16-104037 Demolition
City of FederalWay Permit #: 16-104037-00-DE
Community&Econ
D. ev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: RETREAT MEADOWS
Project Address: 221 SW 356TH ST Parcel Number: 302104 9021
Project Description: Demolition of(2)single family residences
Owner Applicant Contractor
356TH STREET MGMT LLC KEVIN JENSEMA HOMES BY LANDMARK INC
PO BOX 26116 11727 130TH AVENUE CT E HOMESLI870LE(7/1/17)
FEDERAL WAY WA 98093 PUYALLUP WA 98374 PO BOX 26116
FEDERAL WAY WA 98
Additional Permit Information
Demolition Valuation 10000.00
PERMIT EXPIRES Saturday, August 18, 2018
Permit Issued on Thursday, August 18, 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. i
Owner or agent: /L /� Date: �3/ /J 1 /6
'4..,...: THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-104037-00-DE Address: 221 SW 356TH ST
Project: 356TH STREET MGMT LLC FEDERAL WAY, WA
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.
❑ SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(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
By Date ByDate a('f P
Rough Electrical Final Electrical
El
of Way
ElApproved ElApproved Approved
By Date By Date By Date
` • PERMIIIIAPPLICATION
CITY OF
Y PERMIT CENTER+33325 8th Avenue South + Feslezal W4y,WA,98003-6325
Federal Wa 253-835-2607 + FAX 253-835-2609 +permit eitttgI ctity,A 4e,)alway.com
' A
PERMIT NUMBER _ 037--_ b . -- AUG 18 2016
- TARGET DATE
- LI FY OF FEDERAL WAY
SITE ADDRESS - SUIIT#
a ( g 5w 35(0
' S4v-e-d
PROJECT VALUATION' ZONING ASSESSOR'S TAX/PARCEL#
$ /0/ 000 .3 C> / 0 V - 9` o oZ. /
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT '-=' G.V fyI t 4 .•_S
PROJECT DESCRIPTION
`-)'4/O (� ) S F I S
Detailed description of work to 'F
be included on this permit only
•
NAME PRIMARY PHONE
Roes .-�/• L0 4,1 �Ic '75 -7
'75 -9? -
,�PPR�OPERTY OWNER MAILING ADDRESS E-MAIL
7' y�Z �,.�Zi l�y F` �1 v� A)C-
�4J,/ CITYIT ! STATE ZIP
TOC,. I.,-1 elf V•Ar 9 yaa
NAME PHONE
Noe�<s by Le* i x 7 I K 7c3-iia?- C/I e„
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
O(r 9 ' WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Gi / /
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
/17r? (30)c it' C- C 1i4t 0.-1 3 f.'f Co.-Mf O-A f
CITY STATE ZIP FAX
.'yik 11..y vsioN e"--3 i
NAME - PRIMARY PHONE
PROJECT CONTACT i/CO t' -L.1,15 1,15C1'"A\
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by arty person, including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: `6 ` /C lc-- DATE i I V I/6
PRINT NAME: ie CU i`1 J r/1$t illi)
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
p 1
COMMUNITY DEVELOPMENT DEPARTMENT
33325 8th Avenue South
Federal Way,WA 98003-6325
CITY OF
253-835-2607;Fax 253-835-2609
� ,,
FedraIeWay www.cityoffederalway.com qy
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: g03 S' ' 3% }C7. 19JS i/ �.��..:75 i' Pi S 5 75-644, /5) 35-4,1A, 2?/ s 35-4A
3 raiz:01 v.4-W r (L23
❑ Prior to submitting a demolition permit, the following items must be signed by the respective agency
or their approvals attached. Items not applicable to your project should be marked N/A.
❑ A completed Construction Permit Application form is also required.
1.ASBESTOS ABATEMENT
(Providi spy of Notice of Intent from Puget Sound Clean Air Agency 5. ELECTRICITY
and coigsf inspecti•• Aerty AHERA-certi ed i pector)
fee_ ov4c4
( ity of Federal Way Buil i g Official) (Puget Sound Energy)
2. FUEL STORAGE TANKS 6.GAS SUPPLY
❑ Under grade tank(s)is/are present
❑Above grade tank(s)are present tkiikEc. cam_ I-01Cir
❑
Tank(s)has been pumped or removed under South King Fire& (Puget Sound Energy)
Rescue permit prior to any dismantling or excavation
/6/A
(South King Fire and Rescue) 7.WATER- Public Source
(Water Supplier)
3.SEPTIC SYSTEM
� QGdiJ�G Ci�4 -Gr,(/L.2G4" 8.WATER- Pri to Well
(King County Environme al Services
(ICing County Environmental Services)
4.SANITARY SEWER p
A 615 el
(Lakehaven Utility District)
Bulletin#122—May 13,2015 Page 1 of 1 k:\Handouts\Demolition Permit Requirements
Approved Transaction • Page 1 of 1
pscleanair.org
Puget Sound Clean Air Agency
Notification Case #: 201604078
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 #ALOFDB2810BB
Transaction Date 08/18/16
Owner's Name homes by landmark Phone (253)988-8816
Project Street Address 221 sw 356th st
City federal way Zip 98023
Contact Person kevin jensema Phone (253)988-8816
Mailing Address po box 26116
federal way,WA 98093
This project includes asbestos removal.
Project Size linear feet / square feet
Project Start Date 10/16/16 Completion Date 10/16/16
Asbestos will be removed by a licensed asbestos abatement contractor
Contractor Property Owner Contractor Job#
Contact Phone
Mailing Address
This project includes a demolition.
Demolition Start Date 10/16/16 Completion Date 11/16/16
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 projects start or completion date has changed.
(3) I understand one Notification must be filed for each structure. The only exception is for
a single-family residence that includes multiple ancillary structures, such as a detached
garage or other outbuildings having the same street address. If there is no street address, I
have used a building number.
(4) I understand the fees for this Notification are nonrefundable.
Create Another Notification View History Loa Out
If you have questions,contact us at asbestos@pscleanair.org or 206.689.4058.
https://secure.pscleanair.org/Asbestos/Approved.aspx 8/18/2016
Approved Transaction • 1111 Page 1 of 1
pscleanalr,org
Puget Sound(lean Aar Agency
Notification Case #: 201604075
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 $210.00
Credit Card Transaction #ATOFEB21858E
Transaction Date 08/18/16
Owner's Name homes by landmark Phone (253) 988-8816
Project Street Address 225 sw 365th st
City federal way Zip 98023
Contact Person kevin jensema Phone (253) 988-8816
Mailing Address po box 26116
federal way,WA 98093
This project includes asbestos removal.
Project Size linear feet / 1500 square feet
Project Start Date 09/16/16 Completion Date 10/16/16
Asbestos will be removed by a licensed asbestos abatement contractor
Contractor still out for bid 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 projects start or completion date has changed.
(3) I understand one Notification must be filed for each structure. The only exception is for
a single-family residence that includes multiple ancillary structures, such as a detached
garage or other outbuildings having the same street address. If there is no street address, I
have used a building number.
(4) I understand the fees for this Notification are nonrefundable.
Create Another Notification View History Loci Out
If you have questions,contact us at asbestos@pscleanair.org or 206.689.4058.
httos://secure.nscleanair.ore/Asbestos/Anproved.asnx 8/18/2016
138 S.W. 154th Street
Suite B • a
N ovoidvo
Burien, Wa. 98166
Phone:206.244.1060 Laboratory&Consulting Services, Inc.
Fax: 206.244.1063
April 22, 2015
Mr. Kris Schall
LANDMARK HOME, Inc.
2715 64th Avenue NE
Tacoma, Washington 98422
Transmitted via E-Mail to: krisschall@comcast.net
NOVO Project No. 0136-153.001
Subject: Good Faith Inspection Letter
221 SW 356th Street, Federal Way, WA
Dear Mr. Kris Schall:
On March 31st, 2015, Rich Carlson(Asbestos Inspector Certification#: 150148/Certification
Expiration Date: 02/18/2016), from NOVO Laboratory and Consulting Services,Inc. (NOVO)
conducted a targeted assessment of suspect asbestos-containing materials (ACM) associated with
the single family residence located at 221 SW 356th Street, Federal Way, Washington (subject
property).
The purpose of the survey was to provide information in order to meet the AHERA asbestos
sampling protocol as stated in 40 CFR 763.86. This sampling protocol is required for all
asbestos surveys prior to renovation or demolition of a building under the Puget Sound Clean Air
Agency, Regulation III, Section 4.
In addition,the survey assists the building owner in meeting the "Good Faith Inspection"
requirements as stated in Washington Administrative Code 296-62-07721, (Communication of
Hazards to Employees). Under the regulation,the Owner of a building to be renovated or
demolished must present a contractor with a written statement whether the materials to be
disturbed contain asbestos prior to submitting a bid.
PROJECT DESCRIPTION
NOVO understands that the subject property is scheduled for demolition.
