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Repair, Major Renovation & Addition, 389 Fighter Squadron Facility 278 Mountain Home AFB, ID 17013
W912DW18B0001
TABLE OF CONTENTS
DIVISION 00 - PROCUREMENT AND CONTRACTING REQUIREMENTS
00 31 24 ENVIRONMENTAL SAMPLING REPORT
DIVISION 01 - GENERAL REQUIREMENTS
01 00 00 GENERAL REQUIREMENTS
01 22 00.00 10 PRICE AND PAYMENT PROCEDURES
01 30 00 ADMINISTRATIVE REQUIREMENTS
01 31 13 PROJECT COORDINATION
01 32 01.00 10 PROJECT SCHEDULE
01 33 00 SUBMITTAL PROCEDURES
01 33 00-A SCHEDULE OF MATERIAL SUBMITTALS
01 35 26 GOVERNMENTAL SAFETY REQUIREMENTS
01 35 26-A WORK SHEET FOR PRELIMINARY ACCIDENT NOTIFICATION
01 35 43 ENVIRONMENTAL SPECIFICATIONS
01 42 00 SOURCES FOR REFERENCE PUBLICATIONS
01 42 13 ABBREVIATIONS AND ACRONYMS
01 45 00.00 10 QUALITY CONTROL
01 45 00.15 10 RESIDENT MANAGEMENT SYSTEM CONTRACTOR MODE (RMS CM)
01 45 35 SPECIAL INSPECTIONS, TESTS, AND OBSERVATIONS FOR STRUCTURAL SYSTEMS
01 50 00 TEMPORARY CONSTRUCTION FACILITIES AND CONTROLS
01 57 13 TEMPORARY EROSION AND SEDIMENT CONTROL
01 58 00 PROJECT IDENTIFICATION
01 58 00-A PROJECT AND SAFETY SIGNS
01 74 19 CONSTRUCTION AND DEMOLITION WASTE MANAGEMENT
01 78 00 CLOSEOUT SUBMITTALS
01 78 00-A DD FORM 1354
01 78 23 OPERATION AND MAINTENANCE DATA
01 91 14 EQUIPMENT TESTING AND FACILITY STARTUP
DIVISION 02 - EXISTING CONDITIONS
02 41 00 DEMOLITION
02 41 01 ELECTRIC UTILITIES DEMOLITION
DIVISION 03 - CONCRETE
03 30 01 REINFORCED CONCRETE
DIVISION 04 - MASONRY
04 22 00 CONCRETE UNIT MASONRY
DIVISION 05 - METALS
05 05 19 POST-INSTALLED ANCHORS
05 05 23 WELDING
05 12 00 STRUCTURAL STEEL FRAMING
05 31 00 STEEL DECKING
05 41 00 STRUCTURAL METAL STUD FRAMING
05 53 00 METAL GRATINGS
DIVISION 06 - WOOD, PLASTICS AND COMPOSITES
06 41 00 ARCHITECTURAL WOOD CASEWORK
DIVISION 07 - THERMAL AND MOISTURE PROTECTION
07 21 00 THERMAL INSULATION
07 53 23 ETHYLENE-PROPYLENE-DIENE-MONOMER ROOFING
07 62 00 SHEET METAL FLASHING AND TRIM
07 70 01 ROOF SPECIALTIES AND ACCESSORIES
07 92 00 JOINT SEALANTS
DIVISION 08 - OPENINGS
08 11 00 METAL DOORS AND FRAMES
08 11 16 ALUMINUM DOORS AND FRAMES
08 14 00 WOOD DOORS
08 41 13 ALUMINUM-FRAMED ENTRANCES AND STOREFRONTS
08 51 13 ALUMINUM WINDOWS
08 56 53 BLAST-RESISTANT TEMPERED GLASS WINDOWS
08 71 00 DOOR HARDWARE
DIVISION 09 - FINISHES
09 22 16 NONSTRUCTURAL METAL FRAMING
09 22 36 LATH AND PLASTERING
09 29 00 GYPSUM BOARD
09 30 00 TILING
09 51 23 ACOUSTICAL TILE CEILINGS
09 65 01 RESILIENT TILE FLOORING AND BASE
09 68 00 CARPETING
09 90 00 PAINTING AND COATING
DIVISION 10 - SPECIAL TIES
10 14 00 SIGNAGE
10 21 00 COMPARTMENTS AND CUBICLES
10 28 00 TOILET AND BATH ACCESSORIES
10 44 00 FIRE PROTECTION SPECIALTIES
DIVISION 12 - FURNISHINGS
12 20 00 WINDOW TREATMENTS
DIVISION 21 - FIRE SUPPRESSION
21 13 13 WET-PIPE SPRINKLER SYSTEMS
DIVISION 22 - PLUMBING
22 07 00 PLUMBING PIPING INSULATION
22 10 01 PLUMBING PIPING AND ACCESSORIES
22 10 01.01 GLASS-LINED DUCTILE IRON PIPE AND FITTINGS
22 10 01.03 CAST IRON SOIL PIPE (CISP) AND FITTINGS
22 10 01.13 COPPER TUBE AND FITTINGS—POTABLE WATER SERVICE
22 10 01.15 CARBON STEEL PIPE AND FITTINGS—GENERAL SERVICE
22 30 00 PLUMBING EQUIPMENT
22 40 00 PLUMBING FIXTURES
DIVISION 23 - HEATING, VENTILATING, AND AIR CONDITIONING
23 05 93 TESTING, ADJUSTING, AND BALANCING FOR HVAC
23 07 00 HVAC INSULATION
23 09 23 DIRECT-DIGITAL CONTROL SYSTEM FOR HVAC
23 21 13 HYDRONIC PIPING—GENERAL
23 21 13.02 CARBON STEEL PIPE AND FITTINGS—HYDRONIC WATER SERVICE
23 21 13.04 COPPER TUBE AND FITTINGS—HYDRONIC WATER SERVICE
23 21 14 HYDRONIC SPECIALTIES
23 25 00 HVAC WATER TREATMENT
23 31 13 METAL DUCTS AND ACCESSORIES
23 36 00 AIR TERMINAL UNITS
23 37 00 AIR OUTLETS AND INLETS
23 52 00 HEATING BOILERS
23 60 00 CENTRAL COOLING EQUIPMENT
23 77 00 AIR HANDLING UNITS
23 82 00 TERMINAL HEATING AND COOLING UNITS
DIVISION 26 - ELECTRICAL
26 05 02 BASIC ELECTRICAL REQUIREMENTS
26 05 04 BASIC ELECTRICAL MATERIALS AND METHODS
26 05 05 CONDUCTORS
26 05 26 GROUNDING AND BONDING FOR ELECTRICAL SYSTEMS
26 05 33 RACEWAY AND BOXES
26 05 70 ELECTRICAL SYSTEMS ANALYSIS
26 12 02 OIL-FILLED PAD MOUNTED TRANSFORMERS
26 24 16 PANELBOARDS
26 27 26 WIRING DEVICES
26 29 23 LOW-VOLTAGE ADJUSTABLE FREQUENCY DRIVE SYSTEM
26 43 00 TRANSIENT VOLTAGE SUPPRESSION
26 50 00 LIGHTING
DIVISION 27 - COMMUNICATIONS
27 00 10 GENERAL COMMUNICATIONS REQUIREMENTS
27 10 20 COMMUNICATIONS SYSTEMS TESTING
27 11 00 COMMUNICATION EQUIPMENT ROOM FITTINGS
27 15 00 COMMUNICATIONS HORIZONTAL CABLING
DIVISION 28 - ELECTRONIC SAFETY AND SECURITY
28 13 70 ACCESS CONTROL, INTRUSION DETECTION, AND SURVEILLANCE SYSTEM
28 31 00 FIRE DETECTION, ALARM, AND MASS NOTIFICATION SYSTEMS
DIVISION 31 - EARTHWORK
31 10 00 SITE CLEARING
31 23 13 SUBGRADE PREPARATION
31 23 16 EXCAVATION
31 23 23 FILL AND BACKFILL
31 23 23.15 TRENCH BACKFILL
