Abatement Ward 9c Report.pdf

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Z1DA--528-18-109 WARD 9C RENOVATIONS
Solicitation number
36C24222B0069
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This asbestos survey report documents asbestos-containing materials found in Ward 9C of the Buffalo Veterans Affairs Medical Center. Homogeneous materials tested from floor tiles and associated mastic in Room 900C2 and 900C4 were found to not contain asbestos. The related federal contract opportunity is for renovations to Ward 9C at the Buffalo VAMC. The solicitation is seeking offers for asbestos abatement and renovations, with the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 2 listed as the contracting agency.

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2.0 – ASBESTOS-CONTAINING MATERIALS

H:\2012\12108 VAMC Bflo., Remodel Ward 9C\10. Env Data and Env Assessment\10.f. Asbestos-Lead-PCB Assessment\VAMC- Ward9C_ACM-LBP-SurveyReport.docx

2.0 ASBESTOS-CONTAINING MATERIALS

This section includes information on all suspect ACM sampled. This section contains the following: Homogeneous Materials List containing the homogeneous materials identified, their corresponding sample numbers and whether or not they are ACM, as well as drawings identifying the approximate locations of asbestos bulk samples.

For each functional space, all ACM that was identified within that space has been inspected in order to determine its approximate quantity, condition, and whether it is friable or non-friable. Where possible, Watts visually inspected the identified ACM to assess its condition.

The condition of the ACM was classified as good, fair, or poor. The requirement for each designation is as follows:

Good Material with no visible damage or deterioration or showing very limited damage or deterioration.

Fair The surface of the material is crumbling, blistering, water-stained, gouged, punctured, or otherwise damaged with the damage covering less than one tenth of the surface if the damage is evenly distributed or up to 25% of the material if the damage is localized.

Poor The surface of the material is crumbling, blistering, water-stained, gouged, punctured, or otherwise damaged with the damage covering more than one tenth of the surface if the damage is evenly distributed, or more than 25% of the material if the damage is localized. Material with large areas hanging from the substrate, delaminated, heavily gouged, crushed, etc.

Results Type ACM NA – Not Analyzed M – Miscellaneous Y – Yes NAD – No Asbestos Detected T – Thermal System Insulation N – No S – Surfacing

H:\2012\12108 VAMC Bflo., Remodel Ward 9C\10. Env Data and Env Assessment\10.f. Asbestos-Lead-PCB Assessment\VAMC-

HOMOGENEOUS MATERIALS LIST

Ward 9C VAMC Buffalo

Buffalo, New York

Material Description Sample Location Type Sample Number

Results (% Asbestos) ACM

PLM TEM Y/N

12” x 12” Light Grey with Grey Streaks Floor

Tile

Room 900C2 Room 900C4

M 12108-01 12108-02

NAD

NAD

NAD

NAD

N

Black Mastic Associated with Light Grey Floor

Tile

Room 900C2

Room 900C4 M

12108-03

12108-04

<1% Chrysotile

<1%

Trace

N

12” x 12” White with Large and Small Streaks

Floor Tile

Room 907C

Room 915C

12108-05

12108-06

4.4% Chrysotile

NA/PS

NA

Y

Black Mastic Associated with Light Grey Floor

Room 907C

12108-07

12108-08

NAD

<0.25%

N

6” Green Covebase Room 907C Room 916C

M 12108-09 12108-10

NAD

NAD

NAD

NAD

N

Cream Mastic Associated With 6” Green Covebase

Room 907C Room 916C

M 12108-11 12108-12

NAD

NAD

NAD

NAD

N

12” x 12” Light Green with Olive Streaks Floor

Tile

Room 933C1 Room 935C

M 12108-13 12108-14

NAD

NAD

NAD

NAD

N

Black Mastic Associated with Light Green Floor

Room 933C1

Room 935C

12108-15

12108-16

1.1% Chrysotile

Grey Sink Undercoat Room 933C1 Room 933C1

M 12108-17 12108-18

NAD

NAD

NAD

NAD

N

Pink Sink Undercoat Room 910C1

12108-19

12108-20

10.8% Chrysotile

Grout Associated With 4” x 4” Ceramic Wall

Tile

Room 910C1 Room 916C Room 910C

Room 934C Restroom

M

12108-21 12108-22 12108-69 12108-70

NAD

NAD

NAD

NAD

NA

NA

NA

NA

N

Tan Adhesive Associated With

Ceramic Tile

Room 910C1 Room 910C

M 12108-23 12108-24

NAD

NAD

NAD

N

H:\2012\12108 VAMC Bflo., Remodel Ward 9C\10. Env Data and Env Assessment\10.f. Asbestos-Lead-PCB Assessment\VAMC-

