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16-104038 Demolition City of FeWay Permit #: 16-104038-00-DE Community&Econ.on.Dev.Services 33325 8th Ave S Federal Way,WA Ph:(253)835-2607 Fax:(253) 980 803 35-2609 Inspection Request Line: (253)835-3050 Project Name: RETREAT MEADOWS Project Address: 203 SW 356TH ST Parcel Number: 302104 9082 Project Description: Demolition of(1)single family residence 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 7000.00 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. ) Owner or agent: I C- IL /f4 Date: $ 1 (3 / / 6 111. THIS CARD IS TO REMAIN ON-SITE CITY OF — s w Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT#: 16-104038-00-DE Address: 203 SW 356TH ST Project: 356TH STREET MGMT LLC FEDERAL WAY, WA 98023-7302 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. O 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 O Final Erosion Control(4375) 0 Final-Building(4050) Approved Approved By Date By 55 Date("(70." --- . -- ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date �► PERMI PPLICATI N Ct Y OF O Federal Way PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325 253-835-2607 + FAX 253-835-2609 +permice tOffeway.com PERMIT NUMBER IY/ _ 0 'F 0 3 _ r TARGET DATE AUG 18 2016 I ( D E GG�� RAL WAY ADDRESS CI v A03 5 4 3S-6 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ OD / OR TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL LyS DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT CCC- 01t`t 5 , PROJECT DESCRIPTION �^c Detailed description of work to be included on this permit only NAME PRIMARY PHONE Ro e) by Lytid gc 2- 6/16 PROPERTY OWNER MAILING ADDRESS E-MAIL CITY STATE ZIP Ti4 i-r ti v [l f yo; NAME PHONE Oo (s b7 C ��� ,'W K 953 -6I077 4//� MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX /333'f3 as3- ?d7- `lbSg WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE icy'i. —Sirt5Cs'-iei -61 SS APPLICANT MAILING ADDRESS E-MAIL 17 � 1�l?I` 4 t /16-0.-1 .Zaf.f? Co-4040•AAf CITY STATE ZIP FAX y'� )� � VV ei% 3 )y NAME PRIMARY PHONE PROJECT CONTACT I/ itq .tri' r1.1\ (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 19.27095) 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 alc-- sa part of this application. SIGNATURE: X DATE r I/6 PRINT NAME: /CG 131 i J rr1 S E 54F Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application #AL. # COMMUNITY DEVELOPMENT DEPARTMENT ,; 33325 8th Avenue South Federal Way,WA 98003-6325 CITY OF 253-835-2607;Fax 253-835-2609 ) Federal f\/Vay 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: gd3 3" 3% l'C",191C" V2.-5iw/ S6-14 Plc-.51--)-7<644/ 157 Sc-.)35 ?dl Sul 3S o?2c .S W. 3 regiL'+1 f ,:rfiW S c - ❑ 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 (Provid; spy of Notice of Intent from Puget Sound Clean Air Agency 5. ELECTRICITY and co,. .f SP!Inspect] y AHERA-certi edi pector) of Federal WayBuil i Official .dlt �� ( tY 9 ) (Puget Sound Energy) 2. FUEL STORAGE TANKS 6.GAS SUPPLY ❑ Under grade tank(s)is/are present ❑Above grade tank(s)are present tilikAt L_c Fes)` ❑Tank(s)has been pumped or removed under South King Fire& (Puget Sound Energy) Rescue permit prior to any dismantling or excavation i‘J/71 (South King Fire and Rescue) 7.WATER- PubliclSource �Ci/-1 rt. .- e -1 j e' (Water Supplier) 3. SEPTIC SYSTEM .a.