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16-104040 Demolition City of Federal Dev. y S Permit #: 1 6-104040-00-DE Community&Econ.Dev.Services 33325 8th Ave S Federal Way,WA 98003 Inspection lnS e Request Ph:(253)835-2607 Fax:(253)835-2609 p Line: (253)835-3050 Project Name: RETREAT MEADOWS Project Address: 215 SW 356TH ST Parcel Number: 302104 9058 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: /1-. /I Date: u i/6 ' THIS CARD IS TO REMAIN ON-SITE CITY OF �' Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 16-104040-00-DE Address: 215 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. ❑ 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 By SC) Date (e(I , Rough Electrical Final Electrical El Right of Way 1:1Approved ElRough Approved By Date By Date By Date CITY OF ,...,a • PERMI1IPPLICATION Federal Way PERMIT CENTER+ 33325 8th Avenue South + F :-_- m;y'4.4 3-6325 253-835-2607 + FAX 253-835-2609 +permir":' -', '44Jtb ay.com PERMIT NUMBER /( _ /0 0 4 0 _ AUG 18 2016 i -- ,D' TARGET DATE ' CITY OF FEDERAL\NAY DE, SITE ADDRESS SUITE/UNIT# /S-- 50 3 5 (e ,Sf- . PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 7, voo 3b / oy '9osR TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL 12"llEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT k cZc i V f h tit --s PROJECT DESCRIPTION `� C� �0 '�G'L. Detailed description of work to 1 be included on this permit only NAME PRIMARY PHONE HCI e) by Lt.i4d1446/1( -75 --9,9-7- 6116 PROPERTY OWNER MAILING ADDRESS E-MAIL c 7/5 6`I (". #t .Ula CITY STATE ZIP TO C-01.4-1 \,,,v• 9151,7? NAME PHONE Nem<1 by 1.04,;; pryiv K 2c3 -9.77- 6i/6, MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX /333Y3 as3- 'd7- '/ WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME PRIMARY PHONE iCta;.,k —SehsCMrj D53-4?SS" '.1G APPLICANT- MAILING ADDRESS E-MAIL H 7r7 13c03" tte-4- E I4--;.),.=-1 3 A;f: co—,iis},,9x f CITY STATE ZIP FAX '1fk I lop \Alv'1 `j5,3 ?y NAME - PRIMARY PHONE PROJECT CONTACT 11 j1OIk'k —Iv t ef%-i7\ (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX NAME PROJECT FINANCING 0 OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned,and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. SIGNATURE: /( -/�ir DATE 0 / 10/6 PRINT NAME: 1CG U i'1 Jr-03(04n Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application • • 1114111111- COMMUNITY DEVELOPMENT DEPARTMENT 33325 8th Avenue South' Federal Way,WA 98003-6325 CITY OF 253-835-2607;Fax 253-835-2609 �\/VayFedi a DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove any structure on a subject property. Demolition of separate structures may require separate permits. 0 Address of Demolition: g03 5w'""3% 1.4 c9)S ./Ja 51,4`W444' PIS 5i-J 7<-60/ /5?S 35 2?j Sur 3c614 9, S--- _std,-3,11.4 r:'�l z.-rt 1 ,,,,,,i-7 ‘A,cl 1$rte'3 ❑ Prior to submitting a demolition permit, the following itms must be signed by the respective agency or their approvals attached. Items not applicable to your project should be marked N/A. 0 A completed Construction Permit Application form is also required. 1.ASBESTOS ABATEMENT (Providitits py of Notice of Intent from Puget Sound Clean Air Agency 5.ELECTRICITY and co glef inspect].