Attachment 3 - Asbestos and Lead Inspection Report - Building 1 - Part 1 of 2.pdf

1139 Olive Street, Suite 300 – Saint Louis, MO 63101 ph 314-436-9492 – fx 314-436-9733

RiverfrontEnvironmental.com

2018 ASBESTOS & LEAD INSPECTION REPORT

BUILDING 1

JOHN J. PERSHING V.A.M.C

1500 WESTWOOD BLVD

POPLAR BLUFF, MO. 63901

PREPARED FOR

VA Heartland Network 15

Department of Veterans Affairs 3450 S. 4th Street Trafficway Leavenworth, KS 66048-5055

RIVERFRONT PROJECT NO. SH1457

November 19, 2018

ENVIRONMENTAL, HEALTH AND

SAFETY CONSULTANTS

General Industrial Hygiene Exposure Assessment and Risk Management

Indoor Air Quality Investigations

Asbestos & Lead-Based Paint Inspection and Risk Management

Hazard Communication Programs

Hazardous Noise & Hearing Conservation Programs

OSHA Compliance Program Development

Phase I & II ESA— Due Diligence

Brownfields Redevelopment

Environmental Risk Assessment

Underground Storage Tank Management

Subsurface Investigation/Remediation

Remediation Oversight

CERCLA / RCRA

and more…

INTRODUCTION

2018 ACM & LBP REINSPECTION REPORT

POPLAR BLUFF V.A. MEDICAL CENTER

SCOPE OF WORK – ASBESTOS BUILDING RE-INSPECTION

1. The Inspector and Management Planner reviewed prior inspections and Management

Plan information on file and compared this information with existing conditions for each facility.

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 for the following buildings at The Poplar Bluff VAMC in Poplar Bluff, MO:

a. Building 1

b. Building 2

c. Building 3

d. Building 4

e. Building 5

f. Building 6

g. Building 7

h. Building 8

i. Building 10

j. Building 11

k. Building 23

4. For each building, the inspector performed the following tasks:

a. Visually re-inspected and reassessed the condition of all friable known or assumed ACBM.

b. Visually inspected material that was previously considered non-friable Asbestos-

Containing Building Material (ACBM) and touched the material to determine whether it has become friable since the last inspection.

c. Identified any homogeneous areas with material that has become friable since the last inspection or reinspection.

d. The inspector collected bulk samples for analysis of newly friable material that is already assumed (not sampled) to be ACBM or collected additional bulk samples to fully assess the suspect materials.

e. Visually inspected, sampled, analyzed, and assessed the conditions of building materials that have been added to the facility since the last inspection or reinspection.

f. Assessed the condition of the newly friable material in areas where samples were collected and of newly friable material in areas assumed to be ACBM.

g. Reassessed the condition of friable known or assumed ACBM previously identified.

h. Recorded above information on field inspection forms for each facility.

i. Inspectors applied appropriate Asbestos Hazard Warning labels/stickers to accessible reaches of known/presumed asbestos TSI piping sections observed during this assessment.

5. A Management Planner reviewed the above information and performed the following required functions:

a. Reviewed each Management Plan for compliance with AHERA and verified that the plan reflects current conditions.

b. Reviewed the results of each reinspection and assessment.

c. Recommended in writing, the appropriate response actions.

d. Signed and dated the review documents, included the accreditation number of inspectors and planners, and submitted a copy to the Designated Person.

6. The following information was submitted to the Designated Person under AHERA, for inclusion in the Management Plan for each facility and, optionally, at a central office location.

a. The date of the inspection, the name and signature of the person making the inspection, state of accreditation, his or her accreditation number, and any changes in the condition of known or assumed ACBM.

b. If samples were collected, the exact locations where samples are collected during the inspection, a description of the manner used to choose sampling locations, the name and signature of each accredited inspector who collected the samples, state of accreditation, and his or her accreditation number.

c. Any assessments or reassessments made of friable material, the name and signature of the accredited inspector making the assessments, state of accreditation, and his or her accreditation number.

7. Asbestos Dust Assessment: This inspection and assessment effort included the investigation and sampling of residual asbestos contaminated dust/debris on ceiling systems in close proximity to damaged asbestos containing TSI piping within Building 1, as observed in the course of asbestos re-inspection efforts. Specifically, surface dust samples were collected from the upper surfaces of accessible (i.e. could be physically accessed for sampling) lay-in drop ceiling tile systems in areas exhibiting damaged or significantly damaged ACM pipe insulation in an effort to assess their impact upon surrounding ceiling tile systems. Findings from this assessment effort have been provided within the summary letter included within this report and dated 12/10/18.

8. Asbestos Building Inspection Limitations - The following limitations apply to this inspection and assessment effort and report:

a. Due to limitations on the ability to penetrate the roofing systems matrix for each building (i.e. risk of voiding existing roofing system warranties paid for by the VA), no roofing matrix samples have been collected to confirm or deny the presence of asbestos containing materials. It should be noted that even recently installed roofing systems can be found to contain ACM, particularly within the flashing materials, as they are currently legally available in the commercial market and should be presumed to have been used unless the architect/engineer responsible for its installation can provide a letter stating otherwise (see Section 3.0). As such, all facility roofing systems are presumed to contain an asbestos containing material until sampled and proven otherwise and should be handled as such by John J. Pershing VA Medical Center maintenance and/or custodial workers as well as outside contractors.

b. Inspection efforts taken during this assessment did NOT include making ceiling and/or wall penetrations into wall/ceiling cavities suspected to have contained ACM, particularly TSI systems, which are commonly found hidden within wall cavities and utility chases. Often, it is not possible to gain visual confirmation of the presence of TSI systems, however, the prevalence of surrounding systems and overall building trends strongly suggest them present. In the absence of visual confirmation, building systems suspected as having ACM TSI on water and/or steam lines have been assumed to be present behind inaccessible barriers until proven otherwise. For example, if a given building exhibits ACM TSI joint fittings on water lines in exposed locations (i.e. hallways), then those same lines feeding into inaccessible wall cavities near bathrooms or shower areas will also be assumed to contain ACM TSI joint fittings. These observations, and associated sampling results, are outlined within the attached report. However, it should also be noted that newer building finishes are often presumed by contractors/maintenance staff as having hidden wall cavity locations that would not be considered as “suspect”, and thus presumed as presenting no asbestos risks, which is a risky presumption. As such, wall cavities that have not otherwise been identified as containing ACM-TSI should be penetrated with caution, and preferably preceded with assessment by a licensed asbestos inspector using destructive means, should future renovation projects call for such demolition activities.

c. Inspection and sampling of flooring systems has been limited to those observations and sampling efforts afforded by “spot” checks performed in a representative number of locations in order to determine the type and extent of suspect building materials and any obvious trends associated with those systems.

