S06 Bldg 10 Boiler Plant REGULATED BLDG MATERIALS SURVEY REPORT.pdf

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REGULATED BUILDING MATERIALS

SURVEY REPORT

Providence VAMC Building 10 (Boiler Plant)

A/E Design Services to Install New Boilers VA Project No. 650-19-100 830 Chalkstone Avenue Providence, RI

Mabbett Project No. R2019022.000.01A October 4, 2021

Prepared For:

Miller-Remick, LLC.

1010 Kings Highway South Cherry Hill, NJ 08034

Mabbett & Associates, Inc. www.mabbett.com 105 Central Street, Suite 4100 Stoneham, MA 02180-1260 T. 781-275-6050 F: 781-954-5155 Massachusetts | Virginia | Rhode Island | New York

© 2021, Mabbett & Associates, Inc.

REGULATED BUILDING MATERIALS SURVEY REPORT

A/E Design Services to Install New Boilers | Providence VAMC | Providence, RI

© 2021, Mabbett & Associates, Inc. Page i October 4, 2021 Project No. r2019022.000.01A S:\ADMINA\2019022 Providence VAMC\000\01A\Providence VAMC Boiler Plant Report - Final.docx

ACKNOWLEDGEMENT

This Regulated Building Materials Survey Report has been prepared by Mabbett & Associates, Inc. (Mabbett®) for the A/E Design Services to Install New Boilers at the Providence Veterans Affairs Medical Center located in Providence, Rhode Island, VA Project No. 650-19-100. The information presented herein is based on the facts and information conveyed to or received by Mabbett during the preparation of this report. If any of the information provided to Mabbett that was used in preparing this report is incorrect, incomplete, or subject to change, Mabbett would wish to alter its opinion(s) accordingly. In addition, the professional opinions and information contained in this report are based solely on the requirements of the applicable regulations and technical data as known to Mabbett as of the date of this report and considered applicable to this report.

This Regulated Building Materials Survey Report was prepared by, Kevin M. Donovan, Sr. Environmental, Health & Safety Specialist of Mabbett & Associates, Inc.

This report has been reviewed and approved by:

Michael F. Delaney Director, Building Sciences Group

MFD/rsg

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TABLE OF CONTENTS

SECTION PAGE

1.0 INTRODUCTION

2.0 ASBESTOS SURVEY

2.1 Sampling Methodology

2.2 Summary of Asbestos Containing Materials (ACM) Findings

3.0 LEAD CONTAINING PAINT SURVEY

4.0 CONCLUSIONS AND RECOMMENDATIONS

4.1 Asbestos

4.2 Lead Containing Paint

5.0 LIMITATIONS

TABLES

Table 1 – Summary of ACM Identified Table 2 – Summary of Paint Chip Results

FIGURES

RBM-1 – Basement Level, Asbestos & Lead Sampling Location Plan RBM-2 – Lower Level, Asbestos & Lead Sampling Location Plan RBM-3 – Second Floor, Asbestos & Lead Sampling Location Plan RBM-4 – Roof, Asbestos & Lead Sampling Location Plan

APPENDICES

Appendix A – Summary of ACM Building Survey Results, Including Negative Results Appendix B – PLM Laboratory Report and Chain of Custody Appendix C – Lead Paint Chip Laboratory Report and Chain of Custody

© 2021, Mabbett & Associates, Inc. Page 1 Month Date, Year Project No. S:\ADMINA\2019022 Providence VAMC\000\01A\Providence VAMC Boiler Plant Report - Final.docx

1.0 INTRODUCTION

Mabbett and Associates, Inc. (Mabbett®) performed a survey for regulated building materials (RBM) as part of the A/E Design Services to Install New Boilers at the Providence Veterans Affairs Medical Center (VAMC) located in Providence, Rhode Island, VA Project No. 650-19-100. Site survey work was performed on May 23, 2019, July 15, 2021 and August 12, 2021, by appropriately credentialed regulated building materials inspectors, and consisted of the following activities:

A review and evaluation of previous facility regulated building materials reports;

An Asbestos Containing Material (ACM) survey of suspect materials (Analysis by polarized light microscopy [PLM]); and Limited Lead Containing Paint (LCP) sampling (Analysis by Flame Atomic Absorption Spectroscopy [AA]).

The survey was limited to this building and areas identified in this report. Sampling locations were determined based upon a thorough inspection of each area. Areas and materials outside of this scope of work were not surveyed by Mabbett.

