Attachment 29 - 668-16-110_Cross-Connection Corrective Action Report .pdf

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C1DA--668-22-106 Correct Domestic Water System Deficiencies Buildings 1 and 12
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36C26024R0038
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This notice requests Standard Form 330 submissions for Architect-Engineer qualifications for a design contract. The contract will provide preliminary concept and program development, investigative services, design narratives/analysis, planning consultations and visits, design work, calculations, preparation of construction drawings and specifications, preparation of cost estimates, construction period services, construction period site visits, and other services necessary to modify the existing hot and cold potable water distribution systems in Buildings 1 and 12 at the Mann-Grandstaff VA Medical Center in Spokane, Washington.

The contract is a 100% set-aside for Service-Disabled Veteran-Owned Small Businesses. The NAICS code is 541330 for Engineering Services. Submissions are due by April 15, 2024. The period of performance for design completion is 315 calendar days after notice of award. The estimated construction value is between $1,000,000 and $2,000,000. Selection will be based on professional qualifications, specialized experience and technical competence, capacity, and past performance. The Department of Veterans Affairs Veterans Health Administration will evaluate submissions and hold discussions with the top three firms.

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File Type Posted
Attachment 10 - 668-16-110_Cross-Connection Evaluation Plans 1of10 .pdf PDF
Attachment 31 - VHA DIRECTIVE 1061_2021-02-16 .pdf PDF
Attachment 1 - 668-22-106_SOW_Revision 3.pdf PDF
Attachment 25 - 668-16-110_Cross-Connection Inventory Report - APPENDIX D - 1of3 .pdf PDF
Attachment 2 - 668-14-107_Plumbing Survey_FINAL DRAWINGS.pdf PDF
Attachment 3 - 668-14-107_Plumbing Survey_FINAL INVENTORY .pdf PDF
Attachment 35 - Phigenics As-Built Drawings.pdf PDF
Attachment 6 - 668-16-110_Feasibility Study_Project Manual .pdf PDF
Attachment 14 - 668-16-110_Cross-Connection Evaluation Plans 5of10 .pdf PDF
36C26024R0038_1.docx DOCX document
Attachment 28 - 668-16-110_Cross-Connection Inventory Report - APPENDIX E-F .pdf PDF
Attachment 13 - 668-16-110_Cross-Connection Evaluation Plans 4of10 .pdf PDF
Attachment 4 - 668-14-107_Plumbing Survey_Dead Leg Summary Total .pdf PDF
Attachment 24 - 668-16-110_Cross-Connection Inventory Report - APPENDIX C .pdf PDF
Attachment 16 - 668-16-110_Cross-Connection Evaluation Plans 7of10 .pdf PDF
Attachment 18 - 668-16-110_Cross-Connection Evaluation Plans 9of10 .pdf PDF
Attachment 20 - 668-16-110_Cross-Connection Inventory Report .pdf PDF
Attachment 33 - 668-22-106_DESIGN REVIEW COMMENT SHEET.xlsx XLSX spreadsheet
Attachment 23 - 668-16-110_Cross-Connection Inventory Report - APPENDIX B2 .pdf PDF
Attachment 5 - 668-16-110_Feasibility Study_Drawings .pdf PDF
Attachment 7 - 668-16-110_Feasibility Study_Report .pdf PDF
Attachment 15 - 668-16-110_Cross-Connection Evaluation Plans 6of10 .pdf PDF
Attachment 8 - 668-16-110_Feasibility Study_Fixture Inventory and Tracking .pdf PDF
Attachment 19 - 668-16-110_Cross-Connection Evaluation Plans 10of10 .pdf PDF
Attachment 12 - 668-16-110_Cross-Connection Evaluation Plans 3of10 .pdf PDF
Attachment 17 - 668-16-110_Cross-Connection Evaluation Plans 8of10 .pdf PDF
Attachment 9 - 668-16-110_Feasibility Study_Cost Estimate .pdf PDF
Attachment 27 - 668-16-110_Cross-Connection Inventory Report - APPENDIX D - 3of3 .pdf PDF
Attachment 22 - 668-16-110_Cross-Connection Inventory Report - APPENDIX B1 .pdf PDF
Attachment 26 - 668-16-110_Cross-Connection Inventory Report - APPENDIX D - 2of3.pdf PDF
Attachment 11 - 668-16-110_Cross-Connection Evaluation Plans 2of10 .pdf PDF
Attachment 32 - MGVMAC_Design Amendments_May 2021 .pdf PDF
Attachment 36 - PPQ.docx DOCX document
Attachment 34 - 2020 GAO High Quality Project Estimate Characteristics .xlsx XLSX spreadsheet
Attachment 30 - 668-16-110_Cross-Connection Control Plan FINAL .pdf PDF
Attachment 21 - 668-16-110_Cross-Connection Inventory Report - APPENDIX A .pdf PDF
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12720 E. Nora Avenue, Suite A Spokane Valley, Washington 99216 Ph. (509) 921-0290 Fax (509) 921.1788 cascade-earth.com

