ADD 1 - 01 Reports - HAZMAT Report GI VA EHRM 01-10-22.pdf

HAZARDOUS BUILDING MATERIALS

INSPECTION REPORT

EHRM Infrastructure Upgrades VA Grand Island Healthcare System U.S. Department of Veterans Affairs

2201 North Broadwell Avenue Grand Island, NE 68803-2153

VA Project No: 636a-21-701

July 08, 2021 Revised January 10, 2022

Prepared for:

Veterans Affairs Medical Center c/o Alesia Architects, PC 3705 North 200th Street

Elkhorn, NE 68022

Prepared by:

AMI Environmental 8802 South 135th Street, Suite 100

Omaha, Nebraska 68138

AMI Project No. 21-185

TABLE OF CONTENTS

1. SURVEY OVERVIEW

1.1. Purpose and Scope

1.1.1. Inspection Area

1.1.2. Limitations

1.2. Regulatory Reference

2. BUILDING INFORMATION

2.1. General Construction

2.2. Pre-Existing Information

3. INSPECTION METHODOLOGIES

3.1. Asbestos Inspection

3.1.1. Key Definitions

3.1.2. Homogenous Material Numbering Convention

3.1.3. Bulk Sampling

3.2. Lead-Based Paint Inspection

3.2.1. Key Definitions

3.2.2. Homogenous Paint Applications Numbering Convention

3.2.3. Paint Chip Sampling

4. SUMMARY OF INSPECTION FINDINGS

4.1. Asbestos Inspection Findings

4.2. Lead Paint Inspection Findings

5. RISKS AND HAZARDS

5.1. Asbestos

5.2. Lead-Based Paint

6. RECOMMENDATIONS

6.1. General Recommendations

6.1.1. Asbestos

6.1.2. Lead-Based Paint

6.2. Hazardous Conditions Recommendations

6.3. Point Count Analysis / TEM Chatfield Analysis Recommendations

7. REGULATORY REQUIREMENTS

7.1. Asbestos-Containing Materials

7.1.1. Notification Requirements

7.1.2. Asbestos Removal Requirements

7.1.3. OSHA Regulation of <1 Percent Asbestos

7.1.4. Asbestos Removal Regulations

7.2. Lead-Based Paint

7.2.1. Disposal Requirements

7.2.2. Construction Requirements

APPENDIX A: Tables

APPENDIX B: Photo Logs

APPENDIX C: Analytical Results

APPENDIX D: Inspector’s Credentials

APPENDIX E: Schematics

HAZARDOUS BUILDING MATERIALS INSPECTION REPORT

EHRM Infrastructure Upgrades VA Grand Island Healthcare System U.S. Department of Veterans Affairs

2201 North Broadwell Avenue Grand Island, NE 68803-2153

7/08/21 REVISED 01/10/22

VA Project No: 636a-21-701

1. SURVEY OVERVIEW

The Hazardous Materials Survey was conducted with three site visits: On June 28, 2021, selected areas of Buildings: 01, 03, 04, 05, 06, 07, 08, and 17 at the Grand Island Veterans Affairs Health Care System, Grand Island, NE, were inspected for asbestos-containing material (ACM) and lead-based paint (LBP) by a representative of AMI Environmental (AMIE). On October 28, 2021, a second site visit was conducted due to scope of work increase. On December 17, 2021 rooms where displaced personnel will be moved to were sampled as well. The hazardous building materials inspection was conducted in preparation for renovation of the structure in accordance with the above referenced project. The renovation project is hereinafter referred to as The Project. The inspection was initiated at the request of Mr. Jim Hageman, NCARB, ACHA of Alesia Architects on behalf of the VA Medical Center.

The inspection was performed by Mr. Colin Lauenroth in accordance with regulatory requirements and generally accepted industry methods. Copies of applicable requisite training certificate for Mr.

Lauenroth is provided in Appendix D.

1.1. Purpose and Scope

The purpose and scope of the inspection was to identify and sample suspect Asbestos Containing Materials (ACMs) and Lead-based Paints (LBPs) in the project area that may be impacted by The Project.

1.1.1. Inspection Area

The hazardous building materials inspection included limited project specific interior and exterior areas of the subject structures which include the following: Building 01, 1st floor laundry room, C305 janitor closet & oxygen room, C404B, and N513B as well as the exterior windows of these rooms. Building 03 basement IT room. Building 04 basement IT room.

Building 05 basement storage room. Building 06 IT room. Building 07 IT room. Building 08 IT room. Building 17 South exterior wall. Following the scope of work change, the following rooms in Building 01 were added to the inspection area: Existing server room (C01), office (N02), Canteen office (C6), S111, S110, S202, S203, S302, S302A, S402, S502, S517, C404, C404, S208, N117/Vending area, NE2, NE3, N03, and N07. The above described areas are hereinafter referred to collectively as the Inspection Area.: See Appendix E for Schematics.

1.1.2. Limitations

Nondestructive sampling protocols were employed, where needed, to determine underlying materials. Limited quantities of suspect materials may possibly be present concealed inside wall or floor interstitial spaces of the building. Ceramic tiles were not sampled in occupied areas.

Rooms S302 and S302A were not sampled due to an outbreak of COVID-19.

Hazardous Building Materials Inspection Report AMI Project No. 21-185 VA Project 636a-21-701 Grand Island VA Medical Center 7/08/21 REVISED 01/10/22 Grand Island, NE Page of 9

It is recommended that prior to or during construction that any new materials discovered in the demolition process be tested or abated.

Sampling of these materials may not be necessary if, in the case of suspect ACM, the materials are assumed to be ACM or if they are determined by a licensed asbestos inspector to be homogenous to other materials that were sampled.

1.2. Regulatory Reference

The asbestos inspection was conducted in accordance with USEPA National Emission Standard for Hazardous Air Pollutants (NESHAP) regulations (ref.: 40 CFR, Part 61), following criteria established for identifying asbestos-containing building materials that may be impacted by planned renovation activities; applicable protocols established by the Asbestos Hazard Emergency Response Act (AHERA) (ref.: 40 CFR 763).

The State of Nebraska licenses asbestos inspectors to perform asbestos inspections in the State of Nebraska.

There is also no licensing requirement for lead-based paint sampling in non-HUD facilities.

2. BUILDING INFORMATION

2.1. General Construction

This project involves renovation of selected rooms within Buildings 01, 03, 04, 05, 06, 07, 08, and 17.

2.2. Pre-Existing Information

Information on previous surveys or sampling for lead-based paint or asbestos, was not provided.

3. INSPECTION METHODOLOGIES

3.1. Asbestos Inspection

The inspection and sampling were conducted in accordance with the USEPA National Emission Standard for Hazardous Air Pollutants (NESHAP) regulations (ref.: 40 CFR, Part 61), following criteria established for identifying asbestos-containing. building materials that may be impacted by planned renovation. Additional aspects of the inspection methodology are discussed below.

3.1.1. Key Definitions

3.1.1.1. Homogenous Material

Homogenous materials are unique applications of building materials uniform in color and texture. The homogeneity of a material can be further defined by area(s) of application. Bulk sampling is conducted to determine the asbestos content of a homogenous material.