BUILDING DESCRIPTION
The subject property is a single-story, single-family residence consisting of approximately 1,000
square feet of floor space. There is also a 350 square foot attached garage at the south end of the
home and a open-air covered car port at the NW portion. The structure is wood framed on
C:\Documents and Settings\Owner\My Documents\Dropbox\Consulting\Projects\0136_Landmark Homes\221 SW 356th.DOC
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.I Mr.Kris Schall Page 2
Landmark Home,Inc NOVO Project No.0136-153.001
Y Good Faith Inspection Letter—221 SW 356th St.Federal Way,WA April 22,2015
concrete perimeter foundation walls,wood posts and concrete footings. Floors are wood
decking with various floor coverings including sheet vinyl,hardwood, and carpeting. Interior
walls and ceilings are primarily gypsum wallboard. Exterior is wood siding. Window frames
were wood. The roof-line is slightly pitched and is finished with 3-tab roofing shingles.
METHODS OF THE SURVEY
A walk through inspection of interior portions of the subject property was performed to identify
suspect ACM. Sub-surface suspect materials were investigated on a limited basis. A limited
inspection was conducted to investigate concealed spaces in the area; however,not all concealed
spaces have been surveyed for suspect ACM.
The survey was performed following a modified sampling protocol for the demolition as outlined
under AHERA, 40 CFR 763,the Puget Sound Clean Air Agency, Regulation III,Article 4, and
the State of Washington Department of Labor and Industries WAC 296-62-077021. The
inspectors determined approximate quantity of each homogeneous material by field
measurements.
Materials within the building that were similar throughout in terms of color,texture, and date of
material application were identified as a homogenous sampling area(HSA)and recorded.
Representative bulk samples from each homogenous sampling area were collected in accordance
with protocols outlined in the USEPA AHERA regulations.
Sections of the material were removed and placed in sealed containers,marked with a sample
identifier and delivered under proper chain of custody procedures to our NOVO laboratory for
analysis. All samples were taken within EPA guidelines to minimize potential contamination to
the surrounding area. Bulk sample locations,notes, and observations were made on-site at the
time of sampling.
A total of seventeen(17)bulk material samples were collected and analyzed for asbestos.
Samples, copies of the field data sheet, and chain-of-custody submittal sheets were delivered to
our own Burien laboratory for asbestos analysis. As specified in 40 CFR Chapter I (1-1-87
edition)Part 763, Subpart F,Appendix A, each sample was analyzed using polarized light
microscopy (PLM)/dispersion staining techniques, in accordance with U.S.EPA Method
600/M4-82-020. Detection limits for this type of analysis are approximately one percent(by
volume). Materials containing more than one-percent asbestos are considered to be asbestos-
containing materials(ACM). NOVO performs reanalysis of 10%of all bulk samples analyzed
for asbestos, as part of their Quality Management Program. Results of the laboratory analyses
are contained in Attachment 1.
C:\Documents and Settings\Owner\My Documents\Dropbox\Consulting\Projects\0136 Landmark Homes\221 SW 356th.DOC
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Mr.Kris Schall Page 3
Landmark Home,Inc NOVO Project No.0136-153.001
Good Faith Inspection Letter—221 SW 356th St.Federal Way,WA April 22,2015
LIMITATIONS
Limiting Conditions
The inspection was limited to accessible spaces within the subject property. An accessible space
is defined as an area that can be physically entered and investigated without requiring destructive
measures. We did not attempt to disassemble equipment. Building equipment could contain
asbestos materials that may not be discovered until exposed during renovation/demolition
activities. If during the course of renovation, suspect materials are discovered that are not
identified in this report, the materials should be treated as asbestos containing until the material
is sampled by an AHERA Certified Building Inspector and analyzed by an accredited laboratory.
Limitations of the Survey
The conclusions of the report are professional opinions based solely upon visual site
observations and interpretations of laboratory analyses as described in our report. The opinions
presented herein apply to the site conditions existing at the time of our investigation, and
interpretation of current regulations pertaining to asbestos-containing building materials.
Therefore, our opinions and recommendations may not apply to future conditions that may exist
at the building, which we have not had the opportunity to evaluate. The regulations should
always be verified prior to any work involving asbestos-containing building materials.
Within the limitations of scope, schedule, and budget, our services have been executed in
accordance with generally accepted practices in this area at the time this report was prepared.
No other hazardous materials/wastes were investigated. No other conditions, expressed or
implied, should be understood.
SAMPLING RESULTS AND DISCUSSION
The following is a summary of the bulk asbestos samples collected during the inspection and
their laboratory results:
Material Description Sample# Layer Location Lab Result
Sheet vinyl(white/tan),associated
backing and adhesive 221-01 Bathroom NAD
Cement board substrate below above
sheet vinyl 221-02 Bathroom NAD
Vinyl wall base 221-03 1 Bathroom NAD
Adhesive(tan)associated with above
vinyl wall base 221-03 2 Bathroom NAD
Joint compound 221-04 1 Hallway <1%Ch
Wallboard 221-04 2 Hallway NAD
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Landmark Home,Inc NOVO Project No.0136-153.001
Good Faith Inspection Letter—221 SW 356th St.Federal Way,WA April 22,2015
Material Description Sample# Layer Location Lab Result
Joint compound 221-05 1 Bedroom <1%Ch
Wallboard 221-05 2 Bedroom NAD
Joint compound 221-06 1 Bedroom closet <1%Ch
Wallboard 221-06 2 Bedroom closet NAD
Sheet vinyl(top layer-white),
associated backing and adhesive 221-07 Kitchen NAD
Sheet vinyl(bottom-brown/white),
associated backing and adhesive 221-08 Kitchen NAD
Sheet vinyl(top layer-white),
associated backing and adhesive 221-09 Mud room NAD
Sheet vinyl(bottom layer-off-white),
associated backing and adhesive 221-10 Mud room NAD
Glazing @ wood windows 221-11 Exterior NAD
Glazing @ wood windows 221-12 Exterior NAD
Mortar @chimney 221-13 Exterior NAD
Composite roofing shingle 221-14 Main roof NAD
Paper(black)associated with above
composite roofing shingle 221-15 Main roof NAD
Composite roofing shingle 221-16 Carport roof NAD
Paper(black)associated with above
composite roofing shingle 221-17 Carport roof NAD
Legend:
Ch Chrysotile Asbestos Am Amosite Asbestos TR Tremolite Asbestos
NAD No Asbestos Detected
Laboratory results from sampling performed by NOVO indicate that none of the above listed
suspect building materials present at the subject property are regulated asbestos-containing
materials (materials with greater than 1%asbestos content).
Joint compound associated with gypsum wallboard systems present throughout the home was
tested and found to contain 1% or less asbestos. The federal Occupational Safety & Health
Administration (OSHA), and the State Department of Labor and Industries regulate these
materials for worker protection and permit purposes. Initial exposure assessments are required
prior to work impacting these materials, but are not regulated to the same degree as materials
containing greater than 1% asbestos.
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Mr.Kris Schall Page 5
Landmark Home,Inc NOVO Project No.0136-153.001
Good Faith Inspection Letter—221 SW 356th St.Federal Way,WA April 22,2015
It is a pleasure doing business with you. If you have questions or require additional information
please contact me at 206.244.1060 or via email at rich@,novolc.com. Thank you.
Sincerely,
Crystal Wright
Project Manager
Laboratory Services Manager
NOVO Laboratory and Consulting Services
Reviewed By:
Richard L.Carlson
Consulting Services Manager
NOVO Laboratory and Consulting Services
1 —Sampling Data-Bulk Asbestos Laboratory Data Sheets
2—Sample and Material Location Drawings
3 —Certifications
C:\Documents and Settings\Owner\My Documents\Dropbox\Consulting\Projects\0136_Landmark Homes\221 SW 356th.DOC
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lYburatpr6 a QsnwltLi .I�
ATTACHMENT 1 •
BULK ASBESTOS LABORATORY DATA SHEETS
. • •
N
NOVO Laboratory &
Consulting, Inc. 138 SW 154th Street
Burien,WA 98166
Laboratory&Consulting Services, Inc. Office: (206)244-1060
Fax: (206)244-1063
April 1, 2015
Rich Carlson
NOVO
138 SW 154th Street
Burien,WA 98166
RE: Bulk Asbestos Fiber Analysis; Batch 115-1235
Dear Rich
Thank you for choosing NOVO Laboratory and Consulting, Inc. as your laboratory. Enclosed you will find test results for the
bulk samples submitted to the laboratory. The samples were examined for the prescence of identifiable asbestos fibers using
polarized light microscopy(PLM)with dispersion staining in accordance with the U.S. EPA Method 600/R-93/166, "Method for
determination of asbestos in Bulk Building Materials."
The samples containing more than one separable layer were separated and given an individual result, as required by the
National Emission Standard for Hazardous Air Pollutants(NESHAP,40 CFR-Part 61)protocol that multi-layered samples be
analyzed and reported separately. Asbestos concentration in samples is determined by visual estimation and reported by
percent on a volume basis.
For samples with asbestos concentrations between 1 and 10 percent based on visual estimation,the EPA recommends a
procedure known as point counting. Point counting is a statistically more accurate means of quantification for samples with
low concentrations of asbestos. An alternative method also recommended by the EPA is to have the sample analyzed by
transmission electronic microscopy methods. If you would like us to follow any of the recommendations listed above, please
contact us.
