561A4 15 102 Specifications_Part3.pdf
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- Y1DZ--Correct FCA Deficiencies Building 1| Federal contract opportunity
- Solicitation number
- 36C24222B0031_1
About this file
This federal solicitation is for construction services to correct deficiencies in Building 1 at the VA New Jersey Healthcare System located in Lyons, NJ. The contractor shall demolish existing structures, prepare the site for building operations, and furnish labor and materials to perform work defined by attached drawings and specifications for VA Project #561A4-15-102. The work is set aside for Service-Disabled Veteran Owned Small Businesses and has a magnitude between $1-5 million. The completion time is 365 days from notice to proceed. A pre-bid walkthrough is scheduled for June 2, 2022 at 9 AM eastern. The NAICS code is 236220 and the business size is $39.5 million.
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Bldg 1 VALy_Photo_Log_1.xls Page 25 of 28
Name of Inspector:
Property Name:
Property Address: 1151 Knollcroft Road, Lyons, New Jersey VA Project No.: 561A4-10-130Bldg. No.:
Briggs Proj No.: 100-BBLM-10
TABLE 2.1 PHOTOGRAPHIC RECORD
Douglas Ferry / Michael Hoodak Field Dates: 5/20-31/2011 Dept. of Veterans Affairs, VA Medical Center Lyons
Vibration damper - dark cloth
Photo No.: 1-P77 HSA No.: 01-77 ACM? Y/N No Location: Attic Description: Attic insulation
Photo No.: 1-P78 HSA No.: 01-78 ACM? Y/N No Location: Attic Mech.Room Description: Vibration damper - light cloth
Photo No.: 1-P79 HSA No.: 01-79 ACM? Y/N No Location: Attic Mech.Room Description:
Bldg 1 VALy_Photo_Log_1.xls Page 26 of 28
Property Name:
Property Address: 1151 Knollcroft Road, Lyons, New Jersey VA Project No.: 561A4-10-130Bldg. No.:
Briggs Proj No.: 100-BBLM-10
TABLE 2.1 PHOTOGRAPHIC RECORD
Douglas Ferry / Michael Hoodak Field Dates: 5/20-31/2011 Dept. of Veterans Affairs, VA Medical Center Lyons
9"x9" vinyl floor tile - brown Mastic under 9"x9" brown VFT - brown
12"x12" vinyl floor tile - black
Photo No.: 1-P80 HSA No.: 01-80/81/82 ACM? Y/N No/No/No Location: Pre-Fab Work St (121) Description: 12"x12" vinyl floor tile - white
Mastic under 12"x12" white VFT - black
01-83/84 ACM? Y/N Yes/Yes Location:
Photo No.: 1-P83 HSA No.:
Admin Dir (120B) Description:
Photo No.: 1-P85 HSA No.: 01-85 ACM? Y/N No Location: Conference Room (120D) Description: Leveling compound
Bldg 1 VALy_Photo_Log_1.xls Page 27 of 28
Property Name:
Property Address: 1151 Knollcroft Road, Lyons, New Jersey VA Project No.: 561A4-10-130Bldg. No.:
Briggs Proj No.: 100-BBLM-10
TABLE 2.1 PHOTOGRAPHIC RECORD
Douglas Ferry / Michael Hoodak Field Dates: 5/20-31/2011 Dept. of Veterans Affairs, VA Medical Center Lyons
Photo No.: 1-P86 HSA No.: 01-86 ACM? Y/N No
Description: 12"x12" vinyl floor tile - white w/blue & gray specks
Location: Police Center Corridor Description: 12"x12" vinyl floor tile - white
HSA No.: 01-88
Mastic under 12"x12" white vinyl floor tile -black
Photo No.: 1-P87
ACM? Y/N No Location: Police Control Room
Yes Location: Police Center Corridor
Photo No.: 1-P88
Description:
HSA No.: 01-87
ACM? Y/N
Bldg 1 VALy_Photo_Log_1.xls Page 28 of 28
Property Name:
Property Address: 1151 Knollcroft Road, Lyons, New Jersey VA Project No.: 561A4-10-130Bldg. No.:
Briggs Proj No.: 100-BBLM-10
TABLE 2.1 PHOTOGRAPHIC RECORD
Douglas Ferry / Michael Hoodak Field Dates: 5/20-31/2011 Dept. of Veterans Affairs, VA Medical Center Lyons
Window caulk - gray inside layer Window caulk - brown outside layer
ACM? Y/N Yes/Yes Location: Exterior Description:
Photo No.: 1-P90 HSA No.: 01-90/91
ACM? Y/N No Location: Police Control Room Description: Mastic under 12"x12" white w/blue&gray specks - yellow
Photo No.: 1-P89 HSA No.: 01-89
APPENDIX C-1
TABLE 3.1 – ASBESTOS CONTAINING MATERIALS
INVENTORY / ASSESSMENT
VALy_ACM Inventory.xls Page 1 of 15
Name of Inspector: 5/20-31/2011 Property Name: 100-BBLM-10 Property Address: Bldg. No.: 1 561A4-10-130
B 01 01-07 Mastic under 12"x12" mauve speckled VFT 260 sf 3.5% Ch Misc NF1 Good 0 sf Low Low 1
01-08 9"x9" vinyl floor tile - beige w/clouds 100 sf 1.4% Ch Misc NF1 Good 0 sf Low Low 1
01-09 Mastic under 9"x9" beige w/clouds VFT 100 sf 3.7% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 385 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 385 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 120 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 120 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
B 06 01-07 Mastic under 12"x12" mauve speckled VFT 112 sf 3.5% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 100 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 100 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 100 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 100 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 100 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 100 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 168 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 168 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 252 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 252 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
B 012 Corridor
B 08 Lab Storage
B 09 Lab Storage
B 05 Office
B 07 Lab Storage
B 03 Stair
B 04 Corridor
TABLE 3.1 ASBESTOS CONTAINING MATERIALS INVENTORY / ASSESSMENT
Douglas Ferry / Michael Hoodak Field Dates:
Dept. of Veterans Affairs, VA Medical Center Lyons Briggs Project No.:
151 Knollcroft Road, Lyons, New Jersey VA Project No.:
Fl oo r
Fu nc tio na l Sp ac e
Room Description
H
SA
Material Description Quantity Estimate
Type of
ACM
Material Category
ACM Assessment
Notes Friability Condition Amount of
Damage Potential for Disturbance
Potential for Human
Exposure
R es po ns e A ct io n
HRMS
Office
B 10 Veterans Benefits
VALy_ACM Inventory.xls Page 2 of 15
Property Name: 100-BBLM-10 Property Address: Bldg. No.: 1 561A4-10-130
TABLE 3.1 ASBESTOS CONTAINING MATERIALS INVENTORY / ASSESSMENT
Douglas Ferry / Michael Hoodak Field Dates:
Dept. of Veterans Affairs, VA Medical Center Lyons Briggs Project No.:
151 Knollcroft Road, Lyons, New Jersey VA Project No.:
Fl oo r
Fu nc tio na l Sp ac e
Room Description
H
SA
Material Description Quantity Estimate
