B01 Attachment J14 - Investigative Study Final report.pdf

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LAWTON INDIAft ~65PITAL

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INVESTIGATIVE STUDY

FINAL REPORT

USPHS LAWTON INDIAN HOSPITAL

Prepared For:

Oklahoma City Area Indian Health Service Office of Environmental Health and Engineering

Division of Facilities Management Five Corporate Plaza

3625 N.W. 56th

Oklahoma City, OK 73112

Inspection Dates:

March 20th

- March 23rd , 2000

Final Report Date:

June 26, 2000

Prepared By:

Martell and Associates 1333 Meadowlark Lane Kansas City, KS 66102

KINGSTON ENVIRONMENTAL SERVICES

1600 Southwest Market Street Lee's Summit, Missouri 64081

(816) 524-8811

TABLE OF CONTENTS

INSTRUCTION SHEET ....................................... . .. . .... . . Section A

EXECUTIVE SUMMARY .... . ............................ . ..... . ..... . . Section B

ASBESTOS-CONTAINING MATERIALS (Bldgs. 412 through 423) .... . ........ Section C Homogeneous Material Codes/ACBM Schedules

, Bulk Sample Analysis Reports Sample Location Plans Sample Photographs Ambient Air Sample Reports

LEAD-BASED PAINT (Bldgs. 412 through 423) ............................. Section D X-Ray Fluorescence Testing Reports

POL YCHLORINA TED BIPHENYLS ...................... . ............... Section E

CONCLUSIONS/RECO11MENDATIONS ................................. . Section F Asbestos-Containing Materials Asbestos Abatement Cost Estimate Lead-Based Paint LBP Abatement Cost Estimate Polychlorinated Biphenyls

CERTIFICATIONS .......................................... . .......... Section G

SECTION A

I _.

A. INSTRUCTION SHEET FOR ENVIRONMENTAL INSPECTION

REPORT

Kingston Environmental Services, Inc. (KES), is providing the following information for the use of our environmental inspection report. This information should be regarded as baseline information for the interpretation of the tables and drawings included within the report.

• Section A is the Instruction Sheet for the use of the Environmental Inspection Report.

Section Bis the Executive Summary of the report that details the Scope of Work requirements for the project.

Section C is the Asbestos-Containing Materials (ACM) section of the report. This section summarizes the types of materials sampled as well as procedures used for sampling and analysis. A description of each table within this section has been included for user interpretation. The tables, floor plans and photographs within this section have been organized in the order defined within the report. These tables provide the baseline information necessary to determine the locations, quantities and conditions of ACM present within the buildings, as required to perform removal and repair operations.

• Section Dis the Lead-Based Paint (LBP) section of the report. lbis section summarizes the method used to detect LBP through the use of Spectrum Analyzer X-Ray Fluorescence (XRF) technology. K.ES has also included information on the substrate correction factors associated with the use of the MAP 4 Spectrum Analyzer. Each building tested has been organized in chronological order and the XR.F sampling data has been included for each building. A guidance legend has been included to explain the use of the XRF results tables.

Section Eis the Polychlorinated Biphenyls (PCB's) section of the report. This section summarizes the visual inspection and historical data for the various fluorescent light ballasts found within the subject buildings.

Section F is the Conclusions and Recommendations section of the report. KES has included conclusions and recommendations for each of the different environmental parameters addressed in the report.

Section G is the Certifications section of the report. KES has included copies of the inspectors' asbestos and lead certifications.

A-1

SECTIONB

I • , l, •

B. EXECUTIVE SUMMARY

This Environmental Inspection Report has been conducted in accordance with the Scope of Work for the project as defined by the Indian Health Service Division of Facilities Management.

Kingston Environmental Services, Inc. (KES) of Lee's Summit, Missouri served as a subcontractor to Martell and Associates, P.A. of Kansas City, Kansas.

The purpose of this Environmental Inspection was to determine the present locations and conditions associated with the following environmental parameters, as defined in the Scope of Work:

• Asbestos-Containing Materials (ACM)

• Lead-Based Paint (LBP)

• Polychlorinated Biphenyls (PCB's)

This Executive Summary has been organized in accordance with Section III through VII of the Scope of Work.

Section III - Asbestos-Containing Materials

Bulk Material Sampling and Analysis

Asbestos-containing materials (ACM) are represented in three major categories;

• Surfacing materials; sprayed-on or troweled-on surfaces such as walls, ceilings or structural members.

• Thermal system insulation; on pipes, ducts and heating/air conditioning equipment.

• Miscellaneous materials; such as floor tile, ceiling tile, sheetrock and cement asbestos panels.

A total of 54 bulk asbestos samples were retrieved from the seven (7) different structures that were inspected for asbestos. The sampling protocol utilized meets the requirements of the Asbestos Haz.ard Emergency Response Act (AHERA). The analysis performed on the samples was performed by the Kingston Environmental Laboratory (KEL). KEL is currently a National Voluntary Laboratory Accreditation Program (NVLAP) accredited laboratory. The analytical method, USEPA Method 600/R-93/116, was used to determine the presence or absence of asbestos in the samples retrieved. Each structure has been given a designated number which corresponds to the site plan, included herein. The ACBM Schedule defines the floor number, space description, homogeneous material type, quantity, size, percent damaged, sample number and general notes associated with the suspect asbestos-oontaining material.

B-1

I '

Ambient Air Samples

A total of eight (8) ambient air samples were retrieved from various areas where friable asbestos contajning materials were observed. These locations included the maintenance room and select hallways on the first and second floors. Each sample was taken in a location w~ere suspect thermal system insulation was present. All samples collected between 1,280 and 1,450 liters of ambient air for time periods ranging from 128 to 145 minutes. The analysis of these samples was performed at the KEL by an analyst who is currently participating in the American Industrial Hygiene Associations (AIHA), Asbestos Analysts Registery (AAR). Fiber counts ranged from

0.003 fibers/cc to 0.014 fibers/cc. The results of these ambient air samples indicate that the concentrations of airborne fibers present within the areas sampled do not exceed the present federal action level of0.l fibers/cc as determined through NIOSH Fiber Counting Method 7400.

Locations of Positive ACM

The following is a summary listing of the locations and materials that were found or assumed to contain asbestos:

• Building# 421 (Main Hospital) - Thermal system pipe insulation, fire doors, linoleum, floor tile, cement asbestos board, duct insulation, duct connectors and debris.

• Building# 422 (Material Management) - No asbestos containing materials.

• Building# 423 (Office of Environmental Management and Maintenance) - Floor tile mastic.

• Building# 415 (Snack Bar) - Linoleum and surfacing material.

• Building# 414 (Personnel) - Surfacing material and linoleum.

• Building # 413 (Mental Health) - Surfacing material, linoleum and roof flashing

• Building# 412 (Audiology) - Surfacing material, window glazing, roof flashing and exterior window caulking.

Diagrams of ACM Sample Locations

Diagrams of the locations where ACM samples have been retrieved are located in the asbestos containing materials section of this report (Section C).

Health Risk Evaluation

At present, several areas will require immediate removal of asbestos-containing thermal system insulation. These areas where asbestos~containing materials are significantly damaged are likely to continue to degrade and present a health hazard to the occupants of these areas of the building.