For samples containing vermiculite, prior to its close in 1990, much of the world's supply of vermiculite came from a mine
near Libby, Montana. This mine had a natural deposit of asbestos which resulted in the vermiculite being contaminated with
asbestos.Attic insulation produced using vermiculite ore, particularly ore that originated from the Libby mine, may contain
asbestos fibers. Due to inconsistencies in the levels of contamination of vermiculite and limitations in the current best practice
analytical methods the EPA recommends that vermiculite be presumed to contain asbestos.
This report is confidential and will not be released without prior written approval. Samples are archived for Fifteen(15)days
following analysis. Please contact us if samples need to be archived longer than the standard holding time.
The information you receive relates only to the items tested. Accuracy of the results is limited by the methodology and
expertise of the sample collector. The analyses at NOVO Laboratory and Consulting, Inc. are cross-checked with other
laboratories for quality assurance purposes.
Thank you for using NOVO Laboratory and Consulting, Inc. If you have any questions please don't hesitate to call.
Crystal Wright
Laboratory Supervisor
Enclosure: Bulk Sample Results
• •
NOVO Laboratory &Consulting, Inc. Bulk Asbestos
.- N r°44 V 0
138 SW 154th Street Analysis Report
Laboratory&Consulting Services, Inc. Burien,WA 98166 Page 1
Office: (206)244-1060 Fax: (206)244-1063 Created by CrystalW, 11:08AM 4-01-15
'.CLT N ,11001-:' ilbii - -r::: :'1,,,', fil* ':*'*--7,1: ''. ' .i '._a i i a ,'tl„j:.
CLIENT ID CLIENT CONTACT
1015.01 NOVO Rich Carlson
JOB ID JOB
BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY
115-1235 221-SW 356TH, FEDERAL WAY 3-31-15 Rich Carlson
DATE REC'D SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REVD REVIEWED BY
4-01-15 17 17 4-01-15 Crystal Wright
BATCH ANALYSIS SUMMARY
CAUTION 3 of the analyzed layers contained identifiable asbestos.
,i. iike �� IB t,1 I Illi F!l i `dit�fl �� ail '1!:'-iii.: �i,�3 �
� hF4 � �.
CLIENT ID CLIENT DESCRIPTION LOCATION
221-01
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Sheet Vinyl Crystal Wright 04-01-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
' III 'I'" } I ('h uq ilii ,PPS ,Ioriii „ ,L II i' ,, m
White/tan vinyl with gray fibrous backing
r COMPOSITION CATEGORY - FIBER TYPE - PERCENTAGE 1
Non-Asbestos Fibrous Cellulose 35%
Non-Fibrous Filler and Binder 65%
, 0-1, "ii,X�''>�4$/e ;.= it aiI , i_
CLIENT ID CLIENT DESCRIPTION LOCATION
221-02
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Board Crystal Wright 04-01-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
iA �' ilidil)i whi r l (,'— 4 ice` _ il,iii '-_,tl i I�II',_ _ I _'�'� '
iI'� �Rw i �I. ,
White powder with gray fibrous material
F COMPOSITION CATEGORY j FIBER,TYPE - PERCENTAGE 1
Non-Asbestos Fibrous Cellulose 50%
Non-Fibrous Filler and Binder 50%
..._:. 0 .m �' s Iliala �Ir mkI (I: - .. }, ..... 'lI7' -,P,-,__ ,..,'tom :°e 1 . s1 y'',, �i 0'`ll��' ,—,'n.
, ;;:,,,u
CLIENT ID CLIENT DESCRIPTION LOCATION W
221-03
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
VBM Crystal Wright 04-01-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
LAYER 1 V"ikk '4ti FIS ,
Tan pliable material
r COMPOSITION CATEGORYFIBER TYPE PERCENTAGE 1
1 Non-Fibrous JFiller and Binder 1 100% I
.-,i l YER 2 GIS M' .,,,''''%,:' ll,.ItNj,I '�'lal NH'° '4..,
White mastic
T- COMPOSITION CATEGORY T FIBER TYPEPERCENTAGE
1 Non-Fibrous Filler and Binder � 100%
CONFIDENTIALITY NOTICE:This report is for the sole use of the intended recipent and may contain confidential or proprietary information.
Any unauthorized review,use,disclosure,or distribution is prohibited.
• S
410 NOVO Laboratory &Consulting, Inc. Bulk Asbestos
N 014V0
138 SW 154th Street Analysis Report
Burien,WA 98166 Page 2
laboratory&Consulting Services, Inc.
• Office: (206)244-1060 Fax: (206)244-1063 Created by Crystal W, 11:08AM 4-01-15
.13 ar ' Id. ;rG
CLIENT ID CLIENT CONTACT
1015.01 NOVO Rich Carlson
JOB ID JOB R
_ �y tr _ 4* s! 11PII G I l k 4lri .:.a }v II"' A or,
BATCH D YAF pF SAMPLING DATE SAMPLES TAKEN BY
115-1235 221-SW 356TH, FEDERAL WAY 3-31-15 Rich Carlson
DATE RECD SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REV'D REVIEWED BY
4-01-15 17 17 , 4-01-15 Crystal Wright
BATCH ANALYSIS SUMMARY
CAUTION 3 of the analyzed layers contained identifiable asbestos.
Zvi{{ _��� �'� tt' - I.'I.. I.., � Itu -F Sys I gP 117-
CLIENT
�7
SAl' PLE 1I5"i235,/4^ ,' N . , _
CLIENT ID CLIENT DESCRIPTION LOCATION
221-04
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Jc/Dw Crystal Wright 04-01-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this sample.
CAUTION s+ ' r�� � �' �IG '?.• � I ,
ASBESTOS
DETECTED Paint on off-white powder
r COMPOSITION CATEGORY - '' FIBER TYPE - PERCENTAGE
Asbestos Fibrous Chrysotile < 1%
Non-Fibrous Filler and Binder 99%
Tan papery material with white powder
r COMPOSITION CATEGORY T FIBER TYPE - PERCENTAGE -I
Non-Asbestos Fibrous Cellulose 45%
Non-Fibrous Filler and Binder 55%
IPLE# 1 a k i ° y 177111„,-41741> :74!
CLIENT
ID CLIENT DESCRIPTION LOCATION
221-05
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Jc/Dw Crystal Wright 04-01-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this sample.
ASBTESECToS on off-white
Paint powder
DETED
r COMPOSITION CATEGORY T FIBER TYPE - PERCENTABEfit 9r-
Asbestos Fibrous Chrysotile < 1%
Non-Fibrous Filler and Binder 99%
Tan papery material with white powder
r COMPOSITION CATEGORY T FIBER TYPE - PERCENTAGE
Non-Asbestos Fibrous Cellulose 45%
Non-Fibrous Filler and Binder 55%
CONFIDENTIALITY NOTICE:This report is for the sole use of the intended recipent and may contain confidential or proprietary information.
Any unauthorized review,use,disclosure,or distribution is prohibited.
r S
N AV"
NOVO Laboratory &Consulting, Inc. Bulk Asbestos
138 SW 154th Street Analysis Report
Laboratory&Consulting Services,Inc. Buries,WA 98166 Page 3
�*J }�/ Office: (206)244-1060 Fax: (206)244-1063 Created by CrystalW, 11 08A 4-01-15
T � ....- E. zl � � ,. �,z � � �� . ' III ,u -_
- CLIENT ID CLIENT CONTACT
1015.01 NOVO Rich Carlson
JOB ID JOB
id {, }��'� r �y 4i1�„��? '�"` �"m `1 F41C;
}.. DfJ/..X., .•.";: 8A : �c� ' H ��! �I�i� � 6.e` .i
BATCH ID '.CLIENT PO SAMPLING DATE SAMPLES TAKEN BY
115-1235 221-SW 356TH, FEDERAL WAY 3-31-15 Rich Carlson
DATE RECD SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REVD REVIEWED BY
4-01-15 17 17 4-01-15 Crystal Wright
BATCH ANALYSIS SUMMARY -.
CAUTION 3 of the analyzed layers contained identifiable asbestos.
$40- iE4 .T S7, tLn¢r - G; - (i
CLIENT ID CLIENT DESCRIPTION LOCATION
221-06
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Jc/Dw Crystal Wright 04-01-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this sample.
�1 r .
CAUTION � 0
DETECTED Paint on off-white powder
r COMPOSITION CATEGORY - FIBER TYPE - PERCENTAGE 1
Asbestos Fibrous Chrysotile < 1%
Non-Fibrous Filler and Binder 99%
Tan papery material with white powder
r COMPOSITION CATEGORY T FIBER TYPE - PERCENTAGE
Non-Asbestos Fibrous Cellulose 35%
Non-Fibrous Filler and Binder 65%
rtApj-,# i - `� Www.
