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23-104333Demolition 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: FORMER BRIDGES BARN Project Address: 36612 8TH AVE S Permit #:23-104333-00-DE Inspection Request Line: (253) 835-3050 Parcel Number: 292104 9118 Project Description: Demolition, removal and disposal of 1,800 square foot barn and foundation. Owner Applicant Contractor CITY OF FEDERAL WAY MARONI CONSTRUCTION INC MARONI CONSTRUCTION INC 33325 8TH AVE S PO BOX 852 MARONCI94IMC (7/3/24) FEDERAL WAY WA 98003 ENUMCLAW WA 98022 PO BOX 852 ENUMCLAW WA 98022 Additional Permit Information PERMIT EXPIRES Wednesday, 21 February, 2024 Permit issued on Friday, August 25, 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. !I Owner or agent: 4 Date: tl\ 1�k THIS CARD IS TO REMAIN ON -SITE Cln OF Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 23 104333 00 Address: 36612 8TH AVE S Project: CITY OF FEDERAL WAY FEDERAL WAY WA 98003-7402 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) Approved By t Date 1-1 ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date 41k CITY OF Federal Way RECEIVED AUG 24 2023 PERMIT APPLICATION PERMIT CENTER + 33325 8Lh Avenue South + Federal Way, WA 98003-6325 CfTY OF FEDERAL WAY253-835-2607 + FAX 253-835-2609 + permitcente�)cityoffederalway.com MMMUNfTY DEVELOPMENT PERMIT NUMBER a '-i _ / -a �L iZ -a -a _ SITE ADDRESS 36612 8th Ave South, Federal Way_ PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL k $ 16,500.00 Farm 292104 TARGET DATE 08/30/2023 SMTE/UNIT * 9118 4 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL In DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT (The individual to receive and respond to all correspondence concerning this application) PROJECT FINANCING When value is $5,000 or more (RCW I9.27.095) Former Bridges Barn Demolition Demolition, removal and disposal of 1,800 SF barn and foundation. Per attached asbestos inspection report, asbestos abatement is not applicable. Demolition Permit Requirements form is also attached. I Sound Clean Air notified of demolition NAME City of Federal Way, Attn MAILING ADDRESS 33325 8th Ave S CITY Federal Way - NAME Maroni Construction Inc. MAILING ADDRESS PO Box 852 CITY Enumclaw WA STATE CONTRACTOR'S LICENSE 3 MARONC1941 MC NAME Maroni Construction MAM.DIG ADDRESS PO Box 852 crrY Enumclaw NAME Ric Maroni NAMING ADDRESS PO Box 852 CITY Enumclaw NAME City of Federal Way NAMING ADDRESS, CITY, STATE, ZIP 33325 8th Ave S, Federal Way Jarred Larson STATE I ZIP WA 98 STATE ZIP WA 98022 EXPIRATION DA 07/03/20 2 arATE ziP WA 98022 STATE ZIP WA 98022 , WA 98003 >.02303788) attached. PRIMARY PHONE 253-834-2758 E-MAIL jarred.lanson@cityoffederalvuay.com PRONE 206-240-4099 E-MAD. FAX n/a Ulu 8 602-510-626 PRIMARY PHONE 206-240-4099 E-MAD. maroniconstinc@aol.com FAX n/a PRIMARY PHONE 206-240-4099 E-MAM. maroniconstinc@aol.com FAX n/a ❑v OWNER -FINANCED PHONE 253-834-2758 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 apart of tthhiss application. /� SIGNATURE: _ V `-r DATE O$' `-F/23 PRINT NAME: Gina Maroni Page 1 of 2 MECHANICAL PERAUT Indicate haw many o each t e of rxture to be installed or re AIR HANDLING UNITS FANS AIR CONDITIONER FIREPLACE INSERTS BOILERS FURNACES COMPRESSORS GAS LUG SETS DUCTING GAS PIPING PLUMBING PERMIT 1 9SAW of this ProiecL Do not in ndzcate rtow many of each We of ixture to be installed or relocated as BATHTUBS (or7Lb/Shower combo) LAVS (Hand Sinks) _ DISHWASHERS RAINWATER SYSTEMS _ DRAINS SHOWERS _ DRINKING FOUNTAINS SINKS (Kitchen/Utility) _ HOSE BIBBS SUMPS GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR none n/a EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) Barn - 1800 SF 466,867 GAS PIPE OUTLETS HOODS (commercial) HOT WATER TANKS (Gas) REFRIGERATION SYST WOODSTOVES VALUE OF MECHANICAL WORK 910.00 pxlurea to remain. OTHER (Describe) VALUE OF PLUMBING WORK $ 0.00 �f this ProJecL Do not include exist' ortures M remain TOILETS URINALS VACUUM BREAKERS WATER HEATERS (Electric) WASHING MACHINES WATER PIPING OTHER (Describe) TOTAL FIXTURES SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS n/a $$ 0.00 EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes IK No ❑ Yes o No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT _.......__- ... ____... »._. .. _....._........ _...» ...---•..-.�.._._ w ........�.. .. FIRST FLOOR (or Mobile Home) SECOND FLOOR COVERED ENTRY DECK_.......... .._..... __--- _ �-M,,......