FL0064AE Tampa ACM 2019 Report.pdf

LEAD AND COPPER IN WATER TESTING

ASSESSMENT LOCATION:

U.S. FEDERAL BUILDING

500 ZACK STREET

TAMPA, FLORIDA 33602

GSA BUILDING NUMBER: FL0064AE

REFERENCE NUMBER: 450175, 485587, 485717

SURVEY DATE: OCTOBER 23, 2019

REPORT DATE: DECEMBER 21, 2019

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

R L TIMBERLAKE JR FB

FL0064AE

Tampa, FL

A Federal Occupational Health (FOH) Contractor Representative performed a limited Annual Asbestos Visual Surveillance Check as required by the General Services Administration (GSA) for their owned facilities. Bulk or air samples were not collected.

Both 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 had been discovered, they would have been immediately reported to the FOH Representative, 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 onsite 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 for fiscal year 2019, 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 is based on personal observations during the surveillance check and from conversations with on site personnel. Conditions, equipment, regulations, operations and personnel change, and certain conditions may be hidden, therefore, not all possible hazards and conditions may have been listed during this brief surveillance.

The report contains 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 H,S&E Resources, 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.” (This statement required by FOH.)

Tampa, FL

I. BUILDING DESCRIPTION

The R. L. Timberlake Jr. Federal Building is an 8 story concrete structure that houses several federal agencies. The building construction was completed in 1964 and the total area of the building is 113,616 square feet. The total habitable area of the building is 78,736 square feet. The building consists of eight above ground floors, with the eighth floor containing the mechanical room/penthouse. Cooling towers are located on the roof. The building is constructed with a concrete slab foundation, concrete columns and concrete beams with ribbed slabs.

The main mechanical components of the building include two chillers located in the penthouse mechanical room, one boiler in the penthouse mechanical room and two air handlers – one return and supply for each AHU on the east and west side of the eighth floor mechanical penthouse. The main pipe chases are located in the building core, adjacent to the stairwells, elevator shafts and restrooms.

The chiller and boiler rooms are located in the eighth or penthouse floor of the building. Two chillers are located on the west side of the penthouse. The boiler room is located in the middle, north side of the floor, and west of the cooling tower bay. The southeast corner of the floor contains the domestic hot water system tanks and piping. The middle, south side of the floor contains three large fan rooms and a large air mixing room.

The cold and hot water is distributed to the various floors via pipe chases and mechanical vent shafts, located adjacent to the elevators in the middle of the building; adjacent to the restrooms; and adjacent to the stairwells.

The chill water and hot water lines are directed to two large supply and two large return air handlers on the eighth floor where air is either chilled or heated in the coils

Tampa, FL and ducted to the floors below through hot air or cold air ducts. The air handlers are located in the middle, south side of the floor. The main chill water and hot water lines run from the pipe chases and out of the building, into the cooling towers, and back inside the building to the air handlers. The emergency generator room is located on the north side of the first floor.

Ceilings on all of the occupied floors are suspended grids with lay-in ceiling tiles, except for the elevator lobby, corridors, and telephone and electrical closets that were plaster. The exterior walls and core walls on all floors are plaster construction.

The interior office partition walls are of drywall/sheet rock construction. The restrooms have plaster walls and ceilings, with ceramic tile floors halfway up the walls. However, the plaster ceilings and floor tiles were removed during the restroom renovations in late 1999 through early 2000. These areas now have drop in ceiling tiles and ceramic floors.

The main corridors on the first and second floors are covered with two different types of floor tile. The remaining floor corridors are carpeted over vinyl floor tile, according to maintenance personnel. Additionally, the majority of the office spaces on the remaining floors contain vinyl floor tiles under carpeting.

II. GENERAL FINDINGS

A Contractor Representative of Federal Occupational Health (FOH), Lisa Swain, MPH, CSP, conducted an Annual Visual ACM Surveillance Check of the RL Timberlake Federal Building. The Annual Visual Surveillance check was conducted on October 23, 2019. Ms. Makena Baco accompanied the inspector during this surveillance survey. Katmai O&M personnel also provided assistance.

The Annual Visual ACM Surveillance Spreadsheet, Table A, was taken from the previous annual report and used to prepare for this surveillance check.

Any applicable information obtained by the FOH Contractor Representative during the site visit was added to the table. The FOH Contractor Representative did not conduct any asbestos sampling or measure ACM quantities other than noting if ACM was 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 attached Table A as suspect and recommend testing.

The overall building Risk Assessment Code (RAC) is 2, also noted in the FY2014 - 2018 surveys.

Three significant findings were identified during this surveillance survey. These are:

(a) Plaster is bubbling and degrading at windows in the break room, open area, and supervisor office in the 3rd floor Railroad offices. Material is friable. The windows are currently sealed with plastic. Common wall plaster has been previously identified as asbestos containing material. The space was not accessed in FY2019. And (b)

Tampa, FL

Damaged pipe insulation was observed in the penthouse inside air fan rooms. The insulation appears to be original to the building and is not labeled as asbestos free.

The room is a mixing box and it is unknown if the space serves occupied areas. And

(c) The ACM surface coating on the penthouse air-handling units continue to deteriorate.

IMMEDIATE ATTENTION IS REQUIRED FOR THESE CONDITIONS. See photographs and recommendations in Section III below.

Reportedly, a bulk sampling project was conducted in the building. However, the FOH Representative was not provided sampling data from this project.

Approximately 30 square feet of ACM flor tile was abated in the 1st floor Air Force space. Clearance air sampling for asbestos and work notes were available for review.

