94197779 - Proposed VA Hospital Garland - Limited Mold Assessment Report - DRAFT.pdf

Limited Mold Assessment Report

Proposed VA Hospital Garland – Three (3) Buildings

2300 Marie Curie Boulevard

Garland, Texas

June 21, 2019

Terracon Project No. 94197779

Prepared for:

Enapay, LLC

Mesquite, Texas

Prepared by:

Terracon Consultants, Inc.

Dallas, Texas DRAFT

Terracon Consultants, Inc. 8901 Carpenter Freeway, Suite 100 Dallas, Texas 75247

P [214] 630 1010 F [214] 630 7070 terracon.com/dal las

June 21, 2019

Mr. Marshall Hamilton

Enapay, LLC

207 West Main Street

Mesquite, Texas 75149

Telephone: (214) 607-0247

E-mail: mjh@enapayllc.com

Re: Limited Mold Assessment Report

2300 Marie Curie Boulevard

Dear Mr. Hamilton:

The purpose of this report is to present the results of the limited mold assessment performed on June 10 - 19, 2019, at the site of the proposed VA Hospital Garland located at 2300 Marie Curie Boulevard, 700 Walter Reed Boulevard, and 900 North Shiloh Road in

Garland, Texas. We understand that this inspection was requested for informational purposes prior to building renovation.

Terracon appreciates the opportunity to provide this service to Enapay, LLC. If you have any questions regarding this report, please contact the undersigned at (817) 268-8600.

Sincerely, Michael Crandall Matthew R. Mooney

Senior Industrial Hygienist Senior Project Manager

DRAFT

mailto:mjh@enapayllc.com

TABLE OF CONTENTS

1.0 PROJECT DESCRIPTION

1.1 Scope of Work

1.2 Standard of Care

1.3 Reliance

2.0 EVALUATION CRITERIA

2.1 Visual Evaluation

2.2 Moisture Intrusion

3.0 METHODS

3.1 Visual Evaluation

3.2 Moisture Detection

4.0 RESULTS

4.1 Visual Evalutation - Main Hospital

4.2 Visual Evaluation - Plaza Building

4.3 Visual Evaluation - Storage Building…………………………………………………….….34

5.0 SUMMARY

6.0 RECOMMENDATIONS

APPENDIX A: Analytical Results

APPENDIX B: Photographs

APPENDIX C: Licenses

Responsive ■ Resourceful ■ Reliable 1

LIMITED MOLD ASSESSMENT REPORT

Proposed VA Hospital Garland – Three (3) Buildings

2300 Marie Curie Boulevard

1.0 PROJECT DESCRIPTION

Terracon Consultants, Inc. (Terracon) conducted a limited mold assessment at the proposed VA

Hospital Garland located at 2300 Marie Curie Boulevard, 700 Walter Reed Boulevard, and 900

North Shiloh Road in Garland, Texas. The limited mold assessment conducted on June 10 – 19, 2019 was performed by the following Terracon personnel:

◼ Mr. Andrew Cassidy, a Texas Department of Licensing and Regulation (TDLR) Mold

Assessment Consultant (License MAC1496), ◼ Mr. Matthew R. Mooney, a TDLR Mold Assessment Consultant (License MAC1362), and

◼ Mr. George Slay, a TDLR Mold Assessment Consultant (License No. MAC1107).

The mold assessment was limited to readily observable and accessible surfaces. Based on information provided by the client, the buildings are proposed for renovation.

1.1 Scope of Work

The assessment consisted of a visual evaluation of accessible areas within the subject buildings.

Additionally, a visual evaluation of accessible areas within a representative number of air handling units was conducted. Measurements of moisture content of suspect building materials were also conducted.

Terracon made reasonable efforts to assess suspect materials on the interior of each building;

however, the following limitations were encountered at the time of the survey:

◼ Locked rooms throughout the interior of each building/one set of keys with property management, CBRE, on-site. Additionally, CBRE did not have access to several key-pad doors, ◼ Expedited schedule/access limited to the schedule of building security, ◼ Vacant areas of each building used for storage of remnant furnishings, ◼ Operational mental health clinic on the fourth and fifth floors of the main building, and

◼ Multiple occupied medical clinics in the plaza building.

Limited Mold Assessment

2300 Marie Curie Boulevard ■ Garland, Texas

June 21, 2019 ■ Terracon Project No. 94197779

Responsive ■ Resourceful ■ Reliable 2

Due to the referenced limitations encountered at the time of the survey, access to various areas throughout each building was limited and the potential exists for additional suspect fungal growth or water damaged materials to be present in those inaccessible areas.

Terracon assessed multiple areas above the drywall and lay-in ceiling systems in each building, where possible, but did not observe additional suspect fungal growth except where noted in this report; however; due to occupancy, building condition, and building usage at the time of the survey, access to areas above the ceiling was limited and the potential exists for additional suspect fungal growth or water damaged materials to be present in these inaccessible areas.

Terracon assessed multiple areas of the crawlspace, where possible, but did not observe additional suspect materials except where noted in this report; however, due to the condition of the crawlspace, access was limited to the standing areas and the potential exists for additional suspect fungal growth or water damaged materials to be present in these inaccessible areas.

1.2 Standard of Care

The evaluation was conducted at the subject buildings on June 10 - 19, 2019, based on information provided to Terracon regarding building conditions. This investigation was conducted in a manner consistent with the level of care and skill ordinarily exercised by members of the profession currently practicing under similar conditions in the same locale.

The results, findings, conclusions, and recommendations expressed in this report are based on conditions observed during our June 10 - 19, 2019, assessments. Many factors such as weather conditions, building occupancy, ventilation patterns, and seasonal variations in fungal concentrations can affect the conditions observed. The information contained in this report should not be relied upon to represent conditions that existed previously or at a later date. Terracon does not warrant the services of regulatory agencies, laboratories, or other third parties supplying information that may have been used in the preparation of this report.

1.3 Reliance

The report has been prepared on behalf of and exclusively for use by Enapay, LLC for specific application to their project as discussed. No other individual or entity may rely on this report without written permission of Terracon and Enapay, LLC. Reliance on this report by Enapay, LLC and all authorized parties will be subject to the key understandings and limitations stated in the proposal, this report, and Terracon’s Agreement for Services. The limitation of liability defined in Terracon’s

Agreement for Services is the aggregate limit of Terracon’s liability to Enapay, LLC and all relying parties.

