Jackson VA Asbestos Report April 2022.pdf

HGS Engineering, Inc.

1121 Noble Street Anniston, AL 36201 Phone: 256-236-1848 ● Fax: 256-236-2979 www.hgsengineeringinc.com

ENGINEERING AND PROFESSIONAL SERVICES

NESHAP Inspection of the Main Hospital at the

G.V. (Sonny) Montgomery VA Medical Center

April 2022 http://www.hgsengineeringinc.com/

TABLE OF CONTENTS

1 REPORT

2 SAMPLING PROTOCOL

3 ABBREVIATIONS AND DEFINITIONS

4 SAMPLING RESULTS

5 PICTURES

6 CERTIFICATIONS

NESHAP Inspection of the Main Hospital- April 2022

NESHAP Inspection of the Main Hospital at the

NESHAP ASBESTOS INSPECTION of the Main Hospital – Background

HGS Engineering, Inc was contracted by the Jackson, Mississippi Department of Veterans Affairs Medical Center Safety Department office to conduct the NESHAP Asbestos Inspection of the floors in the basement of the main medical facility at the Jackson, Mississippi location. Scott Berry, from the Jackson VA's Safety Department, escorted Tim Thompson, from HGS Engineering, on a site walkthrough of the basement of the main hospital on 19 April 2022

NESHAP ASBESTOS INSPECTION of the Main Hospital – Executive Summary

HGS Engineering performed fieldwork at the Jackson VA Medical Center on 19 April 2022. Tim Thompson, a certified state of Mississippi Asbestos Inspector and Asbestos Supervisor, inspected the main medical facility's basement. In the basement two samples were taken of a wall in room C-52A, two samples of floor tile and mastic in room C-32, and four samples of TSI/mastic wrap were taken in room F-40. Samples F40/1, F40/1-2, F40-1-3, C32-1, and C32-2 tested positive for asbestos. Samples F40/1-1, C52A-1, and C52A-2 tested negative for asbestos. The pictures and drawing attached to this report show the material and location of the samples taken.

Tim Thompson State of Mississippi DEQ Asbestos Inspector ABI-00007993 Asbestos Supervisor ABS-00007992

NESHAP INSPECTION SURVEY – Sampling Protocol

In all cases, the Asbestos Survey was performed by an AHERA Building Inspector as defined under 40 CFR 763

Field Procedures

· A review of any existing information about the structure, including design drawings, as-built drawings, project specifications, and any existing survey and/or laboratory information was conducted.

· Utilize the proper equipment in order to examine all accessible spaces (i.e. ladders, flashlights, etc.).

· Determine the extent to which the building was renovated and/or changed and when.

· Determine and investigate each building's structural, mechanical, electrical and roofing systems.

· Perform a comprehensive investigation of areas to identify materials to be sampled and/or assumed to contain asbestos.

· Create sampling plan based on suspect materials present and requirements of 40 CFR

763.85 & 763.86.

· Collect bulk samples of all suspect materials that will be disturbed and submit those not assumed to be asbestos to a certified laboratory for analysis.

· Document where asbestos materials exist and record their exact location, condition and approximate quantity.

Destructive Investigation. Many asbestos containing materials are located in concealed areas such as wall cavities, below to provide a sufficient Asbestos Survey; the Inspector must perform destructive testing (i.e. opening walls, etc.) to inspect these areas for suspect materials. The following guidelines were intended to help in locating concealed materials:

· Identify the different building systems which may involve concealed asbestos materials such as the heating/cooling system, domestic water lines, roof drainage lines, miscellaneous piping lines, underlay roofing, etc.

· Open hidden areas and inspect each system as needed for each area of construction.

· Focus our inspection on likely areas for suspect materials (i.e. where insulated pipe enters wall or ceiling, etc.).

· Examine additional areas if results of inspection are inconsistent.

Survey Methodology:

· Description of inspection procedure, including scope of the survey. Inspection must be in accordance with the sampling protocol in 40 CFR 763.85 and 763.86.

· If hidden or inaccessible areas are to be disturbed or are likely to be disturbed, a destructive investigation must be performed. Provide a detailed description of the procedure used to find hidden suspect materials. For example, if asbestos pipe insulation is suspected in a wall cavity, describe by location where the wall was opened for examination. It is recommended that each building and non-structural system suspected of having asbestos materials be sampled at a minimum of three locations.

· Description of sampling methods.

Bulk PLM

· Asbestos Identification Process.

Prepare sample and suspect asbestos material location plan.

List all materials sampled and tested.

List all materials assumed to contain asbestos.

Indicate type and amount of material sampled, be specific.

