Attachment 11 668-18-109_Limited Asbestos Good Faith Survey.pdf
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This document is a limited asbestos good faith survey report for the Mann-Grandstaff VA Medical Center located in Spokane, Washington. The survey was conducted to identify asbestos-containing building materials that could be impacted by renovation of elevators and surrounding areas in Buildings 1 and 27. Asbestos-containing materials identified include floor tiles and associated black mastic on various floors of Building 1, as well as vinyl sheet flooring and associated black mastic on the sixth floor. The report provides sample locations, quantities, and asbestos content test results. It will help inform renovation work under federal contract number 36C26024R0009 between the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20 and contractors to refurbish and upgrade elevators in Buildings 1 and 27 at the medical center.
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Limited Asbestos Good Faith Survey
– Elevator Renovation Project
Mann-Grandstaff VA Medical Center
4815 N. Assembly Street Spokane, WA 99205
Report Date: March 2, 2021
Prepared For: Matt King, Licensed Architect Spees Design Build 625 1st Avenue, #301 Seattle, WA 98104
Written By:
Tim Lee
AHERA Building Inspector #BIR20200326-03: Expiration Date: 03/26/2021
Table of Contents
1.0 Introduction
2.0 Building Information
3.0 Limited Asbestos Survey Scope of Work
4.0 Asbestos-Containing Materials
5.0 Assumed Asbestos-Containing Materials
6.0 Non-Asbestos-Containing Materials
7.0 Recommendations…………………………………………………………………………7
8.0 Limiting Conditions
Attachment A: AHERA Building Inspector Certificates
Attachment B: Sample Location Maps
Attachment C: Laboratory Chain of Custody and Sample Results
Attachment D: Pertinent Photographs
Attachment E: Acknowledgment Form, “Communicating Survey Findings to Affected Parties”
1.0 INTRODUCTION
Kyron Environmental Inc. (Kyron) was contracted by Spees Design Build to conduct a limited Asbestos Good Faith Survey at the Mann-Grandstaff VA Medical Center (VAMC) located at 4815 N. Assembly Street, Spokane, WA 99205. The survey was conducted in accordance with EPA protocol outlined in 40 CFR Part 763. The intent of the survey was to identify asbestos-containing building materials (ACBM) that could be impacted by renovation activities of the elevators and surrounding areas at the VAMC. The inspection and sampling of suspect Asbestos-Containing Material (ACM) was conducted on February 8, 2021 by accredited Asbestos Hazard Emergency Response Act (AHERA) Building Inspectors Tim Lee and Graham Langley. Please see attached AHERA Building Inspector Certificates.
ACM was identified or assumed during this limited asbestos survey.
• All building materials on 5th Floor of Building 1 are assumed ACM
• Various Floor Tile & Associated Black Mastic
• Vinyl Sheet Flooring & Associated Black Mastic
2.0 BUILDING INFORMATION
Address: 4815 N. Assembly Street Spokane, WA 99205 Current Use: VA Medical Center Owner: U.S. Department of Veteran Affairs, 509-434-7000
3.0 LIMITED ASBESTOS SURVEY SCOPE OF WORK
The objective of the limited asbestos survey was to determine if asbestos-containing materials (ACM) were present that could be impacted during the renovation project at the VAMC. Areas undergoing renovation include limited areas of lobbies near elevators in the main Building 1 basement and Floors 1 through 8, mechanical room of 9th & 10th Floors, as well as elevator areas and lobbies in Building 27, basement, 1st and 2nd Floors. Kyron collected bulk samples of suspect materials in accordance with EPA protocol, including destructive sampling techniques in accordance with the criteria outlined in 40 CFR
763.85 and 763.86: Environmental Protection Agency’s (EPA) interpretations and guidelines of the Asbestos Hazard Emergency Response Act (AHERA). The following suspect materials were identified and/or sampled for asbestos content. Maps identifying sample locations is attached to this report.
Miscellaneous Materials Surfacing Materials TSI Materials Floor Tiles & Associated Mastic Plaster None Ceiling Tiles Spray-applied Fireproofing Brick & Mortar Cove Base & Associated Mastic Vinyl Sheet Flooring Wall Covering Adhesive
Sheetrock System (sheetrock, tape, joint compound) Masonry & Mortar Carpet Adhesive Wallpaper Adhesive Fire Stop Compound Joint Compound Concrete
Asbestos inspection and sampling methods were conducted in accordance with criteria outlined in 40 CFR 763.85 and 763.86. Samples were submitted to Mountain Laboratories located at 9922 East Montgomery Avenue, Suite 13, Spokane Valley, WA 99206, NVLAP Code 101890-0, and analyzed using Polarized Light Microscopy (PLM) method EPA 600/R-93-116. Chain of Custody and analytical results are attached to this report.
