2010 Asbestos Report-Building 1D.pdf

ASBESTOS MANAGEMENT PLAN

IOANNIS A, LOUGARIS MEDICAL CENTER

BUILDINGS 1, 1A, 1D, 5, 7, 8, AND 10

1000 LOCUST STREET

RENO,NEVADA

Prepared for:

VETERANS ADMINISTRATION

SIERRA NEVADA HEAL TH CARE SYSTEM

1000 LOCUST STREET

RENO,NEVADA 89502

Converse Project No. 09-23635-01

Prepared by:

CONVERSE CONSULTANTS

4840 MILL STREET, UNIT 5

RENO,NEVADA 89502

MAY 14, 2010

Asbestos Management Plan Contents

1.0

2.0

3.0

General Information and Inspection Findings

1.1 Asbestos Containing Materials

1.2 Building Materials with Trace Asbestos

1.3 Sample Building Material with No Detectable Asbestos

Operations and Maintenance Program

2.1 Objectives

2.2 Medical Center's AMP Designated Person

2.3 Training

Page

2.4 Disciplinary Policies and Procedures

2.5 Supporting Professionals

2.6 Medical Surveillance

2.7 Notification Policy

2.8 Employee Protection

2.9 Specialized Cleaning Procedures

2.10 Maintenance /Renovation Permit System

Special Work Practices for Maintenance Activities

16 2.11

2.12 2.13

Special Work Practices for Renovation Activities 18 Emergency Response Procedures 19 Figure 1 -Fiber Release Episode Report

2.14 Surveillance and Re-Inspection Policies and Procedures 22 Figure 2 - Reassessment of Asbestos Containing Materials (ACM)

Recordkeeping

3.1 Responsibility

3.2 Location of Records

3.3 Updating Frequency

3.4 Records Retention

4.0 Response Actions 26

4.1 Homogeneous Areas Needing Response Actions

4.2 Recommended Response Actions

4.3 Schedule

Appendix A - Management Plan Forms Appendix B - Drawings Appendix C - Certifications

Appendix B- EPA Green Book- Managing Asbestos in Place

VA Sierra NV HCS Mgmt Plan.doc

Asbestos Mana_gement Plan

1.0 General Information and Inspection Findings

This Asbestos Management Plan (AMP) was prepared following procedures identified in the EPA Asbestos Hazard Emergency Response Act (AHERA) (40 CFR Part 763 Subpart E). Though AHERA applies to schools (K-12) and the Ioannis A. Lougaris Medical Center (Medical Center) is a health care facility and not a school, the Sierra Nevada Healthcare System of the Veterans Administration (VA) has chosen AHERA methods for its asbestos management procedures. In addition to the requirements of AHERA, this AMP will address previously identified Asbestos Containing Materials (ACM) in addition to the AHERA required Asbestos Containing Building Materials (ACBM) which are a subset of ACMs. ACM is defined by the EPA and OSHA as those materials containing greater than one (1) percent asbestos.

During the week of April 13 through 17, 2009, with a follow-up site visit on April 7th , 2010, Converse Consultants (Converse) conducted a visual re inspection of buildings 1, lA, 1 D, 5, 7, 8, and 10 located at the Medical Center, 1000 Locust Street, Reno, Nevada for the current presence and condition of asbestos-containing building materials (ACBMs). This Asbestos Management Plan (AMP) includes information from the previous Wise Consulting and Training AMP dated June of 1999 and the data identified in the Asbestos Re Inspection and Assessment (ARA) report by IHI Environmental (IHI) dated December 7, 2001. The IHI ARA was based on an Asbestos Survey Report dated August 1992 by National Asbestos Consultants, Inc.

The following tables summarize the currently assessed building materials from the Medical Center buildings that have been evaluated. The first set of tables describes the ACMs that have been identified. The next category of table describes non-ACM materials identified that had a trace of asbestos detected.

Though the EPA would not regulate these materials, OSHA would continue to require employees not to be exposed to asbestos over the airborne exposure limit if these are disturbed. As such these materials should be included in the APM. The last table summarizes those materials that have been sampled and analyzed and found not to have detectable asbestos present.

Asbestos Management Plan 2

1.1 Asbestos Containing Materials (ACM)

The following Tables summarize the currently understood categories, homogeneous areas, locations, conditions, and approximate quantities of ACM (e.g., building materials with > 1 % asbestos) identified in the past and current inspections

BUILDING 1

Basement (B), Ground Floor (G), 1st, 2nd, 3rd, 4th, 5th Floors and Penthouse (P) Matl. Material HA Locations Cond. Approx. OSHA EPA Cat. Quant. Class Cat.

Sections ln & le Ground, Spray Applied Third, & Fourth Floor;

Sections ln, le & le First SM Acoustic Ceiling Floor; Sections ln, le, ls, G 16,625 sf I RACM

Material & le Second Floor; and Section 1 c Fifth Floor

All Areas Except Fifth

TS! TS! Pipe & Fitting Floor, Section le of D 20,000 lf I RACM

Insulation - Fourth Floor, and Section 1 s of First Floor

TS! Air Duct Insulation Section le Penthouse G 125 sf I RACM

MISC

Cork and Tar Pipe &

Section 1 e Basement G 250 lf II Cat II Fitting Insulation

Various Size and All Areas Except Section

Color Floor Tile and MISC Black Mastic ls of First Floor, Section D 35,000 sf II Cat I

All 9'X9' Size Floor le of Third and Fourth

Tile ASSUMED ACM Floors, and Penthouse

MISC

Black Floor Tile Sections ln & le Ground

D 2,000 sf II Cat II Mastic Only Floor

MISC

Cork and Tar Wall Section le Basement

G 500 sf II Cat II and Ceiling Surfacing Middle (B4)

MISC Vibration Isolators Section le Penthouse G 5 units

II Cat II (White Woven Cloth) 60 If total

Asbestos Management Plan 3

MISC Sheet Floor Covering Rooms 18A, 130F, 308A, G 3000 sf II- RACM 309B, 315, and 376A friable

Asbestos Cement Sections 1 n, le & 1 e First

MISC Radiator Heat Floor; Sections ln, le, 1 s, G 3800 sf II Cat Il Shields & le Second, Third, &

Fourth Floors

MISC

Asbestos Cement Section ls Second, Third, G 48 If II Cat II Vent Pipe Riser Fourth and Fifth Floors

Drywall Joint Not MISC Compound Various Locations G UND II ACM

ASSUMED

MISC Wall Texture Various Locations

ASSUMED

G UND II RACM

MISC Base Cove/Mastic Various - Locations

ASSUMED

G UND JI Cat II

Was identified in Area 1-5 Ground Floor - Hallway

1 ' x 1' Ceiling Tile C-11 outside Room 39 MISC Mastic (Pucks) and in Hallway C-7 and G UND II Cat II

