24000-30656 Survey Report.pdf
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This document is a Limited Renovation Asbestos Survey Report for the James A. Haley VA Medical Center in Tampa, Florida, specifically for Building 1, Wing 2D, SICU. GLE Associates, Inc. performed the survey on January 10, 2025, to identify accessible asbestos-containing materials (ACMs) within the "EXISTING CONSTRUCTION TO BE DEMOLISHED" area, as defined in drawing AD101. The survey was conducted pursuant to National Emission Standards for Hazardous Air Pollutants (NESHAP) requirements in preparation for a renovation project.
The survey involved collecting 48 samples from 16 different homogeneous areas, including ceiling tiles, drywall, joint compound, fireproofing, floor tiles, caulk, mastic, and thermal system insulation. Samples were analyzed by Arrowhead Technologies, LLC using Polarized Light Microscopy. Notably, no asbestos-containing materials were identified in the surveyed areas. The report includes a comprehensive table detailing the sampling locations, material descriptions, and analysis results, along with appendices containing analytical results, personnel certifications, a scope of work drawing, and photographs documenting the sampling process.
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5405 Cypress Center Drive, Suite 110
Tampa, Florida 33609 813-241-8350 • Fax 813-241-8737
LIMITED RENOVATION
ASBESTOS SURVEY REPORT
James A. Haley VA Medical Center
Building 1, Wing 2D, SICU 13000 Bruce B Downs Boulevard
Tampa, Florida 33612
GLE Project No.: 24000-30656
Prepared for:
Mr. Scott Jeffries Toland Mizell Molnar, LLC
512 Means Street Northwest, Suite 400 Atlanta, Georgia 30318
January 2025
Prepared by:
GLE Associates, Inc.
5405 Cypress Center Drive, Suite 110 | Tampa, Florida 33609 | 813-241-8350 | Fax: 813-241-8737 Orlando | Ft. Lauderdale | Miami | Jacksonville | Gainesville | Atlanta | Nashville
Architecture AR 0007729 • Engineer RY 5483 • Asbestos ZA 0000034 • Geology PG 1737
January 24, 2025
Mr. Scott Jeffries Toland Mizell Molnar, LLC 512 Means Street Northwest, Suite 400 Atlanta, Georgia 30318
RE: Limited Renovation Asbestos Survey Report
James A. Haley VA Medical Center Building 1, Wing 2D, SICU 13000 Bruce B Downs Boulevard Tampa, Florida 33612
GLE Project No.: 24000-30656
Dear Mr. Jeffries:
GLE Associates, Inc. (GLE) performed a limited renovation survey for asbestos-containing materials (ACM) on January 10, 2025, at the James A. Haley VA Medical Center, located in Tampa, Florida. The survey was performed by Mr. Justin Zapata with GLE. This report outlines the sampling and testing procedures, and presents the results along with our conclusions and recommendations.
GLE appreciates the opportunity to serve as your consultant on this project. If you should have any questions, or if we can be of further service, please do not hesitate to call.
Sincerely, Justin Zapata Robert B. Greene, PE, PG, CIH, LEED AP Junior Project Manager President
Florida LAC# EA 0000009 JZ/PSZ/RBG/aw
F:\Work\ASB\24000\30656 TMM - Tampa VA New Bed Tower Connector LAS\Report\24000-30656 Survey Report.docx
TABLE OF CONTENTS
1.0 INTRODUCTION 1
1.1 Introduction 1
2.0 RESULTS 1
2.1 Asbestos Survey Procedures 1
2.2 Identified Suspect Asbestos-Containing Materials 2
Table 2.2-1 — Summary of Homogeneous Sampling Areas
3.0 CONCLUSIONS AND RECOMMENDATIONS 4
4.0 LIMITATIONS AND CONDITIONS 4
APPENDICES
Appendix A – Analytical Results and Chain of Custody Appendix B – Personnel and Laboratory Certifications Appendix C – Scope of Work Drawing Appendix D – Photographs
1.0 INTRODUCTION
1.1 INTRODUCTION
The purpose of this limited renovation survey was to identify accessible asbestos-containing materials (ACMs) and their general locations within James A. Haley VA Medical Center, located at 13000 Bruce B Downs Boulevard in Tampa, Florida. The survey was limited to the “EXISTING CONSTRUCTION TO BE DEMOLISHED” area on drawing AD101, which was provided by the client, Toland Mizell Molnar, LLC. This drawing has been provided in Appendix C. The survey was conducted pursuant to National Emission Standards for Hazardous Air Pollutants (NESHAP, 40 CFR 61) requirements, associated with the scheduled renovation plans. The survey was performed on January 10, 2025, by Mr. Justin Zapata, an Environmental Protection Agency/Asbestos Hazard Emergency Response Act (EPA/AHERA) accredited inspector. The scope of this survey did not include demolition of any building components, evaluation of architectural plans, or the quantification of materials for abatement purposes, or removal cost estimating.