_. _ _»_ ......_.. GARAGE ❑ CARPORT ❑ OTHER (describe) .._.". Area Totals MMaSMG PROP08&M ''°*AL .... "NEW I rcums ONLY" ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS Page 2 of 2 FeOF deral Way 41k COMMUNITY DEVELOPMENT DEPARTMENT 33325 8`h Avenue South Federal Way, WA 98003 253-835-2607;Fax 253-835-2609 www. Ct�yoffedC rahyay.c0 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: 36612 8th Ave S, Federal Way, WA ❑ 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 PermitAppiication form is also required. 1. ASBESTOS ABATEMENT (Provide copy of Notice oflntentfrom Puget Sound Clean Air Agency and copy of inspe ion 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 NIA A (South King Fire and Rescue) 3. SEPTIC SYSTEM DECOMISSIONING 01A- (King County Environmental Services) 4. SANITARY SEWER R (Lakehaven Water & Sewer District) S. ELECTRICrTYf " 1 (Puget Sound Energy/Tacoma Power) 6. NATURAL GAS (Puget Sound Energy) 7. WATER - Public Source 0w (Lakehaven Water & Sewer District) S. WATER - Private ell A (King County Environmental Services) �] Please Note: Erosion control measures must be in place during the demolition and through completion of the site clean-up. _ Bulletin #122 — April 8, 2021 Page 1 of 1 k:\Handouts\Demolition Permit Requirements Notification Case #: 202303788 Fee Amount Paid: Credit Card Transaction #: Transaction Date: Owner: Project Address: Contact: Mailing Address: $65.00 pi 3NlISo2DGj14r4eQKOjbOcaAX 8/23/2023 City of Federal Way, Attn: jarred Larson 36612 8th Ave South Federal Way, WA 98003 Maroni Construction Inc., Attn: Ric Maroni 40214 306th Ave SE Enumclaw, WA 98022 Phone: (253) 834-2758 Phone: (206) 240-4099 Project Includes DEMOLITION Demolition Duration: 9/5/2023 - 9/30/2023 Demolition Completed By: Demolition Contractor Contractor: Maroni Construction Inc, ContractorJob #: 202305 Contact: Ric Maroni Phone: (206) 240.4099 Mailing Address: 40214 306th Ave SE Enumclaw, WA 98022 By submitting this notification: • 1 certify that the information I have provided is to the best of my knowledge true and accurate. • 1 understand that I must file an amendment to this notification if: D The type of project has changed. The project types are asbestos and demolition. au�,% a The quantity of friable asbestos to be removed meets a larger project category. PUDET SOUND o The project's start or completion date has changed. clean air Agency • 1 understand one notification must be filed for each structure. The only exception is for a 206.689.4058 single-family residence that includes multiple ancillary structures, such as a detached asbestos@pscleanair.gov garage or other outbuildings having the same street address. If there is no street address, I have used a building number. • 1 understand the fees for this notification are non-refundable. MEW, "It's Not What We Do, It's How We Do It" Northwest Abatement Services, Inc. Asbestos Survey Project: Barn Structure 36612 8th Ave South Federal Way, WA 98003 Prepared For: Moroni Construction P.O. Box 852 Enumclaw, WA 98022 Project Number: SR23-4252 TABLE OF CONTENTS SECTION 1 1 Inspection Report SECTION 2 1 laboratory Results SECTION 3 1 Photographs SECTION 4 1 AHERA Certification AHERA Certified Asbestos Survey j inspection Report 08-21-2023 Prepared For: Moroni Construction Project: Asbestos Survey Barn Structure 36612 81h Ave South Federal Way, WA 98003 A. Background On 08-17-2023, Northwest Abatement Services, Inc. performed an asbestos identification inspection which will serve as our report for all visible Asbestos Containing Building Materials located at the address listed above. The purpose of this inspection was to ascertain the presence of asbestos containing materials located in the structure and provide a report to conform to WAC 296-62- 077, PSCAA Regulation III, Section 4 and 40 CFR 763 requirements for identification of asbestos. This survey also satisfies regulatory criteria established by OSHA's Department of Labor and Washington State's Department of Labor and Industries for identifying asbestos containing materials associated with the structure for future abatement and demolition. A copy of this report may he submitted to the appropriate agencies as proof that a survey was performed prior to any renovation or demolition. A copy of this resort should also be given to the contractor and/or he maintained on_site during any abatement and demolition activities. B. Sampling Methodology Suspect materials were