ASSUMED Rooms IA, lB, lC and 1D May be present in other locations undetermined

Ceramic MISC Tile/Grout/Mortar Various Locations G UND ll Cat II

ASSUMED

East Exterior Stairwells

MISC

Exterior Stucco Only

G UND II Cat II ASSUMED (Majority of structure painted concrete)

SM = Surfacing Material D = Damaged Condition TS! = Thermal System Insulation Cat l = Non--friable Category l ACM MlSC = Miscellaneous Material Cat II - Non-friable Category I ACM ACM Asbestos Containing Material lf = linear feet RACM Regulated Asbestos Containing Material sf = square feet G = Good Condition UND Undetermined N/A = Not Applicable

Asbestos Management Plan 4

BUILDING IA

Ground Floor (G), 1st and 2nd Floors Matl. Material HA Locations Cond. Approx. OSHA EPA Cat. Ouant. Class Cat.

Renovated 2006 and 2007 with ACM Removed

NA Assumed None NA NA NA NA NA

BUILDING ID

Basement (BJ, Ground Floor (G), l•t, 2nd, 3"1, 4th, and 5th Floors Matl. Material HA Locations Cond. Approx. OSHA EPA Cat. Quant. Class Cat.

12"X 12" Floor Tile Various on Ground, First~ MISC Various Colors & G 23,000 sf II Cat 1

Mastic Third and Fourth Floors

1st Floor Areas designated

MISC Black Floor Tile as 1D1C, 1D106, 1D114 G 1,000 sf II Cat II

Mastic Only and the North Area of 1D105

MISC Undercoated Sinks Various on Ground and G 20 sinks II Cat 11 one on First

MISC Sheet Floor Covering North End of Ground Hall G 100 sf II RACM

ASSUMEil_ GD119 Friable

Ceramic MISC Tile/Grout/Mortar Various - Locations G UND II Cat II

ASSUMED

North/South/West Walls

Exterior Stucco of the Structure with the

MISC entire East Wall and G UND JI Cat II ASSUMED partial North/South Walls

Concrete

Roofing Mastics and Cat I MISC Other Materials Roof Area of the Structure G UND II

& II

ASSUMED

Asbestos Management Plan 5

BUILDING 5

Ground Floor (G) Matl. Material HA Locations Cond. I Approx. OSHA EPA Cat. Quant. Class Cat.

Emergency Generator Building with No Reported ACM Based on 2002 Re-Inspection Report

NA Assumed None NA NA NA NA NA

BUILDING 7

Ground Floor (G) Matl. Material HA Locations Cond. Approx. OSHA EPA Cat. Quant. Class Cat.

MISC

Black Floor Tile Rooms designated as 10 l, G 3,788 sf II Cat II Mastic 107, 108, 109, and 115

Ceiling Drywall Room 104 Utility Closet

MISC

ASSUMED

and Room 102 Bathroom D 100 sf II Cat II and Shower Room

Base Cove and Rooms 108, 101, 110, MTSC Mastic G UND II Cat II

ASSUMED

114, 115, 116, 117

Ceramic Room 104 Utility Closet MISC Tile/Grout/Mortar and Room 102 Bathroom G 300 sf II Cat II

ASSUMED and Shower Room

Exterior Stucco on Exterior Walls of the

MISC Concrete Structure

G UND II Cat II

ASSUMED

Roofing Mastics and Cat!

MISC Other Materials Roof Area of Structure G UND II

& II

ASSUMED

BUILDING 8

Ground Floor (G), Mezzanine Matl. Material HA Locations Cond. Approx. OSHA EPA Cat. Quant. Class Cat.

Interior Boiler Tank Three Boiler Tanks in

Insulation Gl02

G 3 Tanks I RACM

TS!

ASSUMED

(No Insulation on. Exterior of Tanks)

Asbestos Management Plan 6

MISC

Black Floor Tile

Room GlOS G 450 sf II Cat II Mastic

Base Cove and MISC Mastic Room GlOS G 4 lf II Cat II

ASSUMED

MISC Fire Rated Doors

ASSUMED

Room Gl06 G 5 Ea. II RACM

MISC Ceramic Tile & Grout Room Gl03 Bathroom G 100 sf II Cat II

ASSUMED Entry

Exterior Stucco on Exterior Walls of the MISC Cement Structure

G UND II Cat II

ASSUMED

Roofing Mastics and Cati MISC Other Materials Roof Area of Structure G UND II

& II

ASSUMED

BUILDING 10

Basement (B), Ground Floor (G) Matl. Material HA Locations Cond. Approx. OSHA EPA Cat. Quant. Class Cat.

Tan Tank Insulation

TSI

Canvas Cover Ground Floor Mechanical

G 300 sf II RACM (Solar Hot Water RoomA127

Tank)

12"Xl2" Floor Tile Various Ground Floor

MISC Various Colors and Areas

G 20,000 sf II Cati Black Mastic

Black Floor Tile Various Basement Areas

MISC and Ground Floor Room G 4,700 sf II Cat II Mastic AIOI

MISC

Stucco

Hall C7 G UNO II Cat II

ASSUMED

Asbestos Management Plan 7

MISC Wall Plaster Room F002 North & West ASSUMED Walls G UNO II Cat II

Base Cove and MISC Mastic Various - Locations G UNO 11 Cat II

ASSUMED

Ceiling Tile Mastic Beneath 1' x 1' Glued

Ceiling Tiles MISC Pucks (Tongue and Groove G UNO II Cat II

ASSUMED

also identified)

Ceramic A116, Al24, A129, Bl00, MISC Tile/Grout/Mortar B144, Bl45, B148 and G UNO II Cat II

ASSUMED Patient Room Baths

Exterior Stucco West Exterior Wall and MISC Panels

Partial North Wall G UNO II Cat II

ASSUMED

Roofing Mastics and Cat I MISC Other Materials Roof Area of Structure G UND II

&II ASSUMED

1.2 Building Materials with Trace Asbestos

The following Table summarizes the homogeneous areas and locations of building materials found to have Trace (.s_l %) amounts of asbestos identified in the material(s) analyzed.

