Acl VA Building 650 AHU1 4 Replacement 080813.pdf

MATERIAL APPROVAL SUBMITTAL

(See Instructions on Reverse) k Singh0a Contracting Officer)

D rtment of Veterans Affairs 5342 Dudley Blvd, NCO - Bldg 209 McClellan Park, Ca 95652

FROM

SF & Associates 1014 S Street Suite B Sacramento, CA 95811

DATE

10-7-2013

CONTRACT NUMBER

VA261-12-C-0230

SUBMISSION NUMBER

SUBMITTAL

X NEW RESUBMITTAL

PREVIOUS SUBMISSION NUMBER PROJECT NUMBER

612A4-12-271 / AHU 1 Replacement Bldg 650

TO BE COMPLETED BY CONTRACTOR FOR GOVERNMENT USE ONLY

ITEM

NO.

SPECIFICATION SECTION /

PARA. NO. / DRAWING NO.

DESCRIPTION OF MATERIAL

(Include Type, Model Number, Catalog Number, Mfg., Etc.) APPROVED

DIS-

APPROVED

SEE

REVERSE INITIAL

1 National Analytical Laboratories, Asbestos Visual & Air Clearance Report. , TYPED OR PRINTED NAME

Bill Payne

SIGNATURE

W7r l'--7--<—

DATE

10-7-2013

FOR GOVERNMENT USE ONLY

TO: (Contractor)

and Subject to Any Applicable Comments on the Reverse Side. Request Resubmittal on Disapproved Items

TYPED OR PRINTED NAME

SIGNATURE DATE

Copy of reviewed form to be provided to the Contracting Officer

August 2013

John Moore .1M Environmental P.O. Box 2189,:

Granite Bay; CA:'95746

RE: Asbestos Visual & Air VA Building 650.: Afill 1-4 Replacement

Deal: Mr. Walker, The following report is in regards to thecompleted air nionitoring:c011ected• from Bldg. 650.;:Mechanic.al..R.09111.

located at•1•05'35 . HOspital Way; in Mather, Califania': : :.,: Prior•to :•the visual inspection being conducted.by.'•KA.L.,

Arithony'K. : De Areos, Certified AsheStos Consultant-for National .Analytical LfiboratOries; .:Inc., completed Visual Inspection and PCM air clearance sampling on August:i8 . ,..2013Duringthe Visual::.Inspection, no visible . 'debris .was discovered in the ..work area. Because the Visual InsPeetion.showed no .asbestos cOritaining construction materials.

(ACCM) • asbestos debris; . or an■, . Other impairment.. Dc Arcos ,,proceeded With the PCM,tiir clearance samplifi g using • 25trim cassettes..

The cassettes used had a Mixed Cellulose Ester membrane 0.8-.micronjunqpOre.size that is,used specifically for PCM•s.arnpling......i .: : :-1"he..AirinorlitOring cassettes were calibrated with .a ..Dwyer series . V17 B Visi7 Float i Flowineter at 10.

1pM. The air monitors operated fot ..135 . mhinteS for totaleassette volumes of 1.350::147. The . tOtaly'olumeS fell Within the projectedran ge of 1200. to . 1800 liters for PCM sampling. 'IThe Ayerage cancentrationforTairborne••fibers...

found in the•t'Our (4j samples N.1ilf-; 0 ..002 rice. The : clearanee•levels,are beloVthe Environmental Protection Agenc..),'7•$ • (EPA's).:.PCMclearafee,level.ef0.01.17ce.,Analy-tie:al•Teport.'attaChed.

If ,.!-ou have any questions regarding this:report or if we can he offurther assistance, pleasetentact our Office.

Reviewed and submitted by:

.,04.0441A g2.02.6;

: Anthony M. : De Arcos 080614

Certified :Asbestos Consultant

DOSH 1192;0261

' Phone: 91 6-: :361.05i5 Fax: 916-36:1-0540

Chain of Custod y Information

Page 1'of 2

NAL. LOGIN; RECORD Login # 33160

S.

National Analytical Laboratories, Ph: 916.361.0555 I=x: 916.361.0540

Job 'Site/Job #:

Client#-Lot# Date 8/8/2013. 469 1 343 VA. Building 650 AHU 1,4 'Replacement:

John Moore JM Environmental 10535 Hospital Way Sampling Date: 8/812013

.Phone Number (916)'76-0304 Mather. CA Sampling Time 4:30:00PM

FAX Number (915)•80-8290 Type Of Work: . Lead Air

Num. Sample ID# Iviin. LPM Volume. Location/Description

10535-1C 135 10 1350 Bldg. : 650, Mechariical:RooM,.BoUtheast - Cerner / Air Cleärance-:

10535-2C 135 10 1350 Bldg. 650, Mechanical Room, SouthWest-Corrier / Air Clearance

10535-3C 135 1350" Bldg. 650, Mechanical Room; North End, Center /Air Clearance

10535-FB4 Cap Off ...30 Seconds I Field Blank'

Released I3c Signature Date/ Tinie ReCeived;Bv Sio 11 atu re• '''

