Lead and Asbestos Testing Report 08082022.pdf

PRE-RENOVATION INSPECTION:

ASBESTOS &

LEAD-BASED PAINT

Tomah VA Medical Center

Site:

500 East Veterans Street

Tomah, WI 54660

Work Area:

Building B400 – 4th Floor Through 1st Floor

Inspection Date: August 2, 2022 Report Date: August 8, 2022

NorthStar No. 220-552A

August 8, 2022 c/o Ethan Lenertz 500 East Veterans Street Tomah, WI 54660

Project: Pre-Renovation Inspection:

Asbestos & Lead Paint Site: 500 East Veterans Street

Tomah, WI 54660 Work Area: Building B400

4th Floor Through 1st Floor Site Date: August 2, 2022 NorthStar No: 220-552A

NorthStar Environmental Testing, LLC (NorthStar) was authorized by Ethan Lenertz on behalf of the Tomah VA Medical Center to complete a pre-renovation inspection to identify the presence of materials containing asbestos and items with lead-based paint within areas affected by water intrusion in Building 400 of the Tomah VA Medical Center. The inspection was conducted by Dustin Gaede of NorthStar on August 2, 2022.

Asbestos containing materials were identified within the renovation area. Asbestos abatement will be required if any of these materials will be impacted by the renovation. Lead-based paint was identified in limited areas. Please review the report in its entirety for more detailed information.

Prepared by:

NorthStar Environmental Testing, LLC.

1835 E. Edgewood Drive Suite 10542 Appleton, WI 54913

Provided to:

500 East Veterans Street

Date of Site Visit: August 2, 2022

Dave Barrett Dustin Gaede Senior Project Manager Project Technician

AII-01397 / LRA-01397 AII-238193 / LRA-238193

TABLE OF CONTENTS______________________________________

INSPECTION SUMMARY……………………………………………….. Page 1

ASBESTOS SAMPLING SUMMARY………………………..……….. Page 2

ASBESTOS MATERIAL SUMMARY………………………………….. Page 2

ASBESTOS RECOMMENDATIONS………………………………….. Page 3

SURVEY LIMITATIONS……………………………………….……….. Page 3

ANALYTICAL DISCUSSION………………………………….……….. Page 4

REMARKS……………………………………………………...……….. Page 4

APPENDICES

A) Asbestos Material Sample Log……………………........……….. Page 5

B) Lead Paint Testing Report…………………………........……….. Page 8

C) Site Diagrams………………………………………...……..……….. Page 14

D) NorthStar Certifications…………………………………..……….. Page 19

NorthStar No. 220-552A Page 1 of 20 500 East Veterans Street Pre-Renovation Inspection: Asbestos & Lead Paint Tomah, WI c/o Ethan Lenertz

Project: Pre-Renovation Inspection:

Asbestos Site Address: 500 East Veterans Street

Tomah, WI 54660 Work Area: Building B400

4th Floor Through 1st Floor Survey Date: August 2, 2022

Tomah VA Medical Center to conduct a pre-renovation survey for the presence of accessible suspect asbestos containing materials (ACM) for the following site:

INSPECTION SUMMARY:

Site Address: 500 East Veterans Street

County: Monroe Structure Type: Commercial (medical center) Building Age: 1950’s (estimated) Size (ft²): ~4,000 ft2 (approximate renovation area) Floors: 4 (plus basement) # of Structures: 1

Inspector: Dustin Gaede (cert. AII-238193)

Asbestos Company: CAP-925800 Survey Date: August 2, 2022 Comments: Sampling was limited to accessible areas within the water intrusion affected spaces of the building as directed by our client. Any additional items, if encountered, should be assumed to contain asbestos and sampled if/when necessary.

Area/Room 2045 was inaccessible at the time of our inspection.

Asbestos containing building materials (flooring and pipe insulation) should be assumed to be present and addressed as necessary.

Additional building materials beyond what has been sampled should be assumed to contain asbestos unless sampled to prove otherwise.

