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04-5075 (DSF)BUILDING & SAFETY DEPARTMENT Cw� P.O. Box 1504 (760) 777-7012 OF � 78-495 CALtE TAMPICo 4 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 4 BUILDING PERMIT Application Number 04 0000507 Date 6/22/04 -Property Address. '8-0020 VISTA GRANDE APN: 649-141-001_-1 -3505 Application description . . DEMO - SINGLEFAMILY Property Zoning LOW'DENSITY RESIDENTIAL Application evaluation 0 Owner Contractor CITY OF LA QUINTA EMERY LAND CLEARING,& GRAD INC 78495 CALLE TAMPICO P.O. BOX 1009 LA QUINTA CA -92253 THERMAL CA 92274 (760) 391-5840 WCC: STATE FUND WC: 0460011653 .04/12/05 CSLB:, 600283, 11/30/05, CCC.:, C21 Other struct info, NUMBER OF.UNITS 1.00 --------------------=------------------------------------------------------- Permit DEMO PERMIT Additional desc.. Permit Fee 45.00 Plan Check Fee .00 Issue Date -Valuation . . 0 Expiration Date x.12/22/04 Qty Unit Charge Per Extension BASE FEE 45:00 Special Notes and Comments DEMOLISH,REMOVE AND. DISPOSE OF ONE HOUSE- 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 ID Q D JUN 20 2004 CITY OF Leo QUINTA- F4CdAKE DEPT: 'J W P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 922534.4" INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT -Application Number:U 'JAS% .5 Date: Applicant: .Applicant's Mailing Address: 0-14 - Architect or Engineer: Architect or Engineer's Address: /n - Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Cg�e, and my License j=i in full ff rce and effect. �Cicense Class ( ' 1 icer No. DateV ontrector r OWNER-BUILDER-9ECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor;' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 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 ($500).): U I, 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within 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.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I 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 i ued. ,�Ay woery' com ensation�As4Fance carrier and polipyrumber are arrier d(—f/l { p policy Number 64 (0 0b 11 (o� 3 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree th , if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions -Date (0 OA, ✓`�—�� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 _ APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being 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 ca Ilation. 1 certify that I have read this application and state that the above i rmation is co . 1 agree to comply with all city and county ordinances and state laws relating to building construction and herebyauthorizerepresentatives of this count enter n e ove-mentioned property for inspection purposes. Date O 4 `� ISig�pplicant or Agen ' •J, { •°<^ r, '�".eV Li }P I �i 4`'r,}� lrgi�t•�P:,.l,� .. - - SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT NOTIFICATION OF DEMOLITION OR'ASBESTOS'REMOVAL` ' ,save. utrH;z�m�svc±,- ��; . tFR f . � : .:.;; _ ft •Iw ,� .�. , �'! � ,T . .t! ., +F'i' i tit, ;,,1_ ._ �r e:ki . w..�51 � '� ., +� �' 4.� , ,� F.." FlAh—mll"W& MAIL FORM AND FEE TO SCAOMD- ASRESTQR NATIFIr_ATInNC FII F 9 rrAA4 I Mc A'W21=1 cc PA OMTA =A4 ',fu�z`''-"'k` Us''i•.' '.�i`'`ac:2n#,sFs .:"...+k1r'e :s"`N' ?5``5^a'=.`l't .rir•zx!,:i "�"b .iz ,..?'.'�n.r,,eri s} T'::a � SCBEEN,BYP�.fi` � � RECEI1lED ^ P-.,OSTMARK. sEN FRED b : � ti�t''� AQAgDlUSE,ONLY y atiy1001a y%p key �M� v -BYE � Gh�f:,���} e �+x. ..-_ F�.�'��x 9r�'S�>���>%�3T���,,��yi.�`%r'.r •s��,. hwit �. COMPLETED BY COMPANY EMERY LANDCLEARING PHONE 760/391-5840�`r�f,« LORI'EMERY V.P. AND GRADING INC: i • 1 � :f f3l� y inK i Ji'.4 ��i.l DATE 21, 2004 CHECK # jj PROJECT# •' 1 7 r +• } a, k' r ►• ^� !� , s :. �!3•..i..• ~ eta NOTIFICATION TYPE ORIGINAL M - .REVISION DATES REVISION OTHER CANCELLATION •! ,r• ry PROJECT TY DEMOLITION ;. ,. ORDERED DEMOLITION, RENOVATION (rgMOVah • EMERGENCY REMOVAL- . ' PLANNED RENO (arInua4 • „ i SITE INFORMATION SITE NAME r i' SITE ADDRESS � 80-020 VISTkGRANDF • � '*� �' > �• e CROSS STREET STREET 7µj`:. + .,JEFFERSON CITY LA QUINTA _ STATE - CA s ZIP,' 92253 ; t +COUNTY :RIVERSIDE • ^+ DESCRIBE WORK AND LOCATION .. DEMOLISH REMOVE AND DISPOSE OF ONE HOUSE BUILDING SIZE (SQ Fn ,•2168 _ t: ' :'*� .'_ NUMBER OF BOORS 1- :R _'BUILDING AGE (YEARS)' 35 NUMBER OF DWELLING UNITS 1 'BLDG PRIOR / PRESENT USE ; `" CommERmAL • HOSPITAL INDUSTRIAL Other OFFICE PUBLIC BLDG. HOUSE SCHOOL SHIP UNNICOLLEGE ~ I tt'r. SITE OWNER CITY OF LA QUINTA •; q , i • ,. ,� ti , ., . ADDRESS 78495 CALLS TAMPICO ,. CITY_LA QUINTA _. _ . _. STATE: CALIF. ZIP 92253. CONTACT, MR. TOM HARTUNG - - - • . • PHONE 7607177-7013 - - REQUIRED BUILDING ASBESTOS YES NO ASBESTOS YESf NO ASBESTOS ± YES 'NO BUILDING TO BEI'•• YES NO INFORMATION PRESENTS LR• }.;ter ' SURVEY?.- `.4 • - i , REMOVED? .''i,.1 . +: t} '' . DEMOLISHED? PROJECT DATES -- o START.,,JUNE 29,-2004--, ; ;• •.. END `JULY 20, 2004 � ...WORK SHIFT (day, swing, night) ASBESTOS AMOUNT TO BE FRIABLECLASS 1 CLASS II - TOTAL AMOUNT (add row) REMOVED (n square feet), ..... •, ... ,_�.,,:. , j ,,. .,..�: � Allo. s_ - E. � •K . ASBESTOS REMOVAL FROM' k - -SURFACES . - '. PIPES. COMPONENTS` AMOUNT OF EACH TYPE OF ACOUSTIC CEILING ` " IjLINOLEUM . INSULATION FIRE PROOFING ,, DUCTING •, . ,. STUCCO •- �, ,MASTIC ASBESTOS (n square feet) « FLOOR TILES (VAT) DRY WALL PLASTER TRANSITE ROOFING : •'"'''OTHER' . - _ • = 1` 1x%`'•" t:: s . :.r., :.' E i`r* CONTRACTOR INFORMATION 7f CSLB LICENSE #" 600283 " '' •- "` 'OSHA REG # , " ' " " ", AQMD ID # 100435 - - • r:•a� - r wK 1+' Lt 4"f"I.. .t . ,#. ;i,:,:. it t . 2 .. r,^. � •+.•'P - NAME EMERY LANDCLEARINGANbGRADING,"INC."�" "' '' ADDf2ESS' PA:IBOX1009' "` `' "`" • r `'' `' �`'' ' CITY THERMAL , "STATE CA : ' ' 21P 92274 ' SITE SUPVR JAMES C. .. EMERY •'' PHONE 760/774-9493 N r ..r : i, ,.t• -.; �.. rt, _ R f - WASTE TRANSPORTER #1 ~ 4 j ' •'� ^ "„ „• LANDFILL4' •"" i" I • }4, ,' ADDRESS sI' • • h �z I<r ADDRESS c r J I• u.. ..: ;< CITY,_. STATE �s.`'[�lp, ,, 's.^ °_',i•STATE CITY ZIP Asbestos surveys are required prior tabemolition and Renovation ,'., , •. , .