HomeMy WebLinkAboutItem 5e. Authorization to Advertise Bids for 1166 Higuera Building Demolition (Spec. 2001066B) Item 5f
Department: Public Works
Cost Center: 9501
For Agenda of: 3/18/2025
Placement: Consent
Estimated Time: N/A
FROM: Matt Horn, Public Works Director
Prepared By: Morgan Edmunson, Engineer I
SUBJECT: AUTHORIZATION TO ADVERTISE FOR BIDS FOR 1166 HIGUERA
BUILDING DEMOLITION, SPECIFICATION NO. 2001066B
RECOMMENDATION
1. Approve the project plans and special provisions for 1166 Higuera Street Demolition,
Specification Number 2001066B; and
2. Authorize staff to advertise for bids; and
3. Authorize the City Manager to award the construction contract pursuant to Section
3.24.190 of the Municipal Code for the bid total, if the lowest responsible bid is within
the Engineer’s Estimate of $305,000; and
4. Approve a transfer of $205,000 from the Parking Structure Capital Account (2001030)
to the project account (2001066); and
5. Authorize the City Engineer to approve Contract Change Orders up to available
project budget and up to any amended budget subsequently approved by the City
Manager up to $200,000.
POLICY CONTEXT
On May 17, 2022, Council approved a Purchasing Policy Update to the Financial
Management Manual that required Council approval for Public Projects that cost over
$200,000.
Implementation of the project aligns directly with several City plans, policies and goals,
including the application of various elements identified in the City’s Active Transportation
Plan aimed at promoting walking and cycling infrastructure. Additionally, the project
contributes to the City's major goals of Climate Action, Open Space, and Sustainable
Transportation. The project also supports the ongoing creative uses of both vehicle
parking and bike parking as outlined in the Access and Parking Management Plan,
ensuring safe and efficient mobility for residents while reducing the environmental impact
of transportation systems.
DISCUSSION
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Item 5f
Background
The 1166 Higuera property was purchased by the City to increase parking supply in the
upper Monterey Street area in conformance with the City’s General Plan Land Use
Element. Development of the upper Monterey Street area of the City supports the
evolving needs of the community. The lack of public parking has been a hurdle to realizing
this long-term vision, which includes more residential and commercial development. The
strategic purchase of 1166 Higuera and improvements supports this vision by creating
better access and multi-modal parking to the upper Monterey Street area.
On December 21, 2023, the City closed escrow on the acquisition of 1166 Higuera Street
for immediate use as a public parking lot. The property is a 21,607 SF parcel located on
the corner of Toro Street and Higuera Street addressed as 1166 Higuera Street. The
acquisition of this property increased public parking supply with approximately 44 new
paid parking spaces and two additional ADA spaces, facilitating greater access and
economic development in the upper Monterey Street area in conformance with the
Downtown Concept Plan and City’s General Plan Land Use Element.
As a part of the November 14, 2023, Council Meeting, $125,000 was appropriated (in
addition to the property purchase cost) for improvements to the property, including the
demolition of one (1) of two
(2) existing structures
pictured below in Figure 1.
The structure to be
demolished was
determined to be
uninhabitable. According to
the City’s Building Official,
the structure is considered
a dangerous building and
qualifies for Exception 1 of
“Exemptions for Structures
Not Designated Historical”
in Section E103.3 of the
City’s Municipal Code
(codified in Section
15.04.100) meaning the
City is not required to offer
the structure for sale and
relocation to another lot.1
Figure 1: Aerial Map of 1166 Higuera
1 The Surplus Land Act is likewise not implicated by the proposed action, because demolition of a
dangerous building is not considered “disposal” of agency property. (See Govt. Code §54221.)
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Item 5f
To address the immediate parking needs in the area, staff divided the parking lot
improvements into two phases. The first phase was completed in June 2024 and included
only the improvements necessary to allow the parking lot to be operational.
The first phase of work was completed by the Mobility Services Staff, and the scope
included:
Striping required disabled parking (ADA) spaces
Installation of one (1) solar pay station
Creation of one (1) defined driveway
Installing wheel stops at each parking space
The project plans (Attachment A) and specifications (Attachment B) incorporate phase
two of the parking lot improvements, which include:
Demolishing the front commercial building (previously known as the Tattoo Shop)
Removing brick perimeter of property
Installation of asphalt in place of the demolished building
Installation of planter boxes in place of brick perimeter
Installation of solar lights around the parking lot
Installation of six BikeLink bike lockers, furnished and installed by the City
The BikeLink bike lockers will be installed on the asphalt in place of the demolished
building.
Previous Council or Advisory Body Action
City Staff met with the City Council in closed session on July 18 and October 17, 2023,
to discuss the negotiations and project purchase terms and funding strategy. Council
provided direction at October 17, 2023 closed session to proceed with negotiations on
price and terms of payment for the 1166 Higuera property.
On November 14, 2023, City Council approved the purchase of 1166 Higuera Street and
authorized the execution of the Purchase and Sale Agreement for immediate use as a
public parking lot. At this meeting, the City Council also authorized funding for
improvements to the property, including the potential demolition of the existing structure.
On December 13, 2023, the acquisition of the property was brought before the Planning
Commission for a unanimous determination of General Plan Conformance per California
Government Code Section 65402.
Public Engagement
A public notice to demolish the existing building was advertised in the New Times on April
4 and 25 and May 16, 2024.
Per Resolution No. 11464, a notification to the Downtown Association will be provided 30
days prior to the start of construction.
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Item 5f
As a notice to the public of the parking lot closure, a social media post will go out two
weeks prior to construction and signage indicating the closure will be posted two weeks
prior to construction and during construction.
CONCURRENCE
The Community Development and Utilities departments concur with the
recommendations of this report.
ENVIRONMENTAL REVIEW
This project falls under the California Environmental Quality Act (CEQA) Guidelines Sec.
15301(c) and 15061(b)(3) exemptions and has been reviewed and approved by the City’s
Environmental Coordinator.
FISCAL IMPACT
Budgeted: Yes Budget Year: 2023
Funding Identified: Yes
Fiscal Analysis:
This project is funded by the Parking Enterprise Fund, which supports efforts that improve
parking infrastructure and services. Funding for this project was approved at the
November 14, 2023, City Council meeting via Resolution 11459. Account 2001066 (task
2) has a current balance of $198,604.24, which is insufficient to cover the total estimated
project costs of $403,600. At the time of property acquisition, the scope of this demolition
project was not fully defined and thus could not be accurately estimated. Now that plans
and specifications have been completed, cost estimates have dem onstrated the need for
additional funding to support the work, with the primary drivers of cost being unforeseen
asbestos removal, placing the planter boxes in place of the existing brick planters , and
lighting throughout the parking lot.
Staff recommends transferring $205,000 from the General Parking Structure Capital
Account into the 1166 Higuera Street project account to support construction of this
project. As of January 28, 2025, the General Parking Structure Capital Account (2001030)
has a remaining balance of $1,337,516.59. At this time, there is no other projects planning
to pull from the Parking Structure Capital Account.The Parking Fund remains the sole
funding source for this project.
Funding
Sources
Total Budget
Available
Current
Funding
Request
(Transfer)
Remaining
Balance
Annual
Ongoing
Cost
General Fund $0 $0 $0 N/A
State $0 $0 $0 N/A
Federal $0 $0 $0 N/A
Fees $0 $0 $0 N/A
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Item 5f
Other: Parking
(1166 Higuera
Account
2001066)
$198,604.24 $0 $0 N/A
Other: General
Parking
Structure Capital
Account
(2001030)
$1,337,516.59 $205,000 $1,132,516.59 N/A
Other: Parking
Operating
Account
$0 $0 $0 $720
Total $1,536,120.83 $205,000 $1,132,516.59 $720
There is an ongoing annual operating cost of $120 per BikeLink Locker, totaling $720
annually. There is a small user fee that is insignificant and will not offset these annual
operating costs. The first year of funding is planned to be funded from this Capital
Improvement Plan project and future funding is planned to be included in the 2025-27
Financial Plan.
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Item 5f
If authorized by Council to transfer $205,000 into the 1166 Higuera Street Project
Account, $1,132,516.59 will remain in the General Parking Structure Capital account
(2001030).
ALTERNATIVES
Deny the approval to advertise the project. City Council could choose to deny the
authorization to advertise this project. This action would reduce Parking Fund Capital
expenditures but could also reduce future parking revenue as this project will add
amenities and improve parking lot safety with lights, planter box barriers, and provide
secure bike parking.
ATTACHMENTS
A – 1166 Higuera Project Plans
B – 1166 Higuera Special Provisions
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SPECIAL PROVISIONS
FOR
CITY OF SAN LUIS OBISPO
1166 Higuera Building Demolition
Specification No. 2001066B
MARCH 2025
PUBLIC WORKS DEPARTMENT
ENGINEERING DIVISION
919 Palm Street
San Luis Obispo, CA 93401
(805) 781-7200
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1166 Higuera Building Demolition
Specification No. 2001066B
Approval Date: XXXX
<<Signature Date>>
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TABLE OF CONTENTS
NOTICE TO BIDDERS ..................................................................................................... I
BID SUBMISSION ...................................................................................................................................... I
BID DOCUMENTS .................................................................................................................................... II
PROJECT INFORMATION ....................................................................................................................... III
QUALIFICATIONS .................................................................................................................................... III
AWARD ..................................................................................................................................................... V
ACCOMMODATION .................................................................................................................................. V
BID FORMS .................................................................................................................... A
BID ITEM LIST FOR 1166 HIGUERA BUILDING DEMOLITION, SPECIFICATION NO. 2001066B ....... A
LIST OF SUBCONTRACTORS ................................................................................................................ C
PUBLIC CONTRACT CODE SECTION 10285.1 STATEMENT .............................................................. D
PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE ......................................................... D
PUBLIC CONTRACT CODE SECTION 10232 STATEMENT ................................................................. D
LABOR CODE SECTION 1725.5 STATEMENTS ................................................................................... D
NON-COLLUSION DECLARATION .......................................................................................................... F
BIDDER ACKNOWLEDGEMENTS .......................................................................................................... G
QUALIFICATIONS .................................................................................................................................... H
ATTACH BIDDER'S BOND TO ACCOMPANY BID ................................................................................... I
SPECIAL PROVISIONS .................................................................................................. 1
DIVISION I GENERAL PROVISIONS ....................................................................................................... 1
1 GENERAL ........................................................................................................................................... 1
3 CONTRACT AWARD AND EXECUTION ........................................................................................... 1
4 SCOPE OF WORK ............................................................................................................................. 2
7 LEGAL RELATIONS AND RESPONSIBILITY TO THE PUBLIC ....................................................... 2
14 ENVIRONMENTAL STEWARDSHIP ............................................................................................... 3
DIVISION VIII MISCELLANEOUS CONSTRUCTION .............................................................................. 6
77 LOCAL INFRASTRUCTURE ............................................................................................................ 6
84 MARKINGS ....................................................................................................................................... 6
ADD DIVISION XIII APPENDICES ........................................................................................................... 7
APPENDIX A - FORM OF AGREEMENT ....................................................................... 0
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NOTICE TO BIDDERS
i
NOTICE TO BIDDERS
BID SUBMISSION
Sealed bids will be received by the City of San Luis Obispo at the Public Works Administration
Office located at 919 Palm Street, San Luis Obispo, California 93401, until
11:00 a.m. on April 17th, 2025
at which time they will be publicly opened and read aloud. Public bid opening may also be
viewed via Microsoft Teams video conference and conference call. Use the following link:
XXXXXXXXXX
or join by phone with this number: (209)645-4165 with Conference ID:XXXXXX
Submit bid in a sealed envelope plainly marked:
1166 Higuera Building Demolition, Specification No. 2001066B
Any bid received after the time and date specified will not be considered and will be returned to
the bidder unopened. Bids received by Fax or Email will not be considered.
By submission of bid you agree to comply with all instruction and requirements in this notice
and the contract documents.
All bids must be submitted on the Bid Item List form(s) provided and submitted with all other
Bid Forms included in these Special Provisions.
Each bid must be accompanied by either a:
1. certified check
2. cashier's check
3. bidder's bond
made payable to the City of San Luis Obispo for an amount equal to ten percent of the bid
amount as a guaranty. Guaranty will be forfeited to the City San Luis Obispo if the bidder, to
whom the contract is awarded, fails to enter into the contract.
The City of San Luis Obispo reserves the right to accept or reject any or all bids or waive any
informality in a bid.
All bids are to be compared based on the City Engineer's estimate of the quantities of work to be
done, as shown on the Bid Item List.
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NOTICE TO BIDDERS
NOTICE TO BIDDERS
ii
Bids will only be accepted from bidders that are licensed in compliance with the provisions of
Chapter 9, Division III of Business and Professions Code.
The award of the contract, if awarded, will be to the lowest responsive bid submitted by a
responsible contractor whose bid complies with the requirements prescribed. If the contract is
awarded, the contract will be awarded within 60 calendar days after the opening of the bids.
Failure to raise defects in the notice to bidders or bid forms prior to bid opening constitute a
waiver of those defects.
BID DOCUMENTS
A copy of the plans and special provisions may be downloaded, free of charge, from the City’s
website at:
www.slocity.org/government/department-directory/public-works/public-works-bids-proposals
No printed copies are available for purchase at the City office.
Standard Specifications and Engineering Standards referenced in the Special Provisions may be
downloaded, free of charge, from the City’s website at:
www.slocity.org/government/department-directory/public-works/documents-online/construction-
documents
You are responsible to obtain all issued addenda prior to bid opening. Addenda will be available
to download at the City’s website listed above or at the office of the City Engineer.
Contact the project manager, Morgan Edmunson at (805)783-7745 or the Public Works
Department at (805) 781-7200 prior to bid opening to verify the number of addenda issued.
You are responsible to verify your contact information is correct on the plan holders list located
on the City’s website at:
www.slocity.org/government/department-directory/public-works/public-works-bids-proposals
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NOTICE TO BIDDERS
NOTICE TO BIDDERS
iii
PROJECT INFORMATION
In general, the project entails the demolition of a two-story commercial building at 1166 Higuera
Street, paving the demolished area, restriping an on-street parking spot, installing solar lights,
existing brick removal and placement/planting of City furnished planter boxes.
The project estimated construction cost is $305,000.00.
Contract time is established as 15 working days.