1.1 Summary of Survey Results

Bulk samples of suspected ACM were collected and submitted to a certified analytical laboratory for asbestos analysis by PLM using stop positive methodology. Paint chip samples were collected and submitted to a certified analytical laboratory for lead content analysis using atomic absorption spectroscopy. The survey efforts yielded the following results and conclusions:

Eighty-two (82) bulk samples for suspect ACM were collected in the building.

Based on laboratory analysis of suspect ACM and previous sampling data, six (6) of the materials contained asbestos greater than 1% or are assumed ACM. The Environmental Protection Agency (EPA) and the Occupational Safety and Health Administration (OSHA) defines ACM as any material that contains greater than one percent (>1%) asbestos.

Fourteen (14) paint chip samples from building surfaces were collected in the building for laboratory analysis and reporting.

Based on laboratory analysis of paint chips, four (4) of the collected samples revealed concentrations of lead in paint that exceeded the U.S. Department of Housing and Urban Development (HUD) threshold of

0.5 percent by weight.

1.2 Purpose and Objectives

This project was designed to accomplish two primary objectives: to collect a representative number of building materials for laboratory analysis and reporting; and to use data from the laboratory analysis efforts to estimate the volume of regulated materials present within the building for Miller Remick’s subsequent use in development of an abatement scope and cost. These two objectives were met through a combination of a site visit and inspection to collect building material samples for laboratory analysis; and interpretation of qualitative data collected in the field; and the quantitative laboratory data generated from analysis of the building materials as summarized in this survey report.

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2.0 ASBESTOS SURVEY

2.1 Sampling Methodology

Site inspection work was performed on May 23, 2019, July 15, 2021, and August 12, 2021, by Rhode Island Department of Health accredited asbestos inspectors, Mr. Michael F. Delaney (AI-00842) and Mr. Kevin M.

Donovan (AI00695). In accordance with the scope of work, suspect ACM was sampled and collected in general conformance with 40 CFR Part 61 “National Emissions Standards for Hazardous Air Pollutants (NESHAP)”, 40 CFR Part 763 “Asbestos Hazard Emergency Response Act (AHERA)”, and all applicable Rhode Island regulations. The inspection was limited to areas that may be impacted by the boiler replacement project.

The collected bulk samples were submitted under standard chain of custody (COC) procedures to ProScience Analytical Services, Inc. (ProScience) of Woburn, Massachusetts. Sample analysis was conducted by PLM, in accordance with EPA Method 600/R-93/116, using stop positive methodology. ProScience is accredited by the American Industrial Hygiene Association (AIHA) and participates in the National Voluntary Laboratory Accreditation Program (NVLAP).

Bulk sample results from this inspection are summarized in Appendix A, Summary of ACM Building Inspection Results. The Environmental Protection Agency (EPA), Occupational Safety and Health Administration (OSHA) and the Rhode Island Department of Health (RIDOH) defines ACM as any material that contains greater than one percent (>1%) asbestos. As such, the analytical laboratory identified bulk samples of suspected ACM as positive for asbestos when they met or exceeded the regulatory criteria of greater than one percent (>1%) asbestos.

Laboratory reports and the chain of custodies are provided in Appendix B of this report.

Areas that were inaccessible, or where the survey was limited to visual observation only, are identified below:

Below grade materials Within walls Enclosed pipe/duct chases Inside operating boilers and mechanical equipment Above fixed drywall or plaster ceilings Electrical equipment

2.2 Summary of Asbestos Containing Materials (ACM) Findings

Mabbett identified thirty-seven (37) types of homogenous areas and collected eighty-two (82) representative bulk samples. The laboratory analytical data, including available historical data utilized for the survey, indicated that six (6) of the homogenous materials had greater than 1% asbestos and were positive ACM. Asbestos sampling locations and results are identified on Figures RBM-1, RBM-2, RBM-3 and RBM-4. Estimated quantities of materials identified as ACM are presented in Table 1 below:

TABLE 1

Summary of ACM

A/E Design Services to Install New Boilers, Building 10 Providence Veterans Affairs Medical Center

Location Description of Material Percent and Type of Asbestos

Estimated Quantity Amount Units

Office Black Sink Base Coat 10% Chrysotile 4 SF

Boilers 1, 2, & 3 Boiler Gaskets, Insulation, Setting and Packing Materials Assumed ACM 3 Boilers

© 2021, Mabbett & Associates, Inc. Page 3 Month Date, Year Project No. S:\ADMINA\2019022 Providence VAMC\000\01A\Providence VAMC Boiler Plant Report - Final.docx

TABLE 1

Summary of ACM

A/E Design Services to Install New Boilers, Building 10 Providence Veterans Affairs Medical Center

