Amendment 03 - Asbestos Survey Report.pdf

Responsive ■ Resourceful ■ Reliable A-1

APPENDIX A

VISUAL/LIMITED ASBESTOS SURVEY

VA MEDICAL CENTER – BUILDINGS 111, and 123

5000 West National Ave Milwaukee, Wisconsin

Table 1 – Materials Containing Less Than 1% Asbestos by Homogeneous Area (HA)

Materials containing less than 1% asbestos are not regulated by NESHAP; however the OSHA asbestos regulations apply when materials containing 1% asbestos or less are disturbed during renovations or demolitions. A listing of materials that contain 1% asbestos or less is provided above to enable the renovation/demolition contractor to make appropriate decisions concerning compliance issues with applicable OSHA regulations.

HA No. Material Description Material Location % and Type Asbestos1 Condition Estimated

Quantity2

Ceramic tile (blue), grout (white), mortar (gray)

Building 111, room 4134, bathroom 4152A, bathroom 4250A, bathroom 4254A, bathroom 4158A, bathroom 4234A, bathroom 4109A, bathroom 4117A, storage 4204, storage 4104, bathroom 10232A, bathroom 10654A

<1% Chrysotile

– grout Good 2,500 Sq.

Ft.

1 % & Type Asbestos = this column contains both the analytical result of the sample with the highest concentration of asbestos detected in the samples that make up the HA and the types of asbestos identified.

2 Estimated quantities are based on a cursory field evaluation, and actual quantities may vary significantly, especially if ACMs are present in hidden and/or inaccessible areas not evaluated as part of this survey

Visual/Limited Asbestos Survey Report VA Medical Center – Buildings 111, and 123 ■ Milwaukee, Wisconsin February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-2

Table 2.1 – Confirmed ACM Sample Summary (Building 123)

HA No. Material Description Material Location

% and Type Asbestos

NESHAP

Classification Condition Estimated

Quantity

1 Pipe elbow (white powdery)

Ceiling west of room A-110 and south of A-106, room B-103, bathroom B-135A, bathroom B-124A, bathroom B116A, room C-103, bathroom C-103A, bathroom C-122A, storage C-121, bathroom D-124A, room D-117, bathroom D-120A, storage D- 106, bathroom D-136A, bathroom D-137A, bathroom D-104A, linen closet E-112A, corridor C-155, kitchen E-113, and lounge E-120

3% Chrysotile -white mastic

CAT I

Nonfriable Good 60 Lin. Ft.

2 Paper (white) and fiberglass (yellow)

Ceiling west of room A-110 and south of A-106, office A-106, bathroom A-116A, room B-103, room B-116A, bathroom B- 124A, bathroom C-103A, bathroom C-122A, bathroom D- 136A, bathroom D-137A, bathroom D104A, storage E-111A, linen closet E-1124A, storage E-111A, corridor C-155, kitchen E-113, and lounge E-120

10% Chrysotile -white mastic

CAT I

Nonfriable Good 60 Lin. Ft.

Mud / paper (white) and fiberglass (yellow)

Above ceiling C-105 / C-106 10% Chrysotile -white mastic CAT I Nonfriable Good 10 Lin. Ft.

Pipe insulation (white / grey, hard, powdery)

On valve on 3 / 4" pipe above C-111A 3% Chrysotile -beige mastic CAT I Nonfriable Good 5 Lin. Ft.

Pipe wrap (white, powdery) Room E-110 on elbow / valve in ceiling

10% Chrysotile -white mastic

CAT I

Nonfriable Good 5 Lin. Ft.

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-3

Table 2.2 – Confirmed ACM Sample Summary (Building 111)

HA No. Material Description Material Location

% and Type Asbestos1

NESHAP

Classification Condition Estimated

Quantity2

Pipe insulation, cloth / powder (white), pipe wrap on elbows

Plumbing shop B-0237, waiting room B-0401, logistics supplies B-0443, VTS office B-0432, physical therapy reception B-0507, equipment room B-0464, OT office B- 0426B, room B-0443, treatment D-0500, exam B-0610C, HAC B-0551, warehouse B-0625, office 4134, corridor C- 4A06, office 4156, office 4234, bathroom 4243A, office 4240, office 4241, office 4242, office 4115, bathroom 4117A, bathroom 4109A, office 4119, office 4121, office 4123, office 4161, bathroom 4311A, bathroom 4330A, bathroom 4309A, office 4318, office 4318A, HAC 4306, bathroom 4305A, storage 4334, bathroom 5136, storage 5236, office 5241, room 5243, control room 5423, darkroom 5422, bathroom 6406, bathroom 7137, storage 7136, office 7250, storage 7248, storage 7148A, break room 7244, EC 7125EC, storage 7300, bathroom 7104, supply room 7102, supply room 7102A, exam 7311, exam 7304, exam 7302, exam 7308, ST office 8304, room 9109, patient room 9203, telephone room 9406, bathroom 9609, nutrition center 9517, patient room 9614, storage off corridor C-10AD6, laundry 10247, waiting room 10211, corridor C-10A03, bathroom 10232A, corridor C- 10A06B, storage 10414, film storage 10613, dark room 10505A, bathroom 10506, bathroom 10502A, drawing room 10528, bathroom 10648A, bathroom 10654A, bathroom 10642, and SPS PSA 10648

10% Chrysotile -white mastic

CAT I

Nonfriable Good 245 Lin.

Ft.

Pipe insulation, cloth (white) on foam pipe wrap (black)

Above ceiling in treatment D0500, and room 7302 10% Chrysotile -sealant

CAT II

Nonfriable Good 20 Lin. Ft.

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-4

Table 2.2 – Confirmed ACM Sample Summary (Building 111)

HA No. Material Description Material Location

% and Type Asbestos1

NESHAP

Classification Condition Estimated

Quantity2

Ceramic tile (blue), grout (white), mortar (gray) Plaster3

Room 4134, bathroom 4152A, bathroom 4250A, bathroom 4254A, bathroom 4158A, bathroom 4234A, bathroom 4109A, bathroom 4117A, storage 4204, storage 4104, bathroom 10232A, and bathroom 10654A

2% Chrysotile -plaster

CAT II

Nonfriable Good

2,500 Sq.