4.0 ASBESTOS-CONTAINING MATERIALS (ACM)
An asbestos containing material (ACM) is defined by EPA’s National Emissions Standard for Hazardous Air Pollutants (NESHAP) as any material containing more than one percent (>1%) asbestos. The following table lists materials that were sampled and/or identified as ACM for the scope of work in this limited asbestos good faith survey. Please refer to attached maps for sample locations.
Table 1: ACMs Identified in Limited Asbestos Survey, VAMC, 4815 N. Assembly St., Spokane, WA 99205, 2/8/21
Sample # Material Description
Homogenous Area
Approximate Quantity*
Asbestos % & Type/ Friability/Condition
Map Location
08-Floor Tile Floor Tile, 12”, Beige with Brown Streaks
Building 1: 8th Floor
190 square feet of impacted area, total quantity unknown
1-2% Chrysotile, Non-Friable, Good, Potential for Damage
Map H
08-Mastic Black Mastic 2-4% Chrysotile, Non-Friable, Good, Potential for Damage
09-Floor Tile Floor Tile, 12”, Beige with Brown Streaks
1-2% Chrysotile, Non-Friable, Good, Potential for Damage
09-Mastic Black Mastic 2-4% Chrysotile, Non-Friable, Good, Potential for Damage
28- Flooring/Gray
Layer
Vinyl Sheet Flooring, Medium Brown, Cut into different sizes
Building 1: 6th Floor
108 square feet of impacted area, total quantity unknown
Flooring & Gray Layer Non-Detect, Non-Friable, Good, Potential for Damage
Map F
28-Mastic Black Mastic 3-5% Chrysotile, Friable, Good, Potential for Damage
29- Flooring/Gray
Layer
Vinyl Sheet Flooring, Medium Brown, Cut into different sizes
Flooring & Gray Layer Non-Detect, Friable, Good, Potential for Damage
29-Mastic Black Mastic 3-5% Chrysotile, Friable, Good, Potential for Damage
47-Floor Tile Floor Tile, 12”, Medium Gray
2nd Floor
4 square feet of impacted area, total quantity unknown.
Note: very thin layer of black mastic, appears
Floor Tile Non-Detect, Non-Friable, Good, Potential for Damage Map C
47-Mastic Black Mastic 2-3% Chrysotile, Non-Friable, Good, Potential for Damage
Sample # Material Description
Homogenous Area
Approximate Quantity*
Asbestos % & Type/ Friability/Condition
Map Location
48-Floor Tile Floor Tile, 12”, Medium Gray
2nd Floor to have been scraped off previously
Floor Tile Non-Detect, Non-Friable, Good, Potential for Damage
Map C
48-Mastic Black Mastic 2-3% Chrysotile, Non-Friable, Good, Potential for Damage
49-Floor Tile Floor Tile, 12”, Green
2nd Floor, 4th Floor
16 square feet of impacted area, total quantity unknown Note:
very thin layer of black mastic, appears to have been scraped off previously
Floor Tile Non-Detect, Non-Friable, Good, Potential for Damage
49-Mastic Black Mastic 2-3% Chrysotile, Non-Friable, Good, Potential for Damage
50-Floor Tile Floor Tile, 12”, Green
Floor Tile Non-Detect, Non-Friable, Good, Potential for Damage
50-Mastic Black Mastic 2-3% Chrysotile, Non-Friable, Good, Potential for Damage
51-Floor Tile Floor Tile, 12”, Peach
2nd Floor, 3rd Floor (under carpet squares)
16 square feet of impacted area, total quantity unknown Note:
very thin layer of black mastic, appears to have been scraped off previously
Floor Tile Non-Detect, Non-Friable, Good, Potential for Damage
51-Mastic Black Mastic 3-5% Chrysotile, Non-Friable, Good, Potential for Damage
52-Floor Tile Floor Tile, 12”, Peach
Floor Tile Non-Detect, Non-Friable, Good, Potential for Damage
52-Mastic Black Mastic 3-5% Chrysotile, Non-Friable, Good, Potential for Damage
88-Floor Tile
Floor Tile, 12” Off White with Brown & White
Streaks
Building 1 Basement
174 square feet of impacted area, total quantity unknown
Floor Tile <1%, Non-Friable, Good, Potential for Damage
Map A
88-Mastic Black Mastic 3-5% Chrysotile, Non-Friable, Good, Potential for Damage
89-Floor Tile
Floor Tile, 12” Off White with Brown & White
Streaks
Floor Tile <1%, Non-Friable, Good, Potential for Damage
89-Mastic Black Mastic 3-5% Chrysotile, Non-Friable, Good, Potential for Damage
*Quantities are approximate & should be verified by the abatement contractor before submitting a bid
5.0 ASSUMED ASBESTOS-CONTAINING MATERIALS (ASSUMED ACM)
The 5th Floor of the VAMC Building 1 was unable to be accessed due to surgery protocols in place at the VAMC. Therefore, all building materials are assumed to be ACM until such time that these materials can be sampled to determine asbestos content.
