23-103514J - 1-4
Demolition
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ILLAHEE MIDDLE SCHOOL BUILDING 500
Project Address: 36001 1ST AVE S
Project Description: Demolition of detached classroom structure.
Permit #:23-103514-00-DE
Inspection Request Line: (253) 835-3050
Parcel Number: 302104 9013
Owner
Applicant
Contractor
FEDERAL WAY PUBLIC SCHOOLS
FORMA CONSTRUCTION COMPANY
FORMA CONSTRUCTION COMPANY
33330 8TH AVE S
500 COLUMBIA ST NW SUITE 201
FORMACC878OR (9/19/23)
FEDERAL WAY WA 98003
OLYMPIA WA 98501
500 COLUMBIA ST NW SUITE 201
OLYMPIA WA 98501
Additional Permit Information
PERMIT EXPIRES Saturday, 6 January, 2024
Permit Issued on Monday, July 10, 2023
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 be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way. ?
Owner or agent: Date:"
THIS CARD IS TO REMAIN ON -SITE
c,"oF Construction Inspection Record
Federal Way INSPECTION REQUESTS- (253) 835-3050
PERMIT #: 23 103514 00 Address: 36001 1ST AVE S
Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY WA 98003-8606
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.
1❑ Final - Building (4050)
Approved
By Date 1
Rough Electrical
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED
1 PERMIT APPLICATION
CITY OF !�� JUL 10 2023 PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
Federal Way CITY OF FEDERAL WAY 253-835-260 i + FAX 253-835-2609 + peruiitcenter&ityoffederalway.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER _G�_ j_ 0 ! ,5 - TARGET DATE
SUITE/UNIT #
SITE ADDRESS l
v,, S, ���-�1 Wet
PROJECT VALUATION ZONING ASSESSOR'S TAX/PAR SL #
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 rLC�L dl�
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17%h-e induridual to receive and '� en a 11A 1 ' d,
respond to all correspondence i !] STAT ZIP
concerning this application] CITY a (7�
NAME
PROJECT FINANCING
When value is $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP
(RCW 19.27.095)
FAX
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❑ OWNER -FINANCED
PHONE
I certify under penalty of perjury that I am the property owner Or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit upplicatian is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understated that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including casts, e�unde e i and attorneys' fees incurred y.
the investigation and defense of such claim), which may be made by any person, including the undersigned, anon�the accuracy inst then c=
but only where such claim arises Out of the reliance of the city, including its officers and employees,, up yJ f
he
information supplied to the city as a part of this application.
� i1AT>e 7
SIGNATURE:
PRINT NAME: t) CZ V%%
Page 1 of 2 k:\Handouts\Permit Application
Bulletin #100 —February 19, 2020 0
CITY OF
Federal Way
COMMUNITY DEVELOPMENT DEPARTMENT
33325 8`h Avenue South
Federal Way, WA 98003
253-835-2607;Fax 253-835-2609
www. c i tyoffed a ral wav_, co m
DEMOLITION PERMIT REQUIREMENTS
A demolition permit is required to remove any structure on a subject property. Demolition of separate
structures may require separate permits.
❑ Address of Demolition:
3COol [SA Ave,S E_�era] k1A �$vQ3
❑ Prior to submitting a demolition permit, the following items must be signed by the respective
agency or their approvals attached. Items not applicable to your project should be marked N/A.
❑ A completed construction Permit APPACation form is also required.
1. ASBESTOS ABATEMENT
(Provide copy of Notice oflntentfrom Puget Sound Clean Air Agency
and copy of inspection report by AHERA-certified inspector)
(City of Federal Way Building Official)
2. FUEL STORAGE TANKS
❑ Under grade tank(s) is/are present
❑ Above grade tank(s) are present
❑ Tank(s) has been pumped or removed under South King Fire &
Rescue permit prior to any dismantling or excavation
K-A
(South King Fire and Rescue)
3. SEPTIC SYSTEM DECOMISSIONING
,V A
(ling County Environmental Services)
4. SANITARY SEWER
LP
(Lakehave UtilityDistrict)
5. ELECTRICITY
c.�- S 1rt' c�- -7- b -2Z
(Puget Sound Energy/Tacoma Power)
6. NATURAL GAS \
[� co, e C —7"3 23
(Page Sound Energy)
7. WATE - ub c ource
W chi' -Hp r.2.i1't _ bw /
have Ut' ib/ District)
8. WATER - Private We
ll
(King Co my Environmental Services)
Please Note: Erosion control measures must be in place during the demolition and through
completion of the site clean-up. �-1
1 6 hSq�
`'' (Applicant)
Bulletin # 122 —March 16, 2017
Page 1 of 1
k:\Handouts\Demolition Permit Requirements
CAAS
Clean Air Agency
Notification Case #: 202302302
This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for inspection at
all times at the asbestos project or demolition site (Reg III, 4.03(a)(6)).
Fee Amount Paid $725.00
Credit Card Transaction # AEOA5137134056
Transaction Date 05/24/23
Owner's Name Federal Way Public Schools Phone (253) 945-2000
Project Street Address 36001 1st Ave S
City Federal Way Zip 98003
Contact Person David Hicks, Forma Construction Phone (360) 561-5323
Mailing Address 1211 South 332nd Street
Federal Way, WA 98003
This project includes asbestos removal.
Project Size 2500 linear feet / 1335 square feet
Project Start Date 06/26/23 Completion Date 12/31/23
Asbestos will be removed by a licensed asbestos abatement contractor
Contractor Construction Group Intl LLC Contractor Job # A23041
Contact 3anielle Linder Phone (425) 487-2618
Mailing Address 19407 144th Ave NE Bldg D
Woodinville, WA 98072
This project Includes a demolition.
Demolition Start Date 06/29/23 Completion Date 12/31/23
Demolition will be completed by a demolition contractor
Demo Contractor Construction Group Intl LLC
Contact 3anielle Linder
Mailing Address 19407 144th Ave NE Bldg D
Woodinville, WA 98072
Contractor Job # D23041
Phone (425) 487-2618
(1) I certify that the information I have provided is to the best of my knowledge true and accurate.