Cross-Connection Corrective Action Report Mann-Grandstaff Veteran Affairs Medical Center

Spokane, Washington

September 2018

Disclaimer: The contents of this document are confidential to the intended recipient at the location to which it is addressed. The contents may not be changed, edited, and/or deleted. The information contained in this document is only valid on the date indicated on the original project file report retained by CES. By accepting this document, you understand that neither CES nor its parent company, Valmont Industries, Inc. (Valmont) accepts any responsibility for liability resulting from unauthorized changes, edits, and/or deletions to the information in this document.

Cross-Connection Corrective Action Report Mann-Grandstaff Veteran Affairs Medical Center Spokane, Washington

Prepared For: Mr. William Wilson, AIA William Wilson Architects, PC 1022 SW Salmon Street, Suite 350 Portland, OR 97205

Prepared By: Cascade Earth Sciences 12720 E. Nora Avenue, Suite A Spokane Valley, Washington 99216

(509) 921-0290

Author(s): John Roberts, CCS, Field Technician David Sullivan, Staff Scientist

Reviewed By: Greg L. Thurman, P.E., Principal Engineer

Report Date: September 18, 2018

Project Number: 2018230008

Submitted By:

Greg L. Thurman, P.E., Principal Engineer

GLT

Typewritten text Exp. 07/03/2020

CES – Spokane Valley, WA Mann-Grandstaff VAMC | Cross-Connection Corrective Rpt Doc: 2018230008 Corrective Action Rpt sjr.docx September 2018 | Page iii

CONTENTS

EXECUTIVE SUMMARY ........................................................................................................... iv

1.0 INTRODUCTION

2.0 BUILDING CONTAINMENT DEFICIENCIES

3.0 CROSS-CONNECTION HAZARDS

4.0 OTHER CONCERNS

5.0 COST ESTIMATES

6.0 CONCLUSIONS

REFERENCE

TABLES

Table 1. Building Containment Deficiencies

Table 2. Cross-Connection Hazard Priority List

Table 3. Dead End Line Locations

Table 4. Hazard Assessment Cost Estimate

Doc: 2018230008 Corrective Action Rpt sjr.docx September 2018 | Page iv

EXECUTIVE SUMMARY

The proposed installation of a water disinfection system requires the Mann-Grandstaff Veteran

Affairs Medical Center to create a separate Water District to comply with Washington Department of Health cross-connection requirements. Cascade Earth Sciences was contracted by William

Wilson Architects, PC to provide cross-connection control inspection services in order to comply with Department of Health and Environmental Protection Agency requirements. This report describes cross-connection and building containment hazards that require corrective action to meet the requirements of the Uniform Plumbing Code as amended for the State of Washington.

Prioritized corrective actions and cost estimates are provided for these identified cross-connection hazards.

Cascade Earth Sciences has identified several locations throughout the Mann-Grandstaff Veteran

Affairs Medical Center requiring backflow prevention assemblies or indirect connections to prevent backflow into the domestic potable water system. Other deficiencies, such as dead end lines, were also identified as part of the inventory assessment. The majority of cross-connection issues in the

Mann-Grandstaff Veteran Affairs Medical Center are associated with water-use equipment.

This report summarizes cross-connections, dead end lines, and isolation assembly hazards identified during the facility assessment and provides a prioritized list of cross-connection hazards for correction. Locations throughout the domestic water system requiring backflow prevention assemblies or indirect connections to prevent backflow are identified. Dual check valves, double check valves, or reduced pressure backflow assemblies are required for each service connection on campus buildings to correct identified cross-connection deficiencies. Cost estimates for the proposed corrective actions are provided for reference and planning purposes.

