Asbestos Chain of Custody PAM ANALYTICAL, INC. DR Only

Asbestos Chain of Custody EMI Order Number (Lab Use Only);

PAM ANALYTICAL, INC. 0340 CASTLEPLACE DR INDIANAPOLIS, IN 46250 PHONE: 1800220-3675

FAX (317)8034047 ne.

rida001

, Company Name : Coulee Rglon Envfronmsntsl LLC EMSL Customer ON I/1111 bo-3- 57, Street: 12$ PLO alma& Sub 202 CIW: La CIMINO atate/PrOVInee; WI Zip/Postal Coda: $4601 Country LISA Telephone#: 6087928672 FaX th

Report To (Name* Rick Stickier Please Provide•Results: 0 Fax MI Email

Email Address: reticIderecrelacrosse.com Purchase Orden 4T5 Pi' f12- 44 i -- 2 - -

ProJect NaMe/Numbec VIA rVICrounil k ON a 7.- EfitaL PrOct 10 (WOMB/ iktO Only): VA State Samples Taken: Go I 5co 1 CT Samples Qpornmerslel/Taxable n Residential/Tax Ex01110

EMSL-E1111 to: DI Same D Different - was tee Mont note Inatreetione in Comment... Mild Part 81111iVeldbit svdtten authorization fivm third Pat* , Turnaround T.1 A 0 tens* -Please Check

3 Haat Ii8Heur L24Hour 48 Hour JO 72 Hour 96 Hour IiJ1Weok I Q2Weok-

*For TEM NrOlir through ehr, please aail sad to actodido.•Thars la a pramium ego far 3 hour TE M MORA oriline Leteel o ier. You tone 1181(44 boon iLuiheikellen Itam ION is Benin& Analliala aninotated In accordance addi EMMA; rem and Conditions ValataVathe Analyilcal Ma Sul*

PCM • Air, JOU Check if samples are ' TEM - Air 2 4-4.5hr TAT (AHEM only) ° TEM- Dust tam • CI

NY NIOSH 7400 w/ OSHA 8hr, 1WA

• MIcrovao - ASTM D 5755 • Wipe -ASTM 08480 E3 Carpet SonicatIon (EPA 8I)041-93i187)

Cl 2 • •

AHEFtA 40 OFR, Part 783 NIOSH 7402 EPA Level H . 180'10312

pl,m - aukfrecortino litrilg et 0 Poi

• Is

0 0 0

Point

PLM EPA 800/R-93/116 (<1%) PIMA NOB (<1%)

aunt 400 (40;p%) 0 1000 (<01%)

Count w/GravImetrio 400 (<0.25%) C3 woo (<0.1%) NYS 198.1 (friable in NY) '

NYS 198:8 NOB (non-friable-NY) NYS1198.8 80F-V MOM 9002 <1%) (

Soll/RocitMlunicuitte-

0 • lit • 8

(00

PLM EPA 808/R-93/118 with milling prep (41%) PLM EPA 601R-931118 with milling prop (4).25% TEM EPA 600/R-93/116 with milling prep (.40.1* TEM Qualitative vie Ffilfallerifeig

• TEM Qualitative via Drop Mount Prep CIncinnatiMeihod EPA 600/R-04004 KM/TEM 044

TEM - Bulk ci 11 a W

TEM EPA NOB . NYS NOB 1984 (non-friable-NY) Chatfield SOP TEM Masi Analrele-EPA 600 sec 2.6

TEM-Water EPA 100.2 '

Fibers >10urn All Fiber Sizes

•

0

Waste •

Waste •

• ' Drinking

Drinking

GIhert

J3 Check For Positive Stop - Clearly identify Nomogenous Group liFilter Pore Size (Air Sam ee): El 0.8p 0 pASinh

Samplers Name: R/Lie.., 6e-ez v

samplers Signature:

Sampled Sample Description VolumefArea (A

HAS (13u114 Datealme Sampled

V/V-04i3//- t. 7-^ 4 fin/7.5- (30/2.c.

<-' <!-dgr- 514-"l&ea-* (.4,,,„,..4.,- .,-- Epwl)

-fr

VA/4074 i 3( - 3 4/..---- NI it 7.i,-. co„:4iz 4

..c--, am.„14. ie .0 va Litto 6/5 14?— :357.---

iii,f1Ci 1 -Ct,35-4 e

--.R. ozz-

;ec--- 16, vii 4. A-t--.40 -i--i-

40761 507- 3C, 2 1175//31‘1-00 .4

-11( - — CR e. .not-mytt x* I .----- .-P101-S. 4- --

Client Sample # fah &Q& ., rroodikre.P* - C-ot (FL/41 Total # of Samples: <0

- 2-ir linqufehed (Client); Date:

e —7,-014/ Time: ii17217

Received (Labt, Date; . • Time , ., „ , ,. Comments/Special instructions : splagit , . (( cR JE enait-041,:we .---,c '

''-04.0,idt,fi

aftowommot.madosam-m-momms

Page 1 of pages

CaastailOisurnpl.A16001 COO -AIM- 010190111

OrderID: '161911/59 oe•

• -Asbestos Chahof Custody .0111$1. Order Numbei aith Ust on*

I ft I 1 I OS, ,,EMSL ANAtxteAt.,,INc.. 6549.00114MM OR. .. INOlAMPOlJg Nit 48250

PHONE; (1300):404875 FA* 017)803:4047. 1

'

' '' • COMpatiVN/M1111 Cords. Region Enalton Ontal LLC:

•............... . .

: emeLeuittionar let $ 44 Street: 123 N. 41" litreeklittte 202' . molt Listuese: •• • •tatelptuvineet WI •Vp/Postel Coder $4021 F Countw USA . Taiephottirik1987928372: 1 .Pax•#: .. .

'Reinert IttiNenii)LftlitirStroldee: ..... ,..- • • . ' "le it Itiiitie*ablibr.' *CI. lt,r',Eitti;ii,. • • ,,,,i6a, - ,...J., ..g., t. ...., • ....i• n• .. ol.t.. r__.filic ..._p,1/4.. .. . .. Email 1 AicityleCacifir- `W.:1-47'!..•• .7 ''' • ..-.7.` d ... a e ore aorosee.earn - - . PitintiimeDide'ri::" --7A1,51,.9.672.a-L(

• Proleat Nailleflitirnberr V .4- . . , OF25 tr.431.:Pfrokiat ID (Thlemef Ike 041 .e'r'Sorngitoof Q CommersiallTaxeler)Realdentioldit ExerirPti 'U.S. State Sangrias: Taken br.„, / .

Engl.-80 to Senie II Different - s eisi*tr olfterent sae fortnatesele CorrunentiN WiriNitteartringut OttiOdinitaistio INV** :' ,.... ''. 41.09f: i :•Türnarund TocYAIJ -Please Check:. _ ...._''.„, Tans*

13 3 Hour f lilt Hour I 0.24 Maur "ftelift ou van flour I Q 96 Hour .1 Q. Meek. •• - ILI 2 Weer 'Fce.Toliqt9trittroug ' II iir, .• please:cot aii.010 ichodirloMotok a promkurt: ergo for akturTaii ANWI:orEPAUvol CM?. . Vogitifiliwao1001020 in

. iuthoittalf* 'banjo,' UJntaivIr.. A&iWpi*OistekvorrionatWth.MRs tenni asdandifteire lesentd a $.0• iiirsiffkal Pas OW& pommAkaetreckifeernPlee are

only)

.

i yew Ng

- Asrm D 67156 08480

(EPA 0014.031107)

Iromt.IY .. 0 NIOSH 7400

, yERt- Alt m 4-4.6hr TAT (aflENA

, El AHEM 40 CFRI Part 703 0 Micmac 10 Wipe - ASTM : 0 Carpet Eoniestion

• wr OSHA pot .iwA x NIOSN 7402 0 EPA Level II

. 0 130•10312, - lI L• - A 1K. LI

V -Lmi.EpA 600fit-93/1113 0 PLM EPA NOS (41%) Point Count

I

(41%)

(<0.1%)

• '

-NY)

0 PLM EPA 0 PLM EPA

pelliftioidSterykoiditrt ..v 8001R-93/1.18 with milling prep (41%) 800/R-90/1111 with milling prep (<0.25% , 600/R-93/116 with milling prep (40.1%).

putirrEm

m TEMAgegittiatrimBiltrationPrep-

GI TEM"14trailfallfdknetror.'00:Pteii, 0 OlocittrestMethod:EPAcoOftwmp04-.

