Document 06REKZb9wgn3kXMBj8d34001m

TEXAS DEPARTMENT OF HEALTH DEMOLITION / RENOVATION NOTIFICATION FORM *StE: CIRCLE ITEMS THAT ARE AMENDED NOTIFICATION#. Abatement Contractor: NA Address: NA__________ Office Phone Number: _ NA Site Supervisor: NA Site Supervisor: NA Trained On-Site NESHAP Individual: . License No.: _NA_ City: NA _____ State: NA Zip: NA Job Site Phone Number:/ 1 N/A ________ TDH License Number: NA TDH License Number: NA________ N/A . Certification Date: N/A Demolition Contractor: Robles & Sons, Inc. . Office Phone Number: 915 591-2600 Address: 9207 Montana. Suite B . Citv: El Paso . State: TX Zin: 79925 2) Project Consultant or Operator: NA Mailing address: NA________ City. NA________ State: NA Zip: NA TDH License Number: . Office Phone Number:. NA NA For Office Use Only DTAHPA DNESHAP D T DH O L VIOLATION DYES DNO RCVD / / POSTMARK 3) Facility- Owner: ASARCO Inc. Attention: Peppy Munsell Mailing Address: P.O. Bov 1111 Citv: El Paso____________________ State: TX Zip: 79999 Owner Phone Number: (9151541-1800 4) Description or Facility Name:ASARCO Inc. Physical Address: 2301 VV. Paisano Rd_______ . Countv: El Paso City: El PasoZip: 79922 . Facility Phone Number: I 915 1541-1800 Facility Contact Person: Peppy Munsell or Grep Parham Description of Area/Room Number: Zinc Baghouse Prior Use: Zinc Baphouse__________________ Future Use: None Age of Building: 57vrs. Size: 392.832 cu. ft. Number of Floors: one School (K-12): YES [x]NO 5) Type of Work: [x] Demolition | ] Renovation (Abatement) Annual Consolidated Work will be during: [x] Day Evening Night Phased Project Description of work Schedule: Monday- Friday 7:00 to 5:00 p.m. Occasional Saturday. 6) Is this a Public Building? YES [x] NO Federal Facility? YES [x] NO Industrial Site? [xj YES NO NESHAP-Only Facility? [x] YES NO Is building /Facility Occupied? YES [x] NO 7) Notification Type CHECK ONLY ONE [x] Original (10 Working Days) Cancellation Amendment Emergency/Ordered If this is an amendment, which amendment number is this? N/A (ENCLOSE COPY OF ORIGINAL) If an emergency, who did you talk with at TDH? N/Ai Emergency# N/A Date and Hour of Emergency (HH/MM/DD/YY1 N/A Description of the sudden, unexpected even explanation of how the event caused unsafe conditions or would cause equipment damage (computers,machinery, etc.1: N/A 8) Description of procedures to be followed in the event that unexpected asbestos is found or previously non-friable asbestos material becomes crumbled, pulverized, or reduced to powder: Affected area will be immediately restricted with barrier tapes, signs and material wetted, if applicable. Consultant will he contacted and arrangements made for abatement. Local authorities to he contacted. ' 9) Was an Asbestos survey performed? [xj YES NO Date: 5/1997________ TDH Inspector License No: NA Analytical Method: [x] PLM TEM Assumed TDH Laboratory License No: 30-0011 (For TAHPA (public building) projects: an assumption must be made by a TDH Licensed Inspector) 10) Description ofplanned demolition or renovation work, type of material, and method(s) to be used: Demolition of a concrete baphouse. Crane with wrecking bar & excavator with hydraulic hammer will be utilized. 11) Description ofwork practices and engineering controls to be used to prevent emissions ofasbestos at the demolition'renovation site: No asbestos present.____________________________ __________________________________________________________ 12) A! L applicable items in (lie following; table must be completed: IF NO ASBESTOS PRESENT CHECK HERE [\1 -t Approximate amount of Asbestos Check unit of measurement i Asbestos-Containing Material Type RACM to be removed RACM NOT removed Pipes N/A N/A Surface Area N/A N/A Ln l.n so so Cu CuM Ft M Ft M Ft IP A&yjk fpiijf Interior Category 1 non-friable removed N/A N'A fff; Exterior Category 1 non-friable removed Category 1 non-friable NOT removed N'A N/A N/A N/A "A., s. Interior Category II non-friable removed Exterior Category 11 non-friable removed Category 11 non-friable NOT removed N/A N/A N/A N/A ' N/A N/A M ftp?, h (0 RACM Off-Facility Component N/A N/A V<:.. 