• ••rtAHERA-cerci ed iryspector) 41r d/ ( 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 tYktvit c_,,,.,bek-1 Tank(s)has been pumped or removed under South King Fire& (Puget Sound Energy) Rescue permit prior to any dismantling or excavation A)//4 (South King Fire and Rescue) 7.WATER- Public Source 'Z--c{)rt ‘..5 e •-t j'cy� (Water Supplier) 3.SEPTIC SYSTEM \r-DOIst4- 4-Gf4- aX) -Clic ,cid l 8.WATER- Pri to Well (King County Environme al Services (King County Environmental Services) 4.SANITARY SEWER (Lakehaven Utility District) Bulletin#122—May 13,2015 Page 1 of 1 k:AHandouts\Demolition Permit Requirements Approved Transaction . Page 1 of 1 • psdleanair.org Puget Sound Clean Alr Agency Notification Case #: 201604081 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 # AQ0FD98C7672 Transaction Date 08/18/16 Owner's Name homes by landmark Phone (253)988-8816 Project Street Address 215 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 Loq 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 rA 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@,comcast.net NOVO Project No. 0136-153.001 Subject: Good Faith Inspection Letter 215 SW 356th Street, Federal Way, Washington Dear Mr. Schall: On March 30th, 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 215 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. C:\Documents and Settings\Owner\My Documents\Dropbox\Consulting\Projects\0136_Landmark Homes\215 SW 356th.DOC • • N VO IaharomiYkCw�l�ltiwtk Mr.Kris Schall Page 2 • Landmark Home,Inc NOVO Project No.0136-153.001 Good Faith Inspection Letter—215 SW 356th April 23,2015 BUILDING DESCRIPTION The subject property is a two-story, single-family residence consisting of approximately 2,400 square feet of floor space. There is also a 500 square foot attached garage at the NW corner of the ground level. The structure is wood framed on concrete perimeter foundation walls, and a partial concrete slab. Floors are wood decking with various floor coverings including sheet vinyl, hardwood, and carpeting. Interior walls and ceilings are gypsum 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. 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 thirteen (13)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\215 SW 356th.DOC OVO Mr.Kris Schall Page 3 . Landmark Home,Inc NOVO Project No.0136-153.001 Good Faith Inspection Letter—215 SW 356th 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 Carpet adhesive 215-01 Living room NAD Sheet vinyl(gray),associated backing and adhesive 215-02 Laundry room NAD Joint compound with orange peel texture 215-03 1 Laundry room NAD Wallboard 215-03 2 Laundry room NAD Joint compound with orange peel texture 215-04 1 Closet NAD C:\Documents and Settings\Owner\My Documents\Dropbox\Consulting\Projects\0136_Landmark Homes\215 SW 356th.DOC • • e laborttm,,.O..elliri Sroke.,lac Mr.Kris Schall Page 4 Landmark Home,Inc NOVO Project No.0136-153.001 Good Faith Inspection Letter—215 SW 356th April 23,2015 Material Description Sample# Layer Location Lab Result Wallboard 215-04 2 Closet NAD Joint compound with orange peel texture 215-05 1 Family room NAD Wallboard 215-05 2 Family room NAD Joint compound with orange peel texture 215-06 1 Kitchen NAD Wallboard 215-06 2 Kitchen NAD Joint compound with orange peel texture 215-07 1 Living room NAD Wallboard 215-07 2 Living room NAD Joint compound with orange peel texture 215-08 1 Second floor hallway NAD Wallboard 215-08 2 Second floor hallway NAD Joint compound with orange peel texture 215-09 1 Second floor bedroom NAD Wallboard 215-09 2 Second floor bedroom NAD Sheet vinyl(off white),associated