2.0 RESULTS
2.1 ASBESTOS SURVEY PROCEDURES
The survey was performed by visually observing accessible areas within the scope of work. An EPA/AHERA accredited inspector performed the visual observations (refer to Appendix B for personnel qualifications).
After the overall visual survey was completed, representative sampling areas were determined.
The surveyor delineated homogeneous areas of suspect materials and samples of each material were obtained, in general accordance with regulations as established by the Occupational Safety and Health Administration (OSHA) and NESHAP. The field surveyor determined sample locations based on previous experience. Both friable and non-friable materials were sampled. A friable material is one that can be crushed when dry by normal hand pressure. This survey did not include the demolition of building components to access suspect material.
After completion of the fieldwork, the samples were delivered to Arrowhead Technologies, LLC, a National Voluntary Laboratory Accreditation Program (NVLAP) accredited laboratory for analysis. (The samples were analyzed by Polarized Light Microscopy (PLM) coupled with dispersion staining, in general accordance with EPA-600/R-93/116. Utilizing this procedure, the various asbestos minerals (chrysotile, amosite, crocidolite, actinolite, tremolite, and anthophyllite) can be determined. The percentages of asbestos minerals in the samples were visually determined by the microscopist. Please note that the EPA designates all materials containing greater than one percent asbestos as an “asbestos-containing material” (ACM).
Regulated Asbestos-Containing Material (RACM) is defined as (a) Friable asbestos materials, (b) Category I non-friable ACM that has become friable, (c) Category I non-friable ACM that will be or has been subjected to sanding, grinding, cutting, or abrading, or (d) Category II non-friable
ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this subpart.
Category I and Category II non-friable ACM, as defined by the EPA:
Category I non-friable ACM means asbestos-containing packings, gaskets, resilient floor covering, asphalt roofing products, and pliable sealants and mastics that are in good condition and not friable, containing more than one percent asbestos, as determined using the method specified in Appendix E, Subpart E, 40 CFR Part 763, Section 1, PLM.
Category II non-friable ACM means any material, excluding Category I non-friable ACM, containing more than 1 percent asbestos as determined using the methods specified in Appendix E, Subpart E, 40 CFR Part 763 Section 1, PLM that, when dry, cannot be crumbled, pulverized, or reduced to powder by hand pressure.
2.2 IDENTIFIED SUSPECT ASBESTOS-CONTAINING MATERIALS
A total of 48 samples of suspect building materials were collected from the facility during the survey, representing 16 different identified homogeneous areas. The results of the laboratory analyses are included in Appendix A.
A summary of the homogenous sampling areas of suspect ACM determined to be present is outlined in the following table.
ASBESTOS CONTENT
Expressed as percent
* = The facility owner has the option of point-counting by Polarized Light Microscopy (PLM) those RACM whose asbestos content is less than 10% in order to more accurately determine the asbestos content therein.
FRIABILITY F = Friable Material NF = Non-Friable Material ACM CATEGORY RACM = Regulated ACM CAT I = Category I non-friable ACM CAT II = Category II non-friable ACM
ABBREVIATIONS:
PC = Results based on Point-Count analysis TEM NOB = Transmission Electron Microscopy of Non-Friable Organically Bound Material NA = Not Applicable ND = None Detected NIS = Not in Scope C = Chrysotile A = Amosite HA = Homogeneous Area SF = Square Feet LF = Linear Feet CF = Cubic Feet
TABLE 2.2-1: SUMMARY OF HOMOGENEOUS SAMPLING AREAS
JAMES A. HALEY VA MEDICAL CENTER – TAMPA, FLORIDA
BUILDING 1, WING 2D, SICU
HA # HOMOGENEOUS MATERIAL
DESCRIPTION
HOMOGENEOUS MATERIAL
LOCATION
FRIABILITY
(F /NF) % ASBESTOS* # OF SAMPLES
COLLECTED
APPROXIMATE
QUANTITY
ACM
CATEGORY
CT-01 2’x2’ White Bevel Fissure Pinhole Ceiling Tile Throughout–Ceiling F ND 3 NIS NA
DW-01 Drywall/Joint Compound Throughout–Walls NF ND 3 NIS NA FP-01 Gray Fireproofing Throughout–Above Ceiling F ND 3 NIS NA FP-02 Blue Sprayed Gray Fireproofing Intermittent–Above Ceiling F ND 3 NIS NA
FT-01 12”x12” White, Blue Fleck Floor Tile/Yellow Mastic Throughout–Floor NF ND 3 NIS NA
FT-02 12”x12” Tan Fleck Floor Tile/Brown Mastic Intermittent–Floor NF ND 3 NIS NA
