HomeMy WebLinkAbout15-102861 f y
• • Demolition
City of Federal way Permit #: 15-1 02861-00-DE
Community 8 Econon D. ev.Services
33325 8th Ave S
Federal Way,ax asoo3 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:: ec
(253)835-2609 p Q
Project Name: WINGARD
Project Address: 2650 SW DASH POINT RD Parcel Number: 122103 9045
Project Description: Demolition of single family residence and(2)out buildings.
Owner Applicant Contractor
WESLEY A WINGARD PHIL WINGARD OWNER IS CONTRACTOR
627 W TITUS ST SUITE 301 7011 78TH AVE SE
KENT WA 98032 MERCER ISLAND WA
Additional Permit Information
Demolition Valuation 5000
PERMIT EXPIRES Sunday, June 11, 2017
Permit Issued on Friday, June 12, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will .e in accordance with the laws, rules and regulations of the State of Washington
22he Owner or agent: / � Date: 62/2° /S'-
THIS CARD IS T MAIN ON-SITE `
CITY OF 6 Construction I - ection Record •
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-102861-00-DE Address: 2650 SW DASH POINT RD
Project: WESLEY A WINGARD FEDERAL WAY, WA 98023-7817
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
❑ Final-Building(4050)
Approved
By L ti4rv, Date h„2 —ter
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
4
RL'C ED
CITY OF JUN 2015 PERMIT 'PLICATION
Federal Way 1 a q
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER / S _ 70 ,A y _ TARGET DATE
SITE ADDRESS SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
3--7 00 0
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE -_-
PROPERTY OWNER
k` / e 4 MAILING ADDRESS E-MAIL y�
CITY STATE ZIP
NAME �Ptin PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
;K.CEk_ � Utk NI(
NAME _ - PRIMARY PHONE
■
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
r2 r,(Q C '
NAME
PROJECT FINANCING El OWNER-FINANCED Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person,including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
-111,
a
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing_fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/UtLlity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet( EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT ,
FIRST FLOOR(or Mobile Home)
SEOND FLOOR , —. — ---�_r
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe) — —
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES OZsLY**',
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction # of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
'OTAL BUII)ING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application
41/4 110 DEPARTMESF COMMUNITY DEVELOPMENT SERVICES
33325 8`1'Avenue South
Federal Way,WA 98003-6325
CITY OF � 253-835-2607;Fax 253-835-2609
Federal Way www.cityoffederalway.com
DEMOLITION PERMIT REQUIREMENTS
A demolition permit is required to remove any structure or structures on a subject property. Check with the City's Planning
Division to see if the proposal exceeds thresholds that trigger an environmental review. An environmental review and
submittal of an environmental checklist may be required, which will extend the time period before a demolition permit can
be issued.
❑ Prior to submitting a demolition permit,the following items(as applicable) must be signed by the respective
agency(see attached Demolition Permit Contact List).
NOTE TO APPLICANT: Utilities shall be disconnected and services performed, if applicable,prior to issuance of the demolition permit.All applicable
items below are to be signed and dated by the respective agency representatives.
N 0-h'ce o f i vlte�± r,(v es ci � ig s�►e.�' +6s eYi.
1.ASBESTOS ABATEMENT 6. ELECTRICITY
(Copy of approval form and asbestos survey from Puget Sound Clean Air (Electricity to be shut off and meter removed)
Agency provided)
(Puget Sound Energy)
(City of Federal Way Building Official)
2.GAS SUPPLY 7. FUEL STORAGE TANKS
(Gas to be shut off, meter removed and final bill paid) (Above or below grade fuel tanks, have been pumped or removed
under Fire Department permit prior to any dismantle/excavation)
(Puget Sound Energy)
(South King Fire and Rescue)
3. SEPTIC SYSTEM 8.WATER- Public Source (Check applicable box)
(Tank to be removed or tank to be drained and filled) o Meter to be removed and final utility bill paid
❑Meter to remain and be protected
/?e, h/4 e-r-9z-ve,,,,.
(King County Environmental Services) (Water Supplier)
******OR******
4.SANITARY SEWER (Check applicable box) 9.WATER- Private Well (Check applicable box)
u Sewer line capped at property line o Private well filled and capped
n Existing sewer line to remain and be used by proposed new structure ❑Private well to be used for other purposes
(Lakehaven Utility District) (King County Environmental Services)
5.GARBAGE
(All household garbage disposed off and final bill paid) GINNED
(Waste Management/Other Company)
JUN 122015
❑ Completed Construction Permit Application form
CITY OF FEDERAL WAY
❑ Provide the following fees: 1.Demolition Permit Fee Based on valuation.See table on pg 4 of 1anstruction permit application.
2.Automation Fee $6.00
3.WA State Surcharge $4.50
Bulletin#122—January 1,2011 Page 1 of 1 k:\Handouts\Demolition Permit Requirements
MIFF REC ED
•
CITY OF SUN 2015 PERMIT #PPLICATION
Federal Way 1 a g l
CITY OF FEDERAL WAY
nil?
CDS
PERMIT NUMBER _ Q 4, ))) _ sylE TARGET DATE c.--- ,_)
' SITE ADDRESS SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 57 00® - -
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ti DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT i ,- a , , : r
i
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
- ,i ' NICE' y..
