Attachment 9 VA Long Beach ACM Survey Report -B126 OP.pdf

TRIENNIAL ASBESTOS REINSPECTION REPORT

BUILDING 126 OP– OUT PATIENT CLINIC BUILDING

PREPARED FOR

Mr. James Bachman & Ms. Olivia Parducho Department of Veterans Affairs

VA Long Beach Healthcare System 5901 East 7th St.

Long Beach CA 90815 Contract Number: GS-10F-0229U - Order Number: VA262-14-F-7064

PREPARED BY

Millennium Consulting Associates 401 Roland Way, Suite 250

Oakland, CA 94621

December, 2015 Millennium Project No. 22015.2033

Millennium Consulting Associates 2 Project No. 22015.2033

Table of Contents

1.0 EXECUTIVE SUMMARY

2.0 INTRODUCTION

2.1 SCOPE OF WORK

2.2 SAMPLING METHODS, PROCEDURES AND PERSONNEL

2.2.1 Review of Procedures: Asbestos Inspection, Bulk Sampling, Laboratory Information and Risk Assessment

3.0 BUILDING SUMMARY

4.0 SURVEY RESULTS

4.1.1 Summary of Previous Sampling Events

4.1.2 FINDINGS OF MILLENNIUM 2014 TRIENNIAL SURVEY & ASSESSMENT

5.0 CONCLUSIONS AND RECOMMENDATIONS

6.0 LIMITING CONDITIONS

Appendices Asbestos Laboratory Sample Data ............................................................................................................... Appendix A

Asbestos Finish schedule & Hazard Assessment ...................................................................................... Appendix B

Sample Location Maps .................................................................................................................................... Appendix C

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1.0 EXECUTIVE SUMMARY

Millennium Consulting Associates (Millennium) performed comprehensive triennial asbestos survey for the VA Medical Center in Long Beach, California under Contract No. VA262-14-F-7064. The objective of this project is to support the Operations & Maintenance Program be conducting the following tasks:

Review VA-supplied previous Asbestos Survey, Assessment and abatement records;

Conduct a comprehensive site evaluation of accessible locations within each specified building to, identify, assess & evaluate condition(s) and collect representative bulk samples of previously un-sampled or newly observed PACM, suspect ACCM, and suspect ACM;

Provide an asbestos health risk assessment and determine location and quantity estimates of ACCM and ACM.

A summary of the survey final results are incorporated into this report, providing a means for the VA to more efficiently plan for repairs, renovations and/or demolition projects.

Table 1, below, summarizes the positive Asbestos survey results from this project for Building 126 OP – Out Patient Clinic Building.

Table 1. Survey Summary of Positive Asbestos ACM Results reported by Millennium for Building 126 OP.

No samples collected by Millennium were reported to contain asbestos.

Table 2. Summary of Previously Reported Asbestos Containing Materials for Building 126 OP as reported by others. The presence of ACM materials noted in this table is NOT indicative of the current presence as many of these components have been abated. Please refer to Appendix B.

Data Source Location Asbestos Type

Asbestos Quantity

Material Description Color

Friable

ACBM

H2, 2010

Corridors CC-

OP-126-5, CC-

OP-126-1, CC-

OP-126-3,

Rms 217, 166

& 50

Chrysotile Unreported 12” floor tile with mastic

Tan/Black Non Friable

H2, 2010 Corridors CC-

12-OP-6, -CC-

126-OP-12,

CC- 126-OP-

3-1

Chrysotile Unreported Cove Base

Mastic Brown Non Friable

H2, 2010 Corridors

CC126-OP-1,

CC126-OP-

126-5, CC-

126-OP-1, CC-

126-OP-3

Chrysotile Unreported

Floor tile mastic under 12” red non ACM tilen

Unreported Non Friable

Please refer to Section 3 for details.

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Materials Not Sampled per COTR Request:

1. All Doors

2. “Welded” Sheet Vinyl flooring except specifically instructed by COTR.

3. All Electrical Wiring

4. All other materials specifically called out in provided Finish Schedule.

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2.0 INTRODUCTION

Millennium Consulting Associates (Millennium) performed a Comprehensive Triennial Asbestos Survey for the VA Medical Center in Long Beach, California under Contract No. VA262-14-F-7064. The project was conducted to determine the existence and condition of Asbestos Containing Materials (ACM) in specified buildings. A summary of the survey final results are incorporated into this report providing a means for the VA to more efficiently plan for repairs, renovations and/or demolition projects. In addition, a comprehensive Access database was developed specifically to manage the asbestos and lead data obtained for this project.

2.1 SCOPE OF WORK

The objective of this limited asbestos and lead survey is to provide the following information:

1. Identify, document and sample previously un-sampled suspect ACM;

2. Report, assess, and quantify all ACM discovered during the survey;

3. Provide comprehensive spreadsheet (finish schedule) of asbestos-containing materials identified.

The asbestos survey tasks included a review of previous asbestos surveys, abatement response action records, a thorough walk-thru of accessible areas within each building within the contract to identify accessible suspect asbestos finish/material, collection of representative samples for asbestos, assessment of the condition of the materials and quantification of the asbestos-containing materials throughout the specified buildings.

In accordance with the project requirements, samples were not taken if it rendered the material unstable, had the potential to cause leaking or other deterioration of the base material or if the sampling posed a hazard to those working in and around the building. The sampling of specific materials identified by the client, newly or recently renovated areas was omitted per the direction of the client.

2.2 SAMPLING METHODS, PROCEDURES AND PERSONNEL

A detailed sampling and analysis plan was prepared to facilitate sampling of homogeneous materials for asbestos. These are materials that are similar in appearance and texture, based on the substrate and/or suspect material. The asbestos survey was performed using general procedures and protocols defined in EPA 40 CFR, part 763.

The asbestos analyses were performed at an independent 3rd party accredited laboratory (EMSL Laboratory, San Diego, CA.) using the EPA 600/R-93/116 method. All locations within the scope of work were physically inspected and categorized by homogeneous area, to determine the presence of ACM.

Millennium personnel held valid licenses for the respective type of work they performed. These asbestos specific licenses include: Certified Asbestos Consultants (CAC) and Site-Surveillance Technicians (SST). The project team members and their respective certifications that performed site assessment activities are:

1. Mr. Jack McCubbin (CAC No. 93-0894),

2. Mr. Jeremy Malson, CIH, CSP (CAC No. 07-4183)

3. Ms. Lee Anne Norman (CAC No. 11-4779), and

4. Mr. Todd Reed (CSST No. 06-4032).

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Physical Inspection, material sampling and physical assessment of the materials within Building 126 OP was conducted in November 2014 by the personnel above.

