LANC - Hazardous Building Materials Inspection Report.pdf

Hazardous Building Materials

Inspection Report

Los Angeles National Cemetery Phase IC

Development, Department of Veterans Affairs

Los Angeles, California

VA Project No: 898-032C

Prepared for HFS Company by:

DESERT CONCEPTS ENERGY & ENVIRONMENTAL, INC and NAL

Environmental Team

8000 IH 10 W, Suite 600

San Antonio, TX 78230

February 08, 2021

Asbestos and Lead Building Inspection/Survey

LA National Cemetery

950 South Sepulveda Blvd.

Los Angeles, CA 90049

Inspection Date:

January 26th & 27, 2021

Michael J. Lee Certified Asbestos Consultant

Certified Lead Inspector/Assessor Registered Environmental Property Assessor

Conducted by:

Chad Calhoun Certified Site Surveillance Technician

Certified Lead Inspector/Assessor

National Analytical Laboratories, Inc.

2201 Francisco Dr. Ste.140-261

El Dorado Hills, CA 95762 Office: (916) 361-0555 | Fax: (916) 361-0540

E-Mail: NAL1@NAL1.com | Web Page: www.NAL1.com

151 Algerita

Presented to:

Nick Andrews

San Antonio, TX 78230

Health Facilities Solutions Company

RE: Asbestos and Lead Building Inspection/Survey – L.A. National Cemetery Bldgs. 1501, 4101, 4601, 4602

950 South Sepulveda Blvd.

Los Angeles, CA 90049 fifty-three (53) suspected asbestos-containing samples collected, eight (8) were found to four (34) suspected lead samples, and nineteen (19) were found to contain Lead- Containing Material (LCM), Lead-Based Paint (LBP) & Lead-Based Material (LBM). Chad Calhoun, Certified Site Surveillance Technician and Certified Lead Inspector/Assessor for National Analytical Laboratories, Inc. (N.A.L), conducted the inspection on January 26, 2021.

The 12"x12" Gray w/ Streaks Vinyl Floor Tile, Texture, Black Mastic, and Yellow Mastic were found to contain asbestos. The Contractor should verify all square footage.

The Beige Paint, Black/Yellow Ceramic Tile, Brown Paint, Brown/White Paint, Peach Paint, White Paint, and White/Brown Paint surfaces were found to contain LBP/LBM levels above the Cal-OSHA Limit of Detection.

There was no mold found in any of the areas tested.

SECTION I: ASBESTOS INSPECTION –

According to the EPA's Asbestos Containing Building Materials (ACBM) In-Schools Rule; 40 CFR 763.85 (Inspection and Re-Inspection). Currently, EPA regulations classify ACBM as materials containing more than 1-percent (1%) of asbestos. Cal-OSHA currently regulates asbestos to 1/10th of 1% (0.1%) and requires a certified asbestos worker to conduct this work.

Upon completing the visual inspection, the suspect asbestos bulk sample materials were collected per EPA and Cal-OSHA protocol. They were placed into new, airtight, plastic bags, sealed, and identified with unique identification numbers. The bulk samples were transported to

Nick Andrews Health Facilities Solutions Company 151 Algerita San Antonio, TX 78230 contain asbestos. Eighty-six (86) XRF shots were obtained to make a total of the thirty-

Dear Mr. Andrews, The following report is regarding the building inspection conducted at the above address. Of the

SUMMARY OF FINDINGS -

Terrena Tilford Breathe Easy

Asbestos and Lead Building Inspection/Survey L.A. National Cemetery- Bldgs. 1501, 4101, 4601, 4602 950 South Sepulveda Blvd., Los Angeles, CA 90049

43497 the laboratory under the chain of custody protocol for analysis. MicroTest Laboratories, Inc., located in Rancho Cordova, California, analyzed the bulk suspect asbestos-containing samples utilizing the Polarized Light Microscopy (PLM) Method. National Voluntary Laboratory Accreditation Program (NVLAP) Certification #200999-0 certifies MicroTest Laboratories, Inc.

Minor destructive sampling was conducted during the site visit. If demolition work reveals any unforeseen suspect materials or if any future renovation work is to be conducted in other areas at the site; the Contractor shall cease all work and contact the building owner for further testing.

Not all the rooms or materials throughout the site were sampled, the like materials that were not tested will be treated as homogeneous to the materials that were tested and will be considered as containing Asbestos or Non-Asbestos in accordance with the results.

The location and results of suspect samples found to contain Asbestos are as follows:

Sample ID# Material Location Category Results 950-26A 12"x12" Gray w/

Streaks Vinyl Floor Tile Building 4601 - Room 1 at Northwest End (~536 sf)

I Homogenous to Sample 26C

950-26B Yellow Mastic Building 4601 - Room 1 at Northwest End

II Homogenous to Sample 26C

950-26C Black Mastic Building 4601 - Room 1 at Northwest End

II 5% Chrysotile

950-32B Eggshell Texture Building 4601 – Room 1, East Wall at South End (~1616 sf)

ACCM PC = 0.25%

Chrysotile

950-33 Tan Texture Building 4601 – Room 1 West Wall at South End

ACCM PC = 0.25%

Chrysotile

950-34 Beige Texture Building 4601 – Room 1 West Wall at North End

ACCM PC = <0.25%

Chrysotile

950-35 Tan Texture Building 4601 Room 1, East Wall at North End

ACCM PC = 0.25%

Chrysotile

950-36B Texture Building 4601 Room 3 Southwest Wall

ACCM PC = <0.25%

Chrysotile sf = Square Feet; PC = Point Count; RACM = Regulated Asbestos Containing Material (Friable); Category I & II are Non-friable/Non-hazardous Materials. Approximate sample locations are depicted in a sample map attached.

Based on the regulatory requirements by the National Emission Standards for Hazardous Air Pollutants (NESHAP), Regulation 40 CFR, Part 61, Subpart M the following must occur "If the asbestos content is less than 10 percent, verification shall be made using the point counting method specified in Appendix A, Subpart F, 40 CFR Part 763, Section 1.7.2.4, Polarized Light Microscopy, Qualification of Asbestos Content."

The Texture samples found to contain a Trace, <1% amount of Chrysotile asbestos was re-analyzed utilizing the EPA 600/M4-82-020, Point Count Method to determine if the amount of asbestos is less than or greater than 1%. The sample results for the above material/s was/were found to contain <0.25% and 0.25% asbestos. These materials will be treated as Trace, <1% Chrysotile) asbestos-containing construction material (ACCM) as regulated by CAL-OSHA.

squiggle

950 South Sepulveda Blvd., Los Angeles, CA 90049

Although neither the EPA nor Local County Air Quality regulates materials at <1% level, it does fall under the jurisdiction of Cal-OSHA regarding worker protection. Cal-OSHA regulates the material at 1/10th of 1% [8 CCR-1529 (r) (1) Asbestos Containing Construction Material (ACCM)]. Based on this, the work must be completed by a certified asbestos contractor. The CONTRACTOR shall be required to call the landfill to verify that they will accept the waste as general construction debris. If the landfill does not accept the material as general construction debris, the material shall be REQUIRED to be disposed of as non-friable/non-hazardous material.