(2) I understand that I must file an Amendment to. this Notification if:
• The type of project has changed. The project types are asbestos and demolition.
• The quantity of friable asbestos to be removed meets a larger project category.
• The projects start or completion date has changed.
(3) I understand one Notification must be filed for each structure. The only exception is for a single-
family residence that includes multiple ancillary structures, such as a detached garage or other
outbuildings having the same street address. If there is no street address, I have used a building
number.
(4) I understand the fees for this Notification are nonrefundable.
Create Another Notification
If you have questions, contact us at asbestos@pscleanair.gov or 206.689.4058.
construction group international
I
ILLAHEE MIDDLE SCHOOL
washington office:
19407144th Ave NE Bldg D -Woodinville, WA 98072
T425.487.2618 F425.487.2619 CONSTG1953NA
.028213 Asbestos Abatement
Pre -Work Submittal
CGI Project #: A23041
Federal Way Public Schools
1211 South 332nd Street
Federal Way, WA 98003
Forma Construction Company
500 Columbia ST. NW, Suite 201
Olympia, WA 98501
PBS Engineering and Environmental Inc.
214 E. Galer St, Suite 300
Seattle, WA 98102
Construction Group International LLC
19407 144tl' Avenue NE, Bldg. D
Woodinville, Washington 98072
specialty contractors
May 25th 2023
nevada office:
3640 S. Highland Dr_ • Las Vegas, NV 89103
T 702.307.8002 F 702.307.8010 NV License 60686
www.cgius.net
TABLE OF CONTENTS
1. ASBESTOS ABATEMENT WORK & SAFETY PLAN
2. LABORATORY QUALIFICATIONS
3. NOTIFICATIONS & INSURANCE
4. ASBESTOS SUPERVISOR
S. CGI HEALTH & SAFETY POLICY
Illahee Middle School
028213 Asbestos Abatement Work Plan
ASBESTOS ABATEMENT WORK PLAN
GENERAL SCOPE OF WORK
Our scope of work is to remove and dispose of asbestos containing materials prior to building
demolition at Illahee Middle School — 36001111 Ave South, Federal Way, WA 98023.
Asbestos Abatement
Building 200
615 SF ACM SHEET VINYL FLOORING AND ASSOCIATED MASTIC
650 SF ACM MASTIC BEHIND WOOD PANEL
2 EA SINK WITH ACM UNDERCOAT
50 LF RESIDUAL ROOFING TAR ON ROOFTOP COMPONENTS
Building 200
210 SF VAT AND ACM MASTIC ON CONCRETE
130 SF VAT AND ACM MASTIC ON WOOD
Building 300
225 5F VAT AND ACM MASTIC ON CONCRETE
Building 400
5 EA SINK WITH ACM UNDERCOAT
Building 500
3100 SF VAT AND ACM MASTIC ON CONCRETE
50 LF RESIDUAL ROOFING TAR ON ROOFTOP COMPONENTS
Building 600
9200 SF VAT AND ACM MASTIC ON CONCRETE
100 LF ACM WINDOW FRAME SEALANT
700 LF ACM WINDOW GLAZING COMPOUND
200 SF ACM TANK INSULATION
50 LF RESIDUAL ROOFING TAR ON ROOFTOP COMPONENTS
Building 700
450 SF VAT AND ACM MASTIC ON CONCRETE
100 SF ACM SVF AND ASSOCIATED MASTIC
1 EA SINK WITH ACM UNDERCOAT
1 EA ACM INSULATION FROM ROOF DRAIN
50 LF RESIDUAL ROOFING TAR ON ROOFTOP COMPONENTS
Building 800
250 SF WALL PANELS WITH ACM MASTIC
Building 900
1950 SF VAT AND ACM MASTIC ON CONCRETE
650 5F VAT AND ACM MASTIC ON WOOD
CGI1ob# A23041 5/25/2023 1 of12
Illahee Middle School
028213 Asbestos Abatement Work Plan
All Buildings / Site
1500 EA ACM HARD MUDDED FITTINGS
50 EA ACM FIRE DOORS
1000 LF CEMENT ASBESTOS PIPE
TEMPORARY FACIUTIES & CONTROLS
The following temporary utilities and controls will be provided by CGI as indicated:
10 Storage
Work will not require any special storage needs, other than an enclosed trailer to store
ACM's. Tools and equipment shall be stored within the confines of the project limits
within our work trucks.
CGI does not ontici ate the need on this Proiect for an Y flammable material storage.
p Parking
All parking is self -provided within the project limits.
Hoisting
Self -provided.
Electrical
Existing electrical connections. Power source to be provided by Forma.
e Lighting
Ambient lighting, existing lighting and task lighting provided by CGI as required.
Water
Existing water connections. Water source to be provided by Forma,
® Sanitary
Portable toilet facilities to be provided by Forma.
Fire Protection
CGI will supply one (1) ABC rated fire extinguisher for each 5,000 SF of work area during
abatement operations.
No "Hot Work" is to be performed on thisproject precluding the need for any Hot Work
Permit.
CGI Job# A23041 5/25/2023 2 of 12
Illahee Middle School
028213 Asbestos Abatement Work Plan
PROJECT SCHEDULE & CREW
Crew size will be a maximum of eight (8) for abatement personnel, including working supervisors.
Work shifts shall be established to be 7:00 am to 3:30 pm Monday through Friday, unless
otherwise agreed upon. Anticipated start date is June 26th, 2023.
Abatement work sequence will be per Forma's Phase 1 Demo Logistics Plan. CGI will perform
abatement in the following order: building 800 (1-2 day duration), building 400 (1-2 day duration),
building 500 (2-3 days duration), building 600 (10 day duration), building 300 (1-2 day duration),
building 700 (1-2 day duration), building 200 (1-2 day duration) and building 100 (2-3 day
duration).
Selective demolition work and asbestos abatement in the gym (building 900) will occur
simultaneously as the rest of the asbestos abatement work. We have —5 days of abatement in
building 900.