Doc: 2018230008 Corrective Action Rpt sjr.docx September 2018 | Page 1

1.0 INTRODUCTION

The project location is the Mann-Grandstaff Veteran Affairs Medical Center (MGVAMC) campus located at 4815 N Assembly Street, Spokane, Washington (Site) consisting of over 30 separate buildings. The proposed installation of a water disinfection system requires MGVAMC to create a separate Water District to comply with Washington Department of Health (DOH) Cross-Connection

Control requirements. Cascade Earth Sciences (CES) was contracted by William Wilson Architects, PC (WWA) to provide cross-connection control inspection services in order to comply with DOH and Environmental Protection Agency (EPA) requirements. This report contains a description of identified cross-connections and building containment deficiencies, a prioritized list of cross-connection hazards, and cost estimates associated with required corrective actions. Specifically, this report has been prepared to comply with the following:

• Washington Administrative Code (WAC) 51-56-003.

• U.S. Department of Veterans Affairs Office of Construction and Facilities Management

Plumbing Design Manual (PG 18-10).

• Washington State Department of Health (DOH) Cross-Connection Control for Small Water

Systems (DOH 331-234).

2.0 BUILDING CONTAINMENT DEFICIENCIES

Dual check valves, double check valves (DC), or reduced pressure backflow assemblies (RPBA) are required for each service connection to meet the containment requirements of the Uniform

Plumbing Code as amended for the State of Washington. Service lines 1-inch or smaller require a dual check valve assembly. One-story non-healthcare related service lines larger than 1-inch require a DC valve assembly. Service lines associated with hospital facilities or buildings greater than two stories require RPBA(s). Individual building containment requirements are presented in Table 1. As shown, 13 buildings on the MGVAMC campus require additional backflow protection assemblies.

Building 1 is required to have RPBA(s) installed on both the main service connections to meet cross-connection code requirements, as the building is a hospital greater than two stories high. The existing utility rooms and crawl spaces east of rooms C005 and A004 are locations where RPBA(s) could be installed for the Building 1 main service connections. Two parallel RPBA(s) for Building 1 main services will ensure the hospital has water from both connections at all times.

Buildings 25, 26, and 27 are currently connected to the Building 1 domestic water system through

Room C005D in the basement. The domestic water service for Buildings 25, 26, and 27 currently services rooms in Building 1 prior to servicing the aforementioned buildings. Buildings 26 and 27 have separate hot water heaters. Currently, the hot water line for Building 25 is connected to the primary hospital hot water system.

Buildings 25, 26, and 27 should be independently connected to the main service water line with separate connections and RPBA(s). The RPBA(s) should be installed on each service line for

Buildings 25, 26, and 27 in Room C005D. A hot water heater should be installed in Room C005D

Doc: 2018230008 Corrective Action Rpt sjr.docx September 2018 | Page 2 to make the Building 25 hot water system independent so that it is separate from the hospital system just as Buildings 26 and 27 are independent.

Expansion tanks are required when installing dual check valves or any RPBA(s) connected to water mains with hot water heaters or makeup water connections. Catastrophic failure can occur with water heaters due to water expansion if expansion tanks are not installed.

3.0 CROSS-CONNECTION HAZARDS

A list of prioritized cross-connection hazards requiring corrective action is presented in Table 2. The primary cross-connection hazard categories discovered during the assessment were water main supplies, fire protection systems, janitor’s closets, equipment, irrigation connections, and hose bibs.

Identified cross-connection hazards are grouped by category and sorted according to the level of threat imposed to the facility and Site. Table 2 provides a list of prioritized cross-connection hazards that require correction. Each hazard listed in Table 2 has a corresponding hazard assessment field sheet that can be referenced in the CES Cross-Connection Inventory Report (CES, 2018).

Example Cross-Connection Control Hazard Assessment identification code: 1-001-C406-001

Where:

1 = Building

004 = Floor

C406 = Room Number

001 = Cross Connection ID number

One potential direct cross-connection is located in Building 1. The domestic cold water line in

Hallway C4-B1 outside of Room A429 on the 4th Floor was unable to be tracked beyond that location and could potentially connect to non-domestic plumbing without an RPBA. It remains undetermined if this cold domestic line poses a direct cross-connection risk requiring a RPBA.

Further investigation is required to determine the destination of this cold domestic line and potential cross-connection risk.

4.0 OTHER CONCERNS

Dead end lines are potential sources of stagnation and can lead to contamination of the domestic water system. Twenty dead end lines were identified during the Site assessment and are listed along with locations in Table 3. Dead end lines require corrective action and should be removed and capped next to the branch line or at the stack.

5.0 COST ESTIMATES

Cost estimates are divided into the following categories: main service connections, fire protection systems, hot water makeup water, janitor’s closets, hose bibs, and equipment. These estimates are provided in Table 4.

Doc: 2018230008 Corrective Action Rpt sjr.docx September 2018 | Page 3

The appropriate cross-connection prevention valve assemblies are available in a wide range of costs.

