Atch 24 - Appendix A-B Specs on TOC.pdf

EHRM Infrastructure Upgrades – Tomah, WI 100% CD Submittal

Tomah VA Medical Center 02/11/2022

VA Contract #36C77621C0061

SES Project 21006.001 27 05 11 - 1

APPENDIX A

Phasing and Sequencing Documents

SES Project 21006.001 Page 1

SEQUENCING NOTES:

Below are recommend steps for sequencing of this project. All steps shall be coordinated with the owner prior to execution. The owner has the right to revise the sequencing steps, in consultation with the contractor, at any time during construction.

The steps are listed in order of preferred completion.

1. Construction of duct banks on site. Refer to civil plans for more information.

2. Installation of conduits in crawl spaces, basements, and tunnels.

Coordinate installation of tunnel conduits with duct banks. Refer to civil and technology drawings for more information.

3. Install riser conduits from building crawl spaces or basements to new

Telecommunication Rooms.

4. Install building entry conduits, for buildings without basements or crawl spaces, from site to new Telecommunications Rooms.

5. Existing Telecommunication Rooms or cabinets to remain active during construction. No existing cabling is to be removed at this time.

6. Completion of new Telecommunication room to include telecom rack placement, ladder racks, grounding, access control, electrical, fire alarm, HVAC, fire protection, and riser conduits.

7. Route new optical fiber and copper backbone cabling to new

Telecommunication rooms from Building 32 Data Center. One leg of fiber, at the minimum, and copper backbone to be terminated and fully tested prior to horizontal cable replacement. Fiber optic and copper cables shall originate in the Data Center as identified on drawings.

8. Installation of new A/C units and electrical panels for the

Telecommunication Room shall be completed and approved by the VA prior to powering up of racks.

9. Installation of the Networking hardware to be by the owner when the new

Telecommunication room is ready and has been approved for use by the VA.

10. The VA has a limited number of spare network switches which may limit the number of new Telecommunication rooms that can be brought on-line at the same time. Schedule activating a new Telecommunication room with the VA IT department prior to pulling and terminating new horizontal cabling.

11. Horizontal cable replacement will be on a per building per floor basis.

Refer to phasing notes for more information.

SES Project 21006.001 Page 2

PHASING NOTES:

NON-CLINICAL

1. Contractor to comply with all architectural and VA Infection Control and

Safety guidelines.

2. Contractor to coordinate final location of racks, cable tray, power panels and A/C units with all trades and the VA prior to installation to ensure code and VA clearance requirements are met.

3. Contractor to complete mechanical and electrical work within the

Telecommunication Room prior to replacement of horizontal cabling.

4. Contractor to coordinate horizontal re-cabling with the VA for each floor in each building.

5. Contractor to install new cable supports prior to pulling cable

6. Individual rooms, or groups of rooms are to be scheduled with the floor

Manager and IT department in advance for re-cabling. When required this work may need to be completed after normal business hours, or on weekends

7. Contractor to re-use existing conduits and backboxes for new cabling.

Existing cabling is not to be removed unless a replacement cable is immediately available. Downtime shall be less then (1) one working day.

8. New cables to be terminated, tested, and labeled prior to leaving the information outlet.

9. Coordinate installation of patch cords in the Telecommunication Room with owner.

10. Old data cable to be removed completely from information outlet to patch panel after new cable is operational.

CLINICAL - NEW Telecommunication Rooms/NEW CABLING

1. Contractor to comply with all VA Infection Control and Safety guidelines.

2. Contractor to coordinate final location of racks, cable tray, power panels and A/C units with all trades and the VA prior to installation to ensure code and VA clearance requirements are met.

3. Contractor to complete mechanical and electrical work within the

Telecommunication Room prior to replacement of horizontal cabling.

4. Contractor to coordinate horizontal re-cabling with the VA for each floor in each building.

5. Contractor to install new cable supports prior to pulling cable

6. Individual rooms are to be scheduled with the floor Manager and IT department (1) one day in advance for re-cabling. Alternate rooms, or floors, may be necessary due to patients. When required this work may need to be completed after normal business hours, or on weekends

SES Project 21006.001 Page 3

7. Contractor to re-use existing conduits and backboxes for new cabling.

Existing cabling is not to be removed unless a replacement cable is immediately available.

8. New cables are to be terminated, tested, and labeled prior to leaving the information outlet. Work shall be completed the same day.

9. Coordinate installation of patch cords in the Telecommunication Room with owner.

CLINICAL - EXISTING Telecommunication Rooms/EXISTING CABLING

2. Contractor to coordinate final location of racks, cable tray, power panels and A/C units with all trades and the VA prior to installation to ensure code and VA clearance requirements are met.

3. Provide protection from dust and foreign matter for the existing equipment during construction.

4. Contractor to coordinate Telecommunication Room work with the VA for each floor in each building.

5. Contractor to install new cable supports prior to pulling cable

6. Individual rooms are to be scheduled with the floor Manager and IT department (1) one day in advance for re-cabling. Alternate rooms, or floors, may be necessary due to patient census. When required this work may need to be completed after normal business hours, or on weekends

7. Contractor to re-use existing conduits and backboxes for new cabling.

Existing cabling is not to be removed unless a replacement cable is immediately available.

8. New cables are to be terminated, tested, and labeled prior to leaving the information outlet. Work shall be completed the same day.

9. Coordinate installation of patch cords in the Telecommunication Room with owner.

SES Project 21006.001 Page 4

CLINICAL - EXISTING Telecommunication Rooms/NEW CABLING

1. Contractor to comply with all VA Infection Control and Safety guidelines.

2. Contractor to coordinate final location of racks, cable tray, power panels and A/C units with all trades and the VA prior to installation to ensure code and VA clearance requirements are met.

3. Provide protection from dust and foreign matter for the existing equipment during construction.

4. Contractor to coordinate Telecommunication Room work with the VA for each floor in each building.

5. Contractor to complete mechanical and electrical work within the

Telecommunication Room prior to replacement of horizontal cabling.

6. Contractor to coordinate horizontal re-cabling with the VA for each floor in each building.

7. Contractor to install new cable supports prior to pulling cable

8. Individual rooms are to be scheduled with the floor Manager and IT department (1) one day in advance for re-cabling. Alternate rooms, or floors, may be necessary due to patient census. When required this work may need to be completed after normal business hours, or on weekends

9. Contractor to re-use existing conduits and backboxes for new cabling.

Existing cabling is not to be removed unless a replacement cable is immediately available.

10. New cables are to be terminated, tested, and labeled prior to leaving the information outlet. Work shall be completed the same day.

11. Coordinate installation of patch cords in the Telecommunication Room with owner.

12. Old data cable to be removed completely from information outlet to patch

MIXED

2. Contractor to coordinate final location of racks, cable tray, power panels and A/C units with all trades and the VA prior to installation to ensure code and VA clearance requirements are met.

