657-19-117JB - TES_Limited ACM Re-Inspection Report - Part 4.pdf

PROJECT NAME: VA JC & JB LEAD AND ASB SURVEYS RSH PROJECT NO. SH1476

PROJECT SITE: JEFFERSON BARRACKS

PROJECT LOCATION: BUILDING 1

2018 Asbestos/Lead Inspection Report St. Louis Jefferson Barracks VAMC – Bldg. 1

SECTION 9.0

ASBESTOS INSPECTION LABORATORY REPORTS

This section provides all laboratory analytical reports pertaining to the specific building assessed during the 2018 inspection effort.

Asbestos Detected

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose FiberNoExterior Window Caulking, Tan None Detected0219554-001

SH1476-JB1-1-

EXTERIOR-M-1

<1%

Carbonates Quartz Binder/Filler

99%

NoVented Window Caulking, Tan None Detected0219554-002

SH1476-JB1-1-

EXTERIOR-M-2

Carbonates

100%

NoExterior Door Caulk, White None Detected0219554-003

SH1476-JB1-1-

EXTERIOR-M-3

Carbonates

Cellulose FiberNoExterior Window Caulking, Black None Detected0219554-004

SH1476-JB1-1-

EXTERIOR-M-4

<1%

Carbonates

NoSeam Sealant, Gray None Detected0219554-005

SH1476-JB1-1-

EXTERIOR-M-5

Carbonates

Cellulose FiberNoSeam Sealant, Gray None Detected0219554-006

SH1476-JB1-1-

EXTERIOR-M-6

<1%

Carbonates

NoSeam Sealant, Gray None Detected0219554-007

SH1476-JB1-1-

EXTERIOR-M-7

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

NoExterior Concrete Caulk, Gray None Detected0219554-008

SH1476-JB1-1-

EXTERIOR-M-8

Carbonates

Cellulose FiberNoExterior Concrete Caulk, Gray None Detected0219554-009

SH1476-JB1-1-

EXTERIOR-M-9

<1%

Carbonates

Cellulose FiberNoExterior Metal Handrail Caulking, White

None Detected0219554-010

SH1476-JB1-1-

EXTERIOR-M-

<1%

Carbonates

NoExterior Window Caulk, Tan None Detected0219554-011

SH1476-JB1-1-

EXTERIOR-M-

Carbonates

NoExterior Metal Handrail Caulking, Gray

None Detected0219554-012

SH1476-JB1-1-

EXTERIOR-M-

Carbonates

Cellulose FiberNoExterior Metal Handrail Caulking, Gray

None Detected0219554-013

SH1476-JB1-1-

EXTERIOR-M-

<1%

Carbonates

Cellulose FiberNoExterior Door Window Caulk, Gray None Detected0219554-014

SH1476-JB1-1-

EXTERIOR-M-

<1%

Carbonates Gypsum

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

NoExterior Door Caulk, White None Detected0219554-015

SH1476-JB1-1-

EXTERIOR-M-

Carbonates

NoExterior Concrete Caulk, Gray None Detected0219554-016

SH1476-JB1-1-

EXTERIOR-M-

Carbonates Quartz

NoExterior Door Window Caulk, Black

None Detected0219554-017

SH1476-JB1-1-

EXTERIOR-M-

Carbonates

NoExterior Door Caulk, White None Detected0219554-018

SH1476-JB1-1-

EXTERIOR-M-

Carbonates

Cellulose FiberNoExterior Window Caulk, Tan None Detected0219554-019

SH1476-JB1-1-

EXTERIOR-M-

<1%

Carbonates

Cellulose FiberNoExterior Penetration Caulking, Gray

None Detected0219554-020

SH1476-JB1-1-

EXTERIOR-M-

<1%

Carbonates

NoExterior Penetration Caulking, Gray

None Detected0219554-021

SH1476-JB1-1-

EXTERIOR-M-

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

NoExterior Penetration Caulking, Gray

None Detected0219554-022

SH1476-JB1-1-

EXTERIOR-M-

Carbonates

NoExterior Window Caulking, Tan None Detected0219554-023

SH1476-JB1-1-

EXTERIOR-M-

Quartz Perlite

NoExterior Fire Alarm Caulk, White None Detected0219554-024

SH1476-JB1-1-

EXTERIOR-M-

Silicone 100%

NoExterior Fire Alarm Caulk, White None Detected0219554-025

SH1476-JB1-1-

EXTERIOR-M-

Silicone 100%

NoExterior Fire Alarm Caulk, White None Detected0219554-026

SH1476-JB1-1-

EXTERIOR-M-

Silicone 100%

Cellulose FiberNoSpeckled Material On Ground, Black w/Green/Purple Specks

None Detected0219554-027

SH1476-JB1-1-

EXTERIOR-M-

1%

Carbonates

Cellulose FiberNoSpeckled Material On Ground, Black w/Green/Purple Specks

None Detected0219554-028

SH1476-JB1-1-

EXTERIOR-M-

1%

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose FiberNoSpeckled Material On Ground, Black w/Green/Purple Specks

