STATEMENT OF WORK.pdf

STATEMENT OF WORK

HVAC & MEDICAL AIR/VACUUM SYSTEMS MAINTENANCE

PROJECT #521-24-3-5125-0022

1.0 Introduction

Qualified contractor shall furnish labor, materials, and all equipment required to perform Preventative

Maintenance (PM) on the Heating, Ventilation, Air Conditioning (HVAC) & heating hot water heaters, compressed air, and medical air/vacuum systems. All work is to be performed in accordance with the applicable manufacturer’s requirements, VA specifications, and industry standards. This service contract will consist of a base period and four (4) option years. Services performed will be at the VA Medical Center, 700 19th Street

South, Birmingham, AL 35233.

2.0 Scope

A. Item 1: Preventative Maintenance on Air Handler Units & Liebert Units & Heating Hot Water

Boilers (units in Attachment A)

The contractor shall perform preventative maintenance for equipment listed in Attachment A, including ancillary components associated with the functioning of this equipment (excluding PLC or programming support). PMs shall be performed at listed frequencies in Attachment A to optimize the reliability and life span of the equipment. Work performed on all Liebert units is to be completed only by a certified Liebert technician.

The contractor shall be responsible for all costs to provide and install all parts, materials, and supplies necessary to perform PM. Contractor shall use original equipment manufacturer (OEM) replacement components unless parts are obsolete. In the event of obsolete parts, the contractor is to coordinate with the COR on the plan for repair. The contractor shall perform the preventative maintenance, testing and applicable repair tasks to include, but not be limited to the following:

• Replace all air filters in accordance with ASHRAE standards per schedule provided in attachment.

• Lubricate motor/fan (return, supply and exhaust) bearings and check for play indicating wear.

Replace bearings if worn.

• Check and adjust belt tensioning or replace belts as necessary. Inspect pulleys/sheaves.

• Check condition of evaporator coils; clean at intervals recommended by manufacturer or more frequently as needed.

• Check and clean condensate drains, drain lines and pans.

• Check and record refrigerant levels. If refrigerant charge is necessary, notify COR immediately and document in maintenance report. This cost shall be quoted and addressed separately.

• Verify proper operation of instrumentation pertaining to the equipment (control valves on preheat, reheat, chilled water, humidifiers, etc.) Work with maintenance to verify function of valves where necessary.

• Perform chemical cleaning of coils (annually or as per manufacturer’s guidance).

• Inspect & check function of AHU humidifiers and descale according to manufacturer’s recommendations (pertains only to units with humidifiers).

• All other PM tasks as per AHU or Liebert unit manufacturer’s recommendations.

Heating Hot Water Boiler Preventative Maintenance tasks should include, but not be limited to the following based on manufacturer’s recommendation:

• Clean and inspect boiler.

• Verify wiring and terminations are tight.

• Verify controls (such as limit switches) and safety devices properly operate.

• Check pressure relief valve to ensure that it is not leaking and that no corrosion exists.

• Verify operation of circulating pump and lubricate according to manufacturer’s recommendation.

• Inspect and replace boiler elements as necessary.

• Inspect and clean heat exchanger.

• Inspect air intake and vent systems for blockage or corrosion and replace piping as necessary.

• Verify that the thermostat works properly.

• Inspect low water cut-off device and clean or replace as necessary.

• Check pilot and main burner flames to ensure operation.

• All other PM tasks as per manufacturer’s recommendations.

B. Item 2: Preventative Maintenance on air compressors and medical air/vacuum systems (units in

Attachment B)

The contractor shall perform preventative maintenance for equipment listed in Attachment B, including ancillary components associated with the functioning of this equipment (excluding PLC support). PMs shall be performed quarterly to optimize the reliability and life span of the equipment.

The contractor shall be responsible for all costs to provide and install all parts, materials, and supplies necessary to perform PM. Contractor shall use original equipment manufacturer (OEM) replacement components unless parts are obsolete. In the event of obsolete parts, the contractor is to coordinate with the COR on the plan for repair. The contractor shall perform the preventative maintenance, testing and applicable repair tasks to include, but not be limited to the following:

• Inspect/replace air filters per equipment manufacturer’s recommendations.

