2nd Floor Reconfiguration Asbestos Report.pdf

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Z1DA--Reconfigure 2nd Floor Waiting and Check-In - 539-21-210
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This document contains an asbestos survey report and related federal contract opportunity. The asbestos survey report details the results of sampling and testing for asbestos-containing materials (ACM) in areas that would be impacted by a planned renovation project at the Cincinnati VA Medical Center to reconfigure the second floor waiting and check-in areas. The survey identified black and yellow mastic beneath flooring in the Nuclear Medicine waiting area as ACM containing 5% chrysotile asbestos. Ceramic flooring and wall components that could not be sampled without damage were also assumed to contain asbestos.

The related federal contract opportunity is a solicitation issued by the Department of Veterans Affairs for project 539-21-210 to complete the renovation work described. The solicitation number is 36C25021B0038. The contractor will renovate areas for a new Radiology check-in, reading room, and greeter station, as well as renovating an unfinished room into a shared breakroom and remodeling various rooms. Bidding materials are available on beta.SAM.gov.

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Asbestos Survey VA Project: Reconfigure 2nd Floor Waiting & Check-In

VA Project Number: 539-21-210 Cincinnati VA Medical Center

3200 Vine Street Cincinnati, Ohio 45220

June 30, 2020

Terracon Project No. N1207012

Prepared for:

John Poe Architects

Miamisburg, Ohio 45342

Prepared by:

Terracon Consultants, Inc.

Cincinnati, Ohio 45226

Terracon Consul tants, Inc., 611 Lunken Park Dr ive, Cincinnat i , OH 45226 P (513) 321-5816 F (513) 321-0278 terracon.com

June 30, 2020

John Poe Architects 3131 Newmark Drive, Suite C Miamisburg, Ohio 45342

Attn: Mr. Chad Vaughn, RA Project Architect T: (937) 461-3290 E: cvaughn@johnpoe.com

Re: Asbestos Survey Report VA Project: Reconfigure 2nd Floor Waiting & Check-In VA Project No.: 539-21-210 Cincinnati VA Medical Center 3200 Vine Street Cincinnati, OH 45220 Terracon Project No. N1207012

Dear Mr. Vaughn:

Terracon Consultants, Inc. (Terracon) is pleased to submit the attached report for the above-referenced renovation project to John Poe Architects. (Client). The purpose of this report is to present the results of an asbestos survey which was performed on June 18, 2020, and in general accordance with our proposal number PN1207012, dated January 10, 2020. We understand that this survey was requested for the purpose of a planned renovation project pertaining to the reconfiguration of the 2nd floor waiting and check-in area at the Cincinnati VA Medical Center

(CVAMC).

Asbestos-containing materials (ACM) were identified as a result of the survey. Please refer to the attached report for further detail.

Terracon appreciates the opportunity to provide this service to John Poe Architects. If you have any questions regarding this report, please contact the undersigned at 513-321-5816.

Sincerely, Terracon Consultants, Inc.

Josh Vogel Joseph A. Tussey, CHMM Project Manager Sr. Associate / Group Manager

OH AHES #35291 OH AHES #32388

Project – Reconfigure 2nd Floor Waiting & Check-in ■ Cincinnati VAMC June 30, 2020 ■ Terracon Project No. N1207012

TABLE OF CONTENTS

EXECUTIVE SUMMARY .......................................................................................................................... i

1.0 INTRODUCTION

1.1 Project Objective

1.2 Reliance

2.0 PROJECT DESCRIPTION

3.0 FIELD ACTIVITIES

3.1 Visual Assessment

3.2 Physical Assessment

3.3 Sample Collection

3.4 Sample Analysis

4.0 REGULATORY OVERVIEW

5.0 FINDINGS AND RECOMMENDATIONS

6.0 LIMITATIONS/GENERAL COMMENTS

APPENDIX A IDENTIFIED ASBESTOS-CONTAINING MATERIALS BY HOMOGENEOUS AREA (HA)

APPENDIX B ASBESTOS SURVEY SAMPLE & RESULTS SUMMARY

APPENDIX C ASBESTOS ANALYTICAL LABORATORY REPORT

APPENDIX D LICENSES AND CERTIFICATIONS

APPENDIX E SAMPLE LOCATION DRAWINGS

APPENDIX F PHOTO LOG

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EXECUTIVE SUMMARY

Terracon Consultants, Inc. (Terracon) conducted an asbestos survey which was specifically limited within the boundaries and intent of the planned renovation project entitled “Reconfigure 2nd Floor Waiting and Check-In” at the Cincinnati VA Medical Center (CVAMC). We understand that this survey was requested prior to renovation for the purpose of compliance with the EPA National Emission Standards for Hazardous Air Pollutants (NESHAP) regulation (40 CFR Part 61, Subpart M). The survey included identifying and sampling suspect asbestos-containing materials (ACM), and providing information regarding the identity, location, condition, and approximate quantities of ACM (if any) pertaining to building components which may be impacted by planned renovation as indicated on Client-provided drawings. The survey was performed on June 18, 2020 by United States Environmental Protection Agency (USEPA)-accredited asbestos inspectors and Ohio Environmental Protection Agency (OEPA)-certified Asbestos Hazard Evaluation Specialists (AHES). The survey was conducted in general accordance with our proposal number PN1207012, dated January 10, 2020, and the sampling protocols established in USEPA 40 Code of Federal Regulations (CFR) Part 763, Subpart E, known as the Asbestos Hazard Emergency Response Act (AHERA).

Specific to the subject renovation project areas and based on the analytical results for the collected samples, the materials listed below were identified to contain asbestos. Additionally, please note that some materials (e.g. ceramic flooring/wall components) could not be sampled without causing irreparable damage, and therefore, these materials had to be assumed as asbestos-containing.

ACM Description Material Location % and Type Asbestos Condition Estimated

Quantity* Black and Yellow Mastic Beneath Non-Asbestos- Containing Light Brown Faux Wood Vinyl Plank

Flooring

Nuclear Medicine Waiting Area (Area C201) <1% Chrysotile Good

~ 550 Square Feet

(SF)

Layered Carboard Pipe Insulation

Hallway Near Room A202a, A240, Room A253, Room A253b, Hallway Near Room A266, Room C200, and Room

C203

40% Chrysotile Good

~50 Linear Feet (LF)

Hard White Fitting Insulation Associated with Layered Cardboard Pipe

Insulation

0.50% Chrysotile by Point Count (PC) Good

6”x6” White Ceramic Wall Tile with Mastic and Grout

Room C238 Kitchenette Backsplash

Assumed ACM** (sampling would cause irreparable damage) Good ~30 SF

Black Mastic below Non- Asbestos- Containing

12”x12” Light Brown Floor Tile with Grey Specks

Room 202C <1% Chrysotile Good ~ 300 SF

Black and Yellow Carpet Mastic

Rooms C200, C200a, C200b and C200c <1% Chrysotile Good ~ 850 SF

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ACM Description Material Location % and Type Asbestos Condition Estimated

Quantity*

Multi-Sized Tan Wall Tile with Mastic and Grout

Women’s Restroom (Room A235)

Assumed ACM** (sampling would cause irreparable damage) Good ~ 350 SF

Multi-Sized Tan Floor Tile with Mortar and Grout

Women’s Restroom (Room A235)

Assumed ACM** (sampling would cause irreparable damage) Good ~125 SF

*Estimated quantities listed above are based on a cursory field evaluation, and actual quantities may vary significantly, especially if ACMs are present outside of the renovation areas, and in hidden and/or inaccessible areas not evaluated as part of this survey. This is not a bidding document and contractors would be responsible for drawing their own conclusions on quantities present.

