Appendix Asbestos Lead Fungal Reports.pdf
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- Solicitation number
- 36C25522R0042
About this file
This request for proposal solicits bids for project 589A5-15-115B to upgrade the emergency department at the Colmery-O'Neil Veterans Administration Medical Center in Topeka, Kansas. Contractors must provide their DUNS number and attend a mandatory site visit on January 26, 2022 at 10:00 AM CST to be eligible to bid. The work includes upgrades according to attached specifications, schedules, and drawings. Bids are due through the vendor portal by the specified due date. The NAICS code for this project is 236220 for commercial and institutional building construction, with a size standard of $39.5 million. The contracting agency is the Department of Veterans Affairs Veterans Health Administration VISN 15. State sales tax is exempt for contractors working on this project.
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VA PROJECT NO. 589A5-15-115 10-04-16 (HFG)
APPENDIX TOC
APPENDIX
A. INDUSTRIAL HYGIENIST REPORT – ASBESTOS SURVEY REPORT (48 PAGES)
B. INDUSTRIAL HYGIENIST REPORT – LEAD-BASED PAINT SURVEY (28 PAGES)
C. INDUSTRIAL HYGIENIST REPORT – FUNGAL EVALUATION REPORT (24 PAGES)
D. GEOTECHNICAL REPORT (28 PAGES)
- - - E N D - - -
ASBESTOS SURVEY REPORT
For the
EMERGENCY DEPARTMENT UPGRADES
VA MEDICAL CENTER
TOPEKA, KANSAS
Prepared for
HEALTH FACILITIES GROUP
142 N. MOSLEY
SUITE 300
WICHITA, KANSAS 67202
Prepared by
Professional Service Industries, Inc.
1211 West Cambridge Circle Drive
Kansas City, Kansas 66103 Telephone (913) 310-1600
PSI WORK ORDER NUMBER 06031109-1
December 23, 2015
Ybairy K. Duin Environmental Technician
Greg Chambliss, RPIH, LEED AP Principal Consultant
TABLE OF CONTENTS
1.0 INTRODUCTION
1.1 General Information
1.2 Authorization
1.3 Documents Provided by the Client
1.4 Limitations
1.4 Use by Third Parties
2.0 SCOPE OF SERVICES - ASBESTOS
3.0 METHODOLOGY - ASBESTOS
3.1 General References
3.2 Visual Survey
3.2.1 Homogeneous Area Classifications
3.3 Sampling Procedures
3.4 Laboratory Procedures
3.4.1 Method of Analysis
3.4.2 Laboratory Quality Control Program
3.5 Quantification
3.6 Photography
4.0 ASBESTOS SURVEY FINDINGS
4.1 General Summary
4.2 Building Specific Findings and Observations
4.2.1 Summary of Sampled Suspect Materials
4.2.2 Inaccessible Areas
4.2.3 Summary of Materials Assumed to Contain Asbestos
4.3 Other Considerations
5.0 WARRANTY
APPENDICES
APPENDIX A - Field Survey Data Worksheets APPENDIX B - Laboratory Analytical Report APPENDIX C - Photographs APPENDIX D - Certificates APPENDIX E - Drawings
VA Medical Center – Topeka, Kansas Emergency Department Upgrades - Asbestos Survey
PSI Work Order Number 06031125-1
1.0 INTRODUCTION
1.1 GENERAL INFORMATION
Professional Service Industries (PSI), Inc., was retained by Health Facilities Group to conduct a survey for asbestos-containing materials (ACM) in the Department of Veterans Affairs (VA) Medical Center, Emergency Department, in Topeka, Kansas.
The purpose of the investigation and sampling was to provide information regarding the presence, condition, and estimated quantity of accessible ACMs located at the facility prior to the planned renovation. Roof Systems were included in the scope of this survey.
The asbestos inspection and sampling was conducted on November 22, and November 23, 2015 in the Emergency Department Area of the VA Medical Center Building. A total of 75 samples were collected from 29 suspect asbestos-containing homogeneous materials during the survey. The samples were analyzed by polarized light microscopy (PLM).
1.2 AUTHORIZATION
Authorization to perform this work was given by Mr. David Wright, COO of the Health Facilities Group. The project was conducted in accordance with the scope, terms and conditions of PSI Proposal No. 0029-162261, dated September 15, 2015.
1.3 DOCUMENTS PROVIDED BY THE CLIENT
Prior to conducting the visual inspection, PSI reviewed a client provided asbestos survey report.
The Asbestos Survey report, conducted by BalancePoint Federal Services (report dated December 12, 2009) consisted of Building 1 (main hospital).
This data was used to focus the walk through and scope of work to be followed over the course of our visual inspection and sampling.
1.4 LIMITATIONS
Due to the occupancy of the structure, PSI was generally not able to survey all areas or conduct ‘destructive’ sampling such as inside wall cavities or above plaster ceilings: therefore, the inspection was limited to areas that were accessible and exposed.
Inaccessible is defined as areas of the building that were locked, or where admittance was not permitted. It also includes areas/materials that could not be tested (sampled) without destruction of the structure or a portion of the structure, and areas/materials that could not be safely reached by the inspector or inspection team. In the event that access to a portion of the building was not obtained (which otherwise would have been tested), such limitations specifically are identified in the Findings Section of this report.
PSI did not sample any system which presented a hazard to the inspection team such as energized electrical systems or within confined spaces.
PSI did not collect samples from building elements where the intended use would be compromised by testing, such as fire rated doors, vapor barriers, mirror mastics, etc.
PSI Work Order Number 06031125-1
1.5 USE BY THIRD PARTIES
This report was prepared pursuant to the contract PSI has with Health Facilities Group. That contractual relationship included an exchange of information about the property that was unique and between PSI and its client and serves as the basis upon which this report was prepared.
Because of the importance of the communication between PSI and its client, reliance or any use of this report by anyone other than the Health Facilities Group, for whom it was prepared, is prohibited and therefore not foreseeable to PSI.
Reliance or use by any such third party without explicit authorization in the report does not make said third party a third party beneficiary to PSI's contract with the Health Facilities Group. Any such unauthorized reliance on or use of this report, including any of its information or conclusions, will be at the third party's risk. For the same reasons, no warranties or representations, expressed or implied in this report, are made to any such third party.
