JPS HEALTH NETWORK Bardin Road Clinic · JPS Health Network Bardin Road Clinic Addendum No. 1 -...

Primera Design • 1106 W. Randol Mill Rd., Ste. 200, Arlington, Texas 76012 • Ph: 817-303-5400 • [email protected]

JPS HEALTH NETWORK Bardin Road Clinic Comm. No.: 835 February 10, 2015

ADDENDUM NO. 1 TO THE DRAWINGS AND PROJECT MANUAL (dated 01-14-15) PROJECT MANUAL: 1.1 MISCELLANEOUS: List of Pre-Bid Attendees attached. 1.2 LIMITED PRE-RENOVATION INSPECTION FOR ASBESTOS-CONTAINING BUILDING

MATERIALS (ACBM):

A. Add ACBM report by LCA Environmental, Inc., dated January 26, 2015, for JPS-Bardin Road Clinic.

1.3 SPECIFICATION SECTION 12 29 40 ROLLER SHADES

A. Add Section 12 29 40 ROLLER SHADES in its entirety.

ARCHITECTURAL DRAWINGS: 1.4 SHEET 1.2 LIFE SAFETY PLAN

A. Replace Sheet 1.2 in its entirety with the attached revised Sheet 1.2, with addition Notes “EXISTING FIRE EXTINGUISHER AND CABINETS TO REMAIN” and location identification.

1.5 SHEET 2.1, FLOOR PLAN - UNIT A:

A. Replace Sheet 2.1 in its entirety with the attached revised Sheet 2.1, with additional Notes by number for Rooms X-Ray Control132 and X-Ray133; and revisions to Room Finish Legend, added Color Schedule, and addition of accent VCT flooring around Nurse Station 131

1.6 SHEET 2.2, FLOOR PLAN - UNIT B:

A. Replace Sheet 2.2 in its entirety with the attached revised Sheet 2.2, showing additional Radiation Protection Schedules for the X-Ray-133, C-Arm 1-113 and C-Arm 2-114. Addition of Window Type “A” in X-Ray-133, and Clean Room 144. Delete Locker Room 143, and wall between Locker Room 143 and Patient Toilet Room 144.

1.7 SHEET 2.4, DEMOLITION FLOOR PLAN

A. Addition of Note by Number “30. REMOVE VCT ACCENT TILE”

JPS Health Network Bardin Road Clinic Addendum No. 1 - of 4

1.8 SHEET 3.1, OPENING SCHEDULE AND DETAILS:

A. Replace Sheet 3.1 in its entirety with the attached revised Sheet 3.1, showing revisions to the Door Schedule and Details.

1.9 SHEET 4.1, MILLWORK ELEVATIONS

A. Replace Sheet 4.1, in its entirety with the attached revised Sheet 4.1. Drafting clarification to Elevation “19/4.1 WAITING”

1.10 SHEET 4.2, MILLWORK ELEVATIONS AND DETAILS:

A. Replace Sheet 4.2, in its entirety with the attached revised Sheet 4.2. Drafting clarification to Detail “25/4.2 CABINET WITH DOORS.”

1.11 SHEET 5.1, REFLECTED CEILING PLAN:

A. Replace Sheet 5.1 in its entirety with the attached revised Sheet 5.1, showing addition of Enlarge Ceiling Plan X-Ray-133, additional ceiling details and Notes by Number.

1.12 SHEET 5.2, DEMOLITION REFLECTED CEILING PLAN:

A. Replace Sheet 5.2 in its entirety with the attached revised Sheet 5.2. Add Note by Number “2. REMOVE EXISTING GYP. BD. CEILING”

MECHANICAL DRAWINGS: 1.13 SHEET M1.1, DEMOLITION FLOOR PLAN-UNIT A – MECHANICAL

A. Replace Sheet M1.1, in its entirety with the attached revised Sheet M1.1. REVISE demolition work in STAFF BREAK ROOM 103 and ULTRASOUND 109.

1.14 SHEET M1.2, DEMOLITION FLOOR PLAN-UNIT B – MECHANICAL

A. Replace Sheet M1.2, in its entirety with the attached revised Sheet M1.2. REVISE demolition work in X-RAY CONTROL 132 and X-RAY 133

1.15 SHEET M2.1, FLOOR PLAN-UNIT A – MECHANICAL

A. Replace Sheet M2.1, in its entirety with the attached revised Sheet M2.1. REVISE air device locations and associated ductwork in STAFF BREAK ROOM 103, ULTRASOUND 109, HALLWAY 110, and EXAM 111.

1.16 SHEET M2.2, FLOOR PLAN-UNIT B – MECHANICAL

A. Replace Sheet M2.2, in its entirety with the attached revised Sheet M2.2. REVISE air device locations and associated ductwork in EXAM 120, EXAM 122, X-RAY CONTROL 132, X-RAY 133, CAST 138, HALLWAY 142, LOCKERS 143, DR. OFFICE 149, WAITING 154, and REGISTRATION 155.


1.17 SHEET M3.1, DETAILS AND SCHEDULES

A. Replace Sheet M3.1, in its entirety with the attached revised Sheet M3.1. ADDED missing note on detail 3 TYPICAL RECTANGULAR DUCT TAKE-OFF.

ELECTRICAL DRAWINGS: 1.18 SHEET E0.1, ELECTRICAL RISER DIAGRAM, LIGHT FIXTURE SCHEDULE, SYMBOL LIST AND

DETAILS

A. Replace Sheet E0.1, in its entirety with the attached revised Sheet E0.1. REMOVE Type A1 light from Lighting Fixture Schedule.

