Attachment_J05_-_Limited_Asbestos_Inspection_WR_Property_Sept_2017.pdf
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Attachment J05 - Limited Asbestos Inspection WR Property Sept 2017
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Valley of the Sun Environmental Consultant (VSEC)
~ Email: rbarnett@valleysec.com ~ Mobile: (480) - 203-0874 ~ www.valleysec.com
Limited Asbestos Inspection Whiteriver Indian Hospital Property –
(Throughout - Interior)
200 West Hospital Drive Whiteriver, AZ 85941
VSEC PROJECT NO.: LAS-13317
September 18, 2017
Valley of the Sun Environmental Consultant, LLC. (VSEC)
Report of Findings- Limited Asbestos Inspection
Whiteriver Indian Hospital Property – Throughout 200 West Hospital Drive
Whiteriver, AZ 85941
~ Email: rbarnett@valleysec.com~ Mobile: (480) 203-0874 ~ www.valleysec.com ~
Project No.: LAS-13317
September 18, 2017
Phoenix Area Indian Health Service Attn: David Farley, PE, MS, CEM 40 N. Central Ave., Suite 720 Phoenix, AZ 85004-4424
Dear Mr. Farley:
RE: Report of Findings- Limited Asbestos Inspection Whiteriver Indian Hospital Property – Throughout 200 West Hospital Drive Whiteriver, AZ 85941
At the request of Mr. David Farley, U.S. Public Health Service Commissioned Corps. The Valley of the Sun Environmental Consultant (VSEC) collected bulk samples from suspect asbestos-containing building materials that are scheduled to be impacted during upcoming repair/renovation activities. Bulk samples collection was performed by VSEC accredited EPA/AHERA Building Inspector Mr. Ronald Barnett on Friday August 15, 2017. Sampling was performed in general accordance with the AHERA sampling protocol EPA 40 CFR Part 763.86 Sampling.
The purpose of the NESHAP asbestos regulations is to protect human health and the environment by minimizing the release of asbestos fibers when homes contain asbestos-containing materials (ACM) are renovated or demolished.
The analysis was performed by EMC Labs Inc. of Phoenix, Arizona using the polarized light microscopy, EPA Method 600/R-93/116. EMC Labs Inc. is accredited under the National Voluntary Laboratory Accreditation Program (NVLAP). EMC Labs Inc. NVLAP Lab Code is 101926-0.
http://www.valleysec.com/ mailto:rbarnett@valleysec.com
Report of Findings- Limited Asbestos Inspection
Whiteriver Indian Hospital Property – Throughout 200 West Hospital Drive
Whiteriver, AZ 85941
~ Email: rbarnett@valleysec.com~ Mobile: (480) 203-0874 ~ www.valleysec.com ~
During the site investigation for asbestos-containing materials, VSEC identified twenty-seven
(27) suspect materials. Of the twenty-seven materials identified three contain asbestos in amounts greater than one percent by (PLM) laboratory analysis. The following is a list of the suspect materials sampled:
Suspect Asbestos Material
• Drywall & Joint Compound / Texture
• 4” Black Cove Base w/ Mastic
• 2” x 4” White Acoustical Ceiling Tiles – pin holes
• Duct Seam Tape
• Insulation – flex duct
• Spray On Fire Proofing
• Vinyl Flooring w/ Mastic – grayish w/ specks
• 12” x 12” Grayish Blue Floor Tile w/ Mastic
• 4” Blue Cove Base w/ Mastic
• 4” Brown Cove Base w/ Mastic
• 16” x 16” Brown Carpet Square
• 4” Grayish Blue Cove Base w/ Mastic
• Sink Acoustic
• 12” x 12” Tan Floor Tile w/ Mastic
• Blue Carpet w/ Mastic
• Greenish Carpet w/ Mastic
• 3” Brown Cove Base w/ Mastic
• Lt. Green Carpet w/ Mastic
• 2” x 4” White Acoustical Ceiling Tiles – hash marks
• 4” Gray Cove Base w/ Mastic
• Vinyl Flooring w/ Mastic – Lt. Blue w/ specks
• Vinyl Flooring w/ Mastic – Green w/ specks
• 8” x 8” Gray Ceramic Tile / Grout / Underlayment
• 8” x 8” Beige Ceramic Tile / Grout / Underlayment
• Vinyl Flooring w/ Mastic – Blue
• 12” x 12” Ocean Blue Floor Tile w/ Mastic
• 12” x 12” Tan Floor Tile w/ Mastic
Report of Findings- Limited Asbestos Inspection
Whiteriver Indian Hospital Property – Throughout 200 West Hospital Drive
Whiteriver, AZ 85941
~ Email: rbarnett@valleysec.com~ Mobile: (480) 203-0874 ~ www.valleysec.com ~
Summary of Findings
HA No. Material Description
Material Locations Condition % Asbestos and
Type
NESHAP
Classification Quantity
1A
Drywall & Joint Compound / Texture
Dental Area- Room 571 at wall Good
2% - 2% Chrysotile (joint compound / texture)
ND - Drywall
RACM
Approximately
2,000 S.F.