Disposal documents were not available.

Twenty-two (22) citations were issued during this visual surveillance of which nineteen

(19) are repeat deficiencies. Corrective measures were not taken during this surveillance survey.

Inaccessible spaces – The following spaces were not accessible during the visual surveillance: The inspector did not have access to pipe chases, above plaster ceilings and occupied tenant spaces. Only select areas above the suspended ceilings were inspected. The FOH Representative also did not have access to the 3rd floor Railroad office, 3rd floor communication room and tenant spaces on floors 2, 5, 6 and 7.

New suspect materials were not identified during this survey.

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

Photographs of citations and areas of concern are included in this report as available.

ACM records for the building were not available. Reportedly, previous GSA personnel maintained records and the location of records is unknown.

Three attachments are associated with this report: 1) An Annual ACM Visual Surveillance Table, 2) Checklist/Form 3614, and 3) Form 3559.

III. COMMENTS AND CONCERNS

Plaster is bubbling and degrading at windows in the break room, open area, and supervisor office in the 3rd floor Railroad office. Material is friable. Common wall plaster has been previously identified as asbestos containing material. Debris on window sill observed. IMMEDIATE ATTENTATION IS REQUIRED. The windows are currently sealed with plastic. Reportedly, the O&M personnel improved seal on the windows following the site visit. Photographs are from previous surveys. Removal or disturbing of the plastic covering could result in a potential asbestos release. The space was not accessed in FY2019. This condition in considered a RAC 2.

Note: HEPA vacuuming of debris would normally be recommended, however the material is so fragile, the FOH Representative is concerned about any type of disturbance in the area of damage.

Damage was observed on piping that appeared original to construction in the outside air fan units. Sampling data for this material was not available and the insulation was not labeled non-ACM. The ACM content is not known, therefore sampling and analysis is required. Until results are received the material must be treated as ACM. The FOH representative was unable to determine if this airflow is mixed and supplied to the occupied spaces or simply serves the penthouse. If these units housing the damaged insulation is ACM and does mix with the air supplied to the occupied spaces, GSA should conduct air monitoring of affected tenant spaces. As previously noted, ACM bulk sampling was conducted in the building during 2018, however sample locations were not identified on this material during the 2019 survey. Sample results were not available for review.

Further, the O&M personnel who are not properly trained or equipped, conducted repairs using duct tape.

GSA must demonstrate that this material is non-ACM and if so, is not being distributed through the air flow into occupied spaces. This condition in considered a RAC 2.

Widespread damaged ACM mud on AHU's was observed in the penthouse. This condition was noted in the previous ACM reports. One area had been sealed with fiberglass board in 2016 and as a result the condition was downgraded to RAC 3 from RAC 2 in FY2016. However, since that time the surface coating continues to deteriorate and has once again been elevated to a RAC 2.

Tampa, FL

Damage was observed on the domestic hot water tank, boiler breaching and piping in the penthouse.

Damaged wall plaster in 1st floor janitorial closet and 1st generator room, east side of 3rd and 4th floor (vacant space). Photograph from previous survey.

Tampa, FL

Black mastic on silver foil duct insulation under the west stairwell is in poor condition.

The ceiling plaster in the 3rd floor janitors’ closet is in poor condition. The door was sealed during the survey and must remain sealed until abatement is implemented. Debris observed on floor. Photograph from previous survey.

Opening the space could result in release of asbestos fibers.

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Floor tile in the maintenance shop hallway and 2nd floor storage room is dull and scuffed.

PACM acoustical wall panels in the 4th floor computer room are frayed and damaged.

PACM floor tile in the fire pump room is dull and scuffed.

Asbestos labels were missing in multiple locations.

Asbestos documentation is missing and incomplete.

The O&M contract has the following nine asbestos O&M requirements: 1) at least one O&M asbestos trained worker/supervisory person onsite; 2) annual fit tests; 3) annual medical exams; 4) the EPA asbestos O&M document; 5) The NIBS O&M book (either available onsite or access to); 6) Asbestos repair

Tampa, FL equipment onsite; 7) written respirator program; 8) written medical surveillance plan; 9) written protective equipment plan. The O&M contractor had provided the 16-hour ACM training to the supervisor and had the EPA Green book on site.

However, ACM refresher training had not been provided to other O&M personnel.

New suspect materials were not identified during this survey.

The annul notification letter regarding current location, status and condition of asbestos within the building had not been provided by GSA to the tenants and contractors.

Custodial personnel had not been provided annual asbestos awareness training.

They had low speed buffers and HEPA vacuums on site for use.

A contractor notification and sign-in sheet regarding the presence of ACM within the building was not present and implemented by the O&M contractor.

Carpet has been installed over VAT in several spaces. If carpet is adhering (glued) to floor tiles, carpet removal must be considered an abatement project.

Not all the ACM could be inspected because it maybe in pipe chases, above ceilings, under carpet, behind wallpaper or in occupied tenant spaces.

IV. ACTION ITEMS

Immediately sample friable damaged plaster in Railroad office. If ACM is identified, conduct air sampling to determine potential occupant exposure.

Immediately abate. Re-location of tenants may be required. Prohibit any disturbance of the material until sampled and analyzed. Ensure plastic coverings over windows are maintained. Do not disturb the material until sampled and analyzed

Immediately sample pipe insulation in penthouse fan room. If ACM is identified, determine if occupied spaces are served by the fan room. If occupied spaces are affected, conduct air sampling to determine potential occupant exposure. Fan room is mixing box. Abate or repair insulation.

