Attachment 3 09-16368 Waco Bldg. 17 Report.pdf
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- 36C25726R0032_2 674A4-22-254 - CON CTX Consolidate Engineering Bldg. 17 Federal contract opportunity
- Solicitation number
- 36C25726R0032
About this file
This document is a 2009 Asbestos Reinspection Report for Building 17 at the Waco VA Medical Center, prepared by ALTEC Environmental Consultants. The report details an asbestos assessment conducted in compliance with the Asbestos Hazard Emergency Response Act (AHERA), which involved visually inspecting all accessible areas for suspect asbestos-containing material (ACM), collecting bulk samples, and analyzing them through EMSL Laboratories using Polarized Light Microscopy.
Key findings include the identification of asbestos-containing material in floor mastic on the first floor, specifically three samples of black mastic with chrysotile asbestos content ranging from 3.0% to 3.8%. The report provides comprehensive recommendations for managing these materials, including periodic six-month surveillance inspections, maintaining a management plan, providing two-hour asbestos awareness training for staff, and implementing proper notification procedures for outside contractors. The assessment was performed by multiple certified inspectors, with Roy W. Dowling serving as the management planner, and was conducted in accordance with EPA guidelines.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25726R0032 0005.docx | DOCX document | |
| 36C25726R0032 0004_Consolidated Engineering Building 17.docx | DOCX document | |
| 36C25726R0032 0003.docx | DOCX document | |
| PN 674A4-22-245_100ptc_VOL 2_23-12-07_EL (1).pdf | ||
| 36C25726R0032 0002.docx | DOCX document | |
| PN 674A4-22-245_100ptc_VOL 2_23-12-07_MH.pdf | ||
| PN 674A4-22-245_100ptc_VOL 2_23-12-07_FA.pdf | ||
| 36C25726R0032 0001.docx | DOCX document | |
| Site visit sign in sheet 25_12_30.pdf | ||
| PN 674A4-22-245_100ptc_VOL 2_23-12-07_PL.pdf | ||
| Attachment 2 Specs PN674A4-22-254_100ptc_SPECS_12-08.pdf | ||
| 36C25726R0032_2.docx | DOCX document | |
| Attachment 4 Itemized Cost Breakdown.xlsx | XLSX spreadsheet | |
| Attachment 1 Drawings PN 674A4-22-245_100ptc_VOL 1_23-12-07.pdf |
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Text version
ASBESTOS ASSESSMENT
ASBESTOS REINSPECTION REPORT
Waco V.A. Medical Center
4800 Memorial Drive
Waco, Texas
Building 17
Prepared for:
Central Texas Veterans Health Care System
Waco V.A. Medical Center
4800 Memorial Drive
Waco, Texas
Prepared by:
P. O. Box 17867
Shreveport, Louisiana 71138-0867
(318) 687-3771
INTRODUCTION
2009 ASBESTOS REINSPECTION REPORT
CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM
WACO VA MEDICAL CENTER
SCOPE OF WORK
1. The owner requested that no previous information be utilized during this reinspection.
Therefore, ALTEC treated this project as an initial asbestos assessment and sampled accordingly.
2. This asbestos reinspection complies with the requirements of Asbestos Hazard
Emergency Response Act (AHERA).
3. Each facility inspection was performed by an accredited inspector.
4. For each facility, the inspector performed the following tasks:
a. Visually inspected all accessible areas for suspect asbestos-containing material
(ACM).
b. Asbestos bulk samples were collected of all suspected materials and the samples were analyzed by EMSL Laboratories which is an NVLAP-accredited laboratory authorized to analyze asbestos bulk samples.
c. If any of the asbestos bulk samples contained asbestos from 1% to 5% in asbestos content, then the laboratory was requested to perform a Polarized Light
Microscopy (PLM) point count of that material for a more accurate analysis.
d. After reviewing the results from the asbestos bulk samples and subsequent point counting, homogeneous areas were determined for the various asbestos-containing materials.
e. Homogeneous area tables were prepared and condition summaries were completed.
f. A report was then completed that is outlined in the report section that follows this scope of work.
g. A management planner reviewed all work provided above and verified that the plan met all AHERA requirements. The appropriate response actions were recommended and the reinspection signed and dated. This report included the accreditation number of inspectors and planners. A copy of the 2009 Asbestos
Reinspection Report was submitted to the owner.