B-2

I , These areas are as follows:

• Building# 421 - Maintenance Office damaged thermal system insulation.

• Building# 421 - damaged thermal system insulation above drop ceilings.

Abatement Feasibility Options

Abatement (Removal and Repair) of asbestos-containing materials found within the various structures would serve as a sufficient method for the rectification of the potential health haz.ard associated with damaged asbestos-containing materials and occupant exposure. Complete removal of all asbestos-containing materials would be the optimal method for remediating the health hazard. Isolation of the work areas where asbestos abatement would occur will be necessary during the abatement work.

Abatement Recommendations

KES suggests that all ACM be removed from the Lawton Indian Hospital Buildings, however, if budgetary constraints prohibit this, we recommend that select removal of unrepairable asbestos containing materials be performed in conjunction with repair of the remaining damaged ACM.

Cost estimates associated with complete abatement, as well as select abatement work, have been included for the applicable buildings, in the conclusions and recommendations section of this report (Section F).

Sampling and Analysis Procedures

All sampling and analysis procedures confonn to the AHERA protocol as defined in 40 CFR Part 763 and 29 CFR 1910.1001.

Bulk Sampling Results

A total of fifty-four (54) samples were retrieved from the seven (7) buildings on the hospital campus. Twenty-three (23) of these samples were analyzed as containing asbestos at a level greater than 1 %.

Air Sampling Results

A total of eight (8) ambient air samples were retrieved from areas where friable ACM was present. The results of these samples ranged from 0.003 fibers/cc to 0.014 fibers/cc. The results of these ambient air samples indicate that the concentrations of airborne fibers present within the areas sampled do not exceed the present federal action level of 0.1 fibers/cc as determined through NIOSH Fiber Counting Method 7400.

B~3

Section IV - Lead-Based Paint

LBP Design and Testing

The sampling protocol utilized was an abbreviated form of the HUD protocol for the inspection oflead-based painted items, 24 CFR Part 35. This abbreviated form did not incorporate the testing of every room within each structure. Testing was performed on select components and assumptions as to similar painting histories were made. 1hls testing was performed on all of the different components found within each structure.

Field Testing Instrument

KES utilized the Scitec Map 4 X-Ray Fluorescence LBP analyzer in conjunction with the Performance Characterization Sheet (PCS) for this model XRF. This spectrum analyzer was used for all areas where suspect LBP exists.

Sampling Design

This information has been included with the pre-work submittals for the project.

XRF Sampling

All painted interior and exterior component types have been tested in accordance with the Scope of Work for the project. The number of locations where each component type have been tested will vary from the requirements of 24 CFR, Part 3 5.

Laboratory Testing

A total of two (2) confirmatory laboratory samples were retrieved from locations where inconclusive XRF results were observed. The following are the results of the two samples retrieved:

Building# 415 - Dining Room N. Baseboard Building# 414 - S. Office S. Wall

0.059 ppm (Negative for Lead)

0.751 ppm (Positive for Lead)

Each of these samples were labeled, properly packaged and submitted to Schneider Laboratories ,. • of Richmond, Virginia. Schneider Laboratories is presently accredited under the AIHA-ELLAP program as required by the Scope of Work. A copy of the Schneider Laboratories, Inc., current accreditation has been included in Section G of this report.

Test Records

A complete set of the XRF results and laboratory confirmation sampling has been included in section D of this report.

B-4

Section V - Polychlorinated Biphenyls

In accordance with the RFP, Investigative Study of Polychlorinated Biphenyls (PCB's), the following summary of results for tasks A and B have been provided:

KES performed a visual evaluation of the fluorescent light ballasts and transformers to detennine whether this equipment was suspect to contain PCB's. A total of thirteen (13) different light fixture types were observed within the seven buildings. The number of each fixture type present in each building was recorded. A representative number of each fixture type was disassembled and the ballast inspected for NON-PCB labeling. Ballasts which did not contain the NON-PCB labeling were assumed to contain PCB's in accordance with 40 CPR Part 761. Additionally, it was assumed that all fixture types had the same type of ballast transformers present.

No testing of the ballasts or the transformer's dielectric fluid was performed by KES.

B-5

SECTIONC

C. ASBESTOS-CONTAINING MATERIALS

In accordance with the Scope of Work for this environmental inspection, suspect asbestos containing surfacing materials, thermal system insulation and miscellaneous materials located throughout the facility were identified and surveyed. These materials included, but are not limited to, ceiling textures and spackling (surfacing materials); pipe insulation, hard fittings on fiberglass and tank insulation (thermal system insulation); floor tile, floor tile mastic, ceiling tiles, covebase and mastic, linolewn, and window glazing (miscellaneous materials).

Materials sampled in a previous inspection dated October, 1999, that were clearly identifiable, were not to be re-sampled. The previous inspection report listed sixty (60) samples from building# 421 (Hospital) of hard wall plaster and drywall as negative for asbestos content. For this reason, hard wall plaster and drywall were not sampled in this inspection.

Materials uniform in color and texture were grouped into homogeneous areas. Bulle sampling was conducted in a manner representative of suspect materials in each functional space. Bulk samples were placed into plastic containers, sealed, labeled and transported to the Kingston Environmental Laboratory for analysis. The location of the functional space and homogeneous areas, the amount of materials in each homogeneous area, and the locations at which the samples were collected have been recorded.

Analysis was performed by polarized light microscopy (PLM) in conjunction with dispersion staining techniques according to the EPA Interim Method for the Determination of Asbestos in Bulk Samples, EPA-600/R-93/116. This method is sensitive to the presence of asbestos at less than one percent by volume. This inspection refers to samples with negative or positive results.

A negative sample is one which no asbestos is detected or less than 1 % asbestos is present. A positive sample is one which contains greater than 1 % asbestos by volume.

The following tables are attached, showing building finish materials sampled, listings of bulk sample codes for each building and listings of finish materials which tested positive, as asbestos containing. Tables are as follows:

Homogeneous Material Code List - A listing of suspect materials found in each building for which bulk samples were taken.

ACBM Schedule - A listing of each of the suspect asbestos-containing materials cited, bulk samples taken by building, showing floor number, space description, homogeneous material code, quantity, size, percent damaged, sample number and detail notes. Note - shaded areas indicate materials which tested positive as asbestos-containing.

Note: Kingston sample numbers are defined below in "Sample Identification". A previous inspection performed internally by IHS personnel utilized a different sample identification scheme such as 412-04-06. The "41211 is the building nwnber, "0411 is the homogeneous material number and "0611 is the sample number. The IHS sample numbers are referenced in the ACBM Schedule to show that each homogeneous material has been sampled. Sample numbers are shown in the area where they were

C-1 actually collected. If the homogeneous material associated with the sample number was analyzed as positive, AIIERA rules state that all like (homogeneous) materials are assumed to be positive also. Hence the name "homogeneous material".

Bulk Sample Analysis Report - An analytical report listing the asbestos sample number, material description, sample location and a breakdown of the sample constituency as well as a determination as to whether the material is an asbestos-containing material.

Sample Identification - Sample number 421-MJFI-01 can be interpreted as follows:

421 Building Number MJFl Homogeneous Material Code 01 Sample Number

Ambient Air Sample Report - A copy of the ambient air sample reports defining the sample number, location, type, flow rate, volume and actual fiber concentration has been included in this section.

