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05-2296 (DSF)u P.O. BOX 1504 ^� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT ` - BUILDING PERMIT Application Number,05 0:0.0,02'2,9.6- " - Owner. Property Address: 5252'0 AVENIDA VILLA' DOUG. BIRDSELL APN: L773=304=001-2_ =000000- PO BOX 630 Application description: DEMO - SINGLE FAMILY LA QUINTA, CA 92253 Property Zoning: COVE .RESIDENTIAL Application valuation: 0 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/13/05 Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name:- . Lender's Address: - - LQPERMIT performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building constructi n, and hWby horize representatives of this my o e er upon the above-mentioned property for inspecti purposes. t_,� A Contractor: Applicar D Architect or Engineer. EMERY LAND CLEARING & GRAD INC P.O. BOX. 1009 1.1�I q q�ag JUN 1 L d THERMAL, CA 92274 (760)391-5840 CIiYOFLJ CIUINTA IFIMANCE REPT. Lic. No. _ 600283 LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with.. I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Prof sionals Code, and my License is in full force and effect. _ 1 have and will maintain a certificate of consent.to self -insure for workers' compensation, as provided - License C ass: C21 Li�e ns o.. 600283 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date:, Con`t7acto`�i:=-'"'! • _ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLA"RATI insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the -Carrier STATE FUND Policy Number 0011653-2005 - following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to - _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance; also requires the applicant for the person in any manner so as to become subject tothe workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should be me subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 37p0 of the Labor Cod , 1 s I fort�wit mply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by _ - any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.: 5/ _ Oate: :'- _D .Applicant '� "-`` -- (_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and ��-- ----� the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO ERAGE IS UNLAWFUL, AND SHALL ' Contractors'State license Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. . one year of completion, the owner -builder will have the burden of proving that he or she did not build or ,improve for the purpose of sale.): APPLICANT ACKNOWLEDGEMENT '. .. (_ 1 I, as owner -of the property, am exclusively contracting with licensed contractors to construct the project (Sec. - IMPORTANT 'Application is hereby made to the' Director of Building and Safety for a permit subject to the - - 7044, Business and Professions Code: The Contractors' State License Caw does not apply to an owner of conditions and restrictions set forth on this application. - - - - property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for - pursuant to the Contractors' State License Law.). - - whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under S_ec.. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name:- . Lender's Address: - - LQPERMIT performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building constructi n, and hWby horize representatives of this my o e er upon the above-mentioned property for inspecti purposes. t_,� Application Number 05-00002296 Permit DEMO PERMIT Additional-desc ". Permit Fee . . . 45.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/10/05 y Qty "" Unit Charge Per' Extension ,. BASE FEE 45.00 . ,. . --------------------------------- Special Notes and Comments ----- DEMO TO BARE GROUND OF SFD/SEPTIC ABANDONEMENT.ASBESTAS REMOVAL CONFIRMED/BUILDING DEPT APPROVAL PER G. BUTLER Fee summary, Charged Paid Credited Due Permit Fee Total 45.00 .00 .00- 45.00 Plan Check Total .00 .00 .00 .00 Grand Total 45.00 .00 00 45.00 s .. LQPERM[T ... ?ecording Requested By Rl First American Title company Riverside Resale AND w1IEN RECORDED MAIL TO: DOUGLAS D. BIRDSELL P.O. BOX 630' . LA QUINTA, CA 92247 DOC 2005-0373289 05/11/2005 0a:00A Fee:7.00 Page 1 of I' Doc T Tax Paid Recorded in official Records County of Riverside' Larry U. Uard Assessor, county Clerk & Recorder 11111111111111 IN 11111111111111111111111111111111 A.P.N.: 772-304-001-9 TRA ,e;,2,a � - r _ GRANT DEED__ - THE UNDERSIGNED GRANTOR(s) DECLARE( s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $203.50 EU X) computed on full value of property conveyed, or computed on full value less value of liens or encumbrances remaining at time of sale, unincorporated area: [ X ] City of La Quinta , and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, ` John F. Figgen, an Unmarried Man hereby GRANTS) to DOUGLAS D. BIRDSELL, A Single Man '0 the following described property in the City of La Quinta, County of Riverside State of California; DO Lot 2 in Block 105 of Santa Carmeiita at Vale La Quinta Unit No. ll, in the City of La Quinta, County of Riverside, as per map recorded11 in Book 18, Page(s) 