HomeMy WebLinkAbout14-15304 �CITY OF ZEPHYRHILLS `
� 5335-8TH STREET
(si3)�so-oozo 15304
,' • BUILDING PERMIT
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���--�:: _ _PERMIT�,:INFORMATION � LOCATION�INF.ORMATION=�� ��""'�":Y����,:_
Permit Number: 15304 Address: 7631 GALL BLVD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section: �,
' Square Feet: Subdivision: CITY OF ZEPHYRHILLS �
Est. Value: Parcel Number: 34-25-21-0110-00000-0010
Improv. Cost: 400,000.00 . �OWNER INF.ORMATION=�:� � ' � �
, Date Issued: Name: SUPER WAL-MART
Total Fees: 4,057.50 Address: 7631 GALL BLVD
Amount Paid: 4,057.50 ZEPHYRHILLS, FL. 33542
Date Paid: 6/03/2014 Phone: (479)204-1063
Work Desc: INTERIOR REMODEL 30,000 SQ FT
• CONTRi4CTOR S APPLICATION FEES
CAL DEVELOPMENT INC BUILDING FEE 2,077.50 ELECTRICAL FEE 60.00
GANT ELECTRIC INC PLUMBING FEE 60.00 MECHANICAL FEE 60.00
SMITH PLUMBING SERVICES, INC. FIRE PLAN REVIEW FEES 1,800.00
B&K SERVICES
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Ins ections Re� uired ' �
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site fi) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
,
CONT CT SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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~ a�s-7ao-oozo.-_. _ City of Zephyrhills Permit Application �,� l Fax-813-780-0021
Building Departme�t ;Q�
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Date Received Phone Contact for Permitting 913, 236 — 3459
Owner's Name Walmart Non-Real Estate Business Trust Owne�Phone Nu�nbec 479-204-1063
Owner'sAddress 2001 SE lOth St., Bentonville, AR 72716 OwnerPhoneNumber
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS 7631 Gall Blvd., Zephyrhills, FL 33541 LOT# �
SUBDIVISION PARCELID# 34-25-21-0110-00000-0010
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR X ADD/ALT � SIGN Q Q DEMOLISH
INSTALL B REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
interior remodel , exterior paint -
DESCRlPTION OF WORK
BUILDING SIZE 1 story SQ FOOTAGE remodeled 205,831HEIGHT
�BUILDING $ 400,000.00 VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ r s,�1
1 IIN(y✓
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v 3pc�
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QGAS Q ROOFING Q SPECIALTY Q OTHER � y � ��'
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ���`�"' �� ��� � �
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' � � TBD
UILDER COMPANY
SIGNATURE �9� � REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN � ��,J�,��,[ i � �� COMPANY
SIGNATURE � ��� REGISTERED Y/ N FEE CURRE� Y/N
Address License#
� PLUMBER �� (.� �(d1 ` COMPANY �
SIGNATURE '^� �G REGISTERED Y/ N FEE CURRE� Y/N
Address �� License#
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MECHANICAL �'n � �� COMPANY
SIGNATURE ��'�'�X— REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpste�;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set bf Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
- Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance I
SIGN PERMIT Attach(2)sets of Engineered Plans. - � - -
"'*PROPERTY SURVEY required for all NEW construction. '
, Directions:• -
Fill out appiication completely. "
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
** Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
i Driveways-Not over Counter if on public roadways..needs ROW , I
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05-21-'14 16:35 FROM- T-608 P4401 F-223
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. ' May 21,2014 � I
i
I
City of Zeph�rhilys • I
GephyrhiIls,�'lorida �
913-236-3459
Re: Y.etter ot Authorization to Obtain permits and Approvals for: I
'VV�aI-1Vlart located at:7631 Call B1Wd.,Zephyrhills,FL 33451 ;
�
i
l7e�r 1'ermitting T7epartment: I
Y,Eithn�Keane,CEO of GAL pevelopm�nt,Inc.,hereb�authprize Paul Foley,Jimrn�Murphy,and �
Mike Rentor►to act as m�a�ent�ith re�ards to applying for and obtaxnX�g an�docu�nnentation aad/or �
permitting paperwork for the City of Zephyrhills. !
I
I
�
Tf you have any questions,please do not hesit�te to contact me. �
i
;
Sincerely, �
�u�,,,�- �i1 ;
Eithne Keane �
CEO
T�TE STATE OF QRIDA _/ ':
COUNTX�F: � '
���0�M�, th undersigned autY�ority, on this day personally appeared
�;��� �P1//�-� ,kno�c�vn to me to be the person si,�nin�this document. �
CrY'V'$N�J'N'D�R MAND AND S�AL OF OF rCE this (� day of� `
2p14. i
By c,Q,C " T�ublic in and for the State of�lorida, .
otary Pub ic Iviy commission e�cpires .
��;���;� PAUl.ADAWN lE�1f�pNIS �
k * MY GOMM(SS10N 0 E�128587
EXpIREB:August90,2015 �
N��OFFI�`OP ��TMuBudgetHOtary3HNoes
98 SE 7tn Street,Des�eltl Beach,FL 33441 � Phone:954 564 0665 I Fax;95a 56a 066� I Toll Free:855 CAL DEV1 � www.caltlevelopment.cam
NOTICE OF DEED RESTRICTIONS: The urtdersigned understands that this permit may be subject to"deed'resUictions°
_ which may ba more resVidive than County regulations. The undersigned assumes responsi6ifity for compliance with any
applicable deed restrictions.
. UNLICENSED CONTftAC70RS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not Iicensed as required by law, both the owner and conVactor may 6e cited for a misdemeanor violation
under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
• intended work,they are advised to contact the Pasco County Building lnspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contrador or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"oF this applicatlon for which they will be responsible. I(you,as the owner sign as the
conVactor,that may be an indicaQon that he is not properly licensed and is not entiUed to permitting privileges in Pasco
County
TRANSPORTATION IMPACTN71LIT1ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to lhe construction of new buildings,change of
use in existing buildings,or expansion of ebsting buildings,as specified in Fasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such fees,as may be.due,will be identified at the time of
permitting. It is Further understood that Transportation Impact Fees and Resource Recovery Fees must be paid priar to
receiving a"certificate of occupancy'or final power release. !f the project does not involve a ceRificate of occupancy or
final power release,the Tees must be pafd prior to permit issuance. Furthermore, if Pasco County WatedSewer Impact
fees are due,they must be paid prior to pertnR issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Flo�ida Statutes,as amended): If valuatlon of work is$2,500.00 or more,I
certiFy lhat I, the applicant, have been provided with a copy of the "Florida Constructian Lien Law—Homeowner's
Protection Guide'prepared by the Florida Departrnent of Agricutture and Consumer Affairs. If the applicant is someone
other than the"owne�',I certlfy that I have obtalned a copy of the above described document and pramise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the infortnation in this application is accurate and that all work
will be done in compliance with all appllcable laws regulating construction,zoning and land developme�t. Application is
hereby made to obtain a pertnit to do work and installatian as indicated. I certify that no work or installation has
' commenced prior to issuance of a permR and that all work will be pertormed to meel standards of atl laws regulating
construction, County and City codes, zoning regulations, and land development regulaUons In the jurisdictlon. I also
certify that 1 understand that the regulatlons of other govemment agencies may apply to the intended work,and that it is
my responsibitity to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads,Welland Areas and Environmentally Sensltive
Lands,WatedWastewaterTreatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Walervvays.
- Department of Health & RehabilitaGve Services/Enviranmenta! HeaRh Unit-Wells, Wastewater Treatment,
Septic Tanks.
, - US Environmental Protection Agency-Asbestos abatement.
- Federal AviaUon Authority-Runways.
I understand that the following reslrictions apply to the use oifill:
- Use of fill is not allowed in Flood Zane°V'unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitled at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone"A°in connection with a permitted building using stem wall
construction,1 certify that fill will be used only to fill the area within the stem wall.
, - If fill material is to be used in any area, I certify that use oi such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached pertnit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to intorm the owner of the permitGng conditions set torth in
this affidavit prior to commendng consWction. I understand that a separate permit may be required for etectrlcal work,
plumbing, signs,wells,pools, air conditioning,gas, or other installations not specfically included in the apptication. A
pertnit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,aller,or
set aside any provisions of the technlcal codes,nor shall issuance of a permit prevent the Building Official irom thereafter
tequiring a correctfon of errors in plans,construction or violations of any codes. Every permit issued shell become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for e period of six(6)mo�hs after the time the work is commenced. An extension
may be requested, in wriGng,from the Building Official for a period not to exceed ninety(90)days and wifl demonstrate
justifiable cause for the extension, It work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUIT IN YOUR
PAYING 71MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER R AN ATT RNE BEF R C D Y N TICE OF C ENCEMENT.
FLORIDA JURAT(F.S. 17. 3) �y�
OWIiERORA ' — J�� RACTOFL
bsuibed a sw�r.ta Ar ed)befo e me lhls 1 �bed and swom to(or a(famed)before me this
by lE?Y'��P by
Who islare rsonally known to me a hasfheve produced Who islere persanelty known to me or haslhave producad
as idenGBcaUon. as identification.
�f-, . !� ,r
U ` 4�J y 1 Notary Pu01ic Nolnry Publlc
Commission No.`�_ Cammisslon No.