Type of
ACM
Material Category
ACM Assessment
Notes Friability Condition Amount of
Damage Potential for Disturbance
Potential for Human
Exposure
R es po ns e A ct io n
01-12 9"x9" vinyl floor tile - light beige speckled 720 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 720 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 144 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 144 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 144 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1 bottom layer
01-13 Mastic under 9"x9" light beige speckled VFT - black 144 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 144 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1 bottom layer
01-13 Mastic under 9"x9" light beige speckled VFT - black 144 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 144 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 144 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 20 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 20 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 132 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 132 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 132 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 132 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 60 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 60 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
020 DAV Office
B 021 DAV Office
B 015 VA Attorney
B 016 Volunteer Service
B 013 Switchboard
B 014 VA Attorney
B 017 Ktchen
B 018 Closet
B 019 Infection Control
B
VALy_ACM Inventory.xls Page 3 of 15
Property Name: 100-BBLM-10 Property Address: Bldg. No.: 1 561A4-10-130
TABLE 3.1 ASBESTOS CONTAINING MATERIALS INVENTORY / ASSESSMENT
Douglas Ferry / Michael Hoodak Field Dates:
Dept. of Veterans Affairs, VA Medical Center Lyons Briggs Project No.:
151 Knollcroft Road, Lyons, New Jersey VA Project No.:
Fl oo r
Fu nc tio na l Sp ac e
Room Description
H
SA
Material Description Quantity Estimate
Type of
ACM
Material Category
ACM Assessment
Notes Friability Condition Amount of
Damage Potential for Disturbance
Potential for Human
Exposure
R es po ns e A ct io n
01-12 9"x9" vinyl floor tile - light beige speckled 110 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 110 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 100 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 100 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 50 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 50 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
01-08 9"x9" vinyl floor tile - beige w/clouds 36 sf 1.4% Ch Misc NF1 Good 0 sf Low Low 1
01-09 Mastic under 9"x9" beige w/clouds VFT 36 sf 3.7% Ch Misc NF1 Good 0 sf Low Low 1
B 027 01-07 Mastic under 12"x12" mauve speckled VFT 272 sf 3.5% Ch Misc NF1 Good 0 sf Low Low 1
01-08 9"x9" vinyl floor tile - beige w/clouds 140 sf 1.4% Ch Misc NF1 Good 0 sf Low Low 1
01-09 Mastic under 9"x9" beige w/clouds VFT 140 sf 3.7% Ch Misc NF1 Good 0 sf Low Low 1
B 030 01-07 Mastic under 12"x12" mauve speckled VFT 100 sf 3.5% Ch Misc NF1 Good 0 sf Low Low 1
B 031 01-07 Mastic under 12"x12" mauve speckled VFT 300 sf 3.5% Ch Misc NF1 Good 0 sf Low Low 1
B 031A 01-07 Mastic under 12"x12" mauve speckled VFT 192 sf 3.5% Ch Misc NF1 Good 0 sf Low Low 1
01-12 9"x9" vinyl floor tile - light beige speckled 225 sf 44.8% Ch Misc NF1 Good 0 sf Low Low 1
01-13 Mastic under 9"x9" light beige speckled VFT - black 225 sf 4.1% Ch Misc NF1 Good 0 sf Low Low 1
B 035 01-07 Mastic under 12"x12" mauve speckled VFT 100 sf 3.5% Ch Misc NF1 Good 0 sf Low Low 1
B 036 01-07 Mastic under 12"x12" mauve speckled VFT 820 sf 3.5% Ch Misc NF1 Good 0 sf Low Low 1
B 041 01-07 Mastic under 12"x12" mauve speckled VFT 144 sf 3.5% Ch Misc NF1 Good 0 sf Low Low 1
B 029 Police Break Room
B 032 Corridor
Union Office
Union Office
B 023 Priority System
B 024 Police Womens Locker
B 026A
B 022 Veterans Rep
Storage Area
Police Locker
Engineering
Telephone Equipment
IRM Storage
Storage
VALy_ACM Inventory.xls Page 4 of 15
Property Name: 100-BBLM-10 Property Address: Bldg. No.: 1 561A4-10-130
TABLE 3.1 ASBESTOS CONTAINING MATERIALS INVENTORY / ASSESSMENT
Douglas Ferry / Michael Hoodak Field Dates:
Dept. of Veterans Affairs, VA Medical Center Lyons Briggs Project No.:
151 Knollcroft Road, Lyons, New Jersey VA Project No.:
Fl oo r
Fu nc tio na l Sp ac e
Room Description
H
SA
Material Description Quantity Estimate
Type of
ACM
Material Category
ACM Assessment
Notes Friability Condition Amount of
Damage Potential for Disturbance
Potential for Human
Exposure
R es po ns e A ct io n
B 042 01-07 Mastic under 12"x12" mauve speckled VFT 144 sf 3.5% Ch Misc NF1 Good 0 sf Low Low 1
B 043 01-07 Mastic under 12"x12" mauve speckled VFT 260 sf 3.5% Ch Misc NF1 Good 0 sf Low Low 1
B 045 01-07 Mastic under 12"x12" mauve speckled VFT 260 sf 3.5% Ch Misc NF1 Good 0 sf Low Low 1
B 046 01-07 Mastic under 12"x12" mauve speckled VFT 144 sf 3.5% Ch Misc NF1 Good 0 sf Low Low 1
B 047 01-07 Mastic under 12"x12" mauve speckled VFT 168 sf 3.5% Ch Misc NF1 Good 0 sf Low Low 1
01-08 9"x9" vinyl floor tile - beige w/clouds 130 sf 1.4% Ch Misc NF1 Good 0 sf Low Low 1
01-09 Mastic under 9"x9" beige w/clouds VFT 130 sf 3.7% Ch Misc NF1 Good 0 sf Low Low 1
01-08 9"x9" vinyl floor tile - beige w/clouds 75 sf 1.4% Ch Misc NF1 Good 0 sf Low Low 1
01-09 Mastic under 9"x9" beige w/clouds VFT 75 sf 3.7% Ch Misc NF1 Good 0 sf Low Low 1
G 01 01-20 Mastic under 12"x12" white w/black specks VFT - black 230 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
01-23 12"x12" vinyl floor tile 150 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1 bottom layer
01-24 Mastic under 12"x12" VFT 150 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
01-21 12"x12" vinyl floor tile - mauve speckled 200 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-22 Mastic under 12"x12" mauve speckled VFT 200 sf 2.3% Ch Misc NF1 Good 0 sf Low Low 1
01-21 12"x12" vinyl floor tile - mauve speckled 60 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-22 Mastic under 12"x12" mauve speckled VFT 60 sf 2.3% Ch Misc NF1 Good 0 sf Low Low 1
G 07 01-20 Mastic under 12"x12" white w/black specks VFT - black 400 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