None Detected0219554-029

SH1476-JB1-1-

EXTERIOR-M-

1%

Carbonates

Cellulose Fiber Synthetic Fiber

NoFreight Custion, Black None Detected0219554-030

SH1476-JB1-1-

EXTERIOR-M-

35% 20%

Carbonates

Synthetic Fiber

NoFreight Custion, Black None Detected0219554-031

SH1476-JB1-1-

EXTERIOR-M-

40% 5%

Synthetic Fiber

NoFreight Custion, Black None Detected0219554-032

SH1476-JB1-1-

EXTERIOR-M-

40% 5%

Cellulose FiberNoConcrete Expansion Caulk, Black None Detected0219554-033

SH1476-JB1-1-

EXTERIOR-M-

40%

Carbonates Gypsum

60%

Cellulose FiberNoConcrete Expansion Caulk, Black None Detected0219554-034

SH1476-JB1-1-

EXTERIOR-M-

40%

Carbonates Gypsum

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose FiberNoConcrete Expansion Caulk, Black None Detected0219554-035

SH1476-JB1-1-

EXTERIOR-M-

40%

Carbonates Gypsum

NoFireproof Caulk, Red None Detected0219554-036

SH1476-JB1-G-

GC17-M-36

Quartz Gypsum

NoGrumbing Caulk On Door, Gray None Detected0219554-037

SH1476-JB1-G-

GC17-M-37

Gypsum Quartz

Cellulose FiberNoGrumbing Caulk On Door, Gray None Detected0219554-038

SH1476-JB1-G-

GC17-M-38

<1%

Gypsum Quartz

Cellulose FiberNoGrumbing Caulk On Door, Gray None Detected0219554-039

SH1476-JB1-G-

GC17-M-39

<1%

Gypsum Quartz

Cellulose FiberNoHard Padding And Glue, Gray None Detected0219554-040

SH1476-JB1-G-

HALL TO 23-M-

<1%

Carbonates Quartz

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose FiberNoHard Padding And Glue, Gray None Detected0219554-041