Name of otary typed�y ped Nama of Notary ryped,printed or sqmped
MOTIAtPUetlC-�� '
yy Camlrlpn Bp�r He�wEr01��
Cm�i�lon IIa 1�
�� ° ��E�H�I��I�.E.� F[6�E E3E�/�E�Tl��[�T° �
6907 Dairy Road, Zephyrhills, FL 33542
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: Contractor:
Susiness Name: Billing Address:
Business Address:
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES INSPECTION'FEES PERMIT FEE FALSE ALARM FEE
Site Plan WC Annual N/C Sprinkler $50 1stAlarm N/C
Mutti-Family/Commeroial .06 sf 1st Re-inspection WC Standpipes $50 2nd Alarm N/C
inimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd AIaRn N/C
� Plan Revisions DBL 3rd Re-inspection �250 Hoods �50 4th Alarm_ �100
4th Re-Inspection �500 Fire Alartn $50 5th Alarm $150
SPRINKLER SYSTEMS (Business dosed until LP Gas $50 6th Alarm $200
8 0-'25 Heads $50 violations corrected) Natural Gas a50 rioN coatPUnrtce $150
26 Plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- percamc $50 - ,
STAkDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 �
� Per Riser $50 HydrostaticTest $65 persystem Fire Works $500
FIRE PUMP ACCeptanceTest $45 persystem Camp Fire $25
�Per Pump a100 Hydrant Flow $75 Controlled Bum $100
FIRE ALARM SYSTEM Hood/Duct � $50 '
a0-25 Devices $50 FIRE ALARM SYS7EM Place of Assembiy $50 a,nuat
26 plus Devices $100 System Acceptance $50 Fre Protedio� $25
SUPPRESSfON SYSTEMS Recall AccepNance $50 Flammable Appl'�cation a50 annual
Wet $50 OTHER Waste Tire Storage $50 nn��,at
Dry �50 Fire WalllSmoke Wall $15 Perwau Generator<KW Si00
CO2 $50 LP Gas $25 per tank Generdto�>30 KW 150 ,
Other $50 Naturai Gas $25 persyscem B'�o-Hazard Waste S�OO Mnual
KITCHEN IXHAUST Fumigation Tenting S50
�Hood/Ducts $50 Tent 10k10'or greater $15 pertent TorCh PoUApplied S50
OTHER Fire Pump $45 Haz Materiafs a100 �u,n�,ai
LP I�stallation pertank a50 Fire Suppression $30
Fuel Tank Instaliation $50 System Acceptance
(Pe�Tank) �50 E�aust Hood/Duct $30
�Natural Gas InstallaQon $50 Re-in5peC6on DBL
(Per,SyStem) (other than annual)
�Spray Booth �50 ❑'Inspection scheduled DBL 8
and cancelled less than
24 hours
� Construcdon Insp. N/C
Q�0 ��6 Emergency Vehicle A� $50 FALSE ALARM
--- —PtJ4i�1S`-Tt�i'�1i-�--INS��CT18N-�t�T�1i-�-------�ERM1i'�'�� i'y4i.-�- ----- ---
GRANO TOTAL
Comments:
Date: 27 L
Inspector: '4��<v� l,
nm
CITY OF ZEPHYRHILLS, FLORIDA
5335 8TH STREET
CERTIFICATE OF COMPLETION
NAME:CaI Development Inc. DATE July 24, 2014
ADDRESS 7631 Gall Blvd
PARCEL I.D. # 34-25-21-0110-00000-0010 SUBDIVISION : Citv of Zeph r�ills
TYPE OF BUILDING : Interior 8y Exterior Remodel
PERMIT'(s) #15304,15306,15455
REMARKS : Contractor completion of work FINAL DATE: Julv 16, 2014
BILL BURGESS BUILDING OFFICIAL/ JB �
3-Deck Bulk Convertible Case
HUSSMANN-B3XC-LEP R240
" ' _ e,....,,.,�, B3XC a
D
��� ]III. B 8�M3)
, ,rw ReWiretl 4Y�/� 45+/a 42'/� 3�la(5s
AUGaP IlOBB) jilae7 (1�86� �
3� 4�h(�2z'1
. 28. t� Fxcm w i l L 3 ya�Bp� Peb4.aum I'j 30 4� 35�/e 88
' _-_ _ __-
p12) I �ISn.eWNw I I I I d'°�a I I nee) �) (nee)
. _ . � s.e II Iltwwouaa� II 34�/a 3T�/s
� euatar �{� am�a.� I I I I I I__'_�_(e�a) (aw)
R'�yt°� o� wos�owa{} {} - _
�-�m-� co��w�.mn wt ar �
�� ---------- ---------- --
I...��w 26+h L.�,y,�w„e 12(aca)
i9r _18 «al C
W»
.f .._1B PLAN VIEW
� GASE DIMENSION pMMs)
.�i" �7u� LENGTH A B C
���i Bft T23�8 601/4 681lB
BR 98318 B41/4 907/B
Il�w '�m 12R 14412 1ffi3IB /381/4
� . Note:OwrellnsabrgthxiUwiEeWsorpartEOrs
?,�s,�� .� �..�m
"-�
I8
nn-
SECTION VIEW
REFRIGERATION DATA:
CAVACffY DISCHARGEAIR
�E PARALLELSYSTEM CONVENTIONALUNR typp��T�R UNR g�p��T AVG
CASEUSRGE yE�p�Ry REFRIGERANi
LENGTM Fluorascent LEDShelf Fluonscent LEOShtl1 �Fl SmNG"CFl TEMP('� (FPM) SEfPOINTCF)CNARGEILBS)
lam Fbc4aes• Lem FbcOaes•
eR DA1RV/DEII/CUT :�-. r�` 1218 +u�" .'\ 7288 26 24 32 140 4T 23
eR PRODUCE(3ROW5 ��.\� '�': t278 '�aFl`7 L^" 7298 28 26 32 740 4T 32
12ft SHEWES a1.» ���.i 1218 +�'�\ •in`,;.� 1298 ZB 24 32 40 4.5
BR DAIRYfUEII/CUT ';���i +�i:�t 12f18 '4.k"t - 1288 28 24 ffi 140 4T 23
BR PRODUCE(2ROW5 �r�;738�.Yi�� 1208 '�`��Y�9309.i,� 1280 2B 24 ffi 140 4T 32
17ft SMELVES "e�3���=� 1208 =w�2 �=\` 7788 78 24 ffi 140 4• 45
BR ri�� 1093 a'»F: 4 ti�� 1093 34 ffi 38 740 ar 23
BULKPRODUCE �pg3 y�y}�3'�" 1093 34 32 38 1d0 4T 32
BR (ZROWSSHELVES) ^:�143��
12R �a� !8`�� 1�3 :.\.O\ 7W3 34 32 38 140 4' 45
�3 Dagrees F less tlan erapoatorPor P�s�+a�n rehgarafR 6ea
•WaFrort Mertlrol�sere prefer LED iglm on iNe mse.(iMrefore,B3%C pses stupped eRer Jarnery 2071 ere xyippod n9M Figh CRI LED ight.)
PROPYLENEGIYCOL 0• PROPYLENEGLVCOL(25•Fl
CASE GLVCOL P.0. GLYCOL P.D.
CASE USAGE GLYCOL AVG REF GLYCOL AVG REF
LENGTH �'PM FLUIDX T�P THROUGN CXARGE(GAL) �'PM FLUID% TEMP THROUGH CHARGE(GAL)
COIL(psl) ('F) COIL(psq
B R 1.5 35 20 7.5 7.8 3 6 35 25 4.3 7.9
eft DAIRY/DELI/CUT 20 35 20 27 2.5 4.8 35 75 7.3 25
�ZR PRODUCE 3.1 % 21 28 38 72 35 75 7.5 38
6R iq.A&�ria 35 p ' .c"Q6GR� 1.9 1.0 35 TS O.B 1.9
BII BULKPRODUCE- �:.a:, ;�u':*. 35 p '�:S�zf.f�`t�_; 25 7.4 35 75 7.5 25
77ft a�\\\ 35 20 �5��'E3�=�'�4„� 3.B 20 35 75 7.7 3.8
�RO'F Pro ml bo rot reeommaMeE(or W k mGUCe a ;fim0ora.
W UIO OVERFEED CO2
CO2
�E CASE USAGE ��= PUMPoUT P.D. AVG REF
LENGTH GRCULATq TME TMROUGH CHARGE�LBS)
N RATE �� CAIL(psq
8 R 27 WA 1.99 7.B
Bft DP1RV/�E4/CUf 21 WA 4.18 70.0
ttft PRODUCE 21 WA 4.28 758
BR 71 WA 7.67 7.0
BR BULKPRODUCE 21 WA 3.AB 10.4
i2R 27 WA 35B /5.8
ELECTRICAL DATA:�Fnr�s,xEn�qsqno u��mruc�zavsasonz,i aw�sE7
CASE ENERGY EFFICIENT FAN9 H�M CW LED L1GHiING(WITH�ROWS OF Lff 9HELVESp
LENGTH �SE USAGE FAN9ICASE 2 ROW CANOPY 3 ROWS SNEWES TOTAL L1GM3
Am s Watb Am Watls Am Watls Am WaCs
8 R 2 038 28 0 32 38 0.% 42 0 87 80
BR DAIRY/DELI/CUT Z 0.60 38 063 75 0.70 &l 7.33 159
12ft PRODUCE 3 0.90 54 093 112 7.06 72fi 7.98 238
CASE ENERGYEFFlCIENTFANS HIGHCRILEDLIGHTING�WfiHtROWSOFLITSHELVESr
LENGTH �ASE USAGE FANSICASE 3 pOW CANOW 3 ROWS SHELVES TOTAL LIGHTS
Am WaKS Am s Watts Am Watls Am s Watb
6 R 2 0.38 28 0 ffi 38 023 7B 0.55 68
eR BULKPRODUCE 2 0.60 38 0.63 75 0.47 58 1.10 137
12R 3 0.90 54 0.93 112 070 86 1.63 7%
DEFROSTDATA:
STANUARD PROPYLENEGLVCOL
U9I1GE GASEUSAGE �E�ET DEFR05T9 TIME Oii1PTIME TEIiMINATqN DEFROSTS TIME DRIPTIME TERMINqTpN
PER DAY (mlMes) (mlMes) TEMP('� PER DAY (mlMes) (mlMe�) TEMV CFl
8 R OR T 3 30 0 48 3 30 0 48
Bft DAIRY/DELI/CUT �Time 3 30 0 48 3 30 0 48
�Zk PRODUCE �n� 3 30 0 4B 3 30 0 48
Bft O(ITima 0 0 0 WA 2 30 0 4B
Bft BULKPRODUCE ORTirta 0 0 0 WA 2 30 0 48
72R ORTime 0 0 0 N/A 2 30 0 68
�E G03 TERMINA710N DEFR09T
USAGE �EUSAGE DEFROSTS TIME DRIPTIME TERMINATqN TEMPSENSOR WATER
PER DAY mlmrtes mlmR¢s TEMP LOCATION blCa
Bft 3 30 0 48 DAT 42
BR DAIRYIDELI/CUT 3 30 0 48 DAT 56
12� PRODUCE 3 � 0 4B DAT 84
Bft 2 30 0 4B DAT 33
Bft BULKPRODUCE 2 30 0 48 DAT 44
12ft 2 30 0 AB OAT fi6
opnoNSiNOres:
1)Each eM and ircalatetl paroeon atltls 7.5 url�b nse ire�y.
2)Case b ose abctrKal m�vec9'ors ere nede in hoerto/sqashg�ard.
�Data 6aseE on stua tempereMa aM hmid6y tlat daes rot eased 75'F eM 55%RH.
4)'B�IkP(od�appGratunEatalsbrnoncriECaltemoaraLttedoduceoNy.
�Discharge ac�abc3y meavaemari6 mayvary sgrificarNyhom Ce valuea stqxn due m va'rmblas s#�as lypa of ursMiarR used,
meaaremarR bcaEan,ard tina eftar CeGast 7lieratare,tte�ebdly roted on tlis data sleal is Fmntletl m be a gareral gititlefro
Hussmann B3XC-LEP R240: 3 OR 4 DECK MEDIUM TEMP.(WALL CASE OR ISLAND) Revised 08/24/2012
Item No.
. � Quantity
- Project Name:
SIS#•
A{AICS1#•
�I�
� Banked I�ryer
FOODSERVICE EQUIPMENT
llt/llotl��E01��l�f�E�T/24/�4
The Giles EOF�BIBfFFLTI24/24 Banked Fryer unit is
designed for foodservice operations where preparing
Earge quantities of product quickly is important.
__.. .,,�._ .--
...m.__ --
�_- :-;�----.�=---->==-;'.—�_�-�-`_--=�'- . . :;�,�t-_�_._: • Features two(2)24inch frying vats...high capacity
�'�-� -- I� ` ' � A� tor cooking large quantities quickly.
i " ' � i.�r`• Unique 20-inch wateFOnly vat for"boil-in-bag"
� .— '` 'u�� . • process of rethermalizing bags af frozen,ready-to-
F eat,foods...ca pacit y ta hald ten to faurteen{10-14}
; �,,,...,�•»� � five{5}1ta.bags.,,water temperature contro(led by
14 –- digital thermostat..
} ' � ;� • Built in dump statio�for easy and eificient fryer
i j . , � .�°� � ""� I unloading,and allows product to adequately drain...
' � ! y� � drained oil returns to Filter Pan.
,� ; � Fast recouery time...no waste d time between
�+� 1, ,�. _ - `" �' loads.
`� ,o�f---'--"�� �'1 • Simpie to use,user-friendly,caoking cantro!lers with
� __�. �,p--""`�° �+� programmable timers...four t4)menu keys for each
.r�`� � ~ �' Model:EOFBIBlFFLT/24124 basket.
�! • Bu'slt irr oil filtration sysiem far frying vats...centrally
located controls and valves minimizes workload and
makes filtering easy and quick.
� � Auto-basket Lift system is standard on one{1}24-
inch fryer unit...automatically raised basket of
cooked praduct at end of programmed caok time.