2.2.1 Review of Procedures: Asbestos Inspection, Bulk Sampling, Laboratory Information and Risk Assessment

The asbestos inspection and bulk sampling procedures were based on the guidelines established by the U.S.

EPA in the Guidance for Controlling Asbestos Containing Materials in Buildings, Office of Pesticides and Toxic Substances, DOC #560/5-85-024 and 40 CFR Part 763, Asbestos Hazard Emergency Response Act (AHERA). Field information was organized according to the AHERA concept of Homogeneous Areas (HA).

A HA is defined as a suspect material of similar age, appearance, function, and texture. Each homogeneous material was grouped together as a specific HA, sampled, and then assessed for condition. The AHERA guidelines represent an industry standard sampling protocol and as such was utilized during the inspection and sampling.

The locations within the buildings were physically inspected on a space-by-space and homogeneous area-by-homogeneous area basis, to determine the presence of ACM. Core samples of friable and non-friable suspect materials were collected by penetration of the suspect material to its substrate where allowed by the client.

The bulk samples collected were placed in individual sealed containers and labeled with unique sample identification numbers. Representative samples of each homogeneous sampling area were then submitted to the laboratory to be analyzed for asbestos content.

Specifically, the inspection involved the following tasks:

1. Visual determination as to the extent of visible and accessible suspect materials and conditions of the material;

2. Collection and analyses of suspect building materials for asbestos content;

3. Determining condition (i.e., friable or non-friable) of suspect materials by physically touching, assessing, and placing the material into the correct ACM category (i.e., Physical Condition Assessment);

4. Quantification of the amount of ACM friable and non-friable materials along with their location;

5. Identification of all suspect materials sampled on the appropriate building floor plan diagram with the sample number; and

6. Preparation of a Chain-of-Custody form that accompanied the samples to the laboratory.

2.2.1.a Sample Chain of Custody and Contract Laboratory:

Chain-of-Custody procedures and records provide a means of tracing each sample from the time of collection through the shipment and final analyses. Proper Chain-of-Custody procedures also provide a written record of all persons handling the samples. The information necessary to relate sample locations for reporting purposes is documented with each sample. This information is essential to proper completion of a sample results report and typically includes client and facility information; unique sample identification number; date and time sampled; sampler name and signature; sample location including the room/area; and field sketches of sample locations.

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All sample analyses were performed by EMSL Laboratory, located in San Diego, CA. EMSL is a laboratory which is certified by the State of California Environmental Laboratory Accreditation Program (2713), the U.S.

Department of Commerce, National Institute of Standards and Technology (NIST) and is accredited by the National Voluntary Laboratory Accreditation Program (NVLAP No. 200855-0) for bulk asbestos analyses.

2.2.1.b Asbestos Material Physical/Condition Assessment:

The U.S. EPA AHERA specifies that a physical assessment of all friable suspect material must be performed during the inspection. The physical condition assessment consists of determining the condition of the ACM, and the potential for future disturbance. AHERA lists seven categories in which to assess the current condition and potential for damage for those asbestos materials having an asbestos content greater than 1%. These are considered Asbestos Containing Materials (ACM). These categories are as follows:

1. Damaged or Significantly Damaged Friable Thermal System Insulation;

2. Damaged Friable Surfacing Material;

3. Significantly Damaged Friable Surfacing Material;

4. Damaged or Significantly Damaged Friable Miscellaneous Material;

5. ACM with potential for damage;

6. ACM with the potential for significant damage; and

7. Any remaining Friable ACM or Assumed Friable ACM.

Additionally, as part of the assessment and categorization of materials, the ACMs are further defined by the current condition of the ACM, and the potential for future damage. These are defined as follows:

1. Current Condition of ACM: Intact, damaged or significantly damaged. The criteria for determining the damaged and significantly damaged conditions are as follows:

a. Damaged: The overall damage is up to ten percent (≤10%) and/or any localized damage is up to twenty-five percent (≤25%).

b. Significantly damaged: The overall damage is greater than ten percent (>10%) and/or any localized damage is greater than (>25%).

2. Potential for Future Damage of ACM: Another step in the assessment process is to determine the potential for future damage or deterioration for material classified as good or fair. The potential for future damage was classified as High, Moderate, or Low for Human Contact, Vibration and Air Erosion.

3. Friability Rating: All material were given a friability rating and classified as either Friable ACM or Non-Friable ACM. Friable ACM is defined as any material that contains more than one percent (>1%) asbestos and can be crumbled, pulverized, or reduced to powder by hand pressure. It is a description of risk and refers to a material’s likeliness to release airborne fibers.

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3.0 BUILDING SUMMARY

BUILDING 126 OP – OUT PATIENT CLINIC BUILDING

Building No. 126 OP is the Out Patient Clinic Building and was built in 1967. The building has one basement and three floors and is approximately 81,000 ft2 in size. The structure is concrete, the floors are concrete and the roof is built-up bituminous asphalt. The building is considered to be in good overall condition.

4.0 SURVEY RESULTS

4.1 ACM Data Results

4.1.1 Summary of Previous Sampling Events:

The historical report for Building 126 OP, contained limited information concerning previous inspections for Building 126 OP; no abatement data was included for review. The data reported the presence of:

1. 12” tan floor tile & black mastic at: Corridors CC-OP-126-5, CC-OP-126-1, CC-OP-126-3, Rms 217, 166 & 50;

2. Brown cove base mastic at: Corridors CC- 12-OP-6, -CC- 126-OP-12, CC- 126-OP-3-1; and

3. Floor tile mastic under 12” red non-ACM tile at: Corridors CC126-OP-1, CC126-OP-126-5, CC-126-OP-1, CC-

126-OP-3

4.1.2 FINDINGS OF MILLENNIUM 2014 TRIENNIAL SURVEY & ASSESSMENT

Millennium conducted a site inspection and assessment of Building 126 OP in March 2015. No bulk samples were collected within Building 126 OP.

