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Home My WebLink AboutHEALTH DEPARMENT SEWAGE APPROVAL NCI-os-ls STATE OF FLORIDA PERMIT # DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM EXISTING SYSTEM AND SYSTEM REPAIR EVALUATION ±ECEIVEG 4'ov'vo'ew APPLICANT: -3 Ip U Q CONTRACTOR/AGENT: /Ytd Be:�ifHflg LOT: BLOCK: SUBDIV: ID#: TO BE COMPLETED BY FLORIDA REGISTERED ENGINEER, DEPARTMENT EMPLOYEE, SEPTIC TANK CONTRACTOR OR OTHER CERTIFIED PERSON. SIGN AND SEAL ALL SUBMITTED DOCUMENTS. COMPLETE ALL APPLICABLE ITEMS. COMPLETE TANK CERTIFICATION BELOW OR NOTE IN REMARKS WHY THE TANKS CANNOT BE CERTIFIED. EXISTING TANK INFORMATION GALLONS SEPTIC TANK/GPD ATU LEGEND: MATERIAL: � BAFFLED:(�N ] [ ] GALLONS SEPTIC TANK/GPD ATU LEGEND: MATERIAL: BAFFLED: [Y/N ] [ ] GALLONS GREASE INTERCEPTOR LEGEND: MATERIAL: [ J GALLONS DOSING TANK LEGEND: t MATERIAL: # PUMPS: [ m` ] I CERTIFY THAT THE LISTED TANKS WERE PUMPED ON \ I- /22 BY � �_ -��lC , E NE THE VOLUMES SPECIFIED AS DETERMINED BY [ D ENSION /FILLING/LEGEND ] , ARE FRE OF OBSERVABLE DIP OR S, AND HAVE A [ SOLIDS IaE ES IO EV (OUTLET T R DEVICE J Zl T k SIG URE OF LICENSED CONTRACTOR BUSINESS NAME DATE EXISTING DRAINFIELD INFORMATION SQUARE FEET PRIMARY DRAINFIELD SYSTEM NO. OF TRENCHES [ ] DIMENSIONS: 5' X G [ ] SQUARE FEET SYSTEM NO. OF TRENCHES ] DIMEN IO TYPE OF SYSTEM: STANDARD [ ] FILLED [ ] MOUND [ '] L- \ 2- 'e CONFIGURATION: [ J TRENCH [ ] BED [ ] DESIGN: [;� ] HEADER [ ] D-BOX (VI GRAVITY SYSTEM [ ] DOSED SYSTEM ELEVATION OF BOTTOM OF DRAINFIELD IN RELATION TO EXISTING GRADE INCHES [ ABOVE/BELOW] SYSTEM FAILURE AND REPAIR INFORMATION [ ] SYSTEM INSTALLATION DATE TYPE OF WASTE [ ] DOMESTIC [ ] COMMERCIAL [ ] GPD ESTIMATED SEWAGE FLOW BASED ON [ ] METERED WATER [ J TABLE 1, 64E-6, FAC SITE [ ] DRAINAGE STRUCTURES [ ] POOL [ ] PATIO / DECK [ ] PARKING CONDITIONS: [ j SLOPING PROPERTY [ ] NATURE OF [ ] HYDRAULIC OVERLOAD [ ] SOILS [ ] MAINTENANCE [ ] SYSTEM DAMAGE FAILURE: [ ] DRAINAGE / RUN OFF [ ] ROOTS [ ] WATER TABLE [ ] FAILURE [ ] SEWAGE ON GROUND [ ] TANK [ ] D BOX/HEADER [ ] DRAINFIELD SYMPTOM: [ ] PLUMBING BACKUP [ ] �/ y�rf it REMARKS/ADDITIONAL CRITERIA \ r�s -\ � u1 '--e \ V !- � SUBMITTED TITLE/LICENSE DATE:` DH 4015, 08 09 (0 soletes previous editions which may not be used) Incorporate 64E- .001, FAC Page 4 of 4 93U' N' IVERSAL a�o�^d5�s ENGINEERING SCIENCES ASBESTOS CONTAINING MATERIALS RECEIVED BUILDING SURVEY REPORT Conducted on 4625 South Indian River Drive Fort Pierce,St. Lucie County, Florida St.Lucie County UES Project No. 3340.2100133.0000 perrn'Wng Report Date:January 5, 2022 Prepared for: Retrofits and Renovations 50 Northeast Dixie Highway, No.A7 Stuart, Florida 34994 Prepared by: Universal Engineering Sciences 607 NW Commodity Cove Port St. Lucie, Florida 34986 (772)924-3575 www.universalengineering.com Geotechnical Engineering I Construction Materials Testing& Inspection Building Code Compliance Occupational Health &Safety Environmental Building Envelope 1 January 5,2022 Retrofits and Renovations 50 Northeast Dixie Highway, No.A7 Stuart, Florida 34997 Attn: Eden Agnew Reference: ASBESTOS CONTAINING MATERIALS BUILDING SURVEY REPORT 4625 South Indian River Drive Fort Pierce,St. Lucie County, Florida UES Project No. 3340.2100133.0000 Dear Mr.Agnew: On behalf of Retrofits and Renovations(the "client"), Universal Engineering Sciences, LLC(LIES) has completed this National Emissions Standard for Hazardous Air Pollutants (NESHAP)Asbestos Containing Materials Building Survey Report of one building structure located at 4625 South Indian River Drive in Fort Pierce,St. Lucie County, Florida.This survey was conducted in accordance with Chapter 61-145 of the United States Environmental Protection Agency's (USEPA)Title 40, Part 61,Subpart M of the Code of Federal Regulations(CFR). This report includes the results of our findings from visual reconnaissance,field sample collection and laboratory analysis. This Asbestos Containing Materials Building Survey in general