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HomeMy WebLinkAboutMINTHORN STREET 1400_07-00002198 f City of Lake Elsinore -PERMIT 130 South Main Street PERMIT NO : . 07- 00002198 DATE : 7/23/07 JOB ADDRESS . . . . . : 1400 MINTHORN ST DESCRIPTION OF WORK DEMOLISH SING FAM RES OWNER ----`—` _ CONTRACTOR CBC1 OWNER 12325 Kerran St #1 POWAY, CA 92064 858 - 748 -5011 A. P . # . . . . 377- 160 - 008 6 SQUARE FOOTAGE . 0 OCCUPANCY GARAGE SQ FT 0 CONSTRUCTION FIRE SPRNKLR VALUATION ZONE . . . . . . C-2 -- -------------------------------------- ----------------- — --- DEMOLITION PERMIT QTY UNIT CHG ITEM CHARGE 1 . 00 X 49 . 0000 DEMO PERMIT PER UNIT 49 . 00 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 — -------------------------------- --- FEE SUMMARY CHARGES PAID DUE PERMIT FEES bEMOLITION PERMIT 54 . 00 . 00 54 . 00 OTHER FEES ------------------------ PLAN RETENTION FEE 1 . 00 . 00 1 . 00 TOTAL 55 . 00 . 00 55 . 00 SPE_C_IAL NOTES—& CONDITIONS demo house and outbuildings , abandon septic tank t fir: (_1J',i EF? Type: EF D aww: I Date: 7,23/77 C RiP�._.'- i*t no: 51 L FVT7 2196 H2.u1 r,1,%, Pr v'71 1 011 ;em i mb2 4 I s . 11 �411 r yis date: •7/c.�,%U7 ' Ti ram: 11:�2 c"_9 City of Lake Elsinore Please read and initial Building Safety Division 1.1 am Licensed under the provisions of Business and professional Code Section 7000 et seq.and my license is in full force. Post in conspicuous place 2.[,as owner of the property,or my employees w/wages as their sole compensation will do the work On the job and the structure is not intended or offered for sale. 3.l as owner ofthe property,am exclusively contracting with licensed contractors to construct the You must furnish PERMIT NUMBER and the project JOB ADDRESS for each respective inspection: 4.1 have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance Approved plans must be on job or a certified copy thereof at all times: 5.1 shall not employ any person in any manner so as to become subject to Workers Compensation Laws in the performance of the work for which this permit is issued. Note:ifyou should become subject to Workers Compensation after making this certification, Code Approvals Date Inspector you most forthwith comply with such provisions or this permit shall be deemed revoked. ELO 1 Temporary Electric Service PLO 1 Soil Pipe Underground EL02 Electric Conduit Underground BPO1 Footings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLO 1 Underground Water Pipe SSO1 Rough Septic System SWO I On Site Sewer BPO5 Floor Joists BP06 Floor Sheathing BP07 Roof Framing BPO8 Roof Sheathing BP09 Shear Wall&Pre-Lath PL03 Rough Plumbing EL03 Rough Electric Conduit EL04 Rough Electric Wiring EL05 Rough Electric/ T-Bar MEO 1 Rough Mechanical ME02 Ducts,Ventilating PL04 Rough Gas Pipe/Test PL02 Roof Drains BP 10 Framing&Flashing BP 12 Insulation BP13 Drywall Nailing B P 11 Lathing&Siding PL99 Final Plumbing EL99 Final Electrical ME99 Final Mechanical BP99 Final Building Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES Deputy Inspector Department Approval required prior to the POOI Pool Steel Rein./Forms building being released by the City POO 1 Pool Plumbing/Pressure Test P003 Pre-Gunite Approval Date Inspector EL06 Rough Pool Electric Planning Sub List Approval Landscape P004 Pool Fencing/Crates/Alarms Finance P005 Pre-Plaster Approval En 'neerin P009 JFmal Pool/Spa 06-ty of Lake Elsinore 130 South Main Street. AI'PLICAT�®N FOR APPLICA�NO APPLICATION RECEIVED l'- BUILDING' PERMIT DATE VALUATION CALCULATIONS 77- J C) m BY BUILDINGAD RFSS st FLOOR SF I C ' TRACT BLOCKIPAGE L0T7PARCEL nd FLOOR SF _ NAME �J rd FLOOR SF O (% W MA UN ` �/ PHONE ;ARAGE SF N ADDRESS E CITY TATE /, STORAGE SF R (nA! o(a I hereby affirm thatA am licensed under provisions ot chapter v(commencing )ECK&BALCONIES. _ SF with secllon 7000)of division 3 of the business and professions code,and my C license is'in full farce and effect. 1FNER: SF . O LICENSE 180a5a% CITY BUSINESS N AND CLASS G-ay FAX 9 FALUATION: R N 4' lC.t f`r`V r y A MAILIN (� qq C. ADDRESS S7,- M Lt FEES T GITY STATE/Z(P 11 PHONE O- k-.b CA, a 1 j - R 100 WILDING PERMIT ;. R N- PTO A URE DATE �N CHECK NAM LICENSE-A A. Chia I?E4`Scy4 R: F�A1LItVG C ADDRESS ;E1SM(C . .H,. (TY STATEIZIP PH NE i 'LAN RETENTION t]NEW OCC GRP.f CONS r. ❑ADDITION DIVISION TYPE_ U ALTERATION. NUMBER OF NUMBER Or A;ETHER STORIES: QEDROOMS: U S` IAGLE fAWLY ZONE: 0 APARTMENTS ]i cettfyftiatLWve read this appii ation and state that the U.CONOOMINIUMS HAZARD YES above information is crzr L-I agree to comply with afl,ci(y Q i2t N NomES AREA? NO and,county ordinances and:state taws relating to buididg COMMERCIAL' SPRINtCLERS, YES construction;ai►d hereby aeidtarize representatives of this (]:iNOUSTRIAI .' REgUIfTeo? NO city to enf4 upon the above-me ntio6ed pope*for insp= (].REPAIR . ' PROPOSED USE OF BLDG-- tiara purposes. DEMCtUSH. : PRESENT USE OF BLDG: .f08 DESCRIPTION 170V 57 . qt d 0 o LTA U' Sign ure rat br:Agetit Date k Agentfor '.0 contractor owner Agents`Marrte. 