18708 Final Report Bldg 163.pdf

2012 Asbestos Reinspection

INTRODUCTION

2012 ASBESTOS REINSPECTION REPORT

CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM

WACO VA MEDICAL CENTER

SCOPE OF WORK

1. This asbestos reinspection complies with the requirements of Asbestos Hazard

Emergency Response Act (AHERA).

2. Each facility inspection was performed by an accredited inspector.

3. For each facility, the inspector performed the following tasks:

a. Visually inspected all accessible areas for suspect asbestos-containing material

(ACM).

b. Asbestos bulk samples were collected of all suspected materials and the samples were analyzed by EMSL Laboratories which is an NVLAP-accredited laboratory authorized to analyze asbestos bulk samples.

c. If any of the asbestos bulk samples contained asbestos from 1% to 5% in asbestos content, then the laboratory was requested to perform a Polarized Light

Microscopy (PLM) point count of that material for a more accurate analysis.

d. After reviewing the results from the asbestos bulk samples and subsequent point counting, homogeneous areas were determined for the various asbestos-containing materials.

e. Homogeneous area tables were prepared and condition summaries were completed.

f. A report was then completed that is outlined in the report section that follows this scope of work.

g. A management planner reviewed all work provided above and verified that the plan met all AHERA requirements. The appropriate response actions were recommended and the reinspection signed and dated. This report included the accreditation number of inspectors and planners. A copy of the 2012 Asbestos

Reinspection Report was submitted to the owner.

MANAGEMENT PLAN RECOMMENDATIONS

The following general notes are for all facilities inspected during the Asbestos Reinspection:

1. Removal Priorities were developed for each homogeneous area. The Removal Priorities are an indicator of priorities for future repair work or abatement work to be scheduled as financial budgets allow. Please see the 2012 Reinspection Condition and Removal

Priority Table for further details.

2. The current condition of material was listed for each homogeneous area. The condition, location, and potential for disturbance factors are used for the hazard ranking. Please see the 2012 Reinspection Condition and Removal Priority Table for the condition summaries.

3. Records for custodial, janitorial, and maintenance staff who have received two-hour awareness training should be filed in the Management Plan.

4. Any new custodial, janitorial, or maintenance staff that have the potential to come in contact with asbestos-containing materials (ACM) are required to attend a two-hour awareness training class. Records of training for new employees should be filed in the

Management Plan.

5. The Designated Person is required to inform workers and building occupants at least once a year about the Management Plan. This includes information about inspections, response actions, and post-response action activities that are planned or in progress.

6. Maintenance areas (boiler rooms, janitor closets, etc.) are required to have warning labels where ACM is located. Install warning labels in these areas as needed. Some older labels may have come loose and are no longer visible. Post the labels in a prominent location.

7. Review the enclosed 2012 Reinspection Condition and Removal Priority Table for maintenance actions that may be required and to establish priorities and budgets for future repair and abatement work.

8. Periodic “Surveillance Inspections” are required every six (6) months. This inspection should indicate the condition of the material and provide recommendations for repair or potential removal. Consistency of inspections is desired and, therefore, should be performed by the same individual(s) for all facilities. An accredited inspector is not required, but is recommended. Records of Surveillance Inspections should be filed in both the administrative and facility Management Plans.

9. “Reinspections” are required every three (3) years. Updated information should be added to the Management Plan.

10. An accredited “Supervisor” should be on staff or available on a contract basis per

AHERA guidelines. Certification paperwork should be filed in the training section of the

Management Plan.

11. ACM should only be removed by contractors licensed and accredited in the State of

Texas. Response actions related to abatement activity should be filed in the Management

Plan. Removal of limited amounts of asbestos by the accredited Supervisor and trained individuals is within the scope of the Management Plan.

12. Notification should be provided to “outside contractors” about ACM within the facility.

This should include such trades or services as telephone, electrical, plumbing, air conditioning, and other construction work. A form should be created for this purpose and placed in the Management Plan.

13. New building construction and portable buildings added to a facility are required to be inspected and sampled for ACM. In lieu of this, a letter from the architect, engineer, or manufacturer can be obtained that states “no ACM were specified or used in the facility.”

A copy of this letter is to be filed with the Management Plan at the facility. This letter will cancel the requirement for sampling.

14. Abatement Costs were developed for each homogeneous area and per facility. The estimated abatement cost is for budget purposes only. The cost is based on the area of material and estimated abatement costs for this material. The cost is for abatement only and does not include abatement design, air monitoring, or project observation costs.

REPORT SECTION

2012 ASBESTOS REINSPECTION REPORT

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.

CONTRACTOR

2012 ASBESTOS REINSPECTION REPORT

OLIN E. TEAGUE VA MEDICAL CENTER

This 2012 Asbestos Reinspection was provided by:

Contractor:

ALTEC Environmental Consulting, LLC

10100 Woolworth Road

Keithville, LA 71047

(318) 687-3771 (Office)

(318) 687-9923 (Fax)

INSPECTORS:

Jerry Heidecker David Hopper

LA Certificate No. 3I166471 LA Certificate No. 3I134762

Donald R. Joiner Bradley Kennon

LA Certificate No. 3I112937 LA Certificate No. 3I182667

Rodney Lewis

LA Certificate No. 3I169456

MANAGEMENT PLANNER:

Robert B. Raines III, P.E.

LA Certificate No. 3P103065 – Management Planner

Accreditation Agency: Louisiana Department of Environmental Quality which is a recognized EPA accreditation agency

ACM HOMOGENEOUS AREAS

SUMMARY TABLE AND DRAWINGS

OLIN E. TEAGUE V. A. MEDICAL CENTER

2012 THREE-YEAR ASBESTOS REINSPECTION

ACM HOMOGENEOUS AREAS SUMMARY TABLE

Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials

Crawlspace

Central No ACM No ACM No ACM No ACM

Crawlspace

South No ACM No ACM HMA-03 Pipe Insulation and Fittings HMA-04 Gaskets

Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials

Basement

North No ACM No ACM No ACM No ACM

Basement

Central HMA-01 9"x9" Floor Tile and Mastic No ACM No ACM HMA-06 Fire Doors

Basement

South No ACM No ACM No ACM

HMA-05 Air Handling Unit Blanket

HMA-06 Fire Doors

HMA-08 Flange Gasket

Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials

1-Northeast

HMA-01 9"x9" Floor Tile and Mastic

HMA-02 12"x12" Floor Tile and

Mastic

No ACM No ACM HMA-06 Fire Doors

1-Northwest HMA-01 9"x9" Floor Tile and Mastic No ACM No ACM HMA-06 Fire Doors

1-Southeast

HMA-01 9"x9" Floor Tile and Mastic

HMA-02 12"x12" Floor Tile and

Mastic

No ACM No ACM HMA-06 Fire Doors

1-Southwest HMA-01 9"x9" Floor Tile and Mastic No ACM No ACM HMA-06 Fire Doors

1-West No ACM No ACM No ACM HMA-06 Fire Doors

Building 163 - Crawlspace

Building 163 - Basement

Building 163 - First Floor

Building 163 - Second Floor

ACM HOMOGENEOUS AREAS SUMMARY TABLE

Building 163 - Crawlspace Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials

2-North No ACM No ACM No ACM HMA-06 Fire Doors

2-Southeast

HMA-01 9"x9" Floor Tile and Mastic

HMA-02 12"x12" Floor Tile and

Mastic

No ACM No ACM HMA-06 Fire Doors

2-Southwest HMA-01 9"x9" Floor Tile and Mastic No ACM No ACM HMA-06 Fire Doors

Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials

3 No ACM No ACM HMA-03 Pipe Insulation and Fittings HMA-06 Fire Doors

Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials

4 No ACM No ACM HMA-03 Pipe Insulation and Fittings HMA-06 Fire Doors

Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials

5 No ACM No ACM No ACM HMA-06 Fire Doors

Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials

Mechanical

Room No ACM No ACM No ACM HMA-05 Air Handling Unit Blanket

Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials

First Floor

Roof No ACM No ACM No ACM No ACM

Building 163 - Fifth Floor

Building 163 - Fifth Floor - Roof

Building 163 - Roof (Over First Floor)

Building 163 - Second Floor

Building 163 - Third Floor

Building 163 - Fourth Floor

Crawlspace

Basement

First Floor

Second Floor

Third Floor

Fourth Floor

Fifth Floor

Roof

CONDITION AND REMOVAL PRIORITY TABLE

Qualitative Rankings and Quantitative (Numerical) Ratings for Current Condition

Qualitative Ranking Numerical Rating Description of Current Condition

Surfacing material has no visible damage or small amounts of damage; covering on thermal system Good 8, 9, 10 insulation is intact or has small amounts of damage; miscellaneous materials intact; no visible debris or small amounts of debris.

Surfacing material has moderate but not extensive amounts of visible damage; covering on thermal system

F 4 5 6 7 insulation is cut or torn, exposing moderate but not extensive amounts of insulation; moderate but notair ‘ ‘

‘ extensive damage to miscellaneous materials such as floor tile; moderate but not extensive amounts of visible dust and debris..

Extensive damage to surfacing material; covering on thermal system insulation is cut or torn extensively and Poor 1, 2, 3 insulation itself is damage; miscellaneous materials such as floor tile extensively damaged and underlying mastic exposed; extensive amounts of dust and debris.

2 Qualitative Rankings and Quantitative (Numerical) Ratings for Potential for Disturbance

. Assessment FactorsQualitative Ranking Numerical Rating .

Physical Disturbance Environmental Disturbance

Vibration: vibration from operating machinery, HVAC Low 1, 2, 3 equipment, and so forth

Accessibility: accessibility during normal operations Air/Dust: air currents strong enough to dislodge loose

ACM; airborne dust that can erode material Medium 4,5,6,7

Corrosive: corrosive atmosphere or liquids that can Activities: activities that people do and how erode the covering or matrix often they do them High 8, 9, 10 Water Damage: water damage from leaking roof, pipe or other source

Qualitative Rankings and Quantitative (Numerical) Ratings for Removal Priority

Qualitative Ranking Numerical Rating Description of Current Condition High 1, 2, 3 Address short-term

Medium 4, 5, 6, 7 Address with on-going maintenance procedures

Low 8, 9. 10 Maintain in good condition

CONDITION AND REMOVAL PRIORITY TABLE

Rating Based On Rating Based On

HMA-03 163

Crawlspace

South Pipe Insulation and Fittings Yes No 7 Damage 2 Access 10

HMA-04 163

Crawlspace

South Gaskets No No 9 Intact 1 Maintenance 10

HMA-01 163

Basement

Central 9x9 Floor Tile and Mastic No No 10 Intact 2

Floor

Maintenance

HMA-06 163

Basement

Central Fire Doors No No 10 Intact 1 Maintenance 10

HMA-01 163

Basement

South 9x9 Floor Tile and Mastic

HMA-02 163

Basement

South 12x12 Floor Tile and Mastic

HMA-05 163

Basement

South Air Handling Unit Blanket Yes No 8 Damage 2 Access 10

HMA-06 163

Basement

South Fire Doors Yes No 10 Intact 1 Maintenance 10

HMA-08 163

Basement

South Flange Gasket No No 8 Intact 4 Maintenance 2

HMA-01 163 1-Northeast 9x9 Floor Tile and Mastic No No 10 Intact 2 Floor

Maintenance

HMA-02 163 1-Northeast 12x12 Floor Tile and Mastic No No 10 Intact 2 Floor

Maintenance

HMA-06 163 1-Northeast Fire Doors Yes No 10 Intact 1 Maintenance 10

HMA-01 163 1-Northwest 9x9 Floor Tile and Mastic No No 10 Intact 2 Floor

Maintenance

Material Description

Building 163 - First Floor

Removal

Priority

Building 163 - Basement

Current Condition

Building 163 - Crawlspace

Accessibility

Yes/No

Restricted

Potential for

Disturbance 2Homogeneous

Area No.

Bldg Floor

Friable

Yes/No

Abated as of 2012 Reinspection

Abated as of 2012 Reinspection

CONDITION AND REMOVAL PRIORITY TABLE

Material Description Removal

Priority

Current Condition 1Accessibility

Yes/No

Restricted

Potential for

Disturbance 2Homogeneous

Area No.

