith sample locations is attached.
Property Description:This property is a unique 1 level residential unit originally buill in 1930 and landimprovements in 1980 with detached garage. This property has had some additions to theoriginal structure. These bUildings are comprised of the following components :
House Exterior:1. Foundation -is 1176 square feet of Concrete and cinder block (small
crawlspace for furnace) :2. Exterior Walls-wood sheathing with foam and vinyl siding3. Windows-Aluminum single pane4. Roofing- Asphalt shingle under white metal roofing5. Attic- gable roof with blow-in (recycled paper top layer) and paper insulation on
the base layerHouse Interior:
1. Heating -Central forced air Fuel type is electric2. Bedrooms - 23. Bathrooms-1 full bath4. Fire Places-1 in use5. Walls-Plaster walls, sheetrock, panel boards6. Floors-wood joist and ply wood on the original structure, concrete where the
original garage was.Detached Garage
1. Foundation -is Concrete2. Exterior Walls-wood sheathing with foam and vinyl siding3. Windows-Aluminum single pane4. Roofing- Asphalt shingle under white metal roofing
P.O. Bo x 8747, Missoula, MT 59807www.montanaabatemenl.com
PHONE 406 .549.8489FAX 406.728.9416
Page2Report for Asbestos Inspection
Samples listed in Table 1 tested POSITIVE for asbestos.
The inspection was performed in accordance with the Occupational Health and SafetyAdministration (OSHA) 29 Code of Federal Regulation (CFR) 1926.11 01(k), DEQ and theNational Emission Standards for Hazardous Air Pollutants (NESHAP) 40 CFR 61, SubpartsA and M, and applicable portions of the currently recognized standard protocol developedfor schools under the Asbestos Hazard Emergency Response Act (AHERA) and aspromulgated in Title 40, Code of Federal Regulations (40 CFR), Part 763 and as amendedin the Federal Register. One (1) copy of the laboratory analytical results are attached.
Required prior to renovation or demolition of building materials, the asbestos inspectionconsisted of a detailed survey of all building materials which will be disturbed by therenovation process. Suspect ACBM were visually identified and touched prior to sampling.Samples were placed into homogeneous area (HA) groups, using a coding method toclassify each material by type , texture, color, and location . Components of the inspectionincluded:
• Identification of homogeneous suspect materials on a room-by-room basis;• Collection and analysis of bulk samples to confirm or deny the presence of
asbestos; and. • Bulk samples were not collected from any homogeneous material made of
fiberglass, wood, foam, glass, or rubber.
A minimum of three (3) samples were collected from random locations of each HA ofsuspect material. Selected materials were limited to HA's affected by the renovationarea. Samples were collected from existing damaged materials , as applicable. Sampleswere placed in pre-labeled plastic conta iners for transport to the laboratory.
Samples were shipped, under chain-of-custody protocol for Standard analysis, to SanAirTechnologies Laboratory in Powhatan, Virginia, for bulk asbestos analysis utilizingPolarized Light Microscopy (PLM) coupled with dispersion staining for asbestosidentification.
The inspection was completed under the National Emissions Standards for Hazardous AirPollutants (NESHAP) 40 CFR 61, which governs asbestos inspections and abatement ofACBM prior to demolition or renovation of all residential, commercial, or public facilities.Building materials confirmed as containing asbestos in concentrations greater than one (1)percent (>1%) are placed into one (1) of three (3) NESHAP categories:
• Category I: non-friable ACBM includinq packings, gaskets, floor coverings, roofingproducts;
• Category II: non-friable ACBM including transite, shingles, piping and electricalwiring, excluding Category I non-friable ACBM, containing >1% asbestos; or
• Regulated Asbestos-Containing Material (RACM): friable ACBM, Category I nonfriable ACBM that will or may be SUbjected to sanding, grinding, culling , orabrading, and/or Category II non-friable ACBM that have a high probability ofbecoming or have become crumbled, pulverized, or reduced to powder by forcesexpected to act on the material in the course of demolition or renovation operations.