• Inspect/replace oil filter element per equipment manufacturer’s recommendations.

• Check oil drip rate of unit and change oil according to manufacturer’s recommendations.

• Inspect/replace separator element.

• Inspect belts on unit and replace as necessary.

• Inspect electrical terminal of the main supply for panels on air dryers.

• Clean air oil sump.

• Grease compressor motor.

• Inspect safety relief valve.

• Service pump or engine.

• All other PM tasks as per manufacturer’s recommendations.

C. Item 3: HVAC System Testing, Adjusting, & Balancing (TAB) (units in Attachment C)

The contractor shall provide all labor, materials, parts, equipment, and supervision to perform bi-annual (2x per year) TABs in the Pharmacy, Operating Rooms, Sterile Processing areas, and sterile storage and soiled utility rooms at the facility. The work shall be conducted in accordance with VHA Specification 23 05 93 “TESTING, ADJUSTING, AND BALANCING FOR HVAC” and Chapter 39, "Testing, Adjusting and Balancing" according to the most recent version of the ASHRAE Handbook.

The TAB report shall include, but not be limited to the following:

• Documentation of supply airflow rates, air exchange rates, exhaust airflow rates and room pressure relation to adjacent space. Airflow rates will be measured for each register, documented, and adjustments made to system requirements.

• Balancing air and water (reheat boxes) distribution systems; adjustment of total system to provide design performance; and testing performance of equipment and automatic controls. (pharmacy iv

AHU)

• The contractor shall be provided mechanical drawings for the air handing units and areas being tested as available.

• Contractor shall perform TAB during times coordinated with the COR to avoid interfering with the facility’s normal operations.

• In sterile areas, the contractor will be required to wear sterile protective clothing and follow the facility policy regarding infection control (PPE required to wear within sterile areas will be provided by the facility).

D. Item 4: Unscheduled Maintenance as Required

The contractor shall provide unscheduled maintenance as required for the replacement/repair of inspection findings (outside of typical PM items) such as belt sheaves, pulleys, motors, fan shrouds, compressors, etc.

Based on historical maintenance reports, unscheduled maintenance is not to exceed $60,000 annually. The contractor shall not perform any unscheduled maintenance until a written authorization to proceed is received from the Contracting Officer. This cost shall be tracked monthly between the contractor and the COR. The

Government shall not be held liable for any work performed under the Unscheduled Maintenance CLIN that is performed without prior written authorization to proceed from the Contracting Officer.

The contractor shall receive all deliveries of materials, equipment, tools, or other goods off- station, and bring them to the job site as work requires. The Birmingham VA shall not accept, nor store materials, equipment, tools, or other goods required within this SOW, unless previously arranged with COR. Coordinate with COR for the acceptable location and housekeeping requirements for storing a limited supply of filters.

3.0 General Information

Performance Requirements

All work shall be completed such that the integrity of the systems is maintained. All work shall be done in accordance with OSHA, EPA regulations, ASHRAE, NFPA codes, VA codes, Federal, State, and local regulations throughout the course of this service contract.

All work on HVAC systems is to be conducted by certified HVAC technicians that possess universal

Environmental Protection Agency (EPA) certification. HVAC technicians working on the Liebert units must possess additional Liebert certification. Technicians working on the medical air/vacuum systems must possess

ASSE, NITC, or MEDGAS certification. All Testing, Adjusting, & Balancing work is to be conducted by a

National Environmental Balancing Bureau (NEBB) certified company. Contractor will ensure all certificates, licenses and permits are kept current and valid. All license and certification renewals shall be submitted to the

COR annually or as requested.

Deliverables

The contractor shall provide a yearly schedule to the Contracting Officer Representative (COR) outlining the servicing schedule, by month, of equipment and TAB areas of this contract according to frequencies listed in the attachments.