Describe suspect material location, friability, and approximate location.

List all materials not sampled and state why they were not sampled.

References followed and used during this inspection included:

-U.S. Department of Labor, Occupational Safety and Health Administration (OSHA) -Title 29 of the Code of Federal Regulations, Part 1926.1101, Asbestos Construction Standard (29 CFR 1926.1101)

- Asbestos General Industry Standard (29 CFR 1910.1001)

- Personal Protective Equipment (29 CFR 1926, Subpart E)

- Hazard Communication (29 CFR 1910.1200)

- Specifications for Accident Prevention, Signs, and Tags (29 CFR 1910.145)

- U.S. Environmental Protection Agency (EPA) National Emissions Standard for Hazardous Air Pollutants (NESHAP) Asbestos Regulation (40 CFR 61, Subparts A, B, and M) -American National Standards Institute (ANSI)

- Practices for Respiratory Protection (ANSI Standard Z88.2-1980)

- Fundamentals Governing the Design and Operation of Local Exhaust Systems (ANSI Z9.2-79) -National Fire Protection Association (NFPA)

1. The following was used in establishing the sampling protocol to be used for sampling. Homogeneous Area

-Any SM, TSI, or Misc material that I uniform in color and texture.

-Date of construction

Sampling -Surfacing Material

Sampling in a "statistically random manner" Follow 3-5-7 rule

3 <1000 sq. feet 5 1000-5000 sq. feet 7 >5000 sq. ft

-Thermal System Insulation Sampling in a "randomly distributed manner"

3 samples per homogenous material 1 sample per fitting 1 sample per patched area, six feet

-Miscellaneous Material "In a manner sufficient to determine ACBM content per homogenous material" Sample at least 2 samples per homogenous material.

2. Asbestos was assessed using the following criteria.

Current Condition -Significantly Damaged, Damaged, Good

Distributed

SD >10%

D 1-10% G 0-<1%

Localized

SD >25%

D 1-25% G 0-<1%

Potential for Damage

-Disturbance considerations:

Contact, air erosion, and vibration High, Moderate, Low

All assessment will be based on functional space

3. Physical Assessment Categories -Damaged/significantly damaged TSI -Damaged friable surfacing ACBM -Significantly damaged friable surfacing ACBM -Damaged/significantly damaged friable miscellaneous materials (Undamaged follows) -ACBM with potential for damage -ACBM with potential for significant damage -Any remaining friable ACBM

4. Potential for damage considerations

-Frequency of potential contact -Influence of vibration -Potential for air erosion -Overall rating

If anyone is high potential for damage should be significant damage.

If anyone is moderate potential for damage should be damage.

All three must be low to receive a potential damage of low.

5. Current hazard ranking

Hazard Rank AHERA Category Response Action 1 Non friable or friable with

Low potential for damage No action required.

2 Friable with potential for damage Appropriate action to prevent damage when possible. O&M required.

3 Friable with potential for significantly damage

Take steps to reduce potential for disturbance. O&M required.

4 Friable damaged Avoid exposure of personnel to damaged material.

Remove, enclose, encapsulate or repair. O&M required.

5 Friable damaged with potential for damage

Avoid exposure of personnel to damaged material.

Remove, enclose, encapsulate or correct damage. Take appropriate action to prevent damage when possible.

O&M required.

Friable damaged with potential for significant damage.

Avoid exposure of personnel to damaged material.

Remove, enclose, encapsulate or correct damage. Take appropriate action to prevent damage when possible.

Friable significantly damaged

Evacuate or isolate the area if needed. Remove the ACBM (enclose or encapsulation is sufficient to contain fibers).

Repair the thermal system insulation is an option if feasible and safe.

6. Classification for Hazard Potential

ACBM Condition Potential Disturbance Hazard Rank

Significantly Damaged Any 7 Damaged High 6 Damaged Moderate 5 Damaged Low 4 Good High 3 Good Moderate 2 Good Low 1

NESHAP ASBESTOS SURVEY – Abbreviations and Definitions

Asbestos: A group of naturally occurring minerals that separate into fibers. Asbestos fibers are incombustible, are chemically resistant, and are characterized by the properties of thermal and electrical insulation. There are six asbestos minerals used commercially:

chrysotile, amosite, crocidolite, tremolite, anthophyllite, and actinolite. This includes any of these minerals that have been chemically treated and/or altered.

Asbestos abatement: Procedures to remove ACBM from buildings with the simultaneous control of the release of asbestos fibers. Additionally, this includes activities focused on the encapsulation, encasement, repair, and enclosure of ACBM.

