VA IRM Specs 2020-04-13.pdf

TECHNICAL SPECIFICATIONS

Department of Veterans Affairs Louis Stokes Cleveland VA Medical Center

WADE PARK

10701 East Boulevard Cleveland, OH 44106

Increase IRM Physical Security Project No. 541-19-102

PREPARED BY:

Perspectus Architecture 13212 Shaker Square Cleveland, Ohio 44120 P (216) 752-1800 Project Director: Tim Huffman

Fredrick, Fredrick & Heller Engineers 672 East Royalton Road Broadview Heights, Ohio 44147 P (440) 546-9696 Project Director: Mike Long

BID ISSUE

ISSUE DATE: 4/13/2020 William Curtiss Ayars, License #7259 Expiration Date 12/31/2021

Bid Issue VAMC WADE PARK April 13, 2020 Increase IRM Physical Security

Table of Contents

00 01 10 - 1

DEPARTMENT OF VETERANS AFFAIRS

SPECIFICATIONS

TABLE OF CONTENTS

Section 00 01 10

SECTION DESCRIPTION PAGES

DIVISION 0 - SPECIAL SECTIONS

00 01 10 Table of Contents 1-4 00 01 15 Drawing Index 1-3 00 31 26 Existing Hazardous Material Information 1-86

DIVISION 1 - GENERAL REQUIREMENTS

01 00 00 General Requirements 1-16

OSHA Requirements and Safety And Health Regulations – Attachment 1

1-7

Pre-Construction Risk Assessment (PCRA) – Att. 2 1-4 Construction Safety Poster - Cleveland VA – Att. 3 1-1 Interim Life Safety Risk Assessment Form – Att.4 1-2 Contractor Safety and Security Orientation – Att.5 1-1 Job Safety Check Sheet - Attachment 6 1-2

01 32 16.15 Project Schedules 1-11 01 33 23 Shop Drawings, Product Data, and Samples 1-4 01 35 26 Safety Requirements 1-27

Site Specific Accident Prevention Plan - Sample 28-47 Pre-Construction Risk Assessment (PCRA) 48-57 Appendix A Evacuation Routes Work Zone Layouts and Maps to

Appendix B Certifications & Jobsite Documentation Program 59

Appendix C Contractor Accident Record OSHA 300 Form 60

Infection Control During Construction 61-66 Infection Control Risk Assessment 67-71 Inf. Control Orientation for Construction Workers 72-73 Infection Control Construction Permit 74-75 Infection Control Construction Inspection Form 76-77

01 42 19 Reference Standards 1-4 01 45 00 Quality Control 1-15 01 57 19 Temporary Environmental Controls 1-5 01 74 19 Construction Waste Management 1-7

DIVISION 2 – EXISTING CONDITIONS

02 41 00 Demolition 1-3 02 82 13.19 Non-friable Asbestos Flooring and Duct Mastic Abatement 1-44

00 01 10 - 2

DIVISION 3 – CONCRETE

Not Used

DIVISION 4 – MASONRY

04 01 00 Maintenance of Masonry 1-3

DIVISION 5 – METALS

05 40 00 Cold-Formed Metal Framing 1-6 05 50 00 Metal Fabrications 1-4

DIVISION 6 - WOOD, PLASTICS AND COMPOSITES

06 10 00 Rough Carpentry 1-6

DIVISION 7 - THERMAL AND MOISTURE PROTECTION

07 01 50.19 Preparation for Re-Roofing

1-6 07 21 13 Thermal Insulation 1-3 07 84 00 Firestopping 1-4 07 92 00 Joint Sealants 1-6

DIVISION 8 - OPENINGS

08 11 13 Hollow Metal Doors and Frames 1-4 08 71 10 Door Hardware 1-14 08 80 00 Glazing 1-6

DIVISION 9 – FINISHES

09 22 16 Non-Structural Metal Framing 1-3 09 22 36 Security Barrier Mesh 1-3 09 29 00 Gypsum Board 1-5 09 51 00 Acoustical Ceilings 1-5 09 65 13 Resilient Base and Accessories 1-2

09 67 00 Resinous Fluid Applied Flooring

1-12 09 69 00 Access Flooring 1-8 09 91 00 Painting 1-10

DIVISION 10 – SPECIALTIES

Not used

DIVISION 11 – EQUIPMENT

Not used

DIVISION 12 – FURNISHINGS

Not used

DIVISION 13 - SPECIAL CONSTRUCTION

Not used

00 01 10 - 3

DIVISION 14– CONVEYING EQUIPMENT

Not Used

DIVISION 21- FIRE SUPPRESSION

21 13 13 Wet-Pipe Sprinkler Systems 1-10

DIVISION 22 – PLUMBING

22 05 11 Common Work Results for Plumbing 1-28 22 05 23 General-Duty Valves for Plumbing Piping 1-7 22 07 11 Plumbing Insulation 1-15 22 11 00 Facility Water Distribution 1-11 22 13 00 Facility Sanitary and Vent Piping 1-13

DIVISION 23 – HEATING, VENTILATING, AND AIR CONDITIONING

23 05 11 Common Work Results for HVAC 1-33 23 05 41 Noise and Vibration Control for HVAC Piping and Equipment 1-6

23 05 93 Testing, Adjusting, and Balancing for HVAC 1-11 23 07 11 HVAC and Boiler Plant Insulation 1-16 23 09 23 Direct-Digital Control System for HVAC 1-46 23 21 13 Hydronic Piping 1-17 23 23 00 Refrigerant Piping 1-10 23 25 00 HVAC Water Treatment 1-3 23 31 00 HVAC Ducts and Casings 1-9 23 36 00 Air Terminal Units 1-4 23 37 00 Air Outlets and Inlets 1-3 23 81 23 Computer-Room Air-Conditioners 1-10

DIVISION 25 – INTEGRATED AUTOMATION

Not Used

DIVISION 26 – ELECTRICAL

26 05 11 Requirements for Electrical Installations 1-7 26 05 19 Low-Voltage Electrical Power Conductors and Cables 1-6 26 05 26 Grounding and Bonding for Electrical Systems 1-6 26 05 33 Raceway and Boxes for Electrical Systems 1-11 26 05 73 Overcurrent Protective Device Coordination Study 1-3

26 09 23 Lighting Controls 1-4 26 22 00 Low-Voltage Transformers 1-5 26 24 16 Panelboards 1-6 26 26 00 Power Distribution Units for Static Uninterruptible Power

Systems 1-6

26 27 26 Wiring Devices 1-5 26 29 21 Enclosed Switches and Circuit Breakers 1-4 26 33 53 Static Uninterruptible Power Supply 1-11 26 41 00 Facility Lightning Protections 1-4

00 01 10 - 4

26 51 00 Interior Lighting 1-9

DIVISION 27 – COMMUNICATIONS

27 05 11 Requirements for Communications Installations 1-25 27 05 26 Grounding and Bonding for Communications Systems 1-7 27 05 33 Raceways and Boxes for Communications Systems 1-12 27 10 00 Control, Communication and Signal Wiring 1-10 27 11 00 Telecommunication Room Fittings 1-13 27 15 00 Communications Structured Cabling 1-20

DIVISION 28 – ELECTRONIC SAFETY AND SECURITY

28 05 00 Common Work Results for Electronic Safety and Security 1-61 28 05 13 Conductors and Cables for Electronic Safety and Security 1-13 28 05 26 Grounding and Bonding for Electronic Safety and Security 1-6

28 05 28.33 Conduits and Backboxes for Electronic Safety and Security 1-12 28 13 00 Physical Access Control System 1-47

28 31 00 Detection and Alarm 1-13

- - - E N D - - -

Drawing Index 00 01 15 - 1

SECTION 00 01 15

DRAWING INDEX

The drawings listed below accompanying this specification form a part of the contract.