The following samples were non-asbestos containing materials:

Sample ID# Material Location Results 950-1 Gray/White Plaster Wall

Finish Bldg. 1501 - Men's Restroom South Wall at Center

None Detected

950-2 Gray/White Plaster Wall Finish

Bldg. 1501 - Men's Restroom South Wall at West End

None Detected

950-3 Gray/White Plaster Wall Finish

Bldg. 1501 - Women's Restroom North Wall at Center

None Detected

950-4A Ceramic Spanish Roof Tile

Bldg. 1501 - Roof at West End None Detected

950-4B Black Felt Bldg. 1501 - Roof at West End None Detected 950-5 Gray Mortar Bldg. 1501 - Roof at West End None Detected

950-6A Red Brick Bldg. 1501 - North Wall at Center None Detected 950-6B Brick Gray Mortar Bldg. 1501 - North Wall at Center None Detected 950-7 Gray Mortar Building 4602 - Roof at Northeast End None Detected

950-8A Ceramic Spanish Roof Tile

Building 4602 - Roof at Northeast End None Detected

950-8B Black Felt Building 4602 - Roof at Northeast End None Detected 950-9A Red Brick Building 4602 - East Wall at North End None Detected 950-9B Gray Mortar Building 4602 - East Wall at North End None Detected

950-10A Red Brick 4101 - Rostrum - North Wall at Center (700sf) None Detected 950-10B Gray Mortar 4101 - Rostrum - North Wall at Center (700sf) None Detected 950-11 Beige Stucco Column

Finish 4101 - Rostrum - At North Entry Column (754sf) None Detected

950-12 Beige Stucco Wall Finish 4101 - Rostrum - North Wall at Center None Detected 950-13 Beige Stucco Wall Finish 4101 - Rostrum - South Wall at Podium None Detected

950-14A Ceramic Spanish Roof Tile

Building 4601 - Roof at Center None Detected

950-14B Black Felt Building 4601 - Roof at Center None Detected 950-15 Black Mastic Building 4601 - Roof at North End None Detected

950-16A White PVC Building 4601 - Roof at Northeast End None Detected 950-16B Black Roof Felt Building 4601 - Roof at Northeast End None Detected 950-17A White Wall Flashing PVC Building 4601 - Roof at Southeast End None Detected 950-17B Black Tar Building 4601 - Roof at Southeast End None Detected 950-18 Gray Mortar Building 4601 - Roof at Center None Detected 950-19 White Window Glazing Building 4601 - North Window at East End

(Exterior) None Detected

950-20A Red Brick Building 4601 - Exterior Wall - North End at Center

None Detected

950 South Sepulveda Blvd., Los Angeles, CA 90049

Sample ID# Material Location Results 950-20B Gray Mortar Building 4601 - Exterior Wall - North End at

Center None Detected

950-21A Brown Pattern Ceramic Floor Tile

Building 4601 - Rm. 3 Entry at South End None Detected

950-21B Gray Grout Building 4601 - Rm. 3 Entry at South End None Detected 950-21C Gray Mortar Building 4601 - Rm. 3 at South End None Detected 950-22A 4"x4" Yellow Ceramic Tile Building 4601 - Rm. 1 North End at Center (Lower

Wall) None Detected

950-22B Gray Grout Building 4601 - Rm. 1 North End at Center (Lower Wall)

None Detected

950-22C Gray Mortar Building 4601 - Rm. 1 North End at Center (Lower Wall)

None Detected

950-23 Gray Glazing Compound Building 4601 - Room 4 South West Window None Detected 950-24 White Glazing Compound Building 4601 - Room 1 Skylight Window None Detected 950-25 Gray Concrete Building 4601 - Room 4 Floor at Doorway None Detected 950-27 White Glazing Compound Building 4601 - Room 1 Northeast Lower Wall at

Ceramic Tile None Detected

950-28 Cream Glazing Compound

Building 4601 -Room 1 South End at Decorative Column

None Detected

950-29 Beige/Gray Plaster Wall Finish

Building 4601 - Room 2 East Wall None Detected

950-30 Texture Building 4601 - Room 4 East Wall None Detected 950-30 Texture Building 4601 - None Detected 950-31 Texture Building 4601 - None Detected

950-32A Concrete Building 4601 – Room 1 East Wall at South End None Detected 950-36A Concrete Building 4601 Room 3 Southwest Wall None Detected

ASBESTOS RECOMMENDATION –

Federal and state regulations require that anyone disturbing asbestos containing materials are properly trained certified and have the required respiratory protection and medical surveillance.

N.A.L recommends that a certified asbestos abatement contractor be retained to remove the non-friable and trace materials before any scheduled renovation/demolition work being completed at the site. Before the work begins, a work plan or specifications regarding the abatement process should be completed and distributed to the abatement contractors during the job walk at the site.

On-Site Observation should be conducted by N.A.L's Certified Asbestos Consultant or Certified Site Surveillance Technician to verify that the work plan/specification is being followed. Once a certified asbestos contractor has removed the asbestos, following the EPA and Cal-OSHA requirements; a visual inspection and air clearance sampling should be completed. Clearances will confirm that the general Contractor can reoccupy the work area(s) without concern for exposure to airborne asbestos fibers to their employees thus allowing the renovation or demolition work to be completed by the General Contractor.

950 South Sepulveda Blvd., Los Angeles, CA 90049

This report includes the laboratory analytical results, the chain of custody form(s), and the site map. If you have any questions regarding this report or can be of further assistance, please contact our office.

SECTION II: LEAD INSPECTION -

The lead suspect samples were collected according to the Housing Urban Development (HUD) Guidelines, the Environmental Protection Agency (EPA) and California Public Health Department (formally DHS), who regulate and require the abatement or in-place management of LCM/LBP/LBM hazards equal to or greater than 1.0 milligram per square centimeter (1.0 mg/cm2) of lead by XRF Analysis or more than 0.5% lead by weight by laboratory flame atomic absorption. The following regulation shall be adhered to because OSHA considers all surfaces to contain lead: OSHA's 29 CFR 1926.62, California Occupational Safety and Health Standard, Title 8 (Cal/OSHA 8 CCR 1532.1).

Upon completion of the visual inspection, suspect painted finishes and/or materials were sampled for potential lead content, in accordance with EPA and OSHA protocol. They were labeled with a unique identification number and analyzed.

The Technician utilizing the Thermo Scientific Portable X-ray Fluorescent (XRF) analyzer analyzed the lead samples. When a sample is measured using XRF, each element present in the sample emits its own unique fluorescent x-ray energy spectrum. By simultaneously measuring the fluorescent x-rays emitted by the different elements in the sample, we can rapidly determine the lead in the sample.

Since the laboratory results are reported by weight percent, during the collection of the suspect LCM/LBP/LBM samples, the paint must be removed down to, but not including the bare substrate (wood, metal, etc.). The inclusion of any amount of the substrate material in the paint sample will dilute the sample result(s).

Once the determination is made on where the LCM/LBP/LBM is located, the In-place Management or the LCM/LBP/LBM's Abatement can commence. If the In-Place Management method is to be used, prior to the repainting of the affected surface areas, the loose flaky paint must be removed until the remaining paint adheres smoothly to the substrate. Once this task is completed, the surface area can be repainted without the possibility of paint being dislodged and falling to the floor or ground areas.

If the Abatement method of all surfaces is to be completed, then the debris and any loose flaky paint must be bagged, or burrito wrapped before the removal of the debris from the work area(s) and subsequently the site. Because the paint samples listed below were found to contain LCM/LBP/LBM, all areas where the LCM/LBP/LBM will be disturbed will require abatement, encapsulation, and prep work by a certified lead worker. Therefore, the employer must ensure that the worker is properly trained in accordance with Title 8 (Cal/OSHA 8 CCR 1532 (1) (2) and

950 South Sepulveda Blvd., Los Angeles, CA 90049 shall produce evidence that the worker is not being exposed above the Action Level (AL) and/or the Permissible Exposure Limit (PEL). If no current data is readily available for the worker(s), then the employer shall conclude that the worker is being exposed above the PEL. This SHALL trigger the employer to provide advanced training and certifications for the employees working with LCM.