1,14ftlAkik., „ . . .

.

• TEM EPA NOD 0 400 (<0!2:9%) m 1000 m NYS NOS 196.4 (non-frieble-NY) • IM EPA

,i PointCount w/Oravimetdo 4p9st.028.41:b000tik1t4r.'-

I:1 ChatReici SOP . 1:rrem maiinsaitritiAT*4'eeaViEie

. IBC otel ., •TEM -.MI0 EPA 100 ' • , • Drinking

Cl Drinking

m NYS 1981. (friable In NY)

0 NYS 198.6 NOB (non-friable

'Cl NYS 498.8 some :J2 MOW 9002 &NI

Others PlOpm 0 Waste

Au Fiber Sins 0 Waste

. ..."-,•

reel

El cheek For Positive 810j3 -, Olesett•idritiV.Hornottenous Croup' • Filter Pore:Ski Ali4SaM u D08t1 .O.4$am

Omptutv :Nome: • .4 ..1‘-(e-. . ''-• - : • V e41 4. C1 I Samplers Signature. 4P,OPL-6-01

Sample ff : Sample. ['ascription we/AM 0 NA# tau .

DatirMem : satdOlod

VA0.4e3.1,- , ct4et0' .C.R.E_.

To . . :. ..e.131,41:k:45.4kc.

, .

'Client Bartiplei.# fel: V A ( 141:9 ( 71:+: 046CP741_3./47,-..a6plitiee of stimpletil n::.

estmutioediggent . -re.? • :...P„ :21ater lez2 ,....., .. ..,u

•Maar. r7.2.(:, - -.11e.."-Zte 0. 14 kau'il_, _ 0 i,,, ''• ' • • • ' • • • . Ramat/est #,*byi a ‘, - - ÷ baler 6 ,,,) -1..t.); 1 Tinlitt 41:(A. 01401 . •/..-

l., ••• .0.00:. • . . 'CionmentS/SpeOlailnetruadoner li

... ” 9(

* Page 1 Of 3

S A

• 1.

•

Locadon & Description of Bulk Sample

•tiornappeopt Area

OrderID: 161911759

.571

Coulee Region Environmental, LLC . 123 North 4th Street -Suite 202 La Wisconsin 'Pining (6)8) 713441,811

• ••• • .".

Bulk Sample Log Form

Facility Vitr&tirtSmith m fg:6 , . , 14. Project No:

Analysis Requested:. Collected By: Rick StieldM,

Date SUbMitted a 9i f,

Cate

Submitted By: Rick Stick1ei-,3000. Signature Date Received: Received 13 •

State Certification. 4II-00425 Date

Submitted To EMSL Analytical. Inc:,

• Bulk Sample .Number

,••-• ,01 at ,e,e)

7‘.

oca•Vor

4,0

hr _anaK(4. 4 L

Aiwa'

,yrd

AD

V '4 wirgii„,,,,,,,,m,i,,L-eAna....Pii-k7,arY •-.Asor' !re 2r, L7-V;ir

A-4t -A il l )1,

d P

e6, • .400

its.4

•••14.

PacTel 2 Of 3

•

dairdia ov,iclas

Page 3 Of

State Certification: -All..0t1425 Date C. eta

' Submitted Tot_ap_LAngjyticaktuci.. armio

Submitted ay; Rick Sticklei, SIR natur

Date Received: Received z

• • m4

• Carrier.

Analysis Requested: PLIA. EPA.4500 Collect ur Rick Stickler,

SlibM Med:

moreneoot Area

pmyy..4 .1,2••

VitMEE-

136-

writti ffArr — km • 0°I' l/PlaiE,_

A7 4r,

• lei 4t,

•

A' r eT;r.

•-

•±%6A

<61

tierip 4 whicia

- LiairMai.ratiliMIRMII=lai 'A/ +!ghtiv,L,ALL+1-11111 logr.,,,2,97)711141Pt7,7,

+4, - 1111M51011111101T04-41T.-111r47 ,,A4--olCoinkl!,',Yry,,, re, 100614

Winkailliari to,

a 1,4,

far3..

.7

7

11

)

;;Yie4a

Clo'r.41 "

jivir7t;

.11k00 111V •

42 ) F

Coulee Region Environmental, UC , : . 123Not124111Stneet•Sulte24•149:plfaiilyy,"!udd• . Phouu(10432(41, t . 4'. • 0 • al' iaaeam. .• • • •• ., ! a• ,

4, i•-

(

14

Zoe-2, P.rJeet.No:

OrderID. : 161911759

;4

4 t

56F. b(2.76-


EMSL Analytical, Inc. 0340 GristlePlace Dr. Indianapolis, IN 46250

Tel/Fax: (317) 803-2997 /(317) 803-3047

http://www.EMSL.com /Indlanspollslabelemslcom

,Asbaliftes

% 'Poe. None Detected

Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized

Light Microscopy

NoroAlbestos OM* DeserlOtleh APpolinmee, % Fibrous % Non-Fibrous

VA2361319-8-Floor Tile 12x12' vinyl floor tile White/Beige 100% Non-fibrous (Other) beige pattern/black Non-Fibrous

Yellow Non-Fibrous Homogeneous

12x12" vinyl floor tile beige pattern/black mastic/yellow mastic

4" ceramic wall tile/It gray grout/grey adhesive shower rm 212

08% Non-fibrous (Other)



100% Non-flbrous (Other)


n

100% Non-flbroue (Other)

4" ceramic wall tile/it gray grout/grey adhesive shower rm 212

Gray Non-Fibrous Homogeneous

15% Quartz 85% Non-fibrous (Other)

VA2381319-10-Grout

101811759.0010A

None Detected


White Non-Fibrous Homogeneous

None Detected

None Detected



VA2381319-10-Adheslv 4" ceramic wall tile/It gray grout/grey adhesive shower rm

1010117D9•00108 212

VA2381319-11-Ceramlo 4" ceramic well tile/it Tile gray grout/gray

adhesive shower rm M1011759.0011 212


None Detected 4" ceramic wall tile/It gray grout/grey adhesive shower rm 212

VA2361319-11-Grout

161911769.00114


Gray Nan-Fibrous Homoogneous


None Detected

None Detested


100% Non4lbrous (Other)

VA2381319-11-Adheelv 4" ceramic wall tile/it grey grout/grey adhesive shower rm

161911760-0011B 212

VA2361319-12-Ceramic 4" ceramic wail tile/it Tile gray grout/grey

adhesive shower rm 1619117684012 212


None Detected 4" ceramic well tile/it gray grout/grey adhesive shower rm 212

VA2361319-12-Grout

161911759.0012A

100% Noi4itiMus (Other)

4" ceramic wall Ille/it grey grout/grey adhesive shower rm 212


VA2361319-12-Grout

1619117694I012C

<1% Chrysotile 100% Non-fibrous (Other)

Page 2 of 5


None Detected VA2361319-12-Adheelv 4" ceramic wall tile/it Grey gray grout/grey Non-Fibrous adhesive shower lagamirnk

