Attachment 2 - 18708 Asbestos Re-inspection Final Report Bldg 12.pdf

2012 Asbestos Reinspection

INTRODUCTION

2012 ASBESTOS REINSPECTION REPORT

CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM

WACO VA MEDICAL CENTER

SCOPE OF WORK

1. This asbestos reinspection complies with the requirements of Asbestos Hazard

Emergency Response Act (AHERA).

2. Each facility inspection was performed by an accredited inspector.

3. For each facility, the inspector performed the following tasks:

a. Visually inspected all accessible areas for suspect asbestos-containing material

(ACM).

b. Asbestos bulk samples were collected of all suspected materials and the samples were analyzed by EMSL Laboratories which is an NVLAP-accredited laboratory authorized to analyze asbestos bulk samples.

c. If any of the asbestos bulk samples contained asbestos from 1% to 5% in asbestos content, then the laboratory was requested to perform a Polarized Light

Microscopy (PLM) point count of that material for a more accurate analysis.

d. After reviewing the results from the asbestos bulk samples and subsequent point counting, homogeneous areas were determined for the various asbestos-containing materials.

e. Homogeneous area tables were prepared and condition summaries were completed.

f. A report was then completed that is outlined in the report section that follows this scope of work.

g. A management planner reviewed all work provided above and verified that the plan met all AHERA requirements. The appropriate response actions were recommended and the reinspection signed and dated. This report included the accreditation number of inspectors and planners. A copy of the 2012 Asbestos

Reinspection Report was submitted to the owner.

MANAGEMENT PLAN RECOMMENDATIONS

The following general notes are for all facilities inspected during the Asbestos Reinspection:

1. Removal Priorities were developed for each homogeneous area. The Removal Priorities are an indicator of priorities for future repair work or abatement work to be scheduled as financial budgets allow. Please see the 2012 Reinspection Condition and Removal

Priority Table for further details.

2. The current condition of material was listed for each homogeneous area. The condition, location, and potential for disturbance factors are used for the hazard ranking. Please see the 2012 Reinspection Condition and Removal Priority Table for the condition summaries.

3. Records for custodial, janitorial, and maintenance staff who have received two-hour awareness training should be filed in the Management Plan.

4. Any new custodial, janitorial, or maintenance staff that have the potential to come in contact with asbestos-containing materials (ACM) are required to attend a two-hour awareness training class. Records of training for new employees should be filed in the

Management Plan.

5. The Designated Person is required to inform workers and building occupants at least once a year about the Management Plan. This includes information about inspections, response actions, and post-response action activities that are planned or in progress.

6. Maintenance areas (boiler rooms, janitor closets, etc.) are required to have warning labels where ACM is located. Install warning labels in these areas as needed. Some older labels may have come loose and are no longer visible. Post the labels in a prominent location.

7. Review the enclosed 2012 Reinspection Condition and Removal Priority Table for maintenance actions that may be required and to establish priorities and budgets for future repair and abatement work.

8. Periodic “Surveillance Inspections” are required every six (6) months. This inspection should indicate the condition of the material and provide recommendations for repair or potential removal. Consistency of inspections is desired and, therefore, should be performed by the same individual(s) for all facilities. An accredited inspector is not required, but is recommended. Records of Surveillance Inspections should be filed in both the administrative and facility Management Plans.

9. “Reinspections” are required every three (3) years. Updated information should be added to the Management Plan.

10. An accredited “Supervisor” should be on staff or available on a contract basis per

AHERA guidelines. Certification paperwork should be filed in the training section of the

Management Plan.

11. ACM should only be removed by contractors licensed and accredited in the State of

Texas. Response actions related to abatement activity should be filed in the Management

Plan. Removal of limited amounts of asbestos by the accredited Supervisor and trained individuals is within the scope of the Management Plan.

12. Notification should be provided to “outside contractors” about ACM within the facility.

This should include such trades or services as telephone, electrical, plumbing, air conditioning, and other construction work. A form should be created for this purpose and placed in the Management Plan.

13. New building construction and portable buildings added to a facility are required to be inspected and sampled for ACM. In lieu of this, a letter from the architect, engineer, or manufacturer can be obtained that states “no ACM were specified or used in the facility.”