CLIENT ID CLIENT DESCRIPTION LOCATION
221-07
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Sheet Vinyl Crystal Wright 04-01-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
White vinyl with tan fibrous material
r COMPOSITION CATEGORY T FIBER TYPE PERCENTAGE 1
Non-Asbestos Fibrous Cellulose ( 35%
Non-Fibrous Filler and Binder 65%
-iJ 191 ! 3a, ,i 1 .. (III(
CLIENT ID CLIENT DESCRIPTION LOCATION
221-08
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Sheet Vinyl Crystal Wright 04-01-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
+Eu wiS i 40" tndig, " r �" .„ ..R.;,
Brown/white vinyl with tan fibrous backing
COMPOSITION CATEGORY FIBER TYPE PERCENTAGE -�
Non-Asbestos Fibrous Cellulose 45%
Non-Fibrous Filler and Binder 55%
CONFIDENTIALITY NOTICE:This report is for the sole use of the intended recipent and may contain confidential or proprietary information.
Any unauthorized review,use,disclosure,or distribution is prohibited.
•
•
N OVO NOVO Laboratory &Consulting, Inc. Bulk Asbestos
138 SW 154th Street Analysis Report
Laboratory&Consulting Services, Inc. Burien,WA 98166 Page 4
Office: (206)244-1060 Fax: (206)244-1063 Created by CrystalW, 11:08AM 4-01-15
CLIENT ID CLIENT CONTACT
1015.01 NOVO Rich Carlson
JOB ID JOB
PLEBAC7 daI — , t ==_ 4O vIp
BATCH ID
CLIENT PO SAMPLING DATE SAMPLES TAKEN BY
115-1235 221-SW 356TH, FEDERAL WAY 3-31-15 Rich Carlson
DATE REC'D SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REVD REVIEWED BY
4-01-15 17 17 4-01-15 Crystal Wright
BATCH ANALYSIS SUMMARY '..
CAUTION 3 of the(analyzed layers contained identifiable asbestos.
CLIENT ID CLIENT DESCRIPTION LOCATION
221-09
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Sheet Vinyl Crystal Wright 04-01-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
A''2:40 ..mak 7�iIr4 >'I M (ISNII i "*, I ' '
White vinyl with gray fibrous backing
- COMPOSITION CATEGORY T FIBER TYPE PERCENTAGE -1
Non-Asbestos Fibrous Cellulose 45%
Non-Fibrous Filler and Binder 55%
CLIENT ID CLIENT DESCRIPTION LOCATION
221-10
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Sheet Vinyl Crystal Wright 04-01-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
* VVR KF4. dal;°1 11,5JJ_ „ JMNIIIII1JtaktJ1 Xit,
Off-white vinyl with tan fibrous backing
I- COMPOSITION CATEGORY FIBER TYPE PERCENTAGE 1
Non-Asbestos Fibrous Cellulose 45%
Non-Fibrous Filler and Binder 55%
(ti r ._ (iI tl�� (,I�qui ,� I��y�iF n ��i , .�i �,� ,,I e,
CLIENT ID CLIENT DESCRIPTION LOCATION
221-11
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Glazing Crystal Wright 04-01-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
rhM - IHI,,,,, N;Vopo ,l,' V,y l I t .."��
Hard white chunk
I- :..COMPOSITION CATEGORY T. FIBER TYPE T PERCENTAGE 1
Non-Fibrous (Filler and Binder I 100%
CONFIDENTIALITY NOTICE:This report is for the sole use of the intended recipent and may contain confidential or proprietary information.
Any unauthorized review,use,disclosure,or distribution is prohibited.
•
NOVO Laboratory &Consulting, Inc. Bulk Asbestos
•
OVO138 SW 154th Street Analysis Report
Burien,WA 98166 Page 5
Laboratory&Consulting Services,Inc.
Office: (206)244-1060 Fax:(206)244-1063 Created by CrystalW, 11:08AM 4-01-15
e 11c s
CLIENT ID CLIENT CONTACT
1015.01 NOVO Rich Carlson
JOB ID JOB
BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY
115-1235 221-SW 356TH, FEDERAL WAY 3-31-15 Rich Carlson
DATE RECD SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REVD REVIEWED BY
4-01-15 17 17 4-01-15 Crystal Wright
BATCH ANALYSIS SUMMARY
CAUTION 3 of the analyzed layers contained identifiable asbestos.
CLIENT ID CLIENT DESCRIPTION LOCATION
221-12
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Glazing Crystal Wright 04-01-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
` 1R
Off-white hard chunk
r COMPOSITION CATEGORY - FIBER TYPE - PERCENTAGE -�
Non-Fibrous Filler and Binder 100%
SAMPLE IJ542
CLIENT ID CLIENT DESCRIPTION LOCATION
221-13
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Mortar Crystal Wright 04-01-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
Gray coarse material
COMPOSITION CATEGORY T" FIBER TYPE , "I PERCENTAGE
Non-Fibrous !Filler and Binder 100%
CLIENT ID CLIENT DESCRIPTION LOCATION
221-14
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Composite Roofing ,Crystal Wright 04-01-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
Mineral granules on black asphaltic fibrous material
r COMPOSITION CATEGORY T FIBER TYPE - PERCENTAGE
Non-Asbestos Fibrous Glass Fiber 45%
Non-Fibrous Mineral Granules 10%
Non-Fibrous Asphalt Filler and Binder 45%
CONFIDENTIALITY NOTICE:This report is for the sole use of the intended recipent and may contain confidential or proprietary information.
Any unauthorized review,use,disclosure,or distribution is prohibited.
•
N et4V0 NOVO Laboratory &Consulting, Inc. Bulk Asbestos
138 SW 154th Street Analysis Report
Laboratory&Consulting Services, Inc. Burien,WA 98166 Page 6
Office: (206)244-1060 Fax: (206)244-1063 Created byCrystalW, 11:08AM 4-01-15
sx LIE IiIII) iii
� i�l " _ ...: I � ,xme -461111r'
6uli� :'ili � . I11I111I,�I lI14I0.... : 4614-116
CLIENT ID CLIENT CONTACT
1015.01 NOVO Rich Carlson
JOB ID JOB
`� 7iii iI4�I �Hi,o- i
BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY
115-1235 221-SW 356TH, FEDERAL WAY 3-31-15 Rich Carlson
DATE REC'D SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REVD REVIEWED BY
4-01-15 17 17 4-01-15 Crystal Wright
BATCH ANALYSIS SUMMARY
CAUTION 3 of the analyzed layers contained identifiable asbestos.
S4 / _ 407035/15
CLIENT ID CLIENT DESCRIPTION LOCATION
221-15
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Paper Crystal Wright 04-01-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
;›[.. 'Iii Uri 5, - ���' =�`N�I i
Black asphaltic fibrous material
r COMPOSITION CATEGORY - FIBER TYPE - PERCENTAGE 1
Non-Asbestos Fibrous Cellulose 65%
Non-Fibrous Asphalt Filler and Binder 35%
'1lSANP Jr5-1235, 1 S 4 ��' uII '9uIIII
CLIENT ID CLIENT DESCRIPTION LOCATION
221-16
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Composite Roofing Crystal Wright 04-01-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
LAYER-Ii D 9Ina
}I filen
Mineral granules on black asphaltic fibrous material
r COMPOSITION CATEGORY T FIBER TYPE - PERCENTAGE 1
Non-Asbestos Fibrous Glass Fiber 40%
Non-Fibrous Mineral Granules 10%
Non-Fibrous Asphalt Filler and Binder 50%
' A1lfx`15 12351 J -4:1,4110k; II 4410
CLIENT ID CLIENT DESCRIPTION LOCATION
221-17
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Paper Crystal Wright 04-01-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
9Y t' "
Black asphaltic fibrous material
r COMPOSITION CATEGORY - FIBER TYPE - PERCENTAGE
Non-Asbestos Fibrous Cellulose 40% 1
Non-Fibrous Asphalt Filler and Binder 60%
[End of Batch]
Crystal Wright,Labory Supervisor
CONFIDENTIALITY NOTICE This report is for the sole use of the intended recipent and may contain confidential or proprietary information.
Any unauthorized review,use,disclosure,or distribution is prohibited.
ATTACHMENT 2
SAMPLE AND MATERIAL LOCATION DRAWINGS
•
•
NOVO
GENERAL NOTES — ASBESTOS N
L. THIS IS AN ASBESTOS SURVEY DRAWING INTENDED i0 ,,,,,,,,,,,,,
MM-44 WALLBOARD/WR f .NNEM TO AN D�S SUR Y RE RT AND IS NOT
INTTHIS DRAWING NDED TO.IS USE
INTENDED TO BE USED AS A
PROEESSIDNAL ASBESTOS PROJECT DESIGN DRAWING EOR
7rI ACTUAL ORECT.OF
WOIS KELY TO BE RK.IF
BYSTHE PROPOSED
PROJECTDIDERNINED
MUEMCNISPRPN2 ONAI BE RETAMEDDTTO DEVELOP
a WALLBOARD .1‘
PROJECT vLANS AND SPECIFIC....
/NN J z. D ASSOCIATED WITH GYPSUM WALLBOARD
S.M.
