FinalHazMatReportOKCityVAPharmacy.pdf

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Z2DA--Renovate for Pharmacy for Chapter 797/800 Compliance (VA-21-00028464)
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36C25921R0057
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This hazardous building materials inspection report details the findings of an asbestos, lead-based paint, and mold inspection conducted at the Oklahoma City VA Medical Center pharmacy in preparation for renovations to meet USP 797 and 800 requirements. The inspection identified no asbestos-containing materials or lead-based paint in the sampled areas. Recommendations include addressing any mold or water intrusion issues, as well as point count analysis or TEM testing if suspect materials are disturbed during renovations.

The related federal contract opportunity is a 100% SDVOSB set-aside between $2,000,000 to $4,000,000 by the Department of Veterans Affairs to renovate approximately 12,155 square feet of inpatient pharmacy and primary care office space at the Oklahoma City VA Medical Center to comply with pharmacy standards and improve efficiency. The solicitation is expected to post on or shortly after March 8, 2021. Offerors must register in SAM and complete online representations and certifications at SAM.gov, and SDVOSBs must also register in VetBiz. Amendments will be posted to the website provided.

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HAZARDOUS BUILDING MATERIALS

INSPECTION REPORT

Renovate Pharmacy for

USP 797 and 800 Requirements

Oklahoma City VA Medical Center

Oklahoma City, OK

VA Project No: 635-16-104

August 27, 2019

Prepared for:

Veterans Affairs Medical Center c/o FourFront Design, Inc.

517 7th Street

Rapid City, SD 57701

Prepared by:

AMI Environmental

8802 South 135th Street, Suite 100 Omaha, Nebraska 68138

TABLE OF CONTENTS

1. SURVEY OVERVIEW

1.1. Purpose and Scope

1.1.1. Inspection Area

1.1.2. Limitations

1.2. Regulatory Reference

2. BUILDING INFORMATION

2.1. General Construction

2.2. Pre-Existing Information

3. INSPECTION METHODOLOGIES

3.1. Asbestos Inspection

3.1.1. Key Definitions

3.1.2. Homogenous Material Numbering Convention

3.1.3. Bulk Sampling

3.2. Lead-Based Paint Inspection

3.2.1. Key Definitions

3.2.2. Homogenous Paint Applications Numbering Convention

3.2.3. Paint Chip Sampling

3.3. Mold Inspection

4. SUMMARY OF INSPECTION FINDINGS

4.1. Asbestos Inspection Findings

4.2. Lead Paint Inspection Findings

4.3. Mold & Water Intrusion Inspection Findings

5. RISKS AND HAZARDS

5.1. Asbestos

5.2. Lead-Based Paint

5.3. Mold

6. RECOMMENDATIONS

6.1. General Recommendations

6.1.1. Asbestos

6.1.2. Lead-Based Paint

6.1.3. Mold

6.2. Hazardous Conditions Recommendations

6.3. Point Count Analysis / TEM Chatfield Analysis Recommendations

7. REGULATORY REQUIREMENTS

7.1. Asbestos-Containing Materials

7.1.1. Notification Requirements

7.1.2. Asbestos Removal Requirements

7.1.3. OSHA Regulation of <1 Percent Asbestos

7.1.4. Asbestos Removal Regulations

7.2. Lead-Based Paint

7.2.1. Disposal Requirements

7.2.2. Construction Requirements

APPENDIX A: Tables

APPENDIX B: Photo Logs

APPENDIX C: Schematics

APPENDIX D: Analytical Results

APPENDIX E: Inspectors Credentials

HAZARDOUS MATERIALS INSPECTION REPORT

Renovate Pharmacy for USP

Requirements

Veterans Affairs Medical Center

Oklahoma City, OK

1. SURVEY OVERVIEW

On August 6, 2019, the Pharmacy area at the Veterans Affairs Medical Center, Oklahoma City, OK, was inspected for asbestos-containing material (ACM) and lead-based paint (LBP) by a representative of AMI

Environmental (AMIE). The hazardous building materials inspection was conducted in preparation for renovation of the space. The renovation project is hereinafter referred to as The Project. The inspection was initiated at the request of Mr. Joel Simonyak of FourFront Design Inc. on behalf of the VA Medical

Center.

The inspection was performed by Grayson Cook in accordance with regulatory requirements and generally accepted industry methods. Copies of applicable requisite training certificates for Mr. Cook are provided in Appendix E.

1.1. Purpose and Scope

The purpose and scope of the inspection was to identify and sample suspect ACMs, LBPs or other lead containing building materials present in the project area that may be impacted by The Project.

1.1.1. Inspection Area

The hazardous building materials inspection of the limited project area included all accessible interior areas of the Project area within Building 1, as identified in the project schematics. The project is expected to impact a part of the first floor Pharmacy area, and a mechanical room directly below the first floor Pharmacy. The above described areas are hereinafter referred to collectively as the Inspection Area.

1.1.2. Limitations

Nondestructive sampling protocols prevented inspection and sampling of materials inside walls and other inaccessible areas of the building. Examples of suspect materials not sampled, include those which may exist inside finished interior walls, pipe chases and rigid ceilings.

The Pharmacy was operational and occupied at the time of the inspection. The sampling was conducted in a manner to minimize disturbance to operations, and to minimize potential dust created by opening ceilings throughout the inspection area. The materials identified as ACM may be found throughout the inspection area, and new materials may be discovered during construction.

It is recommended that prior to or during construction that any new materials discovered in the demolition process be tested or abated.

Sampling of these materials may not be necessary if, in the case of suspect ACM, the materials are assumed to be ACM or if they are determined by a licensed asbestos inspector to be homogenous to other materials that were sampled.

Hazardous Building Materials Inspection Report AMI Project No. 18-00337

Renovate Pharmacy for USP Requirements August 27, 2019

VA Medical Center

Oklahoma City, OK Page of 10

1.2. Regulatory Reference

The asbestos inspection was conducted in accordance with USEPA National Emission Standard for

Hazardous Air Pollutants (NESHAP) regulations (ref.: 40 CFR, Part 61), following criteria established for identifying asbestos-containing building materials that may be impacted by planned renovation activities; applicable protocols established by the Asbestos Hazard Emergency Response Act

(AHERA) (ref.: 40 CFR 763). There is also no licensing requirement for lead paint sampling in non-

HUD facilities.

The State of Oklahoma licenses asbestos inspectors to perform asbestos inspections in the State of

Oklahoma.

2. BUILDING INFORMATION

2.1. General Construction

This project involves renovation of approximately 2,500 sq. ft. of existing Pharmacy area.

2.2. Pre-Existing Information

Information on previous surveys or sampling for lead-based paint or asbestos, was not provided.

3. INSPECTION METHODOLOGIES

3.1. Asbestos Inspection

The inspection and sampling were conducted in accordance with the USEPA National Emission

Standard for Hazardous Air Pollutants (NESHAP) regulations (ref.: 40 CFR, Part 61), following criteria established for identifying asbestos-containing. building materials that may be impacted by planned renovation. Additional aspects of the inspection methodology are discussed below.

3.1.1. Key Definitions

3.1.1.1. Homogenous Material

Homogenous materials are unique applications of building materials uniform in color and texture. The homogeneity of a material can be further defined by area(s) of application. Bulk sampling is conducted to determine the asbestos content of a homogenous material.

3.1.1.2. Asbestos-Containing Material (ACM)

The Environmental Protection Agency (EPA) and the Occupational Safety and Health

Administration (OSHA) define ACMs as any material that contains greater than one percent asbestos, as determined by visual area estimation (microscopic analysis). The

State of Oklahoma follows the EPA standard. Some materials contain one percent or less asbestos. While these materials are not ACMs, by definition, they are still regulated by OSHA, for worker exposure.

3.1.1.3. Friable/Non-Friable ACM

Friable ACMs are materials that contain more than one percent asbestos and, when dry, can be crumbled, pulverized, or reduced to powder by hand pressure, thereby releasing fibers into the air more readily. In contrast, non-friable ACMs are ACMs that, when dry, cannot be crumbled, pulverized, or reduced to powder by hand pressure. Non-friable ACMs are grouped into two categories: Category I and Category

II.

