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10-102089 • ' uemolition Community a°�,ee Devederal elopment Permit #: 10-102089-00-DE P.O.Box 9718 Federal way.WA 98 53.971E Inspection Request Line: Ph:(253)838-2807 Fax(253)835-2809 p eq (253)835-3050 Project Name: REDFORD Project Address: 36515 6TH AVE SW Parcel Number: 302104 9095 Project Description: Demolition of residence substantially damaged by fire. Foundation to remain for possible future use or removal at construction of new residence. Owner Applicant Contractor WANDA ANN REDFORD BC INVESTIGATIVE ENGINEERS MCKINLEY HOMES 36515 6TH AVE SW 3605"C"ST NE MCKINHI940B7(1/27/12) FEDERAL WAY WA 98023-7269 AUBURN WA 98002 14815 CHAIN LAKE RD SUITE D MONROE WA 98272 • Demolition Valuation 13000 PERMIT EXPIRES Friday, May 18, 2012 Permit Issued on Wednesday, May 19, 2010 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 0 ;ram Date: OF) 19 JD FINALED 11 /15/10 ��� • THIS CARD IS TO ON-SITE Construction Ins ction Record Federal Way INSPECTION REQ TS: (253)835-3050 ... .. .......... PERMIT#: 10-102089-00-DE Address: 36515 6TH AVE SW Owner: WANDA ANN REDFORD FEDERAL WAY, WA 98023-7269 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. 0 Final-Building(4050) d) Approved By Date if•/5-/6 ❑ Rough ElectricalEl Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date 2� '` RECE4 as0 8' 9 • cm of ju Federal Way PERMIT SFV ME PL ®EN FP MAY1 9 COM DEVELOPMENT SERVICES APPLICATA T 2010 - 253-835.2607•FAX 253-835-2609 wwuzcOWXledera(w'axbcorn OF FE DERAL WA SITE ADDRESS CAS SUITE/UNIT# 365i5 (dTM AV S ) PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 1'3.000 Q515 d 0• a 0 4- - 9 0 TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL X DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT � (Tenant Name/Homeowner Last Name) •Rer,r t :j, f 1 ll.e PROJECT DESCRIPTION ctiei RAM CEO S LNGL .1014 w fs(UCt3 '- Q BE. per4ou wet). Detailed description of work to 041001014 70 PAWN r!L INS CtIirJ tOMIMI TC.). if primes tom offy be included on this permit only A6,'too, i�y���vw w ww.et `Nto ,� ,loin c Her M)�o r4,2Wt�.� 4 Jet list MrTlci►Nl�ilt O //W*L Wit& ec Ml► t ✓ Paxti� oi• 4/NAME PRIMARY PHONE PROPERTY OWNER ./fts 'tC 3 AiA> op� 253 9 Z 'I- 9 04 q MAILING ADDRESS_ E-MAIL •(( 15 In"" !Vic, A IA) DAw►iO4,04cs(J 4t-sST#,NE.T C STATE ZIP . - L k/dy veil 99)n2 NAME Mr.I6j.t�l�.y un ' PHONE 903. i 9'2.'1 G ADD E-MAIL V CONTRACTOR 4gi c I'Il1N Ir. STD s.'f'kidemCI..A1mpINOr11GsINGCCf, FAX M(?►a211F- tAls, zD- 0Z., Z Jb0 c363 Ain WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERALWAY/i,7i5o S # GiCi1. LICENSE Mik IR4c)R�- Ol i'2-1- /i7- r r PHO Css•�ikiFOR ) 153 C333 APPLICANT MAILING ADD F /� 06 sT ki fn iN �� � t CITY A auizlu s*l�IR Z9 e00� FAX t33"43OCi PROJECT CONTACT NAME PHONE (The Individual to receive and `l�S "f .1r7--)2) 26 $33 U-a� - - respond to all correspondence MAILING�` ADDRESS,..1 , /' E-MAIL a� concerning this application) `�v l CST 1V ` {�1 1R1 146I.1 eT vRUew , Z '6OOZ 2ve FAX SS i33 -3309 ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING /� f- Required value of$5,000 or more N /-� I N^lu P /L,= El OWNER-FINANCED (RCW 19.27.0951 MAILING ADDRESS.CITY.STATE,ZIP 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 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 Wag 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: 5,/''..------- �[` DATE ff-f 0 PRINT NAME: l'3+s- 0 Miraf2+t /4 /04'C--- Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Petmit Application MAY-17-2010 14:20 From:ELECTRIC ST REP 2533956806 To 3 833 7309 P.3/3 •May. 12. 2010 11 :35AM i E Wo. 0493 P. 2 '(0 515 (0) A\J W""ARDAStfr 01P(.'oMMiaacyDBYSLOeaddnfisliVnClls 33315 e Avenne South PO Boa 9713 CITY OF �7 Federal Way WA 93063-971g Federal Way 2S3.833--2607;Fox133435-2609 unvounprtgfedeol DEMOLITION PERMIT REQUIREMENTS • A dcmolidoe 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.Aa environmental review and submittal of en environmental checklist may be required,which will extend the time period before a demolition permit can . be issued. 