DRAWING NO. TITLE

GENERAL

X.1 COVER SHEET

ARCHITECTURAL

A0.1 Reference Information & Door Schedule

A0.2 Partial Third Floor Life Safety Plan

A1.0 Overall Sub-Basement Floor Plan

A1.1 Overall Basement Floor Plan

A1.2 Overall First Floor Plan

A1.3 Overall Second Floor Plan

A1.4 Overall Third Floor Plan

A1.5 Overall Fourth Floor Plan

A1.6 Overall Fifth Floor Plan

A1.7 Overall Sixth Floor Plan

A2.1 Third Floor Phase 1 Plans

A2.2 Third Floor Phase 2 Plans

A3.1 MISC Details & Finish Schedule

MECHANICAL

M0.1 Mechanical Legend and General Notes

M1.1 Partial Third Floor Ductwork Demolition Plan – Phase 1

M1.2 Partial Third Floor HVAC Piping Demolition Plan – Phase 1

M1.3 Partial Third Floor Ductwork Demolition Plan - Phase 2

M1.4 Partial Third Floor HVAC Piping Demolition Plan - Phase 2

M2.1 Partial Third Floor Ductwork Plan - Phase 1

M2.2 Partial Third Floor HVAC Piping Plan - Phase 1

M2.3 Partial Third Floor Ductwork Plan - Phase 2

M2.4 Partial Third Floor HVAC Piping Plan - Phase 2

M2.5 Partial First Floor, Basement and Sub-Basement HVAC Piping

Plans

M2.6 Partial First and Second Floor HVAC Piping Plans

M3.1 Mechanical Details

DRAWING NO. TITLE

00 01 15 - 2

M3.2 Mechanical Schedules

PLUMBING

P0.1 Plumbing Legend and General Notes

P1.1 Partial Third Floor Plumbing and Fire Protection Demolition

Plan - Phase 1

P1.3 Partial Third Floor Plumbing and Fire Protection Demolition

Plan - Phase 2

P2.1 Partial Third Floor Plumbing and Fire Protection Plan -

Phase 1

P2.3 Partial Third Floor Plumbing and Fire Protection Plan –

Phase 2

ELECTRICAL

E0.1 Electrical Legend and General Notes

E0.2 Lighting Fixture Schedule and Appearance Guide

E1.1 Sub Basement Electrical Key Plan

E1.2 Basement Electrical Key Plan

E1.3 First Floor Electrical Key Plan

E1.4 Second Floor Electrical Key Plan

E1.5 Third Floor Electrical Key Plan

E1.6 Fourth Floor Electrical Key Plan

E1.7 Fifth Floor Electrical Key Plan

E1.8 Sixth Floor Electrical Key Plan

E2.1 Partial Third Floor Lighting and Fire Alarm Demolition

Plan - Phase 1

E2.2 Partial Third Floor Power and Security Demolition

Plan - Phase 1

E2.3 Partial Third Floor Lighting and Fire Alarm Demolition

Plan - Phase 2

E2.4 Partial Third Floor Power and Security Demolition

Plan - Phase 2

E3.1 Partial Third Floor Lighting and Fire Alarm Plan -

Phase 1

E3.2 Partial Third Floor Power and Security Plan - Phase 1

E3.3 Partial Third Floor Lighting and Fire Alarm Plan - Phase 2

DRAWING NO. TITLE

00 01 15 - 3

E3.4 Partial Third Floor Power and Security Plan - Phase 2

E3.5 Partial Third Floor Main Computer Room Final Layout Plan

E4.1 Enlarged Telecom Room Plans

E4.2 Enlarged Telecom Room Plans

E4.3 Enlarged Telecom Room Plans

E4.4 Enlarged Telecom Room Plans

E4.5 Enlarged Telecom Room Plans

E4.6 Enlarged Telecom Room Plans

E5.1 Power Distribution One-Line Diagram Legend

E5.2 Power Distribution One-line Diagram

E5.3 Panelboard Schedules

E5.4 Emergency Power Off (EPO) System Diagram and Notes

E7.1 Access Control Details

E7.2 Electrical Details

E7.3 Electrical Details

TECHNOLOGY

T0.1 Technology Legend and General Notes

T2.1 Partial Third Floor Technology Demolition Plan - Phase 1

T2.2 Partial Third Floor Technology Demolition Plan - Phase 2

T3.1 Partial Third Floor Technology Plan - Phase 1

T3.2 Partial Third Floor Technology Plan - Phase 2

T4.1 Technology Grounding Details

T4.2 Technology Rack Details

STEPHEN J . SEBESTA & ASSOC., INC.

ENVIRONMENTAL HEALTH ENGINEERS

30628 DETROIT ROAD, NO . 258, WESTLAKE, OHIO 44145 TELEPHONE (216) 781-0060 sjs@sjs-inc.com

January 21, 2019

Perspectus Architecture 13212 Shaker Square Cleveland, Ohio 44120

Attention:

Project:

Mr. Tim Huffman (216-752-1800)

Report of asbestos sampling of suspected asbestos-containing materials in the third floor IRM project area at the Louis Stokes VA Medical Center located at 10701 East Boulevard, Cleveland, Ohio 44106 (22881)

Dear Mr. Huffman;

On January 10, 2019, Stephen J. Sebesta and Associates, Inc. collected samples of suspected asbestos-containing materials in the third floor IRM rooms at the Louis Stokes VA Medical Center located at 10701 East Boulevard, Cleveland, Ohio 44106. This sampling was conducted to identify any asbestos-containing materials which may be impacted by the proposed “Increase IRM Security Project”. This letter provides a summary of the samples collected and laboratory results.

The proposed renovation includes relocating walls, installing new doors, and removing and replacing flooring, ceilings, doors, and other work in the third floor IRM Rooms 3A-133, 3A-135, 3A- 135A, 3A-135B, and 3A-135C as shown on the Perspectus Architecture Drawings AS.1, AS.2, AS.3, and AS.4. The IRM area is located on the east end of the third floor of the main building. The rooms comprise an approximately 2,800 sq ft area. The main building was constructed around 1961.

METHODOLOGY

The sampling was conducted in accordance with the USEPA guidelines recommended for public and private elementary and high schools to meet the requirements of the Asbestos Hazard Emergency Response Act (AHERA) of 1986 and the National Emission Standards for Hazardous Air Pollutants (NESHAP) requirements for the renovation and demolition of buildings containing asbestos-containing materials (ACM).

Based on the age of construction, physical appearance, location, systems where located and other factors, flooring materials were identified as homogeneous asbestos-containing materials.

Samples of the suspect homogeneous Materials were sampled and analyzed for asbestos by a NVLAP accredited laboratory in accordance with AHERA requirements.

Samples were collected in 6 mil zip-lock polyethylene bags and the sample number as well as other related information, was marked on the sample bag label. Where feasible, sample numbers were also marked adjacent to the field sample location. All sample bags were placed in a second 6 mil polyethylene bag and submitted to the laboratory for analysis along with a chain-of-custody form.

Attachment No. 1 contains an Asbestos Bulk Sample Log showing a summary of the analysis of bulk samples obtained during the survey and copies of the Environmental Hazards Services (EHS) bulk sample laboratory reports for the bulk asbestos samples collected on this inspection. Attachment 2 contains excerpts from the “Asbestos Survey Report, Main Building, Louis Stokes VA Medical Center” dated 10-29-15. Attachment No. 3 contains photographs of the sample locations. Attachment No. 4 contains the Ohio Asbestos Certification and Training Information for the asbestos inspector involved in the survey and preparation of the report.

A total of 23 additional bulk samples (30 layers) were collected by a certified inspector and analyzed by a NVLAP accredited laboratory. The results of the laboratory analysis of these samples are included in Attachment No. 1. Homogeneous materials sampled in the survey included ceiling tiles, drywall, wall plaster, tar over fiberglass pipe insulation, floor tiles and mastic, cove base molding and mastic, adhesive below raised flooring stanchions, duct mastic, and firestopping.