WORK PLAN
The intent of the work plan is to describe and clarify the processes and procedures to be utilized
for this project and not to "simply reiterate the language already contained in the specifications.
General Overview & Staging
All primary staging for abatement and demolition tools, consumable materials, debris, and
personnel shall be within the property boundries, adjacent to the structures.
Staging of disposal containers, work vehicles shall be within the same areas.
Abatement/Demolition Personnel Protection
All abatement personnel shall don the following:
• Appropriate construction clothing. Full body disposable protective clothing with hood
and booties for abatement. Full body disposable protective clothing for demolition is at
the discretion of the employee.
• % face respirators with HEPA cartridges for abatement work and % face respirator with
HEPA cartridges for any work creating silica, nuisance dust.
Full face PAPR respirators will be worn for all class 1 asbestos abatement.
■ Protective gloves.
■ Eye protection.
■ Protective footwear.
■ Hardhats and safety vests.
• Hearing protection shall be worn when operating small tools or other loud machinery.
CGI Job# A23041 5/25/2023 3 of12
Illahee Middle School
028213 Asbestos Abatement Work Plan
Regulated Work Area Demarcation
All egress points into regulated work areas shall be clearly demarcated with asbestos signage on
the exterior side. Emergency exits shall be clearly demarcated with orange or red spray paint or
tape applied to the critical barriers consisting of 6-mil poly, which can be easily cut or removed in
the event of a fire or other life- threatening emergency.
All regulated abatement work areas shall be clearly demarcated with asbestos signage at the point
of entry. All openings into regulated areas shall be sealed with one layer of 6-mil poly sheeting,
which includes HVAC openings and doors at the perimeter,. Any exterior work shall have a
regulated area designated by asbestos banner tape.
Decontamination Units for Glove Bag Work Areas and NPE's
CGI utilizes Personnel Decontamination Units (PDU's) consisting of three (3) chambers, each with
air locks will be utilized for and Class I friable materials. The PDU's shall consist of a dirty room,
shower and clean room. CGI utilizes pre -fabricated 3' X 6' sheet metal pans for their PDU's that
can accommodate a PVC pipe frame to support polyethylene sheeting (poly). The pans are also
fitted with a drainage outlet so that any pan can be utilized as a shower chamber. The pans are
large enough to accommodate two (2) showers, which are sufficient to support a crew of eight
(8). All shower watershall be filtered through a .5 micron filtration system priorto discharge into
the nearest sanitary sewer or storm drainage system (toilet). Shower pans shall have grating in
order to elevate personnel above the water level.
Material Decontamination Units (MDU's) consisting of two (2) chambers, each with air locks will
be utilized. CGI also utilizes prefabricated sheet metal pans similar to the PDU's as MDU's, except
the pans are 4' X 6' so they have the ability to accommodate megabox disposal containers. The
work area side is utilized as a dirty room, one chamber shall be a wash down station and the next
chamber shall be the clean room.
Negative Air Machine Calculations (As Applies)
There is (1) negative pressure enclosure anticipated in this scope of work, this is related to the
tank insulation removal. This room is very small <1000 SF and will only require (1) negative air
machine to reach negative pressure. One additional negative air machine will be on site as a back
up.
The calculations for negative air machines (NAM's) are based on the following (EXAMPLE):
1000 SF Work Area (NPE)
1000 SF X 10' Height = 10,000 FT
10,000 Fr X 4 air changes/hr = 40,000 FT
40,0000 FT3 / 60 minutes = 666 CFM
666 CFM / 1,400 CFM (2,200 @ 70% efficiency) = 1 NAM per 1000 SF Space
CGI Job#i A23041 5/25/2023 4 of 12
Illahee Middle School
028213 Asbestos Abatement Work Plan
Asbestos Abatement
Class I —Thermal System Insulation (TSI J
• Asbestos Pipe & Fitting Insulation
Asbestos containing (ACM) pipe and fitting insulation is located throughout each building.
Affected pipe insulation shall be placed in glove bags and securely fastened with an
airtight seal to perform removal within the glove bag. All glove bags shall be connected
to a running HEPA vacuum inducing negative pressure in the bag. A nozzle connected to
a sprayer, containing water, will be placed in the glove bag, providing a continuous source
of water to be used for wetting the asbestos insulation and for cleaning the piping
substrate. A HEPA vacuum will be available in the immediate vicinity of the work in case
of glove bag failure. Working in teams of two, as required by regulations, care shall be
taken so as not to overload the glove bags causing glove bag failure or the glove bag to
fall from the pipe. Glove bags will be supported from below as necessary to prevent
falling. After all areas within the glove bag have been cleaned and encapsulated we will
than collapse the glove bag using the attached HEPA vacuum, securing the bag using duct
tape, placed above the portion of the glove bag that contains the asbestos waste. Glove
bags shall then be removed from the pipe and placed directly into a properly labeled
asbestos disposal bag, securing the second bag with duct tape in a similar manner as the
glove bag. For detailed glove bag procedures, see CGI Health & Safety policy and
corresponding WAC codes and CGI's Health & Safety Policy.
The remaining piping insulation will then be wrapped in two layers of 6-mil poly and the
pipe will be cut at the glove bag location. Pipe insulation that is located within an NPE
will be stripped as part of the abatement process and the remaining piping will be cleaned
as part of the cleaning process to obtain clearances within the NPE.
Thermal Insulation (TSI) Wrap & Cut Fitting Removal
Asbestos containing (ACM) pipe fitting insulation is located throughout the buildings. CGI
will wrap affected fittings in 6-mil poly and duct tape and cut the fitting off of the pipe
where there is fiberglass insulation. Multiple fittings will be placed into 6-mil disposal
bags.
■ ACM Tank Insulation
This work will occur in a Negative Pressure Enclosure (NPE) with 3-stage decon and load
out. Workers will wear full -face respirators power air purified respirators (PAPR). Tank
insulation will be adequately wetted and manually removed with hand tools. Asbestos
containing materials will be placed in (2) 6-mil poly bags for disposal. Once a visual
CGI Job# A23041 5/25/2023 5 of 12
Illahee Middle School
028213 Asbestos Abatement Work Plan
inspection has been completed by the consultant, the air -clearance will be ran. Once this
is completed and clearance passed, the NPE will be torn down.