4 �ents.Address fv�J7a� P�r4K t- ;Tt�2 k S14te. Zip 2434 SOUTHPORT WAY,SUITE L 1 l • NATIONAL CITY,CA 91950 PHONE(619)-474-6548 FAX(619)-474-6128 E-MAIL kbest@hmpittlabs.com f IFI. t. l i t April 16,2007 E j t Starley Bissell Maximum Demolition 5595 Magnatron Blvd.,Suite I San Diego,Ca. 92111 a- Re: Lab#77250 1400 Minthorn Street,Lake Elsinore,CA.—Asbestos and lead survey summary for the purpose of demolition Dear Ms.Bissell, On April 12,2007,Glenn.W.Montague ofH.M.Pitt Labs performed an asbestos survey at the above referenced property. The structure consists of single story home with multiple bedrooms. Paint chip samples were also collected from poor condition painted surfaces and homogeneous ceramic tiles and analyzed for lead(Pb). Asbestos survey summary Building materials are identified by the EPA as Asbestos-containing materials(ACM)when the fiber concentration of the material is identified as containing Asbestos fibers in excess of one percent(51%). Building materials found to contain asbestos, which will be disturbed,must be abated prior to demolition or renovation by a DOSH licensed Asbestos abatement contractor. Any building materials homogeneous to identified asbestos containing materials must be considered asbestos containing.The materials found to contain asbestos are listed below. Amounts of material are strictly approximates and must be verified by the abatement contractor and/or building owner. Top layer of vinyl flooring pantry room approx. 150 sq.ft. Lead Sampling Results OSHA Lead in Construction Standard identifies lead in paint in excess of 600 ppm or 600 mg/kg as a potential hazard to workers during paint disturbance activities. In the event that building materials found to contain hazardous amounts of lead are to be disturbed,it is required that those materials be abated or stabilized by lead trained workers prior to renovation or demolition. All painted building components of similar construction and surface coating must be considered like components in so far as testing is concerned,that is, if one like component is positive all are positive and must be dealt with accordingly. Samples analyzed for lead containing>600 mg/kg are listed below. White exterior column paint Exterior door white paint @ pantry room North exterior wood window white paint at pantry Interlor brown bookshelf patnt tn_dlning room . . . . . . . . . . . . . . . . . . . . . . . Sri•. -. OZO/Z00'd EON LE:ZL L0021911b0 'Jul `Sg1P] 141d W N:woaq 2434 SOUTHPORT WAY,SUITE L NATIONAL CrrY,CA 9195o PHONE(619)474-8548 FAX(619)-47"128 E-MAIL kbest®hmpiUlabs corn =: me Pitt Labs;:a r c Apri116,200" l Ke: Lab#-/"MU 14UU Mintnorn Street,Lake Elsinore,CA.—Asbestos and lead survey summary for the purpose of demolition Dear Ms. Bissell, On April 12,2007,Glenn.W.Montague of H.M.Pitt Labs performed an asbestos survey at the above referenced property. The structure consists of single story home with multiple bedrooms. Paint chip samples were also collected from poor condition painted surfaces and homogeneous ceramic tiles and analyzed for lead(Pb). Asbestos survey summary Building materials are identified by the EPA as Asbestos-containing materials(ACM)when the fiber concentration of the material is identified as containing Asbestos fibers in excess of one percent(>1%). Building materials found to contain asbestos,which will be disturbed,must be abated prior to demolition or renovation by a DOSH licensed Asbestos abatement contractor. Any building materials homogeneous to identified asbestos containing materials must be considered asbestos containing.The materials found to contain asbestos are listed below. Amounts of material are strictly approximates and must be verified by the abatement contractor and/or building owner. Top layer of vinyl flooring pantry room approx. 150 sq.ft. Lead Sampling Results OSHA Lead in Construction Standard identifies lead in paint in excess of 600 ppm or 600 mg/kg as a potential hazard to workers during paint disturbance activities. In the event that building materials found to contain hazardous amounts of lead are to be disturbed,it is required that those materials be abated or stabilized by lead trained workers prior to renovation or demolition. All painted building components of similar construction and surface coating must be considered like components in so far as testing is concerned,that is,if one like component is positive all are positive and must be dealt with accordingly. Samples analyzed for lead containing>600 mg/kg are listed below. White exterior column paint Exterior door white paint @ pantry room _ North:exterior,woodwindow wbite,paint at pantry lntenor brown bookshelf paint to dining roam .r . . . . . . . . . . . . . . . . . . . . . OZO/ZOO'd Eb9� IE:ZI L002/9l/b0 '31-1I `S91P1 111d H l WO-J] 7 J � April 16, 2007 Page 2 White interior wall paint dining room White interior trim paint @ Kitchen Pink bathroom cabinet paint Beige bathroom cabinet paint Green ceramic the bathroom Pink ceramic tile bathroom Attached are your bulk asbestos analysis and bulk paint chip analysis. Should you have any questions,please do not hesitate to call the lab. Sincerely, - Glenn W.Montague H.M.Pitt Labs Certified Asbestos Consultant#94-1359 CA DHS Lead Inspector/Assessor#4682 v OZO/E00 'd EV94 Z£:Z L LOOZl9 UVO Buz `SqF`! 