P.O. Box 8747, Missoula, MT 59807www.montanaabatement.com
PHONE 406.549.8489FAX 406.728.9416
Page 3Report for Asbestos Inspection
ACM collected Total of 19 bulk samples representing Quantity (6) HA's of suspectedACBM . Materials testing positive for asbestos are summarized in Table 1:
Table 1: Summary of ACBMs
SampleHA Description Location
Quantity NESHAP ResponseNo. ISF) Cate9~ Action
P-3Plasterljoint
Soulhwall RACMRemove be
compound --- renovationOr
disturbance
SF =Square Feel RACM =Regulaled Asbestos-containing Malerial• Materials disturbed during renovationshall beabated prior to renovation
Laboratory analysis confirmed that asbestos was not present (none-detected) inthe following HA's sampled during the inspection.
Code Material Description Location
P-1,2L-1,2,3R-1,2,3KL-1,2,3WB-1,2,3S-1,2,3,4
Summary
plasterlwhite +pinkWhite Linoleum
Asphalt roofingyellow linoleum
pink wall boardSheetrock
originat house ( assume all 4 sides)bathroom floorroofing under metal roofkitchen floor and backsplashbehind bathroom vanitymaster bed, kitchen, through out
Prior to renovation of the building, a Monlana-accred~ed asbestos abatement contractorshall abate all ACBMs listed in Table 1 in accordance with federal , state. and local laws.DEQ may require a final air clearance be conducted after abatement.
Limitations
This asbestos inspection summary was prepared based on information gathered duringour site visit and interpretations of laboratory results of bulk samples collected during theinspection. The inspection was limited to selected areas within the structure(s).Addi tiona l sampling may be required if add itional HA's are exposed during materialremoval. or the scope of work is expanded to include HA's that have not been inspectedor analyzed for asbestos content.If you have any questions regarding this report or have addfional needs, please call me at406.549.8489.
Sincerely ,Mike FoustAttachments: Inspector Credentials
Sample Location DrawingAsbestos Laboratory Analyt ical Results
P.O. Box 8747 , Missou la, MT 59807www.montanaabatement.com
PHONE 406.549.8489FAX 406 .728.9416
APPENDIX II
RESULTS
SanAir Technologies Laboratory
Analysis Report
prepared for
Abatement Contractors ofMontana, LLC
Report Date: 10/17/2012Project Name: 1519 WoodlandProject #: IH 118SanAlr 10#: 12020783
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www.sanarr.com
~i!. SanAir Technologies Laboratory, Inc.1551 Oakbridge Drive. Suite B. Powha tan, VA 23139804.897.1177 ToUFree: 888.895.1177 Fax: 604.897.0070Web: hllp:JJ\o/w'w.sana ir.com E-mail: [email protected]
sanAir ID number
12020783FIRAt. REPORT
Name:Address:
Abalemenl Contractors 01 Monlana, LLC 'PO Box 8747Missoula, MT 598 07
Project Number:P,O, Number:
Proje ct Name:
Collected Date:Received Date:
Report Date:Analyst :
IH 118
1519 Woodland
10/9/20121011 61201210:15:00 AM10/17/201210:29:40 AMTallert, Jonathan G,
Asbestos Bulk PLM EPA 600/R-93/116Stereoscop c l<!lDJJll!nm1lI Asbestos
SanAir 10 I Description , " Appearance % Flbroue % Non-Abroue AbersP-l I 12020783-001Pl~stcr . Pl as ter
P - l I 120 20783-001Plas t er, Skim Coa t
Greyr:on -f' i brousHomoge ne ou si·:hite:lon · f i br ousHomogeneous
100 % Ot her
l OOt Other
x cnc De t ected
< 1'4 c hrvsot H e
Stereoscop c l<!lDJJll!nm1lI s tosnAir 10 I Description Appearance % Abrous % Non-Abrous Abera
P-2 / "12 02 0783 -002pf a st c r, Plaster
~-2 I 12020783 - 002Plaster , Skim Co~t
Gr eynon~Fi brous
Ho mogene o us
t'lh i texon- r I brcuslIomOlJeneous
10 0 \ Other
100? oth e r
< l"t Chrys ol ile
<: 1'to Chrysotile
Stereoscop c l<!lDJJll!nm1lI As stosSanAlr 10 I Description Appearance % Fibrous % Non-Fibrous Fibersp- 3 I l 2 0 ~ 0 7 8 3 - 00 3
r'Jes c cr- , Pl aster
P-3 I 12020783 - 003Plaste r, Sk im Coa t
P-3 I 120 2078 3-00 3Plaster . J o i n t Compound
Gr eyncn - t'Lbr c usHomogE."neou~
Nhitctron 4:-i br cusnoeoceneousBe i g etrc n - r IbrousHotr.OQetleous
1 0 0~ Ol her
l OOt Othe r
9 8 ~ Othe r
<: 1% Chryso l.i l e
< 1t chr ysot. Lrc
2\ Chrysot.i Le
Stereoscopic ~ AsbestosanAlr 10 I Description Appearance % Abrous % Non·Abrous Abers
L- l I 120207B3-004Ba t hroom Linol eum
Nhi t eNon-Fibr ousHomogene ous
15% c ellulose 85~ Other No ne Det ected
Stereoscopic l<!lDJJll!nm1lI "" -,,,,,,. ,."Y. ': ,,- • Asbestos ,ro, -" "snAi r 10 I Description Appearance % Fibrous % Non-l'Ibrous ' " -Flbers ' __'_' .,'.