75,.. of Maps in the Office of the County Recorder of said County. Jo n F. Figgea _ Document Date: April 14, 2005 n , STATE OF 'l� y.. COUNTY OF l]P r, IN Irl ) �^ ` On__4 A- . a � , a o U 5 before me,�A2E3�42A ` I _ iK _n a Notary Public, - personally appeared personally known to me (or proved to me on the basis of satssfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity0es) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. _Signatu This area for official notarial seat. -usee its all Dalai ttnunlsouuInnuu1. . BARBARA J. VALDCm. #1418054 MA N arVPublic-Catifornio�. , - Riverside Courriy t� Z °+tn,a�• MYCommission Expires�L' :I 1111111 II III June 1 Udell 31/I�I Io1111U11:- ' • t . Mail Tax Statements to: SAME AS ABOVE or Address Noted Below MIER A.P.N.: 772-304-001-9 TRA ,e;,2,a � - r _ GRANT DEED__ - THE UNDERSIGNED GRANTOR(s) DECLARE( s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $203.50 EU X) computed on full value of property conveyed, or computed on full value less value of liens or encumbrances remaining at time of sale, unincorporated area: [ X ] City of La Quinta , and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, ` John F. Figgen, an Unmarried Man hereby GRANTS) to DOUGLAS D. BIRDSELL, A Single Man '0 the following described property in the City of La Quinta, County of Riverside State of California; DO Lot 2 in Block 105 of Santa Carmeiita at Vale La Quinta Unit No. ll, in the City of La Quinta, County of Riverside, as per map recorded11 in Book 18, Page(s) 75,.. of Maps in the Office of the County Recorder of said County. Jo n F. Figgea _ Document Date: April 14, 2005 n , STATE OF 'l� y.. COUNTY OF l]P r, IN Irl ) �^ ` On__4 A- . a � , a o U 5 before me,�A2E3�42A ` I _ iK _n a Notary Public, - personally appeared personally known to me (or proved to me on the basis of satssfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity0es) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. _Signatu This area for official notarial seat. -usee its all Dalai ttnunlsouuInnuu1. . BARBARA J. VALDCm. #1418054 MA N arVPublic-Catifornio�. , - Riverside Courriy t� Z °+tn,a�• MYCommission Expires�L' :I 1111111 II III June 1 Udell 31/I�I Io1111U11:- ' • t . Mail Tax Statements to: SAME AS ABOVE or Address Noted Below "PROPOSAL" EMERY LANDCLEARIIVG AND GRADING, INC— P.O. ANGP.O. BOAC 1009 THERMAL. CA 92274-1009 ` 760/391—S839 . - . 76N391-S8I0 FAX - - t LIG 0600283 MAY 23, 2005 : /G Mit. DOUG BIRDSEL L P.O. BOX 630 / LA QUINTA, CA 92247 J, FAX: 760M I —0429 CELL: -818/438-0964 SUBJ: DEMOLISH REMOVAL OF ONE HOUSE 52-520 AVENIDA VILLA F LA QUINTA, CA e EMERY LANDCLEARING AND GRADING, INC_, PROPOSES TO DEMOLISH, REMOVE AND DISPOSE OF ONE HOUSE, WORK TO BE PROVIDED AS SPECIFIED BELOW: 1. TO DEMOLISH REMOVE AND DISPOSE OF HOUSE CONSISTING OF STUCCO., WOOD AND CONCRETE FOUNDATION. Z.. TO REMOVE AND DISPOSE OF ALL TREES AND GREENWASTE, EXCEPT PALM �. TREES, TO REMAIN INTACT. 3. TO HAVE SEPTIC TANK PUMPED, T HEN REMOVE AND DISPOSE OF. TO BACK 1 FILL HOLE WITH EXISTING DIRT. 4... LOT TO BE LEFT BACK DRAGGED, READY FOR GRADING.. NOTES: 1: ASBESTOS INSPECTION AND REMOVAL TO BE SUPPLIED BY OTHERS. r 2. OWNER TO SUPPLY ALL PERMITS AND INSPECTION FEES AND ANY OWNERADDITITO SUPPLY � YIWAM S FROM THE CITY, COUNTY OR BY HOSEBIB ON—SITE, FOR PM—10 DUST • 3. OWNER CONTROL. 4. IF ANY BEES, WASPS OR RODENTS LOCATED, OWNER TO HAVE PROFESSIONALLY REMOVED. ' 5. 1F ANY BASEMENTS LOCATED, ADDITIONAL COSTS TO BE 1 DETERMINED ON—SITE. 6. EMERY LANDCLEARING AND GRADING, INC., TO SUBMIT INSURANCE , CERTIFICATES, IF APPARENT IOW BIDDER. , TOTAL PROPOSAL: S 10,300.00 DOLLARS PAYMENT TO BE MADE AS INVOICED. ACCEPTED B - ' EMERY 1,N LEA G ND GRADING, INC• MR. DOUG B ELL BY: BY: .ORI EMERY _ tItLE: VICE P DENT TITLE: DATED:— MAY 23 2005 DATED: BID GOOD FOR 30 DAYS. 06/13/2005 07:56 9093813433 BRICkLEY ENV PAGE 01/01 ,kk 1 f� XX i.'•' P.Q Baa 7318 San 9ornardleo,CA 92411 o ti! 6"4 jar '� ;q ? t,' � dQealvBP�RTA7 o Photo (409) 894.7424 R %, g ,•.; ,< Er Ta .� a. ,'� • , Pa. (909) 884-3744' �,}�' �'` i§� � •; q�`sii! NON-HAZARDOUS i, Generator's US EPA ID No. Manifest Doc. Na, 2. Page 1 ; ; I WASTE MANIFEST 23227, of >.Y 3. Ganerator's Nems and Mea ng Addrssg BIRDSELL BUILDERS a P.C. BOX 630 4 Gbn87cCtm)ePFofiaC( .760 711-9,!41 M , IS. Transporter t Company Neme 6. US EPA ID Number � A. Tmmtporter's Pnone E C T I C A R C 0 0 0 4 9 0 6 4 (909)884-7424 7, Transporter 2 Company Name 8. US EPA ID Number 8. Trenaporter's Phone y 9. Dosignated Facility Name and She Address tie. US EPA VD Numbar C. PeoVity's Phone LA PAZ COUNTY LANDFILL '+1 26999 hVY 95 MILE POST 128 PAPNER. .AZ 65344 _ �� 2 0 9 5 0 8 (92R)669-2554 NON FRIABLE ASBESTOS WASTE b. i e. 4 w# d. r ......... ..... y D. Additional 00Wp0on for Materlals Ustoo Above— E. eandling Codes for Wastes Listed Above 15 Speclol Handling Inetruotlons and Add fionei Information EMERGENCY CONTACT: INFOTRAC (800) 535-5053 EPA REGION IX 75 HAWTHORNE S7., SAN FRANCISCO, CA 94105 (415) —44-1089 SOUTH COAST AQMV 21865 E. COPLEY DR., DIAMOND BAR, CA 91765 (909) 396-2336 SITE ADRRESS: SER — DEMO / 52-520 AVENIDA VILLA / LA QUINTA PAttedrtypnd Name 19, Dibareoancy Indieatien Spsce ?f�3 PrintwYTypod Name a a Slgnatur9 Signature Signature ORIGINAL -RETURN TO GE'NERATOR WORM 'w SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT NOTIRCATION OF DEMOLITION OR ASBESTOS REMOVAL MAIL FORM AND FEE TO SCAQMD, ASBESTOS NOTIFICATIONS, RLE # 56841, LOS ANGELES CA 900745641 F � r � ; i6 '$�� '•'y"+�T r i�rr,r J,?