3.1.1.4. Regulated Asbestos-Containing Materials (RACM)

Regulated Asbestos-Containing Materials (RACM) include friable ACMs and non-friable ACMs that, depending on their category, have become friable, have been subjected to specific forms of impact damage, have a high probability of becoming friable, and/or may become friable during removal.

3.1.2. Homogenous Material Numbering Convention

All suspect asbestos materials are assigned a unique homogeneous material number. AHERA identifies three basic material types: Surfacing Materials (SM), which include spray and trowel applied materials, such as fireproofing, ceiling texture, plaster, etc.; Thermal System Insulation

(TSI), which includes insulating materials applied to mechanical and plumbing components for temperature preservation and condensation prevention purposes; and Miscellaneous

Materials (MM), which includes all other materials, such as floor coverings and mastics, roofing materials, asbestos cement products, and many others. When a homogenous material has multiple layers, individual layers are identified and analyzed separately by laboratory analysis.

3.1.3. Bulk Sampling

Bulk sampling must be performed to determine whether suspect building material contains asbestos. Asbestos bulk sampling for the inspection was conducted in accordance with protocols established by the Asbestos Hazard Emergency Response Act (AHERA) (ref.: 40

CFR 763). Friability of the suspect asbestos-containing materials was determined by touching and/or sampling of the material.

3.1.3.1. Bulk Sample Numbering Convention

Bulk samples are given a sequence number when collected.

3.1.3.2. Polarized Light Microscopy Analysis (PLM)

Bulk samples collected during the inspection were submitted to an EPA accredited laboratory, EMSL Analytical, Inc. (EMSL), located at 200 Route 130 North, Cinnaminson, New Jersey. EMSL was instructed to perform Polarized Light

Microscopy (PLM) analysis, utilizing dispersion staining techniques (ref: EPA

Method 600/M4-82-020). PLM analysis is the most commonly used visual estimate method. While PLM analysis is acceptable to EPA, OSHA, and most states for determining asbestos content, some states now require more sophisticated methods when analyzing certain types of materials.

A total of 43 asbestos bulk samples were collected and submitted for laboratory analysis. PLM Analysis was performed on the 43 samples collected, including 12 additional distinct layers (i.e. mastic). Heterogeneous applications are individual layers of different materials contained within a single bulk sampled, each of which must be analyzed individually to determine its asbestos content (e.g. vinyl floor tiles and mastic; cove base and mastic; etc.). Table 1 lists all samples collected and analyzed in the current survey.

Some samples and/or heterogeneous applications may not have been analyzed by the lab if a positive result was obtained from a sample that is among a group of samples representing a suspect material. This process, known as stop on first positive, is followed because if a single sample is found to be positive, that material is determined to be ACM, thus making it unnecessary to analyze any additional samples in the sampling group.

Please refer to the Table 1– Asbestos Material Sampling Table in Appendix A for a complete listing of all materials sampled. The laboratory analytical reports may be found in Appendix D for the current inspection.

3.1.3.3. Quantification Method Analysis

EPA regulations allow materials determined to contain less than 10 percent asbestos utilizing a visual estimate quantification method, such as PLM analysis, to be treated as non-asbestos containing if the material is re-analyzed using one of two quantification methods and determined to contain one percent or less of asbestos. The two acceptable quantification methods are point count analysis and TEM Chatfield analysis.

Quantification methods are more time-consuming and more expensive analytical procedures that are occasionally used to more accurately determine the amount of asbestos in certain samples. Because of their higher cost and the acceptable accuracy of the less expensive visual estimation method, laboratories do not typically perform quantification analyses unless specifically requested.

The quantification method known as point count analysis is used for most ACM types, except floor tile. The organic matrix composition of floor tile precludes the use of point count analysis to more accurately determine asbestos amounts within a sample.

Therefore, TEM Chatfield analysis—which effectively removes all organic materials, leaving only asbestos behind—is necessary to provide a more precise percentage of asbestos content in floor tile.

Please refer to section 6.0 Recommendations, for recommendations concerning supplemental analysis.

3.2. Lead-Based Paint Inspection

The LBP inspection included visual identification of homogenous paint applications and bulk sampling of the paint(s) for laboratory analysis. While the U. S. Department of Housing and Urban Development

(HUD) promulgates guidelines for LBP inspections in child occupied facilities, there are no formal guidelines for non-HUD regulated inspections. Thus, the LBP inspection was conducted in accordance with generally accepted industry standards and practices. Additional aspects of the inspection methodology are discussed below.

3.2.1. Key Definitions

3.2.1.1. Homogenous Paint Applications

Homogenous paint applications are significant paint applications that are visually distinct by their color and uniformity. Significant paint applications do not include incidental occurrences of paint such as isolated occurrences of accent trim, artistic paints, etc. While visual inspection alone cannot generally identify sub-layers of paint, these applications are often identified in the XRF analysis.

3.2.1.2. Lead-Based Paint (LBP)

Pursuant to Federal Register, Vol. 61, No. 169, LBP is defined as paint or other surface coatings equal to or greater than 0.5 percent lead by weight or equal to or greater than 1 mg/cm2.

3.2.2. Homogenous Paint Applications Numbering Convention

Homogenous paints and coatings are assigned a unique homogeneous material number (HM#).

The HM# is referenced throughout the report to uniquely identify each paint application.

3.2.3. Lead-based Paint and Lead Containing Materials Sampling Sampling of suspected lead-based paint or other suspected lead containing materials was conducted using bulk sampling of the paint applications and materials identified. A total of 12 lead-based paint samples were analyzed by Atomic Absorption to determine the lead content of materials or painted surfaces.

3.3. Mold Inspection

The Project area was inspected for evidence of moisture intrusion or visible suspected mold.

4. SUMMARY OF INSPECTION FINDINGS

Key findings of the hazardous building materials inspection are summarized below. Please refer to the

Appendices for complete details of the inspection findings and supporting documentation.

4.1. Asbestos Inspection Findings

Below is a summary of the findings of the asbestos inspection:

• Black Duct Mastic – 6% Chrysotile Approximately 200 SF on ducts and concrete above ceiling.

• 8-inch TSI pipe (labeled “asbestos containing”) Approximately 60 Linear Feet

• 8-inch TSI fittings (labeled “asbestos containing”) Approximately 10 Each

Please refer to Table 1 – Asbestos Sampling Table in Appendix A for a complete listing of all asbestos sampling.

4.2. Lead Paint Inspection Findings

Below is a summary of the findings of the lead-based paint inspection:

• LBP, white (red undercoat), is present on entry door and frame to mechanical room. (1 Each)

Please refer to Table 2 – Lead Paint Sampling Table in Appendix A for a complete listing of all lead-based paint sampling.

4.3. Mold & Water Intrusion Inspection Findings

No suspected mold was observed in the Inspection Area. Several areas of ceiling tile moisture damage were observed.

5. RISKS AND HAZARDS

5.1. Asbestos

To be a significant health concern, asbestos fibers must be inhaled. When asbestos fibers are inhaled, they become lodged in the lung tissue or alveoli. Here they clog and scar the tissues, causing the walls of the alveoli to lose their elasticity and useful function in respiration. Asbestosis (scarring of the lung), lung cancer, and Mesothelioma (cancer of the lining of the chest or lining of the abdominal wall) are diseases associated with asbestos exposure. Risks and hazards increase with increased exposure. ACM condition, proximity to building occupants, building use, and other factors can influence the potential for asbestos fibers to become airborne, and therefore increase exposure risks.

5.2. Lead-Based Paint

Inhalation and ingestion are the major routes of lead exposure. Once in the body, lead is distributed via the bloodstream to red blood cells, soft-tissue and bone. The kidneys and gastrointestinal (GI) tract eliminate lead in the body very slowly, while minute amounts are lost through perspiration.