I)iitc/ Time

. Due:08108113• 7:10.0m. „ creased ity Si nature.ature Duce/ Hine :.Receive- By Signature

1)atet 117/T.' c At:

Page:

Login #1

33160 Larry Walker

JOhn Moore .-jfkA 'Environthental Job Site: Date Samples Taken: 8/8/2013 P.O. Box 2189 VA Building 650 AHU 1-4 Replacement

Granite Bali, CA 95746 10535 Hospital Way Date Report. Submitted: 8/8/2013

Phone # (916) 726-0304 Mather, CA :NAL ID #1 Lót.#:. 469 i 343

Fax #: " (916) 780-8290 Lab Tracking #:

Attentor: : Larry Walker Job. Number Total SampleS: 4

Email:

PHASE CONTRAST MICROSCOPY ANALYTICAL CLEARANCE REPORT4PCM)

Sample: ID tf: 105. 35 .,, IC NAL ID: 469-34.3-1 I_ocatioa: Bldg. 650, Mechanical Room..Southelst Corner Description: Air Clearance

10 1350 r 100 , ::. 7.0 <..002.. 0.01:.. ,. •

Sample ID #: 10535-2C NAL ID: 469 :-343:2 Location: Bldg: 650, Mechanical Room, Southwest Corner.

Description: ..irClearditee

10 1350 6/100 7.6 0.002 0..01'

Sample ID #: 10535-3C NAL ID: 4697 343-3 Location; Bldg. 650, Mechanical Rooit. North End, Center Description: Air Clearance

10 1350 8.5/100 : 10.8 0.003 ' 0'01

Sample ID #:'10535-FB4 _SAL ID: 469-34:3-4 . ..Location: Cap Off 30 Seconds :

;;Description: Field Blank

0-0 "--'7:0 < A102 0

KEY: TiMeWeitthted,Average per sample: .:Eight hour TWA summary is provided . at the end of each month.

Sample not suitable for aual)isis. See sample description.

nalyst: Anthony M. Be Arcos Reviewed .By

laboratories will be no : higherthan'the . U.C.L. This informationis.:yased in part . on .the,vOlUme of the airsampled and tibers.cMiiited..

National Analytical Laboratories, Inc., 2201 Francisco Dr. Ste.140-261, El Dorado Hills, CA 95762 Phone.(916) 361-0555; Fax (916) 361-0540; Website www.NALLcom r1

August 08, 201'3

JM Environmental .prry:Walker P.O. Box 21:89.

•Granite Bay; CA 95740:

RE On -SifeerSorial MOnitoririggepOri g :11/14therNA Hospital'

Dear.Mr.,Walker:

Enclosed are the asbestos daily air monitoring analytical reports; ;clearances and , the corresponding daily Logs, for the : work. performed at the following location:

Mather VA Building 650 AHU 1-4 Replacement 10535 Hospital Way

Mather, CA

Certified NAL . personnel completed the on-site•per9n4l air Monitoring . frorn.August '6, 2013 through.

August 8 .,2013;and monitored - results through August 3, 2013.The work was completed in accordance With all applicable federal. state, and local environmentalilaWs and regulations.

If you have apy - iuestiOns regarding,this repOrt or if I. can pilhrtheea$siqahp.e", please: contact Our office.

Sincerely, nig

• •qie

Michael J. Lee Certified Asbestos Consultant #06-4047 breathe easy.

General JOb Oyerview Day Hours

8/6/2013 08001430 6.5

8/7/2013 0700-1430 5 8/8/2013 0000-0730 1.2.5

Signature:

Scope

Scope is removal of Trace Sheetrock4Oi nt Compound arum walls and ceiling of Bldg.050

Mechanicle-Room. •

33151 5 l'CM Seope:is:removal lo }Trace (<1%) Sheetrock-Joint Compound from East wall of Bide. 650 Meehaniele Room.

33 I 60 9 PCM Bldg 650 Mechanical Room. Removal. Daily Sampling & .Clearances •

P7. Company: NAI.. Date: 08/09/13

Login!' Samples

33145 . 5 PCM

NAL. Daily„4ob Recap Sheet

()tt Site Mdnitoring Hazardtts Materials (IE. Asbesto§,:l..ead and Nold)

Project:

Project Days :Project Manager;

Project Inspector:

Vets Admin Bldg 650 AHL11-4 Replacement

3 Days Larry Walker.

Project # NAL Site Teclthician(s): Michael Lee

GC Superintendant:

Abatement .Supervisor: Alfredo Diaz

General Contractor: SF&A:PtojLx:t Management

Abatement Contractor: JM Environmental

PAGE

Project: . VetsAdiniri'.E3.1dg,650 A1-11.11,4,Replac Day: I RePort:

.- . Project Number VA261:120-230 Date: :.8,6/2013 Time: S 00 •- 14.30

• Project:Manager::.:..'` il.Korcz Weather: Clear - Breezy

Project Inspector: Design ProfesiOnal:

General Contractor:: SF&t.A Projeei Manag(inient Supervisor: Alfredo Diaz

AbatemenrContracuir: : Eri‘ironnientaf Certified Workers:

Locations:,. VA.Hospital: Bldg-650 Meehaniele

SAFETY • .Yes No N/A

Has contractor conducted a Safety tittering? Weekly' Monthly

• Has the: eontraetor protected workers from slip:A.6p and fall' hat.;.irdS?

