36C25220B0011-0002001.pdf

Contract No. 676-16-103 Tomah VA Medical Center – Remove Asbestos From Crawl Space

SCOPE OF WORK

Using the drawings, specifications, and supplementary information, remove asbestos insulation from existing piping and asbestos fibers from the soil, and miscellaneous debris in the crawl spaces of Buildings 400, 401, 403 and 424. Where asbestos-containing insulation is removed, new asbestos-free insulation is to be provided and labeled for type of piping, and direction of flow, and that the material is Non-ACM. After abatement work is complete, it shall result in crawl spaces that are free of detectable asbestos.

Drawings, specifications and a scope of work for each building are provided to assist the abatement contractor in asbestos removal, insulation replacement and identity labeling. The building summary in this scope of work identifies materials that were sampled, tested for ACM, and the results. If the contractor should question the presence of asbestos, then testing should be accomplished.

Some ACM but not all has been marked with red paint. There is also debris on the floor of the crawlspaces. These items were also sampled. All debris shall be removed and disposed of properly. The disaster preparedness barrels in building 424 shall be removed and disposed by the contractor.

The abatement contractor shall prepare a written plan for asbestos removal and include methods for protecting patients, staff, volunteers, visitors and contractor employees from exposure. Describe the decontamination process, disposal method and location. Describe procedures in the event of an emergency.

Describe ingress/egress, protective clothing, and rest periods for contractors employees. How will negative pressure be maintained and exhaust be filtered. All crawlspaces are considered "Confined Spaces" and will require Contractor Provided safety monitoring and employee emergency extraction plans and equipment. This plan must be submitted to the COR for approval at least two weeks prior to work beginning.

Additional Information:

Space Utilization Issues – The areas to be abated are located in crawl spaces below the building footprints. In Buildings 400, 401 and 403, the height of the space is limited to approximately 4 feet. The crawl spaces are crowded with piping and equipment, making it very difficult to maneuver through the areas.

Constructability issues – Abatement of the asbestos and replacement of piping insulation shall be designed to minimize disruption and allow for the flow of employees and patients at the Tomah VA site.

Energy Goals – As part of the removal of asbestos insulation, the replaced insulation will be installed to reduce thermal loss in the piping.

Maintenance objectives – To create a crawl space environment where staff and contractors can safely inspect, service and maintain utilities.

Environmental Safety Issues - Environmental safety issues not only include the presence of asbestos in the crawl spaces, but also bacteria, mold, and dust. The contractor will be required to wear

PPE appropriate for the conditions encountered in each crawl space.

Remove Asbestos from Crawl Space 676-16-103

STATEMENT OF WORK

Tomah VA Medical Center

Occupational Safety and Health Administration

1. Title 29 CFR 1926.1101 - Construction Standard for Asbestos

2. Title 29 CFR 1910 Subpart I - Personal Protective Equipment

3. Title 29 CFR 1910.134 - Respiratory Protection

4. Title 29 CFR 1926 - Construction Industry Standards

5. Title 29 CFR 1910.1020 - Access to Employee Exposure and Medical Records

6. Title 29 CFR 1910.1200 - Hazard Communication

7. Title 29 CFR 1910 Subpart K - Medical and First Aid

Environmental Protection Agency (EPA):

1. 40 CFR 61 Subpart A and M (Revised Subpart B) - National Emission Standard for

Hazardous Air Pollutants - Asbestos.

2. 40 CFR 763.80 - Asbestos Hazard Emergency Response Act (AHERA)

Department of Transportation (DOT)

Title 49 CFR 100 - 185 – Transportation

State Requirements

1. Wisconsin Administrative Code NR 445

2. Wisconsin Administrative Code NR 447

3. Wisconsin State Statues 285.11, 285.13, 285.17 and

4. Wisconsin Department of Health Services DHS 159

Hazardous Materials:

General/Existing Conditions:

The original asbestos-containing insulation on the piping within the existing crawl spaces at Buildings

400 and 401 has generally been removed. There are a few areas in these buildings where suspect mud-type insulation remains on the pipe fittings.

The insulation throughout Building 403 is free from asbestos and is typically fiberglass insulation. There is a foam type insulation on the pumped condensate line that penetrates the west wall of the crawl space.

This was tested and found not to contain asbestos. All walls, columns, and floor will be plastic lined.

In Building 424, much of the steam pipe insulation is original and contains asbestos. At the straight runs, magnesia type insulation is present, with asbestos-containing mud-packed asbestos at the fittings. The remainder of the piping has asbestos-free fiberglass insulation on straight runs, and asbestos-containing mud-packed insulation on the fittings.

All of the buildings have much debris on the dirt floors of the crawl spaces, including old piping, wire, fiberglass insulation, and cardboard. There is material in the debris that contains asbestos, located in various areas throughout the crawl spaces. Some of this debris was observed to be ground into the dirt floor of the spaces.

Asbestos Abatement Requirements:

Applicable Codes:

Proposed Asbestos Abatement Description:

Based on the results of laboratory testing of the samples collected, asbestos-containing insulation and fittings have been physically marked in red within each crawl space for removal and replacement.