INT PRESENT THROUGHOUT THE HOME Was TESTED
C 'R MG NR ' 1EE7 vN w AND
OLDC TMTO�ipRIAI SAFETY NTAIN h LESS
ADASBESTuwISTRW'AnOx
M KK
m ROO PARR aW gCEwNExi BOARD l (G REQ TAT[fffP=A
NT rFtr 1 W
PROTECTION AND PERMIT PURPOSES. EXPOSURE
1a CDR1MLDa MUYt1M5E ) THESESuENTS ARE MATERIA T AREGNOT REC..OR TO.TO THE ISA`E
- �� NW. DEGREECONTAINING OIFATER THAN %
ASBESTOS
- — mnlN. O COMPOUND
CSHEET vl
IH
CETIMMUM�---------------_____________.....
JE j ro WALLBOARD
m
�n/Ns
(LAZING COMPOUND
LEGEND:
ASBESTOS SAMPLE: AND SAMPLE
C MATERIAL SNEET'MR DESCRIPTION LOCATNATURAL
DRAWING
XEEi Wm
NIMMIN® SAMPLE B RESULT
CM WROO oC1wMR - 221 SWWO MEET
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•
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lafterctaly Camakkg&mks&�
ATTACHMENT 3
CERTIFICATIONS
• 0
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Certificate of Completion to,,,,,4,,,,,,
, This is to certify that
R
� g Richard L. Carlson
` ,.. ,-,..( has satisfactorily completed
4 hours of refresher training as an i
e Asbestos Building Inspector
to comply with the training requirements of5 ^
TSCA Title II / 40 CFR 763 (AHERA) b
'i )\
,'' 150148
Certificate Number
{
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Feb 18, 2015 '°rb';'4,i.,4„.q64F.-74,6,..,_
'(
Instructor ARGUS n Date(s)of Training
EPA Provider Cert. Number: 1085 ^�
T e TRAINING•CONSULTING l 1 Exam Score: NA .
kii ii
-;' Expiration Date: Feb 18, 2016
116,Piel-;',-,
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i, Argus Pacific,Inc.•1900 W.Nickerson,Suite 315•Seattle,Washington•98119•206 285.3373•fax 206.285.3927ve °
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0 •
• 138 S.W. 154th Street
Suite B N OV 0
Burien,Wa. 98166
Phone:206.244.1060 Laboratory&Consulting Services,Inc.
Fax: 206.244.1063
April 23, 2015
Mr. Kris Schall
LANDMARK HOME,Inc.
2715 64th Avenue NE
Tacoma, Washington 98422
Transmitted via E-Mail to: krisschall(Z comcast.net
NOVO Project No. 0136-153.001
Subject: Good Faith Inspection Letter
225 SW 356th Street, Federal Way, WA
Dear Mr. Schall:
On April 2, 2015, Rich Carlson (Asbestos Inspector Certification#: 150148 /Certification
Expiration Date: 02/18/2016), from NOVO Laboratory and Consulting Services, Inc. (NOVO)
conducted a targeted assessment of suspect asbestos-containing materials (ACM) associated with
the single family residence located at 225 SW 356th Street, Federal Way, Washington (subject
property).
The purpose of the survey was to provide information in order to meet the AHERA asbestos
sampling protocol as stated in 40 CFR 763.86. This sampling protocol is required for all
asbestos surveys prior to renovation or demolition of a building under the Puget Sound Clean Air
Agency,Regulation III, Section 4.
In addition,the survey assists the building owner in meeting the "Good Faith Inspection"
requirements as stated in Washington Administrative Code 296-62-07721, (Communication of
Hazards to Employees). Under the regulation,the Owner of a building to be renovated or
demolished must present a contractor with a written statement whether the materials to be
disturbed contain asbestos prior to submitting a bid.
PROJECT DESCRIPTION
NOVO understands that the subject property is scheduled for demolition.
BUILDING DESCRIPTION
The subject property is a split-level, single-family residence consisting of approximately 2,600
square feet of finished floor space. There is also a 600 square foot attached garage at the east
end of the lower level. The structure is wood framed on a concrete slab at the lower level.
C:\Documents and Settings\Owner\My Documents\Dropbox\Consulting\Projects\0136_Landmark Homes\225 SW 356th.DOC
ill •
N VO
„"r talyQ..ru sSawa.~rr.
Mr.Kris Schall Page 2
Landmark Home,Inc NOVO Project No.0136-153.001
Good Faith Inspection Letter—225 SW 356th St April 23,2015
Upper level floors are wood decking. Flooring areas at both levels are finished with various
floor coverings including sheet vinyl,vinyl floor tile,hardwood, and carpeting. Interior walls
and ceilings are gypsum wallboard. Select ceiling areas throughout the home have a spray
applied"popcorn"texture applied to the wallboard. Exterior siding is wood siding. Window
frames were metal with non suspect glazing and sealants. The roof-line is slightly pitched and is
finished with 3-tab roofing shingles.
METHODS OF THE SURVEY
A walk through inspection of interior portions of the subject property was performed to identify
suspect ACM. Sub-surface suspect materials were investigated on a limited basis. A limited
inspection was conducted to investigate concealed spaces in the area;however,not all concealed
spaces have been surveyed for suspect ACM.
The survey was performed following a modified sampling protocol for the demolition as outlined
under AHERA,40 CFR 763,the Puget Sound Clean Air Agency,Regulation III,Article 4, and
the State of Washington Department of Labor and Industries WAC 296-62-077021. The
inspectors determined approximate quantity of each homogeneous material by field
measurements.
Materials within the building that were similar throughout in terms of color,texture, and date of
material application were identified as a homogenous sampling area(HSA) and recorded.
Representative bulk samples from each homogenous sampling area were collected in accordance
with protocols outlined in the USEPA AHERA regulations.
Sections of the material were removed and placed in sealed containers,marked with a sample
identifier and delivered under proper chain of custody procedures to our NLCS laboratory for
analysis. All samples were taken within EPA guidelines to minimize potential contamination to
the surrounding area. Bulk sample locations,notes, and observations were made on-site at the
time of sampling.
A total of twenty-one (21)bulk material samples were collected and analyzed for asbestos.
Samples, copies of the field data sheet, and chain-of-custody submittal sheets were delivered to
our own Burien laboratory for asbestos analysis. As specified in 40 CFR Chapter I (1-1-87
edition)Part 763, Subpart F,Appendix A, each sample was analyzed using polarized light
microscopy(PLM)/dispersion staining techniques, in accordance with U.S. EPA Method
600/M4-82-020. Detection limits for this type of analysis are approximately one percent(by
volume). Materials containing more than one-percent asbestos are considered to be asbestos-
containing materials (ACM). NOVO performs reanalysis of 10%of all bulk samples analyzed
for asbestos, as part of their Quality Management Program. Results of the laboratory analyses
are contained in Attachment 1.
C:\Documents and Settings\Owner\My Documents\Dropbox\Consulting\Projects\0136 Landmark Homes\225 SW 356th.DOC
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Mr.Kris Schall Page 3
Landmark Home,Inc NOVO Project No.0136-153.001
Good Faith Inspection Letter—225 SW 356th St April 23,2015
LIMITATIONS
Limiting Conditions
The inspection was limited to accessible spaces within the subject property. An accessible space
is defined as an area that can be physically entered and investigated without requiring destructive
measures. We did not attempt to disassemble equipment. Building equipment could contain
asbestos materials that may not be discovered until exposed during renovation/demolition
activities. If during the course of renovation, suspect materials are discovered that are not
identified in this report, the materials should be treated as asbestos containing until the material
is sampled by an AHERA Certified Building Inspector and analyzed by an accredited laboratory.
Limitations of the Survey
The conclusions of the report are professional opinions based solely upon visual site
observations and interpretations of laboratory analyses as described in our report. The opinions
presented herein apply to the site conditions existing at the time of our investigation, and
interpretation of current regulations pertaining to asbestos-containing building materials.
Therefore, our opinions and recommendations may not apply to future conditions that may exist
at the building,which we have not had the opportunity to evaluate. The regulations should
always be verified prior to any work involving asbestos-containing building materials.
Within the limitations of scope, schedule, and budget, our services have been executed in
accordance with generally accepted practices in this area at the time this report was prepared.
No other hazardous materials/wastes were investigated. No other conditions, expressed or
implied, should be understood.