Third party reliance letters may be issued on request and upon payment of the, then current fee for such letters. All third parties relying on PSI’s reports, by such reliance, agree to be bound by the proposal and PSI’s General Conditions. No reliance by any party is permitted without such agreement, regardless of the content of the reliance letter itself.
PSI Work Order Number 06031125-1
2.0 SCOPE OF SERVICES - ASBESTOS
The survey of the facility was conducted in general accordance with the Environmental Protection Agency (EPA) Asbestos Hazard Emergency Response Act (AHERA) and the National Emission Standards for Hazardous Air Pollutants (NESHAP) sampling guidelines to determine the presence of exposed and/or physically accessible suspect ACM, identify the location of ACM or assumed ACM, quantify the amount of ACM identified during the survey, and provide photographic documentation of each homogenous area. Each suspect material was touched, where possible, to determine the friability of the material. Samples were obtained only from suspect asbestos-containing materials which were readily exposed and/or physically accessible during the survey and if the collection of the sample would not compromise the structural integrity of the material being sampled.
Samples were sent to PSI’s National Voluntary Laboratory Accreditation Program (NVLAP) accredited laboratory located in Pittsburgh, Pennsylvania, for analysis. Each sample underwent polarized light microscopy (PLM) analysis for detection of asbestos fibers in the building materials on a “positive stop” basis, which is defined as follows: if the first sample in the sample group has an analysis indicating that the material contains asbestos at a concentration greater than 1%, then the other samples in the group are not analyzed.
PSI Work Order Number 06031125-1
3.0 METHODOLOGY
3.1 GENERAL REFERENCES
Survey, sampling, and analysis procedures were performed in general accordance with the guidelines published by the EPA in 40 CFR Part 763 Subpart E, October 30, 1987, and NESHAP regulation (40 CFR Part 61, April 6, 1973, revised 1990).
3.2 VISUAL SURVEY
The visual survey was performed by an EPA accredited inspector, a copy of whose credentials is included as Appendix D. An initial building walkthrough was conducted to determine the presence and condition of suspect materials which were physically accessible and/or exposed.
Materials which were similar in general appearance were grouped into homogeneous areas. In addition, the friability of the suspect material was determined. A material is defined as friable
(F) if the material can be reduced to a powder by hand pressure when dry. Non-Friable (NF) is defined as a material that cannot be reduced to powder by hand pressure when dry. NF materials that are damaged can also be considered friable.
Although PSI made an attempt to identify all areas of ACM, there may exist conditions which were unable to be identified within the scope of this study.
3.2.1 Homogeneous Area Classifications
A preliminary walkthrough of the building was conducted to determine areas of materials which were visually similar in color, texture, general appearance, and which appeared to have been installed at the same time. Such materials are termed "homogeneous areas" (HA) by the EPA AHERA regulation. During this walkthrough, the approximate locations of these homogeneous areas were also noted. Only materials which were physically accessible and/or exposed and suspected to contain asbestos were identified and placed in homogenous areas.
Following the EPA AHERA inspection protocol, each identified homogeneous area was placed in one of the following AHERA classifications for the purposes of determining the number of samples to collect:
Surfacing Materials: spray or trowel applied to building members;
Thermal System Insulation (TSI): materials generally applied to various mechanical systems; or
Miscellaneous Materials: any materials which do not fit either of the above categories.
Following the EPA NESHAP inspection protocol, each identified suspect homogeneous material that was confirmed as an ACM was also placed in one of the following NESHAP classifications:
Friable Materials: NESHAP defines a friable ACM as any material containing more than one percent asbestos that, when dry, can be crumbled, pulverized, or reduced to powder by hand pressure.
PSI Work Order Number 06031125-1
Category I Non-Friable (Cat. I NF): NESHAP defines a Category I non-friable ACM as packing, gaskets, resilient floor covering (except vinyl sheet flooring products which are considered friable), and asphalt roofing products which contain more than one percent asbestos.
Category II Non-Friable (Cat. II NF): NESHAP defines a Category II non-friable ACM as any material, except for a Category I non-friable ACM, which contains more than one percent asbestos and cannot be reduced to a powder by hand pressure when dry.
In the NESHAP regulation, a regulated asbestos-containing material (RACM) is defined as any
(a) friable asbestos material; (b) Category I Non-Friable ACM that has become friable; (c) Cat. I NF ACM that will be or has been subjected to sanding, grinding, cutting, or abrading; or (d) Category II Non-Friable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition operations.
3.3 SAMPLING PROCEDURES
Following the walkthrough, the inspector collected selected samples of exposed and/or physically accessible materials identified as suspect ACM. Sampling was limited to those physically accessible materials not involving destruction of walls, other building elements, physical barriers, or the structural integrity of the item being tested.
EPA guidelines were used to determine the sampling protocol. Sampling locations were chosen to be representative of the homogeneous area.
Samples of surfacing material, if present, were collected in general accordance with the EPA random sampling protocol outlined in the EPA publication, "Asbestos in Buildings: Simplified Sampling Scheme for Friable Surfacing Materials" (EPA 560/5-85-030a, October, 1985). The homogeneous area was divided into a grid of nine (9) sub-areas. If nine samples were taken, one sample was taken from each sub-area. If less than nine samples were taken, the EPA random numbering diagram was used to determine which sub-areas would be sampled. While an effort was made to extract the samples from approximately the middle of the sub-area, samples were taken preferentially from already damaged areas or areas which were the least visible.
Samples of TSI and miscellaneous materials were taken as randomly as possible while again attempting to sample already damaged areas so as to minimize disturbance of the material.
The building was occupied during sampling activities. After each sample was extracted, a spray encapsulant and/or tape covering was applied to the sampled area to prevent potential fiber release.
In accordance with the agreement between PSI and the client, roofing materials were sampled by coring through the roof system to the base deck material. PSI applied a temporary patch to the roof core location following sample extraction. Due to the destructive nature of roof sampling however, PSI does not warrant a water tight condition following sample extraction, nor can PSI guarantee the continuance of any roof system warrantees by other entities.
PSI Work Order Number 06031125-1
Suspect asbestos-containing materials that were not sampled are assumed to be ACM. If materials that were assumed to be ACM are to be impacted during demolition activities, then those materials should be sampled and analyzed prior to the demolition activity or treated as ACM. Based on the analysis of previously assumed ACM, further action may be required per the EPA NESHAP regulations.
