16-104104 Demolition
City of FederalWay Permit #: 16-104104-00-D E
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: CFA LOGISTICS INC
Project Address: 1300 S 343RD ST Parcel Number: 202104 9125
Project Description: Demolition of 1800 squarefoot storage/warehouse building.
Owner Applicant Contractor
UMID CHAKHALOV UMID CHAKHALOV OWNER IS CONTRACTOR
CFA LOGISTICS INC CFA LOGISTICS INC
11729 SE 249TH ST 11729 SE 249TH ST
KENT WA 98030 KENT WA 98030
Additional Permit Information
Demolition Valuation 9000
PERMIT EXPIRES Sunday, August 19, 2018
Permit Issued on Friday, August 19, 2016
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. y��^^; \ �j / /
Owner or agent: Date: (/G / L /6
THIS CARD IS TO REMAIN ON-SITE
CITY OF - `'�" Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 16-104104-00-DE Address: 1300 S 343RD ST
Project: UMID CHAKHALOV FEDERAL WAY, WA 98003-6738
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.
El SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) 0 Interim Erosion Control(4370)
Approved To be done prior to breaking ground Approved
By Date By Date By Date
0 Final Erosion Control(4375) ,El Final-Building(4050)
Approved Approved
By DateBy t `� Date ((S(4-
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Al,O 9 2016 PERMIIIAPPLICATION
,,,_411kh.......
CITY OF
Federal-.Way CITY OF FEDERAL WAY
."-
PERMIT NUMBER A -- - `/ 0 V / Q V _ 4E TARGET DATE
SITE ADDRESS / SUITE/UNIT#
1370 .._.5 34/ 3'c'I C�7+. F-eq(-o j of l W AA VL'/-{ 9 200
PROJECT VALUATION ) ZONING ASSESSOR'S TAX/PARCEL#
(''' i 0 () (,) (7.Z_ 0 al j 0 Y'- 9
• ( (2._,S-
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT CF4 o c i CT t L S
PROJECT DESCRIPTION
Pc'_j^ l of t l y nen/love rt t (obi,'ci ,i la(t'n ,
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
C'FA �-0,c1` V�'c S /Fit/ lrn I'd C'G.a of lvil tot' 2 5 3 z 36 k 5-06
PROPERTY OWNER MAILING ADDRESSE-MAIL
II}'2 `i 2 Li 5I- tirnl`dCf.io i'S, nit'1/&®ill
CITY STATE ZIP
. IA f r11---- twit� `� goose V
NAME,:-. � PHONE
/ 1 ,.,",/l, q�-C./
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME / /
i' PRIMARY PHONE
1 ill Ifd ChlAVIPw\ICV -253 -73 6 k Sob
APPLICANT MAILING ADDRESS _ / E-MAIL
I1 -721 5 4: Z ii 1 t� iuNrv'dKot IC%i`SiIY5613m itCof)
CITY STATE ZIP FAX
-vv 1 Wl- q'hod 0 2 S3- 7 3E S `-i 3 3
NAME/ ,/ PRIMARY PHONE
PROJECT CONTACT Vl m 11 Q C Llt A I(N'OV
(The individual to receive and MIAILING ADDRESS a E-MAIL
respond to all correspondence I l' 2 l+� 5 Z ti '11- >C,1
concerning this application) CITY STATE ZIP FAX
V\-C1V,r (.. 1 g303 (?
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person,including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a partjof this application.
SIGNATURE: ) DATE
0
PRINT NAME: V1 �
Vl . kt,t(01/
01
Bulletin#100—February 22,2016 Page I of 2 k:\Handouts\Permit Application
• • VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(kitchen/Utility) WATER HEATERS(Eeruio)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑Yes n No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application
• RECEIVED •
A, . COMMUNITY DEVELOPMENT DEPARTMENT
33325 8th
Avenue South
AUG 19 2016 Federal Way,WA 98003-6325
- CITY OF 253-835-2607;Fax 253-835-2609
Federal \IVay CIT( OF FEDERAL WAY
CDS www.cityoffederalway.com
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: I.3CJ > 5 :7-33Tes, S---r- / ApP ac)Q(bki 9 /6
❑ 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.
