Group Title: Historic St. Augustine: B8-L15
Title: [Letter to I. David Brandt III re asbestos surveys]
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Permanent Link: http://ufdc.ufl.edu/UF00091362/00033
 Material Information
Title: Letter to I. David Brandt III re asbestos surveys
Series Title: Historic St. Augustine: B8-L15
Physical Description: Correspondence
Language: English
Creator: Ferro, David E.
Publication Date: 1998
 Subjects
Subject: Saint Augustine (Fla.)
17 Cuna Street (Saint Augustine, Fla.)
Harness Shop (Saint Augustine, Fla.)
Spatial Coverage: North America -- United States of America -- Florida -- Saint Johns -- Saint Augustine -- 17 Cuna Street
Coordinates: 29.895914 x -81.311995
 Record Information
Bibliographic ID: UF00091362
Volume ID: VID00033
Source Institution: University of Florida
Holding Location: University of Florida
Rights Management: All rights reserved by the source institution.
Resource Identifier: B8-L15

Full Text
FLORIDA DEPARTMENT OF STATE
Office of the Secretary
Office of International Relations
Division of Administrative Services
Division of Corporations
Division of Cultural Affairs


MEMBER OF THE FLORIDA CABINET
Division of Library & Information Services
Division of Historical Resources
Ringling Museum of Art
Division of Licensing
Division of Elections


FLORIDA DEPARTMENT OF STATE
Sandra B. Mortham
Secretary of State
DIVISION OF HISTORICAL RESOURCES

April 1, 1998




Mr. I. David Brandt III, Director
Historic Preservation and Tourism
City of St. Augustine
Post Office Drawer 210
St. Augustine, Florida 32085-0210

Dear Mr. Brandt,

I enjoyed meeting you this morning. We have located the asbestos surveys you
asked about, some in our Bureau library and others in the files of our architectural
section. Enclosed are copies of the Asbestos Survey and Operations and
Maintenance Plan for Government House. As reproducing the survey documents
for the remainder of the properties leased to the City will involve a substantial
amount of clerical time, we will undertake this task on an incremental basis. If you
have a more immediate need for any of the surveys, please contact me at (850)
487-2333.

Sincerely,


Oavidt. Ferro, R.A., Administrator
Architectural Preservation Services
Bureau of Historic Preservation


DIRECTOR'S OFFICE
R.A. Gray Building 500 South Bronough Street Tallahassee, Florida 32399-0250 (850) 488-1480
FAX: (850) 488-3353 WWW Address http://www.dos. state.fl.us
0 ARCHAEOLOGICAL RESEARCH 0 HISTORIC PRESERVATION O HISTORICAL MUSEUMS
(850) 487-2299 FAX: 414-2207 (850) 487-2333 FAX: 922-0496 (850) 488-1484 FAX: 921-2503












OHC
Occupational Health Conservation, Inc.

ASBESTOS SURVEY


PERFORMED AT

GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA



PREPARED FOR
HISTORICAL ST. AUGUSTINE PRESERVATION BOARD
48 KING STREET
ST. AUGUSTINE, FLORIDA 32084



PREPARED BY
OCCUPATIONAL HEALTH CONSERVATION, INC.
PROJECT NO. 941007-AS


PREPARED ON
August 9, 1994





5118 North 56th Street Suite #215 Tampa, Florida 33610 (813) 626-8156
^ j






Sot Occupational Health
Conservation, Inc.
Le Tourneau Center, 5118 N. 56th Street,
Suite 215, Tampa, FL 33610
(813) 626-8156 1-800-229-8156




August 9, 1994



Mr. Robert Fullam
Historical St. Augustine Preservation Board
48 King Street
St. Augustine, Florida 32084

Re: Asbestos Survey
Government House
48 King Street
St. Augustine, Florida
OHC Project No.: 941007-AS

Dear Mr. Fullam:

Occupational Health Conservation, Inc. is pleased to present the final report for the
Asbestos Survey performed on July 20th 22nd, 1994. These services were conducted within
the building located at 48 King Street in St. Augustine, Florida.

If we could be of any further assistance or should you have any questions, please do
not hesitate to contact us at your convenience.

Sincerely,



James F. Rizk
President
CIH #3956
FLAC #IA0000022


JFR/laf








ASBESTOS SURVEY REPORT


OHC PROJECT NO.:



PROJECT NAME:



ADDRESS:




DATE OF SURVEY:



CONSULTING FIRM:






LAC:


SURVEYOR:



Surveyor


941007-AS



Government House



48 King Street
St. Augustine, Florida



July 20th 22nd, 1994



Occupational Health Conservation, Inc.
5118 N. 56th Street
Suite 215
Tampa, Florida 33610



James F. Rizk, CIH, LAC
LAC #IA0000022


Mr. David Bragg



LAC









ASBESTOS SURVEY REPORT


TABLE OF CONTENTS


APPENDIX A


APPENDIX B


EXECUTIVE SUMMARY
Introduction
Building Description
Summary of Findings
Conclusion


SAMPLING SUMMARY
Sampling Protocol
Homogeneous Areas
Sample Locations


ASBESTOS HAZARD ASSESSMENT
Asbestos Hazard Decision Tree
Explanation for Hazard Determination

STATUTORY REQUIREMENTS


COST ESTIMATES


PHOTOGRAPHS


LABORATORYANALYTICAL DATA
Chain of Custody


CONSULTANTS AND LABORATORY CREDENTIALS


APPENDIX C











































































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GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
SECTION I

EXECUTIVE SUMMARY

INTRODUCTION:

The building was surveyed for the purpose of identifying any suspect asbestos-containing

materials (ACM) and their locations. The building was constructed in 1937, and consists of

a total of approximately 21,000 square feet of floor area. The building is presently located

at 48 King Street in St. Augustine, Florida.



BUILDING DESCRIPTION:

The summary of the description will be addressed on a floor by floor basis starting at the

basement and progressing upwards.



The basement is primarily used for storage of artifacts which have been tagged and boxed

as well as others too large to be packaged. The floors are concrete throughout, walls are

covered with suspect wall plaster. In room 25, 15 linear feet of non-suspect fiberglass

insulation was located in the wall protrusions. Stairwells leading to the first floor, room 24

has suspect wall plaster on the walls with concrete floors. Room 22 has concrete floors with

suspect wall and ceiling plaster.



The crawlspace (Room No. 45) is accessed from Room No. 13. The area runs under the

main building with ventilation shafts into the east wing. The area contains two runs of

piping with suspect pipe and elbow insulation which appear to extend up into columns in the









GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
SECTION I

main hallway. For the purposes of this survey, it will be assumed that the pipe insulation

is inside those columns. The insulation on these pipes is in very poor condition and needs

immediate attention.



The first floor consists of restrooms, receiving areas, storage areas, offices, the museum

gallery and the east wing of the building. Floor areas on the first floor are a combination

of concrete slab, non-suspect ceramic tiles, wood, carpet over concrete slab, and non-suspect

terrazzo flooring with inlaid marble pattern. Room 1, the main hallway, is covered by the

inlaid marble pattern terrazzo. Room 2 the foyer outside the restrooms have wood floors.

Room Nos. 3 and 4 (mens and ladies rooms), and Room 12 have ceramic tiles. Room 9 the

museum gallery has carpet over the concrete slab. All other rooms have the concrete slab

as the floor. Room 1 in the main hallway has suspect plaster walls and ceilings. Room Nos.

2, 3, 4 & 5 have suspect sheetrock walls and ceilings. Room Nos. 6, 7 & 8 have suspect

plaster walls and ceilings with a portion of the walls in Room 7 consisting of suspect

sheetrock. Room 8 is a stairwell with suspect plaster walls and ceilings. Room 9 (museum

gallery) has suspect sheetrock walls with the exception of the east wall which is suspect

plaster. Ventilation ducting in this room is non-suspect fiberglass insulation. The ceiling in

this room is the poured concrete slab which supports the second floor. Room No. 47

(storage), has suspect sheetrock walls and shares the poured concrete ceiling with Room 9..

Room Nos. 10, 10A and 11 have suspect plaster walls. Room 10 also has an area of walls

that is constructed of suspect sheetrock. In Room 10A suspect brown 4" baseboard runs









GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
SECTION I

along the base of the wall. The ceilings in these rooms are suspect plaster with the

exception of Room 11 where the ceiling is concrete. Room No. 12 is a restroom with

suspect sheetrock and plaster walls and suspect plaster ceilings. Room No. 13 is the

entrance to the crawl space (Room 45). The walls in Room No. 13 are suspect plaster along

the west wall and suspect sheetrock on all others. Ceilings in Room 13 are suspect plaster.



The second floor of the east wing is slightly lower than the second floor of the main building.

The floors throughout are non-suspect wood over concrete slab and are covered by carpet.

All walls in the office area, (Room Nos. 14, 15, 16, 17, 18, 19, 20, 21, 47 & 48) are covered

by suspect wall plaster. The ceilings in Room Nos. 15, 16, 18, 19, 20, 47 & 48 are suspended

lay-in ceiling systems with suspect 2' x 4' pinhole ceiling tiles. The ceiling in Room No. 14

is a suspended ceiling system with a combination of suspect 2' x 4' and 2' x 2' pinhole

pattern ceiling tiles. Room No. 15 contains some areas of suspect 2' x 4' fissured ceiling

tiles. Room No. 21 has suspect 2' x 2' pinhole ceiling tiles only. Room No. 17 is actually

an accessway to above the ceiling tile grid in these offices and has a landing at the top of

the stairs as the only floor space. From this vantage point it was observed that

approximately 8' above the grid, the original plaster ceiling was observed over all offices.

