CEMP-RA

Pamphlet No.

1110-1-30

Department of the Army

U.S. Army Corps of Engineers

Washington, DC 20314-1000

EP 1110-1-30

31 August 2001

Engineering and Design

PRE-DESIGN LEAD/ASBESTOS SURVEY

STANDARD SCOPE OF WORK

Distribution Restriction Statement

Approved for public release; distribution is unlimited.

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 APPENDIX A

PRE-DESIGN LEAD/ASBESTOS SURVEY

STANDARD SCOPE OF WORK

TABLE OF CONTENTS

 

1.0 PROJECT OVERVIEW, OBJECTIVES, AND DESCRIPTION OF WORK .................................................A-4

1.1 REFERENCES .......................................................................................................................................................A-4

1.1.1 Federal.................................................................................................................................................................A-4

1.1.1.1 U.S. Department of Housing and Urban Development (HUD)......................................................A-4

1.1.1.2 U.S. Environmental Protection Agency (EPA).................................................................................A-4

1.1.1.3 Occupational Safety and Health Administration (OSHA)..............................................................A-4

1.1.2 U.S. Army (DA)................................................................................................................................................A-4

1.1.3 State and Local ..................................................................................................................................................A-5

1.1.4 Other Organizations..........................................................................................................................................A-5

1.1.4.1 American Association for Laboratory Accreditation (A2LA)........................................................A-5

1.1.4.2 American Industrial Hygiene Association (AIHA) ..........................................................................A-5

1.1.4.3 American Society for Testing and Materials (ASTM).....................................................................A-5

1.1.4.4 National Institute for Standards and Technology (NIST)................................................................A-5

1.2 REGULATORY REQUIREMENTS..................................................................................................................A-5

1.2.1 Regulatory Authority/Requirements..............................................................................................................A-5

1.2.1.1 Federal Requirements............................................................................................................................A-5

1.2.1.2 State and Local Requirements..............................................................................................................A-6

1.3 SITE CHARACTERISTICS, OBJECTIVES AND DESCRIPTION OF WORK......................................A-6

1.3.1 Site Location/Characteristics...........................................................................................................................A-6

1.3.2 Previous Studies and Results ..........................................................................................................................A-7

1.3.3 Project Work Tasks and Description of Work .............................................................................................A-7

1.3.4 Data Quality Objectives ...................................................................................................................................A-8

1.3.5 Bid Assumptions ...............................................................................................................................................A-8

2.0 PROJECT REQUIREMENTS ..................................................................................................................................A-9

2.1 CURRENT CONDITIONS/PROJECT WORK PLAN................................................................................A-10

2.1.1 Background Data.............................................................................................................................................A-10

2.1.2 Project Boundaries Identification/Floor Plans ...........................................................................................A-10

2.1.3 Preliminary Site Visit/Walkover..................................................................................................................A-10

2.1.4 Project Work Plan...........................................................................................................................................A-10

2.2 CONDUCT LEAD/ASBESTOS SURVEY ..................................................................................................A-10

2.2.1 Visual Examination.........................................................................................................................................A-11

2.2.2 Sample Location Selection............................................................................................................................A-11

2.2.3 Lead Sampling.................................................................................................................................................A-12

2.2.4 Asbestos Sampling.........................................................................................................................................A-14

2.2.5 Waste Characterization and Quantity Estimation.....................................................................................A-15

2.2.6 Sample Identification......................................................................................................................................A-17

2.2.7 Sample Chain-of Custody .............................................................................................................................A-17

2.3 TASK 3 SAMPLE DATA ANALYSIS, EVALUATION OF FINDINGS ...............................................A-17

2.3.1 Analytical Methods.........................................................................................................................................A-17

2.3.1.1 Laboratory Sample Analysis (Lead).................................................................................................A-17
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2.3.1.2 Laboratory TCLP Sample Analysis (Lead)....................................................................................A-18

2.3.1.3 Field Analysis of Paint Samples (Lead) ...........................................................................................A-18

2.3.1.4 Bulk Asbestos Sample Preparation and Analysis ...........................................................................A-18

2.3.1.5 Laboratory Turnaround Time.............................................................................................................A-19

2.3.2 Project Data Review and Assessment..........................................................................................................A-19

2.3.3 Quality Assurance/Quality Control..............................................................................................................A-19

2.3.4 Laboratory Report Requirements .................................................................................................................A-19

2.3.5 Contractor Certification of Project Data Validation .................................................................................A-19

2.3.6 Comparison with Lead and Asbestos Survey Criteria..............................................................................A-20

2.4 TASK 4 SURVEY REPORT .............................................................................................................................A-20

2.4.1 General Report Contents................................................................................................................................A-20

2.4.2 Project Work Plan...........................................................................................................................................A-20

2.4.3 Sample Location Selection............................................................................................................................A-20

2.4.4 Survey Results.................................................................................................................................................A-20

2.4.5 Contractor Data Certification ........................................................................................................................A-21

2.4.6 Electronic HALO/Installation Data Downloading into Installation System.........................................A-21

2.4.7 Contractor Conclusions..................................................................................................................................A-21

3.0 SUPPLEMENTAL REQUIREMENTS FOR CONTRACTED SERVICES..................................................A-22

3.1 CONTRACTOR FIRM/PERSONNEL QUALIFICATIONS....................................................................A-22

3.1.1 Contractor Firm Experience..........................................................................................................................A-22

3.1.2 Contractor Surveyor/Project Manager Qualifications .............................................................................A-22

3.1.2.1 EPA Certification .................................................................................................................................A-22

3.1.2.2 Record of Experience...........................................................................................................................A-22

3.1.2.3 Use of Survey Teams ...........................................................................................................................A-22

3.1.3 Contracted Laboratory Qualifications .........................................................................................................A-23

3.1.4 Contractor Errors and Omissions Liability Insurance...............................................................................A-23

3.2 PROJECT RECORDS........................................................................................................................................A-23

3.2.1 Record keeping Requirements......................................................................................................................A-23

3.3 PROJECT COORDINATION ..........................................................................................................................A-24

3.4 GOVERNMENT SUPPORT ............................................................................................................................A-24

3.4.1 Government Quality Control Oversight ......................................................................................................A-24

3.4.2 Security and Escorts .......................................................................................................................................A-25

3.4.3 Temporary Office/Equipment/Storage/Staging Areas ..............................................................................A-25

3.5 TRAVEL AND MEETINGS............................................................................................................................A-26

3.5.1 Preliminary Project Site Visit/Walkover.....................................................................................................A-26

3.5.2 Project Work Plan Review and Startup Meeting.......................................................................................A-26

3.5.3 Sampling Data Certification/Progress Report Meeting(s).......................................................................A-26

3.5.4 Final Survey Report Meeting........................................................................................................................A-26

3.6 SCHEDULES.......................................................................................................................................................A-26

3.7 SUBMITTALS ....................................................................................................................................................A-27

3.7.1 Project Work Plan...........................................................................................................................................A-27

3.7.2 Survey Progress Reports................................................................................................................................A-27

3.7.3 Survey Data Submission in Electronic [HALO] [ ] Format ..................................................................A-27

3.7.4 Survey Report ..................................................................................................................................................A-27

3.8 MISCELLANEOUS...........................................................................................................................................A-27

3.8.1 Glossary ............................................................................................................................................................A-27
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NOTE TO PROJECT SCOPE EDITOR:

This standard Scope of Work (SOW) is to be used to collect detailed lead and/or 

asbestos content and location data at the pre-design stage of projects associated 

with remodeling, renovation and demolition of existing facilities. The collected 

data will be used to properly design the project as it relates to lead or asbestos 

abatement requirements, hazard controls and protection for health and safety, and 

environmental compliance.

The SOW is also used to evaluate whether lead waste generated during the project 

will be considered hazardous or non-hazardous waste under the USEPA Resource 

Conservation and Recovery Act (RCRA) requirements. Demolition projects may 

not require use of the SOW for performing a complete lead survey if there is no 

question of potential lead exposures to the demolition workers. If that is the case, 

the survey for demolition requires only gathering a representative sample of the

debris to be generated and performing a TCLP for lead.

The SOW can be used for performing a survey to determine whether any asbestos 

waste generated by the project will be considered regulated or non-regulated 

waste under the USEPA National Emission Standards for Hazardous Air 

Pollutants (NESHAP) requirements. The SOW also can identify contaminated 

soil impacted by the planned project through both visual examination of bare soil 

for non-residential or non child-occupied facilities, and through soil sampling for 

residential or child-occupied facilities.

This SOW is not to be used to identify the nature and severity of lead and/or 

asbestos hazards addressed using the SOWs contained Engineering Pamphlets 

(EP) 1110-1-28 for installation lead survey risk assessments, EP 1110-1-31 for 

installation combined lead inspection/risk assessment for property transfers, and 

EP 1110-1-23 for installation asbestos surveys. This SOW allows the use of an XRay fluorescence (XRF) instrument for initial testing for lead content. If XRF 

testing yields negative results, compared to project-specific action levels, the 

SOW allows the Contractor to collect paint chip samples for laboratory analysis 

from surfaces where the XRF method failed to detect lead.

Asbestos Containing Building Material (ACM) is material containing greater than 

1% asbestos. The SOW provides determining the presence of ACM based both 

on OSHA and EPA requirements. 

The SOW uses the Asbestos Hazard Emergency Response Act (AHERA) survey 

and sample collection procedures for bulk sampling found in 40 CFR 763, 

Subpart E.

This SOW is written to survey for both lead and asbestos. If the project requires 

surveying for only one or the other, the Scope Editor must edit the Scope to 

remove all references and text for the material being excluded from the survey. 

