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6568 (CSCS)m .it-eAk�/ r of (Ver'r-t-a- t vA 'Ila -Ouinta Buitbin4. aub $afjvt�r 33ikliriilan This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code* certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS / O -0 Use Classification Bldg. Permit o. F Group A 3 Type Construction Fre Zone Use Zone S Owner of Building 172, �lAtC.3 Address City By �� P ! ��o x Date Ir rj Building Official POST IN A CONSPICUOUS PLACE ��� rL 2Y0'73 YYA (a.r � 0 yq �U + Planning & Engineering Office 79-733 Country Club Drive, Suite F Indio, CA 92201 (619) 342-8886 RIVERSIDE COUNTY FIRE DEPARTMENT IN COOPERATION WITH THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION Date: September 12, 1990 GLEN J. NEWMAN FIRE CHIEF To: Building & Safety Department City of La Quinta Re: Plot Plan 89-411 La Quinta Garden Cafe ,0--%, 011AENT Of qV? RE PRO ECl/ FORE,9Y C F4 - 5i F Planning & Engineering Office 3760 12th Street Riverside, CA 92501 (714) 787.6606 The Riverside County Fire Department considers its requirements met and hereby releases 78-073 Calle Barcelona, La Quinta for occupancy. RAY REGIS Chief Fire Department Planner i By �a�+ Tom Hutchison Fire Safety Specialist to COUNTY OF RIVERSIDE—DEPARTMENT OF HEALTH—ENVIRONMENTAL HEALTH SERVICES DIVISION APPLICATION FOR REVIEW OF FOOD ESTABLISHMENT CONSTRUCTION/REMODEL PLANS NOTE: PLANS WILL NOT BE ACCEPTED UNLESS: 040471. 1. This Application is complete, and the Plan Check Fee is paid. 7r&tf -Y _S A c_>:r1n J --d—_ 600 (O ESTABLISHMENT%�,�uos �2rj������r NAME [� JOB SITE ADDRESS CITY CONTACT PERSON OWNER/OPERATOR NAME ADDRESS 3 3 6Z 9/6& aa) i FOR OFFICIAL USE OFFICE DATE FEE qSq.6 PHONE ' '> PHONE ZIP 'e'Z16 D CONTRACTOR/ARCHITECT NAME,lp PHONE �'�+X13 ADDRESS ��. �/�/�SLs 1� " CITY a%y_ , �1a C.�� ZIP A. GENERAL Type of construction New Remodel of Existing Permitted Food Establishment (hod//70) %Z) &136) Total square footage (including all seating areas) 4q f'S— Hours of Operation 11"ey'4nsr — lI•`�, /,rvs/OE¢OUMD Seating Capacity for dining: �% l Number of Ar ers per shift (incl._ mgmt) lfJ S. SERVICE (Indicate ALL methods of food services to the public): _ On-site preparation (cutting, cooking, assembly, etc.) Soup or Salad Bar Items individually packaged by manufacturer Customer Self -Service Dispensers Full Service Bar Type of customer utensils (cups, plates, forks, etc.) Single Service (disposable) —><,_ Multi -Use (re -usable) D. UTILITIES �p / Water Service: _ Public Water System (*) NAME OF WATER COMPANY: 0034C_WK-V— 4'/, 460Y &L Private Well (Must be potable) ACNECcA U Sewage Disposal: Public Sewer System (*) NAME OF SEWER COMPANY: M.=/L 31C772i Septic System (must be Environmenal Health Land Use approved). Septic Tank Capacity: *ALL NEW CONSTRUCTION REQUIRES a letter from provider stating establishment is or will be connected to utility BEFORE PLANS SHALL BE APPROVED. This utility connection is the responsibility of the applicant/operator and will be verified prior to approval to operate facility. GA Grease nterceSptor: NOTE: REQUIRES interceptor size requirement or waiver letter from sewerage provider. OWNER/REPRESENTATIVE DECLARATION: I understand that the amount of fee paid is based on my declaration of information on this form, and that incorrect information is grounds for denial of the submitted plans. I also understand that plans will be discarded if not picked up within sixty (60) days of approval or denial, and that no inspection of my establishment will be conducted, or approval granted to operate, until all proper info tion requested ha been received and plans approved and returned. Gtr