Asimenamimmoomeeseselemmommommilk (initial toOrtfrom: 06/19/2018 152150

ASEI_PLM_0008_0001 -1.78 Printed: 6/19/2019 3:21 PM

Black Non-Fibrous Homogeneous

Pink/Beige Non-Fibrous Homogeneous




12"x12" vinyl floor tile beige pettern/bleck mesticlyellow mastic

12"x12" vinyl floor tile beige pattern/black mastic/yellow matte

12"x12" vinyl floor tile beige pattern/black mastic/yellow mastic

_

12)02" vinyl floor tile beige pattern/black mastic/yellow mastic

None Detected

2% Chrysottle

Nona Detected

None Detected

2% Chrysotile

None Detected

1819117504008 mastic/yellow mastic Homogeneous

VA2361319-8-Mastic

(611111760.00084

VA2381319-8-Mastio 2

61 011759.00068

VA2361319-9-Floor Tile

mist/759400

VA2361319-9-Mastic

1111011759,0009A

VA2381319-9-Mastic 2

ISIS 11759.00095

VA2361319-10-Ceramtc Tile

rararrrst.00rc

EMSL Order: 181911759

Customer ID: MIDW52

Customer PO: A5195241

Project ID:

?ampl e

VATM61319-32-Maetto

18101175941032A

Description Appearance 12'5(12" stone pattern White vinyl floor tile grey & Non-Fibrous white mastic Homogeneous

% Fibrous

Gray/Red Non-Fibrous Homogeneous

125(12" stone pattern vinyl floor tile grey & white mastic

VATM61319-33-Floorin

1819117604033

100% Non-fibrous (Other) None Detected

White/Black Non-Fibrous Homogeneous

12x12. alone pattern vinyl floor tile grey & white mastic

VATM61319-33-Mastio

191011789.0093A


IAWAK/1 I. Type

None Detected

% Non-Fibrous


ceiling tile & brown Fibrous VA407131319-34-Ceiling 12x12" acoustical Tan Tile

Brown Non-Fibrous FlehineitGetle

VA40761319-34-Mastic 12x12" acoustical ceiling file & brown

181911760.0034A mastic

100% N6n-flbrous (Other) 41% Cluriotile

1819117000036A

VA40761319-35-Mastio 125(12 acoustical calling tile & brown WWII/a

Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy

NOnAchstát

calling tile & brown adhesive

Fibrous 20% Min. Wool 15% Non-f1broue101 None Detected

GO% Cellulose 20% Mln. Wool

5% Penile 15% Non-fibrous (Other)

None Detected

Brown Non-Fibrous Norriogerietnia

100% Non-fibrous (Other) <1% Chrysolite ,

Fibrous 05% Min, Wool MN it 041.

Tile ceiling tile & brown '

VA40761319-36-Maatl 12'5(12" acoustical ceiling tile & brown

1610117600036.4 adhesive

Brown Non-Fibrous Homogensotis

100% Non-fibrous (Other) <1% Chtygotile

EMSL Analytical, Inc. 0340 Daggett= Dr. Indianapolis, IN 40250

Tel/Fax: (317)803-2997 1(317) 803-3047

hltp://www.EMSLcom / [email protected]

EMSL Order: 161911759 Customer ID: MIDW52

Customer PO: AS195241

Project ID:

Analyst(s)

Joehuah Kier (45) Paul Rlhm (23)

11101130 Ner1ingita001.0tery.MPrraggr or Other Approved Signatory

..5M0kmelefolna Itabuitylintitedtdoobl'aranglialti: Ina aboueenetyggevOrgagirocrieg Insanatalgesiatfienco y•ith 4004 0.0 &Open eel 40 DFRIeral4OUgly EPA 500/M4424.020.interim bet auptnented.with pnyooDutoo.tiudrood in DID Verelenitt.theMethed, This MegAlgtgaisonly(P.Magemplitteigattidebove, and may not egrepoleeceth,eseeel In rliK Williout

*IWO geproyel.by.E.M51.. EM54 betas no reggae:Abney ter.sempte CuitectionsetNiqes atInDly1199119910091109901092..19laiONO*1194909 099 of titet.Moulig are thiregaia10105.1v.a1the client. All '..40r9910.919999nstlin aiXteplgelegoeohlonuelass otherwise note* Thia'reportoten ntst us 020 by the piafeiettercritation, aPP.Mvol,.oren.dersetnant SY/AA:AP, 1415rer anyieeettoyer the .ledgoil:am!Orrelient, gigot. itteommance glaWroeVID terfoo0Oolor_oll.non6hitaxo orgineozeiteound Otaleilaloixhir antly199..991999909 0.1.090tutal9tyls evellebte.opnittunel, . . . Samples analyzed by EMSL Analytical, Inc. Indianapolis, IN NVLAP Lab Coda 200188-0, AZOD99, 0A2675, COAL-15132, TX 300292 LA04136

(Initial report from: 00/19/2019 15:21:50

ASB_PLM11_0008 0001 - 1.78 Printed: 0/19/2019 3:21 PM Page 5 of 6

Disclaimer:Some samples may contain asbestos fibers present In dimensions below PLM resolution limits, The limit of detection as stated in the method is 0.25%, EMSL Analytical Inc suggests that samples reported as <0,25% or none detected undergo additional analysis via TEM. The above test report relates only to the Items tested. This report may not be reproduced, except In full, without written approval of EMSLAnalytIcal Inc. This test report must not be used by the client to claim product endorsement by NVLAP or any agency of the United States Government EMSL Analytical Inc„ bears no responsibility for sample collection activities, analytical method limitations, or the accuracy of results when requested to separate layered samples. EMSLAnalytical Inc., liability is limited to the cost of sample analysis.The test results contained within this report meet the requirements of NELAC unless otherwise noted. Samples received in good condition unless otherwise noted, Unless requested by the client, building materials manufactured with multiple layers (I,e, linoleum, wallboard, etc.) are reported as a single sample,.

. Samples analyzed by EMSL Analytical, Inc. Indianapolis, IN

EMSL Analytical, Inc. 6340 CastlePlace Dr. Indianapolis, IN 46250

Phone/Fax: (317) 803-2997 /(317) 803-3047

hIlp://www.EMSLcom / indlanapolislab@emacom

Attention: Rick Stickler Coulee Region Environmental, LLC 123 North 4th Street La Crosse, WI 54601

Project: VAMC TOMAH BLDG #23

EMSL Order: 161911759 Customer ID: MIDW52

Customer PO: AS195241 Project ID:

Phone: (608) 784-5688

Fax: (608) 784-7350 Received: 06/17/2019 9:40 AM

Analysis Date: 06/25/2019 Collected: 06/13/2019

Test Report: Asbestos Analysis of Bulk Materials via EPA 6001R-93/116 Method using Polarized Light Microscopy. Quantitation using 400 Point Count Procedure

Non-Asbestos Asbestos

Sample Description Appearance % Fibrous % Non•Fibrous % Type

VA2361319-12-Oro 4" ceramic wall tile/It White 100.0% Non-fibrous (Other) <0.25%ChrysotIle

ut gray grout/grey Non-Fibrous

161911759-0012C adhesive shower rm Homogeneous 212

Analyst(s)

Trevor Maggert (1) Richard Harding, Laboratory Manager

or other approved signatory

Initial report from: 06/25/2019 14:55:31

•;.'i:;• '; Printed 6/25/2019 2:55:35PM Page 1 of 1

Attn: Rick Stickler Coulee Region Environmental, LLC 123 North 4th Street Suite 202 La Crosse, WI 54601


Phone: (608) 784-5688

Fax: (608) 784-7350

Received: 06/17/19 9:40 AM

Analysis Date: 6/25/2019

Collected: 6/13/2019

EMSL Analytical, Inc. 6340 CastlePlaca Dr., Indianapolis, IN 46250

Phone/Fax: (317) 803-2997 /(317> 803-3047 hfib://wwvie.F.M8Lcorn. indlansoollsinbaftemst.carn


CustomerlD: MIDW52

CustomerPO: AS195241

ProjectID:

Test Report: Polarized Light Microscopy (PLM) - Point Count Performed by EPA 600/R-

93/116 Method with Gravimetric Reduction and 400 Point Count

(%) Matrix NON- ASBESTOS NON- ASBESTOS ASBESTOS SAMPLE ID DESCRIPTION APPEARANCE Organic Acid % Fibrous % NON-FIBROUS % TYPES

