36C26320Q0176-0003001.pdf

5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODE CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR

ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office. is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

1 1

0003 01-14-2020

None

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

2501 W. 22nd St.

Sioux Falls SD 57105

John Becker, 605-336-3230 ext 7960 john.becker3@va.gov

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

2501 W. 22nd St.

Sioux Falls SD 57105

To all Offerors/Bidders

36C26320Q0176

01-03-2020

X

X X

January 16, 2020 10:00 pm CST

See CONTINUATION Page

X one (1)

The purpose of this Amendment is to respond to Solicitation Questions.

The Electrical leakage and ground circuit resistance and polarity tests are not needed for the Clinical Lab BSCs.

The electrical leakage and ground circuit resistance test is something that is included in NSF 49-1992. Cabinets built after that are tested at the factory and do not need that test. The UV bulb testing is also not listed in NSF 49.

These tests do not need to be performed per NSF 49.

Can a copy of the 2019 BSC reports be provided. A copy of the 2019 BSC reports are attached to this solicitation amendment.

The offer due date/time is extended to January 16, 2020, 10:00 PM Central Time. Due to email file sizes, please do not wait until the last minute to submit an offer.

John Becker

Contracting Officer

VA-VHA-2019-95FFC7A6

Test Report Number

TX0242:190311:135929

BIOLOGICAL SAFETY CABINET TEST REPORT

4758 Research Drive San Antonio, TX 78240 (800)345-6094 dba ENV Services Testing & Certification, Inc.

Customer

Address

Contact Telephone Extension

ENV Services Technician Test Date

Equipment Manufacturer Model Serial Number Type Location

Testing and Certification: The purpose of field testing this equipment is to assess whether it is functioning as designed in compliance with the sspecifications, outlined in the appropriate version of NSF/ANSI-49. We perform all test procedures in accordance with these standards and specifications as detailed in ENV Services Procedures, applicable copies of which are available on request. Our testing and certification apply only to to the equipment above, and do not signify approval of the use of any hazardous agents or operational procedures.

SERVICE SUMMARY

Containment tests performed:

HEPA Filter Leak Test Airflow Smoke Patterns Downflow Velocity Profile Test Inflow Velocity Test Site Installation Assessment Tests

Corrected noise level meets NSF criteria for Class II BSCs.

Worker comfort and safety tests performed:

OVERALL CERTIFICATION

X

X X X

PASS FAIL N/A

Repairs performed:

None Filter Leaks Repaired Structural Repairs Made Filters Replaced Airflow Adjusted Pressure Gauge Adusted Warning Alarm System Electrical System Repaired Other:

X

X

EQUIPMENT UTILIZATION SURVEY

Use Biological Agent Used Biosafety Classification Tissue/Cell Cultures

Chemicals Isotopes Surface Decontamination Performed Formaldehyde Gas Decontamination Performed

Using

COMMENTS AND RECOMMENDATIONS

SITE INSTALLATION

Exhaust Alarm or Interlock Functional Cabinet Exhaust

Clinical Non-Carcinogens

NO

Level 2

HUMAN:

70% EtOH

N/A Vented to Room N/A

UNIT CERTIFIED SAFE TO USE

Exhaust Connection PressurizationSash Alarm Function PASS

No Yes

Decontamination Report # N/A

Please print name

Service Technician:Customer:

Signature

ONE VETRANS DRIVE

MINNEAPOLIS, MN 55417

VA MIDWEST HEALTH CENTER

MARGARET KRISHNAN

612/467-2647

BAKER

SG404

127706 Class II, Type A2 BSC

03/11/2019

BA-113

Test Frequency Certification - Annual

Light intensity meets NSF criteria for Class II BSCs.

