S02 - Survey Report W Roxbury Bldg 01.pdf

VOLUME II

ASBESTOS CONTAINING MATERIAL &

LEAD CONTAINING PAINT

SURVEY REPORT

BUILDING 1

VISN 1

West Roxbury VA Medical Center

1400 VFW Parkway West Roxbury, Massachusetts

Project No. 2009023.002

May 28, 2010

5 Alfred Circle Bedford, MA 01730-2318

Telephone: (781) 275-6050 Toll Free: (800) 877-6050 Facsimile: (781) 275-5651 info@mabbett.com www.mabbett.com

© 2010, Mabbett & Associates, Inc.

W Roxbury VAMC - Building 1 May 2010 ©2010, Mabbett & Associates, Inc. Page i Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

ACKNOWLEDGMENT

This Asbestos Containing Materials (ACM) and Lead Containing Paint (LCP) Building Survey Report was prepared for the Veterans Affairs (VA) New England Healthcare System (VISN 1) in accordance with an established scope of work as defined in Contract Number VA241-P-1653. The information presented herein is based on the facts and information conveyed to or received by Mabbett & Associates, Inc. (M&A) during the preparation of this report. If any of the information provided to M&A that was used in preparing this report is incorrect, incomplete, or subject to change, M&A would wish to alter its opinion(s) accordingly. In addition, the professional opinions and information contained in this report are based solely on the requirements of the applicable regulations and technical data as known to M&A as of the date of this report and considered applicable to this report.

This individual building report from Volume II which contains building specific lead and asbestos findings is part of the Comprehensive VAMC Lead and Asbestos Survey Report consisting of:

Volume I - General

Chapter 1 - Introduction and Executive Summary Chapter 2 - Asbestos Operations & Maintenance (O&M) Manual Chapter 3 - Asbestos Containing Materials (ACM) Survey Tables Chapter 4 - Lead Containing Paint Survey Tables

Volume II – Individual Building Reports

Individual Building Reports Chapters including:

• Cover page with building number

• Building narrative summary

• Floor plans

• Relevant asbestos findings for the building

• Relevant lead containing paint findings for the building

• Relevant photos

Volume III – Appendices and Supporting Data

Appendix A - Asbestos Laboratory Analysis Reports and Laboratory Certifications Appendix B - Inspector Field Data Sheets/Chains-of-Custody Appendix C - Personnel Certifications & Licenses Appendix D - XRF Performance Characteristics/Calibration Records Appendix E - Lead Laboratory Analysis Reports and Laboratory Certifications (If Applicable)

Volume IV – HUD Residential LBP Reports (If Applicable)

©2010, Mabbett & Associates, Inc. Page ii Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

This report was prepared by the following Mabbett & Associates, Inc. personnel:

Michael F. Delaney Project Manager Massachusetts Asbestos Inspector AI031436 Massachusetts Management Planner AP000048

This report has been reviewed and approved by:

MABBETT & ASSOCIATES, INC.

Robert K. McKinley, MPH, CIH, LIH Director of Industrial Hygiene Services Massachusetts Asbestos Inspector AI000314

©2010, Mabbett & Associates, Inc. Page iii Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

TABLE OF CONTENTS

Description Page

1.0 INTRODUCTION & EXECUTIVE SUMMARY

2.0 BUILDING DESCRIPTION

3.0 ASBESTOS SURVEY

3.1 Sampling Methodology

3.2 Analytical Methodology

3.3 Summary of Asbestos Containing Materials (ACM) Findings

4.0 LEAD SCREENING SURVEY

4.1 Screening Survey Methodology

4.2 Summary of Lead Screening Survey Findings

5.0 LIMITATIONS

6.0 CLOSING REMARKS

6.1 Asbestos

6.2 Lead Containing Paint

Tables Table 1 – Inaccessible Areas Table 2 – Summary of Positive ACM Samples Table 3 – Summary of Positive XRF Measurements Table 4 – Summary of ACM Quantities for Liability Report Table 5 – Summary of ACM Building Results, including negative results ............................... Appendix A Table 6 – Summary of XRF Measurements............................................................................. Appendix B

Figures Figure 1 – Asbestos Survey Summary Plan - Building 1, Crawl Space Figure 2 – Asbestos Survey Summary Plan - Building 1, Ground Floor Figure 3 – Asbestos Survey Summary Plan - Building 1, Floor 1 Figure 4 – Asbestos Survey Summary Plan - Building 1, Floor 2 Figure 5 – Asbestos Survey Summary Plan - Building 1, Floor 3 Figure 6 – Asbestos Survey Summary Plan - Building 1, Floor 4 Figure 7 – Asbestos Survey Summary Plan - Building 1, Floor 5 Figure 8 – Asbestos Survey Summary Plan - Building 1, Floor 6 Figure 9 – Lead Screening Survey Summary Plan - Building 1, Crawl Space Figure 10 – Lead Screening Survey Summary Plan - Building 1, Ground Floor Figure 11 – Lead Screening Survey Summary Plan - Building 1, Floor 1 Figure 12 – Lead Screening Survey Summary Plan - Building 1, Floor 2 Figure 13 – Lead Screening Survey Summary Plan - Building 1, Floor 3 Figure 14 – Lead Screening Survey Summary Plan - Building 1, Floor 4 Figure 15 – Lead Screening Survey Summary Plan - Building 1, Floor 5 Figure 16 – Lead Screening Survey Summary Plan - Building 1, Floor 6

Appendices Appendix A – Table 5, ACM Building Results Appendix B – Table 6, Summary of XRF Measurements Appendix C – Relevant Photographs of ACM Appendix D – Relevant Photographs of Damaged Lead Containing Paint

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1.0 INTRODUCTION & EXECUTIVE SUMMARY

Mabbett and Associates, Inc. (M&A), with Covino Environmental Associates, Inc. (Covino) and EnviroMed Services, Inc. (EnviroMed) as sub-contractors, performed surveys for suspect asbestos containing building materials (ACM) and screenings of suspect lead containing paint (LCP) surfaces utilizing an X-Ray Fluorescence (XRF) analyzer. Surveys were performed of selected buildings at the VA Medical Center (VAMC) located at 1400 VFW Parkway, West Roxbury, MA, under Contract VA241-P-1653. A complete list of buildings surveyed is in Volume I of this report. Site survey work was performed during January and February, 2010, by appropriately credentialed personnel as required. Collected suspect ACM samples were submitted to a certified analytical laboratory for asbestos analysis by polarized light microscopy (PLM) using positive stop methodology and transmission electron microscopy (TEM) where indicated. When necessary, paint chip samples were collected and submitted to a certified analytical laboratory for lead content analysis using atomic absorption spectroscopy. The survey effort involved the collection of the following samples, resulting in the following conclusions:

• 339 bulk samples for suspect ACM were collected in this building.

• Based on laboratory analysis of suspect ACM, 85 of the collected samples contained asbestos greater than or equal to 1% asbestos.

• 438 XRF analyzer measurements of building surfaces were taken in this building.

