22-105007City of Federal Way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BELMOR MHP SPACE 142
Project Address: 2101 S 324TH ST
Project Description: Onsite demolition of manufactured home
Demolition
Permit #:22-105007-00-DE
Inspection Request Line: (253) 835-3050
Parcel Number: 162104 9037
Owner
Applicant
Contractor
BELMOR MOBILE HOME PARK LP
BRE ICEAMERICAN ABATEMENT &
AMERICAN ABATEMENT & DEMO
2101 S 324TH ST
DEMO
AMERIAD833CF (2/7/23)
FEDERAL WAY WA 98003
2 AUBURN WAY
2 AUBURN WAY
AUBURN WA 98002
AUBURN WA 98002
Additional %er01 orr�iation
PERMIfFIRES Sunday, 30 April, 202
Permit d on Tuesday, November 1, 202
I hereby certify that the above o1hation is correct and that the constructio a above described property
and the occupancy and the a will be in accordance with the laws, les4anregulations of the State of
1P'tLF,
City ofFeder.
Owner or agentDate:
THIS CARD IS TO REMAIN ON -SITE
CITY OF
Federal Way
7■
Construction Inspection Record
INSPECTION REQUE-STS: 835-3050
(253)
PERMIT #:
22 105007 00 Address: 2101 S 324TH ST Space 142
Project:
BELMOR MOBILE HOME PARK LP FEDERAL WAY WA 98003
Scheduled inspections maybe 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.
❑
SWM Precon Site Mtg (4400)
®
Site Assessment (Erosion) (4365)
Interim Erosion Control (4370)
Approved
To be done PRIOR to breaking ground
Approved
By
Date
By
Date
By
Date
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
;y Date
By
Date
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVE®
'k 11T 21 111, PERMIT APPLICATION
CITY OF C" OF FEDERAL WAY
Fed�vOOMMUN1iY pEy�O�,M PERMI I CENTER + 33325 81^ Avcnuc South + f cdcral Way, WA 98003-6325
11 253-835.2607 + FAX 253-835-2609 + permllcenieriicilvoffcrlcralway.com
PERMIT NUMBER J ��'-�
i1� n_ !! � J� .� TARGET DATE
r i � } 9i11771262I
SITE ADDRESS SUITE/UNIT e
2101 S S 241h $I 142
I
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL e
I11.000.00 9037 1 6 2 1 0 n �_ i•_
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECIIANICAL W DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
13ehilorA9obile1-IomcPark 9142
PROJECT DESCRIPTION Onsitc Jemolllion of manufactured home
Detailed desoiprion of work to
be included on this permit only
NAME PRIMARY PHONE
Slam Snnhi.rq I P 251.333 !!17
PROPERTY OWNER MAILING ADDRESS EMAIL
2101 S 3111h SI nuboloruPhp-ml corn
CITY STATE 21P
Frdrral N'a1 WA 9W10!