All elevator components, building envelope electrical devices and components in the structure were in operation, therefore, they could not be inspected to determine if considered suspect ACBM. It is recommended that if these materials are planned to be disturbed, a qualified electrician should lock-out/tag-out electricity prior to inspection to determine if suspect materials are present and sampling is needed or if materials will be assumed as ACM.
6.0 NON-ASBESTOS-CONTAINING MATERIALS
Wood, metal, glass, fiberglass, silicone, and rubber were determined by the AHERA Building Inspector's expertise to be non-suspect ACBM, therefore these materials were not sampled and are considered to be non-ACM. The following table lists sample number, material descriptions, homogenous areas, and map locations of materials sampled and determined as non-asbestos-containing materials (non-ACM). Please refer to attached maps for sample locations.
Table 1: Non-ACMs Identified in Limited Asbestos Survey, VAMC, 4815 N. Assembly St., Spokane, WA 99205, 2/8/21
Sample # Material Description Homogenous Area Map Location
Wall Plaster, Skim Coat, Off-White Layer Building 1: 1st, 2nd, 3rd, 4th, 6th, 7th, 8th Floors
Map B, C, D, E, F, G, H
01-A Sub-sample of 01
02-A Sub-sample of 02
Ceiling Tiles, 2’x4’, White, Pinholes Building 1: 8th Floor, Basement Map H 12 Ceiling Tiles, 2’x4’, White, Pinholes, Large
Gouges 13
Red Brick & Gray Mortar, Under Plaster Building 1: 1st, 2nd, 3rd, 4th, 6th, 7th, 8th Floors
Map B, F, H 15
16 Ceiling Tiles, 2’x4’, White, Pinholes, Small Gouges Building 1: 6th Floor Map F
18 Cove Base, 4” Dark Gray, & Associated Yellow
Mastic Building 1: 6th Floor, 7th
Floor Map F
20 Vinyl Sheet Flooring, Light Wood Pattern, Cut into different sizes, & Associated Off- White/Yellow Mastic
Building 1: 1st Floor, 6th Floor, Elevator Floor;
Building 27: 1st Floor
Map F
22 Vinyl Sheet Flooring, Dark Wood Pattern, Cut into different sizes, & Associated Off-White
Mastic
Building 1: 6th Floor, Elevator Floor 23
24 Vinyl Sheet Flooring, Tan, & Associated Off- White Mastic
Building 1: 6th Floor
Wall Covering Adhesive, Off-White
30 Sheetrock System (sheetrock, tape, joint compound) as Composite
30-A Sub-Sample of Top 2 Layers Paper Layer
31 Sheetrock System (sheetrock, tape, joint compound) as Composite Map B
31-A Sub-Sample of Top 2 Layers Paper Layer
Ceiling Tiles, 2’x4’, White, Recessed, Pinholes
Building 1: 1st Floor, 2nd Floor, 4th Floor, 7th
Floor; Building 27: 1st Floor, 2nd Floor, Basement
35 Cove Base, 4” Light Gray, & Associated Yellow Mastic Building 1: 1st Floor;
Building 27: 1st Floor
Wall Covering Adhesive, Off-White
39 Cove Base, 4” Medium Brown, & Associated Yellow Mastic
Building 1: 2nd Floor;
Building 27: Basement, 2nd Floor
Map C
39-A Off-White Layer
40 Cove Base, 4” Medium Brown, & Associated Yellow Mastic
40-A Off-White Layer 41 Floor Tile, 12”, Off-White with Brown Streaks, &
Associated Yellow Mastic Building 1: 2nd Floor
43 Cove Base, 6” Medium Brown, & Associated Off-
White Mastic 44
Masonry, Yellow, and Associated Gray Mortar Building 1: 2nd Floor, 8th Floor, Basement 46 Map A
53 Floor Tile, 12”, Beige with White Streaks & Associated Yellow Mastic
Building 1: 3rd Floor (under carpet squares), 4th Floor Map D
55 Ceiling Tiles, 2’x4’, White, Recessed, Pinholes & Small Gouges
Building 1: 3rd Floor
Carpet Square Adhesive, Clear 59 Cove Base, 4” Dark Gray, & Associated Yellow
Mastic
Map D
61 Cove Base, 4” Dark Blue, & Associated Yellow Mastic
61-A Sub-Sample of Off-White Layer
62 Cove Base, 4” Dark Blue, & Associated Yellow Mastic
62-A Sub-Sample of Off-White Layer
Wall Covering Adhesive, Off-White Building 1: 3rd & 4th Floor 64
65 Floor Tile, 12” Blue with White & Gray Streaks & Associated Yellow Mastic
Building 1: 4th Floor Map E
67 Floor Tile, 12” Purple with Dark Gray Streaks &
Associated Yellow Mastic 68
69 Wallpaper Adhesive, Yellow, on Purple Patterned Wallpaper
69-A Sub-Sample of Off-White Layer
70 Wallpaper Adhesive, Yellow, on Purple Patterned Wallpaper
70-A Sub-Sample of Off-White Layer
Cove Base, 4” Beige & Associated Yellow Mastic
Cove Base, 6” Beige & Associated Yellow Mastic
Wall Covering Adhesive, Off-White
Red Fire Stop Patching
Building 1: 7th Floor Map G
Joint Compound (as Patching) 81 Wallpaper Adhesive, Yellow
81-A Sub-Sample of Off-White Layer 82 Wallpaper Adhesive, Yellow
82-A Sub-Sample of Off-White Layer
Carpet Square Adhesive, Blue & Green Building 1: 7th Floor 85 Concrete, Floor, 10th Floor
Map J 86 Concrete, Wall, 10th Floor
87 Concrete, Wall, 9th Floor Building 1: 9th & 10th
Floor Mechanical Rooms
Map I
90 Floor Tile, 12” Off White with Brown Streaks & Associated Yellow Mastic