3.4 LABORATORY PROCEDURES
3.4.1 Method of Analysis
Bulk samples were analyzed by PLM with dispersion staining as described by EPA Method 600/R-93-116 (Asbestos in Bulk Building Materials). This is a standard method of analysis in optical mineralogy and the currently accepted method for the determination of asbestos in bulk samples. The microscopist visually estimated relative amounts of each constituent by determining the volume of each constituent in proportion to the total volume of the sample, using a stereoscope. Then a bulk sample is mounted on a slide, immersed in a solution of known refractive index and subjected to illumination by polarized light. The samples were analyzed for asbestos (chrysotile, amosite, crocidolite, anthophyllite, and actinolite/tremolite), fibrous non-asbestos constituents (mineral wool, paper, etc.) and nonfibrous constituents.
Asbestos was identified by refractive indices, morphology, color, pleochroism, birefringence, extinction characteristics, and signs of elongation. The same characteristics were used to identify the non-asbestos constituents.
It should be noted that some ACM may not be accurately identified or quantified by PLM. As an example, the original fabrication of vinyl floor tiles routinely involved milling of asbestos fibers to extremely small sizes. As a result, these fibers may go undetected under the standard PLM method. Transmission Electron Microscopy (TEM) is recommended for a more definitive analysis of these materials. TEM analysis was not in the scope of this investigation.
3.4.2 Laboratory Quality Control Program
The PSI Laboratory in Pittsburgh, Pennsylvania, maintains an in-house quality control program.
This program involves blind reanalysis of ten (10) percent of all samples, precision and accuracy controls, and use of standard bulk reference materials. In addition, the PSI Laboratory is accredited by NVLAP, which also has quality control procedures inherent in its program.
3.5 QUANTIFICATION
Quantities of physically accessible and/or exposed suspect asbestos-containing materials were estimated. This estimation was performed by taking approximate measurements in the field or estimating quantities based on as-built mechanical or structural drawings. Materials such as pipe insulation and associated mudded joint packing (MJP) were categorized according to the outside diameter of the insulation. Pipe lagging was quantified by linear footage while the actual number of MJPs was counted. Insulation on mechanical equipment such as boilers and ductwork was quantified by the square footage of the surface area of suspect insulation.
Similarly, fireproofings, plasters, ceiling and floor tiles, and transite panels were measured in square feet of surface area. The quantities of ACM that were identified during this investigation are reported in Section 4 of this report. Quantities are estimates, are intended as order or magnitude information or for general policy discussions, and should be confirmed prior to renovation or demolition activities.
PSI Work Order Number 06031125-1
3.6 PHOTOGRAPHY
PSI attempted to collect photographs of homogenous areas, as feasible, during the course of this investigation while respecting both the doctor’s and patient’s privacy. While these photographs were not intended to provide a complete record of the investigation, they do provide a visual description of the homogenous area. Photographs of homogenous areas are intended to depict a representative portion of that homogenous area. The photograph log and the photographs are included in Appendix C.
PSI Work Order Number 06031125-1
4.0 ASBESTOS SURVEY FINDINGS
4.1 GENERAL SUMMARY
ACM and assumed ACM was identified in the planned Emergency Department upgrade area of the VA Medical Center in Topeka, Kansas. A material is considered by the EPA to be asbestos-containing if at least one sample collected from the homogenous area contains asbestos in an amount greater than 1%. Field survey data sheets are included as Appendix A.
Please refer to Appendix B for copies of the laboratory analytical report.
4.2 BUILDING SPECIFIC SUMMARY
4.2.1 Summary of Sampled Asbestos-Containing Building Materials
The following suspect asbestos-containing materials were sampled during the course of this survey, submitted for laboratory analysis, and confirmed to contain asbestos. Other materials sampled during the course of this survey and which were not asbestos-containing are listed on the bulk sample log in Appendix A. A Sample Location diagram is included in Appendix E to show the location of confirmed asbestos-containing material. Materials in bold (and underlined) in the table are confirmed to be ACM.
HA
Designation
Sample Numbers Description Asbestos, % and type
NESHAP
Category
Estimated Quantity
M 33
12” VFT (Gray Mix) and Mastic (Yellow) on leveling compound and Residual
Mastic (Black) 3% Chrysotile Cat I NF
168 SF
*Please See Section 4.2.3
X 57
12” VFT (Tan with brown mix) and Mastic (Black) 3% Chrysotile Cat I NF
Cat I NF 47 SF
DD
Gray Flashing 5% Chrysotile Cat I NF 450 SF
ASSUMED Fire Doors ASSUMED Cat I NF 3 Units
ASSUMED Wall Heaters ASSUMED Cat I NF 4 Units
PSI Work Order Number 06031125-1
HA
Designation
Sample Numbers Description Asbestos, % and type
NESHAP
Category
Estimated Quantity
ASSUMED Residual Black Mastic ASSUMED Cat I NF Possibly Throughout
ASSUMED
Thermal System
Insulation (TSI) and Mudded Joint
ASSUMED Friable In Pipe
Chases and Walls
HA = Homogeneous Area NAD = No Asbestos Detected SF=Square Feet
4.2.2 Inaccessible Areas
The following areas were inaccessible during the survey and therefore were not included in the scope of the survey.
Clean Utility, B116C, Screening Room, AC138, and The Mechanical Area between AC130, AC131 and Stair 2.
These areas may require an asbestos inspection prior to any demolition or renovation activities within the areas.
4.2.3 Summary of Materials Assumed to Contain Asbestos
PSI assumed several suspect materials as listed in the Table shown above (Section 4.2.1).
Materials assumed to contain asbestos consisted of the following:
Fire Doors – PSI identified a total of three fire doors in the survey area.
Wall Heater - PSI was informed that there is a high likelihood that the wall heaters contain a transite panel. These panels are located to each end of the revolving doors in the northern entrance, in the stairwell located in B117A, in the occupational health hallway (A128).
Possible residual black mastic may be located beneath existing floor materials (i.e. floor tile/mastic and carpet/mastic) that could not be identified during the survey.
Possible Thermal System Insulation (TSI) and Mudded Joint Packings (MJPs) may be located within hidden pipe chases and walls that could not be identified during the survey.
4.3 Other Considerations
If additional suspect materials not documented in this report are encountered during work activities, the material should be considered asbestos-containing unless bulk sampling is performed and laboratory analysis proves otherwise.
PSI Work Order Number 06031125-1
Regulated ACM (RACM), including Category II non-friable ACMs, must be properly removed by a licensed asbestos abatement contractor prior to renovations that would disturb the material.