Lead in the body can cause serious damage to the central and peripheral nervous system, the cardiovascular system, and the kidneys. Exposure to high concentrations of lead can cause retardation, convulsions, coma, and sometimes death. Children are especially vulnerable and susceptible to lead poisoning. Even low levels of exposure persisting during childhood are known to slow a child’s normal development and cause learning and behavioral problems. Exposure to lead can result from deteriorating surfaces and activities mechanically impacting lead surfaces. Preventing exposure requires proper work practices, monitoring, disposal and personal protective equipment during demolition, alteration and friction producing activities.

5.3 . Mold

Molds have the potential to cause health problems in some individuals. Molds produce allergens

(substances that can cause allergic reactions), irritants, and in some cases, potentially toxic substances

(mycotoxins). Inhaling or touching mold or mold spores may cause allergic reactions in sensitive individuals. Allergic responses include hay fever-type symptoms, such as sneezing, runny nose, red eyes, and skin rash (dermatitis). Allergic reactions to mold are common and can be immediate or delayed. Molds can also cause asthma attacks in people with asthma who are allergic to mold.

6. RECOMMENDATIONS

The purpose of this section is to interpret survey findings and provide preliminary recommendations that may be relevant and appropriate at this time. Because this document is a presentation of investigative findings, recommendations related to future construction activities are inherently general in nature. More specific determinations concerning hazardous building materials to be impacted by construction should be made during the abatement project design process.

6.1. General Recommendations

6.1.1. Asbestos

State and/or federal regulations require that ACMs be removed prior to demolition or renovation activities that will impact the ACMs. Depending on the specific renovation work to be performed, certain ACMs may not require removal if they will not be disturbed and do not pose a risk to building occupants or construction trade workers. However, to ensure worker safety and to eliminate future asbestos-related maintenance and management costs and risks, AMIE recommends removal of all identified ACMs in the areas to be renovated. While partial abatement may be technically possible, it is often impractical and not cost-effective.

ACMs not impacted by renovation or demolition activities should be inspected annually and maintained in good condition. ACMs deemed to be in less than good condition (damaged or significantly damaged) should be repaired or removed and replaced. Such repairs should be performed by qualified persons and in accordance with regulatory guidelines.

6.1.2. Lead-Based Paint and Lead Containing Materials

Facility owners are ultimately liable for their lead-containing hazardous waste from cradle to grave. EPA regulations provide two ways to determine whether a waste stream, such as demolition debris containing LBP, must be classified as hazardous waste. Waste generators can either test the waste using an approved testing method (Toxicity Characteristic Leaching

Procedure [TCLP]), or they can apply knowledge of the hazardous characteristic of the waste.

Based on the initial lead paint testing results, AMIE recommends TCLP testing be conducted on the existing building materials, painted and unpainted, prior to the start of renovation or demolition activity. In addition, trade contractors who work in the facility should also be notified of the presence of lead so that they can appropriately monitor and protect their workers against lead exposure.

Any lead-based painted building components not removed during renovation should be considered for inclusion in a facility management plan that maintains potential exposure below

OSHA action levels and ensures the material will be handled properly and in accordance with applicable regulations.

6.1.3. Mold

No suspected mold was observed in the Inspection Area. Materials impacted by moisture intrusion should be replaced. The source of moisture intrusion should be investigated and abated.

6.2. Hazardous Conditions Recommendations

No hazardous conditions, from hazardous materials, were observed in the building dur ing the inspection.

6.3. Point Count Analysis / TEM Chatfield Analysis Recommendations

AMIE does not recommend Point Count or TEM Chatfield analysis of any of the ACMs identified.

7. REGULATORY REQUIREMENTS

7.1. Asbestos-Containing Materials

The removal and disposal of ACMs is regulated at the federal, state, and, sometimes, local level. While some states have developed their own regulatory standards for the various asbestos disciplines, many states have adopted the federal standards but have established licensing requirements and enforcement authority at the state level.

7.1.1. Notification Requirements

EPA’s NESHAP regulation, 40 CFR, Subpart M, 61.145, Standard for Demolition and

Renovation, stipulates that an owner of a facility submit proper notification with either the

EPA’s regional office and/or the state and local regulatory agency of intention to demolish or renovate. Notifications must be received by the appropriate regulatory agencies 10 working days prior to commencement of asbestos stripping or removal, or other site work. If the demolition or renovation date changes, or the scope of work is increased, another notification is required.

7.1.2. Asbestos Removal Requirements

Asbestos removal must be performed by a licensed abatement contractor. The contractor should follow all work practices, worker protection, and disposal requirements set forth in the contract specifications and by the Occupational Safety and Health Administration (OSHA) and the EPA. Key federal regulations concerning asbestos include 29 CFR 1910.1001, 29 CFR

1926.1101, 40 CFR Part 61, Subpart M, and 40 CFR 763.

7.1.3. OSHA Regulation of ≤ 1 Percent Asbestos

While EPA and many states do not regulate materials containing one percent or less asbestos, OSHA regulates materials containing any amount of asbestos. (Ref. OSHA Construction

Industry Standard, 29 CFR 1926.1101(a)(3))

7.1.4. State of Oklahoma Asbestos Removal Regulations

The State of Oklahoma Asbestos Control Act regulates Asbestos Removal, and licenses workers and professionals working in the Asbestos Industry. Asbestos Containing Building

Material (ACBM) shall only be removed by licensed and accredited contractors in the State of Oklahoma.

7.2. Lead Waste

7.2.1. Disposal Requirements

The Resource Conservation and Recovery Act (RCRA) classifies lead-containing waste streams as hazardous materials if TCLP levels exceed five parts per million. If TCLP leachable lead levels exceed that threshold, EPA regulations (40 CFR 261) require the waste stream to be handled and disposed of as a hazardous waste. Waste streams containing less the five parts per million of leachable lead are classified as non-hazardous waste and can be disposed of in a construction and demolition landfill.

7.2.2. Construction Requirements

OSHA’s 29 CFR 1926.62 regulates worker exposure to lead during construction activities that include demolition or salvage of structures where lead or materials containing lead are present, as well as removal or encapsulation of lead-containing materials. The standard establishes maximum limits of exposure to lead, including a permissible exposure limit and action level, and should be adhered to during construction and demolition activities.

APPENDIX A

Tables

Table 1 – Asbestos Materials Sampling Table

Table 2 – Lead Paint Sampling Table www.amienvironmental.com

8802 South 135th Street, Suite 100 • Omaha, NE 68138

800.828.8487 • 402.397.5001 • 402.397.3313 (fax http://www.amienvironmental.com/

Table 1 – Asbestos Material Sampling Table

Homogeneous

Area

Sample

No.

Photo

No.

Description Color Material Location Asbestos Content

Estimated

Quantity Comments

1 1 1 12”x12” Vinyl Floor

Tile (VFT)

White/

Beige

GA 143D None Detected

2 1A 1 Mastic Yellow/

Clear

1 2 2 12”x12” Vinyl Floor

Tile (VFT)

White/

2 2A 2 Mastic Black/

1 3 2 12”x12” Vinyl Floor

Tile (VFT)

White/

2 3A 2 Mastic Yellow/Blk

3 4 3 12”x12” VFT

Dark Brown

Gray/

White

4 4A 3 Mastic Black/

Yellow

5 5 4 24”x 24” Ceiling

Tile - Pin

Gray/

5 6 5

Tile - Pin

Gray/

5 7 5

Tile - Pin

Gray/

6 8 6 Duct Mastic Gray GA 143D None Detected

7 9 7 Drywall Brown/

8 9A 7 Joint Compound White GA 143D None Detected

9 10 8 Plaster Tan/Red GA 143D None Detected

9 11 8 Plaster Tan/Red GA 143D None Detected

10 11A 8 Skim Coat White GA 143D None Detected

11 12 9 Base Cove Mastic Yellow GA 143D None Detected

12 13 10 2’x 2’ Carpet

Squares

Brown/

Yellow

GA 143B None Detected

13 14 10 Mastic Yellow GA 143B None Detected

Table 1. Asbestos Material Sampling Results Asbestos Containing Materials (ACM) = >1% Asbestos

Sample

No.

Photo

No.