NAME PHONE
,lmrnan Abnrmrm and nano 253 9!9.11710
MAILING ADDRESS E-MAIL
2 Aub„m 1YarN Sir 101 Off rre,ad— tom
CONTRACTOR
CITY 1 STATE 21P FAX
Auburn 1�,1 98002 2;1 929 5615
WA STATE CONTRACTOR'S LICENSE a EXPIRATION DATE UBI I
AOIF.SIAIH111CF 02 07 10!! A0107i •111:
NAME PRIMARY PHONE
Arc IcelAmrruan Abairmrui.ind Drelo 151 929 $710
APPLICANT MAILINGADDRESS EMAIL
2 Auburn II'a1 Y Sir 101 u16"P. .—cum
CITY STATE ZIP FAX
Auburn IVA 9300! 253•929 561;
I
NAME PRIMARY PHONE
Srr la 25.1 9!9.9730
PROJECT CONTACT
(Me individual to receive and MAILING ADDRESS EMAIL
7 Aubuni Way N Sir 101 9flicrFuJ-- tom
respond to all correspondence
mnceming this application] CITY STATE ZIP FAX
Aahurn IVA 9800: 2s1.91v•I61S
NAME
PROJECT FINANCING Nim.N4tl1-1IP OWNER -FINANCED
When value is S5, 000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE
(RC.IV 19.27.095) 2101 511411i SI I rJrral %V-y. %VA 91100! 253.838•I517
I cert(ly 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 remoue the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
]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 offlcers and employees, upon the accuracy of the
Information supplied to the cft as a part of t fs application-
SIGNATURE- DATE
(((
PRINT NAME a
Bulletin a100—I-ebruary 19.2020 page 1 of2 01IandnulslNcrnlitApplication
44k
CITY OF
Federal Way
C01I%IIINITY DEVE LUPIIEX'I' DE PAItT11E.NT
33325 801 Avcnuc Soulh
federal Way. WA 98003
253.835-2607. Fax 253-835-2609
ti.uu•i: fFcdcraIwn,.com
DEMOLITION PERMIT REQUIREMENTS
A demolition permit is required to remove any structure on a subject property. Demolition of separate
structures may require separate pennits.
O Address of Demolition: 2101 S 324th St Unit #142 Federal Way, WA 98003
O 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.
0 A completedConstruct/on PermltAppllcat/on form is also required.
1. ASBESTOS ABATEMENT
(Provide copy of Nonce of Intent from Puget Sound Clean Air Agency S. ELECTRICITY
and copy of inspection report by AHERA-certified inspector)
PSCAA Noltli[ation &20220LI37.1
(City of Federal Way Building Official)
2. FUEL STORAGE TANKS
o Under grade tank(s) Is/are present
c Above grade tank(s) are present
oTank(s) has been pumped or removed under South King Fire & Rescue
permit prior to any dismantling or excavation
NIA
(South King Fire and Rescue)
3. SEPTIC SYSTEM DECOMISSIONING
NIA
(King County Environmental Services)
4. SANITARY SEWER
NA
(Lakehaven Water & Sewer District)
(Puget Sound Erergy/raccrna Power)
6. NATURAL GAS
NIA
(Puget Sound Energy)
7. WATER - Public Source
NA
(Lakehaven Water & Sewer District)
B. WATER - Private Well
NA
(King County Environmental Services)
O Please Note: Erosion control memust be in place d ring the demolition and through
completion of the site clean-up. measures
Appf€rant}
Bulletin 0122—April 8.2021 Pagc I of I Ul landoutslDemohuon Pernut Rcgwrements
Chan Air Agency
Notification Amendment #: 202205137-2
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 $20.00
Credit Card Transaction # AGOAGO54FE10
Transaction Date 10/25/22
owner's Name Metro Northwest Phone (253) 83"517
Project Street Address 2101 S 324TH ST Unit #142
City Federal Way Zip 98003
Contact Person Aaron Borrero Phone (425) 698-7925
Melling Address
This project Includes a demolition.
Demolition Start Date 11/07/22 Completion Date 11/09/22
Demolition will be completed by a demolition contractor
Demo Contractor American Abatement and Demo Contractor Job #
Contact Aaron Sorrero Phone (253) 929-8730
Mailing Address 2Auburn Way N, Suits 101
Auburn, WA 98002
By submtoing this Amendment:
(1) 1 certify that the Information I have provided is to the best of my knowledge true and accurate.
(2) 1 understand the tees for this Amendment are nonrefundable.
Create AAQther Notification
If you have questions, contact us at asbestos@psdeanairgov or 206.689.4058.
GAMERICAN
ABATEMENT &DEMO
CERTIFIED ASBESTOS RISK ASSESSMENT AND TESTING
PROJECT NAME: BELLMORE PARK UNIT 142
PROJECT LOCATION:2101 S. 324TH ST FEDERAL WAY, WA
DATE SAMPLED: Monday, October 17, 2022
Dear Tyler flint
American Abatement and Demo LLC appreciates the opportunity to be of service to you.
