Excerpt Bldg 45 JHQVAMC Draft Asbestos Survey Report 01-06-23.pdf
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- Solicitation number
- 36C24923B0007
About this file
This solicitation is for construction services to restore the exteriors of five historical quarters buildings located at the James H. Quillen VA Medical Center. The selected contractor shall provide all labor, materials, equipment, and supervision to perform renovations including replacing wood, installing water barriers, painting, conducting roof repair and replacement, tuckpointing and repairing brick, replacing gutters and downspouts, and extending downspout discharges. The period of performance is 400 calendar days. The contractor must keep roads, walks, and entrances clear and coordinate equipment staging, crane placement, and supplies storage with the contracting officer's representative. The contractor shall also provide shop drawings, samples, and a schedule for the project and participate in site visits, inspections, and the final project closeout.
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APPENDIX B.19
BUILDING 45
BUILDING DESCRIPTION – BUILDING 45
JAMES H. QUILLEN VA MEDICAL CENTER
MOUNTAIN HOME, TENNESSEE
Building 45 is an approximate 4,400 ft² two-story brick and concrete structure over a full basement and attic space. The exterior façade consists of brick and wood siding with metal and wood framed windows and doors. The floor finishes include linoleum, carpet, ceramic tile, wood, or unfinished concrete. The wall finishes include plaster, ceramic tile, wood, or brick. The ceilings consist of plaster, suspended-ceiling tiles, or wood. A total of sixty-five (65) bulk samples were collected from the suspect ACMs associated with building 45.
Building 45 Sample Summary Table
Sample Number HA #, Sample Description, Sample Location Sample Layer
Description Asbestos Result
HA01, Plaster Walls, Room 104 Plaster None Detected HA01, Plaster Walls, Room 104 Paint None Detected HA01, Plaster Walls, Stairs #1 Base Plaster None Detected HA01, Plaster Walls, Stairs #1 Top Plaster None Detected HA01, Plaster Walls, Stairs #1 Paint None Detected HA01, Plaster Walls, Room 101 Plaster None Detected HA01, Plaster Walls, Room 101 Paint None Detected HA01, Plaster Walls, Room 100A Base Plaster None Detected HA01, Plaster Walls, Room 100A Top Plaster None Detected HA01, Plaster Walls, Room 100A Paint None Detected HA01, Plaster Walls, Room 201 Base Plaster None Detected HA01, Plaster Walls, Room 201 Top Plaster None Detected HA01, Plaster Walls, Room 201 Paint None Detected HA01, Plaster Walls, Room 202 Plaster None Detected HA01, Plaster Walls, Room 202 Paint None Detected HA01, Plaster Walls, Room 204A Base Plaster None Detected HA01, Plaster Walls, Room 204A Top Plaster None Detected HA01, Plaster Walls, Room 204A Paint None Detected HA02, Plaster Ceilings, Room B102 Plaster None Detected HA02, Plaster Ceilings, Room B102 Paint None Detected HA02, Plaster Ceilings, Room 103 Base Plaster None Detected HA02, Plaster Ceilings, Room 103 Top Plaster None Detected HA02, Plaster Ceilings, Room 103 Paint None Detected HA02, Plaster Ceilings, Room 203 Plaster None Detected HA02, Plaster Ceilings, Room 203 Paint None Detected HA02, Plaster Ceilings, Room 202 Base Plaster None Detected HA02, Plaster Ceilings, Room 202 Top Plaster None Detected HA02, Plaster Ceilings, Room 202 Paint None Detected HA02, Plaster Ceilings, Room 200 Plaster None Detected HA02, Plaster Ceilings, Room 200 Paint None Detected HA02, Plaster Ceilings, Room 206 Plaster None Detected HA02, Plaster Ceilings, Room 206 Paint None Detected HA02, Plaster Ceilings, Room 101 Plaster None Detected HA02, Plaster Ceilings, Room 101 Paint None Detected
HA03, Sheet Flooring (Beige) and Vinyl Floor Tile (Green), Room 103 Beige Sheet Flooring None Detected
HA03, Sheet Flooring (Beige) and Vinyl Floor Tile (Green), Room 103 Fiber Backing None Detected HA03, Sheet Flooring (Beige) and Vinyl Floor Tile (Green), Room 103 Yellow Mastic None Detected
HA03, Sheet Flooring (Beige) and Vinyl Floor Tile (Green), Room 103 Green Floor Tile 5% Chrysotile HA03, Sheet Flooring (Beige) and Vinyl Floor Tile (Green), Room 103 Black Mastic None Detected
HA03, Sheet Flooring (Beige) and Vinyl Floor Tile (Green), Room 103 Beige Sheet Flooring None Detected
HA03, Sheet Flooring (Beige) and Vinyl Floor Tile (Green), Room 103 Fiber Backing None Detected HA03, Sheet Flooring (Beige) and Vinyl Floor Tile (Green), Room 103 Yellow Mastic None Detected
HA03, Sheet Flooring (Beige) and Vinyl Floor Tile (Green), Room 103 Green Floor Tile 5% Chrysotile HA03, Sheet Flooring (Beige) and Vinyl Floor Tile (Green), Room 103 Black Mastic None Detected
HA03, Sheet Flooring (Beige) and Vinyl Floor Tile (Green), Room 103 Beige Sheet Flooring None Detected
HA03, Sheet Flooring (Beige) and Vinyl Floor Tile (Green), Room 103 Fiber Backing None Detected HA03, Sheet Flooring (Beige) and Vinyl Floor Tile (Green), Room 103 Yellow Mastic None Detected
HA03, Sheet Flooring (Beige) and Vinyl Floor Tile (Green), Room 103 Green Floor Tile 5% Chrysotile HA03, Sheet Flooring (Beige) and Vinyl Floor Tile (Green), Room 103 Black Mastic None Detected
018 HA04, Sink Caulk (White, Thin), Room 103 Caulking None Detected 019 HA04, Sink Caulk (White, Thin), Room 103 Caulking None Detected 020 HA04, Sink Caulk (White, Thin), Room 205 Caulking None Detected
HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 105
Off-White Sheet Flooring None Detected
HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 105 Fiber Backing None Detected HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 105 Yellow Mastic None Detected HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 105 Green Floor Tile 5% Chrysotile HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 105 Black Mastic 2% Chrysotile HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 105 Tar Paper None Detected HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 106
Off-White Sheet Flooring None Detected
HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 106 Fiber Backing None Detected HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 106 Yellow Mastic None Detected HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 106 Green Floor Tile 5% Chrysotile HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 106 Black Mastic 2% Chrysotile HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 106 Tar Paper None Detected HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 108
Off-White Sheet Flooring None Detected
HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 108 Fiber Backing None Detected HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 108 Yellow Mastic None Detected HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 108 Green Floor Tile 5% Chrysotile HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 108 Black Mastic 2% Chrysotile HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 108 Tar Paper None Detected
024 HA06, 2' x 4' Ceiling Tile (White), Room 107 Acoustic Tile None Detected 025 HA06, 2' x 4' Ceiling Tile (White), Room 107 Acoustic Tile None Detected 026 HA06, 2' x 4' Ceiling Tile (White), Room 107 Acoustic Tile None Detected
027 HA07, Sink Undercoating (Black), Room 108 Sink Undercoating 5% Chrysotile
028 HA07, Sink Undercoating (Black), Room 108 Sink Undercoating 5% Chrysotile
029 HA07, Sink Undercoating (Black), Room 108 Sink Undercoating 5% Chrysotile
030 HA08, 2' x 2' Ceiling Tile (White), Room 109 Acoustic Tile 2% Chrysotile 031 HA08, 2' x 2' Ceiling Tile (White), Room 109 Acoustic Tile None Detected
032 HA08, 2' x 2' Ceiling Tile (White), Room 109 Acoustic Tile 2% Chrysotile
033 HA09, Duct Tape (Off-White, Soft), Room B103 Thermal Insulation
65% Chrysotile
034 HA09, Duct Tape (Off-White, Soft), Room B102 Thermal Insulation
65% Chrysotile
035 HA09, Duct Tape (Off-White, Soft), Room B101 Thermal Insulation
65% Chrysotile