Description Color

GA 143B

Asbestos Content

Estimated

Quantity Comments

14 14A 10 Leveler Gray GA 143B None Detected

15 15 11 2’x 2’ Ceiling Tile

Hole/Fissure

16 16 12 Duct Mastic White GA 143B None Detected

16 17 12 Duct Mastic White GA 143B None Detected

17 18 13 Plaster-Skim Coat White GA 143B None Detected

18 18A 13 Plaster-Base Coat Tan GA 143B None Detected

19 19 14 2’x 2’ Carpet Mastic Brown/

Blk/Yellow

Room Transition

Opening

None Detected

19 20 14 2’x 2’ Carpet Mastic

Gray/Tan Room Transition

Opening

18 21 15 2’x 2’ Ceiling Tile

Worm & Hole

Gray/

15 22 16 2’x 2’ Ceiling Tile

Hole/Fissure

Gray/

20 23 17 Mudded Fitting White GA 143B None Detected

20 24 18 Mudded Fitting White GA 143B None Detected

21 25 19 Base Cove Brown N Side Hall by GA 152 None Detected

22 25A 19 Mastic Yellow N Side Hall by GA 152 None Detected

23 26 20 Base Cove Brown S Side Hall by GA 148B None Detected

24 26A 20 Mastic Yellow S Side Hall by GA 148B None Detected

25 27 21 Sheet Flooring White GA 143A None Detected

26 27A 21 Mastic Yellow GA 143A None Detected

27 27B 21 Leveler Gray GA 143A None Detected

28 28 22 Spray on

Fireproofing Gray GA 148B

28 29 23 Spray on

Fireproofing

30 23

Spray on

Fireproofing

31 24

Spray on

Fireproofing

32 24

Spray on

Fireproofing

29 33 25 Drywall Brown/

White

GA 148B

30 33A 25 Joint Compound White GA 148B <1% Chrysotile

Sample

No.

Photo

No.

Description Color Material Location Asbestos Content Estimated

Quantity

Comments

31 34

Duct Mastic Black GA 143G 6% Chrysotile 200 Square

Feet

Present on ducts and concrete

32 35 30 Duct Mastic White Mechanical Room None Detected

32 36 31 Duct Mastic White Mechanical Room None Detected

33 37 32 Firestop Blue Mechanical Room None Detected

33 38 33 Firestop Blue Mechanical Room None Detected

34 39 34 Firestop Red Mechanical Room None Detected

34 40 34 Firestop Red Mechanical Room None Detected

35 41 35 Mudded Fitting Beige/

White Mechanical Room

36 41A 35 Insulation Yellow Mechanical Room None Detected

35 42 35 Mudded Fitting White Mechanical Room None Detected

36 42A 35 Insulation Yellow Mechanical Room None Detected

37 43 36 Duct Mastic Tan Mechanical Room None Detected

ASSUMED NONE

LABELED TSI AS

ACM ABOVE

CEILING

White GA 148 B LABELED ACM 60 LF Above ceiling

GA 148B

Table 2 – Lead Sampling Table

Sample

No.

Photo

No.

Substrate Description Location Color Lead Content Condition

Estimated

Quantity

L1 Drywall Wall Paint GA 143D Tan <0.024%

L2 Drywall Wall Paint GA 143D Tan 0.027%

L3 Drywall Wall Paint GA 143D Green 0.026%

L4 Drywall Wall Paint GA 143D Tan/Green 0.11%

L5 Drywall Wall Paint Entry Pink <0.015%

L6 Drywall Wall Paint Entry Green <0.020%

L8 Concrete Wall Paint Mech Rm White 0.16%

L9 Concrete Wall Paint Mech Rm Green 0.16%

L10 Concrete Floor Paint Mech Rm Red/Gray 0.35%

L11 Concrete Ceiling Mech Rm White 0.0091%

L12 Metal Entry Door Mech Rm Red/White 3.4% 1 Each

L14 Concrete Floor Paint Mech Rm Red/Gray 0.32%

Table 2. Lead-Based Paint Lead-Based Paint = ≥ 0.5% by Weight

APPENDIX B

Photo Logs

Asbestos Photo Log

Lead-Based Paint Photo Log www.amienvironmental.com

8802 South 135th Street, Suite 100 • Omaha, NE 68138

800.828.8487 • 402.397.5001 • 402.397.3313 (fax) http://www.amienvironmental.com/

Asbestos Photo Log

PHOTO 1

White/Beige 12”x12” Vinyl Floor Tile

(VFT) Non-ACM

PHOTO 2

White/Beige 12”x12” Vinyl Floor Tile

PHOTO 3

Dark Brown 12”x12” Vinyl Floor Tile

PHOTO 4

White 24”x 24” Ceiling Tile – Pin

Non-ACM

PHOTO 5

White 24”x 24” Ceiling Tile – Pin

PHOTO 6

Gray Duct Mastic – Non-ACM

PHOTO 7

Drywall – Non-ACM

Joint Compound – Non-ACM

PHOTO 8

Plaster Non-ACM

Skim Coat Non-ACM

PHOTO 9

Yellow Base Cove Mastic Non-ACM PHOTO 10

2’x 2’ Carpet Squares, Mastic, Leveler

PHOTO 11

White 2’x 2’ Ceiling Tile-Hole/Fissure

PHOTO 12

White Duct Mastic

PHOTO 13

Plaster Skim Coat Non-ACM

Plaster Base Coat Non-ACM

PHOTO 14

2’x 2’ Carpet Square Mastic

PHOTO 15

White 2’x 2’ Ceiling Tile-Worm & Hole

PHOTO 16

White 2’x 2’ Ceiling Tile-Hole/Fissure

PHOTO 17

Mudded Fitting Non-ACM PHOTO 18

Mudded Fitting Non-ACM

PHOTO 19

N Side Hall by GA 152 Non-ACM PHOTO 20

S Side Hall by GA 148B Non-ACM

PHOTO 21

Sheet Flooring, Mastic, Leveler

PHOTO 22

Gray Spray-on Fireproofing Non-ACM

PHOTO 23

Gray Spray-on Fireproofing Non-ACM PHOTO 24

Gray Spray-on Fireproofing Non-ACM

PHOTO 25

Drywall Non-ACM

Joint Compound Non-ACM

PHOTO 26

Black Duct Mastic 6% Chrysotile ACM

PHOTO 27

Black Duct Mastic 6% Chrysotile ACM PHOTO 28

Black Mastic 6% Chrysotile ACM on concrete above ceiling tile

PHOTO 29

Black Duct Mastic 6% Chrysotile ACM PHOTO 30

White Duct Mastic Non-ACM

PHOTO 31

White Duct Mastic Non-ACM PHOTO 32

Blue Firestop Non-ACM

PHOTO 33

Blue Firestop Non-ACM PHOTO 34

Red Firestop Non-ACM

PHOTO 35

Mudded Fitting Non-ACM PHOTO 36

Tan Mastic Non-ACM

Lead-Based Paint Photo Log

Tan Wall Paint – Paint Containing Lead (<0.5%)

Non-Lead-based Paint

PHOTO 2

Tan Wall Paint (Peeling) Paint Containing

Lead(<0.5%) Non-Lead-based Paint

Green Wall Paint – Paint Containing Lead (<0.5%)

PHOTO 4

Tan/Green Wall Paint – Paint Containing Lead

(<0.5%) Non-Lead-based Paint

PHOTO 5

Pink Wall Paint - Paint Containing Lead (<0.5%)

PHOTO 6

Tan Wall Paint Containing Lead (<0.5%) Non-

Lead-based Paint

PHOTO 7

White Paint on Block - Paint Containing Lead

PHOTO 8

Green Paint on Block - Paint Containing Lead

PHOTO 9

Red & Gray Floor Paint - Paint Containing Lead

PHOTO 10

White Paint on Ceiling Concrete - Paint

Containing Lead (<0.5%) Non-Lead-based Paint

PHOTO 11

White Paint on Room Entry Door/Frame (3.4%)

Lead-based Paint

PHOTO 12

Red & Gray Floor Paint - Paint Containing Lead

Mold/Moisture Intrusion Photo Log

Moisture Damaged Ceiling Tile PHOTO 2

Moisture Damaged Ceiling Tile

Moisture Damaged Ceiling Tile PHOTO 4

Apparent Moisture Damage on Plaster (note rust on metal)

APPENDIX C

Schematics

Asbestos Material Locations

Mold Removal Locations

N

Office of

Construction and Facilities

Management

Project Number

Building Number

Drawing Number

Dwg.

