673-CSI-132 - Hazardous Materials Report 60 PERCENTAGE.pdf
PDF 2 MB Posted
- Solicitation number
- 36C24826Q0128
About this file
This document is a Limited Pre-Renovation Asbestos and Lead Paint Survey Report for the James A. Haley VA Hospital in Tampa, Florida, conducted by Terracon Consultants, Inc. on November 5, 2024. The survey focused on designated interior areas of the 1st floor Wing C and the roof, specifically for planned MRI interior renovations. Terracon collected 45 bulk samples from 19 homogeneous areas, including roofing, floor tiles, ceiling tiles, drywall, joint compound, covebase, mastic, and other building materials.
Laboratory analysis by Scientific Analytical Institute revealed no asbestos or lead was detected in any of the samples. The survey was performed in accordance with EPA regulations (NESHAP and OSHA standards) to identify and classify potential asbestos-containing materials (ACM) and lead-based paint prior to renovation activities. Terracon recommended maintaining a copy of the survey onsite and contacting the Hillsborough County Environmental Protection Commission for confirmation of project requirements. The report includes detailed appendices with sample analysis results, photographs, and the inspector's certifications.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 673-CSI-132 SOW RFI update.docx | DOCX document | |
| first floor drawing.pdf | ||
| 673-CSI-132 RFI Responses.docx | DOCX document | |
| WD-FL20260208 01-02-26.pdf | ||
| 36C24826Q0128 0003.pdf | ||
| second floor drawing - ACM.pdf | ||
| sign in sheet.pdf | ||
| 36C24826Q0128 0002.pdf | ||
| VA James A Haley1 5T MRI -90 CD Progress Specifications 12-15.pdf | ||
| 2510179R0-DRAWINGS.pdf | ||
| 36C24826Q0128 0001.pdf | ||
| VA James A Haley 1 5T MRI -90 CD-Progress Drawings 12-15.pdf | ||
| 36C24826Q0128_1.pdf | ||
| Experience information Sheet.pdf | ||
| EMR 1 page.pdf | ||
| Base Offer Price Breakdown - 1 page.xlsx | XLSX spreadsheet | |
| PAST AND PRESENT PERFORMANCE QUESTIONNAIRE.docx | DOCX document | |
| WD FL20250208 05232025.pdf | ||
| 2510179R0-DRAWINGS.pdf | ||
| 36C24826Q0128.docx | DOCX document | |
| 673-CSI-132 SOW.docx | DOCX document |
Show all 21
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Limited Pre-Renovation
Asbestos and Lead Paint Survey Report
James A. Haley VA Hospital
13000 Bruce B. Downs Boulevard
Tampa, Florida 33612
December 9, 2024 Terracon Project No. H4247230
Prepared for:
Romanyk Consulting Corp.
3308 Preston Road, Suite 350-164
Plano, Texas 75093
Prepared by:
Terracon Consultants, Inc.
Tampa, Florida
5463 West Waters Avenue, Suite 830
Tampa, Florida 33634
P (813) 221-0050
F (813) 221-0051
Terracon.com
Facilities | Environmental | Geotechnical | Materials
Romanyk Consulting Corp.
3308 Preston Road, Suite 350-164
Plano, Texas 75093
Attn: Ms. Ann Seibert
P: (855) 424-3838
E: Ann.Seibert@romanykconsulting.com
RE: Limited Pre-Renovation Asbestos and Lead Paint Survey Report
James A. Haley VA Hospital
Designated MRI and Roof Locations
13000 Bruce B. Downs Boulevard
Terracon Report No. H4247230
Dear Ms. Seibert:
Terracon Consultants, Inc. (Terracon) is pleased to submit the attached report to Romanyk Consulting
(Client). The purpose of this report is to present the results of a limited pre-renovation asbestos and lead paint survey performed within the designated areas of the James A. Haley VA Hospital located in Tampa, Florida. This survey was conducted in general accordance with PH4247230, dated August 29, 2024.
Terracon understands this survey was requested in connection with the planned MRI interior renovations of the 1st floor areas and roof of the subject structure.
Based on the laboratory results, asbestos was not detected in the materials assessed. Laboratory analysis of the paint chip samples indicated lead was not detected in samples above the laboratory detection/reporting limit. Please refer to the attached report for further details.
Terracon appreciates the opportunity to provide this service to Romanyk Consulting Corp. If you have any questions regarding this report, or if you need assistance with project oversight and sampling during renovation, please contact the undersigned at 727-470-1104.
Sincerely, Terracon Consultants, Inc.
Florida Asbestos Business License Number ZA-337
Karl Kologiski Mark Fricke, CIH, CSP, LAC AHERA Building Inspector FL Licensed Asbestos Consultant AX132
Karl Kologiski https://na3.documents.adobe.com/verifier?tx=CBJCHBCAABAATzM0I_ohanD6J_5bRaIHwpAb5w0uGTk4 https://na3.documents.adobe.com/verifier?tx=CBJCHBCAABAATzM0I_ohanD6J_5bRaIHwpAb5w0uGTk4
TABLE OF CONTENTS
Page
1.0 INTRODUCTION
1.1 Project Objective
1.2 Reliance
2.0 BUILDING DESCRIPTION
3.0 ASBESTOS FIELD ACTIVITIES
3.1 Visual Assessment
3.2 Physical Assessment
3.3 Sample Collection
3.4 Sample Analysis
4.0 LEAD-BASED PAINT FIELD ACTIVITIES
4.1 Visual Observations
4.2 Visual Assessment
4.3 Sample Collection
4.4 Sample Analysis
5.0 ASBESTOS REGULATORY OVERVIEW
6.0 LEAD-BASED PAINT REGULATORY OVERVIEW
7.0 ASBESTOS FINDINGS AND RECOMMENDATIONS
7.1 Findings
7.2 Recommendations
8.0 LEAD-BASED PAINT FINDINGS AND RECOMMENDATIONS
8.1 Findings
8.2 Recommendations
9.0 LIMITATIONS/GENERAL COMMENTS
APPENDIX A SUMMARY OF ASBESTOS SAMPLE LAYERS BY HOMOGENEOUS AREA (HA)
APPENDIX B LEAD PAINT SUMMARY TABLE
APPENDIX C ASBESTOS ANALYTICAL LABORATORY RESULTS
APPENDIX D LEAD PAINT ANALYTICAL LABORATORY RESULTS
APPENDIX E REPRESENTATIVE PHOTOGRAPHS
APPENDIX F LICENSES AND CERTIFICATIONS
Facilities | Environmental | Geotechnical | Materials 1
Asbestos and Lead Paint Survey Report
13000 Bruce B. Downs Boulevard
Terracon Project No. H4247230
1.0 INTRODUCTION
Terracon Consultants, Inc. (Terracon) conducted a limited roofing, interior pre-renovation asbestos survey, and limited lead paint survey of the designated areas of the James A. Haley VA Hospital in
Tampa, Florida. Surveys and sampling were limited to suspect materials located within interior areas and the roof that are part of the MRI upgrades in the designated areas.