As an example, all references and text for lead must be deleted if the survey is to 

be performed for asbestos only.
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1.0 PROJECT OVERVIEW, OBJECTIVES, AND DESCRIPTION OF WORK

1.1 REFERENCES

1.1.1 Federal

1.1.1.1 U.S. Department of Housing and Urban Development (HUD)

a. Guidelines for the Evaluation and Control of Lead-Based Paint Hazards in 

Housing, Chapter 7 (revised 1997) HUD, Government Printing Office, Washington, D.C. June 

1995.

b. XRF Performance Characteristic Sheets (PCS). 

(http://www.hud.gov/lea/leadwnlo.html/.)

1.1.1.2 U.S. Environmental Protection Agency (EPA)

a. Asbestos-Containing Materials in Schools, 40 CFR Part 763, Subpart E

b. Debris That Continues to Exhibit the Toxicity Characteristic Due to Fabrication 

With Toxic Metals; Land Disposal Restrictions for Debris and Newly Listed Wastes: 

EPA Proposed Rule (57 FR 990, 9 January 1992) Adopted as Final, 57 FR 37221 –

37282, 18 August 1992.

c. Method for the Determination of Asbestos in Bulk Building Materials, EPA 

Method 600/R-93-116. July 1993.

d. National Lead Laboratory Accreditation Program, Laboratory, (NLLAP) A list of 

NLLAP-recognized laboratories is available at the AIHA website; (http://www.aiha.org).

e. National Emission Standards for Asbestos; Standard for Demolition and 

Renovation, 40 CFR Part 61. Subpart M.

1.1.1.3 Occupational Safety and Health Administration (OSHA)

a. Construction Industry Standards for Lead, 29 CFR 1926.62

b. Construction Industry Standards for Asbestos, 29 CFR 1926.1101

1.1.2 U.S. Army (DA)

a. DA Hazardous Asbestos and Lead Optimal Management System 

(HALO)

(http://owww.cecer.army.mil/painterl)

b. U.S. Army Corps of Engineers (USACE) Engineering Manual (EM) 385-1-1, 

Safety & Health Requirements Manual (www.hnd.usace.army.mil)

c. U.S. Environmental Hygiene Agency Interim Final Report: LeadBased Paint Contaminated Debris Waste Characterization Study. Study No. 37-26-JK44-92, May 
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1992 – May 1993. (Contact U. S. Army Center for Health Promotion and Preventive Medicine, 

Hazardous & Medical Waste Program for copies: 410-436-3651.)

1.1.3 State and Local

[ ]

1.1.4 Other Organizations

1.1.4.1 American Association for Laboratory Accreditation (A2LA).

a. (Provides laboratory accreditation under EPA contract for the EPA National Lead 

Laboratory Accreditation Program (NLLAP) (www.a2la.org)).

1.1.4.2 American Industrial Hygiene Association (AIHA)

a. National Lead Laboratory Accreditation Program (NLLAP). See

http://www.aiha.org for listing of NLLAP recognized labs.

b. Bulk Asbestos Proficiency Analytical Testing Program (BAPAT)

(http://www.aiha.org).

1.1.4.3 American Society for Testing and Materials (ASTM).

a. E1605, Standard Terminology Relating to Abatement of Hazards from LeadBased Paint in Buildings and Related Structures.

b. E1727, Standard Practice for Field Collection of Soil Samples for Lead

Determination by Atomic Spectrometry Techniques.

c. E1729, Standard Practice for Field Collection of Dried Paint Samples for Lead 

Determination by Atomic Spectrometry Techniques.

d. PS95-98, Standard Provisional Practice for Quality Systems for Conducting In 

Situ Measurements of Lead Content in Paint or Other Coatings using Field-Portable XRay Fluorescence (XRF) Devices.

1.1.4.4 National Institute for Standards and Technology (NIST)

a. National Institute for Standards and Technology, National Voluntary Laboratory 

Accreditation Program (NVLAP). A list of NVLAP-recognized laboratories is available at the 

NIST website: (http://ts.nist.gov/ts/htdocs/210/214/214.htm/.)

1.2 REGULATORY REQUIREMENTS

1.2.1 Regulatory Authority/Requirements

The Contractor shall conduct all work in accordance with Federal, State and local requirements. 

Where inconsistencies exist, the Contractor shall follow the most stringent requirement.

1.2.1.1 Federal Requirements

a. Survey Procedures and Requirements.
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Lead in paint and soil shall be identified, sampled, analyzed and validated in accordance with the 

applicable standards published by ASTM using NLLAP recognized laboratories. Asbestos shall 

be identified, sampled, analyzed and validated in accordance with the requirements of 

40 CFR 763, Subpart E. 

b. Safety and Health 

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NOTE: If a XRF instrument is used, require that the manufacturer’s radiation 

safety precautions be addressed in an Accident Prevention Plan (APP). Also 

ensure that all federal, state, and installation permitting and licensing 

requirements are met; an Army Radiation Permit may need to be obtained from 

the Installation Commander if the XRF is a NRC specifically licensed instrument. 

Air Force and Navy installations may also require a permit to be obtained. See 

AR 11-9 for details on Army Radiation Permit requirements. If the survey 

involves potential entry into confined spaces (i.e., crawl spaces, duct work, vaults, 

etc., which meet the definition of a confined space) 29 CFR 1910.146 

requirements must be included in the Accident Prevention Plan.

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The Contractor shall comply with applicable OSHA standards and the USACE Safety and Health 

Requirements Manual EM 385-1-1 to include the submission of an Accident Prevention Plan 

(APP) [with instructions on [obtaining an [Army] Radiation Permit, and] following the XRF 

manufacturer’s radiation safety precautions]. The APP shall address the potential for entry into

confined spaces as defined in 29 CFR 1910.146, fall protection, and electrical hazards. The APP 

shall be submitted to the Contracting Officer (See Glossary) prior to performing survey tasks. 

The survey shall not begin without acceptance of the APP by the Contracting Officer.

1.2.1.2 State and Local Requirements

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NOTE: Reference state, local, or installation-specific requirements that differ 

from the federal requirements cited in this SOW that are applicable to the 

examination and sampling procedures to be performed.

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[The Contractor shall comply with the following [state/local] [and installation] requirements in 

completing the activities required by this SOW [insert applicable references]]

1.3 SITE CHARACTERISTICS, OBJECTIVES AND DESCRIPTION OF WORK

1.3.1 Site Location/Characteristics

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NOTE: Describe building location(s) function and physical characteristics (e.g., 

industrial, commercial, or residential facility) including individual unit 
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designations in multiple unit facilities and surfaces within each unit/facility to be 

examined and tested. Use Table B-1 as appropriate in randomly selecting units 

from multiple unit populations for lead surveys. Asbestos surveys do not require 

the use of random selection strategy in multiple unit populations of similar 

construction, but can be designed using a sampling approach of selecting a simple 

percentage such as 10% or 20%. In combined lead/asbestos surveys, sampling for 

asbestos when performing lead sampling in randomly selected units for the lead 

survey is performed for the sake of sampling efficiency, not because of regulatory 

requirements to randomly select units for asbestos sampling. No regulatory 

requirement exists defining asbestos sampling strategy other than federal asbestos 

sampling requirements for schools. Depending on the customer agreement, the 

survey would only entail examining and sampling those locations within a 

building(s) that would be impacted by the project being planned.

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The survey shall be performed at [state unit locations]. The Contractor shall take into account 

the following [unit/facility functions and physical characteristics] while performing the survey. 

[See Table B-1].

1.3.2 Previous Studies and Results

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NOTE: Include any previous lead or asbestos survey data regarding the project 

areas to be surveyed that is judged to be valid, and that is to be reviewed by the 

Contractor prior to performing this survey.

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Prior to initiating the field activities required by this SOW, the Contractor shall review the results 

of previous lead/asbestos surveys completed at the units/facilities identified in Paragraph 1.3.1 

provided as an attachment to this SOW.

1.3.3 Project Work Tasks and Description of Work

Survey work tasks include: [list and describe each work task to be performed in performing the 

survey and gathering and evaluating the data as outlined in task 2, 3, and 4 of this SOW] at the 

units/facilities identified in Paragraph 1.3.1. The survey shall identify through visual 

examination and sampling, the existence or absence of [lead containing paint (See Glossary)], 

[and lead contaminated soil] [ACM]. [For identified lead-containing paint, the survey shall 

further identify whether the waste stream(s) estimated to be generated by the project being 

planned, will be considered hazardous or non-hazardous waste. The determination shall be by: 

(1) checking with Federal, state and local regulatory agencies to determine if the tasks to be 

performed producing the waste stream, are excluded from hazardous waste disposal regulations, 

(2) if not excluded, by testing the waste streams for leachable lead using representative sampling 

in accordance with [insert applicable Army guidance] and the Toxicity Characteristic Leaching 

Procedure (TCLP) or (3) if the state or local entity determines another waste stream 

characterization process is required, using that process to assess lead TCLP.]. All samples and 

analyses shall be compared to the action levels identified in Table A-1. [The Contractor shall 
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develop CADD or line drawings that identify the presence and locations of ACM and leadcontaining paint based on a comparison of sample results to Table A-1 for each area surveyed.]

1.3.4 Data Quality Objectives

The Contractor shall meet project-specific data quality objectives (See Glossary) for sampling, 

analysis, and Quality Assurance/Quality Control (QA/QC) by meeting the requirements of 

Paragraphs 2.2 and 2.3. DQOs must be met in order to provide required data quality. The data 

thus collected shall be compared to the survey action levels provided in Table A-1 below.

Table A-1

Lead/Asbestos Survey Action Levels

Sample Matrix Action Level

Asbestos-Containing Material (ACM) > 1% Asbestos

Asbestos Containing Waste Stream [Will asbestos waste stream generated be considered 

regulated or non-regulated waste under NESHAP? 