111 d H H*woaA 1 ✓ j H.M Pitt Labs, Inc. Lab Number: 77250-77276 2434 Southport Way Suite L National City,CA 91950 Tel:619-474-8548 • Fax:619-474-6128 Company: Chad Date Entered: 04/12/2007 Maximum Demolition Analyzed By: Janet Chase 5595 Magnatron Blvd. Suite I Date Analyzed: 04113107 San Diego, CA 921 1 1-1 31 0 Customer PO/Claim#: Contract Number. Job Site: 1400 W_ Minthorn Street, Lake Elsinore, CA 92530 Date Sampled Who Sampled Lab Notes: In; 4/12/07 14:50 04/12/2007 Glenn Montague POLARIZED LIGHT MICROSCOPY PLM ANALYSIS REPORT - EPA/600/R-93/916 Analysts Number-. 77250-1 Customer Number 0001 Classlfrcatlori: Exterior Stucco Description: Exterior East Wall Yellow Over Pink Stucco Results: Non-Asbestos: Non-Fibrous Gray/Peach Stucco Note: Sample Ground to Powder In Mortar and Pestle. Analysis Number: 77250-2 Customer Number: 0002 Classification: Exterior Stucco Description: Exterior South Wall Yellow Over Pink Stucco Results: Non-Asbestos: Non-Fibrous Gray i Peach Stucco Note: Sample Ground to Powder in Mortar and Pestle. Analysis Number: 77250-3 Customer Number. 0003 Classification: Exterior Stucco Description: Exterior West Wall Yellow Over Pink Stucco Results: Non-Asbestos: Non-Fibrous Gray/Peach Stucco Note: Sample Ground to Powder In Mortar and Pestle. Analysis Number: 7725D-4 . Customer Number 0004 Classification: Exterior Stucco Description. Exterior Northwest Wall Yellow Over Pink Stucco Results: Non-Asbestos: Non-Fibrous Gray/Peach Stucco Note: Sample Ground to Powder in Mortar and.Pestle_ All samples tested as submitted to the lab. H.M.PITT LABS,bNC_does not assume responsiNlity for the accuracy of the information submitted with the samples unless done by an employee of H.M.PITT LABS,INC. •These test results relate only to the sample(s)Identified above. This report may not be used to claim.endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced,except In full,without written approval of H.M.Pitt Labs,Inc. Samples are ar>hived for 2 years from date of receipt and will be disposed of property fotfowing this period. P .xlrw srra -.4 s ?Wuy' a"',, +'F'3 u. _3 AMUM BY: � _ :mT r. , p�t� 04/�i/2607 f�WED BY•��tiAAA LELAND S.PITT,CIN P Janet Chase Page f of 9 OZO/VOO 'd EV94 ZE:ZI LOOZ/91Ib0 'Jul `SqP-1 111d H N:Wa-'J I , I H.M. Pitt Labs, Inc. Lab Number; 77250-77276 2434 Southport Way Suite L NaUonal City,CA 91950 Tel: 619-474-8548 • Fax: 619-474-6128. Company: Chad Date Entered: 04/1.2/2007 Maximum Demolition Analyzed By: Janet Chase 5595 Magnatron Blvd. Suite I Date Analyzed: 04/13/07 San Diego, CA 92111-1310 Customer PO/Claim#: Contract Number: Job Site: 1400 W. Minthorn Street, Lake Elsinore, CA 92530 Date Sampled Who Sampled Lab Notes: In: 4/12107 14:50 04/12/2007 Glenn Montague POLARIZED LIGHT MICROSCOPY (PLM)ANALYSIS REPORT - EPA/600/R-93/116 Analysts Number: 77250,-5 Customer Number: 0005 Classification: Exterior Stucco Description: Exterior North East Wall Yellow Over Pink Stucco Results: Non-Asbestos: Non-Fibrous Gray 1 Peach Stucco Note: Sample Ground to Powder in Mortar rind Pestle. Analysis Number: 77250-6 Customer Number 0008 Classification: Floor file 12 in x 12 in Description: Blade&White with Yellow Adhesive On Wood Su Hear In Kitchen/Laundry/ Bathroom Results: a. Non-Asbestos: Non-Fibrous Black 1 White Floor Tito b. Non-Asbestos: 1%Celtulose Fibers in Yellow Glue Analysis Number. 77250-7 Customer Number. 0007 Classification: Floor file 12 In x 12 in Description: Black 8 White with Yellow Adhesive On Wood Subfloor in Kitchen/Laundry/ Bathroom Results: a. Non-Asbestos:'Non-Fibrous Black/While Floor Tile b. Non-Asbestos: 1%Cellulose Fibers in Yellow Gtue All samples tested as submitted to the tab. H_M.PITT LABS;INC.does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS, INC. These test results relate only to the sample(z)identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced,except in full,without written approval of H:M.Pitt Labs,Inc, Samples are archived for 2 years from date.of receipt and will be disposed of properly following this period. API'IiOYED®Y: , � ..�.�_�k_�., z:�,s��gEt�-�� 09M UM/227 FiEYMBY.�� lEUND S.MT,CH Janos Chase Pago 2 of 9 O MOO 'd EV99 Z£:ZL LODZ/9L/b0 �u� `sp-1 Wd H Ww"I T J y H.M. Pitt Labs, Inc. Lab Number: 77250-77276 2434 Southport Way• Suite L National City,CA 91950 Tel: 619-474-8548 - Fax_619-474-6128 - Company: Chad Date Entered: 04/12/2007 Maximum Demolition Analyzed By: Janet.Chase 5595 Magnatron Blvd. Suite I late Analyzed: 04/13/07 San Diego,CA 92111-1310 Customer PO 1 Claim#: Contract Number: Job Site: 1400 W. Minthotn Street, Lake Elsinore, CA 92530 Date Sampled Who Sampled 04/12/2007 Glenn Montague Lab Notes: In: 4112107 14:50 POLARIZED LIGHT MICROSCOPY(PLM)ANALYSIS REPORT- EPA/600/'R-93/116 Analysis Number. 