The survey was conducted on November 5, 2024, by Terracon representative Mr. Karl Kologiski, an
Asbestos Hazard Emergency Response Act (AHERA)-accredited asbestos inspector in general accordance with Terracon Proposal PH4247230, dated August 29, 2024. Although reasonable effort was made to survey all accessible suspect materials within the designated interior and roof locations, additional suspect but un-sampled materials could be located in walls, in voids, or in other inaccessible or concealed areas. Applicable licenses and certifications are presented in Appendix F.
Homogeneous areas of suspect asbestos-containing materials (ACM) and suspect lead paint were visually identified, surveyed, and documented. Asbestos sampling was performed in general accordance with the United States (U.S.) Environmental Protection Agency (EPA) 40 Code of Federal Regulations
(CFR) Part 763 Subpart E 763, known as AHERA. Suspect lead paint samples were obtained from representative surfaces potentially containing lead coatings.
1.1 Project Objective
Terracon’s services were performed to accommodate planned renovation activities and to satisfy requirements of the EPA regulation 40 CFR 61, Subpart M, National Emission Standards for Hazardous
Air Pollutants (NESHAP). NESHAP regulations prohibit the release of asbestos fibers to the atmosphere during renovation or demolition activities. The asbestos NESHAP requires that potentially regulated ACM
(RACM) be identified, classified, and quantified prior to planned disturbances or demolition activities.
Lead paint testing was performed to comply with applicable sections of the U.S. Occupational Safety and
Health Administration (OSHA) Lead Standard (29 CFR 1926.62) for disturbance of paint/coatings with lead that will be encountered during renovation or demolition activities.
1.2 Reliance
This report is for the exclusive use of Romanyk Consulting Corp (Romanyk) for the project being discussed. Reliance by any other party on this report is prohibited without written authorization of
Terracon and Romanyk. Reliance on this report by Romanyk and all authorized parties will be subject to the terms, conditions, and limitations stated in the proposal, this report, and the existing agreement between Romanyk and Terracon. The limitations of liability defined in Terracon’s
Agreement for Services is the aggregate limit of Terracon’s liability to Romanyk.
Asbestos & Lead Paint Survey Report
James A. Haley VA Hospital ■ Tampa, Florida
December 9, 2024 ■ Terracon Proposal No. PH4247230
Facilities | Environmental | Geotechnical | Materials 2
2.0 BUILDING DESCRIPTION
The designated interior areas of the 1st floor Wing C included in the survey consisted of the following rooms: GC-26, GC-26A, GC030, GC-031, GC-045, GC-046, GC-047, and Hallway Common Area.
Interior floor finishes of the 1st floor subject areas included vinyl floor tile and bamboo flooring. Wall finishes included smooth painted drywall and joint compound, vinyl cove base, and wallpaper. Ceilings consisted of a suspended ceiling grid and ceiling tiles. The roof is steel framing with a rolled TPO membrane.
3.0 ASBESTOS FIELD ACTIVITIES
The asbestos portion of the survey was conducted on November 5, 2024, by Terracon representative Mr.
Karl Kologiski an AHERA-accredited asbestos inspector. A copy of the inspector certificates and applicable licenses are attached as Appendix F. The survey was conducted in general accordance with the sample collection protocols established in EPA 40 CFR Part 763 Subpart E 763.86, AHERA. A summary of survey activities is provided below.
3.1 Visual Assessment
Survey activities were initiated with limited visual observations of the accessible, designated areas to identify homogeneous areas of suspect ACM. A homogeneous area (HA) consists of building materials that appear similar throughout in terms of color and texture with consideration given to the date of application. The limited assessment was conducted in readily accessible areas of the buildings.
3.2 Physical Assessment
A physical assessment of each homogeneous area of suspect ACM was conducted to assess the friability and condition of the materials. A friable material is defined by the EPA as a material which can be crumbled, pulverized, or reduced to powder by hand pressure when dry. Friability was assessed by physically touching suspect materials.
3.3 Sample Collection
Based on results of the visual observations, bulk samples of suspect ACM were collected in general accordance with AHERA sampling protocols. Samples of suspect materials were collected in randomly selected locations in each homogeneous area. Samples were placed in sealable containers and labeled with unique sample numbers using an indelible marker.
The selection of sample locations and frequency of sampling were based on Terracon’s observations and the assumption that like materials in the same area are homogeneous in content. A total of forty-five (45) bulk samples were collected by Terracon from nineteen (19) homogeneous areas of suspect
ACM.
A summary of asbestos sample layers by homogeneous areas are presented in Appendix A. Asbestos laboratory data is presented in Appendix C.
Facilities | Environmental | Geotechnical | Materials 3
3.4 Sample Analysis
Bulk samples were submitted under secure chain of custody protocols to Scientific Analytical Institute
(SAI) of Greensboro North Carolina for analysis by polarized light microscopy with dispersion staining techniques per EPA methodology 600/R-93/116. The percentage of asbestos, where applicable, was determined by microscopic visual estimation. SAI is accredited under the National Voluntary
Laboratory Accreditation Program (NVLAP) Accreditation No. 200664-0.
4.0 LEADPAINT FIELD ACTIVITES
4.1 Visual Observations
The lead paint survey was limited to readily observable and accessible surfaces that may be disturbed during the planned renovations. Terracon cannot guarantee that all lead paint coated surfaces were identified during our survey as some lead paint may be hidden from sight or in inaccessible locations, or the homogeneous construction areas identified may not be truly homogeneous. This limited lead paint survey was not performed in accordance with U.S. Department of Housing and Urban
Development (HUD) Guidelines for the Evaluation and Control of Lead-Based Paint (LBP)
Hazards in Housing or applicable to EPA 40 CFR 745 requirements. It should be understood that this limited lead paint survey was not considered to be comprehensive in nature, and the results are not intended to be used to determine all lead hazards, develop lead abatement plans, or prepare detailed cost estimates for lead abatement.
4.2 Visual Assessment
A visual assessment of each unique combination, defined as a color, component, and substrate, of suspect lead paint was conducted in addition to an assessment of the paint condition.
4.3 Sample Collection
A total of six (6) paint chip samples of suspect lead paint were collected. Paint chip samples were placed in sealable containers and labeled with unique sample numbers using an indelible marker. A summary of sample results is presented in Appendix B. Laboratory results are presented in Appendix D.
