Canadaigua B36 Asbestos Summary Report (11-16-10).pdf

VOLUME II

ASBESTOS CONTAINING MATERIAL

SURVEY REPORT

BUILDING 36

VISN 2

Canandaigua VA Medical Center

400 Fort Hill Avenue Canandaigua, NY 14424

Project No. 2010009.001

November 16, 2010

5 Alfred Circle Bedford, MA 01730-2318

T elephone: (781) 275-6050 Toll Free: (800) 877-6050 Facsimile: (781) 275-5651 info@mabbett.com www.mabbett.com

© 2010, Mabbett & Associates, Inc.

mailto:info@mabbett.com

Canandaigua VAMC - Building 36 November 2010 ©2010, Mabbett & Associates, Inc. Page i Vol II Survey Rpt Canadaigua Bldg-36 (11-16-10)

ACKNOWLEDGMENT

This Asbestos Containing Materials (ACM) Building Survey Report was prepared for the Veterans Integrated Network System (VISN 2) in accordance with an established scope of work as defined in Contract Number VA528-P-0738. The information presented herein is based on the facts and information conveyed to or received by Mabbett & Associates, Inc.

(M&A) during the preparation of this report. If the information provided to M&A that was used in preparing this report is incorrect, incomplete, or subject to change, M&A 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 M&A as of the date of this report and considered applicable to this report.

This individual building report from Volume II which contains building specific asbestos findings is part of the Comprehensive Veterans Affairs Medical Center (VAMC) Asbestos Survey Report consisting of:

Volume I - General

Chapter 1 - Executive Summary and Introduction and with Supporting Documentation Chapter 2 - Summary of ACM Building Results Tables

Volume II – Individual Building Reports

Individual Building Report Chapters including:

• Introduction and Executive Summary

• Building Description Summary

• Asbestos Survey Methodology

• Relevant Asbestos Findings for the Building

(Including Summary Tables and Floor Plans Identifying ACM Locations)

Volume III – Appendices and Supporting Data

Appendix A - Asbestos Laboratory Analysis Reports and Laboratory Certifications Appendix B - Personnel Certifications & Licenses

Volume IV – Asbestos Operations & Maintenance (O&M) Plan

Asbestos Operations & Maintenance (O&M) Plan Master Positive Table and Quantification and Liability Tables

©2010, Mabbett & Associates, Inc. Page ii Vol II Survey Rpt Canadaigua Bldg-36 (11-16-10)

This report was prepared by the following Mabbett & Associates, Inc. personnel:

Michael F. Delaney Project Manager New York State Asbestos Building Inspector 02-16232 New York State Management Planner 02-16232

This report has been reviewed and approved by:

MABBETT & ASSOCIATES, INC.

Robert K. McKinley, MPH, CIH, LIH Director of Industrial Hygiene Services

©2010, Mabbett & Associates, Inc. Page iii Vol II Survey Rpt Canadaigua Bldg-36 (11-16-10)

TABLE OF CONTENTS

Description Page

1.0 INTRODUCTION & EXECUTIVE SUMMARY

2.0 BUILDING DESCRIPTION

3.0 ASBESTOS SURVEY

3.1 Sampling Methodology

3.2 Analytical Methodology

3.3 Summary of Asbestos Containing Material Findings

4.0 LIMITATIONS

5.0 CLOSING REMARKS

Tables Table 1 – Specific Inaccessible Areas Table 2 – Summary of Positive Asbestos Containing Materials Table 3 – Summary of ACM Building Results............................................................ Appendix A

Figures Figure 1 – Asbestos Survey Summary Plan - Building 36, Basement Figure 2 – Asbestos Survey Summary Plan - Building 36, Floor 1 Figure 3 – Asbestos Survey Summary Plan - Building 36, Floor 2

Appendices Appendix A – Table 3, Summary of ACM Building Results

©2010, Mabbett & Associates, Inc. Page 1 of 8 Vol II Survey Rpt Canadaigua Bldg-36 (11-16-10)

1.0 INTRODUCTION & EXECUTIVE SUMMARY

Mabbett and Associates, Inc. (M&A), with O’Brien & Gere, Inc. as a sub-contractor performed surveys for suspect asbestos containing building materials (ACM). Surveys were performed of selected buildings at the VAMC located at 400 Fort Hill Avenue in Canandaigua, NY, under Contract VA528-P-0738. A complete list of buildings surveyed is in Volume I of this report. Site survey work was performed during June 2010, by appropriately credentialed personnel.

Collected suspect ACM bulk samples were submitted to a certified analytical laboratory for asbestos analysis by polarized light microscopy (PLM) using stop positive methodology and transmission electron microscopy (TEM) as required by New York State Environmental Laboratory Analysis Program (ELAP). The survey effort involved the collection of the following samples, resulting in the following conclusions:

• 137 bulk samples for suspect ACM were collected in this building.

• Based on laboratory analysis 18 of the collected and analyzed samples contained asbestos greater than 1%. 1 homogeneous material was presumed ACM (PACM) based upon the VISN 2 sample protocol.

• 19 homogeneous areas have been identified to be ACM. These areas were presumed, previously identified, and/or have been identified during this survey to be ACM.

• The identified ACMs were generally limited to floor tiles, floor tile mastics, and previously identified thermal system insulation. A summary including a condition assessment, material description, and quantities can be found in Table 2 and drawings identifying the approximate locations and quantities of the ACM can be found in the Figures portion of this Volume II Report.

