ABS_DAA_U-14_02_99CS.pdf

RAVENNA, ARMY AMwfiJNITIOO PIAN!'

Buildi.rg Slmm:rry Sheet

Farm A

Building ill: LA <-llr smvey Date: g;- 26/9 ( Building Type (Use): Go \~ c\ \n~

Number of People/ Percentage of Time:

Area: --1k F t- tAJ,,,,-vvt'-..L\A:......-'-. .------

Inspection Team (Names): {'I\ de~ G:ro~\ ; tfJ~,C\~£,.l..._\----=::(=--L'O='U\:>..::::::::l'____Qj~l~::::...:.....' ~

Drawing Numbers: 1~c}t9·3]

Year of Construction:

Slmmary Data

Total Square

Foota'J2 BuildL.-:g:

f 1 Floors:

Basements/Crawl Spaces:

Fan/Boiler Rooms:

samples Taken:

b Q.A. samples Taken: o

Type of CCIlst:ructicn:

(Check Applicable)

Wood Frame steel Frame ~ Masonry Reinforced Concrete __ Transite Siding

Portion of Building Not Inspected (square feet) :

Reason:

RAVENNA ARMY NI1lNITIrn PLANT

BUIIDJR; SlM1ARY SHEEr

R:>R-I B

Building #: {A ~~ Sheet No. -L of ---L sample # 0 Drawing # Revision # occuPied Floor # Material Encapsulated Friable condition Quantity

A Room # or 1-5* Area Type Description/ Enclosed (l-Best Amount Unit Pipe

Loc.:1.tion 5-Worst Dia

(;:Ol IrJ \sro~)\ rJ() ~\CsL r~~ W~~\\

II \ l" ~-\e-r ~ rJo 4 I03~ ft I , ACH r '"

§6~ ~ II 1,

-r'\fl.Lf\

Ic;ctt:>C"'Cfl'\1 rr'oJ' ~

Pc.tl+ " ~~f\~~,",,.,tr .., .1ft LA IAlAV\tflh 0 ~l) ) N(R I

OO~

tDLf tJ

IP)

' f

1{

I~ f"'d~A

5~lY\ p.!- i~~ (,.'/ I-U~

4...-J,Ar

())(I\!()N ~.t~t- Wet. \\ "('\ n....,..,£lt:r

~~\A&.

VJ

'k5 tJO

S-

I-t~ .