If you have any questions regarding this report, please contact Aaron Borrero, AHERA Building
Inspector, at 425-698-7925.
AARON BORRERO
AHERA BUILDING INSPECTOR
CERTIFICATION NUMBER 182411 EXP. 9/10/2022
n
AMERICAN
� ABATEMENT &DEMO
DEMOLITION ASBESTOS SURVEY
On October 17, 2022, AHERA Building Inspector Aaron Borrero, of American Abatement and
Demo LLC, conducted a Good Faith Demolition inspection for suspected asbestos -containing
materials, at the Bellmore Park 2101 South 324th St Unit# 142 Federal Way, WA, at the request
of Tyler Flint with Bellmore Park. Accessible areas were visited, and samples were taken of
building materials suspected to contain asbestos or lead. The asbestos samples were taken to
Asbestos Northwest to be analyzed. Lead samples were taken to NVL Labs to be analyzed.
The building in question was tested at 2101 South 324th St Unit#142 Federal Way, WA by
AHERA Building Inspector, Aaron Borrero. The building in question was in good condition and
structurally sound. Out of the 8 asbestos samples taken only 4 came back positive for asbestos.
The sheet vinyl flooring in kitchen and laundry (samples 142-3 and 142-4, approximately 400
SQ FT) had gray asbestos backing (chrysotile 65°/o).The roofing had silver sea] that tested
positive (2% chrysotile) and was double roof (samples142-7 and 142-8 1,200 SQ FT). These
items will have to be abated prior to demolition of structure.
PROCEDURES FOR ASBESTOS PROJECTS
It shall be unlawful for any person to cause or allow any work on an asbestos project unless it is
performed by persons trained and certified, in accordance with the standards established by the
Washington State Departemnt of Labor and Industries, the Federal Occupational Safety & Health
Administration (OSHA), or the United States Environmental Protection Agency (EPA)
(whichever agency has jurisdiction) and whose certification is current.
The certification requirment does not apply to asbestos projects conducted in an owner -occupied,
single family residence performed by the resident owner of the dwelling.
2
W
AMERICAN
� ABATEMENT &DEMO
AHERA (Asbestos Hazard Emergency Response Act) regulation requires this inspection to
include the indentification of Friable and Non -Friable ACM in:
• Surfacing Materials,
• Thermal Systems Insulation, and
• Miscellaneous Materials: to delineate homogenous areas and to sample or "Presume" all
materials locations.
The number of samples required is specified in the AHERA Rue (40 CFR 763.86) as follows:
Surfacing Materials (SM]:
+ 3 samples per homogeneous area of less than 1000 sq. feet,
• 5 samples for greater than 1000 but less than 5000 sq. feet,
• 7 samples for greather than 5000 sq. feet
Thermal SA'Stenj Insulation (TS&
3 samples from each homogeneous area that is not "Assumed" to be asbestos,
■ 1 sample per each patched area, and as determined by the inspector for tees, elbows, or
valves.
Suspected asbestos -containing materials within the structure were identified and classified as a
surfacing material, Thermal System Insulation (TSI), or miscellaneous materials. Surfacing
materials are those which are either spray applied or troweled -on for acoustical, decorative, or
fireproofing purposes. TSI is insulation used to inhibit heat transfer or to prevent condensation on
pipes, boilers, tanks, ducts and various other components. Miscellaneous materials include all other
materials not included in the above categories such as floor tile, roofing felt, cementitous materials,
wallboard systems and products such as caulking, mastics, and putties.
AMERICAN
� ABATEMENT &DEMO
Field inspection, data collection, and report generations were performed according to the
following Scope of Work:
The survey was intended to identify possible asbestos -containing materials (ACM) on the
interior and exterior of the building. The inspection covered only those areas, which were
exposed and/or physically accessible to the inspector. Materials uncovered during the course of
demolition, renovation, or maintenance activities that are not identified in this inspection report
must be presumed to contain asbestos until PLM analysis proves that this material is not
asbestos -containing.
