Excerpt Bldg 47 JHQVAMC Draft Asbestos Survey Report 01-06-23.pdf
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- Solicitation number
- 36C24923B0007
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This solicitation is for construction services to restore the exteriors of five historical quarters buildings located at the James H. Quillen VA Medical Center in Mountain Home, Tennessee. The scope of work includes replacing wood, installing water barriers, painting, conducting roof repair and replacement, tuckpointing and repairing brick foundations and chimneys, replacing gutters and downspouts, and extending downspout discharges away from buildings. The period of performance is 400 calendar days. Contractors must coordinate work schedules with the COR and occupy the site during normal business hours, with after-hours work requiring advance approval. Submittals are due within 60 days of notice to proceed. The place of performance is the James H. Quillen VAMC.
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APPENDIX B.21
BUILDING 47
BUILDING DESCRIPTION – BUILDING 47
JAMES H. QUILLEN VA MEDICAL CENTER
MOUNTAIN HOME, TENNESSEE
Building 47 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 gypsum board, plaster, ceramic tile, wood, or brick. The ceilings consist of plaster, suspended-ceiling tile, or wood. A total of sixty-two (62) bulk samples were collected from the suspect ACMs associated with building 47. It should be noted that at the time of the survey, the following rooms were inaccessible: 201, 202, 203, 204, and 205.
Building 47 Sample Summary Table
Sample Number HA #, Sample Description, Sample Location Sample Layer
Description Asbestos Result
HA01, Plaster Walls, Stairs #2 Plaster None Detected HA01, Plaster Walls, Stairs #2 Surfacing None Detected HA01, Plaster Walls, Room 100B Grey Plaster None Detected HA01, Plaster Walls, Room 100B White Plaster None Detected HA01, Plaster Walls, Room 104 Grey Plaster None Detected HA01, Plaster Walls, Room 104 White Plaster None Detected HA01, Plaster Walls, Room 107 Grey Plaster None Detected HA01, Plaster Walls, Room 107 White Plaster None Detected HA01, Plaster Walls, Room 107 Surfacing Material None Detected HA01, Plaster Walls, Room 205A Grey Plaster None Detected HA01, Plaster Walls, Room 205A White Plaster None Detected HA01, Plaster Walls, Room 203A Grey Plaster None Detected HA01, Plaster Walls, Room 203A White Plaster None Detected HA01, Plaster Walls, Room 207A Grey Plaster None Detected HA01, Plaster Walls, Room 207A White Plaster None Detected HA02, Plaster Ceilings, Room 103 Grey Plaster None Detected HA02, Plaster Ceilings, Room 103 White Plaster None Detected HA02, Plaster Ceilings, Room 205 Grey Plaster None Detected HA02, Plaster Ceilings, Room 205 White Plaster None Detected
010 HA02, Plaster Ceilings, Room 202 White Plaster None Detected HA02, Plaster Ceilings, Room 203 Grey Plaster None Detected HA02, Plaster Ceilings, Room 203 White Plaster None Detected
012 HA02, Plaster Ceilings, Room 104 Plaster None Detected 013 HA02, Plaster Ceilings, Room 101 Plaster None Detected
HA02, Plaster Ceilings, Room 100A Grey Plaster None Detected HA02, Plaster Ceilings, Room 100A White Plaster None Detected HA03, Vinyl Sheet Flooring (Light Brown, 2 Layered), Room 103 Sheet Flooring None Detected HA03, Vinyl Sheet Flooring (Light Brown, 2 Layered), Room 103 Fiber Backing 45% Chrysotile HA03, Vinyl Sheet Flooring (Light Brown, 2 Layered), Room 103 Sheet Flooring None Detected HA03, Vinyl Sheet Flooring (Light Brown, 2 Layered), Room 103 Fiber Backing 45% Chrysotile HA03, Vinyl Sheet Flooring (Light Brown, 2 Layered), Room 103 Yellow Mastic None Detected HA03, Vinyl Sheet Flooring (Light Brown, 2 Layered), Room 103 Sheet Flooring None Detected HA03, Vinyl Sheet Flooring (Light Brown, 2 Layered), Room 103 Fiber Backing 45% Chrysotile HA03, Vinyl Sheet Flooring (Light Brown, 2 Layered), Room 103 Yellow Mastic None Detected HA04, Cove Base Mastic, Room 103 Yellow Mastic None Detected HA04, Cove Base Mastic, Room 103 Brown Mastic None Detected
HA04, Cove Base Mastic, Room 105 Yellow Mastic None Detected HA04, Cove Base Mastic, Room 105 Brown Mastic None Detected HA04, Cove Base Mastic, Room 105 Yellow Mastic None Detected HA04, Cove Base Mastic, Room 105 Brown Mastic None Detected
021 HA05, Sink Caulk (White), Room 103 Caulking None Detected 022 HA05, Sink Caulk (White), Room 103 Caulking None Detected 023 HA05, Sink Caulk (White), Room 203 Caulking None Detected
HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 105 Top Flooring None Detected HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 105 Fiber Backing None Detected HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 105 Yellow Mastic 1 None Detected HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 105 Bottom Flooring None Detected HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 105 Fiber Backing None Detected HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 105 Yellow Mastic 2 None Detected HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 106 Top Flooring None Detected HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 106 Fiber Backing None Detected HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 106 Yellow Mastic 1 None Detected HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 106 Bottom Flooring None Detected HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 106 Fiber Backing None Detected HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 106 Yellow Mastic 2 None Detected HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 105 Top Flooring None Detected HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 105 Fiber Backing None Detected HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 105 Yellow Mastic 1 None Detected HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 105 Bottom Flooring None Detected HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 105 Fiber Backing None Detected HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 105 Yellow Mastic 2 None Detected
027 HA07, 2' x 2' Ceiling Tiles (White), Room 105 Acoustic Tile None Detected 028 HA07, 2' x 2' Ceiling Tiles (White), Room 105 Acoustic Tile None Detected 029 HA07, 2' x 2' Ceiling Tiles (White), Room 105 Acoustic Tile None Detected
030 HA08, Sink Undercoating (Black), Room 105 Sink Undercoating 5% Chrysotile 031 HA08, Sink Undercoating (Black), Room 105 Sink Undercoating 5% Chrysotile 032 HA08, Sink Undercoating (Black), Room 105 Sink Undercoating 5% Chrysotile 033 HA09, Ceramic Tile Floor Grout, Room 203 Grout None Detected 034 HA09, Ceramic Tile Floor Grout, Room 203 Grout None Detected
HA09, Ceramic Tile Floor Grout, Room 203 Tan Grout None Detected HA09, Ceramic Tile Floor Grout, Room 203 Grey Grout None Detected
036 HA10, Ceramic Tile Wall Grout, Room 203 Grout None Detected 037 HA10, Ceramic Tile Wall Grout, Room 203 Grout None Detected 038 HA10, Ceramic Tile Wall Grout, Room 203 Grout None Detected
HA11, Vinyl Sheet Flooring (Off-White and Blue Design), Room 203A Sheet Flooring None Detected HA11, Vinyl Sheet Flooring (Off-White and Blue Design), Room 203A Fiber Backing 45% Chrysotile HA11, Vinyl Sheet Flooring (Off-White and Blue Design), Room 203A Yellow Mastic None Detected HA11, Vinyl Sheet Flooring (Off-White and Blue Design), Room 203A Sheet Flooring None Detected HA11, Vinyl Sheet Flooring (Off-White and Blue Design), Room 203A Fiber Backing 45% Chrysotile HA11, Vinyl Sheet Flooring (Off-White and Blue Design), Room 203A Yellow Mastic None Detected HA11, Vinyl Sheet Flooring (Off-White and Blue Design), Room 203A Sheet Flooring None Detected HA11, Vinyl Sheet Flooring (Off-White and Blue Design), Room 203A Fiber Backing 45% Chrysotile HA11, Vinyl Sheet Flooring (Off-White and Blue Design), Room 203A Yellow Mastic None Detected
042 HA12, 1' x 1' Ceiling Tile (White), Room 207 Acoustic Tile None Detected 043 HA12, 1' x 1' Ceiling Tile (White), Room 207 Acoustic Tile None Detected 044 HA12, 1' x 1' Ceiling Tile (White), Room 207 Acoustic Tile None Detected
HA13, Gypsum Board Walls, Stairs #1 Area Drywall Material None Detected HA13, Gypsum Board Walls, Stairs #1 Area Joint Compound None Detected
046 HA13, Gypsum Board Walls, Stairs #1 Area Joint Compound None Detected HA13, Gypsum Board Walls, Stairs #1 Area Drywall Material None Detected HA13, Gypsum Board Walls, Stairs #1 Area Joint Compound None Detected HA14, Pipe Insulation Mastic, Room B103 Paper / Foil Wrap None Detected HA14, Pipe Insulation Mastic, Room B103 White Mastic None Detected HA14, Pipe Insulation Mastic, Room B104 Thermal Insulation None Detected HA14, Pipe Insulation Mastic, Room B104 Paper / Foil Wrap None Detected HA14, Pipe Insulation Mastic, Room B104 White Mastic None Detected HA14, Pipe Insulation Mastic, Room B102 Paper / Foil Wrap None Detected HA14, Pipe Insulation Mastic, Room B102 White Mastic None Detected HA15, Felt Paper above Subfloor, Room B103 Felt Paper None Detected HA15, Felt Paper above Subfloor, Room B103 Coating None Detected HA15, Felt Paper above Subfloor, Room B104 Felt Paper None Detected
HA15, Felt Paper above Subfloor, Room B104 Coating None Detected HA15, Felt Paper above Subfloor, Room B103 Felt Paper None Detected HA15, Felt Paper above Subfloor, Room B103 Coating None Detected
054 HA16, Mastic (Black), Attic Area Black Mastic 10% Chrysotile 055 HA16, Mastic (Black), Attic Area Black Mastic 3% Chrysotile 056 HA16, Mastic (Black), Attic Area Black Mastic 3% Chrysotile 057 HA17, Brick / Chimney Mortar, Attic Area Mortar None Detected 058 HA17, Brick / Chimney Mortar, Attic Area Mortar None Detected 059 HA17, Brick / Chimney Mortar, Attic Area Mortar None Detected
HA19, Duct Tape Thermal Insulation 65% Chrysotile HA19, Duct Tape Sealant None Detected
HA19, Duct Tape Thermal Insulation 65% Chrysotile HA19, Duct Tape Sealant None Detected
HA19, Duct Tape Thermal Insulation 65% Chrysotile HA19, Duct Tape Sealant None Detected
CONFIRMED ASBESTOS-CONTAINING MATERIALS
JAMES H. QUILLEN VA MEDICAL CENTER
MOUNTAIN HOME, TENNESSEE
BUILDING 47