Asbestos Containing Building Material (ACBM): Surfacing ACBM, TSI ACBM, or miscellaneous ACBM found in or on interior structural members or other parts of a building. This definition is used in the AHERA regulations for school buildings.

Asbestos Hazard Emergency Response Act (AHERA): The federal Asbestos Hazard Emergency Response Act of 1986 and the Environmental Protection Agency implementing regulations, 40 CFR Part 763, Subpart E - Asbestos-Containing Materials in Schools. The passage of AHERA by Congress led to the promulgation by EPA of two additional regulations: The Asbestos School Hazard Abatement Reauthorization Act (ASHARA) and the Model Accreditation Plan (MAP), which outlines the requirements for accreditation of inspectors and personnel conducting asbestos activities in schools.

Asbestos inspection: Any activity undertaken to determine the presence or location, or to assess the condition, of asbestos-containing material or suspected asbestos-containing material, whether by visual or physical examination, or by taking samples of the material.

1bis term includes re-inspections of the type described in AHERA, 40 CFR 763.85(b), of known or assumed asbestos-containing material which has been previously identified.

Demolition: The wrecking, salvage, or removal of any load-supporting structural member of a structure together with any related handling operations, or the intentional burning of any structure. 1bis includes the moving of an entire building.

Inaccessible: Physically restricted or obstructed area or covered in such a way that detection or removal is prevented or severely hampered.

Miscellaneous ACM: Interior building material on structural components, structural members or fixtures, such as floor and ceiling tiles. This does not include surfacing material or TSI.

Operations and Maintenance (O&M) Plan: A plan of safe work practices and procedures intended to maintain ACBM in good condition and minimize asbestos exposure to building occupants and VA employees, while complying with federal, state, and local regulations.

Regulated Asbestos-Containing Material (RACM): Friable asbestos material, Category I non-friable ACM that has become friable, Category I non-friable ACM (vinyl asbestos tile, roofing felts, gaskets and packing) that will be or has been subjected to sanding, grinding, cutting, or abrading, or Category II non-friable ACM (asbestos board, transite, and asbestos shingles) that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this subpart.

LRS, Inc.

Laboratory Resources & Solutions, Inc.

P.O. Box 1260 205 6th Avenue

Ashville, AL 35953

(205) 594-1445 www.lab-resource.com

Analytical Data Report

Customer: HGS Engineering

1121 Noble Street Anniston, AL 36201

Attention: Mr. Tim Thompson

Project ID: Jackson VA - F40 - PLM Asbestos Analysis (April 19, 2022)

Lab Reference: 2022-0785

Report Date: April 21, 2022

Data Reviewed by:

Wayne Gaston Project Manager

Laboratory Resources & Solutions, Inc. (LRS) wgaston@lab-resource.com

All data contained herein is derived from analysis performed via Safety Environmental Laboratories & Consulting, Inc., 989 Yeager Parkway, Pelham, AL 35124.

These results relate only to the item(s) tested. This report may only be reproduced in full.

Local support services are provided via Laboratory Resources & Solutions, Inc. (LRS).

All inquiries regarding the data should be directed to LRS.

Safety Environmental Laboratories and Consulting, Inc.

Template-QMS-012 ver. 1.4

Page 1 of 2 Analyst

Carol Findlay – Laboratory Director

Technical Review

Carol Findlay – Laboratory Director

Quality Review

Christy McKee – Assistant Laboratory Director

Copyright© All rights reserved; copyright protected; Safety Environmental Laboratories and Consulting, Inc. 2022

Asbestos Bulk Sample Analysis Report

989 Yeager Pkwy. Phone: (205) 823-6200

Pelham, AL 35124 Fax: (205) 823-9066

TESTING

LAB CODE: 200873-0

Customer:

Laboratory Resources and Solutions, Inc.

205 6th Avenue Ashville, AL 35953

Sample Receipt Date: 04/20/2022

Sample Analysis Date: 04/21/2022

Telephone: 205-594-1445 Sample Report Date: 04/21/2022

Client Name:

Client Address:

Project Name:

HGS Engineering

Anniston, AL 36201 Jackson VA

Analysis:

Method:

Note:

Asbestos Identification in Bulk Materials by Polarized Light Microscopy

EPA/600/R-93/116 July 1993 – Method for the Determination of Asbestos in Bulk Building Materials

See Attached Notes and Descriptions Sheet for Applicable Abbreviations and Notes SELC Project #: 2022-0785

Customer Sample No.

Lab Sample

No.

Sub-sample

No.

Layer No.

