839CM3028_3030 Haz Mat Surv Culpeper.pdf
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- Solicitation number
- 36C78620B0028
About this file
This solicitation is for a federal contract opportunity to perform columbarium, facility renovation, improvements, repairs and pre-placed crypt work at the Culpeper National Cemetery in Culpeper, Virginia. The solicitation numbers are 36C78620B0028, 839CM3028, and 839CM3030, and is issued by the Department of Veterans Affairs National Cemetery Administration subject to availability of FY-20 funds. The work includes construction of a columbarium, as well as general facility renovations and repairs. The response deadline is not stated. The contract is not set aside for small businesses or other preferences. Pricing terms and award dates are not specified in the document provided.
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Hazardous Materials Survey for Culpeper National Cemetery
Prepared For Arcitura Corporation 9880 Westpoint Drive Suite 400 Indianapolis, Indiana, 46256
Prepared By KCI Technologies Inc.
936 Ridgebrook Road Sparks, Maryland 21152.
KCI Job No: 271803072.04
February 28, 2019
305 US Avenue Culpeper, Virginia, 22701
KCI Technologies, Inc. ES-1 February 25, 2019
Executive Summary
KCI Technologies, Inc. (KCI) was retained by Architura Corporation (Client) to conduct a Hazardous Building Materials Survey at the Culpeper National Cemetery located in Culpeper, Virginia.
KCI performed an asbestos containing building materials (ACBMs) survey of the Lodge and the Storage Building. The Server Building and the Administration Building were excluded from this survey. The following ACBMs were identified:
Miscellaneous Material
• Residual white exterior building caulk associated with the Lodge
• White exterior door caulk associated with the Lodge
• Silver roof paint associated with the Lodge
KCI conducted a lead paint survey throughout representative areas of the building and identified the following lead containing surfaces:
• White and grey wood stair components in basement of Lodge
• White wood decorative trim associated with interior walls in Lodge
• White wood interior and exterior door components of Lodge
• White wood interior and exterior window components in Lodge
• White wood exterior wall components of Lodge
• Black wood door components of Storage Building
Based on our review of the data, KCI recommends the following:
• Remove and dispose of all ACBMs that are anticipated to be affected by the proposed renovation activities in accordance with applicable federal, state, and local regulations and specifications.
• During renovation, it is recommended that the contractor should follow OSHA “Lead in
Construction” standard, in conjunction with dust control measures and containments to prevent lead contamination of the surrounding areas, and the use of personal protective equipment (PPE) to protect worker health and safety during renovation.
• To determine the appropriate disposal method for the construction waste containing lead-based paint (LBP), the waste stream should be tested by the toxicity characteristic leachate procedure
(TCLP).
Architura Corporation Hazardous Building Materials Survey Report Culpeper National Cemetery KCI Project No: 271803072.04
KCI Technologies, Inc. Page i February 28, 2019
TABLE OF CONTENTS
EXECUTIVE SUMMARY .................................................................................................................... ES-1
1.0 INTRODUCTION
2.0 SITE DESCRIPTION
3.0 ASBESTOS CONTAINING BUILDING MATERIALS SURVEY
4.0 LEAD-BASED PAINT SURVEY
5.0 RECOMMENDATIONS
6.0 DISCLAIMER
LIST OF TABLES
TABLE 3.1…………...……………………………………………………………………………………..2
TABLE 3.2……………...……………………………………………………………………………..……5
APPENDICES
APPENDIX A: PROFESSIONAL CERTIFICATIONS
APPENDIX B: ASBESTOS LABORATORY RESULTS
APPENDIX C: PHOTOGRAPHS
APPENDIX D: XRF DATASHEET
Architura Corporation Hazardous Building Materials Survey Report
KCI Technologies, Inc. Page 1 February 28, 2019
1.0 Introduction
KCI Technologies, Inc. (KCI) was retained by Architura Corporation (Client) to conduct a Hazardous Materials Survey of multiple structures at the Culpeper National Cemetery, located in Culpeper, Virginia.
The scope of work included:
1) Reviewing meeting notes to determine the scope of renovations;
2) Visual identification of suspect asbestos-containing building materials (ACBM);
3) Bulk sampling and analysis of suspect ACBM;
4) Quantification of ACBM;
5) Screening via XRF for lead paint;
6) Generation of this report documenting the findings.
2.0 Site Description
The Culpeper National Cemetery’s Lodge is a two-story building with a basement. According to documents provided by the Client, the building was reported to have been originally constructed in 1872 with multiple reported renovations/additions to the structure. The building is constructed of stone and brick with a metal roof. The Storage Building is located to the south of the Lodge and is a single-story structure constructed of brick with a slate roof. The perimeter wall associated with the cemetery is constructed of brick.
It was determined by the Client during the on-site kickoff meeting that the Administration Building and the Server Building were not to be included as part of the scope of renovations at this time and did not require a hazardous materials survey.
3.0 Asbestos Containing Building Materials Survey
3.1 Building Survey
Mr. John A. Adams and Ms. Bridget Lamborn of KCI conducted a non-destructive asbestos survey of the Lodge, Storage Building, and Perimeter Wall. The survey was conducted on February 7th and 8th, 2019. The scope of work included a visual evaluation of potential ACBMs, the collection of bulk samples of these materials, laboratory analysis of collected samples, and quantification of suspect ACBMs. Appendix A contains relevant certifications.
Accessible areas of the structures were visually inspected and suspect ACBMs were sampled and collected for laboratory analysis. Assumptions were made, as appropriate, concerning the presence and quantity of asbestos containing materials within inaccessible areas. Sample information was recorded on chain of custody forms. Material quantities and location data were documented after laboratory results were received from bulk sample analysis. Sampling of roofing materials was limited to accessible surface layers. In order to preserve the integrity of the existing metal roof, KCI did not investigate any suspect materials potentially below the metal roof.
Bulk samples were collected using hand tools that were driven through the suspect material to the substrate to obtain a sample containing all discrete layers. Extreme care was taken to avoid fiber liberation during the inspection/sampling process. A fine mist of water was applied to the sample site, and any dust generated was wet wiped with disposable moist towelettes. The samples were then placed in re-sealable plastic bags and assigned unique identifiers that were recorded on the sample bags and on the COC forms. The suspect asbestos bulk samples were submitted for analysis, along with chain-of-custody forms, to Scientific Analytical Institute, Inc. (SAI).
Architura Corporation Hazardous Building Materials Survey Report
KCI Technologies, Inc. Page 2 February 28, 2019
SAI is accredited by the National Institute of Standards and Technology through the National Voluntary Laboratory Accreditation Program (NVLAP) for Bulk Asbestos Analysis (NVLAP #200664-0).