sampled by an AHERA (Asbestos Hazard Emergency Response Act) accredited inspector. Sample locations for this survey were chosen in a non-random fashion, with emphasis being placed on obtaining samples of each type of accessible, suspect material, while minimizing damage to the material being sampled. Samples were collected by carefully removing small portions of the suspect material in a non abrasive manner. If possible, samples were collected from existing damaged areas. Friable materials are materials which can he crushed, pulverized, or reduced to powder by hand pressure. These materials were wetted with amended water prior to sampling to protect the inspector from potential exposure or accidental fiber release. PPE (personal protective clothing) will only be utilized at the inspector's discretion. A particular suspect material may be located in various separate places throughout the structure. The EPA does not require that these materials be sampled in each location. Suspect materials of the some type, age, appearance have the some date of installation, and are sampled in accordance with AHERA requirements, must provide statistically reliable data which can be extrapolated on all remaining non sampled areas. AHERA Protocol determines the number of samples of each material to be collected, depending on it's category and amount of material present. The goal of AHERA is to ensure statistically reliable data and it accomplishes this by requiring or suggesting a minimum number of samples to be collected, and in some cases, by using random sampling techniques to determine sampling locations. However, in every case, AHERA relies on the judgment of the inspectors who are experienced in AHERA methodology and the type of facilities being inspected. (see appendix A at end of the report) After identifying the suspect materials, bulk samples were collected and taken to an asbestos laboratory to be analyzed for the amount of asbestos and, the type of asbestos, if any. The asbestos samples were analyzed using Polarized Light Microscopy (PLM), stain dispersion staining techniques in accordance with the EPA Method 600/R-93/166, which has a reliable limit of quantification of one percent asbestos by volume. Northwest Ahalemenl Services, Inc. Inspedion Report 1 1 C. AHERA Certified Inspector Information The Certified AHERA Inspector was Paul Peters. Certification #: BI/R-NES-10-24-22-1, Expiration 10-24-2023 D. Survey Findings There was a total of one suspect asbestos containing building material (bulk samples), removed from the structure listed above, for lab analysis. Based on the field inspection, homogenization of materials, and the results of the lab analysis, zero of the one sample tested Positive for Asbestos: Sample Number Material Asbestos Content Quantity Northwest Abatement Services, Inc. Inspection Report 1 2 E. Building Description The barn structure is located at 36612 8" Ave South, Federal Way, WA 98003 The structure has a concrete floor, wood framing, wood exterior siding and a metal roof. Note: All suspect ACM finishes were sampled and tested orcordiag to AllfR.4 Protoral. (See appendix A) to suspect ACM (asbestos containing materials)_ sampled for analysis are as follows: Sample Number Material location 1 Insulation Electrical Wiring Northwest Abatement Services, Inc. Inspection Report 3 F. Conclusion Laboratory results did not show any asbestos in the samples tested. No abatement is required unless discovery of suspect materials. Prior to any demolition or renovation, allfriableandnon-friable asbestoscontoining materials(A(M)are to be remo ved and disposed of in accordance with applicable federal, State andLora/regulations. /fthere is any asbestos containing materials left on site, that willnot be disturbed during the renovation or demolition process, an Asbestos Operational and Maintenance Program (OR)is to be developed and implemented to monitor the remaining ACM. In the event any suspect materials are detected during the demolition of this structure, you willneedto cease alldemolition activities and hove these materials sampled far Asbestos. The Puget Sound Clean Air Authority requires that oll materials that contain I oa or more Asbestos, that these materials be remo ved by a licensed and Certified Asbestos remo val contractor, prior to any demolition or renovation. The abatement contractor should pro vide the Owner with copies of all required notifirations to PSCAA and the