• The ACMs have been incorporated into the O&M Plan and can be found in

Volume IV of the Comprehensive VAMC Asbestos Survey Report. The O&M Plan provides detailed procedures to safely manage the asbestos that will remain in place.

• Based on the findings of this survey, M&A has not identified significantly damaged ACMs in this building that are recommended for abatement or immediate repair.

The purpose of this survey was to identify ACM and evaluate the associated potential risk of identified ACM to staff, patients and visitors. While the information contained in this report maybe useful for planning future renovation projects it is not the intent of this survey to identify ACM in inaccessible areas requiring destructive sampling or to be the sole basis for specifications for abatement, renovation, or demolition projects.

This building report consists of a summary of findings, floor plans indicating positive homogeneous areas, and detailed analytical findings for the specific surveyed building materials. Laboratory certificates of analysis for this building report are available in Volume III of the Comprehensive VAMC Asbestos Survey Report.

©2010, Mabbett & Associates, Inc. Page 2 of 8 Vol II Survey Rpt Canadaigua Bldg-36 (11-16-10)

2.0 BUILDING DESCRIPTION

According to information provided by the VAMC Office of Facilities Management and observations made by the M&A team at the time of the survey, Building 36 was a four-story Day Treatment Center and Canandaigua School Building built in 1944 and occupied approximately 72,552 square feet.

3.0 ASBESTOS SURVEY

3.1 Sampling Methodology

A visual screening inspection was conducted by state licensed asbestos inspectors throughout the building to identify locations of suspect ACM. Only areas that were accessible during the field work phase were inspected. Every effort was made during the initial field survey work to access areas as necessary to complete the survey. However, if any areas remained inaccessible to the survey team, they are indicated in Table 1 below:

Table 1 – Specific Inaccessible Areas Canandaigua VA Medical Center, Building 36

Building Floor Room No. Reason Area Was Inaccessible and Survey Impacts, If Applicable

There were no inaccessible areas identified during this survey.

Other general areas that were inaccessible or where destructive sampling would be required and were therefore not inspected/sampled are identified below:

• Within walls • Within fire doors

• Enclosed pipe/duct chases • Inside mechanical equipment/ductwork

• Above fixed drywall or plaster ceilings • Intact ceramic tile, grout, and mastic

• Intact Terrazzo floor tile and mastic • Intact laboratory bench tops

• Roofs, associated materials, and equipment that may void roof warranties

ACM surveys should be performed prior to any proposed renovations or maintenance of areas and materials identified above and the areas and suspect materials should be presumed ACM unless proven otherwise.

Bulk samples were collected of suspect ACM in accordance with US Environmental Protection Agency (EPA) Asbestos Hazard and Emergency Response Act (AHERA) and the M&A Team Program Standard Operating Procedure (SOP), dated June 2, 2010. Bulk suspect ACM sampling was conducted according to the following sampling plan:

(a) Surfacing material:

(1) At least three bulk samples shall be collected from each homogeneous area that is

©2010, Mabbett & Associates, Inc. Page 3 of 8 Vol II Survey Rpt Canadaigua Bldg-36 (11-16-10)

1,000 ft2 or less.

(2) At least five bulk samples shall be collected from each homogeneous area that is greater than 1,000 ft2 but less than or equal to 5,000 ft2.

(3) At least seven bulk samples shall be collected from each homogeneous area that is greater than 5,000 ft2.

(b) Thermal system insulation:

(1) At least three bulk samples shall be collected from each homogeneous area of thermal system insulation.

(2) At least one bulk sample shall be collected from each homogeneous area of patched area of thermal system insulation.

(3) Sufficient samples shall be collected from elbows and fittings to determine if it contains ACM.

(4) Bulk samples shall not be collected from any homogeneous area where the state licensed asbestos inspector determined that the thermal system insulation is fiberglass, foam glass, rubber, or other non suspect material.

(c) Miscellaneous material:

(1) At least one bulk sample shall be collected from each homogeneous area that is less than 100 ft2.

(2) At least three bulk samples shall be collected from each homogeneous area that is greater than 100 ft2.

To limit the risk of exposure to ACM and to control costs, where previous surveys, labeling, and/or associated analytical reports indicated a material had been previously determined to be ACM, with a reasonable degree of accuracy and confidence by the inspector the material was generally NOT re-sampled. These materials are included in Table 2 and on the CADD plans of this building report. Associated previous laboratory results and/or supporting documentation are available in Attachment A of the Volume I portion of the comprehensive report.

3.2 Analytical Methodology

The collected bulk samples were submitted under chain of custody procedures to America Science, Inc. (Amerisci) of New York, NY for polarized light microscopy (PLM) and transmission electron microscopy (TEM) analysis as required by the New York State Environmental Laboratory Approval Program (ELAP). PLM analysis of friable materials was performed using NYS ELAP Method 198.1. Samples of Non-friable Organically Bound (NOB) materials were analyzed by PLM (NYS ELAP Method 198.6) subsequent to matrix reduction.

NOB samples that were identified as non-ACM by PLM methods were re-analyzed by TEM (NYS ELAP Method 198.4) for confirmation purposes. Amerisci is accredited by the American Industrial Hygiene Association (AIHA) and participates in the National Voluntary Laboratory Accreditation Program (NVLAP Lab Code 200546-0). Copies of the laboratory accreditations are included in Volume III of the Comprehensive VAMC Asbestos Survey Report.

