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ATTACHMENT 10
Hazardous Materials
Inspection Report
664-14-517
75 pages
1 January 2015
San-Diego, California VA Health Care System (605)
AC26 Replacement
CONSTRUCTION
EN CO_RP ENVIRONMENTAL MANAGEMENT AND SERVICES
16700 VALLEY VIEW AVE. STE. 100 LA MIRADA, CALIFORNIA 90638
(714) 523-9811 • FAX C714l 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: 052777
Sampled Date: 1217/2014
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESPIQUE lABORA TORY TEST REPORT
Project Number: Pl 4320 . Vl 1
Date Received: 12/4/2014
Date Analyzed: 12/4/2014
BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method for the Determination of Asbestos In Bulk Insulation Samples � l SAMPLE DESCRIPTION
Sample Id/ Client -- -- --- Friable or I I o Numbe Number I Sample Location/Activity Color Material Non- Friable Asbestos Type(%) I Non Asbestos ( Yo) I
407&29 19 5TH FLOOR INTERSTITIAL BEIGE FIREPROOFING BEAMS FR 3" CHRVSOTILE 97" MATRIX
407630 20 5TH FLOOR INTERSTITIAL FIREPROOFING BEAMS SFP
407631 21 5TH FLOOR INTERSTITIAL FIREPROOFING BEAMS SfP
407632 22 5TH FLOOR INTERSTITIAL WHITE CLOTH PIPE WRAP FR 80"1o CHRVSOTILE 15" FIBROUS GLASS
5" MATRIX
407633 23 5TH FLOOR INTERSTITIAL CLOTH PIPE WRAP SfP
407634 24 5TH FlOOR INTERSTITIAL CLOTH PIPE WRAP SfP
407635 25 5TH FLOOR INTERSTITIAL GREEN CAULKING DUCT SEAMS NF NONE DETECTED IOO'ft MATIW<
407636 26 5TH FLOOR INTERSTITIAL GREEN CAULKING DUCT SEAMS NF NONE DETECTED IOO'lt MATRIX
407&37 '17 5TH FLOOR INTERSTITIAL GREEN CAULKING DUCT SEAMS NF NONE DETECTED 100" MATRIX
-NOTES: ND-None Dclected Asbatos Is nol qu.anlinable bdow Ilic, mc,lbod dc,tectlon limit of one (II pc,l'ffnl. Amplllbole asbestos laeluda amoslh; crocldollte, aatbopbylllle, tremollte and aellaollte. (FR)- Friable. (NF)• Non-Friable.
Condition of sample Is as rttelved by 111c, labontory. Our pol Ley Is to relala all samples for a pc,riod of thirty days. Accredited by the National Voluntary Laboratory Accreditation Prognm aod Eavlrnmaealal Labonlory Certification for the, specific seope of accredltatloa 11ockr NVLAP Lab Code l00ll7M ud ELAP certlfleate no. 2379. Raulb rqiorted pc,rtaln to sample(•) u 111bmlned and doa not ac,cessarily apply to otbc,r apparc,atly ldc,nlkal or 1lmllar malerials.
This ttporl 11 submlltnl for tht, eiduslve use of 1be cllenl to whom II Is addmsc,d. Any reproduetlon of this report or use of Ibis Laboratory's mme for advertlsl111 or publklly purposes wllbout prior written authorization Is prnhlblled. la addition, Ibis report Is not to be wed lo claim produc:I endonemeol by NVLAP, ELAP, or any ageaey of the U.S. GovernmeaL When applLeable, layen or "1111>-samples" are reportnl and tht, Total Albalos ¾ repments lbe romposlte n � t •
EN co RP ENVIRONMENTAL MANAGEMENT AND SERVICES
(714) 523-9811 • FAX (714) 523-9810 • MAIN@ENCORP.NET · WWW.ENCORP.NET
Client Name: Department of Veterans A/fair Client Address: 4811 Airport Plaza Drive
Long Beach, CA 9081 5
Reference Balch Number: 052777
Sampled Date: 1211/2014
Project Number: P 14320 . V11 Date Received: 12/4/2014
Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL Facility Address: 3350 LA JOLLA VILLAGE DRIVE
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESPIQUE Date Analyzed: 1214/2014
Sample umber
SAN DIEGO, CALIFORNIA 92161
LABORATORY TEST REPORT
BULK ASBESTOS FIBER ANALYSl�JPLM) EPA-600/R-93/116: Interim Method for the Delermination of Asbestos In Bulk Insulation Samples l r
SAMPLE DESCRIP'TION
1 Field/ Client - -- -- -- -- Friable or Number Sample Localion/Activity Color Malerial Non- Friable · Asbestos Type(%) I Non Asbestos (%)
APPRov,o SIGNATU"" � r2./ gb 'I Elaine Espiquc, Lab MMage
-NOTES: NO-None l>elttled Asbeslos ls not quanllRabk below the 111Clbod delttlloa Umlt of oae (IJ perttnt. Ampblbole ubeslos Includes amoslto., crocldolllo., anthophyllllo., lremollle and actloollie. (FR) "' Friable, (NFJ- Non-Friable.
Coodltloa or 1ample Is a rcttlved by Ille labonuory. Our potk:y Is to retain all 1amptes ror a period or thirty days. Accredl1ed by tlw Nalloaal Voluntary Laboratocy Accredllallon Procnm and Envlronmenlal Laboratory c.r11nat1oa for tbe 1pedRc 1cope or accredltalloa under NV LAP Lab Code 200871141 ud ELAP cerllRcale no. 2379. Results reported pertain to sample(•) u submitted alld does not necessarily apply lo other apparently Jdendcal or similar materials.
This report II 1ubmltted ror the c,.1cluslve use or 1be clleat to whom II Is addressed. Any reproduction or Ibis report or use of 1h11 Laboratory'• name for advertising or publicity purpose1 without prior written autborlzatlon Is problblted. In addition, this report Is not to be used to clalm prod11<t elldorsem•nl by NVLAI', ELAI', or any agency or the U.S. GovernmenL Where appllcable, layen or "1111>-samptes" are reported and tbe Total Asbestos o/• represenb the composite
�l�ENCORP 052777
PAGE: --:l.,_
16700 Valley View A\enuc, Suicc 100 La Mirada, California 90638
Tel: (714) 523-9811 Fn. (714) 523-9810
W'WW.CIICOIJ).IICI
OF '3 CLIENT:� a� DATE:\L.-\-tl( ::;,;:���ii �-•'....:��QrCgJ�:::::·==-ni.:::....;fu��rr<!l,,,,04.',?r'.l..4-1, ____________
SAMPLE NO.
1.
2.
3.
4.
s.
6.
7.
8.
I 9.
\ o.
h'f'U.IJ' IIIAlERIALS:
IS• Sli1ace Ueial l'SI• ThermalS_. nwtiati ,. • Miscela1eaus Malolial
LABIDI SAMPLE LOCATION MATERIAL DESCRIPTION
�U7oll g\-h '".f°l�L . - \ "'hre �rcx>�\r<:)
eel� \., ,_c_ _. c:: .. \. \. .. , --
{07612 I, {07613
407614
4fJ78l5
�07616
4U/bl7
1t07618
�07619
41l1n2U lrHII:
G•Good SF.• Squnfeet O•Oanaged IJ'•lnarfed SO• Sqiicaltf Oanaged
I
\SL
e\�
I
�l� \J\� u..xQ.p
I
:b..d-/&twn � l'l.UJ\t� c,,-"f1- . f'L -- - ' --.: � ...... "\( ' 1\1 ,.. /1. .s°'" �1.r "+<hrv-\� . · (07Ct fu Pl / b&ffeu:
\1-�\"+
\"1-3-1\.\ batJJ'mt"·
:,.., ,.,. ll� 'trc:/
CONDITION
j
'3 g
--....i-.