MATERIALS WITH TRACE (.-Sl%) ASBESTOS DETECTED (NON-ACM)

Material HA I Location(s)

BUILDING 1

None Reported I BUILDING lA

None Reported I BUILDING lD

None Reported I

Asbestos Management Plan 8

BUILDING 5

None Reported I -----

BUILDING 7

None Reported I -----

BUILDING 8

None Reported I -----

BUILDING 10

Floor Tile I Hallway Cl-5 and North side of door to Room

All6

1.3 Sampled Building Materials With No Detectable Asbestos

The following Tables summarize the homogeneous areas and locations of building materials that were sampled and found not to contain detectable asbestos. It should be noted that current industry practices have identified non-friable organically bound (NOB) materials such as floor tile and mastics as being difficult to analyze using the traditional Polarized Light Microscopy (PLM) method. As such NOBs that have been found not to contain asbestos by PLM should be considered ACM until at least one representative sample is analyzed by Transmission Electron Microscopy (TEM) to confirm the absence of asbestos.

MATERIALS WITH NO DETECTABLE ASBESTOS

Material HA Location(s)

BUILDING 1

12"Xl2" brown, white & blue marble FT and Fourth Floor yellow mastic over VAT 12"X12" beige marble FT over ACM mastic Third Floor 12"X12" white w / beige flecks & 12"X12" blue Second Floor Hall & Some Rooms marble FT and yellow mastic over VAT 12"X12" white w / multi-streaks and First Floor green/purple FT over VAT 12"X12" gray and white marble FT and yellow First Floor South Wing mastic 12"Xl2" beige and grey marble FT and yellow Ground Floor mastic 2'X2' white worm/oinhole oattern CT First Floor South Wing

Asbestos Management Plan 9

BUILDING lA None Reoorted - Renovated 2006 and 2007

BUILDING lD 2'X2' and 2'X4' suspended CT with various Throughout Building oatterns 1 'X l' attached CT Ground Floor Triage/Info Drvwall and ioint comoound /5 samolesl Walls and Some Ceilings Throughout Building 12"Xl2" white w/ blue-rust-purple splotches Ground Floor Various Areas; (white w / gray) and white w / gray flecks FT and yellow mastic Various Rooms on First and Second Floors 12"Xl2" cream-peach-turquoise FT over black First Floor !DCl NW Elevator Hall ACM mastic 12"Xl2" white w/ gray-tan splotches FT and First Floor South Radiology Hall yellow mastic 12"Xl2" beige marble FT and yellow mastic Second Floor Ten Rooms in OR Sheet Floor Covering various colors and Second Floor Various Locations patterns Sink Undercoating black on stainless steel First Floor Rooms !Dl42 and 1Dl47 Pipe Insulation paper wrap white fibrous Ground Floor Mechanical Room GD216 plaster Duct Insulation white canvas and sealant over First and Second Floor Mechanical Rooms fiberglass 1D!02, 1Dl69, 2D!02, and 2Dl95

BUILDING 5

None Reported

BUILDING 7

2'X4' suspended CT with various patterns Ground Floor Rooms 109 and 115 12"Xl2" gray marble FT over black ACM Ground Floor Room 115 mastic 12"Xl2" beige marble FT over black ACM Ground Floor Rooms 108, 114, and 117 mastic Duct Tape - tan cloth Ground Floor Rooms 108, 114 and 117 Drvwall and ioint comoound (3 samoles) Ground Floor Walls Throughout Building Sink Undercoating - Black Ground Floor Breakroom IO 1

BUILDING 8

Drywall and joint compound (2 samples) Ground Floor Rooms Gl0l, Gl03, Gl04, Gl05, Gl06, and Gl07 Sprayed-on fireproofing (3 samples) Ground Floor Room G 106 and Mezzanine

Stairwell 12"Xl2" white w / multi-color splotches FT Ground Floor Room G 105 over black ACM mastic 2'X4' white with different oatterns CT Ground Floor Rooms Gl03, Gl04, and Gl05 Pipe insulation canvas covered plaster (3 Ground Floor Generator Room Gl0l (elbow, samolesl vertical flue, straight run) Exterior tank (1) insulation canvas covered Ground Floor SWC Condensate Room plaster (3 samples)

Asbestos Management Plan 10

BUILDING 10

Drywall and joint compound (3 samples) 2'X4' white and tan colors various natterns CT 2'X2' worm-pin pattern CT 1 'X l' beige worm nattern CT l 'Xl' white worm-pin pattern CT 12"X12" It beige marble FT over yellow mastic

12"Xl2" white w/ gray marble FT (over ACM mastic} 12"Xl2" It tan w / rust-white streaks FT over yellow mastic 12"Xl2" gray w / white-rust marble FT over ACM black mastic Black mastic residue under carnet Sink undercoating - black Duct tape cloth w / beige sealant Duct tane cloth w / white sealant Duct insulation cream canvas Pine insulation =av nainted canvas Insulation debris gray Tank insulation white nainted canvas Sprayed-on fireproofine gray

HA = homogeneous area FT = floor tile CT ~ ceiling tile VAT= vinyl asbestos tile

VA Sierra NV HCS Mgmt Plan.doc

Throughout Building Throughout Building Basement NE Hall and Rooms FOO 1 and FO22 Canteen Dinine A-118 and Hall Cl-4 Rooms A-1OO and A-101 Halls Cl-3, Cl-13, Cl-16, Cl-19 and Rooms Alll and Bl-151 Basement NE Hall and 14 Rooms and Ground Floor Rooms AlOl and Bl-129 Hall Cl 06, A-13O and Rooms A-113, A-117, and A-131 Room A-115 and Closet A-1 lSB

Basement Room FOOS Room A-117 and A-115 RoomFOO6 RoomA127 Room Bl-146 Generator Room Southwest Area of Pipe Tunnel RoomA-127 Rooms A-117, A-134, and A-135

Building 1D

§• ---- %f5'8 -= -

AHERA HAZARD EMERGENCY RESPONSE ACT (AHERA)

TRIENNIAL ASBESTOS RE-INSPECTION

VA SIERRA NEVADA HEALTH CARE SYSTEM

IOANNIS A. LOUGARIS MEDICAL CENTER

CLINIC - BUILDING 1 D

1000 LOCUST STREET

RENO, NEVADA 89502

Prepared for

VA Sierra Nevada Health Care System loannis A. Lougaris Medical Center

1000 Locust Street Reno, Nevada 89502

Prepared by

Converse Consultants 4840 Mill Street, Unit #5

Reno, Nevada 89502

Project No.: 09-23635-01

May 14, 2010

May 14, 2010

VA Sierra Nevada Health Care System loannis A. Lougaris Medical Center 1000 Locust Street Reno, Nevada 89502

Attention:

Subject:

Mr. David Luscavage, CIH

AHERA Triennial Asbestos Re-inspection loannis A. Lougaris Medical Center Clinic - Building 1 D 1000 Locust Street Reno, Nevada

Dear Mr. Luscavage:

09-23635-01

In compliance with the Asbestos Hazard Emergency Response Act (AHERA) guidelines, Converse Consultants (Converse) has conducted an AHERA Asbestos Re inspection at the Clinic designated as Building 1 D at the loannis A. Lougaris Medical Center in Reno, Nevada. The re-inspection was performed during the period of April 13th through April 17th, 2009 with a follow-up site visit on April ?1h, 2010. Although the loannis A. Lougaris Medical Center is a health care facility, and not a school, the Sierra Nevada Health Care System of the Veterans Administration (VA) has chosen AHERA methods as policy for asbestos management procedures.