Electrical results: 115 VAC

0.000 ohms Polarity was correct GFI is functional

Tim Hanson

X

Signature Date

Cabinet Leak Test X

ENV TLBSC- 04/23/12 Page 1 of 2ENV SERVICES, INC. HEADQUARTERS; HATFIELD, PA (800)883-3681

Tim Hanson 11-MAR-2019

For:

Model:

S/N:

Test Report Number

TX0242:190311:135929

VA MIDWEST HEALTH

SG404

127706(800)345-6094

BIOLOGICAL SAFETY CABINET TEST REPORT

Leaks Detected Media: Gasket: Structural:

Supply Filter Quantity/Size:

Approximate Filter Obstruction Caused by Repairs 0.0 % Aerosol Challenge Concentration:

HEPA FILTER LEAK TEST

Exhaust Filter Quantity/Size:

Overall Test Result:

AIRFLOW SMOKE PATTERNS

Smooth downward flow with no dead spots or reflux No outside smoke penetrates onto the work surface

No upward refluxing toward the sash wiper seal No escape of smoke through the sash wiper seal No external turbulence at front access opening

Overall Test Result:Cause of external turbulence, if any _______________________________________________

AIR VELOCITY PROFILES:

Pressure/Flow Gauge Reading Gauge Zeroed

Fan Speed Adjustment Made Final Fan Speed

Specification Used

Overall Inflow Velocity Test Result:

Overall Downflow Velocity Profile Test Result:

ft ft

Area Volume cfm Inflow Exhaust Downflow

Avg. Vel. Specification Uniformity

N/A N/A

N/A

DOWNFLOW VELOCITY PROFILE TEST AND INFLOW VELOCITY TEST

Dens. Corr. 1.000 0 elevation

Downflow Grid:

55 61 57 56 57 52 53 52

48 52 51 49 50 47 47 49

55 52 50 48 48 47 52 52

Exhaust Grid:

272 269 267 273 281 289 287

0.9600 2.56

266 No Change 65%

0.30

NO

SG404

(R) (C) (F)

49 fpm 51 fpm

277 fpm

47 - 57 fpm 42 - 52 fpm

6% 9%

10%55 fpm 47 - 57 fpm

PASS

PASS

Inflow Exhaust

Velometer Model: S/N: Cal. Date:

SECONDARY TESTS AND TEST EQUIPMENT

NOISE Total dbA Ambient CorrecteddbA dbA Background FC 7Average FC 79

Line Voltage VAC ohms

Microwatts/square centimeterAt the work levelUV LIGHT

Criteria <= 70 dbA Corrected Avg. 45 FC > Bkgd, Bkgd <= 15 FC

N/A <= 0.15 ohms or meter min. sensitivity Must be correct Trips when tested None

N/A

N/A

Photometer: S/N: Cal. Date:

Leaks Detected Media: Gasket: Structural:

20X48X3

0 0 0 16X30X6

0 0 0 >= 10 MicroGms/Liter PAO 2 inches per second

PASS

PASS

PASS

PASS

PASS

PASS

PASS

62 61 55

PASS

0.000

PASS

101432 05/16/2018AVM430 2-H 101275 03/05/2018

Filter Scanning Rate:

No Smoke escapes from the cabinet No outside smoke billows over the work surface

LIGHTING

ELECTRICAL

Ground Resistance Polarity Ground Fault Interrupter

Meets

Meets Meets

Meets

PASS

Leakage Repaired with NO LEAKS

Meets

Inflow Method Calculated

PASS

266 cfm100 - 110104 fpm

ENV TLBSC-05/22/09 Page 2 of 2

TX0242:190311:094036

Inventory Number

70-HD-008

BIOLOGICAL SAFETY CABINET TEST REPORT

4758 Research Drive San Antonio, TX 78240 (800)345-6094 dba ENV Services Testing & Certification, Inc.

Customer

Address

Contact Telephone Extension

ENV Services Technician Test Date

Equipment Manufacturer Model Serial Number Type Location

Testing and Certification: The purpose of field testing this equipment is to assess whether it is functioning as designed in compliance with the sspecifications, outlined in the appropriate version of NSF/ANSI-49. We perform all test procedures in accordance with these standards and specifications as detailed in ENV Services Procedures, applicable copies of which are available on request. Our testing and certification apply only to to the equipment above, and do not signify approval of the use of any hazardous agents or operational procedures.

SERVICE SUMMARY

Containment tests performed:

HEPA Filter Leak Test Airflow Smoke Patterns Downflow Velocity Profile Test Inflow Velocity Test Site Installation Assessment Tests

Corrected noise level meets NSF criteria for Class II BSCs.