Are all electrical : tddis-and equipment connected.. to a.GEIC?

' . Afe • tile'llbOi .S and/or; w(irk area(') dry?

Do all products have. an NISI)S•onTsite?, WORI{~SITE,CONTROL

;-Nre;W4rbin:si6s , v0ibk: for :20. feet?-

DoeS'the barrier t Me block all Possible Unauthori 40 entrance, to tlie work Site?

Have all irrsitOrs.to die work site signed in?` Haye•YisitOfs shoWn current lead and Or:AsbeStos- training, fit tes•and Medical ele,ffances?.

Do all certificates; fit test and,inedical restiltsmateh the workers ah'cFsuPetvisors on the job site?

CONTAINMENT•ISSUES

Arc'alf :.critici-il barrier, intact'?

tie

Has hmantimeter strip chart indicated r a n y readings bglow 402:2 of water column pre ssure?

What iSthe current manometer. .reading?:•i Is the shovietwater supply and'dra in working prOperly?'.

Are the:iloOrs in the . decont.uilination ehaMbers;elean,and free of debris?

.:, Arelbe, work:arca(s .) clean ancl free (IC debris? • :' .

WORKERS PROTECT ION

Are the-Workers properly wk.:iri rig th0;protective-clothing?

Arc wOrkerS';Using the respiratoCtlie:yh'aVêrbèeR . Medically . certified2, to wear?,.

Ha's' the contractor supplied rl'1: (eyc and 'head protection) for specific jobs'?.

Are .i..iei-kol.s.. hod ..ViSi tOrS lollowina entry and. eN it'prolocol?

.Are•peIon:41-4(r.thOnitOrs beine used for each unique work-activity?.:: '

- . Are personal anctarea air'result§:postcd-on a regular basis?

•WASTE HANDLING AND DISPOSAL

Arc all hazzirdouS 1..BP and A,:hestds waste bciug:labeled. doubl y bagged iii16,-inil•elear polyethylene bag.

Arc all_143P.and:ASbeStos debris' adequately- Wetted'arid bagged on:. a:regolar basis?

,Are,the'Leadand or Asbestos t;Bryant container(s) hocked'' Arc all Asbestos Waste cleaned up and secured at the end of the shitl?

'EQUIPMENT (MONITORING

Has all HEPA equipnient been tested and certified?

Testing Company,. # of HOGS A, of VCS, ...

Has;Site Teeb calibrateda1 I pump; upon tart , aocl-;:top of air, iiihiiOritig7::

Has :Sitcteeh:Capind; sealed and properly marked all sampleS:attlie end Of shift?

Has Site Tech fiiied.nut, COC and Sent: s?iMples tn . the lab:at:the;cndlpfshift?

-0.06

NAL Dills ; Log

06 Site„Monitoring Hazardus'Materiais (IE.\.4sbestps, Lead and Mold)

JOB' SITE4CONT ACT S

NAL Site Technician(s):-, Project;Manager:

GC Superintendani:

Abatement • Supervisor:

Alfredo Diaz

916-225-5615 916-261-3400

Vets Mifflin Bldg 65Q ABU 1-4 Replac

• • 'Lee checks containment and_apPrO■TS . seturi.Crew still•has minor•items toeOMplete..Generarand i.electricaiaii'nave. •

•0$30' stime items they peed tap over. Wort: is 'not eSPeeted to sinit • for••approxiinatly 45. min. Lee ■A r i It depart Mbinentarily.

•• Lee activates air monitoring pumps . .

1000 Leer&iirnsto job site. crew: has be g.,un • Work at 9:30 as per: Diaz. Manometer . . pressure at •-0.06. • . .

• • •••1100 Crew takes . lunch 1200 Crew Suiting to return 45'. lunch. Lee calibrateS•pOthps

• 1215 •lee startS,cassettes .

.... .... 1230 Crew returns to . cOritainmen t; %•Will begiii to ba

• 1315 Crew, has loaded . trtiek . :■iith : baas. • 1400 Crew. begins cleanup Poi- iOday ..

1430 ..C.re.finiShed for today. Lee has dismounted:cassettes and loads equiptrtient:.

Signature: Company: NAL Date: '08106113

PAGE

-0.06

NAL Daily 1f9g.

On. Site Monitoring Hazardn3•MaterialS (FE. Asbestos, Lead and Mold)

Supervisor: Alfredo. Diaz Certified•Workers:

07:00- I 41.:30':', General Contractor: 'SENA Project Managenient and Consu Abatement : Contractor: JM'Én∎iromnOntal Locations: VA Hospital,Bldg 650 Meehanicle Room

Have visitors shoWir CUrrene lead or Asbestos miining, fit tesrandjnedi.cal elearanees'?..

Do all certificates, fit tcit and Medical results•match the : workers and supervisors on thejOh'sire?