backing and adhesive 215-10 Second floor bathroom NAD 3 tab roofing 215-11 Roof NAD Paper associated with above 3 tab roofing 215-12 Roof NAD Pater(beneath siding) 215-13 Exterior 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). C:\Documents and Settings\Owner\My Documents\Dropbox\Consulting\Projects\0136_Landmark Homes\215 SW 356th.DOC • N ONO IahaaanYkGni aides 9adwk Ya Mr.Kris Schall Page 5 Landmark Home,Inc NOVO Project No.0136-153.001 Good Faith Inspection Letter—215 SW 356th April 23,2015 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\215 SW 356th.DOC i �► Labonaarg ATTACHMENT 1 BULK ASBESTOS LABORATORY DATA SHEETS I 0 N - "....4 NOVO Laboratory & 138 SW 154th Street Iry Burien,WA 98166 Consulting, Inc. Laboratory&Consulting Services, Inc. Office: (206)244-1060 _ i Fax: (206)244-1063 April 3, 2015 Rich Carlson NOVO 138 SW 154th Street Burien,WA 98166 RE: Bulk Asbestos Fiber Analysis; Batch 115-1239 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 • 0 N II4V0 NOVO Laboratory &Consulting, Inc. Bulk Asbestos 138 SW 154th Street Analysis Report Laboratory&Consulting Services,Inc. Buries,WA 98166 Page 1 Office: (206)244-1060 Fax: (206)244-1063 Created by CrystalW, 950A 4-03-15 • >CLIENT CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson ' JOB ID JOB ,k%BULK AMPLEBATCf i = If 445 IIrr t V 1., BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1239 215 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 13 13 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None of the analyzed samples contained identifiable asbestos. SAMPL.E 104239/1 $ 11 4"51, CLIENT ID CLIENT DESCRIPTION (LOCATION 215-01 LAB DESCRIPTION ANALYZED BY ANALYSIS DATE STATUS Adhesvie Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. Tan pliable material r` COMPOSITION CATEGORY -';' FIBER TYPE T PERCENTAGE -T I Non-Fibrous Filler and Binder I 100% SAMPL 115-123,91 Id' II 11 ,,i ,iI555555 55-f 55 dd 11 CLIENT ID CLIENT DESCRIPTION LOCATION 215-02 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. ,14R Tan vinyl with gray fibrous backing r COMPOSITION CATEGORY 1 FIBER TYPE - PERCENTAGE Non-Asbestos Fibrous Glass Fiber 45% Non-Fibrous Filler and Binder 55% _ SAMPLE/142391-3, I , .Y ,, l CLIENT ID CLIENT DESCRIPTION LOCATION 215-03 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. PIA '41,111 IIS Il". '45%'; n ,.;s ,� 111 - u �I - �r va � Paint on white powder r COMPOSITION CATEGORY T,; FIBER TYPE - PERCENTAGE I Non-Fibrous IFiller and Binder 100% Tan papery material with white powder - COMPOSITION CATEGORY T , FIBER TYPE PERCENTAGE 1 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 0 V 0 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 crysratw, 9:50AM 4-03-15 CLIENT ID CLIENT CONTACT 1015.01 NOVO !Rich Carlson JOB ID JOB *�9 �y �, .��I�� p� 2 -s ,tk — a GI � s3 ��H I�Ihltil '� s-�� 6 � _ , - � '� iln� z `^��• BUL .. ? - k�, l�'!II z BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1239 215 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 13 13 , 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None of the analyzed samples contained identifiable asbestos. AM _ , � oryim aw CLIENT ID CLIENT DESCRIPTION LOCATION 215-04 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. Et1 Y,cR 1 = Paint on white powder r COMPOSITION CATEGORYFIBER TYPE T PERCENTAGE -� Non-Fibrous 'Filler and Binder 100% ss SAYER. = t, _ lOpi � �i I' 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% SAMPLE 1154239/S .aa W,. 