I r
Automatic Qil
Automatic Basket Lift __ __- - Fiitration Sys#em
�;___ "�- The Auto-Basket Lift Designed to complete a
�"°"_ '"� �y°'`; enables the operator to load
� filter cycle within five
; the fryer,set the timer and �l .�';
+ activate the basket lift in j minutes,utilizes dispasable
one step. When the frying 4
t� filter paper or a reusable
mesh screen...operators
4,cycle is camplete,the � can wash,rinse,drain and
basket is automatical(y =J t
�� I' filter the oil in ane easy
' raised out of the
'"�•, i �� , oparation. Refilling the Fry
. - _ shortening,allawing for safe a� � Vat requires only a simpie
- and easy unloading of the �� turn of a valve. This system
product...no over�ooking. , �p ;yf
, � -- .�., ean increase shortening life
by up to 50%
:
�,a«.��
,�1��
�rroNV-
Giles Foodservice Equiprnent A Division of Giles Enterprises,Inc.
.An ISO 4401 Registered Campany
2750 Gunter Park Drive West•Mantgomery,AL 36109 USA
Phone 334.272.1457•Fa�c 334.239.4117•PhoneToll Free 1.800.554.4537
Web Site:w4vwgfse.com•Email:servtcesC�gfse.cam
D026C_2 VAT FRYER WITH 1 VAT BIB WI7H SPREADER CABINET Form65943.A(Re1.Jimzo�3)
Item No.
Quantity� ' ,
Project Name:
�anked Fryer S�S#.
AIA/CSI#•
�odel EOF�l�/FFLT/24/24
9� 5�8_�24�8�
EOFBIBlFFLT/24/24
64 7/8 [1647]
72.3�8 [7837] � . 41 3/8 [1050]
EOF20lFFLT/24
z
0
� �
�n . . .
0
a .
N a
a 7 ,—, -
.�, Z r E � S� v ��. "e�.� e r...-�,:� �
l�^LL1a�+L tJH!��.
\ � u � y —�. e� o � �� ,n.
0
"'' � �o 'o 0 o a �, o
� � �
� Y . fV;'
a � (BIB Vat) (L� (24"Vat) (24"Vat)
�'
m , �;
Inches[mm] Ff01lt � Slde
� • �
We reserve the right to change specifications and/or product design without notice. Such revisions do not entitle the buyer to corresponding changes,
improvements,additions or replacements for previously purchased equipment.
Construction: Electrical Specifications:
Cabinet&Fry Vat:20Ga to 16Ga Stainless Steel Available voltages:208/480V-20"Uat-12 kW
Heating Element: Stainless Steel Round -24"Vat-30 kW
Cooking Computer(1)per Fry Vat: 20"Vat-208V(3-ph)/480V(1-ph1-38A/25A
Adjustable CookingTemperature,Max.Temp:375°F [190°C] 24"Vat-208V(3-ph)/480V(3-ph)-100A/43A
Two(2)Timers,each has four(4)programmable presets (Service cords not provided)
High LimitThermostat:450°F[220°C] Listings:
DigitalThermostat(WaterVat): Adjustable 70°to 200°F(93°C] �L(US&Canada),ETL Sanitation
Ca aci Shipping Specifications:
p �' Crated Weight: 1311 Ibs[595 kg]EOF-BIB/FFLT/24/24
20"Vat: Water Only...Water Capacity 16 gal. Crated Cube Size: 50"D X 108"L X 61"H=190.6 cu ft
Production Capacity(10-14)5-Ib Bags
24"Vat: Shortening Capacity�170 Ibs.[77 kg] [1270mm X 2743mm X 1549mm=5.4 cu meters]
Production Capacity 36-42 Ibs[16-19 kg]of cut chicken(96
pieces)using 3-1/2 Ib[1.5 kg]bird.
� � � •�
Standard unit ships with(2)Fry baskets,(1)Scoo�rtype Basket,(1)Fry Screen perVat,(1)LT Drain Screen,(1)Oil Discharge Hose,(1)Reusable Filter
Screen,(1)Crumb Strainer,(1)Pot Brush,(1)Kettle Drain Brush,(1)Stir Paddle,(1)Crumb Shovel,(7)Drain Clean-0utTool and(1)Manual:
� � •
�j Model and Electrical Options ' Additional Accessories& Supplies
•• Specify the part number from the following: `• Sold Separate/y*
Specify item and quantity:
Voltage Hz Phase Model Part No. QtY Descri tion Part Number
❑ Product Scoo 70430
❑ Basket,EOF�20 70420
❑ 480 60 1-3 EOF�BIB/FFLT/24/24 71637 ❑ Screen,FFLT 70085
❑ S lash Guardlfool�Cadd 71524 Ri ht
❑ 208 60 3 EOFBIB/FFLT/24/24 71638 � S lash Guard/Tool Cadd 71523(Left)
❑ Filter Paper,(100)Sheets 60328
❑ Filter Powder,(60)packets 72004
Boil Out(4)8 Ib containers 72003
*Additional charges
Giles Foodservice Equipment
2750 Gunter Pazk Drive West•Montgomery,AL 36109 USA 3 Shipping
Phone 334.272.1457•Fax 334.239.4117•PhoneToll Free 1.800.554.4537 ' Specify the shipping method
Web Site:www.gfse.com•Email:servicesC�gfse.com
D026C_2 VAT FRYER WITH 1 VAT BIB WITH SPREADER CABIN�rm65943.A(Re1.Jun2o13)
;9
ASBESTOS INSPECTION REPORT
for
Wal-Mart
2001 SE 10� Street
Bentonville, AR 72716-0550
� at
Wal-Mart Store #706
7631 Gall Boulevard
Zephyrhills, FL 33540
Inspection Date: August 22,2007
, Report Date: September 11,2007
Prepared By:
��
��
� ,.
, .�,,,
with AirQuest Environmental, Inc.
Asbestos Consulting Business License ZA-304
7600 N. 16�' Street, Suite 110
Phoenix,AZ 85020
Project Number:153278
i
P
Table of Contents
SECTION PAGE
ExecutiveSummary.....................................................................................................................3
Asbestos Containing Material
Introduction...................................................................................................................................4
Sampled Suspect Materials—Negative
Descriptionof Facility..................................................................................................................4
Asbestos Sampling and Analytical Procedures.............................................................................5
Findings.........................................................................................................................................5
Conclusions and Recommendations.............................................................................................6
Table Summarizing Analytical Data............................................................................
.................7
� APPENDICIES
Laboratory Analytical Data Sheets....................................................................Appendix A
�
' Credentials.........................................................................................................Appendix B
I Sample Location Drawings................................................................................Appendix C
, Page 2
�
--ti�s
�
' i �
�� , �
O_�,"
, EXECUTiVE SUNIlV�ARY
On August 22, 2007, Shannon G. Aden of TRC performed a NESHAP asbestos survey of Wal-
Mart Store #706 located at 7631 Gall Boulevard, in Zephyrhills, FL. Inspection, sampling and
analytical procedures were performed in general accordance with the Environmental Protection
Agency's (EPA) National Emission Standards for Hazardous Air Pollutants (NESHAP)
guidelines (EPA 40 CFR 61 Subpart 1V�. A total of 171 bulk samples were analyzed to facilitate
any future interior renovation of the structure.
Asbestos was identified in materials within as follows:
Material Location Percent/Type' Approx. Material NESHAP
QuanNty Condition Category
Asbestos was not identified in an of the sam le materials.
Asbestos containing materials as defined by the EPA and OSHA (Occupational safety & Health
Administration) are materials with an asbestos concentration of greater than 1% (>1%) as
analyzed by polarized light microscopy(PL1V�. In addition, ACBM are designated as:
Friable asbestos - material which-can be crumbled, pulverized or reduced to powder by hand
pressure, a.k.a. Regulated Asbestos Containing Materials (RAC1Vn
Category I non-friable- includes resilient floor coverings, asphalt roofing products, gaskets and
packings.
Category II non-friable - any non-friable ACM that is not in Category I (i.e. transite siding
material).
A complete listing of suspect materials, sampled materials and the analytical results can be found
in the text portion of the report.
1 Laboratory analytical data sheets should be reviewed for potenrial asbestos content within individual layers of a sample for each material.
Analysis of an individual layer of a material may exceed 1%while the wmposite analysis of the material as a whole is below 1%. Laboratory
analytical data sheets aze presented within Appendix A.
Page 3
r
INTI�ODUCTION `
A NESHAP based survey was completed for Wal-Mart on August 22, 2007 by TRC. The survey
encompassed Wal-Mart Store #706 located at 7631 Gall Boulevard in Zephyrhills, FL, and
included materials which will likely be disturbed during upcoming and future renovations on the
interior of the store only.
The EPA certified AHERA (Asbestos Hazard Emergency Response Act) accredited inspector
representative for TRC Environomics was Shannon G. Aden, an EPA (Environmental Protection
Agency) AHERA Asbestos Building Inspector. Copies of valid training certificates and state
licenses(when applicable) are presented in Appendix B.
SAMPLID SUSPECT MATERi�i,S-NEGATIVE
Samples of the following suspect materials were collected and found to be Negative for
asbestos:
Wal-Mart Store#706
7631 Gall Boulevard
2'x 4' Textured Acoustic Ceilin Panels 2'x 2' Smooth Acoustic Ceilin Panels
2'x 4'Acoustical Ceilin Panels 2'x 2' Acoustic Ceilin Panels
Gra Duct Seam Mastic Gra Covebase&Adhesive
Black Covebase &Adhesive 12"x 12"Black/White Floor Tile&Mastic
12"x 12" Green/White Floor Tile&Mastic 12"x 12" White/Gra Floor Tile &Mastic
D all, Joint Com ound, &Texture Red Fire Sto
C et Mastics Wood ain Linoleum
DESCRIPTION OF FACILiTY
The building is a slab on grade single story block building with a flat roof. The exterior walls are
concrete block with drywall interior partition walls and/or orange peel metal sheeting (deli,
bakery and seafood areas). The ceiling of the main sales floor is open to the roof deck, with the
deli,bakery, seafood and tenant area ceilings consisting of a 2'x 4' or 2'x 2' acoustic ceiling tile.
The employee areas have a 2'x 4' fiberglass ceiling tile.
The flooring consists of concrete in the main sales floor and employee areas, with some areas
containing faux wood sheet flooring. The tenant spaces have either vinyl floor tile or faux wood
sheet flooring, depending upon the area, and carpet is found in the two main entrance areas. No
other flooring was identified beneath any of the existing flooring.
Page 4
f
i'
� ASBF�°TOS SAMPLING AND ANALYTICAL PROCIDURES
Sampling Procedures
Representative bulk samples of suspect asbestos containing building materials were randomly
collected from interior of the building. Homogenous material determination was based on the
following criteria:
Similar physical characteristics(same color and texture, etc.)
Application(sprayed-on,troweled-on, assembly into a system etc.)
Material function(Thermal insulation, floor tile,wallboard system etc.)
The bulk samples were collected on the inspection date. Condition assessments were performed
by the accredited inspector during the inspection.
PLM(Polarized Li�ht Microscop,y)Analvsis Methodology
Laboratory services were provided by EMC Labs in Phoenix, AZ, a National Voluntary
Laboratory Accreditation Program(NVLAP) certified laboratory(NVLAP code#0101926-0).
PLM samples were analyzed utilizing the EPA's Test Methods: Methods for the deternunation of
Asbestos in Bulk Building Materials (EPA 600/R-93/116, July 1993) and the McCrone Research
Institute's The Asbestos Particle Atlas as method references. Additional treatment and tests may
be required to accurately define composition (i.e. ashing, extraction, acetone treatment, and
Transmission Electron Microscopy-TEM).
Analysis was performed by using the bulk sample for visual observation and slide preparation(s)
for microscopic examination and identification. The samples were analyzed for asbestos
' (chrysotile, amosite, crocidolite, anthophyllite, and actinolite/tremolite), fibrous non-asbestos
constituents (mineral wool, cellulose, etc.) and non-fibrous constituents. Using a stereoscope,
the microscopist visually estimated relative amounts of each constituent by deternLning the
volume of each constituent in proportion to the total volume of the sample.
