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16-104039 r , `Demolition City of Federal Way Permit 16-104039-00-D E Community&Econ.Dev.Services #: 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 Project Name: RETREAT MEADOWS Project Address: 157 SW 356TH ST Parcel Number: 302104 9020 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: IL :14 9, Date: 51 I S ) 16 4"*4%, ' THIS CARD IS TO REMAIN ON-SITE CITY OF Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT#: 16-104039-00-DE Address: 157 SW 356TH ST Project: 356TH STREET MGMT LLC FEDERAL WAY, WA 98023-7301 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 Mfg(4400) ❑ Initial Erosion Control(4365) ❑ Interim Erosion Control(4370) Approved To be done prior to breaking ground Approved By Date By Date By Date • • O Final Erosion Control(4375) ❑ Final-Building(4050) Approved Approved Ce- By Date By 0 Date �j (2—(iTh- Rough Electrical Final Electrical El Right of Way 1:1Approved CIRough Approved By Date By Date By Date CITY OF ,„,,,,,,,_44T116. • PERMI APPLICATION PERMIT CENTER+33325 8th Avenue South + FedIWaYTf. 3-6325 Federal Way 253-835-2607 + FAX 253-835-2609 +permitceeni ait+yst e e y.com 0,:o J? �� AUG 18 2016 PERMIT N ((a _ _ TARGET DATE CITY OF FEDERAL WAY CDS SITE ADDRESS SUITE/UNIT# / 57 Su) (04' : PROJECT VALUATION ZASSESSOR'S TAX/PARCEL# $ 7, 000 3aa- / oy - 9c d TYPE OF PERMIT ING ❑ PLUMBING ❑ MECHANICAL ®'DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT PROJECT DESCRIPTION Q b Detailed description of work �� �c a �L�%'ru--C/I be included on this permit only NAME PRIMARY PHONE HoI"- bLOLAW ✓I( '25 --9?-7- 6116 PROPERTY OWNER MAILING ADDRESS' E-MAIL ,T)/S 6,'-i 1-` A vi AJ CITY STATE ZIP Ti4cov--1 '- 9 Sk107a NAME PHONE PovV<s h y Loc1ii (v-141 K 7c3.-9077- Cf/L MAILING ADDRESS E-MAIL CONTRACTOR CIT STATE ZIP FAX d53- 92- t./65",t./65",t333Y3 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME PRIMARY PHONE j&rO;.,, --Se=�►5C0.1r, P53_47 SS' SiG APPLICANT MAILING ADDRESS E-MAIL 117r? 13v1` . c-4- E )1661'-'1 ' a,i;t:: Co-digs}_Ax F CITY STATE ZIP FAX �'y I) )il u c"--3 7y NAME - PRIMARY PHONE PROJECT CONTACT 1 C v -----3'V14o 415f +°111 (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 any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. SIGNATURE: /( -/L lc.-- DATE C' ) l W /6 PRINT NAME: )(CO O I'-`I J EE9 3( F) Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application COMMUNITY DEVELOPMENT DEPARTMENT 33325 8th Avenue South Federal Way,WA 98003-6325 CITY OT ,,, ,41111/61.0. � 253-835-2607;Fax 253-835-2609 Feder l \/Vay www.cityoffederalway.corn 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: ?(73 S") 364=11'' c9TC 1/P' 91 "YCt li' P15 So 7sb 0i /5?'SA,'"351.1*, 2?1 Sul 35- ❑ 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:irpy of Notice of Intent from Puget Sound Clean Air Agency 5. ELECTRICITY and cog rf inspecti•• r•ry AHERA-certi ed iryspector) 46e._ isr /442X- ( i of Federal Way Buil ing Official) (Puget Sound Energy) 2. FUEL STORAGE TANKS 6.GAS SUPPLY ❑ Under grade tank(s)is/are present o Above grade tank(s)are present tkleivit tom:r F�1c F o Tank(s)has been pumped or removed under South King Fire& (Puget Sound Energy) Rescue permit prior to any dismantling or excavation AJ///,, (South King Fire and Rescue) 7.WATER- Public Source ',Z—C)A rk. .sen. (Water Supplier) 3.SEPTIC SYSTEM a p -WA if /VVVV 8.WATER- Pri to Well (King County Environmepal Services) /�� \ (K�ng County Environmental Services) 4.SANITARY SEWER '0 A et 3 6'15 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 #: 201604076 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 $275.00 Credit Card Transaction #ATOFEB21A969 Transaction Date 08/18/16 Owner's Name homes by landmark Phone (253)988-8816 Project Street Address 157 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 / 450 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 This project includes a demolition. Demolition Start Date 09/16/16 Completion Date 10/16/16 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 Lou 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 • • 138 S.W. 154th Street Suite B N 0 V 0 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(a,comcast.net NOVO Project No. 0136-153.001 Subject: Good Faith Inspection Letter 157 SW 