Representative lead paint sample photographs are presented in Appendix E.
4.4 Sample Analysis
Paint chip samples were submitted under chain of custody to Scientific Analytical Institute (SAI) for analysis by flame atomic absorption spectrometry per EPA SW-846/3050B/7000B. SAI is accredited under the Environmental Lead Laboratory Accreditation Program (ELLAP) (Accreditation No. 173190).
Facilities | Environmental | Geotechnical | Materials 4
5.0 ASBESTOS REGULATORY OVERVIEW
The asbestos NESHAP (40 CFR Part 61, Subpart M) regulates asbestos fiber emissions and asbestos waste disposal practices. The NESHAP regulation also requires the identification and classification of existing ACM according to friability prior to demolition or renovation activity.
Under NESHAP, asbestos-containing building materials are classified as:
1. Friable ACM, or
2. Category I Non-Friable ACM, or
3. Category II Non-Friable ACM.
Friable materials are those that, when dry, may be crumbled, pulverized, or reduced to powder by hand pressure. Category I Non-Friable ACM includes packings, gaskets, resilient floor coverings and asphalt roofing products containing more than 1% asbestos. Category II Non-Friable ACM are any materials other than Category I Non-Friable ACM that contain more than 1% asbestos.
Under NESHAP, Regulated Asbestos-Containing Materials (RACM are classified as:
1. Friable ACM.
2. Category I Non-Friable ACM that is in poor condition and/or has become friable.
3. Category I Non-Friable ACM that will or has been subjected to sanding, grinding, cutting, or abrading.
4. 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 upon the material in the course of renovation or demolition operations.
In the State of Florida, asbestos activities are regulated by the Florida Department of Environmental
Protection (FDEP). Some counties have developed an enforcement division to carry out the responsibilities of the FDEP and have developed environmental and asbestos ordinances in which additional compliance is required. Since the facility is located in Hillsborough County Florida, the NESHAP regulations are under the jurisdiction of the Hillsborough County Environmental Protection Commission
(813-627-2660).
Per the NESHAP, RACM must be removed prior to renovation or demolition activities that will disturb the materials. Removal of any ACM or RACM must be conducted by a State of Florida-licensed asbestos abatement contractor, in compliance with Florida Statute (F.S) 469.001-014. In addition, third party air monitoring should be performed during and following the abatement.
The OSHA Asbestos standard for construction (29 CFR 1926.1101) regulates employee workplace exposure to asbestos. The OSHA standard has (2) Permissible Exposure Limits (PEL) that require employee exposure to airborne asbestos fibers be maintained below 0.1 asbestos fibers per cubic centimeter of air (0.1 f/cc) for an 8-hour Time-Weighted Average (8-Hr. TWA) and 1.0 f/cc for a 30-minute TWA (Excursion Limit). The OSHA standard classifies construction and maintenance activities which could disturb ACM and specifies work practices and precautions which employers must follow when engaging in each class of regulated work.
Facilities | Environmental | Geotechnical | Materials 5
6.0 LEAD-CONTAINING PAINT REGULATORY OVERVIEW
Lead is regulated by the EPA, HUD, Florida Department of Environmental Protection (FDEP) and OSHA.
The EPA and FDEP regulate lead use, removal, and disposal, and OSHA regulates lead exposure to workers. The EPA defines Lead-Based Paint (LBP) as any paint, varnish, stain, or other applied coating that contains lead equal to or greater than 1.0 mg/cm2, 5,000 mg/kg, or 0.5% by dry weight as determined by laboratory analysis.
For the purpose of the OSHA lead standard, lead-containing materials includes any detectable concentrations of metallic lead, all inorganic lead compounds, and organic lead soaps. A synopsis of the OSHA regulations (29 CFR 1926.62) and the applicability are as follows:
The OSHA Lead Standard for Construction (29 CFR 1926.62) applies to all construction work where an employee may be occupationally exposed to lead. All work related to construction, alteration, or repair
(including painting and decorating) is included. The Lead-in-Construction standard applies to any detectable concentration of lead in paint, as even small concentrations of lead can result in unacceptable employee exposures depending upon on the method of disturbance-removal and other workplace conditions.
Under this standard, construction includes, but is not limited to, the following:
◼ Demolition or salvage of structures where lead or materials containing lead are present
◼ Removal or encapsulation of materials containing lead
◼ New construction, alteration, repair, or renovation of structures, substrates, or portions containing lead, or materials containing lead
◼ Installation of products containing lead
◼ Lead contamination/emergency clean-up
◼ Transportation, disposal, storage, or containment of lead or materials containing lead on the site or location at which construction activities are performed
◼ Maintenance operations associated with construction activities described above.
7.0 FINDINGS AND RECOMMENDATIONS – ASBESTOS
7.1 Findings
Based on the results of laboratory analysis of the designated suspect ACM, none of the samples obtained were found to contain asbestos.
A summary of asbestos sample layers by homogeneous areas is presented in Appendix A. Asbestos laboratory data is presented in Appendix C.
It should be noted that suspect materials other than those identified may exist. Should suspect materials other than those which were identified during this survey be uncovered prior to or during the renovation process, those materials should be assumed asbestos-containing until sampling and analysis can confirm or refute their asbestos content.
Facilities | Environmental | Geotechnical | Materials 6
7.2 Recommendations
Based on the results of laboratory analysis of the designated, suspect ACM, no materials sampled during this assessment were confirmed to contain asbestos. As such, we recommend contacting your local regulator(s) for confirmation of their project requirements and to maintain a copy of this survey onsite.
We recommend direct contact with the Hillsborough County Environmental Protection Commission (813-
627-2660) for confirmation and clarifications of their asbestos program requirements.
8.0 FINDINGS AND RECOMMENDATIONS – Lead Paint
8.1 Findings
Detectable concentrations of lead were not identified in the various coatings evaluated during the assessment. A Lead Paint Summary Table is presented in Appendix A. The following summarizes the results of the 6 paint chip samples:
Interior 1st Floor Areas
1. The six (6) paint samples collected were all below laboratory detection/reporting limits.
9.0 LIMITATIONS/GENERAL COMMENTS
This Limited Interior Pre-renovation Asbestos and Lead Paint Survey was conducted in a manner consistent with the level of care and skill ordinarily exercised by members of the profession currently practicing under similar conditions in the same locale. The results, findings, conclusions, and recommendations expressed in this report are based on conditions observed during our survey of the designated areas. The information contained in this report is relevant to the date on which this survey was performed and should not be relied upon to represent conditions at a later date.