FIl�IDINGS
Interpretation of Asbestos Results
Federal OSHA and EPA define an ACM as any material containing >1% asbestos. The lower
limit of reliable detection for asbestos using the PLM analytical method is 1.0% by volume. If
"<1%" appears in this report, it should be interpreted as meaning that asbestos was present in the
sample,but the exact percentage is unknown.
Per EPA NESHAP regulations, material with PLM-derived asbestos concentration of<10%must
be assumed to be ACM until it is point counted to more precisely deternune the actual asbestos
content. If this material is found to contain less than 1% asbestos by point counting, then it may
be disposed of as non-hazardous waste. Any sample can be subjected to the more stringent Point
Count Method of analysis to more precisely deterrrune the actual asbestos content.
Page 5
r
I
None of the sampled materials were positive for asbestos. �
CONCLUSIONS AND RECONIlVIErIDATIONS
Results of analysis confirmed asbestos was not identified in concentrations greater than 1%
within any of the bulk samples collected.
Any materials uncovered during the demolition activities that are not addressed in this inspection
report, or presumed asbestos containing materials must be sampled by an accredited asbestos
inspector prior to any disturbance, or they must be treated as asbestos containing.
G �}',�%�-�-��s�—
�
Andrew J. Olcott Traci-Anne Boyle, CIH
Director of Asbestos and Lead Operations Licensed Asbestos Consultant AX-60
Page 6
1
I ' .
Asbestos
Sam le# Sam le Location La er# Descri tion T e Asbestos%
M-01 RECEIVING AREA Fire Sto , Red Fire Sto , Red
M-02 RECEIVING AREA Fire Sto , Red Fire Sto , Red
M-03 RECEIVING AREA Fire Sto , Red Fire Sto , Red
2x4 Ceiling Tile, 2x4 Ceiling Tile,
C-04 BREAK RM Yellow/White Yellow/White
2x4 Ceiling Tile, 2x4 Ceiling Tile,
C-05 BREAK RM Yellow/White Yellow/White
2x4 Ceiling Tile, 2x4 Ceiling Tile,
C-06 BREAK RM Yellow/White Yellow/White
12x12 VAT,White/
F-07 BREAK RM LAYER 1 Gra
F-07 BREAK RM LAYER 2 Mastic,Yellow
12x12 VAT,White/
F-08 SMOKING RM AREA LAYER 1 Gra
F-08 SMOKING RM AREA LAYER 2 Mastic,Yellow
OFFICES IN BREAK 12x12 VAT,White/
� F-09 RM AREA LAYER 1 Gra
OFFICES IN BREAK
F-09 RM AREA LAYER 2 Mastic,Yellow
Duct Seam Mastic,
T-10 STORAGE RM LAYER 1 Gra
Duct Seam Mastic,
T-11 RECEIVING AREA LAYER 1 Gra
Duct Seam Mastic,
T-12 BANK AREA LAYER 1 Gra
W-13 BREAK RM LAYER 1 Cove Base, Gra
W-13 BREAK RM LAYER 2 Mastic, Lt.Yellow
Joint Compound, Off
W-13 BREAK RM LAYER 3 White
W-14 SMOKE RM LAYER 1 Cove Base, Gra
W-14 SMOKE RM LAYER 2 Mastic, Lt.Yellow
Joint Compound, Off
W-14 SMOKE RM LAYER 3 White
MANAGER'S
W-15 OFFICES LAYER 1 Cove Base, Gra
MANAGER'S
W-15 ' OFFICES LAYER 2 Mastic, Lt.Yellow
2x2 Acoustical
Ceiling Tile, 2x2 Acoustical Ceiling
C-16 VISION CENTER White/Gra Tile,White/Gra
2x2 Acoustical
COURTSEY CLERK Ceiling Tile, 2x2 Acoustical Ceiling
C-17 RM White/Gra Tile,White/Gra
2x2 Acoustical
Ceiling Tile, 2x2 Acoustical Ceiling
C-18 PORTRAT STUDIO White/Gra Tile, White/Gra
FRONT OF STORE
W-19 ENTRANCE LAYER 1 Cove Base, Black
FRONT OF STORE
W-19 ENTRANCE LAYER 2 Mastic, Yellow
FRONT OF MEN'S
W-20 RESTRM LAYER 1 Cove Base, Black
Page 7
,.
Asbestos
Sam le# Sam le Location La er# Descri tion T e Asbestos%
FRONT OF MEN'S
W-20 RESTRM LAYER 2 Mastic, Yellow
' FRONT OF WOMEN'S
W-21 RESTRM LAYER 1 Cove Base, Black
FRONT OF WOMEN'S
W-21 RESTRM LAYER 2 Mastic,Yellow
FRONT OF WOMEN'S
W-22 RESTRM LAYER 1 Cove Base, Black
FRONT OF WOMEN'S
W-22 RESTRM LAYER 2 Mastic, Yellow
SOUTH EAST
F-23 ENTRANCE LAYER 1 Texture, Off White
SOUTH EAST Joint Compound, Off
F-23 ENTRANCE LAYER 2 White
SOUTH EAST Sheetrock,White/
F-23 ENTRANCE LAYER 3 Brown
F-24 VISION CENTER LAYER 1 Texture, Off White
Joint Compound, Off
F-24 VISION CENTER LAYER 2 White
Sheetrock,White/
F-24 VISION CENTER LAYER 3 Brown
Joint Compound, Off
F-25 SW ENTRANCE LAYER 1 White
Sheetrock, White/
F-25 SW ENTRANCE LAYER 2 Brown
' F-26 PORTRAIT STUDIO LAYER 1 Texture, Off White
Joint Compound, Off
F-26 PORTRAIT STUDIO LAYER 2 White
I _ Sheetrock, White/
F 26 PORTRAIT STUDIO LAYER 3 Brown
F-27 BANK LAYER 1 Texture, Off White
Joint Compound, Off
F-27 BANK LAYER 2 White
Sheetrock, White/
F-27 BANK LAYER 3 Brown
F-28 COURTSEY DESK LAYER 1 Texture, Off White
Joint Compound, Off
F-28 COURTSEY DESK LAYER 2 White
Sheetrock,White/
F-28 COURTSEY DESK LAYER 3 Brown
F-29 COURTSEY DESK LAYER 1 Texture, Off White
� Joint Compound, Off
F-29 COURTSEY DESK LAYER 2 White
Sheetrock,White/
F-29 COURTSEY DESK LAYER 3 Brown
F-30 PORTRIAT STUDIO LAYER 1 Car et Mastic, Clear
F-31 PORTRIAT STUDIO LAYER 1 Car et Mastic, Clear
F-32 PORTRIAT STUDIO LAYER 1 Car et, Brown/Blue
F-32 PORTRIAT STUDIO LAYER 2 Car et Mastic, Clear
F-33 NEAR O LAYER 1 12x12 VAT, Green
F-33 NEAR O LAYER 2 Mastic,Yellow
F-34 NEAR V LAYER 1 12x12 VAT, Green
F-34 NEAR V LAYER 2 Mastic,Yellow
Page 8
;
Asbestos
Sam le# Sam le Location La er# Descri tion T e Asbestos%
F-35 NEAR QQ LAYER 1 12x12 VAT, Green
F-35 NEAR QQ LAYER 2 Mastic,Yellow
IN FRONT OF 12x12 VAT, Black/
F-36 McDONALD'S LAYER 1 White
IN FRONT OF
F-36 McDONALD'S LAYER 2 Mastic, Yellow
F-37 NEAR CC LAYER 1 12x12 VAT, Green
F-37 NEAR CC LAYER 2 Mastic,Yellow
12x12 VAT, Black/
F-38 NEAR MEAT DEPT LAYER 1 White
F-38 NEAR MEAT DEPT LAYER 2 Mastic,Yellow
12x12 VAT, Black/
F-39 NEAR A LAYER 1 White
F-39 NEAR A LAYER 2 Mastic,Yellow
12x12 VAT, Black/
F-40 NEAR B LAYER 1 White
F-40 NEAR B LAYER 2 Mastic,Yellow
12x12 VAT, Black/
F-41 NEAR H LAYER 1 White
F-41 NEAR H LAYER 2 Mastic,Yellow
12x12 VAT, Black/
F-42 NEAR I LAYER 1 White
F-42 NEAR I LAYER 2 Mastic,Yellow
LAYER 1 12x12 VAT,White/
F-43 NEAR C ' Gra
LAYER 1 12x12 VAT,White/
F-44 NEAR D Gra
LAYER 1 12x12 VAT,White/
F-45 NEAR E Gra
LAYER 1 12x12 VAT,White/
F-46 NEAR F Gra
12x12 VAT,White/
F-47 NEAR G LAYER 1 Gra
F-47 NEAR G LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-48 NEAR N LAYER 1 Gra
F-48 NEAR N LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-49 NEAR M LAYER 1 Gra
LAYER 2
F-49 NEAR M LAYER 2 Mastic, Dk Gra
12x12 VAT, White/
F-50 NEAR L LAYER 1 Gra
F-50 NEAR L LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-51 NEAR K LAYER 1 Gra
F-51 NEAR K LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-52 NEAR P LAYER 1 Gra
F-52 NEAR P LAYER 2 Mastic, Lt.Yellow
12x12 VAT,White/
F-53 NEAR Q LAYER 1 Gra
F-54 NEAR R LAYER 1 12x12 VAT,White/
Page 9
Asbestos
Sam le# Sam le Location La er# Descri tion T e Asbestos%
i Gray
F-54 NEAR R LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-55 NEAR S LAYER 1 Gra
F-55 NEAR S LAYER 2 Mastic, Dk Gra
12x12 VAT, White/
F-56 NEAR T LAYER 1 Gra
F-56 NEAR T LAYER 2 Mastic, Dk. Gra
12x12 VAT,White/
F-57 NEAR U LAYER 1 Gra
F-57 NEAR U LAYER 2 Mastic, Lt.Yellow
LAYER 1 12x12 VAT,White/
F-58 NEAR BB Gra
LAYER 1 12x12 VAT, White/
F-59 NEAR AA Gra
LAYER 1 12x12 VAT,White/
F-60 NEAR Z Gra
F-60 NEAR Z LAYER 2 Mastic, Dk. Gra
LAYER 1 12x12 VAT,White/
F-61 NEAR Y Gra
LAYER 1 12x12 VAT, White/
F-62 NEAR X Gra
F-62 NEAR X LAYER 2 Mastic, Dk. Gra
LAYER 1 12x12 VAT,White/
I F-63 NEAR W Gra
LAYER 1 12x12 VAT,White/
F-64 NEAR DD Gra
LAYER 1 12x12 VAT,White/
F-65 NEAR EE Gra
F-65 NEAR EE LAYER 2 Mastic, Lt.Yellow
LAYER 1 12x12 VAT,White/
� F-66 NEAR FF Gra
LAYER 1 12x12 VAT,White/
F-67 NEAR GG Gra
LAYER 1 12x12 VAT,White/
F-68 NEAR HH Gra
12x12 VAT, White/ '
' F-69 NEAR II LAYER 1 Gra
F-69 NEAR II LAYER 2 Mastic Lt.Yellow
LAYER 1 12x12 VAT,White/
F-70 NEAR KK Gra
LAYER 1 12x12 VAT, White/
F-71 NEAR LL Gra
LAYER 1 12x12 VAT,White/
F-72 NEAR MM Gra
LAYER 1 12x12 VAT, White/
F-73 NEAR NN Gra
LAYER 1 12x12 VAT,
F-74 NEAR 00 White/Gra
LAYER 2
F-74 NEAR 00 LAYER 2 Mastic, Dk Gra
LAYER 1 12x12 VAT,White/
F-75 NEAR PP Gra
Page 10
;
�
� Asbestos
Sam le# Sam le Location La er# Descri tion T e Asbestos%
LAYER 1 12x12 VAT, White/
F-76 NEAR RR Gra
12x12 VAT,White/
F-77 NEAR SS LAYER 1 Gra
F-77 NEAR SS LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-78 NEAR TT LAYER 1 Gra
F-78 NEAR TT LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-79 NEAR UU LAYER 1 Gra
F-79 NEAR UU LAYER 2 Mastic, Dk Gra
LAYER 1 12x12 VAT,White/
Gray
Note: No Mastic
F-80 NEAR W Present
LAYER 1 12x12 VAT,White/
F-81 NEAR WW Gra
F-81 NEAR WW LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-82 NEAR XX LAYER 1 Gra
F-82 NEAR XX LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-83 NEAR W LAYER 1 Gra
F-83 NEAR YY LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-84 NEAR ZZ LAYER 1 Gra
F-84 NEAR ZZ LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-85 NEAR AAA LAYER 1 Gra
F-85 NEAR AAA LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-86 NEAR BBB LAYER 1 Gra
F-86 NEAR BBB LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-87 NEAR CCC LAYER 1 Gra
F-87 NEAR CCC LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-88 NEAR III LAYER 1 Gra
F-88 NEAR III LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-89 NEAR GGG LAYER 1 Gra
F-89 NEAR GGG LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-90 NEAR FFF LAYER 1 Gra
F-90 NEAR FFF LAYER 2 Mastic, Dk Gra
12x12 VAT,
F-91 NEAR EEE LAYER 1 White/Gra
F-91 NEAR EEE LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-92 NEAR DDD LAYER 1 Gra
F-92 NEAR DDD LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-93 NEAR JJJ LAYER 1 Gra
Page 11
.
