NESHAP VA Limited ACM Building 3 SLC UT 01-04-21.pdf
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This document includes a limited asbestos survey report and federal contract opportunity notice. The limited asbestos survey report details asbestos sampling and testing conducted at specific areas within Building 3 of the VA Hospital in Salt Lake City, Utah. Asbestos-containing materials were identified including thermal system insulation fittings, aircell ground insulation, and brown window caulk. The federal contract opportunity is a presolicitation notice for construction services to complete the Legionella - Mixing Valves, Schematics, Controls project at the Salt Lake City VA Medical Center with an estimated value between $1,000,000 and $5,000,000. The opportunity is 100% set aside for service-disabled veteran-owned small businesses. The point of contact is listed as well as instructions for verification through the VA Center for Verification and Evaluation.
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A LIMITED ASBESTOS SURVEY AND ASSESSMENT
OF SPECIFIC AREAS WITH IN THE
VA HOSPITAL, BUILDING 3
SALT LAKE CITY, UTAH
Prepared for:
500 Foothill Drive
Salt Lake City, Utah 84149
Prepared by:
47 West 9000 South, Suite #2
Sandy, Utah 84070 sgalley@rrenviro.com Phone (801) 971-3988
TABLE OF CONTENTS
1.0 INTRODUCTION
2.0 EXECUTIVE SUMMARY
3.0 SAMPLING METHODS
4.0 SURVEY RESULTS
5.0 CONCLUSIONS
6.0 LIMITATIONS AND EXCLUSION OF WARRANTY……………………...….………8
List of Appendices
Appendix A Sample Log
Appendix B Laboratory Report
Appendix C Photo Log
Appendix D Floor Plans
Appendix E Certifications and Accreditations
Limited Asbestos Survey Report Page 1 VA Hospital Building 3 Salt Lake City, Utah
1.0 INTRODUCTION
R & R Environmental, Inc. (R & R) was contracted to conduct a limited asbestos survey for areas within the VA Hospital, Building 3, in Salt Lake City, Utah. The survey consisted of a visual assessment of the hallways, offices, patient room, and mechanical rooms, noted by sample locations annotated on the attached maps, for suspect asbestos containing materials (ACM) and bulk sampling of the materials. The fieldwork component of this survey was conducted by Mr.
Jamison Moss who is a Utah Accredited Asbestos Building Inspector.
This report presents the conditions and observations noted on the visit dates.
The following general information is included in this survey report:
• Executive Summary (Section 2.0)
• Sampling Methods (Section 3.0)
• Analytical Results (Section 4.0)
• Conclusions (5.0)
• Limitations and Exclusion of Warranty (Section 6.0)
Limited Asbestos Survey Report Page 2
2.0 EXECUTIVE SUMMARY
The following materials were identified as positive with regard to asbestos content.
Material Location Quantity % Asbestos Friable Condition TSI-Plaster Fittings GB07 4 ea Assumed Yes Undamaged TSI-Aircell Ground Floor Hall ~150 lf Assumed Yes Undamaged Brown Window Caulk GB07 30 ft2 3% Chrysotile No Undamaged
Limited Asbestos Survey Report Page 3
VA HOSPITAL BUILDING 3
DATE OF SURVEY: NOVEMBER 2019
NESHAP - REGULATED
ASBESTOS-CONTAINING MATERIALS (R-ACM)
1. Friable asbestos material (>1% asbestos and can be crumbled, pulverized or reduced to powder by hand pressure) X Thermal system insulation (TSI)* Textured ceiling material (TCM)* Spray-on insulation or fireproofing* Blown-in insulation* Ceiling tiles/panels* Plaster, gypsum board, gypsum board joint compound* Cloth materials* (Boiler Flue Gasket) Paper materials* (HVAC Paper Tape and Insulating Board) Electrical wiring insulation* Sink undercoating (loose)* Other*
2. Category I ACM which has become friable
Packings Gaskets Resilient floor coverings (floor tile and sheet vinyl) Asphalt roofing products (Dust Debris, Roofing Underlayment Debris, Flashing Material)
3. Category I ACM that will be or has been subjected to sanding, grinding, cutting or abrading
Packings Gaskets Resilient floor coverings (floor tile and sheet vinyl) Asphalt roofing products
4. Category II ACM that has a high probability of becoming or has become friable in the course of demolition or renovation operations Asbestos cement materials (Transite)* Asphalt, tar and rubber-base ACM products other than roofing products* Non-asphalt and non-paper roofing products* Paint* Fire brick and/or mortar* Stainless steel sink undercoating (solid)* Encapsulated TCM* Encapsulated TSI* Mastic for floor tile, ceiling tile, cove molding, etc.* Other
Limited Asbestos Survey Report Page 4
VA HOSPITAL BUILDING 3
DATE OF SURVEY: NOVEMBER 2019
NESHAP NON-REGULATED
ASBESTOS-CONTAINING MATERIAL (N-R-ACM)
1. > 1% asbestos
2. Category I Non-friable (cannot be crumbled, pulverized, or reduced to powder by hand pressure) ACM with >1% asbestos by new PLM procedure Packings X Gaskets (Window Caulk) Resilient floor coverings (floor tile) Asphalt roofing products
3. Category II Non-friable ACM with >1% asbestos by new PLM procedure (Category includes items meeting Category I definition but not specifically listed in that category) Asbestos cement materials (Transite)* Asphalt, tar and rubber-base ACM products other than roofing products* Non-asphalt and non-paper roofing products* Paint* (Silver Paint Sealant) Fire brick and/or mortar* Sink undercoating (solid)* Mastic for floor tile, ceiling tile, cove molding, etc.* Other* (Sealant)
Notes:
1. (*) denotes R & R’s interpretation of materials included in this category.
