S06 Asbestos Survey Report - Mental Health Bed Renovation project.pdf

RDC/John Poe Architects Dayton, Ohio

NESHAP Asbestos Survey Mental Health Bed Renovation Ann Arbor VA Medical Center

Ann Arbor, MI

January 2020

1915 North 12th Street Toledo, OH 43604-5305

T 419-324-2222 F 419-241-1808 www.ttlassoc.com

January 28, 2020 TTL Project No. 1860101

Pamela Rigling RDC/John Poe Architects 116 East Third Street Dayton, Ohio 45202

NESHAP Asbestos Survey

Ann Arbor VA Medical Center

Ann Arbor, MI Dear Ms. Rigling, The report for the NESHAP Asbestos Survey conducted for RDC/John Poe Architects (RDC) for the above-referenced site is enclosed.

TTL appreciates the opportunity to provide RDC with our consulting and testing services. Should you have any questions or require additional information, please contact Mr. Harjot Singh at (419) 214-5058.

Sincerely, TTL Associates, Inc.

Harjot Singh Project Manager

Veronica Winkeljohn, P.E., PMP Federal Services Director

R:\SUB\RDC-John Poe Architects\VA - Proj 506-20-101 - Medical Beds - Ann Arbor -2019 (1860101)\Report\Asbestos Survey Report.docx

NESHAP ASBESTOS SURVEY

MENTAL HEALTH BED RENOVATION

ANN ARBOR VA MEDICAL CENTER

ANN ARBOR, MI

FOR

RDC/JOHN POE ARCHITECTS

116 EAST THIRD STREET

DAYTON, OHIO 45202

SUBMITTED

JANUARY 28, 2020

TTL PROJECT NO. 1860101

TTL ASSOCIATES, INC.

1915 NORTH 12TH STREET

TOLEDO, OHIO 43604

(419) 324-2222

Ann Arbor VA Medical Center January 2020 TTL Project No. 1860101 Page i

TABLE OF CONTENTS

Section No. Page No.

EXECUTIVE SUMMARY ...................................................................................................... E-1

1.0 INTRODUCTION

1.1 Project Purpose and Objectives

1.2 Personnel

2.0 ASBESTOS SURVEY

2.1 Homogenous Areas

2.2 Sampling and Analysis Methods

2.3 Survey Analytical Results

3.0 CONCLUSIONS AND RECOMMENDATIONS

3.1 Asbestos Survey

3.2 Limitations

APPENDICES

Appendix A: Certifications Appendix B: Asbestos Survey Summary Table Appendix C: Asbestos Analytical Report Appendix D: Asbestos Sampling Location Map Appendix E: Previous Survey Results

TTL Project No. 1860101 Page E-1

EXECUTIVE SUMMARY

TTL Associates, Inc. (TTL) conducted a NESHAP Asbestos survey to assess the existing materials in selected areas of the 8th floor in Building 1 and 1st floor of Building 28 in the Ann Arbor VA Medical Center located in Ann Arbor, Michigan. The purpose of the survey was to identify asbestos-containing materials (ACM) in renovation areas of the Ann Arbor VA Medical Center identified by RDC. The survey was conducted on January 14, 2020, by Mr. Harjot Singh of TTL.

TTL’s scope of work included the following:

• Surveying the renovation area for suspect ACM.

• Collection of suspect ACM bulk samples for analysis by Polarized Light Microscopy (PLM) to determine asbestos content.

Asbestos Survey

TTL used the previous ACM data report provided by RDC and the Ann Arbor VAMC to assess if previously identified ACM was present in the renovation areas. Any suspect materials that were not identified and sampled in the previous data report were identified, quantified and samples were collected.

A total of 11 samples were collected and 13 sample layers were analyzed from three suspect materials from Building 28. None of the sampled materials were found to be asbestos-containing based upon laboratory analysis. No new suspect materials were identified in Building 8.

TTL Project No. 1860101 Page 1

1.0 INTRODUCTION

TTL Associates, Inc. (TTL) conducted a NESHAP Asbestos Survey to assess the existing materials in selected areas of the 8th floor in Building 1 and 1st floor of Building 28 on January 14, 2020 in the Ann Arbor VA Medical Center located in Ann Arbor, Michigan.

1.1 Project Purpose and Objectives

TTL conducted the survey in the areas designated for renovation on the 8th floor in Building 1 and on the 1st floor in Building 28 to determine the presence of asbestos-containing materials (ACM) which may require removal prior to renovation activities.

1.2 Personnel

The non-destructive asbestos survey was conducted by Mr. Harjot Singh. Mr. Singh is certified by the State of Michigan Department of Licensing and Regulatory Affairs (LARA) as an asbestos inspector. A copy of his certification is located in Appendix A.

TTL Project No. 1860101 Page 2

2.0 ASBESTOS SURVEY

This section documents the methodology and results of the asbestos survey.

2.1 Homogenous Areas

Each accessible area within the renovation area of the Ann Arbor VA Medical Center was surveyed, which included the identification of suspect materials and the definition of homogeneous sampling areas (HSA), assessment of the condition of each material, estimation of the approximate quantity of the suspect ACM, and collection and analysis of representative bulk samples from each identified HSA. An HSA is defined as a material that exhibits similar physical characteristics (e.g., texture, surface color, and appearance) and was applied or installed during the same construction period (if known) as determined by TTL’s inspector utilizing professional judgment, experience, and historical building information.

2.2 Sampling and Analysis Methods

TTL provided a State of Michigan Department of Licensing and Regulatory Affairs (LARA) asbestos inspector to conduct an inspection of the renovation area.

The samples were collected using a coring device or other means, as appropriate, to collect a cross-section of the suspect material. The samples were placed into clean and unused sealable bags marked with a unique sample identification number. The samples of suspect ACM were analyzed by polarized light microscopy (PLM) using U.S. EPA Method 600/R-93/116 by an independent asbestos laboratory. The laboratory is accredited by the National Voluntary Laboratory Accreditation Program (NVLAP) which is administered by the National Institute of Standards and Technology (NIST).

2.3 Survey Analytical Results

A total of 11 samples were collected and 13 sample layers were analyzed from three suspect materials from Building 28. None of the sampled materials were found to be asbestos-containing based upon laboratory analysis. No new suspect materials were identified in Building 8.

Refer to the Asbestos Survey Summary Table in Appendix B for a listing of the materials identified and the analytical results. The laboratory analytical report is located in Appendix C. The sampling location map is included in Appendix D.

TTL Project No. 1860101 Page 3

3.0 CONCLUSIONS AND RECOMMENDATIONS

This section summarizes the results of the asbestos survey and provides conclusions and recommendations.

3.1 Asbestos Survey

The U.S. EPA defines regulated asbestos-containing material (RACM) as: (a) Friable asbestos material, (b) Category I non-friable ACM that has become friable, (c) Category I non-friable ACM that will be or has been subjected to sanding, grinding, cutting, or abrading, or (d) Category II non-friable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations. The following materials were identified or assumed as ACM as defined by the U.S. EPA:

• Approximately 144 square feet (s.f.) of Transite panel/board material (HSA 237)*

• Approximately 144 s.f. of Brown fibrous board material (HSA 238)*

• Approximately 4 s.f. White sink undercoating (HSA 242)*

• Approximately 37 s.f. of 1’x1’ Olive with brown and white flecks floor tile(HSA 181)*

• Approximately 37 s.f. of Mastic associated with HSA #182 (HSA 182)*

• Approximately 129 s.f. of 1’x1’ Olive with green and white streaks floor tile(HSA 184)*

• Approximately 129 s.f. of Mastic associated with HSA #184 (HSA 185)*

*materials identified to be ACM during previous survey.