s ignature Date DOH -SAN 002 (Rev. 5/89) / �I 7 P41 Lf 1 or DIST. # COUNTY OF RIVERSIDE - DEPARTMENT OF HEALTH ENVIRONMENTAL HEALTH SERVICES DIVISION PLAN CORRECTION 040471 Plan Check # Date �d � " ;% �! DBA;it APIQU t -L , G RDCJIIA R rtsrA QJ Job Address V-730 CAKE SARC Et elyA LA Q //1 �If� 3 Plans Submitted by Int L -1,J DC LL V 1f1T1+ Phone Owner /I AT ICS j AI I I Address73'.IT7 WILL OV, RAIM 1)9.0 9"Phone 14— 7 The plans are now approved subject to the conditions list below: 1 A ALL NEW 1!RUIPAIN-r CALL Af CT 0P ED V-QVIVAl��"- -f �t NIZAL t 910AZ IS Jyffrur ro APP@DIg L sy -n4rr A G60 rrHS JQ)- ALL u rn r4w pm o r /:r Juesirt-r 1,6 rm3 t. A Umotj 2_ YAR tNla .0,411 uA✓rA AWN JIM (QMPAPrAt�A/rfiZ6Qr lDx14 x /0 JWrp �� A MINIA+1-M n)r l00.ra u4RC yr.Ntrf of MrU6 Aknl w/rl l>-rr6kAL .maw --Dox MI Alm, 4 OF /r teyyA, 3. 1.-,Ai'rra .r7ArohilaAUtkAW Ft MD., VILIW, 7-IAr mtrtrrf COPi_ . 1AIXTALL i/N-0 ANk- Int IMML^niATC A -Tr eA-1 ! tIA . Ai( WALLP IeNIAQ ACL MVk,% ZVCiORIAIG,y ,NOP AD AVAMJ'/M:'f� MIAC " m5 a.a; e-CTu) l W LJ flf k L' ArKAI 1f 7/ L C f' sren. f tr ii TIL f 714Ii? APPROV110 A4o+rtrR AL I'mARS re ►f/f Alor A josv7'/T LS &k , IY60IN-D HAD ! S Ar WAL SIML e, In rtom rtook 7n A y t614to WALL, BLNIAO ALL 411 PAllect QW. I96 LI1AARAAte? AL i44.LL rX-- 7C42 Q Al Ft aM To 'UP y✓Q t L - A4 fkOt -X AL X-a!'eA)b -ro CCN frpr or SfAle-f CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary spection when construction is approximately 80% complete, with plumbing, rough ventilation, and rough eq pment installed. Request for inspection should be made at least five (5) working days in advance. A FINAL INSPECTION MUST be made upon completion of ALL w k incl ding finished details. APPROVAL to operate shall not be granted, or remodeled areas allowed to operate un ' the facility has passed the FINAL INSPECTION, and "APPLICTION TO OPERATE" has been complete PERMIT FEES have been paid. Request for inspection should be made at least five (5) workin days in advan e. PLANS CHECKED BY LTJ trLr 1 Phone �� 9 � 2 % W-OfficeN-Applic t/ -Bldg. Dept. DOH -SAN 178 (Rev. 8187) 7 DIST. # COUNTY OFA RIVERSIDE - DEPARTMENT OF HEALTH ENVIRONMENTAL HEALTH SERVICES DIVISION 040471 PLAN CORRECTION Plan Check # - ' Date DBA.41ftnff LfL WAWA -I,',f r)4144Job Address W - t?Q CAILE' RAhRO OIVA.LWu/ R L , / L 3 Plans Submitted by W rW12 y t L VVITY Phone ti1�., 3 ` �.Z 43 Owner M'AR I O L A LL I Address7.3- 3rT WILLOW', P404 l~II',iK+- hone � � �' "' 30 a l The plans are now approved subject to the conditions list below: � . y(,r kilk#'P IN(Al AAIT) rnak 7Wif 1544111 ri LIX 1All"i t r -AW O P -r-ft k- TY Pe NbJ IE eod �rrTr�,M r>Jtr� ICY C -A Ir Le L, 1, -r P, I C, 7» W OD-pJ' e9va C N,4E .B koft rk P ,f14Att -pr V(fN'T(5"-9 To m (- tri'' C[7 f:nQC-r/UJ Of -rglf FACILI'ry X14ALL C0N9.OkAA -ro A7`n9('.k�'D CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary Inspection when construction is approximately 80% complete, with plumbing, rough ventilation, and rough equipment installed. Request for inspection should be made at least five (5) working days in advance. A FINAL INSPECTION MUST be made upon completion of ALL work including finished details. APPROVAL to operate shall not be granted, or remodeled areas allowed to operate, until the facility has passed the FINAL INSPECTION, and "APPLICTION TO OPERATE" has been completed and PERMIT FEES have been paid. Request for inspection should be made at least five (5) working days in advance. PLANS CHECKED BY %) neke ' Phone 6J 9 k?u)-- r4gi W-OHiceN-Applicant/P-Bldg. Dept. DOH -SAN 178 (Rev. 8/87) R L:- COUNTY RIVERSIDE MAY 9.1-24 PLANNING & ENGINEERING 46.209 