Location Description of Material Percent and Type of Asbestos

Estimated Quantity Amount Units

Boiler 1, 2, & 3 Stack Insulation 2% Chrysotile 900 SF Boiler Room Level 1 & 3 Tank Insulation 60% Chrysotile 800 SF Exterior Expansion Joints Upper Joint Caulking 14.78% Chrysotile 75 LF Exterior Expansion Joints Lower Joint Caulking 14.07% Chrysotile 75 LF

Boiler Room Levels 1, 2 & 3 Thermal System Insulation (TSI) and Mudded Fittings and Contaminated Fiberglass Insulation

10% Chrysotile 2,000 LF

Notes:

SF: Square Feet LF: Linear Feet

© 2021, Mabbett & Associates, Inc. Page 4 Month Date, Year Project No. S:\ADMINA\2019022 Providence VAMC\000\01A\Providence VAMC Boiler Plant Report - Final.docx

3.0 LEAD CONTAINING PAINT SURVEY

Limited sampling of painted surfaces was conducted on August 12, 2021. The limited LCP survey included the collection of fourteen (14) paint chips from building materials and surfaces. Paint chip samples were submitted under standard COC procedures to ProScience. Analysis was conducted using AA EPA method SW- 846/7000B/3051. The laboratory analytical report is included in Appendix D of this report. Sample locations are identified on Figures RBM-1, RBM-2, RBM-3 and RBM-4.

The results of the limited LCP sampling are summarized in Table 2 below:

TABLE 2

Summary of Paint Chip Results (% by Weight)

A/E Design Services to Install New Boilers, Building 10 Providence Veterans Affairs Medical Center

Sample No. Location Substrate and Component Color Results (% by weight)

Pb-01 Entry Concrete Floor Red <RL

Pb-02 At Boiler #1 Concrete Floor Gray <RL

Pb-03 At Boiler #3 Concrete Floor Line Yellow 0.41

Pb-04 Breakroom Metal Door Frame Brown <RL

Pb-05 At Boiler #1 Brick Wall Gray 1.07

Pb-06 At Boiler #2 Metal Column Gray 25.3

Pb-07 At Boiler #1 Metal Gas Pipe Yellow 9.46

Pb-08 Boiler #2 Metal Boiler Blue 0.019

Pb-09 Boiler Room Concrete Wall Gray <RL

Pb-10 Outside Locker Room Metal Stairs Gray 0.065

Pb-11 By Stairs Brick Wall White <RL

Pb-12 Catwalk @ Boiler #2 Metal Catwalk Support White <RL

Pb-13 Catwalk @ Boiler #3 Metal Catwalk Gray 12.9

Pb-14 Exterior by Entry Concrete Foundation Wall Gray <RL

<RL = Less than the Reporting Limit

The Occupational Safety & Health Administration (OSHA) does not recognize a “safe” level of lead in paint.

Depending on the method of removal used, even trace amounts of lead in paint may result in airborne concentrations of lead during removal. An employer or contractor who disturbs or removes lead paint must comply with OSHA Standard 29 CFR 1926.62, “Lead Exposure in Construction; Interim Final Rule.”

© 2021, Mabbett & Associates, Inc. Page 5 Month Date, Year Project No. S:\ADMINA\2019022 Providence VAMC\000\01A\Providence VAMC Boiler Plant Report - Final.docx

4.0 CONCLUSIONS AND RECOMMENDATIONS

4.1 Asbestos

Identified ACM must be abated and properly disposed of prior to disturbance by state licensed and properly trained contractors. All abatement must be performed in accordance with Federal, State and local requirements.

Any suspect materials encountered during demolition or renovation activities that were not identified in this report as being non-ACM, should be assumed to be ACM unless sample results prove otherwise. Suspect ACM that may be present within the walls, above inaccessible hard ceilings, or in other inaccessible locations, should be assumed to contain asbestos if discovered during any demolition or renovation process or until otherwise verified.

4.2 Lead Containing Paint

The purpose of the limited LCP survey was to identify similar areas of LCP. During the on-site survey, representative samples of similar areas of interior and exterior building coatings were collected and analyzed for lead content. The regulations addressing LCP in non-residential buildings are focused on occupational exposures involved with paint-disturbing activities and related waste-disposal activities.