3.2 Methods
Polarized Light Microscopy (PLM) was used to analyze the bulk samples for asbestos content. PLM is an optical microscopic technique that distinguishes the different types of asbestos fibers by their shape and unique optical properties. The EPA accepted technique is based on the refraction of light from various asbestos structures and the observation of the corresponding color changes through the microscope. All PLM analysis was performed following the methodologies documented in the EPA method 600/R-93/116, July 1993, “Method for the Determination of Asbestos in Bulk Building Materials”.
3.3 Analytical Results
KCI collected sixty-nine (69) bulk samples of suspect ACBMs from the Lodge. From these samples, seventy-six (76) individual layers were analyzed. KCI did not observe any suspect building materials associated with the Storage Building, thus no samples were collected for this structure. The analysis results for the bulk samples are summarized in Table 3.1 - Suspect Asbestos Bulk Sample Log and the asbestos certificates of analysis for the samples collected by KCI are included in Appendix B.
Table 3.1: Suspect Asbestos Bulk Sample Log: Lodge Sample Number
Material Description
Sample Location
Analysis Type
Result/ Asbestos
Friability
01A White paint on basement wall Basement PLM NAD NF 01B White paint on basement wall Basement PLM NAD NF 02A Gray paint associated with basement floor Basement PLM NAD NF 02B Gray paint associated with basement floor Basement PLM NAD NF
03A-A White paint on gray plaster wall Basement PLM NAD NF 03A-B Gray plaster wall Basement PLM NAD F 03B-A White paint on gray plaster wall Basement PLM NAD NF 03B-B Gray plaster wall Basement PLM NAD F 03C-A White paint on gray plaster wall Basement PLM NAD NF 03C-B Gray plaster wall Basement PLM NAD F 03D-A White paint on gray plaster wall Basement PLM NAD NF 03D-B Gray plaster wall Basement PLM NAD F 03E-A White paint on gray plaster wall Basement PLM NAD NF 03E-B Gray plaster wall Basement PLM NAD F 04A Drywall ceiling Basement PLM NAD NF 04B Drywall ceiling Basement PLM NAD NF 05A 12x12 stone pattern laminate sheet flooring Kitchen PLM NAD NF
05B 12x12 stone pattern laminate sheet flooring Kitchen PLM NAD NF
06A Gold mastic associated with 12x12 stone pattern laminate sheet floor Kitchen PLM NAD NF
06B Gold mastic associated with 12x12 stone pattern laminate sheet floor Kitchen PLM NAD NF
Architura Corporation Hazardous Building Materials Survey Report
KCI Technologies, Inc. Page 3 February 28, 2019
Type
07A 12x12 beige floor tile under laminate sheet flooring
Kitchen PLM NAD NF
07B 12x12 beige floor tile under laminate sheet flooring
Kitchen PLM
NAD NF
08A Black mastic associate with 12x12 beige floor tile
Kitchen PLM NAD NF
08B Black mastic associate with 12x12 beige floor tile
Kitchen PLM NAD NF
09A Unknown pattern sheet floor under 12x12 beige floor tile
Kitchen PLM NAD NF
09B Unknown pattern sheet floor under 12x12 beige floor tile
Kitchen PLM NAD NF
10A Beige mastic associated with unknown pattern sheet flooring
Kitchen PLM NAD NF
10B Beige mastic associated with unknown pattern sheet flooring
Kitchen PLM NAD NF
11A Gray sink insulation Kitchen PLM NAD NF 11B Gray sink insulation Kitchen PLM NAD NF 11C Gray sink insulation Kitchen PLM NAD NF 12A White interior door caulking Kitchen PLM NAD NF 12B White interior door caulking Kitchen PLM NAD NF 13A Drywall associated with upstairs walls Upstairs hall PLM NAD F 13B Drywall associated with upstairs walls Upstairs hall PLM NAD F 14A Joint compound Upstairs hall PLM NAD F 14B Joint compound Upstairs hall PLM NAD F 15A 8"x8" beige stone pattern sheet floor Bathroom PLM NAD NF 15B 8"x8" beige stone pattern sheet floor Bathroom PLM NAD NF
16A Beige mastic associated with 8"x8" beige stone pattern sheet floor
Bathroom PLM NAD NF
16B Beige mastic associated with 8"x8" beige stone pattern sheet floor
Bathroom PLM NAD NF
17A Residual white exterior pipe insulation (fiberglass)
Exterior PLM NAD F
17B Residual white exterior pipe insulation (fiberglass)
Exterior PLM NAD F
18A White residual exterior building caulk Exterior PLM 4% C NF 18B White residual exterior building caulk Exterior PLM 4% C NF 19A Gray exterior window glazing Exterior PLM NAD NF 19B Gray exterior window glazing Exterior PLM NAD NF 20A Black expansion joint material Exterior PLM NAD NF 20B Black expansion joint material Exterior PLM NAD NF 21A Gray mortar on exterior stone wall Exterior PLM
NAD NF
21B Gray mortar on exterior stone wall Exterior PLM NAD NF 21C Gray mortar on exterior stone wall Exterior PLM NAD NF 21D Gray mortar on exterior stone wall Exterior PLM NAD NF 21E Gray mortar on exterior stone wall Exterior PLM NAD NF
Architura Corporation Hazardous Building Materials Survey Report
KCI Technologies, Inc. Page 4 February 28, 2019
Type
21F Gray mortar on exterior stone wall Exterior PLM NAD NF 21G Gray mortar on exterior stone wall Exterior PLM NAD NF 22A Gold/brown mastic with porch carpet Exterior PLM NAD NF 22B Gold/brown mastic with porch carpet Exterior PLM NAD NF 23A White expansion joint material Exterior PLM NAD NF 23B White expansion joint material Exterior PLM NAD NF 24A White exterior door caulk Exterior PLM 3% C NF 24B White exterior door caulk Exterior PLM 3% C NF 25A Gray chimney caulk Roof PLM NAD NF 25B Gray chimney caulk Roof PLM NAD NF
26A-A Tan roof vent caulking Roof PLM NAD NF 26A-B Silver roof paint Roof PLM 3% C NF 26B-A Tan roof vent caulking Roof PLM NAD NF 26B-B Silver roof paint Roof PLM 3% C NF 27A Red roof tar Roof PLM NAD NF 27B Red roof tar Roof PLM NAD NF 28A White caulk associated with skylight Roof PLM NAD NF 28B White caulk associated with skylight Roof PLM NAD NF 29A White exterior window caulk Roof PLM NAD NF 29B White exterior window caulk Roof PLM NAD NF 30A Perimeter wall mortar Perimeter wall PLM NAD NF 30B Perimeter wall mortar Perimeter wall PLM NAD NF
Table Notes:
NAD: No asbestos detected C: Chrysotile, TR: Trace F: Friable NF: Non-Friable
The EPA defines an ACBM as “any material containing greater than one (1) percent asbestos as determined using the method specified in Appendix A, subpart F, 40 CFR part 763, Section 1, PLM.”