1B
Drywall & Joint Compound / Texture
Diabetes Room 534 at wall Good
2% - Chrysotile (joint compound)
ND - Drywall
RACM
Approximately 2,000 S.F.
1C
Drywall & Joint Compound / Texture
Med Staff – Conference
Room at wall
NA ND NA NA
1D
Drywall & Joint Compound / Texture
ER Waiting Room at wall NA ND NA NA
1E
Drywall & Joint Compound / Texture
Physical Therapy – Outside
Room 175 at wall
NA ND NA NA
1F
Drywall & Joint Compound / Texture
Great Room Hall at wall NA ND NA NA
2A 4” Black Cove Base w/ Mastic Dental Area –
Room 571
NA ND NA NA
2B 4” Black Cove Base w/ Mastic NA ND NA NA
3A
2” x 4” White Acoustical Ceiling Tile – pin holes
Dental Area NA ND NA NA
3B
2” x 4” White Acoustical Ceiling Tile – pin holes
Diabetes Area NA ND NA NA
Report of Findings- Limited Asbestos Inspection
Whiteriver Indian Hospital Property – Throughout 200 West Hospital Drive
Whiteriver, AZ 85941
~ Email: rbarnett@valleysec.com~ Mobile: (480) 203-0874 ~ www.valleysec.com ~
4A Duct Seam Tape
Dental Area
Good 85% Chrysotile RACM Approximately
1,000 L.F.
4B Duct Seam Tape Good 85% Chrysotile
RACM Approximately 1,000 L.F.
4C Duct Seam Tape Good 85% Chrysotile
RACM Approximately 1,000 L.F.
5A Insulation – flex duct Dental Area NA ND NA NA
5B Insulation – flex duct Clinical Area NA ND NA NA
6A Spray On Fire Proofing
Dental Area
NA ND NA NA
6B Spray On Fire Proofing NA ND NA NA
6C Spray On Fire Proofing NA ND NA NA
7A
Vinyl Flooring w/ Mastic – grayish w/ specks
Dental Area NA ND NA NA
7B
Vinyl Flooring w/ Mastic – grayish w/ specks
Optometrist Area NA ND NA NA
8A
12” x 12” Grayish – Blue Floor Tile w/ Mastic
Dental Entrance NA ND NA NA
8B
12” x 12” Grayish – Blue Floor Tile w/ Mastic
Diabetes Area NA ND NA NA
8C
12” x 12” Grayish – Blue Floor Tile w/ Mastic
ER Waiting Room NA ND NA NA
9A 4” Blue Cove Base w/ Mastic
Dental Entrance NA ND
NA NA
9B 4” Blue Cove Base w/ Mastic
Diabetes Outside
Room 534
NA ND NA NA
9C 4” Blue Cove Base w/ Mastic
ER Waiting Room NA ND NA
NA
10A 4” Brown Cove Base w/ Mastic Diabetes
Area Room
NA ND NA NA
10B 4” Brown Cove Base w/ Mastic
NA ND NA NA
Report of Findings- Limited Asbestos Inspection
Whiteriver Indian Hospital Property – Throughout 200 West Hospital Drive
Whiteriver, AZ 85941
~ Email: rbarnett@valleysec.com~ Mobile: (480) 203-0874 ~ www.valleysec.com ~
11A 16” x 16” Brown Carpet Squares
Diabetes Area Room
NA ND NA NA
11B 16” x 16” Brown Carpet Squares
Optometrist Area Room
NA ND NA NA
12A 4” Grayish – Blue Cove Base w/ Mastic Diabetes
Area
NA ND NA NA
12B 4” Grayish – Blue Cove Base w/ Mastic
NA ND NA NA
13A Sink Acoustic Optometrist Area Room
NA ND NA NA
13B Sink Acoustic NA ND NA NA
14A 12” x 12” Tan Floor Tile w/ Mastic Clinical Area
Room 502
NA ND NA NA
14B 12” x 12” Tan Floor Tile w/ Mastic
NA ND NA NA
15A Blue Carpet w/ Mastic Med Staff –
Conference Room
NA ND NA
NA
15B Blue Carpet w/ Mastic NA ND NA
NA
16A Greenish Carpet w/ Mastic Med Staff
Office
NA ND NA NA
16B Greenish Carpet w/ Mastic