�r7�.lY� �P " N XS':. � � `�I 1 � . i a � rAQMD USE.ONLY SCREEN 61f �' ti , "RECETVED • F t �} DPOS"IMARK; ' s '� ENTERED BY w ' " N onFlCAnoN # COMPLETED BY COMPANY EMERY LANDCLEARING PHONE 7601391,5840 LORI EMERY VP. AND GRADING, INC. J s: DATE 619V05 CHECK # p FEES 36.90 PROJECT .# NOTIFICATION TYPE OwcmL REVISION DATES REVISION OTHER P*fighl) CANCEU AnON . PROJECT TYPE DBamoN OaDeg® Daaffm ReaovanoN (renOy) Em3tGmcy RE wvAL PLANN® Reno (annoo SITE R44MMATION SITE NAME SITE ADDRESS 52-620 AVENIDA VILLA • CROSS STREET AVENIDA BERMUDAS CITY LA QUINTA STATE CA ZIP 92253 COUNTY RIVERSIDE DESCRIBE WORT( AND LOCATION ONE HOUSE CORNER LOT BUILDING SIZE (SQ FT) 1,Mo NUMBER OF FLOORS 1 BUILDING AGE (YEARS) 45 MJMBER OF DWELLING UNITS 1 BLDG PRIOR / PRESENT USE COW Hnk FWmAL I.+IousmK 00w Ome Rom amr. HOUSE SCHOOL SHIP UNIVICOILEGE SITE OWNER BIRDSELL BUILDERS ADDRESS P.O. BOX 630 CITY LA QUINTA STATE CA ZIP 52247 CONTACT MR DOUG BIRDSELL PHONE 7601771-9441 REQUIRED BIALdN(i INFORMATION ASBESTOS YES . NO PRESENT? ASBESTOS YES NO SURVEY? • ASBESTOS YES NO REMOVED? BUILDING TO BE YES NO DEMOLISHED? PROJECT DATES START 6N3I05 END 7/19185 WORK SHIFT (ft swing, night) ASBESTOS AMOUNT TO BE REMOV® (n square feet) FRIABLE CLASS I CLASS 11 TOTAL AMOUNT (add m" ASBESTOS REMOVAL FROM SURFACES PIPES COMPONENTS AMMINT OF EACH TYPE OF ASBESTOS [m sgtmre feet) ACOUSTK: CEWNG I LINOLEUM INSULATION I FIRE PROOFING DUCTING STUCCO MASTIC FLOOR TILES (VAT) DRY WALL PLASTER I TRANSITE ROOFING on () CONTRACTOR INFORMATION CSLB LICENSE# 600283 OSHA REG# AQiAD ID# 100435 NAME EMERY LANDCLEARING AND GRADING, INC. ADDRESS P.O. BOX 1009 CITY THERMAL STATE CA ZIP 92274 SITE SUPVR JAMES C. EMERY PHONE 760/17.4-9493 WASTE TRANSPORTER #1 LANDFILL ADDRESS ADDRESS CITY STATE ZIP CITY. STATE ZIP Asbestos survevs are required prior to Demolition and Renovation 5 03o55p Birdsell 760-360-2366 .tune, 8 2005 South Coast Air Quality Management District C/O Emery Landclearing and ('trading, Inc PO Box 1009 "Thermal, CA 92274 Reference: Residence. 52520 Avenida Villa La Quinta, CA 92253 To Whom It May Concern: As the owner I am respectfully requesting the South Coast Air Quality Management District (SCAQMD) consider granting a waiver of the ten-day notification period required when demolishing a structure. We have contracted with Emery Landclearing and (grading, Inc. for dem6lition of a house within the aforementioned project. Emery Landclearing will begin work following Brickley Environmental's asbestos removal. I have submitted to you a "siriilar letter for Brickley Environmental.. We have sub -contractors that only have a small window of time available to do the work on our project. Scheduling of these subs is time critical. If we have to wait to begin asbestos removal and demolition I will loose my current schedule and be force to` wait an . additional 4 to 5 weeks for ray subs to be available again. So as not to cause an undue delay in the.project schedule which would case a great financial hardship, we request that Emery Landclearing be able to proceed on an emergency basis to proceed with their work. Please contact meat 818-438-0964 if vou` have any questions: Sincerely, Douglas Birdsell F x SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT NOTIFICATION OF DEMOUTION OR ASBESTOS REMOVAL HAII "WH Aun FEE TO SCAMD- ASBESTOS NOTIFICATIONS. FILE # 55641. LOS ANGELES CA 900745641 6USE ONLY ...' BY RECI9VED 5`. POSTMARK ` ENTERED BY `NOTIFICATION -SCREEN COMPLETED BY COMPANY EMERY LANDCLEARING PHONE 760/3915840 LORI EMERY V.P. AND GRADING, INC. DATE, $ADIMS CHECK* 2�===FEE S 3690 PROJECT# NOTIFICATION TYPE ORI. RoN ITM� RE OTHER WigM CAMM-110N PROJECT TYPE DB*x=N ORDERED DamunoN RENMATION "Wrdb 6 RENWAL RAW4ED RENO (amu* SITE INFORMATION SITE NAME IRONWOOD COUNTRY CLUB SITE ADDRESS 49-244 QUERGUS LANE CROSS STREET MARIPOSA DRIVE CITY PALM DESERT STATE CA. 23P 92260 COUNTY RIVERSIDE DESCRIBE WORK AND LOCATION BUILDING S12E (SO FT) 2300 NUMBER OF FLOORS I BUILDING AGE (YEAM) 26 NUMBER OF DWELLING LWS I BLDG PRIOR i PRESENT I LOSE Tcokul HOSMAL INXMRK 08W OFFICE PUBLIC aur HOUSE SCHOOL SHF UMVICOUX-GE SITE OWNER GUSTAFSON CONSTRUCTION (FERN) ADDRESS P.O. BOX 10427 CITY PALM DESERT STATE CA ZIP 92255-0427 CONTACT AMR. TIM GUSTAFSON PHONE 76013403462 RT�QIARED MALDING 911FORNATION ASBESTOS YES NO PRESENT7 ASBESTOS YES NO SURVEY? • ASBESTOS YES NO REMOVED? BUILDING TOBE YES NO DEMOLISHED? PROJECT DATES -7131/05 -0� sWng, night) START 6AIM5 END WORK SHIFT ASBESTOS AMOUNT TO BE REIIAOVED (in square foo FRL4BLE CLASS.1 CLASS H TOTAL MOUNT (add row) ASBESTOS FI310VAL FROM SURFACES