The contractor shall submit work safety plans (to include Lock-Out Tag Out plan) for equipment types to be serviced under this contract.

The contractor shall submit SDS for any chemicals used to the COR for approval prior to use of chemical.

The contractor shall submit a quality control plan to the COR for approval prior to work commencing.

NOTE: After completion of all services visits, contractor shall provide a written maintenance report of work performed, corrective actions, manning/hours worked, and maintenance recommendations to the

COR within 48 hrs of completing work at the facility (5 business days allowed for TAB report). This report shall be detailed per piece of equipment serviced. Abnormalities shall be reported to the COR immediately prior to the contractor leaving the facility.

Bid Information

• Base Bid

Base bid shall include entire scope of above bid items 1-4 as written. Period of Performance (POP) shall be

(Estimated) June 1, 2024- May 31, 2025 or from date of Award.

• Option Years

Contract shall include 4 option years to be exercised at the discretion of the Birmingham VA facility.

Facility Hours

Normal business hours for the facility are Monday-Friday, 7:30 am until 4:00 pm. It is estimated greater than

50% of services within this SOW will need to be conducted outside of business hours so that there is limited impact on operations at the facility. All employees of vendor shall comply with VA security management program, wear visible identification while in the facility, and are restricted from unauthorized access.

Parking

The facility does not have onsite parking. It is the responsibility of the contractor to secure daily parking. The contractor is permitted to use the facility’s fire lane loading dock to unload/load materials.

4.0 Quality Control

The contractor shall establish a quality control plan specifying the standards for performance and quality. The quality control plan shall be provided to the CO and COR. The COR will conduct surveillance of the contractor’s performance to ensure products meet the intent of the project and that proper mitigation plans are put in place if it becomes necessary.

5.0 Infection Control & Prevention Measures

A. Implement the requirements of the facility’s Infection Control Risk Assessment (ICRA) team as required.

ICRA Group may monitor dust in the vicinity services being performed and require the contractor to take corrective action immediately if the safe levels are exceeded.

B. In general, following preventive measures shall be adopted during repairs or installations to keep down dust and prevent mold. (if applicable)

1. Dampen debris, where directed by COR, to keep down dust and provide temporary installation partitions in existing structures. Blank-off ducts and diffusers to prevent circulation of dust into adjoining occupied areas during installation.

2. Do not perform dust producing tasks within occupied areas without the approval of the COR. For installation in any areas that will remain jointly occupied by the medical Center and Vendor’s workers, the contractor shall:

a. Provide dust proof temporary barriers to separate installation from the operational areas of the hospital to contain dirt debris and dust. Barriers shall be sealed and made presentable on hospital occupied side.

b. Adhesive Walk-off/Carpet Walk-off Mats, minimum 600mm x 900mm (24” x 36”), shall be used at all interior transitions from the installation area to occupy medical center area. These mats shall always be changed as often as required to maintain clean work areas directly outside installation area.

d. Vacuum and wet mop all transition areas from installation to the occupied medical center at the end of each workday. Vacuum shall utilize HEPA filtration. Maintain surrounding area frequently.

Remove debris as they are created. Transport these outside the installation area in containers with tightly fitting lids.

e. At completion, remove barriers and ceiling protection carefully and vacuum and clean all surfaces free of dust after the removal.

The contractor is responsible for the removal of any debris made by their services. All debris is to be removed from the work site in covered bins. Contractor is to work with COR on any infection control measures required while performing this contract. Appropriate PPE is required to be utilized, as applicable, while performing work in the facility. End of day cleanup of the work area(s) is mandatory, and all trash shall be bagged and properly disposed of offsite.

6.0 Security Requirements

• Contractor’s employees shall not enter the project site without appropriate badge. They may also be subjected to inspection of their personal effects when entering or leaving the project site. Possession of weapons is prohibited.

• No photography of VA premises is allowed without written permission of the Contracting Officer or

Contractor Officer Representative.

