36C24718R0050-0006001.pdf

Building 1 Hazmat Report

Asbestos-Containing Building Materials

Preliminary Survey Report

Of

Ralph H. Johnson Veterans Affairs Medical

Center Charleston, South Carolina

Prepared For:

Ralph H. Johnson Veterans Affairs Medical Center

109 Bee Street

Charleston, South Carolina

Asbestos Inspection Submitted By:

Report Date: 21 DEC 2015

Charles J. Fairchild, Asbestos Inspector

South Carolina DHEC Inspector License #BI-01411

766 Middle Street / Fairhope, Alabama 36532 /phone (251)990-5778 / fax (251)990-3716

BES DESIGN/BUILD LLC. i November 18, 2015

Executive Summary

BES Design/Build, LLC (BES) conducted an asbestos containing building materials (ACBM) survey/inventory at the Ralph H. Johnson Veterans Affairs Medical Center facility located at 109 Bee

Street, Charleston, South Carolina. The purpose of the survey was to develop a comprehensive document for the facility to support the on-going maintenance and operations of the facility.

The presence of asbestos (greater than 1%) was detected in thirty (30) materials identified as homogeneous during the field work for this survey. Some of the homogeneous materials may be combined after further field investigation and laboratory analysis. The following list summarizes the homogenous materials found or assumed to be asbestos containing building materials (ACBM) during the initial and follow-up sampling of materials. For a detailed listing of ACBM results and locations, please refer to Section 6.

• Mastic (Black) - associated with various types of flooring throughout the facility

• 12x12 Vinyl Floor Tile – various locations in the facility

• 9x9 Floor Tile – various locations in the facility

• Thermal System Insulation – pipe fitting/elbow insulation materials

• Mastic (Reddish Brown) – pliable mastic applied to HVAC duct seams

• Mastic (Tan) – applied to HVAC duct insulation seams

• Mastic (Black) – applied to HVAC duct insulation seams

• Mastic (Black) – applied to fiberglass pipe insulation elbows

• Transite Pipe – located in several locations above the ceilings and in vertical pipe chases

• Mastic (Black) – located on the transite pipe in the coupling seams

• Spray Applied Coating (cream)– bottom of laboratory sink (Rm C104A)

• Thermal System Insulation – mudded insulation applied to large HVAC duct (COR 1D3)

• Mastic (Black) – applied to wall near floor (Rm. B352)

• Mastic (Black) – applied to pipe insulation (crawlspace)

• Surfacing Material (White) – skim coat applied to plaster (Rm G106)

The following suspect building materials were not included in the survey and shall be assumed to be

ACBMs until proven otherwise:

Pipe Fitting/Elbow Insulation (mudded and formed) located in the 6 th Floor mechanical penthouse (Rm

A601 & A601A) – assumption based upon several positive samples from prior asbestos surveys and the materials being in place and labeled as ACM at the time of the visual inspection.

HVAC duct Insulation located in 6 th Floor mechanical room penthouse (Rm A602) - assumption based upon several positive samples from prior asbestos surveys and the materials being in place at the time of the visual inspection.

BES DESIGN/BUILD LLC. i November 18, 2015

Table of Contents

Executive Summary ....................................................................................................................................... i

1.0 Introduction

2.0 Relevant Asbestos Regulations and Acronyms

3.0 Accreditation Credentials

4.0 Site Description

5.0 Asbestos-Containing Materials (ACBMs) Survey Methodology

6.0 Inspection Findings

7.0 Disclaimer

List of Tables

Table 5.2.1: Bulk Sampling Protocol

Table 6.1.2: Suspect Asbestos Bulk Sample Log

Table 6.2.3: Homogenous Materials Summary

Appendices

Appendix A: Accreditations

Appendix B: Asbestos Certificate of Analysis

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1.0 Introduction

BES Design/Build, LLC (BES) was retained by the Ralph H. Johnson Veterans Affairs Medical Center to conduct an Asbestos-Containing Building Materials Survey of the facility located at 109 Bee Street, Charleston, South Carolina.

The scope of work included:

1) Visual identification and physical assessment of suspect ACBM;

2) Bulk sampling and analysis of suspect ACBM;

3) Generalized inventory and quantification of ACBM;

4) Preparation of drawings denoting sampling location and identifying ACBM presence;

5) Generation of this report documenting the findings.

2.0 Relevant Asbestos Regulations and Acronyms

Asbestos Regulations

1) 40 CFR 763: Environmental Protection Agency (EPA); Code of Federal Regulation (CFR); Part

763 – Asbestos; Appendix E Sub Part E – Hazard Emergency Response Act (AHERA)

Regulation

2) 29 CFR -1926.1101: Occupational Safety and Health Administration (OSHA), Code of Federal

Regulation (CFR); Asbestos Standard for the Construction Industry

3) South Carolina Department of Health and Environmental Control, Bureau of Air Quality, Regulation 61-86.1 Standards of Performance for Asbestos Projects

4) VA Asbestos Management Protocol: Department of Veterans Affairs, Veterans Health

Administration (VHA), Asbestos Management Program (VHA Directive #2010-036)

Lists of Acronyms

ACBM Asbestos-Containing Building Materials

BES BES Design/Build, LLC

C Chrysotile Asbestos

CAVAHS Central Arkansas Veterans Affairs Healthcare System

EA Each

Homo Homogeneous Material

LF Linear Foot or Linear Feet

NAD No Asbestos Detected

NESHAP National Emission Standards for Hazardous Air Pollutants

NVLAP National Voluntary Laboratory Accreditation Program

N/A Not Applicable

ODL Oklahoma Department of Labor

O&M Operation and Maintenance

PLM Polarized Light Microscopy

PS Positive Stop

SCDHEC South Carolina Department of Health and Environmental Control

SF Square Foot or Square Feet

TEM Transmission Electron Microscopy

TSI Thermal System Insulation TR Trace

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3.0 Accreditation Credentials

Company, Staff and Laboratory Credentials

Inspector

Charles J. Fairchild SCDHEC License #BI-01411 Expiration Date: 12/02/2016

Mike Underhill SCDHEC License #BI-00223 Expiration Date: 01/21/2016

Laboratory

SanAir Technologies Laboratory, Inc. NVLAP Lab Code: 200870-0 Expiration Date: 3/31/2016

The copies of the accreditation certificates and licenses are included in Appendix A.

4.0 Site Description

The Medical Center which encompasses approximately 480,000 square feet, on five (5) floors, the facility has several mechanical rooms/areas and smaller penthouses, and a full crawlspace. The original structure was constructed in 1957-1958, with many additions and alterations having occurred to the facility.

5.0 Asbestos-Containing Materials (ACBMs) Survey Methodology

BES’s accredited asbestos inspector, Charles Fairchild, supported by contracted inspector, Mike Underhill conducted the ACBM survey of the subject building. The scope of work included a review of the historical data provided by the VA, visual evaluation of potential ACBM’s in the specified project areas, and collection of bulk samples for analysis. The following sections describe the methodology used during the asbestos inspection.

5.1 Visual Inspection and Assessment of Asbestos Containing Materials

A visual inspection of the friable and non-friable known or assumed asbestos containing building materials (ACBM) for the subject site was performed. BES located and listed all homogenous areas of material that are suspected to contain asbestos which were located on or near the specified fan coil units on the basement, fifth, seventh, eight and tenth floors and which may be impacted by the project. The materials suspected of containing asbestos were categorized as one of the following three types:

• Thermal System Insulations (TSI): The building materials applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss or gain such as insulation wrapped on ducts or pipes.

• Surfacing Materials: The building materials that are sprayed-on, troweled-on, or otherwise applied to surfaces such as ceiling plaster or sprayed-on fireproofing.

• Miscellaneous Materials: The building materials on structural components that do not include surfacing material or TSI such as floor tiles or ceiling tiles.

A physical assessment of the suspect material was performed and the suspect material was placed in one of the three categories based on visual inspection.

• Good (No Damage): These are the materials which are intact and in good condition.

• Fair (Damaged): These materials correspond to the damaged categories in the 40 CFR 763.88

AHERA Rule.

• Poor (Significantly Damaged): These materials correspond to the significantly damaged categories in the 40 CFR 763.88 AHERA Rule.

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5.2 Methodology of Sampling and Analysis

Bulk Sampling Protocol

For each suspect homogeneous material, bulk samples were collected for analysis in general accordance with 40 CFR 763.86 as listed in Table 5.2.1. For some areas and materials that had positive sample results in the historical data and were still in place, BES performed limited confirmatory sampling which consisted of taking one sample of the material for analysis.

Table 5.2.1: Bulk Sampling Protocol

Type Quantity of Material Number of

Samples

Surfacing Material

< 1,000 ft

>1,000 ft ≤ 5,000 ft

<5,000 ft

Thermal System Insulation (TSI) Each Homogenous System 3

Per homogeneous patched area <6 ft

Miscellaneous Material (Friable / Non Friable) Per homogenous area 3

The following suspect building materials were not included in the survey: ceramic tile grout / mastic, chalkboard / tack board mastic, fire curtains, fire doors, interior mechanical and electrical equipment materials (gaskets, lining, insulating rope, packing), paint in mechanical spaces, pipe gaskets, roof flashing and sealants, sub-flooring, lightweight concrete, terrazzo, tectum board, vibration damper / vibration collars on ducts and air handling units, brake shoes, exterior window caulking. Certain building materials above were not sampled due to limited accessibility, avoidance of damage to equipment, or warranty concerns. These materials should either be properly inspected by an South Carolina licensed asbestos inspector or treated as ACBM prior to any disturbance of these materials.

Bulk Sample Collection Method

Bulk samples of the suspect ACBMs were collected using appropriate hand tools that were driven through the suspect material to the substrate in order to obtain a sample containing all discrete layers after misting the sampling area with amended water. The samples were then placed in re-sealable plastic bags and assigned unique identifiers that were recorded on the bags and on the bulk survey sampling sheets.

Sampling tools were cleaned with wet wipes after each sample was collected to minimize contamination.