1.19 SHEET E0.3, IECC DOCUMENTS

A. Replace Sheet E0.3, in its entirety with the attached revised Sheet E0.3. REVISE IECC documents.

1.20 SHEET E1.1, ELECTRICAL DEMOLITION PLAN – AREA A

A. Replace Sheet E1.1, in its entirety with the attached revised Sheet E1.1. REVISE demolition work required in HALLWAY 112 and HALLWAY 115.

1.21 SHEET E1.2, ELECTRICAL DEMOLITION PLAN – AREA B

A. Replace Sheet E1.2, in its entirety with the attached revised Sheet E1.2. 1. REVISE demolition work required in HALLWAY 142 and LOCKER 143 2. ADDED note by symbol #4.

1.22 SHEET E2.2, ELECTRICAL POWER PLAN – AREA B

A. Replace Sheet E2.2, in its entirety with the attached revised Sheet E2.2 1. REVISE work required in LOCKER 143. 2. ADDED power to receptacle in HALLWAY 151. 3. ADDED note by symbol #5.

1.23 SHEET E3.1, ELECTRICAL LIGHTING PLAN – AREA A

A. Replace Sheet E3.1, in its entirety with the attached revised Sheet E3.1. REVISE lighting requirements in Area A.

1.24 SHEET E3.2, ELECTRICAL LIGHTING PLAN – AREA B

A. Replace Sheet E3.2, in its entirety with the attached revised Sheet E3.2 1. REVISE lighting requirements in Area B. 2. ADDED note by symbols #6 and #7.

PLUMBING DRAWINGS: 1.25 SHEET P1.1, DEMOLITION FLOOR PLAN – UNIT A – PLUMBING

A. Replace Sheet P1.1, in its entirety with the attached revised Sheet P1.1 1. REVISE piping demolition exents.


2. ADDED existing plumbing piping on sheet for clarity. 1.26 SHEET P1.2, DEMOLITION FLOOR PLAN – UNIT B – PLUMBING

A. Replace Sheet P1.2, in its entirety with the attached revised Sheet P1.2 1. ADDED demolition notes to existing restroom plumbing fixtures. 2. REVISE existing water heater location for clarity. 3. ADDED note to replace thermostatic mixing valve serving existing water heater.

1.27 SHEET P2.1, FLOOR PLAN – UNIT A – PLUMBING

A. Replace Sheet P2.1, in its entirety with the attached revised Sheet P2.1 1. ADDED existing water heater to remain. 2. REVISE hot water piping. 3. ADDED note to replace thermostatic mixing valve serving existing water heater.

1.28 SHEET P2.2, FLOOR PLAN – UNIT B – PLUMBING

A. Replace Sheet P2.2, in its entirety with the attached revised Sheet P2.2 1. REMOVED existing plumbing fixtures from new 143 – Lockers. 2. ADDED plumbing piping from existing mains to new lavatory. 3. REVISE existing piping locations on sheet. 4. REVISE new cold and hot water pipe sizes. 5. Miscellaneous plumbing notes and revisions for clarity.

1.29 SHEET P2.4, ADD ALTERNATE NO. 1 - PLUMBING

A. Replace Sheet P1.2, in its entirety with the attached revised Sheet P1.2 1. ADDED demolition notes to existing restroom plumbing fixtures. 2. REVISED demolition notes on existing vent piping. 3. ADDED plumbing piping from existing mains to new lavatory. 4. Miscellaneous plumbing notes and revisions for clarity

— END OF ADDENDUM NO. 1 —

ROLLER SHADES

JPS HEALTH NETWORK BARDIN ROAD – OSM CLINIC - RENOVATIONS

PDA 835 12 49 40-1

SECTION 12 49 40

ROLLER SHADES

PART 1 – GENERAL

1.01 SUMMARY

A. Work required for this section includes roller shades and supplementary items necessary to complete their installation.

1.02 SUBMITTALS

A. Product Data: For each type of product indicated. Include styles, material descriptions, construction details, dimensions of individual components and profiles, features, finishes, and operating instructions.

B. Shop Drawings: Show location and extent of roller shades. Include elevations, sections, details, and dimensions not shown in Product Data. Show installation details, mountings, attachments to other Work, operational clearances, and relationship to adjoining work.

B. Samples for Initial Selection: Manufacturer’s standard color samples of each type roller shade material indicated.

C. Samples for Verification: Shade Material: Not less than 6" square, with specified treatments

applied. Mark face of material.

D. Maintenance Data: For roller shades to include in maintenance manuals. Include the following: 1. Methods for maintaining roller shades and finishes. 2. Precautions about cleaning materials and methods that could be detrimental to

fabrics, finishes, and performance. 3. Operating hardware.

1.03 QUALITY ASSURANCE

A. Installer Qualifications: An experienced installer who has completed installation of roller shades similar in material, design, and extent to that indicated for this Project and whose work has resulted in construction with a record of successful in-service performance.

B. Source Limitations: Obtain roller shades through one source from a single manufacturer. C. Fire-Test-Response Characteristics: Provide roller shade band materials with the fire-test-

response characteristics indicated, as determined by testing identical products per test method indicated below by UL or another testing and inspecting agency acceptable to authorities having jurisdiction: Flame-Resistance Ratings: Passes NFPA 701.

