Bldg. 17 Asbestos Reinspection.pdf
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- Solicitation number
- 36C25724B0015
About this file
This document is a 2012 Asbestos Reinspection Report for the Central Texas Veterans Health Care System Waco VA Medical Center. It provides an ACM Homogeneous Areas Summary Table, Condition and Removal Priority Table, and a Master Summary Table of asbestos bulk samples taken during the reinspection. The report identifies asbestos-containing materials (ACM) found in Building 17, including flooring mastic and fire doors on the first floor. It provides details on the condition, potential for disturbance, and removal priority for the identified ACM. The report also includes sections on laboratory reports, certifications, periodic surveillance forms, management plan updates, response actions, and training documents.
The related federal contract opportunity is a solicitation for "Y1DA--Abatement and Clean-up VA Bldgs. 14 & 17 Doris Miller VAMC Waco, TX" issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17. The solicitation requires abatement and cleanup services for Buildings 14 and 17 at the Waco, Texas VA medical center.
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2012 Asbestos Reinspection
REPORT SECTION
2012 ASBESTOS REINSPECTION REPORT
CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM
WACO VA MEDICAL CENTER
This report will include a combination of the following sections:
ACM Homogeneous Areas Summary Table and Drawings
This section provides a quick table reference to all asbestos-containing homogeneous areas found during the reinspection, and to drawings with the asbestos-containing homogeneous areas found during the 2012 asbestos reinspection.
This section will not be included in the building reports that did not require any sampling due to no suspected ACM being present. The section will also not be included if asbestos bulk samples were collected and the results indicated no asbestos-containing materials were found in that building.
Condition and Removal Priority Table
This section provides a table with the current condition, potential for disturbance, and removal priority for each homogeneous area.
Master Summary Table – Asbestos Bulk Samples
This table provides a listing of all asbestos bulk samples taken to date.
no suspected ACM being present.
Asbestos-Containing Bulk Samples
This table provides a listing of all asbestos-containing bulk samples.
2012 Reinspection – Inspection Logs
This section provides the field inspection logs for samples taken during the 2012 asbestos reinspection.
Bulk Sample Location Drawings
This section provides drawings with sample locations for all asbestos bulk samples.
Site and sample location drawings will be included in the building reports that did not require any sampling due to no suspected ACM being present.
2012 Reinspection – Photographs
This section provides photographs of all asbestos bulk samples taken during the 2012 asbestos reinspection.
2012 Reinspection – Laboratory Reports
This section provides all laboratory analytical results.
Certifications
This section provides certifications for all Inspectors, the Management Planner who reviewed this Management Plan, and the laboratory that performed the bulk sample analysis.
Periodic Surveillance Forms
This section includes the forms to be completed during the periodic surveillance inspections required every six (6) months.
This section will not be required for building reports that did not require any sampling due to no suspected ACM being present. This section will also not be required if asbestos bulk samples
Management Plan Updates
This section includes the records of any asbestos abatement activities that are completed at the subject site. Notifications, daily notes, drawings, etc., should be placed in this section. This would also include air-monitoring data from asbestos abatement projects.
Response Actions
This section includes the records of any internal asbestos abatement or operation and maintenance activities that may be completed by VA employees. This would include any drawings, field notes, and air monitoring that was completed.
Training Documents
This section includes the records of training for the Designated Person and accredited
Supervisor, as well as the two-hour awareness training for the custodial, janitorial, and maintenance staff.
ACM HOMOGENEOUS AREAS
SUMMARY TABLE AND DRAWINGS
WACO V. A. MEDICAL CENTER
2012 THREE-YEAR ASBESTOS REINSPECTION
ACM HOMOGENEOUS AREAS SUMMARY TABLE
Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials
Basement No ACM No ACM No ACM No ACM
Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials
First HMA-01 - Flooring Mastic No ACM No ACM HMA-02 Fire Doors
Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials
Roof No ACM No ACM No ACM No ACM
Building 17 - Basement
Building 17- First Floor
Building - Roof
First Floor
CONDITION AND REMOVAL PRIORITY TABLE
CONDITION AND REMOVAL PRIORITY TABLE
Rating Based On Rating Based On
HMA-01 17 1 Floor Mastic No No 10 Intact 1 Access 10
HMA-02 17 1 Fire Doors No No 10 Intact 1 Maintenance 10
Material Description
Building - Roof
Removal
Priority
Building 17 - First Floor
Current
Condition
Building 17 - Basement
Friable
Yes/No
No ACM
No ACM
Accessibility
Yes/No
Restricted
Potential for
Disturbance
Homogeneous
Area No.
