GA0008ZZ_-_Atlanta_USCoA_FY2016_ACM_Final_Report.pdf

LEAD AND COPPER IN WATER TESTING

ASSESSMENT LOCATION:

U. S. COURT OF APPEALS BUILDING

56 FORSYTH STREET

ATLANTA, GA 30303

GSA BUILDING NUMBER: GA0008ZZ

REFERENCE NUMBER: A138630, S197961, P197963

SURVEY DATE: NOVEMBER 16, 2016

REPORT DATE: NOVEMBER 21, 2016

PREPARED BY:

UNITED STATES PUBLIC HEALTH SERVICE

FEDERAL OCCUPATIONAL HEALTH

PROGRAM SUPPORT CENTER

ANNUAL ASBESTOS SURVEILLANCE REPORT

COMPLETED FOR THE

GENERAL SERVICES ADMINISTRATION – SAFETY AND

ENVIRONMENTAL MANAGEMENT BRANCH

A Federal Occupational Health (FOH) Contractor Representative performed a limited walk-through Annual Asbestos Visual Surveillance Check as required by the General Services Administration (GSA) for their owned facilities. No bulk or air samples were collected. Operations and Maintenance (O&M) and Custodial contractors were checked for compliance with GSA contract safety and health requirements listed on the attached checklist. In accordance with GSA instructions only spaces listed on Table A were to be visually checked. During the surveillance check, observations of any potential damage to the asbestos-containing materials (ACM) were noted and recorded. If any imminently dangerous situations been discovered, they would have been immediately reported by the FOH Representative to GSA Customer Service Center (CSC) Manager and GSA Safety and Environmental Management Branch Representative in accordance with GSA established procedure. The GSA Form 3614, GSA Notice of Unsafe/Unhealthful Workplace Conditions, was to be completed on-site for any potential safety and health violations. One GSA Form 3614 may list multiple violations. An opportunity to correct violations, if any, would be given to the GSA employee or representative during the surveillance. Those violations corrected are noted in the text of the report.

The FOH Contractor Representative used the GSA ACM Checklist FY 2016, which was approved by GSA for consistency purposes and to ensure the required information was obtained at this facility. The checklist and 3614 forms, if any, are attached to this report as back-up information.

This report was based on personal observations during the surveillance check and from conversations with on-site personnel. Not all possible hazards and conditions may have been listed during this brief inspection because equipment, regulations, operations and personnel changes may not be evident.

The report contained the following GSA required sections: Building Descriptions, General Findings, Comments and Concerns, Action Items, 3614s, Corrected Items and Other.

Note: The FOH Contractor Representative designated in this project is an employee of CIH Services, Inc. which has performed the services indicated in this report. Nothing in this report is intended nor should be interpreted as establishing any form of employment or contractor relationship between the FOH Contractor Representative and General Services Administration, Federal Occupational Health, U. S. Public Health Service, or any division, agency, or contractor thereof.

Reports and other publications issued by the Environmental Health Services program of the Federal Occupational Health (FOH) were prepared under procedures established by FOH, which were designed to assure the technical competency of the persons or organizations under contract to FOH. In addition, reports and other publications were reviewed internally by one or more FOH technical staff, and all comments were addressed to the satisfaction of the issuing office, prior to dissemination.

U. S. COURT OF APPEALS

GSA BUILDING NUMBER GA0008ZZ

ATLANTA, GEORGIA 30303

I. BUILDING DESCRIPTION

The United States Court of Appeals building is located at 56 Forsyth Street in Atlanta, Georgia, GSA Building No. GA0008ZZ. The building consists of six (6) stories and a basement. The roof structure is copper and slate. The total gross square footage is approximately 189,350 square feet. The general construction of the building is brick and stone exterior with interior concrete and terrazzo floor finishes in the lobbies and hallways. The walls and ceilings are a combination of concrete and plaster in the older areas of the building with sheet rock finishes in the newer areas. Exposed ceiling tiles are predominate; however the original plaster is exposed in the entry lobby and some hallways.

The facility is heated and air conditioned utilizing the following mechanical systems. The conditioned air is supplied by air handler units (AHUs) B-1, B-2 and B-4 located in the northwest corner of the basement. These serve the GSA office and the library. All AHUs were replaced in 2016. AHUs 1-1 and 1-2 are located above the first floor and supply the first floor and mezzanine. AHUs 2-1 and 2-2 located on the second floor serve the second floor. AHUs 5-1 and 5-2 located on the fifth supply air to the courtrooms on the third floor. AHUs 6-1 and 6-2 are located on the sixth floor north and supply air to the third, fourth and fifth floors. AHUs 6-3 and 6-4 located on the sixth floor south distribute air to the sixth floor and the two fifth floor courtrooms.

A boiler supplies heating water to the AHUs. Chillers supply cooling water to the AHUs. The cooling tower and chillers were installed around 1985. The building systems included chill water supply and return piping, heating water supply and return piping, domestic hot and cold water supply and returns and condenser supply and return lines.