I
NAME PRIMARY PHONE
PROPERTY OWNER
t
MAILING ADDRESS A. E-MAIL
CITY STATE ZIP
NAME PHONE
L.,)PO i-eA
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
1 -,
NAME i , •
PRIMARY PHONE
PROJECT CONTACT -•
MAILING ADDRESS E-MAIL
(The individual to receive and _
respond to all correspondence
concerning this application) CITY , _ STATE ZIP FAx +.
e t
NAME
PROJECT FINANCING ,'0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: DATE
i
y
PRINT NAME:
I
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
J
•
VALUE OF MECHANICAL WORK
•MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS _ FURNACES HOT WATER TANKS(Gas)
COMPRESSORS` GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS _ RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes'O No ❑Yes to No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
� Y n1` r
FIRST FLOOR(or Mobile Home)
s ,f ;`9
"„�i.,..•/..,`424,. .41,`�1..4/f,4lfv a M •0
COVERED ENTRY
• s.,/:fF aS,d /',1a,4`;✓/4
'.444,4/#44/4 � /, r //'';,0 r //
� ;f.�
G" GE El CARPORT ❑
i y/ ;.;''4y,' ? ,r'S yj
r%.E f,v
ffitIBTffiO PROPOSED TOTAL
),Area Totals] /� �ysss�+er �Tt�
�/„','g,1%<4l��`F," /^'fF/ `. 'r'/d`;s,444, BW.cri.DAIF4w, 0NL
ESTIMATED SELLING PRICE$ '! #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in S.uare Feet .e Stories
,f 22,/,f0/41; ' r/ ' ,f/ f�` ; ter r
/",:
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in S.uare Feet a Stories
/ / y /' ,,. % /;,' " �/f//� '%>/^t'4„, ;.s✓ J �"i. / r,'`` / p'3 ;• /C r+ / , 4 rf/
*' , d/ f .
TENANT AREA ONLY
' /2
2 �;Airtsi� /j /
, / j/ x 1 ' u,;. 44244.444444 ;� r s ' 44.4444/ „Y.t4”!-/ ,s4' 4:.4 444/4
Bulletin#100—January 1,2013 Page 2 of 3 k:\I-landouts\Permit Application
• DEPARTMESF COMMUNITY DEVELOPMENT SERVICES
33325 8th Avenue South
Federal Way,WA 98003-6325
CITY OF "" = E.,-° 253-835-2607;Fax 253-835-2609
Federal Way www.cityoffederalway.com
DEMOLITION PERMIT REQUIREMENTS
A demolition permit is required to remove any structure or structures on a subject property. Check with the City's Planning
Division to see if the proposal exceeds thresholds that trigger an environmental review.An environmental review and
submittal of an environmental checklist may be required, which will extend the time period before a demolition permit can
be issued.
❑ Prior to submitting a demolition permit,the following items(as applicable)must be signed by the respective
agency(see attached Demolition Permit Contact List).
NOTE TO APPLICANT: Utilities shall be disconnected and services performed, if applicable,prior to issuance of the demolition permit.All applicable
items below are to be signed and dated by the respective agency representatives.
No t'ce Of I e e� - 'Prot, PS CAM Ikbe-r'13.5 ° eV -
1.ASBESTOS ABATEMENT 6. ELECTRICITY
(Copy of approval form and asbestos survey from Puget Sound Clean Air (Electricity to be shut off and meter removed) _
Agency provided)
(Puget Sound Energy)
(City of Federal Way Building Official)
2.GAS SUPPLY 7. FUEL STORAGE TANKS
(Gas to be shut off,meter removed and final bill paid) (Above or below grade fuel tanks, have been pumped or removed
�. under Fire Department permit prior to any dismantle/excavation)
(Puget Sound Energy) ! ;<
(South King Fire and Rescue)
3.SEPTIC SYSTEM 8.WATER- Public Source (Check applicable box)
(Tank to be removed or tank to be drained and filled) ❑Meter to be removed and final utility bill paid
❑Meter to remain and be protected
(King County Environmental Services) (Water Supplier)
******OR******
4.SANITARY SEWER (Check applicable box) 9.WATER- Private Well (Check applicable box)
❑Sewer line capped at property line ❑Private well filled and capped
❑Existing sewer line to remain and be used by proposed new structure ❑Private well to be used for other pui`poses
r
(Lakehaven Utility District) (King County Environmental Services)
5.GARBAGE
(All household garbage disposed off and final bill paid)
r, RECEIVED
(Waste Management/Other Company)
JUN 122015
❑ Completed Construction Permit Application form
CITY OF FEDERAL WAY
❑Provide the following fees: 1.Demolition Permit Fee Based on valuation.See table on pg 4 oflaganstruction permit application.
2.Automation Fee $6.00
3.WA State Surcharge $4.50
Bulletin#122—January 1,2011 Page 1 of 1 k:\Handouts\Demolition Permit Requirements
pscleanair.org
Sound Clean An Agency
Single-Family Notification Case #: 201501226
Phis page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for
nspection at all times at the asbestos project or demolition site (Reg III, 4.03(a)(6)).
Fee Amount Paid $65.00
Credit Card Transaction # AT1FDO0FB4A2
Transaction Date 03/31/15
Owner's Name Phil Wingard Phone (206) 200-0687
Project Street Address 2650 SW Dash Point Road
City Federal Way Zip 98023
Contact Person Phil Wingard Phone (206) 200-0687
Mailing Address
This project includes asbestos removal.
