Attachment 01 Asbestos AHERA Baseline Survey--February 2017.pdf
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- 36C77626B0023
About this file
This is an AHERA (Asbestos Hazard Emergency Response Act) Asbestos Inspection and Assessment Survey report for the G.V. (Sonny) Montgomery VA Medical Center in Jackson, Mississippi, conducted by HGS Engineering, Inc. in October and December 2016. The survey identified asbestos-containing materials (ACM) throughout the facility, including friable and non-friable asbestos in floor tiles, mastics, thermal system insulation (TSI), and miscellaneous building materials. Key findings indicate that asbestos-containing flooring materials are present in multiple areas including the kitchen (9"x9" tiles with 3-7% chrysotile), the Clinical Lab Complex (CLC), R&E Building, and Main Building, with most materials documented as being in good condition. Thermal system insulation containing 2-35% chrysotile was identified on boiler piping, with one 10" elbow in the main boiler house penthouse requiring labeling. The survey included comprehensive sampling and laboratory analysis by NVLAP-accredited laboratories using polarized light microscopy (PLM) in accordance with EPA methods 40 CFR Part 763.
The report provides estimated abatement costs totaling $145,500 for complete removal, broken down by building and classification: CLC Category I materials at $44,000, R&E Category I at $37,000, Main Building Category I at $60,000, and RACM/Friable materials at $4,500. Unit cost estimates for various removal scenarios range from $1-$20 per square foot for floor tile only to $200-$400 per linear foot for pipe-fitting insulation. The document includes detailed material removal unit cost estimates and notes that actual removal costs are highly dependent on project scale, with small-scale emergency projects typically costing significantly more than larger planned projects. Material replacement and abatement management consultant costs are not included in these estimates. The survey methodology followed 40 CFR 763.85 and 763.86 requirements, including destructive investigation of concealed areas, and the facility's asbestos coordinator was briefed on NESHAP requirements for future renovations.
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G.V. (Sonny) Montgomery VA Medical Center AHERA Asbestos Inspection February 2017
Page 1 of 19 February 2017
AHERA Asbestos Inspection and Assessment
G.V. (Sonny) Montgomery VA Medical Center
Page 2 of 19 February 2017
AHERA ASBESTOS INSPECCTION AND ASSESSMENT SURVEY –
Background
HGS Engineering, Inc was contracted by the Department of Veterans Affairs Medical Center contracting office to conduct the AHERA Asbestos Inspection and Assessment for the medical facility at the Jackson, Mississippi location. A project kick-off meeting was held in the Safety Department conference room at the Jackson Veterans Health Care System building at 1500 E Woodrow Wilson Dr. in Jackson, Mississippi on the 12th of October, 2016. Scott Berry, from the Jackson VA’s Safety Department, escorted Tim Thompson, from HGS Engineering, on a site walkthrough of the facility. After the kick-off meeting it was confirmed by both parties HGS Engineering would:
a. Perform an Asbestos Containing Material (ACM) Survey
HGS will perform an Asbestos Inspection and Assessment with sampling as needed using prior reports and facility documentation and various other reports presented to HGS by the JVAMC.
b. Review previous Asbestos Management Plans and surveys
HGS reviewed reports from various other reports presented to HGS by the JVAMC.
c. Provide all survey results including but not limited to sample locations, sample results (lab results), updated drawings of sample location and identified asbestos locations.
HGS agreed.
d. Final reports for each building. Reports shall include survey results, asbestos conditions and locations and drawings to include recommendation for ensure the safety and health of all VA employees, patients and visitors.
HGS agreed.
e. Perform necessary sampling as needed of suspected building materials.
This sampling is done both to find asbestos containing building materials and to show the nonexistence of asbestos in suspected building materials.
Attendees to the meeting were Scott Berry, Contracting Officer’s Technical Representative, JVAMC’s GEMS Coordinator and Safety department representative; and Tim Thompson, HGS Engineering Inc. Project Manager and Inspector.
HGS Engineering started field work at the Jackson VA Medical Center on the 24th of October, 2016. All field work was supervised by Tim Thompson, a certified state of Mississippi Asbestos Inspector and Asbestos Supervisor.
Page 3 of 19 February 2017
AHERA ASSESSMENT SURVEY – Abbreviations and Definitions
Asbestos: A group of naturally occurring minerals that separate into fibers. Asbestos fibers are incombustible, are chemically resistant, and are characterized by the properties of thermal and electrical insulation. There are six asbestos minerals used commercially:
chrysotile, amosite, crocidolite, tremolite, anthophyllite, and actinolite. This includes any of these minerals that have been chemically treated and/or altered.
Asbestos abatement: Procedures to remove ACBM from buildings with the simultaneous control of the release of asbestos fibers. Additionally, this includes activities focused on the encapsulation, encasement, repair, and enclosure of ACBM.
Asbestos Containing Building Material (ACBM): Surfacing ACBM, TSI ACBM, or miscellaneous ACBM found in or on interior structural members or other parts of a building. This definition is used in the AHERA regulations for school buildings.
Asbestos abatement contractor: An Mississippi-licensed asbestos removal company.
Asbestos-Containing Materials (ACM): The US EPA and OSHA define this as a material containing more than 1% by weight of the regulated asbestos minerals.
Asbestos Coordinator: The designated VA Facilities Service employee is the single contact point for all ACBM issues on the V A campus.
Asbestos Hazard Emergency Response Act (AHERA): The federal Asbestos Hazard Emergency Response Act of 1986 and the Environmental Protection Agency implementing regulations, 40 CFR Part 763, Subpart E - Asbestos-Containing Materials in Schools. The passage of AHERA by Congress led to the promulgation by EPA of two additional regulations: the Asbestos School Hazard Abatement Reauthorization Act (ASHARA) and the Model Accreditation Plan (MAP), which outlines the requirements for accreditation of inspectors and personnel conducting asbestos activities in schools.
Asbestos inspection: Any activity undertaken to determine the presence or location, or to assess the condition, of asbestos-containing material or suspected asbestos-containing material, whether by visual or physical examination, or by taking samples of the material.
1bis term includes re-inspections of the type described in AHERA, 40 CFR 763.85(b), of known or assumed asbestos-containing material which has been previously identified.
Asbestos project: Any activity involving the removal, renovation, repair, demolition, salvage, disposal, cleanup, or other disturbance of regulated asbestos-containing material greater than small scale short duration.
Demolition: The wrecking, salvage, or removal of any load-supporting structural member of a structure together with any related handling operations, or the intentional burning of any structure. 1bis includes the moving of an entire building.