3.2 Limitations

TTL has made reasonable efforts to identify and quantify suspect ACM based upon the standard of care in the environmental industry existing at the time of the survey. This survey only summarizes the potential presence and estimated quantities of visually observed ACM within the designated areas.

Additional material disturbed during renovation or demolition activities should be evaluated on a case-by-case basis, especially materials that were previously hidden, obscured or inaccessible, to determine if the material is included in this survey. If a given material is not described in this survey or cannot be identified as a non-suspect material, the material should be assumed to contain asbestos and renovation and/or demolition activities should be halted until sampling and analysis can be accomplished. Parties conducting renovation and/or demolition activities should follow all applicable federal, state, and local regulations in handling identified and suspect ACM.

The information contained in the report was based upon specific parameters and regulations in force at the time of the survey. The information herein is only for the specific use of RDC and TTL, unless written authorization is obtained from TTL. TTL accepts no responsibility for the use, interpretation, or reliance by other parties on the information contained herein, nor does this report represent an instrument of regulatory compliance or an asbestos abatement specification.

Veronica Winkeljohn Did we verify these materials still exist and the quantities are correct?

Harry Singh Yes, these were checked and quantities verified.

APPENDIX A

CERTIFICATIONS

APPENDIX B

ASBESTOS SURVEY SUMMARY TABLE

Homogeneous Sampling Areas Table

Ann Arbor VA Medical Center

Ann Arbor, MI

HSA # Material Description Friability Functional Area Quantity Units Sample Number Sample Results 237 Transite panel/board material NF-II Building 1 - A851 24 SF Positive** 237 Transite panel/board material NF-II Building 1 -A851c 24 SF Positive** 237 Transite panel/board material NF-II Building 1 -A851j 48 SF Positive** 237 Transite panel/board material NF-II Building 1 -A851I 24 SF Positive** 237 Transite panel/board material NF-II Building 1 -A854 24 SF Positive**

Total 144 SF

238 Brown fibrous board material NF-II Building 1 - A851 24 SF Positive** 238 Brown fibrous board material NF-II Building 1 -A851c 24 SF Positive** 238 Brown fibrous board material NF-II Building 1 -A851j 48 SF Positive** 238 Brown fibrous board material NF-II Building 1 -A851I 24 SF Positive** 238 Brown fibrous board material NF-II Building 1 -A854 24 SF Positive**

Total 144 SF

242 White sink undercoating NF-II Building 1 - A851a 4 SF Positive**

Total 4 SF

181 1'x1' Olive with brown and white flecks floor tile NF-I Building 1 - A853 37 SF Positive**

Total 37 SF

182 Mastic under HA #181 NF-I Building 1 - A853 37 SF Positive**

Total 37 SF

184 1'x1' Olive with green and white streaks floor tile NF-I Building 1 - A854 129 SF Positive**

Total 129 SF

185 Mastic under HA #184 NF-I Building 1 - A854 129 SF Positive**

Total 129 SF

1 12" x 12" Brwon pattern floor tile and glue NF-I Building 28 - Men's Locker Room 300 SF 1A, 1B Negative

Total 300 SF

2 Residual Glue/Mastic NF-I Building 28 - F100 & F116 1,600 SF 2A, 2B Negative 2 Residual Glue/Mastic NF-I Building 28 - F106 100 SF Negative 2 Residual Glue/Mastic NF-I Building 28 - F105 100 SF Negative 2 Residual Glue/Mastic NF-I Building 28 - F104 80 SF Negative

Total 1,880 SF

3 Spray-On Insulation F Building 28 - 1st Floor Throughout 3A, 3B, 3C, 3D, 3E, 3F, 3G Negative

Total Throughout

** Samples identified as positive per previous survey

SF=Square Foot LF=Linear Foot

TTL Project No. 1860101 1 of 1

APPENDIX C

ASBESTOS ANALYTICAL REPORT

APPENDIX D

ASBESTOS SAMPLING LOCATION MAP

APPENDIX E

PREVIOUS SURVEY RESULTS

VA Medical Center - Ann Arbor, MI - HA List

HA MATL HA DESCRIPTION COMMENT

1 MM 1' x 1' Floor tile; Cream with brown streaks (light and dark) Positive

2 MM 7" Black vinyl cove base Negative

3 MM Mastic under HA # 1 Positive

4 MM Mastic under HA # 2 Negative

5 MM 2' x 2' Ceiling tile; White with random pattern & smooth finish Negative

6 TSI Mudded pipe fittings on steam lines; <2" diameter pipes Positive

7 MM 1' x 1' Floor tile; Tan with brown and white streaks Positive

8 MM Mastic under HA # 7 Negative

9 TSI Insulation on domestic pipe straight runs; <2" diameter pipes Positive

10 SM Plaster on expanded wire mesh ceiling Negative

11 MM 6" Brown vinyl cove base Negative

12 MM Mastic under HA # 11 Negative

13 MM 9" x 9" Floor tile; Olive with brown and white streaks Positive

14 MM 4" Black vinyl cove base Negative

15 MM Mastic under HA # 14 Negative

16 MM Mastic under HA # 13 Positive

17 TSI Insulation on straight run; <2" dia. Pipes Negative

18 TSI Mudded pipe fittings on domestic water lines; <2" dia. Pipes Positive

19 MM 1' x 1' Ceiling tile; Random pattern, smooth finish; glued on Negative

20 MM 1' x 1' Floor tile; White with grey flecks Positive - Only Bldg. 22

21 MM 7" Brown vinyl cove base Negative

22 MM Mastic under HA # 21 Negative

23 MM Mastic under HA # 20 Positive - Only Bldg. 22

24 MM

2' x 2' Ceiling tile; White with random dotted pattern, smooth finish Negative

25 TSI Insulation on steam pipes; >2", <6" diameter pipes Positive

26 TSI Mudded pipe fittings on steam lines; >2", <6" diameter pipes Positive

27 MM Linoleum, Brown terrazzo pattern Positive - No Longer

Found in Facility

28 MM Mastic under HA # 27 Negative

29 MM 4" Tan vinyl cove base Negative

30 MM Mastic under HA # 29 Negative

31 MM 7" Grey vinyl cove base Negative

32 MM Mastic under HA # 31 Negative

33 MM 2' x 2' Ceiling tile; White with rough finish; lay-in Negative

34 MM 1' x 1' Floor tile; Tan with blue, brown and white flecks Negative

35 MM Mastic under HA # 34 Negative

Page: 1 of 111

June, 2019

36 MM 6" Tan vinyl cove base Negative

37 MM Mastic under HA # 36 Negative

38 MM 7" Blue vinyl cove base Negative

39 MM Mastic under HA # 38 Negative

40 TSI CWS fittings >2" - <6" diameter Positive - No Longer

Found in Facility

41 TSI HWS fittings <2" diameter Negative

42 TSI HWR fittings <2" diameter Positive - No Longer

Found in Facility

43 TSI Drip return fittings <2" diameter Positive - No Longer

Found in Facility

44 TSI LPS straight runs on pipes <2" diameter Positive

45 TSI LPS fittings <2" diameter Positive - No Longer

Found in Facility

46 TSI LPS fittings, >2" - <6" diameter Positive - No Longer

Found in Facility

47 TSI MPS fittings <2" diameter Positive - No Longer

Found in Facility

48 TSI MPS vessel mud insulation Negative

49 TSI HWR vessel mud insulation Negative

50 TSI Condensate fittings <2" diameter Positive - No Longer

Found in Facility

51 TSI Make-up water fittings <2" diameter Positive - No Longer

Found in Facility

52 TSI CWS vessel mud insulation Negative

53 TSI Make-up water straight runs <2" diameter Positive - No Longer

Found in Facility

54 MM Blue check wall covering Negative

55 MM Tan cloth-pattern wall covering Negative

56 SM White finish plaster Negative

57 MM Linoleum, Dark brown terrazzo pattern Positive - No Longer

Found in Facility

58 MM Drywall with mud and tape Negative

59 MM Light blue wall covering Negative

60 MM

Vibration Decoupler on HVAC duct (Exp. joint grey woven material)