Abatement contractor shall also remove all debris and foreign objects not attached to the building structure. Where visible debris is mixed in with loose soil, the soil shall be removed in 3" lifts until deemed to be be clean of ACM. All loose soils to be smoothed and graded, inspected, and COR validated prior to poly installation.

In Buildings 400, 401, and 403, the abatement contractor shall install poly sheeting at the floor throughout the crawl space. The poly sheeting shall be a minimum of 10 mil thick, reinforced, and fire retardant laminate. It will be secured to the concrete foundation walls and columns with continuous poly furring strips and tapcon fasteners. Contractor to provide 20 year warranty for poly sheeting, furring strips, and fasteners.

In Building 424, the abatement contractor shall remove asbestos-containing insulation at steam piping, and at fitting insulation throughout the space. The locations have been physically marked in red. Following the insulation abatement, the contractor shall remove a minimum of 3 inches of asbestos contaminated soil throughout the crawl space. Where suspect debris is found below 3 inches of removed soil, contractor shall remove additional soil until no further debris is visible.

After completion of the soil and debris removal at Building 424, the abatement contractor shall generously apply a penetrating encapsulant to the soil, which must penetrate a minimum of one inch.

Contractor to HEPA Vacume and wet-wipe all surfaces that have accumulated dust and debris prior to poly installation and inspection.

Plumbing:

General/Existing Conditions and Recommendations:

The existing insulation at plumbing piping in the crawl spaces of Buildings 400, 401, 403 and 424 has generally been abated and replaced with non-asbestos containing insulation. However, some fittings have been found to contain asbestos and must be replaced after abatement.

Plumbing Requirements:

• Wisconsin Plumbing Code (latest version)

• International Plumbing Code, 2015

• U.S Department of Veterans Affairs - Plumbing Design Manual, May 2018

The codes, standards and guidelines listed indicate recommended or minimum requirements. Based on input from Owner representatives, minimum requirements or standards may be exceeded.

Proposed Plumbing System Descriptions:

Replace insulation at pipe fittings where it has been removed due to asbestos abatement. See specifications for type and size of replacement insulation.

Mechanical:

General/Existing Conditions:

The existing insulation at steam and steam condensate piping in the crawl spaces of Buildings 400, 401, and 403 has generally been abated and replaced with non-asbestos containing insulation. However, some fittings have been found to contain asbestos and must be replaced after abatement.

In Building 424, much of the existing steam piping is insulated with magnesia (asbestos-containing) insulation, as well as many of the fittings.

Mechanical Requirements:

The following codes, standards, and guidelines will be used for the design as applicable or as directed by the authorities having jurisdiction:

U.S Department of Veterans Affairs – HVAC Design Manual, November 2019

Wisconsin Mechanical Code

International Mechanical Code, 2018

Ventilation for Acceptable Indoor Air Quality - ASHRAE Standard 62.1-2013

The codes, standards and guidelines listed indicate recommended or minimum requirements. Based on input from Owner representatives, minimum requirements or standards may be exceeded.

Proposed Mechanical System Descriptions:

Replace insulation at steam piping and pipe fittings where it has been removed due to asbestos abatement. See specifications for type and size of replacement insulation.

Period Of Performance:

The period for construction activities from the date of the Notice to Proceed is 120 days, unless bid alternates are exercised.

T1= Notice to Proceed T1 + 10 days = Pre-construction Kick-Off Meeting scheduled including all sub-contractors, T1 + 40 days = B 424 complete T1 + 100 days = All buildings complete (100%) T1 + 120 days = Project Closeout

Bid Preparation:

Bids shall be prepared to include all items of work as a base bid. Bid alternates shall be provided such that :

Bid Alternate 1: includes the base bid but excludes work to complete building 403. Period of performance to be 120 days.

Bid Alternate 2: includes the base bid but excludes work to complete building 403 and 401. Period of performance to be 90 days.

Bid Alternate 3: includes the base bid but excludes work to complete buildings 403, 401, and 400. Period of performance to be 60 days.

APPENDIX - Building Summary

September 16, 2019

Project # 676-16-103(D) Remove Asbestos From Crawlspace

Summary of Findings – Building 400 Crawlspace

The asbestos containing insulation on the piping in the building 400 crawlspace has generally been removed, however, a few areas have been identified where suspect insulation remains on the piping. There are approximately 160-180 pipe fittings with insulation that is suspect to contain asbestos. A total of 8 bulk samples were collected of the remaining suspect insulation. Of these 8 samples collected, 2 of the samples were found to contain asbestos. Based on these results, all the remaining suspect insulation, which is mud type insulation on pipe fittings, is considered asbestos containing insulation.

All other pipe insulation is non-ACM, and is typically fiberglass insulation.

The piping leaving the crawlspace in the tunnel at the North end, is insulated with asbestos containing insulation.

