36E77619R0097-0003001.pdf

201700626

September 15, 2017

Hazardous Materials Survey Report

Providence VA Medical Center

Clean Core Renovation Areas

830 Chalkstone Avenue

Providence, Rhode Island 02908

Prepared For:

HARRIMAN Architects + Engineers

Attention: Ms. Judy L. Johnson, AIA, LEED AP BD+C

Principal, Architect

123 Middle Street

Portland, Maine 04101

Prepared By:

Bock & Clark Environmental, LLC

889 Boston Neck Road

Narragansett, RI 02882

401-465-2801 bockandclark.com

Table of Contents

Section 1.0 Introduction

Section 2.0 Suspect Bulk Sampling Information

Section 3.0 Background Air Sampling

Section 4.0 Suspect Lead Based Paint Sampling

Section 5.0 Summary/Conclusions

Section 6.0 Signature(s) of Environmental Professional(s)

Appendices:

Appendix A Laboratory Results

Appendix B Figure

PVMC – Clean Core Renovation Areas 830 Chalkstone Avenue, Providence, RI

Bock and Clark Environmental, LLC © 2017 1 201700626

1.0 Introduction

This hazardous materials survey report is being submitted on behalf of:

HARRIMAN Architects + Engineers Attention: Ms. Judy L. Johnson, AIA, LEED AP BD+C Principal, Architect 123 Middle Street, Portland, Maine 04101 and documents the activities and results of a hazardous materials building survey conducted within the Clean Core renovation areas of the Providence VA Medical Center (PVAMC) located at 830 Chalkstone Avenue in Providence, RI.

The hazardous materials building survey included an asbestos survey and suspect lead-based paint sampling. The Clean Core renovation areas were identified by drawings provided by HARRIMAN, as well as shown by Mr.

Richard H. Pointon, RA of the PVAMC.

Qualified personnel conducted the asbestos survey following procedures generally accepted and recommended by the United States Environmental Protection Agency (US EPA), the United States Occupational Safety Health Administration (OSHA) and the Rhode Island Department of Health (RIDOH).

For the asbestos and limited lead-based paint surveys Bock and Clark Environmental, LLC (Bock and Clark) personnel collected an adequate number of suspect bulk material samples to insure accurate results.

2.0 Bulk Sampling Information

The suspect ACMs were characterized by the analysis of bulk samples collected by Vincent L. Jacques and Brian A. Piccolo (Rhode Island Certification No. AAC-0409 and AAC-0657 IS) on Sunday, September 10, 2017.

Survey procedures included a visual assessment of suspect ACM identified by licensed and trained personnel. Visual assessment included the touching of identified suspect ACM to determine its friability, (when dry, may be crushed, pulverized, or reduced to powder by hand pressure), identification of homogeneous areas of identified suspect ACM, approximate quantification of identified suspect ACM, collection of bulk samples for analysis, and assessment of the condition of suspect ACM. The USEPA’s Managing Asbestos in Place, A Building Owner's Guide to Operations and Maintenance Programs for Asbestos-Containing Materials, was used as a guide for this survey.

Each homogenous area of suspect ACM was assessed to determine the asbestos hazard. A homogeneous area is defined as a material that is uniform in color or texture with a similar appearance and an application on similar components. Factors considered when assessing homogeneous area hazards include the friability of the material, the condition of the material including type, severity, and extent of damage, and accessibility of the material and potential for further damage and disturbance.

Bock and Clark Environmental, LLC © 2017 2 201700626

Sampling methods were designed to minimize damage to the ACM and subsequent fiber release. Samples were collected using disposable samplers, similar to a cork borer. Samples were extracted to the substrate and ejected into a pre-labeled asbestos sample bag. The bag was then sealed, recorded in a sample logbook, and sent to the laboratory for analysis.

Samples were submitted to and analyzed by Asbestos Identification Laboratory (AIL) of Woburn, Massachusetts. AIL is accredited through the National Voluntary Laboratory Accreditation Program (NVLAP No. 2000919-0) and with the RIDOH (AAL-121). All samples were analyzed in accordance with USEPA recommended protocol ("Follow-up to the Interim Method for Determination of Asbestos in Bulk Insulation Samples" - EPA 600/R-93/116 method “Visual Estimate”) using polarized light microscopy (PLM) supplemented by dispersion staining techniques.

Sixty-two (62) asbestos bulk samples were collected among twenty-two (22) different homogeneous materials from the Clean Core renovation areas of the PVAMC and sixty (60) samples were laboratory analyzed after instructions to the lab to stop at the first positive results for each homogeneous sample set.

Appendix A contains a chain-of-custody and a copy of the bulk sampling results, as provided by AIL.

The suspect ACMs sampled during the survey of the Clean Core renovation areas of the PVAMC included 2’ x 2’ ceiling tile, plaster (base and skim coats), gypsum board, joint compound, 12” x 12” floor tile and associated mastic (glue), cove base molding and associated mastic, red fire stop caulking, Medintech flooring associated mastic, 9” x 9” floor tile and associated mastic, ceramic tile mud-set, ceramic tile grout, ceramic tile brown glue, white mastic associated with fiberglass thermal system insulation (TSI), floor leveler and 2’ x 4’ ceiling tile.

Upon sampling and analysis, materials that were found to contain at least 1% asbestos, and are thereby considered asbestos containing, are listed below.

10A – 10C – 9” x 9” Floor Tile – This material was found to cover the floor in Room 232.

It should be noted that suspect TSI associated with heating system pipping within the wall chase between Room 233 and Corridor 1A, as well as the window glazing and window caulking associated with the original windows of the 1946 portion of the PVAMC, which is located in wall cavity of Corridor 203 and Room 202, has been assumed to be asbestos containing.

These materials should be properly abated in accordance with all local, state and federal regulations prior to any potential disturbance associated with any future renovations and/or demolition activities which may be proposed for the subject property building.