According to the O&M and the GSA Building Manager (BM), all plaster materials in the 3rd floor renovation of the 10 NW offices and hallway were removed in 2016. This area was gutted. In 2014/2015, 4 NE offices on the outer wall were gutted. No letters stating "Asbestos Free, no asbestos put back during renovation" have been located for any of these renovations.

ATLANTA, GEORGIA 30303

II. GENERAL FINDINGS

An Annual Asbestos-Containing Material (ACM) Visual Surveillance Check of the U. S. Court of Appeals building was conducted by Federal Occupational Health (FOH) Contractor Representative, Arthur Tippit, CIH, on November 16, 2016.

Mr. Dale Pelchat, J's Services, O&M mechanic accompanied the inspector during this survey. This is a Contractor-operated facility.

Physical damage was observed to suspect plaster walls and ceilings on all five floors. Damaged areas range in size to < 3 square feet/linear feet to 15 square feet. Plaster debris was observed on top of a ceiling tile in the 4th floor hallway.

Also holes in sheetrock at PACM joint compound were observed on various floors above the drop ceiling. Asbestos containing floor tile in the 4th floor restroom was dull and scuffed. The remainder of the ACM observed during the course of this building re-surveillance was in good condition and did not exhibit any noticeable damage. Each area of damaged ceiling and wall plaster should be sampled and analyzed immediately to determine ACM content.

Previous sample results are inconclusive.

The overall building Risk Assessment Code (RAC) is 3. No significant adverse findings (RAC 1 or 2) were identified during this surveillance. Three (3) citations were issued during this visual surveillance of which three (3) were repeat citations.

Two (2) corrective actions were taken during this surveillance.

Inaccessible spaces – The following spaces were not accessible during the visual surveillance: All Courtrooms, Judges’ Offices and Suites, and robing areas. Courts were being held on the 3rd floor and no entry to this floor was permitted.

No new suspect ACM was identified during this surveillance check.

No additional asbestos sampling and analytical reports were available since the previous asbestos Annual Visual Surveillance Report.

This Annual Visual ACM Surveillance Check was performed using the most recent FOH Annual Visual ACM Surveillance Check Report and Spreadsheet.

Any additional information obtained by the FOH Contractor Representative during this surveillance check was added to the table. The FOH Contractor Representative did not conduct any asbestos sampling or measure ACM quantities other than noting if ACM were removed since the last surveillance.

The FOH Contractor Representative may note suspect materials that were not previously identified or tested and list them in the spreadsheet (Table A) as suspect and recommend for testing.

Findings are located in the attached table.

Any future changes to the quantity and condition of ACM in the facility should be incorporated into GSA’s Operations and Maintenance (O&M) Plan.

Photographs were taken of deficiencies where possible and are included in the body of the report, underneath the appropriate citation, and in Table A.

OSHA/GSA deficiencies (Form 3614) issued during this survey are attached at the back of this report along with Form 3559.

Attachments located at the back of this report include: 1) An Annual ACM Visual Surveillance Table A, 2) Survey Notes, 3) Form(s) 3614 and 3559.

III. COMMENTS

The following is a list of comments and several concerns noted during this re-surveillance check:

· Physical damage was observed to ceiling and wall plaster on all floors above the drop ceilings. Areas range from less than 3 square feet to 15 square feet.

Debris was observed on top of the ceiling tile in the corner intersection of the hallway where new cameras had been installed on the 4th floor (Forsyth and Walton corner). Examples are below:

· Dull scuffed VAT was observed in the 4th floor women's restroom.

ATLANTA, GEORGIA 30303

· The remainder of the ACM viewed during this surveillance was in good condition.

· The Building Manager (BM) for GSA, Richard Pace, maintained the building records.

· The GSA BM had current asbestos training.

· GSA had distributed the annual asbestos letter to the tenants, O&M and custodians noting the current status, condition and location of ACM within the building.

· GSA maintained copies of previous asbestos inspections and surveillance checks at this facility.

The following asbestos survey reports must be maintained on-site:

• Asbestos Survey Report dated October 31, 2007 by FOH

• January 15, 1991 Initial Asbestos Survey Report by Cavin Analytical

• December 19, 1995 Asbestos Survey Report by Diversified Environmental

Management, Inc.

• December 20, 2002 Pre-Renovation (partial) Report by unknown author

• January 15, 2003 6-Month Periodic Surveillance Check by FOH with sampling data

• February 27, 2003 Asbestos Survey Report by Environomics, Inc.

• Asbestos Survey Report by Durbin and Associates for the 2nd and 5th floors, circa July 2005

· GSA’s contract has the following nine asbestos O&M requirements: 1) at least one O&M asbestos trained worker/O&M person on-site; 2) annual fit tests; 3) annual medical exams; 4) the EPA “Green Book” on-site; 5) the NIBS O&M book (either available onsite or access to); 6) Asbestos repair equipment onsite; 7) written respirator program; 8) written medical surveillance plan; and

9) written protective equipment plan. The O&M contractor had an agreement with Penta Engineering, an asbestos contractor to conduct all asbestos related O&M work.

· The Custodial contractor had all the required training and written documentation. A slow speed buffer was on-site.

· A contractor notification and sign-in sheet regarding the presence of ACM within the building was present and implemented by the O&M contractor.