OASIS STREET, SUITE 405 INDIO, CA 92201 (619) 342.8886 Mario A. Lalli 73-387 Willow Palm Desert, CA 92260 Re: Mario's Restaurant 71-730 Calle Barcelona La Quinta, CA 92253 Plot Plan 89-411 RIVERSIDE COUNTY FIRE DEPARTMENT IN COOPERATION WITH THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION GLEN J. NEWMAN FIRE CHIEF October 12, 1989 PLANNING & ENGINEERING 3760 12TH STREET RIVERSIDE, CA 92501 (714) 787.6606 Fire Department personnel have completed a review of the plans you submitted for the above referenced project and have no conditions or corrections to be met prior to issuance of building permit. 1. The Fire Department is required to set a minimum fire flow for the remodel or construction of all commercial buildings using the procedure established in Ordinance 546. A fire flow of 2250 gpm for a 2 hour duration at 20 psi residual operating pressure must be available before any combustible material is placed on the job site. 2. The required fire flow shall be available from a Super hydrant(s) (6" x 4" x 2}" x 2}") located not less than 25' nor more than 165' from any portion of the building(s) as measured along approved vehicular travelways. 3. Provide written certification from the appropriate water company that hydrant(s) will be installed and will produce the required fire flow. THE FOLLOWING CONDITIONS MUST. BE MET PRIOR TO OCCUPANCY: 4. Install a Hood Duct automatic fire extinguishing system. System plans must be submitted, along with a plan check/inspection fee, to the Fire Department for review. 5. Install portable fire extinguishers per NFPA, Pamphlet 410, but not less than 40BC in rating in kitchen, and 2A1OBC in rating for all other areas. Contact certified extinguisher company for proper placement of equipment. 6. Install panic hardware, exit illumination, & exit signs as per Chapter 33 of the Uniform Building Code. 7. Certain designated areas will be required to be maintained as fire lanes. Mi�eicA. Lalli Palm Desert, CA Re: Plot Plan 89-411 10/12/89 Page 2. 8. Post occupant load on an approved sign in a conspicuous place near the main exit. Maximum occupant.load inside is 175 persons. 9. All drapes, curtains, hangings, and other decorative material shall be made from material which is not flammable material or shall be flame retardant treated. Requests for inspections and/or tests'are to be made at least 48 hours in advance and may be arranged by calling (619) 342-8886. Please contact the Fire Department for a final inspection prior to occupancy.. All questions regarding the meaning of these conditions should be referred to the Fire Department Planning & Engineering -Staff at (619) 342-8886. Sincerely, RAY REGIS Chief Fire Department Planner BY Da� Dennis Dawson Deputy Fire Marshal to Envelope Summary Form & Worksheet (Part 1 of z) GF -2 O S For Enforcement Agency Use Only e r.? l_ IJ6-ly#?z: Documentation Author/Firm Date Plan Checked By Date Roof Floor Area/Soffits A B C D Total �j�'�7 Total Average Fl -value Col B /Col D Glazing in Roof A B C D E A B C D Floor/Soffit Type Area Proposed R value Area / Fl -value East South West Horizontal Total (At) er Total Total Average R -value Col B /Col D F G H I Type Surface Area Proposed Proposed U -value S North East South West Horizontal Total (At) er Total I / 6 Exterior Wall Area B C D E F Surface Area North East South West Total �., Envelope Summary Form & Worksheet (Part 2 of 2) CF -2 /4L, O 5 120 For Enforcement Agency Use Only Pr Tild ocumentat]on u or/irm Uate Plan Checked By Uate Opaque Exterior Walls and Doors A B C D E F G H I J K Glazing in Walls A B C Proposed vireo Weighted Average R -Value 16,3 Col F/ Col I