DrawnCheckedDate

Location

Project TitleDrawing Title

Approved: Project Director

ARCHITECT/ENGINEERS:CONSULTANTS:

DateRevisions:

VA FORM 08-6231

o n e e i g h t h i n c h o n e f o o t o n e q u a r t e r i n c h o n e f o o t t h r e e e i g h t h s i n c h o n e f o o t o n e h a l f i n c h o n e f o o t t h r e e q u a r t e r s i n c h o n e f o o t o n e i n c h o n e f o o t o n e a n d o n e h a l f i n c h e s o n e f o o t t h r e e i n c h e s o n e f o o t

F

E

D

C

B

A

1 2 3 4 5 6 7 8 9

F

E

D

C

B

A

1 2 3 4 5 6 7 8 9

Department of

Veterans Affairs of

635-16-104

PROJECT AREA

KEY PLAN

NOT TO SCALE

09/03/2019

DEHIIWHC

XXX

GENERAL NOTES

OKLAHOMA

CITY VAMC

15-2226.013

95% CONSTRUCTION DOCUMENTS

RENOVATE PHARMACY FOR

CHAPTER 797_800

OKLAHOMA CITY, OKLAHOMA

HA100

GENERAL NOTES:

1. THESE DRAWINGS ARE DIAGRAMMATIC AND FOR GENERAL IDENTIFICATION OF

ASBESTOS-CONTAINING MATERIALS (ACM) AND LEAD-BASED PAINT (LBP) SUBJECT

TO REMOVAL OR DISTURBANCE. THEIR ACCURACY IS NOT GUARANTEED.

LOCATIONS AND QUANTITIES SHOWN OF ACM AND LBP TO BE REMOVED ARE

REPRESENTATIVE BASED ON RECENT AND PREEXISTING SITE SURVEY

INFORMATION. THE ABATEMENT CONTRACTOR SHALL BE RESPONSIBLE FOR FIELD

VERIFYING ALL MATERIAL LOCATIONS AND REMOVAL QUANTITIES, AND EXISTING

SITE CONDITIONS.

2. ASBESTOS REMOVAL IS BEING PERFORMED PURSUANT TO RENOVATION OF THE

PROJECT AREAS. REMOVE AND DISPOSE OF ALL ACM IN ACCORDANCE WITH

APPLICABLE REGULATIONS, PROJECT SPECIFICATIONS, AND THE APPROVED

ASBESTOS HAZARD ABATEMENT PLAN (AHAP). IF SUSPECT ACMS ARE

ENCOUNTERED DURING CONSTRUCTION AND DEMOLITION THAT ARE NOT

IDENTIFIED ON THE ASBESTOS ABATEMENT DRAWINGS, STOP WORK AND

CONTACT THE PROJECT MANAGER AND VPIH.

3. ALL WORK IS TO BE PERFORMED IN ACCORDANCE WITH ALL APPLICABLE

FEDERAL, STATE, AND LOCAL REGULATIONS; PROJECT SPECIFICATIONS, THE

APPROVED WORK PLAN, AND ACCEPTED INDUSTRY PRACTICE. WHEN

REQUIREMENTS OVERLAP OR CONFLICT, THE MOST STRINGENT REQUIREMENT

SHALL APPLY. ALL WORK SHALL BE SUBJECT TO INSPECTION BY THE OWNER, THE

OWNER'S CONSULTANTS, AND REGULATORY PERSONNEL.

4. DEMOLITION OF NON-ACM BUILDING MATERIALS MAY BE REQUIRED TO ACCESS

REGULATED MATERIALS, INCLUDING, BUT NOT LIMITED TO, CABINETS, RAISED

FLOORING, GYPSUM WALLBOARD, EXPANDED METAL OR WOOD LATH AND

PLASTER WALLS AND CEILINGS, WALL FRAMING, CARPET, CERAMIC AND VINYL

FLOOR COVERINGS, WOOD, ETC. THE ABATEMENT CONTRACTOR SHALL BE

RESPONSIBLE FOR DEMOLITION OF NON-ACM MATERIALS AS NEEDED TO ACCESS

REGULATED MATERIALS FOR ABATEMENT, AND FOR COORDINATING THE LIMITS OF

DEMOLITION AND ABATEMENT WITH THE GENERAL CONTRACTOR.

5. ALL COSTS ASSOCIATED WITH EXPLORATORY DEMOLITION AND DEMOLITION OF

NON-ACM MATERIALS NEEDED TO ACCOMPLISH ABATEMENT SHALL BE INCLUDED

IN THE ABATEMENT CONTRACTOR'S LUMP SUM PRICE FOR THE PROJECT. NO

ADDITIONAL COMPENSATION SHALL BE CONSIDERED FOR THIS WORK.

ASBESTOS NOTES:

1. CONCEALED ACM PIPE INSULATION (TSI) MAY EXIST WITHIN WALLS, PIPE CHASES

AND ABOVE RIGID CEILINGS. COORDINATE ACCESS WITH DEMOLITION DRAWINGS

AND THE GENERAL CONTRACTOR. SOME EXPLORATORY DEMOLITION MAY BE

REQUIRED TO DETERMINE IF CONCEALED ACM IS PRESENT.

2. ESTABLISH REGULATED AREAS (RA) AND NEGATIVE PRESSURE ENCLOSURES

(NPE) AND PERFORM REMOVAL IN ACCORDANCE WITH APPLICABLE

SPECIFICATION SECTIONS: SEC 02 82 13-13, GLOVEBAG ASBESTOS ABATEMENT;

SEC 02 82 11, TRADITIONAL ASBESTOS ABATEMENT; SEC 02 82 13-19, ASBESTOS

FLOOR TILE AND MASTIC ABATEMENT; 02 82 13-31 ASBESTOS TRANSITE AND

CLASS II ABATEMENT. FINALIZE LIMITS OF REGULATED AREAS, LOCATIONS OF

NEGATIVE AIR MACHINES (NAM), PERSONAL DECONTAMINATION FACILITIES (PDF),

AND WASTE DECONTAMINATION FACILITIES (WDF) BASED ON SITE CONDITIONS,

BEST PRACTICES AND PHASING REQUIREMENTS.

3. ASSUME 50% EFFICIENCY WHEN CALCULATING NAM REQUIREMENTS FOR

ACHIEVING FOUR (4) AIR CHANGES PER HOUR AND PROVIDED GREATER THAN

-0.02” WCG PRESSURE. CONFIGURE AND PLACE NAMS AS NEEDED TO MAXIMIZE

AIR MOVEMENT AND PREVENT DEAD AIR SPACE. COORDINATE NEGATIVE AIR

DISCHARGE LOCATIONS WITH GENERAL CONTRACTOR, OWNER'S

REPRESENTATIVE, AND VPIH, IF NEEDED.

4. TSI ABATEMENT FROM SECTIONS OF PIPE AND FITTINGS TO BE DEMOLISHED MAY

BE PERFORMED USING GLOVEBAGS TO ACCOMPLISH WRAP AND CUT METHODS IF

APPROVED BY THE GENERAL CONTRACTOR. COORDINATE WITH MECHANICAL

DEMOLITION DRAWINGS AND THE MECHANICAL CONTRACTOR.

5. REFER TO THE HAZARDOUS BUILDING MATERIALS INSPECTION REPORT BY AMI

ENVIRONMENTAL, DATED AUGUST 27, 2019, FOR INFORMATION CONCERNING THE

PRESENCE OF ASBESTOS CONTAINING MATERIALS IN THE PROJECT AREAS.