���c(
V' � � 7i!u./ftL{ 6�,u
IOW.ORP•-- • 187001/o�\llowAvonie Sulo \OD li ..... da•C.l-9063&
QUANTITY
I l
%ASBESTOS
!I@.li,;<::
I
Sf'P
16�� . �J, tl..fj'
\ Sft9
81 [ftr--, 3/C,ffe4,f
: �f.,lo� NO p fV/7 , drWf/4,sr
J [VJ)
, t?fct.1.11 �7.cfJry
� 11,�, -� .. •Fb nu• "':Mll1D
Z,\fUMt,."'l(JkAfJNWr�Fd.lf��funm f¢��"�2,� 16700 Valley v,cw A,-cnuc. SUIIC 100
La Mirada. Calcfonua 90631
O!i2777 Tel (714) 523-981 I F:oc (714) 523-9810
,,ww.cncorp.nel
CLIENT: �clrru:r+ pt Ve:\a-<NCf::. A&£o,)(S DATE: \'L - \ - \� PAGE: r;_ 0 F ---3 JOB N O:l'r\.+6�\J:l..":f INSPECTORS: __ BJ.:....1.10fX...i......,;a..;11o.1CP---.s&ii�;.;:::..;(U�7i.;;;.;Q-.. ___________ _ LOCATI ON: ?:is,'SC) lg.> p\\n J'g. ?f») �Q L-A
SAMPLE NO. LABIDI SAMPLE LOCATION
t 1. '107621 \.�.ers-b:\\C\,\
2.
II 407622
fl 7 6 2 3
'10:Zti,{ 5.
II 407825
I 6.
4fl7ti�6
7. 407827
I a.
·· 407G28
• 4076299.
"20. 407631
II \
MATERIAl. DESCRIPTION COll>ITION
I
J..,, I---ce.,hrq a..e(� �\(P �\(l:1
�\re�� g
1 I \ r II•• r I � : ·, • (
!mu OF IIATEIIJAI.S:
�Slllaa!lolallrial
• Thenna1Sys1omslns"'11ian Wilcelaneoc6 Mafenal
�ONDITION:
I�==-- l�� i::o�':
SOz�Oamaged lY\7"'--:,,<:
o.trac:
\'"2..- �-\'4 o.tr-l?.- �-1'4 l°i:J'tu, '1 1m
� �ta VZ-2 r44{ih fY/P l£Ka<PLI 1&700Yllor\lieWA-.-100·U."'""'Cll,Cll-90&3II
QUANTITY %ASBE STOS
Sf-1}
&fP i..- �'JL '1'10
I oJD
\ I- f'/0
()Aw§- -:: rr( t/r'1-(
I srr
SP()
�� r1-(f{7'-'\
SPf
,_.t.J!!fil�11 •Fu/11(!52WIO
Z.11'1.UdUU.N'oddr ..... 'Clnmfod.lf..-J. ,..,.._ r
,II
�l�§�.9-2�
DATE: \2- \-\Y
INSPECTORS: 13Qrrs:Q €:o(Ql}CQ, CLIENT: �¼rod: ok: \/Pt.P(Off? N;fo.,\('$..
J O B N O: ?\�'2.,'?Q \t1j_ LOCATION: � \.Q. >6\a J>c � �� C:A-l('
SAMPLE NO. LABID# SAMPLE):OCATION MATERIAL DESCRIPTION
2_1. 407n31 "5\h � I
L \.� ft\C\,\
2. 407632
C\o\t\?-� �rap
II
I
3.
Lr·n�11
I -""·
4. {07634
,IC◄ ,
5. 4f!7�:15 <s,;-� (hu'i:u'CJ b..cl�
6. I;-, 7 r• ') 6
'1 ) . /
7. 4:7f537 8.
.30. , ONllTION:
G=Good D =Damaged so= S,,,.lca1ty Danagad v-Am>A. Slilo 100 La - ·CaMomoa 90638
16700 Valley View A,cnuc. Sui1e 100 Li Mirada. California 9lll,38
Tel: (1141s23.qs11 fax: 171-1)523-9HIO
\\WW.encorp.nd 052777
PAGE: 'Q OF 3
COMXTOI QUANTITY %ASBESTOS
'\._ \_ <;;FP
G.1
- ...... � gDLC-1.�
61 vhr..tGl:H I
\ �p r l &Ff
C?i""«rt t-Y.J
ND
I ND
Z.hbhcf()Rllflditfonm•VffiJ�tt-9&.dks.ns,kr"mw:
(714) 523-9811 • FAX (714) 523-9810 • MAIN@ENCORP.NET • WWW.ENCORP.NET
Clienl 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: 052775
Sampled Date: 1211/2014
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESP/QUE
LABORATORY TEST REPORT
Project Number: P 14320 . V11
Date Received: 12/4/2014
Date Analyzed: 1214/2014
BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method for the Determination of Asbestos In Bulk Insulation Samples r
SAMPLE DESCRIPTION
lSample Field/ Client -- • -- --- -- � Friable or Number Number Sample Localion/Activity Color Material IN�Friable Asbestos Type(%)
407557 6TH FLOOR INTERSTITIAL WHITE FIREPROOFING OVERSPRAY FR 8'1. CHRYSOTILE
407558 2 6TH FLOOR INTERSTITIAL FIREPROOFING OVERSPRAY SFP
407559 3 6TH FLOOR INTERSTITIAL FIREPROOFING OVERSPRAY SFP
407560 4 6TH FLOOR INTERSTITIAL WHITE FIREPROOFING (BEAMS) FR 841. CHRYSOTILE
407561 5 6TH FLOOR INTERSTITIAL FIREPROOFING (BEAMS) SfP
407562 6 6TH FLOOR INTERSTITIAL FIREPROOFING (BEAMS) SfP
407563 7 6TH FLOOR INTERSTITIAL WHITE FIREPROOFING COLUMNS FR 8'L CHRVSOTILE
407564 8 6TH FLOOR INTERSTITIAL FIREPROOFING COLUMNS SFP
407565 9 6TH FLOOR INTERSTITIAL FIREPROOFING COLUMNS SfP
Non Asbestos (%)
92'1. MATRIX
92'1. MATRIX
92'l. MATRIX
-NOTES: ND-None Dtlecled Asbestos b not qu1adRable bdow the melhod deteclloa limit or one (l) perttal. Amphlbole .. bestos Includes amosllt, crocldolllt, anlbopbylillt, lremollle and acdaollle. (FR)• Friable, (NF)• Non-Friable.
Condlllon or umple Is a recdved by lhe l1bora1ory. Our policy Is 10 retain all samples for a period or thirty da}S. Accredited by the Nallonal Vol11Dtary Laboralory Accredltatloa Procram and Envlro11111e111al Laboratory CertlRcatloa ror the spedflc nope or acettdltadon under NVLAP Lab Code 20-087� and El.AP eertlflcate ao. 2379. Results reported pertllln lo 11mple(s) u 111bmltted and doa not aecasarlly apply lo other appaready ldeallcal or similar materials.