SH1476-JB1-G-

HALL TO 23-M-

<1%

Carbonates Quartz

Cellulose FiberNoHard Padding And Glue, Gray None Detected0219554-042

SH1476-JB1-G-

HALL TO 23-M-

1%

Carbonates Quartz

Cellulose FiberNoPlaster, White None Detected0219554-043

SH1476-JB1-G-

GC18-S-43

<1%

Gypsum Quartz Carbonates Mica

NoLAYER 1 Plaster-Scratch Coat, Tan

None Detected0219554-044

SH1476-JB1-G-

GC18-S-44

Quartz Gypsum Mica Carbonates

NoLAYER 2 Plaster, White

None Detected

Gypsum Quartz Mica

Synthetic FiberNoPipe Dope, White None Detected0219554-045

SH1476-JB1-G-

GC18-M-45

3%

97%

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

NoInterior Window Caulk, Gray None Detected0219554-046

SH1476-JB1-G-

GC18-M-46

Carbonates

YesInterior Window Caulk, Gray Chrysotile0219554-047

SH1476-JB1-G-

GC18-M-47

5%

Carbonates

95%

Interior Window Caulk, Gray Note: *Not analyzed per client request

0219554-048

SH1476-JB1-G-

GC18-M-48

Fibrous GlassNoVibration Joint Cloth, Black None Detected0219554-049

SH1476-JB1-G-

GC18-M-49

30%

Carbonates

70%

Fibrous GlassNoVibration Joint Cloth, Black None Detected0219554-050

SH1476-JB1-G-

GC18-M-50

30%

Carbonates

70%

Cellulose FiberNoCaulking On Metal Beam, White None Detected0219554-051

SH1476-JB1-G-

OUTSIDE

GC17A-M-51

<1%

Carbonates

NoCaulking On Metal Beam, White None Detected0219554-052

SH1476-JB1-G-

OUTSIDE

GC17A-M-52

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

NoCaulking On Metal Beam, White None Detected0219554-053

SH1476-JB1-G-

OUTSIDE

GC17A-M-53

Carbonates

YesPenetration Caulk, White Chrysotile0219554-054

SH1476-JB1-G-

HALL TO 23-M-

2%

Carbonates Mica Quartz

98%

Penetration Caulk, White Note: *Not analyzed per client request

0219554-055

SH1476-JB1-G-

HALL TO 23-M-

Penetration Caulk, White Note: *Not analyzed per client request

0219554-056

SH1476-JB1-G-

HALL TO 23-M-

NoSink Soundproofing, Tan None Detected0219554-057

SH1476-JB1-G-

GC07A-S-57

Carbonates

Cellulose FiberNoSink Soundproofing, Tan None Detected0219554-058

SH1476-JB1-G-

GC07A-S-58

1%

Carbonates

Cellulose FiberNoSink Soundproofing, Tan None Detected0219554-059

SH1476-JB1-G-

GC07A-S-59

1%

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

NoFixture Caulk, White None Detected0219554-060

SH1476-JB1-G-

GC08-M-60

Carbonates

No12"x12" Floor Tile, Beige w/Faint Gray Streaks

None Detected0219554-061

SH1476-JB1-G-

GW16-M-61

Carbonates

12"x12" Floor Tile, Beige w/Faint Gray Streaks

None Detected0219554-062

SH1476-JB1-G-

GW16-M-62

Carbonates

Synthetic Fiber

NoLAYER 2 Mastic, Yellow

None Detected 3% <1%

Carbonates Quartz

96%

No12"x12" Floor Tile, Beige w/Faint Gray Streaks

None Detected0219554-063

SH1476-JB1-G-

GW16-M-63

Carbonates

NoDrywall Compound, White None Detected0219554-064

SH1476-JB1-G-

GC03-S-64

Carbonates Quartz

YesCaulk On AHU, Gray Chrysotile0219554-065

SH1476-JB1-G-

GE26-M-65

2%

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

Caulk On AHU, Gray Note: *Not analyzed per client request

0219554-066

SH1476-JB1-G-

GE26-M-66

Caulk On AHU, Gray Note: *Not analyzed per client request

0219554-067

SH1476-JB1-G-

GE26-M-67

NoCMU Block Caulking, White/ Beige

None Detected0219554-068

SH1476-JB1-G-

GE22-M-68

Carbonates Quartz

NoCMU Block Caulking, White/ Beige

None Detected0219554-069

SH1476-JB1-G-

GE22-M-69

Carbonates Quartz

NoCMU Block Caulking, White/ Beige

None Detected0219554-070

SH1476-JB1-G-

GE22-M-70

Carbonates

Cellulose FiberNoCaulking Under Raised Floor, Brown

None Detected0219554-071

SH1476-JB1-3-

E303-M-71

<1%

Gypsum Carbonates

NoCaulking Under Raised Floor, Brown

None Detected0219554-072

SH1476-JB1-3-

E303-M-72

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

NoCaulking Under Raised Floor, Brown

None Detected0219554-073

SH1476-JB1-3-

E303-M-73

Carbonates

Black

None Detected0219554-074

SH1476-JB1-3-

E303-M-74

Carbonates Quartz

Cellulose FiberNoCaulking Under Raised Floor, Black

None Detected0219554-075

SH1476-JB1-3-

E303-M-75

<1%

Carbonates Quartz

Black

None Detected0219554-076

SH1476-JB1-3-

E303-M-76

Carbonates Quartz

12"x12" Floor Tile, Tan w/ Brown Streaks

None Detected0219554-077

SH1476-JB1-3-

S302-M-77

Carbonates

Cellulose FiberNoLAYER 2 Mastic, Yellow Note: Very small amount of mastic

None Detected <1%

Carbonates Quartz

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

NoLAYER 1 12"x12" Floor Tile, Tan w/ Brown Streaks

None Detected0219554-078

SH1476-JB1-2-

S202-M-78

Carbonates

Mastic, Yellow Note: Very small amount of mastic

None Detected

Carbonates Quartz

12"x12" Floor Tile, Tan w/ Brown Streaks

None Detected0219554-079

SH1476-JB1-1-

S102-M-78

Carbonates

Mastic, Yellow Note: Very small amount of mastic

None Detected <1%

Carbonates Quartz

No12"x12" Floor Tile, Beige w/Orange & Green Specks

None Detected0219554-080

SH1476-JB1-1-

HALL 101-M-80

Carbonates

12"x12" Floor Tile, Beige w/Orange & Green Specks

None Detected0219554-081

SH1476-JB1-2-

HALL 201-M-81

Carbonates

Mastic, Yellow

None Detected 5%

Carbonates Gypsum

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

No12"x12" Floor Tile, Beige w/Orange & Green Specks

None Detected0219554-082

SH1476-JB1-3-

HALL 301-M-82

Carbonates

12"x12" Floor Tile, White w/Light Aqua Specks

None Detected0219554-083

SH1476-JB1-3-

E308-M-83

Carbonates

Mastic, Yellow

None Detected <1%

Carbonates Quartz

12"x12" Floor Tile, White w/Light Aqua Specks

None Detected0219554-084

SH1476-JB1-3-

E308-M-84

Carbonates

Mastic, Yellow/ Black

None Detected <1%

Carbonates Quartz

12"x12" Floor Tile, White w/Light Aqua Specks

None Detected0219554-085

SH1476-JB1-3-

E308-M-84

Carbonates

Mastic, Yellow

None Detected <1%

Carbonates Quartz

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

No12"x12" Floor Tile, White w/Navy & Aqua Specks Note: No Mastic Present

None Detected0219554-086

SH1476-JB1-E-

E312-M-86

Carbonates

No12"x12" Floor Tile, White w/Navy & Aqua Specks Note: No Mastic Present

None Detected0219554-087

SH1476-JB1-E-

E312-M-87

Carbonates

No12"x12" Floor Tile, White w/Navy & Aqua Specks Note: No Mastic Present

None Detected0219554-088

SH1476-JB1-E-

E312-M-88

Carbonates

12"x12" Floor Tile, White/Blue

None Detected0219554-089

SH1476-JB1-G-

GE04-M-89

Carbonates

Mastic, Yellow

None Detected <1%

Carbonates

12"x12" Floor Tile, White/Blue

None Detected0219554-090

SH1476-JB1-G-

GE04-M-90

Carbonates

Mastic, Yellow

None Detected <1%

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

NoLAYER 1 12"x12" Floor Tile, White/Blue

None Detected0219554-091

SH1476-JB1-G-

GE04-M-91

Carbonates

Mastic, Yellow/ Black

None Detected 1%

Carbonates

Cellulose FiberNoSeam Sealant, Off White None Detected0219554-092

SH1476-JB1-G-

GE10-M-92

1%

Carbonates

Cellulose FiberNoSeam Sealant, Off White None Detected0219554-093

SH1476-JB1-G-

GE10-M-93

<1%

Carbonates

NoSeam Sealant, Off White None Detected0219554-094

SH1476-JB1-G-

GE10-M-94

Carbonates

Cellulose FiberNoGlue Puck, Brown None Detected0219554-095

SH1476-JB1-1-

1C123C-M-95

<1%

Carbonates Gypsum

NoGlue Puck, Brown None Detected0219554-096

SH1476-JB1-1-

1C123C-M-96

Carbonates Gypsum

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose FiberNoGlue Puck, Brown None Detected0219554-097