Bulk sample results including positive and negative results are summarized in Table 3 – Summary of ACM Building Results. The EPA, Occupational Safety and Health Administration (OSHA), and Part 56 of Title 12 of the Official Compilation of Codes, Rules and Regulations of the State of New York (12 NYCRR Part 56) defines any material that contains greater than one percent (>1%) asbestos as being an ACM. As such, the analytical laboratory identified bulk

©2010, Mabbett & Associates, Inc. Page 4 of 8 Vol II Survey Rpt Canadaigua Bldg-36 (11-16-10) samples as positive for asbestos that met the regulatory criteria of greater than one percent (>1%) asbestos.

3.3 Summary of Asbestos Containing Material Findings

3.3.1 Data Tables and Laboratory Results

Collected bulk samples confirmed by the analytical laboratory to contain >1% asbestos, previously identified ACM and any PACM are listed in Table 2 - Summary of Positive Asbestos Containing Materials. An analytical laboratory summary for each of the collected bulk samples is listed in Table 3 - Summary of ACM Building Results. Volume III of the Comprehensive VAMC Asbestos Survey Report includes copies of the laboratory certificates of analysis.

Table 2 - Summary of Positive Asbestos Containing Materials Canandaigua VA Medical Center, Building 36

Sample No.

Sample Location** Building

Floor- Room#

ACM

Location Description of Material Percent and Type of Asbestos Estimated

Quantity Condition

VISN 2

Risk

Hazard Category

1-4*

3A 36A-116

3B 36Basement-

CB-2

3C 36B-C2-2

100, 102, 105, 106, 107, 108, 109, 111, 112, 113, 114, 116, 118, 119, 120, 121, 122, 123, 125, 126, 127, 128, 130, 131, 132, 133, 134, 135, 136, 139, 140, 141, 142, 143, 144, 148, 149, 150, 152, 153, 154, 155, 156, 157, C1-1, C1-2, C1-8, C1-9, 204, 206, 207, 208, 210, 211, 212, 213, 215, 217, 218, 220, 222, 225, 226, 228, 232, 234, 236, 237, 241, 242, 243, 244, 246, 247, 248, 250, 252, 253, CB-2, C2-2, C2-4, and

C2-8

12”x12” Beige with Brown Floor Tile

PLM

TEM

Chrysotile <0.25% Chrysotile 1.6% 16,839 SF Good 4

©2010, Mabbett & Associates, Inc. Page 5 of 8 Vol II Survey Rpt Canadaigua Bldg-36 (11-16-10)

Table 2 - Summary of Positive Asbestos Containing Materials Canandaigua VA Medical Center, Building 36

Sample No.

Sample Location** Building

Floor- Room#

ACM

Location Description of Material Percent and Type of Asbestos Estimated

Quantity Condition

VISN 2

Risk

Hazard Category

1-4*

6A 36A-114

6B 36A-136 114 and 136 3” Pipe Insulation PLM

TEM

Chrysotile 11.1% Amosite 11.1%

NA

65 LF Good 3

7A 36A-116 7B 36Basement 7C 36Basement

20, 20A, 21, 116, and

12”x12” Green with Beige Floor Tile

PLM

TEM

Chrysotile 1.7% NA 1,259 SF Good 4

8A 36A-104 8B 36A-159

8C 36A-103

103, 104, 158, 159, C1-1, and

C1-8

12”x12” Orange with Beige and Brown

Floor Tile

PLM

TEM

NAD

Chrysotile 1.6% 1,334 SF Good 4

12 36A-157 Throughout Transite Heater Panel

PLM

TEM

Chrysotile 16.7% NA >100 ea Good 4

23A 36Basement-

CB-3

23B 36Basement-

CB-1

23C 36 Basement

CB-3

CB-1, CB-2,

and CB-3

12”x12” White with Green Floor Tile

PLM

TEM

Chrysotile 2.5% NA 2,300 SF Good 4

24A 36Basement-

CB-3

Black Mastic Associated with 23A

24B 36Basement-

CB-1

Black Mastic Associated with 23B

24C 36 Basement

CB-3

CB-1, CB-2,

and CB-3

Black Mastic Associated with 23C

PLM

TEM

Chrysotile <0.25% Chrysotile 3.4% 2,300 SF Good 4

25A 36Basement-

25B 36Basement- 3A

25C 36Basement-

1, 3, 3A, 15, 15A, 15B, 15C, and

Beige and Brown Linoleum Floor

PLM

TEM

Chrysotile 5.8% NA 3,293 SF Good 4

26A 36Basement-

26B 36Basement- 3A

26C 36Basement-

1, 3, 3A, 15, 15A, 15B, 15C, and

Yellow Mastic Associated with 25A

PLM

TEM

Chrysotile 21.3% NA 3,293 SF Good 4

27A 36Basement-

27B 36Basement-

27C 36B-203

2, 203, 224, C2-2, and

C2-4

12”x12” Brown with White Floor Tile

PLM

TEM

Chrysotile 17.0% NA 1,353 SF Good 4

31A 36Basement-

31B 36Basement-

31C 36Basement-

6, 7, 7A, 8, and 9

9”x9” Beige with Red and Blue Floor Tile

PLM

TEM

Chrysotile 9.4% NA 736 SF Good 4

©2010, Mabbett & Associates, Inc. Page 6 of 8 Vol II Survey Rpt Canadaigua Bldg-36 (11-16-10)

Table 2 - Summary of Positive Asbestos Containing Materials Canandaigua VA Medical Center, Building 36

Sample No.

