36C25818R0311-0002002.pdf
PDF 21 MB Posted
- Solicitation number
- 36C25818R0311
About this file
36C25818R0311 0002 S02_ATTACHMENT 09_ Part 2 of 6 _ Haz Mat Inspection Report 01-2015.pdf
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C25818R0311-0002005.pdf | ||
| 36C25818R0311-0002003.pdf | ||
| 36C25818R0311-0002000.docx | DOCX document | |
| 36C25818R0311-0002004.pdf | ||
| 36C25818R0311-0002006.pdf | ||
| 36C25818R0311-0002001.pdf | ||
| 36C25818R0311-0001008.pdf | ||
| 36C25818R0311-0001006.docx | DOCX document | |
| 36C25818R0311-0001007.pdf | ||
| 36C25818R0311-003.pdf | ||
| 36C25818R0311-005.pdf | ||
| 36C25818R0311-002.pdf | ||
| 36C25818R0311-001.docx | DOCX document | |
| 36C25818R0311-004.pdf | ||
| 36C25818R0311-006.pdf | ||
| 36C25818R0311-000.docx | DOCX document |
Show all 16
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTACHMENT 09
Hazardous Materials
Inspection Report
664-14-517
75 pages
1 January 2015
San-Diego, California VA Health Care System (605)
AC26 Replacement
CONSTRUCTION
fJENCORP
:�:•::;��--:"-u� - � t -- - . .. .. ��
SAMPLE NO, LABIDI .SAMPLE LOCATION
21. �07201
2. �07202
3. �07203
4.
5.
7. �-�7 �07
8.
�n7�n8 4--t"'-�
9. �07209
0. �r.7210
052738
16700 Valle)' View Avenue, Swte 100 La Muada, Cal1fom1a 90638
Tel: (714) 523-9811 Fu: (714) 523-9810 www.CIICOl1).net
• 'IV I J)l=> ,nv .... •-----"----- 0 F __ "---' ________ _ ,A.,1;:;-. ( , __ r-rtr-?-
MATERIAL DESCRIPTION COll)ITION QUANTTTY %ASBESTOS z.1Po11a.-•1au,m,wr...,;c,.,a r-ir..-i.,..._ r tJENCORP Engineering our Environment f)5�738
16700 Valley View A�nuc, Smte 100 La Mirada, Cahfomia 90638
Td (714) 523-9811 Fax: (714) 523-9810 www.cncocp.nd
CLIENT:� ffl q:::-,\1 J\{ I)
JOB NO:� �-�• .I INSPECT�� :;Q[\(I(..Q.
• \ 1 V , I\\�,. 'nv .. . __ .., ______ 0 F __ c:::; ________ _ .Ai-'--- ( 'i--r�-
SAMPLE NO.
g 1.
2.
3.
4.
I6.
6. I
7. I
8. I
9. I
LABIDI
,01211
�07212
�07213
�0721�
407�15
�07?.16
4n7�17
�ni21s
�07?.1!1 , �,., ..,n '1 • I
I SAMPLE LOCATION I MATERIAL DESCRIPTION I COJl)ITIOH I QUANTTTY I %AS8ESTOS
I � '1 '-\G
Z.\hW>.<l'ORM,F..WF...,.,C_f,..F""""8,II...,._ f,...
t�§�"�2� O!i2738
16700 Valley View A\'Cnue, Swte 100 La Mirada, California 90638
Tel: (714) 523-9811 Fax: (7141523-9810 www.=rp.net u,.
Jc�� e
::'.''�{lj�L� J
� OF_':ar«-i-,---
SAMPLENO. 1 LABIDI I SAMPLE LOCATION
41.
I 4117221 I \
2. \ 407222
3. I . - ~ . ~ I \
4. I �0722,· I \
5. �0727.5
6. 40722 �
7. 4n7 �7.'7
a. I ,n722s
9. l 4nn; �9 I·�� '50. ' �n723:J
I MATERIAL DESCRIPTION I CON>ITIOH I Q\JANTTTY I %ASBESTOS
I i_ l,r- I l 11=
1�� I� r n ffirr�r�J g
I : I tvv?
I )-Q
I tJI)
- pJO
"I!-. f\X)
Z.\l'l,ID.<rollM#.Wr__,__r.ir-,.:s..,.. r-f�ENCORP 05�738 Engineenng our Environment
CLIENr\fO C,v '\C'R... £. r-;: i\lf'lf::qv II\ r r ' DATE: .\ \�\U PAGE: V)
JOB NO:
''["1 I
.,, .J r x� _\. iY 4 . 1 1NsPecroRs: � \C"1 -,�:...r ,-, \Joe-\. Y\r7 rt LOCATION: � F6\ \ /') < r,_;,\� \..\t\�l'-.V N'\\ )0 �Yi�!� TT-, (i,A.
I • J
SAMPLE NO. LABIOI SAMPLE LOCATION MATERIAL DESCRIPTION CONDITIOH
51. �n7�31 \ , l � - � -
C:C�.cf(e- ¼:er,-) \Jr" L O-lh1 �U<Jil
2. 407232 gl\v . .. �"' h. Nte
---�/r,ll'\J�
3. ' I v'\:' - -· - Ln7?�3
4.
.407�3, k " V
5. �_n7�35 ��. l,�l'l��� � �\.C -
6. �07236 I I I
7.
.;n?:�7 , I i- �
8.
9.
(n o
QUANTITY
L· -
16700 Valley View A\'Cnuc, Sui1c 100 L.l Mitilda, California 90638
Tel: (714) 523-981 I Fax: (714 I 523-9810 v.·ww.cncorp.nel
OF�
%ASBESTOS
,b,M-)1-CJli.J- /VV
. {ff VCt-t -fl/') t,M- 'k1/1W - Nf) h �� zg
1 �lf'/'�-i i-1,01"� �<ic .. -f11i.lt'1
� NO
,c rJI) � µ) J>l tJ()
I
1.-..-\Fl)RJll\fodJ r....cv .... FodJF""""8oll.s.a.,,k r-
".e..f' �Aw
EN co RP ENVIRONMENTAL MANAGEMENT AND SERVICES
16700 VALLEY VIEW AVE. STE. 100 LA MIRADA, CALIFORNIA 90638
(714) 523-9811 • FAX (714) 523-9810 • MAIN@ENCORP.NET • WWW.ENCORP.NET
Client Name: Department of Verterans Affair Client Address: 4811 Airport Plaza Drive
Reference Batch Number: 052731
Sampled Dale: 11112/2014
Project Number: P14320 . Vl 1
Date Received: 1 1118/2014
Date Analyzed: 1 1118/2014long Beach, CA 908 15 Facility Name: VETERANS ADM/NJSTRA TJON SAN DIEGO MEDICAL
Facility Address: 3350 LA /OLLA VILLAGE DRIVE
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESPIQUE
Sample Number
407071
407072
407073
407074
407075A
4070758
407076A
407076B
407077A
SAN DIEGO, CALIFORNIA 92161
LABORATORY TEST REPORT
BULK ASBESTOS Fl BER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method for th_e_ Determination of Asbestos In Bulk Insulation Sarr,ples r
--- SAMPLE DESCRIPTION
I Field/ Client --t Friable or o
Number Sample Location/Activity Color Material Non- Friable Asbestos Type( Yo) Non Asbestos (%)
STH FLOOR WHITE I BEIGE
2 5TH FLOOR WHITE / BEIGE
3 5TH FLOOR WHITE I BEIGE
4 5TH FLOOR GREEN /WHITE
5 5TH FLOOR GREEN /WHITE
s 5TH FLOOR BEIGE
6 5TH FLOOR WHITE
6 5TH FLOOR BElGE
7 5TH FLOOR WHIT£
2' x 2' FISHER CEILING TILES
2' x 2' FISHER CEILING TILES
2' x 2' FISHER CEILING TILES
TOP COAT
TOP COAT
PLASTER
TOPCOAT
PLASTER
DRYWALL
FR:
FR
FR
NF
NF
NF
NF
NF
NF
NONE DETECTED SO'l. CELLULOSE lO'l. GLASS WOOL
40,_ MATRIX
NONE DETECTED 50,_ CELLULOSE
lOY. GLASS WOOL
40'£ MATRIX
NONE DETECTED SO,_ CELLULOSE
10,_ GLASS WOOL
40'l. MATRIX
NONE DETECTED lOO'i, MATRIX
NONE DETECTED lOO'i, MATRIX
NONE DETECTED lOO'i. MATRIX
NONE DETECTED 100'1, MATRIX
NONE DETECTED 100'1. MATRIX
NONE DETECTED 6'l. CELLULOSE
2'l. FIBROUS GLASS
92'l. MATRIX
-NOTES: ND•None Delttled Asbestos Is not quanllflable below the method deltttlon Hmlt or one ( IJ perrent. Amphlbole ashest0< lnrludes am0<Ue, rrorldolllr, anthophylllte, lrrmollte and adlnollle. (FR)• Friable, (NFI • Non-Friable.