Col F I Col K D E F G H I J K Glazing Type Surface Area Glazing Characteristics Proposed Wall Requireme East (Ae) South (As) West (AW) Total (A0 U -Value SC Total Area x U -Value West Area x SC Total Area x SC Silk' 13 7o 23(0 /4 (0&o /, Osf 0.62 6q 63 87. Z 401, Z Totals ZIS 1170 1 21,6V41 6, Totals 63 Zv Glazing in Walls A B C Proposed vireo Weighted Average R -Value 16,3 Col F/ Col I Col F I Col K D E F G H I J K Glazing Type Surface Area Glazing Characteristics Weighted Averages North (Ad East (Ae) South (As) West (AW) Total (A0 U -Value SC Total Area x U -Value West Area x SC Total Area x SC Silk' 13 7o 23(0 /4 (0&o /, Osf 0.62 6q 63 87. Z 401, Z Totals ZIS 1170 1 21,6V41 6, Totals 63 Zv SC Adjustment Notes: U -Value West SC iota] sc Averages /• OSS Col I/ Col F Col J/ Col E Col K I Col F Envelope Summary Form & Worksheet (Part 1 of 2) CF -2 O's For Enforcement Agency Use Only e Documentation u r um Date Plan Checked By Date i Roof Floor Area/Soffits i A B C D A B C D Total 7 Total Average Fl -value CoI B / Col D t Glazing in Roof (' A B C D E Floor/Soffit Type Area Proposed R -value Area / Fl -value East South West Horizontal Total (At) Total Total Average R -value Col B / Col D F G H I Type Surface Area Proposed Proposed U -value SC North East South West Horizontal Total (At) i Total % Exterior Wall Area B C D E F Surface Area North East South West Total /Z2 . Envelope Summary Form & Worksheet (Part 2 of 2) CF -2 A40w !M&ov, °S _�_�/� For Enforcement Agency Use Only . ocumentat on AUthorimffn Date Plan Checked By Date Opaque Exterior Walls and Doors A B C D E F G H I J K Glazing in Walls A B uirea Weighted Average R -Value 0.3 Cal F/ Col I Col F I Col K C D E F G H I J K Glazing Type Surface Area Glazing Characteristics Proposed Wall North (Ad East (Ae) South (AS) West (AW) Total (A0 U -Value SC Total Area x U -Value West Area x SC Total Area x SC 5/460i' 13 7o 2-*& 14 (o(vo /.OSf 0.ggg 6q &3 87. f Z 409,2 Totals Totals 637. #2 1of ZO Glazing in Walls A B uirea Weighted Average R -Value 0.3 Cal F/ Col I Col F I Col K C D E F G H I J K Glazing Type Surface Area Glazing Characteristics Weighted Averages North (Ad East (Ae) South (AS) West (AW) Total (A0 U -Value SC Total Area x U -Value West Area x SC Total Area x SC 5/460i' 13 7o 2-*& 14 (o(vo /.OSf 0.ggg 6q &3 87. f Z 409,2 Totals Totals 637. #2 1of ZO SC Adjustment Notes: U -Value West 5G i o►ai zo:, Averages �• OSS D. (02 ��GZ Col I /Cal F Col J / Col E Col K / Cal F Installed Lighting Summary CF -5 1 aAQ I O�� 'E'AL For Entorcement Agency Use Only mentation u or/ rm Date Plan Chocked By Date Proposed Adjusted LPD 1 Total Installed Lighting Watts (from below) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Watts 2 Control Credit Watts (WS -5A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Watts per Watts 3 Adjusted Watts (Line 1 - Line 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �ocl l `2 Watts 4 Conditioned Floor Area (from CF -1) . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . 333 tt2 5 Adjusted Lighting Power Density (Line 3/Line4) . . . . . . . . . . . . . . . . . . . . . . . . . . . Code Wattsrf12 6 CaAllowed Whole Building LPD (from CF -1, Part 1) Luminaires or ❑ Allowed Tailored LPD (from Line 5 of WS -5C) . . . . . . . . . . . . . . . . . . . . . . . . . 2' o Warts/ft2 Installed Lighting Schedule A B C 0 E F p1'La.ou)pV_a OkA>al�-r AV-wsrm T z iib -f- [C PA C LL-- NIaL.PD� Y� D...' Page Total '234.7 t bTu/5F/yR • Building Tota; �o� ��`9J Watts per Luminaire Reference Reference in Construction Number of Luminaire (ind. ballast) Total Code Documents Luminaire Description Luminaires Wats Non-standard value? ✓ wa,ITI"Y61 V__ -1 Ft atE s 1- 100 •* - ✓ too moo v.l Q7PsR• -1 vJ eet_L_ M'rD ► u C 1.1_� T loo lOo IQ F TIS l2 is 1- I o o vJ DIN ► ►.