Although not all the rooms or materials (non-suspect) were sampled, the like materials that were not tested and their results will be treated as homogeneous. The materials will be treated as containing LCM/LBP/LBM throughout the site.

The locations and results of the suspect samples found to be LCM/LBP/LBM are as follows:

Sample ID# Material Location

XRF

Shot #s

Average Concentration

By mg/cm2 4602-02 White Paint Bldg. 4602 - Exterior Concrete

Wall

1916-19 0.16 - LCM

1501-02 White Paint Bldg. 1501 - Room 1, Concrete Walls

1896 1.2 - LBP

1501-06 White Paint Bldg. 1501 - Room 1, Metal Wall 1895 1.1 - LBP 4602-01 Beige Paint Bldg. 4602 - Exterior Concrete

Upper Wall

1920-22 1.4 - LBP

4601-02 Black/Yellow Ceramic Tile

Bldg. 4601- Rooms 1 & 3, Walls 1883-84 10.2 - LBM

4601-04 Beige Paint Bldg. 4601- Exterior Concrete Upper Wall

1850-51 2.9 - LBP

4601-05 White Paint Bldg. 4601- Exterior Concrete Wall

1844-45 5.5 - LBP

4601- 06 Beige Paint Bldg. 4601- Exterior Concrete Windowsills

1846-48, 1882 4.8 - LBP

4601-08 White/Brown Paint Bldg. 4601- Exterior Wood Door Casings, Jamb, and Trim

1840-42 1.3 - LBP

4601-09 Beige Paint Bldg. 4601- Roof, Metal Wall Cap

1854-56 0.34 - LCM

4601-10 Beige Paint Bldg. 4601- Exterior, Metal Window Casing

1849 21.9 - LBP

4601-11 Beige Paint Bldg. 4601- Exterior - Metal Window Casing

1849 21.9 - LBP

4601-14 Beige Paint Bldg. 4601- Rooms 12 & 4 Ceiling

1840-23 1.7 - LBP

4601-15 Brown/White Paint Bldg. 4601- Rooms 1-3 Wood Doors Jambs, Casing, and Trim

1857-61 0.66 - LBP

4601-16 White Paint Bldg. 4601- Room 1, Skylight 1875-76 2.4 - LBP 4601-17 Brown Paint Bldg. 4601- Room 1 Upper Wall 1877-78 0.06 - LCM 4601-18 Peach Paint Bldg. 4601- Room 1 & 3 Upper

Wall

1879-81 1.7 - LBP

4601-19 Beige Paint Bldg. 4601 - Room 2 Wood Wall 1863 0.13 - LCM

950 South Sepulveda Blvd., Los Angeles, CA 90049

Before the demolition work is completed or transporting the debris from the site, Health and Safety Code 25157.8 (AB 2784 National Resources) requires that all lead debris be sampled for Waste Characterization. This will help the Contractor decide whether the material is to be considered Hazardous or Non-Hazardous Lead waste or general construction debris. The sequence of testing to be completed by the Contractor is as follows:

Total Threshold Limit Concentration (TTLC) with a result of 50 mg/kg or more but less than 1,000 mg/kg of lead must be retested using the Soluble Threshold Limit concentration (STLC) method.

An STLC result of 5.0 mg/L or greater is considered California Hazardous Waste.

Total Characteristic Leaching Procedure (TCLP) testing shall only be accomplished when approved by the Owners Representative; This procedure shall be generally reserved for out-of-state shipments, and A TCLP result of 5.0 mg/L or more deems the waste Federal RCRA materials; and

The California hazardous waste threshold for total lead using STLC is 5 mg/L and Lead paint that is intact on a surface does not permit the material to be classed as non-hazardous. Waste profiling shall be accomplished if the paint contains more than 350 ppm by Flame AAS. Exception: Metals that are coated with paint are to be recycled.

The following were found to be less than (<) -Cal-OSHA's Limit of Detection:

Sample ID# Material Location

XRF

Shot #s

Average Concentration

By mg/cm2 4602-03 Beige Paint Bldg. 4602- Roof 1923 0.0 1501-01 Red Paint Bldg. 1501 - Rooms 1 & 2, Concrete

Floor 1907-09 0.0

1501-03 White Paint Bldg. 1501 - Rooms 1 & 2, Plaster Walls 1897-98 0.0 1501-04 Red Paint Bldg. 1501 - Room 2, Metal Floor 1906 0.0 1501-05 Beige Paint Bldg. 1501 - Rooms 1 & 2, Stall Door &

Walls 1903-05 0.0

1501-07 Eggshell Paint Bldg. 1501 - Rooms 1 & 2, Windows & Casing

1899-02 0.0

1501-08 Eggshell Paint Bldg. 1501 - Exterior Metal Door, Casing, and Jambs

1892-94 0.0

1501-09 Brown Paint Bldg. 1501 - Exterior Wood Handrails 1889-91 0.0 4101-01 Black Paint Bldg. 4101 - Exterior Stucco Wall 1912-15 0.0 4101-02 Eggshell Paint Bldg. 4101 - Exterior Stucco Wall 1909-11 0.0 4601-01 Brown/Tan

Ceramic Tile Bldg. 4601- Room 1, Floor 1886-87 0.0

4601-03 White Paint Bldg. 4601- Room 1, Concrete Skylight 1873-84 0.0 4601-07 White Paint Bldg. 4601- Roof, Metal Skylight 1852-53 0.0 4601-12 Beige Bldg. 4601- Rooms 1 & 3, Concrete

Walls 1869, 1870, 0.0

4601-13 White Bldg. 4601- Room 1 Plaster Ceiling 1871-72, 1888 0.0 4601-20 Beige Paint Bldg. 4601 - Room 4 Wood Wall 1864 0.0

950 South Sepulveda Blvd., Los Angeles, CA 90049

LEAD RECOMMENDATION:

To stabilize the current lead conditions, N.A.L. recommends Lead Certified CDPH Workers conduct in-place management work of the LCM/LBP/LBM surfaces/samples scheduled for renovation/demolition. Once the abatement, in-place management, or prep work is completed, and the areas are stabilized, the existing surfaces/samples will be in good condition and not create a health or safety concern to the workers conducting the general construction work at the site. A Scope of Work or specifications should be utilized to conduct the lead work at the site.

Reviewed and submitted by: Conducted by:

Chad CalhounMichael J. Lee Certified Site Sampling TechnicianCertified Asbestos Consultant

DOSH# 06-4014DOSH# 06-4047

Certified Lead Inspector/AssessorCertified Lead Inspector/Assessor

LRC-00003327LRC-00007541

Registered Environmental Property Assessor

REPA# 716352750

43497/43498L

Chad

Terrena Tilford Mike Sig

Terrena Tilford squiggle

Mike REPA

MicroTest Laboratories Inc. NVLAP Code: 200999-0

3110 Gold Canal Dr. Ste. A. Rancho Cordova, CA 95670

PH 916.567.9808 | FX 916.404.0302

www.microtestlabsinc.com | service@microtestlabsinc.com

Project ID

MT01218242

Report

Samples Received: 53

Samples Analyzed: 53

Date

Thursday, January 28, 2021

Analyst: Nolan Starbuck Authorized Signatory:

Kelly Favero - Lab Manager

This analytical data sheet constitutes a final report. Due to the limitation of Polarized Light Microscopy (PLM), some samples classified as containing no asbestos in materials, NoneDetected (ND), such as floor tiles or like materials, warrant a recommendation for further analysis by

Transmission Electron Microscopy (TEM). Results apply to the sample as received. This report must not be used by the client to claim product endorsement by NVLAP or any agency of the U.S. Government. All Samples will be held for not less than 30 days, upon which they will then be disposed of. This report shall not be reproduced in full without written authorization from MicroTest Laboratories, Inc. Soil and rock matrices are considered problematic matrices and MicroTest recommends sample homogenization prior to PLM analysis. Thermal decomposition of asbestos fibers can yield non-asbestiform mineral properties. The reporting limit for calibrated visual area estimation quantitation procedures is 1%. The reporting limit for 400/1000 point count quantitation procedures is 0.25% or 0.1% respectively. The sample is considered acceptable unless otherwise noted. Sub-samples are analyzed separately accept when manufactured with multiple layers (i.e.