036 HA10, Transite Sink, Room B102 Ceramic Tile None Detected 037 HA10, Transite Sink, Room B102 Ceramic Tile None Detected 038 HA10, Transite Sink, Room B102 Ceramic Tile None Detected
HA11, Duct Mastic (Grey), Room B103 Foil Wrap None Detected HA11, Duct Mastic (Grey), Room B103 Grey Mastic None Detected HA11, Duct Mastic (Grey), Room B103 Foil Wrap None Detected HA11, Duct Mastic (Grey), Room B103 Grey Mastic None Detected HA11, Duct Mastic (Grey), Room B103 Foil Wrap None Detected HA11, Duct Mastic (Grey), Room B103 Grey Mastic None Detected
042 HA12, Ceramic Tile Floor Grout, Room 205 Grout None Detected 043 HA12, Ceramic Tile Floor Grout, Room 205 Grout None Detected 044 HA12, Ceramic Tile Floor Grout, Room 205 Grout None Detected 045 HA13, Ceramic Tile Wall Grout, Room 206A Grout None Detected 046 HA13, Ceramic Tile Wall Grout, Room 205 Grout None Detected 047 HA13, Ceramic Tile Wall Grout, Room 205 Grout None Detected 048 HA14, Texture on Plaster Ceilings, Room 205 Texture None Detected 049 HA14, Texture on Plaster Ceilings, Room 205 Texture None Detected 050 HA14, Texture on Plaster Ceilings, Room 205 Texture None Detected
HA15, Vinyl Sheet Flooring (White), Room 205A Foam None Detected HA15, Vinyl Sheet Flooring (White), Room 205A Yellow Mastic None Detected HA15, Vinyl Sheet Flooring (White), Room 205A Sheet Flooring None Detected HA15, Vinyl Sheet Flooring (White), Room 205A Fiber Backing None Detected HA15, Vinyl Sheet Flooring (White), Room 205A Felt None Detected HA15, Vinyl Sheet Flooring (White), Room 205A
Leveling Compound None Detected
HA15, Vinyl Sheet Flooring (White), Room 205A Foam None Detected HA15, Vinyl Sheet Flooring (White), Room 205A Yellow Mastic None Detected HA15, Vinyl Sheet Flooring (White), Room 205A Sheet Flooring None Detected HA15, Vinyl Sheet Flooring (White), Room 205A Fiber Backing None Detected HA15, Vinyl Sheet Flooring (White), Room 205A Felt None Detected HA15, Vinyl Sheet Flooring (White), Room 205A Foam None Detected HA15, Vinyl Sheet Flooring (White), Room 205A Yellow Mastic None Detected HA15, Vinyl Sheet Flooring (White), Room 205A Sheet Flooring None Detected HA15, Vinyl Sheet Flooring (White), Room 205A Fiber Backing None Detected HA15, Vinyl Sheet Flooring (White), Room 205A Felt None Detected
054 HA17, Sink Caulk (White, Thick), Room 206A Caulking None Detected 055 HA17, Sink Caulk (White, Thick), Room 206A Caulking None Detected 056 HA17, Sink Caulk (White, Thick), Room 206A Caulking None Detected 057 HA18, Chimney Mortar, Attic Area Mortar None Detected 058 HA18, Chimney Mortar, Attic Area Mortar None Detected
059 HA18, Chimney Mortar, Attic Area Mortar None Detected
060 HA19, Caulking (Black), Attic Area Caulking 5% Chrysotile
061 HA19, Caulking (Black), Attic Area Caulking 5% Chrysotile
062 HA19, Caulking (Black), Attic Area Caulking 5% Chrysotile HA20, Felt Paper above Subfloor, Room B101 Felt Paper None Detected HA20, Felt Paper above Subfloor, Room B101 Surfacing None Detected HA20, Felt Paper above Subfloor, Room B100 Felt Paper None Detected HA20, Felt Paper above Subfloor, Room B100 Surfacing None Detected HA20, Felt Paper above Subfloor, Room B103 Felt Paper None Detected HA20, Felt Paper above Subfloor, Room B103 Surfacing None Detected
CONFIRMED ASBESTOS-CONTAINING MATERIALS
JAMES H. QUILLEN VA MEDICAL CENTER
MOUNTAIN HOME, TENNESSEE
BUILDING 45
HA NO. DESCRIPTION MATERIAL
LOCATION
PERCENT/TYPE
ASBESTOS
NESHAP
CLASSIFICATION
CONDITION ESTIMATED
QUANTITY
03 Green Vinyl Floor Tile beneath sheet flooring Room 103 ND – Beige Sheet Flooring
ND – Fiber Backing ND – Yellow Mastic 5%C – Green Floor Tile ND – Black Mastic
Category I Non-Friable Good 30 ft²
05 Green Vinyl Floor Tile and Associated Black Mastic beneath sheet flooring
Rooms 105, 106, 107, and 108 ND – Off-White Sheet Flooring ND – Fiber Backing ND – Yellow Mastic 5%C – Green Floor Tile 2%C – Black Mastic ND – Tar Paper
Category I Non-Friable Good 260 ft²
07 Sink Undercoat – black Room 208 5%C Category I Non-Friable Good 2 sinks
08 Suspended-Ceiling Tile
– 2’x2’, white
Room 109 2%C Friable ACM Good 3 ft²
09 Duct Tape – off-white, soft
Rooms B102 and B103 65%C Friable ACM Good 20 ft²
19 Caulking – black Attic 5%C Category II Non-Friable Good 3 ft
HA NO. = Homogeneous Area Number C = Chrysotile Asbestos ND = No Asbestos Detected ft2 = square feet ft = linear feet
PLM Summary Report
Client :
Project :
Project # :
Identification :
Test Method :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 45
18227196
Asbestos, Bulk Sample Analysis
Sample Number Client Sample Description / Location Asbestos Content
Sample Date :
On 9/7/2022, sixty five (65) bulk material samples were submitted by a representative of Terracon - Nashville for asbestos analysis by PLM/DS. The PLM
Detail Report is attached; additional information may be found therein. The results are summarized below:
Lab Job No. :
Report Date :
22B-10143
08/30/2022
09/26/2022
NVLAP Lab Code 102056-0
TDSHS License No. 300084
Polarized Light Microscopy / Dispersion Staining (PLM/DS)
EPA Method 600 / R-93 / 116
2051 Valley View Lane
Farmers Branch, TX 75234 Phone: (972) 241-8460
001 HA01, Plaster Walls, Room 104 None Detected - Plaster
None Detected - Paint
002 HA01, Plaster Walls, Stairs #1 None Detected - Base Plaster
None Detected - Top Plaster
None Detected - Paint
003 HA01, Plaster Walls, Room 101 None Detected - Plaster
None Detected - Paint
004 HA01, Plaster Walls, Room 100A None Detected - Base Plaster
None Detected - Top Plaster
None Detected - Paint
005 HA01, Plaster Walls, Room 201 None Detected - Base Plaster
None Detected - Top Plaster
None Detected - Paint
006 HA01, Plaster Walls, Room 202 None Detected - Plaster
None Detected - Paint
007 HA01, Plaster Walls, Room 204A None Detected - Base Plaster
None Detected - Top Plaster
None Detected - Paint
008 HA02, Plaster Ceilings, Room B102 None Detected - Plaster
None Detected - Paint
009 HA02, Plaster Ceilings, Room 103 None Detected - Base Plaster
None Detected - Top Plaster
None Detected - Paint
010 HA02, Plaster Ceilings, Room 203 None Detected - Plaster
None Detected - Paint
011 HA02, Plaster Ceilings, Room 202 None Detected - Base Plaster
None Detected - Top Plaster
None Detected - Paint
012 HA02, Plaster Ceilings, Room 200 None Detected - Plaster
None Detected - Paint
Project :
Project # :
Identification :
Test Method :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 45
18227196
Asbestos, Bulk Sample Analysis
Sample Number Client Sample Description / Location Asbestos Content
Sample Date :
On 9/7/2022, sixty five (65) bulk material samples were submitted by a representative of Terracon - Nashville for asbestos analysis by PLM/DS. The PLM
Detail Report is attached; additional information may be found therein. The results are summarized below:
Lab Job No. :
Report Date :
22B-10143
08/30/2022
09/26/2022
NVLAP Lab Code 102056-0
TDSHS License No. 300084
Polarized Light Microscopy / Dispersion Staining (PLM/DS)
EPA Method 600 / R-93 / 116
2051 Valley View Lane
Farmers Branch, TX 75234 Phone: (972) 241-8460
013 HA02, Plaster Ceilings, Room 206 None Detected - Plaster
None Detected - Paint
014 HA02, Plaster Ceilings, Room 101 None Detected - Plaster
None Detected - Paint
015 HA03, Sheet Flooring (Beige) and Vinyl Floor Tile
(Green), Room 103
None Detected - Beige Sheet Flooring
None Detected - Fiber Backing
None Detected - Yellow Mastic
5% Chrysotile - Green Floor Tile
None Detected - Black Mastic
016 HA03, Sheet Flooring (Beige) and Vinyl Floor Tile
(Green), Room 103
None Detected - Beige Sheet Flooring
None Detected - Fiber Backing
None Detected - Yellow Mastic
5% Chrysotile - Green Floor Tile
None Detected - Black Mastic
017 HA03, Sheet Flooring (Beige) and Vinyl Floor Tile
(Green), Room 103
None Detected - Beige Sheet Flooring
None Detected - Fiber Backing
None Detected - Yellow Mastic
5% Chrysotile - Green Floor Tile
None Detected - Black Mastic
018 HA04, Sink Caulk (White, Thin), Room 103 None Detected - Caulking