During the course of our investigation, Converse reviewed the original AHERA inspection report issued by National Asbestos Consultants in August 1992, the Asbestos Re-inspection Report dated December 2001 conducted by IHI Environmental and the Asbestos Management Plan established by Wise Consulting & Training dated June 1999. Converse also reviewed available surveillance information for review to determine compliance and whether any response actions including abatement and/or Operations and Maintenance (O&M) had been conducted.

No changes in material descriptions and/or assessment categories have been made in regards to any ACBMs and/or presumed ACBMs located at the site.

The records indicated that abatement had been conducted in regards to asbestos containing building materials (ACBMs) and/or presumed ACBMs. The areas of loannis A. Lougaris Medical Center

May 14, 2010 abatement including the materials abated and the quantity of those materials was identified as the following:

• The removal of approximately 1,000 square feet of asbestos-containing VCT Floor Tile and/or Mastic located on the Ground Floor in the areas designated as GD111, GD112, GD113 and GD115. (July 2008)

• The removal of approximately 50 square feet of asbestos-containing VCT Floor Tile and/or Mastic located on the Ground Floor in the area designated as GD120. (July 2008)

• The removal of approximately 60 square feet of asbestos-containing VCT Floor Tile and/or Mastic located on the Ground Floor in the area designated as GD100. (July 2008)

• The removal of approximately 5,600 square feet of asbestos-containing VCT Floor Tile and/or Mastic located on the Ground Floor in the areas designated as GD211, GD213 and GDC15. (December 2008)

• The removal of approximately 750 square feet of asbestos-containing VCT Floor Tile and/or Mastic located on the 1st Floor in the area designated as 1D162.

(November 2007)

• The removal of approximately 220 square feet of asbestos-containing VCT Floor Tile and/or Mastic located on the 1st Floor in the area designated as 1D144.

(date of removal unknown)

In regards to homogenous materials located at the site, seven (7) additional suspect ACBMS were identified in addition to those which were previously identified. These materials consisted of the following:

• Vinyl Sheet Floor Covering

• Base Cove/Mastic

• Drywall/Joint Compound

• Ceramic Tile/Grout/Mortar (walls)

• Ceramic Tile/Grout/Mortar (floors)

• Exterior Wall Surfacing (Stucco)

• Roofing Material/Mastics

!:\company files\2009\09-23635-01\VA-Reno AHERA Re-lnspection-O and M Upgrade\Bldg. 1 D

May 14, 2010

These materials have been added to the O & M Program including the 6-month periodic surveillance as presumed ACBMs until testing has been conducted to determine whether the materials contain asbestos.

Given the relatively good condition of the ACBMs and/or presumed ACBMs within the structure, Converse recommends the continued implementation of the existing O&M Program. It must be noted that all documentation concerning future remediation of ACBMs must be updated in an on-going process and copies of all documented abatement must be kept with the O & M manual. Further information is identified in the attached "AHERA Asbestos Re-inspection" report.

Thank you for the opportunity to be of service. Should you have any questions regarding this report, please do not hesitate to contact our office.

Respectfully Submitted, CONVERSE CONSULT ANTS

John W. Petersen Senior Project Manager t:lcompany files\2009\09-23635-01\VA-Reno AHERA Re-lnspection-O and M Upgrade\Bldg. 1D

AH ERA ASBESTOS RE-INSPECTION

TABLE OF CONTENTS

PAGE

INTRODUCTION

SCOPE OF SERVICES

METHODS

RESULTS

Assessment of Previously Identified A CB Ms

Assessment of Abated/Removed A CB Ms

Assessment of Previously Unidentified A CB Ms

CONCLUSION

CLOSURE

APPENDICES:

Appendix A: Data Collected from Original AHERA Inspection, dated 8/1992 and Re-inspection, dated 2/2002

Appendix B: Findings and Management Planner Recommendations

Appendix C: Damage & Hazard Assessment of ACBMs by Homogeneous Area

Appendix D: Additional Sampling Documentation

Appendix E: Certifications

Appendix F: Drawings

!:\company files\2009\09-23635-01\VA-Reno AHERA Re-Inspection - 0 and M Upgrade\Bldg. 1D

INTRODUCTION

AH ERA ASBESTOS RE-INSPECTION

loannis A. Lougaris Medical Center Buildings 1 D

In compliance with the Asbestos Hazard Emergency Response Act (AHERA) guidelines, Converse Consultants (Converse) has conducted an AHERA Asbestos Re inspection at the Clinic designated as Building 1 D at the loannis A. Lougaris Medical Center (VA-Reno) in Reno, Nevada. The re-inspection was performed during the period of April 13th through April 17th, 2009 with a follow-up site visit on April yth, 2010.

Although the loannis A. Lougaris Medical Cen'ter (VA-Reno) is a health care facility, and not a school, the Sierra Nevada Health Care System of the Veterans Administration (VA) has chosen AHERA methods as policy for asbestos management procedures.

SCOPE OF SERVICES

The scope of services consisted of a visual re-inspection of all known asbestos containing building materials (ACBMs) and/or presumed ACBMs present at the facility for the purpose of assessing the condition of those materials and to determine whether any response actions are required in regards to those ACBMs. The scope also included a review of the existing Management Plan, documentation of any abatement regarding ACBMs and a review of the data collected in regards to the 6-Month Periodic Surveillance Program.

METHODS

Converse provided the professional services of Steve Havens, Andrew Kirk, Lynn Minedew - Inspectors and John W. Petersen - Management Planner, to review the asbestos re-inspection report dated December 2001 for the buildings conducted by IHI Environmental and the original AHERA inspection conducted by National Asbestos Consultants dated August 1992. Also, a review and update was conducted by Dale Walsh, CIH, of the Asbestos Management Plan conducted by Wise Consulting & Training dated June 1999. Converse reviewed available surveillance information for review to determine compliance and whether any response actions including abatement and/or Operations and Maintenance (O&M) had been conducted.

Following AHERA re-inspection guidelines and utilizing EPA modeled forms, Converse reviewed the previous inspections and inspectors visited the subject site to re-evaluate the accessible identified ACBMs and/or presumed ACBMs. Additionally, the inspectors looked for the presence of any accessible thermal system insulation (TSI), surfacing material, or suspect miscellaneous materials that had not previously been identified.