Sample Location** Building

Floor- Room#

ACM

Location Description of Material Percent and Type of Asbestos Estimated

Quantity Condition

VISN 2

Risk

Hazard Category

1-4*

32A 36Basement

Black Mastic Associated with 31A

32B 36Basement

Black Mastic Associated with 31B

32C 36Basement

6, 7, 7A, 8, and 9

Black Mastic Associated with 31C

PLM

TEM

Chrysotile <0.25% Chrysotile 12.3 % 736 SF Good 4

33A 36Basement-

33B 36Basement-

33C 36Basement-

10, 11, and

12”x12” Beige with Red Floor Tile

PLM

TEM

Chrysotile 9.9% NA 421 SF Good 4

35A 36Basement-

35B 36Basement-

35C 36Basement-

23 and 24 12”x12” Brown with Brown Floor Tile

PLM

TEM

Chrysotile 1.5% NA 1,005 SF Good 4

36A 36Basement-

36B 36Basement-

36C 36Basement-

23 and 24 12”x12” Beige with Beige Floor Tile

PLM

TEM

Chrysotile <0.25% Chrysotile 2.7% 1,005 SF Good 4

37A 36Basement-

37B 36Basement-

37C 36Basement-

23 and 24 12”x12” Red with White Floor Tile

PLM

TEM

Chrysotile 2.2% NA 1,005 SF Good 4

39A 36B-227E 39B 36B-227D 39C 36B-227D

227B, 227D, and 227E

Green with Beige and Brown Linoleum

PLM

TEM

Chrysotile 5.6% NA 400 SF Good 4

40A 36B-227E 40B 36B-227D 40C 36B-227D

227B, 227D, and 227E

Yellow Mastic Below 39A

PLM

TEM

Chrysotile 12.7% NA 401 SF Good 4

N/A N/A 2, 5, 5A, 5C, 12, 19, 22, and 23 4" Pipe Insulation N/A PACM 650 LF Good 4

Footnotes:

SF – Square Feet LF – Linear Feet ea – Each ** For Example Sample location “1A – 139” would represent “Building 1, Floor A, Room 139” and Sample location “1 Basement – SBX4” would represent “Building 1, Basement, Room/Corridor SBX4”.

N/A – Not Applicable PACM – Presumed Asbestos Containing Material PLM – Polarized Light Microscopy TEM – Transmission Electron Microscopy

* The VISN 2 Risk Hazard Assessment Scale 1 – 4 is a relative indicator of the risk and need for response/abatement. The rating assigned by an Asbestos Management Planner, takes into account: condition, friable vs. non-friable, accessibility, occupancy (e.g. continuous, intermittent or occasional and patients/staff/visitors), potential for air erosion, potential for

©2010, Mabbett & Associates, Inc. Page 7 of 8 Vol II Survey Rpt Canadaigua Bldg-36 (11-16-10) vibration damage, potential for disturbance / damage (e.g. exposed and in an accessible location), and potential for water damage. The following is a list of the VISN 2 Risk Hazard Assessment Scale:

Category 1: represents significantly damaged friable ACM in locations with moderate to high occupancy by staff and/or patients. A significantly damaged condition is a condition with damage greater than or equal to 10% of the total surface area or 25% localized damage. Category 1 ACM should be abated or repaired as soon as possible to minimize any potential hazards posed by the asbestos.

Category 2: represents significantly damaged and damaged friable ACM in locations not frequently occupied. Category 2 ACM should be abated or repaired as soon as possible to minimize any potential hazards posed by the asbestos.

Category 3: represents ACM in at least good condition (friable or non-friable ACM that could become friable). A good condition is a condition with damage less than or equal to 1% of its total area. Category 3 should be periodically visually surveyed semi-annually as part of the routine O&M Plan and should be considered for abatement or corrective action if conditions deteriorate or circumstances allow.

Category 4: represents non-friable ACM in good condition but should be regularly inspected as part of the O&M Plan.

3.3.2 CADD Drawings

The approximate location of each bulk sample and its associated sample ID are shown on the CADD drawings in the Figures Section of this report. Each positive ACM sample location is colored red and marked with an asterisk (*). Areas containing ACM have been indicated with hatching to identify the locations of the identified ACM. Previously identified ACM not sampled during this survey are also included on the drawings.

ACM abatement or newly identified ACM should be annotated on the CADD drawings by the VAMC going forward.

4.0 LIMITATIONS

This inspection report is the result of a diligent search of the building for ACM. Only accessible areas were included in this survey. However comprehensive this inspection appears, it does not claim to have identified all of the ACM that could be present in the facility. M&A’s survey was performed with limitations inherent to visual non-destructive inspections. M&A has conducted this assessment with reasonable care and has performed this project within generally accepted industry standards. There can be no assurances, and M&A makes no assurances, that the information, research, and technology used to prepare this report may not change in the future, thus affecting the results provided. The report is designed to aid the building owner, architect, construction manager, general contractors, and potential asbestos abatement contractors in locating ACM. Under no circumstances is the report to be utilized as a bidding document or as a project specification document since it does not have all the components required to serve as an Asbestos Project Design document or an Abatement

©2010, Mabbett & Associates, Inc. Page 8 of 8 Vol II Survey Rpt Canadaigua Bldg-36 (11-16-10)

Workplan. Prior to renovation, the collection of additional samples may be required of inaccessible areas such as wall cavities, pipe chases, etc.