The fixed liquidated damages amount is established at $500 per day for failure to complete the
work within the contract time.
In compliance with section 1773 of the Labor Code, the State of California Department of
Industrial Relations has established prevailing hourly wage rates for each type of workman.
Current wage rates may be obtained from the Division of Labor at:
https://www.dir.ca.gov/oprl/DPreWageDetermination.htm
This project is subject to compliance monitoring and enforcement by the Department of
Industrial Relations.
QUALIFICATIONS
You must possess a valid Class A or B Contractor’s License at the time of the bid opening.
You and any subcontractors required to pay prevailing wage must be registered with the
Department of Industrial Relations pursuant to Section 1725.5 of the Labor Code.
You must have experience with projects similar to the work specified for this project. Provide
three similar reference projects completed as either the prime or subcontractor, All referenced
projects must have been completed within the last five years from this project’s bid opening date.
One of the three referenced projects must have been completed under contract with a city,
county, state or federal government agency as the prime contractor.
Two of the three referenced projects must be for building demolition or related work. One
of the three referenced projects must be for landscaping work.
Failure to provide reference projects as specified in this section and as required on the
qualification form is cause to reject the bid as being non-responsive.
The City reserves the right to reject a responsive bid based on the non-responsibility of the
bidder if the Director of Public Works or Designee finds, after providing notice and a hearing to
the bidder, that the bidder lacks the
1. knowledge
2. experience
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NOTICE TO BIDDERS
NOTICE TO BIDDERS
iv
3. or is otherwise not responsible
as defined in section 3.24 of the San Luis Obispo Municipal Code to complete the project in the
best interest of the City.
Rejected bidders may appeal this determination. Appeal must comply with the
requirements in this Notice to Bidders.
It is the City of San Luis Obispo’s intent to award the contract to the lowest responsive bid
submitted by a responsible bidder. If in the bidder’s opinion the contract has been or
may be improperly awarded, the bidder may protest the contract award.
Protests must be filed no later than five working days after either:
1. bid opening date
2. notification of rejected bid.
Protest must be in writing and received by the project manager located at:
919 Palm Street
San Luis Obispo, CA 93401.
Valid protests must contain the following information:
1. the reasons for the protest
2. any supporting documentation
3. the ruling expected by the City to remedy the protest.
Any protest not containing all required information will be deemed invalid and rejected.
The City will consider additional documentation or other supporting information regarding
the protest if submitted in compliance to the specified time limits. Anything submitted after
the specified time limit will be rejected and not be considered.
The Director of Public Works or Designee may request additional information to be
submitted within three days of the request, unless otherwise specified, and will notify the
protester of ruling within ten days of determination.
If the protester is not satisfied with ruling, the protester may appeal the ruling to the City
Council in compliance with Chapter 1.20 of the City of San Luis Obispo Municipal Code
Pursuant to the Public Records Act (Government Code, § 6250, et seq.), the City will make
public records available upon request.
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NOTICE TO BIDDERS
NOTICE TO BIDDERS
v
AWARD
The lowest bidder will be determined using the bid total.
As a condition to executing a contract with the City, two bonds each equal to one hundred
percent of the total contract price are required in compliance with Section 3-1.05 of the Standard
Specifications.
You may substitute securities for moneys withheld under the contract in compliance with the
provisions of the Public Contract Code, Section 10263.
THE CONTRACTOR, agrees that they have carefully examined:
1. the location of the proposed work
2. the plans and specifications
and propose to furnish all:
3. materials
4. labor
to complete all the required work satisfactorily in compliance with
5. plans
6. specifications
7. special provisions
for the prices set forth in the agreement.
ACCOMMODATION
If any accommodations are needed to participate in the bid process, please contact Allie Genard
at (805)781-7200 or by Telecommunications Device for the Deaf at (805)781-7107. Requests
should be made as early as possible in the bidding process to allow time for accommodation
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BID FORMS
A
BID FORMS
All bid forms must be completed and submitted with your bid. Failure to submit these forms and
required bid bond is cause to reject the bid as nonresponsive. Staple all bid forms together.
THE UNDERSIGNED, agrees that they have carefully examined:
8. the location of the proposed work
9. the plans and specifications
10. read the accompanying instructions to bidders
and propose to furnish all:
1. materials
2. labor
to complete all the required work satisfactorily in compliance with
3. plans
4. specifications
5. special provisions
for the prices set forth in the bid item list:
BID ITEM LIST FOR 1166 HIGUERA BUILDING DEMOLITION, SPECIFICATION
NO. 2001066B
Item Item Unit of Estimated Item Price Total
No. SS(1) Description Measure Quantity (in figures) (in figures)
1 39 6” HMA SECTION TON 80
2 77,99 BUILDING DEMOLITION SQFT 2,100
3 77,20 PLACE (N) PLANTER
BOXES, SOIL AND PLANT LS 1 ----------
4 77 REMOVE (E) BRICK
PLANTERS LS 1 ----------
5 84 REMOVE (E) STRIPING
PER PLAN LS 1 ----------
6 84
NEW STRIPING
CONFIGURATION PER
PLAN
LS 1 ----------
7 90,77
,73
REMOVE AND REPLACE
SIDEWALK ALLOWANCE SF 100
8 90,77
,73
REMOVE (E) DRIVEWAY
AND REPLACE WITH
MISSION STYLE
SIDEWALK
SF 225
9 90,77
,73
REMOVE AND REPLACE
CURB AND GUTTER
ALLOWANCE
LF 100
10 77 ABANDON (E) WATER
LINE PER CITY LS 1 ----------
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BID FORMS
BID FORMS
B
Item Item Unit of Estimated Item Price Total
No. SS(1) Description Measure Quantity (in figures) (in figures)
STANDARD 6050 AND
CAP AT CORP STOP
11 77 POTHOLE AND LOCATE
(E) SEWER LATERAL LS 1 ------
12 77 ABANDON (E) SEWER
LATERAL LS 1 ------
13 1 OSHA COMPLIANCE LS 1 ------
14 14
ASBESTOS REMOVAL BY
CALIFORNIA CERTIFIED
ASBESTOS ABATER
LS 1 ------
15 14 HEALTH AND SAFETY
PLAN (HSP) LS 1 ------
16 86
PROVIDE AND INSTALL
SOLAR LIGHTS PER
SPECIFICATIONS
UNIT 4
17 14
COMPLIANCE WITH
OCCUPATIONAL HEALTH
AND SAFETY GUIDE
LS 1 ------
Bid Total $
Company Name:
(1) refers to section in the Standard Specifications, with modifications in the Special Provisions, that describe required work.
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BID FORMS
C
LIST OF SUBCONTRACTORS
Pursuant to Section 4100 of the Public Contracts Code and section 2-1.33C of the standard
specifications, the Bidder is required to furnish the following information for each Subcontractor
performing more than 1/2 percent (0.5%) of the total base bid. Do not list alternative
subcontractors for the same work. Subcontracting must not total more than fifty percent (50%) of
the submitted bid except as allowed in section 5-1.13 of the standard specifications.
For Streets & Highways projects, subcontractors performing less than ten thousand dollars
($10,000) worth of work need not be mentioned. Subcontractors required to pay prevailing
wage, must be registered with the Department of Industrial Relations pursuant to Labor
Code section 1725.5 to be listed.
NOTE: If there are no subcontractors, write “NONE” and submit with bid.
Name Under Which
Subcontractor is Licensed License Number
DIR Public Works
Registration
Number
Address and Phone
Number of Office, Mill or
Shop Specific Description
of Subcontract
% of
Total
Base
Bid
Attach additional sheets as needed.
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D
PUBLIC CONTRACT CODE SECTION 10285.1 STATEMENT
In compliance with Public Contract Code Section 10285.1 (Chapter 376, Stats. 1985), the bidder
hereby declares under penalty of perjury under the laws of the State of California that the bidder,
or any subcontractor to be engaged by the bidder, has ____, has not ____ been convicted within
the preceding three years of any offenses referred to in that section, including any charge of
fraud, bribery, collusion, conspiracy, or any other act in violation of any state or federal antitrust
law in connection with the bidding upon, award of, or performance of, any public works
contract, as defined in Public Contract Code Section 1101, with any public entity, as defined in
Public Contract Code Section 1100, including the Regents of the University of California or the
Trustees of the California State University. The term "bidder" is understood to include any
partner, member, officer, director, responsible managing officer, or responsible managing
employee thereof, as referred to in Section 10285.1.
NOTE: The bidder must place a check mark after "has" or "has not" in one of the blank spaces
provided. The above Statement is part of the Bid. Signing this Bid on the signature portion
constitute signature of this Statement. Bidders are cautioned that making a false certification may
subject the certifier to criminal prosecution.
PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE
In compliance with Public Contract Code Section 10162, the Bidder must complete, under
penalty of perjury, the following questionnaire:
Has the bidder, any officer of the bidder, or any employee of the bidder who has a proprietary
interest in the bidder, ever been disqualified, removed, or otherwise prevented from bidding on,
or completing a federal, state, or local government project because of a violation of law or a
safety regulation?
Yes No
If the answer is yes, attach a letter explaining the circumstances
PUBLIC CONTRACT CODE SECTION 10232 STATEMENT
In compliance with Public Contract Code Section 10232, you hereby state under penalty of
perjury, that no more than one final unappealable finding of contempt of court by a federal court
has been issued against you within the immediately preceding two-year period because of your
failure to comply with an order of a federal court which orders you to comply with an order of the
National Labor Relations Board.
LABOR CODE SECTION 1725.5 STATEMENTS
The bidder has delinquent liability to an employee or the state for any assessment of back wages
or related damages, interest, fines, or penalties pursuant to any final judgment, order, or
determination by a court or any federal, state, or local administrative agency, including a
confirmed arbitration award. Any judgment, order, or determination that is under appeal is
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BID FORMS
BID FORMS
E
excluded, provided that the contractor has secured the payment of any amount eventually found
due through a bond or other appropriate means.
Yes No
The bidder is currently debarred under Section 1777.1 or under any other federal or state law
providing for the debarment of contractors from public works.
Yes No
NOTE: The above Statements and Questionnaire are part of the Bid. Signing this Bid on the
signature portion constitute signature of this Statement and Questionnaire. Bidders are cautioned
that making a false certification may subject the certifier to criminal prosecution.
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BID FORMS
F
NON-COLLUSION DECLARATION
I, , declare that
I am of ,
the party making the foregoing bid that the bid is not made in the interest of, or on behalf of, any
undisclosed person, partnership, company, association, organization, or corporation; that the bid is
genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited
any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired,
connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone refrained
from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement,
communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or
to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to
secure any advantage against the public body awarding the contract of anyone interested in the
proposed contract; that all statements contained in the bid are true; and, further, that the bidder has
not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents
thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any
corporation, partnership, company association, organization, bid depository, or to any member or
agent thereof to effectuate a collusive or sham bid.
Executed on , 20 , in __
I declare under penalty of perjury under the laws of the State of California that the foregoing is true
and correct.
(Signature and Title of Declarant)
(SEAL)
Subscribed and sworn to before me
this _______day of _________, 20_____
Notary Public
Company Name:____________________
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G
BIDDER ACKNOWLEDGEMENTS
By signing below, the bidder acknowledges and confirms that this bid is based on the information contained in all
contract documents, including the notice to bidders, plans, specifications, special provisions, and addendum number(s)
. (Note: You are responsible to verify the number of addenda prior to the bid opening.)
The undersigned further agrees that in case of default in executing the required contract, with necessary bonds, within
eight days, (not including Saturdays, Sundays, and legal holidays), after having received a mailed notice that the
contract is ready for signature, the proceeds of the check or bond accompanying his bid will become the property of the
City of San Luis Obispo.
Licensed in accordance with an act providing for the registration of contractors, License No. , Expiration Date
.
The above statement is made under penalty of perjury, and any bid not containing this information "will be considered
non-responsive and will be rejected” by the City.
Signature of Bidder
(Print Name and Title of Bidder)
DIR– Public Works
Registration No:
Business Name (DBA):
Owner/Legal Name:
Indicate One: ¨Sole-proprietor ¨ Partnership ¨Corporation
List Partners/Corporate Officers:
Name Title
Name Title
Name Title
Business Address
Street Address
Mailing Address
City, State, Zip Code
Phone Number
Fax Number
Email Address
Date
Page 149 of 559
BID FORMS
BID FORMS
H
QUALIFICATIONS
Failure to furnish complete reference information ON THIS FORM, as specified in this project’s
Notice to Bidders and indicated below, is cause to reject the bid. Additional information may be
attached but is not a substitute for this form.
Reference Number 1
Customer Name & Contact Individual
Telephone & Email
Project Name (Site Address):
Is this similar to the project being bid or
did this project include building
demolition activity? Yes □ No □
Describe the services provided and how this project is similar to that
which is being bid:
Date project completed:
Was this contract for a public agency?
Yes □ No □
Reference Number 2
Customer Name & Contact Individual
Telephone & Email
Project Name (Site Address):
Is this similar to the project being bid or
did this project include building
demolition activity? Yes □ No □
Describe the services provided and how this project is similar to that
which is being bid:
Date project completed:
Was this contract for a public agency?
Yes □ No □
Reference Number 3
Customer Name & Contact Individual
Telephone & Email
Project Name (Site Address):
Is this similar to the project being bid or
did this project include building
demolition activity? Yes □ No □
Describe the services provided and how this project is similar to that
which is being bid:
Date project completed:
Was this contract for a public agency?
Yes □ No □
Page 150 of 559
BID FORMS
BID FORMS
I
ATTACH BIDDER'S BOND TO ACCOMPANY BID
Know all men by these presents:
That we ____________________________________________, AS PRINCIPAL, and
_______________________________________________________, AS SURETY, are held and firmly bound unto the
City of San Luis Obispo in the sum of:
____________________________________________________ Dollars (_____________) to be paid to said City or
its certain attorney, its successors and assigns; for which payment, well and truly to be made, we bind ourselves, our
heirs, executors and administrators, successors or assigns, jointly and severally, firmly by these presents:
THE CONDITION OF THIS OBLIGATION IS SUCH, that if the certain bid of the above
bounden ______________________________________________________________________
to construct ___________________________________________________________________
(insert name of street and limits to be improved or project)
dated _____________________ is accepted by the City of San Luis Obispo, and if the above
bounden _______________________________________________________, his heirs, executors, administrators,
successors, and assigns shall duly enter into and execute a contract for such construction and shall execute and deliver
the two bonds described within ten (10) days (not including Saturdays, Sundays, or legal holidays) after the above
bounden,
______________________________________________________, has received notice by and from the said City of
San Luis Obispo that said contract is ready for execution, then this obligation shall become null and void; otherwise, it
shall be and remain in full force and virtue.