Condlllon of sample Is as rttelvro by the laboratory, Our policy Is to relaln all samples for a period of thirty d•�- Aeetedlled by the Nallonal Voluntary Laboratory Acctedllatlon l'rogrom and EnvlronmHlal Laboratory Certification for the sperlflc seope of accreditation under NV LAP Lah Code 200878-0 and ELAP certificate no. 2379, Results rrported pertain lo iample(s) as submlHNI and does nol necessarily apply lo other apparrnlly ldentlcal or 1lmllar material,.
This report I, submllled for lhe exchulve use of the cllenl to whom It Is addrened. Any reproduction of this report or use of lhl, Laboralory'• name for advertising or publldly purpmes without prior written aulhorlzallon Is prohlbllrd. In addition, this n,port Is not to be used to claim prodKI endonement by NVLAP, ELAP, or any ai:ency of the U.S. Government. Where applkable, layen or "sub-,amples" an, reported and the Total Asbestos % reprrsenls the romposlle percentage of all sample la,·en. Page 1 of 7
EN CORP ENVIRONMENTAL MANAGEMENT AND SERVICES
(714) 523·9811 • FAX (714) 523-9810 • MAIN@ENCORP.NET • WWW.ENCORP.NET
Client Name: Department of Verterans Affair Client Address: 4811 Airport Plaza Drive
Reference Batch Number: 052 7 31 Sampled Date: 11112/2014
Project Number: P14320 . V11 Date Received: 11118/2014
Long Beach, CA 90815
Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL Facility Address: 3350 LA /OLLA VILLAGE DRIVE
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESP/QUE
Date Analyzed: 11118/2014
Sample Number
407077B
407078A
407078B
407079A
4070798
407080A
407080B
407081A
407081B
SAN DIEGD.,_ CAI.IFORNIA 92161
LABORATORY TEST REPORT
BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method for the Determination of Asbestos In Bulk Insulation Samples
SAMPLE DESCRIPTION I
l
Field! Client ' -- • •
Friable or
Number Sample Location/Act1v1ty Color Material Non- Friable Asbestos Type( l'o) Non Asbestos (%)
7 5TH FLOOR BEIGt
8 5TH FLOOR Wt-llTE
8 5TH FLOOR
9 5TH FLOOR WHITE
9' 5TH FLOOR
lO 5TH FLOOR TAN
10 5TH FLOOR YELLOW I BROWN
II 5TH FLOOR TAN
11 5TH FLOOR YELLOW
JOINT COMPOUND
DRYWALL
JOINT COMPOUND
DRYWALL
JOINT COMPOUND
BASECOVE
GlUE
BASECOVE
GLUE
NF
NF
NF
l'J',, CHRYSOTILE 98'- MA TRIX
NONE DETECTED 64r. CELLULOSE
SFP
2"' FIBROUS GLASS
92,. MATRIX
NF NONE DETECTED 6.._ CEUULOSE
NF
NF
Nf
NF
NF
SFP
2"J. FIBROUS GLASS
9� MATRIX
NONE DETECTED 100'1, MATRIX
NONE DETECTED 100" MATRIX
NONE DETECTED lOO'r. MATRIX
NONE DETECTED 100'1, MATRIX
.NOTES: ND•None Drlrded A1bes101 h not quantlfiahlr below lhe mrthod detection limit of one ( I) prrttnl. Amphlbolr D1bal01 lndudts am01lle, croddollte. anlhophyllltr, tremollle and artlnolllr. (FR)• Friable, (NFI • Non-Fri able.
Condition ofsample I• DI recrlved by lhe laboratory. Our polky Is lo n,taln all sampla for a period of lhlrty days. Accn,dlled by the National Voluntary Lahoralory Accrcdllallon PrD1tnm and Envlmnmrntll Laboratory Crrtlncallon for 1hr spttlnc scope of accn,dltallon under NV LAP Lab Code 200878-0 and ELAP certlncale no. 2379. Raults reporlrd prrtaln to iamplr(sl aJ submllled and docs nol nrcasarlly apply 10 other appan,nlly klrnllcal or slmllar malrrlab.
Thh report h suhmlllrd for lhe euluslve use of lhe dlent lo whom It 11 addra1ed. Any reproduction of this rrport or use of lhll Laboralory's name for advertlslnc or publicity purposa wllhoul prior wrlllrn aulhorlzallon Is pmhlhlled. In addition, this report Is not to be used lo dalm producl endonemrnl hy NVLAP, ELAP, or any ag:ene)' oflhe U.S. Government. Whrre applicable, layen or "sub-samples" are reported and the Total A1hat01 "/• represents the romposlle prrcenlagr of all sample layrn.
ENC OR P ENVIRONMENTAL MANAGEMENT AN o SERVICES
(714) 523-9811 • FAX (714) 523-9810 • MAIN@ENCORP.NET • WWW.ENCORP.NET
Client Name: Department of Verterans Affair Reference Batch Number: 052731 Project Number: P 14320 .VII Client Address: 4811 Airport Plaza Drive Sampled Date: 11112/2014 Date Received: 11/1B/2014 long 8eac/J, CA 90815 Sampled By: FRANCISCO BARRAZA Date Analyzed: 11118/2014 Facility Name: VETERANS ADMINISTRA T/ON SAN DIEGO MEDICAL
Analyzed By: ELAINE ESP/QUEFacility Address: 3350 LA /OLLA VllLAGE DRIVE
Sample Number
407082A
407082B
407083A
4070838
407084A
407084B
407085A
407085B
407086A
SAN DIEGO, CALIFORNIA 92161
LABORATORY TEST REPORT
BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method for the Delermination of Asbestos In Bulk Insulation Samples
SAMPLE DESCRIPTION
l i
I Field/ Client ,___ - Friable or Asb T (%) N Ashe (0 ) Number I Sample Localion/Aclivity Color Material Non- Friable estos ype • on stos 7o n 5TH FLOOR TAN BASECOVE ... f NONE DETECTED 100,- MATRIX
11 5TH FLOOR YELLOW/ BROWN GLUE Nf 2% CHRVSOTILE 98% MATRIX
13 5TH FLOOR TAN 12" x 12" VCT SPECKLES NF NONE DETECTED 100% MATRIX
13 5TH FLOOR CLEAR GLUf NF NONE DETECTED 100 .... MATRIX
14 5TH FLOOR TAN 12" x 12" VCT SPECKLES NF NONE DETECTED 100,- MATRIX
14 5TH FLOOR CLEAR GLUE NF NONE DETECTED 100"' MATRIX
IS 5TH FLOOR TAN 12" x 12" VCT SPECKLES NF NONE DETECTED 100'!. MATRIX lS 5TH FLOOR CLEAR GLUE NF NONE DETECTED 100,- MAlRIX f6 5TH FLOOR WHITE 12" x 12" VCT SPECKLES Nf NONE DETECTED 100"1. MATRIX
-NOTES: ND•None O..rrcted A1be,l05 11 nol quantlnahle below lhe method dclttllon llmll o( one (I) per«nl. Amphlholc asbesl05 Includes am05ltr, crocldolllc, anlhophylllte, trrmollle and actlnolllo. (FRI- Frl■ble, (NF),. Non-Friable.
Condition or Hmplc Is as rttd.,.d by the laboratory. Our pollcy Is lo retain all sampln (or a period or thlr1)' days. Accredited by the Nallon■I Voluntary L■hor■lory Accredll■tlon rrogram and Environmental Laboratory Cerllncallon for lhe 1prclfic scope or accredllallon under NVLA r Lab Code 2008711-0 and ELAr cenlncale no. 2379. Resulb reported pertain to samplc(sl as 1ubmltted and don not nrcnsarlly apply to other appan,ntly ldrntlcal or simllar materials.