SH1476-JB1-1-

1C123C-M-97

<1%

Carbonates Gypsum

No12"x12" Floor Tile, Blue Note: No Mastic Present

None Detected0219554-098

SH1476-JB1-1-

E132-M-98

Carbonates

12"x12" Floor Tile, Blue Note: No Mastic Present

None Detected0219554-099

SH1476-JB1-1-

E132-M-99

Carbonates

12"x12" Floor Tile, Green

None Detected <1%

Quartz

Synthetic Fiber

NoLAYER 3 Mastic, Beige

None Detected 1% <1%

Carbonates Quartz

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

NoLAYER 1 12"x12" Floor Tile, Blue Note: No Mastic Present

None Detected0219554-100

SH1476-JB1-1-

E132-M-100

Carbonates

12"x12" Floor Tile, Green

None Detected <1%

Quartz

Cellulose FiberNoLAYER 3 Mastic, Beige

None Detected <1%

Carbonates Quartz

NoInterior Window Caulk, Black None Detected0219554-101

SH1476-JB1-1-

E132-M-101

Carbonates

NoInterior Window Caulk, Black None Detected0219554-102

SH1476-JB1-1-

E132-M-102

Carbonates

NoInterior Window Caulk, Black None Detected0219554-103

SH1476-JB1-1-

E132-M-103

Carbonates

Cellulose FiberNoSink Soundproofing, Black None Detected0219554-104

SH1476-JB1-2-

E217-S-104

<1%

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose FiberNoSink Soundproofing, Black None Detected0219554-105

SH1476-JB1-2-

E217-S-105

<1%

Carbonates

NoSink Soundproofing, Black None Detected0219554-106

SH1476-JB1-2-

E217-S-106

Carbonates

NoSink Soundproofing, White None Detected0219554-107

SH1476-JB1-3-

E301-S-107

NoSink Soundproofing, White None Detected0219554-108

SH1476-JB1-3-

E301-S-108

NoSink Soundproofing, White None Detected0219554-109

SH1476-JB1-3-

E301-S-109

Fibrous Glass Cellulose Fiber

NoPaint, White None Detected0219554-110

SH1476-JB1-2-

2C18-M-110

1% <1%

Quartz Gypsum

Cellulose FiberNoPlaster, White None Detected0219554-111

SH1476-JB1-2-

E204-S-111

<1%

Gypsum Carbonates Mica

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose Fiber Fibrous Glass Mineral Wool

NoPipe Dope, White/ Silver/Tan None Detected0219554-112

SH1476-JB1-2-

E204-M-112

10% 5% 3%

Aluminum Carbonates Gypsum

82%

Cellulose FiberNoPlaster, Gray None Detected0219554-113

SH1476-JB1-1-

E105-S-113

<1%

Quartz Gypsum Carbonates Mica

Cellulose FiberNoSink Soundproofing, Gray None Detected0219554-114

SH1476-JB1-1-

E102-S-114

1%

Carbonates Mica

Synthetic FiberNoFixture Caulk, Off White None Detected0219554-115

SH1476-JB1-1-

C127-M-115

<1%

Carbonates

NoPipe Dope, White None Detected0219554-116

SH1476-JB1-1-

W131-M-116

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose FiberNoFixture Caulk, Off White None Detected0219554-117

SH1476-JB1-1-

W131-M-117

1%

Gypsum Quartz Mica

6" Cove Base, Brown

None Detected0219554-118

SH1476-JB1-G-

GW02-M-118

Carbonates

Synthetic Fiber

NoLAYER 2 Adhesive, Yellow

None Detected 1% <1%

Carbonates Quartz

6" Cove Base, Brown

None Detected0219554-119

SH1476-JB1-G-

GW02-M-119

Carbonates

Synthetic Fiber

NoLAYER 2 Adhesive, Yellow

None Detected 1% <1%

Carbonates Quartz

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

NoLAYER 1 6" Cove Base, Black

None Detected0219554-120

SH1476-JB1-2-

W235-M-120

Carbonates

Adhesive, Yellow

None Detected <1%

Carbonates Quartz

No6" Cove Base, Tan Note: No Mastic Present

None Detected0219554-121

SH1476-JB1-1-

GWS101-M-121

Diatoms Carbonates

6" Cove Base, Tan

None Detected0219554-122

SH1476-JB1-1-

GWS101-M-122

Carbonates

Adhesive, Yellow

None Detected

Carbonates

Paint, White

None Detected0219554-123

SH1476-JB1-P-

PENTHOUSE-

M-123

Carbonates

Fibrous Glass

NoLAYER 2 Wrap, Silver/ White/ Yellow

None Detected 45% 20%

Aluminum Carbonates

35%

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose FiberNoSink Soundproofing, Gray None Detected0219554-124