For example, if a given room flooring system consists of carpet over one or more layers of floor tile, only a single access point would have been made (typically in the least visible corner of the room) to observe and sample suspect materials. As such, there exists the possibility of unidentified suspect building materials present in concealed, inaccessible locations in other areas of the same room, hall or floor space, and that those materials could be found to be an ACM upon discovery and proper testing. Similarly, if inspectors observed evidence of suspect materials within a given homogenous area, such as second floor tile layers and/or flooring adhesives, then those hidden materials were presumed present throughout the remaining homogenous area based on visible observations of the top flooring layers. As such, there exists the possibility of this inspection identifying an area as having a hidden layer of ACM floor tile and/or mastic which, upon demolition, would reveal a much smaller area of impact.

d. Due to limitations on the ability to collect sufficient suspect adhesive materials typically found beneath ceramic systems (particularly in restrooms and other areas designed for exposure to water), and to do so without significantly damaging the finished ceramic tile surface, samples of ceramic tile mastic/adhesive materials were not collected to confirm or deny the presence of ACM. Adhesives/mastics used for bathroom/kitchen/shower areas commonly contain ACM, are currently available in the commercial market and should be presumed to have been used unless the architect/engineer responsible for its installation can provide a letter stating otherwise (see Section 3.0). As such, all ceramic tile systems should be assumed to be underlain by an ACM adhesive/mastic until inspected and/or sampled and proven otherwise and should be handled as such by VA maintenance and/or custodial workers as well as outside contractors.

e. Inspection and sampling efforts during this assessment did not include the necessary destructive sampling techniques to sufficiently collect samples of fire rated doors as well as heat shields located in the perimeter steam convector units.

Sampling of these materials would have caused a great deal of damage that would have not been able to be repaired. All fire rated doors and heat shields behind the steam convector units throughout the hospital shall be considered to contain asbestos unless sampled proving otherwise.

f. Suspect caulking/glazing materials observed on exterior window systems were safely assessed at ground level only with the assumption that window units at higher elevations are homogenous and carry the same designation with respect to asbestos containing materials.

g. Fixed objects, such as cabinets, lab hoods, etc. often conceal additional layers of older flooring that are not otherwise visible for observation and/or sampling during inspection, but are then uncovered during construction activities.

h. Building systems in constant operation which are critical to the building’s occupation are not capable of being inspected. For example, the interior spaces of an HVAC Air Handler Unit would be considered inaccessible for proper inspection due to safety risks by inspectors.

SCOPE OF WORK – LIMITED LEAD PAINT BUILDING INSPECTION (XRF

SURVEY)

1. Riverfront has performed a limited lead paint inspection of suspect painted/glazed building materials at the Poplar Bluff VAMC in an effort to identify building systems observed throughout the campus suspected as being coated with lead-based paint and/or containing a lead glazing.

2. Specifically, Riverfront used a Heuresis XRF (X-Ray Fluorescence) direct reading instrument (Co-57 Source No. Q5-531; 5 mCi; Model Pb200i; Serial No. 1920) to assess homogenous building systems suspected of containing paints or glazes with elevated lead levels through collection of a representative number of samples of each. This assessment was not intended to provide a surface-by-surface assessment of LBP, but rather a representative assessment of architectural finishes consistently found throughout each building, with a representative number of samples collected from each homogenous component throughout accessible areas in an effort to conclusively identify building systems exhibiting surfaces testing positive for LBP such that future construction projects could be planned accordingly.

3. The following survey strategy was followed for execution of the assessment of target building systems within Building 1:

a. Concrete Walls: 3 shots per floor per unique color combination

b. Concrete Ceilings: 3 shots per floor per unique color combination

c. Plaster Walls - Halls: 15 shots per floor (3/wing) per unique color; plus 1 additional per unique color combination

d. Plaster Walls - Rooms: 15 shots per floor (3/wing) per unique color of paint on walls; plus 1 additional per unique color combination

e. Drywall Walls - Halls: 15 shots per floor (3/wing) per unique color of paint on walls; plus 1 additional per unique color combination

f. Drywall Walls - Rooms: 15 shots per floor (3/wing) per unique color of paint on walls; plus 1 additional per unique color combination

g. Glazed Ceramic Block Walls - Halls: 3 shots per floor per unique color combination

h. Glazed Ceramic Tile Walls - Rooms: 3 shots per floor per unique color combination

i. Glazed Ceramic Tile Floors - Rooms: 3 shots per floor per unique color combination

j. Glazed Ceramic Sinks - Rooms: 3 shots per floor per unique color combination

k. Glazed Ceramic Tubs - Rooms: 3 shots per floor per unique color combination

l. Steel Stairwell Stringers: 3 shots per stairwell per unique color combination

m. Steel Stairwell Rails: 3 shots per stairwell per unique color combination

n. Steel Stairwell Handrails: 3 shots per stairwell per unique color combination

o. Door Frames: 3 shots per floor per unique color combination

p. Window Sills: 15 shots per floor per unique color combination

q. Window Sash: 15 shots per floor per unique color combination

r. Window Frames: 15 shots per floor per unique color combination

4. Lead based paint, as defined by current EPA-HUD protocols, is any surface yielding an XRF result of 1.0 mg/cm2 or greater.

5. The Lead Inspector performed a limited XRF survey of the following buildings:

a. Building 1

b. Building 2

c. Building 3

d. Building 4

e. Building 5

f. Building 6

g. Building 7

h. Building 8

i. Building 10

j. Building 11

k. Building 23

6. XRF survey results for each building can be found within the XRF Lead Survey section of each report package. Lead based paints and/or lead glazed materials testing positive for lead have also been summarized within building and floor specific drawings to illustrate which lead building components are present. This information is provided for the expressed purpose of assisting Facilities Management with project planning and cost estimating with respect to lead building components likely to be disturbed during planned projects.

7. It should be noted that construction histories observed in Building 1 typically revealed evidence of original building systems concealed behind current architectural finishes. In particular, this assessment discovered a consistent trend of original ceramic wall tiles, which consistently exhibited elevated lead levels, being concealed behind new drywall layers, thereby limiting access for full assessment and mapping, and introducing the possibility of hidden lead bearing ceramic wall tiles being overlooked. As such, all existing drywall systems are presumed to contain lead glazed ceramic wall tiles beneath unless destructive inspection efforts prove otherwise.

ASBESTOS MANAGEMENT PLAN RECOMMENDATIONS

The following general notes are for all facilities inspected during the Asbestos Reinspection.

These notes reference any deficiencies found in prior inspections, re-inspections, and the current Management Plan.

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 2018 Reinspection Condition and Removal Priority Table for further detail.

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 2018 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.

Provide a copy of the notification to each facility and include a copy in the Management Plan.

6. Maintenance areas (boiler rooms, janitor closets, etc.) are required to have warning labels where ACM are 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 2018 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. “Re-inspections” shall be required at the discretion of the local VA facility.

10. The existing Management Plan (original) is updated by this Reinspection. All procedures and methods listed in the Plan are still in effect and should be followed unless specifically updated or omitted by this inspection. This includes maintenance procedures, repairs to damaged material, response actions, record keeping, surveillance inspections, and training.