019 HA04, Sink Caulk (White, Thin), Room 103 None Detected - Caulking
020 HA04, Sink Caulk (White, Thin), Room 205 None Detected - Caulking
021 HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 105
None Detected - Off-White Sheet
Flooring
None Detected - Fiber Backing
None Detected - Yellow Mastic
5% Chrysotile - Green Floor Tile
2% Chrysotile - Black Mastic
None Detected - Tar Paper
Project :
Project # :
Identification :
Test Method :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 45
18227196
Asbestos, Bulk Sample Analysis
Sample Number Client Sample Description / Location Asbestos Content
Sample Date :
On 9/7/2022, sixty five (65) bulk material samples were submitted by a representative of Terracon - Nashville for asbestos analysis by PLM/DS. The PLM
Detail Report is attached; additional information may be found therein. The results are summarized below:
Lab Job No. :
Report Date :
22B-10143
08/30/2022
09/26/2022
NVLAP Lab Code 102056-0
TDSHS License No. 300084
Polarized Light Microscopy / Dispersion Staining (PLM/DS)
EPA Method 600 / R-93 / 116
2051 Valley View Lane
Farmers Branch, TX 75234 Phone: (972) 241-8460
022 HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 106
None Detected - Off-White Sheet
Flooring
None Detected - Fiber Backing
None Detected - Yellow Mastic
5% Chrysotile - Green Floor Tile
2% Chrysotile - Black Mastic
None Detected - Tar Paper
023 HA05, Sheet Flooring (Off-White and Light Grey Square) and Vinyl Floor Tile (Green), Room 108
None Detected - Off-White Sheet
Flooring
None Detected - Fiber Backing
None Detected - Yellow Mastic
5% Chrysotile - Green Floor Tile
2% Chrysotile - Black Mastic
None Detected - Tar Paper
024 HA06, 2' x 4' Ceiling Tile (White), Room 107 None Detected - Acoustic Tile
025 HA06, 2' x 4' Ceiling Tile (White), Room 107 None Detected - Acoustic Tile
026 HA06, 2' x 4' Ceiling Tile (White), Room 107 None Detected - Acoustic Tile
027 HA07, Sink Undercoating (Black), Room 108 5% Chrysotile - Sink Undercoating
028 HA07, Sink Undercoating (Black), Room 108 5% Chrysotile - Sink Undercoating
029 HA07, Sink Undercoating (Black), Room 108 5% Chrysotile - Sink Undercoating
030 HA08, 2' x 2' Ceiling Tile (White), Room 109 2% Chrysotile - Acoustic Tile
031 HA08, 2' x 2' Ceiling Tile (White), Room 109 None Detected - Acoustic Tile
032 HA08, 2' x 2' Ceiling Tile (White), Room 109 2% Chrysotile - Acoustic Tile
033 HA09, Duct Tape (Off-White, Soft), Room B103 65% Chrysotile - Thermal Insulation
034 HA09, Duct Tape (Off-White, Soft), Room B102 65% Chrysotile - Thermal Insulation
035 HA09, Duct Tape (Off-White, Soft), Room B101 65% Chrysotile - Thermal Insulation
036 HA10, Transite Sink, Room B102 None Detected - Ceramic Tile
Project :
Project # :
Identification :
Test Method :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 45
18227196
Asbestos, Bulk Sample Analysis
Sample Number Client Sample Description / Location Asbestos Content
Sample Date :
On 9/7/2022, sixty five (65) bulk material samples were submitted by a representative of Terracon - Nashville for asbestos analysis by PLM/DS. The PLM
Detail Report is attached; additional information may be found therein. The results are summarized below:
Lab Job No. :
Report Date :
22B-10143
08/30/2022
09/26/2022
NVLAP Lab Code 102056-0
TDSHS License No. 300084
Polarized Light Microscopy / Dispersion Staining (PLM/DS)
EPA Method 600 / R-93 / 116
2051 Valley View Lane
Farmers Branch, TX 75234 Phone: (972) 241-8460
037 HA10, Transite Sink, Room B102 None Detected - Ceramic Tile
038 HA10, Transite Sink, Room B102 None Detected - Ceramic Tile
039 HA11, Duct Mastic (Grey), Room B103 None Detected - Foil Wrap
None Detected - Grey Mastic
040 HA11, Duct Mastic (Grey), Room B103 None Detected - Foil Wrap
None Detected - Grey Mastic
041 HA11, Duct Mastic (Grey), Room B103 None Detected - Foil Wrap
None Detected - Grey Mastic
054 HA12, Ceramic Tile Floor Grout, Room 205 None Detected - Grout
055 HA12, Ceramic Tile Floor Grout, Room 205 None Detected - Grout
056 HA12, Ceramic Tile Floor Grout, Room 205 None Detected - Grout
042 HA13, Ceramic Tile Wall Grout, Room 206A None Detected - Grout
043 HA13, Ceramic Tile Wall Grout, Room 205 None Detected - Grout
044 HA13, Ceramic Tile Wall Grout, Room 205 None Detected - Grout
045 HA14, Texture on Plaster Ceilings, Room 205 None Detected - Texture
046 HA14, Texture on Plaster Ceilings, Room 205 None Detected - Texture
047 HA14, Texture on Plaster Ceilings, Room 205 None Detected - Texture
048 HA15, Vinyl Sheet Flooring (White), Room 205A None Detected - Foam
None Detected - Yellow Mastic
None Detected - Sheet Flooring
None Detected - Fiber Backing
None Detected - Felt
None Detected - Leveling Compound
Project :
Project # :
Identification :
Test Method :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 45
18227196
Asbestos, Bulk Sample Analysis
Sample Number Client Sample Description / Location Asbestos Content
Sample Date :
On 9/7/2022, sixty five (65) bulk material samples were submitted by a representative of Terracon - Nashville for asbestos analysis by PLM/DS. The PLM
Detail Report is attached; additional information may be found therein. The results are summarized below:
Lab Job No. :
Report Date :
22B-10143
08/30/2022
09/26/2022
NVLAP Lab Code 102056-0
TDSHS License No. 300084
Polarized Light Microscopy / Dispersion Staining (PLM/DS)
EPA Method 600 / R-93 / 116
2051 Valley View Lane
Farmers Branch, TX 75234 Phone: (972) 241-8460
049 HA15, Vinyl Sheet Flooring (White), Room 205A None Detected - Foam
None Detected - Yellow Mastic
None Detected - Sheet Flooring
None Detected - Fiber Backing
None Detected - Felt
050 HA15, Vinyl Sheet Flooring (White), Room 205A None Detected - Foam
None Detected - Yellow Mastic
None Detected - Sheet Flooring
None Detected - Fiber Backing
None Detected - Felt
051 HA17, Sink Caulk (White, Thick), Room 206A None Detected - Caulking
052 HA17, Sink Caulk (White, Thick), Room 206A None Detected - Caulking
053 HA17, Sink Caulk (White, Thick), Room 206A None Detected - Caulking
057 HA18, Chimney Mortar, Attic Area None Detected - Mortar
058 HA18, Chimney Mortar, Attic Area None Detected - Mortar
059 HA18, Chimney Mortar, Attic Area None Detected - Mortar
060 HA19, Caulking (Black), Attic Area 5% Chrysotile - Caulking
061 HA19, Caulking (Black), Attic Area 5% Chrysotile - Caulking
062 HA19, Caulking (Black), Attic Area 5% Chrysotile - Caulking
063 HA20, Felt Paper above Subfloor, Room B101 None Detected - Felt Paper
None Detected - Surfacing
064 HA20, Felt Paper above Subfloor, Room B100 None Detected - Felt Paper
None Detected - Surfacing
065 HA20, Felt Paper above Subfloor, Room B103 None Detected - Felt Paper
None Detected - Surfacing
Project :
Project # :
Identification :
Test Method :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 45
18227196
Asbestos, Bulk Sample Analysis
Sample Number Client Sample Description / Location Asbestos Content
Sample Date :
On 9/7/2022, sixty five (65) bulk material samples were submitted by a representative of Terracon - Nashville for asbestos analysis by PLM/DS. The PLM
Detail Report is attached; additional information may be found therein. The results are summarized below:
Lab Job No. :
Report Date :
22B-10143
08/30/2022
09/26/2022
NVLAP Lab Code 102056-0
TDSHS License No. 300084
Polarized Light Microscopy / Dispersion Staining (PLM/DS)
EPA Method 600 / R-93 / 116
2051 Valley View Lane
Farmers Branch, TX 75234 Phone: (972) 241-8460
Jessica Scott, Nathan Wood, Shaun WilkersonAnalyst(s):
Lab Director : Bruce Crabb Approved Signatory :
Thank you for choosing Moody Labs
Lab Manager : Heather Lopez Approved Signatory :
These samples were analyzed by layers. Quantification, unless otherwise noted, is performed by calibrated visual estimate. The test report shall not be reproduced except in full without written approval of the laboratory. The results relate only to the items tested. These test results do not imply endorsement by NVLAP or any agency of the U.S.