NorthStar No. 220-552A Page 2 of 20 500 East Veterans Street

SAMPLING SUMMARY:

Number of Samples: 39 Number Analyzed: 39 Point Count: 0 Asbestos Materials: 9” Floor Tile

Pipe Fitting Insulation Floor Tile Adhesive Pipe Insulation

Assumed ACM: None Laboratory: Eurofins CEI, Inc. NVLAP: 101768-0 Analysis Date: August 5, 2022 Point Count: n/a

Please see attached Asbestos Material Sample Log for complete sample analysis data.

ASBESTOS MATERIAL SUMMARY:

Confirmed ACM, or assumed ACM that will require abatement if these materials will be impacted by the intended renovation:

Material Building Area Quantity (Approx.)

Category/Comment

9” Floor Tile (brown) & Adhesive – Black

2nd Floor: Room 2057 Not Quantified

Cat. I & II Non-Friable On concrete Under carpet

1 Pipe Fitting Insulation (beige)

2nd Floor: Room 2057 ~12 lf

(12 each) Friable Good Condition

1 Pipe Insulation 2nd Floor: Room 2057 ~30 lf Friable Good Condition

1 Limited access to pipe fittings and pipe insulation. Quantities are estimated based on what was visible from the accessible area. Additional materials may be present above the ceiling and/or in wall cavities.

Material quantities are listed according to visible estimates at the time of the survey. It is recommended that all quantities be further verified by the building owner or an abatement contractor prior to project design, bidding, budgeting and/or DNR notification purposes.

The following materials were found to be non-asbestos or 1% (or less) by PLM analysis:

Materials

Vinyl Sheet Flooring (tan) Vinyl Sheet Flooring Adhesive (tan)

Floor Leveling Compound (white) Drywall (white)

Joint Compound (white) Spray-On Fireproofing (gray)

Window Caulk (beige) 2’x2’ Ceiling Tile (pinhole)

Carpet Adhesive (tan) Terrazzo Flooring (tan)

6” Vinyl Baseboard (tan) Vinyl Baseboard Adhesive (brown)

Plaster Skim Coat (white) Plaster Base Coat (gray)

1’x1’ Ceiling Tile (grooved pattern) HVAC Duct Seam Sealant (gray)

4” Vinyl Baseboard (gray) Vinyl Baseboard Adhesive (tan)

2’x2’ Ceiling Tile (recessed)

Please see attached Asbestos Material Sample Log for complete sample analysis data.

Materials containing any amount of asbestos including materials with 1% or less (trace amount), may still result in an exposure regulated by the Occupational Safety & Health Administration (OSHA). Protective equipment or a negative exposure assessment for personal exposure may be required.

NorthStar No. 220-552A Page 3 of 20 500 East Veterans Street

The following areas were inaccessible or excluded at the time of inspection and may contain additional quantities of suspect asbestos containing materials:

Area

Room 2045 was inaccessible at the time of our inspection. A follow-up inspection including additional destructive sampling is recommended.

Sampling was limited to the surfaces likely to be impacted by future renovations.

Any additional suspect materials, if encountered, which differ from those tested should be assumed to contain asbestos and sampled if/when necessary.

ASBESTOS RECOMMENDATIONS:

All friable ACM as well as non-friable ACM that would likely be made friable by intended renovation or demolition processes are required to be abated prior to disturbance.

Non-friable ACM (confirmed or assumed) remaining during demolition must be disposed of properly as demolition debris at an approved landfill (landfill requirements vary). Non-friable materials typically require abatement prior to any material recycling procedure. For any building that will be subject to burning, all confirmed and assumed ACM must be removed.

Abatement shall be performed by an abatement company utilizing trained and certified worker/supervisor and further licensed as an asbestos company by the Wisconsin Department of Health Service (DHS), Asbestos Regulation 159.