Bock and Clark Environmental, LLC © 2017 3 201700626

3.0 Background Air Sampling

Brian Piccolo collected one pre-abatement air sample, on Sunday, September 10, 2017 from within Corridor 203. The sample was collected by sampling over 1,200 liters of air at appropriate flow rate and was submitted under appropriate chain-of-custody to Bock and Clark’s licensed laboratory for analysis using phase contrast microscopy (PCM) using NIOSH Method 7400. As can be seen in Appendix A of this report, the collected air sample revealed airborne fiber concentrations of <0.002 fibers per cubic centimeter (f/cc).

4.0 Suspect Lead-Based Paint Sampling

Painted surfaces associated with the Clean Core renovation areas of the PVAMC were characterized by paint chip samples collected by Vincent L.

Jacques and Brian A. Piccolo of Bock and Clark on Sunday, September 10, 2017. It should be noted that this limited survey did not include thorough paint testing of each specific building component associated with the interior areas of the Clean Core renovation areas of the PVAMC. Bock and Clark believes that the three paint chip samples collected represent the great majority of existing and visible homogeneous painted surfaces associated with the interior areas of the Clean Core renovation areas of the PVAMC.

Inspection procedures included a visual inspection of painted surfaces identified by Bock and Clark personnel. This visual inspection included the touching of coated surfaces to identify all homogeneous areas, assess paint conditions and for the collection of chip samples for analysis.

Sampling methods were designed to minimize damage to the painted surfaces.

Samples were collected using disposable samplers equipped with razor blades.

Samples were extracted to the substrate and ejected into a pre-labeled sample bag. The bag was then sealed, recorded in a sample logbook and sent to the laboratory for analysis. Any remaining debris from the sampling area was cleaned with wet towels, which were discarded into a plastic bag and disposed of properly.

Each of these samples were submitted to and analyzed by Eurofins/Spectrum Analytical of Agawam, MA (Rhode Island # LAO00098). All samples were analyzed in accordance with U.S. Environmental Protection Agency (EPA) recommended protocol using SW846-6010C

Appendix A contains a chain-of-custody and a copy of the sampling results, as provided by Schneider Laboratories Global, Inc.

As can be seen in the appended results, the three (3) paint samples, specifically the blue and yellow wall paint located throughout Room 232, 233, Corridor 1A and the wall paint in Rooms 202, 217 and 214, each tested negative for lead in paint. Lead in paint is defined by the RIDOH Rules and Regulations for Lead Poisoning Prevention (R23-24.6-PB), as amended March 2010, as paint that contains 150 parts per million (ppm) or mg/kg and is defined as a Lead-Free Standard.

Bock and Clark Environmental, LLC © 2017 4 201700626

5.0 Summary/Conclusions

Bock and Clark has completed a hazardous materials building survey within the Clean Core renovation areas of the PVAMC located at 830 Chalkstone Avenue in Providence, RI. The hazardous materials building survey included an asbestos survey and suspect lead-based paint sampling. The Clean Core renovation areas were identified by drawings provided by HARRIMAN, as well as shown by Mr. Richard H. Pointon, RA of the PVAMC.

Sixty-two (62) asbestos bulk samples were collected among twenty-two (22) different homogeneous materials from the Clean Core renovation areas of the PVAMC and sixty (60) samples were laboratory analyzed after instructions to the lab to stop at the first positive results for each homogeneous sample set.

Appendix A contains a chain-of-custody and a copy of the bulk sampling results, as provided by AIL.

As can be seen in the attached results the 9” x 9” floor tile located in Room 232 was found to contain greater than 1% asbestos.

It should be noted that suspect TSI associated with heating system pipping within the wall chase between Room 233 and Corridor 1A, as well as the window glazing and window caulking associated with the original windows of the 1946 portion of the PVAMC, which is located in wall cavity of Corridor 203 and Room 202, has been assumed to be asbestos containing.

These materials should be properly abated in accordance with all local, state and federal regulations prior to any potential disturbance associated with any future renovations and/or demolition activities which may be proposed for the Clean Core renovation areas of the PVAMC. This will require the development and RIDOH approval of an asbestos abatement plan produced by a Rhode Island licensed Asbestos Project Designer. Remaining materials sampled all tested negative for asbestos.

As can be seen in the appended results, the three (3) paint samples, specifically the blue and yellow wall paint located throughout Room 232, 233, Corridor 1A and the wall paint in Rooms 202, 217 and 214, each tested negative for lead in paint. Lead in paint is defined by the RIDOH Rules and Regulations for Lead Poisoning Prevention (R23-24.6-PB), as amended March 2010, as paint that contains 150 parts per million (ppm) or mg/kg and is defined as a Lead-Free Standard.

This report has been prepared for the sole benefit of HARRIMAN Architects + Engineers. The report may not be used by any other person or entity without the express written consent of Bock and Clark and HARRIMAN Architects + Engineers.

Any use which a third party makes of this report, or any reliance on decisions made based on it, are the responsibility of such third parties. Bock and Clark accepts no responsibility for damages, if any, suffered by any third party as a result of decisions made or actions based on this report.

Bock and Clark Environmental, LLC © 2017 5 201700626

The information and conclusions contained in this report are based upon work undertaken by trained professional and technical staff in accordance with generally accepted engineering and scientific practices current at the time the work was performed. Conclusions presented in this report should not be construed as legal or medical advice.

The conclusions presented in this report represent the best technical judgment of Bock and Clark based on the data obtained from the work. The conclusions are based on the site conditions encountered by licensed and trained personnel at the time work was performed at the specific inspection and/or sampling locations.

Licensed and trained personnel have made an effort to characterize visible and readily accessible suspect ACMs within the interior areas of the Clean Core renovation areas of the PVAMC. However, no survey can be all encompassing.

As such, should construction workers encounter and/or need to disturb any product(s) suspected as being ACM, that have not been previously identified or sampled, during any renovation or demolition activities in the future, all proper precautions should be taken to ensure these materials are appropriately characterized and handled in accordance with applicable local, state and federal regulations.