VA40761319- 12x12" 34-Mastic acoustical 161911759-0034A ceiling tile &

brown mastic

Insufficient Material


VA40761319- 12"x12" Brown 35-Mastic acoustical Non-Fibrous 161911759-0036A ceiling tile &

brown adhesive Homogeneous

43.7 0.0 56.0 Non-fibrous (other) 0.3 Chrysotile

VA40761319- 12"x12" Brown 47.2 0.0 52.8 Non-fibrous (other) <0.25 Chrysotlie 36-Mastic acoustical Non-Fibrous 181911759-0036A ceiling tile &

brown adhesive Homogeneous

Analyst(s)

Trevor Maggert (2) Richard Harding, Laboratory Manager

or other approved signatory

..... ...... . . • Disclaimers: Some samples may contain asbestos fibers present In dimensions below PLM resolution Omits. The Unlit of detecUon as stated In the method Is 0.25%. EMSL Analytical Inc, suggests that

samples reported as <0.26% or none detected undergo additional analysis via TEM.: The above test report relates only to the Items tested: This report may not be reproduced, except In full, without written approval by EMSL Analytical Inc., This report must not be used to claim product endorsement by NVLAP or any agency of the United States Government. EMSL Analytical Inc. beers no

•responeibility for semplevalleallottactIvillae,.analytical method limitellons, or the;ateareey'Otheettltalifhan,refetestedlateeerate layer samples. EMSLAnehAleal Inc.ttaeility a Ilmitsai Witte cost of sample 1nsihillfThe test resultS4ontalitedNyithIllitlepSeort meet the requirements of NEL:ADJMItsas:oliviowleencited, SemPleareceiVed in good condition unteeeettlerwlse. rabid. Unlessiagestated by the client, building materials manufactured with multiple layers (1,e, linoleum, wallboard, etc.) are reported ass single sample.

Samples analyzed by EMSL Analytical, Inc. Indianapolis, IN

Initial report from 06/25/2019 15:01:19

Test Report PLMPCGrav-7.26.0 Printed: 6/25/2019 3:01:19 PM THIS IS THE LAST PAGE OF THE REPORT,.

e.

OrderID: 161911759

4( n

Coulee Region Environmental, LIAC . 123 North 4th Street • Sutte202 • IA Crostmt.Wiseotts111 *Phone (609)74446U •

• 1 . • a •••• •f••• • • w •• 14.• ••••-•••••••••,••1•_En•


g;r6 .672.16 Facility YID; e'-̀15:vtithktotitc

• A.nalysis getittestea: PLM, EPA 600 Coiiected By Rick Stickler

Date Submitted: 4—f til-"Zg9/7

Carri

' Signature

Received By:

Project Not — a

State Certification. AII4)042.1 Data -

Submitted To:EM5Ljj3,k dyLicA,

Submitted By: Rick StickleitIcieftM Date Received:

Bulk Simple Number

Locatiim & Description ' of Bulk Sample a,t.e

Homogeneous Area

134

e.f•

Pacte 2 Of 3

x gaZ.176-• 13 OrderIR: 161911759

Coulee Region Enviromnental, LLC . 123 North 4Ih Shad -Suite 202 • La Chao, d • Plum 08) 7114.5021


1 • Analysis Requested- PL,M, FP/1000 t ollette

State Certification: A11-00425 Date C

' Submitted To: EMSL Analytical. Inc:.

Submitted By: Rick Stickler,. . Date Received:

Bulk Sample Number

d

.;J CtN

By. Rick Stickler, :

13-19 Date Stibrriitted. 6"—(V•4'ZOit, r

• Carrter Fed Ex

On'

Asbestos Chain,of Custody EMSL Order Num berAmb UstOnly):

' Camitany Hemel C0141111 Replan Erivironmental t.LC EMSL Customer 10: 1/IA (1.>• (4i) 6-2.---•7-

Street: 123 N. 4" etreekStille 202 City La Crosse ,StatelProvInec WI A))Postal Code: 54.801 k..,_ Country: LISA . Telephone #:.•6087828672. . • . Fax ili; . •. .

? - ' ResdrtTh (Narrie)Litiok-StIcklir .... -.. . • - > Please PrevideliesiiiteCEL,Pdx...lifinail, .„4... -4351,u, „.1% .

-etriilf Adstetteilidir ̀ iielacrosse.coni - - - • Puratium Order: (9 6 72- 4-t Project NariteiNUMber Ate14-- &ASIIIC-243 L tot Proied ID (infernal Use OW: ..,4._ OA State Samples Taken: 44-) 6 5 'AO CTIgemples: I D Comant•olaltriuteble_PD Residenttalnex Exempt

MOLAR to: Same O.Difterent.. If Blab b DIfferent note instructions la Comments Mimi pany arm reqUite Wifttenauthatizatfon team thlirl party . ... '• ATV

Turn1round:11 A 0 5ofte* - Please Cheek 3 flour 6 Hour U 24 Hour 48 Hour J J 72Heur 1 LJ 94 Hour 1 IJI Week .I U 2 Week•

TorTEM Air 3 hr Waugh 0 hi; please call ahead ta.acitaffina.*Tham lea pltifliliffil mew fora Mut 1 EA 'AHEM brEPA towel li TAT. You Vigi be asked fa ataato aullogralian fannibt thla ielvicil, itoefteirion9M1 e I ki tickgvtiataxiift EMSOI.Tkraa I mad Maialans lotatod la the oftialiffiCalftet Gallic

BCD,11, a Check ifsamples aro . TEM -Air. w 4-4.6hr TAT (AURA only) •, TEM- Dust from w 0

NY NIOSH 7400 wf OSHA 8hr. MA

• • .0

Micmac:- ASTM 13 5755 Wpe - ASTM 06480 Carpet sonicatton (EPA 8110/.1-93/11371 ,

0 • Il

AHERA 40 CFR; Part 753 NIOSH 7402 EPA Level!! • ISO 10312

JJjl ive,porthiq limit)

0

III

• a 409 El El •

, a

Point

Paint

LMEPASOO1B43/1113 (<1%) PLM EPA NOB (<14c)

Count 400 (.43- 5%) 0 1000 (<0.1%)

Count w/Gravimetrio (1025(4.13.1000:00;1°V 7- -

Ws 1981. (fdable In NY) '

WS 1985. NOB (non-friable-NY) ws498.6 SOP4 NIOSH 9002 (41110) ..

Soli/RoikAfernitoulito i-

0 0 Is •

0 (BC

DIEM

PLM EPA 600/11-93/115 with milling prep (<1%) PLM EPA 801341-93/118 with milling prep (<025%) Tgm EPA 600/11-133/1113 with milling prep (<0.1%). TEMACIvOiltatige.vt*PratiOnP ,rfsp ., .f, ..:-: :k! -

Otrailiathrift DrOlgiiitet Prep --

Pirtclrmag Method EPA600/104/094- MAUNA only)

TEM - Bulk 0 • El :atm

TEM EPA NOB • NYS NOB 198.4 (non-friable-NY) Chatfield SOP

Masi Aitiiii:Witifiii:ils TEM --- Water1LEPA 100.2 '

Fibers 'WM

Ail Fiber Sixes

•

li

• Waste CI Drinking

l Waste 0 Cinking

Other: U ----- ,.

- 0 Check For Positive Stop -Clearly Identify Homogenous Group Filter Pore Size (Alr Sam as): Ill 0.0p • w 0.45om

, Samplers Name: ii...(1-- MAO", .,, ..e Samplers Signature* 1 ,0 110f,2# - _

Sample S • .ur

Sample Description uØ1 - .• HA e [Bulky

DateiTime Sampled

M6i 11 ' , .I _...-.' -istAlri

,

VA*1600 --'%' -

Client sample # (eh At3p4 --Y rra 1144(t)7‘1317- Totat ect Siiniges: 3E+

• . t7:0', 6 Retinquiehed (Mien , ..tiater. --iii"-Zte? Doge:

'Received (Lab): - - ` N O \ . Cate:. /0, - i I/ 7 r mm • - _. , CommentsiSp4lagnetructionzu .