13) Waste Transporter Name: NATDH License No: NA_______________________________________________ Address: NACity: NAState: NA Zip: A/ft Contact Person: NAPhone Number:_________________________________________ NA 14) Waste Disposal Site Name: NA Address: NACity:NA State: NA Zip: Telephone:NATNRCC Permit Number:NA NA 15) For structurally unsound facilities, attach a copy of demolition order and identify Governmental Official below: Name:N/ARegistration No: N/A Title: N'A;I Date of order (\1M. DD YY) N/A _______ Date order to begin (MM'DD/YY) N/A ' 16) Scheduled Dates of Asbestos Abatement (MM.'DD 'YY) Start: 05/30/2000 Complete: 06/23/2000 17) Scheduled Dates Demolition Renovation (MM. DD YY) Stan: N/A________ Complete: N/A Note: If the start date on this notification can not be met, the TDH Regional or Local Program office Must be contracted by phone prior to the start date. Failure to do so is a violation in accordance to TAHPA, Section 295.61.** I hereby certify that all information I have provided is correct, complete, and true to the best of my knowledge. I acknowledge that I am responsible for all aspects of the notification form, including, but not limiting, content and submission dates. The maximum penalty is $10,000 per day per violation. Pepgv Munsell 05/12/2000 / 915) 521-3640 (Signature-bf Building Owner/ Operator or Delegated Consultant/Contractor) (Printed Name) (Date) (Telephone) -gl51i.4JLdl.8M. (Fax Number) MAIL TO: ASBESTOS NOTIFICATION SECTION TOXIC SUBSTANCE CONTROL DIVISION TEXAS DEPARTMENT OF HEALTH EXCHANGE BUILDING. SUITE N320 8407 WALL STREET AUSTIN, TX 78754 f\users\peggy\asbestos\revcont.wpd 'Faxes are not accepted* PH: 512-834-6600,1-800-572-5548 `Faxes are not accepted* f\userslpeggy\asbestos\zincbh\wp1 Form APB#-5, dated 12/08/98. Replaces TDH form dated 09/15/97. For assistance in completing form, call 1-800-572-5548 ASARCO ELP 0014.045 i ' %. I United States Postal Servi st-Class~Ma;t------ ' ;tage'STees-Paid SPS ------ --------- .. .PermitTto-e-iQ__- | Sender: Please print-^ouf_R9me, address, and ZIP4JnJhiS'box-* ASARCO IMCORPGiWiid EL PASO PLAi'fT P.O. BOX 1111 EL PASO, TEXAS 79999-1111 33'3'S/ LLVL Uedfe - lliiillilntlllilllillllillllllllillliilliiilliillll ASARCO ELP 0014.046 <.~V- \ S SENDER: COMPLETE THIS SECTION Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. Print your name and address on the reverse so that we can return the card to you. Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: COMPLETE THIS SECTION ON DELIVERY A. Received by (Please Print Clearly) B. Date of Delivery X Agent * AST* ^ Addressee D. Is delivo&a&Jress different from item 1? Ves If YES/|mer deHyery address^low: No A7Z>X/C. 'l/b&hcsr-Ul Cs/>l AW 'V T&rf .I,. jf\cuj.ln T* 7>rV 3. Service Type Q'dertified Mail D Registered Insured Mail Express Mail Return Receipt for Merchandise C.O.D. 4. Restricted Delivery? (Extra Fee) Yes Ss 2. Article Number (Copy from service label) _ _ ^z. /<T7 <2^3 __________________________________________ PS Form 3811, July 1999 ' Domestic Return Receipt 102595*99-M*17B9 h ASARCO ELP 001404.7 For Office Use Only DTAHPA DNHSHAP D T DH O L VIOLATION DYES DNO RCVD / / POSTMARK t ni> i j*iiui i i V I a i_>yv Li 1 11 utiviut/l I IU1N / KbINU VAI ION NOTIFICATION FORM NOTE: CIRCLE ITEMS THAT ARE AMENDED NOTIFICATION#________________ TJD,H I) Abatement Contractor: NALicense No.: NA Address: NA City: NAState: NA Zip: NA Office Phone Number:IAJob Site Phone Number:/ 1 N/A Site Supervisor: NA TDH License Number: NA Site Supervisor: NA TDH License Number: NA Trained On-Site NESHAP individual: N/ACertification Date: N/A Demolition Contractor: Robles & Sons. Inc.Office Phone Number: 91S 591-2600 Address: 9207 Montana. Suite BCitv: El PasoState: TX Zip: 79925- 2) Project Consultant or Operator: NA TDH License