NA ND NA NA
17A 3” Brown Cove Base w/ Mastic Med Staff
Office
NA ND NA NA
17B 3” Brown Cove Base w/ Mastic
NA ND NA NA
18A Lt. Green Carpet w/ Mastic Med Staff
Office
NA ND NA NA
18B Lt. Green Carpet w/ Mastic
NA ND NA NA
19A
2” x 4” White Acoustical Ceiling Tile – hash marks Med Staff
Office
NA ND NA NA
19B
2” x 4” White Acoustical Ceiling Tile – hash marks
NA ND NA NA
Report of Findings- Limited Asbestos Inspection
Whiteriver Indian Hospital Property – Throughout 200 West Hospital Drive
Whiteriver, AZ 85941
~ Email: rbarnett@valleysec.com~ Mobile: (480) 203-0874 ~ www.valleysec.com ~
20A 4” Gray Cove Base w/ Mastic
ER Pharmacy
NA ND NA
NA
20B 4” Gray Cove Base w/ Mastic NA ND NA
NA
21A Vinyl Flooring w/ Mastic – Lt.
Blue ER Triage
NA ND NA NA
21B Vinyl Flooring w/ Mastic – Lt.
Blue
NA ND NA NA
22A
Vinyl Flooring w/ Mastic – Green w/ specks Physical
Therapy Area
NA ND NA NA
22B
Vinyl Flooring w/ Mastic – Green w/ specks
NA ND NA NA
23A
8” x 8” Gray Ceramic Tile / Grout / Underlayment
Physical Therapy
Bathroom at wall
NA ND NA NA
23B
8” x 8” Gray Ceramic Tile / Grout / Underlayment
NA ND NA NA
24A
8” x 8” Beige Ceramic Tile / Grout / Underlayment
Physical Therapy
Bathroom at floor
NA ND NA NA
24B
8” x 8” Beige Ceramic Tile / Grout / Underlayment
NA ND NA NA
25A Vinyl Flooring w/ Mastic – blue
Physical Therapy Outside
Waiting Hall
NA ND NA NA
25B Vinyl Flooring w/ Mastic – blue
NA ND NA NA
26A
12” x 12” Ocean Blue Floor Tile w/ Mastic Great Room
Hall
NA ND NA NA
26B
12” x 12” Ocean Blue Floor Tile w/ Mastic
NA ND NA NA
Report of Findings- Limited Asbestos Inspection
Whiteriver Indian Hospital Property – Throughout 200 West Hospital Drive
Whiteriver, AZ 85941
~ Email: rbarnett@valleysec.com~ Mobile: (480) 203-0874 ~ www.valleysec.com ~
27A 12” x 12” Tan Floor Tile w/ Mastic
IT Server Room
Damaged
2% - Chrysotile (floor tile tan)
10% - Chrysotile (mastic – black)
RACM
Approximately
150 S.F.
27B 12” x 12” Tan Floor Tile w/ Mastic
Damaged
2% - Chrysotile (floor tile tan)
10% - Chrysotile (mastic – black)
RACM
Approximately
150 S.F.
ND=None Detected
* Category I Non-Friable ACM is packing, gaskets, resilient floor covering and asphalt roofing products with more than 1% asbestos.
** Category II nonfriable ACM means any material, excluding Category I nonfriable ACM, containing more than one percent asbestos as determined using the methods specified in appendix A, subpart F, 40 CFR part 763, section 1, Polarized Light
Microscopy that, when dry, cannot be crumbled, pulverized, or reduced to powder by hand pressure.
*** RACM Regulated asbestos containing materials.
NESHAP Information
Name of
EPA/AHERA
Building Inspector
Inspection date
Number of Samples
Building Inspector Certification Number Training Provider Expiration Date
Ronald Barnett 09/15/2017 62 G 6436 The Asbestos Institute January 6, 2018
Recommendations
VSEC recommends that a professional asbestos abatement contractor perform the scope of work.