Positive - No Longer

Found in Facility

61 MM Tan cloth wall cover with wheat head graphics Negative

62 MM Beige cloth wall covering with horizontal grain Negative

63 MM 2' x 4' Ceiling tile; White with eight raised panels Negative

64 MM 1' x 1' Floor tile; Tan with white and grey specks Negative

65 MM 2' x 2' Wall panels with regular-spaced holes Positive

66 MM 1' x 2' Ceiling tile; White fibrous (old, above ceiling in sacristy) Negative

67 MM 4" Burgundy vinyl cove base Negative

68 MM Mastic under HA # 67 Negative

Page: 2 of 111

69 TSI Mudded pipe fittings on millboard-insulated lines <2" diameter Positive

70 TSI Straight run millboard insulation <2" diameter pipes Positive

71 TSI Mag insulation on <2" diameter pipes Positive

72 MM Mauve burlap-pattern wall covering Negative

73 MM Tan with blue specks wallpaper Negative

74 TSI Air cell pipe insulation straight runs <2" diameter Positive - No Longer

Found in Facility

75 TSI Black cork pipe insulation with tan seams Negative

76 MM 2' x 4' Ceiling tile, White lay-in with random dotted pattern Negative

77 MM 9" x 9" Floor tile; Beige with white streaks Negative

78 MM Mastic under HA # 77 Positive - No Longer

Found in Facility

79 MM 1' x 1' Floor tile; Cream with caramel swirl pattern Negative

80 MM Mastic under HA # 79 Positive - No Longer

Found in Facility

81 MM 1' x 1' Floor tile; Cream with caramel streaks pattern Negative

82 MM Mastic under HA # 81 Positive

83 MM 1' x 1' Floor tile; Aqua with red, black and white dots Negative

84 MM Mastic under HA # 83 Positive - No Longer

Found in Facility

85 MM 1' x 1' Floor Tile; Beige with blue and red Negative

86 MM Mastic under HA # 85 Positive

87 MM Zigzag pattern wall cover; tan, blue and white Negative

88 MM Linoleum, Grey terrazzo pattern Negative

89 MM Mastic under HA # 88 Negative

90 MM Cream vinyl cloth-pattern wall cover Negative

91 MM Criss-cross pattern mauve-colored wall covering Negative

92 MM Dark blue cloth pattern wall covering Negative

93 MM 2' x 2' Ceiling panel; Drywall with vinyl finish Negative

94 MM Mauve vertical-textured stripe wall covering Negative

95 MM 4" Cream vinyl cove base Negative

96 MM Mastic under HA # 95 Negative

97 MM Blue with white specks wall covering Negative

98 MM Pink with tiny (1/8") squares wall covering Negative

99 MM 2 1/2' x 5' Ceiling tile; White with pin holes Negative

100 TSI Mag-insulated pipes and fittings >2" - <6" diameter Positive

101 MM 9" x 9" Floor Tile; Darker Negative

102 MM Blue herringbone pattern wall cover Negative

103 MM Mastic under HA # 101 Negative

104 MM Beige wall covering with mild white texture Negative

105 MM Cream wall covering with repeating 6-groove pattern Negative

106 MM Pale yellow wall covering with mustard swirls Negative

107 MM 1' x 1' Floor tile; Tan with brown and grey flecks Negative

Page: 3 of 111

108 MM Mastic under HA # 107 Positive - No Longer

Found in Facility

109 MM Blue vertical-texture stripe wall covering Negative

110 SM White rolled-on ceiling texture Negative

111 MM Beige ladder-pattern wall covering Negative

112 MM 1' x 1' Ceiling tile; White painted worm-hole Negative

113 MM Orange-peel texture wall covering - assorted pastel colors Negative

114 MM Dark colors orange-peel-texture wall covering Negative

115 MM Blue ladder-pattern wall covering Negative

116 TSI Felt insulation on domestic straights >2 - <6" Negative

117 TSI Mudded pipe fittings on felt-insulation lines >2 - <6" Positive - No Longer

Found in Facility

118 MM Mauve cloth-pattern wall covering Negative

119 MM 9' x 9' Floor tile; Red with cream streaks Positive

120 MM Mastic under HA # 119 Positive

121 MM Blue vinyl with mild texture wall covering Negative

122 TSI HPS Mudded fittings <2" Positive - No Longer

Found in Facility

123 TSI Chilled water mudded fittings < 2" Positive - No Longer

Found in Facility

124 MM White vinyl wall covering Negative

125 MM 1' x 1" Floor tile; Beige with white streaks Negative

126 MM Mastic under HA # 125 Negative

127 MM Cork ceiling 3" deep Negative

128 MM Linoleum, White with blue, brown and tan specks Negative

129 MM Mastic under HA # 128 Negative

130 SM Spray-on insulation Positive - 8th Floor Only

131 MM Linoleum, Blue with grey and dark specks Negative

132 MM Mastic under HA # 131 Negative

133 MM 2' x 4' Ceiling tile; Large pattern white Negative

134 TSI Drain fittings >2" - <6" Positive

135 MM Linoleum, tan with grey and dark specks Negative

136 MM Mastic under HA # 135 Negative

137 MM Fibrous drywall Negative

138 MM Plaster fill material around conduit penetrations through Floor Negative

139 TSI Drain line >2" - <6" Positive

140 MM

Off-white with 1/4" squares random peach and grey dots wall cover Negative

141 MM Peach border wall covering Negative

142 MM Pale yellow cloth-like wall covering Negative

143 MM Green ladder-pattern wall covering Negative

144 TSI New mud on newly-insulated fiberglass lines Negative

145 TSI Cork on brine line <2" Negative

Page: 4 of 111

146 MM Tan herringbone (3" wide pattern) wall covering Negative

147 MM 1' x 1' Floor tile; Light grey with blue, aqua and dark grey dots Negative

148 MM Mastic under HA # 147 Negative

149 MM 9" x 9" Floor tile; Tan with green speckles Positive - No Longer

Found in Facility

150 MM Mastic under HA # 149 Negative

151 MM 9" x 9" Floor tile; white with grey streaks Positive - No Longer

Found in Facility

152 MM Mastic under HA # 151 Positive - No Longer

Found in Facility

153 TSI Debris left from previous activities Positive

154 MM 9" x 9" Floor tile; Black with green dots Floor tile Negative

155 MM Mastic under HA # 154 Negative

156 MM Linoleum, Beige terrazzo pattern Negative

157 MM Mastic under HA # 156 Negative

158 MM 1' x 1' Floor tile; Pink with brown, maroon and white specks Negative

159 MM Mastic under HA # 158 Negative

160 MM 1' x 1' Floor Tile with white specks Negative

161 MM Mastic under HA # 160 Negative

162 TSI Brine fittings >2" - <6" Negative

163 TSI CWS >2" - <6" Negative

164 TSI CWS fittings >2" - <6" Negative

165 TSI Steam fittings >6" Negative

166 TSI Steam pipe >6" Negative

167 TSI Cold water fitting with black tar >6" Negative

168 MM Construction adhesive lt. brown color Negative

169 MM Gasket material from wall heaters in kitchen Negative

170 MM Unknown base tiles under cafe eating area Floor Negative

171 TSI Insulation on domestic water tank Negative

172 TSI Insulation on steam tank Negative

173 MM Beige with brown and aqua diamonds wall covering Negative

174 MM