Class II — Miscellaneous Materials
o Residual Roofing Tar
Built-up roofing/sealants/tars shall be manually removed with small tools and/or
removed as per WRD 23.35 during the demolition process, placed into leak tight disposal
containers and disposed of as non -friable ACM. An asbestos supervisor shall be on -site
during all roof removal activities, shall regulate the area, shall apply adequate amounts
of water and shall conduct air sampling. All personnel involved with the BUR removal
shall don PPE, including % face respirators.
Vinyl Asbestos Tile (VAT)
VAT shall be manually removed with "spud" bars or floor machines while lightly misted
with amended water and placed into two (2) 6-mil yellow asbestos disposal bags and
appropriately labeled for disposal. All waste shall be placed in two (2) 6-mil yellow
disposal bags or a megabox lined with two 6-mil megabags.
Asbestos Containing Mastics on Concrete
Work area will be demarcated with asbestos banner tape, the affected rooms will
become a regulated area at the point of entry. Appropriate asbestos signage shall be
placed on the outside of the door. Mastic will be adequately wetted prior to removal; a
chemical solvent will be applied and the mastic will be removed manually with razor
scrapers and placed into two (2) 6-mil disposal bags or lined Megabox/Trailer for proper
disposal.
• Asbestos Containing Mastics on Wood
Work area will be demarcated with asbestos banner tape, the affected rooms will
become a regulated area at the point of entry. Appropriate asbestos signage shall be
placed on the outside of the door. Mastic will be adequately wetted prior to removal
and removed manually with "spud" bars by removing the wood subfloor/plywood while
placed into two (2) 6-mil disposal bags or lined Megabox/Trailer for proper disposal.
® ACM Fire Doors
Work area will be demarcated with asbestos banner tape. The affected materials will be
adequately wetted prior to removal. Fire Doors will be manually removed and wrapped
in 2 layers of 6-mil poly for disposal or placed into a lined disposal can.
9 SVF w/ associated backing/mastic
Asbestos containing sheet vinyl flooring (SVF) will be adequately wetted and manually
removed using the strip -method and placed into (2) — 6 mil poly bags for disposal.
CGI Job# A23041 5/25/2023 6 of 12
Illahee Middle School
028213 Asbestos Abatement Work Plan
d Sinks
Sinks with ACM coating shall be separated from the countertops manually, intact, where
possible and wrapped with 2 layers of 6 mil poly sheeting and/or placed in two (2) 6-mil
yellow disposal bags or a mega -box lined with two 6-mil mega -bags for proper disposal.
Caulking/Sealants/Mastics/Other Miscellaneous ACM's
Caulking, Mastics, Sealants & other miscellaneous ACM materials shall be manually
removed with small tools and placed into two (2) 6-mil disposal bags.
Cement Asbestos Pipe
This work will occur outdoors in a regulated work area with asbestos banner tape. Cement
asbestos pipe will be adequately wetted prior to removal, broken into manageable sized
pieces using hand tools, pipe sections will manually removed, wrapped in 2-layer5 of 6-
mil poly and placed into appropriate disposal trailer.
WASTE DISPOSAL
Asbestos
Asbestos containing waste shall be double bagged in 6-mil disposal bags, placed in mega -boxes
with 2-6 mil mega -bags or wrapped in two (2) layers of 6-mil poly sheeting.
Asbestos waste containers shall have labels bearing the date, project name, owner and asbestos
contractor. Asbestos waste shall be transported to the exterior of the affected buildings and
loaded into the CGI enclosed disposal vehicle or waste container.
Asbestos containing waste shall be transported and disposed of as follows:
Transporters, Transfer Station & Landfill Owners:
Transporters:
Construction Group International LLC
19407 144th Avenue NE, Bldg. D
Woodinville, WA 98072
(425) 487-2618 Phone
(425) 487-2619 Fax
NTSI
1905 E. Lincoln
Tacoma, WA 98421
(253) 383-3860 Phone
Republic Services
2733 3`d Avenue South
Seattle, WA 98134
CGI Job# A23041 5/25/2023 7 of 12
Illahee Middle School
028213 Asbestos Abatement Work Plan
Landfills:
Northern Wasco County Landfill
2550 Steele Road
The Dalles, OR 97058
(541) 296-4082 Phone
Roosevelt Regional Landfill
500 Roosevelt Grade Road
Roosevelt, WA 99356
(509) 384-5641 Phone
AIR MONITORING & LABORATORY ANALYSIS
Pre -abatement and pre -clearance air sampling shall be provided by CGI. Contractor required air
monitoring, will be collected by CGI supervisor and submitted to NVL Laboratories (NVL), a NIOSH
and AIHA certified laboratory.
NVL Laboratories, Inc.
AIHA Lab #101861
4708 Aurora Avenue North
Seattle, WA 98103
(206) 547-0100 Phone
(206) 634-1936 Fax
SAMPLING PLAN
Air monitoring shall be performed by CGI in accordance with WAC 296-62-07709 and as follows:
® Representative eight -hour TWA employee exposures must be determined on the basis of
one or more samples representing full -shift exposure for each shift for each employee in
each job classification in each work area.
® Representative thirty -minute short-term employee (STEL) exposures must be determined
on the basis of one or more samples representing thirty -minute exposures associated
with operations that are most likely to produce exposures above the excursion limit for
each shift for each job classification in each work area.
Daily monitoring within regulated areas: The employer must conduct daily monitoring
that is representative of the exposure of each employee who is assigned to work within a
regulated area. Exception: When all employees within a regulated area are equipped with
full facepiece supplied -air respirators operated in the pressure -demand mode equipped
with either an auxiliary positive pressure self-contained breathing apparatus or a HEPA
filter, the employer may dispense with the daily monitoring required by this subsection.
CGI Job# A23041 5/25/2023 8 of 12
Illahee Middle School
028213 Asbestos Abatement Work Plan
Monitoring outside negative -pressure enclosures (NPE's) if applies: The owners
Environmental Consultant may conduct representative area monitoring of the airborne
fiber levels at least every other day at the HEPA machine exhaust and entrance to the
decontamination area. There are no NPE's on this project.