accordance with the scope and limitations of NESHAP and UES's proposal dated December 10, 2021 and approved by Retrofits and Renovations on December 14, 2021. LIES appreciates this opportunity to provide environmental services to you and we look forward to future endeavors. If you have any comments or questions regarding the information contained within this report or if we can be of further service, please contact the undersigned. Respectfully submitted, Universal Engineering Sciences �Ielvv- Robert P.Crowell, P. G. Frederick G. Kaub, P.G. AHERA Certified Asbestos Inspector Florida Licensed Asbestos Consultant Certificate No. 08072001AM License No.AX71 i 1.0 INTRODUCTION ......................................................................................................................1 1.1 General..........................................................................................................................................1 1.2 Purpose and Scope of Work..........................................................................................................1 2.0 SURVEY METHOD....................................................................................................................1 3.0 SURVEY RESULTS.....................................................................................................................2 4.0 CONDITIONS AND LIMITATIONS OF THIS SURVEY.....................................................................3 ii L LIST OF APPENDICES FIGURES SiteLocation Map.................................................................................................................Figure 1 Sample Location Sketch-15i Floor........................................................................................Figure 2A Sample Location Sketch-Attic.............................................................................................Figure 2B APPENDIX A FieldLogs..........................................................................................................................................A APPENDIX B Laboratory Report for Asbestos Samples Collected December 23,2021........................................B APPENDIX C Certifications .............................................................................................................................................0 iii Asbestos Containing .• • No.3440.2100133.0000 Building located at 4625 South Indian River Drive Fort Pierce,St.Lucie County, • •. January 5,2022 1.0 INTRODUCTION 1.1 General The purpose of this Asbestos Containing Materials Building Survey was to identify and assess suspect asbestos containing materials (ACM) within one building structure located at 4625 South Indian River Drive in Fort Pierce, St. Lucie County, Florida. UES understands that the building may be slated for renovation/demolition. 1.2 Purpose and Scope of Work The purpose of this study was to perform an evaluation of the above-referenced facility for the presence of ACM, specifically those building surfaces/components which may be present or impacted during potential renovation/demolition activities. The activities and procedures used to accomplish this task were as follows: 1) Review available information concerning the subject building including the dates of initial construction, significant renovations, types of construction, and information regarding the on-site structures uses; 2) Visual building inspection of accessible areas by an inspector to identify, locate, and assess suspect ACM; 3) Once identified,collect representative samples of suspected ACM for laboratory analysis using polarized light microscopy; 4) Prepare and submit a report. Complete destructive observation and sampling procedures were not generally used in UES'evaluation of the subject building. Inaccessible areas within the building,such as crawl spaces, inside other sealed areas, behind architectural details are beyond the scope of this study. The scope of UES' assessment did not include an evaluation of the structure's fixtures, equipment,or stored materials. 