Number:NA Mailing address: NA City': NAState: NA Zip: NA_____________________ Office Phone Number:NA _____________________ 3) Facility Owner: ASARCO Inc.. Attention: Peppy Munsell Mailing Address: P.O. Box 1111 Citv: El Paso State: TX Zip: 79999 Owner Phone Number: (915 1541-1800 4) Description or Facility Name:ASARCO Inc. Physical Address: 2301 W, Paisano RdCounty: El Paso City: El PasoZip: 79922 Facility Phone Number: ( 915 ) 541-1800 Facility Contact Person: Pegi>v Munsell or Greg Parham Description of Area/Room Number: Conner Wedge Roaster Buildinp Prior Use: Copper Wedpe Roaster Buildinp Future Use: None Age of Building: 68 Size: 36.000 sq. ft. Number of Floors:7 School (K-12): YES [x]NO 5) Type of Work: [x] Demolition | ] Renovation (Abatement) Annual Consolidated Work will be during: [x] Day Evening Night Phased Project Description of work Schedule: Monday- Friday 7:00 to 5:00 p.m. Occasional Saturday. 6) Is this a Public Building? YES [x] NO Federal Facility? YES [xj NO Industrial Site? [x] YES NO NESHAP-Only Facility? [x] YES NO Is building /Facility Occupied? YES [x] NO 7) Notification Type CHECK ONLY ONE [x] Original (10 Working Days) [ j Cancellation [] Amendment [] Emergency/Ordered if this is an amendment, which amendment number is this? NA (ENCLOSE COPY OF ORIGINAL) If an emergency, who did you talk with at TDH? N/A__________________ F.mergencv# N/A Date and Hour of Emergency (HH/MM/DD/YY) N/A Description ofthe sudden, unexpected even explanation ofhow the event caused unsafe conditions or would cause equipment damage (computers,machinery, etc.): N/A 8) Description of procedures to be followed in the event that unexpected asbestos is found or previously non-ffiable asbestos material becomes crumbled, pulverized, or reduced to powder: Affected area will he immediately restricted with barrier tanes. signs and material wetted, if applicable. Consultant will he contacted and arrangements made for abatement. Local authorities to be contacted. 9) Was an Asbestos survey performed? [x] YES NO Date: 2/4/1997________ TDH Inspector License No: NA Analytical Method: [x] PLM TEM Assumed TDH Laboratory License No: 30-0011 (For TAHPA (public building) projects: an assumption must be made by a TDH Licensed Inspector) 10) Description ofplanned demolition or renovation work, type ofmaterial, and method(s) to be used: Demolition of a Conner Wedpe Roaster Facility (steel structures, foundations, hnnners. flues, etc.). Crane with wrecking bar & excavator with hydraulic hammer will he utilized. 11) Description of work practices and engineering controls to be used to prevent emissions ofasbestos at the demolition/renovation site: No asbestos present.______________________________________________ ASARCO ELP 0014048 12) ALL applicable ilems in the following table must be completed: IF NO ASBESTOS PRESENT CHECK HERE fxl Asbestos-Containing Material Type RACM to be removed RACM NOT removed Interior Category I non-friable removed Approximate amount of Asbestos Pipes N/A N/A N/A Surface Area N/A N/A N/A Check unit of measurement Ln Ln SO SQ Cu Cu M Ft M Ft M Ft tin - Exterior Category I non-friable removed Category I non-friable NOT removed Interior Category 11 non-friable removed Exterior Category II non-friable removed N/A N/A N/A N/A N/A N/A N/A N/A OW4.}/ /'^'y v'Sw.;' y: .* Category II non-friable NOT removed RACM Off-Facility Component N/A N/A N/A N/A .V>i 12) Waste Transporter Name: Union Pacific RailroadTDH License No: NA________________________________________________ Address: 210 North 13th StreetCity: St. LouisState: MO Zip: 63103 Contact Person: Cv GrvenlohPhone Number: 800 243-5416 14) Waste Disposal Site Name: Waste Control .Specialists Address: 9998 W.Hwv 176City:Andrews State: NM Zip: "9" 14 Telephone: 505 394-4300TNRCC Permit Number:50358 15) For structurally unsound facilities, attach a copy of demolition order and identify Governmental Official below: Name:N/ARegistration No: N/A Title: N/A Date of order (MM/DD'YY) N/A /_______ Date order to begin (MM/DD/YY) N/A / 16) Scheduled Dates of Asbestos Abatement (MM/DD/YY) Start: NA__________ Complete: NA 17) Scheduled Dates Demolition/Renovation (MM/DD/YY) Start: 06/20/2000_________ Complete: 7/21/2000 *" Note: If the start date on this notification can not be met, the TDH Regional or Local Program office Must be contracted by phone prior to the start date. Failure to do so is a violation in accordance to TAHPA, Section 295.61.