A copy of this letter is to be filed with the Management Plan at the facility. This letter will cancel the requirement for sampling.

14. Abatement Costs were developed for each homogeneous area and per facility. The estimated abatement cost is for budget purposes only. The cost is based on the area of material and estimated abatement costs for this material. The cost is for abatement only and does not include abatement design, air monitoring, or project observation costs.

REPORT SECTION

2012 ASBESTOS REINSPECTION REPORT

This report will include a combination of the following sections:

ACM Homogeneous Areas Summary Table and Drawings

This section provides a quick table reference to all asbestos-containing homogeneous areas found during the reinspection, and to drawings with the asbestos-containing homogeneous areas found during the 2012 asbestos reinspection.

This section will not be included in the building reports that did not require any sampling due to no suspected ACM being present. The section will also not be included if asbestos bulk samples were collected and the results indicated no asbestos-containing materials were found in that building.

Condition and Removal Priority Table

This section provides a table with the current condition, potential for disturbance, and removal priority for each homogeneous area.

Master Summary Table – Asbestos Bulk Samples

This table provides a listing of all asbestos bulk samples taken to date.

no suspected ACM being present.

Asbestos-Containing Bulk Samples

This table provides a listing of all asbestos-containing bulk samples.

2012 Reinspection – Inspection Logs

This section provides the field inspection logs for samples taken during the 2012 asbestos reinspection.

Bulk Sample Location Drawings

This section provides drawings with sample locations for all asbestos bulk samples.

Site and sample location drawings will be included in the building reports that did not require any sampling due to no suspected ACM being present.

2012 Reinspection – Photographs

This section provides photographs of all asbestos bulk samples taken during the 2012 asbestos reinspection.

2012 Reinspection – Laboratory Reports

This section provides all laboratory analytical results.

Certifications

This section provides certifications for all Inspectors, the Management Planner who reviewed this Management Plan, and the laboratory that performed the bulk sample analysis.

Periodic Surveillance Forms

This section includes the forms to be completed during the periodic surveillance inspections required every six (6) months.

This section will not be required for building reports that did not require any sampling due to no suspected ACM being present. This section will also not be required if asbestos bulk samples

Management Plan Updates

This section includes the records of any asbestos abatement activities that are completed at the subject site. Notifications, daily notes, drawings, etc., should be placed in this section. This would also include air-monitoring data from asbestos abatement projects.

Response Actions

This section includes the records of any internal asbestos abatement or operation and maintenance activities that may be completed by VA employees. This would include any drawings, field notes, and air monitoring that was completed.

Training Documents

This section includes the records of training for the Designated Person and accredited

Supervisor, as well as the two-hour awareness training for the custodial, janitorial, and maintenance staff.

CONTRACTOR

2012 ASBESTOS REINSPECTION REPORT

OLIN E. TEAGUE VA MEDICAL CENTER

This 2012 Asbestos Reinspection was provided by:

Contractor:

ALTEC Environmental Consulting, LLC

10100 Woolworth Road

Keithville, LA 71047

(318) 687-3771 (Office)

(318) 687-9923 (Fax)

INSPECTORS:

Jerry Heidecker David Hopper

LA Certificate No. 3I166471 LA Certificate No. 3I134762

Donald R. Joiner Bradley Kennon

LA Certificate No. 3I112937 LA Certificate No. 3I182667

Rodney Lewis

LA Certificate No. 3I169456

MANAGEMENT PLANNER:

Robert B. Raines III, P.E.