Refer to WDNR 447; and WI DHS 159 for complete information on requirements for asbestos abatement and asbestos material disposal. Questions regarding asbestos abatement issues can be directed to the WDNR Asbestos Program Coordinator at (262) 574-2118. Important additional information on the proper management of asbestos, the demolition process, and other materials that need to be managed prior to demolition (light bulbs & ballasts, mercury & freon containing devices, etc.) can be found at:

• WI DHS http://dhs.wisconsin.gov/asbestos/

• WDNR http://dnr.wi.gov/topic/Demo/Asbestos.html

• WDNR http://dnr.wi.gov/files/PDF/pubs/wa/wa651.pdf

SURVEY LIMITATIONS:

Sample results, quantities and recommendations are for areas of the building that were accessible to us during the investigation. Additional assumed ACM that may have been located in spaces not accessible during our investigation, hidden from view, or not sampled at the client’s request may require additional sampling prior to disturbance by renovation or demolition activity.

Areas that were inaccessible and not sampled during the investigation may include: certain wall or ceiling cavities; electrical components/wiring; gasket material; fire door interiors; boiler, tank, and vessel interiors;

equipment components and interiors; chimneys/flues/stacks; spaces requiring confined space entry procedures; structurally unsafe areas; isolated or inaccessible building areas; underground or buried components; and mechanical spaces or equipment that would require extensive demolition or dismantling to provide adequate access for material identification or sampling.

Roofing materials including built-up and membrane roofs, and associated flashings and coatings may have been assumed to contain asbestos according to project scope.

Additional materials not accessible and not sampled during the survey included items such as miscellaneous caulkings, sealants and construction adhesives that were not readily accessible to sample (may have been located between layers of building components). These materials are typically non-friable in nature but may require further sampling to confirm or deny the presence of asbestos.

http://dhs.wisconsin.gov/asbestos/ http://dnr.wi.gov/topic/Demo/Asbestos.html http://dnr.wi.gov/files/PDF/pubs/wa/wa651.pdf

NorthStar No. 220-552A Page 4 of 20 500 East Veterans Street

Building materials or substrates that were exempted from sampling may have included wood, concrete, glass, fiberglass and metal. Materials that were sampled and if found to contain one percent (1%) or less asbestos (confirmed by point count analysis as necessary) were not quantified.

Additional assumed ACM encountered during renovation or demolition activity that differs from materials sampled or described during this survey must be assumed to contain asbestos and be abated or be sampled to determine asbestos content prior to disturbance.

Material quantities are listed according to visible estimates at the time of the survey. It is recommended that all quantities be further verified by building owner or abatement contractor prior to project design, bidding, budgeting and/or WDNR notification purposes.

ANALYTICAL DISCUSSION:

Bulk sample analysis for asbestos was performed by polarized light microscopy (PLM); method Bulk EPA

600. Samples showing a result of "None Detected" were found to contain no asbestos in any analyzed portion of the sample.

USEPA defines an ACM as a material that contains asbestos unless the asbestos concentration is found to be one percent or less (≤1%) by a PLM point counting procedure. Materials with a point count result of ≤1% asbestos may be treated as a non-ACM. The building owner or client should be aware that exposure to asbestos is still possible when disturbing materials with ≤1% asbestos (trace amount) present and that OSHA worker protection procedures may be necessary.

REMARKS:

The survey and subsequent report have been performed according to applicable regulations and generally accepted industry standards and practices in this locality under similar conditions. Information provided to us by building owner/occupant, client or other interested party that may have been utilized in the performance and reporting of the survey was accepted in good faith and can only be assumed to be accurate. The findings and recommendations made are representative of our professional opinion based on currently available information; no other warranty is implied or intended.

Please contact us if you have any questions regarding the presented information or the project in general.

Sincerely, Senior Project Manager Project Technician

AII - 238193

NorthStar No. 220-552A Page 5 of 20 500 East Veterans Street

Appendix A ASBESTOS MATERIAL SAMPLE LOG

August 2, 2022

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ASBESTOS MATERIAL SAMPLE LOG

Client: Tomah VA Medical Center NorthStar No. 220-552A

Location:

500 East Veterans Street Tomah, WI 54660

Date Collected: August 2, 2022

Work Area: Pre-Renovation Technician: Dustin Gaede

Laboratory: Eurofins CEI, Inc. Date Analyzed: August 5, 2022

Sample No.