Responsive ■ Resourceful ■ Reliable 3

2.0 EVALUATION CRITERIA

2.1 Visual Evaluation

Indoor air quality can be degraded due to multiple contaminant sources from within a building or from the outdoor environment. If contaminant sources are not controlled, indoor air quality issues that affect occupants can arise, even with well-maintained heating, ventilating, and air conditioning (HVAC) systems. Based on the multiple sources of potential indoor/outdoor contaminants that can affect indoor air quality, the visual evaluation is conducted to assess general indoor hygiene, building maintenance practices, HVAC system design and hygiene, moisture intrusion and uncontrolled condensate formation. Indoor air frequently contains a mixture of pollutants at low concentrations that are well below regulatory occupational exposure limits. The visual assessment focuses on collecting primarily observational data (i.e., information obtained by visual inspection of the building and interviews with the building management, owners, and occupants).

Since many building materials can provide a source of nutrients for fungal growth, moisture is the limiting factor in minimizing the potential for fungal growth. Therefore, visible fungal growth, excessive dirt and water-damaged building materials should not be observed. When these conditions are observed, it indicates a need to conduct additional assessment, cleaning, and/or remediation activities.

2.2 Moisture Intrusion

Elevated fungal bioaerosol concentrations in indoor environments can occur when excessive moisture and a nutrient source are present, especially in closed or concealed areas that trap moisture and have minimal air disturbance. The cellulose in the paper surfacing of drywall or gypsum wallboard provides an adequate food source for the growth of many fungal species. On-site moisture measurements are obtained using a direct-reading instrument or infrared thermography. Results from similar materials in non-suspect locations, such as non-impacted drywall walls or ceiling surfaces, are compared and used to assess the likelihood of fungal growth conditions in suspect or historically water-damaged materials.

There are no current regulatory standards that limit moisture levels in walls or building materials, but the data can be valuable when results from different locations are compared.

METHODS

3.1 Visual Evaluation

The visual evaluation was conducted in general accordance with regulations published by the TDLR

(Mold Assessors and Remediators Administrative Rules, 2017), and consensus guidelines from the

American Conference of Governmental Industrial Hygienist (ACGIH, Bioaerosols; Assessment and

Control, 1999) and American Society of Testing and Materials (ASTM, Standard Guide for Assessment of Fungal Growth in Buildings, Method D7338-14). The indoor environment and internal

Responsive ■ Resourceful ■ Reliable 4 components/surfaces in representative air handler units (AHUs) were evaluated for visual evidence of moisture intrusion, visible fungal growth or other hygiene concerns that could impact indoor air quality.

Destructive sampling or disassembly of mechanical enclosures was not within the scope of work for the project.

Terracon collected surface samples for microscopic analysis using Environmental Monitoring Systems

(EMS) Mold Tape Slide™ samplers. The samplers were touched to the surface of interest and then placed in a plastic shipping container. Seventeen (17) samples were collected from various surfaces exhibiting suspect fungal growth. Criteria to establish fungal growth on the substrate sampled were microscopic confirmation of fungal somatic and reproductive structures. Surface samples were submitted under chain of custody protocol to Terracon-Fort Worth, a TDLR-licensed Mold Analysis

Laboratory (LAB1010).

3.2 Moisture Detection

A FLIR, Model C-2, thermal imager was used to evaluate temperature differences in building materials that would be consistent with moisture intrusion.

Moisture content of building materials was evaluated with a digital moisture meter; Protimeter Mini

BLD2000, from Amphenol Thermometrics, Inc. The moisture meter was calibrated prior to use in the field. Normal moisture content of building materials was standardized by evaluating similar building materials that were not subjected to atypical moisture conditions.

4.0 RESULTS

4.1 Visual Evaluation – Main Hospital

Facility Description:

Main Hospital – 2300 Marie Curie Boulevard

Building

Five-story hospital building with a basement constructed circa 1970 with additions, including the plaza building, constructed circa 1975, 1999, and 2003

Total Area 167,236 square feet (sq. ft.)

Roof Multi-level rubber membrane, rolled-on composition roofing material and tar and gravel roofing material

Exterior Walls Texture on concrete, texture on concrete masonry unit (CMU) and brick

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Interior Description

Occupied inpatient mental health clinic, offices, exam rooms, x-ray rooms, procedure rooms, operating rooms, pharmaceutical rooms, break rooms, conference rooms, corridors, restrooms, electrical rooms, mechanical rooms, elevator lobbies, and stairwells

Interior Walls

Textured drywall, textured concrete, textured CMU blocks, wainscoting on drywall, wall covering on drywall, and ceramic tile on drywall

Interior Ceilings

Textured drywall and 2’x4’ and 2’x2’ lay-in ceiling tile suspended from a concrete deck; spray-on fireproofing was observed in various areas throughout the main hospital on the concrete deck and on the metal decks of the stairwells

Interior Floors Unfinished concrete, terrazzo, floor coating, resilient floor covering, vinyl floor tile, carpet, and ceramic tile on a concrete substrate

Survey Limitations/

Inaccessible Areas

The fourth and fifth floors were occupied by an inpatient mental health clinic; although the remaining areas of the building were vacant, a large portion of the rooms were locked or used as storage space. Various areas of the vacant spaces had limited lighting and some areas had no lighting. Debris and remnant furnishings were observed in various vacant areas throughout the interior of the building. Hard ceilings were installed in various areas throughout the interior of the building.

General Observations: Conditioned air is provided to the building by multiple AHUs and rooftop air handler units (RTUs) that are located in various mechanical rooms throughout the building and on the roof. A central chiller tower is also located on the exterior of the building.

Air Handler Units:

Air Handler Unit (AHU) G19 was assessed in the main hospital basement. Based on information provided by CBRE personnel, this AHU is representative of a typical AHU for the main hospital.

The main ducts were wrapped with exterior insulation. Standing water was observed in the drain pan below the coils. Approximately 4 square feet of suspect fungal growth was observed on the metal walls of the AHU. No suspect fungal growth was visible in the supply plenum or visible duct run.