D. Shadecloth Anti-Microbial Characteristics: ‘No Growth’ per ASTM G 21 results for fungi

ATCC9642, ATTCC 9644, and ATCC9645.

ROLLER SHADES

12 49 40-2 PDA 835

1.04 DELIVERY, STORAGE AND HANDLING

A. Deliver shades in factory packages, marked with manufacturer and product name, fire-test-response characteristics, and location of installation using same room designations indicated on Drawings and in a window treatment schedule.

1.05 PROJECT CONDITIONS

A. Environmental Limitations: Do not install roller shades until wet and dirty finish work in spaces, including painting, is complete and ambient temperature and humidity conditions are maintained at the levels indicated for Project when occupied for its intended use.

B. Field Measurements: Where roller shades are indicated to fit to other construction, verify

dimensions of other construction by field measurements before fabrication and indicate measurements on Shop Drawings. Allow clearances for operable glazed units' operation hardware throughout the entire operating range. Coordinate fabrication schedule with construction progress to avoid delaying the Work.

1.06 WARRANTY

A. Special Warranty: Provide manufacturer’s standard written warranty agreeing to repair or replace components of the roller shades that fail in material or workmanship within specified warranty period. Fabric failure includes deterioration, sag, warp, fade or will not remain fit for use. 1. Manual Operating Components: Ten (10) years. 2. Shade Cloth: Ten (10) years. 3. Black out Cloth: Ten (10) years.

PART 2 – PRODUCTS

2.01 ACCEPTABLE MANUFACTURERS

A. The following manufacturers listed are acceptable only if manufacturer can evidence product compliance with requirements of Contract Documents:

Mecho Shade Systems, Inc. Draper Shade & Screen Co., Inc. Hunter Douglas Window Fashions. Levolor Contract; a Newell Company; Joanna. VIMCO.

B. For manufacturers not listed, submit as substitution according to the Conditions of the Contract and the Project Manual.

C. Product Standard: Mecho Shade System, Inc.

1. Manual Operation: Mecho Shade 5 a. Dual Drop: DoubleShade (Bracket #15) with SnapLoc fascia.

2. Shadecloth: ThermoVeil 1300 group sunscreen. a. Pattern: Open basket weave. b. Density: Ten percent (10%) openness factor. b. Color: As indicated on drawings.

3. Black-Out Shadecloth: ThermoVeil 0700 group. a. Type: A/V Blackout. b. Density: 100% Blackout c. Color: 0731 Black-White.

ROLLER SHADES

PDA 835 12 49 40-3

2.02 ROLLER SHADES

A. Shade Band Material: PVC-coated polyester. B. Rollers: Electrogalvanized or epoxy-primed steel or extruded aluminum tube of diameter and

wall thickness required to support and fit internal components of operating system and the weight and width of shade band material without sagging; designed to be easily removable from support brackets; with manufacturer's standard method for attaching shade material.

C. Direction of Roll: Regular, from back of roller. D. Mounting Brackets: Galvanized or zinc-plated steel.

E. Fascia: L-shaped, extruded aluminum; continuous panel concealing front and bottom of

shade roller, brackets, and operating hardware and operators; removable design for access. F. Bottom Bar: Steel or extruded aluminum, with plastic or metal capped ends. Provide

exposed-to-view, external-type bottom bar with concealed weight bar as required for smooth, properly balanced shade operation.

G. Audiovisual Light-Blocking Shades: Designed for eliminating all visible light gaps when

shades are fully closed. Fabricated from blackout shade band material with bottom bar extended and formed for light-tight joints among shade components and between shade components and adjacent construction.

1. Sill Channel or Angle, and Perimeter Seals: Manufacturer's standard design for

eliminating light gaps when shades are closed. 2. Shade Band Retention System: Manufacturer's standard design for guiding shade

band material through range of travel and holding shade band flat with edges of material within side channels.

3. Combine shade roller in same pocket or behind fascia of standard window shade.

H. Shade Operation: Manual with continuous loop bead chain lift operator.

1. Clutch: Capacity to lift size and weight of shade; sized to fit roller or provide adaptor. 2. Loop Length: Length required to make operation convenient from wheelchair level. 3. Bead Chain: Stainless steel. 4. Operating Function: Stop and hold shade at any position in ascending or

descending travel.

2.03 ROLLER SHADE FABRICATION

A. Product Description: Roller shade consisting of a roller, a means of supporting the roller, a flexible sheet or band of material carried by the roller, a means of attaching the material to the roller, a bottom bar, and an operating mechanism that lifts and lowers the shade.

B. Concealed Components: Noncorrodible or corrosion-resistant-coated materials.

1. Lifting Mechanism: With permanently lubricated moving parts. C. Unit Sizes: Obtain units fabricated in sizes to fill window and other openings as follows,

measured at 74°F.

1. Shade Units Installed Inside Jambs: Edge of shade not more than 1/2" from face of jamb. Length equal to head-to-sill dimension of opening in which each shade is installed.

ROLLER SHADES

12 49 40-4 PDA 835

D. Installation Brackets: Designed for easy removal and reinstallation of shade, for supporting fascia or headbox, roller, and operating hardware and for hardware position and shade mounting method indicated.

E. Installation Fasteners: Not fewer than two (2) fasteners per bracket, fabricated from metal

noncorrosive to shade hardware and adjoining construction, type designed for securing to supporting substrate, and supporting shades and accessories under conditions of normal use.