Bldg Floor

Friable

Yes/No

HMA-06 163 1-Northwest Fire Doors Yes No 10 Intact 1 Maintenance 10

HMA-01 163 1-Southeast 9x9 Floor Tile and Mastic No No 10 Intact 2 Floor

Maintenance

HMA-02 163 1-Southeast 12x12 Floor Tile and Mastic No No 10 Intact 2 Floor

Maintenance

HMA-06 163 1-Southeast Fire Doors Yes No 10 Intact 1 Maintenance 10

HMA-01 163 1-Southwest 9x9 Floor Tile and Mastic No No 10 Intact 2 Floor

Maintenance

HMA-06 163 1-Southwest Fire Doors Yes No 10 Intact 1 Maintenance 10

HMA-06 163 1-West Fire Doors Yes No 10 Intact 1 Maintenance 10

CONDITION AND REMOVAL PRIORITY TABLE

Material Description Removal

Priority

Current Condition 1Accessibility

Yes/No

Restricted

Potential for

Disturbance 2Homogeneous

Area No.

Bldg Floor

Friable

Yes/No

HMA-06 163 2-North Fire Doors Yes No 10 Intact 1 Maintenance 10

HMA-01 163 2-Southeast 9x9 Floor Tile and Mastic No No 10 Intact 2 Floor

Maintenance

HMA-02 163 2-Southeast 12x12 Floor Tile and Mastic No No 10 Intact 2 Floor

Maintenance

HMA-06 163 2-Southeast Fire Doors Yes No 10 Intact 1 Maintenance 10

HMA-01 163 2-Southwest 9x9 Floor Tile and Mastic No No 10 Intact 2 Floor

Maintenance

HMA-06 163 2-Southwest Fire Doors Yes No 10 Intact 1 Maintenance 10

HMA-03 163 3 Pipe Insulation and Fittings Yes No 7 Damage 2 Access 10

HMA-06 163 3 Fire Doors Yes No 10 Intact 1 Maintenance 10

HMA-03 163 4 Pipe Insulation and Fittings Yes No 7 Damage 2 Access 10

HMA-06 163 4 Fire Doors Yes No 10 Intact 1 Maintenance 10

HMA-06 163 5 Fire Doors Yes No 10 Intact 1 Maintenance 10

HMA-05 163

Mechanical

Room Air Handling Unit Blanket Yes No 8 Intact 2 Access 10

Building 163 - Fifth Floor - Roof

Building 163 - Fourth Floor

Building 163 - Second Floor

Building 163 - Third Floor

Building 163 - Fifth 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

163 N BA Pipe BA OT-09-293-0001 3" horizontal pipe - yellow insulation, white wrap

163 N BA Pipe BA OT-09-293-0002 5" horizontal pipe - yellow insulation, white wrap

163 N BA Pipe BA OT-09-293-0003 8" horizontal pipe - yellow insulation, white wrap

163 N BA Pipe BA OT-09-293-0004 3" valve - yellow insulation, white wrap, white mud

163 N BA Pipe BA OT-09-293-0005 Black felt, black wrap, black mastic

163 Basement Sub BA OT-09-293-0006 Brown insulation, black mastic

163 Basement Pipe BA OT-09-293-0007 Yellow insulation, silver tape, white mud

163 Basement #6 Stairs OT-09-293-0008 Tan 12x12 floor tile, black mastic

163 Basement BD 101 OT-09-293-0009 White tape

163 Basement BC 101 OT-09-293-0010 Gray insulation, white wrap

163 Basement BC 126B OT-09-293-0011 Tan 12x12 floor tile, black mastic

163 Basement BC 121 OT-09-293-0012 Light tan 12x12 floor tile, yellow mastic

163 Basement CB 15 OT-09-293-0013 White 2x4 ceiling tile

163 Basement BC 107 OT-09-293-0014 Tan 12x12 floor tile, yellow mastic

163 Basement BC 110A OT-09-293-0015 White sheetrock, white tape, mud

163 Basement BB 107 OT-09-293-0016 White 2x4 ceiling tile

163 Basement CB 7 OT-09-293-0017 Light tan 12x12 floor tile, black mastic

163 Basement CB 7 OT-09-293-0018 5" horizontal pipe - yellow insulation, white wrap

163 Basement BD 111A OT-09-293-0019 2" horizontal pipe - yellow insulation, white wrap

163 Basement BD 111A OT-09-293-0020 Brown cove molding, yellow mastic

163 Basement #3 Stairs OT-09-293-0021 White wall coating

163 Basement BB 128 OT-09-293-0022 Layer 1 - white 9x9 floor tile

163 Basement BB 128 OT-09-293-0022 Layer 2 - black mastic

163 Basement BB 128 OT-09-293-0023 5" horizontal pipe - yellow insulation, white wrap

163 Basement BB 129A OT-09-293-0024 White plaster

163 Basement BB 129C OT-09-293-0025 Yellow insulation, silver wrap, white overspray

163 Basement BD 107 OT-09-293-0063 Gray 12x12 floor tile, yellow mastic

163 Basement BD 108E OT-09-293-0064 White 2x4 ceiling tile

163 Basement BC 150 OT-09-293-0065 Yellow insulation, silver tape, white mud

163 Basement BC 150 OT-09-293-0066 5" elbow - yellow insulation, white wrap, white mud

163 Basement BC 150 OT-09-293-0067 8" horizontal pipe - yellow insulation, white wrap

163 Basement BC 150 OT-09-293-0068 10" valve - yellow insulation, white wrap

163 Basement BC 150 OT-09-293-0069 Brown cloth, black mastic

163 Basement BB 114 OT-09-293-0070 3" vertical pipe - yellow insulation, white wrap, white mud

163 Basement BB 114 OT-09-293-0071 5" horizontal pipe - yellow insulation, brown wrap

163 Basement BB 114 OT-09-293-0072 5" elbow - pink insulation, brown wrap, white mud

163 Basement BB 114 OT-09-293-0073 3" horizontal pipe - yellow insulation, brown wrap

163 Basement BB 114 OT-09-293-0074 Black cloth, black mastic, brown cardboard insulation, black cloth, black mastic

163 Basement BA 118 OT-09-293-0075 4" horizontal pipe - yellow insulation, brown wrap

163 Basement BA 118 OT-09-293-0076 4" elbow - yellow insulation, white tape, mud

163 Basement BD 116B OT-09-293-0077 White block insulation, white wrap

163 Basement BA 118 OT-09-293-0078 Black mastic, white compound

163 Basement CB6 OT-09-293-0079 2" horizontal pipe - yellow insulation, white wrap

163 Basement CB6 OT-09-293-0080 Yellow insulation, silver wrap, white mud

163 Basement BA 115 OT-09-293-0081 2" horizontal pipe - yellow insulation, white wrap

Red = Asbestos-Containing Material (ACM) Blue = Non ACM Green = Non Asbestos-Containing Material

