J01d - Aspestos Inspection Report WIH_Bldgs 301-309.pdf

ASBESTOS INSPECTION REPORT

WHITERIVER INDIAN HOSPITAL

Buildings 301, 303, 305, 307, and 309

200 West Hospital Drive

Whiteriver, Arizona 85941

Prepared for:

Johnson Smitthipong & Rosamond Associates, Inc.

5210 E. Williams Circle, Suite 600

Tucson, AZ 85711

And

Indian Health Service Two Renaissance Square, 40 N. Central Ave, Suite 720

Phoenix, AZ 85004

Prepared by:

Harris Environmental Group

AUGUST 6, 2021

WHITERIVER INDIAN HOSPITAL, BUILDINGS 301, 303, 305, 307 AND 309

200 WEST HOSPITAL DRIVE, WHITERIVER, ARIZONA 85941

ASBESTOS INSPECTION REPORT– AUGUST 6, 2021

Harris Environmental Group conducted an asbestos inspection of Buildings 301, 303, 305, 307 and 309 on July 15, 2021. All areas of each building were inspected and all suspect asbestos containing materials were sampled separately in each building. We determined that all suspect asbestos material types were homogeneous in each building. Sample locations are identified and recorded for each building. Samples were randomly collected and were representative of all functional spaces. Samples were characterized for condition, damage potential and friability, both visually and by touch.

RESULTS AND RECOMMENDATIONS

No asbestos was found. No further asbestos inspection or testing is required prior to demolition, disposal or reuse.

Following are separate standalone asbestos inspection reports for each building.

Attn: Bill Draper, Project Manager, Johnson Smitthipong & Rosamond Associates, Inc.

5210 E. Williams Circle, Suite 600, Tucson, AZ 85711 cc: Vernon Clashin, Program Analyst, Division of Facilities Engineering, Phoenix Area – Indian Health Service, Two Renaissance Square, 40 N. Central Ave, Suite 720, Phoenix

AZ 85004

August 6, 2021

Attn: Bill Draper, Project Manager

Subject: Building 301, Whiteriver Indian Hospital, 200 W. Hospital Dr., Whiteriver, AZ 85941

We have conducted an asbestos inspection at Building 301. The purpose was (1) to identify the presence or absence of asbestos containing building materials, and (2) to characterize any asbestos containing building materials found. Building 301 includes a single-story factory manufactured structure, which will be removed from the site for demolition, disposal or reuse.

The on-site inspection was performed by Terry Garner and Howard Hallman.

We inspected Building 301 on July 15, 2021. Where present and suspect, we sampled and had tested by a certified asbestos laboratory: multiple samples of drywall/coating, internal divider walls/cover, 2’x4’ ceiling tile, vinyl flooring, cove base/adhesive, thermal system insulation (TSI), caulking, roofing, carpet and exterior paint.

All Building 301 locations were accessed. The crawl space was inspected, as was the space above the ceiling. We determined that all material types were homogeneous. Sample locations are identified in Appendix 1, Table and Sketch. Samples were randomly collected and were representative of all functional spaces. Samples were characterized for condition, damage potential and friability, both visually and by touch.

Please contact Scott Blackman, Project Manager, Harris Environmental Group at 520-628-7648 or sblackman@heg-inc.com if you have questions.

Sincerely yours, Howard E. Hallman, Jr.

AHERA Certified Asbestos Inspector/Management Planner Registered Environmental Engineer – State of Arizona

See Appendix 1 for a table characterizing materials tested and a sketch showing sample locations. See Appendix 2 for analytical laboratory test results. See Appendix 3 for qualifications.

cc: Vernon Clashin, Program Analyst, Division of Facilities Engineering, Phoenix Area – Indian Health Service, Two Renaissance Square, 40 N. Central Ave, Suite 720, Phoenix AZ 85004

Appendix 1 Table and Sketch with Sample Locations

Asbestos Sample Locations Sketch 200 West Hospital Drive, Whiteriver, AZ 85941 Building 301, Whiteriver Indian Hospital

Sample Number/Location -

LEGEND

1A

1A

1B

1C

1D

1E 2B

2C

5B

10C

10A

10B2G

5A

6A

6B

7A

7B

8B

8A

3A

4A

Main office

Kitchen

Office Conference room

2A

1F

RR

1G

3B

4B

10D

9A

10E

9B

6C

Office

Office

Appendix 2 Analytical Laboratory Test Results

Asbestos Detected

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257797

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/26/2021

08/06/2021Date Analyzed:

WH 301Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 301

EPA Method: Project Name: WH 301

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose FiberNoLAYER 1 Drywall, Off White/ Brown

None Detected0257797-001 SWO

WH 301-1A

12%

Gypsum Carbonates Mica Quartz

88%

Cellulose FiberNoLAYER 2 Cover/ Paint, White/ Off White

None Detected 2%

Quartz Carbonates Binder/Filler

98%

Cellulose FiberNoLAYER 1 Drywall, Off White/ Brown

None Detected0257797-002 EWMR

WH 301-1B

12%

Gypsum Carbonates

Cover/ Paint, White/ Off White

None Detected 1%

Quartz

99%

Drywall, Off White/ Brown

None Detected0257797-003 SOM

WH 301-1C

12%

Gypsum Carbonates

Fibrous GlassNoLAYER 2 Cover/ Paint, White/ Off White

None Detected 3%

Quartz

97%

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257797

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/26/2021

08/06/2021Date Analyzed:

WH 301Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 301

EPA Method: Project Name: WH 301

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose FiberNoLAYER 1 Drywall, Off White/ Brown

None Detected0257797-004 HCR

WH 301-1D

12%

Gypsum Carbonates

Cover/ Paint, White/ Off White

None Detected 1%

Quartz

Drywall, Off White/ Brown

None Detected0257797-005 CRWW

WH 301-1E

12%

Gypsum Carbonates

NoLAYER 2 Cover/ Paint, White/ Off White

None Detected

Quartz

100%

Drywall, Off White/ Brown

None Detected0257797-006 CRN

WH 301-1F

12%

Gypsum Carbonates

Cover/ Paint, White/ Off White

None Detected

Quartz

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257797

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/26/2021

08/06/2021Date Analyzed:

WH 301Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 301

EPA Method: Project Name: WH 301

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose FiberNoLAYER 1 Drywall, Off White/ Brown

None Detected0257797-007 MOW

WH 301-1G

12%

Gypsum Carbonates

Cover/ Paint, White/ Off White

None Detected 2%

Quartz

NoDivider Wall, White/ Off White None Detected0257797-008 P

WH 301-2A Carbonates Gypsum

Synthetic FiberNoLAYER 1 Divider Wall, Red/ Gray

None Detected0257797-009 GNW

WH 301-2B

95%

Carbonates

5%

Fibrous Glass Cellulose Fiber

NoLAYER 2 Divider Wall, White/ Yellow

None Detected 95% 2%

Quartz

3%

Divider Wall, Red/ Gray

None Detected0257797-010 B2

WH 301-2C

95%

Cellulose Fiber

NoLAYER 2 Divider Wall, White/ Yellow

None Detected 85% 10%

Synthetic FiberNoLAYER 3 Divider Wall, Blue

None Detected 95%

Quartz

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257797

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/26/2021

08/06/2021Date Analyzed:

WH 301Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 301

EPA Method: Project Name: WH 301

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose Fiber Mineral Wool

No2x4 Ceiling Tile, Beige/ Off White None Detected0257797-011

WH 301-3A

40% 40%

Carbonates Perlite

20%

Cellulose Fiber Mineral Wool

No2x4 Ceiling Tile, Beige/ Off White None Detected0257797-012

WH 301-3B

40% 40%

Carbonates

NoLAYER 1 Vinyl Flooring, White/ Gray

None Detected0257797-013 KC120

WH 301-4A Carbonates

Adhesive, Yellow

None Detected 1%

Quartz

Vinyl Flooring, White/ Gray

None Detected0257797-014 KC

WH 301-4B Carbonates

Adhesive, Yellow

None Detected <1%

Quartz

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257797

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/26/2021

08/06/2021Date Analyzed:

WH 301Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 301

EPA Method: Project Name: WH 301

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

NoLAYER 1 Cove Base, Gray

None Detected0257797-015 WH 301-5A Carbonates

Adhesive, Yellow

None Detected <1%

Quartz

Cove Base, Gray

None Detected0257797-016 WH 301-5B Carbonates

Adhesive, Yellow

None Detected <1%

Quartz

Fibrous GlassNoLAYER 1 TSI, Yellow

None Detected0257797-017 MOE

WH 301-6A

95%

Fibrous Glass

NoLAYER 2 Wrap, Tan/ Silver

None Detected 40% 15%

Aluminum

45%

TSI, Yellow

None Detected0257797-018 SC

WH 301-6B

95%

Fibrous Glass

NoLAYER 2 Wrap, Tan/ Silver

None Detected 40% 15%

Aluminum

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257797

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/26/2021

08/06/2021Date Analyzed:

WH 301Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 301

EPA Method: Project Name: WH 301

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

Fibrous GlassNoLAYER 1 TSI, Yellow

None Detected0257797-019 W

WH 301-6C

95%

Fibrous Glass

NoLAYER 2 Wrap, Tan/ Silver

None Detected 40% 15%

Aluminum

NoCaulk, Clear None Detected0257797-020 F

WH 301-7A Silicone

Caulk/ Ceramic Tile, White/ Off White Note: No Caulk Present

None Detected0257797-021 E

WH 301-7B Gypsum

Mastic, Yellow

None Detected 2%

Quartz

Roofing, Black/ Off White

None Detected0257797-022 W

WH 301-8A

20%

Quartz

80%

Cellulose Fiber

NoLAYER 2 Roofing, Black

None Detected 15% 5%

Quartz

Fibrous GlassNoLAYER 3 Roofing, Black/ Gray

None Detected 20%

Quartz

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257797

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/26/2021

08/06/2021Date Analyzed:

WH 301Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 301

EPA Method: Project Name: WH 301

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

Fibrous Glass Cellulose Fiber

NoLAYER 1 Roofing, Black/ Off White

None Detected0257797-023

WH 301-8B

15% 5%

Quartz

Roofing, Black/ Off White

None Detected 20%

Quartz

Cellulose FiberNoLAYER 3 Roofing, Black/ Gray

None Detected 20%

Quartz

Carpet, Blue/ Red

None Detected0257797-024

WH 301-9A

85%

Carbonates

15%

Synthetic FiberNoLAYER 2 Coating, White/ Off White

None Detected 2%

Quartz

Carpet, Blue/ Red

None Detected0257797-025

WH 301-9B

85%

Quartz

Synthetic FiberNoLAYER 2 Mastic, Yellow

None Detected 2%

Quartz Gypsum

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257797

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/26/2021

08/06/2021Date Analyzed:

WH 301Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 301

EPA Method: Project Name: WH 301

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

NoPaint, Beige/ Gray None Detected0257797-026 ESE

WH 301-10A Carbonates

Cellulose FiberNoPaint, Beige/ Gray None Detected0257797-027 S

WH 301-10B

1%

Carbonates

Cellulose FiberNoPaint, Beige/ Gray None Detected0257797-028 W

WH 301-10C

<1%

Carbonates

Cellulose FiberNoPaint, Beige/ Gray None Detected0257797-029 N

WH 301-10D

<1%

Carbonates

NoPaint, Beige/ Gray None Detected0257797-030 1

WH 301-10E Carbonates

Signatory - Lab Director - Kurt Kettler

Distinctly stratified, easily separable layers of samples are analyzed as subsamples of the whole and are reported separately for each discernible layer. All analyses are derived from calibrated visual estimate and measured in area percent unless otherwise noted. The report applies to the standards or procedures identified and to the sample(s) tested. The test results are not necessarily indicated or representative of the qualities of the lot from which the sample was taken or of apparently identical or similar products, nor do they represent an ongoing quality assurance program unless so noted. These reports are for the exclusive use of the addressed client and that they will not be reproduced wholly or in part for advertising or other purposes over our signature or in connection with our name without special written permission. The report shall not be reproduced except in full, without written approval by our laboratory. The samples not destroyed in testing are retained a maximum of thirty days. The laboratory measurement of uncertainty for the test method is approximately less than 1 by area percent.

Accredited by the National Institute of Standards and Technology, Voluntary Laboratory Accreditation Program for selected test method for asbestos. The accreditation or any reports generated by this laboratory in no way constitutes or implies product certification, approval, or endorsement by the National Institute of Standards and Technology. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government. Polarized Light Microscopy may not be consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound materials.