DIVISION 32 - EXTERIOR IMPROVEMENTS
32 11 23 AGGREGATE BASE COURSES
32 12 16 ASPHALT PAVING
32 13 13 CONCRETE PAVING
32 16 00 CURBS AND GUTTERS
32 17 23 PAVEMENT MARKINGS
32 31 13 CHAIN LINK FENCES AND GATES
32 84 23 LANDSCAPE IRRIGATION SYSTEMS
32 91 13 SOIL PREPARATION
32 92 00 TURF AND GRASSES
DIVISION 33 - UTILITIES
33 05 01.09 POLYVINYL CHLORIDE (PVC) PRESSURE PIPE AND FITTINGS
33 05 23.13 UTILITY HORIZONTAL DIRECTIONAL BORING AND JACKING
33 13 00 DISINFECTION OF WATER UTILITY DISTRIBUTION FACILITIES
33 41 01.03 POLYVINYL CHLORIDE (PVC) DATA SHEET
F in a l I nsp ec t i o n Rep or t
Environmental Sampling Report Building 278
Mountain Home AFB, Idaho
Prepared for
Mountain Home AFB, Idaho
May 2017
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Contents
Section Page
Environmental Inspection
Asbestos Building Inspection
Lead-Based Paint Building Inspection
Pesticides
Mercury, PCBs, and Refrigerants
Results
Asbestos
Lead-Based Paint
Pesticides
Mercury, PCBs, and Refrigerants
Appendixes
A Asbestos and Lead-Based Paint Building Inspector Certificates B Pictures C Facility Diagrams and Sampling Locations D Laboratory Accreditations E Laboratory Results and COCs
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Environmental Inspection
On December 14, 2016, Michael Wirtz performed an environmental inspection on Building 278 for the presence of asbestos containing building materials (ACBM), lead-based paint (LBP), pesticides in soils potentially impacted by the planned renovation, and sources of mercury, polychlorinated biphenyls (PCBs) and refrigerants. Mr. Wirtz is a trained and certified AHERA Building Inspector and United State Environmental Protection Agency (USEPA) certified lead based paint building inspector (see Appendix A).
A server room inside Building 278 was locked and the building custodian did not have access. No inspections were completed inside this room. If any new building materials are discovered within this room not prior sampled as part of the building inspection, additional samples may be required. However, based on the continuity of building materials present throughout the building, it is unlikely something different is present.
Asbestos Building Inspection
During the asbestos inspection, Mr. Wirtz performed a visual inspection of the Building 278 to identify any suspect ACBM. The inspection include flooring materials and mastics, wall materials, and insulations (pipe wrap). The inspection did not include inspection of the roof, however, the roofing material is metal sheeting. A total of thirty-three (33) bulk samples were collected, representing one homogeneous sampling area. Homogeneous sampling areas are areas containing building materials of similar color, texture, and appearance with a common construction area. The asbestos building inspection was performed in accordance with the USEPA Guidance for Controlling Asbestos-Containing Materials in Buildings (EPA 560/5-85/024, June 1985). The bulk samples collected for the presence of asbestos included flooring materials, glues/mastics, pipe insulation, window caulking, and miscellaneous building materials found within the house.
Bulk samples of suspect ACBM were collected using sampling methods to reduce the risk of dust. Each sample was assigned a unique sample identification based on the homogeneous sampling material and sample number. The location of each sample was logged onto a facility diagram, and a photograph was taken of each suspect building material (Appendix B). Each sample was placed into a clean plastic bag with the sample identification written on the outside of the bag. A diagram showing the approximate location of each suspect ACBM sample collected is included in Appendix C.
All suspect ACBM samples were sent to TestAmerica Laboratory in Nashville, TN (TestAmerica) for analysis along with a Chain-of-Custody (COC). TestAmerica is a National Voluntary Laboratory Accreditation Program (NVLAP) accredited asbestos laboratory.
Laboratory accreditations are provided in Appendix D. Samples were analyzed using polarized light microscopy (PLM), EPA Method 600/R-93/116.
Lead-Based Paint Building Inspection
A LBP inspection was conducted on Building 278 utilizing a modified assessment plan following the U.S. Department of Housing and Urban Development (HUD) Guidelines for the Evaluation and Control of Lead-Based Paint Hazards in Housing (1995 and 1997 Revision). The LBP inspection was limited to the building structure only. Twenty-five (25) physical
Repair, Major Renovation & Addition, 389 Fighter Squadron Facility 278
W912DW18B0001 00 31 24 Page 5 samples of each homogeneous sampling area were collected. Homogeneous sampling areas are areas containing building materials of similar color, texture, and appearance with a common construction area.