Ft.

90 Cloth (white) over mudded elbow

Lab 1251, patient 1248A, office 1207, patient consultation 1225A, buffer room 1225H, admin support 1225E, mail distribution 1451, corridor outside office 1310, vacant room 1446, old kitchen room 1448, bread and dessert area 1657, storage 1674, hallway C-2A18, electrical closet 2132EC, hallway outside telephone closet 2105, office 2303, storage 2402, office 2431B, dressing 2441B, storage 2536, hallway C-2C08C, supply room 2600, bathroom 3222, office 33220, office 3423, conference 3425, and office 3426

5% Chrysotile – thermal insulation RACM Good 100 Lin.

Ft.

3 Plaster found by lab but not on visual inspection

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-0

Table 3.1 – Asbestos Survey Sample Location Summary (Building 123)

HA No. Material Description Sample Number Sample Location Lab Results

1 Pipe elbow (white powdery) 1-PI5-1 Ceiling west of room A-110 and south of A-

None detected - thermal insulation None detected - cotton wrap 3% Chrysotile - white mastic

1-PI5-2 Ceiling west of room A-110 and south of A-

None detected - thermal insulation None detected - cotton wrap 3% Chrysotile - white mastic

1-PI5-3 Ceiling west of room A-110 and south of A-

None detected - thermal insulation 1 None detected - cotton wrap 3% Chrysotile - white mastic None detected - thermal insulation 2 None detected - paper / foil wrap

2 Paper (white) and fiberglass (yellow) 2-PI5-4 Ceiling west of room A-110 and south of A-

None detected - thermal insulation None detected - paper / foil wrap

2-PI5-5 None detected - thermal insulation None detected - paper / foil wrap 10% Chrysotile - white mastic

2-PI5-6 None detected - thermal insulation None detected - paper / foil wrap

3 2’ x 4’ Ceiling tile (white) 3-CT4-7 Ceiling None detected - acoustic tile 3-CT4-8 None detected - acoustic tile 3-CT4-9 None detected - acoustic tile

4 Spray-applied fireproofing (grey cellulose like)

4-FP1-10 On walls above drop ceiling None detected - fireproofing 4-FP1-11 None detected - fireproofing 4-FP1-12 None detected - fireproofing

5 Pipe insulation (black foam like wrap) 5-PI5-13 Room A-107 None detected - foam insulation 5-PI5-14 None detected - foam insulation 5-PI5-15 None detected - foam insulation

6 Masonry (grey, cement like) 6-MA5-16 Where pipe goes through wall above door C-100

None detected - plaster 6-MA5-17 None detected - plaster 6-MA5-18 None detected - plaster

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-1

Table 3.1 – Asbestos Survey Sample Location Summary (Building 123)

HA No. Material Description Sample Number Sample Location Lab Results

7 Wall caulk (grey, hard) 7-CA3-19 Where pipe goes through wall above door C-100

- No caulking None detected - plaster

7-CA3-20 - No caulking None detected - plaster

7-CA3-21 - No caulking None detected - plaster

8 Mud / paper (white) and fiberglass (yellow)

8-PI5-22 Above ceiling C-105 / C-106 None detected - thermal insulation None detected - paper / foil wrap 10% Chrysotile - white mastic

8-PI5-23 None detected - thermal insulation None detected - paper / foil wrap 10% Chrysotile - white mastic

8-PI5-24 None detected - thermal insulation None detected - paper / foil wrap 10% Chrysotile - white mastic

9 Pipe insulation (white / grey, hard, powdery)

9-PI5-25 On valve on 3/4" pipe above C-111A None detected - thermal insulation 9-PI5-26 None detected - thermal insulation

None detected - cotton wrap 3% Chrysotile - beige mastic

9-PI5-27 None detected - thermal insulation 10 Masonry (grey, cement like patch) 10-MA5-28 Above building door D-100 None detected - plaster

10-MA5-29 None detected - plaster 10-MA5-30 None detected - plaster

11 Paper (white), fiberglass (white) 11-PI5-31 Room D-100, near north wall, pipe that drops vertically

None detected - white insulation None detected - brown insulation None detected - white mastic

11-PI5-32 None detected - thermal insulation None detected - white mastic

11-PI5-33 None detected - white insulation None detected - brown insulation None detected - white mastic

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-2

Table 3.1 – Asbestos Survey Sample Location Summary (Building 123)

HA No. Material Description Sample Number Sample Location Lab Results

12 2' x 2' Ceiling tile (tan, textured) 12-CT3-34 Entryway ceiling None detected - acoustic tile 12-CT3-35 None detected - acoustic tile 12-CT3-36 None detected - acoustic tile

13 Grout (white), mastic (brown) under 4" x 4" tile

13-MA4-37 Walls in E-110 storage room None detected - grout None detected - mastic

13-MA4-38 None detected - grout None detected - mastic

13-MA4-39 None detected - grout None detected - mastic

14 Cement (white / grey) 14-MA5-40 On wall above 4" x 4" tile, room E-110 None detected - plaster 14-MA5-41 None detected - plaster 14-MA5-42 None detected - plaster

15 Pipe wrap (white, powdery) 15-PI5-43 Room E-110 on elbow / valve in ceiling None detected - thermal insulation None detected - cotton wrap 10% Chrysotile - white mastic

15-PI5-44 None detected - thermal insulation None detected - cotton wrap 10% Chrysotile - white mastic

15-PI5-45 None detected - thermal insulation None detected - cotton wrap 10% Chrysotile - white mastic

16 Masonry (grey, hard, cement like) 16-MA5-46 Where pipe exits east hallway above E-102 None detected - plaster 16-MA5-47 None detected - base plaster

None detected - top plaster 16-MA5-48 None detected - plaster

17 Masonry (grey, hard, cement like) 17-MA5-49 Room E-106 north wall, pipe that goes outside

None detected - plaster 17-MA5-50 None detected - plaster 17-MA5-51 None detected - plaster