• VA reserves the right to close or shut down the project site and order contractor’s employees off the premises in the event of a national emergency or violation of safety policy.

• Smoking is prohibited inside the facility, to include the basement, mechanical rooms, roofs, etc..

Attachment A: Preventative Maintenance on Air Handler Units & Liebert Units & Heating Hot Water Boilers

Item # Units Make/Model Serial # Filters Frequency

PM Frequency

AH = After hrs for shutdowns Location

1 AHU 3-BRC Temtrol/ITF-DH54 T001981-001-00

12-24 x24 x 18 bag

(3) 12 x 24 x 14 bag

(12) 24 x 24 x 2

(3) 12 x 24 x 2 3 months pleated; 6 months bag Quarterly (AH) Z Wing Rm 7611

2 1-AC-GC MCCR Room York/XTI-060X081 CFJM XT0173

(18) 12 x 24 x 2

(6) 24 x 24 x 12 bag 3 months pleated; 6 months bag Quarterly Ground Floor (Univeristy Ramp) Rm G509

3 AC-3C NA - (This unit will be replaced) (8) 24 x 24 x 29 bag TBD Quarterly 2nd Floor Mech Rm

4 EAC-11 Make up Air Floors 8,9 York/XTI-051X075-FAKA046A CTMXT0256

(4) 20 x 20 x 2

(2) 20 x 24 x 2

(4) 20 x 20 x 12 bag

(2) 20 x 24 x 12 bag 3 months pleated; 6 months bag Quarterly 9th Floor, Rm 9309

5 AC-5A 9 1/2 Classroom MCCB012UA0C0UB K03H18146A (6) 16 x 20 x 2 3 months pleated Quarterly 9th floor

6 AC-3-2 2nd Floor Clinic MCCB012UA0C0UB K03H18162A

(2) 24 x 24 x 2

(1) 12 x 24 x 2 3 months pleated Quarterly Through 2C Clinic out back door

7 AC-14C Canteen Serving Area MCCB010UA0C0UB K03H18170A

(2) 20 x 25 x 2

(1) 16 x 25 x 2 3 months pleated Quarterly (AH) Ground Floor G 208A

8 AC-5 AUDITORIUM Trane/TSCB014U0D00000000AC00A225.0 K07E61307

(12) 16 x 24 x 2

(2) 20 x 24 x 2

(1) 24 x 24 x 2 3 months pleated Quarterly 9th floor roof

9 ERU-1 Semco/FV4000H-4RN4AA 52466/MO52336-01 (4) 20 x 20 x 2 3 months pleated Quarterly L Wing Roof

10 ERU-2 Semco/FV4000H-4RN4AA 52466/MO52337-01 (4) 20 x 20 x 2 3 months pleated Quarterly L Wing Roof

11 1-AC-GA Supply/Warehouse room G413 XTI -051X063 CFJM XT0193

(12) 12 x 24 x 2

(6) 16 x 20 x 12 box 3 months pleated, 12 months box Quarterly (AH) Ground Floor (Mail Room) G413

12 1-AC-B York/ XTI-045X069 CFJ XT0198

(3) 16x20x12 box

(3)20x20x12 box

(12)16x20x2 3 months pleated; 12 months box Quarterly B103E

13 AC-2C Nuclear Medicine York/CS113FOFCMP Y-1 83-810066-G-H-7 (6) 24 x 24 x 14 bag 12 months bag Quarterly (AH) 2nd Floor Mech Rm

14 AC6A-MICU York/CS113FOFCLP D 83810071B-H2

(7) 16 x 20 x 2

(7) 16 x 20 x 12 3 months pleated; 12 months box Quarterly 5th Floor Mech Room

15 1-AC-4C Surgical Services York/XTI-045X066 CCKM. XT0211

(2) 12 x 24 x 2

(2) 24 x 24 x 2 3 months pleated Quarterly 5th Floor Mech Room

16 Modular SPD AHU AAON/RN-030-3-0-EB09-18A 201703-BNET 15469

(6) 20 x 25 x 12 box (Merv

14)

