Attachment 7 - Asbestos Report - Louis A. Johnson.pdf

APPENDIX ‘M’

- ASBESTOS CONTAINING MATERIALS

REPORT

Office Locations: Harrisburg, PA Morgantown,WV State College, PA Hagerstown, MD Hunt Valley, MD

October 22, 2021

Mr. Peter Moser Project Manager Bancroft Architects and Engineers 700 Nicholas Blvd.

Elk Grove Village, IL 60007

RE: Limited Asbestos Inspection A/E Services for Nutrition and Food, Physical Therapy and Eye Clinic Addition Louis A. Johnson VA Medical Center 1 Medical Center Drive Clarksburg, West Virginia

Mr. Moser:

On September 23rd and 24th, 2021, Skelly and Loy, a Terracon Company, conducted a limited inspection for asbestos-containing material (ACM) in the Physical Therapy, Eye Clinic, and Food Preparation areas for the renovation project at the Louis A. Johnson VA Medical Center located at 1 Medical Center Drive in Clarksburg, West Virginia. The inspection was limited to areas which are to be affected by planned renovation activities. This inspection was completed in accordance with appropriate Federal and West Virginia asbestos regulations.

ASBESTOS INSPECTION

Appropriate safety and hygiene protocols were observed during all site activities. A visual inspection was conducted in all accessible areas within the proposed renovation area. Since a majority of the areas in the renovation areas were in use during the inspection activities, destructive measures for the collection of bulk samples were not used to gain access to inaccessible areas in occupied portions of the building; i.e. pipe chases, wall cavities, etc.

Discreet sampling methods were used in areas of concern during this inspection. Suspect asbestos building materials were classified into homogeneous areas (HAs), and bulk samples of each HA were collected based on the United States Environmental Protection Agency (US EPA) random sampling protocol.

Appropriate precautions were taken when sampling friable materials. The bulk sampling areas were first wetted with amended water and a small portion was then removed using a razor knife or other means. All bulk samples were sealed in plastic vials and logged with an appropriate chain of custody (COC) form.

Site asbestos inspection activities were conducted by Mr. Nathaniel Ruhl (WV inspector license #AI010737) and assisted by Mr. Ryan Steele. The inspector is USEPA trained and licensed by the West Virginia Department of Health and Human Resources. A copy of the inspector’s license is appended to this report.

Mr. Peter Moser

The visual inspection for suspect asbestos materials included areas above the drop ceiling tile.

Suspect ACM typically includes, but is not limited to, resilient flooring, mastics, ceiling tile, wallboard, building insulation, plaster, thermal system insulation (TSI), construction caulk, wall tar waterproofing, cementitious sheet board and pipe and ceramic tile grout.

Upon identification of a suspect material, a bulk sampling scheme was developed which included the collection of the appropriate number of bulk samples per homogeneous material. A homogeneous material is defined as a material that is uniform in color, texture, and age of installation. All bulk samples of suspect ACM found in the building were documented on COC forms with results being presented on the analytical reports.

During the inspection, the quantity of suspect ACM was also documented. Each suspect material was assessed as either friable or non-friable. By definition, friable material can be crumbled, pulverized, or reduced to powder by hand pressure. In addition, if non-friable material is disturbed or damaged, the material has the potential to become friable.

Asbestos bulk samples were analyzed using Polarized Light Microscopy (PLM) by US EPA Method 600/R-93/116. The bulk samples were shipped to Batta Laboratories (BATTA), located in Newark, Delaware, for analysis using PLM with dispersion staining, as specified by the US EPA. BATTA is accredited through the National Voluntary Laboratory Accreditation Program (NVLAP). By law, the laboratory analyst is required to analyze all layers of a submitted sample if multiple layers exist, unless otherwise directed in the COC. Based on the information gathered, the following summary of asbestos and non-asbestos findings and conclusions is presented.