SH1476-JB1-3-

C304-M-124

5%

Carbonates Mica

Cellulose FiberNoSink Soundproofing, Gray None Detected0219554-125

SH1476-JB1-3-

C304-M-125

5%

Carbonates Mica

NoSeam Sealant, Gray/ White None Detected0219554-126

SH1476-JB1-G-

GE10-M-126

Carbonates

NoSeam Sealant, Gray/ White None Detected0219554-127

SH1476-JB1-G-

GE09-M-127

Carbonates

NoSeam Sealant, Gray/ White None Detected0219554-128

SH1476-JB1-G-

GE07-M-128

Carbonates

Fibrous GlassNoFireproof Caulk, Red/ Black None Detected0219554-129

SH1476-JB1-G-

GEH002-M-129

1%

Quartz

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

Fibrous GlassNoFireproof Caulk, Red/ Black None Detected0219554-130

SH1476-JB1-3-

C306-M-130

<1%

Quartz

Cellulose FiberNoJoint Compound/ Paint, White/ Yellow Note: No Drywall Present

None Detected0219554-131

SH1476-JB1-1-

C121-S-131

<1%

Gypsum Quartz Carbonates Mica

Cellulose FiberNoJoint Compound/ Paint, White/ Yellow Note: No Drywall Present

None Detected0219554-132

SH1476-JB1-1-

C121-S-132

<1%

Gypsum Quartz Carbonates Mica

Cellulose FiberNoLAYER 1 Joint Compound/ Paint, White/ Yellow Note: No Drywall Present

None Detected0219554-133

SH1476-JB1-1-

C121-S-133

1%

Gypsum Quartz Carbonates Mica

Plaster, Tan

None Detected <1%

Quartz Gypsum Mica

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0219554

NVLAP#101926-0

Client ID

Client:

Address: 1139 OLIVE ST. STE 300

ST LOUIS MO 63101

RIVERFRONT SAFETY & HEALTH

Date Received: 05/03/2019

05/15/2019Date Analyzed:

SH1476Job# / P.O. #:

EMC LABS, INC.

Collected: 05/02/2019

EPA Method: Project Name: VA JEFFERSON BARRACKS, BLDG 1 SAMPLES Submitted By: NATHAN HARRIS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

05/15/2019Date Reported:

EPA 600/R-93/116

Asbestos Type

Analyst - Octavio Gavarreteayestas Signatory - Lab Director - Kurt Kettler

Distinctly stratified, easily separable layers of samples are analyzed as subsamples of the whole and are reported separately for each discernible layer. All analyses are derived from calibrated visual estimate and measured in area percent unless otherwise noted. The report applies to the standards or procedures identified and to the sample(s) tested. The test results are not necessarily indicated or representative of the qualities of the lot from which the sample was taken or of apparently identical or similar products, nor do they represent an ongoing quality assurance program unless so noted. These reports are for the exclusive use of the addressed client and that they will not be reproduced wholly or in part for advertising or other purposes over our signature or in connection with our name without special written permission. The report shall not be reproduced except in full, without written approval by our laboratory. The samples not destroyed in testing are retained a maximum of thirty days. The laboratory measurement of uncertainty for the test method is approximately less than 1 by area percent.

Accredited by the National Institute of Standards and Technology, Voluntary Laboratory Accreditation Program for selected test method for asbestos. The accreditation or any reports generated by this laboratory in no way constitutes or implies product certification, approval, or endorsement by the National Institute of Standards and Technology. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government. Polarized Light Microscopy may not be consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound materials.

SECTION 10.0

PROFESSIONAL CERTIFICATIONS

This section provides certifications for all Inspectors, Management Planners and the laboratories performing bulk sample analysis.

_IGII~IMissouri Department of

~[j] ~,~!~~L RESOc~~CES dnr.mo.gov

April 4, 2019

Dennis C Ida 105 Dale Dr Hillsboro, MO 63050

RE: Missouri Asbestos Occupation Certification Card

Enclosed is your certification card for Asbestos Inspector, as issued by the Asbestos Unit of the Missouri Department of Natural Resources' Air Pollution Control Program.

Missouri Certification Number: 7118030 119MOIR19679 Course Training Date: March 01, 2019 Missouri Certification Approval Date: April 05, 2019 Missouri Certification Expiration Date: March 01, 2020

Note:

• All Missouri-certified asbestos personnel must comply with the following statutes and regulations:

o Sections 643.225 to 643.225, RSMo;

o 10 CSR 10-6.241 Asbestos Projects-Registration, Abatement, Notification, Inspection, Demolition, and Performance Requirements,· and o 10 CSR 10-6.250 Asbestos Projects-Certification, Accreditation and Business Exemption

Requirements.

• To keep your occupation certification up-to-date, you must complete an annual refresher course and submit a renewal application each year.

• In order to be eligible to renew your certification, you must successfully complete a refresher ~ course With aMissouri-accredited trainingproviaer within -12months of the expiration date of your current training certificate. If you exceed this grace period, you will be required to retake a Missouri-accredited initial course in order to be eligible for Missouri certification.

To obtain a copy of the certification renewal application, or review regulations and requirements, please visit our website at http://dnr.mo.gov/env/apcp/asbestos/index.htm.

If you have any questions please call the Air Pollution Control Program at 573-751-4817.

AIR POLLUTION CONTROL PROGRAM

~b~ Director of Air Pollution Control Program l'\..., Recycled paper

SECTION 11.0

PERIODIC SURVEILLANCE FORMS

This section includes the forms completed during the periodic surveillance inspections required every 6 months.

MANAGEMENT PLAN REMOVAL PRIORITY ASSESSMENT CHARTS

Qualitative (Descriptive) Rankings for Current Condition of ACM Qualitative Ranking Example Descriptions of Current Condition

Good (G) Surfacing material has no visible damage; covering on TSI is intact; miscellaneous materials are intact; no visible debris.

Damaged (D) Surfacing material has moderate but not extensive visible damage; covering on TSI is cut or torn, exposing small but not extensive amounts of insulation; miscellaneous materials have moderate but not extensive damage; moderate but not extensive amounts of visible debris

Significantly Damaged (SD) Extensive damage to surfacing material; covering on TSI is cut or torn extensively and insulation itself is damaged; miscellaneous materials such as floor tile is extensively damaged and underlying mastic exposed; extensive amounts of dust and debris.

