Attachment G - Fargo VA Asbestos Inspection Report - IFB.pdf

FARGO VA HEALTHCARE

SYSTEM

FARGO, NORTH DAKOTA

MEDICAL CENTER

2101 ELM STREET

FARGO,ND 58102

2023-2024 ASBESTOS INSPECTION REPORT

PREPARED BY: DRAKE OTTLEY

NDDEQ ASBESTOS INSPECTOR ID: 7197

NDDEQ LEAD INSPECTOR ID: 430

EHRM INFRASTRUCTURE UPGRADES – TIER 2

VA CONTRACT NUMBER:36C26319D0044

INSPECTION DATES:

November 2 and 3, 2023

January 5, 2024

January 16, 2024

Mr. Vince Bertucci Geo Bancroft Architects + Engineers 3300 Dundee Road Suite B Northbrook, Illinois 60062

Re: Selective Asbestos and Lead Based Paint Inspection Report Fargo VA Medical Center – 2101 Elm Street North Fargo, North Dakota 58102 EHRM Infrastructure Upgrades – Tier 2 VA Contract Number: 36C26319D0044 Station Project Number: 437-21-210 BAE Project Number: 22-113 TEM Project 71135

Dear Mr. Bertucci:

Attached, please find the results of the asbestos and lead-based paint (LBP) inspections performed at the above referenced facility. Asbestos containing building material and lead-based paint survey were conducted in the Basement, 1st, 2nd, 3rd and 4th floor renovation areas of the Fargo VA HealthCare Facility. The site inspection and sampling were performed on November 1 thru 2, 2023 and additional site survey on January 5, 2024 by TEM Environmental, Inc representative Mr. Drake Ottley is licensed by the State of North Dakota Department of Environmental Quality as a Certified Asbestos Inspector and is a Certified Lead Based Paint Inspector.

Asbestos Sampling

Bulk material samples were collected from the renovation areas in compliance with the requirements of the EPA's Asbestos NESHAPs and the North Dakota Department of Environmental Quality, North Dakota Air Pollution Control Rules, Chapter 33.1-15-13, Emission standards for hazardous air pollutants:

Regulated Asbestos-Containing Materials (RACM)/Asbestos-Containing Materials

(ACM): Includes all friable asbestos materials, Category I/Class I Nonfriable ACM that have become friable or will become friable, and Category II/Class II Nonfriable ACM that have a high probability of being crumbled, pulverized, or reduced to powder by the forces expected to act on the materials in the course of renovation or demolition.

Category I Nonfriable ACM/Class I Nonfriable ACM: Nonfriable asbestos or nonfriable asbestos-containing packing, gaskets, and resilient floor covering; and asphalt roofing products containing greater than one percent (1%) asbestos as determined using the method specified in 40 CFR Part 763, Appendix E, Subpart E, or an accepted equivalent.

Category II Nonfriable ACM/Class II Nonfriable ACM: Any material that cannot, when dry, be crumbled, pulverized, or reduced to powder by the forces expected to act upon it in the course of demolition or renovation operations, 3 | Regulation 61-86.1 excluding Category I nonfriable ACM and containing greater than one percent (1%) asbestos as determined using the methods specified in 40 CFR Part 763, Appendix E, Subpart E, or an accepted equivalent.

Asbestos-Containing Materials (ACM): Material containing asbestos of any type, either alone or mixed with other materials, in an amount greater than one percent (1%) as determined by using the method specified in 40 CFR Part 763, Appendix A, Subpart F, Section 1, as amended, or an accepted equivalent. (NOTE: “Appendix A to Subpart F” has been redesignated as, and shall hereinafter be referred to as, “Appendix E to Subpart E” - 60 FR 31917, June 19, 1995.)

Presumed Asbestos-Containing Material (PACM) means thermal system insulation and surfacing material found in buildings, vessels, and vessel sections constructed no later than 1980 that are assumed to contain greater than one percent asbestos but have not been sampled or analyzed to verify or negate the presence of asbestos. PACM may also be used in this report to identify additional suspect ACM that was not sampled but should be assumed to be ACM.

During the survey, asbestos bulk samples were collected and submitted for analysis. The bulk samples were submitted to the following laboratory:

TEM Environmental, Inc.

174 N. Brandon Drive Glendale Heights, Illinois 60139

(630) 790-0880 NVLAP Lab Code: 101130-0

Samples were analyzed by polarized light microscopy (PLM) for asbestos content using EPA 600/R-93/116 Method. The EPA method is a semi-quantitative procedure with a detection limit of one-tenth to one percent (0.10 – 1.0%) by area, dependent upon the material being analyzed. If indicated, select samples were submitted for more objective analysis following EPA 600/R-93/116 Method Point Count procedures (1,000 points). The Point Count procedure is used to increase the amount of sample viewed under PLM so that the results are statistically enhanced, resulting in a generally more accurate analysis.

Lead Based Paint Inspection

Lead-based paint sampling was performed using a SciAps X-550Pb XRF Analyzer - Serial #00885. The analyzer uses an electric current under high voltage to produce x-rays. The x-ray operates in quick mode with variable-time readings ranging from 2-6 seconds. SciAps X-550Pb XRF Analyzer has a Department of Housing and Urban Development approved Performance Characteristic Sheet document effective February 1, 2022. The analyzer reports results in milligrams of lead per square centimeter collects accurate lead paint results of either positive or negative for lead-based paint. Lead Based Paint is defined by both the Environmental Protection Agency (EPA) as any surface that contains greater than 1 mg/cm2 of surface area. A result of >0.0 mg/cm2 and <1.0 mg/cm2 does not necessarily mean that no lead is present, but that surface coating evaluated does not meet the definition of lead-based paint.

Asbestos Results

The results of the asbestos testing are presented below in Table I.

TABLE I

SELECTIVE ASBESTOS TESTING RESULTS

FARGO VA HEALTHCARE SYSTEM – 2101 ELM STREET NORTH

FARGO, NORTH DAKOTA 58102

SAMPLE NUMBER MATERIAL DESCRIPTION LOCATION ASBESTOS

RESULTS

DO110223-01-03 Drywall BE-98, BE-99 No Asbestos Detected

DO110223-04-06 Drywall Joint Compound BE-98, BE-99 No Asbestos Detected

DO110223-07-09 Exterior Louver Caulk BE-98 No Asbestos Detected

DO110223-10-12 Interior Louver Caulk BE-98 No Asbestos Detected

DO110223-13 Cinderblock BE-98, BE-99 No Asbestos Detected

DO110223-14 Cinderblock Mortar BE-98, BE-99 No Asbestos Detected

DO110223-15-17 Door Frame Caulk BE-98, BE-99, 4E-10, and BC-50 No Asbestos Detected