Occupational exposure to lead during construction is regulated by OSHA regulation 29 CFR 1926.62 “Lead in Construction,” as well as other applicable state and local regulations. These regulations involve air monitoring to determine worker exposure levels when disturbing paint containing measurable levels of lead. This LCP survey cannot determine a safe level of lead for the purpose of paint-disturbing activities. However, this report is intended to provide guidance as to the location of LCP so it can be controlled, abated, or disposed of properly during this project’s construction related activities. Information gathered during this LCP survey should be used to determine where worker exposures to airborne lead may occur. Additionally, this information should also be used to assess the potential for exposure to workers, and for determining appropriate controls necessary to limit his or her health risks during this project.

A concentration of lead greater than or equal to 0.5 mg/Kg percent by weight or 1.0 mg/cm2 exceeds EPA and HUD residential standards is considered an indicator of risk. Representative samples of LCP waste to be generated during building renovation, or following demolition but prior to disposal, should be collected and analyzed using toxicity characteristic leaching procedure (TCLP) in accordance with 40 CFR Part 261. Management and disposal of lead containing waste must be done in accordance with all applicable local, state, and federal regulations.

OSHA regulations may require certain procedures for any paint that contains lead, even if it is below these levels.

All LCP identified, regardless of the lead content, should either be sampled and analyzed by TCLP and then handled/disposed of accordingly, or segregated from other large-scale debris and then managed as hazardous waste in accordance with federal, state, and local hazardous waste disposal regulations.

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5.0 LIMITATIONS

This survey report is the result of a diligent and thorough inspection for regulated building materials of the designated areas and materials that may be impacted by the Boiler Replacement Project. Inaccessible areas were not included in this survey. Although a comprehensive inspection was performed, Mabbett does not claim to have identified all hazardous materials that could be present in the facility (for example, materials potentially located within the inaccessible areas). Mabbett has conducted this assessment with reasonable care and has performed this project in accordance with generally accepted industry standards. There can be no assurances, and Mabbett makes no assurances, that the information, research, and technology used to prepare this report may not change in the future, thus affecting the results reported herein.

© 2021, Mabbett & Associates, Inc. FIGURES October 4, 2021 Project No. R2019022.000.01A S:\ADMINA\2019022 Providence VAMC\000\01A\Providence VAMC Boiler Plant Report - Final.docx

FIGURES

4321 5

A

D

6.7 8 9 10

BB

C

B.3

CC

2.2 2.8 3.1 3.6 3.9 4.62.9 3.7 4.7

BB

DD

A.2

B.2

A.2

B.2

UP

LOCKERS

OFFICE

RESTROOM

SHOWER

REGULATED BUILDING MATERIALS

SURVEY PLAN - BASEMENT LEVEL

RBM-1

DJAMFD

PROVIDENCE BOILER

PLANT RENOVATION

830 CHALKSTONE AVENUE

PROVIDENCE, RI 02908

650-19-100

10/01/2021

NO. DESCRIPTION DATE

Drawing Title

Approved: Project Director

Project Title

Date

Location

Checked

Building Number

Project Number

Drawing Number

Drawn

CONSULTANTS:

Office of

Construction and Facilities

Management o n e e i g h t h i n c h o n e f o o t t h r e e i n c h e s e f o o t o n e a n d o n e h a l f i n c h e e f o o t o n e i n c e f o t t h r e e q u a r t e r s i n c o t o n e h a l f i n c e f o o t t h r e e e i g h t h s i n c e f o o t o n e q u a r t e r i n c e f o o t

VA FORM 08-6231

1 2 3 4 5 6 87 9

97 8654321

Department of

Veterans Affairs

PRINTS OF THIS DRAWING SHALL NOT BE USED FOR ANY PURPOSE

WHATSOEVER WITHOUT THE SEAL AND SIGNATURE OF THE

PROFESSIONAL ENGINEER.

Miller-Remick LLC

1010 KINGS HIGHWAY SOUTH

CHERRY HILL, NEW JERSEY 08034

PHONE: (856)429-4000

FAX: (856)429-5002

M.E.P. & Structural Engineering

A Service Disabled Veteran Owned

Small Business

S r v i c e

D i s a b l d

V t e r a

O w n m a l

B u s i n e s s

SDVOSB

CVE

MR PROJECT NO: 0506-0011

Scientists I Engineers I Program Managers

Mabbett & Associates, Inc.