Page 4 of 19 February 2017
Disturb: To disrupt the matrix of ACM or regulated asbestos-containing material, crumble, or pulverize ACM or regulated asbestos-containing material, or generate visible debris from ACM or regulated asbestos-containing material.
Friable Asbestos-Containing Material: Friable asbestos-containing material refers to materials which are capable of being crumbled, pulverized, or reduced to powder by hand pressure when dry. Friable asbestos-containing materials are usually found on overhead surfaces, including steel beams, pipes, and ceilings. This may also include previously nonfriable material which becomes broken or damaged by mechanical force.
Inaccessible: Physically restricted or obstructed area or covered in such a way that detection or removal is prevented or severely hampered.
Miscellaneous ACM: Interior building material on structural components, structural members or fixtures, such as floor and ceiling tiles. This does not include surfacing material or TSI.
Non-friable ACM: Material of greater than I percent asbestos into which the fibers have been locked by a bonding agent, coating, binder, or other material in order to prevent the release of fibers during any appropriate use, handling, storage, transportation, or processing. Non-friable asbestos-containing materials are usually found in the form of roofing, flooring, and siding materials. When previously non-friable asbestos becomes damaged to the extent that when dry it may be crumbled, pulverized or reduced to a powder during the removal, renovation, or demolition process, it should now be categorized as friable material. This material is considered hazardous during removal and disposal procedures.
Operations and Maintenance (O&M) Plan: A plan of safe work practices and procedures intended to maintain ACBM in good condition and minimize asbestos exposure to building occupants and VA employees, while complying with federal, state, and local regulations.
Presumed Asbestos-Containing Material (P ACM): Thermal system insulation and surfacing material found in buildings constructed no later than 1980. OSHA requires that building owners identify P ACM in their buildings and treat the P ACM as asbestos-containing materials (ACM) until the materials are proven not to contain asbestos.
Although not defined strictly as PACM, both OSHA standards also require asphalt and vinyl flooring material installed no later than 1980 be "considered" and "treated" as asbestos-containing, until the building owner proves the flooring is not ACM. This includes not only the flooring material, but associated mastics and backings.
Regulated Asbestos-Containing Material (RACM): Friable asbestos material, Category I non-friable ACM that has become friable, Category I non-friable ACM (vinyl asbestos tile, roofing felts, gaskets and packing) that will be or has been subjected to sanding, grinding, cutting, or abrading, or Category II non-friable ACM (asbestos board, transite, and asbestos shingles) that has a high probability of becoming or has become
Page 5 of 19 February 2017 crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this subpart.
Response Action: Any activity involving the removal, salvage, disposal, cleanup, or other disturbance of friable regulated asbestos-containing material greater than small scale short duration.
Surfacing material: Material that is sprayed, troweled, or otherwise applied to surfaces (such as acoustical plaster on ceilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fire-proofing, and other purposes).
Thermal System Insulation (TSI): Asbestos-containing material applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss/gain or water condensation.
Page 6 of 19 February 2017
AHERA ASBESTOS INSPECCTION AND ASSESSMENT SURVEY – Executive Summary
HGS Engineering performed the Asbestos Inspection and Assessment site work at the Jackson VA Medical Center located in Jackson, Mississippi during the months of October 2016 and December 2016. All sampling was supervised by Tim Thompson a certified Mississippi Asbestos Inspector. The inspectors used on this project brought a total combined 25 plus years of experience working as asbestos inspectors, asbestos management planners and asbestos abatement monitors to this project.
HGS will perform an assessment with sampling as needed using prior reports from various other reports presented to us by the JVAMC. These reports were used to assist HGS in locations of areas that may have contained asbestos without requiring destructive sampling in most cases. HGS only used analytical data performed by accredited NVLAP laboratories.
HGS Engineering attempted to locate all ACBM noted in all reports for reassessment.
HGS also inspected suspect building materials as needed, as a general statement most suspected areas were inspected and analytical data from accredited labs were available for our inspectors to use.
ACM labels were put on asbestos containing items assessed or reassessed. Not every item that contained asbestos was labeled nor were items not containing asbestos labeled.
ACBM piping behind solid walls or ceilings were not labeled.
The asbestos contained in the Main Hospital of the Jackson VA Medical Center is well documented and in most cases in good condition. There have been deliberate and thorough asbestos inspections at this location. Each of the inspections was performed by certified inspectors and all samples were analyzed by a NVLAP laboratory.
This like any AHERA asbestos survey is meant only to notify building owners and occupant as to the location of asbestos they may come into contact with during their normal daily activities. This was not a NESHAP style survey and cannot be used as a basis of notification for renovation or demolition. Prior to any NESHAP required activities there needs to be destructive testing done by a Mississippi Asbestos licensed inspector.
As a general statement this facility is in good condition and any asbestos found was found to be in good conditions. This document is a living document and should be updated if suspected material is found and then tested as required by a Mississippi licensed Asbestos Inspector. The GEMS Coordinator has a good understanding of the asbestos in his building and has been briefed on and understands the NESHAP requirements prior to renovations.
Page 7 of 19 February 2017
AHERA ASBESTOS INSPECTION AND ASSESSMENT SURVEY – Final Report
HGS Engineering, Inc. conducted an Asbestos Inspection and Assessment of the Asbestos Containing Building Materials in conjunction with various other reports presented to us by the JVAMC. “Asbestos Inspection Reports” completed at the Jackson VA Medical Center located on East Woodrow Wilson Drive, Jackson, Mississippi.
The inspections and assessments completed and various other reports presented to us by the JVAMC. “Asbestos Inspection Reports” were used as a reference for this reassessment.
The assessment was conducted with a representative from the Jackson VA Medical Center as an escort.
Roofs
The roofing on this facility is in good condition on all buildings inspected. The roofs have been replaced and during renovations all existing roof material was totally stripped before being replaced with a rubber membrane roofing material. For this reason the roofs can be considered asbestos free. There was no mechanical equipment suspected of containing asbestos found during this inspection.
Page 8 of 19 February 2017
Penthouses and Elevators Rooms
All Penthouses and elevator rooms were checked and sampled as needed. These areas are free from any asbestos containing materials except for the Penthouse over the main boiler house; there was one 10” elbow found to contain asbestos and was labeled.
Page 9 of 19 February 2017
Crawlspaces
An extensive inspection was performed under all accessible buildings. There was no TSI or TSI debris was found in these areas. Although some of these areas were less than clean there was no safety or environmental concerns found. No areas were found to contain unsafe atmospheric gases. Steam lines were found to be leaking in some areas but contained no safety concerns.