Grand Island VA Medical Center 7/08/21 REVISED 01/10/22

3.1.1.2. Asbestos-Containing Material (ACM)

The Environmental Protection Agency (EPA) and the Occupational Safety and Health Administration (OSHA) define ACMs as any material that contains greater than one percent asbestos, as determined by visual area estimation (microscopic analysis). The State of Missouri follows the EPA standard. Some materials contain one percent or less asbestos. While these materials are not ACMs, by definition, they are still regulated by OSHA, for worker exposure.

3.1.1.3. Friable/Non-Friable ACM

Friable ACMs are materials that contain more than one percent asbestos and, when dry, can be crumbled, pulverized, or reduced to powder by hand pressure, thereby releasing fibers into the air more readily. In contrast, non-friable ACMs are ACMs that, when dry, cannot be crumbled, pulverized, or reduced to powder by hand pressure. Non-friable ACMs are grouped into two categories: Category I and Category

II.

3.1.1.4. Regulated Asbestos-Containing Materials (RACM)

Regulated Asbestos-Containing Materials (RACM) include friable ACMs and non-friable ACMs that, depending on their category, have become friable, have been subjected to specific forms of impact damage, have a high probability of becoming friable, and/or may become friable during removal.

3.1.2. Homogenous Material Numbering Convention

All suspect asbestos materials are assigned a unique homogeneous material number. AHERA identifies three basic material types: Surfacing Materials (SM), which include spray and trowel applied materials, such as fireproofing, ceiling texture, plaster, etc.; Thermal System Insulation (TSI), which includes insulating materials applied to mechanical and plumbing components for temperature preservation and condensation prevention purposes; and Miscellaneous Materials (MM), which includes all other materials, such as floor coverings and mastics, roofing materials, asbestos cement products, and many others. When a homogenous material has multiple layers, individual layers are identified and analyzed separately by laboratory analysis.

3.1.3. Bulk Sampling

Bulk sampling must be performed to determine whether suspect building material contains asbestos. Asbestos bulk sampling for the inspection was conducted in accordance with protocols established by the Asbestos Hazard Emergency Response Act (AHERA) (ref.: 40 CFR 763). Friability of the suspect asbestos-containing materials was determined by touching and/or sampling of the material.

3.1.3.1. Bulk Sample Numbering Convention

Bulk samples are given a sequence number when collected.

Grand Island VA Medical Center 7/08/21 REVISED 01/10/22

3.1.3.2. Polarized Light Microscopy Analysis (PLM)

Bulk samples collected during the inspection were submitted to an EPA accredited laboratory, EMSL Analytical, Inc. (EMSL), located at 200 Route 130 North, Cinnaminson, New Jersey. EMSL was instructed to perform Polarized Light Microscopy (PLM) analysis, utilizing dispersion staining techniques (ref: EPA Method 600/M4-82-020). PLM analysis is the most commonly used visual estimate method. While PLM analysis is acceptable to EPA, OSHA, and most states for determining asbestos content, some states now require more sophisticated methods when analyzing certain types of materials.

A total of 45 asbestos bulk samples were collected and submitted for laboratory analysis. PLM Analysis was performed on the 45 samples collected, including additional distinct layers (i.e. mastic). Heterogeneous applications are individual layers of different materials contained within a single bulk sampled, each of which must be analyzed individually to determine its asbestos content (e.g. vinyl floor tiles and mastic; cove base and mastic; etc.). Table 1 lists all samples collected and analyzed in the current survey.

Some samples and/or heterogeneous applications may not have been analyzed by the lab if a positive result was obtained from a sample that is among a group of samples representing a suspect material. This process, known as stop on first positive, is followed because if a single sample is found to be positive, that material is determined to be ACM, thus making it unnecessary to analyze any additional samples in the sampling group.

Please refer to the Table 1– Asbestos Material Sampling Table in Appendix A for a complete listing of all materials sampled. The laboratory analytical reports may be found in Appendix C for the current inspection.

3.1.3.3. Quantification Method Analysis

EPA regulations allow materials determined to contain less than 10 percent asbestos utilizing a visual estimate quantification method, such as PLM analysis, to be treated as non-asbestos containing if the material is re-analyzed using one of two quantification methods and determined to contain one percent or less of asbestos. The two acceptable quantification methods are point count analysis and TEM Chatfield analysis.

Quantification methods are more time-consuming and more expensive analytical procedures that are occasionally used to more accurately determine the amount of asbestos in certain samples. Because of their higher cost and the acceptable accuracy of the less expensive visual estimation method, laboratories do not typically perform quantification analyses unless specifically requested.

The quantification method known as point count analysis is used for most ACM types, except floor tile. The organic matrix composition of floor tile precludes the use of point count analysis to more accurately determine asbestos amounts within a sample.

Therefore, TEM Chatfield analysis—which effectively removes all organic materials, Grand Island VA Medical Center 7/08/21 REVISED 01/10/22 leaving only asbestos behind—is necessary to provide a more precise percentage of asbestos content in floor tile.

Please refer to section 6.0 Recommendations, for recommendations concerning supplemental analysis.

3.2. Lead-Based Paint Inspection

The LBP inspection included visual identification of homogenous paint applications and bulk sampling of the paint(s) for laboratory analysis. While the U. S. Department of Housing and Urban Development (HUD) promulgates guidelines for LBP inspections in child occupied facilities, there are no formal guidelines for non-HUD regulated inspections. Thus, the LBP inspection was conducted in accordance with generally accepted industry standards and practices. Additional aspects of the inspection methodology are discussed below.

3.2.1. Key Definitions

3.2.1.1. Homogenous Paint Applications

Homogenous paint applications are significant paint applications that are visually distinct by their color and uniformity. Significant paint applications do not include incidental occurrences of paint such as isolated occurrences of accent trim, artistic paints, etc. While visual inspection alone cannot generally identify sub-layers of paint, these applications are often identified in the XRF analysis.

3.2.1.2. Lead-Based Paint (LBP)

Pursuant to Federal Register, Vol. 61, No. 169, LBP is defined as paint or other surface coatings equal to or greater than 0.5 percent lead by weight or equal to or greater than 1 mg/cm2.

3.2.2. Homogenous Paint Applications Numbering Convention

Homogenous paints and coatings are assigned a unique homogeneous material number (HM#).

The HM# is referenced throughout the report to uniquely identify each paint application.

3.2.3. Lead-based Paint and Lead Containing Materials Sampling Sampling of suspected lead-based paint or other suspected lead containing materials was conducted using bulk sampling of the paint applications and materials identified. A total of 27 samples were collected and analyzed by Atomic Absorption to determine the lead content of materials or painted surfaces.

Grand Island VA Medical Center 7/08/21 REVISED 01/10/22

4. SUMMARY OF INSPECTION FINDINGS

Key findings of the hazardous building materials inspection are summarized below. Please refer to the Appendices for complete details of the inspection findings and supporting documentation.

4.1. Asbestos Inspection Findings

Below is a summary of the findings of the asbestos inspection:

Asbestos Containing Materials identified as follows:

• Laminate Flooring / Tan Bldg 1 20 % Chrysotile 150 SF

• Duct Mastic / Light Red Bldg 1 60 % Chrysotile 600 LF

• 12in x 12in Floor Tile / Beige Bldg 1 2 % Chrysotile 150 SF

• 9in x 9in Floor Tile / Black Bldg 1 4 % Chrysotile 16 SF

• 12in x 12in Floor Tile / Black Bldg. 1 3 % Chrysotile 150 SF

• 12in x 12in Floor Tile / Beige Bldg. 1 2 % Chrysotile 10 SF

Please refer to Table 1 – Asbestos Sampling Table in Appendix A for a complete listing of all asbestos sampling.