Consult with Federal, state and local regulators where 

project will occur to determine status.]

Lead Containing Paint (XRF) Positive reading according to PCS sheet parameters. If 

negative reading then confirm with paint chip sample 

and analysis.

Lead Containing Paint (Paint Chip) Greater than detectable using ASTM sampling 

techniques and NLLAP recognized laboratories 

referenced in this SOW for analysis.

[Soil (Lead)] Project specific based on customer goals. Levels less 

than 400 Parts per Million (PPM) unregulated at federal 

level. Check with State and Local Regulators to 

consider goals for customer and project. 

[Lead Containing Material Waste Stream] [Is lead containing waste stream EXEMPT from 

regulation due to the work activity to be performed? 

Check with Federal, State and Local Government.]

[Lead Containing Waste Stream] [If not exempt, representative sample characterization 

using Army protocol.]

TCLP: greater than 5 PPM lead

[Lead Containing Waste Stream] [If Army protocol not allowed by regulator, 

representative sample protocol required by Federal, state 

or local regulator.]

TCLP: check with regulator 

1.3.5 Bid Assumptions

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NOTE: Include explicit project-specific assumptions that the Contractor must use 

in developing a cost estimate. The assumptions might be presented to the 
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Contractor in tabular format. The bid must solicit a unit cost for collecting and 

analyzing a lead sample by XRF and also by paint chip, along with the unit cost 

for collecting and analyzing ACM bulk samples. Samples identified for lead 

analysis should be collected and prioritized for analysis based on probability of 

obtaining positive results. Only the minimum number of samples should be 

taken. Analysis of the samples should cease once a positive result is obtained 

demonstrating the need for project compliance with 29 CFR 1926.62(d). The 

Contractor must use best professional judgment in identifying the number and 

prioritizing the analysis of the samples taken from commercial/industrial 

buildings. The Contractor’s rationale for sampling must be presented and agreed 

upon in the Contractor’s project work plan. ACM must be sampled by bulk 

samples for the homogeneous area of suspect ACM material the sample 

represents. Check with local laboratories that meet the lead and asbestos analysis 

qualifications specified in this SOW, to determine a reasonable cost for analyzing 

lead paint chips, soil and bulk asbestos samples and TCLP tests. Two TCLP tests 

are usually taken per structure at an analytical cost averaging $100.00 but can 

range up to $300.00 per sample. Typically, 135 XRF shots are taken in a threebedroom home with a cost range per shot of $1.50 to $2.00 each. Residential 

units would typically require considerably more XRF shots than other buildings 

such as commercial spaces or industrial facilities. Lab paint chip sample analysis 

cost should range from $5.00 to $10.00. Paint chips should be collected where 

the XRF cannot be used properly such as on curved surfaces, when the XRF 

readings are inconclusive according to the PCS Sheet for the instrument, and as a 

QA/QC of 1% to 5% of the total XRF samples. If XRF is not to be used by the 

Contractor, then each separate paint component system must be sampled by paint 

chip analysis with a QC of 2% to 5% of the total number of paint chips analyzed. 

Sampling for lead can halt when a positive sample is obtained from the project 

area and it is accordingly determined that the 29 CFR 1926.62 is applicable.

Typical cost for analysis for each asbestos sample can range from $5.00 to $8.50 

for PLM and $60.00 to $90.00 for TEM. Assume the QC samples for asbestos 

will equal 5% to 10% of total asbestos samples analyzed. Doing a walk-through 

would add clarity and detail in drafting the bid assumptions as a part of drafting 

this SOW, to roughly identify the number of separate paint component systems 

and potential ACM homogenous areas to be sampled. 

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Bid Assumptions include [insert bid assumptions]

2.0 PROJECT REQUIREMENTS
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2.1 CURRENT CONDITIONS/PROJECT WORK PLAN

2.1.1 Background Data

[Prior to commencing the sampling activities, the Contractor shall review the available 

information regarding the facility characteristics and use patterns, as described in Paragraph 

1.3.2, relevant to identification of lead containing paint and ACM in the facilities that will be 

surveyed.]

2.1.2 Project Boundaries Identification/Floor Plans

Facility floor plans/sketches identifying the building locations and that contain detailed drawings 

identifying the specific building areas incorporating the survey project boundaries are [provided 

in CADD format and] attached to this SOW. The Contractor shall use the [CADD] floor plans, 

sketches, and drawings when performing Task 2 in order to identify and record all lead/asbestos 

samples and potential hazardous debris and waste stream areas of the buildings that will be 

impacted by the planned project.

2.1.3 Preliminary Site Visit/Walkover

The Contractor shall conduct a preliminary site visit/walkover in order to verify building access 

and the information provided. 

2.1.4 Project Work Plan

• The Contractor shall prepare a project work plan after the preliminary site visit/walkover and

a preliminary review of this SOW that addresses the project requirements as follows: Project 

work tasks/description of work including recommended changes following preliminary 

project review including the [CADD] floor plans, sketches and drawings provided, and the 

walkover. 

• Accident Prevention Plan.

• Sampling Plan including strategy and analytical procedures that will be followed.

• Identification and qualifications of each laboratory that will be used to analyze lead/asbestos 

samples.

• Identification and qua lifications of the Contractor’s personnel performing the survey.

2.2 CONDUCT LEAD/ASBESTOS SURVEY

A visual examination of the future project site shall be performed for lead substrates, ACM 

identification, and the sample location documentation. The sampling shall be performed 

concurrently during one walkthrough, eliminating the need for gaining access more than once to 

the project work area that is described in the Description of Work. Information gathered in the 

visual examination affecting the decisions to be made in the Survey Report not addressed on 
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forms and facility floor plans, sketches and drawings provided with this SOW shall be recorded 

in field notes submitted as an attachment to the Survey Report. 

2.2.1 Visual Examination

a. Lead: The Contractor shall conduct a visual examination of both vertical and horizontal 

interior and exterior surfaces/component systems to be impacted by the work for determining the 

presence of lead. Examples of potential lead-containing surfaces/component systems are listed 

in Table B-2. 

b. Asbestos: At the same time the Contractor is identifying potential sources of Lead-Based 

Paint to be impacted by the work that requires sampling, the Contractor shall conduct a thorough 

visual examination of interior and exterior areas for the purpose of determining the presence of 

ACM. The Contractor shall identify all potential ACM that will be impacted by the project. 

Potential asbestos-containing materials found in buildings are listed in Table B-3. The 

Contractor shall determine the friability of all suspected ACM as classified by NESHAP, i.e. 

Friable, Non-friable Category I or Non-friable Category II. Each homogeneous area shall be 

identified and noted as such in the field notes for selecting sample locations. 

 

2.2.2 Sample Location Selection

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NOTE: In certain situations, it is acceptable to allow the Contractor to use 

previously collected asbestos survey data for the determination that a 

homogeneous area is asbestos-containing rather than collecting and analyzing 

new bulk samples. Coordinate with the customer (installation POC) and 

determine if previous installation asbestos survey data for the building(s) areas to 

be included in the project design should be provided to the Contractor. If it is 

determined that pre-existing data is valid, then it shall be attached to this SOW 

and the bracketed paragraph selected. The Contractor will be required to review 

and accept the data prior to considering it in selecting sample locations, or provide 

justification why such data cannot be used. Coordinate with the customer 

(Installation POC) for scheduling the survey sampling including destructive 

sampling during occupied and/or non-occupied hours.

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The Contractor shall select sample locations for the lead containing painted surfaces [and soil] 

and ACM during the visual assessment. [Prior to selecting the ACM sample locations, the 

Contractor shall review per-existing asbestos survey data provided as an attachment to this SOW 

and take the data into consideration in selecting the sample locations. If the Contractor 

determines that some or all of the pre-asbestos survey data provided is not acceptable for 

consideration in the survey, the Contractor shall state in writing to the Contracting Officer the 

reasons why the data cannot be used. The CO shall make the final decision regarding the 

usability of any pre-existing data provided to and rejected by the Contractor. The final decision 

by the Contracting Officer on rejected pre-existing data will be given to the Contractor prior to 

the Contractor’s sample location selection.] Each location shall be described in field notes or 

indicated on the facility [CADD] floor plans, sketches and drawings and by filling in the 
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identifying information on Forms 1, 2, or 3 (Figure B-1, B-2, or B-3, Appendix B) [for approval 

by the Contracting Officer prior to the start of sampling]. The marked facility [CADD] floor 

plans, sketches, drawings and forms indicating the sample locations shall be attached at the 

completion of the survey to the Survey Report.

2.2.3 Lead Sampling

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NOTE: It is important to understand that OSHA does not consider X-Ray 

Fluorescence (XRF) to be an acceptable method of analysis for lead in paint for 

evaluating worker exposure and the applicability of OSHA 1926.62 to a project. 

However, as a matter of cost effectiveness, the XRF can be used to back-up an 

assumption that lead IS present for a given project (but not to document that lead 

is not present for a project). See Decision Chart, Table B-5 of this SOW. 

Generally, for structures to be demolished that were built before 1960, allow the 

use of the XRF to screen for lead, concentrating on exterior surfaces, interior door 

and window systems, and “wet rooms” (kitchen and bathrooms, and trim).

If a structure was built between 1960 and 1978, and is to be demolished, use the 

XRF to screen for lead, primarily concentrating on exterior painted components 

and interior wet rooms.

For both pre-1960, and 1960 through 1978 testing, stop the XRF screening when 

a positive result has been noted.

For structures to be demolished that were built after 1978, and for structures to be 

renovated, perform paint chip testing in all cases where objective historical data 

available to the designer does not eliminate the possible presence of lead in paint. 

In addition, for buildings to be renovated, paint chip sample only those painted 

surfaces impacted by the renovation.