Table 1.1, Summary of Asbestos Analytical Results, lists and characterizes all samples collected and analyzed from the Louis A. Johnson VA Medical Center. Bulk sample results are reported by percent and type of asbestos identified by laboratory analysis. Copies of the analytical reports and COC documentation are attached. Materials identified to contain greater than one percent asbestos are considered by definition to be ACM. Likewise, materials identified to contain asbestos equal to, or less than, one percent asbestos are considered by definition to be non-ACM. The location(s) of all ACM identified within the structure can be ascertained by cross-referencing the room numbers/descriptions listed in the “Location” column of the tables to the room number/descriptions designations on the enclosed figures.

Table 1.1 Summary of Asbestos Analytical Results

Sampled Material Percent

Asbestos Quantity Location

Pipe Insulation Debris 1.5% Chrysotile 500 SF Pipe Chase under Food Prep Area B122

Pipe Insulation in Cement Floor

15% Chrysotile 10% Amosite TBD Encased in Cement under Food

Prep Area B122

Air Cell Pipe Insulation 25% Chrysotile 400 LF Vestibule B122L, Cooler B122K, and Cooler B122J above Drop

Ceiling

Mudded Pipe Fitting Insulation 20% Chrysotile 30 Units

Vestibule B122L, Cooler B122K, and Cooler B122L above Drop Ceiling (associated with Air Cell

Pipe Insulation) TBD-To Be Determined

· Of 44 suspect homogeneous materials sampled, 158 bulk samples (including layers) were collected and submitted to the laboratory to be analyzed.

· Of the sampled suspect materials, Pipe Insulation Debris (HA 29), Pipe Insulation in Cement Floor (HA 30), Air Cell Pipe Insulation (HA 34), and Mudded Pipe Fittings Insulation (HA 35) were identified as containing asbestos. All ACM is considered friable.

This report is accurate to the best knowledge of the inspectors. It must be reiterated that the asbestos inspection was limited to visible and accessible portions of the Louis A. Johnson Medical Center and that ACM not identified through this inspection may be present in inaccessible areas of the structure. Should suspect ACM beyond that identified through this inspection be encountered at any time in the future, Skelly and Loy recommends that it be treated as ACM until clarification by valid analytical methods is obtained. Skelly and Loy further recommends that all laws, regulations, and guidelines, governing waste disposal and the protection of human health and the environment be strictly adhered to when working with or near any confirmed or suspect ACM. The inspectors and Skelly and Loy assume no liability for financial or health consequences resulting from actions or lack of actions taken by clients as a result of this inspection. If ACM is to be disturbed by planned renovation activities, removal must be performed by a West Virginia licensed asbestos abatement contractor according to West Virginia Department of Veteran Affairs standards.

If you have any questions or comments concerning the contents or interpretation of this report, please call Mr. Daniel Davis at (412) 828-1412.

Sincerely, SKELLY and LOY

Nathaniel Ruhl Daniel J. Davis, CEM, CES Environmental Technician Senior Client Development Specialist

NJR/djd Enclosures cc: JP217193 File: Louis A. Johnson VA Medical Center ACM Report

ASBESTOS MASTER

SUMMARY TABLE

Master Summary Table - ACM

Skelly and Loy

Louis A. Johnson Medical Center Nutrition and Food, Physical Therapy, and Eye Center

1 Medical Center Drive Clarksburg, WV

Structural Description Material Description Quantity % Asbestos

1 Medical Center Drive

Pipe Insulation Debris 500 SF 1.5% Chrysotile

Pipe Insulation in Cement Floor TBD 15% Chrysotile 10% Amosite

Air Cell Pipe Insulation 400 LF 25% Chrysotile

Mudded Pipe Fitting Insulation 30 Units 20% Chrysotile

TBD – To Be Determined

Photographs

Pipe Insulation Debris

Master Summary Table - ACM

Skelly and Loy

Pipe Insulation in Cement Floor

Air Cell Pipe Insulation

Mudded Pipe Fitting Insulation

LIST OF ASBESTOS HOMOGENOUS AREAS

AND MAPS

List of Homogeneous Areas

Skelly and Loy

Project Name:

A/E Services for Nutrition and Food, Physical Therapy and Eye Clinic Addition Project Number: JP217193

Building Name: Louis A. Johnson VA Medical Center Location: 1 Medical Center Drive, Clarksburg WV

HA# Material Contain Asbestos?