-6-614, AJ- .. a/p �A d j 8.WATER- Pri to Well (King County Environme al Services 4/A- ( ng County Environmental Services) 4.SANITARY SEWER '00 --Sr'u-'e'/- , hat - 615-e4 (Lakehaven Utility District) Bulletin#122—May 13,2015 Page 1 of 1 k:\I landouts\Demolition Permit Requirements Approved Transaction ! • Page 1 of 1 { pscleanair.org Puget Sound Clean Air Agency Notification Case #: 201604080 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 # AROFD9CDOE77 Transaction Date 08/18/16 Owner's Name homes by landmark Phone (253)988-8816 Project Street Address 203 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 11/16/16 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 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 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 S 138 S.W. 154th Street Suite B Burien, Wa. 98166 Laboratory&Consulting Services, Inc. Phone:206.244.1060 April 23, 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 203 SW 356th Street, Federal Way, Washington Dear Mr. Schall: On April 1, 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 203 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 1,800 square feet of floor space. The former attic area has been converted into a partial second floor C:\Users\RCARLSON\Dropbox\Consulting\Projects\0136_Landmark Homes\203 SW 356th.DOC N AVO I Laboratory Si Consulting Services,Inc. Mr.Kris Schall Page 2 • 1110 Landmark Home,Inc NOVO Project No.0136-153.001 Good Faith Inspection Letter—203 SW 356th April 23,2015 consisting of three bedrooms totaling approximately 900 square feet. In addition,there is a 875 square foot detached garage adjacent(south)to the home. The main house structure is wood framed on concrete perimeter foundation walls. Floors are wood decking with various floor coverings including sheet vinyl,hardwood, and carpeting. Interior walls and ceilings are primarily gypsum wallboard. Select ceiling areas are covered with 1'x1' ceiling tiles finished with a spray applied texture. Exterior is wood siding. Window frames are a combination of wood and metal. The roof-line is slightly pitched and is finished with 3-tab roofing shingles. The detached garage is a wood framed structure on a concrete slab. Floors throughout the garage area are concrete. Interior walls are gypsum wallboard. Ceilings are open to the roof deck. 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-four(24)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 C:\Users\RCARLSON\Dropbox\Consulting\Projects\0136_Landmark Homes\203 SW 356th.DOC S • N OVO Laboratory&Consulting Services,Inc. Mr.Kris Schall Page 3 Landmark Home,Inc NOVO Project No.0136-153.001 Good Faith Inspection Letter—203 SW 356th April 23,2015 for asbestos, as part of their Quality Management Program. Results of the laboratory analyses are contained in Attachment 1. 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 Joint compound with orange peel texture 203-01 1 Living room NAD Wallboard 203-01 2 Living room NAD Joint compound with orange peel texture 203-02 1 Hallway NAD Wallboard 203-02 2 Hallway NAD Joint compound with orange peel texture 203-03 1 Dining room NAD Wallboard 203-03 2 Dining room NAD Joint compound with orange peel texture 203-04 1 Mud room NAD C:\Users\RCARLSON\Dropbox\Consulting\Projects\0136_Landmark Homes\203 SW 356th.DOC S • Laboratory&Consulting Services,Inc. Mr.Kris Schall Page 4 Landmark Home,Inc NOVO Project No.0136-153.001 