Department of Labor and Industries. A certification letter will need to be obtained from the abatement contractor prior to applying for a demolition permit with PSCAA. PSCAA will also want to see a copy of the asbestos survey. Although extreme thoroughness and expertise were exercised to ensure the completeness of this survey, existing conditions may have prevented the discovery of other suspect asbestos containing material. NW Abatement Services, Inc. is not responsible for materials that may be hidden from sight and cannot be discovered with reasonable diligence. Any suspect material not covered in this survey that is encountered during the renovation or demolition procedure should be verified by analysis prior to disturbance. It should be noted that this survey was conducted only to ascertain the presence of asbestos containing materials. There was no survey conducted by NW Abatement Services, Inc. to determine the presence of lead -based point, PCB material (ballast, et(.), UST's, radon gas or any other hazardous material that may be present onsite. This report has been prepared for the sole use of our client and its representatives for this project only. The analyses, conclusions and recommendations presented in this report are based upon conditions encountered at the time of our survey only. The scope of services performed during this survey may not be appropriate for the needs of others. Re -use of this document or the findings, conclusions or recommendations presented herein, are at the sole risk of said user. NW Abatement Services, Inc. cannot be held responsible for the interpretation by others of the data contained in this report. The conclusions presented in this report were based on the results of sample analysis presented by a subcontracted, third party, analytical laboratory. Northwest Abatement Services, Inc. is not responsible for variations in analytical results or inaccuracies resulting from laboratory analysis. This survey is not intended for use as abatement plans and/or specifications. Northwest Abatement Services, Inc. recommends that professional plans and specifications be prepared for all large-scale projects. No warranty, expressed or implied, is made. If you have any questions regarding this asbestos survey/inspection report, please contact us at (253) 588-0440, or FAX: (253) 588-0198. Respectfully submitted, Paul Peters Certified AHERA Inspector NORTHWEST ABATEMENT SERVICES, INC. Northwest Abatement Services, Inc. Inspection Report 1 4 Appendix A The following AHERA protocol was used in determining the number of suspect samples to collect: Surfacing materials: 1) Homogeneous area equal to or less than 1000 SF (minimum 3 samples). 2) Homogeneous area greater than 1000 SF but less than 5000 SF. (5 samples) 3) Homogeneous area greater than 5000 SF. (7 samples) Thermal Systems Insulation (TSI): 1) Homogeneous area (1 per each type of suspect materials). Miscellaneous materials: 1) Homogeneous area (1 per each type of suspect materials) Suspect Materials are divided into 3 categories: 1) Surfacing materials — ACM sprayed or troweled on surfaces (walls, ceilings, and structural members) for acoustical, decorative, thermal insulation or fireproofing purposes. Examples include plaster, popcorn textured ceilings, skim coat textures, and structural fireproofing. 2) Thermal System Insulation — Insulation used to inhibit heat transfer or prevent condensation on pipes, boilers, tanks, ducts, and various other components of hot and cold water systems, and heating, ventilation, and air conditioning (HVAC) systems. Examples include pipe lagging, pipe wrap; block, Batt, and blanket insulation; cement and "muds" and a variety of other products such as gaskets and ropes. 3) Miscellaneous Materials — Materials not classified under surfacing materials or thermal systems insulation. Examples include: floor tile, ceiling tile, roofing felts, concrete piping, outdoor siding and fabrics, glazing putty, wall board and associated assembly component, various mastics, etc. such as floor the mastics, wall board mastics, ceiling tile mastics etc. Northwest Abatement Services, Inc. Inspection Report 1 5 sanNoi'r Technologies Laboratory The Identii9 icafioo specielists Analysis Report prepared for Northwest Abatement Services, Inc. Report Date: 8/21/2023 Project Name: 36612 8th Ave South Project #: SR23-42S2 SanAir ID#: 2304SS92 MW� i--►1 TESTING NVLAP LAB CODE 200870-0 Page 1 of 5 A -*- A, ir