Bulk samples of suspect LBP were collected with a cutter or other tool, as appropriate. Each paint sample was assigned a unique sample identification number. The location of each paint sample was logged onto a facility diagram, and a photograph was taken of each suspect painted building material (Appendix B). Each paint sample was placed into a clean plastic bag with the sample identification written on the outside of the bag. Facility diagrams showing the approximate location of each suspect paint sample collected are included in Appendix C.
All suspect LBP samples were sent to TestAmerica Laboratory in Nashville, TN (TestAmerica) for analysis along with a Chain-of-Custody (COC). Samples were analyzed using EPA Method SW 846 6010B.
Pesticides
A single sub-surface soil sample was collected within the area of the planned expansion of Building 278 and analyzed for pesticides. A hole was dug down to 24-inches below ground surface. A sample was then collected by scraping the side of the hole the entire depth.
Photographs of the hole are provided in Appendix B. A facility diagram showing the location of the hole is provided in Appendix C.
The pesticide sample was sent to TestAmerica Laboratory in Nashville, TN (TestAmerica) for analysis along with a Chain-of-Custody (COC). Samples were analyzed using EPA Method 8081.
Mercury, PCBs, and Refrigerants
During the walk-around of Building 278, Mr. Wirtz also looked for sources of mercury (thermostats and lighting), PCBs (light ballasts), and refrigerants. Inspecting for mercury included removing the face plates of thermostats and looking for mercury ampule. In addition, looking at fluorescent lights to identify if the manufacturer included any indication on the lights if they contain mercury (Hg) or not. PCBs are routinely found in lighting ballasts, however, taking apart lights was not allowed. Finally, refrigerants can be found in air conditioning equipment and refrigerators.
At least five thermostats were exposed by removing the face plate, none contain mercury and many were digital.
In total, approximately 420 fluorescent light bulbs were counted within Building 278. The majority of the fluorescent light bulbs inspected were either manufactured by Phillips or General Electric (GE) and were labeled as containing mercury (Hg). If a fluorescent light bulb is found and the label does not indicate whether it does or does not contain mercury, it should be assumed to contain mercury.
An assumption was made that every fluorescent light bulb pair has an associated ballast.
Based on previous inspections where taking apart lights was allowed, the majority of the light ballasts included indication on the face plate of either containing PCBs or not by the
Repair, Major Renovation & Addition, 389 Fighter Squadron Facility 278
W912DW18B0001 00 31 24 Page 6 manufacturer. When removing light ballasts for disposal/recycling, any ballast that either lists as containing PCBs or has no indication, should be treated as containing PCBs.
Building 278 has a street level electric air conditioning system located outside the mechanical room within a fenced enclosure. There was no indication as to what the chemical used within the system for cooling. In addition standard refrigerators recently purchased by the building custodian were installed in the break room.
Results
Asbestos
All thirty three of the asbestos samples collected were reported as Non-Detect (ND) for the presence of asbestos. Laboratory results and COCs are included in Appendix E.
Lead-Based Paint
The U.S. Department of Housing and Urban Development (HUD) has defined lead-based paint as any paint, varnish, shellac or other coating that contains lead equal to or greater than 1.0 mg/cm2 as measured by x-ray fluorescence or laboratory analysis, or 0.5 percent by weight (5,000 mg/kg) as measured by laboratory analysis. Laboratory results and COCs are included in Appendix E.
One sample exceeded the 5,000 mg/kg standard. A single red pressure tank in the mechanical room (Sample ID 278-LBP-V) has lead detected at 36,300 mg/kg.
In addition, the red roofing support in the air plenum throughout the building has lead levels below the regulatory standard of 5,000 mg/kg, but high enough to be made aware of.
The red roofing support (Sample ID 278-LBP-J) has lead detected at 2,070 mg/kg. Any work that could impact the red roofing structure causing a release (welding or grinding) should be done so by first removing the paint.
Pesticides
All pesticides reported under EPA method 8081 were Non-Detect (ND). Laboratory results and COCs are included in Appendix E.
Mercury, PCBs, and Refrigerants
There was no evidence of mercury in thermostats throughout Building 278.
All 420 of the fluorescent light tubes should be considered to be mercury containing.
Approximately 210 light ballasts are present within Building 278. Unless indicated on the manufacturer label, all should be considered to be PCB containing.
Based on the age of the refrigerators located within Building 278, it is unlikely any carcinogenic refrigerants are within the cooling systems of the refrigerators.