F. Color-Coated Finish: For metal components exposed to view, apply manufacturer's standard

baked finish complying with manufacturer's written instructions for surface preparation including pretreatment, application, baking, and minimum dry film thickness. Color as indicated on drawings to match existing window frame.

PART 3 – EXECUTION

3.01 EXAMINATION

A. Examine substrates, areas, and conditions, with Installer present, for compliance with requirements for installation tolerances, operational clearances and other conditions affecting performance.

B. Do not proceed with work until unsatisfactory conditions have been corrected in a manner

acceptable to Installer. Starting work within a particular area will be construed as Installer’s acceptance of surface conditions.

3.02 ROLLER SHADE INSTALLATION

A. Install roller shades level, plumb, square, and true according to manufacturer's written instructions, and located so shade band is not closer than 2" to interior face of glass. Set shades to stop 1-1/2" above sill.

3.03 ADJUSTING

A. Adjust and balance roller shades to operate smoothly, easily, safely, and free from binding or malfunction throughout entire operational range.

3.04 CLEANING AND PROTECTION

A. Clean roller shade surfaces after installation, according to manufacturer's written instructions. B. Provide final protection and maintain conditions, in a manner acceptable to manufacturer and

installer, which ensure that roller shades are without damage or deterioration at time of Substantial Completion.

C. Replace damaged roller shades that cannot be repaired in a manner approved by Architect,

before time of Substantial Completion.

― END OF SECTION ―

LCA Environmental, Inc.

13221 Bee Street

Farmers Branch, TX 75234

Phone: 972-241-6680

Fax: 972-241-6689

www.LCAenvironmental.com

Mr. K.C. Tang Project Site: JPS - Bardin Road ClinicJPS Health Network - Design and Construction 1741 East Bardin Road1500 South Main Street Arlington, TXFort Worth, TX, 76104

LCA Project No.: 150105

Area Sampled:

TDSHS Inspector and License:

Date of Limited Asbestos inspection:

Total Samples Collected: 60

January 20, 2015

Edward B. Barganier, TDSHS License #10-5519

Limited Pre-Renovation Inspection for Asbestos-Containing Building Materials (ACBM)

This inspection was limited to suspect building materials that would be impacted by planned renovations

26 January 2015

Bardin Road Clinic Renovation Areas

s spec o w s ed o suspec bu d g e s wou d be p c ed by p ed e ov o sbased on information provided by the Client at the time of the site visit and the PD Demolition Floor Plandated 12 December 2014.

On the above-referenced date, LCA Environmental, Inc. (LCA) collected bulk samples of suspect asbestos-containing building material (ACBM) at the above-referenced Project Site. The materials sampled camefrom areas that were identified by the Client as being subject to proposed renovation and/or demolition. Thesamples were submitted to a laboratory accredited by the National Voluntary Laboratory AccreditationProgram and licensed by the Texas Department of State Health Services (TDSHS) to conduct asbestosanalysis. The findings of this limited asbestos inspection are as follows:

No asbestos was detected in the samples collected and submitted for laboratory analysis. Therefore, the building materials that will be disturbed during renovation and/or demolition are not ACBM as defined by the National Emission Standard for Hazardous Air Pollutants (NESHAP 40 CFR 61, Subpart M) and the Texas Asbestos Health Protection Rules (TAHPR §295.32 and §295.58 (h)).

JPS Health Network - Design and Construction Mr. K.C. Tang 26 January 2015LCA Project: 150105 JPS - Bardin Road Clinic Page 2 of 2

The findings and opinions of this limited asbestos inspection are not scientific certainties but rather opinions basedon our professional judgment concerning the significance of the data gathered during the course of the limitedasbestos inspection. LCA does not represent that the Project Site contains no hazardous or toxic materials, wastes,or other latent conditions beyond the observations made by LCA during the limited asbestos inspection and theinformation obtained from the other activities in the scope of work.

LCA is not responsible for any omissions or inaccuracies of any sort that arise as a result of the Client's failure orinability to provide Project Site information or data. LCA makes no warranties or representations, expressed orimplied, beyond those expressed in the Standard Contract for Services and this limited asbestos inspection report.

This limited asbestos inspection report has been prepared for the exclusive use of the Client and its directrepresentatives and associates to assist with their efforts to identify potential environmental concerns connectedwith the Project Site. LCA does not authorize the use of this limited asbestos inspection report for any purposeother than that for which it is prepared.

Only those suspect ACBM that are specifically discussed in this limited asbestos inspection report were identifiedor addressed during this project. It is possible that other ACBM may exist at this Project Site in areas that were notseen or were concealed or otherwise inaccessible (e.g., behind walls, above ceilings, inside old air ducts, etc.). It isalso possible that other accessible ACBM may exist at this Project Site in areas that were not identified by theClient as subject to proposed renovation and/or demolition. Samples were not collected of typically non-ACBMsuch as concrete, steel, plastic, glass, and paint. The identification or addressing of other potential ACBM wasoutside the scope of service of this contract LCA assumes no responsibility or liability for any ACBM at the

I:\2015\150105 - JPS - Tang - Bardin Rd Clinic LASR\150105 ACBM Inspection Report.xls

Prepared By: Reviewed By:

Edward B. Barganier, Program ManagerTDSHS IAC 10-5519

Attachments:LCA CertificationsSteve Moody Micro Services,Report No. 15B-00738

Thomas A. Hale, Senior Environmental Tech.TDSHS AI 60-2545

LCA represents that the work performed on this project was performed by qualified individuals, trained andlicensed to perform their respective duties (see attached licenses). LCA further represents that work performed onthis project by LCA or people under LCA's direct control was performed in a manner and fashion consistent withcommonly accepted standards and practices within the asbestos industry in this area during the project period.

outside the scope of service of this contract. LCA assumes no responsibility or liability for any ACBM at theProject Site.