**Assumed materials could be sampled by an accredited inspector for laboratory analysis at a later date, prior to construction, in an effort to disprove the positive assumption.

A sample and results summary table is included in Appendix B, the laboratory analytical report is included in Appendix C, and example photos of the identified/assumed materials are included in Appendix F.

If the identified ACMs will be impacted by the renovation project, such materials would need to be properly removed, handled, and disposed in accordance with applicable federal and state asbestos regulations, Occupational Safety and Health Administration (OSHA) regulations, and per VA project specifications.

It should be noted that additional suspect materials such as concealed/inaccessible materials may exist. Should additional suspect materials be uncovered during renovation activities, or if renovation project plans change to include other areas/systems with other suspect materials, those materials must be assumed asbestos-containing until sampling and analysis can refute the positive assumption.

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ASBESTOS SURVEY

VA Project: Reconfigure 2nd Floor Waiting & Check-In

VA Project No.: 539-21-210 Cincinnati VA Medical Center

3200 Vine Street Cincinnati, Ohio 45220

Terracon Project No. N1207012 June 30, 2020

1.0 INTRODUCTION

Terracon Consultants, Inc. (Terracon) conducted an asbestos survey specifically limited within the boundaries and intent of the planned renovation project entitled “Reconfigure 2nd Floor Waiting and Check-In” at the Cincinnati VA Medical Center (CVAMC). The survey was performed on June 18, 2020 by United States Environmental Protection Agency (USEPA)-accredited asbestos inspectors and Ohio Environmental Protection Agency (OEPA)-certified Asbestos Hazard Evaluation Specialists (AHES). Accessible building components and areas intended to be impacted by the renovation project were surveyed based upon Client-provided renovation plans.

Homogeneous areas of suspect asbestos-containing materials (ACM) were visually identified and documented. Although reasonable effort was made to survey accessible suspect materials, additional suspect but un-sampled materials could be located in walls, in voids, or in other concealed areas. Suspect ACM samples were collected in general accordance with the sampling protocols outlined in USEPA 40 Code of Federal Regulations (CFR) Part 763, Subpart E, known as the Asbestos Hazard Emergency Response Act (AHERA). Samples were delivered to an accredited laboratory for analysis by Polarized Light Microscopy (PLM).

1.1 Project Objective

We understand that this survey was requested for the purpose of a future planned renovation project pertaining the reconfiguration of the 2nd floor waiting and check-in areas. Please note that asbestos surveys are required prior to renovation or demolition to satisfy requirements of the USEPA 40 CFR Part 61, Subpart M, the National Emission Standards for Hazardous Air Pollutants (NESHAP) regulation (as well as the state NESHAP equivalent).

1.2 Reliance

This report is for the exclusive use of John Poe Architects (Client) for the project being discussed.

Reliance by any other party on this report is prohibited without written authorization of Terracon and John Poe Architects Reliance on this report by John Poe Architects and all authorized parties will be subject to the terms, conditions, and limitations stated in the proposal and the agreement between Terracon and John Poe Architects.

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2.0 PROJECT DESCRIPTION

Terracon understood the renovation project pertained to the reconfiguration of the 2nd floor waiting and check-in areas. During the survey, Terracon utilized a Client-provided drawing, which outlined the project boundaries, as our guidance to the locations and work planned. See Appendix E for the project drawing; rooms shown in white are to be included in the project (gray shaded areas were excluded, and the room shaded light red was also excluded).

3.0 FIELD ACTIVITIES

The survey was conducted by Mr. Lemuel Weyer and Mr. Michael Sulken, USEPA-accredited asbestos inspectors and OEPA certified AHES. A copy of their Ohio AHES credential is attached as Appendix D. The survey was conducted in general accordance with the sample collection protocols established in USEPA 40 CFR Part 763, Subpart E, Section 763.86, AHERA. A summary of survey activities is provided below.

3.1 Visual Assessment

Survey activities were initiated with visual observation of project-specific accessible areas and accessible building components 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.

3.2 Physical Assessment

A physical assessment of each HA of suspect ACM was conducted to assess the friability and condition of the materials. A friable material is defined by the USEPA 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 observation, bulk samples of suspect ACM were collected in general accordance with USEPA AHERA sampling protocols. Samples of suspect materials were collected from randomly selected locations in each homogeneous area. Bulk samples were collected using wet methods as applicable to reduce the potential for fiber release. 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.

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Terracon collected a total of 93 bulk samples from 35 homogeneous areas of suspect ACM. A summary of suspect ACM samples collected during the survey is included as Appendix B.

3.4 Sample Analysis

Bulk samples were submitted under chain of custody to EMSL Analytical, Inc. (EMSL) of Indianapolis, Indiana for analysis PLM with dispersion staining techniques per USEPA methodology 600/R-93/116. The percentage of asbestos, where applicable, was determined by microscopic visual estimation. When applicable for friable material samples determined by PLM to have a low asbestos content (<10%), the additional point count (PC) method was utilized.

EMSL is accredited under the National Voluntary Laboratory Accreditation Program (NVLAP), accreditation number 200188-0.

The laboratory analytical report is included in Appendix C.

4.0 REGULATORY OVERVIEW

The asbestos NESHAP (40 CFR Part 61, Subpart M) regulates asbestos fiber emissions and asbestos waste disposal practices. The asbestos NESHAP regulation also requires the identification and classification of existing ACM according to friability prior to demolition or renovation activity. Friable ACM is a material containing more than 1% asbestos that, when dry, can be crumbled, pulverized, or reduced to powder by hand pressure. All friable ACM is considered regulated asbestos containing material (RACM).

The asbestos NESHAP regulation classifies material subject to demolition or renovation as either RACM, Category I non-friable ACM, or Category II non-friable ACM. RACM includes all friable ACM (pre-disturbance), along with Category I non-friable ACM that becomes friable (during disturbance), and Category I non-friable ACM subject to sanding, grinding, cutting, or abrading, or Category II non-friable ACM with a high probability of becoming crumbled, pulverized, or reduced to powder by forces expected to act on the material during disturbance. Category I non-friable ACM are exclusively asbestos-containing packings, gaskets, resilient floor coverings, and asphalt roofing products that contain more than 1% asbestos. Category II non-friable ACM are all other non-friable materials (other than Category I non-friable ACM) that contain more than 1% asbestos. Category II non-friable ACM generally includes (but is not limited to) cementitious material such as: cement pipes, cement siding (Transite™), cement panels, glazing, mortar, and grouts.