� , .; Y-> rte!. _ h . . , t I 0 SCAQMD NOTIFICATION OF DEMOLITION OR ASBESTOS REMOVAL MAIL FORM AND FEE TO SCAQMD, ASBESTOS NOTIFICATIONS, FILE # 55641, LOS ANGELES CA 90074-5641 WASTE TRANSPORTER #2 WASTE STORAGE SITE ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP CONTROLS: DESCRIBE WORK PRACTICES AND CONTROLS TO BE USED AT THE RENOVATION AND DEMOLITION SITE. Procedure# 1, 2, 3, 4, 5 or Other. For asbestos removals circle the combination of Rule 1403 procedures used. Procedure 4 and 5 submit plans for AQMD prior approval. ASBESTOS DETECTION PROCEDURE: CIRCLE THE PROCEDURES AND ANALYTICAL METHODS USED TO DETERMINE ASBESTOS IN THE BUILDING: Survey, Bulk Sampling, Inspection, PLM, PCM, TEM, Assumed as Asbestos-PACM, Describe Other. FOR DEMOLITIONS GIVE THE COMPANY NAME AND DATES OF THE ASBESTOS REMOVAL: BRICKLEY ENVIRONMENTAL 6/5/04 FOR ORDERED DEMOLITION SEND A COPY OF THE ORDER AND GIVE THE AGENCY NAME & PHONE # AUTHORIZING PERSON: MR TOM HARTUNG TITLE BUILDING AND SAFETY DIRECTOR DATE OF ORDER JUNE 11, 2004 DATE ORDERED TO BEGIN: JUNE 22, 2004 FOR EMERGENCY ASBESTOS REMOVAL GIVE THE NAME AND PHONE NUMBER OF THE PERSON DECLARINGIAUTHORIZING THE EMERGENCY, DATE AND HOUR OF EMERGENCY AND DESCRIBE THE SUDDEN, UNEXPECTED EVENT: EXPLAIN HOW THE EVENT WOULD CAUSE UNSAFE CONDITIONS, EQUIPMENT DAMAGE OR UNREASONABLE FINANCIAL BURDEN: CONTINGENCY PLAN: DESCRIBE ACTIONS TO BE FOLLOWED IF UNEXPECTED ASBESTOS IS FOUND DURING DEMOLITION OR ASBESTOS MATERIAL BECOME DISTURBED, CRUMBLED, PULVERIZED, OR REDUCED TO POWDER. STOP PROJECT HAVE CERTIFIED ASBESTOS REMOVAL CONTRACTOR REMOVE AND DISPOSE OF. TRAINING CERTIFICATION: I certify that an individual trained in the prow— of regulation AQMD Rule 1403 and NESHAP will be on site during the removal and evidence that the required training has been accomplished by this person will available for inspection during normal business hours. Company Name EMERY Print name of owner/operatSigna of er/ for Tittle of owner/operator Date LANDCLEARING AND LORI EMERY GRADING; INC. VICE PRESIDENT INFORMATION CERTIFICATION: I certify that the above infamati correct and I have any r fired attachments. Company Name EMERY Print name of owner/operator Signa f to Tittle of ownerloperator LANDCLEARING AND LORIEMERY VICE PRESIDENT T;' GRADING � Notifications can not be accepted without the required fee (AQMD Rule . Asbestos rarmova� of less 0 square feet are exempt frau notification and fees. Please make checks payable to'SCAQMD'. Fees are per notification, not refundable, and vary arcading to the project size. Fees are as follows: DEMOLITION OR ASBESTOS REMOVAL PROCEDURE 4 OR 5 PLAN $ 331.21 FROM 100 701,000 SQUARE FEET $ 29.52 SPECIAL HANDLING FEE $ 28.17 FROM 1,001 TO 5,000 SQUARE FEET $ 90.24 REVISION OF NOTIFICATION $11.94 FROM 5,001 TO 10.000 SQUARE FEET $211.22 RETURNED CHECK CHARGE $29.28. MORE THAN 10,000 SQUARE FEET $331.21 CANCELLATION OF NOTIFICATION $ 0.0 DEMOLITION OF LESS THAN 100 SQ FT $ 29.52 ASBESTOS REMOVAL AT owner- $ 29.52 occupied, singe -unit: dwelling MAIL FORM AND FEE TO: SCAQMD, ASBESTOS NOTIFICATIONS, FILE # 55641, LOS ANGELES CA 90074-5641 Page 2 of 2 TELEPHONE: (909) 396.2336 FAX: (909) 396-3342 Form REV 20030627 FORMS, INSTRUCTIONS, AND THE RULE 1403 CAN BE OBTAINED FROM AQMD WEB SITE AT HTTP://WWW. AQMD. GOV C r•...JmsnAm niomnnA Ger PA 01712r A1R7 Tonizoo,)nnn P.O. Box 55329 Riverside, CA 92517 (909) 624-1665 SCOTT MORRISON & ASSOCIATES ASBESTOS SURVEY REPORT (Addendum) Completed On June 01, 2004 PLM0510#1631add Client: Tom Hartung's Office City of La Quinta Redevelopment P.O. Box 1504 La Quinta, CA 92253 Project: 80-020 Vista Grande La Quinta, CA (exterior wall stucco only) 31855 Date Palm Drive, Ste. #3-507 Cathedral City, CA 92234 (760)323-7743 On May 24, 2004 an asbestos reinspection and bulk sampling was conducted at the above project address. Bulk samples were taken of the exterior wall stucco only at the request of the client named above. A total of (03) 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 determine the precise percentage of asbestos by using the EPA approved 1,000 total point count method . 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) using EPA procedure 600/R-93/116 . 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 (1) SCOTT MORMON & ASSOCIATES P.O. Box 55329 31855 Date Palm Drive, Ste. #3.507 Riverside, CA 92517 Cathedral City, CA 92234 (909)624-1665 (760)323-7743 PLM051 0#1631 add Sample #QT-115a Type of material: exterior wall stucco/ yellow Location: exterior N. wall Area:throughout exterior walls Friable:no Results: 0.40% Chrysotile asbestos (4 pts./1000) Sample #QT-115b Type of materi a 1: exterior wall stucco/ yellow Location: exterior W. wall Area:throughout exterior walls Friable:no Results: 0.30% Chrysotile asbestos (3 pts./1000) Sample #QT-115c Type of material: exterior wall stucco/ yellow Location: exterior E. wall Area:throughout exterior walls Friable:no Results: 0.50% Chrysotile asbestos (5 pts./1000) Inspector (W601 Scott C. Morrison Certified Asbestos Consultant DOSH#92-0248 (2) Jun-01-04 03:48pm From-CAROLINA ENVIRONMENTAL +4811442 7-763 P.02/04 F-326 CAROUNA ENVF4NMEMAL, INC 107Now EdiknOu t, Cary, NC27511 Phone: (919) 481-1413 Fax (919)4814442 Client: Scott Morrison & Associates 31855 Date Palm Dr. Suite 3-507 Cathedral City, CA 92234 Project: PLM0510##1631add LABORATORY REPORT ASBESTOS BUIV ANALYSIS CBI Lab Code: A04-3906 Received: 05-27-04 ,Analyzed: 06-01-04 Reported: 06-01-04 Analyst: Gary A. Swanson CLIENT ID CEI HOMOGENEITY DESCRIPTION %' LAB Ip ASBESTOS QT-115A A266295 STUCcQ (POINT COUNT) CHRY 0.40% Homogeneous, Yellow, Fibrous, Bound 0.400A CHRY = (4 CHRY points CHRY 0.40% BIND 99.60 °/6 100C TOTAL points) x 100 QT-115B A266296 Homogeneous, 0.300,10 CHRY = (3 CHRY points 1000 TOTAL points) x 100 QT-116C A266297 Homogeneous, 0 50% CHRY = (5 CHRY points ! 1000 TOTAL points) x 100 STUCCO (Pol T COLJNTI Yellow, Fibrous, Bound CHRY 0,30% BIND 99.70 % STUCC PL7fNT GOUNT Yellow, Fibrous, Bound CHRY 0,50% BIND 99.50 % CHRY 0,30% CHRY 0,50 % Page 1 Jun-01-04 03:48pm Frain-CAROLINA ENV'RONMENTAL +4811442 7-783 P.03104 F-326 The following definitions apply to the abbreviations used in the ASBESTOS BULK ANALYSIS REPORT: CHRY = Chrysotile AMOS m Amosite CROC = Crocidolite TREM = Tremolite ANTH = Anthophyllile ACTN = Actinolite CELL a Cellulose FBGL r Fibrous Glass ORGN = Organics SYNT = Synthetics WOLL = Woflestonite CERWL = Ceramic Wool N D = None Detected NTREM = Non-Asbestfform NANTH = Non-Asbestiform Tremoiite Anthophyll ite CLIENT: Scott Morrison & Associates PROJECT: PLM0510#1631 add CEI LAB CODE: A04-3906 DEBR = Debris BIND = Binder SILI = Silicates GRAV = Gravel MAST a Mastic PLAS = Plaster PERL = Perlite RUSR =Rubber Stereoscopic microscopy and polarized light microscopy coupled with dispersion staining is the analytical technique used for sample identification. The percentage of each component is visLally estimated by volume. These results pertain only to the samples analyzed. The samples were analyzed as suornitted by the client and may not be representative of the larger material in question. Unless notified in writing