FT-03 12”x12” Pink Floor Tile/Brown Mastic Intermittent–Floor NF ND 3 NIS NA FT-04 12”x12” Teal Floor Tile/Brown Mastic Intermittent–Floor NF ND 3 NIS NA M-01 Black Caulk Glass Sliding Doors NF ND 3 NIS NA M-02 Gray Caulk Interior Windows NF ND 3 NIS NA M-03 Gray Sink Undercoat North Nurse Station Sink NF ND 3 NIS NA
MAS-01 Tan Duct Mastic N. to S. Above Rooms–Above Ceiling NF ND 3 NIS NA
TSI-01 3” OD White TSI Mastic/Fibrous Insulation Intermittent–Above Ceiling F ND 3 NIS NA
TSI-02 8” OD White TSI Mastic Elbow/Foamglass Insulation Room 2D-252G–Above Ceiling NF ND 3 NIS NA
VB-01 6” Gray Cove Base/Tan Mastic Throughout–Cove Base NF ND 3 NIS NA VB-02 6” Teal Cove Base/Tan Mastic 2D-252G–Cove Base NF ND 3 NIS NA
3.0 CONCLUSIONS AND RECOMMENDATIONS
No asbestos-containing materials were identified in the scope of this survey.
4.0 LIMITATIONS AND CONDITIONS
As a result of previous renovations, there may be hidden materials, such as floor tile, sheet vinyl flooring, insulation, etc. These materials may be found in various areas hidden under existing flooring materials or in wall cavities. Any materials found during construction activities, either not addressed in this survey report, or similar to the ACM identified in this survey report should be assumed to be ACM until sampling and analysis documents otherwise.
Because of the hidden nature of many building components (i.e. within mechanical chases), it may be impossible to determine if all of the suspect building materials have been located and subsequently tested. Destructive testing in some instances is not a viable option. We cannot, therefore, guarantee that all potential ACM has been located. For the same reasons, estimates of quantities and/or conditions are subject to readily apparent situations, and our findings reflect this condition. We do warrant, however, that the investigations and methodology reflect our best efforts based upon the prevailing standard of care in the environmental industry.
The information contained in this report was prepared based upon specific parameters and regulations in force at the time of this report. The information herein is only for the specific use of the client and GLE. GLE accepts no responsibility for the use, interpretation, or reliance by other parties on the information contained herein, unless prior written authorization has been obtained from GLE.
APPENDIX A
Analytical Results and Chain of Custody
PLM REPORT SUMMARY
3151 San Bernadino St.
Clearwater, Florida 33759
NVLAP Lab Code 200703-0813-679-0720 / mhall005@tampabay.rr.com
Client : GLE Associates Lab Set No. : 014280
Project : JAHVA Bed Tower 25-14280AT Job No. :
24000-30656Client Project No.: Report Date : 1/16/2025
Identification : Asbestos, Bulk Sample Analysis Sample Date : 1/10/2025
Test Method : Polarized Light Microscopy / Dispersion Staining (PLM/DS) Page 1 of 7App E to Sub E of 40 CFR Part 763 and EPA Method 600/R-93/116
On 1/10/2025, forty-eight (48) bulk material samples were submitted by Justin Zapata for asbestos analysis by PLM/DS.
Copies of Bulk Sample Analysis sheets are attached; additional information may be found therein. The results are summarized below:
Asbestos ContentSample Description / LocationLab Sample No.
None Detected-White Ceiling Tile2x2 White Bevel Fissure Pinhole CT CT-01-A014280-001
None Detected-White Ceiling Tile2x2 White Bevel Fissure Pinhole CT CT-01-B014280-002
None Detected-White Ceiling Tile2x2 White Bevel Fissure Pinhole CT CT-01-C014280-003
None Detected-White Joint CompoundDrywall/Joint Compound DW-01-A014280-004 None Detected-White Drywall Material
None Detected-White Joint CompoundDrywall/Joint Compound DW-01-B014280-005 None Detected-White Drywall Material
None Detected-White Joint CompoundDrywall/Joint Compound DW-01-C014280-006 None Detected-White Drywall Material
None Detected-Gray FireproofingGray Fireproofing FP-01-A014280-007
None Detected-Gray FireproofingGray Fireproofing FP-01-B014280-008
None Detected-Gray FireproofingGray Fireproofing FP-01-C014280-009
None Detected-Gray/Blue FireproofingBlue Fireproofing FP-02-A014280-010
None Detected-Gray/Blue FireproofingBlue Fireproofing FP-02-B014280-011
These samples were analyzed by layers. Specific layer or component asbestos content is indicated when relevant. The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation (CVAE). EPA regulations also indicate that Regulated Asbestos Containing Materials (RACM) -- materials which are friable or may become friable -- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE. Arrowhead utilizes CVAE on a routine basis and does not include point counting unless specifically requested.