Purple = Abated

SUMMARY OF BULK SAMPLES TAKEN TO DATE

(determined by Point Count Analysis)

Building Floor Room Sample ID Material Description

Red = Asbestos-Containing Material (ACM) Blue = Non ACM Green = Non Asbestos-Containing Material

Purple = Abated

163 Basement BA 115 OT-09-293-0082 White 2x4 ceiling tile

163 Basement BA 116 OT-09-293-0083 Layer 1 - tan 12x12 floor tile

163 Basement BA 116 OT-09-293-0083 Layer 2 - black mastic

163 Basement CB6 OT-09-293-0084 Layer 1 - tan 9x9 floor tile

163 Basement CB6 OT-09-293-0084 Layer 2 - black mastic

163 Basement CB6 OT-09-293-0085 Black cove molding, brown mastic

163 Basement BA 107 OT-09-293-0086 White 2x2 ceiling tile

163 Basement BA 107 OT-09-293-0087 4" horizontal pipe - yellow insulation, white wrap

163 Basement BA 107 OT-09-293-0088 Gray backing board

163 Basement BA 111 OT-09-293-0089 Gray plaster

163 Basement BA CB1 OT-09-293-0090 Rubber tile 20x20 floor tile, yellow mastic, black mastic

163 Basement BA 201 OT-09-293-0091 White 2x2 ceiling tile

163 Basement BA 214 OT-09-293-0092 5" horizontal pipe - yellow, white wrap

163 Basement BA 228 OT-09-293-0093 Sheetrock, white tape, white mud

163 Basement BA 229 OT-09-293-0094 Yellow linoleum

163 Basement BA 229 OT-09-293-0095 5" vertical pipe - yellow insulation, white wrap

163 Basement BA 229 OT-09-293-0096 Brown cove molding, brown glue

163 Basement BA 112 OT-09-293-0097 5" horizontal pipe - yellow insulation, white wrap

163 Basement BA 112 OT-09-293-0098 Layer 1 - white with blue specks 12x12 floor tile

163 Basement BA 112 OT-09-293-0098 Layer 2 - yellow mastic

163 Basement BA 108 OT-09-293-0099 Layer 1 - brown 12x12 floor tile

163 Basement BA 108 OT-09-293-0099 Layer 2 - black mastic

163 Basement BD 111 OT-09-293-0100 8" horizontal pipe - yellow insulation, white wrap

163 Basement BD 111 OT-09-293-0101 Tank end cap - yellow insulation, white wrap

163 Basement BD 111 OT-09-293-0102 3" elbow - white insulation, white wrap

163 Basement BA 108B OT-09-293-0103 Black gasket, black mastic

163 Basement BA 18B OT-09-293-0104 White plaster

163 Basement BA 108B OT-09-293-0105 12" vertical pipe - pink insulation, white wrap

163 Basement BA 108B OT-09-293-0106 Tank blanket, black insulation

163 crawl crawl OT-09-293-0107 White tape, mud

163 crawl crawl OT-09-293-0108 8" horizontal pipe - yellow insulation, white wrap

163 crawl crawl OT-09-293-0109 7" horizontal pipe - yellow insulation, white wrap

163 crawl crawl OT-09-293-0110 Brown insulation, black mastic

163 crawl crawl OT-09-293-0111 4" horizontal pipe - yellow insulation, white wrap

163 crawl crawl OT-09-293-0112 Layer 1 - 9" elbow - white wrap

163 crawl crawl OT-09-293-0112 Layer 2 - 9" elbow - yellow insulation

163 crawl crawl OT-09-293-0113 4" horizontal pipe - black insulation, white wrap

163 crawl crawl OT-09-293-0114 4" horizontal pipe - yellow insulation, white wrap

163 crawl crawl OT-09-293-0115 4" horizontal pipe - yellow insulation, white wrap

163 Basement crawl OT-09-293-0116 2" horizontal pipe - yellow insulation, white wrap

163 Basement crawl OT-09-293-0117 5" horizontal pipe - black insulation, white wrap

163 Basement crawl OT-09-293-0118 5" elbow - pink insulation, white wrap

163 Basement crawl OT-09-293-0119 7" horizontal pipe - yellow insulation, brown wrap

163 Basement crawl OT-09-293-0120 10" elbow - gray block insulation, white wrap

163 Basement crawl OT-09-293-0121 7" vertical pipe - yellow insulation, white wrap

SUMMARY OF BULK SAMPLES TAKEN TO DATE

(determined by Point Count Analysis)

Building Floor Room Sample ID Material Description

Red = Asbestos-Containing Material (ACM) Blue = Non ACM Green = Non Asbestos-Containing Material