There is much debris on the dirt floor of the building 400 crawlspace. This debris contains many different materials including old piping, wire, fiberglass insulation, cardboard among other items. There is material included in this debris that is suspect to contain asbestos. A total of 7 samples were collected of debris that appeared suspect to contain asbestos. Of these 7 samples, 3 of them were found to contain asbestos. The suspect debris identified to contain asbestos was found in various areas, and not considered localized to any particular area of the crawlspace. Also, the suspect debris observed is not only on the surface of the dirt floor, it was observed to be ground into the dirt floor of the space.

Overall, the crawlspace is a very difficult space to work in. Generally, the height of the space is approximately 4’. The piping and equipment in the space makes it very crowded and difficult to maneuver through the space. There are areas of the dirt floor, that appeared to be discolored from growth of fungus or bacteria. There are areas of the space where the floor was wet at the time of the inspection.

The following photographs were collected during the inspection:

Building 400 Crawlspace Example of Remaining Asbestos Containing Pipe Fitting Insulation

Asbestos Containing Debris on Floor of Crawlspace

View of Debris in Crawlspace

General view crowded crawlspace (Center of crawlspace)

General view crowded crawlspace (Center of crawlspace)

View of Tunnel leaving crawlspace at North end, showing asbestos containing insulation in Tunnel.

EMC Project Number: 190479-01

Sample Location: VA Tomah Building 400 Crawl Space Inspector Number: AII-1283

SAMPLE HOMO MATERIAL ROOM/ SPECIFIC LAB

NUMBER CODE DESCRIPTION AREA SAMPLE LOCATION RESULTS

Center Wing Along

400-1 TFSFD Debris on Floor Crawl Space South Wall None Detected

400-2 TFSFD Debris on Floor Crawl Space West Wing SE Corner 10% Chrysotile

West Wing Along 2% Chrysotile

400-3 TFSFD Debris on Floor Crawl Space East Wall 2% Amosite

West Wing SW Corner

400-4 TFSFD Debris on Floor Crawl Space 2" Deep Under Dirt 20% Chrysotile

400-5 TFSFD Debris on Floor Crawl Space West Wing Center None Detected

Pipe Fitting Insulation

400-6 TF5F on Fiberglass Crawl Space West Wing Center None Detected

Wrap: None Detected

Pipe Fitting Insulation West Wing Center Insulation: 15% Amosite

400-7 TF5F on Fiberglass Crawl Space NW Corner Insulation: 5% Chrysotile

Pipe Fitting Insulation West Wing Center

400-8 TF5F on Fiberglass Crawl Space SW Corner None Detected

Pipe Fitting Insulation

400-9 TF5F on Fiberglass Crawl Space West Wing Center Not Submitted

Pipe Fitting Insulation

400-10 TF5F on Fiberglass Crawl Space West Wing Center None Detected

Pipe Fitting Insulation

400-11 TF5F on Fiberglass Crawl Space West Wing Center None Detected

Pipe Fitting Insulation Center Wing Along

400-12 TF5F on Fiberglass Crawl Space East Wall None Detected

400-13 TF5FD Debris on Floor Crawl Space Center Wing North End None Detected

400-14 TF5FD Debris on Floor Crawl Space NE Wing None Detected

400-15 TA5 Aircell Insulation/Fittings Crawl Space NE Wing 70% Chrysotile

ASBESTOS BULK SAMPLE CHART

Sampling Date: September 3, 2019

Sampling Personnel: John T. Bushman

W7748 County Highway V, Lake Mills, WI ■ Phone: 920.648.6343 Fax: 920.648.4370 ■ www.emc-wi.com

By Polarized Light Microscopy EPA Method: 600/R-93/116 and 40 CFR, Part 763, Subpart E, App.E

190479-01/Tomah VA Crawl Space SamplingProject:

Sample ID

Lab Sample ID

Description

Lab Notes Asbestos Fibrous

Components Non-Fibrous Components

Attributes

Treatment

John BushmanAttn:Customer: Environmental Management Consulting, Inc.

W7748 Cnty Hwy V Lake Mills, WI 53551

Analysis ID: 71923041_PLM

Date Reported: 9/4/2019 Date Received: 9/4/2019

Lab Order ID: 71923041

None Detected400-1 Debris on Floor White Fibrous Homogeneous

Teased, Dissolved71923041PLM_1

Fiber Glass Other98% 2%

10% Chrysotile 400-2 Debris on Floor

Gray Fibrous Homogeneous

Teased, Dissolved71923041PLM_2

Mineral Wool Other80% 10%

2% Chrysotile 2% Amosite

400-3 Debris on Floor Brown Fibrous Homogeneous

Ashed, Dissolved71923041PLM_3

Cellulose Other80% 16%

20% Chrysotile 400-4 Debris on Floor

Tan Fibrous Homogeneous

Ashed, Dissolved71923041PLM_4

Cellulose Other70% 10%

None Detected400-5 Debris on Floor Brown Non Fibrous Homogeneous

Dissolved71923041PLM_5

Cellulose Other25% 75%

None Detected400-6 - A Pipe Fitting Insulation on Fiberglass wrap

White Fibrous Homogeneous

Teased, Dissolved71923041PLM_6

Cellulose Other98% 2%

None Detected400-6 - B Pipe Fitting Insulation on Fiberglass insulation

Gray Non Fibrous Homogeneous

Dissolved71923041PLM_16

Fiber Glass Other20% 80%

None Detected400-7 - A Pipe Fitting Insulation on Fiberglass wrap

White Fibrous Homogeneous

Teased, Dissolved71923041PLM_7

Cellulose Other98% 2%

Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or 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. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.