This repor1 Is 1ubmltlrd for lhe ncluslve we or lhe cllHI lo whom II ls addressed. Any reproduction or this reporl or usr or 1h11 Laboratory's name for ad,•enlslng or puhllclly purpmrs without prior written aulhorlzalton Is prohibited. In addition, this n,port Is not to be used to clalm product rndonoment by NV LAP, El.AP, or any agrncy or lhe U.S. Govrmmrnl. Where appllcable, layen or "sub-samplrs" are reported and the Total AshHt05 o/. rrpresenls the composite percrnlage of all iample layen. Page 3 of 7
1&700 VALLEY VIEW AVE. STE. 100 LA MIRADA, CALIFORNIA 90&38
(714) 523·9811 · FAX (714) 523·9810 • MAIN@ENCORP.NET • WWW.ENCORP.NET
Client Name: Department of Verterans Affair Clienl Address: 481 1 Airport Plaza Drive
Long Beach, CA 908 I 5
Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL
Facility Address: 3350 LA JOLLA VILLAGE DRIVE
SAN DIEGO
L
CALIFORNIA 92161
Reference Batch Number: 052731
Sampled Dale: 11112/2014
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESP/QUE
Project Number: P14320 . V11
Date Received: 11/1812014
Date Analyzed: 11118/20 14
LABORATORY TEST REPORT
Sample Number
4070868
407087A
407087B
407088A
407088B
407089A
407089B
407090A
407090B
BULK ASBESTOS FIBER ANALYSIS (PLM) EPA•6(!!!/R:9JL! 16:.__l nterim Method for the Determination of Asbestos In Bulk Insulation Samples
SAMPLE DESCRIPTION
Field/ Clienl Number Sample Location/Activity Color
16 STHFLOOR YELLOW
17 STHFLOOR WHITE
17 5TH FLOOR WHITE
18 5TH FLOOR WHITE
18 5TH FLOOR WHITE
19 5TH FLOOR Bllll
19 STHFLOOR BLACK
20 5TH FLOOR WHITE
20 5TH FLOOR
Material
CLUE
12" x 12" VCT SPECKLES
GLUE
12" x 12" VCT SPECKLES
GLUE
12" x 12" VCT
GLUE
l2"x12"VCT
CilUI:
:;;:i,:;i:�re I Asbestos Type(%) I Non Asbestos (%)
Nf NONE DETECTED 100'1, MATRIX
NF NONE DETECTED 100,_ MATRIX
NF NONE DETECTED 100'!. MATRIX
NF NONE DETECTED 100"4 MATRIX
NF NONE DETECTED 100'"" MATRIX
NF NONE DETECTED 100'- MATRIX
NF 3'1. CHRYSOTILE 97'11. MATRIX
NF 3% CHRYSOTILE 97,_ MATRIX
Sff>
-NOTES: ND-None Delecled Asbal01 11 not quantlnoble helow the method delectlon llmlt or one II) penent. Amphlbole ashat01 Includes amoslle, eroddollle, anthophyllilr, lremollle and aclinollle. (FR)• Friable, (NF)• Non-Frlohle.
Condition or sample Is as received by lhe laboralory. Our pulley Is to relaln all samples ror a period or lhlrty da)'•• Accrrdlled by the National Volunlary Laboralory Acuedltallon Proaram and Envlronmenlal Laboralory Cc:rtlncatlon for the spttlnc srope or accreditation under NVLAP Lab Code 20087&-0 and ELAP certlncate no. 2379. Re.ulb reporled pertain lo samplc{s) as submitted and does nol nttruarlly apply lo other apparently ldenHcal or similar m1tc:rial1.
This report Is submitted ror the e1cluslve use or the cllent to whom It II addrased. Any n,pn>ducllon or this report or we or this Laboratory'• name for advertising or publlclty purposes ¥iilhout prior Wl'lttrn authorlzallon Is prohiblled. In addlllon. this report Is not lo be used to clalm produd endonement by NVLA r, ELA P, or any agency of 1hr U.S. Government. Where applicable, layen or "'1uh-Hmpla" are rrported and the Tola I Asbal01 ¾ represents the composite penentage or all sample layen. Page 4 of 7
(714) 523-9811 • FAX (714) 523-9810 • MAIN@ENCORP.NET • WWW.ENCORP.NET
Client Name: Department of Verterans Affair
Client Address: 4811 Airport Plaza Drive Reference Batch Number: 052731
Sampled Date: 11I12/2014
Project Number: P14320 . V11
Date Received: 1111B/2014
Date Analyzed: 1111B/2014long Beacl1, CA 908 15 Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL
Facility Address: 3350 LA JOLLA VILLAGE DRIVE
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESP/QUE
Sample Number
407091A
407091B
407092
407093
407094A
407094B
407095A
4070958
407096A
SAN DIEGO. CALIFORNIA 92161
LABORATORY TEST REPORT
_ BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method for the Determination of Asbestos In Bulk Insulation Samples �-�-1 SAMPLE DESCRIPTION
� ::r: Field/ Client Friable or 0
1 Number Sample Location/Aclivity Color Material Non- Friable Asbestos Type( Yo) I Non Asbestos (%) .
21 5TH FLOOR
21 5TH FLOOR
21 5TH FLOOR
23 5TH FLOOR
24 5TH FLOOR
24 5TH FLOOR
2S 5TH FLOOR
25 5TH FLOOR
26 5TH FLOOR
YELLOW 12"x 12"VCT
GLUE
NF NONE DETECTED 100, MATRIX
SFP
BROWN WOOD DESIGN LINOLEUM
BROWN WOOD DESIGN LINOLEUM
BROWN WOOD DESIGN LINOLEUM
YELLOW CLUl
WHITE 12" x 12" SPECKLES
BLACK/ YELLOW GtuE
WHITE 12" x 12" SPECKLES
NF
NF
NF
NF
NF
NF
NF
NONE DETECTED 100'1. MATRIX
NONE DETECTED lOO"i. MATRIX
NONE DETECTED 100,. MA TRIX
NONE DETECTED 100'1. MATRIX
NONE DETECTED 100'1. MATRIX
2"/o CHRYSOTILE 98''1, MATRIX
NONE DETECTED 100,. MATRIX
-NOTES: ND•None Det«tNI Asbestos IJ not quanllRablr brlow 1hr method drttttlon llmlt of one (I) pen:rnt. Amphlbole asbestos Includes amoslle, rroddollle, anlbophyllltr, tn:mollle and acllnolllr. (FR)• Friable, INF)• Non-Friable. - Condition of sample Is a rrcrlved by 1hr laboratory. Our policy Is lo n:laln all nmples for a prrlod of thirty days. AocrNIIINI by the National Voluntary Laboratory Acerrdllallon Proi:ram and Environmental Laboratory Certlncatlon for the spttlne seope of aeen:dltatlon under NVLAP Lab Code 2008711-0 and ELAP certlncate no. 2379. Results rrporled pertain to sample(s) as submlttNI and dot'5 not necessarily apply lo other apparently ldenlkal or slmllar materials.
This report Is submitted for the eschulve use of the dlenl to whom It Is addressrd. Any n:productlon oflhls rtport or use of this Laboratory's name for advertlslnc or publldty purposes "ilboul prior wrll1rn authorization Is prohibited. In addition, lhlJ report Is not lo be used lo dalm product endornmenl by NVLAP, ELAP, or any aiency of the l/.S. Government. Where applicable, layen or "•uh-samples" are rrportNI and the Total Asbeslos o/4 repn:sents the composite percentaie of all sample la)·en. Page 5 of 7
E NC_QRP ENVIRONMENTAL MANAGEMENT AND SERVICES
(714) 523-9811 • FAX (714) 523-9810 • MAIN@ENCORP.NET • WWW.ENCORP.NET
Client Name: Department of Verterans Affair Client Address: 4811 Airport Plaza Drive
Reference Batch Number: 052731
Sampled Date: 1111212014
Project Number: P14320 . V11 Date Received: 1111812014 long Beach, CA 9081 5 Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL
Facility Address: 3350 lA JOllA VILLAGE DRIVE
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESPIQUE
Date Analyzed: 1111812014
Sample Number
407096B
407097A
407097B
407098A
4070986
407099A
407099B
407100A
407100B
SAN DIEGq CALIFORNIA 92161
LABORATORY TEST REPORT
BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method for the Determination of Asbestos In Bulk Insulation Samples ___ _
I
SAMPLE DESCRIPTION ___
Field/ Client - Friable or 0
Number I Sample Location/Activity Color Material Non- Friable Asbestos Type(%) Non Asbestos ( Yo) I
26 5TH FLOOR GLUE
27 5TH FLOOR WHITE 12" x t 2" SPECKLES
27 5TH FLOOR GLUE
26 5TH FLOOR GREEN LINOLEUM
28 5TH FLOOR YELLOW GtVE
29 5TH FLOOR GREEN LINOLEUM
29 5TH FLOOR YELLOW GlUf
JO 5TH FLOOR GREEN LINOLEUM
JO 5TH FLOOR YELLOW GlUE
NF
NF
NF
NF
NF
NF
NF
SFP
NONE DETECTED lOO'l, MATRIX
SFf'
NONE DETECTED 3,- CELLULOSE
3% FIBROUS GLASS
3% SYNTHETIC FIBERS
91% MATRIX
NONE DETECTED 100% MATRIX
NONE DETECTED 3'1t CELLULOSE J'lt FIBROUS GLASS
34J. SYNTHETIC FIBERS
91'1. MATRIX
NONE DETECTED 1001. MATRIX
NONE DETECTED 3,- CELLULOSE
J'I. FIBROUS GLASS
J'lt SYNTHETIC FIBERS
------------=91 '1. MATRIX
NONE DETECTED 100,- MATRIX
-NOTES: ND•None Delttlro Asbestos IJ not quanrlnable below 1hr method del«llon limll or one (I) percent. Amphlbole asbestos lndud .. ■moslle, croclclolile, anthophylllle, lremollle and actlnollle. (FR)• Frlahlr, (NF)• Non-Friable.
Condlllon or sample 11 as r«elved by the laboratory. Our polky Is to n,laln all nmpl .. for a period or thirty days. Acrrrollro by the National Voluntary Laboratory Accrrollarlon Prt11ram and Environmental Laboratory Certlncatlon for th• •p«lnc nope or accn,dltatlon under NVLAP Lab Code 200878-0 and El.AP certificate no. 2379. Rcsulls rcporlro pertain to samplt(s) 111 submlltro and does not n«tssarlly apply to olhrr apparently ldenUcal or slmllar material•.