Government. Accredited by the National Voluntary Laboratory Accreditation Program for Bulk Asbestos Fiber Analysis under Lab Code 102056-0.
PLM Detail Report
Project # : 18227196
Sample Number Layer Components % Of
Sample
Analysis
Date
% of
Layer Analyst
Supplement to PLM Summary Report
Client :
Project :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 45
Lab Job No. :
Report Date :
22B-10143 002
09/26/2022
2051 Valley View Lane
Farmers Branch, TX 75234 Phone: (972) 241-8460
Moody Labs NVLAP Lab Code 102056-0
TDSHS License No. 300084
Calcite / Binders001 Plaster (White) 75% 09/15100% JS
Pigment / Binders001 Paint (White) 25% 09/15100% JS
Aggregate002 Base Plaster (Grey) 35% 09/1565% JS
Cement Binders002 Base Plaster (Grey) 35% 09/1535% JS
Calcite / Binders002 Top Plaster (White) 45% 09/15100% JS
Pigment / Binders002 Paint (White) 20% 09/15100% JS
Calcite / Binders003 Plaster (White) 97% 09/15100% JS
Pigment / Binders003 Paint (White) 3% 09/15100% JS
Aggregate004 Base Plaster (Grey) 35% 09/1565% JS
Cement Binders004 Base Plaster (Grey) 35% 09/1535% JS
Calcite / Binders004 Top Plaster (White) 55% 09/15100% JS
Pigment / Binders004 Paint (White) 10% 09/15100% JS
Aggregate005 Base Plaster (Grey) 68% 09/1565% JS
Cement Binders005 Base Plaster (Grey) 68% 09/1535% JS
Calcite / Binders005 Top Plaster (White) 30% 09/15100% JS
Pigment / Binders005 Paint (Tan) 2% 09/15100% JS
Calcite / Binders006 Plaster (White) 95% 09/15100% JS
Pigment / Binders006 Paint (Tan) 5% 09/15100% JS
Aggregate007 Base Plaster (Grey) 93% 09/1565% JS
Cement Binders007 Base Plaster (Grey) 93% 09/1535% JS
Calcite / Binders007 Top Plaster (White) 5% 09/15100% JS
Pigment / Binders007 Paint (White) 2% 09/15100% JS
Cellulose Fibers008 Plaster (Grey) 99% 09/155% JS
Gypsum / Binders008 Plaster (Grey) 99% 09/1595% JS
Pigment / Binders008 Paint (White) 1% 09/15100% JS
Aggregate009 Base Plaster (Grey) 15% 09/1565% JS
Cement Binders009 Base Plaster (Grey) 15% 09/1535% JS
Calcite / Binders009 Top Plaster (White) 65% 09/15100% JS
Pigment / Binders009 Paint (White) 20% 09/15100% JS
Sample Number Layer Components % Of
Sample
Analysis
Date
% of
Layer Analyst
Supplement to PLM Summary Report
Client :
Project :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 45
Lab Job No. :
Report Date :
22B-10143 002
09/26/2022
2051 Valley View Lane
Farmers Branch, TX 75234 Phone: (972) 241-8460
Moody Labs NVLAP Lab Code 102056-0
TDSHS License No. 300084
Cellulose Fibers010 Plaster (Grey) 75% 09/155% JS
Gypsum / Binders010 Plaster (Grey) 75% 09/1595% JS
Pigment / Binders010 Paint (White) 25% 09/15100% JS
Aggregate011 Base Plaster (Grey) 40% 09/1565% JS
Cement Binders011 Base Plaster (Grey) 40% 09/1535% JS
Calcite / Binders011 Top Plaster (White) 50% 09/15100% JS
Pigment / Binders011 Paint (White) 10% 09/15100% JS
Calcite / Binders012 Plaster (White) 100% 09/15100% JS
Pigment / Binders012 Paint (White) <1% 09/15100% JS
Calcite / Binders013 Plaster (White) 90% 09/15100% JS
Pigment / Binders013 Paint (White) 10% 09/15100% JS
Calcite / Binders014 Plaster (White) 80% 09/15100% JS
Pigment / Binders014 Paint (White) 20% 09/15100% JS
Calcite / Vinyl Binders015 Beige Sheet Flooring (Light Tan) 20% 09/15100% NW
Cellulose Fibers015 Fiber Backing (Light Tan) 25% 09/1550% NW
Glass Wool Fibers015 Fiber Backing (Light Tan) 25% 09/155% NW
Binders / Fillers015 Fiber Backing (Light Tan) 25% 09/1545% NW
Glue Binders015 Yellow Mastic (Yellow) 5% 09/15100% NW
Chrysotile015 Green Floor Tile (Green) 45% 09/155% NW
Calcite / Vinyl Binders015 Green Floor Tile (Green) 45% 09/1595% NW
Cellulose Fibers015 Black Mastic (Black) 5% 09/155% NW
Tar Binders015 Black Mastic (Black) 5% 09/1595% NW
Sample Number Layer Components % Of
Sample
Analysis
Date
% of
Layer Analyst
Supplement to PLM Summary Report
Client :
Project :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 45
Lab Job No. :
Report Date :
22B-10143 002
09/26/2022
2051 Valley View Lane
Farmers Branch, TX 75234 Phone: (972) 241-8460
Moody Labs NVLAP Lab Code 102056-0
TDSHS License No. 300084
Calcite / Vinyl Binders016 Beige Sheet Flooring (Light Tan) 20% 09/15100% NW
Cellulose Fibers016 Fiber Backing (Light Tan) 25% 09/1550% NW
Glass Wool Fibers016 Fiber Backing (Light Tan) 25% 09/155% NW
Binders / Fillers016 Fiber Backing (Light Tan) 25% 09/1545% NW
Glue Binders016 Yellow Mastic (Yellow) 5% 09/15100% NW
Chrysotile016 Green Floor Tile (Green) 45% 09/155% NW
Calcite / Vinyl Binders016 Green Floor Tile (Green) 45% 09/1595% NW
Cellulose Fibers016 Black Mastic (Black) 5% 09/155% NW
Tar Binders016 Black Mastic (Black) 5% 09/1595% NW
Calcite / Vinyl Binders017 Beige Sheet Flooring (Light Tan) 20% 09/15100% NW
Cellulose Fibers017 Fiber Backing (Light Tan) 25% 09/1550% NW
Glass Wool Fibers017 Fiber Backing (Light Tan) 25% 09/155% NW
Binders / Fillers017 Fiber Backing (Light Tan) 25% 09/1545% NW
Glue Binders017 Yellow Mastic (Yellow) 5% 09/15100% NW
Chrysotile017 Green Floor Tile (Green) 45% 09/155% NW
Calcite / Vinyl Binders017 Green Floor Tile (Green) 45% 09/1595% NW
Cellulose Fibers017 Black Mastic (Black) 5% 09/155% NW
Tar Binders017 Black Mastic (Black) 5% 09/1595% NW
Aggregate018 Caulking (White) 100% 09/1515% NW
Calcite / Binders018 Caulking (White) 100% 09/1585% NW
Aggregate019 Caulking (White) 100% 09/1515% NW
Calcite / Binders019 Caulking (White) 100% 09/1585% NW
Aggregate020 Caulking (White) 100% 09/1515% NW
Calcite / Binders020 Caulking (White) 100% 09/1585% NW
Sample Number Layer Components % Of
Sample
Analysis
Date
% of
Layer Analyst
Supplement to PLM Summary Report
Client :
Project :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 45
Lab Job No. :