Quantity Yes No Assumed

01 Sheet Rock X 02 Joint Compound associated with Sheet Rock X 03 2’x2’ White Texture Ceiling Tile X 04 Tan/Brown Sheet Flooring X 05 12”x12” Maroon Self-Adhesive Floor Tile X 06 Sink Undercoat X 07 6” Brown Cove Base X 08 Mastic associated with 6” Brown Cove Base X 09 1’x1’ Ceramic Tile Grout X 10 Sprinkler Pipe Sealant X 11 Spray-on Fireproofing X 12 Fiberglass Pipe Sealant X 13 Tar Paper Between Brick and Concrete X 14 2005 Plaster Base Coat X 15 2005 Skim Coat X 16 12”x12” White and Brown Floor Tile X

17 Mastic associated with 12”x12” White and Brown Floor Tile X

18 2’x4’ White Wormhole Ceiling Tile X 19 Firestop Caulk X 20 Grey Duct Sealant X 21 1947 Plaster Skim Coat X 22 1947 Plaster Base Coat X 23 1947 Spray-on Fireproofing X 24 12”x12” Tan Mottled Self-Adhesive Floor Tile X 25 12”x12” White with Blue Floor Tile X 26 Mastic associated with 12”x12” White with Blue Floor Tile X 27 Thick Black with White Specks Sheet Flooring X

List of Homogeneous Areas

Skelly and Loy

Project Name:

A/E Services for Nutrition and Food, Physical Therapy and Eye Clinic Addition Project Number: JP217193

Building Name: Louis A. Johnson VA Medical Center Location: 1 Medical Center Drive, Clarksburg WV

HA# Material Contain Asbestos?

Quantity Yes No Assumed

28 6”x6” Ceramic Floor Tile Grout X 29 Pipe Space Tar Paper X 30 Off-White with Black Specks Sheet Flooring X

31 Mastic associated with Off-White with Black Specks Sheet Flooring

32 Fiberglass Pipe Wrap X 33 Pipe Insulation Debris X 500 SF 34 Pipe Insulation in Cement Floor X TBD 35 Kitchen Area Plaster Skim Coat X 36 Kitchen Area Plaster Base Coat X 37 Cloth Wrap on Fiberglass X 38 Aircell Pipe Insulation X 400 LF 39 Mudded Pipe Fittings Insulation X 30 Units 40 Silver Emulsion X 41 Black Wall Tar X 42 2’x2’ White Wormhole Ceiling Tile X 43 Exterior Window Caulk X 44 Exterior HVAC Caulk X

SUSPECT ASBESTOS BULK SAMPLING

AND MAPS

Suspect Asbestos Bulk Sampling Form

*If first or any sample in a supplied group is positive, then all are assumed positive NAD – No Asbestos Detected

Skelly and Loy

Project Name:

A/E Services for Nutrition and Food, Physical Therapy and Eye Clinic Addition

Project Number: JP217193

Building Name: Louis A. Johnson VA Medical Center Address: 1 Medical Center Drive, Clarksburg WV

Sampled By: Nate Ruhl Date: September 23, 2021

Sample Number Material HA # Location % Asbestos

CVA-01 Sheet Rock 01 Physical Therapy Gym

1122 NAD

CVA-02 Sheet Rock 01 Physical Therapy Treatment Room 1122C NAD

CVA-03 Sheet Rock 01 Physical Therapy ADL Room 1122E NAD

CVA-04 Joint Compound associated with Sheet Rock 02 Physical Therapy Gym

1122 NAD

CVA-05 Joint Compound associated with Sheet Rock 02 Physical Therapy Treatment Room 1122C NAD