This report has been prepared on behalf of and exclusively for use by Romanyk for specific application to their project as discussed. This report is not a bidding document. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. Terracon does not warrant the work of regulatory agencies, laboratories or other third parties supplying information which may have been used in the preparation of this report. No warranty, express or implied, is made.
APPENDIX A
LIMITED PRE-RENOVATION
ASBESTOS AND LEAD PAINT SURVEY REPORT
JAMES A. HALEY VA HOSPITAL - 1ST FLOOR WING C MRI AREAS AND ROOF
13000 BRUCE B. DOWNS BOULEVARD, TAMPA, FLORIDA 33612
TERRACON REPORT NO. H4247230
SUMMARY OF ASBESTOS SAMPLE LAYERS BY HOMOGENEOUS AREA (HA)
HA
No.
Sample No. Sample Description Sample Location Sample Layer Asbestos Content
H1
H1-1-A
Lower Roof Core
Roof Roofing None Detected
H1-1-B Roof Insulation/Foam None Detected
H1-2-A Roof Roofing None Detected
H1-2-B Roof Insulation/Foam None Detected
H2
H2-3-A
Upper Roof Core
Roof Membrane None Detected
H2-3-B Roof Insulation/Foam None Detected
H2-4-A Roof Membrane None Detected
H2-4-B Roof Insulation/Foam None Detected
H4
H4-5-A
12” Gray stone VFT
Hallway Floor Tile None Detected
H4-5-B Hallway Mastic None Detected
H4-6-A GC-026 Tile None Detected
H4-6-B GC-026 Mastic None Detected
H4-7-A GC-026A Tile None Detected
H4-7-B GC-026A Mastic None Detected
H5
H5-8-A
Bamboo Flooring
GC-045 Tile None Detected
H5-8-B GC-045 Mastic None Detected
H5-9-A GC-047 Vinyl Floor Tile None Detected
H5-9-B GC-047 Mastic None Detected
H5-10-A GC-030 Vinyl Floor Tile None Detected
H5-10-B GC-030 Mastic None Detected
Kologiski, Karl V Stamp
Limited Pre-Renovation Asbestos & Lead Paint Survey Report
Sample No. Sample Description Sample Location Sample Layer Asbestos Content
H6
H6-11 4” Black Cove Base
GC-045 Cove Base / Mastic None Detected
H6-12-A GC-047 Cove Base None Detected
H6-12-B GC-047 Mastic None Detected
H7 H7-13 24” Wormhole Ceiling Tile
GC-045 Ceiling Tile None Detected
H7-14 GC-047 Ceiling Tile None Detected
H8
H8-15
DW-JC
GC-045
Drywall/Joint
Compound None Detected
H8-16 GC-046
Drywall/Joint
Compound None Detected
H8-17 GC-026
Drywall/Joint Compound None Detected
H8-18 GC-031
Drywall/Joint Compound None Detected
H9
H9-19
Fireproofing
Hallway Fireproofing None Detected
H9-20 GC-045 Fireproofing None Detected
H9-21 GC-031 Fireproofing None Detected
H9-22 GC-026 Fireproofing None Detected
H9-23 Hallway Fireproofing None Detected
H10 H10-24 Floor Leveling Compound
GC-045 Leveling Compound None Detected
H10-25 GC-045 Leveling Compound None Detected
H11
H11-26-A 4” White Cove Base
Hallway Cove Base None Detected
H11-26-B Hallway Cove Base None Detected
H11-27 GC-026 Cove Base / Mastic None Detected
H12 H12-28
Wallpaper GC-046 Wallpaper None Detected
H12-29 GC-043 Wallpaper None Detected
H13 H13-30
24” Random Divot Ceiling Tile GC-046 Ceiling Tile None Detected
H13-31 GC-026 Ceiling Tile None Detected
H14 H14-32
Yellow Duct Mastic GC-046 Mastic None Detected
H14-33 GC-046 Mastic None Detected
H15 H15-34 White Caulking GC-026A Caulking None Detected
Limited Pre-Renovation Asbestos & Lead Paint Survey Report
Sample No. Sample Description Sample Location Sample Layer Asbestos Content
H15-35 GC-026-A Caulking None Detected
H16
H16-36-A
12” Off White VFT
GC-030 Tile None Detected
H16-36-B GC-030 Mastic None Detected
H16-37-A GC-030 Tile None Detected
H16-37-B GC-030 Mastic None Detected
H17 H17-38
Red Fire Stop GC-026 Fire Stop None Detected
H17-39 GC-026A Fire Stop None Detected
H18 H18-40
Gray Duct Mastic GC-026 Mastic None Detected
H18-41 GC-026 Mastic None Detected
H19
H19-42-A
12” Off White VFT
GC-031 Tile None Detected
H19-42-B GC-031 Mastic None Detected
H19-43-A GC-031 Tile None Detected
H19-43-B GC-031 Mastic None Detected
H20
H20-44-A
4” Tan Cove Base
GC-031 Cove Base None Detected
H20-44-B GC-031 Mastic None Detected
H20-45-A GC-031 Cove Base None Detected
H20-45-B GC-031 Mastic None Detected
APPENDIX B
LIMITED PRE-RENOVATION
ASBESTOS AND LEAD PAINT SURVEY REPORT
JAMES A. HALEY VA HOSPITAL - 1st Floor Wing C MRI Areas and Roof 13000 Bruce B. Downs Boulevard, Tampa, Florida 33612
Terracon Report No. H4247230
LEAD CONTAINING PAINT SUMMARY TABLE
Sample
ID
Sample Location Item Substrate Color
Reporting Limit
(PPM)
Concentration
(PPM)
Paint Chip
Results %
Weight
X1 GC-045 Door Frame Metal Gray 36 <36 <0.0036
X2 GC-026A Interior Wall Drywall Beige 39 <39 <0.0039
X3 GC-O45 Interior Wall Drywall White 61 <61 <0.0061
X4 GC-030 Interior Wall Drywall Blue 49 <49 <0.0049
X5 GC-031 Door Frame Metal White 38 <38 <0.0038
46 GC-031 Interior Wall Drywall White 54 <54 <0.0054
< = Below Detection Limit
Results in bold indicate quantifiable concentrations of lead
Kologiski, Karl V Stamp
APPENDIX C
ASBESTOS ANALYTICAL LABORATORY RESULTS
Bulk Asbestos Analysis By Polarized Light Microscopy EPA Method: 600/R-93/116 and
40 CFR, Part 763, Subpart E, App.E
Lab Order ID:Attn: 10067758Customer: Terracon 5463 W Waters Ave Suite 830 Tampa, FL 33634-1253
Analysis:
Date Received:
Karl Kologiski
PLM
11/07/2024
Project: J. Haley VA MRI Renovation Date Reported: 11/14/2024
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos
Fibrous Components
Non-Fibrous Components Treatment
Attributes
H1-1 - A
10067758_0001
Lower roof core
None Detected 15% Fiber Glass 85% Other
Non-Fibrous
Dissolved
Black
Homogeneous roofing
H1-1 - B
10067758_0046
Lower roof core
None Detected 30% Cellulose 70% Other
Non-Fibrous
Ashed, Dissolved
Gray, Yellow
Heterogeneous insulation/foam
H1-2 - A
10067758_0002
Lower roof core
None Detected 15% Fiber Glass 85% Other
Non-Fibrous
Dissolved
Black
Homogeneous roofing
H1-2 - B
10067758_0047
Lower roof core
None Detected 30% Cellulose 70% Other
Non-Fibrous
Ashed, Dissolved
Gray, Yellow
Heterogeneous insulation/foam
H2-3 - A
10067758_0003
Upper roof core
None Detected 100% Other
Non-Fibrous
Ashed
Black
Homogeneous membrane
H2-3 - B
10067758_0048
Upper roof core
None Detected 30% Cellulose 70% Other
Non-Fibrous
Dissolved, Ashed
Gray, Yellow
Heterogeneous insulation/foam
H2-4 - A
10067758_0004
Upper roof core
None Detected 100% Other
Non-Fibrous
Ashed
Black
Homogeneous membrane
H2-4 - B
10067758_0049
Upper roof core
None Detected 30% Cellulose 70% Other
Non-Fibrous
Dissolved, Ashed
Yellow, Gray
Heterogeneous insulation/foam
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogenous soil samples be conducted by TEM for confirmation of "None Detected" by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program.
Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Jalen Moore (63)
Analyst Approved Signatory
Page 1 of 8P-F-002 r15 1/15/2028 Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
EPA Method: 600/R-93/116 and
40 CFR, Part 763, Subpart E, App.E
Lab Order ID:Attn: 10067758Customer: Terracon 5463 W Waters Ave Suite 830 Tampa, FL 33634-1253
Analysis:
Date Received:
Karl Kologiski
PLM
11/07/2024
Project: J. Haley VA MRI Renovation Date Reported: 11/14/2024
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos
Fibrous Components
Non-Fibrous Components Treatment
Attributes
H4-5 - A
10067758_0005
12" gray stone VFT - hallway
None Detected 100% Other
Non-Fibrous
Ashed
Gray
Homogeneous floor tile
H4-5 - B
10067758_0050
12" gray stone VFT - hallway
None Detected 100% Other
Non-Fibrous
Dissolved
Yellow
Homogeneous mastic
H4-6 - A
10067758_0006
12" gray stone VFT - 026
None Detected 100% Other
Non-Fibrous
Ashed
Gray
Homogeneous tile
H4-6 - B
10067758_0051
12" gray stone VFT - 026
None Detected 100% Other
Non-Fibrous
Dissolved
Gray
Homogeneous mastic
H4-7 - A
10067758_0007
12" gray stone VFT - 026A
None Detected 100% Other
Non-Fibrous
Ashed
Gray
Homogeneous tile
H4-7 - B
10067758_0052
12" gray stone VFT - 026A
None Detected 100% Other
Non-Fibrous
Dissolved
Gray
Homogeneous mastic
H5-8 - A
10067758_0008
Bamboo flooring - 045
None Detected 100% Other
Non-Fibrous
Ashed
Tan
Homogeneous tile
H5-8 - B
10067758_0053
Bamboo flooring - 045
None Detected 100% Other
Non-Fibrous
Dissolved
Gray
Homogeneous mastic
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogenous soil samples be conducted by TEM for confirmation of "None Detected" by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program.
Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Jalen Moore (63)
Page 2 of 8P-F-002 r15 1/15/2028 Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
EPA Method: 600/R-93/116 and
40 CFR, Part 763, Subpart E, App.E
Lab Order ID:Attn: 10067758Customer: Terracon 5463 W Waters Ave Suite 830 Tampa, FL 33634-1253
Analysis:
Date Received:
Karl Kologiski
PLM
11/07/2024
Project: J. Haley VA MRI Renovation Date Reported: 11/14/2024
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos
Fibrous Components
Non-Fibrous Components Treatment
Attributes
H5-9 - A
10067758_0009
Bamboo flooring - 047
None Detected 100% Other
Non-Fibrous
Ashed
Tan
Homogeneous vinyl floor tile
H5-9 - B
10067758_0054
Bamboo flooring - 047
None Detected 100% Other
Non-Fibrous
Dissolved
Gray
Homogeneous mastic
H5-10 - A
10067758_0010
Bamboo flooring - 030
None Detected 100% Other
Non-Fibrous
Ashed
Tan
Homogeneous vinyl floor tile
H5-10 - B
10067758_0055
Bamboo flooring - 030
None Detected 100% Other
Non-Fibrous
Dissolved
Yellow
Homogeneous mastic
H6-11
10067758_0011
4" black cove base - 45
None Detected 100% Other
Non-Fibrous
Ashed
Gray, Beige
Heterogeneous cove base/mastic- layers inseparable
H6-12 - A
10067758_0012
4" black cove base - 47
None Detected 100% Other
Non-Fibrous
Ashed
Gray
Homogeneous cove base
H6-12 - B
10067758_0056
4" black cove base - 47
None Detected 100% Other
Non-Fibrous
Ashed
Beige
Homogeneous mastic
H7-13
10067758_0013
24" wormhole ceiling tile -
None Detected 60% 20%
Cellulose Mineral Wool
10% 10%
Other Perlite
Fibrous
Ashed
Beige
Homogeneous
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogenous soil samples be conducted by TEM for confirmation of "None Detected" by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program.
Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Jalen Moore (63)
Page 3 of 8P-F-002 r15 1/15/2028 Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
EPA Method: 600/R-93/116 and
40 CFR, Part 763, Subpart E, App.E
Lab Order ID:Attn: 10067758Customer: Terracon 5463 W Waters Ave Suite 830 Tampa, FL 33634-1253
Analysis:
Date Received:
Karl Kologiski
PLM
11/07/2024
Project: J. Haley VA MRI Renovation Date Reported: 11/14/2024
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos
Fibrous Components
Non-Fibrous Components Treatment
Attributes
H7-14
10067758_0014
24" wormhole ceiling tile -
None Detected 60% 20%
Cellulose Mineral Wool
10% 10%
Other Perlite
Fibrous
Ashed
Beige
Homogeneous
H8-15
10067758_0015
DW-JC - 045
None Detected 10% Cellulose 90% Other
Non-Fibrous
Dissolved
White
Heterogeneous drywall:none detect; joint compound:none detect
H8-16
10067758_0016
DW-JC - 046
None Detected 10% Cellulose 90% Other
Non-Fibrous
Dissolved
White
Heterogeneous drywall:none detect; joint compound:none detect
H8-17
10067758_0017
DW-JC - 026
None Detected 10% Cellulose 90% Other
Non-Fibrous
Dissolved
White
Heterogeneous drywall:none detect; joint compound:none detect
H8-18
10067758_0018
DW-JC - 031
None Detected 10% Cellulose 90% Other
Non-Fibrous
Dissolved
White
Heterogeneous drywall:none detect; joint compound:none detect
H9-19
10067758_0019
Fireproofing - hallway
None Detected 95% Mineral Wool 5% Other
Fibrous
Teased
Gray
Homogeneous
H9-20
10067758_0020
Fireproofing - 045
None Detected 95% Mineral Wool 5% Other
Fibrous
Teased
Gray
Homogeneous
H9-21
10067758_0021
Fireproofing - 031
None Detected 95% Mineral Wool 5% Other
Fibrous
Teased
Gray
Homogeneous
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogenous soil samples be conducted by TEM for confirmation of "None Detected" by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program.
Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Jalen Moore (63)
Page 4 of 8P-F-002 r15 1/15/2028 Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
EPA Method: 600/R-93/116 and
40 CFR, Part 763, Subpart E, App.E
Lab Order ID:Attn: 10067758Customer: Terracon 5463 W Waters Ave Suite 830 Tampa, FL 33634-1253
Analysis:
Date Received:
Karl Kologiski
PLM
11/07/2024
Project: J. Haley VA MRI Renovation Date Reported: 11/14/2024
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos
Fibrous Components
Non-Fibrous Components Treatment
Attributes
H9-22
10067758_0022
Fireproofing - 026
None Detected 95% Mineral Wool 5% Other
Fibrous
Teased
Gray
Homogeneous
H9-23
10067758_0023
Fireproofing - hallway
None Detected 95% Mineral Wool 5% Other
Fibrous
Teased
Gray
Homogeneous
H10-24
10067758_0024
Floor leveling compound -
None Detected 100% Other
Non-Fibrous
Dissolved
Gray
Homogeneous
H10-25
10067758_0025
Floor leveling compound -
None Detected 100% Other
Non-Fibrous
Dissolved
Gray
Homogeneous
H11-26 - A
10067758_0026
4" white covebsae - hallway
None Detected 100% Other
Non-Fibrous
Ashed
White
Homogeneous
H11-26 - B
10067758_0057
4" white covebase - hallway
None Detected 100% Other
Non-Fibrous
Dissolved
Tan
Homogeneous
H11-27
10067758_0027
4" white covebase - 026
None Detected 100% Other
Non-Fibrous
Ashed
White, Tan
Heterogeneous cove base/mastic- layers inseparable
H12-28
10067758_0028
Wallpaper - 046
None Detected 40% Cellulose 60% Other
Non-Fibrous
Ashed
Beige
Homogeneous
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogenous soil samples be conducted by TEM for confirmation of "None Detected" by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program.
Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Jalen Moore (63)
Page 5 of 8P-F-002 r15 1/15/2028 Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
EPA Method: 600/R-93/116 and
40 CFR, Part 763, Subpart E, App.E
Lab Order ID:Attn: 10067758Customer: Terracon 5463 W Waters Ave Suite 830 Tampa, FL 33634-1253
Analysis:
Date Received:
Karl Kologiski
PLM
11/07/2024
Project: J. Haley VA MRI Renovation Date Reported: 11/14/2024
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos
Fibrous Components
Non-Fibrous Components Treatment
Attributes
H12-29
10067758_0029
Wallpaper - 043
None Detected 40% Cellulose 60% Other
Non-Fibrous
Ashed
Pink
Homogeneous
H13-30
10067758_0030
24" random divot ceiling tile
- 046
None Detected 60% 20%
Cellulose Mineral Wool
10% 10%
Perlite Other
Fibrous
Ashed
Gray
Homogeneous
H13-31
10067758_0031
24" random divot ceiling tile
- 026
None Detected 60% 20%
Cellulose Mineral Wool
10% 10%
Perlite Other
Fibrous
Ashed
Gray
Homogeneous
H14-32
10067758_0032
Yellow duct mastic - 046
None Detected 100% Other
Non-Fibrous
Dissolved
Tan
Homogeneous
H14-33
10067758_0033
Yellow duct mastic - 046
None Detected 100% Other
Non-Fibrous
Dissolved
Tan
Homogeneous
H15-34
10067758_0034
White caulking - 26A counter
None Detected 100% Other
Non-Fibrous
Ashed
White
Homogeneous
H15-35
10067758_0035
White caulking - 26A counter
None Detected 100% Other
Non-Fibrous
Ashed
White
Homogeneous
H16-36 - A
10067758_0036
12" off white VFT - 030 2nd layer
None Detected 100% Other
Non-Fibrous
Dissolved
White
Homogeneous tile
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogenous soil samples be conducted by TEM for confirmation of "None Detected" by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program.
Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Jalen Moore (63)
Page 6 of 8P-F-002 r15 1/15/2028 Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
EPA Method: 600/R-93/116 and
40 CFR, Part 763, Subpart E, App.E
Lab Order ID:Attn: 10067758Customer: Terracon 5463 W Waters Ave Suite 830 Tampa, FL 33634-1253
Analysis:
Date Received:
Karl Kologiski
PLM
11/07/2024
Project: J. Haley VA MRI Renovation Date Reported: 11/14/2024
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos
Fibrous Components
Non-Fibrous Components Treatment
Attributes
H16-36 - B
10067758_0058
12" off white VFT - 030 2nd layer
None Detected 100% Other
Non-Fibrous
Dissolved
Yellow
Homogeneous mastic
H16-37 - A
10067758_0037
12" off white VFT - 030 2nd layer
None Detected 100% Other
Non-Fibrous
Dissolved
White
Homogeneous tile
H16-37 - B
10067758_0059
12" off white VFT - 030 2nd layer
None Detected 100% Other
Non-Fibrous
Dissolved
Yellow
Homogeneous mastic
H17-38
10067758_0038
Red fire stop - 026
None Detected 100% Other
Non-Fibrous
Ashed
Red
Homogeneous
H17-39
10067758_0039
Red fire stop - 026A
None Detected 100% Other
Non-Fibrous
Ashed
Red
Homogeneous
H18-40
10067758_0040
Gray duct mastic - 026
None Detected 100% Other
Non-Fibrous
Ashed
Gray
Homogeneous
H18-41
10067758_0041
Gray duct mastic - 026
None Detected 100% Other
Non-Fibrous
Ashed
Gray
Homogeneous
H19-42 - A
10067758_0042
12" off white VFT - 031
None Detected 100% Other
Non-Fibrous
Dissolved
Off-white
Homogeneous tile
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogenous soil samples be conducted by TEM for confirmation of "None Detected" by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program.
Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Jalen Moore (63)
Page 7 of 8P-F-002 r15 1/15/2028 Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
EPA Method: 600/R-93/116 and
40 CFR, Part 763, Subpart E, App.E
Lab Order ID:Attn: 10067758Customer: Terracon 5463 W Waters Ave Suite 830 Tampa, FL 33634-1253
Analysis:
Date Received:
Karl Kologiski
PLM
11/07/2024
Project: J. Haley VA MRI Renovation Date Reported: 11/14/2024
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos
Fibrous Components
Non-Fibrous Components Treatment
Attributes
H19-42 - B
10067758_0060
12" off white VFT - 031
None Detected 100% Other
Non-Fibrous
Dissolved
Yellow
Homogeneous mastic
H19-43 - A
10067758_0043
12" off white VFT - 031
None Detected 100% Other
Non-Fibrous
Dissolved
Off-white
Homogeneous tile
H19-43 - B
10067758_0061
12" off white VFT - 031
None Detected 100% Other
Non-Fibrous
Dissolved
Yellow
Homogeneous mastic
H20-44 - A
10067758_0044
4" tan cove base - 031
None Detected 100% Other
Non-Fibrous
Ashed
Tan
Homogeneous cove base
H20-44 - B
10067758_0062
4" tan cove base - 031
None Detected 100% Other
Non-Fibrous
Dissolved
Tan
Homogeneous mastic
H20-45 - A
10067758_0045
4" tan cove base - 031
None Detected 100% Other
Non-Fibrous
Ashed
Tan
Homogeneous cove base
H20-45 - B
10067758_0063
4" tan cove base - 031
None Detected 100% Other
Non-Fibrous
Dissolved
Tan
Homogeneous mastic
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogenous soil samples be conducted by TEM for confirmation of "None Detected" by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program.
Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Jalen Moore (63)
Page 8 of 8P-F-002 r15 1/15/2028 Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888 j}pJ Scientific Analytical Institute 4604 Dundas Dr. Greensboro, NC 27407
Phone: 336.292.3888 Fax: 336.292.3313 www.sailab.com lab@sailab.com
Company Contact Information Company: Terracon Contact: Kar 1 Kol-ogiski Address: 54 6 3 w, Waters Ave Phone 0: 727 -4 70 -11 04
Tampa, FL 33634 Fax0:
Email Ix]:
~arl_kologiski@terracon.com
Billing/Invoice Information Turn Around Times Company: same as above 90Min. • 48 Hours • Contact: 3 Hours • 72 Hours • Address: 6 Hours • 96 Hours •
12 Hours D 120 Hours Ji0 24 Hours D 144+Hours D
PO Number: j_ l,/ 'J.
Project Name/Number: VA r1Rr Rt110V',,~i'ol')
Lab Use Only / D O I .,.-1~ Lab Order ID: ___ \fl.s.__!...__ I-.)_ V Client Code: _____ _
Asbestos Test Types
PLM EPA 600/R-93/116 ~
Positive stop • PLM Point Count •
PCM NIOSH 7400 •
TEMAHERA •
TEM Level II •
TEM NIOSH 7402 •
TEM Bulk Qualitative • TEM Bulk Chatfield • TEM Bulk Quantitative • TEM Wipe ASTM D6480-99 • TEM Microvac ASTM D5755-02 • TEM Water EPA 100.2 • Other: •
Sample ID# Description/Location Volume/ Area Comments
H~I- I LoJ.Jer l?ouP Cor-t / /f'oJ/eJ H ,. ~ t, r f?oll1J
H 2-1 V pper Rur=- Core / rf'O -_t, i- .. , .J, / rf'u H4-S 12 ,, Gro S-1~,H. VFT • 1-/,,// vA 'I / , x "' / 6,k I l/ H lf-, I . 02, ,,..
l-f4,; ·- ~ - o~,A ✓ HS· i '111Mb oo /:"loot inc - O"f 5 / 10 / 1,/t;~ l'l/'17 /
HS"· Cf
- 0 c..i? ......-I
HS"·l0 -Ji oro _ -::itld t16y//
1-H- II l.f '' (11,,c.K Ct""( J;,,.s~ - 045 / t--1,,12 J, ,.., 0 L.f7 ✓
H 7- I J 2Lf II Wor,,, ho/! c~.·,,.,, t/lt- rJ'l, ✓ '-!r·'t1-y~ H ,. f'1 "'
- 0 £.(7 ✓
Total # of Samples __
Relinquished by Dateffime Dateffime
• II- S · -:J. '1 I{
Scientific Analytical Institute Page J-..:_ of J_
~~•-r. .. ted •
Sample ID#
Ht'-/5 H8-/6 Ht· /7 I-If-- I q /-/q -IQ ·,-1 q · 20 J+q . ),/ 1--1 q . ],2, /..J q ' 2-3 Hto · 2 '1 lt(O • 15 H/1 - 26 1-1- I I - :J.. 7
NI)..· 2S<'
H/2 · :zq H/s - ?O 1-1-/ ~ - ?I
/.II L( • ~ J
1-1/l-/ - ~ $ HI~ - ·p1 J.1./f -?> ilu · ?, J..1/(,, 17 ;.J11 - ~sr /.//1 . ,c, f..l IS- . t-/ tJ
I-/ ff - '-II t.J (4 - lf 2 ·1-1 I q • f,/ 7, HJO ·l/t.l 1120 -£;/5
Scientific Analytical Institute
Scientific Analytical Institute 4604 Dundas Dr. Greensboro, NC 27407
Phone: 336.292.3888 Fax: 336.292.3313 www.sailab.com /ab@sailab.com
Description/Location ov--:;c. .. 045
I (')L./~ I o:iei
0 0 11 FJ'l'e. o rqc F/Y1t; - 1/,1 /I'""" y'
I - (!)L/S , I - o? I I ... () 2'
J - N,1//""" Flo~, L-evrl,•11<, Cc,n(Pc,,,,cJ - "O '-I 5
J
11 Vh,'lt C'flveh,1-f~- ll,ll1v+-1 -JI - (;) :i. 6
V1/I P/J.Od - C)lf(,
- O't3 2t..t'' KAt1d()'/V/ D,'i-or C-t-1'/1'11r., T,h - oLf, I
- 0.26 Yellov DvcT !11t-sh'c ~ Ol/6
J,, ~
1,.,'1,'./e (,1-c.,/1<1'114 "' .21.IJ Cc1;11 -N.I' J, , J,, l2"r,FF t.,,J,,'/t_ VFT~ O?O ~11d ld'lfl' , R eJ Ff'l'c > -Jr1 P - 0:2., \L - o~,A
Gr /.1 v Dv(T /110 7 ·/.,'c - (J2 { ., , L,. ~
12 ,, oFF v>,/1-r VPT - o 11 \i . ~