Approved SignatoryAnalyst

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

Philip Szabo (20)

P-F-002 r15 1/16/2021

App.E

190479-01/Tomah VA Crawl Space SamplingProject:

Sample ID

Lab Sample ID

Description

Lab Notes Asbestos Fibrous

Components Non-Fibrous Components

Attributes

Treatment

John BushmanAttn:Customer: Environmental Management Consulting, Inc.

W7748 Cnty Hwy V Lake Mills, WI 53551

Analysis ID: 71923041_PLM

Date Reported: 9/4/2019 Date Received: 9/4/2019

Lab Order ID: 71923041

15% Amosite 5% Chrysotile

400-7 - B Pipe Fitting Insulation on Fiberglass insulation

Gray Fibrous Homogeneous

Dissolved71923041PLM_17

Other80%

None Detected400-8 - A Pipe Fitting Insulation on Fiberglass wrap

White Fibrous Homogeneous

Teased, Dissolved71923041PLM_8

Cellulose Other98% 2%

None Detected400-8 - B Pipe Fitting Insulation on Fiberglass insulation

Gray Non Fibrous Homogeneous

Dissolved71923041PLM_18

Mineral Wool Other20% 80%

Not Submitted400-9 Pipe Fitting Insulation on Fiberglass

71923041PLM_9

None Detected400-10 - A Pipe Fitting Insulation on Fiberglass wrap

White Fibrous Homogeneous

Teased, Dissolved71923041PLM_10

Cellulose Other98% 2%

None Detected400-10 - B Pipe Fitting Insulation on Fiberglass insulation

Gray Non Fibrous Homogeneous

Dissolved71923041PLM_19

Mineral Wool Other20% 80%

None Detected400-11 - A Pipe Fitting Insulation on Fiberglass wrap

White Fibrous Homogeneous

Teased, Dissolved71923041PLM_11

Cellulose Other98% 2%

None Detected400-11 - B Pipe Fitting Insulation on Fiberglass insulation

Gray Non Fibrous Homogeneous

Dissolved71923041PLM_20

Mineral Wool Other20% 80%

Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or 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. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.

Approved SignatoryAnalyst

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

App.E

190479-01/Tomah VA Crawl Space SamplingProject:

Sample ID

Lab Sample ID

Description

Lab Notes Asbestos Fibrous

Components Non-Fibrous Components

Attributes

Treatment

John BushmanAttn:Customer: Environmental Management Consulting, Inc.

W7748 Cnty Hwy V Lake Mills, WI 53551

Analysis ID: 71923041_PLM

Date Reported: 9/4/2019 Date Received: 9/4/2019

Lab Order ID: 71923041

None Detected400-12 Pipe Fitting Insulation on Fiberglass

White Non Fibrous Homogeneous

Dissolved71923041PLM_12

Fiber Glass Other20% 80%

None Detected400-13 Debris on Floor Gray Non Fibrous Homogeneous

Dissolved71923041PLM_13

Mineral Wool Other20% 80%

None Detected400-14 Debris on Floor Gray Non Fibrous Homogeneous

Dissolved71923041PLM_14

Mineral Wool Other20% 80%

70% Chrysotile 400-15 Aircell Ins/Fittings

White Fibrous Homogeneous

Teased, Dissolved71923041PLM_15

Other30%

Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or 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. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.

Approved SignatoryAnalyst

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

Lab Order ID:

EMC Contact:

Email : emc@emc-wi.com Sample Location:

E.M.C., Inc.

W77 48 County Highway V Lake Mills, WI 53551 920-648-6343

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Tomah, Wisconsin

HAZARDOUS ABATEMENT REPORT

BUILDING 401

Project # 676-16-103(D) Remove Asbestos From Crawlspaces

Summary of Findings – Building 401

The asbestos containing insulation on the piping in the building 401 crawlspace has generally been removed, however, a few areas have been identified where suspect insulation remains on the piping. There are approximately 110-120 pipe fittings with insulation that is suspect to contain asbestos. One of the three samples collected of the remaining pipe fitting insulation was found to contain asbestos. Based on these results, all the remaining suspect insulation, which is mud type insulation on pipe fittings, is considered asbestos containing insulation. All other pipe insulation is non-ACM, and is typically fiberglass insulation.

The piping leaving the crawlspace in the tunnel at both the East and West ends, is insulated with asbestos containing insulation.