5.0 CLOSING REMARKS

Prior to initiating plans for maintenance, renovation or demolition activities, the VAMC should review the asbestos survey results to identify if any of these materials will be disturbed by proposed work activities.

The purpose of the ACM survey was to identify ACM in the building within the limitations of the survey for worker and patient protection purposes. In regards to asbestos, any suspect material encountered or expected to be encountered during renovation/demolition that is 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, that were not inspected should be assumed to contain asbestos if discovered during any renovation process until verified otherwise.

If ACM must be removed, the ACM must be removed by a licensed asbestos abatement contractor and be performed in accordance with the applicable regulations. If proposed work activities will not disturb ACM, continuous monitoring of ACM should be conducted throughout work activities to ensure the ACM remains in an intact condition. Additionally, prior to commencing work activities, VA employees and contractors involved with the work activities should be made aware of the location of ACM, within the building in which they will be working.

Minor repairs to ACM which may result in the disturbance of ACM must only be performed by trained and qualified VAMC staff or contractors as outlined in the O&M Plan. Additional information regarding asbestos management and the Operations & Maintenance (O&M) Plan is outlined in the VAMC campus wide Asbestos O&M Plan available in Volume IV of the Comprehensive VAMC Asbestos Survey Report.

Figures

Appendix A

Table 3 Summary of ACM Building Results

Canandaigua VAMC - Building 36 Appendix A – Table 3 - November 2010 ©2010, Mabbett & Associates, Inc. Page 1 of 7 Vol II Survey Rpt Canadaigua Bldg-36 (11-16-10)

Table 3 - Summary of ACM Building Results Canandaigua VA Medical Center, Building 36

Sample No.

Sample Location** Building

Floor-Room# Description of Material Percent and Type of

Asbestos Estimated Quantity Condition

VISN 2

Risk

Hazard Category

1-4*

1A 36A-110 12”x12” Orange with Black Streaks Floor Tile

PLM

TEM

NAD

NAD -- -- --

1B 36B-209 12”x12” Orange with Black Streaks Floor Tile

PLM

TEM

NAD

NAD -- -- --

1C 36B-209 12”x12” Orange with Black Streaks Floor Tile

PLM

TEM

NAD

NAD -- -- --

2A 36A-110 Black Mastic Associated with 1A

PLM

TEM

NAD

NAD -- -- --

2B 36A-118 Black Mastic Associated with 3A

PLM

TEM

NAD

NAD -- -- --

2C 36Basement-

Black Mastic Associated with 35A

PLM

TEM

NAD

NAD -- -- --

3A 36A-116 12”x12” Beige with Brown Floor Tile

PLM

TEM

NAD

NAD -- -- --

3B 36Basement-

CB2

12”x12” Beige with Brown Floor Tile

PLM

TEM

NAD

NAD -- -- --

3C 36B-C2-2 12”x12” Beige with Brown Floor Tile

PLM

TEM

Chrysotile <0.25% Chrysotile 1.6% 16,839 SF Good 4

4A 36A-110 Gray Interior Window Caulk PLM

TEM

NAD

NAD -- -- --

4B 36B-227 Gray Interior Window Caulk PLM

TEM

NAD

NAD -- -- --

4C 36B-227E Gray Interior Window Caulk PLM

TEM

NAD

NAD -- -- --

5A 36A-136 Yellow Cove Base Mastic PLM

TEM

NAD

NAD -- -- --

5B 36Basement- 24 Yellow Cove Base Mastic PLM

TEM

NAD

NAD -- -- --

5C 36B-201 Yellow Cove Base Mastic PLM

TEM

NAD

NAD -- -- --

6A 36A-114 3” Pipe Insulation PLM

TEM

Chrysotile 11.1% Amosite 11.1%

NA

65 LF Good 3

6B 36A-136 3” Pipe Insulation PLM

TEM

NA/PS

NA -- -- --

7A 36A-116 12”x12” Green with Beige Floor Tile

PLM

TEM

Chrysotile 1.7% NA 1,259 SF Good 4

7B 36Basement-

12”x12” Green with Beige Floor Tile

PLM

TEM

NA/PS

NA -- -- --

7C 36Basement-

12”x12” Green with Beige Floor Tile

PLM

TEM

NA/PS

NA -- -- --

8A 36A-104 12”x12” Orange with Beige and Brown Floor Tile

PLM

TEM

NAD

Chrysotile 1.6% 1,334 SF Good 4

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Table 3 - Summary of ACM Building Results Canandaigua VA Medical Center, Building 36

Sample No.