This n,port I• submitted ror the euhulve use or the client to whom It IJ addreuro. Any n,producllon or lhlJ rcpot1 or use or this Laboratory's name for advt'rtlsl� or publicity purposn without prior Wl'ltten ■uthorlutlon Is prohlbll...t. In addlllon, this n,port Is not lo be used to d■lm product endorJement by NVLAP, El.AP, or any agency of the U.S. Government. Whrn, applicable, layen or "1ub-samplts" are reported and the Total Asb .. rm ¾ represents the composlle percentai:e or ■II sample la>·•n. Page 6 or 7
(714) 523-9811 • FAX (714) 523-9810 • MAIN@ENCORP.NET • WWW.ENCORP.NET
Client Name: Department of Verterans Affair Client Address: 4811 Airport Plaza Drive
Reference Batch Number: 052731
Sampled Date: 11172/2014
Project Number: P14320 . V11
Date Received: 11/78/2014
Date Analyzed: 11118/2014Long Beach, CA 9081 5 Sampled By: FRANCISCO BARRAZA Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL
Facility Address: 3350 LA JOLLA VILLAGE DRIVE Analyzed By: ELAINE ESP/QUE
SAN DIEGO. CALIFORNIA 92161
LABORATORY TEST REPORT
--�_B_ULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method for the Determi_!!�ion of Asbestos In Bulk Insulation S�ples
SAMPLE DESCRIPTION ___
7 Sample Number
Field/ Client -- - Friable or Asb T o N b I Sample location/Activity Color Material N F · bl eslos ype( 1/o) um er , on- r1a e Non Asbestos (%) j
APPROVED SIGNATURE: �
·, { I tJ-'( ( y Elaine Espique , Lab Manager' I '
-NOTES: NDaNone Delttlrd AJbeslos Is not quanllllahle holow lhe method delttllon llmlt or one ( I) perttnl. Amphlbole asbeslos lncludet amosltr, eroddolllr, anlhophyllltr, trrmollle and adlnollte. (FR)• Friable, (NFI • Non-Fri able.
Condlllon of sample Is u rrerlvcd by the laboratory. Our polky Is lo retain all s■mplet for a period of thirty days. Aeercdllcd by lhc Nallonal Voluntary Laboratory Accrcdllallon Prn&nm and Envlronmrnt■l Laboratory Crrtlllcallon for the spttlnc scope of accrrdllatlon undn NVLAP Lab Codee 2008711-0 and ELAP certlneale no. 2379. RC1ults reported pertain 10 sample(s) as submlttrd and d0et nol nttClsarlly apply lo other apparently ldenllcal or similar materials.
This report Is submllled for the eschulve use or the dlent to whom it Is addrrucd. Any nprodudon of 1hi1 report or we or this Laboratory'• name for advertlsinc or publklty purposH mthout prior wrlHen authorization Is prohibited. In addition, this report Is not to be usrd to dalm product endorsement by NV LAP, ELA P, or any ai:rncy or 1he U.S. Government. Wherr applicable, la yen or "1uh-samplet" are reportrd and lhe Total Asbettos % rrpretents lhe eomposlte percrntai:e or all sample layen. Page 7 of 7
EN CORP FJELD DATA SUMMARY INSPECTION & PHYSICAL ASSESSMENT On273, CLIENT;l � a½::� G»csfll£:S DATE: \\-\_ 47lLt; PAGE: \ OF -�
JOB NO: 'D\\..\--�ti-1..."{_ INSPEOTORS:_B....,ca:-----s=c-....-. _\Jo�m�.�-o:;,t-· ________ _
SAMPLE NO. I
I LABIO# I SAMPLE LOCATION
1. I -n,·.n1 I V'' \ �'(02.
2. I
3. I
4.
5.
6.
I7.
8. I
9.
I
: rl7'fl72
;DrJ"73 ,r,j}.'•74- J :, . ' ., ·:,_ �7· ·75
�a:r·2G
't0i? 7 7 4W7 78
�j7 7J
',.,7"8)--z u I
I t
= Sudal.e r.lalellal I G
Gcod z:lhennalSyslanls �i:lrl DsOnaged ., .. 2MllaellaneousMalel1al 50 .. �Demaged
(E!HOORP 1.111m11py SeMtea · 14700 Val!W Vlaw AvelU!, 5"11110), La Minlde Callbria ll0638
MATERIAL DESCRIPTION
CONon10N I OUANTJTY %ASBESTOS l __ g
,-JO
rJP fJP f'-19
2.'ll'ublklFORM\f'oeld F(,r,M'OlrnQI I;.� Rlnns\Rull; S>mpk f"'111> I
ENCO RP FIELD DATA SUMMARY INSPECTION & PHYSICAL ASSESSMENT · 052731
SAMPLE NO.
l 1.
2.
3. '
4.
5.
6.
7. I
8.
J 9.
2o.
LABIDt
� j 7 JS!
1 82� v / '•
, -,., 183 ":: d I )
,,,..� '84':: -J J J
I •.., '85 �. ' J
,-,.,·ss-:: .�I -f'P'<l•37._, I •• u • •
I . '"'l 88 -· ' . . "' . �
'('\"'''89....► u J .,;
SAMPLE LOCATION
I 9'Y\� b-\-r\ �
... C Surface Malerial I G =
Good ='Thermal Systems� 0 • Oamagad
.•.. = Mlscetaneous Material so .. � Danaged
1» �
MATERIAl. DESCRIPTION
PAGE: �,b OF_,tlf..... ___ _
CONOOlON I QUANTITY t� CYt/0
Offloe
%ASBESTOS
(v() rJP No
('10
JVO
iJ?
.. � Z.o\J'ublic\FORM\F'..W F;,m,,.'Olrrmr Fieu Fonns\RM• smple r"""' , EN co RP FIELD DATA SUMMARY INSPECTION & PHYSICAL ASSESSMENT 0:i�73:
::SX:C-lt:\� CLIENT,;l�m J§, QJksf:,l \\ � -
I SAMPLENO.
21.
2.
3.
4.
5.
. 6.
7.
8.
9.
o.
LABIOt n 1 "! ... ' ., J
4:7)92 f <"'; • (1 ') ·r I J \�
4 �7 . 94
I
- -.. 9 r.
"t .J ( • � f ''· C\6 '1 � I J
•.: v f 37 ,. n8� , I .. , ;J
I ,..J (\ 'i •J ' , J
{ ,,';' 100
SAMPLE LOCATION
ro4-h� ah�
"Thennal � lnSU'3lkln 'D• Dlnw}ld : � = Slslace Msleri1I
I° " Oood
=Ml9celir1ecus Mma,lal SD.,� Dmnaged
SeMcas · 16700VaJII\I Vl9w Avenui,1 Sule 100 • I.JI Mnda•Clllb1Q 90638
MATERIAl. DESCRIPTION
PAGE: � OF--3
CONDITION I QUANTITY %ASBESTOS
if-JD
NO
Z.Vld,lir\FORM\f',eld """"4\Cllnfflr l'lelJ RlnN\Rul; s.,.,.� I"�
(714) 523-9811 • FAX (714) 523-9810 · MAIN@ENCORP.NET • WWW.ENCORP.NET
Client Name: Department of Veterans Affair Client Address: 4811 Airport Plaza Drive
Long Beach, CA 90815
Reference Batch Number: 052774 Sampled Date: 72/31201 4
Sampled By: FRANCfSCO BARRAZA
Project Number: P14320 • V11 Date Received: 72/4/2014 - Date Analyzed: 12/4/2014
Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL
Facility Address: 3350 LA JOLLA VILLAGE DRIVE Analyzed By: ELAINE ESPIQUE
Sample Number
407530
407531
407532
407533
407534
407535A
407535B
407536
407537A
SAN DIEGO, CALIFORNIA 92161
LABORATORY TEST REPORT
BULK ASBESTOS FIBER ANAL VSIS (PLM) EPA-600/R-93/116: Interim Method for the Determination of Asbestos In Bulk Insulation San_:i_ples
I
SAMPLE DESCRIPTION --------------
I J f"ield/ Client .
. Friable or o
Number Sample Location/Activity Color Material Non- Friable Asbestos Type(%) I Non Asbestos ( Yo)
6TH FLOOR WHITE/ BEIGE 2' x 4' CEILING TILES
2 6TH FLOOR WHITE/ BEIGE 2' x 4' CEILING TILES
3 6TH FLOOR WHITE/ BEIGE 2' x 4' CEILING TILES
4 6TH FLOOR WHITE MUD/TAPE
5 6TH FLOOR WHITE MUD/TAPE
6 6TH FLOOR WHITE DRYWALL
6 6TH FLOOR MUD/TAPE
7 6TH FLOOR WHITE PLASTER
8 6TH FLOOR WHITE TOPCOAT
FR
FR
FR
NF
NF
NF
Nf
NF
NONE DETECKD SO'%. CELLULOSE
20'1. GLASS WOOL
30'1. MATRIX
NONE DETECTED 50'1. CELLULOSE
20'1. GLASS WOOL
30'1. MATRIX
NONE DETECTED 50'1. CELLULOSE
20'1. GLASS WOOL
30'1. MATRIX
NONE DETECTED 100'1. MATRIX
241. CHRYSOTILE 981. MATRIX
NONE DETECTED 641. CELLULOSE
94'1. MATRIX
SFP
NONE DETECTED 100% MATRIX
NONE DETECTED 100'1. MATRIX
-NOTES: ND•Noae Dclecled Asbestos ls 1101 qua11llflable below lbe method detection llmlt or one (I) perffot. Ampblbole asbestos Includes amosllc, crocldolllc, aotbopbyllllc, tnmollle and acdnollte. (FRI■ Friable, (NF)• No11-Frlabte.
