BUILDING-7.pdf

TRIENNIAL ASBESTOS REINSPECTION REPORT

BUILDING 7 – OUTPATIENT PHARMACY & CLINIC

PREPARED FOR

Mr. James Bachman & Ms. Olivia Parducho

Department of Veterans Affairs VA Long Beach Healthcare System

5901 East 7th St.

Long Beach CA 90815

Contract Number: GS-10F-0229U - Order Number: VA262-14-F-7064

PREPARED BY

Millennium Consulting Associates 620 Contra Costa Boulevard, Suite 102

Pleasant Hill, CA 94523

January, 2015 Millennium Project No. 22015.2033

Millennium Consulting Associates 1 Project No. 22015.2033

Table of Contents

1.0 EXECUTIVE SUMMARY

2.0 INTRODUCTION

2.1 SCOPE OF WORK

2.2 SAMPLING METHODS, PROCEDURES AND PERSONNEL

2.2.1 Review of Procedures: Asbestos Inspection, Bulk Sampling, Laboratory Information and Risk Assessment ... 6

3.0 BUILDING SUMMARY

4.0 SURVEY RESULTS

4.1.1 Summary of Previous Sampling Events

4.1.2 FINDINGS OF MILLENNIUM 2014 TRIENNIAL SURVEY & ASSESSMENT

5.0 CONCLUSIONS AND RECOMMENDATIONS

6.0 LIMITING CONDITIONS

Appendices Asbestos Laboratory Sample Data ............................................................................................................... Appendix A

Asbestos Finish schedule & Hazard Assessment ...................................................................................... Appendix B

Sample Location Maps .................................................................................................................................... Appendix C

Millennium Consulting Associates 2 Project No. 22015.2033

1.0 EXECUTIVE SUMMARY

Millennium Consulting Associates (Millennium) performed comprehensive triennial asbestos survey for the VA Medical Center in Long Beach, California under Contract No. VA262-14-F-7064. The objective of this project is to support the Operations & Maintenance Program be conducting the following tasks:

Review VA-supplied previous Asbestos Survey, Assessment and abatement records;

Conduct a comprehensive site evaluation of accessible locations within each specified building to, identify, assess & evaluate condition(s) and collect representative bulk samples of previously un-sampled or newly observed PACM, suspect ACCM, and suspect ACM;

Provide an asbestos health risk assessment and determine location and quantity estimates of ACCM and ACM.

A summary of the survey final results are incorporated into this report, providing a means for the VA to more efficiently plan for repairs, renovations and/or demolition projects.

Table 1, below, summarizes the positive Asbestos survey results from this project for Building 7 Engineering.

This is only a list of sample locations. See attached Finish Schedule for all locations of all materials.

Table 1. Survey Summary of Positive Asbestos ACM Results reported by Millennium for Building 7.

No samples collected by Millennium were reported to contain asbestos.

Table 2. Summary of Previously Reported Asbestos Containing Materials for Building 7 as reported by others. The presence of ACM materials noted in this table is NOT indicative of the current presence as many of these components have been abated. Please refer to Appendix B.

Data Source Location Asbestos Type

Asbestos Quantity

Material Description Color

Friable

ACBM

Environmental Engineering, Basement Corridor, Rooms 11 &

Amosite Chrysotile

20 LF

Thermal system

Insulation (6” and 8” fittings)

Unreported Friable

Environmental Engineering, Basement Corridor

Chrysotile 900 SF Floor Tile

Mastic Black Damaged

Environmental Engineering, 1st Floor Pharmacy/Non Pharmacy Area

Chrysotile 4,000 SF Sheet flooring mastic Unreported Non Friable

Environmental Engineering, 1st Floor Room

Chrysotile 100 SF 12” Floor tile mastic Unreported Non Friable

Millennium Consulting Associates 3 Project No. 22015.2033

Data Source Location Asbestos Type

Asbestos Quantity

Material Description Color

Friable

ACBM

Environmental Engineering, 3rd Floor waiting room

Chrysotile

1,400 SF

Carpet Mastic Unreported Non Friable

Environmental

Engineering, 3rd Floor rooms 303, 314, 320, 323

Chrysotile Unreported

12” Floor tile mastic (under light green and beige 12” tile)

Black Non Friable

Environmental

Engineering, 3rd Floor Corridor, Room 304

Chrysotile Unreported 9” Floor tile and mastic Beige/Black Non Friable

Environmental

Engineering, 3rd Floor, room 330F

Chrysotile Unreported

12” floor tile mastic (uner 12” tan floor tile patch_

Unreported Non Friable

Environmental

Engineering, Roof Chrysotile 340 SF Roof Flashing

Black Non Friable

H2 Environmental, Report

13545210AS

March 2011

Room 328 (likely a remnant from past abatement

– similar samples were

“ND”)

Chrysotile 600 SF Carpet Mastic (under blue carpet)

Yellow/Black Non Friable

H2 Environmental, Report

13545210AS

March 2011

Room 328, 326, CC7-3-1, CC7-1-4

Chrysotile 2,000 SF

Floor tile mastic (under 12” off-white & brown tile)

Black Non Friable

H2 Environmental, Report

13545210AS

March 2011

Room 102, 103B, 103C, 103F

Chrysotile 2,600 SF Resilient Sheet Floor adhesive

Black, white Non Friable

H2 Environmental, Report

13545210AS

March 2011

Room 103B, 103F

Chrysotile 560 SF Carpet Mastic Black/Yellow Non Friable

H2 Environmental, Report

13545210AS

March 2011

Room 300, 307 & 309

Chrysotile 3,000 SF 9” Floor tile and mastic

Cream/Black Non Friable

H2 Environmental, Report

13545210AS

March 2011

Room 12A Chrysotile 80 SF Boiler Insulation Wrap

White Friable

Millennium Consulting Associates 4 Project No. 22015.2033

Type

Asbestos Quantity

Material Description Color

Friable

ACBM

H2 Environmental, Report

13545210AS

March 2011

CC7-2-204,

Room 206, CC7-2-225, Room 100, 103, CC7-1-3

Chrysotile 20,000 SF 12” Ceiling Tile

White Friable

H2 Environmental, Report

13545210AS

March 2011

CC7-2-204,

Room 206, CC7-2-225, Room 100, 103, CC7-1-3

Chrysotile Amosite Crocidolite

20,000 SF

Ceiling Tile Substrate

Black, White Non Friable

H2 Environmental, Report

13545210AS

March 2011

CC7-1-3,

Basement Fan Room, CC7-B-

Chrysotile Amosite

1,000 SF

Duct Insulation

Brown, white Friable

Please refer to Section 3 for details.