Homogeneous material is defined as a material of uniform composition throughout that cannot be mechanically separated into different materials. A summary of suspect homogenous materials identified during KCI’s survey is provided in the Table 3.2.
Architura Corporation Hazardous Building Materials Survey Report
KCI Technologies, Inc. Page 5 February 28, 2019
Table 3.2 Homogenous Materials Summary Table
Material Description Location in Building
Sample Results Friability Estimated
Quantity White paint Basement Walls NAD NF - Grey paint associated with basement flooring Basement NAD NF - Gray plaster Basement NAD F - Drywall Throughout NAD F - 12x12 stone pattern laminate sheet floor Kitchen NAD NF - Gold mastic associated with 12x12 stone pattern laminate sheet flooring Kitchen NAD NF -
12x12 beige floor tile Kitchen NAD NF - Black floor tile mastic Kitchen NAD NF - Unknown pattern sheet flooring Kitchen NAD NF - Beige mastic associated with unknown pattern sheet flooring Kitchen NAD NF - Gray sink insulation Kitchen NAD NF - White interior door caulk Throughout NAD NF - Joint compound Throughout NAD F - 8"x8" beige stone pattern sheet flooring Bathroom NAD NF - Beige mastic associated with 8"x8" beige stone pattern sheet flooring Bathroom NAD NF -
White residual exterior pipe insulation (fiberglass) Exterior NAD F - White residual exterior building caulk Exterior 4% C NF 20 LF Gray exterior window glazing Exterior NAD NF - Black expansion joint material Exterior NAD NF - White expansion joint material Exterior NAD NF - Gray mortar associated with exterior stone wall Exterior NAD NF - Gold/brown carpet mastic Porch NAD NF - Grey chimney caulk Roof NAD NF - Tan roof vent caulk Roof NAD NF - Red roof tar Roof NAD NF - Perimeter wall mortar Perimeter wall NAD NF - Silver roof paint Roof 3% C NF 1200 SF White caulk associated with skylight Roof NAD NF - White window caulk Exterior NAD NF - White door caulk Exterior 3% C NF 100 LF Table Notes:
NAD: No Asbestos Detected F: Fraible NF: Non-Friable LF: Linear Feat SF: Square Feet EA: Each
Additional clarification of ACBM is listed below:
• White residual building caulk is located throughout the exterior of the building primarily on the stone and mortar wall.
• Silver Paint applied throughout the metal roof. Silver Paint contamination was observed to be on the caulking around the roof vent.
• White exterior door caulk on three doors giving entry to the Lodge.
Relevant photographs of asbestos-containing building materials have been included in Appendix C.
4.0 Lead-Based Paint Screening
KCI performed the screening on February 8, 2019 in order to determine the lead content of interior and exterior painted surfaces of the Lodge and the Storage Building. The testing for lead content in paints was performed with a Heuresis Corp. XRF Lead Paint Analyzer (model # Pb200i, serial # 1769, sourced on
Architura Corporation Hazardous Building Materials Survey Report
KCI Technologies, Inc. Page 6 February 28, 2019
December 17, 2017), an instrument that detects lead by reading the fluorescence emanating from a painted surface when exposed to small amounts of radiation. XRF readings are in mg/cm2, a mass per area reading.
LBP is defined as >1.0mg/cm2 by Virginia Department of Professional and Occupational Regulation (DPOR), the U.S. Environmental Protection Agency (EPA), and the U. S. Dept. of Housing and Urban Development (HUD). The Occupational Safety and Health Administration’s (OSHA) Lead in Construction Standard (29 CFR 1926.62) defines lead based paint as any detectable amount and guidelines must be followed for any activity which may bring a worker in contact with lead. Therefore a negative classification based on the DPOR/EPA/HUD definition does not necessarily mean the component is lead free. The LBP action level used is >1.0 mg/cm2.
KCI tested one-hundred-thirty-four (134) painted surfaces via X-ray fluorescence (XRF) including six (6) calibrations. Wall codes (A, B, C, D) were used to show location of building components. Wall “A” indicated the front facing wall parallel with the main entrance of the building with wall “B” being the next wall going clockwise in order, etc. The Server Building and the Administration Building were determined by the Client not to be included as a part of this survey at the time of the site visit because there are no proposed renovations to them at this time. Represenative photographs of lead-containing painted surfaces are provided in Appendix C and the results of the XRF testing are provided in Appendix D.
Summary of Lead-Containing Components Identified:
Interior:
• White and grey wood stair components in basement of Lodge. Range of lead content detected: 0.5
- 3.4 mg/cm2
• White wood decorative trim associated with walls in Lodge. Range of lead content detected: 16.9
– 20.3 mg/cm2
• White wood door components in Lodge. Range of lead content detected: 0.1 – 17.3 mg/cm2
• White wood window components in Lodge. Range of lead content detected: 0.1 – 20.3 mg/cm2
Exterior:
• White metal window components of Lodge. Range of lead content detected: 0.9 – 2.1 mg/cm2
• White wood wall components of Lodge. Range of lead content detected: 0.4 – 5.5 mg/cm2
• White wood door components of Lodge. Range of lead content detected: 0.1 – 1.8 mg/cm2
• Black wood door components of Storage Building. Lead content detected at 2.3 mg/cm2
5.0 Recommendations
5.1 Asbestos Containing Building Material
KCI recommends removing and disposing of all friable and non-friable ACBMs, which are anticipated to be affected by the proposed renovation activities in accordance with applicable federal, state, and local regulations.
Further, KCI recommends that any suspect building materials discovered during renovation or demolition activities be tested to determine asbestos content. Any material that has not been sampled should be assumed to be asbestos containing until proven otherwise by laboratory analysis.
Architura Corporation Hazardous Building Materials Survey Report
KCI Technologies, Inc. Page 7 February 28, 2019
5.2 Lead Based Paint
Primarily the lead in paint on a renovation project is regulated in two (2) ways: 1) airborne lead dust by the U.S. Occupational Safety and Health Administration (OSHA), and 2) lead in waste by the toxicity characteristic leachate procedure (TCLP) by EPA and DPOR.