The sampled location was encapsulated / sealed immediately, if necessary, after sample was collected and the sampled area was cleaned using HEPA vacuum and/or wet wipes.

The suspect asbestos bulk samples collected were submitted, along with a chain-of-custody form to a

NVLAP accredited laboratory to be analyzed by Polarized Light Microscopy (PLM) - EPA 600/R-93/116 method and for the materials identified as having Non-organic binders (NOB) those materials were analyzed by Transmission Electron Microscopy. Soil samples that were collected were analyzed by

Soil/Vermiculite Polarized Light Microscopy (PLM) – EPA 600/R-93/116 method for a positive or negative result at the request of the VA.

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6.0 Inspection Findings

The US Environmental Protection Agency (EPA) defines an asbestos-containing material as "any material containing greater than one percent asbestos as determined using the method specified in appendix A, subpart F, 40 CFR part 763, Section 1, PLM.” For the purposes of this inspection any materials that were identified as “Trace” amounts of ACBM were duly noted in the sample log. All of the asbestos containing materials identified were found to be in “Good” condition.

6.1 Bulk Sampling

A total of Six Hundred Seventy Nine (679) bulk samples were collected during this survey. The results of the analysis of the bulk samples are summarized in Table 6.1.2. The asbestos certificates of analysis are included in Appendix C of this report.

Table 6.1.2: Suspect Asbestos Bulk Sample Log

Sample Number HA ID Material Description Sample Location Result

VAS01 SL-1 SOIL – CRAWLSPACE LOC 1 1-INCH

DEPTH

NAD

VAS-02 SL-1 SOIL -CRAWLSPACE LOC 1 2-INCH

DEPTH

NAD

VAS-03 SL-1 SOIL - CRAWLSPACE LOC 2 1-INCH

DEPTH

NAD

VAS-04 SL-1 SOIL – CRAWLSPACE LOC 2 2-INCH

DEPTH

NAD

VAS-05 SL-1 SOIL - CRAWLSPACE BLOCK B – SOUTH

OF STAIR 1

NAD

VAS-06 SL-1 SOIL- CRAWLSPACE BLOCK D – WEST

OF STAIR 4

NAD

VAS-07 SL-1 SOIL – CRAWLSPACE BLOCK C- WEST OF

STAIR 5

NAD

VAS-08 SL-1 SOIL – CRAWLSPACE BLOCK C – EAST

OF STAIR 5

NAD

VAS-09 SL-1 SOIL – CRAWLSPACE BLOCK A – NORTH

OF STAIR 8

NAD

VA-01-01 12X12 FT (OFF WHITE) COR2AA1 NAD

VA-01-02 12X12 FT (OFF-WHITE) AA216 NAD

VA-01-03 12X12 FT (OFF-WHITE) AA209 NAD/TEM

VA-02-01 MASTIC (BLACK) CORR 2AA1 NAD

VA-02-02 MASTIC (BLACK) AA216 NAD

VA-02-03 MASTIC (BLACK) AA209 NAD/TEM

VA-03-01 COVE BASE (TAN) CORR 2AA1 NAD

VA-03-02 COVE BASE (TAN) AA216 NAD

VA-03-03 COVE BASE (TAN) CORR 2AA2 NAD/TEM

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Sample Number HA ID Material Description Sample Location Result

VA-04-01 MASTIC COVE BASE

(YELLOW)

COR2AA1 NAD

VA-04-02 MASTIC COVE BASE

(YELLOW)

AA216 NAD

VA-04-03 MASTIC COVE BASE W/03-

03 (YELLOW)

CORR 2AA2 NAD/TEM

VA-05-01 CT 2X2 (WHITE) COR2AA1 NAD

VA-05-02 CT 2X2 (WHITE) CORR 2AA3 NAD

VA-05-03 CT 2X2 (WHITE) CORR 2AA2 NAD

VA-06-01 SHEETROCK (WHITE) CORR 2AA1 NAD

VA-06-02 SHEETROCK W/PAPER

PACKING (WHITE)

CORR 2AA3 NAD

VA-06-03 SHEETROCK W/PAPER

BACKING (WHITE)

A244 NAD

ND

LAYER SHEETROCK, PAPER

BACKING (BROWN)

A244 NAD

VA-06-04 SHEETROCK (WHITE) D106H NAD

ND

LAYER SHEETROCK, PAPER

BACKING (BROWN)

---- NAD

VA-06-05 SHEETROCK (WHITE) D109E NAD

ND

LAYER SHEETROCK PAPER

BACKING (BROWN)

---- NAD

VA-06-06 SHEETROCK (WHITE) A131 NAD

ND

LAYER SHEETROCK PAPER

BACKING (BROWN)

---- NAD

VA-06-07 SHEETROCK (WHITE) COR1A6 NAD

ND

LAYER SHEETROCK PAPER

BACKING (BROWN)

---- NAD

VA-06-08 SHEETROCK (WHITE) COR2BB4 NAD

VA-06-09 SHEETROCK (WHITE) COR2BB1 NAD

ND

LAYER SHEETROCK PAPER

BACKING (BROWN)

---- NAD

VA-07-01 JOINT COMPOUND (WHITE) COR2AA1 NAD

VA-07-02 JOINT COMPOUND (WHITE) CORR 2AA3 NAD

VA-07-03 JOINT COMPOUND (WHITE) A244 NAD

VA-07-04 JOINT COMPOUND (WHITE) D106H NAD

VA-07-05 JOINT COMPOUND (WHITE) D109E NAD

VA-07-06 JOINT COMPOUND (WHITE) NAD

VA-07-07 JOINT COMPOUND (WHITE) COR1A6 NAD

VA-07-08 JOINT COMPOUND (WHITE) COR2BB4 NAD

VA-07-09 JOINT COMPOUND (WHITE) COR2BB1 NAD

VA-08-01 CAULKING FIRESTOP (RED) CORR 2AA1 NAD

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Sample Number HA ID Material Description Sample Location Result

VA-08-02 CAULK FIRESTOP (RED) CORR 2AA5 NAD

VA-08-03 CAULK FIRESTOP (RED) CORR 2AA2 NAD

VA-08-03 CAULK FIRESTOP (RED) CORR 2AA2 NAD/TEM

VA-09-01 MASTIC PIPE INSULATION

JOINT SEALANT (OFF-

WHITE)

NAD

VA-09-02 MASTIC PIPE INSULATION

JOINT SEALANT (OFF-

WHITE)

CORR 2AA5 NAD

VA-09-03 MASTIC PIPE INSULATION

JOINT SEALANT (OFF-

WHITE)

CORR 2AA2 NAD/TEM

VA-09-04 MASTIC PIPE INSULATION

JOINT SEALANT (OFF-

WHITE)

B338 NAD

VA-10-01 12X12 FT (GREY) AA229 NAD

VA-10-02 12X12 FT (GREY) HALLWAY TO

AA231

NAD

VA-10-03 12X12 FT (GREY) HALLWAY TO

AA231

NAD/TEM

VA-11-01 12X12 FT (BEIGE) HALLWAY TO

AA231

NAD

VA-11-02 12X12 FT (BEIGE) COR2AA2 NAD

VA-11-03 12X12 FT (BEIGE) COR2AA2 AT STAIR

1 DOOR

NAD/TEM

VA-12-01 MASTIC (YELLOW) AA237 NAD

VA-12-02 MASTIC (YELLOW) HALLWAY TO

AA231

NAD

VA-12-03 MASTIC (YELLOW) AA237 NAD/TEM

VA-13-01 12X12 FT (BLACK) COR2AA2 NAD

VA-13-02 12X12 FT (BLACK) COR2AA2 NAD

VA-13-03 12X12 FT (BLACK) CORR 2AA2 NAD/TEM

VA-14-01 12X12 FT (GREEN) AA237 NAD

VA-14-02 12X12 FT (GREEN) COR2AA2 NAD

VA-14-03 12X12 FT (GREEN) COR2AA2 NAD/TEM

VA-15-01 THRESHOLD MATERIAL

(BLACK)

A244 NAD

VA-15-02 THRESHOLD MATERIAL

(BLACK)

AA222 NAD

VA-15-03 THRESHOLD MATERIAL

(BLACK)

A131 NAD

VA-15-04 THRESHOLD MATERIAL

(BLACK)

NAD/TEM

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Sample Number HA ID Material Description Sample Location Result

VA-16-01 COVE BASE MATERIAL

(TAN)

A244 NAD

VA-16-02 COVE BASE MATERIAL

(TAN)

A244 NAD

VA-16-03 COVE BASE MATERIAL

(TAN)

A244 NAD/TEM

VA-17-01 2X2 CEILING TILE (GREY) A244 NAD

VA-17-02 2X2 CEILING TILE (GREY) A244 NAD

VA-17-03 2X2 CEILING TILE (GREY) A244 NAD

VA-18-01 MASTIC COVE BASE

(YELLOW)

A244 NAD

VA-18-02 MASTIC COVE BASE

(YELLOW)

A244 NAD

VA-18-03 MASTIC COVE BASE

(YELLOW)

A244 NAD/TEM

VA-19-01 FLOORING – VINYL

(BROWN)

A244 NAD

VA-19-02 FLOORING – VINYL

(BROWN)

A244 NAD

VA-19-03 FLOORING – VINYL

(BROWN)

A244 NAD/TEM

VA-20-01 FLOOR TILE (GREY) D110 NAD

VA-20-02 FLOOR TILE (GREY) D106B NAD

VA-20-03 FLOOR TILE (VINYL)

(GREY)

D121 NAD/TEM

VA-21-01 THRESHOLD MATERIAL

(GREY)

D113 NAD

VA-21-02 THRESHOLD MATERIAL

(GREY)

D124 NAD

VA-21-03 THRESHOLD MATERIAL

(GREY)