3. Contractor to complete mechanical and electrical work within the

Telecommunication Room prior to replacement of horizontal cabling.

4. Contractor to coordinate horizontal re-cabling with the VA for each floor in each building.

5. Contractor to install new cable supports prior to pulling cable

6. Individual rooms, or groups of rooms are to be scheduled with the floor

Manager and IT department in advance. When required this work may need to be completed after normal business hours, or on weekends

SES Project 21006.001 Page 5

7. Contractor to re-use existing conduits and backboxes for new cabling.

Existing cabling is not to be removed unless a replacement cable is immediately available. Downtime shall be less then (1) one working day.

8. New cables to be terminated, tested, and labeled prior to leaving the information outlet.

9. Coordinate installation of patch cords in the Telecommunication Room with owner.

Building # Floor Type Phasing Notes Notes -1 Notes -2 Notes -3

23 1 Mixed MIXED

2 Non-Clinical NON-CLINICAL

25 1 Non-Clinical NON-CLINICAL

32 1 Non-Clinical n/a

2 Non-Clinical n/a

36 1 Non-Clinical NON-CLINICAL

40 1 Non-Clinical NON-CLINICAL

52 1 Non-Clinical NON-CLINICAL

400 1 Mixed MIXED Schedule work for nights (after 1630) & weekends

2 Mixed MIXED

3 Clinical

CLINICAL - NEW Telecommunication

Rooms/NEW CABLING Schedule work for nights (after 1630) & weekends

4 Clinical

CLINICAL - EXISTING

Telecommunication Rooms/EXISTING

CABLING

401 1 Non-Clinical NON-CLINICAL

2 Clinical

CLINICAL - EXISTING

Telecommunication Rooms/NEW

CABLING

3 Clinical

CLINICAL - EXISTING

Telecommunication Rooms/NEW

CABLING

402 1 Clinical

CLINICAL - NEW Telecommunication

Rooms/NEW CABLING

402 1 st floor PMRS work should happen after hours. Work after 330 p.m. and done by 7:00 a.m.

Work not able to be done after hours will need to be phased by schedule.

2 Clinical

CLINICAL - NEW Telecommunication

Rooms/NEW CABLING Work after 330 p.m. and done by 7:00 a.m.

Work not able to be done after hours will need to be phased by schedule.

3 Clinical

CLINICAL - NEW Telecommunication

Rooms/NEW CABLING

403 1 Clinical

CLINICAL - NEW Telecommunication

Rooms/NEW CABLING

PRRC (B-403/1340 & 1342): Work should be done on nights or weekends only.

Suicide Prevention (B-403/1 st floor): Staff are able to telework

Mental Health Admin (B-403/1 st floor): Staff onsite can be reduced to 2-3 on site and rotate around the project.

Clinical

CLINICAL - NEW Telecommunication

Rooms/NEW CABLING

403A (Acute Psych): This area cannot be shut down and anything that happens must be conducted behind a walled off area due to the Veterans that are on this unit. The work will need to be coordinated so not to impact the staff and Veterans while sleeping.

Any tools must be concealed on cart or similar. Post construction walks will need to be conducted prior to leaving site to ensure no tools are left on site.

3 Clinical

CLINICAL - NEW Telecommunication

Rooms/NEW CABLING Schedule work for nights & weekends

404 1 Clinical

CLINICAL - NEW Telecommunication

Rooms/NEW CABLING Divide 1 st floor into two parts – complete one part at a time. Staff can tele/rotate offices.

B-404 1 st floor: Divide 1 st floor into two parts – complete one part at a time. Staff can tele/rotate offices.

2 Clinical

CLINICAL - NEW Telecommunication

Rooms/NEW CABLING Available days

B-404 2 nd and 3 rd floors: Staff can telework during the project or work can be done one floor at a time and staff rotate offices.

3 Clinical

CLINICAL - NEW Telecommunication

Rooms/NEW CABLING Available days

B-404 2 nd and 3 rd floors: Staff can telework during the project or work can be done one floor at a time and staff rotate offices.

405 1 Clinical

CLINICAL - EXISTING

Telecommunication Rooms/EXISTING

CABLING

Work to be completed in the staff areas at night and work to be completed in the patient rooms Mon-Fri between 0800-1600.

2 Clinical

CLINICAL - EXISTING

Telecommunication Rooms/EXISTING

CABLING

Work to be completed in the staff areas at night and work to be completed in the patient rooms Mon-Fri between 0800-1600.

3 Clinical

CLINICAL - EXISTING

Telecommunication Rooms/EXISTING

CABLING

Work to be completed in the staff areas at night and work to be completed in the patient rooms Mon-Fri between 0800-1600.

406 1 Mixed MIXED

2 Clinical

CLINICAL - NEW Telecommunication

Rooms/NEW CABLING

3 Clinical

CLINICAL - NEW Telecommunication

Rooms/NEW CABLING

407 1 Mixed MIXED

2 mixed MIXED

3 Non-Clinical NON-CLINICAL

408 1 Mixed MIXED

2 Mixed MIXED

3 Mixed MIXED Available after 10am to EOD

409 1 Clinical

CLINICAL - EXISTING

Telecommunication Rooms/EXISTING

CABLING

410 1 Clinical

CLINICAL - EXISTING

Telecommunication Rooms/EXISTING

CABLING

411 1 Clinical

CLINICAL - EXISTING

Telecommunication Rooms/EXISTING

CABLING Available days

412 1 Clinical

CLINICAL - EXISTING

Telecommunication Rooms/EXISTING

CABLING Available days

415 1 non-Clinical NON-CLINICAL

416 1 Mixed MIXED Available days

423 1 Non-Clinical NON-CLINICAL

424 1 Non-Clinical NON-CLINICAL

425 1 Non-Clinical NON-CLINICAL

452 1 Non-Clinical NON-CLINICAL

455 1 Mixed MIXED

SES Project 21006.001 27 05 11 - 1

APPENDIX B

Hazardous Materials Report

Specialized Engineering Solutions

Tomah, WI

NESHAP Asbestos Survey and

Lead-Based Paint Survey – Building 25

EHRM Infrastructure Upgrades

Tomah Veteran Affairs Medical Center

November 2021

1915 North 12th Street Toledo, OH 43604-5305

T 419-324-2222 F 419-241-1808 www.ttlassoc.com

November 5, 2021 TTL Project No. 2047301

Mr. Brad Carne

Specialized Engineering Solutions, Inc.

10360 Ellison Circle

Omaha, Nebraska 68134

NESHAP Asbestos and Lead- Based Paint Survey

EHRM Infrastructures Upgrades – Buildings 25, 400 and 407

Tomah Veteran Affair Medical Center

Dear Mr. Carne:

The report for the National Emissions Standard for Hazardous Air Pollutants (NESHAP) Asbestos

Survey and Lead-Based Paint (LBP) survey conducted for Specialized Engineering Solutions, Inc.

