36C25220B0010-0001003.pdf

ASBESTOS PRE-RENOVATION INSPECTION

VA HOSPITAL – MADISON

MADISON, WISCONSIN

THIRD FLOOR RENOVATION

INSPECTION DATE: OCTOBER 4, 2013

REPORT DATE: NOVEMBER 1, 2013

REVISED: OCTOBER 10, 2017

EMC PROJECT NUMBER: 130381-01

PREPARED FOR:

NAGEL ARCHITECTS

13100 WATERTOWN PLANK ROAD

SUITE 200

ELM GROVE, WI 53122

PREPARED BY:

ENVIRONMENTAL MANAGEMENT CONSULTING, INC.

W7748 COUNTY HIGHWAY V

LAKE MILLS, WI 53551

"ACCOMPANYING AMENDMENT – 36C25220B0010 – 0001"

ASBESTOS PRE-RENOVATION INSPECTION

VA-Madison Third Floor Renovation B – Wing Third Floor

Environmental Management Consulting, Inc. (EMC) was contacted by Nagel Architects to conduct a pre-renovation asbestos survey of an area of the VA Hospital located in Madison, WI.

Mr. Jeremy Noegel of EMC inspected the subject property on October 4, 2013. The building was inspected for the presence of asbestos containing building materials. Bulk samples were extracted for each building material found suspect to contain asbestos that has not been previously sampled in a past inspection. All samples were submitted to a NVLAP certified laboratory for analysis via Polarized Light Microscopy (PLM). This report will summarize the findings of this inspection.

The only area of the building inspected at this time was the 3rd Floor B Wing. The following is a summary of the findings of this inspection.

ASBESTOS CONTAINING MATERIALS (ACM)

The following is a summary of materials identified to contain >1% asbestos or assumed to contain asbestos.

1) Asbestos Containing Pipe Insulation (Previously Sampled)

Material Code: TA5, TC5 & TM5

The existing pipe insulation (Aircell type, cardboard type and magnesia type) have been previously tested during past inspections and determined to contain asbestos.

This material is friable and mainly found above ceilings and inside wall chases.

There is approximately 1800 LF of asbestos containing pipe insulation located throughout this area.

2) Asbestos Containing Pipe Fitting Insulation (Previously Sampled) Material Code: TF5F

The existing pipe fitting insulation located on fiberglass straight run insulation was previously tested during a past inspection and identified to contain asbestos. There are approximately 15 asbestos containing pipe fittings located in this area.

3) 9” Floor Tile & Adhesives Material Code: MF9

The 9” floor tile and adhesives found throughout this area were both found to contain asbestos. This material is located throughout much of the area, and much of the 9” floor tile is covered with a second layer of flooring. Because of this condition it is impossible to determine the approximate quantity of this material.

4) 12” Floor Tile & Adhesives Material Code: MF12

The 12” floor tile is located throughout much of this area. The 12” floor tile was found positive for asbestos, however, the yellow mastic was found negative. In many areas this 12” floor tile was applied over the 9” floor tile (ACM) or applied over the old black mastic from the 9” tile (ACM).

5) Ceramic Tile With Yellow Adhesive Material Code: MCTM(1)

This material is located inB3095 Toilet/Bath/Shower rooms. This material is covered with a second layer of ceramic tile. The yellow adhesive was found to contain asbestos.

6) Fire Doors Material Code: MFD

Fire doors are located in the corridor on the third floor. The core of these doors is assumed to contain asbestos.

7) Black Paneling Adhesives Material Codes: MPM

The material is located above the ceiling, on the wall in room B3079. (Not listed in summary below)

Summary of Asbestos Containing Materials

The following is a summary of asbestos containing materials in the third floor “B” Wing.

Much of the flooring is assumed to be present below a second layer of flooring. Most of the piping is located inside walls and chases. The quantities are approximations based on past experience in the facility.