'� Asbestos
Sam le# Sam le Location La er# Descri tion � T e Asbestos%
I' F-93 NEAR JJJ LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-94 NEAR KK LAYER 1 Gra
F-94 NEAR KK LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-95 NEAR LLL LAYER 1 Gra
F-95 NEAR LLL LAYER 2 Mastic, Dk Gra
12x12 VAT,White/
F-96 NEAR MMM LAYER 1 Gra
F-96 NEAR MMM LAYER 2 Mastic, Dk Gra
NEAR SECURITY 12x12 VAT,White/
F-97 OFFICE LAYER 1 Gra
NEAR SECURITY
F-97 OFFICE LAYER 2 Mastic, Dk Gra
LAYER 1 Faux Wood Sheet
Floor, Lt. Brown/
F-98 BANK Brown
LAYER 1 Faux Wood Sheet
Floor, Lt. Brown/
F-99 BANK Brown
LAYER 1 Faux Wood Sheet
Floor, Lt. Brown/
F-100 BANK Brown
�
�
Page 12
;
�
APPENDIX A
LABORATORY ANALYTICAL DATA SHEETS
Page 13
,
Ell 11 C LABS� 1/Y V. Laboratory Report
9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 ��57375 =
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Light Microscopv
NVLAP#101926-0
I Client: ENVIRONOMICS Job#/P.O.#: 153278
� Address: 3221 N. 16TH STREET,STE 106 Date Received: 08/27/2007
PHOE1vIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 �EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HII.LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-001 RECEIVING AREA Fire Stop,Red Np Cellulose Fiber <1%
M-01 Gypsum
Cazbonates
Quartz
Binder/Filler 99%
0057375-002 RECEIVING AREA Fire Stop,Red No Cellulose Fiber <1%
M-02 Gypsum
Carbonates
Quartz
Binder/Filler 99%
0057375-003 RECEIVING AREA Fire Stop,Red TTo Cellulose Fiber 3%
M-03 Gypsum
Cazbonates
Q�
Binder/Filler 97%
0057375-004 BREAK RM 2x4 Ceiling Tile,Yellow/White No Fibrous Glass 85%
C-04 Gypsum
Binder/Filler 15%
0057375-005 BREAK RM 2x4 Ceiling Tile,Yellow/White No Fibrous Glass 85%
C-OS Gypsum
Binder/Filler 15%
0057375-006 BREAK RM 2x4 Ceiling Tile,Yellow/White No Fibrous Glass 85%
C-06 Gypsum
Binder/Filler 15°/a
0057375-007 BREAK RM LAYER 1 No
F-07 12x12 VAT,White/Gray Cazbonates
� Gypsum
Quartz
BindedFiller 100%
' LAYER 2 No Cellulose Fiber <1%
' Mastic,Yellow Gypsum
' Cazbonates
Qnart�
Binder/Filler 99%
Page 1 of 25
EMC LABS, INC. Laboratory Report
� 9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Li�ht Microscopv
� NVLAP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,STE 106 Date Received: 08/27/2007
PHOENIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HII,LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-008 SMOKING RM LAYER 1 No
F-08 AREA 12x12 VAT,White/Gray
Cazbonates
Gypsum
Quartz
Binder/Filler 100%
LAYER2 Np Cellulose Fiber 1%
Mastic,Ye(low Gypsum
Carbonates
Q�
Binder/Filler 99%
0057375-009 OFFICES IN LAYER I No
F-09 BREAK RM AREA 12x12 VAT,White/Gray
Cazbonates
Gypsum
Quartz
Binder/Filler 100%
LAYER 2 No Cellulose Fiber <1%
Mastic,Yellow Gypsum
Cazbonates
Quartz
Binder/Filler 99%
0057375-010 STORAGE RM Duct Seam Mastic,Gray No Cellulose Fiber <1%
T-10 Gypsum
Binder/Filler 99%
0057375-011 RECEIVING AREA Duct Seam Mastic,Gray No Cellulose Fiber <1%
T-11 Gypsum
Quartz
Binder/Filler 99%
0057375-012 BANK AREA Duct Seam Mastic,Gray No Cellulose Fiber <1%
T-]2 Gypsum
Q�
Binder/Filler 99%
Page 2 of 25
f
EMC LABS� 1/YV. LaboratoryReport
9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 ��57375 •
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Light Microsconv
NVLAP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,STE 106 Date Received: 08/27/2007
PHOEI�IIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HII.,LS,FL Submitted By: SHANNON ADEN
ICollected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
, Client ID Location Sample Description Detected (%) Constituents
0057375-013 BREAK RM LAYER 1 No
W-13 Cove Base,Gray Gypsum
Cazbonates
Q�
Binder/Filler 100%
LAYER 2 No Cellulose Fiber 1%
Mastic,Lt.Yellow Gypsum
Cazbonates
' Quartz
Binder/Filler 99%
LAYER 3 No Cellulose Fiber <1%
Joint Compound,Off White Cazbonates
Mica
Binder/Filler 99%
0057375-014 SMOKE RM LAYER 1 No
W-14 Cove Base,Gray Gypsum
Cazbonates
Q�
BinderlFiller 100%
LAYER2 No CelluloseFiber 1%
Mastic,Lt.Yellow Gypsum
Cazbonates
Q�
Binder/Filler 99%
LAYER3 No
Joint Compound,Off White Carbonates
Mica
Binder/Filler 100%
Page 3 of 25
EMC LABS� I/��. Laboratory Report
� 9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Li�ht Microscouv
NVLAP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16T'H STREET,STE 106 Date Received: 08/27/2007
PHOEI�IIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HII.,LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-015 MANAGER'S LAYER 1 No
W-15 OFFICES Cove Base,Gray
Gypsum
Cazbonates
Quartz
Binder/Filler ]00%
LAYER 2 No
' Mastic,Lt.Yellow Gypsum
Cazbonates
Q�
Binder/Filler 100%
0057375-016 VISION CENTER 2x2 Acoustical Ceiling Tile,White/ No Cellulose Fiber 75%
C-16 Gray Cazbonates
Perlite
BindedFiller 25%
0057375-017 COURTSEY 2x2 Acoustical Ceiling Tile,White/ No Cellulose Fiber 75%
G17 CLERK RM Gray
Cazbonates
Perlite
Binder/Filler 25%
0057375-018 PORTRAT STUDIO zx2 Acoustical Ceiling Tile,White/ No Cellulose Fiber 75%
C_�g Gray Cazbonates
Perlite
Binder/Filler 25%
0057375-019 FRONT OF STORE LAYER 1 No
W-19 (ENTRANCE) Cove Base,Black
Gypsum
Cazbonates
Quartz
BindedFiller 100%
LAYER 2 No Cellulose Fiber 2%
Mastic,Yellow Gypsum
Quaztz
Binder/Filler 98%
Page 4 of 25
EMC LABS� //Y V. Laboratory Report
9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375 �
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Li�ht Microsconv
NVLAP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,ST'E 106 Date Received: 08/27/2007
PHOENIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HII.,LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-020 FRONT OF MEN'S LAYER 1 No Cellulose Fiber <1%
W-20 RESTRM Cove Base,Black
Gypsum
Cazbonates
Q�
Binder/Filler 99%
LAYER 2 No Cellulose Fiber 3%
Mastic,Yellow Fibrous Glass <1%
Gypsum
Cazbonates
Quartz
Binder/Filler 96%
0057375-021 FRONT OF LAYER 1 No
W-21 WOMEN'S Cove Base,Black
RESTRM
Gypsum
Carbonates
Quartz
Binder/Filler 100%
LAYER2 No CelluloseFiber <1%
Mastic,Yellow Gypsum
Quartz
Binder/Filler 99%
0057375-022 FRONT OF LAYER 1 No Cellulose Fiber <1%
W-22 WOMEN'S Cove Base,Black
RESTRM
Gypsum
Cazbonates
Quartz
Binder/Filler 99%
LAYER2 jQo CelluloseFiber <1%
Mastic,Yellow Gypsum
Quartz
Binder/Filler 99°/a
Page 5 of 25
�
EMC LABS� 11 Y V. Laboratory Report
• 9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
' Bulk Asbestos Analvsis bv Polarized Lisht Microscopv
NVL,AP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16T'H STREET,STE 106 Date Received: 08/27/2007
PHOEIVIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HII.,LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-023 SOUTH EAST LAYER 1 No Cellulose Fiber <1%
F-23 ENTRANCE Texture,Off White
Cazbonates
Mica
Binder/Filler 99%
LAYER2 No
Joint Compound,Off White Carbonates
Mica
Binder/Filler 100%
LAYER 3 Np Cellulose Fiber 10%
Sheetrock,White/Brown Gypsum
Cazbonates
Mica
Binder/Filler 90%
0057375-024 VISION CENTER LAYER 1 No Cellulose Fiber <1%
F-24 Texture,Off White Cazbonates
Mica
Binder/Filler 99%
LAYER 2 Np Cellulose Fiber <1%
Joint Compound,Off White Cazbonates
Mica
Binder/Filler 99%
LAYER 3 No Cellulose Fiber ]0%
Sheetrock,White/Brown Gypsum
' Carbonates
Mica
Binder/Filler 90%
0057375-025 SW ENTRANCE LAYER 1 No Cellulose Fiber <1%
F-25 Joint Compound,Off White Carbonates
Mica
Binder/Filler 99%
LAYER 2 No Cellulose Fiber 10%
Sheetrock,White/Brown Fibrous Glass 1%
Gypsum
Carbonates
Mica
BindedFiller 89%
Page 6 of 25
EMC LABS� 1/�V. Laboratory Report
9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375 �
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Li�ht Microscopv
NVLAP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,STE 106 Date Received: 08/27/2007
PHOEI�TIX, AZ 85016 Date Analyzed: 09/04/2007
� Collected: 08/22/2007 � Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HII.,LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-026 PORTRAIT LAYER 1 No
F-26 STUDIO Texture,Off White
Cazbonates
Mica
Binder/Filler 100%
LAYER 2 No Cellulose Fiber <1%
Joint Compound,Off White Cazbonates
Mica
Binder/Filler 99%
LAYER 3 No Cellulose Fiber 10%
Sheetrock,White/Brown Fibrous Glass 1%
Gypsum
Cazbonates
Mica
Binder/Filler 89°/a
0057375-027 BANK LAYER 1 Cellulose Fiber <1°
No /o
, F_27 Texture,Off White Cazbonates
Mica
Binder/Filler 99%
LAYER2 No CelluloseFiber <1%
Joint Compound,Off White Carbonates
Mica
Binder/Filler 99%
LAYER 3 No Cellulose Fiber 10%
Sheetrock,White/Brown Gypsum
Carbonates
Mica
Binder/Filler 90%
Page 7 of 25
EMC LABS� ,IY V. Laboratory Report
9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Li�ht Microscopv
NVLAP#101926-0
' Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,ST'E 106 Date Received: 08/27/2007
PHOENIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHI'R HII.LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-028 COURTSEY DESK LAYER 1 No Cellulose Fiber <1%
F_Zg Texture,Off White Cazbonates
Mica
Binder/Filler 99%
LAYER2 No CelluloseFiber <1%
Joint Compound,Off White Carbonates
Mica
Binder/Filler 99%
LAYER 3 No Cellulose Fiber 10%