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-3

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

18 2’ x 2’ Ceiling tile (white / gray) 18-CT3-52 Room 7532 None detected - acoustic tile 18-CT3-53 None detected - acoustic tile 18-CT3-54 None detected - acoustic tile

19 Paper (white) and fiberglass pipe wrap (yellow)

19-PI5-55 Room 7532 None detected - thermal insulation None detected - paper / foil wrap

19-PI5-56 None detected - thermal insulation None detected - paper / foil wrap

19-PI5-57 None detected - thermal insulation None detected - paper / foil wrap

20 2’ x 2’ Ceiling tile (white/ tan) with texture (sandy)

20-CT3-58 Room 7513, west wall None detected - acoustic tile 20-CT3-59 None detected - acoustic tile 20-CT3-60 None detected - acoustic tile

21 Caulk (red, rubbery) 21-CA5-61 Room 7513, where pipe runs through west wall

None detected - caulking 21-CA5-62 None detected - caulking 21-CA5-63 None detected - caulking

22 Drywall (white), tape and mud 22-WB1-64 Room 7513, west wall None detected - drywall material None detected - joint compound

22-WB1-65 None detected - drywall material None detected - joint compound

22-WB1-66 None detected - drywall material None detected - joint compound

23 Masonry (gray, cement like) 23-MA5-67 On pipes in room 6608 above ceiling None detected - masonry 23-MA5-68 None detected - masonry 23-MA5-69 None detected - masonry

24 Paper (white), fiberglass pipe wrap (yellow / brown)

24-PI5-70 On pipes in room 6608 above ceiling None detected - thermal insulation None detected - paper / foil wrap

24-PI5-71 None detected - thermal insulation None detected - paper / foil wrap

24-PI5-72 None detected - thermal insulation None detected - paper / foil wrap

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-4

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

25 2’ x 2’ Ceiling tile (white / tan) 25-CT3-73 Room 6608 None detected - acoustic tile 25-CT3-74 None detected - acoustic tile 25-CT3-75 None detected - acoustic tile

26 Caulk (red, rubbery) 26-CA5-76 Room 6503, where pipe goes through east wall

None detected - caulking 26-CA5-77 None detected - caulking 26-CA5-78 None detected - caulking

27 Pipe wrap (black, foam like) with sealant (white)

27-PI5-79 Room 6503 on pipe above ceiling None detected - foam insulation None detected - red sealant None detected - white sealant

27-PI5-80 None detected - foam insulation None detected - red sealant None detected - white sealant

27-PI5-81 None detected - foam insulation None detected - red sealant None detected - white sealant

28 Coating (white) and paper with fiberglass (yellow)

28-PI5-82 Room 6503 on pipe above ceiling None detected - thermal insulation None detected - paper / foil wrap None detected - white mastic

28-PI5-83 None detected - thermal insulation None detected - paper / foil wrap None detected - white mastic

28-PI5-84 None detected - thermal insulation None detected - paper / foil wrap None detected - white mastic

29 Drywall (white), tape and mud 29-WB1-85 Room 6503, east wall None detected - drywall material None detected - joint compound

29-WB1-86 None detected - drywall material None detected - joint compound

29-WB1-87 None detected - drywall material None detected - joint compound

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-5

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

30 Pipe wrap (brown, foam like) 30-PI5-88 Room 6420, mechanical room, on pipe on east portion of ceiling

None detected - foam insulation 30-PI5-89 None detected - foam insulation 30-PI5-90 None detected - foam insulation

31 Paper (white, painted green), fiberglass (yellow)

31-PI5-91 On green pipe (copper 3/4") in ceiling on northwest portion of room 6420

None detected - thermal insulation None detected - paper / foil wrap

31-PI5-92 None detected - thermal insulation None detected - paper / foil wrap

31-PI5-93 None detected - thermal insulation None detected - paper / foil wrap

32 Drywall (white, painted light green) 32-WB2-94 West wall of room 6420 None detected - drywall material None detected - texture

32-WB2-95 None detected - drywall material

- No texture

32-WB2-96 None detected - drywall material None detected - texture

33 2’ x 4’ Ceiling tile (white / gray) 33-CT4-97 Room 6417B ceiling None detected - acoustic tile 33-CT4-98 None detected - acoustic tile 33-CT4-99 None detected - acoustic tile

34 Caulk (red, crumbly) 34-CA5-100 Where pipe goes through concrete wall, east wall, room 6417B

None detected - caulking 34-CA5-101 None detected - caulking 34-CA5-102 None detected - caulking

35 Cloth (white) with fiberglass pipe wrap (yellow)

35-PI5-103 Pipes above ceiling tile in room 6135 None detected - thermal insulation None detected - cotton wrap

35-PI5-104 None detected - thermal insulation None detected - cotton wrap

35-PI5-105 None detected - thermal insulation None detected - cotton wrap

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-6

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

36 Paper (white), caulk (white), fiberglass (yellow)

36-PI5-106 Pipes above ceiling tile in room 6135 None detected - thermal insulation None detected - paper / foil wrap None detected - caulking

36-PI5-107 None detected - thermal insulation None detected - paper / foil wrap None detected - caulking

36-PI5-108 None detected - thermal insulation None detected - paper / foil wrap None detected - caulking

37 2’ x 2’ Ceiling tile (white textured) 37-CT3-109 Pipes above ceiling tile in room 6135 None detected - acoustic tile 37-CT3-110 None detected - acoustic tile 37-CT3-111 None detected - acoustic tile

38 Drywall (white), tape, mud 38-WB1-112 West wall, room 6135 None detected - drywall material None detected - joint compound

38-WB1-113 None detected - drywall material None detected - joint compound

38-WB1-114 None detected - drywall material None detected - joint compound

39 Plaster (white) and skim coat (white) 39-PL5-115 Bathroom #6236 ceiling None detected - plaster None detected - skim coat