There is much debris on the dirt floor of the building 401 crawlspace. This debris contains many different materials including old piping, wire, fiberglass insulation, cardboard among other items. There is material included in this debris that is suspect to contain asbestos. A total of 5 samples were collected of debris that appeared suspect to contain asbestos. Of these 5 samples, 2 of them were found to contain asbestos. The suspect debris identified to contain asbestos was found in various areas, and not considered localized to any particular area of the crawlspace. Also, the suspect debris observed is not only on the surface of the dirt floor, it was observed to be ground into the dirt floor of the space.

Overall, the crawlspace is a very difficult space to work in. Generally, the height of the space is approximately 4’. The piping and equipment in the space makes it very crowded and difficult to maneuver through the space.

The following photographs were collected during the inspection of the building 401 crawlspace:

Building 401 Crawlspace

General View of Debris on Floor of Crawlspace

Tunnel leaving the East end of the crawlspace showing asbestos containing insulation inside the tunnel.

Building 401 Crawlspace Tunnel leaving the East end of the crawlspace showing asbestos containing insulation inside the tunnel.

Sample Location: VA Tomah Building 401 Inspector Number: AII-1283

SAMPLE HOMO MATERIAL ROOM/ SPECIFIC LAB

NUMBER CODE DESCRIPTION AREA SAMPLE LOCATION RESULTS

401-1 TF5F Pipe Fitting Insulation Crawl Space West Wing Center 30% Chrysotile

West Wing Along

401-2 TF5FD Debris on Floor Crawl Space East Wall 8% Amosite

401-3 TF5FD Debris on Floor Crawl Space Center Wing Center None Detected

401-4 TF5FD Debris on Floor Crawl Space East Wing Center None Detected

In Between East &

401-5 TF5FD Debris on Floor Crawl Space Center Wing 8% Amosite

401-6 TF5FD Debris on Floor Crawl Space East Wing Center None Detected

401-7 TF5F Pipe Fitting Insulation Crawl Space East Wing North End None Detected

401-8 TF5F Pipe Fitting Insulation Crawl Space East Wing Center None Detected

ASBESTOS BULK SAMPLE CHART

Sampling Date: September 3, 2019

Sampling Personnel: John T. Bushman

W7748 County Highway V, Lake Mills, WI ■ Phone: 920.648.6343 Fax: 920.648.4370 ■ www.emc-wi.com

App.E

190479-01/ Tomah VA Crawlspace SamplingProject:

Sample ID

Lab Sample ID

Description

Lab Notes Asbestos Fibrous

Components Non-Fibrous Components

Attributes

Treatment

John BushmanAttn:Customer: Environmental Management Consulting, Inc.

W7748 Cnty Hwy V Lake Mills, WI 53551

Analysis ID: 71923046_PLM

Date Reported: 9/4/2019 Date Received: 9/4/2019

Lab Order ID: 71923046

30% Chrysotile 401-1 Pipe Fitting Insulation unable to separate layers

White, Beige Fibrous Heterogeneous

Teased71923046PLM_1

Cellulose Other20% 50%

8% Amosite 401-2 Debris on Floor

White Non Fibrous Homogeneous

Teased71923046PLM_2

Cellulose Other12% 80%

None Detected401-3 Debris on Floor Gray Non Fibrous Homogeneous

Teased71923046PLM_3

Mineral Wool Other20% 80%

None Detected401-4 Debris on Floor White Non Fibrous Homogeneous

Teased71923046PLM_4

Other100%

8% Amosite 401-5 Debris on Floor

White Non Fibrous Homogeneous

Teased71923046PLM_5

Other92%

None Detected401-6 Debris on Floor White Non Fibrous Homogeneous

Teased71923046PLM_6

Cellulose Other5% 95%

None Detected401-7 - A Pipe Fitting Insulation wrap

White Fibrous Heterogeneous

Teased, Dissolved71923046PLM_7

Cellulose Other80% 20%

None Detected401-7 - B Pipe Fitting Insulation insulation

Gray Non Fibrous Homogeneous

Teased71923046PLM_9

Mineral Wool Other20% 80%

Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or 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. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.

Approved SignatoryAnalyst

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

Byron Stroble (10)

App.E

190479-01/ Tomah VA Crawlspace SamplingProject:

Sample ID

Lab Sample ID

Description

Lab Notes Asbestos Fibrous

Components Non-Fibrous Components

Attributes

Treatment

John BushmanAttn:Customer: Environmental Management Consulting, Inc.

W7748 Cnty Hwy V Lake Mills, WI 53551

Analysis ID: 71923046_PLM

Date Reported: 9/4/2019 Date Received: 9/4/2019

Lab Order ID: 71923046

None Detected401-8 - A Pipe Fitting Insulation wrap

White Fibrous Heterogeneous

Teased, Dissolved71923046PLM_8

Cellulose Other80% 20%

None Detected401-8 - B Pipe Fitting Insulation insulation

Gray Non Fibrous Homogeneous

Teased71923046PLM_10

Mineral Wool Other20% 80%

Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or 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. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.