Note: Damage is considered “extensive” when the total area of distributed damage exceeds 10%, or 25% localized damage.

Qualitative Rankings for Potential for Disturbance of ACM Level of Potential Disturbance Frequency of Potential

Contact (accessibility) Influence of Vibration Potential for Air Erosion or

Water Damage

HIGH (H)

(potential for significant damage) High Any Value Any Value

Any Value High Any Value Any Value Any Value High

MODERATE (M)

(potential for damage)

Moderate Moderate or Low Moderate or Low Moderate or Low Moderate Moderate or Low Moderate or Low Moderate or Low Moderate

LOW (L) Low Low Low Note: Overall rating determined by assigning disturbance probabilities under all 3 categories then adopting highest individual score for each material.

Qualitative Rankings and Numerical Ratings for Removal Priority of ACM Hazard Rank/

Removal Priority ACBM Condition ACBM Disturbance

Potential Recommended Response Actions

1 Significantly Damaged

Any Evacuate or isolate area immediately. Remove ACBM immediately. O&M Required for all friable ACBM.

2 Damaged High Evacuate or isolate area immediately. Remove, enclose, encapsulate or repair ACBM to correct immediately. Reduce potential for disturbance of remaining materials. O&M Required for all friable ACBM.

3 Damaged Moderate Remove, enclose, encapsulate, or repair to correct damage as soon as feasible.

O&M Required for all friable ACBM.

4 Damaged Low Remove, enclose, encapsulate, or repair to correct damage as needed to facilitate future projects. Take steps to reduce potential for disturbance. O&M Required for all friable ACBM.

5 Good High Take steps to reduce potential for disturbance. O&M Required for all friable ACBM.

6 Good Moderate O&M Required for all friable ACBM.

7 Good Low O&M Required for all friable ACBM, but measures need not be as extensive as

Category 6.

VA JEFFERSON BARRACKS CAMPUS

BUILDING 1

SIX MONTH PERIODIC SURVELLIANCE FORM

5/31/2019

Homogeneous Area No. Bldg Floor Material Description

Friable Yes/No

Previous Condition Current Condition Potential for Disturbance Removal

Priority Comments

Rating Based On Rating Based On

Rating Based On

Building 1 – Basement

HMA-A1 1 B 12"x12" floor tile – gray w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-B1 1 B 9"x9" floor tile - brown w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-C1 1 B 12”x12” floor tile - green w/ black mastic No D Damaged D Damaged M Floor

Maintenance 3

HMA-D1 1 B 12"x12" floor tile - white w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-J1 1 B 9"x9" floor tile - gray w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-K1 1 B 9"x9" floor tile - dark brown w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-L1 1 B 9"x9" floor tile - tan w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-M1 1 B 9”x9” floor tile - dark grey w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-N1 1 B 12"x12" floor tile - brown w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-Q 1 B 12”x12” floor tile – light white No G Intact G Intact L Floor Maintenance 7

HMA-1 1 B Black mastic No G Intact G Intact L Maintenance 7

HMA-19 1 B ACM pipe insulation and mudded fittings Yes SD Significantly

Damaged SD Significantly Damaged M Access/

Maintenance 1 See maps for SD locations.

HMA-24 1 B Fire Door No G Intact G Intact L Maintenance 7

HMA-25 1 B Interior window caulk-gray No G Intact G Intact L Maintenance 7

HMA-29 1 B Penetration caulk-white No G Intact G Intact L Maintenance 7

Homogeneous Area No. Bldg Floor Material Description

Friable Yes/No

Previous Condition Current Condition Potential for Disturbance Removal

Priority Comments

Rating Based On Rating Based On

Rating Based On

HMA-31 1 B Wall mounted heater (PACM) No G Intact G Intact L Maintenance 7

HMA-41 1 B Flange gasket (PACM) No G Intact G Intact L Maintenance 7

HMA-43 1 B Ceiling mounted heater No G Intact G Intact L Maintenance 7

HMA-46 1 B Thick gray caulk on AHU No G Intact G Intact M Maintenance 6

HMA-71 1 B Transite panels No G Intact G Intact L Access/ Maintenance 7

HMA-72 1 B 12”x12” floor tile- green w/ pattern w/black mastic No D Damaged D Damaged M Floor

Maintenance 3

HMA-73 1 B

Black mastic under 12”x12” floor tile-green/gray w/ splotches

No G Intact G Intact L Floor Maintenance 7

HMA-74 1 B Hard gray material on duct Yes G Intact G Intact M Maintenance 6

HMA-75 1 B Felt roofing tar No G Intact G Intact L Maintenance 7

Building 1 – 1st Floor

HMA-A1 1 1 12"x12" floor tile – gray w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-B1 1 1 9"x9" floor tile - brown w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-D1 1 1 12"x12" floor tile - white w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-J1 1 1 9"x9" floor tile - gray w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-N1 1 1 12"x12" floor tile - brown w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-Q1 1 1 12"x12" floor tile - light whit w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-R1 1 1 9”x9” floor tile – green w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-T1 1 1 12”x12” floor tile – light brown w/ black mastic No G Intact G Intact L Floor

Maintenance 7

Friable Yes/No

Previous Condition Current Condition Potential for Disturbance Removal

Priority Comments

Rating Based On Rating Based On

Rating Based On

HMA-19 1 1 ACM pipe insulation and mudded fittings Yes SD Damaged SD Significantly

Damaged M Access/ Maintenance 1 See maps for SD locations.