0 Prior to Submitting a demolition permit,the following Items(as applicable)moat be signed by the respective agency(see attached Demolition Permit Contact List). Nornw,ur■sre,utrr Ulirities sLrall be diaomteetedaid s rrieesper,formed,foppli able,prior to iuronae of the demolition permit.An a pricatfk kerns below.onto be aggagggjailry the respective edam,tepretamint(►es. 1.ASBESTOS ABATEMENT 6.E (epy of approval form and asbestos survey ham Pupet 5euad Clean Air ( to be ngenAr prodded) Sours 1'nerot) (city or Federal Way building olnda1) 2.GAS SUPPLY 7.FUEI.STORAGE TANKS (oar to be liar oO.meter removed and mN bill paid) (Above or grade fuel tanks.have been pumped or remove d r�t/�1 under Fire Department pent prior to any dismantle/excavation) (Puget Sound t nerey) Ki/4 (South King r,and Rescue) 3.SEPTIC SYSTEM 8.WATER-Public Seurat (Check 401311 able box) (rank to be removed er tank to be drained and teed) a Meter to be rernovee and and Wiry bill paid `'/,� 0 Meter tC:ti Iv Pang Comb/!dronretI Services) (WibBs Su0Pge1 *sass OR sssssec 4.SANITARY SEWER(Check applicable box) 9.WATER-Private Wall(Check applicable box) a Sewer the capped at ptopeKY Inn a Mae wee Nod and upped a edging sewer tie to remain and be used by proposed new structure a Mete e well to be wed for other purposes (waver tally taste) (moo caMr lFwlronmentat Services) 5.GARBAGE (N 1V, (WIMP disposed off and enst bAI paid) (Waste Management/Other Company) Cl Completed Construction Permit Application form o Provide the following fees; 1.Demolition Permit Fee Based aft vahradoa.See!able pg 4 of the construction petrel!application. 2.Autoanadon Fee $6.00 3.WA State Surcharge $4.Se lei.e122-Sep..y 24 2010 NO Vail Itaimidoida1Donalitian tarok Requilw>cmi May. 12. 2010012:25P4A LB n-v Svcs No. 05984 P. 12 DrAtanitsr or CoatatotirrYDIvaL0041taSlavicis ,....... Alk 3332S it'Ago South Pobox9719 MY 00 I pederat Way WA 91063-971a Federal Way 253.195 2607t pix 253435-2609 W�i'�°� ° l DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove any structure or structures on a subject property.Check with the Clty's planning Division to see if the proposal eX4eeds thresholds that trigger an environmental review.An environmental review and submittal of an environmental chccldist mg be required.which will extend the time period before.a demolition permit can • be issued. El Prior to submitting a demolition permit,the following items(as applicable)must be signed by the respective agency(see attached Demolltton Permit Contact List). Nora To APPLICANT: Wiggles shall be disconnected and sertdees performed if applicable.prior to issuance of the demolition permit.All applicable items below are to be lintidathkIldtiki the respective agency representatives. 1.ASBESTOS ABATEMENT 6.ELECTRICITY (Copy of approval form and asbestos survey from Puget Sound dean Air (Electricity to be shut bit and meter removed) AgeaY provided) GC A,-I-P � El He ct S odfId of }T tW�3tyF y g dal) Energy) 2.GAS SUPPLY 7.FUEL STORAGE TANKS (Gas to be drat off,meter removed and Anal bill paid) (Abr ove have been p or umped KV Department permit prior to any distnantl%Xcavon) (Puget Sound MR (South King we and Rescue) 3.SEPTIC SYSTEM 8.WATER-Public Source (Check applicable box) (Tank to be ternoved or tank to be drained and Riled) a Meter to be(emoted and Anal utility bill paid tire , and e a 50,4o 'Winn county Environmental Services) ss***a OR sea*wr 4.SANITARY SEWER (Check applicable box) 9.WATER-Private Well(check applicable box) o sewer fine capped at property line a Private well lEed and tapped o easlinp or line to remain and be used by proposed new structure 0 Private well to be used for other purposes 1A1 (King County t ronmental Services) (Lakehaven l>hlih/District) S.GARBAGE (Al kousehold garbage disposed al and Anal US paid) NIA- (Waste Management/Other Company) ©Completed Constr action Permit Application form ❑Provide the following fees; 1.Demolition Permit Fee Based on valuation.See table on pg 4 of the construction pooh applicntion. 