A total of 615 bulk samples (718 layers) were collected by a certified inspector and analyzed by a NVLAP accredited laboratory on a previous inspection throughout the main building. Excerpts from the “Asbestos Survey Report, Main Building, Louis Stokes VA Medical Center” dated 10-29-15 are included in Attachment No.2.

bweygandt Text Box

SECTION - 00 31 26 - EXISTING HAZARDOUS MATERIAL INFORMATION

Page 2 - Asbestos sampling, 3 floor IRM Rooms, Cleveland VA Medical Ctr. (22881)rd

Samples reported as containing Trace to 3% asbestos were further analyzed by Point Count in accordance with NESHAP requirements.

FINDINGS

The IRM Rooms are generally finished with painted plaster over drywall walls and various types of suspended acoustical ceiling tiles. Flooring in Room 3A-133A is a raised flooring system which is attached with adhesive below the raised flooring stanchions over residual black floor mastic.

Floors in Room 3A-135B and 3A-135C are finished with 12"x12" vinyl floor tiles. Floors in Room 3A- 135 are finished with carpeting over 12"x12" vinyl floor tiles. Room 3A-135A is unfinished concrete.

Pipe insulation above the ceilings is fiberglass with PVC joints. Some of the pipe insulation has a foil and tar paper coating over the fiberglass insulation. Ducts are either uninsulated or insulated with foil backed fiberglass insulation. Duct sealant is found on the seams and between sections of the metal ductwork.

NON ASBESTOS-CONTAINING 2'X4' FISSURED CEILING TILE (ROOMS 3A-133, 3A-135, 3A-

135B, and 3A-135C)

Sample Nos. 22881-1, 22881-15 and 22881-20 of the 2'x4' fissured ceiling tiles in Rooms 3A-133, 3A- 135A, and 3A-135B were reported as No Asbestos Detected (NAD).

Sample Nos. 19341-537,19341-728, 19341-800, 19341-811, 19341-863, 19341-991, 19341-1022, 19341-1041,19341-1100, 19341-1133,19341-1225, 19341-1239, 19341-1267, 19341-1279 and 19341-1283 of fissured 2'x4' ceiling tiles collected on a previous inspection were all reported as NAD (No Asbestos Detected) by PLM.

NON ASBESTOS-CONTAINING 2'X4' LIGHT TEXTURED CEILING TILE (ROOM 3A-135A)

Sample No. 22881-11 of the 2'x4' light fissured ceiling tiles in Room 3A-135C was reported as No Asbestos Detected (NAD).

Sample Nos. 19341-726, 19341-858, 19341-931 , 19341-943, 19341 -958, 19341-964, 19341-1074, 19341-1091,19341-1125,19341-1234, and 19341-1250 of light fissured 2'x4' ceiling tiles collected on a previous inspection were all reported as NAD (No Asbestos Detected) by PLM.

NON ASBESTOS-CONTAINING DRYW ALL AND MUD (THROUGHOUT 3RD FLOOR IRM

AREA)

Walls in the IRM rooms are drywall and mud with a sprayed on or troweled on coating of plaster below the suspended ceilings. It is estimated that there is approximately 3,500 sq ft of drywall and mud in the third floor IRM rooms. Sample Nos. 22881-2, 22881-16 and 22881-18 of the drywall and mud in the third floor IRM rooms were reported as No Asbestos Detected (NAD).

Sample Nos. 19341-1154, 19341-1157, 19341-1160, 19341-1166, 19341-1169, 19341-1177, 19341-1180, 19341-1181B, and 19341-1183 of the drywall and mud collected from the third floor on a previous inspection and found throughout were all reported as NAD (No Asbestos Detected) by PLM

WALL PLASTER CONTAINING <1% ASBESTOS (THROUGHOUT 3RD FLOOR IRM AREA)

There is approximately 3,550 sq ft of wall plaster applied over drywall in the third floor IRM rooms.

Sample Nos. 22881-4, 22881-12, and 22881-19 of the wall plaster in the third floor IRM rooms were reported to contain Trace (<1%) asbestos by PLM and <0.25% by point count. Sample No. 22881-3 of the wall plaster in the Third floor IRM rooms was reported as No Asbestos Detected (NAD).

Sample Nos. 19341-1153, 19381-1161, 19341-1163, 19341-1168, 19381-1172, 19381-1176, 19381- 1178, and 19341-1181A of the plaster collected from the third floor on a previous inspection were reported to contain Trace (<1 %) asbestos by PLM and visual estimation and from <0.25-0.50% by PLM and point counting.

Although the wall plaster is not considered an asbestos-containing material, which is defined as material “containing more than 1% asbestos” by the USEPA NESHAPS, the OSHA requirements under 29 CFR 1926.1101 for disturbing materials with 1% or less asbestos should be followed.

These requirements include the wet handling, prompt clean-up and disposal of wastes in leak tight containers, and exposure assessment by a competent person.

NON ASBESTOS-CONTAINING TAR OVER FIBERGLASS PIPE INSULATION (THROUGHOUT

3RD FLOOR IRM AREA)

Page 3 - Asbestos sampling, 3 floor IRM Rooms, Cleveland VA Medical Ctr. (22881)rd

Sample No. 22881-5 of the tar over fiberglass in the third floor IRM rooms was reported as No Asbestos Detected (NAD).

Sample No. 19341-560 of the tar paper over fiberglass pipe insulation in the basement electrical shop, Room D26 collected on a previous inspection was reported as NAD (No Asbestos Detected).

NON ASBESTOS-CONTAINING 12"X12" TAN DAPPLE FLOOR TILE (ROOMS 3A-133, 3A-135, 3A-

135B, 3A-135C)

There is approximately 1,380 sq ft of 12"x12" tan dapple floor tiles and back mastic in the Rooms 3A- 133, 3A-135, 3A-135B, and 3A-135C. Sample Nos. 22881-13a, 22881-14a, and 22881-24a of the 12"x12" tan dapple floor tiles in the third floor IRM rooms were reported as No Asbestos Detected

(NAD).

Sample Nos. 19341-719,19341-545a, 19341-557a, 19341-763a, 19341-775b, 19341-778a, 19341-874a,19341-920, 19341-935a, 19341-942a, 19341-978a, 19341-984a, 19341-989a, 19341-999a, 19341-1005a, 19341-1106a, 19341-1113, 19341-1117a, 19341-1130a, 19341-1247a, 19341-1269a, 19341-1278a, 19341-1288a and 19341-1297a of the 12"x12" tan floor tiles collected on a previous inspection and found throughout the Main Building were reported as NAD (No Asbestos Detected) by PLM.

The original black asbestos-containing mastic below original flooring has been removed and replaced with non-ACM flooring and mastic during building renovation, but asbestos-containing mastic is found below 12"x12" floor tiles in Rooms 3A-135, 3A-135B, 3A-135C and below the raised floor in 3A-133.

ASBESTOS-CONTAINING BLACK MASTIC BELOW NON ASBESTOS-CONTAINING 12"X12" TAN

DAPPLE FLOOR (ROOMS 3A-135, 3A-135B, 3A-135C)

There is approximately 1,380 sq ft of back mastic below the12"x12" tan dapple floor tiles and in the Rooms 3A-133, 3A-135, 3A-135B, and 3A-135C. Sample Nos. 22881-13b and 22881-24c of the black mastic below the 12"x12" tan dapple floor tile in Rooms 3A-135b and 3A-135 were reported to contain 2-4% Asbestos by PLM. Sample No. 22881-13b was reported to contain 0.75% asbestos by point count. Sample No. 22881-14b of the yellow mastic and Sample No. 22881-14c of the leveling compound below the 12"x12" tan floor tiles in Room 3A-135C were reported as No Asbestos Detected

(NAD).