PIPES COMPONENTS AgOtNT OF EACH TYPE OF ASBESTOS (m square feet) ACOUSTIC, CEILING I LINOLEUM INSULATION FIRE PROOFING DUCTING -STUCCO mAs-nc FLOOR TILES (VAT) DRY WALL I PLASTER I TRANSITS ROOFING Onim (&Wft) CONTRACTOR INFORMATION CSLB LICENSE# 600283 OSHA REG # AQMD ID # 100435 NAME EMERY LANDCLEARING AND GRADING, INC. ADDRESS P.O. BOX 1009 CITY THERMAL STATE CA ZIP 92274 SITE SUPVR JAMES C. EMERY PHONE 760/7749493 VVASTE TRANSPORTER #1 LANDFILL ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP AsImstm ao iil'�ftuired prior to Demolition and Renovation SCAOIIIID NOTIFICATION OF DEMOLITION OR ASBESTOS REMOVAL MAIL FORM AND FEE TO SCAQMD, ASBESTOS NOTIFICATIONS, FILE # 55641, LOS ANGELES CA 900745641 WASTE TRANSPORTER ID WASTE STORAGE SITE ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP OONTROLS: DESCRIBE WOW( PRACTICES AND CONTROLS TO BE USED AT THE RENOVATION AND DEMOLITION SITE. Procedure # 1, 2, 3, 4, 5 orOwer. For asbestos n movals aide we combination dRule 1403 procedures used. Procedure 4 and 5 submit plans forAQMD prior approval ASBESTOS DETECTION PROCEDtIRE: CIRCLE THE PROCEDURES AND ANALYTICAL METHODS USED TO DETERMINE ASBESTOS IN THE BURDING7 Survey, Btdc Satrnirat knImcbm PLM. PCM, TEM. Asstmed as Asbedos-PACM, Desaibe Owex (SEE SURVEY GUIDEUNES CHECKLIST): FOR DEMOLTTTONIS GIVE THE COMPANY NAME AND DATES OF THE ASBESTOS RE (OVAL. FOR ORDERED DE NOIJTION SENO A COPY OF THE ORDER AND GIVE THE AGENCY NAME 8 PHONE # AUTHORIZING PERSON: TITLE DATE OF ORDEFt DATE ORDERED TO BEGIN: FOR EMERGENCY ASBESTOS REWWAL GIVE THE NAME AND PHONE NUMBER OF THE PERSON DECLARNMWI140RONG THE EMERGENCY, DATE AND HOUR OF EMERGENCY AND DESCRIBE THE SUDDEN, UNEXPECTED EVENT: EXPLAIN HOW THE EVENT WOULD CAUSE UNSAFE CONDITIONS. EQIIIPM EW DAMAGE OR UNREASONABLE FINANCIAL BURDEN: CONTINGENCY PLANC DESCRIBE ACTIONS TO BE FOLLOWED E U E PELTED ASBESTOS IS FOUND DURING DEMOLRION OR ASBESTOS MATERIAL BECOME DISTUIE D, CRJAIRED, PULVERII®, OR REDUCED70 POWDBZ STOP PROJECT HAVE CERTIFIED ASBESTOS REMOVAL CONTRACTOR REMOVE AND DISPOSE OF. TRAINING CERTIFICATION: I cwW Mut an kxk* td tamed o tate. of mgulaMon AQMD Rude 1403 end NESHAP YAI be on sft during the removal acct ed mWence Md to ngitai ft has been ac canpfslte 'by ft person tees avaiebie tar itsitec6ort durig nomtal btsixw hour. comperyNww B ERY Punt nameetfotrrafterat Of Trmedovmertopmmor Date snm LANDCLEJARING AND LORI EMERY GRADING, INC. VICE PRESIDENT INFORMATION CERTIFICATIOW Ice* that we above iknotion is cm, I have aifedrrterds_ CaWmW Name B/MY Prw name 010MWkperabr Tile of owrwkpeaalor Dade 611/05 L.AN DCLEARING AND LORI EMERY CE PRESIDENT GRADING, INC. Naftdom can not be aocepl ed tee7ltout we mg mrod fee (A= Rube W _ removals of 100 square feed are exempt from rolfication and fees. Please make clte Am pajrdbli3 to'SCAQMI r. Fees are per rto6 calico , notrebWableandwsoymm we projectsize. Fees are as iollows: DEMOLITION OR ASBESTOS REMOVAL PROCEDURE 4S SERVICE CHARGE 1,000 or less $ 36.90 $ 450.91 SPECIAL HANDLING FEE $ 35.90 1.001 b5.000 $ 112.80 $528.81 REVISION OF NOTIFICATION $ 36.90 5.001 b 10,000 $ 264.03 $ 670.04 RETURNED CHECK CHARGE E 29.28 10,001 b 50,000 $ 414.01 S 826.02 PLANNED RENOVATION $ 408.38 50.001 b 100,000 $ 600.00 $1,014.01 100,001 or more $1.000.00 $1,414.01 MAI.. FORM AND FEE TO: SCAAYD, ASBESTOS NOTIFICATKNA FILE 95M1, LOS ANGELES CA 900745641 Page 2 of 2 TELEPHONE: PM 396.2336 FAX (909) 396,3342 Form REV 2003D627 FORMS, INSTRUCTIONS, AND THE RILE 1403 CAN BE OBTAINED FROM AQMD WEB SITE AT HTTP://W W W. AOMD. G0 V Q~Wn 1.. I..w 0imA ..#')dfQ .'P. C Prwd e r%fim Rornnnd 12 . rA 0470= Aili" /0(101 'XW InM •'11DURUCKLE 1l ENVARONMEN 1!. AL-- r , Environmental Remediation Contractor 'FAX COVER SHEET DATE: May 27, 2005. TIME: = TO: BIRDSELL BUILDERS PHONE: 760-771-9441 ATTN: ' ~ DOUG BIRDSELL FAX: 760-771-0429 FROM: TIM BRICKLEY RE: SFR -DEMO 162-520 VILLA AVENIDA / LA QUINTA (PROPOSAL #12397) ` r ATTACHED IS THE PROPOSAL AND CONTRACT YOU REQUESTED. 'IF ACCEPTABLE PLEASE SIGN AND RETURN TO US AS SOON AS POSSIBLE. , THIS IS THE BEST PRICE I CAN OFFER. UNFORTUNATELY, I HAVE TO BID THIS JOB AS OVERTIME WORK BECAUSE SATURDAYS ARE OUR ONLY OPENINGS AVAIL ABLE IN JUNE AND OVERTIME WAGES ADD APPROX. $500.00 TO THE COSTS. { THE FIRST AVAILABLE OPENING IS SATURDAY, JUNE 16, 2005. THE WORK WILL BE COMPLETED IN ONE DAY. WEA PPRECIATE THE OPPORTUNITY TO BID THIS PROJECT FOR YOU. PLEASE CALL IF YOU HAVE ANY QUESTIONS OR WISH TO HAVE AN ORIGINAL MAILED, THANK YOU TIM BRICKLEY PROJECT MANAGERS Number of pages including cover sheet- 31MF8 957 Reece Street. San Bemardino. CA 92411, Lic. No. 610414 CAUOSHA No. 49 I r 909-888-2010 800-5.10-3366 FAX 909J81-3433 IDTRI[cCKI[ EY IENVIIE$ONMIEN't'.A\.11 Environmental Rerned%atioti Contractor PROPOSAL & CONTRACT .. May 26,200 5 . CLIENT: " 61RDSELL BUILDERS PROPOSAL NUMBER: 12397 ATTN: DOUG BIROSELL _ JOB NAME: SFR - DEMO ADDRESS: P.O. BOX 6301 S2400 EISENHOWER SITE ADDRESS: 52.520 VILLA AVENIDA wi, LA QUINTA, CA ZIP: 92247 CITY: LA QUINTA, CA ZIP: ' PHONE: 760-771-9441 PROPERTY OWNER: FAX: 760-771-0429 ESTIMATOR: TIM BRICKLEY CONTRACT AMOUNT: $4,975:00 REMOVE AND DISPOSE OF ASBESTOS CONTAINING MATERIALS (ACM) AS IDENTIFIED IN REPORT BY SCOTT MORRISON & ASSOCIATES IN QUANTITIES AND LOCATIONS AS OUTLINED BELOW: ROOF APPROX.1,306 SQ. FT. OF DOUBLE LAYER CAP /ROCK SYSTEM. , INTERIOR • APPROX. 