Rooms and Corridors:

Moisture damaged building materials were observed in various areas throughout the building. The moisture damage appeared to be related to historic rain water intrusion through the building envelope and/or historic leaks or condensate drip from plumbing fixtures and mechanical components.

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Suspect visible fungal (mold) growth was observed in various areas throughout the building. The suspect fungal growth was observed on walls, ceilings, ceiling tiles and HVAC supply registers.

Surface samples were collected from a drywall wall in the fifth-floor elevator lobby, drywall wall in

Room 384 located on the third floor, drywall wall in the east nurse’s station on the second floor and metal HVAC supply register in the basement storage area. Microscopic analysis identified

Stachybotrys, Chaetomium, Cladosporium, and Memnoniella from the referenced sample locations

(Appendix A). The quantity of visible fungal growth observed in these areas was less than the regulatory threshold of 25 square feet as defined in the MARAR. Destructive sampling or disassembly of mechanical components was not within the scope of work for the project. Terracon did not access areas underneath floor tiles, wall paneling, or inside wall cavities. Fungal growth may be present in these areas, if moisture intrusion has occurred.

The Visual Evaluation results are summarized in Table 1.0

TABLE 1.0, LIMITED MOLD ASSESSMENT RESULTS TABLE

Pharmacy Ceiling tiles with historic moisture stain (3 ft2) None Observed

Room Adjoining to

Pharmacy

Ceiling tile with historic moisture stain (1 ft2) None Observed

Plant Operations

Office

Ceiling tile with historic moisture stain (1 ft2) None Observed

Hallway at Plant

Operations Office

Ceiling tile with historic moisture stain (2 ft2) None Observed

Hallway at Main Lobby Ceiling tile with historic moisture stain (2 ft2) None Observed

Room A1 – Intake Ceiling tile with historic moisture stain (10 ft2) None Observed

Employee Elevator

Lobby

Gypsum board concealed behind vinyl cove base

(6 ft2)

Suspect fungal growth (6 ft2) behind cove base on perimeter wall

Main Building – 5th Floor

Location Moisture Damaged

Building Material

Suspect Visible

Fungal Growth

Responsive ■ Resourceful ■ Reliable 7

Hallway at Electrical

Room

Ceiling tile with historic moisture stain (2 ft2) None Observed

Westside Nurses

Station

Gypsum board ceiling with historic moisture stain (4 ft2) None Observed

Westside Hallway /

Elevator Lobby

Gypsum board ceiling with historic moisture stain (6 ft2)

Gypsum board wall with historic moisture stain

(10 ft2)

None Observed

Room 402 - Restroom Gypsum board ceiling with historic moisture stain (4 ft2) None Observed

Room 410 - Restroom Gypsum board ceiling with historic moisture stain (2 ft2) None Observed

Room 412 – Restroom Gypsum board ceiling with historic moisture stain (1 ft2) None Observed

Room 414 – Restroom Gypsum board ceiling with historic moisture stain (4 ft2) None Observed

Room 449 Gypsum board wall with historic moisture stain (5 ft2) None Observed

Room B3 Gypsum board ceiling with historic moisture stain (2 ft2) None Observed

Room 423 – Restroom Gypsum board ceiling with historic moisture stain (6 ft2) None Observed

Room 475 Gypsum board wall with historic moisture stain (1 ft2) None Observed

Main Building – 4th Floor

Location Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 8

Room 483 Gypsum board wall with historic moisture stain (2 ft2) None Observed

Southwest Stairwell Ceiling tile with historic moisture stain (6 ft2)

Main Building – 4th Floor (Cont.)

Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 9

Room 384

Gypsum board ceiling with historic moisture stain (3 ft2)

Gypsum board wall around perimeter window with evidence of historic moisture intrusion

Suspect fungal growth (10 ft2) around window casing

Room 385

Gypsum board wall with historic moisture stain (1 ft2) around perimeter window

None Observed

Room 386 - Restroom Gypsum board ceiling with historic moisture stain (3 ft2) None Observed

Room 387 - Restroom Gypsum board ceiling with historic moisture stain (5 ft2) None Observed

Room 388 - Restroom Gypsum board ceiling with historic moisture stain (2 ft2) None Observed

Room 390

Gypsum board wall around perimeter window with evidence of historic moisture intrusion

Suspect fungal growth (5 ft2) around window at header

Room 392 Gypsum board ceiling with historic moisture stain (4 ft2) None Observed

Room 393 – Restroom Gypsum board ceiling with historic moisture stain (2 ft2) None Observed

Room 394 - Restroom Gypsum board ceiling with historic moisture stain (5 ft2) None Observed

Hallway outside Room

Ceiling tile with historic moisture stain (1 ft2) None Observed

Room 305 Gypsum board ceiling with historic moisture stain (2 ft2) None Observed

Main Building – 3rd Floor

Location Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 10

Room 307 Gypsum board ceiling with historic moisture stain (4 ft2) None Observed

Room C10 Ceiling tile with historic moisture stain (1 ft2) None Observed

Room 309

Gypsum board wall and ceiling with damage from active water leak

Suspect fungal growth (30 ft2) on gypsum board ceiling and wall above sink

Room 311 - Restroom Gypsum board ceiling with historic moisture stain (3 ft2) None Observed

Room 3098

Wet carpeting (64 ft2) and wet gypsum board wall

(10 ft2) from active water leak

None Observed

Room 343 Ceiling tile with historic moisture stain (4 ft2) None Observed

Room 345 Ceiling tile with historic moisture stain (4 ft2) None Observed

Room 346 Ceiling tile with historic moisture stain (2 ft2) None Observed

Room 347 Ceiling tile with historic moisture stain (10 ft2) None Observed

Room 353 Ceiling tile with historic moisture stain (1 ft2)

Suspect fungal growth (4 ft2) on ceiling tile

Room 354

Gypsum board ceiling in restroom with historic moisture stain (2 ft2)

Ceiling tile with historic moisture stain (4 ft2)

None Observed

Main Building – 3rd Floor (Cont.)