>� I - _l�.t-L NhTQ I>aGr�.1�lTS�sJT 3 100 3�0o vJ _ I oo v� 1i til 161!_�---- PLAIoa9-6r_Fa3T -411-F4gfia 10 6'Z 870 _ K I I � � I �►Jr 1 �c r-B.0_0_b---- LJ G -` , 1- ao w.) 4- l deo �OO �aJ GI Z. M�i7_4FJGr D�fCJ-a1.1T_ /�Op WI ST�Rl til _tom �_yJt-c.� _rwT_v_---- �.+1oR 12-g467t2 2 �� 1,/. 4- vJ , 8 `2C�12' X4.1 L009-f✓SGFit�T 2. g �2 i1A_ZkuN� 2— U09- ' _ —4-8--1— � E.K�T p_ LT Fl- I cc, �VD tL� - --------------------- - ---------------------------------------- p1'La.ou)pV_a OkA>al�-r AV-wsrm T z iib -f- [C PA C LL-- NIaL.PD� Y� D...' Page Total '234.7 t bTu/5F/yR • Building Tota; �o� ��`9J Installed Lighting Summary CF -5 f1 ipw Ol5 e.�, For Enforcement Agency Use Only l� i Tide V Et>oti)e,LL VE 114 lit- 25-8! - ocumentabon Author/Firm Plan Checked By Date Proposed Adjusted LPD 1 Total Installed Lighting Watts (from below) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Watts 2 Control Credit Watts (WS -5A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Watts per Watts 3 Adjusted Watts (Line 1 - Line 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . di 1 'Z Watts 4 Conditioned Floor Area (from CF -1) . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Co33 ft2 5 Adjusted Lighting Power Density (Line 3/Line4) . . . . . . . . . . . . . . . . . . . . . . . . . . . Code Wans/f12 6 CaMowed Whole Building LPD (from CF -1, Part 1) Luminaires or ❑ Allowed Tailored LPD (from Line 5 of WS -5C) . . . . . . . . . . . . . . . . . . . . . . . . . . �• o Watts/ft2 Installed Lighting Schedule A B C 0 E F 1y1 G lL- AlML.PD� X��Page Total � � q _ z �• q t- [ C2.o- �-�� x��] - 24.7 �,��s�/ya • Building Tota! Co� I -Z-"4j Watts per Luminaire Reference Reference in Construction Number of Luminaire (incl. ballast) Total Code Documents Luminaire Description Luminaires Watts Non-standard value? ✓ WP*ITIK G7 V -I Ft tZ�s t— too y,1 BOO �� �alR � - � W e� M.'rV i ►J ct� Q�t-�T F �v12�s 1-Io0 Co loo roo �rJ fytL MC_D i�JGt�+J�Sp+.1T _ 7j 100 3zoo vii _ 100 ,N 1� 1TCh}�r1 I4'-tt=E 16 - - FL.t] 0 R 65CW-T 4 2 - t: 46 1)7 10 8 c �.l I iii �I. _r---��---- 1 61 --te7 c, U_ M�p_11JG�+.LD_rJ"�_ 100 200 \4J o tgz l�, ¢ Ip¢ #.Z ` -7 rz - rp ---- 1 8 "2 w� L,tl®RL5a7±V I. t2 - (-t1oR ,6&iT -2 4 t ExT k LTS E-1 _ °`0 7�0 \#J - --------------------- -------------------- 1y1 G lL- AlML.PD� X��Page Total � � q _ z �• q t- [ C2.o- �-�� x��] - 24.7 �,��s�/ya • Building Tota! Co� I -Z-"4j [E:ssTek An ESS cmy EssTek 9041-17 Dice Rd. Santa Fe Springs, CA 90670 (213) 944-2520 ASBESTOS IDENTIFICATION REPORT OP ANALYSIS CLIENT. MAR -10 LALLI REPORT/LAB I.D#f: B590467 REPORT DATE: 6-8.-89 PROJECT: HONE. GIVER SAMPLELOCATION:: Ceiling.Texture DATE RECEIVED: 5-26.-89 PO: None Given SAMPLE DA.TE.: 5-25-89 SAMPLE #-: 3. ANALYTICAL METHOD: PLM and Dispersion Stai.ning:.X Other: SAMPLE DESCRIPTION: White sprayed -on ceiling material containing cellulose and quartz in a.binder. ASBESTOS FOUND? None Detected MATERIAL ASBESTOS: PERCENT* Chrysotile--------------------- % Amosite--------------------- % Other Asbestos-------------- % - o Specific type: The samples analyzed in this report were provided by third parties not subject to control by ESSTEK or its affiliates. Consequently, the results presented represent microscopic examinations in ESSTEK Laboratory facilities and ESSTEK makes no representation as to collection techniques or procedures. *Percentages are reported by sample volume. Analyst EPA ID# 9516 MA - LDE ANTI ON Reviewed by I Es4 EssTek 9041-17 Dice Rd. Santa Fe Springs. CA 90670 (213) 944-2520 PiSARSTOS IDEtMFICATION RRPORT OF ANALYSIS MARIO LALLI REPORT/LAB ID#: B590468 REPORT DATE: 6-8-89 NONE GIVEN E LOCATION: Vinyl.floor tile DATE RECEIVED:. 