Floor Level

Material Location

Material Sample Description Asbestos Content

552A-1 4 Room 4053A Vinyl Sheet Flooring Tan None Detected

552A-2 4 Room 4053A Vinyl Sheet Flooring Adhesive

Tan None Detected

552A-3 4 Room 4053A Floor Leveling Compound

Gray None Detected

552A-4 4 Room 4051 Drywall White None Detected

552A-5 4 Room 4051 Joint Compound White None Detected

552A-6 4 Room 4051 Wall Paper Adhesive Clear None Detected

552A-7 4 Room 4051 Spray-On Fire Proofing Gray None Detected

552A-8 4 Room 4055 Vinyl Sheet Flooring Gray None Detected

552A-9 4 Room 4055 Drywall White None Detected

552A-10 4 Room 4055 Joint Compound White None Detected

552A-11 4 Room 4055 Spray-On Fire Proofing Gray None Detected

552A-12 4 Room 4055 Spray-On Fire Proofing Gray None Detected

552A-13 4 Room 4055 Window Caulk Beige None Detected

552A-14 3 Hallway OC34 Drywall White None Detected

552A-15 3 Hallway OC34 Joint Compound White None Detected

552A-16 3 Hallway OC34 2’x2’ Ceiling Tile Pinhole None Detected

552A-17 2 Room 2057 Carpet Adhesive Tan None Detected

552A-18 2 Room 2057 9” Floor Tile Brown 10% Chrysotile

552A-19 2 Room 2057 Floor Tile Adhesive Black 5% Chrysotile

552A-20 2 Room 2057 Terrazzo Flooring Tan None Detected

NorthStar No. 220-552A Page 7 of 20 500 East Veterans Street

ASBESTOS MATERIAL SAMPLE LOG

Location:

500 East Veterans Street Tomah, WI 54660

Date Collected: August 2, 2022

Laboratory: Eurofins CEI, Inc. Date Analyzed: August 5, 2022

Sample No.

Floor Level

Material Location

Material Sample Description Asbestos Content

552A-21 2 Room 2057 6” Vinyl Baseboard Tan None Detected

552A-22 2 Room 2057 Vinyl Baseboard Adhesive

Brown None Detected

552A-23 2 Room 2057 Drywall White None Detected

552A-24 2 Room 2057 Joint Compound White None Detected

552A-25 2 Room 2057 Plaster Skim Coat White None Detected

552A-26 2 Room 2057 Plaster Base Coat Gray None Detected

552A-27 2 Room 2057 Plaster Skim Coat White None Detected

552A-28 2 Room 2057 Plaster Base Coat Gray None Detected

552A-29 2 Room 2057 1’x1’ Ceiling Tile Grooved None Detected

552A-30 2 Room 2057 Pipe Fitting Insulation Beige 2% Chrysotile 15% Amosite

552A-31 2 Room 2057 2”-4” Pipe Insulation Aircell 65% Chrysotile

552A-32 2 Room 2057 HVAC Duct Seam Sealant

Gray None Detected

552A-33 1 Hallway OC17 4” Vinyl Baseboard Gray None Detected

552A-34 1 Hallway OC17 Vinyl Baseboard Adhesive

Tan None Detected

552A-35 1 Hallway OC17 Drywall White None Detected

552A-36 1 Hallway OC17 Joint Compound White None Detected

552A-37 1 Hallway OC17 2’x2’ Ceiling Tile Recessed None Detected

552A-38 2 Room 2057 Plaster Skim Coat White None Detected

552A-39 2 Room 2057 Plaster Base Coat Gray None Detected

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Appendix B LEAD PAINT REPORT

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Project: Lead Paint Inspection (Limited)

Site: 500 East Veterans Street Tomah, WI 54660

Work Area: Building B400 4th Floor Through 1st Floor

Tomah VA Medical Center to perform a limited, non-destructive inspection for the presence of lead in paint on designated surfaces prior to potential disturbance by specific renovation activity.