IN WITNESS WHEREOF, we hereunto set our hands and seals this ___ day of ______, 20____.
Bidder Principal:
Signature Date
Title:
Surety:
Bidder's signature is not required to be notarized. Surety's signature must be notarized.
Equivalent form may be substituted
(Rev. 6-30-14)
Page 151 of 559
SPECIAL PROVISIONS
1
SPECIAL PROVISIONS
ORGANIZATION
Special provisions are under headings that correspond with the main section heading of the
Standard Specifications. Each special provision begins with a revision clause that describes or
introduces a revision to the Standard Specifications. Any paragraph added or deleted by a
revision clause does not change the paragraph number of the Standard Specifications for any
other reference to a paragraph of the Standard Specifications.
DIVISION I GENERAL PROVISIONS
1 GENERAL
Add to Section 1-1.01 GENERAL:
The work must be done in compliance with the City of San Luis Obispo, Department of Public
Works:
1. 1166 Higuera Building Demolition, Spec. No 2001066B Special Provisions
2. City of San Luis Obispo Standard Specifications and Engineering Standards – 2020 edition
3. State of California, Department of Transportation Standard Specifications and Standard
Plans – 2015 edition
In case of conflict between documents, governing ranking must comply with section 5-1.02 of
the City of San Luis Obispo’s Standard Specifications.
Failure to comply with the provisions of these sections is a material breach of contract:
1. Sections 5 through 8 of the Standard Specifications
2. Section 12 through 15 of the Standard Specifications
3. Section 77-1 of the Standard Specifications
4. Section 81 of the Standard Specifications
5. Authorized working hours
6. OSHA compliance
3 CONTRACT AWARD AND EXECUTION
Add Section 3-1.18B CONTRACT EXECUTION, Building Permit:
3-1.18B Building Permit
The contractor must obtain a no-fee building permit from the Community Development
Department. All requirements of the building permit shall be applied to the project.
Add Section 3-1.18C CONTRACT EXECUTION, Demo Permit:
3-1.18C Demo Permit
The contractor must obtain a no-fee demo permit from the Community Development
Department. All requirements of the demo permit shall be applied to the project.
Contractor will be responsible for submitting the following to the Community Development
Department for the demo permit:
Page 152 of 559
SPECIAL PROVISIONS
SPECIAL PROVISIONS
2
1. Water Pollution Control Plan (WCPC)/Storm Water Pollution Protection Plan (SWPPP);
2. Copy of liability insurance with the City of San Luis Obispo listed as additionally insured;
3. Copy of approved Asbestos NESHAP Notification Form from APCD.
Contractor is responsible for any other information not specified that is necessary to acquire a
demo permit.
4 SCOPE OF WORK
Add to Section 4-1.03 WORK DESCRIPTION:
Comply with the provisions of Section(s) 4, 7, 8, 14, 20, 39, 73, 77 , 84 and 90 or general,
material, construction, and payment specifics.
7 LEGAL RELATIONS AND RESPONSIBILITY TO THE PUBLIC
Add Section 7-1.03A(4) Downtown
Contractor is responsible for notification, signage, and necessary procedures to minimize impacts
on affected businesses to the extent feasible. Notification to Downtown SLO is required at least
30 days prior to the start of construction.
Add to Section 7-1.03B PUBLIC CONVENIENCE, Traffic Control Plan
Work hours are restricted to 7:00 a.m. to 4:00 p.m. on all public streets.
Provide traffic control plan and traffic control application at or before the preconstruction
meeting. Traffic control plan must be drawn to scale. Traffic control application may be obtained
on the City’s website:
www.slocity.org/government/department-directory/public-works/documents-online/construction-
documents
Upon approval of the traffic control plan, the City will issue a no-fee Encroachment Permit.
Permittee is responsible to comply with all conditions of the traffic control plan. Complete work
using due diligence to restore free flowing of traffic.
Add to Section 7-1.06C Minimum Limits of Insurance:
The City/Contractor shall utilize a licensed asbestos abatement contractor and that contract
should include the following endorsements:
Contractor’s pollution liability insurance. Coverage shall provide for liability arising out of
sudden, accidental, and gradual pollution, and remediation. The policy limit shall be no less than
$1,000,000 per claim and in the aggregate. All activities contemplated in this agreement shall be
specifically scheduled on the policy as “covered operations.” The policy shall provide coverage
for remediation of the site in the event of an environmental contamination event arising out of
the materials, supplies, products, work, operations, or workmanship.
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SPECIAL PROVISIONS
SPECIAL PROVISIONS
3
Transportation pollution liability insurance. Coverage shall be in an amount not less than
$5,000,000 combined single limit per accident and shall include Pollution Liability (CA9948)
and MCS-90 Endorsements. The policy shall provide coverage for transportation of
pollutants/contaminants to and from the job site and the hauling of waste from the project site to
the final disposal location, including non-owned disposal sites.
14 ENVIRONMENTAL STEWARDSHIP
Add to Section 14-9.02 AIR POLLUTION CONTROL, General:
The City has obtained an annual permit for construction from the Air Pollution Control District
(APCD). The annual APCD permit and construction log files are located on the City’s website:
http://www.slocity.org/government/department-directory/public-works/documents-
online/construction-documents
A copy of the permit can also be found in Appendix H of the City Standards. Contractor is
required to comply with the APCD permit including all notification and construction logs using
the appropriate equipment. Provide training to all workers in the construction area.
Contractor must also pay, submit and comply with Asbestos NESHAP notification of demolition
and renovation APCD form (Appendix E).
You must comply with section 77-1 of the standard specifications.
Contractor must comply with the Occupational, Health and Safety guide for this project, attached
as Appendix F of these Special Provisions.
Add Section 14-9.02A AIR POLLUTION CONTROL, Construction:
Where contamination is encountered, you are responsible to:
1. monitor
2. record
3. report
H2S and Hydrocarbon FID readings taken every hour during work in the contamination zone or
as directed by the Engineer.
Appropriate Personal Protective Equipment (PPE) must be used.
Asbestos has been identified at various locations of the project site. All existing building
materials denoted as containing 2% or higher of asbestos in the attached Asbestos Report
(Appendix C) must be removed by an asbestos abatement contractor licensed by the State of
California prior to demolition. Lead report has been completed and can be found in Appendix D.
There is some lead throughout the building, and it shall be treated as hazardous materials. Any
additional suspect paint or surface coating materials that are revealed by demolition activities
should be assumed to be lead-based paint and managed as such, until properly sampled and
analyzed.
Page 154 of 559
SPECIAL PROVISIONS
SPECIAL PROVISIONS
4
Contractor must comply with Appendix F for Occupational Health and Safety requirements.
Contractor must provide proof of a certified hazardous waste hauler/transporter and
identification of hazardous waste disposal site at a licensed hazardous waste facility prior to the
start of remediation. Contractor shall submit a complete uniform hazardous waste manifest prior
to the start of remediation work. Contractor will not be allowed to haul hazardous waste without
City approval of a uniform hazardous waste manifest. Provide a minimum of 5 days for the
Engineer to review the manifest before anticipated hauling of hazardous waste.
Contractor must adhere to existing asbestos and lead remediation processes according to Title 8
§1529 and 5208 and all other known State and Federal regulations.
All work that disturbs painted components should be conducted in compliance with the
CAL OSHA Title 8, Section 1532.1, and all applicable EPA regulations.
All asbestos abatement must be completed separate from and prior to building demolition.
Hazardous materials must be stored separately from any non-hazardous materials. If hazardous
materials must be stored on site, Contractor must submit a storage plan to reduce the risk to the
public prior to the start of work in compliance with Appendix F.
Any hazardous materials stored on site must be secured from public access via a fence and lock.
Hazardous materials must not be stored on site for longer than 60 days. If hazardous materials
remain on site for longer than 60 days, additional damages in the amount of $1000 per day will
be enforced until materials are removed from the site. If contractor fails to properly dispose of
hazardous waste after 90 days this constitutes lack of faithful performance of the Contractor.
Work will not be deemed complete until hazardous materials have been removed from the site
and properly disposed of.
Prior to demolition of remainder of building deemed non-hazardous, contractor must supply
documentation confirming remaining materials have been tested and verified as non-hazardous.
Add Section 14-9.02C AIR POLLUTION CONTROL, Payment:
Full compensation for APCD compliance and applicable engineering standards is included in the
payment for other bid items unless a bid item of work is shown on the bid list item.
Compensation for APCD Permit Compliance includes, but is not limited to the following:
1. Minimum two (2) week notification to APCD before planned excavation.
2. A project description submitted to City and APCD for approval, including:
a. Specific work zone boundary where public access is restricted,
b. Estimated volume to be excavated,
c. Location of nearest residence, business, and schools,
d. A project specific Site Health and Safety Plan,
Page 155 of 559
SPECIAL PROVISIONS
SPECIAL PROVISIONS
5
e. Starting date, project finish date, and operating hours (for hazardous materials
excavations)
f. Preparation of a Monitoring, Recordkeeping and Reporting Plan (MRRP),
complying with provisions listed in Appendix H of the City Standards,
g. Completion of a screening health risk assessment for toxic air pollutants associated
with the excavation, and project related APCD fee payments.
3. All On-site contaminated soils monitoring needed during hazardous materials excavation.
4. Asbestos NESHAP notification form from APCD.
15 EXISTING FACILITIES
Add to Section 15-1.03E Existing Awning and Fence
Contractor is responsible for removal of existing awning, fences and any other materials
connecting the two buildings in between the garage and the building to be demolished as
depicted below. Payment for this work is included in Bid Item number 2.
Page 156 of 559
SPECIAL PROVISIONS
SPECIAL PROVISIONS
6
DIVISION VIII MISCELLANEOUS CONSTRUCTION
77 LOCAL INFRASTRUCTURE
Add to Section 77-3.03F (2) Abandonment of Sewerlines
Existing sewer lateral must be potholed and located prior to construction. All costs associated
with locating the existing sewer lateral must be covered by bid item 11-Pothole and Locate (E)
Sewer Lateral.
City Staff will provide guidance on wye abandonment as detailed below:
1. VCP Wye : Cut off the sewer lateral at the wye connection, plug the wye connection with
a dollar plug, and use Class 2 concrete over the wye connection.
2. SDR – 35 Wye: Cut the sewer lateral leaving a 12” pup and cap is using approved SDR-
35 cap and glue.
3. HDPE Wye: Cut the sewer lateral leaving 12” pup and use an electro-fusion coupler with
a DR17 cap.
Upon Utilities Department inspection, the City may remove the existing wye on any pipe type
and install new section of plastic pipe with approved couplers.
Add to Section 77 LOCAL INFRASTRUCTURE
Section 77-5 New Planter Boxes
Planter boxes must be placed per plan and the locations must be verified by the Engineer during
construction. All plants must follow the specified plant palette shown in the plans and in
Appendix B. Fertilizer and soil materials must comply City Specifications section 20.
Section 77-6 Solar Lighting
Solar lighting must follow Section 86-60.2B and be placed in the locations specified on the
plans. Light poles shall be per City Standard 7910, and Contractor shall install pull box and
conduit from pull box to the light.
Solar panel and battery shall be separate device that retrofits to City Standard poles and shall
comply with Appendix G.
Section 77-7 Existing Infrastructure
All existing infrastructure must be protected throughout construction including existing concrete
pad, pay station and bollards. Removal of existing pay station and bollards by the City’s Parking
Operations team before construction is necessary. Coordinate temporary removal of pay station
and bollards with Project Manager.
84 MARKINGS
Add to Section 84-2.03C Application of Stripes and Markings:
Preformed thermoplastic is only allowed with the approval of the Engineer.
Replace Section 84-9.04
Page 157 of 559
SPECIAL PROVISIONS
SPECIAL PROVISIONS
7
Full compensation for work specified in Section 84 and applicable Engineering Standards is
included in the payment for other bid items unless a bid item of work is shown on the Bid Item
List.
Add to Section 84-9.03B REMOVE TRAFFIC STRIPES AND PAVEMENT MARKERS
Contractor’s existing striping removal on Higuera Street must include grinding and fog sealing.
Contractor must wait three days after fog sealing before applying new striping.
Add to Section 86-6.02B LED LUMINAIRES, Material:
Submit Solar LED Fixtures and Luminaires for review and approval by the Engineer prior to
ordering. Solar LED fixtures must be:
1. All-in-one design
2. Photoelectric sensor, Auto-ON/OFF Dusk to Dawn
3. 4000 Lumen Minimum
4. Dimmable
5. 4000k-6000k
6. Capable of 12-hour lighting after dusk
7. IP65 waterproof, All Weather
8. 5-year warranty
Solar LED Fixtures and Luminaires must comply with Appendix G.
ADD DIVISION XIII APPENDICES
Add Section 100 APPENDICES:
Add Section 100-1 GENERAL:
Refer to the following Appendices for more information:
APPENDIX A – FORM OF AGREEMENT
APPENDIX B – PLANT PALETTE
APPENDIX C – ASBESTOS REPORT
APPENDIX D – LEAD PAINT SURVEY REPORT
APPENDIX E – NESHAP NOTFIACATION OF DEMOLITION AND RENOVATION
APCD FORM
APPENDIX F – OCCUPATIONAL, HEALTH AND SAFETY GUIDELINES
APPENDIX G – SOLAR LIGHTING PRODUCT SPECIFICATIONS
Page 158 of 559
APPENDIX
APPENDIX
0
APPENDIX A - FORM OF AGREEMENT
THIS AGREEMENT, made on _____________, by and between the City of San Luis Obispo, a
municipal corporation and charter city, San Luis Obispo County, California (hereinafter called the
Owner) and COMPANY NAME (hereinafter called the Contractor).
WITNESSETH:
That the Owner and the Contractor for the consideration stated herein agree as follows:
ARTICLE 1, SCOPE OF WORK: The Contractor shall perform everything required to be
performed, shall provide and furnish all of the labor, materials, necessary tools, expendable
equipment, and all utility and transportation services required to complete all the work of
construction of
1166 HIGUERA DEMO, SPEC NO. 2001066B
in strict compliance with the plans and specifications therefor, including any and all Addenda,
adopted by the Owner, in strict compliance with the Contract Documents hereinafter enumerated.