77250•8 Customer Number OD08 Classification. Floor the 12 in x 12 In Description: Black 14 White with Yellow Adhesive On Wood Subfloor in Kitchen J Laundry J Bathroom Results: a. Non-Asbestos: Non-Fibrous Black J White Floor Tile b. Non-Asbestos: 1%Cellullose Fibers in Yellow Glue Analysis Number 77250-9 _ Customer Number. 0009 Classification: Composite Drywall J Joint Compound/Tape Description. Drywall/Tape J Mud Living Room South Wall Results: Non-Asbestos: 3%Cellulose Fibers In White Composite Drywall/Joint Compound Analysis Number T7250-10 Customer Number. 0010 Classification: Composite Drywall/Joint Compound/Tape DeScription: Drywafl/Tape[Mud Dining Room South Walt Results: Non-Asbestos: 3%Cellulose Fibers in White Composite Drywall/Joint Compound Analysis Number: 77250.11 Customer Number. 0011 Classiticatlon: Composite Drywall/Joint Compoundt Tape Description: Drywall J Tape/Mud Kitchen West Wall Results: Non-Asbestos: 2%Glass Fibers 2%Cellulose Fibers In White Composite Drywall/Joint Compound Ail samples tested as submitted to the lab. H-M.PiTT LABS,INC.does not assume responsibility for the accuracy of the Information submitted with the samples unless done by an employee of H.M. PITT LABS,INC. These test results relate only to the sample(s)identified above. This report may not be used to claim.endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced,except In full,without written approval of H.M.Pitt Labs,Inc. Samples are archived for 2 years from data of receipt and will be disposed of properly following this period. s `• r�= ems` r I RIM h APPIRM BY. ` _ �� RL �2'� I� W13/2007 REVBWED8Y:. r LBLAND S.Pirr.ciH - 9 Janet Cbasa Page 3 of 9 0Z0/900 'd £tr9H Z£:ZL LOOZ191/bO 's9Fj 111d H H:wo-jd H.M, Pitt Labs, Inc. Lab Number: 77250-77276 2434 Southport Way Suite L National City, CA 91950 Tel:6ig-474-8548 • Fax:619474-6128 Company: Chad Date Entered: "12/2007 Maximum Demolition Analyzed By: - Janet Chase 5595 Magnatron Blvd. Suite I Date Analyzed: 04/13/07 San Diego, CA 92111-1310 Customer PO/Claim#: Contract Number. Job Site: 1400 W. Mlnthorn Street, Lake Elsinore, CA 92530 Date Sampled Who Sampled Lab Notes: In: 4/12/07 14:50 04/12/2007 Glenn Montague POLARIZED LIGHT MICROSCOPY(PLM) ANALYSIS REPORT- EPA/600/R-93/116 Analysis Number., 77250-12 Customer Number. 0012 Classifi'cativi Composite Drywall/Joint Compound/Tape Description: Drywall!Tape!Mud S.W.Bedroom South Wall Results: Non-Asbestos: 3%Cellulose Fibers in White Composite Drywall!Joint Compound Analysis Number. 77250-13 -- - Customer Number- 0013 Classification: Composite Drywall/Joint Compound/Tape Description: Drywall!Tape/Mud S.E_Bedroom South Wall Results: Non-Asbestos: 3%Cellulose Fibers in White Composite Drywall/Joint Compound Analysis Number_. 77250-14 - -— - Customer Number. 0014 Classification: Vinyl flooring Description: 3 Layers Unoleum Pantry Room On Wood Results: a_ Asbestos: 20%Chrysotile in Tan Friable Top Sheet Vinyl(3%Cellulose Fibers Also Present) b. Non-Asbestos: 20%Cellulose Fibers in Tan Middle Sheet Vinyl a Non-Asbestos: 20%Cellulose Fibers in Red Bottom Sheet Vinyl Analysis Number. 77250-15 -- - - Customer Number. 0015 Classification: Vinyl flooring Description: Results: a. Asbestos: 20%ChrysoUlo In Tan Friable Sheet Vinyl(3%Cellulose Fibers Also Present) b. Non-Asbestos: 20%Cellulose Fibers In Tan Middle Sheet Vinyl a Non-Asbestos: 20%Cellulose Fibers in Red Bottom Sheet Vinyl All samples tested as submitted to the lab. H.M.PITT LABS,iNC_does not assume responsibility for the accuracy of the information. submitted with the samples unless done by an employee of H.M.PITT LABS,INC. Theso test results relate only to the samples)identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government This report shall not be reproduced,except in full,without mitten approval of H.M.Pitt Labs,Inc. Samples are archived for 2 years from date of receipt and will be disposed of properly following this period. MWRZ APPI301ikDBY: 7'4 ._-� H �. . .� .. 04M/2007 WHmaY.� _. :try LELAND s.PrrT,ciH . 4 Janot Chris Page 4 of 9 OZ0/L00'd EV911 ZE:ZI LOOZI9UP0 •3uI `s9p-1 Wd H H:tuoaJ r H.M. Pitt Labs, Inc. Lab Number; 77250-77276 2434 Southport Way• Suite L National City, CA 91950 Tel:619-47485-8 • Fax:619474-6128 Company: Chad Date Entered: 04/12/2007 Maximum Demolition Analyzed By: Janet Chase 5595 Magnatron Blvd. Suite I Date Analyzed: 04/13/07 San Diego, CA 92111-1310 Customer PO-/Claim#: Contract Number: Job Site: 1400 W. Minthorn Street, Lake Elsinore, CA 92530 Date Sampled Who Sampled Lab Notes: In: 4/12/07 14:50 04/12/2007 Glenn Montague POLARIZED LIGHT MICROSCOPY(PLM) ANALYSIS REPORT- EPA/600/R-931116 Analysis Number. 