• 162 of the XRF measurements revealed concentrations of lead that exceeded 0.1 mg/cm2.

This building report consists of a summary of findings, floor plans indicating positive sample locations, detailed analytical findings for the specific surveyed building materials, and photos of identified ACM. In addition, photos of lead containing paint greater than 1.0 mg/cm2 and in an other than intact condition, when observed, were provided. Laboratory certificates of analysis and field data sheets for this building report are available in Volume III of the Comprehensive VAMC Lead and Asbestos Survey Report.

2.0 BUILDING DESCRIPTION

According to information provided by the VAMC Office of Facilities Management and observations made by the M&A team at the time of the survey, Building 1 was a seven-story Hospital built in 1943 and occupied approximately 195,458 square feet.

3.0 ASBESTOS SURVEY

3.1 Sampling Methodology

A visual screening inspection was conducted by state licensed asbestos inspectors throughout the building to identify locations of suspect ACM. Only areas that were accessible during the field work phase were inspected. Every effort was made during the initial field survey work to access areas as necessary to complete the survey. However, if any areas remained inaccessible to the survey team, they are indicated in Table 1 below.

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Table 1 – Specific Inaccessible Areas

West Roxbury VA Medical Center, Building 1

Building Floor Room No.

Reason Area Was Inaccessible and Survey Impacts, If Applicable

No inaccessible areas were identified during the field activities.

Other general areas that were inaccessible or where the survey was limited to visual observation only are identified below:

• Within walls • Within fire doors

• Enclosed pipe/duct chases • Inside mechanical equipment/ductwork

• Above fixed drywall or plaster ceilings

ACM surveys should be performed prior to any proposed renovations or maintenance involving inaccessible areas.

Bulk samples were collected of suspect ACM in accordance with US Environmental Protection Agency (EPA) Asbestos Hazard and Emergency Response Act (AHERA) and VISN 1 approved M&A VISN 1 Survey Program Standard Operating Procedure (SOP). Roofing materials were not sampled unless otherwise indicated in order to maintain applicable warranties. Bulk suspect ACM sampling was conducted according to the following sampling plan:

(a) Surfacing material:

(1) At least three bulk samples shall be collected from each homogeneous area that is 1,000 ft2 or less.

(2) At least five bulk samples shall be collected from each homogeneous area that is greater than 1,000 ft2 but less than or equal to 5,000 ft2.

(3) At least seven bulk samples shall be collected from each homogeneous area that is greater than 5,000 ft2.

(b) Thermal system insulation:

(1) At least three bulk samples shall be collected from each homogeneous area of thermal system insulation.

(2) At least one bulk sample shall be collected from each homogeneous area of patched area of thermal system insulation.

(3) Sufficient samples shall be collected from elbows and fittings to determine if it contains

ACM.

(4) Bulk samples shall not be collected from any homogeneous area where the state licensed asbestos inspector determined that the thermal system insulation is fiberglass, foam glass, rubber, or other non-ACM.

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(c) Miscellaneous material:

(1) At least one bulk sample shall be collected from each homogeneous area that is less than 100 ft2.

(2) At least three bulk samples shall be collected from each homogeneous area that is greater than 100 ft2.

3.2 Analytical Methodology

The collected bulk samples were submitted under chain of custody procedures to ProScience Analytical Services, Inc. (ProScience) of Woburn, MA for polarized light microscopy (PLM) analysis of bulk materials via EPA 600/R-93/116 Method. If applicable, sample results that revealed trace concentrations of asbestos by PLM were re-analyzed using transmission electron microscopy (TEM) analysis. ProScience is accredited by the American Industrial Hygiene Association (AIHA) and participates in the National Voluntary Laboratory Accreditation Program (NVLAP Lab Code 200090-0). Duplicate bulk samples were submitted to Covino. Covino is accredited by the American Industrial Hygiene Association (AIHA) and participates in the National Voluntary Laboratory Accreditation Program (NVLAP Lab Code 101781-0). A summary table containing the duplicate bulk sample results is provided in Volume I, Table 5. Copies of the laboratory accreditations are included in Volume III of the Comprehensive VAMC Lead and Asbestos Survey Report.

Bulk sample results are summarized in Table 5 – ACM Building Survey Results. The EPA, Occupational Safety and Health Administration (OSHA), and the Commonwealth of Massachusetts Division of Occupational Safety (DOS) defines any material that contains greater than one percent (>1%) asbestos as being an ACM. The Commonwealth of Massachusetts Department of Environmental Protection (DEP) defines any material that contains equal to or greater than one percent (≥1%) asbestos as being an ACM. As such, the analytical laboratory identified bulk samples as positive for asbestos that met the regulatory criteria of equal to or greater than one percent (≥1%) asbestos.

3.3 Summary of Asbestos Containing Materials (ACM) Findings

3.3.1 Data Tables, Laboratory Results, and Field Notes

Collected bulk samples confirmed by the analytical laboratory to contain ≥1% asbestos are listed in Table 2 - Summary of Positive ACM Samples. Samples analyzed by PLM containing trace levels of asbestos, defined as < 1%, are listed in Table 5 with the TEM analysis results. Volume III of the Comprehensive VAMC Lead and Asbestos Survey Report includes copies of the laboratory certificates of analysis (including duplicate samples) and Inspector Data Sheets.

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Table 2 - Summary of Positive ACM Sample Results

Sample No.

Sample Location

ACM

Location

Description of Material

Percent and Type of

Asbestos Condition Estimated

Quantity

VISN 1

RISK

AHERA

Hazard

Category 1-4*

03C A-CO-2

12”x12” White-

White Vinyl Floor Tile

2% Chrysotile Good 4

04A 04B 04C

A-CO-2

Ground Floor Connecting

Corridor Link to Bldg 2

12”x12” White- White Vinyl Floor

Tile - Mastic

3% Chrysotile Good

200 SF

06A 06B

06C

CG-9

12”x12” Old White Brown

Vinyl Floor Tile - Mastic

5% Chrysotile Good 4

08A 08B 08C

CG-9

Ground Floor Staff Elevator lobby 12”x12” Old Off- White Vinyl Floor

Tile - Mastic

5 % Chrysotile Good

180 SF

13C ST-8-1

12”x12” Beige With Purple

Specs Vinyl Floor Tile

2% Chrysotile Good 4

14A ST 1-G

14B C1-G

14C ST-8-1

Stairways, 1st Floor South Wing, 2nd

Floor Elevator Lobbies and Connecting

Corridor

12”x12” Beige With Purple

Specs Vinyl Floor Tile Mastic

10% Chrysotile Good

3,620 SF

34A C1-13 34B C1-13 34C 1D-138

1st Floor North Wing

Teal Vinyl Sheet Flooring - Yellow

Mastic

5% Chrysotile Good 1,800 SF 4

43A 1C-121 43B 43C

1C-120

1st Floor Electrical

Closet

Green Terrazzo Linoleum

50% Chrysotile Good 50 SF 4

44A 1C-121

44B 44C

1C-120

1st-4th Floor Electrical Closets

9”x9” Gray Vinyl Floor Tile

5% Chrysotile Good 200 SF 4

47C C1-7B

1st Floor Staff Elevator

Lobby and South Wing

Corridor

9”x9” Light Brown Vinyl Floor Tile With White And

Dark Brown Streaks - Yellow

Mastic

2% Chrysotile Good 500 SF 4

53A 53B

53C 1C-100

Inset Radiators

Throughout Transite Panel 20%

Chrysotile Good 25 EA 4

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Table 2 - Summary of Positive ACM Sample Results West Roxbury VA Medical Center, Building 1

Sample No.