HA NO. DESCRIPTION MATERIAL
LOCATION
PERCENT/TYPE
ASBESTOS
NESHAP
CLASSIFICATION
CONDITION ESTIMATED
QUANTITY
03 Sheet Flooring – light brown (2 layers) Room 103 ND – Sheet Flooring
45%C – Fiber Backing Category I Non-Friable Good 50 ft²
08 Sink Undercoat – black Room 105 5%C Category I Non-Friable Good 2 Sinks
11 Sheet Flooring – off-white and blue design
Room 203A ND – Sheet Flooring 45%C – Fiber Backing ND – Yellow Mastic
Category I Non-Friable Good 10 ft²
16 Black Mastic, off cast iron pipe and wood post
Attic Area 3% and 10%C Category I Non-Friable Good 5 ft²
19 Duct Tape – off-white, soft
Room B103 65%C – Thermal Insulation ND – Sealant
Friable ACM Good 7 ft²
HA NO. = Homogeneous Area Number C = Chrysotile Asbestos ND = No Asbestos Detected ft2 = square feet
PLM Summary Report
Client :
Project :
Project # :
Identification :
Test Method :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 47
18227196
Asbestos, Bulk Sample Analysis
Sample Number Client Sample Description / Location Asbestos Content
Sample Date :
On 9/7/2022, sixty two (62) 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-10136
08/31/2022
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, Stairs #2 None Detected - Plaster
None Detected - Surfacing
002 HA01, Plaster Walls, Room 100B None Detected - Grey Plaster
None Detected - White Plaster
003 HA01, Plaster Walls, Room 104 None Detected - Grey Plaster
None Detected - White Plaster
004 HA01, Plaster Walls, Room 107 None Detected - Grey Plaster
None Detected - White Plaster
None Detected - Surfacing Material
005 HA01, Plaster Walls, Room 205A None Detected - Grey Plaster
None Detected - White Plaster
006 HA01, Plaster Walls, Room 203A None Detected - Grey Plaster
None Detected - White Plaster
007 HA01, Plaster Walls, Room 207A None Detected - Grey Plaster
None Detected - White Plaster
008 HA02, Plaster Ceilings, Room 103 None Detected - Grey Plaster
None Detected - White Plaster
009 HA02, Plaster Ceilings, Room 205 None Detected - Grey Plaster
None Detected - White Plaster
010 HA02, Plaster Ceilings, Room 202 None Detected - White Plaster
011 HA02, Plaster Ceilings, Room 203 None Detected - Grey Plaster
None Detected - White Plaster
012 HA02, Plaster Ceilings, Room 104 None Detected - Plaster
013 HA02, Plaster Ceilings, Room 101 None Detected - Plaster
014 HA02, Plaster Ceilings, Room 100A None Detected - Grey Plaster
None Detected - White Plaster
015 HA03, Vinyl Sheet Flooring (Light Brown, 2 Layered), Room 103
None Detected - Sheet Flooring
45% Chrysotile - Fiber Backing
Project :
Project # :
Identification :
Test Method :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 47
18227196
Asbestos, Bulk Sample Analysis
Sample Number Client Sample Description / Location Asbestos Content
Sample Date :
On 9/7/2022, sixty two (62) 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-10136
08/31/2022
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
016 HA03, Vinyl Sheet Flooring (Light Brown, 2 Layered), Room 103
None Detected - Sheet Flooring
45% Chrysotile - Fiber Backing
None Detected - Yellow Mastic
017 HA03, Vinyl Sheet Flooring (Light Brown, 2 Layered), Room 103
None Detected - Sheet Flooring
45% Chrysotile - Fiber Backing
None Detected - Yellow Mastic
018 HA04, Cove Base Mastic, Room 103 None Detected - Yellow Mastic
None Detected - Brown Mastic
019 HA04, Cove Base Mastic, Room 105 None Detected - Yellow Mastic
None Detected - Brown Mastic
020 HA04, Cove Base Mastic, Room 105 None Detected - Yellow Mastic
None Detected - Brown Mastic
021 HA05, Sink Caulk (White), Room 103 None Detected - Caulking
022 HA05, Sink Caulk (White), Room 103 None Detected - Caulking
023 HA05, Sink Caulk (White), Room 203 None Detected - Caulking
024 HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 105
None Detected - Top Flooring
None Detected - Fiber Backing
None Detected - Yellow Mastic 1
None Detected - Bottom Flooring
None Detected - Fiber Backing
None Detected - Yellow Mastic 2
025 HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 106
None Detected - Top Flooring
None Detected - Fiber Backing
None Detected - Yellow Mastic 1
None Detected - Bottom Flooring
None Detected - Fiber Backing
None Detected - Yellow Mastic 2
Project :
Project # :
Identification :
Test Method :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 47
18227196
Asbestos, Bulk Sample Analysis
Sample Number Client Sample Description / Location Asbestos Content
Sample Date :
On 9/7/2022, sixty two (62) 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-10136
08/31/2022
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
026 HA06, Vinyl Sheet Flooring (White with Gray Streaks), Room 105
None Detected - Top Flooring
None Detected - Fiber Backing
None Detected - Yellow Mastic 1
None Detected - Bottom Flooring
None Detected - Fiber Backing
None Detected - Yellow Mastic 2
027 HA07, 2' x 2' Ceiling Tiles (White), Room 105 None Detected - Acoustic Tile
028 HA07, 2' x 2' Ceiling Tiles (White), Room 105 None Detected - Acoustic Tile