Location Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 11

Hallway outside Room

Ceiling tile with historic moisture stain (2 ft2) None Observed

Room 357 Ceiling tile with historic moisture stain (1 ft2)

Suspect fungal growth (4 ft2) on ceiling tile

Room 358 Ceiling tile with historic moisture stain (1 ft2)

Suspect fungal growth (4 ft2) on ceiling tile

Room 359 Ceiling tile with historic moisture stain (1 ft2)

Suspect fungal growth (4 ft2) on ceiling tile

Room 361

Ceiling tile with historic moisture stain (2 ft2)

Gypsum board ceiling in entry way above ceiling grid with historic moisture stain (2 ft2)

None Observed

Room 362 Ceiling tile with historic moisture stain (2 ft2) None Observed

Room 312B

Gypsum board wall and ceiling with damage from historic water leak

Suspect fungal growth (115 ft2) on gypsum board ceiling and

(15 ft2) on wall

Room 316 Gypsum board ceiling with historic moisture stain (2 ft2) None Observed

Room 371 – Restroom

Damaged gypsum board ceiling from historic moisture intrusion

(4 ft2)

Suspect fungal growth (2 ft2) on gypsum board ceiling

Room 372

Gypsum board ceiling at perimeter window with historic moisture stain (3 ft2)

None Observed

Main Building – 3rd Floor (Cont.)

Location Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 12

Room 373

Damaged gypsum board ceiling at perimeter window from previous moisture intrusion (10 ft2)

Suspect fungal growth (4 ft2) on window fur down

Room 374

Damaged gypsum board ceiling at perimeter window from previous moisture intrusion (4 ft2)

None Observed

Room 375 – Restroom Gypsum board ceiling with historic moisture stain (1 ft2) None Observed

Room 377 – Restroom Gypsum board ceiling with historic moisture stain (3 ft2) None Observed

Room 379 – Restroom Gypsum board ceiling with historic moisture stain (3 ft2) None Observed

Room 380

Damaged gypsum board ceiling at perimeter window from previous moisture intrusion (6 ft2)

None Observed

Room 381 - Restroom Gypsum board ceiling with historic moisture stain (4 ft2) None Observed

Room 382

Gypsum board ceiling in restroom with historic moisture stain (4 ft2)

Damaged gypsum board ceiling at perimeter window from previous moisture intrusion (5 ft2)

None Observed

Room 383 Gypsum board ceiling with historic moisture stain (4 ft2)

Main Building – 3rd Floor (Cont.)

Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 13

Throughout Water stained/damaged TSI above ceiling throughout None Observed

Staff Lounge – Room

Gypsum board wall around perimeter window with evidence of historic moisture intrusion

Suspect fungal growth (60 ft2) around window casing and below perimeter windows

Restroom Gypsum board ceiling with historic moisture stain (3 ft2) None Observed

Room 2020

Gypsum board wall around perimeter window with evidence of historic moisture intrusion

Ceiling tile with historic moisture stain (3 ft2)

Suspect fungal growth (12 ft2) around window casing

Hallway at Ultrasound Ceiling tile with historic moisture stain (3 ft2) None Observed

Medical Director

Office

Water damaged ceiling tile (4 ft2) from active water leak None Observed

Hallway at Locked

Storage Room

Ceiling tile with historic moisture stain

Suspect fungal growth (4 ft2) on ceiling tile

On-Call Nurses Office

Gypsum board around perimeter window with evidence of historic moisture intrusion (1 ft2)

None Observed

Hallway at Dialysis Water damaged gypsum board wall (20 ft2) behind double doors None Observed

ICU Room 11 Ceiling tile with historic moisture stain (1 ft2) None Observed

Office Adjoining ICU

Room 11

Ceiling tile with historic moisture stain (3 ft2) None Observed

Main Building – 2nd Floor

Location Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 14

Room 24 - Restroom Gypsum board ceiling with historic moisture stain (4 ft2) None Observed

Room 23 – Restroom Gypsum board ceiling with historic moisture stain (1 ft2) None Observed

Eastside Nurses

Station

Water damaged gypsum board wall behind wallpaper

Suspect fungal growth (5 ft2) on gypsum board wall behind vinyl wallpaper at med station

Room 14 Water damaged gypsum board wall behind wallpaper

Suspect fungal growth (72 ft2) on gypsum board wall behind vinyl wallpaper on dividing wall to room 13

Room 13 Water damaged gypsum board wall behind wallpaper

Suspect fungal growth (45 ft2) on gypsum board wall behind vinyl wallpaper on dividing wall to room 14

Room 12 Water damaged gypsum board wall behind wallpaper

Suspect fungal growth (45 ft2) on gypsum board wall behind vinyl wallpaper on dividing wall to room 13

Room 11 Water damaged gypsum board wall behind wallpaper

Suspect fungal growth (15 ft2) on gypsum board wall behind vinyl cove base on dividing wall to room 12

Room 6 - Restroom Gypsum board ceiling with historic moisture stain (3 ft2) None Observed

Corridor at Chapel Ceiling tile with historic moisture stain (20 ft2) None Observed

Main Building – 2rd Floor (Cont.)

Location Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 15

Main Waiting Area Ceiling tile with historic moisture stain (1 ft2) None Observed

Physical Storage –

Restroom

Gypsum board ceiling with historic moisture stain (5 ft2) None Observed

Hallway at Patient

Holding None Observed

Suspect fungal growth (1 ft2) on ceiling tile

Responsive ■ Resourceful ■ Reliable 16

Throughout Water stained/damaged TSI above ceiling throughout None Observed

NW 108

Moisture damaged ceiling tile debris on floor (2 ft2) None Observed

NW 122

Historic moisture stain on drywall adjacent to the supply air vent (1 ft2)

None Observed

NW 131

Elevated moisture detected on damaged drywall, ceiling tiles and crown molding (6 ft2), adjacent to exterior wall.

