2nd Floor Reconfiguration Asbestos Report.pdf
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- Solicitation number
- 36C25021B0038
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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
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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
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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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