XRF results must be obtained by using the instrument in accordance with the 

published Performance Characteristics Sheet for the instrument and the ASTM 

Provisional Standard PS95-98. If no XRF readings are positive, inconclusive and 

negative readings require paint chip sampling with analysis by the analytical lab. 

Check with the XRF Manufacturer/NIST/ASTM for soil sampling using the XRF 

instrument.

Should a TCLP test determine that a demolition waste stream is hazardous waste, 

it is advisable to perform XRF testing to determine which components contain 

lead-based paint. Components that test positive by XRF should be identified in 

the survey for removal using abatement procedures and disposed of as hazardous 

waste. Additional TCLP testing should be performed on the remaining waste 

stream to ensure that it is not hazardous waste. 

In general, TCLP testing of whole building demolition waste streams are not 

positive for hazardous waste. Waste streams generated by renovations 

(particularly component) are more likely to result in hazardous waste, however, 

by chip sampling, you will know lead content of each component, and can 
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perform abatement accordingly. 

******************************************************************************

[Use the following paragraph for buildings to be demolished

The Contractor shall define a sampling strategy in the Sampling Plan submitted as part of the 

Project Work Plan that emphasizes taking only the very minimum number of samples required to 

determine the presence of lead on the building components. Surfaces selected for sampling shall 

be prioritized to analyze first those having the highest probability of containing lead based paint. 

[Based on year of construction, insert guidance on surfaces to be tested from the above “Note”.]. 

When paint chips are taken of component systems, the Contractor shall rank order the samples 

for laboratory analysis with instructions to the laboratory to stop the analyses once a positive 

result is obtained demonstrating the need for compliance with 29 CFR 1926.62(d), based on the 

action levels listed in Table A-1. If the XRF is used for field-testing, sampling shall be 

prioritized by the Contractor to minimize the number of readings taken, typically one XRF 

reading per component system. XRF test results shall be interpreted using the Performance 

Characteristics Sheet (PCS) for the instrument and ASTM Provisional Standard PS95-98, 

“Standard Provisional Practice for Quality Systems for Conducting In-Situ Measurements of 

Lead Content in Paint or Other Coatings using Field-Portable X-Ray Fluorescence (XRF) 

Devices.” If no XRF test results are positive for a component system, (above the test threshold 

for LBP), inconclusive and negative XRF results shall be supplemented by laboratory paint chip 

analysis with paint chips collected directly from the XRF tested substrate that best represents the 

quantified in cubic centimeters (cc) of surface area for the component system. The paint chip 

shall be a destructive sample collected and submitted to the laboratory following the laboratory’s 

SOP for collecting paint chip samples to determine lead loading per cc of surface area, and 

ASTM’s Standard Practice for Field Collection of Dried Paint Samples for Lead Determination 

by Atomic Spectrometry Techniques (E 1729).]

[Use the following for buildings to be renovated

The Contractor shall extract paint chip samples from all components that will be affected by the 

renovation. The paint chip shall be a destructive sample collected and submitted to the 

laboratory following ASTM’s Standard Practice for Field Collection of Dried Paint Samples for 

Lead Determination by Atomic Spectrometry Techniques (E 1729). All paint chip samples shall 

be analyzed.]

[Use the following for soil sampling

[Soil samples shall be collected following ASTM Standard Practice for Field Collection of Soil 

Samples for Lead Determination by Atomic Spectrometry Techniques (E 1727).] [Soil samples 

shall be composites that include no less than two (2) and no more than ten (10) sub-samples 

collected from distinct locations roughly equidistant from each other along an axis. Sub-samples 

along drip lines shall generally be collected two to six feet from each other. In other sampling 

locations such as area sampling, sub-samples shall be collected from approximately equidistant 
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locations along each leg of an X-shaped pattern. Soil samples shall be collected from the ground 

surface, including only the top 1 inch of the soil.] [Samples shall be collected only from areas of 

bare soil.]]

[The Contractor shall photograph each sample location.]

2.2.4 Asbestos Sampling

******************************************************************************

NOTE: It will be necessary to determine exact locations and quantities of ACM. 

In order to perform this, a thorough search including inaccessible areas will need 

to be performed by the contractor. This includes wall cavities (“all interstitial 

areas”), attic areas, crawl spaces, etc., all areas where ACM could have been 

applied as a surface, insulation (typically duct or pipe), fireproofing, etc. The 

Contractor should be required to penetrate inaccessible spaces for sample 

collection. If the structure is unoccupied after the survey, penetration holes may 

not need to be repaired. If the structure is to be occupied after the destructive 

sampling, then require the repair of all penetrations, e.g., penetrations into 

interstitial spaces and roof will require some repair. Determine with the customer 

who shall repair the penetrations, the customer or the Contractor.

******************************************************************************

The Contractor shall enter all areas identified for sampling ACM; identify the ACM by bulk 

sample or assumption; record the results of the samples or assumptions on the [CADD] floor 

plan, sketch, or drawing; and quantify the amount that will be included in the project waste 

stream generated that requires special disposal. Destructive sampling to locate ACM in 

interstitial or inaccessible areas is required. Destructive bulk sampling of roofing materials for 

ACM [is] [is not] authorized. The Contractor [is] [is not] required to patch all entries and 

penetration holes into interstitial areas. The [Contractor] [Installation] shall repair all material 

locations where actual destructive samples are taken, which in all cases shall be repaired. [The 

Contractor shall hire a professional roofer to patch roof sample locations.] 

The Contractor shall use the procedures and techniques for bulk sample collection described in 

40 CFR Part 763.86, and as otherwise described below:

a. Friable Surfacing Material 

Collect three bulk samples in a random manner from each homogeneous area of friable surfacing 

material consisting of a total surface area of 1000 ft2 or less; five samples from areas greater than 

1000 ft2, but less than or equal to 5000 ft2; and seven samples from areas greater than 5000 ft2.

b. Thermal System Insulation 

Collect, in a random manner, three bulk samples from each homogeneous area of thermal system 

insulation (TSI), one bulk sample from patched area of TSI of less than 6 linear or square feet, 

and one bulk sample from insulated mechanical systems where cement or plaster has been used 
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on fittings (e.g., tees, elbows, valves). Bulk samples are not required where the TSI has been 

identified as fiberglass, foam glass, rubber, or other non-ACM.

c. Miscellaneous Material 

The Contractor shall collect samples in a quantity sufficient to determine whether the material 

contains asbestos at a concentration of greater than 1%.

• Category I Nonfriable Asbestos-Containing Material

Collect asbestos-containing packing, gaskets, resilient floor covering, and asphalt roofing 

product samples in a quantity sufficient to determine whether the material contains asbestos at a 

concentration of greater than 1%.

• Category II Nonfriable Asbestos-Containing Material

Collect asbestos-containing material excluding Category I nonfriable asbestos-containing 

material that when dry, cannot be crumbled, pulverized, or reduced to powder by hand pressure, 

in sufficient quantities to determine whether the material contains asbestos at a concentration of 

greater than 1%.

[The Contractor shall photograph each sample location.]

2.2.5 Waste Characterization and Quantity Estimation

******************************************************************************

NOTE: The intent of characterizing waste prior to the actual project work 

(demolition or renovation) is to determine if the anticipated waste stream will be 

hazardous or non-hazardous waste due to lead. The determination is 

accomplished by the Toxicity Characteristic Leaching Procedure (TCLP) test and 

must be performed by an NLLAP laboratory capable of performing the test. To 

prepare for the test, the Contractor must estimate the anticipated waste stream that 

will be produced by the demolition/renovation or remodeling, and estimate the 

approximate quantities of each building material making up the waste stream as a 

percent of the total, regardless of the material’s LBP content (see Table B-4). 

Materials that are to be recycled (typically metal) should be excluded from the 

sample. The Contractor must then collect field samples of each material in 

quantities sufficient for the laboratory to take samples of each material 

proportional to the percent of each material to the whole. For instance, if the 

intent is to demolish a building, there should be representative samples and 

approximate percent quantities to the whole sample of footers/foundations, wall 

studs, roofing material, glass, brick facade, in addition to painted interior and 

exterior materials, such as doors, wall, ceilings, windows, etc. The Contractor 

provides the laboratory each of the representative samples. The lab then typically 

composites a 120-gram sample, and performs the TCLP test, using the percent 
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equivalent of each unique building material sample to the whole. If the analytical 

result is at or above the hazardous waste threshold (currently 5 PPM for lead) the 

waste stream is a classified hazardous waste, and must be disposed of as such. If 

the result is below the threshold, the waste stream is non-hazardous and can also 

be disposed of as such. The only other decision to make is whether to have the 

contractor repair the sample locations. Due to the requirements of this type of 

test, it is difficult and expensive to repair sample locations. For this reason, it is 

advisable to perform this sampling when people are removed from the building. 

Determining the waste stream composition and classification during pre-design 

provides the project Contractor the ability to control the amount of each waste to 

be generated should the TCLP test identify the composite waste stream as 

hazardous. With the TCLP test results available, the contractor can separate 

hazardous components from non-hazardous components as these materials are 

being generated and thus reduce the overall amount to be disposed as hazardous 

waste. This process can save considerable cost. Typically, a whole building 

demolition generates non-hazardous waste, but individual component removal 

during a renovation, as opposed to a demolition, can generate hazardous waste. 