2. New PLM procedure is outlined in Appendix A, Subpart F, 40 CFR, Part 783, Section 1, Polarized Light
Microscopy.
3. The Environmental Protection Agency (EPA) National Emission Standard for Hazardous Air Pollutants
(NESHAP) asbestos revision as outlined in 40 CFR, Part 61, became effective November 20, 1990. The asbestos classification system outlined in the revision and included in this section is dynamic in nature.
Asbestos materials classified as “NON-REGULATED” at the time of the survey may become “REGULATED” due to ongoing or planned maintenance, renovation, or demolition actions, which can transform a material containing greater than 1% asbestos from a “non-friable” and NON-REGULATED to a friable and REGULATED condition. Classification of ACM in this section and in the executive summary of this report is, therefore, based on the observations of the surveyor at the time of the survey and may or may not be appropriate at later dates.
4. Maintenance, renovation, demolition, weathering, normal wear, water or other damage can alter the “NON- REGULATED” status of materials, and necessitate precautions required for handling them as “REGULATED” asbestos-materials.
Limited Asbestos Survey Report Page 5
3.0 SAMPLING METHODS
Survey procedures were based on those outlined in Title 40 Code of Federal Regulation (CFR) Part 763, USEPA Asbestos Hazard Emergency Response Act, and the Asbestos Model Accreditation Plan (effective April 4, 1994). The procedures included visual observation, physical inspection, bulk sample collection, and condition assessment of suspect ACM. The number of samples collected was based on the amount and accessibility of each homogeneous material, with consideration given for the type, age, and condition.
Fifty (50) samples were collected from the suspect materials to assess the presence of asbestos (or lack thereof) in building materials/systems. Each sample collected was placed into a sealable plastic bag or tub, marked with a unique sample identification code, and packaged for subsequent shipment to the laboratory for analysis. Individual sample identification consisted of a numeric code denoting the sampling media/location.
Subsequent to packaging and labeling, samples were submitted under proper chain-of-custody to Reservoirs Environmental, Denver, Colorado. The National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896 accredits Reservoirs for asbestos analysis. Samples were analyzed via Polarized Light Microscopy (PLM) utilizing EPA Method 600/M4-82-020. Please note that USEPA and OSHA regulations define an ACM as a material containing more than one
(1) percent asbestos, by volume, as determined by PLM analysis. In the case of multi-layer systems (e.g., floor tile/mastic layers), the laboratory analyzed and reported each layer separately.
4.0 SURVEY RESULTS
Fifty (50) representative samples collected were submitted for analytical determination. A summary of analytical results for samples collected and analyzed for this survey are in Appendix B (Laboratory Results) and are discussed below by building material/system type. Photographs illustrating representative asbestos containing media are included as Appendix C.
Limited Asbestos Survey Report Page 6
5.0 CONCLUSIONS
Asbestos-containing material was identified during the survey. See the Executive Summary for details of the material identified. Friable materials or materials that would become friable during demolition must be removed prior to disturbance. Non-friable materials that are demolished with the building are still regulated by OSHA and those regulations must also be followed. Third party air monitoring exterior of the containment is recommended during the removal of friable materials and for materials that may become friable with disturbance.
6.0 LIMITATIONS AND EXCLUSION OF WARRANTY
Some areas of the hospital were not fully accessible due to patients and current COVID-19 regulations. A visual inspection into the rooms identified that the materials present were homogenous to the samples obtained from other areas. This asbestos survey and assessment was performed using procedures and a level of diligence typically exercised by professional consultants performing similar services. However, asbestos-containing material (ACM) can be present in a structure, but not identified using ordinary investigative procedures.
No asbestos survey can completely, eliminate uncertainty regarding the presence of ACM. R & R Environmental, Inc.’s level of diligence and investigative procedures are intended to reduce, but not eliminate, potential uncertainty regarding the presence of ACM. The procedures used for this survey attempt to establish a balance between the competing goals of limiting investigative costs, time, and building damage, and reducing the uncertainty about unknown conditions.
Therefore, the determinations in this report should not be construed as a guarantee that all ACM present in the subject property has been included in this report.
This report presents R & R Environmental, Inc.’s professional determinations, which are dependent upon information obtained during performance of consulting services. R & R Environmental, Inc. assumes no responsibility for omissions or errors resulting from inaccurate information provided by sources outside of R & R Environmental, Inc.
No warranty or guarantee, expressed or implied, is made regarding the findings, conclusions, or recommendations contained in this report. The limitations presented above supersede the requirements or provisions of all other contracts or scopes of work, implied, or otherwise, except stated or acknowledged herein.
Limited Asbestos Survey Report Page 7
A LIMITED ASBESTOS SURVEY AND ASSESSMENT OF
SPECIFIC AREAS WITHIN THE VA HOSPITAL,
BUILDING 3, AS SHOWN ON THE ATTACHED MAPS
During the month of November 2020, R & R Environmental, Inc. (R & R) of Sandy, Utah, conducted a limited asbestos survey and assessment for areas within the VA Hospital Building 3 in Salt Lake City, Utah. Bulk samples of suspect asbestos-containing materials were collected and analyzed. The condition of all friable and non-friable asbestos-containing materials was, assessed. The following accredited inspector conducted the survey and assessment.