The results may not be reproduced except in full.
PLM Report Summary - Revision 4 - 08/04/2022- Issuing Authority: Monte Hall, PG mailto:mhall005@tampabay.rr
Clearwater, Florida 33759
NVLAP Lab Code 200703-0813-679-0720 / mhall005@tampabay.rr.com
Client : GLE Associates Lab Set No. : 014280
Project : JAHVA Bed Tower 25-14280AT Job No. :
24000-30656Client Project No.: Report Date : 1/16/2025
Identification : Asbestos, Bulk Sample Analysis Sample Date : 1/10/2025
Test Method : Polarized Light Microscopy / Dispersion Staining (PLM/DS) Page 2 of 7App E to Sub E of 40 CFR Part 763 and EPA Method 600/R-93/116
On 1/10/2025, forty-eight (48) bulk material samples were submitted by Justin Zapata for asbestos analysis by PLM/DS.
Copies of Bulk Sample Analysis sheets are attached; additional information may be found therein. The results are summarized below:
Asbestos ContentSample Description / LocationLab Sample No.
None Detected-Gray/Blue FireproofingBlue Fireproofing FP-02-C014280-012
None Detected-White Floor Tile12x12 White FT/Yellow Mastic FT-01-A014280-013 None Detected-Yellow Mastic
None Detected-White Floor Tile12x12 White FT/Yellow Mastic FT-01-B014280-014 None Detected-Yellow Mastic
None Detected-White Floor Tile12x12 White FT/Yellow Mastic FT-01-C014280-015 None Detected-Yellow Mastic
None Detected-Tan Floor Tile12x12 Tan FT/Brown Mastic FT-02-A014280-016 None Detected-Brown Mastic
None Detected-Tan Floor Tile12x12 Tan FT/Brown Mastic FT-02-B014280-017 None Detected-Brown Mastic
None Detected-Tan Floor Tile12x12 Tan FT/Brown Mastic FT-02-C014280-018 None Detected-Brown Mastic
None Detected-Pink Floor Tile12x12 Pink FT/Brown Mastic FT-03-A014280-019 None Detected-Brown Mastic
These samples were analyzed by layers. Specific layer or component asbestos content is indicated when relevant. The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation (CVAE). EPA regulations also indicate that Regulated Asbestos Containing Materials (RACM) -- materials which are friable or may become friable -- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE. Arrowhead utilizes CVAE on a routine basis and does not include point counting unless specifically requested.
The results may not be reproduced except in full.
Clearwater, Florida 33759
NVLAP Lab Code 200703-0813-679-0720 / mhall005@tampabay.rr.com
Client : GLE Associates Lab Set No. : 014280
Project : JAHVA Bed Tower 25-14280AT Job No. :
24000-30656Client Project No.: Report Date : 1/16/2025
Identification : Asbestos, Bulk Sample Analysis Sample Date : 1/10/2025
Test Method : Polarized Light Microscopy / Dispersion Staining (PLM/DS) Page 3 of 7App E to Sub E of 40 CFR Part 763 and EPA Method 600/R-93/116
On 1/10/2025, forty-eight (48) bulk material samples were submitted by Justin Zapata for asbestos analysis by PLM/DS.
Copies of Bulk Sample Analysis sheets are attached; additional information may be found therein. The results are summarized below:
Asbestos ContentSample Description / LocationLab Sample No.