to return samples, Carolina Environmental, Inc. v6411 discard ail bulk samples after 30 days. Many viryt floor tiles have been manufactured using greater than I0/i asbestos. Often the asbestos was milled to a fiber size bsiow the detection limit of polarized light microscopy. Therefore, a "None Defected" (ND) reading on vinyl floor file does not necessarily exclude the presence of asbestos, Transmission electron microscopy provides a more conclusive form of analysis for vinyl floor tiles. It is cerllffed by the signature below that Carolina Environmental, Inc. is accredited by the National Voluntary Accreditation Program (NVLAP) for the analysis of asbestos in bulk materitals. Trte accredited test method is EPA J 600 1 104-821020 for the analysis Of asbe5tos In ouilding materials. Procedures described in EPA 16001 R-93 1 116 have been incorporated where applirahle. The detection limit for the method f5 0,1 % (trace amount). Carolina Environmentai, Inc.'s NVLAP eccredilation number 15 #101768-0. This report is not to be used to clairn produce 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 -4 �VZLO-6-444--- REVIEWED BY iP Tianbao Bai, PKD, Laboratory Director End of Report P.O. Box 55329 SCOTT MORRISON & ASSOCIATES Riverside, CA 92517 31855 Date Palm Drive, Ste. #3-507 (909) 6244665 Cathedral City, CA 92234 (760)323-7743 ASBESTOS SURVEY REPORT Completed On May 17th, 2004 PLM0510#1631 Client: Tom Hartung's Office City of La Quinta Redevelopment P.O. Box 1504 La Quinta, CA 92253 Project: 80020 Vista Grande La Quinta, CA (3 bedroom single family home with attached garage) On May 10th, 2004 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 (16) 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, 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 may be 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: Timothy Morrison, DOSH #02-3142 BULK SAMPLES ANALYZED BY: Carolina Environmental, Inc., NVLAP #101768-0 (1) SCOTT MORRISON & ASSOCIATES P.O. Box 55329 31855 Date Palm Drive, Ste. #3-507 Riverside, CA 92517 Cathedral City, CA 92234 (909)624-1665 (760)323-7743 The results on the following page(s) indicate that asbestos (greater than 1 %) was detected in 08 of the 16 samples analyzed. PLM0510#1631 Sample #QT-106 Type of material: acoustical ceiling- white Location: interior ceiling of north -central diningroom Area: approx. 2100 total sq. ft. Friable:yes Results: 10% Chrysotile asbestos Sample #QT-107 Type of material: acoustical ceiling- white Location: interior ceiling of south-central livingroom Area: approx. 2100 total sq. ft. Friable:yes Results: 10% Chrysotile asbestos Sample #QT-108 Type of material: acoustical ceiling- white Location: interior ceiling of northwest bedroom Area: approx. 2100 total sq. ft. Friable:yes Results: 10% Chrysotile asbestos Sample #QT-109 Type of material: rolled linoleum floor-tan/grey(1 rst layer) Location: floor of northwest bathroom Area: approx. 120 sq. ft. Friable:no Results: 25% Chrysotile asbestos Sample #QT-110 Type of material: floor mastic- yellow (2nd layer) Location: under sample #QT-109 Area: approx. 120 sq. ft. Friable:no Results: 10% Chrysotile asbestos Sample #QT-111 Type of material: texture coat- cream color(1rst layer) Location: interior west wall of northwest room Area: throughout interior walls Friable:no Results: 5% Chrysotile asbestos Sample #QT-112 Type of material: drywall- white (2nd layer) Location: behind sample #QT-111 Area: throughout interior walls Friable:no Results: none detected (2) P.O. Box 55329 Riverside, CA 92517 (909)624-1665 SCOTT MORRISON & ASSOCIATES 31855 Date Palm Drive, Ste. #3-507 Cathedral City, CA 92234 (760)323-7743 PLM0510#1631 Sample #QT-113 Type of material: 9" floor tile- white (1 rst layer) Location: floor of southeast pantry Area: approx. 135 sq. ft. Friable:no Results: 5% Chrysotile asbestos Sample #QT-114 Type of material: floor tile mastic- yellow (2nd layer) Location: under sample #QT-113 Area: approx. 135 sq. ft. Friable:no Results: none detected Sample #QT-115 PbiU1. T�lsy CpA*-t Type of material: stucco- yellow (1rst layer) Location: exterior north wall Area: throughout exterior walls Friable:no Results: 2% Chrysotile asbestos Sample #QT-116 Type of material: plaster- grey (2nd layer) Location: behind sample #QT-115 Area: throughout exterior walls Friable:no Results: none detected Sample #QT-117 Type of material: sprayed on fireproofing Location: interior walls of north exterior water closet Area: approx. 45 sq. ft. Friable:yes Results: less than 1% amosite asbestos Sample #QT-118 Type of material:roof shingle- grey (1rst layer) Location: exterior raised roof Area: approx. 1600 sq. ft. Friable:no Results: none detected Sample #QT-119 Type of material: roof felt- black (2nd layer) Location: under sample #QT-118; exterior flat roof Area: approx. 2600 total sq. ft. Friable:no Results: none detected Sample #QT-120 Type of material: rolled roofing- grey Location: exterior north flat roof Area: approx. 1000 sq. ft. Friable:no Results: none detected Sample #QT-121 Type of material: penetration mastic- grey Location: exterior roof penetration Area: 15+ roof penetrations Friable:no Results: none detected (3) P.O. Box 55329 Riverside, CA 92517 (909)624-1665 PLM0510#1631 SCOTT MORRISON & ASSOCIATES 31855 Date Palm Drive, Ste. #3-507 Cathedral City, CA 92234 (760)323-7743 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 abatement contractor prior to any demolition or renovation of the property. Inspector 6ye — Scott C. Morrison Certified Asbestos Consultant DOSH#92-0248 (4) •May-14-04 01:45pm From-CAROLINA ENVIRONMENTAL +4811442 T-371 P.02/07 F-868 CAROUNAEN RONMENTAL, INC. 107 NOW EdISM Carl CwY, NC 27511 Prom: (91$J,.4811413 FaX. (919) 4811442 Client: Scott Morrison & Associates 31855 Date Palm Dr. Suite 3-507 Cathedral City, CA 92234 Project: PLM0510#1631 LABORATORY REPORT ASBESTOS BULK ANALYSIS C91 Lab Code: A04-3494 Received: 05-13-04 Analyzed: 06-14-04 Reported: 05-14-04 Analyst: Scott Minyard CEI % CLIENT ID Las ID HOMOGENEITY DESCRIPTION ASBESTOS QT-106 A261388 ACOUSTICAL OILING CHRY 10% Heterogeneous, Off-white, Fibrous, Loosely Bound CHRY 10% BIND 40 % CELL <1 9'0 FOAM 35 % PAINT 15 % QT-107 A261389 ACOUSTICAL CEILING Heterogeneous, Off-white, Fibrous, Loosely Bound CHRY 10% BIND 40 % CELL <1 % FOAM 35 % PAINT 15 % QT-108 A261390 AcousTlcA GEILIIvG Heterogeneous, Off-white, Fibrous, Loosely Bound CHRY 10% BIND 40 % CELL <1 % FOAM 35 % PAINT 15 % QT-109 A261391 LINOLEUM Heterogeneous, Tan, Grey, Fibrous, Bound CHRY 25% VINYL 50 % CELL 5 % BIND 20 % QT-110 A261392 MAST] Heterogeneous, Yellow, Clear, Fibrous, Bound