4.2. Lead Paint Inspection Findings

Below is a summary of the findings of the lead-based paint inspection:

Lead-based Paint identified as follows:

• White Radiator Pipe Bldg. 6 IT Room 11% Lead 24 SF/20 LF

• Gray Door Frame Bldg. 6 IT Room 2.1% Lead 9 SF

• Yellow Door Frame Bldg. 1 NE3 & NE1 0.59% Lead 2 EA

Paint containing lead below 0.5% and Suspect Lead Containing Ceramic Tile was found. (See Section 7.2.2 29 CFR 1926.62 Lead in Construction)

Please refer to Table 2 – Lead Paint Sampling Table in Appendix A for a complete listing of all lead-based paint and lead containing materials sampling.

5. RISKS AND HAZARDS

5.1. Asbestos

To be a significant health concern, asbestos fibers must be inhaled. When asbestos fibers are inhaled, they become lodged in the lung tissue or alveoli. Here they clog and scar the tissues, causing the walls of the alveoli to lose their elasticity and useful function in respiration. Asbestosis (scarring of the lung), lung

Grand Island VA Medical Center 7/08/21 REVISED 01/10/22 cancer, and Mesothelioma (cancer of the lining of the chest or lining of the abdominal wall) are diseases associated with asbestos exposure. Risks and hazards increase with increased exposure. ACM condition, proximity to building occupants, building use, and other factors can influence the potential for asbestos fibers to become airborne, and therefore increase exposure risks.

5.2. Lead-Based Paint

Inhalation and ingestion are the major routes of lead exposure. Once in the body, lead is distributed via the bloodstream to red blood cells, soft-tissue and bone. The kidneys and gastrointestinal (GI) tract eliminate lead in the body very slowly, while minute amounts are lost through perspiration.

Lead in the body can cause serious damage to the central and peripheral nervous system, the cardiovascular system, and the kidneys. Exposure to high concentrations of lead can cause retardation, convulsions, coma, and sometimes death. Children are especially vulnerable and susceptible to lead poisoning. Even low levels of exposure persisting during childhood are known to slow a child’s normal development and cause learning and behavioral problems. Exposure to lead can result from deteriorating surfaces and activities mechanically impacting lead surfaces. Preventing exposure requires proper work practices, monitoring, disposal and personal protective equipment during demolition, alteration and friction producing activities.

6. RECOMMENDATIONS

The purpose of this section is to interpret survey findings and provide preliminary recommendations that may be relevant and appropriate at this time. Because this document is a presentation of investigative findings, recommendations related to future construction activities are inherently general in nature. More specific determinations concerning hazardous building materials to be impacted by construction should be made during the abatement project design process.

6.1. General Recommendations

6.1.1. Asbestos

State and/or federal regulations require that ACMs be removed prior to demolition or renovation activities that will impact the ACMs. Depending on the specific renovation work to be performed, certain ACMs may not require removal if they will not be disturbed and do not pose a risk to building occupants or construction trade workers. However, to ensure worker safety and to eliminate future asbestos-related maintenance and management costs and risks, AMIE recommends removal of all identified ACMs in the areas to be renovated. While partial abatement may be technically possible, it is often impractical and not cost-effective.

ACMs not impacted by renovation or demolition activities should be inspected annually and maintained in good condition. ACMs deemed to be in less than good condition (damaged or significantly damaged) should be repaired or removed and replaced. Such repairs should be performed by qualified persons and in accordance with regulatory guidelines.

6.1.2. Lead-Based Paint and Lead Containing Materials

Facility owners are ultimately liable for their lead-containing hazardous waste from cradle to grave. EPA regulations provide two ways to determine whether a waste stream, such as

Grand Island VA Medical Center 7/08/21 REVISED 01/10/22 demolition debris containing LBP, must be classified as hazardous waste. Waste generators can either test the waste using an approved testing method (Toxicity Characteristic Leaching Procedure [TCLP]), or they can apply knowledge of the hazardous characteristic of the waste.

Based on the initial lead paint testing results, AMIE recommends TCLP testing be conducted on the existing building materials, painted and unpainted, prior to the start of renovation or demolition activity. In addition, trade contractors who work in the facility should also be notified of the presence of lead so that they can appropriately monitor and protect their workers against lead exposure.

Any lead-based painted building components not removed during renovation should be considered for inclusion in a facility management plan that maintains potential exposure below OSHA action levels and ensures the material will be handled properly and in accordance with applicable regulations.

6.2. Hazardous Conditions Recommendations

No hazardous conditions, from hazardous materials, were observed in the building during the inspection.

6.3. Point Count Analysis / TEM Chatfield Analysis Recommendations AMIE does not recommend Point Count or TEM Chatfield analysis of any of the ACMs identified.

7. REGULATORY REQUIREMENTS

7.1. Asbestos-Containing Materials

The removal and disposal of ACMs is regulated at the federal, state, and, sometimes, local level. While some states have developed their own regulatory standards for the various asbestos disciplines, many states have adopted the federal standards but have established licensing requirements and enforcement authority at the state level.

7.1.1. Notification Requirements

EPA’s NESHAP regulation, 40 CFR, Subpart M, 61.145, Standard for Demolition and Renovation, stipulates that an owner of a facility submit proper notification with either the EPA’s regional office and/or the state and local regulatory agency of intention to demolish or renovate. Notifications must be received by the appropriate regulatory agencies 10 working days prior to commencement of asbestos stripping or removal, or other site work. If the demolition or renovation date changes, or the scope of work is increased, another notification is required.

7.1.2. Asbestos Removal Requirements

Asbestos removal must be performed by a licensed abatement contractor. The contractor should follow all work practices, worker protection, and disposal requirements set forth in the contract specifications and by the Occupational Safety and Health Administration (OSHA)

Grand Island VA Medical Center 7/08/21 REVISED 01/10/22 and the EPA. Key federal regulations concerning asbestos include 29 CFR 1910.1001, 29 CFR 1926.1101, 40 CFR Part 61, Subpart M, and 40 CFR 763.

7.1.3. OSHA Regulation of ≤ 1 Percent Asbestos

While EPA and many states do not regulate materials containing one percent or less asbestos, OSHA regulates materials containing any amount of asbestos. (Ref. OSHA Construction Industry Standard, 29 CFR 1926.1101(a)(3))

7.1.4. State of Nebraska Asbestos Removal Regulations

The State of Nebraska has adopted the EPA NESHAP regulations for asbestos removal and requires asbestos removal contractors to be licensed with the state. Asbestos Containing Building Material (ACBM) should only be removed by licensed and accredited contractors in the State of Nebraska.

7.2. Lead Waste

7.2.1. Disposal Requirements

The Resource Conservation and Recovery Act (RCRA) classifies lead-containing waste streams as hazardous materials if TCLP levels exceed five parts per million. If TCLP leachable lead levels exceed that threshold, EPA regulations (40 CFR 261) require the waste stream to be handled and disposed of as a hazardous waste. Waste streams containing less the five parts per million of leachable lead are classified as non-hazardous waste and can be disposed of in a construction and demolition landfill.