Sample Location / Description Homo-geneous (yes/no)

Asbestos % and Type

% Non-Asbestos Fibers

% Non- Fibrous Material

F40/1 1 N/A Mastic

1 Mastic/Wrap – Black/Silver, Bituminous N None Detected None Detected 100%

2 Mastic – Black, Bituminous, Soft Y 5% Chrysotile None Detected 95%

F40/1-1 2 N/A 1

TSI

TSI Mastic – White, Resinously Bound, Brittle N None Detected None Detected 100%

F40/1-2 3 N/A TSI

TSI Mastic/Wrap – White/Off-white/Silver, Resinously Bound, Fibrous N 3% Chrysotile

15% Fiberglass

10% Cellulose Fibers 72%

2 Mastic – Black, Bituminous Y 5% Chrysotile None Detected 95%

F40-1-3 4 N/A TSI

TSI Mastic/Wrap – White/Off-white/Silver, Resinously Bound, Fibrous Y 3% Chrysotile

20% Cellulose Fibers

15% Fiberglass 62%

2 TSI – Tan, Fibrous Y None Detected 98% Fiberglass 2%

This report is FINAL This report is PRELIMINARY – pending final QC

Template-QMS-012 ver. 1.4

Page 2 of 2 Analyst

Carol Findlay – Laboratory Director

Technical Review

Carol Findlay – Laboratory Director

Quality Review

Christy McKee – Assistant Laboratory Director

Copyright© All rights reserved; copyright protected; Safety Environmental Laboratories and Consulting, Inc. 2022

TESTING

PLM Notes and Descriptions

1. Upper detection limit: 100%. Lower detection limit: <1%.

2. Bulk Samples will be stored for 3 months and will then be disposed of in an approved EPA landfill.

3. Analysis of floor tile or any other resinously bound materials by polarized light microscopy (PLM) using EPA Method 600/R-93/116 dated July 1993 may yield false-negative results because of method limitations in separating closely bound fibers from matrix material and in detecting fibers of small length and/or diameter. When analysis of such materials by the EPA PLM Method yields negative results for the presence of asbestos we recommend utilizing alternative methods of identification such as Gravimetry, XRD or AEM.

4. Analysis of vermiculite samples by polarized light microscopy (PLM) using EPA Method 600/R-93/116 dated July 1993 may yield false-negative results because of method limitations in separating particulate materials from the vermiculite as well as limitations in detecting fibers of small length and/or diameter. It is recommended that vermiculite samples identified as negative be analyzed further by alternative methods such as the Cincinnati method.

5. Samples are not homogenized by SELC prior to analysis. Distinct material layers within a sample are analyzed and reported separately by SELC. When multiple products are submitted by the customer under one sample number, SELC indicates those distinct products as sub-samples. SELC retains all samples numbers but will designate a sample number to those that are not given a sample number by the customer.

6. Percentages given are based on a visual estimated calibration.

7. Safety Environmental Laboratories and Consulting, Inc. is a NVLAP accredited laboratory, Lab Code: 200873-0 (ISO/IEC Standard 17025:2017 Compliant).

8. All tests were performed under the scope of SELC’s NVLAP accreditation, unless indicated otherwise.

9. All samples were tested in the condition received (“Good”, unless otherwise noted).

10. This report must not be used to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.

11. Analytical Instrument: Olympus Polarized Light Microscope Series BH-2 Model BHT-002.

12. These results only apply to samples tested with customer provided information. Please see attached Chain of Custody.

LRS, Inc.

Laboratory Resources & Solutions, Inc.

P.O. Box 1260 205 6th Avenue

Ashville, AL 35953

(205) 594-1445 www.lab-resource.com

Analytical Data Report

Customer: HGS Engineering

Anniston, AL 36201

Attention: Mr. Tim Thompson

Project ID: Jackson VA - C52A and C32 - PLM Asbestos Analysis

(April 19, 2022)

Lab Reference: 2022-0786

Report Date: April 28, 2022

Data Reviewed by:

Wayne Gaston Project Manager

Laboratory Resources & Solutions, Inc. (LRS) wgaston@lab-resource.com

All data contained herein is derived from analysis performed via Safety Environmental Laboratories & Consulting, Inc., 989 Yeager Parkway, Pelham, AL 35124.

These results relate only to the item(s) tested. This report may only be reproduced in full.

Local support services are provided via Laboratory Resources & Solutions, Inc. (LRS).

All inquiries regarding the data should be directed to LRS.

Template-QMS-012 ver. 1.5

Page 1 of 2 Analyst

Carly Glidewell – Laboratory Analyst

Technical Review

Carol Findlay – Laboratory Director

Quality Review

Carol Findlay – Laboratory Director

Copyright© All rights reserved; copyright protected; Safety Environmental Laboratories and Consulting, Inc. 2022

TESTING

Customer:

Laboratory Resources and Solutions, Inc.