Worker comfort and safety tests performed:

OVERALL CERTIFICATION

X

X X X

PASS FAIL N/A

Repairs performed:

None Filter Leaks Repaired Structural Repairs Made Filters Replaced Airflow Adjusted Pressure Gauge Adusted Warning Alarm System Electrical System Repaired Other:

X

X

EQUIPMENT UTILIZATION SURVEY

Use Biological Agent Used Biosafety Classification Tissue/Cell Cultures

Chemicals Isotopes Surface Decontamination Performed

Exhaust Alarm or Interlock Functional Cabinet Exhaust

Clinical Non-Carcinogens

NO

Level 2 Other

PASS Thimble Unit NegativeExhaust Connection PressurizationSash Alarm Function N/A

No Yes

Decontamination Report # N/A

Please print name

Service Technician:Customer:

Signature

ONE VETERANS DRIVE

MINNEAPOLIS, MN 55417

VA MIDWEST HEALTH CARE SYTEM

MARGRET KRISHNAN

612/467-2647

NUAIRE

NU-407-600

12026RS

Class II, Type A2 BSC

03/11/2019

BB-130

Test Frequency Certification - Annual

Light intensity does not meet NSF criteria for Class II BSCs.

Electrical results: 116 VAC

0.100 ohms Polarity was correct

Tim Hanson

X

S/N:

Test Report Number

TX0242:190311:094036

VA MIDWEST HEALTH CARE

NU-407-600

12026RS(800)345-6094

BIOLOGICAL SAFETY CABINET TEST REPORT

Leaks Detected Media: Gasket: Structural:

Supply Filter Quantity/Size:

Approximate Filter Obstruction Caused by Repairs 0.0 % Aerosol Challenge Concentration:

HEPA FILTER LEAK TEST

Exhaust Filter Quantity/Size:

Overall Test Result:

AIRFLOW SMOKE PATTERNS

Smooth downward flow with no dead spots or reflux No outside smoke penetrates onto the work surface

No upward refluxing toward the sash wiper seal No escape of smoke through the sash wiper seal No external turbulence at front access opening

Overall Test Result:Cause of external turbulence, if any _______________________________________________

AIR VELOCITY PROFILES:

Pressure/Flow Gauge Reading Gauge Zeroed

Fan Speed Adjustment Made Final Fan Speed

Specification Used

Overall Inflow Velocity Test Result:

Overall Downflow Velocity Profile Test Result:

ft ft

Area Volume cfm Inflow Exhaust Downflow

Avg. Vel. Specification Uniformity

N/A N/A

N/A

DOWNFLOW VELOCITY PROFILE TEST AND INFLOW VELOCITY TEST

Dens. Corr. 1.000 1 elevation

Downflow Grid:

81 81 84 81 87 82 82 84 83 79 80 82

82 84 84 82 82 86 87 81 82 84 89 84

84 86 85 85 81 82 87 81 83 84 86 87

Exhaust Grid:

123 123 119 124 121

4.2800 4.89

522 No Change 80%

0.60

NO

U285E

122 fpm 7%83 fpm 76 - 86 fpm

PASS

PASS

Inflow Exhaust

Velometer Model: S/N: Cal. Date:

SECONDARY TESTS AND TEST EQUIPMENT

NOISE Total dbA Ambient CorrecteddbA dbA Background FC 12Average FC 50

Line Voltage VAC ohms

Microwatts/square centimeterAt the work levelUV LIGHT

Criteria <= 70 dbA Corrected Avg. 45 FC > Bkgd, Bkgd <= 15 FC

N/A <= 0.15 ohms or meter min. sensitivity Must be correct Trips when tested None

N/A

N/A

Photometer: S/N: Cal. Date:

Leaks Detected Media: Gasket: Structural:

(1) 24x72x6 Double Gasket

0 0 0

(1) 24x30x6 Superflow DG

0 0 0 >= 10 MicroGms/Liter PAO 2 inches per second

PASS

PASS

PASS

PASS

PASS

PASS

PASS

65 58 64

PASS

0.100

N/A

101432 05/16/2018AVM430 2-H 101408 12/07/2018

Filter Scanning Rate:

No Smoke escapes from the cabinet No outside smoke billows over the work surface

LIGHTING

ELECTRICAL

Ground Resistance Polarity Ground Fault Interrupter

Meets

Meets

Doesn't meet

PASS

Leakage Repaired with N/A

Meets

N/A

Inflow Method Calculated

PASS

All downflow readings must be within the greater of 25% or 16 fpm of the average.