(6) 16 x 20 x 2

(6) 20 x 25 x 2 3 months pleated; 12 months box Monthly (AH) Modular SPD Roof

17 1-AC-6B Heart Station York/XTI-054X072 CCKM-XT0202

(3) 20 x 20 x 2

(2) 24 x 24 x 2

(1) 12 x 24 x 2

(3) 20 x 20 x 12 box

(2) 24 x 24 x 12 box

(1) 12 x 24 x 12 box

3 months pleated; 12 months box Quarterly (AH) 5th Floor Mech Room

18 AC-6C CCU York/CS113EGFCMP D 86817435A-H1

(2) 12 x 24 x 2

(2) 24 x 24 x 2

3 months pleated Quarterly 5th Floor Mech Room

19 Red Clinic AHU Carrier/39NXV092NVL83643 2996T83643

(3) 16 x 25 x 2

(3) 15 x 30 x 2

(3) 16 x 20 x 12 box

(3) 16 x 20 x 2 3 months pleated; 6 months bag Quarterly (AH) 1st Floor Roof

20 TB UNIT JCI York/Custom 84506-01 TAVM361870

(2) 24 x 24 x 2

(2) 12 x 24 x 2

3 months pleated Quarterly 10th Floor

21 AC1A York/SOLUTION-XTI-102X120 CCYMXT0266

(24) 24 x 24 x 15

(24) 24 x 24 x 25 3 months pleated; 6 months bag Quarterly Ground Floor (Univeristy Ramp)

22 AC4A-CVICU, SICU (2) 20 x 24 x 2 3 months pleated Quarterly Through SICU on Roof

23 AC4D-2 OPERATING ROOM York/XTI-54X87 CBVMXT0057

(6) 24 x 24 x 2

(6) 20 x 24 x 2

(3) 20 x 24 x 12 box

(3) 24 x 24 x 12 box

Monthly pleated, box 12 months Monthly (AH) 5th Floor Mech Room

24 AC4D-1 OPERATING ROOM York /XTI-54X87 CBVMXT0034

(3) 20 x 20 x 2

(3) 24 x 24 x 2

(3) 20 x 24 x 12 box

(3) 24 x 24 x 12 box Monthly pleated, box 12 months Monthly (AH) 5th Floor Mech Room

25 AHU 3 K WING York/XTO-33X69 CDTMXT0079 (4) 20 x 20 x 2 3 months pleated Quarterly K Wing Roof

1-AC-9A ELEVATOR LOBBY 9TH - GROUND

FLOOR York/XTI-69X111 CLTMXT0398

(16) 24 x 20 x 12 box

(18) 20 x 24 x 2

(6) 16 x 20 x 2 3 months pleated, 12 months box Quarterly 10th Floor

27 AC9-MAKE UP -FLOORS 4 AND 5 York/XTI-54X78 CMTMXT0214

(4) 20 x 24 x 2

(2) 20 x 20 x 2

(4) 20 x 24 x 12

(2) 20 x 20 x 12

3 months pleated; 12 months box Quarterly 5th Floor across from Main Elevators

28 AC14 (waiting rooms on 5 & 6) York/XTI-51X75 CMTMXT0246

(6) 20 x 24 x 12

(6) 20 x 24 x 2 3 months pleated; 12 months box Quarterly 6th floor by freight

29 AC-3-8 Phyiscal Therapy York/XTI-54X75 CMTMXT0257

(6) 20 x 20 x 2

(6) 20 x 20 x 12 bag filter 3 months pleated; 6 months bag Quarterly (AH) 8th Floor