D106H NAD/TEM

VA-22-01 MASTIC (YELLOW) D113 NAD

VA-22-02 MASTIC (YELLOW) D126 NAD/TEM

VA-22-03 MASTIC (YELLOW) D106H NAD

ND

LAYER MASTIC (GREY) ---- NAD

VA-23-01 PLASTER (GREY) B136 NAD

ND

LAYER SKIMCOAT (WHITE) ---- NAD

VA-23-02 PLASTER (GREY) B137 NAD

ND

LAYER SKIMCOAT (WHITE) ---- NAD

VA-23-03 PLASTER (GREY) B137 NAD

ND

LAYER SKIMCOAT (WHITE) ---- NAD

VA-24-01 2X2 CEILING TILE (WHITE) B137 NAD

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Sample Number HA ID Material Description Sample Location Result

ND

LAYER 2X2 CEILING TILE

BACKING (WHITE)

---- NAD

VA-24-02 2X2 CEILING TILE (WHITE) B137 NAD

ND

LAYER 2X2 CEILING TILE

BACKING (WHITE)

---- NAD

VA-24-03 2X2 CEILING TILE (WHITE) B137 NAD

ND

LAYER 2X2 CEILING TILE

BACKING (WHITE)

---- NAD

VA-25-01 CAULKING (WHITE) B136 NAD

VA-25-02 CAULKING (WHITE) B136 NAD/TEM

VA-25-03 CAULKING (WHITE) B136 NAD

VA-26-01 2X2 CEILING TILE (GYPSUM

BOARD) (GREY)

D103A NAD

VA-26-02 2X2 CEILING TILE (GYPSUM

BOARD) (GREY)

D103B NAD

VA-26-03 2X2 CEILING TILE (GYPSUM

BOARD) (GREY)

D109E NAD

VA-27-01 12X12 FT (WHITE) D103A NAD

VA-27-02 12X12 FT (WHITE D109E NAD

VA-27-03 12X12 FT (WHITE) D109E NAD/TEM

VA-28-01 12X12 FT (GREEN) D109E NAD

VA-28-02 12X12 FT (GREEN) D109E NAD

VA-28-03 12X12 FT (GREEN) D109E NAD

VA-29-01 MASTIC (BLACK) D109E NAD

VA-29-02 MASTIC (BLACK) D109E NAD

VA-29-03 MASTIC (BLACK) D109E NAD

VA-30-01 MASTIC (YELLOW) W/27-01 D103A NAD

VA-30-02 MASTIC (YELLOW) W/27-02 D109E NAD

VA-30-03 MASTIC (YELLOW) W/27-03 D109ED103A NAD

VA-31-01 CEILING TILE (WHITE) B152 NAD

VA-31-02 CEILING TILE (WHITE) B152 NAD

VA-31-03 CEILING TILE (WHITE) CC118 NAD

VA-32-01 MASTIC (TAN) CC 119 NAD

VA-32-02 MASTIC (TAN) CC119 NAD

VA-32-03 MASTIC (TAN) CC119 NAD

VA-33-01 FLOOR TILE (PINK) CC119 NAD

VA-33-02 FLOOR TILE (PINK) ---- NAD

VA-33-03 FLOOR TILE (PINK) ---- NAD

VA-34-01 MASTIC (TAN) CC119 NAD

VA-34-02 MASTIC (TAN) ---- NAD

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Sample Number HA ID Material Description Sample Location Result

VA-34-03 MASTIC (TAN) ---- NAD

VA-35-01 FLOOR TILE (GREY) CC119 NAD

VA-35-02 FLOOR TILE (GREY) ---- NAD

VA-35-03 FLOOR TILE (GREY) ---- NAD

VA-36-01 PLASTER AND SKIM COAT,

PLASTER (GREY)

G106 NAD

ND

LAYER SKIM COAT (WHITE) ---- 3%

VA-36-02 PLASTER (GRAY) G106 NAD

ND

LAYER SKIM COAT (WHITE) ---- PS/NOT

ANALYZED

VA-36-03 PLASTER (GRAY) G106 NAD

ND

LAYER SKIM COAT (WHITE) ---- PS/NOT

ANALYZED

ND

LAYER PLASTER (GRAY) G106 NAD

VA-37-01 CEILING TILE (WHITE) G111 NAD

VA-37-02 CEILING TILE (WHITE) G111 NAD

VA-37-03 CEILING TILE (WHITE) G111 NAD

VA-38-01 FLOORING – SHEET VINYL

W/FIBER BACKING (GREY)

A131 NAD

VA-38-02 FLOORING – SHEET VINYL

W/FIBER BACKING (GREY)

COR 1A7 NAD

VA-38-03 FLOORING – SHEET VINYL

W/FIBER BACKING (GREY)

COR 1A7 NAD/TEM

VA-39-01 FLOORING – SHEET VINYL

W/FIBER BACKING (GREY)

A169B NAD

VA-39-02 FLOORING – SHEET VINYL

W/FIBER BACKING (GREY)

VEST 9 – 1

ST

FLOOR NAD

VA-39-03 FLOORING – SHEET VINYL

W/FIBER BACKING (GREY)

COR1A8 NAD/TEM

VA-40-01 MASTIC (YELLOW) A131 NAD

VA-40-02 MASTIC (YELLOW) COR1A7 NAD

VA-40-03 MASTIC (YELLOW) COR1A7 NAD/TEM

VA-41-01 PLASTER (GREY) COR1A3 Wall NAD

ND

LAYER SKIM COAT (WHITE) ---- NAD

VA-41-02 PLASTER (GREY) VEST 9 – 1

ST

FLOOR NAD

ND

LAYER SKIM COAT (WHITE) ---- NAD

VA-41-03 PLASTER (GREY) COR1A6 Wall NAD

ND

LAYER SKIM COAT (WHITE) NAD

VA-41-04 PLASTER (GREY) COR1A2 Wall NAD

ND

LAYER SKIM COAT (WHITE) ---- NAD

VA-41-05 PLASTER (GREY) COR1A2 Wall NAD

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Sample Number HA ID Material Description Sample Location Result

ND

LAYER SKIM COAT (WHITE) ---- NAD

VA-41-06 PLASTER (GREY) B225 NAD

ND

LAYER SKIM COAT (WHITE) ---- NAD

VA-42-01 FLOORING – SHEET VINYL

W/FIBER BACKING (TAN)

A128A NAD

VA-42-02 FLOORING – SHEET VINYL

W/FIBER BACKING (TAN)

COR1A5 NAD

VA-42-03 FLOORING – SHEET VINYL

W/FIBER BACKING (TAN)

COR1A5 NAD/TEM

VA-43-01 FLOORING – SHEET VINYL

W/FIBER BACKING

(BLACK)

VEST 9 – 1

ST

FLOOR NAD

VA-43-02 FLOORING – SHEET VINYL

W/FIBER BACKING

(BLACK)

COR1A4 NAD

VA-43-03 FLOORING – SHEET VINYL

W/FIBER BACKING

(BLACK)

VEST 9 – 1

ST

FLOOR NAD/TEM

VA-44-01 2X2 CEILING TILE (WHITE) COR2BB4 NAD

VA-44-02 2X2 CEILING TILE (WHITE) BB230 NAD

VA-44-03 2X2 CEILING TILE (WHITE) COR2BB4 NAD

VA-45-01 MASTIC – HVAC DUCT

(GREY)

A155 NAD

VA-45-02 MASTIC – HVAC DUCT

(GREY)

COR2BB4 NAD/TEM

VA-45-03 MASTIC – HVAC DUCT

(GREY)

COR2BB4 NAD

VA-45-04 MASTIC – HVAC DUCT

(GREY)

RM A155 NAD

VA-46-01 3X3 FT VINYL (GREY) CORR 2BB3 NAD

VA-46-02 3X3 FT VINYL (GREY) CORR 2BB3 NAD

VA-46-03 3X3 FT VINYL (GREY) CORR 2BB3 NAD/TEM

VA-47-01 MASTIC (BLACK) CORR 2BB3 NAD

ND

LAYER MASTIC, COMPOUND

(GREY)

---- NAD

VA-47-02 MASTIC (BLACK) CORR 2BB3 NAD

ND

LAYER MASTIC, COMPOUND

(GREY)

---- NAD

VA-47-03 MASTIC (BLACK) CORR 2BB3 NAD

ND

LAYER MASTIC, COMPOUND

(GREY)

---- NAD

VA-47-04 MASTIC (BLACK) RM B226

DOORWAY

NAD

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Sample Number HA ID Material Description Sample Location Result

ND

LAYER MASTIC, COMPOUND

(GREY)

---- NAD

VA-47-05 MASTIC (BLACK) STAIRS #5

LANDING

NAD/TEM

ND

LAYER MASTIC , COMPOUND

(GREY)

---- NAD/TEM

VA-48-01 12X12 FT (GREY) BB215 NAD

VA-48-02 12X12 FT (GREY) COR2BB1 NAD

VA-48-03 12X12 FT (GREY) COR2BB1 NAD/TEM

VA-49-01 MASTIC (BLACK) BB215 NAD

ND

LAYER MASTIC, COMPOUND

(GREY)

---- NAD

VA-49-02 MASTIC (BLACK) BB215 NAD

ND

LAYER MASTIC, COMPOUND

(GREY)

---- NAD

VA-49-03 MASTIC (BLACK) COR2BB1 NAD

ND

LAYER MASTIC, COMPOUND

(GREY)

---- NAD

VA-49-04 MASTIC (BLACK) BB216 NAD/TEM

ND

LAYER MASTIC, COMPOUND

(GREY)

---- NAD/TEM

VA-50-01 12X12 FT (GREY) COR2BB1 NAD

VA-50-02 12X12 FT (GREY) COR2BB1 NAD

VA-50-03 12X12 FT (GREY) COR2BB1 NAD/TEM

VA-51-01 12X12 FT (GREY) BB211E (CHEM

LAB)

NAD

VA-51-02 12X12 FT (GREY) BB211E (CHEM

LAB)

NAD

VA-51-03 12X12 FT (GREY) BB211E (CHEM

LAB)

NAD/TEM

VA-52-01 MASTIC UNDER 51-01,

MASTIC (BLACK)

BB211E (CHEM

LAB)

NAD

ND

LAYER MASTIC UNDER 51-01,

COMPOUND (GREY)

---- NAD

VA-52-02 MASTIC UNDER 51-02,

MASTIC (BLACK)