** I hereby certify that all information I have provided is correct, complete, and true to the best of my knowledge. I acknowledge that I am responsible for all aspects of the notification form, including, but not limiting, content and submission dates. The maximum penalty is $10,000 per day per violation. F&sjrfi _____ Peppy Munsell06/01/2000(915)521-3640 (Signatfffe'of Building Owner/ Operator (Printed Name) (Date) (Telephone) or Delegated Consultant/Contractor) 915) 541-1866 (Fax Number) MAIL TO- ASBESTOS NOTIFICATION SECTION TOXIC SUBSTANCE CONTROL DIVISION TEXAS DEPARTMENT OF HEALTH EXCHANGE BUILDING, SUITE N320 8407 WALL STREET AUSTIN. TX 78754 f\users\peggy\asbestos\revcont.wpd Faxes are not accepted* PH: 512-834-6600,1-800-572-5548 'Faxes are not accepted* ftusers\peggy\asbestos\wedge\wp1 Form APB#-5, dated 12/08/98. Replaces TDH form dated 09/15/97. For assistance in completing form, call 1-800-572-5548 / ASARCO ELP 001404-9 * United States Postal Service.^' ' '** / a P PH *-\ Iru c ! ^EjrsPCtassMafl Postage&PeeSTBIff -- JJSPS - -- ' 'Permit No.6-10- ' Sender: Please print yoDrt&rte^address, antfZIP'Mf'ih this-boxi-- araroo mconpQ7:;jzD EL PASO PLAtfT P.O. BOX 1111 , EL PASO, TEXAS 7S8S9-" ASARCO ELP 0014-050 t s I SENDER: COMPLETE THIS SECTION Complete itemsJjAbuadJ. Also complete Item 4 if RestricJ$d.QeUvety is desired. Print your name, and.address on the reverse so that we can rgturrUhacard to you. Attach this cardlQ.tha back of hie mailpiece, or on the front ifspace permits?" 1. Article Addressed to: foteUs, -JdXt'C 0 C-rrJn* COMPLETE THIS SECTION ON DELIVERY A. Received by (P/ease Print Clearly) Ife tlatetof Delivery h <53 LA 0. is delivery address different from Item 1? If YES, enter delivery address below: Ager* Addressee Yes No < fttfol .. . . UJslU 77 ~7e-75y Mao 3. Serv^pe Type DS'^ertified Mail Registered Insured Mail Express Mail Return Receipt for Merchandise C.O.D. 4. Restricted Delivery? (Extra Fee) Yes 2. Article Number (Copy from service label) ________ g i.r7 PS Form 3811, July 1999 __________________________________________ Domestic Return Receipt i02S95-99-M-17e9 ASARCO ELP OO14051 For Office Use Only C3TAHPA DNESHAP D T DH D L VIOLATION DYES DNO RCVD / / POSTMARK . TEXAS DEPARTMENT OF HEALTH DEMOLITION / RENOVATION NOTIFICATION FORM " NOTE: CIRCLE ITEMS THAT ARE AMENDED NOTIFICATION#________________________ Abatement Contractor: NA TDH RIM License No.: NA Address: NA Citv: NA State: NA Zb: NA Office Phone Number: NA Job Site Phone Number:/ ) N/A Site Supervisor: NA TDH License Number: NA Site Supervisor: NA TDH License Number: NA Trained On-Site NESHAP Individual: N/A Certification Date: N/A Demolition Contractor: Robles & Sons. Inc.Office Phone Number: 915 591-2600 Address: 9207 Montana. Suite BCitv: El PasoState: TX Zip: 79925 2) Project Consultant or Operator: NATDH License Number:NA Mailing address: NA_____________________________________________________________________________ City: NAState: NA Zip: NA_____________________ Office Phone Number:NA 3) Facility Owner: ASARCO Inc.