MANAGEMENT PLAN RECOMMENDATIONS
The following general notes are for all facilities inspected during the Asbestos Reinspection:
1. Removal Priorities were developed for each homogeneous area. The Removal Priorities are an indicator of priorities for future repair work or abatement work to be scheduled as financial budgets allow. Please see the 2009 Reinspection Condition and Removal
Priority Table for further details.
2. The current condition of material was listed for each homogeneous area. The condition, location, and potential for disturbance factors are used for the hazard ranking. Please see the 2009 Reinspection Condition and Removal Priority Table for the condition summaries.
3. Records for custodial, janitorial, and maintenance staff who have received two-hour awareness training should be filed in the Management Plan.
4. Any new custodial, janitorial, or maintenance staff that have the potential to come in contact with asbestos-containing materials (ACM) are required to attend a two-hour awareness training class. Records of training for new employees should be filed in the
Management Plan.
5. The Designated Person is required to inform workers and building occupants at least once a year about the Management Plan. This includes information about inspections, response actions, and post-response action activities that are planned or in progress.
6. Maintenance areas (boiler rooms, janitor closets, etc.) are required to have warning labels where ACM is located. Install warning labels in these areas as needed. Some older labels may have come loose and are no longer visible. Post the labels in a prominent location.
7. Review the enclosed 2009 Reinspection Condition and Removal Priority Table for maintenance actions that may be required and to establish priorities and budgets for future repair and abatement work.
8. Periodic “Surveillance Inspections” are required every six (6) months. This inspection should indicate the condition of the material and provide recommendations for repair or potential removal. Consistency of inspections is desired and, therefore, should be performed by the same individual(s) for all facilities. An accredited inspector is not required, but is recommended. Records of Surveillance Inspections should be filed in both the administrative and facility Management Plans.
9. “Reinspections” are required every three (3) years. Updated information should be added to the Management Plan.
10. An accredited “Supervisor” should be on staff or available on a contract basis per
AHERA guidelines. Certification paperwork should be filed in the training section of the
Management Plan.
11. ACM should only be removed by contractors licensed and accredited in the State of
Texas. Response actions related to abatement activity should be filed in the Management
Plan. Removal of limited amounts of asbestos by the accredited Supervisor and trained individuals is within the scope of the Management Plan.
12. Notification should be provided to “outside contractors” about ACM within the facility.
This should include such trades or services as telephone, electrical, plumbing, air conditioning, and other construction work. A form should be created for this purpose and placed in the Management Plan.
13. New building construction and portable buildings added to a facility are required to be inspected and sampled for ACM. In lieu of this, a letter from the architect, engineer, or manufacturer can be obtained that states “no ACM were specified or used in the facility.”
A copy of this letter is to be filed with the Management Plan at the facility. This letter will cancel the requirement for sampling.
14. Abatement Costs were developed for each homogeneous area and per facility. The estimated abatement cost is for budget purposes only. The cost is based on the area of material and estimated abatement costs for this material. The cost is for abatement only and does not include abatement design, air monitoring, or project observation costs.
POINT COUNT PROCEDURES
If any of the initial asbestos bulk samples that were analyzed by the laboratory resulted in asbestos content of 1% to 5%, then the samples were analyzed by PLM point counting method.
This method allows for a more precise analysis of the percentage of asbestos fibers in an asbestos bulk sample.
The following were the guidelines that were followed in analyzing this data:
1. If the original asbestos bulk sample analysis resulted in:
a. A non-detect level, then the material was immediately classified as not containing asbestos.
b. An asbestos content greater than 5%, then the material was considered to contain asbestos and would be a regulated material.
c. An asbestos content from 1% to 5%, then the material was PLM point counted to determine a more accurate percentage.