Thb report b submltled for tbe e1dmlve use of tbe ellenl to whom It b addressed. Any repruduction of Ibis report or me or tbb Laboratory's ume ror advertlslni: or publldly purposes wlthoul prior written autborlzalloo Is pnihlblled. In addlllon, Ibis report Is not to be med 10 claim proch•tt endoncmenl by NVLAP, El.AP, or any agency or the U.S. G.ivernment. Where applicable, layen or "sub-samples" are reported and lhe Tola! Asbestos o/. represents the composlle h--- 1 -l A
EN CORP ENVIRONMENTAL MANAGEMENT AND SERVICES
(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: 052775
Sampled Dale: 1211/2014
Project Number: P14320 . Vl 1
Dale Received: 12/4/2014
Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL
Facility Address: 3350 LA JOLLA VILLAGE DRIVE
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESP/QUE Date Analyzed: 1214/2014
Sample Number
407566
407567
407568
407569
407570
407571
'407572
407573
407574
SAN DIEGO
L
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 Sa=l!P1
�es
J r
SAMPLE DESCRIPTION
7 Field/ Client -
• � Friable or b
Number Sample Location/Activity Color Material Non- Friable As estos Type(%)
10 6TH FLOOR INTERSTITIAL BROWN
11 6TH FLOOR INTERSTITIAL
12 6TH FLOOR INTERSTITIAL
13 6TH FLOOR INTERSTITIAL BROWN
14 6TH FLOOR INTERSTITIAL
15 6TH FLOOR INTERSTITIAL
16 6TH FLOOR INTERSTITIAL WHITE/PINK
17 6TH FLOOR INTERSTITIAL WHITE/PINK
18 6TH FLOOR INTERSTITIAL WHITE/ YELLOW
TSI ELBOWS
TSI ELBOWS
T51 ELBOWS
DUCT SEAM CAULKING
MASTIC/ !SEAMS)
DUCT SEAM CAULKING
MASTIC/ !SEAMS)
DUCT SEAM CAULKING
MASTIC/ !SEAMS)
FIBERGLASS PIPE WRAP
FIBERGLASS PIPE WRAP
FIBERGLASS PIPE WRAP
NF
NF
fR
FR
FR
S'L CHRYSOTILE
SFP
SFP
S'L CHRYSOTILE
srP
SFP
NONE DETECTED
NONE DETECTED
NONE omCTED
Non Asbestos (%)
95,0 MATRIX
95'L MATRIX
20,0 FIBROUS GI.ASS
s,o GLLULOSE
7S% MATRIX
20'L FIBROUS GI.ASS
5% CELLULOSE
75% MATRIX
20'L FIBROUS GI.ASS
S'L CELLULOSE
7S,O MATRIX
-NOTES: ND•No11e Oetectfd Asbalos Is not quaatlllable below lbe 111dbod delectlon limll or one (I) perrenL Ampblbole ubestos Includes unosile, crnc:ldollle, anlbopbylUte, tn,mollle and actlllolllt. (FR)" Friable. (NF)• No.Friable.
Coadltlon or ■ample Is as n,celved by the laboratory. Our polky Is 10 n,laln all 1unpla ror a period of lblrty d•�· Atendllal by lbe Nalloaal Voluntary Laboralory Accredllatloo Program and Envlronmcnlal L■boralory Ccrllflcallon for lhe 1pedllc scope or 11ttndlt1do11 under NVLAP Lab Code 200873-0 and ELAP tertlllcalc no. 2379. Results rcporled pertain tn sample(s) u 1ubmlttfd and does not IIC(Cllar\ly apply 10 other apparently ldenlk:.al or similar malcr!als.
This report 111ubmltled for the esduslve use or the dlenl 10 whom II ls addressed. Any reproducllon or 1h11 report or use of Ibis Laboralory's name for advertlsln: or pabllclly purposes wllhoul prior written aulltoriatloo Is problbllcd. In addlllon, this report Is not lo be used lo claim producl endonemeat by NVLAP, ELAP, or 1111y aaency or the U.S. Government. Where appllcabk. layen or "sub-samples" are reported and the Tolal Asbestos o/• represents the composite
(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 Facility Name: VETERANS ADMINISTRA TJON SAN DIEGO MEDICAL
Facility Address: 3350 LA JOLLA VILLAGE DRIVE SAN DIEGO. CAllFORNIA 92161
Reference Batch Number: 052775 SampledDate: 1211/2014
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESPIQUE
LABORATORY TEST REPORT
Project Number: P14320 . V11
Dale Received: 12/4/2014
Date Analyzed: 12/4/2014
BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method for the Determination of Asbestos In Bulk lnsu l lation Sameles , , SAMPLE DESCRIPTION
Sample di Client • - • • •
• -- Friable or
Numbe Number r Sample locahon/Act1v1ty Color Material Non- Friable Asbestos Type(%) Non Asbestos(%)
407575 19 6 TH FLOOR INTERSTITIAL BEIGE
407576 20 6TH FLOOR INTERSTITIAL BUG£
407S77 21 6TH FLOOR INTERSTITIAL BEIGE
407578 22 6TH FLOOR INTERSTITIAL WHITE
407579 23 6TH FLOOR INTERSTITIAL
407580 24 6TH FLOOR INTERSTITIAL
407581 .25 6TH FLOOR INTERSTITIAL GRAY
407582 ?6 6TH FLOOR INTERSTITIAL GRAY
407583 ?7 6TH FLOOR INTERSTITIAL GRAV
PLASTER
PLASTER
PLASTER
CLOTH PIPE WRAP
CLOTH PIPE WRAP
CLOTH PIPE WRAP
DUCT SEAM CAULKING/
MASTIC
DUCT SEAM CAULKING/
MASTIC
DUCT SEAM CAULKING/
MASTIC
NF
Nf
NF
NF
NF
NF
NF
NONE DETECTED 100'1. MATRlX
NONE DETECTED 100'1. MA TRIX
NONE DETECTED 100'1. MATRIX
1 0'I. CHRYSOTllE 90'\ SYNTHETIC FIBERS
Sff
SIi'
NONE DETECTED 100'1. MATRIX
NONE DETECTED 100'1. MATRIX
NONE DETECTED 100'1. MATRfX
•NOTES: ND•None Delttlnl Asbestos Is DOI quanlillable below the method ckltttlnn llmll of one (I) percent. Ampblbole asbestos Includes unoslle, crocldollle, ■ntbopbylllte, lrcmollle and aclinollle. (FR) - Friable, (NF) - Noo-Frlable.
Condition o hunple Is u received by tbe laboratory. Our policy Is to retain all 1unples ror a period or lblrly days. Attrt!dlted by the N■tloul Volualary Laboralory Accredllallon Program and Environmental Labonlory Certification ror lbe spcdlk scope or Kcredltatlo11 under NVLAI' Lab Code 20087S-O ud El.Al' ttrtlllcale no. 237!1. Resulls reported pertain to 1unplc(1) u submitted and does DOI necessarily apply lo other applffady ldeadcal or 1lmllar materials.
This rrport 1s submlned ror lbe aduslve use or lbe dleal lo whom II Is addressed. Any rrproducllon or Ibis rq,orl or use of thb Laboratory'• name fu,- ad-...rtlslng or publicity purposes without prior written autborlzatloa Is prohibited. In addition, Ibis rrport Is not to be used lo claim product eadoncmenl by NVLAP, ELAP, o,- 1111y qeocy of the U.S. Government. Wberr appllcable, layen or "sub--1unpla" are reported and the Total AJbeslos •t. represenll lbe composite
(714) 523-9811 • FAX C714l 523·9810 • MAINCENCORP.NET • WWW.ENCORP.NET
Client Name: Department of Veterans Affair
Client Address: 4811 Airport Plaza Drive long Beach, CA 9081 5
Facility Name: VETERANS ADMINISTRA T/ON SAN DIEGO MEDICAL Facility Address: 3350 LA JOLLA VILLAGE DRIVE
SAN DIEGO
L
CAUFORNIA 92161
Reference Batch Number: 052775
Sampled Dale: 1211/2014
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESPIQUE
Project Number: P14320 . V11
Date Received: 121412014 - Date Analyzed: 12/4/2014
BULK ASBESTOS FIBI ALYSIS (P -T•I -• • • __ ., ,.,.��- ■■■■■---.■-■■ -■ • 'A
LABORATORY TEST REPORT
!/R-93/116: Interim Method for the D, ,f Asb In Bulk Insulation Sa ..... - .... --··- ···--·-··-�· -
SAMPLE DESCRIPTION Sample Field/ Client Number Number Sample Location/Activity Color
Friable or Material Non- Friable Asbestos Type(%) Non Asbestos (%)
APPROVED SIGNATURE, � o/1/}I 9 Elaine Espiquc , Lab Manager
-NOTES: ND•Noae Detectcd Asbestos Is. oot quandfiable below the metbod detecllon limit 0£ one (I) pcrunl. Amplllbole asbestos lodudes amosltt, crocldolltt, anthopbyllllt, tremollt• and acllDOllte. (FR)• Friable, (NF)• Non-Friable.