. .CONTAINMENT ISSliES • •Are•allCritical.barriers'intact?.

Has llic"miniometer'strip • ehUrCindicated any readings'below -0.03—of•water What is the ctirr6rit'inanoineter•i-eading?,:

Is the shovver•water:mpply working:properly?::„ Are the boors in tlic . deCOniaminhtion chambers' cleiin and free of 'debris?

. Are the wOrk-arca( s) cletin. and free:of debris?:,:-

WORKERS PROTECTION.

•Are•the !workerproperly vwarring the'PrOfective.elbthing?

Arc workers using -the respifthor [Be st beim inedi,:ally certified to .wear?

Has the contractor supplied PPF, •:.(eye arid : headprotection) tbr specific jobs'' Arc workers and visitors . follow11) COTTeet ClitTN . 111d exit prott-)col? •

Ar6 . personal • air monitor .being usO,Pr e:acK ue wotk:.iictiyity7 Are personal and area air results . posted on a•reij,iilar basis? :•.•

• WASTE HANDLINGAND.DISPOSAL •

Arc all *nazardous:LBP . and:ASbestos Waste bean, ed. double bagged in 6-mil clear polyctliylene•bags?

Are all 1;;BP• and Asbestos debris heir_ adcquately . wetted and bagged on a regular basis?

•Are the, Lead and or Asbestos storanc . coritainer(S) locked?

Are all Lead . and or•Asbestos , wastc cleaned up and•secured at th,.:•(Yrid.•01"the . shiti?' •

EQUIPMENT/ MONITORING

Has all HFPA equipment been tested and.cc.'niticd?.

Testing Company: . ••••••••• • • 6I-HOGS g of VACS:.

Has Site Ti..;iii`ezilibrzited all pumps upon start • aid 'stop of, ir •Has : Site Tcchcupped, • sealcd and properly marked all samples at end of shift''.‘ Has, Sitti Tech tilled out COC and sent'saniples'tejlie : lab at tlieen'tflpfshi ft?

SAFErv...

. ljascontractbr•Conducte0 a &iii..t)jvl&ting? •

• • Has the conu-actor.protected ,workerS' frisim slip, trip: and tall hazards?

Are all . elyetrical•too y. and equipment connected tO.a.•G171C?

. Are the Ilirors .tmait.eworkrtreats) dry?

. Do all products have an N/SDS on-Site?

WORK SITE CONTROL: '• .• •

Are warning sl ims 'visible for 20.fect'?

Does the barrier tape block all possible unauthorized entrances to the Work:•!:iite?

Have all visitors to the work•site •

Daily

JOB SITE CONTACTS

NAL Site TechniciaMs):

Project Manager:

GC SUperintendant:

Abatement Supervisor:

:Name

Alfredo Diaz

Phone 916-225-5615 916-261-3400

Vets Admin Bldg 650 ABU 1-4 Replacement

070.4 . ,, . ,.. .. . . • . .

• . • i iemoval'Of...Trace . ( ==n..3) Sheetrock-Joint'Ornpound from Eat„of Blatz . '656 . Mechaniele Room..

07 .10.!VA Inspectot .Oirsite, checks area. On site . for 10.mim..,,.., 07151Crew , arives with,t.rUek . and .begins • area setup

730 Crew . of 5 . vvorkerS. suiting for entrance to contained area. Lee has:set .

Tirne Job Notes

Signature: Company: NAL. Date:

PAGE OF

-0,0o

• SA FF,TY

. Has contractor Onduetecli:aSatetyMeeting?

•. Has the contractor ra6tecteclworkers front triP•and fall Ihrp.ardS?:::•••••

Are all etectrical . tools and equipment comiceted to a CFIC?

Arc therloors ..and/or work area(S) dry?

Do all products have an MSDS.. oir- s ite'? •

WORK SITU: CONTROL• :

wariting . signs • visible for.20feet?

. , .Does the barrier time blOek'all pOSsible unauthorized entrances- to the work •. Have all visiteirs to the work site signed7in?

' ..1 • Have.visitON showncurrenr.lead and 9r .i,kithestos training, tit tesrundcmedical 'clearances?.

Do all .0ertincates'a fi ytcst and:Medical results match theworkers and . supervisors on the job. site?

i•ICONTAINMENT•ISSUES

What is the current manometer reading?

•. Is the shower water supply tind . dritin working properr.i.t Are the fk.iors in the decontiiminittion chambers clean and tree or debris?

Are the woe k, and tic.c..of

Yes N/A

Daily . Weekly Monthly

NAL Daily Log On Site Monitoring Flarardus Materials Ashestos; Lead and Mold)

Project Inspector: . Design PrOregional:

Locations: : VA Wispital. Blde.,650 Mechanic:lc Room

• . .l .:WORKERS PROTECTION Are the workers properly wearing the protective. clotlnng?

. Are:workers using • the . restiiitatOr they have been medically certified to wear?

Hits the contractor supplied PPE.(eye and head protection) . for specificjOhs?

,Are workers and visitors'follovving correcrentry and exit protocol'?