Sample Nos. 19341-545b, 19341-548b, 19341-555b, 19341-557c, 19341-557e,19341-827b, 19341-862b, 19341-984b, 19341-995b, 19341-1297b, 19341-775c, 9341-778b, 19341-779b, 19341-1278b, and 19341-999b of the black mastic below 12"x12" floor tile collected on a previous inspection were reported to contain 4-8% chrysotile asbestos by PLM and visual estimation and 1.50% asbestos by PLM and point counting. Sample Nos. 19341-928c, 19341-984b, 19341-995b of the black mastic below flooring were reported as NAD (No Asbestos Detected).

The original black asbestos-containing mastic below original flooring has been removed and replaced with non-ACM flooring and mastic during building renovation, but asbestos-containing mastic is found below 12"x12" floor tiles in Rooms 3A-135, 3A-135B, 3A-135C and below the raised floor in 3A-133.

ASBESTOS-CONTAINING BLACK FLOOR MASTIC BELOW RAISED FLOOR (ROOM 3A-133,

SERVER ROOM)

There is approximately 1,340 sq ft of black floor mastic below the raised floor in Room 3A-133 (server room). Sample No. 22881-7 of the black mastic below the raised floor in 3A-133, was reported to contain 4% Asbestos by PLM.

The asbestos-containing floor mastic below the raised flooring is a Category 1 non friable asbestos-containing material in good condition. There is no work proposed on the project which will disturb the Category 1 non friable asbestos-containing black adhesive below the raised flooring in Room 3A-133.

BLACK ADHESIVE BELOW RAISED FLOORING STANCHIONS CONTAINING <1% ASBESTOS

(ROOM 3A-133)

There is approximately 150 sq ft of black adhesive below raised floor stanchions in the third floor IRM rooms. The adhesive for the floor stanchions appears to be installed over the asbestos-containing black floor mastic found below the raised floor. Sample No. 22881-10 of the black adhesive below raised flooring stanchions in the third floor IRM rooms was reported to contain Trace (<1%) asbestos by PLM and <0.25% by point count. The lab reported that they were unable to separate the layers and

Page 4 - Asbestos sampling, 3 floor IRM Rooms, Cleveland VA Medical Ctr. (22881)rd the trace of asbestos may reflect co-mingling of the asbestos-containing floor mastic below. Sample No. 22881-6 of the black adhesive below raised flooring stanchions in the Third floor IRM rooms was reported as No Asbestos Detected (NAD).

There is no work proposed on the project which will disturb the black adhesive below the raised flooring stanchions containing <1% asbestos in Room 3A-133.

NON ASBESTOS-CONTAINING NEWER RED DUCT MASTIC (ROOM 3A-135)

Sample Nos. 22881-17 and 22881-22 of the red duct mastic in the Third floor IRM rooms were reported as No Asbestos Detected (NAD).

ASSUMED ASBESTOS-CONTAINING OLDER RED DUCT MASTIC (THROUGHOUT 3RD FLOOR

IRM AREA)

Much of the existing ductwork is insulted with fiberglass. It is possible that some of the existing older ductwork has the older red mastic below the insulation. Sample Nos. 19341-543 19341-781b, 19341-832a, 19341-727, and 19341-771 of the red duct mastic found on seams of older original ductwork throughout the main building collected on a previous inspection were reported to contain 1.25-5% chrysotile asbestos by PLM. Sample No. 19341-1285 of the red mastic collected on a previous inspection were reported as NAD (No Asbestos Detected) by PLM.

The older red duct mastic, if present, on the older ductwork below the fiberglass is a Category 1 non friable material. If the older red duct mastic is found, it should be assumed to contain asbestos.

NON ASBESTOS-CONTAINING RED FIRESTOPPING (THROUGHOUT 3RD FLOOR IRM AREA)

Sample No. 22881-21 of the red firestopping in the Third floor IRM rooms were reported as No Asbestos Detected (NAD).

Sample No. 19341-793, 19341-881, 19341-904, 19341-1040, 19341-1109, 19341-1128, 19341-1174, 19341-1190, 19341-1213, 19341-1243, 19341-1284, m19341-743, 19341-780, 19341-831, 19341-981a, 19341-1063, 19341 -1076, 19341-1258 of the red fire stopping caulk found throughout the Main Building and collected on a previous survey were all reported as NAD (No Asbestos Detected) by PLM.

NON ASBESTOS-CONTAINING BROW N COVEBASE MOLDING AND BROW N/BLACK MASTIC

CONTAINING <1% ASBESTOS (ROOM 3A-135A)

Sample No. 22881-23a of the brown cove base molding in Room 3A-135A, battery room was reported as No Asbestos Detected (NAD). Sample No. 22881-23b of the brown/black adhesive below the brown cove base molding in the third floor IRM rooms was reported to contain Trace (<1%) asbestos by PLM and 0.25% by point count.

NON ASBESTOS-CONTAINING TAN COVEBASE MOLDING AND MASTIC (ROOMS 3A-135

AND 3A-135C)

Sample Nos. 19341-801a, 19341-1150a, 19341-1194a, 19341-1211a, 19341-1073 and 19341- 1228 of the tan cove base collected on a previous inspection were all reported as NAD (No Asbestos Detected).

NON ASBESTOS-CONTAINING BLACK COVE BASE AND MASTIC (ROOMS 3A-133 AND 3A-

135B)

Sample No. 22881-8a of the black cove base molding in the third floor IRM rooms was reported as No Asbestos Detected (NAD). Sample No. 22881-8b of the off-white mastic below the black cove base molding in the Third floor IRM rooms was reported as No Asbestos Detected (NAD).

Sample Nos. 19341-549a, 19341-867a, 19341-929a, 19341-1114 and 19341-764a of the black cove base collected on a previous inspection were all reported as NAD (No Asbestos Detected. Sample Nos. 19341-549b, 19341-867b, 19341-929b, and 19341 -764b of the associated mastic collected on a previous inspection were all reported as NAD (No Asbestos Detected.

RECOMMENDATIONS

ATTACHMENT NO. 1

Bulk Sample Log and Environmental Hazards Services Laboratory Report for Bulk Asbestos Samples collected on this inspection

SUMMARY OF BULK SAMPLE ANALYSES

FROM THE 3 FLOOR IRM ROOMSRD

LOUIS STOKES CLEVELAND VA MEDICAL CENTER LOCATED AT

10701 EAST BOULEVARD, CLEVELAND, OH 44106

JOB NO. 22881

SAMPLE

NUMBER

SAMPLE

DESCRIPTION

SAMPLE LOCATION

ASBESTOS-

CONTAINING

FRIABLE

% ASBESTOS

PLM Point Count

22881-1 2'x4' fissured ceiling tile Room 3A-133, Server Room, south end

No N/A NAD -

22881-2 Drywall and mud on soffit Room 3A-133, Server Room, south end

No N/A NAD -

22881-3 Wall plaster Room 3A-133, Server Room, south wall

No N/A NAD -

22881-4 Wall plaster Room 3A-133, Server Room, north end

No (8) N/A (8) Trace (<1%)

<0.25% (7)

22881-5 Tar over fiberglass pipe insulation

Room 3A-133, Server Room, north end

No N/A NAD -

22881-6 Black adhesive below raised flooring stanchions

Room 3A-133, Server Room, southeast end

No N/A NAD -

22881-7 Black floor mastic below raised floor

Room 3A-133, Server Room, southeast end

Yes No (9) 4% -

22881-8a Black cove base Room 3A-133, Server Room, west end

No N/A NAD -

22881-8b Off-white adhesive below Black cove base

Room 3A-133, Server Room, west end

No N/A NAD -

22881-10 Black adhesive below raised flooring stanchions

Room 3A-133, Server Room, west end

No (8) N/A (8) Trace (<1%)

(4)

<0.25% (7)

22881-11 2'x4' Light textured ceiling tile

Room 3A-135C, Vestibule

No N/A NAD -

22881-12 Wall plaster Room 3A-135C, Vestibule

No (8) N/A (8) Trace (<1%)

(5)

<0.25% (7)