Asbestos Containing Asbestos Containing Asbestos Containing Room Pipe Insulation Floor Tile Ceramic Tile/Mortar

B3056 34 LF 185 SF

B3056 PC 108 LF

B3057 60 LF 185 SF

B3058 30 LF 155 SF

B3059 60 LF 185 SF

B3060 34 LF

B3061 34 LF

B3062 24 LF

B3063 34 LF 150 SF

B3064 34 LF 150 SF

B3064A 24 LF

B3065 150 SF

B3066 50 SF

B3067 34 LF 150 SF

B3069 60 LF 185 SF

B3070 60 LF 185 SF

B3071 60 LF 155 SF

B3072 155 SF

B3073 24 LF

B3074 60 LF 235 SF

B3075 180 SF

B3076 180 SF

B3077 144 SF

B3078 56 LF

B3079 20 LF

B3079A 30 LF

B3079B 20 LF

B3080 18 LF 150 SF

B3081 90 LF

B3082 34 LF 150 SF

B3083 75 LF 115 SF

B3084 30 LF

B3085 48 LF 125 SF

B3086 48 LF

B3087 2 LF 55 SF

Asbestos Containing Asbestos Containing Asbestos Containing Room Pipe Insulation Floor Tile Ceramic Tile/Mortar

B3088 310 SF

B3088A 48 LF 46 SF

B3090 80 SF

B3091 25 SF

B3092 56 SF

B3093 48 LF

B3095/A/B 145 LF 376 SF

B3098 26 LF 24 SF

B3099 34 LF 180 SF

B3100 60 LF 180 SF

B3101 60 LF 90 SF

B3101A 80 SF

B3102 68 LF 360 SF

B3106 120 LF

B3152 Corridor 1,920 SF Stairs #1 60 LF

These materials must be removed by personnel certified by the Department of Health Services, if they are likely to be disturbed during the renovation project. Removal is not necessary if the materials will not be disturbed during the project.

NON-ASBESTOS MATERIALS

The following is a summary of materials, which have been sampled and found not to contain asbestos.

Third Floor Wing B

Material Material Code Description

MDW Drywall and Joint Compound MCTM(2) Ceramic Wall Tile, Grout and Adhesives MV6N 6” Vinyl Base (Brown) and Adhesives MSCT1 2’x2’ Ceiling Tile – Revealed Edge MCLKY* Duct Caulk-Gray MCLKW Sink Caulk - White MCLKT Wall Caulk – Tan

*Note – This material was sampled earlier with a positive result indicated by the laboratory. After discussion with the laboratory regarding this sample, it was determined that the sample may have been contaminated from a different source and additional sampling was recommended. Three additional samples were collected, all with negative results. Therefore, the material was determined to be negative for asbestos.

No work is necessary for these materials.

ADDITIONAL REQUIREMENTS

If this renovation will involve the removal of greater than 160 square feet or 260 linear feet of asbestos containing materials a “Notification of Demolition and/or Renovation and Application for Exemption” (Form 4500-113) must be submitted to the Wisconsin Department of Natural Resources (WDNR). Residential property as defined by the WDNR chapter 447 may be exempt from notification requirements. However, if any amount of asbestos removal is required for the project, the above stated notification will be required to be submitted to the Wisconsin Department of Health Services. The owner/operator is responsible for submitting all notifications.

If during the course of renovation, suspect materials are found, that have not been identified or sampled, work must stop, and a State of Wisconsin Certified Asbestos Building Inspector must be contacted to assess the material. There are inaccessible areas within the building that could not be accessed during the inspection, which could result in additional suspect materials discovered.

All bulk sampling information including a bulk sample chart and the laboratory results are attached to this report. Please contact the EMC office if you have any questions.

Jeremy Noegel

AII-105450

EMC

BULK SAMPLE RESULTS

EMC Project Number: 130381-01 Inspector Number: AII-1283

SAMPLE HOMO MATERIAL ROOM/ SPECIFIC LAB

NUMBER CODE DESCRIPTION AREA SAMPLE LOCATION RESULTS

9" Floor Tile with Tile: 4% Chrysotile VA3-01 MF9 Black Adhesive B307AA At Wall to B3078 Mastic: 8% Chrysotile

9" Floor Tile with Tile: 4% Chrysotile VA3-02 MF9 Black Adhesive B3080 At Doorway Mastic: 8% Chrysotile

12" Beige & Brown Tile: 3% Chrysotile VA3-03 MF12 Floor Tile with Yallow Adhesive B3080 At Doorway Mastic: Negative