2.Automation Fee $6.00 3.WA State Surcharge $4.50 Pao I of r laineleutADenwlWm Pe n it RC4ukeP '1 Hulklb ti]12-Isaoary26.20]0 B pscleanair.org Puget Sound Cle.rn Aer Agency View Account History Create Amendment 201001301-2 Single-Family Notification Details for Case #: 201001301-1 Fee Amount $75.00 Transaction Date 05/17/10 Owner's Name Wanda&Dawna Redford Phone (253) 927-9049 Project Street Address 36515 6th Ave SW • City Federal Way Zip 98023 Contact Person Dawna Redford Phone (253) 927-9049 Mailing Address This project includes a demolition. Demolition Start Date 05/27/10 Completion Date 08/27/10 Demolition will be completed by a demolition contractor Demo Contractor McKinley Homes Contractor Job # Contact Stan Hutchinson Phone (425) 903-1929 Mailing Address 14815 Chain Lake Rd,Ste D Monroe,WA 98272 Note: Notifications cannot be amended after the completion date. SEATTLE ASBESTOS TEST, LLC NVLAP ACCREDITATION LAB CODE:200788-0 19711 Scriber Lake Road,Suite D,Lynnwood,WA 98036 AHERA Inspector Number Phone:(425)673-9850,Fax:(425)673-9810 106318 www.seattieasbestostest.com!steve@seattteasbestostest.com • ASBESTOS SURVEY REPORT Property Location: 36515 6th Ave SW, Federal Way, WA 98073 Prepared for: Mr. Pat Keenan MHI Restoration 14815 Chain Lake Rd #D Monroe, WA 98272 Prepared by: Steve (Fanyao) Zhang AHERA Cert. 106318; expiration date: 03/2011 Seattle Asbestos Test, LLC 19711 Scriber Lake Road, Suite D Lynnwood, WA 98036 Inspection Date: 5/7/2010 Report Date: 5/11/2010 Note:Summary information for asbestos at named property can be found in"Conclusions"section of the report,in the floor plans,or in table 3,Nature and Distribution of Asbestos.A"Point Count Supplement",if attached,may change the original asbestos percentage. • SEATTLE ASBESTOS TEST, LLC NVLAP ACCREDITATION LAB CODE:200768-0 19711 Scriber Lake Road,Suite D,Lynnwood,WA 98036 AHERA Inspector Number Phone:(425)673-9851),Fax:(425)673-9810 106318 www.seattleasbestostest.com/steve@aseattleasbestostest.com Property Location 36515 6th Ave SW,Federal Way,WA 98073 Purpose/Scope of Survey • This survey is intended to investigate, sample and test ACM in accordance with 40 CFR 763.86, the EPA regulations for Asbestos Hazard Emergency Response Act (AHERA). The client named will use this report to meet their regulatory requirements in their project. Methodology/Findings Inspection, sampling and assessment procedures were performed in general accordance with the AHERA guidelines published by the U.S. EPA in 40 CFR Part 763 subpart E, October 30, 1987. The survey include three integrated tasks: visual inspection, sampling and quantification. Special attention should be paid to the following: material classification, recognizing of homogeneous areas, differentiation between friable and nonfriable asbestos, and interpretation of testing results. Material classification There are three main kinds of material according to EPA sampling guidelines. They are Surfacing Material, Thermal system Insulation, and Miscellaneous material. The classification bears implications for number of samples to be taken. For Surfacing material, there's the 3-5-7 rule, meaning 3 samples from less than 1,000 square feet area, 5 samples from 1,000 to 5,000 square feet area, and 7 samples from greater than 5,000 square feet area. For Thermal system material, with some exceptions, 3 samples should be taken for each homogeneous area. For Miscellaneous material, at least one sample should be taken from each homogeneous material. Table 1 shows the