Part 6 ATTACHMENT H5- ASBESTOS INSPECTION REPORT.pdf
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ASBESTOS INSPECTION REPORT of:
Building # 201
MCB CAMP LEJEUNE
Tuesday, June 30, 2020
Print Date
Tuesday, June 30, 2020 Page 1 of 8Print Date:
INSPECTION SUMMARY
BLDG #:
OCCUPANT:
YEAR BUILT:
BUILDING COMMENTS:
GYMNASIUM
HAZ RANK 3/GREEN [AH JUL2015]
WINDOW GLAZING ON GABLE WINDOW
JUL2015
ACM GLAZING PRESENT, DEBRIS HAS BEEN REMOVED
OCT2013
GLAZING DEBRIS FALLING TO GROUND LEVEL, REMOVAL RECOMMENDED
DEC08
CONFIRMATION OF NO ACM IDENTIFIED
MAY06
CONFIRMATION OF PVS. AS NON ACM
OCT02
NO CHANGE FROM PREVIOUS INSPECTION
OCT99
TRACE ASBESTOS DETECTED IN LEVELING COMPOUND, ROOFING MATERIALS ASSUMED
ASBESTOS MANAGER: 910-451-5837
Friable ACM(s) identified
Non-friable ACM(s) identified
Tested Non ACM or REMOVED Materials
DESCRIPTION LOCATION Date
NOTICE: The following asbestos-containing materials have been identified in this structure. Refer to survey findings for additional information or contact the Asbestos Program Manager. Please note ACM that is intact and undisturbed is not considered a significant health hazard to building occupants.
DESCRIPTION LOCATION Date Quantity
DESCRIPTION LOCATION Date Quantity
No friable ACM records found in database
NOTIFICATION OF ACM IN BUILDING
WINDOW GLAZING MATERIAL 2 SFNORTH CENTER AWNING DEBRIS (FROM
CURVED PICTURE WINDOW ABOVE)
8/11/2010
WINDOW GLAZING MATERIAL 4 SFNORTH CENTER AWNING DEBRIS (FROM
CURVED PICTURE WINDOW ABOVE)
10/22/2013
WINDOW GLAZING MATERIAL 2 SFNORTH CENTER AWNING DEBRIS (FROM
CURVED PICTURE WINDOW ABOVE)
7/15/2015
Tuesday, June 30, 2020 Page 2 of 8Print Date:
12" BLUE FLOOR TILE AND ADHESIVE SECOND FLOOR SOUTHWEST
(CHECKERED w/HM05) 10/14/1999
RUBBER MAT ADHESIVE NORTH CENTER ENTRY AND
GYMNASIUM FLOORING
2/1/2000
TAR PAPER, BLACK ATTIC ROOFING DEBRIS (PREVIOUS
ROOFING)
10/12/2002
DRYWALL AND JOINT MATERIAL FIRST FLOOR NORTH END, SOUTH END
EAST;
SECOND FLOOR NORTH END OFFICES/
ROOMS AND CORRIDOR; NORTH END
STAIRWELLS; GYMNASIUM
10/14/1999
2'x2' CEILING TILE, FIRST FLOOR NORTHWEST OFFICE, SOUTH CENTRAL ROOMS; SECOND
FLOOR SOUTHWEST ROOM
10/14/1999
BASE COVE/MASTIC, NORTHEAST ENTRY FOYER 10/14/1999
SHINGLE ROOFING EXTERIOR GROUND DEBRIS, EAST
CENTER (PREVIOUS ROOFING)
12/4/2008
12" WHITE FLOOR TILE AND ADHESIVE SECOND FLOOR SOUTHWEST
(CHECKERED w/HM04)
10/14/1999
12" BLACK FLOOR TILE AND ADHESIVE NORTHEAST FOYER (CHECKERED WITH
HM01)
10/14/1999
12" WHITE FLOOR TILE AND ADHESIVE NORTHEAST FOYER (CHECKERED WITH
HM02)
10/14/1999
TEXTURED PAINT GYMNASIUM WALLS THROUGHOUT 10/12/2002
DRYWALL AND JOINT MATERIAL NORTH AND SOUTH END WALLS
THROUGHOUT
10/14/1999
12" BLUE FLOOR TILE AND ADHESIVE SOUTH END STAGE AREA CENTRAL
ROOMS
10/14/1999
EXTERIOR CAULKING, SOUTHEAST CRAWLSPACE ENTRANCE 12/4/2008
PLASTER WALLS NORTHWEST LOCKER ROOM;
SOUTHWEST AND SOUTHEAST GYM
ENTRY FOYERS
2/1/2000
ASPHALT SHINGLE AND TAR PAPER ROOFING SYSTEM 10/14/1999
STAIR TREAD/MASTIC NORTH AND SOUTH END STAIRWELLS
THROUGHOUT
2/1/2000
PLASTER PATCH SOUTHEAST CRAWLSPACE ENTRANCE 12/4/2008
EXTERIOR CAULKING, METAL ENTRY DOORS 8/11/2010
PIPE INSULATION DEBRIS SOUTHWEST EXTERIOR STEAM PIT 8/11/2010
INTERIOR CAULKING, SECOND FLOOR NORTH WINDOWS 8/11/2010
WALLBOARD/ SHEATHING NORTH CENTRAL EXTERIOR (FALSE
BRICK)
12/4/2008
LAGGING PAPER ON FIBERGLASS SOUTHWEST EXTERIOR STEAM PIT 8/11/2010
BASE COVE/MASTIC, NORTHEAST ENTRY FOYER 12/4/2008
12" BLUE FLOOR TILE AND ADHESIVE SOUTH END STAGE AREA CENTRAL
ROOMS
8/11/2010
12" BLUE FLOOR TILE AND ADHESIVE SECOND FLOOR SOUTHWEST
(CHECKERED w/HM05)
8/11/2010
Tuesday, June 30, 2020 Page 3 of 8Print Date:
ACM only presents a health hazard when asbestos fibers are airborne and inhaled.