5-26-89 PO: None Given SAMPLE DATE: 5-25-89 SAMPLE #: 2 _.._..TICAL METHOD: PLM and Dispersion Staining: X Other: DESCRIPTION: Off-white floor tile containing 1-30 chrysotile, cellulose and..inorganic aggregates in a binder. Mastic contains 15-20% chrysotile. I- - -.OS FOUND? Greater than 0.1% __�_ TAL --_- OS Chrysotile ------------------ Amosite------------- ------ PERCENT* 1% - 3% 150 - 20% (Mastic) % — Other Asbestos-------------- o - % Specific type: _- --- ----= ample analyzed in this report were provided by.third -- ----es not subject to control by ESSTER or its affiliates. quently, the results presented represent microscopic - nations in ESSTEK Laboratory facilities and ESSTEK makes no septation as to collection techniques or procedures. entages are reported by sample volume. _ :st EPA ID# 9516 MAT,4LDE ANTILLON wed by:--"'�xi-=n-- EssTek AnESS EssTek 9041-17 Dice Rd. Santa Fe Springs, CA 90670 (213) 944.2520 ASBESTOS IDENTIFICATION REPORT OF ANALYSIS CLIENT: MARIO LALLI REPORT/LAB ID#: B590469 REPORT DATE: 6-8-89 PROJECT: NONE GIVEN SAMPLE LOCATION: Linoleum DATE RECEIVED: 5-26-89 PO: None Given SAMPLE DATE: 5-25-89 SAMPLE #: 3 ANALYTICAL METHOD: PLM and Dispersion Staining: X Other: SAMPLE DESCRIPTION: Beige and brown linoleum containing 5-10% chrysotile, cellulose and inorganic aggregates in a binder. ASBESTOS FOUND? Greater than 0.1% MATERIAL ASBESTOS: PERCENT* Chrysotile------------------ 5% - . 10% Amosite--------------------- % - % Other Asbestos-------------- % - % Specific type: The samples analyzed in this report were provided by third parties not. subject to control by ESSTEK or its affiliates. Consequently, the results presented represent microscopic examinations in ESSTEK Laboratory facilities and ESSTEK makes no representation as to collection techniques or procedures. *Percentages are reported by sample volume. Analyst EPA ID# 9516 MATILDE ANTItLON Reviewed by, -5 't) •"R�o-�.._ EssTek Ann CmVany EssTek 9041.17 Dice Rd. Santa Fe Springs, CA 90670 (213) 944.2520 ASBESTOS IDENTIFICATION REPORT OF ANALYSIS CLIENT: MA RIO LALLI REPORT/LAB ID#: B590471 REPORT DATE: 6-8-89 PROJECT: NONE GIVEN SAMPLE LOCATION: Carpet padding DATE RECEIVED: 5-26-89 PO: None Given SAMPLE DATE: 5-25-89 SAMPLE #: 5 ANALYTICAL METHOD: PLM and Dispersion Staining: X Other: SAMPLE DESCRIPTION: Orange carpet padding containing cellulose and foam. ASBESTOS FOUND? None Detected MATERIAL ASBESTOS: PERCENT* Chrysotile------------------ % - % Amosite--------------------- % - % Other Asbestos-------------- % - % Specific type: The samples analyzed in this report were provided by third parties. not subject to control by ESSTEK or its affiliates. Consequently, the results presented represent microscopic examinations in ESSTEK Laboratory facilities and ESSTEK makes no representation as to collection techniques or procedures. *Percentages are reported by sample volume. Analyst : 2y% 1"EPA ID# 9516 MAT DE ANTIL N —- Reviewed [E:s:s1Tekk] AnBS EssTek 9041.17 Dice Rd. Santa Fe Springs, CA 90670 (213) 944-2520 ASBESTOS IDENTIFICATION REPORT OF ANALYSIS CLIENT: MARIO LALLI REPORT/LAB ID#: B590472 REPORT DATE: 6-8-89 DATE RECEIVED: 5-26-89 PROJECT: NONE GIVEN SAMPLE LOCATION: Wall plaster backing PO: None Given SAMPLE DATE: 5-25-89 SAMPLE #: 6 ANALYTICAL METHOD: PLM and Dispersion Staining: X Other: SAMPLE DESCRIPTION: White wall board containing cellulose in a binder. ASBESTOS FOUND? None Detected MATERIAL ASBESTOS: PERCENT* Chrysotile ------------------ % - % Amosite--------------------- - o s o o Other Asbestos--------- ---- % - % Specific type: The samples analyzed in this report were provided by third parties not subject to control by ESSTEK or its affiliates. Consequently, the results presented represent microscopic examinations in ESSTEK Laboratory facilities and ESSTEK makes no representation as to collection techniques or procedures. *Percentages are reported by sample volume. Analyst �??