____________________________________________________________________ Attention: Peggy Munsell_________________________________________________________________________ Mailing Address: P.O. Box till_________________________________________________________________ Citv: El Paso State: TX Zip: 79999 Owner Phone Number: 19151541-1800 4) Description or Facility Name:ASARCO Inc. Physical Address: 2301 W. Paisano RdCounty: El Paso City: El PasoZip: 79922 Facility Phone Number: ( 9151 541-1800___________________________ __ Facility Contact Person: Peggy Munsell or Greg Parham________________________________________ Description of Area/Room Number: Copper Wedge Roaster Building Prior Use: Copper Wedge Roaster Building Future Use: None Age of Building: 68 Size: 36.000 sq. ft. Number of Floors:7 School (K-12): YES [x]NO 5) Type of Work: [x] Demolition | ] Renovation (Abatement) Annual Consolidated Work will be during: [x] Day Evening Night Phased Project Description of work Schedule: Monday- Friday 7:00 to 5:00 p.m. Occasional Saturday.___________ 6) Is this a Public Building? YES [x] NO Federal Facility? YES [x] NO Industrial Site? [x] YES NO NESHAP-Only Facility? [x] YES DNO Is building /Facility Occupied? YES [x] NO 7) Notification Type CHECK ONLY ONE [] Original (10 Working Days) [] Cancellation [X ] Amendment [] Emergency/Ordered If this is an amendment, which amendment number is thisf _J___ (^NCLOSE COPY OF ORIGINAL) If an emergency, who did you talk with at TDH? _____________ Emergency# N/A Date and Hour of Emergency (HH/MM/DD/YY) N/A Description ofthe sudden, unexpected even explanation ofhow the event caused unsafe conditions or would cause equipment damage (computers,machinery, etc.): N/A 8) Description of procedures to be followed in the event that unexpected asbestos is found or previously non-friable asbestos material becomes crumbled, pulverized, or reduced to powder: Affected area will he immediately restricted with barrier tapes, signs and material wetted, if applicable. Consultant will be contacted and arrangements made for abatement. Local authorities to be contacted. 9) Was an Asbestos survey performed? [x] YES NO Date: 2/4/1997________ TDH Inspector License No: NA Analytical Method: [x] PLM TEM Assumed TDH Laboratory License No: 30-0011 (For TAHPA (public building) projects: an assumption must be made by a TDH Licensed Inspector) 10) Description ofplanned demolition or renovation work, type ofmaterial, and method(s) to be used: Demolition of a Copper Wedge Roaster Facility fsteel structures, foundations, hoppers, flues, etc.). Crane with wrecking bar & excavator with hydraulic hammer will be utilized. 11) Description ofwork practices and engineering controls to be used to prevent emissions ofasbestos at the demolition/renovation site: No asbestos present.___________________________________ CSA/I //)-/o 0<tr\ Jzo/0 ASARCO EL P 0014.052 12) ALL applicable items in the following table must be completed: IF NO ASBESTOS PRESENT CHECK HERE [xl Approximate amount of Asbestos Check unit of measurement Asbestos-Containing Material Type Pipes Surface Area Ln Ln SQ SQ Cu Cu M Ft M Ft M Ft RACM to be removed N/A N/A RACM NOT removed N/A N/A Interior Category 1 non-friable removed N/A N/A Exterior Category I non-friable removed N/A N/A Category I non-friable NOT removed N/A N/A Interior Category II non-ffiable removed N/A - N/A- Exterior Category II non-friable removed N/A N/A Category II non-friable NOT removed RACM Off-Facility Component N/A N/A N/A n/a Wm 13) Waste Transporter Name: Union Pacific RailroadTDH License No: NA________________________________________________ Address: 210 North 13th StreetCity: St. LouisState: MO Zip: 63103 Contact Person: Cv GrvenlohPhone Number: 800 243-S416 14) Waste Disposal Site Name: Waste Control Specialists Address: 9998 W.Hwv 176City:________________________________ Andrews State: NM Zip: 79714 Telephone: 505 394-4300TNRCC Permit Number:50358 15) For structurally unsound facilities, attach a copy of demolition order and identify Governmental Official below: Name:N/ARegistration No: N/A Title: N/A Date of order (MM/DD/YY) N /A / Date order to begin (MM/DD/YY) N /A / 16) Scheduled Dates ofAsbestos Abatement (MM/DD/YY! Start: NA__________ Complete: NA 17) Scheduled Dates Demolition/Renovation (MM/DD/YY1 Start: 06/20/2000_________ Complete: 9/01/2000_______ \ ** Note: if the start date on this notification can not be met, the TDH Regional or Local Program&fficeJlfust hacentracted by phone prior to the start date. Failure to do so is a violation in accordance to TAHPA, Section 295.61.