L- 2 I 120207A3- 005Bat hroom Li noleum. Lino l eum
L- 2 I 12020783 -005Bathroom Linol eum. Mds t i c
Certification
~Jh ite
Non- Fi br ousn c eo a cnc ous
Ye llowlion -F i brousHOillOQcncous
15% Cell ulose 85 \ Ot he r
I DOl Ot h e r
None De t e c t ed
no ne Detected
Signature:
Date:~
10 /1 7 / 2 01 2
I)
ReVjeWed :):(/<?>~~ b-r:n::;jDate: 1 0 117 n on Page 1 of 4
~.i.r SanAir Technologies Laboratory, Inc.1551 Oakbridge Drive. Suite B, Powhatan. VA 23139804 .897.1177 Toll Free: 888.695 .1177 Fax : 804.897.0070Web: htlp:f/www.sanair.com E-mail: [email protected]
SanAir ID Number
12020783F INAL REPORT
Name:Address:
Abalement Contractors 01 Montana. LLCPO Box 8747Missoula. MT 59807
Pro ject Number:P.O. Number:
Project Name :
Collected Date:Received Date:
Report Date:Analysl:
IH 118
1519 Woodland
10/9/201210/161201210:15:00 AM10/17/2012 10:29:40 AMTallett, Jonathan G.
Asbestos Bulk PLM EPA 600/R-93/116StereoscopIc ~ Asbestos
anAlr 10I OescrlpUon Appeamnce % Fibrous % Non·Flbrous FibersL- 3 I 12020783 - 00 6Ba t hroom t.Ino l eua , r.Ino t eun
L -3 I 12020783 -00 6Bathroom Linoleum. Maslic
~':h i tel-Ion - Fi br owiHomogeneous
vc I I owNon-F i brou suonoaeneous
1 5~ Cell ulose B5~ Ot her
JOO't Ot h e r
Uon e Detected
x on o De t ected
lereoscop c ~ s stosnAir 10I DescrlpUon Appeamnce % Fibrous % Non·Flbrous Fibers
R-l I 1202 0783 -007Asphalt Roofing Under I1cta lRoofing
BlackNon - Fi br oustrcmocencous
10% Cell ul ose 9 0 'l. Ot he r None Detected
Siereoscopic ~ AsbastosanAlr 10 I Description Appesmnce % Fibrous % Non·Flbrous Fibers
R- 2 / 120 201 83 -008As pha Lt; Roofing under Ne t e lRoo f i ng
Blackflon- Fibr ousHomogen eo us
10\ Cellul ose 90 't Ot her None Detected
Stereoscopic ~ AsbestossanAlr 10 I OescrlpUon Appearence % Fibrous % Non-Fibrous FibersR-3 / 12 020783 -009Aspha lt Roofing Under Me t a lRoof i ng
Al a c kNon - f i br ousliomogCllc om;
1 0 ~ Ce ll u l o se 9 0~ Ot he r None Detected
Stereoscopic ~ AsbestosSanAlr 10I DescrlpUon Appearance % Fibrous % Non·Flbrous FibersKL-1 / 12020783-010Li no l eum On Floor J\nduocksp lesb I n Hi t chcn , Linc I e um
KL-1 / 1202 0783 -010Linoleum On Floor Andnacks p t e s h I n xt t cnen . 1·~J,.s t i c
Yel lo....'Non- FibrousHomogeneousYello....·Non-FibrougHomogcncoug
10 0% Ot her
l OOf. Ot he r
None Detected
Non e Vt"tected
Stereoscopic ~ .···c·-, AsbestosnAir 10 I Oescrlpllon Appeamnce % Fibrous % Non·Flbrous FIbers
KL- 2 / 12020783-011Linoleum On Floor Anduackspfesh I n l:i t c hen . Li nol eumKI.- 2 / 12020783 - 0 11Linole um On m oor Andg a r-ks p jaa h I n j t i t c hc n , :'ld ~;ti c
Certification
Yel l ownon- r Ibrousucmoacncous
Ye llo·.~'
Non-FibrollsHomogeneous
100~ Other
10 0 ~ Other
llo ne Detected
None Detcct:ed
Signalure:
Dale: 10 / 17 / 2 01 2
/7ReViewed:A""'~~ c: , 'I~