The Ohio Environmental Protection Agency (OEPA) adopted Chapter 3745-20 of the Ohio Administrative Code and implements the Asbestos NESHAP. The owner or operator must provide the OEPA district office or local air agency with written notification at least 10 business days prior to the commencement demolition projects and prior to removal of friable ACMs in quantities greater than 50 linear or 50 square feet. The OEPA also regulates friable asbestos abatement activities, asbestos personnel training, and issuance of asbestos professional certifications under

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OAC 3745-22. OEPA audits asbestos abatement projects and responds to public health emergencies where friable ACMs has been released. Please note that per OEPA regulations, non-friable floor tile if broken into pieces four (4) square inches or smaller are considered friable, and thus as a RACM.

The United States Occupational Safety and Health Administration (USOSHA) asbestos standard for construction (29 CFR 1926.1101) regulates workplace exposure to asbestos. The USOSHA standard requires that employee exposure to airborne asbestos must not exceed 0.1 fibers per cubic centimeter of air (0.1 f/cc) as an eight-hour time weighted average (TWA) and not exceed

1.0 fibers per cubic centimeter of air (1.0 f/cc) over a 30-minute time period known as an excursion limit (EL). The TWA and EL are known as USOSHA’s asbestos permissible exposure limits (PELs). The USOSHA 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.

5.0 FINDINGS AND RECOMMENDATIONS

Specific to the subject renovation project areas indicated on Client-provided drawings and based on the analytical results for the collected samples, the materials listed below were identified to contain asbestos. Additionally, please note that some materials (e.g. ceramic flooring/wall components) could not be sampled without causing irreparable damage, and therefore, these materials had to be assumed as asbestos-containing.

ACM Description Material Location % and Type Asbestos Condition Estimated

Quantity* Black and Yellow Mastic Beneath Non-Asbestos- Containing Light Brown Faux Wood Vinyl Plank

Flooring

Nuclear Medicine Waiting Area (Area C201) <1% Chrysotile Good

~ 550 Square Feet

(SF)

Layered Carboard Pipe Insulation

Hallway Near Room A202a, A240, Room A253, Room A253b, Hallway Near Room A266, Room C200, and Room

C203

40% Chrysotile Good

~50 Linear Feet (LF)

Hard White Fitting Insulation Associated with Layered Cardboard Pipe

Insulation

0.50% Chrysotile by Point Count (PC) Good

6”x6” White Ceramic Wall Tile with Mastic and Grout

Room C238 Kitchenette Backsplash

Assumed ACM** (sampling would cause irreparable damage) Good ~30 SF

Black Mastic below Non- Asbestos- Containing

12”x12” Light Brown Floor Tile with Grey Specks

Room 202C <1% Chrysotile Good ~ 300 SF

Black and Yellow Carpet Mastic

Rooms C200, C200a, C200b and C200c <1% Chrysotile Good ~ 850 SF

Multi-Sized Tan Wall Tile with Mastic and Grout

Women’s Restroom (Room A235)

Assumed ACM** (sampling would cause irreparable damage) Good ~ 350 SF

Multi-Sized Tan Floor Tile with Mortar and Grout

Women’s Restroom (Room A235)

Assumed ACM** (sampling would cause irreparable damage) Good ~125 SF

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*Estimated quantities listed above are based on a cursory field evaluation, and actual quantities may vary significantly, especially if ACMs are present outside of the renovation areas, and in hidden and/or inaccessible areas not evaluated as part of this survey. This is not a bidding document and contractors would be responsible for drawing their own conclusions on quantities present.

**Assumed materials could be sampled by an accredited inspector for laboratory analysis at a later date, prior to construction, in an effort to disprove the positive assumption.

A sample and results summary table is included in Appendix B, the laboratory analytical report is included in Appendix C, and example photos of the identified/assumed materials are included in Appendix F.

If the identified ACMs will be impacted by the renovation project, such materials would need to be properly removed, handled, and disposed in accordance with applicable federal and state asbestos regulations, OSHA regulations, and per VA project specifications.

It should be noted that additional suspect materials such as concealed/inaccessible materials may exist. Should additional suspect materials be uncovered during renovation activities, or if renovation project plans change to include other areas/systems with other suspect materials, those materials must be assumed asbestos-containing until sampling and analysis can refute the positive assumption.

6.0 LIMITATIONS/GENERAL COMMENTS

The survey was project specific and limited to our understanding of the Client’s intended renovation project scope (based on the Client-provided drawing as guidance); this survey is not meant to be a comprehensive survey of the entire building/facility. In addition, Terracon did not perform sampling which required demolition or destructive activities such as knocking large holes in walls, dismantling of equipment or removal of protective coverings. Reasonable efforts to access suspect materials within known areas of restricted access (e.g., crawl spaces) were made;

however, confined spaces or areas which may pose a health or safety risk to Terracon personnel were not sampled. Sampling did not include suspect materials which could not be safely reached with available ladders/man-lifts.

This asbestos 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 building. 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 John Poe Architects 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 quantities, 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.

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APPENDIX A

VA Project: Reconfigure 2nd Floor Waiting and Check-In

VA Project No.: 539-21-210 Cincinnati VA Medical Center

3200 Vine Street Cincinnati, Ohio 45220

Terracon Project No. N1207102

IDENTIFIED ASBESTOS-CONTAINING MATERIALS BY HOMOGENEOUS AREA (HA)

HA

No’s. ACM Description Material Location % and Type Asbestos

EPA NESHAP

Classification Condition Estimated

Quantity*

Black and Yellow Mastic Beneath Non-Asbestos- Containing Light Brown Faux Wood Vinyl Planks

Nuclear Medicine Waiting Area (Area C201) <1% Chrysotile Not Regulated by EPA

(<1% Asbestos; however, regulated by OSHA)

Good ~ 550 Square Feet

(SF)

10 Layered Carboard Pipe Insulation Hallway Near Room A202a, A240, Room

A253, Room A253b, Hallway Near Room A266, Room C200, Room C203

40% Chrysotile Regulated Asbestos Containing Material

(RACM)

Good

~50 Linear Feet

(LF)

11 Hard White Fitting Insulation (Associated with HA 10)

0.50% Chrysotile by Point Count

(PC)

RACM Good

25 6”x6” White Ceramic Wall Tile with Mastic and Grout Room C238 Kitchenette Backsplash

**Assumed (sampling would cause irreparable damage) Category II Non-Friable Good ~30 SF

Black Mastic below Non-

Asbestos-Containing 12”x12” Light Brown Floor

Tile with Grey Specks

Room 202C <1% Chrysotile Not Regulated by EPA

(<1% Asbestos; however, regulated by OSHA)

Good ~ 300 SF

30 Black and Yellow Carpet Mastic Rooms C200, C200a, C200b and C200c <1% Chrysotile

Not Regulated by EPA (<1% Asbestos; however, regulated by OSHA) Good ~ 850 SF

31 Multi-Sized Tan Wall Tile with Mastic and Grout Women’s Restroom (Room A235)

**Assumed (sampling would cause irreparable damage)

Category II Non-Friable Good ~ 350 SF

HA

No’s. ACM Description Material Location % and Type

Asbestos

EPA NESHAP

Classification Condition Estimated

Quantity*

32 Multi-Sized Tan Floor Tile with Mortar and Grout Women’s Restroom (Room A235)

**Assumed (sampling would cause irreparable damage)

Category II Non-Friable Good ~125 SF

See Appendix B for a summary of samples collected with respective analytical results, Appendix C for the laboratory analytical report, Appendix E for sample location drawings, and Appendix F for photo examples of the above identified materials.

*Estimated quantities listed above are based on a cursory field evaluation, and actual quantities may vary significantly, especially if ACMs are present outside of the planned renovation areas, and in hidden and/or inaccessible areas not evaluated as part of this survey. This is not a bidding document and contractors would be responsible for drawing their own conclusions regarding quantities present.

**Assumed materials could be sampled by an accredited inspector for laboratory analysis at a later date, prior to construction, in an effort to disprove the positive assumption.

It should be noted that inaccessible/concealed suspect materials, other than those identified during this survey, may exist. Should additional suspect materials be uncovered prior to or during renovation activities, those materials must be assumed asbestos-containing until sampled by an Ohio AHES and analysis can deny the positive assumption.

If the identified ACMs will be impacted by the renovation, such materials would need to be properly removed, handled, and disposed in accordance with applicable federal and state asbestos regulations, Occupational Safety and Health Administration (OSHA) regulations, and per VA project specifications.

APPENDIX B

VA Project: Reconfigure 2nd Floor Waiting and Check-In VA Project No.: 539-21-210

Cincinnati VA Medical Center 3200 Vine Street

Cincinnati, Ohio 45220 Terracon Project No. N1207012

ASBESTOS SURVEY SAMPLE & RESULTS SUMMARY

Sample # Sample Material

Description Sample Location HA Location(s) Results (% / Type of Asbestos)

HA # SEQ. #

Plaster Walls:

Finished Coat and

Base Coat

Hallway Outside B202

Throughout Area (>5,000 square feet)

Base Coat: None Detected (ND), Finish Coat: ND

02 Hallway Outside A235a

Base Coat: ND, Finish Coat: ND

03 Middle South Wall of Elevator Lobby

Base Coat: ND, Finish Coat: ND

Northeast Corner of Nuclear Medicine

Waiting Area

Base Coat: ND, Finish Coat: ND

05 West End of Main Hallway

Base Coat: ND, Finish Coat: ND

06 Hallway Outside Room A223

Base Coat: ND, Finish Coat: ND

Middle West Wall of A223 Base Coat: ND, Finish Coat: ND

2’x2’ White Ceiling Tile with Small

Fissures

Hallway Near B235

Throughout Area

ND

09 Northeast Corner of Elevator Lobby ND

10 Hallway Outside Room A202a ND

12”x12” White and

Tan Patterned Floor Tile with Yellow

Mastic and Floor Leveler

Hallway Outside Room B202

Throughout Hallways, Room

C203, Room C238

Floor Tile: ND, Mastic: ND, Leveler: ND

12 Doorway of Room A223

Floor Tile: ND, Mastic: ND, Leveler: ND

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Sample # Sample Material Description Sample Location HA Location(s) Results (% / Type of Asbestos)

HA # SEQ. #

13 Doorway of Room A240

Floor Tile: ND, Mastic: ND, Leveler: ND

6” Tan Cove Base with White Mastic

Hallway at Doorway to EKG

Area

Throughout Area

Cove Base: ND, Mastic: ND

Northeast Corner of Nuclear Medicine

Waiting Area

Cove Base: ND, Mastic: ND

16 Doorway to Service Elevator Lobby

Cove Base: ND, Mastic: ND

Tan (Peanut Butter) Duct/Pipe Mastic

Hallway Near B235 Throughout

Area- Associated with Ducts and 6”

Pipes

ND

18 Northeast Corner of Elevator Lobby ND

19 Hallway at Room A202a ND

White Duct Mastic

Hallway Between A235a and B201 Hallway Between

A235a and B201-

Associated with 6” Pipe

ND

21 Hallway Between A235a and B201 ND

22 Hallway Between A235a and B201 ND

Red Fire-Stop Caulking

Hallway Across from B235

Throughout Area

ND

24 Hallway Across from Room A266 ND

25 Hallway at Room

A223 ND

Dark Brown Faux Wood Vinyl Planks with Black and Yellow Mastic

East Side of EKG waiting Room

Radiology Lobby, Room A2008, EKG Waiting

Room

Vinyl Plank: ND, Mastic: ND

27 West Side of EKG Waiting Room

Vinyl Plank: ND, Mastic: ND

South Side of

Radiology Front Desk

Vinyl Plank: ND, Mastic: ND

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Sample # Sample Material Description Sample Location HA Location(s) Results (% / Type of Asbestos)

HA # SEQ. #

Light Brown Faux Wood Vinyl Planks with Black and Yellow Mastic

Northwest Corner

Nuclear Medicine

Waiting Area

Vinyl Plank: ND, Mastic: <1% Chrysotile

30 Southwest Corner Vinyl Plank: ND, Mastic: <1% Chrysotile

31 Southwest Corner Vinyl Plank: ND, Mastic: <1% Chrysotile

Layered Carboard Pipe Insulation with

Wrap

Hallway at Room A202a

Hallway Near Room A202a, A240, Room A253, Room

A253b, Room C200, Room

C203

40% Chrysotile

33 Restroom of Room 253 ND

34 Doorway of Room C200 30% Chrysotile

Hard White Fitting Insulation

Associated with HA

Hallway at Room A202a

Hallway Near Room A202a, A240, Room A253, Room

A253b, Hallway Near Room A266, Room C200, Room

C203

<0.25% Chrysotile by Point Count (PC)

36 Restroom of Room A253 0.50% Chrysotile PC

37 Doorway of Room C200 0.25% Chrysotile PC

Tan Duct Mastic

Southwest Corner of Radiology Waiting Area Associated with

Duct work throughout the

Area

ND

39 Near Therapy Check-in Window ND

Center of Nuclear Medicine Waiting

Area

ND

Drywall System:

Drywall and Joint

Compound

Hallway Across from B235

Throughout Area

Drywall: ND

Northeast Corner of Nuclear Medicine

Waiting Area

Drywall: ND, Joint Compound: ND

43 Hallway at Room A236

Drywall: ND, Joint Compound: ND

44 Doorway if Room A2008 Drywall: ND

June 30, 2020 ■ Terracon Project No. N1207012

Responsive ■ Resourceful ■ Reliable

Sample # Sample Material Description Sample Location HA Location(s) Results (% / Type of Asbestos)

HA # SEQ. #

45 North Wall of EKG Waiting Room

Drywall: ND, Joint Compound: ND

Green Carpet Mastic

Northeast Corner of North Waiting

Room

Radiology Waiting Rooms

ND

47 North Side of North Waiting Room ND

South Side of South Waiting

Room

ND

Spray-On Fire- Proofing

Doorway of North Radiology Waiting

Room Radiology Waiting Rooms, Room C238 (<1,000 square feet)

ND

Northeast Corner of

North Waiting Room

ND

51 Center of Room

C238 ND

Grey Duct Mastic

Center of Radiology Center-in Area

Radiology Area

ND

53 Center of North Waiting Room ND

54 Center of South Waiting Room ND

Tan Vinyl Sheet Flooring with Clear

Mastic

Southwest Corner

Room A266

Flooring: ND, Mastic: ND

56 Southwest Corner Flooring: ND, Mastic: ND

57 Southwest Corner Flooring: ND, Mastic: ND

2’x2’ White Ceiling Tile with Bird Track

Pattern

Northwest Corner

Room A253

ND

59 Southwest Corner ND

60 Northeast Corner ND

June 30, 2020 ■ Terracon Project No. N1207012

Responsive ■ Resourceful ■ Reliable

Sample # Sample Material Description Sample Location HA Location(s) Results (% / Type of Asbestos)

HA # SEQ. #

1”x1” Red and White Ceramic Floor Tile with Grout and Tan

Mastic

Southeast Corner

Room A253 Restroom

Ceramic: ND, Grout: ND

62 Southeast Corner Ceramic: ND, Grout: ND, Mastic: ND

63 Southeast Corner Ceramic: ND, Grout: ND, Mastic: ND

4”x4” Tan Ceramic Wall Tile with Tan

Mastic

Southeast Corner

Room A253 Restroom

Ceramic: ND, Mastic: ND

65 Southeast Corner Ceramic: ND, Mastic: ND

66 Southeast Corner Ceramic: ND, Mastic: ND

12”x12” White Floor Tile with Grey Specks and Black Mastic

Northeast Corner

Room A253

Floor Tile: ND, Mastic: ND

68 Southeast Corner Floor Tile: ND, Mastic: ND

69 Northeast Corner Floor Tile: ND, Mastic: ND

Black Lining on Fiberglass Pipe

Insulation

Center of Room 253 Associated with

Fiberglass Pipe Insulation

Throughout the Area

Wrap ND, Lining: ND

71 Center of Room

Wrap ND, Lining: ND

72 Center of Room

Wrap ND, Lining: ND

White Fiber-

Reinforced Plastic (FRP) Board with Tan

Mastic

Middle East Wall

Room A253

FRP Board: ND, Mastic: ND

74 Middle East Wall FRP Board: ND, Mastic: ND

75 Middle East Wall FRP Board: ND, Mastic: ND

24 76 White Encapsulant Middle South Wall of Room A2008

Associated with Fiberglass Pipe ND

June 30, 2020 ■ Terracon Project No. N1207012

Responsive ■ Resourceful ■ Reliable

Sample # Sample Material Description Sample Location HA Location(s) Results (% / Type of Asbestos)

HA # SEQ. #

77 West Wall of Room A266

Insulation throughout the

Area

ND

Center of

Radiology Check-in Area

ND

25 - 6”x6” White Ceramic Wall Tile with Mastic and Grout

Room C238 Kitchenette Backsplash

Assumed (could not sample without irreparable damage)

Black Sink Undercoating

C238 Sink

C238 and C203 Sinks

ND

80 C238 Sink ND

81 C203 Sink ND

6” Grey Cove Base with Tan Mastic

Middle South Wall of C200

Rooms C200, C200a, C200b, C200c

Cove Base: ND, Mastic: ND

83 Northeast Corner of Room C200b

Cove Base: ND, Mastic: ND

84 Southeast Corner of Room C200c

Cove Base: ND, Mastic: ND

12”x12” Light Brown Floor Tile with Grey Specks and Black and Yellow Mastic

Southwest Corner

Room C202

Floor Tile: ND, Mastic: <1% Chrysotile

86 Southwest Corner Floor Tile: ND, Mastic: <1% Chrysotile

87 Northwest Corner Floor Tile: ND, Mastic: <1% Chrysotile

2’x4’ White Ceiling Tile with Pinholes

Center of Room C202

C200, C200a, C200b, C200c, C202

ND

89 Center of Room

C200 ND

90 Northwest Corner of C200a

ND

30 91 Yellow and Black Carpet Mastic Doorway to C200c C200, C200a, C200b, C200c <1% Chrysotile

June 30, 2020 ■ Terracon Project No. N1207012

Responsive ■ Resourceful ■ Reliable

Sample # Sample Material Description Sample Location HA Location(s) Results (% / Type of Asbestos)

HA # SEQ. #

92 Doorway of C200 <1% Chrysotile

93 Doorway of C200a <1% Chrysotile

31 - Multi-Sized Tan Wall Tile with Mastic and

Grout

- Women’s

Restroom Assumed (could not sample without irreparable damage)

32 - Multi-Sized Tan Floor Tile with

Mortar and Grout

- Women’s

Restroom Assumed (could not sample without irreparable damage)

OH AHES Signatures:

Lem Weyer, OH AHES #36337

Michael Sulken, OH AHES #34655

Project –Reconfigure 2nd Floor Waiting & Check-in ■ Cincinnati VAMC June 30, 2020 ■ Terracon Project No. N1207012

Responsive ■ Resourceful ■ Reliable

APPENDIX C

ASBESTOS ANALYTICAL LABORATORY DATA

EMSL Analytical, Inc.

6340 CastlePlace Dr. Indianapolis, IN 46250

Tel/Fax: (317) 803-2997 / (317) 803-3047 http://www.EMSL.com / indianapolislab@emsl.com

162011974EMSL Order:

Customer ID: HCNU50

Customer PO: N1207112

Project ID:

Attention: Phone:Lem Weyer (513) 321-5816

Fax:Terracon Consultants, Inc. (513) 321-0294

Received Date:611 Lunken Park Drive 06/19/2020 9:12 AM

Analysis Date:Cincinnati, OH 45226 06/25/2020 - 06/26/2020

Collected Date:

Project: CVAMC- 2nd Floor Renovation- N1207112

Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized

Light Microscopy

Sample Description Appearance % Fibrous % Non-Fibrous

Non-Asbestos Asbestos

% Type

1-01-Finish Coat

162011974-0001

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Hallway Outside B202

- Plaster Walls

1-01-Base Coat

162011974-0001A

None DetectedQuartz

Non-fibrous (Other)

20%

80%

Gray

Non-Fibrous

Homogeneous

Hallway Outside B202

- Plaster Walls

1-02-Finish Coat

162011974-0002

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Hallway Outside

A235a - Plaster Walls

1-02-Base Coat

162011974-0002A

None DetectedQuartz

Non-fibrous (Other)

20%

80%

Gray

Non-Fibrous

Homogeneous

Hallway Outside

A235a - Plaster Walls

1-03-Finish Coat

162011974-0003

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Middle South Wall of

Elevator Lobby -

Plaster Walls

1-03-Base Coat

162011974-0003A

None DetectedQuartz

Non-fibrous (Other)

20%

80%

Gray

Non-Fibrous

Homogeneous

Middle South Wall of

Elevator Lobby -

Plaster Walls

1-04-Finish Coat

162011974-0004

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Northeast Corner of

Nuclear Medicine

Waiting Area - Plaster

Walls

1-04-Base Coat

162011974-0004A

None DetectedQuartz

Non-fibrous (Other)

20%

80%

Gray

Non-Fibrous

Homogeneous

Northeast Corner of

Nuclear Medicine

Waiting Area - Plaster

Walls

1-05-Finish Coat

162011974-0005

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

West End of Main

Hallway - Plaster

Walls

1-05-Base Coat

162011974-0005A

None DetectedQuartz

Non-fibrous (Other)

20%

80%

Gray

Non-Fibrous

Homogeneous

West End of Main

Hallway - Plaster

Walls

1-06-Finish Coat

162011974-0006

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Hallway Outside

Room A223 - Plaster

Walls

1-06-Base Coat

162011974-0006A

None DetectedPerlite

Non-fibrous (Other)

15%

85%

Gray

Non-Fibrous

Homogeneous

Hallway Outside

Room A223 - Plaster

Walls

1-07-Finish Coat

162011974-0007

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Middle West Wall of

A223 - Plaster Walls

1-07-Base Coat

162011974-0007A

None DetectedPerlite

Non-fibrous (Other)

15%

85%

Gray

Non-Fibrous

Homogeneous

Middle West Wall of

A223 - Plaster Walls

2-08

162011974-0008

None DetectedPerlite

Non-fibrous (Other)

15%

5%

Cellulose

Min. Wool

60%

20%

Gray/White

Fibrous

Homogeneous

Hallway Near B235 -

2x2 White Ceiling Tile with Small Fissures

Initial report from: 06/26/2020 12:08:47

Page 1 of 12ASB_PLM_0008_0001 - 1.78 Printed: 6/26/2020 12:08 PM

Tel/Fax: (317) 803-2997 / (317) 803-3047 http://www.EMSL.com / indianapolislab@emsl.com

162011974EMSL Order:

Customer ID: HCNU50

Customer PO: N1207112

Project ID:

Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized

Light Microscopy

Sample Description Appearance % Fibrous % Non-Fibrous

Non-Asbestos Asbestos

% Type

2-09

162011974-0009

None DetectedPerlite

Non-fibrous (Other)

15%

5%

Cellulose

Min. Wool

60%

20%

Gray/White

Fibrous

Homogeneous

Northeast Corner of

Elevator Lobby - 2x2

White Ceiling Tile with

Small Fissures

2-10

162011974-0010

None DetectedPerlite

Non-fibrous (Other)

15%

5%

Cellulose

Min. Wool

60%

20%

Gray/White

Fibrous

Homogeneous

Hallway Outside

Room A202a - 2x2

White Ceiling Tile with

Small Fissures

3-11-Floor Tile

162011974-0011

None DetectedNon-fibrous (Other)100%Tan/White

Non-Fibrous

Homogeneous

Hallway Outside

Room B202 - 12x12

White and Tan

Patterned Floor Tile with Black and Yellow

Mastic

3-11-Mastic

162011974-0011A

None DetectedNon-fibrous (Other)100%Yellow

Non-Fibrous

Homogeneous

Hallway Outside

Room B202 - 12x12

White and Tan

Patterned Floor Tile with Black and Yellow

Mastic

3-11-Leveler

162011974-0011B

None DetectedNon-fibrous (Other)95%Cellulose5%Gray

Non-Fibrous

Homogeneous

Hallway Outside

Room B202 - 12x12

White and Tan

Patterned Floor Tile with Black and Yellow

Mastic

3-12-Floor Tile

162011974-0012

None DetectedNon-fibrous (Other)100%Tan/White

Non-Fibrous

Homogeneous

Doorway of Room

A223 - 12x12 White and Tan Patterned

Floor Tile with Black and Yellow Mastic

3-12-Mastic

162011974-0012A

None DetectedNon-fibrous (Other)100%Yellow

Non-Fibrous

Homogeneous

Doorway of Room

A223 - 12x12 White and Tan Patterned

Floor Tile with Black and Yellow Mastic

3-12-Leveler

162011974-0012B

None DetectedNon-fibrous (Other)100%Gray

Non-Fibrous

Homogeneous

Doorway of Room

A223 - 12x12 White and Tan Patterned

Floor Tile with Black and Yellow Mastic

3-13-Floor Tile

162011974-0013

None DetectedNon-fibrous (Other)100%Tan/White

Non-Fibrous

Homogeneous

Doorway of Room

A240 - 12x12 White and Tan Patterned

Floor Tile with Black and Yellow Mastic

3-13-Mastic

162011974-0013A

None DetectedNon-fibrous (Other)100%Yellow

Non-Fibrous

Homogeneous

Doorway of Room

A240 - 12x12 White and Tan Patterned

Floor Tile with Black and Yellow Mastic

3-13-Leveler

162011974-0013B

None DetectedNon-fibrous (Other)95%Cellulose5%Gray

Non-Fibrous

Homogeneous

Doorway of Room

A240 - 12x12 White and Tan Patterned

Floor Tile with Black and Yellow Mastic

4-14-Cove Base

162011974-0014

None DetectedNon-fibrous (Other)100%Tan

Non-Fibrous

Homogeneous

Hallway at Doorway to

EKG Area - 6" Tan

Cove Base with White

Mastic

Page 2 of 12ASB_PLM_0008_0001 - 1.78 Printed: 6/26/2020 12:08 PM

Tel/Fax: (317) 803-2997 / (317) 803-3047 http://www.EMSL.com / indianapolislab@emsl.com

162011974EMSL Order:

Customer ID: HCNU50

Customer PO: N1207112

Project ID:

Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized

Light Microscopy

Sample Description Appearance % Fibrous % Non-Fibrous

Non-Asbestos Asbestos

% Type

4-14-Mastic

162011974-0014A

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Hallway at Doorway to

EKG Area - 6" Tan

Cove Base with White

Mastic

4-15-Cove Base

162011974-0015

None DetectedNon-fibrous (Other)100%Tan

Non-Fibrous

Homogeneous

Northeast Corner of

Nuclear Medicine

Waiting Area - 6" Tan

Cove Base with White

Mastic

4-15-Mastic

162011974-0015A

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Northeast Corner of

Nuclear Medicine

Waiting Area - 6" Tan

Cove Base with White

Mastic

4-16-Cove Base

162011974-0016

None DetectedNon-fibrous (Other)100%Tan

Non-Fibrous

Homogeneous

Doorway to Service

Elevator Lobby - 6"

Tan Cove Base with

White Mastic

4-16-Mastic

162011974-0016A

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Doorway to Service

Elevator Lobby - 6"

Tan Cove Base with

White Mastic

5-17

162011974-0017

None DetectedNon-fibrous (Other)100%Tan

Non-Fibrous

Homogeneous

Hallway Near B235 -

Tan (Peanut Butter)

Duct/Pipe Mastic

5-18

162011974-0018

None DetectedNon-fibrous (Other)100%Tan

Non-Fibrous

Homogeneous

Northeast Corner of

Elevator Lobby - Tan

(Peanut Butter)

Duct/Pipe Mastic

5-19

162011974-0019

None DetectedNon-fibrous (Other)100%Tan

Non-Fibrous

Homogeneous

Hallway at Room

A202a - Tan (Peanut

Butter) Duct/Pipe

Mastic

6-20

162011974-0020

None DetectedNon-fibrous (Other)95%Synthetic5%White

Non-Fibrous

Homogeneous

Hallway Between

A235a and B201 -

White Duct Mastic

6-21

162011974-0021

None DetectedNon-fibrous (Other)95%Synthetic5%White

Non-Fibrous

Homogeneous

Hallway Between

A235a and B201 -

White Duct Mastic

6-22

162011974-0022

None DetectedNon-fibrous (Other)95%Synthetic5%White

Non-Fibrous

Homogeneous

Hallway Between

A235a and B201 -

White Duct Mastic

7-23

162011974-0023

None DetectedNon-fibrous (Other)100%Red

Non-Fibrous

Homogeneous

Hallway Across from

B235 - Red Fire-Stop

Caulking

7-24

162011974-0024

None DetectedNon-fibrous (Other)100%Red

Non-Fibrous

Homogeneous

Hallway Across from

Room A266 - Red

Fire-Stop Caulking

7-25

162011974-0025

None DetectedNon-fibrous (Other)100%Red

Non-Fibrous

Homogeneous

Hallway at Room

A223 - Red Fire-Stop

Caulking

8-26-Floor Tile

162011974-0026

None DetectedNon-fibrous (Other)100%Brown/Gray

Non-Fibrous

Homogeneous

East Side of EKG waiting Room - Faux

Dark Brown Wood

Planks with Black and

Yellow Mastic

Page 3 of 12ASB_PLM_0008_0001 - 1.78 Printed: 6/26/2020 12:08 PM

Tel/Fax: (317) 803-2997 / (317) 803-3047 http://www.EMSL.com / indianapolislab@emsl.com

162011974EMSL Order:

Customer ID: HCNU50

Customer PO: N1207112

Project ID:

Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized

Light Microscopy

Sample Description Appearance % Fibrous % Non-Fibrous

Non-Asbestos Asbestos

% Type

8-26-Mastic

162011974-0026A

None DetectedNon-fibrous (Other)100%Black/Yellow

Non-Fibrous

Homogeneous

East Side of EKG waiting Room - Faux

Dark Brown Wood

Planks with Black and

Yellow Mastic

8-27-Floor Tile

162011974-0027

None DetectedNon-fibrous (Other)100%Brown/Gray

Non-Fibrous

Homogeneous

West Side of EKG

Waiting Room - Faux

Dark Brown Wood

Planks with Black and

Yellow Mastic

8-27-Mastic

162011974-0027A

None DetectedNon-fibrous (Other)100%Black/Yellow

Non-Fibrous

Homogeneous

West Side of EKG

Waiting Room - Faux

Dark Brown Wood

Planks with Black and

Yellow Mastic

8-28-Floor Tile

162011974-0028

None DetectedNon-fibrous (Other)100%Brown/Gray

Non-Fibrous

Homogeneous

South Side of

Radiology Front Desk

- Faux Dark Brown

Wood Planks with

Black and Yellow

Mastic

8-28-Mastic

162011974-0028A

None DetectedNon-fibrous (Other)100%Yellow

Non-Fibrous

Homogeneous

South Side of

Radiology Front Desk

- Faux Dark Brown

Wood Planks with

Black and Yellow

Mastic

8-28-Leveler

162011974-0028B

None DetectedNon-fibrous (Other)95%Cellulose5%Gray

Non-Fibrous

Homogeneous

South Side of

Radiology Front Desk

- Faux Dark Brown

Wood Planks with

Black and Yellow

Mastic

9-29-Floor Tile

162011974-0029

None DetectedNon-fibrous (Other)100%Brown/Gray

Non-Fibrous

Homogeneous

Northeast Corner -

Faux Light Brown

Wood Planks with

Black and Yellow

Mastic

9-29-Mastic

162011974-0029A

<1% ChrysotileNon-fibrous (Other)100%Black/Yellow

Non-Fibrous

Homogeneous

Northeast Corner -

Faux Light Brown

Wood Planks with

Black and Yellow

Mastic

9-30-Floor Tile

162011974-0030

None DetectedNon-fibrous (Other)100%Brown/Gray

Non-Fibrous

Homogeneous

Southwest Corner -

Faux Light Brown

Wood Planks with

Black and Yellow

Mastic

9-30-Mastic

162011974-0030A

<1% ChrysotileNon-fibrous (Other)100%Black/Yellow

Non-Fibrous

Homogeneous

Southwest Corner -

Faux Light Brown

Wood Planks with

Black and Yellow

Mastic

9-31-Floor Tile

162011974-0031

None DetectedNon-fibrous (Other)100%Brown/Gray

Non-Fibrous

Homogeneous

Southwest Corner -

Faux Light Brown

Wood Planks with

Black and Yellow

Mastic

Page 4 of 12ASB_PLM_0008_0001 - 1.78 Printed: 6/26/2020 12:08 PM

Tel/Fax: (317) 803-2997 / (317) 803-3047 http://www.EMSL.com / indianapolislab@emsl.com

162011974EMSL Order:

Customer ID: HCNU50

Customer PO: N1207112

Project ID:

Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized

Light Microscopy

Sample Description Appearance % Fibrous % Non-Fibrous

Non-Asbestos Asbestos

% Type

9-31-Mastic

162011974-0031A

<1% ChrysotileNon-fibrous (Other)100%Black/Yellow

Non-Fibrous

Homogeneous

Southwest Corner -

Faux Light Brown

Wood Planks with

Black and Yellow

Mastic

10-32-Insulation

162011974-0032

None DetectedNon-fibrous (Other)10%Cellulose90%Tan

Fibrous

Homogeneous

Hallway at Room

A202a - Aircell Pipe

Insulation

10-32-Wrap

162011974-0032A

40% ChrysotileNon-fibrous (Other)60%Gray

Fibrous

Homogeneous

Hallway at Room

A202a - Aircell Pipe

Insulation

10-33

162011974-0033

None DetectedNon-fibrous (Other)10%Cellulose90%Tan

Fibrous

Homogeneous

Restroom of Room

253 - Aircell Pipe

Insulation

10-34-Insulation

162011974-0034

None DetectedNon-fibrous (Other)10%Cellulose90%Tan

Fibrous

Homogeneous

Doorway of Room

C200 - Aircell Pipe

Insulation

10-34-Wrap

162011974-0034A

30% ChrysotileNon-fibrous (Other)70%Gray

Fibrous

Homogeneous

Doorway of Room

C200 - Aircell Pipe

Insulation

11-35

162011974-0035

<1% ChrysotileNon-fibrous (Other)20%Min. Wool80%Gray

Fibrous

Homogeneous

Hallway at Room

A202a - Hard Fittings

11-36

162011974-0036

<1% ChrysotileNon-fibrous (Other)20%Min. Wool80%Gray

Fibrous

Homogeneous

Restroom of Room

A253 - Hard Fittings

11-37

162011974-0037

<1% ChrysotileNon-fibrous (Other)20%Min. Wool80%Gray

Fibrous

Homogeneous

Doorway of Room

C200 - Hard Fittings

12-38

162011974-0038

None DetectedNon-fibrous (Other)100%Tan

Non-Fibrous

Homogeneous

Southwest Corner of

Radiology Waiting

Area - Tan Duct

Mastic

12-39

162011974-0039

None DetectedNon-fibrous (Other)100%Tan

Non-Fibrous

Homogeneous

Near Therapy

Check-in Window -

Tan Duct Mastic

12-40

162011974-0040

None DetectedNon-fibrous (Other)100%Tan

Non-Fibrous

Homogeneous

Center of Nuclear

Medicine Waiting

Area - Tan Duct

Mastic

13-41

162011974-0041

None DetectedGypsum

Non-fibrous (Other)

60%

8%

Cellulose

Glass

30%

2%

Brown/White

Fibrous

Heterogeneous

Hallway Across from

B235 - Drywall

System; Drywall and

Joint Compound

Drywall Only

13-42-Drywall

162011974-0042

None DetectedGypsum

Non-fibrous (Other)

60%

8%

Cellulose

Glass

30%

2%

Brown/White

Fibrous

Heterogeneous

Northeast Corner of

Nuclear Medicine

Waiting Area -

Drywall System;

Drywall and Joint

Compound

13-42-Joint Compound

162011974-0042A

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Northeast Corner of

Nuclear Medicine

Waiting Area -

Drywall System;

Drywall and Joint

Compound

Page 5 of 12ASB_PLM_0008_0001 - 1.78 Printed: 6/26/2020 12:08 PM

Tel/Fax: (317) 803-2997 / (317) 803-3047 http://www.EMSL.com / indianapolislab@emsl.com

162011974EMSL Order:

Customer ID: HCNU50

Customer PO: N1207112

Project ID:

Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized

Light Microscopy

Sample Description Appearance % Fibrous % Non-Fibrous

Non-Asbestos Asbestos

% Type

13-42-Tape

162011974-0042B

None DetectedNon-fibrous (Other)2%Cellulose98%White

Fibrous

Homogeneous

Northeast Corner of

Nuclear Medicine

Waiting Area -

Drywall System;

Drywall and Joint

Compound

13-43-Drywall

162011974-0043

None DetectedGypsum

Non-fibrous (Other)

70%

8%

Cellulose

Glass

20%

2%

Brown/White

Fibrous

Heterogeneous

Hallway at Room

A236 - Drywall

System; Drywall and

Joint Compound

13-43-Joint Compound

162011974-0043A

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Hallway at Room

A236 - Drywall

System; Drywall and

Joint Compound

13-43-Tape

162011974-0043B

None DetectedNon-fibrous (Other)2%Cellulose98%White

Fibrous

Homogeneous

Hallway at Room

A236 - Drywall

System; Drywall and

Joint Compound

13-44

162011974-0044

None DetectedGypsum

Non-fibrous (Other)

70%

8%

Cellulose

Glass

20%

2%

Brown/White

Fibrous

Heterogeneous

Doorway if Room

A2008 - Drywall

System; Drywall and

Joint Compound

Drywall Only

13-45-Drywall

162011974-0045

None DetectedGypsum

Non-fibrous (Other)

70%

8%

Cellulose

Glass

20%

2%

Brown/White

Fibrous

Heterogeneous

North Wall of EKG

Waiting Room -

Drywall System;

Drywall and Joint

Compound

13-45-Joint Compound

162011974-0045A

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

North Wall of EKG

Waiting Room -

Drywall System;

Drywall and Joint

Compound

13-45-Tape

162011974-0045B

Layer Not PresentNorth Wall of EKG

Waiting Room -

Drywall System;

Drywall and Joint

Compound

14-46

162011974-0046

None DetectedNon-fibrous (Other)100%Green

Non-Fibrous

Homogeneous

Northeast Corner of

North Waiting Room -

Green Carpet Mastic

14-47

162011974-0047

None DetectedNon-fibrous (Other)100%Green

Non-Fibrous

Homogeneous

North Side of North

Waiting Room -

Green Carpet Mastic

14-48

162011974-0048

None DetectedNon-fibrous (Other)100%Green

Non-Fibrous

Homogeneous

South Side of South

Waiting Room -

Green Carpet Mastic

15-49

162011974-0049

None DetectedNon-fibrous (Other)5%Min. Wool95%Gray

Fibrous

Homogeneous

Doorway of North

Radiology Waiting

Room - Fire-Proofing

15-50

162011974-0050

None DetectedNon-fibrous (Other)5%Min. Wool95%Gray

Fibrous

Homogeneous

Northeast Corner of

Norht Waiting Room -

Fire-Proofing

15-51

162011974-0051

None DetectedNon-fibrous (Other)5%Min. Wool95%Gray

Fibrous

Homogeneous

Center of Room C238

- Fire-Proofing

16-52

162011974-0052

None DetectedNon-fibrous (Other)100%Gray

Non-Fibrous

Homogeneous

Center of Radiology

Center-in Area - Grey

Duct Mastic

Page 6 of 12ASB_PLM_0008_0001 - 1.78 Printed: 6/26/2020 12:08 PM

Tel/Fax: (317) 803-2997 / (317) 803-3047 http://www.EMSL.com / indianapolislab@emsl.com

162011974EMSL Order:

Customer ID: HCNU50

Customer PO: N1207112

Project ID:

Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized

Light Microscopy

Sample Description Appearance % Fibrous % Non-Fibrous

Non-Asbestos Asbestos

% Type

16-53

162011974-0053

None DetectedNon-fibrous (Other)100%Gray

Non-Fibrous

Homogeneous

Center of North

Waiting Room - Grey

Duct Mastic

16-54

162011974-0054

None DetectedNon-fibrous (Other)100%Gray

Non-Fibrous

Homogeneous

Center of South

Waiting Room - Grey

Duct Mastic

17-55-Sheet Flooring

162011974-0055

None DetectedNon-fibrous (Other)100%Tan

Non-Fibrous

Homogeneous

Southwest Corner -

Tan Vinyl Sheet

Flooring with Clear

Mastic

17-55-Mastic

162011974-0055A

None DetectedNon-fibrous (Other)100%Clear

Non-Fibrous

Homogeneous

Southwest Corner -

Tan Vinyl Sheet

Flooring with Clear

Mastic

17-56-Floor Tile

162011974-0056

None DetectedNon-fibrous (Other)100%Tan

Non-Fibrous

Homogeneous

Southwest Corner -

Tan Vinyl Sheet

Flooring with Clear

Mastic

17-56-Mastic

162011974-0056A

None DetectedNon-fibrous (Other)100%Clear

Non-Fibrous

Homogeneous

Southwest Corner -

Tan Vinyl Sheet

Flooring with Clear

Mastic

17-57-Sheet Flooring

162011974-0057

None DetectedNon-fibrous (Other)100%Tan

Non-Fibrous

Homogeneous

Southwest…

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