Condlllon or sample Is as received by tbe laboratory. Our policy Is to nlaln all samples ror • period or tblrty days. Accttdltcd by the National Vol1111tary Laboratory Accreditation Program aad E11vlroomental Labontory Certlllcatlon £or the speclfk 1rope or accredltallon under NVLAP Lab Code 200878,-0 and El.Al' ccrtlfkate no. 2379. Results npor!N pertain to sample(,) as submlncd aad does not neceuarily apply ID other apparently Jdendcal or similar materials.
This report II 1ubmltlcd £or the ncluslve use or the client to whom It Is addl'ftled. Any reprod11Ctlon or this report or us• of this Labontory's name for ad,<ertlslng or publicity purposes wlthmlt prior writteo authorization Is problblted. In addlllon, this report Is not to be used to claim product endorsement by NVLAI', El.AP, or any agency of the U.S. GovenimenL Where appllcablt, lay•n or "sub-samples" are reported alld the Total Asbestos -t. represents the composite n,-.-...- A .,..I A I ... H I I
EN CORP FIELD DATA SUMMARY INSPECTION & PHYSICAL
Dfi2775"
PAGE: ____ _ CLIENT:\Jeferao-s Mrr,i\\�odtm � DATE:� JOB NO: B��-� IW'ECTOIIS:::Bl'.ID . c:<¼OJ::Yia:2. .
LOCATION:� ,u\kcii tr\\ e 3r10 � ch-
SAMPLE NO. LABIDI SAMPLE LOCATION MATERIAL DESCRIPTION CONDITION QUANTITY ' %ASBESTOS
1. I 407557
2. I 4n7ss8 I
3. I 407!15� I
4. I 407560 t· ___
5. I �07561 I
6. I 407562
7. I 407:i63
8. I 407�6'1
9. f •· �07�65
:�SllfaceMalnl :. =" 'lllemlal � lnsUlatlon
' -•�Malerial IIIIDllnr:dms:
G=Good D"Damagad SD= Sqllcrif Damaged
�\a,\
I I \
1 I l�\'9 I r \
1=\'\-€. � '
•t--
V T-Q:� g 81.�
I t I I t ifP
I I I �w� - a/c�
I I � I I ffP l s-rP
{.L� �1.llr!J'1 c;:pp
�rr ..._ rwr.. rn.t\ �u . F•• m.tl 523-9810
EN CORP FIELD DATA SUMMARY INSPECTION & PHYSICAL ASSESSMENT O!'i2775
CLIENT:\JO.PfQQS AOC\\\{\�O-J°t\CQ :::A -"2..--- 0 F--'----
J 08 NO: 1: =�, .. =:;;t �: xl I II J.!.<",."•HJ "-,>,,ll JI--V0.4 '--� Y I ::atill::I, '- · LocAr10N: � "'\kiii l>s]l e 3=f10 � ch.
· SAMPLENO. LABID#
l 1.
407567
2. �07568
3. 407569
4. 407570
5. �07571
6. 4r7ci72
7.
I 4n7s73
8. 40757{
I 9. f 407575
·"2o. I 407�76
= Slrface Malerial I G" Goad
·[ � ••Thennal SysWn1 lnsu!atm D " Damaged ,,,.,. � Malerlal SD" SV1ficdf Damaged
SAMPLE LOCATION ,I MATERIAL DESCRIPTION
Cl'
CONDITION QUANTITY
I
%ASBESTOS
Sf�
5"f\J l,(1l\LVl rS'Ff
Sf'P g � A>ilL NJ)�,, r-�l;tl(a_s5
/v()
� ¥-e/(uJ �t,.c-e .?<JZ,f'b.6(<t � f-lP
�'� ND
EN CORP FIELD DATA SUMMARY INSPECTION & PHYSICAL ASSESSMENT O:i2775
SAMPlENO. LABID#
"71.
�n7S77 !
2. l 4fl7:i78 I
3. l {[l757'.l I
4. � �07580
5. l ,,, _____ I
1 I
6. I Ir\'"lt:Q.., I �07:i83
8.
9 •
. �-.. &,face MaMnl I G =
Geed ,: , •'Jllennal &jsllms lnsUlallon ·. D = Damaged : •�Malellal ·SD= �Damaged
SAMPLE LOCATION
"P,C0(2 \C\l2J�\
I
\Y PAGE: .._,
I MATERIAL DESCRIPTION I CONDl110N I QUANTITY I %ASBESTOS
�\P2 9
IL It I t r p� sr-F ])ff
I -- -:.'. � � �� -::, I:'.) I I C,{lt-? 1-k)
I y
I I I t µ()I i
I t I \ I \ 1-�- J rfJD f"\M- rN .. , .1:-,.,, ftO&t c-... ,.,. '" •"'41.nA1ft
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Client Name: Department of Verterans Affair
Client Address: 4811 Airport Plaza Drive Reference Batch Number: 052670
Sampled Date: 10/27/2014
Project Number: P14320 . V11
Date Received: 10130/2014 Long Beach, CA 90815
Facility Name: VETERANS ADMJNISTRA T/ON SAN DIEGO MEDICAL Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESP/QUE
Date Analyzed: 10/30/2014
Facility Address: 3350 LA JOLLA VILLAGE DRIVE
SAN DIEGq CALIFORNIA 92161 $Ii& 2..
Sample Number
406258
406259
406260
406261
406262
406263
406264
406265
LABORATORY TEST REPORT
BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/_R-�3/116: Interim Method for the Determination of Asbestos In Bulk Insulation Samples _ �-----� r Field/ Client ,_____
SAMPLE DESCRIPTION ---------
Friable o� Ashes o I N Ashe (°') I Number Sample Location/Activity Color Material Non- Fri�le l los Type(%.) on stos ,o
ROOF BLACK
? ROOF BLACK
3 ROOF BLACK
4 ROOF WHITE/ BLACK
5 ROOF
6 ROOF
7 ROOF WHITE/GRAY
6 ROOF WHITE/GRAY
ROOFING MATERIAL NF
ROOFING MATERIAL NF
ROOFING MATERIAL NF
PENETRATION MASTIC NF
PENETRATION MASTIC
PENETRATION MASTIC
DUCT SEAM CAULKING NJ
DUCT SEAM CAULKING NF
NONE DETECTED 2'1. FIBROUS GLASS
98'1. MATRIX
NONE DETECTED 2'1. FIBROUS GLASS
98'1, MATRIX
NONE DETECTED 2'1. FIBROUS GLASS
98'1, MATRIX
4,_ CHRVSOTILE 96°" MATRIX
SfP
SFP
NONE DETECTED 100� MATRIX
NONE DETECTED 100'1. MA TRIX
406266 9 ROOF WHITE/GRAY DUCT SEAM CAULKING NI
-----:-;::;::-::-::------:::-----==�---------------------------------- H--•
NONE DETECTED 100� MATRIX
-NOTES: ND•Nooe l>elected JUbeslos Is nol quantlnable below the method detecllo11 llmll or ooe (I) prrttnL Ampblbole ubestos h1cludes amoslle, croddollle, anlbopbylllle, lremollte and acllDOllle. (FR)• Friable, (NF)- Non-Friable.