Beige with repeating pattern of lines and crosses - brown and aqua Negative

175 MM Beige with aqua lines wall covering Negative

176 MM Tan vertical-textured stripe wall covering Negative

177 TSI Chrysotile duct and insulation Positive

178 MM Mauve and aqua spattered pattern wall covering Negative

179 MM 1' x 1' Floor tile; White with grey and brown flecks Negative

180 MM Mastic under HA # 179 Negative

181 MM 1' x 1' Floor tile; Olive with brown and white flecks Positive

182 MM Mastic under HA # 181 Positive

183 MM Green with white flecks (textured) wall covering Negative

184 MM 1' x 1' Floor tile; Olive with green and white streaks Positive

Page: 5 of 111

185 MM Mastic under HA # 184 Positive

186 MM Off white with 1/4" squares and random mauve and purple dots Negative

187 MM 9" x 9" Floor tile; Olive with green and white streaks Negative

188 MM Mastic under HA # 187 Negative

189 TSI Vacuum mud fitting <2" Positive - No Longer

Found in Facility

190 MM 9" x 9" Floor tile; Blue-green with cream and navy streaks Positive - No Longer

Found in Facility

191 MM Mastic under HA # 190 Negative

192 MM Light brown with diamonds & squares (textured) wall covering Negative

193 TSI Drain pipe insulation >2" - <6" Negative

194 TSI Tar wrap on <2" domestic Negative

195 TSI Brown foam on >2" - <6" Negative

196 MM Brown fibrous pressboard Negative

197 MM Tan weave-pattern wall covering Negative

198 TSI Mud patch on fiberglass duct insulation Negative

199 TSI HW mud fitting <2" Negative

200 TSI CW Mud fitting <2" Negative

201 TSI Chilled or heating water supply Mudded pipe fittings <2" Negative

202 TSI Chilled or heating water return <2" Negative

203 TSI Chilled water return mud fitting >2" - <6" Negative

204 TSI CW straight <2" Positive - No Longer

Found in Facility

205 TSI CW straight >2" - <6" Positive - No Longer

Found in Facility

206 TSI HW straight <2" Positive - No Longer

Found in Facility

207 TSI HW straight >2" - <6" Negative

208 SM Fibrous sprayed-on in Bldg. 28 Negative

209 SM Cellulose sprayed-on in C200, Bldg. 28 Negative

210 MM 1' x 1' Floor tile; Cream with grey and brown streaks Negative

211 MM Mastic under HA # 210 Negative

212 MM 1' x 1' Floor tile; Grey with white and brown streaks Negative

213 MM Mastic under HA # 212 Negative

214 TSI Drip return fitting >2" - <6" Positive - No Longer

Found in Facility

215 MM 1" wide fibrous duct tape Positive

216 MM Linoleum, White with blue, red, purple and green specks Negative

217 MM Mastic under HA # 216 Negative

218 MM Linoleum, White with tan streaks Negative

219 MM Mastic under HA # 218 Negative

220 MM Linoleum, White with 5" grey-outline squares Negative

221 MM Mastic under HA # 220 Negative

222 MM 1' x 1' Floor tile; Green with cream and dark green steaks Negative

223 MM Mastic under HA # 222 Negative

Page: 6 of 111

224 MM Linoleum, Beige with brown streaks Positive

225 MM Mastic under HA # 224 Negative

226 MM 1' x 1' Floor tile; Light grey with aqua and dark grey streaks Positive - No Longer

Found in Facility

227 MM Mastic under HA # 226 Negative

228 TSI Roof drain straight insulation. >2", ≤6" black tar-like appearance Negative

232 TSI Steam mud fitting >2", ≤6", Bldg. 22 (Originally listed as 228a) Negative

229 TSI Domestic mud fitting ≤2", Bldg. 22 Negative

230 TSI Condensate tank mud, Bldg. 22 Negative

231 MM Mastic under HA # 64 (Originally listed as 64a) Positive

233 MM 9" x 9" Floor tile; Green with white streaks Positive - No Longer

Found in Facility

234 MM Mastic under HA # 233 Negative

235 MM 9" x 9" Floor tile; Red with cream and black streaks Positive - No Longer

Found in Facility

236 MM Mastic under HA # 235 Negative

237 MM Transite panel/board material Positive

238 MM Brown fibrous board material

Positive - Located behind transite panel on flush mounted wall registers

239 MM Black Lab Tops with groove under lip Positive

240 MM Debris from previous renovation Negative

241 MM Black sink undercoating Positive

242 MM White sink undercoating Positive

243 MM Grey sink undercoating Negative

244 MM 9" x 9" Floor tile; Light green with dark green streaks Positive - No Longer

Found in Facility

245 MM Mastic under HA # 244 Negative

246 MM Pink sink undercoating Positive

247 MM Linoleum, Tan with grey and black streaks Negative

248 MM Mastic under HA # 247 Negative

249 MM 1' x 1' Floor tile; Reddish brown with black and red streaks Negative

250 MM Mastic under HA # 249 Negative

251 MM 1' x 1" Floor tile; Grey with dark and light grey streaks Negative

252 MM Mastic under HA # 251 Negative

253 MM Black Tar sink undercoating Negative

254 MM Elevator brake pads Positive

255 SM Fire Brick Positive

276 SM Wall plaster Positive - Bldg. 3 Only

283 MM Glue pods on 1' x 1' ceiling tile Positive

285 TSI Straight run millboard insulation 2" - 6" diameter pipes Positive

286 TSI

Mudded pipe fittings on millboard - insulated lines 2" - 6" diameter pipes Positive

Page: 7 of 111

290 TSI Debris underneath Mudded Fittings Negative

291 MM Caulk, Brittle Tan Negative

292 MM Expansion Cloth, Woven Tight Weave Negative

293 MM Gasket, Felt Material Negative

294 SM Board, Gray Powdery Negative

295 MM Tar Tape Wrap on Pipe Negative

296 MM Duct Putty: Silver Negative

297 MM Duct Putty: Light Brown Positive - Bldg. 22

Penthouse

298 MM Spray-on insulation: Stairwell Positive - Bldg. 22

Penthouse

299 MM Expansion Cloth, Woven Heavy Weave Positive - No Longer

Found in Facility

300 MM Expansion Joint, Black Rubberized Negative

301 MM Expansion Joint, Silver Rubberized Negative

302 TSI Duct Insulation, Canvas & Mud over Fiberglass Negative

303 TSI CW Mud Fitting on Fiberglass Straight <2" Negative

304 TSI Abandoned Line Mud Fitting on Fiberglass Straight <2" Negative

305 TSI Steam Line, Straight Run Preformed Block >2"<4" Positive - No Longer

Found in Facility

306 TSI

Steam Line Mud Fittings on Straight Run Preformed Block

>2"<4"

Positive - No Longer

Found in Facility

307 TSI Steam Mud Fitting on Fiberglass Straight <2" Negative

308 TSI Condensate Mud Fitting on Fiberglass Straight <2" Negative

309 TSI Condensate Tank Insulation: Mud over Fiberglass Negative

310 TSI Heat Exchanger Insulation: Mud over Fiberglass Negative

311 TSI Hot Water Tank Insulation: Mud over Fiberglass Positive - No Longer

Found in Facility

312 TSI Hot Water Lines Mud Fitting on Fiberglass Straight <2" Negative

Page: 8 of 111

VA Medical Center - Ann Arbor, MI - Positive (Hot) HA List

HA MATL HA DESCRIPTION COMMENT Quantity Unit

1 MM

1' x 1' Floor tile; Cream with brown streaks

(light and dark)