SAMPLING RESULTS AND DISCUSSION
The following is a summary of the bulk asbestos samples collected during the inspection and
their laboratory results:
Material Description Sample# Layer Location Lab Result
Sheet vinyl(brown),associated backing
and adhesive 225-01 Kitchen NAD
Sink undercoating(black) 225-02 Kitchen 2%Ch
Sheet vinyl(off-white),associated
backing and adhesive 225-03 Laundry room 35%Ch
Joint compound 225-04 1 Laundry room <1%Ch
Wallboard 225-04 2 Laundry room NAD
Ceiling texture 225-05 Kitchen 5%Ch
Joint compound 225-06 1 Bedroom <1%Ch
Wallboard 225-06 2 Bedroom NAD
C:\Documents and Settings\Owner\My Documents\Dropbox\Consulting\Projects\0136 Landmark Homes\225 SW 356th DOC
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' Mr.Kris Schall Page 4
Landmark Home,Inc NOVO Project No.0136-153.001
Good Faith Inspection Letter—225 SW 356th St April 23,2015
Material Description Sample# Layer Location Lab Result
Ceiling texture 225-07 Bedroom 5%Ch
Joint compound 225-08 1 Bathroom <1%Ch
Wallboard 225-08 2 Bathroom NAD
Sheet vinyl(off-white),associated
backing and adhesive 225-09 Bathroom 35%Ch
Joint compound 225-10 1 Bedroom <1%Ch
Wallboard 225-10 2 Bedroom NAD
Ceiling texture 225-11 Bedroom 5%Ch
Ceiling texture 225-12 Dining room 5%Ch
Joint compound 225-13 1 Living room <1%Ch
Wallboard 225-13 2 Living room NAD
Ceiling texture 225-14 Lower level family room 5%Ch
Joint compound 225-15 1 Lower level family room <1%Ch
Wallboard 225-15 2 Lower level family room NAD
Joint compound 225-16 1 Lower level closet <1%Ch
Wallboard 225-16 2 Lower level closet NAD
Floor tile(white/tan) 225-17 1 Lower level closet NAD
Adhesive(gold)associated with above
floor tile 225-17 2 Lower level closet NAD
Sheet vinyl(white/tan),associated
backing and adhesive 225-18 Lower level kitchen NAD
Sealant(gray) 225-19 Lower level storage room NAD
3 tab roofing 225-20 Roof NAD
Paper(black)associated with above 3
tab roofing 225-21 Roof NAD
Legend:
NAD No Asbestos Detected
Note: Determination of friability was made in field for sampling purposes only
Material Location Estimated Quantity*
Stainless steel sink contaminated with Upper level 1 Sink
asbestos containing undercoating (black) kitchen
Sheet vinyl (off white) flooring, associated Upper level 100 square feet
backing and adhesive laundry room
C:\Documents and Settings\Owner\My Documents\Dropbox\Consulting\Projects\0136_Landmark Homes\225 SW 356th DOC
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N OVO
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Page 5
Mr.Kris Schall NOVO Project No.0136-153.001
Landmark Home,Inc April 23,2015
Good Faith Inspection Letter—225 SW 356thSt
Material Location Estimated Quantity*
Sheet vinyl(off white)flooring, associated Upper level 150 square feet
backing and adhesive bathrooms
Spray applied texture at select Throughout 2,400 square feet
gypsum wallboard ceilings
*Quantities of ACM are approximate, and should not be relied upon solely for the development
of an abatement bid proposal. Bidders must verify the quantities shown in the field, and base
their proposals upon their own estimation.
Joint compound associated with gypsum wallboard systems present throughout the home was
tested and found to contain 1%or less asbestos. The federal Occupational Safety&Health
Administration(OSHA), and the State Department of Labor and Industries regulate these
materials for worker protection and permit purposes. Initial exposure assessments are required
prior to work impacting these materials,but are not regulated to the same degree as materials
containing greater than 1%asbestos.
It is a pleasure doing business with you. If you have questions or require additional information
please contact me at 206.244.1060 or via email at rich@novolc.com. Thank you.
Sincerely,
Crystal Wright
Project Manager
Laboratory Services Manager
NOVO Laboratory and Consulting Services
Reviewed By:
Richard L.Carlson
Consulting Services Manager
NOVO Laboratory and Consulting Services
1 —Sampling Data-Bulk Asbestos Laboratory Data Sheets
2—Sample and Material Location Drawings
3—Certifications
C:\Documents and Settings\Owner\My Documents\Dropbox\Consulting\Projects\0136 Landmark Homes\225 SW 356th.DOC
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ATTACHMENT 1
BULK ASBESTOS LABORATORY DATA SHEETS
•
NOVO Laboratory & 138 SW 154th Street
N "'A 'it 0
Burien,WA 98166
Consulting, Inc.
Laboratory&Consulting Services, Inc. Office: (206)244-1060
Fax: (206)244-1063
April 3, 2015
Rich Carlson
NOVO
138 SW 154th Street
Burien,WA 98166
RE: Bulk Asbestos Fiber Analysis; Batch 115-1243
Dear Rich
Thank you for choosing NOVO Laboratory and Consulting, Inc.as your laboratory. Enclosed you will find test results for the
bulk samples submitted to the laboratory. The samples were examined for the prescence of identifiable asbestos fibers using
polarized light microscopy(PLM)with dispersion staining in accordance with the U.S. EPA Method 600/R-93/166, "Method for
determination of asbestos in Bulk Building Materials."
The samples containing more than one separable layer were separated and given an individual result, as required by the
National Emission Standard for Hazardous Air Pollutants(NESHAP,40 CFR-Part 61) protocol that multi-layered samples be
analyzed and reported separately. Asbestos concentration in samples is determined by visual estimation and reported by
percent on a volume basis.
For samples with asbestos concentrations between 1 and 10 percent based on visual estimation,the EPA recommends a
procedure known as point counting. Point counting is a statistically more accurate means of quantification for samples with
low concentrations of asbestos. An alternative method also recommended by the EPA is to have the sample analyzed by
transmission electronic microscopy methods. If you would like us to follow any of the recommendations listed above, please
contact us.
For samples containing vermiculite, prior to its close in 1990, much of the world's supply of vermiculite came from a mine
near Libby, Montana. This mine had a natural deposit of asbestos which resulted in the vermiculite being contaminated with
asbestos.Attic insulation produced using vermiculite ore, particularly ore that originated from the Libby mine, may contain
asbestos fibers. Due to inconsistencies in the levels of contamination of vermiculite and limitations in the current best practice
analytical methods the EPA recommends that vermiculite be presumed to contain asbestos.
This report is confidential and will not be released without prior written approval. Samples are archived for Fifteen(15)days
following analysis. Please contact us if samples need to be archived longer than the standard holding time.
The information you receive relates only to the items tested. Accuracy of the results is limited by the methodology and
expertise of the sample collector. The analyses at NOVO Laboratory and Consulting, Inc.are cross-checked with other
laboratories for quality assurance purposes.
Thank you for using NOVO Laboratory and Consulting, Inc. If you have any questions please don't hesitate to call.
Crystal Wright
Laboratory Supervisor
Enclosure: Bulk Sample Results
•
• •
NOVO Laboratory &Consulting, Inc. Bulk Asbestos
J 138 SW 154th Street Analysis Report
Burien,WA 98166 Page 1
Laboratory&Consulting Services, Inc.
Office:(206)244-1060 Fax: (206)244-1063 Created by CrystalW, 10:32AM 4-03-15
•
CLIENT ID CLIENT CONTACT
1015.01 NOVO Rich Carlson
JOB ID JOB
$ULI .$IM,,PLEBd1T x 4,7 4.... I 4 444,1- F'. 444 14444 . „44 44
BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY
115-1243 225-SW 356TH FEDERAL WAY W 4-02-15 Rich Carlson
DATE RECD SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REVD REVIEWED BY
4-03-15 21 21 4-03-15 Crystal Wright
BATCH ANALYSIS SUMMARY
CAUTION 15 of the analyzed layers contained identifiable asbestos.
1CLIENT CLIENT ID DESCRIPTION LOCATION
225-01
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Vinyl Crystal Wright 04-03-15 _Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
Brown vinyl with tan fibrous backing
r
COMPOSITION CATEGORY - FIBER TYPE - PERCENTAGE -
Non-Asbestos Fibrous Cellulose 45%
Non-Fibrous Filler and Binder 65%
CLIENT ID CLIENT DESCRIPTION LOCATION
225-02
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Sink Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this sample.
CAUTION ?, m,ASBESTOS
DETECTED Black powdery material
r COMPOSITION CATEGORY - FIBER TYPE - PERCENTAGE -
Asbestos Fibrous Chrysotile 2%
Non-Fibrous Filler and Binder 98%
s 1 �.S 7'��(�PF F” a_ � F, �, .. _ry '' �',� ' �, —� I,-:�III� F� �; �(�°�• r+;- 'rye
CLIENT ID CLIENT DESCRIPTION LOCATION
225-03
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Vinyl Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this sample.
CAUTION A'Lt1Y 1 "' s xr
CETEtra Off-white vinyl with white fibrous backing and mastic
LAYER NOTE Unable to separate
r COMPOSITION CATEGORY T FIBER TYPE - 'V CEG }E
Asbestos Fibrous Chrysotile 35%
Non-Fibrous Filler and Binder 65%
CONFIDENTIALITY NOTICE:This report is for the sole use of the intended recipent and may contain confidential or proprietary information.
Any unauthorized review,use,disclosure,or distribution is prohibited.