CVA-06 Joint Compound associated with Sheet Rock 02 Physical Therapy ADL Room 1122E NAD

CVA-07 2’x2’ White Texture Ceiling Tile 03 Physical Therapy Gym

1122 NAD

CVA-08 2’x2’ White Texture Ceiling Tile 03 Physical Therapy Treatment Room 1122C NAD

CVA-09 2’x2’ White Texture Ceiling Tile 03 Physical Therapy ADL Room 1122E NAD

CVA-10 Tan/Brown Sheet Flooring 04 Physical Therapy Gym

1122 NAD

CVA-11 Tan/Brown Sheet Flooring 04 Physical Therapy Gym

1122 NAD

CVA-12 Tan/Brown Sheet Flooring 04 Physical Therapy Gym

1122 NAD

CVA-13 12”x12” Maroon Self-Adhesive Floor Tile 05 Physical Therapy Treatment Room 1122C NAD

CVA-14 12”x12” Maroon Self-Adhesive Floor Tile 05 Physical Therapy Treatment Room 1122D NAD

CVA-15 12”x12” Maroon Self-Adhesive Floor Tile 05 Physical Therapy ADL Room 1122E NAD

CVA-16 Sink Undercoat 06 Physical Therapy Treatment Room 1122C NAD

CVA-17 Sink Undercoat 06 Physical Therapy Treatment Room 1122D NAD

CVA-18 Sink Undercoat 06 Physical Therapy ADL Room 1122E NAD

*If first or any sample in a supplied group is positive, then all are assumed positive NAD – No Asbestos Detected

Skelly and Loy

Project Name:

A/E Services for Nutrition and Food, Physical Therapy and Eye Clinic Addition

Project Number: JP217193

Building Name: Louis A. Johnson VA Medical Center Address: 1 Medical Center Drive, Clarksburg WV

Sampled By: Nate Ruhl Date: September 23, 2021

Sample Number Material HA # Location % Asbestos

CVA-19 6” Brown Cove Base 07 Physical Therapy Treatment Room 1122C NAD

CVA-20 6” Brown Cove Base 07 Physical Therapy Treatment Room 1122D NAD

CVA-21 6” Brown Cove Base 07 Physical Therapy ADL Room 1122E NAD

CVA-19

(Layer 1) Mastic associated with 6” Brown Cove Base 08 Physical Therapy

Treatment Room 1122C NAD

CVA-20

(Layer 1) Mastic associated with 6” Brown Cove Base 08 Physical Therapy

Treatment Room 1122D NAD

CVA-21

(Layer 1) Mastic associated with 6” Brown Cove Base 08 Physical Therapy ADL

Room 1122E NAD

CVA-22 1’x1’ Ceramic Tile Grout 09 Physical Therapy Break Room 1120 NAD

CVA-23 1’x1’ Ceramic Tile Grout 09 Physical Therapy Break Room 1120 NAD

CVA-24 1’x1’ Ceramic Tile Grout 09 Physical Therapy Bathroom 1121 NAD

CVA-25 Sprinkler Pipe Sealant 10 Physical Therapy Gym 1122 (above Drop Ceiling) NAD

CVA-26 Sprinkler Pipe Sealant 10 Physical Therapy Gym 1122 (above Drop Ceiling) NAD

CVA-27 Sprinkler Pipe Sealant 10 Physical Therapy Gym 1122 (above Drop Ceiling) NAD

CVA-28 Spray-on Fireproofing 11 Physical Therapy Gym 1122 (above Drop Ceiling) NAD

CVA-29 Spray-on Fireproofing 11 Physical Therapy Gym 1122 (above Drop Ceiling) NAD