6.0 Signature(s) of Environmental Professional(s)

Brian A. Piccolo Date

RI Inspector 0657IS

Vincent L. Jacques, P.E. Date

RI Inspector 0409IS

APPENDIX A

Laboratory Results

Work Received:

2017-09-13

2017-09-12

VA Hospital - Clean Core

Brian Piccolo Bock and Clark Environmental, LLC 889 Boston Meck Rd Narragansett, RI 02882

2017-09-10

201700626Project Number:

Project Name:

September 13, 2017

Date Sampled:

Analysis Method: BULK PLM ANALYSIS EPA/600/R-93/116

Work Analyzed:

Asbestos % Material Color Non-Asbestos % Location FieldID

LabID gray Fiberglass 30

Cellulose 60 Non-Fibrous 10291839

1A Pulmonary Storage2 X 2 Ceiling Tile None Detected gray Fiberglass 20 Cellulose 70 Non-Fibrous 10291840

1B Pulmonary Storage2 X 2 Ceiling Tile None Detected gray Fiberglass 30 Cellulose 60 Non-Fibrous 10291841

1C Pulmonary Storage2 X 2 Ceiling Tile None Detected white Non-Fibrous 100

291842

2A Pulmonary Storage12 X 12 VCT w/ Light Green Speck

None Detected yellow Non-Fibrous 100

291843

2AM Pulmonary StorageMastic None Detected white Non-Fibrous 100

291844

2B Pulmonary Storage12 X 12 VCT w/ Light Green Speck

None Detected yellow Non-Fibrous 100

291845

2BM Pulmonary StorageMastic None Detected white Non-Fibrous 100

291846

2C Pulmonary Storage12 X 12 VCT w/ Light Green Speck

None Detected yellow Non-Fibrous 100

291847

2CM Pulmonary StorageMastic None Detected gray Cellulose 15 Non-Fibrous 85

291848

3A ThroughoutGypsum Board None Detected gray Cellulose 20 Non-Fibrous 80

291849

3B ThroughoutGypsum Board None Detected gray Cellulose 20 Non-Fibrous 80

291850

3C ThroughoutGypsum Board None Detected white Non-Fibrous 100

291851

4A ThroughoutJoint Compound None Detected white Non-Fibrous 100

291852

4B ThroughoutJoint Compound None Detected

Page 1 of 4Wednesday 13

Asbestos % Material Color Non-Asbestos % Location FieldID

LabID white Non-Fibrous 100

291853

4C ThroughoutJoint Compound None Detected gray Non-Fibrous 100

291854

5A ThroughoutCove Base Molding None Detected yellow Non-Fibrous 100

291855

5AM ThroughoutMastic None Detected gray Non-Fibrous 100

291856

5B ThroughoutCove Base Molding None Detected yellow Non-Fibrous 100

291857

5BM ThroughoutMastic None Detected tan Non-Fibrous 100

291858

5C ThroughoutCove Base Molding None Detected yellow Non-Fibrous 100

291859

5CM ThroughoutMastic None Detected gray Non-Fibrous 100

291860

6A ThroughoutPlaster - Base Coat None Detected gray Non-Fibrous 100

291861

6B ThroughoutPlaster - Base Coat None Detected gray Non-Fibrous 100

291862

6C ThroughoutPlaster - Base Coat None Detected white Non-Fibrous 100

291863

7A ThroughoutPlaster - Skim Coat None Detected white Non-Fibrous 100

291864

7B ThroughoutPlaster - Skim Coat None Detected white Non-Fibrous 100

291865

7C ThroughoutPlaster - Skim Coat None Detected red Fiberglass 2 Non-Fibrous 98

291866

8A ThroughoutRed Fire Stop None Detected red Non-Fibrous 100

291867

8B ThroughoutRed Fire Stop None Detected red Fiberglass 5 Non-Fibrous 95

291868

8C ThroughoutRed Fire Stop None Detected multi Non-Fibrous 100

291869

9A ThroughoutMedinTech Floor None Detected yellow Non-Fibrous 100

291870

9AM ThroughoutMastic None Detected

Page 2 of 4Wednesday 13 blue Non-Fibrous 100

291871

9B ThroughoutMedinTech Floor None Detected yellow Non-Fibrous 100

291872

9BM ThroughoutMastic None Detected tan Non-Fibrous 100

291873

9C ThroughoutMedinTech Floor None Detected yellow Non-Fibrous 100

291874

9CM ThroughoutMastic None Detected

Detected Chrysotile 2 tan Non-Fibrous 98

291875

10A Electrical Closet9 X 9 Floor Tile black Cellulose 10 Non-Fibrous 90

291876

10AM Electrical ClosetMastic None Detected

291877

10B Electrical Closet9 X 9 Floor Tile Not Analyzed black Non-Fibrous 100

291878

10BM Electrical ClosetMastic None Detected

291879

10C Electrical Closet9 X 9 Floor Tile Not Analyzed black Cellulose 5 Non-Fibrous 95

291880

10CM Electrical ClosetMastic None Detected gray Non-Fibrous 100

291881

11A ThroughoutCeramic Tile Mudset None Detected gray Non-Fibrous 100

291882

11B ThroughoutCeramic Tile Mudset None Detected gray Non-Fibrous 100

291883

11C ThroughoutCeramic Tile Mudset None Detected white Non-Fibrous 100

291884

12A ThroughoutCeramic Tile Grout None Detected white Non-Fibrous 100

291885

12B ThroughoutCeramic Tile Grout None Detected white Non-Fibrous 100

291886

12C ThroughoutCeramic Tile Grout None Detected brown Non-Fibrous 100

291887

13A ThroughoutCeramic Tile Brown Glue None Detected brown Non-Fibrous 100

291888

13B ThroughoutCeramic Tile Brown Glue None Detected

Page 3 of 4Wednesday 13 brown Non-Fibrous 100

291889

13C ThroughoutCeramic Tile Brown Glue None Detected white Fiberglass 10 Non-Fibrous 90