G 12 01-31 Mastic under 12"x12" light mauve speckled VFT 100 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
Vacant
Corridor
G 03 Vacant
B 048 Stair
B 052 Exit
MAT Records
Vacant
Stair Hall
G 05
G 06
Vacant
Records
Corridor
Corridor
IRM Storage
VALy_ACM Inventory.xls Page 5 of 15
Property Name: 100-BBLM-10 Property Address: Bldg. No.: 1 561A4-10-130
TABLE 3.1 ASBESTOS CONTAINING MATERIALS INVENTORY / ASSESSMENT
Douglas Ferry / Michael Hoodak Field Dates:
Dept. of Veterans Affairs, VA Medical Center Lyons Briggs Project No.:
151 Knollcroft Road, Lyons, New Jersey VA Project No.:
Fl oo r
Fu nc tio na l Sp ac e
Room Description
H
SA
Material Description Quantity Estimate
Type of
ACM
Material Category
ACM Assessment
Notes Friability Condition Amount of
Damage Potential for Disturbance
Potential for Human
Exposure
R es po ns e A ct io n
01-21 12"x12" vinyl floor tile - mauve speckled 150 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-22 Mastic under 12"x12" mauve speckled VFT 150 sf 2.3% Ch Misc NF1 Good 0 sf Low Low 1
01-31 Mastic under 12"x12" light mauve speckled VFT 580 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
01-41 Mastic under 12"x12" gray clouded VFT 1,160 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
01-42 Lab tables - composite 400 sf Assumed Misc NF1 Good 0 sf Low Low 1
G 16 01-31 Mastic under 12"x12" light mauve speckled VFT 30 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 17 01-41 Mastic under 12"x12" gray clouded VFT 95 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
01-43 9"x9" vinyl floor tile - light brown streaked 75 sf 3.5% Ch Misc NF1 Good 0 sf Low Low 1
01-44 9"x9" vinyl floor tile - light beige streaked 75 sf 2.2% Ch Misc NF1 Good 0 sf Low Low 1
01-45 Mastic under 9"x9" VFT -black/brown 150 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 19 01-47 Mastic under 12"x12" light gray speckled VFT - brown 130 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 21 01-47 Mastic under 12"x12" light gray speckled VFT - brown 30 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 22 01-47 Mastic under 12"x12" light gray speckled VFT - brown 100 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 23 01-47 Mastic under 12"x12" light gray speckled VFT - brown 100 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
01-43 9"x9" vinyl floor tile - light brown streaked 160 sf 3.5% Ch Misc NF1 Good 0 sf Low Low 1
01-44 9"x9" vinyl floor tile - light beige streaked 160 sf 2.2% Ch Misc NF1 Good 0 sf Low Low 1
01-45 Mastic under 9"x9" VFT -black/brown 320 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 28 01-31 Mastic under 12"x12" light mauve speckled VFT 160 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 29 01-31 Mastic under 12"x12" light mauve speckled VFT 140 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
Multipurpose RoomG 13
Secretary Lab
Blood Bank
G 15 Chemistry
Office
Corridor
Utility Closet
Foyer
Multipurpose Room
Histology
Glassware
G 18 Corridor
G 26
VALy_ACM Inventory.xls Page 6 of 15
Property Name: 100-BBLM-10 Property Address: Bldg. No.: 1 561A4-10-130
TABLE 3.1 ASBESTOS CONTAINING MATERIALS INVENTORY / ASSESSMENT
Douglas Ferry / Michael Hoodak Field Dates:
Dept. of Veterans Affairs, VA Medical Center Lyons Briggs Project No.:
151 Knollcroft Road, Lyons, New Jersey VA Project No.:
Fl oo r
Fu nc tio na l Sp ac e
Room Description
H
SA
Material Description Quantity Estimate
Type of
ACM
Material Category
ACM Assessment
Notes Friability Condition Amount of
Damage Potential for Disturbance
Potential for Human
Exposure
R es po ns e A ct io n
G 30 01-31 Mastic under 12"x12" light mauve speckled VFT 170 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 31 01-20 Mastic under 12"x12" white w/black specks VFT - black 200 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
G 32 01-20 Mastic under 12"x12" white w/black specks VFT - black 525 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
01-23 12"x12" vinyl floor tile 170 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
01-24 Mastic under 12"x12" VFT 170 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
01-23 12"x12" vinyl floor tile 120 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
01-24 Mastic under 12"x12" VFT 120 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
G 36 01-31 Mastic under 12"x12" light mauve speckled VFT 150 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
01-21 12"x12" vinyl floor tile - mauve speckled 192 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-22 Mastic under 12"x12" mauve speckled VFT 192 sf 2.3% Ch Misc NF1 Good 0 sf Low Low 1
01-21 12"x12" vinyl floor tile - mauve speckled 216 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-22 Mastic under 12"x12" mauve speckled VFT 216 sf 2.3% Ch Misc NF1 Good 0 sf Low Low 1
01-21 12"x12" vinyl floor tile - mauve speckled 60 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-22 Mastic under 12"x12" mauve speckled VFT 60 sf 2.3% Ch Misc NF1 Good 0 sf Low Low 1
01-21 12"x12" vinyl floor tile - mauve speckled 40 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-22 Mastic under 12"x12" mauve speckled VFT 40 sf 2.3% Ch Misc NF1 Good 0 sf Low Low 1
G 42 01-31 Mastic under 12"x12" light mauve speckled VFT 225 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 43B 01-37 Mastic under white speckled linoleum flooring 168 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
G 44 01-31 Mastic under 12"x12" light mauve speckled VFT 100 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
Secretary
Chief NVC
Ultrasound
X-Ray Room #3
Nuclear Med
Storage
G 35A
G 35B
G 37
G 40
G 41A
G 41B
Corridor
Lobby
Waiting Room
Venipuncture
Alcove
X-Ray Room #2
Corridor
VALy_ACM Inventory.xls Page 7 of 15
Property Name: 100-BBLM-10 Property Address: Bldg. No.: 1 561A4-10-130
TABLE 3.1 ASBESTOS CONTAINING MATERIALS INVENTORY / ASSESSMENT
Douglas Ferry / Michael Hoodak Field Dates:
Dept. of Veterans Affairs, VA Medical Center Lyons Briggs Project No.:
151 Knollcroft Road, Lyons, New Jersey VA Project No.:
Fl oo r
Fu nc tio na l Sp ac e
Room Description
H
SA
Material Description Quantity Estimate
Type of
ACM
Material Category
ACM Assessment