CVA-30 Spray-on Fireproofing 11 Physical Therapy Gym 1122 (above Drop Ceiling) NAD

CVA-31 Fiberglass Pipe Sealant 12 Physical Therapy Gym 1122 (above Drop Ceiling) NAD

CVA-32 Fiberglass Pipe Sealant 12 Physical Therapy Gym 1122 (above Drop Ceiling) NAD

CVA-33 Fiberglass Pipe Sealant 12 Physical Therapy Gym 1122 (above Drop Ceiling) NAD

*If first or any sample in a supplied group is positive, then all are assumed positive NAD – No Asbestos Detected

Skelly and Loy

Project Name:

A/E Services for Nutrition and Food, Physical Therapy and Eye Clinic Addition

Project Number: JP217193

Building Name: Louis A. Johnson VA Medical Center Address: 1 Medical Center Drive, Clarksburg WV

Sampled By: Nate Ruhl Date: September 23, 2021

Sample Number Material HA # Location % Asbestos

CVA-34 Tar Paper Between Brick and Concrete 13 Physical Therapy Gym 1122 (above Drop Ceiling) NAD

CVA-35 Tar Paper Between Brick and Concrete 13 Physical Therapy Gym 1122 (above Drop Ceiling) NAD

CVA-36 Tar Paper Between Brick and Concrete 13 Physical Therapy Gym 1122 (above Drop Ceiling) NAD

CVA-37 2005 Plaster Base Coat 14 Physical Therapy Gym 1122 (North Wall) NAD

CVA-38 2005 Plaster Base Coat 14 Physical Therapy Gym 1122 (North Wall) NAD

CVA-39 2005 Plaster Base Coat 14 Physical Therapy Gym 1122 (North Wall) NAD

CVA-40 2005 Skim Coat 15 Physical Therapy Gym 1122 (North Wall) NAD

CVA-41 2005 Skim Coat 15 Physical Therapy Gym 1122 (North Wall) NAD

CVA-42 2005 Skim Coat 15 Physical Therapy Gym 1122 (North Wall) NAD

CVA-43 12”x12” White with Brown Floor Tile 16 Physical Therapy Storage

1122A NAD

CVA-44 12”x12” White with Brown Floor Tile 16 Physical Therapy Storage

1122A NAD

CVA-45 12”x12” White with Brown Floor Tile 16 Physical Therapy Storage

1122A NAD

CVA-43

(Layer 1)

Mastic associated with 12”x12” White with Brown Floor Tile 17 Physical Therapy Storage

1122A NAD

CVA-44

(Layer 1)

Mastic associated with 12”x12” White with Brown Floor Tile 17 Physical Therapy Storage

1122A NAD

CVA-45

(Layer 1)

Mastic associated with 12”x12” White with Brown Floor Tile 17 Physical Therapy Storage

1122A NAD

CVA-46 2’x4’ White Wormhole Ceiling Tile 18 Physical Therapy Stairwell NAD CVA-47 2’x4’ White Wormhole Ceiling Tile 18 Physical Therapy Stairwell NAD CVA-48 2’x4’White Wormhole Ceiling Tile 18 Physical Therapy Stairwell NAD

CVA-49 Firestop Caulk 19 Physical Therapy Hallway (outside Break Room 1120) NAD

*If first or any sample in a supplied group is positive, then all are assumed positive NAD – No Asbestos Detected

Skelly and Loy

Project Name:

A/E Services for Nutrition and Food, Physical Therapy and Eye Clinic Addition

Project Number: JP217193

Building Name: Louis A. Johnson VA Medical Center Address: 1 Medical Center Drive, Clarksburg WV

Sampled By: Nate Ruhl Date: September 23, 2021

Sample Number Material HA # Location % Asbestos

CVA-50 Firestop Caulk 19 Physical Therapy Hallway (outside Break Room 1120) NAD

CVA-51 Firestop Caulk 19 Physical Therapy Hallway (outside Break Room 1120) NAD

CVA-52 Grey Duct Sealant 20 Physical Therapy Hallway (outside Break Room 1120) NAD