CHRY 10% MAST $5 % CELL 5 % Mastic contaminated from positive fibrous backing layer of linoleum. QT-111 A261393 TEXTURE CDAi Heterogeneous, Off-white, Fibrous, Bound C_Nr2Y 6 BIND 75 % CELL <1 % PAINT 10% MICA 10% CHRY 10% CKRY 10 % CHRY 25% CHRY 10% CHRY 5% Page 1 •May-14-04 01:45pm From-CAROLINA ENVIRONMENTAL +4e11442 T-ST1 P.03/07 F-86e CAROIMENVIRONMENTAL,ING Project. PLM0510#1631 107 New Edon Coin Cary. NC 27511 Phone: 9194M-1413 Fa+c: 919481-1442 Lab Code: A04-3494 CLIENT ID a HOMOGENEITY DESCRIPTION LABB ID A$>9ESTOS QT-112 A261394 DLL ND Heterogeneous, Off-white, Tan, Fibrous, Bound GYPSUM 65 % CELL 25 % BIND 10 % 'QT-113 A261395 FLOOR TILE Heterogeneous, Beige, Grey, Fibrous, Tightly Bound CHRY 5% VINYL 92 % CELL % MICA 3 % QT-114 A261396 rJAS T IC Heterogeneous, Yellow, Clear, Fibrous, Bound MAST 98 % CELL 2 % QT-115 A261397 STUCCO Heterogeneous, Yellow, Fibrous, Bound CHRY 2% PLAS 85 % CELL <1 % PAINT 13 % QT-116 A261398 PLASTER Heterogeneous, Grey, Non -fibrous, Bound PL.AS 100 % CELL % QT-117 A261399 FIREPROOFING Heterogeneous, Off-white, Fibrous, Loosely Bound CHRY 10% BIND 85 % CELL <1 % AMOSI K1%a MICA 15 % QT-118 A261400 ROOFING $HINGLE Heterogeneous, Black, Grey, Fibrous, Bound TAR 45 % FBGL 15 % GRAV 35 % SILI 5% CHRY 5% ND CHRY 2 %. ND CHRY AMOS <1 Page 2 '.May-14-04 01:46pm From-CAROLINA ENVIRONMENTAL +4811442 T-371 P.04/07 F-868 CAROI.INAENVIRONMENTAL INC. 107 New EdMMCauff, Cary, NC 27511 Phone: 919481-1413 Fax : 919481-1442 Project; PLM0510#1631 Lab Code: A04-3494 CEI HOMOGENEITY DESCRIPTION CLIENT ID LAB- Ip ASBESTOS OT-119 A261401 ROOFING SHINGLE ND Heterogeneous, Black, Brown, Fibrous, Bound TAR 45 % CELL 55 % QT-120 A261402 ROLLED ROOFING ND Heterogeneous, Black, Grey, Fibrous, Bound TAR 35 % FBGL 25 % GRAY 35 % SILI 5 % QT-121 A261403 PENETRA I N MASTIC ND Heterogeneous, Black, Grey, Fibrous, Bound TAR 80 % FBGL 10 % SIND 10 % Page 3 May-14-04 01:46pm From-CAROLINA ENVIRONMENTAL +4811442 T-371 P.00/07 F-800 The following definitions apply to the abbreviations used in the ASBESTOS BULK ANALYSIS REPORT' CHRY = Chrysotile AMOS = Amosite CROC = Crocidolite TRIM = Tremolite ANTH = Anthophyllite ACTN = Actinolite CELL = Cellulose FBGL = Fibrous Glass ORGN = Organics SYNT = Synthetics WALL = Wollastonite CERWL = Ceramic Wool N D = None Detected NTREM = Non-Asbestiform NANTH = Non-Asbestiform Tremolite Anthophyll ite CLIENT: Scott Morrison & Associates PROJECT: PLMOS10#1631 CO LAB CODE: A04-3494 DE*BR = Debris BIND = Binder SILI ;z Silicates GRAY = Gravel MAST : Mastic PLAS = Plaster PERT_ = Perlite RUSR =Rubber 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. Lintess notified in writing to return samples, Carolina Environmental, Inc. will discard all bulk samples after 30 days, 14sny vinyl floor tiles have been manufactured using greater than 1% asbestos. Often the asbestos was milled to a fiber size below the detection limit of polarized light microscopy. Therefore, a "None Detected" (NO) reading on vinyl floor file 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 Cawliria Environmental, Inc. is accredited by the National Voluntary Accreditation Program (NVLAR) for .the analysis of asbestos in bulk materials. The accredited test method is EPA 1600 / M4-821020 for the analysis of asbestos in building materials. Procedures described in EPA / 6001 R-931116 have been incorporated where applicable_ The detection limit for the method is 0.1% (trace amount). Carolina Environmental, lnc.'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 Tianboo psi, Ph.D- Laboratory Director End of Report F 4 � ► - S wl I O 0 R -11 F y o r w � r M w 4 40 i- .FROM :Z9RICKLEY ENUIRONMENTAL FAX NO. :909 381 3433 May. 25 2004 01:51PM P2 BlRK-1,10-4E Y ENVII ON31E1NTAL Environmental Remediation Contractor PROPOSAL & CONTRACT CLIENT: CITY OF LA QUINTA ATTN: TOM HARTUNG ADDRESS: P. O. BOX 1504 CITY: LA QUINTA, CA ZIP: 92253 PHONE: 760-777-7013 FAX: 760-777.7011 May 25, 2004 PROPOSAL NUMBER: 10937 JOB NAME: VACANT SFR SITE ADDRESS: 80020 VISTA GRANDE CITY: LA QUINTA, CA ZIP: 92253 PROPERTY OWNER: CONTRACT AMOUNT: $17,660.00 REMOVE AND DISPOSE OF ASBESTOS CONTAINING MATERIALE (ACM) PER SITE INSPECTION ON 5/24/04 AND SCOTT MORRISON SURVEY #1631, IN QUANTITIES AND LOCATIONS AS OUTLINED BELOW: APPROX. 2,100 SQ. FT. OF ACOUSTIC CEILING SPRAY— THROUGHOUT. + APPROX. 120 SQ. FT. OF LINOLEUM AND MAS C - NOF.THE:AST BATHROOM. • APPROX. 8,050 SQ, FT. OF DRYWALL - THROUG UT WALLS AND CEILING. • APPROX, 135 SO, FT. OF 9" X 9" FLOOR TILE — SOUT'NEo�ST PANTRY. • APPROX, 2,000 SQ. FT. OF EXTERIOR STUCCO. COST $17,425.00 SOUTH COAST AQMD NOTIFICATION FEE FOR THIS PROJECT: COST $225.00 CLIENT/OWNER TO PAY ALL RE -NOTIFICATION FEES (MINIMUM $25 00 EACH) AND TO SE RESPONSIBLE FOR ALL FEES IF THE PROJECT IS CANCELLED, THIS PROPOSAL IS BASED ON PREVAILING WAGE DETERMINATICN SC-10�-8;? 27[]3 1, ISSUE DATE FEBRUARY 22, 2003 AT THE RATE OF $29,90 PER HOUR, BRICKLEY ENVIRONMENTAL WILL PROVIDE ALL OSHA REQUIRES PERSONAL AIR MONITORING AND HAVE SAMPLES ANALYZED BY AN INDEPENDENT AND CERTIFIED L 4BORATORY. , AT THE COMPLETION OF THIS PROJECT, OR AS REQUIRED, BRICKLEY ENVIRONMENTAL WILL PROVIDE, COMPLETE DOCUMENTATION I,e, NOTIFICATION LETTERS, WASTE "MANIFEST, CERTIFICATE OF INSURANCE, SUPERVISORS DAILY LOGS, ETC. ALL REGULATED WASTE GENERATED FROM THIS PROJECT WILL 3E PROPERLY DISPOSED OF AT AN EPA, STATE OR LOCAL REGULATORY AGENCY APPROVED DISPOSAL FACILITY, UTILIZING T-I~iE APPROPRIATE WASTE DISPOSAL MANIFEST. \ OWNER TO PROVIDE WATER AND ELECTRIC AT JOB SITE. BRICKLEY ENVIRONMENTAL WILL PROVIDE NECESSARY CONNECTIONS. 957 Reece Street, San Bernardino, CA 92411, Lic No. 610414 CAL/OSHA No, 49 Page I of 2 909.888-2010 800-530.3366 FAX 909-381 3433 .FROM aBRICKLEY ENVIRONMENTAL FAX NO. :909 381 3433 May. 25 2004 01:51PM P3 WORK SHALL. BE PERFORMED IN ACCORDANCE WITHIN OSHA, EPA, AND STATE REGULATIONS. THE ABOVE WORK TO BE COMPLETED IN A SUBSTANTIAL AND WORKMANLIKE MANNED ACCORDING TO STANDARD PRACTICES FOR THE SUM OF; SEVENTEEN THOUSAND SIX HUNDRED FIFTY*******************k*************DOLLARS ($17,650,00) 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 FOLLQZLA.RE EXPRESSLY INCORPORATED INTO THIS CONTRACT, BY; _._ IAN GDR OJEGT MANAGER I ESTIMATOR Kerr ACCEPTANCE OF PROPOSAL THE ABOVE PRICES, SPECIFICATIONS, AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK SPECIFIED. PAYMENT WILL BE MADE AS OUTLINED ABOVE_ CLIENT CITY OF LA QUINTA #10937 AUTHORIZED SIGNATURE DATE___ TITLE ADDITIONAL TERMS & CONDITIONS OF CONTRACT TERMS; DUE UPON RECEIPT UNLESS OTHERWISE ARRANGED, INTEREST AT THE RATE OF V/z% PER MONTH WILL BE CHARGED