Price quotes of median priced, high quality Watts brand units are used for cost estimation purposes.

Assemblies of 4-inch and larger have assumed costs for fittings and supplies of 80% of the assembly cost. Fittings and supplies of assemblies smaller than 4-inch are estimated at 40% of the assembly cost. The labor costs are assumed at 100% of the cost of the combined assembly, fittings, and supplies. Total costs of installed assemblies will vary depending on the location and complexity of individual cross-connection hazards.

Two cost estimate options are provided for the janitor’s closet soap dispensers. The soap dispenser units meet cross-connection requirements due to the built in air gap. The cross-connection risk arises when soap dispenser units are connected to the janitor’s sink while the domestic water is left

on. This creates a direct cross-connection between the domestic hot and cold water. If the plumbing to these sinks is modified so only a single water source is used, either hot or cold, then no cross-connection prevention assembly is required. If mixed hot and cold water is required prior to discharge, then two assemblies will be needed, one for each domestic line. These two options are included in the Table 4 cost estimates.

6.0 CONCLUSIONS

CES has identified cross-connection and building containment hazards throughout the Site that require corrective action to meet the requirements of the Uniform Plumbing Code as amended for the State of Washington. The majority of cross-connection issues in the Site are associated with equipment. Lack of RPBA(s) make up the majority of these issues. Prioritized corrective actions and cost estimates are provided for these identified cross-connection and building containment hazards.

This Corrective Action Report is to be used in conjunction with the accompanying CES Cross-

Connection Inventory Report and Cross-Connection Control Plan to address cross-connection control deficiencies across the Site. As identified cross-connection deficiencies are corrected throughout the Site, the Cross-Connection Inventory should be updated, creating an ongoing record for management to track cross-connection corrections.

REFERENCE

CES, 2018. Cross-Connection Inventory Report, Mann-Grandstaff Veteran Affairs Medical Center, Spokane, Washington. Cascade Earth Sciences. Spokane, Washington. September 2018.

TABLES

Table 1. Building Containment Deficiencies

Table 2. Cross-Connection Hazard Priority List

Table 1. Building Containment Deficencies

Building

Number Building

Existing Backflow

Prevention

Assemblies

Main Service

Containment

Requirement

Cross-Connection

Assemblies Required

Number of

Service

Connections

1 Hospital None 4 - RPBAs Yes 2

2 Boiler / Laundry RPBA (3) RPBA Existing 1

EMS / Garage /

Maintenance RPBA Double Check Existing 1

4 Fiscal / DSS None Duel Check Valves Yes 1

5 Engineering None Duel Check Valves Yes 1

Human

Resources None Duel Check Valves Yes 1

6A Veterans Support None Duel Check Valves Yes 1

7 Substance Abuse RPBA RPBA Existing 1

10 Mechanical RPBA RPBA Existing 1

12 Long Term Care None RPBA Yes 1

14 Warehouse None Double Check Yes 1

14A Engineering

Storage

Warehouse

Storage

25 Out Patient Clinic None RPBA Yes 1

26 MRI None RPBA Yes 1

27 Out Patient Clinic None RPBA Yes 1

30 Eye Clinic None Double Check Yes 1

31 Physical Therapy None Double Check Yes 1

32 Unoccupied None Double Check Yes 1

33 Dental Clinic None Double Check Yes 1

37 Sweat Lodge None Duel Check Valves Yes 1

38 Switch Gear - - - -

39 Generator - - - -

Out Patient

Mental Health RPBA RPBA Existing 1

41 Audiology RPBA RPBA Existing 1

NOTE:

Abbreviations: '-' = no service to building, DSS = Department of Social Services, EMS = Emergency Medical Services, RPBA = Reduced Pressure

Backflow Assemblies, MRI = Magnetic Resonance Imaging.