DO110223-18-20 Generator Muffler Hardpack Insulation BE-98 No Asbestos Detected

DO110223-21-27 Spray on Fireproofing

BE-98,BE-99,BC-50, BC

Corridor, BC-54,BC-52,BC-

46,BC-44,BC-41,Entry Lobby, 1C Corridor, 3E-30,3E-32,3E

Corridor, 3E-25, 3E-08, 4E-10, 4E-14,4E-18,4E-20,4E-21, 4E-

22, 4E-23,4E-24

No Asbestos Detected

DO110223-28-30 Red Fire Stop Caulk

BE-98,BE-99,BC-50, BC

Corridor, BC-54,BC-52,BC-

46,BC-44,BC-41,1C Corridor, 3E-30,3E-32,3E Corridor, 3E- 25, 3E-08, 4E-10, 4E-14,4E- 18,4E-20,4E-21, 4E-22, 4E-

23,4E-24

No Asbestos Detected

DO110223-31-33 Drywall

Entry Lobby, BC-50, BC Corridor, BC-54,BC-52,BC-

46,BC-44,BC-41,3E-30,3E-

32,3E Corridor, 3E-25, 3E-08, 4E-10, 4E-14,4E-18,4E-20,4E-

21, 4E-22, 4E-23,4E-24

No Asbestos Detected

DO110223-34-36 Drywall Joint Compound

Entry Lobby, BC-50, BC Corridor, BC-54,BC-52,BC-

46,BC-44,BC-41,3E-30,3E-

32,3E Corridor, 3E-25, 3E-08, 4E-10, 4E-14,4E-18,4E-20,4E-

21, 4E-22, 4E-23,4E-24

No Asbestos Detected

DO110223-37-39 12" x 12" Beige Mottled Floor Tile 4E-21 No Asbestos Detected*

FARGO VA HEALTHCARE SYSTEM – 2101 ELM STREET NORTH

FARGO, NORTH DAKOTA 58102

SAMPLE NUMBER MATERIAL DESCRIPTION LOCATION ASBESTOS

RESULTS

DO110223-40-42 Black Mastic Associated With Beige Mottled Floor Tile 4E-21 No Asbestos Detected*

DO110223-43-45 Beige Vinyl Covebase Adhesive 3E Corridor, 3E-25, 3E-08, 4E- 10, 4E-14,4E-18,4E-20,4E-21, 4E-22, 4E-23,4E-24 No Asbestos Detected

DO110223-46-48 Yellow Carpet Mastic 4E-10, 4E-14,4E-18,4E-20,4E- 22, 4E-23,4E-24 No Asbestos Detected

DO110223-49-51 Window Frame Caulk 4E-21,4E-18,4E-22 No Asbestos Detected

DO110223-52-54 Exterior Window Frame Caulk Exterior of 4E-21,4E-18,4E-22 No Asbestos Detected

DO110223-55-57 2' x 4' Deep Fissure Ceiling Tile 4E-10, 4E-21,4E-18,4E-22 No Asbestos Detected

DO110223-58-60 2' x 4' Width-wise Fissure Ceiling Tile 4E-10, 4E-21,4E-18,4E-22 No Asbestos Detected

DO110223-61-63 2' x 4' Pinhole Widthwise fissure Ceiling Tile BC-60,BC-50 No Asbestos Detected

DO110223-64-66 2' x 4' Smooth Pinhole Ceiling Tile BC-60,BC-50 No Asbestos Detected

DO110223-67-69 2' x 2' Pinhole Fissure Ceiling Tile

Entry Lobby, BC Corridor,BC-

54,BC-52,BC-46,BC-44,BC-

41,3E Corridor 3E-30,3E- 32,3E Corridor, 3E-25, 3E-08

No Asbestos Detected

DO110223-70-72 Vinyl Covebase Adhesive BC-50 No Asbestos Detected

DO110223-73-75 Floating Floor Adhesive BC-50 No Asbestos Detected

DO110223-76-78 12" x 12" Beige Floor Tile BC-50 Under Floating Floor No Asbestos Detected*

DO110223-79-81 Black Mastic associated with Beige Floor Tile BC-50 Under Floating Floor No Asbestos Detected*

DO110223-82 Leveling Compound BC-50 Under Floating Floor No Asbestos Detected

DO010524-01 Hard Coat Ceiling Plaster 4E-10, 4E-21,4E-18,4E-22,4- E24 ( Above Drop Ceiling) No Asbestos Detected

DO010524-02 Hard Coat Ceiling Plaster 4E-10, 4E-21,4E-18,4E-22,4- E24 ( Above Drop Ceiling) No Asbestos Detected

DO010524-03 Hard Coat Ceiling Plaster 4E-10, 4E-21,4E-18,4E-22,4- E24 ( Above Drop Ceiling) No Asbestos Detected

DO010524-04 Hard Coat Ceiling Plaster 4E-10, 4E-21,4E-18,4E-22,4- E24 ( Above Drop Ceiling) No Asbestos Detected

DO010524-05 Hard Coat Ceiling Plaster 4E-10, 4E-21,4E-18,4E-22,4- E24 ( Above Drop Ceiling) No Asbestos Detected

DO010524-06 Hard Coat Ceiling Plaster 4E-10, 4E-21,4E-18,4E-22,4- E24 ( Above Drop Ceiling) No Asbestos Detected

DO010524-07 Hard Coat Ceiling Plaster 4E-10, 4E-21,4E-18,4E-22,4- E24 ( Above Drop Ceiling) No Asbestos Detected

DO010524-08 Metal 2-hour Fire Door 4E-10, 4E-21,4E-18,4E-22,BE- 98,BE-97,BE-38A, BE-38B No Asbestos Detected

FARGO VA HEALTHCARE SYSTEM – 2101 ELM STREET NORTH

FARGO, NORTH DAKOTA 58102

SAMPLE NUMBER MATERIAL DESCRIPTION LOCATION ASBESTOS

RESULTS

DO010524-09 Fire Door 4E-10, 4E-21,4E-18,4E-22,BE- 98,BE-97,BE-38A, BE-38B No Asbestos Detected

DO010524-10 Fire Door 4E-10, 4E-21,4E-18,4E-22,BE- 98,BE-97,BE-38A, BE-38B No Asbestos Detected

*Indicates Samples were TEM analyzed and confirmed no Asbestos Detected

Previously Sampled Asbestos Results

The results of the asbestos testing are presented below in Table II and are referenced from the Fargo VA Healthcare System Baseline Inspection Report –dated June 2022.