11. 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.

12. ACBM should only be removed by licensed and accredited contractors in the State of Missouri. Response actions related to abatement activity should be filed in the Management Plan. Removal of limited amounts of asbestos is within the scope of the Management Plan by the accredited Supervisor and trained individuals.

13. 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.

14. 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.

15. 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/quantity 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.

REPORT SECTION SUMMARY

2018 ACM & LBP REINSPECTION REPORT

POPLAR BLUFF V.A. MEDICAL CENTER

This report includes the following sections:

2018 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 drawings with the asbestos-containing homogeneous areas found during the 2018 asbestos reinspection.

2018 Asbestos Quantity and Abatement Cost Estimate Table

This section provides a table with the quantities and estimated cost of abatement for each homogeneous area.

2018 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, from 2018 or from past records.

2018 Bulk Sample Location Drawings

This section provides drawings with sample locations for all asbestos bulk samples.

2018 Reinspection – Photographs

This section provides photographs of all asbestos bulk samples taken during the 2018 asbestos reinspection.

2018 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 completed during the periodic surveillance inspections required every six (6) months.

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 V. A. 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.

Annual Notification Letters

This section includes copies of the annual Notification Letters provided to employees to inform them of the availability of the Management Plan.

Initial Inspection

This section contains the original asbestos inspection that was completed in 1994.

This information was used, in part, to develop/refine the 2018 Asbestos Reinspection.

2018 LBP XRF Survey Results Summary

This section provides a quick table reference to all asbestos-containing homogeneous areas found during the reinspection and drawings with the asbestos-containing homogeneous areas found during the 2018 asbestos reinspection.

2018 Asbestos Surface Dust Assessment – TEM Micro-vacuum Sampling Summary Letter

This section provides a summary of findings for ceiling grid system areas within Building 1 assessed for asbestos contaminated surface dusts during the 2018 asbestos reinspection.

JOHN J. PERSHING V.A.M.C

POPLAR BLUFF, MISSOURI

2018 CAMPUS-WIDE ACM AND LBP INSPECTION

ACM HOMOGENOUS AREAS SUMMARY TABLE

Building 1- Basement Floor Flooring materials Surfacing Materials TSI Materials Miscellaneous Materials

Basement 228: Crawl Space Soil None

6: Aircell pipe insulation 7: Mudded Fittings 47: Cork Pipe Insulation

42: Fire Door (PACM) EXT-3 Exterior brown door caulk

Building 1- Ground Floor

Ground Floor

64: 12x12 floor tile – black w/ white specs w/ Black Mastic 65: 12x12 floor tile – off white / grey and tan specs w/ Black Mastic 75: Black Mastic Under 12x12 floor tile – blue w/ navy and white specs 82: 12x12 FT- White w/ Brown Specs w/ Tan/Black Mastic 87: Black Mastic Under 12x12 floor tile – off white w/ brown specs 98: Yellow/Black Mastic Under 12x12 Floor Tile Cream w/ Pink and Gray Specs 103: 12x12 floor tile – dark tan marble design 224: Unknown dark floor tile under

HMA-57

229: Black Mastic Under Unknown Floor Tile Under 62 242: Floor Tile Layer Under HMA 113

None

47: Cork Pipe Insulation

29: Steam Convector Units (Heat Shields Assumed) 42: Fire Door (PACM) 45: Interior Window Glazing- Gray (Thin) 66: Door window glaze – thin, gray 76: Sink Soundproofing- Black 211: Interior/exterior concrete foundation water-proofing – black EXT-1: Ext brown window caulk EXT-3: Ext brown door caulk

251: Yellow/Black Mastic Under Unidentified floor tile under HMA-179 271: Green Floor Tile under HMA 72 272: Flooring Mastic- Black

Building 1- 1st Floor

19: 12x12 Floor Tile- White w/ Black Stripes 64: 12x12 floor tile – black w/ white specs w/ Black Mastic 65: 12x12 floor tile – off white / grey and tan specs w/ Black Mastic 82: 12x12 FT- White w/ Brown Specs w/ Tan/Black Mastic 98: Yellow/Black Mastic Under 12x12 Floor Tile Cream w/ Pink and Gray Specs 119: Black Mastic Under 12x12 floor tile – blue w/ blue and white marble design 122: Black Mastic Under 12x12 floor tile – olive green w/ green and white marble design 229: Mastic Under Unknown Floor Tile Under HMA 62 233: Black Mastic Under Unidentified FT Under 118/119 235: FT unidentified under 118 238: FT unidentified under 146 239: Filler under 121 242: Layer under 113 243: Unidentified Floor Tile Under 121/140 257: Black Mastic Under Unknown Layer Under 113 271: Green Tile Under HMA-72

47: Cork Pipe Insulation (Black)

29: Steam convector units (heat shield assumed) 42: Fire Door (PACM) 45: Interior Window Glazing- Gray (Thin) 116: Marble wall finish – dark green/black EXT-1: Ext brown window caulk EXT-3: Ext brown door caulk EXT-8: Ext brown window caulk w/ old beige layer

Building 1- 2nd Floor

64: 12"x12" FT- Black w/ White Specs 65: 12x12 FT- Off White w/ Grey & Tan Specs w/ Black Mastic 82: 12x12 floor tile – white w/ brown specs w/ Tan/Black Mastic 87: Black Mastic Under 12x12 FT Off White w/ Brown Specs 98: Yellow/Black Mastic Under 12x12 Floor Tile Cream w/ Pink and Gray Specs 103: 12x12 floor tile – dark tan marble design w/ black mastic 122: Yellow/black mastic under 12x12 floor tile – olive green w/ green and white marble design 165: Black Mastic Under12x12 FT- Off White (Cream) w/ White, Tan & Grey Specs 168: 9x9 FT- Dark Brown 169: 9x9 FT- Tan 172: 12x12 FT- Black w/ Brown Specs 235: FT Unidentified Under 118 238: Black Mastic Under Floor Tile Unidentified Under 146 243: Brown Layer Under 121/140 248: FT under 158 271: Green Floor Tile Under HMA 72

None 6: Pipe Insulation

42: Fire Door (PACM) 76: Sink Soundproofing- Black 116: Marble wall finish – dark green/black 253: Black Wall Adhesive

Building 1- 3rd Floor

64: 12x12 FT- Black w/ White Specs 87: Black Mastic Under 12x12 Floor Tile Off White w/ Black Specs 98: Yellow/Black Mastic Under 12x12 Floor Tile Cream w/ Pink and Gray Specs 188: 12x12 FT- White w/ Orange (Rust) & Gray Specs 238: Black Mastic Under Floor Tile Under 146 242: Layer under HMA 113 251: Yellow/Black Mastic Under Unidentified floor tile under HMA-179 252: Black Mastic Mastic Under Material under HMA-178 257: Black Mastic Under Unidentified layer under HMA-113 271: Green Floor Tile under carpet