5 y ,, ,.., CLIENT ID CLIENT DESCRIPTION LOCATION 215-05 '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. 0 LAYER 1 _ Vit."1-4 - - -, � J O��u � .�" „ = .—. 1 Paint on white powder ` COMPOSITION CATEGORY T FIBER TYPE - PERCENTAGE Non-Fibrous Filler and Binder 100% Tan papery material with white powder r COMPOSITION CATEGORY / FIBER TYPE PERCENTAGE -1 Non-Asbestos FibrousCellulose 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. N 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, 9:50AM 4-03-15 CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB eBCILKsN I L 'aA m p P itt5)511 M�' BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1239 215 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 13 13 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None of the analyzed samples contained identifiable asbestos. $AMPLE4154219i 6 'i4�! �Ill11 N i!�( iill I CLIENT ID CLIENT DESCRIPTIOILOCATION 215-06 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. Paint on white powder r COMPOSITION CATEGORY T FIBER TYPE T PERCENTAGE -� I Non-Fibrous IFiller and Binder I 100% I .01Ar R2 = Tan papery material with white powder r COMPOSITION CATEGORY T FIBER TYPE - PERCENTAGE r Non-Asbestos Fibrous Cellulose 35% Non-Fibrous Filler and Binder 65% SAMPL,.115:1239f 7."19 ` 6W CLIENT ID CLIENT DESCRIPTION LOCATION 215-07 _ 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. I11r Paint on white powder r COMPOSITION CATEGORY T FIBER TYPE PERCENTAGE E Non-Fibrous !Filler and Binder I 100% Tan papery material with white powder — COMPOSITION CATEGORY - FIBER;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. • N r4V0 NOVO Laboratory &Consulting, Inc. Bulk Asbestos 138 SW 154th Street Analysis Report Laboratory&Consulting Services, Inc. Buries,WA 98166 Page 4 Office:(206)244-1060 Fax: (206)244-1063 Created by CrystalW, 950A 4-03-15 b14 —II i � _� I�k � : � r�= � h ��Ia fir. '1i CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB ....._ BULKMM t 1�� ... BATCH ID CLIENT PO SAMPLING SAMPLING DATE SAMPLES TAKEN BY 115-1239 215 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 13 13 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None of the analyzed samples contained identifiable asbestos. ^SAMPLE115-19 .I , d i" " .t" �� =�iiC� �� — ��I � `!'� CLIENT ID CLIENT DESCRIPTION LOCATION 215-08 LAB DESCRIPTION t ANALYZED BY ANALYSIS DATE STATUS Jc/Dw Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. AjAYEArel 'lig �� r L ,� a.` JII Paint on white powder r COMPOSITION CATEGORY T FIBER TYPE r PERCENTAGE Non-Fibrous 1Filler and Binder I 100% p Tan papery material with white powder COMPOSITION CATEGORY T FIBER TYPE 14L PERCENTAGE Non-Asbestos Fibrous Cellulose 35% �( pj�y Non-Fibrous Filler and Binder 65% 5Al€PL n1423 3 it t^, III � ! �' lG - it�,ll „tad CLIENT ID CLIENT DESCRIPTION LOCATION 215-09 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. fir, i i ., _Cyt�, y � � 1 �,� �� t _� .�>. 