IV. ACTION ITEMS

· Sample each area of damaged plaster to determine ACM content.

Repair/seal/HEPA vacuum ceiling tiles, clean up damaged areas of plaster and debris in accordance with federal, state, local and GSA regulations. Treat as ACM until sampled and analyzed.

· Maintain wax coating on exposed VAT. Seal damaged areas of suspect joint compound.

· Maintain ACM and suspect ACM in good condition.

· Distribute the annual asbestos notification letter to tenants and O&M/Custodial contractors regarding status, condition, presence and location of ACM in the building.

· Ensure GSA Building Mangers were provided with appropriate and timely asbestos training.

· Continue to label all accessible ACM material.

· Maintain copies of inspection and surveillance reports and current status of ACM at this facility, as well as bulk sampling data on site. Maintain current records on site for all removal, O&M repairs or periodic surveillance activities involving ACM. Maintain building records in one master file.

· Require O&M contractor to continue to meet the asbestos requirements of the O&M contract.

· Asbestos Free stickers should be placed on all reinsulated items that once housed asbestos in order to visually show that ACM is no longer present.

· In the future, GSA should require in all renovation/demolition projects that “no asbestos products be installed” and that the architect or designer sign off to that affect. The signed document should be made a permanent attachment to the file. GSA should test any suspect new materials such as sheetrock mud, mastics, floor tile during the renovation/demolition project to ensure they are asbestos free.

· Require Custodial contractor to continue meeting the asbestos requirements of the Custodial contract.

· Require contractors to sign and date a form, usually found in the O&M plan, regarding notification of the presence of ACM before allowing any contractor to commence work within the building. This document demonstrates communication between the contractor and GSA regarding ACM and procedures for working around ACM.

· Obtain a letter from the architect stating that no asbestos containing products were used during future renovation/demolition of this building. Otherwise conduct an asbestos bulk survey of all new suspect building materials.

· Sample and analyze suspect ACM before performing any renovation or demolition. Maintain these analytical records in the asbestos file to be used for future inspection and surveillances.

· A certified, asbestos trained, 16-hour O&M person must perform all minor repairs or resealing. The changes to the quantity and condition of ACM in the facility should be incorporated into GSA’s Operations and Maintenance (O&M) Plan.

· Review this Annual ACM Surveillance Table A and make any necessary additions or subtractions. Bring to the inspector’s attention these changes during the next surveillance.

V. 3614s

· REPEAT - Physical damage was observed to ceiling and wall plaster on all floors. Areas range from less than 3 square feet to 15 square feet. Debris was observed on top of the ceiling tiles in the corner intersection of the hallway where new cameras had been installed on the 4th floor (Forsyth and Walton corner) and on most floors.

· REPEAT - Dull scuffed VAT was observed in the 4th floor women's restroom and drywall where PACM joint compound would have been present was damaged on the 4th floor at the restroom entrance.

· REPEAT - ACM records were not maintained in the building or updated as required by law. (Specific to 2012 1st floor renovation and the 3rd floor renovations.) Maintain bulk sampling data, what ACM was removed and where and the letter stating no ACM was reinstalled in build back.

ATLANTA, GEORGIA 30303

VI. CORRECTED DEFICIENCIES

The following items were corrected during the day of the surveillance check or shortly thereafter and confirmed by the GSA Building Manager (BM): None.

· The GSA BM had documentation of Asbestos Awareness Training.

· Tenants, O&M and Custodial contractors were notified annually of presence, location and condition of asbestos within their building.

VII. OTHER

When the facility receives this updated ACM Surveillance Table, they and the GSA BM should review it for accuracy and use it to record all changes in ACM amount, location, condition, etc. This table will be requested during all future inspections and surveillance checks and will be audited.

When conducting the next Annual ACM Visual Surveillance, please give the GSA inspector a copy of this report and have them verify all locations. Request that the GSA inspector note any additional suspect ACM. When using the previous Contractor Inspector, request them to use this report and to verify discrepancies between the reports. Require the previous contractor to modify their surveillance report to include the attached spreadsheet. All changes to condition, location, etc. should be made on this standardized report.

The Surveillance Table is to be updated continuously. The table contains three color-highlighted areas that indicate changes in the amount, location or condition of ACM. Red indicates changes in the amount or condition of ACM. Blue denotes “suspect asbestos,” that should be sampled and analyzed before any renovation or demolition occurs. Green indicates that suspect asbestos was determined not to be ACM or that ACM was removed. In the “Condition” column, good implies no or very minor damage (i.e., less than 1 percent), fair implies between 1 and 10 percent overall damage and poor means damage greater than 10 percent overall or 25 percent localized.

TABLE A - ANNUAL ACM VISUAL SURVEILLANCE TABLE

Note: This table is in color. Information will be lost if reproduced in black and white!

This table is for O&M purposes only.

A pre-renovation requires additional evaluation and sampling.