5.0 CONCLUSIONS AND RECOMMENDATIONS

CONCLUSIONS

Based on this survey and a review of previous surveys, the following materials are present within Building 126 OP which contain asbestos:

Building 126 OP:

12” tan floor tile & black mastic;

Brown cove base mastic at: Corridors, Floor tile mastic under 12” red non-ACM tile

Please refer to the Asbestos Laboratory Data in Appendix A in Appendix B for the complete Finish Schedule.

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6.0 LIMITING CONDITIONS

Millennium Consulting conducted the survey in November 2014, in accordance with industry standards in existence at the time of the project. The conclusions and recommendations presented in this report are based on the applicable standards of our profession at the time this report was prepared. Copies of this report are furnished to provide factual data that were gathered and summarized in the report.

The data, analysis and recommendations submitted in this report are solely for use of the Client. It may not be relied upon for third party use. This report has been prepared for the exclusive use of the Client for specific application to the survey performed on the property; this Report is not a construction document and is not intended to replace a NESHAP’s pre-renovation assessment and investigation. Destructive investigation methods were part of this scope of work. This report may not be copied (except by our client) without the written permission of the Client. No other representation, expressed or implied, is made.

Millennium appreciated having the opportunity to provide you with our asbestos-related services. Should you have any questions regarding this report or require assistance in the design, specification, management, and/or clearance testing for any future repairs, renovations and/or demolition projects, please do not hesitate to contact us.

Appendix A

Asbestos Laboratory Data jack Typewritten Text

NO SAMPLES WERE COLLECTED

Appendix B

Asbestos Finish Schedule & Hazard Assessment

VA Long Beach - Building 126 OP

VALB ACM Finish Haz Assess Schedule Date of Survey:11/14

Rm Name/No.

Asbestos

Present

Millennium

Sample No.

Previously

Sampled

(Y/N)

Friable Good - No

Damage

Damaged (10% overall or 25% localized)

SignificantlyDamaged

>10% overall OR >25% localized)

Potential for Damage

(vibration, Access, Erosion)

TSI Surfacing Misc

Basement OP41 Ceiling Acoustic Ceiling Panel 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP41 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP41 Floor Carpet & Glue Tan & Yell/Black Not Detected N/A Y N/A N/A N/A

Basement OP41 Door/Door Frame Wood/Metal Beige & Beige Not Suspect Possible Suspect Material In Core

Basement OP41 Misc Covebase Mastic & Glue 4" Tan & Beige & Brown Not Detected N/A Y N/A N/A N/A

Basement OP41 Misc Resilient Floor Tile Under Carpet & Glue Tan & Black Not Detected N/A Y N/A N/A N/A

Basement OP40 Ceiling Acoustic Ceiling Panel 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP40 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP40 Floor Carpet & Glue Tan & Yell/Black Not Detected N/A Y N/A N/A N/A

Basement OP40 Door/Door Frame Wood/Metal Beige & Beige Not Suspect Possible Suspect Material In Core

Basement OP40 Roof Covebase Mastic & Glue 4" Tan & Beige & Brown Not Detected N/A Y N/A N/A N/A

Basement OP40 Misc Resilient Floor Tile Under Carpet & Glue Tan & Black Not Detected N/A Y N/A N/A N/A

Basement OP18 Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP18 Wall(s) Wallboard Joint Compound Off White Not Detected N/A Y N/A N/A N/A

Basement OP18 Floor Resilient Floor Tile 12X12 Beige/White/Brown Not Detected N/A Y N/A N/A N/A

Basement OP18 Door/Door Frame Wood/Metal Blue & Off White Not Suspect Possible Suspect Material In Core

Basement OP18 Misc Covebase Mastic 6" Off White Not Detected N/A Y N/A N/A N/A

Basement OP19 Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP19 Wall(s) Wallboard Joint Compound Off White Not Detected N/A Y N/A N/A N/A

Basement OP19 Floor Resilient Floor Tile 12X12 Beige/White/Brown Not Detected N/A Y N/A N/A N/A

Basement OP19 Door/Door Frame Wood/Metal Blue & Off White Not Suspect Possible Suspect Material In Core

Basement OP19 Misc Covebase Mastic 6" Off White Not Detected N/A Y N/A N/A N/A

Basement OP20 Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP20 Wall(s) Wallboard Joint Compound Off White Not Detected N/A Y N/A N/A N/A

Basement OP20 Floor Resilient Floor Tile 12X12 Beige/White/Brown Not Detected N/A Y N/A N/A N/A

Basement OP20 Door/Door Frame Wood/Metal Blue & Off White Not Suspect Possible Suspect Material In Core

Basement OP20 Misc Covebase Mastic 6" Off White Not Detected N/A Y N/A N/A N/A

CommentSurface Color

Sample Info HAZARD ASSESSMENT

SizeMaterial

VALB ACM Finish Haz Assess Schedule Date of Survey:11/14

Rm Name/No.

Asbestos

Present

Millennium

Sample No.

Previously

Sampled

(Y/N)

Friable Good - No

Damage

Damaged (10% overall or 25% localized)

SignificantlyDamaged

>10% overall OR >25% localized)

Potential for Damage

(vibration, Access, Erosion)

TSI Surfacing Misc

CommentSurface Color

Sample Info HAZARD ASSESSMENT

SizeMaterial

Basement OP43 Ceiling Acoustic Ceiling Panel 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP43 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP43 Floor Carpet & Glue Tan & Yell/Black Not Detected N/A Y N/A N/A N/A

Basement OP43 Door/Door Frame Wood/Metal Beige & Beige Not Suspect Possible Suspect Material In Core

Basement OP43 Misc Covebase Mastic & Glue 4" Tan & Beige & Brown Not Detected N/A Y N/A N/A N/A

Basement OP43 Misc Resilient Floor Tile Under Carpet & Glue Tan & Black Not Detected N/A Y N/A N/A N/A

Basement OP45 Ceiling Acoustic Ceiling Panel 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP45 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP45 Floor Carpet & Glue Tan & Yell/Black Not Detected N/A Y N/A N/A N/A

Basement OP45 Door/Door Frame Wood/Metal Beige & Beige Not Suspect Possible Suspect Material In Core

Basement OP45 Misc Covebase Mastic & Glue 4" Tan & Beige & Brown Not Detected N/A Y N/A N/A N/A

Basement OP45 Misc Resilient Floor Tile Under Carpet & Glue Tan & Black Not Detected N/A Y N/A N/A N/A

Basement OP47 Ceiling Acoustic Ceiling Panel 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP47 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP47 Floor Carpet & Glue Tan & Yell/Black Not Detected N/A Y N/A N/A N/A