Project Size linear feet / 130 square feet
Project Start Date 04/10/15 Completion Date 04/17/15
Asbestos will be removed by a licensed asbestos abatement contractor
This project includes a demolition.
Demolition Start Date 04/17/15 Completion Date 07/17/15
Demolition will be completed by the home owner
certify that:
;1) This is a single-family residence project. The structure is used by one family who owns the property as their domicile.
.2) The information I have provided is to the best of my knowledge accurate and complete.
;3) I understand the fee for this Notification is nonrefundable.
Create Another Notification View History Log Out
f you have questions, contact us at asbestos @pscleanair.org or 206.689.4058.
RECEIVED
JUN 12 2015
CITY OF FEDERAL WAY
CDS
RECEIVED
/_
tst N Pacific North JUN 1 2 2015
E Environmental, LLC CITY OF FEDERAL WAY
CDS
19645 SE Sunnyside Road • Damascus, OR 97089 r
A Service Disabled Veteran Owned Small Business
Air Sample Data Sheet
10-15-2008 Dash Point Residence Kitchen/Bedroom
SWO#: Job Name: Work Area Location:
Personal
Pre- Personal ~ Pte Personal — Pre- Personal Pre-
Abatement r� Abatement _ Abatement C Abatement
Sample Type
(Check One) Excursion ✓ Clearance Excursion _ Clearance Excursion — Clearance Excursion Clearance
El Area Blank Area Blank Area Blank Area Blank
_
Sample ID DP-05
Sampled By Todd Ray
Sample Date 04/16/2015 .
Work Description SVF/AFT
Labor Code
Location of Sample
Isolated Regulated Isolated Regulated Isolated Regulated E Isolated Regulated
0 Area ✓ Area Area Area Area Area Area Area
IDNegative Mini Negative Mini Negative Mini Negative Mini
Pressure Enclosure Pressure Enclosure Pressure Enclosure I_ Pressure Enclosure
Engineering Controls n Wet Wet Wet Wet
C
(Check all that apply) Methods Glove Bag Methods Glove Bag Methods Glove Bag E Methods Glove Bag
171 HEPA HEPA HEPA C HEPA
Vacuum Vacuum Vacuum E Vacuum
Contaminant Type and
Concentration
Respirator Type LJ 'V2 Mask PAPR %Mask PAPR '/z Mask PAPR %Mask 0 PAPR
(Check One) 1_L Full Face Type C Full Face Type C Full Face Type C Full Face Type C
Pump# PNE-S-2
Start Time 5:45 pm
End Time 7:45 pm
Total Minutes Sampled 120.00
Flow Rate Start (LPM) 10.00
Flow Rate End (LPM) 10.00
Average Flow Rate (LPM) 0.00 0.00 0.00 0.00
Volume (Liters) / 2.170.00 0.00 0.00 0.00
Result •g4' / <r)_OoY
8 HR TWA ..c/c.c.
Personal samples represent exposure to the following employees:
Employee Employee Employee Employee
p
i I RE
PACIFIC RIM ENVIRONMENTAL, INC.
L
Building Survey
for
Asbestos-Containing Materials
2650 SW Dash Point Road
Federal Way, WA •
Prepared for:
Phil Wingard
2650 SW Dash Point Road
Federal Way, WA 98023
Prepared by:
(::::'6/16/174
Todd P.Carter
AHERA Building Inspector
RECEIVED
Date Prepared: 3/23/2015
PacRim#: 15403 JUN 12 2015
CITY OF FEDERAL WAY
CDS
6510 Southcenter Blvd., Ste.#4 www.pacrin1env.coin Phone:(206)244-8965
Seattle, WA 98188 Fax:(206)244-9096
•
i
Table of Contents
Section 1.0 Scope of Work 2
Section 2.0 Asbestos Survey Narrative 3
Section 3.0 Abatement Cost Estimate 4
Section 4.0 Statement of Compliance 5
Appendix A: Asbestos Sample Summary
Appendix B: Bulk Sample Analysis Report
Appendix C: Sample Location Drawing and Photos
Appendix D: Inspector/Laboratory Certifications
PacRim#15403 Page 2
This report shall not be reproduced,except in full,without written permission from Pacific Rim Environmental,Inc.
• !.
Section 1.0 Scope of Work
2650 SW Dash Point Road, Federal Way,WA
On March 11, 2015, Matt DeDominces, an AHERA Accredited Building Inspector for Pacific Rim Environmental, Inc.
(PacRim),performed a survey for asbestos at the subject Property located at 2650 SW Dash Point Road in Federal way,
Washington.
Site Description: The subject Property is occupied by a two-story single-family residence.
Limitations: The 2`d floor was unstable and the garage roof was collapsed, these area were deemed unsafe to enter
and were visually inspected only.
Field inspection,data collection,and report generation were performed according to the following Scope of Work:
Asbestos-Containing Materials(ACM)
1. Bulk sampling and analysis of suspect asbestos-containing materials(ACM).
2. Analysis of suspect ACM by a NVLAP accredited laboratory.
3. Quantity estimates of ACM.
4. Written report including recommendations based on the technician's observations, abatement
(removal)cost estimates,sample descriptions,and sample location.