7.2.2. Construction Requirements

OSHA’s 29 CFR 1926.62 regulates worker exposure to lead during construction activities that include demolition or salvage of structures where lead or materials containing lead are present, as well as removal or encapsulation of lead-containing materials. The standard establishes maximum limits of exposure to lead, including a permissible exposure limit and action level, and should be adhered to during construction and demolition activities.

APPENDIX A

Tables

Table 1 – Asbestos Materials Sampling Table

Table 2 – Lead Paint Sampling Table

Table 1 – Asbestos Material Sampling Table

Table I

Table 1: Asbestos-Containing Material Sampling Table & Test Results AMI Project No.: 21-185 Grand Island VA, Omaha, NE January 10, 2022

HA #/

Description

Sample

ID

Layers ID # Color Location Sample

Result Condition Friable (Y/N)

Estimated Quantity Photo No.

001:

Caulking/Putties

/ Gray 01 01 White Bldg 8 IT Room None

Detected

002:

Caulking/Putties

/ Red 02 02 Red Bldg 8, IT Room None

Detected

002:

Caulking/Putties

/ Red 29 29 Red Bldg 3

Basement None

Detected

002:

Caulking/Putties

/ Red 34 34 Red

Bldg 5, Basement Storage

None Detected

003: Pipe Insulation, Wrap, Mudded End Cap / White

03 03-Wrap Tan/ Silver

Room 6, IT Room

None Detected

003: Pipe Insulation, Wrap, Mudded End Cap / White

03 03- Insulation Yellow Room 6, IT

Room None

Detected

003: Pipe Insulation, Wrap, Mudded End Cap / White

03 03-End Cap White Room 6, IT

Room None

Detected

004: Fire Caulk / Red

04 04 Red Bldg 7, IT Room None

Detected

AMI Project No.: 21-185 Grand Island VA, Omaha, NE January 10, 2022

HA #/

Description

Sample

ID

Layers ID # Color Location Sample

Result Condition Friable (Y/N)

Estimated Quantity Photo No.

005:

Caulking/Putties

/ Light Gray 05 05 White

Building 1, Exterior

Windows None

Detected

005:

Caulking/Putties

/ Light Gray 06 06 White

Building 1, Exterior

Windows None

Detected

006: Interior Window Caulk /

Light Gray 07 07 White Bldg 1, All

Floors None

Detected

006: Interior Window Caulk /

Light Gray 08 08 White

Bldg 1, All Floors None

Detected

007: Pipe Wrap, Insulation, And Mastic / White

09 09-Wrap Tan/ Silver

Bldg 1, All Floors None

Detected

007: Pipe Wrap, Insulation, And Mastic / White

09 09- Insulation Yellow

Bldg 1, All Floors None

Detected

007: Pipe Wrap, Insulation, And Mastic / White

09 09- Mastic White

Bldg 1, All Floors None

Detected

007: Pipe Wrap, Insulation, And Mastic / White

10 10- Mastic White

Bldg 1, All Floors None

Detected

007: Pipe Wrap, Insulation, And Mastic / White

10 10-Wrap Tan/ Silver

Bldg 1, All Floors None

Detected

007: Pipe Wrap, Insulation, And Mastic / White

10 10- Insulation Yellow

Bldg 1, All Floors None

AMI Project No.: 21-185 Grand Island VA, Omaha, NE January 10, 2022

HA #/

Description

Sample

ID

Layers ID # Color Location Sample

Result Condition Friable (Y/N)

Estimated Quantity Photo No.

007: Pipe Wrap, Insulation, And Mastic / White

35 35- Mastic White

Bldg 5 Basement Storage

None Detected

007: Pipe Wrap, Insulation, And Mastic / White

35 35-Wrap White/ Silver

Bldg 5 Basement Storage

None Detected

007: Pipe Wrap, Insulation, And Mastic / White

35 35- Insulation Yellow

Bldg 5 Basement Storage

None Detected

008: 12in X 12in Ceiling Tile /

White / Rough 11 11 Gray/

White Bldg 1, C305 Janitor Closet

None Detected

008: 12in X 12in Ceiling Tile /

White / Rough 12 12 Gray/

White Bldg 1, C305 Janitor Closet

None Detected

009:

Drywall/Joint Compound Composite /

White

13 13 Brown/ White

Bldg 1, 1st Floor Laundry Room and Bldg 1, 3rd

Floor Oxygen Room, Throughout Bldg

None Detected

009:

Drywall/Joint Compound Composite /

White

14 14 Brown/ White

Bldg 1, 3rd Floor Laundry Room and 3rd Floor

Oxygen Room, Throughout Bldg

None Detected

009:

Drywall/Joint Compound Composite /

White

30 30 Brown/ White

Bldg 3 Basement

None

AMI Project No.: 21-185 Grand Island VA, Omaha, NE January 10, 2022

HA #/

Description

Sample

ID

Layers ID # Color Location Sample

Result Condition Friable (Y/N)

Estimated Quantity Photo No.

009:

Drywall/Joint Compound Composite /

White

31 31 Brown/ White

Bldg 3 Basement

None Detected

009:

Drywall/Joint Compound Composite /

White

36 36 Brown/ White

Bldg 5, Basement Storage

None Detected

009:

Drywall/Joint Compound Composite /

White

37 37 Brown/ White

Bldg 5, Basement Storage

None Detected

010: Plaster (Skim Coat) /

White 15 15 White Bldg 1, C305

Janitor Closet None

Detected

010: Plaster (Skim Coat) /

White 16 16 White Bldg 1, C305

Janitor Closet None

Detected

010: Plaster (Skim Coat) /

White 17 17 White Bldg 1, C305

Janitor Closet None

Detected

010: Plaster (Skim Coat) /

White 21 21 White Bldg 1, C404B None

Detected

010: Plaster (Skim Coat) /

White 22 22 White Bldg 1, C404B None

AMI Project No.: 21-185 Grand Island VA, Omaha, NE January 10, 2022

HA #/

Description

Sample

ID

Layers ID # Color Location Sample

Result Condition Friable (Y/N)

Estimated Quantity Photo No.

011: 12in X 12in Floor Tile /

Beige 18 18-

Mastic Black Bldg 1, C305 Janitor Closet

None Detected

011: 12in X 12in Floor Tile /

Beige 18 18-Floor

Tile Beige Bldg 1, C305 Janitor Closet

None Detected

011: 12in X 12in Floor Tile /

Beige 19 19-Floor

Tile Beige Bldg 1, C305 Janitor Closet

None Detected

011: 12in X 12in Floor Tile /

Beige 19 19-

Mastic Black Bldg 1, C305 Janitor Closet

None Detected

012: Cove Base / Gray 20 20-

Mastic Tan

Bldg 1, C305 Janitor Closet and Bldg 1, 3rd Floor Oxygen

Room

None Detected

012: Cove Base / Gray 20 20-Cove

Base Gray

Bldg 1, C305 Janitor Closet and Bldg 1, 3rd Floor Oxygen

Room

None Detected

013: 2ft X 4ft Ceiling Tile /

White / Wormhole

23 23 Gray/ White

Bldg 1, C404B, S502, S402, S302 & S30A (Assumed), S111, S110, Server Room, TR C6

None Detected

013: 2ft X 4ft Ceiling Tile /

White / Wormhole

24 24 Gray/ White

Bldg 1, C404B, S502, S402, S302 & S30A (Assumed), S111, S110, None

AMI Project No.: 21-185 Grand Island VA, Omaha, NE January 10, 2022

HA #/

Description

Sample

ID

Layers ID # Color Location Sample

Result Condition Friable (Y/N)

Estimated Quantity Photo No.