During renovation, it is recommended that the contractor follow OSHA "Lead in Construction" standard, in conjunction with dust control and containment to prevent lead contamination of the surrounding areas, and the use of PPE to protect worker health and safety during renovation.
KCI recommends that the construction waste containing LBP and Lead-Containing Materials (LCM) generated during renovation be tested by the toxicity characteristic leachate procedure (TCLP) by EPA and DPOR to determine the appropriate disposal method.
6.0 Disclaimer
This report has been prepared by KCI Technologies, Inc. exclusively for our Client and their Authorized Representatives. The findings and recommendations presented are based upon discussions with the Client of the present conditions, and may not necessarily indicate future conditions. KCIs performed the survey as outlined in the scope of work with limited ACBM sampling and analysis. Suspect material not included in this survey if encountered during renovation/demolition activities should be assumed to contain asbestos until proven otherwise by testing. KCI implies no warranty to the accuracy of information provided to them by the Client or outside agents and transmitted herein.
\\De-newark\Projects\2018\271803072.04 - VA CULPEPER NATIONAL\Reports\I.H\Report\John Draft 2.22 920am.docx
APPENDIX A:
PROFESSIONAL CERTIFICATIONS
APPENDIX B:
ASBESTOS LABORATORY RESULTS
By Polarized Light Microscopy EPA Method: 600/R-93/116 and 40 CFR, Part 763, Subpart E, App.E
Culpeper VAProject:
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos Fibrous
Components Non-Fibrous Components
Attributes
Treatment
John AdamsAttn:Customer: KCI Technologies 936 Ridgebrook Road Sparks, MD 21152
Analysis ID: 71903792_PLM
Date Reported: 2/18/2019
Date Received: 2/12/2019
Lab Order ID: 71903792
None Detected01A
WHITE PAINT ON
BASEMENT WALL
White Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_1
Fiber Glass Other5% 95%
None Detected01B
WHITE PAINT ON
BASEMENT WALL
White Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_2
Fiber Glass Other5% 95%
None Detected02A
GRAY PAINT ASSOCIATED
WITH BASEMENT FLOOR
Gray Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_3
Other100%
None Detected02B
GRAY PAINT ASSOCIATED
WITH BASEMENT FLOOR
Gray Non Fibrous Homogeneous
Crushed71903792PLM_4
Other100%
None Detected03A - A
GRAY PLASTER
ASSOCIATED WITH
BASEMENT WALLS
paint/texture
White Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_5
Other100%
None Detected03A - B
GRAY PLASTER
ASSOCIATED WITH
BASEMENT WALLS
base
Gray Non Fibrous Heterogeneous
Crushed71903792PLM_70
Other100%
None Detected03B - A
GRAY PLASTER
ASSOCIATED WITH
BASEMENT WALLS
paint/texture
White Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_6
Other100%
None Detected03B - B
GRAY PLASTER
ASSOCIATED WITH
BASEMENT WALLS
base
Gray Non Fibrous Heterogeneous
Crushed71903792PLM_71
Other100%
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogeneous soil samples be conducted by TEM for confirmation of “None Detected” by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Approved SignatoryAnalyst
Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
William Howell (76)
P-F-002 r15 1/16/2021
App.E
Culpeper VAProject:
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos Fibrous
Components Non-Fibrous Components
Attributes
Treatment
John AdamsAttn:Customer: KCI Technologies 936 Ridgebrook Road Sparks, MD 21152
Analysis ID: 71903792_PLM
Date Reported: 2/18/2019
Date Received: 2/12/2019
Lab Order ID: 71903792
None Detected03C - A
GRAY PLASTER
ASSOCIATED WITH
BASEMENT WALLS
paint/texture
White Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_7
Other100%
None Detected03C - B
GRAY PLASTER
ASSOCIATED WITH
BASEMENT WALLS
base
Gray Non Fibrous Heterogeneous
Crushed71903792PLM_72
Other100%
None Detected03D - A
GRAY PLASTER
ASSOCIATED WITH
BASEMENT WALLS
paint/texture
White Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_8
Other100%
None Detected03D - B
GRAY PLASTER
ASSOCIATED WITH
BASEMENT WALLS
base
Gray Non Fibrous Heterogeneous
Crushed71903792PLM_73
Other100%
None Detected03E - A
GRAY PLASTER
ASSOCIATED WITH
BASEMENT WALLS
paint/texture
White Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_9
Other100%
None Detected03E - B
GRAY PLASTER
ASSOCIATED WITH
BASEMENT WALLS
base
Gray Non Fibrous Heterogeneous
Crushed71903792PLM_74
Other100%
None Detected04A
DRYWALL CEILING IN
BASEMENT
Tan Non Fibrous Homogeneous
Crushed71903792PLM_10
Other100%
None Detected04B
DRYWALL CEILING IN
BASEMENT
Tan Non Fibrous Homogeneous
Crushed71903792PLM_11
Other100%
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogeneous soil samples be conducted by TEM for confirmation of “None Detected” by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Approved SignatoryAnalyst
Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
App.E
Culpeper VAProject:
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos Fibrous
Components Non-Fibrous Components
Attributes
Treatment
John AdamsAttn:Customer: KCI Technologies 936 Ridgebrook Road Sparks, MD 21152
Analysis ID: 71903792_PLM
Date Reported: 2/18/2019
Date Received: 2/12/2019
Lab Order ID: 71903792
None Detected05A 12x12 STONE PATTERN
LAMINATE SHEET FLOOR
Gray Fibrous Homogeneous
Teased71903792PLM_12
Cellulose Other60% 40%
None Detected05B 12x12 STONE PATTERN
LAMINATE SHEET FLOOR
Gray Fibrous Homogeneous
Teased71903792PLM_13
Cellulose Other60% 40%
None Detected06A
GOLD MASTIC ASSOCIATE
WITH 12x12 STONE
PATTERN LAMINATE SHEE
Yellow Non Fibrous Homogeneous
Dissolved71903792PLM_14
Other100%
None Detected06B
GOLD MASTIC ASSOCIATE
WITH 12x12 STONE
PATTERN LAMINATE SHEE
Yellow Non Fibrous Homogeneous
Dissolved71903792PLM_15
Other100%
None Detected07A
12X12 BEIGE FLOOR TILE
UNDER H.A. 05
Beige Non Fibrous Homogeneous
Dissolved71903792PLM_16
Other100%
None Detected07B
12X12 BEIGE FLOOR TILE
UNDER H.A. 05
Beige Non Fibrous Homogeneous