Inspected by:
January 4, 2021 Jamison Moss Date State of Utah, Division of Air Quality Inspector Certification Number: ASB-6674
This report was reviewed by:
January 4, 2021 Stephen S. Galley, CSP Date Environmental Division Director State of Utah, Division of Air Quality Inspector Certification Number: ASB-0570
State of Utah Company Certification ASBC-237
Appendix A
Sample Log
SAMPLE LOG
Sample # Material
Sample Location
Quantity
Lab Result (%/Type)
Assessment
V3-01 2'x2' Ceiling Panel #1 GB Hall >1,500 ft2 None Detected Undamaged V3-02 2'x2' Ceiling Panel #2 Fl.2 Hall ~500 ft2 None Detected Undamaged V3-03 White Caulk GC08 113 lf None Detected Undamaged V3-04 Green Sealant GA18 9 ft2 None Detected Undamaged V3-05 Brown Caulk GB05A 2 lf None Detected Undamaged V3-06 Tan Caulk GB05A 10 ft2 None Detected Undamaged V3-07 Red Putty GA03 51 ft2 None Detected Undamaged V3-08 Brown Window Caulk GB07 30 lf 3% Chrysotile Undamaged V3-09 Floor Membrane GA03 120 ft2 None Detected Undamaged V3-10 Duct Pin Adhesive GA03 50 ft2 None Detected Undamaged V3-11 Vibration Isolator GA03 1 ea None Detected Undamaged V3-12 Yellow Putty GB02 2 ft2 None Detected Undamaged V3-13 Plaster Elbow GA18 32 ea None Detected Undamaged V3-14 Plaster Elbow GA18 32 ea None Detected Undamaged V3-15 Latex End Sealant Fl.2 Hall ~350 ea None Detected Undamaged V3-16 Latex End Sealant 1B Hall ~350 ea None Detected Undamaged V3-17 Latex End Sealant 1C Hall ~350 ea None Detected Undamaged V3-18 Latex End Sealant GB07 ~350 ea None Detected Undamaged V3-19 Latex End Sealant GD01 ~350 ea None Detected Undamaged V3-20 Fireproofing 1D Hall >10,000 ft2 None Detected Undamaged V3-21 Fireproofing 1D Hall >10,000 ft2 None Detected Undamaged V3-22 Fireproofing GD01 >10,000 ft2 None Detected Undamaged V3-23 Fireproofing GD01 >10,000 ft2 None Detected Undamaged V3-24 Fireproofing GD01 >10,000 ft2 None Detected Undamaged V3-25 Fireproofing GD01 >10,000 ft2 None Detected Undamaged V3-26 Fireproofing GD01 >10,000 ft2 None Detected Undamaged V3-27 Plaster Ceiling 1A25L ~450 ft2 None Detected Damaged V3-28 Plaster Ceiling 1A25L ~450 ft2 None Detected Damaged V3-29 Plaster Ceiling GC06 ~450 ft2 None Detected Undamaged V3-30 Wall System GB02 >500 ft2 None Detected Undamaged V3-31 Wall System GC06 >500 ft2 None Detected Undamaged V3-32 Wall System GA03 >500 ft2 None Detected Undamaged
Sample # Material
Sample Location
Quantity
Lab Result (%/Type)
Assessment
V3-33 Mortar GB05A 54 ft2 None Detected Undamaged V3-34 CMU Block Filler GB05 1,030 ft2 None Detected Undamaged V3-35 CMU Block Filler GB05 1,030 ft2 None Detected Undamaged V3-36 CMU Block Filler GB02 1,030 ft2 None Detected Undamaged V3-37 CMU Block Filler GB07 1,030 ft2 None Detected Undamaged V3-38 CMU Block Filler GB07 1,030 ft2 None Detected Undamaged V3-39 Metal Clad Insulation GA03 55 lf None Detected Undamaged V3-40 Metal Clad Insulation GA03 55 lf None Detected Undamaged V3-41 Metal Clad Insulation GA01 55 lf None Detected Undamaged V3-42 Pipe Supports GB02 52 ea None Detected Undamaged V3-43 Pipe Supports GB02 52 ea None Detected Undamaged V3-44 Pipe Supports GC06 52 ea None Detected Undamaged V3-45 Cloth End Sealant GA03 9 ea None Detected Undamaged V3-46 Cloth End Sealant GA03 9 ea None Detected Undamaged V3-47 Painted End Sealant GB07 5 ea None Detected Undamaged V3-48 Painted End Sealant GB07 5 ea None Detected Undamaged V3-49 Painted End Sealant GB07 5 ea None Detected Undamaged V3-50 Glaze Block Mortar GC06 90 ft2 None Detected Damaged
Appendix B
Laboratory Report
December 03, 2020
Sincerely, Jeanne Spencer President
Subcontractor Number:
Laboratory Report: RES 479199-1
Project #/P.O. #: None Given
Project Description: VA Bldg 3
Jamison Moss R & R Environmental 47 West 9000 South #2 Sandy UT 84070
Dear Jamison, Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively.
Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request.
The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table. The results have been submitted to your office.
RES 479199-1 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed.
This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested.