Linoluem, Drywall, etc.) or requested contrarily by the client

Analytical Page 1 of 6.

Documents #MT-PLM-A 1.0 Proprietary to MicroTest Laboratories, Inc

Authorized by Kelly Favero Issue Date: 05/29/18 Rev: 4

CLIENT INFORMATION SAMPLE JOB SITE INFORMATION

Company National Analytical Laboratories, Inc. Date Tuesday, January 26, 2021 Sampler Chad Calhoun Name Paula Lee Time 8:00 AM Project LA National Cemetery | 43497 Address 2201 Francisco Drive, Ste. 140-261

MicroTest Address 950 South Sepulveda Boulevard

El Dorado Hills CA, 95762 Los Angeles, CA 90049

Phone (916) 361 - 0555

Laboratories Email paula@nal1.com | Terrena@nal1.com

Chad@nal1.com | Mike@nal1.com

Ron@nal1.com Analytical Data

POLARIZED LIGHT MICROSCOPY (PLM) – 400 Point Count

EPA METHOD 600 / R-93 / 116 & EPA – 40 CFR Appendix E to Subpart E of Part 763

Sample Accession Client Laboratory Non Fibrous / Asbestiform

ID Number Description Description Fibrous Materials Minerals %

950-1 8242-1 Bldg. 1501 - Men's Restroom

South Wall at Center (415 sq. ft.)

Gray Plaster

Non-Fibrous

Homogenous

100% Binder None Detected

950-2 8242-2 Bldg. 1501 - Men's Restroom

South Wall at West End Gray Plaster

Non-Fibrous

950-3 8242-3 Bldg. 1501 - Women's Restroom

North Wall at Center Gray Plaster

Non-Fibrous

950-4A 8242-4 Bldg. 1501 - Roof at West End

(368 sq. ft.)

Red Tile

Non-Fibrous

950-4B 8242-5 Bldg. 1501 - Roof at West End Black Felt

Fibrous

Homogenous

20% Cellulose

80% Binder None Detected

950-5 8242-6 Bldg. 1501 - Roof at West End (78

sq. ft.)

Gray Mortar

Non-Fibrous

PH 916.567.9808 | FX 916.404.0302

This analytical data sheet constitutes a final report. Due to the limitation of Polarized Light Microscopy (PLM), some samples classified as containing no asbestos in materials, NoneDetected (ND), such as floor tiles or like materials, warrant a recommendation for further analysis by

Transmission Electron Microscopy (TEM). Results apply to the sample as received. This report must not be used by the client to claim product endorsement by NVLAP or any agency of the U.S. Government. All Samples will be held for not less than 30 days, upon which they will then be disposed of. This report shall not be reproduced in full without written authorization from MicroTest Laboratories, Inc. Soil and rock matrices are considered problematic matrices and MicroTest recommends sample homogenization prior to PLM analysis. Thermal decomposition of asbestos fibers can yield non-asbestiform mineral properties. The reporting limit for calibrated visual area estimation quantitation procedures is 1%. The reporting limit for 400/1000 point count quantitation procedures is 0.25% or 0.1% respectively. The sample is considered acceptable unless otherwise noted. Sub-samples are analyzed separately accept when manufactured with multiple layers (i.e.

Linoluem, Drywall, etc.) or requested contrarily by the client

Analytical Page 2 of 6.

Documents #MT-PLM-A 1.0 Proprietary to MicroTest Laboratories, Inc

Authorized by Kelly Favero Issue Date: 05/29/18 Rev: 4

950-6A 8242-7 Bldg. 1501 - North Wall at Center

(780 sq. ft.)

Red Brick

Non-Fibrous

950-6B 8242-8 Bldg. 1501 - North Wall at Center

(780 sq. ft.)

Gray Mortar

Non-Fibrous

950-7 8242-9 Building 4602 - Roof at Northeast

End (110 sq. ft.)

Gray Mortar

Non-Fibrous

950-8A 8242-10 Building 4602 - Roof at Northeast

End (750 sq. ft.)

Red Tile

Non-Fibrous

950-8B 8242-11 Building 4602 - Roof at Northeast

End Black Felt

Fibrous

Homogenous

20% Cellulose

950-9A 8242-12 Building 4602 - East Wall at North

End (2,020 sq. ft.)

Red Brick

Non-Fibrous

950-9B 8242-13 Building 4602 - East Wall at North

End (2,020 sq. ft.)

Gray Mortar

Non-Fibrous

950-10A 8242-14 4101 - Rostrum - North Wall at

Center (700 sq. ft.)

Red Brick

Non-Fibrous

950-10B 8242-15 4101 - Rostrum - North Wall at

Center (700 sq. ft.)

Gray Mortar

Non-Fibrous

950-11 8242-16 4101 - Rostrum - At North Entry

Column (754 sq. ft.)

Gray Stucco

Non-Fibrous

950-12 8242-17 4101 - Rostrum - North Wall at

Center Gray Stucco

Non-Fibrous

PH 916.567.9808 | FX 916.404.0302

This analytical data sheet constitutes a final report. Due to the limitation of Polarized Light Microscopy (PLM), some samples classified as containing no asbestos in materials, NoneDetected (ND), such as floor tiles or like materials, warrant a recommendation for further analysis by

Transmission Electron Microscopy (TEM). Results apply to the sample as received. This report must not be used by the client to claim product endorsement by NVLAP or any agency of the U.S. Government. All Samples will be held for not less than 30 days, upon which they will then be disposed of. This report shall not be reproduced in full without written authorization from MicroTest Laboratories, Inc. Soil and rock matrices are considered problematic matrices and MicroTest recommends sample homogenization prior to PLM analysis. Thermal decomposition of asbestos fibers can yield non-asbestiform mineral properties. The reporting limit for calibrated visual area estimation quantitation procedures is 1%. The reporting limit for 400/1000 point count quantitation procedures is 0.25% or 0.1% respectively. The sample is considered acceptable unless otherwise noted. Sub-samples are analyzed separately accept when manufactured with multiple layers (i.e.

Linoluem, Drywall, etc.) or requested contrarily by the client

Analytical Page 3 of 6.

Documents #MT-PLM-A 1.0 Proprietary to MicroTest Laboratories, Inc

Authorized by Kelly Favero Issue Date: 05/29/18 Rev: 4

950-13 8242-18 4101 - Rostrum - South Wall at

Podium Gray Stucco

Non-Fibrous

950-14A 8242-19 Building 4601 - Roof at Center

(292 sq. ft.)

Red Tile

Non-Fibrous

950-14B 8242-20 Building 4601 - Roof at Center

(292 sq. ft.)

Black Mastic

Non-Fibrous

Homogenous

20% Cellulose

950-15 8242-21 Building 4601 - Roof at North End

(10 sq. ft.)

Black/Silver Mastic

Fibrous

Homogenous

5% Cellulose

95% Binder

950-16A 8242-22 Building 4601 - Roof at Northeast

End (896 sq. ft.)

White Material

Non-Fibrous

Heterogenous

20% Synthetic

950-16B 8242-23 Building 4601 - Roof at Northeast

End (896 sq. ft.)

Black Felt

Fibrous

Homogenous

10% Fiberglass

90% Binder

950-17A 8242-24 Building 4601 - Roof at Southeast

End (516 sq. ft.)