Sample Location

ACM

Location

Description of Material

Percent and Type of

Asbestos Condition Estimated

Quantity

VISN 1

RISK

AHERA

Hazard

Category 1-4*

55 1B-100 Main lobby TSI Debris Inside Radiator

10% Chrysotile

50% Amosite Damaged 1 SF 1

59A C2-6 59B C4-5

59C 5B-110

Staff Elevator Lobbies, in

Chase Above Drop Ceiling and S. Side

Attic

Small Diameter Pipe Insulation

10% Chrysotile

40% Amosite Damaged 100 LF 1

66A C3-5 66B C3-10 66C C3-5

12”x12” Brown Vinyl Floor Tile

2% Chrysotile Good 4

67B C3-10

67C C3-5

12”x12” Brown Vinyl Floor Tile -

Black Mastic

5% Chrysotile Good 4

74A 3D-112

74B C3-7

74C C3-5

12”x12” Gray Vinyl Floor Tile

2% Chrysotile Good 4

75A 3D-112 75B C3-7 75C C3-5

3rd Floor North Wing Corridor and

Patient Rooms and

Elevator Lobbies and Connecting

Corridor 12”x12” Gray

Vinyl Floor Tile - Black Mastic

20% Chrysotile Good

6,300 SF

79A 3D-107 79B 3D-107

79C 3D-107

Soiled Linen Room

12”x12” Brown/beige Mottled Vinyl

Floor Tile - Black Mastic

2% Chrysotile Good 80 SF 4

80A 3D-112 80B 3D-119 80C 3D-112

Patient Room 12”x12” Green Vinyl Floor Tile Trace2 Good 4

81A 3D-112 81B 3D-119 81C 3D-112

12”x12” Green Vinyl Floor Tile -

Mastic

2% Chrysotile Good 4

86A C3-10

86B C3-9

86C C3-5

12”x12” Brown Vinyl Floor Tile -

Type II

2% Chrysotile Good 4

87A C3-10 87B C3-9

87C C3-5

3rd Floor North Wing 4th Floor North and

Central Wing 5th Floor

Central Wing and North and South Corridors

12”x12” Brown Vinyl Floor Tile - Black Mastic –

Type II

5% Chrysotile Good

12,200 SF

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Table 2 - Summary of Positive ACM Sample Results West Roxbury VA Medical Center, Building 1

Sample No.

Sample Location

ACM

Location

Description of Material

Percent and Type of

Asbestos Condition Estimated

Quantity

VISN 1

RISK

AHERA

Hazard

Category 1-4*

88A 3D-142 88B 3D-108

88C 3D-114 Patient Room

12"x12" Red/Orange

Floor Tile Trace2 Good 4

89A 3D-142 89B 3D-108

89C 3D-114 Patient Room

12”x12” Red/Orange

Floor Tile - Mastic

10% Chrysotile Good 4

94A 5D-105

94B 5D-105

94C 5D-105

Storage Room

Brown Mosaic Sheet Flooring

40% Chrysotile Good 60 SF 4

97 5C-103 Ante room Sink Undercoat 2% Chrysotile Good 1 Sink 4

99A 99B 99C

PH6C-105 Attic Old Metal Window Caulking

2% Chrysotile Damaged 3

Windows 4

100A NAD

100B 2.54% Chrysotile1

100C

PH6C-105 Attic Old Metal Window Glazing

NAD

Damaged 3 Windows 4

101A Exterior East

101B Exterior South

101C Exterior South

Exterior Black Window Caulking

5% Chrysotile Good 584

Windows 4

102A Exterior East 1.23% Anthophyllite1

102B Exterior Southeast

1.58% Anthophyllite1

102C

Exterior Exterior Inside

Corners of Building

Gray Building Caulking

5% Chrysotile

Good 300 LF 4

105A Exterior East

105B Exterior South

105C

Exterior North, Center Front

Exterior Doors

Door Jamb - Brown Caulking

2% Chrysotile Good 14 Doors 4

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Table 2 - Summary of Positive ACM Sample Results West Roxbury VA Medical Center, Building 1

Sample No.

Sample Location

ACM

Location

Description of Material

Percent and Type of

Asbestos Condition Estimated

Quantity

VISN 1

RISK

AHERA

Hazard

Category 1-4*

Entrance

109A 109B 109C

Exterior southwest See Drawing White Window

Glaze 2%

Chrysotile Good 1 Window 4

Footnotes:

1 – Analyzed by TEM 2 – Trace floor tile with positive mastic

SF – Square Feet LF – Linear feet

* The VISN 1 AHERA hazard assessment scale 1 – 4 is a relative indicator of the risk and need for response/remediation. (1) represents the highest priority (e.g. removal or encapsulation) where as a (4) represents the lowest priority (monitor as part of 6 month O&M program). The rating assigned by an Asbestos Management Planner, takes into account: condition, friable vs. non-friable, accessibility, occupancy (e.g. continuous, intermittent or occasional and patients/staff/visitors), potential for air erosion, potential for vibration damage, potential for disturbance/damage (e.g. exposed and in an accessible location), and potential for water damage.

3.3.2 Photographs

Representative photographs of identified ACM are provided in Appendix D of this report.

3.3.3 CADD Drawings

The location of each ACM sample and its abridged sample ID is shown on the CADD drawings in the Figures Section of this report. The sample ID on the drawings has been abridged (by excluding the individual room number from the full sample ID) for aesthetic purposes. Each positive ACM sample location is colored red and marked with an asterisk (*). Building areas containing ACM have been indicated with hatching to identify the location of the identified ACM.

4.0 LEAD SCREENING SURVEY

4.1 Screening Survey Methodology

M&A completed a Lead Containing Paint Risk Analysis in accordance with the SOP and determined that a LCP screening survey was warranted in this building. The LCP screening survey was performed by trained lead inspectors/screeners meeting the qualifications outlined in the SOP. The screening survey measured lead concentrations in accessible building surfaces by using a Niton XLp 303A XRF (serial number 18580 and 22552). The XRF instrument was calibrated at the frequency specified in the SOP.