It is agreed that said labor, materials, tools, equipment, and services shall be furnished and said work
performed and completed under the direction and supervision and subject to the approval of the
Owner or its authorized representatives.
ARTICLE II, CONTRACT PRICE: The Owner shall pay the Contractor as full consideration
for the faithful performance of this Contract, subject to any additions or deductions as provided in
the Contract Documents, the contract prices as follows:
Item
No.
Item Unit of
Measure
Estimated
Quantity
Item Price
(in figures)
Total
(in figures)
1. $ $
2. $ $
3. $ $
BID TOTAL: $ .00
Payments are to be made to the Contractor in compliance with and subject to the provisions
embodied in the documents made a part of this Contract.
Should any dispute arise respecting the true value of any work omitted, or of any extra work which
the Contractor may be required to do, or respecting the size of any payment to the Contractor,
during the performance of this Contract, said dispute shall be decided by the Owner and its
decision shall be final, and conclusive.
Page 159 of 559
APPENDIX
APPENDIX
1
ARTICLE III, COMPONENT PARTS OF THIS CONTRACT: The Contract consists of the
following documents, all of which are as fully a part thereof as if herein set out in full, and if not
attached, as if hereto attached:
1. Notice to Bidders and Information for Bidders
2. Standard Specifications and Engineering Standards
3. Special Provisions, any Addenda, Plans and Contract Change Orders
4. Caltrans Standard Specifications and Standard Plans 2015
5. Accepted Bid and Bid Bond
6. List of Subcontractors
7. Public Contract Code Sections 10285.1 Statement
8. Public Contract Code Section 10162 Questionnaire
9. Public Contract Code Section 10232 Statement
10. Labor Code Section 1725.5 Statements
11. Bidder Acknowledgements
12. Qualifications
13. Non-collusion Declaration
14. Agreement and Bonds
15. Insurance Requirements and Forms
ARTICLE IV INDEMNIFICATION: The Contractor shall indemnify, defend with legal counsel
approved by City, and hold harmless City, its officers, officials, employees and volunteers from
and against all liability, loss, damage, expense, cost (including without limitation reasonable legal
counsel fees, expert fees and all other costs and fees of litigation) of every nature arising out of or
in connection with the Contractor’s negligence, recklessness or willful misconduct in the
performance of work hereunder or its failure to comply with any of its obligations contained in this
Agreement, except such loss or damage which is caused by the sole or active negligence or willful
misconduct of the City. Should conflict of interest principles preclude a single legal counsel from
representing both the City and the Contractor, or should the City otherwise find the Contractor’s
legal counsel unacceptable, then the Contractor shall reimburse the City its costs of defense,
including without limitation reasonable legal counsel fees, expert fees and all other costs and fees
of litigation. The Contractor shall promptly pay any final judgment rendered against the City (and
its officers, officials, employees and volunteers) with respect to claims determined by a trier of fact
to have been the result of the Contractor’s negligent, reckless or wrongful performance. It is
expressly understood and agreed that the foregoing provisions are intended to be as broad and
inclusive as is permitted by the law of the State of California and will survive termination of this
Agreement.
The Contractor obligations under this section apply regardless of whether such claim, charge,
damage, demand, action, proceeding, loss, stop notice, cost, expense, judgment, civil fine or
penalty, or liability was caused in part or contributed to by an Indemnitee. However, without
affecting the rights of the City under any provision of this agreement, the Contractor shall not be
required to indemnify and hold harmless the City for liability attributable to the active negligence
of City, provided such active negligence is determined by agreement between the parties or by the
findings of a court of competent jurisdiction. In instances where the City is shown to have been
actively negligent and where the City’s active negligence accounts for only a percentage of the
Page 160 of 559
APPENDIX
APPENDIX
2
liability involved, the obligation of the Contractor will be for that entire portion or percentage of
liability not attributable to the active negligence of the City.
ARTICLE V. It is further expressly agreed by and between the parties hereto that should there be
any conflict between the terms of this instrument and the bid of said Contractor, then this
instrument shall control and nothing herein shall be considered as an acceptance of the said terms
of said bid conflicting herewith.
IN WITNESS WHEREOF, the parties to these presents have hereunto set their hands this year
and date first above written.
CITY OF SAN LUIS OBISPO
A Municipal Corporation
__________________________________
Whitney McDonald, City Manager
APPROVED AS TO FORM CONTRACTOR:
Name of Company
________________________________
By:________________________________
J. Christine Dietrick
City Attorney
Name of CAO/President
Its: CAO/PRESIDENT
(2nd signature required if Corporation):
By:________________________________
Name of Corporate Officer
Its: ____________________
Page 161 of 559
APPENDIX
APPENDIX
3
APPENDIX B – PLANT PALETTE
Page 162 of 559
BOUTELOUA GRACILIS
'BLONDE AMBITION'
1'H
ALOE X ' ALWAYS RED '
1.5' H
ALWAYS RED ALOE
BLONDE AMBITION BLUE
GRAMA
1 GAL
1 GAL
4
3
QTYCONTCOMMON NAMEBOTANICAL NAMESHRUBS
2. FULL SUN PALETTE
ERIOGONUM CROCATUM
1' H
DUDLEYA PULVERULENTA
1' H
CHALK LETTUCE
SAFFRON BUCKWHEAT
1 GAL
1 GAL
5
4
QTYCONTCOMMON NAMEBOTANICAL NAMESHRUBS
6. FULL SUN PALETTE
SALVIA GREGGII
2.5' H
SELECT A VARIETY OF SAGE
COLORS: RED, PINK, LAVENDER
FESTUCA CALIFORNICA
'RIVER HOUSE BLUES'
1.5' H
ALWAYS RED ALOE
AUTUMN SAGE
1 GAL
1 GAL
4
2
QTYCONTCOMMON NAMEBOTANICAL NAMESHRUBS
3. FULL SUN PALETTE
PENNISETIUM SPATHIOLATUM
3' H
KALANCHOE 'MAJESTIC
SCALLOPS'
1.5' H
LARGE LAVENDER
SCALLOPS
RYE PUFFS
1 GAL
1 GAL
6
2
QTYCONTCOMMON NAMEBOTANICAL NAMESHRUBS
4. FULL SUN PALETTE
SENECIO MANDRALISCAE
1' H
SANSEVIERIA TRIFASCIATA
3' H
MOTHER-IN-LAW''S
TONGUE
BLUE FINGERS
1 GAL
1 GAL
3
8
QTYCONTCOMMON NAMEBOTANICAL NAMESHRUBS
5. FULL SUN PALETTE
SENECIO MANDRAUSCAE
1' H
KALANCHOE LUCIAE
1.5' H
PADDLE PLANT
BLUE FINGERS
1 GAL
1 GAL
2
4
QTYCONTCOMMON NAMEBOTANICAL NAMESHRUBS
1. FULL SUN PALETTE
NOTES:
1. PLANTERS: SYBERTECH GROUND LEVEL PLANTER - RECTANGULAR 54" X 26"
2. SOIL MEDIUM: EQUAL PARTS PERLITE, VERMICULITE, PEAT MOSS, AND COMPOST
3. HAND COMPACT SOUL AND WATER PRIOR TO PLANTING INSTALLATION. DURING
PLANTING, ADD SOIL AND PROVIDE FINAL HAND COMPACTION AND WATER. FILL
CONTAINERS TO 1" WITHIN THE TOP EDGE OF CONTAINER TO ACCOMMODATE
SETTLING.
4. CROWN OF PLANT TO BE AT OR SLIGHTLY ABOVE FINISHED GRADE.
CITY OF SAN LUIS OBISPO, SEPTEMBER 2024
Page 163 of 559
APPENDIX
APPENDIX
4
APPENDIX C – ASBESTOS REPORT
Page 164 of 559
9517 Carmel Road, Atascadero, CA 93422 – (805) 235-0582 – bruffey@att.net
ASBESTOS SURVEY REPORT
1166 Higuera Street
San Luis Obispo, CA 93401
February 12, 2024
Prepared by: Prepared for:
Mike Bruffey City of San Luis Obispo
Asbestos Inspections of SLO 990 Palm Street
9517 Carmel Road San Luis Obispo, CA 93401
Atascadero, CA 93422 Phone: (805) 781-7203
Phone: (805) 235-0582 rbernstorff@slocity.org
Page 165 of 559
9517 Carmel Road, Atascadero, CA 93422 – (805) 235-0582 – bruffey@att.net
9517 Carmel Road, Atascadero, CA 93422 Phone: (805) 235-0582 Email: bruffey@att.net
February 12, 2024
Rebecca Bernstorff
City of San Luis Obispo
990 Palm Street
San Luis Obispo, CA 93401
Phone: (805) 781-7203
Email: rbernstorff@slocity.org
Re: Asbestos Survey Report Summary – Two Story Structure
1166 Higuera Street
San Luis Obispo, CA 93401
I have completed the requested asbestos sampling survey on the commercial structure located
at 1166 Higuera Street, San Luis Obispo, CA on February 2, 2024. This two-story structure was
built in the 1950’s – 1960’s and has approximately 2,100 square feet of space. The structure
has four rooms and a restroom on the bottom level and the top level has two large rooms and a
restroom. A roof access hatch is located in the closet in the north side room.
This survey was conducted prior to a planned demolition and involved sampling, cataloging, and
analyzing all suspect materials found in the interior and on the exterior to test for the presence
of asbestos. Of the twenty-five (25) samples collected from the location and sent to the lab for
analysis, thirteen (13) contained asbestos. The beige joint compound, white plaster skimcoat,
beige VFT (vinyl floor tile) & black mastic (upper and lower levels), grey floor backing, exterior
block wall texture, closet sheet flooring, and gray/black roof mastic all contain various amounts
of chrysotile asbestos. Three materials contained less than 1% and required an additional 400
point-count laboratory analysis to confirm the material contains <1%. The additional analysis
indicates that all three contain <0.25% chrysotile asbestos and is ACCM (asbestos containing
construction material) and can remain in place during the planned demolition.
AISLO appreciates the opportunity to provide these services for you and I look forward to working with you on future
projects. If you have any questions or comments regarding the information contained in this report or if I can be of
further assistance, please contact me by phone or email.
Sincerely,
Mike Bruffey
Owner
Asbestos Inspections of SLO - AISLO
CA Certified Asbestos Consultant #19-6499 | CDPH Certified Lead Inspector Assessor
Page 166 of 559
9517 Carmel Road, Atascadero, CA 93422 – (805) 235-0582 – bruffey@att.net
PURPOSE AND SCOPE OF SERVICES
This survey and inspection involved collecting bulk samples of suspect materials from the entire
commercial structure and sending those samples to a NVLAP laboratory to analyze for the
presence of asbestos. The following is a detailed description of the work performed at this
location.
1. Visual inspection of the entire structure for the following materials: Category I non-friable
ACM, Category II non-friable ACM, and Regulated Asbestos Containing Materials (RACM).
Accessible materials were visually inspected and sampled using the methods presented in
the Federal AHERA regulations (40 CFR, Part 763). AHERA inspection methodology is
required to be used for inspections of K-12 schools and is generally accepted as the
industry standard for all ACM inspections regardless of structure or facility type.
2. For each sample, the following information was documented:
a) Sample Location
b) Sample Description
c) Friability
d) Condition of Material
e) Potential for Disturbance
3. Submission of samples to an EPA accredited lab for analysis that provides a report
containing:
a) Sample identification number (AISLO)
b) Laboratory sample identification number
c) Analytical technique
d) Quality control procedures
e) Type and percentage of asbestos (if any) in each material
4. Analyze the laboratory sample results and produce a comprehensive written report that
includes:
• Applicable Definitions
• Summary of Lab Results
• Asbestos Containing Building Materials
• Conclusions and Recommendations
• Limitations and Disclaimers
• Sample Location Diagram (if required or requested)
• Bulk Asbestos Analysis – Laboratory Reports
• Analysis Request Form - Chain of Custody
• Credentials – Inspector
Materials visibly identified as non-asbestos (glass, wood, plastic, and metal) were not sampled.
Page 167 of 559
9517 Carmel Road, Atascadero, CA 93422 – (805) 235-0582 – bruffey@att.net
APPLICABLE ASBESTOS DEFINITIONS
Asbestos – Asbestos is a group of six naturally occurring fibrous minerals composed of thin,
needle-like fibers. They include chrysotile, amosite, crocidolite, tremolite, anthophyllite, and
actinolite. Exposure to asbestos may cause several cancers and diseases, including
mesothelioma and asbestosis.
Asbestos Containing Material (ACM) – any material containing more than one percent (1%)
asbestos.
ACM Conditions – Good (intact), Fair (Damaged), and Poor (Significantly Damaged)
Asbestos Containing Construction Material (ACCM) - any manufactured construction
material which contains more than 1/10th of 1% asbestos (.1%) by weight.
Asbestos Related Work - The activity, by disturbing asbestos-containing construction materials
(ACCM), may release asbestos fibers into the air and is not related to its manufacture, the
mining or excavation of asbestos-bearing ore or materials.
Category I Non-Friable ACM – asbestos containing packings, gaskets, resilient floor covering,
Galbestos, and asphalt roofing products containing more than 1% asbestos.
Category II Non-Friable ACM – any material that is not Cat I that contains more than 1%
asbestos. Generally cementitious in nature such as stucco, transite, etc.
Friable ACM – any material containing more than 1% asbestos and can be crumbled,
pulverized, or reduced to powder/dust by applying hand pressure.
NESHAPS – National Emission Standards for Hazardous Air Pollutants – EPA regulation 40
CFR subpart M, Part 61
Regulated Asbestos Containing Material (RACM) – (a) Friable asbestos material, (b)
Category I non-friable ACM that has become friable, (c) Category I non-friable ACM that will be
or has been subjected to sanding, grinding, cutting, or abrading, or (d) Category II non-friable
ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to
powder by the forces expected to act on the material in the course of demolition or renovation
operations.
Report of Use - See section Title 8, Section 5203. Note: Employers registered with the Chief in
accordance with Sections 341.6 to 341.9 for the purpose of conducting asbestos-related work
involving over 100 square feet, as defined in Section 341.6(a), of asbestos-containing
construction material shall be deemed to be in compliance with section 5203 for the asbestos-
related work requiring registration. Except that emergencies as defined in section 5203(a) must
be reported as required in section 5203(f).