Repair, Major Renovation & Addition, 389 Fighter Squadron Facility 278
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Appendix A
Asbestos and Lead-Based Paint Building Inspector Certificates
Repair, Major Renovation & Addition, 389 Fighter Squadron Facility 278
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Appendix B
Pictures
Repair, Major Renovation & Addition, 389 Fighter Squadron Facility 278
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BUILDING 278 PHOTO LOG
APPENDIX B CH2M HILL, INC 1
Photo 1 - AS01, AS03 - Wall Carpet (fiberglass wall board)
Photo 2 – AS05, AS15, AS23, AS27 - Drywall (typical)
W912DW18B0001 00 31 24 Page 17
2 CH2M HILL, INC APPENDIX B
Photo 3 – AS04 - Grey Cove, LBP E - Grey Cove, LBP I - White Wall
Photo 4 – AS06 - Blue Carpet
W912DW18B0001 00 31 24 Page 18
APPENDIX B CH2M HILL, INC 3
Photo 5 – AS07 - 24 2’ x 2’ Ceiling Tile
Photo 6 – AS08 - Newer Insulation (left side), AS06B - Older Insulation (right side), AS07B - Duct
Insulation (fiberglass – bottom), LBP J - Red Roof Support Structure
Repair, Major Renovation & Addition, 389 Fighter Squadron Facility 278
W912DW18B0001 00 31 24 Page 19
4 CH2M HILL, INC APPENDIX B
Photo 7 – AS09 - 12” x 12” Ceramic Tile
Photo 8 – AS11, AS12 - 12” x 12” Brown Tile, AS13 - Lt Brown Cove, LBP M - Lt Brown Cove
W912DW18B0001 00 31 24 Page 20
APPENDIX B CH2M HILL, INC 5
Photo 9 – AS19 - Black 12” x 12” Tile, AS20 - Black Cove, LBP Q - Black Paint, LBP R - Black Cove
Photo 10 – AS12B - Grey Linoleum, AS16 - Blue Cove, LBP L - Blue Cove
W912DW18B0001 00 31 24 Page 21
6 CH2M HILL, INC APPENDIX B
Photo 11 – AS25 - Duct Tape, AS26 - Rubber Pipe Wrap
Photo 12 – AS28, AS29, AS30 - Fiberglass Pipe Wrap
W912DW18B0001 00 31 24 Page 22
APPENDIX B CH2M HILL, INC 7
Photo 13 – LBP S - Brown Bay Door
Photo 14 – LBP T – Grey Concrete Floor
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8 CH2M HILL, INC APPENDIX B
Photo 15 – LBP U - Grey Metal Door
Photo 16 – LBP V - Red Pressure Tank
W912DW18B0001 00 31 24 Page 24
APPENDIX B CH2M HILL, INC 9
Photo 17 – LBP X – Exterior Brown Door
Photo 18 – Potential Pesticides Sample Hole (24-inches deep)
Repair, Major Renovation & Addition, 389 Fighter Squadron Facility 278
W912DW18B0001 00 31 24 Page 25
10 CH2M HILL, INC APPENDIX B
Photo 19 – Potential Pesticides Sample Hole
Photo 20 – Typical Thermostat (electric)
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Appendix C
Facility Diagrams and Sampling Locations
Repair, Major Renovation & Addition, 389 Fighter Squadron Facility 278
W912DW18B0001 00 31 24 Page 27
W912DW18B0001 00 31 24 Page 28
LOUNGE
WPNS PCATDS/LIBRARY
ASM
DOMP/
DESK
WDO
TAPE REVIEW
MSN PLANNING
HALL
DOS/DOT
ADO DO
4 SHIP 4 SHIP
COMM
DON
COMM
REVIEW
TAPE
VEST.
WOMEN
DUTY
DESK
DUTY
JAN
HALL
ROOM
CONF.
MBR
COMP CLASS
INT CAFE
DOM/AFE SNACKO GYM
VEST.
STORAGE
DOG, DOV
ENCLOSURE
MECH
DOG
MEN
LIFE SUPPORT LOCKER AREA
CC CCE DOV/SE CC
FLT
A
CC
FLT
B
CC
FLT
C
CC
FLT
D
VEST
MANTRAP
' CH2M HILL
3/32"=1’-0"
N
PLAN TRUE
N
ASBESTOS SAMPLE LOCATION
LEGEND:
NO ACCESS TO ROOMS
BLDG 278 - ASBESTOS SAMPLE LOCATIONS
6 7
3 4
11 12 13
33 36 38 40 44
42 434139373534
24 25
20 19
25, 26
29, 30
27, 28, 17, 18
21,22
19, 20
14, 15
11, 13, 04, 05
12B
12, 16
06B, 07B
06, 07, 08
1 2 3 4
A
B
E
C
D
2.41.31
Repair, Major Renovation & Addition, 389 Fighter Squadron Facility 278
W912DW18B0001 00 31 24 Page 29
W912DW18B0001 00 31 24 Page 30
LOUNGE
WPNS PCATDS/LIBRARY
ASM
DOMP/
DESK
WDO
TAPE REVIEW
MSN PLANNING
HALL
DOS/DOT
ADO DO
4 SHIP 4 SHIP
COMM
DON
COMM
REVIEW
TAPE
VEST.
WOMEN
DUTY
DESK
DUTY
JAN
HALL
ROOM
CONF.
MBR
COMP CLASS
INT CAFE
DOM/AFE SNACKO GYM
VEST.
STORAGE
DOG, DOV
ENCLOSURE
MECH
DOG
MEN
LIFE SUPPORT LOCKER AREA
CC CCE DOV/SE CC
FLT
A
CC
FLT
B
CC
FLT
C
CC
FLT
D
VEST
MANTRAP
' CH2M HILL
3/32"=1’-0"
N
PLAN TRUE
N
LEGEND:
NO ACCESS TO ROOMS
BLDG 278 - LEAD PAINT SAMPLING LOCATIONS
LEAD PAINT SAMPLING LOCATION
6 7
3 4
11 12 13
33 36 38 40 44
42 434139373534
24 25
20 19
S
L
T
H
C
I
G
J
YK
A
F
C B
X
O, P
V, W
M
D, E
Q, R
PESTICIDE
PESTICIDE SAMPLING LOCATION
1 2 3 4
A
B
E
C
D
2.41.31
Repair, Major Renovation & Addition, 389 Fighter Squadron Facility 278
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Appendix D
Laboratory Accreditations
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Appendix E
Laboratory Results and COCs
Repair, Major Renovation & Addition, 389 Fighter Squadron Facility 278
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ANALYTICAL REPORT
TestAmerica Laboratories, Inc.
TestAmerica Nashville 2960 Foster Creighton Drive Nashville, TN 37204 Tel: (615)726-0177
TestAmerica Job ID: 490-118828-1 Client Project/Site: MHAFB Building 278
For:
CH2M Hill, Inc.
322 E. Front St.
Suite 200 Boise, Idaho 83702
Attn: Mike Wirtz
Authorized for release by:
12/28/2016 3:28:58 PM
Roxanne Cisneros, Senior Project Manager (615)301-5761 roxanne.cisneros@testamericainc.com
The test results in this report meet all 2003 NELAC and 2009 TNI requirements for accredited parameters, exceptions are noted in this report. This report may not be reproduced except in full, and with written approval from the laboratory. For questions please contact the Project Manager at the e-mail address or telephone number listed on this page.
This report has been electronically signed and authorized by the signatory. Electronic signature is intended to be the legally binding equivalent of a traditionally handwritten signature.
Results relate only to the items tested and the sample(s) as received by the laboratory.
Repair, Major Renovation & Addition, 389 Fighter Squadron Facility 278 Mountain Home AFB, ID 17013
W912DW18B0001 00 31 24 Page 41 https://secure.testamericainc.com/TotalAccess/login.aspx http://www.testamericainc.com/AskTheExpert/Expert_index.htm http://www.testamericainc.com mailto:roxanne.cisneros@testamericainc.com
Table of Contents
Client: CH2M Hill, Inc.