Sheetrock,White/Brown Gypsum
Cazbonates
Mica
Binder/Filler 90%
0057375-029 COURTSEY DESK LAYER 1 No Cellulose Fiber <1%
F-29 Texture,Off White Carbonates
Mica
Binder/Filler 99%
LAYER 2 No Cellulose Fiber <1%
Joint Compound,Off White Cazbonates
Mica
BindedFiller 99%
LAYER 3 No Cellulose Fiber 10%
Sheetrock,White/Brown Gypsum
Cazbonates
Mica
Binder/Fi(ler 90%
0057375-030 PORTRIAT Carpet Mastic,Clear No Synthetic Fiber 5%
F-30 STUDIO
Gypsum
Carbonates
Q�
Binder/Filler 95%
Page 8 of 25
EMC LABS, INC. Laboratory Report
9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Li�ht Microscoqv
NVI,AP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,STE 106 Date Received: 08/27/2007
PHOEI�]IX, AZ 85016 , Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HII,LS,FL Submitted B : HA
y S NNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-031 PORTRIAT Carpet Mastic,Cleaz No Synthetic Fiber 3%
'� F-31 STUDIO
IGypsum
� Cazbonates
, Quaztz
Binder/Filler 97%
0057375-032 PORTRIAT LAYER 1 No Synthetic Fiber 95%
, F-32 STUDIO Carpet,Brown/Blue
� Binder/Filler 5%
LAYER 2 j�o Synthetic Fiber 5%
Carpet Mastic,Clear Gypsum
' Cazbonates
Quartz
Bin °
der/Filler 95/0
0057375-033 NEAR O LAYER 1 No
F-33 12x12 VAT,Green
Cazbonates
Gypsum
Quartz
Binder/Filler 100%
LAYER2 No CelluloseFiber <1%
Mastic,Yellow Gypsum
Cazbonates
Quaztz
Binder/Filler 99%
0057375-034 NEAR V LAYER 1 No
F-34 12x12 VAT,Green Carbonates
Gypsum
Quartz
Binder/Filler 100%
LAYER 2 No Cellulose Fiber <1%
Mastic,Yellow Gypsum
Cazbonates
Quartz
Binder/Filler 99%
Page 9 of 25
EMC LABS� 11�V. Laboratory Report
' 9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Lisht Microscopv
NVLAP#101926-0
Client: ENVIItONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,STE 106 Date Received: 08/27/2007
PHOENIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HII,LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-035 NEAR QQ LAYER 1 No
F-35 12x12 VAT,Green Cazbonates
Gypsum
Quartz
Binder/Filler 100%
LAYER 2 No Cellulose Fiber 2%
' Mastic,Yellow Gypsum
Carbonates
Q�
Binder/Filler 98%
0057375-036 IN FRONT OF LAYER 1 No
F-36 McDONALD'S 12x12 VAT,Black/White
Carbonates
Gypsum
Q�
BindedFiller 100%
LAYER 2 j�Tp Cellulose Fiber <1%
Mastic,Yellow Gypsum
Cazbonates
Q�
Binder/Filler 99%
0057375-037 NEAR CC LAYER I No
F-37 12x12 VAT,Green Cazbonates
Gypsum
Q�
Binder/Filler 100%
LAYER 2 No Cellulose Fiber 2%
Mastic,Ye]]ow Gypsum
Carbonates
Quartz
Binder/Filler 98%
Page 10 of 25
I
EMC LABS, INC. Laboratory Report
9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375 �
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Light Microsconv
NVLAP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,ST'E 106 Date Received: 08/27/2007
PHOENIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HII.,LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
� 0057375-038 NEAR MEAT DEPT LAYER 1 No
, F-38 12x12 VAT,Black/V✓hite Cazbonates
, Gypsum
Quutz
Binder/Filler 100%
LAYER2 No
Mastic,Yellow Gypsum
Cazbonates
Quartz
Binder/Filler 100%
0057375-039 NEAR A LAYER 1 No
F-39 12x12 VAT,Black/White Carbonates
Gypsum
Quartz
BindedFiller 100%
LAYER2 No
Mastic,Yellow Gypsum
Carbonates
Quartz
BindedFiller ]00%
0057375-040 NEAR B LAYER 1 No
F-40 12x12 VAT,Black/White Cazbonates
Gypsum
Quaztz
Binder/Filler ]00%
LAYER 2 No Cellulose Fiber <1%
Mastic,Yellow Gypsum
Cazbonates
Quartz
Binder/Filler 99%
Page 11 of 25
� EMC LABSi 1/��. Laboratory Report
' 9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Light Microscopv
NVLAP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
� Address: 3221 N. 16TH STREET,STE 106 Date Received: 08/27/2007
PHOENIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HILLS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-041 NEAR H LAYER 1 No
F-41 12x12 VAT,Black/White Cazbonates
Gypsum
Quaztz
Binder/Filler 100°/a
LAYER2 r]p CelluloseFiber <1%
Mastic,Yellow Gypsum
Carbonates
Quartz
Binder/Filler 99%
0057375-042 NEAR I LAYER 1 No
' g�2 12x12 VAT,Black/White Carbonates
Gypsum
Quaztc
BindedFiller 100%
LAYER 2 No Cellulose Fiber 1%
Mastic,Yellow Gypsum
Cazbonates
Quartz
Binder/Filler 99%
0057375-043 NEAR C 12x12 VAT,White/Gray Np Cellulose Fiber <I%
F-43 Cazbonates
Gypsum
Q�
BindedFiller 99%
0057375-044 NEAR D 12x12 VAT,White/Gray No
F-44 Cazbonates
Gypsum
Quartz
BindedFiller 100%
� 0057375-045 NEAR E 12x12 VAT White/Gra No
, Y
F-45 Cazbonates
Gypsum
' Quartz
° Binder/Filler 100%
Page 12 of 25
�
EMC LABS� 1/YV. LaboratoryReport
9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375 �
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Light Microsconv
NVLAP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,STE 106 Date Received: 08/27/2007
PHOEI�TIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HII.,LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-046 NEAR F 12x12 VAT,White/Gray No Cellulose Fiber <1%
' F-46 Cazbonates
Gypsum
Q�
Binder/Filler 99%
' 0057375-047 NEAR G LAYER 1 No
F-47 12x12 VAT,White/Gray Cazbonates
Gypsum
Quartc
BindedFiller 100%
LAYER 2 No Cellulose Fiber 3%
Mastic,Dk Gray Gypsum
Cazbonates
Quartz
Binder/Filler 97%
0057375-048 NEAR N LAYER I No
g�g 12x12 VAT,V✓hite/Gray Cazbonates
Gypsum
Quartz
Binder/Filler 100%
LAYER2 No CelluloseFiber <1%
Mastic,Dk Gray Gypsum
Cazbonates
Quartz
Binder/Filler 99%
0057375-049 NEAR M LAYER 1 No
F-49 12x12 VAT,White/Gray Carbonates
Gypsum
Quartz
Binder/Filler 100%
LAYER 2 No Cellulose Fiber 3%
Mastic,Dk Gray Gypsum
Cazbonates
Quazlz
Binder/Filler 97%
Page 13 of 25
EMC LABS� 11 Y V. Laboratory Report
' 9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Li�ht Microscopv
NVLAP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,ST'E 106 Date Received: 08/27/2007
PHOENIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HILLS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-050 NEAR L LAYER 1 No
F-50 12x12 VAT,White/Gray Carbonates
Gypsum
Quartz
Binder/Filler 100%
LAYER 2 No Cellulose Fiber 3%
Mastic,Dk Gray Gypsum
Cazbonates
Quartz
Binder/Filler 97%
0057375-051 NEAR K LAYER 1 No
F-51 12x12 VAT,VJhite/Gray Cazbonates
Gypsum
Quartz
Binder/Filler 100%
LAYER 2 No Cellulose Fiber 5%
Mastic,Dk Gray Gypsum
Cazbonates
Quartz
BindedFiller 95%
0057375-052 NEAR P LAYER I No
F-52 12x12 VAT,White/Gray Cazbonates
Gypsum
Quartz
Binder/Filler 100%
LAYER 2 No Cellulose Fiber 5%
Mastic,Lt.Yellow Gypsum
Cazbonates
Quaztz
Binder/Filler 95%
' 0057375-053 NEAR Q 12x12 VAT,White/Gray No Cellulose Fiber <1%
F-53 Cazbonates
Gypsum
Quartz
BindedFiller 99%
Page 14 of 25
EMC LABS� 1/�V. LaboratoryReport
9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375 -
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Li�ht Microscopv
NVI,AP#101926-0
Client: ENVIRONONIICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,STE 106 Date Received: 08/27/2007
PHOEI�TIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HR„LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-054 NEAR R LAYER 1 No
F-54 12x12 VAT,White/Gray Carbonates
Gypsum
Quartz
, Binder/Filler 100%
LAYER 2 No Cellulose Fiber 3%
Mastic,Dk Gray Gypsum
Carbonates
Quartz
BindedFiller 97%
0057375-055 NEAR S LAYER 1 No
F-55 12x12 VAT,White/Gray Cazbonates
Gypsum
Quaztz
Binder/Filler 100%
LAYER 2 No Cellulose Fiber 3%
Mastic,Dk Gray Gypsum
Cazbonates
Quartz
Binder/Filler 97%
0057375-056 NEAR T LAYER 1 No
F-56 12x12 VAT,White/Gray Cazbonates
Gypsum
Quartz
Binder/Filler 100%
LAYER 2 No Cellulose Fiber 5%
Mastic,Dk.Gray Gypsum
Carbonates
Quartz
BindedFiller 95%
Page 15 of 25
EMC LABS� ,/Y�. Laboratory Report
9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Light Microsconv
NVL,AP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,STE 106 Date Received: 08/27/2007
PHOEI�IIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HILLS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-057 NEAR U LAYER 1 No
F-57 12x12 VAT,White/Gray Cazbonates
Gypsum
Quaztz
Binder/Filler ]00%
LAYER 2 No Cellulose Fiber 5%
Mastic,Lt.Yellow Gypsum
Cazbonates
Q�
Binder/Filler 95%
0057375-058 NEAR BB 12x12 VAT,White/Gray No Cellulose Fiber <I%
F-58 Cazbonates
Gypsum
Quartz
Binder/Filler 99%
0057375-059 NEAR AA 12x12 VAT,White/Gray No Cellulose Fiber <1%
F-59 Carbonates
Gypsum
Quartz
BindedFiller 99%
0057375-060 NEAR Z LAYER I No
F-60 12x12 VAT,White/Gray Carbonates
Gypsum
Quartz
BindedFiller 100%
LAYER 2 No Cellulose Fiber 5%
Mastic,Dk.Gray G sum
YP
Carbonates
Q�
Binder/Filler 95%
0057375-061 NEAR Y 12x12 VAT,White/Gray No Cellulose Fiber <1%
F-61 Cazbonates
Gypsum
Quartz
BindedFiller 99%
Page 16 of 25
EMC LABS� IIYV. LaboratoryReport
9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375 -
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Li�ht Microsconv
NVLAP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,ST'E 106 Date Received: 08/27/2007
PHOENIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HII.,LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-062 NEAR X LAYER 1 No
F-62 12x12 VAT,White/Gray Cazbonates
Gypsum
Quartz
BindedFiller 100%
LAYER 2 No Cellulose Fiber 5%
Mastic,Dk.Gray Gypsum