490 SQ. FT. OF 9" FLOOR TILE & MASTIC. `APPROX. 250 SQ. FT. OF TEXTURED DRYWALL IN S.W-. BEDROOM. COST $4,850.00 SOUTH COAST AQMD NOTIFICATION FEE FOR THIS PROJECT: COST $125.00 CLIENT/OWNER TO PAY ALL RE -NOTIFICATION FEES (MINIMUM $25.00 EACH) AND TO BE RESPONSIBLE FOR ALL FEES IF THE PROJECT IS CANCELLED. THIS PROPOSAL IS NOT BASED ON ANIY PREVAILING WAGE RATES. IF IT DISCOVERED AFTER THIS PROPOSAL IS INITIATED, THAT PREVAILING WAGE IS: REQUIRED, THEN MODIFICATIONS TO THE CONTRACT OR CHANGE ORDERS WILL HAVE TO BE EXECUTED TO COVER THE ADDITIONAL COSTS OF THE DETERMINED PREVAILING WAGE. BRICKLEY ENVIRONMENTAL WILL PROVIDE ALL OSHA REQUIRED PERSONAL AIR MONITORING AND HAVE SAMPLES ANALYZED BY AN INDEPENDENT AND CERTIFIED LABORATORY. AT THE COMPLETION OF THIS PROJECT AND UPON PAYMENT, BRICKLEY ENVIRONMENTAL WILL PROVIDE COMPLETE DOCUMENTATION i.e. NOTIFICATION LETTERS, WASTE MANIFEST, CERTIFICATE ` OF INSURANCE, SUPERVISOR'S DAILY LOGS ETC. a ALL'REGULATED WASTE GENERATED FROM THIS PROJECT WILL BE PROPERLY DISPOSED OF AT AN IPA, STATE OR LOCAL REGULATORY AGENCY APPROVED DISPOSAL FACILITY, UTILIZING THE APPROPRIATE WASTE DISPOSAL MANIFEST. OWNER TO PROVIDE WATER AND ELECTRIC AT JOB SITE. BRICKLEY ENVIRONMENTAL WILL PROVIDE NECESSARY CONNECTIONS. -THIS PROPOSAL DOES NOT 'INCLUDE THE REMOVAL OF ACM IDENTIFIED AS LESS THAN 1% ' ASBESTOS. ASBESTOS CONTENT OF LESS THAN 1% IS NOT REGULATED BY 'EPA OR AQMD: HOWEVER, ACM GREATER THAN 1/10% IS REGULATED BY CAL/OSHA. 957 Reece Street, San Bemerdino. CA 92411, Llc. No. 610414 CAUOSHA No. 49. Pogo if 909-888-.2010 000-530-3366 FAX 909-381-3433 , , 4 .. • ..b BIRDSELL BUILDERS -#12397 PAGE 2 May 25, 2005 WORK SHALL BE PERFORMED IN ACCORDANCE WITHIN OSHA, EPA, AND STATE REGULATIONS. THE ABOVE WORK TO BE COMPLETED IN A SUBSTANTIAL AND WORKMANLIKE MANNER ACCORDING TO STANDARD PRACTICES FOR THE SUM OF: FOURTH . OUSAND, NINE HUNDRED SEVENTY-FIVE""******f*********#****DOLLARS ($4,975.01 A. TERMS: DUE UPON RECEIPT UNLESS OTHERWISE ARRANGED B. THIS PROPOSAL MAY BE WITHDRAWN BY BRICKLEY ENVIRONMENTAL IF NOT ACCEPTED WITHIN 30 DAYS. C. CONTRACTOR WILL MAINTAIN INSURANCE IN THE AMOUNT OF $1,000,000.00 OR AS REQUIRED BY SPECIFICATIONS. 0. CONDITIONS: THE TERMS AND CONDITIONS AS�jOLLOW EXPRESSLY INCORPORATED INTO THIS CONTRACT. g C PROJECT MANAGER SR ACCEPTANCE OF PROPOSAL THE ABOVE PRICES, SPECIFICATIONS, AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO 00 THE WORK SPECIFIED. PAYMENT WILL B AS OU D ABOVE. CLIENTC� BIRDSELL BUILDERS #12397 / AtJTHORlZED SIGNATURE DATEy � 7_ TITLE ADDITIONAL. TERMS & CONDITIONS OF CONTRACT TERMS: DUE UPON RECEIPT UNLESS OTHERWISE ARRANGED. INTEREST AT THE RATE OF 1'/-% PER MONTH WILL BE CHARGED ON ALL PAST DUE ACCOUNTS. IN THE EVENT OF FAILURE TO PAY ANY OF THE AMOUNTS DUE ON THIS INVOICE, ALL COLLECTION COSTS. AND/OR ATTORNEY'S FEES IN THE COLLECTION OF ANY SUCH AMOUNT, WILL BE PAID BY THE CLIENT. UNLESS OTHERWISE STATED IN THIS PROPOSAL, BRICKLEY ENVIRONMENTAL WILL PROVIDE ONLY THE OSHA REQUIRED PERSONAL AIR MONITORING. THE OWNER SHALL PROVIDE, AT THEIR COST, ALL ADDITIONAL TESTING AND ALL FINAL CLEARANCE TESTING OR RETESTING ON THIS PROJECT. THIS 810 OFFER IS BASED ON REMOVAL OF CERTAIN TYPES AND QUANTITIES OF HAZARDOUS AND NOW HAZARDOUS MATERIALS AS LISTED IN THE PROPOSAL. IF ADDITIONAL OR CONCEALED HAZARDOUS MATERIALS ARE FOUND AND THE OWNER CHOOSES ABATEMENT, A CHANGE ORDER WILL BE REQUIRED TO ALLOW THE ADDITIONAL COSTS AND TIME TO COMPLETE THE ADDITIONAL WORK. PLEASE BE ADVISED THAT THE OWNER OF THE PROPERTY AND GENERATOR OF ANY HAZARDOUS MATERIALS MAY BE SUBJECT TO MANIFEST / EPA NUMBER FEES ISSUED BY THE DEPARTMENT OF TOXIC SUBSTANCES CONTROL (DTSC). ALL FEES ISSUED BY OTSC ARE THE RESPONSIBILITY OF THE OWNER / GENERATOR. FEES ARE BILLED DIRECTLY FROM DTSC AND ARE NOT INCLUDED IN THE CONTRACT AMOUNT. ALTHOUGH BRICKLEY ENVIRONMENTAL TAKES PRECAUTIONS TO AVOID DAMAGE TO FINISHED SURFACES, SOME DAMAGE MAY OCCUR. BRICKLEY ENVIRONMENTAL SHALL NOT BE RESPONSIBLE FOR ANY SUCH REASONABLE COSMETIC DAMAGES NOR SHALL PAYMENTS TO BRICKLEY ENVIRONMENTAL BE REDUCED OR WITHHELD AS A RESULT THEREOF. Le. DAMAGES STEMMING FROM PLACEMENT OR REMOVAL OF POLYETHYLENE AND WOOD/DRYWALL BARRIERS AND FASTENING MATERIALS WHICH ARE REQUIRED TO HOLD BARRICADES IN PLACE DURING ABATEMENT. ALL REPAIRS OR REFINISHING WILL BE PERFORMED ONLY UNDER SEPARATE WRITTEN AGREEMENT OR CHANGE ORDER BETWEEN BRICKLEY ENVIRONMENTAL AND OWNER. THE OWNER, BY ACCEPTANCE OF BRICKLEY ENVIRONMENTAL BID OFFER, HEREBY AGREES TO ABSOLVE BRICKLEY ENVIRONMENTAL OF ANY AND ALL RESPONSIBILITY FOR ITEMS OR OBJECTS WHICH MAY BE REPORTED DAMAGED, DESTROYED OR MISSING, UNLESS OWNER CAN PROVE BEYOND A REASONABLE DOUBT THAT AN EMPLOYEE OR SUB CONTRACTOR