5. Statement of Compliance with W.A.C.296-62-07721 Sign-off form.
The survey was intended to identify possible asbestos-containing materials (ACM) on the interior and exterior of the
building. This inspection covered only those areas,which were exposed and/or physically accessible to the inspector.
Materials uncovered during the course of demolition, renovation, or maintenance activities that are not identified in this
inspection report must be presumed to contain asbestos until PLM analysis proves that this material is not asbestos-
containing.
This survey is not intended for, nor should be used as a design specification. The Asbestos in Schools Hazard
Amendment and Reauthorization Act(ASHARA),effective November 20, 1990,expanded accreditation requirements to
apply to persons who work with asbestos in public and commercial buildings as well as schools. Specifically,ASHARA
expanded the Toxic Substances Control Act(TSCA)Section 206(a)(1)and(3)to require accreditation for any person
who designs or conducts a response action with respect to friable ACM in a building. TSCA Section 207 provides for
civil penalties of $5,000 for each day of a violation for not employing accredited individuals to design and conduct
response actions.Sampling of suspect asbestos-containing materials was conducted as prescribed in 40 CFR 763.86.
Suspect asbestos-containing materials within the structure were identified and classified as a surfacing material,thermal
system insulation,or miscellaneous materials. Surfacing materials are those,which are either spray applied or troweled-
on for acoustical,decorative, or fireproofing purposes. Thermal system insulation(TSI)is insulation used to inhibit heat
transfer or to prevent condensation on pipes, boilers, tanks, ducts and various other components. Miscellaneous
materials include all other materials not included in the above categories such as floor tile, ceiling tile, roofing felt,
cementitious materials,wallboard systems and products such as caulking,mastics and putties.
A total of twenty(20)bulk samples were collected and submitted for PLM laboratory analysis. Two(2)of these samples
were found to contain greater than 1%asbestos.
PacRim#15403 Page 3
This report shall not be reproduced,except in full,without written permission from Pacific Rim Environmental,Inc.
•
Section 2.0 Asbestos Survey Narrative
2650 SW Dash Point Road, Federal Way, WA
Bulk samples collected were submitted for sample analysis in accordance with method EPA-600/R-93/116:"Method for
the Determination of Asbestos in Bulk building Materials". Analyses were performed in Pacific Rim Environmental Inc.'s
NVLAP Accredited Laboratory (Lab Code 101631-0). Materials are positive for asbestos if they are found to contain
greater than 1%or 1%asbestos.
Thermal Systems Insulation(TSI)
Suspect asbestos-containing paper insulation was identified in the roof of garage under shake roof. The material was
sampled and no asbestos was detected.(Sample#18)
If during the course of wall, ceiling or floor demolition, any TSI materials that are not listed in this report are uncovered,
sampling must be performed prior to disturbing these materials.
Surfacing Materials
Suspect asbestos-containing gypsum wallboard and associated joint compound were identified on the ceiling of 2`d
floor,room 1. The material was sampled and found to contain<1%Chrysotile asbestos.(Sample#13)
Suspect asbestos-containing plaster was identified on the walls in the bedroom, bathroom and the living room ceiling.
The materials were sampled and no asbestos was detected.(Samples#06-08)
Suspect asbestos-containing gypsum wallboard was identified on the living room and hall walls and basement ceiling.
The materials were sampled and no asbestos was detected.(Samples#09-11 and 15)
If during the course of wall, ceiling or floor demolition,any surfacing materials not identified in this report are uncovered,
sampling must be performed prior to disturbing these materials.
Miscellaneous Materials
Suspect asbestos-containing sheet vinyl flooring and associated mastic was identified in the bedroom. The material
was sampled and found to contain 50-55%Chrysotlle asbestos in the mastic.(Sample#01)
Suspect asbestos-containing 12x12 floor tile was identified in the living room. The material was sampled and found to
contain 5-7%Chrysotile asbestos In the tile.(Sample#02)
Suspect asbestos-containing sheet vinyl flooring was identified in the kitchen, bathroom and room 2 on the 2nd floor.
The materials were sampled and no asbestos was detected.(Samples#03-04 and 14)
Suspect asbestos-containing tar paper under flooring was identified in the living room.The material was sampled and
no asbestos was detected.(Sample#05)
Suspect asbestos-containing tar paper on wood was identified in the living room,west wall.The material was sampled
and no asbestos was detected.(Sample#12)
Suspect asbestos-containing window putty was identified on the first floor, east wall and garage, east side. The
materials were sampled and no asbestos was detected.(Samples#16 and 19)
Suspect asbestos-containing tube and knob wire wrap was identified on the first floor, south wall. The material was
sampled and no asbestos was detected.(Sample#17)
Suspect asbestos-containing tar paper was identified on the 2`d floor, roof overlay. The material was sampled and no
asbestos was detected. (Sample#20)
If during the course of wall, ceiling or floor demolition, any miscellaneous materials not identified in this report are
uncovered,sampling must be performed prior to disturbing these materials.
PacRim#15403 Page 4
This report shall not be reproduced,except in full,without written permission from Pacific Rim Environmental,Inc.