205 6th Avenue Ashville, AL 35953

Sample Receipt Date: 4/20/2022

Sample Analysis Date: 4/26/2022

Telephone: 205-594-1445 Sample Report Date:

Amended Report Date:

4/26/2022 4/28/2022

Client Name:

Client Address:

Project Number:

Project Name:

HGS Engineering

Anniston, AL 36201 None Given Jackson VA

Analysis:

Methods:

Note:

Asbestos Identification in Bulk Materials by Polarized Light Microscopy

EPA – Appendix E to Subpart E of 40 CFR Part 763, EPA Method 600/R-93/116

See Attached Notes and Descriptions Sheet for Applicable Abbreviations and Notes SELC Project #: 2022-0786

Customer Sample No.

Lab Sample

No.

Sub-sample

No.

Layer No.

Sample Location / Description Homo-geneous (yes/no)

Asbestos % and Type

% Non-Asbestos Fibers

% Non- Fibrous Material

C52A-1 1 N/A Wall

1 Paint/Joint Compound – Blue/Tan/White, Soft N None Detected None Detected 100%

2 Skim Coat/Plaster – Tan/White, Granular, Hard N None Detected None Detected 100%

C52A-2 2 N/A 1 Wall

Paint/Joint Compound – Blue/Tan/White, Soft N None Detected None Detected 100%

C32-1 3 N/A Flooring

1 Floor Tile – White, Resinously Bound Y None Detected 2% Cellulose Fibers 98%

2 Mastic – Black, Bituminous Y 3% Chrysotile None Detected 97%

C32-2 4 N/A Flooring

1 Floor Tile – White, Resinously Bound Y None Detected 2% Cellulose Fibers 98%

2 Mastic – Black, Bituminous Y 3% Chrysotile None Detected 97%

This report is FINAL This report is PRELIMINARY – pending final QC

Template-QMS-012 ver. 1.5

Page 2 of 2 Analyst

Carly Glidewell – Laboratory Analyst

Technical Review

Carol Findlay – Laboratory Director

Quality Review

Carol Findlay – Laboratory Director

Copyright© All rights reserved; copyright protected; Safety Environmental Laboratories and Consulting, Inc. 2022

TESTING

PLM Notes and Descriptions

1. Upper detection limit: 100%. Lower detection limit: <1%.

2. Bulk Samples will be stored for 3 months and will then be disposed of in an approved EPA landfill.

3. Analysis of floor tile or any other resinously bound materials by polarized light microscopy (PLM) using EPA – Appendix E to Subpart E of 40 CFR Part 763, EPA Method

600/R-93/116 may yield false-negative results because of method limitations in separating closely bound fibers from matrix material and in detecting fibers of small length and/or diameter. When analysis of such materials by the EPA PLM Method yields negative results for the presence of asbestos we recommend utilizing alternative methods of identification such as Gravimetry, XRD or AEM.

4. Analysis of vermiculite samples by polarized light microscopy (PLM) using EPA – Appendix E to Subpart E of 40 CFR Part 763, EPA Method 600/R-93/116 may yield false-negative results because of method limitations in separating particulate materials from the vermiculite as well as limitations in detecting fibers of small length and/or diameter. It is recommended that vermiculite samples identified as negative be analyzed further by alternative methods such as the Cincinnati method.

5. Samples are not homogenized by SELC prior to analysis. Distinct material layers within a sample are analyzed and reported separately by SELC. When multiple products are submitted by the customer under one sample number, SELC indicates those distinct products as sub-samples. SELC retains all samples numbers but will designate a sample number to those that are not given a sample number by the customer.

6. Percentages given are based on a visual estimated calibration.

7. Safety Environmental Laboratories and Consulting, Inc. is a NVLAP accredited laboratory, Lab Code: 200873-0 (ISO/IEC Standard 17025:2017 Compliant).