Technologies Laboratory Name: Northwest Abatement Services, Inc. Address: P.O. Box 39220 Lakewood, WA 98496 Phone: 253-588-0440 Dear Paul Peters, SanAir ID Number 23045592 FINAL REPORT 8/21 /2023 10:53:35 AM Project Number: SR23-4252 P.O. Number: SR23-4252 Project Name: 36612 8th Ave South Collected Date: 8/17/2023 Received Date: 8/18/2023 10:45:00 AM We at SanAir would like to thank you for the work you recently submitted. The 1 sample(s) were received on Friday, August 18, 2023 via UPS. The final report(s) is enclosed for the following sample(s): 1. These results only pertain to this job and should not be used in the interpretation of any other job. This report is only complete in its entirety. Refer to the listing below of the pages included in a complete final report. Sincerely, Sandra Sobrino Asbestos & Materials Laboratory Manager SanAir Technologies Laboratory Final Report Includes: - Cover Letter - Analysis Pages - Disclaimers and Additional Information Sample conditions: - 1 samples in Good condition. 10501 Trade Ct., N. Chesterfield, VA 23236 1 804.897.1177 1 Fax: 804.897.0070 1 www.SanAir.com I IAQ@SanAir.com Page 2 of 5 SanA i " r Technologies Laboratory SanAir ID Number 23045592 FINAL REPORT 8/21/2023 10:53:35 AM Name: Northwest Abatement Services, Inc. Project Number: SR23-4252 Address: P.O. Box 39220 P.O. Number: SR23-4252 Lakewood, WA 98496 Project Name: 36612 8th Ave South Phone: 253-588-0440 Collected Date: 8/17/2023 Received Date: 8/18/2023 10:45:00 AM Analyst: Mayes, Jean Asbestos Bulk PLM EPA 600/R-93/116 1 / 23045592-001 Various 40% Cellulose 60% Other None Detected Insulation - Electrical Wiring Fibrous Heterogeneous Analyst: ��<< i, Approved Signatory: Analysis Date: 8/21/2023 Date- 8/21/2023 Page 3 of 5 Disclaimer This report is the sole property of the client named on the SanAir Technologies Laboratory chain - of -custody (COC). Results in the report are confidential information intended only for the use by the customer listed on the COC. Neither results nor reports will be discussed with or released to any third party without our client's written permission. The final report shall not be reproduced except in full without written approval of the laboratory to assure that parts of the report are not taken out of context. This report and any information contained within shall not be edited, altered, or modified in any way by any persons or agencies receiving, viewing, distributing, or otherwise possessing a copy of this final report. The laboratory reserves the right to perform amendments to any finalized report, of which shall supersede and make obsolete any previous editions. Such changes, modifications, additions, or deletions shall be effective immediately upon notice thereof, which may be given by means including but not limited to posting on the SanAir client portal website, electronic or conventional mail, or by any other means. The information provided in this report applies only to the samples submitted and is relevant only for the date, time, and location of sampling. The accuracy of the results is dependent upon the client's sampling procedure and information provided to the laboratory by the client on the COC. SanAir assumes no responsibility for the sampling procedure and will provide evaluation reports based solely on the sample(s) in the condition in which they arrived at the laboratory and information provided by the client on the COC, such as: project number, project name, collection dates, po number, special instructions, samples collected by, sample numbers, sample identifications, sample type, selected analysis type, flow rate, total volume or area, and start stop times that may affect the validity of the results in this report. Samples were received in good condition unless otherwise noted on the report. SanAir assumes no responsibility or liability for the manner in which the results are used or interpreted. This report does not constitute nor shall not be used by the client to claim product, process, system, or person certification, approval, or endorsement by NVLAP, NIST, NELAC, AIHA LAP, LLC or any other U.S. governmental agencies and may not be accredited by every local, state, and federal regulatory agencies. Samples are held for a period of 60 days. Fibers smaller than 5 microns cannot be seen with this method due to scope limitations. For NY state samples, method EPA 600/M4-82-020 is performed. NYELAP Disclaimer: Polarized- light