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4.2 Summary of Lead Screening Survey Findings

4.2.1 Data Tables

As specified by VISN 1, a description of XRF-screened painted interior and exterior building components containing lead at concentrations greater than 0.1 mg/cm2 have been included in Table 3:

Table 3 - Summary of Positive XRF Measurements

Reading No. Floor Location Substrate and

Component Side Condition Color Results (mg/cm2)

281 Ground GD-14 Plaster Wall North Intact White 0.9

287 Ground GD-14 Wood Window Casing North Intact White 7.6

288 Ground GD-14 Plaster Window Sill North Intact White 12.7

291 Ground ST1-1 Metal Newel Post West Intact Purple 0.25

308 Ground GD-103 Wood Window Casing South Cracked White 7.5

309 Ground GD-103 Plaster Window Sill South Intact White 8.1

318 Ground GD-103 Plaster Wall South Intact White 0.7

319 Ground GD-103 Wood Window Casing South Intact White 6.8

320 Ground GD-103 Plaster Window Sill South Intact White 5.3

322 Ground GD-100 Plaster Wall South Intact White 0.6 323 Ground GD-118B Plaster Wall South Intact White 0.5

324 Ground GD-118B Wood Window Casing South Intact White 10.1

325 Ground GD-118B Wood Window Sill South Intact White 5.6

345 Ground Stair 2-1 Wood Newel Post West Intact Brown 1.5

346 Ground Stair 2-1 Wood Spindle West Intact White 8.3 349 Ground Stair 2-1 Concrete Stringer North Intact White 0.26 351 Ground Stair 2-1 Concrete Wall South Peeling White 0.21 354 Ground Stair 2-1 Wood Chair Rail West Intact White 0.5 355 Ground Stair 2-1 Metal Door West Intact White 5.7

356 Ground Stair 2-1 Metal Door Casing West Intact White 0.6

357 Ground Stair 2-1 Wood Handrail West Intact White 6.6 360 Ground GD-13 Plaster Wall West Intact White 0.12 385 Ground GC-111 Concrete Floor NA Intact Brown 0.6 387 Ground GC-111 Concrete Floor NA Intact Brown 0.3 396 Ground GC-111 Concrete Floor NA Intact Brown 0.23 399 Ground GC-111 Concrete Floor NA Intact Brown 0.25

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Table 3 - Summary of Positive XRF Measurements

West Roxbury VA Medical Center, Building 1

Reading No. Floor Location Substrate and

Component Side Condition Color Results (mg/cm2)

403 Ground GC-107 Concrete Column South Intact White 0.15 406 Ground GC-107 Concrete Wall South Intact White 0.11 407 Ground GC-106B Concrete Wall East Peeling Gray 0.11 425 Ground GC-106 Concrete Column East Peeling Yellow 0.12 432 Ground Stair 4-1 Plaster Wall North Intact White 0.12

433 Ground Stair 4-1 Wood Newel Post East Intact Brown 1.5

434 Ground Stair 4-1 Wood Spindle South Intact White 9.2 435 Ground GB-128 Concrete Floor NA Cracked Brown 0.21

455 First 1C100 -

MAIN

LOBBY

Plaster Wall West Intact White 0.6

464 First 1D-113B Wood Window Casing North Intact White 9.7

466 First 1D-113B Plaster Wall North Intact White 1.8 467 First 1D-113B Plaster Wall North Intact White 1.7 468 First 1D-113B Plaster Wall North Intact White 1.8

488 First C1-7B Wood Window Casing West Intact White 8.5

491 First C1-7B Wood Window Sill South Intact White 1.2

497 First 1C-113A Wood Window Casing South Intact White 9.6

498 First Stair 5-1 Concrete Tread East Fair Yellow 7.2

499 First Stair 5-1 Wood Newel Post East Fair Brown 1.7

501 First Stair 5-1 Wood Spindle East Cracked White 4.4 503 First Stair 5-1 Plaster Wall South Intact White 0.17 505 First Stair 5-1 Plaster Wall North Intact White 0.11

507 First Loading Dock Metal Column East Poor Yellow 2.1

508 First Loading Dock Metal Trim East Poor Yellow 1.3

509 First Loading Dock Metal Handrail East Poor Yellow 2.1

510 First Loading Dock Concrete Tread East Poor Yellow 1.8

511 First Loading Dock Metal Trim East Poor Yellow 8.8

512 First Loading Dock Metal Column East Poor Yellow 1.8

513 First Loading Dock Metal Handrail East Poor Yellow 2

516 First 1D-113D Plaster Wall South Intact White 1.8 517 First 1D-113D Plaster Wall South Intact White 1.6

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Table 3 - Summary of Positive XRF Measurements

West Roxbury VA Medical Center, Building 1

Reading No. Floor Location Substrate and

Component Side Condition Color Results (mg/cm2)

526 First 1D-115 Plaster Wall North Intact White 1.6 530 First 1D-116 Plaster Wall North Intact White 1.8 531 First 1D-108 Plaster Wall North Intact White 0.7 534 First 1D-106 Plaster Wall West Intact White 3.1 539 First 1D-109 Plaster Wall North Intact White 0.4 541 First 1D-127 Plaster Wall North Intact White 0.13 543 First 1D-134 Plaster Wall South Intact White 3.8 545 First 1D-135 Drywall Wall South Intact White 2.3 547 First 1D-130 Plaster Wall North Intact White 0.5 548 First 1D-130 Plaster Wall North Intact White 0.5 550 First 1D-131 Plaster Wall North Intact White 0.5 552 First 1D-138 Plaster Wall South Intact White 6 553 First 1D-138 Drywall Wall East Intact White 8 554 First 1D-138 Drywall Wall East Intact White 8.3 555 First 1D-139 Plaster Wall South Intact White 1.4 557 First Stair 2-1 Plaster Wall East Intact White 0.13 565 First 1D-103 Plaster Wall South Intact Blue 1.2 569 First 1D-143 Plaster Wall East Intact White 5.3 570 First 1D-102 Plaster Wall West Intact White 5.3

578 First Fire

Equipment Closet

Plaster Wall North Intact Red 0.5

579 First Fire

Equipment Closet

Plaster Wall North Intact Red 1.4

580 First Fire

Equipment Closet

Concrete Floor NA Intact Red 0.22

583 First 1B-130 Plaster Wall North Intact White 2.7 589 First 1B-125 Concrete Floor East Intact Brown 0.11 593 First 1B-108 Drywall Wall North Intact White 3.2 594 First 1B-108 Plaster Wall North Intact White 0.8 595 First 1B-108 Plaster Wall North Intact White 0.6 598 First 1B-108 Plaster Wall South Intact White 2.4 599 First 1D-1 Metal Door North Intact Gray 6.2

600 First 1D-1 Metal Door Casing North Intact White 8.8

606 First 1B-111A Metal Window Blind Frame North Fair White 0.27

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Table 3 - Summary of Positive XRF Measurements

West Roxbury VA Medical Center, Building 1

Reading No. Floor Location Substrate and

Component Side Condition Color Results (mg/cm2)

607 First 1B-111A Metal Window Blind Frame Right Fair White 0.18

613 First Stair 7-1

Intermediate Landing

Plaster Wall West Intact Yellow 0.5

634 Second 2B-102 Plaster Wall East Intact White 0.25

649 Second Fire Hose &

Exiting.

Cabinet

Metal Door Casing East Intact Red 0.8

651 Second Fire Hose &

Exiting.