10,478 SF

3 MM Mastic under HA # 1 11,451 SF

6 TSI

Mudded pipe fittings on steam lines; <2" diameter pipes

159 FTG

7 MM

1' x 1' Floor tile; Tan with brown and white streaks

706 SF

9 TSI

Insulation on domestic pipe straight runs; <2" diameter pipes

44 LF

13 MM

9" x 9" Floor tile; Olive with brown and white streaks

590 SF

16 MM Mastic under HA # 13 590 SF

18 TSI

Mudded pipe fittings on domestic water lines;

<2" dia. Pipes

148 FTG

20 MM 1' x 1' Floor tile; White with grey flecks 4,713 SF

23 MM Mastic under HA # 20 4,713 SF

TSI

Insulation on steam pipes; >2", <6" diameter pipes No Longer Found in Facility

26 TSI

Mudded pipe fittings on steam lines; >2", <6" diameter pipes

23 FTG

27 MM Linoleum, Brown terrazzo pattern No Longer Found in Facility

40 TSI CWS fittings >2" - <6" diameter No Longer Found in Facility

42 TSI HWR fittings <2" diameter No Longer Found in Facility

43 TSI Drip return fittings <2" diameter No Longer Found in Facility

44 TSI LPS straight runs on pipes <2" diameter 35 LF

45 TSI LPS fittings <2" diameter No Longer Found in Facility

46 TSI LPS fittings, >2" - <6" diameter No Longer Found in Facility

47 TSI MPS fittings <2" diameter No Longer Found in Facility

50 TSI Condensate fittings <2" diameter No Longer Found in Facility

51 TSI Make-up water fittings <2" diameter No Longer Found in Facility

53 TSI Make-up water straight runs <2" diameter No Longer Found in Facility

57 MM Linoleum, Dark brown terrazzo pattern No Longer Found in Facility

60 MM

Vibration Decoupler on HVAC duct (Exp.

joint grey woven material) No Longer Found in Facility

65 MM 2' x 2' Wall panels with regular-spaced holes 480 SF

Page: 9 of 111

69 TSI

Mudded pipe fittings on millboard-insulated lines <2" diameter

111 FTG

70 TSI

Straight run millboard insulation <2" diameter pipes

863 LF

71 TSI Mag insulation on <2" diameter pipes 508 LF

74 TSI

Air cell pipe insulation straight runs <2" diameter No Longer Found in Facility

78 MM

Mastic under HA # 77 - 9" x 9" Floor tile;

Beige with white streaks No Longer Found in Facility

80 MM

Mastic under HA # 79 - 1' x 1' Floor tile;

Cream with caramel swirl pattern No Longer Found in Facility

82 MM

Mastic under HA # 81 - 1' x 1' Floor tile;

Cream with caramel streaks pattern No Longer Found in Facility

84 MM

Mastic under HA # 83 - 1' x 1' Floor tile; Aqua with red, black and white dots No Longer Found in Facility

86 MM

Mastic under HA # 85 - 1' x 1' Floor Tile;

Beige with blue and red No Longer Found in Facility

100 TSI

Mag-insulated pipes and fittings >2" - <6" diameter

30 LF

108 MM

Mastic under HA # 107 - 1' x 1' Floor tile; Tan with brown and grey flecks No Longer Found in Facility

117 TSI

Mudded pipe fittings on felt-insulation lines >2

- <6" No Longer Found in Facility

119 MM 9' x 9' Floor tile; Red with cream streaks 9 SF

120 MM Mastic under HA # 119 9 SF

122 TSI HPS Mudded fittings <2" No Longer Found in Facility

123 TSI Chilled water mudded fittings < 2" No Longer Found in Facility

130 SM Spray-on insulation 8th Floor Only 135 SF

134 TSI Drain fittings >2" - <6" 11 FTG

139 TSI Drain line >2" - <6" 5 LF

149 MM 9" x 9" Floor tile; Tan with green speckles No Longer Found in Facility

151 MM 9" x 9" Floor tile; White with grey streaks No Longer Found in Facility

152 MM Mastic under HA # 151 No Longer Found in Facility

153 TSI Debris left from previous activities 2 LF

177 TSI Chrysotile duct and insulation 56 SF

181 MM

1' x 1' Floor tile; Olive with brown and white flecks

328 SF

182 MM Mastic under HA # 181 328 SF

184 MM

1' x 1' Floor tile; Olive with green and white streaks

770 SF

185 MM Mastic under HA # 184 770 SF

Page: 10 of 111

189 TSI Vacuum mud fitting <2" No Longer Found in Facility

190 MM

9" x 9" Floor tile; Blue-green with cream and navy streaks No Longer Found in Facility

204 TSI CW straight <2" No Longer Found in Facility

205 TSI CW straight >2" - <6" No Longer Found in Facility

206 TSI HW straight <2" No Longer Found in Facility

214 TSI Drip return fitting >2" - <6" No Longer Found in Facility

215 MM 1" wide fibrous duct tape No Longer Found in Facility

224 MM Linoleum, Beige with brown streaks 397 SF

226 MM

1' x 1' Floor tile; Light grey with aqua and dark grey streaks No Longer Found in Facility

231 MM

Mastic under HA # 64 (Originally listed as HA

# 64a)1' x 1' Floor tile; Tan with white and grey specks

No Longer Found in Facility

233 MM 9" x 9" Floor tile; Green with white streaks No Longer Found in Facility

235 MM

9" x 9" Floor tile; Red with cream and black streaks No Longer Found in Facility

237 MM Transite panel/board material 502 SF

238 MM Brown fibrous board material

Located behind transite panel on flush mounted wall registers

462 SF

239 MM Black Lab Tops with groove under lip 50 SF

241 MM Black sink undercoating 8 SF

242 MM White sink undercoating 4 SF

244 MM

9" x 9" Floor tile; Light green with dark green streaks No Longer Found in Facility

246 MM Pink sink undercoating 8 SF

254 MM Elevator brake pads 12 EA

255 SM Fire Brick No Longer Found in Facility

276 SM Wall plaster Bldg. 3 Only 1,588 SF

283 MM Glue pods on 1' x 1' ceiling tile 841 SF

285 TSI

Straight run millboard insulation 2" - 6" diameter pipes

385 LF

286 TSI

Mudded pipe fittings on millboard - insulated lines 2" - 6" diameter pipes

50 FTG

297 MM Duct Putty: Light Brown Bldg. 22 Penthouse 33 LF

298 SM Spray-on insulation: Stairwell Bldg. 22 Penthouse 20 SF

299 MM Expansion Cloth, Woven Heavy Weave No Longer Found in Facility

Page: 11 of 111

305 TSI

Steam Line, Straight Run Preformed Block

>2"<4" No Longer Found in Facility

306 TSI

Steam Line Mud Fittings on Straight Run

Preformed Block >2"<4" No Longer Found in Facility

311 TSI

Hot Water Tank Insulation: Mud over

Fiberglass No Longer Found in Facility

TOTAL ACM QUANTITIES: 42,425

TSI Straight Run Insulation TOTAL ACM QUANTITIES: 2,020 LF

TSI Mudded Pipe Fittings TOTAL ACM QUANTITIES: 502 FTG

TSI Duct TOTAL ACM QUANTITIES: 56 SF

SM Sprayed-on TOTAL ACM QUANTITIES: 155 SF

SM Plaster TOTAL ACM QUANTITIES: 1,588 SF

MM Floor Tile TOTAL ACM QUANTITIES: 17,594 SF

MM Linoleum TOTAL ACM QUANTITIES: 397 SF

MM Floor Tile Mastic TOTAL ACM QUANTITIES: 17,861 SF

MM Sink Undercoating TOTAL ACM QUANTITIES: 20 SF

MM Transite Board TOTAL ACM QUANTITIES: 982 SF

MM Fibrous Board - Wall Register TOTAL ACM QUANTITIES: 462 SF

MM Lab Tables TOTAL ACM QUANTITIES: 50 SF

MM Ceiling Glue Pods TOTAL ACM QUANTITIES: 841 SF

MM Duct Putty TOTAL ACM QUANTITIES: 33 LF

MM Elevator Brake Pads TOTAL ACM QUANTITIES: 12 EA

Page: 12 of 111

VA Medical Center - Ann Arbor, MI - Sample Locator

SAMPLE NO NO HA MATL HA DESCRIPTION SAMPLE LOCATION RESULTS DUPLICATE

01-05-01-001 1 1 MM

1' x 1' Floor Tile, Cream w/ Brown

Streaks (light and dark)