Abate/seal/repair damaged ACM mud insulation on AHU immediately.

Repair/seal damaged plaster. Use caution when making penetrations in plaster.

Ensure appropriate training and PPE for personnel disturbing plaster.

Abate/repair other damaged ACM noted above in accordance with State and Federal guidelines.

Tampa, FL

Continue to restrict access to 3rd floor janitor closet. Abate damaged ceiling plaster.

Seal PACM acoustical wall panels.

Maintain seal wax on ACM and PACM floor tile or abate.

Maintain asbestos containing building materials in good condition.

Ensure GSA Building Managers and Specialists participate in the GSA online asbestos awareness training. Maintain a copy of the training records in building asbestos file.

A certified, asbestos trained, 16-hour O&M person with the necessary equipment must perform all minor repairs or resealing. The O&M contractor must comply with the asbestos requirements or the abatement contractor must be retained to repair/maintain/abate any ACM which is found to be damaged. Any changes to the quantity and condition of ACM in the facility should be incorporated into GSA’s Operations and Maintenance (O&M) Plan.

Require O&M and Custodial contractors to meet all the nine (9) requirements of the asbestos portion of the O&M contract. The O&M contractor must not perform repairs or abatement unless they are properly trained and equipped. Installation of duct tape on damaged PACM insulation is not considered appropriate repair activity.

Changes in the quantity of ACM made during renovation, demolition or general O&M work had not been recorded in the O&M plan and noted in the ACM records. All changes to the quantity, condition, friability, etc. must be recorded immediately in the O&M plan. Each building should have its own records, O&M plan on site and be continuously updated by site personnel. Each facility upon receiving this updated ACM Surveillance Table should check it for accuracy and use it to record all changes in ACM amount, location, condition, etc. This table will be requested during all future checks and audits. Abatement documents must be maintained on site.

Ensure GSA Building Managers and Specialists participate in the GSA online asbestos awareness training. Maintain a copy of the training records in building asbestos file.

Maintain all asbestos repairs, abatement, sampling and inspection documents on site for review.

Maintain labels and signs on all accessible ACM.

Tampa, FL

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

The facility should review the attached updated spreadsheet (Table A) ACM Surveillance Table for accuracy and use it to record all changes in ACM amount, location, condition, etc. This summary table will be requested during all future inspections and be audited.

Utilize HEPA (high efficiency vacuum cleaners where dust and debris possibly originating from areas of asbestos are an issue.

Require outside contractors sign and date a form regarding notification of the presence and location 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.

GSA should ensure that agencies hiring contractors also provide notification.

All building materials affected by renovations and/or demolition, not previously sampled and analyzed in that specific space, must be sampled and analyzed prior to work commencing or assumed to contain asbestos. Alternatively, obtain documentation from the manufacturer stating that their product contained no asbestos. Maintain records in the asbestos file to be used for future inspections and surveillances.

Carpet has been installed over VAT in several spaces. If carpet is adhering (glued) to floor tiles, carpet removal must be considered an abatement project.

Previous analyses of floor tiles nd mastic with negative results are suspect if analyzed by PLM. TEM is the current method of choice because it can see the coated asbestos fibers that PLM cannot. Also, new floor tile and mastic may contain asbestos depending on overseas manufacture location. Therefore, floor tiles that were negative for asbestos and newer floor tile should be re-sampled and analyzed by TEM before renovating any area containing floor tile.

Any new or future renovation or remodeling must have a letter from the architect and/or contractor stating no ACM building products were reinstalled. Otherwise all building materials must be considered Suspect ACM and be tested for asbestos before being disturbed. GSA must perform a pre-renovation check as per the GSA asbestos policy.

Suspect ACM must be treated as ACM until sampling and analysis is completed.

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.

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V. 3614s

1. Repeat - Plaster is bubbling and degrading at windows in the break room, open area, and supervisor office in the 3rd floor Railroad office. Material is friable.

Common wall plaster has been previously identified as asbestos containing material. Debris on window sill observed. The windows are currently sealed with plastic. Reportedly, ACM bulk sampling was conducted however, the results were not provided to the FOH Representative upon request. No access in FY2019. IMMEDIATE ATTENTION REQUIRED. Immediately sample friable damaged plaster in Railroad office. If ACM is identified, conduct air sampling to determine potential occupant exposure. Immediately abate. Re-location of tenants may be required. Prohibit any disturbance of the material until sampled and analyzed. Ensure plastic seal is maintained.

2. Repeat - Damaged insulation was observed inside the fan room/units in the penthouse. ACM content is unknown, and insulation is not labeled. Fan room is mixing box. It is unknown if occupant spaces are served by fan room.

Reportedly, bulk sampling was conducted in the building, however sample locations were not identified by the FOH Representative during this survey.

Immediately sample pipe insulation in penthouse fan room. If ACM is identified, determine if occupied spaces are served by the fan room. If occupied spaces are affected, conduct air sampling to determine potential occupant exposure. Fan room is mixing box. Abate or repair insulation.

3. Repeat - Widespread damaged ACM mud on AHU's was observed in the penthouse. This condition was noted in the previous ACM reports. One area had been sealed with fiberglass board. Abate/seal/repair damaged ACM mud insulation on AHU immediately.

4. Repeat - Damaged wall plaster in 1st floor janitorial closet and 1st generator room, east side of 3rd and 4th floor (vacant space). Repair/seal damaged plaster. Use caution when making penetrations in plaster. Ensure appropriate training and PPE for personnel disturbing plaster.