39-PL5-116 None detected - plaster None detected - skim coat

39-PL5-117 None detected - plaster None detected - skim coat

40 2’ x 4’ Ceiling tile (white with small holes) 40-CT4-118 Room 6233 ceiling None detected - acoustic tile None detected - vinyl facing

40-CT4-119 None detected - acoustic tile None detected - vinyl facing

40-CT4-120 None detected - acoustic tile None detected - vinyl facing

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-7

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

41 Paper (white) and fiberglass (yellow) 41-PI5-121 Above ceiling room 6233 and hallway None detected - thermal insulation None detected - paper / foil wrap

41-PI5-122 None detected - thermal insulation None detected - paper / foil wrap

41-PI5-123 None detected - thermal insulation None detected - paper / foil wrap

42 Drywall (white) and texture (brownish grey)

42-WB5-124 Room 6233 north wall None detected - drywall material None detected - acoustic texture

42-WB5-125 None detected - drywall material None detected - acoustic texture

42-WB5-126 None detected - drywall material None detected - acoustic texture

43 Fiberglass (yellow) 43-AW5-127 On metal pan, ceiling above hallway None detected - thermal insulation 43-AW5-128 None detected - thermal insulation 43-AW5-129 None detected - thermal insulation

44 Cloth (white) and fiberglass (yellow) 44-PI5-130 Room 6111 above ceiling None detected - insulation None detected - cotton wrap

44-PI5-131 None detected - insulation None detected - cotton wrap None detected - yellow mastic

44-PI5-132 None detected - insulation None detected - cotton wrap

45 2’ x 2’ Ceiling tile (white with holes) 45-CT3-133 Room 6111 ceiling tiles None detected - acoustic tile 45-CT3-134 None detected - acoustic tile 45-CT3-135 None detected - acoustic tile

46 2’ x 4’ Ceiling tile (white with holes) 46-CT4-136 Room 5511 ceiling tiles None detected - acoustic tile 46-CT4-137 None detected - acoustic tile 46-CT4-138 None detected - acoustic tile

47 Pipe wrap (black, foam like) 47-PI5-139 Room 5514 around pipes in ceiling None detected - foam wrap 47-PI5-140 None detected - foam wrap 47-PI5-141 None detected - foam wrap

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-8

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

48 Drywall (white), tape and mud 48-WB4-142 Room 5514, west wall None detected - drywall material None detected - joint compound

48-WB4-143 None detected - drywall material None detected - joint compound

48-WB4-144 None detected - drywall material None detected - joint compound

499 Paper (white), mud (white), fiberglass pipe wrap (yellow)

49-PI5-145 Room 5509, western 3 pipes None detected - thermal Insulation None detected - white mastic

49-PI5-146 None detected - thermal Insulation None detected - paper / foil wrap None detected - white mastic

49-PI5-147 None detected - thermal Insulation None detected - paper / foil wrap None detected - white mastic

50 Paper (white / silver), fiberglass (yellow) 50-PI5-148 Room 5509 eastern pipes None detected - thermal Insulation None detected - paper / foil wrap None detected - coating

50-PI5-149 None detected - thermal Insulation None detected - paper / foil wrap None detected - coating

50-PI5-150 None detected - thermal Insulation None detected - paper / foil wrap None detected - coating

51 Caulk (white, rubbery) 51-CA3-151 Around pipe HA #50 where it goes through south wall room 5509

None detected - caulking 51-CA3-152 None detected - caulking 51-CA3-153 None detected - caulking

52 Masonry (dark gray cement like), skim coat (gray) wall

52-MA5-154 Around pipe HA #50 where it goes through south wall room 5509

None detected - masonry cement 52-MA5-155 None detected - masonry cement

None detected - skim coat 52-MA5-156 None detected - masonry cement

None detected - skim coat

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-9

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

53 Masonry (light gray cement like) 53-MA5-157 On walls in room 5509 None detected - masonry cement 53-MA5-158 None detected - masonry cement 53-MA5-159 None detected - masonry cement

54 Pipe insulation, cloth wrap (white) with fiberglass (yellow)

54-PI5-160 Men's room #5139 above ceiling None detected - thermal insulation None detected - cotton wrap None detected - white mastic

54-PI5-161 None detected - thermal insulation None detected - cotton wrap None detected - white mastic

54-PI5-162 None detected - thermal insulation None detected - cotton wrap None detected - white mastic

55 Plaster (white) and skim coat (white) 55-PL5-163 Men's room #5139 above ceiling None detected - base plaster None detected - top plaster

55-PL5-164 None detected - base plaster None detected - top plaster

55-PL5-165 None detected - base plaster None detected - top plaster

56 Pipe insulation, cloth / powder (white), pipe wrap on elbows

56-PI5-166 Room 5243 above sink, in ceiling None detected - thermal insulation None detected - cotton wrap 10% Chrysotile - white mastic

56-PI5-167 None detected - thermal insulation None detected - cotton wrap 10% Chrysotile - white mastic

56-PI5-168 None detected - thermal insulation None detected - cotton wrap 10% Chrysotile - white mastic

57 2' x 4' Ceiling tile (white with holes) 57-CT4-169 Room 5243 above sink, in ceiling None detected - acoustic tile 57-CT4-170 None detected - acoustic tile 57-CT4-171 None detected - acoustic tile

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-10

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

58 Masonry, cement-like spray-on (light grey)

58-MA5-172 Room 7137, 7th floor None detected - plaster 58-MA5-173 None detected - plaster 58-MA5-174 None detected - plaster

59 Pipe insulation, paper (white), fiberglass (yellow)

59-PI5-175 Room 7104 above ceiling None detected - thermal insulation None detected - paper / foil wrap

59-PI5-176 None detected - thermal insulation None detected - paper / foil wrap

59-PI5-177 None detected - thermal insulation None detected - paper / foil wrap

60 2' x 4' Ceiling tile, paper (white), fiberglass (yellow)

60-CT4-178 Room 7311 ceiling None detected - acoustic tile 60-CT4-179 None detected - acoustic tile 60-CT4-180 None detected - acoustic tile