Section 3.0 Asbestos Abatement Cost Estimate
2650 SW Dash Point Road, Federal Way, WA
The following abatement costs are "best-effort" estimates and are based on current industry averages. The following
estimates are subject to many variables beyond the control of PRE. Such variables include, but are not limited to:
project duration, contractor work schedule, hours of work allowed by the owner, contractor performance, regulatory
agency interpretation of changing regulations,logistics of removal of material and miscellaneous delays. The estimate is
meant only as a guideline to assist in the selection of an abatement contractor and may not reflect the actual final costs
of asbestos removal. They do not include owner costs such as abatement project oversight and monitoring for
compliance to law, and compliance to project plans and/or specifications. These estimates assume that adequate,
professional plans and specifications are prepared. Generally, abatement costs are minimized by professional project
management as well as utilizing the same asbestos abatement contractor to remove all asbestos containing materials
during a single project. It is in no way intended to serve as, or replace, a comprehensive abatement specification.
Estimates include permitting,removal and disposal.
Material (Location) Approximate @ Price per Sq. Ft. Total
Quantity Ln. Ft. or Each
Sheet Vinyl Flooring 130 SF @ $4.00 $520.00
Bedroom
12x12 Floor Tile 196 SF @ $4.00 $784.00
Living Room
TOTAL I $1,304.00 I
PacRim#15403 Page 5
This report shall not be reproduced,except in full,without written permission from Pacific Rim Environmental,Inc.
•
Section 4.0 Statement of Compliance
2650 SW Dash Point Road, Federal Way, WA
In accordance with W.A.C. 296-62-07721 and PSCAA Regulation III, Article 4, Pacific Rim Environmental, Inc.
performed an asbestos survey of the subject Property located at 2650 SW Dash Point Road in Federal Way,
Washington. Should employees or contract personnel encounter any suspect asbestos-containing materials(ACM)it is
their responsibility to:
1. Contact a representative of the owner.
2. Consult the inspection report to determine whether or not the suspect material contains
asbestos.
3. If the suspect material does not appear in the inspection report,then that material was
not sampled and must be presumed to contain asbestos until proven otherwise by
sampling and PLM analysis.
4. Ensure that all employees and contractors are informed and advised of the location
and type of materials that contain asbestos.
The following asbestos-containing materials were identified at the subject property:
• 12x12 Floor Tile(Living Room)
• Sheet Vinyl Flooring(Bedroom)
I Hereby Attest
The inspection report has been made available to me. I will inform all subcontractors of the location and types of
materials containing asbestos. I am authorized to sign on behalf of my company.
Contractor. Owner's Rep:
Signature: Signature:
Print Name: Print Name:
Title: Title:
Date: Date:
PacRim#15403 Page 6
This report shall not be reproduced,except in full,without written permission from Pacific Rim Environmental,Inc.
Appendix A: Asbestos Sample Summary
•
•
PacRim#15403
This report shall not be reproduced,except in full,without written permission from Pacific Rim Environmental,Inc.
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P 1
PACIFIC M NVIRONMENTAL, INC.
E
BULK SAMPLE ANALYSIS REPORT
CLIENT: Phil Wingard PACRIM#: 15403
2650 SW Dashpoint Road REPORT#: 2015-03-0147
Federal Way, WA 98003 DATE RECEIVED: 03/11/2015
ANALYST William F. Galloway
PROJECT: 2650 SW Dashpoint Road DATE ANALYZED 03/20/2015
Federal Way, WA REPORT BY: Dai Le
REPORT DATE: 03/20/2015
SAMPLE DATE: 03/11/2015 TURNAROUND: 5 Days
CONTACT: Phil Wingard PAGE: 1 of 6
Attached are the results of analysis of 20 bulk samples submitted for asbestos identification: Lab ID #2015- 03-0147
through 2015-03-0166.
The samples were analyzed in accordance with method EPA-600/R-93/116: "Method for the Determination of
Asbestos in Bulk Building Materials".
Unless otherwise noted, the samples were inhomogeneous; subsamples of components were analyzed to
achieve representative analysis. Separate layers of layered samples are analyzed and reported separately.
Unless otherwise stated, asbestos content was quantified by calibrated visual estimation (CVES). CVES
concentrations are reported in 2 to 3 percent ranges for fiber concentrations ranging from 1-10%, and 5 percent
ranges for concentrations greater than 10%. Samples in which asbestos was not observed are reported as"none
detected".
Limitations and Uncertainty:
Factors such as sample quality, sample size, interfering matrix material, fiber size, and fiber concentration
contribute to the uncertainty of asbestos concentration measurements in bulk materials. Relative errors
exceeding 100% may occur in samples containing <1-10% asbestos. Relative errors are typically below 30% in
samples with greater than 10%asbestos,and approach zero as the asbestos concentration approaches 100%.
Asbestos fibers with diameters below approximately 0.25 micrometers are not detectable by PLM. These
extremely fine fibers may occur in such products as floor tile, adhesives, and cement products. This limitation can
be overcome, however, by the use of alternate analytical methods, such as Transmission Electron Microscopy
(TEM).
This report cannot be represented by the client to claim product endorsement by NVLAP or any agency of the
U.S. Government. This report shall not be reproduced except in full without written permission from the
laboratory.
I if NVLAP Accredited LAB#: 101631-0 Reports p Y / 7,6>�� i
Samples submitted by: PacRim Reviewed By: r w -,
Approved Signory
6510 Southcenter Blvd.. Ste.#4 www.pacrinienv.com Phone:(206)244-8965
Seattle,WA 98188 Fax:(206)244-9096
Appendix B: Bulk Sample Analysis Report
•
•
•
•
PacRim#15403
This report shall not be reproduced,except in full,without written permission from Pacific Rim Environmental,Inc.