Report Date :
22B-10143 002
09/26/2022
2051 Valley View Lane
Farmers Branch, TX 75234 Phone: (972) 241-8460
Moody Labs NVLAP Lab Code 102056-0
TDSHS License No. 300084
Calcite / Vinyl Binders021 Off-White Sheet Flooring (Off-White) 38% 09/15100% NW
Cellulose Fibers021 Fiber Backing (Grey) 35% 09/1550% NW
Glass Wool Fibers021 Fiber Backing (Grey) 35% 09/155% NW
Binders / Fillers021 Fiber Backing (Grey) 35% 09/1545% NW
Glue Binders021 Yellow Mastic (Yellow) 2% 09/15100% NW
Chrysotile021 Green Floor Tile (Green) 15% 09/155% NW
Calcite / Vinyl Binders021 Green Floor Tile (Green) 15% 09/1595% NW
Chrysotile021 Black Mastic (Black) 2% 09/152% NW
Tar Binders021 Black Mastic (Black) 2% 09/1598% NW
Cellulose Fibers021 Tar Paper (Black) 8% 09/1585% NW
Tar Binders021 Tar Paper (Black) 8% 09/1515% NW
Calcite / Vinyl Binders022 Off-White Sheet Flooring (Off-White) 38% 09/15100% NW
Cellulose Fibers022 Fiber Backing (Grey) 35% 09/1550% NW
Glass Wool Fibers022 Fiber Backing (Grey) 35% 09/155% NW
Binders / Fillers022 Fiber Backing (Grey) 35% 09/1545% NW
Glue Binders022 Yellow Mastic (Yellow) 2% 09/15100% NW
Chrysotile022 Green Floor Tile (Green) 15% 09/155% NW
Calcite / Vinyl Binders022 Green Floor Tile (Green) 15% 09/1595% NW
Chrysotile022 Black Mastic (Black) 2% 09/152% NW
Tar Binders022 Black Mastic (Black) 2% 09/1598% NW
Cellulose Fibers022 Tar Paper (Black) 8% 09/1585% NW
Tar Binders022 Tar Paper (Black) 8% 09/1515% NW
Sample Number Layer Components % Of
Sample
Analysis
Date
% of
Layer Analyst
Supplement to PLM Summary Report
Client :
Project :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 45
Lab Job No. :
Report Date :
22B-10143 002
09/26/2022
2051 Valley View Lane
Farmers Branch, TX 75234 Phone: (972) 241-8460
Moody Labs NVLAP Lab Code 102056-0
TDSHS License No. 300084
Calcite / Vinyl Binders023 Off-White Sheet Flooring (Off-White) 38% 09/15100% NW
Cellulose Fibers023 Fiber Backing (Grey) 35% 09/1550% NW
Glass Wool Fibers023 Fiber Backing (Grey) 35% 09/155% NW
Binders / Fillers023 Fiber Backing (Grey) 35% 09/1545% NW
Glue Binders023 Yellow Mastic (Yellow) 2% 09/15100% NW
Chrysotile023 Green Floor Tile (Green) 15% 09/155% NW
Calcite / Vinyl Binders023 Green Floor Tile (Green) 15% 09/1595% NW
Chrysotile023 Black Mastic (Black) 2% 09/152% NW
Tar Binders023 Black Mastic (Black) 2% 09/1598% NW
Cellulose Fibers023 Tar Paper (Black) 8% 09/1585% NW
Tar Binders023 Tar Paper (Black) 8% 09/1515% NW
Cellulose Fibers024 Acoustic Tile (Light Grey) 100% 09/1550% NW
Mineral Wool Fibers024 Acoustic Tile (Light Grey) 100% 09/1530% NW
Perlite024 Acoustic Tile (Light Grey) 100% 09/1520% NW
Cellulose Fibers025 Acoustic Tile (Light Grey) 100% 09/1550% NW
Mineral Wool Fibers025 Acoustic Tile (Light Grey) 100% 09/1530% NW
Perlite025 Acoustic Tile (Light Grey) 100% 09/1520% NW
Cellulose Fibers026 Acoustic Tile (Light Grey) 100% 09/1550% NW
Mineral Wool Fibers026 Acoustic Tile (Light Grey) 100% 09/1530% NW
Perlite026 Acoustic Tile (Light Grey) 100% 09/1520% NW
Chrysotile027 Sink Undercoating (Black) 100% 09/155% NW
Calcite / Talc027 Sink Undercoating (Black) 100% 09/1540% NW
Tar Binders027 Sink Undercoating (Black) 100% 09/1555% NW
Chrysotile028 Sink Undercoating (Black) 100% 09/155% NW
Calcite / Talc028 Sink Undercoating (Black) 100% 09/1540% NW
Tar Binders028 Sink Undercoating (Black) 100% 09/1555% NW
Chrysotile029 Sink Undercoating (Black) 100% 09/155% NW
Calcite / Talc029 Sink Undercoating (Black) 100% 09/1540% NW
Tar Binders029 Sink Undercoating (Black) 100% 09/1555% NW
Sample Number Layer Components % Of
Sample
Analysis
Date
% of
Layer Analyst
Supplement to PLM Summary Report
Client :
Project :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 45
Lab Job No. :
Report Date :
22B-10143 002
09/26/2022
2051 Valley View Lane
Farmers Branch, TX 75234 Phone: (972) 241-8460
Moody Labs NVLAP Lab Code 102056-0
TDSHS License No. 300084
Chrysotile030 Acoustic Tile (Off-White) 100% 09/152% NW
Mineral Wool Fibers030 Acoustic Tile (Off-White) 100% 09/1593% NW
Binders / Fillers030 Acoustic Tile (Off-White) 100% 09/155% NW
Cellulose Fibers031 Acoustic Tile (Off-White) 100% 09/1510% NW
Mineral Wool Fibers031 Acoustic Tile (Off-White) 100% 09/1585% NW
Binders / Fillers031 Acoustic Tile (Off-White) 100% 09/155% NW
Chrysotile032 Acoustic Tile (Off-White) 100% 09/152% NW
Mineral Wool Fibers032 Acoustic Tile (Off-White) 100% 09/1593% NW
Binders / Fillers032 Acoustic Tile (Off-White) 100% 09/155% NW
Chrysotile033 Thermal Insulation (Grey) 100% 09/1565% NW
Binders / Fillers033 Thermal Insulation (Grey) 100% 09/1535% NW
Chrysotile034 Thermal Insulation (Grey) 100% 09/1565% NW
Binders / Fillers034 Thermal Insulation (Grey) 100% 09/1535% NW
Chrysotile035 Thermal Insulation (Grey) 100% 09/1565% NW
Binders / Fillers035 Thermal Insulation (Grey) 100% 09/1535% NW
Aggregate036 Ceramic Tile (Light Tan) 100% 09/1515% NW
Sintered Clays036 Ceramic Tile (Light Tan) 100% 09/1585% NW
Aggregate037 Ceramic Tile (Light Tan) 100% 09/1515% NW
Sintered Clays037 Ceramic Tile (Light Tan) 100% 09/1585% NW
Aggregate038 Ceramic Tile (Light Tan) 100% 09/1515% NW
Sintered Clays038 Ceramic Tile (Light Tan) 100% 09/1585% NW
Metal Foil039 Foil Wrap (Silver) 20% 09/15100% NW
Synthetic Fibers039 Grey Mastic (Grey) 80% 09/152% NW
Calcite039 Grey Mastic (Grey) 80% 09/1558% NW
Glue Binders039 Grey Mastic (Grey) 80% 09/1540% NW
Metal Foil040 Foil Wrap (Silver) 20% 09/15100% NW
Synthetic Fibers040 Grey Mastic (Grey) 80% 09/152% NW
Calcite040 Grey Mastic (Grey) 80% 09/1558% NW
Glue Binders040 Grey Mastic (Grey) 80% 09/1540% NW
Sample Number Layer Components % Of
Sample
Analysis
Date
% of
Layer Analyst