8. All tests were performed under the scope of SELC’s NVLAP accreditation, unless indicated otherwise.

9. All samples were tested in the condition received (“Good”, unless otherwise noted).

10. This report must not be used to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.

11. Analytical Instrument: Olympus Polarized Light Microscope Series BH-2 Model BHT-002.

12. These results only apply to samples tested with customer provided information. Please see attached Chain of Custody.

Picture of Sample F40/1

Picture of Sample C32-1

AutoCAD SHX Text L-12A

AutoCAD SHX Text C-40

AutoCAD SHX Text L-8

AutoCAD SHX Text L-5

AutoCAD SHX Text L-2

AutoCAD SHX Text L-3

AutoCAD SHX Text L-10

AutoCAD SHX Text L-9

AutoCAD SHX Text L-6

AutoCAD SHX Text L-13C

AutoCAD SHX Text L-13B

AutoCAD SHX Text L-11

AutoCAD SHX Text L-11A

AutoCAD SHX Text C-40B

AutoCAD SHX Text L-12

AutoCAD SHX Text L-7

AutoCAD SHX Text F-26B

AutoCAD SHX Text F-26A

AutoCAD SHX Text F-26C

AutoCAD SHX Text F-26D

AutoCAD SHX Text F-26

AutoCAD SHX Text C-29

AutoCAD SHX Text C-30

AutoCAD SHX Text C-32C

AutoCAD SHX Text C-32A

AutoCAD SHX Text C-32

AutoCAD SHX Text C-33

AutoCAD SHX Text C-34

AutoCAD SHX Text C-35

AutoCAD SHX Text C-37

AutoCAD SHX Text C-14B

AutoCAD SHX Text C-52B

AutoCAD SHX Text C-45

AutoCAD SHX Text C-53

AutoCAD SHX Text C-52

AutoCAD SHX Text C-46

AutoCAD SHX Text C-52B

AutoCAD SHX Text C52A

AutoCAD SHX Text C-48

AutoCAD SHX Text C-14C

AutoCAD SHX Text C-18

AutoCAD SHX Text C-27

AutoCAD SHX Text C-28

AutoCAD SHX Text C-24

AutoCAD SHX Text C-25

AutoCAD SHX Text C-22

AutoCAD SHX Text C-49B

AutoCAD SHX Text C-49

AutoCAD SHX Text C-51

AutoCAD SHX Text C-50

AutoCAD SHX Text C-22B

AutoCAD SHX Text C-20

AutoCAD SHX Text C-21

AutoCAD SHX Text C-22A

AutoCAD SHX Text

NUCLEAR

AutoCAD SHX Text

LIBRARY

AutoCAD SHX Text

MEDICINE

AutoCAD SHX Text

MEDICAL

AutoCAD SHX Text O/R

AutoCAD SHX Text

MEDIA

AutoCAD SHX Text C

AutoCAD SHX Text C-36

AutoCAD SHX Text C-41

AutoCAD SHX Text C-41A

AutoCAD SHX Text C-41B

AutoCAD SHX Text Office

AutoCAD SHX Text Procedure

AutoCAD SHX Text CCTV Control Room

AutoCAD SHX Text Room

AutoCAD SHX Text Patient

AutoCAD SHX Text Nuclear

AutoCAD SHX Text Blood

AutoCAD SHX Text Office

AutoCAD SHX Text Cooler

AutoCAD SHX Text Pathology

AutoCAD SHX Text Office

AutoCAD SHX Text Phlebotomy

AutoCAD SHX Text Office

AutoCAD SHX Text Office