El A completed Construction Permit Application form is also required.
1.ASBESTOS ABATEMENT
(Provide copy of Notice of Intent from Puget Sound Clean Air Agency 5. ELECTRICITY
a e py of inection report by AHERA-certified� inspector) it &I-erg(City of Federal Way Bu lding Official)Viet /` r RA S -01 -ifAi `� 1.-0,5 be eel A/044,41
(Puget sound Energy)
2. FUEL STORAGE TANKS 6.GAS SUPPLY /A-
,
o Under grade tank(s)is/are present N Above grade tank(s)are present
❑Tank(s)has been pumped or removed under South King Fire& (Puget Sound Energy)
Rescue permit prior to any dismantling or excavation
N/A
(South mg Fire and Rescue) 7.WATER- Public Source
1//'� c2'vteq..t.,— _) L-Pt leC IAV (t n t_`7r tS7.
u li r)
3. SEPTIC SYSTEM (VIC-tE2 'fa r2mASk
116
- �-7Ep
J / (7/r111408.WATER- Private Well
(King County Environmental Services) A , �(
(King Coun Environmental Services)
4.SANITARY SEWER
7
(Lakehaven Utility District)
Bulletin#122—May 13,2015 Page 1 of 1 k:\Handouts\Demolition Permit Requirements
DEPARTMENT OF COM�NITY DEVELOPMENT SERVICES
33325 8th Avenue South
CITY OF 411111111:1114.1Federal Way,WA 98003-6325
Federal Way 253-835-2607;Fax 253-835-2609
www.ci tvoffederalway.corn
DEMOLITION PERMIT CONTACT LIST
This list of agencies may assist you in expediting the demolition permit process.Refer to the demolition permit
requirements for signature blocks.All applicable signatures are required prior to permit approval.
1. Asbestos Removal: Puget Sound Clean Air Agency
110 Union Street, Suite 500
Seattle,WA 98101-2038
206-343-8800—OR—800-552-3565
www.pscleatiair.org •
2. Electricity: Puget Sound Energy Tacoma Public Utilities
Attn: Construction Coordinator Customer Service
22828 68th Avenue South, Suite#102 —OR— 747 Market Street
Kent,WA 98032 Tacoma,WA 98402
888-225-5773 253-383-9600 or 253-383-2471
3. Gas: Puget Sound Energy •
805 156`h Avenue NE
Bellevue,WA 98004
888-225-5773
4. Telephone: Qwest Communications
801-962-2475 (phone)/801-237-6491 (fax)
5. Water: Lakehaven Utility District Tacoma Public Utilities
Technical Service Division Customer Service
31623 First Avenue South —OR— 747 Market Street
Federal Way,WA 98003 Tacoma,WA 98402
253-941-2288 253-383-9600 or 253-383-2471
6. Garbage: Waste Management
655 Second NW
Auburn,WA 98071
253-833-3333 (residential)—OR—253-939-9792 (commercial)
7. Sewer: Lakehaven Utility District
Technical Services Division
31623 First Avenue South
Federal Way,WA 98003
253-941-2288
8. Septic: King County Environmental Services
14350 SE Eastgate Way
Bellevue,WA 98007
206-296-4932
9. Fire Department: South King Fire&Rescue
33325 8th Avenue South
Federal Way,WA 98003
253-946-7248
Bulletin#109—January 1,2011 Page 1 of 1 k:\Handouts\Demolition Permit Contact List
• RECEIVED
AUG 19 2016
pscleanair.org
Puget Sound Clean Air Agency CITY OF FEDERAL WAY
Notification Case #: 201604114 CDS
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 $65.00
Credit Card Transaction # AUOFEA9DE8C9
Transaction Date 08/19/16
Owner's Name CFA Logistics Inc. Phone (206)422=5540
Project Street Address 1300 S 343rd
City Federal way Zip 98003
Contact Person Umid Chakhalov Phone (206)422-5540
Mailing Address 11729 SE 249th St
Kent,WA 98030
This project includes a demolition.