Page 168 of 559
9517 Carmel Road, Atascadero, CA 93422 – (805) 235-0582 – bruffey@att.net
SUMMARY OF LAB RESULTS - ASBESTOS
Sample# Location or
Room #
Material Description Asbestos
Present
Type of
Asbestos
%
Asbestos
Quantity Condition NESHAPS
Category
1 Room 2 Beige Floor Tile YES CH 2% >1002 ft. Good CAT I NF
2 Kitchen Beige Floor Tile YES CH 2% >1002 ft. Good CAT I NF
3 Room 3 Beige Floor Tile YES CH 2% >1002 ft. Good CAT I NF
4 Restroom Gray/beige Floor Tile NO NA NA NA NA NA
5 Restroom Beige Floor Tile YES CH 2% >1002 ft. Good CAT I NF
6 Entry Tan Floor Tile/Grey backing YES CH 2%/45% 802 Good CAT I NF
7 Entry Gray/beige Floor Tile NO NA NA NA NA NA
8 Room 1 Drywall/White Joint Compound NO NA NA NA NA NA
9 Restroom Drywall/White Joint Compound NO NA NA NA NA NA
10 Room 3 Beige Joint Compound YES CH <0.25% 3502 ft. Good NA/ACCM
11 Kitchen Beige Wall Texture NO NA NA NA NA NA
12 Room 3 White 2’x4’ Ceiling Tile NO NA NA NA NA NA
13 Exterior Wall Stucco/Texture NO NA NA NA NA NA
14 Exterior Wall Red Brick/Gray Mortar NO NA NA NA NA NA
15 Exterior Wall Concrete Block Wall Beige Text. YES CH <0.25% 2502 ft. Good NA/ACCM
16 Exterior Wall Beige/gray Stucco Materials NO NA NA NA NA NA
17 Exterior Window White Window Glaze NO NA NA NA NA NA
18 2nd/South Room Beige VFT/Black Mastic YES CH 2%/10% 250 Good CAT I NF
19 2nd/North Room Beige VFT/Black Mastic YES CH 2%/10% 250 Good CAT I NF
20 2nd/N. Rm Closet Beige Sheet Floor/Black VFT YES CH 25%/3% 302 Good RACM
21 2nd/South Room Brown/White 1x1 Ceiling Tile NO NA NA NA NA NA
22 2nd/Roof Tar and Felt Roofing Layers NO NA NA NA NA NA
23 2nd/Roof Hatch Gray/black mastic YES CH 10% 32 Good CAT I NF
24 2nd/Restroom White plaster skim coat YES CH <0.25% 3502 ft. Good NA/ACCM
25 2nd/Hallway White plaster skim coat YES CH <0.25% 3502 ft. Good NA/ACCM
Page 169 of 559
9517 Carmel Road, Atascadero, CA 93422 – (805) 235-0582 – bruffey@att.net
MATERIALS THAT CONTAIN ASBESTOS
• Beige joint compound found in room 3 contains <0.25% chrysotile asbestos by
400-point count.
• White skimcoat on upper level restroom/hallway walls and ceiling contains <0.25%
chrysotile asbestos by 400-point count.
• Beige texture on north exterior concrete block wall contains <0.25% chrysotile
asbestos by 400-point count.
• Beige VFT lower and upper level
• Tan VFT on lower level entry floor
• Black Mastic
• Gray fibrous backing in the entry floor
• Beige sheet flooring in upper level closet
• Gray/black roofing mastic on the access hatch
MATERIALS THAT DO NOT CONTAIN ASBESTOS BY LABORATORY ANALYSIS
Stucco
Roofing materials other than the mastics
White joint compound throughout
Wall texture throughout
Red Brick and Mortar
Concrete block
Ceiling tiles (2x4’ and 1x1’)
Window glaze
Page 170 of 559
9517 Carmel Road, Atascadero, CA 93422 – (805) 235-0582 – bruffey@att.net
ASBESTOS CONTAINING MATERIALS
I collected samples of all suspect materials from the upper and lower levels of the structure from
the exterior and the interior. The inspection process was focused on collecting all suspect
materials from the structure. A total of twenty-five (25) samples were collected, documented,
and submitted to LA Testing in Huntington Beach, CA, an EPA accredited laboratory for
analytical testing. Lab results can be found in the Bulk Asbestos Analysis section of this
report. The samples were analyzed for the presence of asbestos by Polarized Light Microscopy
(PLM) with dispersion staining in accordance with the EPA Method 600/R-93-116, Visual Area
Estimation.
Regulations in California (Cal OSHA Title 8, CCR 1529) define asbestos containing construction
materials (ACCM) as those materials having asbestos content of greater than one tenth of one
percent (>0.1%); therefore, for the purpose of this survey, any amount of asbestos detected will
be considered positive.
The following material contains asbestos:
Sample Number: 10, 15, 24 & 25
Sample description: Beige joint compound, Beige Texture & white skimcoat
Location of Material: Room 3 and upper level restroom and hallway
Quantity of Material: Approximately 350 square feet of each
Type and % of Asbestos: Chrysotile – <0.25% by 400-point count analysis (all materials)
NESHAP Classification: NA – This is ACCM
Overall Condition: Good and intact
Disturbance Potential: Low as the material is in good condition.
Recommended Response: Since this structure will be demolished, the material can
remain during demolition and disposed of as construction debris.
Sample Number: 1, 2, 3, 5, 6, 18, 19 & 20
Sample description: Tan, Beige, & Black Vinyl Floor Tile and Black Mastic
Location of Material: Entire lower level (under carpet), Upper level, and closet
Quantity of Material: 8002 feet (estimate as it is covered by carpet)
Type and % of Asbestos: Chrysotile – 2%-10%
Page 171 of 559
9517 Carmel Road, Atascadero, CA 93422 – (805) 235-0582 – bruffey@att.net
NESHAP Classification: Category I non-friable
Overall Condition: Good
Disturbance Potential: Low as it is intact and not damaged.
Recommended Response: The material should be maintained in the current condition and
removed prior to any other activity that could disturb it. It is recommended that it be properly
removed by an asbestos abatement contractor certified and licensed by the State of
California prior to demolition. Do not dry scrape, sand, or abrade the material as asbestos
fibers may become airborne.
Sample Number: 6 & 20
Sample description: Gray and Beige Fibrous Material
Location of Material: Entry and upper-level closet
Quantity of Material: 502 feet (estimate as it is covered by carpet)
Type and % of Asbestos: Chrysotile – 45%-25%
NESHAP Classification: RACM
Overall Condition: Good
Disturbance Potential: Low as it is intact and not damaged and covered by carpet.
Recommended Response: The material should be maintained in the current condition and
removed prior to any other activity that could disturb it. It is recommended that it be properly
removed by an asbestos abatement contractor certified and licensed by the State of
California prior to demolition. Do not dry scrape, sand, or abrade the material as asbestos
fibers may become airborne.
Page 172 of 559
9517 Carmel Road, Atascadero, CA 93422 – (805) 235-0582 – bruffey@att.net
CONCLUSIONS AND RECOMMENDATIONS
Samples 10, 15, 24, and 25 (beige joint compound, beige texture, and white skim coat) were
initially analyzed to contain <1% chrysotile asbestos using PLM analysis. The samples were
then analyzed by 400-point count analysis to confirm they contain less than 1%. The final lab
results show that the materials all contain <0.25% asbestos. These materials are ACCM and
can remain in place during the demolition process and be disposed of as C&D
(construction debris). All other material must be removed before the structure is
demolished.
Intact and undisturbed asbestos containing building materials do not pose a health risk.
Improperly disturbing the material can, however, expose occupants and construction workers to
airborne asbestos fibers. I strongly recommend the ACM (asbestos containing materials)
identified in this report be removed and disposed of by an abatement contractor licensed
by the State of California in accordance with all applicable regulations. Demolition
activities should ensure that no dust is created during the removal of this structure.
Any material that contains greater than 1 percent asbestos is considered asbestos containing
material (ACM) and if removed, must be handled, transported, and disposed of according to
EPA and other applicable local regulations.
Quantities of asbestos containing materials noted in this report are intended as
estimates only! Prior to removing ACM’s, I recommend the certified contractor(s) conduct a
thorough site inspection to determine a more accurate estimation of actual material that will be
removed prior to submission of a contract bid.
The local County Air Pollution Control District is delegated authority to implement the asbestos
NESHAP regulation in any given county. This regulation requires specific actions by the owner
or operator of the applicable project. Before beginning the project and for additional information
and requirements, be sure to visit the San Luis Obispo County APCD website
(https://www.slocleanair.org/rules-regulations/asbestos.php) or call them at (805) 781-5912.
Local building and planning departments should also be consulted before any renovation or
demolition begins on this project as they may have specific rules and regulations regarding
projects involving commercial and residential projects.
These conclusions and recommendations are based on the requirements set forth in 40 CFR
Part 61, National Emission Standards for Hazardous Air Pollutants (NESHAPS) Subpart M, and
Title 8, Chapter 4, Section 1529 – Cal/OSHA Construction Safety Orders for Asbestos.
Page 173 of 559
9517 Carmel Road, Atascadero, CA 93422 – (805) 235-0582 – bruffey@att.net
LIMITATIONS AND DISCLAIMERS
The findings and conclusions rendered in this report are opinions based on the scope of work
authorized by the client and laboratory analysis of the samples collected during this inspection.
This report does not reflect variations which may exist between sampling points. These
variations cannot be anticipated, nor could they be entirely accounted for, despite exhaustive
additional testing. My work has been performed in accordance with generally accepted practices
in the field of asbestos consultation. No other warranty, either expressed or implied, is made.
Although every effort was made to identify all the asbestos containing materials that may be
present in this structure, it is possible for other asbestos containing materials to be located
within the walls, subfloors, and attic space. If other suspect materials not sampled in this
inspection are discovered, assume they contain asbestos. Contact me for further sampling and
analysis if required.
Enclosed with this report is the Bulk Asbestos Analysis (Laboratory Report) from LA Testing,
Analysis Request Form (Chain of Custody), and my Certified Asbestos Consultant certification
documentation.
Page 174 of 559
Page 175 of 559
LA Testing
5431 Industrial Drive Huntington Beach, CA 92649
Tel/Fax: (714) 828-4999 / (714) 828-4944
http://www.LATesting.com / hblab@latesting.com
332402020LA Testing Order:
Customer ID:AISL42
Customer PO:
Project ID:
Attention:Phone:Mike Bruffey (805) 235-0582
Fax:Asbestos Inspections SLO
Received Date:9517 Carmel Road 02/06/2024 2:45 PM
Analysis Date:Atascadero, CA 93422 02/08/2024
Collected Date:02/02/2024
Project:1166 HIGUERA SLO
Test Report: Asbestos Analysis of Bulk Materials via AHERA Method 40CFR 763 Subpart E
Appendix E supplemented with EPA 600/R-93/116 using Polarized Light Microscopy
Sample Description Appearance % Fibrous % Non-Fibrous
Non-Asbestos Asbestos
% Type
1-Mastic 1
332402020-0001
None DetectedNon-fibrous (Other)100%Yellow
Non-Fibrous
Homogeneous
LOWER/RM
2/TILE/MASTIC
1-Leveler
332402020-0001A
None DetectedNon-fibrous (Other)100%White
Non-Fibrous
Homogeneous
LOWER/RM
2/TILE/MASTIC
1-Mastic 2
332402020-0001B
None DetectedNon-fibrous (Other)100%Orange
Non-Fibrous
Homogeneous
LOWER/RM
2/TILE/MASTIC
1-Floor Tile
332402020-0001C
2%ChrysotileNon-fibrous (Other)98%Beige
Non-Fibrous
Homogeneous
LOWER/RM
2/TILE/MASTIC
1-Mastic 3
332402020-0001D
None DetectedNon-fibrous (Other)100%Black/Orange
Non-Fibrous
Heterogeneous
LOWER/RM
2/TILE/MASTIC
2-Floor Tile
332402020-0002
2%ChrysotileNon-fibrous (Other)98%Beige
Non-Fibrous
Homogeneous
LOWER/KITCHEN/TI
LE/MASTIC
2-Mastic
332402020-0002A
None DetectedNon-fibrous (Other)100%Black/Yellow
Non-Fibrous
Heterogeneous
LOWER/KITCHEN/TI
LE/MASTIC
3-Floor Tile
332402020-0003
2%ChrysotileNon-fibrous (Other)98%Beige
Non-Fibrous
Homogeneous
LOWER/RM
3/TILE/MASTIC
3-Mastic
332402020-0003A
None DetectedNon-fibrous (Other)100%Yellow
Non-Fibrous
Homogeneous
LOWER/RM
3/TILE/MASTIC
4-Floor Tile
332402020-0004
None DetectedNon-fibrous (Other)100%Gray/Beige
Non-Fibrous
Homogeneous
LOWER/RESTROOM
/TILE/TOP
4-Mastic
332402020-0004A
None DetectedNon-fibrous (Other)100%Orange
Non-Fibrous
Homogeneous
LOWER/RESTROOM
/TILE/TOP
5-Mastic 1
332402020-0005
None DetectedNon-fibrous (Other)100%Yellow
Non-Fibrous
Homogeneous
LOWER/RESTROOM
/TILE/BOTTOM
5-Floor Tile
332402020-0005A
2%ChrysotileNon-fibrous (Other)98%Beige
Non-Fibrous
Homogeneous
LOWER/RESTROOM
/TILE/BOTTOM
5-Mastic 2
332402020-0005B
None DetectedNon-fibrous (Other)100%Brown/Black
Non-Fibrous
Heterogeneous
LOWER/RESTROOM
/TILE/BOTTOM
6-Mastic 1
332402020-0006
None DetectedNon-fibrous (Other)100%Brown/Black
Non-Fibrous
Homogeneous
LOWER/ENTRY/TILE
/TOP
6-Floor Tile
332402020-0006A
2%ChrysotileNon-fibrous (Other)98%Tan
Non-Fibrous
Homogeneous
LOWER/ENTRY/TILE
/TOP
Initial report from: 02/08/2024 19:07:34
Page 1 of 4ASB_PLM_0008_0001 - 1.78 Printed: 2/8/2024 4:07 PM Page 176 of 559
LA Testing
5431 Industrial Drive Huntington Beach, CA 92649
Tel/Fax: (714) 828-4999 / (714) 828-4944
http://www.LATesting.com / hblab@latesting.com
332402020LA Testing Order:
Customer ID:AISL42
Customer PO:
Project ID:
Test Report: Asbestos Analysis of Bulk Materials via AHERA Method 40CFR 763 Subpart E
Appendix E supplemented with EPA 600/R-93/116 using Polarized Light Microscopy
Sample Description Appearance % Fibrous % Non-Fibrous
Non-Asbestos Asbestos
% Type
6-Mastic 2
332402020-0006B
None DetectedNon-fibrous (Other)100%Yellow
Non-Fibrous
Homogeneous
LOWER/ENTRY/TILE
/TOP
6-Backing
332402020-0006C
45%ChrysotileNon-fibrous (Other)55%Gray
Fibrous
Homogeneous
LOWER/ENTRY/TILE
/TOP
6-Leveler
332402020-0006D
None DetectedNon-fibrous (Other)100%Gray
Non-Fibrous
Homogeneous
LOWER/ENTRY/TILE
/TOP
6-Mastic 3
332402020-0006E
None DetectedNon-fibrous (Other)100%Orange
Non-Fibrous
Homogeneous
LOWER/ENTRY/TILE
/TOP
7-Floor Tile
332402020-0007
None DetectedNon-fibrous (Other)100%Gray/Beige
Non-Fibrous
Homogeneous
LOWER/ENTRY/TILE
/BOTTOM
7-Mastic
332402020-0007A
None DetectedNon-fibrous (Other)100%Brown/Orange
Non-Fibrous
Homogeneous
LOWER/ENTRY/TILE
/BOTTOM
8-Joint Compound
332402020-0008
None DetectedNon-fibrous (Other)100%White
Non-Fibrous
Homogeneous
LOWER/RM 1
DRYWALL/JOINT
COMP.