42: Fire Door (PACM) 200: Marble Wall Panel- Green 269: White Compound on Duct Insulation

Building 1- 4th Floor

82: 12x12 floor tile – white w/ brown specs w/ Tan/Black Mastic 98: Yellow/Black Mastic Under 12x12 floor tile – cream w/ pink and gray specs 271: Green Floor Tile Under HMA 72

6: Pipe insulation

47: Cork Pipe Insulation (Black)

42: Fire Door (PACM) 270: Residual Black Adhesive/ Fibers on Duct

Building 1- 5th Floor

64: 12x12 FT- Black w/ White Specs w/ Black Mastic 65: 12x12 Floor Tile- Off White w/ Gray & Tan Specs w/ Black Mastic 87: Black Mastic Under 12x12 floor tile – off white w/ brown specs 98: Yellow/Black Mastic Under 12x12 floor tile – cream w/ pink and gray specs 119: Black Mastic Under 12x12 floor tile – blue w/ n\blue and white marble design 165: Black Mastic Under 12x12 Floor Tile – Off White w/ White, Tan and Gray Specs 180: Black Mastic Under 12x12 FT Off White w/ Green Tint Spec Pattern 204: Flooring- Dark Brown (5005 RR) 209: 12x12 FT- Solid Black w/ Black Mastic 233: FT unidentified under 118/119 242: Unidentified layer under HMA- 251: Black Mastic Under Tile Under 257: Black Mastic Under Unidentified Layer Under 113 259: Layer under 206 261: Black Mastic Under Unidentified layer under HMA-210 271: Green Floor Tile under carpet

42: Fire Door (PACM) 45: Interior window glaze – thin, gray 207: Sink Soundproofing- Gold

Building 1- 6th & 7th Floors

6 & 7 None None

6: Pipe Insulation

42: Fire Door (PACM) 66: Door Window Glaze (Thin Gray) 212: Galbestos Duct Work 213: Vibration Joint Cloth (White)

Building 1- Exterior

Exterior None None None

EXT-1: Exterior Brown Window Caulk EXT-3: Exterior Brown Door Caulk EXT-8: Exterior Brown Window Caulk w/ Old Beige Layer

BASEMENT ASBESTOS LOCATION MAPS

ST

AI

RW

EL

L

SCALE: 1/16" = 1'-0"

BASEMENT FLOOR - CRAWL SPACE CONTAMINATION

0 0

49 49

49 0

8 0

49 49

49 490

0 0

0 0

EXT-3

EXT-3

EXT-3

EXT-3

Asbestos Containing Materials HMA Legend

EXT-3 Exterior brown door caulk - 2 doors, 40 ft 42 Fire door 228 Asbestos contaminated soil - 17,000 ft²

Non-Asbestos General HMA List

0 Concrete 8 Fiberglass 39 Clay brick 48 Firebrick 49 Cork pipe insulation wrap - white

Drawing Number

Date

Location of

Project Title

Project No.

Building No.Approved: Division Chief

Drawing Title on e-ei gh th in ch o ne fo ot on e-qu ar te r i nc h on e fo ot th re e-ei gh th s in ch o ne fo ot on e-ha lf in ch o ne fo ot th re e-qu ar te rs in ch o ne fo ot on e in ch o ne fo ot on e an d on e-ha lf in ch es o ne fo ot th re e in ch es o ne fo ot

1 2 3 4 5 6 7 8 9

1 2 3 4 5 6 7 8 9

B

A

C

D

E

FF

E

D

C

A

B

VA FORM 08-6231

Dwg.

2018 ASBESTOS ASSESSMENT 11/19/2018

X

SH1457

CERTIFICATE OF

AUTHORITY

JUSTIN R. RHYNEER

ABIH CIH NO. 8594CP

MO ASBESTOS PROJ. DESIGNER

NO. 7011102117MOPDR8065

No. Date Revisions

RIVERFRONT Safety & Health A Service Disabled Veteran Owned Small business (SDVOSB)

1139 Olive Street, Suite 300 - Saint Louis, MO 63101 ph 314-436-9492 - fx 314-436-9733

RiverfrontEnvironmental.com

SDVOSB

CVE

BUILDING 1 - Basement General Asbestos Map

Approved: Service Director

Drawn

JRR

Checked

JRR

JOHN J. PERSHING VA MEDICAL CENTER

1500 NORTH WESTWOOD BLVD.

POPLAR BLUFF, MISSOURI

STATION 657A4

LEGEND

X

XXXX

HMA Numbers

Room Numbers

AutoCAD SHX Text

TO TUNNEL

AutoCAD SHX Text

"F" WING"F" WING

AutoCAD SHX Text

"E" WING

AutoCAD SHX Text

"A" WING

AutoCAD SHX Text

"A" WING

AutoCAD SHX Text

"A" WING

AutoCAD SHX Text

"D" WING

AutoCAD SHX Text

"C" WING

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"B" WING

AutoCAD SHX Text

ELEVATOR 5 PIT

AutoCAD SHX Text

"G" WING

ST

AI

RW

EL

L

BASEMENT FLOOR - TSI MAP

SCALE: 1/16" = 1'-0"

Drawing Number

Date

Location of

Project Title

Project No.

Building No.Approved: Division Chief

Drawing Title on e-ei gh th in ch o ne fo ot on e-qu ar te r i nc h on e fo ot th re e-ei gh th s in ch o ne fo ot on e-ha lf in ch o ne fo ot th re e-qu ar te rs in ch o ne fo ot on e in ch o ne fo ot on e an d on e-ha lf in ch es o ne fo ot th re e in ch es o ne fo ot

1 2 3 4 5 6 7 8 9

8 9

B

A

C

F

E

D

A

VA FORM 08-6231

Dwg.

2018 ASBESTOS ASSESSMENT 11/19/2018

X

SH1457

CERTIFICATE OF

AUTHORITY

JUSTIN R. RHYNEER

ABIH CIH NO. 8594CP

MO ASBESTOS PROJ. DESIGNER

NO. 7011102117MOPDR8065

No. Date Revisions

RIVERFRONT Safety & Health A Service Disabled Veteran Owned Small business (SDVOSB)

1139 Olive Street, Suite 300 - Saint Louis, MO 63101 ph 314-436-9492 - fx 314-436-9733

RiverfrontEnvironmental.com

SDVOSB

CVE

BUILDING 1 - Basement TSI Map

Approved: Service Director

Drawn

JRR

Checked

JRR

JOHN J. PERSHING VA MEDICAL CENTER

1500 NORTH WESTWOOD BLVD.

POPLAR BLUFF, MISSOURI

STATION 657A4

LEGEND

Asbestos Containing Materials HMA Legend

7 Mudded fittings - 38 fittings, throughout 47 Cork pipe insulation w/ black adhesive - 1,250 ft

Note: All hanger saddles are presumed to contain asbestos

X

XXXX

HMA Numbers

Room Numbers

All asbestos pipe insulation is presumed to be in good condition unless otherwise noted as D (damaged) or SD (significantly damaged)