I:\2015\150105 - JPS - Tang - Bardin Rd Clinic LASR\150105 ACBM Inspection Report.xls

PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :

LCA Environmental, Inc. - Dallas, TX

JPS, Clinic, 1741 E. Bardin Road

150105

Asbestos, Bulk Sample Analysis

Sample Number Client Sample Description / Location Asbestos Content

Sample Date :

On 1/21/2015, sixty (60) bulk material samples were submitted by Thomas Hale of LCA Environmental, Inc. - Dallas, TX for asbestos analysis by

PLM/DS. The PLM Detail Report is attached; additional information may be found therein. The results are summarized below:

Page 1 of 5

Lab Job No. :

Report Date :

15B-00738

01/20/2015

01/23/2015

2051 Valley View Lane

Farmers Branch, TX 75234 Phone: (972) 241-8460

Moody Labs NVLAP Lab Code 102056-0

TDSHS License No. 30-0084

Polarized Light Microscopy / Dispersion Staining (PLM/DS)

EPA Method 600 / R-93 / 116

1-1A 2' x 4' Lay-in Ceiling Panel (Fissured), Suite 201,

Northwest Restroom North

None Detected - Acoustic Tile

2-1B 2' x 4' Lay-in Ceiling Panel (Fissured), Suite 201,

Northwest Restroom South


3-1C 2' x 4' Lay-in Ceiling Panel (Fissured), Suite 201, Waiting

Area Restroom


4-2A 2' x 4' Lay-in Ceiling Panel (Chicken Scratch), Suite 241,

Break Room


5-2B 2' x 4' Lay-in Ceiling Panel (Chicken Scratch), Suite 241,

Exam Room 103


6-2C 2' x 4' Lay-in Ceiling Panel (Chicken Scratch), Suite 241,

Exam Room 105


7-3A Gyp-Board Wall System (Perimeter), Suite 201, South

Wall across from Admin

None Detected - Drywall Material

None Detected - Texture / Joint Cmpd

8-3B Gyp-Board Wall System (Perimeter), Suite 241, Exam

Room 125



9-3C Gyp-Board Wall System (Perimeter), Suite 291, Southeast

Office



10-4A Gyp-Board Wall System (Interior), Suite 201, Northwest

Storage Room


None Detected - Joint Compound

None Detected - Texture

11-4B Gyp-Board Wall System (Interior), Suite 201, Break Room

Restroom



12-4C Gyp-Board Wall System (Interior), Suite 201, Northwest

Hall West End



13-5A 4" Vinyl Cove Base (Maroon) with Adhesive, Suite 201,

Northwest Hall North Wall

None Detected - Cove Base

None Detected - Yellow Mastic

14-5B 4" Vinyl Cove Base (Maroon) with Adhesive, Suite 201,

Exam Room 3



PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



150105



Sample Date :



Page 2 of 5

Lab Job No. :

Report Date :

15B-00738

01/20/2015

01/23/2015






EPA Method 600 / R-93 / 116

15-5C 4" Vinyl Cove Base (Maroon) with Adhesive, Suite 201, at

Door to Suite 241


None Detected - Tan Mastic

16-6A Floor Tile (Faux Wood) with Mastic (Yellow), Suite 201,

Entryway Northeast

None Detected - Floor Tile


None Detected - Black Mastic

17-6B Floor Tile (Faux Wood) with Mastic (Yellow), Suite 201,

Entryway Northeast




18-6C Floor Tile (Faux Wood) with Mastic (Yellow), Suite 201,

Entryway Northeast




19-7A 12" x 12" Vinyl Floor Tile (Pebbled) with Mastic, Suite

201, at Northeast Exit Door



None Detected - Leveling Compound

20-7B 12" x 12" Vinyl Floor Tile (Pebbled) with Mastic, Suite

201, Exam Room 3




21-7C 12" x 12" Vinyl Floor Tile (Pebbled) with Mastic, Suite

201, Exam Room 4



22-8A 12" x 12" Vinyl Floor Tile (Faux Slate) with Mastic, Suite

201, Break Room



23-8B 12" x 12" Vinyl Floor Tile (Faux Slate) with Mastic, Suite

201, Northwest Storage Room



24-8C 12" x 12" Vinyl Floor Tile (Faux Slate) with Mastic, Suite

201, Northwest Restroom North



25-9A Carpet Mastic (Yellow), Suite 201, Waiting Area at Entry None Detected - Carpet


26-9B Carpet Mastic (Yellow), Suite 201, Waiting Area at Entry None Detected - Carpet


PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



150105



Sample Date :



Page 3 of 5

Lab Job No. :

Report Date :

15B-00738

01/20/2015

01/23/2015






EPA Method 600 / R-93 / 116

27-9C Carpet Mastic (Yellow), Suite 201, Waiting Area at Entry None Detected - Carpet