Sprayed on Insulation
The sprayed on insulation used at this facility is consistent with the cellulous insulation used in other VA medical centers and also consistent this insulation used in the last 20 years by government and industrial installations. This insulation is gray in color and consists of cellulose or mineral wool.
Page 10 of 19 February 2017
Stairwells in R&E Section
The beige speckled tile flooring in the R&E Building was tested and came back negative for asbestos, the green step runners and landing tile are rubber; all these items can be considered asbestos free in both stairwells.
Page 11 of 19 February 2017
Stairwells in Main Hospital
Although the flooring in stairwells look to be 9”x9” tile and usually comes back positive for asbestos in all stairwells these tiles came back negative. One opinion is that these tiles were cut from 12”x12” tiles and made to replicate older tiles for some reason. All stairwells in the Main Building can be considered asbestos free.
Page 12 of 19 February 2017
Kitchen
The 9”x9” tile in the kitchen is asbestos containing but in good condition.
TSI behind walls, above ceilings and pipe chases
HGS had the opportunity to take samples from behind the current wall system and found the pipes in this area not to contain asbestos. The piping above the ceiling was checked in many accessible areas and is fiberglass type insulation. The pipe visible from the pipe chases looks to be fiberglass type insulation also.
Page 13 of 19 February 2017
Wall System in Main Hospital
The walls that are currently accessible and visible are not the original wall system and should be checked prior to any major renovations. The design of the walls in this building from current walls to original walls is; gypsum board, a gap and then the original walls made of a very sandy brown material. Again in an area currently under renovation we had the opportunity to take samples of this brown sandy material and nothing came back positive for asbestos. During our testing no exposed gypsum and/or drywall compound was found to contain asbestos this was consistent with the 1989 Survey.
Wall System in R&E Building
The exterior walls are cinder block and the interior walls are gypsum board in constructions and were not found to contain asbestos. During our testing no exposed gypsum and/or drywall compound was found to contain asbestos this was consistent with the 1989 Survey.
Floors in Main Hospital
The simulated wood flooring was not inspected as directed in the VA’s statement of work but this is complete flooring covering; whatever is underneath it presents no concerns in its present condition. Some tiles and or mastics, both 12”x12” and 9”x9” are asbestos containing and are noted in both the ACBM charts and the ACBM drawings.
Page 14 of 19 February 2017
Floors in the R&E Building
The floors are covered in various types of floor covering; carpet, simulated wood, 12”x12” tile, Ceramic tile and plain concrete. All the floor coverings are in good condition and present no concerns. Some 12’x12” tile is asbestos containing and is noted in both the ACBM charts and the ACBM drawings.
The areas of the Hospital that are renovated
The Clinical Addition is the K and L Sections of the Main Building, it was not completed until the early 1990 and engineering documentations lets us to assume it was built asbestos free. The I, J, and M Sections also fall into this category. The next section will show the considerations used in assumptions regarding hospital renovations. These areas have been considered asbestos free after reviewing construction documents and interviewing workers that were present during the renovations/construction.
The areas that were completely renovated are:
-4A (EXCEPT Rooms A-456, A-457, A-458, A-459, and A-460 which have not yet undergone renovation BUT are scheduled to be renovated including removal of ACM flooring).
-4C, Main Hospital -2C, Main Hospital -Women’s Clinic (EXCEPT the rooms in this area that open into the hall and not the Clinic itself and Rooms C-122 and C-123, wood plank sheet flooring was laid over asbestos tile).
-SICU in Basement (EXCEPT the rooms in this area that are not directly in the SICU Suite were NOT renovated except that A-4 SICU Waiting Room was renovated).
-Human Resources and Chemotherapy Clinic (EXCEPT the Audiology Suite which is Rooms D-43 thru D-51 and 51A, D-39, D-40, and D-41 was NOT renovated.
-Post Deployment Clinic (EXCEPT the South Wing of 3rd Floor A Section is the TRP Clinic which has NOT been renovated nor has the hallway leading to the Post Deployment Clinic).
-Emergency Department
-SPS
-2A
Page 15 of 19 February 2017
Renovations in the Main Hospital
HGS had a chance to look at the Main Hospital in all phases of renovations and are confident in making the following statements. The walls have been stripped completely to the frame, the floors and ceilings have been stripped to the deck and all electrical and mechanical fixtures and runs have had any suspect materials removed. Where the renovation has been a “complete gut” the areas are considered free of any asbestos.
Page 16 of 19 February 2017
Asbestos Containing Flooring
The flooring in this facility is in good condition and because there is presently no overly normal activity in this facility there is any need to remove any flooring or special requirements. If the flooring is to be removed at any point in time an accredited Mississippi asbestos abatement company will be required. The areas that are carpeted should remain carpeted until an abatement situation arrives. The carpet currently glued to the asbestos containing floor tile cannot be removed by anyone not certified as an abatement contractor in the state of Mississippi. When it comes time to reoccupy this facility the asbestos containing flooring must be considered. The following table shows asbestos containing flooring material.