CVA-53 Grey Duct Sealant 20 Physical Therapy Hallway (outside Break Room 1120) NAD

CVA-54 Grey Duct Sealant 20 Physical Therapy Hallway (outside Break Room 1120) NAD

CVA-55A 1947 Plaster Skim Coat 21 Physical Therapy Hallway (outside Break Room 1120) NAD

CVA-56A 1947 Plaster Skim Coat 21 Physical Therapy Hallway (outside Break Room 1120) NAD

CVA-57A 1947 Plaster Skim Coat 21 Physical Therapy Hallway (outside Break Room 1120) NAD

CVA-55B 1947 Plaster Base Coat 22 Physical Therapy Hallway (outside Break Room 1120) NAD

CVA-56B 1947 Plaster Base Coat 22 Physical Therapy Hallway (outside Break Room 1120) NAD

CVA-57B 1947 Plaster Base Coat 22 Physical Therapy Hallway (outside Break Room 1120) NAD

CVA-58 1947 Spray-on Fireproofing 23 Vestibule B122L NAD CVA-59 1947 Spray-on Fireproofing 23 Storage B122N NAD CVA-60 1947 Spray-on Fireproofing 23 Storage B122M NAD CVA-61 12”x12” Tan Mottled Self-Adhesive Floor Tile 24 Storage B120 NAD CVA-62 12”x12” Tan Mottled Self-Adhesive Floor Tile 24 Storage B120 NAD CVA-63 12”x12” Tan Mottled Self-Adhesive Floor Tile 24 Storage B120 NAD CVA-64 12”x12” White with Blue Floor Tile 25 Office B117D NAD CVA-65 12”x12” White with Blue Floor Tile 25 Office B117B NAD CVA-66 12”x12” White with Blue Floor Tile 25 Office B117C NAD

CVA-64

(Layer 1)

Mastic associated with 12”x12” White with Blue Floor Tile 26 Office B117D NAD

*If first or any sample in a supplied group is positive, then all are assumed positive NAD – No Asbestos Detected

Skelly and Loy

Project Name:

A/E Services for Nutrition and Food, Physical Therapy and Eye Clinic Addition

Project Number: JP217193

Building Name: Louis A. Johnson VA Medical Center Address: 1 Medical Center Drive, Clarksburg WV

Sampled By: Nate Ruhl Date: September 23, 2021

Sample Number Material HA # Location % Asbestos

CVA-65

(Layer 1)

Mastic associated with 12”x12” White with Blue Floor Tile 26 Office B117B NAD

CVA-66

(Layer 1)

Mastic associated with 12”x12” White with Blue Floor Tile 26 Office B117C NAD

CVA-67 Thick Black with White Specks Sheet Flooring 27 Storage B120 NAD CVA-68 Thick Black with White Specks Sheet Flooring 27 Storage B120 NAD CVA-69 Thick Black with White Specks Sheet Flooring 27 Storage B120 NAD CVA-70 6”x6” Ceramic Floor Tile Grout 28 Food Prep B122 NAD CVA-71 6”x6” Ceramic Floor Tile Grout 28 Food Prep B122 NAD CVA-72 6”x6” Ceramic Floor Tile Grout 28 Food Prep B122 NAD

CVA-73 Pipe Space Tar Paper 29 Pipe Space under Food Prep B122 NAD

CVA-74 Pipe Space Tar Paper 29 Pipe Space under Food Prep B122 NAD

CVA-75 Pipe Space Tar Paper 29 Pipe Space under Food Prep B122 NAD

CVA-76 Off-White with Black Specks Sheet Flooring 30 Cart Storage Area NAD CVA-77 Off-White with Black Specks Sheet Flooring 30 Cart Storage Area NAD CVA-78 Off-White with Black Specks Sheet Flooring 30 Cart Storage Area NAD