Notes Friability Condition Amount of
Damage Potential for Disturbance
Potential for Human
Exposure
R es po ns e A ct io n
01-38 12"x12" vinyl floor tile - white streaked 16 sf 5.4% Ch Misc NF1 Good 0 sf Low Low 1
01-39 Mastic under 12"x12" white streaked VFT 16 sf 3.1% Ch Misc NF1 Good 0 sf Low Low 1
01-38 12"x12" vinyl floor tile - white streaked 100 sf 5.4% Ch Misc NF1 Good 0 sf Low Low 1
01-39 Mastic under 12"x12" white streaked VFT 100 sf 3.1% Ch Misc NF1 Good 0 sf Low Low 1
G 50 01-31 Mastic under 12"x12" light mauve speckled VFT 120 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 50B 01-31 Mastic under 12"x12" light mauve speckled VFT 120 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 51 01-31 Mastic under 12"x12" light mauve speckled VFT 300 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 52 01-31 Mastic under 12"x12" light mauve speckled VFT 250 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 53 01-31 Mastic under 12"x12" light mauve speckled VFT 120 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 55 01-31 Mastic under 12"x12" light mauve speckled VFT 100 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
G 59 01-31 Mastic under 12"x12" light mauve speckled VFT 250 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
01-21 12"x12" vinyl floor tile - mauve speckled 360 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-22 Mastic under 12"x12" mauve speckled VFT 360 sf 2.3% Ch Misc NF1 Good 0 sf Low Low 1
01-21 12"x12" vinyl floor tile - mauve speckled 100 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-22 Mastic under 12"x12" mauve speckled VFT 100 sf 2.3% Ch Misc NF1 Good 0 sf Low Low 1
01-21 12"x12" vinyl floor tile - mauve speckled 100 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-22 Mastic under 12"x12" mauve speckled VFT 100 sf 2.3% Ch Misc NF1 Good 0 sf Low Low 1
01-23 12"x12" vinyl floor tile 100 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1 bottom layer
01-24 Mastic under 12"x12" VFT 100 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
Recap
Corridor
Storage Room
Dark Room
Corridor
Radiologist
G 45
G 46
G 60 Film Storage
G Enmployee Lounge
G 62 Stair Hall
G 66 Chief Tech
Waiting Room
Chief Radiologist
Secretary
VALy_ACM Inventory.xls Page 8 of 15
Property Name: 100-BBLM-10 Property Address: Bldg. No.: 1 561A4-10-130
TABLE 3.1 ASBESTOS CONTAINING MATERIALS INVENTORY / ASSESSMENT
Douglas Ferry / Michael Hoodak Field Dates:
Dept. of Veterans Affairs, VA Medical Center Lyons Briggs Project No.:
151 Knollcroft Road, Lyons, New Jersey VA Project No.:
Fl oo r
Fu nc tio na l Sp ac e
Room Description
H
SA
Material Description Quantity Estimate
Type of
ACM
Material Category
ACM Assessment
Notes Friability Condition Amount of
Damage Potential for Disturbance
Potential for Human
Exposure
R es po ns e A ct io n
G 68 01-20 Mastic under 12"x12" white w/black specks VFT - black 270 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
G 27A 01-87 Mastic under 12"x12" white vinyl floor tile - black 196 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
G 27C 01-87 Mastic under 12"x12" white vinyl floor tile - black 80 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 27C 01-87 Mastic under 12"x12" white vinyl floor tile - black 30 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 27D 01-87 Mastic under 12"x12" white vinyl floor tile - black 192 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 27E 01-87 Mastic under 12"x12" white vinyl floor tile - black 72 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
G 27F 01-87 Mastic under 12"x12" white vinyl floor tile - black 168 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
1 101 01-48 12"x12" vinyl floor tile - light mauve speckled 900 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
1 101A 01-48 12"x12" vinyl floor tile - light mauve speckled 76 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
1 102 01-48 12"x12" vinyl floor tile - light mauve speckled 150 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
1 103 01-48 12"x12" vinyl floor tile - light mauve speckled 85 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
01-52 9"x9" vinyl floor tile 100 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-53 Mastic under 9"x9" VFT 100 sf 8.8% Ch Misc NF1 Good 0 sf Low Low 1
01-52 9"x9" vinyl floor tile 140 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-53 Mastic under 9"x9" VFT 140 sf 8.8% Ch Misc NF1 Good 0 sf Low Low 1
01-52 9"x9" vinyl floor tile 140sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-53 Mastic under 9"x9" VFT 140 sf 8.8% Ch Misc NF1 Good 0 sf Low Low 1
01-52 9"x9" vinyl floor tile 168 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-53 Mastic under 9"x9" VFT 168 sf 8.8% Ch Misc NF1 Good 0 sf Low Low 1
Police Corridor
Police Storage
Chief of Police
Police Secretary
Police Vestibule
Asst. Chief
Empl. Relations
Empl. Relations
Chief Employ
Stair Hall
Office Chief
Mech Equipment
Storage
Personnel
Elevator Lobby
1 104
1 106
1 107
1 109
VALy_ACM Inventory.xls Page 9 of 15
Property Name: 100-BBLM-10 Property Address: Bldg. No.: 1 561A4-10-130
TABLE 3.1 ASBESTOS CONTAINING MATERIALS INVENTORY / ASSESSMENT
Douglas Ferry / Michael Hoodak Field Dates:
Dept. of Veterans Affairs, VA Medical Center Lyons Briggs Project No.:
151 Knollcroft Road, Lyons, New Jersey VA Project No.:
Fl oo r
Fu nc tio na l Sp ac e
Room Description
H
SA
Material Description Quantity Estimate
Type of
ACM
Material Category
ACM Assessment
Notes Friability Condition Amount of
Damage Potential for Disturbance
Potential for Human
Exposure
R es po ns e A ct io n
1 110 01-48 12"x12" vinyl floor tile - light mauve speckled 80 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
01-52 9"x9" vinyl floor tile 168 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-53 Mastic under 9"x9" VFT 168 sf 8.8% Ch Misc NF1 Good 0 sf Low Low 1
01-52 9"x9" vinyl floor tile 168 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-53 Mastic under 9"x9" VFT 168 sf 8.8% Ch Misc NF1 Good 0 sf Low Low 1
01-52 9"x9" vinyl floor tile 168 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-53 Mastic under 9"x9" VFT 168 sf 8.8% Ch Misc NF1 Good 0 sf Low Low 1