Upon Completion of the asbestos abatement activities VSEC recommends Post Asbestos Air Clearance Testing to be performed to ensure the asbestos abatement is completed.
Report of Findings- Limited Asbestos Inspection
Whiteriver Indian Hospital Property – Throughout 200 West Hospital Drive
Whiteriver, AZ 85941
~ Email: rbarnett@valleysec.com~ Mobile: (480) 203-0874 ~ www.valleysec.com ~
Report Qualifications
VSEC has attempted to evaluate the existing conditions explained in this summary using superior procedures as opposed to those performing similar services. Even though the inspections are thorough, some areas containing asbestos may be unattainable or are diverse from those at alternative sample locations. Considering, conditions at every location are not equivalent. The results presented in this report are relevant to the dates of our site inspections and the scope of included services and should not be relied on to account for conditions at substantially later dates.
We appreciate the opportunity to provide professional environmental consulting and testing services related to this project. Please contact me, if you have any questions, or if I can be of further services in the future.
Enclosed, is a copy of the PLM laboratory analysis report.
Sincerely, Valley of the Sun Environmental Consultant
Ronald Barnett, Senior Industrial Hygienist AHERA Building Inspector # G 6436 AHERA Contractor Supervisor # G 6418 AHERA Management Planner # G 4689 AHERA Project Designer # G 6401 NIOSH 582 (Cert # 7PSI 13935)
APPENDIX A
LABORATORY RESULTS
Asbestos Detected
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
Cellulose Fiber Fibrous Glass
NoLAYER 1 Drywall, White/ Brown
None Detected0191738-001 DENTAL AREA RM
571-WALL091517-1A
10% 2%
Gypsum Quartz Carbonates 88%
Cellulose FiberNoLAYER 2 Tape, White
None Detected 95% Carbonates 5%
YesLAYER 3 Joint Compound, White
Chrysotile 2% Carbonates Mica Quartz Binder/Filler 98%
YesLAYER 4 Texture, White
Chrysotile 2% Carbonates Mica Quartz Binder/Filler 98%
Cellulose Fiber Fibrous Glass
NoLAYER 1 Drywall, White/ Brown
None Detected0191738-002 DIABETES-RM 534-
WALL091517-1B
10% 2%
Gypsum Quartz Carbonates 88%
Cellulose FiberNoLAYER 2 Tape, White
None Detected 95% Carbonates 5%
Cellulose FiberYesLAYER 3 Joint Compound, White
Chrysotile 2% 1% Carbonates Mica Quartz Binder/Filler 97%
Cellulose FiberNoLAYER 4 Texture, White
None Detected <1% Carbonates Mica Quartz Binder/Filler 99%
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
Cellulose Fiber Fibrous Glass
NoLAYER 1 Drywall, White/ Brown
None Detected0191738-003 MED STAFF-
CONFERENCE RM-
WALL
091517-1C 10% 2%
Gypsum Quartz Carbonates 88%
Cellulose FiberNoLAYER 2 Tape, White
None Detected 95%
Carbonates 5%
Cellulose FiberNoLAYER 3 Joint Compound, White
None Detected 1% Carbonates Mica Quartz Binder/Filler 99%
Cellulose FiberNoLAYER 4 Texture, White
None Detected <1%
Carbonates Mica Quartz
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
Cellulose Fiber Fibrous Glass
NoLAYER 1 Drywall, White/ Brown