•

Pagel of_4_,!, pages

Cankillief DaiMilitollateitte CeCI RIP .011111111010

Page 1 Of 3

prderlD: 161911759

• nees.nstivimee.L. ems

. .

BO» AtrAmem., 6349 CASTLEPLAcE DR. ••N 1N01ANAPOLIS, 45250 PHONE (600)2204875

FAV (311)130373047 140 1 1-7.5-47 *

EMSL Analytical, Inc. 6340 CastlePlace Dr., Indianapolis, IN 46250

Phono: (317) 803-2997 Fax: (3171 803-3047 Email: indlanapollolab


Customer ID: MIDW52 Customer PO: AS195241 Received: 06/17/19 9:40 AM

Confirmation of Samples Received

Cust Sarno le VA2361319-1

EMSL Order ID

161911759-0001 Test

PLM

Received Date

6/17/2019 9:40:00 AM

TAT 48 Hour

Due Date 6/19/2019 9:40:00 AM

VA2361319-2 161911759-0002 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-3 161911759-0003 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-4 161911759-0004 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-5 161911759-0005 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-6 161911759-0006 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-7 161911759-0007 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-8 161911759-0008 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-9 161911759-0009 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-10 161911759-0010 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-11 161911759-0011 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-12 161911759-0012 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-13 161911759-0013 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-14 161911759-0014 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

Date Sent 6/17/2019 12:37:03 PM


Phone: 9171 803-2997 Fax:: (817) 803-3047 Email: InclianakcilisitItgbbaiEEEI


Customer ID: MID W52 Customer PO: AS195241 Received: 06/17/19 9:40 AM


Cust Sample EMSL

Order ID Test Received

Date TAT Due Date

VA2361319-15 161911759-0015 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-16 161911759-0016 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-17 161911759-0017 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-18 161911759-0018 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-19 161911759-0019 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-20 161911759-0020 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-21 161911759-0021 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-22 161911759-0022 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-23 161911759-0023 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-24 161911759-0024 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-25 161911759-0025 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-26 161911759-0026 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-27 161911759-0027 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-28 161911759-0028 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

Date Sent 6/17/2019 12:37:03 PM


Phone: (07) 803-2997 Fax 1317) 803-3047 Email: timilananollithib@AMiliaOrn




Cust Sample EMSL

Order ID Test Received

Date TAT Due Date

VA2361319-29 161911759-0029 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA2361319-30 161911759-0030 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VATM61319-31 161911759-0031 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VATM61319-32 161911759-0032 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VATM61319-33 161911759-0033 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA40761319-34 161911759-0034 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA40761319-35 161911759-0035 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA40761319-36 161911759-0036 PLM 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

Date Sent 6/17/2019 12:37:03 PM

Attention: Rick Stickler

Coulee RegIon Environmental, LLC

123 North 4th Street La Crosse, WI 54601

Phone: Fax:

Received Date: Analysis Date:

Collected Date:

(608) 784-5688

(608) 784-7350 06/17/2019 9:40 AM 06/19/2019

06/13/2019



Tel/Fax: (317) 803-2997 / (317) 803-3047

http://www.EMSL.com / [email protected]


Customer ID: MIDW52 Customer PO: AS195241

Project ID:


Non-Asbestos Asbestos

Sample Description Appearance °A Fibrous % Non-Fibrous % Type

VA2361319-1-Flnish Plaster wall closet rm White 100% Non-fibrous (Other) None Detected

Coat 218 corner & white Non-Fibrous thin coat Homogeneous

,161911759.0001A

VA2361319-1-Base Plaster wall closet rm Coat 218 corner & white

thin coat 181911759-000113



VA2361319-2-Finish Coat

101911759-0002.

Plaster wall closet rm 218 corner & white thin coat


100% Non-flbrous (Other) None Detected

VA2361319-2-Base Coat

191911759.00024



<1% Synthetic 20% Quartz 80% Non-fibrous (Other)

None Detected


461911759.0003





161911759.0003A



<1% Hair 20% Quartz 80% Non-fibrous (Other)

None Detected

VA2361319-4-Flooring

161911759.0004

Carpet mastic yellow Brown on maple floor rm 218 Non-Flbrous NW corner Homogeneous


VA2361319-4-Mastic Carpet mastic yellow on maple floor rm 218

1e16/1759-0004A NW corner



VA2361319-5-Flooring

ifiglImo,ppos .

Carpet mastic yellow on maple floor rm 218 NW corner


VA2361319-5-MastIc Carpet mastic yellow Yellow on maple floor rm 218 Non-Fibrous

161911759-0005A NW corner Homogeneous


VA2361319-6 Carpet mastic yellow Yellow 100% Non-fibrous (Other) None Detected on maple floor rm 218 Non-Fibrous

181911769.0008 NW corner Homogeneous

100% Non-fibrous (Other) None Detected V361319-7-Floor Tile

161911759.0007

VA2361319-7-Mastlo

161911759.0007A


161911759-00078

12x12" vinyl floor tile beige pattern/black masticAellow mastic

12"x12" vinyl floor tile beige pattern/black mastic/yellow mastic

12x12 vinyl floor tile beige pattern/black mastic/yellow mastic

White/Beige Non-Fibrous Homogeneous


Black Non-Fibrous Homo9eneous


98% Non-fibrous (Other) 2% Chrysotile

Initial -report from: 06/19/2019 15:21:50

ASB PLA1 ,0008 0001 • 1.78 Printed: 6/19/2019 3:21 PM Page 1 of 5


Tel/Fax: (317)803-2997 / (317) 803-3047

htM://www.EMSL,com / [email protected]

161911759

MI DW52

AS195241

EMSL Order:

Customer ID:

Customer PO:

Project ID;

2% Chrysotile 98% Non-fibrous (Other)

None Detected 100% Non-fibrous (Other)


2% Chrysotile 98% Non-fibrous (Other)




None Detected VA2361319-10-Grout

161911769.0010A

VA2361319-8-MastIc

161911799420084


181911759-00068

VA2361319-9-MastIc

161911759.0009A


161911759-00098

VA2361319-10-Ceramic Tile

12'x12. vinyl floor tile beige pattern/black mastic/yellow mastic


4" ceramic wall file/It gray grout/grey adhesive shower rm 212






None Detected

None Detected

VA2361319-9-Floor Tile 12x12" vinyl floor tile Pink/Beige beige pattern/black Non-Fibrous

161911759-0009 mastic/yellow mastic Homogeneous


12x12 vinyl floor tile beige pattern/black mastic/yellow mastic



VA2361319-10-Adhesiv

8

161911769-0010B


4" ceramic well tile/It gray grout/grey adhesive shower rm 212

VA2361319-11-Ceramic 4" ceramic wall tile/it Tile gray grout/grey

adhesive shower rm 161911759.0011 212

VA2361319-11-Grout

161911760.0011A



None Detected

None Detected


None Detected


None Detected 4'' ceramic wall tile/It gray grout/grey adhesive shower rm 212


VA2361319-11-Adhesiv

161911759.0011B

161911759.0012

VA2361319-12-Ceramic 4" ceramic wall tile/It Tile gray grout/grey

adhesive shower rm 212


None Detected 100% Non-fibrous (Other) VA2361319-12-Grout 4" ceramic wall tile/It gray grout/grey

161911759.0012A adhesive shower rm 212


None Detected e ceramic well tile/It gray grout/grey adhesive shower rm 212


VA2361319-12-Adhesiv a

letettWeet20.. . <1% Chtysotile VA2361319-12-Grout

101911769-0012C

100% Non-fibrous (Other) 4" ceramic wall tile/It White gray grout/grey Non-Fibrous adhesive Shower rm Homogeneous 212

Page 2 of 5 ASB_PLM 0008_0001 - 1.78 Printed: 6/19/2019 3:21 PM





Initial report from: 06/19/2019 15:21:50


Sample Description

VA2361319-8-Floor Tile 12"x12" vinyl floor tile beige pattern/black

181911769-0008 mastic/yellow mastic


Non-Ailliestae

% Fibrous ¼ Non-Fibrous 100% Non-fibrous (Other)