(SES) for the above-referenced site is enclosed.

TTL appreciates the opportunity to provide SES with our consulting and testing services. Should you have any questions or require additional information, please contact Mr. Harry Singh at (419)

214-5058.

Sincerely, TTL Associates, Inc.

Harjot Singh

Project Manager

Tony Finch, CPG

Senior Project Manager

V:\Toledo\SES\Standalone Projects\Tomah, WI\EHRM Infrastructure Upgrades Design, VAMC (2047301)\Deliverables\Building 25 and other locations\2047301 EHRM Upgrades Asbestos Survey - Tomah VAMC - Building 25.docx

NESHAP ASBESTOS AND LEAD-BASED PAINT SURVEY

EHRM INFRASTRUCTURE UPGRADES – BUILDINGS 25, 400 AND 407

TOMAH VETERAN AFFAIRS MEDICAL CENTER

TOMAH, WISCONSON

FOR

SPECIALIZED ENGINEERING SOLUTIONS, INC.

10360 ELLISON CIRCLE

OMAHA, NE 68134

SUBMITTED

NOVEMBER 5, 2021

TTL PROJECT NO. 2047301

TTL ASSOCIATES, INC.

1915 NORTH 12TH STREET

TOLEDO, OHIO 43604

(419) 324-2222

Tomah Veteran Affairs Medical Center November 2021

TTL Project No. 2047301 Page i

TABLE OF CONTENTS

Section No. Page No.

EXECUTIVE SUMMARY ...................................................................................................... E-1

1.0 INTRODUCTION

1.1 Project Purpose and Objectives

1.2 Personnel

2.0 ASBESTOS SURVEY

2.1 Homogenous Areas

2.2 Sampling and Analysis Methods

2.3 Survey Analytical Results

3.0 LEAD-BASED PAINT SURVEY

3.1 Survey

3.2 Survey Results

4.0 CONCLUSIONS/RECOMMENDATIONS

4.1 Asbestos Survey

4.2 Lead-Based Paint Survey

4.3 Limitations

APPENDICES

Appendix A: TTL Certifications

Appendix B: TTL HSA Table

Appendix C: Asbestos Analytical Report

Appendix D: ACM Location and Sample Location Map

Appendix E: Lead Paint Analytical report

Appendix F: Previous Survey Results

TTL Project No. 2047301 Page E-1

EXECUTIVE SUMMARY

TTL Associates, Inc. (TTL) conducted a United States Environmental Protection Agency (U.S.

EPA) National Emissions Standard for Hazardous Air Pollutants (NESHAP) asbestos survey and

Lead-Based Paint (LBP) survey for the Electronic Health Record Modernization (EHRM)

Infrastructure Upgrades – Various Buildings in the new and existing IT location areas. The

NESHAP and LBP Survey was conducted in Buildings 25, Room 2066 and 3062 in Building 400 and the rooms 1739, 2737, 3737 and 3739 in Building 407 at the Tomah Veteran Affairs Medical

Center (TVAMC) located in Tomah, Wisconsin. The purpose of the survey was to identify potential asbestos-containing materials (ACM) and LBP in the existing and proposed IT closets.

These areas for proposed upgrades are part of the construction project to upgrade the facilities electric and IT systems to allow for the new EHRM system.

The survey was conducted on October 26, 2021 by Mr. Steven Haines.

TTL’s scope of work included the following:

• Review the existing asbestos and LBP survey report of the TVAMC provided by Specialized

Engineering Services (SES).

• Surveying existing IT areas for suspect ACM and LBP.

• Collection of suspect ACM bulk samples for analysis by Polarized Light Microscopy (PLM) to determine asbestos content.

• LBP survey and paint chip sampling and analysis.

Asbestos Survey

TTL used the previous ACM data report provided by SES and TVAMC to assess if previously identified ACM was currently present in the renovation areas. Suspect materials that were not previously sampled for the previous data report were identified, quantified, and samples were collected and analyzed.

TTL identified two suspect materials in the new and existing IT closet locations. A total of four samples were collected and four layers were analyzed by a laboratory for the presence of ACM.

The laboratory analysis of the samples was conducted by an accredited laboratory using the PLM method. Laboratory analytical results indicated that asbestos was not identified in the two materials collected in the following locations. The asbestos material is present in the following locations based on the previous survey results.

Building 407

Material Description Location Quantity

Brown floor tile under carpet* Room 1739 – Tile Only 100 SF

12” x 12” White with tan specks floor tile*

Room 2712A, 2737, 3737 and 3739 –

Tile Only

400 SF

SF – square feet *-Positive per previous survey

Lead-Based Paint Survey

The LBP survey was an inspection of painted components, versus a surface-by-surface investigation. Representative paint chip samples were collected in each building to determine lead content of representative painted components. LBP is defined by the United States Environmental

Protection Agency (U.S. EPA) and Housing and Urban Development (HUD) as containing more than 0.5% by weight or 5,000 parts per million (ppm) by weight using Atomic Absorption

Spectrophotometry (AAS) of lead.

TTL collected paint chip samples based on the inspection of painted surfaces for LBP. During the lead inspection, TTL identified areas of painted surfaces of different color, substrate, and component. The paint chip samples were collected from the painted surfaces in Building 25 and rooms 2737 and 3739 in Building 407 at the TVAMC.

The following area was identified to have LBP above HUD level of 5,000 ppm based on analytical results.

Building 25

Location Component Substrate Color Result (ppm)

Room 118A Wall Brick Red Over

Grey 39,000

Room 118A Wall Brick White 7,000

TTL Project No. 2047301 Page 1

1.0 INTRODUCTION

Lead-Based Paint (LBP) for Electronic Health Record Modernization (EHRM) Infrastructure

Upgrades – Various Buildings in the IT Closets and proposed new Telecom Rooms (TR) location areas in in Buildings 25, Room 2066 and 3062 in Building 400 and the rooms 1739, 2737, 3737 and 3739 in Building 407 at the Tomah Veteran Affairs Medical Center (TVAMC) located in

Tomah, Wisconsin.

1.1 Project Purpose and Objectives

The purpose of the survey was to identify potential asbestos-containing materials (ACM) and LBP in the existing and replacement IT closet locations for upgrades as part of the construction project to upgrade the facilities electric and IT systems to allow for the new EHRM system.

1.2 Personnel

The non-destructive survey was conducted on October 26, 2021 by Mr. Steven Haines. Mr. Haines is a Wisconsin Department of Health Services (WDHS) Certified Asbestos Inspector. A copy of his certificate is included in Appendix A.

TTL Project No. 2047301 Page 2

2.0 ASBESTOS SURVEY

This section documents the methodology and results of the asbestos survey.