Condition of slllllple Is u received by lbe labontory. Our poUcy Is to retain ■JI samples ror a prrlocl of lblr1y d■)'. Accmllted by the Nallon■J Voluntary Laboralory Accmlltalloo Pro&nm and Environmental Labonlory Certification ror the 1peclllc scope or accreditallon undt,r NVLAP Lab Code 10017&-0 and ELAP certlflcale no. 2379. Results reported prr1aln lo sample(1) u submllted aad doa nol o«.,..arily apply lo other apparently lde11tlcal or 1lmllar malerlw.
This report Is 1ubmllted ror the escluslve use or the client to whom It Is addressed. Any repruduclloa or lhls report or use of this Labontory'1 name for advertising or publldty purposes wilbout prior written authorization Is prohibited. In addllioa, this report Is nol to be used to claim produtt endorsement by NV LAP, ELAP, or any qenc,y or the U.S. GovernmonL Where ■pplkable, la)'en or "1ul>-1lllllples" are reported and lbe Tola! Mbestos % represenll the composite
ENCORP ENVIRONMENTALMANAGEMENT ANDSERVICES
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Client Name: Department of Verterans Affair Client Address: 4811 Airport Plaza Drive
Reference Batch Number: 052670 Sampled Date: 70/27/2014
Project Number: P14320 . V11 Date Received: 10/30/2014
Long Beach, CA 90815 Facility Name: VETERANS ADMINJSTRA TJON SAN DIEGO MEDICAL
Facility Address: 3350 LA JOLLA VILLAGE DRIVE
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESP/QUE Date Analyzed: 10/30/2014
I ;:;.:-7 3;;�r I 406267
406268
406269
406270
406271
406272
406273
406274
406275
SAN DIEGO. CALIFORNIA 92161
LABORATORY TEST REPORT
BULK ASBESTOS FIBER ANALYSIS (Pl,M) EPA-600/R-93/116: Interim Method for the Detennina!ion of Asbestos In Bulk Insulation SalllJlles _
Field/ Client
• Friable or o
I
SAMPLE DESCRIYflON
Number Sample Location/Activity Color Material Non- Friable Asbestos Type( Yo) Non Asbestos (%)
10 ROOF BLACK MOISTURE BARRIER NF NONE DETECTED 2'l, SYNTHETIC FIBERS 98'l, MATRIX
11 ROOF BLACK MOISTURE BARRIER NF NONE DETECTED 2,. SYNTHETIC FIBERS
98% MATRIX
12 ROOF BLACK MOISTURE BARRIER NF NONE DETECTED 2'l, SYNTHETIC FIBERS
98% MATRIX
0 ROOf GRAY CAULKING FLASHING NF NONE DETECTED 100% MATRIX
14 ROOf GRAY CAULKING FLASHING NF NONE DETECTED 100'L MATRIX
•s ROOF CiAAY CAULKING FLASHING NF NONE DETECTED 100% MATRIX
16 ROOF WHITE/ BLACK ROOF EDGE CAP CAULKING NF 4'L CHRYSOTllE 96"1. MATRIX
'7 ROOF ROOF EDGE CAP CAULKING Sff' t8 ROOF ROOF EDGE CAP CAULKING SfP
-NOTES: NP..NOM Del«led Asbestos ls aol quantlOable below the mclbod deledlon Hmll or one (I) pe=nt. Ampblbok! asbestos Includes am1111te, crocldollle.° anlbopbylllle, lremolllc and acllaollle. (FR)• Friable, (NF)• Non-Friable.
Condition or 1unple la as received by the labontory. Our pollc:y l1 to retain all sunples ror a period or thirty days. Accredlled by the Nallooal Voluntary Laboratory Accreditation Proz:nm and Environmental Laboratory CcrtlOcatlon tor the specific scope or accredltatloa under NVLAP Lab Code 200878-0 a.ad El.AP ccrtllkate no. 2379. Results reporled pertain lo 1ample(1) u submlHed and does not necc:uarlly apply lo other apparently ldendcal or slmllar malerl-'5.
Tbls report Is 1ubmltted ror tbe enluslve use or the dlcnt lo whom II ls addrased. Any reproduction or thls rq,ort or use or tblJ Laboralory'• nllllle ror advertlslac or publkily purposes wilhoul prior written autborlzallon Is problblted. In addllloa. this report II not to be Uled to claim product endonemcnt by NVLAP, El.AP, or any ai:eacy oftbe U.S. GovrrnmeuL Where applicable, layen or "1ub-.. 111pletl" arc rcportrd and the Total Asbesloll % rcpraeall the composlle
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Client Name: Department of Verterans Affair Client Address: 4B11 Airport Plaza Drive
Reference Batch Number: 052670
Sampled Date: 10/27/2014
Project Number: P14320 . V11
Date Received: 10/30/2014
Dale Analyzed: 10/30/2014l.ong Beach, CA 90815 Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAi.
Facility Address: 3350 LA JOLLA VILLAGE DRIVE
SAN DIEGO
L
CALIFORNIA 92161
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESP/QUE
LABORATORY TEST REPORT
BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-_9_3/116: Interim Method for the Determination of Asbestos In Bulk Insulation Sa..!!!flles
- T - - 1 r Sample Number
406276A
4062768
406277A
4062778
406278A
4062788
406279A
4062798
406280A
SAMPLE DESCRIPTION
Field/ Client I --
Number Sample Location/Activity Color
19 ROOF WHITE
19 ROOF GREEN
lO ROOF WHITE
20 ROOf GREEN
21 ROOf WHITE
21 ROOF GREEN
22 INTERIOR WALL WHITE
22 INTERIOR WALL BEIGE
2] INTERIOR WALL WHITE
Material
DRYWALL
MUD/TAPE
DRYWALL
MUD/TAPE
friable or I Non- Friable Asbestos Type(%) Non Asbestos (%)
NF
NF
NF
NF
NONE DETECTED 6'L aLLULOSE
2'L FIBROUS GLASS
92'1. MATRIX
NONE DETECTED 100'1. MATRIX
NONE DETECTED 641. CELLULOSE
2'1, FIBROUS GLASS
92'1. MATRIX
NONE DETECTED 10041. MATRIX
DRYWALL NF NONE DETECTED 6'L CELLULOSE
2'L FIBROUS GLASS
92'L MATRIX
MUD/TAP£ NF NONE DETECTED 100,, MATRIX
TOPCOAT NF NONE DETECTED lOO'L MATRIX
PLASTER NF NONE DETECTED lOO'L MATRIX
TOPCOAT NF NONE DETECTED 100'L MATRIX
-NOTES: ND•None Delected ,ubes1111 Is not qu.onllfiable below lbe melbod deleclloa llmll or OM ( I) perttnt. Ampblbole ubeslos Includes amoslle, crocldollle, anlbopbylllle, tn,mollle ,and acdnollte. (FR)• Friable, (NF)• Non-Friable.
Condition of sample Is as received by the laboratory. Our policy Is lo relaln all samples for a period or thirty days. Accredited by the Nalloaal Vol11111.1ry Labol'alory Accredll.ltloo l'nJ&RIII ,and Envlronmenlal Laboratory Certlrlcadon for 1he 1pedfic scope or accredll.ldoa under NVLAP Lab Code 2008711-0 ,and El.AP certlDcate no. 2379. Resulll reported pertain to 1ample(1) u submitted and does DOI nccesHrily apply lo other apparently lclenllcal or similar malerlals.