Basement OP47 Door/Door Frame Wood/Metal Beige & Beige Not Suspect Possible Suspect Material In Core

Basement OP47 Misc Covebase Mastic & Glue 4" Tan & Beige & Brown Not Detected N/A Y N/A N/A N/A

Basement OP47 Misc Resilient Floor Tile Under Carpet & Glue Tan & Black Not Detected N/A Y N/A N/A N/A

Basement OP46 Ceiling Acoustic Ceiling Panel 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP46 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP46 Floor Carpet & Glue Tan & Yell/Black Not Detected N/A Y N/A N/A N/A

Basement OP46 Door/Door Frame Wood/Metal Beige & Beige Not Suspect Possible Suspect Material In Core

Basement OP46 Misc Covebase Mastic & Glue 4" Tan & Beige & Brown Not Detected N/A Y N/A N/A N/A

Basement OP46 Misc Resilient Floor Tile Under Carpet & Glue Tan & Black Not Detected N/A Y N/A N/A N/A

Basement OP44 Ceiling Acoustic Ceiling Panel 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP44 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP44 Floor Carpet & Glue Tan & Yell/Black Not Detected N/A Y N/A N/A N/A

Basement OP44 Door/Door Frame Wood/Metal Beige & Beige Not Suspect Possible Suspect Material In Core

Basement OP44 Misc Covebase Mastic & Glue 4" Tan & Beige & Brown Not Detected N/A Y N/A N/A N/A

Basement OP44 Misc Resilient Floor Tile Under Carpet & Glue Tan & Black Not Detected N/A Y N/A N/A N/A

Basement OP18A Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP18A Wall(s) Wallboard Joint Compound Off White Not Detected N/A Y N/A N/A N/A

Basement OP18A Floor Resilient Floor Tile 12X12 Beige/White/Brown Not Detected N/A Y N/A N/A N/A

Basement OP18A Door/Door Frame Wood/Metal Blue & Off White Not Suspect Possible Suspect Material In Core

Basement OP18A Misc Covebase Mastic 6" Off White Not Detected N/A Y N/A N/A N/A

Basement OP42 Ceiling Acoustic Ceiling Panel 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP42 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP42 Floor Carpet & Glue Tan & Yell/Black Not Detected N/A Y N/A N/A N/A

Basement OP42 Door/Door Frame Wood/Metal Beige & Beige Not Suspect Possible Suspect Material In Core

Basement OP42 Misc Covebase Mastic & Glue 4" Tan & Beige & Brown Not Detected N/A Y N/A N/A N/A

Basement OP42 Misc Resilient Floor Tile Under Carpet & Glue Tan & Black Not Detected N/A Y N/A N/A N/A

Basement OP10 Ceiling Acoustic Ceiling Panel Pinhole 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP10 Wall(s) Wallboard Joint Compound off White Not Detected N/A Y N/A N/A N/A

Basement OP10 Floor Carpet Blue Not Detected N/A Y N/A N/A N/A

Basement OP10 Door/Door Frame Wood/Metal Blue & Off White Not Suspect Possible Suspect Material In Core

Basement OP10 Misc Covebase Mastic 4" Tan Not Detected N/A Y N/A N/A N/A

Basement OP33 Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP33 Wall(s) Wallboard Joint Compound Green & Beige Not Detected N/A Y N/A N/A N/A

VALB ACM Finish Haz Assess Schedule Date of Survey:11/14

Rm Name/No.

Asbestos

Present

Millennium

Sample No.

Previously

Sampled

(Y/N)

Friable Good - No

Damage

Damaged (10% overall or 25% localized)

SignificantlyDamaged

>10% overall OR >25% localized)

Potential for Damage

(vibration, Access, Erosion)

TSI Surfacing Misc

CommentSurface Color

Sample Info HAZARD ASSESSMENT

SizeMaterial

Basement OP33 Floor Carpet Pruple & Blue Not Detected N/A Y N/A N/A N/A

Basement OP33 Door/Door Frame Metal/Metal Beige & Off White Not Suspect Possible Suspect Material In Core

Basement OP33 Misc Covebase Mastic 4" Tan Not Detected N/A Y N/A N/A N/A

Basement OP00 Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP00 Wall(s) Plaster Yellow Not Detected N/A Y N/A N/A N/A

Basement OP00 Floor Resilient Floor Tile 12X12 Beige with Brown Not Detected N/A Y N/A N/A N/A

Basement OP00 Door/Door Frame Metal/Metal Beige & Silver Not Suspect Possible Suspect Material In Core

Basement OP00 Misc Covebase Mastic 4" Off White Not Detected N/A Y N/A N/A N/A

Basement OP00 Misc Ceramic Tile & Grout 4X4 Off White & Off White Not Suspect

Basement OP40A Ceiling Acoustic Ceiling Panel 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP40A Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP40A Floor Carpet & Glue Tan & Yell/Black Not Detected N/A Y N/A N/A N/A

Basement OP40A Door/Door Frame Wood/Metal Beige & Beige Not Suspect Possible Suspect Material In Core

Basement OP40A Misc Covebase Mastic & Glue 4" Tan & Beige & Brown Not Detected N/A Y N/A N/A N/A

Basement OP40A Misc Resilient Floor Tile Under Carpet & Glue Tan & Black Not Detected N/A Y N/A N/A N/A

Basement OP-CIA Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2x4 Not Detected N/A Y N/A N/A N/A

Basement OP-CIA Wall(s) Plaster Wallboard oint Compound Beige/Tan Not Detected N/A Y N/A N/A N/A

Basement OP-CIA Floor Resilient Floor Tile 12X12 Tan Not Detected N/A Y N/A N/A N/A

Basement OP-CIA Misc Ceramic Tile & Grout 4X4 White & Off White Not Suspect

Basement OP-CIA Misc Covebase Mastic & Glue 4" Beige & Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-2 Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2x4 Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-2 Wall(s) Plaster Wallboard oint Compound Beige/Tan Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-2 Floor Resilient Floor Tile 12X12 Tan Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-2 Misc Ceramic Tile & Grout 4X4 White & Off White Not Suspect

Basement CC-OP-126-2 Misc Covebase Mastic & Glue 4" Beige & Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-4 Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2x4 Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-4 Wall(s) Plaster Wallboard oint Compound Beige/Tan Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-4 Floor Resilient Floor Tile 12X12 Tan Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-4 Misc Ceramic Tile & Grout 4X4 White & Off White Not Suspect