The following floor plan drawings and digital photographs are attached, showing the locations of the samples retrieved as well as a photograph of each sample taken.

Floor Plan Drawings - CADD drawings for all floors of each building where suspect asbestos containing materials were inspected have been included with this report (Section C). These floor plans list the locations where asbestos-containing materials have been sampled including the sample number and an arrow designating the location of the sample.

Sample Photographs - A digital photograph of all samples taken from each building have been included. A dry erase board has been placed in the photograph to designate the sample number associated with the sample type.

The following is a summary list of the seven (7) structures located on the Lawton Indian Hospital Campus that were inspected for suspect asbestos-containing materials. Each building's sampling and testing data has been listed separately to provide a more user friendly format.

Building Number

Present Usage

Audiology Building Mental Health Building Personnel Building Snack Bar Building Main Hospital Building Materials Management Building OEH and Maintenance Building

C-2

Building 412

Homogeneous Materials Code List

Building# 412 - Audiology

Material

BM-1

CEG-1

CK-I

CK-2

CK-3

DW-1

HWP-1

RF-1

SM-I

WG-1

Brick Mortar Ceramic Tile Grout Interior Window Caulk - Yell ow/White Exterior Window Caulk - Latex Exterior Window Caulk- Silicone Texture, Yellowish White Drywall and Mud Hard Wall Plaster Roof Flashing Surfacing Material - Sprayed On Ceiling Texture Window Glazing

L. SUSPECT ACBM SCHEDULE

BUILDING: I Building# 412 -Audiology ADDRESS: 11515 Lawrie Tatum Road

DATE: 3/21/00

PROJECT#: 00A340-2

Lawton, OK 73507 INSPECTOR(S): B. Feeler/J. Kenton

Fl. I Space I Space I Homog. I Quantity I Unit I Size I Percent I Samele No. I Notes No. INo. r Description I Material I I I I Damaged

CT""[l!!!!!IIFi'1!!1t·~~~;---- :--~· ~:~:~--- - ,, 412-04-06, 07, 08

412-05-10, 11

DW-1 90 SF

CK-1 101 LF 412-09-18 Interior window caulk, yellow/white c:r:~J~.·-·.·.:·,1.·.·~-~_.;d~w·:·.:~ ....... ~ .. ~ .. ~:.~!:.:·,~ ... ·H;~: .. .-.·.·.;.·.:·:_~~·;1pJC.:~:'.':'.·:~t . .-.·.'··.·.,., ... :: ... =.=:~.~_. .. ~: .... ~.-_.:"' __ 1

.•.. .-.-.·.·.-•• c::.-.~ .. : .. ·.~.·.:·~.:··.~~.~.~.~ ~.-.:~.·.-.-.·.· ... ·.·:·. = ···~,...-: · ... ·.·~·1:.... . • • •• - - • - •. .• ~~- ~.~.~~.-:·

,.-L~JIT'ffiiilllK ___ J :;~'J :J :1 J_ ... L.412-07-14,151 ' -- -- -- -····-······ , . , L. .. :r. ........... ,.A~ ..... ,: .. ..Jt.;.,.<~, ... ,.,., .. ,., ....................... ~~ .......... H~1 .. ·r·····~&4·····T···:sF····r················ ·· ... 1·························1·· ··;,.12~05:·fr··:;-3······,················ ······ ............ ,.... ·················· --··· · ····· ·····~ ~ )

CEG-1 I 100 I SF I I l 412-08-17 - f Ceramic tile grout, wall, white

:j·.;~~~~:--1::L:f :;·_~-:f ~- !~~ :~ .. ~;~:-~-.~ - DW-1 I 90 ] SF I I - I 412-DW1-05 JDrywall and Mud

1 6 !South Enclosed-Porch NO ACM IDENTIFIED

BM 7 !Basement BM-1 320 SF 412-01-01 Brick mortar

HWP-1 100 SF 412-02-02

~-•-~--· •~~~,-; 1 ... ,.1, ... , ....... W·····l···•···········-··;'··4 ~ne~dura,·~1i0Ms:~,w ... 1

Note: All samp~~~ liste~ln italics d~note samples collected ancf analyzed in 1998.by IHS

\ "-=-7 1-412acm.xls

BULK SAMPLE ANALYSIS REPORT

Client: Martell & Associates 1336 Meadowlark Ln., Ste 100 Kansas City, Kansas

Project Name: IHS Hospital

Sampled By:

AnalysL:

Bldg. 412 - Audiology Lawton. OK

Joan Kenton

~ I l';P D ·~ ::::x:::::f:\ -<~

• ►oratorv Direbw Meli~McKee. Lab ______ ~--------

NVLAP Laboratory Code: 200041-0

Dale of Report:

Date Sampled:

Dale Analyzed:

Date Received:

Project Number:

Report Number:

!t::::::::.

04/06/00 03/23/00 04/06/00 03/27/00

00A340-2 00A340.19

Kingston En11ironmental Laboratory 1600 S. W. Market Street Lee's Summit, MO 64081 Office: 816/524-8811 Fax: 816/525-5027

Analytical Metllod: Polarized light microscopy with dispersion staining following the EPA interim analysis. Method for the identification of asbestos bulk materials (EPA-40 CFR 763, App. A lo Subpart F) and (EPA600/R-93/116).

Laboratory Number

00B-0787

00B-0788

00B-0789

00B--0790

Sample ID

412-SMl-Ol

412-SMl-02

412-SMl-OJ

412-HWP--04

Field Sample Location/Description

Sprayed-on Ceiling Texture

Sprayed-on Ceiling Texture

Sprayed-on Ceiling Texture

Hardwall Plaster

Stereo Microscope Sample Description

While Cemenlitious Material

White Cementilious Material

While Cemenlilious Material

Brown/White Cemenlilious Material

Material Composition "'denotes Asbestos Containing Material

"'Chrysotile 05% Cellulose 02% Nonfibrous 93%

*Chrysolile 04% Cellulose 02% Nonftbrous 94%

*Chrysolile 03% Cellulose <01% Nonfibrous 97%

Nonfibrous 100%

This report i• intended for the el(Ciusive use or addressee and applies only to procedures and samples identified, unless olhc,wise noted. Test reports sh.all not constitute product cndorsernenl by AIHA or NVLAP or any agency of tho U.S. Govemmcnt. Thill report i9 nol to be reproduced, except in full, wilhoul the written authorization of Kingston Environmental Laboratory. Thi■ report shall be documented with confid~nlialily wilh no part conveyed lo !he public through adw:rtising. public relations, news, salrs or other media without prior consent of Kingston Environmenlal Laboratory, Top Management, and lhc: client(s) who govcm(s) the proprietary right(s) of all generated data.

- All bulk material■ submitted to Kinplon.Envinmmmtal ubcntory will be held in storage for• period or 60 cla)'II. After lhi■ transition, ■II materials will be discarded by approved me I hods. Clients must make• request in writing for sample n:tum. If sampling methods or requirements diffet' from dandards. the rq,ort will con!ain ■ disclaimer c:,.-plaining any departure,,.