AutoCAD SHX Text

TO TUNNEL

AutoCAD SHX Text

"F" WING"F" WING

AutoCAD SHX Text

"E" WING

AutoCAD SHX Text

"A" WING

AutoCAD SHX Text

"A" WING

AutoCAD SHX Text

"A" WING

AutoCAD SHX Text

"D" WING

AutoCAD SHX Text

"C" WING

AutoCAD SHX Text

"B" WING

AutoCAD SHX Text

ELEVATOR 5 PIT

AutoCAD SHX Text

"G" WING

GROUND FLOOR ASBESTOS LOCATION MAPS

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DN

0101A

01C

07A

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09A

18 18A

17A 17B

17C

GSTAIR

GSTAIR

09B

10A

10B

10C

11A

14A

15A

16A

GB

GSTAIR

01B

GSTAIR

44A

44B

45A

47A

01D

GD

GA1

555658

60A

60B

60C

GG/GP1

66A

68A

GSTAIR

78 79

80 81

79A

GE

R

AM

P

07T

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FE

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FE

GROUND FLOOR - FLOOR HMA MAP

SCALE: 1/16" = 1'-0"

0 64 65 109 111 112

0 4 6 20 65 109 111 230

0 103 23 14

57 224

87 88

51 51

51 224

229 272 no access no access

87 272

65 272 85 86

51 85 86 109

64 65 272

Asbestos Containing Materials HMA Legend

64 12"x12" floor tile - black w/ white specs w/ black mastic - 550 ft² 65 12"x12" floor tile - off-white w/ gray and tan specs w/ black mastic - 1,900 ft² 82 12"x12" floor tile - white w/ brown specs w/ tan mastic - 160 ft² 103 12"x12" floor tile - dark tan marble design w/ black mastic - 24 ft² 228 Asbestos contaminated soil 224 Unknown dark tile under HMA 57 - 3,800 ft² 242 Floor tile layer under HMA 113 - 150 ft² 271 Green floor tile under carpet, HMA 72 - 850 ft² 272 Flooring mastic - black - 4,800 ft²

Non-Asbestos General HMA List

0 Concrete 23 6" ceramic tile - red 33 12"x12" floor tile - white w/ black specs 72 Carpet 73 12"x12" floor tile - cream w/ white and dark gray specs (brushed) 98 12"x12" flor tile - cream w/ pink and gray specs 133 2" and 1" ceramic tile - rust and tan 174 Wood laminate flooring 186 1"x1" ceramic floor tile - light gray/beige 194 Floor sheeting - tan/rust pebble design 202 Floor sheeting - dark tan micro dot design

Drawing Number

Date

Location of

Project Title

Project No.

Building No.Approved: Division Chief

Drawing Title on e-ei gh th in ch o ne fo ot on e-qu ar te r i nc h on e fo ot th re e-ei gh th s in ch o ne fo ot on e-ha lf in ch o ne fo ot th re e-qu ar te rs in ch o ne fo ot on e in ch o ne fo ot on e an d on e-ha lf in ch es o ne fo ot th re e in ch es o ne fo ot

1 2 3 4 5 6 7 8 9

1 2 3 4 5 6 7 8 9

B

A

C

D

E

FF

E

D

C

A

B

VA FORM 08-6231

Dwg.

2018 ASBESTOS ASSESSMENT 11/19/2018

X

SH1457

CERTIFICATE OF

AUTHORITY

JUSTIN R. RHYNEER

ABIH CIH NO. 8594CP

MO ASBESTOS PROJ. DESIGNER

NO. 7011102117MOPDR8065

No. Date Revisions

RIVERFRONT Safety & Health A Service Disabled Veteran Owned Small business (SDVOSB)

1139 Olive Street, Suite 300 - Saint Louis, MO 63101 ph 314-436-9492 - fx 314-436-9733

RiverfrontEnvironmental.com

SDVOSB

CVE

BUILDING 1 - Ground Floor Flooring HMA

Approved: Service Director

Drawn

JRR

Checked

JRR

JOHN J. PERSHING VA MEDICAL CENTER

1500 NORTH WESTWOOD BLVD.

POPLAR BLUFF, MISSOURI

STATION 657A4

LEGEND

X

XXXX

HMA Numbers

Room Numbers

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01A

01C

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09A

17B

GSTAIR

GSTAIR

09B10

10A

10B

10C

11A14

14A

15A

16AGSTAIR

01B

GSTAIR

44A

44B

45A

47A

01D

GA1

60A

60B

60C

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66A

68A

GSTAIR

78 79

80 81

79A

R

AM

P

07T

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FE

FE

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FE

FE

GROUND FLOOR - WALL HMA MAP

SCALE: 1/16" = 1'-0"

01434

14 14

334 1450

10097

68 97

14 15

0 96

34 14 15

14 34

633434

63 15

14 15 34

15 34 63

34 5015

5015 56

34 50

14 41

3 8 78

50 340

34 74 14 15 22 34

67 71

34 50

0 3

34 67

Drawing Number

Date

Location of

Project Title

Project No.

Building No.Approved: Division Chief

Drawing Title on e-ei gh th in ch o ne fo ot on e-qu ar te r i nc h on e fo ot th re e-ei gh th s in ch o ne fo ot on e-ha lf in ch o ne fo ot th re e-qu ar te rs in ch o ne fo ot on e in ch o ne fo ot on e an d on e-ha lf in ch es o ne fo ot th re e in ch es o ne fo ot

1 2 3 4 5 6 7 8 9

1 2 3 4 5 6 7 8 9

B

A

C

D

E

FF

E

D

C

A

B

VA FORM 08-6231

Dwg.

2018 ASBESTOS ASSESSMENT 11/19/2018

X

SH1457

CERTIFICATE OF

AUTHORITY

JUSTIN R. RHYNEER

ABIH CIH NO. 8594CP

MO ASBESTOS PROJ. DESIGNER

NO. 7011102117MOPDR8065

No. Date Revisions

RIVERFRONT Safety & Health A Service Disabled Veteran Owned Small business (SDVOSB)

1139 Olive Street, Suite 300 - Saint Louis, MO 63101 ph 314-436-9492 - fx 314-436-9733

RiverfrontEnvironmental.com

SDVOSB

CVE

BUILDING 1 - Ground Floor Wall HMA

Approved: Service Director

Drawn

JRR

Checked

JRR

JOHN J. PERSHING VA MEDICAL CENTER

1500 NORTH WESTWOOD BLVD.

POPLAR BLUFF, MISSOURI

STATION 657A4

LEGEND

X

XXXX

HMA Numbers

Room Numbers

Asbestos Containing Materials HMA Legend

29 Steam convector units (heat shields assumed) - Throughout 42 Fire door - 7 doors 66 Door Window glaze - thin, gray - 8 ft 211 Interior/exterior concrete foundation waterproofing - black - 750 ft² EXT-1 Exterior brown window caulk - 100 openings - 1,424 ft - All windows EXT-3 Exterior brown door caulk - 17 doors - 350 ft - All doors