This rq,ort Is 1ubmllted ror the estluslve use or 1he client lo whom II Is addressed. Any reproduction or this r� or use of Ibis Laboratory'• name ror advertlsla& or publldty purposes wlthoul prior written authorbadon Is prolilblled. In addition, Ibis R!port Is not to be used 10 clalm product endonemul by NVLAP, El.AP, or any aieocy oflbe U.S. GovernmenL Where applklble, layen or "1ub-W11ples" are reported 1111d the Total .ubeslol "• n,prestnll the composite
E NCO RP ENVIRONMENTAL MANAGEMENT AND SERVICES
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Client Name: Department of Verterans Affair Client Address: 48 11 Airport Plaza Drive l.ong Beach. CA 90815 Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAi.
Facility Address: 3350 LA JOI.LA Vil.LAGE DRIVE
SAN DIEGO. CAI.IFORNIA 92161
Reference Batch Number: 052670 Project Number: P14320 . V11 Sampled Date: 10127/2014 Date Received: 10/30/2014
Sampled By: FRANCISCO BARRAZA Dale Analyzed: 10/30/2014
Analyzed By: ELAINE ESP/QUE
LABORATORY TEST REPORT
BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method f(!r ti,e_De!_e!!!1Jnation of Asbestos In Bulk Insulation Sam les
[ Sample I field/ Client r Friabl� or Asbestos Type{%) I Non Asbestos{%) INumber - -Number
406280B 23
406261 24
406282 25
406263 26
406284 27
406265 26
406286 29
406287 30
406288 ll
SAMPLE DESCRJPTION
Sample Location/Activily
INTERIOR WALL
INTERIOR WALL
GENERATOR/MECH ROOM
GENERATOR/ MECH ROOM
GENERATOR/ MECH ROOM
GENERATOR/MECH ROOM
GENERATOR/MECH ROOM
GENERATOR/ MECH ROOM
CHILLER ROOM
Color
BEIGE
OEIGE
WHITE/ BEIGE
WHITE/ BEIGE
WHITE/ BEIGE
BLACK
BLACK
Bl.ACK
BLACK/ WHITE
Material Non- Friable
PLASTER NF NONE DETECTED lOO'Jo MATRIX
PLASTER Nf NONE DETECTED \OO'Jo MATRIX
TSI PIPE INSULATION FR < 1 'Jo CHRYSOTILE 3'Jo FIBROUS GlASS 3'Jo CELLULOSE 94'Jo MATRIX
TSI PIPE INSULATION FR < 1 '1, CHRYSOTILE 3'l. FIBROUS GlASS
3'J, CELLULOSE
94'Jo MATRIX
TSI PIPE INSULATION FR < 1 'Jo CHRYSOTILE 3'1, FIBROUS GlASS
3'1, CELLULOSE
94'L MATRIX
VIBRATION DAMPENER NF NONE DETECTED 2'1. SYNTHETIC FIBERS
9BT. MATRIX
VIBRATION DAMPENER Nf NONE DETECTED 2'1, SYNTHETIC FIBERS
9B'I. MATRIX
VIBRATION DAMPENER Nf NONE DETECTED 2-L SYNTHETIC FIBERS 96'Jo MATRIX
TRANSITE COUNTER TOP NF NONE DETECTED 100'1:. MATRIX
-NOTES: ND-No11e Detrcled Albatos Is not quntlfiable below the method detection limit of one (I) percent. Amphlbole asbestos Includes amoslle, crocldollte, aathophylllle, tffmollte and acllaollte. (FR)• friable, (NF) "'Noa-Friable.
Coadllloli of aunple Is as recelved by lhe laboratory. Our policy la 10 retain all ,amptes for• period or thirty days. Ac:credlled by the Natloaal Voluatary l.abot-alory Ac:credltatloa l'rognm and Eariro-eatal Laboratory CertlficatiOII ror the •peclflc scope of iu:uedltatloa uackr NVLAI' Lab Code 200878-0 aad El.Al' certificate au. 2379. Resulls reported pertain to Hmple(s) u aubmltted and does not aecessarlly apply lo other appareolly ldenllcal or similar materials.
This report Is submllted for the exclusive use or the client to whom It la addresud. Any reproduction of this repor1 or 111e or this Labonlory'• ume for advertlslnc or publicity purposes wltbollt prior Mitten authorization la prolllblled. In addltloa, thb report Is not lo be used to claim product eadonenu,ot by NVLAP, El.Al', or any 111e11cy or the U.S. GovenmenL Where applicable, layen or "1111>-nmples" are reponed and the Total Asbalos -;. represents the composite
" r ,.u • •
(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: 052670
Sampled Date: 10/27/2014
Project Number: P14320 . V11
Date Received: 10/30/2014 Long Beach, CA 908 15 Sampled By: FRANCISCO BARRAZA
Facility Name: VETERANS ADMINISTRA T/ON SAN DIEGO MEDICAL
Facility Address: 3350 LA JOLLA VILLAGE DRIVE Analyzed By: ELAINE ESPIQUE
Date Analyzed: 10/30/2014
Sample Number
406289
406290
406291A
4062918
406292A
4062928
406293A
4062938
406294A
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 DESCRIPTION --- I
I l Non Asbestos (%) IField/ Client I --- Friable or Number Sample Location/Activity Color Material Non- Friable Asbestos Type(%)
32 CHILLER ROOM BLACK / WHITE
JJ CHILLER ROOM BLACK / WHITE
TRANSITE COUNTER TOP NF
TRANSITE COUNTER TOP Nf
NONE DETECTED 100-L MATRIX
NONE DETECTED lOO'llo MATRIX
J4
LOCKERS GRAV VCT SPECKLES
LOCKERS YELLOW GLUE
NF
NF
NONE DETECTED 100'.I. MATRIX
NONE DETECTED 100'1. MATRIX
LOCKERS GAAY VCT SPECKLES NF NONE DETECTED 100'4 MATRIX
LOCKERS YELLOW
LOCKERS CRAY
LOCKERS YELLOW
LOCKERS TAN
GLUE
VCT SPECKLES
GLUE
4" BASECOVE
NF
Nf
NF
NF
NONE DETECTED 100,_ MATRIX
NONE DETECTED 100'1. MATRIX
NONE DETECTED 100-L MATRIX
NONE DETECTED 100"4 MATRIX
-NOTES: ND•Nooe Delecled Asbeslos Is not quaatlRable below the method ddtttloa limit ar one (I) pc,n:eal. Ampblbole .. beslos Includes amoslle, croddollte, antbopbylllte, tremollte and acllnollle. (FR)• Fri� (NF)• Non-Friable.
Condition or sample Is .. received by lbe labonilory. Our polk:y Is lo retain all .. mples ror a period or lblr1y da.,,. Attrrdlled by lbe Nalloul Voluntary Laboralory Accrrdltatlon Prognm IIJld EnvlroameDlal Labonilory Certlflcatloa for lbe 1pttlllc 1rope or accttdllallon under NVLAP Lab Cock 100878-0 IIJld El.AP rertlflcale no. 2379. Raulll repocled pertain 10 1ample(1) u 1ubmlHed and doa not necasarlly apply lo Giber apparently ldcndcal or similar malerlals.