�% EPA ID# 9516 MAT�ILDE ANTI ON Reviewed by \�A�� EssT:ek AnMCrnpmy EssTek 9041-17 Dice Rd. Santa Fe Springs, CA 90670 (213) 9442520 ASBESTOS IDENTIFICATION REPORT OF ANALYSIS CLIENT: MARIO LALLI REPORT/LAB ID#: B590473 -REPORT DATE: 6-8-89 PROJECT: NONE GIVEN SAMPLE LOCATION: Floor Tile DATE RECEIVED: 5-26-89 PO: None Given SAMPLE DATE: 5-25-89 SAMPLE #: 7 ANALYTICAL METHOD: PLM and Dispersion Staining: X Other: SAMPLE DESCRIPTION: Pearly beige floor tile containing inorganic aggregates in a binder. ASBESTOS FOUND? None Detected MATERIAL ASBESTOS: PERCENT* Chrysotile------------------ % - % Amosite--------------------- % - % Other Asbestos-------------- ° - % 0 Specific type: The samples analyzed in this report were provided by third parties not subject to control by ESSTEK or its affiliates. Consequently, the results presented represent microscopic examinations in ESSTEK Laboratory facilities and ESSTEK makes no representation as to collection techniques or procedures. *Percentages are reported by sample volume. Analyst_ EPA ID# 9516 MAT DE ANTIL N Reviewed by FssTek mcmvly EssTek 9041-17 Dice Rd. Santa Fe Springs. CA 90670 (213) 944-2520 ASBESTOS IDENTIFICATION REPORT OF ANALYSIS CLIENT: MARIO LALLI REPORT/LAB ID#: B590475 REPORT DATE: 6-8-89 PROJECT: NONE GIVEN SAMPLE LOCATION: Wall Plaster DATE RECEIVED: 5-26-89 PO: None Given SAMPLE DATE: 5-25-89 SAMPLE #: 9 ANALYTICAL METHOD: PLM and Dispersion Staining: X Other: SAMPLE DESCRIPTION: Wall plaster containing cellulose and inorganic aggregates in a binder. ASBESTOS FOUND? None Detected MATERIAL ASBESTOS: PERCENT* Chrysotile------------------ % - % Amosite--------------------- % - % Other Asbestos-------------- % - % Specific type: The samples analyzed in this report were .provided by third parties not subject to control by ESSTEK or its affiliates. Consequently, the results presented' represent microscopic examinations in ESSTEK Laboratory facilities and ESSTEK makes no representation as to collection techniques or procedures. *Percentages are reported by sample volume. Analyst EPA ID# 9516 MAT LDE ANTI ON Reviewed b Y. - 11 mf55cmp" EssTek 9041-17 Dice Rd. Santa Fe Springs, CA 90670 (213) 944.2520 ASBESTOS IDENTIFICATION REPORT OF ANALYSIS CLIENT: MARIO LALLI REPORT/LAB ID#: B590476 REPORT DATE: 6-8-89 PROJECT: NONE GIVEN SAMPLE LOCATION: Floor Tile DATE RECEIVED: 5-26-89 PO: None Given SAMPLE DATE: 5-25-89 SAMPLE #: 10 ANALYTICAL METHOD: PLM and Dispersion Staining: X Other: SAMPLE DESCRIPTION: Beige and brown and gold floor tile containing inorganic aggregates in a binder. Mastic none detected. ASBESTOS FOUND? None Detected MATERIAL ASBESTOS:" PERCENT* Chrysotile------------------ % - % Amosite--------------------- % - % Other Asbestos-------------- % - % Specific type: The samples analyzed in this report were provided by third parties not subject to control by ESSTEK or its affiliates. Consequently, the results presented represent microscopic examinations in ESSTEK Laboratory facilities and ESSTEK makes no representation as to collection techniques or procedures. *Percentages are reported by sample volume. Analyst EPA ID# 9516 MAT DE ANTILLOV Reviewed b�'�----•�- `� `� `- ikbAn