None Observed

NW 133

Historic moisture damage on drywall, ceiling tiles and crown molding adjacent to exterior wall

(20 ft2)

None Observed

NW 134

Historic moisture damage on drywall and vinyl floor adjacent to exterior wall (30 ft2)

None Observed

Hallway by Ortho

Storage Room

Historic moisture damage on drywall (12 ft2)

None Observed

NW Hallway, Desk

Area by Administration

Offices

Historic moisture damage on drywall adjacent to sink (3 ft2)

Suspect fungal growth on drywall adjacent to sink (1 ft2)

Hallway by 1 NW

Therapy Gym

Historic moisture damage on drywall (8 ft2) None Observed

1 NW Therapy Gym Historic moisture damage on drywall (4 ft2) None Observed

Nurse Supervisor

Office

Historic moisture damage on drywall (8 ft2) None Observed

Main Building – 1st Floor

Location Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 17

COU 01

Historic moisture damage on vinyl floor (40 ft2) overhead drywall (10 ft2)

Suspect fungal growth on overhead drywall (4 ft2)

COU 03

Historic moisture damage on vinyl floor (8 ft2) None Observed

COU North Hallway Historic moisture stain on desktop (4 ft2) None Observed

COU Staff Only Room Elevated moisture and damage on overhead TSU (3 ft2)

Suspect fungal growth on vinyl floor (8 ft2)

Cath lab 3 Three ceiling tiles with historic moisture stains (<1 ft2 each) None Observed

Cath lab Common

Area

One ceiling tile with historic moisture stain (1 ft2) None Observed

Cath lab Utility Closet Six ceiling tiles with historic moisture stains (1 ft2 each) None Observed

Quality Management

Director Room None Observed

Suspect fungal growth on drywall (4 ft2)

Hallway by Quality

Management Director

Room

Two ceiling tiles with historic moisture stains (1 ft2 each)

Historic water damage on overhead TSI (3 ft2)

None Observed

Administration Suite

Men’s Bathroom

Historic moisture damage on ceramic tile floor (40 ft2) None Observed

Main Building – 1st Floor (Cont.)

Location Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 18

Administration Suite

Server Room

Condensation visible on ceiling tiles and plastic overhead light coverings (180 ft2)

Suspect fungal growth on moisture-impacted ceiling tiles (20 ft2, non-contiguous)

Hallway SW of

Administration Suite

Historic moisture damage on vinyl floor tile adjacent to exterior doors (150 ft2)

None Observed

Conference Room

South of Social

Services Room

Historic moisture damage on carpet (60 ft2) None observed

West Storage Area, Decon. Storage Room

Historic moisture damage on ceiling tiles and insulation (30 ft2) drywall (10 ft2) plaster ceiling in closet (16 ft2)

Suspect fungal growth on moisture-damaged drywall (5 ft2)

West Storage Area, Diet. Office

Historic moisture damage on ceiling tiles and insulation (30 ft2)

None Observed

MRI Zone 2, Common

Area

Elevated moisture detected on moisture damaged drywall (18 ft2)

Suspect fungal growth on moisture damaged drywall behind cove base (3 ft2)

MRI 2

Historic moisture damage on vinyl floor (20 ft2)

Main Building – 1st Floor (Cont.)

Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 19

MRI 1

vinyl floor (8 ft2)

Three ceiling tiles with historic

None observed

MRI Equipment 2 floor (15 ft2) wall-mounted TSI (2 ft2)

None Observed

Medical Imaging

Lobby

Historic moisture damage on fireproofing on the concrete deck

(30 ft2)

Moisture damaged ceiling tile debris on the floor (8 ft2)

None Observed

Radiology Suite, Diagnostic Radiology

Room

One ceiling tiles with historic moisture stain (1 ft2 each) None Observed

Hallway South of

Radiology Suite, Women’s Bathroom

Historic moisture damage on drywall (4 ft2) None Observed

Main Entrance, Lobby One ceiling tiles with historic moisture stain (1 ft2 each) None Observed

Main Entrance, Cancer Resource

Center

Historic moisture damage on metal pipes above missing ceiling tiles (4 ft2)

None Observed

Main Building – 1st Floor (Cont.)

Location Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 20

Surgery Waiting Area Historic moisture damage on carpet (20 ft2) None Observed

Exit Door at Room

Historic moisture damage on perimeter plaster wall behind vinyl wallpaper

(80 ft2)

Suspect fungal growth (80 ft2) on perimeter plaster wall concealed behind vinyl wallpaper

Room 153 None Observed

Suspect fungal growth (32 ft2) behind vinyl wallpaper on dividing wall to room 153

Room 151 - Restroom Ceiling tile with historic moisture stain (1 ft2) None Observed

Room 156 – Restroom None Observed Suspect fungal growth (2 ft2) on

HVAC supply vent

Room 158 Ceiling tile with historic moisture stain (1 ft2) None Observed

Hallway outside Room

None Observed

Suspect fungal growth (4 ft2) on

HVAC supply vent

Room 148 – Restroom None Observed Suspect fungal growth (10 ft2) on wooden door and metal door frame

Room 147 – Restroom None Observed Suspect fungal growth (10 ft2) on wooden door

Clean Assembly

Room None Observed

Suspect fungal growth (15 ft2) on

HVAC supply vents

Equipment

Decontamination

Room

Water stained TSI above decontamination equipment (20 linear foot)

None Observed

Bio Med Storage Ceiling tile with historic moisture stain (1 ft2) None Observed

Main Building – 1st Floor (Cont.)

Location Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 21

Equipment Storage Ceiling tile with historic moisture stain (1 ft2) None Observed

OR 11

Water staining on vinyl floor from historic water leak

(15 ft2)

None Observed

Unsterile Supply

Storage

Water damaged gypsum wall board (30 ft2) behind vinyl wallpaper from active water leak

Suspect fungal growth (5 ft2) on gypsum board wall above ceiling tile

Hallway Outside OR 7 Ceiling tile with historic moisture stain (4 ft2) None Observed

OR 7

Water staining on vinyl floor from historic water leak

(15 ft2)

None Observed

Equipment Storage at

OR 7

Ceiling tile with historic moisture stain (2 ft2) None Observed

Emergency

Department Storage None Observed

Suspect fungal growth (4 ft2) on gypsum board wall at cove base

Hallway at Room 1147 Ceiling tile with historic moisture stain (2 ft2) None Observed

Hallway at Room 1163 Ceiling tile with historic moisture stain (1 ft2) None Observed

Room 1120 Ceiling tile with historic moisture stain (2 ft2) None Observed

Room 1130 None Observed Suspect fungal growth (4 ft2) on ceiling tile

Main Building – 1st Floor (Cont.)