******************************************************************************

a. Asbestos 

The Contractor shall perform asbestos-containing material waste stream assessment and 

characterization to determine if the asbestos containing waste streams will be considered 

regulated or non-regulated under Federal or state NESHAP requir ements. The Contractor shall 

estimate the quantity (e.g., the square or linear feet) of each building component sampled for the 

presence of asbestos. The Contractor shall estimate the volume of debris or waste potentially 

requiring disposal under the asbestos NESHAP requirements. Information gathered in the visual 

examination shall be recorded in the field notes that will then be submitted as an attachment to 

the Survey Report.

b. Lead

The Contractor shall determine if waste to be generated as a result of the demolition/renovation 

or remodeling work will be characterized as hazardous or non-hazardous waste under Federal or 

state RCRA requirements. This shall be accomplished by estimating the quantity (e.g., the 

square or linear feet) of each building component (See Table B-4: Typical Building Materials 

Comprising a Toxicity Characteristic Leaching Procedure (TCLP) Sample); the total volume of 

all building component materials comprising the waste stream; and the percent of each building 

material component in the waste stream to be generated. Samples of each building material 

component shall be sized in the same percentage found in the total waste stream, and shall be 

sent in the same proportion to an NLLAP recognized laboratory for analysis. The Contractor 

shall assure the laboratory performs the Toxicity Characteristic Leaching Procedure (TCLP) test 
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in accordance with RCRA requirements, or any applicable State or local criteria. The contractor 

[is] [is not] required to patch and repair sample locations.

The contractor shall submit as a part of the Survey Report the following minimum information to 

characterize waste to be generated by the project, for laboratory performance of a TCLP test:

• A list of the building materials to be sampled that comprise the waste stream

• Volume percentage of each building material identified relative to the total building

materials that will comprise the waste stream 

• Number of TCLP samples to be analyzed by the laboratory

• Laboratory to perform the TCLP analysis

• Laboratory’s SOP in preparing the representative composite sample of the building

materials submitted to be analyzed

• Written documentation of steps performed in determining how many samples to analyze

• Written documentation of steps performed to determine most stringent applicable

regulation. 

2.2.6 Sample Identification

ACM bulk samples, paint chip samples, [and soil samples] shall be identified using unique 

sample numbers. Any field or laboratory blanks or spiked samples submitted to the laboratory 

for QA/QC purposes shall be numbered in such a way that the sample identity will not be 

revealed to personnel conducting the analysis.

2.2.7 Sample Chain-of Custody

The Contractor shall follow a standard chain-of-custody protocol to document and ensure a 

continuous record of sample possession from sample collection to receipt by the laboratory. The 

Contractor shall complete and maintain chain-of-custody forms for each set of samples shipped 

to the laboratory, and a copy of each form shall accompany the shipment of samples. Copies of 

all chain-of-custody forms shall be included in the Survey Report. See Form4, Figure B-4, 

Appendix B.

2.3 TASK 3 SAMPLE DATA ANALYSIS, EVALUATION OF FINDINGS

2.3.1 Analytical Methods

2.3.1.1 Laboratory Sample Analysis (Lead)

The Contractor shall send all lead samples that require laboratory analysis to an NLLAP 

recognized laboratory. The Contractor shall verify in the Survey Report that the selected 

laboratory is accredited by NLLAP for each type of analysis to be performed.
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2.3.1.2 Laboratory TCLP Sample Analysis (Lead)

Analysis shall be performed in accordance with EPA’s TCLP test method 1311 in the most 

recent version of “Test Methods for Evaluating Solid Waste, Physical/Chemical Methods”, See 

EPA Publication SW-846.

2.3.1.3 Field Analysis of Paint Samples (Lead)

XRF analysis of painted surfaces shall be performed in accordance with ASTM’s Standard 

Provisional Practice for Quality Systems for Conducting In Situ Measurements of Lead Content 

in Paint or Other Coatings using Field-Portable X-Ray Fluorescence (XRF) Devices (PS95-98), 

and with the appropriate PCS for the instrument as provided by the instrument manufacturer. 

The contractor shall verify with the laboratory prior to beginning the field survey that the 

laboratory has an SOP in place to be used by the Contractor to collect paint chips based on 

surface area, allowing the laboratory to calculate lead loading on the substrate tested in mg/cc, 

corresponding to XRF readings in mg/cc.

2.3.1.4 Bulk Asbestos Sample Preparation and Analysis

******************************************************************************

NOTE: To minimize laboratory costs, the “positive-stop” method of analysis 

should be used to ensure that no additional samples from a homogeneous area will 

need to be analyzed after one of the samples has been found to contain greater 

than 1% asbestos. The cost savings from this method could be significant on 

larger projects. Note that some laboratories may charge a reduced amount for the 

remaining samples, in order to cover the sample preparation costs or to comply 

with their standard contract provisions. The Contractor should consider this when 

choosing a laboratory. In general, point counting should not be used unless the 

installation manager is confident that point counting will yield a result less than 

1%. This might occur if a very few sample results are 1 to 2% asbestos by PLM, 

for a structure that is otherwise “asbestos free”. Otherwise, accept the PLM 

results, as it is generally not cost effective to re-analyze samples by point counting 

only to confirm that a material contains asbestos.

******************************************************************************

The Contractor shall send all bulk asbestos samples (including waste stream characterization 

samples) to a laboratory accredited by NVLAP or AIHA. For samples analyzed by visual 

estimation Polarized Light Microscopy (PLM) (Appendix E, Subpart E, 40 CFR Part 763, 

Section L, Polarized Light Microscopy) and the analysis yields results less than 10% asbestos

content, the material [shall be treated as positive for ACM] [shall be verified for ACM content 

by point counting according to the following criteria: (1) A sample in which no asbestos is 

detected by PLM shall not be point counted, (2) If the analyst detects asbestos in the sample and 

estimates, by visual estimation, the amount to be between 10% and 1%, the material shall be 

[considered positive for ACM] [point counted for ACM verification], (3) Point count results that 

differ from visual estimation shall have precedence over the visual estimation.] [shall be verified 

by Transmission Electron Microscopy (TEM) analysis.] The EPA TEM method shall be used 
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when the PLM method cannot be used because sample preparation is difficult, i.e. asphaltic 

bound matrix. The Contractor shall assure that the laboratory uses the “positive-stop” method 

when analyzing bulk samples after the first positive (asbestos greater than 1%) sample is 

determined in a set of samples from the same homogeneous area, no more samples from that 

homogeneous area shall be analyzed.

2.3.1.5 Laboratory Turnaround Time

The Contractor shall require the laboratory to report analytical results back to the Contractor 

within [ ] days of the samples’ receipt by the laboratory.

2.3.2 Project Data Review and Assessment

The Contractor shall review all data collected as part of the survey. This shall include verifying 

that all applicable NLLAP (for lead analysis) and NVLAP or AIHA (for asbestos analysis) 

laboratory QA/QC requirements have been met for the samples analyzed. The Contractor shall 

accomplish this by reviewing the internal QA/QC sample data generated by the Laboratory for 

each sample batch submitted by the Contractor and provided by the Laboratory in the Laboratory 

Report.

2.3.3 Quality Assurance/Quality Control

The Contractor shall perform QC/calibration checks on the XRF instrument in accordance with 

Paragraph 7.4 of ASTM’s Standard Provisional Practice for Quality Systems for Conducting InSitu Measurements of Lead Content in Paint or Other Coatings using Field-Portable X-Ray 

Fluorescence (XRF) Devices (PS95-98); in accordance with the instrument manufacturer’s PCS. 

At a minimum, calibration checks for each XRF instrument shall be completed at the beginning 

and the end of each survey, and every two hours or less during surveys. The calibration checks 

performed according to this paragraph that fall within the specification for the instrument shall 

demonstrate reading validity. 

2.3.4 Laboratory Report Requirements

The Contractor shall require the laboratory to provide the information necessary for the 

Contractor to comply with the data evaluation/validation procedures outlined in this SOW. This 

shall include a data package containing the following information:

• Cover page information including methods, dates, instruments, digestions, and signature of the laboratory 

director.

• Sample information including identification and the results for samples, blanks, QC samples, dilution factors, 

and batch identification.

• Laboratory certification that all applicable NLLAP (for lead analyses) and NVLAP or AIHA (for asbestos 

analyses) QA/QC requirements have been met for the samples analyzed. 

2.3.5 Contractor Certification of Project Data Validation

The Contractor shall certify in the Survey Report that all field data have been validated:

• in accordance with QA/QC Protocol required for XRF analysis;
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• in accordance with Appendix II of 40 CFR 261 (for TCLP analyses);

• following NLLAP (for total lead analyses); and

• following NVLAP or AIHA (asbestos analyses) laboratory analysis requirements.

The data shall also meet the established DQOs.

2.3.6 Comparison with Lead and Asbestos Survey Criteria

******************************************************************************

NOTE: The specifier shall determine the format by which the Contractor shall 

provide the comparison of validated data to Action Levels in Table A-1 and 

describe this requirement in the blank bracket.

******************************************************************************

The Contractor shall compare the validated data with the lead and asbestos action levels listed in 

Table A-1. The comparison shall be documented in the Survey Report by listing the results and 

Table A-1 action levels in matrix format listing the sample area location down the first column 

and the Table A-1 action levels across the first row. Only sample values exceeding the Table A1 action levels shall be indicated.

2.4 TASK 4 SURVEY REPORT

2.4.1 General Report Contents

In addition to the information described in Paragraphs 2.4.2 through 2.4.6 below, the Survey 

Report shall include:

• Installation Name and Address

• Installation point of contact (POC), title, organization and address

• Facility Address

• [Facility or unit number(s)]

• Date of building construction

2.4.2 Project Work Plan

Note any discrepancies between the project work plan and the actual project activities performed.

2.4.3 Sample Location Selection

Note any discrepancies between the Sample Location Selection [as approved] and any changes 

made during sampling, along with explanation of differences.

2.4.4 Survey Results

******************************************************************************

NOTE: If an XRF instrument is used, specify the format that will be used to 

present the XRF data (i.e., in the drawings).

******************************************************************************
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• Date(s) of the survey and sample collection

• [Identification of field-portable methods used during the survey and applicable calibration check results]

• Laboratory report and chain-of-custody forms

• Comparison of the sample results to the criteria listed in this SOW as presented in matrix format.