141,4a , r� `I Paint on white powder r COMPOSITION CATEGORY T ; FIBER TYPE r PERCENTAGE Non-Fibrouso I (Filler and Binder 100% L4YR.2 Tan papery material with white powder - COMPOSITION CATEGORY T FIB$ 8! % '� - PERCENTAGE 1 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. • N '4 V 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, 9:50AM 4-03-15 mE 91911, = 'IiI- ..: CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB z L MPCBgTCHG i `" 11 fib: BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1239 215 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 13 13 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None of the analyzed samples contained identifiable asbestos. SAMPLE2W"1 �.,,'Iipll,r CLIENT ID CLIENT DESCRIPTION LOCATION 215-10 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. Tan vinyl with gray fibrous backing r COMPOSITION CATEGORY FIBER TYPE - PERCENTAGE =1 Non-Asbestos Fibrous Cellulose 40% Non-Fibrous Filler and Binder > ro � 60% _-4doJ' - ` h`: i, YII, CLIENT ID CLIENT DESCRIPTION LOCATION 215-11 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. 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% SAMF[EJ.f5. 39/1 1 ; ,ti'� ' " '721 i 1''b . II - hak IIII` yl =x 1 CLIENT ID CLIENT DESCRIPTION LOCATION 215-12 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. Black asphaltic fibrous material r COMPOSITION CATEGORY T FIBER TYPE Non-Asbestos Fibrous Cellulose 65% Non-Fibrous Asphalt Filler and Binder 35% 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 0 V 0 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 by CrystalW, 9:50AM 4-03-15 • tin§ � K k CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson - JOB ID JOB s a v:: f4N. t `I`r-'= BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1239 215 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 13 13 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None of the analyzed samples contained identifiable asbestos. _ �" r i� "i I I — ti` �,�" — spa q� _ ��, kti SiMP ., ;12391. y �. U�II .,. ,. CLIENT ID CLIENT DESCRIPTION '..LOCATION 215-13 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. �;tA .Y513:1- tR X 4° Black asphaltic fibrous material r COMPOSITION CATEGORY T ': FIBER TYPE - - PERCENTAGE -I Non-Fibrous Asphalt Filler and Binder 35% Non-Asbestos Fibrous Cellulose 65% [End of Batch] LOA: Crystal Wright,Laboratory 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 r &c �� ATTACHMENT 2 SAMPLE AND MATERIAL LOCATION DRAWINGS S• N OVO ( RTIVI OOTS GENERAL NOTES — ASBESTOS ; ®® 1. THIS IS AN ASBESTOS SURVEY DRAWING INTENDED TO "'6106' DISPLAY SAMPUNO IONS AND ASBESTUS-CONTAINING JC WALLBOARD MATERIALS PROPERTY.THIS 1DR WN.RIAS BEEN WITHIN ISSUSUBJECT D AS AN •ONMEID i0 AN ASBESTOS SURVEY REPORT AND IS NOT STAND ALONE DOCUMENT. MIS DRAWING IS USED INTENDED TO BE USED AS• PROFESSIONAL ASBESTOS PROJECT DESIGN DRAWING EOR HE ACTUAL DIRECTION THAT OF WORK. S DETERMINED CLDEVON IMPACTED BY PROPOSEDWORKXJNIBRECOMMENDEDTHAT AI CERTIFIEDAN. DE Cx POFESSIOcAL BE RETAINED O DEVELOP PROJECT NDSPTS ( JC/WALLBOARD JC I r ( PAI FR WALLBOARD \ — I ( WlWw TS-03 18001* LEGEND: mum ma ASBESTOS SAMPLE: MATERIAL DESCRIPTION LOCATION DRAWING UP SAMPLE • n RESULT B � / - FFEDERAL DER L MIDSTREET P DN HOUSE WA MN HOUSE LANDIURM_HOME BA.Avon IAA Ave ATTATT 0I311-153.001 PAC swop•A CLW LOWER LEVEL FLOOR PLAN O -- ,/D,/„ a R N4/23/16 ITZTZTSI a_x sou HZ-215.01 • • • N OVO GENERAL NOTES — ASBESTOS L. ASBESTOS SURVEY DRAWING MTENED TO °YB1m 10p THIS SAMPLING LOCATIONS AND ASOESTDS_CDNIAININO PRPERTY.MIS IDRAWIIDENTIFIED NG fHASI BEEN ISSUED S AM IMExEO TO E U9E0 nSS�$1M10 MANJFOOEL NE PROFESSIONAL SBESTOSiPROJ Ci DESIGNS DRAWING FOR THE ACTUAL DIRECTION OF WORK.IF N LS DETERHE MINED TMAT WORKIM IS T IS LY TO BF RECOMMEN IMPACTED THAS CERRHEOPOSED 