28-10A Gyp-Board Wall System (Interior), Suite 291, Exam Room

4



29-10B Gyp-Board Wall System (Interior), Suite 291, Northeast

Storage Room



30-10C Gyp-Board Wall System (Interior), Suite 291, Exam Room

2



31-11A Gyp-Board Wall System (Interior), Suite 241, South Hall

West End



32-11B Gyp-Board Wall System (Interior), Suite 241, Billing

Office Northeast



33-11C Gyp-Board Wall System (Interior), Suite 241, Exam Room

131



34-12A 4" Cove Base (Tan) with Adhesive, Suite 241, Exam

Room 135



35-12B 4" Cove Base (Tan) with Adhesive, Suite 241, at Door to

Suite 201



36-12C 4" Cove Base (Tan) with Adhesive, Suite 241, Break

Room at Door



37-13A 12" x 12" Vinyl Floor Tile (Speckled) with Mastic, Suite

241, X-Ray Control Room



38-13B 12" x 12" Vinyl Floor Tile (Speckled) with Mastic, Suite

241, South Hall West End



39-13C 12" x 12" Vinyl Floor Tile (Speckled) with Mastic, Suite

241, Break Room Northeast




40-14A 12" x 12" Vinyl Floor Tile (Grey Speckled) with Mastic,

Suite 241, at Door to Suite 291 Lobby



PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



150105



Sample Date :



Page 4 of 5

Lab Job No. :

Report Date :

15B-00738

01/20/2015

01/23/2015






EPA Method 600 / R-93 / 116

41-14B 12" x 12" Vinyl Floor Tile (Grey Speckled) with Mastic,

Suite 241, Exam Room 135



42-14C 12" x 12" Vinyl Floor Tile (Grey Speckled) with Mastic,




43-15A 12" x 12" Vinyl Floor Tile (Light Brown) with Mastic,




44-15B 12" x 12" Vinyl Floor Tile (Light Brown) with Mastic,




45-15C 12" x 12" Vinyl Floor Tile (Light Brown) with Mastic,




46-16A 12" x 12" Vinyl Floor Tile (Dark Brown) with Mastic,




47-16B 12" x 12" Vinyl Floor Tile (Dark Brown) with Mastic,




48-16C 12" x 12" Vinyl Floor Tile (Dark Brown) with Mastic,




49-17A Seamless Vinyl Floor with Mastic, Suite 241, Exam Room

137

None Detected - Sheet Flooring

None Detected - Fiber Backing


50-17B Seamless Vinyl Floor with Mastic, Suite 241, Exam Room

137




51-17C Seamless Vinyl Floor with Mastic, Suite 241, Exam Room

137




52-18A 4" Cove Base (Brown) with Adhesive, Suite 291, Exam

Room 1



53-18B 4" Cove Base (Brown) with Adhesive, Suite 291,

Northwest Exam Room



PLM Summary Report

Client :

Project :

Project # :

Identification :

Test Method :



150105



Sample Date :



Page 5 of 5

Lab Job No. :

Report Date :

15B-00738

01/20/2015

01/23/2015






EPA Method 600 / R-93 / 116

54-18C 4" Cove Base (Brown) with Adhesive, Suite 291, at

Northwest Exit Door



55-19A 12" x 12" Vinyl Floor Tile (Black Specks) with Mastic,




56-19B 12" x 12" Vinyl Floor Tile (Black Specks) with Mastic,




57-19C 12" x 12" Vinyl Floor Tile (Black Specks) with Mastic,

Suite 291, at Nurses' Station



58-20A Sink Undercoat (White), Suite 291, Exam Room 3 None Detected - Sink Undercoating

59-20B Sink Undercoat (White), Suite 291, Exam Room 3 None Detected - Sink Undercoating

60-20C Sink Undercoat (White), Suite 291, Exam Room 3 None Detected - Sink Undercoating

Brian R. SchmidtAnalyst(s):

Lab Director : Bruce Crabb Approved Signatory :

Thank you for choosing Steve Moody Micro Services

Lab Manager : Heather Lopez Approved Signatory :

These samples were analyzed by layers. Quantification, unless otherwise noted, is performed by calibrated visual

estimate. The test report shall not be reproduced, except in full, without written approval of the laboratory. The results

relate only to the items tested. These test results do not imply endorsement by NVLAP or any agency of the U.S.

Government. Accredited by the National Voluntary Laboratory Accreditation Program for Bulk Asbestos Fiber Analysis

under Lab Code 102056-0.

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PLM Detail Report

Project # : 150105

Page 1 of 7

Sample Number Layer Components% Of

Sample

Analysis

Date

% of

LayerAnalyst

Supplement to PLM Summary Report

Client :

Project :



Lab Job No. :

Report Date :