TABLE II

FARGO VA HEALTHCARE SYSTEM – 2101 ELM STREET NORTH

FARGO, NORTH DAKOTA 58102

SAMPLE ID MATERIAL DESCRIPTION LOCATION ASBESTOS RESULTS

No Sample Taken Thermal System Insulation – Air Cell Type Above Ceiling and In Chases Assumed

No Sample Taken Thermal System Insulation – Grey Above Ceiling and in Chases Assumed

No Sample Taken Transit Panels/Pucks

Window Panel inserts, Register Cabinets Assumed

01-053 9” x 9” Floor Tile and Mastic Building 1 and Building 46 5% Chrysotile

01-050 12” x 12” Floor Tile and Mastic Building 1 and Building 46 8% Chrysotile (Mastic)

01-028 1’ x 1’ Ceiling Tile and Pucks Large/small Pinholes BC-64 Corridor <1% Amosite /

5% Chrysotile 01-004 Black Wall Mastic Elevator Mechanical Room 8% Chrysotile

01-014 12” x 12” Floor Tile and Mastic Main Hallway North to South 4% Chrysotile

The results of the sampling have confirmed the presence of asbestos in the above referenced materials. Renovation activities will require abatement of asbestos containing materials prior to disturbance or demolition procedures.

Lead Results

The results of the lead-based paint tested are presented below in Table III.

TABLE III

SELECTIVE LEAD-BASED PAINT TESTING RESULTS

FARGO VA HEALTHCARE SYSTEM – 2101 ELM STREET NORTH

FARGO, NORTH DAKOTA 58102

ROOM SIDE COMPONENT SUBSTRATE CONDITION COLOR FLOOR TYPE RESULTS

LEAD

CONCENTRATION

(mg/cm2)

Calibration 1.0 Nist Standard

Pass 1.0 Pass 1.1 Pass 1.1

BE-98 North Wall Cinderblock Intact Beige Basmt Paint Negative 0.0 BE-98 East Wall Cinderblock Intact Beige Basmt Paint Negative 0.0 BE-98 South Wall Cinderblock Intact Beige Basmt Paint Negative 0.0 BE-98 West Wall Cinderblock Intact Beige Basmt Paint Negative 0.0 BE-98 N/A Ceiling Drywall Intact Beige Basmt Paint Negative 0.0 BE-98 N/A Ceiling Drywall Intact Beige Basmt Paint Negative 0.0 BE-98 N/A Ceiling Drywall Intact Beige Basmt Paint Negative 0.0 BE-98 West Door Frame Metal Intact Brown Basmt Paint Negative 0.0 BE-98 West Door Metal Intact Beige Basmt Paint Negative 0.0 BE-99 North Wall Cinderblock Intact Beige Basmt Paint Negative 0.0 BE-99 East Wall Cinderblock Intact Beige Basmt Paint Negative 0.0 BE-99 South Wall Cinderblock Intact Beige Basmt Paint Negative 0.0 BE-99 West Wall Cinderblock Intact Beige Basmt Paint Negative 0.0 BE-99 N/A Ceiling Drywall Intact Beige Basmt Paint Negative 0.0 BE-99 N/A Ceiling Drywall Intact Beige Basmt Paint Negative 0.0 BE-99 N/A Ceiling Drywall Intact Beige Basmt Paint Negative 0.0 3E-25 North Wall Drywall Intact Beige 3rd Paint Negative 0.0 3E-25 East Wall Drywall Intact Beige 3rd Paint Negative 0.0 3E-25 South Wall Drywall Intact Beige 3rd Paint Negative 0.0 3E-25 West Wall Drywall Intact Beige 3rd Paint Negative 0.0 3E-30 North Wall Drywall Intact Beige 3rd Paint Negative 0.0 3E-30 East Wall Drywall Intact Beige 3rd Paint Negative 0.0 3E-30 South Wall Drywall Intact Beige 3rd Paint Negative 0.0 3E-30 West Wall Drywall Intact Beige 3rd Paint Negative 0.0 3E-32 North Wall Drywall Intact Beige 3rd Paint Negative 0.0 3E-32 East Wall Drywall Intact Beige 3rd Paint Negative 0.0 3E-32 South Wall Drywall Intact Beige 3rd Paint Negative 0.0 3E-32 West Wall Drywall Intact Beige 3rd Paint Negative 0.0 3E-08 North Wall Cinderblock Intact Beige 3rd Paint Negative 0.0 3E-08 East Wall Cinderblock Intact Beige 3rd Paint Negative 0.0

FARGO VA HEALTHCARE SYSTEM – 2101 ELM STREET NORTH

FARGO, NORTH DAKOTA 58102

ROOM SIDE COMPONENT SUBSTRATE CONDITION COLOR FLOOR TYPE RESULTS

LEAD

CONCENTRATION

(mg/cm2)

3E-08 South Wall Drywall Intact Beige 3rd Paint Negative 0.0 3E-08 West Wall Cinderblock Intact Beige 3rd Paint Negative 0.0

3rd Fl Corridor 3E North Wall Drywall Intact Beige 3rd Paint Negative 0.0 3rd Fl Corridor 3E East Wall Drywall Intact Beige 3rd Paint Negative 0.0 3rd Fl Corridor 3E South Wall Drywall Intact Beige 3rd Paint Negative 0.0 3rd Fl Corridor 3E West Wall Drywall Intact Beige 3rd Paint Negative 0.0

4E-10 North Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-10 East Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-10 South Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-10 West Wall Drywall Intact Beige 4th Paint Negative 0.0

4E-10 N/A Ceiling

Above Drop Ceiling

Plaster Intact Beige 4th Paint Negative 0.0

4E-10 N/A Ceiling

Above Drop Ceiling

Plaster Intact Beige 4th Paint Negative 0.0

4E-10 N/A Ceiling

Above Drop Ceiling

Plaster Intact Beige 4th Paint Negative 0.0

4E-14 North Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-14 East Wall Metal Intact Beige 4th Paint Negative 0.0 4E-14 South Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-14 West Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-18 North Wall Metal Intact Beige 4th Paint Negative 0.0 4E-18 East Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-18 South Wall Metal Intact Beige 4th Paint Negative 0.0 4E-18 West Wall Metal Intact Beige 4th Paint Negative 0.0 4E-20 North Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-20 East Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-20 South Wall Drywall Intact Beige 4th Paint Negative 0.0

4E-20 N/A Ceiling

Above Drop Ceiling

Plaster Intact Beige 4th Paint Negative 0.0

4E-20 N/A Ceiling

Above Drop Ceiling

Plaster Intact Beige 4th Paint Negative 0.0

4E-20 N/A Ceiling

Above Drop Ceiling

Plaster Intact Beige 4th Paint Negative 0.0

4E-20 West Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-21 North Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-21 East Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-21 South Wall Drywall Intact Beige 4th Paint Negative 0.0

FARGO VA HEALTHCARE SYSTEM – 2101 ELM STREET NORTH

FARGO, NORTH DAKOTA 58102

ROOM SIDE COMPONENT SUBSTRATE CONDITION COLOR FLOOR TYPE RESULTS

LEAD

CONCENTRATION

(mg/cm2)

4E-21 West Wall Drywall Intact Beige 4th Paint Negative 0.0

4E-21 N/A Ceiling

Above Drop Ceiling

Plaster Intact Beige 4th Paint Negative 0.0

4E-21 N/A Ceiling

Above Drop Ceiling

Plaster Intact Beige 4th Paint Negative 0.0

4E-21 N/A Ceiling

Above Drop Ceiling

Plaster Intact Beige 4th Paint Negative 0.0

4E-22 North Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-22 East Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-22 South Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-22 West Wall Drywall Intact Beige 4th Paint Negative 0.0