Sample Location** Building

Floor-Room# Description of Material Percent and Type of

Asbestos Estimated Quantity Condition

VISN 2

Risk

Hazard Category

1-4*

8B 36A-159 12”x12” Orange with Beige and Brown Floor Tile

PLM

TEM

NAD

NA/PS -- -- --

8C 36A-103 12”x12” Orange with Beige and Brown Floor Tile

PLM

TEM

NAD

NA/PS -- -- --

9A 36A-103B 12”x12” Light Gray with Dark Gray Floor Tile

PLM

TEM

NAD

NAD -- -- --

9B 36A-103B 12”x12” Light Gray with Dark Gray Floor Tile

PLM

TEM

NAD

NAD -- -- --

9C 36A-103B 12”x12” Light Gray with Dark Gray Floor Tile

PLM

TEM

NAD

NAD -- -- --

10A 36A-157 Wall Plaster Skim Coat PLM

TEM

NAD

NA -- -- --

10B 36A-142 Wall Plaster Skim Coat PLM

TEM

NAD

NA -- -- --

10C 36B-224A Wall Plaster Skim Coat PLM

TEM

NAD

NA -- -- --

10D 36A-107 Wall Plaster Skim Coat PLM

TEM

NAD

NA -- -- --

10E 36A-149 Wall Plaster Skim Coat PLM

TEM

NAD

NA -- -- --

11A 36A-157 Wall Plaster Base Coat PLM

TEM

NAD

NA -- -- --

11B 36A-142 Wall Plaster Base Coat PLM

TEM

NAD

NA -- -- --

11C 36B-224A Wall Plaster Base Coat PLM

TEM

NAD

NA -- -- --

11D 36A-107 Wall Plaster Base Coat PLM

TEM

NAD

NA -- -- --

11E 36A-149 Wall Plaster Base Coat PLM

TEM

NAD

NA -- -- --

12 36A-157 Transite Heater Panel PLM

TEM

Chrysotile 16.7% NA >100 ea Good 4

13A 36A-C1-5 Drywall PLM

TEM

NAD

NA -- -- --

13B 36Basement- 24 Drywall PLM

TEM

NAD

NA -- -- --

13C 36B-224A Drywall PLM

TEM

NAD

NA -- -- --

14A 36A-C1-5 Joint Compound PLM

TEM

NAD

NA -- -- --

14B 36Basement- 24 Joint Compound PLM

TEM

NAD

NA -- -- --

14C 36B-224A Joint Compound PLM

TEM

NA -- -- --

©2010, Mabbett & Associates, Inc. Page 3 of 7 Vol II Survey Rpt Canadaigua Bldg-36 (11-16-10)

Table 3 - Summary of ACM Building Results Canandaigua VA Medical Center, Building 36

Sample No.

Sample Location** Building

Floor-Room# Description of Material Percent and Type of

Asbestos Estimated Quantity Condition

VISN 2

Risk

Hazard Category

1-4*

15A 36A-C1-5 Drywall Tape PLM

TEM

NAD

NA -- -- --

15B 36Basement- 24 Drywall Tape PLM

TEM

NAD

NA -- -- --

15C 36B-224A Drywall Tape PLM

TEM

NAD

NA -- -- --

16A 36A-C1-5 Red Firestop PLM

TEM

NAD

NAD -- -- --

16B 36A-153 Red Firestop PLM

TEM

NAD

NAD -- -- --

16C 36A-150 Red Firestop PLM

TEM

NAD

NAD -- -- --

17A 36A-C1-5 2’x2’ Dot and Fissure Ceiling Tile-Type I (New)

PLM

TEM

NAD

NA -- -- --

17B 36B-227 2’x2’ Dot and Fissure Ceiling Tile-Type I (New)

PLM

TEM

NAD

NA -- -- --

17C 36Basement-

2’x2’ Dot and Fissure Ceiling Tile-Type I (New)

PLM

TEM

NAD

NA -- -- --

18A 36A-C1-5 2’x2’ Dot and Fissure Ceiling Tile-Type II (New)

PLM

TEM

NAD

NA -- -- --

18B 36B-C2-4 2’x2’ Dot and Fissure Ceiling Tile-Type II (New)

PLM

TEM

NAD

NA -- -- --

18C 36Basement-

2’x2’ Dot and Fissure Ceiling Tile-Type II (New)

PLM

TEM

NAD

NA -- -- --

19A 36A-139 2’x4’ Dot and Fissure Ceiling Tile

PLM

TEM

NAD

NA -- -- --

19B 36B-227B 2’x4’ Dot and Fissure Ceiling Tile

PLM

TEM

NAD

NA -- -- --

19C 36B-213 2’x4’ Dot and Fissure Ceiling Tile

PLM

TEM

NAD

NA -- -- --

20A 36A-C1-8 4” Metal Corner Bead Mastic (Brown)

PLM

TEM

NAD

NAD -- -- --

20B 36A-C1-8 4” Metal Corner Bead Mastic (Brown)

PLM

TEM

NAD

NAD -- -- --

21A 36A-125(Pipe Chase) Pipe Wrap-Foil Lined PLM

TEM

NAD

NA -- -- --

21B 36Basement- 4 Pipe Wrap-Foil Lined PLM

TEM

NAD

NA -- -- --

21C 36Basement- 4 Pipe Wrap-Foil Lined PLM

TEM

NAD

NA -- -- --

22A 36A-125(Pipe Chase) Pipe Wrap-Canvas Lined PLM

TEM

NAD

NAD -- -- --

22B 36Basement- 4 Pipe Wrap-Canvas Lined PLM

TEM

NAD -- -- --

©2010, Mabbett & Associates, Inc. Page 4 of 7 Vol II Survey Rpt Canadaigua Bldg-36 (11-16-10)

Table 3 - Summary of ACM Building Results Canandaigua VA Medical Center, Building 36

Sample No.