Basement CC-OP-126-4 Misc Covebase Mastic & Glue 4" Beige & Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-3 Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2x4 Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-3 Wall(s) Plaster Wallboard oint Compound Beige/Tan Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-3 Floor Resilient Floor Tile 12X12 Tan Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-3 Misc Ceramic Tile & Grout 4X4 White & Off White Not Suspect

Basement CC-OP-126-3 Misc Covebase Mastic & Glue 4" Beige & Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-5 Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2x4 Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-5 Wall(s) Plaster Wallboard oint Compound Beige/Tan Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-5 Floor Resilient Floor Tile 12X12 Tan Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-5 Misc Ceramic Tile & Grout 4X4 White & Off White Not Suspect

Basement CC-OP-126-5 Misc Covebase Mastic & Glue 4" Beige & Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-6 Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2x4 Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-6 Wall(s) Plaster Wallboard oint Compound Beige/Tan Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-6 Floor Resilient Floor Tile 12X12 Tan Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-6 Misc Ceramic Tile & Grout 4X4 White & Off White Not Suspect

Basement CC-OP-126-6 Misc Covebase Mastic & Glue 4" Beige & Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-10 Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-10 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-10 Floor Carpet Blue /Purple Not Detected N/A Y N/A N/A N/A

VALB ACM Finish Haz Assess Schedule Date of Survey:11/14

Rm Name/No.

Asbestos

Present

Millennium

Sample No.

Previously

Sampled

(Y/N)

Friable Good - No

Damage

Damaged (10% overall or 25% localized)

SignificantlyDamaged

>10% overall OR >25% localized)

Potential for Damage

(vibration, Access, Erosion)

TSI Surfacing Misc

CommentSurface Color

Sample Info HAZARD ASSESSMENT

SizeMaterial

Basement CC-OP-126-10 Door/Door Frame Metal/Metal B/B Not Suspect Possible Suspect Material In Core

Basement CC-OP-126-10 Misc Covebase Mastic & Glue 4" Light Brown &

Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement CC-OP-126-10 Misc Resilient Floor Tile 12X12 Tan Not Detected N/A Y N/A N/A N/A

Basement OP-01 Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP-01 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP-01 Floor Carpet Blue /Purple Not Detected N/A Y N/A N/A N/A

Basement OP-01 Door/Door Frame Metal/Metal B/B Not Suspect Possible Suspect Material In Core

Basement OP-01 Misc Covebase Mastic & Glue 4" Light Brown &

Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement OP-02 Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP-02 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP-02 Floor Carpet Blue /Purple Not Detected N/A Y N/A N/A N/A

Basement OP-02 Door/Door Frame Metal/Metal B/B Not Suspect Possible Suspect Material In Core

Basement OP-02 Misc Covebase Mastic & Glue 4" Light Brown &

Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement OP-03 Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP-03 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP-03 Floor Carpet Blue /Purple Not Detected N/A Y N/A N/A N/A

Basement OP-03 Door/Door Frame Metal/Metal B/B Not Suspect Possible Suspect Material In Core

Basement OP-03 Misc Covebase Mastic & Glue 4" Light Brown &

Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement OP-06 Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP-06 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP-06 Floor Carpet Blue /Purple Not Detected N/A Y N/A N/A N/A

Basement OP-06 Door/Door Frame Metal/Metal B/B Not Suspect Possible Suspect Material In Core

Basement OP-06 Misc Covebase Mastic & Glue 4" Light Brown &

Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement OP-05 Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP-05 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP-05 Floor Carpet Blue /Purple Not Detected N/A Y N/A N/A N/A

Basement OP-05 Door/Door Frame Metal/Metal B/B Not Suspect Possible Suspect Material In Core

Basement OP-05 Misc Covebase Mastic & Glue 4" Light Brown &

Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement OP-06B Ceiling Acoustic Ceiling Panel Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP-06B Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP-06B Floor Carpet Blue /Purple Not Detected N/A Y N/A N/A N/A

Basement OP-06B Door/Door Frame Metal/Metal B/B Not Suspect Possible Suspect Material In Core

Basement OP-06B Misc Covebase Mastic & Glue 4" Light Brown &

Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement OP-17 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 White Not Detected N/A Y N/A N/A N/A

Basement OP-17 Wall(s) Wallboard Joint Compound Off White Not Detected N/A Y N/A N/A N/A

Basement OP-17 Floor Resilient Floor Tile 12X12 Light Blue Not Detected N/A Y N/A N/A N/A

Basement OP-17 Door/Door Frame Carpet Blue & White Not Detected N/A Y N/A N/A N/A Possible Suspect Material In Core

Basement OP-17 Roof Wood/Metal 4" Light Brown &

Tan/Brown Not Suspect

Basement OP-17 Misc Covebase Mastic & Glue Not Detected N/A Y N/A N/A N/A

Basement OP-16 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP-16 Wall(s) Wallboard Joint Compound Off White Not Detected N/A Y N/A N/A N/A

Basement OP-16 Floor Resilient Floor Tile Blue/Purple Not Detected N/A Y N/A N/A N/A

Basement OP-16 Door/Door Frame Carpet Blue/White Not Detected N/A Y N/A N/A N/A Possible Suspect Material In Core

Basement OP-16 Misc Wood/Metal Light Brown &

Tan/Brown Not Suspect

Basement OP-16 Misc Covebase Mastic & Glue Not Detected N/A Y N/A N/A N/A

VALB ACM Finish Haz Assess Schedule Date of Survey:11/14

Rm Name/No.

Asbestos

Present

Millennium

Sample No.