White Material

Fibrous

Homogenous

20% Synthetic

950-17B 8242-25 Building 4601 - Roof at Southeast

End (516 sq. ft.)

Black Tar

Fibrous

Homogenous

5% Cellulose

95% Binder

950-18 8242-26 Building 4601 - Roof at Center (50

sq. ft.)

Gray Mortar

Non-Fibrous

950-19 8242-27 Building 4601 - North Window at

East End (Exterior) (6 sq. ft.)

White Glazing

Non-Fibrous

950-20A 8242-28 Building 4601 - Exterior Wall -

North End at Center (2,408 sq. ft.)

Red Brick

Non-Fibrous

PH 916.567.9808 | FX 916.404.0302

This analytical data sheet constitutes a final report. Due to the limitation of Polarized Light Microscopy (PLM), some samples classified as containing no asbestos in materials, NoneDetected (ND), such as floor tiles or like materials, warrant a recommendation for further analysis by

Transmission Electron Microscopy (TEM). Results apply to the sample as received. This report must not be used by the client to claim product endorsement by NVLAP or any agency of the U.S. Government. All Samples will be held for not less than 30 days, upon which they will then be disposed of. This report shall not be reproduced in full without written authorization from MicroTest Laboratories, Inc. Soil and rock matrices are considered problematic matrices and MicroTest recommends sample homogenization prior to PLM analysis. Thermal decomposition of asbestos fibers can yield non-asbestiform mineral properties. The reporting limit for calibrated visual area estimation quantitation procedures is 1%. The reporting limit for 400/1000 point count quantitation procedures is 0.25% or 0.1% respectively. The sample is considered acceptable unless otherwise noted. Sub-samples are analyzed separately accept when manufactured with multiple layers (i.e.

Linoluem, Drywall, etc.) or requested contrarily by the client

Analytical Page 4 of 6.

Documents #MT-PLM-A 1.0 Proprietary to MicroTest Laboratories, Inc

Authorized by Kelly Favero Issue Date: 05/29/18 Rev: 4

950-20B 8242-29 Building 4601 - Exterior Wall -

North End at Center (2,408 sq. ft.)

Gray Mortar

Non-Fibrous

950-21A 8242-30 Building 4601 - Rm. 3 Entry at

South End (120 sq. ft.)

Brown Tile

Non-Fibrous

950-21B 8242-31 Building 4601 - Rm. 3 Entry at

Gray Grout

Non-Fibrous

950-21C 8242-32 Building 4601 - Rm. 3 Entry at

Gray Mortar

Non-Fibrous

950-22A 8242-33 Building 4601 - Rm. 1 North End at Center (Lower Wall) (630 sq.

ft.)

Yellow Tile

Non-Fibrous

950-22B 8242-34 Building 4601 - Rm. 1 North End ft.)

Gray Grout

Non-Fibrous

950-22C 8242-35 Building 4601 - Rm. 1 North End ft.)

Gray Mortar

Non-Fibrous

950-23 8242-36 Building 4601 - Room 4 South

West Window (3 sq. ft.)

Gray Glazing

Non-Fibrous

950-24 8242-37 Building 4601 - Room 1 Skylight

Window (3 sq. ft.)

White Glazing

Non-Fibrous

950-25 8242-38 Building 4601 - Room 4 Floor at

Doorway (1,866 sq. ft.)

Gray Concrete

Non-Fibrous

950-26A 8242-39 Building 4601 - Room 1 at

Northwest End (536 sq. ft.)

Gray Tile

Non-Fibrous

PH 916.567.9808 | FX 916.404.0302

This analytical data sheet constitutes a final report. Due to the limitation of Polarized Light Microscopy (PLM), some samples classified as containing no asbestos in materials, NoneDetected (ND), such as floor tiles or like materials, warrant a recommendation for further analysis by

Transmission Electron Microscopy (TEM). Results apply to the sample as received. This report must not be used by the client to claim product endorsement by NVLAP or any agency of the U.S. Government. All Samples will be held for not less than 30 days, upon which they will then be disposed of. This report shall not be reproduced in full without written authorization from MicroTest Laboratories, Inc. Soil and rock matrices are considered problematic matrices and MicroTest recommends sample homogenization prior to PLM analysis. Thermal decomposition of asbestos fibers can yield non-asbestiform mineral properties. The reporting limit for calibrated visual area estimation quantitation procedures is 1%. The reporting limit for 400/1000 point count quantitation procedures is 0.25% or 0.1% respectively. The sample is considered acceptable unless otherwise noted. Sub-samples are analyzed separately accept when manufactured with multiple layers (i.e.

Linoluem, Drywall, etc.) or requested contrarily by the client

Analytical Page 5 of 6.

Documents #MT-PLM-A 1.0 Proprietary to MicroTest Laboratories, Inc

Authorized by Kelly Favero Issue Date: 05/29/18 Rev: 4

950-26B 8242-40 Building 4601 - Room 1 at

Northwest End (536 sq. ft.)

Yellow Mastic

Non-Fibrous

950-26C 8242-41 Building 4601 - Room 1 at

Northwest End (536 sq. ft.)

Black Mastic

Non-Fibrous

95% Binder 5% Chrysotile

950-27 8242-42 Building 4601 - Room 1 Northeast

Lower Wall at Ceramic Tile (15

sq. ft.)

White Glazing

Non-Fibrous

950-28 8242-43 Building 4601 -Room 1 South End at Decorative Column (4 sq. ft.)

Cream Glazing

Non-Fibrous

950-29 8242-44 Building 4601 - Room 2 East Wall

(720 sq. ft.)

Gray Plaster

Non-Fibrous

950-30 8242-45 Building 4601 - Room 4 East Wall Gray Plaster

Non-Fibrous

950-31 8242-46 Building 4601 - Room 1 North End

Ceiling Gray Plaster

Non-Fibrous

950-32A 8242-47 Building 4601 - Room 1 East Wall at South End Gray Concrete

Non-Fibrous

950-32B 8242-48 Building 4601 - Room 1 East Wall at South End Tan Texture

Non-Fibrous

99+% Binder 0.25% Chrysotile

950-33 8242-49 Building 4601 - Room 1 West

Wall at South End Tan Texture

Non-Fibrous

950-34 8242-50 Building 4601 – Room 1 West

Wall at North End Tan Texture

Non-Fibrous

99+% Binder <0.25% Chrysotile

PH 916.567.9808 | FX 916.404.0302

This analytical data sheet constitutes a final report. Due to the limitation of Polarized Light Microscopy (PLM), some samples classified as containing no asbestos in materials, NoneDetected (ND), such as floor tiles or like materials, warrant a recommendation for further analysis by

Transmission Electron Microscopy (TEM). Results apply to the sample as received. This report must not be used by the client to claim product endorsement by NVLAP or any agency of the U.S. Government. All Samples will be held for not less than 30 days, upon which they will then be disposed of. This report shall not be reproduced in full without written authorization from MicroTest Laboratories, Inc. Soil and rock matrices are considered problematic matrices and MicroTest recommends sample homogenization prior to PLM analysis. Thermal decomposition of asbestos fibers can yield non-asbestiform mineral properties. The reporting limit for calibrated visual area estimation quantitation procedures is 1%. The reporting limit for 400/1000 point count quantitation procedures is 0.25% or 0.1% respectively. The sample is considered acceptable unless otherwise noted. Sub-samples are analyzed separately accept when manufactured with multiple layers (i.e.

Linoluem, Drywall, etc.) or requested contrarily by the client

Analytical Page 6 of 6.