30 AC-3B LAB York/XTI-084X138-JARA046A AHDM XT0156

(3) 12 x 24 x 2

(3) 20 x 24 x 2

(12) 24 x 24 x 2

(3) 12 x 24 x 2

(3) 20x 24 x 4

(12) 24 x 24 x 4 3 months pleated Quarterly (AH) 2nd Floor Mech Rm 2332

31 AC4E - CLEAN CORE York/SOLUTION-XTI-66X90X316 AHDMXT0157

(4) 16 x 20 x 2

(4) 16 x 20 x 4

(8) 20 x 20 x 2

(8) 20 x 20 x 4 3 months pleated Quarterly (AH) 5th Floor

32 Dialysis

(2) 12x24x2

(2) 24x24x2 3 months pleated Quarterly (AH) 1st Floor

33 AHU 2 DENTAL York/SOLUTION-XTI-48X78 AKWMXT0219

(3) 16 x 20x 12

(3) 20 x 20 x 12

(3) 16 x 20 x 2 3 months pleated; 12 months box Quarterly (AH) Z Wing- 2nd Floor

34 AHU-1 DENTAL York/SOLUTION-XTI-48X78 ALWMXT0152

(10) 24 x 24 x 1

(3) 16 x 20 x 2

(3) 20 x 20 x 2 3 months pleated Quarterly (AH) Z Wing- 1st Floor

35 AC-4 Main Kitchen Trane/MCCB050UA0C0UA K03H18178A

(20) 20 x 25 x 2

(4) 16 x 25 x 2 3 months pleated Quarterly (AH) Basement

36 AC-2-2 Gold Clinic (6) 16 x 25 2 3 months pleated Quarterly (AH) Through 2C Clinic out back door

37 AC-10

(9) 20 x 20 x 2

(3)20 x 24 x 2 3 months pleated Quarterly 6th Floor

38 AC-7 MAKE UP AIR FLOOR 1,2, 3 York/XTI-54X78 CMTMXT0213

(6) 20 x 20 x 2

(6) 20 x 20 x 12 box 3 months pleated; 12 months box Quarterly 2nd Floor Mech Rm 2332

39 AC-1B ER, AUDIOLOGY, AOD

(9) 20 x 20 x 12

(6) 20 x 24 x 12 6 months box Quarterly 2nd Floor Mech Rm 2332

40 AHU-2 York/XTO-051X057 AKEM XT0133

(3) 16 x 20 x 2

(3) 20 x 20 x 12 box

(3) 16 x 20 x 12 box 3 months pleated; 12 months box Quarterly K Wing Roof

41 MR1 (4) 20 x 25 x 2 3 months pleated Quarterly Research basement

42 MR2

(3) 20 x 20 x 2

(3) 20 x 24 x 2 3 months pleated Quarterly Research 2nd Floor

43 ASF AHU

(10) 20 x 20 x 2

(6) 24 x 24 x 2 3 months pleated Quarterly ASF Roof (3rd floor roof)

44 Pharmacy IV Prep AHU

(4) 24 x 24 x 2

(4) 24 x 24 x 12 box 3 months pleated, 12 months box Quarterly (AH) 2nd Floor Roof

45 Pharmacy Exhaust Fan 1 inside room (1) 24 x 30 x 1

HEPA (outside) 6 x 20 x 24 interior room filters -6 months

HEPA-6 months-1 year Quarterly (AH) roof at pharmacy iv prep chiller

46 Pharmacy Exhaust Fan 2 inside room (1) 24 x 30 x 1

HEPA (outside) 6 x 20 x 24 interior room filters -6 months

HEPA-6 months-1 year Quarterly (AH) roof outisde Red clinic break room

47 AHU-1 (ACGB0)

(2) 20 x 25 x 2

(1) 16 x 25 x 2 3 months pleated Quarterly through Room 208 A

48 ORS 1-11 REHEATs Thermal Corporation/TSCP-183-HS 01-475351-04 (11) 24 x 24, HEPA, gasket HEPA-6 months-1 year Quarterly (AH) 5th Floor Mech Room