!:\company files\2009\09-23635-01\VA-Reno AHERA Re-Inspection - 0 and M Upgrade\Bldg. 1 D

AHERA Asbestos Re-inspection

Clinic - Building 1 D

Pursuant to our scope of work, no bulk asbestos samples were obtained of TSI, surfacing and/or miscellaneous materials which had not been identified during the previous surveys. All previously unidentified suspect materials found during the re inspection are assumed to be ACBMs. Until the suspect ACBMs are sampled and laboratory analysis is performed to determine asbestos content these materials will be evaluated for management options and should be treated as ACBMs. Due to the policy of site specific evaluations, conducted in regards to renovation projects at the facility, it is cost effective to sample areas as to site specific renovation projects.

However, it must be noted that results of sampling, conducted in regards to the structure performed by Converse since the re-inspection conducted by IHI Environmental in 2001, have been included in Appendix D to simplify the accessibility of data for the client.

RESULTS

Assessment of Previously Identified ACBMs

Converse reviewed the previous inspection reports to identify all homogenous (i.e., like) ACBMs and/or presumed ACBMs. Those ACBMs known to be present within the structure consist of various floor tiles, black flooring mastic and sink coatings. These materials appeared to be in good condition and no change in material description and/or assessment category has been made in regards to the materials.

Assessment of Abated/Removed ACBMs

The records indicated that abatement had been conducted in regards to asbestos containing building materials (ACBMs) and/or presumed ACBMs. The areas of abatement including the materials abated and the quantity of those materials was identified as the following:

• The removal of approximately 1,000 square feet of asbestos-containing VCT Floor Tile and/or Mastic located on the Ground Floor in the areas designated as GD111, GD112, GD113 and GD115. This material was removed by PARC Specialty Contractors in July 2008.

• The removal of approximately 50 square feet of asbestos-containing VCT Floor Tile and/or Mastic located on the Ground Floor in the area designated as GD120. This material was removed by PARC Specialty Contractors in July 2008.

• The removal of approximately 60 square feet of asbestos-containing VCT Floor Tile and/or Mastic located on the Ground Floor in the area designated as t:lcompany files\2009\09-23635-01\VA-Reno AH ERA Re-Inspection - 0 & M Upgrade\Bldg. 1 D Page2

Clinic - Building 1 D

GD100. This material was removed by PARC Specialty Contractors in July 2008.

• The removal of approximately 5,600 square feet of asbestos-containing VCT Floor Tile and/or Mastic located on the Ground Floor in the areas designated as GD211, GD213 and GDC15. This material was removed by Allied Environmental, Inc. in December 2008.

• The removal of approximately 750 square feet of asbestos-containing VCT Floor Tile and/or Mastic located on the 1st Floor in the area designated as 1D162. This material was removed by PARC Specialty Contractors in November 2007.

• The removal of approximately 220 square feet of asbestos-containing VCT Floor Tile and/or Mastic located on the 1st Floor in the area designated as 1 D144.

(date of removal unknown)

Additional information regarding these materials is located in the attached AHERA Assessment Sheets and/or the Management Planner Information.

Assessment of Previously Unidentified ACBMs

In regards to homogenous materials located at the site, seven (7) additional suspect ACBMs were identified in addition to those which were previously identified. These materials consisted of the following:

• Vinyl Sheet Floor Covering located on the Ground Floor at the north end of the corridor designated as GD119.

• Base Cove/Mastic typical to all floors of the structure with the exception of the Ground Floor which has been sampled and determined to contain no asbestos.

• Drywall/Joint Compound located in various areas throughout the structure.

In regards to this material it must be presumed that asbestos may be present. If damage occurs and repairs can be made without the necessity of performing any cutting, grinding, sanding, or otherwise abrading the damaged surface in any fashion, such repairs can be conducted. If disturbance of the existing sheetrock materials is necessary and the area of repair is less than three (3) square feet or three (3) feet long, whichever is smaller, such repairs should only be conducted by properly trained O&M personnel using the appropriate Class Ill work methods.

t:lcompany liles\2009\09-23635-01\VA-Reno AH ERA Re-Inspection - 0 & M Upgrade\Bldg. 1 D Page 3

Clinic - Building 1 D

This exemption does not include or apply to the removal of any sheetrock materials exceeding O&M limitations. In those instances additional sampling is recommended to identify the presence of ACMs in regards to determining the actual Scope of Work, and the recommended procedures for removal by a certified Nevada licensed abatement contractor utilizing Class II removal methods.

• Ceramic Tile/Grout/Mortar (walls) located in various areas throughout the structure.

• Ceramic Tile/Grout/Mortar (floors) located in various areas throughout the structure.

• Exterior Wall Surfacing (Stucco) typical to the west portion of the south, east and north faces of the structure.

• Roofing Material/Mastics typical to the roof system of the structure.

These materials appeared to be in good condition and have been added to the O&M

· Program and Periodic Six-month Surveillance as presumed ACBMs. Until the presumed ACBMs are sampled and laboratory analysis is performed to determine asbestos content the materials will be evaluated for management options and should be treated asACBMs.

CONCLUSION

The AHERA re-inspection indicated that previously identified ACBMs had not changed condition. Also, no material descriptions and/or assessment categories have been changed and no additional locations have been added to previously identified ACBMs.

However, Converse identified seven (7) presumed ACBMs which had not been assessed during previous inspections and has added them for future assessment.

Converse recommends that the Sierra Nevada Health Care System of the Veterans Administration (VA) - loannis A. Lougaris Medical Center incorporate this report with the previous inspection reports and include this into the existing Management Plan. The VA-Reno "designated person" should retain a copy of this report for maintenance personnel use. Converse further recommends that the VA-Reno evaluate and consult this re-inspection before disturbance of an ACBM or suspect ACBM. Finally, the VA Reno should continue to conduct the Periodic Six-Month Surveillance inspections on this site and should inform staff that a re-inspection has occurred.

!:\company files\2009\09-23635-01\VA-Reno AH ERA Re-Inspection - 0 & M Upgrade\Bldg. 1 D Page 4

Clinic - Building 1 D

Specific questions regarding AHERA requirements may be directed to John W.

Petersen of Converse. A complete list of AHERA requirements regarding record keeping and notifications are located within the U.S. EPA"s A Guide to Performing Re inspection Under the "Asbestos Hazard Emergency Response Act". This publication is available through the U.S. EPA Region IX office located in San Francisco, California.