8-Drywall
332402020-0008A
None DetectedNon-fibrous (Other)88%Cellulose
Glass
10%
2%
Brown/White
Fibrous
Heterogeneous
LOWER/RM 1
DRYWALL/JOINT
COMP.
9-Joint Compound
332402020-0009
None DetectedNon-fibrous (Other)100%White
Non-Fibrous
Homogeneous
LOWER/RESTROOM
/DRYWALL/JOINT
COMP.
9-Mesh
332402020-0009A
None DetectedNon-fibrous (Other)10%Synthetic
Glass
60%
30%
White
Fibrous
Homogeneous
LOWER/RESTROOM
/DRYWALL/JOINT
COMP.
9-Drywall
332402020-0009B
None DetectedNon-fibrous (Other)90%Cellulose10%Brown/White
Fibrous
Heterogeneous
LOWER/RESTROOM
/DRYWALL/JOINT
COMP.
10-Joint Compound
332402020-0010
<1%ChrysotileNon-fibrous (Other)100%Beige
Non-Fibrous
Homogeneous
LOWER/ROOM
3/DRYWALL/JOINT
COMP
10-Drywall
332402020-0010A
None DetectedNon-fibrous (Other)88%Cellulose
Glass
10%
2%
Brown/White
Fibrous
Homogeneous
LOWER/ROOM
3/DRYWALL/JOINT
COMP
11
332402020-0011
None DetectedNon-fibrous (Other)100%Beige
Non-Fibrous
Homogeneous
LOWER/KITCHEN/W
OOD WALL
TEXTURE
12
332402020-0012
None DetectedPerlite
Non-fibrous (Other)
30%
10%
Cellulose
Min. Wool
50%
10%
Gray/White
Fibrous
Homogeneous
LOWER/ROOM 3
CEILING TILE
13-Texture
332402020-0013
None DetectedNon-fibrous (Other)100%White
Non-Fibrous
Homogeneous
LOWER/EXTERIOR
WALL STUCCO
13-Stucco
332402020-0013A
None DetectedNon-fibrous (Other)100%Gray
Non-Fibrous
Homogeneous
LOWER/EXTERIOR
WALL STUCCO
14-Brick
332402020-0014
None DetectedNon-fibrous (Other)100%Red
Non-Fibrous
Homogeneous
LOWER/ EXTERIOR
BRICK/MORTAR
14-Mortar
332402020-0014A
None DetectedNon-fibrous (Other)100%Gray
Non-Fibrous
Homogeneous
LOWER/ EXTERIOR
BRICK/MORTAR
Initial report from: 02/08/2024 19:07:34
Page 2 of 4ASB_PLM_0008_0001 - 1.78 Printed: 2/8/2024 4:07 PM Page 177 of 559
LA Testing
5431 Industrial Drive Huntington Beach, CA 92649
Tel/Fax: (714) 828-4999 / (714) 828-4944
http://www.LATesting.com / hblab@latesting.com
332402020LA Testing Order:
Customer ID:AISL42
Customer PO:
Project ID:
Test Report: Asbestos Analysis of Bulk Materials via AHERA Method 40CFR 763 Subpart E
Appendix E supplemented with EPA 600/R-93/116 using Polarized Light Microscopy
Sample Description Appearance % Fibrous % Non-Fibrous
Non-Asbestos Asbestos
% Type
15-Texture
332402020-0015
<1%ChrysotileNon-fibrous (Other)100%Beige
Non-Fibrous
Homogeneous
LOWER/EXTERIOR/
BLOCK WALL
15-Block Wall
332402020-0015A
None DetectedNon-fibrous (Other)100%Brown
Non-Fibrous
Homogeneous
LOWER/EXTERIOR/
BLOCK WALL
16-Finish Coat
332402020-0016
None DetectedNon-fibrous (Other)100%Beige
Non-Fibrous
Homogeneous
LOWER/EXTERIOR
WALL STUCCO
16-Base Coat
332402020-0016A
None DetectedNon-fibrous (Other)100%Gray
Non-Fibrous
Homogeneous
LOWER/EXTERIOR
WALL STUCCO
17
332402020-0017
None DetectedNon-fibrous (Other)100%White
Non-Fibrous
Homogeneous
LOWER/EXTERIOR
WINDOW GLAZE
18-Mastic 1
332402020-0018
None DetectedNon-fibrous (Other)100%Brown/Yellow
Non-Fibrous
Homogeneous
UPPER/12X12"
VFT/BL MASTIC
18-Floor Tile
332402020-0018A
2%ChrysotileNon-fibrous (Other)98%Beige
Non-Fibrous
Homogeneous
UPPER/12X12"
VFT/BL MASTIC
18-Mastic 2
332402020-0018B
10%ChrysotileNon-fibrous (Other)90%Black
Non-Fibrous
Homogeneous
UPPER/12X12"
VFT/BL MASTIC
19-Floor Tile
332402020-0019
2%ChrysotileNon-fibrous (Other)98%Beige
Non-Fibrous
Homogeneous
UPPER/12X12"
VFT/BL MASTIC
19-Mastic
332402020-0019A
8%ChrysotileNon-fibrous (Other)92%Black
Non-Fibrous
Homogeneous
UPPER/12X12"
VFT/BL MASTIC
20-Sheet Flooring
332402020-0020
25%ChrysotileNon-fibrous (Other)75%Beige
Fibrous
Heterogeneous
UPPER/CLOSET/SH
EET FLOORING
20-Mastic
332402020-0020A
None DetectedNon-fibrous (Other)100%Yellow
Non-Fibrous
Homogeneous
UPPER/CLOSET/SH
EET FLOORING
20-Floor Tile
332402020-0020B
3%ChrysotileNon-fibrous (Other)97%Black
Non-Fibrous
Homogeneous
UPPER/CLOSET/SH
EET FLOORING
21
332402020-0021
None DetectedNon-fibrous (Other)10%Cellulose90%Brown/White
Fibrous
Heterogeneous
UPPER/1X1'
CEILING TILES
22-Felt 1
332402020-0022
None DetectedNon-fibrous (Other)80%Glass20%Black
Fibrous
Homogeneous
ROOF/LAYERS/TAR/
FELT
22-Felt 2
332402020-0022A
None DetectedNon-fibrous (Other)65%Cellulose35%Black
Fibrous
Homogeneous
ROOF/LAYERS/TAR/
FELT
22-Tar
332402020-0022B
None DetectedNon-fibrous (Other)100%Black
Non-Fibrous
Homogeneous
ROOF/LAYERS/TAR/
FELT
22-Insulation
332402020-0022C
None DetectedNon-fibrous (Other)2%Cellulose98%Brown
Fibrous
Homogeneous
ROOF/LAYERS/TAR/
FELT
23-Mastic
332402020-0023
10%ChrysotileNon-fibrous (Other)90%Gray/Black
Fibrous
Homogeneous
ROOF
HATCH/TAR/MASTIC
Initial report from: 02/08/2024 19:07:34
Page 3 of 4ASB_PLM_0008_0001 - 1.78 Printed: 2/8/2024 4:07 PM Page 178 of 559
LA Testing
5431 Industrial Drive Huntington Beach, CA 92649
Tel/Fax: (714) 828-4999 / (714) 828-4944
http://www.LATesting.com / hblab@latesting.com
332402020LA Testing Order:
Customer ID:AISL42
Customer PO:
Project ID:
Test Report: Asbestos Analysis of Bulk Materials via AHERA Method 40CFR 763 Subpart E
Appendix E supplemented with EPA 600/R-93/116 using Polarized Light Microscopy
Sample Description Appearance % Fibrous % Non-Fibrous
Non-Asbestos Asbestos
% Type
23-Shingle
332402020-0023A
None DetectedNon-fibrous (Other)80%Synthetic20%Brown/Black
Fibrous
Heterogeneous
ROOF
HATCH/TAR/MASTIC
24-Skim Coat
332402020-0024
<1%ChrysotileNon-fibrous (Other)100%White
Non-Fibrous
Homogeneous
UPPER/RESTROOM
PLASTER
24-Plaster
332402020-0024A
None DetectedNon-fibrous (Other)100%Gray
Non-Fibrous
Homogeneous
UPPER/RESTROOM
PLASTER
25-Skim Coat
332402020-0025
<1%ChrysotileNon-fibrous (Other)100%White
Non-Fibrous
Homogeneous
UPPER/HALL BY
BATHROOM/PLAST
ER
25-Plaster
332402020-0025A
None DetectedNon-fibrous (Other)100%Gray
Non-Fibrous
Homogeneous
UPPER/HALL BY
BATHROOM/PLAST
ER
Analyst(s)
Guillermo Hernandez (10)
Olivia Santiago (49)
Michael Chapman, Laboratory Manager
or Other Approved Signatory
LA Testing maintains liability limited to cost of analysis . Interpretation and use of test results are the responsibility of the client. This report relates only to the samples reported above, and may not be
reproduced, except in full, without written approval by LA Testing . LA Testing bears no responsibility for sample collection activities or analytical method limitations . The report reflects the samples as
received. Results are generated from the field sampling data (sampling volumes and areas, locations, etc.) provided by the client on the Chain of Custody. Samples are within quality control criteria
and met method specifications unless otherwise noted. The above analyses were performed in general compliance with Appendix E to Subpart E of 40 CFR (previously EPA 600/M4-82-020 “Interim
Method”) but augmented with procedures outlined in the 1993 (”final”) version of the method. This report must not be used by the client to claim product certification, approval, or endorsement by
NVLAP, NIST or any agency of the federal government . Non-friable organically bound materials present a problem matrix and therefore LA Testing recommends gravimetric reduction prior to analysis .
Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Estimation of uncertainty is available on request.
Samples analyzed by LA Testing Ontario, CA NVLAP Lab Code 600239-0; CA ELAP 3053
Initial report from: 02/08/2024 19:07:34
Page 4 of 4ASB_PLM_0008_0001 - 1.78 Printed: 2/8/2024 4:07 PM Page 179 of 559
LA Testing
5431 Industrial Drive Huntington Beach, CA 92649
Phone/Fax: (714) 828-4999 / (714) 828-4944
http://www.LATesting.com / hblab@latesting.com
LA Testing Order:332402020
Customer ID:AISL42
Customer PO:
Project ID:
Attention:Mike Bruffey Phone:(805) 235-0582
Asbestos Inspections SLO Fax:
9517 Carmel Road Received:02/06/2024 2:45 PM
Atascadero, CA 93422 Analysis Date:02/12/2024
Collected:02/02/2024
Project:1166 HIGUERA SLO
Test Report: Asbestos Analysis of Bulk Materials via AHERA Method 40CFR 763 Subpart E
Appendix E supplemented with EPA 600/R-93/116 using Polarized Light Microscopy.
Quantitation using 400 Point Count Procedure
Sample Description Appearance % Fibrous % Non-Fibrous % Type
Non-Asbestos Asbestos
Beige
Fibrous
Homogeneous
LOWER/ROOM
3/DRYWALL/JOINT
COMP
10-Joint Compound
332402020-0010
Non-fibrous (Other)100.0%<0.25%Chrysotile
Beige
Non-Fibrous
Homogeneous
LOWER/EXTERIOR/BL
OCK WALL
15-Texture
332402020-0015
Non-fibrous (Other)100.0%<0.25%Chrysotile
White
Non-Fibrous
Homogeneous
UPPER/RESTROOM
PLASTER
24-Skim Coat
332402020-0024
Non-fibrous (Other)100.0%<0.25%Chrysotile
Analyst(s)
Guillermo Hernandez (3)Michael Chapman, Laboratory Manager
or other approved signatory
LA Testing maintains liability limited to cost of analysis. Interpretation and use of test results are the responsibility of the client. This report relates only to the samples reported above, and may
not be reproduced, except in full, without written approval by LA Testing. LA Testing bears no responsibility for sample collection activities or analytical method limitations. The report reflects the
samples as received. Results are generated from the field sampling data (sampling volumes and areas, locations, etc.) provided by the client on the Chain of Custody. Samples are within quality
control criteria and met method specifications unless otherwise noted. The above analyses were performed in general compliance with Appendix E to Subpart E of 40 CFR (previously EPA
600/M4-82-020 “Interim Method”) but augmented with procedures outlined in the 1993 (”final”) version of the method. This report must not be used by the client to claim product certification,
approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore LA Testing recommends
gravimetric reduction prior to analysis. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample.
Estimation of uncertainty is available on request.