Avoid disturbance which will release fibers. The presence of asbestos does not constitute a health hazard.
HEALTH ASPECTS:
Do not disturb or cause damage to ACM. Do not sand, grind or abrade materials or cause damage with any type of equipment.
CONDITIONS TO AVOID:
Report any damage, dust or debris that may come from ACM or suspect ACM, or any change in the condition of materials, or accidental disturbance to the Asbestos Program Manager.
REPORTS OF DAMAGE:
Corrective action initiated to minimize fiber release and protect personnel. RESPONSE ACTION:
ACM will be inspected periodically to evaluate any changes in condition.INSPECTION:
The Camp Lejeune Asbestos Program Manager maintains a copy of the survey for the building.
RECORDKEEPING:
CAMP LEJEUNE Asbestos Program Manager: Phone: (910) 451-5837
12" WHITE FLOOR TILE AND ADHESIVE NORTHEAST FOYER (CHECKERED WITH
HM02)
8/11/2010
12" BLACK FLOOR TILE AND ADHESIVE NORTHEAST FOYER (CHECKERED WITH
HM01)
8/11/2010
12" WHITE FLOOR TILE AND ADHESIVE SECOND FLOOR SOUTHWEST
(CHECKERED w/HM04)
8/11/2010
BASE COVE/MASTIC, NORTHEAST ENTRY FOYER 10/21/2002
EXTERIOR CAULKING, ROOF FLASHINGS; METAL WINDOWS;
SOUTHEAST CRAWLSPACE ENTRANCE
8/11/2010
ASPHALT SHINGLE AND TAR PAPER ROOFING SYSTEM 10/21/2002
BASE COVE/MASTIC, NORTHEAST ENTRY FOYER 5/19/2006
ASPHALT SHINGLE AND TAR PAPER PREVIOUS ROOFING SYSTEM, ATTIC
DEBRIS
5/19/2006
DRYWALL AND JOINT MATERIAL NORTH AND SOUTH END WALLS
THROUGHOUT
8/11/2010
Tuesday, June 30, 2020 Page 4 of 8Print Date:
SAMPLES COLLECTED
Sample Sample Date
HA Sample Location Chr
Amo
Oth
Description
201-01-01 10/14/199901 NE FOYER 0 0 012" WHITE FLOOR TILE
AND ADHESIVE
201-0101QC 10/14/199901 NE FOYER 0 0 012" WHITE FLOOR TILE
AND ADHESIVE
201-01-02 10/14/199901 NE FOYER 0 0 012" WHITE FLOOR TILE
AND ADHESIVE
201-01-03 10/14/199901 NE FOYER 0 0 012" WHITE FLOOR TILE
AND ADHESIVE
201-01-40 8/11/201001 NE SNACK BAR 0 0 012" WHITE FLOOR TILE
AND ADHESIVE
201-02-01 10/14/199902 NE FOYER 0 0 012" BLACK FLOOR TILE
AND ADHESIVE
201-0201QC 10/14/199902 NE FOYER 0 0 012" BLACK FLOOR TILE
AND ADHESIVE
201-02-02 10/14/199902 NE FOYER 0 0 012" BLACK FLOOR TILE
AND ADHESIVE
201-02-03 10/14/199902 NE FOYER 0 0 012" BLACK FLOOR TILE
AND ADHESIVE
201-02-40 8/11/201002 NE SNACK BAR 0 0 012" BLACK FLOOR TILE
AND ADHESIVE
201-03-01 10/14/199903 SOUTH, EAST LG. RM 0 0 012" BLUE FLOOR TILE
AND ADHESIVE