Non-Asbestos General HMA List

0 Concrete 2 Ceramic Covebase- Red 3 Glazed Block- Tan 8 Fiberglass 13 Interior Window Caulk- Yellow 14 Interior Caulk- White 15 Plaster 20 12"x12" Floor Tile- Beige w/ Tan &White Specs (Brushed) 22 4" Ceramic Wall Tile- White 25 Aluminum Wrapped Fiberglass on Ducts 27 Interior Caulk on HVAC Duct - Silver (Metallic) 28 Wood 34 Drywall w/ Joint Compound 35 4" Covebase- Black w/brown mastic 39 Clay Block 40 Brick 41 Interior Door Caulk- Brown 43 Interior FG Duct Insulation- Black 44 Duct Seam Sealant- White (Inside Duct) 50 6" Covebase- Tan 55 4" Ceramic Wall Tile- White w/ Gold Specs 56 Marble Window Sill- Gray 58 9"x9" Ceramic Tile- Beige w/ Brown Specs 59 9" Ceramic Wall Tile- Grey w/ Black and Tan Specs 61 Interior Silicone Caulk- Black 63 6" Covebase- Light Gray 67 Wall Wood Panel (Potential of Mastic Behind) 68 6" Covebase- Black 72 Carpet 74 4" Covebase- Tan 77 6" Covebase- Brown/Gray 78 Ceramic Block Wall Adhesive- Dark Brown 79 Vibration Joint Cloth- Black Vinyl 81 4" Covebase- Brown 83 Glazed Block Covebase- Brown 84 Interior Caulk- Gray; on drywall/block seam 86 Terrazzo Flooring- Brown 89 4" Ceramic Wall Tile- Dark Tan 91 4" Ceramic Covebase- Off White 92 4" Ceramic Wall Tile- Off White 96 Sink Soundproofing- White 97 Concrete Block 99 White Fiberglass Duct Insulation w/ Green Adhesive 100 Red/Burgundy Fireproof Penetration Caulk 102 Interior Door Caulk- White 104 Tan Pipe Penetration Spackle Material 107 Plastic Wall Laminate w/ Mastic- Dark Brown/Blue(Foyer)/White(3rdFloor) 124 Sink Soundproofing- Gray

2018 Lead Summary

Description Comments Beige paint on door and door frame Present Throughout

White paint on metal door frame Present Throughout

Beige paint on metal rail Present Throughout

Brown paint on metal double door and frame Present Throughout

Brown paint on metal basement door and frame Present Throughout

Brown paint on metal door and frame Present Throughout

UP

UP

UP

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UP

UP

UP

DN

0101A

01C

07A

07B

07C

07D

07E

07F

07G

07H

07I

07J

07K

07L

07M

07N

07O

07P

07Q

07R

07S

09A

18 18A

17B

17C

GSTAIR

GSTAIR

09B

10A

10B

10C

11A

14A

15A

16A

GB

GSTAIR

01B

GSTAIR

44A

44B

45A

47A

01D

GD

60A

60B

60C

GG/GP1

66A

68A

GSTAIR

76 77

78 79

80 81

79A

GE

R

AM

P

07T

FE

FE

FE

FE

FE

FE

FE

Non-Asbestos General HMA List

0 Concrete 4 2'x4' CT- Fiberglass 5 2'x4' CT- Pinhole w/ 1 Wormhole 8 Fiberglass 12 2'x4' CT- Textured Drywall 15 Plaster 25 Aluminum Wrapped Fiberglass on Ducts 34 Drywall w/ Joint Compound 39 Clay block 70 2'x4' CT- Pinhole & Large Defined Henpeck 78 Ceramic block wall adhesive - dark brown 80 Tectum roof deck 94 2'x4' ceiling tile - white, plastic

Drawing Number

Date

Location of

Project Title

Project No.

Building No.Approved: Division Chief

Drawing Title on e-ei gh th in ch o ne fo ot on e-qu ar te r i nc h on e fo ot th re e-ei gh th s in ch o ne fo ot on e-ha lf in ch o ne fo ot th re e-qu ar te rs in ch o ne fo ot on e in ch o ne fo ot on e an d on e-ha lf in ch es o ne fo ot th re e in ch es o ne fo ot

1 2 3 4 5 6 7 8 9

1 2 3 4 5 6 7 8 9

B

A

C

D

E

FF

E

D

C

A

B

VA FORM 08-6231

Dwg.

2018 ASBESTOS ASSESSMENT 11/19/2018

X

SH1457

CERTIFICATE OF

AUTHORITY

JUSTIN R. RHYNEER

ABIH CIH NO. 8594CP

MO ASBESTOS PROJ. DESIGNER

NO. 7011102117MOPDR8065

No. Date Revisions

RIVERFRONT Safety & Health A Service Disabled Veteran Owned Small business (SDVOSB)

1139 Olive Street, Suite 300 - Saint Louis, MO 63101 ph 314-436-9492 - fx 314-436-9733

RiverfrontEnvironmental.com

SDVOSB

CVE

BUILDING 1 - Ground Floor Ceiling HMA

Approved: Service Director

Drawn

JRR

Checked

JRR

JOHN J. PERSHING VA MEDICAL CENTER

1500 NORTH WESTWOOD BLVD.

POPLAR BLUFF, MISSOURI

STATION 657A4

LEGEND

X

XXXX

HMA Numbers

Room Numbers

GROUND FLOOR - CEILING HMA MAP

SCALE: 1/16" = 1'-0"

8 25 80

0 8

5 69

5 4

5 69 70 4 5

00 005

0 34

UP

UP

UP

UP

UP

UP

UP

DN

0101A

01C

07A

07B

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07D

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07G

07H

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07J

07K

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09A

18 18A

17A 17B

17C

GSTAIR

GSTAIR

09B

10A

10B

10C

11A

14A

15A

16A

GB

GSTAIR

01B

GSTAIR

44A

44B

45A

47A

01D

GD

GA1

555658

60A

60B

60C

GG/GP1

66A

68A

GSTAIR

78 79

80 81

79A

GE

R

AM

P

07T

FE

FE

FE

FE

FE

FE

FE

5 ft (D) 35 ft (D)

30 ft

15 ft (D)

5 ft

240 ft

270 ft (D)

180 ft

120 ft

95 ft

100 ft (D)

35 ft (D)

3 ft

90 ft (D)

4 ft

150 ft (D)

35 ft (D)

60 ft (D)

60 ft (D)

25 ft

45 ft

120 ft

75 ft (D)

30 ft, HMA 47

20 ft

24 ft

80 ft (D)

46 ft (D)

35 ft (D)

35 ft

35 ft

35 ft

15 ft

Asbestos Containing Materials HMA Legend

6 Air-cell ACM pipe insulation (TSI) 7 Mudded ACM pipe fittings 47 Cork pipe insulation w/ black adhesive

2,434 ft of combined TSI

Drawing Number

Date

Location of

Project Title

Project No.