This inspection is not intended for, nor should be used as a design specification. The Asbestos in
School Hazard Amendments and Reauthorization Act (ASHARA), effective November 20", 1990,
expanded accreditation requirements to apply to persons who work with asbestos in public and
commercial buildings as well as schools. Specifically, ASHARA expanded the Toxic Substance
Control Act (TSCA) Section 206 (a) (1) and (3) to require accreditation for any person who designs
or conducts a response action with respect to friable ACM in a building. TSCA Section 207
provides for civil penalties of $5,000 for each day of a violation for not employing accredited
individuals to design and conduct response actions. Sampling of suspected asbestos -containing
materials was conducted as prescribed in 40 CFR 763.86.
In the case of <1% asbestos is found in a material, WISHA enforcement staff must assess that the
basic asbestos work practice requirments as given in WAC 296-62-17712(2), particularly use of
wet, non -aggressive methods and prompt clean up. Vaccuums used must be HEPA filtered.
Worker training must include asbestos awareness and hands on training as given in WAC 296-
62-07722(5). Respiratory protection must be based on overall dust levels. A competent person
must be assigned and trained under the requirments of WAC 296-62-07728.
4
AMERICAN
■ ABATEMENT &DEMO
r
r' o AMERICAN
ABATEMENT & ❑EMO
AMERICAN
� ABATEMENT &DEMO
we
i
AMERICAN
� ABATEMENT &DEMO
Sample Number 142-8 Description Silver Paint
Asbestos Type Chrysotile Percent (if detected) 2%
'fir-7-.!w!ft-,
-.�- -,, = . _
8
f'l)
4AMERICAN
' ■ ABATEMENT &DEMO
The intent of the asbestos survey is to comply with asbestos regulations required by the state of
Washington and Puget Sound Clean Air Agency. Currently, the state of Washington requires a
written "good faith inspection" for identification of asbestos -containing materials prior to any
remodeling or demolition work. During demolition and construction work it is the responsibility
of the owner and the contractor to make this survey document available to all concerned parties
who may be handling the building materials.
In demolitions, all asbestos is to be removed by an asbestos contractor.
These agencies regulate asbestos in these counties (Washington State):
Puget Sound Clean Air Agency (PSCAA) King, Kitsap, Snohomish
Olympic Regional Clean Air Agency (ORCAA) Jefferson, Clallam, Mason, Thurston, Pacifzc,
Grays Harbor
Southwest Clean Air Agency (SWCAA) Lewis, Clark, Wahkiakum, Cowlitz, Skamania
Yakima County Clean Air Authority (YCCAA) Yakima
Northwest Air Pollution Authority (NAPA) Whalcom, Skagit, Island
Douglas County Clean Air Commission, Douglas
Grant County Clean Air Authority, Grant
Tri Counties Air Pollution Control Authority, Benton, Walla Walla, Franklin
Spokane County Air Pollution Control Authority (SCAPCA) Spokane
Washington Department of Ecology (DOE) Stevens, Ferry, Okanogan, San Juan, Chelan,
Kittitas, Klickitat, Columbia, Garfield, Asotin, Adams, Lincoln, Pend Oreille
A fee must be paid, and the Notice of Intent filed, and be submitted prior to renovation or
demolition of a building.
There is a required waiting period after filing a notification before work can begin. (Mandatory
10 days for all demolition's) Calendar or working day wait is stipulated by each regulatory
agency's policy.
Further information regarding compliance may be obtained at our office.
V
AMERICAN
� ABATEMENT'& DEMO
It is unlawful for the owner or owner's agent to remove asbestos in excess of 10 linear feet or 48
square feet per year, per structure, unless the building is an owner -occupied, single family
private residence.