CLOSURE

This report is for the use of the Sierra Nevada Health Care System of the Veterans Administration (VA) - loannis A. Lougaris Medical Center as it applies to Building 1 D.

Converse is not responsible for any claims or damages associated with interpretation of available information. This assessment should not be regarded as a guarantee that no further asbestos, beyond that which was suspected to be present during our investigation is present at the Property. In addition, asbestos is usually not distributed uniformly throughout a material and Converse cannot guarantee that all areas are exactly as represented throughout the entire facility. Other suspect materials may be uncovered that were previously hidden during renovation or demolition.

In the event that changes in the nature of the site occur, or additional relevant information of the site is brought to our attention, the recommendations contained in this assessment may not be valid unless these changes and additional relevant information are reviewed and the recommendations of this assessment are modified or verified in writing.

Thank you for the opportunity to be of service. Should you have any questions or comments regarding this report, please do not hesitate to call our office.

Respectfully Submitted, CONVERSE CONSULTANTS ohn W. Petersen, Management Planner Nevada License No.: IJPM 575 Expiration Date: March 8, 2011

Distribution: 2 Addressee t\company files\2009\09--23635-01\VA-Reno AHERA Re-Inspection - 0 & M Upgrade\Bldg. 1D Page 5

APPENDIX A

Data Collected From Original AHERA Inspection dated 8/1992 and Re-Inspection dated 2/2002

Sample inspection Form #1: Data Collected From Original AH ERA Inspection/Re-inspection 2001 Page 1 of 7

VA Sierra Nevada Health Care System/loannis A. Lougaris Medical Center Building ..JQ... Date of Original AHERA Inspection: August 1992 Date of Re-inspection: October 2001

Homogeneous Sampling Areas AHERA j Material Asbestos Friabillty

Assessment Recorded Locations of Material Response Actions Taken/ Category Content Category for each Assessment Category Renovation/Other Comments

ID Number Material Description (1-7. X. None)

113 Room and Hallways throughout the building with the exception of the 5th Floor This material is associated with asbestos-containing mastic designated as Conduct 6-month periodic surveillance to TSI Assumed F homogenous area M002. This floor tile is monitor its condition and abate when

M001 12· x 12" Light Gray

X exposed in the majority of areas with the removal becomes necessary due to

Marble Pattern Floor Tile Surfacing Yes fil. e)(ception of six rooms where it Is present renovation or damage which may cause beneath glued-down carpet. It is also fiber generation.

Misc. No X located beneath non-asbestos floor tile designated as homogenous area M014 located in Radiology Rooms ID142 and

I

ID145.

TSI Assumed F 113 Room and Hallways throughout the Conduct 6-month periodic surveillance to

Surfacing Yll fil.

building with the exception of the 5th Floor monitor its condition and abate when

M002 Black Flooring Mastic X This material Is associated with asbestos- removal becomes necessary due to

Misc. No X containing floor tile designated as renovation or damage which may cause homogenous area M001 . fiber generation.

TSI Assumed F 2' x 2' Course Worm and This material has been tested and

M003 Pin Hole Pattern Surfacing Yes NF X Ground. 1" and 2nd Floor Hallways determined to be non-asbestos containing w/recessed grid material.

Suspended Ceiling Tiles •~ii.c. ~ !

TSI Assumed F 2· x 2· Light Worm and Ground. 1" and 2nd Floor Hallways This material has been tested and

M004 Pin Hole Pattern Surfacing Yes NF X Replacement tiles for homogeneous area determined to be non-asbestos containing w/recessed grid M003. material.

Suspended Ceiling Tiles \ 4h:,c. No r

- l ,./ \~4~./~

Date: ,£-£~-/d

AH ERA Assessment Category: 1 = Damaged or significantly damaged TSI ACBM. 2 = Damaged friable surfacing ACBM. 3 = Significantly damaged friable surfacing ACBM. 4 = Damaged or significantly damaged friable miscellaneous ACBM. 5 = ACBM with potential for damage, 6 = ACBM with potential for significant damage, 7 = Any remaining friable suspected ACBM. X = not applicable (material is non-ACBM or non-friable surfacing or miscellaneous material), None = No assessment category provided in original inspection.

Sample inspection Form #1: Data Collected From Original AH ERA Inspection/Re-inspection 2001

VA Sierra Nevada Health Care System/loannis A. Lougaris Medical Center Building _jQ_

Homogeneous Sampling Areas Material Asbestos

Friablllty Category Content

ID Number Material Description

TS! Assumed F

MOOS

Wallboard/Joint

Surfacing Yes NF Compound

~!~C.. No !

TS! Assumed F

2' x 4' Course Worm and Surfacing Yes NF

M006 Pin Hole Pattern Suspended Ceiling Tiles

~l!'<C .!Ito l, TSI Assumed F 2' x 4' Light Worm and

MOO? Pin Hole Pattern Surfacing Yes NF Suspended Ceiling Tiles

M1~c. ~ !

TSI Assumed F

MOOS

12· x 12· Medium Gray Surfacing ~ NF

Marble Pattern Floor Tile Misc. No X

TS! Assumed F

M009 Black Flooring Mastic Surfacing Yes NF

Misc. No X

/ ~,a<1'~ .) Date:

Date of Original AHERA Inspection: August 19_~2

AHERA I

Assessment Recorded Locations of Material Category for each Assessment Category

(1-7, X, None)

Partition walls and some ceilings X throughout the building.

Interior hallways and most rooms X throughout the building.

Interior hallways and most rooms

X throughout the building.

Replac.ement tiles for homogeneous area

M006.

19 Rooms and Hallways on the Ground.

1" and 2"" Floors

X This material is associated with asbestos-

' containing mastic designated as homogenous area M009, I Floor Tile is exposed in all areas.

.I

19 Rooms and Hallways on the Ground, 1" and 2nd Floors

X This material Is associated with asbestos-containing floor tile designated as homogenous area MOOS.

L'-~_,-/p

Date of Re-inspection: October 2001

Response Actions Taken/ Renovation/Other Comments

This material has been tested and determined to be non-asbestos containing material. However. sampling was confined to one sample and additional sampling should be conducted for proper verification. Until additional sampling is conducted Conduct 6-month periodic surveillance to monitor its condition.

This material has been tested and determined to be non-asbestos containing material.

This material has been tested and determined to be non-asbestos containing material.

Conduct 6-month periodic surveillance to monitor its condition and abate when removal becomes necessary due to renovation or damage which may cause fiber generation.

Conduct 6-month periodic surveillance to monitor its condition and abate when removal becomes necessary due to renovation or damage which may cause fiber generation.