ASBESTOS ABATEMENT PHASING:

1. THE ABATEMENT CONTRACTOR SHALL WORK CLOSELY WITH THE GENERAL

CONTRACTOR, CONTRACTING OFFICER, OWNER OR OWNER'S REPRESENTATIVE,

AND/OR THE VPIH TO COORDINATE REMOVAL OF ACM IN ACCORDANCE WITH

PROJECT SCHEDULING, SEQUENCING, AND PHASING REQUIREMENTS. SOME

AFTER HOURS AND WEEK-END WORK MAY BE REQUIRED. PHASING IS SUBJECT TO

CHANGE TO ACCOMMODATE SITE CONDITIONS AND FACILITY OPERATIONS.

LEAD-BASED PAINT AND PAINT CONTAINING LEAD:

1. LEAD-BASED PAINT (LBP) ARE PAINTS THAT CONTAIN LEAD ≥1.0 MG/M² OR ≥0.5

PERCENT BY WEIGHT.

2. PAINT CONTAINING LEAD (PCL) IS PAINT WITH A DETECTABLE LEVEL OF LEAD.

3. LBP AND PCL ARE KNOWN TO EXIST ON MATERIALS, COMPONENTS, AND

SURFACES THAT MAY BE DISTURBED, PENETRATED, REFINISHED, OR

DEMOLISHED. PERFORM DEMOLITION OF MATERIALS AND COMPONENTS WITH LBP

AND/OR PCL IN ACCORDANCE WITH APPLICABLE REGULATIONS, SECTION 02 83

33.13, LEAD-BASED PAINT REMOVAL AND DISPOSAL.

AND THE APPROVED WORK PLAN.

4. FLAKING AND PEELING LBP AND/OR PCL ON SURFACES TO REMAIN SHALL BE

REMOVED AND STABILIZED USING METHODS IN ACCORDANCE WITH SECTION 02 83

33.13, LEAD-BASED PAINT REMOVAL AND DISPOSAL.

5. IF WALLS WITH LBP ARE TO BE DEMOLISHED, WALL MAY BE REMOVED AND

DISPOSED OF IN ACCORDANCE WITH APPROVAL FROM GENERAL CONTRACTOR.

PERFORM REMOVAL AND DISPOSAL IN ACCORDANCE WITH SECTION 02 83 33.13,

OR 29 CFR 1926.62 LEAD IN CONSTRUCTION FOR MINIMAL NON-ABATEMENT

LEAD-BASED PAINT DISTURBANCE.

6. REFER TO THE HAZARDOUS BUILDING MATERIALS INSPECTION REPORT BY AMI

ENVIRONMENTAL, DATED AUGUST 27, 2019, FOR INFORMATION CONCERNING THE

PRESENCE OF LBP, LEAD CONTAINING MATERIALS AND PCL IN THE PROJECT

AREAS.

Summary of Asbestos Materials to be Potentially Impacted

DESCRIPTION LEGEND FRIABLE EST. QTY.

Black Mastic on Ducts & Concrete above Ceiling Tiles No

200 Square Feet

(SF)

8" Diameter Pipe Insulation (labeled ACM) Yes

60 Linear Feet (LF)

8" Diameter Fittings (labeled ACM) Yes

10 Each (EA)

Summary of Lead-Based Painted Materials to be Potentially Impacted

DESCRIPTION LEGEND

PEELING OR

DELAMINATING

EST. QTY.

Entry Door & Frame to Mechanical Room on Floor

Below Project Area

No 1 ea.

* Note - Lead-Based Paint is 1 level down from marked area on main level.

AutoCAD SHX Text

FOURFRONT DESIGN, INC.

AutoCAD SHX Text

517 7TH STREET

AutoCAD SHX Text

RAPID CITY, SOUTH DAKOTA 57701

AutoCAD SHX Text

PH: (605) 342-9470

AutoCAD SHX Text

FAX: (605) 342-2377

AutoCAD SHX Text

WWW.FOURFRONTDESIGN.COM

AutoCAD SHX Text

FOUR

AutoCAD SHX Text

FRONT

AutoCAD SHX Text D E S I G N I N C.

AutoCAD SHX Text

AMI ENVIRONMENTAL

AutoCAD SHX Text

8802 S. 135TH STREET SUITE 100

AutoCAD SHX Text

OMAHA, NE 68138

AutoCAD SHX Text

PH: (402) 861-4445

AutoCAD SHX Text

FARRIS ENGINEERING

AutoCAD SHX Text

12700 WEST DODGE ROAD

AutoCAD SHX Text

OMAHA, NEBRASKA 68154

AutoCAD SHX Text

PH: (402) 330-5900

AutoCAD SHX Text

SCHEMMER

AutoCAD SHX Text

1044 NORTH 115TH ST, SUITE 3300

AutoCAD SHX Text

OMAHA, NEBRASKA 68154

AutoCAD SHX Text

PH: (402) 493-4800

UP

MEN

GA149

WOMEN

GA150

PRIMARY CARE

GA151

PRIMARY CARE

GA153

PRIMARY CARE

GA154

PRIMARY CARE

GA148E

PRIMARY CARE

GA148D

PHARMACY SUPPLY

CHECK IN

GA148C

PRIMARY CARE

GA148B

CONFERENCE ROOM

GA148A

BREAK ROOM

GA148

IV SOLUTION

STORAGE

GA143A

INPATIENT

PHARMACY

GA143F

OFFICE

GA143B

OFFICE

GA141B

MOBILE FILE ROOM

GA143D

NEGATIVE CHEMO

CLEAN ROOM

GA142B1

ANTE ROOM

GA142B

POSITIVE IV CLEAN

ROOM

GA142A1

ANTE ROOM

GA142A

STORAGE / SUPPLY

ROOM

GA142

STAIR 2

02-06

02-0502-05

02-0502-05

02-01

02-0102-01

02-0202-02

02-0502-05

02-06

02-0102-0102-01

02-02

02-01

02-02

02-0702-07

02-01

02-0702-07

02-01

02-0202-02

02-01

02-02

02-01

02-11

02-07

02-50

02-13

02-02

02-09

02-05

02-09

02-09

02-10 02-10

02-15

02-08

02-12 02-14

02-12

02-04

02-0402-04

02-04

02-0402-04

02-05

02-0402-0402-04

02-01

02-01

02-01

02-01

02-02

02-02

02-02

02-02

02-02

02-0102-01

02-01

02-02

02-01

02-01

02-01

02-02

02-0102-01

02-01

02-02

02-0202-02

02-01

02-01

02-01

02-01

02-02

02-10

02-03

02-0302-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-02

02-03

02-03

02-03

02-03

02-01

02-03

02-01

02-04

02-04

02-04

02-07

02-07

26-0126-0126-01

26-01

A5.01

A5.01

A5.01

A5.01 30

A5.02

A5.01

A5.01

A5.01

A5.02

A5.02

A5.02

A5.02

4 2

N

Office of

Construction and Facilities

Management

Project Number

Building Number

Drawing Number

Dwg.

DrawnCheckedDate

Location

Project TitleDrawing Title

Approved: Project Director

ARCHITECT/ENGINEERS:CONSULTANTS:

DateRevisions:

VA FORM 08-6231

o n e e i g h t h i n c h o n e f o o t o n e q u a r t e r i n c h o n e f o o t t h r e e e i g h t h s i n c h o n e f o o t o n e h a l f i n c h o n e f o o t t h r e e q u a r t e r s i n c h o n e f o o t o n e i n c h o n e f o o t o n e a n d o n e h a l f i n c h e s o n e f o o t t h r e e i n c h e s o n e f o o t

F

E

D

C

B

A

1 2 3 4 5 6 7 8 9

F

E

D

C

B

A

1 2 3 4 5 6 7 8 9

Department of

Veterans Affairs of

635-16-104

PROJECT AREA

KEY PLAN

NOT TO SCALE

09/03/2019

DEHIIWHC

XXX

ASBESTOS CONTAINING

MATERIAL

OKLAHOMA

CITY VAMC

15-2226.013

95% CONSTRUCTION DOCUMENTS

RENOVATE PHARMACY FOR

CHAPTER 797_800

OKLAHOMA CITY, OKLAHOMA

HA101

ASBESTOS KEYED NOTES

1. ESTABLISH REGULATED AREA (MINOR

DECONTAMINATION AREA) AND REMOVE BLACK

MASTIC ON DUCTS AND FLOOR DECK ABOVE

CEILING.