LA Certificate No. 3P103065 – Management Planner

Accreditation Agency: Louisiana Department of Environmental Quality which is a recognized EPA accreditation agency

ACM HOMOGENEOUS AREAS

SUMMARY TABLE AND DRAWINGS

WACO V. A. MEDICAL CENTER

2012 THREE-YEAR ASBESTOS REINSPECTION

ACM HOMOGENEOUS AREAS SUMMARY TABLE

Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials

B HMA-01 12x12 Floor Tile & Mastic

HMA-02 Flooring Mastic No ACM No ACM HMA-03 Fire Doors

Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials

First HMA-01 12x12 Floor Tile & Mastic

HMA-02 Flooring Mastic No ACM No ACM HMA-03 Fire Doors

Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials

Second HMA-01 12x12 Floor Tile & Mastic

HMA-02 Flooring Mastic No ACM No ACM HMA-03 Fire Doors

Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials

Attic No ACM No ACM No ACM No ACM

Building 12 Basement

Building 12 - First Floor

Building 12 - Second Floor

Building 12 - Attic

Basement

First Floor

Second Floor

CONDITION AND REMOVAL PRIORITY TABLE

Qualitative Ranking Numerical Rating

Good 8, 9, 10

Fair 4, 5, 6, 7

Poor 1, 2, 3

Physical Disturbance Environmental Disturbance

Low 1, 2, 3

Medium 4, 5, 6, 7

High 8, 9, 10

Qualitative Ranking Numerical Rating

High 1, 2, 3

Medium 4, 5, 6, 7

Low 8, 9, 10

Address with on-going maintenance procedures

Maintain in good condition

Surfacing material has moderate but not extensive amounts of visible damage; covering on thermal system insulation is cut or torn, exposing moderate but not extensive amounts of insulation; moderate but not extensive damage to miscellaneous materials such as floor tile; moderate but not extensive amounts of visible dust and debris..

Qualitative Rankings and Quantitative (Numerical) Ratings for Removal Priority

Description of Current Condition

Address short-term

Extensive damage to surfacing material; covering on thermal system insulation is cut or torn extensively and insulation itself is damage; miscellaneous materials such as floor tile extensively damaged and underlying mastic exposed; extensive amounts of dust and debris.

Accessibility: accessibility during normal operations

Activities: activities that people do and how often they do them

Vibration: vibration from operating machinery, HVAC equipment, and so forth

Air/Dust: air currents strong enough to dislodge loose

ACM; airborne dust that can erode material

Corrosive: corrosive atmosphere or liquids that can erode the covering or matrix

Water Damage: water damage from leaking roof, pipe or other source

Qualitative Rankings and Quantitative (Numerical) Ratings for Current Condition

Qualitative Rankings and Quantitative (Numerical) Ratings for Potential for Disturbance

Assessment Factors Qualitative Ranking Numerical Rating

Description of Current Condition

Surfacing material has no visible damage or small amounts of damage; covering on thermal system insulation is intact or has small amounts of damage; miscellaneous materials intact; no visible debris or small amounts of debris.

CONDITION AND REMOVAL PRIORITY TABLE

Rating Based On Rating Based On

HMA-01 12 Basement 12"x12" Floor Tile and Mastic No No 10 Intact 2 Floor

Maintenance

HMA-02 12 Basement Flooring Mastic No No 10 Intact 1 Access 10

HMA-03 12 Basement Fire Doors No No 10 Intact 1 Maintenance 10

HMA-01 12 1 12"x12" Floor Tile and Mastic No No 10 Intact 2 Floor

Maintenance

HMA-02 12 1 Flooring Mastic No No 10 Intact 1 Access 10

HMA-03 12 1 Fire Doors No No 10 Intact 1 Maintenance 10

HMA-01 12 2 12"x12" Floor Tile and Mastic No No 10 Intact 2 Floor

Maintenance

HMA-02 12 2 Flooring Mastic No No 10 Intact 1 Access 10

HMA-03 12 2 Fire Doors No No 10 Intact 1 Maintenance 10

Building 12 - Basement

Building Friable

Yes/No

Accessibility

Yes/No Restricted

Potential for

Disturbance

Homogeneous

Area No.