Appearance

White/Beige Non-Fibrous Homogeneous

% Type None Detected


Tel/Fax: (317) 803-2997 / (317) 803-3047

http://www.EMSLcom / [email protected]

Atbitittie

% Type

None Detected


t4on.As4estos

None Detected 60% Cellulose 15% Min. Wool

VA2361319-14

161911759.0014

15% Perlite 10% Non-fibrous (Other)

2'x2' ceiling tile panel, Tan fissured 8 sm dot Fibrous grey corridor Homogeneous #240/east end

Gray/White Fibrous Homogeneous

60% Cellulose 20% Min. Wool

None Detected VA2361319-15

1619117594015

2'x2' ceiling tile panel, fissured & sm dot grey corridor #240/east end

15% Penile 5% Non-fibrous (Other)

Brown Non-Fibrous Homogeneous

None Detected 6" vinyl wallbase (cove) & brown mastic corridor #240 west end

VA2361319-16-Cove Base

161911759-0016



None Detected 6" vinyl wallbase (cove) & brown mastic corridor #240 west end

VA2361319-16-Mastic

161911759-0016A


"/. Non-Fibrous Appearance

Tan Fibrous Homogeneous

15% Pedite 10% Non-fibrous (Other)


% Fibrous



6" vinyl walibase (cove) & brown mastic corridor #240 west end

6" vinyl wallbase (cove) & brown mastic corridor #240 west end


161911759-0017

VA2361319-17-Mastic

161911759-0017A

Page 3 of 5 ASEI PLA1 0008 _0001 - 1.78 Printed: 6/19/2019 3:21 PM

181911759.0013

Sample

VA2361319-13







None Detected 100% Non-fibrous (Other) VA2361319-16-Mastic

161911769.0018A

5% PerlIte 15% Non-fibrous (Other)

Tan Fibrous 14or1199000040,..

Acoustical wall tile grey rm 239 S of door Wry

None Detected 60%- Cellulose 20% Mln. Wool

VA2361319-19

161911769-0019



VA2361319-20 Acoustical wall tile grey rm 239 S of door

181911759-0020 entry

Tan Non-Fibrous Homogeneous

None Detected

Gray/White Fibrous Homogeneous

White Fibrous Homogeneous

None Detected

None Detected

25% Cellulose 70% MM. Wool

60% Cellulose 15% MM. Wool

Acoustical wall tile grey rm 239 S of door entry

2'x2' acoustical ceiling tile 2nd floor S corridor #0027 @ stair



15% Perth 10% Non-fibrous (Other)

2'x2' acoustical ceiling White tile 2nd floor S Fibrous corridor #oc27 @ stair Homogeneous

None Detected 60% Cellulose 15% Glass

VA2361319-23

161911799-0023

VA2361319-21

181811169.0021

VA2361319-22

191911756-0022

Description

2'x2' ceiling tile panel, fissured & sm dot grey corridor #240/east end

None Detected

None Detected




Customer ID: MIDW52


Project ID:


Tel/Fax: (317) 803-2997 /(317) 803-3047

http://www,EMSL.com / indianapolislab@emslcom

161911759

MID W52

AS195241

EMSL Order:

Customer ID:

Customer PO:

Project ID:

<1% Synthetic <1% Hair


None Detected 20% Quartz 80% Non-fibrous (Other)

VA2361319-25-Base Plaster wall off white

Coat rough coat, smooth while thin coat


None Detected 100% Non-fibrous (Other) VA2361319-26-Finish Piaster wall off white Coat rough coat, smooth

white thin coat

181911769-0028.4

.181911759.0026


Plaster wall off white rough coat, smooth white thin coat



None Detected <1% Synthetic <1% Hair


Piaster wall off white rough coat, smooth white thin coat


181911759.0027




Plaster wall off white rough coat, smooth white thin coat


18191175.9.00274

None Detected <1% Cellulose <1% Hair

Brown/White Fibrous Heterogeneous


White drywall & joint compound SE corner middle top

White drywall & joint compound SE comer middle top

60% Gypsum 20% Non-fibrous (Other)


VA2361319-28-Drywall

VA2361319-28-Joint Compound

161911759,0928

None Detected

None Detected

20% Cellulose

VA2361319-29-Drywall 20% Cellulose None Detected Brown/White Fibrous Heterogeneous

White drywall & joint compound SE corner middle top • 181911759.0029

•





100% Non-flbrous (Other) None Detected

181911759-0026.4

181911759.0028A Inseparable paint / coating layer Included In analysis

181911759.00254 Inseparable paint/coating layer Included In analysis

VA2361319-30-Drywall 20% Cellulose None Detected

None Detected

Brown/White Fibrous Heterogeneous


White drywall & Joint compound SE corner middle top


181911759.0030


181911759-00304



Gray/White/Red Non-Fibrous Homogeneous

12'x12" stone pattern vinyl floor tile grey & white mastic

None Detected 100% Non-fibrous (Other) VATM61319-31-Floorin

151911759-0031

None Detected

None Detected

White Non-Fibrous HOMOgeneous

Gray/White/Red Non-Fibrous Homogeneous

12"x12 stone pattern vinyl floor tile grey & white mastic

12"x12" stone pattern vinyl floor tile grey & white mastic

VATM61319-31-Mastic

181911759.0031A





Tel/Fax: (317) 803-2997 /(317) 803-3047

http://www.EMSL.com / indianapolislab©emst.com


Customer ID: MIDW52


Project ID:

Sample

VATM61319-32-MaStIc

161911759.0032A '



Non-Asbestos

% Fibrous % Non-Fibrous


Description

12x12" stone pattern vinyl floor tile grey & white mastic

12x12" stone pattern vinyl floor tile grey & white mastic

Appearance


Gray/Red Non-Fibrous Homogeneous


jiistiNs

% Type . None Detected

None Detected

161911759-0033

VATM61319-33-Mastic

181911759-0033A

VA40761319-34-Celfing Tile

101911769.Q074

12"x12" stone pattern vinyl floor tile grey & white mastic

12x12" acoustical ceiling tile & brown mastic

White/Black Non-Fibrous Homogeneous


60% Cellulose 20% Min, Wool

100% Non-fibroue (Other)


None Detected

None Detected

VA40761319-34-Mastic

161911759-0034A

VA40761319-35-Celling Tile

mamsa-soas

12x12" acoustical ceiling tile & brown mastic

12"x12" acoustical ceiling tile & brown adhesive



60% Cellulose 20% Mini :Wool



<1% Chrysolite

None Detected

VA40761319-35-Mastic 12"x12" acoustical Brown 100% Non-fibrous (Other) <1% Chrysolite Ceiling tile & brown Non-Fibrous

.161911759-00354 adhesive Homogeneous

VA40761319-36-Celling 12"x12" acoustical Gray/White 30% Cellulose 5% Non-fibrous (Other) None Detected Tile ceiling tile & brown Fibrous 65% Min. Wool

adhesive Homogeneous 161911759-0036

VA40761319-36-Mastic 12"1c12" acoustical Brown 100% Non-fibrous (Other) <1% Chrysofile ceiling tile & brown Non-Fibrous

161911759-0036A adhesive Homogeneous

Anal st(s)

Joshuah leer (45) Paul RIM, (23)

Richard Harding, Laboratory Miartaget or Other Approved Signatory

EMSL maintains liability limited to cost of analysis., The above analyses were performed in general compliance with Appendix E to Subpart E of 40 CFR (previously EPA 600/M4-82-020 "Interim Method"), but augmented with procedures outlined In the 1993 ("final") version of the method. This report relates only to the samples reported above, and may not be reproduced, except in full, without written approval by EMSL EMSL bears no responsibility for sample collection activities or analytical method limitations Interpretation and use of test results are the responsibility of the client. All samples received in acceptable condition unless otherwise noted, This 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. EMSL recommends gravimetrIc reduction for ell non-friable organically bound materials prior to analysis. Estimation of uncertainty Is available on request

Samples analyzed by EMSL Analytical, Inc. Indianapolis, IN NVLAP Lab Code 200188-0, AZ0939, CA 2575, COAL-15132, TX 300262, LA 04135

(initial report from: 06/19/2019 1521:50

ASB_PLM_0008_0001 - 1.78 Printed: 6/19/2019 3:21 PM

Page 5 of 5

United States Department of Commerce National Institute of Standards and Technology

Certificate of Accreditation to ISO/MC 17025:2005

MAP LAB CODE: 200188-0

EMSL Analytical, Inc. Indianapolis, IN

is accredited by the National Voluntary Laboratory Accreditation Program for specific services, listed on the Scope of Accreditation, for

Asbestos Fiber Analysis This laboratory is accredited in accordance with the recognized International Standard ISOfiEC 17025:2005.