Dissolved71903792PLM_17
Other100%
None Detected08A
BLACK MASTIC
ASSOCIATE WITH 12X12
BEIGE FLOOR TILE
Brown, Black Non Fibrous Homogeneous
Dissolved71903792PLM_18
Cellulose Other10% 90%
None Detected08B
BLACK MASTIC
ASSOCIATE WITH 12X12
BEIGE FLOOR TILE
Brown, Black Non Fibrous Homogeneous
Dissolved71903792PLM_19
Cellulose Other10% 90%
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogeneous soil samples be conducted by TEM for confirmation of “None Detected” by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Approved SignatoryAnalyst
Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
App.E
Culpeper VAProject:
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos Fibrous
Components Non-Fibrous Components
Attributes
Treatment
John AdamsAttn:Customer: KCI Technologies 936 Ridgebrook Road Sparks, MD 21152
Analysis ID: 71903792_PLM
Date Reported: 2/18/2019
Date Received: 2/12/2019
Lab Order ID: 71903792
None Detected09A
UNKNOWN PATTERN
SHEET FLOOR UNDER
H.A. 07
Red, Brown Non Fibrous Homogeneous
Teased, Dissolved71903792PLM_20
Cellulose Other10% 90%
None Detected09B
UNKNOWN PATTERN
SHEET FLOOR UNDER
H.A. 07
Red, Brown Non Fibrous Homogeneous
Teased, Dissolved71903792PLM_21
Cellulose Other10% 90%
None Detected10A
BEIGE MASTIC
ASSOCIATED WITH
UNKNOWN PATTERN SHE
Beige Non Fibrous Homogeneous
Dissolved71903792PLM_22
Other100%
None Detected10B
BEIGE MASTIC
ASSOCIATED WITH
UNKNOWN PATTERN SHE
Beige Non Fibrous Homogeneous
Dissolved71903792PLM_23
Other100%
None Detected11A GRAY SINK INSULATION Gray Non Fibrous Homogeneous
Dissolved71903792PLM_24
Cellulose Other5% 95%
None Detected11B GRAY SINK INSULATION Gray Non Fibrous Homogeneous
Dissolved71903792PLM_25
Cellulose Other5% 95%
None Detected11C GRAY SINK INSULATION Gray Non Fibrous Homogeneous
Dissolved71903792PLM_26
Cellulose Other5% 95%
None Detected12A
WHITE INTERIOR DOOR
CAULKING
White Non Fibrous Homogeneous
Ashed71903792PLM_27
Other100%
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogeneous soil samples be conducted by TEM for confirmation of “None Detected” by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Approved SignatoryAnalyst
Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
App.E
Culpeper VAProject:
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos Fibrous
Components Non-Fibrous Components
Attributes
Treatment
John AdamsAttn:Customer: KCI Technologies 936 Ridgebrook Road Sparks, MD 21152
Analysis ID: 71903792_PLM
Date Reported: 2/18/2019
Date Received: 2/12/2019
Lab Order ID: 71903792
None Detected12B
WHITE INTERIOR DOOR
CAULKING
White Non Fibrous Homogeneous
Ashed71903792PLM_28
Other100%
None Detected13A
DRYWALL ASSOCIATED
WITH UPSTAIRS WALLS
Grayish Non Fibrous Homogeneous
Crushed71903792PLM_29
Cellulose Other10% 90%
None Detected13B
DRYWALL ASSOCIATED
WITH UPSTAIRS WALLS
Grayish Non Fibrous Homogeneous
Crushed71903792PLM_30
Cellulose Other10% 90%
None Detected14A
JOINT COMPOUND
ASSOCIATED WITH
UPSTAIRS WALLS
White Non Fibrous Homogeneous
Crushed71903792PLM_31
Other100%
None Detected14B
JOINT COMPOUND
ASSOCIATED WITH
UPSTAIRS WALLS
White Non Fibrous Homogeneous
Crushed71903792PLM_32
Other100%
None Detected15A
8"X8" BEIGE STONE
PATTERN SHEET FLOOR
Beige Fibrous Homogeneous
Teased71903792PLM_33
Cellulose Other70% 30%
None Detected15B
8"X8" BEIGE STONE
PATTERN SHEET FLOOR
Beige Fibrous Homogeneous
Teased71903792PLM_34
Cellulose Other70% 30%
None Detected16A
BEIGE MASTIC
ASSOCIATED WITH 8"X8"
BEIGE STONE PATTERN S
Beige Non Fibrous Homogeneous
Dissolved71903792PLM_35
Other100%
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogeneous soil samples be conducted by TEM for confirmation of “None Detected” by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Approved SignatoryAnalyst
Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
App.E
Culpeper VAProject:
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos Fibrous
Components Non-Fibrous Components
Attributes
Treatment
John AdamsAttn:Customer: KCI Technologies 936 Ridgebrook Road Sparks, MD 21152
Analysis ID: 71903792_PLM
Date Reported: 2/18/2019
Date Received: 2/12/2019
Lab Order ID: 71903792
None Detected16B
BEIGE MASTIC
ASSOCIATED WITH 8"X8"
BEIGE STONE PATTERN S
Beige Non Fibrous Homogeneous
Dissolved71903792PLM_36
Other100%
None Detected17A
RESIDUAL WHITE
EXTERIOR PIPE
INSULATION
White, Yellow Fibrous Homogeneous
Teased71903792PLM_37
Fiber Glass Other95% 5%
None Detected17B
RESIDUAL WHITE
EXTERIOR PIPE
INSULATION
Yellow, White Fibrous Homogeneous
Teased71903792PLM_38
Fiber Glass Other95% 5%
4% Chrysotile 18A
WHITE RESIDUAL
EXTERIOR BUILDING
CAULK
White Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_39
Other96%
4% Chrysotile 18B
WHITE RESIDUAL
EXTERIOR BUILDING
CAULK
White Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_40
Other96%
None Detected19A
GRAY EXTERIOR
WINDOW GLAZING
White Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_41
Other100%
None Detected19B
GRAY EXTERIOR
WINDOW GLAZING
White Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_42
Other100%
None Detected20A
BLACK EXPANSION JOINT
MATERIAL
Black Non Fibrous Homogeneous
Dissolved71903792PLM_43
Other100%
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogeneous soil samples be conducted by TEM for confirmation of “None Detected” by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Approved SignatoryAnalyst
Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
App.E
Culpeper VAProject:
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos Fibrous
Components Non-Fibrous Components
Attributes
Treatment
John AdamsAttn:Customer: KCI Technologies 936 Ridgebrook Road Sparks, MD 21152
Analysis ID: 71903792_PLM
Date Reported: 2/18/2019
Date Received: 2/12/2019
Lab Order ID: 71903792
None Detected20B
BLACK EXPANSION JOINT
MATERIAL
Black Non Fibrous Homogeneous
Dissolved71903792PLM_44
Other100%
None Detected21A
GRAY MORTAR
ASSOCIATED WITH
EXTERIOR STONE WALL
Tan, Gray Non Fibrous Heterogeneous