Approved SignatoryAnalyst

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

Byron Stroble (10)

Lab Order JD:

E.M.C., Inc. ientific Analytic I Institute~ iq! f° 4°

· · 4604 Du das Drive ~~) W77 48 County Highway V

Lake Mills, WI 53551 920-648-6343

Greensboro, C 27407 A~.:;:v· ,' 87 L292-3888 "-,~:_ ./ freeman@emc-wi .com D bjungen@emc-wi.com • jnoegel@emc-wi.com bushman@emc-wi.com • jschneider@emc-wi.com D mfreeman@emc-wi .com

JJOzwiakowski@emc-wi.com • rhaveman@emc-wi.com • lwinslow@emc-wi.com

144+ Hours

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BUILDING 403

Project # 676-16-103(D) Remove Asbestos From Crawlspace

Summary of Findings – Building 403 Crawlspace

The asbestos containing insulation on the piping in the building 403 crawlspace has been removed. All pipe insulation found throughout the crawlspace is non-ACM, and is typically fiberglass insulation. There is a foam type insulation on the pumped condensate line that comes through the center of the West wall of the crawlspace.. This piping is insulated with a foam type insulation with a tar paper-like covering. This insulation was tested and found not to contain asbestos.

The piping leaving the crawlspace in the tunnel at the South end, and the Northeast end is insulated with asbestos containing insulation. These areas go into the tunnels below the pedestrian tramway.

There is much debris on the dirt floor of the building 403 crawlspace. This debris contains many different materials including old piping, wire, fiberglass insulation, cardboard among other items. There is material included in this debris that is suspect to contain asbestos. A total of 5 samples were collected of debris that appeared suspect to contain asbestos. Of these 5 samples, 4 of them were found to contain asbestos. The suspect debris identified to contain asbestos was found in various areas, and not considered localized to any particular area of the crawlspace. Also, the suspect debris observed is not only on the surface of the dirt floor, it was observed to be ground into the dirt floor of the space.

Overall, the crawlspace is a very difficult space to work in. Generally, the height of the space is approximately 4’. The piping and equipment in the space makes it very crowded and difficult to maneuver through the space.

Building 403 Crawlspace Asbestos containing debris on floor of crawlspace.

Pumped condensate piping with foam-type insulation and tar-paper layer (Non-ACM)

Asbestos containing pipe insulation in tunnel at South end of crawlspace.

Asbestos containing pipe insulation in tunnel at Northeast wall of crawlspace.

Sample Location: VA Tomah Building 403 Crawlspace Inspector Number: AII-1283

SAMPLE HOMO MATERIAL ROOM/ SPECIFIC LAB

NUMBER CODE DESCRIPTION AREA SAMPLE LOCATION RESULTS

403-1 MDB Debris on Floor of Crawlspace Crawlspace Center Wing South East None Detected

Souoth Wing Center 10%Chrysotile Asbestos

403-2 MDB Debris on Floor of Crawlspace Crawlspace Along South Wall 10% Amosite Asbestos

Tar Paper Insulation on

403-3 MTI Pumped Condensate Line Crawlspace Center Wing Along West Wall None Detected

Tar Paper Insulation on

403-4 MTI Pumped Condensate Line Crawlspace Center Wing Along West Wall None Detected

North Wing Near

403-5 MDB Debris on Floor of Crawlspace Crawlspace Basement Entrance 70% Chrysotile Asbestos

North Wing Near 20% Amosite Asbestos

403-6 MDB Debris on Floor of Crawlspace Crawlspace Basement Entrance 10% Chrysotile Asbestos

North Wing Along

403-7 MDB Debris on Floor of Crawlspace Crawlspace North Wall 70% Chrysotile Asbestos

ASBESTOS BULK SAMPLE CHART

Sampling Date: September 5, 2019

Sampling Personnel: John T. Bushman

W7748 County Highway V, Lake Mills, WI ■ Phone: 920.648.6343 Fax: 920.648.4370 ■ www.emc-wi.com

App.E

190479-01/Tomah VA Crawl Space SamplingProject:

Sample ID

Lab Sample ID

Description

Lab Notes Asbestos Fibrous

Components Non-Fibrous Components

Attributes

Treatment

John BushmanAttn:Customer: Environmental Management Consulting, Inc.

W7748 Cnty Hwy V Lake Mills, WI 53551

Analysis ID: 71923248_PLM

Date Reported: 9/7/2019 Date Received: 9/6/2019

Lab Order ID: 71923248

None Detected403-1 Debris on floor crawl space Brown Non Fibrous Homogeneous

Dissolved71923248PLM_1

Cellulose Other10% 90%

10% Chrysotile 10% Amosite

403-2 Debris on floor crawl space White Fibrous Homogeneous

Teased, Dissolved71923248PLM_2

Cellulose Other75% 5%

None Detected403-3 Tar insulation on pump condensate line

Black Non Fibrous Homogeneous

Dissolved71923248PLM_3

Other100%

None Detected403-4 Tar insulation on pump condensate line

White Non Fibrous Homogeneous

Dissolved71923248PLM_4

Other100%

70% Chrysotile 403-5 Debris on floor

White Fibrous Homogeneous

Teased, Dissolved71923248PLM_5

Other30%

20% Amosite 10% Chrysotile

403-6 Debris on floor White Fibrous Homogeneous

Dissolved71923248PLM_6

Other70%

70% Chrysotile 403-7 Debris on floor

White Fibrous Homogeneous

Teased, Dissolved71923248PLM_7

Other30%

None Detected403-8 Debris on floor Brown Non Fibrous Homogeneous

Dissolved71923248PLM_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 recommend 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. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.