- Floor Tile aamptc:s ha\ltl been analyzed by Polarized Ught Microscopy (PLM). It i• recommended that negative floor tiles be analyud for confimuilion using Transmmion Electron Microscopy (TEM). (Form B-9)

BULK SAMPLE ANALYSIS REPORT KINGSTON

Project Name: Audiology/Bldg. 412

Laboratory Number Sample ID

00B-0791 412-MUD-05

OOB-0792 412-WGI-06

Project Number: 00A340-2 Report Number: 0OA340.19 Dale Sampled: 03/23/00 Pagel

Field Sample Location/Description

Stereo Microscope Sample Description

Material Composition •denotes Asbestos Containing Material

Drywall Mud

Window Glazing, Exterior

While/Green Cementitious Malerial

White Cementitious Material

Nonfibrous

*Chrysotile Nonfibrous

•••This sample is in homogeneous; composite quantities are reported; cross contamination of layers is possible.

****This sample has been visually estimated to contain less than 10% Asbestos. Per NESHAP's regulation interim

EPA-600/M482-30 this sample should be point counted. The client may elect to assume the amount to be greater than 1% and treat the material as asbestos containing material, or (2) require verification of the amount by point counting.

100%

07% 93%

• This repon is intc:nded for th.e ellClu•ive use of addressee and applies only to procedures and samples identified, unless otbeiwise noted. Test reports shall not constitute product endorsement by AIHA or NVLAP or any agency of the U.S. Govc:mment. This report is oot to be reproduced, excq,t in full, without the written authorization of Kingston Environmenlal Laboratory. Titis report shall be docurntnted with confidentiality with no part conveyed to the public through advertising. public relations. news, sales or other media without prior conscnl of King.51011 F.nvironmenlal Laboralory, Top Management, and the client(s) who gavcm(s) the propnetlll)' right(s) of• II generated data.

• All bulk mal<:rials submitted to Kingston Environmental Labontcxy will be held in storage for a period of60 days. After this transition, all materials will be discarded by approwd methods. Clic:ntB ml.151. make a request in writing for ample mum. If sampling mdhods or requin:ma,ts diJfer .lion1 ll1Andards, the report will contain a disclaimer e,-plaining any departuna.

• Floor Tile samples have been nnalyzal by Polarized Light Microscopy (PLM). Il is recommended that neg.live floor tiles be analyud for conf1111181ion using Transmmion Electron Microscopy (IBM). (Form B-9)

412-1.CUD-05

412-SM1-02

412-SMt-OJ l,EGDJP;

e SAMPLE LOCATION

412-Sl,0-01

0 0

© 0 0

© 0

412-WG'l-06

GROUND FLOOR PLAN

BASEMENT PLAN

412-HWP-04

Kingstond<i Environmental Services, Inc.

KINGSTON ENVIRONMENTAL SERVICES

PHOTOGRAPHIC RECORD

Client. Oklahoma City Area Indian Health Services Project Number: 00A340-2

Site Location. USPHS Lav.ton Indian Hospital

Sile Address Lawton, Oklahoma f/ !Z-5ffJ I -o I l/ !Z-5(()! -02

Client: Oklahoma C11y Arca Indian Health ScrYiccs Project Number: 00A340-2

Site Location USP HS Lawton Indian Hospital

Site Address Lawton. Oklahoma

KINGSTON ENVIRONMENT AL SERVICES

Client: Oklahoma Cit)' Area Indian Health Services Project Number . 00A340-2

Site Location. USPHS Lawton Indian Hospital

Site Address: Lawton, Oklahoma

• ~i'

412- ffi\AO--od:

Building 413 _,.,. ____ ·---------··• ~ . . ......... ,.._.., ............... . .,,. LI.•• •• ••• ••,, • -•- • ••-• •• ,-.>.,•" •••A•f•r.-•••i:t\• • ,_._. ... .,., •--• ._,. .. ,.. • .,,.. C., -- •-••.,, ..... _ ... •-------

Homo~eneous Materials Code List

Building # 413 - Mental Health Building

Material

CEG-1

CK-1

CK-2

FB-1

HWP-1

LIN-I

RF-1

SM-1

WG-1

Ceramic Tile Grout Exterior Window Caulk - Latex, White Exterior Window Caulk - Silicone, White Fiber Board Hard Wall Plaster Linoleum - Beige with Beige and Brown Squares Roof Flashing Surfacing Material - Sprayed On Ceiling Texture

1 I I SUSPECT ACBM SCHEDULE

JILDING: I Building# 4jf- Mental Health DA TE: 3/21 /00 >DRESS: 11515 Lawrie Tatum Road PROJECT#: 00A340-2

Lawton, OK 73507 INSPECTOR(S): B. Feeler/J. Kenton

=1. )Space Space Homog:_auantity I Unit I Size I Percent ~ample No. Notes fo-:-fNo. Description Material I I I I Damaged

[~~~::.·1:~·:~--==~~~·.·····:=: .• L:.·:~~:1r:~~,.~.~·::~·.·::::=:~.i.~.-.·~.·~·.·_-_-~~.-::::·:::'·.·.·.~·.·.:::~::::.·,JJi.mri.lF.~:~~-·:·~ijmlifMiiffiB1~1h.t~Jt~BmlB.:CG:l.·.·.~J Waiting Room HWP-1 961 SF 413-12-21,22,23 c=:-r:~===~--~ .. :. "!!'1 l --.. T't------~ J : . ; 1 ·: :: -- ~ r· : :· . :-:· -:: : . ~- -- : --~ --. _-_::_-:_::J tL.:.~1~·-~~Bl--=~:·.~=tf!;~~t":f! .... ,·;--~~::~f-··-=·:·_l~~·~·:--.~.:-~l-·.~~~.~~~3~-~-~-•--·r~arii·waii·~i-~~ter· -----···-······-···_-;~·=~·-::.··:.~~~-~1 413-14-25, 27 f-_ ·~·--:- ,~::,~:;~~.s~:·~·~ry .. ~.~~=·:~1····•1····1·······i.~·-]-.;JF , . ..L.~················1···~····:····••y••···.l···············-jiBrii£•~·:····~·········';~r.6.gli91+i'~~Tiggffl:k~ t,~i~·-1iJS.iJB·····:~ CEG-1 100 SF 413-13-24 ceramic tile grout, wall, white

~~-~L~So~the!f!i----rH!~· ·"r··~l···r~·,,- ,,, ... ., .. ... + - · ·· .. ~ . .... , . -··· %,,.,,.~----·- ·-~--, ··~··· ,v. - ·~· ·= . -·'--· ... -· -~- . , •. ,~.~----" J

1 6 I Hall Bathroom HWP-1 300 SF

7 I East Office l-iWP-1 699 SF

IM B !Basement FB-1 208 SF 413-18-31, 32, 33 I Wall board 413-19-34, 35, 36

HWP-1 160 SF 413-20-37, 21-38, 22-39

~ 9 .,.,.!Ext~~-~~ .. ~.... [ . .-.. ~L..,.4::. .. ~.L~----····.--1---~--··r.~ .. -~~··~··~-~~~~~~.-····•-1.;:~~~:;~~~·················· .. ·-·---·····-··-··--········--··········o/····i ~-~----,-~.~ ·--···' ._,_ ....... -----·-·I·~}(!; ---r ~ -~r ·tl-·r--···"".w"• 1'' ·*"·--··-----l ·· .. -•~n, .... =!f:t~~i'··-····~--1~w;!!;~~=~~.··,atex,. whita·"···"''""··••»• w . ... . . ... . M• •·· · ';

CK-2 I 243 I LF I I I 413-2~29 I INindow Caulk, silicone, white

>le: All samEles listed in italics denote samples collected and analyzed in 1996 by IHS

1 - 413 acm.xls

1336 Meadowlark Ln., Ste 100 Kansas City, Kansas

Project Name: lllS Hospital

Sampled By:

Analyst:

Bldg. 413 - Mental Health Lawton, OK

Joan Kenton

... ·~-, ,, ----:'. ~ ' s = ~----- ... Melissa McKee, Laboratory D1rector

NVLAP Laboratory Code: 2~041-0

Date of Report:

Date Sampled:

Date Analyzed:

Date Received:

Project Number:

Report Number:

04/18/00 03/23/00 04/18/00 03/27/00

OOA340•2

OOA340.18

Kingston Environmental Laboratory 1600 S. W. M arke:t Street.