Building 27: Basement & 2nd Floor
Map K 92 Floor Tile, 12” Dark Blue with Gray Streaks &
Associated Yellow Mastic 93 94 Floor Tile, 12” Light Gray with Black Streaks &
Associated Yellow Mastic
Map K
Fireproofing, Gray, Spray-In on Walls & Ceiling Above Ceiling Tiles
Building 27: Basement
Red Fire Stop Patching
Sheetrock System (sheetrock, tape, joint compound) as Composite
Building 27: Basement, 1st Floor & 2nd Floor 102
Map L 104
Red Fire Stop Patching Building 27: 1st Floor
7.0 RECOMMENDATIONS
Building owners are responsible under Washington Department of Labor and Industries Division of Occupational Safety & Health (DOSH) regulations to notify all employees and contractors working on renovation or demolition projects of the presence or absence of asbestos containing materials. It is required that a summary of the results of the asbestos survey be posted, either by the property owner or the owner's agent (e.g., general contractor) at the work site. This report should be communicated in writing to all persons who may come into contact with the materials. A signed acknowledgment by a responsible party (owner or owner's representative) should be included in or attached to the report. See Attachment E for acknowledgment form, “Communicating Survey Findings to Affected Parties”.
IMPORTANT: If a suspect asbestos-containing building material not identified as ACM or non-ACM in this report is discovered that may be impacted during this project, it must be sampled for asbestos content by an AHERA Asbestos Building Inspector or assumed to be an asbestos containing material (ACM).
8.0 LIMITING CONDITIONS
The recommendations present in this report were prepared following applicable asbestos regulations and generally accepted enforcement protocol in the State of Washington for the described property only at the time the inspection was performed. Methods employed by Kyron to conduct this study are consistent with the standard of care and professionalism normally exercised by consultants in the fields of environmental science and engineering.
The Client acknowledges that Kyron has been retained for the sole purpose of assisting the Client in identifying asbestos containing building materials associated with the subject site structure related to the specified scope of work. It is agreed that Kyron has assumed responsibility only for performing this asbestos inspection and presenting this report and recommendations to the Client. The Client acknowledges that Kyron is not acting as an agent for the Client, or any other user or entity, for work associated with any asbestos containing materials. Kyron does not act or have authority to act for or in place of the Client, or their successors, or assigns. Kyron does not represent the Client, nor does it authorize or allow any construction, renovation, remodeling, maintenance, repair, or demolition work by performing this asbestos inspection.
Kyron shall not be responsible for non-identification of asbestos containing materials that are not common to the construction industry. The integrity of information and data generated during previous inspection(s) by others and supplied by the Client with the request that Kyron use it in any way is not the responsibility of Kyron. The identification of asbestos was performed on the day the structure was inspected. Kyron shall not be held responsible for changed or differing site conditions, or changes in scope of work which may have occurred since the performance of these inspections.
ATTACHMENT A
AHERA Building Inspector Certificates
Certificate of Completion
Tim Lee has successfully completed
4-Hr AHERA Certified Building Inspector Refresher Training
In compliance with TSCA Title II AHERA 40 CFR Part 763 as approved by the State of Missouri
Kyron Environmental Accreditation #MO-129 Date of Training & Exam: March 26, 2020 in Spokane, WA
Certificate # BIR20200326-03
Graham Langley, Instructor
Expires: 03/26/2021
ATTACHMENT B
Sample Location Maps
ATTACHMENT C
Laboratory Chain of Custody and Sample Results
9922 East Montgomery Suite 13 TESTING
Spokane Valley, WA 99206 NVLAP LAB CODE 101890-0
(509) 922-1365 ● Fax (509) 922-1380
Polarized Light Microscopy, NVLAP Accreditation
February 15, 2021
Kyron Environmental Project: VAMC
Larry Hagel Project #: GFS 2/8/21
10 N. Post Street, Suite 218
Spokane, WA 99201
Dear Mr. Hagel, The enclosed report details results for the analysis of the bulk sample(s) submitted to Mountain
Laboratories on February 9, 2021. Sample analysis was performed to determine asbestos type and content using Polarized Light Microscopy, supplemented by Dispersion Staining (PLM/DS).