The second floor of the main building has non-suspect wood floors covered by carpet

throughout the majority of the offices (Room Nos. 27, 35, 36, 37, 38, 39, 40, 41). There is

non-suspect marble inlaid terrazzo along the hallway up to the entrance to the Research

Areas and in Room Nos. 31 and 32. Non-suspect terrazzo flooring was observed in the









GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
SECTION I

mens and ladies rooms. Suspect gray flooring materials is used in the west hallway and in

the closet in Room No. 26. The concrete slab serves as the floor in the remainder of the

building in Room Nos. 42, 42A, 43 and 44. The walls in Room Nos. 26, 27 and 28 are

suspect plaster. The ceiling in Room No. 26 with the exception of the store room and closet

is suspect ceiling tile system with suspect 2' x 2' fissured ceiling tile. Above the suspended

ceiling in Room Nos. 26 and, 27 and 28 the ceiling is covered by suspect plaster. Room No.

28 has a ladder and accessway to the attic, (Room No. 46). Room No. 29 (storeroom) and

Room No. 30 (mechanical room) have suspect sheetrock walls with suspect 4" brown

baseboard along the base and suspect plaster ceilings. Room Nos. 33, 34, 35 and 36 are

office areas with suspect plaster walls and ceilings. Room Nos. 37, 38, 39, 40 and 41 are

offices in the Research Area with walls covered by suspect plaster and sheetrock with

suspect texture material over doorways that have been sealed off. The ceilings in all of these

offices consists of suspect plaster. Room Nos. 42, 42A, 43 and 44 have suspect wall plaster

throughout with some suspect sheetrock wallboard present in Room No. 42. All ceilings in

these rooms consist of suspect plaster.



The attic, (Room No. 46) has wood rafters with blown-in non-suspect fiberglass insulation.

Ventilation ducting and 5 pipe runs connect the west and east sides of the space. The

ventilation ducting in the area is covered by brown backed fiberglass panels with suspect

black mastic vapor barrier on the seams.









GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
SECTION I


SUMMARY OF FINDINGS:


Sample Type of Location Approx. Asbestos Hazard *F/N-F
# Material Quantities Content Assess-
ment

9A White Pipe Room No. 7 1 Ln Ft 40% 1 F
Insulation North Wall Chrysotile

12A White Pipe Room No. 45 45 Ln Ft 35% 7 F
Insulation Crawlspace Chrysotile

13A White Pipe Room No. 45 365 Ln Ft 40% 7 F
Insulation Crawlspace Chrysotile

14A White Pipe Room No. 45 1 Sq Ft 25% 7 F
Elbow Crawlspace Chrysotile
Insulation

15A White Elbow Room No. 45 1 Sq Ft 35% 7 F
Insulation Crawlspace Chrysotile

18A Black Duct Room No. 46 2,800 Sq Ft 5% 1 N-F
Mastic Chrysotile

23A White Pipe Room No. 45 2 Sq Ft 40% 7 F
Elbow Chrysotile
Insulation


* NOTE: F = Friable Material; N-F = Non-Friable Material

CONCLUSION:



Based on the samples collected from the site and the laboratory analysis, ACM exists in this

building in the forms of listed above. These materials must be removed by a Florida

Licensed Asbestos Contractor prior to any renovation and/or demolition activities following

all applicable Federal, State and Local guidelines. Notification to the local regulatory agency

is required at least ten (10) working days prior to any demolition activity. According to

NESHAP, 40CFR61 Subpart M, demolition is defined as removing any load supporting

structure within the building.

























































































































































































































































































































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GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
SECTION II

SAMPLING PROTOCOL:

STEP I

Building Document Review:

If available, the surveyor examined any building construction documentation (Specifications,
drawings, etc.), as well as, documents on any renovations made since the building was
originally constructed. The review familiarized the surveyor with the building design and
products used in the construction which might be potential asbestos-containing materials
(ACMs).

STEP II

Survey Procedures:

The surveyor made effort to gain access to every room, pipe chase, shafts, and roof of the
facility. Identification of ACM was made by the following procedures:

1. Conducting a thorough visual inspection of the building. Where possible, a person
familiar with the facility, accompanied the surveyor on the walk through.

2. Identification of Homogeneous Areas based on texture, appearance, use, and age.

3. Identification of all areas which contain suspect ACM which could not be sampled
and documentation for the reasons not collecting the samples.

STEP III

Sampling Strategy:

1. The surveyor collected bulk samples of all friable and non-friable suspect ACM. A
representative number of samples were collected from each homogeneous area
following the EPA's simplified random sampling method (EPA560/585-030a). All
sample locations were logged with the description of the sample location and were
marked on any available drawings. Each area was identified by a unique sequential
numbering system using the homogeneous area number followed by alphanumeric
sample identification (i.e., 1A, 1B, 2A, 2B, etc.).

2. Since the integrity of the roof could be violated by sampling and could void any
warranties or cause roof leaks, roofing material was not sampled unless it was








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
SECTION II

specifically authorized by the client. When sampled, roof sample locations were
patched with a roofing mastic.

3. Good Industrial Hygiene practices were followed when collecting bulk samples to
minimize fiber release. The friable material was collected utilizing wet procedures.

4. The surveyor took every precaution required to prevent asbestos exposure to himself,
the building occupants and the public.

5. Each bulk sample was placed in labeled bags and immediately marked with sample
number.

6. The surveyor used the following sampling protocol to obtain representative samples:

a. Surfacing Material Friable

i. Less than 1,000 sq ft 2-3 samples
ii. Between 1,000 sq ft 5,000 sq ft 5 samples
iii. Greater than 5,000 sq ft 7 samples
iv. One additional sample for each additional 10,000 sq ft up to 9
samples.

b. Thermal Insulation Material

i. Less than 6 In ft 1 sample
ii. Greater than 6 In ft 3 samples
iii. Patched areas 1 sample
iv. Joints, Elbows, Hangers 1 sample

c. Miscellaneous Materials

i. Ceiling and Floor Tiles, Linoleum, or Vinyl Floor Coverings,
Baseboard, Similar products and their adhesives:

a. Less than 100 sq ft 1 sample
b. Between 100 sq ft 5,000 sq ft 2-3 samples
c. Greater than 5,000 sq ft 1 additional sample for each 5,000 sq
ft up to 9 samples









GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
SECTION II

ii. Roofing:

a. Up to 10,000 sq ft 3 samples
b. One additional sample for each additional 10,000 sq ft

STEP IV

Sample Submission:

A chain of custody form was submitted with each sample group sent out for analysis. The
form was signed by laboratory personnel handling the samples) and returned with the
sample results.

STEP V

Sample Analysis:

Samples were analyzed by OHC's Jacksonville laboratory which is accredited by the National
Voluntary Laboratory Accreditation Program (NVLAP).









GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
SECTION II


HOMOGENEOUS AREAS


GOVERNMENT HOUSE
48 KING STREET


Homogeneous Type of Material Sample # Location Asbestos Condition
Area No. (Yes/No)

1 Wall Plaster 1A-1I Throughout N Fair

2 Sheetrock 2A-2G Throughout N Good

3 2' x 4' Ceiling Tile 3A-3C Rooms 14, 16, 18, N Good
19, 20 & 47

4 2' x 2' Ceiling Tile 4A-4C Hallway Adjacent N Good
to Room 32 and
Rooms 14, 21 &
26

5 Gray Floor 5A-5C Room 26 & N Poor
Material Hallway Adjacent
to Room 41

6 Sheetrock & 6A Room 37 N Good
Texture Doors

7 4" Brown Vinyl 7A-C Rooms 7, 29, 30 & N Good
Baseboard Stairs Adjacent to
Room 44

8 Wall Texture 8A-8C Room Nos. 38, 39, N Good
40, 41 and 42

9 Pipe Insulation 9A Room 7 North Y Good
Wall

10 2' x 4' Ceiling Tile 10A Room 15 NW N Good
Corner

11 2' x 2' Fissured 11A-11C Room 26 Ceiling N Good
Ceiling Tile

12 White Pipe 12A-12C Room 45 Y Poor
Insulation Crawlspace


White Pipe
Insulation


13A-13C


Room 45
Crawlspace


Poor









GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
SECTION II


HOMOGENEOUS AREAS (CONT'D)


GOVERNMENT HOUSE
48 KING STREET


Homogeneous Type of Material Sample # Location Asbestos Condition
Area No. (Yes/No)