Server Room, TR C6

014: Laminate Flooring / Tan 25 25-

Mastic Tan/ Black Bldg 1, N513B <1 %

Chrysotile

014: Laminate Flooring / Tan 25 25-

Flooring Gray/ White Bldg 1, N513B 20 %

Chrysotile Fair N 150 SF 14

014: Laminate Flooring / Tan 25 25-

Mastic Blue/Gr een Bldg 1, N513B None Detected

014: Laminate Flooring / Tan 26 26-

Mastic Blue/ Green Bldg 1, N513B None

Detected

014: Laminate Flooring / Tan 26 26-

Mastic Black/ Yellow Bldg 1, N513B <1 %

Chrysotile

014: Laminate Flooring / Tan 26 26-

Flooring Gray/ White Bldg 1, N513B 20 %

Chrysotile Fair N Included Above 14

015: 12in X 12in Floor Tile / White With Speckles

27 27-Floor Tile White Bldg 3

Basement None

Detected

015: 12in X 12in Floor Tile / White With Speckles

27 27- Mastic Yellow Bldg 3

Basement None

Detected

015: 12in X 12in Floor Tile / White With Speckles

28 28- Mastic Yellow Bldg 3

Basement None

AMI Project No.: 21-185 Grand Island VA, Omaha, NE January 10, 2022

HA #/

Description

Sample

ID

Layers ID # Color Location Sample

Result Condition Friable (Y/N)

Estimated Quantity Photo No.

015: 12in X 12in Floor Tile / White With Speckles

28 28-Floor Tile White Bldg 3

Basement None

Detected

017: 12in X 12in Floor Tile / Blue

With Specks 32 32-Floor

Tile Gray/ Blue

Bldg 4 Basement

None Detected

017: 12in X 12in Floor Tile / Blue

With Specks 32 32-

Mastic Yellow Bldg 4 Basement

None Detected

017: 12in X 12in Floor Tile / Blue

With Specks 33 33-Floor

Tile Gray/Bl ue Bldg 4

Basement None

Detected

017: 12in X 12in Floor Tile / Blue

With Specks 33 33-

Mastic Yellow Bldg 4 Basement

None Detected

018: Exterior Building Caulk /

Light Gray 38 38 Gray

Bldg 17, Exterior South

Wall

None Detected

2nd Site Visit

001: Duct Mastic / Light

Red 39 39-

Mastic Light Red

Bldg 1, Above Drop Ceiling on

Duct Work, S502, S402, S302 & S30A (Assumed) S203, S202, S111, S110, Server Room, TR C6 , S517, C404A, N3, NE1, and N7

60 % Chrysotile Good N

~40 LF Per Room

(Total: 600 LF)

AMI Project No.: 21-185 Grand Island VA, Omaha, NE January 10, 2022

HA #/

Description

Sample

ID

Layers ID # Color Location Sample

Result Condition Friable (Y/N)

Estimated Quantity Photo No.

001: Duct Mastic / Peach 39 39-

Mastic Red Bldg 1, Above

Drop Ceiling, All Floors

<1 % Chrysotile

002: 12in x 12in Floor Tile /

Beige 40 40-Floor

Tile Beige Bldg 1, S402, Under Carpet

2 % Chrysotile Good N 150 SF 19

002: 12in x 12in Floor Tile /

Beige 40 40-

Mastic Yellow Bldg 1, S402, Under Carpet

None Detected

003: 12in x 12in Floor Tile / Beige with

Brown Streaks 41 41-

Mastic Black Bldg 1, Canteen

Office, Under Carpet

None Detected

003: 12in x 12in Floor Tile / Beige with

Brown Streaks 41 41-

Mastic Yellow/ Green

Bldg 1, Canteen Office, Under

Carpet

None Detected

003: 12in x 12in Floor Tile / Beige with

Brown Streaks 41 41-Floor

Tile Tan Bldg 1, Canteen

Office, Under Carpet

None Detected

004: 9in x 9in Floor Tile /

Black 42 42-Floor

Tile Black Bldg 1, Closet in Canteen Office (1st

Floor)

4 % Chrysotile Good N 16 SF 21

004: 9in x 9in Floor Tile / Black 42 42-

Mastic Black Bldg 1, Closet in Canteen Office

(1st Floor)

<1 % Chrysotile

AMI Project No.: 21-185 Grand Island VA, Omaha, NE January 10, 2022

HA #/

Description

Sample

ID

Layers ID # Color Location Sample

Result Condition Friable (Y/N)

Estimated Quantity Photo No.

005:

Fireproofing /

Gray 43 43 Gray

Bldg 1, Sub- Basement, Under Server Room

None Detected

005:

Fireproofing /

Gray 44 44 Gray

Bldg 1, Sub- Basement, Under Server Room

None Detected

005:

Fireproofing /

Gray 45 45 Gray

Bldg 1, Sub- Basement, Under Server Room

None Detected

3rd Site Visit

001: Gray Interior Window

Caulking 46 46 Gray

S517 None Detected 23

001: Gray Interior Window

Caulking 47 47 Gray

S517 None Detected 23

002: Gray 12” x 12” VFT with yellow mastic and green carpet mastic

48 48- Mastic Yellow

S517 None Detected

002: Gray 12” x 12” VFT with yellow mastic and green carpet mastic

48 48 - Floor Tile Gray

S517 None Detected

002: Gray 12” x 12” VFT with yellow mastic and green carpet mastic

48 48- Mastic Green

S517 None

AMI Project No.: 21-185 Grand Island VA, Omaha, NE January 10, 2022

HA #/

Description

Sample

ID

Layers ID # Color Location Sample

Result Condition Friable (Y/N)

Estimated Quantity Photo No.

002: Gray 12” x 12” VFT with yellow mastic and green carpet mastic

49 49- Mastic Yellow

S517

<1 % Chrysotile 24

002: Gray 12” x 12” VFT with yellow mastic and green carpet mastic

49 49-Floor Tile Gray S517 None

Detected 24

002: Gray 12” x 12” VFT with yellow mastic and green carpet mastic

49 49- Mastic Green S517 None

Detected 24

003: Gray with speckles12” x 12” Vinyl Floor Tile with Black

Mastic

50 50-Vinyl Floor Tile Gray C404A None

Detected 25

003: Gray with speckles12” x 12” Vinyl Floor Tile with Black

Mastic

50 50- Mastic Black C404A None

Detected 25

003: Gray with speckles12” x 12” Vinyl Floor Tile with Black

Mastic

51 51- Vinyl Floor Tile Gray C404A None

Detected 25

003: Gray with speckles12” x 12” Vinyl Floor

51 51- Mastic Black C404A None

Detected 25

AMI Project No.: 21-185 Grand Island VA, Omaha, NE January 10, 2022

HA #/

Description

Sample

ID

Layers ID # Color Location Sample

Result Condition Friable (Y/N)

Estimated Quantity Photo No.