356th Street, Federal Way, Washington Dear Mr. Schall: On March 31, 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 157 SW 356th Street, in 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 structure is wood framed on concrete perimeter foundation walls, wood posts and concrete footings. Floors are wood decking with various floor coverings including sheet vinyl, hardwood, vinyl tile, ceramic tile, and carpeting. Interior walls and ceilings are primarily gypsum C:\Documents and Settings\Owner\My Documents\Dropbox\Consulting\Projects\0136_Landmark Homes\157 SW 356th.DOC N VO Mr.Kris Schall • Page 2 • Landmark Home,Inc NOVO Project No.0136-153.001 Good Faith Inspection Letter—157 SW 356th Street April 22,2015 wallboard. Exterior 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. The detached barn is a wood framed structure on a concrete slab. There is gypsum wallboard at select interior walls. There are no other interior finishes within the barn. Window frames are wood and the roof is metal. 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 fifteen(15)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\157 SW 356th.DOC • • . .e VO lahwaem..Cwartlag s.riwa,ilIC Mr.Kris Schall Page 3 Landmark Home,Inc NOVO Project No.0136-153.001 Good Faith Inspection Letter— 157 SW 356th Street 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(off white),associated backing and adhesive 157-01 South entry NAD Joint compound 157-02 1 South entry NAD Wallboard 157-02 2 South entry NAD Joint compound 157-03 1 Bedroom NAD Wallboard 157-03 2 Bedroom NAD Joint compound 157-04 1 North entry NAD Wallboard 157-04 2 North entry NAD Floor tile(9"x9"red) 157-05 1 Bedroom 5%Ch C:\Documents and Settings\Owner\My Documents\Dropbox\Consulting\Projects\0136_Landmark Homes\157 SW 356th.DOC • 111 laboraea,,.[o.dti,eanlwq be Mr.Kris Schall Page 4 Landmark Home,Inc NOVO Project No.0136-153.001 Good Faith Inspection Letter—157 SW 356th Street April 22,2015 Material Description Sample# Layer Location Lab Result Adhesive(black)associated with above floor tile 157-05 2 Bedroom NAD Ceiling tile(1'xl') 157-06 North entry NAD Adhesive(tan)associated with above ceiling tile 157-07 North entry NAD Joint compound 157-08 1 Barn,office NAD Wallboard 157-08 2 Barn,office NAD Joint compound 157-09 1 Barn,storage area NAD Wallboard 157-09 2 Barn, storage area NAD Joint Compound 157-10 1 Barn,mezzanine NAD Wallboard 157-10 2 Barn,mezzanine NAD Glazing @wood windows 157-11 Barn exterior <1%Ch Glazing @wood windows 157-12 Barn exterior <1%Ch 3 Tab Roofing Shingle 157-13 Main house roof NAD Paper(black)associated with above 3 Tab Roofing Shingle 157-14 Main house roof NAD Paper(beneath siding) 157-15 Main house exterior NAD Legend: F Friable(can be reduced to powder using hand pressure) NF Non-friable Ch Chrysotile Asbestos Am Amosite Asbestos TR Tremolite Asbestos NAD No Asbestos Detected Note: Determination of friability was made in field for sampling purposes only Material Location Estimated Quantity* 9"x9"vinyl floor tiles (red)with non Bedrooms 450 square feet asbestos mastic *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. Glazing compound associated with wood framed windows present throughout the detached barn building were 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. C:\Documents and Settings\Owner\My Documents\Dropbox\Consulting\Projects\0136_Landmark Homes\157 SW 356th.DOC • N VO IaborataykCa dellltian,k Mr.Kris Schall Page 5 Landmark Home,Inc NOVO Project No.0136-153.001 Good Faith Inspection Letter— 157 SW 356th Street 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\157 SW 356th.DOC . .r VO labmsmory l6nod*g Ir o,lac ATTACHMENT 1 BULK ASBESTOS LABORATORY DATA SHEETS , id 4111 • NOVO Laboratory & 138 SW 154th Street Burien,WA 98166 4up Consulting, Inc. 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 115-1236 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 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 Crystal W,11 54A 4-01-15 ,CLIENT CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB BULK SAMPLE$4TCH 148` 110 iI iiii 111111a ( I�....