14 White Pipe 14A Room 45 Y Poor
Insulation Crawlspace
15 White Pipe 15A Room 45 Y Poor
Insulation Crawlspace

16 Ceiling Plaster 16A-16G Throughout N Poor

17 Sheetrock 17A-17C Room Nos. 2, 3, 4 N Good
and 5

18 Black Duct Mastic 18A-18E Room 46 Attic Y Good

19 3" Pipe Insulation 19A-19C Room 46 Attic N Good

20 Pipe Elbow 20A-20B Room 46 N Good
Insulation

21 Sheetrock & 21A-21B Room 41 N Good
Texture Doors

22 Sheetrock & 22A Room 44 N Good
Texture Doors

23 Horizontal Pipe 23A Room 45 Y Poor
Elbow Insulation







SAMPLE LOCATIONS
HISTORICAL ST. AUGUSTINE PRESERVATION BOARD
1ST FLOOR

2RM- RM 2 2B 1C
12
1J

ROOM #13


) / ROOM #9
1B


)M #10A
9A
#71

RM 8
ROOM #1


48 KING STREET: ST. AUGUSTINE, FLORIDA







2ND FLOOR


SAMPLE LOCATIONS
HISTORICAL ST. AUGUSTINE PRESERVATION BOARD


S -I..... -7:m "






SAMPLE LOCATIONS
HISTORICAL ST. AUGUSTINE PRESERVATION BOARD


ROOM 17 (LOFT)


48 KING STREET: ST. AUGUSTINE







SAMPLE LOCATIONS
HISTORICAL ST. AUGUSTINE PRESERVATION BOARD
CRAWLSPACE


N




D
13C 23A 12A ATTIC


48 KING STREET: ST. AUGUSTINE, FLORIDA










































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GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
SECTION III

ASBESTOS HAZARD ASSESSMENT DECISION TREE

The Hazard Assessment (HA) rankings included in this report were made using the
"Decision Tree" format and included the following steps:

MATERIAL HAZARD ASSESSMENT DECISION TREE


Present
Condition:



Potential for
Future Damage:

Hazard
Assessment:


Significantly
Damaged


Non
Damaged Good ACM


SI FI


Any High Moderate Low High Moderate Low Any

7 6 5 4 3 2 1 0
7 6 5 4 3 2 1 0


The surveyor determined the present condition of the Asbestos-Containing Materials
(ACMs) and classified them into one of three (3) categories: Good, Fair (AHERA
"Damaged"), or Poor (AHERA "Significantly Damaged").

Criteria for determining the present condition classification are:

A. Asbestos-containing material is classified in "Good" condition if it shows no visible
damage or deterioration, or very limited damage or deterioration.


B. Asbestos-containing surfacing or miscellaneous material is classified in "Fair"
condition if the damage is less than 10% overall (if the damage is evenly distributed)
or less than 25% (if the damage is localized).


C. Asbestos-containing thermal system insulation is classified "Fair" if missing jackets,
water stains, or insulation damage on less than 10% of the tank, vessel, pipe
runs/risers (if the damage is evenly distributed) or less than 25% (if the damage is
localized).


STEP I:








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
SECTION III

D. Asbestos-containing surfacing or miscellaneous material is classified "Poor" if 10% or
more of the overall surface is damaged (if damage is evenly distributed) or if the
damage is localized in an area representing 25% or more of the total material.
Damage typically would include surface crumbling or blistering, material hanging,
delamination or showing other evidence of adhesive failure, water stains, gouges
vandalism.

E. Asbestos-containing thermal system insulation is classified "Poor" if jackets are
generally missing or the insulation is crushed, gouged, punctured for 10% or more of
the tank, vessel, pipe runs/risers (if the damage is evenly distributed) or 25% of more
(if the damage is localized).


STEP II:

The surveyor determined the potential for future damage or deterioration for material
classified as good or fair. The potential for future damage is classified as High, Moderate,
or Low. Many factors are considered including potential for physical contact and the
influence of environmental factors such as vibration, air erosion, the likelihood of water
damage, etc.

Criteria for determining the potential for future damage are:

A. The potential for contact is classified "high" in any area of public access where the
material can be reached by members of the general public. The potential for contact
is also be classified as high in areas such as mechanical or boiler rooms where
maintenance, custodial, or service personnel work in the immediate vicinity of the
material, more frequently than once a week.

B. The potential for contact is classified as "moderate" for areas where the material is
accessible to building employees, but where contact is unlikely or can be avoided with
appropriate informational training. Asbestos-containing wall or ceiling treatments in
office areas is an example. In mechanical rooms, work by maintenance, custodial, or
service personnel in the vicinity of the material once a week to once a month is cause
to classify the exposure potential as moderate.

C. Where the asbestos-containing material is not visible (i.e., above a suspended ceiling)
or is visible but not accessible (i.e., an acoustical or fire-retardant treatment on a high
ceiling) to the building occupants, the potential for contact is considered "low" as long
as there was no frequently serviced equipment, such as computer or telephone lines,
in the immediate area. In service or maintenance areas, the potential for future








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
SECTION III

damage is considered low where work in the vicinity of the asbestos-containing
material occurs less frequently than once a month.

D. Examples of environmental factors indicative of "high" potential for future
disturbance include vibration from nearby large noisy motors or engines, proximity
to a major airport or highway, and high velocity air movement such as that associated
with the presence of an elevator shaft or in a fan room.

E. Examples of environmental factors causing "moderate" potential for future damage
include the presence of motors or engines that are not particularly intrusive,
vibrating ductwork, music rooms, and other areas with occasional loud noises, and
noticeable (but not high velocity) air movement such as that associated commonly
with ventilation (HVAC) systems.

F. "Low" potential for future damage from environmental factors is in areas with none
of the above.

STEP III:

The surveyor assigned a classification number ranging from "1" to "7" to each homogeneous
area asbestos-containing material.

A rank of "1" indicates material in "good" condition with "low" potential for future damage.
These areas have a low abatement response priority. A result of "5" indicates material in
"fair" condition with "moderate" potential for future damage. It has a higher priority for
abatement response action. A rank of "7", material in "poor" condition, indicates top priority
for abatement response action.

See the asbestos hazard assessment decision tree for a complete list of the rankings.


























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GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
SECTION IV

STATUTORY REQUIREMENTS:

The regulatory agency responsible for the oversight of the rules pertaining to asbestos-
containing building materials (ACBM) is the Environmental Protection Agency (EPA). The
regulations state that prior to demolition or renovation a facility survey must be conducted
in accordance to section 40 CFR 61-M National Emission Standards for Hazardous Air
Pollutants; Asbestos NESHAP Revisions, Final Rule.

Enforcement of these rules was passed on to the states. In the State of Florida they are
enforced by the Department of Environmental Regulation (DER). Some counties have
developed an enforcement division to carry out the responsibilities of the DER and have
developed environmental and asbestos ordinances with which compliance is required.

The final NESHAP Rule provides classification for regulated asbestos containing material
as follows:

A. Category I Non-Friable Asbestos-Containing Material (ACM):
Asbestos-containing packing, gaskets, resilient floor covering, and asphalt roofing
products containing more than 1% asbestos by volume.

B. Category II Non-Friable Asbestos-Containing Material (ACM):
Any material, excluding Category I non-friable ACM, containing more than 1%
asbestos by volume, that when dry, cannot be crumbled, pulverized, or reduced to
powder by hand pressure.

C. Regulated Asbestos-Containing Material (RACM):
Friable asbestos material, Category I non-friable ACM that has become friable,
Category I non-friable ACM that will be or has been subjected to sanding, grinding,
cutting, or abrading, or Category II non-friable ACM that has a high probability of
becoming or has become crumbled, pulverized, or reduced to powder by forces
expected to act upon the material in the course of demolition or renovation
operations.

These materials must be removed, prior to demolition and/or renovation, by a
Licensed Asbestos Contractor following Federal, State and Local guidelines.











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COST ESTIMATION


GOVERNMENT HOUSE
48 KING STREET


Homogeneous Type Dimension Approx. Abatement Approx. Monitoring
Area No. Cost Cost
9 Pipe Insulation 1 Ln Ft $100.00 $50.00
12 Pipe Insulation 45 Ln Ft $200.00 $100.00
13 Pipe Insulation 365 Ln Ft $1,800.00 $300.00
14 Pipe Elbow 1 Sq Ft $100.00 $50.00
Insulation
15 Pipe Elbow 1 Sq Ft $100.00 $50.00
Insulation
18 Duct Mastic 2,800 Sq Ft $7,000.00 $750.00
23 Pipe Elbow 2 Sq Ft $100.00 $50.00
Insulation


NOTE: Cost Estimates are based on combined removal of all items listed prior to
renovation and/or demolition. If removal is performed on items separately, the cost may
be significantly increased due to additional mobilization costs of $600 to $1,000. Cost
estimations do not include any contract administration, licenses, permits, etc.












GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
APPENDIX A


PHOTO LOG


Homogeneous Area: 1
Wall Plaster
comnlP Nno. 1A..1T


nomogeneous Area: z
Sheetrock
Sample Nos.: 2A-2G


7t


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GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
APPENDIX A


PHOTO LOG



Homogeneous Area: 3
2' x 4' Ceiling Tile
-_ 1- .XT-- '11 A "114"l


Homogeneous Area: 4
2' x 2' Ceiling Tile
Sample Nos.: 4A-4C







GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
APPENDIX A


PHOTO LOG



Homogeneous Area: 5
Gray Floor Material
r 1* T<- Vk A I/"


Homogeneous Area: 0
Sheetrock & Texture Doors
Sample Nos.: 6A


-v .,I


1;" U i






GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
APPENDIX A


PHOTO LOG


Homogeneous Area: 7
4" Brown Vinyl Baseboard
Sample Nos.: 7A-C


Homogeneous Area: ti
Wall Texture
Sample Nos.: 8A-8C




(A-


:;., r









GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
APPENDIX A


PHOTO LOG


Homogeneous Area: 9
Pipe Insulation
4amnlo NInc QA


Homogeneous Area: 1A
Pipe Insulation
Samnle Nos.: 10A


i
'


I.