12" Beige & Brown Tile: 3% Chrysotile VA3-04 MF12 Floor Tile with Yallow Adhesive B3081 Near Doorwat Mastic: Negative

VA3-05 MDW Drywall & Joint Compound B3073 Southwest Outer Corner Negative

VA3-06 MDW Drywall & Joint Compound B3071 Southeast Outer Corner Negative 6" Brown Vinyl

VA3-07 MV6N Base & Adhesive B3154 Corr Outside B3084 Negative 6" Brown Vinyl

VA3-08 MV6N Base & Adhesive B3154 Corr Outside B3081 Negative 2'x2' Ceiling Tile

VA3-09 MSCT1 Revealed Edge B3082 Center of Room Negative 2'x2' Ceiling Tile

VA3-10 MSCT1 Revealed Edge B3154 Corr Outside B3088 Negative

VA3-11 MCLKY Duct Caulk-Gray B3082 Center of Room above Ceiling *3% Chrysotile

BULK SAMPLE CHART

Sample Date: February 8, 2013 Sample Location: VA-Madison 3rd Floor Sampling Personnel: John T. Bushman

Lab Order ID: 1302157

Project: VA-Madison, 3rd Floor 130381-01

Date Received: 2/11/2013

Date Reported: 2/14/2013

Sample ID Lab Sample ID

Description Lab Notes

Asbestos Fibrous Components

Non-Fibrous Components

Attributes

Treatment

Bulk Asbestos Analysis By Polarized Light Microscopy

EPA Method: 600/R-93/116 and 600/M4-82-020

Attn: John Bushman Analysis ID: 1302157PLM

Customer: Environmental Management Consulting W7748 Cnty Hwy V Lake Mills, WI 53551

VA3-01 - A 9" FT w/blk adh tile

White Non Fibrous Heterogeneous

Dissolved1302157PLM_1

4% Chrysotile 96% Other

VA3-01 - B 9" FT w/blk adh mastic

Black Non Fibrous Homogeneous

Dissolved1302157PLM_12

8% Chrysotile 92% Other

VA3-02 - A 9" FT w/blk adh tile

White Non Fibrous Heterogeneous

Dissolved1302157PLM_2

4% Chrysotile 96% Other

VA3-02 - B 9" FT w/blk adh mastic

Black Non Fibrous Homogeneous

Dissolved1302157PLM_13

8% Chrysotile 92% Other

VA3-03 - A 12" Beige & brn FT w/yellow adh tile

Beige Non Fibrous Heterogeneous

Dissolved1302157PLM_3

3% Chrysotile 97% Other

VA3-03 - B 12" Beige & brn FT w/yellow adh mastic

Yellow Non Fibrous Homogeneous

Dissolved1302157PLM_14

100% Other

None Detected

VA3-04 - A 12" Beige & brn FT w/yellow adh tile

Beige Non Fibrous Heterogeneous

Dissolved1302157PLM_4

3% Chrysotile 97% Other

VA3-04 - B 12" Beige & brn FT w/yellow adh mastic

Yellow Non Fibrous Homogeneous

Dissolved1302157PLM_15

100% Other

None Detected

Nathaniel Durham, MS or Approved SignatoryAnalyst Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888

Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommended that analysis of floor tiles, vermiculite, and/or heterogeneous soil samples be conducted by TEM for confirmation of “None Detected” by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Estimated MDL is 0.1%.

Sharon Donald (21)

Date Received: 2/11/2013

Date Reported: 2/14/2013

Sample ID Lab Sample ID

Description Lab Notes

Asbestos Fibrous Components

Non-Fibrous Components

Attributes

Treatment

Bulk Asbestos Analysis By Polarized Light Microscopy

EPA Method: 600/R-93/116 and 600/M4-82-020

Attn: John Bushman Analysis ID: 1302157PLM

Customer: Environmental Management Consulting W7748 Cnty Hwy V Lake Mills, WI 53551