microscopy is not consistently reliable in detecting asbestos in floor covering and similar non -friable organically bound materials. Quantitative transmission electron microscopy is currently the only method that can be used to determine if this material can be considered or treated as non -asbestos containing. Asbestos Accreditations National Voluntary Laboratory Accreditation Program (NVLAP) Lab Code 200870-0 City of Philadelphia Department of Public Health Air Management Services, Certification#ALL-460 Commonwealth of Pennsylvania Department of Environmental Protection Number 68-05397 California State Environmental Laboratory Accreditation Program Certificate Number 2915 Colorado Department of Public Health and Environment Registration Number AL-23143. Connecticut Department of Public Health Environmental Laboratory Registration Number PH-0105 Massachusetts Department of Labor Standards Asbestos Analytical Services License Number: AA000222 State of Maine Department of Environmental Protection License Number: LB-0075, LA-0084 New York State Department of Health Laboratory ID: 11983 State of Rhode Island Department of Health Certification No.: PCM00126, PLM00126, TEM00126 Texas Department of State Health Services License Number: 300440 Commonwealth of Virginia Department of Professional and Occupational Regulation Number: 3333000323 State of Washington Department of Ecology Laboratory ID: C989 State of West Virginia Bureau for Public Health Analytical Laboratory Number: LT000616 Vermont Department of Health License Number: Asb-Co-An-000006 Louisiana Department of Environmental Quality Al Number 212253, Certificate #05088 Revision Date: 4/18/2023 Page 4 of 5 10501 Trade Ct., Suite 100 SanMr ID Number SanUrN. Chesterfield, VA 23236 Asbestos 804.897.1177 / 888.895.1177 Chain of Custody E ' Fax 804.897.0070 Form 140, Rev 7, 10/20/20Z1 Technologies Laboratory sanair.com Cum an, Northwest Abatement Services, Inc. IProject/{: SR23-4252 .ollected b,:Paul Peters Address: 9822 32nd Ave South Proieet Name: 36612 8th Ave South P111111e R: 253-588-0440 City- st, zi, Lakewood, WA 98499 Date Collected 08/17/2023 Fax 4. State ofCollectlon WA AccountP: 1587 PO Numtkr SR23-4252 Ema;i paul@nwabatement.eom Milk Air Cnil ABB PLM EPA 600/R-93/116 ✓ ABA PCM NIOSH 7400 AB56 PLM EPA 600/R-93/1 16 (Qual.) Positive Stop ABA-2 OSHA w/ TWA* Vermiculite ABEPA PLM EPA 400 Point Count ABTEM TEM AHERA E ABB PLM EPA 600/R 93/116 ABB1K PLM EPA 1000 Point Count ABATN TEM NIOSH 7402 ABEPA3 PLM EPA 400 Point Count ABBEN PLM EPA NOB** ABT2 TEM Level rl ABCM Cincinnati Method E] ABBCH TEM Chatfield** Other: Bust ABBT1t1 TEM EPA NOB** ABQ TPEM Qualitative New York FLAP ABWA ABEPA2 NY FLAP 198.1 ABDMV TEM Wipe ASTM D-6480 TEM Microvac ASTM D-5755 1E] E] ** A, aHahlc on 24-hr. to 5-day TAT ABENY Water ABBEY NY FLAP 198.6 PLM NOB Matrix Other NY FLAP 198.4 TEM NOB AME EPA 100.2 I Positive Stop i Turn Around 3 HR (4 HR TEM) ❑ 6 HR (8HR TEM) ❑ 12 HR ❑ — - 1 Day (E - Ijl - Times ❑ 2 Day, ❑ 3 Days ❑ 4 Days ❑ 5 Da,, Special instructions Sample # Sample Identification/Location Volume or Area Sample Date Flow Rate Start — Stop Timex Insulation - Electrical Wiring Throughout ABB Relinquished by Date Time eiv d by Date Time Paul Peters 08/17/2023 2:00 PM 12&S If no technician is provided, then the primary contact for your account will be selected. Unless scheduled, the turnaround time for all samples received after 3 pm EST will be logged in the next business day. Weekend or holiday work most be scheduled ahead of time and is charged at 150% of the 3hr TAT or a minimum charge of $150. A courier charge will be applied for same day and one -day turnaround times for offsite work SanAir covers Ground and Next Day Air shipping. Shipments billed to SanAir with a faster shipping rate will result in additional charges. Page 1 of1 Page 5 of 5 L'1 n —•e avow — swim + 00 _ � r ZE, ' ... =.."I �do- SURVEY PHOTOS 36612 8th Ave South, Federal Way, WA 98003 r• -wv ae Lr - AHERA BUILDING INSPECTOR REFRESHER CERTIFICATE This is to certify that has attended and satisfactorily completed all requirements to maintain accreditation as an AHERA Building Inspector in accordance with the Toxic Substance Control Act Title (Section 206) and 40 CFR 763. Accreditation No. BI/R-NES-10-24-22-1 Course Date: October 24th, 2022 Valid through: October 24th, 2023 NOW Environmental ervices, Inc. 34004 — 91h Avenue South, Suite # 12 Federal Way, Washington 98003 (253) 927-5233