Cabinet

Plaster Wall East Intact Red 0.28

656 Second 2C-110 Plaster Wall South Intact White 0.15 657 Second 2C-110 Plaster Wall South Intact White 0.16 661 Second 2C-110 Plaster Column South Peeling White 0.26

664 Second 2C-110 Metal Radiator Cover South Intact White 0.6

666 Second 2C-110 Wood Window Casing South Intact Blue 9.7

667 Second 2C-110 Wood Window Sill South Intact Blue 9.8

669 Second 2C-108 Metal Radiator Cover South Intact White 0.6

671 Second 2C-108 Metal Door South Intact Red 0.14

672 Second 2C-108 Metal Door Casing South Intact Red 0.18

687 Second 2C-117 Concrete Floor West Intact Yellow 1.5 688 Second 2C-117 Concrete Floor East Intact Yellow 1.6

714 Second Stair 4-1 Wood Window Casing South Intact White 11.6

715 Second Stair 4-1 Wood Window Sill South Intact White 10.7

716 Second Stair 4-1 Metal Radiator Cover South Intact White 3.9

717 Second Stair 4-1 Plaster Wall South Intact White 0.6 718 Second Stair 4-1 Plaster Wall South Intact White 0.17

719 Third Stair 4-1 Metal Radiator Cover South Intact White 5.8

729 Third 3c-108 Wood Window Casing East Peeling White 5.7

757 Third 3c-7 Metal Door Casing East Intact Red 1.9

758 Third 3c-7 Plaster Wall East Intact Red 0.14 760 Third 3b-100 Plaster Wall East Intact White 0.6

761 Third C3-7 Metal Door Casing East Intact White 1.6

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Table 3 - Summary of Positive XRF Measurements

West Roxbury VA Medical Center, Building 1

Reading No. Floor Location Substrate and

Component Side Condition Color Results (mg/cm2)

776 Third Stair 5-1 Plaster Wall East Peeling White 0.17 777 Third 4C-106B Plaster Wall South Peeling White 0.5

778 Third Crawlspace Above Third Floor Aud.

Metal Beam South Peeling Gray 13.6

779 Third 4C-106B Metal Ladder North Peeling Black 7.5 780 Third 4C-106B Metal Ladder North Peeling Black 5.3 781 Third 4C-106B Concrete Floor NA Cracked Gray 0.6

782 Third 4C-106B Metal Door Casing East Cracked White 0.5

783 Third 4C-106B Metal Door East Cracked White 4.1 784 Third 4C-106B Metal Door East Cracked White 11

785 Third 4C-106B Metal Door Casing East Peeling White 0.5

786 Third 4C-106B Metal Door Casing East Peeling White 0.4

787 Fifth Stair 5-1 Metal Door Casing East Fair Brown 0.4

788 Fifth Crawlspace

Above Auditorium

Metal Beam South Intact Gray 21.7

789 Second Stair 5-1 Concrete Tread South Poor Yellow 10.4

790 First C110 Metal Floor Expansion Plate NA Poor Black 1.7

791 Fourth C4-4 Plaster Wall South Intact Pink 0.6

799 Fourth 4D-140 Wood Window Casing East Intact White 9.6

800 Fourth 4D-140 Wood Window Sill East Intact White 6.9

804 Fourth D4-7 Metal Door South Intact Red 0.29

807 Fourth D4-8 Metal Door Casing South Intact Red 2

810 Fourth D4-8 Wood Door South Intact Red 0.13

820 Fourth 4D-112 Metal Door Casing North Fair White 1.4

822 Fourth 4D-112 Metal Door Casing North Fair White 0.8

825 Fourth STAIR 7-1 Plaster Wall West Fair Yellow 0.2 827 Fifth 5B-110 Brick Wall South Intact White 0.4 828 Fifth 5B-110 Concrete Floor East Intact Yellow 2.2 829 Fifth 5B-110 Concrete Floor East Intact Yellow 1.6 841 Fifth 5C-1 Wood Door East Intact Clear 43.6 845 Fifth 5D-103 Drywall Wall East Intact White 8.8

851 First G1-7 Metal Floor Expansion Plate West Intact Black 1.8

©2010, Mabbett & Associates, Inc. Page 13 of 16 Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

Table 3 - Summary of Positive XRF Measurements

West Roxbury VA Medical Center, Building 1

Reading No. Floor Location Substrate and

Component Side Condition Color Results (mg/cm2)

852 Sixth G1-7 Metal Floor Expansion Plate South Intact Black 0.6

853 Sixth G1-7 Metal Floor Expansion Plate South Intact Black 1.9

854 Sixth G1-7 Metal Handrail West Intact Gray 1.4 856 Sixth PH-604 Metal Handrail South Intact Black 2.4 862 Sixth PH-604 Concrete Floor North Intact Red 0.18

863 Sixth PH-604 Metal Counter

Flashing At Window

North Intact Gray 7.6

864 Sixth PH-604 Metal Counter

Flashing At Window

South Peeling Orange 15.5

865 Sixth PH-604 Metal Ladder South Fair Black 9.6 869 Sixth PH-600 Metal Door West Intact Brown 4.9

870 Sixth PH-600 Metal Door Casing West Intact Brown 0.16

874 Sixth PH-603 Metal Counter

Flashing At Window

West Fair Orange 1.4

876 Sixth PH-603A Concrete Floor North Fair Yellow 1.5

496 EXTERIOR bldg 1

METAL FIRE

HYDRANT FRONT FAIR RED 0.5

497 EXTERIOR bldg 1

METAL

FLAGPOLE FRONT FAIR WHITE 0.4

498 EXTERIOR bldg 1

METAL

FLAGPOLE FRONT FAIR WHITE 0.5

500 EXTERIOR bldg 1

METAL

FLAGPOLE FRONT FAIR WHITE 0.5

501 EXTERIOR bldg 1

METAL

FLAGPOLE

BASE FRONT FAIR WHITE 0.3

504 EXTERIOR bldg 1

METAL FIRE

HYDRANT NEAR MRI FAIR RED 1.3

NA – Not Applicable

In addition, XRF measurements collected during the screening survey of interior and exterior building components are included in Table 6 – Summary of XRF Measurements. Table 6 includes a description of each screened surface and resulting XRF-measured lead concentration.

4.2.2 Photographs

Representative photographs of building materials greater than or equal to 1.0 mg/cm2 and where in other in intact condition (e.g. fair, peeling, cracking) are provided in Appendix D of this report.

©2010, Mabbett & Associates, Inc. Page 14 of 16 Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

4.2.3 CADD Drawings

Based on the results of the lead screening survey a table of LCP components identified with > 0.1 mg/cm2 was developed. This table is available on the CADD drawings for use by the VAMC for exposure assessments and preliminary renovation planning. Based on the results of the survey these components identified in the CADD table and on the plan should be assumed to be LCP unless otherwise determined.

5.0 LIMITATIONS

This inspection report is the result of a diligent search of the building for ACM and LCP. Only accessible areas were included in this survey. However comprehensive this inspection appears, it does not claim to have identified all of the ACM and LCP that could be present in the facility.