ESS GxnpAny EssTek 9041-17 Dice Rd. Santa Fe Springs, GA 90670 (213) 944.2520 ASBESTOS IDENTIFICATION REPORT OF ANALYSIS CLIENT: MARIO LALLI REPORT/LAB ID#: B590477 REPORT DATE: 6-8-89 PROJECT: NONE GIVEN SAMPLE LOCATION: Duct Insulation DATE RECEIVED: 5-26-89 PO: None Given SAv1PLE DATE: 5-25-89 SAMPLE #: 11 ANALYTICAL METHOD: PLM and Dispersion Staining: X Other: SAMPLE DESCRIPTION: Yellow duct insulation containing glass fibers. ASBESTOS FOUND? None Detected MATERIAL ASBESTOS: PERCENT* Chrysotile------------------ o - o Amosite--------------------- % - B Other Asbestos-------------- % - % Specific type: The samples analyzed in this report were provided by third parties not subject to control by ESSTEK or its affiliates. Consequently, the results presented represent microscopic examinations in ESSTEK Laboratory facilities and ESSTEK makes no representation as to collection techniques or procedures. *Percentages are reported by sample volume. Analyst �� 5.Z- EPA ID# 9516 MA LDE ANTILDON Reviewed byQ--�-'Q� • `�•-,d • EssT�?k An Environmental Safety Systems Company DATE —�,-- $9 CUSTOMER P.O. NO. — —1155909(a-7 SERVICE ORDER NO. LAB REPORT NO. ESSTEK INVOICE NO. DATE RECD BY FINANCIAL ESSTEK DISTRICT CODE ESSTEK CUSTOMER NO. TO ESSTEK, AN ESS COMPANY: YOU ARE HEREBY REQUESTED TO PERFORM THE FOLLOWING SERVICE(S): SERVICE REQUESTED: z F-- wOw On 1 ¢ LL v Z) (I cc LL STATE LOCATION CONTRACTOR TYPE OF JOB PROJECT NUMBER THE UNDERSIGNED, HEREINAFTER REFERRED TO AS CUSTOMER, AGREES TO PAY FOR THE ABOVE SPECIFIED SERVICES) INCLUDING LEASED EQUIPMENT AND ANY ADDITIONAL SERVICE(S) REQUESTED. AT THE MAW OFFICE OF ESSTEK, AN ESS COMPANY IN DENVER, COLORADO, IN ACCORDANCE WITH THE APPLICABLE PROVISIONS OF YOUR CURRENT PRICE SCHEDULE. IN CONSIDERATION OF THE PRICES AS ARE SET OUT IN YOUR CURRENT APPLICABLE PRICE SCHEDULE, WE CHOOSE TO BE BOUND BY THE TERMS AND CONDITIONS SET OUT ON THE REVERSE SIDE HEREOF, INCLUDING THE ASSUMPTION BY US OF THE LIABILITIES AND RESPONSIBILITIES CONTAINED IN THE HOLD HARMLESS AND EXCULPATORY CLAUSES. RATHER THAN ENTER INTO A DIFFERENT CONTRACT AND FURNISH YOU INSURANCE AGAINST THE LIABILITIES AND RESPONSIBILITIES HEREIN ASSUMED BY US IF SIGNED BY AN AGENT ON BEHALF OF CUSTOMER, SAID AGENT REPRESENTS THAT HE HAS FULL AUTHORITY FROM HIS PRINCIPAL TO EXECUTE SAME IN THE ABSENCE OF AUTHORITY, THE SIGNER AGREES THAT HE SHALL BE OBLIGATED HERE DER AS CUSTOMER. CUSTOMER'S NAME 1_\ a r t o MAILING ADDRESS ` //� CITY STATE `�� ZIP SIGNATURE OF CUSTOMER OR HIS REPRESENTATIVE AUTHORIZING ESSTEK TO PERFORM SERVICES LISTED ABOVE X TITLE AND ADDRESS IF EXECUTED BY CUSTOMER'S REPRESENTATIVE X THE ESTIMATED CHARGES AND DATA SHOWN BELOW ARE SUBJECT TO CORRECTION BY THE ESSTEK FINANCIAL DEPARTMENT Time Date Job#Code Elap. Date Code Oty. Description Unit Amount Acctg Use SAMPLE NO. TYPE Gust. Start 69 Leave Base S 5 D Estimated Job Total `-- Arrive Job tate �' the e Date F Code Oty. Description Unit Amount Acctg Use Begin End Begin End Estimated Job Total Begin tate After a Taxr e End Date YCode Oty. I Descripti it Amount Acctg Use Begin End Begin End s mat J Total Begin tate er ax Taxa e End Date de y. cr io ' ' U it Amount Acctg Use Begin End Leave Job Estimated Job Total Arrive IE tate t hr aex Tax ill 4Base ILLABLE EXPENSES ' DESCRIP N AMOU TIME BLOCK SUMMARY TRAVEL OPER TOTAL BILLABLE CONV T vel -Air Fare/Mileage F d -Number of Days Lod ing-Number of Days Misc. LOST EXPENSOTAL ��nn GRAND TO 30 TOTAL TIME THE SERVICE(S) AND/OR EQUIPME COVERED BY THIS SERV1ICF_0FrDER HAVE BEEN PERFORMED OR RECEIVED AS SET FORTH ABOVE SIGNATURE OF CUSTOMER SIGNATURE OF ESSTEK REPRESENTATIVE