Mann-Grandstaff VAMC | Cross-Connection Corrective Rpt

September 2018

CES - Spokane Valley, WA

Doc: 2018230008 Corrective Action Rpt Tbls.xlsx | 1 Building Containment Def

Table 2. Cross-Connection Hazard Priority List

Correction

Priority

Building

Number

Floor

Number

Room

Number Item

Required

Assembly

Hazard Assessment

Sheet Comments

1 12 1 110 Main Water Supply DC 12-001-110-002 Containment

2 1 Basement Crawl Space Main Water Supply RPBA 1-BAS-CS-001 Containment

3 1 Basement B008 Main Water Supply RPBA 1-BAS-B008-001 Containment

4 1 9 A900 Equipment RPBA 1-009-A900-009 Booster Pump

5 2 1 Fire Fire Protection System DC 2-OS-FIRE-001 Fire Protection System

6 3 1 Fire Fire Protection System DC 3-OS-FIRE-001 Fire Protection System

7 12 1 110 Fire Protection System DC 12-001-110-003 Fire Protection System

8 30 1 122 Fire Protection System DC 30-001-122-002 Fire Protection System

9 25 Basement C005A Main Water Supply DC 27-BAS-025-001 Containment

10 26 Basement C005A Main Water Supply DC 26/27-BAS-SHOP-001 Containment

11 27 Basement C005A Main Water Supply DC 25-BAS-000-001 Containment

12 1 1 D119 Disposal RPBA 1-001-D119-001 Wrong Assembly

13 1 4 A405 Disposal RPBA 1-004-A405-001 Wrong Assembly

14 1 5 A505 Disposal RPBA 1-005-A505-001 Wrong Assembly

15 1 Basement B004 Equipment RPBA 1-BAS-B004-001 Soft Water Equipment

16 1 Basement B008 Equipment DC 1-BAS-B008-003 Hot Water Makeup Line

17 1 1 E113 Janitor's Closet RPBA 1-001-E113-001 Soap Dispenser

18 4 1 Janitor's Closet Janitor's Closet RPBA 4-001-JC-001 Soap Dispenser

19 5 1 105A Janitor's Closet RPBA 5-001-105A-001 Soap Dispenser

20 7 1 126 Janitor's Closet RPBA 7-001-147-001 Soap Dispenser

21 12 1 104 Janitor's Closet RPBA 12-001-104-001 Soap Dispenser

22 12 1 106 Janitor's Closet RPBA 12-001-106-001 Soap Dispenser

23 12 1 127 Janitor's Closet RPBA 12-001-127-001 Soap Dispenser

24 12 1 146 Janitor's Closet RPBA 12-001-146-003 Soap Dispenser

25 12 1 111 Janitor's Closet RPBA 12-001-111-001 Soap Dispenser

26 14 1 103 Janitor's Closet RPBA 14-001-103-001 Soap Dispenser

27 27 1 126 Janitor's Closet RPBA 27-001-126-001 Soap Dispenser

28 27 1 183 Janitor's Closet RPBA 27-001-183-001 Soap Dispenser

29 27 1 173 Janitor's Closet RPBA 27-001-173-001 Soap Dispenser

30 31 1 123 Janitor's Closet RPBA 31-001-123-001 Soap Dispenser

31 33 1 123 Janitor's Closet RPBA 33-001-123-002 Soap Dispenser

32 40 1 111 Janitor's Closet RPBA 40-001-111-001 Soap Dispenser

33 1 2 A202 Janitor's Closet RPBA 1-002-A202-001 Soap Dispenser

34 40 2 209 Janitor's Closet RPBA 40-002-209-001 Soap Dispenser

35 1 3 C303 Janitor's Closet RPBA 1-003-C303-001 Soap Dispenser

36 1 4 A433 Equipment RPVA 1-004-A433-001 Tub with a Hose

37 1 4 A433 Soap Dispenser RPBA 1-004-A433-002 Soap Dispenser

38 1 4 A428 Janitor's Closet RPBA 1-004-A428-001 Soap Dispenser

39 1 5 A535 Equipment RPBA 1-005-A535-001 Tub with a Hose

40 1 5 A535 Soap Dispenser RPBA 1-005-A535-002 Soap Dispenser

41 1 5 A531 Janitor's Closet RPBA 1-005-A531-001 Soap Dispenser

42 1 6 A633 Janitor's Closet RPBA 1-006-A633-001 Soap Dispenser

43 1 7 A731 Janitor's Closet RPBA 1-007-A731-001 Soap Dispenser

44 1 8 A806 Janitor's Closet RPBA 1-008-A806-001 Soap Dispenser

45 1 8 B810 Janitor's Closet RPBA 1-008-B810-001 Soap Dispenser

46 40 Basement 12 Janitor's Closet RPBA 40-BAS-012-001 Soap Dispenser

47 1 Basement A010 Janitor's Closet RPBA 1-BAS-A010-001 Soap Dispenser