Location Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 22

Room 1136

Water damaged gypsum board walls adjoining to exterior mechanical room

Suspect fungal growth (48 ft2) on gypsum board walls concealed behind vinyl wall paper

Nurses Station

Outside Room 1136

Water damaged gypsum board walls adjoining to exterior mechanical room

Suspect fungal growth (100 ft2) on gypsum board walls concealed behind vinyl wall paper

Room 1131

Water damaged gypsum board walls adjoining to exterior mechanical room

Suspect fungal growth (56 ft2) on gypsum board walls concealed behind wall panels

Northeast Large

Mechanical Room

Water damaged TSI throughout

Water damaged gypsum board walls adjoining patient room 1131 and 1136

Suspect fungal growth (50 ft2) on gypsum wall board walls adjoining patient room

Suspect fungal growth (160 ft2) on gypsum board walls in northwest corner

Northeast Small

Mechanical Room

Water damaged gypsum board walls adjoining large mechanical room

Suspect fungal growth (20 ft2) on gypsum board walls adjoining large mechanical room

Men’s Restroom at ER

Waiting Room

Water damaged gypsum wall board ceiling (5 ft2) above restroom stalls

Suspect fungal growth (10 ft2) on gypsum board ceiling

Gross Cutting Area

Water staining on vinyl floor from historic water leak

(5 ft2)

None Observed

Chemistry Department Ceiling tile with historic moisture stain (1 ft2) None Observed

Phlebotomy

Department

Ceiling tile with historic moisture stain (1 ft2)

Responsive ■ Resourceful ■ Reliable 23

Bed Repair / Bed

Storage Area None Observed

Suspect fungal growth (150 ft2) of sheetrock debris at building footer in crawlspace remaining after mold remediation activities

Hallway at Soiled

Linen None Observed

Suspect fungal growth (4 linear foot) on TSI

Suspect fungal growth (1 ft2) on

Bulk Storage None Observed Suspect fungal growth (2 ft2) on

HVAC supply vents

Receiving Office Ceiling tile with historic moisture stain (2 ft2) None Observed

Purchasing Work Area Ceiling tile with historic moisture stain (2 ft2) None Observed

Laundry Room Water damaged gypsum board wall (5 ft2) behind washer unit None Observed

X-Ray Files Storage

Room

Water damaged/stained gypsum board wall (15 ft2) at bottom of wall

None Observed

Conference / Break

Room

Ceiling tile with historic moisture stain (2 ft2) None Observed

Hallway at Telecom

Office

Ceiling tile with historic moisture stain (2 ft2) None Observed

Center Mech Room Water damaged gypsum board wall (15 ft2) behind AHU

Suspect fungal growth (2 ft2) on gypsum board wall at HVAC duct penetration

Main Building – Basement

Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 24

Charts/Processing

Department

15 ft2 of water stained carpeting from previous pipe leak

Suspect fungal growth (60 ft2) concealed behind wooden cabinets

Suspect fungal growth (2 ft2) on concrete decking at entry

Waiting Area Outside

Code Supervisor

Office

None Observed Suspect fungal growth (5 ft2) on gypsum board wall

Hallway at Base of

Ramp None Observed

Suspect fungal growth (2 ft2) on gypsum board wall

Central Plant Water stained / damaged TSI throughout

Suspect fungal growth (15 ft2) on various TSI throughout

VP Medical Staff

Office

Ceiling tile with historic moisture stain (6 ft2) None Observed

Entrance / Holding

Area in Pharmacy

Ceiling tile with historic moisture stain (2 ft2) None Observed

Southeast Mechanical

Room

Water stained / damaged TSI throughout

Suspect fungal growth (10 ft2) on various TSI and ducting throughout

Hallway Outside

Engineering Shop None Observed

Suspect fungal growth (5 ft2) concealed behind vinyl cove base on gypsum board wall

AHU G19

Visible water pooling in the drain pan beneath the coils

Return Air Plenum:

None Observed

Supply Air Plenum:

Suspect fungal growth on metal interior walls (8 ft2)

Main Building – Basement (Cont.)

Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 25

The representative building materials evaluated in the targeted area exhibited normal moisture content during the site reconnaissance, with the exception of Treatment Room 1136, Treatment Room 1131 and adjoining hallway, hallway outside first floor unsterile supply storage room, 2nd floor staff lounge, Room 309, Room 3098, Medical Director’s Office, COU Staff Only Room, MRI Zone 2 Common Area, Central Plant, 1st floor northeast large and small mechanical rooms, and Basement Mechanical

Rooms. Standing water was observed in the basement mechanical rooms.

4.2 Visual Evaluation – Plaza Building

Plaza Building – 700 Walter Reed Boulevard

Building Four-story, multi-tenant medical building attached to the main hospital building

Total Area (Included with the main building)

Roof Rubber membrane, rolled-on composition roofing material

Exterior Walls Texture on concrete and texture on plaster

Interior Description

Offices, exam rooms, x-ray rooms, procedure rooms, operating rooms, break rooms, conference rooms, corridors, restrooms, electrical rooms, mechanical rooms, elevator lobbies, and stairwells

Interior Walls

Textured drywall, textured concrete, textured CMU blocks, textured plaster, unfinished drywall, fiberglass reinforced panel on drywall, wall covering on drywall, and ceramic tile on drywall

Interior Ceilings

Textured drywall and 2’x4’ and 2’x2’ lay-in ceiling tile suspended from a concrete deck; spray-on fireproofing was observed on the concrete deck

Interior Floors Unfinished concrete, floor coating, resilient floor covering, vinyl floor tile, raised flooring, carpet, and ceramic tile on a concrete substrate

Survey Limitations/

Inaccessible Areas

Multiple medical suites located in various area of the building were occupied and operational at the time of the survey. The tenants of the occupied suites did not allow unlimited access and access was not granted to the final suite until June 14, 2019. Although the remaining areas of the building were vacant, a large portion of the rooms were locked or used as storage space. Various areas of the vacant spaces had limited lighting and some areas had no lighting.

Debris and remnant furnishings were observed in various vacant areas throughout the interior of the building. Hard ceilings were installed in various areas throughout the interior of the building.

Responsive ■ Resourceful ■ Reliable 26 on the roof.