2.0 SURVEY METHOD On December 23, 2021, Robert Crowell, a certified Asbestos Hazard Emergency Response Act (AHERA) Asbestos in Buildings Inspector, conducted an asbestos sampling survey of suspect asbestos-containing building materials associated with the pending renovation/demolition of the building. A Site Location Map is included as Figure 1. Building materials associated with the subject building proposed for renovation/demolition were inspected and sampled as part of this survey. During the NESHAP asbestos sampling survey conducted at the subject building,the inspector collected a total of ten (10) bulk samples from six (6) identified homogeneous areas of suspect asbestos-containing Page 1 Asbestos r Report Project r.3440,2100133.0000 Buildingr r at 4625 Southr Drive Fort Pierce,St.Lucie County,Florida January 5, / 22 materials. The samples were delivered to Eurofins EMLab P&K, Fort Lauderdale, Florida, a certified asbestos laboratory for analysis of asbestos by polarized light microscopy (PLM). The following chart lists each homogeneous area identified and sampled during the Asbestos Containing Materials Building Survey, the associated material class, material description, the estimated quantity of material,the total number of samples of the material collected,the material condition, physical damage, water damage, material contact level, and material friability: HA ESTIMATED TOTAL (MATERIAL PHYSICAL WATER MATERIAL MATERIAL MATERIAL MATERIAL SAMPLES AREAS CLASS DESCRIPTION; QUANTITY CONDITION DAMAGE DAMAGE CONTACT FRIABILITY COLLECTED 01 S Brick Mortar 200 SF 4 Good No No Low NF 02 TSI Yellow Spray-on unknown 1 Good No No Low NF Insulation Material 03 S Brick Mortar at 50 SF 1 Good No No Low NF Column 04 S White NC Duct Unknown 1 Good No No Low NF Mastic 05 TSI Yellow Fibrous 500 SF 1 Good No No Low F Insulation Material Concrete Wall at 06 M Porch 80 SF 2 Good No No Low NF Chart Abbreviation Notes: HA= Homogeneous Area M=Miscellaneous S=Surfacing SF=Square Feet F=Friable NF=Not Friable ACT=Acoustical Ceiling Tile VCFT—Vinyl Composite Floor Tile Bold=Material reported to contain asbestos mineral fibers Sketches showing the approximate sample locations for the building interior as included as Figures 2A and 2B. Field Logs indicating the homogeneous area, sample number, description, location and NESHAP Category of each sample collected are provided in Appendix A. 3.0 SURVEY RESULTS The laboratory report and chain-of-custody documentation are included in Appendix B. Asbestos mineral fibers were not detected above 1 percent in any of the building material samples collected and tested. UES was not informed of additional building materials that existed at the subject property prior to this survey. If additional materials that have not been tested are discovered during renovation activities or if any materials are found that were not accessible at the time of the survey, they should be considered Page 2 ReportAsbestos Containing Materials Building Survey 1 1 1 1 1 1 1 Fort Pierce,St.Lucie County,Florida January 5,Building located at 4625 South Indian River Drive Presumed Asbestos Containing Materials (PACM) in accordance with Chapter 1910.1001 of the Occupational Safety and Health Administration's (OSHA) Title 29, Part 1910, Subpart Z of the CFR, until laboratory testing proves otherwise. In addition,the contractor should notify the subject property owner and UES of any such materials for further evaluation. A copy of the survey should be kept onsite during renovation/demolition activities. This report may not be used by the client to claim product endorsement by National Voluntary Laboratory Accreditation Program (NVLAP) or any agency of the U.S. Government. Method used: EPA Method for the Determination of Asbestos in Bulk Building Materials (EPA/600/R-93/116 July 1993). Copies of relevant UES Asbestos Inspector Certifications are included as Appendix C. 4.0 