types of material recognized during the survey, and the following is a tabulated summary of the material types: Total Miscellaneous Material-----_ ____ __ - > 20 Page 1 of 6 SEATTLE ASBESTOS TEST, .LLC NVLAP ACCREDITATION LAB CODE:200768-0 1971E Scriber Lake Road,Suite I),Lynnwood,WA 98036 AHERA Inspector Number Phone:(425)673-9850,Fax:(425)673-9810 106318 www.seattleasbestostest.com/steve@seattieasbestostestcom Property Location 36515 6th Ave SW,Federal Way,WA 88073 Total Thermal System Insulations(TSI)-------- ----- > 0 Total Surfacing Material---------- --- -------- -----_— > 0 Homogeneous Areas Homogeneous material means an area of surfacing material, thermal system insulation material or miscellaneous material that is uniform in color and texture. it should be pointed out that materials appear to be homogeneous and adjacent to each other may in fact have different contents in terms of asbestos, and only laboratory testing will decide whether they are really the same homogeneous area. Table 2 shows the identified homogeneous areas for this survey. Total homogeneous areas ------------------ ------ > 18 For each homogeneous area, its representative location and sample number are given in the table. Friable vs. Non friable A material that contains asbestos is friable if the material, when dry, may be crumbled, pulverized, or reduced to powder by hand pressure, and includes previously non-friable material after such previous nonfriable material becomes damaged to the extent that it meets the criteria as a friable material. The term friable during an AHERA asbestos survey applies only to ACM, and table 3 shows friable ACMs and nonfriable ACMs during this survey. Total ACM found on the property - > 0 Laboratory Testing Results Page 2 of 6 SEATTLE ASBESTOS TEST, LLC NVLAP ACCREDITATION LAB CODE:200768-0 19711 Scriber Lake Road,Suite D,Lynnwood,WA 98036 _..__...__.._..._..._._._ AHERA Inspector Number Phone:(425)673-9850,Fax:(425)673-9810 106318 www.seattleasbestostest.com/steve@seattleasbestostesst.com Property Location 36515 6th Ave SW,Federal Way,WA 98073 Analytical testing is done in house in Seattle Asbestos Test, which is . a NVLAP Accredited lab and participates in PAT rounds administered by NVLAP. Seattle Asbestos Test has over 20 years of analytical testing experience among its key analysts, and it conducts extensive inter- and intra- laboratory QA/QG testing. The method of testing employed are polarized light microscopy, or PLM. For QC purposes, one in every ten samples are analyzed as duplicate and check samples are randomly cross-analyzed by different analysts Table 4 is the test results for the samples taken during the survey. For each sample, it is sub-divided into layers if the sample is separable, and each layer is then prepared into slides and analyzed separately. Each layer is also described to show its color, and nature, so that it provides a check to the homogeneous area classification done on site. Different from the lab report format, which is listed in the appendices, Table 4 also shows the location of each sample, and the material as seen by the inspector on-site. This kind cross-reference enhances degree of certainty to the final report. The following is a tabulated summary Total number of samples . - > 13 Total number of layers -> 20 Conclusions The property has been burnt down, and no ACM was found during the inspection. Page 3 of 6 SEATTLE ASBESTOS TEST, LLC NVLAP ACCREDITATION LAB CODE:200768-0 19711 Scriber Lake Road,Suite D,Lynnwood,WA 98036 AHERA Inspector Number Phone:(425)673-9850,Fax:(425)673-9810 106318 www.seattleasbestostest.com 1 steve@seattleasbestostest.com Property Location 36515 6th Ave SW,Federal Way,WA 98073 The roof is metal plus wood with some underlying composition shingle (sample 13). The exterior walls are mainly wood with concrete foundations (sample 11). The