None Detected0191738-004 ER WAITING RM-
WALL091517-1D
10% 2%
Gypsum Quartz Carbonates 88%
Cellulose FiberNoLAYER 2 Tape, White
None Detected 95% Carbonates 5%
NoLAYER 3 Joint Compound, White
None Detected Carbonates Mica Quartz Perlite Binder/Filler 100%
Cellulose FiberNoLAYER 4 Texture, White/ Lt. Blue
None Detected <1%
Carbonates Mica Quartz Perlite
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
Cellulose Fiber Fibrous Glass
NoLAYER 1 Drywall, White/ Brown
None Detected0191738-005 PHYSICAL
THERAPY-
OUTSIDE RM 1752
091517-1E 10% 2%
Gypsum Quartz Carbonates 88%
Cellulose FiberNoLAYER 2 Tape, White
None Detected 95%
Carbonates 5%
Cellulose FiberNoLAYER 3 Joint Compound, White
None Detected <1% Carbonates Mica Quartz Perlite Binder/Filler 99%
Cellulose FiberNoLAYER 4 Texture, White/ Lt. Brown
None Detected <1% Carbonates Mica Quartz Perlite
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
Cellulose Fiber Fibrous Glass
NoLAYER 1 Drywall, White/ Brown
None Detected0191738-006 GREAT RM HALL-
WALL091517-1F
10% 2%
Gypsum Quartz Carbonates 88%
Cellulose FiberNoLAYER 2 Joint Compound, White
None Detected 1% Carbonates Mica Quartz Perlite Binder/Filler 99%
Cellulose FiberNoLAYER 3 Texture, White
None Detected 1% Carbonates Mica Quartz Perlite Binder/Filler 99%
Synthetic Fiber Cellulose Fiber
NoLAYER 4 Wall Covering/ Mastic, White/ Yellow
None Detected 15% 15%
Gypsum Carbonates Binder/Filler 70%
NoLAYER 1 4" Cove Base, Black
None Detected0191738-007 DENTAL AREA 57 091517-2A Carbonates
Quartz Binder/Filler 100%
NoLAYER 2 Mastic, Off White
None Detected Carbonates Quartz Gypsum Binder/Filler 100%
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
NoLAYER 1 4" Cove Base, Black
None Detected0191738-008 DENTAL AREA 57 091517-2B Carbonates
Quartz Binder/Filler 100%
NoLAYER 2 Mastic, Off White
None Detected Carbonates Quartz Gypsum Binder/Filler 100%
Mineral Wool Cellulose Fiber
No2x4 Ceiling Tile, White Pinhole None Detected0191738-009 DENTAL AREA 091517-3A
45% 35%
Carbonates Gypsum Perlite Binder/Filler 20%
Mineral Wool Cellulose Fiber
No2x4 Ceiling Tile, White Pinhole None Detected0191738-010 DIABETES 091517-3B
45% 35%
Carbonates Gypsum Perlite Binder/Filler 20%
YesDuct Seam Tape, Lt. Gray Chrysotile0191738-011 DENTAL AREA 091517-4A
85% Carbonates Quartz Binder/Filler 15%
YesDuct Seam Tape, Lt. Gray Chrysotile0191738-012 DENTAL AREA 091517-4B
85% Carbonates Quartz Binder/Filler 15%
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
YesDuct Seam Tape, Lt. Gray Chrysotile0191738-013 DENTAL AREA 091517-4C
85% Carbonates Quartz Binder/Filler 15%
Fibrous GlassNoLAYER 1 Duct Insulation, Pink
None Detected0191738-014 DENTAL AREA 091517-5A
95% Carbonates 5%
Cellulose Fiber Fibrous Glass
NoLAYER 2 Duct Insulation Wrap, Silver/ Lt.
Brown
None Detected 40% 15%
Aluminum Carbonates Gypsum Binder/Filler 45%
Fibrous GlassNoLAYER 1 Duct Insulation, Lt. Yellow
None Detected0191738-015 CLINICAL RM 507 091517-5B
95% Carbonates 5%
Cellulose Fiber Fibrous Glass
NoLAYER 2 Duct Insulation Wrap, Silver/ Lt.