This report includes a summary of the analytical results and chain of custody. Analytical results are only reflective of the samples, which were tested and presented in this report. Mountain Laboratories limits warranty to proper analysis methods and takes no responsibility for sample procurement.
It has been our pleasure providing you with these analytical services. If you have any questions regarding this report, please do not hesitate to call us at (509) 922-1365.
Sincerely, Heidi L. Porret
Laboratory Manager
Mountain Laboratories
Mountain Laboratories NW, Inc.
Enclosure: 1020.5105.5209H
MOUNTAIN LABORATORIES
BULK SAMPLE ANALYSIS FOR ASBESTOS
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5105 B21-101644 B21-5106
Sample ID No. 01 01-A 02
Sample Description Plaster Sub-sample of 01
Off White Layer Plaster
Sample Treatment Teased/Crushed Teased/Crushed
Heated Teased/Crushed
Homogeneous Yes Yes Yes
Layered No No No
Fibrous Yes No Yes
Sample Color Gray Off White Gray
Asbestos Present No No No
Asbestos Type and
Percentage
Plaster: N.D. Off White Layer: N.D. Plaster: N.D.
Total % Asbestos None None None
Other Fibrous Material
In Sample
Hair <1% Hair <1%
Non-Fibrous Material
Mica <1%
Aggregate 60%
Plaster 38%
Gypsum 100% Mica <1%
Aggregate 60%
Plaster 38% Date Analyzed: February 15, 2021 Analyzed By: Heidi L. Porret
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written approval by Mountain Laboratories. Soil/Dust samples are not covered under NVLAP Accreditation.
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-101645 B21-5107 B21-5108
Sample ID No. 02-A 03 04
Sample Description Sub-sample of 02
Off White Layer Plaster Plaster
Sample Treatment Teased/Crushed
Heated
Teased/Crushed
Heated
Teased/Crushed
Heated
Homogeneous No No No
Layered Yes Yes Yes
Fibrous No Yes Yes
Sample Color Green/Off White Yellow/Off White
Gray
Green/Off White
Gray
Asbestos Present No No No
Asbestos Type and
Percentage
Off White Layer: N.D. Skim Coat: N.D.
Plaster: N.D.
Skim Coat: N.D.
Total % Asbestos None None None
Other Fibrous Material
In Sample
Plaster:
Hair <1%
Plaster:
Hair <1%
Non-Fibrous Material
Gypsum 99%
Paint <1%
Other 100%
Plaster:
Mica <1%
Aggregate 60%
Skim Coat:
Other 99%
Paint <1%
Other 100%
Plaster:
Mica <1%
Paint <1%
Other 100%
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5109 B21-5110 B21-5111
Sample ID No. 05 06 07
Sample Description Plaster Plaster Plaster
Sample Treatment Teased/Crushed
Heated
Teased/Crushed
Heated
Teased/Crushed
Heated
Homogeneous No No No
Layered Yes Yes Yes
Fibrous Yes Yes Yes
Sample Color Green/Off White
Gray
Green/Gold/Gray
Off White
Pink/Green/Gray
Off White
Asbestos Present No No No
Asbestos Type and
Other Fibrous Material
In Sample
Plaster:
Hair <1%
Plaster:
Hair <1%
Plaster:
Hair <1%
Non-Fibrous Material
Plaster:
Mica <1%
Paint <1%
Other 100%
Plaster:
Mica <1%
Paint <1%
Other 100%
Plaster:
Mica <1%
Paint <1%
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5112 B21-5113 B21-5114
Sample ID No. 08 09 10
Sample Description Floor Tile & Mastic Floor Tile & Mastic Ceiling Tile
Sample Treatment Teased/Crushed
Heated Teased/Heated
Homogeneous No No
Layered Yes Yes
Fibrous Yes Yes
Sample Color Gray/Black Gray/Off White
Asbestos Present Yes No
Asbestos Type and
Percentage
Floor Tile:
Chrysotile 1-2%
Black Mastic:
Chrysotile 2-4%
Not analyzed as per customer.
N.D.
Total % Asbestos None
Other Fibrous Material
In Sample
Mineral Wool 25%
Cellulose 39%
Non-Fibrous Material
Floor Tile:
Binder/Filler 45%
Vinyl 53-54%
Other 96-98%
Perlite 20%
Binder/Filler 15%
Paint <1%
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5115 B21-5116 B21-5117
Sample ID No. 11 12 13
Sample Description Ceiling Tile Ceiling Tile Ceiling Tile
Sample Treatment Teased/Heated Teased/Heated Teased/Heated
Homogeneous No No No
Layered Yes Yes Yes
Fibrous Yes Yes Yes
Sample Color Gray/Off White Gray/Off White Gray/Off White
Asbestos Present No No No
Asbestos Type and
Percentage
N.D. N.D. N.D.