Project/Site: MHAFB Building 278
TestAmerica Job ID: 490-118828-1
TestAmerica Nashville
12/28/2016
Cover Page
Table of Contents
Sample Summary
Case Narrative
Definitions
Method Summary
Certification Summary
Subcontract Data
Chain of Custody
Receipt Checklists
Repair, Major Renovation & Addition, 389 Fighter Squadron Facility 278
W912DW18B0001 00 31 24 Page 42
Sample Summary TestAmerica Job ID: 490-118828-1Client: CH2M Hill, Inc.
Project/Site: MHAFB Building 278
Lab Sample ID Client Sample ID ReceivedCollectedMatrix
490-118828-1 278-AS-01 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-2 278-AS-02 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-3 278-AS-03 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-4 278-AS-04 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-5 278-AS-05 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-6 278-AS-06 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-7 278-AS-07 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-8 278-AS-08 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-9 278-AS-09 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-10 278-AS-10 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-11 278-AS-11 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-13 278-AS-13 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-14 278-AS-14 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-15 278-AS-15 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-16 278-AS-16 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-17 278-AS-17 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-18 278-AS-18 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-19 278-AS-19 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-20 278-AS-20 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-21 278-AS-21 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-22 278-AS-22 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-23 278-AS-23 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-24 278-AS-24 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-25 278-AS-25 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-26 278-AS-26 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-27 278-AS-27 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-28 278-AS-28 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-29 278-AS-29 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-30 278-AS-30 Solid 12/13/16 00:00 12/21/16 10:35
490-118828-31 278-AS-06B Solid 12/13/16 00:00 12/21/16 10:35
490-118828-32 278-AS-07B Solid 12/13/16 00:00 12/21/16 10:35
490-118828-33 278-AS-12B Solid 12/13/16 00:00 12/21/16 10:35
TestAmerica Nashville
Page 3 of 25 12/28/2016
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W912DW18B0001 00 31 24 Page 43
Case Narrative Client: CH2M Hill, Inc. TestAmerica Job ID: 490-118828-1 Project/Site: MHAFB Building 278
Job ID: 490-118828-1
Laboratory: TestAmerica Nashville
Narrative
Job Narrative 490-118828-1
Comments No additional comments.
Receipt The samples were received on 12/21/2016 10:35 AM; the samples arrived in good condition, properly preserved and, where required, on ice. The temperature of the cooler at receipt was 1.3º C.
Receipt Exceptions The following sample was submitted for analysis; however, it was not listed on the Chain-of-Custody (COC): 278-AS-10 (490-118828-10)
The following sample was listed on the Chain of Custody (COC); however, no sample was received: 278-AS-12 (490-118828-34).
No additional analytical or quality issues were noted, other than those described above or in the Definitions/Glossary page.
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Definitions/Glossary
Project/Site: MHAFB Building 278
Glossary
These commonly used abbreviations may or may not be present in this report.
¤ Listed under the "D" column to designate that the result is reported on a dry weight basis
Abbreviation
%R Percent Recovery
CFL Contains Free Liquid
CNF Contains no Free Liquid
DER Duplicate error ratio (normalized absolute difference)
Dil Fac Dilution Factor
DL, RA, RE, IN Indicates a Dilution, Re-analysis, Re-extraction, or additional Initial metals/anion analysis of the sample
DLC Decision level concentration
MDA Minimum detectable activity
EDL Estimated Detection Limit
MDC Minimum detectable concentration
MDL Method Detection Limit
ML Minimum Level (Dioxin)
NC Not Calculated
ND Not detected at the reporting limit (or MDL or EDL if shown)
PQL Practical Quantitation Limit
QC Quality Control
RER Relative error ratio
RL Reporting Limit or Requested Limit (Radiochemistry)
RPD Relative Percent Difference, a measure of the relative difference between two points
TEF Toxicity Equivalent Factor (Dioxin)
TEQ Toxicity Equivalent Quotient (Dioxin)
TestAmerica Nashville
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Method Summary
Project/Site: MHAFB Building 278
Method Method Description LaboratoryProtocol
NONESubcontract -
Asbestos
General Sub Contract Method EMLab FL
Protocol References:
NONE = NONE
Laboratory References:
EMLab FL = EMLab P&K - Fort Lauderdale, 6301 NW 5th Way, Suite 2850, Fort Lauderdale, FL 33309, TEL (954)776-8400
TestAmerica Nashville
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Certification Summary Client: CH2M Hill, Inc. TestAmerica Job ID: 490-118828-1 Project/Site: MHAFB Building 278
Laboratory: TestAmerica Nashville The certifications listed below are applicable to this report.
Authority Program EPA Region Certification ID Expiration Date
Utah TN000328NELAP 07-31-17
Laboratory: EMLab P&K - Fort Lauderdale All certifications held by this laboratory are listed. Not all certifications are applicable to this report.
Authority Program EPA Region Certification ID Expiration Date
AIHA-LAP, LLC 173067EMLAP 03-01-18
AIHA-LAP, LLC IHLAP 173067 03-01-18
TestAmerica Nashville
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Approved by:
Approved Signatory Tracy Garcia
Report for:
Ms. Roxanne Cisneros TestAmerica-Nashville, TN 2960 Foster Creighton Drive Nashville, TN 37204
Regarding: Project: 490-118828-1; MHAFB Building 278
EML ID: 1652044
All samples were received in acceptable condition unless noted in the Report Comments portion in the body of the report. The results relate only to the items tested. The results include an inherent uncertainty of measurement associated with estimating percentages by polarized light microscopy. Measurement uncertainty data for sample results with >1% asbestos concentration can be provided when requested.
EMLab P&K ("the Company") shall have no liability to the client or the client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall the Company be liable to the client with respect to the Test Results except for the Company's own willful misconduct or gross negligence nor shall the Company be liable for incidental or consequential damages or lost profits or revenues to the fullest extent such liability may be disclaimed by law, even if the Company has been advised of the possibility of such damages, lost profits or lost revenues. In no event shall the Company's liability with respect to the Test Results exceed the amount paid to the Company by the client therefor.