• CADD or line drawings that indicate areas of ACM and lead-containing paint.

• Other field QA/QC procedures followed during the survey.

2.4.5 Contractor Data Certification

The report shall contain the certification from the Contractor that data used to develop 

conclusions and recommendations have been reviewed and validated, and have met DQOs.

2.4.6 Electronic HALO/Installation Data Downloading into Installation System

******************************************************************************

NOTE: All data collected during activities specified in this SOW will be 

provided to the DA in a format compatible with HALO or, if the installation does 

not utilize HALO, compatible with the installation’s data management system 

requirements. HALO is a hazard management system designed to track 

lead/asbestos hazards and the actions taken in response to the identified 

lead/asbestos hazards. HALO requires an IBM-compatible personal computer 

(with a Pentium processor), Windows 95, 16 MB of RAM, 10MB of available 

hard disk space, Microsoft Word, and display resolution of 800x600 pixels. The 

current POC for HALO is:

USACE Engineering Research & Development Center/Construction Engineering 

Research Laboratory (ERDC/CERL)

Construction Engineering Resource, Materials and Structures Branch (CER CFM)

(217) 352-6511, ext. 7239 (commercial)

Where the installation has no unique data management system for LBP/asbestos 

data, HALO will be the default program for all deliverables under this SOW. The 

SOW should detail the procedure for the Contractor to follow in providing the 

results of the lead/asbestos survey to the COR for uploading into HALO or other 

system used by the installation.

At a minimum, the Contractor must be provided with a copy of the HALO Data 

Dictionary. The dictionary identifies the table names, field names, data types, and 

any required default values. The Dictionary is part of the HALO program and can 

be obtained through the installation, or by contacting USACE CER CF-M. In 

every case, electronic archives should be produced for the record.

******************************************************************************

[The Contractor shall provide laboratory data to the COR in [both hard copy and] electronic 

format. The electronic data report shall be provided in [HALO format] [ ].]

2.4.7 Contractor Conclusions

The report shall contain conclusions based on the analytical results, on substrates and materials 

found to contain lead and asbestos, the location and the quantities of these materials, the 
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characterization of lead waste streams to be generated, and the linear and square feet of ACM 

requiring disposal as a result of the project.

3.0 SUPPLEMENTAL REQUIREMENTS FOR CONTRACTED SERVICES

3.1 CONTRACTOR FIRM/PERSONNEL QUALIFICATIONS

3.1.1 Contractor Firm Experience

The contracted firm shall have a minimum of [ ] years experience in conducting lead/asbestos 

surveys and have a qualified staff as described in Paragraph 3.1.2. [Three] references, at a 

minimum, shall be required for completed projects equal in complexity to the one described in 

this SOW.

3.1.2 Contractor Surveyor/Project Manager Qualifications

******************************************************************************

NOTE: Some states or local jurisdictions may use different terminology for 

individuals certified to complete the services described in this SOW (i.e., the lead 

certificate may include titles other than “inspector” or “risk assessor,” and the 

asbestos certificate may include titles other than “inspector” or “management 

planner.”) In addition, the state may require licensing or registration, instead of or 

in addition to, certification. Include requirements specific to the jurisdiction in 

which the project is that will be completed.

******************************************************************************

The Contractor shall employ (an) accredited lead risk assessor(s) and accredited asbestos 

inspector(s) [or management planner] to complete the survey activities described in this SOW.

3.1.2.1 EPA Certification

The Contractor shall provide proof in the Project Work Plan of EPA certification or other 

required certifications under an EPA-approved state program pursuant to 40 CFR 745.226 (64 

FR 42849, 6 August 1999) for the lead risk assessor surveyors [and accreditation as asbestos 

inspector(s) pursuant to 40 CFR Part 763 Subpart E requirements.]

3.1.2.2 Record of Experience

A resume of each surveyor (’s) experience related to the project activities of this SOW, shall be 

provided as a part of the Project Work Plan.

3.1.2.3 Use of Survey Teams

******************************************************************************

NOTE: If necessary, for large, complex projects indicate the number and size of 

survey teams.

******************************************************************************

[The Contractor shall specify in the Project Work Plan the number of [two] person survey teams 

to be assigned to conduct the surveys. The survey leader for each team shall have a minimum of 
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three years experience in conducting lead/asbestos surveys. The Contractor shall provide in the 

Project Work Plan a resume of each survey leader that verifies the work experience.] 

3.1.3 Contracted Laboratory Qualifications

The Contractor shall provide, as part of the Project Work Plan evidence of current NLLAP 

and/or NVLAP/AIHA accreditation for each laboratory used by the Contractor for analysis of 

samples collected or prepared under the terms of this SOW.

3.1.4 Contractor Errors and Omissions Liability Insurance

******************************************************************************

NOTE: Consult with the COR to develop requirements for Contractor errors and 

omissions liability insurance that are appropriate for the scope of the project.

******************************************************************************

The Contractor shall demonstrate coverage under an errors and omissions liability insurance 

policy. [Insert errors and omissions text as appropriate]

3.2 PROJECT RECORDS

******************************************************************************

NOTE: Require that all work (surveys, drawings, custody sheets, field data 

sheets, etc) shall be provided in both hard copy and electronic format. All designs 

will now be preformed electronically. Lead and asbestos surveys shall be 

attached in total to the specifications of the design. This has helped significantly 

in reducing “designer error/liability” claims, as the Contractor has access to all the 

same data that the designer has. (In addition, disks are easier to store than 

binders.) Include project-specific requirements for electronic submittal format(s).

******************************************************************************

[The Contractor shall provide all project records in electronic format. [ ]]

3.2.1 Record keeping Requirements

******************************************************************************

NOTE: PWTB 420-70-8 requires that records relating to the status of asbestoscontaining materials in a building be maintained indefinitely. Check with 

customer.

******************************************************************************

The Contractor shall maintain records related to the survey activities for at least [ ] years, 

following completion of the activities outlined under this SOW. Records shall include:

• Project Work Plan

• Survey Report including Laboratory Report

• [Progress Reports]
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• Correspondence, Conference Notes, Other Documentation Pertinent to Decisions Made

Affecting Outcome of Survey

3.3 PROJECT COORDINATION

The Contractor shall coordinate activities through the COR. Contact with installation personnel, 

including the installation POC, members of the installation lead hazard/asbestos management 

teams, building occupants, and other installation personnel shall be coordinated through the 

COR.

3.4 GOVERNMENT SUPPORT

******************************************************************************

NOTE: Little standard language is offered in this paragraph, since the 

requirements will be very project-specific. The specific language will need to be 

defined with the customer. Include in the following paragraphs provisions for 

utilities, water, phone lines, computers, and transportation while on the 

installation, etc. specifying who is responsible for these items.

******************************************************************************

3.4.1 Government Quality Control Oversight

[Insert Appropriate Provisions]

The COR reserves the right to audit the survey, the lead or asbestos survey sample selection 

location documentation and actual sample locations used during the survey for any survey area at 

any time during the course of the survey.
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3.4.2 Security and Escorts

******************************************************************************

NOTE: The Contractor survey personnel may need an escort, especially if the 

survey is to be conducted in residential units that are occupied. In the case of 

residential surveys, the escort should introduce the surveyors on behalf of the 

Housing Office, state how long the work is expected to take, answer questions, 

and observe the team while it works. This is good public relations and protects 

the installation, the Contractor, and the occupants from disputes about claims of 

loss and damage. It reassures occupant members, especially those who have no 

knowledge about lead or asbestos surveys. If occupants (especially spouses) are 

likely not to understand English, a bilingual escort should be provided.

If an escort cannot by provided, special precautions must be taken to protect all 

parties.

• A notice to occupants about the impending work should be provided in 

advance and include information on how Contractor personnel should identify 

themselves at the door.

• Contractor personnel should be directed to never enter a unit unless there is an 

adult present or, at a minimum, an older responsible adolescent (18 years or 

older) who clearly understands the intended work and agrees to the team 

entering. Personnel should be directed not to ask children who answer the 

door whether a parent is home, but rather whether a parent is free to come to 

the door. This is to avoid encouraging children to tell strangers that no adult 

is home.

• Agreement should be reached on what Contractor personnel can tell occupants 

about the work or in response to questions, as opposed to referring occupants 

to the Housing Authority.

It is not practical for a single person to introduce multiple survey teams to each 

occupant because it is not possible to predict in advance how long each survey 

will take.

The Contractor is responsible for the security of their equipment (especially XRF 

units), their employees, ands to re-lock doors upon exit.

If special security arrangements must be made for the work, this should be noted 

below. This might include both personnel and vehicle passes, as well as any 

information or passes to enter secure locations.

******************************************************************************

[Insert Appropriate Provisions]

3.4.3 Temporary Office/Equipment/Storage/Staging Areas

The installation shall provide space for the duration of the field activities that the Contractor may 

use as a temporary office, equipment/storage, and staging area. [The Government] [The 
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Contractor] shall provide [insert appropriate text for utilities, phone lines, computers, 

transportation, permits, etc.]

3.5 TRAVEL AND MEETINGS

The Contractor’s project or task manager and the survey team leader(s) shall attend all meetings.

3.5.1 Preliminary Project Site Visit/Walkover

The Contractor’s survey team leader(s) shall visit the project site to be surveyed with the 

Contracting Officer [and the installation POC]. [The survey leader(s) shall visit a representative 

number of units to be surveyed with the Contracting Officer]

3.5.2 Project Work Plan Review and Startup Meeting

The Contractor shall attend a startup meeting to review, finalize and approve the Project Work 

Plan to include the Accident Prevention Plan, the Sampling Strategy Plan, laboratory and 

personnel credentials immediately prior to beginning field activities. The Contractor shall 

generate meeting minutes that will be submitted to the Contracting Officer within [two weeks] of 

the meeting.