1AMA PROJECT DSgx PROFfS gt-BE REfAMEO TO OEYELOP PROJECT PLANS SO SP[dEICAixY. SKEET WPM Cx/wluB �T T C </wALLBOAAD 1 J I I IN LEGEND: ASBESTOS SAMPLE: mac mu MATERIAL AND SAMPLE NADER.DESCRIPTION LOCATION DRAWING AMEILEIMIZZLIDMIL SAMPLE d RESULT RID SW ESN STAEET FEDERAL WAY,WA MN HOUSE LANDNARK_HONE `" 0154-153.1 RLR maw ft ammo on UPPER LEVEL FLOOR PLAN O -- ,/311 " "` .m/15 ® .. WE 3E1 HZ-215.02 • • • Iabantan![anwhing SaNcW bac ATTACHMENT 3 CERTIFICATIONS • • 0 0 s+ , 2 a .a � " a•s ,a t ,e `* - - LS -,'''',,--*--7..r.-1-,,,,-( # ` �y ®s 4 ; ;.,----117,44 t-4- , ,-- ,,,or ''•,:;,— X „ tr =t.t `• ati b 3 4' itri'., - Ctq ) e d . CO 1.0 'r, ''' 1M . ,. 4C:jj 4 ›- F” O) C a) p.'^_,F..i` I' p� ca Cid a) ; g ri`twit co 01 ;. ,10,444,4401 a) , , s = sk i < co ce LL h :: .1 RC` J. t- 40,,,..*.. CT3 wpm Zilli —C 0 , 1 �. —) 14114444.01 CO qiii, w A 11 1,,,'"lc: i. 10.,,73.0...* ,.,,,„1,�y ' 37 ' ^.t. ',';4'...:. I •? i' , -4 - ia,- ,, *'• • ,,, $ ! N �ti '''. ll' .J..\ n ' k S yftw ; �y • • • • • • • • � l �� ,� �. ,Certificate of , ,,,, ...._... .. ..,_,,,, , F . 0NI:4'40i This is to certify that Richard L. Carlson �• �; „4::\ has satisfactorily completed ‘-; le.';,:, te '51 4 hours of refresher training as an r.,,, Asbestos Building Inspector to comply with the training requirements of � : (... .,., -,iTSCA Title II / 40 CFR 763 (AHERA) : :11" 150148 Certificate Number ../A\;_jjpj_,,______ ...,... . .:,,,,.„.. -(4.:-' -F4 y Feb 18, 2015 , re _:4 Instructor ARGUS n Date(s)of Training � .;,-;'-i EPA Provider Cert. Number: 1085 T ', TRAINING•CONSULTING n Exam Score: NA Expiration Date: Feb 18,2016 ) 9 , , Argus Pacific,Inc.•1900 W.Nickerson,Suite 315•Seattle,Washington•98119•206.285.3373•fax 206.285.3927 i V{ • .' E TM 0 138 S.W. 154th Street Suite B N riVO 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@comcast.net NOVO Project No. 0136-153.001 Subject: Good Faith Inspection Letter Garage, 215 %2 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 215 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, mechanics garage consisting of approximately 3,200 square feet of floor space. The garage consists of a large mechanic bay, small mechanic bay, small paint booth, customer reception area, office, and restroom. The structure is metal framed C:\Documents and Settings\Owner\My Documents\Dropbox\Consulting\Projects\0136_Landmark Homes\215.5 SW 356th Garage.DOC • N OVO IabenenY kiDEAN E.Snlasti`c Mr.Kris Schall Page 2 Landmark Homes,Inc NOVO Project No.0136-153.001 Good Faith Inspection Letter—215 '/2 SW 356th April 23,2015 • on a concrete slab. Floors throughout the garage area are concrete. Interior walls are primarily wood with select quantities of gypsum wallboard. Ceilings are open to the roof deck. Within the customer service and office area floors are wood decking with carpeting. Interior walls and ceilings are gypsum 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 metal panels. 