Building Floor
MASTER SUMMARY TABLE
ASBESTOS BULK SAMPLES
SUMMARY OF BULK SAMPLES TAKEN TO DATE
(determined by Point Count analysis)
Building Floor Room Sample ID Material Description
17 1 2A WA-09-292-0521 White 12x12 floor tile, yellow mastic
17 1 2A WA-09-292-0522 Red 12x12 floor tile, yellow mastic
17 1 2 WA-09-292-0523 Layer 1 - tan 12x12 floor tile
17 1 2 WA-09-292-0523 Layer 2 - black mastic
17 1 2B WA-09-292-0524 Layer 1 - tan 12x12 floor tile
17 1 2B WA-09-292-0524 Layer 2 - black mastic
17 1 2A WA-09-292-0525 Layer 1 - tan 12x12 floor tile
17 1 2A WA-09-292-0525 Layer 2 - black mastic
17 1 2 WA-09-292-0526 White 12x12 floor tile, yellow mastic
17 1 3A WA-09-292-0527 Gray and white 12x12 floor tile, yellow mastic
17 1 3 WA-09-292-0528 Gray and white 12x12 floor tile, yellow mastic
17 1 2 WA-09-292-0529 White 12x12 floor tile, yellow mastic
17 1 2 WA-09-292-0530 Red 12x12 floor tile, yellow mastic
17 1 2C WA-09-292-0531 Gray 12x12 floor tile, yellow mastic
17 1 71 WA-09-292-0532 12-inch vertical pipe - yellow insulation, white wrap
17 Roof Roof WA-09-292-0533 Black flashing, silver wrap
17 Roof Roof WA-09-292-0534 9-inch horizontal pipe - yellow insulation, white wrap
17 Roof Roof WA-09-292-0535 9-inch elbow pipe - yellow insulation, white wrap
17 Basement Tank Room WA-09-292-0536 8-inch horizontal pipe - yellow insulation, white wrap
17 Basement Tank Room WA-09-292-0537 3-inch horizontal pipe - yellow insulation, white wrap
17 Basement Tank Room WA-09-292-0538 10-inch horizontal pipe - yellow insulation, white wrap
17 Basement Tank Room WA-09-292-0539 8-inch horizontal pipe - yellow insulation, white wrap
17 Basement Tank Room WA-09-292-0540 Red gasket material
17 Basement Tank Room WA-09-292-0541 10-inch horizontal pipe - yellow insulation, white wrap
17 Basement Tank Room WA-09-292-0542 7-inch horizontal pipe - yellow insulation, white wrap
17 Basement Crawlspace 104 WA-09-292-0543 8-inch horizontal pipe - yellow insulation, white wrap
17 Basement Crawlspace 104 WA-09-292-0544 3-inch horizontal pipe - yellow insulation, white wrap
17 Basement Crawlspace 104 WA-09-292-0545 7-inch horizontal pipe - yellow insulation, white wrap
17 Basement 104 WA-09-292-0546 3-inch horizontal pipe - yellow insulation, white wrap
17 Basement 104 WA-09-292-0547 5-inch vertical pipe - yellow insulation, white wrap
17 1 4 WA-09-292-1001 2x4 ceiling tile
17 1 2A WA-09-292-1002 2x4 ceiling tile
17 1 Entryway WA-09-292-1003 2x4 ceiling tile
Red = Asbestos-Containing Material (ACM) Blue = Non ACM Green = Non Asbestos-Containing Material
Purple = Abated
ASBESTOS-CONTAINING BULK SAMPLES
LIST OF ASBESTOS-CONTAINING SAMPLES
Building Floor Room Sample ID Material Description
17 1 2 WA-09-292-0523 Layer 2 - black mastic
17 1 2B WA-09-292-0524 Layer 2 - black mastic
17 1 2A WA-09-292-0525 Layer 2 - black mastic
Red = Asbestos-Containing Material (ACM)
BULK SAMPLE LOCATION DRAWINGS
Basement
First Floor
Roof
CERTIFICATIONS
WACO VA MEDICAL CENTER
6-MONTH ASBESTOS SURVEILLANCE
BUILDING 17 – FIRST FLOOR
HMA Material Description Location Friable
Yes/No
Conditions at Last
Inspection1
Damage
Severity2
Conditions at Current
Inspection1
Comments
HMA-01 Flooring Mastic First Floor
HMA-02 Fire Doors First Floor
Conditions: G=Good R=Repaired D=Damaged SD= Significantly Damaged
Damage Severity: M=Minor O=Occasional X-Extensive P=Punctures N=None
Printed Competent Person’s Name
Asbestos Inspector Certification Number and Expiration Date
Signature
Surveillance Inspection Date
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