2.1 Homogenous Areas

Each accessible area within the existing and replacement IT closet locations was surveyed which included the identification of suspect materials and the definition of homogeneous sampling areas

(HSA), assessment of the condition of each material, estimation of the approximate quantity of the suspect ACM, and collection and analysis of representative bulk samples from each identified

HSA. An HSA is defined as a material that exhibits similar physical characteristics (e.g., texture, surface color, and appearance) and was applied or installed during the same construction period

(if known) as determined by TTL’s inspector utilizing professional judgment, experience, and historical building information. The previous asbestos survey provided by SES and TVAMC was reviewed prior to performing sampling.

2.2 Sampling and Analysis Methods

TTL provided a certified Asbestos Inspector to conduct the non-destructive survey of the existing and replacement IT closet locations.

Suspect ACM samples were collected using a coring device or other means, as appropriate, to collect a cross section of the suspect material. The samples were placed into clean, unused sealable bags and marked with a unique sample identification number. The samples of suspect ACM were transported to International Asbestos Testing Laboratories, Inc. (IATL) and analyzed by PLM using U.S. EPA Method 600/R-93/116. The EPA/600/R-93/116 “Method for the Determination of

Asbestos in Bulk Building Materials” requires that all multiple, distinct layers must be analyzed individually. Sample analytical results are provided in Appendix C for each distinct layer of each sample submitted to the laboratory.

IATL is accredited by the National Voluntary Laboratory Accreditation Program (NVLAP), which is administered by the National Institute of Standards and Technology (NIST). The laboratory accreditation number is included in the analytical report.

2.3 Survey Analytical Results

TTL identified two suspect materials in the new and existing IT closet locations. A total of four samples were collected and four layers were analyzed by a laboratory for the presence of ACM.

The laboratory analysis of the samples was conducted by an accredited laboratory using the PLM method. Laboratory analytical results indicated that asbestos was not identified in the two materials collected in the following locations. The asbestos material is present in the following locations as based onthe previous survey results.

TTL Project No. 2047301 Page 3

Brown floor tile under carpet* Room 1739 100 SF

12” x 12” White with tan specks floor tile* Room 2712A, 2737, 3737 and 3739 400 SF

SF – square feet *-Positive per previous survey

A table summarizing the HSAs is included in Appendix B. Appendix C includes the asbestos analytical report from the laboratory. The HSA sample location map is included in Appendix D and the previous asbestos survey is included in Appendix F.

TTL Project No. 2047301 Page 4

3.0 LEAD-BASED PAINT SURVEY

This section documents the LBP survey results.

3.1 Survey

The objective of the LBP survey was to collect the data necessary to comply with the renovation/demolition inspection requirements. To meet this objective, Mr. Steven Haines collected paint chip samples from the painted surfaces in Building 25 and rooms 2737 and 3739 in Building 407 at the TVAMC.

3.2 Survey Results

investigation. The color, component, substrate and condition of painted surfaces in each of the buildings were noted. Representative samples of each color of paint on the component/substrate combination identified in each building were collected and submitted to a laboratory for analysis.

The paint chip samples were placed into clean and unused sealable bags marked with unique sample identification numbers. The samples of suspect LBP were transported to IATL laboratory for analysis by flame atomic absorption spectrometry (AAS) according to EPA Method SW-846

3050B/7000B). IATL is certified by the Environmental Lead Laboratory Accreditation (ELLAP) program which is administered by the American Industrial Hygiene Association (AIHA).

LBP is defined by the United States Environmental Protection Agency (U.S. EPA) and Housing and Urban Development (HUD) as containing more than 0.5% by weight or 5,000 parts per million (ppm) by weight using Atomic Absorption Spectrophotometry (AAS) of lead.

Each accessible area within the existing and replacement location with the potential for Lead paint was tested for LBP. The following area was identified to have LBP above the HUD level of 5,000 ppm based on analytical results.

Building 25

(ppm)

Room 118A Wall Brick Red Over

Grey 39,000

Room 118A Wall Brick White 7,000 ppm= parts per million

The Occupational Safety and Health Administration (OSHA) defines lead paint as paint containing any amount of lead that may pose a worker exposure hazard upon disturbance. The following components contain lead in the paint.

TTL Project No. 2047301 Page 5

(ppm)

Room 2737 Walls Drywall Blue <86

Room 3739 Walls and Ceilings Drywall White 770

The lead paint analytical data is included in Appendix E.

TTL Project No. 2047301 Page 6

4.0 CONCLUSIONS/RECOMMENDATIONS

This section summarizes the results of the asbestos and LBP survey and sampling, and provides conclusions and recommendations.

4.1 Asbestos Survey

Non-friable Category I ACM was identified in in Building 407.

The U.S. EPA defines regulated asbestos-containing material (RACM) as: (a) Friable asbestos material, (b) Category I Non-Friable ACM that has become friable, (c) Category I Non-Friable ACM that will be or has been subjected to sanding, grinding, cutting, or abrading, or (d) Category II Non-Friable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations.

The National Emissions Standard for Hazardous Air Pollutants (NESHAP) asbestos regulations require the removal of all RACM from a facility being demolished or renovated prior to beginning any activity that might damage or disturb the material. The U.S. EPA requires written notification if the combined amount of RACM to be removed is at least 260 linear feet, at least 160 square feet, or at least one cubic meter of facility components where length or area could not be measured.

Based on the condition of the material, the identified ACM may be expected to be a RACM if disturbed during renovation activities. TTL recommends the removal of the ACM that might become RACM based on the project-specific renovation techniques by a licensed asbestos abatement contractor. The renovation contractor must be notified of the presence, quantity and location of the material so as to avoid renovation techniques that may render the material friable and create RACM.

4.2 Lead-Based Paint Survey

LBP above the HUD levels of 5,000 PPM was identified at one location in Building 25.

Building components and substrates within Buildings painted with the same paint color that has been found to contain lead during the LBP Survey should be treated as LBP, as applicable. The potential for worker exposure to lead during renovation, demolition, and construction activities exists in Buildings due to the presence of LBP.

OSHA defines lead paint as paint containing any amount of lead that may pose a worker exposure hazard upon disturbance. Lead-containing paint was identified in rooms 2737 and 3737 in Building

407. All activities that may disturb lead-containing paint and LBP should be conducted under OSHA Lead in Construction Standard 1926.62. Any contractor who may come in contact with materials containing lead at any detectable concentration is required to address worker exposure responsibilities as outlined in OSHA Lead in Construction Standard 1926.62.