Washington State law requires asbestos that is left in place, be in good repair and maintained at
regular intervals. Maintenance should be documented.
In addition, PSCAA requires that a copy of the written asbestos survey be made available on -site
for inspection by a PSCAA Control Officer during construction and demolition work. The survey
is required to be performed in accordance with 40 CFR 763.86. These federal standards require
inspections to be conducted by an EPA Accredited Building Inspector with analysis to be
provided by an asbestos laboratory certified by the National Bureau Standards. The requirements
are described in Article 1 and Article 4, of PSCAA's Asbestos Control Standards. All survey
work was conducted in compliance with the above -mentioned standards.
Asbestos -Containing material are required to be removed and disposed of in accordance with
Washington State Regulations 296-155 WAC, Part S prior to any demolition, renovation, or
remodeling that would disturb these materials. Washington State Department of Labor and
Industries and PSCAA require that the abatement be performed using Certified Asbestos
Abatement Workers under the direct on -site supervision of a Certified Asbestos Supervisor in
accordance with 296-65 WAC. Also see 296-62 WAC, Part I-1General requirements for
handling asbestos.
Asbestos inspections are non -comprehensive by nature and our assessment is limited only those
locations inspected and sampled. This survey was not designed to identify all potential concerns
or eliminate all risk associated with abatement. No warranty, express or implies, is made with
American Abatement and Demo, LLC. American Abatement and Demo LLC is not responsible
for materials which require destructive means to access, or materials which are hidden from
sight, those materials hidden behind walls, or materials which cannot be found with reasonable
diligence. Extreme caution should be used during renovation or demolition to ensure that
additional unidentified materials are not disturbed.
In the event that additional materials are discovered, the material should be sampled by an EPA
Accredited AHERA Building Inspector and analyzed to determine if it contains asbestos prior to
disturbance.
10
AMERICAN
■ ABATEMENT &DEMO
WRITTEN BY:
AARON BORRERO
AHERA BUILDING INSPECTOR
CERTffICATION NUMBER 182411 EXP. 09/10/2022
AMERICAN ABATEMENT AND DEMO, LLC
Certif t rage of Cowlettoll
This is to certify that
Aaron E. Borrero
has satisfactorily completed
a hours of online refresher training as ar
AHERA Building Inspector
to comply with the training requirements of
TSCA Title II, 40 CFR 763 (AHERA)
EPA prw.dnr 7 108a 182411
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11
A S B E S T 0 S
NORTHWEST
30620 Pacific ll%vy S, #103.
Federal Way. WA 98003
(253)941-4343
Kyd 6 caj
TESTING
NVLAP LAB CODE 200T13 tl
Enclosed please find the analytical report for one or more samples submitted for analysis by
Polarized Light Microscopy.
The six types of asbestos fibers are chrysotile, amosite, crocidolite, tremolite, anthophyllite
and actinolite. A sample Nvhich contains more than 1% asbestos is considered positive and
is defined by the EPA as an Asbestos Containing Material (ACM).
The samples were analyzed in accordance with EPA method 600/R-93/1 I6 and 600/M4-82-020
which has a detection limit of approximately 1%. The analyst used a stereomicroscope to
visually inspect the sample to determine homogeneity and material descriptions. The sarnple was
then viewed under a polarized light microscope to determine the presence and percentage of
asbestos and non -asbestos fibers.
After analysis is complete, all paperwork is filed together, and kept in a secure locked filing
cabinet. Asbestos Northwest ensures that the files will not be tampered with at any time and will
only be removed if the client requests reanalysis or a modification to the report. If you have any
concerns or comments. contact us at feed back('u)asbestosnw.com or fill out our survey at
asbestosnw.com/survey
Thank you.
(IflALI R [4
/ tul
-These results are only applicable to the sam les enclosed with information provided by the
client. This report may not be reproduced. except in full, without the approval of the laboratory.
This report may not be used to claim product certification, approval. or endorsement by NVLAP.