2. If the original asbestos bulk sample was point counted and analysis resulted in:
a. An asbestos content greater than 1% asbestos, then the material was considered to contain asbestos and would be a regulated material.
b. An asbestos content 1% or less, then the material would be considered to be at or below the Environmental Protection Agency (EPA) regulated limit of 1% asbestos content and would not be regulated under AHERA.
After analyzing these results, all documentation, tables, and drawings were changed to reflect these analytical results.
REPORT SECTION
2009 ASBESTOS REINSPECTION REPORT
This report will include a combination of the following sections:
ACM Homogeneous Areas Summary Table and Drawings
This section provides a quick table reference to all asbestos-containing homogeneous areas found during the reinspection, and to drawings with the asbestos-containing homogeneous areas found during the 2009 asbestos reinspection.
This section will not be included in the building reports that did not require any sampling due to no suspected ACM being present. The section will also not be included if asbestos bulk samples were collected and the results indicated no asbestos-containing materials were found in that building.
Condition and Removal Priority Table
This section provides a table with the current condition, potential for disturbance, and removal priority for each homogeneous area.
Master Summary Table – Asbestos Bulk Samples
This table provides a listing of all asbestos bulk samples taken to date.
no suspected ACM being present.
Asbestos-Containing Bulk Samples
This table provides a listing of all asbestos-containing bulk samples.
2009 Reinspection – Inspection Logs
This section provides the field inspection logs for samples taken during the 2009 asbestos reinspection.
Bulk Sample Location Drawings
This section provides drawings with sample locations for all asbestos bulk samples.
Site and sample location drawings will be included in the building reports that did not require any sampling due to no suspected ACM being present.
2009 Reinspection – Photographs
This section provides photographs of all asbestos bulk samples taken during the 2009 asbestos reinspection.
2009 Reinspection – Laboratory Reports
This section provides all laboratory analytical results.
Certifications
This section provides certifications for all Inspectors, the Management Planner who reviewed this Management Plan, and the laboratory that performed the bulk sample analysis.
Periodic Surveillance Forms
This section includes the forms to be completed during the periodic surveillance inspections required every six (6) months.
This section will not be required for building reports that did not require any sampling due to no suspected ACM being present. This section will also not be required if asbestos bulk samples
Management Plan Updates
This section includes the records of any asbestos abatement activities that are completed at the subject site. Notifications, daily notes, drawings, etc., should be placed in this section. This would also include air-monitoring data from asbestos abatement projects.
Response Actions
This section includes the records of any internal asbestos abatement or operation and maintenance activities that may be completed by VA employees. This would include any drawings, field notes, and air monitoring that was completed.
Training Documents
This section includes the records of training for the Designated Person and accredited
Supervisor, as well as the two-hour awareness training for the custodial, janitorial, and maintenance staff.
CONTRACTOR
2009 ASBESTOS REINSPECTION REPORT
This 2009 Asbestos Reinspection was provided by:
Contractor:
ALTEC Environmental Consultants, Inc.