Demolition Start Date 08/29/16 Completion Date 09/29/16
Demolition will be completed by a demolition contractor
Demo Contractor Property Owner Contractor Job #
Contact Phone
Mailing Address
(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 project's 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 View History Loq Out
If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058.
9 0
- Asbestos Northwest, LLC - Survey Report
30620 Pacific Hwy S, #103, Federal Way, WA 98003 EyV�®
253.941.4343
AUG 19 2016
CITY OF FEDERAL WAY
CDS
-,..,1.'„,,,'
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4
•
Survey Location: 1300 S 343rd Federal Way, Wa
Prepared for: Umid Chakhalor
Date: August 16th, 2016
Asbestos Northwest Batch Number: 201611517
Inspectors: Dan Lafley (15-3556) Sean Butler (15-7824)
E-mail: Danl(a�asbestosnw.com
• •
Table of Contents:
1. Background and Scope of Work
2. Building information
3. Material Sampling information
4. Asbestos Containing Material
5. Conclusions
Appendices
Appendix A
Appendix B
Appendix C
Page 2 of 13
• •
1. Background Information and Scope of Work
On August 16th, 2016 Asbestos Northwest, LLC conducted a survey of a shop located at
1300 S 343rd Federal Way, Wa The survey was conducted by Dan Lafley (15-3556)
and Sean Butler (15-7824) who are Asbestos Hazard Emergency Response Act
(AHERA) certified building inspectors. The survey was conducted to determine the
presence of Asbestos Containing Materials (ACMs) before demolition of the building.
The survey included the exterior and interior components of the building.
Materials were located and sampled. They were then analyzed in-house at Asbestos
Northwest. See section 3 for detailed sampling information.
See appendix B for a detailed floor plan of the building including the survey area and
any inaccessible areas, and appendix C for the complete laboratory report.
Page 3 of 13
• ( •
2. Building Description
The structure was a -1800ft2 garage / shop of unknown build date. The building was
semi occupied at the time of the inspection and was in poor condition. The building has
a main room which served at the garage, a bathroom, and a room off the garage.
Interior
The floor of the building was concrete and plywood with sheet vinyl in the bathroom.
Walls and ceilings were textured drywall.
Mechanical system
The garage was not equipped with a heating system, and the plumbing was newer
copper piping.
Electrical system
Wiring was newer rubber/plastic coating wiring, with an electrical box containing
breakers.
Roofing system and exterior
The garage had two separate layers of corrugated metal roofing, with asphaltic felt
between them. Siding was wood and metal.
Insulation:
The building was insulated with newer yellow fiberglass insulation.
Page 4 of 13
0 •
3. Material Sampling Information
Asbestos survey work performed by Asbestos Northwest meets inspection
regulatory requirements enforced by federal, state, and local agencies, including
Asbestos Hazard Emergency Response Act (AHERA), WAC 296-62-077 (WISHA)
and 40 CFR Part 61 (NESHAP) and 29 CFR Part 1926.1101 (OSHA)
Definitions
Homogenous — Materials having the same appearance, texture, color, and were
applied during the same general construction period are considered to be
homogenous.
Surfacing Material — Material that has been sprayed-on, troweled-on or otherwise
applied to surfaces, such as acoustical plaster, fireproofing materials on structural
members.
Thermal Insulation Material — material applied to pipes, fittings, boilers, breaching,
ducts, and other interior structural components to prevent heat loss or gain
Miscellaneous Material — Building materials such as structural components,
structural members or fixtures not included in surfacing and thermal insulation.
Survey Methodology
Before sampling began, inspectors documented the total surveyed area. A sketch of
each space was created, and total square footage was measured and determined.
The inspectors then determined the extent of each visible homogenous material
throughout the survey area.