Previously

Sampled

(Y/N)

Friable Good - No

Damage

Damaged (10% overall or 25% localized)

SignificantlyDamaged

>10% overall OR >25% localized)

Potential for Damage

(vibration, Access, Erosion)

TSI Surfacing Misc

CommentSurface Color

Sample Info HAZARD ASSESSMENT

SizeMaterial

Basement OP-25A Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP-25A Wall(s) Wallboard Joint Compound Off White Not Detected N/A Y N/A N/A N/A

Basement OP-25A Floor Resilient Floor Tile Blue/Purple Not Detected N/A Y N/A N/A N/A

Basement OP-25A Door/Door Frame Carpet Blue/White Not Detected N/A Y N/A N/A N/A Possible Suspect Material In Core

Basement OP-25A Misc Wood/Metal Light Brown &

Tan/Brown Not Suspect

Basement OP-25A Misc Covebase Mastic & Glue Not Detected N/A Y N/A N/A N/A

Basement OP-13 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP-13 Wall(s) Wallboard Joint Compound Off White Not Detected N/A Y N/A N/A N/A

Basement OP-13 Floor Resilient Floor Tile Blue/Purple Not Detected N/A Y N/A N/A N/A

Basement OP-13 Door/Door Frame Carpet Blue/White Not Detected N/A Y N/A N/A N/A Possible Suspect Material In Core

Basement OP-13 Roof Wood/Metal Light Brown &

Tan/Brown Not Suspect

Basement OP-13 Misc Covebase Mastic & Glue Not Detected N/A Y N/A N/A N/A

Basement OP-12 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP-12 Wall(s) Wallboard Joint Compound Off White Not Detected N/A Y N/A N/A N/A

Basement OP-12 Floor Resilient Floor Tile Blue/Purple Not Detected N/A Y N/A N/A N/A

Basement OP-12 Door/Door Frame Carpet Blue/White Not Detected N/A Y N/A N/A N/A Possible Suspect Material In Core

Basement OP-12 Misc Wood/Metal Light Brown &

Tan/Brown Not Suspect

Basement OP-12 Misc Covebase Mastic & Glue Not Detected N/A Y N/A N/A N/A

Basement OP-11 Ceiling Acoustic Ceiling Tile Pinhole Not Detected N/A Y N/A N/A N/A

Basement OP-11 Wall(s) Wallboard Joint Compound Off White Not Detected N/A Y N/A N/A N/A

Basement OP-11 Floor Resilient Floor Tile 12X12 White with Gray Not Detected N/A Y N/A N/A N/A

Basement OP-11 Door/Door Frame Wood/Metal Bare/Off White Not Suspect Possible Suspect Material In Core

Basement OP-11 Misc Covebase Mastic & Glue 4" Gray & Tan Not Detected N/A Y N/A N/A N/A

Basement OP28 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP28 Wall(s) Wallboard Joint Compound Concrete Beige/Tan Not Detected N/A Y N/A N/A N/A

Basement OP28 Floor Carpet Brown Not Detected N/A Y N/A N/A N/A

Basement OP28 Door/Door Frame Wood/Metal B/B Not Suspect Possible Suspect Material In Core

Basement OP28 Roof Covebase Mastic & Glue 4" Beige & Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement OP29 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP29 Wall(s) Wallboard Joint Compound Concrete Beige/Tan Not Detected N/A Y N/A N/A N/A

Basement OP29 Floor Carpet Brown Not Detected N/A Y N/A N/A N/A

Basement OP29 Door/Door Frame Wood/Metal B/B Not Suspect Possible Suspect Material In Core

Basement OP29 Misc Covebase Mastic & Glue 4" Beige & Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement OP30 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP30 Wall(s) Wallboard Joint Compound Concrete Beige/Tan Not Detected N/A Y N/A N/A N/A

Basement OP30 Floor Carpet Brown Not Detected N/A Y N/A N/A N/A

Basement OP30 Door/Door Frame Wood/Metal B/B Not Suspect Possible Suspect Material In Core

Basement OP30 Misc Covebase Mastic & Glue 4" Beige & Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement OP31 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP31 Wall(s) Wallboard Joint Compound Concrete Beige/Tan Not Detected N/A Y N/A N/A N/A

Basement OP31 Floor Carpet Brwon Not Detected N/A Y N/A N/A N/A

Basement OP31 Door/Door Frame Wood/Metal B/B Not Suspect Possible Suspect Material In Core

Basement OP31 Roof Covebase Mastic & Glue 4" Beige & Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement OP32 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP32 Wall(s) Wallboard Joint Compound Concrete Beige/Tan Not Detected N/A Y N/A N/A N/A

Basement OP32 Floor Carpet Brown Not Detected N/A Y N/A N/A N/A

Basement OP32 Door/Door Frame Wood/Metal B/B Not Suspect Possible Suspect Material In Core

VALB ACM Finish Haz Assess Schedule Date of Survey:11/14

Rm Name/No.

Asbestos

Present

Millennium

Sample No.

Previously

Sampled

(Y/N)

Friable Good - No

Damage

Damaged (10% overall or 25% localized)

SignificantlyDamaged

>10% overall OR >25% localized)

Potential for Damage

(vibration, Access, Erosion)

TSI Surfacing Misc

CommentSurface Color

Sample Info HAZARD ASSESSMENT

SizeMaterial

Basement OP32 Roof Covebase Mastic & Glue 4" Beige & Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement OP34 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP34 Wall(s) Wallboard Joint Compound Concrete Beige/Tan Not Detected N/A Y N/A N/A N/A

Basement OP34 Floor Carpet Brown Not Detected N/A Y N/A N/A N/A

Basement OP34 Door/Door Frame Wood/Metal B/B Not Suspect Possible Suspect Material In Core

Basement OP34 Misc Covebase Mastic & Glue 4" Beige & Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement OP35 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP35 Wall(s) Wallboard Joint Compound Concrete Beige/Tan Not Detected N/A Y N/A N/A N/A

Basement OP35 Floor Carpet Brown Not Detected N/A Y N/A N/A N/A

Basement OP35 Door/Door Frame Wood/Metal B/B Not Suspect Possible Suspect Material In Core

Basement OP35 Misc Covebase Mastic & Glue 4" Beige & Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement OP36 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP36 Wall(s) Wallboard Joint Compound Concrete Beige/Tan Not Detected N/A Y N/A N/A N/A

Basement OP36 Floor Carpet Brown Not Detected N/A Y N/A N/A N/A

Basement OP36 Door/Door Frame Wood/Metal B/B Not Suspect Possible Suspect Material In Core

Basement OP36 Roof Covebase Mastic & Glue 4" Beige & Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement OP37 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP37 Wall(s) Wallboard Joint Compound Beige/Green Not Detected N/A Y N/A N/A N/A

Basement OP37 Floor Carpet Resilient Floor Tile 12X12 under Blue/Purple Not Detected N/A Y N/A N/A N/A

Basement OP26 Ceiling Acoustic Ceiling Tile Pinhole Big Worm Not Detected N/A Y N/A N/A N/A

Basement OP26 Wall(s) Wallboard Joint Compound Beige/Green Not Detected N/A Y N/A N/A N/A

Basement OP26 Floor Resilient Floor Tile 12X12 Tan Not Detected N/A Y N/A N/A N/A