Documents #MT-PLM-A 1.0 Proprietary to MicroTest Laboratories, Inc

Authorized by Kelly Favero Issue Date: 05/29/18 Rev: 4

950-35 8242-51 Building 4601 Room 1 East Wall at North End Tan Texture

Non-Fibrous

950-36A 8242-52 Building 4601 Room 3 Southwest

Wall Gray Concrete

Non-Fibrous

950-36B 8242-53 Building 4601 Room 3 Southwest

Wall Tan Texture

Non-Fibrous

99+% Binder <0.25% Chrysotile

Thermo Fisher Scientific 2 Radcliff Road

Tewksbury, MA 01876 USA

IndexReading No Time INSPECTORUNIT ROOM SIDE COLOR SUBSTRATE COMPONENT PbC Units Duration Depth Index

1 1838 2021-01-27 08:47 2.11 +/- 0.00 cps 134.84

2 1839 2021-01-27 08:56 ML SRM2573 1.04 Cal 1.10 +/- 0.10 mg / cm ^2 9.18 1.16

3 1840 2021-01-27 08:59 ML EXTERIOR E BROWN WOOD DOOR < LOD: 0.24 mg / cm ^2 1.25 1.94

4 1841 2021-01-27 08:59 ML EXTERIOR E WHITE WOOD DOOR JAMB-TRIM < LOD: 1.50 mg / cm ^2 1.98 6.11

5 1842 2021-01-27 08:59 ML EXTERIOR E BROWN WOOD DOOR JAMB-TRIM < LOD: 0.18 mg / cm ^2 1.24 1.51

6 1843 2021-01-27 09:01 ML EXTERIOR E WHITE CONCRETE DOOR CASING 1.30 +/- 0.20 mg / cm ^2 10.40 5.50

7 1844 2021-01-27 09:01 ML EXTERIOR E WHITE CONCRETE WALL < LOD: 5.55 mg / cm ^2 1.98 10.00

8 1845 2021-01-27 09:02 ML EXTERIOR E WHITE CONCRETE WALL < LOD: 4.80 mg / cm ^2 2.48 10.00

9 1846 2021-01-27 09:04 ML EXTERIOR N BEIGE CONCRETE WINDOW SILL 0.25 +/- 0.11 mg / cm ^2 3.24 2.28

10 1847 2021-01-27 09:04 ML EXTERIOR N BEIGE CONCRETE WINDOW SILL 1.90 +/- 0.80 mg / cm ^2 2.72 4.75

11 1848 2021-01-27 09:05 ML EXTERIOR W BEIGE CONCRETE WINDOW SILL 4.80 +/- 3.00 mg / cm ^2 1.25 6.56

12 1849 2021-01-27 09:05 ML EXTERIOR W BEIGE METAL WINDOW CASING < LOD: 21.90 mg / cm ^2 0.75 5.99

13 1850 2021-01-27 09:08 ML EXTERIOR W BEIGE CONCRETE UPPER WALL 2.90 +/- 1.20 mg / cm ^2 1.23 2.82

14 1851 2021-01-27 09:10 ML EXTERIOR SW BEIGE CONCRETE UPPER WALL 2.60 +/- 1.20 mg / cm ^2 1.23 3.21

15 1852 2021-01-27 09:14 ML ROOF N BEIGE METAL SKYLIGHT < LOD: 0.19 mg / cm ^2 1.25 1.70

16 1853 2021-01-27 09:14 ML ROOF S BEIGE METAL SKYLIGHT < LOD: 0.10 mg / cm ^2 1.24 1.00

17 1854 2021-01-27 09:15 ML ROOF S BEIGE METAL WALL CAP < LOD: 0.18 mg / cm ^2 1.23 1.66

18 1855 2021-01-27 09:16 ML ROOF E BEIGE METAL WALL CAP < LOD: 0.34 mg / cm ^2 0.98 1.78

19 1856 2021-01-27 09:16 ML ROOF E BEIGE METAL WALL CAP < LOD: 0.17 mg / cm ^2 1.24 1.35

20 1857 2021-01-27 09:31 ML ROOM 1 E BROWN WOOD DOOR < LOD: 0.25 mg / cm ^2 1.24 2.50

21 1858 2021-01-27 09:31 ML ROOM 1 E BROWN WOOD DOOR JAMB-TRIM < LOD: 0.42 mg / cm ^2 1.24 3.90

22 1859 2021-01-27 09:32 ML ROOM 1 E BROWN WOOD DOOR CASING < LOD: 0.30 mg / cm ^2 1.24 3.05

23 1860 2021-01-27 09:32 ML ROOM 3 N WHITE WOOD DOOR CASING < LOD: 0.66 mg / cm ^2 1.24 7.76

24 1861 2021-01-27 09:33 ML ROOM 3 N BROWN WOOD DOOR JAMB < LOD: 0.23 mg / cm ^2 1.24 1.81

25 1862 2021-01-27 09:34 ML ROOM 2 S BROWN WOOD DOOR < LOD: 0.25 mg / cm ^2 1.24 2.45

26 1863 2021-01-27 09:35 ML ROOM 2 E BEIGE WOOD WALL 0.13 +/- 0.06 mg / cm ^2 4.72 2.35

27 1864 2021-01-27 09:36 ML ROOM 4 W BEIGE WOOD WALL < LOD: 0.03 mg / cm ^2 8.00 1.00

28 1865 2021-01-27 09:36 ML ROOM 4 W BEIGE WOOD CEILING < LOD: 3.45 mg / cm ^2 0.25 5.09

29 1866 2021-01-27 09:37 ML ROOM 4 W BEIGE WOOD CEILING 1.40 +/- 0.50 mg / cm ^2 9.45 5.43

30 1867 2021-01-27 09:38 ML ROOM 4 W BEIGE WOOD CEILING 1.70 +/- 0.70 mg / cm ^2 5.46 4.89

31 1868 2021-01-27 09:38 ML ROOM 2 W BEIGE WOOD CEILING 1.70 +/- 0.70 mg / cm ^2 5.70 6.97

32 1869 2021-01-27 09:40 ML ROOM 1 E WHITE CONCRETE WALL < LOD: 0.03 mg / cm ^2 3.24 1.00

33 1870 2021-01-27 09:41 ML ROOM 1 W WHITE CONCRETE WALL < LOD: 0.03 mg / cm ^2 4.49 1.00

34 1871 2021-01-27 09:42 ML ROOM 1 W WHITE PLASTER CEILING < LOD: 0.03 mg / cm ^2 4.74 1.00

35 1872 2021-01-27 09:42 ML ROOM 1 W WHITE PLASTER CEILING < LOD: 0.03 mg / cm ^2 4.21 1.00

36 1873 2021-01-27 09:43 ML ROOM 1 W WHITE CONCRETE SKYLIGHT < LOD: 0.15 mg / cm ^2 3.21 7.60

Page 1 of 3 02/02/21 16:48:26

Tewksbury, MA 01876 USA

IndexReading No Time INSPECTORUNIT ROOM SIDE COLOR SUBSTRATE COMPONENT PbC Units Duration Depth Index