22881-13a 12"x12" Tan Dapple floor tile

Room 3A-135B, North end

No N/A NAD -

22881-13b Black mastic below 12"x12" Tan Dapple floor tile

Room 3A-135B, North end

No (8) No (8) 2% 0.75%

22881-14a 12"x12" Tan Dapple floor tile

Room 3A-135C, Vestibule

No N/A NAD -

22881-14b Yellow adhesive below 12"x12" Tan Dapple floor tile

Room 3A-135C, Vestibule

No N/A NAD -

22881-14c Leveling compound below 12"x12" Tan Dapple floor tile

Room 3A-135C, Vestibule

No N/A NAD -

22881-15 2'x4' fissured ceiling tile Room 3A-135B, west end

No N/A NAD -

SUMMARY OF BULK SAMPLE ANALYSES

FROM THE 3 FLOOR IRM ROOMSRD

LOUIS STOKES CLEVELAND VA MEDICAL CENTER LOCATED AT

10701 EAST BOULEVARD, CLEVELAND, OH 44106

JOB NO. 22881

SAMPLE

NUMBER

SAMPLE

DESCRIPTION

SAMPLE LOCATION

ASBESTOS-

CONTAINING

FRIABLE

% ASBESTOS

PLM Point Count

22881-16 Drywall and mud wall Room 3A-135, IRM Storage Room, East end

No N/A NAD -

22881-17 Red duct mastic Room 3A-135, IRM Storage Room, East end

No N/A NAD -

22881-18 Drywall and mud wall Room 3A-135, Storage Room, north end

No N/A NAD -

22881-19 Wall plaster Room 3A-135A, Battery Room, North end

No (8) N/A (8) Trace (<1%)

<0.25% (7)

22881-20 2'x4' fissured ceiling tile Room 3A-135A, Battery Room, North end

No N/A NAD -

22881-21 Red firestopping Room 3A-135A, Battery Room, northeast end

No N/A NAD -

22881-22 Red duct mastic Room 3A-135, IRM Storage Room, northeast end

No N/A NAD -

22881-23a Brown covebase molding Room 3A-135A, Battery Room, southwest end

No N/A NAD -

22881-23b Brown/black adhesive below Brown covebase molding

Room 3A-135A, Battery Room, southwest end

No (8) N/A (8) Trace (<1%)

(6)

0.25%

22881-24a Yellow carpet mastic over 12"x12" floor tile and black mastic below carpet

Room 3A-135, IRM Storage Room, east end

No N/A NAD -

22881-24b 12"x12" floor tile below carpet

Room 3A-135, IRM Storage Room, east end

No N/A NAD -

22881-24c Black mastic below 12"x12" floor tile

Room 3A-135, IRM Storage Room, east end

Yes No (9) 4% -

NOTES: (1) NAD means no asbestos detected

(2) N/A means Not Applicable

(3) PLM means Polarized Light Microscopy (Percentages are based on visual estimation)

(4) Lab reported, “Unable to separate layers.”

(5) Lab reported, “<1% Chrysotile present in gray brittle material.”

(6) Lab reported, “Unable to separate mastics.”

(7) Lab reported, “Chrysotile fibers observed but did not fall under any counted points.”

(8) Materials which do not contain greater than 1% asbestos by PLM and Point Counting are not defined as

ACM by EPA but there are some OSHA regulatory requirements for the handling of these materials.

(9) Category 1 non-friable asbestos-containing material

Asbestos Bulk Analysis Report

Client:

Report Number:

Project/Test Address:

Client Number:

Reported Date:

Received Date:

Analyzed Date:

Stephen J. Sebesta & Assoc. 01/14/2019

36-3130

01/21/2019

19-01-01595

7469 Whitepine Rd

Telephone: 800.347.4010

Richmond, VA 23237

Environmental Hazards Services, L.L.C.

22881; VA 3rd Floor IRM Rooms

Laboratory Results Fax Number:

29931 Shadow Creek Lane West Lake OH, 44145

01/17/2019

Layer Type AsbestosClient Sample Number

Other Materials

Lab Gross DescriptionLab Sample Number

Beige Fibrous; White Paint-Like;

Inhomogeneous

19-01-01595-001 22881-1 60% Cellulose 10% Fibrous Glass 30% Non-Fibrous

NAD

White Chalky; Granular;

Brown Fibrous;

Inhomogeneous

19-01-01595-002 22881-2 20% Cellulose 80% Non-Fibrous

NAD

Off-White Brittle;

Homogeneous

19-01-01595-003 22881-3 100% Non-FibrousNAD

Gray Brittle;

Homogeneous

19-01-01595-004 22881-4 100% Non-FibrousTrace <1% Chrysotile

Trace <1%Total Asbestos:

Black Tar-Like; Yellow Fibrous; Silver Metallic;

Inhomogeneous

19-01-01595-005 22881-5 10% Fibrous Glass 90% Non-Fibrous

NAD

1 of 5Page

Rev 1.0 (Revised On: 01/21/2019): Amended sample #s 22-23 per clients request.

Black/Beige Pliable;

Inhomogeneous

19-01-01595-006 22881-6 100% Non-FibrousNAD

Black Adhesive;

Homogeneous

19-01-01595-007 22881-7 96% Non-Fibrous4% Chrysotile

4%Total Asbestos:

Black Vinyl; Homogeneous19-01-01595-008A 22881-8 100% Non-FibrousCove Base

NAD

Off-White Adhesive;

Homogeneous

19-01-01595-008B 22881-8 100% Non-FibrousMastic NAD

Black Pliable; Black Adhesive; Inhomogeneous

19-01-01595-009 22881-10 100% Non-FibrousTrace <1% Chrysotile

Unable to separate layers.

Trace <1%Total Asbestos:

Gray Fibrous; White Paint- Like; Inhomogeneous

19-01-01595-010 22881-11 60% Cellulose 10% Fibrous Glass 30% Non-Fibrous

NAD

Gray/White Brittle; Brown Fibrous; Beige Granular;

Inhomogeneous

19-01-01595-011 22881-12 20% Cellulose 80% Non-Fibrous

Trace <1% Chrysotile

<1% Chrysotile present in gray brittle material.

Trace <1%Total Asbestos:

Beige Vinyl;

Homogeneous

19-01-01595-012A 22881-13 100% Non-FibrousTile NAD

Environmental Hazards Services, L.L.C

Project/Test Address:

Client Number: Report Number:36-3130 19-01-01595

22881; VA 3rd Floor IRM Rooms

Other Materials

AsbestosLab Sample Number

Layer Type Lab Gross DescriptionClient Sample Number

2 of 5Page

Black Adhesive;

Homogeneous

19-01-01595-012B 22881-13 98% Non-FibrousMastic 2% Chrysotile

2%Total Asbestos:

Light Tan Vinyl;

Homogeneous

19-01-01595-013A 22881-14 100% Non-FibrousTile NAD

Yellow Adhesive;

Homogeneous

19-01-01595-013B 22881-14 100% Non-FibrousMastic NAD

Gray Granular;

Homogeneous

19-01-01595-013C 22881-14 100% Non-FibrousLeveling Comp.