49 Liebert Unit IT Server 1 DS105AUA1E0149A N17E8E0066 Quarterly IT Server Room 3rd Floor Room 3431

50 Liebert Unit IT Server 2 DS105AMAOEI992A C09D8E0042 Quarterly IT Server Room 3rd Floor Room 3431

51 Liebert Unit- Cathlab 1 PX011UA1A8A999 Y16D6S0088 Quarterly (AH) Cathlab Room 6432

52 Liebert Unit- Cathlab 2 PX011UA1A8A996 Y16C6S0247 Quarterly (AH) Cathlab Room 6430

53 3 Ton Vertiv Liebert Unit PW017UC1A209K9 Y23B000873 Quarterly (AH) Room 2305

54 3 Ton Vertiv Liebert Unit PX011UA1AD09IV Y22L003145 Quarterly (AH) Room 2110

55 3 Ton Vertiv Liebert Unit PXO18UA1AD0AK7 Y23G003058 Quarterly (AH) Adjacent to Room 2116

56 3 Ton Vertiv Liebert Unit PFD037A-AL1 Y22B000936 Quarterly (AH) Outside Room 1362 on the Roof

57 Electric boiler Lattner S150LW 15 HP 54133 Bi Annual Canteen Dining Room Mech Room

58 Natural gas boiler Futera Fusion RBI CB750 110954718 Bi Annual L Wing Ground Floor G901

Heating Hot Water Boilers

Attachment B: Preventative Maintenance on air compressors and medical air/vacuum systems

Item # Units Make/Model Serial # PM Frequency Location

1 Dental Air compressor Air Star /AS100 AS011-20010010 Quarterly Ground floor Dental

2 Dental Vacuum Pump 1 Bison/ 826E.1050.3 BN1609114 Quarterly Ground floor Dental

3 Dental Vacuum Pump 2 Bison/ 826E.1050.3 BN1608123 Quarterly Ground floor Dental

4 Control Air Compressor unit 1/125 psi

ELGi EG Series 25-HO Tankless Rotary

Screw /EG18-125 MNI3030213 Quarterly Sub-basement (SD 105)

5 Control Air Compressor unit 2/125 psi

ELGi EG Series 25-HO Tankless Rotary

Screw /EG18-125 MNI3030212 Quarterly Sub-basement (SD 105)

Medical Air Vacuum/50 psi/57 SCFM capacity ea EMSE/3D0X15PS120D 3606A1002 Quarterly Sub-basement (SD 105)

7 Hankison Air dryer 1 HPR 125 Quarterly Sub-basement (SD 105)

8 Hankison Air dryer 2 HPR 125 Quarterly Sub-basement (SD 105)

9 Medical Vacuum/ 129 SCFM capacity EMSE duplex vacuum/1DCB15S200 3606B1002 Quarterly Sub-basement (SD 105)

Attachment C: HVAC System Testing, Adjusting, & Balancing (TAB)

Department Negative Pressure rooms Positive Pressure rooms TAB Frequency PODIATRY 8123 8141 Twice/yr

SPEECH PATHOLOGY 8123 8141 Twice/yr

CATH LAB/HEART STATION

6432A

Twice/yr

AMBULATORY CLINIC 3110 3109 Twice/yr

GASTROINTESTINAL (GI) 3120 3116 Twice/yr

EAR, NOSE, &THROAT

(ENT) DERMATOLOGY 3218

Twice/yr

GENITOURINARY (GI)/3K

Case Cart

Twice/yr

DENTAL 2621 2609 Twice/yr

Opthamology 2B Case Cart 2222B Twice/yr

DENTAL 1618 1625 Twice/yr

Sterile Processing

Department Decontamination

Prep/Asssembly room

Sterile Storage room Twice/yr

Soiled Utility Rooms 4114

Twice/yr

Sterile Supply Rooms 4106

Twice/yr

Pharmacy IV Prep 1101H Chemo Buffer

1101C Chemical Storage

1101F Buffer room

1101G Air Lock

1101D Anti room

Twice/yr

Operating Room 1

Operating Room 2

Operating Room 3

Operating Room 4

Operating Room 5

Operating Room 6

Operating Room 7

Operating Room 8

Operating Room 9

Operating Room 10

Operating Room 11

Clean Core (Room 4309)

Operating Suite

Twice/yr