Crushed71903792PLM_45
Other100%
None Detected21B
GRAY MORTAR
ASSOCIATED WITH
EXTERIOR STONE WALL
Tan, Gray Non Fibrous Heterogeneous
Crushed71903792PLM_46
Other100%
None Detected21C
GRAY MORTAR
ASSOCIATED WITH
EXTERIOR STONE WALL
Tan, Gray Non Fibrous Heterogeneous
Crushed71903792PLM_47
Other100%
None Detected21D
GRAY MORTAR
ASSOCIATED WITH
EXTERIOR STONE WALL
Tan, Gray Non Fibrous Heterogeneous
Crushed71903792PLM_48
Other100%
None Detected21E
GRAY MORTAR
ASSOCIATED WITH
EXTERIOR STONE WALL
Tan, Gray Non Fibrous Heterogeneous
Crushed71903792PLM_49
Other100%
None Detected21F
GRAY MORTAR
ASSOCIATED WITH
EXTERIOR STONE WALL
Tan, Gray Non Fibrous Heterogeneous
Crushed71903792PLM_50
Other100%
None Detected21G
GRAY MORTAR
ASSOCIATED WITH
EXTERIOR STONE WALL
Tan, Gray Non Fibrous Heterogeneous
Crushed71903792PLM_51
Other100%
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogeneous soil samples be conducted by TEM for confirmation of “None Detected” by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Approved SignatoryAnalyst
Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
App.E
Culpeper VAProject:
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos Fibrous
Components Non-Fibrous Components
Attributes
Treatment
John AdamsAttn:Customer: KCI Technologies 936 Ridgebrook Road Sparks, MD 21152
Analysis ID: 71903792_PLM
Date Reported: 2/18/2019
Date Received: 2/12/2019
Lab Order ID: 71903792
None Detected22A
GOLD/BROWN MASTIC
ASSOCIATED WITH
PROCH CARPET
Brown Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_52
Other100%
None Detected22B
GOLD/BROWN MASTIC
ASSOCIATED WITH
PROCH CARPET
Brown Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_53
Other100%
None Detected23A
WHITE EXPANSION JOINT
MATERIAL
Grayish Non Fibrous Homogeneous
Ashed71903792PLM_54
Other100%
None Detected23B
WHITE EXPANSION JOINT
MATERIAL
Grayish Non Fibrous Homogeneous
Ashed71903792PLM_55
Other100%
3% Chrysotile 24A
WHITE EXTERIOR DOOR
CAULK
White Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_56
Wollastonite Other10% 87%
3% Chrysotile 24B
WHITE EXTERIOR DOOR
CAULK
White Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_57
Wollastonite Other10% 87%
None Detected25A GRAY CHIMNEY CAULK Gray Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_58
Other100%
None Detected25B GRAY CHIMNEY CAULK Gray Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_59
Other100%
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogeneous soil samples be conducted by TEM for confirmation of “None Detected” by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Approved SignatoryAnalyst
Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
App.E
Culpeper VAProject:
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos Fibrous
Components Non-Fibrous Components
Attributes
Treatment
John AdamsAttn:Customer: KCI Technologies 936 Ridgebrook Road Sparks, MD 21152
Analysis ID: 71903792_PLM
Date Reported: 2/18/2019
Date Received: 2/12/2019
Lab Order ID: 71903792
None Detected26A - A
TAN ROOF VENT
CAULKING
caulking
Beige, White Non Fibrous Heterogeneous
Ashed71903792PLM_60
Other100%
3% Chrysotile 26A - B
TAN ROOF VENT
CAULKING
paint
Silver Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_75
Other97%
None Detected26B - A
TAN ROOF VENT
CAULKING
caulking
Beige, White Non Fibrous Homogeneous
Ashed71903792PLM_61
Other100%
3% Chrysotile 26B - B
TAN ROOF VENT
CAULKING
paint
Silver Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_76
Other97%
None Detected27A RED ROOF TAR Red Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_62
Other100%
None Detected27B RED ROOF TAR Red Non Fibrous Homogeneous
Crushed, Dissolved71903792PLM_63
Other100%
None Detected28A
WHITE CAULK
ASSOCIATED WITH
SKYLIGHT
White Non Fibrous Homogeneous
Ashed71903792PLM_64
Other100%
None Detected28B
WHITE CAULK
ASSOCIATED WITH
SKYLIGHT
White Non Fibrous Homogeneous
Ashed71903792PLM_65
Other100%
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogeneous soil samples be conducted by TEM for confirmation of “None Detected” by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Approved SignatoryAnalyst
Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
App.E
Culpeper VAProject:
Sample ID
Lab Sample ID
Description
Lab Notes Asbestos Fibrous
Components Non-Fibrous Components
Attributes
Treatment
John AdamsAttn:Customer: KCI Technologies 936 Ridgebrook Road Sparks, MD 21152
Analysis ID: 71903792_PLM
Date Reported: 2/18/2019
Date Received: 2/12/2019
Lab Order ID: 71903792
None Detected29A
WHITE EXTERIOR
WINDOW CAULK
White, Gray Non Fibrous Homogeneous
Ashed71903792PLM_66
Other100%
None Detected29B
WHITE EXTERIOR
WINDOW CAULK
White, Gray Non Fibrous Homogeneous
Ashed71903792PLM_67
Other100%
None Detected30A
PERIMETER WALL
MORTAR
Grayish Non Fibrous Heterogeneous
Crushed71903792PLM_68
Other100%
None Detected30B
PERIMETER WALL
MORTAR
Grayish Non Fibrous Heterogeneous
Crushed71903792PLM_69
Other100%
Disclaimer: Due to the nature of the EPA 600 method, asbestos may not be detected in samples containing low levels of asbestos. We strongly recommend that analysis of floor tiles, vermiculite, and/or heterogeneous soil samples be conducted by TEM for confirmation of “None Detected” by PLM. This report relates only to the samples tested and may not be reproduced, except in full, without the written approval of SAI. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. government. Analytical uncertainty available upon request. Scientific Analytical Institute participates in the NVLAP Proficiency Testing program. Unless otherwise noted blank sample correction was not performed. Estimated MDL is 0.1%.
Approved SignatoryAnalyst
Scientific Analytical Institute, Inc. 4604 Dundas Dr. Greensboro, NC 27407 (336) 292-3888
Client: KCI Technologies Inc. ~ Contact: JOHN ADAMS u,e C(!llllm 'B"far )IW'cona:llllfo Addf9N: 936 Ridgebrook Road Phone: 410.316.7811 TI>Seean&atnple Clr:lrlhe Fax: ~ &atnple Te.