Description Material Type Extent and Sample #'s and
Condition Locations
Texture, Joint Compound Miscellaneous / Walls and ceiling 1- East room wall
and drywall Surfacing Material throughout building 2-East room Ceiling
Friable 4-Bath Wall
Semi Damaged 5-Bath ceiling
6-main room ceiling
7-main room wall
Tan and Gray Sheet Vinyl Miscellaneous Floor of bathroom 3-Bath Floor
Material
Non Friable Good Condition
Asphaltic paper Miscellaneous In between roof and on 8- Roof, East side
Material siding. 9-Roof, West side
Non Friable
Good Condition
Page 5 of 13
•
4. Asbestos Containing Material S
A homogenous material is considered to be ACM (Asbestos Containing Material) if one
or more samples are reported to have greater than 1% asbestos. Analysis can result in
both positive and negative sample results in materials containing <10%, have very fine
asbestos fibers, have been hand mixed, or have asbestos fibers tightly bound in the
matrix. EPA recommends a minimum of three samples be analyzed by PLM for these
types of materials. All materials that were sampled during the inspection were analyzed
under PLM, EPA Method 600/R-93/116.
During the inspection, the inspectors determined that no Asbestos Containing Material
was located within the structure.
Page 6 of 13
• •
5. Conclusions
No Asbestos Containing Material was found during the inspection.
Page 7 of 13
• 0
Appendix A — Certifications
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Page 8 of 13
•
1900 W Nickerson St,#315
Seattle,WA 98119 16 10.;I g
206185.3373 wcertifiesiv assmamssi:72
This certilles that
Sean T. Butler
has satisfactorily completed
4 hours of refresher training as an •
Asbestos Building Inspector
complies with TSCA Title II)40 CFR 763(AHERA)
6P144,044‘
. Aftmok
Certificate# 157824
Instructor Cass Date:jun 29,2016
EPA Provider Certificate#1085 Expires: Jun 29.2017
1900 W Nickerson St,#3151
Seattle, A 98119
206 1 r ff..285.3373 VVji ......1
...,,,,...“ ,,,,N,.-.i 1
This certifies that
Daniel J. Lafley
has satisfactorily completed
4 hours of refresher training as an
Asbestos Building Inspector
complies with TSCA Title ii!40 CFR 763(AHERA)
Certificate# 153556
Class Date. Oct 21,2015
Instructor Expires: Oct 20,2016
EPA Provider Cervficace d 1085
Page 9 of 13
•
Appendix B — Building Layout
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Page 10 of 13
S 0
Appendix C — Laboratory Report
,
ri
n.ORTHWESTiigi
ASBESTOS \I-
iigaikk Asbestos NW Batchtt \V2O
MON Pada('Hwy S.MB,t ederal'W ay,WA 911003 T..7
f 253)4414343 ... N't.1.ST 1 ab it:20099341
Bulk Samples Chain of Custody(EPA 600/R-93/116)
Name: Date: EV a,/zptica_ ,
Address: Fax 4:
.....___
Project Manager Om : C..V.M.14WLV PM Cell#: Zito-q 22,-zf 4
41
Project Loeation: 1300 5 1 41Adird Project#: #
Number of Samples; cyol (ii.„)ckyties..14V Turn around time: CI_
4 Customer Sample ID Description Location/Condition
A 06.41A-Ilk\ Ea e-k- P,pt,.y."
2 TWe -IL A Chi Pk 1 Ex ,f... isyy, cv\.?
,
3e- 6e7t- kill-VI.t Bat-kr,, +1 cst-ile-
4 A tt N,,,......._.0. Zo° tjTh, LA30...1\
5 ..r. ""C... A. ' )1114 t.A.- 4,_ 114IPP aa Cekli
6 TeYkOlre 3—C-- A. Dv0At. k Mocir‘ ovrv-t Zi .
a- A it. vos a A z a s o
S s'ti- IC. VI. it lett, • .r2,:b Sid-e
R1C_, tA')ezi f--, .-,,ict:to
lo
i 1
12
13
14
I5
16
17
18
19
20
21
11
23
24
25
11,44
*Client will he notified if subcontracting is required
Print Sign Company DateTimei _
Sampled by: r
Relininished b • NA, I .0C'2,4
belivered by: it,. -4rglett ..