Dale: 10 /1 7 /7. 01 2 Page 2 of4
SanAir Technologies Laboratory, Inc.1551 Oakbridge Drive. Suae B. Pcwnatan. VA 23 139804.897.1177 Toll Free: 888.895.t 177Fax: 804.897.0070Web: hup:ll www.sanair.com E-mai l: [email protected]
SanAi r I C Number
12020783FItlAL RE PORT
Name:Address:
Abalcmcnl Contractors 01Monlana. llCPO Box 8747MiSsoula. MT 59807
Pro ject Numb er:P.O. Number:
Project Name:
Collected Oate:Received Date:
Report Date:Analysl:
IH 118
1519 Woodland
101912012101161201210:15:00 AM10/17/201210:29:40 AMTaIiM . Jonathan G.
Asbestos Bulk PLM EPA 600/R-93/116Slereoscopic ~ Asbestos
sanAlr 10/ Descrlp tJon Appearance % FIbrous % Non-FIbrous Flberaf~-3 I 12020783-012Linoleu:n. D:1 Floor AndBacksplash In Kit chen . Linolc~..KL-3 I 12020783 ·012Lino leum On Fl oor AndBackspldsh In Ki t chen. l{Josti e
Ye llowNon-Fi b r ousI lomogcncou~
Yel lowNon-f' ibrou~
Homog eneou s
10 0\ Ot her
100 \ Ot her
xone Cetect.ed
xcnc Detec t ed
Slereosco c ~ As estossanAlr 10/ Descrfptlon Appearance % FIbrous % Non-FIbrous Flbere~m-l I 12020783- 013;-;.:111 Co ver i ng Behind Ba throomSink
pir.kFibrousHo:nog e n e o u::>
50 \ Cellu lose 50% Other No n e De t e c t ed
Slereoscop c ~ As eslosSanAlr 10I Descrfpllon Appearance % FIbrous % Non-FIbrous FlberaWB- 2 I 120201B3 -0 14\':<1 11 Covering Beh I ud Bo t h r oo mSink
PinkPibrousncracco neous
50'~ Cell u lose 50 % Other None De tected
Slereoscop c ~ AsbestosSsnAlr 10 / Description Appearance % FIbrous % Non·Abrous Abe",~B ·3 I 12020783-015t'ra ll Covering neh Ind Bat hroomSi nk
PinkPibrousuomoqeneous
50'f. Ce l lulose 501 OLhe r None Det ected
Sleraoscopic ~ AsbeslosanAlr 10I Descrfptlon Appearance % FIbrous % Non·Flbrous Flbera
S-l I 12020783-016She e t r ock I n Ma r-t e r BedroomKi t.che:l
to/hitel\on- FibrousHomogeneous
10 0 , Other None Detected
Slereoscop c ~ s OS
nAir 10I DescrfptJon Appesrance 'Yo FIbrous % Non-FIbrous Flbera5-2 I 12020783-017Sheetrock In Mas t er Bedr oomKi t chen . SheetrockS-2 I 12020783 -0 17Sheetrock I n Master BedroomKitchen . Texture
Certification
t"Jhit e}l;on-PlbrolJsHomogeneous\"lh iteIron - f' i brousHo eoueueo os
5\ Ce llulose 95 \ Other lIone Detected
Ilo n e Detected
Signature:
Date:~
10 / 17 12 012
11ReViewed:A'''''"~de b-r : ''l:;J
Dale: 10 117 / 2 01 ? Page 3 of 4
$~I)Atr SanAir Technologies Laboratory, Inc.1551 Oakbridge Drive. Suite B, Powhatan. VA 23 139804.897.1177 TollFree: 888.895.1177Fax: 804.897.0070Web : hllp:l/wVlw.sanair.com E-mail: [email protected]
SanAl r ID Number
12020783F I NAL REPO RT
Name:Address:
Abalemenl Contractors 01Montana, LLCPO (Jox 8747Missoula. MT 59807
Project Number:P.O. Number:
Pro ject Name:
Collected Dale:Received Dal e:
Rep ort Date:Analyst:
IH 118
1519 Woodland
10191201210116/201210:15:00 AM10/17/2012 10:29:40 AMTallert. Jonalhan G.