Tbil reporl Is 1ubmllled for the esdmlve me of lhe dlt,nl lo whom II Is addressed. Any reproduc:llon or Ibis reporl or use of Ibis Labon1ory'1 name for ad,-ertlslna: or publldty purposes wllboul prior wrlHen aulborlzalloa Is problblled. In addlllon, this report Is aol to be used lo claim produel endonffllenl by NVLAP, El.AP, or any agency or lbe U.S. GovernmenL Where applicable, layen or "111b-1amples" are reported and the Total Asbeslos % repraenll lbe composlle pe�entage or alt sample layen. Page 5 of 10
(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
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: 052670
Sampled Date: 10/27/2014
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESPIQUE
LABORATORY TEST REPORT
Project Number: P14320 . V11
Date Received: 10/3012014 - Date Analyzed: 10/3012014
BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method for the Determination of Asbestos In Bui� Insulation Salll@·:.:les
SAMPLE DESCRIPTION --- l l Sample Field/ Client • · -- Friable or o Number Number Sample Local ion/ Activity Color Material Non- Friable Asbestos Type( Yo) Non Asbestos (%)
4062948 37 LOCKERS WHITE GLUE NF NONE DETECTED 100'1. MATRIX
406295A 38 LOCKERS
4062958 JO LOCKERS
406296A 39 LOCKERS
4062968 39 LOCKERS
406297 40 LOCKERS ROOM
406298 41 LOCKERS ROOM
406299 42 LOCKERS ROOM
406300 43 CEILING SPACE
TI\N 4" BASECOVE
WHITE GlUE
TAN 4" BASECOVE
WHITE GLUE
WHITE/ YELLOW 2' x 4' CEILING TILES
WHITE/ YELLOW 2' x 4' CEILING TILES
WHITE/ YELLOW 2' x 4' CEILING TILES
BROWN DUCT SEAM MASTIC
NF
NF
NF
NF
FR
Fa
FR
FR
NONE DETECTED 100'1. MATRIX
NONE DETECTED 100'1. MATRIX
NONE DETECTED 100'1. MATRIX
NONE DETECTED 1 OO'L MA TRIX
NONE DETEOED 90" FIBROUS GLASS
10'1. MATRIX
NONE DETECTED 90'1. FIBROUS GLASS
10'1. MATRIX
NONE DETECTED 90'1. FIBROUS GLASS
10'1. MATRIX
3'J, CHRYSOTILE 97'1. MATRIX
-NOTES: NDaNolM! Dctttted Albcstos Is not quantifiable below the method detection lhnlt or one ( 11 pen:ral. Amphlbole asbestos Includes amosll� crocldollt� antbopbylllt� tremollte and acllnollle. (FRI- Friabl� (NF)• Noo-Friable.
Coodltlon or 1ample II u received by the laboratory. Our polky 11 to retain all Hmples ror a period of thirty days. Accredlttd by the National Voluotary Laboralory Accreditation P"'lram aod Environmental Laboratory Certlncatloa for the speclfk 1cope or accreditation 11ader NVL\P Lab Code 200878-0 and EL\P c:ertlllcale no. 2379. Resulll reported pertain to Hmpi<(s) u submitted allll does not necessarily apply to other appaready ldendcal or similar materials.
Thu report i. submllttd ror the ncl111lve use or the client 10 whom II II addres1td. Any reproduc:tloo of this report or 111e or this Labonlory'• name for advertlllllC or p11blldty pu,poses without prior wrlllea aulboruatlon Is problblttd. In addition, this report II not to be med lo claim product eadonemet1t by NVL\P, El.AP, or any agency or the U.S. GoveramenL Where applkable, layen or "•••11111ples" are reported and tllc Total Asbestos o/o represents the composite
(714} 523·9811 · FAX (714} 523·9810 · MAIN@ENCORP.NET • WWW.ENCORP.NET
Client Name: Department of Verterans Affair
Client Address: 4B 11 Airport Plaza Drive
Long Beach, CA 9081 5 Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL
Facility Address: 3350 LA JOLLA VILLAGE DRIVE
SAN DIEGO
CALIFORNIA 92161
Reference Batch Number: 052670
Sampled Date: 10/27/2014
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESPIQUE
LABORATORY TEST REPORT
Project Number: P14320 • V11
Date Received: 10/30/2014
Date Analyzed: 10/30/2014
-Sam le ---····- --· -··--·-······-·-·-,--S�MPLE-DESCRIPTION -- - -·-·······-··-··-·· I p I - - . - P Field/ Client
· Friable or
Number Number Sample location/Activity Color Malerial I Non- Friable Asbestos Type(%) Non Asbestos(%) hod for the ,f Asbestos In Bulk Insulation Sa
406301 44 CEILING SPACE DUCT SEAM MASTIC SFP
406302 45 CEILING SPAa DUCT SEAM MASTIC SfP
406303 46 2ND LEVEL WHITE PIPE WRAP FR NONE DETECTED 10,- FIBROUS GlASS
90,_ MATRIX
406304 47 2ND LEVEL WHITE PIPE WRAP FR NONE DETECTED 10'l. FIBROUS GlASS
90,_ MATRIX
406305 48 2ND LEVEL WHITE PIPE WRAP FR NONE DETECTED 101. FIBROUS GLASS
901. MATRIX
406306 49 2ND LEVEL WHITE DUCTWRAP FR NONE DETECTED 81. FIBROUS GLASS
92,_ MATRIX
406307 50 2ND LEVEL WHITE DUCTWRAP FR NONE DETECTED 8,. FIBROUS GlASS
92,_ MATRIX
406308 Sl 2ND LEVEL WHITE DUCT WRAP FR NONE DETECTED 8,. FIBROUS GlASS
92,_ MATRIX
406309 52 VENTS PERIMETER BLACK/GRAY CAULKING NF NONE DETECTED 100-. MATRIX
-NOTES: ND-None Drlrc:led Asbestos ii not quantifiable below the method detrc:llon limit or one ( I) perttat. A111pblbole ubestos ladudes amoslle, crocldollle, Hthophylllle, tre111ollle and acth101lte. (FR)- Friable, (NF) • No11-Frlable.
Condition or sample ii as rettlved by the laboratory. Our polky Is to relaln all samples ror a period of thirty days. Accredited by the Natloaal Voluntary Labocatcwy Accredltatloa Program and Environmental Laboratocy Certlncatloa for the spedlk scope of accreditation umkr NVLAP Lab Code 200878-0 and ELAP certificate no. 2379. Results reported pertain to 1■111ple(1) as submitted and does not n«esurlly apply lo other apparently ldeadal or 1lmllar materials.
Thu rrport ii submlltod for the exclusive use or 1he client lo whom II Is addressed. Any reproduction or this rq,ort or use of Ibis Labontory's name ror advertlslnc or publkll)' purposes wltboul prior "1-lllffl aulborlzallon Is problbtlcd. la addition, this report Is not to be used to claim product eadonement by NV LAP, ELAP, or any aaeacy or the U.S. GovernmenL Where applkable, layen or "sub-samples" are reported and the Total Asbestos % represents the composite
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: 052670
Sampled Date: 10/27/2014
Proiect Number: P14320 . Vl 1
Date Received: 10/30/2014 long Beach, CA 90815 Sampled By: FRANCISCO BARRAZA
Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL
Facility Address: 3350 LA JOLLA VILLAGE DRIVE Analyzed By: ELAINE ESPIQUE
Date Analyzed: 10/30/2014
Sample Number
406310
406311
SAN DIEGO ... CAUFORNJA 92161
LABORATORY TEST REPORT
BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Method for the Detennination of Asbestos In Bulk Insulation Samples=--------
SAMPLE DESCRIPTION_____ ____
F'ield/ Client ·
-- -- Friable or I Ashes T pe(%) ·1 N Asbest (01 ) Number Sample Location/Activity Color Material Non- Friable tos Y on os ,o
53 VENTS PERIMETER BLACK/GRAY
54 VENTS PERIMETER BLACK/GRAY
CAULKING NF
CAULKING Nf
NONE DETECTED 100,_ MATRIX
NONE DETECTED lOO'l. MATRIX
Ft! NONE DETECTED 2'l. FIBROUS GLASS
98'L MATRIX
406312 55
406313 S6
406314 57
406317 58
406318A S9
4063188 59
406319 60
8Al£R WHITE/ GREEN
BALER WHITE/ GREEN
BALER WHITE/ GREEN
2ND LEVEL STORAGE ROOM BEIGE
2ND LEVEL STORAGE ROOM BEIGE
2ND LEVEL STORAGE ROOM TAN
2ND LEVEL STORAGE ROOM BEIGE
BOILER LINING
BOILER LINING
BOILER LINING
12" x 12" FLOOR TILES
12" x 12" FLOOR TILES
FLOORING MATERIAL
12" x 12" FLOOR TILES
FR
FR
NF
NF
NF
NF
NONE DETECTED 2-.. FIBROUS GLASS
98'1i MATRIX
NONE DETECTED 2,_ FIBROUS GLASS
98'L MATRIX
NONE DETECTED 100'l. MATRIX
NONE DETECTED 100'1. MA TRIX
NONE DETECTED 100'!1. MATIWC
NONE DETECTED 100'1. MATRIX
-NOTES: NP..Noae l>clccled Atbalos Is not qwantlfiable below the metbocl detection llmll or one (11 perttnl. Ampblbole asbestos Includes amoslte, crocldollte, anlbophylUle, lremollle and acdnollle. (FR)- Friable, (NF) - Non-Friable.