Federal, State and Local regulations and guidelines should be strictly adhered to when removing the ACM.
Prior to the initiation of a project that would involve abatement, a detailed cost estimate and project design is recommended. The cost estimate will incorporate such variables as scheduling and phasing of the project, the size and extent of the project, seasonal factors, operational factors and other restrictions, respiratory protection, alternate abatement options, and type of replacement material. A cost estimate would also include professional fees, such as for project design and management, and other expenses, such as on-site air monitoring and construction supervision.
Quantities are estimates, are intended as order or magnitude information or for general policy discussions, and should be confirmed prior to renovation or demolition activities.
PSI recommends consulting the EPA’s NESHAP standard, the State of Kansas asbestos regulations, and any local regulations for additional details regarding asbestos-related demolition/renovation procedures and requirements.
PSI Work Order Number 06031125-1
5.0 WARRANTY
Professional Service Industries, Inc. warrants that the findings contained herein have been prepared in general accordance with accepted professional practices as applied by similar professionals in the community at the time of its preparation. Changes in the state of the art, site conditions, or in applicable Federal, State and local regulations cannot be anticipated and have not been addressed in this report.
The field and laboratory results reported herein are considered sufficient in detail and scope to determine the presence of physically accessible and/or exposed suspect asbestos-containing materials in the facilities at the time of the survey. Test results are valid only for the material tested at the time of the sample collection during the survey. PSI also recognizes that raw laboratory test data are not usually sufficient to make all abatement and management decisions.
There is a distinct possibility that conditions may exist which could not be identified within the scope of work or which were not apparent during the site visit. This survey covered only those areas which were exposed and/or physically accessible to the inspector. The study is also limited to the information available from the client at the time it was conducted. The report may not represent all conditions at the subject site as it only reflects the information gathered from specific locations.
As directed by the client, PSI did not provide any service to investigate or detect the presence of moisture, mold or other biological contaminants in or around any structure, or any service that was designed or intended to prevent or lower the risk of the occurrence of the amplification of the same. The sampling methods utilized by PSI in performing its services may result in the disturbance or dispersal of mold spores. The client acknowledges that mold is ubiquitous to the environment with mold amplification occurring when building materials are impacted by moisture. Client further acknowledges that site conditions are outside of PSI’s control, and that mold amplification will likely occur, or continue to occur, in the presence of moisture. As such, PSI cannot and shall not be held responsible for the occurrence or reoccurrence of mold amplification.
No other warranties are implied or expressed.
APPENDIX A
FIELD SURVEY DATA WORKSHEETS
BULK SAMPLE LOG
Client: VA Medical Center Project Number: 06031125-1 Inspector: Ybairy Duin and Rick Leines Date: 11/23/15 and 11/24/2015
SAMPLE
MATERIAL DESCRIPTION
(include type of material, color, size)
MATERIAL LOCATION
(all areas where material is present)
SAMPLE LOCATION F/
NF
COND
(G,F,P)
A
Drywall and Joint Compound Throughout Exam Room, A128C Soiled Utility, B116D Break Room, AC104
NF
F G
B
Plaster
Throughout (may be encountered above ceiling panels and behind drywall walls)
Storage, A129 Storage, A129
Emergency Room Waiting Hall near A134A (Above ceiling panel) Housekeeping, A138 Housekeeping, A138
NF G
C 9
12” VFT (Cream with small mix of various colors) and
Mastic (Yellow)
A128, A128A, A128B, A128C, A129, and West
Side of B103
Exam Room, A128C Storage, A129
NF
NF G
D 11
6” Baseboard (Gray) and Mastic (Yellow)
A128, A128A, A128B, A128C, A129, B109, B109A, Corridors B1-01 and B1-04, B110, B110A, B110B, B113, and AC134A
Exam Room, A128C VA Police Op’s, B110
NF
NF G
E
2’ x 2’ Ceiling Panel (White with two size holes)
A129, A128, A128A, A128B, A128C, West Side of B103, A134, Western Hall, Eastern Hall Near Stair 3, and
A140
Exam Room, A128C
Western Hall Eastern Hall Near Stair 3
F G
F 16 17 Sink Undercoating (White) A128A, A128B, and
A128C Exam Room, A128C Exam Room, A128A F G
G
Sealant (Black) A128 and West Side of B103
Occupational Health, A128
West Side of B103
NF G
H 21
4” Baseboard (Red) and Mastic (Yellow)
AC 133, B103, B117,
Corridors: B1-03A, A1- 05, A1-05A, AC1-6, and
Eastern Corridor
Emergency Room Waiting, B103
Waiting Room, B117
NF
NF G
I 23
12” VFT (Cream with large mix of various colors) and
Mastic (Black)
Throughout, except in the following
Homogeneous Areas C, M, O, Q, T and X.