5. Repeat - Damaged insulation was observed on the domestic hot water tank, boiler breaching and piping in the penthouse. Abate/repair/seal in accordance with State and Federal guidelines.

6. Repeat - Black mastic on ducting under west stairwell in poor condition.

Abate/repair/seal in accordance with State and Federal guidelines.

7. Repeat - The ceiling plaster in the 3rd floor janitors’ closet is in poor condition.

The door was sealed during the survey. Debris observed on floor during previous surveys. No access in FY2019. Immediately restrict access. Abate damaged ceiling plaster.

Tampa, FL

8. Custodial contractor did not have documentation of initial Asbestos Awareness Training. Provide initial two-hour Asbestos Awareness Training to custodial employees and annually thereafter. Submit a copy of the training records to GSA yearly.

9. Repeat - Floor tile in the maintenance shop hallway and 2nd floor storage room is dull and scuffed. Seal VAT with wax coating or abate.

10. The O&M contractor did not have documentation of refresher Asbestos

Awareness maintenance training. Provide annual Asbestos Awareness Training to O&M employees annually. Submit a copy of the training records to GSA annually.

11. Repeat - The O&M contractor did not have evidence that employees have been enrolled in a medical evaluation program to determine their ability to wear a respirator. Enroll employees in a medical evaluation program and document ability to wear a respirator. Maintain a copy on site. Provide a medical clearance letter annually to GSA.

12. Repeat - The O&M contractor did not have a record of Respiratory Protection training. Train employees on respiratory protection as required by OSHA and submit a copy of the training records to GSA. Maintain a copy on site.

13. Repeat - Not all ACM was labeled. OSHA requires ACM in Mechanical areas to be labeled. Label all ACM in mechanical rooms.

14. Repeat - Custodial supervisor had attended asbestos awareness training, however the contractor personnel had not received annual refresher Asbestos Awareness Training. Provide annual asbestos awareness refresher training to Custodial contractor. Maintain documentation onsite.

15. Repeat - The O&M contractor did not have an annual respirator fit-test. Provide annual respirator fit-test. Maintain document on site.

16. Repeat - Tenants, O&M and custodial contractors were not notified annually of presence, location and condition of asbestos within their building. Notify tenants, O&M and custodial contractors, other contractors in writing annually of presence, location and condition of ACM.

17. Repeat - Documentation was not available notifying contractors of presence of

ACM within this facility. Notify contractors of presence of ACM within their work area as per facilities Asbestos O&M program. Have contractors sign and date the document. Maintain records.

Tampa, FL

18. Repeat - The O&M contractor did not have evidence of a written Respiratory Protection Program. Develop, implement and update annually a written Respiratory Protection Program and submit a copy to GSA.

19. Repeat - The O&M contractor did not have the NIBS O&M asbestos manual on site to follow in event of an asbestos incident. Require contractor to maintain a copy of this reference manual or have access to it via their company.

20. Repeat - The O&M contractor did not have evidence of a written medical surveillance program. Develop, implement an annually review the written program. Maintain a copy on site.

21. Repeat - The O&M contractor did not have evidence of a written PPE program.

Require contractor to develop and maintain a PPE program.

22. Repeat - Asbestos documentation on site was missing and/or incomplete.

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. Maintain all asbestos repairs, abatement, sampling and inspection documents on site for review. Include all abatement/repair documents and job notes in ACM master file.

VI. CORRECTED CITATIONS

None

VII. OTHER

When the facility receives this updated ACM Surveillance Table, personnel 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 will be audited.

When conducting the next annual visual surveillance, please give the GSA/Contractor inspector a copy of this report and have them verify all locations.

Request that the inspector note any additional suspect ACM. All inspectors must use this report and verify/correct discrepancies between it and any other reports.

Require inspectors 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

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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 renovation requires additional evaluation and sampling prior to commencement of work.

R L TIMBERLAKE JR FB Conducted by: Lisa Swain, MPH, CSP

TAMPA, FLORIDA 33602 Date: October 23, 2019

FL0064AE Annual Visual ACM Surveillance Check

Location Description of Material HM

ACM

Amount Photographs Condition

Action

Required Comments

Suspect Materials (PACM)

Outside Eaves

Suspect plaster coating on outside eaves/overhangs of the building. Good

O&M, Assume

ACM until sampled and analyzed.

Collect samples and analyze to determine if ACM. ACM content unknown.

Stairwell to Penthouse Suspect stair tread and mastic Good

O&M, Assume

ACM until sampled and analyzed.

Collect samples and analyze to determine if ACM. ACM content unknown.

Janitor's closets Suspect ceramic tile adhesive. Good

O&M, Assume

ACM until sampled and analyzed.

Collect samples and analyze to determine if ACM. ACM content unknown.

Throughout

Suspect Fire Doors, Two doors remaining up in the penthouse and

1 door on the 7th Floor leading to the penthouse. Good

O&M, Assume

ACM until sampled and analyzed.

Collect samples and analyze to determine if ACM. ACM content unknown.

New Snack Room (Previously Room

221) and other walls being installed on the 5-7 floors during major renovation in 2008

Suspect Joint Compound and

Drywall Good

O&M, Assume

ACM until sampled and analyzed.

Collect samples and analyze to determine if ACM. ACM content unknown.

Throughout Building

Above Drop and Plaster Ceilings .

Duct Insulation, Black Skim Coat on

Fiberglass Ducts & Mixing Boxes 32 Good O&M

Removed on 2nd, 5th, and 6th floor.