Customer
Sample No. Layer
No. Sample Location / Description
Asbestos % and
Type % Non-Asbestos Fibers
JVA-CLC-G-4 Floor Tile
1 Floor Tile – Yellow, Organically Bound 3% Chrysotile None Detected
2 Mastic – Black, Bituminous 3% Chrysotile 2% Cellulose Fibers
JVA-CLC-1-4 Floor Tile
1 Floor Tile – Yellow, Organically Bound 3% Chrysotile None Detected
2 Mastic – Black, Bituminous 3% Chrysotile 5% Cellulose Fibers
JVA-RE-4-1 1 Floor Tile Floor tile – Offwhite/Tan, Organically Bound 2% Chrysotile 5% Cellulose Fibers
JVA-RE-4-2 Floor Tile
1 Floor Tile – Offwhite/Tan, Organically Bound 2% Chrysotile 5% Cellulose Fibers
2 Mastic – Y None Detected
JVA-RE-2-2 Floor Tile
1 Floor Tile – Offwhite, Organically Bound None Detected None Detected
2 Mastics – Tan/Black, Soft/Bituminous Unable to separate individual layers 3% Chrysotile 5% Cellulose Fibers
JVA-RE-SB-2 Floor Tile
1 Floor Tile – Tan, Organically Bound None Detected None Detected
2 Mastic – Black, Bituminous 3% Chrysotile 2% Cellulose Fibers
Kitchen-1 9 x 9 Tile Break Room
1 Floor Tile – Gray, Organically Bound 7% Chrysotile None Detected
2 Mastic – Black, Bituminous 5% Chrysotile None Detected
Kitchen-2 9 x 9 tile Break Room
1 Floor Tile – Gray, Organically Bound 7% Chrysotile None Detected
2 Mastic – Black, Bituminous 5% Chrysotile None Detected
Kitchen-3 1 9 x 9 Tile Break Room 3% Chrysotile None Detected
Floor Tile – Green, Organically Bound
Kitchen-4 9 x 9 Tile Break Room
1 Floor Tile – Green, Organically Bound 3% Chrysotile None Detected
2 Mastics – Black/Yellow, Bituminous/Soft Unable to separate individual layers 3% Chrysotile 2% Cellulose Fibers
JVA-M-3-2 Tile
1 Floor Tile – Offwhite, Organically Bound None Detected None Detected
2 Mastics/Leveling Compound – Yellow/Black/Gray, Brittle/Granular Unable to separate individual layers 2% Chrysotile None Detected
JVA-M-3-3 Tile
1 Floor Tile – Brown, Organically Bound 5% Chrysotile None Detected
2 Mastic – Yellow, Brittle None Detected None Detected
JVA-M-3-4 Tile
1 Floor Tile – Brown, Organically Bound 5% Chrysotile None Detected
2 Mastics – Black/Yellow, Bituminous/Brittle 3% Chrysotile None Detected
Unable to separate individual layers
Mastic present: quantity insufficient for analysis
JVA-M-4-4 1 Tile 2% Chrysotile None Detected
Floor Tile – Offwhite Organically Bound
Page 17 of 19 February 2017
Asbestos Containing TSI
The thermal systems insulation in this facility is in good condition on all floors. Further Analysis here would only need to be done on areas that were not accessible during this and previous inspections. This will most likely happen when the area is to be renovated or demolished. The following table shows asbestos containing TSI material.
Customer
Sample No. Layer
No. Sample Location / Description
Asbestos % and
Type % Non-Asbestos Fibers
JVA-M-B-W2 TSI Wrap
1 Paint/Wrap – Green/Offwhite, Resinously Bound/Fibrous None Detected 65% Cellulose Fibers
2 TSI – Light Gray, Granular/Fibrous 2% Chrysotile 30% Mineral Wool
JVA-M-B-T1 TSI
1 Mastic/Wrap – White, Resinously Bound/Fibrous None Detected 10% Cellulose Fibers
Unable to separate individual layers 40% Fiberglass
2 Paint/TSI – Silver/Light Gray, Resinously Bound/Fibrous Unable to separate individual layers 35% Chrysotile None Detected
3 TSI – Light Gray, Granular/Fibrous 2% Chrysotile 30% Mineral Wool
JVA-Boiler 8 TSI
1 Mastic/Wrap – White, Resinously Bound/Fibrous 10% Chrysotile 25% Fiberglass
2 Mastic – Black, Bituminous 15% Chrysotile None Detected
3 TSI – Dark Gray, Brittle/Spongy None Detected None Detected Boiler 10 Boiler 10 TSI Jacket
1 TSI Jacket – Green/Silver/Tan, Resinously Bound/Fibrous None Detected 70% Cellulose Fibers
2 Mastic – Black, Bituminous/Brittle None Detected None Detected
3 Mastic – Black, Bituminous/Soft 5% Chrysotile 2% Cellulose Fibers
Page 18 of 19 February 2017
AHERA ASBESTOS INSPECTION AND ASSESSMENT SURVEY – Material Removal Unit Cost Estimates
Sheet Vinyl Only $2 -$20 per SF Sheet Vinyl & Adhesive $4 -$50 per SF Floor Tile Only $1-$20 per SF Floor Tile & Mastic $2 -$40 per SF Floor Tile Mastic Only $1.75 -$35 per SF Ceramic Tile Grout &Adhesive $1.50 -$25 per SF Roof Tar Sealant $10 -$25 per SF Layered Roofing Material $6 -$10 per SF Plaster Patch (Caulking) $40 per SF Transite Wall Panels $2 per SF Exterior Surfacing $5-$60 per SF Interior textured Surfacing (wall) $4 -$40 per SF Interior Textured Surfacing (ceiling) $5 -$60 per SF Gypsum Wallboard System $2 - $30 per SF Ceiling Tile $2 -$40 per SF Window Caulking $3 -$40 per LF Fire Door Insulation $200 -$300 EA Light Fixture Electrical Wiring $15 -$150 EA Electrical Wire Insulation $1 -$30 per LF Sink Undercoating (remove sink) $40 -$300EA Cork Insulation with Black Tar Layer $5 -$40 per SF Duct Sealant $6 -$25 per SF Duct Insulation $12 -$100 per SF Duct Tape (cloth/paper) $2 -$40 per SF Duct Vibration Isolator $150 EA Laboratory Countertop $200 - $300 EA Pipe-Fitting Insulation $8 - $400 EA Pipe Saddle Insulation $8 - $400EA Straight Pipe Insulation $6 - $30 per LF Tank Boiler Stack Insulation $15 -$400 per SF
*SF - square foot; LF -linear foot; EA – each
Page 19 of 19 February 2017
Cost Estimate Limitations
These cost estimates are provided for the use of long-term budgeting and planning only and do not have a level of accuracy sufficient to be used as construction design cost estimates. The actual cost of asbestos removal is highly dependent on the size of the project or quantity of materials removed in a single abatement enclosure. The unit costs associated with small scale emergency projects will typically be significantly greater than the costs associated with larger, planned projects. The removal costs shown in the
Material Removal Unit Cost table attempt to capture the range of costs associated with a variety of removal scenarios. Material replacement and consultant abatement management costs are not included in these estimates.
The estimated cost for abatement of asbestos in this medical facility is separated by building and type of asbestos as identified by NESHAP; Friable and Category I (this facility has no Category II).