37 1874 2021-01-27 09:44 ML ROOM 1 E WHITE CONCRETE SKYLIGHT < LOD: 0.03 mg / cm ^2 3.49 1.00

38 1875 2021-01-27 09:44 ML ROOM 1 E WHITE WOOD SKYLIGHT 2.40 +/- 1.00 mg / cm ^2 3.23 3.61

39 1876 2021-01-27 09:45 ML ROOM 1 W WHITE WOOD SKYLIGHT 1.60 +/- 0.40 mg / cm ^2 3.23 4.06

40 1877 2021-01-27 09:47 ML ROOM 1 W BROWN WOOD UPPER WALL 0.06 +/- 0.02 mg / cm ^2 20.00 2.30

41 1878 2021-01-27 09:47 ML ROOM 1 E BROWN WOOD UPPER WALL 0.05 +/- 0.02 mg / cm ^2 14.67 1.96

42 1879 2021-01-27 09:48 ML ROOM 1 E PEACH WOOD UPPER WALL 1.20 +/- 0.50 mg / cm ^2 2.24 2.57

43 1880 2021-01-27 09:49 ML ROOM 1 E PEACH WOOD UPPER WALL 1.70 +/- 0.70 mg / cm ^2 11.16 2.50

44 1881 2021-01-27 09:50 ML ROOM 3 W PEACH WOOD UPPER WALL 0.40 +/- 0.10 mg / cm ^2 17.15 4.66

45 1882 2021-01-27 09:51 ML ROOM 3 W WHITE CONCRETE WINDOW SILL 1.90 +/- 0.80 mg / cm ^2 7.99 10.00

46 1883 2021-01-27 09:52 ML ROOM 3 W BLACK CERAMIC TILE WALL < LOD: 10.20 mg / cm ^2 0.25 1.44

47 1884 2021-01-27 09:52 ML ROOM 1 W YELLOW CERAMIC TILE WALL < LOD: 9.30 mg / cm ^2 0.50 1.82

48 1885 2021-01-27 09:53 ML ROOM 3 W WHITE CONCRETE WALL < LOD: 0.03 mg / cm ^2 4.98 1.00

49 1886 2021-01-27 09:55 ML ROOM 1 W TAN CERAMIC TILE FLOOR < LOD: 0.03 mg / cm ^2 3.46 1.00

50 1887 2021-01-27 09:56 ML ROOM 1 W BROWN CERAMIC TILE FLOOR < LOD: 0.03 mg / cm ^2 14.13 1.09

51 1888 2021-01-27 09:57 ML ROOM 1 S WHITE PLASTER CEILING < LOD: 0.03 mg / cm ^2 3.22 1.00

52 1889 2021-01-27 10:00 ML 1501 EXTERIOR N BROWN WOOD HANDRAIL < LOD: 0.03 mg / cm ^2 1.24 1.00

53 1890 2021-01-27 10:00 ML 1501 EXTERIOR S BROWN WOOD HANDRAIL < LOD: 0.03 mg / cm ^2 1.24 1.00

54 1891 2021-01-27 10:00 ML 1501 EXTERIOR S BROWN WOOD HANDRAIL < LOD: 0.03 mg / cm ^2 1.23 1.00

55 1892 2021-01-27 10:01 ML 1501 EXTERIOR S EGGSHELL METAL DOOR < LOD: 0.03 mg / cm ^2 1.24 1.00

56 1893 2021-01-27 10:01 ML 1501 EXTERIOR S EGGSHELL METAL DOOR JAMB-TRIM < LOD: 0.03 mg / cm ^2 1.24 1.00

57 1894 2021-01-27 10:01 ML 1501 EXTERIOR S EGGSHELL METAL DOOR CASING < LOD: 0.03 mg / cm ^2 1.24 1.00

58 1895 2021-01-27 10:03 ML 1501 RM. 1 N WHITE METAL WALL 1.10 +/- 0.50 mg / cm ^2 20.00 10.00

59 1896 2021-01-27 10:04 ML 1501 RM. 1 N WHITE CONCRETE WALL 1.20 +/- 0.50 mg / cm ^2 20.00 10.00

60 1897 2021-01-27 10:05 ML 1501 RM. 1 S WHITE PLASTER WALL < LOD: 0.03 mg / cm ^2 4.97 1.00

61 1898 2021-01-27 10:05 ML 1501 RM. 2 N WHITE PLASTER WALL < LOD: 0.03 mg / cm ^2 3.46 1.35

62 1899 2021-01-27 10:06 ML 1501 RM. 2 W EGGSHELL WOOD WINDOW < LOD: 0.03 mg / cm ^2 1.24 1.00

63 1900 2021-01-27 10:06 ML 1501 RM. 2 W EGGSHELL WOOD WINDOW CASING < LOD: 0.03 mg / cm ^2 1.24 1.00

64 1901 2021-01-27 10:07 ML 1501 RM. 1 E EGGSHELL WOOD WINDOW CASING < LOD: 0.03 mg / cm ^2 1.25 1.00

65 1902 2021-01-27 10:07 ML 1501 RM. 1 E EGGSHELL WOOD WINDOW < LOD: 0.03 mg / cm ^2 1.24 1.00

66 1903 2021-01-27 10:08 ML 1501 RM. 1 W BEIGE METAL STALL DOOR < LOD: 0.03 mg / cm ^2 1.24 1.00

67 1904 2021-01-27 10:09 ML 1501 RM. 1 W BEIGE METAL STALL WALL < LOD: 0.03 mg / cm ^2 1.24 1.00

68 1905 2021-01-27 10:09 ML 1501 RM. 2 E BEIGE METAL STALL WALL < LOD: 0.03 mg / cm ^2 1.24 1.00

69 1906 2021-01-27 10:09 ML 1501 RM. 2 N RED METAL FLOOR < LOD: 0.03 mg / cm ^2 0.50 1.00

70 1907 2021-01-27 10:10 ML 1501 RM. 2 N RED CONCRETE FLOOR < LOD: 0.03 mg / cm ^2 1.24 1.00

71 1908 2021-01-27 10:10 ML 1501 RM. 1 N RED CONCRETE FLOOR < LOD: 0.04 mg / cm ^2 1.00 1.00

72 1909 2021-01-27 10:16 ML 4101 EXTERIOR N EGGSHELL STUCCO WALL < LOD: 0.03 mg / cm ^2 3.50 1.00

Page 2 of 3 02/02/21 16:48:35

Tewksbury, MA 01876 USA

IndexReading No Time INSPECTORUNIT ROOM SIDE COLOR SUBSTRATE COMPONENT PbC Units Duration Depth Index

73 1910 2021-01-27 10:16 ML 4101 EXTERIOR S EGGSHELL STUCCO WALL < LOD: 0.03 mg / cm ^2 5.69 1.00

74 1911 2021-01-27 10:16 ML 4101 EXTERIOR W EGGSHELL STUCCO WALL < LOD: 0.03 mg / cm ^2 3.22 1.00

75 1912 2021-01-27 10:17 ML 4101 EXTERIOR S BLACK STUCCO WALL < LOD: 0.04 mg / cm ^2 3.22 2.20

76 1913 2021-01-27 10:17 ML 4101 EXTERIOR S BLACK STUCCO WALL < LOD: 0.03 mg / cm ^2 3.48 1.08

77 1914 2021-01-27 10:18 ML 4101 EXTERIOR S BLACK STUCCO WALL < LOD: 0.06 mg / cm ^2 2.46 2.06

78 1915 2021-01-27 10:18 ML 4101 EXTERIOR S BLACK STUCCO WALL < LOD: 0.04 mg / cm ^2 3.24 2.05

79 1916 2021-01-27 10:20 ML 4602 EXTERIOR E WHITE CONCRETE WALL 0.16 +/- 0.08 mg / cm ^2 4.49 2.80

80 1917 2021-01-27 10:20 ML 4602 EXTERIOR NE WHITE CONCRETE WALL < LOD: 0.04 mg / cm ^2 2.48 1.42

81 1918 2021-01-27 10:21 ML 4602 EXTERIOR NE WHITE CONCRETE WALL 0.30 +/- 0.07 mg / cm ^2 20.00 3.80

82 1919 2021-01-27 10:22 ML 4602 EXTERIOR SE WHITE CONCRETE WALL < LOD: 4.35 mg / cm ^2 2.72 10.00

83 1920 2021-01-27 10:24 ML 4602 EXTERIOR E BEIGE CONCRETE UPPER WALL < LOD: 1.45 mg / cm ^2 0.25 3.41

84 1921 2021-01-27 10:25 ML 4602 EXTERIOR E BEIGE CONCRETE UPPER WALL < LOD: 0.37 mg / cm ^2 1.24 2.42

85 1922 2021-01-27 10:26 ML 4602 EXTERIOR N BEIGE CONCRETE UPPER WALL < LOD: 0.17 mg / cm ^2 1.00 1.40

86 1923 2021-01-27 10:27 ML 4602 ROOF N BEIGE CONCRETE WALL < LOD: 0.27 mg / cm ^2 1.24 2.17

87 1924 2021-01-27 10:28 ML SRM2573 1.04 Cal 1.10 +/- 0.10 mg / cm ^2 8.43 1.13

Page 3 of 3 02/02/21 16:48:35

10294L.A. National Cemetery

950 S. Sepulveda Blvd.

Los Angeles, CA 90049

01/27/21

SAMPLE MAP

2 Fees are per Notification and vary according to the 2TOTAL AMOUNT of asbestos removed or the demolition 2BUILDING SIZE

South Coast Air Quality Management District, Notification of Demolition or Asbestos Removal Form (2016.06)

USPS-Mail Form and Fee To:

SCAQMD

PO Box 55641 Los Angeles, CA 90074-5641

South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 Phone: (909)396-2336 (www.aqmd.gov) Rule 1403 Form Notification of

Demolition or Asbestos Removal 1 Fax these type of Notification Forms to (909)396-3342 and mail the originals within 48 hrs

Contractor Information: Notifications should be submitted by the contractor performing the project

Site Information: Copies of this notification and the CAC asbestos survey report must be kept at the worksite during this project

Asbestos Information: Do not provide this information in demolition notifications, see pg 2

AQMD USE ONLY: SCREENED BY RECEIVED POSTMARKED ENTERED BY NOTIFICATION #

CSLB License Cal. OSHA REG AQMD ID CHECK DATE PROJECT # FEE

List Site Supervisor(s) Phone Company Name

Address

City State Zip

Site Name

Site Address Cross Street

Site City State Zip County

Site Owner Contact Phone

Owner Address City State Zip

2 Number of Floors Building Age (Years) Number of Buildings or Dwelling Units

Building Prior/ Present Use

SCHOOL HOSPITAL CONDO/ APT PUBLIC BLDG. INDUSTRIAL COMMERCIAL OFFICE UNI/COLLEGE HOUSE SHIP OTHER

Required Building Information ASBESTOS SURVEY?

YES NO

ASBESTOS FOUND?

YES NO

ASBESTOS REMOVED?

YES NO

BUILDING TO BE DEMOLISHED?

YES NO

Project Type

DEMOLITION DEMOLITION

(Fire Training)

ASBESTOS REMOVAL

(Renovation)

PLANNED RENO

(Annual) 1 PROCEDURE 4 PLAN 1 PROCEDURE 5 PLAN Project

Urgency

EMERGENCY ORDERED

Notification Type ORIGINAL

1 CANCELLATION

1 REVISION AMOUNT

1 REVISION DATES

1 REVISION OTHER

Project Work Shift Day Swing Night

Describe Work

Describe Work Location (s)

FRIABLE CLASS I CLASS II

2 TOTAL

AMOUNT

Amount of Each Type of Asbestos in sq ft

ACOUSTIC CEILING

DRYWALL

LINOLEUM

PLASTER

INSULATION

TRANSITE

FIRE PROOFING

ROOFING

DUCTING

OTHER

STUCCO

MASTIC

FLOOR TILES (VAT)

Asbestos Detection Procedures: Check the procedures and analytical methods used to determine the presence of asbestos in the building. See Survey Checklist

SURVEY BULK SAMPLING INSPECTION CAC ASSUMED AS ASBESTOS-PACM PLM PCM TEM

Name of Person Declaring/ Authorizing the Emergency Phone

Date of Emergency

Hour of Emergency

Completed by Phone

PROCEDURE NUMBER 1 2 3 4 5

Asbestos Removal From SURFACES PIPES COMPONENTS

PLEASE DESCRIBE OTHER TYPE OF ASBESTOS:

Controls: Check the combination of Rule 1403 procedures used to control asbestos emissions. (Procedure 4 and 5 submit plans for AQMD prior approval)

Emergency Asbestos Removal: Check the sudden unexpected event and attach a letter from the person affected by the emergency explaining how this event caused unsafe conditions, equipment damage or unreasonable financial burden. For disturbed/damaged asbestos materials see Procedure 5 Guidelines .

FIRE FLOOD WATER DAMAGE EARTHQUAKE NUISANCE VANDALISM HEALTH/SAFETY FINANCIAL BURDEN EQUIPMENT DAMAGE OTHER

All Others-Mail Form and Fee To:

Bank of America Lockbox Services Lockbox # 55641 2706 Media Center Drive Los Angeles, CA 90065 http://www.aqmd.gov/docs/default-source/aqmd-forms/Asbestos/r1403surveyreqt.pdf?sfvrsn=4 http://www.aqmd.gov/docs/default-source/compliance/Asbestos-Demolition-/procedure5_guideline.doc?sfvrsn=2

South Coast Air Quality Management District, Notification of Demolition or Asbestos Removal Form (2016.06) Page 2 of 2

Demolition Information: All asbestos containing materials must be removed prior to any demolition activity

Waste Information

Contractor Certification: All contractors or owner/operator submitting this notification must sign this form

Attention

WASTE TRANSPORTER # 2

Address

City State Zip

WASTE TRANSPORTER # 1

Address

City State Zip

WASTE STORAGE SITE

Address

City State Zip

LANDFILL

Address

City State Zip

Asbestos Removal Company Name Date of Asbestos Removal

Agency Name

Authorizing Person Title

Phone Date of Order

Date Ordered to Begin

Ordered Demolition: Attach a copy of the agency order

Company Name

Print Name of Owner/Operator Signature of Owner/Operator Date

Title of Owner/Operator

I certify that an individual trained in the provisions of regulations AQMD Rule 1403 and the Asbestos NESHAP Title 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 for inspection during normal business hours. I hereby certify that all of the information contained herein and information submitted with this notification is true and correct.

Notification Fee: No notifications shall be considered received pursuant to Rule 1403, unless it is accompanied by the required payment (Rule 301, Table VI). Please make check payable to “SCAQMD”. Fees are per notification and vary according to the 2TOTAL AMOUNT of asbestos removed or the demolition 2BUILDING SIZE. The Revision Amount fee is the difference between the new Project Size Fee category and the original Project Size Fee category (See Fee Information)

Keep Three (3) Copies of This Notification Form for your records, to post at the worksite, and to obtain a city demolition permit. See California Health and Safety Code 19827.5 that requires that you provide a copy of the demolition notification to Building and Safety before issuance of a demolition permit. For questions call 909-396-2336. Forms, instructions and Rule 1403 can be obtained from the AQMD website at http://www.aqmd.gov. Please mail this signed original notification form, fee, and any attachments to: For USPS: SCAQMD, PO Box 55641, Los Angeles, CA 90074-5641; For ALL OTHER: Bank of America Lockbox Services, Lockbox # 55641, 2706 Media Center Drive, Los Angeles, CA 90065. Mailing saves time, money and reduces traffic and air pollution.

Fee Based on Project Size (sq ft) Additional Fees

Project #

Project Size Fee:

Additional Fee:

Total Fee Due:

Check work practices to prevent, suppress and contain dust, and dust controls to be use at the demolition site

SPRAY WATER EXIT GRATES TARP TRUCKS/BINS FENCE SCREENS STONE TRUCK PADS TIRE WASHING SOIL STABILIZERS OTHER

C…