Are persouitraU memitors being used to each unique work •activity?

. Are peri:iihal and area . airresults posted on a regular basis? • WASTE HANDLING AND DISPOSAL. . •• r.BP and .AshestoS • waste being'labeled,•double • bagged in 6-Mibelear polyethylene•bags?

Are all LBP and.AShestos debris being adequately wetted and bagged on a rectultir Are the Lead and .6e ..A.shesto: t4orage courtiiner(s) locked'?

Are all and or Asbestos waste cleaned up and 'secured at the -end: .of, Ihe shift., •

• FQUIPN1ENT MONITORING..•

tit.is all HEPA equipment been rested auk! certified?

Testing Company: • ...;.'of,1-1005 • 4 of VA(75:%:

1-tas Site Tech cal ibratixralt pumps upon start. and stop of air. tnonitc)ring•

• Ilas Site . -reelycapped,..sealed and :properly marked all samples at the end of shift?

Has Site Tads tilled our,C0C ancl . senr samples to the lab attthe'end of shift'

8:00 14:3Q

JOB SITE CONTACTS

Site Technician(s):

Project onager::

CC'Stirierinter!dgpt:

Abatement Supervisor:

Anthony De Areos :LOgin 33158 Eli Koret. t : ,S1-, &A Project Management and Con .

• Phone 916-225 L 5615. .

916-2613400. .

• Altivdo Dia/

Signature: 'CZ Company: NAL. Date:

vets Admin Bldg 650 ABU 1-4‘Diiptae ..l-b•Nntes. " •• . :

ArriVe at jobsiteDe Arec is speaks;Diaz to discuss•todays scOpe'of-work. crew will be condueting , bag-out, cleaning.:and.:

• •• detail . mornin g . Dia-i...expcct $ to be completed with . this process at 2•.m. De Areos•■villcondnO6 .the'air clearance

6:00 . AM. , sampl inn once theencapsblatiOn . haS dried.sufficientlY. • :INT . s ,.,crew . has cinereci i. the work a'remto commence:With the .

11:10 .AM Cr6vr:return§ . tciwork 'at . 11 . am. Diai, has crew:do:some:clean uParonfid : the work'iarea::.

•'lie concern from Eli is that'fibers are being dispersed into•thel•••hole in : the wail is do toa,fauIty patch, inthe • 6-Ifiee .'[.

. . otf,ce •frOm the • WOrk area. Based on the tact 51S/lE has 3 2000 cfni ne gatie.Mr machines in operation in ..the . •

wi thta dwy4i.6si-flokk meter at 10.Iiters ihat .:CiWri.perate for • 1 .3. 5ininutcs fir • a total volume . 6 :1,1350 liter .:;: •.•.. •

Crew has completed the cleaninTaiid: 'cletail 'Utile '‘v6ek.'#.6a. Visual inspection completed and De Arco 'slias given : •

• • . -• .. • .... •• •••Diaz the oka y to • encapsulate the work are.a.:• • •

'•1:45 PM

Crew ha, the encapsulation process, exitedAheWork area •and'•left• the site at•3:45. De Arco' s . w i I) allow the encapsulant

— • •to dry and Will • returnjathe' ite . to complete the PCM air clearance sampling at 1620

.4:20 •Iri•M

De Arcos returns to the:site and places the calibrated air monitors inside the containment in •theffillowitiaareaS;

Southeast Corrier,..Southwest Corner and the Nortni .i::iid, Center.DeAreos pla .ces .Jhe cassettes'Ciithe air •tnininmS and' turns them on.at..4:30, 4 . 132:,& 4:34. The air monitOts will operatefOr, l. l.135.tit 10 • 1PM.'.fr a total. :VOlUrrie.of 1350.1iterS1 .;...

5:50 PM

De Areos , checks - theMr monitors anci•th 'ey . ..continue • to operate. properly: ••

TOO PM..,, • .

. . ..• ... i. . • De lAi-cos recalihrates the air monitor,. ttirns•:them off and removes the cassettes at 0:45,:6:4784 6:49 pm. The cassettes are, labeled,..Séaied and placed into a new Z.:intikk baggy in preparation forthe•Teading of : the , smples at. • tbe,offee. , Of

N:A.I.....by.De Arcos.

- 7'..10•PM

■--.• '...n:.

08,.0S/11

Daily Samples

• L 1,of 11 a jM: Environmental Job Site: : :

Login #:

Date Samples Taken:

8/6/2013' P.O. Box 2189 VA Building: 650 AHU 1-4 Replacement

Granite Bay, CA 95746 10535 Hospital Way Date Report Submitted: 8/6/2013

Phone #- 1916) 726-0304 M atFier; ,CA NAL ID # ! Lot #: 469 / 339

Fax .#: (916) 780f-8290 Lab Tracking #:

Attention: Larry Walker. Job Number Total Samples:

Email:

PHASE CONTRAST MICROSCOPY ANALYTICAL REPORT (PCM)

Fibers

Fibers Fibers per Per per

Samples ID #

Liters/Min Volume •• Fields

MM2 CC

IJCL*

Sample ID #:' 650.1 NAL 1:1): 469-339-1 Location: Mechanical Room;i :7North Entrance at Entrance to Containment Description: "I• nice :Wallboard Abatement