AutoCAD SHX Text Administrative

AutoCAD SHX Text Office

AutoCAD SHX Text Office

AutoCAD SHX Text Equip

AutoCAD SHX Text Toilet

AutoCAD SHX Text Toilet

AutoCAD SHX Text File

AutoCAD SHX Text C-47A

AutoCAD SHX Text

ELEC

AutoCAD SHX Text Office

AutoCAD SHX Text Conference

AutoCAD SHX Text Work Room

AutoCAD SHX Text Office

AutoCAD SHX Text Office

AutoCAD SHX Text Procedure

AutoCAD SHX Text Lockers

AutoCAD SHX Text Gas Storage

AutoCAD SHX Text Lockers

AutoCAD SHX Text Toilet

AutoCAD SHX Text Toilet

AutoCAD SHX Text Break

AutoCAD SHX Text Doctors Lounge

AutoCAD SHX Text CCTV Studio

AutoCAD SHX Text Reception

AutoCAD SHX Text C-B37A

AutoCAD SHX Text Imaging

AutoCAD SHX Text Clean Supply

AutoCAD SHX Text Stress

AutoCAD SHX Text Cart

AutoCAD SHX Text Office

AutoCAD SHX Text Lab

AutoCAD SHX Text Toilet

AutoCAD SHX Text Office

AutoCAD SHX Text Office

AutoCAD SHX Text Office

AutoCAD SHX Text H/K

AutoCAD SHX Text Scan

AutoCAD SHX Text Storage

AutoCAD SHX Text Room

AutoCAD SHX Text Room

AutoCAD SHX Text Room

AutoCAD SHX Text Scan

AutoCAD SHX Text Waiting

AutoCAD SHX Text Prep

AutoCAD SHX Text Room

AutoCAD SHX Text Collection

AutoCAD SHX Text Office

AutoCAD SHX Text Sampling

AutoCAD SHX Text Collection

AutoCAD SHX Text Blood

AutoCAD SHX Text Patient

AutoCAD SHX Text Gen Storage

AutoCAD SHX Text Imaging

AutoCAD SHX Text H/K

AutoCAD SHX Text Nuclear

AutoCAD SHX Text Hot

AutoCAD SHX Text Medicine

AutoCAD SHX Text Lab

AutoCAD SHX Text Library

AutoCAD SHX Text Histology

AutoCAD SHX Text Cutting

AutoCAD SHX Text Room

AutoCAD SHX Text Office

AutoCAD SHX Text Autopsy

AutoCAD SHX Text Office

AutoCAD SHX Text C-11

AutoCAD SHX Text Morgue

AutoCAD SHX Text C-47

AutoCAD SHX Text Lift

AutoCAD SHX Text Storage

AutoCAD SHX Text Equip

AutoCAD SHX Text Storage

AutoCAD SHX Text DumbWaiter

AutoCAD SHX Text

ELEC

AutoCAD SHX Text Flammable

AutoCAD SHX Text Toilet

AutoCAD SHX Text

CORRIDOR C45-C51

AutoCAD SHX Text

CORRIDOR C24-C32C

AutoCAD SHX Text

CORRIDOR L6-L12

AutoCAD SHX Text B-6

AutoCAD SHX Text L-6A

AutoCAD SHX Text Stairwell

AutoCAD SHX Text L-12B

AutoCAD SHX Text #5

AutoCAD SHX Text C-22C

AutoCAD SHX Text General

AutoCAD SHX Text Storage

AutoCAD SHX Text

CORRIDOR L13

AutoCAD SHX Text

CORRIDOR C49B-C51

AutoCAD SHX Text

CORRIDOR C32-C34

AutoCAD SHX Text

CORRIDOR C53

AutoCAD SHX Text

CORRIDOR B18-C40

C32-1 (+) C32-2 (+)