Number

Results (% Asbestos) ACM

PLM TEM Y/N

2’x4’ Ceiling Tile with Long Fissures and

Pinholes

Room 900C2 Room 900C3

M 12108-25 12108-26

NAD

NAD

NAD

NAD

N

Grey Mastic on Duct Work

Room 900C2 M 12108-27 12108-28

NAD

NAD

NAD

NAD

N

Brown Cork Pipe Insulation

Room 900C4 M

12108- 29L1

12108- 30L1

Black Coating on Cork Pipe Insulation

Room 900C4 M

12108- 29L2

12108- 30L2

Red-Brown Mastic on Cork Pipe Insulation

Room 900C4 M 12108-31

12108-32

5.2% Chrysotile

Tan Duct Mastic Room 900C3 Room 900C3

12108-33 12108-34

NAD

NAD

NAD

NAD

N

2’x4’ Ceiling Tile with Long Fissures, Punctures and Pinholes

Room 900C3 Room 900C4

M 12108-35 12108-36

NAD

NAD

NAD

NAD

N

Wall Plaster Skim Coat

Room 900C3 Room 900C4 Room 900C2 Room 900C1

S

12124-37 12108-38 12108-39 12108-40 12108-41

NAD

NAD

NAD

NAD

NAD

NA

NA

NA

NA

NA

N

Wall Plaster Base Coat

Room 900C3 Room 900C4 Room 900C2 Room 900C1

S

12108-42 12018-43 12108-44 12108-45 12108-46

NAD

NAD

NAD

NAD

NAD

NA

NA

NA

NA

NA

N

Troweled Plaster on Duct Work

Room 900C2 M 12108-47 12108-48

NAD

NAD

NA

NA

N

Black Caulk at Windows Room 908C

Room 900C4 M

12108-49 12108-50

NAD

NAD

NAD

NAD

N

White Caulk at Sinks Room 934C Restroom M 12108-51 12108-52

NAD

NAD

NAD

H:\2012\12108 VAMC Bflo., Remodel Ward 9C\10. Env Data and Env Assessment\10.f. Asbestos-Lead-PCB Assessment\VAMC-

Number

Results (% Asbestos) ACM

PLM TEM Y/N

Grey Caulk at Exhaust Fan

Room 929C Room 921C

M 12108-53 12108-54

NAD

NAD

NAD

NAD

N

Drywall Room 933C Room 924C

M 12108-55 12108-56

NAD

NAD

NA

NA

N

Joint Compound Associated With Drywall

Room 933C Room 924C

M 12108-57 12108-58

NAD

NAD

NA

NA

N

Maroon Terrazzo Shower Basin

Room 920C M 12108-59 12108-60

NAD

NAD

NA

NA

N

Ceramic Floor Tile Grout

Room 919C M 12108-61 12108-62

NAD

NAD

NA

NA

N

Ceramic Floor Tile Mudset

Room 919C M 12108-63 12108-64

NAD

NAD

NA

NA

N

Ceramic Floor Tile Mastic Joints

Room 919C M 12108-65 12108-66

NAD

NAD

NAD

NAD

N

Yellow Carpet Mastic Room 904C M 12108-67 12108-68

NAD

NAD

NAD

NAD

N

12” x 12” Ceiling Tile Room 837C M 12108-71 12108-72

NAD

NAD

NAD

NAD

N

Brown Mastic Associated With 12” x

12” Ceiling Tile Room 837C M

12108-73 12108-74

NAD

NAD

NAD

H:\2012\12108 VAMC Bflo., Remodel Ward 9C\10. Env Data and Env Assessment\10.f. Asbestos-Lead-PCB Assessment\VAMC-

IDENTIFIED ASBESTOS-CONTAINING MATERIALS SUMMARY

Room Identified ACM Approximate

Quantity Condition

Friable/ Non-Friable

Eighth Floor

Ward 8C Pipe Insulation on Horizontal and Vertical

Pipes Above Ceiling (assumed asbestos-containing)

200 lf Good to

Fair Friable

Ninth Floor

Ward 9C Pipe Insulation on Horizontal and Vertical Pipes in Vertical Chases and Above Ceiling (assumed asbestos-containing)

1,300 lf Good to

Fair Friable

Room 900C4 Red-Brown Mastic on Cork Pipe Insulation Flexible Black Insulation Material Behind

Radiators

15 lf 6 sf

Good

Non-Friable

Room 900C2 Flexible Black Insulation Material Behind

Radiators 6 sf Good Non-Friable

Room 907C

12” x 12” White with Large and Small Streaks Floor Tile

Flexible Black Insulation Material Behind Radiators

166 sf

Room 908C

12” x 12” White with Large and Small Streaks Floor Tile

Flexible Black Insulation Material Behind

87 sf

Room 908C1

Black Mastic Associated with Light Green Floor Tile

Flexible Black Insulation Material Behind

120 sf

Radiators 6 sf Good Non-Friable

Room 910C1 Pink Sink Undercoat

Flexible Black Insulation Material Behind Radiators

1 sink

Friable

Room 911C

Floor Tile

Flexible Black Insulation Material Behind

275 sf

12 sf

H:\2012\12108 VAMC Bflo., Remodel Ward 9C\10. Env Data and Env Assessment\10.f. Asbestos-Lead-PCB Assessment\VAMC-