NAD

Gray Fibrous; White Paint- Like; Inhomogeneous

19-01-01595-014 22881-15 60% Cellulose 10% Fibrous Glass 30% Non-Fibrous

NAD

White Chalky; Granular;

Brown Fibrous;

Inhomogeneous

19-01-01595-015 22881-16 20% Cellulose 80% Non-Fibrous

NAD

Red Adhesive;

Homogeneous

19-01-01595-016 22881-17 6% Wollastonite 94% Non-Fibrous

NAD

White Chalky; Granular;

Brown Fibrous;

Inhomogeneous

19-01-01595-017 22881-18 20% Cellulose 80% Non-Fibrous

NAD

Environmental Hazards Services, L.L.C

Project/Test Address:

Client Number: Report Number:36-3130 19-01-01595

22881; VA 3rd Floor IRM Rooms

Other Materials

AsbestosLab Sample Number

Layer Type Lab Gross DescriptionClient Sample Number

3 of 5Page

Gray Brittle;

Homogeneous

19-01-01595-018 22881-19 100% Non-FibrousTrace <1% Chrysotile

Trace <1%Total Asbestos:

Beige Fibrous; White Paint-Like;

Inhomogeneous

19-01-01595-019 22881-20 60% Cellulose 10% Fibrous Glass 30% Non-Fibrous

NAD

Red Rubbery;

Homogeneous

19-01-01595-020 22881-21 10% Fibrous Glass 90% Non-Fibrous

NAD

Red Adhesive;

Homogeneous

19-01-01595-021 22881-22 6% Wollastonite 94% Non-Fibrous

NAD

Brown Vinyl;

Homogeneous

19-01-01595-022A 22881-23 100% Non-FibrousCove Base

NAD

Brown/Black Adhesive;

Inhomogeneous

19-01-01595-022B 22881-23 100% Non-FibrousMastic Trace <1% Chrysotile

Unable to separate mastics.

Trace <1%Total Asbestos:

Yellow Adhesive;

Homogeneous

19-01-01595-023A 22881-24 100% Non-FibrousMastic I NAD

Light Tan Vinyl;

Homogeneous

19-01-01595-023B 22881-24 100% Non-FibrousTile NAD

Environmental Hazards Services, L.L.C

Project/Test Address:

Client Number: Report Number:36-3130 19-01-01595

22881; VA 3rd Floor IRM Rooms

Other Materials

AsbestosLab Sample Number

Layer Type Lab Gross DescriptionClient Sample Number

4 of 5Page

Environmental Hazards Services, L.L.C

Project/Test Address:

Client Number: Report Number:36-3130 19-01-01595

22881; VA 3rd Floor IRM Rooms

Other Materials

AsbestosLab Sample Number

Layer Type Lab Gross DescriptionClient Sample Number

Black Adhesive;

Homogeneous

19-01-01595-023C 22881-24 96% Non-FibrousMastic II 4% Chrysotile

4%Total Asbestos:

Tasha Eaddy

1% Asbestos

Analyst:

Reporting Limit:

Method:

QC Blank:

QC Sample:

Araceli Enzler

EPA Method 600/R-93/116, EPA Method 600/M4-82-020

QA/QC Clerk

Reviewed By Authorized Signatory:

29-M22009-2

SRM 1866 Fiberglass

NAD = no asbestos detectedLEGEND:

The condition of the samples analyzed was acceptable upon receipt per laboratory protocol unless otherwise noted on this report. Each distinct component in an inhomogeneous sample was analyzed separately and reported as a composite. Results represent the analysis of samples submitted by the client. Sample location, description, area, volume, etc., was provided by the client. This report cannot be used by the client to claim product endorsement by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without the written consent of the Environmental Hazards Service, L.L.C. California Certification #2319 NY ELAP #11714 NVLAP #101882-0 VELAP 460172. All information concerning sampling location, date, and time can be found on Chain-of-Custody. Environmental Hazards Services, L.L.C. does not perform any sample collection.

Environmental Hazards Services, L.L.C. recommends reanalysis by point count (for more accurate quantification) or Transmission Electron Microscopy (TEM), (for enhanced detection capabilities) for materials regulated by EPA NESHAP (National Emission Standards for Hazardous Air Pollutants) and found to contain less than ten percent (<10%) asbestos by polarized light microscopy (PLM). Both services are available for an additional fee.

400 Point Count Analysis, where noted, performed per EPA Method 600/R-93/116 with a Reporting Limit of 0.25%.

* All California samples analyzed by Polarized Light Microscopy, EPA Method 600/M4-82-020, Dec. 1982.

5 of 5Page

Araceli Enzler

Analyst Signature Page

Richmond, VA 23237

Telephone: 800.347.4010

Environmental Hazards Services, L.L.C.

01/21/2019

Received Date:

29931 Shadow Creek Lane West Lake OH, 44145

Client:

01/17/2019

19-01-01595

Stephen J. Sebesta & Assoc. 01/14/2019

Report Number:

Reported Date:

Analyzed Date:

36-3130Client Number:

22881; VA 3rd Floor IRM RoomsProject/Test Address:

7469 Whitepine Rd

Analyst(s)

Asbestos 400 Point Count Analysis Report

7469 Whitepine Rd

Telephone: 800.347.4010

Richmond, VA 23237

Environmental Hazards Services, L.L.C.

% Asbestos

Laboratory Results

Stephen J. Sebesta & Assoc.

Fax Number:

19-01-02292

Reported Date:

Project/Test Address:

Received Date:

Client Number:

Report Number:

36-3130

22881; VA 3rd Floor IRM Rooms; EHS# 19-01-01595

Client:

01/21/2019

Lab Sample Number

Client Sample Number

Lab Gross Description

Analyzed Date: 01/17/201929931 Shadow Creek Lane West Lake OH, 44145

Narrative ID

01/14/2019

<0.25 Chrysotile%22881-419-01-02292-001 Gray Brittle A12

<0.25 Chrysotile%22881-1019-01-02292-002 Black Pliable; Adhesive A12

<0.25 Chrysotile%22881-1219-01-02292-003 Gray Brittle A12

0.75 Chrysotile%22881-1319-01-02292-004 Black Adhesive

<0.25 Chrysotile%22881-1919-01-02292-005 Gray Brittle A12

0.25 Chrysotile%22881-2319-01-02292-006 Brown/Black Adhesive

Sample Narratives:

A12: Chrysotile fibers observed but did not fall under any counted points.

Tasha Eaddy

% Asbestos

Analyst:

Reporting Limit:

Method:

Araceli Enzler

EPA Method 600/R-93/116, EPA Method 600/M4-82-020

QA/QC Clerk

Reviewed By Authorized Signatory:

0.25

LEGEND NAD = No Asbestos Detected

The condition of the samples analyzed was acceptable upon receipt per laboratory protocol unless otherwise noted on this report. Results represent the analysis of samples submitted by the client. Sample location, description, area, volume, etc., was provided by the client. This report cannot be used by the client to claim product endorsement by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without the written consent of the Environmental Hazards Service, L.L.C. California Certification #2319 NY ELAP

#11714 NVLAP #101882-0 VELAP 460172.

1 of 1Page Rev 1.0 (Revised On: 01/21/2019): Amended client sample # to read 22881-23 per clients request.

Araceli Enzler

Analyst Signature Page

Richmond, VA 23237

Telephone: 800.347.4010

Environmental Hazards Services, L.L.C.

01/21/2019

Received Date:

29931 Shadow Creek Lane West Lake OH, 44145

Client:

01/17/2019

19-01-02292

Stephen J. Sebesta & Assoc. 01/18/2019

Report Number:

Reported Date:

Analyzed Date:

36-3130Client Number:

22881; VA 3rd Floor IRM Rooms; EHS# 19-01-01595Project/Test Address:

7469 Whitepine Rd

Analyst(s)

ATTACHMENT NO. 2

Excerpts from the “Asbestos Survey Report, Main Building, Louis Stokes VA Medical Center” dated 10-29-15 prepared by Stephen J. Sebesta & Assoc., Inc.