Lee's Summit, MO 64081 Office: 816/52'-8811 Fax: 816/525-5027

Analytical Method: Polarized light microscopy with dispersion staining following the EPA interim analysis. Method for the identification of asbestos bulk materials (EPA-40 CFR 763, App. A to SubpartF) and (EPA600/R-93/116).

Laboratory Number

OOB-0781

OOB-0782

OOB-0783

OOB-0784

Sample ID

413-SMl-Ol

413-SMl-02

413-SMl-03

413-HWP-04

Field Sample Location/Description

Blown-on Ceiling Texture

Blown-on Ceiling Texture

Blown-on Ceiling Texture

Hardwall Plaster

Stereo Microscope Sample Description

White Cementitious Material

White Cementitious Material

White Cementitious Material

White Cementitious Material

Material Composition •denotes Asbestos Containing Material

•Chrysotile 03% Nonfibrous 97%

*Chrysotile 03% Nonfibrous 97%

*Chrysotile 02% Cellulose <01% Nonfibrous 98%

Cellulose <01% Nonfibrous 100%

• This report is intended for the exclusive use of addn:ssee and applic:s only lo procedures and samples identified, unless otherwise noted. Test reports mall not constitute product endorsancnt by AIHA or NVLAP or any apncy of the U.S. Oovcmment This report is nol to be n,produced, cxcepl in full, without the written authorization of Kingston Environmental Laboratory. This report llhall be documented with confidentiality with no part conveyed lo the public through advertising. public rclatiom, news, sales or other media without prior comc:nt of Kingston Environmental Laboratory, Top Management, and lhe client(s) who govem(s) lhc proprietary right(s) of all gaimted dal.11.

• All bullc mataials submitted lo Kinpton F.nvironmcolal Laboratory will be held in stonige for a period of 60 days. Afler this transition. all materials will be discarded by approved methods. Climls must make a RqUesl in writing f,n: sample return. If sampling method9 or requirements differ from standanb, the report will contain a disclaimer explaining any dq,uturc:s.

- Floor Tile samplr.s have been analyud by Polariz.ed Light Mi~ (PLM). It is recommended that negative OOQr tiles be analyud for confirmation using Tran,;mission Electron MicrOSt:Opy ([EM). (fonn B-9)

Project Name: IHS Hospital/Bldg. 413 Mental Health Project Number: 00A340-2 Report Number: 00A340.l8 Date Sampled: 03/23/00

KINGSTON

Page2

Laboratory Number

OOB-0785

00A-0786

Sample ID

413-WGI-05

413-LINl-06

Field Sample Location/Description

Window Glazing, Exterior

Floor Linoleum, Beige w/Small Beige & Brown Squares

Stereo Microscope Sample Description

Material Composition •denotes Asbestos Containing Material

White/Tan Cementitious Material Nonfibrous

White Flexible Material w/ Beige Fibrous Backing •Chrysotile Cellulose Nonfibrous

100%

15% 10% 75%

•••• This sample has been visually estimated to contain less than 10% Asbestos. Per NESHAP's regulation interim EPA-600/M482-30 this sample should be point counted. The client may elect to assume U1e amount to be greater than 1 % and treat the material as asbestos containing material, or (2) require ,,erification of the amount by point counting.

• 11m report is intcndaf for tha exclusive use of addressee and applies orJy to procedures and samples identified, unlcu otherwise noted. Test rq,orts shall not constitute product endoi,eme1rt by AlHA or NVl.AP or any aga,cy of the U.S. Government Thu report ii not to be rq,rnduced, excq>t in full, without lhe written antl1orization of Kingston Envirom,ent.al LAbon.tory. This n:port ehall ba documented with confidentiality with no part conveyed to the publie through advertising. public relations, Daw, sale, or other media withoul prior aJIL'!Cllt of Kingston Enviromnental Laboratory, Top Management, 11.nd the client(s) who gvvan(s) the proprietary right(s) of all genaated daia..

- All bulk mataiall submitted to Kinpton En~! lAbonitory will be held in slonge for a period Qf 60 day,,. After this transition, all materiala will be discarded by approved metl1ods. Clienbl mud make• request. in writing for sample return. If sampling mdhods or requirements differ Crom standards, the n:por1 will contain a disclaimer explaining any departures.

• Floor Tile umplcs have ban analyud by Polarized Light Mic:roscc,py (PLM). It is rccommc:nd<d that negative floor tiles be ana[yud Cot confimtalion using Transmission Electron Microscopy (TEM). (Fonn B-9)

413-SM1-01

413-HWP-04 0 0

0 0

413-UN1-06

0 0

413-S1,11-03

413-WG1-05

GROUND FLOOR PLAN

bEGEHP;

e SAMPLE LOCA 110N

BASEMENT PLAN

a.;.;.;;;.,;.....;...;.....;;...;.;..;,;~-,,....._-MENTAL HEALTH BUILDING - FLOOR PLANS IHl[T IIDDt

SHEET 9 Of 1 LAWTON INDAIN HO SPIT AL ... 1""" -.=s~;;..~-

_ __._ _______ BUILDING 413

-.ur, T .A WT()N ()l{

KingstonM.

Envrronmental Services, Inc .

Client Oklahoma City Area Indian Health Serv_ices Project Number: 00A340-2

Site Location: USPHS Lawton Indian Hospital

Site Address: Lawton, Oklahoma

1!3-5fVl r~

Client: Oklahoma City Area Indian Health Services Project Number. 00A340-2

Site Location: USPHS Lawton Indian Hospllal

Site Address: La, .. 1.on, Oklahoma

\. ~r.:;-;

.,ii~~::_(,\ . : ~···.

• • • 4 .. • ... . ..,: .. :- ,:~,· • • • .;

< - : •~•~• . , :•:• ., I ~

... >,l• .: •·•~. r•:, • f,•,,:_.