U. S. COURT OF APPEALS BUILDING DRAFT

56 FORSYTH STREET CONDUCTED BY: Arthur Tippit, CIH

ATLANTA, GA 30303 DATE: November 16, 2016

GA0008ZZ TABLE A. Annual ACM Visual Surveillance Check Form

Suspect (PACM)

Beneath Various Carpets Suspect Black Carpet Mastic 3 Unknown O&M

Residue Black Mastic - Where Present.

All Floors

Suspect Caulking Between Marble

Walls 43A Unknown O&M

Confirm Material Is Negative By TEM Analysis Prior

To Maintenance, Renovation, Or Demolition. Also, Verify Adhesive Used To Hold Marble Is Non

Asbestos Prior To Maintenance, Renovation Or

Demolition.

Cooling Tower Suspect Honeycomb Fill Material 44A No

Good, where viewed O&M

Non Asbestos In One Sample By FOH In January

15, 2003 Report. Prior To Maintenance, Renovation

Or Demolition Collect At Least Two More Samples

To Confirm Non Asbestos.

Roof

Suspect Roof Felts, Mastics, Sealants, Suspect Material

Beneath Clay Tiles and Metal Roof N/A Unknown O&M

Sample To Confirm Non Asbestos Prior To

Maintenance Renovation Or Demolition.

All Floors

Suspect Thermal System

Insulation N/A Unknown O&M

Concealed Thermal System Insulation In Chases, Wall Cavities, Inaccessible Areas May Contain

Asbestos. Prior To Maintenance, Renovation Or

Demolition Perform Destructive Sampling To

Determine If Those Materials Contain Asbestos.

All Floors Various Floor Tile N/A Unknown O&M Where Present

All Floors

Suspect Various Floor Tile, Under

Floor leveling Compound Or

Plywood N/A Unknown O&M Where Present.

All Floors Suspect Fire Doors And Frames Unknown O&M Assume Positive.

All Floors

Suspect Flexible Connectors and

Gaskets N/A Unknown O&M Where Present.

ATLANTA, GA 30303 DATE: November 16, 2016

GA0008ZZ TABLE A. Annual ACM Visual Surveillance Check Form

Ground Floor (Basement) Description of Material HM Photos

Friable

Yes/No Condition Action

Comments - Not permitted in judges chambers or robing areas and courtrooms

Domestic Water Pump Room, AHU B2/B4, Chiller room Valve Wrap Pukie Tape (TSI4) 33 N/A N/A Removed during 2016 renovation.

Ground Floor (Basement) Suspect Drywall Joint Compound

17, 17A

Good, where viewed O&M

Twenty Samples of Joint Compound collected were negative for Asbestos. However One sample

By TEM Analysis Has Indicated <1% Chrysotile

Asbestos in the basement restroom pipe chase.

Always Confirm That Material Is Non ACM Prior To

Maintenance, Renovation Or Demolition On A Case

By Case Basis.

Ground Floor (Basement restroom pipe chase)

Suspect Plaster Walls and

Ceilings 41A

Yes where damaged

Good, where viewed -

However 2 or 3 places in B-1, <3sf each, had previously fallen and the damaged had not been sealed.

O&M, Repair

Damage

Eleven of Sixteen bulk Samples Collected Over The

Years of Plaster Walls And Ceilings were Non

ACM. However, The 2005 NOVA Engineering And

Environmental Report Identified Asbestos In The

Plaster At 4-6% Chrysotile (0.75-1.0 % By Point

Count) Specifically On The 2nd (Security Office) &

5th Floors (Courtroom 533). Prior To Maintenance, Renovation Or Demolition Sample On A Case By

Case Basis To Confirm Plaster Is Non ACM.

ATLANTA, GA 30303 DATE: November 16, 2016

GA0008ZZ TABLE A. Annual ACM Visual Surveillance Check Form

First Floor Description of Material HM Photos

Friable

Yes/No Condition Action

Comments - Not permitted in judges chambers or robing areas and courtrooms

Room 102, 103, 106, 107, 108, 111, 115, 116, 117, 137 Black Carpet Mastic 3 Unknown O&M

Room 129, 130, 131, 132, 133, 134, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151

Black Post Office Floor Planking and Associated Mastic/Glue/Adhesive (FT9) 22 Unknown O&M

Visible (<5 square feet exposed) during 2011 surveillance inspection due to renovation work on 1st floor. GSA stated that cementious flooring will be spread on floor with additional finish type flooring installed over this as part of renovation work to area.

First Floor Suspect Drywall Joint Compound

17, 17A Unknown O&M

Twenty Samples of Joint Compound collected were negative for Asbestos. However One sample

By TEM Analysis Has Indicated <1% Chrysotile

Asbestos in basement pipe chase. Always Confirm

That Material Is Non ACM Prior To Maintenance, Renovation Or Demolition On A Case By Case

Basis.

First Floor

Suspect Plaster Walls and

Ceilings 41A

Yes where damaged

Good, where viewed, except in Entrance on

Popular &

Forsyth side <10 sf on wall and also on nearby corner.