None Detected-Pink Floor Tile12x12 Pink FT/Brown Mastic FT-03-B014280-020 None Detected-Brown Mastic
None Detected-Pink Floor Tile12x12 Pink FT/Brown Mastic FT-03-C014280-021 None Detected-Brown Mastic
None Detected-Teal Floor Tile12x12 Teal FT/Brown Mastic FT-04-A014280-022 None Detected-Brown Mastic
None Detected-Teal Floor Tile12x12 Teal FT/Brown Mastic FT-04-B014280-023 None Detected-Brown Mastic
None Detected-Teal Floor Tile12x12 Teal FT/Brown Mastic FT-04-C014280-024 None Detected-Brown Mastic
None Detected-Black CaulkBlack Caulk M-01-A014280-025
None Detected-Black CaulkBlack Caulk M-01-B014280-026
None Detected-Black CaulkBlack Caulk M-01-C014280-027
None Detected-Gray CaulkGray Caulk M-02-A014280-028
None Detected-Gray CaulkGray Caulk M-02-B014280-029
These samples were analyzed by layers. Specific layer or component asbestos content is indicated when relevant. The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation (CVAE). EPA regulations also indicate that Regulated Asbestos Containing Materials (RACM) -- materials which are friable or may become friable -- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE. Arrowhead utilizes CVAE on a routine basis and does not include point counting unless specifically requested.
The results may not be reproduced except in full.
Clearwater, Florida 33759
NVLAP Lab Code 200703-0813-679-0720 / mhall005@tampabay.rr.com
Client : GLE Associates Lab Set No. : 014280
Project : JAHVA Bed Tower 25-14280AT Job No. :
24000-30656Client Project No.: Report Date : 1/16/2025
Identification : Asbestos, Bulk Sample Analysis Sample Date : 1/10/2025
Test Method : Polarized Light Microscopy / Dispersion Staining (PLM/DS) Page 4 of 7App E to Sub E of 40 CFR Part 763 and EPA Method 600/R-93/116
On 1/10/2025, forty-eight (48) bulk material samples were submitted by Justin Zapata for asbestos analysis by PLM/DS.
Copies of Bulk Sample Analysis sheets are attached; additional information may be found therein. The results are summarized below:
Asbestos ContentSample Description / LocationLab Sample No.
None Detected-Gray CaulkGray Caulk M-02-C014280-030
None Detected-Gray Sink MasticGray Sink Undercoating M-03-A014280-031
None Detected-Gray Sink MasticGray Sink Undercoating M-03-B014280-032
None Detected-Gray Sink MasticGray Sink Undercoating M-03-C014280-033
None Detected-Tan MasticTan Duct Mastic MAS-01-A014280-034
None Detected-Tan MasticTan Duct Mastic MAS-01-B014280-035
None Detected-Tan MasticTan Duct Mastic MAS-01-C014280-036
None Detected-White MasticWhite TSI Mastic/Fiberglass TSI-01-A014280-037 None Detected-Yellow Glass Insulation
None Detected-White MasticWhite TSI Mastic/Fiberglass TSI-01-B014280-038 None Detected-Yellow Glass Insulation
None Detected-White MasticWhite TSI Mastic/Fiberglass TSI-01-C014280-039 None Detected-Yellow Glass Insulation
These samples were analyzed by layers. Specific layer or component asbestos content is indicated when relevant. The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation (CVAE). EPA regulations also indicate that Regulated Asbestos Containing Materials (RACM) -- materials which are friable or may become friable -- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE. Arrowhead utilizes CVAE on a routine basis and does not include point counting unless specifically requested.
The results may not be reproduced except in full.
Clearwater, Florida 33759
NVLAP Lab Code 200703-0813-679-0720 / mhall005@tampabay.rr.com
Client : GLE Associates Lab Set No. : 014280
Project : JAHVA Bed Tower 25-14280AT Job No. :
24000-30656Client Project No.: Report Date : 1/16/2025
Identification : Asbestos, Bulk Sample Analysis Sample Date : 1/10/2025
Test Method : Polarized Light Microscopy / Dispersion Staining (PLM/DS) Page 5 of 7App E to Sub E of 40 CFR Part 763 and EPA Method 600/R-93/116
On 1/10/2025, forty-eight (48) bulk material samples were submitted by Justin Zapata for asbestos analysis by PLM/DS.
Copies of Bulk Sample Analysis sheets are attached; additional information may be found therein. The results are summarized below:
Asbestos ContentSample Description / LocationLab Sample No.
None Detected-White MasticWhite TSI Mastic/Foamglass TSI-02-A014280-040 None Detected-Black Foam Glass
None Detected-White MasticWhite TSI Mastic/Foamglass TSI-02-B014280-041 None Detected-Black Foam Glass
None Detected-White MasticWhite TSI Mastic/Foamglass TSI-02-C014280-042 None Detected-Black Foam Glass
None Detected-Gray Baseboard6" Gray CB/Tan Mastic VB-01-A014280-043 None Detected-Tan Mastic
None Detected-Gray Baseboard6" Gray CB/Tan Mastic VB-01-B014280-044 None Detected-Tan Mastic
None Detected-Gray Baseboard6" Gray CB/Tan Mastic VB-01-C014280-045 None Detected-Tan Mastic
None Detected-Teal Baseboard6" Teal CB/Tan Mastic VB-02-A014280-046 None Detected-Tan Mastic
None Detected-Teal Baseboard6" Teal CB/Tan Mastic VB-02-B014280-047 None Detected-Tan Mastic
These samples were analyzed by layers. Specific layer or component asbestos content is indicated when relevant. The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation (CVAE). EPA regulations also indicate that Regulated Asbestos Containing Materials (RACM) -- materials which are friable or may become friable -- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE. Arrowhead utilizes CVAE on a routine basis and does not include point counting unless specifically requested.