If you have any questions about this report, please feel free to call 303-964-1986.
by Paul LoScalzo
Reservoirs Environmental, Inc Reservoirs Environmental QA Manual
Effective October 09, 2020 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf
(303) 964-1986
(866) RESI-ENV
www.reilab.com https://clients.reilab.com
5801 Logan St, Suite 100, Denver, CO 80216
RES Job Number:
Client:
Client Project Number / P.O.:
Client Project Description:
Date Samples Received:
Turnaround:
Date Samples Analyzed:
RES 479199-1
R & R Environmental
None Given
VA Bldg 3
November 24, 2020
Standard
December 02, 2020 - December 03, 2020
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective October 9, 2020
Q:\QAQC\Lab\Reservoirs Environmental QA Manual..pdf
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
Client
Sample
Number
L A Y E R
Mineral
Method: EPA 600/R-93/116 - Short Report, Bulk
Physical Description
Sub Part
Visual
Estimate
ND=None Detected TR=Trace, <1% Visual Estimate Trem/Act=Tremolite/Actinolite
Non Asbestos Fibrous
Components
Non- Fibrous
Components
Asbestos Content
3565V3-01 Gray/white ceiling tileA 100 ND
3565V3-02 Gray/white ceiling tileA 100 ND
1000V3-03 White caulkA 100 ND
1000V3-04 Blue resinous materialA 100 ND
1000V3-05 Gray granular materialA 20 ND
1000White paintB 25 ND
1000Brown resinous materialC 55 ND
1000V3-06 Off white granular material w/ green paintA 20 ND
1000Cream resinous materialB 80 ND
9010V3-07 Red caulkA 100 ND
925V3-08 Brown caulk w/ green/white paintA 100 3 Chrysotile
1585V3-09 Pink fibrous materialA 20 ND
7525Gray/white resinous material w/ white fibrous materialB 35 ND
1000White foamC 45 ND
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
P: 303-964-1986
F: 303-477-4275
1-866-RESI-ENV
www.reilab.com
5801 Logan Street, Suite 100, Denver, CO 80216
Client Project Number / P.O.:
Client Project Description:
Date Samples Received:
Turnaround:
Date Samples Analyzed:
RES 479199-1
R & R Environmental
None Given
VA Bldg 3
November 24, 2020
Standard
December 02, 2020 - December 03, 2020
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective October 9, 2020
Q:\QAQC\Lab\Reservoirs Environmental QA Manual..pdf
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
Client
Sample
Number
L A Y E R
Mineral
Method: EPA 600/R-93/116 - Short Report, Bulk
Physical Description
Sub Part
Visual
Estimate
ND=None Detected TR=Trace, <1% Visual Estimate Trem/Act=Tremolite/Actinolite
Non Asbestos Fibrous
Components
Non- Fibrous
Components
Asbestos Content
2080V3-10 Green fibrous material w/ orange resinous materialA 40 ND
1000Black resinous materialB 60 ND
6040V3-11 Black resinous material w/ white fibrous woven materialA 100 ND
9010V3-12 Tan resinous materialA 100 ND
595V3-13 Off white fibrous woven materialA 15 ND
6535Off white plaster w/ gray fibrous materialB 85 ND
595V3-14 Off white fibrous woven materialA 10 ND
6535Off white plaster w/ gray fibrous materialB 90 ND
3565V3-15 White/silver wrapA 8 ND
955White sealantB 12 ND
1585Yellow insulation w/ tan adhesiveC 80 ND
3565V3-16 White/silver wrapA 10 ND
955White sealantB 15 ND
1090Yellow insulationC 75 ND
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
P: 303-964-1986
F: 303-477-4275
1-866-RESI-ENV
www.reilab.com
Client Project Number / P.O.:
Client Project Description:
Date Samples Received:
Turnaround:
Date Samples Analyzed:
RES 479199-1
R & R Environmental
None Given
VA Bldg 3
November 24, 2020
Standard
December 02, 2020 - December 03, 2020
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective October 9, 2020
Q:\QAQC\Lab\Reservoirs Environmental QA Manual..pdf
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
Client
Sample
Number
L A Y E R
Mineral
Method: EPA 600/R-93/116 - Short Report, Bulk
Physical Description
Sub Part
Visual
Estimate
ND=None Detected TR=Trace, <1% Visual Estimate Trem/Act=Tremolite/Actinolite
Non Asbestos Fibrous
Components
Non- Fibrous
Components
Asbestos Content
955V3-17 White sealantA 30 ND
3565White/silver wrapB 33 ND
1585Yellow insulation w/ tan adhesiveC 37 ND
3565V3-18 White/silver wrap w/ tan adhesiveA 15 ND
955White sealantB 20 ND
595Yellow insulationC 65 ND
1090V3-19 Yellow insulationA 45 ND
955White sealantB 55 ND
7030V3-20 Off white fibrous micaceous materialA 100 ND