Visible on 1st, 3rd, 4th and7th floors.

TAMPA, FLORIDA 33602 Date: October 23, 2019

FL0064AE Annual Visual ACM Surveillance Check

Location Description of Material HM

ACM

Amount Photographs Condition

Action

Required Comments

Vertical and other Pipe Chases

Wrap on Hot and Cold Water Return

& Supply 4" Diameter Pipe Fittings

(above suspended ceilings and in pipe chases). 74

Unknown/

Good O&M Visible on the 7th Floor.

First Floor

Maintenance Shop and Hallway

9 x 9 White Floor Tile & Black

Adhesive 80 `1400SF Dull, Good

Seal with wax, O&M

Fire Pump Room Floor tile, 12"x12" Beige Dull, Good

Seal with wax.

O&M, Assume

ACM until sampled and analyzed.

Collect samples and analyze to determine if ACM. ACM content unknown.

Generator/loading dock Domestic cold water elbows 74 2 elbows Good Label, O&M

East Stairwell Pipe/AH Ductwork under stairs

Domestic cold water elbows on water line 74 2 elbows Good Label, O&M

East Stairwell Pipe/AH Ductwork under stairs

Black mastic on silver foil duct insulation 84 ~200SF Good Label, O&M

TAMPA, FLORIDA 33602 Date: October 23, 2019

FL0064AE Annual Visual ACM Surveillance Check

Location Description of Material HM

ACM

Amount Photographs Condition

Action

Required Comments

West Stairwell Pipe/AH Ductwork under stairs Domestic cold water elbows 74 ~12 elbows Good Label, O&M

West Stairwell Pipe/AH Ductwork under stairs

Black mastic on silver foil duct insulation 84 ~100 SF Poor

Abate/Seal/

Repair, O&M

Throughout

Common Wall Plaster, Core and

Exterior Walls 90

Good/Fair (Not all areas inspected) Repair/Abate, O&M

Damaged in 1st and 3rd floors janitorial closet and 1st generator room, east side of 3rd and 4th floor (vacant space) and 1st floor electrical room. Negative in all 3 samples collected by Koch

1992. However, identified in samples on other floors and should be considered to contain asbestos on all floors.

West Stairwell

Suspect mastic where door number plaque used to be. Good

O&M, Assume

ACM until sampled and analyzed.

Collect samples and analyze to determine if ACM. ACM content unknown.

Corridor & Elevator Lobby and Electrical

& Telephone Closets Common Ceiling Plaster 33 Unknown

Seal top of plaster ceiling above the drop ceiling

The 2010 report stated - Some areas above the drop ceiling had exposed edges that appeared to be damaged.

Identified in samples on other floors and should be considered to contain asbestos on all floors.

TAMPA, FLORIDA 33602 Date: October 23, 2019

FL0064AE Annual Visual ACM Surveillance Check

Location Description of Material HM

ACM

Amount Photographs Condition

Action

Required Comments

Second Floor

Throughout

Common Wall Plaster, Core and

Exterior Walls 90

Good, where observed. Not all areas O&M

A/C Units above Suspended Ceiling

Black mastic on silver foil duct insulation 84

Unknown, Good where viewed O&M

Added to ACM surveillance inventory based on Sampling Report dated April

22, 2009 by OHC Environmental

Engineering. No access to occupied tenant spaces in FY2017 Floors 2, 5, 6 and 7.

Corridor & Elevator Lobby and

Electrical & Telephone Closets Common Ceiling Plaster 33 Unknown O&M

All plaster in the men's and women's restrooms and the adjoining custodial closet were reportedly removed in late

1999 through early 2000 and replaced with drywall.

Throughout Center of Building

Wrap on Hot and Cold Water Return

& Supply 4" Diameter Pipe Fittings

(above suspended ceilings) 79 Unknown O&M

Observed above drop ceiling on the 4th-

7th floors. Assume in drop ceiling above all suspended ceilings. Insulation viewed through access panel in janitor closet appears to be fiberglass.

Throughout

12 x 12 White w/ Black Streaks Floor

Tile & Black Adhesive under Carpet

(~7000SF) except for Hallway and snack room(~2500SF) 89

Good in hallway, Dull in 2nd Floor

Storage

Room

O&M, Maintain wax coating Carpet on top of tile; Exposed in hallway.

Hallway Mastic behind brown stone panels Unknown

Assume ACM until sampled and analyzed. O&M

Collect samples and analyze to determine if ACM. ACM content unknown.

New Snack Room (Previously Room

221)

Suspect Black Mastic on Floor

(Floor Tiles had been removed) Unknown

Assume ACM until sampled and analyzed. O&M

Collect samples and analyze to determine if ACM. ACM content unknown.

New Snack Room (Previously Room

221)

Suspect Joint Compound and

Drywall Good

Assume ACM until sampled and analyzed. O&M

Collect samples and analyze to determine if ACM. ACM content unknown.

TAMPA, FLORIDA 33602 Date: October 23, 2019

FL0064AE Annual Visual ACM Surveillance Check

Location Description of Material HM

ACM

Amount Photographs Condition

Action

Required Comments

Third Floor

Throughout

Common Wall Plaster, Core and

Exterior Walls 90

Bubbling and damaged at windows in

Railroad office.

Windows currently sealed with plastic.

Determine ACM content, repair/abate.

Conduct air sampling, material is friable.

Immediate attention required.

Ensue plastic seal remains intact until.