• Pre -abatement and pre -clearance sampling.
■ Final PCM clearance sampling.
SITE SAFETY PROTOCOL
It is the objective of CGI to maintain project sites that provide a safe environment to our
employees and result in less time loss injuries. Safety is a concern of all company employees and
each employee has a mandated responsibility to promote the safety of all as prescribed in the
corporate Health & Safety Policy. All CGI supervisors are CPR and First Aid trained. Safety is an
extremely important priority at CGI and we have a zero tolerance policy for unsafe work practices
that consists of a progressive warning system for violators. The first warning for worker's is verbal
for all violations not classified as a "willful" or "serious" infraction, the second warning is written
and becomes an employee record and the third infraction will result in termination. The same
applies to Supervisors, however the first warning is written. Serious violations, dependent on
their severity may result in immediate termination, however, will result in a written notice for all
personnel categories. A second serious violation will result in termination. Willful + serious
violations will result in termination.
All CGI field personnel must maintain a working knowledge of the applicable codes and standards
in the WAC as administered by the Washington State Department of Labor & Industries (L&I) by
the Washington Industrial Safety & Health Act (WISHA) that are applicable to asbestos and
construction activities.
All projects with a duration of more than a week will have a weekly project meeting, of which
Safety is a continuous topic that will include both job specific safety concerns and general safety
practices as continuing education. All project employees are required to attend and topics of
discussion are recorded along with the names of all attendees. Daily reports will also reflect any
safety concerns, occurrences or accidents.
Regular job site inspections are conducted by supervisory personnel at the beginning of each work
shift, during the work and at the end of each work shift to assure all engineering controls and
safety measures are functioning properly and in compliance with regulations and specifications.
All potential hazards will be communicated through CGI's on -site Supervisor to the owner's
representative. All potential or known hazards will be recorded on a job site inspection form
and/or daily log, both of which will be transmitted to the owner's representative.
CGI company policy is to immediately rectify all hazards or safety concerns that impact our work
and are within our control until proceeding further with regular work activities. Hazards and
CGI Job# A23041 5/25/2023 9 of 12
lilahee Middle School
028213 Asbestos Abatement Work Plan
safety concerns outside of our immediate control will be immediately reported to the owner's
representative.
RESPIRATORY PROTECTION PROGRAM
The overall, general safety program that shall be adhered to on this project is the CGI Health &
Safety Policy and all applicable provisions contained therein, which also includes our Respiratory
Protection Program.
FALL PROTECTION PROGRAM
The overall, general safety program that shall be adhered to on this project is the CGI Health &
Safety Policy and all applicable provisions contained therein, which also includes our Fall
Protection Program.
A site specific fall protection plan will be developed on -site by our supervisory personnel utilizing
the fall protection form. The following fall hazards have been specifically identified for this
project:
o Work from ladders or lifts shall be performed in accordance with procedures found in
Section W.6.0 of CGI's Health & Safety Plan.
Any otherfall protection hazards, as encountered, will be addressed by the project supervisor and
a specific fall protection plan shall be developed.
JOB HAZARD ANALYSIS
The hazards of the project in order of precedence include fall protection, cuts and abrasions,
falling debris and potential asbestos exposure.
CGI written fall protection plan will be implemented on this project.
Cuts & abrasions will be avoided with the use of gloves, eye protection and appropriate work
practices.
Asbestos exposure to the public will be minimized through the use of regulated areas, controlled
entry and compliant work practices. All workers will have PPE and the work area will not be
accessible to the general public.
On -site Job Safety Analysis Sheets shall be filled out by on -site supervisory personnel as applicable
for any special conditions that are specific to the project that are not described above.
CGI Job# A23041 5/25/2023 10 of12
Illahee Middle School
028213 Asbestos Abatement Work Plan
HAZARD COMMUNICATION PROGRAM
CGI's Hazard Communication Program is reflected in CGI's Health & Safety Plan.
It is the ultimate responsibility of CGI to communicate hazards to employees, other
entities/employers as per WAC 296-155-180.
EMERGENCY PROCEDURES
In the event of a minor fire, CGI shall extinguish with one of the ABC fire extinguishers located
within or adjacent to each work area. In the event of a serious fire, the work area will be
immediately evacuated via the nearest means of egress. Exit paths from work areas shall be pre-
established before the commencement of work.
In the event of minor work site injuries, the injured shall exit the work area and report to
supervisory personnel and assess seeking medical attention. In the event of a more severe injury
such as deep wounds, punctures, abrasions, etc. injury, the injured shall be assisted by other CGI
personnel for immediate medical attention. In the event of a debilitating or life -threatening
injury, the injured will be immediately attended to by the nearest CGI personnel but not be moved
as recommended by the medical profession. 911 will be immediately called for the most
expedient medical attention. CGI Certified Asbestos Supervisor personnel are First Aid/CPR
certified. The nearest medical facilities are listed in the Emergency Contact section.
CGI Job# A23041 5/25/2023 11 of 12
Illahee Middle School
028213 Asbestos Abatement Work Plan
PROJECT & EMERGENCY CONTACT INFORMATION
Contractor: Construction Group International LLC
19407 14Wh Avenue NE, Bldg. D
Woodinville, Washington 98072
WA License: CONSTG1953NA
Project Manager: Janielle Linder, Project Manager (Hazmat)
JanielleL@cRius.net
(425) 753-5148
Const. Manager: Carl Linder
carll@cgius.net
(425) 753-4724
Supervisor: Eustaquio Sanchez
eusta p u ios @ Cg i us. net
(425) 761-4357
Owner: Federal Way Public Schools
3330 811 Ave South
Federal Way, WA 98003
GC/CM: Forma Construction
500 Columbia St NW, Suite 201
Olympia, WA 98501
Project Engineer: David Hicks
davidh formacc.corri
(360) 561-5323
Owner Rep: PBS Environmental
214 E Galer Street, Suite 300
Seattle, WA 98102
Project Manager: Mark Hiley
M a rk. H ile v @ obsusa.com
(206) 255-4356
For all emergencies dial 911.