Analyst - Johann Hofer

Appendix 3 Site Photographs

Exterior – no asbestos

Ceiling tile – no asbestos

Above ceiling – no asbestos

Walls and dividers – no asbestos

Flooring – no asbestos

Crawl space – no suspect ACM

Appendix 4 Qualifications

August 6 2021

Subject: Building 303, Whiteriver Indian Hospital, 200 W. Hospital Dr., Whiteriver, AZ 85941

We have conducted an asbestos inspection at Building 303. The purpose was (1) to identify the asbestos containing building materials found. Building 303 includes a single-story factory

We inspected Building 303 on July 15, 2021. Where present and suspect, we sampled and had tested by a certified asbestos laboratory: multiple samples of drywall/coating, 2’x4’ ceiling tile, vinyl flooring, cove base/adhesive, thermal system insulation (TSI), caulking, roofing, carpet and exterior paint.

All Building 303 locations were accessed. The crawl space was inspected, as was the space are identified in Appendix 1, Table and Sketch. Samples were randomly collected and were

Building 303, Whiteriver Indian Hospital

Sample Number/Location -

LEGEND

1A

1A1B 1C

1D

1E5B

10C

10A

10B

5A 6A 6B

7A

7B8B

8A

3A

4A training room Main

Restroom 1F

1G

3B

4B 10D

9A

10E

9B

6C

South room Conference room

Kitchen

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257796

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/26/2021

08/06/2021Date Analyzed:

WH 303Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 303

EPA Method: Project Name: WH 303

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose FiberNoLAYER 1 Drywall, White/ Brown

None Detected0257796-001 SRWW

WH303-1A

12%

Gypsum

Coating, White

None Detected 2%

Drywall, White/ Brown

None Detected0257796-002 WWCR

WH303-1B

12%

Gypsum

Coating, White

None Detected 3%

Drywall, White/ Brown

None Detected0257796-003 MRWW

WH303-1C

12%

Gypsum

Coating, White

None Detected 3%

Drywall, White/ Brown

None Detected0257796-004 MRNW

WH303-1D

12%

Gypsum

Coating, White

None Detected 3%

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257796

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/26/2021

08/06/2021Date Analyzed:

WH 303Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 303

EPA Method: Project Name: WH 303

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose FiberNoLAYER 1 Drywall, White/ Brown

None Detected0257796-005 MREW

WH303-1E

12%

Gypsum

Coating, White

None Detected 2%

Drywall, White/ Brown

None Detected0257796-006 K

WH303-1F

12%

Gypsum

Coating, White

None Detected 5%

95%

Drywall, White/ Brown

None Detected0257796-007 CWW

WH303-1G

12%

Gypsum

Coating, White

None Detected 2%

Cellulose FiberNo2'x4' Ceiling Tile, White/ Off White None Detected0257796-008 OM

WH303-3A

85%

Perlite

Cellulose FiberNo2'x4' Ceiling Tile, White/ Off White None Detected0257796-009 KH

WH303-3B

85%

Perlite

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257796

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/26/2021

08/06/2021Date Analyzed:

WH 303Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 303

EPA Method: Project Name: WH 303

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

NoLAYER 1 Vinyl, Lt. Gray

None Detected0257796-010 RR S

WH303-4A Carbonates

Adhesive, Tan Note: Very small amount of Adhesive

None Detected <1%

Carbonates

Vinyl, Lt. Gray

None Detected0257796-011 RR N

WH303-4B Carbonates

Adhesive, Tan Note: Very small amount of Adhesive

None Detected <1%

Carbonates

Cove Base, Gray

None Detected0257796-012 OMN

WH303-5A Carbonates

Adhesive, Yellow

None Detected

Carbonates

Cove Base, Gray

None Detected0257796-013 K

WH303-5B Carbonates

Adhesive, Yellow

None Detected

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257796

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/26/2021

08/06/2021Date Analyzed:

WH 303Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 303

EPA Method: Project Name: WH 303

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

Fibrous GlassNoLAYER 1 TSI Wrap, Silver/ Red/ Tan

None Detected0257796-014 OMN

WH303-6A

5%

Aluminum

Insulation, Yellow

None Detected 100%

Fibrous GlassNoLAYER 1 TSI Wrap, Silver/ Red/ Tan

None Detected0257796-015 OMM

WH303-6B

5%

Aluminum

Insulation, Yellow

None Detected 100%

Fibrous GlassNoLAYER 1 TSI Wrap, Silver/ Red/ Tan

None Detected0257796-016 OMS

WH303-6C

5%

Aluminum

Insulation, Yellow

None Detected 100%

NoCaulking, Clear None Detected0257796-017 E

WH303-7A Silicone

NoCaulking, Clear None Detected0257796-018 WH303-7B Silicone

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257796

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/26/2021

08/06/2021Date Analyzed:

WH 303Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 303

EPA Method: Project Name: WH 303

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

Fibrous GlassNoLAYER 1 Shingle, Black/ Lt. Gray

None Detected0257796-019

WH303-8A

20%

Carbonates

Shingle, Black/ Tan

None Detected 20%

Carbonates

Shingle, Black/ Lt. Gray

None Detected0257796-020

WH303-8B

20%

Carbonates

Shingle, Black/ Tan

None Detected 20%

Carbonates

Carpet, Blue/ White/ Gray

None Detected0257796-021 OMN

WH303-9A

85%

Mastic, Yellow

None Detected 5%

Carbonates

Carpet, Blue/ White/ Gray

None Detected0257796-022 OMS

WH303-9B

85%

Mastic, Yellow

None Detected 2%

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257796

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/26/2021

08/06/2021Date Analyzed:

WH 303Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 303

EPA Method: Project Name: WH 303

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

NoPaint, White None Detected0257796-023 EW

WH303-10A Carbonates

NoPaint, White None Detected0257796-024 WW

WH303-10B Carbonates

NoPaint, White None Detected0257796-025 SW

WH303-10C Carbonates

Cellulose FiberNoPaint, White None Detected0257796-026 EW

WH303-10D

1%

Carbonates

NoPaint, White None Detected0257796-027 SW

WH303-10E Carbonates

Distinctly stratified, easily separable layers of samples are analyzed as subsamples of the whole and are reported separately for each discernible layer. All analyses are derived from calibrated visual estimate and measured in area percent unless otherwise noted. The report applies to the standards or procedures identified and to the sample(s) tested. The test results are not necessarily indicated or representative of the qualities of the lot from which the sample was taken or of apparently identical or similar products, nor do they represent an ongoing quality assurance program unless so noted. These reports are for the exclusive use of the addressed client and that they will not be reproduced wholly or in part for advertising or other purposes over our signature or in connection with our name without special written permission. The report shall not be reproduced except in full, without written approval by our laboratory. The samples not destroyed in testing are retained a maximum of thirty days. The laboratory measurement of uncertainty for the test method is approximately less than 1 by area percent.

Accredited by the National Institute of Standards and Technology, Voluntary Laboratory Accreditation Program for selected test method for asbestos. The accreditation or any reports generated by this laboratory in no way constitutes or implies product certification, approval, or endorsement by the National Institute of Standards and Technology. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government. Polarized Light Microscopy may not be consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound materials.

Analyst - Kenneth Scheske

Above ceiling – no asbestos

Walls and dividers – no asbestos

Flooring – no asbestos

South room carpet – no asbestos

Main training room walls – no asbestos

Vinyl flooring in restroom – no asbestos

Above ceiling – no suspect ACM

Subject: Building 305, Whiteriver Indian Hospital, 200 W. Hospital Dr., Whiteriver, AZ 85941

We have conducted an asbestos inspection at Building 305. The purpose was (1) to identify the asbestos containing building materials found. Building 305 includes a single-story factory

We inspected Building 305 on July 15, 2021. Where present and suspect, we sampled and had walls/cover, 2’x4’ ceiling tile, vinyl flooring, cove base/adhesive, thermal system insulation (TSI), caulking, roofing, carpet, exterior paint and insulation.

All Building 305 locations were accessed. The crawl space was inspected, as was the space are identified in Appendix 1, Table and Sketch. Samples were randomly collected and were

Assess Sample ID Material type Category Homogeneous Area/Sample Location Quantity Asbestos F/GC WH305-1A Drywall/coating/paint Surfacing HA1-Drywall/coating – walls throughout/west wall entry GT 5000 SF No

F/GC WH305-1B Drywall/coating/paint Surfacing HA1-Drywall/coating – walls throughout/SE office south wall GT 5000 SF No F/GC WH305-1C Drywall/coating/paint Surfacing HA1-Drywall/coating – walls throughout/northeast office GT 5000 SF No F/GC WH305-1D Drywall/coating/paint Surfacing HA1-Drywall/coating – walls throughout/north office GT 5000 SF No F/GC WH305-1E Drywall/coating/paint Surfacing HA1-Drywall/coating – walls throughout/kitchen GT 5000 SF No F/GC WH305-1F Drywall/coating/paint Surfacing HA1-Drywall/coating – walls throughout/west office east wall GT 5000 SF No F/GC WH305-1G Drywall/coating/paint Surfacing HA1-Drywall/coating – walls throughout/south office W wall GT 5000 SF No F/GC WH305-3A 2’x4’ ceiling tile Misc HA3-2’x4’ ceiling tile/throughout/main office LT 5000 SF No F/GC WH305-3B 2’x4’ ceiling tile Misc HA3-2’x4’ ceiling tile/throughout/SE office LT 5000 SF No