Materials Not Sampled per COTR Request:

1. All Doors

2. “Welded” Sheet Vinyl flooring except if specifically instructed by COTR.

3. All Electrical Wiring

4. All other materials specifically called out in provided Finish Schedule.

Millennium Consulting Associates 5 Project No. 22015.2033

2.0 INTRODUCTION

Millennium Consulting Associates (Millennium) performed a Comprehensive Triennial Asbestos Survey for the VA Medical Center in Long Beach, California under Contract No. VA262-14-F-7064. The project was conducted to determine the existence and condition of Asbestos Containing Materials (ACM) in specified buildings. A summary of the survey final results are incorporated into this report providing a means for the VA to more efficiently plan for repairs, renovations and/or demolition projects. In addition, a comprehensive Access database was developed specifically to manage the asbestos and lead data obtained for this project.

2.1 SCOPE OF WORK

The objective of this limited asbestos and lead survey is to provide the following information:

1. Identify, document and sample previously un-sampled suspect ACM;

2. Report, assess, and quantify all ACM discovered during the survey;

3. Provide comprehensive spreadsheet (finish schedule) of asbestos-containing materials identified.

The asbestos survey tasks included a review of previous asbestos surveys, abatement response action records, a thorough walk-thru of accessible areas within each building within the contract to identify accessible suspect asbestos finish/material, collection of representative samples for asbestos, assessment of the condition of the materials and quantification of the asbestos-containing materials throughout the specified buildings.

In accordance with the project requirements, samples were not taken if it rendered the material unstable, had the potential to cause leaking or other deterioration of the base material or if the sampling posed a hazard to those working in and around the building. The sampling of specific materials identified by the client, newly or recently renovated areas was omitted per the direction of the client.

2.2 SAMPLING METHODS, PROCEDURES AND PERSONNEL

A detailed sampling and analysis plan was prepared to facilitate sampling of homogeneous materials for asbestos. These are materials that are similar in appearance and texture, based on the substrate and/or suspect material. The asbestos survey was performed using general procedures and protocols defined in EPA 40 CFR, part 763.

The asbestos analyses were performed at an independent 3rd party accredited laboratory (EMSL Laboratory, San Diego, CA.) using the EPA 600/R-93/116 method. All locations within the scope of work were physically inspected and categorized by homogeneous area, to determine the presence of ACM.

Millennium personnel held valid licenses for the respective type of work they performed. These asbestos specific licenses include: Certified Asbestos Consultants (CAC) and Site-Surveillance Technicians (SST).

The project team members and their respective certifications that performed site assessment activities are:

1. Mr. Jack McCubbin (CAC No. 93-0894),

2. Mr. Jeremy Malson, CIH, CSP (CAC No. 07-4183)

Millennium Consulting Associates 6 Project No. 22015.2033

3. Ms. Lee Anne Norman (CAC No. 11-4779), and

4. Mr. Todd Reed (CSST No. 06-4032).

Physical Inspection, material sampling and physical assessment of the materials within Building 7 was conducted in December 2014 and by the personnel above.

2.2.1 Review of Procedures: Asbestos Inspection, Bulk Sampling, Laboratory Information and Risk Assessment

The asbestos inspection and bulk sampling procedures were based on the guidelines established by the U.S. EPA in the Guidance for Controlling Asbestos Containing Materials in Buildings, Office of Pesticides and Toxic Substances, DOC #560/5-85-024 and 40 CFR Part 763, Asbestos Hazard Emergency Response Act (AHERA). Field information was organized according to the AHERA concept of Homogeneous Areas (HA). A HA is defined as a suspect material of similar age, appearance, function, and texture. Each homogeneous material was grouped together as a specific HA, sampled, and then assessed for condition.

The AHERA guidelines represent an industry standard sampling protocol and as such was utilized during the inspection and sampling.

The locations within the buildings were physically inspected on a space-by-space and homogeneous area-by-homogeneous area basis, to determine the presence of ACM. Core samples of friable and non-friable suspect materials were collected by penetration of the suspect material to its substrate where allowed by the client. The bulk samples collected were placed in individual sealed containers and labeled with unique sample identification numbers. Representative samples of each homogeneous sampling area were then submitted to the laboratory to be analyzed for asbestos content.

Specifically, the inspection involved the following tasks:

1. Visual determination as to the extent of visible and accessible suspect materials and conditions of the material;

2. Collection and analyses of suspect building materials for asbestos content;

3. Determining condition (i.e., friable or non-friable) of suspect materials by physically touching, assessing, and placing the material into the correct ACM category (i.e., Physical Condition Assessment);

4. Quantification of the amount of ACM friable and non-friable materials along with their location;

5. Identification of all suspect materials sampled on the appropriate building floor plan diagram with the sample number; and

6. Preparation of a Chain-of-Custody form that accompanied the samples to the laboratory.

2.2.1.a Sample Chain of Custody and Contract Laboratory:

Chain-of-Custody procedures and records provide a means of tracing each sample from the time of collection through the shipment and final analyses. Proper Chain-of-Custody procedures also provide a written record of all persons handling the samples. The information necessary to relate sample locations for reporting purposes is documented with each sample. This information is essential to proper completion of a sample results report and typically includes client and facility information; unique sample identification

Millennium Consulting Associates 7 Project No. 22015.2033 number; date and time sampled; sampler name and signature; sample location including the room/area;

and field sketches of sample locations.

All sample analyses were performed by EMSL Laboratory, located in San Diego, CA. EMSL is a laboratory which is certified by the State of California Environmental Laboratory Accreditation Program (2713), the U.S. Department of Commerce, National Institute of Standards and Technology (NIST) and is accredited by the National Voluntary Laboratory Accreditation Program (NVLAP No. 200855-0) for bulk asbestos analyses.