•
NOVO Laboratory &Consulting, Inc. Bulk Asbestos
. p4 n v 0138 SW 154th Street Analysis Report
Laboratory&Consulting Services, Inc. Buries,WA 98166 Page 2
- Office: (206)244-1060 Fax: (206)244-1063• Created by CrystalW,10:32AM 4-03-15
CLIENT ID CLIENT CONTACT
1015.01 NOVO Rich Carlson
JOB ID JOB
BULKvr`AI' PLEB „i , " > - ,, J
BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY
115-1243 ,225-SW 356TH FEDERAL WAY W, 4-02-15 Rich Carlson
DATE RECD SAMPLES SUBMITTEDI SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REVD REVIEWED BY
4-03-15 21 21 4-03-15 Crystal Wright _
BATCH ANALYSIS SUMMARY
CAUTION 15 of the analyzed layers contained identifiable asbestos.
SAMPLE la-1243/411' _ ,, !.
CLIENT ID CLIENT DESCRIPTION LOCATION
225-04
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Jc/Dw Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this sample.
CAUTION ,e IAYEIR.1 a _ ,ii 11 ill'',:':...
DETESTED paint on off-whitepowder
DETECTED p
r COMPOSITION CATEGORY FIBER TYPE -- PERCENTAGE -
Asbestos Fibrous Chrysotile < 1%
Non-Fibrous Filler and Binder 99%
SOP
1154243/c r It m ' 411 ', ' ' ',7g(„;121,-,,I
SAN jI` --TIP �1 I li:; o ..-77,'";:7, � ,1,,;27 `' _..
CLIENT ID CLIENT DESCRIPTION LOCATION
225-05
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Ceiling Text Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this sample.
CAUTION s AYBR/=.1" , , 1;�. fi .,;-,W ,E;` ,!, ''' I 171 6 i r[ _311PP ,-11111,'P',41 =
ASBESTOS DETECTED Off-white lumpy powdery material
r COMPOSITION CATEGORY - FIBER TYPE - PERCENTAGE -1
Asbestos Fibrous Chrysotile 5%
Non-Fibrous Filler and Binder 95%
CLIENT ID CLIENT DESCRIPTION LOCATION
225-06
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Jc/Dw Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this sample.
CAUTION J?LfiYER 1 -4 ASBESTOS
--
DETECTED Paint on white powder
r COMPOSITION CATEGORY i FIBER TYPEPERCENTAGE
Asbestos Fibrous Chrysotile < 1%
Non-Fibrous Filler and Binder , 99%
Tan papery material with white powder
r COMPOSITION CATEGORYFIBER TYPE -- PERCENTAGE -
Non-Asbestos Fibrous Cellulose 35%
Non-Fibrous Filler and Binder 65%
CONFIDENTIALITY NOTICE:This report is for the sole use of the intended recipent and may contain confidential or proprietary information.
Any unauthorized review,use,disclosure,or distribution is prohibited.
• •
NOVO Laboratory &Consulting, Inc. Bulk Asbestos
. N n V 0
138 SW 154th Street Analysis Report
Laboratory&Consulting Services, Inc. Burien,WA 98166 Page 3
Office: (206)244-1060 Fax: (206)244-1063 Created by Crystal W,1032A 4-03-15
CLIENT ID CLIENT CONTACT
1015.01 NOVO Rich Carlson
JOB ID JOB
3}BULK AM BA7 i�IIU_= 5 ' 1- it" 1111.... 771111 '--- t ,;:Pik ,I _ i'a
....... T�' Na ,fir ...... ......
BATCH ID CLIENT PO SAMPLING DATE iSAMPLES TAKEN BY
115-1243 225-SW 356TH FEDERAL WAY W 4-02-15 Rich Carlson
DATE REC'D SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REV'D REVIEWED BY
4-03-15 21 , 21 4-03-15 Crystal Wright
BATCH ANALYSIS SUMMARY
CAUTION 15 of the analyzed layers contained identifiable asbestos.
=rI h — ( i1 � r-I 1 r�II ice:
SAM LEI15-12431/ c = II = _ q _ ! u
CLIENT ID CLIENT DESCRIPTION LOCATION
225-07
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Text Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this sample.
CAUTION 0lAY£R1 !1:1,-, L,--. 7.1_, °„@s 1 (r 'p ,,1`'1
ASBESTOS
DETECTED Lumpy powdery material
r COMPOSITION CATEGORY - FIBER TYPE PERCENTAGE -
Asbestos Fibrous Chrysotile 5%
Non-Fibrous Filler and Binder 95%
CLIENT ID CLIENT DESCRIPTION LOCATION
225-08
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Jc/Dw Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this sample.
ASBESTOS CAUTION LAYERI
DETECTED Paint on white powder
r ' COMPOSITION CATEGORY 1 FIBER TYPE= PERCENTAGE
Asbestos Fibrous Chrysotile < 1%
Non-Fibrous Filler and Binder 99%
> .01 - , P
Tan papery material with white powder
—' COMPOSITION CATEGORY - FIBER TYPE - PERCENTAGE
Non-Asbestos Fibrous Cellulose 35%
Non-Fibrous Filler and Binder 65%
)5 SAMPLE 115-424 9 ...,., g r,ly= _ k... ..`! r{'57.`= i
CLIENT ID CLIENT DESCRIPTION LOCATION
225-09
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Sheet Vinyl Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this sample.
DETECTED Brown vinyl with white fibrous backing
n COMPOSITION CATEGORY - FIBER TYPE - '.:PERCENTAGE
Asbestos Fibrous Chrysotile 35%
Non-Fibrous Filler and Binder 65%
CONFIDENTIALITY NOTICE:This report is for the sole use of the intended recipent and may contain confidential or proprietary information.
Any unauthorized review,use,disclosure,or distribution is prohibited.
. •
NOVO Laboratory &Consulting, Inc. Bulk Asbestos
N rAVO 138 SW 154th Street Analysis Report
Burien,WA 98166 Page 4
Laboratory&Consulting Services,Inc.
Office: (206)244-1060 Fax: (206)244-1063 Created by CrystalW,10:32AM 4-03-15
CLIENT ID CLIENT CONTACT
1015.01 NOVO Rich Carlson
JOB ID JOB
1DUL Ayr1.:E14 am .5555 ..
........�
BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY
115-1243 225-SW 356TH FEDERAL WAY W, 4-02-15 Rich Carlson
DATE RECD SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED 1 SAMPLES NOT REVIEWED DATE REVD REVIEWED BY
4-03-15 21 21 4-03-15 Crystal Wright
BATCH ANALYSIS SUMMARY
CAUTION 15 of the analyzed layers contained identifiable asbestos.
CLIENT ID CLIENT DESCRIPTION LOCATION
225-10
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Jc/Dw Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this sample.
ASBESTOS
DETECTED Paint on white powder
-- COMPOSITION CATEGORY FIBER TYPE - PERCENTAGE -
Asbestos Fibrous Chrysotile < 1%
Non-Fibrous Filler and Binder 99%
Tan papery material with white powder
- COMPOSITION CATEGORY - FIBER TYPE - PERCENTAGE
Non-Asbestos Fibrous Cellulose 30% _
Non-Fibrous Filler and Binder 70%
SAMPLE-145,77:0-#A1r
CLIENT ID CLIENT DESCRIPTION LOCATION
225-11
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Text Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this''rysample.
CAUTION .,sM "I! --ilNl'I"� �i'i���Illtl i�!al dill =�� ' f- `511!1" a�lp�u it[�i!y,! �I !� hl "''�I!= ;fll�lllln .-ii-
NUE:2 Off-white lumpy powdery material
- COMPOSITION CATEGORY T FIBER TYPE - PERCENTAGE
Asbestos Fibrous Chrysotile 5%
Non-Fibrous Filler and Binder 95%
IIfPLE X15--124 i2 'I _ h
�� 1... � _ Il �,� ! ...!IF �—�P'...I��—= Gln � � I',:. �6 h r,� �:�!N��s �
CLIENT ID CLIENT DESCRIPTION LOCATION
225-12
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Text Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this sample.
ASBESTOS
DETECTED Off-white lumpy powdery material
- COMPOSITION CATEGORY - FIBER TYPE PERCENTAGE -
Asbestos Fibrous Chrysotile 5%
Non-Fibrous Filler and Binder 95%
CONFIDENTIALITY NOTICE:This report is for the sole use of the intended recipent and may contain confidential or proprietary information.
Any unauthorized review,use,disclosure,or distribution is prohibited.
i •
._ NOVO Laboratory &Consulting, Inc. Bulk Asbestos
- N138 SW 154th Street Analysis Report
Laboratory&Consulting Services, Inc. Burien,WA 98166 Page 5
Office:(206)244-1060 Fax: (206)244-1063 Created by CrystalW, 10 32A 4-03-15
CLIENT ' S
CLIENT ID CLIENT CONTACT
1015.01 NOVO Rich Carlson
JOB ID JOB
' k5AMPLE$AT ra i ,,I ;„ArAth t?° _ -
BATCH ID CLIENT PO" SAMPLING DATE SAMPLES TAKEN BY
115-1243 ,225-SW 356TH FEDERAL WAY W 4-02-15 Rich Carlson
DATE RECD 'SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REVD REVIEWED BY
4-03-15, 21 21 4-03-15 Crystal Wright
BATCH ANALYSIS SUMMARY
CAUTION 15 of the analyzed layers contained identifiable asbestos.