Repair damage, Sample and

Analyze to determine

ACM content of damaged areas, O&M

Eleven of Sixteen bulk Samples Collected Over The

Years of Plaster Walls And Ceilings were Non

ACM. However, The 2005 NOVA Engineering And

Environmental Report Identified Asbestos In The

Plaster At 4-6% Chrysotile (0.75-1.0 % By Point

Count) Specifically On The 2nd (Security Office) &

5th Floors (Courtroom 533). Prior To Maintenance, Renovation Or Demolition Sample On A Case By

Case Basis To Confirm Plaster Is Non ACM.

Room 115 Pedestal Mastic 30 N/A N/A

Area underwent renovation during 2011. Confirm that GSA has the paperwork that all material removed.

Room 118 9x9 Floor Tile/Mastic (FT1) 38A N/A N/A

Area underwent renovation during 2011. Confirm that GSA has the paperwork that all material removed.

Room 115, 154, 154A 9"x9" Floor Tile Type I (FT5 & FT6) 39A N/A N/A

Area underwent renovation during 2011. Confirm that GSA has the paperwork that all material removed.

ATLANTA, GA 30303 DATE: November 16, 2016

GA0008ZZ TABLE A. Annual ACM Visual Surveillance Check Form

Room 115, 154, 154A

Dark Brown 9"x9" Floor Tile

Mastic Type II (FT5 & FT6) 39A N/A N/A

Area underwent renovation during 2011. Confirm that GSA has the paperwork that all material removed.

Room 115, 154, 154A

Light Tan Streaked 9"x9" Floor

Tile Mastic Type III (FT5 & FT6) 39A N/A N/A

Area underwent renovation during 2011. Confirm that GSA has the paperwork that all material removed.

Room 115, 154, 154A

Brown 9"x9" Floor Tile Mastic

Type IV (FT5 & FT6) 39A N/A N/A

Area underwent renovation during 2011. Confirm that GSA has the paperwork that all material removed.

Mezzanine Floor Description of Material HM Photos

Friable

Yes/No Condition Action

Comments - Not permitted in judges chambers or robing areas and courtrooms

Room 118, 120 9'x9' Floor Tile/Mastic (FT1) 38A N/A N/A

Area underwent renovation during 2011. Verified all material removed.

AHU 1-1, AHU 1-2 Valve Wrap Pukie Tape (TSI4) N/A N/A

Units AHU 1-1 and 1-2 have been removed and replaced (circa 2010 - AHU 1-1 and AHU 1-2 in

2012). New pukie tape according to GSA.

Mezzanine Floor Suspect Drywall Joint Compound

17, 17A Unknown O&M

Twenty Samples of Joint Compound collected were negative for Asbestos. However One sample

By TEM Analysis Has Indicated <1% Chrysotile

Asbestos. Always Confirm That Material Is Non

ACM Prior To Maintenance, Renovation Or

Demolition On A Case By Case Basis.

Mezzanine Floor

Suspect Plaster Walls and

Ceilings 41A

Yes where damaged

Good, where viewed, except in Air Handling

Room 1-1

O&M, Repair/ Seal

Damage

Eleven of Sixteen bulk Samples Collected Over The

Years of Plaster Walls And Ceilings were Non

ACM. However, The 2005 NOVA Engineering And

Environmental Report Identified Asbestos In The

Plaster At 4-6% Chrysotile (0.75-1.0 % By Point

Count) Specifically On The 2nd (Security Office) &

5th Floors (Courtroom 533). Prior To Maintenance, Renovation Or Demolition Sample On A Case By

Case Basis To Confirm Plaster Is Non ACM.

Outside Windows Window Caulk/Glazing 34 N/A N/A

Removed in 2009. Confirm that GSA has paperwork.

ATLANTA, GA 30303 DATE: November 16, 2016

GA0008ZZ TABLE A. Annual ACM Visual Surveillance Check Form

Second Floor Description of Material HM Photos

Friable

Yes/No Condition Action

Comments - Not permitted in judges chambers or robing areas and courtrooms

Room 257-10 (kitchen)

Grey Linoleum and Associated

Mastic/Glue/Adhesive (FT7) 21.1 N/A N/A Removed March-August 2011 renovation work.

Room 202-2, 204-MR Valve Wrap Pukie Tape (TSI4) 33 No Good O&M

Removed in room 204-MR, March-August 2011 renovation work. Labeled with ACM sticker in 202-2.

Second Floor Suspect Drywall Joint Compound

17, 17A Unknown O&M

Twenty Samples of Joint Compound collected were negative for Asbestos. However One sample

By TEM Analysis Has Indicated <1% Chrysotile

Asbestos. Always Confirm That Material Is Non

ACM Prior To Maintenance, Renovation Or

Demolition On A Case By Case Basis.

Second Floor

Suspect Plaster Walls and

Ceilings 41A

No where viewed

Good, where viewed O&M

Eleven of Sixteen bulk Samples Collected Over The

Years of Plaster Walls And Ceilings were Non

ACM. However, The 2005 NOVA Engineering And

Environmental Report Identified Asbestos In The

Plaster At 4-6% Chrysotile (0.75-1.0 % By Point

Count) Specifically On The 2nd (Security Office) &

5th Floors (Courtroom 533). Prior To Maintenance, Renovation Or Demolition Sample On A Case By

Case Basis To Confirm Plaster Is Non ACM.