2.2.1.b Asbestos Material Physical/Condition Assessment:

The U.S. EPA AHERA specifies that a physical assessment of all friable suspect material must be performed during the inspection. The physical condition assessment consists of determining the condition of the ACM, and the potential for future disturbance. AHERA lists seven categories in which to assess the current condition and potential for damage for those asbestos materials having an asbestos content greater than 1%. These are considered Asbestos Containing Materials (ACM). These categories are as follows:

1. Damaged or Significantly Damaged Friable Thermal System Insulation;

2. Damaged Friable Surfacing Material;

3. Significantly Damaged Friable Surfacing Material;

4. Damaged or Significantly Damaged Friable Miscellaneous Material;

5. ACM with potential for damage;

6. ACM with the potential for significant damage; and

7. Any remaining Friable ACM or Assumed Friable ACM.

Additionally, as part of the assessment and categorization of materials, the ACMs are further defined by the current condition of the ACM, and the potential for future damage. These are defined as follows:

1. Current Condition of ACM: Intact, damaged or significantly damaged. The criteria for determining the damaged and significantly damaged conditions are as follows:

a. Damaged: The overall damage is up to ten percent (≤10%) and/or any localized damage is up to twenty-five percent (≤25%).

b. Significantly damaged: The overall damage is greater than ten percent (>10%) and/or any localized damage is greater than (>25%).

2. Potential for Future Damage of ACM: Another step in the assessment process is to determine the potential for future damage or deterioration for material classified as good or fair. The potential for future damage was classified as High, Moderate, or Low for Human Contact, Vibration and Air Erosion.

3. Friability Rating: All material were given a friability rating and classified as either Friable ACM or Non-Friable ACM. Friable ACM is defined as any material that contains more than one percent (>1%) asbestos and can be crumbled, pulverized, or reduced to powder by hand pressure. It is a description of risk and refers to a material’s likeliness to release airborne fibers.

Millennium Consulting Associates 8 Project No. 22015.2033

3.0 BUILDING SUMMARY

BUILDING 7 – ADMINISTRATION

Building No. 7 is the Outpatient Pharmacy & Clinic Building and was built in 1943. The building has three floors and is approximately 36,000 ft2 in size. The structure is reinforced concrete, and the roofs are rolled bituminous asphalt. The building is considered to be in good overall condition.

Extensive renovation has occurred over time; abatement records were noted for some past abatement activities, but not all. That is, abatement is likely to have occurred in which documentation is not available.

4.0 SURVEY RESULTS

4.1 ACM Data Results

4.1.1 Summary of Previous Sampling Events:

Millennium reviewed six (6) documents detailing previous asbestos-related inspections and abatement activities associated with Building 7. The documents include the following:

1. Asbestos Abatement Event – H2 Project #188001AM (March 2001) – Abatement of HVAC duct cover insulation in the Linen Room – quantity not reported;

2. Asbestos Abatement Event – H2 Project #599404AM (October 2004) – Abatement of five (5) thermal system insulated elbows from Mechanical Room 218;

3. Asbestos Abatement Event – H2 Project #1610313AM (March 2013) – Abatement of thermal system insulation/HVAC duct work from the basement;

4. Asbestos Abatement Event – H2 Project #1647613AM (September 2013) – Abatement of 4,500 SF of floor tile and mastic from 1st floor rooms 102 through 103;

5. Asbestos Survey – Environmental Engineering, June 2006’

6. Asbestos Survey, H2 Environmental, February 2011.

Type

Asbestos Quantity

Material Description Color

Friable

ACBM

Environmental Engineering, Basement Corridor, Rooms 11 &

Amosite Chrysotile

20 LF

Thermal system

Insulation (6” and 8” fittings)

Unreported Friable

Environmental Engineering, Basement Corridor

Chrysotile 900 SF Floor Tile

Mastic Black Damaged

Environmental Engineering, 1st Floor Pharmacy/Non Pharmacy Area

Chrysotile 4,000 SF Sheet flooring mastic Unreported Non Friable

Data Source Location Asbestos Type

Asbestos Quantity

Material Description Color

Friable

ACBM

Millennium Consulting Associates 9 Project No. 22015.2033

Environmental Engineering, 1st Floor Room

Chrysotile 100 SF 12” Floor tile mastic

Unreported Non Friable

Environmental Engineering, 3rd Floor waiting room

Chrysotile

1,400 SF

Carpet Mastic Unreported Non Friable

Environmental

Engineering, 3rd Floor rooms 303, 314, 320, 323

Chrysotile Unreported

12” Floor tile mastic (under light green and beige 12” tile)

Black Non Friable

Environmental

Engineering, 3rd Floor Corridor, Room 304

Chrysotile Unreported 9” Floor tile and mastic Beige/Black Non Friable

Environmental

Engineering, 3rd Floor, room 330F

Chrysotile Unreported

12” floor tile mastic (uner 12” tan floor tile patch_

Unreported Non Friable

Environmental

Engineering, Roof Chrysotile 340 SF Roof Flashing

Black Non Friable

H2 Environmental, Report

13545210AS

March 2011

Room 328 (likely a remnant from past abatement

– similar samples were

“ND”)

Chrysotile 600 SF Carpet Mastic (under blue carpet)

Yellow/Black Non Friable

H2 Environmental, Report

13545210AS

March 2011

Room 328, 326, CC7-3-1, CC7-1-4

Chrysotile 2,000 SF

Floor tile mastic (under 12” off-white & brown tile)

Black Non Friable

H2 Environmental, Report

13545210AS

March 2011

Room 103B, 103F

Chrysotile 560 SF Carpet Mastic Black/Yellow Non Friable

H2 Environmental, Report

13545210AS

March 2011

Room 300, 307 & 309

Chrysotile 3,000 SF 9” Floor tile and mastic

Cream/Black Non Friable

H2 Environmental, Report

13545210AS

March 2011

Room 12A Chrysotile 80 SF Boiler Insulation Wrap

White Friable

Millennium Consulting Associates 10 Project No. 22015.2033

Type

Asbestos Quantity

Material Description Color

Friable

ACBM

H2 Environmental, Report

13545210AS

March 2011

CC7-2-204,

Room 206, CC7-2-225, Room 100, 103, CC7-1-3

Chrysotile 20,000 SF 12” Ceiling Tile

White Friable

H2 Environmental, Report

13545210AS

March 2011

CC7-2-204,

Room 206, CC7-2-225, Room 100, 103, CC7-1-3

Chrysotile Amosite Crocidolite

20,000 SF

Ceiling Tile Substrate

Black, White Non Friable

H2 Environmental, Report

13545210AS

March 2011

CC7-1-3,

Basement Fan Room, CC7-B-

Chrysotile Amosite

1,000 SF

Duct Insulation

Brown, white Friable

Environmental Engineering, Basement Corridor, Rooms 11 &

Amosite Chrysotile

20 LF

Thermal system Insulation (6” and 8” fittings)