7030V3-21 Off white fibrous micaceous materialA 100 ND
7030V3-22 Off white fibrous micaceous materialA 100 ND
7030V3-23 Off white fibrous micaceous materialA 100 ND
7030V3-24 Off white fibrous micaceous materialA 100 ND
7030V3-25 Off white fibrous micaceous materialA 100 ND
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
P: 303-964-1986
F: 303-477-4275
1-866-RESI-ENV
www.reilab.com
Client Project Number / P.O.:
Client Project Description:
Date Samples Received:
Turnaround:
Date Samples Analyzed:
RES 479199-1
R & R Environmental
None Given
VA Bldg 3
November 24, 2020
Standard
December 02, 2020 - December 03, 2020
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective October 9, 2020
Q:\QAQC\Lab\Reservoirs Environmental QA Manual..pdf
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
Client
Sample
Number
L A Y E R
Mineral
Method: EPA 600/R-93/116 - Short Report, Bulk
Physical Description
Sub Part
Visual
Estimate
ND=None Detected TR=Trace, <1% Visual Estimate Trem/Act=Tremolite/Actinolite
Non Asbestos Fibrous
Components
Non- Fibrous
Components
Asbestos Content
7030V3-26 Off white fibrous micaceous materialA 100 ND
1000V3-27 Tan/multi-colored paintA 10 ND
1000White plasterB 12 ND
1000White compound w/ white paintC 18 ND
955Gray granular plasterD 60 ND
1000V3-28 Tan/multi-colored paintA 10 ND
1000White plasterB 20 ND
1000White compound w/ white paintC 30 ND
955Gray granular plasterD 40 ND
1000V3-29 Tan ceramic materialA 5 ND
1000White plasterB 10 ND
1000Gray granular plasterC 85 ND
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
P: 303-964-1986
F: 303-477-4275
1-866-RESI-ENV
www.reilab.com
Client Project Number / P.O.:
Client Project Description:
Date Samples Received:
Turnaround:
Date Samples Analyzed:
RES 479199-1
R & R Environmental
None Given
VA Bldg 3
November 24, 2020
Standard
December 02, 2020 - December 03, 2020
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective October 9, 2020
Q:\QAQC\Lab\Reservoirs Environmental QA Manual..pdf
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
Client
Sample
Number
L A Y E R
Mineral
Method: EPA 600/R-93/116 - Short Report, Bulk
Physical Description
Sub Part
Visual
Estimate
ND=None Detected TR=Trace, <1% Visual Estimate Trem/Act=Tremolite/Actinolite
Non Asbestos Fibrous
Components
Non- Fibrous
Components
Asbestos Content
1000V3-30 Off white paintA 3 ND
1000White compoundB 7 ND
1000White joint compoundC 10 ND
298Off white tapeD 12 ND
6535White/tan drywallE 68 ND
1000V3-31 White compoundA 10 ND
298Off white tapeB 12 ND
7525White/tan drywallC 78 ND
1000V3-32 White compoundA 5 ND
1000Off white joint compoundB 10 ND
298Off white tapeC 15 ND
6535White/tan drywallD 70 ND
1000V3-33 Gray granular cementitious materialA 100 ND
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
P: 303-964-1986
F: 303-477-4275
1-866-RESI-ENV
www.reilab.com
Client Project Number / P.O.:
Client Project Description:
Date Samples Received:
Turnaround:
Date Samples Analyzed:
RES 479199-1
R & R Environmental
None Given
VA Bldg 3
November 24, 2020
Standard
December 02, 2020 - December 03, 2020
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective October 9, 2020
Q:\QAQC\Lab\Reservoirs Environmental QA Manual..pdf
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
Client
Sample
Number
L A Y E R
Mineral
Method: EPA 600/R-93/116 - Short Report, Bulk
Physical Description
Sub Part
Visual
Estimate
ND=None Detected TR=Trace, <1% Visual Estimate Trem/Act=Tremolite/Actinolite
Non Asbestos Fibrous
Components
Non- Fibrous
Components
Asbestos Content
1000V3-34 Green paintA 40 ND
1000Gray granular cementitious materialB 60 ND
1000V3-35 Green paintA 40 ND
1000Gray granular cementitious materialB 60 ND
1000V3-36 Gray granular cementitious material w/ green paintA 100 ND
1000V3-37 Gray granular cementitious material w/ beige paintA 100 ND
1000V3-38 Beige paintA 30 ND
1000White/gray granular cementitious materialB 70 ND
1000V3-39 Tan adhesiveA 10 ND
5545Silver/white wrapB 20 ND
595Tan insulationC 30 ND
1000Black tarD 40 ND
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
P: 303-964-1986
F: 303-477-4275
1-866-RESI-ENV
www.reilab.com
Client Project Number / P.O.:
Client Project Description:
Date Samples Received:
Turnaround:
Date Samples Analyzed:
RES 479199-1
R & R Environmental
None Given
VA Bldg 3
November 24, 2020
Standard
December 02, 2020 - December 03, 2020
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective October 9, 2020
Q:\QAQC\Lab\Reservoirs Environmental QA Manual..pdf
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
Client
Sample
Number
L A Y E R
Mineral
Method: EPA 600/R-93/116 - Short Report, Bulk
Physical Description
Sub Part
Visual
Estimate
ND=None Detected TR=Trace, <1% Visual Estimate Trem/Act=Tremolite/Actinolite
Non Asbestos Fibrous
Components
Non- Fibrous
Components
Asbestos Content
1000V3-40 Tan adhesiveA 5 ND
1000Brown adhesiveB 5 ND
6040Brown fibrous material w/ black tarC 15 ND
1000Black tarD 20 ND
5545Silver/white wrapE 25 ND
595Tan insulationF 30 ND
1000V3-41 Black tarA 15 ND
5545Silver/white wrapB 30 ND
595Tan insulationC 55 ND
1000V3-42 White/silver wrapA 10 ND
8515White fibrous plasterB 90 ND
5545V3-43 White/silver wrapA 10 ND
8515White fibrous plasterB 90 ND
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
P: 303-964-1986
F: 303-477-4275
1-866-RESI-ENV
www.reilab.com
Client Project Number / P.O.:
Client Project Description:
Date Samples Received:
Turnaround:
Date Samples Analyzed:
RES 479199-1
R & R Environmental
None Given
VA Bldg 3
November 24, 2020
Standard
December 02, 2020 - December 03, 2020
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective October 9, 2020
Q:\QAQC\Lab\Reservoirs Environmental QA Manual..pdf
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
Client
Sample
Number
L A Y E R
Mineral
Method: EPA 600/R-93/116 - Short Report, Bulk
Physical Description
Sub Part
Visual
Estimate
ND=None Detected TR=Trace, <1% Visual Estimate Trem/Act=Tremolite/Actinolite
Non Asbestos Fibrous
Components
Non- Fibrous
Components
Asbestos Content
5545V3-44 White/silver wrapA 10 ND
8515White fibrous plasterB 90 ND
6535V3-45 Gray fibrous plasterA 35 ND
1090Off white fibrous woven materialB 65 ND
1000V3-46 Tan adhesiveA 5 ND
5545Silver/off white wrapB 20 ND
1090Off white fibrous woven materialC 35 ND
595Tan insulationD 40 ND
595V3-47 Off white insulationA 35 ND
1000White sealantB 65 ND
595V3-48 Tan insulationA 35 ND
1000White sealantB 65 ND
1000V3-49 White sealantA 35 ND
595Tan insulationB 65 ND
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
P: 303-964-1986
F: 303-477-4275
1-866-RESI-ENV
www.reilab.com
Client Project Number / P.O.:
Client Project Description:
Date Samples Received:
Turnaround:
Date Samples Analyzed:
RES 479199-1
R & R Environmental
None Given
VA Bldg 3
November 24, 2020
Standard
December 02, 2020 - December 03, 2020
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective October 9, 2020
Q:\QAQC\Lab\Reservoirs Environmental QA Manual..pdf
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
Client
Sample
Number
L A Y E R
Mineral
Method: EPA 600/R-93/116 - Short Report, Bulk
Physical Description
Sub Part
Visual
Estimate
ND=None Detected TR=Trace, <1% Visual Estimate Trem/Act=Tremolite/Actinolite
Non Asbestos Fibrous
Components
Non- Fibrous
Components
Asbestos Content
1000V3-50 Tan ceramic materialA 35 ND
1000Gray granular materialB 65 ND
Analyst / Data QAAnalystAnalystAnalystAnalyst
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
P: 303-964-1986
F: 303-477-4275
1-866-RESI-ENV
www.reilab.com
SUBMITTED BY INVOICE TO
Client Sample ID Number
RES Job #: 479199
CONTACT INFORMATION SERIES
ASBESTOS LABORATORY HOURS: Weekdays: 7am - 7pm & Sat. 8am - 5pm REQUESTED ANALYSIS VALID MATRIX CODES LAB NOTES
CHEMISTRY LABORATORY HOURS: Weekdays: 8am - 5pm
MICROBIOLOGY LABORATORY HOURS: Weekdays: 8am - 5pm
**Turnaround times establish a laboratory priority, subject to laboratory volume and are not guaranteed. Additional fees apply for afterhours, weekends and holidays.**
Laboratory Analysis InstructionsViables
(Sample ID's must be unique)
Company: R & R Environmental Company: R & R Environmental
Address: 47 West 9000 South #2 Address: 47 West 9000 South #2
Sandy, UT 84070 Sandy, UT 84070
Project Number and/or P.O. #: None Given
Project Description/Location: VA Bldg 3
Contact: Jamison Moss -1 PLM Standard Phone: (801) 928-1560
Fax:
Cell:
Final Data Deliverable Email Address:
jamison@rrenviro.com (+ 3 ADDNL. CONTACTS)
PLM / PCM / TEM DTL RUSH PRIORITY STANDARD Air = A Bulk = B
Dust = D Food = F
Paint = P Soil = S
Dust RUSH PRIORITY STANDARD
*PRIOR NOTICE REQUIRED FOR SAME DAY TAT
Surface = SU Swab = SW
Tape = T Wipe = W
Metals RUSH PRIORITY STANDARD Drinking Water = DW
Waste Water = WW
Organics* SAME DAY RUSH PRIORITY STANDARD **ASTM E1792 approved wipe media only**
Viable Analysis** PRIORITY STANDARD
**TAT DEPENDENT ON SPEED OF MICROBIAL GROWTH
Medical Device Analysis RUSH STANDARD
Mold Analysis RUSH PRIORITY STANDARD
Special Instructions:
1 V3-01 X B
2 V3-02 X B
3 V3-03 X B
4 V3-04 X B
5 V3-05 X B
6 V3-06 X B
7 V3-07 X B
8 V3-08 X B
9 V3-09 X B
10 V3-10 X B
11 V3-11 X B
12 V3-12 X B
13 V3-13 X B
P L
M
S ho rt R ep or t , L on g
R ep or t, C A
R B
T E
M
A H
E R
A o r Q ua nt ifi ed
M ic ro va c o r Q ua nt ifi ed
W ip e o r Q ua nt ifi ed
N
IO
S
H
2, Y am at e
Le ve l I I, IS
O
, I
S O
C ha tfi el d, W as te
W at er , D rin ki ng W at er
, B ul k
, C
A R
B M od ifi ed A he ra
P C
M
A , 7
0B
, O S
H A
D U
S T
To ta l, R es pi ra bl e
M E
TA
L
S
A na ly te
(s
Le ad
O nl y (7
2, 0, W as te
W at er , F oo dw ar e)
, M ul ti M et al
(7
3, A
, 2
.8 , W as te
W at er , F oo dw ar e, O S
H A
ID
-1
G p
H (L iq ui d, N on -L iq ui d)
T C
LP
, R
C R
A
S ca n, W el di ng F um e
S ca n, F ul l M et al s S ca n
O R
G A
N
IC
S
M et ha m ph et am in e, T
S S
C am py lo ba ct er , B ac ill us , S al m on el la (C ul tu ra bl e, -2
L is te ria
E
.c ol i O
7:
H
7, E
.c ol i/C ol ifo rm s
- P la te d, S
. a ur eu s, Y ea st
M ol d, A re ob ic P la te
C ou nt , C ol ifo rm s/
E .c ol i (
S ta te W at er
, D rin ki ng
W at er
N on
-D rin ki ng
W at er
, Q ua nt ifi ca tio n)
, L ac tic A ci d, V ia bl e
M ic ro bi oa l C ou nt
(w o/
ID
, w
/ID
E nt er oc oc cu s o r Q ua nt ifi ca tio
n) , L eg io ne lla
(P , N
P, C
M E
D
IC
A L
B io bu rd en
, L A
L
M O
L D
S po re
T ra p, B ul k
M ol d, P ar tic ul at e Id en tif ic at io n
S am pl e
V ol um e
(L
A re a
Le ng th (o r A liq uo ts
) x W id th
(o r A re a pe r A liq uo t)
M at rix C od e of
C on ta in er s
D at e C ol le ct ed m m
/d d/ yy
T im e C ol le ct ed hh :m m
ASBESTOS CHEMISTRY MICROBIOLOGY
REI will analyze incoming samples based on information received and will not be responsible for errors or omissions in calculations resulting from the inaccuracy of original data. By signing, client/company representative agrees that submission of the following samples for requested analysis as indicated on this Chain of Custody shall consitute an analytical services agreement with payment terms of NET 30 days. Failure to comply with payment terms may result in a 1.5% monthly interest surcharge.
Relinquished By: Jamison Moss Date/Time: 11/23/2020 11:41:47 Sample Condition: Acceptable
Received By: Rebecca Jewell Date/Time: 11/24/2020 11:32:20 Carrier: Fed-Ex
Reservoirs Environmental, Inc Reservoirs Environmental QA Manual
Effective October 09, 2020 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf
(303) 964-1986
(866) RESI-ENV
www.reilab.com https://clients.reilab.com
REQUESTED ANALYSIS VALID MATRIX CODES LAB NOTES
Laboratory Analysis InstructionsViables
(Sample ID's must be unique)
Air = A Bulk = B
Dust = D Food = F
Paint = P Soil = S
Surface = SU Swab = SW
Tape = T Wipe = W
Drinking Water = DW
Waste Water = WW
**ASTM E1792 approved wipe media only**
Res Job#: 479199
Submitted By: R & R Environmental
14 V3-14 X B
15 V3-15 X B
16 V3-16 X B
17 V3-17 X B
18 V3-18 X B
19 V3-19 X B
20 V3-20 X B
21 V3-21 X B
22 V3-22 X B
23 V3-23 X B
24 V3-24 X B
25 V3-25 X B
26 V3-26 X B
27 V3-27 X B
28 V3-28 X B
29 V3-29 X B
30 V3-30 X B
31 V3-31 X B
32 V3-32 X B
33 V3-33 X B
34 V3-34 X B
35 V3-35 X B
36 V3-36 X B
37 V3-37 X B
38 V3-38 X B
39 V3-39 X B
40 V3-40 X B
41 V3-41 X B
42 V3-42 X B
43 V3-43 X B
P L
M
S ho rt R ep or t , L on g
R ep or t, C A
R B
T E
M
A H
E R
A o r Q ua nt ifi ed
M ic ro va c o r Q ua nt ifi ed
W ip e o r Q ua nt ifi ed
N
IO
S
H
2, Y am at e
Le ve l I I, IS
O
, I
S O
C ha tfi el d, W as te
W at er , D rin ki ng W at er
, B ul k
, C
A R
B M od ifi ed A he ra
P C
M
A , 7
0B
, O S
H A
D U
S T
To ta l, R es pi ra bl e
M E
TA
L
S
A na ly te
(s
Le ad
O nl y (7
2, 0, W as te
W at er , F oo dw ar e)
, M ul ti M et al