Building No.Approved: Division Chief

Drawing Title th re e-ei gh th s in ch o ne fo ot on e-ha lf in ch o ne fo ot th re e-qu ar te rs in ch o ne fo ot on e in ch o ne fo ot on e an d on e-ha lf in ch es o ne fo ot th re e in ch es o ne fo ot

2 3 4 5 6 7 8 9

1 2 3 4 5 6 7 8 9

B

A

C

D

E

F

E

D

C

A

B

Dwg.

2018 ASBESTOS ASSESSMENT 11/19/2018

X

SH1457

CERTIFICATE OF

AUTHORITY

JUSTIN R. RHYNEER

ABIH CIH NO. 8594CP

MO ASBESTOS PROJ. DESIGNER

NO. 7011102117MOPDR8065

RIVERFRONT Safety & Health A Service Disabled Veteran Owned Small business (SDVOSB)

1139 Olive Street, Suite 300 - Saint Louis, MO 63101 ph 314-436-9492 - fx 314-436-9733

RiverfrontEnvironmental.com

SDVOSB

CVE

BUILDING 1 - Ground Floor TSI Map

Approved: Service Director

Drawn

JRR

Checked

JRR

JOHN J. PERSHING VA MEDICAL CENTER

1500 NORTH WESTWOOD BLVD.

POPLAR BLUFF, MISSOURI

STATION 657A4

LEGEND

X

XXXX

ACM amounts per room

Room Numbers

120 ft (SD)

GROUND FLOOR - TSI MAP

SCALE: 1/16" = 1'-0"

All asbestos pipe insulation is presumed to be in good condition unless otherwise noted as D (damaged) or SD (significantly damaged)

1st FLOOR ASBESTOS LOCATION MAPS

10001001 1002

1004 1005 1006 1007 1007A

1STAIR

1009A

1011 1012

1STAIR

1STAIRB

1025A

1027A

1030 1031

1B

1STAIR

1STAIR

C

10611062

1060A

1064A106410651065A

1STAIR

1003A

1068A

1STAIR

10871088

11011102110311041105110611071108

1110A

1110B1111

1115A

1E

1STAIR

1142 1144

1147 11491A1

1STAIR

1172 1173 1174

1F

1A3

1D2

1D

1STAIR

A

1C

1130A

1075A

1 40 82 98 109

65 82

98 121 141

140 73 8811

98 121 141

98 121

98 121

98 121

85 115

113 141

98 73 141

114 115

170 40

118 119

88 88

11146

53 72 20 20 118 119

119 33 98

118 119 121

130 132

88 115

113 121

118 119

1 19

118 119 233

118 119

118 122

118 119

1 1

17 1

DN

DN

DN

DN

DN

DN

DN

DN

DN

UP

UP

FE

FE

FE

FE

FE

FE

FE

FIRST FLOOR - FLOOR HMA MAP

SCALE: 1/16" = 1'-0"

Asbestos Containing Materials HMA Legend

19 12"x12" Floor Tile- White w/ Black Stripes- 36ft² 64 12"x12" FT- Black w/ White Specs w/ Black Mastic- 30ft² 65 12"x12" FT- Off White w/ Grey &Tan Specs w/ Black Mastic- 270ft² 82 12"x12" FT- White w/ Brown Specs w/ Tan/Black Mastic- 96ft² 235 Unidentified FT Under 118- 3,800ft² 242 Unidentified Layer Under 113- 1,300ft² 243 Brown Layer Under 121/140- 180ft² 271 Unidentified Green Tile Under Carpet- 250ft² 272 Flooring Mastic- Black- 6,300ft²

Non-Asbestos General HMA List

0 Concrete 1 Ceramic Floor Tile- Red Brick Pattern 11 2" Ceramic Floor Tile- Tan&Brown 17 Epoxy Floor- Light Blue 20 12"x12" Floor Tile- Beige w/ Tan &White Specs (Brushed) 21 Marble (Gray) 33 12"x12" Floor Tile- White w/ Black Specs (~140) 36 Grout In Floor Pipe- Gray 37 Grout Around Floor Pipe 40 Brick 52 12"x12" Rust Brown w/ Brown &Tan Specs 53 12"x12" FT Light Brown w/ Brown &Tan Specs 62 12"x12" FT- White w/ Blue Specs 72 Carpet 73 12"x12" FT- Light Grey w/ White and Dark Grey Specs (Brushed) 85 Terrazzo Flooring- Tan 88 12"x12" Ceramic Floor Tile- Brown 98 12"x12" Floor Tile: Cream w/ Pink and Gray Specs (Marble Finish) 109 Terrazzo Floor- Light Gray w/ Black Specs 113 12"x12" Floor Tile- Light Gray w/ Solid Marble Finish (white)(Ground Pharmacy Office 114 Terrazzo Floor- Light Green w/ Black and White Specs 115 Terrazzo Floor- Dark Green w/ Black Specs 118 12"x12" FT- Cream Color w/ Brown and Grey Specs 119 12"x12" FT Blue w/ Blue and White Marble Design 121 12"x12" FT- Aqua Green w/ Green & White Marble Design 122 12"x12" FT- Olive Green w/ Green & White Marble Design 126 2"x2" Ceramic Floor Tile- Blue (Checker Design) 129 12"x12" FT- Dark Green w/ Black Dots 130 12"x12" FT- Gold w/ Black Dots 132 HMAs 52, 129, 130, 131 B Wing Rooms 136 1'x4' Stair Tread- Tan 140 12"x12" FT- Light Gray w/ Black and Blue/Green Specs 141 12"x12" Pink w/ Marble Design 143 2"&1" Ceramic Floor Tile- Blue and White 144 Terrazzo Floor- Green w/ Grey and White Specs 146 12"x12" FT- Off White w/ Gray and Tan Marble Finish (1007A) 229 Unknown Floor Tile/Black Mastic Under 62 233 Unidentified FT Under 118/119 238 Unidentified Floor Tile Under 146 239 Filler Under 121 257 Unidentified Layer Under 113

Drawing Number

Date

Location of

Project Title

Project No.

Building No.Approved: Division Chief

Drawing Title on e-ei gh th in ch o ne fo ot on e-qu ar te r i nc h on e fo ot th re e-ei gh th s in ch o ne fo ot on e-ha lf in ch o ne fo ot th re e-qu ar te rs in ch o ne fo ot on e in ch o ne fo ot on e an d on e-ha lf in ch es o ne fo ot th re e in ch es o ne fo ot

1 2 3 4 5 6 7 8 9

1 2 3 4 5 6 7 8 9

B

A

C

D

E

FF

E

D

C

A

B

VA FORM 08-6231

Dwg.