Coodlllon or sample Is as recelnd by Ute laboratory. Our policy 11 lo nlaln all samples for a period or thirty da�. Arcredlltd by lbe Nadonal Voluntary Laboratory Accmllladon Program and Envlronmenlal Labonlory CerllflullOA for lhe 1pec:lflc 1cope of accmllllllcu• unck,r NVLAP Lab Code 200871-0 and ELAP cerllflcale no. 2379. ResllllS reporltd putaln lo 1ample(1l as aubmltttd and does nol aeceparlly apply to olber appannlly ldendcal or 1lmUar malerlals.
This nport Is 1ubml1ted ror the acluslve use or the cllenl to "ham It Is addressed. Any nproduclloo or lhls rtport or use of Ibis Laboratory's name for advertising or publlclly purposes without prior written autborizalloo Is problblted. In addldon, Ibis nport Is nol lo be 111ed lo claim product endoncmenl by NVLAP, ELAP, or any agenc)· ofllte U.S. Govenunenl. When appllcablc, layrn or "sub-samples" arc nportecl and the Total Asbestos% represents lhc compi)Slle penentage or all sample layen. Page J o{ 6
16700 VALLEY VIEW AVE. STE. 100 lA MIRADA, CALIFORNIA 90638
(714) 523-9811 · FAX (714) 523-9810 • MAIN@ENCORP.NET • WWW.ENCORP.NET
Reference Batch Number: 052774
Sampled Date: 1213/2014
Project Number: P14320 . V11
Date Received: 12/4/2014
Client Name: Department of Veterans Affair
Client Address: 4811 Airport Plaza Drive long Beach, CA 9081 5
Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL
Facility Address: 3350 LA JOLLA VILLAGE DRIVE
Sampled By: FRANCISCO BARRAZA Date Analyzed: 12/412014
Sample Number
407546B
407547A
4075478
407548A
407548B
407549A
407549B
407550A
407550B
I I
SAN D/EGq CALIFORNIA 92161
-•-•w- --• - .. -·· ..... ·-·-·- ,.
Analyzed By: ELAINE ESP/QUE
. ·-· ····-········-·-·-- --- ·--- ----------------- -- -- --- --- -- - -- --'A ;/
LABORATORY TEST REPORT
Interim Method for the De f Asbestos In Bulk Insulation Sa -
SAMPLE DESCRIPTION
Friable or
I Field/ Client
Number Sample Location/Activity Color Material I I I Non- Friable Asbestos Type{%)
17 CORRIDORS
,a CORRIDORS l8 CORRIDORS
19 ROOM6014
19 ROOM6014
20 ROOM6014
20 ROOM6014
ll ROOM6014
21 ROOM6014
YEl.lOW
BEIGE
YELLOW
WHITE/ BLUE
BLACK
WHITE/ BLUE
WHITE/BLUE
GLUE NF NONE DETECTED
VCT 12" X 12" SPECKLES NF NONE DETECTED
GlUE Nf NONE DETECTED
12" x 12" SPECKLES Nf NONE DffiCTED
MASTIC NF 3'- CHRVSOTILE
12" x 12" SPECKLES NF NONE DETECTED
MASTIC SFP
12" x 12" SPECKLES NF NONE DETECTED
MASTIC SFP
Non Asbestos (%)
100'- MATRIX
100'to MATRIX
100'- MATRIX
100'- MATRIX
97'- MATRIX
100'1. MATRIX
100% MATRIX
-NOTES: ND•Nonc Detected Asbestos Is not quanllRablc below lbe method detection limit of oae (I) perccnL Amp bl bole ubestos lacludcs amoslle, crocldollle, antbopbylllte, trcmollte and acllaollle. (FR)• Friable, (NF)• Noe-Friable.
Condition ohample IJ as rttehed by the laboratory. Our polky I.I to rel&ln all samples for a period of thirty days. A«rcdlted by the Natloaal Vol,..tary Labol'atory Accreditation Pruaram and Envlro11111ea1al Labonttory Certlllcatlon for the 1pec:JRc scope or accreditation under NVLAP uh Code 200878-0 ud ELAP ccrllfkate no. 2379. Rcswll reported perlaln to 1unplc(1) u submitted and does nol nttC11arily apply to other apparently ldcndcal or similar materials.
This report I.I 1ubmllled for the esduslve use of lbc client lo whom II IJ addressed. Any rrproductlon of tins report or use of this Laboratory'• name for ad.-.rtillag or publldty purposes without prior written authorization Is prohibited. In addition, Ibis report ii not to be med to claim product endonement by NVLAP, El.AP, or any ageacy of the U.S. GovenamenL When, applicable, layen or "111b-umpla" are reported and the Total Asbestos % repraenbl Ille composite peruntace of all sample layen. Page 4 of 6
I I
EN CORP ENVIRONMENTAL MANAGEMENT AND SERVICES
16700 VALLEY VIEW AVE. STE. 100 LA MIRADA, CALIFORNIA 90638
(714) 523·9811 • FAX 014) 523-9810 • MAIN@ENCORP.NET • WWW.ENCORP.NET
Client Name: Department of Veterans Affair
Client Address: 4811 Airport Plaza Drive
Long Beach, CA 90815 Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL facility Address: 3350 LA JOLLA VILLAGE DRIVE
SAN DIEGO
CALIFORNIA 92161
Reference Batch Number: 052774
Sampled Date: 12/312014
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESP/QUE
Project Number: P14320 . V11
Dale Received: 12/4/2014
Date Analyzed: 12/4/2014
LABORATORY TEST REPORT
BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method for the De ,f Asb In Bulk Insulation Sa
1 :::
F �:J Asbestos :ype(%) I Non Asbestos (%) I
--r
I SAMPLE DESCRIPTION
Sample Field/ Client
Number Number Sample Location/Activity Color Material
407551A
407551B
407552A
407552B
407553A
407553B
407554A
4075548
407555A
22 6TH FLOOR
22 6TH FLOOR
23 6TH FLOOR
23 6TH FLOOR
24 6TH FLOOR
24 6TH FLOOR
25 6TH FLOOR
2S 6TH FLOOR
26 6TH FLOOR
TAN
YELLOW
TAN
YELLOW
TAN
YELLOW
GRAY /PINK/RED
YELLOW
GRAY /PINK/RED
6" BASECOVE NF NONE DETECTED lOO'L MATRIX
GlUE Nf NONE DETECTED 100'1. MATRIX
6" BASECOVE Nf NONE DETECTED 100'1. MATRIX
GLUE Nf NONE DETECTED 100'1. MATRIX
6" BASECOVE Nf NONE DETECTED 100'1. MATRIX
GlUE Nf NONE DETECTED 100'1. MATRIX
CARPET NF NONE DETECTED 60'1. SYNTHETIC FIBERS
40'1. MATRIX
CWE NF NONE DETECTED 100'1', MATRIX
CARPET Nf NONE DETECTED 60'1. SYNTHETIC FIBERS
40'- MATRIX
-NOTES: ND-None Detected Asbestos ls not quanllnablc below the method delcctloa limit of one (l) pen:e11L Ampblbole asbestos laduda amoslte, croc:ldollle, aathopllyWle, lremollle and adlaolllr. (FR)• Friable, (NF)• Non-Friable.
Condltloa or ,ample Is u ncdved by the labonloty. 011r policy II 10 retain all ■amples ror a period or tblrty day■• Accredited by the Nalloaal Vol1111tary Laboratoty Accrcdltalloa Program and Envlroamental Labontory Certlncatlon Cor che 1pedflc ■cope or accrcdltatlon Ullder NVLAP Lab Code 100878-0 and ELAP certlDcate no. 237!1. Rosulll reported pertain to 1ample(1) as 1ubmllted and doos not nec:osaarlly apply lo other appuutly ldc,adcal or 1lmllar materials.