10100 Woolworth Road
Keithville, LA 71047
(318) 687-3771 (Office)
(318) 687-9923 (Fax)
INSPECTORS:
Brandon Odom Donald R. Joiner
LA Certificate No. 0I01392 LA Certificate No. 0I01348
Gray Chase Jerry Heidecker
LA Certificate No. 0I01035 LA Certificate No. 0I01698
Justin L. Holcomb Brandon Sanders
LA Certificate No. 0I00306 LA Certificate No. 0I01097
MANAGEMENT PLANNER:
Roy W. Dowling
LA Certificate No. 0I00213 – Inspector
LA Certificate No. 0P00072 – Management Planner
Accreditation Agency: Louisiana Department of Environmental Quality which is a recognized EPA accreditation agency
ACM HOMOGENEOUS AREAS
SUMMARY TABLE AND DRAWINGS
WACO V. A. MEDICAL CENTER
2009 THREE-YEAR ASBESTOS REINSPECTION
ACM HOMOGENEOUS AREAS SUMMARY TABLE
Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials
Basement No ACM No ACM No ACM No ACM
Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials
1 HMA-01 - Flooring Mastic No ACM No ACM No ACM
Floor Flooring Materials Ceiling Materials TSI Materials Miscellaneous Materials
Roof No ACM No ACM No ACM No ACM
Building 17 - Basement
Building 17- First Floor
Building - Roof
CONDITION AND REMOVAL PRIORITY TABLE
Qualitative Ranking Numerical Rating
Good 8, 9, 10
Fair 4, 5, 6, 7
Poor 1, 2, 3
Physical Disturbance Environmental Disturbance
Low 1, 2, 3
Medium 4, 5, 6, 7
High 8, 9, 10
Qualitative Ranking Numerical Rating
High 1, 2, 3
Medium 4, 5, 6, 7
Low 8, 9, 10
Address with on-going maintenance procedures
Maintain in good condition
Surfacing material has moderate but not extensive amounts of visible damage; covering on thermal system insulation is cut or torn, exposing moderate but not extensive amounts of insulation; moderate but not extensive damage to miscellaneous materials such as floor tile; moderate but not extensive amounts of visible dust and debris..
Qualitative Rankings and Quantitative (Numerical) Ratings for Removal Priority
Description of Current Condition
Address short-term
Extensive damage to surfacing material; covering on thermal system insulation is cut or torn extensively and insulation itself is damage; miscellaneous materials such as floor tile extensively damaged and underlying mastic exposed; extensive amounts of dust and debris.
Accessibility: accessibility during normal operations
Activities: activities that people do and how often they do them
Vibration: vibration from operating machinery, HVAC equipment, and so forth
Air/Dust: air currents strong enough to dislodge loose
ACM; airborne dust that can erode material
Corrosive: corrosive atmosphere or liquids that can erode the covering or matrix
Water Damage: water damage from leaking roof, pipe or other source
Qualitative Rankings and Quantitative (Numerical) Ratings for Current Condition
Qualitative Rankings and Quantitative (Numerical) Ratings for Potential for Disturbance
Assessment Factors Qualitative Ranking Numerical Rating
Description of Current Condition
Surfacing material has no visible damage or small amounts of damage; covering on thermal system insulation is intact or has small amounts of damage; miscellaneous materials intact; no visible debris or small amounts of debris.
CONDITION AND REMOVAL PRIORITY TABLE
Rating Based On Rating Based On
HMA-1 17 1 Floor Mastic No No 10 Intact 1 Access 9
Floor Material Description
Building - Roof
Removal
Priority
Building 17 - First Floor
Current Condition
Building 17 - Basement
Friable
Yes/No
No ACM
No ACM
Accessibility
Yes/No
Restricted
Potential for
Disturbance 2Homogeneous
Area No.