The purpose of sampling representative painted surfaces for lead was for a hazard evaluation and

TTL Project No. 2047301 Page 7 not for disposal purposes. Additional sampling and evaluation may need to be performed prior to disposal. Waste generators are required to determine if there are any hazardous levels of lead prior to disposal by using a Toxicity Characteristic Leaching Procedure (TCLP) to characterize the waste. Demolition waste streams with leachable lead concentrations exceeding 5.0 milligrams per liter (mg/L) when analyzed for lead by the TCLP test are considered characteristically hazardous and require special handling according to federal and state regulations, including 40 CFR 247.

4.3 Limitations

TTL has made reasonable efforts to identify and quantify suspect ACM based upon the standard of care in the environmental industry existing at the time of the survey. This survey only summarizes the potential presence and estimated quantities of visually observed ACM within the designated areas.

Additional material disturbed during renovation or demolition activities should be evaluated on a case-by-case basis, especially materials that were previously hidden, obscured or inaccessible, to determine if the material is included in this survey. If a given material is not described in this survey or cannot be identified as a non-suspect material, the material should be assumed to contain asbestos and renovation and/or demolition activities should be halted until sampling and analysis can be accomplished. Parties conducting renovation and/or demolition activities should follow all applicable federal, state, and local regulations in handling identified and suspect ACM.

The information contained in this report was based upon specific parameters and regulations in place at the time of the survey. The information herein is only for the specific use of SES, TVAMC, and TTL, unless written authorization is obtained from TTL. TTL accepts no responsibility for the use, interpretation, or reliance by other parties on the information contained herein, nor does this report represent an instrument of regulatory compliance or an asbestos abatement specification.

TTL CERTIFICATION

TTL HSA TABLE

H om og en eo us

S am pl in g Ar ea s

Ta bl e To m ah

V et er an

A ffa irs M ed ic al C en te r

EH

R M

U pg ra de s

- B ui ld in gs

5, a nd

To m ah , W is co ns in

H

SA

M at er ia l D es cr ip tio n Fr ia bi lit y

Fu nc tio na l A re a Q ua nt ity U ni ts

Sa m pl e

N um be r

Sa m pl e

R es ul ts

2' x

' W hi te w ith

F is su re s an d Pi nh ol es C ei lin g Ti le F

Bu ild in g

- R oo m

SF

N eg at iv e*

To ta l

SF

2' x

' W hi te w ith

F is su re s an d Pi nh ol es C ei lin g Ti le F

Bu ild in g

- R oo m

SF

N eg at iv e*

To ta l

SF

D ry w al l a nd

J oi nt C om po un d

N F-

II

Bu ild in g

- R oo m an d

SF

N eg at iv e*

To ta l

SF

W hi te w ith B lu e

Sp ec kl ed

L in ol eu m N

F- I

Bu ild in g

- R oo m

SF

N eg at iv e*

To ta l

SF

D ry w al l a nd

J oi nt C om po un d

N F-

II

Bu ild in g

- R oo m

9, an d

SF

N eg at iv e*

To ta l

SF

2' x

' W hi te

F is su re s an d Pi nh ol es C ei lin g Ti le F

Bu ild in g

- R oo m

SF

N eg at iv e*

To ta l

SF

B ro w n

Fl oo r T ile

U nd er C ar pe t N

F- I

B ui ld in g

- R oo m

SF

Po si tiv e

- T ile

O nl y*

To ta l

SF

x

W hi te w ith

T an

S pe ck s

Fl oo r T ile a nd

A ss oc ia te d

M as tic N

F- I

B ui ld in g

- R oo m

2A , 2

7, an d

SF

Po si tiv e

- T ile

O nl y*

To ta l

SF

SF

S qu ar e

Fe et

P er P re vi ou s

Su rv ey

TT

L

Pr oj ec t N o.

Pa ge o f 1

APPENDIX C

ASBESTOS ANALYTICAL REPORT

Lab No.: 7310383 Client No.: B400-CT3-01

Analyst Observation: White/Grey Ceiling Tile Client Description: Ceiling Tile 2'x4', White, Fissures W/ Pinholes

Location:

Facility:

Percent Asbestos:

None Detected

Percent Non-Asbestos Fibrous Material:

25 Cellulose 15 Fibrous Glass

Percent Non-Fibrous Material:

Lab No.: 7310384 Client No.: B400-CT3-02

Analyst Observation: White/Grey Ceiling Tile Client Description: Ceiling Tile 2'x4', White, Fissures W/ Pinholes

25 Cellulose 15 Fibrous Glass

Lab No.: 7310385 Client No.: B400-CM-01

Analyst Observation: Yellow Mastic Client Description: Carpet Mastic, Yellow

Lab No.: 7310386 Client No.: B400-CM-02

Analyst Observation: Yellow Mastic Client Description: Carpet Mastic, Yellow

3 Synthetic

Laboratory Director

Approved By:

Date Analyzed:

10/29/2021Date Received:

Analyst:

Please refer to the Appendix of this report for further information regarding your analysis.

Signature:

Grace Stern

10/29/2021 Frank E. Ehrenfeld, III

9000 Commerce Parkway Suite B Mt. Laurel, New Jersey 08054

Telephone: 856-231-9449 Email: customerservice@iatl.com

CERTIFICATE OF ANALYSIS

Client: TTL Associates Inc.

1915 N. 12th Street Toledo OH 43604

10/29/2021Report Date:

Report No.: 646769 - PLM Project: Tomah VAMC EHRM Project No.: 2047301

PLM BULK SAMPLE ANALYSIS SUMMARY

Client: TTL381

Dated : 11/2/2021 5:45:45 Page 1 of 4

Appendix to Analytical Report Customer Contact: Sara Vogelpohl Method:40 CFR Appendix E to Subpart E of Part 763, interim method for the Determination of Asbestos in Bulk Insulation Samples, USEPA 600, R93-116 and NYSDOH ELAP 198.1 as needed.

This appendix seeks to promote greater understanding of any observations, exceptions, special instructions, or circumstances that the laboratory needs to communicate to the client concerning the above samples. The information below is used to help promote your ability to make the most informed decisions for you and your customers.

Please note the following points of contact for any questions you may have.

iATL Customer Service: customerservice@iatl.com iATL Office Manager:wchampion@iatl.com iATL Account Representative: Kelly Klippel Sample Login Notes: See Batch Sheet Attached Sample Matrix: Bulk Building Materials Exceptions Noted: See Following Pages

General Terms, Warrants, Limits, Qualifiers:

General information about iATL capabilities and client/laboratory relationships and responsibilities are spelled out in iATL policies that are listed at www.iATL.com and in our Quality Assurance Manual per ISO 17025 standard requirements. The information therein is a representation of iATL definitions and policies for turnaround times, sample submittal, collection media, blank definitions, quantification issues and limit of detection, analytical methods and procedures, sub-contracting policies, results reporting options, fees, terms, and discounts, confidentiality, sample archival and disposal, and data interpretation.

iATL warrants the test results to be of a precision normal for the type and methodology employed for each sample submitted. iATL disclaims any other warrants, expressed or implied, including warranty of fitness for a particular purpose and warranty of merchantability. iATL accepts no legal responsibility for the purpose for which the client uses test results. Any analytical work performed must be governed by our Standard Terms and Conditions. Prices, methods and detection limits may be changed without notification. Please contact your Customer Service Representative for the most current information.