Tile with Black Mastic

004: White Floor Leveler 52 52-

Leveler White S208 None

Detected 26

004: White Floor Leveler 52 52-

Mastic Yellow S208 None

Detected 26

004: White Floor Leveler 53 53-

Leveler White S208 None

Detected 26

004: White Floor Leveler 53 53-

Mastic Yellow S208 None

Detected 26

005: Plaster (Gray) w/Skim Coat (White)

54 54-Skim Coat White N117 Vending

Area

None Detected 27

005: Plaster (Gray) w/Skim Coat (White)

54 54- Plaster Gray N117 Vending

Area

None Detected 27

005: Plaster (Gray) w/Skim Coat (White)

55 55-Skim Coat White N117 Vending

Area

None Detected 27

005: Plaster (Gray) w/Skim Coat (White)

55 55- Plaster Gray N117 Vending

Area

None Detected 27

005: Plaster (Gray) w/Skim Coat (White)

56 56-Skim Coat White N117 Vending

Area

None Detected 27

005: Plaster (Gray) w/Skim Coat (White)

56 56- Plaster Gray N117 Vending

Area

None Detected 27

006: Gray Brick Mortar 57 57 Gray

N117 Vending Area

None Detected 28

006: Gray Brick Mortar 58 58 Gray

N117 Vending Area

None Detected 28

AMI Project No.: 21-185 Grand Island VA, Omaha, NE January 10, 2022

HA #/

Description

Sample

ID

Layers ID # Color Location Sample

Result Condition Friable (Y/N)

Estimated Quantity Photo No.

006: Gray Brick Mortar 59 59 Gray

N117 Vending Area

None Detected 28

007: 12"x12” Black VFT with Black Mastic

60 60- Mastic Yellow Room N3

None Detected 29

007: 12"x12” Black VFT with Black Mastic

60 60-Floor Tile Black Room N3 3%

Chrysotile Good N 150 SF 29

007: 12"x12” Black VFT with Black Mastic

60-

Mastic Black Room N3 None

Detected 29

007: 12"x12” Black VFT with Black Mastic

61-

Mastic Yellow Room N3 None

Detected 29

007: 12"x12” Black VFT with Black Mastic

61 61-Floor Tile Black Room N3 Positive

Stop Good N See above 29

007: 12"x12” Black VFT with Black Mastic

61-

Mastic Black Room N3 Insufficient Material 29

008: Brick Mortar, Gray/Tan 62 62 Tan Room N3 None

Detected 30

009: Brick (Tan) 63 63 Tan Room N3 None Detected 31

010: 12"x12" VFT, Beige with

Tan Specks with Black

Mastic

64 64- Floor Tile Beige NE3 + NE1

Hallway 2%

Chrysotile Good N 10 SF 32

010: 12"x12" VFT, Beige with Tan Specks with

Black Mastic

64 64- Mastic Black NE3 + NE1

Hallway

Detected 32

AMI Project No.: 21-185 Grand Island VA, Omaha, NE January 10, 2022

HA #/

Description

Sample

ID

Layers ID # Color Location Sample

Result Condition Friable (Y/N)

Estimated Quantity Photo No.

011: Ceramic Brick Mortar

(Brown) 65 65 Tan N7

None Detected 33

011: Ceramic Brick Mortar

(Brown) 66 66 Brown N7

Detected 33

Table 2

Table 2: Lead Based Paint Sampling Table & Test Results AMI Project No.: 21-185 Grand Island VA, Omaha, NE January 10, 2022

Sample Location Description Substrate Color Paint Condition Lab Result Photo No. Quantity

L1 Bldg 8, IT Room Wall Board Paint Wood Gray Good 0.045 % wt

L2 Bldg 8, IT Room Ceramic Wall Paint Ceramic Tan Good <0.0080 % wt

L3 Bldg 8, IT Room Door/Door Frame Paint Metal Tan Good <0.010 % wt

L4 Bldg 6, IT Room Ceiling/Wall Paint Concrete White Fair <0.0080 % wt

L5 Bldg 6, IT Room Radiator & Pipe Paint Metal White Fair 11 % wt

Radiator

(24 SF),

Pipe

(20 LF)

L6 Bldg 6, IT Room Door Frame Paint Metal Gray Good 2.1 % wt

6 1 EA

(9 SF)

L7 Bldg 7, IT Room Wall/Door/Door Frame Paint Wood Cream Good <0.0080 % wt

L8 Exterior of Building 1 Railing Paint Metal Black Good 0.15 % wt

L9 Bldg 1, 1st Floor Laundry Room

Wall/Ceiling/Door Frame Paint Plaster

White, Blue, Tan

Good 0.051 % wt

L10 Bldg 1, 1st Floor Laundry Room Floor Paint Concrete Black Fair 0.11 % wt

AMI Project No.: 21-185 Grand Island VA, Omaha, NE January 10, 2022

Sample Location Description Substrate Color Paint Condition Lab Result Photo No. Quantity

L11 Bldg 1, 1st Floor Laundry Room

Radiator And Pipe Paint Metal White Poor 0.30 % wt

L12

Bldg 1, C305, Janitor Closet and

Oxygen Room, N513B, S502, S402

Wall Paint Sheetrock/Wallboard Beige Good <0.0080 % wt

L13 Bldg 1, C305

Janitor Closet and Oxygen Room

Door Frame Paint Metal Gray Good <0.0080 % wt

L14

Bldg 1, C305 Janitor Closet, South Wall and

513B

Ceramic Wall Tile Ceramic Gray Good <0.0080 % wt

L15 Bldg 1, C404B, TR C6

Rectangular Wall Tile Ceramic Tan Good

Not Sampled, Only

Documented

L16 Bldg 1, C404B Base Tile Ceramic Brown Good Not Sampled

Only Documented

L17 Bldg 1, C404B, S110, S111 Wall Paint Plaster White Good 0.087 % wt

L18

Bldg 1, C404B, 513B, S502, S402, S202, S 203, S110, S111, Server Room, TR-C6

Door Frame Paint Metal White, Green Good <0.016 % wt

AMI Project No.: 21-185 Grand Island VA, Omaha, NE January 10, 2022

Sample Location Description Substrate Color Paint Condition Lab Result Photo No. Quantity

L19 Bldg 3 and 4 Basement Wall Paint Plaster White Good <0.0080 % wt

L20 Bldg 3 and 4 Basement, IT

Room Floor Paint Concrete Gray Good 0.015 % wt

L21 Bldg 3, 4, and 5 Basement, IT

Room Door Frame Paint Metal White Good 0.015 % wt

L22 Bldg 4, Basement Wall Paint Sheetrock/Wallboard Tan Good <0.015 % wt

L23 Bldg 5, Basement Storage Wall Paint Concrete White Good 0.015 % wt

2nd Site Visit

L24 Bldg 1,5th Floor, Room S502 Perimeter Walls

Wall Paint Plaster Light Green Flaking 0.30 % wt 24

L25 Bldg 1, 4th Floor, Room S402, Perimeter Walls

Wall Paint Plaster Peach Flaking 0.18 % wt 25

L26

Bldg 1, Ground Floor, Server

Room Doors and Door Frames

Door/ Door Frame Paint Metal Bluish

Green Cracking/ Flaking 0.088 % wt 26

AMI Project No.: 21-185 Grand Island VA, Omaha, NE January 10, 2022

Sample Location Description Substrate Color Paint Condition Lab Result Photo No. Quantity