BB211E (CHEM

LAB)

NAD

ND

LAYER MASTIC UNDER 51-02,

COMPOUND (GREY)

---- NAD

VA-52-03 MASTIC UNDER 51-03,

MASTIC (BLACK)

BB211E (CHEM

LAB)

NAD/TEM

2ND LAYER MASTIC UNDER 51-03

COMPOUND (GREY)

---- NAD/TEM

VA-53-01A 12X12 FT (GREEN) B243 NAD

Ralph H. Johnson Veterans Affairs Medical Center ACBM Survey Report

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Sample Number HA ID Material Description Sample Location Result

VA-53-01B FLOOR TILE 2

ND

LAYER

(TAN)

B243 NAD

VA-53-02A 12X12 FT (GREEN) B243 NAD

VA-53-02B FLOOR TILE 2

ND

LAYER

(TAN)

B243 NAD/TEM

VA-53-03A 12X12 FT (GREEN) B243 NAD

VA-53-03B FLOOR TILE 2

ND

LAYER

(TAN)

B243 NAD

VA-54-01B MASTIC (YELLOW) B243 NAD

ND

LAYER MASTIC (BLACK) ---- NAD

VA-54-02B MASTIC (YELLOW) B243 NAD

ND

LAYER MASTIC (BLACK) ---- NAD

VA-54-03A MASTIC (YELLOW) B243 NAD

ND

LAYER MASTIC (BLACK) ---- NAD/TEM

VA-54-03B MASTIC (YELLOW) B243 NAD

ND

LAYER MASTIC (BLACK) ---- NAD/TEM

VA-55-01 12X12 FT FLOOR TILE

(BLUE)

COR2CC1 NAD

ND

LAYER MASTIC (YELLOW) ---- NAD

VA-55-02 12X12 FT FLOOR TILE

(BLUE)

COR2CC1 NAD

ND

LAYER MASTIC (YELLOW) ---- NAD

VA-55-03 12X12 FT FLOOR TILE

(BLUE)

COR2CC1 NAD/TEM

ND

LAYER MASTIC (YELLOW) ---- NAD/TEM

VA-56-01 COVE BASE (GREY) CORR 2CC4 NAD/TEM

ND

LAYER COVE BASE MASTIC

(YELLOW)

---- NAD/TEM

VA-56-02 COVE BASE W/MASTIC,

COVE BASE (GREY)

CORR 2CC2 NAD

ND

LAYER COVE BASE MASTIC

(YELLOW)

---- NAD

VA-56-03 COVE BASE W/MASTIC,

COVE BASE (GREY)

CORR 2CC1 NAD

ND

LAYER MASTIC (YELLOW) ---- NAD

VA-57-01 FELT PAPER VAPOR

BARRIOR (BLACK)

B225 NAD

VA-57-02 FELT PAPER VAPOR

BARRIOR (BLACK)

B225 NAD

VA-57-03 FELT PAPER VAPOR

BARRIER (BLACK)

B225 NAD

VA-58-01 12X12 FT (OFF-WHITE) COR2D6 NAD

Ralph H. Johnson Veterans Affairs Medical Center ACBM Survey Report

BES DESIGN/BUILD LLC. Page-13 November 18, 2015

Sample Number HA ID Material Description Sample Location Result

VA-58-02 12X12 FT (OFF-WHITE) COR2D6 NAD

VA-58-03 12X12 FT (OFF-WHITE) COR2D6 NAD/TEM

VA-59-01 12X12 FT (PINK) COR2D4 NAD/TEM

VA-59-02 12X12 FT (PINK) COR2D4 NAD

VA-59-03 12X12 FT (PINK) COR2D4 NAD

VA-60-01 DOORWAY THRESHOLD

MATERIAL (MAUVE)

COR2D4 (RAMP) NAD/TEM

VA-60-02 DOORWAY THRESHOLD

MATERIAL (MAUVE)

COR2D4 (RAMP) NAD

VA-60-03 DOORWAY THRESHOLD

MATERIAL (MAUVE)

COR2D4 (RAMP) NAD

VA-61-01 COVE BASE (PINK) COR2D3 NAD

VA-61-02 COVE BASE (PINK) COR2D4 NAD

VA-61-03 COVE BASE (PINK) COR2D4 NAD/TEM

VA-62-01 MASTIC COVE BASE

(YELLOW) W/61-01

COR2D3 NAD

VA-62-02 MASTIC COVE BASE

(YELLOW) W/61-02

COR2D4 NAD

VA-62-03 MASTIC COVE BASE

(YELLOW) W/62-03

COR2D4 NAD/TEM

VA-63-01 MASTIC (YELLOW) W/59-01 COR2D4 NAD/TEM

VA-63-02 MASTIC (YELLOW) W/59-02 COR2D4 NAD

VA-63-03 MASTIC (YELLOW) W/59-03 COR2D4 NAD

VA-64-01 FLOORING – SHEET VINYL

(PURPLE)

COR2D2 NAD

VA-64-02 FLOORING – SHEET VINYL

(PURPLE)

COR2D2 NAD/TEM

VA-64-03 FLOORING – SHEET VINYL

(PURPLE)

COR2D2 NAD

VA-65-01 MASTIC (TAN) W/64-01 COR2D2 NAD

ND

LAYER LEVELING COMPOUND

(GREY) W/64-01

---- NAD

VA-65-02 MASTIC (TAN) W/64-02 COR2D2 NAD/TEM

ND

LAYER LEVELING COMPOUND

(GREY) W/64-02

---- NAD/TEM

VA-65-03 MASTIC (TAN) W/64-03 COR2D2 NAD

ND

LAYER LEVELING COMPOUND

(GREY) W/64-03

---- NAD

VA-66-01 FLOORING – SHEET VINYL

(GREEN)

COR2D2 NAD

VA-66-02 FLOORING – SHEET VINYL

(GREEN)

COR2D2 NAD/TEM

Ralph H. Johnson Veterans Affairs Medical Center ACBM Survey Report

BES DESIGN/BUILD LLC. Page-14 November 18, 2015

Sample Number HA ID Material Description Sample Location Result

VA-66-03 FLOORING – SHEET VINYL

(GREEN)

COR2D2 NAD

VA-67-01 MASTIC (TAN) W/66-01 COR2D2 NAD

ND

LAYER LEVELING COMPOUND

(GREY) W/66-01

---- NAD

VA-67-02 MASTIC (TAN) W/66-02 COR2D2 NAD/TEM

ND

LAYER LEVELING COMPOUND

(GREY) W/66-02

---- NAD

VA-67-03 MASTIC (TAN) W/66-03 COR2D2 NAD

ND

LAYER LEVELING COMPOUND

(GREY) W/66-03

---- NAD

VA-68-01 12X12 FT, FLOOR TILE

(PINK)

F202 NAD/TEM

ND

LAYER MASTIC (TAN) ---- NAD/TEM

VA-68-02 12X12 FT, FLOOR TILE

(PINK)

COR2F2 NAD

ND

LAYER MASTIC (TAN) ---- NAD

VA-68-03 12X12 FT (PINK) COR2F4 NAD

VA-69-01 12X12 FT FLOOR TILE

(AQUA)

F202 NAD/TEM

ND

LAYER MASTIC (TAN) ---- NAD/TEM

VA-69-02 12X12 FT (AQUA) COR2F2 NAD

VA-69-03 12X12 FT (AQUA) COR2F4 NAD

VA-70-01 12X12 FT (OFF-WHITE) F202 NAD/TEM

VA-70-02 12X12 FT (OFF-WHITE) COR2F2 NAD

VA-70-03 12X12 FT (OFF-WHITE) COR2F2 NAD

VA-71-01 MASTIC (YELLOW) W/70-01 F202 NAD

VA-71-02 MASTIC (YELLOW) W/70-02 COR2F2 NAD

VA-71-03 MASTIC (YELLOW) COR2F2 NAD/TEM

VA-72-01 COVE BASE (BROWN) F202 NAD

VA-72-02 COVE BASE (BROWN) COR2F2 NAD

VA-72-03 COVE BASE (BROWN) COR2F2 NAD/TEM

VA-73-01 MASTIC (TAN) COVE BASE

W/72-01

F202 NAD

VA-73-02 MASTIC (TAN) COVE BASE

W/72-02

COR2F2 NAD

VA-73-03 MASTIC COVE BASE W/72-

03 (TAN)

COR2F2 NAD/TEM

VA-74-01 MASTIC HVAC DUCT

INSULATION (TAN)

COR2F1 NAD

VA-74-02 MASTIC HVAC DUCT

INSULATION (TAN)

COR2F4 NAD

Ralph H. Johnson Veterans Affairs Medical Center ACBM Survey Report

BES DESIGN/BUILD LLC. Page-15 November 18, 2015

Sample Number HA ID Material Description Sample Location Result

VA-74-03 MASTIC HVAC DUCT

INSULATION (TAN)

COR2F1 NAD/TEM

VA-75-01 MASTIC HVAC DUCT

INSULATION (WHITE)

COR2F1 NAD

VA-75-02 MASTIC HVAC DUCT

INSULATION (WHITE)

COR2F4 NAD

VA-75-03 MASTIC HVAC DUCT

INSULATION (WHITE)

F202 NAD/TEM

VA-76-01 2X2 CEILING TILE (WHITE) COR2F1 NAD/TEM

VA-76-02 2X2 CEILING TILE (WHITE) COR2F2 NAD

VA-76-03 2X2 CEILING TILE (WHITE) COR2F4 NAD

VA-77-01 JOINT COMPOUND (WHITE) COR2F1 NAD

VA-77-02 JOINT COMPOUND (WHITE) COR2F1 NAD

VA-77-03 JOINT COMPOUND (WHITE) COR2F2 NAD

VA-77-04 JOINT COMPOUND (WHITE) COR2G1 NAD

VA-77-05 JOINT COMPOUND (WHITE) COR2G1 NAD

VA-77-06 JOINT COMPOUND (WHITE) COR2G2 NAD

VA-77-07 JOINT COMPOUND (WHITE) COR2G2 NAD

VA-78-01 SHEETROCK W/PAPER

BACKING, DRYWALL

(GREY)