This report I• 111bml1ted Cor the esd•lve Ille or the dlent to whom II Is llddreued. Any reproduction or this report or •e or Ibis Labontoty'• name for ■dvertlslni: w p11bllclty purposos "itboul prior mitten authorlzatloa Is prohibited. la addition, Ibis report ls not to he used to cl■lm product eadonemcal by NV LAP, ELAP, or any acency or lbe U.S. GovernmenL Where applicable, l■yen w "1ub-lamples" are reported and the Total Asbesllll o/o npresenll the compo$lle pen:ent■i:e of all sample l■yen. Page 5 of 6
(714) 523-9811 • FAX (714) 523-9810 • MAINOENCORP.NET • WWW.ENCORP.NET
Client Name: Department of Veterans Affair Client Address: 4811 Airport Plaza Drive long Beach, CA 90815 Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL
Facility Address: 3350 LA IOI.LA VILLAGE DRIVE
SAN DIEGq CALIFORNIA 92161
Reference Batch Number: 052774
Sampled Date: 12/3/2014
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESP/QUE
LABORATORY TEST REPORT
Project Number: P14320 . V11
Date Received: 12/4/2014
Date Analyzed: 1214/2014
-----. ------- - -----. -· -------- ,- --, -- . ------- --·. --- ---------- ··----- - - ---hod for the - - ------ -- -- - . - - --- --- ---- - -- -f Asbestos In Bulk Insulation Sa •••ur.
Sample
SAMPLE DESCRIPTION
Field/ Client Number Number Sample Location/Activity
4075558 26 6TH FLOOR
407556A 27 6TH FLOOR
4075568 27 6TH FLOOR
Color Material
YELLOW GLUE
Friable or Non- Friable
NF
Asbestos Type(%) l
Non Asbestos(%)
NONE DETECTED 100,- MATRIX
GRAY/ PINK/ RED CARPET NF NONE DETECTED 60% SYNTHETIC FIBERS
40% MATRIX
YELLOW GLUE NF NONE DETECTED 1001. MATRIX
APPROVED SIGNATURE: � 12/ �A y· Elaine Espique , Lab Manager
-NOTES: ND•None Detttled Asbestos b not qu.a11tlfiab� below the =thod detection limit or one (1) perttnl. Amphlbole asbestos Includes amoslte, crocldollle, anlbopbyUlle, lremollte and acllnollle. (FRI- Friable, INF)• Non-Friable.
Condllloa o£1ample Is a ncelved by the laboratory. Our policy la to retain all umplcs £or a period o£thlrty days. Accredited by tbe Nalloul Volwalary Laboratory Accreditation Program and En\'lronmeelal Laboratoey Cerllficallon £or the speclRc scope or acCTedltatlon under NVLAP Lab Code 200878-0 and ELAP certl0cate no. 2.379. Results rcpor1cd pertain to sample(s) as 111bmlt1ed and does DOC neceuarlly apply to other apparently ldenllcal or 1lmUar material,.
Tbla report Is 111b111Lllcd ror tbe escluslve use or tbe cllc11t to wh- II Is addressed. Any reproduction or Ibis report or use or lllil Laboratory's name ror ad�ertlsl111 or publk:lly purposes without prior written a11tb<Jriiallon Is prulllblted. la addlllon, this report Is not lo be used lo claim product eadonaneat by NVLAI', ELAI', or any a:ency or tbe U.S. Government. Where applluble, la yen or "sub-samples" are reponcd and lbe Total Asbestos 'I'. represent, tbe �mposlte pereentage or all sample laycn. Page 6 of 6
EN CORP FIELD DATA SUMMARY INSPECTION & PHYSICAL ASSESSMENT
Ofi2774
CLIENT:\IWSO.CJ.'.5 t,6\'l',\{\�o.,!\CQ :;:J,,. DA�� PAGE: • JOB NO: fY:a-:at . INS�.RS:Jd:Q�
�OJj.JJ«z.
LOCATION:� \J\tb:ii 1>ot:e::� � CA
LASIDt SAMPLE LOCATION MATERIAL DESCRIPTION CONDfTION I
I QUANTITY %ASBESTOS SAIIPI.E NO
I I (o'.¢. �'<Xt2-1. I
"07530 '2)''2. ce\\inJ �,(€Sa
91�/R-"1'- (\lD .:UJ'l-'lit-..sW/
2.
{07�31
/JO
3. tJD '1fl7S3
4.
40,7533
�� {Vt?
5.
40753{
6.
1,n7s35
7. �f17S�6
8. 417�37
9.
�!17138
�f17S�3
-� = SUia Ma!erial I G
= Geediffljl :'T1lemlel 5yAems lnsulalkln D II Oamagad .. �Malellal 50:Sqlf"icrif Oamatjed
VllW Averui. SUie 100 • La Mlnlda • Cllllorria IIOll38
2 /{ffeff.
l.-lhilli<IFORMIFicld R>nM'Olnm l'leld f<lnm\llu'II; Slmpk: 1'uml$
CLIENT: \Jci-e©D s AQ(l\\ rw;,.--\f 0v:\:� PAGE: -.-
O!i2774
JOB NO: J'\Y:3,t) ·:-?;t INSPECTORS: '1-H ii lb!S::liU 51 II ILW'4 '--� lo-'. I '--,;ll•H. · LOCATION:� La. \J\\kw: lJc,\e ?;;f1()� Ch.
SAMPLENO. LABIDt
\ 1.
I 2. 407�41
3. �n7S42
4. {07'i43
5. {07�4�
6. {f17545
7. 4n7i;4s
8. �07547
9. �f17S{8
_·. 2._o.
',. SIJllaca MaleriaJ lG .. Gooo
• lt'Sla� &Jsltlns lnsulalbl O c Damaged ;11,1 .. � Malenal so=� Damaged ial IDanlcdcllS:
SAMPLE LOCATION
'f'<i(l.
� �,4
MATERIAL DeSCRIPTION
4�\�\J.Je.
CONDIT10N I QUANTITY %ASBeSTOS g
\.C... � rf)
5ervlcea • 16700 Vl/lfJN View Av.,,ue, Slile 100-J.aJ�!!· •C!lllfoma 80838 umc:e ln41 D<r-ll 'ru I' '"' """""''u ]
Z."'1t.li�JU,l'IAtlcl r..--c.nm lwl;) f,lnlll\ltul. S.mplt f,,,,ru.
052774 c L, e NT= \J ererao s MC'(\\ C\�0-1t\! PAGE: .._
JOB NO: £\��--:a INSPECTORS: n 1 'I l'-oc&LJ � ,, 11\LI/U ◄ I ::i-5{" y I >::OH,(, -LOCATION�� \J\\kai A>r\\£ §rJ.O� CA.
SAMPLENO. t LASIDI
2.1.
2.
3.
4.
5.
6.
7.
8, _t·
I 407s50
I 407151
I ' 407S52
407554
-� ri71�5 r
I
= 6ufaca MaleriaJ rG = Good t· :il ='Thennal Systems lnsulatlon O,. Damaged ',P"•�Malerlal SO=� Damaged
I lnlm:dOIIS:
SAMPLE LOCATION
�-\-t\��
100 · La Mirada, C&lllornla 90838
MATERIAL DESCRIPTION CONDf110N I QUANTITY
�er�; �ewe.
g
%ASBESTOS
"1.UiitN1nM'DU\'f!".,.;1,t �'"""" it,1,,� �l\+1'1: <.,mW °J;iWI.IM.
(714) 523·9811 • FAX (714) 523·9810 • MAIN@ENCORP.NET • WWW.ENCORP.NET
Client Name: Department of Veterans Affair Client Address: 4811 Airport Plaza Drive
Long Beach, CA 90815
Reference Batch Number: 052834
Sampled Date: 12119/2014
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESPIQUE
Project Number: P14320 . V11
Dale Received: 12/24/2014
Dale Analyzed: 12/24/2014 facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL
Facility Address: 3350 LA /OLLA VILLAGE DRIVE
Sample Number
408207
408208
408209
408210
408211
406212
408213A
408213B
408214A
SAN DIEGO, CALIFORNIA 92161
LABORATORY TEST REPORT
BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-CJJ/116: Interim Method for the Determination of Asbestos In Bulk Insulation Samples
SAMPLE DESCRIPTION -- -,- - -
1 -·1Field/ Client · --- Friable or 0
Number I Sample Location/Activity Color Material Non- Friable Asbestos Type( Yo) Non Asbestos(%)
6TH FLOOR 6085
2 6TH FLOOR 6085
3 6TH FLOOR 6085
4 6TH FLOOR
5 6TH FLOOR
6 6TH FLOOR
7 WOMENS ROOM (60401
7 WOMENS ROOM (6040)
6 WOMENS ROOM (60401
BLACK FLOORING ICONCRETEI
BtACK FLOORING (CONCRETEI
BlACK FLOORING (CONCRETEI
WHITE/ BROWN 2' x 4' FISHER CEILING TILE
WHITE/ BROWN 2' x 4' FISHER CEILING TILE
WHITE/ BROWN 2' x 4' FISHER CEILING TILE lAN LINOLEUM
BLACK/YELLOW MASTIC
lAN LINOLEUM
NF
NF
NF
FR
FR
fR
NF
NF
NF
NONE DHECTED lOO'ro MATRIX
NONE DETECTED lOO"t. MATRIX
NONE DETECTED lOO"J. MATRIX
NONE DETECTED S0"t. CELLULOSE 1 O"t. GLASS WOOL 40"t. MATRIX
NONE DETECTED 50% CELLULOSE
10% GLASS WOOL
40-X. MATRIX
NONE DETECTED 50,0 CELLULOSE
1 o,o GLASS WOOL
40,0 MATRIX
NONE DETECTED 100,0 MATRIX
3"- CHRYSOTILE 97,0 MATRIX
NONE DETECTED 100� MATRIX
-NOTES: ND•None Drl«tcd A,balos I• nol quantlHable below the, melhod d<t«tlon llmll of one, (I I percent. Amphlbole ubat01 lndudH am01lle, croddollte, ■nthophylllte, lrcmollle and acllnollle. (FR)- Friable, (NF)• Non-Friable.