522 cfm100 - 109107 fpm

TX0242:190311:103235

BIOLOGICAL SAFETY CABINET TEST REPORT

4758 Research Drive San Antonio, TX 78240 (800)345-6094 dba ENV Services Testing & Certification, Inc.

Customer

Address

Contact Telephone Extension

ENV Services Technician Test Date

Equipment Manufacturer Model Serial Number Type Location

Testing and Certification: The purpose of field testing this equipment is to assess whether it is functioning as designed in compliance with the sspecifications, outlined in the appropriate version of NSF/ANSI-49. We perform all test procedures in accordance with these standards and specifications as detailed in ENV Services Procedures, applicable copies of which are available on request. Our testing and certification apply only to to the equipment above, and do not signify approval of the use of any hazardous agents or operational procedures.

SERVICE SUMMARY

Containment tests performed:

HEPA Filter Leak Test Airflow Smoke Patterns Downflow Velocity Profile Test Inflow Velocity Test Site Installation Assessment Tests

Corrected noise level meets NSF criteria for Class II BSCs.

Worker comfort and safety tests performed:

OVERALL CERTIFICATION

X

X X X

PASS FAIL N/A

Repairs performed:

None Filter Leaks Repaired Structural Repairs Made Filters Replaced Airflow Adjusted Pressure Gauge Adusted Warning Alarm System Electrical System Repaired Other:

X

X

EQUIPMENT UTILIZATION SURVEY

Use Biological Agent Used Biosafety Classification Tissue/Cell Cultures

Chemicals Isotopes Surface Decontamination Performed

Exhaust Alarm or Interlock Functional Cabinet Exhaust

Clinical Non-Carcinogens

NO

Level 2 Other

PASS Thimble Unit NegativeExhaust Connection PressurizationSash Alarm Function N/A

No Yes

Decontamination Report # N/A

Please print name

Service Technician:Customer:

Signature

ONE VETERANS DRIVE

MINNEAPOLIS, MN 55417

VA MIDWEST HEALTH CARE SYSTEM

MARGARET KRISHNAN

612/467-2647

NUAIRE

NU-407FM-400

12613RW

Class II, Type A2 BSC

03/11/2019

BB-129

Test Frequency Certification - Annual

Ambient light too bright for NSF test for Class II BSCs.

Electrical results: 116 VAC

0.100 ohms Polarity was correct

Tim Hanson

X

S/N:

Test Report Number

TX0242:190311:103235

VA MIDWEST HEALTH CARE

NU-407FM-400

12613RW(800)345-6094

BIOLOGICAL SAFETY CABINET TEST REPORT

Leaks Detected Media: Gasket: Structural:

Supply Filter Quantity/Size:

Approximate Filter Obstruction Caused by Repairs 0.0 % Aerosol Challenge Concentration:

HEPA FILTER LEAK TEST

Exhaust Filter Quantity/Size:

Overall Test Result:

AIRFLOW SMOKE PATTERNS

Smooth downward flow with no dead spots or reflux No outside smoke penetrates onto the work surface

No upward refluxing toward the sash wiper seal No escape of smoke through the sash wiper seal No external turbulence at front access opening

Overall Test Result:Cause of external turbulence, if any _______________________________________________

AIR VELOCITY PROFILES:

Pressure/Flow Gauge Reading Gauge Zeroed

Fan Speed Adjustment Made Final Fan Speed

Specification Used

Overall Inflow Velocity Test Result:

Overall Downflow Velocity Profile Test Result:

ft ft

Area Volume cfm Inflow Exhaust Downflow

Avg. Vel. Specification Uniformity

N/A N/A

N/A

DOWNFLOW VELOCITY PROFILE TEST AND INFLOW VELOCITY TEST

Dens. Corr. 1.000 1 elevation

Downflow Grid:

76 78 81 84 84 82 81 79

85 82 82 85 84 83 88 81

82 86 84 86 85 82 81 83

Exhaust Grid:

142 139 142 141 138

2.4400 3.23

342 No Change 80%

0.40

NO

U273E

140 fpm 8%83 fpm 78 - 88 fpm

PASS

PASS

Inflow Exhaust

Velometer Model: S/N: Cal. Date:

SECONDARY TESTS AND TEST EQUIPMENT

NOISE Total dbA Ambient CorrecteddbA dbA Background FC 28Average FC 61

Line Voltage VAC ohms

Microwatts/square centimeterAt the work levelUV LIGHT

Criteria <= 70 dbA Corrected Avg. 45 FC > Bkgd, Bkgd <= 15 FC

N/A <= 0.15 ohms or meter min. sensitivity Must be correct Trips when tested None

N/A

N/A

Photometer: S/N: Cal. Date:

Leaks Detected Media: Gasket: Structural:

(1) 24x48x6 Double Gasket

0 0 0

(1) 18x24x6 Superflow DG

0 0 0 >= 10 MicroGms/Liter PAO 2 inches per second

PASS

PASS

PASS

PASS

PASS

PASS

PASS

65 55 65

PASS

0.100

N/A

101432 05/16/2018AVM430 2-H 101406 12/07/2018

Filter Scanning Rate:

No Smoke escapes from the cabinet No outside smoke billows over the work surface

LIGHTING

ELECTRICAL

Ground Resistance Polarity Ground Fault Interrupter

Meets

Meets

PASS

Leakage Repaired with N/A

Meets

N/A

N/A

Inflow Method Calculated

PASS

All downflow readings must be within the greater of 25% or 16 fpm of the average.

342 cfm102 - 112106 fpm

TX0242:190311:105339

Inventory Number

70-HD-010

BIOLOGICAL SAFETY CABINET TEST REPORT

4758 Research Drive San Antonio, TX 78240 (800)345-6094 dba ENV Services Testing & Certification, Inc.

Customer

Address

Contact Telephone Extension

ENV Services Technician Test Date

Equipment Manufacturer Model Serial Number Type Location

Testing and Certification: The purpose of field testing this equipment is to assess whether it is functioning as designed in compliance with the sspecifications, outlined in the appropriate version of NSF/ANSI-49. We perform all test procedures in accordance with these standards and specifications as detailed in ENV Services Procedures, applicable copies of which are available on request. Our testing and certification apply only to to the equipment above, and do not signify approval of the use of any hazardous agents or operational procedures.

SERVICE SUMMARY

Containment tests performed:

HEPA Filter Leak Test Airflow Smoke Patterns Downflow Velocity Profile Test Inflow Velocity Test Site Installation Assessment Tests

Corrected noise level meets NSF criteria for Class II BSCs.

Worker comfort and safety tests performed:

OVERALL CERTIFICATION

X

X X X

PASS FAIL N/A

Repairs performed:

None Filter Leaks Repaired Structural Repairs Made Filters Replaced Airflow Adjusted Pressure Gauge Adusted Warning Alarm System Electrical System Repaired Other:

X

X

EQUIPMENT UTILIZATION SURVEY

Use Biological Agent Used Biosafety Classification Tissue/Cell Cultures

Chemicals Isotopes Surface Decontamination Performed

Exhaust Alarm or Interlock Functional Cabinet Exhaust

Clinical Non-Carcinogens

NO

Level 2 Other

PASS Thimble Unit NegativeExhaust Connection PressurizationSash Alarm Function N/A

No Yes

Decontamination Report # N/A

Please print name

Service Technician:Customer:

Signature

ONE VETERANS DRIVE

MINNEAPOLIS, MN 55417

VA MIDWEST HEALTH CARE SYSTEM

MARGARET KRISHNAN

612/467-2647

NUAIRE

NU-407FM-400

12615RW

Class II, Type A2 BSC

03/11/2019

BB-128

Test Frequency Certification - Annual

Ambient light too bright for NSF test for Class II BSCs.