This confidential report relates only to those item(s) tested and does not represent an endorsement by NIST-NVLAP, AIHA LAP LLC, or any agency of local, state or province governments nor of any agency of the U.S. government.

This report shall not be reproduced except in full, without written approval of the laboratory.

Information Pertinent to this Report:

Analysis by US EPA 600 93-116: Determination of Asbestos in Bulk Building Materials by Polarized Light Microscopy (PLM).

Certifications:

NIST-NVLAP No. 101165-0• NYSDOH-ELAP No. 11021• AIHA-LAP, LLC No. 100188•

Quantification at <0.25% by volume is possible with this method. (PC) Indicates Stratified Point Count Method performed. (PC-Trace) means that asbestos was detected but is not quantifiable under the Point Counting regimen. PC Trace represents a <0.25% amount. Analysis includes all distinct separable layers in accordance with EPA 600 Method. If not reported or otherwise noted, layer is either not present or the client has specifically requested that it not be analyzed (ex. analyze until positive instructions). Small asbestos fibers may be missed by PLM due to resolution limitations of the optical microscope. Therefore, PLM is not consistently reliable in detecting asbestos in non-friable organically bound (NOB) materials. Quantitative transmission electron microscopy (TEM) is currently the only method that can pronounce materials as non-asbestos containing.

Analytical Methodology Alternatives: Your initial request for analysis may not have accounted for recent advances in regulatory requirements or advances in technology that are routinely used in similar situations for other qualified projects. You may have the option to explore additional analysis for further information. Below are a few options, listed as the matrix followed by the appropriate methodology. Also included are links to more information on our website.

Bulk Building Materials that are Non-Friable Organically Bound (NOB) by Gravimetric Reduction techniques employing PLM and TEM: ELAP 198.6 (PLM-NOB), ELAP 198.4 (TEM-NOB) See additional information at the end of this appendix.

9000 Commerce Parkway Suite B Mt. Laurel, New Jersey 08054

Telephone: 856-231-9449 Email: customerservice@iatl.com

CERTIFICATE OF ANALYSIS

Client: TTL Associates Inc.

1915 N. 12th Street Toledo OH 43604

10/29/2021Report Date:

Report No.: 646769 - PLM Project: Tomah VAMC EHRM Project No.: 2047301

Page 2 of 4Dated : 11/2/2021 5:45:45

Loose Fill Vermiculite Insulation, Attic Insulation, Zonolite (copyright), etc.: US EPA 600 R-4/004 (multi-tiered analytical process) Sprayed On Insulation/Fireproofing with Vermiculite (SOF-V): ELAP 198.8 (PLM-SOF-V)

Soil, sludge, sediment, aggregate, and like materials analyzed for asbestos or other elongated mineral particles (ex. erionite, etc.): ASTM D7521, CARB 435, and other options available

Asbestos in Surface Dust according to one of ASTM's Methods (very dependent on sampling collection technique – by TEM): ASTM D 5755, D5756, or D6480

Various other asbestos matrices (air, water, etc.) and analytical methods are available.

Disclaimers / Qualifiers:

There may be some samples in this project that have a "NOTE:" associated with a sample result. We use added disclaimers or qualifiers to inform the client about something that requires further explanation. Here is a list with highlighted disclaimers that may be pertinent to this project. For a full explanation of these and other disclaimers, please inquire at customerservice@iatl.com.

1) Note: No mastic provided for analysis.

2) Note: Insufficient mastic provided for analysis.

3) Note: Insufficient material provided for analysis.

4) Note: Insufficient sample provided for QC reanalysis.

5) Note: Different material than indicated on Sample Log / Description.

6) Note: Sample not submitted.

7) Note: Attached to asbestos containing material.

8) Note: Received wet.

9) Note: Possible surface contamination.

10) Note: Not building material. 1% threshold may not apply.

11) Note: Recommend TEM-NOB analysis as per EPA recommendations.

12) Note: Asbestos detected but not quantifiable.

13) Note: Multiple identical samples submitted, only one analyzed.

14) Note: Analyzed by EPA 600/R-93/116. Point Counting detection limit at 0.080%.

15) Note: Analyzed by EPA 600/R-93/116. Point Counting detection limit at 0.125%.

16) Note: This sample contains >10% vermiculite mineral. See Appendix for Recommendations for Vermiculite Analysis.

Recommendations for Vermiculite Analysis:

Several analytical protocols exist for the analysis of asbestos in vermiculite. These analytical approaches vary depending upon the nature of the vermiculite mineral being tested (e.g. un-processed gange, homogeneous exfoliated books of mica, or mixed mineral composites).Please contact your client representative for pricing and turnaround time options available.

iATL recommends initial testing using the EPA 600/R-93/116 method. This method is specifically designed for the analysis of asbestos in bulk building materials. It provides an acceptable starting point for primary screening of vermiculite for possible asbestos.

Results from this testing may be inconclusive. EPA suggests proceeding to a multi-tiered analysis involving wet separation techniques in conjunction with PLM and TEM gravimetric analysis (EPA 600/R-04/004).

For New York State customers, NYSDOH requires disclaimers and qualifiers for various vermiculite containing samples that direct analysis via ELAP198.6 and ELAP198.8 for samples that contain >10% vermiculite mineral where ELAP198.6 may be used to evaluate the asbestos content of the material. However, any test result using ELAP198.6 will be reported with the following disclaimer: “ELAP198.6 method does not remove vermiculite and may underestimate the level of asbestos present in a sample containing >10% vermiculite.”

Further information on this method and other vermiculite and asbestos issues can be found at the following: Agency for Toxic Substances and Disease Registry (ATSDR) www.atsdr.cdc.gov, United States Geological Survey (USGS) www.minerals.usgs.gov/minerals/, US EPA www.epa.gov/asbestos. The USEPA also has an informative brochure "Current Best Practices for Vermiculite Attic Insulation" EPA 747F03001 May 2003, that may assist the health and remediation professional. NYS customers please follow current NYSDOH ELAP requirements per policy on subject of surfacing and vermiculite, May 6, 2016, Testing Requirements for Surfacing Material Containing Vermiculite (https://www.wadsworth.org/sites/default/files/WebDoc/I198_8_02_2.pdf)

The following is a summary of the analytical process outlines in the EPA 600/R-04/004 Method:

1)Analytical Step/Method: Initial Screening by PLM, EPA 600R-93/116 Requirements/Comments: Minimum of 0.1 g of sample. ~0.25% for most samples.