291890

14A Fiberglass TSI End CapWhite Mastic None Detected white Non-Fibrous 100

291891

15A Hallway12 X 12 VCT None Detected yellow Non-Fibrous 100

291892

15AM HallwayMastic None Detected white Non-Fibrous 100

291893

15B Hallway12 X 12 VCT None Detected yellow Non-Fibrous 100

291894

15BM HallwayMastic None Detected white Non-Fibrous 100

291895

15C Hallway12 X 12 VCT None Detected yellow Cellulose 3 Non-Fibrous 97

291896

15CM HallwayMastic None Detected gray Non-Fibrous 100

291897

16A CystoscopyFloor Leveler None Detected gray Fiberglass 20 Cellulose 70 Non-Fibrous 10291898

17A Cystoscopy Hallway2 X 4 Ceiling Tile None Detected gray Fiberglass 30 Cellulose 60 Non-Fibrous 10291899

17B Cystoscopy Hallway2 X 4 Ceiling Tile None Detected gray Fiberglass 25 Cellulose 70 Non-Fibrous 5291900

17C Cystoscopy Hallway2 X 4 Ceiling Tile None Detected

Analyzed by: 25799Batch:

Page 4 of 4Wednesday 13 End of Report

P1

Sample Identification Matrix

10-Sep-17 00:00

Collection Date/Time Received

12-Sep-17

Client Project #

201700626 Paint

SC39094-01

Result AnalyzedMethod Ref. Cert.BatchPreparedDilutionAnalyte(s) Units *RDLFlagCAS No. AnalystMDL

Total Metals by EPA 6000/7000 Series Methods

Prepared by method SW846 3051A

SW846 6010C 14-Sep-1714-Sep-17mg/kg 8.9255.8 X7439-92-1 Lead 1 1715717JMW1.26

P2

Sample Identification Matrix

10-Sep-17 00:00

Collection Date/Time Received

12-Sep-17

Client Project #

201700626 Paint

SC39094-02

Result AnalyzedMethod Ref. Cert.BatchPreparedDilutionAnalyte(s) Units *RDLFlagCAS No. AnalystMDL

Total Metals by EPA 6000/7000 Series Methods

Prepared by method SW846 3051A

SW846 6010C 14-Sep-1714-Sep-17mg/kg 6.20< 6.20 X7439-92-1 Lead 1 1715717JMW0.876

P3

Sample Identification Matrix

10-Sep-17 00:00

Collection Date/Time Received

12-Sep-17

Client Project #

201700626 Paint

SC39094-03

Result AnalyzedMethod Ref. Cert.BatchPreparedDilutionAnalyte(s) Units *RDLFlagCAS No. AnalystMDL

Total Metals by EPA 6000/7000 Series Methods

Prepared by method SW846 3051A

SW846 6010C 14-Sep-1714-Sep-17mg/kg 43.0< 43.0 X7439-92-1 Lead 1 1715717JMW6.07

This laboratory report is not valid without an authorized signature on the cover page .

Page 6 of 815-Sep-17 09:19

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ASBESTOS ABATEMENT PLAN

PROVIDENCE VA MEDICAL CENTER

CLEAN CORE RENOVATION AREAS

830 CHALKSTONE AVENUE

PROVIDENCE, RHODE ISLAND

PROJECT NO. 201700626

Prepared for

HARRIMAN Architects + Engineers Attention: Ms. Judy L. Johnson, AIA, LEED AP BD+C

Principal, Architect 123 Middle Street

Portland, Maine 04101

Prepared by

Bock and Clark Environmental

889 Boston Neck Road Narragansett, RI

TEL: 401-465-2801

Index

I RI State Asbestos Abatement Form ASB-16

II RI State Asbestos Abatement Forms ASB-16A

Abatement Area 1 – Corridor 203 – Approximately 250 linear feet of window glazing and approximately 100 linear feet of window frame caulking associated with the 5 windows, which are encased in the wall cavity.

Abatement Area 2 – Room 233 – Approximately 10 linear feet of thermal system insulation associated with heating system piping located within the wall chase.

III RI State Asbestos Abatement Form ASB-16B

IV Attachments:

"Asbestos Abatement Plan" for Providence VA Medical Center – Clean Core Renovation Areas, 830 Chalkstone Avenue, Providence, RI, dated

STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS

Department of Health

Office of Occupational & Radiological Health

APPLICATION FOR APPROVAL OF AN ASBESTOS ABATEMENT PLAN

1. Building Owner’s Name:

Providence VA Medical Center

2. Application Prepared By:

Vincent L. Jacques

RI certification No: AAC-409 PD

Telephone No: (401) 465-2801 (Area code, No., Ext.)

3. Building Owner’s Mailing Address and

Telephone Number:

Street: 830 Chalkstone Avenue

City/Town: Providence

Zip: 02908

Telephone No: (401) 273-7100

(Area Code, No., Ext.)

4. Person to be contacted regarding this application:

Name: Ms. Judy L. Johnson, Telephone No: (207) 775-0053 (Area Code, No., Ext.)

5. Location where abatement work will be performed:

Name (if applicable): Providence VA Medical Center

Street: 830 Chalkstone Avenue

City/Town: Providence Zip: 02908

6. Is this application being submitted in response to a “Notice of Requirement to Submit an

Asbestos Abatement plan”? ( ) Yes ( X ) No

If Yes, what is the due date for submittal of Abatement plan? ____________________________ (Mo.) (Day) (Yr.)