3.5.3 Sampling Data Certification/Progress Report Meeting(s)

******************************************************************************

NOTE: Data certification may also be discussed at the Final Survey Report 

Meeting to help limit the number of required meetings.

******************************************************************************

[The Contractor shall attend a meeting with the COR to review status of data certification 

provided to the Contractor by the laboratory and the progress of the survey.]

3.5.4 Final Survey Report Meeting

The Contractor shall attend a final survey report meeting with the COR to discuss the findings 

and conclusions of the report prior to final submittal.

3.5 5 Additional Meetings [insert any additional meeting requirements]

3.6 SCHEDULES

******************************************************************************
EP 1110-1-30

3130 Aug 01 Nov 00

A-27

NOTE: Consult with the customer to determine schedule milestones. Combine 

meeting topics where appropriate. At a minimum, the schedule milestones are:

1) Site visit/project walkover

2) Project Work Plan submission/Start-up meeting

3) Data certification/progress report submission

4) Final Survey Report submission

******************************************************************************

[Insert appropriate schedule milestones]

3.7 SUBMITTALS

3.7.1 Project Work Plan

3.7.2 Survey Progress Reports

[The Contractor shall provide [ ] project progress reports to the COR. The reports shall be due 

to the COR [ ] The reports shall address [ ]]

3.7.3 Survey Data Submission in Electronic [HALO] [ ] Format

The Contractor shall provide a survey data submission in electronic [HALO] [ ] format, as 

described in Paragraph 2.4 above.

3.7.4 Survey Report

The Contractor shall provide a survey report, as described in Paragraph 2.4 above.

3.8 MISCELLANEOUS 

3.8.1 Glossary

This paragraph contains a glossary of terms used in this SOW, or commonly used in reference to 

lead and asbestos surveys.

Asbestos The asbestiform varieties of: Chrysotile (serpentine); crocidolite (riebeckite); amosite, 

anthophyllite; tremolite; and actinolite. (40 CFR 763.83)

Asbestos-containing 

material (ACM)

Any material or product which contains more than 1 percent asbestos. Including 

surfacing ACM, thermal system insulation ACM, or miscellaneous ACM that is found 

in or on int erior structural members or other parts. (40 CFR 763.83)

Asbestos debris Pieces of ACM that can be identified by color, texture, or composition, or means dust, 

if the dust is determined by an accredited inspector to be ACM. (40 CFR 763.83)

Asbestos-cont aining waste 

materials

Mill tailings or any waste that contains commercial asbestos and is generated by a 

source subject to the provisions of this subpart. This term includes filters from control 

devices, friable asbestos waste material, and bags or other similar packaging 

contaminated with commercial asbestos. As applied to demolition and renovation 

operations, this term also includes regulated asbestos-containing material waste and 

materials contaminated with asbestos including disposable equipment and clothing. 
EP 1110-1-30

3130 Aug 01 Nov 00

A-28

materials contaminated with asbestos including disposable equipment and clothing. 

(40 CFR 61.141)

Category I nonfriable 

ACM

Asbestos-containing packings, gaskets, resilient floor covering, and asphalt roofing 

products containing more than 1 percent asbestos as determined using the method 

specified in appendix E, subpart E, 40 CFR part 763, section 1, Polarized Light 

Microscopy. (40 CFR 61.141)

Category II nonfriable 

ACM

Any material, excluding Category I nonfriable ACM,-containing more than 1 percent 

asbestos as determined using the methods specified in appendix E, subpart E, 40 CFR 

part 763, section 1, Polarized Light Microscopy that, when dry, cannot be crumbled, 

pulverized, or reduced to powder by hand pressure. (40 CFR 61.141)

Common area

A portion of a building that is generally accessible to all occupants. 

Such an area may include, but is not limited to, hallways, stairways, 

laundry and recreational rooms, playgrounds, community centers, 

garages, and boundary fences. (40 CFR 745.223)

Component or component 

system

Unique design or structural elements or element systems of a building, that are 

distinguished from each other by form, function, and location. These include interior 

and exterior components or component systems. 

Data Quality Objective The qualitative and quantitative statements, guidelines, and requirements presented in 

paragraphs 2.2 and 2.3 of this SOW that clarify study objectives, define the 

appropriate type of data, and specify the tolerance levels of potential errors that will be 

used as the basis for establishing the quality of the data needed to support decisions. 

See EM 200-1-2 Appendix G DQO Attainment Verification Worksheet for further 

refinement of the DQO definition.

Distinct painting history The application history, as indicated by its visual appearance or a record of 

application, over time, of paint or other surface coatings to a component or room. (40 

CFR 745.223)

Friable asbestos material Any material containing more than 1 percent asbestos as determined using the method 

specified in appendix E, subpart E, 40 CFR part 763 section 1, Polarized Light 

Microscopy, that, when dry, can be crumbled, pulverized, or reduced to powder by 

hand pressure. If the asbestos content is less than 10 percent as determined by a 

method other than point counting by PLM, verify the asbestos content by point 

counting using PLM. (40 CFR 61.141)

Functional space A room, group of rooms, or homogeneous area (including crawl spaces or the space 

between a dropped ceiling and the floor or roof deck above), such as classroom(s), a 

cafeteria, gymnasium, hallway(s), designated by a person accredited to prepare 

management plans, design abatement projects, or conduct response actions. 

(40 CFR 763.83)

HALO The DA’s Hazardous Asbestos and Lead Optimal Management System, which is a 

management system designed to track lead hazards and actions taken in response to 

identified lead hazards.

QA Quality assurance; defined by NLLAP as an “integrated system of 

activities involving planning, QC, quality assessment, reporting, and 

quality improvement to ensure that a product or service meets defined 

standards of quality within a state level of confidence.” (NLLAP LQSR 

Revision 2.0 (August 1, 1996))

QC Quality control; defined by NLLAP as the “overall system of technical 

activities whose purpose is to measure and control the quality of a
EP 1110-1-30

3130 Aug 01 Nov 00

A-29

activities whose purpose is to measure and control the quality of a

product or service so that it meets the needs of users. The aim is to 

provide quality that is satisfactory, adequate, dependable, and

economical. (NLLAP LQSR Revision 2.0 (August 1, 1996))

Surfacing Material Material that is sprayed-on, troweled-on or otherwise applied to surfaces, such as 

acoustical plaster on ceilings and fireproofing material on structural members, or other 

materials on surfaces for acoustical, fireproofing, or other purposes.

Thermal Insulation 

Material (TSI)

Material applied to pipes, fittings, boilers, breaching, tanks, ducts or other interior 

structural components to prevent heat loss or gain or water condensation.
1EP 1110-1-30

31 Aug 01

B-1

APPENDIX B - STANDARD PRE-DESIGN SURVEY TABLES AND FORMS

This appendix contains tables and example forms to be used in completing lead and asbestos Pre-Design Surveys. 

These tables and forms include:

Table B-1 Number of Units to be Surveyed

Table B-2 Examples of Interior and Exterior Building Component Types

Table B-3 Asbestos-Containing Materials Found in Buildings

Table B-4 Typical Building Materials Comprising a Toxicity Characteristic Leaching Procedure (TCLP 

Sample)

Table B-5 Decision Chart: Lead Sampling for Buildings to be Renovated/Demolished

Form 1 Lead Paint Sampling Form

Form 2 Lead Soil Sampling Form (composite sampling)

Form 3 Asbestos Sampling Form

Form 4 Example Chain-of-Custody Form

Form 5 Example Asbestos Data Summary Sheet
2EP 1110-1-30

31 Aug 01

B-2

Table B-1

Building/Units to be Surveyed

Type of Survey

Lead Asbestos

Building 

Identification

Areas to be 

included in 

Project Survey

Approximate 

Square Feet 

of Project 

Areas Interior Exterior Interior Exterior

Table B-2

Examples of Interior and Exterior Building Component Types

Interior Painted Components that should be tested for lead include:

Air Conditioners Fireplaces

Balustrades Floors

Baseboards Handrails

Bathroom Vanities Newel Posts
3EP 1110-1-30

31 Aug 01

B-3

Beams Other Heating Units

Cabinets Shelves and Supports

Ceilings Painted Electrical Fixtures

Chair Rails Window Sashes and Trim

Columns Stair Stringers

Counter Tops Stair Treads and Risers

Crown Molding Stools and Aprons

Doors and Trims Walls

Exterior Painted Components that should be tested for lead include:

Air Conditioners Handrails

Balustrades Lattice Work

Bulkheads Mailboxes

Ceilings Painted Roofing

Chimneys Railing Caps

Columns Rake Boards

Corner Boards Sashes

Doors and Trim Siding

Fascia Soffits

Floors Stair Risers and Treads

Gutters and Downspouts Stair Stringers

Joists Window and Trim

Fences Storage Sheds and Garages

Laundry Line Posts Swing Sets and Other Play Equipment

Source: Table 7.1 of the 1997 Revision to the HUD Guidelines
4EP 1110-1-30

31 Aug 01

B-4

Table B-3

Asbestos-Containing Materials Found in Buildings

Subdivision Generic Name Asbestos(%) Dates of Use* Binder/Sizing

Preformed Thermal 

Insulating Products

Batts, Blocks, and 

Pipe Covering

85% Magnesia 15 1926-1949 Magnesium Carbonate

Calcium Silicate 6-8 1949-1971 Calcium Silicate

Textiles Cloth Blankets 

(Fire)