Waiting Room, B117 Break Room, AC104
NF
NF G
SAMPLE
MATERIAL DESCRIPTION
(include type of material, color, size)
MATERIAL LOCATION
(all areas where material is present)
SAMPLE LOCATION F/
NF
COND
(G,F,P)
J
2’ x 4’ Ceiling Panel (White, texturized, fissures and holes with ceiling grid)
A134A, AC101,
AC101C, AC101D,
AC129, AC133, AC134,
AC135, B102, B103,
B106, B114, B115, B116D, B117, AC136,
AC137, and Corridors:
B1-03, B1-03A, A1-05, A1-05A, AC1-6 and South Side of Eastern Corridor (Near Stair 3)
South Side of Eastern Corridor (Near Stair 3)
Corridor A1-05A Corridor B1-03
F G
K 28
4” Baseboard (Gray) and Mastic (Yellow)
Throughout Exam Rooms, B116, Behind Vending Machines in
B117, B112, AC101A,
AC101B, AC101D,
AC104, and B116A
ER Nurse Manager, B116 Waiting Room, B117
NF
NF G
L
2’ x 4’ Ceiling Panel (White, smooth, fissures and holes with ceiling grid)
A133, B101, B107, B108 B113, B116, B116A, B116B, AC101A,
AC101B, AC102,
AC103, AC104, AC139,
AC140, AC127, AC128,
AC130, AC131, AC132,
AC132A, and Eastern
Corridor
Exam Room, B107 Exam Room #30, AC130
Break Room, AC104 F G
M 33
12” VFT (Gray Mix) and Mastic (Yellow) on leveling compound and Residual
Mastic (Black)
B116 ER Nurse Manager, B116 ER Nurse Manager, B116
NF
NF
NF
NF
G
N
Sink Undercoating (Gray)
AC104, AC127, AC128,
AC130, AC131, AC132,
AC135, AC136, AC137,
A139, AC140, B106,
B107, B113
Break Room, AC104 Exam Room #35, AC135 Exam Room #36, AC136
F G
O 38
12” VFT (Pink, white, green, and orange mix) and Mastic
(Yellow)
B104 and Hall located north of Stair 3
Exam Room, B104 Exam Room, B104
NF
NF G
P
2’ x 2’ Ceiling Panel (White, texturized, holes) Starbucks, AC101E Starbucks, AC101E
Starbucks, AC101E F G
Q 43
Various Colors Carpet Mastic (Yellow) AC101A and AC101B PIC Card Issue, AC101A
Office, AC101B NF G
SAMPLE
MATERIAL DESCRIPTION
(include type of material, color, size)
MATERIAL LOCATION
(all areas where material is present)
SAMPLE LOCATION F/
NF
COND
(G,F,P)
R 45
4” Baseboard (Cream) and Mastic (Yellow) West Hall
West Hall near Dumbwaiter, A134
West Hall near Staff Break Room, A134A
NF
NF G
T 49
12” VFT (White, green, and blue mix) and Mastic (Yellow and Black)
B109, B109A, B110, B110A, B110B
VA Police Op’s, B110 VA Police Op’s, B110
NF
NF G
U
2’ x 2’ Ceiling Panel (White, large fissures and holes)
B109, B109A, B110, B110A, B110B
VA Police Op’s, B110 VA Police Op’s, B110 VA Police Op’s, B110
F G
W 56 Pipe Wrap (Black Tar) In a pipe above ceiling tiles near Corridor B1-01
In a pipe above ceiling tiles near Corridor B1-01 NF G
X 57
12” VFT (Tan with brown mix) and Mastic (Black) Dumbwaiter, A134 Dumbwaiter, A134
Dumbwaiter, A134 NF G
Y
2’ x 2’ Ceiling Panel (White, one size holes) A134 and A138 Dumbwaiter, A134
Dumbwaiter, A134 F G
Z
Linoleum (Wood pattern) and Mastic (Yellow) West Hall and A140
West Hall near Dumbwaiter, A134
West Hall near Staff Break Room, A134A Elevator Lobby, A140
F
NF G
AA
Thermal System Insulation (TSI) with a Black Layer
Pipes above ceiling tiles in the West Hall
Pipes above ceiling tiles in the West Hall
Pipes above ceiling tiles in the West Hall
Pipes above ceiling tiles in the West Hall
NF
F G
BB
Mudded Joint (White) Pipe elbow in B112 Pipe elbow in B112 Pipe elbow in B112 Pipe elbow in B112
F G
CC
Stucco North Portico – Roof North Portico – Roof North Portico – Roof North Portico – Roof
NF G
SAMPLE
MATERIAL DESCRIPTION
(include type of material, color, size)
MATERIAL LOCATION
(all areas where material is present)
SAMPLE LOCATION F/
NF
COND
(G,F,P)
DD
Gray Flashing Scattered around roofing units and parapet walls
South – Roof Center – Roof North – Roof
NF G
EE
Roofing Material Throughout South – Roof Center – Roof North – Roof
NF G
NOTES:
VFT – Vinyl Floor Tile Samples S47, S48, V54, and V55 were discharged Areas of No Access: A129A, AC138, B116C, Mechanical Area between Exam Rooms AC130 and AC131 and Stair 2
APPENDIX B
LABORATORY ANALYTICAL REPORT
REPORT OF BULK SAMPLE ANALYSIS FOR ASBESTOS
TESTED FOR: PSI, Inc VA - Upgrade Emerg. Dept.
Date Received: 12/2/2015 Date Completed: 12/4/2015
1211 West Cambridge Circle Drive Kansas City, KS 66103 Attn: Ybairy Duin
Project ID: 0603-1125
Topeka, KS
Date Reported: 12/4/2015
Page: 1 of 6Analyst: PH Work Order: 1512054
Lab ID (Layer)
Asbestos Content
(Percent and Type)
Non-asbestos Fibers
(Percent and Type)
Client ID Sample Description (Color, Texture, Etc.)
Analyst's Comment
001AA1 (1) Gray, Drywall, Homogeneous 10% Cellulose FiberNO ASBESTOS DETECTED
(2) White, Joint Compound, Homogeneous
NO ASBESTOS DETECTED None Reported
002AA2 (1) Gray, Drywall, Homogeneous 10% Cellulose FiberNO ASBESTOS DETECTED
(2) White, Joint Compound, Homogeneous
NO ASBESTOS DETECTED None Reported
003AA3 (1) Gray, Drywall, Homogeneous 10% Cellulose FiberNO ASBESTOS DETECTED
(2) White, Joint Compound, Homogeneous
NO ASBESTOS DETECTED None Reported
004AB4 (1) White, Plaster, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Gray, Plaster, Homogeneous NO ASBESTOS DETECTED None Reported
005AB5 (1) White, Plaster, Homogeneous NO ASBESTOS DETECTED None Reported
006AB6 (1) White, Plaster, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Gray, Plaster, Homogeneous NO ASBESTOS DETECTED None Reported
007AB7 (1) White, Plaster, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Gray, Plaster, Homogeneous NO ASBESTOS DETECTED None Reported
008AB8 (1) White, Plaster, Homogeneous NO ASBESTOS DETECTED None Reported
009AC9 (1) Off-White, Floor Tile, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
Quantitation is based on a visual estimation of the relative area of bulk sample components, unless otherwise noted in the "Comments" section of this report. The results are valid only for the item tested. This report may not be used to claim product endorsement by NVLAP or any agency of the U.S. Government. Method used:
E.P.A. Method for the Determination of Asbestos in Bulk Building Materials (EPA / 600/R-93/116 July 1993). Polarized Light Microscopy is not consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound materials. Quantitative Transmission Electron Microscopy is currently the only method that can be used to determine if the material can be considered or treated as non-asbestos containing. Samples will be disposed of within 30 days unless notified in writing by the client. No part of this report may reproduced, except in full, without written permission of the laboratory. The reporting limit is 1% by weight. NVLAP Lab Code 101350-0.
Respectfully submitted, Approved Signatory
PSI, Inc.