M&A’s survey was performed with limitations inherent to visual inspections. M&A has conducted this assessment with reasonable care and has performed this project within generally accepted industry standards. There can be no assurances, and M&A makes no assurances, that the information, research, and technology used to prepare this report may not change in the future, thus affecting the results provided.

6.0 CLOSING REMARKS

Prior to initiating plans for maintenance, renovation or demolition activities, the VAMC should review the asbestos and lead survey results to determine if any of these materials will be disturbed by proposed work activities.

6.1 Asbestos

The purpose of the ACM survey was to identify ACM in the building within the limitations of the survey for worker protection purposes and future renovation or demolition planning purposes. In regards to asbestos, any suspect material encountered during renovation/demolition that is not identified in this report as being non-ACM should be assumed to be ACM unless sample results prove otherwise. Suspect ACM that may be present within the walls, above inaccessible hard ceilings, or in other inaccessible locations, that was not inspected should be assumed to contain asbestos if discovered during any renovation process or until otherwise verified. If ACM must be disturbed, the ACM must be removed by a licensed asbestos abatement contractor and be performed in accordance with applicable regulations. If proposed work activities will not disturb ACM, continuous monitoring of ACM should be conducted throughout work activities to ensure the ACM remains in an intact condition. Additionally, prior to commencing work activities, contractors involved with the work activities should be made aware of the location of ACM, within the building in which they will be working. Additional information regarding asbestos management and the Operations & Maintenance (O&M) program is outlined in the VAMC campus wide Asbestos Management Plan available in Volume I of the Comprehensive VAMC Lead and Asbestos Survey Report.

The VAMC must submit a quarterly ACM liability report. At the time of the survey the following estimated quantities of ACM were identified and should be included in the liability report until removed from the building.

©2010, Mabbett & Associates, Inc. Page 15 of 16 Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

Table 4 – Summary of ACM Quantities for Liability Report

General Description of Material Estimated Quantity

Floor Tile and/or Mastic 23,280 SF

Terrazzo Flooring 50 SF

Sheet Flooring and/or Mastic 1,860 SF

Pipe Insulation 100 LF

TSI Debris 1 SF

Window Caulking 9,392 LF

Window Glazing 64 LF

Door Caulking 210 LF

Building Caulking 300 LF

Sink Undercoat 1 Sink

Transite Panel at Radiators 25 EA.

SF – Square feet LF – Linear Feet

6.2 Lead Containing Paint

The purpose of the LCP screening survey was to identify patterns of LCP. For the purpose of this LCP screening survey, representative interior and exterior building components were tested. The regulations addressing LCP in non-residential building are focused on protecting workers who are involved with paint disturbing activities and related waste disposal activities.

Worker protection is regulated by OSHA regulations as well as applicable state regulations. These regulations involve air monitoring of workers to determine exposure levels when disturbing paint containing measurable lead. A lead based paint determination can not determine a safe level of lead, but is intended to provide guidance as to the locations of what are considered industry standards for lead in paint. VA employees and contractors may use this information to better determine exposures of workers to airborne lead by understanding the different concentrations of

©2010, Mabbett & Associates, Inc. Page 16 of 16 Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc lead paint on representative components and surfaces. Worker exposure controls can then be implemented and air monitoring can then be performed during activities that disturb paint on representative surfaces.

A concentration of lead greater than or equal to 1.0 mg/cm2 exceeds HUD residential standards and is an indicator of risk. OSHA does not specify a safe concentration of LCP. However, for the purposes of this LCP screening survey the lead concentrations greater than 0.1 mg/cm2 have been utilized as a threshold established by VISN 1 for areas where possible worker exposures may occur.

Figures

Appendix A

Table 5

Summary of ACM Building Results

©2010, Mabbett & Associates, Inc. Table 5 – Page 1 of 28 Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

Table 5 - Summary of ACM Building Results West Roxbury VA Medical Center, Building 1

Sample No.

Sample Location

Area Designation

Description of Material

Percent and Type of

Asbestos

Estimated Quantity Condition

VISN 1

RISK

AHERA

Hazard

Category 1-4*

01A GB-159 Storage 12”x12” Beige mottled floor tile

NAD - - -

01B GB-159 Storage 12”x12” Beige mottled floor tile

NAD - - -

01C GB-157 Cleaning / utility

12”x12” Beige mottled floor tile

NAD - - -

02A GB-159 Storage

12”x12” Beige mottled floor tile - yellow mastic

NAD - - -

02B GB-159 Storage

12”x12” Beige mottled floor tile - yellow mastic

NAD - - -

02C GB-157 Cleaning / utility

12”x12” Beige mottled floor tile - yellow mastic

NAD - - -

03A A-CO-2 Connecting corridor link

12”x12” White-white vinyl floor tile

TRACE - - -

03B A-CO-2 Connecting corridor link

12”x12” White-white vinyl floor tile

TRACE - - -

03C A-CO-2 Connecting corridor link

12”x12” White-white vinyl floor tile

2% Chrysotile 200 SF Good 4

04A A-CO-2 Connecting corridor link

12”x12” White-white vinyl floor tile -mastic

3% Chrysotile 200 SF Good 4

04B A-CO-2 Connecting corridor link

12”x12” White-white vinyl floor tile -mastic

Stop Positive See 4A

04C A-CO-2 Connecting corridor link

12”x12” White-white vinyl floor tile -mastic

Stop Positive See 4A

©2010, Mabbett & Associates, Inc. Table 5 – Page 2 of 28 Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

Table 5 - Summary of ACM Building Results West Roxbury VA Medical Center, Building 1

Sample No.

Sample Location

Area Designation

Description of Material

Percent and Type of

Asbestos

Estimated Quantity Condition

VISN 1

RISK

AHERA

Hazard

Category 1-4*

05A CG-9 Lobby 12”x12” Old white brown vinyl floor tile

NAD - - -

05B CG-9 Lobby 12”x12” Old white brown vinyl floor tile

NAD - - -

05C CG-9 Lobby 12”x12” Old white brown vinyl floor tile

NAD - - -

06A CG-9 Lobby

12”x12” Old white brown vinyl floor tile -mastic

5% Chrysotile 180 SF Good 4

06B CG-9 Lobby

12”x12” Old white brown vinyl floor tile -mastic

Stop Positive See 6A

06C CG-9 Lobby

12”x12” Old white brown vinyl floor tile -mastic

Stop Positive See 6A

07A CG-9 Lobby 12”x12” Old off-white vinyl floor tile

NAD - - -

07B CG-9 Lobby 12”x12” Old off-white vinyl floor tile

NAD - - -

07C CG-9 Lobby 12”x12” Old off-white vinyl floor tile

NAD - - -

08A CG-9 Lobby

12”x12” Old off-white vinyl floor tile -mastic

5 % Chrysotile 180 SF Good 4

08B CG-9 Lobby

12”x12” Old off-white vinyl floor tile -mastic

Stop Positive see 8A

08C CG-9 Lobby

12”x12” Old off-white vinyl floor tile -

Stop Positive see 8A

©2010, Mabbett & Associates, Inc. Table 5 – Page 3 of 28 Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

Table 5 - Summary of ACM Building Results West Roxbury VA Medical Center, Building 1

Sample No.