VA3-05 - A Drywall & joint compound drywall

White, Brown Fibrous Heterogeneous

Teased1302157PLM_5

10% 5%

Cellulose Fiber Glass

85% Gypsum

None Detected

VA3-05 - B Drywall & joint compound joint compound

White Non Fibrous Homogeneous

Crushed1302157PLM_16

100% Other

None Detected

VA3-05 - C Drywall & joint compound composite

White, Brown Fibrous Heterogeneous

Crushed1302157PLM_17

10% 5%

Cellulose Fiber Glass

55% 30%

Gypsum Other

None Detected

VA3-06 - A Drywall & joint compound drywall

White, Brown Fibrous Heterogeneous

Teased1302157PLM_6

10% 5%

Cellulose Fiber Glass

85% Gypsum

None Detected

VA3-06 - B Drywall & joint compound joint compound

White Non Fibrous Homogeneous

Crushed1302157PLM_18

100% Other

None Detected

VA3-06 - C Drywall & joint compound composite

White, Brown Fibrous Heterogeneous

Teased1302157PLM_19

10% 5%

Cellulose Fiber Glass

55% 30%

Gypsum Other

None Detected

VA3-07 - A 6" Brown vinyl base & adh vinyl base

Brown Non Fibrous Homogeneous

Ashed1302157PLM_7

100% Other

None Detected

VA3-07 - B 6" Brown vinyl base & adh mastic

Cream Non Fibrous Homogeneous

Dissolved1302157PLM_20

100% Other

None Detected

Nathaniel Durham, MS or Approved SignatoryAnalyst Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888

Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommended that analysis of floor tiles, vermiculite, and/or heterogeneous soil samples be conducted by TEM for confirmation of “None Detected” by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Estimated MDL is 0.1%.

Date Received: 2/11/2013

Date Reported: 2/14/2013

Sample ID Lab Sample ID

Description Lab Notes

Asbestos Fibrous Components

Non-Fibrous Components

Attributes

Treatment

Bulk Asbestos Analysis By Polarized Light Microscopy

EPA Method: 600/R-93/116 and 600/M4-82-020

Attn: John Bushman Analysis ID: 1302157PLM

Customer: Environmental Management Consulting W7748 Cnty Hwy V Lake Mills, WI 53551

VA3-08 - A 6" Brown vinyl base & adh vinyl base

Brown Non Fibrous Homogeneous

Ashed1302157PLM_8

100% Other

None Detected

VA3-08 - B 6" Brown vinyl base & adh mastic

Cream Non Fibrous Homogeneous

Dissolved1302157PLM_21

100% Other

None Detected

VA3-09 2'X2' ceiling tile revealed edge White, Gray Fibrous Heterogeneous

Teased1302157PLM_9

50% 30%

Cellulose Mineral Wool

10% 10%

Perlite Other

None Detected

VA3-10 2'X2' ceiling tile revealed edge White, Gray Fibrous Heterogeneous

Teased1302157PLM_10

50% 30%

Cellulose Mineral Wool

10% 10%

Perlite Other

None Detected

VA3-11 Duct caulk - grey Gray Non Fibrous Homogeneous

Dissolved1302157PLM_11

3% Chrysotile 97% Other

Nathaniel Durham, MS or Approved SignatoryAnalyst Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888

Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommended that analysis of floor tiles, vermiculite, and/or heterogeneous soil samples be conducted by TEM for confirmation of “None Detected” by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Estimated MDL is 0.1%.

EMC Project Number: 130381-01 Inspector Number: AII-105450

SAMPLE HOMO MATERIAL ROOM/ SPECIFIC LAB

NUMBER CODE DESCRIPTION AREA SAMPLE LOCATION RESULTS

VA3-12 MPM Panel Adhesive (Black) B3079 Above Entrance 8% Chrysotile

VA3-13 MPM Panel Adhesive (Black) B3079 Above Entrance 8% Chrysotile Duct Caulk (Gray)

VA3-14 MCLKY on New Ducting B3082 Middle of Room Negative Duct Caulk (Gray)

VA3-15 MCLKY on New Ducting B3071 By Entrance Negative Duct Caulk (Gray)