Pacific Rim Environmental, Inc.
BULK SAMPLE ANALYSIS REPORT
CLIENT: Phil Wingard PACRIM#: 15403
2650 SW Dashpoint Road REPORT#: 2015-03-0147
Federal Way,WA 98003 DATE RECEIVED: 03/11/2015
ANALYST: William F. Golloway
PROJECT: 2650 SW Dashpoint Road DATE ANALYZED: 03/20/2015
Federal Way, WA REPORT BY: Dai Le
REPORT DATE: 03/20/2015
SAMPLE DATE: 03/11/2015 TURNAROUND: 5 Days
CONTACT: Phil Wingard PAGE: 2 of 6
Client/Lab ID Sample Date
Number Location and Description Asbestos Type(s)/% Other Material(s) Analyzed
01 Bedroom, floor(SVF). Layer 1 (Vinyl): Layer 1: Vinyl, Mineral 3/20/15
Light brown and brown None Detected Aggregate.
2015-03-0147 sheet vinyl (layer 1)with
gray, fibrous backing and Layer 2 Layer 2: Cellulose (7-10%),
yellow brown mastic nder (Backing with mastic): Binder, Mineral Aggregate,
2) Chrysotile 50-55% Adhesive.
Note:Mastic and backing
were inseparable.
02 Living room, floor(12x12 Layer 1 (Tile): Layer 1:Mineral Aggregate, 3/20/15
Floor tile). Chrysotile 5-7% Binder.
2015-03-0148 Red floor tile (layer 1)with
yellow mastic (layer 2). Layer 2 (Mastic): Layer 2: Cellulose (<1%),
None Detected Adhesive, Mineral Aggregate.
03 Kitchen, floor(SVF). Layer 1 (Vinyl): Layer 1: Vinyl, Mineral 3/20/15
Light gray and white sheet None Detected Aggregate, Ash.
2015-03-0149 (layer 1) light vinyl (lay ) I with g Layer 2 (Backing): Layer 2: Cellulose (45-50%),
gray-white backing (layer None Detected Fiberglass (1-3%), Binder.
2) and light yellow mastic
(layer 3). Layer 3 (Mastic): Layer 3: Cellulose (<1%),
None Detected Adhesive, Wood.
04 Bathroom, floor(SVF). Layer 1 (Vinyl): Layer 1: Vinyl, Mineral 3/20/15
2015-03-0150 Light gray, white, green,
None Detected Aggregate.
blue, and brown, pebble- Layer 2 (Backing): Layer 2: Cellulose (40-45%),
pattern sheet vinyl (layer None Detected Fiberglass (1-3%), Binder,
1)with gray, fibrous Mineral Aggregate.
backing (layer 2)and white Layer 3 (Mastic):
to light yellow mastic None Detected Layer 3: Cellulose (<1%),
(layer 3). Adhesive, Mineral Aggregate.
This report shall not be reproduced,except in full,without written permission from Pacific Rim Environmental,Inc.
Pacific Rim Environmental, Inc.
BULK SAMPLE ANALYSIS REPORT
CUENT: Phil Wingard PACRIM#: 15403
2650 SW Dashpoint Road REPORT#: 2015-03-0147
Federal Way, WA 98003 DATE RECEIVED: 03/11/2015
ANALYST: William F. Galloway
PROJECT: 2650 SW Dashpoint Road DATE ANALYZED: 03/20/2015
Federal Way, WA REPORT BY: Dal Le
REPORT DATE: 03/20/2015
SAMPLE DATE: 03/11/2015 TURNAROUND: 5 Days
CONTACT: Phil Wingard PAGE: 3 of 6
Client/Lab ID Sample Date
Number Location and Description Asbestos Type(s)/% Other Material(s) Analyzed ,
05 Living room,floor(Tar None Detected Cellulose(55-60%), 3/20/15
paper under flooring). Synthetics (3-5%),Tar,
2015-03-0151 Black tar paper with sandy Mineral Aggregate.
surface residue.
06 Bedroom,west wall Layer 1 (Coating): Layer 1: Binder, Mineral 3/20/15
(Plaster). None Detected Aggregate, Paint.
2015-03-0152 Light brown-painted, white
Light brown-painted,
w i e ,fight Layer 2 (Cement): Layer 2: Mineral Aggregate,
gray cement(layer 1)on light Detected Cement Binder.
(layer 2).
07 Bathroom, east wall Layer 1 (Coating): Layer 1: Binder, Mineral 3/20/15
(Plaster). None Detected Aggregate, Paint.
2015-03-0153 Light brown-painted, white
coating (layer 1)on light Layer 2 (Cement): Layer 2:Mineral Aggregate,
None Detected Cement Binder.
gray cement material
(layer 2).
08 Living room, ceiling None Detected Cellulose (<1%), 3/20/15
(Plaster). Animal Hair(<1%), Mineral
2015-03-0154 Gray cement material with Aggregate, Cement Binder,
Metal.
embedded metal and
fibers.
09 Living room, south wall None Detected Cellulose (5-7%), Gypsum, 3/20/15
(GWB). Mineral Aggregate, Wood,
2015-03-0155 White, chalky drywall with Binder, Paint, Ash, Soot.
light yellow-brown-painted,
brown paper.