Quantity Condition

Friable/ Non-Friable

Room 911C1

12” x 12” White with Large and Small Streaks Floor Tile

Flexible Black Insulation Material Behind

28 sf

Room 912C

Floor Tile

Flexible Black Insulation Material Behind

196 sf

Room 913C

Floor Tile

Flexible Black Insulation Material Behind

190 sf

Room 913C1

Floor Tile 30 sf Good Non-Friable

Room 914C

12” x 12” White with Large and Small Streaks Floor Tile

Flexible Black Insulation Material Behind

197 sf

Room 914C1

Floor Tile

Flexible Black Insulation Material Behind

230 sf

Floor Tile

Flexible Black Insulation Material Behind

187 sf

12 sf

Room 915C1

Floor Tile 32 sf Good Non-Friable

Room 916C

12” x 12” White with Large and Small Streaks Floor Tile

Flexible Black Insulation Material Behind

200 sf

H:\2012\12108 VAMC Bflo., Remodel Ward 9C\10. Env Data and Env Assessment\10.f. Asbestos-Lead-PCB Assessment\VAMC-

Quantity Condition

Friable/ Non-Friable

Room 917C

12” x 12” White with Large and Small Streaks Floor Tile

Flexible Black Insulation Material Behind

195 sf

Room 918C

Radiators 6 sf Good Non-Friable

Room 920C

12” x 12” White with Large and Small Streaks Floor Tile

Flexible Black Insulation Material Behind

132 sf

Room 921C

Floor Tile

Flexible Black Insulation Material Behind

122 sf

Room 922C

Floor Tile

Flexible Black Insulation Material Behind

142 sf

Room 923C

Floor Tile

Flexible Black Insulation Material Behind

123 sf

Room 924C

Floor Tile

Flexible Black Insulation Material Behind

214 sf

Room 925C

Floor Tile

Flexible Black Insulation Material Behind

122 sf

Room 926C

Floor Tile

Flexible Black Insulation Material Behind

H:\2012\12108 VAMC Bflo., Remodel Ward 9C\10. Env Data and Env Assessment\10.f. Asbestos-Lead-PCB Assessment\VAMC-

Quantity Condition

Friable/ Non-Friable

Room 927C

12” x 12” White with Large and Small Streaks Floor Tile

Flexible Black Insulation Material Behind

134 sf

Room 928C

Floor Tile

Flexible Black Insulation Material Behind

133 sf

Room 929C

Floor Tile

Flexible Black Insulation Material Behind

131 sf

Room 930C

Floor Tile

Flexible Black Insulation Material Behind

112 sf

Room 931C

Floor Tile

Flexible Black Insulation Material Behind

Room 933C

Tile

Flexible Black Insulation Material Behind

282 sf

18 sf

Room 933C1

Tile 42 sf Good Non-Friable

Room 934C

Black Mastic Associated with Light Green Floor Tile

Flexible Black Insulation Material Behind

154 sf

Room 935C

Tile

Flexible Black Insulation Material Behind

130 sf

H:\2012\12108 VAMC Bflo., Remodel Ward 9C\10. Env Data and Env Assessment\10.f. Asbestos-Lead-PCB Assessment\VAMC-

Quantity Condition

Friable/ Non-Friable

Room 936C

Black Mastic Associated with Light Green Floor Tile

Flexible Black Insulation Material Behind

200 sf

Notes:

lf – linear feet sf – square feet

2.1 – LABORATORY REPORTS

2.2 – CHAIN-OF-CUSTODY FORMS

H:\2012\12108 VAMC Bflo., Remodel Ward 9C\10. Env Data and Env Assessment\10.f. Asbestos-Lead-PCB Assessment\VAMC-

BULK SAMPLE CHAIN-OF-CUSTODY FORM

The purpose of the chain-of-custody form is to reduce the possibility of misidentifying individual samples, to help trace any samples that may be lost, and to provide a record certifying that the samples were delivered to and received by the analytical laboratory.

An important feature of this form is the signature section at the bottom, identifying all persons who handled the samples.

2.3 – ASBESTOS SAMPLE LOCATION DRAWING

924C

926C

916C

910C911CS 7912C

914C1

933C1

908C1

908C

907C

934C

935C

936C

904C

905C

S 8

S 9

933C

923C

922C

921C

920C

928C

929C

930C

931C

918C

913C914C

919C

915C

915C1

913C1

914C2

917C

917D

910C1

911C1

923C1

922C1

921C1

927C1

927C

925C

900C3

900C2

900C4

900C1

WATTS

ARCHITECTURE &

ENGINEERING

95 Perry Street, Suite 300

Buffalo, New York 14203

(716) 206-5100 | (716) 206-5199 Fax

WATTS

ARCHITECTURE &

ENGINEERING

95 Perry Street, Suite 300

Buffalo, New York 14203

(716) 206-5100 | (716) 206-5199 Fax

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