HMA-24 1 1 Fire Door No G Intact G Intact L Maintenance 7

HMA-31 1 1 Wall mounted heater (PACM) No G Intact G Intact L Maintenance 7

HMA-41 1 1 Flange gasket (PACM) No G Intact G Intact L Maintenance 7

HMA-43 1 1 Ceiling mounted heater (PACM) No G Intact G Intact L Maintenance 7

Building 1 – 2nd Floor

HMA-D1 1 2 12"x12" floor tile - white w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-N1 1 2 12"x12" floor tile - brown w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-P1 1 2 Linoleum floor w/ black mastic Yes G Intact G Intact L Floor Maintenance 7

HMA-Q1 1 2 12"x12" floor tile - light white w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-T1 1 2 12”x12” floor tile – light brown w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-W1 1 2 12”x12” floor tile – dark white w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-19 1 2 ACM pipe insulation and mudded fittings Yes SD Damaged SD Significantly

Damaged M Maintenance 1 See maps for SD locations.

HMA-24 1 2 Fire Door No G Intact G Intact L Access/ Maintenance 7

HMA-31 1 2 Wall mounted heater (PACM) No G Intact G Intact L Maintenance 7

HMA-41 1 2 Flange gasket (PACM) No G Intact G Intact L Maintenance 7

HMA-43 1 2 Ceiling mounted heater (PACM) No G Intact G Intact L Maintenance 7

HMA-62 1 2 Black lab countertop No G Intact G Intact L Maintenance 7

Friable Yes/No

Previous Condition Current Condition Potential for Disturbance Removal

Priority Comments

Rating Based On Rating Based On

Rating Based On

HMA-65 1 2 Transite vent hood No G Intact G Intact L Maintenance 7

Building 1 – 3rd Floor

HMA-B1 1 3 9"x9" floor tile - brown w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-D1 1 3 12”x12” floor tile - white w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-P1 1 3 Linoleum floor w/ black mastic Yes G Intact G Intact L Floor Maintenance 7

HMA-Q1 1 3 12"x12" floor tile - light white w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-T1 1 3 12”x12” floor tile – light brown w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-W 1 2 12”x12” floor tile – dark white No G Intact G Intact L Floor Maintenance 7

HMA-19 1 3 ACM pipe insulation and mudded fittings Yes G Intact G Intact M Access/

Maintenance 6

HMA-24 1 3 Fire Door No G Intact G Intact L Maintenance 7

HMA-25 1 3 Interior window caulk - gray No G Intact G Intact L Maintenance 7

HMA-31 1 3 Wall mounted heater (PACM) No G Intact G Intact L Maintenance 7

HMA-41 1 3 Flange gasket (PACM) No G Intact G Intact L Maintenance 7

HMA-43 1 3 Ceiling mounted heater (PACM) No G Intact G Intact L Maintenance 7

HMA-62 1 3 Black lab countertop No G Intact G Intact L Maintenance 7

HMA-64 1 3 Black tar – covered duct insulation Yes G Intact G Intact L Maintenance 7

HMA-65 1 3 Transite vent hood No G Intact G Intact L Maintenance 7

HMA-71 1 3 Transite panels No G Intact G Intact L Access/ Maintenance 7

Friable Yes/No

Previous Condition Current Condition Potential for Disturbance Removal

Priority Comments

Rating Based On Rating Based On

Rating Based On

Building 1 – Penthouse

HMA-D1 1 P 12"x12" floor tile – white w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-R1 1 P 9”x9” floor tile – green w/ black mastic No G Intact G Intact L Floor

Maintenance 7

HMA-19 1 P ACM pipe insulation and mudded fittings Yes G Intact G Intact M Access/

Maintenance 6

HMA-24 1 P Fire door No G Intact G Intact L Maintenance 7

HMA-41 1 P Flange gasket (PACM) No G Intact G Intact L Maintenance 7

Building 1 – Exterior

HMA-69 1 Ext Roofing mastic No G Intact G Intact M Maintenance 6

HMA-70 1 Ext Stucco surfacing material-tan Yes D Damaged D Damaged M Maintenance 6 Damaged material is friable.

HMA-75 1 Ext Roofing tar No G Intact G Intact M Maintenance 6

SECTION 12.0

MANAGEMENT PLAN UPDATES

This section includes the records of any asbestos abatement activities that are completed at the subject site. Notifications, daily notes, drawings, air sampling results, etc associated with building specific asbestos abatement projects should be placed in this section or at least represented within a project log tracking page.

SECTION 13.0

RESPONSE ACTIONS

This section includes the records of any internal asbestos abatement or operation and maintenance activities that may be completed by VA employees. This would include any drawings, field notes, and air monitoring completed.

SECTION 14.0

TRAINING DOCUMENTS

This section includes the records of any training for the Designated Person and accredited Supervisor, as well as the two-hour awareness training for the custodial, janitorial and maintenance staff.

SECTION 15.0

ANNUAL NOTIFICATION LETTERS

This section includes copies of the annual Notification Letters provided to employees to inform them of the availability of the Management Plan.

SECTION 16.0

2018 XRF LEAD SURVEY

This section includes tables summarizing the location and findings for all XRF lead samples collected during the 2018 survey.