DARK
201-0301QC 10/14/199903 SOUTH, EAST LG. RM 0 0 012" BLUE FLOOR TILE
AND ADHESIVE
DARK
201-03-02 10/14/199903 SOUTH CNTR STORAGE 0 0 012" BLUE FLOOR TILE
AND ADHESIVE
DARK
201-03-03 10/14/199903 SOUTH, EAST LG. RM 0 0 012" BLUE FLOOR TILE
AND ADHESIVE
DARK
201-03-40 8/11/201003 NE CLOSET 0 0 012" BLUE FLOOR TILE
AND ADHESIVE
DARK
201-04-01 10/14/199904 2ND FL SW 0 0 012" BLUE FLOOR TILE
AND ADHESIVE
LIGHT
201-0401QC 10/14/199904 2ND FL SW 0 0 012" BLUE FLOOR TILE
AND ADHESIVE
LIGHT
201-04-02 10/14/199904 2ND FL SW 0 0 012" BLUE FLOOR TILE
AND ADHESIVE
LIGHT
Tuesday, June 30, 2020 Page 5 of 8Print Date:
HA Sample Location Chr
Amo
Oth
Description
201-04-03 10/14/199904 2ND FL SW 0 0 012" BLUE FLOOR TILE
AND ADHESIVE
LIGHT
201-04-40 8/11/201004 2ND FL SW OFFICE 0 0 012" BLUE FLOOR TILE
AND ADHESIVE
LIGHT
201-05-01 10/14/199905 2ND FL SW 0 0 012" WHITE FLOOR TILE
AND ADHESIVE
w/ BLUE STREAKS
201-05-02 10/14/199905 2ND FL SW 0 0 012" WHITE FLOOR TILE
AND ADHESIVE
w/ BLUE STREAKS
201-05-03 10/14/199905 2ND FL SW 0 0 012" WHITE FLOOR TILE
AND ADHESIVE
w/ BLUE STREAKS
201-0503QC 10/14/199905 2ND FL SW 0 0 012" WHITE FLOOR TILE
AND ADHESIVE
w/ BLUE STREAKS
201-05-40 8/11/201005 2ND FL SW OFFICE 0 0 012" WHITE FLOOR TILE
AND ADHESIVE
w/ BLUE STREAKS
201-06-01 10/14/199906 SOUTH END, EAST CNTR RM 0 0 0DRYWALL AND JOINT
MATERIAL
WALLS
201-06-02 10/14/199906 NORTH END, NW LOCKER RM 0 0 0DRYWALL AND JOINT
MATERIAL
WALLS
201-06-03 10/14/199906 CNTR GYM AREA NW 0 0 0DRYWALL AND JOINT
MATERIAL
WALLS
201-06-40 8/11/201006 NW HEAD WALL 0 0 0DRYWALL AND JOINT
MATERIAL
WALLS
201-06-41 8/11/201006 GYM, NE WALL 0 0 0DRYWALL AND JOINT
MATERIAL
WALLS
201-06-42 8/11/201006 GYM, NW WALL 0 0 0DRYWALL AND JOINT
MATERIAL
WALLS
201-07-01 10/14/199907 NORTH END, NE STORAGE 0 0 0DRYWALL AND JOINT
MATERIAL
CEILINGS
201-07-02 10/14/199907 NORTH END, NW HEAD 0 0 0DRYWALL AND JOINT
MATERIAL
CEILINGS
201-07-03 10/14/199907 2ND FL NORTH CNTR
STORAGE
0 0 0DRYWALL AND JOINT
MATERIAL
CEILINGS
201-08-01 10/14/199908 SOUTH END, EAST CNTR LG.
RM
0 0 02'x2' CEILING TILE, FISSURED
201-0801QC 10/14/199908 SOUTH END, EAST CNTR LG.
RM
0 0 02'x2' CEILING TILE, FISSURED
201-08-02 10/14/199908 SOUTH END, SOUTH CNTR
STORAGE
0 0 02'x2' CEILING TILE, FISSURED
Tuesday, June 30, 2020 Page 6 of 8Print Date:
HA Sample Location Chr
Amo
Oth
Description
201-08-03 10/14/199908 SOUTH END, WEST CNTR LG.