flooring are mostly wood with sheet vinyl at places (samples 4,6). The walls are mostly wood with minor component of gypsum boards (samples 3,5). Insulations in for the house is fiberglass (sample 12). Limitations Major limitations of this survey are: (1) it's impossible to sample every inch of building material by the method called, (2) sample appears the same, i.e., homogeneous may in fact be different in terms of asbestos containing, (3) concealed or difficult-to-access materials, such as underground constructions, areas under vast carpeted spaces where it is difficult to reveal everything under the carpet, materials inside walls, or under plywood if destructive sampling is not possible, building foundations, floor substrates, live electric wires, crawl spaces, areas where the inspector has no access, and debris pile from burning can not be adequately sampled, (4) random sampling scheme called by the method may skip areas that contains asbestos, and (5) measurements of area, length and size are all estimated, and should not be relied on for bidding purposes. As such, materials that are not addressed in this survey should be assumed ACM and should be treated as such unless additional samples were taken and tested otherwise. Any effort for additional survey that may take place after the release of this report should be in the form of an addenda. Page 4 of 6 • SEATTLE ASBESTOS TEST, LLC NVLAP ACCREDITATION LAB CODE:200768-0 19711 Scriber Lake Road,Suite D,Lynnwood,WA 98036 AHERA Inspector Number Phone:(425)673-9850,Fax:(425)673-9810 106318 www.seattleasbestostest.com f steve!@seattleasbestostest.com Property Location 36515 6th Ave SW,Federal Way,WA 98073 • This report is for the exclusive use of Client named and their representatives. The inspection and the report follow the general guidance recommended by AHERA, and no any other warranty, express or implied, is made. Any unauthorized use or use of this report beyond its scope are strictly prohibited, and Seattle Asbestos Test, LLC and its inspectors resume no liability. Respectfully Submitted, Steve (Fanyao) Zhang 717 Page 5 of 6 SEATTLE ASBESTOS TEST, LLC NVLAP ACCREDITATION LAB CODE:200768-0 19711 Scriber Lake Road,Suite D,Lynnwood,WA 98036 AHERA Inspector Number Phone:(425)673-9850,Fax:(425)673-9810 106318 www.seattleasbestostest.com/steve@seattleasbestostest.com Property Location 36515 6th Ave SW,Federal Way,WA 98073 Appendices Table 1: Types of Material Table 2: Homogeneous Areas Table 3: Nature and Distribution of Asbestos Table 4: Analytical Testing Results Floor Plans Laboratory Analytical Report & Chain of Custody * Table 3 not attached because no ACM was found Page 6 of 6 SEATTLE ASBESTOS TEST, LLC NVLAP LAB CODE:200768-0 19711 Scriber Lake Road,Suite D,Lynnwood,WA 98036 AHERA Inspector Number:106318 Phone:(425)673-9850,Fax:(425)673-9810 www.seattleasbestostest.com./steve@seattleasbestastest.com Property Location 36515 6th Ave SW,Federal Way,WA 98073 Table 1: Types of Material- 20 Total Material Type • SAMPLE MATERIAL NUR LAYER TYPE DESCRIPTION LOCATION 1 1 M-01 Brown fibrous material room one 2 1 M-02 Yellow/white fibrous material bath 3 1 M-03 White powdery material bath 3 2 M-04 White hard/brittle material bath 3 3 M-05 White powdery material with paper bath 4 1 M-06 Beige vinyl room two 4 2 M-07 Brown fibrous material room two 5 1 M-48 Tan powdery material with paint room five 5 2 M-09 White chalky material with paper room five 6 1 M-10 Beige vinyl kitchen 6 2 M-11 Green fibrous material kitchen 7 1 M-12 White/gray brittle material living room 7 2 M-13 White chalky material with paper living room 8 1 M-14 White chalky material with sand open room 9 1 M-15 Gray brittle material with paint open room 10 1 M-16 White powdery material with paint room seven 10 2 M-17 White chalky material with paper room seven 11 1 M-18 Gray sandy/brittle material exterior 12 1 M-19 Gray fibrous material open room 13 1 M-20 Black asphattic material with sand exterior SEATTLE ASBESTOS TEST, I,LC NVLAP LAB CODE:200768-0 19711 Scriber Lake Road,Suite D,Lynnwood,WA 98036 .