Total % Asbestos None None None
Other Fibrous Material
In Sample
Mineral Wool 25%
Cellulose 39%
Mineral Wool 25%
Cellulose 39%
Mineral Wool 25%
Cellulose 39%
Non-Fibrous Material
Perlite 20%
Binder/Filler 15%
Paint <1%
Other 100%
Perlite 20%
Binder/Filler 15%
Paint <1%
Other 100%
Perlite 20%
Binder/Filler 15%
Paint <1%
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5118 B21-5119 B21-5120
Sample ID No. 14 15 16
Sample Description Brick & Mortar Brick & Mortar Ceiling Tile
Sample Treatment Teased/Crushed Teased/Crushed Teased/Heated
Homogeneous No No No
Layered Yes Yes Yes
Fibrous No No Yes
Sample Color Orange/Gray Orange/Gray Gray/Off White
Asbestos Present No No No
Asbestos Type and
Brick: N.D.
Mortar: N.D.
Brick: N.D.
N.D.
Total % Asbestos None None None
Other Fibrous Material
In Sample
Mineral Wool 30%
Cellulose 44%
Non-Fibrous Material
Brick:
Aggregate 10%
Mica <1%
Other 89%
Mortar:
Aggregate 65%
Other 34%
Brick:
Aggregate 10%
Other 89%
Mortar:
Aggregate 65%
Other 34%
Perlite 10%
Binder/Filler 15%
Paint <1%
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5121 B21-5122 B21-5123
Sample ID No. 17 18 19
Sample Description Ceiling Tile Baseboard & Mastic Baseboard & Mastic
Sample Treatment Teased/Heated Teased/Heated Teased/Heated
Homogeneous No No No
Layered Yes Yes Yes
Fibrous Yes No No
Sample Color Gray/Off White Brown/yellow Brown/yellow
Asbestos Present No No No
Asbestos Type and
N.D. Cove Base: N.D.
Yellow Mastic: N.D.
Cove Base: N.D.
Other Fibrous Material
In Sample
Mineral Wool 30%
Cellulose 44%
Non-Fibrous Material
Perlite 10%
Binder/Filler 15%
Paint <1%
Other 100%
Cove Base:
Vinyl 100%
Yellow Mastic:
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5124 B21-5125 B21-5126
Sample ID No. 20 21 22
Sample Description Vinyl Sheet Flooring Vinyl Sheet Flooring Vinyl Sheet Flooring
Sample Treatment Teased/Heated Teased/Heated Teased/Heated
Homogeneous No No No
Layered Yes Yes Yes
Fibrous No No No
Sample Color Tan/Off White/Gray Tan/Off White/Gray Brown/Off White/Gray
Asbestos Present No No No
Asbestos Type and
Sheet Vinyl: N.D.
Off White Mastic: N.D.
Gray Layer: N.D.
Other Fibrous Material
In Sample
Sheet Vinyl:
Binder/Filler 35%
Vinyl 65%
Off White Mastic:
Gray Layer:
Sheet Vinyl:
Sheet Vinyl:
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5127 B21-5128 B21-5129
Sample ID No. 23 24 25
Sample Description Vinyl Sheet Flooring Floor & Mastic Floor & Mastic
Sample Treatment Teased/Heated Teased/Heated Teased/Heated
Homogeneous No No No
Layered Yes Yes Yes
Fibrous No No No
Sample Color Brown/Off White/Gray Tan/Off White/Gray Tan/Off White/Gray
Asbestos Present No No No
Asbestos Type and
Sheet Vinyl:
Sheet Vinyl:
Sheet Vinyl:
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5130 B21-5131 B21-5132
Sample ID No. 26 27 28
Sample Description Wall Covering &
Adhesive
Wall Covering &
Adhesive Vinyl Sheet Flooring
Sample Treatment Teased/Heated Teased/Heated Teased/Heated
Homogeneous No No No
Layered Yes Yes Yes
Fibrous No No Yes
Sample Color Tan/White
Off White
Tan/White
Off White Brown/Off White
Asbestos Present No No No
Asbestos Type and
Wallcovering: N.D.
Other Fibrous Material
In Sample
Sheet Vinyl:
Glass Fibers 5%
Non-Fibrous Material
Wallcovering:
Sheet Vinyl:
Vinyl 60%
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-101646 B21-5133 B21-5134
Sample ID No. 28-A 29 30
Sample Description
Sub-sample of 28
Gray Layer
Black Mastic
Vinyl Sheet Flooring
Sheetrock
System
Composite
Sample Treatment Teased/Crushed
Heated Teased/Crushed
Homogeneous No No
Layered Yes Yes
Fibrous Yes Yes
Sample Color Gray/Black Tan/Off White
Asbestos Present Yes No
Asbestos Type and
Chrysotile 3-5%
Not analyzed as per customer.
Sheetrock: N.D.
Total % Asbestos None
In Sample
Cellulose 5%
Glass Fibers <1%
Non-Fibrous Material
Other 95-97%
Extremely thin layer.