4E-22 N/A Ceiling

Above Drop Ceiling

Plaster Intact Beige 4th Paint Negative 0.0

4E-22 N/A Ceiling

Above Drop Ceiling

Plaster Intact Beige 4th Paint Negative 0.0

4E-22 N/A Ceiling

Above Drop Ceiling

Plaster Intact Beige 4th Paint Negative 0.0

4E-23 North Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-23 East Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-23 South Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-23 West Wall Drywall Intact Beige 4th Paint Negative 0.0

4E-23 N/A Ceiling

Above Drop Ceiling

Plaster Intact Beige 4th Paint Negative 0.0

4E-23 N/A Ceiling

Above Drop Ceiling

Plaster Intact Beige 4th Paint Negative 0.0

4E-23 N/A Ceiling

Above Drop Ceiling

Plaster Intact Beige 4th Paint Negative 0.0

4E-24 North Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-24 East Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-24 South Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-24 West Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-24 North Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-24 East Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-24 South Wall Drywall Intact Beige 4th Paint Negative 0.0 4E-24 West Wall Drywall Intact Beige 4th Paint Negative 0.0 BC-44 North Wall Drywall Intact Beige Basmt Paint Negative 0.0

FARGO VA HEALTHCARE SYSTEM – 2101 ELM STREET NORTH

FARGO, NORTH DAKOTA 58102

ROOM SIDE COMPONENT SUBSTRATE CONDITION COLOR FLOOR TYPE RESULTS

LEAD

CONCENTRATION

(mg/cm2)

BC-44 East Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-44 South Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-44 West Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-46 North Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-46 East Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-46 South Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-46 West Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-50 North Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-50 East Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-50 South Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-50 West Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-52 North Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-52 East Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-52 South Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-52 West Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-54 North Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-54 East Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-54 South Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-54 West Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-56 North Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-56 East Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-56 South Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-56 West Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-58 North Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-58 East Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-58 South Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-58 West Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-60 North Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-60 East Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-60 South Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-60 West Wall Drywall Intact Beige Basmt Paint Negative 0.0

BC-Corridor North Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-Corridor East Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC-Corridor South Wall Drywall Intact Beige Basmt Paint Negative 0.0 BC- Corridor West Wall Drywall Intact Beige Basmt Paint Negative 0.0 1C-36 Lobby North Wall Drywall Intact Beige 1st Paint Negative 0.0 1C-36 Lobby East Wall Drywall Intact Beige 1st Paint Negative 0.0

FARGO VA HEALTHCARE SYSTEM – 2101 ELM STREET NORTH

FARGO, NORTH DAKOTA 58102

ROOM SIDE COMPONENT SUBSTRATE CONDITION COLOR FLOOR TYPE RESULTS

LEAD

CONCENTRATION

(mg/cm2)

1C-36 Lobby South Wall Drywall Intact Beige 1st Paint Negative 0.0 1C-36 Lobby West Wall Drywall Intact Beige 1st Paint Negative 0.0 1C-36 Lobby N/A Soffitt Drywall Intact Beige 1st Paint Negative 0.0 1C-36 Lobby N/A Column Drywall Intact Beige 1st Paint Negative 0.0

BE-38A North Wall Drywall Intact Beige Basmt Paint Negative 0.0 BE-38A East Wall Drywall Intact Beige Basmt Paint Negative 0.0 BE-38A South Wall Drywall Intact Beige Basmt Paint Negative 0.0 BE-38A West Wall Drywall Intact Beige Basmt Paint Negative 0.0

BE-38A N/A

Ceiling

Above Drop Ceiling

Drywall Intact Beige Basmt Paint Negative 0.0

BE-38A N/A

Ceiling

Above Drop Ceiling

Drywall Intact Beige Basmt Paint Negative 0.0

BE-38A N/A

Ceiling

Above Drop Ceiling

Drywall Intact Beige Basmt Paint Negative 0.0

BE-38B North Wall Drywall Intact Beige Basmt Paint Negative 0.0 BE-38B East Wall Drywall Intact Beige Basmt Paint Negative 0.0 BE-38B South Wall Drywall Intact Beige Basmt Paint Negative 0.0 BE-38B West Wall Drywall Intact Beige Basmt Paint Negative 0.0

BE-38B N/A

Ceiling

Above Drop Ceiling

Drywall Intact Beige Basmt Paint Negative 0.0

BE-38B N/A

Ceiling

Above Drop Ceiling

Drywall Intact Beige Basmt Paint Negative 0.0

BE-38B N/A

Ceiling

Above Drop Ceiling

Drywall Intact Beige Basmt Paint Negative 0.0

Calibration 1.0 Nist Standard

Pass 1.0

Lead-Based Paint is defined by the EPA and IDPH as paint containing ≥1.0 mg/cm2 lead as measured by X-Ray Fluorescence (XRF).

The results of the selective XRF sampling indicate no lead-based paint have been identified in the project renovation areas during the site visit.

Methodology

The samples were collected in compliance with the requirements of the United States Environmental Protection Agency (USEPA) National Emission Standard for Hazardous Air Pollutants (NESHAPS) regulation (40 CFR Part 61) and with the Occupational Safety and Health Administration (OSHA) Construction Industry Standard for Asbestos (29 CFR 1926.1101).

Because the scope of work included only accessible areas, the possibility exists that some of the asbestos containing building materials (ACBM) were omitted from the survey if it was concealed behind walls and ceilings or if there was restricted access. Only a destructive survey can reveal all potentially concealed asbestos-containing materials.

The samples were analyzed by TEM Environmental, Inc. which is accredited by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101130. A copy of the laboratory report is attached. Copies of TEM’s accreditations are available upon request.

Inspection Limitations

Our investigation was performed using the degree of care and skill ordinarily exercised under similar circumstances by reputable environmental consultants practicing in this or other localities.

The information in this report is deemed reliable but there cannot be a guarantee that all hazardous or potentially hazardous conditions have been located or identified. Some of the reasons for this are:

1. This report is limited to the representative components and/or building materials selected for Demolition and should not be considered a comprehensive inspection for asbestos and lead-based paint. Additionally, conclusions regarding conditions existing prior to or after the time of testing should not be drawn from the data presented in this report.

2. Since demolition was not performed as part of the inspection work at the facilities, certain areas such as pipe chases and areas above fixed permanent ceilings, and terrazzo flooring, were not inspected or tested. Prior to renovation and alteration work which could impact these areas, TEM Environmental recommends that exploratory demolition be performed and a qualified inspector be utilized to examine the areas and collect samples as needed. TEM Environmental, Inc. recommends sampling of roofing materials (not specifically examined as part of this survey) if renovation activities are planned which may disturb these materials.

Conclusion

The Inspection was conducted utilizing the 100% design for the release of the Issued for Bid submittal. The scope of work developed further changes. TEM Environmental, Inc.

conducted an additional inspection to cover the additional scope of work that was modified for the project. All above drop ceiling work were inspected and were found to be safe for temporary displacement of ceiling tiles during the renovation.