Professional Service Industries, Inc. 850 Poplar Street, Pittsburgh, PA 15220 Phone 412/922-4010 Fax 412/922-4014
Mary Cantley
Page: 2 of 6Analyst: PH Work Order: 1512054
Lab ID (Layer)
Asbestos Content
(Percent and Type)
Non-asbestos Fibers
(Percent and Type)
Client ID Sample Description (Color, Texture, Etc.)
Analyst's Comment
010AC10 (1) Off-White, Floor Tile, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
(3) Gray, Leveling Compound, Homogeneous
NO ASBESTOS DETECTED None Reported
(4) Black, Mastic, Homogeneous 3% Cellulose FiberNO ASBESTOS DETECTED
011AD11 (1) Gray, Baseboard, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
012AD12 (1) Gray, Baseboard, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
013AE13 (1) White, Ceiling Tile, Homogeneous 30% Fibrous Glass
40% Cellulose FiberNO ASBESTOS DETECTED
014AE14 (1) White, Ceiling Tile, Homogeneous 30% Fibrous Glass
40% Cellulose FiberNO ASBESTOS DETECTED
015AE15 (1) White, Ceiling Tile, Homogeneous 30% Fibrous Glass
40% Cellulose FiberNO ASBESTOS DETECTED
016AF16 (1) Off-White, Sink Undercoating, Homogeneous
7% Cellulose FiberNO ASBESTOS DETECTED
017AF17 (1) Off-White, Sink Undercoating, Homogeneous
7% Cellulose FiberNO ASBESTOS DETECTED
018AG18 (1) Black, Sealant, Homogeneous NO ASBESTOS DETECTED None Reported
019AG19 (1) Black, Sealant, Homogeneous NO ASBESTOS DETECTED None Reported
020AG20 (1) Black, Sealant, Homogeneous NO ASBESTOS DETECTED None Reported
021AH21 (1) Red, Baseboard, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
022AH22 (1) Red, Baseboard, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
023AI23 (1) Off-White, Floor Tile, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Black, Mastic, Homogeneous 5% Cellulose FiberNO ASBESTOS DETECTED
Quantitation is based on a visual estimation of the relative area of bulk sample components, unless otherwise noted in the "Comments" section of this report. The results are valid only for the item tested. This report may not be used to claim product endorsement by NVLAP or any agency of the U.S. Government. Method used:
E.P.A. Method for the Determination of Asbestos in Bulk Building Materials (EPA / 600/R-93/116 July 1993). Polarized Light Microscopy is not consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound materials. Quantitative Transmission Electron Microscopy is currently the only method that can be used to determine if the material can be considered or treated as non-asbestos containing. Samples will be disposed of within 30 days unless notified in writing by the client. No part of this report may reproduced, except in full, without written permission of the laboratory. The reporting limit is 1% by weight. NVLAP Lab Code 101350-0.
Respectfully submitted, Approved Signatory
PSI, Inc.
Professional Service Industries, Inc. 850 Poplar Street, Pittsburgh, PA 15220 Phone 412/922-4010 Fax 412/922-4014
Page: 3 of 6Analyst: PH Work Order: 1512054
(Layer)
Asbestos Content
(Percent and Type)
Non-asbestos Fibers
(Percent and Type)
Client ID Sample Description (Color, Texture, Etc.)
Analyst's Comment
024AI24 (1) Off-White, Floor Tile, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Black, Mastic, Homogeneous 5% Cellulose FiberNO ASBESTOS DETECTED
025AJ25 (1) White, Ceiling Tile, Homogeneous 30% Fibrous Glass
40% Cellulose FiberNO ASBESTOS DETECTED
026AJ26 (1) White, Ceiling Tile, Homogeneous 30% Fibrous Glass
40% Cellulose FiberNO ASBESTOS DETECTED
027AJ27 (1) White, Ceiling Tile, Homogeneous 30% Fibrous Glass
40% Cellulose FiberNO ASBESTOS DETECTED
028AK28 (1) Gray, Baseboard, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
029AK29 (1) Gray, Baseboard, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
030AL30 (1) White, Ceiling Tile, Homogeneous 10% Fibrous Glass
60% Cellulose FiberNO ASBESTOS DETECTED
031AL31 (1) White, Ceiling Tile, Homogeneous 10% Fibrous Glass
60% Cellulose FiberNO ASBESTOS DETECTED
032AL32 (1) White, Ceiling Tile, Homogeneous 10% Fibrous Glass
60% Cellulose FiberNO ASBESTOS DETECTED
033AM33 (1) Off-White, Floor Tile, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
(3) Gray, Leveling Compound, Homogeneous
NO ASBESTOS DETECTED None Reported
034AM34 (1) Off-White, Floor Tile, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
(3) Gray, Leveling Compound, Homogeneous
NO ASBESTOS DETECTED None Reported
(4) Black, Mastic, Homogeneous Chrysotile3% None Reported
035AN35 (1) Gray, Sink Undercoating, Homogeneous
7% Cellulose FiberNO ASBESTOS DETECTED
Quantitation is based on a visual estimation of the relative area of bulk sample components, unless otherwise noted in the "Comments" section of this report. The results are valid only for the item tested. This report may not be used to claim product endorsement by NVLAP or any agency of the U.S. Government. Method used:
E.P.A. Method for the Determination of Asbestos in Bulk Building Materials (EPA / 600/R-93/116 July 1993). Polarized Light Microscopy is not consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound materials. Quantitative Transmission Electron Microscopy is currently the only method that can be used to determine if the material can be considered or treated as non-asbestos containing. Samples will be disposed of within 30 days unless notified in writing by the client. No part of this report may reproduced, except in full, without written permission of the laboratory. The reporting limit is 1% by weight. NVLAP Lab Code 101350-0.
Respectfully submitted, Approved Signatory
PSI, Inc.
Professional Service Industries, Inc. 850 Poplar Street, Pittsburgh, PA 15220 Phone 412/922-4010 Fax 412/922-4014
Page: 4 of 6Analyst: PH Work Order: 1512054
(Layer)
Asbestos Content
(Percent and Type)
Non-asbestos Fibers
(Percent and Type)
Client ID Sample Description (Color, Texture, Etc.)