77250-16 Customer!dumber 0016 Classification - Vinyl flooring Description: Results: a. Asbestos: 20410 ChrysoGle in Tan Friable Top Sheet Vinyl(3%Cellulose Fibers b. Non-Asbestos: 20%Cellulose Fibers in Tan Middle Sheet Vinyl c. Non Asbestos:. 20%Cellullose Fibers In Red Bottom Sheet Vinyl Analysis Number 77250-17 Customer Number. 0017 Classification: Description: Vapor Barrier Bathroom West Wall Results: Non-Asbestos; 30%Cellulose Fibers In Blue!Black Vapor Barrier Analysis Number, 77250-18 Customer Number 0018 Classification: Description: Vapor Barrier Bathroom North Wall Results: Non-Asbestos: 30%Cellulose Fibers In Blue!Black Vapor Barrier Analysis Number: 7725D-19 Customer Number. 0019 Classitcation; Description: Vapor Barrfer.Bathroom South Wall Results: Non-Asbestos: 30%Cellulose Fibers In Blue!Black Vapor.Barier All samples tested as submitted to the lab. H.M, PITT LABS,INC.does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M. PITT LABS.INC_ These test results relate only to the sample(s)identified above. THs report may not be used to claim,endorsement by NVLAP or any agency of the Federal Government. This report shall not be reproduced,except In full,without written approval of H.M.Pitt Labs,Inc. Samples are archived for 2 years from dale of receipt and will be disposed of properly following this period. Rp-'tR2:0 { A0YED BY: su.,-. hw OM 04M/20U REYIEM BY On P41I LELAND S.MY,CTH 9 Janet Chase Page'5 of 9 0Z0/800 'd Eb9# ZE:ZI L00Z/SL/b0 �uX `scie� Wd H li:WO-AA " H.M. Pitt Labs, Inc. Lab Number: 77250-77276 3 s CA 91950 Tel:619-474-8548 • Fax:619-474-6128 2434 Southport Way• Suite L• �tatianal City, Company: Chad Date Entered: 041121200T Maximum Demolition Analyzed By: Janet Chase 5595 Magnatron Blvd. Suite I Date Analyzed: 04/13/07 San Diego, CA 92111-1310 Customer PO t Ctaim#: Contract Number. Job Site: 1400 W. Minthorn Street, Lake Elsinore, CA 92530 Date Sampled Who-Sampled Lab Notes: In: 4112J07 14:50 04/12/2007 Glenn Montague POLARIZED LIGHT MICROSCOPY (PLM ANALYSIS REPORT- EPA/600/R-931116 Analysis Number: 77250-20 Customer Number: 0020 ClassHlcaVon: Interior Wall Plasters Description: White Interior Plaster Bathroom West Wall Results: Non-Asbestos: Non-Fibrous Gray Plaster Note: Sample Ground to Powder in Mortar and Pestle. Analysis Number. 77250-21 Customer Number: 0021 Classification: Interior Wall Plasters Description: White Interior Plaster Bathroom North Wall Results: Non-Asbestos: Non-Fibrous Gray Plaster Note: Sample Ground to Powder in Mortar and Pestle. Analysis Number. 77250-22 Customer Number: 0022 Classification: Interior Wall Plasters Description: White Interior Plaster Bathroom South Wall Results: Non-Asbestos: Non-Fibrous Gray Plaster Note: Sample Ground to Powder in Mortar and Pestle. All samples tested as submitted to the lab..H.M.PITT LABS,INC.does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M.PITT LASS,INC. These test results relate only to the sample(s)identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. - This report shall not be reproduced,except in full,without written approval of H,M. Pitt 1_2bs,Inc. Samples are archived for 2 years from date of receipt and wilt be disposed of property following this period. AMUVEE BY: trate& o�rs�rtoa> RE1 YlD BY F�. r� LELAND 9 PITT,CIH Janet Chas Page 6 of 9 OZO/600 'd £tr94 E£:ZL LOOZI911V9 '-Itll `SVI 1W H H:tuoaA ,I H.M. Pitt Labs, Inc. Lab Number: 77250-77276 3 2434 Southport Way Suite L National City,CA 91950 Tel:619-474-8548 • Fax:61 9-474-61 2 8 1 Company: Chad Date Entered: 04/12/2007 Maximum Demolition Analyzed By: Janet Chase 5595 Magnatron Blvd. Suite I Date Analyzed: 04/13/07 San Diego, CA 92111-1310 Customer PO 1 Claim#: Contract Number: Job Site: 1400 W. Minthom Street, Lake Elsinore, CA 92530 Date Sampled Who Sampled, Lab Notes: In: 4/12/07 14:50 04/12/2007 Glenn Montague POLARIZED LIGHT MICROSCOPY(PLM) ANALYSIS REPORT- EPAI600/R-931116 Analysis Number. 77250-23 Customer Number. 0023 Classifrcatiori: Rooflng Shingles Description: Roof Shingles 1 Paper 7 Layers North Roof Results. a. Non-Asbestos: 20%Cellulose Fibers in Black/White Roofing Material b. Non.-Asbestos: 20%Cellulose Fibers in Black/White Rooting Material c. Non-Asbestos: 20%Cellulose Fibers in Black/Green Roofing Material d. Non-Asbestos: 40%Cellulose Fibers in Black Roofing Material o, Non-Asbestos: 40%Cellulose Fibers In Black Roofing'Material f. Non-Asbestos: 20%Cellulose Fibers In Black/Tan Rooflng Material g. Non-Asbestos: 20%Cellulose Fibers In Black/Green Roofing Material Analysis Number. 