** I hereby certify that all information I have provided is correct, complete, and true to the best of my knowledge. I acknowledge that I am responsible for all aspects of the notification form, including, but not limiting, content and submission dates. The maximum penalty is $10,000 per day per violation. Pepgv Munsell 07/3C/2000 (915)521-3640 (Signature of Building Ownr/0perator (Printed Name) (Date) (Telephone) or Delegated Consultant/Contractor) 915).54I-l$<i$-- (Fax Number) MAIL TO: ASBESTOS NOTIFICATION SECTION TOXIC SUBSTANCE CONTROL DIVISION TEXAS DEPARTMENT OF HEALTH EXCHANGE BUILDING, SUITE N320 8407 WALL STREET AUSTIN, TX 78754 f\users\peggy\asbestos\revcont.wpd Faxes are not accepted* f\users\peggylasbestos\wedge\wp1 PH: 512-834-6600,1-800-572-5548 `Faxes are not accepted* Form APB#-5, dated 12/08/98. Replaces TDH form dated 09/15/97. For assistance in completing form, call 1-800-572-5548 ASARCO ELP 0014053 l TEXAS DEPARTMENT OF HEALTH DEMOLITION / RENOVATION NOTIFICATION FORM i NOTE: CIRCLE ITEMS THAT ARE AMENDED NOTIFICATION#. T,D.H 1) Abatement Contractor: NALicense No.:____________________________________ NA-------------------- Address: NA City: NAState: NA.. Zip: ,NA-------------------------- Office Phone Number:_______ NAJob Site Phone Number:! IN/A Site Supervisor: NATDH License Number: _ NA. Site Supervisor: NA TDH License Number: NA_________________ __ Trained On-Site NESHAP Individual: N/ACertification Date:_,N/A. Demolition Contractor: Robles & Sons. Inc.Office Phone Number: 915 591-2600 Address: 9207 Montana. Suite BCitv: El PasoState: TX Zip: 79935. For Office Use Only DTAHPA DNESHAF D T DH E3L VIOLATION DYES ONO RCVD / / POSTMARK 2) Project Consultant or Operator: NATDH License Number:_____________________________ NA____ Mailing address: NA_________________________________________ !________________________________ City: NAState: NA Zip: NA_____________________ Office Phone Number:NA. 3) Facility Owner: ASARCO Inc.___________ ____________________________________ ________ ____________ Attention: Peggy Munsell______________ !............................................................................................................. Mailing Address: P.O. Box 1111__________________________________________________________ _____ _ Citv: El Paso State: TX Zip: 79999 Owner Phone Number: (9151541-1800 4) Description or Facility Name:ASARCO Inc.___________________________________________ Physical Address: 2301 W. Paisano RdCounty: El Paso City: El PasoZip: 79922 Facility Phone Number: (9151541-1800 Facility Contact Person: Peggy Munsell nr Greg Parham_________________________________________ Description ofArea/Room Number: Copper Wedge Roaster Building_____________________________ Prior Use; Conner Wedge Roaster BuildingFuture Use: None Age of Building: 68 Size: 36.000 so. ft._______ Number of Floors:7 School (K-12): YES [x]NO 5) Type of Work: [x] Demolition | ] Renovation (Abatement) Annual Consolidated Work will be during: [x] Day Evening Night Phased Project Description of work Schedule: Monday- Friday 7:00 to 5:00 p.m. Occasional Saturday. 6) Is this a Public Building? YES [xj NO Federal Facility? YES [x] NO Industrial Site? [x] YES NO NESHAP-Only Facility? [x] YES NO Is building /Facility Occupied? YES [x] NO 7) Notification Type CHECK ONLY ONE [] Original (10 Working Days) [ ] Cancellation [X ] Amendment [ ] Emergency/Ordered Ifthis is an amendment, which amendment number is this? Si} (ENCLOSE COPY OF ORIGINAL) If an emergency, who did you talk with at TDH? N/A ^------- '_________ Emergency# N/A Date and Hour ofEmergency (HH/MM/DD/YY1 N/A ___ Description ofthe sudden, unexpected even explanation ofhow the event caused unsafe conditions or would cause