7.5 1125 5/100 < 7.0 : 0.002 0:01

::fiample ID #: 65.0-2 "NAL 1D:469-339-21 Location: Mechanical Room. North Area:a(Nentive :fir Exhaust Description: Trace Wallboard Abatement

9/100 11.5 0.003 0.01

SAM* ID #:. 650-3 NAIAD: 469-339 73

Location: Mechanical Room, NOrtliEntrance at Entrance to Containment Description: Trace Wallboard Abatement

T5 10:12.5 61109 6 0.002 9.01

Sample • #: 650.4 NM. ID: 469=339-4 Location: Mechanical ROM. Not-I:W*6 at. Netative Air.

Exhaust Description: Trace . Vi zillbOard Abatement

,: 7.5 1012:5 6100 7.6 0.002 0.01.

Sample ID #: 650-5EB NAj_. tp: 4697339 . 5 Location:

Description: 30 Second Cap . Oft Field Blank

0'100 ' < 7.0

?KEY: **TWA: Time : Weighted 'Averar..,.e per Sample. Eight hour TWA summary is provided at the end Of each month.

***1.1\11:: Sample net :suitable for analysis. See sample description.

National Analytical Laboratories, Inc. 2201 Francisco Dr. Ste.140-261, El Dorado Hills, CA 95762 Phone (916) 361-0555 Fax (916) 361-0540 Wcbsite WWW NAIA.com dir

Page I r)f 1

National . Analytical'Laboratories, Inc.

Ph:916.361.0555 Ex: 916.361.0540

Job Site/Job #:

qiientlt.LotIV Date 8/6/20:13469 339 VA. Building 650 AHU Redlacement:

10535 Hospital Way, Sampling Date: 8/6/2013 JM Environmental Phone Number (916)726-0304 Mather, CA Sampling Time 8:00:00 AM

FAX:Number (916) 780-8290 Type Of Work: PCM Air

Contact Larry Walker No. of Samples 5

E•Mail‘Address Turnaround. 6 hours

Num. Sample ID# Mir( I.. PM Volume Location/Description

• 1. 650-1. 150 1125 Mechanical Room, Ndrifi . Entrance'aiIntrance to.

COritaininent / Abatement Tfrace•Wallboard

650-7 150 1 1 2 5.. Mechanical` Room, North . Area at Negative Air Exhaust

AbateinentTrace Wallboatci

650-3 135 7 1012; WchanicalRbom, North Entrance at Entrance.

Containment / Abatement "FriceWallbOai'd

6504 135 7.5 • 1012.5. Mechanical RpOM,,North Aita':at Negative Air Exhaust /

Abatement•Traee Wallboard

650-51,13 0 Field Blank! 30 SecOn&Cap Off

• Chain. of Custod - Information Releascjab ittui-e iamt eel Recci‘ed 13. Signature Date/

Due:

TWILS 40 ()S, 1)6 13,

By Signitture Date/ lime Rece ived 13.. Signat ure Date/

Tim, At:

John Moore'-'iM Environmental P.O. Box 2189 ' Granite Bay, CA 95746 s`

Attention: .."Larry Walker Email:

Job Site:::.

VA Building 650; Al-.1U 1-4 Replacement

10535 Hospital Way Mather, CA

Job Number.

Pale: 1 of 1

Login #: 33151

Date Samples Taken: 8/7/2013i

Date Repot Submitted: 8/7/2013

NAL ID #.1 Lot #: 469./ 340

Lab Tracking #:, Total. Samples: 5 oL, PHASE CONTRAST. MICROSCOPY ANALYTICAL REPORT '(PCM)

Liters/Min Volume Fields MM2 CC

'SAM* ID 4:"650-6 NAL J.D: 4697 3 ,10 - 1

Location:. MMechanical RootkNorth Entrance at Entrance to (.1ontainment Descripti on: Trade Wallboard: Ahaternerit

7.5 1 0 I 6/100 7`6 0.002 0.01

Sample ID 4: (i50-7 NAL : ID: 469-3402 Location: Mechanical Room, North Entrance at.Negative Air EXhäust Description: Trace. WallboarriAbateinent

:5./100 < 7.0 .5 :0(1. 12 :'::

Sample IP #: 650-8 i NAL ID: 469-34(1-3 ' Location: Mechanical Roon-LENorth Entrance at Entrance to Containment Description: Trace Wallboard Aba IC111Q11(

:'1(/' 1 200 81100 10.2 1:0.003 0.01

Sample ip:#: 650-9 "NM.: ID:, 469.340,4 Location: Mechanical Room,NOftbEntratieC:at Negative i' Air Fshaust Description: Trace Wallboard Abatement

10 1200 5/100 7:0 0.002; 0.01

Sample ID4: 650-10FB NAL ID::=1:69-340-5' Location:

Description: 30 Secdfid (tar Off Field Blank

00 .0

KEY: ".`TWA: 'Time Weighted Average per sample: Eight hour TWA summary i; provided at the end of each month.