Bldg
MASTER SUMMARY TABLE
ASBESTOS BULK SAMPLES
SUMMARY OF BULK SAMPLES TAKEN TO DATE
(determined by Point Count analysis)
Building Floor Room Sample ID Material Description
17 1 2A WA-09-292-0521 White 12x12 floor tile, yellow mastic
17 1 2A WA-09-292-0522 Red 12x12 floor tile, yellow mastic
17 1 2 WA-09-292-0523 Layer 1 - tan 12x12 floor tile
17 1 2 WA-09-292-0523 Layer 2 - black mastic
17 1 2B WA-09-292-0524 Layer 1 - tan 12x12 floor tile
17 1 2B WA-09-292-0524 Layer 2 - black mastic
17 1 2A WA-09-292-0525 Layer 1 - tan 12x12 floor tile
17 1 2A WA-09-292-0525 Layer 2 - black mastic
17 1 2 WA-09-292-0526 White 12x12 floor tile, yellow mastic
17 1 3A WA-09-292-0527 Gray and white 12x12 floor tile, yellow mastic
17 1 3 WA-09-292-0528 Gray and white 12x12 floor tile, yellow mastic
17 1 2 WA-09-292-0529 White 12x12 floor tile, yellow mastic
17 1 2 WA-09-292-0530 Red 12x12 floor tile, yellow mastic
17 1 2C WA-09-292-0531 Gray 12x12 floor tile, yellow mastic
17 1 71 WA-09-292-0532 12-inch vertical pipe - yellow insulation, white wrap
17 Roof Roof WA-09-292-0533 Black flashing, silver wrap
17 Roof Roof WA-09-292-0534 9-inch horizontal pipe - yellow insulation, white wrap
17 Roof Roof WA-09-292-0535 9-inch elbow pipe - yellow insulation, white wrap
17 Base-ment Tank Room WA-09-292-0536 8-inch horizontal pipe - yellow insulation, white wrap
17 Base-ment Tank Room WA-09-292-0537 3-inch horizontal pipe - yellow insulation, white wrap
17 Base-ment Tank Room WA-09-292-0538 10-inch horizontal pipe - yellow insulation, white wrap
17 Base-ment Tank Room WA-09-292-0539 8-inch horizontal pipe - yellow insulation, white wrap
17 Base-ment Tank Room WA-09-292-0540 Red gasket material
17 Base-ment Tank Room WA-09-292-0541 10-inch horizontal pipe - yellow insulation, white wrap
17 Base-ment Tank Room WA-09-292-0542 7-inch horizontal pipe - yellow insulation, white wrap
17 Base-ment Crawl 104 WA-09-292-0543 8-inch horizontal pipe - yellow insulation, white wrap
17 Base-ment Crawl 104 WA-09-292-0544 3-inch horizontal pipe - yellow insulation, white wrap
17 Base-ment Crawl 104 WA-09-292-0545 7-inch horizontal pipe - yellow insulation, white wrap
17 Base-ment 104 WA-09-292-0546 3-inch horizontal pipe - yellow insulation, white wrap
17 Base-ment 104 WA-09-292-0547 5-inch vertical pipe - yellow insulation, white wrap
17 1 4 WA-09-292-1001 2x4 ceiling tile
17 1 2A WA-09-292-1002 2x4 ceiling tile
17 1 Entry Way WA-09-292-1003 2x4 ceiling tile
Red = Asbestos-Containing Material (ACM) Blue = Non ACM Green = Non Asbestos-Containing Material
ASBESTOS-CONTAINING BULK SAMPLES
LIST OF ASBESTOS-CONTAINING SAMPLES
Building Floor Room Sample ID Material Description
17 1 2 WA-09-292-0523 Layer 2 - black mastic
17 1 2B WA-09-292-0524 Layer 2 - black mastic
17 1 2A WA-09-292-0525 Layer 2 - black mastic
Red = Asbestos-Containing Material (ACM)
2009 REINSPECTION INSPECTION LOG
Client: Date: October 19, 2009
Location: Gray Chase and Brandon Sanders
4800 Memorial Drive, Waco, Texas
(determined by Point Count analysis)
ASBESTOS INSPECTION LOG
Inspector(s):
NOTE: Red = Asbestos-containing Material Blue = Non Asbestos-containing Material Green = Non Asbestos-containing Material
Central Texas Veterans Health Care System
Waco V. A. Medical Center
Sample ID Material Description
M at er ia l
C at eg or y
Fria bi lit y
C on di tio n
Bui ld in g
Flo or