105 Central Street Stoneham, MA 02180

T. 781-275-6050 www.mabbett.com

Mabbett

PLAN

NORTH

ACTUAL

NORTH

KEYPLAN

NO ASBESTOS DETECTED (NAD) SAMPLE COLLECTED MAY 23, 2019

APPROXIMATE ASBESTOS SAMPLE LOCATION

02A

02A

10A, 10B, 11A, 11B

08A, 08B

07A, 07B

09A, 09B

((01A, 01B)) ((06A, 06B)) ((14A, 14B))

16A, 16B, 16C

22A, 22B

23A, 23B

21C

06A, 06B

21B

21A

01A, 01B

12A, 12B

13A, 13B

02A, 02B

03A, 03B

05A, 05B

04A, 04B

15C

14A, 14B

15A, 15B

NO ASBESTOS DETECTED (NAD) SAMPLE COLLECTED JU;Y 15, 2021

((02A))

APPROXIMATE LEAD SAMPLING LOCATION

Pb-01

Pb-01

Pb-14

Pb-05

Pb-07

Pb-02

Pb-03

Pb-04

Pb-10

Pb-09

Pb-06

Pb-08

AutoCAD SHX Text

SCALE:

AutoCAD SHX Text

AutoCAD SHX Text

REGULATED BUILDING MATERIALS SURVEY PLAN- BASEMENT LEVEL

AutoCAD SHX Text 1/4" = 1'-0"

AutoCAD SHX Text

GENERAL SURVEY NOTES:

AutoCAD SHX Text

LEGEND

6.7 8 9 10

B.3

CC

2.2 2.8 3.1 3.6 3.9 4.62.9 3.7 4.7

BB

DD

A.2

B.2

A.2

B.2

4321 5

A

D

B

C

32ø32ø32ø

(D)BOILER (D)BOILER (D)BOILER

REGULATED BUILDING MATERIALS

SURVEY PLAN - LOWER LEVEL

RBM-2

DJAMFD

PROVIDENCE BOILER

PLANT RENOVATION

830 CHALKSTONE AVENUE

PROVIDENCE, RI 02908

650-19-100

10/01/2021

NO. DESCRIPTION DATE

Drawing Title

Approved: Project Director

Project Title

Date

Location

Checked

Building Number

Project Number

Drawing Number

Drawn

CONSULTANTS:

Office of

Construction and Facilities

Management o n e e i g h t h i n c e f o o t t h r e e i n c h e o t o n e a n d o n e h a l f i n c h e e f o o t o n e i n c o t t h r e e q u a r t e r s i n c o t o n e h a l f i n c e f o o t t h r e e e i g h t h s i n c e f o o t o n e q u a r t e r i n c e f o o t

VA FORM 08-6231

1 2 3 4 5 6 87 9

97 8654321

Department of

Veterans Affairs

PRINTS OF THIS DRAWING SHALL NOT BE USED FOR ANY PURPOSE

WHATSOEVER WITHOUT THE SEAL AND SIGNATURE OF THE

PROFESSIONAL ENGINEER.

Miller-Remick LLC

1010 KINGS HIGHWAY SOUTH

CHERRY HILL, NEW JERSEY 08034

PHONE: (856)429-4000

FAX: (856)429-5002

M.E.P. & Structural Engineering

A Service Disabled Veteran Owned r v i c e

D i s a b l t e n a s i n e s s

SDVOSB

CVE

MR PROJECT NO: 0506-0011

B

D

E

F

Scientists I Engineers I Program Managers

Mabbett & Associates, Inc.

105 Central Street Stoneham, MA 02180

T. 781-275-6050 www.mabbett.com

Mabbett

PLAN

NORTH

ACTUAL

NORTH

KEYPLAN

((08A, 08B))

((09A, 09B))

((10A, 010B))((11A, 011B))((12A, 012B))((13A, 013B))

((07A, 07B))((05A, 05B))((04A, 04B))((03A, 03B))((02A, 02B))

NO ASBESTOS DETECTED (NAD) SAMPLE COLLECTED MAY 23, 2019

APPROXIMATE ASBESTOS SAMPLE LOCATION

02A

02A

NO ASBESTOS DETECTED (NAD) SAMPLE COLLECTED JU;Y 15, 2021

((02A))

Pb-11

APPROXIMATE LEAD SAMPLING LOCATION

Pb-01

AutoCAD SHX Text

GENERAL SURVEY NOTES:

AutoCAD SHX Text

LEGEND

AutoCAD SHX Text

SCALE:

AutoCAD SHX Text

AutoCAD SHX Text

REGULATED BUILDING MATERIALS SURVEY PLAN - LOWER LEVEL

1/4" = 1'-0"

D

6.7 8 9 10

B

C

B.3

CC

BB

DD

B

A.2

B.2

2.2 2.8 3.1 3.6 3.9 4.62.9 3.7 4.7

DN

CONTROL

OFFICE

BOILER

CATWALKS

ROOF

ANNEX

REGULATED BUILDING MATERIALS

SURVEY PLAN - SECOND FLOOR

RBM-3

DJAMFD

PROVIDENCE BOILER

PLANT RENOVATION

830 CHALKSTONE AVENUE

PROVIDENCE, RI 02908

650-19-100

10/01/2021

NO. DESCRIPTION DATE

Drawing Title

Approved: Project Director

Project Title

Date

Location

Checked

Building Number

Project Number

Drawing Number

Drawn

CONSULTANTS:

Office of

Construction and Facilities

Management o n e e i g h t h i n c e f o o t t h r i c h e o t o n e a n d o n e h a l f i n c h e o t o n e i n c o t t h r e e q u a r t e r s i n c e f o o t o n e h a l f i n c e f o o t t h r e e e i g h t h s i n c e f o o t o n e q u a r t e r i n c e f o o t

VA FORM 08-6231

1 2 3 4 5 6 87 9

97 8654321

Department of

Veterans Affairs

PRINTS OF THIS DRAWING SHALL NOT BE USED FOR ANY PURPOSE

WHATSOEVER WITHOUT THE SEAL AND SIGNATURE OF THE

PROFESSIONAL ENGINEER.

Miller-Remick LLC

1010 KINGS HIGHWAY SOUTH

CHERRY HILL, NEW JERSEY 08034

PHONE: (856)429-4000

FAX: (856)429-5002

M.E.P. & Structural Engineering

A Service Disabled Veteran Owned r v i c e

D i s a b l t e n a s i n e s s

SDVOSB

CVE

MR PROJECT NO: 0506-0011

B

C

D

E

F

Scientists I Engineers I Program Managers

Mabbett & Associates, Inc.

105 Central Street Stoneham, MA 02180

T. 781-275-6050 www.mabbett.com

Mabbett

PLAN

NORTH

ACTUAL

NORTH

KEYPLAN

21D

NO ASBESTOS DETECTED (NAD) SAMPLE COLLECTED MAY 23, 2019

APPROXIMATE ASBESTOS SAMPLE LOCATION

02A

02A

NO ASBESTOS DETECTED (NAD) SAMPLE COLLECTED JU;Y 15, 2021

((02A))

Pb-12

Pb-13

APPROXIMATE LEAD SAMPLING LOCATION

Pb-01

AutoCAD SHX Text

GENERAL SURVEY NOTES:

AutoCAD SHX Text

LEGEND

AutoCAD SHX Text

SCALE:

AutoCAD SHX Text

AutoCAD SHX Text

REGULATED BUILDING MATERIALS SURVEY PLAN - SECOND FLOOR

D

8 9 10

BB

C

B.3

CC

BB

DD

(D)RD

(D)3"RD

(D)3"RD(D)RD

REGULATED BUILDING MATERIALS

SURVEY PLAN - ROOF

RBM-4

DJAMFD

PROVIDENCE BOILER

PLANT RENOVATION

830 CHALKSTONE AVENUE

PROVIDENCE, RI 02908

650-19-100

10/01/2021

NO. DESCRIPTION DATE

Drawing Title

Approved: Project Director

Project Title

Date

Location

Checked

Building Number

Project Number

Drawing Number

Drawn

CONSULTANTS:

Office of

Construction and Facilities

Management o n e e i g h t h i n c e f o o t t h r i c h e o t o n e a n d o n e h a l f i n c h e e f o o t o n e i n c o t t h r e e q u a r t e r s i n c e f o o t o n e h a l f i n c e f o o t t h r e e e i g h t h s i n c e f o o t o n e q u a r t e r i n c e f o o t

VA FORM 08-6231

1 2 3 4 5 6 87 9

97 8654321

Department of

Veterans Affairs

PRINTS OF THIS DRAWING SHALL NOT BE USED FOR ANY PURPOSE

WHATSOEVER WITHOUT THE SEAL AND SIGNATURE OF THE

PROFESSIONAL ENGINEER.

Miller-Remick LLC

1010 KINGS HIGHWAY SOUTH

CHERRY HILL, NEW JERSEY 08034

PHONE: (856)429-4000

FAX: (856)429-5002

M.E.P. & Structural Engineering

A Service Disabled Veteran Owned r v i c e

D i s a b l t e n a s i n e s s

SDVOSB

CVE

MR PROJECT NO: 0506-0011

B

D

E

F

Scientists I Engineers I Program Managers

Mabbett & Associates, Inc.