Purple = Abated

163 Basement crawl OT-09-293-0122 7" elbow - yellow insulation, white wrap

163 Basement crawl OT-09-293-0123 2" horizontal pipe - yellow insulation, white wrap

163 Basement crawl OT-09-293-0124 Layer 1 - 2" T - white wrap

163 Basement crawl OT-09-293-0124 Layer 2 - 2" T - yellow insulation

163 Basement crawl OT-09-293-0124 Layer 3 - 2" T - white mud

163 Basement crawl OT-09-293-0125 3" horizontal pipe - yellow insulation, brown wrap

163 Basement crawl OT-09-293-0126 3" T - yellow insulation, white wrap

163 Basement crawl OT-09-293-0127 15" horizontal pipe - gray block, white wrap

163 Basement crawl OT-09-293-0128 Black gasket on 15" pipe

163 Basement BA 109 OT-09-293-0129 White plaster

163 Basement BA 121 OT-09-293-0130 White linoleum

163 Basement South mech OT-09-293-0131 2" vertical pipe - black insulation

163 Basement South mech OT-09-293-0132 Yellow insulation, white wrap

163 1 1D 100 OT-09-293-0133 White 2x4 ceiling tile

163 1 C1-41 OT-09-293-0134 5" horizontal pipe - white insulation, white wrap

163 1 Stair #6 OT-09-293-0135 Tan 12x12 floor tile, black mastic

163 1 1C28 OT-09-293-0136 Yellow insulation, white wrap

163 1 1C28 OT-09-293-0137 5" vertical pipe - yellow insulation, white wrap

163 1 C1 41A OT-09-293-0138 6" horizontal pipe - yellow insulation, white wrap

163 1 1D 105 OT-09-293-0139 Tan 12x12 floor tile, black mastic

163 1 1C39 OT-09-293-0140 Brown cove molding, brown mastic

163 1 Hall OT-09-293-0141 6" horizontal pipe - yellow insulation, white wrap

163 1 1C14 OT-09-293-0142 White tape, white mud

163 1 C121 OT-09-293-0143 White linoleum

163 1 C121 OT-09-293-0144 White linoleum, tan 12x12 floor tile, black mastic

163 1 C121 OT-09-293-0145 Gray linoleum

163 1 1B 159 OT-09-293-0146 White 2x4 ceiling tile

163 1 1B 149 OT-09-293-0147 Gray 12x12 floor tile, yellow mastic

163 1 1B45 OT-09-293-0148 Yellow insulation, white wrap

163 1 1B45 OT-09-293-0149 7" vertical pipe - yellow insulation, white wrap

163 1 1B 152 OT-09-293-0150 Layer 1 - white 9x9 floor tile

163 1 1B 152 OT-09-293-0150 Layer 2 - black mastic

163 1 1B 150 OT-09-293-0151 Brown cove molding, brown mastic

163 1 1B 154 OT-09-293-0152 Layer 1 - white with blue specks 12x12 floor tile

163 1 1B 154 OT-09-293-0152 Layer 2 - black mastic

163 1 1B 154A OT-09-293-0153 White 2x2 ceiling tile

163 1 1B 161C OT-09-293-0154 White 2x2 ceiling tile

163 1 1B 161 OT-09-293-0155 Layer 1 - dark brown 12x12 floor tile

163 1 1B 161 OT-09-293-0155 Layer 2 - yellow mastic

163 1 1B 161 OT-09-293-0155 Layer 3 - black mastic

163 1 C1-54 OT-09-293-0156 3" horizontal pipe - yellow insulation, white wrap

163 1 C1-54 OT-09-293-0157 White 2x4 ceiling tile

163 1 Stair #4 OT-09-293-0158 Tan 12x12 floor tile, yellow mastic

163 1 C1-22 OT-09-293-0159 Layer 1 - tan 12x12 floor tile

163 1 C1-22 OT-09-293-0159 Layer 2 - yellow mastic

SUMMARY OF BULK SAMPLES TAKEN TO DATE

(determined by Point Count Analysis)

Building Floor Room Sample ID Material Description

Red = Asbestos-Containing Material (ACM) Blue = Non ACM Green = Non Asbestos-Containing Material

Purple = Abated

163 1 C1-22 OT-09-293-0159 Layer 3 - black mastic

163 1 1B-79A OT-09-293-0160 Tan 12x12 floor tile, yellow mastic

163 1 1B-79A OT-09-293-0161 Brown cove molding, yellow mastic

163 1 1B-41 OT-09-293-0162 Tan 12x12 floor tile, black mastic

163 1 C1-21 OT-09-293-0163

Tan 12x12 floor tile, yellow mastic, tan 12x12 floor tile, black mastic

163 1 c1-21 OT-09-293-0164 White sheetrock tape, mud

163 1 C1-32 OT-09-293-0165 White sheetrock tape, white mud

163 1 1B-43 OT-09-293-0166 Layer 1 - white 9x9 floor tile

163 1 1B-43 OT-09-293-0166 Layer 2 - black mastic

163 1 1B-22 OT-09-293-0167 White 2x4 ceiling tile

163 1 1B 164 OT-09-293-0168 Layer 1 - white 12x12 floor tile with blue specks

163 1 1B 164 OT-09-293-0168 Layer 2 - black mastic

163 1 1B 164 OT-09-293-0169 White 12x12 ceiling tile, brown glue dots

163 1 1B 167 OT-09-293-0170 White 2x2 ceiling tile

163 2 AP 207 OT-09-293-0171 White plaster

163 2 B150 OT-09-293-0172 Layer 1 - white 9x9 floor tile

163 2 B150 OT-09-293-0172 Layer 2 - black mastic

163 2 B150 OT-09-293-0173 5" vertical pipe - yellow insulation, white wrap

163 2 B150 OT-09-293-0174 5" elbow - yellow insulation, white wrap, white mud

163 2 B150 OT-09-293-0175 Black cove molding, brown mastic

163 1 1B 169 OT-09-293-0176 2" horizontal pipe - yellow insulation, white wrap

163 1 1D 117 OT-09-293-0177 Light tan 12x12 floor tile, yellow mastic

163 1 C1 23 OT-09-293-0178 5" elbow - yellow insulation, white wrap

163 1 C1 23 OT-09-293-0179 5" horizontal pipe - yellow insulation, white wrap

163 1 1A 117 OT-09-293-0180 White 2x2 ceiling tile

163 1 1A 152 OT-09-293-0181 White linoleum

163 1 1D 127 OT-09-293-0182 Gray vibration isolator

163 1 1D 127 OT-09-293-0183 Yellow insulation, white tape, white wrap

163 1 1D 127 OT-09-293-0184 9" horizontal pipe - yellow insulation, white wrap

163 1 1D 127 OT-09-293-0185 8" valve blanket - yellow insulation, white wrap, white mud

163 1 1D 127 OT-09-293-0186

8" valve end cap - yellow insulation, white wrap, white mud

163 1 1B 165 OT-09-293-0187 Yellow insulation, white wrap

163 1 1A 150 OT-09-293-0188 Layer 1 - white 9x9 floor tile

163 1 1A 150 OT-09-293-0188 Layer 2 - black mastic

163 1 C1 26A OT-09-293-0189 Gray 12x12 floor tile, yellow mastic

163 1 1A 119 OT-09-293-0190 Blue linoleum

163 1 1A 140 OT-09-293-0191 Layer 1 - tan 12x12 floor tile

163 1 1A 140 OT-09-293-0191 Layer 2 - black mastic

163 1 South Hall OT-09-293-0192 White 2x4 ceiling tile

163 1 1A 156 OT-09-293-0193 Brown baseboard, yellow mastic

163 1 2 SW Elev OT-09-293-0194 Layer 1 - brown 12x12 floor tile

163 1 2 SW Elev OT-09-293-0194 Layer 2 - yellow mastic

SUMMARY OF BULK SAMPLES TAKEN TO DATE

(determined by Point Count Analysis)

Building Floor Room Sample ID Material Description

Red = Asbestos-Containing Material (ACM) Blue = Non ACM Green = Non Asbestos-Containing Material