2% Chrysotile in all 3 samples collected by Koch 1992; Covered by wallpaper.

No access to Railroad office in FY2019.

A/C Units above Suspended Ceiling

Black mastic on silver foil duct insulation 84

Unknown, Good where viewed O&M

Added to ACM surveillance inventory based on Sampling Report dated April

22, 2009 by OHC Environmental

Engineering. No access to occupied tenant spaces in FY2018 Floors 2, 5, 6 and 7.

Corridor & Elevator Lobby and Electrical

& Telephone Closets Common Ceiling Plaster 33

Poor (3rd

Janitor's closet.) Door is sealed.

Prohibit Access.

Repair/Abate, O&M

Damaged in 1st and 3rd floor janitorial closets and 1st generator room, east side of 3rd and 4th floor (vacant space).

Negative in all 3 samples collected by

Koch 1992. However, identified in samples on other floors and should be considered to contain asbestos on all floors. No access in FY2019

Unoccupied Office Space

Floor tile, 12"x12" white with blue streaks under carpet

Poor in closet. Not all areas inspected.

Assume ACM until sampled and analyzed. O&M

Collect samples and analyze to determine if ACM. ACM content unknown.

Throughout Center of Building

Wrap on Hot and Cold Water Return

& Supply 4" Diameter Pipe Fittings

(above suspended ceilings) 79 Unknown O&M

Removed from above drop ceiling in women's restroom as seen through ceiling access panel. Observed above drop ceiling on the 4th-7th floors. Assume in drop ceiling above all suspended ceilings.

Throughout Offices and Hallways

12 x 12 White w/ Black Streaks Floor

Tile & Black Adhesive Under Carpet 89 Unknown O&M Under carpet

TAMPA, FLORIDA 33602 Date: October 23, 2019

FL0064AE Annual Visual ACM Surveillance Check

Location Description of Material HM

ACM

Amount Photographs Condition

Action

Required Comments

Fourth Floor

Throughout

Common Wall Plaster, Core and

Exterior Walls. No damage seen via the access panels. 90

Good, Damaged at windows. Not all areas inspected. O&M

2-3% Chrysotile in all 3 samples collected by Koch 1992

Corridor & Elevator Lobby and Electrical

& Telephone Closets Common Ceiling Plaster 33

Good/Fair

(Janitor's closet) Repair/abate, O&M

Negative in all 3 samples collected by

Koch 1992. However, identified in samples on other floors and should be considered to contain asbestos on all floors.

A/C Units above Suspended Ceiling

Black mastic on silver foil duct insulation 84

Unknown, Good where viewed O&M

Added to ACM surveillance inventory based on Sampling Report dated April

22, 2009 by OHC Environmental

Engineering. No access to occupied tenant spaces in FY2017 Floors 2, 5 and 7.

Computer Room Acoustical wall panels 12"x12" Good/Fair

Assume ACM until sampled and analyzed. O&M

Collect samples and analyze to determine if ACM. ACM content unknown.

Computer Room Entrance

Suspect Black Mastic and floor tile

(White with black specs 12"x12") exposed at entrance and under carpet Good

Assume ACM until sampled and analyzed. O&M

Collect samples and analyze to determine if ACM. ACM content unknown.

Throughout Center of Building

Wrap on Hot and Cold Water Return

& Supply 4" Diameter Pipe Fittings

(above suspended ceilings) 79

Good/ unknown where not observed.

O&M, Repair appropriately.

Inaccessible except in access panel in restrooms and custodial closets. Assume in drop ceiling above all suspended ceilings.

Throughout Offices

12 x 12 White w/ Black Streaks Floor

Tile & Black Adhesive Under Carpet 89 Unknown/Fair O&M

Preparing to renovate space. If carpet is glued, carpet removal must be treated as abatement project.

Potentially in Offices under carpet squares.

TAMPA, FLORIDA 33602 Date: October 23, 2019

FL0064AE Annual Visual ACM Surveillance Check

Location Description of Material HM

ACM

Amount Photographs Condition

Action

Required Comments

Fifth Floor

Throughout

Common Wall Plaster, Core and

Exterior Walls 90

Good, where observed. Not all areas inspected. O&M

2% Chrysotile in 1 of 3 samples collected by Koch 1992

All Ceiling Plaster Common Ceiling Plaster 33 N/A Removed N/A Removed

Obtain new sampling report in

2007/2008 for renovation. Reportedly removed during 2007/2008 Renovation, Visually verify.

East Break room Purple rolled flooring 50 N/A Removed N/A Removed Removed

Throughout Center of Building

Wrap on Hot and Cold Water Return

& Supply 4" Diameter Pipe Fittings

(above suspended ceilings) 79 Unknown O&M

Abatement may have occurred however, documentation was not available. Could not locate in 2017.

Throughout Offices and Corridors

12 x 12 White w/ Black Streaks

Floor Tile & Black Adhesive Under

Carpet 89 N/A Removed N/A Removed

January FOH survey indicated that all flooring in this area was removed.

Letter from contractor available stating no asbestos used in new materials (on file).

Sixth Floor

All Ceiling Plaster Common Ceiling Plaster 33 N/A Removed N/A Removed

Obtain new sampling report in

2007/2008 for renovation. Removed

During 2007/2008 Renovation, Visually verify removal.

Throughout

Common Wall Plaster, Core and

Exterior Walls 90

Good, where observed (Not all spaces inspected) O&M

Negative in all 3 samples collected by

Koch 1992. However, identified in samples on other floors and should be considered to contain asbestos on all floors.