Testing for lead-based paint was limited to representative areas. Testing for lead in paint was conducted to assist with planning in regards to lead-safe construction practices and/or disposal or recycling activities.

A surface-by-surface visual assessment of painted components was conducted at the property to determine which surfaces to test.

Inaccessible areas hidden from view or contained within or behind other building materials may contain additional areas of suspect lead-based paint. Any additional surfaces not specifically identified should be assumed to contain lead-based paint unless tested and proven otherwise.

TESTING SUMMARY:

Testing Date: August 2, 2022

Building/Site: 500 East Veterans Street Tomah, WI 54660

Building Type: Commercial Building Age: Pre-1978

Building Contact: Ethan Lenertz (Tomah VA Medical Center) Phone: 608.540.9174

Work Area: Pre-Renovation

Materials Tested Pre-Renovation:

Representative painted surfaces (walls, door components, window components, ceilings, foundation)

Lead Paint for Renovation Items:

Lead-based paint was identified on plaster walls within Room 2057.

Please see summary, next page.

Visual Assessment: Deteriorated lead paint was noted in limited areas for surfaces tested. Please see summary, next page.

Sampling Technician: Dustin Gaede

Cert Number: LRA-238193

Lead Company: DHS-925800 Expiration Date: 08/01/2023 Testing Equipment: Heuresis Pb220i analyzer, Serial Number: 1122

Comment: Sampling was limited to accessible spaces within the proposed renovation area. Any additional items not specifically sampled should be assumed to contain lead unless additional testing proves otherwise.

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LEAD PAINT SUMMARY:

Testing for lead-based paint analyzes all layers of paint on a particular surface area simultaneously. The testing does not specifically identify which layer or color of paint contains lead. A positive testing location entails that some layer of paint on that particular surface contains lead in paint in excess or equal to 1.0 mg/cm².

Reading No Wall Structure Location Member

Paint Condition Substrate Color

Lead (mg/cm2)

Interior Room: 2nd Floor – Room 2057

22 A Wall Ctr Poor Plaster White 9.3

25 D Wall Ctr Intact Plaster White 7.5

Note:

- Wall A is the South side of the building. Walls B/C/D are determined clockwise from Wall A.

- All similar materials with the same paint history are to be categorized in the same manner. For example, if a window sill on side A is positive for lead-based paint, then all similar window sills are assumed to contain lead-based paint unless specifically tested and proven otherwise.

- Additional areas of lead-based paint are possible in inaccessible areas, areas hidden from view or materials/substrates contained behind or within other building materials.

Please see “Lead Paint XRF Testing Data” and site diagram for specific areas tested.

DISCUSSION:

The testing performed was limited in scope and does not constitute a full lead paint inspection. Renovation activity beyond the anticipated work scope specified at the time of our site visit may require additional testing prior to disturbance.

The United States Federal Government through the Environmental Protection Agency (EPA) and Housing and Urban Development (HUD) defines lead-based paint as equal to or greater than 1.0 mg/cm² measured by XRF analysis, or 0.5% (5000 ppm) measured by weight through laboratory analysis. The State of Wisconsin has adopted the same definition of lead bearing paint (mainly for residential HUD applications) as that which is equal to or greater than 1.0 mg/cm2 or 0.5% (5000 ppm) respectively.

Our non-destructive testing by x-ray fluorescence has been performed in an attempt to screen for areas with quantifiable lead above regulatory limits on painted substrates. The reportable limit of detection is essentially 1.0 mg/cm² by XRF analysis and therefore paint chip analysis would be recommended for a more accurate determination of lead in paint below this level or for results to rule out lead in any quantifiable amount. The testing equipment is calibrated against a known standard before and after actual substrate testing.