01-52 9"x9" vinyl floor tile 250 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-53 Mastic under 9"x9" VFT 250 sf 8.8% Ch Misc NF1 Good 0 sf Low Low 1
1 112A 01-74 Pipe insulation - magnesium 12 lf 80% Ch TSI F Good 0 lf Low Low 1 in wall chase
1 113 01-48 12"x12" vinyl floor tile - light mauve speckled 75 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
01-52 9"x9" vinyl floor tile 168 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-53 Mastic under 9"x9" VFT 168 sf 8.8% Ch Misc NF1 Good 0 sf Low Low 1
01-52 9"x9" vinyl floor tile 168 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-53 Mastic under 9"x9" VFT 168 sf 8.8% Ch Misc NF1 Good 0 sf Low Low 1
1 117 01-48 12"x12" vinyl floor tile - light mauve speckled 85 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
01-83 9"x9" vinyl floor tile - brown 120 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-84 Mastic under 9"x9" brown VFT -brown 120 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
Stair Hall
Stair Hall
Staff Room
Corridor
Chief Recruit
Personal Staff
Personnel
Employment
Office
Kitchen
File Room
1 111A
1 111B
1 111C
1 112
1 114
1 114A
1 119B
VALy_ACM Inventory.xls Page 10 of 15
Property Name: 100-BBLM-10 Property Address: Bldg. No.: 1 561A4-10-130
TABLE 3.1 ASBESTOS CONTAINING MATERIALS INVENTORY / ASSESSMENT
Douglas Ferry / Michael Hoodak Field Dates:
Dept. of Veterans Affairs, VA Medical Center Lyons Briggs Project No.:
151 Knollcroft Road, Lyons, New Jersey VA Project No.:
Fl oo r
Fu nc tio na l Sp ac e
Room Description
H
SA
Material Description Quantity Estimate
Type of
ACM
Material Category
ACM Assessment
Notes Friability Condition Amount of
Damage Potential for Disturbance
Potential for Human
Exposure
R es po ns e A ct io n
01-83 9"x9" vinyl floor tile - brown 120 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-84 Mastic under 9"x9" brown VFT -brown 120 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
1 120 01-48 12"x12" vinyl floor tile - light mauve speckled 40 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
1 120A 01-48 12"x12" vinyl floor tile - light mauve speckled 112 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
01-83 9"x9" vinyl floor tile - brown 144 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-84 Mastic under 9"x9" brown VFT -brown 144 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
01-83 9"x9" vinyl floor tile - brown 120 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-84 Mastic under 9"x9" brown VFT -brown 120 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
1 121 01-48 12"x12" vinyl floor tile - light mauve speckled 112 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-83 9"x9" vinyl floor tile - brown 192 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-84 Mastic under 9"x9" brown VFT -brown 192 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
01-83 9"x9" vinyl floor tile - brown 20 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-84 Mastic under 9"x9" brown VFT -brown 20 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
01-83 9"x9" vinyl floor tile - brown 264 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-84 Mastic under 9"x9" brown VFT -brown 264 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
01-83 9"x9" vinyl floor tile - brown 320 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-84 Mastic under 9"x9" brown VFT -brown 320 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
01-83 9"x9" vinyl floor tile - brown 280 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-84 Mastic under 9"x9" brown VFT -brown 280 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
PreFab Work Station
Copy Room
Electrical Closet
Secretary
Coat Room
Chief of Staff
Medical Dir
Helen's Office
Quality Improvement
Admin Dir.
Admin Dir.
1 119H
1 120B
1 120C
1 121A
1 121B
1 121C
1 121D
1 121G
VALy_ACM Inventory.xls Page 11 of 15
Property Name: 100-BBLM-10 Property Address: Bldg. No.: 1 561A4-10-130
TABLE 3.1 ASBESTOS CONTAINING MATERIALS INVENTORY / ASSESSMENT
Douglas Ferry / Michael Hoodak Field Dates:
Dept. of Veterans Affairs, VA Medical Center Lyons Briggs Project No.:
151 Knollcroft Road, Lyons, New Jersey VA Project No.:
Fl oo r
Fu nc tio na l Sp ac e
Room Description
H
SA
Material Description Quantity Estimate
Type of
ACM
Material Category
ACM Assessment
Notes Friability Condition Amount of
Damage Potential for Disturbance
Potential for Human
Exposure
R es po ns e A ct io n
01-83 9"x9" vinyl floor tile - brown 96 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-84 Mastic under 9"x9" brown VFT -brown 96 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
01-83 9"x9" vinyl floor tile - brown 144 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-84 Mastic under 9"x9" brown VFT -brown 144 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
01-83 9"x9" vinyl floor tile - brown 256 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-84 Mastic under 9"x9" brown VFT -brown 256 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
1 125 01-41 Mastic under 12"x12" gray clouded VFT 100 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
01-52 9"x9" vinyl floor tile 168 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-53 Mastic under 9"x9" VFT 168 sf 8.8% Ch Misc NF1 Good 0 sf Low Low 1
01-52 9"x9" vinyl floor tile 168 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-53 Mastic under 9"x9" VFT 168 sf 8.8% Ch Misc NF1 Good 0 sf Low Low 1
01-52 9"x9" vinyl floor tile 112 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-53 Mastic under 9"x9" VFT 112 sf 8.8% Ch Misc NF1 Good 0 sf Low Low 1
01-52 9"x9" vinyl floor tile 168 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-53 Mastic under 9"x9" VFT 168 sf 8.8% Ch Misc NF1 Good 0 sf Low Low 1
01-52 9"x9" vinyl floor tile 168 sf 10% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
01-53 Mastic under 9"x9" VFT 168 sf 8.8% Ch Misc NF1 Good 0 sf Low Low 1
1 134 01-48 12"x12" vinyl floor tile - light mauve speckled 128 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
1 138 01-48 12"x12" vinyl floor tile - light mauve speckled 1,500 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
1 130 Computer Specialist
1 131 Personal Clerk
1 128 Chief Personnel
1 129 Sec. Chief
1 124 Assoc. Med.