Iro5 F{ r-J( ~

"I At--M

K

Q[)~ N 11 II / (

-frn.n.' i~ ~u~

~~~!) I~ west- vJlt \ ( "I ~ WI 6 No 2 fI« I f{Z ~(01

()86 ~ 't t { I ~td~ M Deb/"5 eft;+- 5;ae f71 ~\-~

0 No r

BqCWJff I

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Comments:

I~T-Building No: U-I4- Floor No:

Drawing No: Room No: ~'I:tf t2JOR- BlDG I

I~:J~IDate: Evaluator: l~q

Qrrrent Onlitic:n of M:1M

Present Abs€nt

Evidence of deterioration of delamination from underlying surface '0 Evidence of Physical Damage X

L

YEvidence of Water Damage

Potential far Future Dist::url::arx::

Damage ar &osic:n of M:1M

Proximity of Air Plenum or

Direct Air stream

Visibility, Accessibility (to building occupants and maintenance personnel), and degree of activity (air movements, vibration, movement of building occupants)

Olange in Building Use

ICUrrent OCCUpancy

X

K ~X

OCCUpied Unoccupied

I Xc Ir r-e+) ~~ O'\rCN~~

Building No: U"' 1+ Floor No: ~w:k Drawing No: --;~,)) Room No: Yf)frN) (2., ~J

Date: 7J;lj I Evaluator: ('I\Jh cm:rent a:nliticn of AaM

Present Absent

Evidence of deterioration of delamination from underlying surface X Evidence of Physical Damage ~ Evidence of Water Damage .~

I

Potential far Fut:ure Dist::url:Jarre

Damage ar Erosicn of AaM

Proximity of Air PlenLll11 or

Direct Air stream ~

Visibility, Accessibility (to

Wilding occupants and maintenance personnel), and degree of activity K(air rrovements, vibration, rrovement of Wilding occupants) f--

OlanJe in Building Use

OCCUpied Unoccupied

I=ent=-=t I I X riI~~~ 00 r~~O"~

Building No: U-)4 _ Floor No:

Drawing No: Room No: rf'u.® f4~ \}~ Date: -n~t(-- Evaluator: fV\Y&, ----'---'-~f-------

CIrrent Ccrrli.tian of AaM

Present Absent

Evidence of deterioration of delamination from underlying surface X Evidence of Physical Damage 'K

Evidence of Water Damage rx

Potential for Future Di.sturl:ance nmage or Erosian of AaM

Proximity of Air Plentnn or

Direct Air stream Visibility, Accessibility (to

:tu.ilding occupants and maintenance personnel), and degree of activity

(air movements, vibration, movement ~ of :tu.ilding occupants)

Change in Building Use ;X

0C0lp<ll'q

OCCUpied Unoccupied

ICUrrent OCCUpancy

Building No: LJ~f4 Floor No: ~ Drawing No: Room No: na, (}JM&v TW.. ~(~''Z,I

Date: ~~h, Evaluator: Y'I\"'fb

CUrrent a:n:li.ticn of Aa:M

Present Absent

Evidence of deterioration of delamination from unc1erlying surface 'f Evidence of Physical Damage ~ Evidence of Water Damage ~ i'-..

Potential for FLIbIre D~

IHmage or Erosicn of Aa:M

Proximity of Air Plentnn or Direct Air stream X

/Visibility, Accessibility (to tuilding occupants and reintenance personnel), and degree of activity (air movements, vibration, movement Xof tuilding occupants)

Olange in Build.irYq Use X OCDJP3Jq

Olrrent OCCUpancy

Building No:

Drawing No:

Date:

U~)4

{5'CD'~

9[21

Floor No:

Room No:

Evaluator:

kOOf~ ~ mTfrr

CUr:rent Ccr:rlition of MHI

Present

Evidence of deterioration of delamination from underlying surface

Evidence of Physical Damage

Evidence of Water Damage jC

Potential for Future Di.sturbarx:e Damage or Erasion of MHI

Proximity of Air Plenrnn or Direct Air stream

Visibility, Accessibility (to Wilding occupants and maintenance personnel), and degree of activity (air movements, vibration, movement of tuilding occupants)

C11ange in Building Use

K I f

A

Occupied Unoccupied

Build.i.n;J No:

Drawing No:

Date:

U- J4 J50o,3\

8 Ju hI

Floor No:

Room No:

Evaluator:

r'r1frl l~

S~~

'M~ arrrent ca:rlition of ~

Present Al:sent

Evidence of deterioration of delamination from underlying surface

Evidence of Physical Damage X y

Evidence of Water Damage J

Potential for Fub.n:e D~

Danage. or Erosion of ~

Proxllnity of Air Plenum or Direct Air stream

Visibility, Accessibility (to tuild.i.n;J occupants and maintenance personnel), and degree of activity (air movements, vibration, movement of OOilding occupants)

Change in Build.i.n;J Use \()

Icurrent OCCUpancy

Building No: U-\4 Floor No: _,'7:

Drawin; No: 15Ct):3d Room No: ACFT1rMSL ?L,S ~

Date: 8(U[ctt1 Evaluator: l'f\~ an:rent o:n:li.ticn of Aa:M

Present Absent

Evidence of deterioration of delamination from urrler1yin;

surface ~

Evidence of Physical Damage y Evidence of Water Damage X

Potent:.i.al for Future Di.st:urlJarx:e n::mage or Erosicn of Aa:M

Proximity of Air Plenum or

Direct Air stream \{

Visibility, Accessibility (to bJilding occupants arx:l ma.intenance personnel), arx:l degree of activity

(air movements, vibration, movement of bJilding occupants) ~

Olange in Buildi.nc::J Use ~

Building No: U-l4 Floor No:

Drawing No: 1520.; , Room No:

Date: ~{Z<o\~1 Evaluator:

a.n:rent O:Irlition of Aa:M

Present

Evidence of deterioration of delamination from underlying surface

Evidence of Physical Damage X Evidence of Water Damage

Potential far Future Dist::urbance Damage ar Erosion of Aa:M

Proximity of Air Plenum or

Direct Air stream X Visibility, Accessibility (to tuilding occupants and maintenance personnel), and degree of activity

(air movements, vibration, movement of tuilding cx::cupants)

O1ange in Building Use 'f= ocalpaIq

Qcq1pied

ICurrent OCCUpancy

(7\

LU>J ct-J !2ooY\

'M~

Al:sent

'r<

X

X

Unoccupied

Building No: u- \4- Floor No: 1~

Draw:i.n;r No: 150D.3 \ Room No: OP~&f700:& °'f:F1 (,~

Date: 86J1t Evaluator: 1'(\16

0Irrent o:n:lition of A£:lfi

Present Absent

Evidence of deterioration of delamination from underlying surface '>G Evidence of Physical Damage /<..

Evidence of Water Damage

X

Potential for :Fubn:e Disturl:arx:e

Damage or Erosion of A£:lfi

Proximity of Air Plenrnn or

Direct Air stream ;K

Visibility, Accessibility (to tuilding occupants and nBintenance personnel), and degree of activity

(air movements, vibration, movement of tuilding occupants)

Change in Building Use )c

[CUrrent OCCUpancy

_LA \if= ~~ bo- ~Cf1 J-\\5LPb.~ ex; vO-lL ~f\tl~ tl[0r\t) \rt)f\.-t

~~ 'Al-1 ~ ~f6. ~tZ ~ ~ lk ~a.f'(l~ C\(~~ f8Jr l--tt /1 .

()~(,e :

(1~4j ~6 ~t-2- rI ~S\~e ~ 4bAS NDr~<t--f8d- wa.lLs

~, k"5llc 5-kc\JI.~ l'\ tu.~ k>KeS

)rx ~a :::) ~ '-to ~t'LoP+mA~IJ-e ~( a{Citg ~ce 04.(( Io-f ~ \-\- ~brlS &(1 9([)t>J.f\~ " f\J Q tJo~er\s i1n\eL :20 XtV ~ 4 t--irL t;t P,1

~~tcr~l{:- (V\f1~, bleck ~Vl> 6n ~ Ni~

16 ~1·11. ~t ~?- r:. . 't" Clll C et\ i h Wt\ 1\ wif"P e.

v~h6s(.t~, 'r

~lD ~lA. Yt ~-1, ~5 fa~', /4-

7' lot

7() L"f\ ,~ P,I.

Lt_, 3~rr rl~ b~ck ~5 Iy~ en ~tI P(r.~ \L

RAVENNA ARorl MM::tilTICN PIAN!'

ASBESIOS BUlK Sl>l1P.LE rnAIN'-<JF-<:USIOOY REX:DRD

FORME / 7- jCJt (')

11o/t;

Lal::oratory Name: ~ I YllTS&JQ6f-} Control Numl:er:

Date samples Collected: 8(Z~!q1 Date Received in Lab: /0 -/0 - ~ l.

I l~ ,Jsampler's Name: MICKA-a T. 6\<0 Name: t f1tH,~t---n.-\.CV"::rS{)h sampler's Signature: 111&~e2r: Signature: P.AA ,.,)....;J/.~~ sample Field U I.A : sample Laboratory Identification No: BUI LV JfJ0 -#= -,. Identification No:

U- 11-00 1 ~_I:........;L[~>-_' _ l2 - 14:-002- d Jt{" 0