Sample Location

Area Designation

Description of Material

Percent and Type of

Asbestos

Estimated Quantity Condition

VISN 1

RISK

AHERA

Hazard

Category 1-4*

09A GC-112 Electrical closet

9”x9” Light brown vinyl floor tile with white streaks

NAD - - -

09B CG-112 Electrical closet

9”x9” Light brown vinyl floor tile with white streaks

NAD - - -

09C CG-112 Electrical closet

9”x9” Light brown vinyl floor tile with white streaks

NAD - - -

10A GC-112 Electrical closet

9”x9” Light brown vinyl floor tile with white streaks -mastic

NAD (TEM) - - -

10B GC-112 Electrical closet

9”x9” Light brown vinyl floor tile with white streaks -mastic

TRACE1 - - -

10C GC-112 Electrical closet

9”x9” Light brown vinyl floor tile with white streaks -mastic

TRACE1 - - -

11A GB-108A Electric closet 12”x12” White vinyl floor tile NAD - - -

11B GD-121B Telephone closet

12”x12” White vinyl floor tile NAD - - -

11C 1D-104 Telephone closet

12”x12” White vinyl floor tile NAD - - -

12A GB-108A Electric closet 12”x12” White vinyl floor tile -

NAD - - -

©2010, Mabbett & Associates, Inc. Table 5 – Page 4 of 28 Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

Table 5 - Summary of ACM Building Results West Roxbury VA Medical Center, Building 1

Sample No.

Sample Location

Area Designation

Description of Material

Percent and Type of

Asbestos

Estimated Quantity Condition

VISN 1

RISK

AHERA

Hazard

Category 1-4*

12B GD-121B Telephone closet

12”x12” White vinyl floor tile -mastic

NAD - - -

12C 1D-104 Telephone closet

12”x12” White vinyl floor tile -mastic

NAD - - -

13A ST 1-G Stair

12”x12” Beige with purple specs vinyl floor tile

TRACE - - -

13B C1-3 Hallway by 1B-144

12”x12” Beige with purple specs vinyl floor tile

TRACE - - -

13C ST-8-1 Stair

12”x12” Beige with purple specs vinyl floor tile

2% Chrysotile 3620 SF Good 4

14A ST 1-G Stair

12”x12” Beige with purple specs vinyl floor tile -mastic

10% Chrysotile 3620 SF Good 4

14B C1-3 Hallway by 1B-144

12”x12” Beige with purple specs vinyl floor tile -mastic

Stop Positive See 14A

14C ST-8-1 Stair

12”x12” Beige with purple specs vinyl floor tile -mastic

Stop Positive See 14A

15A ST 1-G Stair 6" beige vinyl cove base -glue

NAD - - -

15B 1B-148 Corridor 6" beige vinyl cove base -glue

NAD - - -

15C STR-3 Stair 6" beige vinyl cove base -glue

©2010, Mabbett & Associates, Inc. Table 5 – Page 5 of 28 Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

Table 5 - Summary of ACM Building Results West Roxbury VA Medical Center, Building 1

Sample No.

Sample Location

Area Designation

Description of Material

Percent and Type of

Asbestos

Estimated Quantity Condition

VISN 1

RISK

AHERA

Hazard

Category 1-4*

16A CG-9 Lobby Yellow terrazzo flooring

NAD - - -

16B C1-2 Corridor Yellow terrazzo flooring

NAD - - -

16C STR-2 Stair Yellow terrazzo flooring

NAD - - -

17A GB-157 Cleaning / utility

4" Vinyl cove base - glue NAD - - -

17B 3D-122 Nurse manager office

4" Vinyl cove base - glue NAD - - -

3D-122 17C

Nurse manager office

4" Vinyl cove base - glue NAD - - -

18A GD-121B Telephone closet

Skim coat plaster wall NAD - - -

18B GB-109 Closet Skim coat plaster wall NAD - - -

18C 1B-106A Telephone room

Skim coat plaster wall NAD - - -

18D 1D-140 Electrical closet

Skim coat plaster wall NAD - - -

18E 2D-105 Electrical room

Skim coat plaster wall NAD - - -

18F C2-6 Staff elevator lobby

Skim coat plaster wall NAD - - -

18G 3B-112 Electric Room Skim coat plaster wall NAD - - -

19A GD-121B Telephone closet

Base coat plaster wall NAD - - -

©2010, Mabbett & Associates, Inc. Table 5 – Page 6 of 28 Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

Table 5 - Summary of ACM Building Results West Roxbury VA Medical Center, Building 1

Sample No.

Sample Location

Area Designation

Description of Material

Percent and Type of

Asbestos

Estimated Quantity Condition

VISN 1

RISK

AHERA

Hazard

Category 1-4*

19B GB-109 Closet Base coat plaster wall NAD - - -

19C 1B-106A Telephone room

Base coat plaster wall NAD - - -

19D 1D-140 Electrical closet

Base coat plaster wall NAD - - -

19E 2D-105 Electrical room

Base coat plaster wall NAD - - -

19F C2-6 Staff elevator lobby

Base coat plaster wall NAD - - -

19G 3B-112 Electric Room Base coat plaster wall NAD - - -

20 GD-121B Telephone closet

Gray wall patch NAD - - -

21A GD-121B Telephone closet Red fire stop NAD - - -

21B GD-107 Mechanical room Red fire stop NAD - - -

21C 1B-101 Telephone closet Red fire stop NAD - - -

22A GD-121A Electric closet Skim coat plaster ceiling NAD - - -

22B GB-107 CT Scanner / Waiting

Skim coat plaster ceiling NAD - - -

22C 1D-113B Reusable medical equipment

Skim coat plaster ceiling NAD - - -

©2010, Mabbett & Associates, Inc. Table 5 – Page 7 of 28 Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

Table 5 - Summary of ACM Building Results West Roxbury VA Medical Center, Building 1

Sample No.

Sample Location

Area Designation

Description of Material

Percent and Type of

Asbestos

Estimated Quantity Condition

VISN 1

RISK

AHERA

Hazard

Category 1-4*

22D 4C-106 Storage Skim coat plaster ceiling NAD - - -

22E C4-4 Corridor Skim coat plaster ceiling NAD - - -

22F 2C-109 Food prep Skim coat plaster ceiling NAD - - -

22G 5B-100 Electric closet Skim coat plaster ceiling NAD - - -

23A GD-121A Electric closet Base coat plaster ceiling NAD - - -

23B GB-107 CT Scanner / Waiting

Base coat plaster ceiling NAD - - -

23C 1D-113B Reusabe medical equipment

Base coat plaster ceiling NAD - - -

23D 4C-106 Storage Base coat plaster ceiling NAD - - -

23E C4-4 Corridor Base coat plaster ceiling NAD - - -

23F 2C-109 Food prep Base coat plaster ceiling NAD - - -

23G 5B-100 Electric closet Base coat plaster ceiling NAD - - -

24A GD-121 Electric closet alcove

2'x2' Ceiling tile pin dot NAD - - -

24B C1-10 Corridor across from 1D-144

2'x2' Ceiling tile pin dot NAD - - -

©2010, Mabbett & Associates, Inc. Table 5 – Page 8 of 28 Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

Table 5 - Summary of ACM Building Results West Roxbury VA Medical Center, Building 1

Sample No.