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 six(6)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\215.5 SW 356th Garage.DOC • 0 l.....m,le Cwdera Sinker.I= Mr.Kris Schall Page 3 Landmark Homes,Inc NOVO Project No. 0136-153.001 Good Faith Inspection Letter—215 '/z SW 356`h 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 Joint compound 215-01 1 Garage NAD Wallboard 215-01 2 Garage NAD Joint compound 215-02 1 Garage NAD Wallboard 215-02 2 Garage NAD Joint compound 215-03 1 Garage NAD Wallboard 215-03 2 Garage NAD Joint compound 215-04 1 Customer reception NAD Wallboard 215-04 2 Customer reception NAD C:\Documents and Settings\Owner\My Documents\Dropbox\Consulting\Projects\0136_Landmark Homes\215.5 SW 356th Garage DOC ill II Mr.Kris Schall Page 4 Landmark Homes, Inc NOVO Project No.0136-153.001 Good Faith Inspection Letter—215 ''A SW 356th April 23,2015 Material Description Sample# Layer Location Lab Result Joint compound 215-05 1 Restroom NAD Wallboard 215-05 2 Restroom NAD Adhesive(tan)associated with carpet 215-06 Customer reception 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). 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, r 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\215.5 SW 356th Garage.DOC • S n•C 1* S Ix 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 2, 2015 • Rich Carlson NOVO 138 SW 154th Street Burien,WA 98166 RE: Bulk Asbestos Fiber Analysis; Batch 115-1238 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 ! S . NAVO NOVO Laboratory &Consulting, Inc. Bulk Asbestos 138 SW 154th Street Analysis Report Laboratory&Consulting Services, Inc. Buries,WA 98166 Page 1 Office: (206)244-1060 Fax: (206)244-1063 Created by CrystalW, 11:23AM 4-02-15 DENT- CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson • JOB ID JOB BULKS4MPLEBATCH -411P01 it is "" I11I1,I la�ihl ill; qy BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1238 215-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 6 6 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY .__. None of the analyzedpsamples contained identifiable asbestos. .11.� .�� U ' = lzrrtibe Imo« 11,1 AI CLIENT ID CLIENT DESCRIPTION LOCATION 215-01 LAB DESCRIPTION I ANALYZED BY ANALYSIS DATE STATUS Jc/Dw [Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. A.'LAYER I�� _ �. Paint on white powder r COMPOSITION CATEGORY T FIBER TYPEPERCENTAGE -' I Non-Fibrous (Filler and Binder I 100% LAYER 2 s Tan papery material with pink powder r COMPOSITION CATEGORY T FIBER TYPE PER001104.0. Non-Asbestos Fibrous Cellulose 30% Non-Fibrous Filler and Binder 70% SAMPLE 11S--1238 4i9i6,11p0 s �I�HI II16 p&tiyjll9 (f CLIENT IDCLIENT DESCRIPTION LOCATION 215-02 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. „ YR �T �Ba II Paint on white powder r COMPOSITION CATEGORY T; FIBER TYPEPERCENTAGE I Non-Fibrous (Filler and Binder I ,, 100% YER _ Tan papery material with pink powder r COMPOSITION CATEGORY / FIBER TYPE - PERCENTAGE 1 Non-Asbestos FibrousCellulose 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. • • ' NAV () NOVO Laboratory &Consulting, Inc. Bulk Asbestos 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 23A 4-02-15 VII CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson • JOB ID JOB BUL, AMPLEBATCH -1111v..1- 111111 II, _ qll) BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1238 215-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 6 6 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None of the analyzed samples contained identifiable asbestos. $Afr , h �' ti y I ' =+ IIp .r.. mLI I,_•, "°`a d.,.a '11' , a:'— I �I - xia, CLIENT ID CLIENT DESCRIPTION LOCATIONION 215-03 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. Paint on white powder r COMPOSITION CATEGORY T f!BER TYPE ' PERCENTAGE Non-Fibrous Filler and Binder 100% MYER 2 Tan papery material with pink powder r COMPOSITION