2. ESTABLISH REGULATED AREA AND REMOVE ACM

LABELED THERMAL SYSTEM INSULATION (TSI)

COVERED PIPE AND FITTINGS USING GLOVEBAG

ABATEMENT METHODS AS REQUIRED BY SECTION 02

82 13.13. FOR SECTIONS OF PIPE TO BE

DEMOLISHED, WRAP AND CUT METHODS MAY BE

USED ONLY IF APPROVED BY THE GENERAL

CONTRACTOR. WHEN GLOVEBAG METHODS ARE

NOT FEASIBLE, USE FULL CONTAINMENT AND

ISOLATION PROCEDURES (MAJOR

DECONTAMINATION AREAS) IN ACCORDANCE WITH

SECTION 02 82 11, TRADITIONAL ASBESTOS

ABATEMENT.

3. CONCEALED TSI CONTAINING ACM MAY EXIST IN

WALLS, ABOVE CEILINGS, IN PIPE CHASES, AND

WITHIN WALL PENETRATIONS. IF SUSPECT ACMS ARE

ENCOUNTERED DURING CONSTRUCTION AND

DEMOLITION THAT ARE NOT IDENTIFIED ON THE

ASBESTOS ABATEMENT DRAWINGS, STOP WORK

AND CONTACT THE PROJECT MANAGER AND VPIH.

4. THE PROJECT AREA WAS RECENTLY SURVEYED FOR

ACM. REFER TO THE HAZARDOUS BUILDING

MATERIALS INSPECTION REPORT BY AMI

ENVIRONMENTAL, DATED AUGUST 27, 2019, FOR

MORE INFORMATION ABOUT ACMS IDENTIFIED IN

THE PROJECT AREA.

Summary of Asbestos Materials to be Potentially Impacted

DESCRIPTION LEGEND FRIABLE EST. QTY.

Black Mastic on Ducts & Concrete above Ceiling Tiles No

200 Square Feet

(SF)

8" Diameter Pipe Insulation (labeled ACM) Yes

60 Linear Feet (LF)

8" Diameter Fittings (labeled ACM) Yes

10 Each (EA)

AutoCAD SHX Text

FOURFRONT DESIGN, INC.

AutoCAD SHX Text

517 7TH STREET

AutoCAD SHX Text

RAPID CITY, SOUTH DAKOTA 57701

AutoCAD SHX Text

PH: (605) 342-9470

AutoCAD SHX Text

FAX: (605) 342-2377

AutoCAD SHX Text

WWW.FOURFRONTDESIGN.COM

AutoCAD SHX Text

FOUR

AutoCAD SHX Text

FRONT

AutoCAD SHX Text D E S I G N I N C.

AutoCAD SHX Text

AMI ENVIRONMENTAL

AutoCAD SHX Text

8802 S. 135TH STREET SUITE 100

AutoCAD SHX Text

OMAHA, NE 68138

AutoCAD SHX Text

PH: (402) 861-4445

AutoCAD SHX Text

FARRIS ENGINEERING

AutoCAD SHX Text

12700 WEST DODGE ROAD

AutoCAD SHX Text

OMAHA, NEBRASKA 68154

AutoCAD SHX Text

PH: (402) 330-5900

AutoCAD SHX Text

SCHEMMER

AutoCAD SHX Text

1044 NORTH 115TH ST, SUITE 3300

AutoCAD SHX Text

OMAHA, NEBRASKA 68154

UP

MEN

GA149

WOMEN

GA150

PRIMARY CARE

GA151

PRIMARY CARE

GA153

PRIMARY CARE

GA154

PRIMARY CARE

GA148E

PRIMARY CARE

GA148D

PHARMACY SUPPLY

CHECK IN

GA148C

PRIMARY CARE

GA148B

CONFERENCE ROOM

GA148A

BREAK ROOM

GA148

IV SOLUTION

STORAGE

GA143A

INPATIENT

PHARMACY

GA143F

OFFICE

GA143B

OFFICE

GA141B

MOBILE FILE ROOM

GA143D

NEGATIVE CHEMO

CLEAN ROOM

GA142B1

ANTE ROOM

GA142B

POSITIVE IV CLEAN

ROOM

GA142A1

ANTE ROOM

GA142A

STORAGE / SUPPLY

ROOM

GA142

STAIR 2

02-06

02-0502-05

02-0502-05

02-01

02-0102-01

02-0202-02

02-0502-05

02-06

02-0102-0102-01

02-02

02-01

02-02

02-0702-07

02-01

02-0702-07

02-01

02-0202-02

02-01

02-02

02-01

02-11

02-07

02-50

02-13

02-02

02-09

02-05

02-09

02-09

02-10 02-10

02-15

02-08

02-12 02-14

02-12

02-04

02-0402-04

02-04

02-0402-04

02-05

02-0402-0402-04

02-01

02-01

02-01

02-01

02-02

02-02

02-02

02-02

02-02

02-0102-01

02-01

02-02

02-01

02-01

02-01

02-02

02-0102-01

02-01

02-02

02-0202-02

02-01

02-01

02-01

02-01

02-02

02-10

02-03

02-0302-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-03

02-02

02-03

02-03

02-03

02-03

02-01

02-03

02-01

02-04

02-04

02-04

02-07

02-07

26-0126-0126-01

26-01

A5.01

A5.01

A5.01

A5.01 30

A5.02

A5.01

A5.01

A5.01

A5.02

A5.02

A5.02

A5.02

4 2

N

Office of

Construction and Facilities

Management

Project Number

Building Number

Drawing Number

Dwg.

DrawnCheckedDate

Location

Project TitleDrawing Title

Approved: Project Director

ARCHITECT/ENGINEERS:CONSULTANTS:

DateRevisions:

VA FORM 08-6231

o n e e i g h t h i n c h o n e f o o t o n e q u a r t e r i n c h o n e f o o t t h r e e e i g h t h s i n c h o n e f o o t o n e h a l f i n c h o n e f o o t t h r e e q u a r t e r s i n c h o n e f o o t o n e i n c h o n e f o o t o n e a n d o n e h a l f i n c h e s o n e f o o t t h r e e i n c h e s o n e f o o t

F

E

D

C

B

A

1 2 3 4 5 6 7 8 9

F

E

D

C

B

A

1 2 3 4 5 6 7 8 9

Department of

Veterans Affairs of

635-16-104

PROJECT AREA

KEY PLAN

NOT TO SCALE

09/03/2019

DEHIIWHC

XXX

LEAD-BASED PAINT

OKLAHOMA

CITY VAMC

15-2226.013

95% CONSTRUCTION DOCUMENTS

RENOVATE PHARMACY FOR

CHAPTER 797_800

OKLAHOMA CITY, OKLAHOMA

HA102

LEAD NOTES

1. LBP IS KNOWN TO EXIST ON MATERIALS,

COMPONENTS, AND SURFACES THAT MAY BE

DISTURBED, PENETRATED, REFINISHED, OR

DEMOLISHED. PERFORM DEMOLITION OF

MATERIALS AND COMPONENTS WITH LBP AND/OR

PCL IN ACCORDANCE WITH APPLICABLE

REGULATIONS, SECTION 02 83 33.13, LEAD-BASED

PAINT REMOVAL AND DISPOSAL AND THE

APPROVED WORK PLAN.

2. CONCEALED LBP MAY BE PRESENT ON SURFACES

BEHIND WALLS AND MAY BE IMPACTED FOR

PENETRATIONS, OR WALL DEMOLITION. LBP DUST

MUST BE CONTROLLED ACCORDING TO 29 CFR

1926.62. PERFORM CLEANUP AND DISPOSAL OF LBP

DUST AND DEBRIS IN ACCORDANCE WITH SECTION

02 83 33.13, LEAD-BASED PAINT REMOVAL AND

DISPOSAL.