2018 ASBESTOS ASSESSMENT 11/19/2018

X

SH1457

CERTIFICATE OF

AUTHORITY

JUSTIN R. RHYNEER

ABIH CIH NO. 8594CP

MO ASBESTOS PROJ. DESIGNER

NO. 7011102117MOPDR8065

No. Date Revisions

RIVERFRONT Safety & Health A Service Disabled Veteran Owned Small business (SDVOSB)

1139 Olive Street, Suite 300 - Saint Louis, MO 63101 ph 314-436-9492 - fx 314-436-9733

RiverfrontEnvironmental.com

SDVOSB

CVE

BUILDING 1 - 1st Floor Flooring HMA

Approved: Service Director

Drawn

JRR

Checked

JRR

JOHN J. PERSHING VA MEDICAL CENTER

1500 NORTH WESTWOOD BLVD.

POPLAR BLUFF, MISSOURI

STATION 657A4

LEGEND

X

XXXX

HMA Numbers

Room Numbers

257 272

98 121 272

98 121 272

98 121 272

257 272

257 272

235 272

235 272

233 235 272

235 272

33 119 233 235 272

242 257

113 121 242 257

118 121 235 272

118 233 235 272

34 34

15 34 120 14 15 29 34 120

14 15 22 29 34 56 120

34 125

29 34 125

14 15 29 34 120

15 34 128 135

22 34 50

14 15 29 34

14 15 29 34

14 15 29 120

14 15 29 34

14 15 29 34 56 63

14 15 29 34 56 63

14 15 29 34 56 68

14 15 29 34 68

15 29 63 127

3 83

14 15 29 56 63 127

14 15 29 56 63 127

14 15 56 63

2 14 15 29 56 63

14 15 22 29 23 56 68

11715

14 15 116 117

100 104 3 39

22 34 14 15

120120

14 15 22 29 34 56 120

14 15 29 34 56 120

14 15 22 29 34 56 120

14 15 22 29 34 56 120

14 15 22 29 34 56 120

14 15 22 29 34 56 120

15 34 50 120

100 104

29 31 35

3 16

22 108

40 41

32 34

32 34

22 108

14 15 29 42 56 3

4 42 43

15 34 10 13 108

14 15 29 56

34 125

134 135

0 15 45

15 34 68 127

15 29 34 71

14 29 81 96

14 29 81 96

34 71

14 15 34 71

DN

DN

DN

DN

DN

DN

DN

DN

DN

UP

UP

10001001 1002

1007A

1STAIR

1009A

1011 1012

1STAIR

1STAIR

B

1025A

1027A

1030 1031 1032

1B

1STAIR

1042 1044

1STAIR

C

10621063

1060A

1064A106410651065A

1STAIR

1003A

1068A

1075A

10811082

1STAIR

11011102110311041105110611071108

1110A

1110B

11151116

1115A

1E1129

1STAIR

1147 11491A1

1159 1160

1STAIR

1166A

1F

1A3

1D2

1D

1STAIR

A

1C

1130A

FE

FE

FE

FE

FE

FE

FE

FIRST FLOOR - WALLS

SCALE: 1/16" = 1'-0"

1 14 29 34 38 56 127 137 139 244 245

15 29 39 120

15 29

15 29 34 96

29 34

14 15 29 34 56 120

14 15 29 34

14 15 29 34 56 120

14 15 29 56

15 22 34 56

15 34 120 15 22 34 106

34 56 120 14 15 22 29

34 56 120 14 15 22 29

29 34 14 15 22

34 56 120 14 15 22 29

34 56 120 14 15 22 29

34 56 120 14 15 22 29

34 56 120 14 15 22 29

34 56 120 14 15 22 29

34 56 120 14 15 29

14 15 29 34 120

34 8915 34 92 120 29 34 56 14 15 22

29 68 14 15

XEXT-4

Drawing Number

Date

Location of

Project Title

Project No.

Building No.Approved: Division Chief

Drawing Title on e-ei gh th in ch o ne fo ot on e-qu ar te r i nc h on e fo ot th re e-ei gh th s in ch o ne fo ot on e-ha lf in ch o ne fo ot th re e-qu ar te rs in ch o ne fo ot on e in ch o ne fo ot on e an d on e-ha lf in ch es o ne fo ot th re e in ch es o ne fo ot

1 2 3 4 5 6 7 8 9

1 2 3 4 5 6 7 8 9

B

A

C

D

E

FF

E

D

C

A

B

VA FORM 08-6231

Dwg.

2018 ASBESTOS ASSESSMENT 11/19/2018

X

SH1457

CERTIFICATE OF

AUTHORITY

JUSTIN R. RHYNEER

ABIH CIH NO. 8594CP

MO ASBESTOS PROJ. DESIGNER

NO. 7011102117MOPDR8065

No. Date Revisions

RIVERFRONT Safety & Health A Service Disabled Veteran Owned Small business (SDVOSB)

1139 Olive Street, Suite 300 - Saint Louis, MO 63101 ph 314-436-9492 - fx 314-436-9733

RiverfrontEnvironmental.com

SDVOSB

CVE

BUILDING 1

Approved: Service Director

Drawn

JRR

Checked

JRR

JOHN J. PERSHING VA MEDICAL CENTER

1500 NORTH WESTWOOD BLVD.

POPLAR BLUFF, MISSOURI

STATION 657A4

LEGEND

HMA Numbers

Room Numbers

Asbestos Containing Materials HMA Legend

29 Steam convector units (heat shields assumed) - 110 units 42 Fire door - 10 doors - all stairwell doors 45 Interior window glazing - gray - 110 openings - 1,800 ft - all windows 116 Marble wall finish - dark green/black - 1,600 ft² EXT-1 Exterior brown window caulk - 110 openings - 1,800 ft - all windows EXT-3 Exterior brown door caulk - 7 openings - 160 ft - all exterior doors

General HMA List

0 Concrete 2 Ceramic Covebase- Red 3 Glazed Block- Tan 10 4" Ceramic wall tile - yellow 14 Interior Caulk- White 15 Plaster 16 FRP vinyl walls - white 22 4" Ceramic wall tile - white 26 Glazed ceramic block - yellow 27 Interior caulk on HVAC duct - silver(metallic) 28 Wood 30 Stainless steel panels 31 HVAC duct seam sealant - gray 32 6" covebase - dark brown 34 Drywall w/ Joint Compound 35 4" covebase - black w/ brown mastic 38 Duct sealant under aluminum tape - gray 39 Clay Block 40 Brick 41 Interior door caulk - brown 43 Interior fiberglass duct insulation - black 44 Duct seam sealant - white 50 6" Covebase- Tan 56 Marble Window Sill- Gray 63 6" Covebase- Light Gray 68 6" Covebase- Black 71 4" covebase - light gray 81 4" covebase - brown 83 Glazed Block Covebase- Brown 89 4" Ceramic wall tile - dark tan 92 4" Ceramic Wall Tile- Off White 96 Sink Soundproofing- White 100 Red/Burgundy Fireproof Penetration Caulk 104 Tan Pipe Penetration Spackle Material 106 4" Ceramic wall…