029 HA07, 2' x 2' Ceiling Tiles (White), Room 105 None Detected - Acoustic Tile
030 HA08, Sink Undercoating (Black), Room 105 5% Chrysotile - Sink Undercoating
031 HA08, Sink Undercoating (Black), Room 105 5% Chrysotile - Sink Undercoating
032 HA08, Sink Undercoating (Black), Room 105 5% Chrysotile - Sink Undercoating
057 HA09, Ceramic Tile Floor Grout, Room 203 None Detected - Grout
058 HA09, Ceramic Tile Floor Grout, Room 203 None Detected - Grout
059 HA09, Ceramic Tile Floor Grout, Room 203 None Detected - Tan Grout
None Detected - Grey Grout
033 HA10, Ceramic Tile Wall Grout, Room 203 None Detected - Grout
034 HA10, Ceramic Tile Wall Grout, Room 203 None Detected - Grout
035 HA10, Ceramic Tile Wall Grout, Room 203 None Detected - Grout
036 HA11, Vinyl Sheet Flooring (Off-White and Blue Design), Room 203A
None Detected - Sheet Flooring
45% Chrysotile - Fiber Backing
None Detected - Yellow Mastic
037 HA11, Vinyl Sheet Flooring (Off-White and Blue Design), Room 203A
None Detected - Sheet Flooring
45% Chrysotile - Fiber Backing
None Detected - Yellow Mastic
Project :
Project # :
Identification :
Test Method :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 47
18227196
Asbestos, Bulk Sample Analysis
Sample Number Client Sample Description / Location Asbestos Content
Sample Date :
On 9/7/2022, sixty two (62) 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-10136
08/31/2022
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
038 HA11, Vinyl Sheet Flooring (Off-White and Blue Design), Room 203A
None Detected - Sheet Flooring
45% Chrysotile - Fiber Backing
None Detected - Yellow Mastic
039 HA12, 1' x 1' Ceiling Tile (White), Room 207 None Detected - Acoustic Tile
040 HA12, 1' x 1' Ceiling Tile (White), Room 207 None Detected - Acoustic Tile
041 HA12, 1' x 1' Ceiling Tile (White), Room 207 None Detected - Acoustic Tile
042 HA13, Gypsum Board Walls, Stairs #1 Area None Detected - Drywall Material
None Detected - Joint Compound
043 HA13, Gypsum Board Walls, Stairs #1 Area No Drywall Material
None Detected - Joint Compound
044 HA13, Gypsum Board Walls, Stairs #1 Area None Detected - Drywall Material
None Detected - Joint Compound
045 HA14, Pipe Insulation Mastic, Room B103 None Detected - Paper / Foil Wrap
None Detected - White Mastic
046 HA14, Pipe Insulation Mastic, Room B104 None Detected - Thermal Insulation
None Detected - Paper / Foil Wrap
None Detected - White Mastic
047 HA14, Pipe Insulation Mastic, Room B102 None Detected - Paper / Foil Wrap
None Detected - White Mastic
048 HA15, Felt Paper above Subfloor, Room B103 None Detected - Felt Paper
None Detected - Coating
049 HA15, Felt Paper above Subfloor, Room B104 None Detected - Felt Paper
None Detected - Coating
050 HA15, Felt Paper above Subfloor, Room B103 None Detected - Felt Paper
None Detected - Coating
051 HA16, Mastic (Black), Attic Area 10% Chrysotile - Black Mastic
052 HA16, Mastic (Black), Attic Area 3% Chrysotile - Black Mastic
Project :
Project # :
Identification :
Test Method :
Terracon - Nashville
James H. Quillen VA Medical Center, Building 47
18227196
Asbestos, Bulk Sample Analysis
Sample Number Client Sample Description / Location Asbestos Content
Sample Date :
On 9/7/2022, sixty two (62) 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-10136
08/31/2022
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
053 HA16, Mastic (Black), Attic Area 3% Chrysotile - Black Mastic
054 HA17, Brick / Chimney Mortar, Attic Area None Detected - Mortar
055 HA17, Brick / Chimney Mortar, Attic Area None Detected - Mortar
056 HA17, Brick / Chimney Mortar, Attic Area None Detected - Mortar
063 HA19, Not Provided 65% Chrysotile - Thermal Insulation
None Detected - Sealant
064 HA19, Not Provided 65% Chrysotile - Thermal Insulation
None Detected - Sealant
065 HA19, Not Provided 65% Chrysotile - Thermal Insulation
None Detected - Sealant
Jeremy Cooper, Nathan Wood, Tommie SmithAnalyst(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.
This Page Left Intentionally Blank
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 47
Lab Job No. :
Report Date :
22B-10136 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
Aggregate001 Plaster (Off-White) 25% 09/145% TS
Calcite / Gypsum Binders001 Plaster (Off-White) 25% 09/1495% TS
Cellulose Fibers001 Paper (Tan) 10% 09/14100% TS
Calcite / Talc / Binders001 Surfacing (White) 65% 09/14100% TS
Mica002 Grey Plaster (Grey) 65% 09/142% TS
Aggregate002 Grey Plaster (Grey) 65% 09/1463% TS
Calcite / Gypsum Binders002 Grey Plaster (Grey) 65% 09/1435% TS
Calcite / Gypsum Binders002 White Plaster (White) 35% 09/14100% TS
Aggregate003 Grey Plaster (Grey) 50% 09/1465% TS
Calcite / Gypsum Binders003 Grey Plaster (Grey) 50% 09/1435% TS
Calcite / Gypsum Binders003 White Plaster (White) 35% 09/14100% TS
Pigment / Binders003 Paint (Off-White) 15% 09/14100% TS
Aggregate004 Grey Plaster (Grey) 25% 09/1465% TS
Calcite / Gypsum Binders004 Grey Plaster (Grey) 25% 09/1435% TS
Calcite / Gypsum Binders004 White Plaster (White) 15% 09/14100% TS
Calcite / Talc / Binders004 Surfacing Material (White) 60% 09/14100% TS