Electrical results: 116 VAC

0.100 ohms Polarity was correct

Tim Hanson

X

S/N:

Test Report Number

TX0242:190311:105339

VA MIDWEST HEALTH CARE

NU-407FM-400

12615RW(800)345-6094

BIOLOGICAL SAFETY CABINET TEST REPORT

Leaks Detected Media: Gasket: Structural:

Supply Filter Quantity/Size:

Approximate Filter Obstruction Caused by Repairs 0.0 % Aerosol Challenge Concentration:

HEPA FILTER LEAK TEST

Exhaust Filter Quantity/Size:

Overall Test Result:

AIRFLOW SMOKE PATTERNS

Smooth downward flow with no dead spots or reflux No outside smoke penetrates onto the work surface

No upward refluxing toward the sash wiper seal No escape of smoke through the sash wiper seal No external turbulence at front access opening

Overall Test Result:Cause of external turbulence, if any _______________________________________________

AIR VELOCITY PROFILES:

Pressure/Flow Gauge Reading Gauge Zeroed

Fan Speed Adjustment Made Final Fan Speed

Specification Used

Overall Inflow Velocity Test Result:

Overall Downflow Velocity Profile Test Result:

ft ft

Area Volume cfm Inflow Exhaust Downflow

Avg. Vel. Specification Uniformity

N/A N/A

N/A

DOWNFLOW VELOCITY PROFILE TEST AND INFLOW VELOCITY TEST

Dens. Corr. 1.000 1 elevation

Downflow Grid:

79 77 79 81 81 84 79 81

83 83 83 81 86 83 84 83

77 77 76 78 78 81 80 77

Exhaust Grid:

137 134 137 138 137

2.4400 3.23

334 No Change 80%

0.45

NO

U273E

137 fpm 7%80 fpm 78 - 88 fpm

PASS

PASS

Inflow Exhaust

Velometer Model: S/N: Cal. Date:

SECONDARY TESTS AND TEST EQUIPMENT

NOISE Total dbA Ambient CorrecteddbA dbA Background FC 21Average FC 45

Line Voltage VAC ohms

Microwatts/square centimeterAt the work levelUV LIGHT

Criteria <= 70 dbA Corrected Avg. 45 FC > Bkgd, Bkgd <= 15 FC

N/A <= 0.15 ohms or meter min. sensitivity Must be correct Trips when tested None

N/A

N/A

Photometer: S/N: Cal. Date:

Leaks Detected Media: Gasket: Structural:

(1) 24x48x6 Double Gasket

0 0 0

(1) 18x24x6 Superflow DG

0 0 0 >= 10 MicroGms/Liter PAO 2 inches per second

PASS

PASS

PASS

PASS

PASS

PASS

PASS

64 56 63

PASS

0.100

N/A

101432 05/16/2018AVM430 2-H 101406 12/07/2018

Filter Scanning Rate:

No Smoke escapes from the cabinet No outside smoke billows over the work surface

LIGHTING

ELECTRICAL

Ground Resistance Polarity Ground Fault Interrupter

Meets

Meets

PASS

Leakage Repaired with N/A

Meets

N/A

N/A

Inflow Method Calculated

PASS

All downflow readings must be within the greater of 25% or 16 fpm of the average.

334 cfm102 - 112103 fpm

TX0242:190311:090032

BIOLOGICAL SAFETY CABINET TEST REPORT

4758 Research Drive San Antonio, TX 78240 (800)345-6094 dba ENV Services Testing & Certification, Inc.

Customer

Address

Contact Telephone Extension

ENV Services Technician Test Date

Equipment Manufacturer Model Serial Number Type Location

Testing and Certification: The purpose of field testing this equipment is to assess whether it is functioning as designed in compliance with the sspecifications, outlined in the appropriate version of NSF/ANSI-49. We perform all test procedures in accordance with these standards and specifications as detailed in ENV Services Procedures, applicable copies of which are available on request. Our testing and certification apply only to to the equipment above, and do not signify approval of the use of any hazardous agents or operational procedures.

SERVICE SUMMARY

Containment tests performed:

HEPA Filter Leak Test Airflow Smoke Patterns Downflow Velocity Profile Test Inflow Velocity Test Site Installation Assessment Tests

Corrected noise level meets NSF criteria for Class II BSCs.