Supplement to PLM Summary Report
Client :
Project :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 45
Lab Job No. :
Report Date :
22B-10143 002
09/26/2022
2051 Valley View Lane
Farmers Branch, TX 75234 Phone: (972) 241-8460
Moody Labs NVLAP Lab Code 102056-0
TDSHS License No. 300084
Metal Foil041 Foil Wrap (Silver) 20% 09/15100% NW
Synthetic Fibers041 Grey Mastic (Grey) 80% 09/152% NW
Calcite041 Grey Mastic (Grey) 80% 09/1558% NW
Glue Binders041 Grey Mastic (Grey) 80% 09/1540% NW
Calcite / Binders054 Grout (White) 100% 09/15100% SW
Calcite / Binders055 Grout (White) 100% 09/15100% SW
Calcite / Binders056 Grout (White) 100% 09/15100% SW
Calcite / Binders042 Grout (White) 100% 09/15100% SW
Calcite / Binders043 Grout (White) 100% 09/15100% SW
Calcite / Binders044 Grout (White) 100% 09/15100% SW
Calcite / Binders045 Texture (White) 100% 09/15100% SW
Calcite / Binders046 Texture (White) 100% 09/15100% SW
Calcite / Binders047 Texture (White) 100% 09/15100% SW
Synthetic Foam048 Foam (Gray) 5% 09/15100% SW
Glue Binders048 Yellow Mastic (Yellow) 5% 09/15100% SW
Cellulose Fibers048 Sheet Flooring (Gray) 40% 09/1550% SW
Calcite / Vinyl Binders048 Sheet Flooring (Gray) 40% 09/1550% SW
Jute Fibers048 Fiber Backing (Brown) 15% 09/15100% SW
Cellulose Fibers048 Felt (Green) 30% 09/1555% SW
Synthetic Fibers048 Felt (Green) 30% 09/155% SW
Glass Wool Fibers048 Felt (Green) 30% 09/155% SW
Binders / Fillers048 Felt (Green) 30% 09/1535% SW
Calcite / Binders048 Leveling Compound (Off-White) 5% 09/15100% SW
Sample Number Layer Components % Of
Sample
Analysis
Date
% of
Layer Analyst
Supplement to PLM Summary Report
Client :
Project :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 45
Lab Job No. :
Report Date :
22B-10143 002
09/26/2022
2051 Valley View Lane
Farmers Branch, TX 75234 Phone: (972) 241-8460
Moody Labs NVLAP Lab Code 102056-0
TDSHS License No. 300084
Synthetic Foam049 Foam (Gray) 5% 09/15100% SW
Glue Binders049 Yellow Mastic (Yellow) 5% 09/15100% SW
Cellulose Fibers049 Sheet Flooring (Gray) 45% 09/1550% SW
Calcite / Vinyl Binders049 Sheet Flooring (Gray) 45% 09/1550% SW
Jute Fibers049 Fiber Backing (Brown) 15% 09/15100% SW
Cellulose Fibers049 Felt (Green) 30% 09/1555% SW
Synthetic Fibers049 Felt (Green) 30% 09/155% SW
Glass Wool Fibers049 Felt (Green) 30% 09/155% SW
Binders / Fillers049 Felt (Green) 30% 09/1535% SW
Synthetic Foam050 Foam (Gray) 5% 09/15100% SW
Glue Binders050 Yellow Mastic (Yellow) 5% 09/15100% SW
Cellulose Fibers050 Sheet Flooring (Gray) 45% 09/1550% SW
Calcite / Vinyl Binders050 Sheet Flooring (Gray) 45% 09/1550% SW
Jute Fibers050 Fiber Backing (Brown) 15% 09/15100% SW
Cellulose Fibers050 Felt (Green) 30% 09/1555% SW
Synthetic Fibers050 Felt (Green) 30% 09/155% SW
Glass Wool Fibers050 Felt (Green) 30% 09/155% SW
Binders / Fillers050 Felt (Green) 30% 09/1535% SW
Silicone Binders051 Caulking (White) 100% 09/15100% SW
Silicone Binders052 Caulking (White) 100% 09/15100% SW
Silicone Binders053 Caulking (White) 100% 09/15100% SW
Aggregate057 Mortar (Grey) 100% 09/1565% SW
Cement Binders057 Mortar (Grey) 100% 09/1535% SW
Aggregate058 Mortar (Grey) 100% 09/1565% SW
Cement Binders058 Mortar (Grey) 100% 09/1535% SW
Aggregate059 Mortar (Grey) 100% 09/1565% SW
Cement Binders059 Mortar (Grey) 100% 09/1535% SW
Sample Number Layer Components % Of
Sample
Analysis
Date
% of
Layer Analyst
Supplement to PLM Summary Report
Client :
Project :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 45
Lab Job No. :
Report Date :
22B-10143 002
09/26/2022
2051 Valley View Lane
Farmers Branch, TX 75234 Phone: (972) 241-8460
Moody Labs NVLAP Lab Code 102056-0
TDSHS License No. 300084
Chrysotile060 Caulking (Black) 100% 09/155% NW
Calcite060 Caulking (Black) 100% 09/1520% NW
Tar Binders060 Caulking (Black) 100% 09/1575% NW
Chrysotile061 Caulking (Black) 100% 09/155% NW
Calcite061 Caulking (Black) 100% 09/1520% NW
Tar Binders061 Caulking (Black) 100% 09/1575% NW
Chrysotile062 Caulking (Black) 100% 09/155% NW
Calcite062 Caulking (Black) 100% 09/1520% NW
Tar Binders062 Caulking (Black) 100% 09/1575% NW
Cellulose Fibers063 Felt Paper (Brown) 95% 09/1595% NW
Binders / Fillers063 Felt Paper (Brown) 95% 09/155% NW
Calcite063 Surfacing (Off-White) 5% 09/1525% NW
Pigment / Binders063 Surfacing (Off-White) 5% 09/1575% NW
Cellulose Fibers064 Felt Paper (Brown) 95% 09/1595% NW
Binders / Fillers064 Felt Paper (Brown) 95% 09/155% NW
Calcite064 Surfacing (Off-White) 5% 09/1525% NW
Pigment / Binders064 Surfacing (Off-White) 5% 09/1575% NW
Cellulose Fibers065 Felt Paper (Brown) 95% 09/1595% NW
Binders / Fillers065 Felt Paper (Brown) 95% 09/155% NW
Calcite065 Surfacing (Off-White) 5% 09/1525% NW
Pigment / Binders065 Surfacing (Off-White) 5% 09/1575% NW please remove 1st 2 digits from sample numbers and reissue the report. JR 9/23/2022
VA Mountain Home Asbestos Photo Page - 18227196 Building 45, Mountain Home, Tennessee Date photos taken: August 30, 2022
Photo #1 Plaster Wall, HA 01 – Sample
Photo #2 Plaster Wall, HA 01 – Sample
Photo #3 Plaster Wall, HA 01 – Sample
Photo #4 Plaster Wall, HA 01 – Sample
Photo #5 Plaster Wall, HA 01 – Sample 005 Photo #6 Plaster Wall, HA 01 – Sample 006
Photo #7 Plaster Wall, HA 01 – Sample 007 Photo #8 Plaster Ceiling, HA 02 – Sample
Photo #9 Plaster Ceiling, HA 02 – Sample
Photo #10 Plaster Ceiling, HA 02 – Sample
Photo #11 Plaster Ceiling, HA 02 – Sample
Photo #12 Plaster Ceiling, HA 02 – Sample
Photo #13 Plaster Ceiling, HA 02 – Sample
Photo #14 Plaster Ceiling, HA 02 – Sample
Photo #15 ACM Green Vinyl Floor Tile (beneath the beige sheet flooring), HA 03 – Sample 015
Photo #16 ACM Green Vinyl Floor Tile
Sample 016