Sample No. NESHAP Category Estimate Abatement Cost
JVA-CLC-G-4 Category I $80,000.00
JVA-CLC-1-4 Category I $8,000.00
JVA-RE-4-1 / JVARE403-1 Category I $15,000.00
JVA-RE-4-2 / JVARE420-1 Category I Included
JVA-RE-2-2 Category I $12,000.00
JVA-RE-SB-2 Category I $10,000.00
Kitchen-1 Category I $10,000.00
Kitchen-2 Category I Included
Kitchen-3 Category I Included
Kitchen-4 Category I Included
JVA-M-3-2 Category I $20,000.00
JVA-M-3-3 Category I $5,000.00
JVA-M-3-4 Category I Included
JVA-M-4-4 Category I $10,000.00
JVA-M-B-W2 Category I $5,500.00
JVA-M-B-T1 RACM/Friable $4,500.00
JVA-Boiler8 Category I $3,500.00
Boiler10 Category I $5,500.00
Total Cost by building and classification for complete abatement CLC Category I $160,000.00
R&E Category I $37,000.00
Main Building Category I $60,000.00
RACM/Friable $4,500.00
Page 18 of 19 February 2017
AHERA ASBESTOS INSPECTION AND ASSESSMENT SURVEY – Material Removal Unit Cost Estimates
Sheet Vinyl Only $2 -$20 per SF Sheet Vinyl & Adhesive $4 -$50 per SF Floor Tile Only $1-$20 per SF Floor Tile & Mastic $2 -$40 per SF Floor Tile Mastic Only $1.75 -$35 per SF Ceramic Tile Grout &Adhesive $1.50 -$25 per SF Roof Tar Sealant $10 -$25 per SF Layered Roofing Material $6 -$10 per SF Plaster Patch (Caulking) $40 per SF Transite Wall Panels $2 per SF Exterior Surfacing $5-$60 per SF Interior textured Surfacing (wall) $4 -$40 per SF Interior Textured Surfacing (ceiling) $5 -$60 per SF Gypsum Wallboard System $2 - $30 per SF Ceiling Tile $2 -$40 per SF Window Caulking $3 -$40 per LF Fire Door Insulation $200 -$300 EA Light Fixture Electrical Wiring $15 -$150 EA Electrical Wire Insulation $1 -$30 per LF Sink Undercoating (remove sink) $40 -$300EA Cork Insulation with Black Tar Layer $5 -$40 per SF Duct Sealant $6 -$25 per SF Duct Insulation $12 -$100 per SF Duct Tape (cloth/paper) $2 -$40 per SF Duct Vibration Isolator $150 EA Laboratory Countertop $200 - $300 EA Pipe-Fitting Insulation $8 - $400 EA Pipe Saddle Insulation $8 - $400EA Straight Pipe Insulation $6 - $30 per LF Tank Boiler Stack Insulation $15 -$400 per SF
*SF - square foot; LF -linear foot; EA – each
Page 19 of 19 February 2017
Cost Estimate Limitations These cost estimates are provided for the use of long-term budgeting and planning only and do not have a level of accuracy sufficient to be used as construction design cost estimates. The actual cost of asbestos removal is highly dependent on the size of the project or quantity of materials removed in a single abatement enclosure. The unit costs associated with small scale emergency projects will typically be significantly greater than the costs associated with larger, planned projects. The removal costs shown in the Material Removal Unit Cost table attempt to capture the range of costs associated with a variety of removal scenarios. Material replacement and consultant abatement management costs are not included in these estimates.
The estimated cost for abatement of asbestos in this medical facility is separated by building and type of asbestos as identified by NESHAP; Friable and Category I (this facility has no Category II).
Sample No. NESHAP Category Estimate Abatement Cost
JVA-CLC-G-4 Category I $22,000
JVA-CLC-1-4 Category I $22,000
JVA-RE-4-1 / JVARE403-1 Category I $15,000.00
JVA-RE-4-2 / JVARE420-1 Category I Included
JVA-RE-2-2 Category I $12,000.00
JVA-RE-SB-2 Category I $10,000.00
Kitchen-1 Category I $10,000.00
Kitchen-2 Category I Included
Kitchen-3 Category I Included
Kitchen-4 Category I Included
JVA-M-3-2 Category I $20,000.00
JVA-M-3-3 Category I $5,000.00
JVA-M-3-4 Category I Included
JVA-M-4-4 Category I $10,000.00
JVA-M-B-W2 Category I $5,500.00
JVA-M-B-T1 RACM/Friable $4,500.00
JVA-Boiler8 Category I $3,500.00
Boiler10 Category I $5,500.00
Total Cost by building and classification for complete abatement CLC Category I $44,000.00
R&E Category I $37,000.00
Main Building Category I $60,000.00
RACM/Friable $4,500.00
AHERA INSPECTION SURVEY – Sampling Protocol
In all cases, the Asbestos Survey was performed by an AHERA Building Inspector as defined under 40 CFR 763
Field Procedures
· A review of any existing information about the structure, including design drawings, as-built drawings, project specifications, and any existing survey and/or laboratory information was conducted.
· Utilize the proper equipment in order to examine all accessible spaces (i.e. ladders, flashlights, etc.).
· Determine the extent to which the building was renovated and/or changed and when.
· Determine and investigate each building’s structural, mechanical, electrical and roofing systems.
· Perform a comprehensive investigation of areas to identify materials to be sampled and/or assumed to contain asbestos.
· Create sampling plan based on suspect materials present and requirements of 40 CFR
763.85 & 763.86.
· Collect bulk samples of all suspect materials that will be disturbed and submit those not assumed to be asbestos to a certified laboratory for analysis.
· Document where asbestos materials exist and record their exact location, condition and approximate quantity.
Destructive Investigation. Many asbestos containing materials are located in concealed areas such as wall cavities, below to provide a sufficient Asbestos Survey; the Inspector must perform destructive testing (i.e. opening walls, etc.) to inspect these areas for suspect materials. The following guidelines were intended to help in locating concealed materials:
· Identify the different building systems which may involve concealed asbestos materials such as the heating/cooling system, domestic water lines, roof drainage lines, miscellaneous piping lines, underlay roofing, etc.
· Open hidden areas and inspect each system as needed for each area of construction.
· Focus our inspection on likely areas for suspect materials (i.e. where insulated pipe enters wall or ceiling, etc.).
· Examine additional areas if results of inspection are inconsistent.
Survey Methodology:
· Description of inspection procedure, including scope of the survey. Inspection must be in accordance with the sampling protocol in 40 CFR 763.85 and 763.86.
· If hidden or inaccessible areas are to be disturbed or are likely to be disturbed, a destructive investigation must be performed. Provide a detailed description of the procedure used to find hidden suspect materials. For example, if asbestos pipe insulation is suspected in a wall cavity, describe by location where the wall was opened for examination. It is recommended that each building and non-structural system suspected of having asbestos materials be sampled at a minimum of three locations.
· Description of sampling methods.
Bulk PLM
· Asbestos Identification Process.
Prepare sample and suspect asbestos material location plan.
List all materials sampled and tested.
List all materials assumed to contain asbestos.
Indicate type and amount of material sampled, be specific.
Describe suspect material location, friability, and approximate location.
List all materials not sampled and state why they were not sampled.