Aggregate005 Grey Plaster (Grey) 50% 09/1465% TS
Calcite / Gypsum Binders005 Grey Plaster (Grey) 50% 09/1435% TS
Calcite / Gypsum Binders005 White Plaster (White) 35% 09/14100% TS
Pigment / Binders005 Paint (Off-White) 15% 09/14100% TS
Aggregate006 Grey Plaster (Grey) 50% 09/1465% TS
Calcite / Gypsum Binders006 Grey Plaster (Grey) 50% 09/1435% TS
Calcite / Gypsum Binders006 White Plaster (White) 35% 09/14100% TS
Pigment / Binders006 Paint (Off-White) 15% 09/14100% TS
Aggregate007 Grey Plaster (Grey) 50% 09/1465% TS
Calcite / Gypsum Binders007 Grey Plaster (Grey) 50% 09/1435% TS
Calcite / Gypsum Binders007 White Plaster (White) 35% 09/14100% TS
Pigment / Binders007 Paint (Off-White) 15% 09/14100% TS
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 47
Lab Job No. :
Report Date :
22B-10136 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
Mica008 Grey Plaster (Grey) 5% 09/145% TS
Calcite / Gypsum Binders008 Grey Plaster (Grey) 5% 09/1495% TS
Calcite / Gypsum Binders008 White Plaster (White) 95% 09/14100% TS
Aggregate009 Grey Plaster (Grey) 50% 09/1465% TS
Calcite / Gypsum Binders009 Grey Plaster (Grey) 50% 09/1435% TS
Calcite / Gypsum Binders009 White Plaster (White) 50% 09/14100% TS
Calcite / Gypsum Binders010 White Plaster (White) 100% 09/14100% TS
Gypsum / Binders011 Grey Plaster (Grey) 15% 09/14100% TS
Cellulose Fibers011 DW Tape (White) 5% 09/14100% TS
Calcite / Gypsum Binders011 White Plaster (White) 80% 09/14100% TS
Calcite / Gypsum Binders012 Plaster (Off-White) 100% 09/14100% TS
Calcite / Gypsum Binders013 Plaster (Off-White) 100% 09/14100% TS
Aggregate014 Grey Plaster (Grey) 40% 09/1465% TS
Calcite / Gypsum Binders014 Grey Plaster (Grey) 40% 09/1435% TS
Calcite / Gypsum Binders014 White Plaster (White) 35% 09/14100% TS
Cellulose Fibers014 Paper (Tan) 10% 09/14100% TS
Pigment / Binders014 Paint (Off-White) 15% 09/14100% TS
Calcite / Vinyl Binders015 Sheet Flooring (Light Brown) 50% 09/14100% TS
Chrysotile015 Fiber Backing (Light Grey) 50% 09/1445% TS
Cellulose Fibers015 Fiber Backing (Light Grey) 50% 09/1430% TS
Binders / Fillers015 Fiber Backing (Light Grey) 50% 09/1425% TS
Calcite / Vinyl Binders016 Sheet Flooring (Light Brown) 50% 09/14100% TS
Chrysotile016 Fiber Backing (Light Grey) 45% 09/1445% TS
Cellulose Fibers016 Fiber Backing (Light Grey) 45% 09/1430% TS
Binders / Fillers016 Fiber Backing (Light Grey) 45% 09/1425% TS
Calcite016 Yellow Mastic (Yellow) 5% 09/1440% TS
Glue Binders016 Yellow Mastic (Yellow) 5% 09/1460% TS
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 47
Lab Job No. :
Report Date :
22B-10136 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 Foam017 Sheet Flooring (Light Brown) 50% 09/1470% TS
Vinyl Binders017 Sheet Flooring (Light Brown) 50% 09/1430% TS
Chrysotile017 Fiber Backing (Light Grey) 45% 09/1445% TS
Cellulose Fibers017 Fiber Backing (Light Grey) 45% 09/1430% TS
Binders / Fillers017 Fiber Backing (Light Grey) 45% 09/1425% TS
Calcite017 Yellow Mastic (Yellow) 5% 09/1440% TS
Glue Binders017 Yellow Mastic (Yellow) 5% 09/1460% TS
Calcite018 Yellow Mastic (Yellow) 70% 09/1440% TS
Glue Binders018 Yellow Mastic (Yellow) 70% 09/1460% TS
Calcite018 Brown Mastic (Brown) 30% 09/1440% TS
Glue Binders018 Brown Mastic (Brown) 30% 09/1460% TS
Calcite019 Yellow Mastic (Yellow) 70% 09/1440% TS
Glue Binders019 Yellow Mastic (Yellow) 70% 09/1460% TS
Calcite019 Brown Mastic (Brown) 30% 09/1440% TS
Glue Binders019 Brown Mastic (Brown) 30% 09/1460% TS
Calcite020 Yellow Mastic (Yellow) 70% 09/1440% TS
Glue Binders020 Yellow Mastic (Yellow) 70% 09/1460% TS
Calcite020 Brown Mastic (Brown) 30% 09/1440% TS
Glue Binders020 Brown Mastic (Brown) 30% 09/1460% TS
Calcite021 Caulking (White) 100% 09/1450% TS
Binders / Fillers021 Caulking (White) 100% 09/1450% TS
Calcite022 Caulking (White) 100% 09/1450% TS
Binders / Fillers022 Caulking (White) 100% 09/1450% TS
Calcite023 Caulking (White) 100% 09/1450% TS
Binders / Fillers023 Caulking (White) 100% 09/1450% TS
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 47
Lab Job No. :
Report Date :
22B-10136 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 Foam024 Top Flooring (Tan) 29% 09/1470% TS
Vinyl Binders024 Top Flooring (Tan) 29% 09/1430% TS
Cellulose Fibers024 Fiber Backing (Light Grey) 20% 09/1450% TS
Glass Wool Fibers024 Fiber Backing (Light Grey) 20% 09/145% TS
Calcite / Binders024 Fiber Backing (Light Grey) 20% 09/1445% TS
Calcite024 Yellow Mastic 1 (Yellow) 1% 09/1440% TS
Glue Binders024 Yellow Mastic 1 (Yellow) 1% 09/1460% TS
Synthetic Foam024 Bottom Flooring (Brown / Tan) 24% 09/1470% TS
Vinyl Binders024 Bottom Flooring (Brown / Tan) 24% 09/1430% TS
Cellulose Fibers024 Fiber Backing (Light Grey) 25% 09/1450% TS
Glass Wool Fibers024 Fiber Backing (Light Grey) 25% 09/145% TS
Binders / Fillers024 Fiber Backing (Light Grey) 25% 09/1445% TS
Calcite024 Yellow Mastic 2 (Yellow) 1% 09/1440% TS
Glue Binders024 Yellow Mastic 2 (Yellow) 1% 09/1460% TS
Synthetic Foam025 Top Flooring (Tan) 25% 09/1470% TS
Vinyl Binders025 Top Flooring (Tan) 25% 09/1430% TS