Photo #17 ACM Green Vinyl Floor Tile
Sample 017
Photo #18 Sink Caulk – white, thin, HA 04 – Sample 018
Photo #19 Sink Caulk – white, thin, HA 04 – Sample 019
Photo #20 Sink Caulk – white, thin, HA 04 – Sample 020
Photo #21 ACM Green Vinyl Floor Tile with associated black mastic, HA 05 – Sample
Photo #22 ACM Green Vinyl Floor Tile with
Photo #23 ACM Green Vinyl Floor Tile with
Photo #24 Suspended-Ceiling Tile – 2’x4’, white, HA 06 – Sample 024
Photo #25 Suspended-Ceiling Tile – 2’x4’, white, HA 06 – Sample 025
Photo #26 Suspended-Ceiling Tile – 2’x4’, white, HA 06 – Sample 026
Photo #27 ACM Black Sink Undercoat, HA 07 – Sample 027
Photo #28 ACM Black Sink Undercoat, HA 07 – Sample 028
Photo #29 ACM Black Sink Undercoat, HA 07 – Sample 029
Photo #30 ACM Acoustical 2’x2’ White Suspended-Ceiling Tile, HA 08 – Sample
Photo #31 Acoustical 2’x2’ White
Photo #32 ACM Acoustical 2’x2’ White
Photo #33 ACM Duct Tape – off-white, soft, HA 09 – Sample 033
Photo #34 ACM Duct Tape – off-white, soft, HA 09 – Sample 034
Photo #35 ACM Duct Tape – off-white, soft, HA 09 – Sample 035
Photo #36 Transite Sink, HA 10 – Sample
Photo #37 Transite Sink, HA 10 – Sample
Photo #38 Transite Sink, HA 10 – Sample
Photo #39 Gray Duct Mastic, HA 11 – Sample 039
Photo #40 Gray Duct Mastic, HA 11 – Sample 040
Photo #41 Gray Duct Mastic, HA 11 – Sample 041
Photo #42 Ceramic Tile Wall Grout, HA 13 – Sample 042
Photo #43 Ceramic Tile Wall Grout, HA 13 – Sample 043
Photo #44 Ceramic Tile Wall Grout, HA 13 – Sample 044
Photo #45 Texture on plaster ceiling, HA 14
– Sample 045
Photo #46 Texture on plaster ceiling, HA 14
– Sample 046
Photo #47 Texture on plaster ceiling, HA 14
– Sample 047
Photo #48 Vinyl Sheet Flooring – white, HA 15 – Sample 048
Photo #49 Vinyl Sheet Flooring – white, HA 15 – Sample 049
Photo #50 Vinyl Sheet Flooring – white, HA 15 – Sample 050
Photo #51 Sink Caulk – white, thick, HA 17
– Sample 051
Photo #52 Sink Caulk – white, thick, HA 17
– Sample 052
Photo #53 Sink Caulk – white, thick, HA 17
– Sample 053
Photo #54 Ceramic Tile Floor Grout, HA 12
– Sample 054
Photo #55 Ceramic Tile Floor Grout – gray, HA 12 – Sample 055
Photo #56 Ceramic Tile Floor Grout – gray, HA 12 – Sample 056
Photo #57 Chimney Mortar, HA 18 – Sample 057
Photo #58 Chimney Mortar, HA 18 – Sample 058
Photo #59 Chimney Mortar, HA 18 – Sample 059
Photo #60 ACM Black Caulking, HA 19 – Sample 060
Photo #61 ACM Black Caulking, HA 19 – Sample 061
Photo #62 ACM Black Caulking, HA 19 – Sample 062
Photo #63 Felt Paper above Subfloor – black, HA 20 – Sample 063
Photo #64 Felt Paper above Subfloor – black, HA 20 – Sample 064
Photo #65 Felt Paper above Subfloor – black, HA 20 – Sample 065
45_01NPEB
ASBESTOS PLAN - BASEMENT
Project Number
Building Number
Drawing Number
Project Title
Location
Issue Date Checked Drawn
Drawing Title
Approved:
VA FORM 08 - 6231
A
Inspection Surveys
FULLY SPRINKLERED
Office of Construction and Facilities Management
U.S. DePLANment of Veterans Affairs
B
C
D
E
F
A
B
C
D
E
F
21 4 5 6 7 8 9 10
PhaseARCHITECT/ENGINEER OF RECORD A/E:
STAMPCONSULTANT
Pond & Company 110 Veterans Memorial Blvd., Suite 347 Metairie, LA 70005
(504) 301-2839 A/E firm POC
Asbestos & IH Services Terracon Consultants, Inc.
1922 Old Murfreesboro Pike, Building 900, Suite 905 Nashville, TN 37217
(615) 333-6444 Consultant POC
Asbestos and Lead Surveys
James H. Quillen VA Medical Center Mountain Home, TN 37684
621-22-141
Project Director
Revisions: Date:
321 4 5 6 7 8 9 10
ASBESTOS - BASEMENT
1/8" = 1'-0"1
Asbestos-containing duct tape (HA 09)
ASBESTOS LEGEND
# # # Non-Asbestos containing sample locations
Asbestos-containing sample locations
UNEXCAVATED
Basement Storage B103
Hall B100
Laundry B102
Bath B101
45_02NPEB
ASBESTOS PLAN - FIRST FLOOR
Project Number
Building Number
Drawing Number
Project Title
Location
Issue Date Checked Drawn
Drawing Title
Approved:
VA FORM 08 - 6231
A
Inspection Surveys
FULLY SPRINKLERED
Office of Construction and Facilities Management
U.S. DePLANment of Veterans Affairs
B
C
D
E
F
A
B
C
D
E
F
21 4 5 6 7 8 9 10
PhaseARCHITECT/ENGINEER OF RECORD A/E:
STAMPCONSULTANT
Pond & Company 110 Veterans Memorial Blvd., Suite 347 Metairie, LA 70005
(504) 301-2839 A/E firm POC
Asbestos & IH Services Terracon Consultants, Inc.
1922 Old Murfreesboro Pike, Building 900, Suite 905 Nashville, TN 37217
(615) 333-6444 Consultant POC
Asbestos and Lead Surveys
James H. Quillen VA Medical Center Mountain Home, TN 37684
621-22-141
Project Director
Revisions: Date:
321 4 5 6 7 8 9 10
ASBESTOS - FIRST FLOOR
1/8" = 1'-0"1
Asbestos-containing green vinyl floor tile with non-asbestos mastic located beneath sheet vinyl (HA 03)
Asbestos-containing 2'x2', white suspended-ceiling tile (HA 08)
Asbestos-containing green vinyl floor tile with asbestos-containing black mastic located beneath sheet vinyl (HA 05) Asbestos-containing black sink undercoat
(HA 07)
ASBESTOS LEGEND
# # # Non-Asbestos containing sample locations
Asbestos-containing sample locations
Living Room
Foyer
Office
Closet
Toilet
Dining
Kitchen 108Dining/Den
Hall
Closet 100B
Closet 100A
Porch N/N
UP
Closet
45_03NPEB
ASBESTOS PLAN - SECOND
FLOOR
Project Number
Building Number
Drawing Number
Project Title
Location
Issue Date Checked Drawn
Drawing Title
Approved:
VA FORM 08 - 6231
A
Inspection Surveys
FULLY SPRINKLERED
Office of Construction and Facilities Management
U.S. DePLANment of Veterans Affairs
B
C
D
E
F
A
B
C
D
E
F
21 4 5 6 7 8 9 10
PhaseARCHITECT/ENGINEER OF RECORD A/E:
STAMPCONSULTANT
Pond & Company 110 Veterans Memorial Blvd., Suite 347 Metairie, LA 70005
(504) 301-2839 A/E firm POC
Asbestos & IH Services Terracon Consultants, Inc.