Police/Fire: 911 Emergency
Nearest Hospital: St. Francis Hospital
34515 91h Ave S
Federal Way, WA 98003
(253) 944-8100 Main
CGIJob# A23041 5/25/2023 12 of12
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NVL
INDUSTRIAL HYG ENE
SERVICES
LABRATORY t MANAGEMENT - TRAINING
NVL- Industrial Hygiene- Health & Safety Services
STATEMENT OF QUALIFICATIONS
NVL is one of the leading industrial hygiene firms in the Northwest. Opening its doors in 1995, NVL successfully provides full -service
to its clients including testing and environmental safety services. We provide innovative solutions to all your environmental and
health & safety needs, in order to minimize your risks and overhead costs. Having NVL as your project partner ensures success for
your clients. We take pride in offering a broad range of experiences in supporting both public and private entities. Our services are
designed to meet the needs and standards of a diverse range of businesses including environmental engineering firms, architects,
general contractors, industrial hygienists, facility/property managers, remodelers, government agencies, homeowners, and others
involved with hazardous commercial or residential building materials. NVL's seasoned team of experts provides complete services
and regulatory compliant hazardous material solutions ranging from project design, surveys/inspections, analytics, remediation.
plans, project oversight, O&M plans, to final project closeout. Our core values are strong teamwork, empowerment, quality, and
consistency.
Our core services include:
Laboratory/Analytical
I Project Management
Training
LABORATORY/ANALYTICAL
Operating both nationally and internationally, NVL is the premier testing laboratory in the Northwest. We are accredited by
AIHA-LAP, NVLAP, Department of Defense (DoD-ELAP), CA-ELAP, and Washington Department of Ecology (WADOE). We are
adequately staffed and equipped to handle all your projects, large or small.
We provide high quality analytical results, specializing in asbestos fiber identification and a range of metals analyses using
NIOSH, OSHA, and EPA methods. Our fast turnaround times (as quickly as an hour), 24/7, 365 days/year service, and easily
accessible, concise "Lab Online" reports set us apart from others. Our analytical services include but are not limited to the
following:
• ASBESTOS in air and bulk samples
■ LEAD (Pb) in air and bulk samples (paint chips, dust wipes, soil, wastewater, and drinking water)
• MOLD in air (fungal and particulates identification), and bulk (qualitative and quantitative)
• PCB's analysis in air, bulk, and wipe samples
• HEXAVALENT CHROMIUM in air and bulk samples
• Silica (air and bulk)
• TCLP (Toxicity Characteristic Leaching Procedure) for lead and other RCRA metals
• RCRA METALS and welding fume panels
NVL Laboratories Statement of Qualification 1 of 15
9.
NVL
PROJECT MANAGEMENT
NVL is a pacesetter in quality service! We offer a combination of an excellent team of experts alongside the latest technology
to manage your projects, start to finish. Being a trusted provider in the field of industrial hygiene and environmental health
& safety services, NVL brings the best consulting expertise for the public and private sectors. Ensuring health & safety for
both buildings and their occupants is our top priority. NVL offers comprehensive support through the duration of projects
and is mindful of up to the date market responses and regulatory compliance requirements. Combining scientific expertise
with a sector -driven approach, our project management services encompass the following:
• Develop and implement an appropriate sampling plan that meets your needs, with your own health & safety personnel.
• Recognize, evaluate, prevent, and control harmful or unsafe environmental factors that may arise in or from the
workplace.
• Assessment of indoor air quality and worker health & safety.
• Exposure management and control.
• Site assessment for hazardous building materials (asbestos, lead, mold, PCBs, silica, and more.)
• Project oversight and health & safety plan development. '
• Project management for complex and multidisciplinary projects paired with the most appropriate technical
expertise and resources.
Lead (Pb) and RCRA metals risk assessments, and clearance inspections as required by state and federal regulations
TRAINING
NVL is an EPA certified firm. It is one of the few organizations that provide training to its clients for the following:
• Lead renovation, repair & painting (RRP) training
• Lead inspector training
• Lead risk assessor training
• Lead dust wipe sampling technician
• EM385 fall protection training
• NIOSH 582 (PCM), meeting the requirements of AIHA Registry Programs, and more!
Facility owners/managers often engage with maintenance, renovation, and/or repair work where they may come
across hazardous building materials. OSHA (Occupational Safety and Health Administration) and L&I (Washington State
Department of Labor & Industries) require that they must go through Hazard Awareness Training, in order to safely
deal with such situations. NVL offers classes for health & safety training that satisfy those requirements. We provide the
following training classes for any number of students to meet our clients' needs. We offer open enrollment and custom
classes, both on and off -site with any number of students.
• Hazard awareness training
• Lead (Pb) safe work space training
• Asbestos awareness training
• Mold awareness in construction
• Construction health & safety training
• EM 385 competent person fall protection training, and more!
NVL Laboratories Statement of Qualification 2 of 15
Y
iI�ky..
PROFESSIONAL ACCREDITATIONS
The laboratory is currently accredited for the following:
1. American Industrial Hygiene Association (AIHA-LAP, LLC)
• Industrial Hygiene (asbestos, heavy metals, silica and nuisance/respirable Dust)
• Environmental lead (recognized under EPA NLLAP program)
• Environmental microbiology (mold spore identification)
• Unique scopes (consumer products)
• Asbestos Analyst Registry (AAR)
2. US Department of Defense- Environmental Laboratory Accreditation Program (DOD-ELAP)
• Asbestos (bulk/air)
• Heavy metals (bulk/air/TCLP)
3. National Voluntary Laboratory Accreditation Program (NVLAP)
• Asbestos (bulk fiber analysis)
4. Washington Department of Ecology (WADOE)
• Drinking water
• PCBs
• Heavy metals in solid and chemical materials
5. California Department of Public Health -Environmental Laboratory Accreditation Program (ELAP)
• Asbestos (bulk fiber analysis)
6. US Environmental Protection Agency — EPA: Renovation, Repair and Painting program (RRP) initial. trainer
7. US Environmental Protection Agency — EPA: RRP refresher trainer
8. US Environmental Protection Agency — EPA: dust wipe sampling technician trainer
9. Member of Society of American Military Engineers
Permits & Registries:
1. US Department of Agriculture
• Soil permit (shipment authorization from all foreign sources)
2. State of Hawaii asbestos laboratory registration (bulk/air)
3. State of Washington Community Trade & Economic Development (CTED)
MBE Certification
• State of Washington and Oregon
Minority Business Enterprise
NVL is more than just a formally certified minority owned business— underrepresented members of society comprise more
than 50% of the staff, and we at NVL feel that our multiculturalism is one of our strengths. NVL maintains a culturally inclusive
and competent atmosphere which enhances both our internal cooperative environment and our perspective toward providing
customer service. At NVL, we understand that creating a -professional environment dedicated to the achievement of excellence
includes understanding the diversity within our staff, clientele, and community.