U- 14 -(X)S- ~ Iq b3 · u- J4-~ Q14b~

Disposition: __X__ samples Disposed of

Receiver's Signature: Date Received: 1/c)cJ -r/

I of EVE[2.y 26 ~A;vvPL£S t11vsT ibrE- Cx.)c ~'XTEr2NAu::J

(3,/ Ii- l,ft{3 (')77 fER Ti!lN) p~; J ./

~ --~ :L .

\ . 1"'( ~~f~'

1"37-19("50

I.al:oratory Name: Ps 1 PI IT.sEOR6 H Bu \WI N6 #:- U-/4 ID Number: *" U~ J=f:-OQ I

Lab Number: Cj lOtlie- d- ) LJ 5 cJ

ID Technique: PL fY\ DISB3?£.,) DN .5TBI J\l rNt;

Gross sample Description: Ilom~e-rc)l)~ Uyr'-e4, (10,1"0./>, Materials Present: . T@YJ.L....:--...:....::::...=5I::.......;....I·7IZ~ _

*Estimated Percent~' .5arrple: _Lf."-il_-Lf_·::-<:"_'i _ kAst:estos: YL ')

C1Jrysotile (j,v -Lis-eli, Amosite crocidolite

Anthophlyllite

TrernolitejActinolite

Non-Asbestos Fil::ers: Yo

Glass Fi.l:ers

Mineral Wool cellulose c:./% Synthetic Fi.l:ers other

Non-Fibrous eomponent,A/A

*Percentage is Visually EstiJnated Analysts Comments

Date:

mailto:T@YJ.L....:--...:....::::...=5I

I.al:oratory Name: es 1 plrr.sWR6 H 9.J ILD\ N6 ii=- U- ,4

ID Numt:er: -it" U - 14 - 0 0 "2.- LabNumt:er: 9/0/85 Ol/YbO

ID Technique: PL IY\ DlSrse-9 DN 5TAI N IN61 Gross 5anple Description: t/o MOjC..-vJS, /~ foro.!,>; Ii&',c.-/C

Materials Present: h \\ ~ fP ~ r-\.\))

*Estlinated Percerrt~ 5anple: -,-;L-U~()-,-",e-,----"J'-Utk _ ..........~~/::.s.q-j *Asbestos: V (I rVl:- ;Je.1u~+~

Qrrysotile

Arnosite crocidolite

Anthophlyllite

Tre~lite/Actinolite

Non-Asbestos Fibers:yc..)

Glass Fibers I Mineral Hool cellulose &0 - (P.J'"Yv

Synthetic Fibers

Other

Non-Fibrous Comp:ment~'

*Percentage is Visually Estimated Analysts Comments

Date: ;J~ II-p-'1;

I.aJ:oratoryName:

ID Number:

Lab Numl::er:

ID Technique:

Gross sanple Description:

p Materials Present:

*EstimatEd Percent 111 5arrple:

(I"*Asl::estos : yC~ _.

Chrysotile

Amosite Jx> -"3 S---' ercx::idolite I

TremolitejActinolite

Non-Asbestos Fi1:ers: Xc... )

Mineral Wool cellulose ;-3Y synthetic Fibers other

Non-Fibrous Corrp:Jnent /V j)

*Percentage is visually Estimated Analysts Comments f

I.aJ:oratory Name: PS 1 PI1T.sBOR6 H BuILD\N6 -tF- U- 14 ID NLm1ter: -#:' () - I4- - C:> Q1 lab Nurnb=.r: 4 I c I 8 ro ;1. 1'-i (;, d-

ID Technique: PLlY\ DlSre:-5JDN .5TBIN {Nt;

Gross sanple C€scription: 14,'11 t> 'U,c-'{/i/ ~ (pi (r{,J..- FI hr~ ..... 5 (;J Alie d- C;y~l J '- 7

Materials Present: lAJ4 c\ C~A) GQh" . I D'Jt',.

~ I' I ' (~ _ -' (. tr XJ j

*Estimated Perce.'1~ ~le: v , fu

Olrysotile ! (,I - / S- '~, crocidolite

Ant."f1ophlyllite

Tre."TlOlite/Actinolite

N'on-.a.st:e..c;tos Fibers: yL.)

Glass Fil:ers cellulose

Synthetic Fibers other

Non-Fibrous Component IVJJ

*Percentage is Visually Estimated Analysts comments

Date: (}A----- /!.0"11

L3l:ora~~ ~l tJffi~~tH Eu\LD)N6 ~ U-l4 IabNurnber: qlbl~l= ~1403

10 Technique: eLM DlS~$j()N 'sTAIN INA

Gross sample Description: IIOlh.<"'(~i'·J5C- ((hcu;.); 6rAl/

Materials Present: T6A:\-..r'(~ i:~ ,e,r® } *EstinE.ted perCe!1t~ sarrple: .:5u -3S"'1l(' -=----""...:......:._-----------

¥Asre.stos: YLS

C1rysotile 13e.'-~y~

Q:'ocido1ite

Tremolite/Act.inolite

Ncn-~.sbestos FiJ:ers:rc..)

cellulose <.1% Synthetic FiJ:ers other

Non-Fibrous ComponentJVA

*Percentage is Visually EstiJnated Analysts Cc:lnlIrents

Orrysotile ;W-.J-f% erocidolite

Ant.;"ophlyllite

TrernolitejActinolite

Non-Asl::estcs Fibers: yc. ')

Glass Fibers

Mineral Wool cellulose 5- 7"~

Synthetic Fibers other

Non-Fibrous c.arnponent/tl'll

*Percentage is Visually Estimated Analysts Comrrents