Sample nót suitable for analysis. See sample . description.::

Analyst: Anthony M. De Arcos Reviewed By: •

Sample amity/4 by l'haseContrast Mteroscopy in accordance with the K1101S.H. 7 .100 MethOd..utilizing the7.'../11.11.1Counting Refers tO • the 954:ii •.lipper Confidence LilltiLthat . insures that the differences in ineaittred . concetimitionk between labortuories•within

• lahor(itOries will be no higher that' . the •information is based in part dn:the volume of theitir • sampled raid fibers counted.. • . ••.•:

National Analytical Laboratories, Inc. 2201 Francisco Dr. Ste.140-261, El Dorado Hills, CA 95762 Phone (916) 361-0555 Fax (916) 361-0540 Website www.NALI.corn ale l of I 41, NAL LOG-IN RECORD Login # .33151

National Analytical Laboratories, 'Inc

.Pn: 916;361.0555 rx 916.361.0540

Job SitelJob

Client#-Lot# Date 8/7/2013 491 34P

VA Building 650 AttU 1-4 Replacement:

:John Moore JM Environmental 10535 Hospital 'Way Sampling Date: 8/7/2013

Phone Number (916) 726-0304 Mather, CA Sampling Time 7:00:00 AM

FAX:Number :(916) 786-8290 Type Of Work: PCM Air

Contact Larry Walker No. of Samples 5

E-Mail Address Turnaround: 6 hours

Num. Sample ID# Min. I_PM Volume Location/Description

650-6 180.. 7.5 .1350 Mechanical Room, North Entrance at Entrance to

Containment I Abatement Trace,Wallboard

650-7. H. '1,80 1'0 1800 Mechanical, Room. North Entrance at . Negative . Air

:Exhaust I Abatement Trace Wallboard

650-S 1 2Q: 10 1200 Mechanical Room,: North Entrance at Entrance 'to

Ce.ltifainment .Abatement Traee:Wallboardi

650-9 • 120 10 1200 Mechanical Room, North Entrance at Negaiie:,Ai'r, ENhati§t,,i Abatement "Trace. Wallboai.d

650-1 0113 0 Field Blank ! Second Cap '911'

Chain of Custod • Information Releasenattire . •• • Date' ' lime... Receieett BK Siinat are

D de!

Time .

Due:.

.., OSO 13 ' •

I d By S. ig■uitilre Date, : :.

Date/ .

:flung, i:•.., Paula. Lee National Analytical Laboratories (NAL) 2201 Francisco Dr.

Ste. 140461 EI . Dorado Hills, CA.95762

Project: VA Building 650, AHU 1-4 Replacement, 10535 Hospital Way, Mather, CA

Attn: Phone:

Fax:

Received Analysis . Datel:., Collected:

(916).561-0555' (916)361=0540 :

08/0p/13 . 9:29 AM 8/91201 8/8/2013

LIMit Of detection ,s 7 fitersimm = . intre-labora'ary Sr •• =1•1es • tio,rs.= 0.31. 21-50 q berS' , 0.23. 51-100 fibers = 0:1 :et-lab:Ka:my maintains liability . lirmted to cost of ene•ysis.. Tiik; retort relates only to Me samples repartee above and may not be 'reprod uced. in responsibility for sample collection acti ,n1 es or anaiytica , method iim thvons. Interpretation. and use of test resLtIts• are the respansia:iri Ofwilich is dependent on • dune elected by ryn-innotatary personnel. Result, have beenb!ank Corrected as appi:cabie. the res.Ms in !bin

MA AA:1002C0; LELAP 04144.

EMSL e?:

CustomerlD:

061309421::

NAL51EMSLAnalytical, Inc.

_A.I 528 Mineola Avenue. Carle Place, NY 11514 . .

Pttorie/Fax: (516) 1197-7251 1.(51e).97-7528 CustomerPO;

• . IT! . • narieclarehebra'en1Si.r.arn • ProjectlD:

Test Report: Fiber Count by Phase Contrast Microscopy (PCM), NIOSH 7400 Metho Revision 3, Issue 2, 8/15/94

Sample Location San, ple Date (liters) Fibers .

LOD,

(fib/cc) ' Fibers/ mot'

Fibers/ ce Votes

10535-11 Bldg 650, Mechanical Rm, Inside Croon Rm/elean up

803/2013 Overloaded

061309421-0001

10535-12. Bldg 650, Mechanical Rm, Negative Air Exhaust Port

8/8/2013" 1350.00 '29 100 0.002 36.9 I 0.011

06 f 309421-0002

10535-13. Bldg 650: Mechanical Rm, 'Inside Clean Rm/Clean-up

8/8/2013 . • 1350.00 <5.5 ..100 0.002 • <7.01 <0.002

061309421-0003

10535-14 BlOgj650. Mechanical Rm.: 8/8/2013 1350.00 10 100 0.002 12.7 0.004" Negative AirEkhaust Port

061309421-0004

10535-F815 Cap off 30 Seconds/Field • 8/8/2013 • . <5.5 . 100 <-7 01 Field Blank Blank

061309421-0006

The result's reported have been blank corrected as'applicable.