L27 Bldg 1, Ground Floor, Server Room Walls

Wall Paint Plaster Light Blue Cracking 0.17 % wt 27

3rd Site Visit

L28 N117 Vending Area Blue Plaster Wall Paint Plaster Blue Cracking .015 % wt 28

L29 N117 Vending Area Green Plaster Wall Paint Plaster Green Cracking .10% % wt 29

L30 Room N3 Radiator Paint Metal White Cracking .19 % wt 30

L31 Above Ceiling Rm N3 Brick Paint Brick Yellow Good <.0083 % wt 31

L32 NE 3 & NE 1 Door Frame Paint Metal Yellow Cracking 0.59 % wt 32 2 Each

APPENDIX B

Photo Logs

Asbestos Photo Log

Lead-Based Paint Photo Log

Asbestos-Containing Material Photo Log AMI Project No.: 21-185

PHOTO 1

PHOTO 2

PHOTO 3

PHOTO 4

PHOTO 5

PHOTO 6

PHOTO 7

PHOTO 8

PHOTO 9

PHOTO 10

PHOTO 11 PHOTO 12

PHOTO 13

PHOTO 14

Laminate Flooring, 20% Chrysotile. Located in Building 1, Room: N513 B, Under Carpet

PHOTO 15 PHOTO 16

PHOTO 17

PHOTO 18 Duct Mastic / Peach (60% Chrysotile)

Located on Ductwork Above Ceiling Tiles in All Rooms in Building 1

PHOTO 19

12” x 12” Floor Tile / Beige (2% Chrysotile). Located in Building 1, Room S402, Under Carpet

PHOTO 20 PHOTO 21 9” x 9” Floor Tile / Black (4%

Chrysotile) Located in Building 1, Canteen Office Closet on 1st Floor

PHOTO 22

PHOTO 23 001: Gray Interior Window Caulking PHOTO 24

002: Gray 12” x 12” VFT with yellow mastic and green carpet mastic

PHOTO 25 003: Gray with speckles12” x 12” Vinyl

Floor Tile with Black Mastic PHOTO 26 004: White Floor Leveler

PHOTO 27 005: Plaster (Gray) w/Skim Coat (White) PHOTO 28 006: Gray Brick Mortar

PHOTO 29 007: 12"x12” Black VFT PHOTO 30

008: Brick Mortar, Gray/Tan

PHOTO 31 009: Brick (Tan) PHOTO 32 010: 12"x12" VFT, Beige with Tan

Specks with Black Mastic

PHOTO 33 011: Ceramic Brick Mortar (Brown)

Lead Based Paint Photo Log

PHOTO 1

Wall Board Paint, Gray PHOTO 2

Ceramic Wall Paint, Tan

PHOTO 3

Door/Door Frame Paint, Tan PHOTO 4

Ceiling/Wall Paint, White

PHOTO 5

Radiator/Pipe Paint, White (11% wt) PHOTO 6

Door Frame Paint, Gray (2.1% wt)

PHOTO 7

Wall/Door/Door Frame Paint, Cream PHOTO 8

Railing Paint, Black

PHOTO 9

Wall/Ceiling/Door Frame Paint, White, Blue, Tan

PHOTO 10

Floor Paint, Black

PHOTO 11 Radiator And Pipe Paint, White PHOTO 12

Wall Paint, Beige

PHOTO 13

Door Frame Paint, Gray PHOTO 14

Ceramic Wall Tile, Gray

PHOTO 15 Rectangular Wall Tile, Tan, Not Sampled PHOTO 16

Base Tile, Tan, Not Sampled

PHOTO 17

Wall Paint, White PHOTO 18

Door Frame Paint, White, Green

PHOTO 19 Wall Paint, White PHOTO 20

Floor Paint, Gray

PHOTO 21

Door Frame Paint, White PHOTO 22

Wall Paint, Tan

PHOTO 23 Wall Paint, White

PHOTO 24

Light Green Plaster Wall Paint PHOTO 25

Peach Plaster Wall Paint

PHOTO 26

Bluish Green Door/ Door Frame Paint PHOTO 27

Light Blue Plaster Wall Paint

PHOTO 28

Blue Plaster Wall Paint PHOTO 29

Green Plaster Wall Paint

PHOTO 30

Radiator Paint, White PHOTO 31

Brick Paint, Yellow

PHOTO 32

Door Frame Paint, Yellow. Rms NE3 and NE1

APPENDIX C

Analytical Reports

Asbestos Results

Lead-Based Paint Results

EMSL Analytical, Inc.

6340 CastlePlace Dr. Indianapolis, IN 46250

Tel/Fax: (317) 803-2997 / (317) 803-3047 http://www.EMSL.com / indianapolislab@emsl.com

162114042EMSL Order:

Customer ID: AMI50

Customer PO: 21-185

Project ID:

Attention: Phone:Colin Lauenroth (402) 397-5001

Fax:AMI Group, Inc. (402) 397-3313

Received Date:8802 South 135th Street 06/30/2021 10:15 AM

Analysis Date:Suite 100 07/01/2021

Collected Date:Omaha, NE 68138-6511 06/29/2021

Project: 21-185/Grand Island VA EHRM ACM

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

Light Microscopy

Sample Description Appearance % Fibrous % Non-Fibrous

Non-Asbestos Asbestos

% Type

162114042-0001

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Bldg 8 IT Room -

HA-001 -

Caulking/Putties /

Gray /Gray

HA: 001

162114042-0002

None DetectedNon-fibrous (Other)95%Glass5%Red

Non-Fibrous

Homogeneous

Bldg 8, IT Room -

HA-002 -

Caulking/Putties /

Red /Red

HA: 002

03-Insulation

162114042-0003

None DetectedNon-fibrous (Other)2%Glass98%Yellow

Fibrous

Homogeneous

Room 6, IT Room -

HA-003 - Pipe

Insulation, Wrap, Mudded End Cap /

White /White

HA: 003

03-Wrap

162114042-0003A

None DetectedNon-fibrous (Other)30%Cellulose

Glass

40%

30%

Tan/Silver

Fibrous

Homogeneous

Room 6, IT Room -

HA-003 - Pipe

Insulation, Wrap, Mudded End Cap /

White /White

HA: 003

03-End Cap

162114042-0003B

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Room 6, IT Room -

HA-003 - Pipe

Insulation, Wrap, Mudded End Cap /

White /White

HA: 003

162114042-0004

None DetectedNon-fibrous (Other)98%Glass2%Red

Non-Fibrous

Homogeneous

Bldg 7, IT Room -

HA-004 - Fire Caulk /

Red /Red

HA: 004

162114042-0005

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Building 1, Exterior

Windows - HA-005 -

Caulking/Putties /

Light Gray /Light Gray

HA: 005

162114042-0006

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Building 1, Exterior

Windows - HA-005 -

Caulking/Putties /

Light Gray /Light Gray

HA: 005

162114042-0007

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Bldg 1, Laundry

Room - HA-006 -

Interior Window Caulk

/ Light Gray /Light

Gray

HA: 006

Initial report from: 07/01/2021 11:55:48

Page 1 of 6ASB_PLM_0008_0001 - 1.78 Printed: 7/1/2021 11:55 AM

Tel/Fax: (317) 803-2997 / (317) 803-3047 http://www.EMSL.com / indianapolislab@emsl.com