61 2' x 2' Ceiling tile (with squares) 61-CT3-181 Room 7320 ceiling None detected - acoustic tile 61-CT3-182 None detected - acoustic tile 61-CT3-183 None detected - acoustic tile

62 Pipe insulation, old paper (tan), fiberglass (yellow)

62-PI5-184 Room 7310 above ceiling None detected - thermal insulation None detected - paper / foil wrap

62-PI5-185 None detected - thermal insulation None detected - paper / foil wrap

62-PI5-186 None detected - thermal insulation None detected - paper / foil wrap

63 Pipe insulation, cloth (white) on foam pipe wrap (black)

63-PI5-187 Room 7302 above ceiling None detected - foam insulation 10% Chrysotile - sealant

63-PI5-188 None detected - foam insulation 10% Chrysotile - sealant

63-PI5-189 None detected - foam insulation 10% Chrysotile - sealant

64 Fireproofing (tan, soft, friable) 64-FP1-190 Ceilings and support beams in room B0830 None detected - fireproofing 64-FP1-191 None detected - fireproofing 64-FP1-192 None detected - fireproofing

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-11

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

65 Cloth (white), fiberglass pipe wrap (yellow)

65-PI5-193 Pipe in ceiling, room B0622 None detected - thermal insulation None detected - cotton wrap None detected - white mastic

65-PI5-194 None detected - thermal insulation None detected - cotton wrap None detected - white mastic

65-PI5-195 None detected - thermal insulation None detected - cotton wrap None detected - white mastic None detected - glass fiber wrap

66 Part on mastic (white) on foam (black) 66-PI5-196 Above door, room B0235 None detected - foam None detected - paint

66-PI5-197 None detected - foam None detected - paint

66-PI5-198 None detected - foam None detected - paint

67 Caulk (red) 67-CA3-199 Where pipe goes through north wall in hall outside room B0239

None detected - caulking 67-CA3-200 None detected - caulking 67-CA3-201 None detected - caulking

68 Paper (white / silver), mud (white), fiberglass (yellow)

68-PI5-202 On elbow of paper in hall above ceiling outside room B0239

None detected - thermal insulation None detected - paper / foil wrap None detected - white mastic

68-PI5-203 None detected - thermal insulation None detected - paper / foil wrap None detected - white mastic

68-PI5-204 None detected - thermal insulation

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-12

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

69 Paper (white / silver), mud (white), fiberglass (yellow)

69-PI5-205 On elbow of paper in hall above ceiling outside room B0239

None detected - thermal insulation None detected - paper / foil wrap

69-PI5-206 None detected - thermal insulation None detected - paper / foil wrap

69-PI5-207 None detected - thermal insulation None detected - paper / foil wrap

70 Drywall (white) 70-WB5-208 On wall in office room B0155 None detected - drywall material None detected - plaster

70-WB5-209 None detected - drywall material 70-WB5-210 None detected - drywall material

71 Cement-like plaster (gray) with thinset (white)

71-MA5-211 On wall in office room B0155 None detected - plaster None detected - thinset None detected - textured paint

71-MA5-212 None detected - plaster None detected - thinset None detected - textured paint

71-MA5-21371-

MA5-213

None detected - plaster None detected - thinset None detected - textured paint

72 Paint (green), paper (white / silver) with fiberglass (yellow)

72-PI5-214 Room B0245, 10" diameter pipe None detected - thermal insulation None detected - paper / foil wrap None detected - paint

72-PI5-215 None detected - thermal insulation None detected - paper / foil wrap None detected - paint

72-PI5-216 None detected - thermal insulation

None detected - paint

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-13

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

73 Paper (white), fiberglass (yellow), caulk (white)

73-PI5-217 Fourth floor hallway outside of room 4524 None detected - thermal insulation None detected - paper / foil wrap None detected - white mastic

73-PI5-218 None detected - thermal insulation None detected - paper / foil wrap None detected - white mastic

73-PI5-219 None detected - thermal insulation None detected - paper / foil wrap None detected - white mastic

74 Firestop caulk (red) 74-CA3-220 Fourth floor hallway outside of room 4524 -tub room

None detected - firestop 74-CA3-221 None detected - firestop 74-CA3-222 None detected - firestop

75 Drywall (white), joint compound (white), tape (white)

75-WB1-223 Fourth floor hallway outside of room 4524 None detected - drywall material None detected - joint compound None detected - white mastic

75-WB1-224 None detected - drywall material None detected - joint compound None detected - white mastic

75-WB1-225 None detected - drywall material None detected - joint compound None detected - white mastic

76 Cloth pipe wrap (white), fiberglass (yellow)

76-PI5-226 Fourth floor room 4636 None detected - thermal insulation None detected - cotton wrap None detected - clear mastic

76-PI5-227 None detected - thermal insulation None detected - cotton wrap None detected - clear mastic

76-PI5-228 None detected - thermal insulation None detected - cotton wrap None detected - clear mastic

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-14

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

77 Plaster (white / gray) 77-MA5-229 Fourth floor room 4636 None detected - plaster 77-MA5-230 None detected - plaster 77-MA5-231 None detected - plaster

78 Tile (cream), grout (white), mastic (white), concrete masonry (gray)

78-MA5-232 Fourth floor room 4634 None detected - ceramic tile None detected - grout None detected - white mastic None detected - concrete

78-MA5-233 None detected - ceramic tile None detected - grout None detected - white mastic None detected - concrete

78-MA5-234 None detected - ceramic tile None detected - grout None detected - white mastic None detected - concrete

79 Drywall (white), joint compound (white) 79-WB1-235 Fourth floor room 4406 - men's bathroom None detected - plaster None detected - joint compound None detected - texture

79-WB1-236 None detected - plaster 1 None detected - joint compound 1 None detected - plaster 2 None detected - joint compound 2 None detected - texture

79-WB1-237 None detected - plaster 1 None detected - joint compound 1 None detected - plaster 2 None detected - joint compound 2 None detected - texture

80 Plaster (white, hard) 80-MA5-238 Fourth floor room 4402 - HAV room None detected - plaster 80-MA5-239 None detected - plaster 80-MA5-240 None detected - plaster

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-15

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

81 Firestop caulk (red) 81-CA3-241 Basement room B0250 None detected - firestop 81-CA3-242 None detected - firestop 81-CA3-243 None detected - firestop

82 Paper (white), fiberglass (yellow) 82-PI5-244 Third floor room 3202 None detected - thermal insulation None detected - paper / foil wrap

82-PI5-245 None detected - thermal insulation None detected - paper / foil wrap

82-PI5-246 None detected - thermal insulation None detected - paper / foil wrap

83 Cloth (white), fiberglass (yellow) 83-PI5-247 Third floor room 3404 None detected - thermal insulation None detected - cotton wrap None detected - clear mastic

83-PI5-248 None detected - thermal insulation None detected - cotton wrap None detected - clear mastic

83-PI5-249 None detected - thermal insulation None detected - cotton wrap None detected - clear mastic

84 Drywall (white), joint compound (white), tape (white)

84-WB1-250 Third floor room 3235 None detected - drywall material None detected - joint compound None detected - caulking

84-WB1-251 None detected - drywall material None detected - joint compound None detected - caulking

84-WB1-252 None detected - drywall material None detected - joint compound None detected - caulking

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-16

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

85 Paper (tan), backing (black), fiberglass (yellow)

85-PI5-253 Third floor room 3425 None detected - thermal insulation None detected - paper / foil wrap

85-PI5-254 None detected - thermal insulation None detected - paper / foil wrap

85-PI5-255 None detected - thermal insulation None detected - paper / foil wrap

86 Ceramic tile (blue), grout (white), mortar (gray)

86-MA5-256 Fourth floor room 4134 None detected - ceramic tile None detected - grout <1% Chrysotile - mortar 2% Chrysotile - plaster

86-MA5-257 None detected - ceramic tile None detected - grout <1% Chrysotile - mortar 2% Chrysotile - plaster

86-MA5-258 None detected - ceramic tile None detected - grout <1% Chrysotile - mortar 2% Chrysotile - plaster

87 Ceramic floor tile (gray), grout (gray) 87-MA5-259 Fourth floor room 4134 None detected - ceramic tile None detected - grout

87-MA5-260 None detected - ceramic tile None detected - grout

87-MA5-261 None detected - ceramic tile None detected - grout

88 Caulk (white) 88-CA4-262 Fourth floor room 4134 None detected - caulking 88-CA4-263 None detected - caulking 88-CA4-264 None detected - caulking

89 Adhesive (yellow) 89-MG5-265 Fourth floor room 4134 None detected - adhesive 89-MG5-266 None detected - adhesive 89-MG5-267 None detected - adhesive

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-17

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

90 Cloth (white) over mudded elbow 90-PI5-268 Old kitchen room 1448, first floor 5% Chrysotile - thermal insulation None detected – cotton wrap

90-PI5-269 5% Chrysotile - thermal insulation None detected – cotton wrap

90-PI5-270 5% Chrysotile - thermal insulation None detected – cotton wrap

91 Cloth (white), fiberglass (yellow) 91-PI5-271 Old kitchen room 1448, first floor None detected - thermal insulation None detected – cotton wrap

91-PI5-272 None detected - thermal insulation None detected – cotton wrap

91-PI5-273 None detected - thermal insulation None detected – cotton wrap

92 Paper (white), fiberglass (yellow) 92-PI5-274 Old kitchen room 1448, first floor None detected - thermal insulation None detected - paper / foil wrap

92-PI5-275 None detected - thermal insulation None detected - paper / foil wrap

92-PI5-276 None detected - thermal insulation None detected - paper / foil wrap

93 Brick (white), grout (white) 93-MA1-277 Old kitchen room 1448, first floor None detected - brick None detected - grout

93-MA1-278 None detected - brick None detected - grout

93-MA1-279 None detected - brick None detected - grout

94 Caulk (white), sink 94-CA3-280 Old kitchen room 1448, first floor None detected - caulking 94-CA3-281 None detected - caulking 94-CA3-282 None detected - caulking

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-18

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

95 Paper (white), mastic (white), fiberglass (yellow)

95-PI5-283 Old kitchen room 1448, first floor None detected - thermal insulation None detected - paper / foil wrap None detected - white mastic

95-PI5-284 None detected - thermal insulation None detected - paper / foil wrap None detected - white mastic

95-PI5-285 None detected - thermal insulation None detected - paper / foil wrap None detected - white mastic

96 Old paper (white), fiberglass (yellow) 96-PI5-286 Old kitchen room, 1451 first floor None detected - thermal insulation None detected - paper / foil wrap

96-PI5-287 None detected - thermal insulation None detected - paper / foil wrap

96-PI5-288 None detected - thermal insulation None detected - paper / foil wrap

97 2' x 4' Ceiling tile drywall (white) 97-PI5-289 Old kitchen room 1449, first floor None detected - drywall material None detected - vinyl facing

97-PI5-290 None detected - drywall material None detected - vinyl facing

97-PI5-291 None detected - drywall material 98 6" x 6" Floor tile (red), grout (black) 98-MG5-292 Old kitchen room 1456, first floor None detected - ceramic tile

None detected - grout None detected - mortar

98-MG5-293 None detected - ceramic tile None detected - grout None detected - mortar

98-MG5-294 None detected - ceramic tile None detected - grout None detected - mortar

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-19

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

99 Gray plaster (white topcoat, hard) 99-HP1-295 First floor room 1231 None detected - base plaster None detected - top plaster

99-HP1-296 None detected - base plaster None detected - top plaster

99-HP1-297 None detected - base plaster None detected - top plaster

100 Grout (white), adhesive (yellow) 100-MA5-298 First floor room 1248, None detected - grout None detected - adhesive

100-MA5-299 None detected - grout None detected - adhesive

100-MA5-300 None detected - grout None detected - adhesive

101 Drywall (white), joint compound (white) 101-WB1-301 First floor room 1248 None detected - drywall material None detected - joint compound

101-WB1-302 None detected - drywall material None detected - joint compound None detected - wall covering

101-WB1-303 None detected - drywall material None detected - joint compound

102 Countertop (black) 102-MS3-304 Fourth floor room 4154 None detected - counter top 102-MS3-305 None detected - counter top 102-MS3-306 None detected - counter top

103 Caulk (white) 103-CA5-307 Fourth floor C9A14 corridor outside room

None detected - caulking 103-CA5-308 None detected - caulking 103-CA5-309 None detected - caulking

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-20

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

104 Paper (old, white), foam (black, hard) 104-PI5-310 Ninth floor room 9300 dining room None detected - glass foam None detected - black mastic None detected - paper / foil wrap None detected - white mastic

104-PI5-311 None detected - glass foam None detected - black mastic None detected - paper / foil wrap None detected - white mastic

104-PI5-312 None detected - glass foam None detected - black mastic None detected - paper / foil wrap None detected - white mastic

105 Stone (white marble), adhesive (yellow) 105-MA5-313 Tenth floor, room 10204 None detected - stone None detected - adhesive

105-MA5-314 None detected - stone None detected - adhesive

105-MA5-315 None detected - stone None detected - adhesive

106 1" x 1" Tile (gray), grout (gray) underlayment (gray)

106-MA5-316 Tenth floor room 10204 None detected - ceramic tile None detected - grout None detected - underlayment

106-MA5-317 None detected - ceramic tile None detected - grout None detected - underlayment

106-MA5-319 None detected - ceramic tile None detected - grout None detected - underlayment

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-21

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

107 Paper (green painted white), fiberglass (yellow)

107-PI5-320 Thirteenth floor mechanical room None detected - thermal insulation None detected - paper / foil wrap None detected - white mastic None detected - paint

107-PI5-321 None detected - thermal insulation None detected - paper / foil wrap None detected - white mastic None detected - paint

107-PI5-322 None detected - thermal insulation None detected - paper / foil wrap None detected - white mastic None detected - paint

108 Paper (newer, white), fiberglass (yellow) 108-PI5-323 Sub-basement None detected - thermal insulation None detected - paper / foil wrap

108-PI5-324 None detected - thermal insulation None detected - paper / foil wrap

108-PI5-325 None detected - thermal insulation None detected - paper / foil wrap

109 Cloth (white), fiberglass (yellow) 109-PI5-326 Sub-basement None detected - thermal insulation 1 None detected - cotton wrap None detected - white mastic None detected - thermal insulation 2

109-PI5-327 None detected - thermal insulation 1 None detected - cotton wrap None detected - white mastic None detected - thermal insulation 2

109-PI5-328 None detected - thermal insulation 1 None Detected - Cotton Wrap

None detected - thermal insulation 2

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-22

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

110 Paper (old, white), fiberglass (yellow) 110-PI5-329 Sub-basement None detected - thermal insulation None detected - paper/tar/foil wrap

110-PI5-330 None detected - thermal insulation None detected - paper/tar/foil wrap

110-PI5-331 None detected - thermal insulation None detected - paper/tar/foil wrap

111 Paper (older, white), mastic (white), fiberglass (yellow)

111-PI5-332 Sub-basement None detected - thermal insulation None detected - paper / foil wrap None detected - white mastic

111-PI5-333 None detected - thermal insulation None detected - paper / foil wrap None detected - white mastic

111-PI5-334 None detected - thermal insulation None detected - paper / foil wrap None detected - white mastic

112 Paper (old, off-white), fiberglass (yellow) 112-PI5-335 Sub-basement None detected - thermal insulation None detected - paper/tar/foil wrap

112-PI5-336 None detected - thermal insulation None detected - paper/tar/foil wrap

112-PI5-337 None detected - thermal insulation None detected - paper/tar/foil wrap

113 Caulk (red / white) 113-CA5-338 Sub-basement None detected - caulking 113-CA5-339 None detected - caulking 113-CA5-340 None detected - caulking

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-23

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

114 Paper (white), foam (black) 114-PI5-341 Sub-basement None detected - foam insulation None detected - black mastic None detected - paper / foil wrap

114-PI5-342 None detected - foam insulation None detected - black mastic None detected - paper / foil wrap

114-PI5-343 None detected - foam insulation None detected - black mastic None detected - paper / foil wrap

115 Mud debris (white) 115-PI5-344 Sub-basement None detected - debris 115-PI5-345 None detected - debris 115-PI5-346 None detected - debris

February 24, 2020 ■ Terracon Project Nos. 0720P004/5820P004

Responsive ■ Resourceful ■ Reliable B-24

Table 3.2 – Asbestos Survey Sample Location Summary (Building 111)

HA No. Material Description Sample Number Sample Location Lab Results

116 Soil 116-MA5-347 Sub-basement None detected - soil None detected - concrete None detected - wood

116-MA5-348 None detected - soil None detected - concrete None detected - wood None detected - paper facings

116-MA5-349 None detected - soil None detected - concrete None detected - paper facings

116-MA5-350 None detected - soil None detected - wood

116-MA5-351 None detected - soil None detected - concrete None detected - paper facings

116-MA5-352 None detected - soil None detected - concrete None detected - wood

116-MA5-353 None detected - soil None detected - concrete None detected - wood None detected - paper facings

116-MA5-354 None detected - soil None detected - concrete None detected - wood None detected - paper facings None Detected - Plaster

Responsive ■ Resourceful ■ Reliable

APPENDIX B

ASBESTOS ANALYTICAL LABORATORY DATA

PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :

Terracon - Franklin

VA Hospital, Building 123

5820P004

Asbestos, Bulk Sample Analysis

Sample Number Client Sample Description / Location Asbestos Content

Sample Date :

On 1/8/2020, fifty one (51) bulk material samples were submitted by Paul Lenaker of Terracon - Franklin for asbestos analysis by PLM/DS. The PLM

Detail Report is attached; additional information may be found therein. The results are summarized below:

Lab Job No. :

Report Date :

20B-00233

01/06/2020

01/09/2020

NVLAP Lab Code 102056-0

TDSHS License No. 30-0084

Polarized Light Microscopy / Dispersion Staining (PLM/DS)

EPA Method 600 / R-93 / 116

2051 Valley View Lane

Farmers Branch, TX 75234 Phone: (972) 241-8460

1P15-1 Pipe Elbow (White Powdery), Building 123 in Ceiling West of Room A-110 and South of A-106

None Detected - Thermal Insulation

None Detected - Cotton Wrap

3% Chrysotile - White Mastic

1P15-2 Pipe Elbow (White Powdery), Building 123 in Ceiling West of Room A-110 and South of A-106

None Detected - Thermal Insulation

None Detected - Cotton Wrap

3% Chrysotile - White Mastic

1P15-3 Pipe Elbow (White Powdery), Building 123 in Ceiling West of Room A-110 and South of A-106

None Detected - Thermal Insulation 1

None Detected - Cotton Wrap

3% Chrysotile - White Mastic

None Detected - Thermal Insulation 2

None Detected - Paper / Foil Wrap

2P15-4 Paper (White) and Fiberglass (Yellow), Building 123 in

Ceiling West of Room A-110 and South of A-106

None Detected - Thermal Insulation

None Detected - Paper / Foil Wrap

2P15-5 Paper (White) and Fiberglass (Yellow), Building 123 in

Ceiling West of Room A-110 and South of A-106

None Detected - Thermal Insulation

None Detected - Paper / Foil Wrap

10% Chrysotile - White Mastic

2P15-6 Paper (White) and Fiberglass (Yellow), Building 123 in

Ceiling West of Room A-110 and South of A-106

None Detected - Thermal Insulation

None Detected - Paper / Foil Wrap

3CT4-7 2 x 4 Ceiling Tile (White), Building 123, Ceiling None Detected - Acoustic Tile

3CT4-8 2 x 4 Ceiling Tile (White), Building 123, Ceiling None Detected - Acoustic Tile

3CT4-9 2 x 4 Ceiling Tile (White), Building 123, Ceiling None Detected - Acoustic Tile

4FP1-10 Spray-Applied Fireproofing (Grey Cellulose Like), Building

123, On Walls above Drop Ceiling

None Detected - Fireproofing

4FP1-11 Spray-Applied Fireproofing (Grey Cellulose Like), Building

123, On Walls above Drop Ceiling

None Detected - Fireproofing

4FP1-12 Spray-Applied Fireproofing (Grey Cellulose Like), Building

123, On Walls above Drop Ceiling

None Detected - Fireproofing

5P15-13 Pipe Insulation (Black Foam Like Wrap), Building 123, Room A-107

None Detected - Foam Insulation

Project :

Project # :

Identification :

Test Method :

Terracon - Franklin

VA Hospital, Building 123

5820P004

Asbestos, Bulk Sample Analysis

Sample Number Client Sample Description / Location Asbestos Content

Sample Date :

On 1/8/2020, fifty one (51) bulk material samples were submitted by Paul Lenaker of Terracon - Franklin for asbestos analysis by PLM/DS. The PLM

Detail Report is attached; additional information may be found therein. The results are summarized below:

Lab Job No. :

Report Date :

20B-00233

01/06/2020

01/09/2020

NVLAP Lab Code 102056-0

TDSHS License No. 30-0084

Polarized Light Microscopy / Dispersion Staining (PLM/DS)

EPA Method 600 / R-93 / 116

2051 Valley View Lane

Farmers Branch, TX 75234 Phone: (972) 241-8460

5P15-14 Pipe Insulation (Black Foam Like Wrap), Building 123, Room A-107

None Detected - Foam Insulation

5P15-15 Pipe Insulation (Black Foam Like Wrap), Building 123, Room A-107

None Detected - Foam Insulation

6MA5-16 Masonry (Grey, Cement Like), Building 123, Where Pipe goes through Wall above Door C-100

None Detected - Plaster

6MA5-17 Masonry (Grey, Cement Like), Building 123, Where Pipe goes through Wall above Door C-100

None Detected - Plaster

6MA5-18 Masonry (Grey, Cement Like), Building 123, Where Pipe goes through Wall above Door C-100

None Detected - Plaster

7CA3-19 Wall Caulk (Grey, Hard), Building 123, Where Pipe goes through Wall above Door C-100

No Caulking

None Detected - Plaster

7CA3-20 Wall Caulk (Grey, Hard), Building 123, Where Pipe goes through Wall above Door C-100

No Caulking

None Detected - Plaster

7CA3-21 Wall Caulk (Grey, Hard), Building 123, Where Pipe goes through Wall above Door C-100

No Caulking

None Detected - Plaster

8P15-22 Mud / Paper (White) and Fiberglass (Yellow), Above

Ceiling C-105 / C-106

None Detected - Thermal Insulation

None Detected - Paper / Foil Wrap

10% Chrysotile - White Mastic

8P15-23 Mud / Paper (White) and Fiberglass (Yellow), Above

Ceiling C-105 / C-106

None Detected - Thermal Insulation

None Detected - Paper / Foil Wrap

10% Chrysotile - White Mastic

8P15-24 Mud / Paper (White) and Fiberglass (Yellow), Above

Ceiling C-105 / C-106

None Detected - Thermal Insulation

None Detected - Paper / Foil Wrap

10% Chrysotile - White Mastic

9P15-25 Pipe Insulation (White / Grey, Hard, Powdery), Building

123, On Valve on 3 / 4" Pipe above C-111A

None Detected - Thermal Insulation

Project :

Project # :

Identification :

Test Method :

Terracon - Franklin

VA Hospital, Building 123

5820P004

Asbestos, Bulk Sample Analysis

Sample Number Client Sample Description / Location Asbestos Content

Sample Date :

On 1/8/2020, fifty one (51) bulk material samples were submitted by Paul Lenaker of Terracon - Franklin for asbestos analysis by PLM/DS. The PLM

Detail Report is attached; additional information may be found therein. The results are summarized below:

Lab Job No. :

Report Date :

20B-0…