Lead Containing Materials Summary Table VA-Jefferson Barracks Medical Facility Building 1

LEAD CONTAINING MATERIAL SUMMARY RSH PROJECT NO. SH1476

2018 LEAD SUMMARY

DESCRIPTION LOCATION INSPECTION COMMENTS

White Plaster Wall Room C303 Riverfront 2018 N/A

White Plaster Wall Room C305 Riverfront 2018 N/A

White Plaster Wall Room C306 Riverfront 2018 N/A

White Plaster Wall Room C307 Riverfront 2018 N/A

White Plaster Wall Room 3C06 Riverfront 2018 N/A

Gray Tile Wall Room 3C16 Riverfront 2018 N/A

Tan Drywall Ceiling Room 3C16 Riverfront 2018 N/A

White Plaster Wall Room 3C21 Riverfront 2018 N/A

White Plaster Wall Room 3C23 Riverfront 2018 N/A

White Plaster Ceiling Room 3C23 Riverfront 2018 N/A

Purple Drywall Wall 3 West Riverfront 2018 N/A

Wallpaper Plaster Wall Room W310 Riverfront 2018 N/A

Wallpaper Plaster Wall Room W312 Riverfront 2018 N/A

Blue Tile Wall Room W314 Riverfront 2018 N/A

White Plaster Wall Hallway 3C09 Riverfront 2018 N/A

White Plaster Wall Room 3E01 Riverfront 2018 N/A

Blue Plaster Wall Room 3E12A Riverfront 2018 N/A

Brown Plaster Wall Room 2C02 Riverfront 2018 N/A

Blue Tile Wall Room 2C04 Riverfront 2018 N/A

White Plaster Wall Room 2C05 Riverfront 2018 N/A

White Plaster Wall Hallway 2C01 Riverfront 2018 N/A

Blue Tile Wall Room 2C16 Riverfront 2018 N/A

White Tile Wall Room 2C20 Riverfront 2018 N/A

Gray Tile Walls Room 2C28 Riverfront 2018 N/A

White Plaster Wall Room 2W05 Riverfront 2018 N/A

Gray Tile Wall Room 2W05 Riverfront 2018 N/A

White Plaster Wall Room 2W06 Riverfront 2018 N/A

Blue Plaster Wall Room 2W09 Riverfront 2018 N/A

White Plaster Wall Room 2W12 Riverfront 2018 N/A

White Plaster Wall Room 2W13 Riverfront 2018 N/A

Pink Plaster Wall Room 2W18 Riverfront 2018 N/A

Blue Plaster Wall Room 2W19 Riverfront 2018 N/A

Gray Tile Room 2W20 Riverfront 2018 N/A

White Tile Wall Room 2W21 Riverfront 2018 N/A

Blue Tile Wall Room 2W23 Riverfront 2018 N/A

White Plaster Wall Room 2W24 Riverfront 2018 N/A

White Plaster Wall Room 2W25 Riverfront 2018 N/A

White Plaster Ceiling Room 2W25 Riverfront 2018 N/A

White Plaster Wall Room 2W26 Riverfront 2018 N/A

White Plaster Wall Room 2W27 Riverfront 2018 N/A

Yellow Tile Wall Room 2W34 Riverfront 2018 N/A

White Metal Door Room 2W34 Riverfront 2018 N/A

White Plaster Wall Room 2W35 Riverfront 2018 N/A

Yellow Plaster Wall Room 2W35 Riverfront 2018 N/A

White Plaster Wall Room 2W36 Riverfront 2018 N/A

Yellow Plaster Wall Room 2W36 Riverfront 2018 N/A

White Plaster Wall Room 2E01 Riverfront 2018 N/A

Gray Plaster Wall Room 2E04 Riverfront 2018 N/A

White Plaster Wall Room 2E05 Riverfront 2018 N/A

White Tile Wall Room 2E05A Riverfront 2018 N/A

White Plaster Wall Room 2E05A Riverfront 2018 N/A

White Tile Wall Room 2E07 Riverfront 2018 N/A

White Tile Wall Room 2E07C Riverfront 2018 N/A

White Tile Wall Room 2E09 Riverfront 2018 N/A

White Plaster Ceiling Room 2E18 Riverfront 2018 N/A

White Drywall Wall Room 2E19 Riverfront 2018 N/A

White Tile Wall Room 2E22A Riverfront 2018 N/A

White Tile Wall Room 2E24 Riverfront 2018 N/A

White Drywall Wall Room 2E25A Riverfront 2018 N/A

White Tile Wall Room 2E25B Riverfront 2018 N/A

White Tile Wall Room 2E27 Riverfront 2018 N/A

White Plaster Wall Room 2E31 Riverfront 2018 N/A

White Tile Wall Room 2E31 Riverfront 2018 N/A

Gray Tile Wall Room C102I Riverfront 2018 N/A

Gray Tile Wall Room C102G Riverfront 2018 N/A

White Plaster Wall Room C104 Riverfront 2018 N/A

White Plaster Wall Room C113 Riverfront 2018 N/A

White Plaster Wall Room C115A Riverfront 2018 N/A

Gray Plaster Wall Room C121 Riverfront 2018 N/A

Gray Concrete Ceiling Room C121 Riverfront 2018 N/A

White Plaster Wall Room C123A Riverfront 2018 N/A

White Plaster Wall Room C123B Riverfront 2018 N/A

White Plaster Wall Room C123C Riverfront 2018 N/A

Blue Plaster Wall Room C125 Riverfront 2018 N/A

Gray Tile Wall Room C126 Riverfront 2018 N/A

White Plaster…