48 1 Basement B003 Janitor's Closet RPBA 1-BAS-B003-001 Soap Dispenser

49 12 1 146 Equipment RPBA 12-001-146-001 Bed Pan Wash

50 12 1 146 Equipment RPBA 12-001-146-002 Tub with a Hose

51 12 1 129 Equipment RPBA 12-001-129-001 Tub with a Hose

52 12 1 133 Equipment RPBA 12-001-133-001 Tub with a Hose

53 12 1 142 Equipment RPBA 12-001-142-001 Tub with a Hose

54 12 1 162 Equipment RPBA 12-001-162-001 Tub with a Hose

55 12 1 153 Equipment RPBA 12-001-153-001 Tub with a Hose

56 14 1 101A Equipment RPBA 14-001-101A-001 Heating and Cooling

57 41 1 126A Equipment AG 41-001-126A-005 Trap Primers

58 41 1 104 Equipment AG 41-001-104-001 Trap Primers

59 41 1 111 Equipment AG 41-001-111-001 Trap Primers

60 41 1 127 Equipment AG 41-001-127-001 Trap Primers

Mann-Grandstaff VAMC | Cross-Connection Corrective Rpt

September 2018 | Page 1 of 3

Doc: 2018230008 Corrective Action Rpt Tbls.xlsx | 2 Cross-Connection Hazard List

Priority

Building

Number

Floor

Number

Room

Number Item

Required

Assembly

Hazard Assessment

Sheet Comments

61 1 8 B802 Equipment RPBA 1-008-B802-001 Laproscopic Cleaning

Equipment

62 40 Basement Mechanical

Equipment Equipment AG 40-BAS-ME-003 Trap Primers

63 1 Basement C002 Equipment RPBA 1-BAS-C002-002 Soap Dispenser

64 1 1 B107 Equipment RPBA 1-001-B107A-006 Convection Oven

65 1 1 B107 Equipment RPBA 1-001-B107A-007 Dish Washer

66 12 1 116 Equipment RPBA 12-001-116-001 Coffee Machine

67 4 1 Main Water

Supply Main Water Supply Dual Check 4-001-MWS-001 Containment

68 5 1 105A Main Water Supply Dual Check 5-001-105A-002 Containment

69 6 1 Main Water

Supply Main Water Supply Dual Check 6-001-MWS-001 Containment

70 14 1 105A Main Water Supply DC 14-001-105A-002 Containment

71 30 1 122 Main Water Supply DC 30-001-122-003 Containment

72 31 1 115 Main Water Supply Dual Check 31-001-115-004 Containment

73 6A 1 Main Water

Supply Main Water Supply Dual Check 6A-001-MWS-001 Containment

74 37 Outside South West Main Water Supply DC 37-OS-SL-001 Containment

75 1 1 B107 Equipment RPBA 1-001-B107A-001 Hot Drink Machine

76 1 1 Lobby Equipment RPBA 1-001-Lobby-001 Ice Machine

77 1 1 Lobby Equipment RPBA 1-001-Lobby-002 Coffee Machine

78 1 1 B107 Equipment RPBA 1-001-B107A-003 Coffee Machine

79 1 1 B107 Equipment RPBA 1-001-B107A-004 Tea Machine

80 2 1 116 Equipment RPBA 2-001-116-001 Ice Machine

81 3 1 113 Equipment DC 3-001-113-001 Hot Water Makeup Line

82 4 1 Mechanical Equipment DC 4-001-MECH-001 Hot Water Makeup Line

83 6A 1 107 Equipment DC 6A-001-107-002 Hot Water Makeup Line

84 7 1 126 Equipment DC 7-001-126-003 Hot Water Makeup Line

85 12 1 106 Equipment RPBA 12-001-106-002 Wheel Chair Washer

86 12 1 116 Equipment RPBA 12-001-116-002 Ice Machine

87 12 1 147 Equipment RPBA 12-001-147-001 Ice Machine

88 12 2 201 Equipment RPBA 12-002-201-001 Hot Water Makeup Line

89 30 1 122 Equipment AG 30-001-122-001 Hot Water Relief Valve

90 30 1 122 Equipment DC 30-001-122-004 Hot Water Makeup Line

91 31 1 115 Equipment DC 31-001-115-005 Hot Water Makeup Line

92 31 1 115 Equipment AG 31-001-115-001 Hot Water Relief Valve

93 31 1 145 Equipment RPBA 31-001-145-001 Ice Machine

94 31 1 146 Equipment RPBA 31-001-146-001 Ice Machine

95 33 1 123 Equipment AG 33-001-123-001 Hot Water Relief Valve

96 33 1 123 Equipment DC 33-001-123-003 Hot Water Makeup Line

97 41 1 126A Equipment DC 41-001-126A-006 Hot Water Makeup Line

98 12 2 201 Equipment AG 12-002-201-002 Hot Water Relief Valve

99 1 4 A430 Equipment RPBA 1-004-A430-001 Ice Machine