� (��r I:t BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1236 157 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 15 15 4-01-15 Crystal Wright BATCH ANALYSIS SUMMARY CAUTION 3 of the analyzed layers contained identifiable asbestos. SAMPL 1154236 i.o'w��� , I' I'ti ,1"01 CLIENT ID CLIENT DESCRIPTION LOCATION 157-01 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. LAYER! ,,`.4AAA L,,AA mll� �il .,SII...Aid Off-white vinyl r COMPOSITION CATEGORY FIBER TYPE - PERCENTAGE Non-Fibrous Filler and Binder 100% M PL -115-1236 ,14 '19h` , 4; CLIENT ID CLIENT DESCRIPTION LOCATION 157-02 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Jc/Dw Crystal Wright 04-01-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. .#MYER I 9 , i' Paint on white powder r COMPOSITION CATEGORY FIBER TYPE r PERCENTAGE Non-Fibrous Filler and Binder I 100% I ss YE17 2 AAA ilikk4Air h 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 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. . • NOVO NOVO Laboratory &Consulting, Inc. Bulk Asbestos 138 SW 154th Street Analysis Report Laboratory&Consulting Services, Inc. Burien,WA 98166 Page 2 Office: (206)244-1060 Fax:(206)244-1063 Created by CrystalW, 1154A 4-01-15 41217:.:13 ,,1 I stopPI I6i CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB BUL KS'AMPLEBATCH 1l _:"1141 I i BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1236 157 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 15 15 _ 4-01-15 C stal Wright BATCH ANALYSIS SUMMARY CAUTION y3 of the analyzed layers contained identifiable asbestos. '>}: IL5-1234{ rl� �irm _ . ���'I \:; - �I I' "���H�'ll��h�, sail - it h€ �hN�-„ !� �i,i��� � �'� i 7 U • 0 NOVO Laboratory &Consulting, Inc. Bulk Asbestos r4 „ , V 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 Crysta!W,11:54AM 4-01-15 "Tr, .ti ...” ,111Y:7-5=. ... ,h�PY�;� a� k'ay�'i ;� I�N;G ilk CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB BATCH ID 'CLIENT PO __— = SAMPLING DATE SAMPLES TAKEN BY 115-1236 157 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 15 15 4-01-15 Crystal Wright BATCH ANALYSIS SUMMARY CAUTION 3 of the analyzed layers contained identifiable asbestos. r W Pte 115-1236/-, — CLIENT ID CLIENT DESCRIPTION LOCATION 157-05 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Floor Tile/Mastic Crystal Wright 04-01-15 Analyzed SAMPLE ANALYSIS SUMMARY CAUTION Asbestos was detected in this sample. CAUTION ' ill � ��� _ T .i�, �h _ ' I� DETECTED Dark red floor tile with streaks r COMPOSITION CATEGORY FIBER TYPE PERCENTAGE - Asbestos Fibrous Chrysotile 5% Non-Fibrous Filler and Binder 95% Black asphaltic material r COMPOSITION CATEGORY FIBER TYPE - PERCENTAGE Non-Fibrous Asphalt Filler and Binder 100% l�� .I � CLIENT ID CLIENT DESCRIPTION LOCATION 157-06 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Ceiling Tile Crystal Wright 04-01-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. "LAYER 1 .II kkA'11wog- Tan compressed material - COMPOSITION CATEGORY - FIBER TYPE i PERCENTAGE Non-Asbestos Fibrous Cellulose 98% Non-Fibrous Filler and Binder 2% /21ml CLIENT ID CLIENT DESCRIPTION LOCATION 157-07 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Mastic Crystal Wright 04-01-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. �xEAYERI ' '. � �� Io a '��I° ill _ . Tan brittle material r COMPOSITION CATEGORY FIBER TYPE - PERCENTAGE 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. • NOVO 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,1154A 4-01-15 CLIENT .. _ �= " aag in CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB rBULK SAMPLE BATC �'''101I BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1236 157 SW 356TH FEDERAL WAY 3-31-15 Rich Carlson DATE REC'D SAMPLES SUBMITTED SAMPLES ANALYZED SAMPLES NOT ANALYZED SAMPLES NOT REVIEWED DATE REV'D REVIEWED BY 4-01-15 15 15 4-01-15 Crystal Wright BATCH ANALYSIS SUMMARY CAUTION 3 of the analyzed layers contained identifiable asbestos. ayli11I1;IHIo P`` jd ,3 +7fYL"7Pi• 5 # i7 - (e:, I€.-.g' _ CLIENT ID CLIENT DESCRIPTION LOCATION 157-08 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Jc/Dw Crystal Wright 04-01-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. MYER! `-"a-131.11111F- _ Paint on white powder - COMPOSITION CATEGORY FIBER TYPE - PERCENTAGE - Non-Fibrous Filler and Binder 100% „LAYER .'i _ „ V,!' = d Tan papery material with white powder - COMPOSITION CATEGORY - FIBER TYPE PERCENTAGE - Non-Asbestos Fibrous Cellulose 35% Non-Fibrous Filler and Binder 65% OSA PLE115-1236 9 II` CLIENT ID CLIENT DESCRIPTION- LOCATION 157-09 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Jc/Dw Crystal Wright 04-01-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. A LAYER 1 , I. ' .. < ...... 