R oo m Location Asbestos
% Type
WA-09-292-0521 White 12x12 floor tile, yellow mastic M NF 9 17 1 2A Northwest quadrant ND
WA-09-292-0522 Red 12x12 floor tile, yellow mastic M NF 9 17 1 2A Northwest quadrant ND
WA-09-292-0523 Layer 1 - tan 12x12 floor tile M NF 9 17 1 2 Southwest quadrant ND
WA-09-292-0523 Layer 2 - black mastic M NF 9 17 1 2 Southwest quadrant 3.6% chry
WA-09-292-0524 Layer 1 - tan 12x12 floor tile M NF 9 17 1 2B Southwest quadrant ND
WA-09-292-0524 Layer 2 - black mastic M NF 9 17 1 2B Southwest quadrant 3.0% chry
WA-09-292-0525 Layer 1 - tan 12x12 floor tile M NF 9 17 1 2A Southeast quadrant ND
WA-09-292-0525 Layer 2 - black mastic M NF 9 17 1 2A Southeast quadrant 3.8% chry
WA-09-292-0526 White 12x12 floor tile, yellow mastic M NF 8 17 1 2 Southwest quadrant ND
WA-09-292-0527 Gray and white 12x12 floor tile, yellow mastic M NF 9 17 1 3A Southeast quadrant ND
WA-09-292-0528 Gray and white 12x12 floor tile, yellow mastic M NF 9 17 1 3 Northwest quadrant ND
WA-09-292-0529 White 12x12 floor tile, yellow mastic M NF 9 17 1 2 Southeast quadrant ND
4800 Memorial Drive, Waco, Texas
(determined by Point Count analysis)
ASBESTOS INSPECTION LOG
Inspector(s):
NOTE: Red = Asbestos-containing Material Blue = Non Asbestos-containing Material Green = Non Asbestos-containing Material
Central Texas Veterans Health Care System
Waco V. A. Medical Center
Sample ID Material Description
M at er ia l
C at eg or y
Fria bi lit y
C on di tio n
Bui ld in g
Flo or
R oo m Location Asbestos
% Type
WA-09-292-0530 Red 12x12 floor tile, yellow mastic M NF 9 17 1 2 Southeast quadrant ND
WA-09-292-0531 Gray 12x12 floor tile, yellow mastic M NF 9 17 1 2C Southeast corner ND
WA-09-292-0532 12-inch vertical pipe - yellow insulation, white wrap T F 8 17 1 71 Northeast quadrant ND
WA-09-292-0533 Black flashing, silver wrap M NF 9 17 Roof Roof South base of AHU-7 air unit ND
WA-09-292-0534
9-inch horizontal pipe - yellow insulation, white wrap T F 9 17 Roof Roof Northwest quadrant ND
WA-09-292-0535 9-inch elbow pipe - yellow insulation, white wrap T F 9 17 Roof Roof Northwest quadrant ND
WA-09-292-0536
8-inch horizontal pipe - yellow insulation, white wrap T F 8 17
Base-ment
Tank
Room Southeast end ND
WA-09-292-0537
3-inch horizontal pipe - yellow insulation, white wrap T F 8 17
Base-ment
Tank
Room Southeast end ND
WA-09-292-0538
10-inch horizontal pipe - yellow insulation, white wrap T F 8 17
Base-ment
Tank
Room Southeast end ND
WA-09-292-0539
8-inch horizontal pipe - yellow insulation, white wrap T F 8 17
Base-ment
Tank
Room Center ND
WA-09-292-0540 Red gasket material M F 5 17 Base-ment
Tank
Room West side, Tank 2 at 3-inch flange ND
WA-09-292-0541
10-inch horizontal pipe - yellow insulation, white wrap T F 8 17
Base-ment
Tank
Room Southwest corner ND
4800 Memorial Drive, Waco, Texas
(determined by Point Count analysis)
ASBESTOS INSPECTION LOG
Inspector(s):
NOTE: Red = Asbestos-containing Material Blue = Non Asbestos-containing Material Green = Non Asbestos-containing Material
Central Texas Veterans Health Care System
Waco V. A. Medical Center
Sample ID Material Description
M at er ia l
C at eg or y
Fria bi lit y
C on di tio n
Bui ld in g
Flo or
R oo m Location Asbestos
% Type
WA-09-292-0542
7-inch horizontal pipe - yellow insulation, white wrap T F 8 17
Base-ment
Tank
Room Southwest corner ND
WA-09-292-0543