Condition or sample Is as retdved by the labonlory. Our policy Is 10 retain all samples for a period or thirty days. Accredited by lbe Natloaal Voluntary Laboratory Accredllalloa Procram and Eavlro-enlal Laboratory Certification £or the 1peclfic scope or acuedltatloa under NVLAP Lab Code 200878--0 and ELAP certificate no. 137!1. Resulls reported pertain to Hmpk(1l u 111bmllled and does IIOt neceuarily apply lo other appaready Identical or similar materials.
This report 11 111bmlt1ed ror the enl111lve use or the client lo whom It Is addreuNI. Any reproduclloa or this report or me or lhls Laboratory'• aame ror advertising or publicity purposes without prior written aulhorlzatlon Is prnhlblled. In addllloG, thls."'.!'°rt Is ,not to be 111ed to dalm product endonemenl by NVLAP, ELAP, or any "&CDC)' or llie U.S. GovernmeaL Where appllable, laycn or "111b-1amples" are reported and the Total Atbatos o/. represents the compmlle
EN_CORP 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 long Beach, CA 90815
Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL
Facility Address: 3350 LA JOLLA VILLAGE DRIVE
SAN DIEGO
CALIFORNIA 92161
Reference Balch Number: 052670
Sampled Dale: 10/2712014
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESPIQUE
LABORATORY TEST REPORT
Project Number: P14320 . Vl 1
Dale Received: 10/30/2014
Date Analyzed: 10/31/2014
BULK ASBESTOS FIBER ANALYSIS (PLM) EPA-600/R-93/116: Interim Me_lhod for the Determination of Asbestos In Bulk Insulation Samples l
I SAMPLE DESCRIPTION
Sample Field/ Client I--- Friable or Number Number I Sample Localion/Aclivily Color Material Non-Friable I Asbestos Type(%) I Non Asbestos(%)
406320A 61 2ND LEVEL TAN BASECOVE NF NONE DETECTED 100'1. MATRIX
N
406320B 61 2ND LEVEL YELLOW GLUE NF NONE DETECTED 100'1. MATRIX
406321A 62 2ND LEVEL TAN BASECOVE NF NONE DETECTED 100'1. MATRIX
406321B 62 2ND LEVEL YELLOW GLUE NF NONE DETECTED 100'1. MATRIX
406322A 63 2ND LEVEL TAN BASECOVE NF NONE DETECTED 100'1. MATRIX
406322B 63 2ND LEVEL YELLOW GLUE NF NONE DETECTED 100'1. MATRIX
406323 64 TUNNEL PIPE WHITE TSI FR 4-S. AMOSITE 96'1. MATRIX
406324 65 TUNNEL PIPE TSI SFP
406325 66 TUNNEL PIPE TSI SFP
-NOTES: ND•None Delttltd Asbestos Is IIOl quaallnable below the method dclttllon Umll of one (I) pem,nt. Ampblbole asbeslos Inell.Ides amosllc, crocldollle, anthopbyUlte, tnmollle and acdnollte. (FR)• Friable, (NF)• Non-Friable.
Condlllon of Hmple Is u recrivtd by the laboratory. Our policy la to n,taln all aamples ror a period or thirty d&)'S. Accfflllled by lbc Nallooal Voluotary Laboratory Arcmllladoa Program and Enviro-enlal Labontory Certllkallon ror the speclllc scope or accmiltadoa under NVLAP Lab Code 20087� aad El.AP certificate no. 2379. Resulll reported pertain to 111111plc(1) u submitted and does not necessarily apply lo other apparendy Identical or slmUar materials.
Tbls report Is submltltd (or the exclusive 11.1e or the cllent to whom It Is addressed. Any reproduction or this report or use or this L,iboratory's name for advutlslnc or publicity purposes without prior written aulborizallon Is problblled. In ■ddlllon, tbb n,port Is not lo be used to clalm product endonemenl by NVLAP, El.AP, or any acency or lbe U.S. Government. Where applluble, layen or "sub-umples" are reported and the Total Asbestos o/• represents the composite
(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
Long Beach, CA 90815 Facility Name: VETERANS ADMINISTRATION SAN DIEGO MEDICAL
Facility Address: 3350 LA JOlLA VILLAGE DRIVE
SAN DIEGO
L
CALIFORNIA 92161
Reference Batch Number: 052670 Sampled Date: 10/27/2014
Sampled By: FRANCISCO BARRAZA
Analyzed By: ELAINE ESPIQUE
LABORATORY TEST REPORT
Project Number: P14320 . V11 Dale Received: 70/30/2014
Date Analyzed: 10/31/2014
- - - --- - -· --- - --- :_ , ----- -------- --- ----... - - ------ -- -- - . I hod for the f Ash -- - --- --- - -- - ..1u. In Bulk Insulation Sa
SAMPLE DESCRIPTION - - --
Sample Field/ Client Friable or Number Number Sample Location/Activity Color Material Non- Friable Asbestos Type(%) Non Asbestos(%)
APPROVED SIGNATURE:
k'.'==:::-. I 0-.3 LJ..:1_ Elaine Espiquc , Lab Manager
-NOTES: ND•None Del«lrd Albalus Is not quanllRable below !he mrlhad deleclloo limit of OM (I) perae11t. Ampblbolc ashaloe h1ch1da amoellc, crocldolllc, anlhopbyllllc, tremollte and acdnollte. (FR)• Friable, (NF)• Noa-Friable.
Coodlllon of1ample Is u rec:elvrd by the labontory. Our policy II to retain all samples for a period oCtblrty days. Accredited by the Nadonal Vohustary Laboratory Accreditation Pn,:nm and Envlroamcntal Labonlory Certification for lbe 1peclnc scope of accreditation under NV LAP Lab Code 2008711-0 and El.AP certificate no. 2379. Resulll reported pertain lo 1ample(1) u 1ubmllled and does DOI necesurlly apply lo other apparendy ldeatlcal or similar malerlab.
Tbls report 11 submitted for the eulwlve use of the dlenl lo whom II ls addressed. Any reproduction of Ibis report or use of Ibis Labonlory'• name for advertising or publicity purpoHS wltboul prior written autborlzalloa II prohibited. In addition, Ibis report Is not lo be used In dalm product endonement by NV LAP, El.AP, or any qeDC)' or the U.S. Coverament. Where applk:able, la yen or "1ub-111JDples" are reported and Ilse Total Albatos % represonb the rompoelte f�ENCORP Engineering our Environment
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