Purple = Abated

163 1 1A 153 OT-09-293-0195 White plaster

163 1 Stair 2 OT-09-293-0196 White cloth

163 1 1A 1456 OT-09-293-0197 Light tan 12x12 floor tile, yellow mastic

163 1 1A 598B OT-09-293-0198 Layer 1 - tan 12x12 floor tile

163 1 1A 598B OT-09-293-0198 Layer 2 - black mastic

163 1 1A 598B OT-09-293-0198 Layer 3 - yellow mastic

163 1 1A 154 OT-09-293-0199 5" vertical pipe - yellow insulation, white wrap

163 1 1A 176 OT-09-293-0200 Layer 1 - tan 9x9 floor tile

163 1 1A 176 OT-09-293-0200 Layer 2 - black mastic

163 1 C1 27 OT-09-293-0201 Tan 12x12 floor tile, black mastic

163 2 AP 208 OT-09-293-0202 12" vertical pipe - yellow insulation, white wrap

163 2 AP 208 OT-09-293-0203 13" valve cap - yellow insulation, white wrap, white mud

163 2 AP 208 OT-09-293-0204 24" vertical pipe - yellow insulation, white wrap

163 1 Roof Roof OT-09-293-0205 Yellow insulation, silver wrap, black backing

163 1 Roof Roof OT-09-293-0206 Yellow insulation, white wrap, white mud

163 1 Roof Roof OT-09-293-0207 Black roofing tar

163 1 Roof Roof OT-09-293-0208 Yellow insulation, white wrap, white tape

163 2 2C 117 OT-09-293-0209 2" vertical pipe - yellow insulation, white wrap

163 2 2C 117 OT-09-293-0210 5" horizontal pipe - yellow insulation, white wrap

163 2 2C 117 OT-09-293-0211 Yellow insulation, white mud

163 2 AP 208 OT-09-293-0212 1" horizontal pipe - black tape, black mastic

163 2 C2-2 OT-09-293-0213 White sheetrock, white tape, white mud

163 2 C2-2 OT-09-293-0214 White 2x4 ceiling tile

163 2 C2-2 OT-09-293-0215 Layer 1 - tan 12x12 floor tile

163 2 C2-2 OT-09-293-0215 Layer 2 - black mastic

163 2 2B 154B OT-09-293-0216 2" horizontal pipe - yellow insulation, white wrap

163 2 2B 147 OT-09-293-0217 4" horizontal pipe - yellow insulation, white wrap

163 2 2B 142 OT-09-293-0218 2" T - yellow insulation, white wrap

163 2 C2-1 OT-09-293-0219 Layer 1 - tan 12x12 floor tile, black mastic

163 2 C2-1 OT-09-293-0219 Layer 2 - black mastic

163 2 C2-1 OT-09-293-0220 Brown cove molding, brown mastic

163 2 C2-1 OT-09-293-0221 Yellow mastic, tan 12x12 floor tile, black mastic

163 2 C2-1 OT-09-293-0222

4" horizontal pipe - white wrap, yellow insulation, white mastic

163 2 C2 28A OT-09-293-0223 Gray spray on

163 2 C2-28 OT-09-293-0224 Sheetrock, white tape, white mud

163 2 C2-28 OT-09-293-0225 White 2x4 ceiling tile

163 2 2A 128 OT-09-293-0226 3" vertical pipe - yellow insulation, white wrap

163 2 2A 128 OT-09-293-0227 Yellow insulation, white wrap

163 2 2A 123 OT-09-293-0228 Layer 1 - white 9x9 floor tile

163 2 2A 123 OT-09-293-0228 Layer 2 - black mastic

163 2 2B 149 OT-09-293-0229 Layer 1- white 9x9 floor tile

163 2 2B 149 OT-09-293-0229 Layer 2 - black mastic

163 2 2B 149 OT-09-293-0230 Layer 1 - brown baseboard

163 2 2B 149 OT-09-293-0230 Layer 2 - brown mastic

SUMMARY OF BULK SAMPLES TAKEN TO DATE

(determined by Point Count Analysis)

Building Floor Room Sample ID Material Description

Red = Asbestos-Containing Material (ACM) Blue = Non ACM Green = Non Asbestos-Containing Material