This report shall not be reproduced,except in full,without written permission from Pacific Rim Environmental,Inc.
Pacific Rim Environmental, Inc.
BULK SAMPLE ANALYSIS REPORT
CLIENT: Phil Wingard PACRIM#: 15403
2650 SW Dashpoint Road REPORT#: 2015-03-0147
Federal Way, WA 98003 DATE RECEIVED: 03/11/2015
ANALYST: William F. Golloway
PROJECT: 2650 SW Dashpoint Road DATE ANALYZED: 03/20/2015
Federal Way, WA REPORT BY: Dai Le
REPORT DATE: 03/20/2015
SAMPLE DATE: 03/11/2015 TURNAROUND: 5 Days
CONTACT: Phil Wingard PAGE: 4 of 6
Client/Lab ID Sample Date
Number Location and Description Asbestos Type(s)/% Other Material(s) Analyzed
10 Hall, south wall (GWB). Layer 1 Layer 1: Cellulose(15-20%), 3/20/15
Light gray-paind white, (Mud with paper): Binder, Mineral Aggregate,
L gray-pain 2015-03-0156 Light mud aih d, white, None Detected Paint,Ash, Soot.
paper (layer 1)on white, Layer 2 (Drywall): Layer 2: Cellulose (10-15%),
chalky drywall with brown None Detected Gypsum, Mineral Aggregate,
paper(layer 2). Binder.
11 Living room, west wall Layer 1 (Mud): Layer 1: Cellulose (<1%), 3/20/15
(GWB). None Detected Binder, Mineral Aggregate,
2015-03-0157 White-painted, white, Paint, Ash, Soot, Fungal
Layer 2 (Drywall): Growth.
chalky mud (layer 1)on
None Detected
white, chalky drywall with
brown paper(layer 2). Layer 2: Cellulose(10-15%),
Gypsum, Mineral Aggregate,
Binder.
12 Living room,west wall None Detected Cellulose (60-65%), Tar, 3/20/15
(Tar paper on wood). Wood.
2015-03-0158 Brown paper with tar.
13 2nd Floor, room 1, ceiling Layer 1 Layer 1: Cellulose (15-20%), 3/20/15
(GWB). (Mud with paper): Binder, Mineral Aggregate,
2015-03-0159 Chrysotile 1-3% Paint.
Yellow-painted, white,
chalky mud with white Layer 2 (Drywall): Layer 2: Cellulose (7-10%),
paper (layer 1)on white, None Detected Gypsum, Mineral Aggregate,
chalky drywall with brown Binder.
paper (layer 2). Total Asbestos: <1%
This report shall not be reproduced,except in full,without written permission from Pacific Rim Environmental,Inc.
Pacific Rim Environmental, Inc.
BULK SAMPLE ANALYSIS REPORT
CLIENT: Phil Wingard PACRIM#: 15403
2650 SW Dashpoint Road REPORT#: 2015.03-0147
Federal Way, WA 98003 DATE RECEIVED: 03/11/2015
ANALYST: William F. Golloway
PROJECT: 2650 SW Dashpoint Road DATE ANALYZED: 03/20/2015
Federal Way, WA REPORT BY: Dai Le
REPORT DATE: 03/20/2015
SAMPLE DATE: 03/11/2015 TURNAROUND: 5 Days
CONTACT: Phil Wingard PAGE: 5 of 6
Client/Lab ID Sample Date
Number Location and Description Asbestos Type(s)/% Other Material(s) Analyzed
14 2nd Floor, room 2,floor Layer 1 (Vinyl): Layer 1: Vinyl, Mineral 3/20/15
(SVF). None Detected Aggregate, Foil.
2015-03-0160 Yellow and gray sheet vinyl
Layer 2 (Backing): Layer 2: Cellulose (60-65%),
with gold and silver foil
None Detected Tar, Binder, Mineral
flecks (layer 1), and black '
( Y )� an Aggregate.
tar paper with green binder
with blue chevron pattern
on bottom surface(layer
2).
15 Basement, room 4, ceiling Layer 1 Layer 1: Cellulose (<1%), 3/20/15
(GWB). (Mud-like material): Binder, Insect Detritus.
2015-03-0161
None Detected
Light brown, soft, mesh-
Y La er 2: Cellulose (5-7%),
like material (layer 1)on Layer 2 (Drywall): Gypsum, Mineral Aggregate,
white, chalky drywall with None Detected Binder.
brown paper(layer 2).
16 1St Floor, east wall None Detected Cellulose (<1%), Binder, 3/20/15
(Window putty). Mineral Aggregate, Paint.
2015-03-0162 Red-painted, light brown,
brittle window putty with
gray surface residue.
17 1St Floor, south wall (Tube Layer 1 (Wrap): Layer 1: Cellulose (65-70%), 3/20/15
and knob wire wrap). None Detected Tar.
2015-03-0163 Electrical insulation
Layer 2 (Paper): Layer 2: Cellulose (90-95%),
composed of black, tar- None Detected Tar, Binder.
impregnated, woven wrap
(layer 1)on light brown Layer 3 (Wrap): Layer 3: Cellulose (65-70%),
paper (layer 2)on black, None Detected Tar.
tar-impregnated, woven
wrap (layer 3)on black, Layer 4 Layer 4: Binder, Mineral
flexible insulation (layer 4) (Flexible insulation): Aggregate.
on wire. None Detected
This report shall not be reproduced,except in full,without written permission from Pacific Rim Environmental,Inc.