105 Central Street Stoneham, MA 02180

T. 781-275-6050 www.mabbett.com

Mabbett

PLAN

NORTH

ACTUAL

NORTH

KEYPLAN

19A

17B

19B19C

18B20C20A, 20B18C

NO ASBESTOS DETECTED (NAD) SAMPLE COLLECTED MAY 23, 2019

APPROXIMATE ASBESTOS SAMPLE LOCATION

02A

02A

NO ASBESTOS DETECTED (NAD) SAMPLE COLLECTED JU;Y 15, 2021

((02A))

17A

17C

AutoCAD SHX Text

ANNEX ROOF

AutoCAD SHX Text

(SEE ED103)

AutoCAD SHX Text

GENERAL SURVEY NOTES:

AutoCAD SHX Text

LEGEND

AutoCAD SHX Text

SCALE:

AutoCAD SHX Text

AutoCAD SHX Text

REGULATED BUILDING MATERIALS SURVEY PLAN - ROOF

© 2021, Mabbett & Associates, Inc. APPENDIX A October 4, 2021 Project No. R2019022.000.01A Providence VAMC Boiler Plant Report - Final

APPENDIX A

Summary of ACM Sampling Results, Including Negative Results

© 2021, Mabbett & Associates, Inc. Appendix A Page 1 of 3 October 4, 2021 Project No. r2019022.000.01A Providence VAMC Boiler Plant Report - Final

Appendix A Summary of ACM Sampling Results

A/E Design Services to Install New Boilers, Building 10 Providence Veterans Affairs Medical Center

Date Sample No. Sample Location Description of Material

Percent and Type of

Asbestos 5/23/19 01A Boiler 3 White Residual Heat Proofing NAD 5/23/19 01B Boiler 3 White Residual Heat Proofing NAD 5/23/19 02A Boiler 3 Fire Box Interior Red Brick NAD 5/23/19 02B Boiler 3 Fire Box Interior Red Brick NAD 5/23/19 03A Boiler 3 Fire Box Door Red Brick Door NAD 5/23/19 03B Boiler 3 Fire Box Door Red Brick Door NAD 5/23/19 04A Boiler 3 Rope Fireproof Water Gasket NAD 5/23/19 04B Boiler 3 Rope Fireproof Water Gasket NAD 5/23/19 05A Boiler 3 Plumber Tape Spyglass NAD 5/23/19 05B Boiler 3 Plumber Tape Spyglass NAD 5/23/19 06A Boiler Use White Tetra-Max Joint Seal NAD 5/23/19 06B Boiler Use White Tetra-Max Joint Seal NAD 5/23/19 07A Office 2'x4' White Pin & Fissure Ceiling Tile NAD 5/23/19 07B Office 2'x4' White Pin & Fissure Ceiling Tile NAD 5/23/19 08A Office Black Sink Base Coat 10% Chrysotile 5/23/19 08B Office Black Sink Base Coat NA/PS 5/23/19 09A Office Green Texture Floor NAD 5/23/19 09B Office Green Texture Floor NAD 5/23/19 10A Locker Room Red Texture Floor NAD 5/23/19 10B Locker Room Red Texture Floor NAD 5/23/19 11A Locker Room 2'x4' White Fissure Ceiling Tile NAD 5/23/19 11B Locker Room 2'x4' White Fissure Ceiling Tile NAD 5/23/19 12A Boiler 3 Black Gas Line Gasket NAD 5/23/19 12B Boiler 3 Black Gas Line Gasket NAD 5/23/19 13A Boiler 3 Blue Gas Line Thread Spreading NAD 5/23/19 13B Boiler 3 Blue Gas Line Thread Spreading NAD 5/23/19 14A Boiler 2 Red Gas Line Gasket NAD 5/23/19 14B Boiler 2 Red Gas Line Gasket NAD 5/23/19 15A Boiler 1 Water Feed Threading Seal NAD 5/23/19 15B Boiler 1 Water Feed Threading Seal NAD 5/23/19 15C Boiler 2 Water Feed Threading Seal NAD 5/23/19 16A Lower Level Tan Fireproofing NAD 5/23/19 16B Lower Level Tan Fireproofing NAD 5/23/19 16C Lower Level Tan Fireproofing NAD 5/23/19 17A Roof Black Roof Tar NAD

© 2021, Mabbett & Associates, Inc. Appendix A Page 2 of 3 October 4, 2021 Project No. r2019022.000.01A Providence VAMC Boiler Plant Report - Final

Appendix A Summary of ACM Sampling Results

A/E Design Services to Install New Boilers, Building 10 Providence Veterans Affairs Medical Center