Outside Windows Window Caulk/Glazing 34 N/A N/A

Removed in 2009. Confirm that GSA has paperwork.

Room 202-4, 202-3, 202-5, 202-

18, 204-9, 204-10, 204-10A, 204-

11, 204-13, 204-14, 204-15, 206, 216-3, 233, 233-1, 233-2, 233-3, 233-4, 233-5, 233-6, 233-7, 233-8, 233-9, 233-10, 233-10B 233-11, 257, 257-2, 257-3, 257-7, 9x9 Floor Tile/Mastic (FT1) 38A Unknown O&M

No access to 233 and 202. Rooms in green had tile removed during March-August 2011 renovation work. Tile is under carpet in remaining areas.

Room 216, 216-1, 216-5 9"x9" Floor Tile Type I (FT5 & FT6) 39A Unknown O&M Entire 216 Suite under carpet.

Room 216, 216-1, 216-5 Dark Brown 9"x9" Floor Tile Mastic Type II (FT5 & FT6) 39A Unknown O&M Entire 216 Suite under carpet.

Room 216, 216-1, 216-5 Light Tan Streaked 12"x12" Floor Tile Mastic Type III (FT5 & FT6) 39A Unknown O&M Entire 216 Suite under carpet.

ATLANTA, GA 30303 DATE: November 16, 2016

GA0008ZZ TABLE A. Annual ACM Visual Surveillance Check Form

Room 216, 216-1, 216-5 Brown 9"x9" Floor Tile Mastic Type IV (FT5 & FT6) 39A Unknown O&M Entire 216 Suite under carpet.

ATLANTA, GA 30303 DATE: November 16, 2016

GA0008ZZ TABLE A. Annual ACM Visual Surveillance Check Form

Third Floor Description of Material HM Photos

Friable

Yes/No Condition Action

Comments - Not permitted in judges chambers or robing areas and courtrooms

Room 310, 328 Black Carpet Mastic 3 Unknown O&M

Room 300-2, 300-3, 300-4, 300-5, 300-7, 300-8, 300-9, 300-10, 300- 12, 304, 304-2, 304-3, 304-4, 304-

5, 304-6, 304-8A, 304-8B, 324, 324-2, 327 9x9 Floor Tile/Mastic (FT1) 38A Unknown O&M

Entire 304 & 324 Suite under carpet. No access to

300. Removed in Room 327 January 2011 renovation work.

Third Floor Suspect Drywall Joint Compound

17, 17A Unknown O&M

Twenty Samples of Joint Compound collected were negative for Asbestos. However One sample

By TEM Analysis Has Indicated <1% Chrysotile

Asbestos. Always Confirm That Material Is Non

ACM Prior To Maintenance, Renovation Or

Demolition On A Case By Case Basis.

Third Floor

Suspect Plaster Walls and

Ceilings 41A

No where viewed

Good, where viewed O&M

Eleven of Sixteen bulk Samples Collected Over The

Years of Plaster Walls And Ceilings were Non

ACM. However, The 2005 NOVA Engineering And

Environmental Report Identified Asbestos In The

Plaster At 4-6% Chrysotile (0.75-1.0 % By Point

Count) Specifically On The 2nd (Security Office) &

5th Floors (Courtroom 533). Prior To Maintenance, Renovation Or Demolition Sample On A Case By

Case Basis To Confirm Plaster Is Non ACM.

Outside Windows Window Caulk/Glazing 34 N/A N/A

Removed in 2009. Confirm that GSA has

ATLANTA, GA 30303 DATE: November 16, 2016

GA0008ZZ TABLE A. Annual ACM Visual Surveillance Check Form

Fourth Floor Description of Material HM Photos

Friable

Yes/No Condition Action

Comments - Not permitted in judges chambers or robing areas and courtrooms

Room 416-3, 416-4, 416-5, 416-7, 416-8, 416-9, 416-12, 416-13, 416- 14, 416-15, 416-16, 416-17, 416- 18, 400, 424, 426-1, 426-2, 434, 434-2, 434-4, 401, 401-1, 401-2, 442, 442-1, 442-3, 456, 456-1, 457-3, 457-4, 457-5, 457-4A, 457- 5A, 459-1, 459-2 9x9 Floor Tile/Mastic (FT1) 38A

Dull scuffed in restroom, otherwise unknown

Seal with wax coating, O&M Exposed in closet next post office women's restroom -dull.

Fourth Floor Suspect Drywall Joint Compound

17, 17A

Damaged at restroom entry wall, otherwise unknown O&M

Twenty Samples of Joint Compound collected were negative for Asbestos. However One sample

By TEM Analysis Has Indicated <1% Chrysotile

Asbestos. Always Confirm That Material Is Non

ACM Prior To Maintenance, Renovation Or

Demolition On A Case By Case Basis.

Fourth Floor

Suspect Plaster Walls and

Ceilings 41A

Yes where damaged

Good, where viewed, except in stairwell between floors 4 and 5 and

Hallway where new camera installed.

O&M, repair minor damage above window and where new camera installed

Less than 1 sf of debris on top of ceiling tile under opening where cable for camera was installed.