Doorway, between Endoscopy Suite &

North Wing

ND

01-05-01-002 2 1 MM

1' x 1' Floor Tile, Cream w/ Brown

Streaks (light and dark)

Doorway, between Endoscopy Suite &

North Wing

ND

01-05-20-003 3 20 MM

1' x 1' Floor Tile, White w/ Grey

Flecks

Room A534 by Radiator, East End of

Room

ND

01-05-23-004 4 23 MM Mastic under HA # 20 Mastic under Sample #003 ND

01-05-21-005 5 21 MM 7" Brown Vinyl Cove Base Under Radiator on North Wall of Room

A534 A-534

ND

01-05-22-006 6 22 MM Mastic under HA # 21 Mastic under Sample #01-05-21-005 ND

01-05-24-007 7 24 MM

2' x 2' Ceiling Tile, White w/Random

Dotted Pattern, Smooth Finish Room A505 Ceiling over Sink, Kitchen ND

01-05-10-008 8 10 SM

Plaster on Expanded Wire Mesh

Ceiling

Room A505 Wall above Ceiling Tile, West

Wall

ND

01-05-54-009 9 54 MM Blue Check Wall Covering

Nurses' Computer Work Area, Under

Counter on Corridor Side, West Wing

A504

ND

01-05-02-010 10 2 MM 7" Black Vinyl Cove Base Corner Outside Room A533A ND

01-05-04-011 11 4 MM Mastic under HA # 2 Corner North "Jog" in Wall Outside

A533A

ND

01-05-24-012 12 24 MM

2' x 2' Ceiling Tile; White w/Random

Dotted Pattern, Smooth Finish

Room A526, 12' from East Wall, 8' from

South Wall

ND

01-05-01-013 13 1 MM

1' x 1' Floor Tile, Cream w/Brown

Streaks (light and dark)

Room A526, 12' from East Wall, 8' from

West Wall

ND

01-05-03-014 14 3 MM Mastic under HA # 1 Mastic under Sample #-1-05-01-013 ND

01-05-01-015 15 1 MM

1' x 1' Floor Tile, Cream w/Brown

Streaks (light and dark) Room A530, South Wall ND

01-05-55-016 16 55 MM Tan Cloth-Pattern Wall Covering Room A549, East Side, into Freight

Elevator Lobby @ 5.5"High

ND

01-05-10-017 17 10 SM

Plaster on Expanded Wire Mesh

Ceiling

Room A549, East Side of Doorway, into

Freight Elevator Lobby

ND

01-05-56-018 18 56 SM Plaster, White Finish Same as #016 ND

01-05-27-019 19 27 MM Linoleum, Brown Terrazzo Pattern Room A565 in Doorway to Adjoining

Room A564 40% Chrysotile

01-05-57-020 20 57 MM

Linoleum, Dark Brown Terrazzo

Pattern Room A562, Under Sink on East Wall 40% Chrysotile

Page: 13 of 111 June, 2019

01-05-24-021 21 24 MM

2' x 2' Ceiling Tile, White w/Random

Dotted Pattern, Smooth Finish Room A564, Ceiling Against East Wall ND

01-05-58-022 22 58 MM Drywall w/Mud & Tape Room A560A, Kitchen in ICU Wing

(during renovation activities)

ND

01-05-11-023 23 11 MM 6" Brown Vinyl Cove Base @ Corner in Corridor by A559 ND

01-05-12-024 24 12 MM Mastic under HA # 11 Same as #023 ND

01-05-59-025 25 59 MM Light Blue Wall Covering Walls of Corridors in ICU Wing ND

01-05-11-026 26 11 MM 6" Brown Vinyl Cove Base Room A573, Outside in Corridor Corner, South of Door Opening

ND

01-05-12-027 27 12 MM Mastic under HA # 11 Same as # 026 ND

01-05-02-028 28 2 MM 7" Black Vinyl Cove Base Room A573/A569 Where Rooms Meet on

South Wall Near 6-Outlet

ND

01-05-04-029 29 4 MM Mastic under HA # 2 Same as #028 ND

01-05-01-030 30 1 MM

1' x 1' Floor Tile, Cream w/Brown

Streaks (light and dark)

Room A586, West End Door Jamb under

Door 3% Chrysotile

01-05-03-031 31 3 MM Mastic under HA # 1 Same as #030 25% Chrysotile

01-05-58-032 32 58 MM Drywall w/Mud & Tape

Room A549B, Mechanical Room, North

Wall, Approx. Center, 2.5' off Floor, (behind compressor)

ND ND

01-05-01-033 33 1 MM

1' x 1' Floor Tile, Cream w/Brown

Streaks (light and dark) Room A549, in Doorway, East Side, Edge 2% Chrysotile

01-05-03-034 34 3 MM Mastic under HA # 1 Under #033 15% Chrysotile

01-05-55-035 35 55 MM Tan Cloth Pattern Wall Covering Room A542, to Left (north) of Entry ND

01-05-38-036 36 38 MM 7" Blue Vinyl Cove Base Room B531, West Side of Door ND

01-05-39-037 37 37 MM Mastic under HA # 36 Under Cove Base in Corridor @ Corner of

Nurse's Work Area

ND

01-05-38-038 38 38 MM 7" Blue Vinyl Cove Base Room B527, East Side (left) of Door ND

01-05-39-039 39 39 MM Mastic under HA # 38 Underneath #038 ND

01-05-02-040 40 2 MM 7" Black Vinyl Cove Base Room B257, Next to North Radiator, West Wall

ND

01-05-04-041 41 4 MM Mastic under HA # 2 Under Sample #040 ND

01-05-38-042 42 38 MM 7" Blue Vinyl Cove Base Room B513, Entrance, South Side of

Doorway

ND

01-05-39-043 43 39 MM Mastic under HA # 38 Under Sample #042 ND

01-05-13-044 44 13 MM

9" x 9" Floor Tile, Olive w/Brown &

White Streaks

Room B515, North Side of Doorway under

Door

ND

Page: 14 of 111 June, 2019

01-05-13-045 45 13 MM

9" x 9" Floor Tile, Olive w/Brown &

White Streaks

Room A504. Wing, Northeast Corner of

Nurses Work Station 2% Chrysotile

01-05-34-046 46 34 MM

1' x 1' Floor Tile, Tan w/Blue, Brown

& White Flecks

Room B541, North Edge of Doorway under Door

ND ND

01-05-36-047 47 36 MM 6" Tan Vinyl Cove Base Room B541, Corner by South End of "Jog" in Wall, Third Radiator from North End

ND

01-05-37-048 48 37 MM Mastic under HA # 36 Under Sample #047 ND ND

01-05-13-049 49 13 MM

9" x 9" Floor Tile, Olive w/Brown &

White Streaks

Room B521, Behind Door in Corner, Northwest Corner 2% Chrysotile

01-05-16-050 50 16 MM Mastic under HA # 13 Mastic under Sample #049 10% Chrysotile

01-05-19-051 51 19 MM

1' x 1' Ceiling Tile, Random Pattern, Smooth Finish, Glued On Room A534, Northwest Corner of Room ND ND