NISI, or any agency of the U.S. Government.-
s A . 0 n
NORTBHW SST Asbestos NON Batch#
30620 Pacific Hwy S. #103, Federal Way, WA 98003
(253) 9414343 NVi.AP Lab Code: 200993-0
Bulk Samples Chain of Custozly (EPA 600/R-9311IS)
Name: America Abatement & Demo D t8: t)7(7_ 27z.
Address: 18855 SE Aubum Black Diamond RD Phone: 426-698-7925
Auburn, WA98092 E-maii:_AaronCa-)AAO-WA.com
Project Manaqer _Aaron Bgrrero --
Project Locat._..: 1101 �tt% 3244h 6� q,„ + Number of Samples:
FcA-ey -% I,Wat , 1A)A- Tum around time:
#
Sample ID
Description
Location/Comments
3
4
ILJ
a
5
6
7
9
'
10
19
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
'
28
29
30
Print Sign Company Date Time
Sampled by:
o
!D-�]-2-X
p.�
r( '
a
Relinquished by:
Delivered by:
ro rr
�'v4 j ,— _
�_
_ _
Accepted by:
_
Analyzed by:
:42 c
.le
A5i3EST05 mraid
NORTHWEST
Asbestos Northwest, LLC TESTING
NVLAP LAB CODE 700493-0
30620 Pacific Hwy S, #103, Federal Way, WA 98003
Ph: (253) 9414343 Fax: (253) 9414175 Batch Number: 202214289
PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116
This report must not be used by the client to clalm product certification, approval, or endorsement by NVLAP, NIST, or any
agency of the U.S. Government.
Attn: Aaron Borrero
American Abatement and Demo
18855 SE Auburn Black Diamond Rd
Auburn WA 98092
Location: 2101 S 324th St Unit 142 Federal Way WA
Date Received: 10/17/2022
Date Analyzed: 10/17/2022
Samples Received: 8
Samples Analyzed: 8
Client Sample
Lab Sample
Layer
Description
Matrix
% Non -Asbestos
% Asbestos Fibers
ID
ID
Fibers
and Type
142-1
1
White soft/elastic material
Binder/fille,
1% Cellulose,
None Detected
with paint
Paint
Glass fibers
White soft/elastic material
Binder/fille,
1 % Cellulose,
142-2
2
with paint
Paint
Glass fibers
None Detected
142-3
1
Beige sheet vinyl
Vinyl/binder
None Detected
None Detected
Gray fibrous material with
Filler.
75% Cellulose,
2
mastic
Mastic/binder
Synthetic fibers
None Detected
3
Tan sheet vinyl
Vinyl/binder
None Detected
None Detected
Gray fibrous material with
Filler,
20% Cellulose,
4
mastic
Mastic/binder
Synthetic fibers
o
65 /o Chrysotile
1424
1
Beige sheet vinyl
Vinyl/binder
None Detected
None Detected
Gray fibrous material with
Filler,
75% Cellulose,
2
mastic
Mastic/binder
Synthetic fibers
None Detected
Analyzed by: Cathy Butler'qpu F t( Report Page 1
ASBESTOS � NVIAP f
NORTHWESAsbestos Northwest, LLC 7srmc
IA9 CODE ia9993.0
30620 Pacific Hwy S, #103, Federal Way, WA 98003
Ph: (253) 941-4343 Fax: (253) 941-4175 Batch Number: 202214289
PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116
This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any
agency of the U.S. Government.