Unreported Friable

Environmental Engineering, Basement Corridor

Chrysotile 900 SF Floor Tile Mastic

Black Damaged

Environmental Engineering, 1st Floor Pharmacy/Non Pharmacy Area

Chrysotile 4,000 SF Sheet flooring mastic

Unreported Non Friable

Environmental Engineering, 1st Floor Room

Chrysotile 100 SF 12” Floor tile mastic

Unreported Non Friable

Environmental

Engineering, 3rd Floor rooms 303, 314, 320, 323

Chrysotile Unreported

12” Floor tile mastic (under light green and beige 12” tile)

Black Non Friable

Environmental

Engineering, 3rd Floor Corridor, Room 304

Chrysotile Unreported 9” Floor tile and mastic Beige/Black Non Friable

Environmental

Engineering, 3rd Floor, room 330F

Chrysotile Unreported

12” floor tile mastic (under 12” tan floor tile patch_

Unreported Non Friable

Please refer to the Environmental Engineering and H2 Reports for the complete listing of materials previously sampled and reported to not contain detectable levels of asbestos.

4.1.2 FINDINGS OF MILLENNIUM 2015 TRIENNIAL SURVEY & ASSESSMENT

Millennium conducted a site inspection and assessment of Building 7 in December 2014. At the time of the survey, Millennium was informed that the roofing materials were replaced since the previous survey.

A total of seven (7) bulk samples were collected within building 7 and then analyzed on a layer-by-layer basis using polarized light microscopy (PLM).

Millennium Consulting Associates 11 Project No. 22015.2033

The results of the December 2014 sampling event are as follows:

Sample No.

Sample

Location Material Type Color

Approx.

Qty.

Asbestos Content /

Type

VALB-7-C1.1 CC7-1-3 Ceiling Wallboard Joint

Compound/Acoustic

Ceiling Tile - Drywall White N/A ND

VALB-7-C1.1 CC7-1-3 Ceiling Wallboard Joint

Compound/Acoustic

Ceiling Tile - Joint

Compound White N/A ND

VALB-7-C2.1 CC7-1-2 Acoustic Ceiling Tile 1x1 w/ Mastic - Ceiling Tile White/Brown N/A ND

VALB-7-C2.1 CC7-1-2 Acoustic Ceiling Tile 1x1 w/ Mastic - Glue White/Brown N/A ND

VALB-7-M1.1 CC7-1-2 FIRE STOP Red N/A ND

VALB-7-M1.2 CC7-1-3 FIRE STOP Red N/A ND

VALB-7-M1.3 CC7-3-3 FIRE STOP Red N/A ND

VALB-7-M1.4 CC7-2-3 FIRE STOP Red N/A ND

VALB-7-M1.5 BASEMENT

ROOM 17 FIRE STOP Red N/A ND

5.0 CONCLUSIONS AND RECOMMENDATIONS

CONCLUSIONS

Based on this survey and a review of previous surveys, the following materials are present within Building 7 which contain asbestos:

Building 7:

Mastic under carpet at select areas;

Floor tile mastic under 12” gray, beige and brown floor tile;

9” floor tile and mastic;

HVAC duct insulation in ceiling cavities;

Note: Asbestos-Containing thermal insulation is anticipated to exist in concealed or otherwise limited access areas throughout.

Millennium Consulting Associates 12 Project No. 22015.2033

Please refer to the Asbestos Laboratory Data in Appendix A in Appendix B for the complete Finish Schedule.

6.0 LIMITING CONDITIONS

Millennium Consulting conducted the survey in December 2014, in accordance with industry standards in existence at the time of the project. The conclusions and recommendations presented in this report are based on the applicable standards of our profession at the time this report was prepared. Copies of this report are furnished to provide factual data that were gathered and summarized in the report.

The data, analysis and recommendations submitted in this report are solely for use of the Client. It may not be relied upon for third party use. This report has been prepared for the exclusive use of the Client for specific application to the survey performed on the property; this Report is not a construction document and is not intended to replace a NESHAP’s pre-renovation assessment and investigation. Destructive investigation methods were part of this scope of work. This report may not be copied (except by our client) without the written permission of the Client. No other representation, expressed or implied, is made.

Millennium appreciated having the opportunity to provide you with our asbestos-related services. Should you have any questions regarding this report or require assistance in the design, specification, management, and/or clearance testing for any future repairs, renovations and/or demolition projects, please do not hesitate to contact us.

Appendix A

Asbestos Laboratory Data

EMSL Analytical, Inc.

7916 Convoy Court,Building 4, Suite A, San Diego, CA 92111

Phone/Fax: 858-499-1303 / (858) 499-1304 http://www.EMSL.com sandiegolab@emsl.com

431500082

CustomerID: MECA62

CustomerPO: 9356

ProjectID:

EMSL Order:

Attn: Jack McCubbin

Millennium Consulting Associates, Inc.

620 Contra Costa Blvd.

Suite 102

Pleasant Hill, CA 94523

Received: 01/08/15 1:10 PM

VALB ASB SURVEY BUILDING 7/22015.2033

Fax: (925) 808-6708

Phone: (925) 808-6700

Project:

1/13/2015Analysis Date:

Collected:

Sample Description Appearance % Type

AsbestosNon-Asbestos

% Fibrous % Non-Fibrous

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

Polarized Light Microscopy

VALB-7-C1.1-

Drywall

431500082-0001

BUILDING 7 CC7-

1-3 HARDLID

WBJC ABOVE

ACT

White None Detected

Fibrous

Homogeneous

Cellulose<1%

Glass<1%

Non-fibrous (other)100%

VALB-7-C1.1-Joint

Compound

431500082-0001A

BUILDING 7 CC7-

1-3 HARDLID

WBJC ABOVE

ACT

White None Detected

Non-Fibrous

Homogeneous

Non-fibrous (other)100%

VALB-7-C2.1-

Ceiling Tile

431500082-0002

BUILDING 7 CC7-

1-2 ACT 1X1

WHITE WITH

HOCKEY PUCK

Tan/White None Detected

Fibrous

Homogeneous

Cellulose80% Non-fibrous (other)20%

VALB-7-C2.1-Glue

431500082-0002A

BUILDING 7 CC7-

1-2 ACT 1X1

WHITE WITH

HOCKEY PUCK

Brown None Detected

Non-Fibrous

Homogeneous

Non-fibrous (other)100%

VALB-7-M1.1

431500082-0003

BUILDING 7 CC7-

1-2 FIRE STOP

RED

Red None Detected

Fibrous

Homogeneous

Glass3% Non-fibrous (other)97%

VALB-7-M1.2

431500082-0004

BUILDING 7 CC7-

1-3 FIRE STOP

RED

Red None Detected

Fibrous

Homogeneous

Glass2% Non-fibrous (other)98%

VALB-7-M1.3

431500082-0005

BUILDING 7 CC7-

3-3 FIRE STOP

RED

Red None Detected

Non-Fibrous

Homogeneous

Non-fibrous (other)100%

VALB-7-M1.4

431500082-0006

BUILDING 7 CC7-

2-3 FIRE STOP

RED

Red None Detected

Fibrous

Homogeneous

Glass<1% Non-fibrous (other)100%

1Test Report PLM-7.28.9 Printed: 1/14/2015 12:09:59 PM

Derrick Tanner, Laboratory Manager or other approved signatory

Analyst(s)

EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1%

Samples analyzed by EMSL Analytical, Inc. San Diego, CA NVLAP Lab Code 200855-0, CA ELAP 2713

Initial report from 01/14/2015 12:09:59

Natalia Toscano (9) http://www.EMSL.com mailto:sandiegolab@emsl.com

EMSL Analytical, Inc.

7916 Convoy Court,Building 4, Suite A, San Diego, CA 92111

Phone/Fax: 858-499-1303 / (858) 499-1304 http://www.EMSL.com sandiegolab@emsl.com

431500082

CustomerID: MECA62

CustomerPO: 9356

ProjectID:

EMSL Order:

Attn: Jack McCubbin

Millennium Consulting Associates, Inc.

620 Contra Costa Blvd.

Suite 102

Pleasant Hill, CA 94523

Received: 01/08/15 1:10 PM

VALB ASB SURVEY BUILDING 7/22015.2033

Fax: (925) 808-6708

Phone: (925) 808-6700

Project:

1/13/2015Analysis Date:

Collected:

Sample Description Appearance % Type

AsbestosNon-Asbestos

% Fibrous % Non-Fibrous

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

Polarized Light Microscopy

VALB-7-M1.5

431500082-0007

BUILDING 7

BASEMENT

ROOM 17 FIRE

STOP RED

Red None Detected

Fibrous

Homogeneous

Glass<1% Non-fibrous (other)100%

2THIS IS THE LAST PAGE OF THE REPORT.Test Report PLM-7.28.9 Printed: 1/14/2015 12:09:59 PM

Derrick Tanner, Laboratory Manager or other approved signatory

Analyst(s)

EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1%

Samples analyzed by EMSL Analytical, Inc. San Diego, CA NVLAP Lab Code 200855-0, CA ELAP 2713

Initial report from 01/14/2015 12:09:59

Natalia Toscano (9) http://www.EMSL.com mailto:sandiegolab@emsl.com

OrderID: 431500082

Appendix B

Asbestos Finish Schedule & Hazard Assessment

VA Long Beach - Building __________7_____________

VALB ACM Finish Haz Assess Schedule Date of Survey:_______12/4/14__________

Size Color

Asbestos Present Millennium

Sample No.

Previously

Sampled (Y/N) Friable

Good -

No

Damage

Damaged (10% overall or 25% localized)

SignificantlyDamaged

>10% overall OR >25% localized)

Potential for Damage

(vibration, Access, Erosion)

TSI Surfacing Misc

Basement CC7 B-1 Ceiling Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement CC7 B-1 Wall(s) Wallboard withJoint Compound / Concrete Beige

Basement CC7 B-1 Floor Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement CC7 B-1 Door/Door Frame Metal and Metal Beige/Beige Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Core may contain asbestos

Basement CC7 B-1 Misc Fire Caulk Red N M1.1-M1.5 N M1 N/A N/A N/A N/A N/A N/A N/A N/A

Basement CC7 B-1 Misc Cloth wrap on fiber glass (HVAC Tape /Newer Wrap) Off White Not Suspect

Basement CC7 B-1 Wall(s) Stucco (Plaster) ND N/A Y NO Good N/A N/A N/A N/A N/A N/A N/A

Basement 12A Ceiling Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 12A Wall(s) Plaster / Concrete Tan ND N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 12A Floor Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 12A Door/Door Frame Chain Link Fence Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 12A Roof Fire Caulk Red N M1.1-M1.5 N M1 N/A N/A N/A N/A N/A N/A N/A N/A

Basement 12A Misc TSI / Pipe Lagging White Y (3%) N/A Y Yes Good N/A N/A Yes Yes N/A N/A N/A

Basement 12A Misc

Basement 12 Ceiling Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 12 Wall(s) Wallboard withJoint Compound / Concrete Beige ND N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 12 Floor Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 12 Door/Door Frame Wood and Metal Blue/Blue Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Core may contain asbestos

Basement 12 Misc Ceramic Tile 4x4 Off White Not sampled N N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 12 Misc

Basement 12 Misc

Basement TELE Ceiling Wallboard withJoint Compound Beige N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement TELE Wall(s) Wallboard with Joint Compound Beige N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement TELE Floor Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement TELE Door/Door Frame Wood and Metal Blue/Blue Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Core may contain asbestos

Basement TELE Misc

Basement TELE Misc

Basement TELE Misc

Basement 18 Ceiling Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 18 Wall(s) Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 18 Floor Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 18 Door/Door Frame Fence Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 18 Misc TSI / Pipe Lagging Yes N/A Y Y Yes N/A N/A Yes Yes N/A N/A

Basement 18 Misc

Basement 18 Misc

Basement 11 Ceiling Plaster Beige N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 11 Wall(s) Plaster Beige N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 11 Floor Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 11 Door/Door Frame Wood and Metal Blue/Blue Not Suspect