Samples analyzed by LA Testing Ontario, CA NVLAP Lab Code 600239-0; CA ELAP 3053
Initial report from: 02/12/2024 09:30:56
ASB_PLMPC_0006_0003 Printed 2/12/2024 9:30:58AM Page 1 of 1Page 180 of 559
OrderID: 332402020
Page 1 Of 2
Page 181 of 559
OrderID: 332402020
Page 2 Of 2
Page 182 of 559
Page 183 of 559
APPENDIX
APPENDIX
5
APPENDIX D – LEAD PAINT SURVEY REPORT
Page 184 of 559
9517 Carmel Road, Atascadero, CA 93422 – Phone: (805) 235-0582 – Email: bruffey@att.net
LEAD PAINT SURVEY
Two Story Structure
1166 Higuera Street
San Luis Obispo, CA 93401
February 12, 2024
Prepared by: Prepared for:
Mike Bruffey City of San Luis Obispo
Asbestos Inspections SLO 990 Palm Street
9517 Carmel Road San Luis Obispo, CA 93401
Atascadero, CA 93422 Phone: (805) 781-7203
Phone: (805) 235-0582 Email: rbernstorff@slocity.org
Page 185 of 559
9517 Carmel Road, Atascadero, CA 93422 – Phone: (805) 235-0582 – Email: bruffey@att.net
9517 Carmel Road, Atascadero, CA 93422 Phone: (805) 235-0582 Email: bruffey@att.net
February 13, 2024
Rebecca Bernstorff
City of San Luis Obispo
990 Palm Street
San Luis Obispo, CA 93401
Phone: (805) 781-7203
Email: rbernstorff@slocity.org
Re: Summary: Lead Paint Survey Report – Two Story Building
1166 Higuera Street
San Luis Obispo, CA 93401
The findings contained in this report are based on my inspection of suspect lead paint on the
interior and exterior painted components on the two-story structure at 1166 Higuera Street. This
inspection was conducted on February 2, 2024. This structure was constructed in the 1950’s –
1960’s during which time, lead was used in low to moderate levels in paint. The inspection of
this structure was conducted for Cal/OSHA and EPA compliance in conjunction with a
scheduled demolition project. The various building components were visually inspected, and
twelve (12) representative samples of paint were obtained, documented, and sent to a
laboratory for analysis. Not every building component was sampled, but a representative
sample of at least one of each was. To obtain approximately 4 in2 of paint, I used a Bahco paint
scraper to remove the paint down to the substrate. Low to moderate levels of lead paint are
present on all components sampled. Levels of lead between <80 ppm to 2,800 ppm (parts
per million) were reported by LA Testing in Huntington Beach, CA. Lead based paint is anything
above 5,000 ppm. The paint is mostly intact, but a few areas showed signs of flaking and
peeling. No lead hazards are present due to the low levels of lead in the deteriorated paint.
AISLO appreciates the opportunity to perform these services and I look forward to working with
you on future projects. If you have any questions or comments regarding the information
contained in this report or if I can be of further assistance, please contact me by phone or email.
Sincerely,
Mike Bruffey
Asbestos Inspections SLO - AISLO
CA Certified Asbestos Consultant #19-6499 | CDPH Lead Inspector Assessor LRC-00003723
Page 186 of 559
9517 Carmel Road, Atascadero, CA 93422 – Phone: (805) 235-0582 – Email: bruffey@att.net
SAMPLING AND ANALYSIS
This inspection involved sampling the various components on both levels inside and outside at
this location and sending those samples to an accredited laboratory for analysis for the
presence and amount of lead. The samples were analyzed by LA Testing using Flame Atomic
Absorption or ICP in accordance with the Environmental Protection Agency (EPA) Method
(3050B/7420 FAA) or (3050B/6010D ICP) to identify lead content. The method used is noted on
the final report. LA Testing Laboratory is certified to analyze for lead in materials and is located
in Huntington Beach, CA. They are accredited by the American Industrial Hygiene Association,
the National Institute of Standards and Technology, and the California Department of Public
Health (CDPH). Please note the attached laboratory reports. The following is a detailed
description of the work performed at this location:
1. Submission of samples to an EPA accredited lab for analysis that provides a report
containing:
i. Sample identification number (Asbestos Inspections of SLO)
ii. Laboratory sample identification number
iii. Analytical technique
iv. Quality control procedures
v. Amount of lead (if any) in each material
2. Analyze the laboratory sample results and produce a comprehensive written report that
includes:
• Applicable Definitions
• Summary of Laboratory Results
• Conclusions and Recommendations
• Disclaimers
• Sample Location Diagram (if requested)
• Metals Analysis of Paints
• Analysis Request Form - Chain of Custody
• CDPH Lead Hazard Evaluation Report Form 8552
• Credentials – Inspector
Page 187 of 559
9517 Carmel Road, Atascadero, CA 93422 – Phone: (805) 235-0582 – Email: bruffey@att.net
APPLICABLE DEFINITIONS
Abatement – any set of measures designed to reduce or eliminate lead hazards or lead-based
paint for public and residential buildings but does not include containment or cleaning.
Component – a structural element or fixture, such as a wall, floor, ceiling, door, window,
molding, trim, railing, cabinet, gutter, or downspout.
Deteriorated Lead-Based Paint – lead-based paint or presumed LBP that is cracking,
chalking, flaking, chipping, peeling, non-intact, failed or otherwise separating from a component.
Lead-Based Paint – paint or other surface coatings that contain an amount of lead equal to or
in excess of:
(a) one milligram per square centimeter (1.0 mg/cm2)
(b) half of one percent (.05%) by weight (5000 parts per million (ppm)
Lead Hazard – deteriorated lead-based paint, lead contaminated dust, lead contaminated soil,
disturbing lead-based paint or presumed lead-based paint without containment, or any other
nuisance which may result in persistent and quantifiable lead exposure.
Lead-Related Construction Work – any construction, alteration, painting, demolition, salvage,
renovation, repair, or maintenance of any residential or public building, including preparation,
and cleanup, that, by using or disturbing lead-containing material or soil, may result in significant
exposure of adults or children to lead.
Presumed Lead-Based Paint – paint or surface coating affixed to a component in or on a
structure constructed prior to January 1, 1978.
Renovation, Repair and Painting Rule (RRP) – requires that firms performing renovation,
repair, and painting projects that disturb lead-based paint in homes, childcare facilities and pre-
schools built before 1978 have their firm certified by EPA, use certified renovators who are
trained by EPA-approved training providers and follow lead-safe work practices.
Page 188 of 559
9517 Carmel Road, Atascadero, CA 93422 – Phone: (805) 235-0582 – Email: bruffey@att.net
SUMMARY OF LAB RESULTS - LEAD
A total of 12 samples were collected, documented, and sent to LA Testing to be analyzed for
lead content. Most of the paint was in fair to good condition and only a small amount of flaking,
peeling, and deteriorated paint was observed.
Sample
#
Location or
Room #
Material Description and Building Component Lead Content
ppm
1L LL Throughout Yellow painted components <80
2L LL Restroom Grey paint <80
3L LL Kitchen White window frame <80
4L LL Entry Grey door jamb 610
5L LL Entry Grey door <80
6L LL Exterior Window Grey/green windowsill <80
7L LL Exterior Grey/green window divider <80
8L LL/UL Exterior Beige metal handrail 140
9L UL Entry Black/white door jamb 2,800
10L UL Window White windowsill 970
11L UL Restroom White door jamb 1,400
12L UL Wall Grey stucco 550
As a comparison, the EPA and CDPH consider a material to be lead-based paint when it
exceeds .5% or 5,000 ppm (parts per million). In addition, the Consumer Product Safety
Commission (CPSC) set a limit of .009% or 90 ppm of lead in paint for children’s toys and CAL
OSHA regulates workers who disturb lead coated surfaces at any detectable lead level.
Moderate levels of lead were detected in the following samples:
9L Entry door jamb upper level
11L Restroom door jamb upper level
All other paint sampled was between <80 ppm and 970 ppm.
Page 189 of 559
9517 Carmel Road, Atascadero, CA 93422 – Phone: (805) 235-0582 – Email: bruffey@att.net
CONCLUSIONS and RECOMMENDATIONS
Low to moderate levels of lead are present on all components sampled and analyzed at
this location. No lead-based paint was detected, and no lead hazards are present. The
State of California, Title 17, Division 1, and Chapter 8 pertains to all public and residential
buildings in California and is enforced by the CDPH. Pursuant to Title 17 and EPA regulations,
lead-based paint is defined as paint or other surface coatings containing an amount of lead
equal to or greater than one milligram per square centimeter (1.0 mg/cm2) or more than half of
one percent >0.5% or 5,000 parts per million (ppm) by weight. Title 17 also defines a lead
hazard as deteriorated lead-based paint, disturbing lead-based paint or presumed lead-based
paint without containment, or any other nuisances which may result in persistent or quantifiable
lead exposure. Additionally, worker exposure to materials containing lead during construction
work is regulated by the Federal OSHA 29 CFR 1926.62(a) and CAL OSHA 8 CCR §1532.1(a).
These regulations require worker protection during construction “…where lead or materials
containing lead are present.”
Any contractor conducting work which will disturb the painted surfaces in this location
should receive proper notification of the lead content and the condition of the lead
containing surfaces prior to demolition, renovation, or any activity which may disturb the
material.
All work that disturbs painted components should be conducted in compliance with the
CAL OSHA Title 8, Section 1532.1, and all applicable EPA regulations.
These conclusions and recommendations are based on the requirements set forth by the
Department of Housing and Urban Development Guidelines for the Evaluation and Control of
Lead-Based Paint Hazards in Housing, 40 CFR Part 61 and CAL OSHA Construction Safety
Orders, Title 8, Chapter 4, Section 1532.1.
Work which disturbs lead based paint in quantities of more than 6 square feet inside or
20 square feet outside in a single-family residence or child occupied facility built prior to
1978, requires a certified renovator to conduct the work in accordance with EPA’s 2008
Lead-Based Paint Renovation, Repair and Painting (RRP) Rule.
Any additional suspect paint or surface coating materials that are revealed by repair, renovation,
remodel, or demolition activities should be assumed to be lead-based paint and managed as
such, until properly sampled and analyzed. Contact me for additional sampling should the
contractor request additional information regarding painted components at this location.
Page 190 of 559
9517 Carmel Road, Atascadero, CA 93422 – Phone: (805) 235-0582 – Email: bruffey@att.net
DISCLAIMERS
The findings and conclusions rendered in this report are opinions based on the scope of work
authorized by the client and laboratory analysis of samples collected during this inspection. This
report does not reflect variations which may exist between sampling points. These variations
cannot be anticipated, nor could they be entirely accounted for, despite exhaustive additional
testing. My work has been performed in accordance with generally accepted practices in the
field of lead consultation.
Enclosed with this report are the following documents:
Metals Analysis of Paints (Laboratory Report)
Analysis Request Form (Chain of Custody)
Lead Hazard Evaluation Report (CDPH 8552)
Inspector Credentials
Page 191 of 559
ConcentrationAnalyzedWeightRDLLeadClient SampleDescription Collected
Test Report: Lead in Paint Chips by Flame AAS (SW 846 3050B/7000B)*
LA Testing
5431 Industrial Drive, Huntington Beach, CA 92649
Phone/Fax:(714) 828-4999 / (714) 828-4944
http://www.LATesting.com hblab@latesting.com
Attn:Mike Bruffey
Asbestos Inspections SLO
9517 Carmel Road
Atascadero, CA 93422
Received:2/6/2024 02:45 PM
1166 HIGUERA ST SLO
Fax:
Phone:(805) 235-0582
Project:
2/2/2024Collected:
332402049
CustomerID:AISL42
CustomerPO:
ProjectID:
LA Testing Order:
Site: LOWER/YELLOW PAINT THROUGHOUT
<0.0080% wt2/12/2024 0.2768g
332402049-0001
0.00802/2/20241L % wt
Site: LOWER/GREY RESTROOM
<0.0080% wt2/12/2024 0.2695g
332402049-0002
0.00802/2/20242L % wt
Site: KITCHEN WINDOW FRAME WHITE
<0.0080% wt2/12/2024 0.2734g
332402049-0003
0.00802/2/20243L % wt
Site: FRONT DOOR JAM/FRAME
0.061% wt2/12/2024 0.287g
332402049-0004
0.00802/2/20244L % wt
Site: FRONT DOOR GREY
<0.0080% wt2/12/2024 0.2653g
332402049-0005
0.00802/2/20245L % wt
Site: EXTERIOR/WINDOWSILL
<0.0080% wt2/12/2024 0.3012g
332402049-0006
0.00802/2/20246L % wt
Site: EXTERIOR/VRT. WINDOW DIVIDER
<0.0080% wt2/12/2024 0.2665g
332402049-0007
0.00802/2/20247L % wt
Site: EXTERIOR METAL STAIR HANDRAIL
0.014% wt2/12/2024 0.2878g
332402049-0008
0.00802/2/20248L % wt
Site: UPPER/DOOR JAM B/W
0.28% wt2/12/2024 0.3088g
332402049-0009
0.00802/2/20249L % wt
Site: UPPER/WINDOWSILLS
0.097% wt2/12/2024 0.2778g
332402049-0010
0.00802/2/202410L % wt
Site: UPPER/RESTROOM/DOOR JAM/FR
0.14% wt2/12/2024 0.261g
332402049-0011
0.00802/2/202411L % wt
Page 1 of 2Test Report PB w/RDL-2.0.0.0 Printed: 2/12/2024 1:30:04 PM
Michael Chapman, Laboratory Manager
or other approved signatory
LA Testing maintains liability limited to cost of analysis. Interpretation and use of test results are the responsibility of the client. This report relates only to the samples reported above, and may not be
reproduced, except in full, without written approval by LA Testing. LA Testing bears no responsibility for sample collection activities or analytical method limitations. The report reflects the samples as
received. Results are generated from the field sampling data (sampling volumes and areas, locations, etc.) provided by the client on the Chain of Custody. Samples are within quality control criteria and
met method specifications unless otherwise noted.
Analysis following Lead in Paint by LA Testing SOP/Determination of Environmental Lead by FLAA. Reporting limit is 0.008% wt based on the minimum sample weight per our SOP. "<" (less than) result
signifies the analyte was not detected at or above the reporting limit. Measurement of uncertainty is available upon request. Definitions of modifications are available upon request.