ON ALL PAST DUET 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 SI-IALL PROVIDE, AT THEIR COST, ALL ADDITIONAL TESTING AND ALL FINAL CLEARANCE TESTING OR RETESTING ON THIS PROJECT. THIS BID OFFER IS BASED ON REMOVAL OF CERTAIN TYPES AND C!UANTITIES 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 FF-ES ISSUED BY THE DEPARTMENT OF TOXIC SUBSTANCES CONTROL (DTSC). ALL FEES ISSUED BY DTSC ARE THE RESPONSIBILITY OF THE OWNER / GENERATOR. FEES ARE 13ILLED DIRECTLY FROM DTSC AND ARE NOT INCLUDED IN THE CONTRACT AMOUNT, ALTHOUGH BRICKLEY ENVIRONM5NTAL 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. i.e. DAMAGES STEMMING FROM PLACEMENT OR REMOVAL OF POLYETHYLENE AND WOOD/DRYWALL BARRIERS AND FASTENING MATERIALS WHICH ARE RE(=R.ED 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 4ND 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 DROVE BEYOND A REASONABLE DOUBT THAT AN EMPLOYEE OR SUB CONTRACTOR OF BRICKLEY ENVIRONMENTAL IS THE RESPONSIBLE PARTY, CONTRACTORS ARE REQUIRED BY LAW TO BE LICFNSED AND REGL LATED BY THE CONTRACTORS' STATE LICENSE BOARD. ANY QUESTIONS CONCERNING A CONTRACTOR M)�Y BE REFERRED TO THE REGISTRAR, CONTRACTORS' STATE LICENSE BOARD, P.O. BOX 26000, SACRAMENTO, CALIFORNIA 95826. Patla 2 of 2 FROM RICKLEY ENVIRONMENTAL FAX NO. :909 381 3433 Jun. 02 2004 02:55PM P4 B1.1kl(-"'KLlllL:" 1l E `tlV11R01J1°11ENTAL Environmental Remediation Ca ntractor PROPOSAL & CONTRACT ,tune 2, 2004 CLIENT: CITY OF LA QUINTA PROPOSAL NUMBER: 10937A ATTN: TOM HARTUNG ADDRESS: P. 0. BOX 1304 CITY: LAQUINTA, CA ZIP: 92253 PHONE: 760-777-7013 FAX: 760-777-7011 JOB NAME: VACANT SFR SITE AD13RE,3S: 80020 VISTA GRANDE CITY: LA QUINTA, CA ZIP; 92253 PROPERTY OWNER: CONTRACT AMOUNT: $4,885.00 REMOVE AND DISPOSE OF ASBESTOS CONTAINING MATERIALS (ACM) PER SITE INSPECTION ON 5/24/Q4 AND SCOTT MORRISON SURVEY #1631, IN QUANTITIES AN ] LOCATIONS AS OUTLINER BELOW: • APPROX. 2,100 SQ. FT, OF ACOUSTIC CEILING SPRAY — THROUGHOUT. • APPROX. 120 SQ, FT, OF LINOLEUM AND MASTIC — NORTHEAST BATHROOM. + APPROX. 135 SQ. FT. OF 9" X 9" FLOOR TILE — SOUTHEAST PANTRY. COST $4,785.00 SOUTH COAST AQMD NOTIFICATION FEE FOR THIS PROJECT: COST $100.00 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 BASED ON PREVAILING WAGE DETERMINATION SC-102-882A-2003-1, ISSUE DATE FEBRUARY 22, 2003 AT THE RATE OF $29,90 PER HOUR, BRICKLEY ENVIRONMENTAL WILL PROVIDE ALL OSHA REQUIRED PERSONAL AIR MONITORING AND HAVE SAMPLES ANALYZED BY AN INDEPENDENT AND CERTIFIED t.ABORATORY. AT THE COMPLETION OF THIS PROJECT, OR AS REQUIRED, BRICKLEY ENVIRONMENTAL WILL PROVIDE, COMPLETE DOCUMENTATION i.e. NOTIFICATION LETTERS, WASTE MANIFEST, CERTIFICATE OF INSURANCE, SUPERVISORS DAILY LOGS, ETC, ALL REGULATED WASTE GENERATED FROM THIS PROJECT WILL BE PROPERLY DISPOSED OF AT AN EPA, STATE OR LOCAL REGULATORY AGENCY APPROVED DISPOSAL FACILITY, UTILIZING THE APPROPRIATE WASTE DISPOSAL MANIFEST. OWNED TO PROVIDE WATER AND ELECTRIC AT JOB SITE, BRICKLEY ENVIRONMENTAL WILL PROVIDE NECESSARY CONNECTIONS. 957 Reece Street, San Bernardino, CA 92411, Lic. No. 610d•14 CAUDSHA No. 49 Page 1 a 2 909-888-2010 800-530-3366 FAX 909-381.3433 FROr BRICKLEY ENVIRONMENTAL FAX NO. :909 381 3433 Jun. 02 2004 02:56PM P5 WORK SHALL BE PERFORMED IN ACCORDANCE WITHIN OSHA, EPA, AND STATE REGULATIONS. THE ABOVE WORK TO 13E COMPLETED IN A SUBSTANTIAL AND W'QRKMANLIKE MANNER ACCORDING TO STANDARD PRACTICES FOR THE SUM OF: FOUR THOUSAND EIGHT HUNDRED EIGHTY FIVE DOLLARS ($4,885A0) A. TERMS: DUE UPON RECEIPT UNLESS OTHERWISE ARRANGED B. THIS PROPOSAL MAY BE WITHDRAWN 13Y BRICKLEY ENVIRONMENTAL IF NOT ACCEPTED WITHIN 30 DAYS C, CONTRACTOR WILL MAINTAIN INSURANCE IN THE AMOUNT OF $1,000,1100.00 OR AS REQUIRED BY SPECIFICATIONS, D. CONDITIONS; THE TERMS AND CONDITIONS A LLator ARE EXPRESSLY INCORPORATED INTO THIS CONTRACT. BY' --`~ IAN GORdb ROJECT MANAGER / ESTigIIATOR aRR ACCEPTANCES OF PROPOSAL THE ABOVE PRICES, SPECIFICATIONS, AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED, YOU ARE AUTHORIZED TO DO THE WORK SPECIFIED, P,ME(T NIIT.I BE MAC E AS QLJTLINED S VE. CLIENT l �►wn,-qs (9 Pwwes !/ CITY OF LA QUINTA 01093TA AUTHORIZED SIGNATURE �C DATE 13 le>q_ 0 l r-- *-/a TITLE ADDITIONAL TERMS & CONDITIONS OF CONTRACT TERMS; DUE UPON RECEIPT UNLESS OTHERWISE ARRANGED. INTERES'"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, ANDIOR ATTORNEY'S FEES IN THE COLLECTION OF ANY SUCH AMOUNT, WILL LSE PAED $Y THE CLIENT. UNLESS OTHERWISE STATED IN THIS PROPOSAL, BRICKLEY ENVIRONMIENTAL 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 131D OFFER IS BASED ON REMOVAL OF CERTAIN TYPES AND QUANTITIES OF HAZARDOUS AND NpN„ HAZARDOUS MATERIALS AS LISTED IN THE PROPOSAL. IF ADDITIONAL.014 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 13E ADVISED THAT THE OWNER OF THE PROPERTY AND GENE;IMTOR OF ANY HAZARDOUS MATERIALS MAY BE SUBJECT TO MANIFEST I EPA NUMBER FEES ISSUED BY THE DEPARTMENT OF TOXIC SUBSTANCES CONTROL (DTSC). ALL FEES ISSUED BY DTSC ARE THE RESPONSIBILITY OF THE OWNER I GENERATOR. FEES ARE BILLED DIRECTLY FROM DTSC AND ARE NOT INCLUDED IN THE CONT RACT AMOUNT, ALTHOU13H BRICKLEY ENVIRONMENTAL TAKES PRECAUTIONS TO AVOID 7AMAGE TO FINISHED SURFACES, SOME DAMAGE MAY OCCUR, BRICKLEY ENVIRONMENTAL SHALL NOT BE RESPONSIBLE FOR ANY SUCH REASONABLE COSMETIC ❑AMAGES NOR SHALL PAYMENTS TO BRICKLEY ENVIRONMENTAL BE REDUCED OR WITHHELD AS A RESULT THEREOF. I.e. DAMAGES STEMMING FROM PLACEMENT OR REMOVAL OF POLYETHYLENE AND WOOL PIRYWALL BARRIERS AND FASTENING MATERIALS WHICH ARE REQUIRED TO HOLD 13ARRICADES 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 ENVIRONMENThL IS THE RESPONSIBLE PARTY, CONTRACTORS ARE REQUIRED BY LAW TO BE LICENSED AND REGU,-ATE=D By T1-IL= CONTRACT012S' STATE UCDNSE HOARD. ANY QUESTIONS CONCERNING A CONTRACTOR MAY BE REFERRED TO THE REGISTRAR, CONTRACTORS' STATE LICENSE BOARD, P.O. BOX 260Q0, SACRAMENTO. CALIFORNIA 95826. Peae 2 of 2 B]E ICK L1EY lEIayIRONM]EI TAL BILL TO CITY OF LA QUINTA P.O. BOX 1504 LA QUINTA, CA 92253 ATTN. TOM HARTUNG INVOICE # BID # 6883AA 10937A Environmental Remediation Contractor INVOICE INVOICE DATE 611612004 JOB SITE SFR - VACANT 80020 VISTA GRANDE LA QUINTA, CA 92253 P.O. NUMBER CONTRACT TERMS DUE DATE CONTRACT AMT REP DUE UPON RECEIPT 611612004 4,885.00 IFG DESCRIPTION OF WORK PROVIDED PER ATTACHED PROPOSAL AND CONTRACT. REMOVEAND DISPOSE OFASBESTOS CONTAINING MATERIALS. Interest at the rate of 1 '/2% Der month will be Ind: a!s ❑ Proposal/Contract/Work order ❑ Purchase Order ❑ Certificate of Insurance ❑ Copies of Notification Letters ❑ Supervisor's Log ❑ Dump Manifest ❑ Progress Payment/Releases 4,885.00 APPROVED FOR PAYMENT ray ACCOUNINO.E� 9 1 a SS 1. `32. - ( d DESCIV" ¢�Q r - Io AMT. TO >PAV.., - '.y $ ,:.._ Ca S, be 5 on all past due accounts BALANCE DUE J 957 West Reece Street, San Bernardino, CA 92411, Lic. No. 610414 CAUOSHA No. 49 909-888-2010 800-530-3366 FAX 909-381-3433 06/03/2004 15:,09 760777701" LA QUINTA PAGE 04 FROM RICKLEY ENOIRONMENTAL FAX NO, :909 381 3433 .,un. 02 2004 02:55PM P4 Environmental Remediation Contractor PROPOSAL & CONTRACT June 3, 2004 CLIENT: CITY OF LA QUINTA PROPOSAL NUMBER. 