.,~~~~L~-. __ , '. .· :'-,t, . · . . -~-~ ~:--:( --~~ ~-.' ~".!. .... . 4 •• ---. .:-:.:~ ____ ....:__::..:;..,, Chcnt. Oklahoma City Area lndian Health Services Projcc1 Number: 00A340-2

Sile Location: USPHS Lawton Indian Hospital

Site Address: Lawion, Oklahoma

Building 414

Building# 414 • Personnel Building

Material

BM-1

BM-2

CK-1

CK-2

DW-1

HWP-1

LIN-1

RF-I

SM-I

SM-2

SM-3

TL-1

TL-2

WG-1

Brick Mortar Concrete Block Mortar Exterior Window Caulk - White Older Exterior Window Caulk - White Newer Drywall and Mud Hard Wall Plaster Linoleum - Tan and Beige Roof Flashing Surfacing Material - Troweled On Ceiling Texture Surfacing Material - Sprayed On Ceiling Texture Surfacing Material - Divider Wall Texture 2" Ceramic Tile - White 4 11 Ceramic Tile - White

SUSPECT ACBM SCHEDULE

ILDING: Building~414- Personnel DATE: 3/21/00 DRESS: 1515 Lawrie Tatum Road PROJECT#: 00A340-2

Lawton, OK 73507 INSPECTOR(S): B. Feeler/J. Kenton l I Space I Space Homog. I Quantity 1 Unit

o. I No. I Description Material

Size I Percent Sample No. Notes Damaged

1 l Northwest Office SM-1 266 SF 414-SM1-01 !Surfacing Material - Troweled On Ceiling Texture HWP-1 860 SF Hardwall plaster DW-1 350 SF 414-05-9, 10, 11 I Drywall

414-09-17, 18, 19

SM-3 84 SF 414-SM3-05 !Surfacing Material- Divider Wall Texture

1r-·•-::~~ifr~····y··-~-l~l-·-'····~-.:i'.......1, ... §£~-··--··.........,...J.•····--··-··~-~L" .. _..,,,.. .......... -.--~'············: ···-···---~·-·:·····..--·······-,··-----;,..,-· ... : ......... ...,, t . ···~·11 !m, .. --~~-,,~~~~~~,L,,;,_ --1·~T-=;...1·sn .... r-·-- 1 ·-· 414-01-1,2,. 3 - • --·-- . -~---.. v»v . - .~ -~.w•rnrn . . - • .-,,,.- wrn,., .. - . .,~ .. w M .. ., . ... .-, .. ~!1 .,. ..

DW-1 I 120 ·1 SF

[ t. I' ~ ~ - :&m>i:··~[r- + )Sp-'---~-· . t... ----- •· ······--~~--· ~-- ---~ ........ ····--.--=-r·1 ·-·~~·····-r·'§~ .... -~··· ··· ..... · ·, ....... ~.-. · · · ···•- -s-

, ...... .,. ,M._, __ ..........., ___ ~ . .._.,..- ,,. ~ ..--- _.. ,_. -.1;~•--,-~ ............. ·--::

~ ~ i

_,.,_ , , .,,_ , ,.,.,_,, ,.. ,._ •·-••h• •• • •- • •··••• ~~ --• ~., TL-1 I I SF 2"x 2" 414-10-20 white ceramic floor tile

TL-2 I I SF 4"x 4" 414-10-21 white ceramic wall tile

:~~~~~~:;15~~~J=~i~~~~=::: :

L--f'~'l<.~,~~~ -r-·!s~r-~F····r~·-'• · ~···1•·-·--·>« ·-· T ·:t1'~•s-· ;Aa:a•waii P·ias1e,:···•·~---- ·····-- -··- ·~" ··· - ,. ---- ·-·---·-·''

DW-1 I 168 1 SF 1 I I 414-12-22, 23

V ···~ :r ;m1:~! '" ., ••~•.1:....~-: ••~ • 1~ •••;---•!ff ··•~~}•",-•--•-•--J••••-•-'••••• .. • " •"" •~ ...... i4J.~llg■i • rn• ~ • • • • • Mm>m~. >,i .... ••• ••••• ••• •hd~ L •• •••- •••• .r, •••••••"••

• ............. ~~ •~ •-••-•-••• y .... ::

DW-1 I 264 I SFT I I 414-DW1-07 !Drywall and Mud 414-04-06, 07, 08

1 8 West Enclosed Porch HWP-1 280 SF 414-13-24 1 - 414 acm.xls

I I SUSPECT ACBM SCHEDULE

ILDING: Building# 414 - Personnel DATE: 3/21/00 DRESS: 1515 Lawrie Tatum Road PROJECT#: OOA340-2

Lawton, OK 73507 lNSPECTOR(S): B. Feeler/J. Kenton

I. Space Space Homog. Quantity Unit Size Percent Sample No. Notes :>. No. Description Material Damaged r···=~: ~w•·,:···.··--~--~·············--··~-::,;J1r···.:········:11··--.... ···.r,·······"···············"·~·· ·······•:-····· ···:; ...... ·,-··· ... · ··.·· ·:· .,.,:::··~·---.. · ···-~·····,,··· .... · .... ···· .. ··.;·.· .. ············--·; ·····:·········::;::············ .. ···:;····· ····:··=~·····--·· ·······;

.,,., 9 Basement BM-1 192 SF 414-02-04 brick mortar BM-2 48 SF 414-03-05 concrete block mortar

,ct 10 Exterior WG-1 526 LF 414-WG1-08 Window Glazing CK-1 131 LF 414-07-15 Window Caulk, old, white CK-2 131 LF 414-08-16 Window Caulk, white RF-1 64 SF 414-15-28 Roof sealant patch, flashing te: All samples listed in italics denote samples collected and analyzed in 1998 by IHS.

2 - 414 acm.xls

1336 Meadowlark Lo., Ste 100 Kansas City, Kansas

Project Name: Il:IS Hospital

Sampled By:

Analyst:

Bldg. 414 - Personnel Lawton. OK

Joan Kenton cmcis~r Q"\.., ~<l W'ssa McKee, Laborato ~~tor

NVLAP Laboratory Code: 200041-0 .

Date of Report:

Date Sampled:

Date Analyzed:

Date Received:

Project Number:

Report Number:

04/18/00 03/23/00 04/18/00 03/27/00

OOA340-2

OOA340.20

Kingston Environmental Laboratory 1600 S. W. Market Street Lee's Summit, MO 64081 Office: 816/524-8811 Fax: 816/525-5027

Analytical Method: Polarized light microscopy witl1 dispersion staining following the EPA interim analysis. Method for the identification of asbestos bulk materials (EPA-40 CFR 763, App. A to Subpart F) and (EP A600/R-93/ l 16).

Laboratory Field Sample Stereo Microscope Sample Material Composition

Number Sample ID Location/Description Description •denotes Asbestos Containing Material

OOB-0793 414-SMI-Ol Ceiling Texture, ½ Circles, Troweled-on While Cementitious Material Nonfibrous 100%

OOB-0794 414-SM2-02 Blown-on Ceiling Texture White Cementitious Material *Cluysotile 05%

•••• Nonfibrous 95%

OOB-0795 414-SMl-03 Blown-on Ceiling Texture While Cementitious Material *Chrysotile 05%

•••• Nonfibrous 95%

OOB-0796 414-SM2-04 Blown-on Ceiling Texture White Cementitious Material •c;hrysotile 06%

•••• Nonfibrous 94%

OOB-0797 414-SMJ-05 Wall Texture, Sunburst Pattern White Cementitious Material Cellulose 02% Nonfibrous 98%

- Thai report i, intended for the excl118ive uso of addrasee and applie11 only lo procedures and samples identified, unless otherwise noted. Test RpOr1s shall not constitute product endorsement by AIHA or NVLAP or any agency of the U.S. Govcmmcnt. 11lis report i, not to be reproduced, extiepl in full, without the written authorization of Kingston Environmen .. l Laboratory. 11lis report shall be documented with conftdentiality with no part conveyed to the public through advertising, public relations, news, sales or otha media without prior consent of Kingston Environmenllll Laboratory, Top Management, and lhe client(s) who govc:m(s) the proprietary righl(s) of all generated data.