Evaluation Number on the Notice: _________________________________________________

7. Contractor who will be performing abatement work (if selected):

Name: To Be Determined R.I. License No.:

FORM ASB – 16 (11/2003) REPLACES FORM ASB 16 (3/92) WHICH IS OBSOLETE

8. Estimated Starting Date of Abatement Work: As soon as the plan is approved and all notifications have been made.

(Month) (Day) (Year)

9. Estimated Completion Date of Abatement Work: Expected to take two-three days to complete.

(Month) (Day) (Year)

10. Type of Asbestos Abatement: (Check all that apply)

( X ) Removal ( ) Enclosure

( ) Encapsulation ( ) Demolition

( ) Operations and Maintenance Only ( ) Other (Specify)

11. Type of Building: ( ) School

( X ) Privately Owned Building

( ) Publicly Owned Building

( ) Residence

( ) Other (Specify) _________________________

12. Building Access: ( ) Public Access (> 25% of Building Area)

(X) Limited Public Access (< 25% of Building Area)

( ) No Public Access

13. Bulk Sample Collection and Analysis:

A). Person collecting bulk samples:

Name: Brian A Piccolo and Vincent L Jacques RI Certification No.: AAC-0657 & 0409

B). Sampling Methodology:

( ) EPA AHERA Sampling requirements [40 CFR 763.86].

( ) EPA’s Asbestos Containing Material in School Buildings: A Guidance

Document (EPA-405/2-78-014) or Guidance for Controlling Asbestos Containing

Materials – 1985 Edition (EPA-560-5-85-024)

( X ) Other (Specify) Representative Sampling

C). Laboratory performing the analysis of the bulk samples

Name: Asbestos Identification Laboratory Inc. RI Certification No.: AAL-0121

D). Analytical Methodology:

( X ) EPA Interim Method for the Determination of Asbestos in Bulk Insulation

Samples [PLM method only].

( X ) Other (Specify) _ Assumed Positive letter for TSI, window glazing and window caulking.

14. Pre-Abatement Air Sample Collection and Analysis:

A). Person collecting pre-abatement air samples:

Name: Brian Piccolo Affiliation: Bock and Clark Environmental, LLC

B). Laboratory performing analysis of pre-abatement air samples.

Name: Bock and Clark Environmental, LLC RI Certification No.: AAL-125

C). Methodology used in the collection and analysis of pre-abatement samples:

( X ) NIOSH Method 7400 [Most Current Revision]

( ) OSHA 29 CFR 1926.1101 – Appendix A & B

( ) Other (Specify)

15. A. Indicate how the regulated asbestos containing material (RACM) will be removed from the abatement site. If a hauler or broker will be used to transport the RACM to a disposal site, they must also be identified.

To be determined by contractor

B. Provide the name and location of the authorized asbestos waste facility to which the removed material will be transferred for disposal (if known).

To be determined by contractor

16. Person designated as compliance monitor for abatement work. [NOT REQUIRED]

Name:

Affiliation:

Office of Occupational & Radiological Health

APPLICATION FOR APPROVAL OF AN ASBESTOS ABATEMENT PLAN

SUPPLEMENTAL INFORMATION: AREA DESCRIPTION AND PROPOSED REMEDY

BUILDING LOCATION: 830 Chalkstone Avenue, Providence, RI

INSTRUCTIONS: All items on this form must be addressed. All references to attachments must be clearly identified. All attachments must be marked with the specific item numbers on this form to which they pertain.

(1) Area Location/Identification (Room Name/No., Evaluation Number, etc.):

Area 1 – Corridor 203

(2) Attach a description of each type (e.g. pipe, ceiling, etc.) of regulated asbestos containing material (RACM) in this area, including condition, location, quantity and asbestos content.

Attach a copy of the laboratory report(s) for all samples. (NOTE: All laboratory reports must include the name of the building(s) and the location(s) of the sample(s).

Approximately 250 linear feet of window glazing and approximately 100 linear feet of window frame caulking associated with the 5 windows, which are encased in the wall cavity.

(3) Attach a current scale drawing of this area, showing direction of North and East, which has been clearly annotated to show the type, location and quantity of all RACM in this area. This drawing must include a legend which acts as a guide to the scale, symbols and nomenclature used in the drawing. If a master plan or multiple drawings are provided, indicate the specific location(s) and drawing number(s) which depict this area. The location of the decontamination chamber must also be so indicated on the appropriate drawing(s).

See Figure

(4) PROPOSED REMEDIES:

(A) Attach a description of the interim Operations and Maintenance Plan that will be implemented in accordance with C.1.2 (b).

See AAP

FORM ASB-16A (11/2003) REPLACES FORM ASB-16 (03/92) WHICH IS OBSOLETE

(4) PROPOSED REMEDIES (cont.):

(B) Will any portion of this area be abated by use of B.8 work procedures?

( X ) Yes ( ) No

If Yes, indicate below which RACM in this area will be abated by use of the following

B.8 work procedures:

B.8.2 & B.8.3 [REMOVAL] Approximately 250 linear feet of window glazing and approximately 100 linear feet of window frame caulking associated with the 5 windows, which are encased in the wall cavity.

B.8.2 & B.8.4 [ENCAPSULATION] _________________________

B.8.2 & B.8.5 [ENCLOSURE] _________________________

B.8.6 [DEMOLITION] _________________________

B.8.7 [GLOVEBAG] _________________________

B.8.8 [ASPHALT ROOFING] _________________________

(C) Are you requesting any waivers to the above selected B.8 procedure for any of the abatement activities in this area?

( ) Yes ( X ) No

If yes, attach a detailed description of the waivers requested you are proposing to utilize. All items must be keyed to the specific section(s) of the regulations for which waivers are requested. See attached waiver request letter and attached AAP

(D) Are you proposing alternative procedures under B.11 for any of the abatement activities in this area?

If yes, attach a detailed description of the alternate procedures requested you are proposing to utilize. Alternate procedures must include a justification for not following specific section(s) of the regulations and be as protective of public health.

(E) Will any RACM remain in this area after abatement?

( ) Yes ( ) No ( X ) Beyond scope of inspection

If Yes, attach a description of the RACM that will remain and the details of the on-going Operations and Maintenance Plan that will be implemented in accordance with

C.1.2(b). See AAP

AGENCY USE ONLY

Office of Occupational & Radiological Health

APPLICATION FOR APPROVAL OF AN ASBESTOS ABATEMENT PLAN

SUPPLEMENTAL INFORMATION: AREA DESCRIPTION AND PROPOSED REMEDY

BUILDING LOCATION: 830 Chalkstone Avenue, Providence, RI

INSTRUCTIONS: All items on this form must be addressed. All references to attachments must be clearly identified. All attachments must be marked with the specific item numbers on this form to which they pertain.