Cellulose Fibers025 Fiber Backing (Light Grey) 20% 09/1450% TS
Glass Wool Fibers025 Fiber Backing (Light Grey) 20% 09/145% TS
Calcite / Binders025 Fiber Backing (Light Grey) 20% 09/1445% TS
Calcite025 Yellow Mastic 1 (Yellow) 5% 09/1440% TS
Glue Binders025 Yellow Mastic 1 (Yellow) 5% 09/1460% TS
Synthetic Foam025 Bottom Flooring (Brown / Tan) 20% 09/1470% TS
Vinyl Binders025 Bottom Flooring (Brown / Tan) 20% 09/1430% TS
Cellulose Fibers025 Fiber Backing (Light Grey) 25% 09/1450% TS
Glass Wool Fibers025 Fiber Backing (Light Grey) 25% 09/145% TS
Binders / Fillers025 Fiber Backing (Light Grey) 25% 09/1445% TS
Calcite025 Yellow Mastic 2 (Yellow) 5% 09/1440% TS
Glue Binders025 Yellow Mastic 2 (Yellow) 5% 09/1460% TS
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 47
Lab Job No. :
Report Date :
22B-10136 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 Foam026 Top Flooring (Tan) 29% 09/1470% TS
Vinyl Binders026 Top Flooring (Tan) 29% 09/1430% TS
Cellulose Fibers026 Fiber Backing (Light Grey) 20% 09/1450% TS
Glass Wool Fibers026 Fiber Backing (Light Grey) 20% 09/145% TS
Calcite / Binders026 Fiber Backing (Light Grey) 20% 09/1445% TS
Calcite026 Yellow Mastic 1 (Yellow) 1% 09/1440% TS
Glue Binders026 Yellow Mastic 1 (Yellow) 1% 09/1460% TS
Synthetic Foam026 Bottom Flooring (Brown / Tan) 24% 09/1470% TS
Vinyl Binders026 Bottom Flooring (Brown / Tan) 24% 09/1430% TS
Cellulose Fibers026 Fiber Backing (Light Grey) 25% 09/1450% TS
Glass Wool Fibers026 Fiber Backing (Light Grey) 25% 09/145% TS
Binders / Fillers026 Fiber Backing (Light Grey) 25% 09/1445% TS
Calcite026 Yellow Mastic 2 (Yellow) 1% 09/1440% TS
Glue Binders026 Yellow Mastic 2 (Yellow) 1% 09/1460% TS
Cellulose Fibers027 Acoustic Tile (Light Grey) 100% 09/1450% TS
Mineral Wool Fibers027 Acoustic Tile (Light Grey) 100% 09/1430% TS
Perlite027 Acoustic Tile (Light Grey) 100% 09/1420% TS
Cellulose Fibers028 Acoustic Tile (Light Grey) 100% 09/1450% TS
Mineral Wool Fibers028 Acoustic Tile (Light Grey) 100% 09/1430% TS
Perlite028 Acoustic Tile (Light Grey) 100% 09/1420% TS
Cellulose Fibers029 Acoustic Tile (Light Grey) 100% 09/1450% TS
Mineral Wool Fibers029 Acoustic Tile (Light Grey) 100% 09/1430% TS
Perlite029 Acoustic Tile (Light Grey) 100% 09/1420% TS
Chrysotile030 Sink Undercoating (Black) 100% 09/145% TS
Calcite / Talc030 Sink Undercoating (Black) 100% 09/1440% TS
Tar Binders030 Sink Undercoating (Black) 100% 09/1455% TS
Chrysotile031 Sink Undercoating (Black) 100% 09/145% TS
Calcite / Talc031 Sink Undercoating (Black) 100% 09/1440% TS
Tar Binders031 Sink Undercoating (Black) 100% 09/1455% TS
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 47
Lab Job No. :
Report Date :
22B-10136 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
Chrysotile032 Sink Undercoating (Black) 100% 09/145% TS
Calcite / Talc032 Sink Undercoating (Black) 100% 09/1440% TS
Tar Binders032 Sink Undercoating (Black) 100% 09/1455% TS
Aggregate057 Grout (Tan) 100% 09/1465% JC
Cement Binders057 Grout (Tan) 100% 09/1435% JC
Aggregate058 Grout (Tan) 100% 09/1465% JC
Cement Binders058 Grout (Tan) 100% 09/1435% JC
Aggregate059 Tan Grout (Tan) 70% 09/1465% JC
Cement Binders059 Tan Grout (Tan) 70% 09/1435% JC
Aggregate059 Grey Grout (Grey) 30% 09/1465% JC
Cement Binders059 Grey Grout (Grey) 30% 09/1435% JC
Calcite / Binders033 Grout (White) 100% 09/14100% JC
Calcite / Binders034 Grout (White) 100% 09/14100% JC
Calcite / Binders035 Grout (White) 100% 09/14100% JC
Synthetic Foam036 Sheet Flooring (Tan) 35% 09/1470% NW
Vinyl Binders036 Sheet Flooring (Tan) 35% 09/1430% NW
Chrysotile036 Fiber Backing (Light Grey) 63% 09/1445% NW
Cellulose Fibers036 Fiber Backing (Light Grey) 63% 09/1430% NW
Binders / Fillers036 Fiber Backing (Light Grey) 63% 09/1425% NW
Glue Binders036 Yellow Mastic (Yellow) 2% 09/14100% NW
Synthetic Foam037 Sheet Flooring (Tan) 35% 09/1470% NW
Vinyl Binders037 Sheet Flooring (Tan) 35% 09/1430% NW
Chrysotile037 Fiber Backing (Light Grey) 62% 09/1445% NW
Cellulose Fibers037 Fiber Backing (Light Grey) 62% 09/1430% NW
Binders / Fillers037 Fiber Backing (Light Grey) 62% 09/1425% NW
Glue Binders037 Yellow Mastic (Yellow) 3% 09/14100% 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 47
Lab Job No. :
Report Date :
22B-10136 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 Foam038 Sheet Flooring (Tan) 35% 09/1470% NW
Vinyl Binders038 Sheet Flooring (Tan) 35% 09/1430% NW
Chrysotile038 Fiber Backing (Light Grey) 62% 09/1445% NW
Cellulose Fibers038 Fiber Backing (Light Grey) 62% 09/1430% NW
Binders / Fillers038 Fiber Backing (Light Grey) 62% 09/1425% NW
Glue Binders038 Yellow Mastic (Yellow) 3% 09/14100% NW
Mineral Wool Fibers039 Acoustic Tile (Off-White) 100% 09/1495% NW
Binders / Fillers039 Acoustic Tile (Off-White) 100% 09/145% NW
Mineral Wool Fibers040 Acoustic Tile (Off-White) 100% 09/1495% NW
Binders / Fillers040 Acoustic Tile (Off-White) 100% 09/145% NW
Mineral Wool Fibers041 Acoustic Tile (Off-White) 100% 09/1495% NW
Binders / Fillers041 Acoustic Tile (Off-White) 100% 09/145% NW
Glass Wool Fibers042 Drywall Material (Grey) 30% 09/142% NW