CATEGORY T FIBER TYPE PERCENTAGE Non-Asbestos Fibrous Cellulose 35% Non-Fibrous Filler and Binder 65% '!A- 238 "¢` ._ CLIENT ID CLIENT DESCRIPTION 1 LOCATION 215-04 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. >t L4YER Paint on white powder - COMPOSITION CATEGORY - ; FIBER TYPE r PERCENTAGE Non-Fibrous Filler and Binder 100% Tan papery material with pink powder - r COMPOSITION CATEGORY FIBER 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 • 138 SW 154th Street Analysis Report • Laboratory&Consulting Services, Inc. Buries,WA 98166 Page 3 Office: (206)244-1060 Fax: (206)244-1063 Created by CrystalW, 11:23AM 4-02-15 r , CLIENT ID CLIENT CONTACT 1015.01 NOVO Rich Carlson JOB ID JOB .- _.._. ...... r'B L/5 L P,r.E 8ArCH BATCH ID CLIENT PO SAMPLING DATE SAMPLES TAKEN BY 115-1238 215-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 6 6 4-02-15 Crystal Wright BATCH ANALYSIS SUMMARY None of the analyzed samples contained identifiable asbestos. SAMPLE/151238/5 ll ° =y . U'4 CLIENT ID CLIENT DESCRIPTION LOCATION 215-05 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. u LAIR ' Paint on white powder r COMPOSITION CATEGORY T FIBER TYPE - PERCENTAGE Non-Fibrous 'Filler and Binder 100% A*LAYER 2 _ Tan papery material with pink powder r COMPOSITION CATEGORY T FIBER TYPE - PERCENTAGE 1 Non-Asbestos Fibrous Cellulose 30% Non-Fibrous Filler and Binder 70% SAMPL '11 5 '!114i T 41r, CLIENT ID CLIENT DESCRIPTION LOCATION 215-06 LAB DESCRIPTION i ANALYZED BY ANALYSIS DATE STATUS Carpet Mastic Crystal Wright 04-02-15 Analyzed SAMPLE ANALYSIS SUMMARY No identifiable asbestos was detected in this sample. LAYER I Gold mastic on carpet LAYER NOTE Only mastic analyzed r COMPOSITION CATEGORY T FIBER TYPE PERCENTAGE --f Non-Fibrous 'Filler and Binder 100% [End of Batch] Crystal Wright,Lab 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. ! • dingatms Inc. ATTACHMENT 2 SAMPLE AND MATERIAL LOCATION DRAWINGS • • • • • N OVO GENERAL NOTES — ASBESTOS RESTOS SURVEv DW xrtfNO[D i0 ti=.11; rn SPIAY SM(rAs L04TNIN5 ANDW:EVA ONTAININD PROPERTY� 55550 AS A0 MMDEp i0 TB`E USED tis,"STS`AND ALONE OOCuufNl.NOT THIS x0 K NOT INTENDED TO BE USED AS A PROPESSIONAL ASBESTOS PROJECT DESIGN DRAWING FOR TTHAT HE ACTUAL I OLIKELY TOOBE IMPAC IF IT THE PPROPOSSED WORN ACM ITISRECOMMENDED THAT A CERTIFIED ANERA PROJECT PROFESSIONAL TO DEVELOP PROJECT UISAND SPECIFICATIONS. CTIONS CM-M W't 1 WALLBOARD ns/ox I WARM l CARPEL ADHESIVE .C�(w BOARS N I MBA x i w.u4oARo I NS-a I naAmE X \ 1 — LEGEND: ASBESTOS SAMPLE: AL AND AMSEII A AMPLE i[RML DESCRIPTION LOCATION DRAWING SAMPLE B RESULT E,S4 SW Mt WTREEi FEDERAL WAY,WA MECHANIC GARAGE LM OMAMLMOME eurr nee or GIN-,4.1.001 w 4O ere on FLOOR PLAN CLW B O re re 4/01/14 _ vz:n4 sou HZ-215.5.01 • • 6abwaEny•aw,wnin 44 mem,I,c • ATTACHMENT 3 CERTIFICATIONS • 0 .... wre 4,,,.. ,of'-* :• I_.,..--- 4'.=- --1--';'.Va.'. 1 ":"1:R:-",-7 , , .„),,,,,,-4,,. ,-,....,,,,,,,,.- p.,.,.:,•-•• ,p941,' •ir„,'-iiiik-,..1---,$, rr zio..., ' -i-. ,---',-----'I..,' 1.4..,,r7t , -4.,fi * ..."V"'',,u 4'4,''';''''''':""---1.c''''', .„''', ,,'41111i. 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Number: 1085 �A-NG•Co-(� .........., , .._..., Exam Score: NAS Expiration Date: Feb 18, 2016 Argus Pacific Inc •1900 W Nickerson Suite 315•Seattle,Washington•98119•206.285.3373•fax 206.285.3927 ^' A ,., "�kur ,,Ti s` E -,. '2a `"^ ":::'''''',. .:‘,1r-„, ti'% ..wig t