10937A ATTN: TOM HARTUNG JOB NAME: VACANT SFR ADORESS: P. 0. ROX 1804 CITY: LA QUINTA, CA ZIP: 92253 PHONE: 760-777-7013 FAX 760.777,7011 SITE ADVWE S. 80020 VISTA GRANITE Cn,y. LA QUINTA, CA ZIP; 92263 PROPERTY OWNER - CONTRACT A.maijun $4,085.00 REMOVE AND DISPOSE OF ASBESTOS CONTAINING MATERIALS (ACM) PER SITE INSPECTION ON 8124M AND SCOTT MORRISON SURVEY *1831, IN QUANTITIES AND LOCAT(ONS AS OUTLINED BEt'OW: • APPROX. 2,100 SQ. FT, OF ACOUSTIC CEILING SPRAY - THROUGHOUT. • APPROX. 120 SQ, FT, OF LINOLEUM AND MASTIC - NORTHRAST BATHROOM, • APPROX,136 SQ. FT. OF 9" X 9- FLOOR TILE - SOUTHEAST PANTRY. COST 4785.00 SOUTH COAST AQMD NOTIFICATION FEE FOR THIS PROJECT, COST $100.00 CLIENTIOVVNER TO PAY ALL RE -NOTIFICATION FEES (MINIMUM $25.00 EACH) AND TO RE REOPONSISLE FOR ALL FEES IF THE PROJECT IS CANCEI-LED. THIS PROPOSAL IS BASED ON PREVAILING WAGE DETERMINATION SCA02-8$2-1-2003«1, ISSVE DATE FEBRUARY 22, 2003 AT THE RATE OF $29.90 PER HOUIR. BRICKLEY ENVIRONMENTAL WILL PROVIDE ALL OSHA REQUIRED PERSONAL Ally MONITORIN4 AND HAVE SAMPLES ANALYZED 13Y AN INCIRPENDENT AND CERTIFIED L.ABORA70RY, AT THE COMPLETION OF THIS PROJECT, OR AS REQUIRED, BRICKL6IV ENVIRONMENTAL WILL PROVIDE, COMPLETE DOCUMENTATION I.e. NOTIFICATION LETTERS, WASTE MANIFEST, CERTIFICATE OF INSURANCE, SUPERVISORS GAILY LOGS, ETr,, ALL REGULATED WASTE GENERATED FROM THIS PROJECT WILL BE PROPERLY DISPOSED OF AT AN EPA, STATE OR LOCAL REGULATORY AG9NCY APPROVED DISPOSAL FACILITY, UTILIZING THE APPROPRIA-rE WASTE DISPOSAL MANIFEST, OWNER TO PROVIDE WATER AND ELECTRIC AT JOB SITE, BRICKLEY ENVIRONMENTAL WILL PROVIDE NECESSARY CONNECTIONS. 957 Resos Strut, San Bernardino, CA 92411. Lic. No. 61004 CAUOSHA No. 49 reoe, of 06/03/200'4 15:'09 7607777011 LA QUINTA PAGE 05 FROr BRICKLEY ENVIRONMENTAL FAX NO. :909 381 3433 .,Lin. 02 2004 02:56PM P5 WORD SHALL BE PERFORM1113 IN ACCORI]ANCE WITHIN OSHA, EPA, AND STATE REGULATIONS, THE ABOVE WORK TO BE COMPLETED IN A SIJBSTAKMAf ANO WORKMANLIKE MANNER ACCORDING TO STANDARD PRACTICES FOR THE SUM OF, FOUR THOUSAND EIGHT HUNDRED EIGHTY FIVE DOLLARS ($4,885.00) A. TERMS: wing UPON i ECM;T LIL SS OTHERWisE ARRANGEC S. THIS PROPOSAL MAY HE WITHDRAWN 13Y BRICKLEY ENVIRONMENTAL IF NOT ACCEPTED WITHIN 38 DAYS, C, CONTRACTOR WILL MAINTAIN INSURANCE IN THE AMOUNT OF $11,000, )DO.OD OR AS REQUIRED BY SPECIFICATIONS. D. CONDITIONS; THE TERMS AND CONDITIONS A-UOLLOWaRE EXPRESSLY INCORPORATED INTO THIS CONTRACT, ---•-r� ..� - BY, IAN GORI�U ROJECT MANAGER 1 ESTIMATOR Im ACCEPTANCE OF PROPOSAL THE ABOVE PRICES, SPECIFICATIONS, AND CONDITIONS ARE SATISFAC"ORY ANO ARE HEREBY ACCEPTED, YOU ARE AUTHORIZED TO DO TmE WORK SPECIFIED, P`r WIL SE MACE AS OUTLINE B E. CLIENT 1 ,"1-+4S C1T —OF LA QUINTA WIU937A AUTHORIZED SIGNATURE DATE y O i l—y P'1< 1 a4AJA C Fc h. TITLE��• ADDITIONAL TERMS & CONDITIONS OF CONTRACT TERMS, DUE UPON RECEIPT UNLESS OTHERWISE ARRANGED. INTERES- 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, ANDIOR ATTORNEY'S FEES IN THE COLLECTION OF ANY SUCH AMOUNT, WILL BE PAID BY THE CLIENT, UNLESS OTH4RWISE STATED IN THIS PROPOSAL, BRICKLEY ENVIRONMENTAL WILL PRovioF. 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 310 OFFER IS RASED ON REMOVAL. OF CgRTAIN TYPES AND OUANTITIES OF HAZARDOUS AND NON. HA7AAI)0US MATERIAL& AS LISTED IN THE PROPOSAL. IF AIDO1170MAL OR CONCEALED HAZARDOUS MATLRIALS ARE FOUND AND THE OWNER CHOOSES ABATEMENT, A CHANGE OFRCER WILL BE REQUIRED TO ALLOW -rH1- ADDITIONAL COSTS AND TIME TO COMPLETE THE ADDITIONAL WORK. PLEASE BE AD"ED THAT THE OWNER OF THE PROPERTY AND GENERATOR OF ANY HAZARDOUS MATmRIAL5 MAY BE SUBJECT TO MANIFEST / EPA NUMBED FEES ISSUED BY THE DEPARTMENT OF TOXIC SUBSTANCES CONTROL (DTSC). ALL FEES ISSUED BY DTSC ARE THE RESPONSIBILITY QF TH� OWNER I C3ENERATOR. FEeS ARE SILLED DIRECTLY FROM DTSC AND ARE NOT INCLUDED IN THE CON7RACT AMOUNT. ALTHOUGH BRICKLEY ENVIRONMENTAL TAKES PRECAUTIONS TO AVOID DAMAGE TO FINISHED SURFACES, SOME DAMAGE MAY OCCUR. PRICKLEY EWRONMENTAL SHALL NOT BE R.E6NONSIBLE FOR ANY SUCH REASONABLE COSMETIC DAMAGES NOR SHALL PAYMENTS TO BRICKLEY ENVIRONMENTAL BE REDUCED OR WITHHELD AS A RESULT THEREOF. I.e. DAMAGES MMMING FROM PLACEMENT 9R REMOVAL OF POLYETHYLFNE AND WOODIORYWALL BARRIERS A14D FASTENING MATERIALS WHICH ARE REQUIRED TO HOLI) SARRIGADES 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 OVVNF=R, BY ACCEPTANCE OF BRICKLEY ENVIRONMENTAL Bit] OFFFX, HEREBY AGREES TO ABSOLVE BRICKLEY ENVIRONMENTAL OF ANY AND ALL RESPONSBILITY FOR ITEMS OR OBJECTS WHICH MAY BF - REPORTED DAMAGEO, DESTROYED OR MISSINCa, UNLESS OWNER CAN PROVE BEYOND A REASONABLE DOUBT THAT AN EMPLOYEE OR SLAB CONTRACTOR OF BRICKLEY ENVIRONMENTI,L 15 THE RESPON[$1191-Ir PARTY. CMiTRACTORS ARE REQUIRED BY LAW TO BE LICENSED AND REGU ATED BY THE CONTRACTORS' STATC WOMNSE BOARD. RNY QUESTIONS CONCERNING A CONTRACTOR WY BE REFERRED TO THE REGISTRAR, CONTRACTORS' STATE LICENSE ESOARC. P.O. BOx 291300. SACRAMENTO, L ALIFORNIA 951326. SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT NOTIFICATION OF DEMOLITION OR ASBESTOS REMOVAL MAIL FORM AND FEE TO: SCAQMD. ASBESTOS NOTIFICATIONS. FILE # 5564C LOS ANGELES CA 90074-5641 AQMD USE ONLY SCREEN BY RECEIVED POSTMARK ENTERED BY NOTIFICATION # COMPLETED BY JASON COMPANY BRICKLEY CONST. CO., INC. dba PHONE 909-888-2010 BRICKLEY ENVIRONMENTAL DATE 6.4.04 CHECK # 2655 FEE $ 57.69 PROJECT # 6883 NOTIFICATION TYPE ORIGINAL PROJECT TYPE EMERGENCY REMOVAL SITE INFORMATION SITE NAME SFR SITE ADDRESS 80020 VISTA GRANDE CROSS STREET JEFFERSON CITY LA QUINTA STATE CA ZIP 92253 COUNTY RIVERSIDE DESCRIBE WORK AND LOCATION ASB REMOVAL THROUGHOUT BUILDING SIZE (SQ FT) 2,500 NUMBER OF FLOORS 1 BUILDING AGE (YEARS) 35 NUMBER OF DWELLING UNITS 1 BLDG PRIOR I PRESENT USE HOUSE SITE OWNER CITY OF LA QUINTA ADDRESS P.O. BOX 1504 CITY LA QUINTA STATE CA ZIP 92253 CONTACT TOM HARTUNG PHONE 760-777-7013 REQUIRED BUILDING INFORMATION ASBESTOS YES PRESENT? ASBESTOS YES SURVEY? * ASBESTOS NO REMOVED? BUILDING TO BE NO DEMOLISHED? PROJECT DATES START 6.10-04 END 6-10.04 WORK SHIFT 0800.1630 ASBESTOS AMOUNT TO BE REMOVED (in square feet) FRIABLE 