Basement OP26 Door/Door Frame Wood/Metal B/B Not Suspect Possible Suspect Material In Core

Basement OP26 Misc Covebase Mastic & Glue 4" Beige & Gray/Brown Not Detected N/A Y N/A N/A N/A

Basement OP27 Ceilin g Acoustic Ceiling Tile Pinhole Big Worm Not Detected N/A Y N/A N/A N/A

Basement OP27 Wall(s) Wallboard Joint Compound Beige/Green Not Detected N/A Y N/A N/A N/A

Basement OP27 Floor Resilient Floor Tile 12X12 Tan Not Detected N/A Y N/A N/A N/A

Basement OP27 Door/Door Frame Wood/Metal B/B Not Suspect Possible Suspect Material In Core

Basement OP27 Misc Covebase Mastic & Glue 4" Beige & Gray/Brown Not Detected N/A Y N/A N/A N/A

Basement OP24 Ceiling Acoustic Ceiling Tile Pinhole Big Worm Not Detected N/A Y N/A N/A N/A

Basement OP24 Wall(s) Wallboard Joint Compound Beige/Green Not Detected N/A Y N/A N/A N/A

Basement OP24 Floor Resilient Floor Tile 12X12 Tan Not Detected N/A Y N/A N/A N/A

Basement OP24 Door/Door Frame Wood/Metal B/B Not Suspect Possible Suspect Material In Core

Basement OP24 Roof Covebase Mastic & Glue 4" Beige & Gray/Brown Not Detected N/A Y N/A N/A N/A

Basement OP25 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP25 Wall(s) Wallboard Joint Compound Off White Not Detected N/A Y N/A N/A N/A

Basement OP25 Floor Carpet Blue/Purple Not Detected N/A Y N/A N/A N/A

Basement OP25 Door/Door Frame Metal/Metal Blue & Off White Not Suspect Possible Suspect Material In Core

Basement OP25 Roof Covebase Mastic 4" Tan Not Detected N/A Y N/A N/A N/A

Basement OP21 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP21 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP21 Floor Resilient Floor Tile 12X12 Tan Not Detected N/A Y N/A N/A N/A

Basement OP21 Door/Door Frame Wood/Metal Blue & Beige Not Suspect Possible Suspect Material In Core

Basement OP21 Misc Covebase Mastic 4" Beige Not Detected N/A Y N/A N/A N/A

Basement BFAC1 Ceiling Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement BFAC1 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement BFAC1 Floor Resilient Floor Tile 12X12 Beige with Brown Not Detected N/A Y N/A N/A N/A

Basement BFAC1 Door/Door Frame Wood/Metal B/B Not Suspect Possible Suspect Material In Core

VALB ACM Finish Haz Assess Schedule Date of Survey:11/14

Rm Name/No.

Asbestos

Present

Millennium

Sample No.

Previously

Sampled

(Y/N)

Friable Good - No

Damage

Damaged (10% overall or 25% localized)

SignificantlyDamaged

>10% overall OR >25% localized)

Potential for Damage

(vibration, Access, Erosion)

TSI Surfacing Misc

CommentSurface Color

Sample Info HAZARD ASSESSMENT

SizeMaterial

Basement BFAC1 Misc Covebase Mastic & Glue 4" Black & Brown Not Detected N/A Y N/A N/A N/A

Basement OP14 Ceiling Concrete White Not Suspect

Basement OP14 Wall(s) Wallboard Joint Compound Bare Not Detected N/A Y N/A N/A N/A

Basement OP14 Floor Concrete Bare Not Suspect

Basement OP14 Door/Door Frame Metal/Metal Beige/Beige Not Suspect Possible Suspect Material In Core

Basement OP14 Roof Plaster Brown Not Detected N/A Y N/A N/A N/A

Basement OP14 Misc Fire Caulk Red

Basement OP15 Ceiling Concrete White Not Suspect

Basement OP15 Wall(s) Wallboard Joint Compound Bare Not Detected N/A Y N/A N/A N/A

Basement OP15 Floor Concrete Bare Not Suspect

Basement OP15 Door/Door Frame Metal/Metal Beige/Beige Not Suspect Possible Suspect Material In Core

Basement OP15 Roof Plaster Brown Not Detected N/A Y N/A N/A N/A

Basement OP15 Misc Fire Caulk Red

Basement OP14A Ceiling Concrete White Not Suspect

Basement OP14A Wall(s) Wallboard Joint Compound Bare Not Detected N/A Y N/A N/A N/A

Basement OP14A Floor Concrete Bare Not Suspect

Basement OP14A Door/Door Frame Metal/Metal Beige/Beige Not Suspect Possible Suspect Material In Core

Basement OP14A Roof Plaster Brown Not Detected N/A Y N/A N/A N/A

Basement OP14A Misc Fire Caulk Red

Basement OP14B Ceiling Concrete White Not Suspect

Basement OP14B Wall(s) Wallboard Joint Compound Bare Not Detected N/A Y N/A N/A N/A

Basement OP14B Floor Concrete Bare Not Suspect

Basement OP14B Door/Door Frame Metal/Metal Beige/Beige Not Suspect Possible Suspect Material In Core

Basement OP14B Misc Plaster Brown Not Detected N/A Y N/A N/A N/A

Basement OP14B Misc Fire Caulk Red

Basement OP28A Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP28A Wall(s) Wallboard Joint Compound Concrete Beige/Tan Not Detected N/A Y N/A N/A N/A

Basement OP28A Floor Resilient Floor Tile 12X12 Olive Not Detected N/A Y N/A N/A N/A

Basement OP28A Door/Door Frame Wood/Metal B/B Not Suspect Possible Suspect Material In Core

Basement OP28A Misc Covebase Mastic & Glue 4" Beige & Tan/Brown Not Detected N/A Y N/A N/A N/A

Basement OP52 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP52 Wall(s) Wallboard Joint Compound Concrete Beige Not Detected N/A Y N/A N/A N/A

Basement OP52 Floor Resilient Floor Tile 12X12 Seafoam/Dark Blue Not Detected N/A Y N/A N/A N/A

Basement OP52 Door/Door Frame Wood/Metal Beige & Beige Not Suspect Possible Suspect Material In Core

Basement OP52 Misc Covebase Mastic 4" Blue Not Detected N/A Y N/A N/A N/A

Basement OP52B Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP52B Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP52B Floor Resilient Floor Tile 12X12 Seafoam/Dark Blue Not Detected N/A Y N/A N/A N/A