The results may not be reproduced except in full.
Clearwater, Florida 33759
NVLAP Lab Code 200703-0813-679-0720 / mhall005@tampabay.rr.com
Client : GLE Associates Lab Set No. : 014280
Project : JAHVA Bed Tower 25-14280AT Job No. :
24000-30656Client Project No.: Report Date : 1/16/2025
Identification : Asbestos, Bulk Sample Analysis Sample Date : 1/10/2025
Test Method : Polarized Light Microscopy / Dispersion Staining (PLM/DS) Page 6 of 7App E to Sub E of 40 CFR Part 763 and EPA Method 600/R-93/116
On 1/10/2025, forty-eight (48) bulk material samples were submitted by Justin Zapata for asbestos analysis by PLM/DS.
Copies of Bulk Sample Analysis sheets are attached; additional information may be found therein. The results are summarized below:
Asbestos ContentSample Description / LocationLab Sample No.
None Detected-Teal Baseboard6" Teal CB/Tan Mastic VB-02-C014280-048 None Detected-Tan Mastic
These samples were analyzed by layers. Specific layer or component asbestos content is indicated when relevant. The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation (CVAE). EPA regulations also indicate that Regulated Asbestos Containing Materials (RACM) -- materials which are friable or may become friable -- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE. Arrowhead utilizes CVAE on a routine basis and does not include point counting unless specifically requested.
The results may not be reproduced except in full.
Clearwater, Florida 33759
NVLAP Lab Code 200703-0813-679-0720 / mhall005@tampabay.rr.com
Client : GLE Associates Lab Set No. : 014280
Project : JAHVA Bed Tower 25-14280AT Job No. :
24000-30656Client Project No.: Report Date : 1/16/2025
Identification : Asbestos, Bulk Sample Analysis Sample Date : 1/10/2025
Test Method : Polarized Light Microscopy / Dispersion Staining (PLM/DS) Page 7 of 7App E to Sub E of 40 CFR Part 763 and EPA Method 600/R-93/116
SCOPE OF THIS REPORT
These samples were obtained as a part of a building survey; this report is only intended to be used as a part of the survey report issued by the surveyor. This report explains the laboratory analysis and results. The surveyor's report explains the sampling protocol used, when the samples were obtained, the location(s) of the samples, where the materials were observed in the building, quantities of materials observed, condition of the materials and the extent of his/her survey. Sample locations and material descriptions are given by the surveyor on the chain of custody but included here (possibly abbreviated)only as a convenience for the reader.
This report may not be reproduced without written permission of Arrowhead Technologies, LLC and must be reproduced in full.
STATEMENT OF LABORATORY ACCREDITATION
The samples were analyzed in general accordance with the procedures outlined in the Method for the Determinationof Asbestos in Bulk Building Materials, EPA/600/R-93/116,and the Interim Method for the Determinationof Asbestos in Bulk Insulation Samples, EPA 600/M4-82-020. The results of each bulk sample relate only to the material tested as received and the results shall not be used to claim product endorsement by NVLAP or any agency of the U.S. Government.
Floor tile and other resinously bound materials, when analyzed by the EPA method, may yield false negative results because of limitations in separating closely bound fibers and in detecting fibers of small length and diameter. When a definitive result is required, Arrowhead recommendsutilizing alternative methods of identification, including Transmission Electron Microscopy.
Specific questions concerning bulk sample results shall be directed to the Laboratory Director.
Analyst : Ryan Schwegman
Monte Hall, P.G.Laboratory Director :
Florida Registration No. 1658
Approved Signatory :
APPENDIX B
Personnel and Laboratory Certifications
Melanie S. Griffin, SecretaryRon DeSantis, Governor
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ASBESTOS LICENSING UNIT
THE ASBESTOS BUSINESS ORGANIZATION HEREIN IS LICENSED UNDER THE
PROVISIONS OF CHAPTER 469, FLORIDA STATUTES
GLE ASSOCIATES INC
Do not alter this document in any form.