77250-24 Customer Number 0024 Classification: Roofing Shingles Description. Roof Shingles I Paper 7 Layers South Robf Results: a. Non-Asbestos: 20%Cellulose Fibers In Black/White Roofing Materk-A b. Non-Asbestos: 20%Cellulose Fibers in Black/White Rooflng Material c. Non-Asbestos: 20%Cellulose Fibers In Black/Green Roofing Material d. Non-Asbestos: 40%Celluolose Fibers in Black Roofing Material e. Non-Asbestos: 40%Cellulose Fibers In Black Roofing Material f. Non-Asbestos: 20%Cellulose Fivers In Black/Tan Roofing Material g. Non-Asbestos: 20%Cellulose Fibers in Blade/Green Roofing Material All samples tested as submitted to the lab. H.M.PITT LABS,INC,does not assume responsibility,for the accuracy of the information submitted with the samples unless done by an employee of H.M.PIT LABS, INC_ These test results relate only to the sample(s)Identified above. This report may not be used to claim_endorsement by NVL.AP or any agency of the Federal Government This report shall not be reproduced,except In full,without written approval of H.M.Pitt Labs,lne. Samples are archived for 2 years from date of receipt and will be disposed of property following this period. AMOM BY: 3. �a� ��ef,..: `1 Pat* W 13/WU IlL V FM I/1 LELArm S.PtTT,CIN Janet Chase Page 7 of 9 OZO/OLO•d £p9U ES:ZL LOOZ/9l/b0 'Oui `sgv-1 Wd H H:UO-JJ l . H.M. Pitt Labs Inc. Lab Number: 77250-77276 B 2434 Southport Way- Suite L National City, CA 91950 Tel:619-474-8543 • Fax.619-474-6128 Company: Chad Date Entered: 04/12/2007 Maximum Demolition Analyzed By: - Janet Chase 5595 Magnatron Blvd. Suite I Date Analyzed: 04/13/07 San Diego,CA 92111-1310 Customer PO I Claim#: Contract Number Job Site: 1400 W. Minthorn Street, Lake Elsinore, CA 92530 Date Sampled Who Sampled Lab Notes: In: 4/12/07 14:50 04112/2007 Glenn Montague POLARIZED_LIGHT MICROSCOPY PLM)ANALYSIS REPORT- EPA1600IR-93/116 Analysis Number. 77250-25 Customer Number. 0025 Classification: Roofing Shingles Description: Roof Shingles/Paper 7 Layers East Roof Results: a. Non-Asbestos: 20%Cellulose Fibers in Black/White Roofing Material b.. Non-Asbestos: 20%Cellulose Fibers In Black/White Roofing Material e. Non-Asbestos: 20%CeUulose Fibers in Black!Green Roofing Material d. NorrAsbestos: 40%Cellulose Fibers In Black Roofing Material e. Non-Asbestos: 40%Cellulose Fibers in Black Roofing Material f. NorrAsbestos: 20%Cellulose Fibers in Black/Tan Roofing Material g. Non-Asbestos: 20%Cellulose Fibers in Black!Green Roofing Material Analysis Number. 77250-26 . Customer Number: 0026 Classillcation:" Roofing Shingles Description. Roof Shingles!Paper 7 Layers West Roof Results: a. Non-Asbestos: 20%Cellulose fibers in Blade!White Roofing Material b. Non-Asbestos: 20%Cellulose Fibers in Black!White Roofing Material c. Non-Asbestos`- 20%Cellulose Fibers in Black!Green Roofing Material d. Non-Asbestos 40%Cellulose Fibers in Black Roofing Material e. Non-Asbestos, 40%Cellulose Fibers In Black Roofing Material f. Non-Asbestos: 20%Cellulose Fibers In Black/Tan Roofing Material g. Non-Asbestos: 20%Cellulose Fibers in Black/Green Roofing Material All samples tested as submitted to the lab..H.M..PtT Y LABS,INC.does not assume responsibility for the accuracy of the Information submitted with the samples unless done by an employee of H.M,PITT LABS,INC- These test results relate only to the sample(s)identified above. This report may not be used to claim endorsement by NVLAP or any agency of the Federal GovemmenL This report shall not be reproduced,except in full,without written approval of H.M.Pitt Labs,Inc, Samples are archived for 2 years from date of receipt and will be disposed of property following this period. OM '-. � ,,k■}�}�p�r� �r -Jlf40 -d.., k9Nrf7iHfiL11 BY: # ^sa:.c. o-: 3� >�tstt D4/13/20117 8E1f1i:YYED_ BY,� -LELAND S.PITT,GN- 4 - Janet Chase - Page 8 of 9 OZO/LLO-d £b9lt ££:ZL LOOZ19Litr0 :)uI `,9lpl TIrd H H:woad H.M. Pitt Labs Inc. Lab Number: 77250-77276 2434 Southport Way• Suito L National City,CA 91950 Tel:619-47"W • Fax:619-474-6128 Company: Chad Date Entered: 04/12/2007 Maximum Demolition Analyzed By: Janet Chase 5595 Magnatron Blvd. Suite l Date Analyzed: 04/13/07 San Diego,CA 92111-1310 Customer PO l Claim#: Contract Number: Job Site: 1400 W. Minthom Street, Lake Elsinore, CA 92530 Date Sampled Who Sampled Lab Notes: In: 4/12/07 14:50 04/12/2007. Glenn Montague, POLARIZED LIGHT MICROSCOPY(PLM) ANALYSIS REPORT- EPA/600/R-931116 Analysis Number. 77250-27 Customer Number. 0027 Classification: Roofing Shingles Description: Roof Shingles!Paper 7 Layers Mid Roof Results: a. Non-Asbestos: 20%Cellulose Fibers in Black/White Roofing Material b. NorrAsbestos: 20%Ceflulose Fibers in Black/White Roofing Material a. Non-Asbestos: 20%Cellulose Fibers in Black/Green Roofing Material d. Non-Asbestos: 40%Cellulose Fibers In Black Roofing Material e. Non Asbestos: 40%Cellulose Fibers in Black Roofing Material f. Non-Asbestos: 20%Cellulose Fibers in Black!Tan Roofing Material g, Non-Asbestos: 20%Cellulose Fibers In Black!Green Roofing Material An samples tested as submitted to the lab. H.M.PITT LASS,INC.does not assume responsibility for the accuracy of the Information submitted with the samples unless done by an employee of H.M;PITT LABS,INC. Those test results relate only to the sample(s)Identified above. THs report may not be used to claim endorsement by NVLAP or any agency of the Federal Government. Thisreport shall not be reproduced,except In full,without written approval of H.M.Pitt Labs,Inc. Samples are archived for 2 years from date of receipt and will be disposed of property following this period. ��ryry��pp��{{gy� HfTlli VHI BY: OM [f4l hi/L00/ �IL��R[L QI +,�. o-_...c s '-Y d�',.