- All bullc. materials submitted to Kingston Euvirumnaital Laboratory will be held in IIOBge for a period of 60 dayg. After this transition. all materials will be discarded by approved methods. Clients must make II request in writing for ample return. If sampling mctl1ods or rcquirancnu differ from stanclarcb, the report will contain• disclaimer c,tplaining any departun:s.

• Floor Tile amples have been analyud by Polarized Light Microscopy (PLM). It is recommended that negalive floor tilca be analyzed for confirmation using Transmission Electron Microsi;opy ITEM). (Form B-9)

Project Name: Bldg. 414 - Personnel Project Number: OOA340-2 Report Number: OOA340.20

Laboratory Field Sample Stereo Microscope Sample Number Sample ID Location/Description Description

OOB-0798 414-HWP--06 Hardwall Plaster Brown/White Cementitious Material

OOB-0799 414-MUD--07 Drywall Mud White Cementitious Material

OOB-0800 414-WGl-08 Window Glazing, E>.1erior White Cementitious Material

KINGSTON

Date Sampled: 03/23/00 Page2

Material Composition •denotes Asbestos Containing Material

Quartz Nonfibrous

Nonfibrous

Nonfibrous

15% 85%

100%

100%

•••• This sample has been visually estimated to contain less than 10% Asbestos. Per NESHAP's regulation interim EPA-600/M482-30 this sample should be point counted. The client may elect to assume the amount to be greater than 1% and treat the material as asbestos containing material, or (2) require verification of the amount·by point counting.

- This report is intended for the i:xclusive use of addressee and applies only to procedures and samples identified, unless oth~se noted. Test rq,orts shall not ~itute product endorsement by AIHA or NVLAP or any ■gaiey of the U.S. Oovemmenl This report is not lo be rqm,duced, except in full, wiU10ut the written authorization of Kingston Enviro111nent•l Labontory. This report shall be documented with confidcnliality with no part con~ to the public through advertising. public relations, news, salcz or olher media without prior consc:n1 of Kin~on Environmental Laboratory, Top M11.118gc:men~ and the client( s) who go\lffll(s) the proprietary righl{s) ofall gcncntcd data.

- All bulk materials subnlitted to Kingston Environmental Laboralory will be held in storage for a period of 60 days. After this transition. all rnalerials will be discarded by approved methods. Clienta must make a n:quest in writing far sample return. lfaampling methods or requirernenla differ Ii-ant standards, the rq,od will contain a disclaimer explaining any departures.

- Floor Tile samples have been analyud by Polarized Light Microscopy (PLM). It is recommended that negative floor tiles be analyud for amfunialion 111ing Transmission Electron Microscopy (IBM). (Form B-9)

41-4-HWP-06

414-SM3-05

41-4-SM2-03

41-4-MUD-07 0

0 0 0 0

414-SM2-02

41-4-SM2-04 41-4-WG1-0B

GROUND FLOOR PLAN

e SAMPl.£ LOCA 110N BASEMENT PLAN

NOT TO SCALE J.N.C. PERSONNEL BUILDING • FLOOR PLANS

DA 1E: IIIElT INlEll:

4.26-00 SHEET 7 OF' 10 LAWTON INDAIN HOSPITAL

~;;_7 BUILDING 414

1-:=,;=--'------- y .6 "l"'T 'FPT",....'-T ,,-...,.,-

Kingston'" Environmental

PHOTOGRAPIDCRECORD

Client: Oklahoma City Area Indian Health Services Project Number: 00A340-2

Site Location: USPHS Lawton Indian Hospital

Site Address: Lawton, Oklahoma

414-SM2-02

No Picture Available

Client: Oklahoma City Arca Indian Health ScrYices Project Number 00A340-2

Site Location: USPHS Lawton Indian Hospital

Site Address· Lawton. Oklahoma

.. ~ -,~ •~~ I •~. •

J;

11."; J

;._",. ... ,II ,. ~

Client· Oklahoma City Arca Indian Health Sen·ices

Site Location USPHS Lawton lndian Hospital

Site Address: Lav,1on, Oklahoma

•'1•·. ·

J f ;

.f-.. 5 1¥\· ti.[q--'I -•~•

Project Number: 00A340-2

KINGSTON ENVlRONMENTAL SERVICES

Client: Oklahoma City Area Jndian Health Services Project Number: 00A340-2

Sile Location: USPHS Lawton Indian Hospital

Sile Address: Lawton, Oklahoma

-I l\-! ~~ /,JG 1-o&' :

Building 415 I -- -· - ·-· .. ····~· _.... - ~-

Homo2eneous Materials Code List

Building# 415 - Snack Bar

BM-1

BM-2

CK-I

CK-2

DW-I

HWP-1

LIN-I

LIN-2

RF-1

SEAL-I

SM-I

SM-2

TL-1

TL-2

TSI-1

TSI-2

TSI-3

WG-1

Material

Grey Brick Mortar Concrete Block Mortar Interior Window Caulk - White Exterior Window Caulk Drywall and Mud Hard Wall Plaster Linoleum - Brown Linoleum - Yellow with White and Green Roof Flashing Sealant .. Black/Silver Surfacing Material - Troweled On Ceiling Texture Surfacing Material - Sprayed On Ceiling Texture 2" Ceramic Tile - White 4" Ceramic Tile - White Thermal Systems Insulation - Ductwork Thermal Systems Insulation - Black Pipe Insulation Thermal Systems Insulation - Yellow Pipe Insulation

3UILDING: Building # 415 :.. Snack Bar DATE: 3/21/00 ~DDRESS: 1515 Lawrie Tatum Road PROJECT#: 00A340-2

Lawton, OK-73507 INSPECTOR(S): B. Feeler/J. Kenton

Fl. ISpace Space Homog. I Quantity I Unit Size I Percent Notes No. I No.