TEM Environmental confirmed during our survey the presence of asbestos containing materials. Asbestos materials will need to be removed or demolished by a certified worker.

See Attachment A for Asbestos Laboratory Report and Sample Chain of Custody and Attachment B for Inspector Licenses and Accreditations.

Please review the attached and retain for your project record keeping. Feel free to contact me directly at 630-790-0880 should you have any questions or wish to discuss the results or inspection process in more detail.

Sincerely, TEM ENVIRONMENTAL, INC.

Drake Ottley Senior Project Manager

ATTACHMENT A

Asbestos Laboratory Report and Sample Chain of Custody

BULK SAMPLE ASBESTOS EVALUATION BY

POLARIZED LIGHT MICROSCOPY METHOD

Client: Bancroft

Contact

TEM Project: 71135

Project Reference:

Analyzed by: Veronica Garduno Date Analyzed: 11/17/2023

Lab ID Color Filler

Binder

Comments

Fibrous Materials

Asbestos Fibers

Type Percent

Non-Asbestos Fibers

Type Percent

Client Sample ID

Sample Information

Address:

Non-Fibrous Materials

Description

Project Location: Fargo VA Hospital

LABORATORY REPORT

Asbestos Present

504977 Beige None Detected 90-92DO110223-01 Drywall

8-10Glass:

504978 Beige None Detected 85-89DO110223-02 Drywall

- - 3-5Cellulose:

504979 Beige None Detected 90-92DO110223-03 Drywall

8-10Glass:

504980 Beige/White None Detected 90-100DO110223-04 Drywall Joint Compound

504981 Beige/White 90-100DO110223-05 Drywall Joint Compound

504982 Beige/White None Detected 90-100DO110223-06 Drywall Joint Compound

504983 Grey/Orange None Detected 90-100DO110223-07 Exterior Louver Caulk

504984 Grey None Detected 90-100DO110223-08 Exterior Louver Caulk

Page 1 of 11TEM Project: 71135 NVLAP Lab Code: 101130-0

630‐790‐0880 INFO@TEM‐INC.COM 174 N BRANDON DRIVE GLENDALE HEIGHTS, ILLINOIS 60139

Client: Bancroft

Contact

TEM Project: 71135

Project Reference:

Analyzed by: Veronica Garduno Date Analyzed: 11/17/2023

Lab ID Color Filler

Binder

Comments

Fibrous Materials

Asbestos Fibers

Type Percent

Non-Asbestos Fibers

Type Percent

Client Sample ID

Sample Information

Address:

Non-Fibrous Materials

Description

Project Location: Fargo VA Hospital

LABORATORY REPORT

Asbestos Present

504985 Grey None Detected 90-100DO110223-09 Exterior Louver Caulk

504986 Grey None Detected 90-100DO110223-10 Interior Louver Caulk

504987 Grey None Detected 90-100DO110223-11 Interior Louver Caulk

504988 Grey None Detected 90-100DO110223-12 Interior Louver Caulk

504989 Grey/Beige None Detected 90-100DO110223-13 Cinderblock

504990 Grey/Beige None Detected 90-100DO110223-14 Cinderblock Mortar

504991 White None Detected 90-100DO110223-15 Door Frame Caulk

504992 White None Detected 90-100DO110223-16 Door Frame Caulk

Page 2 of 11TEM Project: 71135 NVLAP Lab Code: 101130-0

Client: Bancroft

Contact

TEM Project: 71135

Project Reference:

Analyzed by: Veronica Garduno Date Analyzed: 11/17/2023

Lab ID Color Filler

Binder

Comments

Fibrous Materials

Asbestos Fibers

Type Percent

Non-Asbestos Fibers

Type Percent

Client Sample ID

Sample Information

Address:

Non-Fibrous Materials

Description

Project Location: Fargo VA Hospital

LABORATORY REPORT

Asbestos Present

504993 White None Detected 90-100DO110223-17 Door Frame Caulk

504994 White/Grey None Detected 80-85DO110223-18 Generator Muffler Insulation

15-20Glass:

504995 White/Grey None Detected 80-85DO110223-19 Generator Muffler Insulation

15-20Glass:

504996 White/Grey None Detected 80-85DO110223-20 Generator Muffler Insulation

15-20Glass:

504997 Beige None Detected 50-70DO110223-21 Spray-on Fireproofing

- - 20-30Cellulose:

10-15Glass:

504998 Grey None Detected 30-40DO110223-22 Spray-on Fireproofing

60-70Glass:

504999 Beige None Detected 92-95DO110223-23 Spray-on Fireproofing

- - 5-8Cellulose:

505000 Grey/White None Detected 30-35DO110223-24 Spray-on Fireproofing

65-70qGlass:

Page 3 of 11TEM Project: 71135 NVLAP Lab Code: 101130-0

Client: Bancroft

Contact

TEM Project: 71135

Project Reference:

Analyzed by: Veronica Garduno Date Analyzed: 11/17/2023

Lab ID Color Filler

Binder

Comments

Fibrous Materials

Asbestos Fibers

Type Percent

Non-Asbestos Fibers

Type Percent

Client Sample ID

Sample Information

Address:

Non-Fibrous Materials

Description

Project Location: Fargo VA Hospital

LABORATORY REPORT

Asbestos Present

505001 Beige/Gold None Detected 55-65DO110223-25 Spray-on Fireproofing

- - 25-30Cellulose:

10-15Glass:

505002 Beige/Gold None Detected 45-55DO110223-26 Spray-on Fireproofing

- - 15-20Cellulose:

30-35Glass:

505003 Beige/Gold None Detected 55-65DO110223-27 Spray-on Fireproofing

- - 25-30Cellulose:

10-15Glass:

505004 Maroon/Beige None Detected 80-85DO110223-28 Red Fire Stop

15-20Glass:

505005 Maroon/Beige None Detected 80-85DO110223-29 Red Fire Stop

15-20Glass:

505006 Maroon/Beige None Detected 80-85DO110223-30 Red Fire Stop

15-20Glass:

505007 White/Tan None Detected 65-75DO110223-31 Drywall

- - 20-25Cellulose:

5-10Glass:

505008 White/Tan None Detected 65-75DO110223-32 Drywall

- - 20-25Cellulose:

5-10Glass:

Page 4 of 11TEM Project: 71135 NVLAP Lab Code: 101130-0

Client: Bancroft

Contact

TEM Project: 71135

Project Reference:

Analyzed by: Veronica Garduno Date Analyzed: 11/17/2023

Lab ID Color Filler

Binder

Comments

Fibrous Materials

Asbestos Fibers

Type Percent

Non-Asbestos Fibers

Type Percent

Client Sample ID

Sample Information

Address:

Non-Fibrous Materials

Description

Project Location: Fargo VA Hospital

LABORATORY REPORT

Asbestos Present

505009 White/Tan None Detected 65-75DO110223-33 Drywall

- - 20-25Cellulose:

5-10Glass:

505010 White None Detected 97-98DO110223-34 Drywall Joint Compound

- - 2-3Cellulose:

505011 White None Detected 97-98DO110223-35 Drywall Joint Compound

- - 2-3Cellulose:

505012 White None Detected 97-98DO110223-36 Drywall Joint Compound

- - 2-3Cellulose:

505013 Beige None Detected 90-100DO110223-37 12"x12" Beige Mottled FT

SLM- - --

505014 Beige None Detected 90-100DO110223-38 12"x12" Beige Mottled FT

SLM- - --

505015 Beige None Detected 90-100DO110223-39 12"x12" Beige Mottled FT

SLM- - --

505016 Black None Detected 97-98DO110223-40 Black Mastic w/Beige FT

SLM- - 2-3Cellulose:

Page 5 of 11TEM Project: 71135 NVLAP Lab Code: 101130-0

Client: Bancroft

Contact

TEM Project: 71135

Project Reference:

Analyzed by: Veronica Garduno Date Analyzed: 11/17/2023

Lab ID Color Filler

Binder

Comments

Fibrous Materials

Asbestos Fibers

Type Percent

Non-Asbestos Fibers

Type Percent

Client Sample ID

Sample Information

Address:

Non-Fibrous Materials

Description

Project Location: Fargo VA Hospital

LABORATORY REPORT

Asbestos Present

505017 Black None Detected 90-100DO110223-41 Black Mastic w/Beige FT

SLM- - --

505018 Black None Detected 97-98DO110223-42 Black Mastic w/Beige FT

SLM- - 2-3Cellulose:

505019 Tan None Detected 90-100DO110223-43 Beige Vinyl Covebase Adhesive

505020 Tan None Detected 90-100DO110223-44 Beige Vinyl Covebase Adhesive

505021 Tan None Detected 90-100DO110223-45 Beige Vinyl Covebase Adhesive

505022 Yellow None Detected 97-98DO110223-46 Yellow Carpet Mastic

2-3Synthetic

505023 Yellow None Detected 97-98DO110223-47 Yellow Carpet Mastic

2-3Synthetic

505024 Yellow None Detected 97-98DO110223-48 Yellow Carpet Mastic

2-3Synthetic

Page 6 of 11TEM Project: 71135 NVLAP Lab Code: 101130-0

Client: Bancroft

Contact

TEM Project: 71135

Project Reference:

Analyzed by: Veronica Garduno Date Analyzed: 11/17/2023

Lab ID Color Filler

Binder

Comments

Fibrous Materials

Asbestos Fibers

Type Percent

Non-Asbestos Fibers

Type Percent

Client Sample ID

Sample Information

Address:

Non-Fibrous Materials

Description

Project Location: Fargo VA Hospital

LABORATORY REPORT

Asbestos Present

505025 Cream None Detected 90-100DO110223-49 Window Frame Caulk

505026 Cream/White None Detected 90-100DO110223-50 Window Frame Caulk

505027 Cream None Detected 90-100DO110223-51 Window Frame Caulk

505028 Cream None Detected 90-100DO110223-52 Exterior Window Frame Caulk

505029 Cream None Detected 90-100DO110223-53 Exterior Window Frame Caulk

505030 Cream None Detected 90-100DO110223-54 Exterior Window Frame Caulk

505031 Beige/Tan None Detected 40-55DO110223-55 2'x4' Deep Fissure CT

- - 35-45Cellulose:

10-15Glass:

505032 Beige/Tan None Detected 40-55DO110223-56 2'x4' Deep Fissure CT

- - 35-45Cellulose:

10-15Glass:

Page 7 of 11TEM Project: 71135 NVLAP Lab Code: 101130-0

Client: Bancroft

Contact

TEM Project: 71135

Project Reference:

Analyzed by: Veronica Garduno Date Analyzed: 11/17/2023

Lab ID Color Filler

Binder

Comments

Fibrous Materials

Asbestos Fibers

Type Percent

Non-Asbestos Fibers

Type Percent

Client Sample ID

Sample Information

Address:

Non-Fibrous Materials

Description

Project Location: Fargo VA Hospital

LABORATORY REPORT

Asbestos Present

505033 Beige/Tan None Detected 40-55DO110223-57 2'x4' Deep Fissure CT

- - 35-45Cellulose:

10-15Glass:

505034 Beige/Tan None Detected 35-50DO110223-58 2'x4' Width-wise Fissure CT

- - 35-45Cellulose:

15-20Glass:

505035 Beige/Tan None Detected 35-50DO110223-59 2'x4' Width-wise Fissure CT

- - 35-45Cellulose:

15-20Glass:

505036 Beige/Tan None Detected 35-50DO110223-60 2'x4' Width-wise Fissure CT

- - 35-45Cellulose:

15-20Glass:

505037 Beige/White None Detected 35-50DO110223-61 2'x4' Pinhole/Width-wise CT

- - 35-45Cellulose:

15-20Glass:

505038 Beige/White None Detected 45-60DO110223-62 2'x4' Pinhole/Width-wise CT

- - 35-45Cellulose:

5-10Glass:

505039 Beige/White None Detected 45-60DO110223-63 2'x4' Pinhole/Width-wise CT

- - 35-45Cellulose:

5-10Glass:

505040 Beige/White None Detected 30-45DO110223-64 2'x4' Smooth Pinhole CT

- - 35-45Cellulose:

20-35Glass:

Page 8 of 11TEM Project: 71135 NVLAP Lab Code: 101130-0

Client: Bancroft

Contact

TEM Project: 71135

Project Reference:

Analyzed by: Veronica Garduno Date Analyzed: 11/17/2023

Lab ID Color Filler

Binder

Comments

Fibrous Materials

Asbestos Fibers

Type Percent

Non-Asbestos Fibers

Type Percent

Client Sample ID

Sample Information

Address:

Non-Fibrous Materials

Description

Project Location: Fargo VA Hospital

LABORATORY REPORT

Asbestos Present

505041 Beige None Detected 30-45DO110223-65 2'x4' Smooth Pinhole CT

- - 35-45Cellulose:

20-25Glass:

505042 Beige None Detected 30-45DO110223-66 2'x4' Smooth Pinhole CT

- - 35-45Cellulose:

20-35Glass:

505043 Beige/White None Detected 30-45DO110223-67 2'x2' Pinhole Fissure CT

- - `Cellulose:

20-35Glass:

505044 Beige/White None Detected 30-45DO110223-68 2'x2' Pinhole Fissure CT

- - 35-45Cellulose:

20-25Glass:

505045 Beige/White None Detected 30-45DO110223-69 2'x2' Pinhole Fissure CT

- - 35-45Cellulose:

20-25Glass:

505046 Yellow None Detected 90-100DO110223-70 Baseboard Adhesive

505047 Yellow None Detected 97-98DO110223-71 Baseboard Adhesive

2-3Synthetic

505048 Yellow None Detected 97-98DO110223-72 Baseboard Adhesive

2-3Synthetic

Page 9 of 11TEM Project: 71135 NVLAP Lab Code: 101130-0

Client: Bancroft

Contact

TEM Project: 71135

Project Reference:

Analyzed by: Veronica Garduno Date Analyzed: 11/17/2023

Lab ID Color Filler

Binder

Comments

Fibrous Materials

Asbestos Fibers

Type Percent

Non-Asbestos Fibers

Type Percent

Client Sample ID

Sample Information

Address:

Non-Fibrous Materials

Description

Project Location: Fargo VA Hospital

LABORATORY REPORT

Asbestos Present

505049 Cream None Detected 90-100DO110223-73 Floating Floor Adhesive

505050 Cream None Detected 90-100DO110223-74 Floating Floor Adhesive

505051 Cream None Detected 90-100DO110223-75 Floating Floor Adhesive

505052 Beige None Detected 90-100DO110223-76 12"x12" Beige Floor Tile

SLM- - --

505053 Beige None Detected 90-100DO110223-77 12"x12" Beige Floor Tile

SLM- - --

505054 Beige None Detected 90-100DO110223-78 12"x12" Beige Floor Tile

SLM- - --

505055 Yellow/Black None Detected 97-98DO110223-79 Black Mastic w/Beige FT

SLM- - 2-3Cellulose:

505056 Yellow/Black None Detected 97-98DO110223-80 Black Mastic w/Beige FT

SLM- - 2-3Cellulose:

Page 10 of 11TEM Project: 71135 NVLAP Lab Code: 101130-0

Client: Bancroft

Contact

TEM Project: 71135

Project Reference:

Analyzed by: Veronica Garduno Date Analyzed: 11/17/2023

Lab ID Color Filler

Binder

Comments

Fibrous Materials

Asbestos Fibers

Type Percent

Non-Asbestos Fibers

Type Percent

Client Sample ID

Sample Information

Address:

Non-Fibrous Materials

Description

Project Location: Fargo VA Hospital

LABORATORY REPORT

Asbestos Present

505057 Yellow/Black None Detected 97-98DO110223-81 Black Mastic w/Beige FT

SLM- - 2-3Cellulose:

505058 Grey None Detected 85-90DO110223-82 Leveling Compound w/Beige FT

- - 10-15Cellulose:

Report Approved by:

Samples are analyzed following the procedures contained in the USEPA Method 600/R-93/116 July 1993. This report applies only to samples analyzed. This report may not be reproduced except in full and with the approval of TEM Environmental, Inc. This report may not be used by the client to claim product endorsement by NVLAP or any agency of the US government. An estimate of the laboratory uncertainty is available upon request.

SLM: Certain samples may warrant additional analysis beyond the standard USEPA Polarized Light Microscopy method. 1) Further testing using the point count method is recommend for friable samples found to contain less than 10% asbestos by PLM to confirm that the samples are in fact regulated asbestos containing materials (RACM) as defined by the USEPA NESHAP Regulation.

2) The optical resolution of a polarized light microscope limits the size of fibers that are visible. In cases where very small fibers may be present, such as in samples of floor tiles, vermiculite or certain construction adhesives, the result of the PLM analysis is not conclusive when the sample is reported as "None Detected" or “Trace”. Further testing using transmission electron microscopy is recommended in those cases where samples may contain very small fibers which may be smaller than the resolution limit of a polarized light microscope. All such services are available for an additional fee.

Analytical services provided are subject to the Terms and Conditions listed on our website.

Page 11 of 11TEM Project: 71135 NVLAP Lab Code: 101130-0

Client: Bancroft Architects + Engineers

Contact

TEM Project: 71135

Project Reference:

Analyzed by: Lori Boersma

Date Analyzed: 1/10/2024

Lab ID Color Filler

Binder

Comments

Fibrous Materials

Asbestos Fibers

Type Percent

Non-Asbestos Fibers

Type Percent

Client Sample ID

Sample Information

Address: 3300 Dundee Road

Northbrook IL 60062-

Non-Fibrous Materials

Description

Project Location: Fargo VA Hospital

LABORATORY REPORT

Asbestos Present

511395 Gray None Detected 90-100DO010524-01

Hard Coat Ceiling Plaster

511396 Gray/White None Detected 90-100DO010524-02

Hard Coat Ceiling Plaster

511397 Gray None Detected 98-99DO010524-03

Hard Coat Ceiling Plaster

- - 1-2Cellulose:

511398 Gray None Detected 90-100DO010524-04

Hard Coat Ceiling Plaster

511399 Gray None Detected 90-100DO010524-05

Hard Coat Ceiling Plaster

511400 Gray None Detected 90-100DO010524-06

Hard Coat Ceiling Plaster

- - TraceCellulose:

511401 Gray None Detected 90-100DO010524-07

Hard Coat Ceiling Plaster

- - TraceCellulose:

511402 White None Detected 62-68DO010524-08

Fire Door

- - 30-35Cellulose:

2-3Glass:

Page 1 of 2TEM Project: 71135 NVLAP Lab Code: 101130-0

630-790-0880 INFO@TEM-INC.COM 174 N BRANDON DRIVE GLENDALE HEIGHTS, ILLINOIS 60139

Client: Bancroft Architects + Engineers

Contact

TEM Project: 71135

Project Reference:

Analyzed by: Lori Boersma

Date Analyzed: 1/10/2024

Lab ID Color Filler

Binder

Comments

Fibrous Materials

Asbestos Fibers

Type Percent

Non-Asbestos Fibers

Type Percent

Client Sample ID

Sample Information

Address: 3300 Dundee Road

Northbrook IL 60062-

Non-Fibrous Materials

Description

Project Location: Fargo VA Hospital

LABORATORY REPORT

Asbestos Present

511403 White None Detected 62-68DO010524-09

Fire Door

- - 30-35Cellulose:

2-3Glass:

511404 White None Detected 62-68DO010524-10

Fire Door

- - 30-35Cellulose:

2-3Glass:

Report Approved by:

Samples are analyzed following the procedures contained in the USEPA Method 600/R-93/116 July 1993. This report applies only to samples analyzed. This report may not be reproduced except in full and with the approval of TEM Environmental, Inc. This report may not be used by the client to claim product endorsement by NVLAP or any agency of the US government. An estimate of the laboratory uncertainty is available upon request.

SLM: Certain samples may warrant additional analysis beyond the standard USEPA Polarized Light Microscopy method. 1) Further testing using the point count method is recommend for friable samples found to contain less than 10% asbestos by PLM to confirm that the samples are in fact regulated asbestos containing materials (RACM) as defined by the USEPA NESHAP Regulation.