COR2F1 NAD

VA-78-02 SHEETROCK W/PAPER

BACKING, DRYWALL

(GREY)

COR2F2 NAD

VA-78-03 SHEETROCK W/PAPER

BACKING, DRYWALL

(GREY)

COR2F2 NAD

VA-78-04 SHEETROCK W/PAPER

BACKING, DRYWALL

(GREY)

COR2G2 NAD

VA-78-05 SHEETROCK W/PAPER

BACKING, DRYWALL

(GREY)

COR2G1 NAD

VA-78-06 SHEETROCK W/PAPER

BACKING, DRYWALL

(GREY)

COR2G2 NAD

VA-78-07 SHEETROCK W/PAPER

BACKING, DRYWALL

(GREY)

COR2G2 NAD

VA-79-01 2X2 CEILING TILE (WHITE) COR2G1 NAD

VA-79-02 2X2 CEILING TILE (WHITE) COR2G1 NAD

VA-79-03 2X2 CEILING TILE (WHITE) COR2G2 NAD

VA-80-01 COVE BASE (GREY) COR2G1 NAD

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BES DESIGN/BUILD LLC. Page-16 November 18, 2015

Sample Number HA ID Material Description Sample Location Result

VA-80-02 COVE BASE (GREY) COR2G2 NAD

VA-80-03 COVE BASE (GREY) COR2G2 NAD/TEM

VA-81-01 MASTIC (YELLOW) COVE

BASE W/80-01

COR2G1 NAD

VA-81-02 MASTIC (YELLOW) COVE

BASE W/80-02

COR2G2 NAD

VA-81-03 MASTIC (YELLOW) COVE

BASE W/80-03

COR2G2 NAD/TEM

VA-82-01 MASTIC HVAC DUCT

SEAMS (GREY)

COR2G2 NAD

VA-82-02 MASTIC HVAC DUCT

SEAMS (GREY)

COR2G2 NAD

VA-82-03 MASTIC HVAC DUCT

SEAMS (GREY)

COR2G2 NAD/TEM

VA-83-01 12X12 FT (GREY) COR2G1 NAD

VA-83-02 12X12 FT (GREY) COR2G2 NAD

VA-83-03 12X12 FT (GREY) G203 NAD/TEM

VA-84-01 MASTIC (BLACK) COR2G1 (MECH RM

ENTRANCE)

NAD

ND

LAYER LEVELING COMPOUND,

(GREY)

---- NAD

VA-84-02 MASTIC (BLACK) COR2G1

(ELEVATOR

ENTRANCE)

NAD

ND

LAYER LEVELING COMPOUND

(GREY)

---- NAD

VA-84-03 MASTIC (BLACK) COR2G1

(ELEVATOR

ENTRANCE)

NAD/TEM

ND

LAYER LEVELING COMPOUND

(GREY)

---- NAD/TEM

VA-85-01 3X3 FT VINYL (GREY) COR2E3 NAD

VA-85-02 3X3 FT VINYL (GREY) COR2E5 NAD

VA-85-03 3X3 FT VINYL (GREY) E219 NAD/TEM

VA-86-01 MASTIC (TAN) COR2E3 NAD

ND

LAYER LEVELING COMPOUND

(GREY)

---- NAD

rd

LAYER MASTIC (BLACK) ---- NAD

VA-86-02 MASTIC (TAN) E219 NAD/TEM

ND

LAYER LEVELING COMPOUND,

(GREY)

---- NAD/TEM

RD

LAYER MASTIC (BLACK) ---- NAD/TEM

VA-86-03 MASTIC (TAN) VEST 21 NAD

Ralph H. Johnson Veterans Affairs Medical Center ACBM Survey Report

BES DESIGN/BUILD LLC. Page-17 November 18, 2015

Sample Number HA ID Material Description Sample Location Result

ND

LAYER LEVELING COMPOUND

(GREY)

---- NAD

RD

LAYER MASTIC (BLACK) ---- NAD

VA-87-01 2X2 CEILING TILE (WHITE) COR2E3 NAD

VA-87-02 2X2 CEILING TILE (WHITE) COR2E4 NAD

VA-87-03 2X2 CEILING TILE (WHITE) COR2E5 NAD

VA-88-01 COVE BASE (TAN) E219 NAD

VA-88-02 COVE BASE (TAN) COR2E5 NAD

VA-88-03 COVE BASE (TAN) COR2E3 NAD/TEM

VA-89-01 MASTIC COVE BASE W/88-

01(OFF-WHITE)

E219 NAD

VA-89-02 MASTIC COVE BASE W/88-

01 (OFF-WHITE)

COR2E5 NAD

VA-89-03 MASTIC COVE BASE W/88-

01 (OFF-WHITE)

COR2E3 NAD/TEM

VA-90-01 12X12 FT (GREEN) B527 NAD

VA-90-04 12X12 FT (GREEN) B549B NAD

VA-91-01 MASTIC (BLACK) W/90-01 B527 2%

VA-91-02 MASTIC (BLACK) B528 2%

VA-91-03 MASTIC (BLACK) B568 2%

VA-91-04 MASTIC (BLACK) B567 3%

ND

LAYER MASTIC (YELLOW) B567 NAD

VA-91-05 MASTIC W/93-03 (BLACK) B538 3%

VA-91-06 MASTIC (GREY) STAIR 4 LANDING NAD

ND

LAYER MASTIC (BLACK) ---- <1%

VA-91-07 MASTIC (BLACK) B522 2%

VA-91-08 MASTIC (BLACK) COR5B5 (FIRE EXT

CLOSET)

NAD

VA-91-09 MASTIC (BLACK) A545 3%

VA-91-10 MASTIC (BLACK) A524D 3%

VA-92-01 MASTIC (TAN) UNDER

18X18” VCT

COR5B4 NAD

VA-93-01 12X12 FT (TAN) B568 NAD

VA-93-02 12X12 FT (TAN) B567 NAD/TEM

VA-93-03 12X12 FT (TAN) B538 NAD

VA-94-01 ADHESIVE CARPET

(YELLOW)

B568 NAD

VA-94-02 ADHESIVE CARPET

(YELLOW)

B530 NAD/TEM

VA-95-01 MASTIC HVAC DUCT

INSULATION (WHITE)

B549 NAD

Ralph H. Johnson Veterans Affairs Medical Center ACBM Survey Report

BES DESIGN/BUILD LLC. Page-18 November 18, 2015

Sample Number HA ID Material Description Sample Location Result

VA-95-02 MASTIC HVAC DUCT

INSULATION (WHITE)

COR5B3 NAD

VA-95-03 MASTIC HVAC DUCT

INSULATION (WHITE)

COR5B4 NAD

VA-95-04 MASTIC HVAC DUCT

INSULATION (WHITE)

COR5A4 NAD/TEM

VA-95-05 DUCT MASTIC (WHITE) A168 NAD

VA-95-06 DUCT MASTIC (WHITE) A125A NAD

VA-96-01 PIPE FITTING/ELBOW

INSULATION (OFF-WHITE)

COR5B3 7%

ND

LAYER INSULATION WOVEN

COVER (OFF-WHITE)

COR5B3 <1%

VA-96-02 PIPE FITTING/ELBOW

INSULATION (OFF-WHITE)

COR5B3 7%

ND

LAYER INSULATION WOVEN

COVERING (OFF-WHITE)

COR5B3 <1%

VA-96-03 PIPE FITTING/ELBOW

INSULATION (OFF-WHITE)

COR5B3 7%

ND

LAYER INSULATION WOVEN

COVERING (OFF-WHITE)

---- <1%

VA-96-04 PIPE FITTING/ELBOW

INSULATION (OFF-WHITE)

C501A 7%

ND

LAYER INSULATION W/WOVEN

COVERING (OFF-WHITE)

---- <1%

VA-96-05 PIPE FITTING/ELBOW

INSULATION (OFF-WHITE)

B345 10%

VA-96-06 PIPE FITTING/ELBOW

INSULATION (OFF-WHITE)

CORID1 12%

ND

LAYER INSULATION WOVEN

COVERING (OFF-WHITE)

---- <1%

VA-96-06 PIPE FITTING ELBOW

INSULATION (OFF-WHITE)

CORD1 20%

VA-97-01 MASTIC HVAC DUCT

(BROWN)

COR5B4 4%

VA-97-02 MASTIC HVAC DUCT

(BROWN)

COR5B2 4%

VA-97-03 MASTIC HVAC DUCT

(BROWN)

COR5B5 4%

VA-97-04 MASTIC HVAC DUCT

(BROWN)

COR5A1 4%

VA-97-05 MASTIC HVAC DUCT

(BROWN)

COR4A1 4%

VA-97-06 MASTIC HVAC DUCT

(BROWN)

ELVOLB3 4%/1.10% TEM

Ralph H. Johnson Veterans Affairs Medical Center ACBM Survey Report

BES DESIGN/BUILD LLC. Page-19 November 18, 2015

Sample Number HA ID Material Description Sample Location Result

VA-97-07 MASTIC HVAC DUCT

(BROWN)

D200 3%

VA-97-08 MASTIC HVAC (BROWN) COR2D1 3%

VA-97-09 HVAC MASTIC (BROWN) COR1A2 2%

VA-97-10 MASTIC HVAC DUCT

(PLIABLE) (BROWN)

A148 <1%

VA-97-11 HVAC MASTIC (PLIABLE)

(RED)

C101E 2%

VA-97-12 MASTIC HVAC DUCT

(BROWN)

A207 5%

VA-97-13 MASTIC HVAC DUCT

(BROWN)

D134 (FAN ROOM) 5%

VA-98-01 MASTIC HVAC DUCT (RED) ELVL0B5 NAD

VA-98-02 MASTIC HVAC DUCT (RED) COR5B4 NAD

VA-98-03 MASTIC HVAC DUCT (RED) NAD/TEM

VA-98-04 DUCT MASTIC (RED) B249 NAD

VA-98-05 MASTIC HVAC DUCT

(RED)