CONDITIONS AND LIMITATIONS OF THIS SURVEY A representative of UES performed the asbestos containing materials building survey on December 23, 2021. This survey is applicable for the time that the assessment was conducted. Inaccessible areas within the building located at 4625 South Indian River Drive, such as inside partitions, under sealed, bolted metal roof panels,inside crawl spaces,inside other sealed areas and behind architectural details are beyond the scope of this study. Page 3 i lFIGURES 7- l�`4 +, Y� $ pYl UNIVERSAL ENGINEERING SCIENCES 1 u s s x UNIVERSAL 41 • .,. fir. Jo `N S'N Cal 'N .. _ _ Y�Q ; FIGURE 2A SAMPLE LOCATION SKETCH hu 1st Floor 4625 South Indian River Drive Site Location Fort Pierce, Florida UNIVERSAL Fort Pierce FL ENGINEERING SCIENCES 10 2 3 Column Garage Porch 5 6 4 1 9 I Not To Scale LEGEND 0 Asbestos Sample Location y NORTH .�.o.H,�. FIGURE 2B SAMPLE LOCATION SKETCH Attic 4625 South Indian River Drive Florida Site Location Fort Pierce, UNIVERSAL FOrt PIe�Ce FL ENGINEERING SCIENCES Stair Hatch A/C Handler 8 7 Q Not To Scale LEGEND Q Asbestos Sample Location M* NORTH w-t �4 i` t. �1 AM AA 'd UNIVERSAL ENGINEERING SCIENCES Date ® ASBESTOS BULK FIELD LOG Li 6 2 S S 1 �c, �,Y, \ V� r\ve Page of HOMOGENEOUS SAMPLE MATERIAL SAMPLE APPROXIMATE CONDITION NESHAP COMMENTS: AREA NUMBER DESCRIPTION LOCATION QUANTITY CATEGORY v C t i MATERIAL LOCATION: v 0 a Ct't Co 107 16C-C) t,A-)1,4-c- k/c DLAz- - �G S'�I c yt S k l cn' �ov. a �oG v NV I� APPENDIX B ,, � L mp- UNIVERSAL ENGINEERING SCIENCES Oeurofins EMLab P&K Report for: Mr. Rob Crowell Universal Engineering Sciences-Port Saint Lucie 607 NW Commodity Cove Port Saint Lucie, FL 34986 Regarding: Project: 3340.2100133.0000; 4625 Indian River Drive, Fort Pierce, FL EML ID: 2818820 Approved by: Dates of Analysis: Asbestos PLM: 12-30-2021 Signatory Balu Krishnan Service SOPs:Asbestos PLM (EPA 40CFR App E to Sub E of Part 763&EPA METHOD 600/R-93-116, SOP EM-AS-S-1267) All samples were received in acceptable condition unless noted in the Report Comments portion in the body of the report.The results relate only to the samples as received and tested.The results include an inherent uncertainty of measurement associated with estimating percentages by polarized light microscopy. Measurement uncertainty data for sample results with >1%asbestos concentration can be provided when requested. Eurofins EMLab P&K("the Company")shall have no liability to the client or the client's customer with respect to decisions or recommendations made,actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall the Company be liable to the client with respect to the Test Results except for the Company's own willful misconduct or gross negligence nor shall the Company be liable for incidental or consequential damages or lost profits or revenues to the fullest extent such liability may be disclaimed by law,even if the Company has been advised of the possibility of such damages, lost profits or lost revenues. In no event shall the Company's liability with respect to the Test Results exceed the amount paid to the Company by the client therefor. Eurofins EPK Built Environment Testing,LLC EMLab ID:2818820,Page 1 of 4 Eurofins EMLab P&K Client: Universal Engineering Sciences-Port Saint 5750 S. Semoran Blvd.,Orlando,FL 32822 Lucie (866) 871-1984 Fax(954) 776-8485 www.emlab.com C/O: Mr. Rob Crowell Date of Sampling: 12-23-2021 Re: 3340.2100133.0000; 4625 Indian River Drive, Date of Receipt: 12-28-2021 Fort Pierce, FL Date of Report: 01-03-2022 ASBESTOS PLM REPORT Total Samples Submitted: 10 Total Samples Analyzed: 10 Total Samples with Layer Asbestos Content>1%: 0 Location: 01-01, Brick Mortar Lab ID-Version$:13506800-1 Sample Layers Asbestos Content Gray Mortar ND Sample Composite Homo enei : Good Location: 01-02. Brick Mortar Lab ID-Version$: 13506801-1 Sample Layers Asbestos Content Gray Mortar ND Sample Composite Homogeneity: Good Location: 01-03, Brick Mortar Lab ID-Version$: 13506802-1 _ Sample Layers