For worker exposure applications, lead in any quantifiable amount, and disturbance of the material creating dust and/or fumes and subsequent potential worker exposure would be regulated by the OSHA Lead in Construction Standard (29 CFR 1926.62).

NorthStar No. 220-552A Page 11 of 20 500 East Veterans Street

REMARKS:

The testing and subsequent report has been performed according to applicable regulations and generally accepted industry standards and practices in this locality under similar conditions. Information provided to us by the building owner/occupant, client or other interested party that may have been utilized in the performance and reporting of the testing was accepted in good faith and can only be assumed to be accurate. The findings and recommendations made are representative of our professional opinion based on currently available information; no other warranty is implied or intended.

Please contact us if you have any questions regarding the presented information or the project in general.

Submitted By, Operations Manager Project Technician

LRA – 238193

attach: Lead Paint XRF Testing Data

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LEAD PAINT XRF TESTING DATA

Location:

500 East Veterans Street Tomah, WI 54660

Reading No Wall Structure Location Member

Paint Condition Substrate Color

Lead (mg/cm2)

Pre-Calibration

1 1.1

2 1.1

3 0.9

4 0.1

Interior Room 01: 4th Floor – Room 4053A

5 A Wall Ctr Intact Drywall White 0.1

6 B Wall Ctr Intact Drywall White 0.2

7 C Wall Ctr Intact Drywall White 0.1

8 D Wall Ctr Intact Drywall White 0.1

9 D Window Ctr Rgt jamb Intact Metal Gray 0.1

Interior Room 02: 4th Floor – Room 4053

10 C Door Ctr Rgt jamb Intact Metal Gray 0.2

11 C Door Intact Wood Varnish 0.4

12 C Window Rgt Rgt jamb Intact Wood Varnish 0

Interior Room 03: 4th Floor – Room 4055

13 B Window Lft Rgt jamb Intact Metal Gray 0.2

14 C Door Lft Rgt jamb Intact Metal Gray 0.1

15 C Door Lft Intact Wood Varnish 0.1

16 A Wall Ctr Intact Drywall Blue 0.2

17 B Wall Ctr Intact Drywall Blue 0

18 C Wall Ctr Intact Drywall Blue 0

19 D Wall Ctr Intact Drywall Blue 0

20 D Ceiling Ctr Intact Drywall White 0.3

Interior Room 04: 3rd Floor – Hallway OC34

21 A Soffit Ctr Intact Wood White 0.1

Interior Room: 2nd Floor – Room 2057

22 A Wall Ctr Poor Plaster White 9.3

23 B Wall Ctr Intact Plaster White 0.5

24 C Wall Ctr Intact Plaster White 0.6

25 D Wall Ctr Intact Plaster White 7.5

26 C Door Ctr Intact Wood Varnish 0.2

27 C Door Ctr Lft jamb Intact Metal White 0.1

Interior Room: 1st Floor – Hallway OC17

28 A Wall Rgt Intact Drywall White 0.3

29 B Wall Rgt Intact Drywall White 0.1

30 A Foundation Rgt Intact Concrete Yellow 0.1

31 A Foundation Rgt Intact Concrete Brown 0.2

32 B Ceiling Intact Drywall White 0.1

NorthStar No. 220-552A Page 13 of 20 500 East Veterans Street

Reading No Wall Structure Location Member

Paint Condition Substrate Color

Lead (mg/cm2)

Post-Calibration

33 1.1

34 1

35 0.9

36 0.1

- Wall A is the South side of the building. Walls B/C/D are determined clockwise from Wall A.

- The XRF analyzer was calibrated before and after testing by taking three readings from a source known to contain 1.02 mg/cm2 lead (NIST Standard Reference Material). The three positive calibration readings were followed by a sample on bare wood containing no lead-based paint.

- The State of Wisconsin defines lead bearing paint as that which is equal to or greater than 1.0 mg/cm2.

- Readings with a negative value (i.e. -0.1) are equivalent to 0.0.

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Appendix C SITE DIAGRAM

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Appendix D CERTIFICATIONS

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