15B-00738

01/23/2015





Cellulose Fibers1-1A Acoustic Tile (Light Beige) 100% 01/2380% BS

Perlite1-1A Acoustic Tile (Light Beige) 100% 01/2320% BS

Cellulose Fibers2-1B Acoustic Tile (Light Beige) 100% 01/2380% BS

Perlite2-1B Acoustic Tile (Light Beige) 100% 01/2320% BS

Cellulose Fibers3-1C Acoustic Tile (Light Beige) 100% 01/2380% BS

Perlite3-1C Acoustic Tile (Light Beige) 100% 01/2320% BS

Cellulose Fibers4-2A Acoustic Tile (Light Tan) 100% 01/2350% BS

Mineral Wool Fibers4-2A Acoustic Tile (Light Tan) 100% 01/2330% BS

Perlite4-2A Acoustic Tile (Light Tan) 100% 01/2320% BS

Cellulose Fibers5-2B Acoustic Tile (Light Tan) 100% 01/2350% BS

Mineral Wool Fibers5-2B Acoustic Tile (Light Tan) 100% 01/2330% BS

Perlite5-2B Acoustic Tile (Light Tan) 100% 01/2320% BS

Cellulose Fibers6-2C Acoustic Tile (Light Tan) 100% 01/2350% BS

Mineral Wool Fibers6-2C Acoustic Tile (Light Tan) 100% 01/2330% BS

Perlite6-2C Acoustic Tile (Light Tan) 100% 01/2320% BS

Glass Wool Fibers7-3A Drywall Material (White) 98% 01/232% BS

Gypsum / Binders7-3A Drywall Material (White) 98% 01/2398% BS

Cellulose Fibers7-3A DW Paper Facing (Tan) 2% 01/23100% BS

Calcite / Talc / Binders7-3A Texture / Joint Cmpd (White) <1% 01/23100% BS

Glass Wool Fibers8-3B Drywall Material (White) 20% 01/232% BS

Gypsum / Binders8-3B Drywall Material (White) 20% 01/2398% BS

Cellulose Fibers8-3B DW Paper Facing (Tan) 2% 01/23100% BS

Calcite / Talc / Binders8-3B Texture / Joint Cmpd (White) 78% 01/23100% BS

Glass Wool Fibers9-3C Drywall Material (White) 90% 01/232% BS

Gypsum / Binders9-3C Drywall Material (White) 90% 01/2398% BS

Cellulose Fibers9-3C DW Paper Facing (Tan) 5% 01/23100% BS

Calcite / Talc / Binders9-3C Texture / Joint Cmpd (White) 5% 01/23100% BS

PLM Detail Report

Project # : 150105

Page 2 of 7


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

15B-00738

01/23/2015







Cellulose Fibers10-4A DW Paper / Tape (Tan / White) 2% 01/23100% BS

Calcite / Talc / Binders10-4A Joint Compound (White) 5% 01/23100% BS

Calcite / Talc / Binders10-4A Texture (White) 45% 01/23100% BS









Calcite / Vinyl Binders13-5A Cove Base (Maroon) 100% 01/23100% BS

Glue Binders13-5A Yellow Mastic (Yellow) <1% 01/23100% BS

Calcite / Vinyl Binders14-5B Cove Base (Maroon) 97% 01/23100% BS

Glue Binders14-5B Yellow Mastic (Yellow) 3% 01/23100% BS

Vinyl Binders15-5C Cove Base (Maroon) 99% 01/23100% BS

Glue Binders15-5C Tan Mastic (Tan) 1% 01/23100% BS

Calcite / Vinyl Binders16-6A Floor Tile (Dark Tan/Brown) 100% 01/23100% BS


Tar Binders16-6A Black Mastic (Black) <1% 01/23100% BS

Note: used up most of black mastic for analysis

Calcite / Vinyl Binders17-6B Floor Tile (Dark Tan/Brown) 100% 01/23100% BS

Glue Binders17-6B Yellow Mastic (Yellow) <1% 01/23100% BS

Tar Binders17-6B Black Mastic (Black) <1% 01/23100% BS


PLM Detail Report

Project # : 150105

Page 3 of 7


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

15B-00738

01/23/2015





Calcite / Vinyl Binders18-6C Floor Tile (Dark Tan/Brown) 100% 01/23100% BS

Glue Binders18-6C Yellow Mastic (Yellow) <1% 01/23100% BS

Tar Binders18-6C Black Mastic (Black) <1% 01/23100% BS


Calcite / Vinyl Binders19-7A Floor Tile (Beige) 99% 01/23100% BS

Glue Binders19-7A Yellow Mastic (Yellow) 1% 01/23100% BS

Cellulose Fibers19-7A Leveling Compound (Light Grey) <1% 01/235% BS

Calcite / Binders19-7A Leveling Compound (Light Grey) <1% 01/2395% BS

Calcite / Vinyl Binders20-7B Floor Tile (Beige) 97% 01/23100% BS


Cellulose Fibers20-7B Leveling Compound (Light Grey) 2% 01/235% BS

Calcite / Binders20-7B Leveling Compound (Light Grey) 2% 01/2395% BS

Calcite / Vinyl Binders21-7C Floor Tile (Beige) 99% 01/23100% BS

Glue Binders21-7C Yellow Mastic (Yellow) 1% 01/23100% BS

Calcite / Vinyl Binders22-8A Floor Tile (Tan) 99% 01/23100% BS


Calcite / Vinyl Binders23-8B Floor Tile (Tan) 98% 01/23100% BS


Calcite / Vinyl Binders24-8C Floor Tile (Tan) 99% 01/23100% BS


Synthetic Fibers25-9A Carpet (Brown / Beige) 99% 01/2385% BS

Glue Binders25-9A Carpet (Brown / Beige) 99% 01/2315% BS


Synthetic Fibers26-9B Carpet (Brown / Beige) 98% 01/2385% BS

Glue Binders26-9B Carpet (Brown / Beige) 98% 01/2315% BS


Synthetic Fibers27-9C Carpet (Brown / Beige) 98% 01/2385% BS