ROBERT BLAIR GREENE
LICENSE NUMBER: ZA0000034
EXPIRATION DATE: NOVEMBER 30, 2025
This is your license. It is unlawful for anyone other than the licensee to use this document.
5405 CYPRESS CENTER DRIVE
SUITE 110
TAMPA FL 33609
Always verify licenses online at MyFloridaLicense.com
ISSUED: 11/02/2023
https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=2c9db36082555fee1afe88b159c9ca06 https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=2c9db36082555fee1afe88b159c9ca06
Melanie S. Griffin, SecretaryRon DeSantis, Governor
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ASBESTOS LICENSING UNIT
THE ASBESTOS CONSULTANT - ENGINEER HEREIN IS LICENSED UNDER THE
PROVISIONS OF CHAPTER 469, FLORIDA STATUTES
GREENE, ROBERT BLAIR
Do not alter this document in any form.
GLE ASSOCIATES INC
LICENSE NUMBER: EA0000009
EXPIRATION DATE: NOVEMBER 30, 2026
This is your license. It is unlawful for anyone other than the licensee to use this document.
5405 CYPRESS CENTER DR
SUITE 110
TAMPA FL 33609
Always verify licenses online at MyFloridaLicense.com
ISSUED: 09/24/2024
https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=10324f95ba50b55978623c96241000ac https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=10324f95ba50b55978623c96241000ac
United States Department of Commerce National Institute of Standards and Technology
Certificate of Accreditation to ISO/IEC 17025:2017
NVLAP LAB CODE: 200703-0
Arrowhead Technologies, L.L.C.
Clearwater, FL is accredited by the National Voluntary Laboratory Accreditation Program for specific services, listed on the Scope of Accreditation, for:
Asbestos Fiber Analysis
2025-01-01 through 2025-12-31
Effective Dates For the National Voluntary Laboratory Accreditation Program
This laboratory is accredited in accordance with the recognized International Standard ISO/IEC 17025:2017.
This accreditation demonstrates technical competence for a defined scope and the operation of a laboratory quality management system (refer to joint ISO-ILAC-IAF Communique on ISO/IEC 17025).
APPENDIX C
Scope of Work Drawing
DEMOLITION PLAN LEGEND
EXISTING CONSTRUCTION
TO REMAIN
EXISTING CONSTRUCTION
TO BE DEMOLISHED
LIMITS OF PROJECT AREA
UNLESS NOTED OTHERWISE
TRUE
NORTH
PLAN
NORTH
9 10 11 12 13 14 15 16 17
A
B
C
STORAGE
2D-251A
NURSE
STATION
2D-252
STORAGE
2D-251
H.A.C.
2D-252A
CORRIDOR
C2-37-1
MENS
VESTIBULE
V2-04-01
RESTROOM
2D-249
PATIENT
ROOM #14
ISOLATION
2D-252V
RT WORK
ROOM
2D-252W
PATIENT
ROOM #15
ISOLATION
2D-252U
CORRIDOR
C2-44-1
COMM
2D-252S
EQUIPMENT
STORAGE
2D-252T
CLEAN
LINEN
2D-259
ON CALL
2D-288
RESTROOM
2D-252P
PATIENT
ROOM #4
2D-252L
FREEZER
2A-205D
OFFICE
2A-205A
COMPUTER
ROOM
2A-205B
CORRIDOR
C2-49-1
GENERAL
STORAGE
2A-207
GENERAL
STORAGE
2A-206
PATIENT
ROOM #5
2D-252K
PATIENT
ROOM #6
2D-252J
PATIENT
ROOM #7
2D-252I
PATIENT
ROOM #8
2D-252H
HEAD
NURSE
2D-252G
PATIENT
ROOM #9
2D-252F
PATIENT
ROOM #10
2D-252E
PATIENT
ROOM #11
2D-252D
PATIENT
ROOM #12
2D-252C
CORRIDOR
C2-43-1
CONNECTOR
ENTRY TO NEW
BED TOWER
PATIENT
ROOM #13
2D-252B
NURSE
STATION
2D-252
D
ROOF
BELOW
OPEN TO
BELOW
OPEN TO
BELOW
A S
R E
Q 'D
AS REQ'D
REF
TYP
TYP
TYP
TYP
A S
R E
Q 'D
PROJECT AREA
KEY PLAN
NTS
DEMO PLAN GENERAL NOTES
A. REFER TO GENERAL PROJECT NOTES, ARCHITECTURAL NOTES, SYMBOLS,
LEGENDS AND ABBREVIATIONS ON SHEET GI002.
B. THE CONTRACTOR SHALL REMOVE ALL EXISTING CONSTRUCTION REQUIRED
TO INSTALL NEW WORK.