Cazbonates
Quartz
Binder/Filler 95%
0057375-063 NEAR W 12x12 VAT,White/Gray No
F-63 Carbonates
Gypsum
Quartz
Binder/Filler 100%
0057375-064 NEAR DD 12x12 VAT,White/Gray No
F-64 Carbonates
Gypsum
Quartz
Binder/Filler 100%
0057375-065 NEAR EE LAYER 1 No
F-65 12x12 VAT,White/Gray Carbonates
Gypsum
Q�
Binder/Filler 100%
LAYER 2 No Cellulose Fiber 5%
Mastic,Lt.Yellow Gypsum
Carbonates
Qua�tz
Binder/Filler 95%
0057375-066 NEAR FF 12x12 VAT,White/Gray No Cellulose Fiber <1%
F-66
Cazbonates
Gypsum
Quartz
BindedFiller 99%
Page 17 of 25
EMC LABS� 1/�V. Laboratory Report
" 9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Li�ht Microscopv
NVLAP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,STE 106 Date Received: 08/27/2007
PHOETtIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
A ress: , Su mitte By:
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-067 NEAR GG 12x12 VAT,White/Gray No
F-67 Carbonates
Gypsum
Quaztz
BindedFiller 100%
0057375-068 NEAR HH 12x12 VAT,White/Gray No Cellulose Fiber <1%
F-68 Carbonates
Gypsum
Quaztz
BindedFiller 99%
0057375-069 NEAR II LAYER 1 No
F-69 12x12 VAT,White/Gny Carbonates
Gypsum
Q�
Binder/Filler 100%
LAYER 2 No Cellulose Fiber 3%
Mastic,Lt.Yellow Gypsum
Carbonates
Quartz
Binder/Filler 97%
0057375-070 NEAR KK 12x12 VAT,White/Gray No Cellulose Fiber <1%
F-70 Cazbonates
Gypsum
Quartz
Binder/Filler 99%
0057375-071 NEAR LL 12x12 VAT,White/Gray No
F-71 Cazbonates
Gypsum
Quaztz
� Binder/Filler 100%
0057375-072 NEAR MM 12x12 VAT,White/Gray No
F-72 Cazbonates
Gypsum
Quartz
BindedFiller 100%
Page 18 of 25
�
EMC LABS� 11�V. Laboratory Report
9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375 =
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726 �
Bulk Asbestos Analvsis bv Polarized Light Microscopv
NVLAP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,ST'E 106 Date Received: 08/27/2007
PHOEI�IIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HII,LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-073 NEAR NN 12x12 VAT,White/Giay No
F-73
Carbonates
Gypsum
Quartz
BindedFiller 100%
0057375-074 NEAR 00 LAYER 1 No
F-74 12x12 VAT,White/Gray Carbonates
Gypsum
Quartz
Binder/Filler 100%
LAYER 2 No Cellulose Fiber 3%
Mastic,Dk Gray Gypsum
Carbonates
Q�
Binder/Filler 97%
0057375-075 NEAR PP 12x12 VAT,White/Gray No
F-75 Carbonates
Gypsum
Quartz
Binder/Filler 100%
0057375-076 NEAR RR 12x12 VAT,White/Gray No
F-76 Cazbonates
Gypsum
Q�
Binder/Filler 100%
0057375-077 NEAR SS LAYER 1 No
F_77 12x12 VAT,White/Gray Carbonates -
Gypsum
Quaztz
Binder/Filler 100%
LAYER 2 No Cellulose Fiber 3%
Mastic,Dk Gray Gypsum
Cazbonates
Quartz
Binder/Filler 97%
Page 19 of 25
EMC LABS� ,I��. Laboratory Report
� 9830 S.51st Street,Suite B109, Phoenix, AZ 85044 0057375
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Li�ht Microsconv
NVI,AP#101926-0
� Client: ENVIRONOMICS Job#/P.O.#: 153278
' Address: 3221 N. 16TH STREET,STE 106 Date Received: 08/27/2007
PHOEI�TIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HII.,LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-078 NEAR TT LAYER 1 No Cellulose Fiber <1%
g_�g 12x12 VAT,White/Gray Cazbonates
Gypsum
Quartz
, Binder/Filler 99%
� LAYER 2 jQp Cellulose Fiber 3%
Mastic,Dk Gray Gypsum
Cazbonates
Quartz
Binder/Filler 97%
0057375-079 NEAR UU LAYER 1 No Cellulose Fiber <I%
F-79 12x12 VAT,White/Gray Cazbonates
Gypsum
Quartz
Binder/Filler 99%
LAYER 2 No Cellulose Fiber 3%
Mastic,Dk Gray Gypsum
Carbonates
Quartz
Binder/Filler 97%
0057375-080 NEAR W 12x12 VAT,White/Gray No
F-80 Note: No Mastic Present Carbonates
Quartz
Binder/Filler 100%
0057375-081 NEAR WW LAYER 1 No
F-81 12x12 VAT,White/Gray Cazbonates
Quaztz
BindedFiller 100%
LAYER2 No Cellulose Fiber <1%
Mastic,Dk Gray Cazbonates
Q�
Binder/Filler 99%
- Page 20 of 25
EMC LABS� ,/YV. Laboratory Report
9830 S.Slst Street,Suite B109, P6oenix, AZ 85044 0057375 �
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Li�ht Microsconv
NVLAP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,STE 106 Date Received: 08/27/2007
PHOENIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HII,LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-082 NEAR XX LAYER 1 No
g_gZ 12x12 VAT,White/Gray Carbonates
Quartz
Binder/Filler 100%
LAYER 2 No Cellulose Fiber <1%
Mastic,Dk Gray Cazbonates
Quartz
Binder/Filler 99%
0057375-083 NEAR YI' LAYER 1 No
F-83 12x12 VAT,White/Gray
Cazbonates
Quartz
Binder/Filler 100%
LAYER 2 No Cellulose Fiber <I%
Mastic,Dk Gray Cazbonates
Quaztz
Binder/Filler 99%
0057375-084 NEAR ZZ LAYER 1 No
F-84 12x12 VAT,White/Gray Carbonates
Quartz
Binder/Filler 100%
LAYER 2 No Cellulose Fiber 1%
Mastic,Dk Gray Cazbonates
Quartz
Binder/Filler 99%
0057375-085 NEAR AAt1 LAYER 1 No
F-85 12x12 VAT,White/Gray Cazbonates
Quartz
Binder/Filler 100%
LAYER2 No
Mastic,Dk Gray Carbonates
BindedFiller 100%
Page 21 of 25
EMC LABS� I/�V. LaboratoryReport
' 9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Light Microscopv
NVLAP#101926-0
Client: ENVIRONONIICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,ST'E 106 Date Received: 08/27/2007
� PHOETTIX, AZ 85016 Date Analyzed: 09/04/2007
, Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HILLS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-086 NEAR BBB LAYER 1 No
F-86 12x12 VAT,White/Gray Carbonates
Quaztz
Binder/Filler 100%
LAYER 2 No Cellulose Fiber 2%
Mastic,Dk Gray Carbonates
Quaztz
Binder/Filler 98%
0057375-087 NEAR CCC LAYER 1 No
p_$� 12x12 VAT,White/Gray Carbonates
Q�
Binder/Filler 100%
LAYER 2 No Cellulose Fiber 2%
Mastic,Dk Gray Carbonates
Q�
Binder/Filler 98%
0057375-088 NEAR III LAYER 1 No
, F-88 12x12 VAT,V✓hite/Gray Carbonates
Quartz
' Binder/Filler 100%
LAYER 2 Np Cellulose Fiber 2%
Mastic,Dk Gray Cazbonates
� Quartz
Binder/Filler 98%
0057375-089 NEAR GGG LAYER 1 No
F-89 12x12 VAT,White/Gray Cazbonates
Quartz
Binder/Filler ]00%
LAYER2 No
Mastic,Dk Gray Cazbonates
Quartc
Binder/Filler ]00%
I
, Page 22 of 25
il
� A�
EMC LABS� ,IYV■ LaboratoryReport
9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375 •
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Li�ht Microscoqv
NVLAP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,STE 106 Date Received: 08/27/2007
PHOEI�IIX, AZ 85016 _ Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HII.,LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-090 NEAR FFF LAYER 1 No
F-90 12x12 VAT,White/Gray Carbonates
Quartz
Binder/Filler 100%
LAYER 2 No Cellulose Fiber <1%
Mastic,Dk Gray Carbonates
Quartz
Binder/Filler 99%
0057375-091 NEAR EEE LAYER 1 No
F-91 12x12 VAT,White/Gray Cazbonates
Quartz
Binder/Filler 100%
LAYER2 jJo CelluloseFiber <I%
Mastic,Dk Gray Carbonates
Quaztz
Binder/Filler 99%
0057375-092 NEAR DDD LAYER 1 Na •
g_9z 12x12 VAT,White/Gray Carbonates
Quartz
Binder/Filler 100%
LAYER2 No
Mastic,Dk Gray Cazbonates
Quaztz
Binder/Filler 100%
0057375-093 NEAR JJJ LAYER 1 No
F-93 12x12 VAT,White/Gray Cazbonates
Quartz
Binder/Filler ]00%
LAYER2 No
Mastic,Dk Gray Carbonates
Quartz
Binder/Filler 100%
Page 23 of 25
EMC LABS� 11 Y�/. Laboratory Report
' 9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375
Phone: 500-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Li�ht Microsconv
NVLAP#101926-0
Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,STE 106 Date Received: 08/27/2007
PHOENU{, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHI'R HII,LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-094 NEAR KK LAYER 1 No
F-94 12x12 VAT,White/Gray Carbonates
Q�
Binder/Filler 100%
LAYER 2 No
Mastic,Dk Gray Cazbonates
Q�
Binder/Filler 100%
0057375-095 NEAR LLL LAYER 1 No
F-95 12x12 VAT,White!Gray Carbonates
Q�
BindedFiller 100%
LAYER2 No
Mastic,Dk Gray Carbonates
Q�
Binder/Filler 100%
0057375-096 NEAR MMM LAYER 1 No
F-96 12x12 VAT,White/Gray Cazbonates
Q�
Binder/Filler 100%
LAYER2 No
Mastic,Dk Gray Cazbonates
Q�
Binder/Filler 100%
0057375-097 NEAR SECURITY LAYER 1 No
F-97 OFFICE 12x12 VAT,White/Gray
Cazbonates
Quartz
Binder/Filler 100%
LAYER 2 No Cellulose Fiber <1%
Mastic,Dk Gray Cazbonates
Quartz
Binder/Filler 99%
Page 24 of 25
EMC LABS� 11 Y V. Laboratory Report
9830 S.Slst Street,Suite B109, Phoenix, AZ 85044 0057375 �
Phone: 800-362-3373 or 480-940-5294-Fax:(480)893-1726
Bulk Asbestos Analvsis bv Polarized Li�ht Microscopv
NVLAP#101926-0
!I Client: ENVIRONOMICS Job#/P.O.#: 153278
Address: 3221 N. 16TH STREET,ST'E 106 Date Received: 08/27/2007
I PHOEIVIX, AZ 85016 Date Analyzed: 09/04/2007
Collected: 08/22/2007 Date Reported: 09/04/2007
Project Name/ WAL-MART#706 EPA Method: EPA 600/M4-82-020
Address: ZEPHYR HII_,LS,FL Submitted By: SHANNON ADEN
Collected By: Customer
Lab ID Sample Layer Name/ Asbestos Asbestos Type Non-Asbestos
Client ID Location Sample Description Detected (%) Constituents
0057375-098 BANK Famc Wood Sheet Floor,Lt.Brown/ No
F-98 Brown
Cazbonates
Quartz
Binder/Filler 100%
0057375-099 BANK Faux Wood Sheet Floor,Lt.Brown/ No
F-99 Brown
Cazbonates
Quartz
Binder/Filler 100%
0057375-100 BANK Fawc Wood Sheet Floor,Lt.Brown/ No
F-100 Brown
Carbonates
Q�
BindedFiller 100%
.