Attn: Aaron Borrero
American Abatement and Demo
18855 SE Auburn Black Diamond Rd
Auburn WA 98092
Location: 2101 S 324th St Unit 142 Federal Way WA
Date Received: 10/17/2022
Date Analyzed: 10/17/2022
Samples Received: 8
Samples Analyzed: 8
Client Sample
ID
Lab Sample
ID
Layer
3
4
Description
Tan sheet vinyl
Gray fibrous material with
mastic
Matrix
Vinyl/binder
Filler,
Mastic/binder
% Non -Asbestos
Fibers
None Detected
20% Cellulose,
Synthetic fibers
% Asbestos Fibers
and Type
None Detected
65% Chrysotile
142-5
1
Brown wood patterned sheet
Vinyl/binder
None Detected
None Detected
vinyl
2
Gray fibrous material with
Filler,
75% Cellulose,
None Detected
mastic
Mastic/binder
Synthetic fibers
3
Beige sheet vinyl
Vinyl/binder
None Detected
None Detected
4
Tan fibrous material with
Filler,
75% Cellulose.
None Detected
mastic
Mastic/binder
Synthetic fibers
5
Pale yellow/pink sheet vinyl
Vinyl binder
None Detected
None Detected
with glitter
6
Dark gray fibrous material
Filler,
75% Cellulose.
None Detected
with mastic
Mastic/binder
Synthetic fibers
Analyzed by: Cathy Butler(OPV Ft4f�gl Report Page 2
NORTBHSTS
WEQST ��d� o
TESTING
Asbestos Northwest, LLC NVLAP LAB CODE 2"93 0
30620 Pacific Hwy S, #103, Federal Way, WA 98003
Ph: (253) 941-4343 Fax: (253) 941-4175 Batch Number: 202214289
PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116
This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any
agency of the U.S. Government.
Attn: Aaron Borrero
American Abatement and Demo
18855 SE Auburn Black Diamond Rd
Auburn WA 98092
Location: 2101 S 324th St Unit 142 Federal Way WA
Date Received: 10/17/2022
Date Analyzed: 10/17/2022
Samples Received: 8
Samples Analyzed: 8
Client Sample
Lab Sample
Layer
Description
Matrix
% Non -Asbestos
% Asbestos Fibers
ID
ID
Fibers
and Type
142-6
1
Brown wood patterned sheet
Vinylibinder
None Detected
None Detected
vinyl
2
Gray fibrous material with
Filler,
75% Cellulose,
None Detected
mastic
Masticibinder
Synthetic fibers
Beige sheet vinyl
3
Vinyl binder
None Detected
None Detected
4
Tan fibrous material with
Filler,
75% Cellulose,
None Detected
mastic
Mastic/binder
Synthetic fibers
5
Pale yellow/pink sheet vinyl
Vinylibinder
None Detected
None Detected
with glitter
6
Dark gray fibrous material
Filler,
75% Cellulose,
None Detected
with mastic
Mastic/binder
Synthetic fibers
142-7
1
Silver paint
Paint/binder
2% Cellulose
2% Chrysotile
5% Cellulose,
2
Black asphaltic material
Asphalt/binder
None Detected
Glass fibers
Analyzed by: Cathy Butler('qP&/ Ft4/'�� Report Page 3
I
r
A513EST05
NORTHWEST
TESTING
Asbestos Northwest, LLC NVLAP LAB CODE M"3-0
30620 Pacific Hwy S, #103, Federal Way, WA 98003
Ph: (253) 941-4343 Fax: (253) 941-4175 Batch Number: 202214289
PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116
This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any
agency of the U.S. Government.
Attn: Aaron Borrero Date Received: 10/17/2022
American Abatement and Demo Date Analyzed: 10/17/2022
18855 SE Auburn Black Diamond Rd Samples Received: 8
Auburn WA 98092 Samples Analyzed: 8
Location: 2101 S 324th St Unit 142 Federal Way WA
Client Sample Lab Sample % Non -Asbestos % Asbestos Fibers
ID ID Layer Description Matrix Fibers and Type
142-8 1 Silver paint Paint/binder 2% Cellulose 2% Chrysotile
2 Black asphaltic material Asphalt/binder 5% Cellulose, None Detected
Glass fibers
Analyzed by: Cathy Butler Apv F"ltu'l Report Page 4