100 1 4 A427 Equipment RPBA 1-004-A427-001 Coffee Machine

101 1 5 A526 Equipment RPBA 1-005-A526-001 Ice Machine

102 1 9 900A Equipment DC 1-009-A900-008 Hot Water Makeup Line

103 1 Basement C001 Equipment RPBA 1-BAS-C001-002 Drinking Water System

104 1 Basement C002 Equipment RPBA 1-BAS-C002-001 Dish Washer

105 1 Basement A007 Equipment RPBA 1-BAS-A007-001 Ice Machine

106 1 Basement A007 Equipment RPBA 1-BAS-A007-002 Steamer

107 1 Basement A007 Equipment RPBA 1-BAS-A007-003 Coffee Machine

108 27 Basement 025 Equipment DC 27-BAS-025-002 Hot Water Makeup Line

109 27 Basement Shop / Storage Equipment DC 26-BAS-SHOP-002 Hot Water Makeup Line

110 1 1 Outside Hose Bib (4) VB 1-OS-IRR-001 4 Hose Bibs

111 2 1 Outside Hose Bib (1) VB 2-OS-IRR-001 1 Hose Bibs

112 3 1 Outside Hose Bib (5) VB 3-OS-IRR-001 5 Hose Bibs

113 4 1 Outside Hose Bib (4) VB 4-OS-IRR-001 4 Hose Bibs

114 5 1 Outside Hose Bib (5) VB 5-OS-IRR-004 5 Hose Bibs

115 6 1 Outside Hose Bib (4) VB 6-OS-IRR-001 4 Hose Bibs

Mann-Grandstaff VAMC | Cross-Connection Corrective Rpt

September 2018 | Page 2 of 3

Priority

Building

Number

Floor

Number

Room

Number Item

Required

Assembly

Hazard Assessment

Sheet Comments

116 31 1 115 Hose Bib (1) VB 31-001-115-002 1 Hose Bibs

117 1 2 A200 Equipment RPBA 1-002-A200-001 Water Purification

118 1 3 C314 Hose Bib (1) VB 1-003-C314-002 1 Hose Bibs

119 1 9 900A Hose Bib (1) VB 1-009-A900-007 1 Hose Bibs

120 1 Basement B003 Hose Bib (1) VB 1-BAS-B003-002 1 Hose Bibs

NOTES:

Abbreviations: AG = Air Gap, DC = Double Check, RPBA = Reduced Pressure Backflow Assemblies, VB = Vaccum Breaker.

1 Double check valves for Buildings 25, 26, and 27 to be installed in the basement of Building 1, Room C005D.

Mann-Grandstaff VAMC | Cross-Connection Corrective Rpt

September 2018 | Page 3 of 3

Building Floor Condition

1 Basement C002C Room Dead End

1 Basement CB-A1 Hallway Dead End

1 Basement B014 Room Dead End

1 Basement A003 Room Dead End

1 1st C1-C1 North Hallway Dead End

1 1st E108 / E109 Hallway Dead End

1 2nd C2-C1 Hallway Dead End

1 2nd A200A Room Dead End

1 2nd A236 Room Dead End

1 2nd A237 Room Dead End

1 2nd A200D Room Dead End

1 2nd B247 Room Dead End

1 2nd B250 Room Dead End

1 2nd B252 Room Dead End

(Recirculation Line)

1 3rd A336 Room Dead End

1 5th A524 Room Dead End

1 5th A530 Room Dead End

1 5th A522 to

Restroom 501 Room and Hallway Abandoned Line

1 6th C602 Room Dead End

1 7th C7-A1 Hallway Dead End

1 7th A702 Room Dead End

1 8th A809 to B803D Room and Hallway Abandoned Line

NOTES:

Survey performed between May and August 2018 by CES Cross-Connection Control Specialist.

1 Abandoned lines are not connected to the domestic water system and should be removed.

Room or Hallway

Mann-Grandstaff VAMC | Cross-Connection Corrective Rpt

September 2018

Doc: 2018230008 Corrective Action Rpt Tbls.xlsx | 3 Dead End Line Locations

Item Assembly Unit(s)

Needed

Cost per

Unit 1 Total

Main Service Assembly (RPBA) 6" RPBA 4 18,936$ 75,744$

Main Service Assembly (DC) 2" DC 3 1,540$ 4,620$

Main Service Assembly (DC) 1 1/2" DC 1 1,400$ 1,400$

Main Service Assembly (Dual Check) 1" Duel Check 5 322$ 1,610$

Building 25 Main Service Connection and

Assembly (Plumbing and Containment) 2 1" Duel Check 1 920$ 920$

Building 25 Independent Hot Water Heating

System

Hot Water

Heater 1 16,200$ 16,200$

Building 26 Main Service Connection and

Assembly (Plumbing and Containment)