1 126 Personnel Clerk
Office
1 122 File Room
1 123 Secretary
Storage
SPD Office
VALy_ACM Inventory.xls Page 12 of 15
Property Name: 100-BBLM-10 Property Address: Bldg. No.: 1 561A4-10-130
TABLE 3.1 ASBESTOS CONTAINING MATERIALS INVENTORY / ASSESSMENT
Douglas Ferry / Michael Hoodak Field Dates:
Dept. of Veterans Affairs, VA Medical Center Lyons Briggs Project No.:
151 Knollcroft Road, Lyons, New Jersey VA Project No.:
Fl oo r
Fu nc tio na l Sp ac e
Room Description
H
SA
Material Description Quantity Estimate
Type of
ACM
Material Category
ACM Assessment
Notes Friability Condition Amount of
Damage Potential for Disturbance
Potential for Human
Exposure
R es po ns e A ct io n
1 139A 01-48 12"x12" vinyl floor tile - light mauve speckled 30 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
1 144 01-48 12"x12" vinyl floor tile - light mauve speckled 1,250 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
1 145 01-48 12"x12" vinyl floor tile - light mauve speckled 165 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
2 204 01-60 12"x12" vinyl floor tile - light mauve speckled 100 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 205 01-60 12"x12" vinyl floor tile - light mauve speckled 100 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 209A 01-60 12"x12" vinyl floor tile - light mauve speckled 25 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 212 01-60 12"x12" vinyl floor tile - light mauve speckled 252 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 215 01-60 12"x12" vinyl floor tile - light mauve speckled 50 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 216 01-60 12"x12" vinyl floor tile - light mauve speckled 250 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 216D 01-60 12"x12" vinyl floor tile - light mauve speckled 192 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 218B 01-60 12"x12" vinyl floor tile - light mauve speckled 168 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
2 218C 01-60 12"x12" vinyl floor tile - light mauve speckled 336 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 218D 01-60 12"x12" vinyl floor tile - light mauve speckled 140 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 218E 01-60 12"x12" vinyl floor tile - light mauve speckled 140 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 220 01-60 12"x12" vinyl floor tile - light mauve speckled 400 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 220A 01-60 12"x12" vinyl floor tile - light mauve speckled 120 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 220B 01-60 12"x12" vinyl floor tile - light mauve speckled 120 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 220C 01-60 12"x12" vinyl floor tile - light mauve speckled 120 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 220D 01-60 12"x12" vinyl floor tile - light mauve speckled 120 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
Lobby
Corridor
HAC
Clean Utility
Vital Signs
IRM
Office/Exam Room
Stair Hall
Corridor
Echo's
Exam Room 1
Diabetics
Diabetic Clinic
Chief Resp
Corridor
Exam Room #2
Dr. Rasu Office
Cardiologist
Exam Room #3
VALy_ACM Inventory.xls Page 13 of 15
Property Name: 100-BBLM-10 Property Address: Bldg. No.: 1 561A4-10-130
TABLE 3.1 ASBESTOS CONTAINING MATERIALS INVENTORY / ASSESSMENT
Douglas Ferry / Michael Hoodak Field Dates:
Dept. of Veterans Affairs, VA Medical Center Lyons Briggs Project No.:
151 Knollcroft Road, Lyons, New Jersey VA Project No.:
Fl oo r
Fu nc tio na l Sp ac e
Room Description
H
SA
Material Description Quantity Estimate
Type of
ACM
Material Category
ACM Assessment
Notes Friability Condition Amount of
Damage Potential for Disturbance
Potential for Human
Exposure
R es po ns e A ct io n
2 223 01-60 12"x12" vinyl floor tile - light mauve speckled 56 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 224 01-60 12"x12" vinyl floor tile - light mauve speckled 36 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 226 01-60 12"x12" vinyl floor tile - light mauve speckled 120 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 227 01-60 12"x12" vinyl floor tile - light mauve speckled 120 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 228 01-60 12"x12" vinyl floor tile - light mauve speckled 100 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 229 01-60 12"x12" vinyl floor tile - light mauve speckled 140 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 230 01-60 12"x12" vinyl floor tile - light mauve speckled 200 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
2 231 01-60 12"x12" vinyl floor tile - light mauve speckled 100 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
2 233 01-60 12"x12" vinyl floor tile - light mauve speckled 252 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 234 01-60 12"x12" vinyl floor tile - light mauve speckled 150 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
2 235 01-60 12"x12" vinyl floor tile - light mauve speckled 110 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1 under carpet
2 263 01-60 12"x12" vinyl floor tile - light mauve speckled 480 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
2 264 01-60 12"x12" vinyl floor tile - light mauve speckled 580 sf 1.3% Ch Misc NF1 Good 0 sf Low Low 1
3 304 01-68 12"x12" vinyl floor tile - mauve speckled 105 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 305 01-68 12"x12" vinyl floor tile - mauve speckled 100 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 305A 01-68 12"x12" vinyl floor tile - mauve speckled 40 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 305B 01-68 12"x12" vinyl floor tile - mauve speckled 40 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 306 01-68 12"x12" vinyl floor tile - mauve speckled 210 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 314 01-68 12"x12" vinyl floor tile - mauve speckled 186 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
Storage
Electrical Closet
Office/Exam Room
Clinical Pharmacy
Head Nurse
Exam Room
Nurses Station
Nursing Support
Exam Room
Waiting Room
PA Tech
Corridor
Corridor
Clean Utility
Vital Signs
Storage
HAC
Alt Waiting Room
Waiting Area
VALy_ACM Inventory.xls Page 14 of 15
Property Name: 100-BBLM-10 Property Address: Bldg. No.: 1 561A4-10-130
TABLE 3.1 ASBESTOS CONTAINING MATERIALS INVENTORY / ASSESSMENT
Douglas Ferry / Michael Hoodak Field Dates:
Dept. of Veterans Affairs, VA Medical Center Lyons Briggs Project No.:
151 Knollcroft Road, Lyons, New Jersey VA Project No.:
Fl oo r
Fu nc tio na l Sp ac e
Room Description
H
SA
Material Description Quantity Estimate
Type of
ACM
Material Category
ACM Assessment
Notes Friability Condition Amount of
Damage Potential for Disturbance
Potential for Human
Exposure
R es po ns e A ct io n
3 314C 01-68 12"x12" vinyl floor tile - mauve speckled 75 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 316 01-74 Pipe insulation - magnesium 6 lf 80% Ch TSI F Good 0 lf Low Low 1
01-74 Pipe insulation - magnesium 6 lf 80% Ch TSI F Good 0 lf Low Low 1
01-75 9"x9" vinyl floor tile - tan 108 sf 10% Ch Misc NF1 Good 0 sf Low Low 1
01-76 Mastic under 9"x9" tan VFT - black 108 sf 1.2% Ch Misc NF1 Good 0 sf Low Low 1