Glue Binders27-9C Carpet (Brown / Beige) 98% 01/2315% BS


PLM Detail Report

Project # : 150105

Page 4 of 7


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

15B-00738

01/23/2015








Calcite / Talc / Binders28-10A Texture / Joint Cmpd (White) <1% 01/23100% BS












Calcite / Talc / Binders31-11A Texture / Joint Cmpd (White) 40% 01/23100% BS









Calcite / Vinyl Binders34-12A Cove Base (Tan) 97% 01/23100% BS


Calcite / Vinyl Binders35-12B Cove Base (Tan) 99% 01/23100% BS


Calcite / Vinyl Binders36-12C Cove Base (Tan) 98% 01/23100% BS


PLM Detail Report

Project # : 150105

Page 5 of 7


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

15B-00738

01/23/2015





Calcite / Vinyl Binders37-13A Floor Tile (Tan) 100% 01/23100% BS


Calcite / Vinyl Binders38-13B Floor Tile (Tan) 100% 01/23100% BS


Calcite / Vinyl Binders39-13C Floor Tile (Tan) 83% 01/23100% BS


Cellulose Fibers39-13C Leveling Compound (Beige) 15% 01/235% BS

Calcite / Binders39-13C Leveling Compound (Beige) 15% 01/2395% BS

Calcite / Vinyl Binders40-14A Floor Tile (Beige / Grey) 100% 01/23100% BS


Calcite / Vinyl Binders41-14B Floor Tile (Beige / Grey) 100% 01/23100% BS

Glue Binders41-14B Yellow Mastic (Yellow (Dirty)) <1% 01/23100% BS

Calcite / Vinyl Binders42-14C Floor Tile (Beige / Grey) 100% 01/23100% BS


Calcite / Vinyl Binders43-15A Floor Tile (Light Brown) 100% 01/23100% BS


Calcite / Vinyl Binders44-15B Floor Tile (Light Brown) 100% 01/23100% BS


Note: used up most of yellow mastic for analysis

Calcite / Vinyl Binders45-15C Floor Tile (Light Brown) 100% 01/23100% BS



Calcite / Vinyl Binders46-16A Floor Tile (Brown) 100% 01/23100% BS



Calcite / Vinyl Binders47-16B Floor Tile (Brown) 100% 01/23100% BS


Calcite / Vinyl Binders48-16C Floor Tile (Brown) 100% 01/23100% BS


PLM Detail Report

Project # : 150105

Page 6 of 7


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

15B-00738

01/23/2015





Calcite / Vinyl Binders49-17A Sheet Flooring (Light Beige) 85% 01/23100% BS

Cellulose Fibers49-17A Fiber Backing (Light Grey) 13% 01/2350% BS

Glass Wool Fibers49-17A Fiber Backing (Light Grey) 13% 01/235% BS

Binders / Fillers49-17A Fiber Backing (Light Grey) 13% 01/2345% BS


Calcite / Vinyl Binders50-17B Sheet Flooring (Light Beige) 80% 01/23100% BS

Cellulose Fibers50-17B Fiber Backing (Light Grey) 15% 01/2350% BS

Glass Wool Fibers50-17B Fiber Backing (Light Grey) 15% 01/235% BS

Binders / Fillers50-17B Fiber Backing (Light Grey) 15% 01/2345% BS


Calcite / Vinyl Binders51-17C Sheet Flooring (Light Beige) 85% 01/23100% BS

Cellulose Fibers51-17C Fiber Backing (Light Grey) 12% 01/2350% BS

Glass Wool Fibers51-17C Fiber Backing (Light Grey) 12% 01/235% BS

Binders / Fillers51-17C Fiber Backing (Light Grey) 12% 01/2345% BS


Vinyl Binders52-18A Cove Base (Tan) 99% 01/23100% BS

Glue Binders52-18A Tan Mastic (Tan) 1% 01/23100% BS

Vinyl Binders53-18B Cove Base (Tan) 95% 01/23100% BS

Glue Binders53-18B Tan Mastic (Tan) 5% 01/23100% BS

Vinyl Binders54-18C Cove Base (Tan) 95% 01/23100% BS

Glue Binders54-18C Tan Mastic (Tan) 5% 01/23100% BS

Calcite / Vinyl Binders55-19A Floor Tile (Off-White / Black) 99% 01/23100% BS


Calcite / Vinyl Binders56-19B Floor Tile (Off-White / Black) 98% 01/23100% BS


Calcite / Vinyl Binders57-19C Floor Tile (Off-White / Black) 98% 01/23100% BS


PLM Detail Report

Project # : 150105

Page 7 of 7


Sample

Analysis

Date

% of

LayerAnalyst


Client :

Project :



Lab Job No. :

Report Date :

15B-00738

01/23/2015





Cellulose Fibers58-20A Sink Undercoating (Off-White) 100% 01/2310% BS

Calcite / Talc58-20A Sink Undercoating (Off-White) 100% 01/2350% BS

Binders / Fillers58-20A Sink Undercoating (Off-White) 100% 01/2340% BS

Cellulose Fibers59-20B Sink Undercoating (Off-White) 100% 01/2310% BS

Calcite / Talc59-20B Sink Undercoating (Off-White) 100% 01/2350% BS

Binders / Fillers59-20B Sink Undercoating (Off-White) 100% 01/2340% BS

Cellulose Fibers60-20C Sink Undercoating (Off-White) 100% 01/2310% BS

Calcite / Talc60-20C Sink Undercoating (Off-White) 100% 01/2350% BS

Binders / Fillers60-20C Sink Undercoating (Off-White) 100% 01/2340% BS

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