Email: JOHN.ADAMS@KCI.COM l!ttter..,.,..,._, "ce•--,-»· Project: Culpeper VA .............. ....,_,. ........ Sdentltlc
.,,,.., ... -»•belowtflelut....,. AnalrfiCfll
CllentNolle: SEND INVOICE TO JOHN.AD OrllyEnltJrytMJ1dllltonlhethtlhNI "SIINl1" ln9Cllule ,,.
P.O.f. 271803072.04 Task 4 Nole: Data 1 and Dela 2- oplJonfJI 4604 Dunda!I-.Orlve O.. lubmlllld: 2.11 .2019 tltllda •enot abllW up on lheatlldlll Greensboro, NC :Z7407 AIIPGff.,___.., .. behctlded Phone: 336.292.3Blltl
PLM In lheMChnll:dlllt,.,,,,_fo ,all Fax: 3 .,_2SJ2.33J3 TumAnlundTlmr. 5 da lo,... ~- ... Email: /ab ... llilb.eoin
01A WHITE PAINT ON BASEMENT WALL
01 B WHITE PAINT ON BASEMENT WALL
02A GRAY PAINT ASSOCIATED WITH BASEMENT FLOOR
02B GRAY PAINT ASSOCIATED WITH BASEMENT FLOOR
03A GRAY PLASTER ASSOCIATED WITH BASEMENT WALLS
03B GRAY PLASTER ASSOCIATED WITH BASEMENT WALLS
03C GRAY PLASTER ASSOCIATED WITH BASEMENT WALLS
03D GRAY PLASTER ASSOCIATED WITH BASEMENT WALLS
03E GRAY PLASTER ASSOCIATED WITH BASEMENT WALLS
04A DRYWALL CEILING IN BASEMENT
04B DRYWALL CEILING IN BASEMENT
05A 12x12 STONE PATTERN LAMINATE SHEET FLOOR 05B 12x12 STONE PATTERN LAMINATE SHEET FLOOR 06A GOLD MASTIC ASSOCIATE WITH 12x12 STONE PATTERN LAMINATE SHEET FLOOR 06B GOLD MASTIC ASSOCIATE WITH 12x12 STONE PATTERN LAMINATE SHEET FLOOR
07A 12X12 BEIGE FLOOR TILE UNDER H.A. 05
07B 12X12 BEIGE FLOOR TILE UNDER H.A. 05
08A BLACK MASTIC ASSOCIATE WITH 12X12 BEIGE FLOOR TILE
08B BLACK MASTIC ASSOCIATE WITH 12X12 BEIGE FLOOR TILE
09A UNKNOWN PATTERN SHEET FLOOR UNDER H.A. 07
09B UNKNOWN PATTERN SHEET FLOOR UNDER H.A. 07
10A BEIGE MASTIC ASSOCIATED WITH UNKNOWN PATTERN SHEET FLOOR
10B BEIGE MASTIC ASSOCIATED WITH UNKNOWN PATTERN SHEET FLOOR
11A GRAY SINK INSULATION
11B GRAY SINK INSULATION
11C GRAY SINK INSULATION
12A WHITE INTERIOR DOOR CAULKING
12B WHITE INTERIOR DOOR CAULKING
13A DRYWALL ASSOCIATED WITH UPSTAIRS WALLS
13B DRYWALL ASSOCIATED WITH UPSTAIRS WALLS
14A JOINT COMPOUND ASSOCIATED WITH UPSTAIRS WALLS
14B JOINT COMPOUND ASSOCIATED WITH UPSTAIRS WALLS
15A 8"X8" BEIGE STONE PATTERN SHEET FLOOR
15B 8"X8" BEIGE STONE PATTERN SHEET FLOOR
16A BEIGE MASTIC ASSOCIATED WITH 8"X8" BEIGE STONE PATTERN SHEET FLOOR
16B BEIGE MASTIC ASSOCIATED WITH 8"X8" BEIGE STONE PATTERN SHEET FLOOR
17A RESIDUAL WHITE EXTERIOR PIPE INSULATION
17B RESIDUAL WHITE EXTERIOR PIPE INSULATION
18A WHITE RESIDUAL EXTERIOR BUILDING CAULK
18B WHITE RESIDUAL EXTERIOR BUILDING CAULK
19A GRAY EXTERIOR WINDOW GLAZING
19B GRAY EXTERIOR WINDOW GLAZING ' 20A BLACK EXPANSION JOINT MATERIAL
20B BLACK EXPANSION JOINT MATERIAL
f--~2'""1A=-----1-==G~RA~Y~M"'oc:::Rc:::T~AR~A'=s~so~c"'1~A=TE~D~w==IT:::-H~EXT~==Ec:R':c10c:R~s==T~oc:-N;;E,..,w:;,A7'L"'L'--------1----------Pit! . ected 21B GRAY MORTAR ASSOCIATED WITH EXTERIOR STONE WALL • 21C GRAY MORTAR ASSOCIATED WITH EXTERIOR STONE WALL
210 GRAY MORTAR ASSOCIATED WITH EXTERIOR STONE WALL
21E GRAY MORTAR ASSOCIATED WITH EXTERIOR STONE WALL
21F GRAY MORTAR ASSOCIATED WITH EXTERIOR STONE WALL
21G GRAY MORTAR ASSOCIATED WITH EXTERIOR STONE WALL
22A GOLD/BROWN MASTIC ASSOCIATED WITH PROCH CARPET
22B GOLD/BROWN MASTIC ASSOCIATED WITH PROCH CARPET
23A WHITE EXPANSION JOINT MATERIAL
23B WHITE EXPANSION JOINT MATERIAL
24A WHITE EXTERIOR DOOR CAULK
24B WHITE EXTERIOR DOOR CAULK
25A GRAY CHIMNEY CAULK
25B GRAY CHIMNEY CAULK
26A TAN ROOF VENT CAULKING
26B TAN ROOF VENT CAULKING
27 A RED ROOF TAR
27B RED ROOF TAR
Relinquished By
I ~ J_
28A WHITE CAULK ASSOCIATED WITH SKYLIGHT
28B WHITE CAULK ASSOCIATED WITH SKYLIGHT
29A WHITE EXTERIOR WINDOW CAULK
29B WHITE EXTERIOR WINDOW CAULK
30A PERIMETER WALL MORTAR I
30B PERIMETER WALL MORTAR I
Relinquished By Received By
APPENDIX C:
PHOTOGRAPHS
Ph ot o 1:
Ph ot o
2:
APPENDIX D:
XRF DATASHEET
KCI Project: 271803072.04 XRF Data Sheet
Index Substrate Component 1 Component 2 Color Wall Code Room XRF Reading (mg/cm^2) Result Condition
1 SRM‐2579 White Calibration 0.1 N/A
2 SRM‐2579 Red Calibration 1 N/A
3 SRM‐2579 Red Calibration 1 N/A
4 SRM‐2579 Red Calibration 1 N/A
5 Plaster Wall White A Basement 0.1 NEG Deteriorated
6 Plaster Wall White B Basement 0 NEG Deteriorated
7 Plaster Wall White C Basement 0 NEG Deteriorated
8 Wood Wall White D Basement 0.1 NEG Deteriorated
9 Wood Floor Grey N/A Basement 0.1 NEG Deteriorated