Sample Location** Building

Floor-Room# Description of Material Percent and Type of

Asbestos Estimated Quantity Condition

VISN 2

Risk

Hazard Category

1-4*

22C 36Basement- 4 Pipe Wrap-Canvas Lined PLM

TEM

NAD

NAD -- -- --

23A 36Basement-

CB-3

12”x12” White with Green Floor Tile

PLM

TEM

Chrysotile 2.5% NA 2,300 SF Good 4

23B 36Basement-

CB-1

12”x12” White with Green Floor Tile

PLM

TEM

NA/PS

NA -- -- --

23C 36Basement-

CB-3

12”x12” White with Green Floor Tile

PLM

TEM

NA/PS

NA -- -- --

24A 36Basement-

CB-3

Black Mastic Associated with 23A

PLM

TEM

NAD

NAD -- -- --

24B 36Basement-

CB-1

Black Mastic Associated with 23B

PLM

TEM

Chrysotile <0.25% Chrysotile 3.4% 2,300 SF Good 4

24C 36Basement-

CB-3

Black Mastic Associated with 23C

PLM

TEM

Chrysotile <0.25%

NA/PS -- -- --

25A 36Basement-

Beige and Brown Linoleum Floor

PLM

TEM

Chrysotile 5.8% NA 3,293 SF Good 4

25B 36Basement- 3A

Beige and Brown Linoleum Floor

PLM

TEM

NA/PS

NA -- -- --

25C 36Basement-

Beige and Brown Linoleum Floor

PLM

TEM

NA/PS

NA -- -- --

26A 36Basement-

Yellow Mastic Associated with 25A

PLM

TEM

Chrysotile 21.3% NA 3,293 SF Good 4

26B 36Basement- 3A

Yellow Mastic Associated with 25B

PLM

TEM

NA/PS

NA -- -- --

26C 36Basement-

Yellow Mastic Associated with 25C

PLM

TEM

NA/PS

NA -- -- --

27A 36Basement-

12”x12” Brown with White Floor Tile

PLM

TEM

Chrysotile 17.0% NA 1,353 SF Good 4

27B 36Basement-

12”x12” Brown with White Floor Tile

PLM

TEM

NA/PS

NA -- -- --

27C 36B-203 12”x12” Brown with White Floor Tile

PLM

TEM

NA/PS

NA -- -- --

28A 36Basement-

Black Mastic Associated with 27A

PLM

TEM

NAD

NAD -- -- --

28B 36Basement-

Black Mastic Associated with 27B

PLM

TEM

NAD

NAD -- -- --

28C 36B-203 Black Mastic Associated with 27C

PLM

TEM

NAD

NAD -- -- --

29A 36Basement- 4 12”x12” Beige Floor Tile PLM

TEM

NAD

NAD -- -- --

29B 36Basement- 4 12”x12” Beige Floor Tile PLM

TEM

NAD

NAD -- -- --

29C 36Basement- 4 12”x12” Beige Floor Tile PLM

TEM

©2010, Mabbett & Associates, Inc. Page 5 of 7 Vol II Survey Rpt Canadaigua Bldg-36 (11-16-10)

Table 3 - Summary of ACM Building Results Canandaigua VA Medical Center, Building 36

Sample No.

Sample Location** Building

Floor-Room# Description of Material Percent and Type of

Asbestos Estimated Quantity Condition

VISN 2

Risk

Hazard Category

1-4*

30A 36Basement-

Yellow Mastic Associated with 29A

PLM

TEM

NAD

NAD -- -- --

30B 36Basement-

Yellow Mastic Associated with 29B

PLM

TEM

NAD

NAD -- -- --

30C 36Basement-

Yellow Mastic Associated with 29C

PLM

TEM

NAD

NAD -- -- --

31A 36Basement-

9”x9” Beige with Red and Blue Floor Tile

PLM

TEM

Chrysotile 9.4% NA 736 SF Good 4

31B 36Basement-

9”x9” Beige with Red and Blue Floor Tile

PLM

TEM

NA/PS

NA -- -- --

31C 36Basement-

9”x9” Beige with Red and Blue Floor Tile

PLM

TEM

NA/PS

NA -- -- --

32A 36Basement-

Black Mastic Associated with 31A

PLM

TEM

Chrysotile <0.25% Chrysotile 12.3% 736 SF Good 4

32B 36Basement-

Black Mastic Associated with 31B

PLM

TEM

Chrysotile <0.25%

NA/PS -- -- --

32C 36Basement-

Black Mastic Associated with 31C

PLM

TEM

NAD

NA/PS -- -- --

33A 36Basement-

12”x12” Beige with Red Floor Tile

PLM

TEM

Chrysotile 9.9% NA 421 SF Good 4

33B 36Basement-

12”x12” Beige with Red Floor Tile

PLM

TEM

NA/PS

NA -- -- --

33C 36Basement-

12”x12” Beige with Red Floor Tile

PLM

TEM

NA/PS

NA -- -- --

34A 36Basement-

Yellow Mastic Associated with 33A

PLM

TEM

NAD

Chrysotile Trace -- -- --

34B 36Basement-

Yellow Mastic Associated with 33B

PLM

TEM

NAD

Chrysotile Trace -- -- --

34C 36Basement-

Yellow Mastic Associated with 33C

PLM

TEM

NAD

Chrysotile Trace -- -- --

35A 36Basement-

12”x12” Brown with Brown Floor Tile

PLM

TEM

Chrysotile 1.5% NA 1,005 SF Good 4

35B 36Basement-

12”x12” Brown with Brown Floor Tile

PLM

TEM

NA/PS

NA -- -- --

35C 36Basement-

12”x12” Brown with Brown Floor Tile

PLM

TEM

NA/PS

NA -- -- --

36A 36Basement-

12”x12” Beige with Beige Floor Tile

PLM

TEM

Chrysotile <0.25% Chrysotile 2.7 % 1,005 SF Good 4

36B 36Basement-

12”x12” Beige with Beige Floor Tile

PLM

TEM

Chrysotile <0.25%

NA/PS -- -- --

36C 36Basement-

12”x12” Beige with Beige Floor Tile

PLM

TEM

Chrysotile <0.25%

NA/PS -- -- --

37A 36Basement-

12”x12” Red with White Floor Tile

PLM

TEM

Chrysotile 2.2% NA 1,005 SF Good 4

©2010, Mabbett & Associates, Inc. Page 6 of 7 Vol II Survey Rpt Canadaigua Bldg-36 (11-16-10)