Good Faith Inspection Letter—203 SW 356th April 23,2015 Material Description Sample# Layer Location Lab Result Wallboard 203-04 2 Mud room NAD Joint compound with orange peel texture 203-05 1 Bedroom NAD Wallboard 203-05 2 Bedroom NAD Joint compound with orange peel texture 203-06 1 Second floor NAD Wallboard 203-06 2 Second floor NAD Joint compound with orange peel texture 203-07 1 Second floor NAD Wallboard 203-07 2 Second floor NAD Ceiling texture 203-08 1 Kitchen NAD 1'xl' ceiling panel 203-08 2 Kitchen NAD Ceiling texture 203-09 1 Mud room NAD 1'xl' ceiling panel 203-09 2 Mud room NAD Ceiling texture 203-10 1 Dining room NAD l'xl' ceiling panel 203-10 2 Dining room NAD Sheet vinyl(tan) 203-11 Kitchen NAD Sheet vinyl(brown),associated backing and adhesive 203-12 Bathroom NAD l'x1' ceiling panel 203-13 Family room NAD Paper(beneath siding) 203-14 Main house exterior NAD Glazing @ wood windows 203-15 Main house exterior NAD 3 tab roofing 203-16 Main house roof NAD Paper associated with above 3 tab roofing 203-17 Main house roof NAD 3 tab roofing 203-18 Garage roof NAD Paper associated with above 3 tab roofing 203-19 Garage roof NAD Glazing @ wood windows 203-20 Main house exterior NAD Joint compound 203-21 1 Garage NAD Wallboard 203-21 2 Garage NAD Joint compound 203-22 1 Garage NAD Wallboard 203-22 2 Garage NAD Joint compound 203-23 1 Garage NAD Wallboard 203-23 2 Garage NAD Paper(beneath siding) 203-24 Garage NAD Legend: Ch Chrysotile Asbestos Am Amosite Asbestos TR Tremolite Asbestos NAD No Asbestos Detected C:\Users\RCARLSON\Dropbox\Consulting\Projects\0136_Landmark Homes\203 SW 356th.DOC • S N OVO Laboratory&Consulting Services,Inc. Mr.Kris Schall Page 5 Landmark Home,Inc NOVO Project No.0136-153.001 Good Faith Inspection Letter—203 SW 356th April 23,2015 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). 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:\Users\RCARLSON\Dropbox\Consulting\Projects\0136_Landmark Homes\203 SW 356th.DOC • N 0 Laboratory&Consulting Services,Inc. ATTACHMENT 1 • BULK ASBESTOS LABORATORY DATA SHEETS N NOVO Laboratory & 138 SW 154th Street Burien,WA 98166 Consulting, Inc. Laboratory&consulting Services, Inc. el Office: (206)244-1060 Fax: (206)244-1063 April 2, 2015 Rich Carlson NOVO 138 SW 154th Street Burien,WA 98166 RE: Bulk Asbestos Fiber Analysis; Batch 115-1240 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 i • N OVO NOVO Laboratory &Consulting, Inc. Bulk Asbestos 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 19A 4-02-15 CLIENT CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB BULK 54MPLEBATCH ,I,q' a " BATCH ID CLIENT PO 'SAMPLING DATE SAMPLES TAKEN BY 115-1240 203 SW 356TH ST FEDERAL WAY 4-01-15 Rich Carlson DATE RECD i SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REVD REVIEWED BY 4-02-15 24 24 _ 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None of the analyzed samples contained identifiable asbestos. SAMPL115--1 tII' 11'1" der CLIENT ID CLIENT DESCRIPTION LOCATION 203-01 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Jc/Dw Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. LAYER Paint on white powder r COMPOSITION CATEGORY T FIBER TYPE PERCENTAGE -� Non-Fibrous (Filler and Binder 100% w. a a�lY Tan papery material with white powder r COMPOSITION CATEGORY T FIBER TYPE - PERCENTAGE 1 Non-Asbestos Fibrous Cellulose _ 30% Non-Fibrous Filler and Binder 70% CLIENT ID CLIENT DESCRIPTION LOCATION 203-02 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Jc/Dw 1Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. LAyER1 tri1 `:_All 1 e of,.._ Paint on white powder r COMPOSITION CATEGORY T FIBER TYPE - PERCENTAGE 1 Non-Fibrous Filler and Binder 100% Non-Fibrous Filler and Binder 100% LAYER 2 -. Tan papery material with white powder r COMPOSITION CATEGORY T FIBER TYPE PERCENTAGE 1 Non-Fibrous Filler and Binder 70% Non-Asbestos Fibrous Cellulose 30% 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. • • NNOVO Laboratory &consulting, Inc. Bulk Asbestos .r 138 SW 154th Street Analysis Report Burien,WA 98166 Laboratory&Consulting Services, Inc. Page 2 Office: (206)244-1060 Fax: (206)244-1063 Created by CrystalW,11:19AM 4-02-15 - Glattr- fi n11 Iitli LI, CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB I0(Il�"�SPLEBATCH ,. ,I .�� 'I = ,s r, i _ BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1240 203 SW 356TH ST FEDERAL WAY 4-01-15 Rich Carlson DATE RECD SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REVD REVIEWED BY 4-02-15 24 24 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None of the analyzed samples contained identifiable asbestos. `AN, I11Li ad„, ypi jinFlay b0 1111I = - CLIENT ID CLIENT DESCRIPTION LOCATION 203-03 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Jc/Dw 'Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. aF Paint on white powder r: COMPOSITION CATEGORY - FIBER TYPE r PERCENTAGE 1 Non-Fibrous Filler and Binder I 100% Tan papery material with white powder r COMPOSITION CATEGORY / FIBER TYPE - PERCENTAGE Non-Asbestos FibrousCellulose 35% Non-Fibrous Filler and Binder 65% j s6, _. CLIENT ID CLIENT DESCRIPTION LOCATION 203-04 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Jc/Dw Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. 4L4YER 2zat u11,61,, `%tt: Jaalaa Paint on white powder r COMPOSITION CATEGORY T FIBER TYPE r PERCENTAGE 1 Non-Fibrous (Filler and Binder I 100% Tan papery material with white powder r COMPOSITION CATEGORY FIBER TYPE Alidm; PERCEVNAGE Non-Asbestos FibrousCellulose 30% Non-Fibrous Filler and Binder 70% 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. • • OVO NOVO Laboratory &Consulting, Inc. Bulk Asbestos 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 CrystalW, 11 19A 4-02-15 A*CLIENT CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB ,0 BULK SAMPLE BA ,P w� IIoPi BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1240 203 SW 356TH ST FEDERAL WAY' 4-01-15 Rich Carlson DATE REC'D SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REVD REVIEWED BY 4-02-15 24 24 — 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None of the analyzed samples contained identifiable asbestos. SAW 11544I, CLIENT ID CLIENT DESCRIPTION LOCATION 203-05 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Jc/Dw Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. Paint on white powder r COMPOSITION CATEGORY T FIBER TYPE T PERCENTAGE Non-Fibrous 'Filler and Binder 100% Tan papery material with white powder r COMPOSITION CATEGORY T ; FIBER TYPE - PERCENTAGE Non-Asbestos Fibrous Cellulose 35% Non-Fibrous Filler and Binder 65% n54241 611L ; - pyo- CLIENT ID CLIENT DESCRIPTION LOCATION 203-06 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Jc/Dw Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. LAYER/ dikig NV 11,1 Paint on white powder r COMPOSITION CATEGORY T FIBER TYPE - PERCENTAGE -, Non-Fibrous 'Filler and Binder 100% Tan papery material with white powder - COMPOSITION CATEGORY - FIBER TYPE mi 4 w PERCENTAGE I' Non-Asbestos Fibrous Cellulose 30% Non-Fibrous Filler and Binder 70% 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 . .10V0 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, 1119A 4-02-15 CLIENT ID CLIENT '.CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB 'et fa SAMPC 'BATS 1,1 l�,H, BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1240 203 SW 356TH ST FEDERAL WAY 4-01-15 Rich Carlson DATE RECD SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REV'D REVIEWED BY 4-02-15 24 24 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None of the analyzed samples contained identifiable asbestos. g SAMPLE*J15J24O ku didl � ~` e's CLIENT ID CLIENT DESCRIPTION LOCATION 203-07 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Jc/Dw Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. T;l V I11 i1 1 Paint on white powder r COMPOSITION CATEGORY - FIBER TYPE T PERCENTAGE ?; Non-Fibrous Filler and Binder I 100% I LAY g2 = ky rill" Tan papery material with white powder r COMPOSITION CATEGORY T FIBER TYPE PERCENTAGE 1 Non-Asbestos Fibrous Cellulose 35% Non-Fibrous Filler and Binder 65% IMPL �11 = IIII1 (INE .i_�411�1� _ ,Tw ..... �a a CLIENT ID CLIENT DESCRIPTION LOCATION 203-08 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Text On Ceiling Panel _Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. A*LAYER , mon Paint on white powder r COMPOSITION CATEGORY T FIBER TYPE T PERCENTAGE - Non-Fibrous (Filler and Binder I 100% I LAY1 ' Tan fibrous compressed material r COMPOSITION CATEGORY T FIBER TYPE PERCENTAGE 1 Non-Asbestos Fibrous Cellulose 95% Non-Fibrous Filler and Binder 5% 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 N e411/ 0 NOVO Laboratory &Consulting, Inc. Bulk Asbestos 138 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, 11:19AM 4-02-15 �l�� ' '= ( _ i _:".11',:h `nrll 4 O ' :I i,i CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID '.JOB [}�j/�^(��y+�" ��/ p /'+(,� .-I I gI} '- s+ � a.�e a lig" , ip 7 � 'ii= '�- Stli 7 P E ATCW./. _� t P� *- �s 11'4 _ '�Il� ��� _"= }E a� ice'' p,��&3S (I)I, BATCH/D CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1240 203 SW 356TH ST FEDERAL WAY 4-01-15 Rich Carlson DATE RECD SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REVD REVIEWED BY 4-02-15 24 24 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None�7of the analyzed samples contained identifiable asbestos. *s W' -1/54240AZ' r--f ' I CLIENT ID CLIENT DESCRIPTION LOCATION 203-09 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Text On Ceiling Panel Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. Paint on white powder r COMPOSITION CATEGORY FIBER TYPEPERCENTAGE I Non-Fibrous Filler and Binder I 100% LAYER'i r r ' ' Tan fibrous compressed material r COMPOSITION CATEGORY T FIBER TYPE - PERCENTAGE Non-Asbestos Fibrous Cellulose 95% Non-Fibrous Filler and Binder 5% „ � -.,vM�� LiS�Z4t�f 10i =3 CLIENT ID CLIENT DESCRIPTION LOCATION 203-10 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Text On Ceiling Panel Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. Paint on white powder ` COMPOSITION CATEGORY T } FIBER TYPE P; PERCEN'l`AG } Non-Fibrous (Filler and Binder I 100% Tan fibrous compressed material r COMPOSITION CATEGORY FIBER TYPE 7, PERCENTAGE -� Non-Asbestos Fibrous Cellulose 95% Non-Fibrous Filler and Binder 5% 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 • 14 ei4V NOVO Laboratory &Consulting, Inc. Bulk Asbestos 138 SW 154th Street Analysis Report Laboratory&Consulting Services, Inc. Buries,WA 98166 Page 6 Office: (206)244-1060 Fax: (206)244-1063 Created by CrystalW, 11:19AM 4-02-15 EVAIllf'riq 11[,111',I, s ,>s I CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB 9UPLEBAT id1 • • • NnYVO NOVO Laboratory &Consulting, Inc. Bulk Asbestos 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, 11:19AM 4-02-15 CLTENT ; CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB 1 >a BULK. IMPLEBATCHfi BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY- 115-1240 203 Y115-1240203 SW 356TH ST FEDERAL WAY 4-01-15 Rich Carlson DATE RECD SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REVD REVIEWED BY 4-02-15 24 24 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None of the analyzed samples contained identifiable asbestos. SA X15- f11 T4� ���� 14= 1 4 r CLIENT ID CLIENT DESCRIPTION LOCATION 203-14 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Paper Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. 1AYE ;94- a ; _.="07,7 . llllu�` x t Black asphaltic fibrous material r ; COMPOSITION CATEGORY FIBER TYPE - PERCENTAGE -1 Non-Asbestos Fibrous Cellulose 65% Non-Fibrous Asphalt Filler and Binder'''' 35% _ ii .Ii _ IES , ,115 CLIENT ID CLIENT DESCRIPTION LOCATION 203-15 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Glazing Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. tii �i �ti �I �+LfiYEl7 � �` '��a� =i1� �4I ,�,? — %u�6ima� Gray molded material r COMPOSITION CATEGORY T FIBER TYPE11111. Mrg PERCENTAGE Non-Fibrous Filler and Binder 100% l�� �i6"_ „ Koo �� pills r. Iilm�l psi �i9i,,a4;, d � iHl �I'I ,. iv pl: CLIENT ID CLIENT DESCRIPTION LOCATION 203-16 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS 3 Tab Roofing Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. a,,a., i, rr 'mrr'Imo'°��.AI Mineral granules on black asphaltic 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 OVO NOVO Laboratory &Consulting, Inc. Bulk Asbestos 138 SW 154th Street Analysis Report • Laboratory&Consulting Services, Inc. Buries,WA 98166 Page 8 Office:(206)244-1060 Fax: (206)244-1063 Created by CrystalW,11:19AM 4-02-15 CLIENT 1.1'r CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB `Bt1 59MMPLEBAT 1- BATCH ID CLIENT PO SAMPLING DATE'.SAMPLES TAKEN BY 115-1240 203 SW 356TH ST FEDERAL WAY 4-01-15 Rich Carlson DATE RECD SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REVD REVIEWED BY 4-02-15 24 24 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None of the analyzed samples contained identifiable asbestos. ,o,5410, g' �'I ( ryvI P` l(iNai CLIENT ID CLIENT DESCRIPTION LOCATION 203-17 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Paper Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. LAYER �rNl�w ,x�� �q�� ". ' I 4 Black asphaltic fibrous material r COMPOSITION CATEGORY T FIBER TYPE PERCENTAGE -� Non-Asbestos Fibrous Cellulose 65% Non-Fibrous Asphalt Filler and Binder 35% SAMPLE115-J24011+y • S N AVO NOVO Laboratory &Consulting, Inc. Bulk Asbestos 138 SW 154th Street