) SAMPLE15424 1111
1
4fi 4 iPP : 91,11i1 J L'
CLIENT ID 'CLIENT DESCRIPTION LOCATION
225-13
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Jc/Dw Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this sample.
CAUTION WI
ASBESTOS
DETECTED Paint on white powder
- '.COMPOSITION CATEGORY -v,' I •FIBER TYPE PERCENTAGE
Asbestos Fibrous Chrysotile < 1%
Non-Fibrous Filler and Binder 99%
1AYER2 .I f. •:�
Tan papery material with white powder
- COMPOSITION CATEGORY -` FIBER TYPE - PERCENTAGE -
Non-Asbestos Fibrous Cellulose 45%
Non-Fibrous Filler and Binder 55%
AMPLE 115-42431 X fi fifififififiq4 ,
CLIENT ID CLIENT DESCRIPTION LOCATION
225-14
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Text Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this sample.
CAUTION ssL4YER1_ _ ,i ,. ',9* fili fifiI.
ASBESTOS DETECTED Off-white lumpy powdery material
- COMPOSITION CATEGORY FIBER TYPE - PERCENTAGE
Asbestos Fibrous Chrysotile 5%
Non-Fibrous Filler and Binder 95%
CONFIDENTIALITY NOTICE:This report is for the sole use of the intended recipent and may contain confidential or proprietary information.
Any unauthorized review,use,disclosure,or distribution is prohibited.
• •
NOVO Laboratory &Consulting, Inc. Bulk Asbestos
138 SW 154th Street Analysis Report
N nvo
Laboratory&Consulting Services, Inc. Burien,WA 98166 Page 6
Office: (206)244-1060 Fax: (206)244-1063 Created by Crystal W,10:32AM 4-03-15
CLIENT ID CLIENT _...... .CONTACT
1015.01 NOVORich Carlson
JOB ID JOB �� (�
Ail -, iiillil rte: qr ,. 1�ii` " �j ?1-, t�FC'k
BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY
115-1243 225-SW 356TH FEDERAL WAY W 4-02-15 Rich Carlson
DATE RECD SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REV'D REVIEWED BY
4-03-15 21 21 4-03-15 Crystal Wright
BATCH ANALYSIS SUMMARY
CAUTION 15 of the analyzed layers contained identifiable asbestos.
'JAf'1F�i 4,14 , NI -11,V5-71;.,,11,114:10" .,„1,17 1 : .. - k _
CLIENT ID CLIENT DESCRIPTION LOCATION
225-15
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Jc/Dw Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this sample.
CAUTION rko.-:- ,= 4I` ', mx
ASBESTOS
DETECTED Paint on white powder
r COMPOSITION CATEGORY - FIBER TYPE PERCENTAGE -
Asbestos Fibrous Chrysotile < 1%
Non-Fibrous Filler and Binder 99%
u„ I
Tan papery material with white powder
- COMPOSITION CATEGORYFIBER TYPE - PERCENTAGE -
Non-Asbestos Fibrous[Cellulose 30% _
Non-Fibrous Filler and Binder 70%
04400'.E41. $4107,160'' 110' ,,,, ,.I� lir 3 Y (l- r1,w.,,!,
CLIENT ID CLIENT DESCRIPTION LOCATI -
ON �
225-16
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Jc/Dw Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
CAUTION Asbestos was detected in this sample.
CAUTION LAYER I'; i''' '. ' _ , tee. IIP
ASBESTOS
DETECTED Paint on white powder
- COMPOSITION CATEGORY - FIBER TYPE i "q'ii n, -
Asbestos Fibrous Chrysotile < 1%
i Non-Fibrous Filler and Binder 99%
'LAYER 2
Tan papery material with white powder
COMPOSITION CATEGORY PERCENTAGE -1hr
E Non-Asbestos Fibrous Cellulose 35%
Non-Fibrous Filler and Binder 65%
CONFIDENTIALITY NOTICE.This report is for the sole use of the intended recipent and may contain confidential or proprietary information.
Any unauthorized review,use,disclosure,or distribution is prohibited.
s •
1'4 NOVO Laboratory &Consulting, Inc. Bulk Asbestos
M 138 SW 154th Street Analysis Report
Laboratory&Consulting Services,Inc. Burien,WA 98166 Page 7
Office: (206)244-1060 Fax:(206)244-1063 Created by CrystalW, 10:32AM 4-03-15
•
4/ E 7 iI
CLIENT ID CLIENT CONTACT
1015.01 NOVO Rich Carlson
JOB ID JOB
*tett,- SAMPLEBArC i..iX) LI _ru'd a II,,:II q �u` IX�aq., tNG III�� 6 1b� X Tc P@
i
BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY
115-1243 225-SW 356TH FEDERAL WAY W 4-02-15 Rich Carlson
DATE RECD SAMPLES SUBMITTED1 SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REVD REVIEWED BY
4-03-15 21 21 4-03-15 Crystal Wright
BATCH ANALYSIS SUMMARY
CAUTION 15 of the analyzed layers contained identifiable asbestos.
? SAM 11.5-4243/1 .110
I� ;}
CLIENT ID CLIENT DESCRIPTION LOCATION
225-17
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Floor Tile Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
.0 44YAR.7,11:114 1.3-,a. I "i :ae; i° -i c
White vinyl tile
- COMPOSITION CATEGORY T FIBER TYPE - PERCENTAGE
Non-Fibrous Filler and Binder 100%
LAYER ,fi�r�P%hR, °t �' v eXsL,
Gold mastic
r COMPOSITION CATEGORY - FIBER TYPE T PERCENTAGE
Non-Fibrous Filler and Binder 100% 1
1154 24,3';'!,, . s 1v>Ir
CLIENT ID CLIENT DESCRIPTION LOCATION
225-18
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Sheet Vinyl Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
LAYER
White/tan vinyl with gray backing
- COMPOSITION CATEGORY • FIBER TYPE : PERCENTAGE
Non-Asbestos Fibrous Cellulose 35%
Non-Fibrous Filler and Binder 65%
oii
r ,, II,4 -�_°'
' ,
CLIENT ID CLIENT DESCRIPTION LOCATION
225-19
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Sealant Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
k'
LA
Gray pliable material
- COMPOSITION CATEGORY T FIBER TYPE PERCENTAGE
Non-Fibrous Filler and Binder I 100%
CONFIDENTIALITY NOTICE:This report iso for the sole use of the intended recipent and may contain confidential or proprietary information.
Any unauthorized review,use,disclosure,or distribution is prohibited.
. • fb
N or v NOVO Laboratory&Consulting, Inc. Bulk Asbestos
, 44
138 SW 154th Street Analysis Report
Laboratory&Consulting Services, Inc. Burien,WA 98166 Page 8
Office: (206)244-1060 Fax: (206)244-1063 Created by CrystalW, 1032A 4-03-15
t svT ,' 4"i'' ` rli " ,11*"..""lb' - I „t1„,-- 0111'"""(--7”
CLIENT ID CLIENT CONTACT
•
1015.01 NOVO Rich Carlson
JOB ID JOB
qtr 4;t - AT 421
itrp 4- ���Illii 1n ,.il' , IIS T"c�d 1' it��Lf1 If�L.�(JI`!t .; �,�lii �` ,n, .I�) �,#a Ili!` 5 `, �� i��� ` � � � ISI v �� �� ��BATCH ID 'CLIENT PO SAMPLING DATE SAMPLES TAKEN BY
115-1243 225-SW 356TH FEDERAL WAY 4-02-15 Rich Carlson
DATE RECD SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REV'D REVIEWED BY
4-03-15 t 21 21 4-03-15 Crystal Wright
BATCH ANALYSIS SUMMARY
CAUTION 15 of the analyzed layers contained identifiable asbestos.
*'SAMPLE 115-1243 j 20 _,: 14,,:, I ;��-Al
CLIENT ID CLIENT DESCRIPTION I LOCATION
225-20
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
3 Tab Roofing Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
a.LAYER 1 - i
Mineral granules on black asphaltic material
- COMPOSITION CATEGORY FIBER TYPE - PERCENTAGE
Non-Asbestos Fibrous Glass Fiber 45%
Non-Fibrous Mineral Granules 10%
Non-Fibrous Asphalt Filler and Binder 45% 7
sAmpa 11,57-440/21
CLIENT ID CLIENT DESCRIPTION LOCA TION
225-21
LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS
Paper Crystal Wright 04-03-15 Analyzed
SAMPLE ANALYSIS SUMMARY
No identifiable asbestos was detected in this sample.
*LAYER 1 , PSI -------: ', -- II ,,`„%„..,•,\ ;y
Black asphaltic fibrous material
r COMPOSITION CATEGORY - FIBER TYPE - PERCENTAGE
Non-Asbestos Fibrous Cellulose 65%
Non-Fibrous Asphalt Filler and Binder 35%
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[End
of Batch]
Crystal Wright,Lary Supervisor
CONFIDENTIALITY NOTICE This report is for the sole use of the intended recipent and may contain confidential or proprietary information.
Any unauthorized review,use,disclosure,or distribution is prohibited.
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