This accreditation demonstrates technical competence for a defined scope and the operation of a laboratory quality management system (refer to joint ISO-ILAC4AF Communique dated January 2009).

2019-04-01 through 2020-03-31 Effective Dates

R9V,Z) National Voluntary Laboratory Accreditation Program

SCOPE OF ACCREDITATION TO ISO/IEC 17025:2005

EMSL Analytical, Inc. 6340 Castleplace Dr.

Indianapolis, IN 46250 Mr. Richard Harding

Phone: 317-803-2997 Fax: 317-803-3047 Email: rharding®emsl.com

http://www.emsl.com

ASBESTOS FIBER ANALYSIS NVLAP LAB CODE 200188-0

Bulk Asbestos Analysis

Cede Peso*don 18/A01 EPA —40 CFR Appendix E to Subpart E of Part 763.1nterim Method of the Determination of

Asbestos in Bulk Insulation Samples

18/A03 EPA 600/R-93/116: Method for the Determination of Asbestos In Bulk Building Materials

Airborne Asbestos Analysis

Code Description 18/A02 U.S. EPA's "Interim Transmission Eleanor' Microscopy Analytical Methods-Mandatory and

Nonmandatory-and Mandatory Section to Determine Completion of Response Actions" as found in

40 CFR, Part 763, Subpart E, Appendix A.

For the National volunt bora14ccmd11atIn Program

Effective 2019-04-01 through 2020-03-31 Page 1 of 1

GED

GE=

F.. F

GED -

CHID

a4

oGEED

BUILDING 23 2ND FLOOR

01m66d North

1-1 I---1

, Tai

•r wg 1L18 ••••=wwrimoin•

pate Rectsive,d:

Received By:

Page

FacilitY ID: '1346-lero 6

'Analysis Requested: Collected By:

Date Collected. g--15-2ot Date Mule Submitted: /46" 2619 Cariier: Submitted By: 14 5v-

Building Component

Sample Number

SaMpArea (sq. bleb)

Sample Type Paint Wipe _Son

•77v.

U%Yr. J11

414 14c4, 6 -2---

EMSLANALY11014 200 ROUTE 130 NORTil

CINNAMINSON, NJ MT/ PHONE (80OI_220.38711

,Ch IM of Custody

EP•41, Number WON

OrderID: 161911728

Coffman riCsuit,24,. . ,,r,. .. OMAN to: WSW, 0 010ensat

itliMailalinsomratabliaaaaarralaCoaraaaws,..

Street • ii3 k. Iittei 44.4-e . 114rd.Parlit Wittig *rot *Intro auttrorbratlin from thh pe Cy l 14GP$*. State/Province: 210/Postal Code. c5) 1 1 .countnn 44

R•portioolimo ... IN tae4ril ' ek ; Telephone.* 1 117--.•661.1,--.

Email AddMrY)'fl reJø Afs (AA, lax St. 1PurshottOrdir _fflaqi PralectNiNtillNumbentiA0A4- i Piens Provkle.Resultsar X la Emill':. LIM , imatotivatoottitiketit i•Aii:Se.ltzt.dr./.41- Connecticut Sartrolistall :Ciminero'', ai liiilthitiffil,

. ' Turnaround T ' (TATtOpporosi - Miss* Chick E13 Hpur lE1elt0Or I 1:344Hour I. 2 r45 our - 1.0 72 Hour, I ON NM* MAW.* •i" L.0 2 Week

oFVRUSH phis* copwori to conomi , Wee* **Availability...tato ur doom frit Wad kilya$Y., : motolso idstittlehrtiitDIATs wet en - • Days owneribin.M00040,24.H041.11 Ode Wind A '

• .. kibastOts:

ftICIIIAkt4084.7 400 '-ig wt Not, TWA

file ktu EPA . -93/116 Cl P1.14 EPA NOB (41%)

:: :* SA frTEM EPA NOB NTS NOS 108.4 (non-Mable-NY)

,33*.,610444.hrTARA1ERAONLY) 0 : NYS 108.1 (Ma le-NT) ._ le ChatflisIdSOP 7.DAHERA 40 CFR, Pad 783 g NIOSH 7402

. EPA Leval If , 18040312

latiY8 198.00 891414M Point Count .0.4 (4.025%) 0 1000 (40.1%) Point Countlet otOOT

- cl,4 00.25%101000 (40.1%)

So i',... -i. a 11 l 2 Ii Ill PLMCAR15:435 -A (0.25Ween a PLM CARS 435 -11 (0.1%leens n .TEM CARS 435 - 8 (0.1%.•serefitivity)

:. TEM'.Water 'TE.P..I. Dot E3,EPA RO. 1 ,ticreettnit ProtOcot gsialltallvel .Fibekti, Opm 0 Waste ElDrinking 0: ?Audio° - D 5755 . mitt • ' . -All.FlbsrStros alitattalatelnkl% JO WipiASTM • 0

Lead - b Materials. Sal nos

I tent:Athniltlibtorntio% . IL Chipal3W8404000s.orApaC.074A4, .0 Solt 6W548-10006/7420 :0 Air•NIOSit 7082 Cl WastsiAter SM3tha or.twe400000.420

StRi1346-7000B/7420. : ' 11tortASTMANipti SW046400013)7420 OLtClik SW846-1311 /racism 31118

12. ... OMR • H 7300 Modified : Clem AS .wipt,:swe4640 lob or C ' DASTM pe-419114641010111'or C • 0 sou s 10 a or o . ...

. 0 Waste titer SW84840100 a C

CI,TCLP S 64 4008 or 'C .,

0010000 Potcleibittork.:p00004:: B Full Particle ID (environmental dust)

Basic Material ID (solids) Advanced Material ID Physical Testing (Tensile, Compression)

• 0 citaiiiito64,003ducts twat char, etc.)

0 X-Ray Fluorescence (slain. analysis) .0raohite Furn tie :Atomic .AbsoriatiOn _,,,,, ._, , Cl 0 X-Ray Diffraction (Crystailine Part.)