Analysis Report Laboratory&Consulting Services, Inc. Burien,WA 98166 Page 9 Office: (206)244-1060 Fax: (206)244-1063 Created by CrystalW, 11:19AM 4-02-15 CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB 4.,BGt S;MfiP EBATG k 1F BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1240 203 SW 356TH ST FEDERAL WAY 4-01-15 Rich Carlson DATE REC'D SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REVD REVIEWED BY 4-02-15 24 24 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None of the analyzed samples contained identifiable asbestos. 'SAMPL11 ..' 1 d • • ' NOVO NOVO Laboratory &Consulting, Inc. Bulk Asbestos 138 SW 154th Street Analysis Report Laboratory&Consulting Services,Inc. Burien,WA 98166 Page 10 Office: (206)244-1060 Fax: (206)244-1063 Created by CrystalW, 11 19A 4-02-15 CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB S BU PIE BATC71yia r# � �I SII ;I BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1240 203 SW 356TH ST FEDERAL WAY 4-01-15 Rich Carlson DATE REC'D SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REVD REVIEWED BY 4-02-15 24 24 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None of the analyzed samples contained identifiable asbestos. SAMPiEkta4244/ad'III'' 4r?_ oI IyptllNtn & 47, 1I 4 Q o,Ib H �I�I aIpIIII� CLIENT ID CLIENT DESCRIPTION LOCATION 203-22 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Jc/Dw Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. w Paint on white powder r COMPOSITION CATEGORY T FIBER TYPE =- PERCENTAGE 1 1 Non-Fibrous IFiller and Binder 100% G4YERs Tan papery material with white powder r COMPOSITION CATEGORY T FIBER TYPE'' PERCENTAGE Non-Asbestos Fibrous Cellulose 30% Non-Fibrous Filler and Binder 70% AMPLEV5-l24O 23 x,:31 • CLIENT ID CLIENT DESCRIPTION LOCATION 203-23 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Jc/Dw Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. b�LAW? `i `:'x.'. IPI" (" k p ,... Paint on white powder r COMPOSITION CATEGORY T FIBER TYPE r PERCENTAGE Non-Fibrous Filler and Binder 100% Tan papery material with white powder �; COMPOSITION CATEGORY FIBER TYPE - PERCENTAGE Non-Asbestos Fibrous Cellulose 30% Non-Fibrous Filler and Binder 70% 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 V 0 NOVO Laboratory &Consulting, Inc. Bulk Asbestos 138 SW 154th Street Analysis Report Laboratory&Consulting Services, Inc. Burien,WA 98166 Page 11 Office: (206)244-1060 Fax: (206)244-1063 !* Created by CrystalW, 11:19AM 4-02-15 ?CLIENT IIII! €�IIi r CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1240 203 SW 356TH ST FEDERAL WAY 4-01-15 Rich Carlson DATE RECD SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REV'D REVIEWED BY 4-02-15 24 24 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None of the analyzed samples contained identifiable asbestos. SAMPLE /5424© 24_ p r, ,uu 1 CLIENT ID CLIENT DESCRIPTION LOCATION 203-24 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Paper iCrystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. *14�7 N Black asphaltic fibrous material r COMPOSITION CATEGORY T FIBER TYPE - PERCENTAGE -� Non-Asbestos Fibrous Cellulose 65% Non-Fibrous Asphalt Filler and Binder 35% [End of Batch] CLL"— Crystal Wright,Labbfory 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. Laboratory&consulting Services,Inc. : • ATTACHMENT 2 • SAMPLE AND MATERIAL LOCATION DRAWINGS • S R NOVO GENERAL NOTES - ASBESTOS 1LoU= au=wuAcrtoz,ro,m. W.tfg Iow 7. WITHIN M Eo,T. VAND .NOT EI�D i0 BE USED BAS4fa 9TAHp EALONE OOCIRACNi. _ Psroa° Scaaz usEAs A APPOOTON NO FOR 1 THE ACTUAL DIRECTION OF WORK. IT IS DETERMINER THAT ACM IS LIKELY TO BENOPACTED BY THECERPIROPOSED WORK THAN M/WALLBp )) P ;Mg AND SPECIFICATIONS A'N' ED'OEYELOP rRM RWFINOOAR \\ ROJEtt �PMnm J 17: i x0 COMPWF ) m1�-NC IEx or[ ) JC/WALLBOARD © WSW KOOK IIIM=MM=EW [ - SHEET VINYL Jed wJ pacAnw RD ) V { miiEETI VINL. ) ND iDMPDD� ) PAPER MATERIAL ND SAMPLE �� LOCATION DRAWING BOBTUNE ) SW 458.STREET FEDERAL AY,WA © MAIN HOUSE e LANDMARK_MOM[ LEGEND: ""� 0,46-+64.001 ASBESTOS SAMPLE: GROUND LEVEL FLOOR PLAN ,...4..-.,MATERIAL MS�AERMDESD.IDN CL a r LE 4""*°°I"JIB) T ..... /OI/16 '® SAMPLE 1 \ RN* 4/23/m _0P_f �E Rom HZ-203.01 • . L JC WALLBOARD NOVO GENERAL NOTES - ASBESTOS '"...i. .NHM,FaUAA4M uT wMNro-ceroNO MATERIALS(ACM)IDWITHIN THE SUBJECT PROPERTY,THIS WNE MA BEE ISSUED AS AN ATTACHMENT TO AN ASBESTOS SURVEY REPORT AND IS NOT MENDED.BE USED ASA STAND ALONE DOCUMENT. THIS DRAWING IS MOT IN USED AS A PRO ENON&ASBESTOS INTENDED DEVON DRAWING FOR MINERSTHE ALS DIRECTION OF WORK.IF S DETERMOPw�E /� WORK ACM IT IS RECOMMLIKELY TO ENDED THAT A THE ED OKRA L..w LBOAIA /I/I/ DN PROJECT ah T DESIGN AN D SPECIFICATINS.BEANEO i0 DEVELOP I ROOFING vM=.11/ JC WALLBOARD 2.1.23 KAMM C PA(.._ -",,,,,.... APER MATERIAL AND ru f SAMPLE DRAWING Cx/wALLBOARp 203 SW ISSN STREET FERAL WAV,WA DE ER LEVEL AND DETACHED GARAGE ..... LANDMARIVOMF �"'�"� LEGEND: OM-M.001 A.m. ac ASBESTOS SAMPLE: ow.m NC oFSCRwigN ��� UPPER LEVEL AND DETACHED GARAGE FLOOR PLAN O �• T MATERIAL Mr mu ma .,,,;,; wIPIE R (23/13 RESULT iOP-2 HZ-203.02 • • N V O Labor:tory&Consulting Services,Inc. ATTACHMENT 3 CERTIFICATIONS . ! � '!f"t R�. 1�§ wits � 6 � fiT Y A: er • • as ,µ CO• o g CCT u. r` 1,41 „„,CC ` z act Et 4 4-1 - 0 CiC C 0(17 1011114 4—+ 0 t } C co e 101 C7 ,—, ; 1: Q3 CCCCSB_ 11.1 CO CO 4 . LdEi 17 :k‘h.t.' 1 I lit �� ds c ,,w i ,�°- q , i�'k��,,,�.. rr +,� ''N` r 4 � " �4� � �� g,IIQ � g�% "'✓� # g • yp ;,a r tn'. z r0an1e` 'i"-� .F n :2E2, .(.t7. ,..-n�� ��.�., -_ x Y v s,"x•- x h� .. ' l _., �,- • ! i-� 7:::-.E.--; ,i' ,,_,. -::::--5: : --,,,_-„ , ....:;> ,,,,--- -,,::\ .„..4:—..,:::::: -., ._,-„,,,-,.z.z.:-.,-,_, ..._--..__,... .,..2:,--„.., ,,,—..,,..-3.-,::::„.--_.:,,,,,: ,,, ,,,..„:„...,,t, , .. .030104. ..;,...„.,„.....,,,,,m414,,,,, ..,,,,,,:, ,,,,,04.44,,,, .. .,-, 441,..e.,, ,:_ ."1.-"frk::t0,0?:x ' ' .A,ifers,,,,,. ' '-',4'q-t-lf,'4,1*,-':' - '''''',41,11itti ,- : IIII7I � n a a Certificate of Completion ,.....„. ,........ . .._, ... , ,. „, .. Th :, ,,...,. ..:. . „--,--.„ . -,,,..,-,,,, is is to certify that, • i. Richard L. Carlson F has satisfactorilycompleted . 4 hours of refresher training as an Asbestos Building Inspector t to comply with the training requirements of -� TSCA Title II / 40 CFR 763 (AHERA) ilriy :t s t; 150148 "A Certificate Number r A . r '° Feb 18, 2015 E �° Instructor 1�RCiI1S n Date(s)E,,,:i r:,ts- of Training EPA Provider Cert. Number: 1085 T �" I TRAINING•CONSULTING n Exam Score: NA II Expiration Date: Feb 18,2016 ri ji:IE:ii,1:;),,..i)..,,I:::1"4:::-.i1:3.,„_,,,.‘ li -z.,:-..-i„. Argus Pacific,Inc.•1900 W.Nickerson,Suite 315•Seattle,Washington•98119•206.285.3373•fax 206.285.3927 , r v..., -+t = # r\ wti ,,, fi �` ` y -, "., r :,`,;g, ,`,