Condition of sample bu r«elvrd by lhe lahorolory. Our policy 11 to retain all samples for a period of thlny d■)"!. Accrrdltrd by the Nallonal Volunrary Laboratory Accrcdll■Uon rrogram and Envlronmental Lahor■lory CertlHcallon for the speclHc nope of acc!Tdll■tlon under NVLAP Lab Code 200878-0 and ELAP certlHcate no. 2379. Resulb reporled pertain lo 11mpleC1l u 1ubmlttrd and does nol n«esurlly apply lo olher apparenlly Identical or 1lmllar materials.
Thu reporl Is submitted for the esclwlvr use or the cllenl to ,.·hom II b addresscd. Any rc,productlon or thh report or use of this Laboratory's namr for advrrtblng or publlrlly purposes wllhout prior Mritten aulhorizallon 11 prohibited. In addlllon, this rc,port b not to be used lo claim produrt endonrmrnt by N\'LAP, ELAr, or an)· ogency of 1hr U.S. Governmenl. Whore applluble, layen or 111ub-sampln" arc r<'Jlorlcd and lhe Total Asbeslos •;. rcprcnnl• lhe composllr prrcentai:e or all ,ample layen. Page 1 of 8
(714) S23-9811 • FAX (714) S23-9810 • MAIN@ENCORP.NET • WWW.ENCORP.NET
Reference Batch Number: 052834 Sampled Date: 12119/2014
Project Number: P14320 . VI 1Client Name: Department of Veterans Affair Client Address: 4811 Airport Plaza Drive long Beach, CA 90815
Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL Facility Address: 3350 LA JOLLA VILLAGE DRIVE
Sampled By: FRANCISCO BARRAZA
Date Received: 12124/2014
Dale Analyzed: 12/24/2014
Sample Number
408214B
408215A
408215B
408216A
4082168
408217A
4082178
408218A
4082188
Analyzed By: ELAINE ESPIQUE
SAN DIEGO
CALIFORNIA 92161
LABORATORY TEST REPORT
BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method for the Determination of Asbestos In Bulk Insulation Samples
Field/ Client Number
1l
SAMPLE DESCRIPTION
Sample Location/Activity Color
WOMENS ROOM (6040)
TAN WOMENS ROOM (6040)
WOMENS ROOM (60401
WOMENS ROOM 6040 GREEN
WOMENS ROOM 6040 BROWN/ YELLOW
WOMENS ROOM 6040 GREEN
WOMENS ROOM 6040 BROWN I YELLOW
WOMENS ROOM 6040 GREEN
WOMENS ROOM 6040 BROWN /YELLOW
Material
MASTIC
LINOLEUM
MASTIC
4• BASECOVE
GLUE
4" BASECOVE
GLUE
4" 8ASECOVE
GLUE
-� Friable_ or Asbestos Type(%) I Non Asbestos (%)Non-Fnable
NF
NF
NF
NF
Nf
NF
NF
SFV
NONE DETECTED lOO'ro MATRIX
SfP
NONE DETECTED 100'\ MATRIX
NONE DETECTED 100% MATRIX
NONE DETECTED 100% MA TRIX
NONE DETECTED 1001I. MATRIX
NONE DETECTED 100% MATRIX
NONE DETECTED 100'1. MATRIX
-NOTES: ND�None Delttled Alhalot Is nol quantlDable below the melhod drltttlon llmll or onr (I) perrenl. Amphlbole ashes1ot Includes amoslle, croddollte, anlhophylllte, lremollle and acllnollle. (FR)• Frlahle, (NF)• Non-Friable.
Condlllon ofsample Is as received hy lhe labonlory. Our polk)' Is to retain all samples for a period ofthlrt)' da)'S, Accredlled by lhe Nallonal Volunlary Laboralory Actredllallon Program and Environmental Laboratory CertlDullon for 1hr sp«IRc scope or accredllallon under NVLAP Lah Code 2001178-0 and ELAP tertlfitale no. 2379. Resulls reporled pertain lo sample(•) as suhmllled and does not n«essarlly apply to olher apparently ldHHtal or similar materials.
This report Is submitted for 1hr esduslve use or the dlenl 10 whom II Is addressed. Any reproducllon of !his report or use of this Laboratory's name for advertlslftl or publklly purpotes "ilhout prior Mitten aulhoriz.atlon Is prohibited. In addlllon, this n,port Is not lo he used lo dalm producl endonement by NVLAP, ELAP, or any agency of 1hr U.S. Government. When, applicable, layen or "suh-umples" are reported and the Tolal Ashnlot % n,presenl• the compoolte perccnlage or all sample layen. Page 2 of a
(714) 523-9811 • FAX (714) 523-9810 • MAIN@ENCORP.NET • WWW.ENCORP.NET
Client Name: Department of Veterans Affair Client Address: 4811 Airport Plaza Drive long Beach, CA 9081 5 Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL
Facility Address: 3350 LA /OLLA VILLAGE DRIVE
SAN DIECO
L
CALIFORNIA 92161
Reference Batch Number: 052B34
Sampled Date: 12/19/2014
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESP/QUE
Project Number: P14320 . Vl 1
Dale Received: 12/2412014
Date Analyzed: 12/24/2014
LABORATORY TEST REPORT
BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method for the Determination of Asbestos In Bulk Insulation Samples
Sample SAMPLE DESCRIPTION
Field! Client ' --
-- :;:b��:;le, Asbestos Type(%) I Non Asbestos (%)Number Number Sample Location/Activity Color Material
408219A 13 LAB 6045 WHITE LINOLEUM NF 2,i CHRYSOTllE 98% MATRIX
408219B 13 LAB 6045 BLACK I YELLOW Cll.lt: NF l'Jo CHRYSOTILE 97'To MATRIX
408220A 14 LAB 6045 LINOLEUM Sfl'
408220B 14 LAB 6045 Gt.UE Sfl'
406221A 15 LAB 6044 LINOLEUM sn;
4062218 15 LAB 6044 GLUE SfP
408222A 16 WEST WING WHITE DRYWALL Nf NONE DETECTED 7,i CELLULOSE
93% MATRIX
4082228 16 WEST WING WHITE MUD TAPE Nf 3'1. CHRYSOTILE 9711. MATRIX
408223A 17 6032 6TH FLOOR GRAY EPOXY FLOORING NF NONE DETECTED 100"- MATRIX
-NOTES: ND•None Delecltd Albalos Is not quanllfiable bdow lhe method delecllon limit or one (IJ perecnl. Amphlbole asbrslm IMl11dc:s amoslte, ervddollle, anlhophylllle, lremollle ■ml adlnollle. CFR) • Frlahle, CNF)• Non-Friable.
Condlllon of sample Is as n,c:elvtd by lhe laboratory. Our policy Is lo retain all sampln for a period or thirty days. Accn,dlltd by lhe National Voluntary Laboratory Accrrdllatlon rros:r■m amt Envlrvnmenlal Laboratory C<rllnullon for lhe speclnc scope or accrtdllallon under NVLAr Lab Code 20087� and ELAP rrrtlfkale no. 2379. Resulb reported pertain lo sample(s) as submllted and don not necnsarily apply lo other apparently ldenlkal or slmllar materials.
This report Is submllted ror the esduslve use or lhe client lo whom It Is addrn1td. Any reproducllon or this report or use or this Laboralory's name ror ad.-.,rtlslna or puhlldty purposes llithout prior wrlltH ■uthorlzallon Is prohlblled. In addlllon, Ibis report Is not to he used lo claim produc:t endonement by NVL\P, ELAP, or any agtM)' or the U.S. Government. Where ■ppllc■hle, l■)·en or "sub-sampln" are n,porfed and the Total Asbestos % represent• the composite percenla5te of all sample layen. Page 3 or 8
(714) 523-9811 • FAX (714) 523·9810 • MAIN@ENCORP.NET • WWW.ENCORP.NET
Client Name: Department of Veterans Affair Reference Batch Number: 052834 Project Number: P14320 . V11 Client Address: 4811 Airport Plaza Drive Sampled Date: 12119/2014 Dale Received: 12/24/2014
Long Beach, CA 9081 5 Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL
Sampled By: FRANCISCO BARRAZA Date Analyzed: 12/24/2014
Facility Address: 3350 lA /OLLA VILLAGE DRIVE Analyzed By: ELAINE ESPIQUE
SAN DIEGO, CALIFORNIA 92161
LABORATORY TEST REPORT
___ . BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method for the Determination of Asbestos In Bulk Insulation Samples
Sample Field/ Client ---1 Friable or T r
SAMPLE DESCRIPTION
1 1 Number Number Sample Location/Activity Color Material Non- Friable Asbestos Type(%) Non Asbestos (%)
408223B
408224A
408224B
408225A
408225B
408226A
408226B
408227A
408227B
17 6032 6 TH FLOOR
18 6032 6TH FLOOR
18 6032 6TH FLOOR
19 6032 6TH FLOOR
19 6032 6TH FLOOR
20 6076 6TH FLOOR
20 6076 6TH FLOOR
2l 6076 6TH FLOOR
2l 6076 6TH FLOOR
BLACK/ BROWN
CRAY
GRAY
GRAY/BLACK
YELLOW
GRAY /BLACK
YELLOW
MASTIC NF 3.,_ CHRYSOTILE 91"f,, MATRIX
EPOXY FLOORING NF NONE DETECTED lOO'fo MATRIX
MASTIC SfP
EPOXY FLOORING NF NONE DETECTED 100,. MATIUX
MASTIC SfP
LINOLEUM NF NONE DETECTED 100'- MATRIX
GLUE Nf NONE DETECTED 100'- MATRIX
LINOLEUM Nf NONE DETECTED 100"- MATRIX
GLUE Nf NONE DETECTED 100"- MATRIX
-NOTES: ND•Nonc Delttlrd Asbeslos IJ nol quantlnablr below the method deltttlon llmll of one ( I) perunl. Amphlbole asbestos Includes am Mlle, crocldolltr, anthophylllle, ln,mollle and attlnollle. (FR)• Friable, (NF)• Non-Friable.