8-inch horizontal pipe - yellow insulation, white wrap T F 4 17
Base-ment
Crawl
Crawlspace 104, east side, 12 feet inside access hatch
ND
WA-09-292-0544
3-inch horizontal pipe - yellow insulation, white wrap T F 6 17
Base-ment
Crawl
Crawlspace 104, northwest quadrant ND
WA-09-292-0545
7-inch horizontal pipe - yellow insulation, white wrap T F 7 17
Base-ment
Crawl
Crawlspace 104, west side, middle ND
WA-09-292-0546
3-inch horizontal pipe - yellow insulation, white wrap T F 7 17
Base-ment 104 South end, center ND
WA-09-292-0547 5-inch vertical pipe - yellow insulation, white wrap T F 7 17 Base-ment 104 East wall, center ND
WA-09-292-1001 2x4 ceiling tile M NF 9 17 1 4 Northeast quadrant of room ND
WA-09-292-1002 2x4 ceiling tile M NF 9 17 1 2A Northeast quadrant of room ND
WA-09-292-1003 2x4 ceiling tile M NF 9 17 1 Entry
Way Southwest corner of room ND
ND=None DetectedPlease use the following guidelines when reading this report:
GOOD = Surfacing material has no visible damage or small amounts of damage; covering on thermal system insulation is intact or has small amounts of damage; miscellaneous materials intact; no visible debris or small amounts of debris. FAIR = Surfacing material has moderate but not extensive amounts of visible damage; covering on thermal system insulation is cut or torn, exposing moderate but not extensive amounts of insulation; moderate but not extensive damage to miscellaneous materials such as floor tile; moderate but not extensive amounts of visible dust and debris. POOR = Extensive damage to surfacing material; covering on thermal system insulation is cut or torn extensively and insulation itself is damaged; miscellaneous materials such as floor tile extensively damaged and underlying mastic exposed; extensive amounts of dust and debris.
Material Category: T=TSI S=Surfacing M=Miscellaneous Friability: F=Friable NF=Non-Friable Condition: Good = 8, 9, 10 Fair = 4, 5, 6, 7 Poor = 1, 2, 3
BULK SAMPLE LOCATION DRAWINGS
Basement
First Floor
Roof
2009 REINSPECTION PHOTOGRAPHS
WACO VETERANS ADMINISTRATION MEDICAL CENTER
BUILDING 17
WACO, TEXAS
sample contains asbestos sample does not contain asbestos sample does not contain asbestos determined by point count
WA-09-292-0521 WA-09-292-0522
WA-09-292-0523 WA-09-292-0524
WA-09-292-0525 WA-09-292-0526
WA-09-292-0527 WA-09-292-0528
WA-09-292-0529 WA-09-292-0530
WA-09-292-0531 WA-09-292-0532
WA-09-292-0533 WA-09-292-0534
WA-09-292-0535 WA-09-292-0536
WA-09-292-0537 WA-09-292-0538
WA-09-292-0539 WA-09-292-0540
WA-09-292-0541 WA-09-292-0542
WA-09-292-0543 WA-09-292-0544
WA-09-292-0545 WA-09-292-0546
WA-09-292-0547 WA-09-292-1001
WA-09-292-1002 WA-09-292-1003
2009 REINSPECTION LABORATORY REPORTS
CERTIFICATIONS
PERIODIC SURVEILLANCE FORMS
6-MONTH ASBESTOS SURVEILLANCE
BUILDING 17 – FIRST FLOOR
HMA Material Description Location Friable
Yes/No
Conditions at Last
Inspection1
Damage
Severity2
Conditions at Current
Inspection1
Comments
HMA-01 Flooring Mastic First Floor
Conditions: G=Good R=Repaired D=Damaged SD= Significantly Damaged
Damage Severity: M=Minor O=Occasional X-Extensive P=Punctures N=None
Printed Competent Person’s Name
Asbestos Inspector Certification Number and Expiration Date
Signature
Surveillance Inspection Date
MANAGEMENT PLAN UPDATE
RESPONSE ACTIONS
TRAINING DOCUMENTS
ANNUAL NOTIFICATION LETTERS
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