A207 3%

VA-98-06 MASTIC HVAC DUCT (RED) G206P NAD

VA-98-07 DUCT MASTIC (RED) COR1A3 NAD

VA-99-01 FELT PAPER (BLACK) B560 NAD

ND

LAYER SILVER BACKING OF FELT ---- NAD

VA-99-02 FELT PAPER (BLACK) B560 NAD

ND

LAYER SILVER BACKING OF FELT ---- NAD

VA-99-03 FELT PAPER (BLACK) B560 NAD

ND

LAYER SILVER BACKING OF FELT ---- NAD

VA-100-01 PLASTER MATERIAL

SPRAY APPLIED (GREY)

B560 NAD

VA-100-02 PLASTER MATERIAL

SPRAY APPLIED (GREY)

B560 NAD

VA-100-03 PLASTER MATERIAL

SPRAY APPLIED (GREY)

B560 NAD

VA-100-04 PLASTER MATERIAL

SPRAY APPLIED (GREY)

COR3A1 NAD

VA-101-01 MASTIC HVAC DUCT SEAL

SEALANT (BLUE)

COR5A2 (ABOVE

DOUBLE DOORS)

NAD

VA-101-02 MASTIC HVAC DUCT SEAM

SEALANT (BLUE)

COR5A2 (ABOVE

DOUBLE DOORS)

NAD

VA-101-03 MASTIC HVAC DUCT SEAM

SEALANT (BLUE)

COR5A2 (ABOVE

DOUBLE DOORS)

NAD/TEM

VA-102-01 MASTIC (YELLOW) A522D NAD

VA-102-02 MASTIC (YELLOW) A565 NAD/TEM

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Sample Number HA ID Material Description Sample Location Result

VA-102-03 MASTIC (YELLOW) A518 NAD

VA-103-01 MASTIC HVAC DUCT

(BROWN)

C501A NAD

VA-103-02 MASTIC HVAC DUCT

(BROWN)

C501A NAD

VA-103-03 MASTIC HVAC (BROWN) C501A (Admin Ste.) <1%/TEM

VA-104-01 MASTIC HVAC DUCT

INSULATION (TAN)

C501 (Admin Ste.) NAD

VA-104-02 MASTIC HVAC DUCT

INSULATION (TAN)

C501K (Admin Ste.) NAD

VA-104-03 MASTIC HVAC DUCT

INSULATION (TAN)

C501K (Admin Ste.) 3.86%/TEM

VA-105-01 MASTIC (YELLOW) C501F NAD/TEM

ND

LAYER MASTIC (BLACK) ---- NAD/TEM

VA-105-02 MASTIC (YELLOW) C501D NAD

ND

LAYER MASTIC (BLACK) ---- NAD

VA-105-03 MASTIC (YELLOW) C501M NAD

ND

LAYER MASTIC (BLACK) ---- NAD

VA-106-01 12X12 FT (TAN) ELVL0B5 NAD

VA-106-02 12X12 FT (TAN) ELVL0B5 NAD

VA-106-03 12X12 FT (TAN) ELVL0B5 AT

STAIRS

NAD/TEM

VA-107-01 MASTIC W/106-01 (BLACK) ELVL0B5 NAD

VA-107-02 MASTIC W/106-02 (BLACK) ELVL0B5 NAD

VA-107-03 MASTIC W/106-03 (BLACK) ELVL0B5 AT

STAIRS

NAD/TEM

VA-108-01 MASTIC (TAN) C415 NAD

ND

LAYER LEVELING COMPOUND

(PINK)

---- NAD

RD

LAYER MASTIC (BLACK) ---- NAD

TH

LAYER LEVELING COMPOUND

(GREY)

---- NAD

VA-108-02 LEVELING COMPOUND

(PINK)

ELVLOB4 NAD

VA-108-03 MASTIC (TAN) ELVLOB4 NAD

ND

LAYER LEVELING COMPOUND

(PINK)

---- NAD

VA-109-01 MASTIC HVAC FLEX

DUCT (BLACK)

3%

VA-109-02 MASTIC HVAC FLEX DUCT

(BLACK)

A478 NAD

VA-109-03 MASTIC HVAC FLEX DUCT

ELVLOB3 NAD/TEM

Ralph H. Johnson Veterans Affairs Medical Center ACBM Survey Report

BES DESIGN/BUILD LLC. Page-21 November 18, 2015

Sample Number HA ID Material Description Sample Location Result

VA-109-04 MASTIC HVAC FLEX DUCT

(BLACK)

NAD

VA-109-04 MASTIC ON HVAC DUCT

(BLACK)

B338 NAD

VA-109-05 MASTIC ON HVAC DUCT

(BLACK)

COR3A1 NAD

VA-109-06 MASTIC HVAC DUCT

INSULATION SEAM

(BLACK)

C413 NAD

VA-109-07 MASTIC HVAC DUCT

INSULATION SEAM

(BLACK)

C413 4%

VA-109-08 MASTIC HVAC DUCT

INSULATION SEAM

(BLACK)

C413 6%

VA-109-09 MASTIC HVAC DUCT

INSULATION (BLACK)

D134 (FAN ROOM) NAD

VA-110-01 MASTIC PIPE INS JOINT

SEALANT (WHITE)

COR4B7 NAD

VA-110-02 MASTIC PIPE INS JOINT

SEALANT (WHITE)

B471 NAD

VA-110-03 MASTIC PIPE INS JOINT

(WHITE)

COR4B5 NAD/TEM

VA-111-01 12X12 FT (WHITE) B462 NAD/TEM

VA-111-02 12X12 FT (WHITE) B443 NAD

VA-111-03 12X12 FT (WHITE) B471 NAD

VA-112-01 MASTIC W/111-01 (BLACK) B462 NAD/TEM

VA-112-02 MASTIC W/111-02 (BLACK) B443 NAD

VA-112-03 MASTIC W/111-03 (BLACK) B471 NAD

VA-113-01 MASTIC (BLACK) C311 (UNDER NEW

FLOORING)

NAD

VA-113-02 MASTIC (BLACK) C305 NAD/TEM

VA-113-03 MASTIC (BLACK) C304 (UNDER NEW

FLOORING)

2%

VA-113-04 MASTIC (BLACK) A394 NAD

VA-113-05 MASTIC (BLACK) COR3B8 NAD

VA-113-06 MASTIC (BLACK) COR3B2 NAD

VA-113-07 MASTIC (BLACK) B251 NAD

VA-113-08 MASTIC (VARIOUS) A165 NAD

VA-113-09 MASTIC (VARIOUS) A169B <1%

VA-113-10 MASTIC (VARIOUS) 169A NAD

VA-113-11 MASTIC (VARIOUS) A358 3%

VA-113-12 MASTIC (BLACK) C204 NAD

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Sample Number HA ID Material Description Sample Location Result

VA-113-13 MASTIC (BLACK) B133 NAD

VA-113-14 MASTIC (BLACK) VEST 2 NAD/TEM

VA-113-15 MASTIC (BLACK) AA229 NAD

VA-113-16 MASTIC (BLACK) A361B 5%

VA-113-17 MASTIC (BLACK) B144 NAD

VA-114-01 FIRE CAULK (BLUE) B365 NAD

VA-114-02 FIRE CAULK (BLUE) B365 NAD

VA-114-03 FIRE CAULK (BLUE) B365 NAD

VA-115-01 PLIABLE FIRE CAULK (RED) B364 NAD

VA-115-02 PLIABLE FIRE CAULK (RED) B364 NAD

VA-115-03 PLIABLE FIRE CAULK (RED) B364 NAD

VA-116-01 PIPE JOINT MASTIC

(BLACK)

COR3A 8%

VA-116-02 PIPE JOINT MASTIC

(BLACK)

COR3A 8%

VA-116-03 PIPE JOINT MASTIC

(BLACK)

COR3A 8%

VA-116-04 PIPE JOINT MASTIC

(BLACK)

D201A NAD

VA-116-04 PIPE MASTIC (BLACK) B261 5%

VA-116-05 PIPE MASTIC (BLACK) A202 3%

VA-116-06 PIPE MASTIC (BLACK) D288 NAD

VA-117-01 GEN EXHAUST (WHITE) AA102 NAD

VA-117-02 GEN EXHAUST (WHITE) AA102 NAD

VA-117-03 GEN EXHAUST (WHITE) AA102 NAD

VA-118-01 12X12 VCT (PINK) A362 NAD

VA-118-02 12X12 VCT (PINK) A362 NAD

VA-118-03 12X12 VCT (PINK) A362 NAD

VA-119-01 VCT MASTIC (BLACK) A362 NAD

VA-119-02 VCT MASTIC (BLACK) A362 NAD

VA-119-03 VCT MASTIC (BLACK) A362 NAD

VA-120-01 BOTTOM LAYER VCT

(GREEN)

A378 3%

VA-120-02 BOTTOM LAYER VCT

(GREEN)

A336 NAD

VA-120-03 BOTTOM LAYER VCT

(GREEN)

COR3A4 (FAC) NAD

VA-121-01 MASTIC (BLACK) A378 NAD

VA-121-02 MASTIC (VARIOUS) A336 NAD

VA-121-03 MASTIC (VARIOUS) COR3A4 (FAC) NAD/TEM

Ralph H. Johnson Veterans Affairs Medical Center ACBM Survey Report

BES DESIGN/BUILD LLC. Page-23 November 18, 2015

Sample Number HA ID Material Description Sample Location Result

VA-122-01 VCT BOTTOM LAYER (TAN) A340 NAD

VA-122-02 VCT BOTTOM LAYER (TAN) A336 NAD

VA-122-03 VCT BOTTOM LAYER (TAN) A321 NAD/TEM

VA-123-01 MASTIC (YELLOW) A360 NAD

VA-123-02 MASTIC (VARIOUS) A336 NAD

VA-123-03 MASTIC (VARIOUS) A321 NAD/TEM

VA-124-01 DUCT TAPE, TAPE (WHITE) COR3A5 NAD

ND

LAYER MASTIC (YELLOW) COR3A5 NAD

VA-124-02 DUCT TAPE, TAPE (WHITE) COR3A5 NAD

ND

LAYER MASTIC (YELLOW) COR3A5 NAD

VA-124-03 DUCT TAPE, TAPE (WHITE) COR3A5 NAD/TEM

ND

LAYER MASTIC (YELLOW) COR3A5 NAD/TEM

VA-125-01 PIPE MASTIC (WHITE) BB211 NAD

VA-125-02 PIPE MASTIC (WHITE) BB211 NAD

VA-125-03 PIPE MASTIC (WHITE) BB211 NAD/TEM

VA-125-04 PIPE MASTIC (OFF-WHITE) BB208 NAD

VA-126-01 DUCT TAPE (WHITE) BB215 NAD

VA-126-02 DUCT TAPE (WHITE) BB215 NAD

VA-126-03 DUCT TAPE (WHITE) BB215 NAD/TEM

VA-127-01 TRANSITE (GREY) COR5B6 (ABOVE

CEILING)