NF/GC WH305-4A Vinyl flooring/adhesive Misc HA4- Vinyl flooring/adhesive/restroom – EC/electronics closet LT 500 SF No NF/GC WH305-4B Vinyl flooring/adhesive Misc HA4- Vinyl flooring/adhesive/restroom - EC/restroom LT 500 SF No NF/GC WH305-5A Gray cove base/adhesive Misc HA5- Gray cove base/adhesive/throughout/hall LT 500 LF No NF/GC WH305-5B Gray cove base/adhesive Misc HA5- Gray cove base/adhesive/throughout/SE office LT 500 LF No NF/GC WH305-6A Vent duct insulation TSI HA6- Vent duct insulation/throughout/main office LT 500 LF No NF/GC WH305-6B Vent duct insulation TSI HA6- Vent duct insulation/throughout/hall LT 500 LF No NF/GC WH305-6C Vent duct insulation TSI HA6- Vent duct insulation/throughout/SE office LT 500 LF No NF/GC WH305-7A Caulking Misc HA7-Exterior caulking/NE LT 500 LF No NF/GC WH305-7B Caulking Misc HA7-Exterior caulking/west side LT 500 LF No NF/GC WH305-8A Roofing Misc HA8-Roofing/exterior roof/east side LT 2500 LF No NF/GC WH305-8B Roofing Misc HA8-Roofing/exterior roof/west side LT 2500 SF No NF/GC WH305-9A Carpet Misc HA9-Most interior locations/hall LT 2500 SF No NF/GC WH305-9B Carpet Misc HA9-Most interior locations/north office LT 2500 SF No NF/GC WH305-10A Paint Surfacing HA10-Paint - exterior walls/north side LT 2500 SF No NF/GC WH305-10B Paint Surfacing HA10-Paint - exterior walls/SE LT 2500 SF No NF/GC WH305-10C Paint Surfacing HA10-Paint - exterior walls/east side LT 2500 SF No NF/GC WH305-10D Paint Surfacing HA10-Paint - exterior walls/west side LT 2500 SF No NF/GC WH305-10E Paint Surfacing HA10-Paint - exterior walls/south side LT 2500 SF No

NF/GC WH305-11A Insulation Misc HA11- Insulation - throughout/crawl space LT 2500 SF No NF/GC WH305-11B Insulation Misc HA11- Insulation – throughout/east wall above ceiling LT 2500 SF No

Building 305, Whiteriver Indian Hospital

Sample Number/Location -

LEGEND

1A

1A

1B

1C

1D

1E

5B

10C

10A

10B

5A

6A

6B

7A

7B 8B

8A

3A

4A

1F

1G

3B

4B

10D

9A

10E

9B 6C

Restroom

11A

11B

Kitchen

Office

Office

Office

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257799

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/28/2021

08/06/2021Date Analyzed:

WH 305Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 305

EPA Method: Project Name: WH 305

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose FiberNoLAYER 1 Drywall, White/ Brown

None Detected0257799-001 WW

WH305-1A

12%

Gypsum Carbonates

Coating, White

None Detected 5%

Carbonates

Drywall, White/ Brown

None Detected0257799-002 SEOSW

WH305-1B

12%

Gypsum Carbonates

Coating, White

None Detected 5%

Carbonates

Drywall, White/ Brown

None Detected0257799-003 NEO

WH305-1C

12%

Gypsum Carbonates

Coating, White

None Detected 3%

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257799

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/28/2021

08/06/2021Date Analyzed:

WH 305Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 305

EPA Method: Project Name: WH 305

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose FiberNoLAYER 1 Drywall, White/ Brown