:2~ :


3
1
.i


ii
~-
I
I
~I
I









GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
APPENDIX A


PHOTO LOG



Homogeneous Area: 11
2' x 2' Fissured Ceiling Tile
Sam le Nos.: 11A-11C


TA











m .. . ..... --
.. -


homogeneous Area: 1.,
Pipe Insulation
Sample Nos.: 12A-12C







GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
APPENDIX A


PHOTO LOG


Homogeneous Area: 13
Pipe Insulation
Samnle Nos.: 13A-13C


Homogeneous Area: 14
Pipe Elbow Insulation
Sample Nos.: 14A


*J*4









GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
APPENDIX A

PHOTO LOG


Homogeneous Area: 15
Pipe Elbow Insulation
Sample Nos.: 15A


Homogeneous Area: 16
Ceiling Plaster
Sample Nos.: 16A-16G










GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
APPENDIX A


PHOTO LOG


Homogeneous Area: 17
Sheetrock
Samnle Nos.: 17A-17C


Homogeneous Area: 18
Duct Mastic
Sample Nos.: 18A-18E









GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
APPENDIX A


PHOTO LOG


Homogeneous Area: 19
3" Pipe Insulation
Sample Nos.: 19A-19C


Homogeneous Area: ZU
Pipe Elbow Insulation
Sample Nos.: 20A-20B








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
APPENDIX A


PHOTO LOG


Homogeneous Area: 21
Sheetrock & Texture Doors
Sample Nos.: 21A


Homogeneous Area: 22
Sheetrock & Texture Doors
Sample Nos.: 22A









GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FLORIDA
APPENDIX A


PHOTO LOG



nogeneous Area: 23
. Elbow Insulation
iple Nos.: 23A





OCCUPATIONAL HEALTH CONSE OVATION, INC.


?hain of Custody

)HCProject# : C-L1007 A/5 Date: 74-, 9-A
projectt Facility : ris-rtac_ S9 r.,, '- Z ,Sc 1 oJh--V c Je-,4j,'u/ T- IxC
address : -i8 k, Ire..c-r- er. A4;smu,C L FL-
Fransported by : D'Aji, A 4F. -A;44


Sample Information:


Sof Samples:

Sample Type : ul


Wipe


Dust


Other:


Laboratory: O iC 3cv-'s;ri, VL


rype of Analysis Requested : ?L- /


Received By : "
analyst : &//ef.t HJ PPe-L Al
Analyst Signature:


OHC: AS-3 (4/16/94)


/NVilA P os-D


Results Needed by: 7 7 C)

7?99-9__

70 ? '________





OCCUPATIONAL HEALTH CONSERVATION, INC.
1840 SOUTHSIDE BOULEVARD, UNIT 1B
JACKSONVILLE, FLORIDA 32216


Project Name:


Lab
Sample
Number


Client
Sample
Number


Asbestos Survey
Government House
48 King Street St.


Identification


Augustine, FL


Description


OHC Project No.: 941007 AS
Date Received: July 25, 1994
Date Analyzed: July 27, 1994


Asbestos
Percentage


Non-Asbestos
Fibers Percentage


Percentage
Non-Fibrous
Materials


941132 St.Aug-
1A

941133 St.Aug-
1B

941134 St.Aug-
1C

941135 St.Aug-
1D

941136 St.Aug-
1E

941137 St. Aug-
1F

941138 St.Aug-
1G

941139 St.Aug-
1H

941140 St. Aug-
II

941141 St.Aug-
2A


Wall Plaster


Wall Plaster


Wall Plaster


Wall Plaster


Wall Plaster


Wall Plaster


Wall Plaster


Wall Plaster


Wall Plaster


Wallboard
(Sheetrock)
Skim Coat


941142 St. Aug- Wallboard
2B (Sheetrock)
Skim Coat


White


White


White


White


White


White


White


White


White


White

White

White

White


NAD


NAD


NAD


NAD


NAD


NAD


NAD


NAD


NAD


NAD

NAD

NAD

NAD


10% Cellulose


5% Cellulose


15% Cellulose


5% Cellulose


3% Cellulose


5% Cellulose
2% Synthetic

5% Cellulose


5% Cellulose


3% Cellulose


25% Cellulose
15% Fiberglass


20% Cellulose
15% Fiberglass
2% Cellulose


45% Aggregate
45% Binders

45% Aggregate
50% Binders

45% Aggregate
40% Binders

50% Aggregate
45% Binders

50% Aggregate
47% Binders

48% Aggregate
45% Binders

50% Aggregate
45% Binders

50% Aggregate
45% Binders

50% Aggregate
47% Binders

60% Binders

100% Binders

65% Binders

98% Binders


NAD = No Asbestos Detected
Samples were analyzed by Occupational Health Conservation, Inc. of Jacksonville, Florida (NVLAP #2050) in general accordance with EPA 600/M-4-020 and relate only to items
analyzed. Percentages were visually estimated: point count method was not utilized. Analysis was conducted with Polarized Light Microscopy coupled with dispersion staining
technique. Laboratory not responsible for sampling technique. Report shall not be used to claim product endorsement by NIST/NVLAP or any other agency of the U.S. Government.
This report not to be reproduced except in full, with approval of Occupational Health Conservation, Inc.

14 -A





OCCUPATIONAL HEALTH CONSERVATION, INC.
1840 SOUTHSIDE BOULEVARD, UNIT 1B
JACKSONVILLE, FLORIDA 32216


Project Name:


Lab
Sample
Number


Client
Sample
Number


Asbestos Survey
Government House
48 King Street St.


Identification


Augustine, FL


Description


OHC Project No.: 941007 AS
Date Received: July 25, 1994
Date Analyzed: July 27, 1994


Asbestos
Percentage


Non-Asbestos
Fibers Percentage


Percentage
Non-Fibrous
Materials


941143 St. Aug-
2C


Wallboard
(Sheetrock)
Joint Compound


Skim Coat


941144 St. Aug-
2D


Wallboard
(Sheetrock)
Joint Compound


Skim Coat


941145 St.Aug-
2E


941146 St. Aug-
2F



941147 St.Aug-
2G


941148 St.Aug-
3A

941149 St.Aug-
3B

941150 St. Aug-
3C


Wallboard
(Sheetrock)
Joint Compound


Skim Coat

Wallboard
(Sheetrock)
Skim Coat


Wallboard
(Sheetrock)
Skim Coat

Ceiling Tile


Ceiling Tile


Ceiling Tile


White

White

White

White

White

White

White

White

White

White

White


White

White


White/Brown


White/Brown


White/Brown


NAD

NAD

NAD

NAD

NAD

NAD

NAD

NAD

NAD

NAD

NAD


NAD

NAD

NAD


NAD


NAD


25% Cellulose
15% Fiberglass


45% Cellulose


30% Cellulose
20% Fiberglass
3% Cellulose


25% Cellulose
10% Fiberglass



35% Cellulose
15% Fiberglass


30% Cellulose
30% Fiberglass

30% Cellulose
30% Fiberglass

25% Cellulose
30% Fiberglass


60% Binders

30% Aggregate
70% Binders
100% Binders

55% Binders

35% Aggregate
65% Binders
100% Binders

50% Binders

30% Aggregate
67% Binders
100% Binders

65% Binders

100% Binders


50% Binders

100% Binders

15% Binders
25% Perlite

20% Binders
20% Perlite

20% Binders
25% Perlite


NAD = No Asbestos Detected
Samples were analyzed by Occupational Health Conservation, Inc. of Jacksonville, Florida (NVLAP #2050) in general accordance with EPA 600/M-4-020 and relate only to items
analyzed. Percentages were visually estimated: point count method was not utilized. Analysis was conducted with Polarized Light Microscopy coupled with dispersion staining
technique. Laboratory not responsible for sampling technique. Report shall not be used to claim product endorsement by NIST/NVLAP or any other agency of the U.S. Government.
This report not to be reproduced except in full, with approval of Occupational Health Conservation, Inc.


enrmnrnMr. Appel--'- Date




OCCUPATIONAL HEALTH CONSERVATION, INC.
1840 SOUTHSIDE BOULEVARD, UNIT 1B
JACKSONVILLE, FLORIDA 32216


Project Name:


Lab Client
Sample Sample
Number Number


Asbestos Survey
Government House
48 King Street St.