25%

VA-127-02 TRANSITE (GREY) COR5B6 (ABOVE

CEILING)

25%

VA-127-03 TRANSITE (GREY) COR5B6 (ABOVE

CEILING)

25%

VA-128-01 MASTIC (TRANSITE PIPE

JOINT SEALANT) (BLACK)

COR5B6 30%

VA-128-02 MASTIC (TRANSITE PIPE

JOINT SEALANT) (BLACK)

COR5B6 30%

VA-128-03 MASTIC (TRANSITE PIPE

JOINT SEALANT) (BLACK)

COR5B6 30%

VA-129-01 12” VINYL TILE (BLUE) B257 2%

VA-129-02 12” VINYL TILE (BLUE) B257 2%

VA-129-03 12” VINYL TILE (BLUE) B257 2%

VA-130-01 CARPET GLUE (YELLOW) B257 NAD

VA-130-02 CARPET GLUE (YELLOW) B257 NAD

VA-130-03 CARPET GLUE (YELLOW) B257 NAD

VA-131-01 MASTIC UNDER TILE

(BLACK)

B257 NAD

VA-131-02 MASTIC UNDER TILE

B257 NAD

Ralph H. Johnson Veterans Affairs Medical Center ACBM Survey Report

BES DESIGN/BUILD LLC. Page-24 November 18, 2015

Sample Number HA ID Material Description Sample Location Result

VA-131-03 MASTIC UNDER TILE

(BLACK)

B257 NAD

VA-132-01 VINYL SHEET (GREY) MORGUE ELEV NAD

VA-132-02 VINYL SHEET (GREY) MORGUE ELEV NAD

VA-132-03 VINYL SHEET (GREY) MORGUE ELEV NAD

VA-133-01 VINYL SHEET (BROWN) B228 NAD

VA-133-02 VINYL SHEET (BROWN) B228 NAD

VA-133-03 VINYL SHEET (BROWN) B228 NAD

VA-134-01 VINYL SHEET (BROWN) B228 NAD

VA-134-02 VINYL SHEET (BROWN) B228 NAD

VA-134-03 VINYL SHEET (BROWN) B228 NAD

VA-135-01 VINYL SHEET (PINK) B228 NAD

VA-135-02 VINYL SHEET (PINK) B228 NAD

VA-135-03 VINYL SHEET (PINK) B228 NAD

VA-136-01 MASTIC (YELLOW)

W/135-01

B228 NAD

VA-136-02 MASTIC (YELLOW)

W/135-02

B228 NAD

VA-136-03 MASTIC (CLEAR) W/135-03 B228 NAD

VA-137-01 MASTIC (WHITE) W/135-01 B228 NAD

VA-137-02 MASTIC (WHITE) W/135-02 B228 NAD

VA-137-03 MASTIC (WHITE) W/135-03 B228 NAD

VA-138-01 MASTIC UNDER VINYL

(WHITE)

B228 NAD

VA-138-02 MASTIC UNDER VINYL

(WHITE)

B228 NAD

VA-138-03 MASTIC UNDER VINYL

(WHITE)

B228 NAD

VA-139-01 CEILING TILE (WHITE) 252B NAD

VA-139-02 CEILING TILE (WHITE) 252B NAD

VA-139-03 CEILING TILE (WHITE) 252B NAD

VA-140-01 DUCT MASTIC (BLACK) B262 NAD

VA-140-02 DUCT MASTIC (BLACK) B262 NAD

VA-140-03 DUCT MASTIC (BLACK) B262 NAD/TEM

VA-140-04 DUCT MASTIC (BLACK) A202 NAD

VA-140-05 MASTIC DUCT (BLACK) D200 NAD

VA-140-06 DUCT MASTIC (BLACK) A145A NAD

VA-140-06 HVAC DUCT MASTIC

(BLACK)

D109A NAD

VA-140-07 DUCT MASTIC (BLACK) C101F NAD

Ralph H. Johnson Veterans Affairs Medical Center ACBM Survey Report

BES DESIGN/BUILD LLC. Page-25 November 18, 2015

Sample Number HA ID Material Description Sample Location Result

VA-141-01 UNDERSINK COATING

(BLACK)

AA205A NAD

VA-141-02 UNDERSINK COATING

(BLACK)

AA205A NAD

VA-141-03 UNDERSINK COATING

(BLACK)

AA205A NAD/TEM

VA-142-01 VINYL TILE UNDER TILE

(BEIGE)

FIRE ROOM ADJ

TO A244

3%

VA-142-02 VINYL TILE UNDER TILE

(BEIGE)

FIRE ROOM ADJ

TO A244

3%

VA-142-03 VINYL TILE UNDER TILE

(BEIGE)

FIRE ROOM ADJ

TO A244

3%

VA-143-01 MASTIC UNDER 2

ND

LAYER

(BLACK)

FIRE ROOM ADJ TO

A244

NAD

VA-143-02 MASTIC UNDER 2

ND

LAYER

(BLACK)

FIRE ROOM ADJ TO

A244

NAD

VA-143-03 MASTIC UNDER 2

ND

LAYER

(BLACK)

FIRE ROOM ADJ TO

A244

NAD

VA-144-01 VINYL TILE (BLUE) A205 NAD

VA-144-02 VINYL TILE (BLUE) A205 NAD

VA-144-03 VINYL TILE (BLUE) A205 NAD

VA-145-01 MASTIC UNDER (YELLOW) A205 NAD

VA-145-02 MASTIC UNDER (YELLOW) A205 NAD

VA-145-03 MASTIC UDNER (YELLOW) A205 NAD

VA-146-01 VINYL TILE (WHITE) A205 NAD

VA-146-02 VINYL TILE (WHITE) A205 NAD

VA-146-03 VINYL TILE (WHITE) A205 NAD

VA-147-01 SPRAY-APPLIED TEXTURE

(WHITE)

A206 NAD

VA-147-02 SPRAY-APPLIED TEXTURE

(WHITE)

A206 NAD

VA-147-03 SPRAY-APPLIED TEXTURE

(WHITE)

A206 NAD

VA-148-01 TRANSITE PIPE (GREY) D230 20%

CHRYSOTILE

3%

CROCIDOLITE

VA-148-02 TRANSITE PIPE (GREY) D230 20%

CHRYSOTILE

3%

CROCIDOLITE

Ralph H. Johnson Veterans Affairs Medical Center ACBM Survey Report

BES DESIGN/BUILD LLC. Page-26 November 18, 2015

Sample Number HA ID Material Description Sample Location Result

VA-148-03 TRANSITE PIPE (GREY) D230 20%

CHRYSOTILE

3%

CROCIDOLITE

VA-149-01 MASTIC (BLACK) E221 <1%

VA-149-01 MASTIC (YELLOW) E221 NAD

VA-149-02 MASTIC (BLACK) E221A <1%

VA-149-02 MASTIC (YELLOW) E221A NAD

VA-149-03 MASTIC (BLACK) E221P <1% TEM

VA-149-03 MASTIC (YELLOW) E221P NAD

VA-150-01 TILE MASTIC (BLACK) BB119 NAD

VA-150-02 TILE MASTIC (BLACK) BB125 NAD

VA-150-03 TILE MASTIC (BLACK) BB111 NAD/TEM

VA-151-01 DUCT MASTIC (BROWN) ER COR1B9 NAD

VA-151-02 DUCT MASTIC (BROWN) ER COR1B9 NAD

VA-151-03 DUCT MASTIC (BROWN) ER COR1B9 NAD/TEM

VA-152-01 MASTIC (BLACK) ER <1%

VA-152-02 MASTIC (BLACK) ER <1%

VA-152-03 MASTIC (BLACK) ER NAD/TEM

VA-153-01 VFT BOTTOM LAYER

(WHITE)

D123 NAD

VA-153-02 VFT BOTTOM LAYER

(WHITE)

D126 NAD

VA-153-03 VFT BOTTOM LAYER

(WHITE)

D128 NAD/TEM

VA-154-01 VFT MASTIC BOTTOM

LAYER (YELLOW)

D123 NAD

VA-154-02 VFT MASTIC BOTTOM

LAYER (VARIOUS)

D126 NAD

VA-154-03 VFT MASTIC BOTTOM

LAYER (BLACK)

D128 3%

VA-155-01 12X12 FLOOR TILE (PINK) D132 NAD

nd

LAYER MASTIC (YELLOW) D132 NAD

VA-155-02 12X12 FLOOR TILE (PINK) D132 NAD

ND

LAYER MASTIC (YELLOW) D132 NAD

VA-155-03 12X12 FLOOR TILE (PINK) D132 NAD/TEM

ND

LAYER MASTIC (YELLOW) D132 NAD/TEM

VA-155-04 12X12 FLOOR TILE (PINK) D110 NAD

nd

LAYER MASTIC (YELLOW) D110 NAD

VA-156-01 FLOOR TILE (GREY) ELEVATOR L-7 NAD

VA-156-02 FLOOR TILE (GREY) ELEVATOR L-7 NAD

Ralph H. Johnson Veterans Affairs Medical Center ACBM Survey Report

BES DESIGN/BUILD LLC. Page-27 November 18, 2015

Sample Number HA ID Material Description Sample Location Result

VA-156-03 FLOOR TILE (GREY) ELEVATOR L-7 NAD/TEM

VA-157-01 VFT MASTIC (BLACK) COR1C1 NAD

VA-157-02 VFT MASTIC (BLACK) COR1C2 NAD

VA-157-03 VFT MASTIC (BLACK) COR1C2 NAD/TEM

VA-158-01 THERMAL SYSTEMS

INSULATION (PINK)