CI Soli 5W540.7421 ' . p Air N108111105

l

a

Weetivater EPA2004, Chinking Water EPA 200.0'

0 MMVF's (Fibrous glass, RCP's) :. 0 Peril* Size (sieve/miorostrpy/taser)

Microbiology ' 0 Combustible bust Wine end Bulk BMWs* AIr3arriglegt. m Potimp.100ExanitnatIon" pa eitam..*Mtagl.., oitgolliatlaination El Mold 'ft Fungi_ Spare Trap) • 00farticl' U Mold & Fungi Culture (Genus Only) 0 Mold & Fungi utture Manua Only)

e' ' IACIL

:. 0 Mold & Fungi Culture.(0anua & Spades) .o , ., ,! 0 Wiwi& Count & ID (up to Three Types)

Beadoold Count & ip (up to Five Types) MRSA

-. 0 Mold & Fungi' Oertutr4sapeolo4 'fia. Bacterial CU SIC(Up.to Three lyites) Deadened Cu &10. pp to Flee TypuY a Endotoxfaies'no

N0j0•000Pult$19.01 02;01Z.Q.9.6 . , . Airborne Dust 0 P1410 CITSP, Elea Analysis. 0 Alt Spode* Silica Analysis - Single Spades

, CI Pseudamona s, nem/nose. Real Thu 114PC .. (See AnalytIcatqUels tor Cade) Ci Alpha CloWte 0Cdslobalo CI Tddyinite . Vat..001tiallap" Code 0 HVAC Efficiency ..- 13 Total Coition CE.coll (PIA) a Focal C011fonn (8M 92220)

isolonalle ,. ' Okayed 1 0Le.ve 2 novel 3171Lavel 4

•Cl Carbon Black ' 0 Airborne Oil Mist

.: CI Sewage Screen

.,0 Hoterotrophic.moo Count (SM 9215) -121bgt 0 Radon Tasting: Cal! fat Kit and COG

Ottlitp COtitttionttiSpetlal IniteUeNOns:

,C110011001001Ps i if . :... "3 4 7*-0. C1)44344$ Tata." Ofliamplaa,::.

lionamdiatid is t" ....,,,, • Patin. 4...&117; ' ., : Tinuit ri.:. , Itoesived (tab I II , /-% % i"*I' Oaten. L.-.- r. - -..( 91_, - Vines ' • :90i,114,;. • Arodysla Camp 1flAc5dansvalth ENISL's Terms and Blom :located ht the Analytical Prki Oliti,..***,*044,414.111 • '

Pacre 1 Q f


Phono: (317) 803-2997 Fax: (317) 803-3047 Email: incllInopollalab&insl.Lom




Cust Sample VA23Pb661319-37

EMSL Order ID

161911728-0001

Test C-Lead by FLAA

Received Date

6/17/2019 9:40:00 AM

TAT 48 Hour

Due Date 6/19/2019 9:40:00 AM

VA23Pb661319-38 161911728-0002 C-Lead by FLAA 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

VA23Pb661319-39 161911728-0003 C-Lead by FLAA 6/17/2019 9:40:00 AM

48 Hour 6/19/2019 9:40:00 AM

Date Sent 6/17/2019 11:00:21 AM


Phone/Fax: (317) 803-2997 /(317) 803-3047 httoUlwww.EMSL tan ItrartbDoltdotiegatwn

EMSL Order: 161911728 CustomerlD: MIDW52 CustomerPO: AS195241 ProjectID:


Project: VAMC TOMAH / BLDG #23 / A8195241

Phone: (608) 784-5688 Fax: (608) 784-7350 Received: 06/17/19 9:40 AM Collected: 6/14/2019

Test Report: Lead in Paint Chips by Flame AAS (SW 846 3050B/7000B)*

Client SampleDescripdon Collected Analyzed Weight RDL Lead Concentration,

VA23Pb661319-37 181911728-0001

6/14/2019 6/17/2019 0.2279 g 0.0088 % wt 0.067 % wt

Site: WHITE PAINT CHIP I EXTERIOR PAINTED BRICK / SOUTH WALL 10 FT FROM ROOF LINE

VA23Pb661319-38 6/14/2019 6/17/2019 0.2245 g 0.0089% wt 0.17 % wt

161911728-0002 Site: BEIGE PAINTED CLOSET DOOR / RM #218 / PAINTED WOOD

VA23Pb661319-39 6/14/2019 6/17/2019 0.2345 g 0.0085% wt 0.44 % wt 161911728-0003 Site: WHITE PAINTED CLOSET PLASTER WALL / RM #218 / PAINTED

PLASTER

-.....-.. ..• •

Doug Wlegand, Laboratory Manager or other approved signatory

*Analysis following Lead In Paint by EMSL SOP/Ileterminallon of Environmental Lead by FLAA. Reporting limit is 0.010 % wt based on the minimum sample weight per our SOP, Unless noted, results In —\ this report are not blank corrected, This report relates only to the samples reported above and may not be reproduced, except In full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities, Samples received in good condition unless otherwise noted. '4" (less than) result signifies that the analyte was not detected at or above the reporting limit. Measurement of uncertainty la available upon request. The QC data associated with the sample results Included In this report meet the recovery and precision requirements unless specifically Indicated otherwise. Definitions of modifications are available upon request/

Samples analyzed by EMSL Analytical, Inc. Indianapolis, IN AIHA-LAP, LLC--ELLAP 167246, OH E10040

Initial report from 06/18/2019 17:03:52

Test Report PB w/RDL-2.0.0.0 Printed: 6/18/2019 5:03:52 PM Page 1 of 1

Elizabeth Bair Chairperson, Analytical Accreditation Board

Revision 17— 09/11/2018

Cheryl 0. Morton Managing Director, AMA Laboratory Accreditation Programs, LLC

Date Issued: 05/31/2019

4 0k1111110.4

1 i f Z„:..

AIHA tntifAceretlItation

prnorarris1::1,4q:

AIHA Laboratory Accreditation Programs, LLC acknowledges that

EMSL Analytical, Inc. 6340 Castleplace Drive, Indianapolis, IN 46250

Laboratory 1:13: 157245 along with all premises from which key activities are performed, as listed above, has fulfilled the requirements of the AIHA Laboratory Accreditation Programs (AIHA-LAP), LLC accreditation to the ISO/IEC 17025:2017 international standard, General Requirements for the Competence of Testing and Calibration Laboratories in the following:

LABORATORY ACCREDITATION PROGRAMS

INDUSTRIAL HYGIENE ENVIRONMENTAL LEAD ENVIRONMENTAL MICROBIOLOGY

o FOOD o UNIQUE SCOPES

Accreditation Expires: June 01, 2021 Accreditation Expires: June 01, 2021 Accreditation Expires: June 01, 2021 Accreditation Expires: Accreditation Expires:

Specific Field(s) of Testing (FoT)/IVIethod(s) within each Accreditation Program for which the above named laboratory maintains accreditation is outlined on the attached Scope of Accreditation. Continued accreditation is contingent upon successful on-going compliance with ISO/IEC 17025:2017 and AIHA-LAP, LLC requirements. This certificate is not valid without the attached Scope of Accreditation. Please review the AIHA-LAP, LLC website (www.aihaaccreditedlabs.org) for the most current Scope.

Al HA appratory Accreditation

Programs, LLC

AIHA Laboratory Accreditation Programs, LLC SCOPE OF ACCREDITATION

EMSL Analytical, Inc. 6340 Castleplace Drive, Indianapolis, IN 46250

Laboratory ID: 157245 Issue Date: 05/31/2019

The laboratory is approved for those specific field(s) of testing/methods listed in the table below. Clients are urged to verify the laboratory's current accreditation status for the particular field(s) of testing/Methods, since these can change due to proficiency status, suspension and/or withdrawal of accreditation.

The EPA recognizes the AIHA-LAP, LLC ELLAP program as meeting the requirements of the National Lead Laboratory Accreditation Program (NLLAP) established under Title X of the Residential Lead-Based Paint Hazard Reduction Act of 1992 and includes paint, soil and dust wipe analysis. Air and composited wipes analyses are not included as part of the NLLAP.

Environmental Lead Laboratory Accreditation Program (ELLAP)

Initial Accreditation Date: 09/01/2002

Field of Testing (FoT) Technology sub-type/ Detector Method Method Description

Or internal methods only)

Paint

EPA SW-846 3050B

EPA SW-846 3051A

EPA SW 846 7000B

Soil

EPA SW-846 3050B

EPA SW-846 3051A

EPA SW-846 7000B

Settled Dust by Wipe

EPA SW-846 3050B

EPA SW-846 3051A

EPA SW-846 7000B

Airborne Dust

EPA SW-846 3050B

EPA SW-846 3051A

_ EPA SW 846 7000B

A complete listing of currently accredited Environmental Lead laboratories is available on the AIHA-LAP, LLC website at: littp://www.iiihnaccrtdlie.dlabs,ortz

Effective: 10/14/2016 Scope_ELLAP_R7 Page 1 of 1

Documents

Asbestos Chain of Custody PAM ANALYTICAL, INC. DR Only