—._ AHERA Inspector Number 106318 Phone:(425)673-9850,Fax:(425)673-9810 Property Location www.seattkeasbestostest.com/steve@seattieasbestostest.com 36515 6th Ave SW,Federal Way,WA 98073 Table 2: Homogeneous Areas 18 Total Homogeneous Areas SNAKE LAYER HOMOGENEOUS AREAS SAMPLE LOCATIONS NUMBER 4 1 Beige vinyl room two 6 1 Beige vinyl kitchen 13 1 Black asphaltic material with sand exterior 1 1 Brown fibrous material room one 4 2 Brown fibrous material room two 9 1 Gray brittle material with paint open room 12 1 Gray fibrous material open room 11 1 Gray sandy/brittle material exterior 6 2 Green fibrous material kitchen 5 1 Tan powdery material with paint room five 5,7,10 2 White chalky material with paper various 8 1 White chalky material with sand open room 3 2 White hard/brittle material bath 3 1 White powdery material bath 10 1 White powdery material with paint room seven 3 3 White powdery material with paper bath 7 1 White/gray brittle material living room 2 1 YellowMfiite fibrous material bath SEATTLE ASBESTOS TEST, LLC NVLAP LAB CODE:200768-0 19711 Scriber Lake Road,Suite D.Lynnwood,WA 98036 AHERA Inspector Number:106318 Phone:(425)673-9850,Fax:(425)673-9810 Property Location www.seattleasbestostest.com/steve@seattleasbestostest.com 36515 6th Ave SW,Federal Way,WA 98073 Table 4: Analytical Testing Results 20 Total Layers SAME th1ATEWAL ASBESTOS NONUSERLAYER DESCRIPTION SAMPLE LOCATION TYPE % TYPE1 1 Brown fibrous material M-01 roan one N/A N/A 2 1 Yellow/white fibrous material M-02 bath N/A N/A 3 1 White powdery material M-03 bath N/A N/A 3 2 White had/brittle material M-04 bath N/A N/A 3 3 White powdery material with paper M-05 bath N/A N/A 4 1 Beige vinyl Ma room two N/A N/A 4 2 Brown fibrous material M-07 room two N/A N/A 5 1 Tan powdery material with paint M-08 room five N/A N/A 5 2 White chalky material with paper M-09 room five N/A N/A 6 1 Beige vinyl M-10 kitchen N/A N/A 6 2 Green fibrous material M-11 kitchen N/A N/A 7 1 White/gray brittle material M-12 living room N/A N/A 7 2 White chalky material with paper M-13 living room N/A N/A 8 1 White chalky material with sand M•14 open room N/A N/A 9 1 Gray brittle material with paint M-15 open room N/A N/A 10 1 White powdery material with pant M-16 room seven N/A N/A 10 2 White chalky material with paper M-17 room seven N/A N/A 11 1 Gray sandyhxittle material M-18 exterior N/A N/A 12 1 Gray fibrous material M-19 open room N/A N/A 13 1 Black asphaltic material with sand M-20 exterior N/A N/A • SEATTLE ASBESTOS TEST, LLC NVLAP ACCREDITATION LAB CODE:200768-0 19711 Scriber Lake Road,Suite U,Lynnwood,WA 98036 AHERA Inspector Number. 106318 Phone:(425)673-9850,Fax.;(425)673-9810 Property Location www.seattleasbestostest.com 1 steve@seattleasbestostest.com 36515 6th Ave SW,Federal Way,WA 98073 FLOOR PLAN AND SAMPLING SCHEME Property Location:36515 6th Ave SW, Federal Way, WA 98073 Batch Number:201059154 Job Number:N/A Date analyzed: 5/10/2010 Samples Taken:13 Room Room Three 4 Two 5 Bath Living 7 2 3 Room Room Room Four One Kitchen 6 1 treet UPPER LEVEL Room Room Five Six 12 Bath Two Open Room Room Storage Seven 8 9 L 10 LOWER LEVEL 11 13 Note:(1)Positive samples in bold face and underlined,(2)Map not exact,not in scale Page 1 of 1 SEATTLE ASBESTOS TEST, LLC NVLAP Accredited-Bellevue:200876;Lyrriwood2200768 • Lynnwood Laboratory:19711 Scriber Lake Rd,Suite D.Lynnwood,WA 98036;1 Tel:425.673.9450,Fax:425.673.9810 ' Bellevue Laboratory:12727 Northup Way,Suite 24.Bellevue,WA 98005;Tel:425.861.1111,Fax 425.861.1118 Website:http:t/vrww,seaftlrast tostes.t.com, E-mail:admin(seattleffihestostest.eom ANALYTICAL LABORATORY REPORT PLM by Method EPA/600/R-931116 