Condition of sample Is as rttelvrd by !he laboratory. Our policy Is lo n,laln all samples for a period of thirty days. Arrredltrd by lhe National Voluntary Laboratory Arrn,dllatlon Proi:ram and Environmental Laboratory Cer11ncallon for the spttlnr scopr of arrmllallon under NV LAP Lab Code 20087S.0 and ELAP rerllnrale no. 2379. Rtsulls uported pertain lo sample(s) as submllled and d0ts not n«essarlly apply lo olher appan,nlly klrntlral or similar materials.
Thi! n,port Is 111hmlt1ed for 1hr esduslve use of the cllent to whom II 15 addrtssrd. Any n,prod�llon of lhls rrport or use of this Laboralory's nami, for advrrtlslng or publicity purposes without prior wrlttrn aulhorlzallon 15 prohlbllrd. Jn addition, lhh n,por1 Is not lo he used to claim product endonrment by NV LAP. ELA P. or any ai:ency of lhe U.S. Government. Where applicable, layrn or "sub-nmples" an, reportrd and thr Total Ashes Im % npresenls the romposllr prrcentai:r of all sample la,·en. page 4 of 8
E NCO RP ENVIRONMENTAL MANAGEMENT AND SERVICES
(714) 523·9811 • FAX (714) 523-981 D • MAIN@ENCORP.NET • WWW.ENCORP.NET
Client Name: Department of Veterans Affair Client Address: 4811 Airport Plaza Drive long Beach, CA 90B 1 S
Reference Batch Number: 052B34
Sampled Date: 12/19/2014
Sampled By: FRANCISCO BARRAZA
Project Number: P14320 . V11
Dale Received: 12/24/2014
Date Analyzed: 12/24/2014 Facility Name: VETERANS ADMIN/STRA TION SAN DIEGO MEDICAL
Facility Address: 3350 LA /OLLA VILLAGE DRIVE Analyzed By: ELAINE ESP/QUE
Sample Number
408228A
408228B
408229
408230
408231
408232A
408232B
408233A
408233B
SAN DIECO
L
CAllfORNIA 92161 lABORATORV TEST REPORT BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method for the Determination of Asbestos In Bulk Insulation Samples
SAMPLE DESCRIPTION
7 1
Field/ Client -
- Friable or o
Number Sample Location/Activity Color Material Non- Friable Asbestos Type( Yo) Non Asbestos (%)
22 6076 6TH FLOOR GRAY /BLACK
22 6076 6TH FLOOR YELLOW
23 61 70 EAST WING BLUE/ BEIGE
24 61 70 EAST WING BLUE /BEIGE
2S 61 70 EAST WING BLUE/BEIGE
26 NORTH WING CORRIDOR GREEN
26 NORTH WING CORRIDOR BLACK
27 NORTH WING CORRIDOR GREEN
27 NORTH WING CORRIDOR BLACK
LINOLEUM
GLUE
FLOORING
FLOORING
FLOORING
l2" x 12"
MASTIC
)2" x l2''
MASTIC
NF
NF
NF
NF
NF
NF
FR
NF
FR
NONE DETECTED 100% MATlfl:C.
NONE DETECTED 100'%. MATRIX
NONE DETECTED 100'%. MA TRIX
NONE DETECTED 100-,. MATIUX
NONE DETECTED 100'%. MATRIX
NONE DETECTED 100'1',, MATRlX
NONE DETECTED 3'%. SYNTHETIC FIBERS
97% MATRIX
NONE DETECTED lOO'J, MATRIX
NONE DETECTED 3"1. SYNTHETIC FIBERS
97'li MATRIX
-NOTES: ND•None Delttlrd Asbestos Is nol qu■nllfiable bdow the method detection limit of one (IJ perttnl. Amphlbole ,ubeslm lndudes amoslte, n11ddollle, anthophylllle, lremollte and actlnollle. (FR)• Friable, INF)• Non-Friable.
Condition or sample 11 as rttelvrd by the laboratory. Our policy 11 lo retain all samples ror a period of thirty da�. Accttdlted by the National Voluntary Laboratory Accrrdllallon Prot:ram alld Environmental Laboratory Certification ror the spedRe scope or accredllallon under N\'LAP Lab C� 200878---0 and ELAP rertlneale no. 2379. Results rq,orted pertain to 11mple(1) as submlttrd and does not neces11rlly apply lo olher apparenlly ldenllcal or slmllar m■terlall.
This report l1 submllted for the uchulve 11Se or lhe client to "·hom It Is addressrd. Any reproduction or this report or 11Se or this Laboralory's name for advertising or puhlldty purposes wllhout prior written au1horlzallon Is prohlhllrd. In addlllon, Ibis report Is nol 1o be wed lo dalm producl endonemenl by NVLAP, ELAP, or any agency or lhe U.S. Go,·ernmenl, Where applkable, l■yen or "sub-samples" are n,portrd and the Total Asheslm ¾ represenls the composlle pernnta1e of all sample layen. Page S of 8
ENC OR P ENVIRONMENTAL MANAGEMENT AN o SERVICES
16700 VALLEY VIEW AVE. STE. 100 LA Ml RADA, CALIFORNIA 90638
(714) 523·9811 • FAX (714) 523·9810 • MAIN@ENCORP.NET • WWW.ENCORP.NET
Client Name: Department of Veterans Affair Client Address: 4811 Airport Plaza Drive
Long Beach, CA 9081 5
Reference Batch Number: 052834
Sampled Date: 12/19/2014
Sampled By: FRANCISCO BARRAZA
Project Number: P14320 . Vl 1
Date Received: 12/24/2014
Dale Analyzed: 12/2412014 Facility Name: VETERANS ADMINISTRA TfON SAN DIEGO MEDICAL
Facility Address: 3350 LA /OLLA VILLAGE DRIVE Analyzed By: ELAINE ESP/QUE
Sample Number
408234A
408234B
408235A
408235B
408236A
4082368
408237A
4082378
408238
SAN DIEGQ.,_ CALIFORNIA 92161
LABORATORY TEST REPORT
BULK ASBE�OS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method for the Determination of Asbestos In Bulk Insulation Samples
I
SAMPLE DESCRIPTION
I
Field/ Client · Friable or o,, I ... ,_ o Number _ Sample Location/Activity Color Material Non- Friable Asbestos Type( Yo) Non Asbestos ( Yo)
26 NORTH WI NG CORRIDOR GREEN
28 NORTH WING CORRIDOR YELLOW
29 NORTH WING lAN
29 NORTH WING BLACK
30 NORTH WING TAN
30 NORTH WING YELLOW
31 NORTH WING TAN
31 NORlHWING YELLOW
32 NORTH WING CLEAR/RED
12'' X 12"
MASTIC
12" x 12" SMALL SPECKLES
GLUE/MASTIC
12" x 12" SMALL SPECKLES
GLUE/ MASTIC
12" x 12" SMALL SPECKLES
GLUE / MASTIC
EPOXY FLOORING
NF
NF
Nf
NF
Nf
NF
NF
Nf
NF
NONE DETECTED 100,. MATRIX
NONE DETECTED 100,. MATRIX
NONE DETECTED 100'11 MATIUX
NONE DETECTED 100'- MA1RIX
NONE DETECTED 100'.lo MATRO(
NONE DETECTED 100'7, MATRIX
NONE DETECTED 100.,-. MATRIX
NONE DETECTED 100'7o MATRIX
NONE DETECTED 100'1,. MA TRIX
-NOTES: ND•None Drlttled Ashnlos is nol 11uantlflahle below the merhod detection llmll or one II I purrnt. Amphlbole asbntos Includes amosllr. rroddolilr. anlhophylllte, lremollle and acllnollle. (FR) ..
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it.