Gypsum / Binders042 Drywall Material (Grey) 30% 09/1498% NW
Cellulose Fibers042 DW Paper Facing (Tan) 25% 09/14100% NW
Calcite / Talc / Binders042 Joint Compound (White) 45% 09/14100% NW
043 No Drywall Material 09/14 NW
Calcite / Talc / Binders043 Joint Compound (White) 100% 09/14100% NW
Glass Wool Fibers044 Drywall Material (Grey) <1% 09/142% NW
Gypsum / Binders044 Drywall Material (Grey) <1% 09/1498% NW
044 No DW Paper 09/14 NW
Calcite / Talc / Binders044 Joint Compound (White) 100% 09/14100% NW
Cellulose Fibers045 Paper / Foil Wrap (Tan / Silver) 35% 09/1450% NW
Glass Wool Fibers045 Paper / Foil Wrap (Tan / Silver) 35% 09/1420% NW
Metal Foil045 Paper / Foil Wrap (Tan / Silver) 35% 09/1430% NW
Pigment / Binders045 White Mastic (Off-White) 65% 09/14100% 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 47
Lab Job No. :
Report Date :
22B-10136 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
Mineral Wool Fibers046 Thermal Insulation (Yellow) 5% 09/1495% NW
Resin Binders046 Thermal Insulation (Yellow) 5% 09/145% NW
Cellulose Fibers046 Paper / Foil Wrap (Tan / Silver) 35% 09/1450% NW
Glass Wool Fibers046 Paper / Foil Wrap (Tan / Silver) 35% 09/1420% NW
Metal Foil046 Paper / Foil Wrap (Tan / Silver) 35% 09/1430% NW
Pigment / Binders046 White Mastic (Off-White) 60% 09/14100% NW
Cellulose Fibers047 Paper / Foil Wrap (Tan / Silver) 35% 09/1450% NW
Glass Wool Fibers047 Paper / Foil Wrap (Tan / Silver) 35% 09/1420% NW
Metal Foil047 Paper / Foil Wrap (Tan / Silver) 35% 09/1430% NW
Pigment / Binders047 White Mastic (Off-White) 65% 09/14100% NW
Cellulose Fibers048 Felt Paper (Brown) 95% 09/1495% NW
Binders / Fillers048 Felt Paper (Brown) 95% 09/145% NW
Calcite048 Coating (White) 5% 09/1425% NW
Binders / Fillers048 Coating (White) 5% 09/1475% NW
Cellulose Fibers049 Felt Paper (Brown) 95% 09/1495% NW
Binders / Fillers049 Felt Paper (Brown) 95% 09/145% NW
Calcite049 Coating (White) 5% 09/1425% NW
Binders / Fillers049 Coating (White) 5% 09/1475% NW
Cellulose Fibers050 Felt Paper (Brown) 95% 09/1495% NW
Binders / Fillers050 Felt Paper (Brown) 95% 09/145% NW
Calcite050 Coating (White) 5% 09/1425% NW
Binders / Fillers050 Coating (White) 5% 09/1475% NW
Chrysotile051 Black Mastic (Black) 100% 09/1410% NW
Tar Binders051 Black Mastic (Black) 100% 09/1490% NW
Chrysotile052 Black Mastic (Black) 100% 09/143% NW
Calcite052 Black Mastic (Black) 100% 09/1420% NW
Tar Binders052 Black Mastic (Black) 100% 09/1477% 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 47
Lab Job No. :
Report Date :
22B-10136 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
Chrysotile053 Black Mastic (Black) 100% 09/143% NW
Calcite053 Black Mastic (Black) 100% 09/1420% NW
Tar Binders053 Black Mastic (Black) 100% 09/1477% NW
Aggregate054 Mortar (Tan) 100% 09/1465% NW
Cement Binders054 Mortar (Tan) 100% 09/1435% NW
Aggregate055 Mortar (Tan) 100% 09/1465% NW
Cement Binders055 Mortar (Tan) 100% 09/1435% NW
Aggregate056 Mortar (Tan) 100% 09/1465% NW
Cement Binders056 Mortar (Tan) 100% 09/1435% NW
Chrysotile063 Thermal Insulation (Grey) 65% 09/1465% NW
Binders / Fillers063 Thermal Insulation (Grey) 65% 09/1435% NW
Calcite063 Sealant (White / Green) 35% 09/1425% NW
Pigment / Binders063 Sealant (White / Green) 35% 09/1475% NW
Chrysotile064 Thermal Insulation (Grey) 65% 09/1465% NW
Binders / Fillers064 Thermal Insulation (Grey) 65% 09/1435% NW
Calcite064 Sealant (White / Green) 35% 09/1425% NW
Pigment / Binders064 Sealant (White / Green) 35% 09/1475% NW
Chrysotile065 Thermal Insulation (Grey) 65% 09/1465% NW
Binders / Fillers065 Thermal Insulation (Grey) 65% 09/1435% NW
Calcite065 Sealant (White / Green) 35% 09/1425% NW
Pigment / Binders065 Sealant (White / Green) 35% 09/1475% 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 47, Mountain Home, Tennessee Date photos taken: August 31, 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 Fiber backing within the sheet flooring – light brown, HA 03 – Sample
Photo #16 ACM fiber backing within the
Photo #17 ACM fiber backing within the
Photo #18 Cove Base Mastic, HA 04 – Sample 018
Photo #19 Cove Base Mastic, HA 04 – Sample 019
Photo #20 Cove Base Mastic, HA 04 – Sample 020
Photo #21 White Sink Caulk, HA 05 – Sample 021
Photo #22 White Sink Caulk, HA 05 – Sample 022
Photo #23 White Sink Caulk, HA 05 – Sample 023
Photo #24 Vinyl Sheet Flooring – white with gray streaks, HA 06 – Sample 024
Photo #25 Vinyl Sheet Flooring – white with gray streaks, HA 06 – Sample 025
Photo #26 Vinyl Sheet Flooring – white with gray streaks, HA 06 – Sample 026
Photo #27 Suspended-Ceiling Tile – 2’x2’, white, HA 27 – Sample 027
Photo #28 Suspended-Ceiling Tile – 2’x2’, white, HA 27 – Sample 028
Photo #29 Suspended-Ceiling Tile – 2’x2’, white, HA 07 – Sample 029
Photo #30 ACM Black Sink Undercoat, HA 08 – Sample 030
Photo #31 ACM Black Sink Undercoat, HA 08 – Sample 031
Photo #32 ACM Black Sink Undercoat, HA 08 – Sample 032
Photo #33 Ceramic Tile Wall Grout, HA 10 – Sample 033
Photo #34 Ceramic Tile Wall Grout, HA 10 – Sample 034
Photo #35 Ceramic Tile Wall Grout, HA 10 – Sample 035