Su m m ar y o f D at a

Lo u is S to ke s V

A M e d ic al

C e n te r, M ai n

B u ild in g

F lo o r

N o

A re a

H o m o

-g e n o u s

A re a

S u rv e y A re a /R o o

N

A re a u s e

S a m p le

N o

P h o to N o

S u s p e c t

M a te ri a l

A s b e s to s s q ft ln ft

N o

P ip e

J in ts

(e a c h

C o n d it io n

N o te s

Th ird

D D

3A

1A re st ro om

FT

N S n/ a ce ra m ic

Th ird

H 3A

1A re st ro om

D W

N

AD

n/ a w al l

Th ird

E1 3A

1A re st ro om

1-

M

B- 3-

C

T N

AD

n/ a

2x co at ed

Th ird

V5 3A

FT

(N

AD

-1 .0

0% n/ a

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" t an

Th ird

H 3A

D

W N

AD

n/ a w al l

Th ird

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D

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n/ a ce ili ng

Th ird

G

3A

IR

M

C

T N

AD

n/ a

2x fis su re d

Th ird

P 3A

IR

M

M A

N

AD

G oo d be lo w ra is ed fl oo r

Th ird

I 3A

IR

M

D M

(1 .2

5- 5%

G oo d re d

Th ird

H 3A

IR

M

D W

N

AD

n/ a

Th ird

B 3A

IR

M

W P

(N

AD

-0 .5

0% n/ a

Th ird

T8 3A

EM

S

1-

M

B- 3-

SF

N

AD

n/ a ta n

Th ird

H 3A

EM

S

D W

N

AD

n/ a w al l

Th ird

E5 3A

EM

S

C T

N

AD

n/ a 2x lig ht fi ss ur ed

Th ird

B 3A

EM

S

1-

M

B- 3-

W

P 0.

n/ a

Th ird

G

3A

IR

M

C

T N

AD

n/ a

2x fis su re d

Th ird

H 3A

IR

M

D W

N

AD

n/ a

Th ird

J 3A

IR

M

D M

N

AD

n/ a gr ey

Th ird

3A

IR

M ca rp et N

S n/ a ca rp et

Th ird

I 3A

IR

M

D M

(1 .2

5- 5%

G oo d re d

Th ird

B 3A

IR

M

W P

(N

AD

-0 .5

0% n/ a

Th ird

G

3A

5A U

PS

/B at te ry R m

C

T N

AD

n/ a

2x fis su re d

Th ird

H 3A

5A

U

PS

/B at te ry

R m

D W

N

AD

n/ a

Th ird

J 3A

5A

U

PS

/B at te ry

R m

D M

N

AD

n/ a gr ey

Th ird

3A

5A

U

PS

/B at te ry

R m co nc re te

N S n/ a co nc re te

Th ird

I 3A

5A

U

PS

/B at te ry

R m

D M

(1 .2

5- 5%

G oo d re d

Th ird

B 3A

5A

U

PS

/B at te ry

R m

W P

(N

AD

-0 .5

0% n/ a

Th ird

G

3A

5B

IR

M

C

T N

AD

n/ a

2x fis su re d

Th ird

H 3A

5B

IR

M

D W

N

AD

n/ a

Th ird

J 3A

5B

IR

M

D M

N

AD

n/ a gr ey

Th ird

V5 3A

5B

IR

M

FT

(N

AD

-1

.0 0% n/ a

"x

" t an

Th ird

P 3A

5B

IR

M

FT

M

(N

AD

-8

G oo d bl ac k

Th ird

B 3A

5B

IR

M

W P

(N

AD

-0 .5

0% n/ a

Th ird

W 3A el ec tri ca l c lo se t w oo d la m . F lo or

N

AD

n/ a

Th ird

S9 3A el ec tri ca l c lo se t

C B

N

AD

n/ a ta n

P ag e of

Su m ar y o f D at a

Lo u is S to ke s V

A M e d ic al

C e n te r, M ai n

B u ild in g

F lo o r

N o

A re a

H o m o

-g e n o u a

S u rv e y A re a /R o

A re a u s e

S a m p le

N o

P h o to N o

S u s p e c t

M a te ri a l

A s b e s to s s q ft ln ft

N o

P ip e ts

(e a c h

C o n d it io n

N o te s

Si xt h Fl oo r

H 6C of fic e

D

W N

AD

n/ a w al l

Si xt h Fl oo r

G G

6C of fic e

AW

P as su m ed

G oo d as su m ed a sb es to w al l p an el s

Si xt h Fl oo r

6C el ec tri ca l c lo se t co nc re te

N

AD

n/ a

N ot es

(1 n

/a is n ot a pp lic ab le (2

AD

is N o As be st os D et ec te d

(3

S am pl e re su lts s ho w n in p ar en th es es in di ca te th e pe rc en ta ge o f a sb es to s w as d et er m in ed b y a sa m pl e of th e ho m og en eo us m at er ia l f ro m a no th er lo ca tio n (4

S am pl es c on ta in in g le ss th an a sb es to s ar e no t c on si de re d as be st os

-c on ta in in g by U

SE

PA

b ut

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A re qu ire s sp ec ia l h an dl in g of th es e m at er ia ls

(5

M at er ia ls c on ta in in g <1 a sb es to s ar e sh ow n in g re en

(6

M at er ia ls c on ta in in g

>1 a sb es to s ar e sh ow n in re d.

G R

O U

P C

M

IS

C

EL

LA

N

EO

U

S M

AT

ER

IA

LS

C P

C ei lin g pl as te r

PI

AW

P As su m ed w al l p an el

FP

Fi pr oo fin g

PI

C

C au lk

W P

W al l p la st er

PW

C

B C ov e

Ba se

D C

TW

D uc t w ra p

C

EM

C em en t o ve r f lo or o pe ni ng

C M

C on st ru ct io n M as tic

C

ST

C ar pe t M as tic

C

ST

C ar pe t S qu ar e Ti le C

T C ei lin g Ti le D

M D uc t M as tic

D W

D ry w al l D

W M

D ry w al l & M ud

FD

Fi re

D oo r

FF

Fl oo rin g

Fe lt

FS

Fi re st op pi ng

FT

Fl oo r T ile

FT

M

Fl oo r T ile

M as tic

LC

L ab

C ou nt er to p

LC

A

La b

C ou nt er

A dh es iv e

LC

PD

Le ve lin g co m po un d

LF

L

Li gh t F ix tu re

L in er

LS

La b

Si nk

M A

M as tic

PB

Pl as te rb oa rd

PF

Po ur ed

F lo or

PL

Pl as te r

PW

Pi pe W ra p

SB

U

Si nk B as e

U nd er co at in g

SF

Sh ee t F lo or in g

TP

Tr ow el ed

P la st er

W C

W in do w

C au lk

Pi pe

In su la tio n Jo in t

Pi pe

In su la tio n Pi pe w ra p

T O

T A

L S

SU

M

M

AR

Y O

F D

AT

A

KE

Y

G R

O U

P A:

G

R O

U P

B

SU

R

FA

C

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G M

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ER

IA

LS

TH

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AL

S

YS

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SU

LA

TI

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P ag e of

ATTACHMENT NO. 3

Photographs

Photo IRM-1, Non asbestos-containing 2’x4’ fissured ceiling tile, Room 3A-133, Server room (Sample No. 22881-1)

Photo IRM-2, Non asbestos-containing drywall and mud wall, Room 3A-133, Server room (Sample No. 22881-2)

Photo IRM-3, Wall plaster containing <1% asbestos, Room 3A-133, Server room

Photo IRM-4, Wall plaster containing <1% asbestos, Room 3A-133, Server room, south wall (Sample No. 22881-3)

Photo IRM-5, Ceiling above Room 3A-133, Server Room, Looking southwest

Photo IRM-6, Wall plaster containing <1% asbestos, Room 3A-133, Server room, north end (Sample No. 22881-4)

Photo IRM-7, Room 3A-133, Server room, northeast end, looking east

Photo IRM-8, Fiberglass and PVC pipe insulation above Room 3A-133, Server Room

Photo IRM-9, Non asbestos- containing tar paper ober fiberglass pipe insulation Room 3A-133, Server room, (Sample No. 22881-5)

Photo IRM-10, Asbestos-containing black mastic below raised flooring (Sample No. 22881-7) and non asbestos-containing black mastic below floor stations (Sample No. 22881-6), Room 3A-133, Server room, southeast end

Photo IRM-11, Black mastic below floor stations containing <1% asbestos (Sample No. 22881-10), Room 3A-133, Server room, west end

(Sample No. 22881-9 not analyzed)