Binder/Filler 5%
Gypsum 89%
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-101647 B21-5135 B21-101648
Sample ID No. 30-A 31 31-A
Sample Description
Sub-sample of 30
Top 2 Layers
Paper Layer
Sheetrock
System
Composite
Sub-sample of 31
Top 2 Layers
Paper Layer
Sample Treatment Teased/Crushed
Heated Teased/Crushed
Teased/Crushed
Heated
Homogeneous No No No
Layered Yes Yes Yes
Fibrous Yes Yes Yes
Sample Color Gray/White
Off White Tan/Off White
Gray/White
Off White
Asbestos Present No No No
Asbestos Type and
Top 2 Layers: N.D.
Paper Layer: N.D.
Sheetrock: N.D.
Top 2 Layers: N.D.
Paper Layer: N.D.
Other Fibrous Material
In Sample
Paper Layer:
Cellulose 98%
Cellulose 5%
Glass Fibers <1%
Paper Layer:
Cellulose 98%
Non-Fibrous Material
Paper Layer:
Binder/Filler 2%
Top 2 Layers:
Gypsum 99%
Paint <1%
Other 100%:
Binder/Filler 5%
Gypsum 89%
Paper Layer:
Binder/Filler 2%
Top 2 Layers:
Gypsum 99%
Paint <1%
Other 100%:
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5136 B21-5137 B21-5138
Sample ID No. 32 33 34
Sample Description Ceiling Tile Ceiling Tile Brick & Mortar
Sample Treatment Teased/Heated Teased/Heated Teased/Crushed
Homogeneous No No No
Layered Yes Yes Yes
Fibrous Yes Yes Yes
Sample Color White/Gray White/Gray Red/Gray
Asbestos Present No No No
Asbestos Type and
N.D. N.D. Brick: N.D.
Other Fibrous Material
In Sample
Mineral Wool 30%
Cellulose 34%
Mineral Wool 30%
Cellulose 34%
Mortar:
Hair <1%
Non-Fibrous Material
Perlite 20%
Binder/Filler 15%
Paint <1%
Other 100%
Perlite 20%
Binder/Filler 15%
Paint <1%
Other 100%
Mortar:
Mica <1%
Aggregate 65%
Other 33%
Brick:
Other 95%
Aggregate 5%
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5139 B21-5140 B21-5141
Sample ID No. 35 36 37
Sample Description Baseboard & Mastic Baseboard & Mastic Wall Covering &
Adhesive
Sample Treatment Teased/Heated Teased/Heated Teased/Heated
Homogeneous No No No
Layered Yes Yes Yes
Fibrous No No Yes
Sample Color Tan/Yellow Tan/Yellow Brown/Tan
Off White
Asbestos Present No No No
Asbestos Type and
Wall Covering: N.D.
Other Fibrous Material
In Sample
Wall Covering:
Synthetic 15%
Non-Fibrous Material
Wall Covering:
Other 85%
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5142 B21-5143 B21-101649
Sample ID No. 38 39 39-A
Sample Description Wall Covering &
Adhesive Baseboard & Mastic
Sub-sample of 39
Off White Layer
Sample Treatment Teased/Heated Teased/Heated Teased/Crushed
Heated
Homogeneous No No No
Layered Yes Yes Yes
Fibrous Yes No No
Sample Color Brown/Tan
Off White Brown/Yellow Blue/Off White
Asbestos Present No No No
Asbestos Type and
Wall Covering: N.D.
Off White Layer: N.D.
Total % Asbestos None None None
Other Fibrous Material
In Sample
Synthetic 15%
Gypsum 99%
Paint <1%
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5144 B21-101650 B21-5145
Sample ID No. 40 40-A 41
Sample Description Baseboard & Mastic Sub-sample of 40
Off White Layer Floor Tile & Mastic
Sample Treatment Teased/Heated Teased/Crushed
Heated
Teased/Crushed
Heated
Homogeneous No No No
Layered Yes Yes Yes
Fibrous No No No
Sample Color Brown/Yellow Blue/Off White Light Gray/Yellow
Black
Asbestos Present No No No
Asbestos Type and
Off White Layer: N.D. Floor Tile: N.D.
Black Mastic: N.D.
Gypsum 99%
Paint <1%
Floor Tile:
Binder/Filler 40%
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5146 B21-5147 B21-5148
Sample ID No. 42 43 44
Sample Description Floor Tile & Mastic Baseboard & Mastic Baseboard & Mastic
Sample Treatment Teased/Crushed
Heated Teased/Heated Teased/Heated
Homogeneous No No No
Layered Yes Yes Yes
Fibrous No No No
Sample Color Light Gray/Yellow
Gray Tan/Off White Tan/Off White
Asbestos Present No No No
Asbestos Type and
Floor Tile: N.D.