(7
3, A
, 2
.8 , W as te
W at er , F oo dw ar e, O S
H A
ID
-1
G p
H (L iq ui d, N on -L iq ui d)
T C
LP
, R
C R
A
S ca n, W el di ng F um e
S ca n, F ul l M et al s S ca n
O R
G A
N
IC
S
M et ha m ph et am in e, T
S S
C am py lo ba ct er , B ac ill us , S al m on el la (C ul tu ra bl e, -2
L is te ria
E
.c ol i O
7:
H
7, E
.c ol i/C ol ifo rm s
- P la te d, S
. a ur eu s, Y ea st
M ol d, A re ob ic P la te
C ou nt , C ol ifo rm s/
E .c ol i (
S ta te W at er
, D rin ki ng
W at er
N on
-D rin ki ng
W at er
, Q ua nt ifi ca tio n)
, L ac tic A ci d, V ia bl e
M ic ro bi oa l C ou nt
(w o/
ID
, w
/ID
E nt er oc oc cu s o r Q ua nt ifi ca tio n)
M E
D
IC
A L
B io bu rd en
, L A
L
M O
L D
S po re
T ra p, B ul k
M ol d, P ar tic ul at e Id en tif ic at io n
S am pl e
V ol um e
(L
A re a
Le ng th (o r A liq uo ts
) x W id th
(o r A re a pe r A liq uo t)
M at rix C od e of
C on ta in er s
D at e C ol le ct ed m m
/d d/ yy
T im e C ol le ct ed hh :m m
ASBESTOS CHEMISTRY MICROBIOLOGY
Reservoirs Environmental, Inc Reservoirs Environmental QA Manual
Effective October 09, 2020 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf
(303) 964-1986
(866) RESI-ENV
www.reilab.com https://clients.reilab.com
REQUESTED ANALYSIS VALID MATRIX CODES LAB NOTES
Laboratory Analysis InstructionsViables
(Sample ID's must be unique)
Air = A Bulk = B
Dust = D Food = F
Paint = P Soil = S
Surface = SU Swab = SW
Tape = T Wipe = W
Drinking Water = DW
Waste Water = WW
**ASTM E1792 approved wipe media only**
Res Job#: 479199
Submitted By: R & R Environmental
44 V3-44 X B
45 V3-45 X B
46 V3-46 X B
47 V3-47 X B
48 V3-48 X B
49 V3-49 X B
50 V3-50 X B
P L
M
S ho rt R ep or t , L on g
R ep or t, C A
R B
T E
M
A H
E R
A o r Q ua nt ifi ed
M ic ro va c o r Q ua nt ifi ed
W ip e o r Q ua nt ifi ed
N
IO
S
H
2, Y am at e
Le ve l I I, IS
O
, I
S O
C ha tfi el d, W as te
W at er , D rin ki ng W at er
, B ul k
, C
A R
B M od ifi ed A he ra
P C
M
A , 7
0B
, O S
H A
D U
S T
To ta l, R es pi ra bl e
M E
TA
L
S
A na ly te
(s
Le ad
O nl y (7
2, 0, W as te
W at er , F oo dw ar e)
, M ul ti M et al
(7
3, A
, 2
.8 , W as te
W at er , F oo dw ar e, O S
H A
ID
-1
G p
H (L iq ui d, N on -L iq ui d)
T C
LP
, R
C R
A
S ca n, W el di ng F um e
S ca n, F ul l M et al s S ca n
O R
G A
N
IC
S
M et ha m ph et am in e, T
S S
C am py lo ba ct er , B ac ill us , S al m on el la (C ul tu ra bl e, -2
L is te ria
E
.c ol i O
7:
H
7, E
.c ol i/C ol ifo rm s
- P la te d, S
. a ur eu s, Y ea st
M ol d, A re ob ic P la te
C ou nt , C ol ifo rm s/
E .c ol i (
S ta te W at er
, D rin ki ng
W at er
N on
-D rin ki ng
W at er
, Q ua nt ifi ca tio n)
, L ac tic A ci d, V ia bl e
M ic ro bi oa l C ou nt
(w o/
ID
, w
/ID
E nt er oc oc cu s o r Q ua nt ifi ca tio n)
M E
D
IC
A L
B io bu rd en
, L A
L
M O
L D
S po re
T ra p, B ul k
M ol d, P ar tic ul at e Id en tif ic at io n
S am pl e
V ol um e
(L
A re a
Le ng th (o r A liq uo ts
) x W id th
(o r A re a pe r A liq uo t)
M at rix C od e of
C on ta in er s
D at e C ol le ct ed m m
/d d/ yy
T im e C ol le ct ed hh :m m
ASBESTOS CHEMISTRY MICROBIOLOGY
Reservoirs Environmental, Inc Reservoirs Environmental QA Manual
Effective October 09, 2020 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf
(303) 964-1986
(866) RESI-ENV
www.reilab.com https://clients.reilab.com
Appendix C
Photo Log
PHOTO : VA Hospital Campus
PHOTO 2: Asbestos Containing Window Frame
PHOTO 3: Assumed Asbestos Containing TSI-Aircell
PHOTO 4: Asbestos Containing TSI-Plaster Fittings
R & R Environmental, Inc.
47 West 9000 South, Suite #2, Sandy, Utah 84070
(801) 352-2380 • Fax: (801) 352-2381
SITE PHOTOGRAPHS
A LIMITED ASBESTOS SURVEY AND
ASSESSMENT OF THE
VA HOSPITAL
BUILDING 3
SALT LAKE CITY, UTAH
PROJECT NO:
VA Bldg 3
DESIGNED BY:
JM
SCALE:
NTS
REVIEWED BY:
S2G
DRAWN BY:
JM
DATE:
12-28-2020
FILE:
NA
Appendix D
Floor Plans
Appendix E
Certifications and Accreditations
| TABLE OF CONTENTS |
| Appendix A |
| SAMPLE LOG |
| Appendix B |
| Appendix C |
| Appendix D |
| Appendix E |
| PHOTO 2: Asbestos Containing Window Frame |
| PHOTO : VA Hospital Campus |
| PHOTO 4: Asbestos Containing TSI-Plaster Fittings |
| PHOTO 3: Assumed Asbestos Containing TSI-Aircell |
File details come from the government source that posted it. Updated .