References followed and used during this inspection included:
-U.S. Department of Labor, Occupational Safety and Health Administration (OSHA) -Title 29 of the Code of Federal Regulations, Part 1926.1101, Asbestos Construction Standard (29 CFR 1926.1101)
- Asbestos General Industry Standard (29 CFR 1910.1001)
- Personal Protective Equipment (29 CFR 1926, Subpart E)
- Hazard Communication (29 CFR 1910.1200)
- Specifications for Accident Prevention, Signs, and Tags (29 CFR 1910.145)
- U.S. Environmental Protection Agency (EPA) National Emissions Standard for Hazardous Air Pollutants (NESHAP) Asbestos Regulation (40 CFR 61, Subparts A, B, and M) -American National Standards Institute (ANSI)
- Practices for Respiratory Protection (ANSI Standard Z88.2-1980)
- Fundamentals Governing the Design and Operation of Local Exhaust Systems (ANSI Z9.2-79) -National Fire Protection Association (NFPA)
1. The following was used in establishing the sampling protocol to be used for sampling.
Homogeneous Area
-Any SM, TSI, or Misc material that I uniform in color and texture.
-Date of construction
Sampling -Surfacing Material Sampling in a “statistically random manner” Follow 3-5-7 rule 3 <1000 sq. feet 5 1000-5000 sq. feet 7 >5000 sq. ft -Thermal System Insulation Sampling in a “randomly distributed manner” 3 samples per homogenous material 1 sample per fitting 1 sample per patched area, six feet -Miscellaneous Material
“In a manner sufficient to determine ACBM content per homogenous material” Sample at least 2 samples per homogenous material.
2. Asbestos was assessed using the following criteria.
Current Condition -Significantly Damaged, Damaged, Good Distributed
SD >10%
D 1-10% G 0-<1% Localized
SD >25%
D 1-25% G 0-<1%
Potential for Damage -Disturbance considerations:
Contact, air erosion, and vibration High, Moderate, Low
All assessment will be based on functional space
3. Physical Assessment Categories -Damaged/significantly damaged TSI -Damaged friable surfacing ACBM -Significantly damaged friable surfacing ACBM -Damaged/significantly damaged friable miscellaneous materials (Undamaged follows) -ACBM with potential for damage -ACBM with potential for significant damage -Any remaining friable ACBM
4. Potential for damage considerations -Frequency of potential contact -Influence of vibration -Potential for air erosion -Overall rating
If any one is high potential for damage should be significant damage.
If any one is moderate potential for damage should be damage.
All three must be low to receive a potential damage of low.
5. Current hazard ranking
Hazard Rank AHERA Category Response Action 1 Non friable or friable with No action required.
Low potential for damage
2 Friable with potential for damage Appropriate action to prevent damage when possible. O&M required.
3 Friable with potential for Take steps to reduce potential significantly damage for disturbance. O&M required.
4 Friable damaged Avoid exposure of personnel To damaged material.
Remove, enclose, encapsulate or repair. O&M required.
5 Friable damaged with Avoid exposure of personnel potential for damage to damaged material.
Remove, enclose, encapsulate or correct damage. Take appropriate action to prevent damage when possible.
O&M required.
6 Friable damaged with Avoid exposure of personnel potential for significant damage. to damaged material.
Remove, enclose, encapsulate or correct damage. Take appropriate action to prevent damage when possible.
7 Friable significantly damaged Evacuate or isolate the area if needed. Remove the ACBM (enclose or encapsulation is sufficient to contain fibers).
Repair the thermal system insulation is an option if feasible and safe.
6. Classification for Hazard Potential
ACBM Condition Potential Disturbance Hazard Rank
Significantly Damaged Any 7 Damaged High 6 Damaged Moderate 5 Damaged Low 4 Good High 3 Good Moderate 2 Good Low 1
LRS, Inc.
Laboratory Resources & Solutions, Inc.
163 5th Street Ashville, AL 35953
(205) 683-6731 www.lab-resource.com
Analytical Data Report
Client: HGS Engineering 1121 Noble Street Anniston, AL 36201
Attention: Mr. Tim Thompson
Project ID: JVA (December 14, 2016) Point Count Analysis – JVARE403-1, JVARE420-1, and JVA-M-1-VRS-2
Laboratory Report Number: 1700032
Date: January 12, 2017
Primary Data Review by:
Wayne Gaston Project Manager
Laboratory Resources & Solutions, Inc. (LRS) wgaston@lab-resource.com
* Unless otherwise noted, all analyses on this report performed at Pace Analytical Services –
IH Laboratory, 1800 Elm Street SE, Suite 1830, Minneapolis, MN 55414.
* These results relate only to the items tested. This report may only be reproduced in full.
* Local support services for this project are provided by Laboratory Resources & Solutions, Inc.
(LRS). All questions regarding this report should be directed to LRS, Inc. at (205) 683-6731.
Pace Analytical Services, LLC
1800 Elm St. SE - Suite 1830
Minneapolis, MN 55414
(612) 607-6457
Tim Thompson
Anniston, AL 36201
RE: JVA
Dear Tim Thompson:
January 12, 2017
Work Order #: 1700032
Michelle Pivec For Wyatt Dupay
Analyst
Point Count Asbestos Analysis Report
The microscopy department of Pace Analytical Services, LLC received your analytical request on January 05, 2017. The sample(s) were analyzed in the Pace Industrial Hygiene laboratory unless otherwise noted. The objective of this analysis was to determine the presence of asbestos using polarized light microscopy (PLM) and to determine the percent of asbestos and non-asbestos fibrous components by point counting. Analytical results are summarized on the following laboratory report.
Methodology
Bulk asbestos analysis is conducted in accordance with the Environmental Protection Agency's (EPA) methods 40 CFR, Part 763, Ch. 1, Subpart F, Appendix A (7-1-87 Edition) and EPA/600/R-93/116. All analyses are in compliance with the quality control procedures specified by the methods. All samples are examined for homogeneity. If a sample contains more than one layer, each layer is analyzed individually. All routine quality assurance procedures were followed, unless otherwise noted.
Remarks
This test report relates only to the items submitted to Pace Analytical Services for analysis.
Samples are retained at our laboratory for a period of 30 days and will be disposed of unless otherwise instructed by the client.
This report can not be copied, except in its entirety, without prior written permission from Pace Analytical Services.
We appreciate your decision to use Pace Analytical Services for this project. We are committed to being your vendor of choice to meet your analytical needs.
If you have any questions please contact me at 612-607-6457.