Brown
None Detected 40% 5%
Aluminum Carbonates Gypsum Binder/Filler 55%
Cellulose FiberNoSprayed on Fireproofing, Tan None Detected0191738-016 DENTAL AREA 091517-6A
10%
Gypsum Mica Carbonates Binder/Filler 90%
Cellulose FiberNoSprayed on Fireproofing, Tan None Detected0191738-017 DENTAL AREA 091517-6B
10% Gypsum Mica Carbonates Binder/Filler 90%
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
Cellulose FiberNoSprayed on Fireproofing, Tan None Detected0191738-018 DENTAL AREA 091517-6C
10% Gypsum Mica Carbonates Binder/Filler 90%
NoLAYER 1 Vinyl Flooring, Gray Specks
None Detected0191738-019 DENTAL AREA 091517-7A Carbonates
Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic, Yellow
None Detected <1% Carbonates Quartz Binder/Filler 99%
NoLAYER 1 Vinyl Flooring, Gray Specks
None Detected0191738-020 OPTOMETRIST 091517-7B Carbonates
Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic, Yellow
None Detected 5% Carbonates Quartz Gypsum Perlite Binder/Filler 95%
NoLAYER 1 12"x12" Floor Tile, Grayish-Blue
None Detected0191738-021 DENTAL 091517-8A Carbonates
Quartz Binder/Filler 100%
Synthetic FiberNoLAYER 2 Mastic, Yellow
None Detected <1% Carbonates Quartz Gypsum
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
NoLAYER 1 12"x12" Floor Tile, Grayish-Blue
None Detected0191738-022 DIABETES 091517-8B Carbonates
Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic, Yellow
None Detected <1% Carbonates Quartz Gypsum Binder/Filler 99%
NoLAYER 1 12"x12" Floor Tile, Grayish-Blue
None Detected0191738-023 ER WAITING RM 091517-8C Carbonates
Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic, Yellow
None Detected <1% Carbonates Quartz Gypsum Binder/Filler 99%
NoLAYER 1 4" Cove Base, Blue
None Detected0191738-024 DENTAL 091517-9A Carbonates
Quartz Binder/Filler 100%
NoLAYER 2 Mastic, Off White
None Detected Carbonates Quartz Gypsum Binder/Filler 100%
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
NoLAYER 1 4" Cove Base, Blue
None Detected0191738-025 DIABETES
OUTSIDE 534091517-9B
Carbonates Quartz Binder/Filler 100%
NoLAYER 2 Mastic, Off White
None Detected Carbonates Quartz Gypsum Binder/Filler 100%
NoLAYER 1 4" Cove Base, Blue
None Detected0191738-026 ER WAITING RM 091517-9C Carbonates
Quartz Binder/Filler 100%
NoLAYER 2 Mastic, Yellow
None Detected Carbonates Quartz Gypsum Binder/Filler 100%
NoLAYER 1 4" Cove Base, Brown
None Detected0191738-027 DIABETES 534 091517-10A Carbonates
Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic, Yellow
None Detected <1% Carbonates Quartz Gypsum
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
NoLAYER 1 4" Cove Base, Brown
None Detected0191738-028 DIABETES 534 091517-10B Carbonates
Quartz Binder/Filler 100%
NoLAYER 2 Mastic, Yellow
None Detected Carbonates Quartz Gypsum Binder/Filler 100%
Synthetic Fiber Fibrous Glass
NoLAYER 1 16x16 Carpet Square, Brown
None Detected0191738-029 DIABETES 534 091517-11A
40% 5%
Carbonates Quartz Binder/Filler 55%
Cellulose Fiber Synthetic Fiber
NoLAYER 2 Mastic, Clear
None Detected 2% 1%
Carbonates Quartz Gypsum Binder/Filler 97%
Synthetic Fiber Fibrous Glass
NoLAYER 1 16x16 Carpet Square, Brown
None Detected0191738-030 OPTMETRIST 523 091517-11B
40% 5%
Carbonates Quartz Binder/Filler 55%
Cellulose Fiber Fibrous Glass
NoLAYER 2 Mastic, Clear
None Detected 2% <1%
Carbonates Quartz Gypsum Binder/Filler 97%
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
NoLAYER 1 4" Cove Base, Grayish-Blue
None Detected0191738-031 DIABETES 091517-12A Carbonates
Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic, Off White
None Detected <1% Carbonates Quartz Gypsum Binder/Filler 99%
NoLAYER 1 4" Cove Base, Grayish-Blue
None Detected0191738-032 DIABETES 091517-12B Carbonates
Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic, Off White
None Detected <1% Carbonates Quartz Gypsum Binder/Filler 99%