2220 CLASS I 255 CLASS II TOTAL AMOUNT (ADD ROW) 2475 ASBESTOS REMOVAL FROM SURFACES AMOUNT OF EACH TYPE OF ASBESTOS (in square feet) ACOUSTIC CEILING 2100 LINOLEUM 120 INSULATION FIRE PROOFING DUCTING STUCCO MASTIC 120 FLOOR TILES (VAT) 135 DRYWALL PLASTER TRANSITE ROOFING OTHER (DESCRIBE) CONTRACTOR INFORMATION 7CSLB LICENSE # 610414 OSHA REG # 49 AQMD ID # 76397 NAME BRICKLEY CONST. CO., INC. dba BRICKLEY ENVIRONMENTAL ADDRESS 957 WEST REECE STREET CITY SAN BERNARDINO STATE CA ZIP 92411 SITE SUPVR SNYDER I LIEDER I MOORE I GOMEZ PHONE 909-888-2010 LARGENTICRUZIGORDON IBOYTIWOOD WASTE TRANSPORTER #1 BRICKLEY CONST. CO., INC. dba BRICKLEY ENVIRONMENTAL LANDFILL AZUSA LAND RECLAMATION CO. ADDRESS 957 WEST REECE STREET CITY SAN BERNARDINO STATE CA ZIP 92411 ADDRESS 201 GLADSTONE AVENUE CITY AZUSA STATE CA ZIP 91702 nOJ L1J ZUU4 14. U4 IWO I ( I f U11 LH WUIN I A 1-HUG U4 �Qu�rw P.O. Box 1504 78-495 CALLS TAMPICo LA QUINTA, CALIFORNXA 92253 May 21, 2004 SOUTH COAST AIR QUALITY MANAGEMENT DIVISION 21865 East Copley Drive Diamond Bar, CA 91765-4185; -ATTN: Mr. Mohan Nagavedu BUILDING DEMOLIT10NS — ASI3E5TQS ABATEMENT Project Address: 46-480, 46-055, 46-145 Jefferson and 80-020 Vista Grande La Quinta, CA (760) 777-7000 FAX (760) 777-7101 We are requesting that SCAQMD waive the usual 14-day notification waiting period for the project listed above. The subject buildings must be abated to make room for a road expansion. There is also Concern for the unsafe condition of these buildings and the potential for unlawful trespassing and illegal activities on these sites. Please feel free to contact me at (760) 777-7019, if you have any questions or concerns. Thank you for your attention to this matter, Sincerely, �� Tom Hartung Building & Safety Director Nor, CAL/OSHA ASBESTOS NOTIFICATION BRICKLEY CONST. CO., INC. dba BRICKLEY ENVIRONMENTAL 957 WEST REECE STREET SAN BERNARDINO, CA 92411 TEL: (909) 888-2010 FAX: (909) 381-3433 CAL/OSHA LICENSE NO. 610414 DEPT. OF INDUSTRIAL RELATIONS ASBESTOS CERT. A-6005 ADDRESS: SAN BERNARDINO DIST. OFFICE DOSH REGISTRATION #49 464 WEST 4TH ST., # 332 SAN BERNARDINO, CA 92401 DATE: 6-4-04 JOB # 6883 NAME / ADDRESS OF EMPLOYER: CITY OF LA QUINTA P.O. BOX 1504 LA QUINTA, CA. 92253 ADDRESS OF JOB SITE: SFR JOB LOCATION: THROUGHOUT 80020 VISTA GRANDE LA QUINTA, CA. 92253 NEAREST CROSS STREET: JEFFERSON NAME OF CERTIFIED SUPERVISOR: LEIDER NAME OF QUALIFIED PERSON IN CHARGE OF AIR MONITORING, LAB WORK AND RESPIRATORS: AS ABOVE AND GEM SERVICES OR CONTRACTED C.A.C. / I.H. JOB START DATE: 6-10-04 JOB COMPLETION DATE: 6-10-04 DESCRIBE SCOPE OF JOB AND WORK PRACTICES (Inc. sq. ft.): SCRAPE AND REMOVE WET IN SECTIONS AND DISPOSE OF 2100 SQ. FT. OF ACOUSTIC CEILING, 120 SQ. FT. OF LINOLEUM, 120 SQ. FT. OF MASTIC, 135 SQ. FT. OF FLOOR TILE ESTIMATED NUMBER OF EMPLOYEES ON JOB: S+5 EVALUATION OF POTENTIAL FOR EXPOSURE: MINIMAL EXPOSURE - RESPIRATORS AND PROTECTIVE CLOTHING WORN THROUGHOUT PROJECT. TRANSPORTED BY: BRICKLEY CONST. CO., INC. dba BRICKLEY ENVIRONMENTAL U. S. E. P. A. # CAR 000053173 STATE HAULER #2599 AND/OR ECTI P.O. BOX 7318 SAN BERNARDINO, CA 92411 STATE HAULER # 3731 DUMP SITE: AZUSA LAND RECLAMATION CO. 1201 W. GLADSTONE STREET AZUSA, CA 91702 CAD009007626 CAL OSHA 042503 BRICKLEY ENVIRONMENTAL. SUPERVISOR DAILY LOG SHEET DATL (2 —.LQ— SUPERVIS0RNAME: ScoTT IOB NUMBER:_(e_$ --Qq JOB NAME 'RE JOB SAFETY i\;ll f_TING NOTES & ATTENDANCE�j(3� 5 �� —�����_.¢ . � ter_ C �C•� See Erin, i Exit Log For Attendance pRE ABATEMENT START UP' CHECK.l- ST DES NO N/A 1. ENTRY /EXIT LOGS, DECONTAMINATION PROCEEDURES, .EMERGENCY PLAN. POSTED �. JOBiENIPLOYEE FILES, EMERGENCY KIT, FIRE EXTINGUISHER ON SITE . RL-SPI.P-ATOR BOARD UP, PROPER RESPIRATOR SELECTED/ USED 4. WARNING SIGNS;' CRITICAL BARRIERS POSTED 5. AIR MONITOR ON SITE &r READY 6. WORK ARLA PRE -CLEANED 10/ 7. POLLY CONTAINMENT ENCLOSURE INSTILLED S. DECONTAMINATION SYSTEM INSTALLED AND FUNCTIONING / 9. WATER FILTRATION SYSTEM INSTALLED J. NEGATIVE PRESSURE ESTABLISHED WRING ABATEMENT CHECK LIST: YES. N4 N/A I. RESPIR.= TOR<S ,L. SUITS WORN BY ALL PERSONNEL 1N CONTAINMENT '_. WET P�Ei�lcl\ :�1_ PROPERLY BAGGED ACNI / MCNI NO SNIOK1N(j. II:,ATING. DRJNI( NG IN CONTAINMENT � 1. HEP;\ VACUUM USED � CON-INNIENT I - RR1L-R \WORKING PROPERLY ✓ NEGA 1'1\ E .-LIR PRESSURE OPERATIONAL PI-:.RS(1N,'�L UT1L17ING DECONTAMINATION SYSTEM PROPERLY / FORMS: SLJPERl,.,-lS(*-)R DAILY LOG SHEET 06/01/2004 13:32 7603237743 SCOTT MORRISON & ASS PAGE 07 P.O. Box 55329 Rivmide, CA 92517 (9D9) 624-1665 INVOICE SCOTT MORRISON & ,ASSOCIATES Client:. Tom Hartung's Office . City of La Quinta Redevelopment P.Q. Box 15p4 La Quinta, CA 92253 Project: 46-055 Jefferson Ave_ 46-145 Jefferson Ave. 80-020Vsta Grande Reinspec Lion dates: May 12 and May 24, 2004 31955 Date PWM Drivc, Ste. #3-507 Cathedral City, CA 92234 (760)323.-7743 Date: June 01, 2004 PmectJ. P.0# Fild name: PLM0427#1226add PLM051 0#1 130add PLM0510#1631add asbestos r+einspection/ bulk sampling: 2 days Q $90.00 ea. = $ 184.o4 09 total bulk samples for 1,000 point -count analysis @ 18125.00 each*.= $1,125.00 # hours Of travel time @ $ each = included Total amount due ! $1,305.00 *Indudes lab report Please send payment to: 31855 Date Palm Drive, SbD. ##3-Sp7 Cathedral City, CA 92234 APPROVED FOR PAYNIZINT Terms: Net 15 days. BY A co`hank you. ,W H0. DESCR OT AMT. TO Pw- )s- SCOTT MORRISON & ASSOCIATES P.O. Box 5 31855 Date Palm Drive, Ste. #3-507 Riverside, CAA 92517 (909) 624-1665 Cathedral City, CA 92234 (760)323-7743 CITY 0!7�� NP 1 MAY 1 REC'g INVOICE BUILDIu- �U ► �.� X� .ry Dater May 14, 2004 Client: Tom Hartung's Office City of La Quinta Redevelopment P.O. Box 1504 La Quinta, CA 92253 Project: 46-145 Jefferson Ave. 80-020 Vista Grande Inspection date: May 10, 2004 Project/ P.O# File name: PLM0510#1130 PLM0510#1631 asbestos inspection/ bulk sampling: 2 single-family homes @ $125.00 ea. = $250 00 27 total.bulk samples for analysis (PLM) @ $20.00 each = $540.00 # hours of travel time @ $ each = included Total amount due = $790.00 Please send payment to: 31855 Date Palm Drive, Ste. #3-507 Cathedral City, CA 92234 Terms: Net 15 days Thank you. APPROVED FOR .PAYMENT BY BY ACCOUNT No. 7o l -/71Q ..S /.. 