Floor

Building 12 - Attic

No ACM

Material Description

Building 12 - Second Floor

Removal

Priority

Building 12 - First Floor

Current

Condition

MASTER SUMMARY TABLE

ASBESTOS BULK SAMPLES

SUMMARY OF BULK SAMPLES TAKEN TO DATE

(determined by Point Count Analysis)

Building Floor Room Sample ID Material Description

12 Basement 102A WA-09-292-1049 Layer 1 - tan 12x12 floor tile

12 Basement 102A WA-09-292-1049 Layer 2 - black mastic

12 Basement 102A WA-09-292-1050 Layer 1 - tan 12x12 floor tile

12 Basement 102A WA-09-292-1050 Layer 2 - black mastic

12 Basement 102 WA-09-292-1151 4" vertical pipe - yellow insulation, white wrap

12 Basement 101 WA-09-292-1152 White 2x4 ceiling tile

12 Basement 103 WA-09-292-1153 3" horizontal pipe - yellow insulation, white wrap

12 Basement 103 WA-09-292-1154 White caulk

12 Basement 100A WA-09-292-1155 White 2x4 ceiling tile

12 Basement 100A WA-09-292-1156 White caulk

12 Basement CB-1 WA-09-292-1157 Brown plaster

12 Basement CB-1 WA-09-292-1158 Layer 1 - light brown 12x12 floor tile

12 Basement CB-1 WA-09-292-1158 Layer 2 - black mastic

12 Basement CB-2 WA-09-292-1159 4" horizontal pipe - yellow insulation, white wrap

12 Basement 103 WA-09-292-1160 White plaster

12 Basement 103 WA-09-292-1161 Layer 1 - tan 12x12 floor tile

12 Basement 103 WA-09-292-1161 Layer 2 - black mastic

12 Basement 103 WA-09-292-1162 Layer 1 - brown 12x12 floor tile

12 Basement 103 WA-09-292-1162 Layer 2 - black mastic

12 Basement 101 WA-09-292-1163 5" horizontal pipe - yellow insulation, white wrap

12 Basement 101 WA-09-292-1164 3" T - yellow insulation, white wrap

12 Basement 107 WA-09-292-1165 Gray spray-on

12 Basement 106 WA-09-292-1166 5" horizontal pipe - yellow insulation, white wrap

12 Basement 106 WA-09-292-1167 5" valve - yellow insulation, white wrap, white mud

12 Basement 104A WA-09-292-1168 Layer 1 - tan 12x12 floor tile

12 Basement 104A WA-09-292-1168 Layer 2 - black mastic

12 Basement 104A WA-09-292-1169 Layer 1 - brown 12x12 floor tile

12 Basement 104A WA-09-292-1169 Layer 2 - black mastic

12 1 C1-1 WA-09-292-1170 Gray spray-on

12 1 C1-1 WA-09-292-1171 White 2x4 ceiling tile

12 1 C1-1 WA-09-292-1172 Layer 1 - light brown 12x12 floor tile

12 1 C1-1 WA-09-292-1172 Layer 2 - black mastic

12 1 C1-1 WA-09-292-1173 Layer 1 - blue 12x12 floor tile

12 1 C1-1 WA-09-292-1173 Layer 2 - black mastic

12 1 106 WA-09-292-1174 Gray spray-on

12 1 106 WA-09-292-1175 White caulk

12 1 1B-100 WA-09-292-1176 White 2x4 ceiling tile

12 1 1B-103 WA-09-292-1177 White 2x4 ceiling tile

12 1 1B-102B WA-09-292-1178 White 12x12 floor tile, yellow mastic

12 1 1B-102A WA-09-292-1179 White 12x12 floor tile, yellow mastic

12 1 1A-101 WA-09-292-1180 White caulk

12 1 1A-104B WA-09-292-1181 Sheetrock, white tape, white mud

12 2 C2-1 WA-09-292-1182 Light brown 12x12 floor tile, yellow mastic

12 2 C2-1 WA-09-292-1183 Blue 12x12 floor tile, yellow mastic

12 2 C2-1 WA-09-292-1184 Gray spray-on

12 2 2B-101 WA-09-292-1185 White 2x4 ceiling tile

Red = Asbestos-Containing Material (ACM) Blue = Non ACM Green = Non Asbestos-Containing Material

Purple = Abated

SUMMARY OF BULK SAMPLES TAKEN TO DATE

(determined by Point Count Analysis)

Building Floor Room Sample ID Material Description

Red = Asbestos-Containing Material (ACM) Blue = Non ACM Green = Non Asbestos-Containing Material