Cellulose FiberNoSink Acoustic, Gray None Detected0191738-033 OPTOMETRIST-534 091517-13A
10%
Carbonates Mica Quartz Binder/Filler 90%
Cellulose FiberNoSink Acoustic, Gray None Detected0191738-034 OPTOMETRIST-534 091517-13B
10% Carbonates Mica Quartz
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
NoLAYER 1 12"x12" Floor Tile, Tan
None Detected0191738-035 CLINICAL-502 091517-14A Carbonates
Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic, Yellow
None Detected 1% Carbonates Quartz Gypsum Binder/Filler 99%
NoLAYER 1 12"x12" Floor Tile, Tan
None Detected0191738-036 CLINICAL-502 091517-14B Carbonates
Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic, Yellow
None Detected <1% Carbonates Quartz Gypsum Binder/Filler 99%
Synthetic Fiber Fibrous Glass
NoLAYER 1 16x16 Carpet Square, Blue
None Detected0191738-037 MED STAFF-
CONFERENCE RM091517-15A
40% 5%
Carbonates Quartz Binder/Filler 55%
Cellulose Fiber Synthetic Fiber
NoLAYER 2 Mastic, Clear
None Detected 1% <1%
Carbonates Quartz Gypsum Binder/Filler 98%
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
Synthetic Fiber Fibrous Glass
NoLAYER 1 16x16 Carpet Square, Blue
None Detected0191738-038 MED STAFF-
CONFERENCE RM091517-15B
40% 5%
Carbonates Quartz Binder/Filler 55%
Cellulose FiberNoLAYER 2 Mastic, Clear
None Detected 2% Carbonates Quartz Gypsum Binder/Filler 98%
Synthetic FiberNoLAYER 1 Carpet, Green
None Detected0191738-039 MED STAFF-
CONFERENCE RM091517-16A
90%
Carbonates Binder/Filler 10%
Synthetic FiberNoLAYER 2 Mastic, Yellow
None Detected 1% Carbonates Quartz Gypsum Binder/Filler 99%
Synthetic FiberNoLAYER 1 Carpet, Green
None Detected0191738-040 MED STAFF-
CONFERENCE RM091517-16B
90%
Carbonates Binder/Filler 10%
Cellulose FiberNoLAYER 2 Mastic, Yellow
None Detected <1% Carbonates Quartz Gypsum
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
NoLAYER 1 3" Cove Base, Brown/ Purple
None Detected0191738-041 MED STAFF-
CONFERENCE RM091517-17A
Carbonates Quartz Binder/Filler 100%
NoLAYER 2 Mastic, Off White
None Detected Carbonates Quartz Binder/Filler 100%
NoLAYER 1 3" Cove Base, Brown/ Purple
None Detected0191738-042 MED STAFF-
CONFERENCE RM091517-17B
Carbonates Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic, Off White
None Detected <1% Carbonates Quartz Binder/Filler 99%
Synthetic FiberNoLAYER 1 Carpet, Lt. Green
None Detected0191738-043 MED STAFF-
CONFERENCE RM091517-18A
90%
Carbonates Binder/Filler 10%
Synthetic FiberNoLAYER 2 Mastic, Yellow
None Detected <1%
Carbonates Quartz Binder/Filler 99%
Synthetic FiberNoCarpet, Lt. Green None Detected0191738-044 MED STAFF-
CONFERENCE RM091517-18B
90%
Carbonates Binder/Filler 10%
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
Mineral Wool Cellulose Fiber
No2x4 Ceiling Tile, White Hash Mark None Detected0191738-045 MED STAFF
OFFICAL091517-19A
45% 35%
Carbonates Gypsum Perlite Binder/Filler 20%
Mineral Wool Cellulose Fiber
No2x4 Ceiling Tile, White Hash Mark None Detected0191738-046 MED STAFF
OFFICAL091517-19B
45% 35%
Carbonates Gypsum Perlite Binder/Filler 20%
NoLAYER 1 4" Cove Base, Gray
None Detected0191738-047 ER PHARMACY 091517-20A Carbonates
Quartz Binder/Filler 100%
NoLAYER 2 Mastic, Off White
None Detected Carbonates Quartz Binder/Filler 100%
NoLAYER 1 4" Cove Base, Gray
None Detected0191738-048 ER PHARMACY 091517-20B Carbonates
Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic, Off White
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
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
NoLAYER 1 Vinyl Flooring, Lt. Blue
None Detected0191738-049 ER TRIAGE 091517-21A Carbonates
Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic, Gray
None Detected <1% Carbonates Quartz Binder/Filler 99%
NoLAYER 1 Vinyl Flooring, Lt. Blue
None Detected0191738-050 ER TRIAGE 091517-21B Carbonates
Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic, Gray
None Detected <1% Carbonates Quartz Binder/Filler 99%