Sample No.· Description Material Damaged

C ~-J~"'~-~~----:-,ik~ ;ir~§ ~-- ---~ . . : ·;.~._,:i:_~~'~.2.nc:~u~~:r~~~ ----:1 DW-1 I 336 I SF I I I 415-MUD-06 !Drywall and Mud

41~13-37, 38: 39 41~14-40

CK-1 25 LF 41 ~ 16-44, 46 I White caulk, fireplace, windows rr~~-~---:,1!; 1·~-rr-·-=-;·~ -~--~=-·:; ·~--- - ---- ~--~-~- ]

DW-1 I 76 I SF I I I 41~12-34, 36

~i,_·r~~····.,-··:·'··--·~n~r .. l •.. .,,~~,··•·..i.••·1§.'f"·'·········y··········· ... ·······~··· ... ·······•ool••······~····•-·-·· h ·-----···-······r··y····:r····-·· .. ········-··· A t.-~.,..-..>2rr~Vlm~---~W.1l. ...... ....J.,,,..~~'.1··'"f"-·~'·-1-~,F°',,.,-~--... ~---··--· .. ··· ........ ,,..,. ___ ......».",,,,.,,.,.,,. .. ~-..... _ ........................ - .. --........ m .... ,,. .. ~---'··"""'"····•-m•--........ , .. s, DW-1 I 150 I SF I · I I 415-14-55

CK-1 24 LF

Ll. ~i~J@BB11L~ .. - ,,.,~. !c!~~~-!~,,~~ :~~• Jf'"""" .... m-,-.-.~,--, -•,.._,,,..,. -~ ~''J!~!!®<.,,.,,: .... m.__@'" " """"•__,• ,_~ .. ~ ,-,o,,.,,,.-,.J ••••••" •"' ""•-_, "f .... - .... ~•~ 1:

DW-1 I 80 I SF I I I 415-12-35

TL-1 I 54 I SF I 2• x 2w I I 415-09-25, 26, 27 !floor tile, ceramic, white TL-2 l 52 I SF I 4" x 4" I - -i-415-10-28, 29, 30 lwa/1 tile, ceramic, white CK-1 I 9 I LF I I I 415-16-45 [White caulk, tub

Ef:_:·~0-y·~~---- ~--·!!~ r·--.. ~~~ ... ; .. ! ... :-.... ,,~ .. ~: ................. ~ .... : ......... ~ ...... ~~ .. -:no ..... ;._ .... _ ..... -: ....... ........ -.. ~ .. -... . , ... ...... -.... · ............. -..-.. ,L:: ......... ;

DW-1 150 SF 415-14-54

CK-1 22 LF white window caulk

I I 1 I 6· I Serving Room SM-1 123 SF

HWP-1 537 SF

DW-1 123 SF

1 -415 acm.xls

SUSPECT ACBM SCHEDULE -

3UILDING: Building# 415 - Snack Bar DATE: 3/21/00 \ODRESS: 1515 Lawrie Tatum Road PROJECT#: 00A340-2

Lawton, OK 73507 INSPECTOR(S): B. Feeler/J. Kenton

Fl. Space Space Homog. Quantity Unit Size Percent Sample No. Notes No. No. Description Material Damaged

LIN-2 123 SF 41 ~11-31,32,33 Unoleum - Yellow with W?Jite and Green CK-1 11 LF white window caulk

1 7 Kitchen SM-1 123 SF ,-•--'-··-··•••••••• ••-••-·••••••-••••••,,..-··••••-••••-•••- • •••••~ •••••• ••·-~·••·1 ••••• •• •• •··•lfp•· ••- ••••••••·••• ·•- •••••••·· •···-,-•·••••• •••••·-~-•••••• --v · ·· ·•••••··•••••••••··w·••·••· ···•··••-•-••······ ···•·•··•••••••······•-,••••••'<'•·····••••••••-··•-••·•••••-···•··1

~·--r··;c .-=.. , ·, ---~~I--!.i:ltL- J _____ 1~)'.~H~-!J~~.Ji:1€~~~!!e1~~!!•,!.h_"'.~!'_c:~~- --=---.:- ~'.

......... "'_......, - -----·----···-- . · · · -· : __ .._JL. :,:~. ~.,f,' · :_ _ ____ ., __ __ -·----····· __ ,.___ ..... ·-·------···-··----·-·-·-··-·-··-··-....ir.......·········---ct..-~

DW-1 123 SF

CK-1 11 LF white window caulk

1 8 Southeast Porch HWP-1 340 SF

BM 9 Basement- TSl-1 240 SF 415-01-01, 02, 03 Basement duct TS/, pink SEAL-1 1 LF 41~02-04, 05, 06 Sewer pipe, black/silver joint sealant HWP-1 80 SF 41 ~03-07, 08, 19 Wall plaster, white BM-1 192 SF 415-04-10, 11, 12 South wall, grey brick mortar BM-2 48 SF 415-05-13, 14, 15 South wall, concrete block mortar TSl-2 5 LF 415-06-16, 17, 18 Overhead pipe wrap TSl-3 240 SF 415-07-19, 20, 21 Basement overhead TS/, yellow

Ext 10 Exterior WG-1 418 LF 415-WG1-07 Window Glazing RF-1 24 LF 415-1~56 Roof Flashing CK-2 457 LF 415-17-47 thru 53 Wtndow Caulk

Note: All samples listed in italics denote samples collected and analyzed in 1998 by IHS.

2 -415 acm.xls

Bl:JLK SAMPLE ANALYSIS REPORT

1336 Meodowlark Lane, Suite 100 Kansas City, KS

Project Name: IlIS Hospital

Sampled By:

Analyst:

Bldg. 415 - Snack Bar Lawton, OK

Joan Kenton e~c.l.,00 ~ ~ 9- >½:-::::

Meltsa McKee, Laboraim;,-rector

NVLAP Laboratory Code: 200041-0

Date of Report:

Date Sampled:

Date Analyzed:

Date Received:

Project Number:

Report Number:

04/14/00 03/23/00 04/11/00 03/27/00

00A340-2 00A340.17

Kingston Em1ironmental Laboratory 1600 S. W. Market Street Lee's Summit, MO 64081 Office: 816/524-8811 Fax: 816/525-5027

Analytical Method: Polarized light microscopy with dispersion staining following the EPA interim analysis. Method for the identification of asbestos bulk materials (EPA-40 CFR 763, App. A to Subpart F) and (EPA600/R-93/l 16).

Laboratory Number

OOB-0774

•••• OOB-0775

.. **OOB-0776

Sample ID

415-SMI-OI

415-SM2-02

415-SM2-0J

Field Sample Location/Description

Stereo Microscope Sample Description

Ceiling Texture, Troweled-on, ½ Circles While Cementitious Material

Blown-on Ceiling Texture While/Beige Cementilious Material

Blown-on Ceiling Texture While/Green Cementitious Material

Material Composition *denotes Asbestos Containing Material

Cellulose 05% Nonfibrous 95%

*Chrysotile 05% Cellulose OJ% Vermiculite 20% Nonfibrous 72%

*Chrysolile 04% Cellulose 05% Vermiculite 20% Nonfibrous 71%

• This report is intended for lhe exclusive use of11ddressee and applies only lo procedures 11nd snrnplcs idenlified, unl.ess otherwise noted. Tat reports shall not constitute product cudo~crnent by AIHA or NVLAP or any agency of the U.S. Govemrnenl. TI,i, r.iport is not lo be reproduc:,ed. except in foll, without the written authorization of Kingston Emiroumenlal IAboratory. Thi! report shall be dcx:umenled with confidentiality with no part conyeyed lo the public through advertising, public relations, news, sales or other media without prior consent of Kingston Environmenlal Laboralory, Top Management, and the client(s) who govem(s) the proprietary righl(s) of ■II genenled dala.

- All bulk malcrials submitted to Kingston Environmeneal Labonlory will be held in llorage for a period of60 days. After lhis transition, all materinls will be dis=rded by approved methods. Clienls rnusl make a requcsl in writing for sample rdum.