Approved SignatoryAnalyst

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

Philip Szabo (8) lab Order ID:

,,---._ I

Email : emc@emc-wi.com

Sample Location:

Sample Date: , _

Inspector Number:

Please Email To:

E.M.C., Inc.

W77 48 County Highway V Lake Mills, WI 53551 920-648-6343

Scientific Analytical Institute 4604 Dundas Drive

Greensboro, NC 27407 877-292-3888

Point Count 144+ Hours

PCM

TEM

Page __L of _J_ freeman@emc-wi .com D bjungen@emc-wi.com D jnoegel@emc-wi.com D tbushman@emc-wi.com

D cmertens@emc-wi.com 0 emc@emc-wi.com bushman@emc-wi.com D jschneider@emc-wi.com D mfreeman@emc-wi.com 11ozwiakowski@emc-wi.com D rhaveman@emc-wi.com D lwinslow@emc-wi.com

BUILDING 424

Project # 676-16-103(D) Remove Asbestos From Crawlspace

Summary of Findings – Building 424 Crawlspace

Within the building 424 crawlspace, most of the insulation is original, asbestos containing insulation. Some of the steam piping is insulated with asbestos containing, magnesia type insulation on the straight runs, and mud packed asbestos containing insulation on the fittings. The rest of the piping has fiberglass insulation (Non-ACM) on the straight runs, and asbestos containing mud packed insulation on the fittings. The following are approximate quantities of asbestos containing pipe insulation within the crawlspace:

Magnesia Type Pipe Insulation & Fittings – 700 LF Mud-Packed Fittings on Fiberglass Pipe Insulation – 460 Fittings

There are pipes leaving the crawlspace to the East and West. The piping in these areas appeared to be insulated with fiberglass insulation on the straight runs and asbestos containing mud-packed insulation on the fittings. These areas were not assessed as part of this inspection.

There is much debris on the dirt floor of the building 424 crawlspace. This debris contains many different materials including old piping, wire, fiberglass insulation, cardboard among other items. There is material included in this debris that is suspect to contain asbestos. A total of 3 samples were collected of debris that appeared suspect to contain asbestos. Of these 3 samples, 2 of them were found to contain asbestos. The suspect debris identified to contain asbestos was found in various areas, and not considered localized to any particular area of the crawlspace. Also, the suspect debris observed is not only on the surface of the dirt floor, it was observed to be ground into the dirt floor of the space.

There is a spray-applied insulation in the Northwest corner of the crawlspace. This material is applied to the walls and the ceiling of this area of the crawlspace. This material was sampled and found not to contain asbestos.

There is an area with disaster supplies located in the Southwest area of the crawlspace (See attached photographs). These items appeared to be there for many years.

Building 424 Crawlspace Asbestos containing pipe insulation on steam piping

Asbestos containing pipe insulation on steam piping

Fiberglass Pipe Insulation with asbestos containing insulation on the fittings

Asbestos containing debris on floor of crawlspace

Suspect debris on dirt floor of crawlspace

Building 424 Crawlspace Gray, Spray-Applied insulation on wall of crawlspace, Northwest corner of crawlspace.

This material does not contain asbestos.

General view of crawlspace

Fall-out shelter supplies located in Southwest of crawlspace

Sample Location: VA Tomah Building 424 Inspector Number: AII-1283

SAMPLE HOMO MATERIAL ROOM/ SPECIFIC LAB

NUMBER CODE DESCRIPTION AREA SAMPLE LOCATION RESULTS

424-01 SSF1 Spray-Applied Insulation (Gray) Crawl Space NW Corner None Detected

424-02 SSF1 Spray-Applied Insulation (Gray) Crawl Space NW Corner None Detected

424-03 SSF1 Spray-Applied Insulation (Gray) Crawl Space NW Corner None Detected

Pipe Insulation 20% Chrysotile

424-04 TM5 (Magnesium Type) Crawl Space Near Entrance to Crawlspace 5% Amosite

424-05 TF5F Pipe Fitting Insulation Crawl Space Near Entrance to Crawlspace 8% Amosite

424-06 TF5F Pipe Fitting Insulation Crawl Space Near Entrance to Crawlspace 8% Amosite

424-07 MDB Debris on Floor of Crawlspace Crawl Space SE Area None Detected

ASBESTOS BULK SAMPLE CHART

Sampling Date: September 3, 2019

Sampling Personnel: John T. Bushman

W7748 County Highway V, Lake Mills, WI ■ Phone: 920.648.6343 Fax: 920.648.4370 ■ www.emc-wi.com

App.E

190479-01/ Tomah VA Crawlspace SamplingProject:

Sample ID

Lab Sample ID

Description

Lab Notes Asbestos Fibrous

Components Non-Fibrous Components

Attributes

Treatment

John BushmanAttn:Customer: Environmental Management Consulting, Inc.

