Attachment 12 668-18-109_Limited Asbestos Good Faith Survey - Addendum 1.pdf

Addendum #1 to Limited Asbestos Good Faith Survey – Elevator Renovation

Project, Mann Grandstaff VA Medical Center, 4815 N. Assembly Street, Spokane, WA 99205

This addendum shall become effective as of July 9, 2021

Reasons for Addendum #1: Graham Langley and Tim Lee, AHERA Building Inspectors, collected four

(4) additional bulk samples at Mann-Grandstaff VA Medical Center on July 1, 2021.

This addendum is modifying:

• 1.0 INTRODUCTION

• 4.0 ASBESTOS-CONTAINING MATERIALS (ACM)

• 5.0 ASSUMED ASBESTOS-CONTAINING MATERIALS (ASSUMED ACM)

• 6.0 NON-ASBESTOS CONTAINING MATERIALS, Table 2

• ATTACHMENT B Sample Location Maps

• ATTACHMENT C Laboratory Chain of Custody and Sample Results

Section 1.0 shall be modified as follows with the updated information: text bolded added to the section.

Section 4.0 shall be modified as follows with the updated information: text bolded added to Table 1.

Section 5.0 shall be modified as follows with the updated information: text deleted (strikethrough).

Section 6.0 shall be modified as follows with the updated information: text bolded added to Table 2.

ATTACHMENT B Sample Location Maps shall be modified as follows: Map M (5th Floor) added

ATTACHMENT C Laboratory Chain of Custody and Sample Results shall be modified as follows:

laboratory analysis report of additional samples included in this attachment.

AHERA Building Inspector: Tim Lee, Kyron Environmental Inc.

Certification Number: BIR202103-02 Expiration Date: 03/18/2022

1.0 INTRODUCTION

Mr. Lee and Mr. Langley collected additional floor tile and mastic samples on July 1, 2021.

4.0 ASBESTOS-CONTAINING MATERIALS (ACM)

Table 1: ACMs Identified in Limited Asbestos Survey, VAMC, 4815 N. Assembly St., Spokane, WA 99205, 2/8/21 & 7/1/21

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 to have been scraped off previously

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

48-Floor Tile Floor Tile, 12”, Medium Gray

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

Sample # Material Description

Homogenous Area

Approximate Quantity*

Asbestos % & Type/ Friability/Condition

Map Location

49-Floor Tile Floor Tile, 12”, Green

2nd Floor, 4th Floor, 5th Floor

(Floor Tile only)

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), 5th Floor

(Floor Tile only)

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.

6.0 NON-ASBESTOS-CONTAINING MATERIALS

Table 2: Non-ACMs Identified in Limited Asbestos Survey, VAMC, 4815 N. Assembly St., Spokane, WA 99205, 2/8/21 & 7/1/21

Sample # Material Description Homogenous Area Map Location

Wall Plaster, Skim Coat, Off-White Layer Building 1: 1st, 2nd, 3rd, 4th, 5th, 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

Ceiling Tiles, 2’x4’, White, Pinholes, Large Gouges

Red Brick & Gray Mortar, Under Plaster Building 1: 1st, 2nd, 3rd, 4th, 5th, 6th, 7th, 8th Floors Map B, F, H

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

Sheetrock System (sheetrock, tape, joint compound) as Composite 30-A Sub-Sample of Top 2 Layers Paper Layer

Sheetrock System (sheetrock, tape, joint compound) as Composite

Map B

31-A Sub-Sample of Top 2 Layers Paper Layer

Sample # Material Description Homogenous Area Map Location

Ceiling Tiles, 2’x4’, White, Recessed, Pinholes

Building 1: 1st Floor, 2nd Floor, 5thFloor, 4th Floor, 7th Floor; Building 27: 1st

Floor, 2nd Floor, Basement

Map B

35 Cove Base, 4” Light Gray, & Associated Yellow Mastic Building 1: 1st Floor;

Building 27: 1st Floor

Wall Covering Adhesive, Off-White

Cove Base, 4” Medium Brown, & Associated

Yellow Mastic Building 1: 2nd Floor, 5th

Floor;

Building 27: Basement, 2nd

Floor Map C

39-A Off-White Layer

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 Building 1: 2nd Floor, 5th

Floor 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 Map D

Carpet Square Adhesive, Clear 59 Cove Base, 4” Dark Gray, & Associated Yellow

Mastic 60

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 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

Wallpaper Adhesive, Yellow, on Purple Patterned

Wallpaper 69-A Sub-Sample of Off-White Layer

Sample # Material Description Homogenous Area Map Location

70 Wallpaper Adhesive, Yellow, on Purple Patterned Wallpaper

Building 1: 4th Floor Map E

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

Building 1: 9th & 10th Floor Mechanical Rooms

Map J 86 Concrete, Wall, 10th Floor 87 Concrete, Wall, 9th Floor 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 106 Floor Tile, 12” Off White with Gray & Brown

Streaks & Associated Gold Mastic & Gray Layer Building 1: 5th Floor Map M

108 Floor Tile, 12” Blue with Light & Dark Blue

Streaks & Associated Gold Mastic & Gray Layer 109 Bold = collected 07/01/2021

ATTACHMENT B

Sample Location Maps

ATTACHMENT C Laboratory Chain of Custody and Sample Results shall be modified with laboratory analysis reports of additional samples considered added into this attachment