Identification


Augustine, FL


Description


OHC Project No.: 941007 AS
Date Received: July 25, 1994
Date Analyzed: July 27, 1994


Asbestos
Percentage


Non-Asbestos
Fibers Percentage


Percentage
Non-Fibrous
Materials


941151 St. Aug- Ceiling Tile
4A


941152 St.Aug-
4B

941153 St.Aug-
4C


Ceiling Tile


Ceiling Tile


941154 St. Aug- Floor Material
5A


941155 St.Aug-
5B

941156 St. Aug-
5C

941157 St.Aug-
6A


Floor Material


Floor Material


Sheetrock


Texture


941158 St.Aug-
7A


941159 St.Aug-
7B


941160 St. Aug-
7C


Baseboard


Mastic


Baseboard


Mastic


Baseboard


Mastic

941161 St. Aug- Wall Texture
8A


White/Brown


White/Brown


White/Brown


Grey/Brown


Grey/Brown


Grey/Brown


Grey

White


Brown

Yellow

Brown

Yellow

Brown


Yellow

Blue/White


NAD


NAD


NAD


NAD


NAD


NAD


NAD

NAD


NAD

NAD

NAD

NAD

NAD

NAD

NAD


35% Cellulose
40% Fiberglass

30% Cellulose
40% Fiberglass

30% Cellulose
40% Fiberglass

5% Cellulose


2% Cellulose


5% Cellulose


40% Cellulose

5% Cellulose


25% Binders


30% Binders


30% Binders


85% Cork
10% Paint

88% Cork
10% Paint

80% Cork
15% Paint

60% Binders

10% Aggregate
85% Binders


100% Vinyl


100% Adhesive


100% Vinyl


100% Adhesive


100% Vinyl


40% Cellulose


100% Adhesive

10% Aggregate
50% Binders


NAD = No Asbestos Detected
Samples were analyzed by Occupational Health Conservation, Inc. of Jacksonville, Florida (NVLAP #2050) in general accordance with EPA 600/M-4-020 and relate only to items
analyzed. Percentages were visually estimated: point count method was not utilized. Analysis was conducted with Polarized Light Microscopy coupled with dispersion staining
technique. Laboratory not responsible for sampling technique. Report shall not be used to claim product endorsement by NIST/NVLAP or any other agency of the U.S. Government
This report not to be reproduced except in full, with approval of Occupational Health Conservation, Inc.


Hean M. Appelma Date
Microscopist





OCCUPATIONAL HEALTH CONSERVATION, INC.
1840 SOUTHSIDE BOULEVARD, UNIT 1B
JACKSONVILLE, FLORIDA 32216


Asbestos Survey
Government House
48 King Street St. Augustine, FL


OHC Project No.: 941007 AS
Date Received: July 25, 1994
Date Analyzed: July 27, 1994


Lab
Sample
Number


Client
Sample
Number


941162 St. Aug-
8B

941163 St.Aug-
8C


Identification


Wall Texture


Wall Texture


941164 St. Aug- Pipe Insulation
9A


941165 St. Aug-
10A

941166 St. Aug-
11A

941167 St. Aug-
11B

941168 St.Aug-
11C

941169 St. Aug-
12A


Ceiling Tile


Ceiling Tile


Ceiling Tile


Ceiling Tile


Pipe Insulation


Wrap


941172 St. Aug-
13A


Pipe Insulation


Pipe Wrap


941175 St. Aug- Elbow Insulation
14A
Elbow Wrap


941176 St.Aug-
15A


Elbow Insulation


Description


White


White


White


White/Tan


White/Tan


White/Tan


White/Tan


White


Grey
Combined:


White


White
Combined:

White

White/Brown
Combined:


White


Asbestos
Percentage


NAD


NAD


40% Chrysotile


NAD


NAD


NAD


NAD


45% Chrysotile

NAD
35% Chrysotile

50% Chrysotile

NAD
40% Chrysotile

30% Chrysotile

NAD
25% Chrysotile

35% Chrysotile


Non-Asbestos
Fibers Percentage

40% Cellulose


30% Cellulose


5% Cellulose


30% Cellulose
30% Fiberglass

25% Cellulose
35% Fiberglass

30% Cellulose
35% Fiberglass

30% Cellulose
30% Fiberglass

5% Cellulose

100% Cellulose


10% Cellulose

100% Cellulose


20% Cellulose

95% Cellulose


20% Cellulose


Percentage
Non-Fibrous
Materials

20% Aggregate
40% Binders

25% Aggregate
45% Binders

55 % Binders


20% Binders
20% Perlite

20% Binders
20% Perlite

15% Binders
20% Perlite

20% Binders
20% Perlite

50% Binders


40% Binders


50% Binders

5% Adhesive


45 % Binders


NAD = No Asbestos Detected
Samples were analyzed by Occupational Health Conservation, Inc. of Jacksonville, Florida (NVLAP #2050) in general accordance with EPA 600/M-4-020 and relate only to items
analyzed. Percentages were visually estimated: point count method was not utilized. Analysis was conducted with Polarized Light Microscopy coupled with dispersion staining
technique. Laboratory not responsible for sampling technique. Report shall not be used to claim product endorsement by NIST/NVLAP or any other agency of the U.S. Government
This report not to be reproduced except in full, with approval of Occupational Health Conservation, Inc.


Hetrman M Annlmnn-


Project Name:


~-q





OCCUPATIONAL HEALTH CONSERVATION, INC.
1840 SOUTHSIDE BOULEVARD, UNIT 1B
JACKSONVILLE, FLORIDA 32216


Asbestos Survey
Government House
48 King Street St. Augustine, FL


OHC Project No.: 941007 AS
Date Received: July 25, 1994
Date Analyzed: July 27, 1994


Lab
Sample
Number


Client
Sample
Number


941177 St.Aug-
16A

941178 St.Aug-
16B

941179 St. Aug-
16C

941180 St. Aug-
16D

941181 St.Aug-
16E

941182 St. Aug-
16F

941183 St.Aug-
16G

941184 St.Aug-
17A


941185 St.Aug-
17B


941186 St.Aug-
17C


941187 St. Aug-
18A


Identification


Ceiling Plaster


Ceiling Plaster


Ceiling Plaster


Ceiling Plaster


Ceiling Plaster


Ceiling Plaster


Ceiling Plaster


Sheetrock

Skim Coat


Sheetrock

Skim Coat

Sheetrock

Skim Coat

Duct Mastic


Description


White


White


White


White


White


White


White


White

White

White

White

White

White

Black


Asbestos
Percentage


NAD


NAD


NAD


NAD


NAD


NAD


NAD


NAD

NAD

NAD

NAD

NAD

NAD


5% Chrysotile


Non-Asbestos
Fibers Percentage

5% Cellulose


2% Cellulose


5% Cellulose


10% Cellulose


2% Cellulose


5% Cellulose


30% Cellulose
20% Fiberglass


25% Cellulose
20% Fiberglass
10% Cellulose

25% Cellulose
15% Fiberglass
2% Cellulose

30% Fiberglass


Percentage
Non-Fibrous
Materials

45% Aggregate
50% Binders

48% Aggregate
50% Binders

45% Aggregate
50% Binders

45% Aggregate
45% Binders

45% Aggregate
53% Binders

45% Aggregate
55 % Binders

45% Aggregate
50% Binders

50% Binders

100 % Binders

55% Binders

90% Binders

60% Binders

98% Binders

65% Bitumen


NAD = No Asbestos Detected
Samples were analyzed by Occupational Health Conservation, Inc. of Jacksonville, Florida (NVLAP #2050) in general accordance with EPA 600/M-4-020 and relate only to items
analyzed. Percentages were visually estimated: point count method was not utilized. Analysis was conducted with Polarized Light Microscopy coupled with dispersion staining
technique. Laboratory not responsible for sampling technique. Report shall not be used to claim product endorsement by NIST/NVLAP or any other agency of the U.S. Government.
This report not to be reproduced except in full, with approval of Occupational Health Conservation, Inc.


Herman M Annelrif'm


Project Name:


n /,t,




OCCUPATIONAL HEALTH CONSERVATION, INC.
1840 SOUTHSIDE BOULEVARD, UNIT 1B
JACKSONVILLE, FLORIDA 32216


Asbestos Survey
Government House
48 King Street St. Augustine, FL


OHC Project No.: 941007 AS
Date Received: July 25, 1994
Date Analyzed: July 27, 1994


Lab Client
Sample Sample
Number Number


Identification


Description


Asbestos
Percentage


Non-Asbestos
Fibers Percentage


Percentage
Non-Fibrous
Materials


941192 St. Aug-
19A


1941193 St. Aug-
19B

941194 St. Aug-
19C

941195 St. Aug-
20A

941196 St. Aug-
20B


Pipe Insulation


Pipe Insulation


Pipe Insulation


Elbow Insulation


Elbow Insulation


941197 St. Aug- Sheetrock
21A
Texture


941198 St. Aug- Sheetrock
22A
Texture


941199 St. Aug-
23A


Elbow Insulation


Black/White


White


White


Grey


Grey


White

White


White

White


White


NAD


NAD


NAD


NAD


NAD


NAD

NAD


NAD

NAD


40% Chrysotile


30% Cellulose
15% Fiberglass


40% Cellulose
20% Fiberglass

45% Cellulose
15% Fiberglass

5% Cellulose
35% Fiberglass

5% Cellulose
30% Fiberglass

40% Cellulose

10% Cellulose


20% Cellulose
15% Fiberglass
10% Cellulose


5% Cellulose


10% Adhesive
25% Bitumen
20% Foil

15% Adhesive
25% Foil

15% Adhesive
25% Foil

60% Binders


65% Binders


60% Binders

15% Aggregate
75% Binders

60% Binders

15% Aggregate
75% Binders

55% Binders


NAD = No Asbestos Detected
Samples were analyzed by Occupational Health Conservation. Inc. of Jacksonville, Florida (NVLAP #2050) in general accordance with EPA 600/M-4-020 and relate only to items
analyzed. Percentages were visually estimated: point count method was not utilized. Analysis was conducted with Polarized Light Microscopy coupled with dispersion staining
technique. Laboratory not responsible for sampling technique. Report shall not be used to claim product endorsement by NIST/NVLAP or any other agency of the U.S. Government.
This report not to be reproduced except in full, with approval of Occupational Health Conservation, Inc.