'-/ r, T11-11 (oc.,f' h ,15-('. - 0 'JI \I,, ~
Lah Use Only LabOrderID: _____ ____.c
Client Code: __ 1_,~ __ -___ _
Volume/Area Comments
/>,11 '11 let/
Page ~ of~
APPENDIX D
LEAD BASED PAINT ANALYTICAL LABORATORY RESULTS
Analysis for Lead Concentration in Paint Chips by Flame Atomic Absorption Spectroscopy
EPA SW-846 3050B/6010C/7000B
Lab Order ID:Attn: 10067753Customer: Terracon 5463 W Waters Ave Suite 830 Tampa, FL 33634-1253
Analysis:
Date Received:
Karl Kologiski
PBP
11/07/2024
Project: J. Haley VA MRI Renovation Date Reported: 11/14/2024
Sample ID
Lab Sample ID
Description
Lab Notes
Concentration (ppm)
Concentration (% by weight)
Mass (g)
Reporting Limit (ppm)
X1
10067753_0001
Gray paint - metal door frame -
<36 <0.0036%360.1114
X2
10067753_0002
Beige paint - DW - 26A <39 <0.0039%390.1019
X3
10067753_0003
White paint - DW - 045 <61 <0.0061%610.0659
X4
10067753_0004
Blue paint DW - 030 <49 <0.0049%490.0811
X5
10067753_0005
White paint - metal door frame -
<38 <0.0038%380.1061
X6
10067753_0006
White-Blue paint DW - 031 <54 <0.0054%540.0736
Disclaimer: Unless otherwise noted blank sample correction was not performed on analytical results. Scientific Analytical Institute participates in the AIHA ELPAT program. ELPAT Laboratory ID: 173190. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. Analytical uncertainty available upon request. The quality control samples run with the samples in this report have passed all EPA required specifications unless otherwise noted. RL: (Report Limit for an undiluted 50ml sample is 4µg Total Pb). All sample dried before preparation and analysis.
Matthew Caffey (6)
Page 1 of 1L-F-021 r17 2/13/2027 Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
Lab use only Lab Order ID:
Scientific Analytical Institute 4604 Dundas Dr. Greensboro, NC 27407 Phone: 336.292.3888 Fax: 336.292.3313 Client Code: ______ _ www.sailab.com lab@sailab.com
Contact Information Billin2/Invoice Information Company Name: Terracon Consultants Company: same
Address: 5463 W
• Waters Avenue , Ste. 8 30 Address:
Tampa, ., FL 33634
Contact:
Contact: Karl Kologiski Phone 0:
Phone 0: 727-470-1104 Fax0:
Fax0: Email □:
Email □ : karl.kologiski@terracon.com PO Number: J.IL-(2l/ 7 2? 0 Turn Around Times Project Name/Number: J', HI} /e If VA t1 R r R Mo1mJ,,.,,,, 3 Hours □ 72 Hours □
6 Hours □ 96 Hours □
Lead Test Tvnes 12 Hours □ 120 Hours • Paint Chips by Flame AA IX] I Soil by Flame AA D I Other □ 24 Hours □ 144+ Hours □
Wipe by Flame AA □ I Air by Flame AA □ I 48 Hours □
Sample ID# Description/Location Volume/ Area Comments
X'l Gr11 '1 Pt1i11 T • /Vlei, I OctJr Fr,,"'t· O'IS x:i. f?e,,~ P1i11T- OW - ;;,A )( 1 lv.JJ./1e l"91nT - DV - Qi/5 - 'l'1 11/ve p,..,•,,r ov • rJ10
"-~ L,h,'/e ,7,,,.,,,,- Mrl11I f71K rr/l;ttt- 011 x, IJJ.;J( - 11111-t. ,,,,1 ... r ,-,v- n 3 I
I I
A-- . .a. . rh -'"V-,_-1.cu L.::'_J
Rejio,...t-pn n .___, Total Number of Samples _1 __ _
APPENDIX E
REPRESENTATIVE PHOTOGRAPHS
Limited Interior Pre-Renovation
James A Haley VA Hospital ■ Tampa, Florida
Facilities | Environmental | Geotechnical | Materials 1
Photo #1 Ha-H1, Lower Roof Core Photo #2 Ha-H2, Upper Roof Core
Photo #3 Ha-H3, Skipped, No Sample Photo #4 Ha-H4, 12” Gray Stone Pattern Vinyl Floor Tile
Photo #5 Ha-H5, Bamboo Flooring Photo #6 Ha-H6, 4” Black Covebase
Facilities | Environmental | Geotechnical | Materials 2
Photo #7 Ha-H7, 24” Wormhole Ceiling Tile Photo #8 Ha-H8, Drywall & Joint Compound
Photo #9 Ha-H9, Fireproofing Photo #10 Ha-H10, Floor Leveling Compound
Photo #11 Ha-H11, 4” White Covebase Photo #12 Ha-H12, Wallpaper
Facilities | Environmental | Geotechnical | Materials 3
Photo #13 Ha-H13, 24” Random Divot Ceiling Tile Photo #14 Ha-H14, Yellow Duct Mastic
Photo #15 Ha-H15, White Caulking Photo #16 Ha-16, 12” Off White Vinyl Floor Tile (2nd Layer)
Photo #17 Ha-H17, Red Firestop Putty Photo #18 Ha-H18, Gray Duct Mastic
Facilities | Environmental | Geotechnical | Materials 4
Photo #19 Ha-H19, 12” Off White Vinyl Floor Tile Photo #20 Ha-20, 4” Tan Cove Base
Photo #21 Paint Sample X1, Gray Paint Metal Door Frame
Photo #22 Paint Sample X2, Beight Paint Drywall
Photo #23 Paint Sample X3, White Paint Drywall Photo #24 Paint Sample X4, Blue Paint Drywall
Facilities | Environmental | Geotechnical | Materials 5
Photo #25 Paint Sample X5, White Paint Metal Door Frame
Photo #26 Paint Sample X6, White-Blue Paint Drywall
APPENDIX F
LICENSES AND CERTIFICATIONS
| 2024-12-09T15:14:52-0800 | |
| Agreement certified by Adobe Acrobat Sign |
File details come from the government source that posted it. Updated .