VA3-16 MCLKY on New Ducting B3099 By Entrance Negative

VA3-17 MCLKW Sink Caulk (White) B3095B By Sink Negative

VA3-18 MCLKW Sink Caulk (White) B3083 Southeast Corner Negative

VA3-19 MCLKW Sink Caulk (White) B3082 By Sink Negative

VA3-20 MCLKT Wall Caulk (Tan) B3071 Southwest Corner Negative

VA3-21 MCLKT Wall Caulk (Tan) B3071 Southwest Corner Negative Tile: Negative

Ceramic Floor Tile Grout: Negative VA3-22 MCTM(1) Grout & Adhesive B3095 North-Middle Mastic: 3% Chrysotile

Ceramic Floor Tile VA3-23 MCTM(1) Grout & Adhesive B3095 South-Middle Negative

Ceramic Wall Tile VA3-24 MCTM(2) Grout & Adhesive B3095 By Entrance to B3095A Negative

Ceramic Wall Tile VA3-25 MCTM(2) Grout & Adhesive B3072 Middle-West Wall Negative

Terrazzo VA3-26 MSMKY (Black & Gray) B3071 Middle-North Negative

Terrazzo VA3-27 MSMKY (Black & Gray) B3083 Southeast Corner Negative

BULK SAMPLE CHART

Sample Date: October 3, 2013 Sample Location: VA-Madison 3rd Floor Sampling Personnel: Jeremy R. Noegel

1318097Lab Order ID:

VA Madison 3rd Floor 130381-01Project:

10/4/2013Date Received:

10/4/2013Date Reported:

Sample ID Lab Sample ID

Description

Lab Notes Asbestos Fibrous

Components Non-Fibrous Components

Attributes

Treatment

By Polarized Light Microscopy EPA Method: 600/R-93/116 and 600/M4-82-020

Jeremy NoegelAttn:

1318097_PLMAnalysis ID:

Customer: Environmental Management Consulting W7748 Cnty Hwy V Lake Mills WI 53551

8% ChrysotileVA-12 Panel adhesive (black) Black Non Fibrous Heterogeneous

Dissolved1318097PLM_1

Other92%

8% ChrysotileVA-13 Panel adhesive (black) Black Non Fibrous Heterogeneous

Dissolved1318097PLM_2

Other92%

None DetectedVA-14 Duct caulk (gray) on new ducting

Gray Non Fibrous Heterogeneous

Dissolved1318097PLM_3

Other100%

None DetectedVA-15 Duct caulk (gray) on new ducting

Gray Non Fibrous Heterogeneous

Dissolved1318097PLM_4

Other100%

None DetectedVA-16 Duct caulk (gray) on new ducting

Gray Non Fibrous Heterogeneous

Dissolved1318097PLM_5

Other100%

None DetectedVA-17 Sink caulk (white) White Non Fibrous Heterogeneous

Ashed1318097PLM_6

Other100%

None DetectedVA-18 Sink caulk (white) White Non Fibrous Heterogeneous

Ashed1318097PLM_7

Other100%

None DetectedVA-19 Sink caulk (white) White Non Fibrous Heterogeneous

Ashed1318097PLM_8

Other100%

Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommended that analysis of floor tiles, vermiculite, and/or heterogeneous soil samples be conducted by TEM for confirmation of “None Detected” by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Estimated MDL is 0.1%.

Approved SignatoryAnalyst Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888

Ired Gulley (25) plm_3.3.008

10/4/2013Date Received:

10/4/2013Date Reported:

Sample ID Lab Sample ID

Description

Lab Notes Asbestos Fibrous

Components Non-Fibrous Components

Attributes

Treatment

By Polarized Light Microscopy EPA Method: 600/R-93/116 and 600/M4-82-020

Jeremy NoegelAttn:

1318097_PLMAnalysis ID:

Customer: Environmental Management Consulting W7748 Cnty Hwy V Lake Mills WI 53551