162114042EMSL Order:

Customer ID: AMI50

Customer PO: 21-185

Project ID:

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

Light Microscopy

Sample Description Appearance % Fibrous % Non-Fibrous

Non-Asbestos Asbestos

% Type

162114042-0008

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Bldg 1, Laundry

Room - HA-006 -

Interior Window Caulk

/ Light Gray /Light

Gray

HA: 006

09-Insulation

162114042-0009

None DetectedNon-fibrous (Other)2%Glass98%Yellow

Fibrous

Homogeneous

Bldg 1, Laundry

Room - HA-007 - Pipe

Wrap, Insulation, and

Mastic / White /White

HA: 007

09-Wrap

162114042-0009A

None DetectedNon-fibrous (Other)30%Cellulose

Glass

50%

20%

Tan/Silver

Fibrous

Homogeneous

Bldg 1, Laundry

Room - HA-007 - Pipe

Wrap, Insulation, and

Mastic / White /White

HA: 007

09-Mastic

162114042-0009B

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Bldg 1, Laundry

Room - HA-007 - Pipe

Wrap, Insulation, and

Mastic / White /White

HA: 007

10-Insulation

162114042-0010

None DetectedNon-fibrous (Other)2%Glass98%Yellow

Fibrous

Homogeneous

Bldg 1, Laundry

Room - HA-007 - Pipe

Wrap, Insulation, and

Mastic / White /White

HA: 007

10-Wrap

162114042-0010A

None DetectedNon-fibrous (Other)30%Cellulose

Glass

50%

20%

Tan/Silver

Fibrous

Homogeneous

Bldg 1, Laundry

Room - HA-007 - Pipe

Wrap, Insulation, and

Mastic / White /White

HA: 007

10-Mastic

162114042-0010B

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Bldg 1, Laundry

Room - HA-007 - Pipe

Wrap, Insulation, and

Mastic / White /White

HA: 007

162114042-0011

None DetectedPerlite

Non-fibrous (Other)

15%

5%

Cellulose

Min. Wool

50%

30%

Gray/White

Fibrous

Homogeneous

Bldg 1, C305 Janitor

Closet - HA-008 - 12 x

12 Ceiling Tile / White

/ Rough /White /

Rough

HA: 008

162114042-0012

None DetectedPerlite

Non-fibrous (Other)

15%

5%

Cellulose

Min. Wool

60%

20%

Gray/White

Fibrous

Homogeneous

Bldg 1, C305 Janitor

Closet - HA-008 - 12 x

12 Ceiling Tile / White

/ Rough /White /

Rough

HA: 008

162114042-0013

None DetectedGypsum

Non-fibrous (Other)

20%

15%

Cellulose

Glass

60%

5%

Brown/White

Fibrous

Heterogeneous

Bldg 1, Laundry

Room and Oxygen

Room, Throughout -

HA-009 -

Drywall/Joint

Compound

Composite / White

/White

This is a composite result of wallboard, jt. compound, and tape

HA: 009

Page 2 of 6ASB_PLM_0008_0001 - 1.78 Printed: 7/1/2021 11:55 AM

Tel/Fax: (317) 803-2997 / (317) 803-3047 http://www.EMSL.com / indianapolislab@emsl.com

162114042EMSL Order:

Customer ID: AMI50

Customer PO: 21-185

Project ID:

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

Light Microscopy

Sample Description Appearance % Fibrous % Non-Fibrous

Non-Asbestos Asbestos

% Type

162114042-0014

None DetectedGypsum

Non-fibrous (Other)

30%

15%

Cellulose

Glass

50%

5%

Brown/White

Fibrous

Heterogeneous

Bldg 1, Laundry

Room and Oxygen

Room, Throughout -

HA-009 -

Drywall/Joint

Compound

Composite / White

/White

This is a composite result of wallboard, jt. compound, and tape

HA: 009

162114042-0015

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Bldg 1, C305 Laundry

Room - HA-010 -

Plaster (skim coat) /

White /White

HA: 010

162114042-0016

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Bldg 1, C305 Laundry

Room - HA-010 -

Plaster (skim coat) /

White /White

HA: 010

162114042-0017

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

Bldg 1, C305 Laundry

Room - HA-010 -

Plaster (skim coat) /

White /White

HA: 010

18-Floor Tile

162114042-0018

None DetectedNon-fibrous (Other)100%Beige

Non-Fibrous

Homogeneous

C305 Janitor Closet -

HA-011 - 12 x 12

Floor Tile / Beige

/Beige

HA: 011

18-Mastic

162114042-0018A

None DetectedNon-fibrous (Other)100%Black

Non-Fibrous

Homogeneous

C305 Janitor Closet -

HA-011 - 12 x 12

Floor Tile / Beige

/Beige

HA: 011

19-Floor Tile

162114042-0019

None DetectedNon-fibrous (Other)100%Beige

Non-Fibrous

Homogeneous

C305 Janitor Closet -

HA-011 - 12 x 12

Floor Tile / Beige

/Beige

HA: 011

19-Mastic

162114042-0019A

None DetectedNon-fibrous (Other)100%Black

Non-Fibrous

Homogeneous

C305 Janitor Closet -

HA-011 - 12 x 12

Floor Tile / Beige

/Beige

HA: 011

20-Cove Base

162114042-0020

None DetectedNon-fibrous (Other)100%Gray

Non-Fibrous

Homogeneous

C305 Janitor Closet and Oxygen Room -

HA-012 - Cove Base /

Gray /Gray

HA: 012

20-Mastic

162114042-0020A

None DetectedNon-fibrous (Other)100%Tan

Non-Fibrous

Homogeneous

C305 Janitor Closet and Oxygen Room -

HA-012 - Cove Base /

Gray /Gray

HA: 012

162114042-0021

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

C404B - HA-010 -

Plaster (skim coat) /

White /White

HA: 010

Page 3 of 6ASB_PLM_0008_0001 - 1.78 Printed: 7/1/2021 11:55 AM

Tel/Fax: (317) 803-2997 / (317) 803-3047 http://www.EMSL.com / indianapolislab@emsl.com

162114042EMSL Order:

Customer ID: AMI50

Customer PO: 21-185

Project ID:

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

Light Microscopy

Sample Description Appearance % Fibrous % Non-Fibrous

Non-Asbestos Asbestos

% Type

162114042-0022

None DetectedNon-fibrous (Other)100%White

Non-Fibrous

Homogeneous

C404B - HA-010 -

Plaster (skim coat) /

White /White

HA: 010

162114042-0023

None DetectedPerlite

Non-fibrous (Other)

15%

5%

Cellulose

Min. Wool

60%

20%

Gray/White

Fibrous

Homogeneous

C404B - HA-013 - 2 x

4 Ceiling Tile / White /

Wormhole /White /

Wormhole

HA: 013

162114042-0024

None DetectedPerlite

Non-fibrous (Other)

15%

5%

Cellulose

Min. Wool

60%

20%

Gray/White

Fibrous

Homogeneous

C404B - HA-013 - 2 x

4 Ceiling Tile / White /

Wormhole /White /

Wormhole

HA: 013

25-Mastic

16211…