Asbestos Content Gray Mortar ND Sample Composite Homogeneity: Good Location: 01-04, Brick Mortar Lab ID-Version$: 13506803-1 Sample Layers Asbestos Content Gray Mortar ND Sample Composite Homogeneity: Good The test report shall not be reproduced except in full,without written approval of the laboratory.The report must not be used by the client to claim product certification,approval,or endorsement by any agency of the federal government.Eurofins EMLab P&K reserves the right to dispose of all samples after a period of thirty(30)days,according to all state and federal guidelines,unless otherwise specified. Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually.ND means no fibers were detected.when detected,the minimum detection and reporting limit is less than 1%unless point counting is performed.Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification. I A"Version"indicated by-"x"after the Lab 1D#with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of"x". Eurofins EPK Built Environment Testing,LLC EMLab ID:2818820,Page 2 of 4 Eurofins EMLab P&K Client: Universal Engineering Sciences -Port Saint 5750 S. Semoran Blvd.,Orlando,FL 32822 Lucie (866) 871-1984 Fax(954) 776-8485 www.emlab.com C/O: Mr. Rob Crowell Date of Sampling: 12-23-2021 Re: 3340.2100133.0000; 4625 Indian River Drive, Date of Receipt: 12-28-2021 Fort Pierce, FL Date of Report: 01-03-2022 ASBESTOS PLM REPORT Location: 02-05,Yellow Spray-On Foam insulation Lab TD-Version$: 13506804-1 Sample Layers Asbestos Content Yellow Foam ND Sample Composite Homogeneity: Good Location: 03-06 Brick Mortar at Column Lab ID-Version$:13506805-1 Sample Layers Asbestos Content Gray Mortar ND Sample Composite Homogeneity: Good Location: 04-07, White A/C Duct Mastic Lab ID-Version$:13506906-1 Sample Layers Asbestos Content White Mastic ND Sample Composite Homogeneity: Good Location: 05-08, Yellow Fibrous insulation Lab ID-Version$: 13506807-1 Sample Layers Asbestos Content Yellow Insulation ND Composite Non-Asbestos Content: 90%Mineral Wool Sample Composite Homogeneity: Good The test report shall not be reproduced except in full,without written approval of the laboratory.The report must not be used by the client to claim product certification,approval,or endorsement by any agency of the federal government.Eurofins EMLab P&K reserves the right to dispose of all samples after a period of thirty(30)days,according to all state and federal guidelines,unless otherwise specified. Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually.ND means no fibers were detected.When detected,the minimum detection and reporting limit is less than 1%unless point counting is performed.Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification. I A"Version"indicated by"x"after the Lab ID#with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of"x". Eurofins EPK Built Environment Testing,LLC EMLab ID:2818820,Page 3 of 4 Eurofins EMLab P&K Client: Universal Engineering Sciences -Port Saint 5750 S. Semoran Blvd., Orlando, FL 32822 Lucie (866) 871-1984 Fax(954) 776-8485 www.emiab.com C/O: Mr. Rob Crowell Date of Sampling: 12-23-2021 Re: 3340.2100133.0000;4625 Indian River Drive, Date of Receipt: 12-28-2021 Fort Pierce, FL Date of Report: 01-03-2022 ASBESTOS PLM REPORT Location: 06-09,Concrete Wall Lab iD-Version$: 13506808-1 Sample Layers Asbestos Content Gray Concrete ND Sample Composite Homogeneity: Good Location: 06-10,Concrete Wall Lab ID-Version$:13506809-1 Sample Layers Asbestos Content Gray Concrete ND Sample Composite Homogeneity: Good The test report shall not be reproduced except in full,without written approval of the laboratory.The report must not be used by the client to claim product certification,approval,or endorsement by any agency of the federal goverment.Eurofins EMLab P&K reserves the right to dispose of all samples after a period of thirty(30)days,according to all state and federal guidelines,unless otherwise specified. Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually.ND means no fibers were detected.When detected,the minimum detection and reporting limit is less than 1%unless point counting is performed.Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification. $A"Version"indicated by--"x"after the Lab 1D#with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of"x". Eurofins EPK Built Environment Testing,LLC EMLab ID:2818820,Page 4 of 4 CHAIN OF CUSTODY EM Lab P&K WNATHFR I KJ oleo '),ow wu•, i.lr•:a REQUES71ow- III,I� �) �LIIiIL Il �I 1 �f'{'ll II verww,EML aUPK-win rk,n-CuIturnc,i.• 002818820 •(666)871-1984 W Ter= Cherry Hill,NJ: 1936 Olney Avenue,Cherry Hill,NJ 08003 -j H Swat S ore Biocossette Phoenix, AZ: 1501 West Knudson Drive,Phoenix.AZ 85027 '(800)651-4802 Iran B,yt4 Water,Bulk,u...,...., ..- San Bruno.CA: 115t)Bayhill Drive,#100, San Bruno.CA 940fii'1 ' (866)888-6653 CONTACT INFORMATION z Company universal Engineering Scwencos Address 607 NW Commodity Cove,Port St. Lucie, rL 34986 Spec,ml Insin,cbons _ _ _ Contact Rob Crowell & j 8 E Phone: Email rcrowell team fa.com PROjECT INFORMATION LL T11RN AROUND TIME CODES-{TAT) i ♦ ♦ I Q !� • STD Standard(DEFAULT) Rushes received afler 2pm or on W Project 10 3340.2100133 0000 i1 it ND•Next Business Day weekends,will be considered ' tt33 4625 Indian River Drive,Fort Pierce.FL received the next business day. Project. Port St Sampling December 23,2021 SD-Same Business Day Rush Please alert us in advance of 4i Lucie.FL ,Date& Time - weokend analysis needs. WH Wecken<filfolida PO Number 0 Sample Total TAT NOTES SAMPLE ID DESCRIPTION Type (Above) Volume Area (Time of day. Temp,RH,etc 1 (BerlowI (as appiicabte,) " a ~ X 03 02--� ric. r tP L c. S .� C Cone 14171 INUUISHEU liY DATE 8 IIMF RECEIV Y DATF & Tl F SAMPLE TYPE CODES _ NA BC-B,oCassotte3 CP-Contact Plate T I apes D•Dust AtS Andersen ST. Spore Trap. SW-Swab wV .Wetrn Zefon.Allerperno SAS surface Fur Sampler Bwki'd C -Fulb SO•Sod O-Other By submitting this Chain of Custody,you agree to be bound by the lerr,s and conditions set forth At tivww emlabpk.rbmlirxms html ( 3d 2 i Copyright*2002-2008 E MLab P&K P'4 e,, ( 0 f i 110Lm DOC a"0116 Rw 73 Roiwwo 9n9-oa P094t t of 1.a,t ® v r I H APPENDIX C a�AN NOW Ll i UNIVERSAL ENGINEERING SCIENCES i Vern Roberts Environmental Training, Inc. 13987 94" Avenue N Seminole, FL 33776 727-239-1445 Certifies that R.OE CRO ELL Has satisfactorily completed the requisite training for asbestos accreditation under TSCA TITLE II, EPA Model Accreditation Plan (40CFR763 E) for the 4-hour Inspector (Survey & Mechanical) Refresher Course on 8/3/2021, and in testimony whereof, we do confer this certificate at Seminole, Florida on 8/3/2021 . Date of Course: 8/3/2021 Expiration Date 8/3/2022 Certificate # 08032106AM Course # FL49-0006322 Provider # FL49-0003810 /N.PT,PlIC7DR' i i i I Ron DeSantis,Governor Halsey Beshears,Secretary Floridar { STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ASBESTOS LICENSING UNIT THE ASBESTOS CONSULTANT HEREIN IS LICENSED UNDER THE PROVISIONS OF CHAPTER 469, FLORIDA STATUTES KAUB, FREDERICK GEO_RGE GFA INTERNATIONAL INC = ' 851 NE 71ST STREET BOCA RATON FL 33487 LICENSE NUMBER: AX71 EXPIRATION DATE: NOVEMBER 30, 2022 Always verify licenses online at MyFloridaLicense.com E A E r.. tit ILL- Do not alter this document in any form. % FJ6 This is your license. It is unlawful for anyone other than the licensee to use this document. Ron DeSantis, Governor Julie I. Brown, Secretary I o� Florida pr STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION i ASBESTOS LICENSING UNIT THE ASBESTOS BUSINESS ORGANIZATION HEREIN IS LICENSED UNDER THE PROVISIONS OF CHAPTER 469, FLORIDA STATUTES FA INTERNATIONAL INC ' . FREDERICK GEORGE KAUB L.� 1215 WALLACE DRIVE ` �►► DELRAY BEACH FL 33444 'A LICENSE NUMBER: ZA404 EXPIRATION DATE: NOVEMBER 30, 2023 Always verify licenses online at MyFloridaLicense.com REV.A .10 Do not alter this document in any form. %j _ f& .. This is your license. It is unlawful for anyone other than the licensee to use this document. 0w