AHERA Assessment Category: 1 = Damaged or significantly damaged TSI ACBM, 2 = Damaged friable surfacing ACBM, 3 = Significantly damaged friable surfacing ACBM, 4 = Damaged or significantly damaged friable miscellaneous ACBM, 5 = ACBM with potential for damage, 6 = ACBM with potential for significant damage, 7 = Any remaining friable suspected ACBM, X = not applicable (material is non-ACBM or non-friable surfacing or miscellaneous material), None= No assessment category provided in original inspection.

Sample inspection Form #1: Data Collected From Original A HERA Inspection/Re-inspection 2001

VA Sierra Nevada Health Care Systemlloannis A. Lougaris Medical Center Building _1Q_

Homogeneous Sampling Areas Material Asbestos Category Content

Friabllity

ID Number Material Description

TSI Assumed F

12· x 12· White wlblue, Surfacing Yes NF

M010 rust and purple splotches Floo r Tile

"~'SC No ~

TSI Assumed F

M011 Yellow Flooring Mastic Surfacing Yes NF

~ f~t.~ ~ ~

TSI Assumed F 1' x 1' Worm and Pin

M012 Hole Pattern, beveled Surfacing Yes NF edge Ceiling Tiles ~ ~!) ~

TSI Assumed F

2' x 4' Pock and Pin Hole Surfacing Yes NF

M013 Pattern Suspended Ceiling Tiles "'115,; ~ !

TSI Assumed F

12· x 12· White wlgray Surfacing Yes NF M014 flecks Floor T ile

M!Y_ ~ !

'" I~ ~<./-4 / / Date: -

Date of Original AHERA Inspection: August 1992

AHERA I Assessment Recorded Locations of Material Category for each Assessment Category

(1-7, X, None}

Ground Floor, West Elevator Lobby, the X clinical information/triage area, and seven additional rooms.

Ground Floor, West Elevator Lobby, the X clinical information/triage area, and seven additional rooms.

X Ground Floor, the clinical information/triage area.

Rooms GD120, 10182, 40101 and X Hallway 1DC6

Five rooms on the Ground Floor, seven X rooms on the 111 Floor and two rooms on the 2nd Floor.

:1

&~5°-L.0

Date of Re-inspection: October 2001

Response Actions Taken/ Renovation/Other Comments

This material has been tested and determined to be non-asbestos containing material by PLM. However, prior to any disturbance a representative sample of this material should be analyzed utilizing TEM.

This material has been tested and determined to be non-asbestos containing material.

This material has been tested and determined to be non-asbestos containing material.

This material has been tested and determined to be non-asbestos containing material.

This material has been tested and determined to be non-asbestos containing material by PLM. However, prior to any disturbance a representative sample of this material should be analyzed utilizing TEM.

AH ERA Assessment Category: 1 = Damaged or significantly damaged TSI ACBM, 2 = Damaged friable surfacing ACBM, 3 = Significantly damaged friable surfacing ACBM, 4 = Damaged or significantly damaged friable miscellaneous ACBM, 5 = ACBM with potential for damage, 6 = ACBM with potential for significant damage, 7 = Any remaining friable suspected ACBM, X = not applicable (material is non-ACBM or non-friable surfacing or miscellaneous material}, None= No assessment category provided in original inspection.

Sample inspection Form #1 : Data Collected From Original AH ERA Inspection/Re-inspection 2001

VA Sierra Nevada Health Care System/loannis A. Lougaris Medical Center Building .J..Q_

Homogeneous Sampling Areas

Material Asbestos Friability

Category Content ID Number Material Description

TS! Assumed F

M015 Yellow Flooring Mastic Surfacing Yes NF

TS! Assumed F

M016 Sink Undercoating Surfacing Yes .!iE (black)

~ No X

TS! Assumed F

Sink Undercoating Surfacing Yes !iE. M017 (white)

Misc. No X

TSI Assumed F

12· x 12· Multi-colored Surfacing Yes NF M018 (cream, peach, turquoise) Floor Tile Vo5$ ~ )(

TSI Assumed F

Yellow Flooring Mastic Surfacing Yes !iE. M019 w/Black Residue

Misc. No X

/ -~~</~ Date:

Date of Original AHERA Inspection: AugusllgJl2

AHERA

Assessment Recorded Locations of Material

Category for each Assessment Category (1-7, X, None)

Five rooms on the Ground Floor, seven X rooms on the 1" Floor and two rooms on the 2nd Floor.

16 Ground Floor Exam Rooms X Coating is applied to underneat.h side of single-tub stainless steel sinks.

I

Room GD113 X Coating i.s applied to underneath side of single-tub stainless steel sinks.

1" Floor - Northwest Elevator Hallway

1DC1

X This material Is associated with asbestos-containing mastic designated as

I homogenous area Mo1g.

1" Floor- Northwest Elevator Hallway

1DC1

X This material is associated with non-asbestos containing floor tile designated as homogenous area M018.

~.?f.--/CJ

Date of Re-inspection: October 2001

Response Actions Taken/ Renovation/Other Comments

This material has been tested and determined to be non-asbestos containing material.

Conduct 6-month periodic surveillance to monitor its condition and remove/replace if damaged or renovation in the area occurs.

Conduct 6-month periodic surveillance to monitor its condition and remove/replace if damaged or renovation in the area occurs.

This material has been tested and determined to be non-asbestos containing material by PLM. However. if disturbed this material needs to be treated as asbestos contaminated material since the mastic used to adhere it to the substrate contains asbestos.

Conduct 6-month periodic surveillance to monitor its condition and abate when removal becomes necessary due to renovation or damage which may cause fiber generation.

AH ERA Assessment Category: 1 = Damaged or significantly damaged TS! ACBM, 2 = Damaged friable surfacing ACBM, 3 = Significantly damaged friable surfacing ACBM, 4 = Damaged or significantly damaged friable miscellaneous ACBM, 5 = ACBM with potential for damage, 6 = ACBM with potential for significant damage, 7 = Any remaining friable suspected ACBM, X = not applicable (material is non-ACBM or non-friable surfacing or miscellaneous material). None = No assessment category provided in original inspection.

Sample inspection Form #1: Data Collected From Original AHERA Inspection/Re-inspection 2001

VA Sierra Nevada Health Care System/loannis A. Lougaris Medical Center Building ....1Q

Homogeneous Sampling Areas .1

Material Asbestos Friablllty Category Content

ID Number Material Description

TSI Assumed F

M020 Sink Undercoating Surfacing Yes NF (black)

~~•.sc.. !i2 !

TSI Assumed F

12" x 12" White w/gray Surfacing Yes NF

M021 and tan splotches Floor Tile t-ll,,H;, li9 !