C. REFER TO AND COORDINATE WORK WITH OTHER DISCIPLINE'S DRAWINGS FOR
ADDITIONAL INFORMATION AND REQUIREMNETS.
D. DEMOLISH EXISTING FINISHES AND WALL MOUNTED ITEMS/ ACCESSORIES/
EQUIPEMNT IN PROJECT AREA AS REQUIRED TO INSTALL NEW WORK.
E. REMOVE EXISTING DAMAGED SUBSTRATE AND UNDERLAYMENT AS REQUIRED
TO INSTALL NEW WORK.
DEMOLISH EXISTING WINDOW ASSEMBLY.
DEMOLISH EXISTING SLIDING DOOR AND WINDOW ASSEMEBLY.
DEMOLISH EXISTING NURSE STATION MILLWORK.
DEMOLISH EXISTING COUNTER TOP, CASEWORK, FIXTURES AND OTHER WALL
MOUNTED EQUIPMENT/ ACCESSORIES.
REMOVE EXISTING POWER COLUMN AND MONITOR BOOM. TURN OVER TO THE
GOVERMENT AND RELOCATE TO A COR APPROVED LOCATION.
DEMOLISH EXISTING HANDRAIL AND CRASHRAILS.
DEMOLISH EXISTING DOOR AND FRAME ASSEMBLY.
LINE INDICATES LIMIT OF FLOORING FINISH TO BE DEMOLISHED AND PREPARED
TO INSTALL NEW WORK. FLOORING BEYOND THIS LINE TO REMAIN.
DEMO PLAN KEY NOTES #
VA FORM 08-6231
1 2 3 4 5 6 7 8 9
DATE:
Drawing Title:
Approved Project Director
Project Title:
1 2 3 4 5 6 7 8 9
90% SUBMITTAL
512 MEANS STREET NW
Phase Project Number
Building Number
Drawing NumberLocation
Issue Date CheckedFULLY SPRINKLERED
STAMP
STE. 400
ATLANTA, GA 30318
ARCHITECT/ENGINEER OF RECORDCONSULTANT
A
B
C
D
E
F
U.S. Department of Veterans Affairs
Office of Construction and
Facilities Management
Drawn
SJ MC/KB
673-21-145
10-23-2024REVISIONS:
A
B
C
D
E
F
CONSTRUCT NEW BED TOWER
CONNECTOR
13000 BRUCE B DOWNS BLVD
SECOND FLOOR DEMO PLAN
AD101
0' 4' 8' 16' 24'
SCALE: 1/8" = 1' - 0"
1/8" = 1'-0"AD101
1 SECOND FLOOR DEMO PLAN
APPENDIX D
Photographs
Photograph Date:
January 10, 2025
Prepared By:
Upper Photo: CT-01
Lower Photo: DW-01
Figure
Job No.
24000-30656
Tampa VA New Bed Tower
Connector LAS
Upper Photo: FP-01
Lower Photo: FP-02
Figure
Job No.
24000-30656
Upper Photo: FT-01
Lower Photo: FT-02
Figure
Job No.
24000-30656
Upper Photo: FT-03
Lower Photo: FT-04
Upper Photo: M-01
Lower Photo: M-02
Upper Photo: M-03
Lower Photo: MAS-01
Upper Photo: TSI-01
Lower Photo: TSI-02
Figure
Job No.
24000-30656
Upper Photo: VB-01
Lower Photo: VB-02
| James A. Haley VA Medical Center |
| Building 1, Wing 2D, SICU |
| 13000 Bruce B Downs Boulevard |
| Tampa, Florida 33612 |
| GLE Project No.: 24000-30656 |
| Prepared for: |
| Mr. Scott Jeffries |
| Toland Mizell Molnar, LLC |
| 512 Means Street Northwest, Suite 400 |
| Atlanta, Georgia 30318 |
| January 2025 |
| Prepared by: |
| Mr. Scott Jeffries |
| Toland Mizell Molnar, LLC |
| 512 Means Street Northwest, Suite 400 |
| Atlanta, Georgia 30318 |
| GLE Project No.: 24000-30656 |
| GLE Associates, Inc. |
| JZ/PSZ/RBG/aw |
| Table 2.2-1 — Summary of Homogeneous Sampling Areas |
| APPENDICES |
| Appendix A – Analytical Results and Chain of Custody |
| No asbestos-containing materials were identified in the scope of this survey. |
| APPENDIX A |
| Personnel and Laboratory Certifications |
| APPENDIX C |
| APPENDIX D |
File details come from the government source that posted it. Updated .