Core may contain asbestos

Basement 11 Misc Ceramic Tile 4x4 Off White Not sampled

Basement 11 Misc

Basement 11 Misc

Basement 11A Ceiling Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 11A Wall(s) Plaster Beige N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 11A Floor Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 11A Door/Door Frame Metal and Metal Blue/Blue Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Core may contain asbestos

Basement 11A Misc

Basement 11A Misc

Basement 11A Misc

Basement 11B Ceiling Concrete Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 11B Wall(s) Wallboard with Joint Compound /Concrete ND N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 11B Floor Concrete Blue Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 11B Door/Door Frame Wood and Metal Blue/Off White Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Core may contain asbestos

Basement 11B Misc Fire Caulk Red ND M1.1-M1.5 N/A M1 N/A N/A N/A N/A N/A N/A N/A N/A

Basement 11B Misc

Basement 11B Misc

Basement FEC B-1 Ceiling Wallboard with Joint Compound ND N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement FEC B-1 Wall(s) Wallboard with Joint Compound ND N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement FEC B-1 Floor Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement FEC B-1 Door/Door Frame Wood and Metal Blue/Blue Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Core may contain asbestos

Current Rm Name/No. Surface

Sample Info

Comment

HAZARD ASSESSMENT

Material

VALB ACM Finish Haz Assess Schedule Date of Survey:_______12/4/14__________

Size Color

Asbestos Present Millennium

Sample No.

Previously

Sampled (Y/N) Friable

Good -

No

Damage

Damaged (10% overall or 25% localized)

SignificantlyDamaged

>10% overall OR >25% localized)

Potential for Damage

(vibration, Access, Erosion)

TSI Surfacing Misc

Current Rm Name/No. Surface

Sample Info

Comment

HAZARD ASSESSMENT

Material

Basement CC7 B-2 Ceiling Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement CC7 B-2 Wall(s) Wallboard withJoint Compound / Concrete Beige ND N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement CC7 B-2 Floor Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement CC7 B-2 Door/Door Frame Metal and Metal Beige/Beige Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Core may contain asbestos

Basement CC7 B-2 Misc Fire Caulk Red ND M1.1-M1.5 N/A M1 N/A N/A N/A N/A N/A N/A N/A N/A

Basement 17 Ceiling Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 17 Wall(s) Plaster Beige ND N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 17 Floor Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 17 Door/Door Frame Wood and Metal Brown/Beige Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Core may contain asbestos

Basement 17 Misc TSI /F (elbow /run) 3" Yes N/A Y Y Yes N/A N/A Yes Yes N/A N/A

Basement 17 Misc Fire Caulk Red ND M1.1-M1.5 N/A M1 N/A N/A N/A N/A N/A N/A N/A N/A

Basement 17 Misc Caulk White

Basement 17 Misc HVAC Sealant Gray

Basement 16 Ceiling Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 16 Wall(s) Plaster Beige N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 16 Floor Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 16 Door/Door Frame Wood and Metal Brown/Beige Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 16 Misc TSI /F (elbow ruin 3" Yes N/A Y Y Yes N/A N/A Yes Yes N/A N/A

Basement 16 Misc Fire Caulk Red N M1.1-M1.5 N/A M1 N/A N/A N/A N/A N/A N/A N/A N/A

Basement 16 Misc Caulk White

Basement 16 Misc HVAC Sealant Gray

Basement 15 Ceiling

Basement 15 Wall(s)

Basement 15 Floor

Basement 15 Door/Door Frame

Basement 15 Misc

Basement 15 Misc

Basement 15 Misc

Basement 19 Ceiling Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 19 Wall(s) Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 19 Floor Concrete with Mastic Black/Yellow Yes N/A Y NF No Yes No Yes No No Yes Exposed

Basement 19 Door/Door Frame Metal and Metal White/Off White Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Core may contain asbestos

Basement 20 Ceiling Concrete Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 20 Wall(s) Concrete Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 20 Floor Concrete with Mastic Black/Yellow Y N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 20 Door/Door Frame Metal and Metal White/Off White Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Core may contain asbestos

Basement 20 Misc

Basement 20 Misc

Basement 20 Misc

Basement 14 Ceiling Concrete Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 14 Wall(s) Concrete Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 14 Floor Concrete / Non Skid Gray Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 14 Door/Door Frame Metal and Metal Tan/Brown Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Core may contain asbestos

Basement 14 Misc Fire Caulk Red N M1.1-M1.5 N/A M1 N/A N/A N/A N/A N/A N/A N/A N/A

Basement 14 Misc

Basement 14 Misc

Basement 13 Ceiling Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 13 Wall(s) Concrete Bare Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 13 Floor Non Skid Gray Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Basement 13 Door/Door Frame Metal and Metal Beige/Beige Not Suspect N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Core may contain asbestos

Basement 13 Misc HVAC Sealant Green N N/A Y N N/A N/A N/A N/A N/A N/A N/A N/A

Basement 13 Misc Fire Caulk Red N M1.1-M1.5 N/A M1 N/A N/A N/A N/A N/A N/A N/A N/A

Basement 13 Misc

Basement 13A Ceiling

Basement 13A Wall(s)

Basement 13A Floor

Basement 13A Door/Door Frame

Basement 13A Misc

Basement 13A Misc

Basement 13A Misc

No Access

VALB ACM Finish Haz Assess Schedule Date of Survey:_______12/4/14__________

Size Color

Asbestos Present Millennium

Sample No.