NVL Laboratories Statement of Qualification 3 of 15
NVL LABORATORIES, INC. ORGANIZATIONAL CHART
Technical Director Laboratory Director
General Manager
Office Manager
Admin
L-�L•or ltory
Project m2nagenlent
Industrial
Regulated Building
Env,
Hygiene
Material Services
Asbc St05
Metals/org
Microbiology
-
Manager
fH Manager
RBMS
Supen isol Supervisor
Supervisor
IH Supervisor
Acsauntinq Markcl�nS Chem Sltrvices
Seattle MIT
Sea7ac Seattle
Seattle
P.alece
'
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P"J-1 CIH
md"grr
Curnl
MarLs[my
M,CosmlAhl t Cocrdwlal Sef51te5
Spccl]Ini
PU1.'PCM AIwIysl PLM.?CM AiwlystI
PLM/PCM Fi�ali�;l Metals Allalysl
�Jui01d N1Plyi1
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;.,-•■,:.
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PLMIPCMAnalyKt I PLM. PCM Analyst
PLMyPCMAmlh51 Mctals Analyst
1,Wd w„71ysT
kYlulrlrti
Sr'CCI31di
I
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■
PL1.191LIAnal,st PLMPCMAnAlm
PLI.t/PCMAnalssl MalllsAnalysl,
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NVL Laboratories Statement of Qualification 4 of 15
rs�IU."I
-story Accreditation
Programs, LLC
Al HA Laboratory Accreditation Programs, LLC
SCOPE OF ACCREDITATION
NVL Laboratories, Inc. Laboratory ID: LAP-101861
4708 Aurora Ave N, Seattle, WA 98103-6516 Issue Date: 04/30/2021
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.
Industrial Hygiene Laboratory Accreditation Program (IHLAP)
Initial Accreditation Date: 02/07/1997
Technology sub-
Published Reference
Component, parameter
IHLAP Scope Category
Field of Testing (FOT)
type/Detector
MethodirTitle of
or characteristic tested
In-house Method
Asbestos/Fiber
Phase Contrast
-
NIOSH 7400
Asbestos/Fibers
Microscopy Core
Microscopy (PCM)
Miscellaneous Core
Gravimetric
-
NIOSH 0500
Total Dust
Miscellaneous Core
Gravimetric
-
NIOSH 0600
Respirable Dust
Spectrometry Core
Atomic Absorption
FAA
NIOSH 7082
Lead
Spectrometry Core
Inductively -Coupled Plasma
ICP/AES
NIOSH 7300
RCRA Metals
Spectrometry Core
X-ray Diffraction (XRD)
NIOSH 7500
Silica
A complete listing of currently accredited IHLAP laboratories is available on the AIHA-LAP, LLC website at: htfp://
www_ aihaaccre dife dla hs. o ic
Effective: 11 /21 /2019
Revision: 9
Page 1 of 1
am,
-17t --rabery Accreditation
Programs, LLC
AIHA Laboratory Accreditation Programs, LLC
SCOPE OF ACCREDITATION
NVL Laboratories, Inc. Laboratory ID: LAP-101861
4708 Aurora Ave N, Seattle, WA 98103-6516 Issue Date: 04/30/2021
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 (NI -LAP) 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: 04/01/1997
Component, parameter
l or characteristic tested
Technology sub-type/Detector
Method
Method Description
(for intemal methods only)
EPA SW-846 3051A
N/A
Airborne Dust
AA
EPA SW-846 7000B
N/A
EPA SW-846 3051 A
N/A
Paint
AA
EPA SW-846 7000E
N/A
EPA SW-846 3051A
N/A
Settled Dust by Wipe
AA
EPA SW-846 7000E
N/A
A
EPA SW-846 3051 A
NIA 1
Soil
AA
J
EPA SW-846 7000B
N/A
A complete listing of currently accredited ELLAP laboratories is available on the AIHA-LAP, LLC website at: http://
www. arhaa ccredr(edta bsorg
Effective: 11 /21 /2019
Revision: 8
Page 1 of 1
atory Accreditation
Programs, LLC
ANA Laboratory Accreditation Programs, LLC
SCOPE OF ACCREDITATION
NVL Laboratories, Inc.
4708 Aurora Ave N, Seattle, WA 98103-6516
Laboratory ID: LAP-101861
Issue Date: 04/30/2021
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.
Environmental Microbiology Laboratory Accreditation Program (EMLAP)
Initial Accreditation Date: 02/07/1997
EMLAP Scope Category
Field of Testing (FOT)
Component, parameter
or characteristic tested
Method
Method Description
(for internal methods only)
Fungal
Air - Direct Examination
Spore Trap
SOP 12.133
In House: Analysis
of Spore Trap
Fungal
Bulk - Direct Examination
Bulk
SOP 12.133
In House: Analysis
of Spore Trap
Fungal
Surface - Direct Examination
Surface Wipe
SOP 12.133
In House: Analysis
of Spore Trap
A complete listing of currently accredited EMLAP laboratories is available on the AIHA-LAP, LLC website at: ftgP 1
www. afhaaccreditedlabs. v_ra
Effective: 11 /21 /2a 19
Revision: 7
Page 1 of 1
AI HA
_ratory Accreditation
Programs, LLC
AIHA Laboratory Accreditation Programs, LLC
SCOPE OF ACCREDITATION
NVL Laboratories, Inc.