2) The optical resolution of a polarized light microscope limits the size of fibers that are visible. In cases where very small fibers may be present, such as in samples of floor tiles, vermiculite or certain construction adhesives, the result of the PLM analysis is not conclusive when the sample is reported as "None Detected" or “Trace”. Further testing using transmission electron microscopy is recommended in those cases where samples may contain very small fibers which may be smaller than the resolution limit of a polarized light microscope. All such services are available for an additional fee.

Analytical services provided are subject to the Terms and Conditions listed on our website.

Page 2 of 2TEM Project: 71135 NVLAP Lab Code: 101130-0

630-790-0880 INFO@TEM-INC.COM 174 N BRANDON DRIVE GLENDALE HEIGHTS, ILLINOIS 60139

Bancroft TEM Project Number: 71135

Project Number:

Project Ref: Fargo VA Hospital

Client:

Report Date:

Project Address:

11/28/2023

Laboratory Report Gravimetric Analysis

Transmission Electron Microscopy

505013

DO110223-37

12"x12" Beige Mottled FT

Laboratory DataClient ID

Client Sample Description TEM Lab ID:

Percent Organic:

Percent Inorganic: 82.4 17.6

None DetectedContains Asbestos: Sample Weight: 0.1376 g

505014

DO110223-38

12"x12" Beige Mottled FT

Laboratory DataClient ID

Client Sample Description TEM Lab ID:

Percent Organic:

Percent Inorganic: 82.2 17.8

None DetectedContains Asbestos: Sample Weight: 0.1076 g

505015

DO110223-39

12"x12" Beige Mottled FT

Laboratory DataClient ID

Client Sample Description TEM Lab ID:

Percent Organic:

Percent Inorganic: 81.6 18.4

None DetectedContains Asbestos: Sample Weight: 0.1656 g

505016

DO110223-40

Black Mastic w/Beige FT

Laboratory DataClient ID

Client Sample Description TEM Lab ID:

Percent Organic:

Percent Inorganic: 21.6 78.4

None DetectedContains Asbestos: Sample Weight: 0.0153 g

505017

DO110223-41

Black Mastic w/Beige FT

Laboratory DataClient ID

Client Sample Description TEM Lab ID:

Percent Organic:

Percent Inorganic: 20.5 79.5

None DetectedContains Asbestos: Sample Weight: 0.0122 g

505018

DO110223-42

Black Mastic w/Beige FT

Laboratory DataClient ID

Client Sample Description TEM Lab ID:

Percent Organic:

Percent Inorganic: 23.7 76.3

None DetectedContains Asbestos: Sample Weight: 0.0080 g

505052

DO110223-76

12"x12" Beige Floor Tile

Laboratory DataClient ID

Client Sample Description TEM Lab ID:

Percent Organic:

Percent Inorganic: 79.3 20.7

None DetectedContains Asbestos: Sample Weight: 0.1231 g

Page 1 of 2TEM Project No. 71135 NVLAP Lab Code 101130

630-790-0880 info@tem-inc.com 174 N. Brandon Dr. Glendale Heights, Illinois 60139

Bancroft TEM Project Number: 71135

Project Number:

Project Ref: Fargo VA Hospital

Client:

Report Date:

Project Address:

11/28/2023

Laboratory Report Gravimetric Analysis

Transmission Electron Microscopy

505053

DO110223-77

12"x12" Beige Floor Tile

Laboratory DataClient ID

Client Sample Description TEM Lab ID:

Percent Organic:

Percent Inorganic: 79.5 20.5

None DetectedContains Asbestos: Sample Weight: 0.1421 g

505054

DO110223-78

12"x12" Beige Floor Tile

Laboratory DataClient ID

Client Sample Description TEM Lab ID:

Percent Organic:

Percent Inorganic: 78.8 21.2

None DetectedContains Asbestos: Sample Weight: 0.2034 g

505055

DO110223-79

Black Mastic w/Beige FT

Laboratory DataClient ID

Client Sample Description TEM Lab ID:

Percent Organic:

Percent Inorganic: 33.1 66.9

None DetectedContains Asbestos: Sample Weight: 0.0402 g

505056

DO110223-80

Black Mastic w/Beige FT

Laboratory DataClient ID

Client Sample Description TEM Lab ID:

Percent Organic:

Percent Inorganic: 41.9 58.1

None DetectedContains Asbestos: Sample Weight: 0.0260 g

505057

DO110223-81

Black Mastic w/Beige FT

Laboratory DataClient ID

Client Sample Description TEM Lab ID:

Percent Organic:

Percent Inorganic: 34.8 65.2

None DetectedContains Asbestos: Sample Weight: 0.0316 g

Reviewed by:

James Tuinenga, CIH Laboratory Manager

Disclaimer:

Results in this report are based on the sampling data provided by the client and refer only to the samples as they were received at the laboratory. All test results meet the quality control requirements of NVLAP unless otherwise stated in this report. All samples were received in good condition unless otherwise noted. This report may not be reproduced except in full and with the approval of the Laboratory. This report may not be used by the client to claim product endorsement by NVLAP or any agency of the US government. An estimate of the laboratory uncertainity is available upon request. This report contains data that is not covered by the NVLAP accreditation.

Analytical Method: NYS-198.4 NOB

Analyzed by: Veronica Garduno 11/27/2023 Date Analyzed:

Laboratory Data

Number of Grids Prepared

Number of Grid Openings Examined: 4

0.03464 Total Area Examined (mm2)

Page 2 of 2TEM Project No. 71135 NVLAP Lab Code 101130

630-790-0880 info@tem-inc.com 174 N. Brandon Dr. Glendale Heights, Illinois 60139

United States Department of Commerce National Institute of Standards and Technology

Certificate of Accreditation to ISO/IEC 17025:2017

NVLAP LAB CODE: 101130-0

TEM Environmental, Inc.

Glendale Heights, IL is accredited by the National Voluntary Laboratory Accreditation Program for specific services, listed on the Scope of Accreditation, for:

Asbestos Fiber Analysis

2023-10-01 through 2024-09-30 Effective Dates For the National Voluntary Laboratory Accreditation Program

This laboratory is accredited in accordance with the recognized International Standard ISO/IEC 17025:2017.

This accreditation demonstrates technical competence for a defined scope and the operation of a laboratory quality management system (refer to joint ISO-ILAC-IAF Communique dated January 2009).

ATTACHMENT B

Inspector Licenses and Accreditations

EarthTech, Inc. 211 Gum Hollow Road Unit 1 Oak Ridge TN 37830

ASBESTOS INSPECTOR REFRESHER

This Is To Certify That

Drake Ottley

Has successfully completed the IL and IN approved Asbestos Training Course and passed the examination for the purposes of accreditation under Section 206 of Title II 15 USC 2646 of the Toxic Substances Control Act (TSCA) and IAC

18-2, Conducted by EarthTech, Inc. 630-417-6951

Class Date: 11-7-23 Examination date: 11-7-23

Location: On-Site Expiration: 11-7-24

Patrick Fosnacht, Instructor Certificate Number: 110245x19s204