F-19

AutoCAD SHX Text F-17

AutoCAD SHX Text F-11

AutoCAD SHX Text F-12

AutoCAD SHX Text F-31

AutoCAD SHX Text F-27

AutoCAD SHX Text F-28

AutoCAD SHX Text F-29

AutoCAD SHX Text F-8B

AutoCAD SHX Text F-8A

AutoCAD SHX Text F-28A

AutoCAD SHX Text F-50

AutoCAD SHX Text F-49

AutoCAD SHX Text F-48

AutoCAD SHX Text F-47

AutoCAD SHX Text F-53

AutoCAD SHX Text F-32

AutoCAD SHX Text F-33

AutoCAD SHX Text F-52

AutoCAD SHX Text F-51

AutoCAD SHX Text I-08

AutoCAD SHX Text I-07

AutoCAD SHX Text I-06

AutoCAD SHX Text I-08A

AutoCAD SHX Text I-08B

AutoCAD SHX Text I-01E

AutoCAD SHX Text I-01D

AutoCAD SHX Text I-01C

AutoCAD SHX Text I-01

AutoCAD SHX Text I-01B

AutoCAD SHX Text I-01A

AutoCAD SHX Text

FB-05

AutoCAD SHX Text

FB-04

AutoCAD SHX Text

FB-03

AutoCAD SHX Text

FB-07

AutoCAD SHX Text

FB-06

AutoCAD SHX Text F-34

AutoCAD SHX Text F-35

AutoCAD SHX Text J-3

AutoCAD SHX Text J-2

AutoCAD SHX Text J-1

AutoCAD SHX Text

RADIOLOGY

AutoCAD SHX Text I-01F

AutoCAD SHX Text I-04

AutoCAD SHX Text I-05

AutoCAD SHX Text I-03

AutoCAD SHX Text I-02

AutoCAD SHX Text

SIGNAL

AutoCAD SHX Text

ML

AutoCAD SHX Text

ML

AutoCAD SHX Text

ML

AutoCAD SHX Text

WAITING

AutoCAD SHX Text MRI Scan

AutoCAD SHX Text

CONTROL

AutoCAD SHX Text

COMPUTER RM

AutoCAD SHX Text CT Scan

AutoCAD SHX Text

CONTROL

AutoCAD SHX Text F-23A

AutoCAD SHX Text F-9

AutoCAD SHX Text F-8F

AutoCAD SHX Text

FB-08

AutoCAD SHX Text F-8E

AutoCAD SHX Text F-8G

AutoCAD SHX Text F-8C

AutoCAD SHX Text F-8

AutoCAD SHX Text F-29A

AutoCAD SHX Text F-36

AutoCAD SHX Text F-37

AutoCAD SHX Text F-38

AutoCAD SHX Text F-39

AutoCAD SHX Text F-40

AutoCAD SHX Text F-41

AutoCAD SHX Text F-42

AutoCAD SHX Text F-43

AutoCAD SHX Text F-44

AutoCAD SHX Text F-45

AutoCAD SHX Text F-46

AutoCAD SHX Text

OFFICE

AutoCAD SHX Text

OFFICE

AutoCAD SHX Text

ELEC

AutoCAD SHX Text

CLOSET

AutoCAD SHX Text CT Scan

AutoCAD SHX Text Clean Supply

AutoCAD SHX Text Mail Room

AutoCAD SHX Text Exam

AutoCAD SHX Text

MRI

AutoCAD SHX Text Office

AutoCAD SHX Text Office

AutoCAD SHX Text Office

AutoCAD SHX Text Dressing

AutoCAD SHX Text Office

AutoCAD SHX Text Office

AutoCAD SHX Text Office

AutoCAD SHX Text Storage

AutoCAD SHX Text Exam

AutoCAD SHX Text X-Ray

AutoCAD SHX Text Office

AutoCAD SHX Text Work Room

AutoCAD SHX Text Toilet

AutoCAD SHX Text Soiled Utility

AutoCAD SHX Text Office

AutoCAD SHX Text Room

AutoCAD SHX Text F-17A

AutoCAD SHX Text Lab Storage

AutoCAD SHX Text Eauipment

AutoCAD SHX Text Lab

AutoCAD SHX Text Biopsy

AutoCAD SHX Text Lab

AutoCAD SHX Text Cooler

AutoCAD SHX Text Office

AutoCAD SHX Text Lab

AutoCAD SHX Text Office

AutoCAD SHX Text Lab

AutoCAD SHX Text Office

AutoCAD SHX Text Office

AutoCAD SHX Text Office

AutoCAD SHX Text Office

AutoCAD SHX Text Toilet

AutoCAD SHX Text Office

AutoCAD SHX Text Office

AutoCAD SHX Text HK Closet

AutoCAD SHX Text Office

AutoCAD SHX Text Office

AutoCAD SHX Text Toilet

AutoCAD SHX Text Office

AutoCAD SHX Text Office

AutoCAD SHX Text Lab Storage

AutoCAD SHX Text Elec Closet

AutoCAD SHX Text Exam

AutoCAD SHX Text Room

AutoCAD SHX Text Exam

AutoCAD SHX Text Office

AutoCAD SHX Text

MRI

AutoCAD SHX Text Eauipment

AutoCAD SHX Text Office

AutoCAD SHX Text Toilet

AutoCAD SHX Text Storage

AutoCAD SHX Text Mech

AutoCAD SHX Text Exam

AutoCAD SHX Text Storage

AutoCAD SHX Text

ELEC

AutoCAD SHX Text Stairwell

AutoCAD SHX Text Office

AutoCAD SHX Text Exit B-1

AutoCAD SHX Text

FC-B2

AutoCAD SHX Text F-14B

AutoCAD SHX Text

FC-B1

AutoCAD SHX Text

ELEC

AutoCAD SHX Text

FB-08D

AutoCAD SHX Text Kitchenette

AutoCAD SHX Text Office

AutoCAD SHX Text Elevator

AutoCAD SHX Text Vestibule

AutoCAD SHX Text Office

AutoCAD SHX Text Mech

AutoCAD SHX Text General Storage

AutoCAD SHX Text

CORRIDOR C14C-F48

AutoCAD SHX Text I-08J

AutoCAD SHX Text Exit B-3

AutoCAD SHX Text Exit B-2

AutoCAD SHX Text Fire Closet

AutoCAD SHX Text Fire Closet

AutoCAD SHX Text

FB-07A

AutoCAD SHX Text F-14D

AutoCAD SHX Text General

AutoCAD SHX Text Control

AutoCAD SHX Text F-52A

AutoCAD SHX Text I-1

AutoCAD SHX Text P-7

AutoCAD SHX Text

CORRIDOR F8E-F8F

AutoCAD SHX Text

CORRIDOR F32-F52

AutoCAD SHX Text

CORRIDOR FB01-F35

AutoCAD SHX Text

CORRIDOR B11-F22

AutoCAD SHX Text

CORRIDOR I03-I09

F40/1 (+) F40/1-2 (+) F40/1-3 (+)

REGISTRATION