`• - LELAND S PITT,CIH _ s Janet Chase - Page 9 of 9 OZO/Zl0'd EV94 £E:ZI LOOZ/91./tr0 •juI `s4p`l 11!d K N:WoaJ H.M. Pitt Labs, Inc. Lab Number: 77250-77288 2434 Southport Way• Suite L National City,CA 91950 Tel:619-474-8548 • Fax:619--474-6128 Company: Chad - Maximum Demolition Date Entered: 04/12/2007. 5595 Magnatron Blvd. Suite I Analyzed By: Cris Rocamora San Diego, CA 92111-1310 Customer PO/Claim#: Contract Number: Job Site: 1400 W. Minthorn Street, Lake Elsinore, CA 92530 Date Sampled Who Sampled Lab Notes: In: 4112/07 14.50 04/12/2007 Glenn Montague GENERAL ANALYSIS Analysis Number. 77250-28 Customer Number. -01 Location: Paint Chips-Yellow/Red Exterior Stucco East Wall Analysis: TTLC- Lead , Results: 31 mglkg Comments: Reporting Limit=10 mg/kg Analysis Number. .77250-29 Customer Number: 02 Location: Paint Chips-White Exterior Paint Columns Front Porch Analysis: TTLC- Lead Results: 58,000 mg/kg Comments: Reporting Limit=1,900 mgfkg: Note, Elevated Reporting Limit Due to Sample Dilution. Analysis Number: 77250-30 Customer Number. 03 Location: Paint Chips-White Exterior Paint House Trim I Fascia Porch Analysis: TTLC- Lead Results: 31 mglkg Comments: Reporting Limit=19 mgtkg -All samples tested as submitted to the lab. H.M.PITT LABS,INC.does not assume responsibility for the accuracy of the Information submitted with the samples unless done by an employee of H.M.PITT LABS,INC, SAW t. AFROVm.BY_ ` ` _`, , =t.,w flab* a4/�i20D7t LELAND S.Pri7,aH Page ?of B 4llAA AA b""r ! 4116 �J OZO/E1.0 'd EV94 E£:ZL LOOZ191100 oul `sq-} 111d H Ww"Al r • H.M. Pi#t Labs, Inc. _ Lab Number: 77250-77288 s 2434 Southport Way Suite L National City,CA 91950 Tel:619-474-8548 - Fax:619-47"128 t a Company: Chad Maximum Demolition Date Entered: 04/12/2007 5595 Magnatron Blvd..Suite I Analyzed By: Cris Rocamora San Diego, CA 921 1 1-1 31 0 Customer PO l Claim#: Contract Number: Job Site: 1400 W. Minthorn Street, Lake Elsinore, CA 92530 Date Sampled Who Sampled Lab Notes: In; 4/12107 14:50 04M2/2007 Glenn Montague GENERAL ANALYSIS Analysis Number. 77250-31 Customer Number. 04 Location: Paint Chips-Exterior Door Yellow Paint @ Kitchen Analysis: TTLC- Lead liesults: 54 mglkg Comments. Reporting Limit=20 mg/kg Analysis Number: 77250-32 Customer Number: 05 Location: Paint Chips-Exterior Door White Paint @ Pantry Analysis: TTLC- Lead Results: 7,062 mg/kg Comments: - Reporting Limit=320 mglkg; Note: Elevated Reporting Limit Due to Sample Dilution. Analysis Number. 77250-33 Customer Number: 06 Location: Paint Chips-North Exterior Wood Window(d Pantry White Paint Analysis: TTLC- Lead Results: 1,567 mg/kg Comments: Reporting Limit=38 mglkg -All samples tested as submitted to the lab. H.M.PITT LABS,INC.does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M.PITT•LABS,INC. APPR©YED BY: Nn natlA 84/10/2007 uwo S.PrrT,a Pago 2 of 6 OZOIM 'd EVSH £6:Z 1 LOOZ/9UVO 3uI `$9el 111d H H:wnaJ H.M. Pitt Labs, Inc. Lab Number: 77250-77288 ( 2434 Southport Way Suite L National City,CA 91950 Tel:619-474-6548 • Fax:619--474-6128 i Company: Chad Maximum Demolition Date Entered: 04/12/2007 5595 Magnatron Blvd- Suite I Analyzed By: Cris Rocamora San Diego, CA 92111-1310 Customer PO/Claim#: Contract Number. Job Site: 1400 W. Minthom Street, Lake Elsinore, CA 92530 Date Sampled Who Sampled Lab Notes: In: 4/12/07 14:50 04/12/2007 Glenn Montague GENERAL ANALYSIS Analysis Number. 77250-34 Customer Number 07 Location: - Paint Chips-Interior Brown Bookshelf Paint Dining Room Analysis: TfLC- Lead Results: 1,374 mg/kg Comments: Reporting Limit=33 mg/kg Analysis Number: 77250.35 Customer Number 08 Location: Paint Chips-White Interior Wall Paint Dining Room Analysis: TfLC- Lead Results. 674 mg/kg Comments: Reporting Urn it=32 mg/kg Analysis Number. 77250-36 Customer Number 09 Location: Paint Chips-White Interior Trim Paint Q Kitchen Analysis: TTLC- Lead Results: 645 mg/kg Comments: Reporting Limit=26 mg/kg -All samples tested as submitted to the lab. H.M.PITT LABS,INC.does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H.M.PITT LABS,INC. APPRIVED BY: DBft 04/16/2007 IE"ND S.err,aH Page 3 of 6 �1 OZO/910'd £b94 ti£:ZL LOOZ/9L/00 -jul `sge-1 111d H H:woaJ 1 - .r« H.M. Pif# Labs, Inc, Lab Number: 77250-77288 2434 Southport Way- Suite L National City,CA 91950� Tel:619-474-8548 • Fax:619-474-6128 Company: Chad .Maximum Demolition Date Entered: 04/12/2007 5595 Magnatron Blvd..Suite i Analyzed By: Cris'Rocamora. San Diego, CA 92111-1310 Customer PO/Claim#: Contract Number: Job Site: 1400 W. Minthorn Street, Lake Elsinore, CA 92530 Date Sampled Who Sampled Lab Notes: In: 4112/07 14:50 ' 04/12/2007 Glenn Montague GENERAL ANALYSIS Analysis Number: 77250-37 Customer Number ao Location: Paint Chips-Brown interior Trim Pant @ Door to Bedroom Analysis: TTLC- Lead Results: 295 mg/kg Comments: Reporting Limit=22 mgAkg Analysis Number. 