Purple = Abated

163 2 2B 149 OT-09-293-0230 Layer 3 - white joint compound

163 5 568 OT-09-293-0231 Light tan 12x12 floor tile, yellow mastic

163 5 542 OT-09-293-0232 5" horizontal pipe - yellow insulation, white wrap

163 5 561 OT-09-293-0233 Light tan 12x12 floor tile, yellow mastic

163 2 2C 39 OT-09-293-0234 Tan 12x12 floor tile, yellow mastic

163 2 2B 143 OT-09-293-0235 3" horizontal pipe - yellow insulation, white wrap

163 2 2B 143 OT-09-293-0236 3" vertical pipe - yellow insulation, white wrap

163 2 2B 144 OT-09-293-0237 White sheetrock, white tape, white mud

163 5 520 OT-09-293-0238 Layer 1 - tan 12x12 floor tile

163 5 520 OT-09-293-0238 Layer 2 - yellow mastic

163 5 C501 OT-09-293-0239 White 2x4 ceiling tile

163 5 554 OT-09-293-0240 White 2x4 ceiling tile

163 5 Roof Roof OT-09-293-0241 White tape, mud

163 Roof Mech Room OT-09-293-0242 White wrap, brown wrap, yellow insulation

163 Roof Mech Rm B OT-09-293-0243 Black vibration isolator

163 Roof Mech Rm A OT-09-293-0244 White block insulation, white wrap

163 Roof Mech Rm A OT-09-293-0245 1" vertical pipe - black wrap, black mastic

163 Roof Mech Rm A OT-09-293-0246 7" horizontal pipe - yellow insulation, white wrap

163 Roof Mech Rm A OT-09-293-0247 3" horizontal pipe - yellow insulation, white wrap

163 Roof Mech Rm A OT-09-293-0248 5" valve - yellow insulation, white wrap

163 Roof Mech Rm A OT-09-293-0249 White block insulation, white wrap

163 Roof Mech Rm A OT-09-293-0250 White block insulation, white wrap

163 4 Svc Elev OT-09-293-0285 White 2x2 ceiling tile

163 4 Svc Elev OT-09-293-0286 Blue 12x12 floor tile, yellow mastic

163 4 457 OT-09-293-0287 Tan 12x12 floor tile, yellow mastic

163 4 C-4-5 OT-09-293-0288 Layer 1 - green 12x12 floor tile

163 4 C-4-5 OT-09-293-0288 Layer 2 - yellow mastic

163 4 C-4-5 OT-09-293-0288 Layer 3 - black mastic

163 4 C-4-4 OT-09-293-0289 3" vertical pipe - yellow insulation, white wrap

163 4 426 OT-09-293-0290 Tan 12x12 floor tile, yellow mastic

163 4 427 OT-09-293-0291 White 2x2 ceiling tile

163 4 427 OT-09-293-0292 1" vertical pipe - black insulation, black mastic

163 4 437 OT-09-293-0293 Layer 1 - dark pink 12x12 floor tile

163 4 437 OT-09-293-0293 Layer 2 - yellow mastic

163 4 Hall OT-09-293-0294 White sheetrock, white tape, mud

163 4 C-4-8 OT-09-293-0295 3" vertical pipe - yellow insulation, white wrap

163 4 Fire OT-09-293-0296 Green 12x12 floor tile, yellow mastic

163 4 421 OT-09-293-0297 Layer 1- dark brown 12x12 floor tile

163 4 421 OT-09-293-0297 Layer 2 - yellow mastic

163 4 404 OT-09-293-0298 Dark brown 12x12 floor tile, yellow mastic

163 4 459 OT-09-293-0299 White duct insulation

163 4 459 OT-09-293-0300 White 2x2 ceiling tile

163 3 318 OT-09-293-0801 Tan 12x12 floor tile, yellow mastic

163 3 North Hall OT-09-293-0802 Pink 12x12 floor tile, yellow mastic

163 3 359 OT-09-293-0803 Brown 12x12 floor tile, yellow mastic

SUMMARY OF BULK SAMPLES TAKEN TO DATE

(determined by Point Count Analysis)

Building Floor Room Sample ID Material Description

Red = Asbestos-Containing Material (ACM) Blue = Non ACM Green = Non Asbestos-Containing Material

Purple = Abated

163 3 320 OT-09-293-0804 2" horizontal pipe - yellow insulation, white wrap

163 3 320 OT-09-293-0805 Layer 1 - 2" elbow - white wrap

163 3 320 OT-09-293-0805 Layer 2 - 2" elbow - white block insulation

163 3 320 OT-09-293-0806 White 2x4 ceiling tile

163 3 324 OT-09-293-0807 2" horizontal pipe - yellow insulation, white wrap

163 3 324 OT-09-293-0808 Layer 1 - 2" elbow - white wrap

163 3 324 OT-09-293-0808 Layer 2 - 2" elbow - white block insulation

163 3 Fire OT-09-293-0809 Pink 12x12 floor tile, yellow mastic

163 3 Fire OT-09-293-0810 Gray cove molding, brown mastic

163 3 326D OT-09-293-0811 1" vertical pipe - black tape, mastic

163 3 308 OT-09-293-0812 Brown 12x12 floor tile, yellow mastic

163 3 330 OT-09-293-0813 White 2x2 ceiling tile

163 3 329B OT-09-293-0814 1" valve - black insulation

163 3 331 OT-09-293-0815 Brown linoleum, gray backing

163 3 341B OT-09-293-0816 1" horizontal pipe - black insulation

163 3 344 OT-09-293-0817 White sheetrock, white sheetrock tape, mud

163 3 344 OT-09-293-0818 White 2x4 ceiling tile

163 3 358A OT-09-293-0819 5" horizontal pipe - yellow insulation, white wrap

163 Basement BA 220 OT-09-293-0820 Tan 12x12 floor tile, black mastic

163 2 2D 105 OT-09-293-0831 5" horizontal pipe - yellow insulation, white wrap

163 2 2 North OT-09-293-0832 White 2x4 ceiling tile

163 Basement BB 112 OT-09-293-0833 White 2x4 ceiling tile

163 Basement BB 1121 OT-09-293-0834 2" horizontal pipe - yellow insulation, white wrap

163 Basement BA 108B OT-09-293-1101 1" vertical pipe - black insulation, black mastic

163 Basement BD116B TE-12-353-013 Brown flange gasket

ASBESTOS-CONTAINING BULK SAMPLES

LIST OF ASBESTOS-CONTAINING SAMPLES

Building Floor Room Sample ID Material Description

163 Basement BB 128 OT-09-293-0022 Layer 1 - white 9x9 floor tile

163 Basement BB 128 OT-09-293-0022 Layer 2 - black mastic

163 Basement BA 18B OT-09-293-0104 White plaster

163 Basement crawl OT-09-293-0120 10" elbow - gray block insulation, white wrap

163 Basement crawl OT-09-293-0124 Layer 3 - 2" T - white mud

163 Basement crawl OT-09-293-0128 Black gasket on 15" pipe

163 1 1B 152 OT-09-293-0150 Layer 2 - black mastic

163 1 1B 154 OT-09-293-0152 Layer 1 - white with blue specks 12x12 floor tile

163 1 1B 154 OT-09-293-0152 Layer 2 - black mastic

163 1 1B-43 OT-09-293-0166 Layer 2 - black mastic

163 1 1B 164 OT-09-293-0168 Layer 1 - white 12x12 floor tile with blue specks

163 1 1B 164 OT-09-293-0168 Layer 2 - black mastic

163 2 B150 OT-09-293-0172 Layer 2 - black mastic

163 1 1A 150 OT-09-293-0188 Layer 2 - black mastic

163 1 1A 176 OT-09-293-0200 Layer 2 - black mastic

163 2 C2-2 OT-09-293-0215 Layer 2 - black mastic

163 2 C2-1 OT-09-293-0219 Layer 2 - black mastic

163 2 2A 123 OT-09-293-0228 Layer 1 - white 9x9 floor tile

163 2 2A 123 OT-09-293-0228 Layer 2 - black mastic

163 2 2B 149 OT-09-293-0229 Layer 1- white 9x9 floor tile

163 2 2B 149 OT-09-293-0229 Layer 2 - black mastic

163 Roof Mech Rm A OT-09-293-0244 White block insulation, white wrap

163 Roof Mech Rm A OT-09-293-0249 White block insulation, white wrap

163 Roof Mech Rm A OT-09-293-0250 White block insulation, white wrap

163 3 341B OT-09-293-0816 1" horizontal pipe - black insulation

163 Basement BD116B TE-12-353-013 Brown flange gasket

Red = Asbestos-Containing Material (ACM)