2 1 1/2" DC 1 4,000$ 4,000$

Building 27 Main Service Connection and

Assembly (Plumbing and Containment)

2 2" DC 1 4,400$ 4,400$

Booster Pump (RPBA) 1" RPBA 1 1,988$ 1,988$

Fire Protection System (RPBA) 4" RPBA 1 12,000$ 12,000$

Fire Protection System (DC) 4" DC 1 8,000$ 8,000$

Fire Protection System (RPBA) 6" RPBA 1 16,200$ 16,200$

Fire Protection System (RPBA) 2.5" RPBA 1 6,440$ 6,440$

Disposal (RPBA) 1" RPBA 3 1,988$ 5,964$

Soft Water Equipment (RPBA) 1" RPBA 1 1,988$ 1,988$

Hot Water Makeup Water (DC) 1" DC 10 1,988$ 19,880$

Bath Tubs with a Hose (RPBA) 3/4" RPBA 8 798$ 6,384$

Bed Pan Wash (RPBA) 3/4" RPBA 1 798$ 798$

Trap Primers (Air Gap) Air Gap 5 500$ 2,500$

Laparoscopic Cleaning Equipment (RPBA) 3/4" RPBA 1 798$ 798$

Convection Oven 1" RPBA 1 1,988$ 1,988$

Coffee Machine 3/4" RPBA 5 798$ 3,990$

Dish Washer 1" RPBA 2 1,988$ 3,976$

Ice Machine 3/4" RPBA 9 798$ 7,182$

Wheel Chair Wash 3/4" RPBA 1 798$ 798$

Hot Water Tank Pressure Relief (Air Gap) Air Gap 5 500$ 2,500$

Hot Water Recirculation Makeup (DC) 2" DC 1 1,540$ 1,540$

Drinking Water System (RPBA) 1" RPBA 1 1,988$ 1,988$

Steamer (RPBA) 3/4" RPBA 1 798$ 798$

Hose Bib Vacuum Breakers (HBVB) HBVB 30 42$ 1,260$

Water Purification Equipment (RPBA) 1" RPBA 1 1,988$ 1,988$

Subtotal 219,842$

Dead End Lines 4 No Assembly 20 150$ 3,000$

Subtotal 3,000$

Other Issues

Mann-Grandstaff VAMC | Cross-Connection Corrective Rpt

September 2018 | Page 1 of 2

Doc: 2018230008 Corrective Action Rpt Tbls.xlsx | 4 Hazard Assessment Cost Est

Item Assembly Unit(s)

Needed

Cost per

Unit 1 Total

Soap Dispensers (Option A) No Assembly 31 600$ 18,600$

Soap Dispensers (Option B) (2 RPBA) 3/4" RPBA 62 1,539$ 95,418$

NOTES:

Abbreviations: = inch, DC = double check, HBVB = hose bib vaccum breakers, RPBA = reduced pressure backflow assembly.

1 Cost for Assemblies less than 4" = Assembly cost + Supplies (Assembly cost x 40%) + Labor (100% of the combined

Assembly and costs). Cost for Assemblies greater than 4" = Assembly cost + Supplies (Assembly cost x 80%) + Labor

(100% of the combined Assembly and Supplies costs).

2 Includes extra plumbing costs to extend the domestic line to the main service line.

3 Includes construction repairs and electrical costs.

4 Disconnect and cap at mainline, leave piping in place.

Janitorial Closet (Options)

Mann-Grandstaff VAMC | Cross-Connection Corrective Rpt

September 2018 | Page 2 of 2

Doc: 2018230008 Corrective Action Rpt Tbls.xlsx | 4 Hazard Assessment Cost Est

1.0 INTRODUCTION
2.0 BUILDING CONTAINMENT DEFICIENCIES
3.0 CROSS-CONNECTION HAZARDS
4.0 OTHER CONCERNS
5.0 COST ESTIMATES
6.0 CONCLUSIONS
TABLES
Table 1 Building Containment Deficencies
Table 2 Cross-Connection Hazard Priority List
Table 3 Dead End Line Locations
Table 4 Hazard Assessment Cost Estimate
2018-09-19T09:29:14-0700
greg.thurman@valmont.com
I am the author of this document

File details come from the government source that posted it. Updated .