Attn.:Mr. Pat Keenan Client Job#:N/A Client MHI Laboratory Batch#:201059154 Date Received:5/10/2010 Samples Received:13 Tel:425.760.8899 Date Analyzed:5/10/2010 Samples Analyzed:13 Project 36515 6th Ave SW, Federal Way,WA 98073 Lab ID Client Sample Layer Description % Asbestos s� Components on-Fibrous '%rNon-asbestos 1 1 1 BFibers mart�rnrrl�fibrous n+�sected Filler, Fine particles 86 Cellulose Yellow/white fibrous None 2 2 1 material detected Filler 89 Glass fibers 3 3 1 White materialpowdery deed None Binder/filler 5 Cellulose 2 White hard/brittle None Filler, Binder 12 Cellulose material detected 3 White powdery - None Binder/fillet 32 Cellulose material with paper detected , ne 4 4 1 Beige vinyl d° Vinyl/binder 2 Cellulose 2 etected Brown fibrous None Binder/filler 67 cellulose mated detected 5 5 1 Tan powdery Nona Binder/filler, Paint 5 'Cellulose material with paint detected .._. White chalky None Binder/filler 2 25 Cellulose material with paper detected Gypsum/binder _ 6 6 1 Beige vinyl None Vrnyl/binder 2 Cellulose detected Green fibrous _ None 2 material detected Binder/filler 59 Cellulose 7 7 1 White/gray brittle None Filler 3 Cellulose material detected — 2 White chalky None Binder/filler 27 Cellulose material with paper detected G t'sum/binder 8 8 1 White chalky None Gypsum/binder, Sands 11 Glass fibers material with sand detected 9 9 1 Gray brittle material None Filler, Binder, Paint 78 Glass fibers with paint detected 10 10 1 White powdery None Binder/filler,Paint 5 Cellulose material with paint detected 2 White chalky None Binder/filler 28 Cellulose material with paper detected �Gypsum/binder_ 11 11 1 Gray sandy/brittle None Sands, Filler 3 Cellulose material _._._...._..____ detected — 12 12 1 Gray fibrous material doette�d Filler, Glass beads 83 Glass fibers Black asphaltic done 13 13 1 Asphalt/binder, Sand 27 Cellulose i material with sand detected Analyzed by: Amanda Opfer/Weilong Tai Report reviewed'by: Steve(Fanyao)Zhang, President SEATTLE ASBESTOS TEST,LLC NtLAPAp enitad,200TS8'0 19711 Scriber Lake Road,Suite 0,Lynnwood,WA 98036 Tel:(425)673-9850 Fax:(425)673-9810 www.seanleasbestostest.corn Lab Batch#:201059154 Accredited,Experienced,Insured,and Well Managed! CHAIN OF CUSTODY ANALYSIS:BULK ASBESTOS TEST,POINT COUNT(400)...........,POINT COUNT(1000)__-..-.,POW COUNT(Oravknetric)........_,Other Client:Mr.Pat Keenan Address:MHI Restoration 14815 Chain Lake Rd#D Phone: Fax: Email: Project Loc.:36515 6th Ave SW,Federal Way,WA 911073 Job#:N/A Number of Samples:13 Sample Condition:Good.___._._Ugh Severe Damage(Spillage)..___...__._.._ SE00 CLIENT SAMPLE# SAMPLE DESCRIPTION LAB ID AIR i t _ 2 2 ......_....__ _ 3 3 4 4 5 7 7 13 - ��1111111�� 14 H 15 111E18 19 20 21 22 23 24 25 Print Name Signarture Conmatrry Name Oats Titae Sate teve(Reveal Mang _ Seattle Asbestos Test,LLC j..p fr Relinqulehtldsteve(Fanyao)Zhang Seattle Asbestos Test,LLC DellveredSteve(Fanyao)"Jiang a Seattle Asbestos Test LLC RlcelvetfSteve(Fanyao)Zbang Seattle Asbestos Test.ITC 5/10/2010 Artaly edWeilang tai Seattle Asbestos Test,LLC 5/10/20,10 Steve(Fanyao)Mang Seattle Asbestos Test,htfi —._— Tli 41 0 Result reporting method: Phone_ Fax ,Email ., Pick-up report Seattle Asbestos Test warrants the test results to be of a precision normal for the type and methodology employed for each sample submitted and disclaims any other warrants,expressed or implied,including warranty of fatness for a particular purpose and warranty of merchantability.Seattle Asbestos Test accepts no legal responsibility for the purpose for which the client uses the test results. By signing on this form the clients agree to relieve Seattle Asbestos Test of any liability that may arise from the test results. Invoices paid late may be charged of interest,and invoices go to collection may be charged 17%to 25%of collection fee. Checks with NSF will he charged$50.