None Detected0257799-004 NO

WH305-1D

12%

Gypsum Carbonates

Coating, White

None Detected 3%

Carbonates

Drywall, White/ Brown

None Detected0257799-005 K

WH305-1E

12%

Gypsum Carbonates

Coating, White

None Detected 3%

Carbonates

Drywall, White/ Brown

None Detected0257799-006 WOEW

WH305-1F

12%

Gypsum Carbonates

Coating, White

None Detected 5%

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257799

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/28/2021

08/06/2021Date Analyzed:

WH 305Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 305

EPA Method: Project Name: WH 305

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose FiberNoLAYER 1 Drywall, White/ Brown

None Detected0257799-007 SOW

WH305-1G

12%

Gypsum Carbonates

Coating, White

None Detected 5%

Carbonates

Mineral Wool

No2'x4' Ceiling Tile, White/ Off White None Detected0257799-008 MO

WH305-3A

80% 5%

Carbonates

Mineral Wool

No2'x4' Ceiling Tile, White/ Off White None Detected0257799-009 SEO

WH305-3B

80% 5%

Carbonates

NoVinyl, Beige Note: No Adhesive Present

None Detected0257799-010 WH305-4A Carbonates

NoVinyl, Beige Note: No Adhesive Present

None Detected0257799-011 RR

WH305-4B Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257799

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/28/2021

08/06/2021Date Analyzed:

WH 305Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 305

EPA Method: Project Name: WH 305

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

NoLAYER 1 Cove Base, Gray

None Detected0257799-012 H

WH305-5A Carbonates

Adhesive, Tan

None Detected <1%

Carbonates

Cove Base, Gray

None Detected0257799-013 SEO

WH305-5B Carbonates

Adhesive, Tan

None Detected 1%

Carbonates

Cellulose Fiber

NoTSI, Yellow None Detected0257799-014 MO

WH305-6A

95% 2%

Cellulose Fiber

NoTSI, Yellow None Detected0257799-015 H

WH305-6B

95% 2%

Fibrous GlassNoTSI, Yellow None Detected0257799-016 SEO

WH305-6C

95%

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257799

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/28/2021

08/06/2021Date Analyzed:

WH 305Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 305

EPA Method: Project Name: WH 305

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

NoCaulking, White None Detected0257799-017 NE

WH305-7A Carbonates

Cellulose FiberNoCaulking, White None Detected0257799-018

WH305-7B

1%

Carbonates

Fibrous GlassNoRoofing, White/ Black None Detected0257799-019

WH305-8A

15%

Quartz

85%

Fibrous GlassNoRoofing, White/ Black None Detected0257799-020

WH305-8B

15%

Quartz

Synthetic FiberNoCarpet, Gray None Detected0257799-021 H

WH305-9A

95%

Carbonates

Carpet, Gray

None Detected0257799-022 NO

WH305-9B

85%

Carbonates

Synthetic Fiber Cellulose Fiber

NoLAYER 2 Mastic, Yellow

None Detected 3% 2%

Quartz

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257799

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/28/2021

08/06/2021Date Analyzed:

WH 305Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 305

EPA Method: Project Name: WH 305

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose FiberNoPaint, Gray None Detected0257799-023 N

WH305-10A

5%

Carbonates

Cellulose FiberNoPaint, Gray None Detected0257799-024 S

WH305-10B

2%

Carbonates

Cellulose FiberNoPaint, Gray None Detected0257799-025 E

WH305-10C

2%

Carbonates

Cellulose FiberNoPaint, White None Detected0257799-026 W

WH305-10D

3%

Carbonates

Cellulose FiberNoPaint, Gray None Detected0257799-027

WH305-10E

5%

Carbonates

Cellulose Fiber

NoInsulation, Yellow None Detected0257799-028

WH305-11A

95% 1%

4%

Cellulose Fiber

NoInsulation, Yellow None Detected0257799-029

WH305-11B

95% 2%

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0257799

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 209

FRISCO CO 80443

E-QUEST

Date Received: 07/28/2021

08/06/2021Date Analyzed:

WH 305Job# / P.O. #:

EMC LABS, INC.