Previously

Sampled (Y/N) Friable

Good -

No

Damage

Damaged (10% overall or 25% localized)

SignificantlyDamaged

>10% overall OR >25% localized)

Potential for Damage

(vibration, Access, Erosion)

TSI Surfacing Misc

Current Rm Name/No. Surface

Sample Info

Comment

HAZARD ASSESSMENT

Material

Basement 12 Storage Ceiling

Basement 12 Storage Wall(s)

Basement 12 Storage Floor

Basement 12 Storage Door/Door Frame

Basement 12 Storage Misc

Basement 12 Storage Misc

Basement 12 Storage Misc

1st Floor CC7-1-3 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2x4 N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor CC7-1-3 Wall(s) Wallboard with Joint Compound /Concrete Beige

1st Floor CC7-1-3 Floor Resilient Flooring Tile 12x12 Gray Yes* N/A Y N/A Y N/A N/A N/A N/A N/A Y *Mastic is

ACM

1st Floor CC7-1-3 Door/Door Frame

1st Floor CC7-1-3 Misc Acoustic Ceiling Tile Pinhole 12" N Y Y Y N/A N/A N/A N/A N/A N/A N/A N/A

Tile is ND;

previous data indicates presence of

ACM between tile and substrate

1st Floor CC7-1-3 Misc Cove Base 4" Beige

1st Floor CC7-1-3 Misc Cove Base - Terrazo 6" Green N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor CC7-1-3 Misc Cove Base 6" Black Y Y

1st Floor CC7-1-3 Wall(s) Ceramic Tile and Grout 4x4 Off White/Off White Not Suspect

1st Floor CC7-1-3 Misc Window Putty Beige

1st Floor CC7-1-1 Ceiling Plaster White N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor CC7-1-1 Wall(s) Concrete/ Wallboard with Joint Compound Green/Beige N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor CC7-1-1 Floor Resilient Flooring Tile 12x12 Gray Yes* N/A Y N/A Y N/A N/A N/A N/A N/A Y *Mastic is

ACM

1st Floor CC7-1-1 Door/Door Frame

1st Floor CC7-1-1 Misc Cove Base 6" Green N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor CC7-1-1 Misc Ceramic Tile and Grout 4x4 Off White/Off White

1st Floor CC7-1-1 Misc Window Putty Beige

1st Floor CC7-1-1 Misc Cove Base - Terrazo

1st Floor CC7-1-2 Ceiling Plaster White ND N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor CC7-1-2 Wall(s) Plaster / Concrete Beige/Green ND N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor CC7-1-2 Floor Resilient Flooring Tile 12x12 Gray Yes* N/A Y N/A Y N/A N/A N/A N/A N/A Y *Mastic is

ACM

1st Floor CC7-1-2 Door/Door Frame N/A Y N/A N/A N/A N/A N/A N/A

1st Floor CC7-1-2 Misc Wallboard with Joint Compound Beige ND N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor CC7-1-2 Misc Resilient Flooring Tile 12x12 Pink ND N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor CC7-1-2 Misc Cove Base 4" Beige ND N/A Y N/A N/A N/A N/A N/A N/A

1st Floor CC7-1-2 Misc Cove Base Terrazo 6" Green ND N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor CC7-1-2 Misc Acoustic Ceiling Tile Pinhole Big Worm 12" Y Y Y N/A N/A N/A N/A N/A N/A N/A N/A

Tile is ND;

previous data indicates presence of

ACM between tile and substrate

1st Floor CC7-1-2 Misc Acoustic Ceiling Tile Pinhole 2x4 N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor 105 Ceiling Acoustic Ceiling Tile Pinhole 2x4 N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor 105 Wall(s) Wallboard with Joint Compound Beige N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor 105 Floor Carpet Brown

Mastic underneath may contain asbestos

1st Floor 105 Door/Door Frame Wood and Metal Beige/Off White

Core may contain asbestos

1st Floor 105 Misc Cove Base 6" Beige

1st Floor 105 Misc

1st Floor 105 Misc

VALB ACM Finish Haz Assess Schedule Date of Survey:_______12/4/14__________

Size Color

Asbestos Present Millennium

Sample No.

Previously

Sampled (Y/N) Friable

Good -

No

Damage

Damaged (10% overall or 25% localized)

SignificantlyDamaged

>10% overall OR >25% localized)

Potential for Damage

(vibration, Access, Erosion)

TSI Surfacing Misc

Current Rm Name/No. Surface

Sample Info

Comment

HAZARD ASSESSMENT

Material

1st Floor 104 Ceiling Acoustic Ceiling Tile Pinhole 2x4 N ND Y N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor 104 Wall(s) Wallboard with Joint Compound Beige ND N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor 104 Floor Carpet Brown

Mastic underneath may contain asbestos

1st Floor 104 Door/Door Frame Wood and Metal Beige/Off White

Core may contain asbestos

1st Floor 104 Misc Cove Base 6" Beige

1st Floor 104 Misc

1st Floor 104 Misc

1st Floor 101HAC Ceiling

1st Floor 101HAC Wall(s)

1st Floor 101HAC Floor

1st Floor 101HAC Door/Door Frame

1st Floor 101HAC Misc

1st Floor 101HAC Misc

1st Floor 101HAC Misc

1st Floor 100A Ceiling

1st Floor 100A Wall(s)

1st Floor 100A Floor

1st Floor 100A Door/Door Frame

1st Floor 100A Misc Cove Base / Mastic 4" Gray Y N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor 100A Misc

1st Floor 100A Misc

1st Floor 100B Ceiling

1st Floor 100B Wall(s)

1st Floor 100B Floor

1st Floor 100B Door/Door Frame

1st Floor 100B Misc

1st Floor 100B Misc

1st Floor 100B Misc

1st Floor 100C Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2x4 N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor 100C Wall(s) Concrete/ Wallboard with Joint Compound Green/Beige

1st Floor 100C Floor Resilient Flooring Tile 12x12 Gray N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor 100C Door/Door Frame

1st Floor 100C Misc Resilient Flooring Tile 12x12 Beige N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

1st Floor 100C Misc Resilient Flooring Tile 12x12 Tan N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 223 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2x4 N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 223 Wall(s) Wallboard with Joint Compound Beige/Green N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 223 Floor Resilient Flooring Tile 12x12 Beige Yes* N/A Y N/A Y N/A N/A N/A N/A N/A Y *Mastic is

ACM

2nd Floor 223 Door/Door Frame Wood and Metal Beige/Beige

Core may contain asbestos

2nd Floor 223 Misc Cove Base 4" Beige

2nd Floor 223 Misc Cove Base - Terraza 6" Green N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 223 Misc

2nd Floor 214C Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2x4 N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214C Wall(s) Wallboard with Joint Compound Beige N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214C Floor Resilient Flooring Tile 12x12 Beige Yes* N/A Y N/A Y N/A N/A N/A N/A N/A Y *Mastic is