Herman M. Appelm >-'-a


project Name:


Date











OCCUPATIONAL HEALTH CONSERVATION, INC.
5118 NORTH 56th STREET, SUITE 215
TAMPA, FLORIDA 33610


project Name:


LAB CLIENT
NUMBER NUMBER


Historial St. Augustine Preservation Board
Government House
48 King Street
St. Augustine, Florida


IDENTIFICATION


DESCRIPTION


OHC Project No.: 941007



Date Received: July 26, 1994


ASBESTOS
PERCENTAGE


NON-ASBESTOS FIBERS
PERCENTAGE


BINDERS


16163 12AA Pipe Insulation


13AA Pipe Insulation

18AA Duct Mastic




19AA Pipe Insulation


white, fibrous 35% Chrysotile

white, fibrous 40% Chrysotile


mastic


insulation

multilayered


65% Binders

60% Binders


8% Chrysotile 20% Glass Fibers


100% Mineral Wool

15% Glass Fibers
40% Cellulose


NAD


72% Bitumen and
Binders



20% Foil
25% Bitumen and
Binders


NAD = No Asbestos Detected


Samples were analyzed by Henderson/Longfellow Associates, Inc. of Valrico, Florida (NVLAP #2077) in general
accordance with EPA 600/M-4-020 and relate only to items analyzed. Percentages were visually estimated; point
count method was not utilized. Analysis was conducted with Polarized Light Microscopy coupled with dispersion
staining technique. Report shall not be used by client to claim product endorsement by NIST/NVLAP or any other
agency of the U.S. Government.




hn J. Henderson Date
Z/ Microscopist


16164

16165




16166






































U
X
Z
CT1
W








SThe

Sooard of Ind ustri i

| e ABH"





organized to improve the practice of Industrial Hygiene "
proclaims that /



having met all requirements through r-
education, experience, and examination,

COMPREHENSIVE PRACTICE
of
INDUSTRIAL HYGIENE

and has the right to use the title and designations ri

CERTIFIED INDUSTRIAL HYGIENIST A
jj ~CIH

dole ha hirman A8fH r/
Charles E. Adilns. CIH



number Laren A. Anderson. Jr. CIH






AC. 1980959 STATE OF FLORIDA
DEPARTMENT OF PROFESSIONAL REGULATION
OPR/INDUSTRIAL HTGIENISTS

10102192 i IA 0000022 1 0476
THE ASBESTOS CONSULT hT
NAMED BELOW IS LICENSED
UNDER THE PROVISIONS OF CHAPTER 455 F.S., FOR THE YEAR
EXPIRING NOV 30, 1994


RIZK .JAMES FAHIT
5118 H 56TH ST-.215
TAMPA FL 33610-5427


L ATON COE 5O GP E CSOT N.
cov9BHa' DISPLAY IN A CONSPICUOUS PLACE GIC ~ o ",.e
CQVKRNOR S I (CACTARy V.P.A.






United States Department of Commerce
National Institute of Standards and Technology


-K


Certificate of Accreditation


OCCUPATIONAL HEALTH CONSERVATION, INC.
JACKSONVILLE, FL

is rrt'oini:rdl Ui.r the Natliotnl Vo'fltnaril Lnbornlorj A(crcflationl Progro mi
/or mihladtonrt (implimnce irilh cirilcrin establisfied i, Tille 15. Parl 7 Codei oi Federal Rcidanlaious.
Acrrdiilafiio is wntrrird for sprcilic rn-ic's. lisIrd on Ihe Scope of Acfr(dilalion. (or:

BULK ASBESTOS FIBER ANALYSIS


ApriLt. 1995
Effdrrik unldi


For tL National Ai('liuW ol Stlrpdanis and Trrd oqoy '


NVT IAP T 11L rnCnFP. AL


_













Intermitu of arrtl 3i1ribta
DIVISION OF CONTINUING EDUCATION & EXTENSION
and the
ENVIRONMENTAL EDUCATION & SAFETY INSTITUTE
Training provided by Univernily of North Florida 4567 St. Johns Bluff Road, South
Jacksonville. Florida 32216 (904) 646-2690
Certify that
DAVID A. BRAGG
has successfully completed the certificate requirements for
ASBESTOS INSPECTOR MANAGEMENT PLANNER REFRESHER
and in evidence thereof is awarded this

1ertificate of (nmpnldtin

on the 23rd day of October, 1993

MARCLLE C LOVBTT KLAINE PURI JAMES KBLLY
Dean Proram Coordinator Direcor
PASSED EXM. 239 ACCREDITATION EXPIRES: 10/23/94 c-u,, N. 4256













OHC

Occupational Health Conservation, Inc.



OPERATIONS AND MAINTENANCE PLAN (O&M)



GOVERNMENT HOUSE
48 King Street
ST. AUGUSTINE, FLORIDA









Prepared For

HISTORIC ST. AUGUSTINE PRESERVATION BOARD
P.O. Box 1987
St. Augustine, FL 32085


August 3, 1



OHC Project No. 94-1007-AS LAC:


994

/


James F. Rizk, Florida Licensed Asbestos Consultant #IA 0000022
Michael A. Lawn, Florida Licensed Asbestos Consultant #AF 0000017



5118 North 56th Street 0 Suite #215 0 Tampa, Florida 33610 (813) 626-8156


''
---- ,
'~~


c~ ...1.








TABLE OF CONTENTS


I PURPOSE

I BUILDING DESCRIPTION

III HAZARD ASSESSMENT / RESPONSE ACTION

IV RESPONSIBILITIES OF THE BUILDING ASBESTOS CONTACT
PERSON

Notification

V AWARENESS TRAINING

Employee
Building Occupant

VI REPAIR, MAINTENANCE and CLEANING WORK PRACTICES

Repair & Maintenance
Cleaning

VH PERIODIC INSPECTION

Bulk Sampling and Air Monitoring

VIII EMERGENCY RESPONSE PROCEDURE

IX BUILDING ASBESTOS SURVEY

X REGULATORY AGENCY NOTIFICATION

XI RECORDKEEPING


APPENDIX
APPENDIX
APPENDIX
APPENDIX
APPENDIX
APPENDIX


NOTIFICATION TO BUILDING OCCUPANTS
CONTRACTOR NOTIFICATION & VISITOR
ASBESTOS ABATEMENT TRAINING FORM
PERIODIC ACM SURVEILLANCE FORM
ROUTINE CLEANING LOG
FIBER RELEASE EPISODE REPORT







GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
O & M PLAN

OPERATIONS AND MAINTENANCE PLAN (O&M)


I. PURPOSE

The primary purpose of this program is to ensure that building occupants and visitors are not exposed to
any airborne asbestos fibers. The plan also develops proper procedures for handling asbestos containing
material (ACM) to minimize disturbance of such material and the possibility of fiber release.

This plan is developed in accordance with the Florida Statues 255.57. The O & M Plan specifies
procedures and protocols for proper maintenance and cleaning of ACM and to prevent future release of
asbestos fibers, as well as, periodic monitoring the condition of such material.

The O & M Plan shall be administrated by the designated building asbestos contact person and shall remain
in effect until all ACM has been removed from the building and disposed of. These persons shall be
responsible for implementing and maintaining the O & M Plan for those state-owned buildings for which
they are responsible. The following person has been designated as the building asbestos contact person
for the state-owned building listed:


CONTACT PERSON TELEPHONE #

Mr. Ross Fullam (904) 825-5033


The building designated contact person, or their representative, shall coordinate any asbestos activities
with the Regional Asbestos Program Manager.







GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
O & M PLAN

H. BUILDING DESCRIPTION


Government House is a three story residential type structure constructed in 1937. The East Wing
(Museum) was renovated in the mid 1960's. The facility is located at 48 King Street, St. Augustine,
Florida.

An Asbestos Survey of this facility was performed on July 20 thru 22, 1994 by the asbestos consulting firm
Occupational Health Conservation, Inc. According to samples collected it was determined that the
following areas contain asbestos material:


1. Thermal System Insulation 500 lin. ft. of White Fibrous Pipe Insulation located in
the Crawl Space, Room #46, and 400 lin. ft. inside vertical Wall/Column enclosures.

Pipe Insulation 35-40% Chrysotile asbestos.


2. Duct MasticMaterial 2800 sq. ft. of Black Mastic on the seams of the Ductwork
Insulation located the Attic, Room #45.

Black Duct Mastic Material 8% Chrysotile asbestos.


3. Window Caulking 2000 lin. ft. of exterior Window Caulking.

Window Caulking Assumed ACM.


4. Elevator Brake Shoes 20 sq. ft. of Brake Shoe Material located in the Elevator
Equipment Room, Room #47.

Elevator Brake Shoes Assumed.


5. Roofing Materials 10000 sq. ft. of Roofing Materials.

Roofing Materials Assumed.


Quantities are approximate.