100 1910-Present None

Surfacing Material Sprayed- or 

Troweled-On

1-95 1935-1970 Sodium Silicate, 

Portland Cement, 

Organic Binders

Felts: 90-95 1920-Present Cotton/Wool

Blue Stripe 80 1920-Present Cotton

Red Stripe 90 1920-Present Cotton

Green Stripe 95 1920-Present Cotton

Sheets 50-95 1920-Present Cotton/Wool

Cord/Rope/Yarn 80-100 1920-Present Cotton/Wool

Tubing 80-85 1920-Present Cotton/Wool

Tape/Strip 90 1920-Present Cotton/Wool

Curtains (Theater, 

Welding)

60-65 1945-Present Cotton

Cementitious Extrusion Panels 8 1965-1977 Portland Cement

Concrete-Like Corrugated 20-45 1930-Present Portland Cement

Products Flat 40-50 1930-Present Portland Cement

Flexible 30-50 1930-Present Portland Cement

Flexible 

Perforated

30-50 1930-Present Portland Cement

Laminated (Outer 

Surface)

35-50 1930-Present Portland Cement

Roof Tiles 20-30 1930-Present Portland Cement

Clapboard and 

Shingles

20-50 1930-Present 1930-Present

Clapboard 12-15 1944-1945 Portland Cement

Siding Shingles 12-14 UnknownPresentPortland Cement

Roofing Shingles 20-32 UnknownPresentPortland Cement

Pipe 12-15 1935-Present Portland Cement

Roofing Felts Smooth Surface 10-15 1910-Present Asphalt

Mineral Surface 10-15 1910-Present Asphalt

Shingles 1 1971-1974 Asphalt
5EP 1110-1-30

31 Aug 01

B-5

Subdivision Generic Name Asbestos(%) Dates of Use* Binder/Sizing

Pipeline 10 1920-Present Asphalt

Asbestos-Containing Caulking Putties 30 1930-Present Linseed Oil

Compounds Adhesive (Cold 

Applied)

5-25 1945-Present Asphalt

Joint Compound 5 1945-1975 Asphalt

Roofing Asphalt 5 UnknownPresentAsphalt

Mastics 5-25 1920-Present Asphalt

Asphalt Tile 

Cement

13-25 1959-Present Asphalt

Roof Putty 10-25 UnknownPresentAsphalt

Plaster/Stucco 2-10 UnknownPresentPortland Cement

Spackle 3-5 1930-1975 Starch, Casein, Sythetic 

Resins

Asbestos-Containing 

Compounds

Sealants, 

Fire/Water

50-55 1935-Present Caster Oil Or 

Polyisobutylene

Cement, Insulation 20-100 1900-1973 Clay

Cement, Finishing 55 1920-1973 Clay

Cement, Magnesia 15 1926-1950 Magnesium Carbonate

Asbestos Ebony 

Products

50 1930-Present Portland Cement

Flooring Tile And Vinyl/Asbestos 

Tile

21 1950-Present Poly(Vinyl)Chloride

Sheet Goods Asphalt/Asbestos 

Tile

26-33 1920-Present Asphalt

Sheet Goods/ 

Resilient

30 1950-Present Dry Oils

Wallcovering Vinyl Wallpaper 6-8 UnknownPresent--

Paints And Coatings Roof Coating 4-7 1900-Present Asphalt

Air Tight 15 1940-Present Asphalt

Source: Table 2-1 from PWTB 420-70-8, Installation Asbestos Management Program

*The source table was compiled in 1981. Some materials with dates of use extending to 

“present” may no longer be in use.
6EP 1110-1-30

31 Aug 01

B-6

Table B-4

Typical Building Materials Comprising a Toxicity Characteristic Leaching Procedure

(TCLP Sample)

Baseboards Handrails*

Beams Headers

Brick* Insulation (wall, ceiling, etc.)

Cabinets Joists*

Ceilings (plaster, gypsum, etc.) Rafters*

Chair Rails Roofing Materials

Columns Shelves and Supports

Concrete* Siding*

Corner Boards Soffits

Crown Molding Stair Systems

Doors and Trim Studs

Fascia Walls (plaster, gypsum, etc.)

Floors Window Systems*

Gutters and Downspouts* Shutters and Misc. exterior trims

*These materials are most likely to be recyclables

Procedure:

1) List all building components

2) Determine those building materials/components to be recycled (i.e. glass, metal, 

bricks, masonry, HVAC units, etc.)

3) Identify the waste stream (the waste stream is all remaining components to be 

demolished)

4) Quantify waste stream materials, whether painted or not

5) Estimate each of these materials as a percentage of the total building

6) Extract a sample of each

7) Submit to laboratory (Laboratory takes piece of each sample in percentage of total 

building, creating a composite sample of @ 120 grams)

8) Laboratory performs TCLP test and provides results.
7EP 1110-1-30

31 Aug 01

B-7

Is building to be

renovated?

Built before 1960? Built between 1960 &

1978?

No

No

XRF Screen

Exterior Surfaces

Window Systems

Wet Rooms

Trim

Yes

XRF Screen

Exterior Painted Components

Interior Wet Rooms

Yes

No

Yes

Positive XRF

results?

 (> 1.0 mg/cm2)

Is there substantiated objective data or

regulatory compliance history to state or

determine that the paint in the structure is

“Lead Free”?

Paint Chip Sample XRF

Locations from XRF

Screen

No

Detectable Levels of

Lead?

Yes

Yes

Paint Chip Sample all

Painted surfaces for

Project Demolition,

Renovation - Project

Impact Only

No

No

Connect

Connect

OSHA 1926.62 Applies

to Project

OSHA 1926.62 Does

Not Apply to Project

yes

Detectable Levels of

Lead? Yes No

Table B-5

Decision Tree

Lead Sampling for Buildings to be Renovated/Demolished
EP 1110-1-30 FORM 1

31 Aug 01 PAINT SAMPLING FORM

B-8

Installation: POC: 

Address: City: State: Housing Group: 

Date/Time Date/Time

Cleanup Completed: Inspection Initiated: 

Sample 

ID #

Room 

Name and 

Number

Component Substrate

Paint

Color

Paint 

Condition

Test 

Location Result Units

Above 

Action 

Level?

(yes or 

no)

Total number of samples on this page: 

Date/Time of sample collection: Date sent to lab: 

(Note: Attach a Copy of the Chain-of-Custody Form to this Form. See Lab Report for QA/QC Information.)

NOTES:

Name of Insp ector (print): 

Certification Number(s): 

(EPA, State, as applicable)

Signature: Date: 

Figure B-1: Paint Sampling Form
FORM 2 EP 1110-1-30

LEAD SOIL SAMPLING FORM 31 Aug 01

(Composite Sampling)

B-9

Installation: POC: 

Address: City: State: Housing Group: 

Date Inspected: Dwelling Selection Protocol: 

Sketch a soil sampling plot plan. Indicate sample locations. Collect only the top 1 inch of soil.

Sample

ID# Location Bare or 

Covered

Lab

Results Units

High Contact?

(yes or no)

μg/g (ppm)

μg/g (ppm)

μg/g (ppm)

μg/g (ppm)

μg/g (ppm)

μg/g (ppm)

μg/g (ppm)

μg/g (ppm)

μg/g (ppm)

μg/g (ppm)

μg/g (ppm)

μg/g (ppm)

μg/g (ppm)

Total number of samples on this page: 

Date/Time of sample collection: Date sent to lab: 

(Note: Attach a Copy of the Chain-of-Custody Form to this Form. See Lab Report for QA/QC Information.)

NOTES:

Name of Inspector (print): 

Certification Number(s): 

(EPA, State, as applicable)

Signature: Date: 

Figure B-2: Lead Soil Sampling Form
EP 1110-1-30 FORM 3

31 Aug 01 ASBESTOS SAMPLING FORM

Installation: POC: 

Address: City: State: Housing Group: 

Date Inspected: Dwelling Selection Protocol: 

Sample ID # HA # Material Location Sample Location Quantiy Type of ACBM Friability Physical 

Condition

Potential for 

Disturbance 

(Note: Attach a Copy of the Chain-of-Custody Form to this Form. See Lab Report for QA/QC Information.)

NOTES:

Name of Inspector (print): 

Certification Number(s): 

(EPA, State, as applicable)

Signature: Date: 

Figure B-3: Asbestos Sampling Form B-10
FORM 4 EP 11101-30

EXAMPLE CHAIN OF CUSTODY FORM 31 Aug 01

Page of

Project Name Project Number Sample Preparation/Analysis Required (check the appropriate box)

Installation

Project Manager

Company Name

Company Address

Phone

ASTM E1644ASTM E1645ASTM E1726ASTM E1979ASTM E1613

Other (specify)

Sample ID Sample Date Time Sample Matrix 

(wipe, paint chip, 

soil, other)

Laboratory ID

Sampler:

1.1.1.1 Signature

Printed Name/Certification Number

Company Name

Date/Time

1. Released by:

1.1.1.2 Signature

Printed Name

Company Name

Date/Time

2. Received by:

1.1.1.3 Signature

Printed Name

Company Name

Date/Time

Special Instructions/Comments:

Figure B-4: Example Chain of Custody Form B-11
EP 1110-1-30

31 Aug 01

FORM 5

PRE-DESIGN LEAD/ASBESTOS SURVEY

ASBESTOS DATA SUMMARY SHEET

1. Sample Number : _________________

2. Sample Location: _________________

3. Brief Description of Material Sampled: (See Table B-3)

a.Type of Asbestos ____________________________________________________

b.Percent Asbestos Content ______________________________________________

4. EPA NESHAP Friability Designation for Work Task

Friable _______ Non-Friable Category I ______ Non-Friable Category II ______

5. Condition of ACM: Good _______ Fair _______ Poor _______

6. Quantity: Meters _______________, Square Meters ___________________

7. Quantity: Linear Feet: _____________, Square Feet __________________

Figure B-5: Example Asbestos Data Summary Sheet

B-12