Dates of Analysis:
Asbestos PLM: 12-28-2016
Service SOPs: Asbestos PLM (EPA Methods 600/R-93/116 & 600/M4-82-020, SOP EM-AS-S-1267)
EMLab ID: 1652044, Page 1 of 9EMLab P&K, LLC
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EMLab P&K 6500 McDonough Dr, Suite C-10, Norcross, GA 30093
(866) 871-1984 Fax (954) 776-8485 www.emlab.com
Client: TestAmerica-Nashville, TN C/O: Ms. Roxanne Cisneros Re: 490-118828-1; MHAFB Building 278
Date of Sampling: 12-13-2016 Date of Receipt: 12-23-2016 Date of Report: 12-28-2016
ASBESTOS PLM REPORT: EPA-600/M4-82-020 & EPA METHOD 600/R-93-116
Total Samples Submitted: 32 Total Samples Analyzed: 32
Total Samples with Layer Asbestos Content > 1%: 0
Location: 278-AS-01, 490-118828-1 Lab ID-Version‡: 7691256-1
Sample Layers Asbestos Content Light Gray Carpet ND
Composite Non-Asbestos Content: 95% Synthetic Fibers Sample Composite Homogeneity: Good
Location: 278-AS-02, 490-118828-2 Lab ID-Version‡: 7691257-1
Sample Layers Asbestos Content Beige Floor Tile ND Yellow Adhesive ND
Multicolored Fibrous Material ND Composite Non-Asbestos Content: 5% Cellulose
3% Hair/Wool 3% Synthetic Fibers
Sample Composite Homogeneity: Moderate
Location: 278-AS-03, 490-118828-3 Lab ID-Version‡: 7691258-1
Sample Layers Asbestos Content Light Gray Carpet ND
Composite Non-Asbestos Content: 95% Synthetic Fibers Sample Composite Homogeneity: Good
Location: 278-AS-04, 490-118828-4 Lab ID-Version‡: 7691259-1
Sample Layers Asbestos Content Gray Baseboard ND
Yellow Adhesive / Brown Woven Material ND Brown Fibrous Material ND
Composite Non-Asbestos Content: 35% Cellulose 15% Synthetic Fibers 10% Mineral Wool
Sample Composite Homogeneity: Poor
EMLab ID: 1652044, Page 2 of 9EMLab P&K, LLC
The test report shall not be reproduced except in full, without written approval of the laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the federal government. EMLab P&K reserves the right to dispose of all samples after a period of thirty (30) days, according to all state and federal guidelines, unless otherwise specified.
Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually. ND means no fibers were detected. When detected, the minimum detection and reporting limit is less than 1% unless point counting is performed. Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification.
‡ A "Version" indicated by -"x" after the Lab ID# with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of "x".
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(866) 871-1984 Fax (954) 776-8485 www.emlab.com
Client: TestAmerica-Nashville, TN C/O: Ms. Roxanne Cisneros Re: 490-118828-1; MHAFB Building 278
Date of Sampling: 12-13-2016 Date of Receipt: 12-23-2016 Date of Report: 12-28-2016
ASBESTOS PLM REPORT: EPA-600/M4-82-020 & EPA METHOD 600/R-93-116
Location: 278-AS-05, 490-118828-5 Lab ID-Version‡: 7691260-1
Sample Layers Asbestos Content Tan Ceiling Tile ND
Composite Non-Asbestos Content: 35% Cellulose 20% Mineral Wool
Sample Composite Homogeneity: Good
Location: 278-AS-06, 490-118828-6 Lab ID-Version‡: 7691261-1
Sample Layers Asbestos Content Multicolored Carpet ND Light Gray Adhesive ND
Composite Non-Asbestos Content: 80% Synthetic Fibers Sample Composite Homogeneity: Good
Location: 278-AS-07, 490-118828-7 Lab ID-Version‡: 7691262-1
Sample Layers Asbestos Content Gray Ceiling Tile with Brown Surface ND
Composite Non-Asbestos Content: 30% Cellulose 25% Mineral Wool
Sample Composite Homogeneity: Good
Location: 278-AS-08, 490-118828-8 Lab ID-Version‡: 7691263-1
Sample Layers Asbestos Content Yellow Insulation ND
Composite Non-Asbestos Content: 99% Mineral Wool Sample Composite Homogeneity: Good
EMLab ID: 1652044, Page 3 of 9EMLab P&K, LLC
The test report shall not be reproduced except in full, without written approval of the laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the federal government. EMLab P&K reserves the right to dispose of all samples after a period of thirty (30) days, according to all state and federal guidelines, unless otherwise specified.
Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually. ND means no fibers were detected. When detected, the minimum detection and reporting limit is less than 1% unless point counting is performed. Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification.
‡ A "Version" indicated by -"x" after the Lab ID# with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of "x".
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(866) 871-1984 Fax (954) 776-8485 www.emlab.com
Client: TestAmerica-Nashville, TN C/O: Ms. Roxanne Cisneros Re: 490-118828-1; MHAFB Building 278
Date of Sampling: 12-13-2016 Date of Receipt: 12-23-2016 Date of Report: 12-28-2016
ASBESTOS PLM REPORT: EPA-600/M4-82-020 & EPA METHOD 600/R-93-116
Location: 278-AS-09, 490-118828-9 Lab ID-Version‡: 7691264-1
Sample Layers Asbestos Content Multicolored Ceramic Tile ND
Composite Non-Asbestos Content: < 1% Cellulose Sample Composite Homogeneity: Good
Location: 278-AS-10, 490-118828-10 Lab ID-Version‡: 7691265-1
Sample Layers Asbestos Content Tan Floor Tile ND Brown Mastic ND
Composite Non-Asbestos Content: < 1% Cellulose Sample Composite Homogeneity: Good
Location: 278-AS-11, 490-118828-11 Lab ID-Version‡: 7691266-1
Sample Layers Asbestos Content Tan Floor Tile ND
Orange Adhesive ND Composite Non-Asbestos Content: < 1% Cellulose Sample Composite Homogeneity: Good
Location: 278-AS-13, 490-118828-13 Lab ID-Version‡: 7691268-1
Sample Layers Asbestos Content Brown Baseboard ND
Yellow Adhesive / White Paint ND Brown Tape ND
Composite Non-Asbestos Content: 20% Cellulose Sample Composite Homogeneity: Moderate
EMLab ID: 1652044, Page 4 of 9EMLab P&K, LLC
The test report shall not be reproduced except in full, without written approval of the laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the federal government. EMLab P&K reserves the right to dispose of all samples after a period of thirty (30) days, according to all state and federal guidelines, unless otherwise specified.
Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually. ND means no fibers were detected. When detected, the minimum detection and reporting limit is less than 1% unless point counting is performed. Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification.
‡ A "Version" indicated by -"x" after the Lab ID# with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of "x".
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(866) 871-1984 Fax (954) 776-8485 www.emlab.com
Client: TestAmerica-Nashville, TN C/O: Ms. Roxanne Cisneros Re: 490-118828-1; MHAFB Building 278
Date of Sampling: 12-13-2016 Date of Receipt: 12-23-2016 Date of Report: 12-28-2016
ASBESTOS PLM REPORT: EPA-600/M4-82-020 & EPA METHOD 600/R-93-116
Location: 278-AS-14, 490-118828-14 Lab ID-Version‡: 7691269-1
Sample Layers Asbestos Content White Compound with Tan Paint ND
Sample Composite Homogeneity: Good
Location: 278-AS-15, 490-118828-15 Lab ID-Version‡: 7691270-1
Sample Layers Asbestos Content White Drywall with Brown Paper ND
Composite Non-Asbestos Content: 20% Cellulose < 1% Glass Fibers < 1% Vermiculite
Sample Composite Homogeneity: Moderate
Location: 278-AS-16, 490-118828-16 Lab ID-Version‡: 7691271-1
Sample Layers Asbestos Content Blue Baseboard ND
Yellow Adhesive / Tan Paint ND Brown Tape ND
Composite Non-Asbestos Content: 12% Cellulose Sample Composite Homogeneity: Moderate
Location: 278-AS-17, 490-118828-17 Lab ID-Version‡: 7691272-1
Sample Layers Asbestos Content Tan Ceramic Tile ND
Sample Composite Homogeneity: Good
EMLab ID: 1652044, Page 5 of 9EMLab P&K, LLC
The test report shall not be reproduced except in full, without written approval of the laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the federal government. EMLab P&K reserves the right to dispose of all samples after a period of thirty (30) days, according to all state and federal guidelines, unless otherwise specified.
Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually. ND means no fibers were detected. When detected, the minimum detection and reporting limit is less than 1% unless point counting is performed. Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification.
‡ A "Version" indicated by -"x" after the Lab ID# with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of "x".
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(866) 871-1984 Fax (954) 776-8485 www.emlab.com
Client: TestAmerica-Nashville, TN C/O: Ms. Roxanne Cisneros Re: 490-118828-1; MHAFB Building 278
Date of Sampling: 12-13-2016 Date of Receipt: 12-23-2016 Date of Report: 12-28-2016
ASBESTOS PLM REPORT: EPA-600/M4-82-020 & EPA METHOD 600/R-93-116
Location: 278-AS-18, 490-118828-18 Lab ID-Version‡: 7691273-1
Sample Layers Asbestos Content Tan Ceramic Tile ND
Sample Composite Homogeneity: Good
Location: 278-AS-19, 490-118828-19 Lab ID-Version‡: 7691274-1
Sample Layers Asbestos Content Black Floor Tile ND
Sample Composite Homogeneity: Good
Location: 278-AS-20, 490-118828-20 Lab ID-Version‡: 7691275-1
Sample Layers Asbestos Content Black Baseboard ND Yellow Adhesive ND
White Compound with Black Paint ND Sample Composite Homogeneity: Moderate
Location: 278-AS-21, 490-118828-21 Lab ID-Version‡: 7691276-1
Sample Layers Asbestos Content Beige Floor Tile ND Yellow Adhesive ND
Composite Non-Asbestos Content: < 1% Cellulose Sample Composite Homogeneity: Good
EMLab ID: 1652044, Page 6 of 9EMLab P&K, LLC
The test report shall not be reproduced except in full, without written approval of the laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the federal government. EMLab P&K reserves the right to dispose of all samples after a period of thirty (30) days, according to all state and federal guidelines, unless otherwise specified.
Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually. ND means no fibers were detected. When detected, the minimum detection and reporting limit is less than 1% unless point counting is performed. Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification.
‡ A "Version" indicated by -"x" after the Lab ID# with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of "x".
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(866) 871-1984 Fax (954) 776-8485 www.emlab.com
Client: TestAmerica-Nashville, TN C/O: Ms. Roxanne Cisneros Re: 490-118828-1; MHAFB Building 278
Date of Sampling: 12-13-2016 Date of Receipt: 12-23-2016 Date of Report: 12-28-2016
ASBESTOS PLM REPORT: EPA-600/M4-82-020 & EPA METHOD 600/R-93-116
Location: 278-AS-22, 490-118828-22 Lab ID-Version‡: 7691277-1
Sample Layers Asbestos Content Beige Floor Tile ND Yellow Adhesive ND
Multicolored Fibrous Material ND Composite Non-Asbestos Content: 5% Cellulose
3% Cotton 2% Hair/Wool
Sample Composite Homogeneity: Moderate
Location: 278-AS-23, 490-118828-23 Lab ID-Version‡: 7691278-1
Sample Layers Asbestos Content White Compound with Brown Paint ND White Drywall with Brown Paper ND
Composite Non-Asbestos Content: 20% Cellulose Sample Composite Homogeneity: Moderate
Location: 278-AS-24, 490-118828-24 Lab ID-Version‡: 7691279-1
Sample Layers Asbestos Content Gray Ceiling Tile with Brown Surface ND
Composite Non-Asbestos Content: 30% Cellulose 25% Mineral Wool
Sample Composite Homogeneity: Good
Location: 278-AS-25, 490-118828-25 Lab ID-Version‡: 7691280-1
Sample Layers Asbestos Content White Woven Material with Green Paint ND
Composite Non-Asbestos Content: 40% Synthetic Fibers 20% Cotton
Sample Composite Homogeneity: Moderate
EMLab ID: 1652044, Page 7 of 9EMLab P&K, LLC
The test report shall not be reproduced except in full, without written approval of the laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the federal government. EMLab P&K reserves the right to dispose of all samples after a period of thirty (30) days, according to all state and federal guidelines, unless otherwise specified.
Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually. ND means no fibers were detected. When detected, the minimum detection and reporting limit is less than 1% unless point counting is performed. Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification.
‡ A "Version" indicated by -"x" after the Lab ID# with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of "x".
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(866) 871-1984 Fax (954) 776-8485 www.emlab.com
Client: TestAmerica-Nashville, TN C/O: Ms. Roxanne Cisneros Re: 490-118828-1; MHAFB Building 278
Date of Sampling: 12-13-2016 Date of Receipt: 12-23-2016 Date of Report: 12-28-2016
ASBESTOS PLM REPORT: EPA-600/M4-82-020 & EPA METHOD 600/R-93-116
Location: 278-AS-26, 490-118828-26 Lab ID-Version‡: 7691281-1
Sample Layers Asbestos Content Green Foam ND
Sample Composite Homogeneity: Moderate
Location: 278-AS-27, 490-118828-27 Lab ID-Version‡: 7691282-1
Sample Layers Asbestos Content White Compound ND
White Woven Material ND White Drywall with Brown Paper ND
Composite Non-Asbestos Content: 12% Cellulose 4% Glass Fibers
Sample Composite Homogeneity: Moderate
Location: 278-AS-28, 490-118828-28 Lab ID-Version‡: 7691283-1
Sample Layers Asbestos Content White Non-Fibrous Material / Cream Tape/ Cream Woven Material/ Silver Foil ND
Yellow Insulation ND Composite Non-Asbestos Content: 70% Mineral Wool
10% Cellulose Sample Composite Homogeneity: Moderate
Location: 278-AS-29, 490-118828-29 Lab ID-Version‡: 7691284-1
Sample Layers Asbestos Content Cream Tape / Cream Woven Material/ Silver Foil ND
Yellow Insulation ND Composite Non-Asbestos Content: 70% Mineral Wool
10% Cellulose Sample Composite Homogeneity: Moderate
EMLab ID: 1652044, Page 8 of 9EMLab P&K, LLC
The test report shall not be reproduced except in full, without written approval of the laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the federal government. EMLab P&K reserves the right to dispose of all samples after a period of thirty (30) days, according to all state and federal guidelines, unless otherwise specified.
Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually. ND means no fibers were detected. When detected, the minimum detection and reporting limit is less than 1% unless point counting is performed. Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification.
‡ A "Version" indicated by -"x" after the Lab ID# with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of "x".
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(866) 871-1984 Fax (954) 776-8485 www.emlab.com
Client: TestAmerica-Nashville, TN C/O: Ms. Roxanne Cisneros Re: 490-118828-1; MHAFB Building 278
Date of Sampling: 12-13-2016 Date of Receipt: 12-23-2016 Date of Report: 12-28-2016
ASBESTOS PLM REPORT: EPA-600/M4-82-020 & EPA METHOD 600/R-93-116
Location: 278-AS-30, 490-118828-30 Lab ID-Version‡: 7691285-1
Sample Layers Asbestos Content Cream Tape / Cream Woven Material/ Silver Foil ND
Yellow Insulation ND Composite Non-Asbestos Content: 70% Mineral Wool
10% Cellulose Sample Composite Homogeneity: Moderate
Location: 278-AS-31, 490-118828-31 Lab ID-Version‡: 7691286-1
Sample Layers Asbestos Content Dark Gray Insulation ND
Composite Non-Asbestos Content: 99% Mineral Wool Sample Composite Homogeneity: Moderate
Location: 278-AS-32, 490-118828-32 Lab ID-Version‡: 7691287-1
Sample Layers Asbestos Content Cream Tape / Cream Woven Material/ Silver Foil ND
Yellow Insulation ND Composite Non-Asbestos Content: 70% Mineral Wool
10% Cellulose Sample Composite Homogeneity: Moderate
Location: 278-AS-33, 490-118828-33 Lab ID-Version‡: 7691288-1
Sample Layers Asbestos Content Light Gray Sheet Flooring with Fibrous Backing ND
Yellow Adhesive / White Paint ND Composite Non-Asbestos Content: 20% Cellulose
7% Synthetic Fibers Sample Composite Homogeneity: Good
EMLab ID: 1652044, Page 9 of 9EMLab P&K, LLC
The test report shall not be reproduced except in full, without written approval of the laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the federal government. EMLab P&K reserves the right to dispose of all samples after a period of thirty (30) days, according to all state and federal guidelines, unless otherwise specified.
Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually. ND means no fibers were detected. When detected, the minimum detection and reporting limit is less than 1% unless point counting is performed. Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification.
‡ A "Version" indicated by -"x" after the Lab ID# with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of "x".
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Login Sample Receipt Checklist
Client: CH2M Hill, Inc. Job Number: 490-118828-1
Login Number: 118828
Question Answer Comment
Creator: West, Derrick D
List Source: TestAmerica Nashville
List Number: 1
TrueRadioactivity wasn't checked or is </= background as measured by a survey meter.
TrueThe cooler's custody seal, if present, is intact.
N/ASample custody seals, if present, are intact.
TrueThe cooler or samples do not appear to have been compromised or tampered with.
TrueSamples were received on ice.
TrueCooler Temperature is acceptable.
TrueCooler Temperature is recorded.
TrueCOC is present.
TrueCOC is filled out in ink and legible.
TrueCOC is filled out with all pertinent information.
TrueIs the Field Sampler's name present on COC?
TrueThere are no discrepancies between the containers received and the COC.
TrueSamples are received within Holding Time (excluding tests with immediate HTs)
TrueSample containers have legible labels.
TrueContainers are not broken or leaking.
TrueSample collection date/times are provided.
TrueAppropriate sample containers are used.
TrueSample bottles are completely filled.
N/ASample Preservation Verified.
TrueThere is sufficient vol. for all requested analyses, incl. any requested MS/MSDs
N/AContainers requiring zero headspace have no headspace or bubble is <6mm (1/4").
TrueMultiphasic samples are not present.
TrueSamples do not require splitting or compositing.
N/AResidual Chlorine Checked.
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ANALYTICAL REPORT
TestAmerica Laboratories, Inc.
TestAmerica Nashville 2960 Foster Creighton Drive Nashville, TN…
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