Eleven of Sixteen bulk Samples Collected Over The

Years of Plaster Walls And Ceilings were Non

ACM. However, The 2005 NOVA Engineering And

Environmental Report Identified Asbestos In The

Plaster At 4-6% Chrysotile (0.75-1.0 % By Point

Count) Specifically On The 2nd (Security Office) &

5th Floors (Courtroom 533). Prior To Maintenance, Renovation Or Demolition Sample On A Case By

Case Basis To Confirm Plaster Is Non ACM.

Outside Windows Window Caulk/Glazing 34 N/A N/A

Removed in 2009. Confirm that GSA has

ATLANTA, GA 30303 DATE: November 16, 2016

GA0008ZZ TABLE A. Annual ACM Visual Surveillance Check Form

Fifth Floor Description of Material HM Photos

Friable

Yes/No Condition Action

Comments - Not permitted in judges chambers or robing areas and courtrooms

Room 5-MR, AHU 5-1/5-2 Valve Wrap Pukie Tape (TSI4) 33 N/A N/A Removed during 2016 renovation.

Room 500-15, 501-1, 501-2, 501- 3, 501-4, 501-5, 501-7, 501-8, 501- 9, 501-10, 501-10A, 501-10B, 501- 11, 501-12, 545-1, 520-6, 520-7, 520-7A, 520-8, 520-9 9x9 Floor Tile/Mastic (FT1) 38A Unknown O&M

520 Suite under carpet. No access to Suite 500. 501

Suite under carpet.

Room 520-3, 520-5, 545-2, 545-3, 545-4, 545-7, 545-8, 545-8A, 545- 8B, 9"x9" Floor Tile Type I (FT5 & FT6) 39A Unknown O&M 520 & 545 suites all under carpet.

Room 520-3, 520-5, 545-2, 545- 3, 545-4, 545-7, 545-8, 545-8A, 545-8B, Dark Brown 9"x9" Floor Tile Mastic Type II (FT5 & FT6) 39A Unknown O&M 520 & 545 suites all under carpet.

Room 520-3, 520-5, 545-2, 545- 3, 545-4, 545-7, 545-8, 545-8A, 545-8B, Light Tan Streaked 12"x12" Floor Tile Mastic Type III (FT5 & FT6) 39A Unknown O&M 520 & 545 suites all under carpet.

Room 520-3, 520-5, 545-2, 545- 3, 545-4, 545-7, 545-8, 545-8A, 545-8B, Brown 9"x9" Floor Tile Mastic Type IV (FT5 & FT6) 39A Unknown O&M 520 & 545 suites all under carpet.

ATLANTA, GA 30303 DATE: November 16, 2016

GA0008ZZ TABLE A. Annual ACM Visual Surveillance Check Form

Fifth Floor Suspect Drywall Joint Compound

17, 17A

Good, where viewed, except above drop ceiling in conference room (Judge

Cox and Fay) O&M, Repair

Twenty Samples of Joint Compound collected were negative for Asbestos. However One sample

By TEM Analysis Has Indicated <1% Chrysotile

Asbestos. Always Confirm That Material Is Non

ACM Prior To Maintenance, Renovation Or

Demolition On A Case By Case Basis.

Fifth Floor Interior Window Caulk Unknown

Good, where viewed O&M

Martial beginning to show signs of deterioration.

Sample and analyze to determine ACM content.

Fifth Floor

Suspect Plaster Walls and

Ceilings 41A

Potentially where damaged.

Good, where viewed, except damaged plaster wall and ceiling in both stairwells between Floors

4 & 5 and the walls and ceiling in AHU room.

Repair damage, Sample and

Analyze to determine

ACM content of damaged areas, O&M

Eleven of Sixteen bulk Samples Collected Over The

Years of Plaster Walls And Ceilings were Non

ACM. However, The 2005 NOVA Engineering And

Environmental Report Identified Asbestos In The

Plaster At 4-6% Chrysotile (0.75-1.0 % By Point

Count) Specifically On The 2nd (Security Office) &

5th Floors (Courtroom 533). Prior To Maintenance, Renovation Or Demolition Sample On A Case By

Case Basis To Confirm Plaster Is Non ACM.

Outside Windows Window Caulk/Glazing 34 N/A N/A

Removed in 2009. Confirm that GSA has

ATLANTA, GA 30303 DATE: November 16, 2016

GA0008ZZ TABLE A. Annual ACM Visual Surveillance Check Form

Sixth Floor Description of Material HM Photos

Friable

Yes/No Condition Action

Comments - Not permitted in judges chambers or robing areas and courtrooms

AHU 6-1; 6-2; 6-3; 6-4 Valve Wrap Pukie Tape 33 112 N/A N/A N/A Removed in 2015 during renovation.

Sixth Floor Suspect Drywall Joint Compound

17, 17A Unknown O&M

Twenty Samples of Joint Compound collected were negative for Asbestos. However One sample

By TEM Analysis Has Indicated <1% Chrysotile

Asbestos. Always Confirm That Material Is Non

ACM Prior To Maintenance, Renovation Or

Demolition On A Case By Case Basis.