•
Pacific Rim Environmental, Inc.
BULK SAMPLE ANALYSIS REPORT
CLIENT: Phil Wingard PACRIM#: 15403
2650 SW Dashpoint Road REPORT#: 2015-03-0147
Federal Way, WA 98003 DATE RECEIVED: 03/11/2015
ANALYST: William F. Golloway
PROJECT: 2650 SW Dashpoint Road DATE ANALYZED: 03/20/2015
Federal Way, WA REPORT BY: Dal Le
REPORT DATE: 03/20/2015
SAMPLE DATE: 03/11/2015 TURNAROUND: 5 Days
CONTACT: Phil Wingard PAGE: 6 of 6
Client/Lab ID Sample Date
Number Location and Description Asbestos Type(s)/% Other Material(s) Analyzed
18 Garage, roof under shake None Detected Cellulose (80-85%), Binder, 3/20/15
roof(Paper insulation). Mineral Aggregate, Glass,
2015-03-0164 Wood.
Light gray paper with black
surface residue and orange,
glossy fragments.
19 Garage, east side(Window None Detected Cellulose (<1%), Binder, 3/20/15
putty). Mineral Aggregate, Paint.
2015-03-0165 Light green and green-
painted, light gray to light
brown, brittle window
putty.
20 2nd Floor, roof overlay None Detected Cellulose (70-75%), Tar, 3/20/15
(Tar paper). Algae.
2015-03-0166 Black tar paper material.
This report shall not be reproduced,except in full,without written permission from Pacific Rim Environmental,Inc.
• ,
Appendix C: Sample Location Drawing
PacRim#15403
This report shall not be reproduced,except in full,without written permission from Pacific Rim Environmental,Inc.
, __
a
Site Sketch
1st Floor House Sta€rwai
Kitchen Bathroom — Bedroom
03 04 07 — — 01
..,.. 16
06
•
Hall
10
UP Down
11 08 /
living Room 0 1
05
12
17 09
I I
House 2nd Floor
—
ll
Dead Space Dead Space
20
N
Room 1 Room 2
it
■
13 14
Dead Space
Positive samples circled in red on drawing and bold in table below.
Phil Wingard Pacific Rim Environmental, Inc. Project#: 15403
6510 Southcenter Boulevard,#40 Drawing b:01 of 02 03
Residential Seattle,WA 98188 Sage i 01 at
Sampling Date:
03/11/2015
2650 SW Dashpoint Road Drawing By:Filsan Shamo
Federal Way, WA Tel.(206)244-8965 FAX(206)244-9096 Drawing Not To Scale
This report shall not be reproduced,except in full,without written permission from Pacific Rim Environmental,Inc,
•
Y . _.__ .�"_ v -w_.__JIM "_ __:-__,∎ I/ 1114°
Site Sketch
j8 ! tl 8 }4 { �' o f BE d ilk) « & , i I
01 Bedroom,floor SVF
02 'Living room,floor 12x12 Floor tile
03 Kitchen,floor SVF
04 Bathroom,floor SVF
05 Living room,floor Tar paper under flooring
06 Bedroom,west wall Plaster
07 Bathroom,east wall Plaster
;08 Living room,ceiling Plaster
09 Living room,south wall GWB
10 Hall,south wall GWB
11 Living room,west wall GWB
12 Living room,west wall Tar paper on wood
13 2nd Floor, room 1,ceiling GWB
14 2nd Floor,room 2,floor SVF
16 1st Floor,east wall Window putty
17 1st Floor,south wall Tube and knob wire wrap
20 2nd Floor, roof overlay Tar paper
Positive samples circled in red on drawing and bold in table below.
Phil Wingard Pacific Rim Environmental, Inc. Project/t: 15403
6510 Southcenter Boulevard,#40 Drawing#:01 of 02
Residential Seattle,WA 98188 Page li 02 of :
Sampling Date:03/11/2015
2650 SW Dashpoint Road Drawing By:Fitsan Shamo
Federal Way, WA Tel.(206)244-8965 FAX(206)244-9096 Drawing Not To Scale
This report shall not be reproduced,except in full,without written permission from Pacific Rim Environmental,Inc.
•
Site Sketch
Basement
Room 3 = Room 6
31/1
Room 4 _
15
Room 5
Room 7
Room 8
Garage 19
Roof
18 117 �f
Positive samples circled in red on drawing and bold in table below.
015 Basement,room 4,ceiling GWB
018 Garage, roof under shake roof Paper insulation
019 Garage, east side Window putty
Phil Wingard Pacific Rim Environmental,Inc. Project#:15403
6510 Southcenter Boulevard,#40 Drawing#:02 of 02
Residential Seattle,WA 98188 Page 03 at :
Sampliu ng Date:03/11/2015
2650 SW Dashpoint Road Drawing By Filsan Shamo
Federal Way, WA Tel.(206)244-8965 FAX(206)244-9096 Drawing Not To Scale
This report shall not be reproduced,except in full,without written permission from Pacific Rim Environmental,Inc.
Appendix D: Inspector/Laboratory Certifications
PacRim#15403
This report shall not be reproduced,except in full,without written permission from Pacific Rim Environmental,Inc.
, . .. . .
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