Collected: 07/15/2021

WH 305

EPA Method: Project Name: WH 305

Submitted By: HOWARD HALLMANAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/06/2021Date Reported:

EPA 600/R-93/116

Asbestos Type

Signatory - Lab Director - Kurt Kettler

Distinctly stratified, easily separable layers of samples are analyzed as subsamples of the whole and are reported separately for each discernible layer. All analyses are derived from calibrated visual estimate and measured in area percent unless otherwise noted. The report applies to the standards or procedures identified and to the sample(s) tested. The test results are not necessarily indicated or representative of the qualities of the lot from which the sample was taken or of apparently identical or similar products, nor do they represent an ongoing quality assurance program unless so noted. These reports are for the exclusive use of the addressed client and that they will not be reproduced wholly or in part for advertising or other purposes over our signature or in connection with our name without special written permission. The report shall not be reproduced except in full, without written approval by our laboratory. The samples not destroyed in testing are retained a maximum of thirty days. The laboratory measurement of uncertainty for the test method is approximately less than 1 by area percent.

Accredited by the National Institute of Standards and Technology, Voluntary Laboratory Accreditation Program for selected test method for asbestos. The accreditation or any reports generated by this laboratory in no way constitutes or implies product certification, approval, or endorsement by the National Institute of Standards and Technology. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government. Polarized Light Microscopy may not be consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound materials.

Analyst - Johann Hofer

Exterior paint – no asbestos

Underside of sinks – no suspect ACM

Roof – no asbestos

Walls and carpet – no asbestos

Subject: Building 307, Whiteriver Indian Hospital, 200 W. Hospital Dr., Whiteriver, AZ 85941

We have conducted an asbestos inspection at Building 307. The purpose was (1) to identify the asbestos containing building materials found. Building 307 includes a single-story factory

We inspected Building 307 on July 15, 2021. Where present and suspect, we sampled and had walls/cover, 2’x4’ ceiling tile, vinyl flooring, cove base/adhesive, thermal system insulation (TSI), caulking, roofing, carpet, exterior paint and floor tile.

All Building 307 locations were accessed. The crawl space was inspected, as was the space are identified in Appendix 1, Table and Sketch. Samples were randomly collected and were

F/GC WH307-1A Drywall/Coating/Paint Surfacing HA1-Drywall/coating – walls throughout/west office west wall GT 5000 SF No

F/GC WH307-1B Drywall/Coating/Paint Surfacing HA1-Drywall/coating – walls throughout/SW office N wall GT 5000 SF No F/GC WH307-1C Drywall/Coating/Paint Surfacing HA1-Drywall/coating – walls throughout/E office west wall GT 5000 SF No F/GC WH307-1D Drywall/Coating/Paint Surfacing HA1-Drywall/coating – walls throughout/entry GT 5000 SF No F/GC WH307-1E Drywall/Coating/Paint Surfacing HA1-Drywall/coating – walls throughout/NE office west wall GT 5000 SF No F/GC WH307-1F Drywall/Coating/Paint Surfacing HA1-Drywall/coating – walls throughout/N hall west wall GT 5000 SF No F/GC WH307-1G Drywall/Coating/Paint Surfacing HA1-Drywall/coating – walls throughout/north restroom GT 5000 SF No F/GC WH307-3A 2’x4’ ceiling tile Misc HA3-2’x4’ ceiling tile/throughout/hall LT 5000 SF No F/GC WH307-3B 2’x4’ ceiling tile Misc HA3-2’x4’ ceiling tile/throughout/kitchen LT 5000 SF No

NF/GC WH307-4A Vinyl flooring/adhesive Misc HA4- Vinyl flooring/adhesive/restrooms - EC/south restroom LT 500 SF No NF/GC WH307-4B Vinyl flooring/adhesive Misc HA4- Vinyl flooring/adhesive/restrooms - EC/north restroom LT 500 SF No NF/GC WH307-5A Gray cove base/adhesive Misc HA5- Gray cove base/adhesive/throughout/SW office LT 500 LF No NF/GC WH307-5B Gray cove base/adhesive Misc HA5- Gray cove base/adhesive/throughout/kitchen LT 500 LF No NF/GC WH307-6A Vent duct insulation TSI HA6- Vent duct insulation/throughout/kitchen LT 500 LF No NF/GC WH307-6B Vent duct insulation TSI HA6- Vent duct insulation/throughout/hall LT 500 LF No NF/GC WH307-6C Vent duct insulation TSI HA6- Vent duct insulation/throughout/SW office LT 500 LF No NF/GC WH307-7A Caulking Misc HA7-Exterior caulking/west side LT 500 LF No NF/GC WH307-7B Caulking Misc HA7-Exterior caulking/east side LT 500 LF No NF/GC WH307-8A Roofing Misc HA8-Roofing/exterior roof/west side LT 3000 LF No NF/GC WH307-8B…