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
O & M PLAN


III. HAZARD ASSESSMENT / RESPONSE ACTION


Hazard Assessment


1. Pipe Insulation Poor Condition -
Hazard Rank 7 Removal Priority 1.

2. Duct Mastic Material Good Condition Low Potential for Damage -
Hazard Rank 1 Removal Priority 7.

3. Window Caulking Good Condition Low Potential for Damage -
Hazard Rank 1 Removal Priority 7.

4. Brake Shoes Fair Condition High Potential for Damage -
Hazard Rank 6 Removal Priority 2.

5. Roofing Material Good Condition Low Potential for Damage -
Hazard Rank 1 Removal Priority 7.


Response Action

HSAPB has elected to contract out any asbestos removal to a Licensed Asbestos Contractor in
Accordance with specifications prepared by a Licensed Asbestos Consultant. HSAPB maintenance
personnel will not perform any activities which may require the use of respiratory protection.

The asbestos-containing Thermal System Insulation, and the Elevator Brake Shoe Material (do to
its use) detected in the building are friable.

1. Thermal System Insulation: The pipe insulation is in poor condition.

The Crawl Space should be sealed off and designated as a "Regulated Area". Access to
the Crawl Space should be by authorized/trained personnel only, utilizing protective
clothing and respiratory protection. The asbestos-containing TSI should be removed as
soon as possible.

The TSI which is assumed to exist inside the wall/column enclosures should be assumed
to be of the same composition and in the same condition as the TSI in the Crawl Space.
The wall/column enclosures are in a good and sealed condition. As long as these
enclosures are not distubed the asbestos-containing TSI inside the wall/column enclosures
will not pose a health threat. Any disturbance of the wall/column enclosures which conceal








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
O & M PLAN

TSI piping should be accomplished by containment isolation of the wall/column area and
by personnel fully trained, certified, and licensed in the handling of asbestos-containing
materials.

2. Elevator Brake Shoes: The elevator brake shoes are in fair condition and are subject to
constant damage by erosion (friction wear and tear).

The elevator brake shoes should be removed by a Florida licensed asbestos contractor and
tested for asbestos minerals. If the shoes test positive for asbestos minerals the Elevator
Equipment Room should be cleaned and decontaminated by a Florida licensed asbestos
contractor by HEPA vacuuming and wet-wiping all surfaces, equipment, etc. within the
room.


The asbestos-containing duct material, the exterior window caulking, and the roofing materials
detected in the building are non-friable.

1. Duct Mastic Material: The black duct mastic material is in good condition.

O & M response action is required at this time. Proper precautions should be taken
when working around this material.

Any duct repair work involving this material should be performed by personnel fully trained
and certified in the handling of asbestos-containing materials. When feasible it should be
removed.

2. Window Caulking: The window caulking is in good condition.

O & M response action is required at this time. Proper precautions should be taken
when working around this material.

Prior to any repair work involving this material it should be tested for asbestos minerals.
If the material is found to contain asbestos minerals any repair work should be performed
by a Licensed Asbestos Contractor. When feasible it should be removed.

3. Roofing Materials: The roofing material is in good condition.

O & M response action is required at this time. Proper precautions should be taken
when working around these materials.

Prior to any repair work involving this material it should be tested for asbestos minerals.
If the material is found to contain asbestos minerals any repair work should be performed
by a Licensed Asbestos Contractor. When feasible it should be removed.








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
O & M PLAN

IV. RESPONSIBILITIES OF THE BUILDING ASBESTOS CONTACT PERSON



1. Admjnister and Implement the O & M Plan.

2. Notification of all building occupants, visitors, and outside contractors.

3. Maintain copies of all records required.

4. Coordinate any asbestos related activities with the Regional Asbestos Program
Manager and the Asbestos Consultant.





Notification

All building occupants and visitors shall be notified of the type of asbestos detected, condition of the
material and any response action required. The notification may be in the form of posting on the main
bulletin board or individual memos. The notice shall advice building occupants not to disturb the ACM.
The notice shall also include the name and telephone number of the building asbestos contact person.
Refer to appendix A for a copy of notification designed for this building.

All contractors working in this building will be provided with a written notice prior to beginning work.
The notice will advice the contractor about the possibility of encountering ACM while working in the
building and require contractors to become familiar with the location of ACM with their work area. The
contractor notice shall include the name and telephone number of the designated person. Refer to
appendix B for a copy of notification to contractor.








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
O&M PLAN

V. AWARENESS TRAINING



Employee

Custodial and maintenance personnel who are required to work in buildings that contain ACM will be
provided with asbestos awareness training within thirty (30) days of initial assignment. The training shall
include, but not limited to the following:

1. Different uses and forms of asbestos.

2. Health effects associated with asbestos exposure.

3. Locations of ACM in the building.

4. How to recognize damaged asbestos.

5. Asbestos building contact person.

Each employee receiving this training must sign the form enclosed in Appendix C.



Building Occupant

All building occupants must undergo a two hour awareness program which includes, but is not limited to
the following:

1. Explanation of the hazard of asbestos.

2. Locations of ACM in the building.








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
O & M PLAN


VI. REPAIR, MAINTENANCE and CLEANING WORK PRACTICES


Repair & Maintenance

Prior to any repair work involving the duct mastic material, the window caulking material, and the roofing
materials these materials are to be tested for asbestos minerals. If a material is found to contain asbestos
minerals repair work is to be performed by a Licensed Asbestos Contractor.

Do not disturb asbestos-containing materials. HSAPB has elected to contract out any work which may
disturb the ACM in the building to a Licensed Asbestos Contractor. This work will be performed in
Accordance with specifications prepared by a Licensed Asbestos Consultant. HSAPB maintenance
personnel will not perform any activities which may require the use of respiratory protection.


Cleaning

Do not disturb the asbestos-containing materials during cleaning operations. Do not break, drill or saw
through the asbestos-containing materials.

Any contaminated waste material must be disposed of in accordance with EPA Regulations. Contaminated
water is to be filtered through a five (5) micron filter then disposed of in city sewer, filters are to be treated
as contaminated waste. Any other material must be placed in a properly labelled six (6) mil bag, double
bagged, and disposed of in an approved landfill.








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
O & M PLAN


VII. PERIODIC INSPECTION


All the areas containing known or suspected asbestos containing materials (ACM) will be visually
inspected by the building asbestos contact person, or a designee, every six (6) months. The physical
condition of the ACM will be compared to the condition reported in the building asbestos survey. An
acceptable form for recording periodic inspections is provided in Appendix D.

If there is a significant change in the physical condition of the ACM it will be necessary to document the
change, photograph the material, and reassess the potential hazard. The asbestos hazard reassessment may
also include collecting air samples for analysis of airborne fibers. Refer to the section on Building
Asbestos Survey.

All asbestos hazard reassessment documentation will be maintained in the building asbestos survey file.
A copy of all asbestos hazard reassessments, and supporting documentation shall be provided to both the
Asbestos Management Program Administrator in Tallahassee and the appropriate Regional Asbestos
Program Manager.


Bulk Sampling and Air Monitoring

Asbestos bulk sampling and air monitoring can only be conducted by trained professionals. The building
asbestos contact person shall be contacted when these services are required.

The building asbestos contact person will provide the appropriate regional asbestos program manager with
the results from all bulk and air samples collected. The results from all such sampling will be incorporated
into the building asbestos survey report. If bulk and air sampling indicates the presence of asbestos, an
asbestos hazard assessment will be conducted for all functional spaces affected. The results of all new
asbestos hazard assessments shall be provided to the appropriate regional asbestos program manager for
approval, and incorporated into the building asbestos survey report.








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
O & M PLAN


VII. EMERGENCY RESPONSE PROCEDURES


1. Major Episodes: Area greater than three (3) square feet or three (3) linear feet that is
dislodged.


When this occurs isolate the area as soon as possible with locks and signs or whatever is necessary. The
air handling system must be shut off. Seal off all openings and follow procedures for full scale abatement.
Decontamination procedures must be followed for area in question. Mist the air handling filters lightly
before removing, then replace the filters before turning the system back on. Document each episode
thoroughly. Decontamination procedure should be performed by a Licensed Asbestos Contractor.



2. Minor Episodes: Areas less then three (3) square feet or three (3) linear feet that is
dislodged.


Saturate debris using amended water. Thoroughly clean the area using a HEPA vacuum. Dispose of
debris and any cleaning material in a sealed container (6 mil bag). Once area is cleared, repair damaged
area with non asbestos material. Document each episode thoroughly.








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
O & M PLAN

IX. BUILDING ASBESTOS SURVEY


The building asbestos contact person shall have access to all building asbestos surveys. The building
asbestos contact person shall ensure that as prior surveys are updated and new surveys are generated, a
current comprehensive survey file is maintained. The building asbestos contact person will provide the
appropriate regional asbestos program manager with copies of such new building asbestos survey
documentation for approval.

The building asbestos survey report should include, at the minimum, the following information:

1. Drawing of the building housing all functional spaces, basements, crawl spaces,
attics, attached steam lines, tunnels, and other spaces not listed.

2. The drawings should indicate the location and extent of all ACM known or suspected
to be in the building.

3. The drawings should indicate the locations where all bulk and air samples were
taken with their respective sample numbers.

4. A tabulation of all bulk and air sample results.

5. A written asbestos hazard assessment for all functional spaces containing asbestos.
The hazard assessment shall consider both the present physical condition and the
potential for further deterioration of the material.

6. Photographs of all bulk and air sample locations showing the respective sample
number and the physical condition of the material at the time of sampling.

7. All survey reports are to include names, addresses, and telephone numbers of
surveyors and analytical laboratories involved.

If any of the above items are missing from the building survey report then the building asbestos contact
person shall ensure that the missing information is collected during the subsequent survey or during the
implementation of this Operations and Maintenance Plan.

All areas where asbestos abatement work is conducted, an asbestos hazard reassessment should be
performed by a qualified individual. All hazard reassessments shall be submitted to the appropriate
regional asbestos program manager for approval and inserted into the building survey report. New
photographs shall be taken of affected areas to document changes in asbestos hazard assessment.








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
0 & M PLAN

X. REGULATORY AGENCY NOTIFICATION


In accordance with 40 CFR 763.124 (Workers Protection), the designated building asbestos contact
person shall notify the U.S. Environmental Protection Agency (EPA) at least ten working days in advance
of all planned asbestos abatement activities involving more than three (3) linear or three (3) square feet
of asbestos containing materials (ACM). The building asbestos contact person will notify the EPA of all
emergency asbestos repair work involving three (3) linear or three (3) square feet of ACM as soon as
possible, but under no circumstances more than forty eight (48) hours after the project begins. The
notification must include at a minimum the following:

1. The building owner's name and address.

2. The location, including street address and room number of the asbestos abatement
project.

3. The scheduled starting and completion dates for the asbestos abatement project.

If the notification is mailed, it must be postmarked at least ten (10) working days before the asbestos
abatement project begins unless the notifications is for an emergency project. In such a case, the
notification must be made by telephone as soon as possible and followed by written notification
postmarked no more than forty eight (48) hours after the project begins.

The EPA designee in the State of Florida is as follows:

Mr. Edward Palagyi, Asbestos Coordinator
Department of Environmental Regulation
Bureau of Air Quality Management
2600 Blair Stone Road
Tallahassee, Florida 32399-2400

The building asbestos contact person shall send a copy of the EPA notification to:

Mr. Richard Sparks, Jr., Regional Manager
Asbestos Management Program
Department of Labor and Employment Security
4963 Beach Boulevard
Jacksonville, FL 32207-4802
(904) 346-5180


The building asbestos contact person shall provide a copy of the EPA and verbal notification to the
appropriate regional asbestos program manager as shown in Appendix E.








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
0 & M PLAN

XI. RECORDKEEPING


Federal and State Regulations require certain records be maintained regarding the implementation of the
Operations and Maintenance (0 & M) Plan. Thorough documentation of all activities involving asbestos
in necessary and cannot be overemphasized.

The following records must be maintained:

Asbestos Survey Reports
Bulk Sample Results
Air Sample Results
Employee Training Documentation
Employee Medical Examinations
Inspection/Surveillance Reports
Notification of Regulatory Agencies
Notification to Building Occupants
Certificate of Worker's Acknowledgment
Contractor Notification
Routine Cleaning Logs
Fiber Release Episode Report
Asbestos Waste Disposal Receipts
O & M Plan
Reinspection Records
Records of any Asbestos Abatement

These and any other records deemed necessary will be maintained indefinitely. Only when all asbestos has
been removed from a building can the records be transferred to a centralized file. The building asbestos
contact person will notify the Regional Asbestos Program Manager before transferring these records.






GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
O&MPLAN


APPENDIX A



Dear Building Occupants and Visitors:

The Historic St Augustine Preservation Board has recently conducted a thorough survey of this building to identify any asbestos-
containing material and assess the condition of any such material. Known locations of ACM are identified below. This summary
may or may not be inclusive.


TYPE

Pipe Insulation


Duct Mastic Material

Window Caulking

Elevator Brake Shoes


Roofing Materials


LOCATION OF ACM

LOCATION

Crawl Space (Room #45)
Inside Column Enclosures

Attic (Room #46)

Exterior of Windows

Elevator Equipment
(Room #47)

Roofs


CONDITION

Poor
Unknown

Good

Good

Fair


Good


presence of ACM in these buildings does not mean an asbestos exposure hazard exists.

\CM in the Building is friable and non-friable. The ACM in the Building is in Poor, Fair and Good condition.

t ACM which is maintained in Good condition and is not disturbed should not pose a health hazard. Non-friable ACM which
stained in Fair and Good condition and is not disturbed should not pose a health hazard.

in help maintain a safe condition by:

Become familiar with the location of ACM within the buildings.

Avoid disturbance of ACM.

ae any questions regarding this notice, or desire additional information, please call the following building asbestos contact


CONTACT PERSON

Mr. Ross Fullam


TELEPHONE #

(904) 825-5033








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
O & M PLAN


APPENDIX B


CONTRACTOR NOTIFICATION

DATE:

TO: ALL CONTRACTORS

FROM: THE BUILDING ASBESTOS CONTACT PERSON

SUBJECT: ASBESTOS-CONTAINING MATERIALS IN THIS BUILDING

Asbestos-Containing Material (ACM) is present in many State-owned buildings. The presence of
ACM does not necessarily mean that a hazard exists, however, a hazard may be created when ACM
is disturbed and asbestos fibers become airborne. The best way to maintain a safe environment is
to avoid the disturbance of ACM.

It is possible that you may encounter ACM while working in State-owned buildings. On the main
bulletin board in each building there is a summary of known locations of ACM in that building.
The summary may or many not be all inclusive. Therefore, workers must exercise caution and be
watchful for materials that might contain asbestos. Avoid disturbing ACM or suspected ACM as
you carry out your work.

If your work necessitates the disturbance of ACM you shall take whatever precautions are
necessary to protect human health and the environment from asbestos fibers. At a minimum, you
will use the procedures found in the Operations and Maintenance Plan and comply with all
Federal, State, and Local laws governing working with asbestos. Your employer is responsible for
assuring that you are medically certified, trained, and equipped with the proper personal protective
devices for safe handling of ACM. You must notify the designated Building Asbestos Contact
Person before disturbing any asbestos-containing materials in State-owned buildings. The
designated Building Asbestos Contact Person is listed on the main bulletin board with the asbestos
location summary.

If you need additional information regarding ACM in a particular building or would like to see a
copy of the Operations and Maintenance Plan, Contact the Building Asbestos Contact Person
responsible the building for which you will be working.








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
O & M PLAN


APPENDIX C


ASBESTOS AWARENESS TRAINING FORM


I have attended a two (2) hour asbestos awareness training session in which the following items were
discussed:


1. Information regarding asbestos and its various uses and forms

2. Information on the health effects associated with exposure to asbestos.

3. Instructions on the how to recognize damaged, deteriorated, or delaminating asbestos
containing materials (ACM).

4. Information on how to prevent disturbance and damage to ACM.

5. The name and phone number of the Building Asbestos Contact Person responsible for
building that I will be an occupant in. These persons have the responsibility for
implementation of the Operations and Maintenance (O & M) Plan.


Signature:

Printed Name:

Social Security Number:

Date of Asbestos Awareness Training:








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
O & M PLAN


APPENDIX D


PERIODIC ACM SURVEILLANCE FORM


BUILDING NUMBER:
BUILDING NAME:
DATE OF THE INSPECTION:
NAME OF THE INSPECTOR: (PRINT)
SIGNATURE OF THE INSPECTOR:

1. CONDITION OF ACM

Has there been a significant change in the physical condition of ACM or suspected ACM since the
initial survey, or the most recent inspection?


YES


NO


If YES, describe the location and change on the lines below:



If YES, contact the designated Building Asbestos Contact Person for coordination of the
following tasks:

Reassessment the potential asbestos hazard.
Monitoring of the air for fibers in the affected area.
Photographing the material.


2. DAMAGED ACM: NEED FOR REPAIR OR REMOVAL

Note on the lines below the locations of ACM or suspected ACM which may need to be repaired
or removed.



Acknowledged by the Building Asbestos Contact Person:

Date:
Signature:
Printed Name:








GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
O & M PLAN


APPENDIX E


ROUTINE ACTIVITY CLEANING LOG
FOR BUILDINGS WITH
ASBESTOS-CONTAINING MATERIALS


BUILDING NUMBER:

BUILDING NAME:

DATE(S) OF CLEANING:

1. Type of cleaning performed:

HEPA Vacuuming

Wet Mopping

Other (describe)


Wet Wiping

Steam Cleaning


2. List of specific areas cleaned:


3. List of names and social security numbers of all personnel involved with cleaning:

Name Social Security Number







Acknowledged by the Building Asbestos Contact Person:

Date:
Signature:
Printed Name:









GOVERNMENT HOUSE
48 KING STREET
ST. AUGUSTINE, FL
O & M PLAN

APPENDIX F

ASBESTOS FIBER RELEASE EPISODE REPORT

BUILDING NUMBER:

BUILDING NAME:

Date of Incident:

Description on the Incident:


Actions taken to Prevent Spread of Contamination:


Name and Social Security Number of Personnel Involved with Cleanup:

NAME SOCIAL SECURITY NUMBER






Describe Respiratory Protection and Protective Clothing worn during Cleanup:


Attach Air Monitoring Results or Explain Why Air Monitoring was not conducted:


Describe the Final Disposition of Contaminated Wastes and/or attach Disposal Receipt
from the Landfill:


This report was prepared by:
NAME AND TITLE


DATE
Acknowledged by the Building Asbestos Contact Person:
Date:
Signature:
Printed Name:




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