Analyst's Comment
036AN36 (1) Gray, Sink Undercoating, Homogeneous
7% Cellulose FiberNO ASBESTOS DETECTED
037AN37 (1) Gray, Sink Undercoating, Homogeneous
7% Cellulose FiberNO ASBESTOS DETECTED
038AO38 (1) Off-White, Floor Tile, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
039AO39 (1) Off-White, Floor Tile, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
040AP40 (1) White, Ceiling Tile, Homogeneous 30% Fibrous Glass
40% Cellulose FiberNO ASBESTOS DETECTED
041AP41 (1) White, Ceiling Tile, Homogeneous 30% Fibrous Glass
40% Cellulose FiberNO ASBESTOS DETECTED
042AP42 (1) White, Ceiling Tile, Homogeneous 30% Fibrous Glass
40% Cellulose FiberNO ASBESTOS DETECTED
043AQ43 (1) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
044AQ44 (1) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
045AR45 (1) Tan, Baseboard, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
046AR46 (1) Tan, Baseboard, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
047AT49 (1) Off-White, Floor Tile, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Black, Mastic, Homogeneous 5% Cellulose FiberNO ASBESTOS DETECTED
048AT50 (1) Off-White, Floor Tile, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
049AU51 (1) White, Ceiling Tile, Homogeneous 10% Fibrous Glass
60% Cellulose FiberNO ASBESTOS DETECTED
050AU52 (1) White, Ceiling Tile, Homogeneous 10% Fibrous Glass
60% Cellulose FiberNO ASBESTOS DETECTED
Quantitation is based on a visual estimation of the relative area of bulk sample components, unless otherwise noted in the "Comments" section of this report. The results are valid only for the item tested. This report may not be used to claim product endorsement by NVLAP or any agency of the U.S. Government. Method used:
E.P.A. Method for the Determination of Asbestos in Bulk Building Materials (EPA / 600/R-93/116 July 1993). Polarized Light Microscopy is not consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound materials. Quantitative Transmission Electron Microscopy is currently the only method that can be used to determine if the material can be considered or treated as non-asbestos containing. Samples will be disposed of within 30 days unless notified in writing by the client. No part of this report may reproduced, except in full, without written permission of the laboratory. The reporting limit is 1% by weight. NVLAP Lab Code 101350-0.
Respectfully submitted, Approved Signatory
PSI, Inc.
Professional Service Industries, Inc. 850 Poplar Street, Pittsburgh, PA 15220 Phone 412/922-4010 Fax 412/922-4014
Page: 5 of 6Analyst: PH Work Order: 1512054
(Layer)
Asbestos Content
(Percent and Type)
Non-asbestos Fibers
(Percent and Type)
Client ID Sample Description (Color, Texture, Etc.)
Analyst's Comment
051AU53 (1) White, Ceiling Tile, Homogeneous 10% Fibrous Glass
60% Cellulose FiberNO ASBESTOS DETECTED
052AW56 (1) Black, Wrap, Homogeneous 5% Cellulose FiberNO ASBESTOS DETECTED
053AX57 (1) Tan, Floor Tile, Homogeneous Chrysotile3% None Reported
(2) Black, Mastic, Homogeneous Chrysotile3% None Reported
054AX58 Sample Not Tested
055AY59 (1) White, Ceiling Tile, Homogeneous 30% Fibrous Glass
40% Cellulose FiberNO ASBESTOS DETECTED
056AY60 (1) White, Ceiling Tile, Homogeneous 30% Fibrous Glass
40% Cellulose FiberNO ASBESTOS DETECTED
057AY61 (1) White, Ceiling Tile, Homogeneous 30% Fibrous Glass
40% Cellulose FiberNO ASBESTOS DETECTED
058AZ62 (1) Tan, Linoleum, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
059AZ63 (1) Tan, Linoleum, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
060AZ64 (1) Tan, Linoleum, Homogeneous NO ASBESTOS DETECTED None Reported
(2) Yellow, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
061AAA65 (1) Silver, Insulation, Homogeneous 70% Cellulose FiberNO ASBESTOS DETECTED
(2) Black, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
062AAA66 (1) Silver, Insulation, Homogeneous 70% Cellulose FiberNO ASBESTOS DETECTED
(2) Black, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
063AAA67 (1) Silver, Insulation, Homogeneous 70% Cellulose FiberNO ASBESTOS DETECTED
(2) Black, Mastic, Homogeneous NO ASBESTOS DETECTED None Reported
064ABB68 (1) Gray, Mud, Homogeneous 10% Cotton
30% Fibrous GlassNO ASBESTOS DETECTED
Quantitation is based on a visual estimation of the relative area of bulk sample components, unless otherwise noted in the "Comments" section of this report. The results are valid only for the item tested. This report may not be used to claim product endorsement by NVLAP or any agency of the U.S. Government. Method used:
E.P.A. Method for the Determination of Asbestos in Bulk Building Materials (EPA / 600/R-93/116 July 1993). Polarized Light Microscopy is not consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound materials. Quantitative Transmission Electron Microscopy is currently the only method that can be used to determine if the material can be considered or treated as non-asbestos containing. Samples will be disposed of within 30 days unless notified in writing by the client. No part of this report may reproduced, except in full, without written permission of the laboratory. The reporting limit is 1% by weight. NVLAP Lab Code 101350-0.
Respectfully submitted, Approved Signatory
PSI, Inc.
Professional Service Industries, Inc. 850 Poplar Street, Pittsburgh, PA 15220 Phone 412/922-4010 Fax 412/922-4014
Page: 6 of 6Analyst: PH Work Order: 1512054
(Layer)
Asbestos Content
(Percent and Type)
Non-asbestos Fibers
(Percent and Type)
Client ID Sample Description (Color, Texture, Etc.)
Analyst's Comment
065ABB69 (1) Gray, Mud, Homogeneous 10% Cotton
30% Fibrous GlassNO ASBESTOS DETECTED
066ABB70 (1) Gray, Mud, Homogeneous 10% Cotton
30% Fibrous GlassNO ASBESTOS DETECTED
067ACC71 (1) Tan, Stucco, Homogeneous 10% Fibrous GlassNO ASBESTOS DETECTED
068ACC72 (1) Tan, Stucco, Homogeneous 10% Fibrous GlassNO ASBESTOS DETECTED
069ACC73 (1) Tan, Stucco, Homogeneous 10% Fibrous GlassNO ASBESTOS DETECTED
070ADD74 (1) Gray, Flashing, Homogeneous Chrysotile5% None Reported
071ADD75 Sample Not Tested
072ADD76 Sample Not Tested
073AEE77 (1) Black, Roofing, Homogeneous 10% Synthetic FiberNO ASBESTOS DETECTED
10% Fibrous Glass
074AEE78 (1) Black, Roofing, Homogeneous 10% Synthetic FiberNO ASBESTOS DETECTED
10% Fibrous Glass
075AEE79 (1) Black, Roofing, Homogeneous 10% Synthetic FiberNO ASBESTOS DETECTED
10% Fibrous Glass
Report Notes: (PT) Point Count Results
Quantitation is based on a visual estimation of the relative area of bulk sample components, unless otherwise noted in the "Comments" section of this report. The results are valid only for the item tested. This report may not be used to claim product endorsement by NVLAP or any agency of the U.S. Government. Method used:
E.P.A. Method for the Determination of Asbestos in Bulk Building Materials (EPA / 600/R-93/116 July 1993). Polarized Light Microscopy is not consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound materials. Quantitative Transmission Electron Microscopy is currently the only method that can be used to determine if the material can be considered or treated as non-asbestos containing. Samples will be disposed of within 30 days unless notified in writing by the client. No part of this report may reproduced, except in full, without written permission of the laboratory. The reporting limit is 1% by weight. NVLAP Lab Code 101350-0.
Respectfully submitted, Approved Signatory
PSI, Inc.
Professional Service Industries, Inc. 850 Poplar Street, Pittsburgh, PA 15220 Phone 412/922-4010 Fax 412/922-4014
APPENDIX C
PHOTOGRAPHS
Homogeneous Area A: Drywall and Joint Compound Location: Topeka VA Med Center Project Number: 06031125-1 Date: 11/23/2015 and 11/24/2015 Taken by: Ybairy K. Duin
Homogeneous Area B: Plaster
Homogeneous Area C and D: 12” VFT (Cream with small mix of various colors) and Mastic (Yellow); and 6” Baseboard (Gray) and Mastic (Yellow)
Homogeneous Area E: 2’ x 2’ Ceiling Panel (White with two size holes)
Homogeneous Area F: Sink Undercoating (White)
Homogeneous Area G: Sealant (Black)
Homogeneous Area H and I: 4” Baseboard (Red) and Mastic (Yellow); and 12” VFT (Cream with large mix of various colors) and Mastic (Black)
Homogeneous Area J: 2’ x 4’ Ceiling Panel (White, texturized, fissures and holes with ceiling grid)
Homogeneous Area K: 4” Baseboard (Gray) and Mastic (Yellow)
Homogeneous Area L: 2’ x 4’ Ceiling Panel (White, smooth, fissures and holes with ceiling grid)
Homogeneous Area M: 12” VFT (Gray Mix) and Mastic (Yellow) on leveling compound and Black Residual Mastic (Confirmed Asbestos-Containing Material)
Homogeneous Area N: Sink Undercoating (Gray)
Homogeneous Area O: 12” VFT (Pink, white, green, and orange mix) and Mastic (Yellow)
Location: Topeka VA Med Center Project Number: 06031125-1 Date: 11/23/2015 and 11/24/2015 Taken by: Ybairy K. Duin
NO PHOTO AVAILABLE
Homogeneous Area P: 2’ x 2’ Ceiling Panel (White, texturized, holes)
Homogeneous Area Q: Various Colors Carpet Mastic (Yellow)
Homogeneous Area R and Z: 4” Baseboard (Cream) and Mastic (Yellow); and Linoleum (Wood pattern) and Mastic (Yellow)
Homogeneous Area T: 12” VFT (White, green, and blue mix) and Mastic (Yellow and Black)
Homogeneous Area U: 2’ x 2’ Ceiling Panel (White, large fissures and holes)
NO PHOTO AVAILABLE
Homogeneous Area W: Pipe Wrap (Black Tar)
Confirmed Asbestos-Containing Materials Homogeneous Area X: 12” VFT (Tan with brown mix) and Mastic (Black)
Homogeneous Area Y: 2’ x 2’ Ceiling Panel (White, one size holes)
Homogeneous Area AA: Thermal System Insulation (TSI) with a Black Layer
Homogeneous Area BB: Mudded Joint (White)
Homogeneous Area CC: Stucco
Confirmed Asbestos-Containing Material Homogeneous Area DD: Gray Flashing
Homogeneous Area EE: Roofing Material
Gray Flashing
APPENDIX D
CERTIFICATES
APPENDIX E
DRAWINGS
LIMITED LEAD-BASED PAINT
SURVEY
For the
EMERGENCY DEPARTMENT
PSI WORK ORDER NUMBER 06031125-1
TABLE OF CONTENTS
1. INTRODUCTION
1.1 AUTHORIZATION AND ACCESS
1.2 DESCRIPTION OF SURVEY AREA
1.3 PURPOSE OF SURVEY
1.4 USE BY THIRD PARTIES
2. METHODOLOGY
2.1 REVIEW OF CLIENT-PROVIDED DOCUMENTATION
2.2 FIELD SURVEY AND XRF TESTING
2.3 DEVIATIONS FROM THE PROPOSED SCOPE OF WORK
3. FINDINGS
3.1 REVIEW OF CLIENT-PROVIDED DOCUMENTATION
3.2 WALK-THROUGH
3.3 FIELD SURVEY AND XRF TESTING
4. ADDITIONAL CONSIDERATIONS
5. WARRANTY
LIST OF APPENDICES
APPENDIX A - FIELD DOCUMENTATION
APPENDIX B - PHOTOGRAPHS
APPENDIX C - PERSONNEL ACCREDITATIONS
APPENDIX D - DRAWINGS
Emergency Department Upgrades - LBP
PSI Work Order Number 06031125-1
1. INTRODUCTION
Professional Service Industries, Inc. (PSI) has performed a limited lead-based paint (LBP) survey in general accordance with PSI Proposal 0029-162261, except as noted in Section 2.3 of this report.
1.1 AUTHORIZATION AND ACCESS
Authorization to perform the survey was given by PSI’s receipt of a signed copy of PSI Proposal Number 0029-162261, between the Health Facilities Group and PSI.
Access to the property was provided by the Department of Veterans Affairs (VA) Supervising General Engineer, Mr. Daniel Ball.
1.2 DESCRIPTION OF SURVEY AREA
The limited LBP survey was conducted on the interior and exterior of the existing Emergency Department at the VA Medical Center in…
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