Photo #36 ACM fiber backing within the vinyl sheet flooring – off-white with blue design, HA 11 – Sample 036
Photo #37 ACM fiber backing within the design, HA 11 – Sample 037
Photo #38 ACM fiber backing within the design, HA 11 – Sample 038
Photo #39 Acoustical Ceiling Tile – 1’x1’, white, HA 12 – Sample 039
Photo #40 Acoustical Ceiling Tile – 1’x1’, white, HA 12 – Sample 040
Photo #41 Acoustical Ceiling Tile – 1’x1’, white, HA 12 – Sample 041
Photo #42 Gypsum Board Walls, HA 13 – Sample 042
Photo #43 Gypsum Board Walls, HA 13 – Sample 043
Photo #44 Gypsum Board (white, joint compound) – HA 13 - 044
Photo #45 Pipe Insulation Mastic, HA 14 – Sample 045
Photo #46 Pipe Insulation Mastic, HA 14 – Sample 046
Photo #47 Pipe Insulation Mastic, HA 14 – Sample 045
Photo #48 Felt Paper above Subfloor, HA 15 – Sample 048
Photo #49 Felt Paper above Subfloor, HA 15 – Sample 049
Photo #50 Felt Paper above Subfloor, HA 15 – Sample 050
Photo #51 ACM Black Mastic – on cast iron pipe and wooden post, HA 16 – Sample 051
Photo #52 ACM Black Mastic – on cast iron pipe and wooden post, HA 16 – Sample 052
Photo #53 ACM Black Mastic – on cast iron pipe and wooden post, HA 16 – Sample 053
Photo #54 Brick Chimney Mortar, gray, HA 17 – Sample 054
Photo #55 Brick Chimney Mortar – gray, HA 17 – Sample 055
Photo #56 Brick Chimney Mortar – gray, HA 17 – Sample 056
Photo #57 Ceramic Tile Floor Grout, HA 09
– Sample 057
Photo #58 Ceramic Tile Floor Grout, HA 09
– Sample 058
Photo #59 Ceramic Tile Floor Grout, HA 09
– Sample 059
Photo #60 ACM Thermal Duct Tape, HA 19
– Sample 063
Photo #55 ACM Thermal Duct Tape, HA 19
– Sample 064
Photo #56 ACM Thermal Duct Tape, HA 19
– Sample 065
47_01Drwn ByChkd By
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 19)
ASBESTOS LEGEND
# # # Non-Asbestos containing sample locations
Asbestos-containing sample locations
UNEXCAVATED
Basement Storage B103
Hall B100
Laundry B102
Bath B101
Basement Storage B105
Basement Storage B104
UP
47_02Drwn ByChkd By
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 light brown vinyl sheet flooring, double layered (HA 03)
Asbestos-containing black sink undercoat (HA 08)
ASBESTOS LEGEND
# # # Non-Asbestos containing sample locations
Asbestos-containing sample locations
Living Room
Foyer
Office
Stairs
Closet
Toilet
Kitchen 105 Dining/Den
016 017
Hall
Closet 100B
Closet 100A
Porch N/N
UP
UP
DN
47_03Drwn ByChkd By
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-containing off-white and blue design vinyl sheet flooring (HA 11)
ASBESTOS LEGEND
# # # Non-Asbestos containing sample locations
Asbestos-containing sample locations
PORCH ROOF
Bedroom 204 Bedroom
Bath
Hall
Stair Hall
Bedroom
Bedroom
Bedroom
001 043
Closet 204A
Closet 203A
Closet 206B
Closet 205A
Closet 207A
Closet 206A
Closet
NN
DN
DN
47_04Drwn ByChkd By
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 mastic (HA 16)
ASBESTOS LEGEND
# # # Non-Asbestos containing sample locations
Asbestos-containing sample locations
055 051
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 |
| 39_00 - 3D Building |
| 39_01 - Asbestos Plan - Basement |
| 39_02 - Asbestos Plan - First Floor |
| 39_03 - Asbestos Plan - Second Floor |
| 39_04 - Asbestos Plan - Attic |
| Bldg 40 Confirmed ACM Table |
| 2022.2B-11683.F001 |
| 2022.2B-11683.coc |
| PHOTO PAGE PDF |
| Buildng 40 Asbestos Results |
| JHQVAMC_Bldg40_Asbestos |
| Sheets |
| 40_00 - 3D Building |
| 40_01 - Asbestos Plan - Basement |
| 40_02 - Asbestos Plan - First Floor |
| 40_03 - Asbestos Plan - Second Floor |
| 40_04 - Asbestos Plan - Attic |
| Bldg 41 Confirmed ACM Table |
| 2022.2B-11159.F001 |
| 2022.2B-11159.coc |
| PHOTO PAGE PDF |
| Building 41 Asbestos Results |
| JHQVAMC_Bldg41_Asbestos |
| Sheets |
| 41_00 - 3D Building |
| 41_01 - Asbestos Plan - Basement |
| 41_02 - Asbestos Plan - First Floor |
| 41_03 - Asbestos Plan - Second Floor |
| 41_04 - Asbestos Plan - Attic |
| Bldg 42 Confirmed ACM Table |
| 2022.2B-11152.F001 |
| 2022.2B-11152.coc |
| 2022.2B-13728.F001 |
| 2022.2B-13728.coc |
| PHOTO PAGE PDF |
| Building 42 Asbestos Results |
| JHQVAMC_Bldg42_Asbestos |
| Sheets |
| 42_00 - 3D Building |
| 42_01 - Asbestos Plan - Basement |
| 42_02 - Asbestos Plan - First Floor |
| 42_03 - Asbestos Plan - Second Floor |
| 42_04 - Asbestos Plan - Attic |
| Bldg 43 Confirmed ACM Table |
| 2022.2B-11154.F001 |
| 2022.2B-11154.coc |
| 2022.2B-13727.F001 |
| 2022.2B-13727.coc |
| PHOTO PAGE PDF |
| Building 43 Asbestos Results |
| JHQVAMC_Bldg43_Asbestos |
| Sheets |
| 43_00 - 3D Building |
| 43_01 - Asbestos Plan - Basement |
| 43_02 - Asbestos Plan - First Floor |
| 43_03 - Asbestos Plan - Second Floor |
| 43_04 - Asbestos Plan - Attic |
| Bldg 44 Confirmed ACM Table |
| 2022.2B-10146.coc |
| PHOTO PAGE PDF |
| Building 44 Asbestos Results |
| JHQVAMC_Bldg44_Asbestos |
| Sheets and Views |
| JHQVAMC_Bldg44-Asbestos - Basement |
| JHQVAMC_Bldg44-Asbestos - First Floor |
| JHQVAMC_Bldg44-Asbestos - Second Floor |
| JHQVAMC_Bldg44-Asbestos - Attic |
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