Basement OP52B Misc Resilient Floor Tile 12X12 Off White with Blue Not Detected N/A Y N/A N/A N/A

Basement OP52B Misc Covebase Mastic 4" Blue Not Detected N/A Y N/A N/A N/A

Basement OP51 Ceiling Concrete Beige Not Suspect

Basement OP51 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP51 Floor Concrete Bare Not Suspect

Basement OP51 Door/Door Frame Wood/Metal Beige & Beige Not Suspect Possible Suspect Material In Core

Basement OP51 Misc Covebase Mastic & Glue Brown Not Detected N/A Y N/A N/A N/A

Basement OP50 Ceiling Concrete Beige Not Suspect

Basement OP50 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP50 Floor Concrete Bare Not Suspect

Basement OP50 Door/Door Frame Wood/Metal Beige & Beige Not Suspect Possible Suspect Material In Core

VALB ACM Finish Haz Assess Schedule Date of Survey:11/14

Rm Name/No.

Asbestos

Present

Millennium

Sample No.

Previously

Sampled

(Y/N)

Friable Good - No

Damage

Damaged (10% overall or 25% localized)

SignificantlyDamaged

>10% overall OR >25% localized)

Potential for Damage

(vibration, Access, Erosion)

TSI Surfacing Misc

CommentSurface Color

Sample Info HAZARD ASSESSMENT

SizeMaterial

Basement OP50 Misc Covebase Mastic & Glue Brown Not Detected N/A Y N/A N/A N/A

Basement BFAC2 Ceiling Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement BFAC2 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement BFAC2 Floor Resilient Floor Tile 12X12 Beige with Brown Not Detected N/A Y N/A N/A N/A

Basement BFAC2 Door/Door Frame Wood/Metal B/B Not Suspect Possible Suspect Material In Core

Basement BFAC2 Misc Covebase Mastic & Glue 4" Black & Brown Not Detected N/A Y N/A N/A N/A

Basement OP09 Ceiling Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP09 Wall(s) Wallboard Joint Compound Not Detected N/A Y N/A N/A N/A

Basement OP09 Floor Resilient Floor Tile 12X12 Beige Not Detected N/A Y N/A N/A N/A

Basement OP09 Door/Door Frame Wood/Metal Beige & Beige Not Suspect Possible Suspect Material In Core

Basement OP09 Wall(s) Covebas Mastic 4" Brown Not Detected N/A Y N/A N/A N/A

Basement OP09 Misc Fire Caulk Red

Basement OP08 Ceiling Acoustic Ceiling Tile Pinhole Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP08 Wall(s) Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP08 Floor Ceramic Tile & Grout 1X1 Gray & Gray Not Suspect

Basement OP08 Door/Door Frame Metal/Metal Beige & Beige Not Suspect Possible Suspect Material In Core

Basement OP08 Wall(s) Ceramic Tile & Grout 4X4 Off White & Off White Not Suspect

Basement OP05 Ceiling Acoustic Ceiling Tile Pinhole Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP05 Wall(s) Plaster Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP05 Floor Ceramic Tile & Grout 1X1 Blue & Black Not Suspect

Basement OP05 Door/Door Frame Wood/Metal Beige/Beige Not Suspect Possible Suspect Material In Core

Basement OP05 Wall(s) Ceramic Tile & Grout 4X4 White & White Not Suspect

Basement OP07 Ceiling Acoustic Ceiling Tile Pinhole Worm 2X4 Not Detected N/A Y N/A N/A N/A

Basement OP07 Wall(s) Plaster Wallboard Joint Compound Beige Not Detected N/A Y N/A N/A N/A

Basement OP07 Floor Ceramic Tile & Grout 1X1 Pink & Black Not Suspect

Basement OP07 Door/Door Frame Wood/Metal Beige/Beige Not Suspect Possible Suspect Material In Core

Basement OP07 Misc Ceramic Tile & Grout 4X4 White & White Not Suspect

1st Floor OP132 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 White Not Detected N/A Y N/A N/A N/A

1st Floor OP132 Wall(s) Wallboard Joint Compound Tan Not Detected N/A Y N/A N/A N/A

1st Floor OP132 Floor Resilient Tile Floor 12X12 Tan & Brown with

Brown Not Detected N/A Y N/A N/A N/A

1st Floor OP132 Door/Door Frame Resilient Tile Floor Not Detected N/A Y N/A N/A N/A Possible Suspect Material In Core

1st Floor OP132 Misc Covebase Mastic & Glue 4" Beige & Brown Not Detected N/A Y N/A N/A N/A

1st Floor OP132 Clinic Area Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 White Not Detected N/A Y N/A N/A N/A

1st Floor OP132 Clinic Area Wall(s) Wallboard Joint Compound Tan Not Detected N/A Y N/A N/A N/A

1st Floor OP132 Clinic Area Floor Resilient Tile Floor 12X12 Tan & Brown with

Brown Not Detected N/A Y N/A N/A N/A

1st Floor OP132 Clinic Area Door/Door Frame Resilient Tile Floor Not Detected N/A Y N/A N/A N/A Possible Suspect Material In Core

1st Floor OP132 Clinic Area Roof Covebase Mastic & Glue 4" Beige & Brown Not Detected N/A Y N/A N/A N/A

1st Floor CC-126-OP-3 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Off White Not Detected N/A Y N/A N/A N/A

1st Floor CC-126-OP-3 Wall(s) Wallboard Joint Compound Tan Not Detected N/A Y N/A N/A N/A

1st Floor CC-126-OP-3 Floor Resilient Tile Floor 12X12 Multi rust Y N/A Y No Good no no yes yes

1st Floor CC-126-OP-3 Door/Door Frame Metal/Metal B/B Not Suspect Possible Suspect Material In Core

1st Floor CC-126-OP-3 Misc Covebase Mastic & Glue 4" Beige & Brown Y N/A Y No Good no no yes yes

1st Floor CC-126-OP-4 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2X4 Off White Not Detected N/A Y N/A N/A N/A

1st Floor CC-126-OP-4 Wall(s) Wallboard Joint Compound Tan Not Detected N/A Y N/A N/A N/A

1st Floor CC-126-OP-4 Floor Resilient Tile Floor 12X12 Multi rust Y N/A Y No Good no no yes yes

1st Floor CC-126-OP-4…