HomeMy WebLinkAboutAsbestos Abatement Permit and CorrespondenceColorado DePartme nt of Public Health and Environment
Air Pollution Control Division -lndoor Environment Program - Asþestos/lAQ Unit
4300 CherrY Creek Ðrive South, APCD-lE-81
G@PV Denver,Colorado 80246-1530
Phone: 303-692-31 00 -Fax: 303-782'9278
E'mail: asbestos@state.co.us
ASBESTOSABATE,MENTPERMIT
This pennir is granter, suLrject to colorado Air.Qualir¡' control conrmission Regulation f l i' 1lñ B' adopted December 2l ' 200?
and ertective January:0. ioot. the colorado oi, o"ii"ii"Ti."*¡""äiJc",riÀr n., (?5-7-r0r or'25-?-501 er seq', c'R's') and
thc|bllorvingprovisions,ltisolrtvfbrtlrcpur¡roseofallowingasbeslosabalement,
4pD ITloi)-AL PERM lT PROVTSION$:
i31.. performing rvork under this permit the abatement contracror agfees that the Division nray revokc or suspend this permit
iï,1lJi:.rl.jl':'Ï'-i:i.'l;:ff;#ì1ä'::i" viorarion of ?5-7-r0r or 25-?-50r er seq.î c,R.s. or Reguration No' I' Part B' or
an c¡¡'cter olthe Division or Cotn¡rrission'
r has IàirecJ to ¡neer any permit antl notification requirement or tãilecl to. çorrect an,v violations cited b¡' the Divisicrn dtrring an'v
i'specrion rvithin a reÅona6le period of tinrc. ti n,u1' be detenlined b¡'the Division'
r has used nrisrepresentation or lratrd itr obtaining this pennit' or'..
r has csnl¡nirted an1. acr or omission rvhich does no, *.*t generall¡. accepted standards of the practice of asbestos abatenlent'
As a contractor. you ma)' be subjecl to Ùlher licenses and permils, dïïlinq on rhe requirements of the county and rnunicipaliry
in u,hich ¡¡s 1yçrrk is being performed. The cotoraão ô;ñ;;.;iofþuulic-uealtl¡ and Environnent' Air Pollutir:n control
Division srrongly suggests that ¡.'ou check rvith .";ü;;ã;;nilipot nutt'otities in order to detennine any 'ther
local
buildingiperrnitting requirenìents dlal must be mel'
THE ORIGINAL PERMIT MUST BE POSTED ON SITE AT ALL TIMES'
lnnrc(ìatc!1. notifl, llte ,.lsbestos/1.4Q l;nìt of prajetl ntodìficalÍnn.l ô'r'/ø.1 Qunthcr uhow) or e.muíI (adtltcss lthove) ant[
tht: uppropriatt: count], ;,';;1;i, ;i;t,;;,,u0,,t t 1i¡,i. rü1u-cí nrcdi¡cntiuts include chunges íu tfte scope af vork or the
schednlctl trork tl$Íes, elc.
-¡ris asbesros abaremenr permir is valid beginning 8/10/2016 tlÏough 11:59 PM on 9/8/20i6'
îhe acrual schedulecl nork dates=are frım 8110/2016 through 8/19i2016'
Approval issuüd on: 7¡3 l¡20ló
Recrlrd nu¡libtr: ll9'l'1 1
Sclic* Nur¡r l¡er: I 6{iA{ I l¡tì't
Variance; None
Conrnletrts: None
For rhe location sPecified belorv:
.4lvaro Ramirez Residencc
Throughoul
?ó Remington St.
Rifle
Garlieltl CountY
'l'his pennit has besn issued 1o:
Fee paid: 5"+00.0e1
Cìreck rrrrmber: CC 1486
Project Supervisol':
Raqucl A. Ojeda
Cerification No.: 945S
Project AMS:
Douglas A. Closc
CerificationNo.: 29:ìÛ
Ploject Manager:
Itrtcrtech Enlirt¡ntut¡tt¿1. I ne'
2524 South Rifle St.
Aurora, CO 80013
Issued by; RWJ
Colorado Departrnent
of PublicHeâlth
andË,nvironment
General Abatement Contractor
This certities that
Intertech Environmental, Inc'
GAC No.: 20855
has lnet the certification requirelnents of ?5-7-507, C-R'S. and Air
Qualiry Control Comrnission Regulation No. 8, Patt B' and is hereby
authtlrized 1o perfonn asbestos atratement actir.'ities in the state of
Colorado.
Issuedl
Expires
January t7r 2Û16
January 28, 2tl7
l&¿¿<k*@@*4,¿"* EZt+tW L A--,a, CO 90043 UI, (120)ZS'l-96q OW, tS0tTlSç5316
CLOSEOUT REPORTS REFERENCE SHEET
Generully,2 Copies of Closeout to be made:
One for the client with original waste manifests, and one copy fnr the Intertech EnvíronmentøL,
Inc. fúe.