OF BRICKLEY ENVIRONMENTAL IS THE RESPONSIBLE PARTY, CONTRACTORS ARE REQUIRED BY LAW TO 13E LICENSED AND REGULATED BY THE CONTRACTORS' STATE LICENSE BOARD. ANY QUESTIONS CONCERNING A CONTRACTOR MAY BE REFERRED TO THE REGISTRAR. CONTRACTORS' STATE LICENSE BOARD. P.O. BOX 26000, SACRAMENTO, CALIFORNIA 95626, Pngw 2 of 2 i SCOTT MORRISON & ASSOCIATES 31855 Date Palm Drive, Ste. #3-507. P.O. Box 55329 R� . ` Cathedral City, CA 92234 Riverside, CA 92517 (909)624-1665 (760)323-7743. � ASBESTOS SURVEY REPORT ' Completed On n May 21, 2005 , r PLM0518#1201 Client: Joe Birdsell - P.O. Box -630 La Quinta, CA 92247 Project: 52-520 Villa Ave. La Quinta, CA (single-family home) - - On May 18, 2005 an asbestos inspection and bulk sampling was conducted at the above project address. Bulk samples were taken of all suspect asbestos containing building materials (ACBM) at the request of the client named above. A total of (12) bulk samples were submitted to Carolina Environmental; Inc. located at: 107 New Edition Court in Cary, NC (NVLAP Code 101768-0 and Cal. Environ. Lab. Cert. #2483) to estimate the percentage of asbestos by,volume and determine the type(s) present. Carolina Environmental's telephone number is (919)481-1413. Carolina Environmental, Inc. determines percentages and type of asbestos by using EPA approved method 600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Samples. Bulk samples are analyzed by PLM (Polarized Light Microscopy). Asbestos is quantified by using the visual arena estimation technique and can only determine the approximate percentage of asbestos, present. After a thorough' search is conducted and no asbestos is detected "none detected" will be noted, in -the report. The essence of polarized light microscopy is not to emphatically determine that no asbestos is present, merely that none was detected or, if it was, it was likely to be less than 1.0% of the sample.., When findings reveal less than or close to 1.0% asbestos contained in a sample, further analysis maybe called for on additional samples to confirm or denounce the initial findings. The California Code of Regulations (CCR 1529) requires bulk sampling be conducted according to the A.H.E.R.A. protocol provisions of 40 CFR, Part 763.86. The A.H.E.R.A. protocol recommends three (3) or more friable surfacing samples from a homogeneous area be collected and analyzed before any building material, is determined to be non -asbestos containing. Scott Morrison & Associates conducts asbestos inspection surveys following the A.H.E.R.A. inspection protocol: ASBESTOS INSPECTION BY: Scott Morrison, DOSH #92-0248 BULK SAMPLES ANALYZED BY: Carolina Environmental, Inc., NVLAP #101768-0 The resulteon the following page(s) indicate that asbestos (greater than 1.0°x6) was detected in 05 of the 12 samples analyzed. , SCOTT MORRISON & ASSOCIATES P.O. Box 55329 31855 Date Palm Drive, Ste. #3-507 Riverside, CA 92517 Cathedral City, CA 92234 (909)624-1665 r" (760)323-7743 PLM0518#1201 . Sample #JB -01 Type of material:9° floor tile/ beige ' . Location: floor, SE room Area:approx. 155 sq. ft. Friable:no Results: 8% Chrysotile asbestos Sample #JB -02 Type of materialaile mastic/ black' .. Location:under sample #JB -01 ` Area:approx. 155 sq. ft.. , Friable:no Results: none detected -- Sample #JB -03 Type of material: 12" ceiling tile (no -hole -pattern) Location: ceiling, SE room Area:approx. 155 sq. ft.. Friable:yes Results: none detected Sample #JB -04 Type of material:12" ceiling tile (with holes) Location:ceiling, hallway Area: approx. 100 total sq. ft. Friable:yes Results: none detected Sample #JB -05 Type of material:9° floor tile/ tan ' Location:floor, living room Area:approx. 335 total sq. ft. Friable:no Results: 6% Chrysotile asbestos„ .1 :Sample #JB -06 Type of materialaile mastic black Location:under sample #JB -05 ` Area:approx.. 335 total sq. ft. "Friable:no' Results: none detected Sample #JB -07 • Type of material:textured drywall/ joint compound Location: interior SE wall, dining room 4 t Area:interior SE wall, dining room Friable:no Results: <1.0% Chrysotile asbestos Sample #JB -08 _ Type of material:textured drywall/ stucco Location: interior S. wall, SW bedroom f" Area:interior S. & N. walls, SW bedroom Friable:no Results: 2% Chrysotile asbestos - V SCOTT MORRISON & ASSOCIATES i P.O. Box 55329 31855 Date Palm Drive, Ste. #3-507 Riverside, CA 92517 Cathedral City, CA 92234 (909)624-1665 _ (760)323-7743 _ PLM0518#1201 Sample #JB -09. Type of material:tar & gravel roofiing/brown-black - Location: roof above house -1 st layer Area:throughout roof Friable:no Results: 50/6 Chrysotile asbestos (in black tar) ` Sample #JB -10 . Type of material: roofing felt/ black . Location:roof above house -2nd layer c Area:throughout roof ' Friable:no Results: 10% Chrysotile asbestos (in black tar) Sample #J13-11 • . Type of materiatexterior wall stucco/ pink -grey •• Location: exterior SE wall Area:throughout exterior walls Friable:no Results: none detected 7 Sample #JB -12 Type of materiatexterior wall stucco/ pink -grey • Location:W.