2012 REINSPECTION INSPECTION LOG

Client: Date: January 10, 2013

Location: Inspector(s): Jerry Heidecker & Rodney Lewis

1901 Veterans Memorial Drive, Temple, Texas

Building: 163

Note: Red = Asbestos-Containing Material Blue = Non Asbestos-Containing Material Green = Non Asbestos-Containing Material

(determined by Point Count analysis)

Sample ID Material Description Material

Category Friability Condition Location

Asbestos

% Type

TE-12-353-013 Brown flange gasket M NF 8 Southeast quadrant of emergency generator, room BD116B

15% chrysotile

Material Category: T=TSI S=Surfacing M=Miscellaneous Friability: F=Friable NF=Non-Friable Condition: Good = 8, 9, 10 Fair = 4, 5, 6, 7 Poor = 1, 2, 3

GOOD = Surfacing material has no visible damage or small amounts of damage; covering on thermal system insulation is intact or has small amounts of damage; miscellaneous materials intact; no visible debris or small amounts of debris. FAIR = Surfacing material has moderate but not extensive amounts of visible damage; covering on thermal system insulation is cut or torn, exposing moderate but not extensive amounts of insulation; moderate but not extensive damage to miscellaneous materials such as floor tile; moderate but not extensive amounts of visible dust and debris. POOR = Extensive damage to surfacing material; covering on thermal system insulation is cut or torn extensively and insulation itself is damaged; miscellaneous materials such as floor tile extensively damaged and underlying mastic exposed; extensive amounts of dust and debris.

Central Texas Veterans Health Care System

Olin E. Teague V.A. Medical Center

ASBESTOS INSPECTION LOG

ND=None Detected NA=Not AnalyzedPlease use the following guidelines when reading this report:

BULK SAMPLE LOCATION DRAWINGS

Third Floor

Fourth Floor

Fifth Floor

Roof

2012 REINSPECTION PHOTOGRAPHS

OLIN E. TEAGUE VA MEDICAL CENTER - BUILDING 163

TEMPLE, TEXAS

JANUARY 10, 2013

sample contains asbestos sample does not contain asbestos non-asbestos containing material determined by point count analysis

TE-12-353-013

2012 REINSPECTION LABORATORY REPORTS

EMSL Analytical, Inc.

200 Route 130 North, Cinnaminson, NJ 08077

Phone/Fax: (800) 220-3675 / (856) 786-5974 http://www.emsl.com cinnasblab@EMSL.com

041300731

CustomerID: ALT50

CustomerPO:

ProjectID:

EMSL Order:

Attn: Dave Hopper

ALTEC Environmental Consultants, Inc.

10100 Woolworth Road

Keithville, LA 71047

Received: 01/11/13 10:00 AM

18708/ OLIN E. TEAGUE VA MEDICAL CENTER- 2012 RE-INSPECTION/ DEPARTMENT OF VETERAN AFFAIRS/ BLDG #163

Fax: (318) 687-9923

Phone: (318) 687-3771

Project:

1/11/2013Analysis Date:

1/10/2013Collected:

Sample Description Appearance % Type

AsbestosNon-Asbestos

% Fibrous % Non-Fibrous

Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 and/or EPA

600/M4-82-020 Method(s) using Polarized Light Microscopy

TE-12-353-013

041300731-0001

SE QUAD OF

EMERGENCY

ROOM #B01KB,

BLDG #163 -

BROWN

FLANGE GASKET

Tan/White/Red

Fibrous

Heterogeneous

Chrysotile15%Non-fibrous (other)85%

1THIS IS THE LAST PAGE OF THE REPORT.Test Report PLM-7.16.0 Printed: 1/11/2013 4:44:01 PM

Stephen Siegel, CIH, Laboratory Manager or other approved signatory

Analyst(s)

EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1%

Samples analyzed by EMSL Analytical, Inc. Cinnaminson, NJ NVLAP Lab Code 101048-0, AIHA-LAP, LLC-IHLAP Lab 100194, NYS ELAP 10872, NJ DEP 03036

Initial report from 01/11/2013 16:44:01

William Nguyen (1) http://www.emsl.com mailto:cinnasblab@EMSL.com

CERTIFICATIONS

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ASBESTOS INSPECTOR

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Donald R Joiner

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9/12/2012

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9/29/2013

Professional Environmental Training

Occupational and Environmental Training Program

Awards this Certificate to

BRADLEY W. KENNON

Certificate No. TL-0993

For completion of the

3-HOUR COURSE

TEXAS ASBESTOS HEALTH PROTECTION ACT

November 3, 2012 9001 Airport Blvd., Suite 510

Houston, Texas 77061

713-921-8921

P sident, Fredy Polanco, M.S.

Instructor, Philip

Date of Course www.proenvtraining.com

Bradley Kennon

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8/16/2012

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8/1/2013

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Rodney Lewis

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Robert B Raines III

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8/21/2012

103065

8/5/2013

ASBESTOS MANAGEMENT PLANNER

TEMPLE VA MEDICAL CENTER

6-MONTH ASBESTOS SURVEILLANCE

BUILDING 163

HMA Material Description Location Friable

Yes/No

Conditions at Last

Inspection1

Damage

Severity2

Conditions at Current

Inspection1

Comments

HMA-03

Pipe Insulation and

Fittings

South

HMA-04 Gaskets

South

HMA-01

9x9 Floor Tile and

Mastic

Central

HMA-06 Fire Doors

Central

Mastic Basement South Abated as of 2012 Reinspection

HMA-02

12x12 Floor Tile and

Mastic Basement South Abated as of 2012 Reinspection

HMA-05

Air Handling Unit

Blanket Basement South

HMA-06 Fire Doors Basement South

HMA-08 Flange Gasket Basement South

HMA-01

9x9 Floor Tile and

Mastic

Northeast

HMA-02

12x12 Floor Tile and

Mastic

Mastic

Northwest

Northwest

Mastic

Southeast

Mastic

HMA Material Description Location Friable

Yes/No

Conditions at Last

Inspection1

Damage

Severity2

Conditions at Current

Inspection1

Comments

HMA-01

9x9 Floor Tile and

Mastic

Southwest

HMA-06 Fire Doors First Floor West

North

Mastic

Mastic

Mastic

HMA-03

Pipe Insulation and

Fittings Third Floor

HMA-06 Fire Doors Third Floor

HMA-03

Pipe Insulation and

Fittings Fourth Floor

HMA-06 Fire Doors Fourth Floor

HMA-06 Fire Doors Fifth Floor

HMA-05

Air Handling Unit

Blanket

Fifth Floor-Roof

Mechanical Rm.

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