Analyst- Paul Hofer Signatory-Lab Director-Kurt Kettler
Distinctlystratlfied,eas0y separable layera of semples ere aneyzed as su6samples of the whoie and ere repoAed separately lor each discemable layer.AII anelyses are derived from catibreted visuai esFlmate and measured
in weight percent untess ottierwise nated.The report applies to the standards or pracedures idenofied end to the aemple(s)tested.The test resul�ere not necessarily indicated or representative of the quaiities ofthe tot
from which ttie semple was taken or of apparentlytden6cal or similar producb,nor do Uey represent en ongoing quetity essurance program unless so noted.These repofb ere for ihe exdusNe use of Me eddressed client end
Mat theywi0 not be reproduced wholiy or in part for edvertising or athx purposes over our signaNre or in wnnectlon with our name without spedal wrilten permission.The report shall not be reproduced excepl in tull,
without written approval by our laboretary.The semples not destroyed in testing ere retained a mazimum of thirty deys.The laboratory measurement of uncertafnry for the test method is approximately<7%byweight
AccredRed by the Nadonal InstiWte of Standards and Technology,Voluntary Leboralory Accredrtation Program for selected test method lor esbestas.7he accredtation or eny reports genereted by this IeboreMry in no way
constitutes or implies product certficatlon,epproval,or endorsement bythe Natlonel Instilute af Standards end Technoiogy.The report must not be used by any entiry to claim product endorsement by NVLAP or any agency
of the U.S.Govemment Polarized Light Miaoscopy mey not be consistently refiable in detecting esbestos in floor caverings and simlar non-friable organically bound materials.
I
I
Page 25 of 25
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APPENDIX C
SAMPLE LOCATION DRAWINGS
Page 15
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� Sample Locations
���y-�p^ SITE: Date:10/4/07
1 i��s Wal-Mart Store#706
1st Floor Projectlt 153278
7600 N.16th St.Suite 110 Zephyrhills,FL
Phoenix,Arizona 85020 scaie: N.T.S
-- ��
C���>yi,_ �.��
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14
-^al.�•'`-��' ^`�6�.
' � _
City of Zephyrhills �
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: (�(�����'�D�Q'l�
Date Received: 2�"� 7-1 �'
Site: '1(v 3 � ��-C j �l v�
Permit Type: �.P.v✓IOG�� r�n��4p r �r���� �
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
���9u�,, ' M�R 1 � 2014
Kalvin Switzer—Plans Examiner Date Contractor and/or Homeowner '
(Required when comments are present)
i
Jacqueline Boges
From: Jacqueline Boges
Sent: Thursday, May 22, 2014 9:47 AM
To: 'Michelle Duque'
Subject: RE: Permit Pick up Question-disregard previous email use this one.
' ut that lookin at the wron amount.A ain
Sorr disre ard revious email the total amount due is$4,057.50 sor abo g g g
Y g P ry
no permit number issued until paid.
Thank ou Michelle.
Y
Jackie Boges- SCSS
813-780-0020 ext 3513
Faith makes things possible...Love makes all things easy
Dwight L. Moody
From: Michelle Duque [mailto:mduque@caldevelopment.com]
Sent:Thursday, May 22, 2014 9:18 AM
To: ]acqueline Boges
Subject: RE: Permit Pick up Question
She says she just sent it over.
Thanks0
.�licl�ielle Duque
Project Coordinator
� �
„ `,�.., _ .
�-.�: :��� , -,��.-.t
7712 East Broadway Avenue
Tampa, FL 33619
Mobile: (813) 401-0945
Office: (813) 262-9893
Fax: (813) 622-8978
Toll Free: 1-855-CAL-DEV1
www.caldevelopment.com
� Think Green!P/ease do not print this e-mail unless necessary.
From:Jacqueline Boges fmailto:ibo�es@ci.zephvrhills.fl.us]
Sent:Thursday, May 22,2014 8:09 AM
To: Michelle Duque
Subject: RE: Permit Pick up Question
I got it. If you could touch base with the plumber I faxed application to them yesterday have not received back, if you
would just let them know that I do need that back with signature. Once I get that back I should be good with finishing up
the permit and have the cost for you before the end of the day.
1
Thank you
Jackie Boges- SCSS
813-780-0020 ext 3513
, Faith makes things possible...Love makes all things easy
Dwight L. Moody
From: Michelle Duque [mailto:md�ue@caldevelopment.coml
Sent: Wednesday, May 21, 2014 4:46 PM
To: ]acqueline Boges
Subject: RE: Permit Pick up Question
Jackie,it was just faxed to you. Let me know if you did not get it. Thank you
Sent from my T-Mobile 4G LTE Device
-------= Original message--------
From: Jacqueline Boges
Date:05/21/2014 3:57 PM (GMT-05:00)
To: Michelle Duque
Subject: RE: Permit Pick up Question
HEY CAN YOU SEND ME THE PERMIT APPLICATION WITH SIGNATURE ?
From: Michelle Duque fmailto:mduqueCa�caldevelopment.com]
Sent: Wednesday, May 21, 2014 3:11 PM
To: )acqueline Boges
Cc: Paul Foley
Subject: RE: Permit Pick up Question
I know we are doing the remodel. What is the new construction? That may be ours too.... Also, I talked to
the plumbing company....she said they sent their registration this morning. (SPS or Smith Plumbing Services)
That should complete all registrations.
2
.�licl�ielle Duque
Project Coordinator
� �
�
, . .. �_ , . -_.. :�uAc-.
7712 East Broadway Avenue
Tampa, FL 33619
Mobile: (813) 401-0945
Office: (813) 262-9893
Fax: (813) 622-8978
I Toll Free: 1-855-CAL-DEV1 �
www.caldevelopment.com ,
�Think Green! P/ease do not print this e-mail unless necessary.
From: Jacqueline Boges [mailto jbo�s(c�ci.zephvrhills.fl.us]
Sent: Wednesday, May 21, 2014 3:09 PM
To: Michelle Duque
Subject: FW: Permit Pick up Question
From: Jacqueline Boges
Sent: Wednesday, May 21, 2014 3:08 PM
To: Jacqueline Boges
Subject: RE: Permit Pick up Question
Hey Michelle,
The Walmart job your company will be over is this the remodel or the new construct?
3
�
From: Jacqueline Boges
Sent: Wednesday, May 21, 2014 10:27 AM
To: 'Michelle Duque'
Subject: RE: Permit Pick up Question
I
Hello Michelle,
Yes you may email the application back with gc signature I do not need hard copy will attach fax with my hard
copy not a problem. I have not figured up fees was waiting for contractor and subs before could work up permit
will work up and get you fee amount due. We take payment in form of cash or check.
Jackie Boges- SCSS
813-780-0020 ext 3513
Faith makes things possible...Love makes all things easy
Dwight L. Moody
From: Michelle Duque [mailto:mduqueCa�caldevelopment.com]
Sent: Wednesday, May 21, 2014 10:22 AM
To: Jacqueline Boges
Subject: Permit Pick up Question
Hi Jackie,
I spoke with you yesterday regarding the Walmart remodel project at 7631 Gall Blvd. We established all subs
have been registered other than Plumbing (which they are currently working on getting over to you if they
haven't already). You sent me the permit application to be signed. Can I email that back to you and send the
hardcopy and NOC with the project manager when he comes down to pick up the permit? He will be coming
from Jacksonville FL to pick it up so I need to make sure there will be no other issues holding him up from
picking up the permit. How do we go about paying the fees? If he needs to bring a check, can you please let
me know how much it needs to be written for? If there's anything else you can think of that I am not thinking
of please let me know so he doesn't make a trip down there to come back empty handed.
4
Thanks for your help0
.r'�liclielle Duque
Project Coordinator
� I
�
�� �_,�._.._ . ...,"..: .
_ _e.�. �2
7712 East Broadway Avenue
Tampa, FL 33619
Mobile: (813) 401-0945
Office: (813) 262-9893
Fax: (813) 622-8978
Toll Free: 1-855-CAL-DEV1
www.cal d evelopment.com
� Think Green!P/ease do not print fhis e-mail unless necessary.
5
L�_ _
� ��
I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII II�II IIIII IIIII IIII IIII
2014101727
. Rcpt:1612281 Rec: 10.00 '
DS: 0.00 IT: 0.00
06/25/14 K. Garcia, Dpty Clerk
I
NOTICE OF COMMENCEMENT
pRULR S 0'NEIL,Ph D PASCO CLERK & COMPTROLLEh
PermitNo. 06/25/14 ���� 1PG� 2���
� OR BK
' Property Identification No. ����LS 21 O'1 �O O 0 6�l� O p � d
THE LINDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT
l Descriptionofproperty(legaldescriptio»:) Walmart 706 See Attched Legal Description
a)StreetAddress: 7631 Gall Blvd. , Zephyrhills, FL 33541
2.General description of improvements:
emo e
3.Owner Information
a)Nameandaddress: Walmart NON-REBT Properties 2001 S.E.lOth St,Bentonville, AR
b)Name and address of fee simple titleholder(if other than owner) s ame 7 2 716 _
c)Interestin property Owne r -- -
4 Contractor Information
a)Nameandaddress: Cal Dev,Inc. 98 SE 7th St, Deerfield BeaCh, FL 33441
b)TelephoneNo.• 954-564-0655 Fa�cNo.(Opt.)
5.Surety Information
a)Name and address: N/A
b)Amount of Band:
c)Telephone No. Fax No.(Opt.)
6.Lender
�� a)Name and address: N/A _
Phone No.
7 Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a)Nameandaddress: Dwiqht Ganoe, Jr (Store Mgr)c 7631 Gall Blvd, ZeAhyrhills, FL
b)Telephone No. _g 13-7 8 2-19 5 7 Fax No.(Opt.) ��S 4�
8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713 13(1)(b),Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
Specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF C MMENCEM T.
��.
STATE OF FLORIDA ��
COUNTY OF PASCO '�t1�
�° ' na of O er r O n c' A thorized O erlDirector/PartnedM ager
� �
nn[Name
The foregoing instrument was aclrno�vledged before me this /5 day of �'j7,,� ,20 /�,by ii�} �Ot�
as C�dtkl�t.� Kav�aaa/ (type of authority,e.g.officer,irustee, ttomey
in fact)for �\,�„tirk $}odes (oa,e (name of party on behalf of whom instrument was executed).
Personally Known � OR Produced Identification_ Notary Signature �N.nwa�.
,',����,�������ril�
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' ��I'�tpe�af,Identification Produced Name(print) ,�p56QW BA�AwI
-,:',... _` -y t,j ��, ..
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�' �y��' � Veri�catiori{�ursuant to Section 92.525,Florida Statutes.Under penalties ofperjury,I declare that I have read the foregoing and that
_ . _ - `4��/;(��,�ttyz facts state3 in it are hve to the best of my knowledge and belief.
. =i .��•o eb �(J7 - . �/
[l..7 ! �,�, e`=7 � SignaNre of Natura P n Si mn A ove
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