Sincerely, HGS Engineering 1121 Noble Street
Microscopist
Wyatt Dupay
HGS Engineering
01/05/17
Pace Analytical Services, LLC - IH LaboratoryLaboratory:
Lab Contact:
Date Reported:
JVA
Michelle Pivec For Wyatt Dupay Page 2 of 3
Client:
Client Reference:
Log-In:
PO Number:
1/12/2017
Sample No:Client ID: 1700032-01JVA RE 403-1 Tile
Macroscopic
Description
No. of
Layers and Layer
Designator
Percent of
Total Sample
Non-Fibrous
Components*
Other Fibrous Non-
Asbestos Content
Total or Layer %
Asbestos Content
Total or Layer % Analytical
Date
Tan floor tile 1 100 1,3,9 None Detected 01/12/17Chrysotile 0.4
Sample No:Client ID: 1700032-02JVA RE 403-1 Mastic
Macroscopic
Description
No. of
Layers and Layer
Designator
Percent of
Total Sample
Non-Fibrous
Components*
Other Fibrous Non-
Asbestos Content
Total or Layer %
Asbestos Content
Total or Layer % Analytical
Date
Black mastic 1 100 1,7 None Detected 01/12/17Chrysotile 3.1
Sample No:Client ID: 1700032-03JVA RE420-1 Tile
Macroscopic
Description
No. of
Layers and Layer
Designator
Percent of
Total Sample
Non-Fibrous
Components*
Other Fibrous Non-
Asbestos Content
Total or Layer %
Asbestos Content
Total or Layer % Analytical
Date
White floor tile 1 100 1,3,9 None Detected 01/12/17Chrysotile 3.0
Sample No:Client ID: 1700032-04JVA RE420-1 Mastic
Macroscopic
Description
No. of
Layers and Layer
Designator
Percent of
Total Sample
Non-Fibrous
Components*
Other Fibrous Non-
Asbestos Content
Total or Layer %
Asbestos Content
Total or Layer % Analytical
Date
Black mastic 1 100 1,7 None Detected 01/12/17Chrysotile 8.0
Sample No:Client ID: 1700032-05JVA - M - 1 - VRS - 2 Tile
Macroscopic
Description
No. of
Layers and Layer
Designator
Percent of
Total Sample
Non-Fibrous
Components*
Other Fibrous Non-
Asbestos Content
Total or Layer %
Asbestos Content
Total or Layer % Analytical
Date
White floor tile 1 100 1,3,9 None Detected 01/12/17None Detected
Sample No:Client ID: 1700032-06JVA - M - 1 - VRS - 2 Mastic
Macroscopic
Description
No. of
Layers and Layer
Designator
Percent of
Total Sample
Non-Fibrous
Components*
Other Fibrous Non-
Asbestos Content
Total or Layer %
Asbestos Content
Total or Layer % Analytical
Date
Yellow adhesive 1 100 1,7 None Detected 01/12/17None Detected
Footnotes and Definitions
* Key to Non-Fibrous Components
1 = Rock/Mineral fragments 5 = Diatoms 9 = Vinyl 13 = Spores/Pollen
2 = Mica/Vermiculite 6 = Perlite 10 = Foam/Rubber 14 = Foil
3 = Binders 7 = Adhesive/Mastic 11 = Paint
4 = Opaques 8 = Tar 12 = Other
< Less Than
> Greater Than
Reports\RPT 20.03
01/05/17
Pace Analytical Services, LLC - IH LaboratoryLaboratory:
Lab Contact:
Date Reported:
JVA
Michelle Pivec For Wyatt Dupay Page 3 of 3
Client:
Client Reference:
Log-In:
PO Number:
1/12/2017
163 5th Street Ashville, AL 35953
Anniston, AL 36201
Attention: Mr. Tim Thompson
Project ID: JVA (December 14, 2016) Point Count Analysis – Samples 2-2, 4-2, 3-2, 1-2
Laboratory Report Number: 1603591
Date: December 16, 2016
* Unless otherwise noted, all analyses on this report performed at Pace Analytical Services –
IH Laboratory, 1800 Elm Street SE, Suite 1830, Minneapolis, MN 55414.
* These results relate only to the items tested. This report may only be reproduced in full.
Minneapolis, MN 55414
(612) 607-6457
Tim Thompson
Anniston, AL 36201
RE: JVA
Dear Tim Thompson:
December 16, 2016
Work Order #: 1603591
Michelle Pivec For Steven D. Felton
Project Manager
Point Count Asbestos Analysis Report
The microscopy department of Pace Analytical Services, LLC received your analytical request on December 15, 2016. The sample(s) were analyzed in the Pace Industrial Hygiene laboratory unless otherwise noted. The objective of this analysis was to determine the presence of asbestos using polarized light microscopy (PLM) and to determine the percent of asbestos and non-asbestos fibrous components by point counting. Analytical results are summarized on the following laboratory report.
Methodology
Bulk asbestos analysis is conducted in accordance with the Environmental Protection Agency's (EPA) methods 40 CFR, Part 763, Ch. 1, Subpart F, Appendix A (7-1-87 Edition) and EPA/600/R-93/116. All analyses are in compliance with the quality control procedures specified by the methods. All samples are examined for homogeneity. If a sample contains more than one layer, each layer is analyzed individually. All routine quality assurance procedures were followed, unless otherwise noted.
Remarks
This test report relates only to the items submitted to Pace Analytical Services for analysis.
Samples are retained at our laboratory for a period of 30 days and will be disposed of unless otherwise instructed by the client.
This report can not be copied, except in its entirety, without prior written permission from Pace Analytical Services.
We appreciate your decision to use Pace Analytical Services for this project. We are committed to being your vendor of choice to meet your analytical needs.
If you have any questions please contact me at 612-607-6457.