111 Paint on white powder ` COMPOSITION CATEGORY T FIBER TYPE - : PERCENTAGE Non-Fibrous (Filler and Binder 100% I Tan papery material with white powder COMPOSITION CATEGORY FIBER TYPE 1, r PERCENTAGE - Non-Asbestos Fibrous Cellulose 35% Non-Fibrous Filler and Binder I 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 . NOVO 138 SW 154th Street Analysis Report Laboratory&Consulting Services,Inc. Buries,WA 98166 Page 5 Office: (206)244-1060 Fax: (206)244-1063 Created by CrystalW, 11:54AM 4-01-15 CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB .W mA7CH ii 11�R �i, " BATCH ID CLIENT POS -.SAMPLING DATE SAMPLES TAKEN BY 115-1236 157 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 15 15 4-01-15 Crystal Wright BATCH ANALYSIS SUMMARY CAUTION 3 of the analyzed layers contained identifiable asbestos. SAMPLE 125-1236f 10 z CLIENT ID CLIENT DESCRIPTION LOCATION 157-10 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Jc/Dw Crystal Wright 04-01-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. LAYER1 1. 1 Voir' Paint on white powder I- COMPOSITION CATEGORY< FIBER TYPE PERCENTAGE -1 Non-Fibrous Filler and Binder I 100% „LAYER 2 Tan papery material with white powder - COMPOSITION CATEGORY - FIBER TYPE - PERCENTAGE - Non-Asbestos Fibrous Cellulose 35% Non-Fibrous Filler and Binder 65% SAMPLE 115.1 CLIENT ID CLIENT DESCRIPTION LOCATION 157-11 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Glazing Crystal Wright 04-01-15 Analyzed SAMPLE ANALYSIS SUMMARY CAUTION Asbestos was detected in this sample. CAUTIONLAY�' '`: E alt' p _ tx ASBESTOS � DETECTED Gray molded material - COMPOSITION CATEGORY - FIBER TYPE T PERCENTAGE - Asbestos Fibrous Chrysotile < 1% Non-Fibrous Filler and Binder 99% CLIENT ID CLIENT DESCRIPTION LOCATION 157-12 LAB DESCRIPTION ��- ANALYZED BY ANALYSIS DATE STATUS Glazing Crystal Wright 04-01-15 Analyzed SAMPLE ANALYSIS SUMMARY CAUTION Asbestos was detected in this sample. CAUTION 414YER j -1,1d I wt,. 1 htt DETECTED Gray molded material - COMPOSITION CATEGORY - FIBER.TYPE - PERCENTAGE Asbestos Fibrous Chrysotile < 1% Non-Fibrous Filler and Binder 99% 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 4 i► 138 SW 154th Street Analysis Report Laboratory&Consulting Services, Inc. Burien,WA 98166 Page 6 Office: (206)244-1060 Fax:(206)244-1063 Created by CrystalW,11:54AM 4-01-15 -N 0 ii 'xb „3e4u1 c } �,I F �si 11111' CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB pa 4:ii till � (hai� Ey I����� =' "7 BATCH ID CLIENT PO SAMPLINGDATE'..SAMPLES TAKEN BY 115-1236 157 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� 15 15 4-01-15 Crystal Wright BATCH ANALYSIS SUMMARY CAUTION 3 of the analyzed layers contained identifiable asbestos. )t S4MP - _ Ihi �II' . "IC'iili G I CLIENT ID CLIENT DESCRIPTION -.. LOCATION 157-13 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS 3 Roofing Crystal Wright 04-01-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. LAYERS Mineral granules on black asphaltic fibrous material COMPOSITION CATEGORY TIBER TYPE PERCENTAGE Non-Asbestos Fibrous Glass Fiber 40% Non-Fibrous Mineral Granules 10% _ Non-Fibrous Asphalt Filler and Binder 50% A)SAMPLE 1151236/14 CLIENT ID CLIENT DESCRIPTION LOCATION 157-14 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. *LAYERIII Black asphaltic fibrous material r COMPOSITION CATEGORY FIBER TYPE -- PERCENTAGE -- Non-Asbestos Fibrous Cellulose 65% Non-Fibrous Asphalt Filler and Binder 35% CLIENT ID CLIENT DESCRIPTION LOCATION 157-15 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. Black asphaltic fibrous material r COMPOSITION CATEGORY - FIBER TYPE — PERCENTAGE Non-Asbestos Fibrous Cellulose 65% Non-Fibrous Asphalt Filler and Binder 35% [End of Batch] C. tk tt Crystal Wright,Labra ory 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. I �.�,. �ac ATTACHMENT 2 SAMPLE AND MATERIAL LOCATION DRAWINGS „ . 01 k | » n { I2 6 i ({;mo , )/ ` § i �! 7/t4 3. . T ,R ;G | | Il . . 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