Document oDmg4Xq8DwmxzgNXd6nqeBx98
WRG 0Q2C83
<! UNITED STATES ENVIRONMENTAL PROTECTION AGENCY REGION IX 215 Framont Straet San Francisco. Ca. 94105
ATTESTATION OF CUSTODIAN
I, Janet Crawford, Environmental Protection Specialist, at test that I have shown an original of the official agency record listed below to the Freedom of Information Officer for EPA Region 9 and that the copy attached is a true and correct copy of the listed record, the original of which is located in the Asbestos Demolition/ Renovation Notification file, in the Enforcement Sec tion, Air and Toxics Division.
1. Asbestos Renovation Notification for the Bechtel Building located at 50 Beale Street, San Francisco, CA.
DATE:_
IdULit.
Janet Crawfrfrd
Environmental Protection
Specialist
A*T*T*A*C*H*M*E*N*T*******************************************************
CERTIFICATION OF AUTHENTICITY
I, Ida E. Tolliver, Freedom of Information Officer, United States Environmental Protection Agency, Region 9, attest that the attached copy of the document listed below is a true and correct copy of an official agency document held in my custody:
1. Asbestos Renovation Notification for the Bechtel Building located at 50 Beale Street, San Francisco, CA.
SUBSCRIBED UNDER PENALTY THIS 1988.
bBaAyY OoFf
_____________________ Ida E. Tolliver Freedom of Information Officer
CERTIFICATION I, Nancy J. Marvel, Regional Counsel, United States Environ mental Protection Agency, Region 9, certify that the official whose signature appears above has the legal custody pursuant to 40 C.F.R. Section 2.406 of the original documents of which copies are attached, as witnessed by my signature and the official seal of the United States Environmental Protection Agency whigh> appear below.
Dated: !Q (p '
Regional Counsel
ASBESTOS DEMOLITION/RENOVATION
NOTIFICATION
4ATT, TO
\SBESTOS NOTIFICATION
.
3PA/NESHAPS Region IX 215 Fremont Street A-3-3
Please check one: Cr
San Francisco. CA 94105
_X_ Renovation
DATE: / --ZT"- ?
PROJECT JOB #/?//</-/9 5" (Please see reverse side)
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. - Demolition requiring 10 day notice
Demolition requiring _____ 20 day notice
Revision of Original (Form on reverse side)
% EPA USE ONLY
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Code#: BC/4A
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INSTRUCTIONS ON REVERSE SIDE--PLEASE REAP BEFORE USING THIS FORM
1. OPERATOR: PxrcuT*-
(Contractor) ADDRESSED Ar^/e ^T-
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3. FACILITY NAME STREET ADDRESS
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CITY ZIP<?<//f
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CITY COUNTY
STATE
ZIP Ml
2. OWNER
ADDRESS
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4. FACILITY DESCRIPTION 2> J7oft-Y
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AGE / 6"
SIZE JZ.Ouo
PRIOR USE ^Pp-Pl<^/Z
5. Proiect Start Date: .2, / / / 8 J
ComDletion Date:
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6. Estimate of Friable Asbestos: ON PIPE: 5~4S> ^
SURFACE OF OTHER COMPONENTS:
Nature of Materials: ^pe*^ o*' fCd-eptooVc^.
Linear Feet Smiare Feet
7. DESCRIBE METHODS OF REMOVAL:
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8. PROCEDURES USED TO COMPLY WITH 4() CFR 61.147 & 152: rfi( *+T<t+jL Uil/
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9. NAME & LOCATION OF DISPOSAL SITE:
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>MOLlTION:
means altering in any way one or more facility components. NOTICE MUST BE POSTMARKED AS EARLY AS POSSIBLE BEFORE PROJECT aeans the wrecking or taking out of load-supporting structural members of a facility together with any related handling operations 10 Day notice for MORE than 160 sq.ft.or 260 linear ft. asbestos 20 Day notice for LESS than 160 sq.ft.or 260 linear ft. asbestos, includes facilities which contain no asbestos.
iCILITY:
means any institutional, commercial or industrial structure, installation, or building. Renovations on single family residences and apartment buildings with 4 units or fewer are exempt from jnotification to EPA.
OJECT JOB #: Your OWN IN-HOUSE I.D. for a specific jobsite. Optional, but expedites communication concerning notifications.
CAL AGENCY: Most areas in Region 9 have local NESHAP delegated agencies. In these areas notice must be provided to both EPA and the local agency.
OPERATOR/CONTRACTOR: Full information concerning person doing the work. PROPERTY OWNER: Complete in full. FACILITY NAME: Must have complete address OR directions to the jobsite. FACILITY DESCRIPTION: Current use of building. Project location in the facility. Other descriptive information as necessary. START AND COMPLETION DATE: Provide month, day and year. Must be revised if dates change. (see revision form below) Estimate of amount to be removed (must be in square or linear feet). Revisions *(see form below) must be made for additional amounts uncovered. Examples of methods: glovebag, scrape, remove in sections, etc. Examples: Adequate wetting prior to and during work, double bag, etc.
DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVAL FROM EPA OR THE LOCAL DELEGATED AGENCY MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL SHEETS SHOULD BE ATTACHED
*R*E*V**IS*E**A**N**O*T*IF*I*C*A*T*I*O*N**A*L*R*E*A*D**Y**O*N**F*IL*E**W**IT*H**E*P*A*,**U*S*E**F*O*R*M***P*R*O*V*ID*E*D***BE*L*O*W*******
3JECT NAME.___________________ [GINAL NOTIFICATION DATE
PROJECT JOB # Revision Notice #12345 please circle
ls is to advise that the above referenced notification presently on file has
m revised. Please note the revised portion listed.
JJGES FOR THIS REVISION:
PROJECT ( ) CANCELLATION
NEW Location___________________________
NEW Scope of Work____________________
ADDITIONAL Quantity of Asbestos.
NEW Start Date_________________________
NEW Completion Date______________
NEW Disposal Site____________________