Purple = Abated

12 2 Hall WA-09-292-1186 White 2x4 ceiling tile

12 2 2A-108 WA-09-292-1187 White 2x4 ceiling tile

12 2 South Deck WA-09-292-1188 Black roofing tar

12 1 1A-103 WA-09-292-1189 3" vertical pipe - black insulation, black mastic

12 2 2A-103 WA-09-292-1190 3" horizontal pipe - yellow insulation, white wrap

12 2 North Deck WA-09-292-1299 Black roofing felt, black tar

12 2 North Deck WA-09-292-1300 Black roofing felt, black tar

ASBESTOS-CONTAINING BULK SAMPLES

LIST OF ASBESTOS-CONTAINING SAMPLES

Building Floor Room Sample ID Material Description

12 Basement 102A WA-09-292-1049 Layer 1 - tan 12x12 floor tile

12 Basement 102A WA-09-292-1049 Layer 2 - black mastic

12 Basement 102A WA-09-292-1050 Layer 1 - tan 12x12 floor tile

12 Basement 102A WA-09-292-1050 Layer 2 - black mastic

12 Basement CB-1 WA-09-292-1158 Layer 2 - black mastic

12 Basement 103 WA-09-292-1161 Layer 2 - black mastic

12 Basement 103 WA-09-292-1162 Layer 2 - black mastic

12 Basement 104A WA-09-292-1168 Layer 2 - black mastic

12 1 C1-1 WA-09-292-1172 Layer 2 - black mastic

12 1 C1-1 WA-09-292-1173 Layer 2 - black mastic

Red = Asbestos-Containing Material (ACM)

BULK SAMPLE LOCATION DRAWINGS

Basement

First Floor

Second Floor

Attic

CERTIFICATIONS

z— r C

I

C pc)

C l)

‘-4 0.)

4-4

I

•—•—E•—re-i

Z r:—

L c t c c o

I c r

CC

C

4-4 0)0)Cz

0.)

C l)

CQ00)

Jerald Heidecker

3I166471

9/12/2012

166471

9/25/2013

ASBESTOS INSPECTOR

CB

C I

0 CD

Z

J

Z —

CD

‘e

CD

P w

— o O

C cm C CD

C

C L i fl o

CD 0

David Hopper

3I134762

2/3/2012

134762

2/14/2013

SG

Donald R Joiner

3I112937

9/12/2012

112937

9/29/2013

Professional Environmental Training

Occupational and Environmental Training Program

Awards this Certificate to

BRADLEY W. KENNON

Certificate No. TL-0993

For completion of the

3-HOUR COURSE

TEXAS ASBESTOS HEALTH PROTECTION ACT

November 3, 2012 9001 Airport Blvd., Suite 510

Houston, Texas 77061

713-921-8921

P sident, Fredy Polanco, M.S.

Instructor, Philip

Date of Course www.proenvtraining.com

Bradley Kennon

3I182667

8/16/2012

182667

8/1/2013

0 cm 0 c l Ct

C C

C t

O o S C

Lte •

C

0 I

. S — v s L

D

Rodney Lewis

3I169456

2/3/2012

169456

3/3/2013

SG

Robert B Raines III

3P103065

8/21/2012

103065

8/5/2013

ASBESTOS MANAGEMENT PLANNER

6-MONTH ASBESTOS SURVEILLANCE

BUILDING 12

HMA Material Description Location Friable

Yes/No

Conditions at Last

Inspection1

Damage

Severity2

Conditions at Current

Inspection1

Comments

HMA-01

12x12 Floor Tile &

Mastic Basement

HMA-02 Flooring Mastic Basement

HMA-03 Fire Doors Basement

HMA-01

12x12 Floor Tile &

Mastic First Floor

HMA-02 Flooring Mastic First Floor

HMA-03 Fire Doors First Floor

HMA-01

12x12 Floor Tile &

Mastic Second Floor

HMA-02 Flooring Mastic Second Floor

HMA-03 Fire Doors Second Floor

Conditions: G=Good R=Repaired D=Damaged SD= Significantly Damaged

Damage Severity: M=Minor O=Occasional X-Extensive P=Punctures N=None

Printed Competent Person’s Name

Asbestos Inspector Certification Number and Expiration Date

Signature

Surveillance Inspection Date