Photo IRM-12, Asbestos-containing black mastic below raised flooring (Sample No. 22881-7) and non asbestos-containing black mastic below floor stations (Sample No. 22881-6), Room 3A-133, Server room, southeast end

Photo IRM-13, Asbestos-containing black mastic below raised flooring and non asbestos-containing black mastic below floor stations, Room 3A-133, Server room, west end

Photo IRM-14, Asbestos-containing black mastic below non asbestos-containing 12”x12” tan floor tile, Room 3A-133, Server room, west end

Photo IRM-15, Non asbestos-containing black cove base molding and non asbestos-containing off-white adhesive mastic

(Sample No. 22881-8), Room 3A-133, Server room, west end

Photo IRM-16, Looking east at Room 3A-133, Server Room

Photo IRM-17, Looking west at Room 3A-133, Server Room

Photo IRM-18, Looking east at Room 3A-133, Server Room

Photo IRM-19, Wall plaster containing <1% asbestos, Room 3A-135C, vestibule, east wall (Sample No. 22881-12)

Photo IRM-20, Non asbestos-containing 2’x4’ light textured ceiling tiles, Room 3A-135C, vestibule (Sample No. 22881-11)

Photo IRM-21, Fiberglass and PVC pipe insulation, non asbestos-containing ceiling tiles, and wall plaster containing <1% asbestos, Room 3A-135C, vestibule

Photo IRM-22, Non asbestos-containing floor tile and mastic, Room 3A-135C, vestibule

Photo IRM-23, Non asbestos-containing 12”x12” tan floor tile and asbestos-containing black mastic in Room 3A-135B (Sample No. 22881-13) and non asbestos-containing

12”x12” floor tile and yellow mastic in Room 3A-135C (Sample No. 22881-14)

Photo IRM-24, Non asbestos-containing 2’x4’ light textured ceiling tiles, Room 3A-135C, vestibule

Photo IRM-25, Non asbestos-containing 12”x12” tan floor tile and asbestos-containing black mastic in Room 3A-135B

Photo IRM-26, Non asbestos-containing 2’x4’ fissured ceiling tiles, drywall and mud, and non asbestos-containing 12”x12” tan floor tile and asbestos-containing black mastic in Room 3A-135B

Photo IRM-27, Non asbestos-containing 2’x4’ fissured ceiling Tiles in Room 3A-135B (Sample No. 22881-15)

Photo IRM-28, Asbestos-containing black floor mastic in closet/wire shaft, east end of Room 3A-135B

Photo IRM-29, Non asbestos-containing drywall and mud wall, Room 3A-135A, battery room (Sample No. 22881-16)

Photo IRM-30, Non asbestos-containing 12red duct mastic in Room 3A-135 (Sample No. 22881-17)

Photo IRM-31, Fiberglass and PVC pipe insulation above ceiling in Room 3A-135

Photo IRM-32, Non asbestos-containing drywall and mud wall, Room 3A-135, storage room (Sample No. 22881-18)

Photo IRM-33, Wall plaster containing <1% asbestos above ceiling, Room 3A-135A, battery room (Sample No. 22881-19)

Photo IRM-34, Wall plaster containing <1% asbestos above ceiling, Room 3A-135A, battery room (Sample No. 22881-19)

Photo IRM-35, Non asbestos-containing red firestopping, Room 3A-135A, battery room (Sample No. 22881-21)

Photo IRM-36, Non asbestos-containing brown cove base molding and mastic containing <1% asbestos, Room 3A-135A, battery room (Sample No. 22881-23)

Photo IRM-37, Non asbestos-containing 2’x4’ fissured ceiling tiles, Room 3A-135A, battery room

Photo IRM-38, Non asbestos-containing 2’x4’ fissured ceiling tiles and drywall, Room 3A-135A, battery room

Photo IRM-39, Bare concrete floor, looking northeast Room 3A-135A, Battery Room

Photo IRM-40, Non asbestos-containing red duct mastic, Room 3A-135, IRM Storage room (Sample No. 22881-22)

Photo IRM-41, Non asbestos-containing 12”x12” floor tile and asbestos-containing black mastic below carpeting, Room 3A-135, IRM storage room (Sample No. 22881-24)

Photo IRM-42, Non asbestos-containing ceiling tile and drywall walls, Room 3A-135, IRM storage room

Photo IRM-43, Non asbestos-containing 12”x12” floor tile and asbestos-containing black mastic below carpeting, Room 3A-135, IRM storage room, looking northwest

Photo IRM-44, Non asbestos-containing 12”x12” floor tile and asbestos-containing black mastic below carpeting, Room 3A-135, IRM storage room (Sample No. 22881-24)

ATTACHMENT 4

Ohio Asbestos Certification for Asbestos Inspector

General Requirements 01 00 00 - 1

SECTION 01 00 00

GENERAL REQUIREMENTS

TABLE OF CONTENTS

ARTICLE TITLE PAGE

1.1 SAFETY REQUIREMENTS 2

1.2 GENERAL INTENTION 2

1.3 STATEMENT OF BID ITEM(S) 3

1.4 SPECIFICATIONS AND DRAWINGS FOR CONTRACTOR 3

1.5 CONSTRUCTION SECURITY REQUIREMENTS 3

1.6 OPERATIONS AND STORAGE AREAS 6

1.7 ON-SITE SUPERVISION COORDINATION MEETINGS 8

1.8 DISPOSAL AND RETENTION 8

1.9 RESTORATION 10

1.10 LAYOUT OF WORK 10

1.11 AS-BUILT DRAWINGS 11

1.12 USE OF ROADWAYS 11

1.13 USE OF EXISTING ELEVATORS 11

1.14 AVAILABLE TOILET FACILITIES 12

1.15 AVAILABILITY AND USE OF UTILITY SERVICES 12

1.16 TESTS 13

1.17 INSTRUCTIONS 13

1.18 GOVERNMENT-FURNISHED PROPERTY 15

1.19 RELOCATED EQUIPMENT AND ITEMS 16

ATTACHMENTS

OSHA Requirements and Safety and Health Regulations - Attachment 1

Pre-Construction Risk Assessment (PCRA) - Attachment 2

Construction Safety Poster - Cleveland VA - Attachment 3

Interim Life Safety Risk Assessment Form - Attachment 4

Contractor Safety and Security Orientation - Attachment 5

Job Safety Check Sheet - Attachment 6

01 00 00 - 2

SECTION 01 00 00

GENERAL REQUIREMENTS

1.1 RELATED REQUIREMENTS

A. Refer to Section 01 35 26, SAFETY REQUIREMENTS for safety and infection control requirements.

1.2 GENERAL INTENTION

A. Project Description: The Project will include all construction requirements shown or implied in the Drawings and Specifications that will include a phased renovation of all IT support areas and closets

B. Visits to the site by Bidders will be in accordance with FAR clause

“52.236-27 Site Visits.”

C. Offices of Perspectus Architecture and Fredrick, Fredrick and Heller

Engineers, will render certain technical services during Construction.

Such services shall be considered as advisory to the Government and shall not be construed as expressing or implying a Contractual act of the Government without affirmations by Contracting Officer or his duly authorized representative.

D. Before placement and installation of work subject to tests by testing laboratory retained and paid for by the Contractor, the Contractor shall notify the COR in sufficient time to enable testing laboratory personnel to be present at the site in time for proper taking and testing of specimens and field inspection. Such prior notice shall be not less than three work days unless otherwise designated by the COR.

E. All employees of General Contractor and Subcontractors shall comply with

VA security management program and obtain permission of the VA police, be identified by Project and employer, and restricted from unauthorized access.

1. Contractor shall designate a full-time Superintendent dedicated solely to this Project and who will be on site for the duration of the Project.

F. Prior to commencing work, General Contractor shall provide proof that a

OSHA certified “competent person” (CP) (29 CFR 1926.20 b (2) will maintain a presence at the work site whenever the General or

Subcontractors are present.

1. General Contractor shall designate a full-time Superintendent dedicated…