equipment damage (computers.machinery, etc.l: N/A __ 8) Description ofprocedures to be followed in the event that unexpected asbestos is found or previously non-ffiable asbestos material becomes cmmbled, pulverized, or reduced to powder Affected area will be immediately restricted with barrier tapes, signs and material wetted, if applicable. Consultant will be contacted and arrangements made for abatement. Local authorities to be contacted. ________ ____________________________________________________________ _____ _ 9) Was an Asbestos survey performed? [x] YES NO Date: 2/4/1997________ TDH Inspector License No: NA Analytical Method: [x] PLM TEM Assumed TDH Laboratory License No: 30-0011 (For TAHPA (public building) projects: an assumption must be made by a TDH Licensed Inspector) 10) Description ofplanned demolition or renovation work, type ofmaterial, and method(s) to be used: Demolition of a Copper Wedge Roaster Facility (steel structures, foundations, hoppers, flues, etc.l. Crane with wrecking bar & excavator with hydraulic hammer will be utilized.^___ 11) Description ofwork practices and engineering controls to be used to prevent emissions ofasbestos at the demolition/renovation site: No asbestos present.______________ ____________________ _______ __ ASARCO ELP 0014.054 12) ALL applicable items in the following table must be completed: IF NO ASBESTOS PRESENT CHECK HERE fxl Approximate amount of Asbestos Check unit of measurement Asbestos-Containing Material Type Pipes Surface Area Ln Ln SQ SQ Cu CuM Ft M Ft M Ft RACM to be removed N/A N/A RACM NOT removed N/A N/A Interior Category I non-friable removed N/A N/A Exterior Category I non-friable removed Category I non-friable NOT removed N/A N/A N/A n/a" Interior Category II non-friable removed N/A N/A Exterior Category II non-friable removed N/A N/A Category II non-friable NOT removed N/A N/A RACM Off-Facility Component N/A N/A 13) Waste Transporter Name: Union Pacific Railroad TDH License No: NA Address: 210 North 13th Street City: St. LouisState: MO Zip: 63103 Contact Person: Cv GrvenlohPhone Number: 800 243-S416. 14) Waste Disposal Site Name: Waste Control Specialists___________________________________________________________ Address: 9998 W. Hwv 176Citv: Andrews State: NM Zip: 79714 Telephone: SOS 394-4300 TNRCC Permit Number:50358 15) For structurally unsound facilities, attach a copy of demolition order and identify Governmental Official below: Name:N/ARegistration No: N/A Title: N/A_______________________________________________________________________ Date of order (MM/DD/YY) N/A /______ Date order to begin (MM/DD/YY) N/A / 16) Scheduled Dates ofAsbestos Abatement (MM/DD/YY) Start: NA Complete: NA 17) Scheduled Dates Demolition/Renovation (MM/DD/YY) Start: 06/20/2000 Complete/ 10/01/2000 ' Note: If the start date on this notification can not be met, the TDH Regional or Local Program office Must be contracted by phoneprior to the start date. Failure to do so is a violation in accordance to TAHPA, Section 295.61." I hereby certify that all iftformation I have provided is correct, complete, and true to the best of my knowledge. I acknowledge that I am ressonsple for all aspects of the notification form, including, but not limiting, content and submission dates. The maximum penaltyyfs $1(7,000 per day pV violation. (Signajarapf BuildSiinmgaOOwwSner/ Operator or pelegated Consultant/Contractor) --Greeorv Parham (Printed Name) 08/18/2000 (Date) f 915 1 521-3640 (Telephone) 9151 541-1866 (Fax Number) MAIL TO: ASBESTOS NOTIFICATION SECTION TOXIC SUBSTANCE CONTROL DIVISION TEXAS DEPARTMENT OF HEALTH EXCHANGE BUILDING. SUITE N320 8407 WALL STREET ftusers\peggy\asbestos\revconLwpd Faxes are not accepted* AUSTIN, TX 78754 PH: 512-834-6600,1-800-572-5548 Faxes are not accepted* fUiserslpeggylasbestoslwedgal.wpl Form APB#-5, dated 12/08/98. Replaces TDH form dated 09/15/97. For assistance in completing form, call 1-800-572-5548 ASARCO ELP 0014055