None DetectedVA-20 Wall caulk (tan) Tan Non Fibrous Heterogeneous

Dissolved1318097PLM_9

Cellulose Other3% 97%

None DetectedVA-21 Wall caulk (tan) Tan Non Fibrous Heterogeneous

Dissolved1318097PLM_10

Cellulose Other3% 97%

None DetectedVA-22 - A Ceramic floor tile grout & adhesive tile

Beige Non Fibrous Heterogeneous

Crushed1318097PLM_11

Other100%

None DetectedVA-22 - B Ceramic floor tile grout & adhesive grout

Gray Non Fibrous Heterogeneous

Crushed1318097PLM_18

Other Quartz

90% 10%

3% ChrysotileVA-22 - C Ceramic floor tile grout & adhesive mastic

Yellow Non Fibrous Heterogeneous

Dissolved1318097PLM_19

Cellulose Other5% 92%

None DetectedVA-23 - A Ceramic floor tile grout & adhesive beige tile

Beige Non Fibrous Heterogeneous

Crushed1318097PLM_12

Other100%

None DetectedVA-23 - B Ceramic floor tile grout & adhesive black tile

Blue Non Fibrous Heterogeneous

Crushed1318097PLM_20

Other100%

None DetectedVA-23 - C Ceramic floor tile grout & adhesive grout

Gray Non Fibrous Heterogeneous

Dissolved1318097PLM_21

Other100%

Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommended that analysis of floor tiles, vermiculite, and/or heterogeneous soil samples be conducted by TEM for confirmation of “None Detected” by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Estimated MDL is 0.1%.

Approved SignatoryAnalyst Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888

Ired Gulley (25)

10/4/2013Date Received:

10/4/2013Date Reported:

Sample ID Lab Sample ID

Description

Lab Notes Asbestos Fibrous

Components Non-Fibrous Components

Attributes

Treatment

By Polarized Light Microscopy EPA Method: 600/R-93/116 and 600/M4-82-020

Jeremy NoegelAttn:

1318097_PLMAnalysis ID:

Customer: Environmental Management Consulting W7748 Cnty Hwy V Lake Mills WI 53551

None DetectedVA-23 - D Ceramic floor tile grout & adhesive mastic

Yellow Non Fibrous Heterogeneous

Dissolved1318097PLM_22

Cellulose Other5% 95%

None DetectedVA-24 - A Ceramic wall tile grout & adhesive tile

Tan Non Fibrous Heterogeneous

Crushed1318097PLM_13

Other100%

None DetectedVA-24 - B Ceramic wall tile grout & adhesive grout

Gray Non Fibrous Heterogeneous

Crushed1318097PLM_23

Other100%

None DetectedVA-24 - C Ceramic wall tile grout & adhesive mastic

Yellow Non Fibrous Heterogeneous

Dissolved1318097PLM_24

Cellulose Other3% 97%

None DetectedVA-25 - A Ceramic wall tile grout & adhesive tile

Tan Non Fibrous Heterogeneous

Crushed1318097PLM_14

Other100%

None DetectedVA-25 - B Ceramic wall tile grout & adhesive mastic

Yellow Non Fibrous Heterogeneous

Dissolved1318097PLM_25

Cellulose Other5% 95%

None DetectedVA-26 Terrazzo (black & gray) Gray, Black Non Fibrous Heterogeneous

Crushed1318097PLM_15

Other100%

None DetectedVA-27 Terrazzo (black & gray) Gray, Black Non Fibrous Heterogeneous

Crushed1318097PLM_16

Other100%

Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommended that analysis of floor tiles, vermiculite, and/or heterogeneous soil samples be conducted by TEM for confirmation of “None Detected” by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Estimated MDL is 0.1%.

Approved SignatoryAnalyst Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888

Ired Gulley (25)

10/4/2013Date Received:

10/4/2013Date Reported:

Sample ID Lab Sample ID

Description

Lab Notes Asbestos Fibrous

Components Non-Fibrous Components

Attributes

Treatment

By Polarized Light Microscopy EPA Method: 600/R-93/116 and 600/M4-82-020

Jeremy NoegelAttn:

1318097_PLMAnalysis ID:

Customer: Environmental Management Consulting W7748 Cnty Hwy V Lake Mills WI 53551

None DetectedVA-28 Terrazzo (black & gray) Gray, Black Non Fibrous Heterogeneous

Crushed1318097PLM_17

Other100%

Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommended that analysis of floor tiles, vermiculite, and/or heterogeneous soil samples be conducted by TEM for confirmation of “None Detected” by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Estimated MDL is 0.1%.

Approved SignatoryAnalyst Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888

Ired Gulley (25)

CERTIFICATIONS