Sometimes 3 Copies (2 for the Client' One for file)
TAB 1 - Permits/Notifications:,l A.g.C. (General Abatement Certificate)
d Asbestos Permits
d D"nto Permits (If Applicable) r¡la-d tf no asbestos pennit, include only GAC
TAB 2 * Disnosal Documentation:t/ffiillVaste Manifests (with stamps) hrú¿ht. fla;rl¿¿*fan lUÅr¿¡e* !
r¡¿t Make 2 color copies of Original, original to client closeout, one copy to Intertech
closeout, one copy for file.
T.{83-AirMonitoring:
,,1 gnAir monitoring reports (Usually Reservoirs) in order by date.
ã lf notair monitoring, exclude this tab.
TAB 4 - Insurance:
',ú Certificate of lnsurance
lú rcnane, exclude this tab
TAB5-ActivityLogs:
,l ¡tt daily reports, organized by date, to include Daily sign-in, activity log, safety
meeting, inspection forms.
rq/ Containment logs and manometer strip tâpe go behind daily paperwork, in order
by date as well.
rt¡z Manometer strip tape is usually taped to back of containment sign-in and sxtra
sheets when necessary, and needs to be copied separately front a¡rd back.
r' TAB 6-Licenses/Certilications:
;l Ce*iftcations of all workers listed on the daily reporls. Usually Certification are
already in the job fîle directly from job book, but verification is needed to ensure
all certs are included.
¿{ Clean Copy of Certifications should go to clien! and original job site certs oan go
in Interteıh closeout files. (only I copy of certs will need to be made in thìs case)
If no copies of certs are in the file,2 will need to be made-
I
l4"frnft4l, Euvb.øt"*t¿tal, h*. 7?A.2ll.n6q 1ilf;¿^t 1uurTuq"ly F^'u¿Yq^,ø 0t lüqtltl#l
ffi"*ç,pN
Vtrp.tÀt.V1f. !.t sL4¡l
Final Clearalçe Air. Monitoring Services
Date: August 18, 2016
Project; Abatement of interior ACM wallboard texture and sheet vinyl
flooring at 76 Remington Street, Rifle, Colorado 81650.
Contractor: Intertech Environmental, Aurora, Colorado
Air Monitoring Description :
Phase Con provided final clearance air monitoring services at the project
site listed above on August 18, 2016. Air samples were situated inside
the enclosure So as to be representative of the entire work space. Air
samples were obtained utilized aggressive sampling methods to aid in
ensuring that any fibrous material left in the enclosure would be
entrained in the air during the sampling period.
Abatement Pescri otion :
Abatement of interior ACM wallboard texture and sheet vinyl flooring.
Comments and Resgmmendationsi
PCM analysis of the final clearance air samples revealed airborne fiber
levels inside the containment area(s) to be less than the Colorado State
Maximurn Allowable Asbestos Level (MAAL) and the EPA clearance level
of
be
0.010 fibers
. Close
cubic centimeter of air; therefore, the area(s) may
et non-abatement conditions.
o State Air Monitoring Specialist #2934
2166 Peregrine Court
Grand Junction, ÇO 81507
Office: 970-260-3341 pceconsultants@qwestoffice'net
d
ffisEcoN
ENVIßONMENTAI CONSULTANTS
...breathfl tasg.
PCM LABORATORY ANALYSIS
OSHA Reference Method - NIOSH 7400
Client: Intertech Environmental Sampling Date: B/t8/L6
Aurora, Colorado Technician/Analyst: D' Close
Project: 76 Remington Street CDPHE Technician ID: 2930
Rifle, Colorado
Abatement Contractor: Intertech Environmental, Aurora, Colorado
Description of Work: Abatement of interior ACM wallboard texture and sheet
Vinyl flooring.
SAMPLE DESCRTPTIOil AXR VOLUME fibers/fieldsSATYIPLE
ID
* Colorado State Clearance Level is 0.010 f/cc of air
Technician/Analyst:
cc
2166 Peregrine Court
Grand Junction, CO 81507
97 0-260-3341 pceconsu ltants@qwestoffice' net
496 L 9.0/100
O,oO9 f/cco1Final Clearance Sample -
House Interior Enclosure
496 L 6.s/100
<a.oo7 Flcc02Final Clearance Sample -
House Interior Enclosure
496 L 5.0/100
<o.oo7 F/cc03Final Clearance Sample -
House Interior Enclosure
496 L s.s/100
<o.oo7 F/cc04Final Clearance Sample -
House Interior Enclosu
s.0/100
<o.oo7 Flcc
496 L05Final Çlearance Sample -
House Interior Enclosure
NONE
DETECTÊD
06 Blank
NONE
DETECTED
07 Blank
Office