(1) Area Location/Identification (Room Name/No., Evaluation Number, etc.):

Area 1 – Room 233

(2) Attach a description of each type (e.g. pipe, ceiling, etc.) of regulated asbestos containing material (RACM) in this area, including condition, location, quantity and asbestos content.

Attach a copy of the laboratory report(s) for all samples. (NOTE: All laboratory reports must include the name of the building(s) and the location(s) of the sample(s).

Approximately 10 linear feet of thermal system insulation associated with heating system piping located within the wall chase.

(3) Attach a current scale drawing of this area, showing direction of North and East, which has been clearly annotated to show the type, location and quantity of all RACM in this area. This drawing must include a legend which acts as a guide to the scale, symbols and nomenclature used in the drawing. If a master plan or multiple drawings are provided, indicate the specific location(s) and drawing number(s) which depict this area. The location of the decontamination chamber must also be so indicated on the appropriate drawing(s).

See Figure

(4) PROPOSED REMEDIES:

(A) Attach a description of the interim Operations and Maintenance Plan that will be implemented in accordance with C.1.2 (b).

See AAP

FORM ASB-16A (11/2003) REPLACES FORM ASB-16 (03/92) WHICH IS OBSOLETE

(4) PROPOSED REMEDIES (cont.):

(B) Will any portion of this area be abated by use of B.8 work procedures?

( X ) Yes ( ) No

If Yes, indicate below which RACM in this area will be abated by use of the following

B.8 work procedures:

B.8.2 & B.8.3 [REMOVAL] _________________________

B.8.2 & B.8.4 [ENCAPSULATION] _________________________

B.8.2 & B.8.5 [ENCLOSURE] _________________________

B.8.6 [DEMOLITION] _________________________

B.8.7 [GLOVEBAG] Approximately 10 linear feet of thermal system insulation associated with heating system piping located within the wall chase.

B.8.8 [ASPHALT ROOFING] _________________________

(C) Are you requesting any waivers to the above selected B.8 procedure for any of the abatement activities in this area?

If yes, attach a detailed description of the waivers requested you are proposing to utilize. All items must be keyed to the specific section(s) of the regulations for which waivers are requested. See attached waiver request letter and attached AAP

(D) Are you proposing alternative procedures under B.11 for any of the abatement activities in this area?

If yes, attach a detailed description of the alternate procedures requested you are proposing to utilize. Alternate procedures must include a justification for not following specific section(s) of the regulations and be as protective of public health.

(E) Will any RACM remain in this area after abatement?

( ) Yes ( ) No ( X ) Beyond scope of inspection

If Yes, attach a description of the RACM that will remain and the details of the on-going Operations and Maintenance Plan that will be implemented in accordance with

C.1.2(b). See AAP

AGENCY USE ONLY

RHODE ISLAND DEPARTMENT OF HEALTH

NOTARIZED CERTIFICATION OF ASBESTOS ABATEMENT PLAN

Facility: Providence VA Medical Center

Address: 830 Chalkstone Avenue

City/Town: Providence Zip: 02908 Amendment Phase No:

Abatement Plan Written By: Vincent L. Jacques Certification No: AAC-409PD

Summary of specific waivers/variances being requested: Requesting ACM positive assumption

Type of Asbestos Abatement ( X ) Removal ( ) Enclosure ( ) Encapsulation

( ) Demolition ( X ) Glovebag ( ) Asphalt Roofing

( ) Other (specify)

Is this plan being submitted in response to a Notice of Violation and/or a Notice of Requirement to Submit an Asbestos Abatement Plan? ( ) Yes ( X ) No

If yes, Indicate Notice/Building Evaluation No(s): _______ __________________

Contractor: To Be Determined License No:

Estimated Starting Date: As soon as the plan is approved, all notifications have been made.

Pre-Abatement Sampling Information

Bulk Samples Collected By: Brian Piccolo & Vincent Jacques

Certification No: AAC-0657 IS and AAC-0409 IS

Bulk Samples Analyzed By: Asbestos Identification Laboratory Certification No: AAL-121

Air Samples Analyzed By: Bock and Clark Environmental Certification No: AAL-125

Clearance Air Sampling Information

Air Samples to be Collected By: To Be Determined

Air Samples to be Analyzed By: To Be Determined Certification No:

CERTIFICATION

I certify that: this asbestos abatement plan is prepared and submitted under the provisions of Section 23-24.5-6 of the RI Asbestos Control Act and Parts A and C of the RI Rules and Regulations for Asbestos Control; all abatement/management activities performed in conjunction with this plan must be in compliance with the specifications prescribed in this plan (when approved) and the most current revision of all applicable federal and state regulations; and the asbestos abatement/management activities described in this plan must be performed by a

RI licensed asbestos abatement contractor.

Certified by: ______________________________ Title: __________________________ (Signature of Building Owner or Agent)

_________________________________________ Date: __________________________ (Typed/Printed Name of Certifier)

Subscribed and sworn before me this _________ day of __________________, 20________

___________________________________ My Commission Expires: ________________

(Notary Public)

AFFIX NOTARY SEAL HERE

FORM ASB-16B (11/2003) REPLACES FORM ASB-16B (3/92) WHICH IS OBSOLETE

Table of Contents

Section 1.0 Introduction

Section 2.0 Bulk Sampling Information

Section 3.0 Pre-Abatement Sampling

Section 4.0 Description of Abatement Area

Section 5.0 Interim Operations and Maintenance Program

Section 6.0 Specific Abatement Proposal

Section 7.0 Criteria for Selection of Contractor

Section 8.0 Authorized Disposal Facility

Section 9.0 Methods for Insuring Compliance

Section 10.0 Monitoring Compliance

Section 11.0 Monitoring Requirements

Section 12.0 Confirmation of Proper Asbestos Disposal

Appendices:

Appendix A Bulk and Pre-Abatement Air Sampling Analytical Results

Appendix B Figure

Appendix C Rhode Island Rules and Regulations for Asbestos Control – B.8.1-B.8.3, and B.8.7: Work Practice Requirements

Asbestos Abatement Plan

1.0 Introduction

This asbestos abatement plan is being submitted on behalf of:

HARRIMAN Architects + Engineers Attention: Ms. Judy L. Johnson, AIA, LEED AP BD+C Principal, Architect 123 Middle Street Portland, Maine 04101 to address the requirements of Part C of the Rhode Island Department of Health's Rules and Regulations for Asbestos Control (R23-24.5-ASB), as amended September 2012. This asbestos abatement plan has been developed for the removal of the asbestos containing materials (ACMs) from two (2) abatement areas associated with the Clean Core renovation areas of the Providence VA Medical Center (PVAMC) located at 830 Chalkstone Avenue in Providence, RI. The approximate quantities of the ACMs are summarized in Section 4.0 of this asbestos abatement plan.

The proposed abatement project must be performed in accordance with all applicable local, state and federal regulations concerning asbestos removal, transportation and disposal, with the possible exception of waivers being requested under this abatement plan. These waivers have been identified in a separate letter from the owner’s representative, which has been submitted with this plan.

2.0 Bulk Sampling Information (see Section 13 of Form ASB-16)

The ACMs to be abated were characterized by bulk samples collected by Vincent L.

Jacques and Brian A. Piccolo of Bock and Clark, LLC (Bock and Clark) (Rhode Island Certification No. AAC-0409 and AAC-0657 IS) during a bulk sampling event at the subject property on Sunday September 10, 2017.

Samples collected during the survey were submitted to and analyzed by Asbestos Identification Laboratory (AIL) in Woburn, Massachusetts. AIL is accredited through the National Voluntary Laboratory Accreditation Program (NVLAP# 200919-0) and with the RIDOH (AAL – 121). All samples were analyzed in accordance with U.S.

Environmental Protection Agency (EPA) recommended protocol ("Follow-up to the Interim Method for Determination of Asbestos in Bulk Insulation Samples" - EPA 600/R-93/116 method “Visual Estimate”) using polarized light microscopy (PLM) supplemented by dispersion staining techniques.

A total of sixty-two (62) samples were collected and submitted for analysis. Appendix B contains copies of the analytical results by AIL.

Additionally, it should be noted that the owner has decided to assume the window glazing, window caulking and thermal system insulation associated with heating system pipes are enclosed in wall chases/cavities as being positive for asbestos. As such, no bulk sampling of these materials has been conducted. Please see attached letter of assumption from the owner representative.

3.0 Air Sampling

3.1 Pre-abatement Air Sampling (refer to Section 14, Form ASB-16)

Brian Piccolo of Bock and Clark collected one pre-abatement air sample, on Sunday, September 10, 2017 from within Corridor 203. Bock and Clark believes that this air sample is representative of the abatement areas included within this plan. The sample was collected by sampling over 1,200 liters of air at appropriate flow rate and was submitted under appropriate chain-of-custody to Bock and Clark’s licensed laboratory for analysis using phase contrast microscopy (PCM) using NIOSH Method 7400. As can be seen in the appendices of this report, the collected pre-abatement air sample revealed airborne fiber concentrations of <0.002 fibers per cubic centimeter (f/cc). Appendix A contains copies of the analytical results.

3.2 Contiguous Area Sampling During Abatement

The proposed abatement is for the Clean Core renovation areas of the PVAMC located at 830 Chalkstone Avenue in Providence, RI, which will be in areas of the building that will be unoccupied. While the abatements will occur during normal business hours, Bock and Clark recommends that in-process air sampling be conducted in the immediate vicinity of the work-areas while the abatements are taking place. The collected samples should be submitted to a certified laboratory and analyzed according to NIOSH Method 7400. Results should be immediately provided to the appropriate parties (i.e. abatement contractor, owner, operator, etc.) upon analysis.

Personnel air monitoring of Asbestos Abatement Workers, in accordance with OSHA 29 CFR 1926.1101 (formerly OSHA 29 CFR 1926.58(f)), shall be conducted throughout the entirety of the asbestos abatement project by the chosen contractor.

3.3 Clearance Air Testing

The proposed project consists of two (2) abatement areas associated with the Clean Core renovation areas of the PVAMC located at 830 Chalkstone Avenue in Providence, RI. Based on the size of the areas and the amount of materials to be removed from these areas, Bock and Clark recommends a minimum of one final clearance air sample be collected from within each of the containment areas after the abatements have been completed and a visual inspection has been deemed satisfactory.

These samples should be submitted to a certified laboratory and analyzed according to NIOSH Method 7400. If the final clearance air test from within the containment fails, the entire area must be re-cleaned utilizing wet and HEPA methods. The clearance air-sampling test will then be repeated. .

4.0 Description of Abatement Area

The proposed project consists of two (2) abatement areas located within the Clean Core renovation areas of the PVAMC located at 830 Chalkstone Avenue in Providence, RI.

Abatement Area 1 – Corridor 203 – Approximately 250 linear feet of window glazing and approximately 100 linear feet of window frame caulking associated with the 5 windows, which are encased in the wall cavity (see Figure).

Abatement Area 2 – Room 233 – Approximately 10 linear feet of thermal system insulation associated with heating system piping located within the wall chase (see Figure).

5.0 Interim Operations and Maintenance Program

The O&M Program is designed to (1) clean up asbestos fibers previously released, (2) prevent future release by minimizing ACM disturbance or damage, and (3) monitor the condition of the ACM. The program should be implemented if the building is to be occupied or utilized and it should continue until all ACM is removed or the building is demolished. The program should be implemented as soon as possible.

An asbestos program manager should be appointed to implement the O&M program.

He or she may serve as coordinator or delegate that responsibility to the facilities manager or other appropriate employee. The manager of building maintenance and the custodial staff supervisor are the other key participants for an effective program.