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5149 B21-5150 B21-5151
Sample ID No. 45 46 47
Sample Description Masonry & Mortar Masonry & Mortar Floor Tile & Mastic
Sample Treatment Teased/Crushed Teased/Crushed Teased/Crushed
Heated
Homogeneous No No No
Layered Yes Yes Yes
Fibrous No No Yes
Sample Color Yellow/Gray Yellow/Gray Gray/Black
Asbestos Present No No Yes
Asbestos Type and
Yellow Layer: N.D.
Yellow Layer: N.D.
Chrysotile 2-3%
Total % Asbestos None None
Yellow Layer:
Aggregate 60%
Other 39%
Yellow Layer:
Aggregate 60%
Other 39%
Floor Tile:
Vinyl 55%
Other 97-98%
Extremely thin layer.
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5152 B21-5153 B21-5154
Sample ID No. 48 49 50
Sample Description Floor Tile & Mastic Floor Tile & Mastic Floor Tile & Mastic
Sample Treatment Teased/Crushed
Heated
Homogeneous No
Layered Yes
Fibrous Yes
Sample Color Gray/Green/Black
Asbestos Present Yes
Asbestos Type and
Percentage
Not analyzed as per
Chrysotile 2-3%
Not analyzed as per customer.
Total % Asbestos
Other 97-98%
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5155 B21-5156 B21-5157
Sample ID No. 51 52 53
Sample Description Floor Tile & Mastic Floor Tile & Mastic Floor Tile & Mastic
Sample Treatment
Homogeneous No No
Layered Yes Yes
Fibrous Yes No
Sample Color Tan/Peach/Black Beige/Yellow
Asbestos Present Yes No
Asbestos Type and
Not analyzed as per
Total % Asbestos None
Extremely thin layer.
Floor Tile:
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5158 B21-5159 B21-5160
Sample ID No. 54 55 56
Sample Description Floor Tile & Mastic Ceiling Tile Ceiling Tile
Sample Treatment Teased/Crushed
Heated Teased/Heated Teased
Homogeneous No No Yes
Layered Yes Yes No
Fibrous No Yes Yes
Sample Color Beige/Yellow White/Gray Gray
Asbestos Present No No No
Asbestos Type and
N.D. N.D.
Total % Asbestos None None None
Other Fibrous Material
In Sample
Mineral Wool 30%
Cellulose 39%
Mineral Wool 30%
Cellulose 40%
Non-Fibrous Material
Floor Tile:
Extremely thin layer.
Perlite 15%
Binder/Filler 15%
Paint <1%
Other 100%
Perlite 15%
Binder/Filler 15%
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5161 B21-5162 B21-5163
Sample ID No. 57 58 59
Sample Description Carpet Adhesive Carpet Adhesive Baseboard & Mastic
Sample Treatment Teased/Heated Teased/Heated Teased/Heated
Homogeneous Yes No No
Layered No Yes Yes
Fibrous No No No
Sample Color Clear Clear/Black Blue/Yellow
Asbestos Present No No No
Asbestos Type and
N.D. Clear Mastic: N.D. Cove Base: N.D.
Other 100% Other 100%
Black Mastic too thin to analyze.
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5164 B21-5165 B21-101651
Sample ID No. 60 61 61-A
Sample Description Baseboard & Mastic Baseboard Mastic Sub-sample of 61
Off White Layer
Sample Treatment Teased/Heated Teased/Heated Teased/Crushed
Heated
Homogeneous No No No
Layered Yes Yes Yes
Fibrous No No No
Sample Color Blue/Yellow Gray/Yellow Blue/Off White
Asbestos Present No No No
Asbestos Type and
Total % Asbestos None None None
Gypsum 99%
Paint <1%
Mountain Laboratories, Mountain Laboratories NW, Inc. limits warranty to proper analysis methods only and takes no responsibility for sample procurement. Mountain Laboratories, Mountain
Laboratories NW, Inc., 9922 E. Montgomery Suite #13, Spokane Washington 99206 (509) 922-1365 - Fax (509) 922-1380. PLM has been known to miss asbestos in a small percentage of samples. Thus negative or <1% PLM results should be tested with either SEM or TEM. Customer is responsible for sample separation. This report may only be reproduced in full with written
Sample results must not be used by the customer to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.
Test Method: EPA-600/R-93/116: Interim Method for the Determination of Asbestos in Bulk Building Materials. Customer #: 1020
Laboratory No. B21-5166 B21-101652 B21-5167
Sample ID No. 62 62-A 63
Sample Description Baseboard Mastic Sub-sample of 62
Off White Layer
Wallcovering&
Adhesive
Sample Treatment Teased/Heated Teased/Crushed
Heated Teased/Heated
Homogeneous No No No
Layered Yes Yes Yes
Fibrous No No No
Sample Color Gray/Yellow Blue/Off White White/Off White/Gray
Asbestos Present No No No
Asbestos Type and
Off White Layer: N.D. Wallcovering: N.D.
Gypsum 99%
Paint <1%
Other 100%
Mountain Laboratories, Mountain Laboratories…
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