Throughout

Black/yellow adhesive/mastic under

12x12 floor tile blue with blue streaks 30 Unknown O&M

Could not locate in 2019. SSA space restricted, no access.

TAMPA, FLORIDA 33602 Date: October 23, 2019

FL0064AE Annual Visual ACM Surveillance Check

Location Description of Material HM

ACM

Amount Photographs Condition

Action

Required Comments

Seventh Floor

All Ceiling Plaster Common Ceiling Plaster 33 N/A Removed N/A Removed

Removed During FY09 Renovation, Review abatement documents to confirm.

Throughout

Common Wall Plaster, Core and

Exterior Walls 90 N/A Removed N/A Removed

Removed During FY09 Renovation, Review abatement documents to confirm.

Throughout Center of Building

Wrap on Hot and Cold Water Return

& Supply 4" Diameter Pipe Fittings

(above suspended ceilings) 79

Unknown, Previously reported as

Fair

Condition

Repair or remove damaged pipe fittings and HEPA vacuum Reportedly abated on floors 5, 6 and 7.

Throughout

Black/yellow adhesive/mastic under 12x12 floor tile blue with blue streaks 30 N/A Removed N/A Removed

All ACM reportedly removed on 7th floor.

Throughout Offices and Corridors

12 x 12 White w/ Black Streaks

Floor Tile & Black Adhesive Under

Carpet except for ~45 SF exposed in Foyer in Old Janitorial Office

Room 720. 89 N/A Removed N/A Removed

Above ceiling in restroom

Black mastic on silver foil duct insulation 32 N/A Removed N/A Removed

Reportedly abated, could not locate in

FY2017. Reportedly abated on floors 5, 6 and 7.

Above concrete block walls Insulation behind drywall Unknown

Assume ACM until sampled and analyzed.

Collect samples and analyze to determine if ACM. ACM content unknown.

Above concrete block walls Drywall Good

Assume ACM until sampled and analyzed.

Collect samples and analyze to determine if ACM. ACM content unknown.

Throughout Roof drain fittings Unknown Unknown Determine if still present.

TAMPA, FLORIDA 33602 Date: October 23, 2019

FL0064AE Annual Visual ACM Surveillance Check

Location Description of Material HM

ACM

Amount Photographs Condition

Action

Required Comments

Penthouse

Mechanical Room

AHU Insulation, White Mud over

Chicken Wire 77 Poor

Repair or remove damaged mud on

AHUs and ducting.

Damage has been noted in surveillance inspections for several years.

Deterioration has continued and is now significant. One area repaired with fiberglass board.

Mechanical Room

Heating Hot Water Return & Supply

4" Diameter Pipe Straight Runs on

Northeast side of mechanical room 78

Minor

Damage, Good

Repair, abate.

O&M

Mechanical Room

Wrap on Heating Hot Water Return &

Supply 4" Diameter Pipe Fittings on

Northeast side of mechanical room 79 Fair

Repair, abate.

O&M. Consider all hard elbows to be

ACM.

April 22, 1999 removed about 3 ACM fittings and 2 LF of pipe.

Mechanical Room

Boiler Stack Breeching on Northeast side of mechanical room 9 Fair

Repair or remove damaged ACM.

O&M The boiler breeching is painted orange.

Mechanical Room

Domestic Hot Water Tank on East side of mechanical room 6

Fair (Cracks and damage)

Repair/abate.

O&M

Mechanical Room Light grey caulk around windows 3 Fair Abate/Seal. O&M Deterioration occurring.

TAMPA, FLORIDA 33602 Date: October 23, 2019

FL0064AE Annual Visual ACM Surveillance Check

Location Description of Material HM

ACM

Amount Photographs Condition

Action

Required Comments

Inside Air Fan Rooms Pipe Straight Runs and Elbows

Poor, Room is mixing box

Sample and analyze

Immediately. Treat as ACM until sampled.

Abate/repair/seal.

Conduct air sampling if occupant spaces affected.

Collect samples and analyze to determine if ACM. No labels - ACM content unknown.

Mechanical Room

Domestic Hot Water Return & Supply

4" Diameter Pipe Straight Runs on

East side of mechanical room 78 Good O&M

Mechanical Room

Domestic Hot Water Return & Supply

4" Diameter Pipe Fittings on East side of mechanical room 79

Minor

Damage, Good

Repair, abate.

O&M. Consider all hard elbows to be

ACM.

New insulation on piping. Not labeled.

Confirm non asbestos, label, and update this surveillance list. Consider all hard elbows to be ACM

Roof

Building exterior Caulk, light gray 15 Fair Abate/Seal. O&M Deterioration observed.

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

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

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

BLACK - Indicates ACM.

*Remaining ACM was not measured, rather based on previous survey data by other inspectors.

Most Recent Bulk Sampling Survey - FOH January 2007

CHECKLIST/FORM 3614

Total Citations_____

Repeat Citations _____

Corrected Citations _____

Building No: FL0064

Building Manager: Makena Baco Facility Phone No:

Date of Inspection: 10/23/19 Other Contact No:

GSA Personnel Accompanying Inspector: Makena Baco

Name of GSA PMC Asbestos Program Manager

O&M Contractor: Katmai O&M Contact Reimon Cruz

Company Phone Number:

Custodial Contractor: Katmai Custodial Contact Reimon Cruz

Company Phone Number:

x Yes No N/A ACM present? ___TSI ___VAT ___SURFACING ___MISC

Yes x No N/A

Were documented annual notifications present for the following?