3c2-10 DESCARTIO ate - 'r �o COIN AMT. TO In S�/ E .44 P.O. Box 7318 — -Z7 San Bernardino, CA 92411 TFLA►II��Gd =77CIN Phone (909) 884 7424 ►AIQ Fax (909) 884-3744 NOW -HAZARDOUS 1. Generator's US EPA ID No. Manifest Doc. No. 2. Page 1 WASTE MANIFEST of 3: Generator's Name and Mailing Address r 't TY 'T LT. jT7IIN'TA r ECp 4. Generator's Phone 5. Transporter 1 Company Name 6. US EPA ID Number A. Transporter's Phone BRT -F:LE� 7. Transporter 2 Company N" 8, US EPA ID Number B. Transporter's Phone 1l 9. Designated Facility Name and Site Address 10. US EPA ID Number C. Faculty's Phone A;�'LTS='. LAITL? P_F.C'Ur- ,r+T1.N 12.11 Wr GLr D-S'T-D TE , a. ITf-41 FPTABLF; ASEAE Tr'.,�:' b. C, D. Additional Dewdp6on.for Materiels LIBW Above E. Handling Codes for Wastes Listed Above 15. Special Handling Instructions and Additional Information F:.1'I'.+;1ZI1: 'i .',Tj'h, -[+ T31 '%117' FP>-. RL•'';I'"t] i_:, 4 1_` � ! . 1��'"a -_ Era, I'H+.THF _ 'I' ..-.fI EP.A!V1t(. -. ..H!, -r Printedlryped !Name Signature A. - t Printedrryped Name Signature M " w r" PrintediTyped Name Signature M0"s' Day Yw 19. Discrepancy Indication Space IN Printedrryped Name Signature "b"°': OW i w.r State of California--EnviTonmcnt0''To iection Agency Form Approvers OMB No. 2050-00N (Expires 9 30-991 Plea so prIni a type- Form designed for vroan ofite ( 12-pirEh) typewriter. J 7 l' % 1, tom' G f. c ..4) 4 See Instructions on back of page 6. Department of Toxic Substances Control Sacramento, California UNIFORM HAZARDOUS 1- Generator's US EPA ID No. Manifest Document No. 2. Page 1 in the shaded areas [�rfnoonncrtion t required by Federal law. WASTE MANIFEST r 1A lnj,� bq I I la I o 10 R n I h j a 1 F I 3. Generator's Name and Mailing Address CITY OF 1-A QUINTA A. State Manifest Document Number 23535739 P.O. BOY. 1504 B. State Generator's ID LA QUINTA, CA 92 253 4. Generator's Phone (760) 777-701 5. Transporter 1 Company Name 6. US EPA ID Number C. State Transporter's ID [Reserved.] D. Transporter's Phone BRICKLE�Y ENVIRONMENTAL C A i? 0 !i 0 �- 1 _ (909 $88-2010 7. Transporter 2 Company Name 8. US EPA ID Number E. State Transporter's ID [Reserved,] E C T i fj I f) :) 4 r 4 F. Transporter's Phone G t -7 -■ 9. Designated Facility Name and Site Address 10. US EPA ID (dumber G. State Facifityrs ID ~ AZUSA LAND RECLAMATION �( � ,` 1211 W. GL DSTONE G H. Facility's Phone AZUSA CA 91702 (626)334-0719 1 1- US DOT Description (including Proper Shipping Name, Hazard Class, and ID Number) 12. Coiners nta- 13. Total Quantity 14Unit Wt/Vol I. Waste Number , No. Type °• R. Q. ASBESTOS, 9, NA2212, PG III (ERG#1 71)� State 5 EPA/Other G E ) c- 3© o rJ 1 u. Y N b _ - State l EPA/Other Rr1 _. _ — f ]ll I State O ! 1 2004 ji) EPA/Other R I l d. State EPA/Other J- Additional Descriptions for Materials Listed Above K. Handling Codes for Wastes Listed Above 3 i :ASBESTOS CONTAIN-, NJ CONStRUC-TION MATERIALS a. 03 b. C. d. 15. S ecial Handling Instructions and Additional Information EMEMINCY. CONTACT PHONE # (800) 535-5053 EPA REGION If (415) 744-1089 75 11AWTHORNE ST. ,, S.AN FRANCISCO, CA 94105 SCAQMD (909) 396-2336 21865 E. COPLEY DR., DIAMOND BAR., CA 91-765 16. GENERATOR's CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packed, marked, and labeled, and are in all respects in condition for transport by highway according to applicable international and national regulations. proper government If 1 am a largo quantity generator, I certify that I hove a program in. ploce to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable and that I hhave selected the practicable methad a Ireatment, ataraga, or dlaposol currently available to me which minimizes the prasant and Future threat to human health and the enviranrnenl: OR, if I am a small quantity generator, I h e made a goad faith effort to minimize my waste generation and select the best waste management method that is available to me and that 1 can afford. Printed/Typed Name nature Month Day Year k, winlb 4&L C> T 17. Transporter 1 Acknowledgement of Receipt of Materials A A Printed/Typed Name Signature r (. Month Day Year iJ P ]\CELL ( v A 1 8_ Transporter 2 Acknowledgement of Receipt of•Motarials B Printed/Typed Name Signature f Month Day Year 19. Discrepancy Indication Space F A C I L f 20. Faci ity Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19- T Printad/Typed Name !� Signature t Month Day Year DO NOT WRITE BELOW THIS LINE. Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS DTSC 8022A (1/99) (Generators who submit hazardous waste for transport out-of-state, produce completed copy of this copy and send to DTSC within 30 days.) EPA 8700-22 "PROPOSAL" EMERY LANDCLEARING AND GRADING, INC. P.O. BOX 1009 THERMAL, CA 92274-1009 7601391-5840 FAX. • 7601391-5839 LIC. #600283 JUNE 11, 2004 CITY OF LA QUINTA 78-495 CALLE TAMPICO LA QUINTA, CA 92253 AT -IN: MR. TOM HARTUNG 76OM7-7013 FAX: 76on77-7011 SUBJ. DEMOLISH REMOVAL OF HOUSE 80-020 VISTA GRANDE LA QUINTA, CA EMERY LANDCLEARING AND GRADING, INC., PROPOSES TO DEMOLISH REMOVE AND DISPOSE OF ONE HOUSE AND DEBRIS, WORK TO BE PROVIDED AS SPECIFIED BELOW: UPON ASBESTOS REMOVAL (BY OTHERS) 1. TO DEMOLISH REMOVE AND DISPOSE OF ONE HOUSE STRUCTURE. 2. TO REMOVE AND DISPOSE OF MISC. TRASH AND DEBRIS LEFT FROM PREVIOUS OWNER. 3. TO REMOVE AND DISPOSE OF CONCRETE FOUNDATION. 4. TO PUMP AND REMOVE SEPTIC SYSTEM IF APPLICABLE TO CAP OFF SEWER 5. TO PUMP REMOVE AND DISPOSE OF POOIJSPA IF APPLICABLE 6. SITE TO BE LEFT AT GRADE UPON COMPLETION. 7. FENCING ALONG GOLF COURSE TO BE LEFT INTACT. NOTES: 1. OWNER TO SUPPLY WATER FOR PM-10 DUST CONTROL (EMERY TO SUPPLY HOSE). 2. OWNER TO SUPPLY ANY ADDITIONAL REQUIREMENTS FROM CITY, STATE OR COUNTY. 3. THIS IS A PREVAILING WAGE JOB. 4. IF ANY BEES, WASPS OR RODENTS LOCATED, OWNER TO HAVE PROFESSIONALLY REMOVED. 5: IF ANY BASEMENTS OR BURIED DEBRIS LOCATED, ADDITIONAL COSTS TO BE DETERMINED ON -SITE. TOTAL PROPOSAL: ACCEPTED BY: on $15,000.00 DOLLARS PAYMENT TO BE MADE AS INVOICED. DATED: JUNE I 2004 BID GOOD FOR 30 DAYS. INC. 1e� $ j I Div 11 p ', L w Project/Case 4 4 !--oc)Z -(FcwLo • o v and VACANCY WALKTHROUGH Any and all personal property left on the project premises located at o UZ a is to be considered abandoned as of4z- a AS EVIDENCE BY SIGNATURE AND DELIVERY OF KEYS I HEREBY AGREE THAT OCCUPANCY OF THE LISTED ADDRESS HAS BEENABANDONED AND THATNOFURTHERENTRANCE TO THE ABOVEADDRESS WILL BE MADE. Claimant(s) Name Claimant(s) Signat e x % Date REPLACEMENT ADDRESS:-,,��[YFd, coydc NEW PHONE ON THIS DATE I PERSONALLY INSPECTED THE DISPLACEMENT AT THE ABOVE ADDRESS AFTER THE OCCUPANT HAD MOVED AND FOUND THE PREMISES TO BE IN SATISFACTORY CONDITION AND THAT ALL PERSONAL PROPERTY, EXCEPT FOR TRASH OR DEBRIS PLACED FOR REMOVAL, HAD BEEN REMOVED FROM THE ACQUISITION AREA EXCEPT FOR THE FOLLOWING: x -26 -b 4ed ation Representative Date ❑ There are tenants remaining on this property. ❑ This property is now vacantXAbandoned property remains on site PROPERTY MANAGEMENT Keys given to: notes: Date: e2 4-U Received by :X OVerland,P9cific & Cutler, Inc. 07/03