Sixth Floor

Suspect Plaster Walls and

Ceilings 41A

No where viewed

Good, where viewed O&M

Eleven of Sixteen bulk Samples Collected Over The

Years of Plaster Walls And Ceilings were Non

ACM. However, The 2005 NOVA Engineering And

Environmental Report Identified Asbestos In The

Plaster At 4-6% Chrysotile (0.75-1.0 % By Point

Count) Specifically On The 2nd (Security Office) &

5th Floors (Courtroom 533). Prior To Maintenance, Renovation Or Demolition Sample On A Case By

Case Basis To Confirm Plaster Is Non ACM.

Outside Windows Window Caulk/Glazing 34 N/A N/A

Removed in 2009. Confirm that GSA has paperwork.

1 Previous data accepted is marked with an "A" in HM Section.

2 Follow written asbestos O&M program.

RED - Indicates the changes in condition (worsening) of ACM or removal or repair work is required.

BLUE - Indicates suspect asbestos (PACM) that requires sampling and analysis before permitting renovation or removal.

GREEN - Indicates suspect asbestos that has been determined not to contain asbestos or asbestos that has been removed.

BLACK - Indicates asbestos-containing.

Most Recent Bulk Sampling Survey: January 22-23, 2007.

FIELD NOTES

3614s / 3559

Recommendations listed are not the only corrective measure available, but the FOH Contractor Representative was required to list one corrective action. Other corrective measures are possible and it is the responsibility of GSA and/or its O&M/Custodial contractors to determine the best way to correct.

DRAFT

REPORT FOR FACILITY SAFETY, HEALTH OR FIRE PROTECTION SURVEY: NEW FORM 3559 FINDINGS

1. REPORT CONTROL

NO. G-04-111616-GA0008ZZ

2. DATE OF

REPORT

November 21, 2016

3. BUILDING NUMBER, NAME AND

ADDRESS

GA0008ZZ

U. S. Court of Appeals 56 Forsyth Street Atlanta, Georgia 30303

4. PBS FIELD

OFFICE

5. BRC B=BLDG LOCAL

0 RAC 1,2=P1,P2 1 RAC 1,2,3=R2

0 RAC 3=R1 2 RAC 4,5=A1

0 RAC 4,5=A1

6. DATE OF SURVEY

November 16, 2016

__X__ SCHEDULED

_____ FOLLOW-UP

_____ UNSCHEDULED

7. SURVEY TYPE

___ S&EM ___ Pre-Occupancy = 1

___ OSH _X_ ACM

___ Prerelease ___ Misc = M

8. TRAVEL

COST

INCURRED

9. TOTAL MANHOURS

EXPENDED

10. SURVEY CONDUCTED BY:

Arthur Tippit, CIH

11. FIRE SAFETY EVALUATION SHEET (FSES): Equivalency?

Fire Control (S1 = ) Egress Provide (S2 = ) General Safety (S3 = )

12. SPRINKLERS BUILDING HEIGHT

__ Full feet __ Partial __ None

13.

Condition Number

14.

Responsible Office (BM, RED, AGY, R&A, AM)

15.

Mishap

Probability

16.

Hazard Severity

17.

RAC

18.

Square

Feet Affected

19.

Estimated

Cost

20.

Design Reference

21. Condition Finding (F) Recommendation (R)

1 Asbes AM C II 3

<3 per – 10 sq.ft per area viewed

$15,000

29CFR1910.1001

GSA Region 4 Asbestos Management Plan

(F) REPEAT - Physical damage was observed to ceiling and wall plaster on all floors above the drop ceilings.

Areas range from less than 3 sq.ft. to 15 sq.ft. Debris was observed on top of the ceiling tile in the corner intersection of the hallway where new cameras had been installed on the 4th floor (Forsyth and Walton corner) and on most floors.

(R) Conduct a bulk sampling survey to determine ACM content in each damaged area. In the interim, treat as ACM.

Ensure that all ACM cleaning, repairs and removal are done in accordance with all Federal, GSA, State and Local Regulations. HEPA vacuum ceiling tiles where debris is present or sample and analyze to determine if ACM

2 Asbes BM C III 4 ~70 $150

29CFR1926.1101,

AHERA & GSA

Region IV Asbestos program

(F) REPEAT - Dull scuffed VAT was observed in the 4th floor women's restroom and drywall where PACM joint compound would have been present was damaged on the 4th floor at the restroom entrance.

(R) Seal VAT with wax coating, repair/seal damaged PACM joint compound. Maintain in good condition.

ATLANTA, GEORGIA 30303

REPORT FOR FACILITY SAFETY, HEALTH OR FIRE PROTECTION SURVEY: NEW FORM 3559 FINDINGS

3 Asbes BM C III 4 N/A N/A

29CFR1910.1001(J)

(7) (iv)

(F) REPEAT - ACM records not maintained in the building or updated as required by law. Specific to 2012 1st floor renovation. Maintain bulk sampling data, what ACM was removed and where and the letter stating no ACM was reinstalled in build back.

(R) Update and maintain a copy of all ACM records. This enables the building mechanic to make other contractors aware of ACM locations before they commence work.