GSA policy and 1910.1001(j)(2)(ii)

___ Tenants ___ O&M Contractor ___ Custodial

Yes No x N/A

Annual visual surveillance inspections conducted since previous year? Date of last inspection? List date

2018 Yes No N/A

Has the GSA BM completed the 2 hour GSA University class for asbestos?

Yes x No N/A

Does the GSA BMS/FOS person have current asbestos awareness or higher level training?

List Current Level of Training

Yes x No N/A

Is there documented evidence of outside contractors being notified of the presence of ACM before they were allowed to work in the building? (e.g., telephone) 1910.1001(j)(2)(iii) x Yes No N/A

Is new sampling data available since last inspection? If yes, obtain a copy, check against Inspection records and add copy to GSA SEMB binder.

Yes x No N/A Were ACM records available for review in this building?

Check all dates that apply: 1910.1001(j)(2)(ii)

___ 1986 survey ___1990 - 1992 Survey ___1995 Survey

___2007 - 2009 3-yr Re-inspection ___ Annual Visual

___Other Surveys? List Dates and Authors

ANNUAL VISUAL ACM INSPECTION CHECKLIST 2019

I. FACILITY QUESTIONS (Based on GSA Asbestos portion of the Contract with both O&M and

Custodial contractors)

Facility Name: Timberlake FB

Yes x No N/A Were the ACM records up to date?

Yes x No N/A

Did the O&M Contractor repair/remove any ACM <3 SF/LF since the last inspection?

x Yes No N/A

Did the O&M Contractor have their Asbestos removal contractor remove any ACM <3 SF/LF?

Yes No N/A

If yes to any of the two above questions is there paperwork available for review as per NIBS and GSA asbestos O&M plan documents?

Yes x No N/A If yes, is there disposal paperwork?

Unk Yes No N/A Did a minor or major fiber release episode(s) occur this year?

Yes No x N/A If yes, was documentation present?

Yes No x N/A If yes, who handled release(s)? List name:

x Yes No N/A

If yes, was air monitoring conducted? GSA asbestos contract requirements.

x Yes No N/A If yes, was air monitoring data available for review?

Yes No x N/A

Was any work done above drop ceilings that contain ACM fireproofing material? This includes stringing cable, telephone wiring, ductwork or new piping.

x Yes No N/A

Were there any new AHUs, chillers, boilers, hot water heaters, cooling towers, new roof, etc. added since the last inspection? If yes, then what type of equipment and was any asbestos removed?

4th floor begining

Yes x No N/A

Were there any new renovation or remodeling since the last inspection? If yes, then was any asbestos removed? Note: List areas where new renovation occurred for future AHERA sampling.

Yes No x N/A

If yes, was there documentation from the re-modeler, renovator, roofer, architect, engineer, etc., stating no asbestos was used in any of the building materials? If yes, obtain a copy for the file. If no, recommend that they need to obtain an “Asbestos not used in building materials to the best of their knowledge” document for each renovation. Note: remind BM that asbestos still found in current building products.

Yes x No N/A Is there sprayed-on material at this facility?

Yes No x N/A

If yes, was annual air monitoring performed as per GSA PBS

Asbestos Policy Final Issuance dated September 17, 2007?

Yes No x N/A Did GSA RED remove any ACM since the last inspection?

If yes, how much, where and did they leave the BM this paperwork?

Quantity

II. CONTRACTOR’S PROGRAMS

Custodial

Yes partial No N/A

Does Custodial Contractor have documentation of annual refresher asbestos awareness training records? GSA contract requirements &

OSHA 1910.1001 (j)(7)(iv)

Yes x No N/A

Does Custodial Contractor have documentation of 2-hr initial asbestos awareness training records for new employees since last year’s inspection? GSA contract requirements & OSHA 1910.1001

(j)(7)(iv) x Yes No N/A Does the Custodial Contractor strip VAT flooring?

x Yes No N/A

If yes, does the Custodial Contractor use a stripper operating at less than 300 rpm, use wet methods and non-abrasive pads? OSHA

1910.1001 (k)(7)(ii)

Yes No x N/A

Does the Custodial Contractor use HEPA vacuum cleaners on a periodic basis or wet wipe surfaces (In those areas with asbestos sprayed-on ceiling and wall material or Asbestos ceiling tiles are present)? OSHA 1910.1001 (k)(4)

O&M x Yes No N/A

Does O&M contractor have one 16-hour asbestos trained O&M maintenance mechanic onsite? GSA asbestos contract requirements and OSHA 1926.1101 (k)(9)(i) & (v) Note: O&M must have one 16-hour O&M asbestos trained person at a minimum.

x Yes No N/A

Does the O&M contractor have the EPA Green book onsite or readily available entitled “Managing Asbestos in Place”? Note: GSA asbestos contract requirements. Note: Readily available means the

O&M contractor supervisor had a copy either onsite or at another facility that you observed or has a copy at their home office.

Yes x No N/A

Does the O&M contractor have the NIBS manual either onsite or readily available entitled “Asbestos Operations and Work Practices”.

Note: GSA asbestos contract requirements.

x Yes No N/A

Does O&M contractor have initial asbestos awareness training records for current employees if they do not work on asbestos?

OSHA 1926.1101 (k)(9)(i) & (vi)

Yes x No N/A

Does O&M Contractor have asbestos awareness refresher training records? OSHA 1926.1101 (k)(9)(ii)

Yes x No N/A

Does the O&M Contractor have an Asbestos Abatement (removal)

Subcontractor under…