77250-38 — CustomerNumber 11 Location: Paint Chips-Vapor Paper Pink/Yellow Paint Shower 2"x 2" Analysis: TTLC- Lead Results: 191 mg/kg Comments: Reporting Limit=36 mg/kg Analysis Number: 77250.39 Customer Number 12 Location: Paint Chips-Vapor Paper Blue Paint Bathroom 2"x 2" Analysis: TTLC- Lead - Results: 171 mg/kg Comments: Reporting Limit=36 mg/kg -All samples tested as submitted to the lab. H.M.PITr LABS,INC.does not assume responsibility for the:accuracy of the Informat€on submitted -with the samples unless done by an employee of N.M.PITT LABS,INC. APPROVED BY: ° ��"`P ` Dated 04/16/2007 Ahla s.PRTr EH Page 4 of 6 y OZO/9l0'd Milt bE:ZI LOU/9UN -:)uZ `Sqp_1 111d H H:tUOAA H.M. Pitt Labs, Inc. Lab Number: 77250-77288 r ? 2434 Southport Way Suite L National City,CA 91950 TeL 619-474-8548 - Fax:619-474-6128 Company: Chad Maximum Demolition Date Entered: 04/12/2007 5595 Magnatron Blvd. Suite I Analyzed By: Cris Rocamara San Diego, CA 921 1 1-1 31 0 Customer PO/Claim#: Contract Number: Job Site: 1400 W. Minthorn Street, Lake Elsinore, CA 92530 Date Sampled Who Sampled 04/12/2007 Glenn Montague Lab Notes: In: 4112/07 14:50 ~GENERAL ANALYSIS Analysts Number: 77250-40 Customer Number 13 Location: Paint Chips-Pink Bathroom Cabinet Paint 1"x 2" Analysis: TTLC- Lead Results: 1,474 mg/kg Comments: Reporting Limit=35 mg/kg Analysis Number: 77250-41 Customer Number - 14 Location: Paint Chips-Beige Bathroom Cabinet Paint 1"x 2" Analysis: TTLC- Lead Results: 734 mglkg Comments: Reporting Limit=28 mg/kg Analysis Number: 77250.42 Customer Number 15 Location: Paint Chips-White Wall Plaster Bathroom 2"x 2" Analysis: TTLC- Lead _ Results:. 19 mg/kg Comments: Reporting Limit 10 mg/kg . -All samples tested as submitted to the lab- ti.M-PITT LABS,INC.does not assume responsibility for the accuracy of the Information submitted with the samples unless done by an employee of H.M.PM LABS.INC. APPRIYEU BY: ° P ---I - Rated: 04/f/2007 r-eL No S.vrrT,CiH - Page 5 of 6 OZO/Ll0'd EV9# bE:Zl LOOZ/9l/b0 -3uI `sgP-j 111d H H:waaA r 4 � _ H.M. Pitt Labs, Inc.. -Lab Number. 77250-77288 ` t 2434 Southport Way Suite L National City,CA 91950 Tel:619-474=8548 • Fax-619-474-6128 Company: Chad Maximum Demolition Date Entered: 04112/2007 5595 Magnatron Blvd. Suite I Analyzed By; Cris Rocamora San Diego, CA 921 1 1-1 31 0 Customer PO 1 Claim#: Contract Number: Job Site: 1400 W. Minthorn Street, Lake Elsinore, CA 92530 Date Sampled Who Sampled Lab Notes: In: 4I12/07 14:50 04/12/2007 Glenn Montague GENERAL ANALYSIS Analysis Number: 77250-43 Customer Number. 16 Location: Tile-Green Ceramic The Bathroom 1"x 4" Analysis: TTLC- Lead Results: 6,513 rri Comments:. Reporting Limit=200 mglkg; Note: Elevated Reporting Limit Due to Sample Dilution. Analysis Number. T7260-44 Customer Number: 17 Location: Tile-Pink Ceramic•rile Bathroom 3"x 3" Analysis: TTLC- Lead Results: 9,711 mg/kg Comments: Reporting Limit 200 mglkg; Note: Elevated Reporting Limit Due to Sample Dilution. -All samples tested as submitted to the lab, H.M.PITT LABS,INC.does not assume responsibility for the accuracy of the information submitted with the samples unless done by an employee of H-M.PITr LABS,INC. r Ueft 04110/20D7 ELAND S.Prrr Page 6 of 6 OZOf8LO-d EV94 b£:Zl LOW/9l/b0 -Jut `SqQ] Wd H 11:tuoaJ .1 N CZ 0 H.M. PITT LABS, INC. Chain of Custody Record 1 cn 2434 Southport Way,Ste L c`ra r National City, CA 91950 (619)474-8548 Fax:(619)474-6128 Lab #: ca N_ ti CUSTOMER INFORMATION PROJECT INFORMATION ANALYSIS REQUESTED Chi Bill To: Sarnpled By: Date: N (( Fungus Asbestos Metals Other c'n GiX1N(tLJjM 0 6u ( W b$2 lz 0-7 Address: Location: N s� -cr l J CYO o Ll U N Phone: PO#: Fax: Job/Claim# 0 a �_ CL L Y ` J J J Sample# SAMPLE DESCRIPTION Time on Time Off Flow a j p M m Q O (n tv- [L Go r T U �`t+M r� ► 3`` ?� `� �1'l ter o n 1 X2- �)642qvvr Dt t ran ! x ✓ U L < <{ brDraD �r 3 b p � REQUIRED TURNAROUND Received by Reiinquisha �'� �-' CatclTim e: L Q Date/Time: 4 2 �• 5 M El RUSH*-Specify .� 0. Rellnqulshec by' Received by: ❑LDay 1Day ❑3Day DatoMme: IDatemme, ❑4Day Other O Revis'on Date: 8;14e2O3 ;Rush may require an extra charge O C3 Q C3 �'' H.M. PITT LABS, INC. Chain of Custody record m t 2434 Southport Way, Ste L w National City, CA 91954 `'"e^m•^`' (619)474-8548 Fax:(619)474-6128 Lab#: r- r- CUSTOM ER_INFORMATION PROJECT INFORMATION ANALYSIS REQUESTED a o Bill To: Sampled By: Date: I N Fungus Asbestos Metals Other. CD Address: Lqcation: v o _ c u v N d Phone: pot a U ro Fax Job/Claim#: U U L1 U Sample# SAMPLE DESCRIPTION Time on Time Off Flow F a 5 O to m ¢ O 01 a- I co V C¢.►�-emu. �� rw�m ��` +1 ,t X31 Relinquished by: Received by REQUIRED TURNAROUND a Ci DatelTime; Date/Time: ❑RUSH*-Spedfy Re!Inquished by. Received by: ❑May 2Day ❑3Day � Date/Tlme: ❑4Day Other Date/Time: Rsyslon Data: 8114/2003 Rush may require an extra charge