1922 Old Murfreesboro Pike, Building 900, Suite 905 Nashville, TN 37217
(615) 333-6444 Consultant POC
Asbestos and Lead Surveys
James H. Quillen VA Medical Center Mountain Home, TN 37684
621-22-141
Project Director
Revisions: Date:
321 4 5 6 7 8 9 10
ASBESTOS - SECOND FLOOR
1/8" = 1'-0"1
ASBESTOS LEGEND
# # # Non-Asbestos containing sample locations
Bedroom 204Bedroom
Bath
Hall
Stair Hall
Bedroom
Bedroom
Bedroom
Closet
Closet 202A
Closet 205A
Closet 204A
Bath 206A
Closet 207B
Closet 208A
Closet 207A
Closet 206B
PORCH ROOF
DN
45_04NPEB
ASBESTOS PLAN - ATTIC
Project Number
Building Number
Drawing Number
Project Title
Location
Issue Date Checked Drawn
Drawing Title
Approved:
VA FORM 08 - 6231
A
Inspection Surveys
FULLY SPRINKLERED
Office of Construction and Facilities Management
U.S. DePLANment of Veterans Affairs
B
C
D
E
F
A
B
C
D
E
F
21 4 5 6 7 8 9 10
PhaseARCHITECT/ENGINEER OF RECORD A/E:
STAMPCONSULTANT
Pond & Company 110 Veterans Memorial Blvd., Suite 347 Metairie, LA 70005
(504) 301-2839 A/E firm POC
Asbestos & IH Services Terracon Consultants, Inc.
1922 Old Murfreesboro Pike, Building 900, Suite 905 Nashville, TN 37217
(615) 333-6444 Consultant POC
Asbestos and Lead Surveys
James H. Quillen VA Medical Center Mountain Home, TN 37684
621-22-141
Project Director
Revisions: Date:
321 4 5 6 7 8 9 10
ASBESTOS - ATTIC
1/8" = 1'-0"1
Asbestos-containing black caulk (HA 19)
ASBESTOS LEGEND
# # # Non-Asbestos containing sample locations
Asbestos-containing sample locations
Attic Space N/N
| JHQVAMC_Bldg3_Asbestos |
| Sheets |
| 03_00 - 3D Building |
| 03_01 - Asbestos Plan - Basement |
| 03_02 - Asbestos Plan - First Floor |
| 03_03 - Asbestos Plan - Second Floor |
| 03_04 - Asbestos Plan - Attic |
| Building 3 Asbestos Results |
| Bldg 5 Confirmed ACM Table |
| PHOTO PAGE PDF |
| Building 5 Asbestos Results JJ |
| JHQVAMC_Bldg5_Asbestos |
| Sheets |
| 05_00 - 3D Building |
| 05_01 - Abestos Plan - Basement |
| 05_02 - Abestos Plan - First Floor |
| 05_03 - Abestos Plan - Second Floor |
| 05_04 - Abestos Plan - Attic |
| Bldg 8 Confirmed ACM Table |
| 2022.2B-11153.F001 |
| 2022.2B-11153.coc |
| PHOTO PAGE PDF |
| Building 8 Asbestos Results |
| JHQVAMC_Bldg8_Asbestos |
| Sheets and Views |
| JHQVAMC_Bldg08-Asbestos_Basement |
| JHQVAMC_Bldg08-Asbestos - Basement A |
| JHQVAMC_Bldg08-Asbestos - Basement B |
| JHQVAMC_Bldg08-Asbestos_First Floor |
| JHQVAMC_Bldg08-Asbestos - First Floor A |
| JHQVAMC_Bldg08-Asbestos - First Floor B |
| JHQVAMC_Bldg08-Asbestos_Second Floor |
| JHQVAMC_Bldg08-Asbestos - Second Floor A |
| JHQVAMC_Bldg08-Asbestos - Second Floor B |
| JHQVAMC_Bldg08-Asbestos_Third Floor |
| JHQVAMC_Bldg08-Asbestos - Third Floor A |
| JHQVAMC_Bldg08-Asbestos - Third Floor B |
| Bldg 13 Confirmed ACM Table |
| 2022.2B-13732.F001 |
| 2022.2B-13732.coc |
| PHOTO PAGE PDF |
| Bldg 13 Sample Summary Table |
| JHQVAMC_Bldg13_Asbestos |
| Sheets and Views |
| JHQVAMC_Bldg13-Asbestos - Basement |
| JHQVAMC_Bldg13-Asbestos - First Floor |
| JHQVAMC_Bldg13-Asbestos - Bell Tower |
| Bldg 15 Confirmed ACM Table |
| 2022.2B-10154.coc |
| 2022.2B-13735.F001 |
| 2022.2B-13735.coc |
| PHOTO PAGE PDF |
| Building 15 Asbestos Results |
| JHQVAMC_Bldg15_Asbestos |
| Sheets and Views |
| JHQVAMC_Bldg15-Asbestos - Basement |
| JHQVAMC_Bldg15-Asbestos - First Floor |
| JHQVAMC_Bldg15-Asbestos - Second Floor |
| JHQVAMC_Bldg15-Asbestos - Attic |
| Bldg 17 Confirmed ACM Table |
| 2022.2B-10150.coc |
| PHOTO PAGE PDF |
| Building 17 Results |
| JHQVAMC_Bldg17_Asbestos |
| Bldg 19 Confirmed ACM Table |
| 2022.2B-10580.F001 |
| Building 19 2022.2B-10580.coc |
| PHOTO PAGE PDF |
| Building 19 Asbestos Results |
| JHQVAMC_Bldg19_Asbestos |
| Bldg 20 Confirmed ACM Table |
| 2022.2B-11684.F001 |
| 2022.2B-11684.coc |
| PHOTO PAGE PDF |
| Buildng 20 Asbestos Results |
| JHQVAMC_Bldg20_Asbestos |
| Bldg 34 Confirmed ACM Table |
| 2022.2B-10579.F001 |
| 2022.2B-10579.coc |
| PHOTO PAGE PDF |
| Building 34 Asbestos Results |
| JHQVAMC_Bldg34_Asbestos |
| Sheets and Views |
| JHQVAMC_Bldg34-Overall - Basement |
| JHQVAMC_Bldg34-Asbestos - Basement A |
| JHQVAMC_Bldg34-Asbestos - Basement B |
| JHQVAMC_Bldg34-Overall - First Floor |
| JHQVAMC_Bldg34-Asbestos - First Floor A |
| JHQVAMC_Bldg34-Asbestos - First Floor B |
| JHQVAMC_Bldg34-Overall - Second Floor |
| JHQVAMC_Bldg34-Asbestos - Second Floor A |
| JHQVAMC_Bldg34-Asbestos - Second Floor B |
| Bldg 35 Confirmed ACM Table |
| 2022.2B-10581.F001 |
| Bldg 35 2022.2B-10581.coc |
| PHOTO PAGE PDF |
| Building 35 Asbestos Results |
| JHQVAMC_Bldg35_Asbestos |
| Sheets and Views |
| JHQVAMC_Bldg35-Asbestos - Basement |
| JHQVAMC_Bldg35-Asbestos - First Floor |
| JHQVAMC_Bldg35-Asbestos - Second Floor |
| Bldg 36 Confirmed ACM Table |
| 2022.2B-10156.coc |
| PHOTO PAGE PDF |
| Building 36 Asbestos Results |
| JHQVAMC_Bldg36_Asbestos |
| Sheets and Views |
| JHQVAMC_Bldg36-Asbestos - Basement |
| JHQVAMC_Bldg36-Asbestos - First Floor |
| Bldg 37 Confirmed ACM Table |
| 2022.2B-10149.coc |
| 2022.2B-13948.F001 |
| 2022.2B-13948.coc |
| PHOTO PAGE PDF |
| Building 37 Asbestos Results |
| JHQVAMC_Bldg37_Asbestos |
| Sheets and Views |
| JHQVAMC_Bldg37-Asbestos - Basement |
| JHQVAMC_Bldg37-Asbestos - First Floor |
| JHQVAMC_Bldg37-Asbestos - Second Floor |
| Bldg 39 Confirmed ACM Table |
| 2022.2B-11685.F001 |
| 2022.2B-11685.coc |
| PHOTO PAGE PDF |
| Building 39 Asbestos Results |
| JHQVAMC_Bldg39_Asbestos |
| Sheets |
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File details come from the government source that posted it. Updated .