AHU P-05 was assessed on the third floor of the Plaza Building. Based on information provided by

CBRE personnel, this AHU is representative of a typical AHU for the Plaza Building. No access was available to the fan box, coils or supply air plenum, due to being bolted on. Suspect fungal growth was observed on the interior insulation of the AHU. The quantity of suspect visible fungal growth on interior insulation within the return air plenum was estimated at > 25 square feet, which exceeds the regulatory threshold of 25 square feet established in the Mold Assessors and

Remediators Administrative Rules (MRAR).

moisture damage appeared to be related to historic rain water intrusion through the building envelope suspect fungal growth was observed on walls, ceilings, ceiling tiles and doors/door frames. Surface samples were collected from a drywall wall in Suite 311, ceiling tile in a second-floor corridor closet, and drywall wall in Suite 203. Microscopic analysis identified Stachybotrys, Cladosporium, and

Ulocadium from the referenced sample locations (Appendix A). The quantity of visible fungal growth observed in these areas was less than the regulatory threshold of 25 square feet as defined in the

MARAR. Destructive sampling or disassembly of mechanical components was not within the scope of work for the project. Terracon did not access areas underneath floor tiles, wall paneling, or inside wall cavities. Fungal growth may be present in these areas, if moisture intrusion has occurred.

A surface sample was collected from the ceramic wall tile in the Day Surgery area located on the first floor. Microscopic analysis identified Cladosporium from the referenced sample location

(Appendix A). The quantity of visible fungal growth observed in the day surgery area and basement storage room were above the regulatory threshold of 25 square feet as defined in the MARAR.

The Visual Evaluation results are summarized in Table 2.0

Responsive ■ Resourceful ■ Reliable 27

TABLE 2.0, LIMITED MOLD ASSESSMENT RESULTS TABLE

302 - 1 One ceiling tiles with historic moisture stain (1 ft2) None Observed

302 - 2 One ceiling tiles with historic moisture stain (1 ft2) None Observed

302 - 7

Historic moisture stains on bathroom sink cabinet base and drywall (2 ft2)

None Observed

306 - 6 vinyl floor tile (10 ft2)

None Observed

306 - 7

Historic moisture stains on sink cabinet base (2 ft2)

None Observed

306 - 10 Six ceiling tiles with moisture stains (1 ft2 each)

Two ceiling tiles on the floor with suspect fungal growth (1 ft2 each)

308 - 3 Two ceiling tiles with historic moisture stains (1 ft2 each)

One ceiling tile with suspect fungal growth (1 ft2)

308 - 4

Two ceiling tiles with historic moisture stains (1 ft2 each)

Historic moisture damage on carpet

(8 ft2)

None Observed

Plaza Building – 3rd Floor

Location Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 28

308 - 5

Historic moisture damage on carpet

(4 ft2)

None Observed

311 - 18

Historic moisture stains on sink cabinet base and adjacent drywall (2 ft2)

Suspect fungal growth on drywall behind sink cabinet (1 ft2)

311 - 13 One ceiling tile with historic moisture stain (1 ft2) None Observed

311 - 3 None Observed

Suspect fungal growth on sink cabinet base (3 ft2) and adjacent drywall (2 ft2)

311 - 2 and

311 - 19

Nine ceiling tiles with historic moisture stains (1-2 ft2 each)

Moisture damage on carpet, with elevated moisture detected in some areas (200 ft2) drywall and desks (40 ft2)

One ceiling tile on the floor with suspect fungal growth (1 ft2)

Suspect fungal growth on drywall behind cove base (4 ft2)

305 - 1 Four ceiling tiles with historic moisture stains (1 ft2 each) None Observed

305 - 2

Three ceiling tiles with historic moisture stains in bathroom

(1 ft2 each)

None Observed

305 - 3 Two ceiling tiles with historic moisture stains (1 ft2 each) None Observed

Plaza Building – 3rd Floor (Cont.)

Location Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 29

305 - 4 moisture stains in attached bathroom (1 ft2 each)

One ceiling tile on the floor with suspect fungal growth (2 ft2)

305 - 6 moisture stains (1 ft2 each) None Observed

3rd Floor Mechanical

Room

Moisture damaged TSI throughout None Observed

3rd Floor North-South

Hallway

Two ceiling tiles with historic moisture stains (1 ft2 each) None Observed

3rd Floor East-West

Hallway

Four ceiling tiles with historic moisture stains (1 ft2 each) None Observed

Air Handling Unit

(AHU) P05

None Observed

Return Air Plenum: Suspect visible fungal growth on interior insulation

(>25 ft2)

Supply Air Plenum:

No Access

Plaza Building – 3rd Floor (Cont.)

Moisture Damaged

Building Material

Suspect Visible

Responsive ■ Resourceful ■ Reliable 30

Plaza Building – 2nd Floor

Location Moisture Damaged

Building Material

Suspect Visible

Fungal Growth

Suite 201

Ceiling tiles with historic moisture stains (2 ft2) throughout

None Observed

Suite 203

Ceiling tiles with historic moisture stains (4 ft2) throughout

Suspect fungal growth on drywall behind cove base (2 ft2)

Suite 204

Ceiling tiles with historic moisture stains (14 ft2) throughout

None Observed

Suite 205

Ceiling tiles with historic moisture stains (32 ft2) throughout

None Observed

Suite 208

Ceiling tiles with historic moisture stains (10 ft2) throughout

None Observed

Suite 209

Ceiling tiles with historic moisture stains (8 ft2) throughout

None Observed

Hallway Mechanical

Room None Observed

Return Air Plenum: Environmental debris on interior insulation throughout

Supply Air Plenum:

No Access

Responsive ■ Resourceful ■ Reliable 31

Plaza Building – 1st Floor

Location Moisture Damaged

Building Material

Suspect Visible

Fungal Growth

Nurses Station at Bone

Density

Ceiling tiles with historic moisture stains (4 ft2) None Observed

Area outside Nurses

Station

Ceiling tiles with historic moisture stains (12 ft2)

Historic moisture stains on sheet vinyl flooring (12 ft2)

None Observed

Main Entry Vestibule

Evidence of historical moisture intrusion around perimeter metal window frames (20 linear foot)

None Observed

Hallway at Rooms K1-

K4

Ceiling tiles with historic moisture stains (10 ft2)

Ceiling tile with suspect fungal growth

(1 ft2)

Room M8 Ceiling tiles with historic moisture stains (3 ft2)

Suspect fungal growth on wall column

(2 ft2)

Hallway outside room

M8

Ceiling tiles with historic moisture stains (2 ft2) None Observed

Room M28 stains (35 ft2)

Historic water stains on gypsum board wall (75 ft2)

Ceiling tile with suspect fungal growth

(8 ft2)

Room M10 Ceiling tiles with historic moisture stains (96 ft2)

Ceiling tile with suspect fungal growth

(6 ft2)

Responsive ■ Resourceful ■ Reliable 32

Plaza Building – 1st Floor (Cont.)