ACM

2nd Floor 214C Door/Door Frame Wood Beige

Core may contain asbestos

2nd Floor 214C Misc Cove Base 4" Beige

2nd Floor 214C Misc Ceramic Tile and Grout 4x4 Off White/Off White

2nd Floor 214C Misc Cove Base - Terrazo 6" Green

2nd Floor 214E Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2x4 N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214E Wall(s) Wallboard with Joint Compound Beige N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214E Floor Resilient Flooring Tile 12x12 Beige Yes* N/A Y N/A Y N/A N/A N/A N/A N/A Y *Mastic is

ACM

2nd Floor 214E Door/Door Frame Wood Beige

Core may contain asbestos

2nd Floor 214E Misc Cove Base 4" Beige

2nd Floor 214E Misc Ceramic Tile and Grout 4x4 Off White/Off White

2nd Floor 214E Misc Cove Base - Terrazo 6" Green N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 223C Ceiling

2nd Floor 223C Wall(s)

2nd Floor 223C Floor

2nd Floor 223C Door/Door Frame

2nd Floor 223C Misc

2nd Floor 223C Misc

2nd Floor 223C Misc

No Access

VALB ACM Finish Haz Assess Schedule Date of Survey:_______12/4/14__________

Size Color

Asbestos Present Millennium

Sample No.

Previously

Sampled (Y/N) Friable

Good -

No

Damage

Damaged (10% overall or 25% localized)

SignificantlyDamaged

>10% overall OR >25% localized)

Potential for Damage

(vibration, Access, Erosion)

TSI Surfacing Misc

Current Rm Name/No. Surface

Sample Info

Comment

HAZARD ASSESSMENT

Material

2nd Floor 214D Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2x4 N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214D Wall(s) Wallboard with Joint Compound Beige N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214D Floor Resilient Flooring Tile 12x12 Beige Yes* N/A Y N/A Y N/A N/A N/A N/A N/A Y *Mastic is

ACM

2nd Floor 214D Door/Door Frame Wood Beige

2nd Floor 214D Misc Cove Base 4" Beige

2nd Floor 214D Misc Ceramic Tile and Grout 4x4 Off White/Off White

2nd Floor 214D Misc Cove Base - Terrazo 6" Green N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214B Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2x4 N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214B Wall(s) Wallboard with Joint Compound Beige N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214B Floor Resilient Flooring Tile 12x12 Beige Yes* N/A Y N/A Y N/A N/A N/A N/A N/A Y *Mastic is

ACM

2nd Floor 214B Door/Door Frame Wood Beige

Core may contain asbestos

2nd Floor 214B Misc Cove Base 4" Beige

2nd Floor 214B Misc Ceramic Tile and Grout 4x4 Off White/Off White

2nd Floor 214B Misc Cove Base - Terrazo 6" Green N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214F Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2x4 N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214F Wall(s) Wallboard with Joint Compound Beige N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214F Floor Resilient Flooring Tile 12x12 Beige Yes* N/A Y N/A Y N/A N/A N/A N/A N/A Y *Mastic is

ACM

2nd Floor 214F Door/Door Frame Wood Beige

2nd Floor 214F Misc Cove Base 4" Beige

2nd Floor 214F Misc Ceramic Tile and Grout 4x4 Off White/Off White

2nd Floor 214F Misc Cove Base - Terrazo 6" Green N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 219 Ceiling Aciustic Ceiling Tile Pinhole Big Worm 2x4 N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 219 Wall(s) Wallboard with Joint Compound N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 219 Floor Resilient Flooring Tile 12x12 Beige with Brown Yes* N/A Y N/A Y N/A N/A N/A N/A N/A Y *Mastic is

ACM

2nd Floor 219 Door/Door Frame

2nd Floor 219 Ceiling Hard Lid / Wallboard with Joint Compound Beige

2nd Floor 219 Misc Cove Base 4" Beige

2nd Floor 219 Misc

2nd Floor 220 Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2x2 N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 220 Wall(s) Wallboard with Joint Compound Beige N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 220 Floor Carpet Brown

2nd Floor 220 Door/Door Frame

2nd Floor 220 Misc Cove Base & Mastic 4" Beige

2nd Floor 220 Misc

2nd Floor 220 Misc

2nd Floor 214H Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2x4 N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214H Wall(s) Wallboard with Joint Compound Beige N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214H Floor Resilient Flooring Tile 12x12 Beige Yes* N/A Y N/A Y N/A N/A N/A N/A N/A Y *Mastic is

ACM

2nd Floor 214H Door/Door Frame Wood Beige

Core may contain asbestos

2nd Floor 214H Misc Cove Base 4" Beige

2nd Floor 214H Misc Ceramic Tile and Grout 4x4 Off White/Off White

2nd Floor 214H Misc Cove Base - Terrazo 6" Green N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214K Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2x4 N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214K Wall(s) Wallboard with Joint Compound /Concrete Beige

2nd Floor 214K Floor Resilient Flooring Tile 12x12 Tan Yes* N/A Y N/A Y N/A N/A N/A N/A N/A Y *Mastic is

ACM

2nd Floor 214K Door/Door Frame Wood and Metal Beige/Beige

Core may contain asbestos

2nd Floor 214K Misc Cove Base 6" Beige

2nd Floor 214K Misc

2nd Floor 214K Misc

2nd Floor 214L Ceiling Acoustic Ceiling Tile Pinhole Big Worm 2x4 N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214L Wall(s) Wallboard with Joint Compound Beige/Green N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214L Floor Resilient Flooring Tile 12x12 Beige Yes* N/A Y N/A Y N/A N/A N/A N/A N/A Y *Mastic is

ACM

2nd Floor 214L Door/Door Frame Wood and Metal Beige/Beige

Core may contain asbestos

2nd Floor 214L Misc Cove Base 4" Beige

2nd Floor 214L Misc Cove Base - Terraza 6" Green N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor 214L Misc

VALB ACM Finish Haz Assess Schedule Date of Survey:_______12/4/14__________

Size Color

Asbestos Present Millennium

Sample No.

Previously

Sampled (Y/N) Friable

Good -

No

Damage

Damaged (10% overall or 25% localized)

SignificantlyDamaged

>10% overall OR >25% localized)

Potential for Damage

(vibration, Access, Erosion)

TSI Surfacing Misc

Current Rm Name/No. Surface

Sample Info

Comment

HAZARD ASSESSMENT

Material

2nd Floor 217 Ceiling Acoustic Ceiling Tile Pinhole Worm 2x4 N N/A Y N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

2nd Floor…