. --
_.,Aceepted by: q 7
1./
Analyzed by: ( 1 tlyy
4/
fit/
A/ 1\-t g-44.)-/ - 2 OD
Reviewed by:
Page 11 of 13
• S
•
ASSESTOSaktirlijah'
NORTHWEST
200993-0
Asbestos Northwest,LLC
30620 Pacific Hwy S.#103,Federal Way,WA 98003tc1m6ber: 201611517
Ph:(253)941-4343 Fax:(253)941-4175
PLM Analysis by EPA Method 600/M4-82-020 and 60B0a/R-h9
Attn: Date Received: 8/16/2016
timid Chakhalov Date Analyzed: 8/16/2016
1300 S 343rd Federal Way,Wa Samples Received: 9
Samples Analyzed: 9
Project: 1300 S 343rd Federal Way,Wa Project#:
Client Sample %Non-Asbestos %Asbestos Fibers
ID Lab Sample ID Layer Description Matrix
Fibers and Type
White powdery material Binder/filler,
1 1 40%Cellulose None Detected
with paint and paper Paint
White chalky material Filler/binder,
2 35%Cellulose None Detected
with paper Gypsum/binder
White powdery material Binder/filler,
2 2 40%Cellulose None Detected
with paint and paper Paint
White chalky material Filler/binder,
2 35%Cellulose None Detected
with paper Gypsum/binder
3 3 1 Tan and Gray sheet vinyl Vinyl/binder None detected None Detected
Tan fibrous material with Filler, 75%Cellulose,
None Detected
mastic Mastic/binder Synthetic fibers
White powdery material Bindcrifiller,
4 4 1 40%Cellulose None Detected
with paint and paper Paint
White powdery material
2 Filler/binder 30%Cellulose None Detected
with netting
White chalky material Filler/binder,
3
Gypsum/binder 35%Cellulose None Detected
with paper
White powdery material Binder/filler,,
5 5 30%Cellulose None Detected
with paint and netting Paint
7411/31711
,,e41
Analyzed By-Cathy Butler Page 1 of 2 'e 4 • rira1ey
Page 12 of 13
0 S
ASBESTOS ;, #. '.�.., r,, ?
NORTHWEST 200993-0
Asbestos Northwest,L1..0
30620 Pacific Hwy S,#103,Federal Way,WA 98003 Batch Number: 201611517
Ph:(253)9414343 Fax:(253)941-4175
PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116
Attn: Date Received: 8/16/2016
Umid Chakhalov Date Analyzed: 8/16/2016
1300 S 343rd Federal Way,Wa Samples Received: 9
Samples Analyzed: 9
Project: 1300 S 343rd Federal Way,Wa Project#:
Client Sample %Non-Asbestos %Asbestos Fibers
ID Lab Sample ID Layer Description Matrix. Fibers and Type
White chalky material Filler/binder,
2 35%Cellulose None Detected
with paper Gypsum/binder
6 6 I White powdery material Binder/filler,
Iter, 40%Cellulose None Detected
with paint and paper Paint
White chalky,material Filler/binder,
2 35%Cellulose None Detected
with paper Gypsum/binder
7 7 1 White powdery material Binder/filler, 5%Cellulose None Detected
with paint Paint
White chalky material Filler/binder, 35%Cellulose None Detected
with paper Gypsum/binder
8 8 Black asphaltic fibrous Asphalt/binder 75%Cellulose None Detected
material
asphaltic fibrous
9 9 2 Black as P Asphalt/binder 80%Cellulose None Detected
material
00(21/1 Fti t6( **) A
O
Analyzed By:Cathyzed Butler Page 2 of 2 ' vowed By.
ip
Page 13 of 13