10 Wood Ceiling White N/A Basement 0.1 NEG Deteriorated
11 Wood Stair Stringer White N/A Basement 1.6 POS Deteriorated
12 Wood Stair Railing White N/A Basement 0.5 NULL Deteriorated
13 Wood Stair Railing White N/A Basement 0.7 NEG Deteriorated
14 Wood Stair Riser Grey N/A Basement 3.4 POS Deteriorated
15 Drywall Porch White A Exterior 0.3 NEG Deteriorated
16 Drywall White A Living Room 0.4 NEG Deteriorated
17 Drywall Wall Tan A Living Room 0.2 NEG Intact
18 Drywall Wall Tan B Living Room 0.3 NEG Intact
19 Drywall Wall Tan C Living Room ‐0.4 NEG Intact
20 Drywall Wall Tan D Living Room 0.2 NEG Intact
21 Drywall Wall Tan A Dining Room 0.3 NEG Intact
22 Drywall Wall Tan B Dining Room 0.3 NEG Intact
23 Wood Wall Tan C Dining Room 0.4 NEG Intact
24 Wood Wall Tan D Dining Room 0.1 NEG Intact
25 Wood Chair Rail White D Dining Room 0.1 NEG Deteriorated
26 Wood Chair Rail White B Dining Room 0.1 NEG Deteriorated
27 Wood Chair Rail White C Dining Room 0.1 NEG Deteriorated
28 Wood Chair Rail White A Dining Room 0.1 NEG Deteriorated
29 Wood Wall White A Dining Room 0.3 NEG Deteriorated
30 Wood Wall White B Dining Room 0.3 NEG Deteriorated
31 Wood Wall White C Dining Room 0.1 NEG Deteriorated
32 Wood Wall White D Dining Room 0.3 NEG Deteriorated
33 Wood Window Casing White B Dining Room 0.4 NEG Deteriorated
34 Drywall Window Sill White B Dining Room 0 NEG Deteriorated
35 Drywall Window White B Dining Room 0.2 NEG Deteriorated
36 Drywall Wall Tan A Common Area ‐0.1 NEG Intact
37 Drywall Wall Tan B Common Area 0.4 NEG Intact
38 Drywall Wall Tan C Common Area 0.2 NEG Intact
39 Wood Wall Tan D Common Area 0 NEG Intact
40 Wood Wall Tan D Common Area ‐0.1 NEG Intact
41 Wood Wall Trim White A Common Area 20.3 POS Intact
42 Wood Wall Trim White B Common Area 19.6 POS Intact
43 Wood Wall Trim White C Common Area 16.9 POS Intact
44 Wood Wall Trim White D Common Area 18.2 POS Intact
45 Wood Window Casing White D Common Area 0.2 NEG Deteriorated
46 Wood Window Sill White D Common Area 0 NEG Deteriorated
47 Wood Window White D Common Area 0.3 NEG Deteriorated
48 Wood Door Casing White A Common Area 17.3 POS Deteriorated
49 Wood Door Casing White A Common Area 16.1 POS Deteriorated
50 Wood Door Jamb White A Common Area 0.9 NEG Deteriorated
51 Wood Door Jamb White A Common Area 6.4 POS Deteriorated
52 Wood Door Jamb White A Common Area 1 POS Deteriorated
53 Wood Door Lintel White A Common Area 7.5 POS Deteriorated
54 Wood Door Door White A Common Area 0 NEG Deteriorated
55 Wood Door Door White A Common Area 0.1 NEG Deteriorated
56 Wood Door Door White B Common Area 0 NEG Deteriorated
57 Wood Door Door White B Common Area 0.1 NEG Deteriorated
58 Wood Door Casing White B Common Area 1.3 POS Deteriorated
59 Wood Door Casing White B Common Area 2.1 POS Deteriorated
60 Wood Door Jamb White B Common Area 3.6 POS Deteriorated
61 Wood Door Jamb White B Common Area 0.1 NEG Deteriorated
62 Wood Door Lintel White B Common Area 0.2 NEG Deteriorated
63 Wood Door Lintel White C Kitchen 0.1 NEG Deteriorated
64 Drywall Door Casing White A Kitchen 0 NEG Deteriorated
65 Drywall Door Jamb White A Kitchen 0.1 NEG Deteriorated
66 Drywall Wall Tan A Kitchen 0.3 NEG Deteriorated
67 Drywall Wall Tan B Kitchen 0.1 NEG Deteriorated
XRF Data Sheet
Index Substrate Component 1 Component 2 Color Wall Code Room XRF Reading (mg/cm^2) Result Condition
68 Wood Wall Tan C Kitchen 0.3 NEG Deteriorated
69 Wood Wall Tan D Kitchen 0.3 NEG Deteriorated
70 Wood Wall Trim White A Kitchen 0.3 NEG Deteriorated
71 Wood Window Casing White D Kitchen 3.2 POS Deteriorated
72 Wood Window Casing White D Kitchen 1 POS Deteriorated
73 Wood Window Sill White D Kitchen 1.4 POS Deteriorated
74 Wood Door Casing White D Kitchen 2 POS Deteriorated
75 Wood Door Casing White D Kitchen 1.2 POS Deteriorated
76 Wood Door Jamb White D Kitchen 7.4 POS Deteriorated
77 Wood Door Jamb White D Kitchen 5.2 POS Deteriorated
78 Wood Door Lintel White D Kitchen 8.2 POS Deteriorated
79 Wood Door Door White D Kitchen ‐0.1 NEG Deteriorated
80 Wood Door Door White D Kitchen 0.1 NEG Deteriorated
81 Wood Porch Sill White D Exterior 7.1 POS Deteriorated
82 Wood Porch Sill White D Exterior 0.3 NEG Deteriorated
83 Wood…
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