Asbestos Bulk PLM EPA 600/R-93/116Steneoscoplc ~ Asbestos
nAir 10I Descrlplfon Appearance % Flbnous % Non-Flbnous FlbersS- 3 I 12020783- 018Sheet rock In }~ster Bedroo=.Kitchen, Sheetrock
5- 3 I 120207B 3- 01 8Shee t r o d : In reeae e r aedroomKi tchen . Textur e
t"!hitctron - r Ibr ou sUo:nogeneou5
~·.l1i t e
lion -Fibr ou sHomogeneous
10 ~ Cellu l ose 9 01. Other
10 0 "t. Other
!'lone Detected
no ne pct.occcd
Steneoscop c ~ s estosanAlr ID I Descrlpllon Appearance % Fibrous % Non-Flbnous Flbers
5 -1 I 120 20783-019Shee ::. roc k In Haster BP.drooml: i rchen, Sheet rock5 -1 I 12020783 - 01 9sheet rccx In neate r a ed roorni: i t.ch en , Jo int Co mpo und
Certification
t·.'hiteNon-Fibrou olIon\Oge n(!ousBeigeNon-Fibrou$ttomooen eous
l Ot Ce ll u los e 90 'f, Ot h e r
10 0~ Other
Non e Det ected
-c n ch r vao t.Ll c
Signature:
Dale:~~
10 /17 1?01 2
11ReViewed;)'(/"",,~~ /;,.-( ,',-..::;)
Date; 10/17 ( 201 2 Page 4 of 4
Disclaimer
The final report cannot be reproduced, except in full. without writtenauthorization from SanAir.Fibers smaller than 5 microns cannot be seen with this method due to scope limitations. Theaccuracyof the resulls is dependent upon the dient's sampling procedure and informationprovided to the laboratory by the client. SanAir assumes no responsibility for the samplingprocedure and will provide evaluation reports basedsolely on the sample and informationprovided by the client. This report may not be used by the client to claim product endorsementbyNVLAP. AIHA or any other agency of the U.S. govemment; and may not be cenitiea by everytocet. stale and federal regulalory agencies.
Revision Date 1/17/201J Page I or I
SanAlrTecho I lies Lablratlrv.1 c. SanAir 10 Number
1551 Oakbridge Drive, s oae B - Powhatan, VA 23139 Asbestos IQjcQJ7S3804·897-1177 J888-895-1177JFax 804-897-Q070 Chain of Custodywww.sanair.com
Comp!...ny.AbalemenlCo!!-lJaclols_of "'!~!!.liI_n!':..!-..!:.<';:___._ __,_____ ly--!.oj~c1 # : IH 116 Phone ' ; 406·549·6469 - -Address: PO B Oll 87..7 ~ecI N amc: 1 S1 9 ~odl1Jnd Phone 3: 4~.54~:_! ~!7___ _ _-_._-_. _._._.-
.-fi!y. 51. . Zip: Missoula. MT 59807 Dale Collcclcd: 10-9-2012 Fax #: 406·728-9416
Samples Collected BV: Mik~ Foust P.O. Number: Email. [email protected] . - .