Telephone: 856-231-9449 Email: customerservice@iatl.com

CERTIFICATE OF ANALYSIS

Client: TTL Associates Inc.

1915 N. 12th Street Toledo OH 43604

10/29/2021Report Date:

Report No.: 646769 - PLM Project: Tomah VAMC EHRM Project No.: 2047301

Page 3 of 4Dated : 11/2/2021 5:45:45

2)Analytical Step/Method:Wet Separation by PLM Gravimetric Technique, EPA R-04/004 Requirements/Comments: Minimum 50g** of dry sample. Analysis of "Sinks" only.

3)Analytical Step/Method:Wet Separation by PLM Gravimetric Technique, EPA R-04/004 Requirements/Comments: Minimum 50g** of dry sample. Analysis of "Floats" only.

4)Analytical Step/Method:Wet Separation by TEM Gravimetric Technique, EPA R-04/004 Requirements/Comments: Minimum 50g** of dry sample. Analysis of "Sinks" only.

5)Analytical Step/Method:Wet Separation by TEM Gravimetric Technique, EPA R-04/004 Requirements/Comments: Minimum 50g** of dry sample. Analysis of "Suspension" only.

*With advance notice and confirmation by the laboratory.

**Approximately 1 Liter of sample in double-bagged container (~9x6 inch bag of sample).

New York State Department of Health requires that samples originating from NYS that they categorize as Non-friable Organically Bound materials can only be confirmed as None Detected for asbestos by method 198.4. See the table below for a list of those materials. (ENVIRONMENTAL LABORATORY APPROVAL PROGRAM CERTIFICATION MANUAL - ITEM No. 198.1, Revision Date 5/6/16)

*Asphalt Shingles, Caulking, Ceiling Tiles with Cellulose, Duct Wrap, Glazing, Mastic, Paint Chips, Resilient Floor Tiles, Rubberized Asbestos Gaskets, Siding Shingles, Vinyl Asbestos Tile, NOB materials (other that SM-V) with <10% vermiculite, Any material (Friable or NOB other than SM-V) with >10% vermiculite.

Statistically derived uncertainty with any measure should be taken into consideration when reviewing and interpreting all reported data and results. A more comprehensive listing of accuracy, precision, and uncertainty as it impacts this method is available upon request.

9000 Commerce Parkway Suite B Mt. Laurel, New Jersey 08054

Telephone: 856-231-9449 Email: customerservice@iatl.com

CERTIFICATE OF ANALYSIS

Client: TTL Associates Inc.

1915 N. 12th Street Toledo OH 43604

10/29/2021Report Date:

Report No.: 646769 - PLM Project: Tomah VAMC EHRM Project No.: 2047301

Page 4 of 4Dated : 11/2/2021 5:45:45

APPENDIX D

ACM SAMPLE LOCATION MAP

OFFICE

OFFICE OFFICE

CONFERENCE

RECEPTION

AREA

OFFICE

S T

O R

A G

E

T O

IL

E

T

CORRIDOR

U T

IL

IT

Y

T O

IL

E

T

T O

IL

E

T

ROOM

4 10

WAREHOUSE/STORAGE

SECOND FLOOR LEVEL

DN

118A

TELECOM

CONSTRUCTION PROJECT ACTIVITY TYPE - D

INFECTION CONTROL RISK GROUP - GROUP 1 : LOW RISK

CONTROL PROCEDURE CLASS - III

INFECTION CONTROL RISK ASSESSMENT (ICRA) BY

PROJECT AREA USE AND PHASE

CONSTRUCTION INFECTION CONTROL RISK ASSESSMENT (ICRA)

TYPE A

TYPE B

TYPE C

TYPE D

INSPECTIONS AND NON-INVASIVE ACTIVITIES. INCLUDES, BUT NOT

LIMITED TO, REMOVAL OF CEILING TILES FOR VISUAL INSPECTION

LIMITED TO 1 TILE PER 50 SQUARE FEET, PAINTING BUT NOT SANDING

WALL COVERING, ELECTRICAL TRIM WORK, MINOR PLUMBING, AND

ACTIVITIES WHICH DO NOT GENERATE DUST OR REQUIRE CUTTING OF

WALLS OR ACCESS TO CEILINGS OTHER THAN FOR VISUAL INSPECTION.

SMALL SCALE, SHORT DURATION ACTIVITIES WHICH CREATE MINIMAL

DUST. INCLUDES, BUT IS NOT LIMITED TO, INSTALLATION OF TELEPHONE

AND COMPUTER CABLING, ACCESS TO CHASE SPACES, CUTTING OF

WALLS OR CEILING WHERE DUST MIGRATION CAN BE CONTROLLED.

FLOOR COVERING REMOVAL (WITHOUT SANDING OR GRINDING).

ANY WORK THAT GENERATES A MODERATE TO HIGH LEVEL OF DUST OR

REQUIRES DEMOLITION OR REMOVAL OF ANY FIXED BUILDING

COMPONENTS OR ASSEMBLIES. INCLUDES, BUT IS NOT LIMITED TO,

SANDING OF WALL FOR PAINTING OR WALLCOVERING, REMOVAL OF

FLOOR COVERINGS, CEILING TILES AND CASEWORK, NEW WALL

CONSTRUCTION, MINOR DUCTWORK OR ELECTRICAL WORK ABOVE

CEILINGS, MAJOR CABLING ACTIVITIES, AND ANY ACTIVITY WHICH

CANNOT BE COMPLETED WITHIN A SINGLE WORK SHIFT. FLOOR

COVERING REMOVAL (WITH SANDING OR GRINDING).

MAJOR DEMOLITION AND CONSTRUCTION PROJECTS. INCLUDES, BUT IS

NOT LIMITED TO, ACTIVITIES WHICH REQUIRE CONSECUTIVE WORK

SHIFTS, REQUIRE HEAVY DEMOLITION OR REMOVAL OF A COMPLETE

CEILING SYSTEM, FLOORING AND NEW CONSTRUCTION.

GROUP 1

LOW RISK

• MECHANICAL SPACES: AREAS NOT DIRECTLY ADJACENT TO PATIENT

CARE, INCLUDING INTERSTITIAL SPACES.

• ENGINEERING OR EMS OFFICE/WORK AREAS

• OFFICE AREAS: AREAS NOT ATTACHED TO/ADJOINING PATIENT CARE

AREAS, NOT USED FOR PATIENT INTERVIEWS, EVALUATIONS OR

EXAMINATIONS.

• PUBLIC CORRIDORS: SPACES NOT ON OR DIRECTLY ATTACHED TO

PATIENT UNITS OR TREATMENT LOCATIONS.