4708 Aurora Ave N, Seattle, WA 98103-6516
Laboratory ID: LAP-101861
Issue Date: 04/30/2021
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.
Unique Scopes Laboratory Accreditation Programs (Unique Scopes)
Initial Accreditation Date: 04/01/2013
Unique Scopes
Component, parameter
Method Description
Scope Category
Field of Testing (FOT)
or characteristic tested
Method
(for internal methods only)
Lead in Paint and Other
Surface paint
CPSC-CH-E1003-09
Similar Surface Coatings
Consumer Product Testing
Total Lead in Metal
Children's Products
Metallic jewelry
CPSC-CH-E1001-08
-
Total Lead in Non -Metal
Non-metallic
CPSC-CH-E1002-08
Children.s Products
A complete listing of currently accredited Unique Scopes laboratories is available on the AIHA-LAP, LLC website at:
htt,o:1/www. aihaaccreditodiabs.or
Effective: 11 /21 /2019
Revision: 2
Page 1 of 1
21905 $4th Ave W, #1001 Mmntlak a Tarr, WA 90M
(206) 285-373
This certifies that
Eustaquio Sanchez
27330 24M Acre SE M" Vwley m qw3a
has 8006004wffpk tied
B hour's of roil W tmir►irg a s
Lead Renovator
in cw0lance wid140 CFR Part 745,225 en4i
WAC 355-230 training roquile ".
lratruptoo David Welch
WA Traisft Pr+avkWr Cart. 9M 5
Cert. #: R-1-9015WA 21-0147
Class & Exam Date- Oct 12, 2021
Expiration Da@
AdvanceOnline Solutions Online Institute
dq(TWIMU - Mi�=
Eustaquio Sanchez
has met the online course completion requirements for
OSHA 10-Hour Construction Safety
This student has completed the formal nistruction for the 10-Hour Construction Outreach Program. Topics
covered in this program were Introduction to'OSHA, Struck -by and Caught -in or Between Hazards, Electrical
Safety, Excavation Safety, Fall Protection, Crane Safety, Ladder Safety, Materials Handling; Permit -Required
Confined Spaces, Personal Protective Equipment, and Scaffold Safety.
As an OSHA Outreach Training Program trainer, I affirm that I have conducted this OSHA Outreach Training
Program training class in accordance with OSHA Outreach Training Program requirements. I will document
rhis class to my OSHA Authorizing Training Organization. Upon successful review of my documentation, I will
provide each student their course completion card within 90 calendar days of the end of the class. — Jason
Cole
Instructor Jason Cole
Course ID A0301
Certificate ID 18081_1939003
Date 12/13/202211:42:00 PM
Time Online 20:44:06
AdvanceOnline Solutions, Inc.
1220 Augusta Dr, Ste 250
Houston, Texas 77057
www.advanceonline.com
(713) 621-1100
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NVL
QUALITY ASSURANCE
Quality analytical data is defined by the following criteria:
1. Accurately reflect the state of the material being analyzed.
2. Consistent data precision.
3. Reproducible test results.
NVUs rigorous quality assurance program ensures that the analytical data we provide is scientifically sound and of
the highest quality. Data accuracy is maximized through administrative, statistical, and investigative techniques,
as well as through preventative and corrective action.
Our technical and laboratory directors have designed very specific QA/QC objectives to ensure precision and
reproducibility of data. These objectives include:
• Requiring that individual analysts meet established performance standards.
• Maintaining strict sample and sample data tracking procedures throughout the processes of sample
preparation, analysis, report generation, communication, and data storage.
• Participating in inter -laboratory testing programs designed to maintain consistent data integrity.
• Familiarizing lab personnel with the QA/QC policies and procedures.
• Performance audits (once a month) of individual laboratory analysts to ensure their duties are
performed within the guidelines of the NVL QA/QC plan.
• Laboratory facilities and equipment are routinely inspected and maintained.
• Data generated by NVL meets all applicable local, state, and federal guidelines.
• Data generation, processing, and documentation procedures are reviewed and revised as necessary.
Insurance
A $2,000,000 general/professional liability and $5,000,000 excess liability insurance covers all services
performed by NVL.
MBE Certified
NVL is a certified Minority Business Enterprise (MBE) under the state programs of: Alaska (#9710001), Oregon
(#1766), and Washington (#D4M5014199).
Please let me if you have any questions concerning our qualifications for the above listed.
Sincerely,
T
Shaista Khan
General Manager, NVL
Shaista.k@nvllabs.com
www.nvllobs.corn
ph: 206.574.0100 I Fax: 206.634.1936
toll Free: 1.688.NVL.LABS 1685.5227)
4708 Aurora Avenue North, Seattle, WA 99103
NVL Laboratories Statement of Qualification 15 of 15
Memorandum
DATE: July 10, 2023
TO: Drew Hicks, Forma Construction
FROM. Mark Hiley
PROJECT: 41519.009
REGARDING: Illahee Middle School — Abatement Completion Notice — Building 500
PBS has completed post -abatement visual inspections and air sampling subsequent to the removal of asbestos -
containing materials (ACMs) from Building 500 at Illahee Middle School located at 36001 1st Avenue South in
Federal Way, Washington.
Nick San, AHERA-certified Asbestos Building Inspector for PBS, completed the inspections and air sampling. All
known ACMs identified in the Hazardous Materials Survey Report prepared by PBS and dated March 29, 2023,
have been removed from the building. Removal was completed by State of Washington -licensed Asbestos
Abatement Contractor, Construction Group International, LLC.
Attachment(s): PBS Inspector Certification
cc: Connie Zheng, Bassetti Architects
Cathy Wesche, FWPS
Marc Bargenda, FWPS
214 E GALER STREET, SUITE 300, SEATTLE, WA 98102 • 206.233.9639 MAIN • 866.727.0140 FAX • PBSUSA.COM
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