BulkAsbestos Analysis Types
Air SoliNermiculileABB PLMEPA 600/R·931116
..-ABA PCMNIOSH 7400 ID ABSE P ' LM EPA 600/R-9~~ 16 (Qual.)X D
Posilive Stop X ABA-2 OSHAwi TWA" D ABSP PLM CARB435 (LOD <1%) D-ABEPA PLM EPA400 Point Counl
_ . ..A BTEi-C 'TE'M-AHE~-
.- 'ji,Bsi' ,- ' PL M'CARB 435 (LOD025%)0 IJ DABB1K PLMEPA 1000 Po;nl Count
U ABATN TEMNIOSH 7402 U ABSP2 PLM CARB 435 (LOD0.1%) n_ .. _-- ... .- - - ..._-- .. _...._-PLMEPA NOB D ABT2 TEM Level II U. -- ._....- -
ABBCH TEMChalIJeld DABBTM TEM EPA NOB - WaterD Dust---- 'TEMNYELAP19if4" -- ' TEMW;peASTM 0:6460---00ABBNY
~ABHE EPA 100.2 0 ABWA
OTHER!-_. ------ --- --_._--
0 ABDMV TEM M;c,ovac ASTM 0-5755 0I Matrix : • • l....-. ..:.J
Turn Around 3 HR (4 HR TEM) .l"!....... 6 HR (8HR TEM)x 12 HR U 24 HR U- --_ .._.._- - - 1--. -- .- .. _..Times 2 Days IJ 3 Days U 4 Days 0 5 Days 0- - - - - - -- - -- . --- --
[-- .
Volume Sample Flow Time'Sample # Sample Identification/Location or Area Type Rate" Start - Stop
P-l,2,3 Piaster, white & pink
L-l,2,3 Bathroom linoleum (white)
R-l,2,3 Asphalt roofing under white metal roofing
KL -l,2,3 Linoleum on tloor and backsplash in kitchen
WB -l ,2,3 Pink wall cove ring behind bathroom sink ..-S~1,213.4 Sheetrock in master bedroom, kitchen
..
..--
Rellnaulshed bv Date Time Receive by Date TimeMike faust 10-9-2012 4:05pm ..t / ) nr-r , " ' . f.....~
~ / ...-- r-- • v cu'c .,Unless scheduled, the tum around tIme for all samples ",ceived ~ pm Friday wi ll beg in at 8 am Monday morning .
ISpecial Instructions I
Weekend or Holiday work must be scheduled ahead of time and is charg ed for rush tum around time .Work with standard lum around time sent Priority Overnight and Bill ed To Recipient will be charged a $10 shipping fee.
Page_of__
APPENDIX III
DRAWING OF SAMPLE LOCATIONS
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APPENDIX IV
CITY PERMIT FORM
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( -ily " r Mi"OIlI<1l.llli ldi ll [~ Ikparllnenlc.l .3 :' Ryman
i\ l i" oli la. MT 5 ')X ( "~
I'holl<:: ( ' lOr») 552-()()·JOJ":\ X: ( '-! IJ(,! 552-C,OY;
Dale: 10 -- n ·o.JJ.-City o f Mi~',ou l il
Building Inspcctlcn Division"n~) Hym an SI repl
MiWlIJla, M -l ~9HO?
{" Idrc- ',-; .m rl/or I'roipe! N"mp- ISi?- [ <..-0 0::0 ({l l"D Gtf t....
r\ ., he .'ilo ~. InspeClor/ Compa ny:
. --.!._-- .-~ - '- '- - - - - - ----, -
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I. . ~ ._':._.:._1_._:._'.. _!__ __ _ . 1 rtn <lccrerlii ed il ',hpSlo\
ios!Jpcto r. ha ve co rnploto rl lh(~ asbestos surve v at the above ;Jddr0SS il lHJ the MontanaD~~ pilrlnlPn t of Env iro run r-n ta l Qua lity ha~ be en flo tified of t h e co n te n ts.
Sl<1tt' o f M on tan<1Department of Environmental Quality
I\sh (! sto~ Cont rol Program
('lOG) '14') 53 00
MIKEA FOUST_ .. 1-' tontana Admh\islralivc Rule 17.74.3()2
h S met thercqulfemcn...,. 0 I~' ,'d! 17 74 363 furaccreditation in the following asbcsto~-Iype
an or . . . . ..I- Ie(s)occupatlon(s) us indicated byan exprranou U4I •
~n ; R p;•
MT DEQAsbestosControl Program
cs MP01/1212013
WK
MTA·2741
PO11109/2012
IN06/1012012