CVA-76

(Layer 1)

Mastic associated with Off-White with Black Specks Sheet Flooring 31 Cart Storage Area B122 NAD

CVA-77

(Layer 1)

Mastic associated with Off-White with Black Specks Sheet Flooring 31 Cart Storage Area B122 NAD

CVA-78

(Layer 1)

Mastic associated with Off-White with Black Specks Sheet Flooring 31 Cart Storage Area B122 NAD

CVA-79 Fiberglass Pipe Wrap 32 Vestibule B122L (above Drop Ceiling) NAD

CVA-80 Fiberglass Pipe Wrap 32 Vestibule B122L (above Drop Ceiling) NAD

CVA-81 Fiberglass Pipe Wrap 32 Vestibule B122L (above Drop Ceiling) NAD

CVA-82 Pipe Insulation Debris 33 Pipe Space under Food Prep Area B122 1.5% Chrysotile

*If first or any sample in a supplied group is positive, then all are assumed positive NAD – No Asbestos Detected

Skelly and Loy

Project Name:

A/E Services for Nutrition and Food, Physical Therapy and Eye Clinic Addition

Project Number: JP217193

Building Name: Louis A. Johnson VA Medical Center Address: 1 Medical Center Drive, Clarksburg WV

Sampled By: Nate Ruhl Date: September 23, 2021

Sample Number Material HA # Location % Asbestos

CVA-83 Pipe Insulation Debris 33 Pipe Space under Food Prep Area B122 *

CVA-84 Pipe Insulation Debris 33 Pipe Space under Food Prep Area B122 *

CVA-85 Pipe Insulation in Cement Floor 34 Pipe Space under Prep Area B122

15% Chrysotile 10% Amosite

CVA-86 Pipe Insulation in Cement Floor 34 Pipe Space under Prep Area B122 *

CVA-87 Pipe Insulation in Cement Floor 34 Pipe Space under Prep Area B122 *

CVA-88 Kitchen Area Plaster Skim Coat 35 Vestibule B122L NAD CVA-89 Kitchen Area Plaster Skim Coat 35 Vestibule B122L NAD CVA-90 Kitchen Area Plaster Skim Coat 35 Vestibule B122L NAD CVA-91 Kitchen Area Plaster Skim Coat 35 Vestibule B122L NAD CVA-92 Kitchen Area Plaster Skim Coat 35 Prep Area B122 NAD CVA-93 Kitchen Area Plaster Skim Coat 35 Prep Area B122 NAD CVA-94 Kitchen Area Plaster Skim Coat 35 Prep Area B122 NAD CVA -95 No Sample

CVA-88

(Layer 1) Kitchen Area Plaster Base Coat 36 Vestibule B122L NAD

CVA-89

(Layer 1) Kitchen Area Plaster Base Coat 36 Vestibule B122L NAD

CVA-90

(Layer 1) Kitchen Area Plaster Base Coat 36 Vestibule B122L NAD

CVA-91

(Layer 1) Kitchen Area Plaster Base Coat 36 Vestibule B122L NAD

CVA-92

(Layer 1) Kitchen Area Plaster Base Coat 36 Prep Area B122 NAD

CVA-93

(Layer 1) Kitchen Area Plaster Base Coat 36 Prep Area B122 NAD

CVA-94

(Layer 1) Kitchen Area Plaster Base Coat 36 Prep Area B122 NAD

CVA-96 Cloth Wrap on Fiberglass 37 Vestibule B122L NAD

*If first or any sample in a supplied group is positive, then all are assumed positive NAD – No Asbestos Detected

Skelly and Loy

Project Name:

A/E Services for Nutrition and Food, Physical Therapy and Eye Clinic Addition

Project Number: JP217193

Building Name: Louis A. Johnson VA Medical Center Address: 1 Medical Center Drive, Clarksburg WV