GROUP 2

MEDIUM

RISK

• OUTPATIENT AREAS:

1. PRIMARY CARE OR SPECIALTY CARE CLINIC AREAS

2. BEHAVIORAL/MENTAL HEALTH AREAS

3. EXTENDED CARE / REHAB CLINIC AREAS

4. COMMUNITY BASED OUT PATIENT CLINICS (CBOC’S)

GROUP 3

HIGH RISK

• IN-PATIENT UNITS:

1. INCLUDING, BUT NOT LIMITED TO: EMERGENCY DEPT.; NURSING

UNITS; RADIOLOGY/MRI/CT/ULTRASOUND; NUCLEAR MEDICINE;

CAFETERIA/KITCHEN/CANTEEN; LABORATORIES; RADIATION /

ONCOLOGY; DIALYSIS

GROUP 4

HIGHEST

RISK

• ICU/SICU

• OR/PACU/ENDOSCOPY

• GI

• STERILE PROCESSING SERVICES (SPS)

• PHARMACY

• CATH LAB

CLASS

I

KEEP AREAS FREE OF DEBRIS, TRASH

EXECUTE WORK TO MINIMIZE OF DUST MIGRATION (E.G. WET MOPPING, HEPA VACUUM)

IMMEDIATELY REPLACE ANY CEILING TILE DISPLACED FOR VISUAL INSPECTION

(INVOLVING MINOR DEMOLITION IN MAINTENANCE OR REMODELING.)

CLASS

II

SAME AS CLASS I PLUS:

1. ESTABLISH MATERIAL AND DEBRIS ROUTE USING NON-PATIENT/VISITOR PATHWAY

2. WATER MIST WORK SURFACE TO CONTROL DUST WHILE CUTTING OR DRILLING.

3. BLOCK OFF AND SEAL AIR VENTS

4. SEAL UNUSED DOORS WITH PLASTIC SHEATHING AND DUCT TAPE.

5. CREATE BARRIERS AS DEFINED BY INFECTION PREVENTION

6. CONTAIN CONSTRUCTION WASTE BEFORE TRANSPORT IN TIGHTLY COVERED CONTAINER; TAPE COVERING UNLESS SOLID LID.

7. WET MOP AND/OR VACUUM WITH HEPA FILTERED VACUUM BEFORE LEAVING WORK AREA.

8. PLACE STICKY MAT AT ALL WORK AREA ENTRANCES AND EXITS.

9. REMOVE OR ISOLATE HVAC SYSTEM IN CONSTRUCTION AREA

CLASS

III

SAME AS CLASS I AND II PLUS:

1. ISOLATE HVAC SYSTEM IN CONSTRUCTION AREA TO PREVENT DUCT SYSTEM CONTAMINATION

2. COMPLETE CRITICAL BARRIERS (I.E. SHEETROCK, PLYWOOD, PLASTIC) AT ALL CONSTRUCTION ENTRIES AND EXITS; MONITOR FOR SEAL AND TAKE IMMEDIATE

CORRECTIVE ACTION AS NEEDED

3. MAINTAIN AND MONITOR NEGATIVE AIR PRESSURE WITHIN CONSTRUCTION SITE UTILIZING HEPA EQUIPPED AIR FILTRATION UNITS.

4. REMOVE OR ISOLATE HVAC SYSTEMS IN AREA WHERE WORK IS BEING PERFORMED.

5. CHECK AND REPLACE AIR FILTERS AS NEEDED REGULARLY

6. DO NOT REMOVE BARRIERS FROM WORK SITE UNTIL PROJECT IS COMPLETE & HAS BEEN THOROUGHLY CLEANED; REMOVE BARRIERS CAREFULLY TO MINIMIZE

SPREADING DUST. DEBRIS.

7. VACUUM WORK WITH HEPA FILTERED VACUUM.

8. WET MOP AREA WITH CLEANER/DISINFECTANT.

9. MITIGATE VIBRATION AND NOISE TO LOWEST IMPACT WHERE POSSIBLE.

10. DISPLAY ICRA AT SITE

11. SEAL HOLES, PIPES, CONDUITS AND PUNCTURES.

CLASS

IV

SAME AS CLASS I, II AND III PLUS:

1. INSPECT ADJACENT AREAS FOR DUST MIGRATION; TAKE IMMEDIATE CORRECTIVE AS NEEDED

2. USE HEPA VACUUM IN AREA PRIOR TO START OF CONSTRUCTION

3. CONSTRUCT ANTE ROOM; ALL PERSONNEL MUST ENTER THROUGH IT TO BE VACUUMED USING HEPA VACUUM BEFORE LEAVING OR TO DON/DOFF PPE

INFECTION CONTROL &

CONSTRUCTION BARRIER

GENERAL NOTES

1. SEE SPEC SECTION 01 35 26 SAFETY REQUIREMENTS FOR ADDITIONAL

INFORMATION

2. THE INTENT OF INFECTION CONTROL ISOLATION IS TO CONTAIN DUST AND

PARTICULATE MATTER TO THE CONSTRUCTION AREA. CONSTRUCTION AREA

PERIMETER NEEDS TO BE SEALED COMPLETELY WITH SHEET PLASTIC AS

SPECIFIED AND DUCT TAPE DURING OPERATIONS, WHERE PERMITTED BY CLASS.

ICRA - CONSTRUCTION BARRIER TO BE PROVIDED AS SPECIFIED AND LISTED IN

ICRA CLASS.

3. PROVIDE NEGATIVE PRESSURE MONITORS DURING CONSTRUCTION OPERATIONS

AS SPECIFIED. MONITOR TO MEASURE PRESSURE DIFFERENTIAL BETWEEN

CONSTRUCTION AREA AND ADJACENT CORRIDOR OR ROOM AS DIRECTED BY VA.

4. AS CONSTRUCTION PROGRESSES, FROM TYPE D TO TYPE C AND THEREON,

PROVIDE A REQUEST VIA "INFECTION CONTROL CONSTRUCTION PERMIT" TO THE

VA INFECTION CONTROL NURSE. UPON AUTHORIZATION, PROCEED TO NEXT TYPE

OF CONSTRUCTION. PROVIDE AT LEAST TEN (10) WORKING DAYS NOTICE FOR

EACH PERMIT.

5. CONSTRUCT ICRA (INFECTION CONTROL) CONSTRUCTION BARRIER(S) FROM

FLOOR TO DECK/FLOOR ABOVE.

6. CONTROL BARRIERS ARE TO BE INSTALLED AND REMOVED ONLY BEFORE 7:00 AM

AND AFTER 8:00 PM OR DIRECTED BY COR

7. DURING CONSTRUCTION OPERATIONS IN EACH ENCLOSED AREA PROVIDE

NEGATIVE PRESSURE MONITORS, MINIMUM (1) ONE IN AREAS LESS THAN 1000 SF,

(2) TWO MINIMUM IN AREAS BETWEEN 1000 SF AND 5000 SF, AND (3)…