-central exterior wall r Area: throughout exterior walls Friable:no • Results: none detected. Note: All asbestos containing building material(s) containing greater than 1.0% asbestos by volume or weight, must be removed by a state certified asbestos abkement contractor prior to any demolition or, renovation of the property. ; Inspector w Scott C. Morrison t Certified Asbestos Consultant DOSH#92-0248 The following definitions apply to the abbreviations used in the ASBESTOS BULK ANALYSIS REPORT: CHRY = Chrysotile CELL = Cellulose .'DEER = Debris AMOS = Amosite FBGL = Fibrous Glass BIND = Binder CROC = Crocidolite ORGN = Organics. SILI = Silicates. TREM = Tremolite SYNT = Synthetics GRAV = Gravel ANTH = Anthophyllite WOLL = Wollastonite MAST = Mastic ACTN = Actinolite CERWL = Ceramic Wool PLAS =Plaster N D = None Detected NTREM = Non-Asbestiform PERL = Perlite NANTH Non-Asbestiform Tremolite RUBR =Rubber Anthophyllite Stereoscopic microscopy and polarized light microscopy coupled with dispersion staining is the analytical technique used for sample identification. The percentage of each component is visually estimated by volume. These results pertain only to the samples analyzed. The samples were analyzed as submitted by the client and may not be representative of the larger material in question: Unless notified in writing to return samples, Carolina Environmental, Inc. will discard all bulk samples after 30 days. Many vinyl floor tiles have been manufactured using greater than I% asbestos. Often the asbestos was milled to a fiber size below the detection limit of polarized light microscopy. Therefore, a "None Detected" (ND) reading on vinyl floor tile does not necessarily exclude the presence of asbestos. Transmission electron microscopy provides a more conclusive form of analysis for vinyl floor tiles. It is certified by the signature below that Carolina Environmental, Inc. is accredited by the National Voluntary Accreditation Program (NVLAP) for the analysis of asbestos in bulk materials. The accredited test method is EPA / 600 / M4-82 / 020 for the analysis of asbestos in building materials: Procedures described in EPA / 600 /.R-93 / 116 have been incorporated where .applicable. The detection limit for the method is 0.1% (trace amount). Carolina Environmental, Inc.'s NVLAP accreditation number is #101768-0. This report is not to be used to claim product endorsement by NVLAP or any agency, of the U.S. Government. This report and its contents are only valid when reproduced in full. Dust and soil analyses for asbestos using PLM are not covered under NVLAP accreditation. ANALYST REVIEWED BY l+� Anna Malmberg Tianbao Bai, Ph.D. _ Laboratory Director Page 1 c�wot�w�eIvtoNua�rra,Irc LABORATORY REPORT W&tA6 Cour%CaxNC2M11 91t3rT. ASBESTOS BULK ANALYSIS Ribs a (9t. 04413 FM(919)461-1442 Client: Scott Morrison & Associates CEI Lab Code: A05-3009 Received: 05-20-05 31855 Date Palm Dr. Suite 3-507 Analyzed: 05-20-05 Cathedral City, CA 92234 Reported: 05-20-05; Project: PLM0518 #1201; Joe Birdsell Analyst: Anna Malmberg The following definitions apply to the abbreviations used in the ASBESTOS BULK ANALYSIS REPORT: CHRY = Chrysotile CELL = Cellulose .'DEER = Debris AMOS = Amosite FBGL = Fibrous Glass BIND = Binder CROC = Crocidolite ORGN = Organics. SILI = Silicates. TREM = Tremolite SYNT = Synthetics GRAV = Gravel ANTH = Anthophyllite WOLL = Wollastonite MAST = Mastic ACTN = Actinolite CERWL = Ceramic Wool PLAS =Plaster N D = None Detected NTREM = Non-Asbestiform PERL = Perlite NANTH Non-Asbestiform Tremolite RUBR =Rubber Anthophyllite Stereoscopic microscopy and polarized light microscopy coupled with dispersion staining is the analytical technique used for sample identification. The percentage of each component is visually estimated by volume. These results pertain only to the samples analyzed. The samples were analyzed as submitted by the client and may not be representative of the larger material in question: Unless notified in writing to return samples, Carolina Environmental, Inc. will discard all bulk samples after 30 days. Many vinyl floor tiles have been manufactured using greater than I% asbestos. Often the asbestos was milled to a fiber size below the detection limit of polarized light microscopy. Therefore, a "None Detected" (ND) reading on vinyl floor tile does not necessarily exclude the presence of asbestos. Transmission electron microscopy provides a more conclusive form of analysis for vinyl floor tiles. It is certified by the signature below that Carolina Environmental, Inc. is accredited by the National Voluntary Accreditation Program (NVLAP) for the analysis of asbestos in bulk materials. The accredited test method is EPA / 600 / M4-82 / 020 for the analysis of asbestos in building materials: Procedures described in EPA / 600 /.R-93 / 116 have been incorporated where .applicable. The detection limit for the method is 0.1% (trace amount). Carolina Environmental, Inc.'s NVLAP accreditation number is #101768-0. This report is not to be used to claim product endorsement by NVLAP or any agency, of the U.S. Government. This report and its contents are only valid when reproduced in full. Dust and soil analyses for asbestos using PLM are not covered under NVLAP accreditation. ANALYST REVIEWED BY l+� Anna Malmberg Tianbao Bai, Ph.D. _ Laboratory Director Page 1 47 Project: PLM0518�#1201; Joe Birdsall '61MEW49710HRIEWAL,9C ,f 107 New Edlion 0mKGary, NC 27511.: Phone: 919481-1413 Froc:919481-1442 Lab Code: A05-3009 t CEI ~ CLiENT D ' HOMOGENEi't'Y,BESCRIPTiON ASBESTOS A370941 FLOOR TILE r - t CHRY. -8%L-. Homogeneous, Beige, Fibrous, Bound CHRY 8% VINYL 90%" MICA 2% JB -02' . A370942; , . MASTIC . ' ,,. , :ND '.' Homogeneous, • Black,,Fibrous, Bound- • `' MAST /0 CELL 95- 3% .