01-05-61-052 52 61 MM

Tan Cloth Wall Cover w/Wheat Head

Graphics

Room C503, Behind Railing on East Wall of Elevators in Northwest Corridor, 5th

Floor

ND

01-05-55-053 53 55 MM Tan Cloth Pattern Wall Covering Room A537, Lower Right Side o f Door ND

01-05-33-054 54 33 MM

2' x 2' Ceiling Tile, White w/Rough

Finish, Lay-In

Room 503, Elevator Lobby along East

Wall, South of Elevators, 7th Tile from

South End

ND

01-05-62-055 55 62 MM

Beige Cloth Wall Covering w/Horizontal Grain Room A538, West Wall Near Radiator ND

01-05-29-056 56 29 MM 4" Tan Vinyl Cove Base A538, Northwest Corner ND

01-05-30-057 57 30 MM Mastic under HA # 29 A538, Northwest Corner ND

01-05-33-058 58 33 MM

2' x 2' Ceiling Tile, White w/Rough

Finish, Lay-In

Room 503, Along North Wall of East/West

Corridor above Electric Closet

ND

01-05-33-059 59 33 MM

2' x 2' Ceiling Tile, White w/Rough

Finish, Lay-In

Southeast Corner above Doors into East

Wing

ND ND

01-05-19-060 60 19 MM

1' x 1' Ceiling Tile, Random Pattern, Smooth Finish, Glued On

Room A540, Along South Wall, Over

Book Shelf

ND

01-05-19-061 61 19 MM

1' x 1' Ceiling Tile, Random Pattern, Smooth Finish, Glued On

Room B501, Over Door Just Inside, Northeast Corner

Page: 15 of 111 June, 2019

01-05-07-062 62 7 MM

1' x 1' Floor Tile, Tan w/Brown &

White Streaks

Room A528, Corner Under Door, West

End Doorway 2% Chrysotile

01-05-07-063 63 7 MM

1' x 1' Floor Tile, Tan w/Brown &

White Streaks Room A521, Southeast Corner of Room ND ND

01-05-14-064 64 14 MM 4" Black Vinyl Cove Base Room A521, Northwest Corner of Room ND

01-05-15-065 65 15 MM Mastic under HA # 14 Mastic under Sample #064 ND

01-05-07-066 66 7 MM

1' x 1' Floor Tile, Tan w/Brown &

White Streaks Room A502, Northeast Corner ND

01-05-20-067 67 20 MM

1' x 1' Floor Tile, White w/Grey

Flecks

A535, East End of Doorway Directly under

Door

ND

01-05-20-068 68 20 MM

1' x 1' Floor Tile, White w/Grey

Flecks

Room B501A, South End Doorway

Directly under Door

ND

01-05-34-069 69 34 MM

1' x 1' Floor Tile, Tan w/Blue, Brown

& White Flecks

Room A542D, Along West Wall by

Doorway, (restroom off Endoscopy recovery)

ND ND

01-05-35-070 70 35 MM Mastic under HA # 34 Mastic under Sample #069 ND

01-05-31-071 71 31 MM 7" Grey Vinyl Cove Base Room B501, East Wall behind Door @

Jamb

ND

01-05-11-072 72 11 MM 6" Brown Vinyl Cove Base Room A530, West Wall behind Door under Sample #072

ND

01-05-12-073 73 12 MM Mastic under HA # 11 Under Sample #072 ND

01-05-21-074 74 21 MM 7" Brown Vinyl Cove Base Room A541, Behind North Door on West

Wall of Endoscopy Suite Entry Area

ND

01-05-22-075 75 22 MM Mastic under HA # 21 Mastic under Sample #074 ND

01-05-14-076 76 14 MM 4" Black Vinyl Cove Base Room A518, Behind Hinge Side of Door, North Wall

ND ND

01-05-15-077 77 15 MM Mastic under HA # 14 Mastic under #076 ND

01-05-11-078 78 11 MM 6" Brown Vinyl Cove Base Room A552A. North End, Northeast

Corner, North Wall

ND

01-05-12-079 79 12 MM Mastic under HA # 11 Mastic under Sample #078 ND

01-05-10-080 80 10 SM

Plaster on Expanded Wire Mesh

Ceiling Room A585, Above Ceiling Over Door ND ND

01-05-58-081 81 58 MM Drywall w/Mud & Tape Room A585, Above Ceiling Over Door ND

Page: 16 of 111 June, 2019

01-05-58-082 82 58 MM Drywall w/Mud & Tape Room A526, East Wall above Ceiling Tile, 5th Tile from North Wall

ND

01-05-10-083 83 10 SM

Plaster on Expanded Wire Mesh

Ceiling

Room A526, West Wall, 7th Tile from

North Wall

ND

01-02-79-084 84 79 MM

1' x 1' Floor Tile, Cream w/Caramel

Swirl Pattern

Room A265, Along South Wall, Near East

Most Radiator

ND

01-02-58-085 85 58 MM Drywall w/Mud & Tape Room A207, Above Doorway, above

Ceiling Tiles

ND

01-02-79-086 86 79 MM

1' x 1' Floor Tile, Cream w/Caramel

Swirl Pattern Room A215, Northwest Corner

Tile: ND

Mastic: 10% Chrysotile

01-02-80-087 87 80 MM Mastic under HA # 79 Mastic under #086 ND

01-02-80-088 88 80 MM Mastic under HA # 79 Room A265, Along South Wall, Near East

Most Radiator

ND

01-02-92-089 89 92 MM

Dark Blue Cloth Pattern Wall

Covering Room A238, Off West Wall ND

01-02-101-090 90 101 MM 9" x 9" Floor Tile, Darker Along North Wall Near Counter in Area of

Remodel, Taken from Patch Tiles

ND

01-02-102-091 91 102 MM

Blue Herringbone Pattern Wall

Cover North Side Wall in Cytology, Corridor C27 ND

01-02-81-092 92 81 MM

1' x 1' Floor Tile, Cream w/Caramel

Swirl Pattern

Room B211, #2 Next to Door Jamb, Northeast Corner

ND

01-02-13-093 93 13 MM

9" x 9" Floor Tile, Olive w/Brown &

White Streaks

Room B214, Operatory #5 under Counter, Northwest Corner of Floor

ND ND

01-02-77-094 94 77 MM

9" x 9" Floor Tile, Beige w/White

Streaks Room B214, Operatory #5, Under Chair

Tile: ND

Mastic: 10% Chrysotile

01-02-104-095 95 104 MM

Beige Wall Covering w/Mild White

Texture Room B242, Northeast Corner ND

01-02-107-096 96 107 MM

1' x 1' Floor Tile, Tan w/Brown &

Grey Flecks Room B283C, Next to Sink ND

01-02-08-097 97 8 MM Mastic under HA # 7 Room B202, Floor Along South Wall, About in Middle

ND

01-02-60-098 98 60 MM

Vibration Damper Connection on

HVAC Duct (expansion joint grey woven material)

Room B230E @ Duct Junction 80% Chrysotile

Page: 17 of 111 June, 2019

01-03-110-99 99 110 SM White Rolled-On Ceiling Texture Room A333, Southeast Corner above Door ND

01-05-40-100 100 40 TSI CWS Fittings >2" - <6" Diameter Room B5ME01, 20" from East Wall, 20" from North Wall, 7' from Floor

ND

01-05-40-101 101 40 TSI CWS Fittings >2" - <6" Diameter Room B5ME01, 22' from East Wall, 12' from North Wall, 3' from Floor 20% Chrysotile

01-05-40-102 102 40 TSI CWS Fittings >2" - <6" Diameter Room B5ME01, 26' from East Wall, 12' from North Wall, 7' from Floor 10% Chrysotile

01-05-41-103 103 40 TSI CWS Fittings >2" - <6" Diameter Room B5ME01, 14' from East Wall, 10' from North Wall, 3' from Floor