C105 NAD

VA-158-02 THERMAL SYSTEMS

INSULATION (PINK)

C105 NAD

VA-158-03 THERMAL SYSTEMS

INSULATION (PINK)

C105 NAD

VA-159-01 CEILING TILE (WHITE) C104A NAD

VA-159-02 CEILING TILE (WHITE) C104A NAD

VA-159-03 CEILING TILE (WHITE) C104A NAD

VA-160-01 UNDER SINK COATING

(CREAM)

C104A 5%

VA-160-02 UNDER SINK COATING

(CREAM)

C104A 5%

VA-160-03 UNDER SINK COATING

(CREAM)

C104A 5%

VA-161-01 VINYL FLOOR TILE

(BOTTOM LAYER) (TAN)

COR1G2 NAD

VA-161-02 VINYL FLOOR TILE

(BOTTOM LAYER) (TAN)

G107 NAD

VA-161-03 VINYL FLOOR TILE

(BOTTOM LAYER) (TAN)

COR1G2 NAD/TEM

VA-162-01 VFT MASTIC (VARIOUS) COR1G2 3%

VA-162-02 VFT MASTIC (VARIOUS) G107 3%

VA-162-03 VFT MASTIC (VARIOUS) COR1G2 3%

VA-163-01 12X12 FLOOR TILE (GREEN) G112A NAD

VA-163-02 12X12 FLOOR TILE (GREEN) G112A NAD

VA-163-03 12X12 FLOOR TILE (GREEN) G112A NAD/TEM

VA-164-01 MASTIC UNDER FT 163-01

(BLACK)

G112A 4%

VA-164-02 MASTIC UNDER FT 163-02

(BLACK)

G112A 4%

VA-164-03 MASTIC UNDER FT 163-03

(BLACK)

G112A 4%

VA-165-01 THIN SET MORTAR ON

WALL UNDER TILE (WHITE)

G108 NAD

VA-165-02 THIN SET MORTAR ON

WALL UNDER TILE (WHITE)

G108 NAD

VA-165-03 THIN SET MORTAR ON

WALL UNDER TILE (WHITE)

G108 NAD

Ralph H. Johnson Veterans Affairs Medical Center ACBM Survey Report

BES DESIGN/BUILD LLC. Page-28 November 18, 2015

Sample Number HA ID Material Description Sample Location Result

VA-166-01 TSI (PIPE ELBOW

INSULATION) GREY

COR1G2 NAD

ND

LAYER TSI (PIPE ELBOW

INSULATION COVER (TAN)

COR1G2 NAD

VA-166-02 TSI/PIPE ELBOW

INSULATION (GREY)

G105 NAD

VA-166-03 TSI/PIPE ELBOW

INSULATION) GREY

G104 NAD

ND

LAYER TSI/PIPE ELBOW

INSULATION COVER (TAN)

G104 NAD

VA-167-01 12X12 FT (BLUE) A533 NAD

VA-167-02 12X12 FT (BLUE) A533 NAD

VA-167-03 12X12 FT (BLUE) A533 NAD/TEM

VA-168-01 12X12 FT (TAN) C201 NAD/TEM

VA-168-02 12X12 FT (TAN) C201A NAD

VA-168-03 12X12 FT (TAN) C203 NAD

VA-169-01 MASTIC UNDER FT 168-01

(BLACK)

C201 3%

VA-169-02 MASTIC UNDER FT 168-02

(BLACK)

C201A 3%

VA-170-01 9X9 FT (BLACK) VEST 12, OR SUITE NAD

VA-170-02 9X9 FT (BLACK) VEST 13, OR SUITE NAD

VA-170-03 9X9 FT (BLACK) VEST 13, OR SUITE NAD/TEM

VA-171-01 VINYL FLOORING (RED) OR RM 4

DOORWAY (A235)

NAD/TEM

VA-171-02 VINYL FLOORING (RED) OR RM 4

DOORWAY (A235)

NAD

VA-171-03 VINYL FLOORING (RED) OR RM 4 (A235) NAD

VA-172-01 VINYL FLOORING, FLOOR

TILE (YELLOW)

OR RM 3 (A234) NAD

nd

LAYER MASTIC (YELLOW) OR RM 3 (A234) NAD

VA-172-02 VINYL FLOORING

(YELLOW)

OR RM 3 (A234) NAD

VA-172-03 VINYL FLOORING

(YELLOW)

OR RM 3 (A234) NAD/TEM

VA-173-01 VINYL FLOORING (TAN) C204 NAD

VA-173-02 VINYL FLOORING (TAN) C204 NAD/TEM

VA-173-03 VINYL FLOORING (TAN) C204 NAD

VA-174-01 VINYL FLOORING (GREEN) A236 NAD

VA-174-02 VINYL FLOORING (GREEN) OR RM 5 (A236A) NAD

VA-174-03 VINYL FLOORING (GREEN) OR RM 5 (A236A) NAD/TEM

VA-175-01 9X9 FT (GREY) C211 3%

Ralph H. Johnson Veterans Affairs Medical Center ACBM Survey Report

BES DESIGN/BUILD LLC. Page-29 November 18, 2015

Sample Number HA ID Material Description Sample Location Result

VA-175-02 9X9 FT (GREY) C211 3%

VA-175-03 9X9 FT (GREY) C211 3%

VA-176-01 9X9 FT FLOOR TILE

(GREEN)

C211 3%

ND

LAYER MASTIC (BLACK) W/176-01 C211 NAD

VA-176-02 9X9 FT FLOOR TILE

(GREEN)

C211 3%

ND

LAYER MASTIC (BLACK) W/176-02 C211 NAD

VA-176-03 9X9 FT FLOOR TILE

(GREEN)

C211 3%

ND

LAYER MASTIC (BLACK) C211 NAD

VA-177-01 MASTIC HVAC DUCT INS.

(TAN)

A274 2%

VA-177-02 MASTIC HVAC DUCT INS.

(TAN)

A274 2%

VA-177-03 MASTIC HVAC DUCT INS.

(TAN)

A274 2%

VA-178-01 MASTIC HVAC DUCT SEAM

SEALANT (GREY)

BB214 NAD

VA-178-02 MASTIC HVAC DUCT SEAM

SEALANT (GREY)

BB214 NAD

VA-178-03 MASTIC HVAC DUCT SEAM

SEALANT (GREY)

BB214 NAD/TEM

VA-178-04 MASTIC HVAC DUCT SEAM

SEALANT (GREY)

BB214 NAD

VA-178-05 MASTIC HVAC DUCT SEAM

SEALANT (GREY)

AA231 NAD

VA-179-01 TSI (DUCT INSULATION),

HVAC DUCT (GREY)

COR1D3 30%

VA-179-02 TSI (DUCT INSULATION),

HVAC DUCT (WHITE)

COR1D3 65%

VA-179-03 TSI (DUCT INSULATION),

HVAC DUCT (GREY)

COR1D3 30%

VA-180-01 TSI WALL PENETRATION

(PIPE SLEEVE) (GREY)

NORTH WALL, RM

B352

NAD

VA-180-01 TSI (PIPE ELBOW INS.)

(OFF-WHITE)

COR1BB (LARGE

PIPE ABOVE

CEILING GRID)

35%

CHRYSOTILE

2% AMOSITE

VA-181-01 TSI WALL PENETRATION

(PIPE SLEEVE) (OFF-WHITE)

NORTH WALL, RM

B352

NAD

VA-182-01 MASTIC (BLACK) NORTH WALL

NEAR FLOOR,

B352

4%

VA-183-01 12X12 FLOOR TILE

(BROWN)

B352 2%

Ralph H. Johnson Veterans Affairs Medical Center ACBM Survey Report

BES DESIGN/BUILD LLC. Page-30 November 18, 2015

Sample Number HA ID Material Description Sample Location Result

VA-184-01 MASTIC UNDER 183-01

(BLACK)

B352 NAD

VACS-01 MASTIC – CRAWLSPACE

PIPING (TAN)

NEAR STAIR 2

ACCESS

NAD

VACS-01

MASTIC W/FIBER

BACKING, 2

ND

LAYER

(BLACK)

UNDER MASTIC 3%

VACS-02 MASTIC – CRAWLSPACE

PIPING (BLACK)

NEAR STAIR 2

ACCESS

3%

VACS-03 MASTIC – CRAWLSPACE

PIPING (TAN)

HANGERS OVER

GLASS

NAD

VACS-04 MASTIC ON FOILED BACK

WRAPPING (BLACK)

CRAWLSPACE

PIPING

2%

VACS-05 TSI – CRAWLSPACE

(WHITE)

ABANDONED

STEAM PIPING AT

HANGER

NAD

VACS-06 MASTIC ON FOILED BACK

INSULATION, MASTIC

(BLACK)

N OF STAIR 1 NAD

nd

LAYER MASTIC ON FOILED BACK

INSULATION, INSULATION

(BROWN)

N OF STAIR 1 NAD

VACS-07 MASTIC ON FIBERGLASS

INSULATION (WHITE)

CWS PIPING NAD

VACS-08 MASTIC ON FIBERGLASS

INS., UNDER VACS-07

(BLACK)

CWS PIPING 3%

VACS-09 MASTIC ON FOIL INS.

WRAP (BLACK)

CRAWLSPACE

HVAC DUCT

3%

VACS-10 MASTIC – CRAWLSPACE

PIPING, MASTIC (BLACK)

AT DW RISER #48 NAD

ND

LAYER MASTIC – CRAWLSPACE

PIPING, INSULATION (TAN)

AT…