Date Sample No. Sample Location Description of Material

Percent and Type of

Asbestos 5/23/19 17B Roof Black Roof Tar NAD 5/23/19 17C Roof Black Roof Tar NAD 5/23/19 18A Roof Vent Hood Flashing NAD 5/23/19 18B Roof Vent Hood Flashing NAD 5/23/19 18C Roof Vent Hood Flashing NAD 5/23/19 19A Roof Exhaust Stack Flashing Boiler 1 NAD 5/23/19 19B Roof Exhaust Stack Flashing Boiler 2 NAD 5/23/19 19C Roof Exhaust Stack Flashing Boiler 3 NAD 5/23/19 20A Roof Small Stack Caulk NAD 5/23/19 20B Roof Small Stack Caulk NAD 5/23/19 20C Roof Small Stack Caulk NAD 5/23/19 21A Level 1 Fiberglass Pipe Insulation End Seal NAD 5/23/19 23A Exterior Pipe Penetration Gray Insulation NAD 5/23/19 21B Level 1 Fiberglass Pipe Insulation End Seal NAD 5/23/19 21C Discharge System Fiberglass Pipe Insulation End Seal NAD 5/23/19 21D Level 3 Fiberglass Pipe Insulation End Seal NAD 5/23/19 22A Exterior Pipe Penetration Pipe Wrap NAD 5/23/19 22B Exterior Pipe Penetration Pipe Wrap NAD 5/23/19 23A Exterior Pipe Penetration Gray Insulation NAD 5/23/19 23B Exterior Pipe Penetration Gray Insulation NAD 7/15/21 01A Exterior – Window #1 Gray Window Frame Caulk NAD 7/15/21 01B Exterior – Window #1 Gray Window Frame Caulk NAD 7/15/21 02A Exterior – Window #2 Gray Window Frame Caulk NAD 7/15/21 02B Exterior – Window #2 Gray Window Frame Caulk NAD 7/15/21 03A Exterior – Window #3 Gray Window Frame Caulk NAD 7/15/21 03B Exterior – Window #3 Gray Window Frame Caulk NAD 7/15/21 04A Exterior – Window #4 Gray Window Frame Caulk NAD 7/15/21 04B Exterior – Window #4 Gray Window Frame Caulk NAD 7/15/21 05A Exterior – Window #5 Gray Window Frame Caulk NAD 7/15/21 05B Exterior – Window #5 Gray Window Frame Caulk NAD 7/15/21 06A Exterior – Window #6 Gray Window Frame Caulk NAD 7/15/21 06B Exterior – Window #6 Gray Window Frame Caulk NAD 7/15/21 07A Exterior – Window #7 Gray Window Frame Caulk NAD 7/15/21 07B Exterior – Window #7 Gray Window Frame Caulk NAD 7/15/21 08A Exterior – Window #8 Gray Window Frame Caulk NAD

© 2021, Mabbett & Associates, Inc. Appendix A Page 3 of 3 October 4, 2021 Project No. r2019022.000.01A Providence VAMC Boiler Plant Report - Final

Appendix A Summary of ACM Sampling Results

A/E Design Services to Install New Boilers, Building 10 Providence Veterans Affairs Medical Center

Date Sample No. Sample Location Description of Material

Percent and Type of

Asbestos 7/15/21 08B Exterior – Window #8 Gray Window Frame Caulk NAD 7/15/21 09A Exterior – Window #9 Gray Window Frame Caulk NAD 7/15/21 09B Exterior – Window #9 Gray Window Frame Caulk NAD 7/15/21 10A Exterior – Window #10 Gray Window Frame Caulk NAD 7/15/21 10B Exterior – Window #10 Gray Window Frame Caulk NAD 7/15/21 11A Exterior – Window #11 Gray Window Frame Caulk NAD 7/15/21 11B Exterior – Window #11 Gray Window Frame Caulk NAD 7/15/21 12A Exterior – Window #12 Gray Window Frame Caulk NAD 7/15/21 12B Exterior – Window #12 Gray Window Frame Caulk NAD 7/15/21 13A Exterior – Window #13 Gray Window Frame Caulk NAD 7/15/21 13B Exterior – Window #13 Gray Window Frame Caulk NAD 7/15/21 14A Exterior – Window #14 Gray Window Frame Caulk NAD 7/15/21 14B Exterior – Window #14 Gray Window Frame Caulk NAD

NAD = No Asbestos Detected NA/PS = Not Analyzed / Positive Stop

© 2021, Mabbett & Associates, Inc. APPENDIX B October 4, 2021

APPENDIX B

PLM Laboratory Report and Chain of Custody

© 2021, Mabbett & Associates, Inc. Appendix C October 4, 2021

APPENDIX C

Lead Paint Chip Laboratory Report and Chain of Custody