Location Moisture Damaged

Building Material

Suspect Visible

Fungal Growth

Hallway outside room

M6

Ceiling tiles with historic moisture stains (2 ft2) None Observed

Day Surgery (Rooms

M15-M27 and ORs 1-4)

TSI piping with historic water stains

Suspect fungal growth

(1,800 ft2) observed on multiple surfaces (i.e. ceramic walls, metal door frames, etc.) throughout

Room M16 None Observed

Suspect fungal growth

(580 ft2) observed on multiple surfaces (i.e. ceramic walls, metal door frames, etc.) throughout

Room M15 None Observed

Suspect fungal growth

(144 ft2) observed on multiple surfaces (i.e. ceramic walls, metal door frames, etc.) throughout

Responsive ■ Resourceful ■ Reliable 33

Plaza Building – Basement

Location Moisture Damaged

Building Material

Suspect Visible

Fungal Growth

Janitor Closet Gypsum board ceiling with historic moisture stains (2 ft2) None Observed

Storage Area Ceiling tiles with historic moisture stains (10 ft2)

Suspect fungal growth observed on gypsum wallboard behind existing cabinets (45 ft2) and within the small storage closet (16 ft2)

Mechanical Room TSI piping with historic water stains None Observed

Stairwell Historic water staining on perimeter concrete wall (100 ft2)

The representative building materials evaluated in the targeted area exhibited normal moisture content during the site reconnaissance.

Responsive ■ Resourceful ■ Reliable 34

4.3 Visual Evaluation – Storage Building

Storage Building – 900 North Shiloh Road

Building Single-story medical building constructed circa 1968

Total Area 19,881 sq. ft.

Roof Tar and gravel roofing system

Exterior Walls Texture on concrete and CMU blocks

Interior Description

Reception, exam rooms, offices, meeting rooms, conference rooms, corridors, restrooms, boiler room, electrical room, warehouse, and shipping/receiving

Interior Walls Textured concrete, textured drywall, wall covering on drywall, ceramic tile on drywall, and fiberglass reinforced panel on drywall

Interior Ceilings 2’ x 4’ lay-in ceiling tile system suspended from a concrete deck;

spray-on fireproofing was not overserved on the concrete deck

Interior Floors Epoxy floor coating, vinyl floor tile, carpet, and ceramic tile on a concrete substrate and unfinished concrete

Survey Limitations/

Inaccessible Areas

The vacant building is currently being used for storage; debris and remnant furnishings were observed throughout the interior of the building. The janitorial closet, Exam Room 101 and the dark room were locked and inaccessible during the assessment.

on the roof.

AHU 1A was assessed in the mechanical room of the Storage Building. AHU 1A was non-functional at the time of the assessment. The fan unit shaft was observed to be broken and no access was available to the fan box, coils or return air plenum, due to being bolted on. AHU 2A was observed to have no suspect visible fungal growth in the supply plenum. No access was available to the fan box, coils or return air plenum, due to being bolted on.

moisture damage appeared to be related to historic rain water intrusion through the building envelope

Responsive ■ Resourceful ■ Reliable 35 suspect fungal growth was observed on walls and ceiling tiles. Surface samples were collected from a ceiling tile in Work Room 9M, concrete tilt panel in the loading dock area and a ceiling tile in the north large work room. Microscopic analysis identified Stachybotrys and Cladosporium from the referenced sample locations (Appendix A). The quantity of visible fungal growth observed in these areas was less than the regulatory threshold of 25 square feet as defined in the MARAR. Destructive sampling or disassembly of mechanical components was not within the scope of work for the project. Terracon did not access areas underneath floor tiles, wall paneling, or inside wall cavities.

Fungal growth may be present in these areas, if moisture intrusion has occurred.

The Visual Evaluation results are summarized in Table 3.0

TABLE 3.0, LIMITED MOLD ASSESSMENT RESULTS TABLE

Storage Building – 900 North Shiloh Road

Moisture Damaged

Building Material

Suspect Visible

Fungal Growth

Office 3M Ceiling tiles with historic moisture stain (1 ft2) None Observed

Office 4M Perimeter concrete wall with historic moisture stain (3 ft2) None Observed

Office 6M Perimeter concrete wall with historic moisture stain (3 ft2) None Observed

Office 1M Ceiling tiles with historic moisture stain (1 ft2) None Observed

Work Room Hallway Ceiling tiles with historic moisture stain (2 ft2) None Observed

Work Room 9M Ceiling tiles with historic moisture stain (12 ft2) 3 ft2 on ceiling tiles

Office 205 Perimeter concrete wall with historic moisture stain (3 ft2) None Observed

Office 206 Perimeter concrete wall with historic moisture stain (8 ft2) None Observed DRAFT

Responsive ■ Resourceful ■ Reliable 36

Storage Building – 900 North Shiloh Road (Cont.)

Moisture Damaged

Building Material

Suspect Visible

Fungal Growth

Office 208 Perimeter concrete wall with historic moisture stain (5 ft2) None Observed

Reception Area

Perimeter concrete wall with historic moisture stain (5 ft2) – Wooden baseboard observed to be 20-90% wet

None Observed

Exam Room 100 Perimeter concrete wall with historic moisture stain (4 ft2) None Observed

Exam Room 101 Ceiling tiles with historic moisture stain (2 ft2) None Observed

Exam Room 104 Perimeter concrete wall with historic moisture stain (4 ft2) None Observed

Exam Room 106 Perimeter concrete wall with historic moisture stain (4 ft2) 4 ft2 around base of window

Nurses Station Ceiling tiles with historic moisture stain (2 ft2) None Observed

Dexa Room 114 Ceiling tiles with historic moisture stain (4 ft2) None Observed

Work Room at Room

Ceiling tiles with historic moisture stain (2 ft2) None Observed

Large Open Work

Room

Ceiling tiles with historic moisture stain (12 ft2)

Suspect fungal growth on HVAC supply registers (5 ft2)

Suspect fungal growth on return…