Worker comfort and safety tests performed:

OVERALL CERTIFICATION

X

X X X

PASS FAIL N/A

Repairs performed:

None Filter Leaks Repaired Structural Repairs Made Filters Replaced Airflow Adjusted Pressure Gauge Adusted Warning Alarm System Electrical System Repaired Other:

X

X

EQUIPMENT UTILIZATION SURVEY

Use Biological Agent Used Biosafety Classification Tissue/Cell Cultures

Chemicals Isotopes Surface Decontamination Performed

Exhaust Alarm or Interlock Functional Cabinet Exhaust

Clinical Non-Carcinogens

NO

Level 2 Other

PASS Direct Connection NegativeExhaust Connection PressurizationSash Alarm Function PASS

No Yes

Decontamination Report # N/A

Please print name

Service Technician:Customer:

Signature

ONE VETERANS DRIVE

MINNEAPOLIS, MN 55417

VA MIDWEST HEALTH CARE SYSTEM

JOHN HOLTER

612/467-2405

BAKER

BCG601

120556 Class II, Type B2 BSC

03/11/2019

BB122

Test Frequency Certification - S/A

Light intensity meets NSF criteria for Class II BSCs.

Electrical results: 116 VAC

0.100 ohms Polarity was correct GFI is functional

Tim Hanson

X

S/N:

Test Report Number

TX0242:190311:090032

VA MIDWEST HEALTH CARE

BCG601

120556(800)345-6094

BIOLOGICAL SAFETY CABINET TEST REPORT

Leaks Detected Media: Gasket: Structural:

Supply Filter Quantity/Size:

Approximate Filter Obstruction Caused by Repairs 0.0 % Aerosol Challenge Concentration:

HEPA FILTER LEAK TEST

Exhaust Filter Quantity/Size:

Overall Test Result:

AIRFLOW SMOKE PATTERNS

Smooth downward flow with no dead spots or reflux No outside smoke penetrates onto the work surface

No upward refluxing toward the sash wiper seal No escape of smoke through the sash wiper seal No external turbulence at front access opening

Overall Test Result:Cause of external turbulence, if any _______________________________________________

AIR VELOCITY PROFILES:

Pressure/Flow Gauge Reading Gauge Zeroed

Fan Speed Adjustment Made Final Fan Speed

Specification Used

Overall Inflow Velocity Test Result:

Overall Downflow Velocity Profile Test Result:

ft ft

Area Volume cfm Inflow Exhaust Downflow

Avg. Vel. Specification Uniformity

N/A N/A

N/A

DOWNFLOW VELOCITY PROFILE TEST AND INFLOW VELOCITY TEST

Dens. Corr. 1.000 0 elevation

Downflow Grid:

36 38 39 42 43 43 43 45 46 48 52 53

45 43 44 45 47 46 48 49 49 51 46 49

39 41 39 42 41 40 42 45 44 46 47 53

Exhaust Grid:

985 981 982 981 981

1.0000 4.01

N/A

BCG60

982 fpm 19%45 fpm 35 - 45 fpm

PASS

PASS

Inflow Exhaust

Velometer Model: S/N: Cal. Date:

SECONDARY TESTS AND TEST EQUIPMENT

NOISE Total dbA Ambient CorrecteddbA dbA Background FC 0Average FC 46

Line Voltage VAC ohms

Microwatts/square centimeterAt the work levelUV LIGHT

Criteria <= 70 dbA Corrected Avg. 45 FC > Bkgd, Bkgd <= 15 FC

N/A <= 0.15 ohms or meter min. sensitivity Must be correct Trips when tested None

N/A

N/A

Photometer: S/N: Cal. Date:

Leaks Detected Media: Gasket: Structural:

18X72X3.54

0 0 0 11X22X8

0 0 0 >= 10 MicroGms/Liter PAO 2 inches per second

PASS

PASS

PASS

PASS

PASS

PASS

PASS

59 59 52

PASS

0.100

PASS

101432 05/16/2018AVM430 2-H 101408 12/07/2018

Filter Scanning Rate:

No Smoke escapes from the cabinet No outside smoke billows over the work surface

LIGHTING

ELECTRICAL

Ground Resistance Polarity Ground Fault Interrupter

Meets

Meets Meets

PASS

Leakage Repaired with N/A

Meets

Inflow Method DIM

PASS

982 cfm100 - 110110 fpm