ND

01-05-41-104 104 41 TSI HWS Fittings <2" Diameter Room B5ME01, 10' from East Wall, 24' from North Wall, 4' from Floor

ND

01-05-41-105 105 41 TSI HWS Fittings <2" Diameter Room B5ME01, 30' from East Wall, 24' from North Wall, 4' from Floor

ND

01-05-42-106 106 42 TSI HWS Fittings <2" Diameter Room B5ME01, 31' from East Wall, 24' from North Wall, 7' from Floor

ND

01-05-42-107 107 42 TSI HWS Fittings <2" Diameter Room B5ME01, 11' from East Wall, 24' from North Wall, 5' from Floor

ND

01-05-42-108 108 42 TSI HWS Fittings <2" Diameter Room B5ME01, 18' from East Wall, 2' from North Wall, 6' from Floor

ND

01-05-43-109 109 43 TSI Drip Return Fittings <2" Diameter Room B5ME01, 44' from East Wall, 16' from North Wall, 2' from Floor

ND

01-05-43-110 110 43 TSI Drip Return Fittings <2" Diameter Room B5ME01, 44' from, East Wall, 20' from North Wall, 6' from Floor

ND

01-05-43-111 111 43 TSI Drip Return Fittings <2" Diameter Room B5ME01, 41' from East Wall, 20' from North Wall, 7' from Floor

ND

01-05-46-112 112 46 TSI LPS Fittings, >2" - <6" Diameter Room B5ME01, 41' from East Wall, 20' from North Wall, 5' from Floor

ND

01-05-45-113 113 43 TSI Drip Return Fittings <2" Diameter Room B5ME01, 39' from East Wall, 10' from North Wall, 4' from Floor

ND

01-05-45-114 114 45 TSI LPS Fittings, >2" - <6" Diameter Room B5ME01, 10' from East Wall, 16' from North Wall, 7' from Floor 40% Chrysotile

01-05-60-115 115 60 MM

Vibration Damper Connection on

HVAC Duct (expansion joint grey woven material)

Room B5ME01, 16' from East Wall, 4' from South Wall, 4' from Floor, Zone 6, or

Room 431

80% Chrysotile

01-05-50-116 116 50 TSI Condensate Fittings <2" Diameter Room B5ME01, 3' from East Wall, 30' from North Wall, 4' from Floor

ND ND

Page: 18 of 111 June, 2019

01-05-50-117 117 50 TSI Condensate Fittings <2" Diameter Room B5ME01, 14' from East Wall, 3' from South Wall, 3' from Floor 40% Chrysotile 15% Chrysotile

01-05-50-118 118 50 TSI Condensate Fittings <2" Diameter Room B5ME01, 14' from, East Wall, 3' from North Wall, 2' from Floor

ND

01-05-44-119 119 44 TSI

LPS Straight Runs on Pipes <2"

Diameter

Room B5ME01, 6' from East Wall, 22' from North Wall, 9' from Floor

20% Amosite

40% Chrysotile

01-05-46-120 120 46 TSI LPS Fittings, >2" - <6" Diameter Room B5ME01, 24' from East Wall, 20' from North Wall, 6' from Floor

ND ND

01-05-46-121 121 46 TSI LPS Fittings, >2" - <6" Diameter Room B5ME01, 41' from East Wall, 14' from North Wall, 5' from Floor

ND

01-05-45-122 122 45 TSI LPS Fittings <2" Diameter Room B5ME01, 41' from East Wall, 11' from North Wall, 5' from Floor

ND

01-05-53-123 123 53 TSI

Make-Up Water Straight Runs <2"

Diameter

Room B5ME01, 38' from East Wall, 12' from North Wall, 8' from Floor 20% Chrysotile

01-05-51-124 124 51 TSI

Make-Up Water Fittings <2"

Diameter

Room B5ME01, 38' from East Wall, 13' from North Wall, 7' from Floor

ND

01-05-51-125 125 51 TSI

Make-Up Water Fittings <2"

Diameter

Room B5ME01, 31' from East Wall, 24' from North Wall, 2' from Floor 60% Chrysotile

01-05-18-126 126 18 TSI

Mudded Pipe Fittings on Domestic

Water Lines; <2" Diameter. Pipes

Room A529, 7' from East Wall, 5' from

North Wall, 9' from Floor 50% Chrysotile

01-05-51-127 127 51 TSI

Make-Up Water Fittings <2"

Diameter

Room B5ME01, 38' from East Wall, 21' from North Wall, 8' from Floor 60% Chrysotile

01-05-53-128 128 53 TSI

Make-Up Water Straight Runs <2"

Diameter

Room E5ME01, 38' from East Wall, 20' from North Wall, 8' from Floor 5% Chrysotile

01-05-53-129 129 53 TSI

Make-Up Water Straight Runs <2"

Diameter

Room B5ME01, 31' from East Wall, 24' from North Wall, 2' from Floor 80% Chrysotile

01-05-47-130 130 47 TSI MPS Fittings <2" Diameter Room B5ME01, 9' from East Wall, 23' from North Wall, 6' from Floor

ND

01-05-47-131 131 47 TSI MPS Fittings <2" Diameter Room B5ME01, 8' from East Wall, 3' from

South Wall, 4' from Floor 30% Chrysotile

01-05-47-132 132 47 TSI MPS Fittings <2" Diameter Room B5ME01, 17' from East Wall, 3' from North Wall, 4' from Floor

ND

01-05-48-133 133 48 TSI MPS Vessel Mud Insulation Room B5ME01, 15' from East Wall, 2' from North Wall, 4' from Floor

ND ND

01-05-49-134 134 49 TSI HWR Vessel Mud Insulation Room B5ME01, 16' from East Wall, 4' from North Wall, 5' from Floor

Page: 19 of 111 June, 2019

01-05-52-135 135 52 TSI CWS Vessel Mud Insulation Room B5ME01, 21' from East Wall, 6' from North Wall, 3' from Floor

ND

01-05-06-136 136 6 TSI

Mudded Pipe Fittings on Steam

Lines, <2" Diameter Pipes

Room526, 1' from North Wall, 13' from

West Wall, 9' from Floor 20% Chrysotile

01-05-09-137 137 9 TSI

Insulation on Domestic Pipe Straight

Runs, <2" Diameter Pipes

Room A529, 7' from East Wall, 6' from

North Wall, 9' from Floor by Shower above Access Panel

ND

01-05-09-138 138 9 TSI

Insulation on Domestic Pipe Straight

Runs, <2" Diameter Pipes

Room A529, 7' from East Wall, 6' from

North Wall, 9' from Floor by Shower above Access Panel

ND

01-05-18-139 139 18 TSI

Mudded Pipe Fittings on Domestic

Water Lines, <2" Diameter Pipes

Room, A529, 6' from East Wall, 5' from

North Wall, 9' from Floor 30% Chrysotile

01-05-18-140 140 18 TSI

Mudded Pipe Fittings on Domestic

Water Lines, <2" Diameter Pipes

Room A584, West Wing above Ceiling

Tile, 3' from North Wall, 2' from West

Wall, 9' from Floor

ND

01-05-06-141 141 6 TSI

Mudded Pipe Fittings on Steam

Lines, <2" Diameter Pipes

Room A584, West Wing above Ceiling

Tile, 6' from East Wall, 1' from South

Wall, 9' from Floor

80% Chrysotile 80% Chrysotile

01-05-06-142 142 6 TSI

Mudded Pipe Fittings on Steam

Lines, <2" Diameter Pipes

Room A573, West Wing above CT, 2' from West Wall, 3' from South Wall, 9' from Floor

60% Chrysotile

01-05-09-143 143 9 TSI

Insulation on Domestic Pipe Straight

Runs,…