3 321 01-68 12"x12" vinyl floor tile - mauve speckled 210 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 321 01-68 12"x12" vinyl floor tile - mauve speckled 130 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 322 01-68 12"x12" vinyl floor tile - mauve speckled 322 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 323 01-68 12"x12" vinyl floor tile - mauve speckled 160 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 323A 01-68 12"x12" vinyl floor tile - mauve speckled 250 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 325 01-68 12"x12" vinyl floor tile - mauve speckled 160 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 326 01-68 12"x12" vinyl floor tile - mauve speckled 155 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 327 01-68 12"x12" vinyl floor tile - mauve speckled 110 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 328 01-68 12"x12" vinyl floor tile - mauve speckled 110 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 329 01-68 12"x12" vinyl floor tile - mauve speckled 30 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 331 01-68 12"x12" vinyl floor tile - mauve speckled 210 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 331A 01-68 12"x12" vinyl floor tile - mauve speckled 145 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 332 01-68 12"x12" vinyl floor tile - mauve speckled 105 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
Dr.'s Office
Physician Office
Physician Office
Corridor
Podiatry
3 317 Dr. Specht Office
Chief Med Serv
Admin Office
Podiatry
Nursing Exam Room
Stair Hall
Shower
Corridor
Clerk
Conference Room
Medical Secretary
VALy_ACM Inventory.xls Page 15 of 15
Property Name: 100-BBLM-10 Property Address: Bldg. No.: 1 561A4-10-130
TABLE 3.1 ASBESTOS CONTAINING MATERIALS INVENTORY / ASSESSMENT
Douglas Ferry / Michael Hoodak Field Dates:
Dept. of Veterans Affairs, VA Medical Center Lyons Briggs Project No.:
151 Knollcroft Road, Lyons, New Jersey VA Project No.:
Fl oo r
Fu nc tio na l Sp ac e
Room Description
H
SA
Material Description Quantity Estimate
Type of
ACM
Material Category
ACM Assessment
Notes Friability Condition Amount of
Damage Potential for Disturbance
Potential for Human
Exposure
R es po ns e A ct io n
01-68 12"x12" vinyl floor tile - mauve speckled 105 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
01-68 12"x12" vinyl floor tile - mauve speckled 105 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 334 01-68 12"x12" vinyl floor tile - mauve speckled 105 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 335 01-68 12"x12" vinyl floor tile - mauve speckled 105 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 336 01-68 12"x12" vinyl floor tile - mauve speckled 210 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 337 01-68 12"x12" vinyl floor tile - mauve speckled 105 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 338 01-68 12"x12" vinyl floor tile - mauve speckled 600 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 338C 01-68 12"x12" vinyl floor tile - mauve speckled 368 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
3 338D 01-68 12"x12" vinyl floor tile - mauve speckled 210 sf 2.1% Ch Misc NF1 Good 0 sf Low Low 1
E E 01-90 Window caulk - gray inside layer 3,600 lf 1.2% Ch Misc NF1 Good 0 sf Low Low 1 ~300 windows
E E 01-91 Window caulk - brown outside layer 3,600 lf 3.1% Ch Misc NF1 Good 0 sf Low Low 1 ~300 windows
(a) (b) (c) (d)
TABLE KEY:
HSA # is specific to each building (e) F = Friable; NF I = Non-Friable Category I; NF II = Non-Friable Category II sf = square feet; lf = linear feet; ea = each (f) Good = No Damage; D = Damaged = >10% Damage; SD = Significantly Damaged = >25% Damage Ch = Chrysotile; Am = Amosite; Cr = Crocidolite; An = Anthophylilite; Ac = Actiniloite (g) Potential for Disturbance / Human Exposure - Low, Mod = Moderate, High TSI = Thermal Systems Insulation; Misc = Miscellaneous (h) Response Action - 1 = lowest priority; 5 = highest priority
Pulmonary Fellows
Nursing Spec
Clinic Spec
GI Fellows
Corridor
3 333
Office
Office
Office
Exterior
Exterior
APPENDIX D-1
FLOOR PLANS
APPENDIX E-1
PLM LABORATORY
ANALYTICAL RESULTS
9000 Commerce Parkway, Ste B Mount Laurel, NJ 08054
Toll Free 877-428-4285 Local: 856-231-9449
Fax: 856-231-9818CERTIFICATE OF ANALYSIS
Client: Report Date:
Project No.:
Project:
BULK SAMPLE ANALYSIS SUMMARY
Briggs Associates
3 Crosswicks St
Bordentown NJ 08505
561A4-10-130
VA Lyons Bldg 1
8/7/2011
Report No: 248068
% Asbestos Type % Non-Asbestos Fibrous Material Type % Non-Fibrous Material
Client No.:
Lab No.:
01-01A 4384780 Description / Location:
Corridor B025
None Detected None Detected 35
Cellulose
Fibrous Glass
White/Tan Ceiling Tile; 2x2
% Asbestos Type % Non-Asbestos Fibrous Material Type % Non-Fibrous Material
Client No.:
Lab No.:
01-01B 4384781 Description / Location:
Corridor B025
None Detected None Detected 35
Cellulose
Fibrous Glass
White/Tan Ceiling Tile; 2x2
% Asbestos Type % Non-Asbestos Fibrous Material Type % Non-Fibrous Material
Client No.:
Lab No.:
01-01C 4384782 Description / Location:
Corridor B025
None Detected None Detected 35
Cellulose
Fibrous Glass
White/Tan Ceiling Tile; 2x2
% Asbestos Type % Non-Asbestos Fibrous Material Type % Non-Fibrous Material
Client No.:
Lab No.:
01-02A 4384783 Description / Location:
HRMS (B01)
None Detected None Detected 12 Cellulose 88
Grey/Tan Sheetrock
NIST-NVLAP No. 101165-0 NY-DOH No. 11021 AIHA-LAP, LLC No. 100188 This confidential report relates only to those item(s) tested and does not represent an endorsement by NIST-NVLAP, AIHA or any agency of the U.S. government
This report shall not be reproduced except in full, without written approval of the laboratory.
Accreditation
EPA 600/R-93/116Analytical Method:
Comments: (PC) Indicates Stratified Point Count Method performed. Method not performed unless stated. Quantification at <0.25% by volume is possible with this method. (PC–Trace) represents this limit of quantitation. (PC-Trace) means that asbestos was detected but is not quantifiable under the Point Counting regimen. Analysis includes all distinct separable layers in accordance with EPA 600 Method. If not reported or otherwise noted, layer is either not present or the client has specifically requested that it not be analyzed. Small asbestos fibers may be missed by PLM due to resolution limitations of the optical microscope. Therefore, negative PLM results cannot be guaranteed. Electron Microscopy can be used as a confirming technique. Regulatory Limit is based upon the sample matrix.
Analysis Performed By:
Approved By:
Frank E. Ehrenfeld, III Laboratory Director
8/5/2011
L. Solebello
Date:
Toll Free 877-428-4285 Local: 856-231-9449
Fax: 856-231-9818CERTIFICATE OF ANALYSIS
Client: Report Date:
Project No.:
Project:
BULK SAMPLE ANALYSIS SUMMARY
Briggs Associates
3 Crosswicks St
Bordentown NJ 08505
561A4-10-130
VA Lyons Bldg 1
8/7/2011
Report No: 248068
% Asbestos Type % Non-Asbestos Fibrous Material Type % Non-Fibrous Material
Client No.:
Lab No.:
01-02B 4384784 Description / Location:
HRMS (B01)
None Detected None Detected 5 Cellulose 95
Grey/Tan Sheetrock
% Asbestos Type % Non-Asbestos Fibrous Material Type % Non-Fibrous Material
Client No.:
Lab No.:
01-02C 4384785 Description / Location:
HRMS (B01)
None Detected None Detected 3 Cellulose 97
Grey/Tan Sheetrock
% Asbestos Type % Non-Asbestos Fibrous Material Type % Non-Fibrous Material
Client No.:
Lab No.:
01-02D 4384786 Description / Location:
Lobby (G32)
None Detected None Detected 15 Cellulose 85
Grey/Tan Sheetrock
% Asbestos Type % Non-Asbestos Fibrous Material Type % Non-Fibrous Material
Client No.:
Lab No.:
01-02E 4384787 Description / Location:
Lobby (G32)
None Detected None Detected 25 Cellulose 75
Grey/Tan Sheetrock
NIST-NVLAP No. 101165-0 NY-DOH No. 11021 AIHA-LAP, LLC No. 100188 This confidential report relates only to those item(s) tested and does not represent an endorsement by NIST-NVLAP, AIHA or any agency of the U.S. government
This report shall not be reproduced except in full, without written approval of the laboratory.