NoLAYER 1 Vinyl Flooring, Lt. Blue
None Detected0191738-051 PHYSICAL
THERAPY091517-22A
Carbonates Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic, Gray
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
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
NoLAYER 1 Vinyl Flooring, Lt. Blue
None Detected0191738-052 PHYSICAL
THERAPY091517-22B
Carbonates Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic, Gray
None Detected 1% Carbonates Quartz Binder/Filler 99%
NoLAYER 1 8x8 Ceramic Tile, Gray
None Detected0191738-053 PT BATHRM 091517-23A Quartz
Gypsum Carbonates Binder/Filler 100%
Cellulose FiberNoLAYER 2 Grout, Lt. Brown
None Detected <1% Quartz Gypsum Carbonates Mica Binder/Filler 99%
Cellulose FiberNoLAYER 3 Underlayment, Off White
None Detected <1% Carbonates Quartz Gypsum
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
NoLAYER 1 8x8 Ceramic Tile, Gray
None Detected0191738-054 PT BATHRM 091517-23B Quartz
Gypsum Carbonates Binder/Filler 100%
Cellulose FiberNoLAYER 2 Grout, Lt. Brown
None Detected <1% Quartz Gypsum Carbonates Mica Binder/Filler 99%
Cellulose FiberNoLAYER 3 Underlayment, Off White
None Detected <1% Carbonates Quartz Gypsum Binder/Filler 99%
NoLAYER 1 8x8 Ceramic Tile, Beige Note: No Underlayment Present
None Detected0191738-055 MED PT 091517-24A Quartz
Gypsum Carbonates Binder/Filler 100%
Cellulose FiberNoLAYER 2 Grout, Beige
None Detected <1% Quartz Gypsum Mica Carbonates
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
NoLAYER 1 8x8 Ceramic Tile, Beige Note: No Underlayment Present
None Detected0191738-056 BATH FL 091517-24B Quartz
Gypsum Carbonates Binder/Filler 100%
Cellulose FiberNoLAYER 2 Grout, Beige
None Detected <1% Quartz Gypsum Mica Carbonates Binder/Filler 99%
NoLAYER 1 Vinyl Flooring, Blue
None Detected0191738-057 PHYSICAL
THERAPY091517-25A
Carbonates Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic, Gray
None Detected 1%
Carbonates Quartz Binder/Filler 99%
NoLAYER 1 Vinyl Flooring, Blue
None Detected0191738-058 HALL 091517-25B Carbonates
Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic/ Leveling Compound, Yellow/ Gray Note: Difficult to separate adjacent layers
None Detected 5% Carbonates Quartz Gypsum Perlite Binder/Filler 95%
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
NoLAYER 1 12"x12" Floor Tile, Ocean Blue
None Detected0191738-059 GREAT RM-HALL 091517-26A Carbonates
Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic/ Leveling Compound, Yellow/ Gray Note: Difficult to separate adjacent layers
None Detected 5% Carbonates Quartz Gypsum Perlite Binder/Filler 95%
NoLAYER 1 12"x12" Floor Tile, Ocean Blue
None Detected0191738-060 GREAT RM-HALL 091517-26B Carbonates
Quartz Binder/Filler 100%
Cellulose FiberNoLAYER 2 Mastic, Yellow
None Detected 1% Carbonates Quartz Gypsum Binder/Filler 99%
YesLAYER 1 12"x12" Floor Tile, Tan
Chrysotile0191738-061 IT SERVER RM 091517-27A
2%
Carbonates Quartz Binder/Filler 98%
YesLAYER 2 Mastic, Black
Chrysotile 10% Carbonates Gypsum
Layer Name / Sample Description
Lab ID Sample Location
Bulk Asbestos Analysis by Polarized Light Microscopy
Non-Asbestos Constituents
Laboratory Report
0191738
NVLAP#101926-0
Client ID
Client:
Address: 870 E. GARY DR.
CHANDLER AZ 85225
VSEC
Date Received: 09/15/2017
09/18/2017Date Analyzed:
Job# / P.O. #:
EMC LABS, INC.
Collected: 09/15/2017 EPA Method: Project Name: WHITERIVER INDIAN HOSPITAL
PROPERTY Submitted By: RON BARNETT Address:
Collected By:
9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726
09/18/2017Date Reported:
EPA 600/R-93/116
Asbestos Type
YesLAYER 1 12"x12" Floor Tile, Tan
Chrysotile0191738-062 IT SERVER RM 091517-27B
2% Carbonates Quartz Binder/Filler 98%
YesLAYER 2 Mastic, Black
Chrysotile 10% Carbonates Gypsum Binder/Filler 90%
Analyst - James A. Storm 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.
File details come from the government source that posted it.