Summary of Lead-Based Painted Materials to be Potentially Impacted

DESCRIPTION LEGEND

PEELING OR

DELAMINATING

EST. QTY.

Entry Door & Frame to Mechanical Room on Floor

Below Project Area

No 1 ea.

* Note - Lead-Based Paint is 1 level down from marked area on main level.

AutoCAD SHX Text

FOURFRONT DESIGN, INC.

AutoCAD SHX Text

517 7TH STREET

AutoCAD SHX Text

RAPID CITY, SOUTH DAKOTA 57701

AutoCAD SHX Text

PH: (605) 342-9470

AutoCAD SHX Text

FAX: (605) 342-2377

AutoCAD SHX Text

WWW.FOURFRONTDESIGN.COM

AutoCAD SHX Text

FOUR

AutoCAD SHX Text

FRONT

AutoCAD SHX Text D E S I G N I N C.

AutoCAD SHX Text

AMI ENVIRONMENTAL

AutoCAD SHX Text

8802 S. 135TH STREET SUITE 100

AutoCAD SHX Text

OMAHA, NE 68138

AutoCAD SHX Text

PH: (402) 861-4445

AutoCAD SHX Text

FARRIS ENGINEERING

AutoCAD SHX Text

12700 WEST DODGE ROAD

AutoCAD SHX Text

OMAHA, NEBRASKA 68154

AutoCAD SHX Text

PH: (402) 330-5900

AutoCAD SHX Text

SCHEMMER

AutoCAD SHX Text

1044 NORTH 115TH ST, SUITE 3300

AutoCAD SHX Text

OMAHA, NEBRASKA 68154

APPENDIX D

Analytical Results

Asbestos Lab Report

Lead Results

XRF Lead Analysis Report

Asbestos Lab Report

EMSL Analytical, Inc.

200 Route 130 North Cinnaminson, NJ 08077

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

041923390EMSL Order:

Customer ID: AMI50

Customer PO: 18-00337

Project ID:

Attention: Phone:William Crowe (402) 397-5001

Fax:AMI Group, Inc. (402) 397-3313

Received Date:8802 South 135th Street 08/09/2019 9:15 AM

Analysis Date:Suite 100 08/12/2019 - 08/13/2019

Collected Date:Omaha, NE 68138-6511 08/06/2019

Project: 18-00337 / Okla Cita, VA Pharmacy / OKC

Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized

Light Microscopy

Sample Description Appearance % Fibrous % Non-Fibrous

Non-Asbestos Asbestos

% Type

1-Vinyl Floor Tile

041923390-0001

None DetectedNon-fibrous (Other)100%White/Beige

Non-Fibrous

Homogeneous

12x12 VFT - Tan

1-Mastic

041923390-0001A

None DetectedNon-fibrous (Other)100%Yellow/Clear

Non-Fibrous

Homogeneous

Mastic

2-Vinyl Floor Tile

041923390-0002

None DetectedNon-fibrous (Other)100%White/Beige

Non-Fibrous

Homogeneous

12x12 VFT - Tan

2-Mastic

041923390-0002A

None DetectedNon-fibrous (Other)100%Black/Clear

Non-Fibrous

Homogeneous

Mastic

3-Vinyl Floor Tile

041923390-0003

None DetectedNon-fibrous (Other)100%White/Beige

Non-Fibrous

Homogeneous

12x12 VFT - Tan

3-Mastic

041923390-0003A

None DetectedNon-fibrous (Other)100%Black/Yellow/Clear

Non-Fibrous

Heterogeneous

Mastic

4-Vinyl Floor Tile

041923390-0004

None DetectedNon-fibrous (Other)100%Gray/White

Non-Fibrous

Homogeneous

Dark 12x12 VFT -

Brown

4-Mastic

041923390-0004A

None DetectedNon-fibrous (Other)100%Black/Yellow

Non-Fibrous

Heterogeneous

Mastic

041923390-0005

None DetectedNon-fibrous (Other)35%Cellulose

Min. Wool

30%

35%

Gray/White

Fibrous

Homogeneous

Pin 24x24 Ceiling Tile

- White

041923390-0006

None DetectedNon-fibrous (Other)35%Cellulose

Min. Wool

30%

35%

Gray/White

Fibrous

Homogeneous

Pin 24x24 Ceiling Tile

- White

041923390-0007

None DetectedNon-fibrous (Other)10%Cellulose

Min. Wool

60%

30%

Gray/White

Fibrous

Homogeneous

Pin 24x24 Ceiling Tile

- White

041923390-0008

None DetectedNon-fibrous (Other)100%Gray

Non-Fibrous

Homogeneous

Gray Duct Mastic

9-Drywall

041923390-0009

None DetectedNon-fibrous (Other)100%Brown/White

Fibrous

Homogeneous

Drywall

9-Joint Compound

041923390-0009A

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Joint Compound

041923390-0010

None DetectedNon-fibrous (Other)95%Synthetic5%Tan/Red

Fibrous

Homogeneous

Plaster

11-Skim Coat

041923390-0011

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Plaster

Initial report from: 08/12/2019 09:00:44

Page 1 of 4ASB_PLM_0008_0001 - 1.78 Printed: 8/14/2019 12:24 AM

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

041923390EMSL Order:

Customer ID: AMI50

Customer PO: 18-00337

Project ID:

Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized

Light Microscopy

Sample Description Appearance % Fibrous % Non-Fibrous

Non-Asbestos Asbestos

% Type

11-Base Coat

041923390-0011A

None DetectedNon-fibrous (Other)95%Synthetic5%Tan/Red

Fibrous

Homogeneous

Plaster

041923390-0012

None DetectedNon-fibrous (Other)100%Yellow

Non-Fibrous

Homogeneous

Cove Mastic

041923390-0013

None DetectedNon-fibrous (Other)100%Brown/Yellow

Non-Fibrous

Homogeneous

Offices - 24x24

Carpet Square

14-Mastic

041923390-0014

None DetectedNon-fibrous (Other)100%Yellow

Non-Fibrous

Homogeneous

Offices - 24x24

Carpet Square

14-Leveler

041923390-0014A

None DetectedNon-fibrous (Other)100%Gray

Non-Fibrous

Homogeneous

Offices - Leveler

041923390-0015

None DetectedNon-fibrous (Other)20%Cellulose

Min. Wool

50%

30%

White

Fibrous

Homogeneous

24x24 Ceiling Tile

041923390-0016

None DetectedNon-fibrous (Other)45%Cellulose

Glass

35%

20%

White/Silver/Yellow

Fibrous

Homogeneous

White Mastic Duct

041923390-0017

None DetectedNon-fibrous (Other)55%Cellulose

Glass

30%

15%

White/Silver

Fibrous

Homogeneous

White Mastic Duct

18-Skim Coat

041923390-0018

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Plaster

18-Base Coat

041923390-0018A

None DetectedNon-fibrous (Other)95%Synthetic5%Tan

Fibrous

Homogeneous

Plaster

041923390-0019

None DetectedNon-fibrous (Other)100%Brown/Black/Yellow

Non-Fibrous

Homogeneous

24x24 Carpet Square

Mastic

041923390-0020

None DetectedNon-fibrous (Other)100%Gray/Tan

Non-Fibrous

Homogeneous

24x24 Carpet Square

Mastic

041923390-0021

None DetectedNon-fibrous (Other)30%Cellulose

Min. Wool

30%

40%

Gray/White

Fibrous

Homogeneous

Worm and Hole

Ceiling Tile

041923390-0022

None DetectedNon-fibrous (Other)20%Cellulose

Min. Wool

40%

40%

Gray/White

Fibrous

Homogeneous

24x24 Ceiling Tile

Hole and Fissure

041923390-0023

None DetectedNon-fibrous (Other)70%Cellulose30%White

Fibrous

Homogeneous

2" Mudded Fitting

041923390-0024

None DetectedNon-fibrous (Other)70%Cellulose30%White

Fibrous

Homogeneous

2"…

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