Sample Location

Area Designation

Description of Material

Percent and Type of

Asbestos

Estimated Quantity Condition

VISN 1

RISK

AHERA

Hazard

Category 1-4*

24C CG-8A

Corridor across from staff elevator

2'x2' Ceiling tile pin dot NAD - - -

25A GD-107 Mechanical room Pink fire stop NAD - - -

25B GB-128 Mechanical room Pink fire stop NAD - - -

25C 1D-103 Electrical closet Pink fire stop NAD - - -

26A CG-10 Corridor 2'x2' Ceiling tile fissured with pin dot

NAD - - -

26B 3D-134 Storage closet 2'x2' Ceiling tile fissured with pin dot

NAD - - -

26C C4-4 Corridor near staff elevator

2'x2' Ceiling tile fissured with pin dot

NAD - - -

27A GC-104 Receiving vestibule

Brown duct sealant NAD - - -

27B GC-106 EMS storage Brown duct sealant NAD - - -

27C 1D-133 Mechanical room

Brown duct sealant NAD - - -

28 GC-104 Receiving vestibule

Gray caulking at double doors

NAD - - -

29 GC-104 Receiving vestibule

Residual black caulking NAD - - -

30A GD-107 Mechanical room

Gray duct sealant NAD - - -

©2010, Mabbett & Associates, Inc. Table 5 – Page 9 of 28 Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

Table 5 - Summary of ACM Building Results West Roxbury VA Medical Center, Building 1

Sample No.

Sample Location

Area Designation

Description of Material

Percent and Type of

Asbestos

Estimated Quantity Condition

VISN 1

RISK

AHERA

Hazard

Category 1-4*

30B C1-2 Corridor Gray duct sealant NAD - - -

30C 4B-118 Mechanical room

Gray duct sealant NAD - - -

31A 1B-109 Bathroom

12”x12” Yellowish vinyl floor tile with brown streak

NAD - - -

31B 1B-109 Bathroom

12”x12” Yellowish vinyl floor tile with brown streak

NAD - - -

31C 1B-109 Bathroom

12”x12” Yellowish vinyl floor tile with brown streak

NAD - - -

32A 1B-109 Bathroom

12”x12” Yellowish vinyl floor tile with brown streak -yellow mastic

NAD - - -

32B 1B-109 Bathroom

12”x12” Yellowish vinyl floor tile with brown streak -yellow mastic

NAD - - -

32C 1B-109 Bathroom

12”x12” Yellowish vinyl floor tile with brown streak -yellow mastic

NAD - - -

33A C1-13 Corridor Teal vinyl sheet flooring NAD - - -

33B C1-13 Corridor Teal vinyl sheet flooring NAD - - -

33C 1D-138 Corridor Teal vinyl sheet flooring NAD - - -

©2010, Mabbett & Associates, Inc. Table 5 – Page 10 of 28 Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

Table 5 - Summary of ACM Building Results West Roxbury VA Medical Center, Building 1

Sample No.

Sample Location

Area Designation

Description of Material

Percent and Type of

Asbestos

Estimated Quantity Condition

VISN 1

RISK

AHERA

Hazard

Category 1-4*

34A C1-13 Corridor Teal vinyl sheet flooring -yellow mastic

5% Chrysotile 1800 SF Good 4

34B C1-13 Corridor Teal vinyl sheet flooring -yellow mastic

Stop Positive See 34A

34C 1D-138 Corridor Teal vinyl sheet flooring -yellow mastic

Stop Positive See 34A

35A 1D-136 Storage room White vinyl sheet flooring NAD - - -

35B 1B-109 X-ray room 2 White vinyl sheet flooring NAD - - -

35C 3D-125 Ward storage White vinyl sheet flooring NAD - - -

36A 1D-136 Storage room White vinyl sheet flooring -yellow mastic

NAD - - -

36B 1B-108 X-ray room 2 White vinyl sheet flooring -yellow mastic

NAD - - -

36C 3D-125 Ward storage White vinyl sheet flooring -yellow mastic

NAD - - -

37A C1-13 Corridor Gray granular vinyl sheet flooring

NAD - - -

37B 1B-148 Corridor Gray granular vinyl sheet flooring

NAD - - -

37C 3D-136 Terminal alcove

Gray granular vinyl sheet flooring

NAD - - -

38A C1-13 Corridor Gray granular vinyl sheet

©2010, Mabbett & Associates, Inc. Table 5 – Page 11 of 28 Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

Table 5 - Summary of ACM Building Results West Roxbury VA Medical Center, Building 1

Sample No.

Sample Location

Area Designation

Description of Material

Percent and Type of

Asbestos

Estimated Quantity Condition

VISN 1

RISK

AHERA

Hazard

Category 1-4* flooring -yellow mastic

38B 1B-148 Corridor

Gray granular vinyl sheet flooring -yellow mastic

NAD - - -

38C 3D-136 Terminal alcove

Gray granular vinyl sheet flooring -yellow mastic

NAD - - -

39A 1B-111A Barium prep room

12”x12” Peach vinyl floor tile with white and brown streak

NAD - - -

39B 1B-111A Barium prep room

12”x12” Peach vinyl floor tile with white and brown streak

NAD - - -

39C 1B-111A Barium prep room

12”x12” Peach vinyl floor tile with white and brown streak

NAD - - -

40A 1B-111A Barium prep room

12”x12” Peach vinyl floor tile with white and brown streak -yellow glue

NAD - - -

40B 1B-111A Barium prep room

12”x12” Peach vinyl floor tile with white and brown streak -yellow glue

NAD - - -

40C 1B-111A Barium prep room

12”x12” Peach vinyl floor tile with white and brown streak -yellow glue

NAD - - -

41A C2-1 Hall by 2B-

12”x12” Gray vinyl floor tile NAD - - -

41B C2-1 Hall by 2B-

12”x12” Gray vinyl floor tile NAD - - -

41C 3C-114 Hall by 3C-

12”x12” Gray vinyl floor tile

©2010, Mabbett & Associates, Inc. Table 5 – Page 12 of 28 Survey Report W Roxbury Bldg 01 FINAL 5-28-10.doc

Table 5 - Summary of ACM Building Results West Roxbury VA Medical Center, Building 1

Sample No.

Sample Location

Area Designation

Description of Material

Percent and Type of

Asbestos

Estimated Quantity Condition

VISN 1

RISK

AHERA

Hazard

Category 1-4*

42A C2-1 Hall by 2B-

12”x12” Gray vinyl floor tile -yellow mastic

NAD - - -

42B C2-1 Hall by 2B-

12”x12” Gray…