Samples analyzed by LA Testing Huntington Beach, CA AIHA LAP, LLC-ELLAP Accredited #101650, CA ELAP 1406
Initial report from 02/12/2024 13:30:04
Page 192 of 559
ConcentrationAnalyzedWeightRDLLeadClient SampleDescription Collected
Test Report: Lead in Paint Chips by Flame AAS (SW 846 3050B/7000B)*
LA Testing
5431 Industrial Drive, Huntington Beach, CA 92649
Phone/Fax:(714) 828-4999 / (714) 828-4944
http://www.LATesting.com hblab@latesting.com
Attn:Mike Bruffey
Asbestos Inspections SLO
9517 Carmel Road
Atascadero, CA 93422
Received:2/6/2024 02:45 PM
1166 HIGUERA ST SLO
Fax:
Phone:(805) 235-0582
Project:
2/2/2024Collected:
332402049
CustomerID:AISL42
CustomerPO:
ProjectID:
LA Testing Order:
Site: EXTERIOR STUCCO
0.055% wt2/12/2024 0.364g
332402049-0012
0.00802/2/202412L % wt
Page 2 of 2Test Report PB w/RDL-2.0.0.0 Printed: 2/12/2024 1:30:04 PM
Michael Chapman, Laboratory Manager
or other approved signatory
LA Testing maintains liability limited to cost of analysis. Interpretation and use of test results are the responsibility of the client. This report relates only to the samples reported above, and may not be
reproduced, except in full, without written approval by LA Testing. LA Testing bears no responsibility for sample collection activities or analytical method limitations. The report reflects the samples as
received. Results are generated from the field sampling data (sampling volumes and areas, locations, etc.) provided by the client on the Chain of Custody. Samples are within quality control criteria and
met method specifications unless otherwise noted.
Analysis following Lead in Paint by LA Testing SOP/Determination of Environmental Lead by FLAA. Reporting limit is 0.008% wt based on the minimum sample weight per our SOP. "<" (less than) result
signifies the analyte was not detected at or above the reporting limit. Measurement of uncertainty is available upon request. Definitions of modifications are available upon request.
Samples analyzed by LA Testing Huntington Beach, CA AIHA LAP, LLC-ELLAP Accredited #101650, CA ELAP 1406
Initial report from 02/12/2024 13:30:04
Page 193 of 559
OrderID: 332402049
Page 1 Of 2
Page 194 of 559
OrderID: 332402049
Page 2 Of 2
Page 195 of 559
Page 196 of 559
Page 197 of 559
APPENDIX
APPENDIX
6
APPENDIX E – NESHAP NOTIFICATION OF DEMOLITION AND RENOVATION
APCD FORM
Page 198 of 559
U.S. EPA NOTIFICATION OF DEMOLITION AND RENOVATION
Page 1 of 2
Operator Project # Postmark Date Received Notification #
I. Type of Notification (check one): Original Revised Canceled
II. Facility Description
Building Name: ____________________________________________________________________________________________
Address: _________________________________________________________________________________________________
City: __________________________________ State: __________ Zip Code: _____________ County: ______________
Site Location : _____________________________________________________________________________________________
Building Size (square feet): __________________________ # of Floors: ________________ Age in Years: __________
Present Use: _______________________________________ Prior Use: ___________________________________________
III. Type of Operation (check one): Demo Ordered Demo Renovation Emergency Renovation Fire Training
IV. Is Asbestos Present? (check one): Yes No
V. Facility Information
Owner Name: ______________________________________________________________________________________
Address: ___________________________________________________________________________________________
City: ____________________________________________ State: _______________ Zip Code: _______________
Contact: ___________________________________ Telephone: (____)__________________ Fax: _________________
Removal Contractor Name: __________________________________________________________________________
Address: __________________________________________________________________________________________
City: ____________________________________________ State: _______________ Zip Code: _______________
Contact: ___________________________________ Telephone: (____)__________________ Fax: _________________
Other Operator (demolition/general): __________________________________________________________________
Address: ___________________________________________________________________________________________
City: ____________________________________________ State: _______________ Zip Code: _______________
Contact: ___________________________________ Telephone: (____)__________________ Fax: _________________
VI. Procedure, including analytical methods, employed to detect the presence of and to estimate the quantity of RACM and
Category I and Category II non-friable ACM:
VII. Approximate Amount of Asbestos Materials:
RACM to be Removed
Non-friable Asbestos Material
to be Removed
Non-friable Asbestos Material
NOT to be Removed
Category I Category II Category I Category II
Pipes (linear feet)
Surface Area (square feet)
Facility Components (cubic feet)
VIII. Scheduled Dates Demolition or Renovation: Start: Complete:
IX. Dates for Asbestos Removal (MM/DD/YY) Start: Complete:
Days of the Week: Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Hours of Operation:
Page 199 of 559
U.S. EPA NOTIFICATION OF DEMOLITION AND RENOVATION
Page 2 of 2
X. Description of planned Demolition or Renovation work to be performed and method(s) to be employed, including demolition
or renovation techniques to be used and description of affected facility component s:
XI. Description of work practices and engineering controls to be used to comply with the requirements, including asbestos
removal and waste handling emission control procedures:
XII. Waste Transporter #1
Name:
Address:
City: State: Zip Code:
Contact: Telephone: ( )
Waste Transporter #2
Name:
Address:
City: State: Zip Code:
Contact: Telephone: ( )
XIII. Waste Disposal
Name:
Address:
City: State: Zip Code:
Contact: Telephone: ( )
XIV. Emergency Demolition (complete Item XIV only if this project is an Emergency Demo.)
1. Attach a copy of the Order to this notice.
2. Name of Authority Issuing Order: Title:
3. Authority of Order (Citation of Code):
4. Date of Order (MM/DD/YY): Date Ordered to Begin
XV. Emergency Renovation (Attach separate sheet with the following information if project is Emergency Renovation.)
1. Date and Hour of the Emergency:
2. Description of the Sudden, Unexpected Event:
3. Explanation of how the event caused unsafe conditions or equipment damage or an unreasonable financial burden.
XVI. Description of procedures to be followed in the event that unexpected RACM is found or non -friable ACM becomes
crumbled, pulverized, or reduced to powder.
I certify that an individual trained in the provisions of NESHAP (40 CFR PART 61, SUBPART M) will be on -site during the
Demolition or Renovation, and evidence that the required training has been accomplished by this person will be
available during normal business hours.
XVII.
Signature of Owner/Operator Date Type or Print Name and Title
I acknowledge the existence of laws prohibiting the submission of false or misleading statements, and I certify that facts
contained in this notification are true, accur ate, and complete.
XVIII.
Signature of Owner/Operator Date Type or Print Name and Title
Page 200 of 559
APPENDIX
APPENDIX
7
APPENDIX F – OCCUPATIONAL, HEALTH AND SAFETY GUIDELINES
Page 201 of 559
Occupational, Health and Safety
RE: Health and Safety review of expectations and requirements for seeking asbestos abatement
contractors at 1166 Higuera Demolition.
Jake Parsons, Safety Manager
Morgan Edmunson, Public Works Engineer
Survey and Inspection
Contractor should refer to prior completed asbestos survey as provided by the City.
Licensing
The contractor or their listed subcontractor performing asbestos abatement shall maintain a C-22
Asbestos Abatement Contractor License from the California Contractors State License Board (CSLB) for
the duration of the contract.
The contractor shall be registered with the Division of Occupational Safety and Health (Cal/OSHA). This
registration is required for any work involving 100 square feet or more of asbestos-containing
construction materials (ACCM).
The contractor shall file a Report of Use with the Department of Safety and Health (Cal/OSHA) if the
total square footage of asbestos abatement is less than 100 square feet.
Training and Certification
The contractor shall ensure that all supervisors and workers involved in asbestos abatement receive
training in courses approved by Cal/OSHA under the Asbestos Hazard Emergency Response Act (AHERA)
prior to the start of work.
The contractor shall maintain a list of applicable trainings which verify the notification and training of the
contractor’s employees on relevant topics including but not limited to those known or assumed hazards
at the worksite. Complete training records shall be submitted to the City prior to the start of jobsite
activities.
Insurance
The contractor shall possess worker’s compensation insurance in compliance with City Standards 7-1.06
and State insurance requirements for the duration of the project.
Standard Operating Procedures
The contractor shall provide a written asbestos removal plan prior to the start of work. This plan shall
include, but is not limited to, policies and procedures which address the following:
Procedures for the removal of asbestos addressing unique circumstance where they exist.
Page 202 of 559
City of San Luis Obispo, Title, Subtitle
Procedures for the protection of workers.
Procedures for the decontamination of equipment, materials, vehicles and personnel.
Housekeeping procedures including wetting procedures.
Ventilation and air-toxics monitoring throughout construction and after the conclusion of
construction.
Final custodial and decontamination procedures.
Procedures for the notification and protection of the public.
All procedures shall be compliant with all applicable asbestos-related standards and regulations in the
State of California and approved by the City’s designated person.
Equipment and Tools
The contractor shall maintain a list of necessary equipment to perform asbestos abatement including
the decontamination processes for each.
Personal Protective Equipment (PPE)
The contractor shall maintain a list of necessary personnel protective equipment.
The contractor shall provide the following personal protective equipment due to the nature of the
hazards of this work:
Respiratory protection
Fall prevention/arrest (if applicable)
Head, hands and feet protection
Skin protection
Signage, Public Notifications and Warnings
The contractor shall post visual signage indicating the presence or an active asbestos abatement
construction project. This signage shall be on the exterior of the construction site or the exterior of any
buildings within the construction site.
Warning signs must be posted at all entrances to regulated areas where asbestos work is being
conducted.
All signs shall contain specific language to inform workers and others of the asbestos hazard. Exterior
signage shall include statements such as the following:
DANGER
ASBESTOS
CANCER AND LUNG DISEASE HAZARD
AUTHORIZED PERSONNEL ONLY
RESPIRATORS AND PROTECTIVE CLOTHING MAY BE REQUIRED IN THIS AREA
Page 203 of 559
City of San Luis Obispo, Title, Subtitle
Hazardous Waste Remediation and Hauling
EPA IDs
Contractor shall use the City PW EPA ID. No Temporary EPA ID will be accepted. Contact Project
Manager for assistance getting the existing City Public Works EPA ID number.
Manifesting and Documentation of Hazardous Waste Accumulation
The contractor shall supply the City with a uniform hazardous waste manifest with appropriate weights
for all containers, discussed and agreed to prior to the removal of any containers from the jobsite. No
other form of hazardous waste transportation documentation will be accepted.
Security
The contractor shall effectively secure all hazardous waste containers ensuring that at no time,
containers are opened, contents removed, or contents exposed to unprotected individuals throughout
the duration of construction.
The City may require increased measures to secure containers of hazardous materials and/or waste.
These requirements shall be enacted immediately. The cost of properly securing hazardous waste
containers is included in Bid Item 14. This price will not be adjusted if additional security measures are
required.
Containerization
The contractor shall ensure that non-friable asbestos is placed in leak-tight containers or wrappings
which are sealed to prevent the release of asbestos fibers. This may be done using heavy-duty plastic
bags (minimum 6 mil thickness) or other suitable containers. Any alternative container shall be
submitted for review and approval by the City prior to the start of work.
The contractor shall clearly label with a warning that hazardous waste containers containing asbestos.
The labeling shall include the following compliant text:
DANGER
CONTAINS ASBESTOS FIBERS
MAY CAUSE CANCER
CAUSES DAMAGE TO LUNGS
DO NOT BREATHE DUST
AVOID CREATING DUST
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The contractor shall “double bag” all non-friable asbestos removed from the construction site. Each bag
shall be independently sealed. Each bag shall be labeled in keeping with compliant standards in the State
of California.
The contractor shall maintain wetting procedures throughout the removal, bagging, and containerization
process.
The contractor shall line all large containers, beds, trailers and the like with plastic sheeting prior to the
remediation of hazardous waste, ensuring zero-loss of waste throughout remediation and
transportation.
Transportation
The contractor shall identify a licensed hazardous waste hauler prior to the start of work. Contractor
shall submit licensed hazardous waste hauler for review and approval by the City’s engineer.
Only a licensed hazardous waste transporter can haul asbestos waste. Transporters must comply with
both California Department of Toxic Substances Control (DTSC) regulations and U.S. Department of
Transportation (DOT) regulations regarding hazardous materials.
The contractor and their identified hazardous waste hauler shall provide uniform hazardous waste
manifest and it shall accompany any and all hazardous waste throughout the remediation and
transportation process.
The contractor’s designated hazardous waste hauler must provide a vehicle that is properly equipped
and sealed to prevent any release of asbestos fibers during transit.
At any time, the City may request procedures for the decontamination of any equipment and vehicles
used in the remediation and transportation of hazardous Air Pollution Control District waste.
Disposal
The contractor shall provide the name, address and contact information for the designated landfill prior
to the start of work.
The contractor shall remove and dispose of non-friable asbestos waste to a landfill that is approved to
accept asbestos-containing materials.
The contractor shall not remove any hazardous waste from the job site until a uniform hazardous waste
manifest is created and signed by the City’s designated person.
The contractor shall comply with all requirements of the Air Pollution Control District (APCD) prior to the
start of construction and throughout.
Ongoing Obligations
The contractor shall continuously meet all regulatory requirements, including maintaining their CSLB
license and DOSH registration.
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The contractor shall continuously monitor existing hazards and notify all affected personnel and the City
when new hazards emerge.
Other Requirements
The contractor shall provide immediately all documentation at the City’s request and without prior
notice.
Regulatory Requirements
Contractor shall ensure compliance with all listed laws and regulations below, as well as any additional
laws or regulations that may apply to this contract.
49 CFR §172.304 Marking Requirements
49 CFR §172 Transportation of asbestos-containing waste.
40 CFR §61.145, Subpart M National Emissions Standard for Asbestos: Standard for Demolition and
Renovation
40 CFR §763 Subpart G Protection of State and Local Government Employees
29 CFR §1926.1101 Safety and Health Regulations for Construction: Toxic and Hazardous Substances
CCR Title 8 §1529 Construction Safety Orders: Dusts, Fumes, Vapors and Gases
CCR Title 8 §5208 General Industry Safety Orders: Control of Hazardous Substances - Asbestos
CCR Title 22 §66261.24 Characteristics of Toxicity
CCR Title 22, Division 4.5 Hazardous Waste Management
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APPENDIX
APPENDIX
8
APPENDIX G – SOLAR LIGHTING PRODUCT SPECIFICATIONS
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