RM
0 0 02'x2' CEILING TILE, FISSURED
201-09-00ri02 10/21/200209 N/A 9 9 9BASE COVE/MASTIC, WHITE
201-09-01 10/14/199909 NE FOYER 0 0 0BASE COVE/MASTIC, WHITE
201-0901QC 10/14/199909 NE FOYER 6 0 0BASE COVE/MASTIC, WHITE
201-09-02 10/14/199909 NE FOYER 0 0 0BASE COVE/MASTIC, WHITE
201-09-03 10/14/199909 NE FOYER 0 0 0BASE COVE/MASTIC, WHITE
201-09-20 5/19/200609 NE ENTRY 0 0 0BASE COVE/MASTIC, WHITE
201-09-30 12/4/200809 NE FOYER 0 0 0BASE COVE/MASTIC, WHITE
201-10-00 10/14/199910 NOT SAMPLED 1 1 1ASPHALT SHINGLE AND
TAR PAPER
201-10-00ri02 10/21/200210 N/A 1 1 1ASPHALT SHINGLE AND
TAR PAPER
201-10-20 5/19/200610 ATTIC, WEST CNTR SW 0 0 0ASPHALT SHINGLE AND
TAR PAPER
201-11-01 2/1/200011 SE STAIRS 0 0 0STAIR TREAD/MASTIC BLACK
201-11-02 2/1/200011 SE STAGE STAIRS 0 0 0STAIR TREAD/MASTIC BLACK
201-11-03 2/1/200011 NW STAIRS 0 0 0STAIR TREAD/MASTIC BLACK
201-12-01 2/1/200012 SW GYM FOYER 0 0 0PLASTER WALLS
201-12-02 2/1/200012 SE GYM FOYER 0 0 0PLASTER WALLS
201-12-03 2/1/200012 SE GYM FOYER 0 0 0PLASTER WALLS
201-12-04 2/1/200012 NW LOCKER RM 0 0 0PLASTER WALLS
201-12-05 2/1/200012 NW LOCKER RM 0 0 0PLASTER WALLS
201-13-01 2/1/200013 GYM, NE 0 0 0RUBBER MAT ADHESIVE BROWN
201-13-02 2/1/200013 GYM, SE 0 0 0RUBBER MAT ADHESIVE BROWN
201-13-03 2/1/200013 GYM, NW 0 0 0RUBBER MAT ADHESIVE BROWN
201-20-01 10/12/200220 SW OFFICE 0 0 0TEXTURED PAINT
Tuesday, June 30, 2020 Page 7 of 8Print Date:
HA Sample Location Chr
Amo
Oth
Description
201-21-01 10/12/200221 ATTIC, CNTR WEST 0 0 0TAR PAPER, BLACK
201-30-30 12/4/200830 NORTH CNTR EXT. 0 0 0WALLBOARD/
SHEATHING
GRAY
201-31-30 12/4/200831 EAST CNTR EXT. 0 0 0SHINGLE ROOFING DEBRIS
201-32-30 12/4/200832 SE CRSPC ENTRY 0 0 0PLASTER PATCH
201-33-30 12/4/200833 SE CRSPC ENTRY 0 0 0EXTERIOR CAULKING, WHITE
201-33-40 8/11/201033 NORTH AWNING, NW FLASH 0 0 0EXTERIOR CAULKING, WHITE
201-33-41 8/11/201033 NORTH CNTR WINDOW 0 0 0EXTERIOR CAULKING, WHITE
201-33-42 8/11/201033 NORTH AWNING, NE FLASH 0 0 0EXTERIOR CAULKING, WHITE
201-33-43 8/11/201033 NE SIDE WINDOW 0 0 0EXTERIOR CAULKING, WHITE
201-33-44 8/11/201033 NW SIDE WINDOW 0 0 0EXTERIOR CAULKING, WHITE
201-33-45 8/11/201033 SW EXT. STEAM PIT FLASH 0 0 0EXTERIOR CAULKING, WHITE
201-40-40 8/11/201040 2ND FL NORTH CNTR
WINDOW
0 0 0INTERIOR CAULKING, WHITE
201-41-00ri15 7/15/201541 N/A 9 9 9WINDOW GLAZING
MATERIAL
GRAY
201-41-00ri19 10/22/201341 N/A 9 9 9WINDOW GLAZING
MATERIAL
GRAY
201-41-40 8/11/201041 NORTH CNTR AWNING TOP
WEST
3 0 0WINDOW GLAZING
MATERIAL
GRAY
201-41-41 8/11/201041 NORTH CNTR AWNING TOP
EAST
3 0 0WINDOW GLAZING
MATERIAL
GRAY
201-42-40 8/11/201042 NORTH CNTR DOORS 0 0 0EXTERIOR CAULKING, GRAY
201-42-41 8/11/201042 SW DOUBLE DOORS 0 0 0EXTERIOR CAULKING, GRAY
201-43-40 8/11/201043 SW EXT. STEAM PIT 0 0 0PIPE INSULATION
DEBRIS
WHITE
201-44-40 8/11/201044 SW EXT. STEAM PIT 0 0 0LAGGING PAPER ON
FIBERGLASS
Tuesday, June 30, 2020 Page 8 of 8Print Date:
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