Sincerely, HGS Engineering 1121 Noble Street
Microscopist
Steven D. Felton
12/15/16
Pace Analytical Services, LLC - IH LaboratoryLaboratory:
Lab Contact:
Date Reported:
JVA
Michelle Pivec For Steven D. Felton Page 2 of 4
Client:
Client Reference:
Log-In:
PO Number:
12/16/2016
Sample No:Client ID: 1603591-01JVA4ASW2 2-2 - Floor Tile
Macroscopic
Description
No. of
Layers and Layer
Designator
Percent of
Total Sample
Non-Fibrous
Components*
Other Fibrous Non-
Asbestos Content
Total or Layer %
Asbestos Content
Total or Layer % Analytical
Date
Gray floor tile 1 100 1,3,9 None Detected 12/16/16Chrysotile 17.9
Sample No:Client ID: 1603591-02JVA4ASW2 2-2 - Mastic
Macroscopic
Description
No. of
Layers and Layer
Designator
Percent of
Total Sample
Non-Fibrous
Components*
Other Fibrous Non-
Asbestos Content
Total or Layer %
Asbestos Content
Total or Layer % Analytical
Date
Black mastic 1 100 1,7 None Detected 12/16/16Chrysotile 7.4
Sample No:Client ID: 1603591-03JVA4ASW2 4-2 - Compound
Macroscopic
Description
No. of
Layers and Layer
Designator
Percent of
Total Sample
Non-Fibrous
Components*
Other Fibrous Non-
Asbestos Content
Total or Layer %
Asbestos Content
Total or Layer % Analytical
Date
Gray powdery compound 1 100 1,3,4 None Detected 12/16/16None Detected
Sample No:Client ID: 1603591-04JVA4ASW2 3-2 - Floor Tile
Macroscopic
Description
No. of
Layers and Layer
Designator
Percent of
Total Sample
Non-Fibrous
Components*
Other Fibrous Non-
Asbestos Content
Total or Layer %
Asbestos Content
Total or Layer % Analytical
Date
Gray floor tile 1 100 1,3,9 None Detected 12/16/16Chrysotile 10.8
Sample No:Client ID: 1603591-05JVA4ASW2 3-2 - Mastic
Macroscopic
Description
No. of
Layers and Layer
Designator
Percent of
Total Sample
Non-Fibrous
Components*
Other Fibrous Non-
Asbestos Content
Total or Layer %
Asbestos Content
Total or Layer % Analytical
Date
Black mastic 1 100 1,7 None Detected 12/16/16Chrysotile 10.6
Sample No:Client ID: 1603591-06JVA4ASW2 1-2 - Floor Tile
Macroscopic
Description
No. of
Layers and Layer
Designator
Percent of
Total Sample
Non-Fibrous
Components*
Other Fibrous Non-
Asbestos Content
Total or Layer %
Asbestos Content
Total or Layer % Analytical
Date
Gray floor tile 1 100 1,3,9 None Detected 12/16/16Chrysotile 26.7
Sample No:Client ID: 1603591-07JVA4ASW2 1-2 - Mastic
Macroscopic
Description
No. of
Layers and Layer
Designator
Percent of
Total Sample
Non-Fibrous
Components*
Other Fibrous Non-
Asbestos Content
Total or Layer %
Asbestos Content
Total or Layer % Analytical
Date
Black mastic 1 100 1,7 None Detected 12/16/16Chrysotile 6.3
Pace Analytical Services, LLC - IH LaboratoryLaboratory:
Lab Contact:
Date Reported:
JVA
Michelle Pivec For Steven D. Felton Page 3 of 4
Client:
Client Reference:
Log-In:
PO Number:
12/16/2016
Footnotes and Definitions
* Key to Non-Fibrous Components
1 = Rock/Mineral fragments 5 = Diatoms 9 = Vinyl 13 = Spores/Pollen
2 = Mica/Vermiculite 6 = Perlite 10 = Foam/Rubber 14 = Foil
3 = Binders 7 = Adhesive/Mastic 11 = Paint
4 = Opaques 8 = Tar 12 = Other
< Less Than
Pace Analytical Services, LLC - IH LaboratoryLaboratory:
Lab Contact:
Date Reported:
JVA
Michelle Pivec For Steven D. Felton Page 4 of 4
Client:
Client Reference:
Log-In:
PO Number:
12/16/2016
163 5th Street Ashville, AL 35953
Anniston, AL 36201
Attention: Mr. Tim Thompson
Project ID: JVA (December 14, 2016) Point Count Analysis – Samples 2-1, 4-1, 3-1, 1-1
Laboratory Report Number: 1603590
Date: December 15, 2016
* Unless otherwise noted, all analyses on this report performed at Pace Analytical Services – IH
Laboratory, 1800 Elm Street SE, Suite 1830, Minneapolis, MN 55414.
* These results relate only to the items tested. This report may only be reproduced in full.
Minneapolis, MN 55414
(612) 607-6457
Tim Thompson
Anniston, AL 36201
RE: JVA
Dear Tim Thompson:
December 15, 2016
Work Order #: 1603590
Michelle Pivec For Steven D. Felton
Project Manager
Point Count Asbestos Analysis Report
The microscopy department of Pace Analytical Services, LLC received your analytical request on December 15, 2016. The sample(s) were analyzed in the Pace Industrial Hygiene laboratory unless otherwise noted. The objective of this analysis was to determine the presence of asbestos using polarized light microscopy (PLM) and to determine the percent of asbestos and non-asbestos fibrous components by point counting. Analytical results are summarized on the following laboratory report.
Methodology
Bulk asbestos analysis is conducted in accordance with the Environmental Protection Agency's (EPA) methods 40 CFR, Part 763, Ch. 1, Subpart F, Appendix A (7-1-87 Edition) and EPA/600/R-93/116. All analyses are in compliance with the quality control procedures specified by the methods. All samples are examined for homogeneity. If a sample contains more than one layer, each layer is analyzed individually. All routine quality assurance procedures were followed, unless otherwise noted.
Remarks
This test report relates only to the items submitted to Pace Analytical Services for analysis.
Samples are retained at our laboratory for a period of 30 days and will be disposed of unless otherwise instructed by the client.
This report can not be copied, except in its entirety, without prior written permission from Pace Analytical Services.
We appreciate your decision to use Pace Analytical Services for this project. We are committed to being your vendor of choice to meet your analytical needs.
If you have any questions please contact me at 612-607-6457.
Sincerely, HGS Engineering 1121 Noble Street
Microscopist
Steven D. Felton
Pace Analytical Services, LLC - IH LaboratoryLaboratory:
Lab Contact:
Date Reported:
JVA
Michelle Pivec For Steven D. Felton Page 2 of 4
Client:
Client Reference:
Log-In:
PO Number:
12/15/2016
Sample No:Client ID: 1603590-01JVA4ASW2 2-1 - Floor Tile
Macroscopic
Description
No. of
Layers and Layer
Designator
Percent of
Total Sample
Non-Fibrous
Components*
Other Fibrous Non-
Asbestos Content
Total or Layer %
Asbestos Content
Total or Layer % Analytical
Date
Gray floor tile 1 100 1,3,9 None Detected 12/15/16Chrysotile 22.3
Sample No:Client ID: 1603590-02JVA4ASW2 2-1 - Mastic
Macroscopic
Description
No. of
Layers and Layer
Designator
Percent of
Total Sample
Non-Fibrous
Components*
Other Fibrous Non-
Asbestos Content
Total or Layer %
Asbestos Content
Total or Layer % Analytical
Date
Black mastic 1 100 1,7 None Detected 12/15/16Chrysotile 5.4
Sample…
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