Sampled By: Nate Ruhl Date: September 23, 2021

Sample Number Material HA # Location % Asbestos

CVA-97 Cloth Wrap on Fiberglass 37 Vestibule B122L NAD CVA-98 Cloth Wrap on Fiberglass 37 Vestibule B122L NAD CVA-99 Air Cell Pipe Insulation 38 Vestibule B122L 25% Chrysotile

CVA-100 Air Cell Pipe Insulation 38 Vestibule B122L * CVA-101 Air Cell Pipe Insulation 38 Vestibule B122L * CVA-102 Mudded Pipe Fittings Insulation 39 Vestibule B122L 20% Chrysotile CVA-103 Mudded Pipe Fittings Insulation 39 Vestibule B122L * CVA-104 Mudded Pipe Fittings Insulation 39 Vestibule B122L * CVA-105 Silver Emulsion 40 Vestibule B122L NAD CVA-106 Silver Emulsion 40 Vestibule B122L NAD CVA-107 Silver Emulsion 40 Vestibule B122L NAD CVA-108 Black Wall Tar 41 Vestibule B122L NAD CVA-109 Black Wall Tar 41 Vestibule B122L NAD CVA-110 Black Wall Tar 41 Vestibule B122L NAD CVA-111 2’x2’ White Wormhole Ceiling Tile 42 Office B117D NAD CVA-112 2’x2’ White Wormhole Ceiling Tile 42 Office B117B NAD CVA-113 2’x2’ White Wormhole Ceiling Tile 42 Office B117C NAD CVA-114 Exterior Window Caulk 43 Exterior Windows NAD CVA-115 Exterior Window Caulk 43 Exterior Windows NAD CVA-116 Exterior Window Caulk 43 Exterior Windows NAD CVA-117 No Sample

CVA-118 Exterior HVAC Caulk 44 Lower Roof HVAC Components NAD

CVA-119 Exterior HVAC Caulk 44 Lower Roof HVAC Components NAD

ASBESTOS ANALYTICAL

RESULTS AND CHAIN OF

CUSTODY

ASBESTOS SITE PHOTOGRAPH

INFORMATION

Site Photograph Information

Skelly and Loy

Project Name: Clarksburg VAMC Project Number: JP217193

Description: Pipe Insulation Debris Location:

Food Prep Area B122 in Pipe Chase

Photograph No: 01 Date: 9/23/2021 Photographer: NJR

Project Name: Clarksburg VAMC Project Number: JP217193

Description: Pipe Insulation in Cement Location:

Food Prep Area B122 encased in Cement Floor

Photograph No: 02 Date: 9/23/2021 Photographer: NJR

Skelly and Loy

Project Name: Clarksburg VAMC Project Number: JP217193

Description: Aircell Pipe Insulation Location:

Vestibule B122L above Drop Ceiling

Photograph No: 03 Date: 9/23/2021 Photographer: NJR

Project Name: Clarksburg VAMC Project Number: JP217193

Description: Aircell Pipe Insulation Debris Location:

Physical Therapy Gym 1122 above Drop Ceiling

Photograph No: 04 Date: 9/23/2021

Skelly and Loy

Project Name: Clarksburg VAMC Project Number: JP217193

Description: Mudded Pipe Fittings Insulation Location:

Vestibule B122L above Drop Ceiling

Photograph No: 05 Date: 9/23/2021

INSPECTORS LICENSES

WEST VIRGINIA ASBESTOS CERTIFICATION

-INSPECTOR-

SKELLY AND LOY, INC.

ENGINEERING-ENVIRONMENTAL CONSULTANTS

3280 William Pitt Way Pittsburgh, PA 15238

Nathaniel Ruhl Technician

PA Asbestos Certification: 052866 Issued: September 17, 2021

Expiration: September 30, 2022