Accreditation
EPA 600/R-93/116Analytical Method:
Comments: (PC) Indicates Stratified Point Count Method performed. Method not performed unless stated. Quantification at <0.25% by volume is possible with this method. (PC–Trace) represents this limit of quantitation. (PC-Trace) means that asbestos was detected but is not quantifiable under the Point Counting regimen. Analysis includes all distinct separable layers in accordance with EPA 600 Method. If not reported or otherwise noted, layer is either not present or the client has specifically requested that it not be analyzed. Small asbestos fibers may be missed by PLM due to resolution limitations of the optical microscope. Therefore, negative PLM results cannot be guaranteed. Electron Microscopy can be used as a confirming technique. Regulatory Limit is based upon the sample matrix.
Analysis Performed By:
8/5/2011
L. Solebello
Toll Free 877-428-4285 Local: 856-231-9449
Fax: 856-231-9818CERTIFICATE OF ANALYSIS
Client: Report Date:
Project No.:
Project:
BULK SAMPLE ANALYSIS SUMMARY
Briggs Associates
3 Crosswicks St
Bordentown NJ 08505
561A4-10-130
VA Lyons Bldg 1
8/7/2011
Report No: 248068
% Asbestos Type % Non-Asbestos Fibrous Material Type % Non-Fibrous Material
Client No.:
Lab No.:
01-02F 4384788 Description / Location:
Corridor (262)
None Detected None Detected 12
Cellulose
Fibrous Glass
White/Tan Sheetrock
% Asbestos Type % Non-Asbestos Fibrous Material Type % Non-Fibrous Material
Client No.:
Lab No.:
01-02G 4384789 Description / Location:
Corridor (262)
None Detected None Detected 3 Fibrous Glass 97
White Sheetrock
NIST-NVLAP No. 101165-0 NY-DOH No. 11021 AIHA-LAP, LLC No. 100188 This confidential report relates only to those item(s) tested and does not represent an endorsement by NIST-NVLAP, AIHA or any agency of the U.S. government
This report shall not be reproduced except in full, without written approval of the laboratory.
Accreditation
EPA 600/R-93/116Analytical Method:
Comments: (PC) Indicates Stratified Point Count Method performed. Method not performed unless stated. Quantification at <0.25% by volume is possible with this method. (PC–Trace) represents this limit of quantitation. (PC-Trace) means that asbestos was detected but is not quantifiable under the Point Counting regimen. Analysis includes all distinct separable layers in accordance with EPA 600 Method. If not reported or otherwise noted, layer is either not present or the client has specifically requested that it not be analyzed. Small asbestos fibers may be missed by PLM due to resolution limitations of the optical microscope. Therefore, negative PLM results cannot be guaranteed. Electron Microscopy can be used as a confirming technique. Regulatory Limit is based upon the sample matrix.
Analysis Performed By:
8/5/2011
Toll Free 877-428-4285 Local: 856-231-9449
Fax: 856-231-9818CERTIFICATE OF ANALYSIS
Client: Report Date:
Project No.:
Project:
BULK SAMPLE ANALYSIS SUMMARY
Briggs Associates
3 Crosswicks St
Bordentown NJ 08505
561A4-10-130
VA Lyons Bldg 1
8/7/2011
Report No: 248068
% Asbestos Type % Non-Asbestos Fibrous Material Type % Non-Fibrous Material
Client No.:
Lab No.:
01-03A 4384790 Description / Location:
Wall; Exit (B052)
None Detected None Detected None Detected None Detected 100
White Plaster
% Asbestos Type % Non-Asbestos Fibrous Material Type % Non-Fibrous Material
Client No.:
Lab No.:
01-03A 4384790 Description / Location:
Wall; Exit (B052)
None Detected None Detected None Detected None Detected 100
Grey Plaster Layer No.: 2
% Asbestos Type % Non-Asbestos Fibrous Material Type % Non-Fibrous Material
Client No.:
Lab No.:
01-03A 4384790 Description / Location:
Wall; Exit (B052)
None Detected None Detected None Detected None Detected 100
White Texture Layer No.: 3
NIST-NVLAP No. 101165-0 NY-DOH No. 11021 AIHA-LAP, LLC No. 100188 This confidential report relates only to those item(s) tested and does not represent an endorsement by NIST-NVLAP, AIHA or any agency of the U.S. government
This report shall not be reproduced except in full, without written approval of the laboratory.
Accreditation
EPA 600/R-93/116Analytical Method:
Comments: (PC) Indicates Stratified Point Count Method performed. Method not performed unless stated. Quantification at <0.25% by volume is possible with this method. (PC–Trace) represents this limit of quantitation. (PC-Trace) means that asbestos was detected but is not quantifiable under the Point Counting regimen. Analysis includes all distinct separable layers in accordance with EPA 600 Method. If not reported or otherwise noted, layer is either not present or the client has specifically requested that it not be analyzed. Small asbestos fibers may be missed by PLM due to resolution limitations of the optical microscope. Therefore, negative PLM results cannot be guaranteed. Electron Microscopy can be used as a confirming technique. Regulatory Limit is based upon the sample matrix.
Analysis Performed By:
8/5/2011
Toll Free 877-428-4285 Local: 856-231-9449
Fax: 856-231-9818CERTIFICATE OF ANALYSIS
Client: Report Date:
Project No.:
Project:
BULK SAMPLE ANALYSIS SUMMARY
Briggs Associates
3 Crosswicks St
Bordentown NJ 08505
561A4-10-130
VA Lyons Bldg 1
8/7/2011
Report No: 248068
% Asbestos Type % Non-Asbestos Fibrous Material Type % Non-Fibrous Material
Client No.:
Lab No.:
01-03B 4384791 Description / Location:
Wall; Exit (B052)
None Detected None Detected None Detected None Detected 100
White Plaster
% Asbestos Type % Non-Asbestos Fibrous Material Type % Non-Fibrous Material
Client No.:
Lab No.:
01-03B 4384791 Description / Location:
Wall; Exit (B052)
None Detected None Detected Trace Cellulose 100
Tan Plaster Layer No.: 2
% Asbestos Type % Non-Asbestos Fibrous Material Type % Non-Fibrous Material
Client No.:
Lab No.:
01-03C 4384792 Description / Location:
Wall; Exit (B052)
None Detected None Detected None Detected None Detected 100
White Plaster
NIST-NVLAP No. 101165-0 NY-DOH No. 11021 AIHA-LAP, LLC No. 100188 This confidential report relates only to those item(s) tested and does not represent an endorsement by NIST-NVLAP, AIHA or any agency of the U.S.
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