W7748 Cnty Hwy V Lake Mills, WI 53551

Analysis ID: 71923044_PLM

Date Reported: 9/4/2019 Date Received: 9/4/2019

Lab Order ID: 71923044

None Detected424-01 Spray Applied Ins. (Gray) Gray Fibrous Homogeneous

Teased71923044PLM_1

Mineral Wool Other60% 40%

None Detected424-02 Spray Applied Ins. (Gray) Gray Fibrous Homogeneous

Teased71923044PLM_2

Mineral Wool Other60% 40%

None Detected424-03 Spray Applied Ins. (Gray) Gray Fibrous Homogeneous

Teased71923044PLM_3

Mineral Wool Other60% 40%

20% Chrysotile 5% Amosite

424-04 Pipe Ins. (Maynelia Type) unable to separate layers

White, Beige Fibrous Heterogeneous

Teased71923044PLM_4

Cellulose Other30% 45%

8% Amosite 424-05 Pipe Fitting Ins.

unable to separate layers

White, Beige Fibrous Heterogeneous

Teased71923044PLM_5

Cellulose Other30% 62%

8% Amosite 424-06 Pipe Fitting Ins.

unable to separate layers

White, Beige Fibrous Heterogeneous

Teased71923044PLM_6

Cellulose Other30% 62%

None Detected424-07 Debris on Floor or Crawlspace White Non Fibrous Homogeneous

Teased71923044PLM_7

Cellulose Other5% 95%

Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or 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. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.

Approved SignatoryAnalyst

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

Byron Stroble (7)

E.M.C., Inc.

W77 48 County Highway V Lake Mills, WI 53551 920-648-6343

Scientific ~~~~~c 1;]~::t0~:t Greensboro NC 27407 R-4~l-

EMC Contact:JoA

• bfreeman@emc-wi.com • bjungen@emc-wi.com D jnoegel@emc-wi.com ~bushman@emc-wi.com • jschneider@em~wi.com D mfreeman@emc-wi.com D jjozwiakowski@emc-wi.com D rhaveman@emc-wi.com D lwinslow@emc-wi.com

87 1-292-3888 ',-.::7 _./

II

144+ Hours

Page

• tbus man@emc-wi.com D cme ens@emc-wi.com D emc , emc-wi .com

I

Sample Location: VA Tomah Building 424 Inspector Number: AII-1283

SAMPLE HOMO MATERIAL ROOM/ SPECIFIC LAB

NUMBER CODE DESCRIPTION AREA SAMPLE LOCATION RESULTS

20% Amosite Asbestos

424-08 MDB Debris on Floor of Crawlspace Crawlspace North Central 10% Chrysotile Asbestos

20% Amosite Asbestos

424-08 MDB Debris on Floor of Crawlspace Crawlspace Center of Crawlspace 10% Chrysotile Asbestos

ASBESTOS BULK SAMPLE CHART

Sampling Date: September 5, 2019

Sampling Personnel: John T. Bushman

W7748 County Highway V, Lake Mills, WI ■ Phone: 920.648.6343 Fax: 920.648.4370 ■ www.emc-wi.com

App.E

190479-01/Tomah VA Crawl Space SamplingProject:

Sample ID

Lab Sample ID

Description

Lab Notes Asbestos Fibrous

Components Non-Fibrous Components

Attributes

Treatment

John BushmanAttn:Customer: Environmental Management Consulting, Inc.

W7748 Cnty Hwy V Lake Mills, WI 53551

Analysis ID: 71923246_PLM

Date Reported: 9/7/2019 Date Received: 9/6/2019

Lab Order ID: 71923246

20% Amosite 10% Chrysotile

424-08 Debris on floor (crawl space) White Non Fibrous Homogeneous

Dissolved71923246PLM_1

Other70%

20% Amosite 10% Chrysotile

424-09 Debris on floor (crawl space) Tan Non Fibrous Homogeneous

Dissolved71923246PLM_2

Other70%

Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or 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. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.

Approved SignatoryAnalyst

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

Philip Szabo (2)

E.M.C., Inc.

W7748 County Highway V Lake Mills, WI 53551 920-648-6343

Scientific Analytical Institute 4604 Dundas Drive

Greensboro, NC 27407 877-292-3888 .,__ __________ __._ ____ ----,, ______ __.

Ol1

144+ Hours o:

_ D _9freeman@emc-wi.com D bjungen@emc-wi.com 7'<ibushman@emc-wi.com D jschneider@emc-wi.com n ;;,nu,i,.l,nwc;ki@emc-wi.com D rhaveman@emc-wi .com i----~- - -..- ~

D jnoegel@emc-wi.com D mfreeman@emc-wi.com 0 Iwinslow@emc-wi.com

Total# of Samples

Page -L- of _L D tbushman@emc-wi.com D cmertens@emc-wi.com D emc@emc-wi.com

END OF DOCUMENT

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