� • • *_ ! -T+ + • � - i.�• .H - � + � f lis "j - J fr.l' �. 1 *A370943 CEILING TILE ND •', JB -03 ti Heteroger eous; Off-white, Tan, Fibrous, Loosely Bound l ` s' • •ti ., �' 'PAINT <i %' CELL'; 100% .. . rf •_ JB -04— A370944• CEILING TILE ND ' 'Heterogeneous,, , Off-white, Fibrous, Loosely Bound • ` BIND 20% FBGL 80% a '1. ' 14 CELL <1 % `L i + I t • `. �s ` a 1. .. r •, ,_. _ a gx- ,f `1. JB -05' ;A370945 ,, FLOOR TILE •' ,} -CHRY , '6% ,• Homogeneous,,.Tan, Fibrous, Bound CHRY+ 6% .. VINYL 92 % MICA 2% - . :-:; j • i J6 06 '. ^ I'A370946 MASTICr ` �.... Y R K, 1 s , '' } Nps ` ,.,ji, I r # r Homogeneous;�. Black, Fibrous, Bound xx f MAST 96 % CELL 2% MICA 2%' y . � �•� • •• r/ + •' .. -JB-071 A370947A � •TEXTURE _ ND Y ``• r , Heterogeneous, Tan, Off-white; Non-fibrous, Bound •4 • . t' PLAS - -'70 % CELL -<1 % �s h r ` �' PAINT 20%: - + MICA 10% ,•T �T. .' i' Paget , , ; s ., a :a Y +iy. e , , • t' a • 1 t' '_ ' �� r • - •. � � R :,x• . � . ` .. Y .. • it - `CAROLMAEWIFUN EMAL,UdG ' ` Project: PLM0518 #1201,Joe Birdsell ,; 107 Now EMm CmA Cary, NC 27511' - Phone: 919-081-1413 ;Fax :919481-1442 s o ' - Lab Code: A05-3009 N } ` CLIET IDLAB S HOAAOGENEt [ Y ESCN flIPTION p E�D SSSTOSf , , • JB-12 ` A370952 EXTWALL STUCCO • '. • r ND r `.. w ' r Heterogeneous,+ Pink, Grey,"Non-fibrous, Bound ., �. PLAS 95°x6,. CELL F v �,. • , t . `PAINT 5 °%' •� - � Y° - - } + .fir •` r .�: - .. ; \ '�.. •..•� e 4?.f P• _ ` '.6 , ,.. 411 •i � -• t1 • � .. t s - .5 f. �� 't, ��'"'' s }'1 1 r R r - ,l,. - y • ., . F.S., s. Y•r. ' S �h `� 'j+ �, h : ..�, . , .. ! •' ' ` r••._S ✓` ` i. �� . i.. aY- �, •rig , � f _ , + .i'� ,, ... '} : .\. � �J L. �_ 1�: • �, �`� .. Ir,r • r�r..1 i' moi. .. •� ; �`; t ' , . 4 - Page 4;. 'i» • r P ' :'' , i. ♦ 1 ':ia • } �. � S • j 4 -` 1 y 'f , L. Y � ; !•;y ?, - ` EMERY LANDaEARING AND GRADING, I1VG P.O. BOX 1009 THERMAL, CA 92274-1009 760/391-5840 FAX: 760/391-5839 LIG #600283 JUNE 20, 2005 . CITY OF LA QUINTA ATTN: KIRK BUILDING DEPT. SUBJ: SEPTIC TANK REMOVAL LA QUINTA, CA TO WHOM THIS MAY CONCERN, PLEASE ACCEPT THIS LETTER AS PROOF THAT THE SEPTIC TANK WAS PUMPED ON JUNE 13TH, AND REMOVED AND DISPOSED OF ON THE SAME DAY. ATTACHED IS THE DRAWING OF THE LOCATION WHERE THE SEPTIC TANK HAD BEEN LOCATED. ALSO, I HAVE ATTACHED THE COPY OF THE JOB INVOICE FROM A-1 CESSPOOL SERVICE FOR THE PUMPING; I HAVE ALSO ATTACHED A COPY OF THE TICKET FROM WESTERN ENVIRONMENTAL FOR THE DUMP FEES. IF YOU NEED ANY ADDITIONAL INFORMATION OR HAVE ANY QUESTIONS, PLEASE FEEL FREE TO CALL ME AT THE ABOVE PHONE NUMBER. THANK YOU FOR YOUR TIME IN THIS MATTER. SINCERELY, . r ENTER L)ANDC G AND GRADING, INC. i L' VI P , SIDENT ATTACHMENTS . r ery cep "Ufa P.Q. BOX 580188,'Nor& Palm Springs, CA. MW JOB INVOICE `Since 19591 (760) 329-6875 Fa: (760) 251-3405 State Lic. #265214 Custom Ordor No. bato Ordemd www.alcesspool.com OMwtr TWwn 8v Date PromiseA Bu To AWRM MY HELPER JOB ADDRESS SLUICE [3puwsEpncTANK HASSEFncTANKvM'DuGuP7QYes ❑EM E3 Fur. oN mTE RiAUSATiO 13 PUhV8WAG9 I?rrATMRrAR f3PFFWE BILUNG QUM i. L......... ....... . N Of Punwing Fee per 1000 GaUms (or fhction) PME AMODW Wade Discharge Fee per 1000 Gdow Locating and Opening Fee (1hr. Mn.) Out of Area Fee C—, Y- 0 THELEACKNCISYSMIlAsFAUM. 13 THrREMANOBUMUC=VPMMAM-OPIMsLrpncTANX 13 Irm .1 E . 3 .. ��WAR .... 13 . 2-3 THM 7bmambummpsoft lbbwm thomorywkwfteum 13 'mPummOwuLPW=EONLYTEMPARYRELmFANDNorr 3016VECUSTOMM$ErMPROBLEM BECAUSE OFMMABOVL 13 cusrommHAS BEEN GIVEN AN"EVLA]NATONpACKU ASERVICE CHASCEorsnWILLUDUE ON ALL RETRUNED Cut= AMANC9CHARGE GFj2&% PERMONIMMMMYZAKWILL RE CHARGED ON PASTDILMACCOM413 OVER 39 DAYS. IF PAYMENT Is BY CHECK DRIVERSLIQN STATE_ SIGNATURE Tow, L......... ....... . -,0 11 � /\ N ��-CCC–LZ•C-��--�-'(�1o�lc.w��l s- AP2X4L WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmastPr, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 ( commencing with Section 12700 ) of Division 5 of the California Business and Professions Code, administered WESTERN ENVIRONMENTAL 62-150 GENE WELMAS DRIVE • MECCA, CA 92254 (760) 396-0222 "WESTERN ENVIRONMENTAL WEIGHMASTER MTH DAY YEAR GROSS u' Q BY ie L/ .0 t� /�'/ ✓ l TARE DEPUTY MTH DAY YEAR BY --1 DRIVER DEPUTY VEHICLE LIC. NOS. I TRAILER LIC. I TRAILER LIC WEIGHED AT 62-150 GENE WELMAS DRIVE MECCA, CA 92254 COMMODITY GROSS TARE NET NET �90 y '00 9 UNITS B/L NO.