Table 3 - Summary of ACM Building Results Canandaigua VA Medical Center, Building 36

Sample No.

Sample Location** Building

Floor-Room# Description of Material Percent and Type of

Asbestos Estimated Quantity Condition

VISN 2

Risk

Hazard Category

1-4*

37B 36Basement-

12”x12” Red with White Floor Tile

PLM

TEM

NA/PS

NA -- -- --

37C 36Basement-

12”x12” Red with White Floor Tile

PLM

TEM

NA/PS

NA -- -- --

38A 36Basement-

12”x12” Blue with Blue and White Floor Tile

PLM

TEM

NAD

NAD -- -- --

38B 36Basement-

12”x12” Blue with Blue and White Floor Tile

PLM

TEM

NAD

NAD -- -- --

38C 36Basement-

12”x12” Blue with Blue and White Floor Tile

PLM

TEM

NAD

NAD -- -- --

39A 36B-227E Green with Beige and Brown Linoleum

PLM

TEM

Chrysotile 5.6% NA 400 SF Good 4

39B 36B-227D Green with Beige and Brown Linoleum

PLM

TEM

NA/PS

NA -- -- --

39C 36B-227D Green with Beige and Brown Linoleum

PLM

TEM

NA/PS

NA -- -- --

40A 36B-227E Yellow Mastic Below 39A PLM

TEM

Chrysotile 12.7% NA 400 SF Good 4

40B 36B-227D Yellow Mastic Below 39B PLM

TEM

NA/PS

NA -- -- --

40C 36B-227D Yellow Mastic Below 39C PLM

TEM

NA/PS

NA -- -- --

41A 36Ext-West Side Gray Expansion Joint Caulk PLM

TEM

NAD

NAD -- -- --

41B 36Ext- West Side Gray Expansion Joint Caulk PLM

TEM

NAD

NAD -- -- --

41C 36Ext- West Side Gray Expansion Joint Caulk PLM

TEM

NAD

NAD -- -- --

42A 36Ext-Adj.

Room 24 Gray Concrete Border Caulk PLM

TEM

NAD

NAD -- -- --

42B 36Ext-Adj.

Room 15A Gray Concrete Border Caulk PLM

TEM

NAD

NAD -- -- --

42C 36Ext-

Adjacent Room 5B

Gray Concrete Border Caulk PLM

TEM

NAD

NAD -- -- --

43A 36Ext-Adj.

Room 15A Gray 1.5’x1.5’ Louvre Caulk PLM

TEM

NAD

Anthophyllite Trace -- -- --

43B 36Ext- Adj.

Room 15A Gray 1.5’x1.5’ Louvre Caulk PLM

TEM

NAD

NAD -- -- --

44A 36Ext-Adj.

Room 27 Gray Window Caulk PLM

TEM

NAD

NAD -- -- --

44B 36Ext-Adj.

Room 44B Gray Window Caulk PLM

TEM

©2010, Mabbett & Associates, Inc. Page 7 of 7 Vol II Survey Rpt Canadaigua Bldg-36 (11-16-10)

Table 3 - Summary of ACM Building Results Canandaigua VA Medical Center, Building 36

Sample No.

Sample Location** Building

Floor-Room# Description of Material Percent and Type of

Asbestos Estimated Quantity Condition

VISN 2

Risk

Hazard Category

1-4*

44C 36Ext-Adj.

Room 13 Gray Window Caulk PLM

TEM

NAD

NAD -- -- --

45A 36Ext-Adj.

SB-2 Gray Door Caulk PLM

TEM

NAD

NAD -- -- --

45B 36Ext-Adj.

Room 1 Gray Door Caulk PLM

TEM

NAD

NAD -- -- --

45C 36Ext-

Adjacent SB-

Gray Door Caulk PLM

TEM

NAD

NAD -- -- --

46A 36Basement- 007 Window Glazing PLM

TEM

NAD

Anthophyllite <1.0% -- -- --

46B 36Basement- 5C Window Glazing PLM

TEM

NAD

Anthophyllite <1.0% -- -- --

46C 36Basement- CB-2 Window Glazing PLM

TEM

NAD

Anthophyllite Trace -- -- --

Footnotes:

SF – Square Feet LF – Linear Feet ea – Each ** For Example Sample location “1A – 139” would represent “Building 1, Floor A, Room 139” and Sample location “1 Basement – SBX4” would represent “Building 1, Basement, Room/Corridor SBX4”.

NA – Not Analyzed NAD – No Asbestos Detected NA/PS – Not Analyzed/ Positive Stop PLM – Polarized Light Microscopy TEM – Transmission Electron Microscopy