An effective O&M program should have the following five (5) sections:

Documentation, Education, and Training

The O&M program coordinator should:

Record the exact location of asbestos containing insulation on building documents (plans, specifications, and drawings).

Inform maintenance and custodial workers about the location of asbestos containing insulation, and caution them about disturbing it.

Post signs reading, "Caution-Asbestos", on tanks, pipes or any other component with asbestos containing insulation.

Require all maintenance and custodial personnel to wear at least a half-face respirator with disposable HEPA cartridge filters during initial cleaning and whenever they come in contact with asbestos containing insulation.

Train custodial workers to clean properly and maintenance workers to handle ACM safely.

Initial Cleaning

Custodial staff should:

Clean carpets in rooms containing heating, cooling, air-handling, and similar equipment that has asbestos containing insulation. Use a HEPA-filtered vacuum cleaner or steam cleaner. Discard filters in sealed plastic bags according to EPA regulations for removal and disposal of asbestos.

Wet-mop all other floors in rooms with asbestos containing insulation. Wipe all shelves and other horizontal surfaces with damp cloths. Use a mist spray bottle to keep cloths damp. Discard cloths and mop heads in sealed plastic bags according to EPA regulations for removal and disposal of asbestos.

HEPA-vacuum all curtains or window coverings in rooms with asbestos containing insulation, and discard vacuum filters in sealed plastic bags according to EPA regulations for removal and disposal of asbestos.

Semi-Annual Cleaning

Custodial staff should:

Spray any debris, with water, found near asbestos containing insulation, and place the debris in a plastic bag using a dustpan. Clean the pan with water in a utility sink. Report presence of debris immediately to the O&M program coordinator.

HEPA-vacuum all carpets in rooms with asbestos containing insulation.

Wet-mop all other floors and dust all other horizontal surfaces with damp cloths in rooms with asbestos-containing insulation.

Seal all debris, vacuum bags, vacuum filters, cloths, and mop heads in plastic bags for disposal according to EPA regulations for asbestos waste.

Maintenance

The O&M program coordinator should:

Ensure that recommended procedures and safety precautions will be followed before authorizing construction and maintenance work involving pipe and tank insulation. Specifically, containment barriers or bags should be positioned around the work area and workers should wear coveralls and respirators. Insulation damaged during construction and maintenance activities should be repaired with non-asbestos mastic, new protective jackets, and/or replacement insulation.

Authorize repair of minor insulation damage with non-asbestos mastic, new protective jackets, and/or non-asbestos insulation following recommended repair techniques and precautions.

Authorize large-scale abatement only after a complete assessment of the asbestos containing insulation.

The maintenance staff should:

Clear all construction, renovation, maintenance, or equipment repair work with the O&M program coordinator in advance.

Avoid patching and repair work on insulation until the asbestos program manager has assessed the ACM.

Periodic Inspection

Building inspectors should:

Inspect all insulation for damage or deterioration at least twice a year and report findings to the O&M program coordinator.

Investigate the source of debris found by the custodial staff.

Custodial and maintenance staff should:

Inform the O&M program coordinator when damage to the insulation is observed or when debris is cleaned up.

6.0 Specific Abatement Proposal

This abatement plan has been prepared for the removal of the ACM specified in Section 4.0 of this abatement plan, which has been developed for the Clean Core renovation areas of the PVAMC located at 830 Chalkstone Avenue in Providence, RI.

The ACM location(s) are depicted in the Figure associated with this plan.

An asbestos contractor licensed in the State of Rhode Island must perform all asbestos abatement work, and all work must be performed in accordance with all applicable local, state, and federal regulations.

Asbestos removal will be performed following the appropriate approval of this plan by the RIDOH. The contractor, provided with the appropriate notifications, will then perform the asbestos abatement. It is anticipated that the removal project will take approximately two – three days to complete.

The ACM to be abated in Area 1 will be completed in accordance with B.8.2 and B.8.3 of the RI Rules and Regulations for Asbestos Control, a copy of which has been attached to this plan.

Abatement Area 2 will be completed in accordance with Section B.8.7 of the RI Rules and Regulations for Asbestos Control, a copy of which has been attached to this plan.

7.0 Criteria for Selection of Contractor

An asbestos abatement contractor has not been chosen for this project at this time.

The chosen contractor for this project must be licensed by the State of Rhode Island in accordance with Section B.1 of the Rules and Regulations for Asbestos Control, and must maintain a Contractor’s License. The contractor, once chosen, must file appropriate notification with the RIDOH.

8.0 Authorized Disposal Facility

The contractor will select the authorized asbestos waste facility. The chosen contractor will forward the name of the approved disposal site to the RI Department of Health.

9.0 Methods for Insuring Compliance

See Sections 4.B and 4.D of Form ASB-16A.

10.0 Monitoring Compliance

The property owner representative will monitor compliance with the asbestos abatement plan.

11.0 Monitoring Requirements (see Section 17 A-D of Form ASB-16)

11.1 In-Process Air Sampling During Abatement

The proposed abatement is for the Clean Core renovation areas of the PVAMC located at 830 Chalkstone Avenue in Providence, RI, which will be in areas of the building that will be unoccupied. While the abatements will occur during normal business hours, Bock and Clark recommends that in-process air sampling be conducted in the immediate vicinity of the work-areas while the abatements are taking place. The collected samples should be submitted to a certified laboratory and analyzed according to NIOSH Method 7400. Results should be immediately provided to the appropriate parties (i.e. abatement contractor, owner, operator, etc.) upon analysis.

Personnel air monitoring of Asbestos Abatement Workers, in accordance with OSHA 29 CFR 1926.1101 (formerly OSHA 29 CFR 1926.58(f)), shall be conducted throughout the entirety of the asbestos abatement project by the chosen contractor.

11.2 Clearance Inspection

The proposed project consists of two (2) abatement areas associated with the Clean Core renovation areas of the PVAMC located at 830 Chalkstone Avenue in Providence, RI.