TSI Assumed F

M022 Yellow Flooring Mastic Surfacing Yes NF

-..i,;c . '.!.!a t

TSI Assumed F

2' x 2' White Random Pin Surfacing Yes NF

M023 Hole Pattern Suspended Ceiling Tiles

"''!l!.. ~ !

TSI Assumed F

M024 12" x 12" Tan Particle Surfacing Yes NF

Board Pattern Floor Tile Misc. No X

~~/-' Date: -

Date of Original AHERA Inspection: August 1992

AHERA I Assessment Recorded Locations of Material Category for each Assessment Category

(1-7, X. None)

Rooms 10142 and 10147 in Radiology X Coating is applied to underneath side of single-tub stainless steel sinks.

1" Floor - South Radiology Hallway X

10C10

1" Floor - South Radiology Hallway X 10C10

X Room 10144

Rooms 1 0195 and 10200 This material is associated with asbestos-

X I containing masUc designated as homogenous area M025. The tile is

I I exposed in room 10200 and beneath i ' glued-down carpet In room 10195.

z";,J?~..-/17

Date of Re-inspection: October 2001

Response Actions Taken/ Renovation/Other Comments

Conduct 6-month periodic surveillance to monitor its condition and remove/replace if damaged or renovation in the area occurs.

This material has been tested and determined to be non-asbestos containing material by PLM. However. prior to any disturbance a representative sample of this material should be analyzed utilizing TEM.

This material has been tested and determined to be non-asbestos containing material.

This material has been tested and determined to be non-asbestos containing material.

Conduct 6-month periodic surveillance to monitor its condition and abate when removal becomes necessary due to renovation or damage which may cause fiber generation.

AHERA Assessment Category: 1 = Damaged or significantly damaged TSI ACBM, 2 = Damaged friable surfacing ACBM, 3 = Significantly damaged friable surfacing ACBM, 4 = Damaged or significantly damaged friable miscellaneous ACBM, 5 = ACBM with potential for damage, 6 = ACBM with potential for significant damage. 7 = Any remaining friable suspected ACBM. X = not applicable (material is non-ACBM or non-friable surfacing or miscellaneous material), None = No assessment category provided in original inspection.

Sample inspection Form #1: Data Collected From Original AHERA Inspection/Re-inspection 2001

VA Sierra Nevada Health Care System/loannis A. Lougaris Medical Center Building ....1.Q_

Homogeneous Sampling Areas Material Asbestos

Friability Category Content

ID Number Material Description

TSI Assumed F

M025 Black Flooring Mastic Surfacing Yes NF

Misc. No X

TSI Assumed F

Purple Speckled Vinyl Surfacing Yes NF M026

Sheet Flooring

~ "!Q !

TSI Assumed F

Olive Yellow w/olive and Surfacing Yes NF

M027 white streaks Vinyl Sheet Flooring tru~~. ~Q l

TSI Assumed F

12· x 12· Beige Marble Surfacing Yes NF M028 Pattern Floor Tile

Ml.,$, 'lo !

TSI Assumed F

M029 Yellow Flooring Mastic Surfacing Yes NF

~~i--~. ~ .~

:/ ·-~ ~~~ Date:

Frlabllity: F = Friable. NF°?Non-Friable. X - not Applicable (material is non-ACBM)

Date of Original AHERA Inspection: August 1992

AHERA

Assessment Recorded Locations of Material

Category for each Assessment Category (1-7, X, None)

Rooms 10195 and 10200 This material is associated with asbestos

X containing floor tile designated as homogenous area M024.

2nd Floor - East OR Hallway and Rooms X 20172 and 20174

I

I 2nd Floor - East OR Hallway and Rooms X 2D172 and 2D174

X 2nd Floor - Ten Rooms in the OR area

I

X 2nd Floor - Ten Rooms in the OR area

~1!7-/t:?

Date of Re-inspection: October 2001

Response Actions Taken/ Renovation/Other Comments

Conduct 6-month periodic surveillance to monitor its condition and abate when removal becomes necessary due to renovation or damage which may cause fiber generation.

This material has been tested and determined to be non-asbestos containing material.

This material has been tested and determined to be non-asbestos containing material.

This material has been tested and determined to be non-asbestos containing material by PLM. However. prior to any disturbance a representative sample of this material should be analyzed utilizing TEM.

This material has been tested and determined to be non-asbestos containing material.

AHERA Assessment Category: 1 = Damaged or significantly damaged TSI ACBM. 2 = Damaged friable surfacing ACBM. 3 = Significantly damaged friable surfacing ACBM, 4 = Damaged or significantly damaged friable miscellaneous ACBM, 5 = ACBM with potential for damage. 6 = ACBM with potential for significant damage, 7 = Any remaining friable suspected ACBM. X = not applicable (material is non-ACBM or non-friable surfacing or miscellaneous material ), None = No assessment category provided in original inspection.

Sample inspection Form #1: Data Collected From Original AH ERA Inspection/Re-inspection 2001

VA Sierra Nevada Health Care System/loannis A. Lougaris Medical Center Buildlng...1.Q_

Homogeneous Sampling Areas Material Asbestos Friability Category Content

ID Number Material Description

TSI Assumed F

Gold Flecked Vinyl Sheet Surfacing Yes NF M030 Flooring

~i'<C No !

TSI Assumed F

2' x 2' Course Worm and Surfacing Yes NF

M031 Pin Hole Pattern Suspended Ceiling Tiles

TSI Assumed F

2' x 2' Light Worm and Surfacing Yes NF

M032 Pin Hole Pattern Suspended Ceiling Tiles

TSI Assumed F

Pipe Insulation Surfacing Yes NF

T001 1 o· paper wrapped white fibrous plaster

\ 1ll>C !.ls. !

TSI Assumed F Duct Insulation

T002 White canvas cover over Surfacing Yes NF fiberglass with white edge sealant 1~':i." . ~-t :!

/ ~~</~ Date:

Fr lablllty: F = Friable, NF~ Non-Friable. X - not Applicable (material is non-ACBM)

Date of Original A HERA Inspection: August 1992

II ,I

AHERA

Assessment Recorded Locations of Material

Category for each Assessment Category (1-7, X, None)

X 2"" Floor - Rooms 2D 150 and 2D 153

X 4th Floor - Hallway

4th Floor - Hallway X Replacement tiles for homogeneous area

M031 .

X Mechanical Room GD216

X Mechanical Rooms 10102. 10169. 2D102 and 20195

~:?5'-/t7

Date of Re-inspection: October 2001

Response Actions Taken/ Renovation/Other Comments

This material has been tested and determined to be non-asbestos containing material.

This material has been tested and determined to be non-asbestos containing material.

This material has been tested and determined to be non-asbestos…