Analyst(s)

Michael Tong (5) Michelle McGowan, laboratory Manager or other approved s ignatory , .

Initial , report from 08109/2013 10.50:55

Test Report:PCM-7.22.0 Printed: 8/9/2013 10:51:02 AM THIS IS THE . LAST PAGE OF THE REPORT.

061309421

NAL LOG-IN RECORD

Par or-1

Login # 33158

Phone: 916.36t0555 Fax: 916 36i 0540

National Analytical Laboratories, Inc Job Site/Job #:

Client#-Lot#

JM trriironmental Phone. Number

FAX Number

Contact E•Mail Address

Date 81812013

Sampling Date.

Sampling Time 64:00 AM

Type Of Work: Air

No, of Samples 5

Turnaround. 6 hours

Larry Walker

VA Buildinj'650

AHU 1-4 Replacement

105351-1OSpital Way Mather; CA, Num. Sample lD# Min LPM Volume LocationlDescnption

1053511 ' 180 7.5'` 1350 Bldg. 650, Mechanical Room, Inside Clean Room/ Clean-Up & Detail Work

10535ii12 180 7.5 1350 Bldg: 650, Mechanical Room, Negative Air Exhaust Port & Detail Work, .

'1035-13 180 7.5 1350 Bldg 656; Mechanical :Rt./Om; Inside Clean Room !Clean:Up, Detail, Vieuel E.ricap

10535-14 180 1350 Bldg. 650, Mechanical Room; Negative Air Exhaust Port.! Detail; Visual & Encap

10535-H315 0 0 0 Cap Off 30:SeiCends /:Field Blank

Abatement of Trace <1% Sheetrock-Joint Compound I

Chain of Custod y Informa thin Date: Signature

Date/ rime •

T im e

.. RcCCivikl . re

Date/

Date/ L Tinie At:

11 .r1 R• _Signature .

EMSL:Analytical; Inc.

528 Mineola Avenue, Carle Place, NY 11514 Rhone/Far %:•,(57.1P) 997-7251 / . (516) 997-75213;

EN1S1 corr. carlePlacPW)(Mernsl ()in

CustomerPO:

ProjectID:

Attn: Paula Lee National Analytical Laboratories (NAL) 2201 Francisco Dr.

Ste. 140-261 El Dorado Hills, CA 95762

Project: VA Building 650, AHU 1-4 Replacement, 10535 Hospital Way, Mather, CA

Test Report- Fiber Count by Phase Contrast Microscopy (PCM), NIOSH 7400 Metho Revision 3, Issue 2, 8/15/94

10535-1 AA Bldg 650, Room 1D 726, 8/8/2013 1350.00 8. 100 0 002 10.8 0.003 Center/Ambient Air

001309422-0001

10535-FB.2 Cap off 30 Seconds/Field:- 8/8/2013'

061309422-0002 Blank

<5.5 100 Field•Blank •

The results reported have been blank corrected as;aPplicable.

Based on the ambient air sample results, the area hakbeen cleare!tl ias the results are below both the Permissible Exposure Limit (PEL) 0.1 f(60 tor OSHA.

Worker Protection; ,:and:the En yfronmenal Protection Agency (EPA) Phase Contrast Microscopy (PCM)'air clearance level of : 0.01 ficc(fiibers per'centimeterS).

indoor air clearance requirMentS:-

Analyst(s)

Michael Tong (2) Michelle McGowan. Laboratory Manager.

or other approved signatory

l2H nfin.1.•!.1.1tn...4,...niden Nor:revel by ErviL beam ' •

Initial report from 08;09/2013 10:50:11

Collected: 8/8/2013

Test Report PCM 77:22 0 Printed: 8/9/2013 12:56:31 PM THIS:IS THE LAST. PAGE OF THE REPORT.

National Analytical Laboratories, Inc

Clientil-Lotft 469 / 342

John Moore JM. Environmental Phone Number.

FAX Number.

061309422

I of I

NAL LOG-IN RECORD Login :# 33159

Phone: 916.361.0555 Fax: 916:361.0540

Job SiteiJob

VA Building b50 Date 61812013

AHU. 1 7 4 Replacement. Sampling Date: 8/812013

NO': of Samples 2

Turnaround. 6 hoU.§,i

Num. I Sample ?DA Min. LPM Volume Location/Description

1 10535-1 AA 135 10 1353 Bldg. 650:Room 10 725, Center / Ambient Air'-

2 10535-FB2 0 0 0 Cap Ct 30 Seconds i Field Blank

Sample collected from Room. ID 726 because of a breech in containment F •orman improper patch on the Northeast upper end : of the office. Negative air. 3 machines. in the'Containment pulled the patch off and into the work area. Hole . covered; ith 6 mil polyethylene and tape.

Chain of CuStoaliiifoirnation•• Rele :0 CAI 13 ., Signature Dale!, :lithe Itrevived ro... Signiiturc Dale

0.TOki.3

Due:

iiii:e< gere■Oe41. y Signature Dztei line

1: