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16-105291". ^ th City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: ADVANCE AUTO PARTS Project Address: 33370 PACIFIC HWY S Project Description: Demolition of existing structure on site Demolition Permit #:16 -105291 -00 -DE Inspection Request Line: (253) 835-3050 Parcel Number: 797820 0050 Owner Applicant Contractor B T S PAC HWY FW AA LLC JEFF PARKERCADENCE CAPITAL CORSTONE CONTRACTORS LLC 6400 S FIDDLERS GREEN CIR SUITE 1820 INVESTMENTS CORSTCL984KZ (05/09/18) GREENWOOD VILLAGE CO 80111 4580 KLAHANIE DR SE SUITE 402 USA ISSAQUAH WA 98029 PO BOX 2280 SNOHOMISH WA 98290 Additional Permit Information PERMIT EXPIRES Saturday, 3 November, 2018 Permit Issued on Thursday, November 3, 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 Wash gto City of F Way. Owner or agent:Date: %' cn,r Cw Federal Way PERMIT #: Project: THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUE TS: (253) 835-3050 16105291 00 Address: 33370 PACIFIC HWY S B T S PAC HWY FW AA LLC FEDERAL WAY WA 98003-6890 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) 0 Initial Erosion Control (4365) ® Interim Erosion Control (4370) E Approved ly Date To be done PRIOR to breaking ground By Approved By Date By Date By Date J Final Erosion Control (4375) Rough Electrical Final - Building (4050) Approved E Approved ly Date Approved By S Date Rough Electrical Final Electrical E Right of Way Approved Approved Approved By Date By Date By Date • • ME N V I R O N M E N TA L t ( PARTNERS INC 1180 NW Maple S"et Suite 3!0 Issaquah, Washington 98027 ph 425.395.00!0 Asbestos Survey Former Bank Building Former Bank Building 3337`0 Pacific Highway South Federal Way, WA Prepared For: Cadence Capital Investments, LLC 4580 Klahanie Drive SE, #402 Issaquah, Washington 98029 September 9, 2016 Prepared By: Environmental Partners, Inc. 1180 NW Maple Street, Suite 310 Issaquah, Washington 98027 (425) 395-0010 Joseph Sherrod Project Geologist AHERA-Certified Building Inspector EPI Project Number: 70703.2 OR TR C-1k— Expiration Date: May 4, 2017 RECEIVED NOV 0 3 2016 CITY OF FEDERAL WAY CDS Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal ^mueomo Survey '^ Former Bank Building 33370 Pacific Highway South, Federal Way, vA y\September 9, 2016 _ TABLE OF CONTENTS , 1'0 __—_'-_--_'.—___—_—_._~`------''---_-------___.1 1.1 Asbestos Survey Objectives ................ ................................................................................. 1 2] Sampling Guidelines. ........................................ .................................................................... 2 22 Sample Collection .......................................................................... ........................................ 2 23 Laboratory Analysis ...... ....................................................................................................... 2 31 Building Details ................................................................... ............... ................................ 3 3.2 Suspect Materials ...... .................. .......................................... ............ ................................ 3 3.3 Materials Identified ............................................................................... 4 3.4 Friability ............. ............................................. _........ ........................ .......... .................. 4 3'5 Assumed ACM and Sample Exclusion Summary ........................................ ......................... 5 5.0 DISCLAMER.................................................................................................................................... 5 TABLES Table Analytical Results for Suspected Asbestos -Containing Materials Figure General Vicinity Map Figure Site Representation Figuna3 Roof Asbestos Sample Locations Figure Interior Asbestos Sample Locations Figure Exterior Asbestos Sample Locations ATTACHMENTS Attachment A Analytical Laboratory Reports sm,/wmwmsmT^' P RrwsR, 'mC Provided to ooilu°ro Exchange of WA, Inc. For usage Conditions Agreement see °°°.uxww.=om Always verify ocal • Asbestos Survey Former Bank Building 33370 Pacific Highway South, Federal Way„ WA September 9, 2016 1.0 INTRODUCTION is Environmental Partners, Inc. (EPI) is pleased to present the results of an asbestos survey conducted at the Former Bank Building (subject structure) located at 33370 Pacific Highway South Federal Way, Washington (subject property) on August 9, 2016. The general location of the subject property is indicated on Figure 1. It is EPI's understanding that this survey was requested in anticipation of demolition of the subject structure. The general objective of this survey was to identify asbestos -containing materials (AGMs) used during construction and remodeling of the subject structure. This survey was performed in general accordance with Puget Sound Clean Air Agency (PSCAA) Regulation III Article 4 using sampling protocols in Asbestos Hazard Emergency Response Act (AHERA; 40 CFR 763.86). The sections that follow present information concerning the purpose of the investigation, the methodology EPI used to conduct the survey and collect samples, the results of the investigation, and our conclusions and recommendations. The process of identifying ACMs involves using existing knowledge combined with visual observations and collecting bulk materials samples where appropriate. Existing knowledge includes available information contained in construction documentation or previous surveys. A visual inspection is conducted to confirm the presence of such materials. Using these sources of information, an inspector can develop an inventory of suspected ACMs. To positively identify the asbestos content of the suspect material, a representative number of samples are submitted to a laboratory for analysis. 1.1 Asbestos Survey Objectives The objectives of this asbestos survey are as follows: • Identify construction materials in the structures surveyed that are suspected of containing asbestos; • Sample suspect materials to positively identify ACMs by polarized light microscopy (PLM) analysis of representative samples; • Estimate the quantity of ACMs determined to be present for each material identified,, where possible The survey documented herein was conducted based upon readily observable conditions and materials at the subject structure. If additional potential or suspected ACMs not documented in this report become apparent during demolition, those materials should be tested for the presence of asbestos and handled according to applicable regulations. E N V I R ON MEN T A L P A R T HERS f N t Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal 1 0 • Asbestos Survey Former Bank Building 33370 Pacific Highway South, Federal Way„ WA September 9,2016 2.0 ASBESTOS SURVEY AND SAMPLING METHODOLOGY The first part of this asbestos survey included a visual inspection of all accessible areas of the subject structure to identify "homogeneous materials" that are suspected to be ACMs. For purposes of the asbestos survey, "homogeneous materials" are defined as materials that have uniform physical properties (e.g., color, texture, etc.) and are used throughout the subject structure. ACMs are generally classified into three categories: surfacing materials, which include spray -on or troweled -on materials; thermal system insulation (TSI), which includes insulation and materials associated with HVAC systems; and miscellaneous materials, which include ceiling and floor tiles, roofing materials, and all other materials that do not fall under the other two categories. 2.1 Sampling Guidelines EPI utilizes inspectors who have received AHERA training and certification in Building Inspection and followed AHERA sampling protocols (i.e., 40 CFR 763.86) for this project. If a building owner wishes to establish that a suspect material is non -asbestos, they must submit a minimum number of samples for analysis, and all results must be negative for asbestos content AHERA specifies the number of samples an inspector should take for different sizes and types of suspect materials. For most materials, a single sample is sufficient for sampling purposes. Multiple samples must be taken from: (1) surfacing materials where there is a possibility for differences in mixtures (e.g., plaster); or (2) areas of excessive size or materials with excessive linear footage (e.g., large segments of pipe insulation). Homogeneous materials with these characteristics may require multiple samples to account for the possibility of component variability within a defined area or linear footage. 2.2 Sample Collection Standard sampling tools and safety precautions were used to obtain samples from the suspect materials. The samples were bagged and submitted to a laboratory for analysis. The locations of the representative bulk samples were noted using a coordinate system within the building. Samples were collected in locations that were readily accessible or areas that permitted access to underlying materials. Therefore, it is possible that there may be hidden ACMs in the subject structure that could not be observed during this survey. If discovered in the future, such materials should be sampled prior to removal or disturbance, or assumed to be an ACM and handled and managed according to applicable regulations. 2.3 Laboratory Analysis The PLM method was used to analyze samples collected during this survey. PLM is semi -quantitative and cannot reliably quantify less than about 1 percent asbestos content. This limit corresponds to the lower limit of asbestos content in the AHERA definition of `asbestos -containing material." For the purposes of this survey, a material shall be considered asbestos -containing if, upon laboratory analysis, it is found to contain greater than 1 percent asbestos. E N Y 1 6 O" M E N T A L PART" E KS t N t Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal 2 Asbestos Survey Fonner Bank Building 33370 Pacific Highway South, Federal Way, WA September 9, 2016 EPI submitted 68 bulk samples collected from the subject structure to NVL Laboratories Inc., 4708 Aurora Avenue North, Seattle, Washington 98103. 3.0 ASBESTOS INSPECTION AND LABORATORY RESULTS 3.1 Building Details Bank Building (Former Bank Building — 33370 Pacific Highway South) The subject structure is one Former Bank Building constructed by Seafirst bank in 1980. A general representation of the subject facility is presented on Figure 2. Based on EPI's observations, the subject structure was generally built using standard masonry construction (i.e., brick and mortar) with several interior wood framed walls. The floors of the subject structure are concrete construction. The floors in the interior and restroom spaces were covered with various types of carpet, floor tiles, vinyl floor sheeting and ceramic tiles. The ceilings of the office and restroom spaces were either constructed of drop ceiling tiles or gypsum wallboard. The roof of the subject structure is constructed of layered, tar -covered asphaltic roofing material. 3.2 Suspect Materials A visual inspection of the structures surveyed identified a total of 9 suspected AGMs. Each of these materials is identified by a unique Suspect Material ID in Table 1 and displayed on Figures 3 through 5. In general, the materials included; • Asphaltic roofing material; • Tar papers; • Duct sealant with silver paint • Multiple different walls constructed of painted gypsum wall board; • Multiple types of cove base with mastic; • Sink coating; • Multiple types of drop ceiling tiles; • Carpet with mastic on floors and walls; • Multiple types of putty; • Ceramic wall and floor tiles, grout, and mastic; • Multiple types of vinyl floor sheeting and mastic; • Multiple types of vinyl countertops and mastic; • HVAC baffles; and • Multiple types of floor tiles with mastic. As mentioned above, there may be other ACMs present in the subject structure that could not be inventoried and/or sampled during this survey due to a lack of destructive sampling and/or health and safety concerns. Any other materials encountered during demolition activities that are not described in Table 1, should be sampled prior to removal or disturbance, or assumed to be an ACM and handled and managed according to current applicable regulations. ENVIRONMENTAL PARTNERS INC 3 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal Asbestos Survey Former Bank Building 33370 Pacific Highway South, Federal Way, WA September 9, 2016 3.3 Asbestos: -Containing Materials Identified The EPA classifies ACMs as those materials that contain 1 percent or more of asbestos by volume. As previously indicated in Section 3.2, a total of 68 materials were identified as potential ACMs. EPI personnel sampled and submitted 68 of the 68 materials for analysis. Laboratory analytical results indicate that 5 of the 68 materials sampled are confirmed ACMs. A comprehensive list of confirmed AGMs and estimated quantities are included in Table 1. ACMs are also identified on Figures 3 through 5. The original laboratory reports are included as Attachment A. Laboratory analytical results indicate that the following materials located in the subject structure are confirmed ACM (see Figures 3 through 5): Roofing tar paper (Suspect Material ID No. EX -A) — approximately 850 square feet, located on the roof of the drive thru overhang. • Silver paint (Suspect Material ID No. EX -E) — approximately 75 square feet, located on the duct work of the HVAC system on the roof. • Black asphaltic mastic (Suspect Material ID No.. B1 -B) — approximately 100 square feet, located in the former video surveillance/server room in the south west corner of the building. 12" Gray tile and black/brown asphaltic mastic (Suspect Material ID No_ B1 -J) — approximately 900 square feet located in the southern region of the building (bathrooms, hallway, offices, and kitchen). • 12" Black the surrounding gray tile and black/brown asphaltic mastic (Suspect Material ID No. B1 -K) — approximately 300 square feet located in the southern region of the building (bathrooms, hallway, offices, and kitchen). All of the materials listed above must be properly removed and disposed prior to planned demolition or renovation activities. 3.4 Friability EPI did not observe confirmed ACM during this survey that was friable to manual pressure. However, one confirmed ACM (i.e., EX A — roofing tar paper) was fibrous in nature. In its current location, material EX -A is not friable, however, during renovation and/or demolition, the fibrous paper may become friable. Prior to demolition or renovation, it may be necessary to make additional evaluations of ACM friability based upon the forces that will, or may, act upon an ACM during the demolition or renovation. E N V I R ON MEN T A L P A tit T N E R S I N C Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal 4 w • • Asbestos Survey Former Bank Building 33370 Pacific Highway South, Federal Way, WA September 9, 2016 3.5 Assumed ACM and Sample Exclusion Summary Due to health and safety factors and threats to current operation of the building and tenant operations, EPI was unable to inspect for gaskets, seals, or paper liners on mechanical equipment, pipes, and behind incandescent light fixtures and electrical panels throughout the building structures. Prior to demolition or renovation, these materials should be inspected for and sampled for asbestos content, or assumed to be ACM and disposed of accordingly. 4.0 FINDINGS AND RECOMMENDATIONS EPI conducted an asbestos survey of the subject structure located on the subject property. The findings of this survey include the following; EPI confirmed the presence of five ACMs at the subject property as discussed above. These materials must be handled and managed according to current applicable regulations prior to any planned redevelopment activities. • One of the confirmed ACMs (i.e., EX -A — roofing tar paper) in its current location is not friable. However, during renovation and/or demolition, the fibrous material may become friable. * Clue to health and safety factors, and threats to current operation of the building, EPI was unable to inspect for gaskets, seals, or paper liners on mechanical equipment, pipes, and behind incandescent light fixtures and electrical panels throughout the building structures. Prior to redevelopment, it would be prudent to inspect and sample these materials for asbestos content if present. 5.0 DISCLAMER As applicable and available within the project schedule and budget, we have completed the agreed scope of services, employing professional standards applicable in the industry today. It should be acknowledged that some potential ACMs may have been obstructed from view or inaccessible at the time of this survey, Such materials may only become apparent during demolition or remodeling activities. We assume no risk for existing conditions on the site. To the extent that these services have required judgment, there can be no assurance that fully definitive or desired results were obtained or, if any results were obtained, that they are supportive of any given course of action. EPI's services have included the application of judgment to scientific principles and to that extent, certain results of this work have been based on subjective interpretation. We make no warranties, express or implied including, without limitation, warranties as to merchantability or fitness for a particular purpose. The information provided in this report is not to be construed as legal advice. E NVIRON MENTAL PARTN E RS I N C Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal 5 tl� Pi • ro 3 X A N N N 4J N N N it N 0 .J LJ ro 0 0 u v rn ro N u 0 w Table 1 Analytical Results for Suspected Asbestos -Containing Materials Asbestos Survey Report Former Bank Building 33370 Pacific Highway South, Federal Way, Washington Sample Location Suspect Material ID No. Suspect Material Description Sample Name Laboratory Description Result Friability EX -A White asphaltic paper, asphaltic paper, wood EX -A-1 Layer 1: White/gray soft material with interwoven fibrous material ND No Layer 2: Black asphaltic fibrous paper with tar ND No Layer 3: Yellow foamy material N D No Layer 4: Tan fibrous material ND No Layer5: Yellow foamy material ND No EX -A-2 Layer 1: White/gray soft material with interwoven fibrous material ND No Layer 2: Black asphaltic fibrous paper with tar ND No Layer 3: Yellow foamy material ND No Layer 4: Tan fibrous material ND No Layer 5: Gray fibrous material ND No Layer 6: Brown wood debris ND No EX -A-3 Layer 1: White/gray soft material with interwoven fibrous material ND No Layer 2: Black asphaltic fibrous paper with tar ND No Layer 3: Yellow foamy material ND No Layer 4: Tan fibrous material ND No Layer 5: Gray fibrous material ND No EX -A-4 Layer 1: Black awhaltic fibrous material with tar NQ No Layer 2: Gray fibrous material ND No Layer 3: Black asphaltic fibrous material with brown fibrous material 21% Chrysotile No EX -A-5 Layer 1: Black asphaltic fibrous paper with tar ND No Layer 2: Yellow foamy material ND No Layer 3: Tan fibrous material ND No Layer 4: Gray fibrous material ND No Roof EX -13 Clear caulk, white asphaltic paper, asphaltic paper, wood EX -13-6 Layer 1: CleaE/yellow soft material ND No Layer 2: White/gray soft material with interwoven fibrous material and mastic ND No Layer I White/gray soft material with interwoven fibrous material ND No Layer 4: Gray fibrous material ND No Layer 5: Black asphaltic material with fibrous material on wood) ND No EX -13-7 Layer 1: White/gray soft material with interwoven fibrous material and soft material ND No Layer 2: White/gray soft material with interwoven fibrous material ND No Layer 3: Black asphaltic material with fibrous ND No Layer 4: Brown wood debris N D No EX -13-8 Layer 1: White/gray soft material with interwoven fibrous material and soft material ND No Layer 2: White/gray soft material with interwoven fibrous material ND No Layer 3: Gray fibrous material ND No Layer 4: Black asphaltic material with fibrous ND No Layer5: Brown wood debris N D No EX -C Gray caulk, sealing flashing on roof EX -C-9 Layer 1: Gray soft elastic material with paint ND No EX -C-10 Layer 1: Gray soft elastic material with paint ND No EX -C-10 Layer 2: White brittle material ND No EX -C-11 Layer 1: Gray soft elastic material with paint ND No EX -C-11 Layer 2: White brittle material ND No EX -D Gray wall board, white plaster EX -D-12 Layer 1: White sand /brittle material with paint NQ No EX -D-12 Layer 2: Gray sand /brittle material ND No EX -D-12 Layer 3: White sand /brittle material ND No EX -D-13 Layer 1: White sand /brittle material with paint NQ No EX -D-13 Layer 3: White sand /brittle material with trace vaint ND No EX -D-14 Layer 1: White sand /brittle material with paint NQ No EX -D-14 Layer 2: Gray sand /brittle material ND No EX -D-14 Layer 3: White sand /brittle material ND No EX -D Gray wall board, white plaster EX -D-62 Layer 1: White sand /brittle material with mint NQ No EX -D-62 Layer 2: Gray crumbly material ND No EX -D-62 Layer 3: Gray sand /brittle material ND No EX -D-63 Layer 1: White sand /brittle material with paint NQ No EX -D-63 Layer 2:, Gray crumbly material ND No EX -E Silver paint, gray caulk/sealant (duct) EX -E-15 Layer 1: Silver paint 2% Chrysotile No EX -E-15 Layer 2: Silver soft elastic material ND No EX -E-16 Layer 1: Silver paint I 3% Chrysotile No EX -E-16 Layer 2: Silver soft elastic material ND No EX -E-17 Layer 1: Silver paint 2% Chrysotile No EX -E-17 Layer 2: Gray soft elastic material ND No Roof EX -F Black asphaltic sealant (tin flashing) I EX -F-18 Layer 1: Black soft material ND No - EX -F 19 Layer 1: Black soft material ND No EX -F-20 Layer 1: Black soft material with trace paint ND No ENVIRONMENTAL PARTNERS INC Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal I Of 3 LJ 0 i n U • Table 1 Analytical Results for Suspected Asbestos -Containing Materials Asbestos Survey Report Former Bank Building 33374 Pacific Highway South, Federal Way, Washington Sample Location Suspect Material ID No.Description Suspect Material Sample Name Laboratory Description Result Friability Drywall, white chalky material with paint, pink 151-A-21 Layer 1: White compacted powdery material with paint and paper ND No B1 -A-21 La er 2: White chalky material with paper ND No chalky material 131-A-22 Layer 1: White compacted powdery material with paint ND No B1 -A Drywall, white chalky B1 -A-22 Layer 2: White chalky material with paper ND No material with paint 131-A-23 Layer 1: White compacted powdery material with paint ND No B1 -A-23 Layer 2: White chalky material with paper ND No B1 -B-24 Layer 1: Gray/tan/black sheet vinyl ND No 131-13-24 Layer 2: Gray fibrous backing with brown mastic ND No B1 -B-24 Layer 3: Gra brittle material ND No 131 -B Gray/tan flooring, brown mastic B1 -B-25 Layer 1: Gra /tan/black sheet vinyl ND No 131-13-25 Layer 2: Gray fibrous backing with brown mastic ND No B1-13-25 Layer 3: Black asphaltic mastic with sandy/brittle material 2% Chrysotile No B1 -C Brown undersink coatin B1 -C-26 Layer 1: Black soft loose material ND No B1 -D White ceiling tile 2'x 3' 131-D-27 Layer 1: Gray fibrous material with white paint ND No 131-E=28 Layer 1: Blue/gray woven fibrous carpet material ND No B1 -E-28 Layer 2: Yellow soft mastic with woven fibrous ND No B1 -E-28 Layer 3: Multi -colored woven fibrous material with yellow mastic and debris ND No B1 -E Blue/gray carpet, yellow mastic, gray pad, yellow mastic B1 -E-29 Layer 1: Blue/aray Blue/raywoven fibrous carpet material ND No B1 -E-29 Layer 2: Yellow soft mastic with woven fibrous ND No B1 -E-29 Layer 3: Multi -colored woven fibrous material with paint and mastic ND No 131-F countertop, yellow mastic mastic B1 -F-30 Layer 1: Brown flat hard compressed fibrous material with black surface ND No B1 -F-30 Layer 2: Yellow soft mastic ND No B1 -G-31 Layer 1: Black rubbery material ND No Interior B1 -G Black covebase, yellow mastic B1 -G-31 Layer 2: Trace yellow soft mastic ND No B1 -G-32 Layer 1: Black rubberymaterial ND No 131-G-32 La erg: Cream soft mastic with wood flakes ND No B1 -G-32 Layer 3: Brown brittle mastic ND No B1 -H Black countertop, yellow mastic B1 -H-33 Layer 1: Black flat hard compressed fibrous material with black surface ND No 131-1-1-33 Layer 2: Yellow soft mastic on wood ND No B1 -I-34 Layer 1: Gray rubbery material ND No B1-1-34 Layer 2: Cream soft mastic ND No B1 -i Tan covebase, yellow mastic B1-1-34 Layer 3: Brown brittle mastic with paint ND No B1-1-35 Layer 1: Gray rubbery material ND No B1-1-35 Layer 2: Cream soft mastic ND No B1 -J-36 Layer 1: Gray vinyl tile ND No B1 -J-36 Layer 2: Trace black asphaltic mastic 2% Chrysotile No B1 -J 12" gray tile, black/brown mastic B1 -J-37 Laver 1: Gray vinyl tile ND No B1 -J-37 Layer 2: Black asphaltic mastic 3% Chrysotile No B1 -K-38 Layer 1: Black vinyl tile 2% Chrysotile No B1 -K-38 Layer 2: Black asphaltic mastic 3% Chrysotile No B1 -K 12" black tile, black/brown mastic B1 -K-39 Layer 1: Black vinyl tile 2% Chrysotile No B1 -K-39 Layer 2: Black asphaltic mastic 2% Chrysotile No B1 -L-40 Layer 1: Gray fibrous material with paint ND No B1 -L-40 Laver 1: Grav fibrous material with paint No BI -L 18" celing tile 131-1-41 Layer 1: Gray fibrous material with paint ND No B1 -L-41 Layer 1: Gra fibrous material with paint No 131-M-42 Layer 1: Brown flat hard compressed fibrous material with green surface ND No B1 -M Gray/brown countertop, tan mastic B1 -M-42 Layer 2: Yellow brittle mastic with wood flakes ND No B1 -M-43 Layer 1: Brown flat hard compressed fibrous material with _green surface ND No Bl -M-43 Layer 2: Yellow brittle mastic with wood flakes N D No 131-N-44 Layer 1: Brown ceramic the with white surface ND No Interior 131-N White 12" tile, white powdery substance 131-N-44 La er2: White sand /brittle material ND Na 131-N-45 Layer 1: Brown ceramic tile with white surface ND No 131-N-45 Layer 2: White sand /brittle material ND No B1-0-46 Layer 1: Brown ceramic tile with gray surface ND No B1-0-46 Layer 2: White sand /brittle material ND Na B1-0 Gray 12" tile, white powdery substance B1-0-46 Layer 3: Gra sand /brittle material ND No BI -0-47 Layer 1: Brown ceramic tile with gray surface ND No B1-0-47 Layer 2: 1 White sand /brittle material ND No ENVIRONMENTAL PARTNERS INC 2of3 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal Table I Analytical Results for Suspected Asbestos -Containing Materials Asbestos Survey Report Former Bank Building 33370 Pacific Highway South, Federal Way, Washington Sample Location Suspect Material ID No. Suspect Material Description Sample Name Laboratory Description Result Friability B1 -P-48 Layer 1: I White compacted powdery material with paint ND No BI -P-49 Layer 1: White bumpy compacted powdery material with paint ND No B1 -P White chalky substance, white paint BI -P-49 LaVer2: White compacted powdery material ND No B1 -P-50 Layer 1: White compacted powdery material with paint ND No B1 -P-50 Layer 2: White chalky material with paper ND No B1 -Q-51 Layer 1: White soft material ND No B1 -Q-52 Layer 1: Trace white compacted powdery material with paint and paper ND No B1 -Q White caulk (sink area) B1 -Q-52 Layer 2: White soft material ND No Interior Gray carpet, black mastic, B1 -R-53 Layer 1: Gray woven fibrous carpet material with mastic and plastic ND No black mat, black mastic B1 -R-53 Layer 2: Black rubbery material ND No B1 -R-53 Layer 3: Trace yellow soft mastic ND No B1 -R-56 Layer 1: Gray woven fibrous carpet material with mastic and plastic ND No B1 -R Gray carpet, yellow mastic, B1 -R-56 Layer 2: Black rubbery material ND No white powdery substance B1 -R-56 Layer 3: Cream soft mastic ND No B1 -R-56 Layer4: White brittle material ND No B1 -R-56 Layer5: Gray sand /brittle material ND No B1 -S-54 Layer 1: White fibrous material with paint ND No Bl -S 12" ceiling tile, brown mastic BI -S-54 Layer 2: Brown brittle mastic ND No BI -S-55 Layer 1: White fibrous material with paint ND No 6I -S-55 Layer 2: Brown brittle mastic ND No EX -G-57 Layer 1: Brown brick ND No EX -G Red brick EX -G-58 Layer 1: Brown brick ND No EX -G-58 Layer 2: Trace tan sand /brittle material ND No EX -NH -59 Layer 1: Gray sand /brittle material ND No EX -H-60 Laver 1: Gray sand /brittle material ND No 4 'l E y I _r X -H-61 Layer 1: Gray sand /brittle material ND No EX -H-61 Layer 2: Trace gray brittle material ND No Exterior EX -H Gray mortar EX -H-67 Layer 1: Gray sandy/brittle material with paint and qranules ND No EX -H-68 Layer 1: Gray sandy/briffle material with paint and qranules ND No EX -1-64 Layer 1: Black soft/elastic material ND No EX -1-65 Layer 1: Black soft/elastic material ND No EX -1 Black caulk I I EX -1-66 Layer 1: Black soft/elastic material ND No Note: ND None detected. ENVIRONMENTAL PARTNERS INC Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal 3 of 3 0 0 • Figures Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal 0 • Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal t i ti tQL MATERNL.ID EX -A /.'.ROUTING TAR' i'PAFEROVER', CONFIRMED REPORT '; ROOF OF omR ACM -SUSPECT 33 7,IIUTS 0 PACIFIC HGIWAY SCI 'i TRHCYJGH MATERIAL H) EX -E PREPARED *FX -t•19 SILYERPAINTON i Q 3 HVAC DUCT WORK � I SUBJECT PROPERTY 9r�116 o ♦ EX -A,1 33370 PACIFIC HIGHWAY SOUTH 70'03=2 - AMPLEMWER � I SAMPLE' LOCATION -E-1. EX -A4 rL *DCA2 tQL MATERNL.ID EX -A /.'.ROUTING TAR' i'PAFEROVER', CONFIRMED REPORT '; ROOF OF omR ACM -SUSPECT 33 7,IIUTS 0 PACIFIC HGIWAY SCI 'i TRHCYJGH MATERIAL H) EX -E PREPARED *FX -t•19 SILYERPAINTON *EX -M HVAC DUCT WORK BY SUBJECT PROPERTY 9r�116 -E-t ♦ EX -A,1 33370 PACIFIC HIGHWAY SOUTH 70'03=2 - AMPLEMWER FEDERAL WAY, WA \\ •EX -6-7 lEXG11 * EX -ii 14 ! EX•F-20 EX A u 0 EX -C-3 • EX -0.12 4 Ek A -I i EX -13.13 CONFIRMED REPORT 0 s 10 ACM -SUSPECT 33 7,IIUTS 0 PACIFIC HGIWAY SCI LOCATION MATERIAL H) EX -E PREPARED *FX -t•19 SILYERPAINTON *EX -M HVAC DUCT WORK BY fiir "IN3 VATIMIAL 9r�116 -E-t DESGNATIOd QES 7'�JI�'ta'E�nER�R£ z crTal 70'03=2 - AMPLEMWER 16 \\ •EX -6-7 SAMPLE' LOCATION -E-1. EX -A4 SAMPLE LOCATION VOTH CONFIRMED *DCA2 ASI3_SiCa-CONTAIN1W, MATERIAL (R Cf,R1. • 0 18 < N 1 t I I REPORT 0 s 10 r i 20 ` 33 7,IIUTS 0 PACIFIC HGIWAY SCI LOCATION t PREPARED sCALE: r = I NOTES: DRAWNBYREY�1!7D BY fiir "IN3 VATIMIAL 9r�116 VPB DESGNATIOd QES 7'�JI�'ta'E�nER�R£ z crTal 70'03=2 - AMPLEMWER I • EX -A-1 SAMPLE' LOCATION EX -A4 SAMPLE LOCATION VOTH CONFIRMED ASI3_SiCa-CONTAIN1W, MATERIAL (R Cf,R1. < AREAOFCV?FiRMEDACM E I LANDSCAPED AREA —, i --J— PARCEL BO!!NDARY FIGURE 3 ROOF ASBESTOS SAMPLE LOCATIONS PREPARED R ENVIRONMENTAL BY PARTNERS (NC Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal REPORT ASBESTOS'SURb'EY REPORT 33 7,IIUTS 0 PACIFIC HGIWAY SCI LOCATION FEDERAL. WAY. WA PREPARED CADENCE DEVELQPMENT.LLC FOR DATE DRAWNBYREY�1!7D BY PROJECT NUMBER 9r�116 VPB 70'03=2 - Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal 9 r� U Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal . i i I I 1 i 9 CB1S- 7777 -.J 81 -M-42 i ...... CBt#43 6616f -I35 SUBJECT PROPERTY 2 q , 33370 PACIFIC HIGHWAY SOUTH -S-54 FEDERAL WAY, WA U I 0611-1444 a: ( • B?. -�r dT 4 i •Bt--dt± - B+-P-4SC ( I ....... ..._. 7 �S 1 '� St -R -53C t ' Bf s-31 CONFIRMED 1 BfA22- RCM -SUSPECT LONF€RMtEO ACM,SUSPECT , "'" MATERIAL ID B14 1 MATERIAL t0 83 8 €3 B 24C, C RBi E38 AND 81-K CLACK VINYL MASTIC 81-0-27 `r,r / � GRAY AND BLACK �� '.i LOCATEDINFORMFERYVEO . ;I •BI.0.51 TILES AND MASI"tC 3LIEiYEfL1AN5 ISERYER'ROOM 81 OVEN OVEN YM SUSPECT' MATERIALS 01-d AND B1 -K f j 10,811, B 1 ! � ♦B1G31! 'B1 26, N S 10 1 i an � FIGURE 4 ' INTERIOR ASBESTOS SAMPLE LOCATIONS sc�uE r• = 21j° I NOTES: pREpAMD EN VIRQNMENTAL SUOMGWTOMVt BY I PARTNERS INC CE AT17d OE -5 T110N(SEEF1:P0RT ±8L61 tOPLENUMBER REPORT ASBESTOS SURVEY RE FrA7. BI-F-�z'l. SAMPLE LOCATION 81-J-36 SAMPLE LOCATION VOTH CONFIRMED 3333 0PACIFICHIGaHWAYSOU-1.1 ASB STOS-CCNTAININGMATERIAL(ACW LOCA77ON F,777- AREA OFGC^.;FIRMED ACM FEDERAL WAY WA ` LANDSCAPED AREA PREPAREDCA:3dGE:DEVELE3?MG--€7. [aG -.�----. FOR .�... � -. _.._. PARCEL BOO 3NDAR"Y DATE DRAWN BY REVIEWED BY PROJECTNUMBER Wbi16 VPB EMK :70703:2 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal C� FIGURE 5 EXTERIOR ASBESTOS SAMPLE: LOCATIONS PREPARED I E N V I R Q N M E N T A L BY PARTNERS INC t I REPORT N I I` 38370 PACIFIC HIGHWAY SOUTH o 5 10 i 1 i zc ' PREPARED SCALE; I` = 2Q' I t NOTES: DATE EUIL.^ING MATERIAL REVIEWED BY Cf&MAA?ILN MSNWWA(_SEE RFP^,R? Tklk5i. 9ti16 YPB EX -G-57 SAMP.-E:L:Jt;A-10% CA ,40SCAPEG AREA SUBJECT PROPERTY _ I 33370 PACIFIC HIGHWAY SOUTH dfl t FEDERAL WAY, WA. 1 R i I i i ..X €i-1 1 IE{- wi 1 1 ° y EX -G 52 rEX-G-57 i I 1 1 I I Y`i►IXd54 1 FIGURE 5 EXTERIOR ASBESTOS SAMPLE: LOCATIONS PREPARED I E N V I R Q N M E N T A L BY PARTNERS INC t I REPORT N I I` 38370 PACIFIC HIGHWAY SOUTH o 5 10 i 1 i zc ' PREPARED SCALE; I` = 2Q' I t NOTES: DATE EUIL.^ING MATERIAL REVIEWED BY Cf&MAA?ILN MSNWWA(_SEE RFP^,R? Tklk5i. 9ti16 YPB EX -G-57 SAMP.-E:L:Jt;A-10% CA ,40SCAPEG AREA PARCEL. HO-`.. NDARY FIGURE 5 EXTERIOR ASBESTOS SAMPLE: LOCATIONS PREPARED I E N V I R Q N M E N T A L BY PARTNERS INC Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal REPORT ASDE'ST:OS:SUR `EY RE,r-z".,RT LOCATION 38370 PACIFIC HIGHWAY SOUTH FEDERAI- AAY: WA PREPARED Cts.."`DICE:.DE,ELOPMENT. CLC FOR DATE DRA WN SY REVIEWED BY PROJECT NUMBER 9ti16 YPB _MK 70703.2 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal • 0 Attachment A Analytical Laboratory Reports Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal I� August 25, 2016 Erik Koltes Environmental Partners, Inc. 1180 NW Maple Street, Suite 310 Issaquah, WA 98027 RE: Bulk Asbestos Fiber Analysis; NVL Batch # 1616932.00 Client Project: 70703 Location: Federal Way, WA Dear Mr. Koltes, C� i4 I . L A B S INDUSTRIAL H V G I E N E SERVICES Laboratory I Management I Training Enclosed please find test results for the 30 sample(s) submitted to our laboratory for analysis on 8118/2016. Examination of these samples was conducted for the presence of identifiable asbestos fibers using polarized light. microscopy (PLM) with dispersion staining in accordance with both EPA 600/11144-82-020, Interim Method for the Determination of Asbestos in Bulk Insulation Samples and EPA 600/R-93/116 Method for the Determination of Asbestos in Bulk Building Materials. For samples containing more than one separable layer of materials, the report will include findings for each layer (labeled Layer 1 and Layer 2, etc. for each individual layer). The asbestos concentration in the sample is determined by calibrated visual estimation. For those samples with asbestos concentrations between 1 and 10 percent based on visual estimation, the EPA recommends a procedure known as point counting (NESHAPS, 40 CFR Part 61). Point counting is a statistically more accurate means of quantification for samples with low concentrations of asbestos. The detection limit for the calibrated visual estimation is <1 %, 400 point counts is 0.25% and 1000 point counts is 0.1 % Samples are archived for two weeks following analysis. Samples that are not retrieved by the client are discarded after two weeks. Thank you for using our laboratory services. Please do not hesitate to call if there is anything further we can assist you with. Sincerely, Nick Ly, Technical Director 1.888.NVLAABS Enc.: Sample Results NVL Laboratories, Inc. �.,...: < .. Lab Code- 102063-0 4708 Aurora Ave N, Seattle, WA 98103 wwwr.nvilabs.com p 206.547.0100 i f 206.634.1936 page 1 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. �L 4700 Aelmai .twe t , Seakt!e. WA 481C3 IN 1�% '. p 2Ce.54T01kJ0 f206,6341936 I www r vll'ibs coir L A 8..,, S Bulk Asbestos Fibers Analysis By Polarized Light Microscopy Client: Environmental Partners, Inc. Batch #: 1616932.00 Address: 1180 NW Maple Street, Suite 310 Client Project #: 70703 Issaquah, WA 98027 Date Received: 8/18/2016 Samples Received: 30 Attention: Mr. Erik Koltes Samples Analyzed: 30 Project Location: Federal Way, WA Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Lab ID: 16255816 Client Sample #: EX -A-1 Location: Federal Way, WA Layer 1 of 5 Description: White/gray soft material with interwoven fibrous material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Synthetic fibers 45% None Detected ND Layer 2 of 5 Description: Black asphaltic fibrous paper with tar Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %fl Asphalt/Binder, Binder/Filler Cellulose 76% None Detected ND Layer 3 of 5 Description: Yellow foamy material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %s Synthetic foam Norte Detected ND None Detected ND Layer 4 of 5 Description: Tan fibrous material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Perlite Cellulose 64% None Detected ND Layer 5 of 6 Description. Yellow foamy material Non -Fibrous Materials: Other Fibrous Materials.:% Asbestos Type: % Synthetic foam None Detected ND None Detected ND Lab ID: 16255817 Client Sample #: EX -A-2 Location: Federal Way, WA Layer 1 of 6 Description: White/gray soft material with interwoven fibrous material Non -Fibrous Materials: Other Fibrous Materials:%o Binder/Filler Synthetic fibers 43% Layer 2 of 6 Description: Black asphaltic fibrous paper with tar Non -Fibrous Materials Asphalt/Binder, Binder/Filler Other Fibrous Materials:% Cellulose 78% Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND Sampled by: Client Analyzed by: Lori Tseng Date:08/22/2016 -..... ....... _...... - -- ...-- -.......... ....._... Reviewed by: Nick Ly Date:08/25/2016 Nick Ly, Technical Director J Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (10/0--0-3%, 50/0=1-9%, 10%=5-15%, 20%0=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector, This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Govemment page 2 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. (Nf 47€ 8 Awora Ave K,'481C3 p 2o,'..S47.0100 I f 2N,634.143f, I wta;w-rwlE,afis.cpn L A. B S Bulb Asbestos Fibers Analvsis By Polarized Light Microscopy Client: Environmental Partners, Inc. Batch #: 1616932.00 Address: 1180 NW Maple Street, Suite 310 Client Project #: 70703 Issaquah, WA 98027 Date Received: 8/18/2016 Other Fibrous Materials:% Samples Received: 30 Attention: Mr. Erik Koltes Samples Analyzed: 30 Project Location: Federal Way, WA Method: EPA/600/R-93/116 Layer 4 of 6 & EPA/600/M4-82-020 Layer 3 of 6 Description: Yellow foamy material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Synthetic foam None Detected ND None Detected ND Layer 4 of 6 Description: Tan fibrous material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Perlite Cellulose 64% None Detected ND Layer 5 of 6 Description: Gray fibrous material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Synthetic fibers 54% None Detected ND Layer 6 of 6 Description: Brown wood debris Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Wood flakes Wood fibers 34% None Detected ND Lab ID: 16255818 Client Sample #: EX -A-3 Location: Federal Way, WA Layer 1 of 5 Description: White/gray soft material with interwoven fibrous material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Synthetic fibers 44% None Detected ND Layer 2 of 5 Description: Black asphaltic fibrous paper with tar Non -Fibrous Materials: Other Fibrous Materials:%o Asbestos Type: % Asphalt/Binder, Binder/Filler Cellulose 76% None Detected ND Layer 3 of 5 Description: Yellow foamy material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Synthetic foam None Detected ND None Detected ND Sampled by: Client Analyzed by: Lori Tseng Date:08/22/2016-.....__............................................ ...-.._.... Reviewed by: Nick Ly Date:08/25/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-831116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1%0-3°%, 5%=1-9°%, 10%=5-15°%, 20%=10-30%, 50%=40-60%)0 This report relates only to ttre items tested. If sample was not collected by NVL personnel, then the accuracy of the results is lintited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 3 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. 4708 Ailro]ia Avc h, Sea te, WA 98103 p_Or,54 r?f c.€i3A.]i35 j wwwiwilabs,com 9 Bulk Asbestos Fibers Analysis Light Microscopy Client: Environmental Partners, Inc. Address: 1180 NW Maple Street, Suite 310 Issaquah, WA 98027 Attention: Mr. Erik Koltes Project Location: Federal Way, WA Layer 4 of 5 Description: Tan fibrous material L A B S Batch #: 1616932.00 Client Project #: 70703 Date Received: 8/18/2016 Samples Received: 30 Samples Analyzed: 30 Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Perlite Cellulose 64% None Detected ND Layer 5 of 5 Description: Gray fibrous material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Synthetic fibers 63% None Detected ND Lab ID: 16255819 Client Sample #: EX -A-4 Location: Federal Way, WA Layer 1 of 3 Description: Black asphaltic fibrous material with tar Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Binder/Filler Glass fibers 56% None Detected ND Layer 2 of 3 Description: Gray fibrous material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Synthetic fibers 68% None Detected ND Layer 3 of 3 Description: Black asphaltic fibrous material with brown fibrous material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Binder/Filler Cellulose 8% Chrysotile 21% Lab ID; 16255820 Client Sample #: EX -A-5 Location: Federal Way, WA Layer 1 of 4 Description: Black asphaltic fibrous paper with tar Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Binder/Filler Cellulose 76% None Detected ND Layer 2 of 4 Description: Yellow foamy material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Synthetic foam None Detected ND None Detected ND Sampled by: Client Analyzed by: Lori Tseng Date:08/22/2016 -- _........_.... Reviewed by Nick Ly Date:08/25/2016 Nick Ly, Technical Director Note: if samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 6001R-931116 and 600/M482-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 %0=0-3%, 51/6=1-9%, 10%=5-15%n, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. It sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 4 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. I N �U,,: 4768 krirauz Ae°c K Sea::ir., wF 98".C3 p-2�,t47.0=Eft J r26F:634.1.936 ( wasrr.r=v1(Qiss.rrtsn - L A B..., 5 Bulk Asbestos Fibers Analysis Client: Environmental Partners, Inc. Address: 1180 NW Maple Street, Suite 310 Issaquah, WA 98027 Attention: Mr. Erik Koltes Project Location: Federal Way, WA Batch #: 1616932.00 Client Project #: 70703 Date Received: 8/1812016 Samples Received: 30 Samples Analyzed: 30 Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Layer 3 of 4 Description: Tan fibrous material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Perlite Cellulose 65%Q None Detected ND Layer 4 of 4 Description: Gray fibrous material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Perlite Cellulose 64% None Detected ND Lab ID: 16255821 Client Sample #: EX -13-6 Location: Federal Way, WA Layer 1 of 5 Description: Clear/yellow soft material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Caulking compound Cellulose 2% None Detected ND Layer 2 of 5 Description: White/gray soft material with interwoven fibrous material and mastic Non -Fibrous Materials: Other Fibrous'Materials:%o Asbestos Type: % Binder/Filler, Mastic/Binder Synthetic fibers 60% None Detected ND Layer 3 of 5 Description: White/gray soft material with interwoven fibrous material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Synthetic fibers 64% None Detected ND Layer 4 of 5 Description: Gray fibrous material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Synthetic fibers 67% None Detected ND Layer 5 of 5 Description: Black asphaltic material with fibrous material (on wood) Non -Fibrous Materials: Other Fibrous Materials:%o Asbestos Type: % Asphalt/Binder, Binder/Filler Synthetic fibers 17% None Detected ND Wood fibers 4% Cellulose 2% Sampled by: Client Analyzed by: Lori Tseng Date:08/22/2016... _...... ...._......................................_...--._.._.._..._....................... __.......... --- Reviewed by: Nick Ly Date:08125/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600fR-93!116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 %--0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60°x). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is lirnited by the methodology and acuity of the sample collector, This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 5 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. 470F. HJSi7id h`bm. N Seal.fle. Lain `!O1.03 r p 0ES4 '0: 1`206,634.1936 L A B S Bulk Asbestos Fibers Analysis By Polarized Light Microscopy Client: Environmental Partners, Inc. Batch #: 1616932.00 Address: 1180 NW Maple Street, Suite 310 Client Project* 70703 Issaquah, WA 98027 Date Received: 8/18/2016 Samples Received: 30 Attention: Mr. Erik Koltes Samples Analyzed: 30 Project Location: Federal Way, WA Method: EPA/6001R-93/116 & EPA/600/M4-82-020 Lab ID: 16255822 Client Sample##: EX -6-7 Location: Federal Way, WA Layer 1 of 4 Description: White/gray soft material with interwoven fibrous material and soft material Non -Fibrous Materials: Other Fibrous Materials:'/o Asbestos Type: % Binder/Filler', Caulking compound Synthetic fibers 67% None Detected NO Layer 2 of 4 Description: White/gray soft material with interwoven fibrous material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Synthetic fibers 64% None Detected NO Layer 3 of 4 Description: Black asphaltic material with fibrous material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Binder/Filler Synthetic fibers 56% None Detected NO Layer 4 of 4 Description: Brown wood debris Non -Fibrous Materials Wood flakes Lab ID: 16255823 Client Sample#: EX -B-8 Location: Federal Way, WA Other Fibrous 'Materials:% Asbestos Type: % Wood fibers 45% None Detected NO Layer 1 of 5 Description: White/gray soft material with interwoven fibrous material and soft material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Caulking compound Synthetic fibers 61% None Detected NO Layer 2 of 6 Description: White/gray soft material with interwoven fibrous material Non -Fibrous Materials: Other Fibrous Materials:% Binder/Filler Synthetic fibers 64% Layer 3 of 5 Description: Gray fibrous material Non -Fibrous Materials: Binder/Filler Other Fibrous Materials:% Synthetic fibers 65% Asbestos Type: % None Detected NO Asbestos Type: None Detected NO Sampled by: Client Analyzed by: Lori Tseng Date:08/22/2016 .............. .......... ..... --------.... _......... ..__._._........ ....... _........... _....... __.—.._-- Reviewed by Nick Ly Date:08/25/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-93/116 and 6001M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%n). This report relates only tothe items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector, This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. it shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 6 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. IN IL„ - 43C% Aura: ,i Ave K1, Sea €e. WA 981.03 F 04 ,54 0100 1 (206.634.1.936 t. A 8 SJ Bulk Asbestos Fibers Analvsis By Polarized Light Microscopy Client: Environmental Partners; Inc. SatGh #: 1616932.00 Address: 1180 NW Maple Street, Suite 310 Client Project #: 70703 Issaquah, WA 98027 Date Received: 8/18/2016 Samples Received: 30 Attention: Mr. Erik Koltes Samples Analyzed: 30 Project Location: Federal Way, WA Method: EPA/600/R-931116 & EPA/600/M4-82-020 Layer 4 of 5 Description: Black asphaltic material with fibrous material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Binder/Filler Synthetic fibers 56% None Detected NO Layer 5 of 5 Description: Brown wood debris Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Wood flakes Wood fibers 45% None Detected NO Lab ID: 16255824 Client Sample #: EX -C-9 Location: Federal Way, WA Layer 1 of 1 Description: Gray soft elastic material with paint Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Caulking compound, Paint Polyethylene fibers 3% None Detected ND Granules Cellulose 2% Lab ID: 16255825 Client Sample #: EX -C-10 Location: Federal Way, WA Layer 1 of 2 Description: Gray soft elastic material with paint Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Caulking compound, Paint Polyethylene fibers 4% None Detected NO Cellulose 1% Layer 2 of 2 Description: White brittle material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Granules None Detected ND None Detected NO Lab ID: 16255826 Client Sample #: EX -C-11 Location: Federal Way, WA Sampled by: Client Analyzed by: Lori Tseng Date:08/22/2016.--......... -_....----._._.._._....---.:.____...._....----....---=-................_._.....__._........................... Reviewed by: Nick Ly Date:06/25/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (10/6=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%)_ This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is lirnted by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 7 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc.INVI .17018 A a€tura Avc. N, 5eatve. WA 981.03 . A 4 {t1ti (206,634.193f, i JWL _rsvl?7bSrn 7 L A B S Bulk Asbestos Fibers Analysis By Polarized Light Microscopy Client: Environmental Partners: Inca Batch #: 1616932.00 Address: 1180 NW Maple Street, Suite 310 Client Project# 70703 Issaquah, WA 98027 Date Received: 8/18/2016 Samples Received: 30 Attention: Mr. Erik Koltes Samples Analyzed: 30 Project Location: Federal Way, WA Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Layer 1 of 2 Description: Gray soft elastic material with paint Non -Fibrous Materials Binder/Filler, Caulking compound, Paint Layer 2 of 2 Description: White brittle material Non -Fibrous Materials: Binder/Filler, Granules Other Fibrous Materials.% Polyethylene fibers 2% Cellulose 3% Other Fibrous Materials:% Cellulose 2% Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND Lab ID: 16255827 Client Sample#: EX -D-12 Location: Federal Way, WA Layer 1 of 3 Description: White sandy/brittle material with paint Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, 'Paint Cellulose 2% None Detected ND Mineral grains Layer 2 of 3 Description: Gray sandy/brittle material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, Mineral grains None Detected ND None Detected ND Layer 3 of 3 Description: White sandy/brittle material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, Mineral grains None Detected ND None Detected ND Lab ID: 16255828 Client Sample#: EX -D-13 Location: Federal Way; WA Layer 1 of 3 Description: White sandy/brittle material with paint Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, Mineral grains Cellulose 2% None Detected ND Sampled by: Client Analyzed by: Lori Tseng Date:08/22/2016_......... .................. ..... _...._.___.____--.... ........ ____.................... . Reviewed by: Nick Ly Date:08/25/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-931116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 OW --0-3%, 5%=1-9010, 10%=5-15%, 20%=10.30010, 50%=40-60010). This report relates only to the iterns tested. If sample was not collected by NVL personnel, then the accuracy of the results is lirn ited by the methodology and acuity of the sample collector. This report shall riot be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 8 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal r NVL Laboratories. Inc-- 4?6E Auro> a Avc N, Seat. e. WA 4810 i1n,59 .{ i€! I f 2Gb.Ei39. 4?» i wwwtwltab,cam L A B S Bulk Asbestos Fibers Analvsis By Polarized Light Microscopy Client: Environmental Partners; Inc. Address: 1180 NW Maple Street, Suite 310 Issaquah, WA 98027 Attention: Mr. Erik Koltes Project Location: Federal Way, WA Paint Layer 2 of 3 Description: Gray sandy/brittle material Non -Fibrous Materials: Other Fibrous Materials:% Binder/Filler, Sand, Mineral grains Cellulose 3% Layer 3 of 3 Description: White sandy/brittle material with trace paint Non -Fibrous Materials: Other Fibrous Materials:% Binder/Filler, Sand, Paint Mineral grains Lab ID: 16255829 Client Sample#: EX -D-14 Location: Federal Way, WA Layer 1 of 3 Description: White sandy/brittle material with paint Cellulose 2% Non -Fibrous Materials: Other Fibrous Materials:% Binder/Filler, Sand, Paint Cellulose 2% Mineral grains Layer 2 of 3 Description: Gray sandy/brittle material Non -Fibrous Materials: Other Fibrous Materials:% Binder/Filler, Sand, Mineral grains Cellulose <1% Layer 3 of 3 Description: White sandy/brittle material Non -Fibrous Materials: Other Fibrous Materials:% Binder/Filler, Sand, Mineral grains Cellulose 3% Lab ID: 16255830 Client Sample#: EX -E-15 Location: Federal Way, WA Batch #: 1616932.00 Client Project #: 70703 Date Received: 8/18/2016 Samples Received: 30 Samples Analyzed: 30 Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND Sampled by: Client Analyzed by Lori Tseng Date:08/22/2016 ........ - _____ — ---- ... ---- ........ Reviewed by: Nick Ly Date: 08/25/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (10/6=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is lirriited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Govemment page 9 of .19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. 4708 kurora Ate N, Seat'ie. dGrA9E's.0.3 2')c_S47.0<00 I f 206634.1936 I www,ivl,abs c<77? Bulk Asbestos Fibers Ana ILD, L A B 3 By Polarized Light Microscopy Client: Environmental. Partners, Inc. Batch #: 1616932.00 Address: 1180 NW Maple Street, Suite 310 Client Project #: 70703 Issaquah, WA 98027 Date Received: 8/18/2016 Samples Received: 30 Attention: Mr. Erik Koltes Samples Analyzed: 30 Project Location: Federal Way, WA Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Layer 1 of 2 Description: Silver paint Non -Fibrous Materials: Other Fibrous Materials.%o Asbestos Type: % Metallic paint Cellulose 2% Chrysotile 2°!e Layer 2 of 2 Description: Silver soft elastic material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Caulking compound Cellulose 2% None Detected ND Lab ID: 16256831 Client Sample#: EX -E-16 Location: Federal Way, WA Layer 1 of 2 Description: Silver paint Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type:. % Metallic paint Cellulose 3% Chrysotile 3% Layer 2 of 2 Description: Silver soft elastic material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % &nder/Filler, Caulking compound Cellulase 2% None Detected ND Lab ID: 16255832 Client Sample #: EX -E-17 Location: Federal Way, WA Layer 1 of 2 Description: Silver paint Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Metallic paint Cellulose 2% Chrysotile 2°fo Layer 2 of 2 Description: Gray soft elastic material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Caulking compound Cellulose 1% None Detected ND Lab ID: 16255833 Client Sample #: EX -F-113 Location Federal Way, WA Sampled by: Client Analyzed by: Lori Tseng Date:08/22/2016 ............ -.... ...... . ------ ._-_..... _.... ..._... Reviewed by Nick Ly Date:08125/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-93/118 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories. Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 10 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. IN IU 4708 kjro: Ax, WI,; N Sea • e. WA WWI,; %20--,543. ? t7 f 20b.fi34.7.435 evww:r+.vllaEss,tt:trrt LA B Bulk Asbestos Fibers Analysis Client: Environmental Partners, Inc., Address: 1180 NW Maple Street, Suite 310 Issaquah, WA 98027 Attention: Mr. Erik Koltes Project Location: Federal Way, WA Layer 1 of 1 Description: Black soft material Batch #: 1616932.00 Client Project #` 70703 Date Received: 8/18/2016 Samples Received: 30 Samples Analyzed: 30 Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine grains, Binder/Filler, Asphalt/Binder Cellulose 4% None Detected ND Polyethylene fibers 2% Lab ID: 16255834 Client Sample #: EX -F-19 Location: Federal Way, WA Layer 1 of 1 Description: Black soft material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: Binder/Filler, Fine grains, Asphalt/Binder Cellulose 3% None Detected ND Polyethylene fibers 4% Lab ID: 16255835 Client Sample#: EX -F-20 Location: Federal Way, WA Layer 1 of 1 Description: Black soft material with trace paint Non -Fibrous Materials: Binder/Filler, Paint, Fine grains Asphalt/Binder Lab ID: 16255836 Client Sample #: BI -A-21 Location: Federal Way, WA Other Fibrous Materials:% Cellulose 2% Polyethylene fibers 1% Layer 1 of 2 Description: White compacted powdery material with paint and paper Non -Fibrous Materials: Other Fibrous Materials:% Calcareous particles; Paint; Binder/Filler Cellulose 23% Layer 2 of 2 Description: White chalky material with paper Non -Fibrous Materials: Other Fibrous Materials:% Binder/Filler, Gypsum/Binder Cellulose 24% Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND Sampled by: Client Analyzed by: Lori Tseng Date:08/22/2016 --------.........................._........................................ ................. . Reviewed by: Nick Ly Date:08125/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (10/6=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is lirnted by the methodology and acuity of the sample collector.. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 11 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc- �1 4?CV,, Awtx 3 Ave. h Sez . e. LSrA 9E10 �. p"W'S47.0100 I f206.634_1936 j euu E.rv1€aEis.rn<r. t. A 8 J Bulk Asbestos Fibers Analysis By Polarized Light Microscopy Client: Environmental Partners; Inc. Batch #: 1616932.00 Address: 1180 NW Maple Street, Suite 310 Client Project #: 70703 Issaquah, WA 98027 Date Received: 8/18/2016 Samples Received: 30 Attention: Mr. Erik Koltes Samples Analyzed: 30 Project Location: Federal Way, WA Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Lab ID: 16255837 Client Sample#: 131-A-22 Location: Federal Way, WA Layer 1 of 2 Description: White compacted powdery material with paint Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Paint Cellulose 3% None Detected ND Layer 2 of 2 Description: White chalky material with paper Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Gypsum/Binder Cellulose 22% None Detected ND Glass fibers 4% Lab ID: 16255838 Client Sample #: 61-A-23 Location: Federal Way, WA Layer 1 of 2 Description: White compacted powdery material with paint Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Paint Cellulose 3% None Detected ND Layer 2 of 2 Description: White chalky material with paper Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Gypsum/Binder Cellulose 24% None Detected ND Lab 1D: 16255839 Client Sample#: 1211-13-24 Location: Federal Way, WA Layer 1' of 3 Description: Gray/tan/black sheet vinyl Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder, Binder/Filler None Detected ND None Detected ND Layer 2 of 3 Description: Gray fibrous backing with brown mastic Non -Fibrous Materials: Other Fibrous Materials:%o Asbestos Type: % Binder/Filler, Mastic/Binder Cellulose 61% None Detected ND Sampled by: Client Analyzed by: Lori Tseng Date:08122/2016.................... _.._............................ .............................. .............__.._.......................................... __. Reviewed by: Nick Ly Date:08/25/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using bath EPA 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 0/6=0-3%0, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector, This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 12 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. INIVI 4708 Acirara ..km N Sea e;',?,'A OFIM p 20'c.S47,0100 I f206,634,1936 L A 8 S Bulk Asbestos Fibers Analvsis By Polarized Light Microscopy Client: Environmental Partners. Inc. Address: 1180 NW Maple Street, Suite 310 Issaquah, WA 98027 Attention: Mr. Erik Koltes Project Location: Federal Way, WA Synthetic fibers 4% Layer 3 of 3 Description: Gray brittle material Batch #: 1616932.00 Client Project #: 70703 Date Received: 8/18/2016 Samples Received: 30 Samples Analyzed: 30 Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Calcareous particles Cellulose 3% None Detected ND Lab ID: 16255840 Client Sample #: 1131-113-26 Location: Federal Way, WA Comments: Unable to separate sandy/brittle material from asphaltic mastic for analysis, asbestos found in black mastic, Layer 1 of 3 Description: Gray/tan/black sheet vinyl Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder, Binder/Filler None Detected ND None Detected ND Layer 2 of 3 Description: Gray fibrous backing with brown mastic Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Mastic/Binder Cellulose 65% None Detected ND Synthetic fibers 3% Layer 3 of 3 Description: Black asphaltic mastic with sandy/brittle material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Binder/Filler, Sand Cellulose 2% Chrysot lle 2%a Mineral grains Lab ID: 16256841 Client Sample #: 1131-C-26 Location: Federal Way, WA Layer 1 of 1 Description: Black soft loose material Non -Fibrous Materials: Other Fibrous Materials:%a Asbestos Type: % Binder/Filler, Calcareous particles Cellulose 2% None Detected ND Sampled by: Client Analyzed, by: Lori Tseng Date:08/22/2016 _...__._._.._..__-.--_-__..................... .......... ... Revievued by Nick Ly Date:08/25/2016 Nick Ly, Technical Director Note: If samples are not homogeneous; then subsam Ales of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%, 51Y6=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60°x). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 13 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. 470t A:u;xa Aa. h, Seattle. WA 981.0 E; ?�6,547.f'� i f 70S.Ei34.14:#6 wwwrwllabi co,:Tl EA Bulk Asbestos Fibers An Light Microscopy Client: Environmental Partners, Inc. Address: 1180 NW Maple Street, Suite 310 Issaquah, WA 98027 Attention: Mr. Erik Koltes Project Location: Federal Way, WA sis • I ' iv�u:; L A 8 5 Batch #: 1616932.00 Client Project #: 70703 Date Received: 8/18/2016 Samples Received: 30 Samples Analyzed: 30 Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Lab ID: 16255842 Client Sample#: 1131-D-27 Location: Federal Way, WA Layer 1 of 1 Description: Gray fibrous material with white paint Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Paint, Perlite Cellulose 67% None Detected ND Lab ID: 16255843 Client Sample# 1131-E-28 Location: Federal Way, WA Layer 1 of 3 Description: Blue/gray woven fibrous carpet material Nan -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Synthetic fibers 65% None Detected ND Layer 2 of 3 Description: Yellow soft mastic with woven fibrous backing Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder, Binder/Filler Synthetic fibers 33% None Detected ND Cellulose 2% Layer 3 of 3 Description: Mufti -colored woven fibrous material with yellow mastic and debris Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Mastic/Binder, Wood flakes Synthetic fibers 55% None Detected ND Wood fibers 4% Lab ID: 16255844 Client Sample #: I31 -E-29 Location: Federal Way, WA Layer 1 of 3 Description: Blue/gray woven fibrous carpet material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Synthetic fibers 65% None Detected ND Sampled by: Client Analyzed by: Lori Tseng Date:08/22/2016 .................. ................. ..................... __ ........... ... _....... ...... ._ _ ............................. _...... Reviewed by: Nick Ly Date:08/25/2016 Nick Ly, Technical Director oo Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested, if sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. it shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 14 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. 4709.. kjr:ara Av-( N Sea e; WA 981.0.3 � z�9z.54 G_0.3 1'206,634-1936 1 wwwrivUbecmrl. L A B S Bulk Asbestos Fibers Analvsis By Polarized Light Microscopy Client: Environmental Partners. Inc. Batch #: 1616932.00 Address: 1180 NW Maple Street, Suite 310 Client Project #: 70703 Issaquah, WA 98027 Date Received: 8/18/2016 Synthetic fibers 34% Samples Received: 30 Attention: Mr. Erik Koltes Samples Analyzed: 30 Project Location: Federal Way, WA Method: EPA1600/R-93/116 with paint and mastic & EPA/600/M4-82-020 Layer 2 of 3 Description: Yellow soft mastic with woven fibrous backing Non -Fibrous Materials Other Fibrous Materials:% Asbestos Type: % Mastic/Binder, Binder/Filler Synthetic fibers 34% None Detected ND Cellulose 2% Layer 3 of 3 Description: Multi -colored woven fibrous material with paint and mastic Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Paint, Mastic/Binder Synthetic fibers 64% None Detected ND Cellulose 2% Lab ID: 16255845 Client Sample #: 131-F-30 Location: Federal Way, WA Layer 1 of 2 Description: Brown flat hard compressed fibrous material with black surface Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Laminate/binder Cellulose 33% None Detected ND Layer 2 of 2 Description: Yellow soft mastic Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: Mastic/Binder Cellulose 4% None Detected ND Sampled by: Client Analyzed by: Lori Tseng Date:08/22/2016 _ ............................... Reviewed by: Nick Ly Date:08/25/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (10/6--0-3%, 5%=1-9%, 10%=5-15%e, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the Us Government page 15 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal • 0. NVL Laboratories, Inc_ ASBESTOS LABORATORY SERVICESINVILL 4708 Asn gra Air 14, Seattle, 'WA 9Z O 3 �•.i.Sz:Olt]3 f f25-634.19.5 L A 8 S Company Environmental Partners, Inc. NVL Batch Number 1616932.00 Address 1180 NW Maple Street, Suite 310 TAT 5 Days ___ AH _ No Issaquah, WA 98027 Rush TAT Project Manager Mr. Erik Koltes Due Date _8/25/2016 Time 1:00 PM.__ _ Phone (425) 395-.0010 _ Email Brick@epi-wa.com Cell: (425) 922-5666 Fax (425) 395-0011 Project Name/Number: 70703 Project Location: Federal Way, WA Date Time ......................._ ._...._..._.........__...e - Subcategory PLM Bulk ._ Item Code ASB -02 EPA 600/R-93-116 Asbestos by PLM <bulk> Total Number of Samples _ ....��_.. _. Rush Samples Lab ID Sample ID Description A/R 1 16255896 EX -A-1 F A 2 16255817 EX -A-2 Analyzed by ! Lori Tseng-- A 13-16255818 EX -A-3 8/22116 A 4 16255819 EX -A-4 A 5 116255820 EX -A-5 A 6 16255821 EX -B-6 A 7 16255822 EX -B-7 �:.......1..............................................._..... A 8 16255823 EX -13-8 Instructions: A 9 16255824 EX -C-9 A 10 16255825 EX -C-10 A 11 16255826 EX -C-11 q 12 16255827 EX -D-12 A 1316255828 EX -D-13 -. A 14 16255829 EX -D-14 A 15 16255830 EX -E-15 A 16 16255831 EX -E-16 A 117 16255832 EX -E-17 A 18 116255833 EX -F-18 4. A Print Name Signature Coma — Any--- Date Time ......................._ ._...._..._.........__...e - Sampled by !Client ---- -- -- ....._......— _... ._ ....._.... ._._.................. ..........._..........._.._............._._._...... Relinquished by Federal Express Office Use Only Print Name Signature Company Date Time Received b Fatima Khan . NVL 8/18116 1300 Analyzed by ! Lori Tseng-- _ ......... NVL 8/22116 Results Called b y Faxed Emailed Special _ Instructions: _ page 16 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. ASBESTOS LABORATORY SERVICES INVIL" 4708 Aw',am Aip. N, Seattle, WA 9M.0.4 P206.S47.01('0 I Q01'5,6341SM I www,,Mlaba.com L A B S Company Environmental Partners, Inc. NVLBatch Number 1616932.00 Address 1180 NW Maple Street, Suite 310 TAT 5 Days AH No Issaquah, WA 98027 Rush TAT Project Manager Mr. Erik Koltes Due Date 8/25/2016. Time 1:00 PM Phone (425) 395-0010 Email erick@epi-wa.com Cell: (425) 922-5666 Fax (425) 395-0011 Project Name/Number: 70703 Project Location: Federal Way, WA Subcategory PLM Bulk Item Code ASB -r02 EPA 600/13-93-116 Asbestos by PLM <bu I k> Total Number of Samples —30- Lab 1D Sample ID Description -l---9-Tl' --- 6-25-5-8-3--4EX-F-19 ---"---- Rush Samples .. ....... ___ A/R -------- - - A 20 116255835 EX -F-20 A 21 116255836 B1 -A-21 A 22 16255837 131 -A-22 A 23 16255838 B1 -A-23 A 24 16255839 BI -B -24A .... ................. . .. 25 16255840 131-13-25 A 26 16255841 131-C-26 27 16255842 B1 -D-27 A A 28 16255843 B1 -E-28 A 29 16255844 131-E-29 A 130 116255845 e1 -F-30 A Office Use Only Print Name Signature Company Date Time Received by I Fatima Khan .4 . ....... ... . . ......... .. Analyzed by Lori Tseng 8/22/16 .................. .............. ....... ..................................... ............. Results Called by Emailed Faxed ..... ... . I Special Instructions: page 17 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal Turn Around Time ys Q 1 Hour U 24 Routs U4X L A B S ASBESTOS 3 2 Hours „2 Davy ��Dlys INDUSTRIAL CHAIN OF CUSTODY FJ 4 Hours K Y 6 1 E N E Please call for TA SERVICES '--- 'A 16169`3 2 �, mossmommummommom LAtbarawry I Moupwnt I Tralming ry Company Address .......... . . ... ... . ... 4, L414, Phone Project Manager Fr711- Cell Email Fu- ----- Pr*ct Name/Number -),)17o$ Project Location Fit "I LAJ4LJ L-14 1'J PCM Air (NIOSH 7400) Q TEM (NIOSH 7402) U TEM(AHERA) Q TEM (EPA Level 11 Modified) -LJ PLM (EPA .600/R-93-116) 1-1 EPA 400 Points (600/R-93-116) U EPA 1000Points (600/R-93-116) El PLM Gravimetry (600/R-93-116) 0 Asbestos in Vermiculite (EPA 600/R-04/004) Q Asbestos in Sediment(EPA1900 Points) Vbestos Friable/Non-Friable (EPA 600/R-93/116) Q Other ...... .. Reporting Instructions . . ........................... . .. . .............. Total Number of Samples G8 A /D Sampled by Relinquish by Office Use Only Received by Analyzed by Called by Faxed/Email by page 18 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal I��a Turn Around Time ASBESTOS U 1 Hour 24 Hours _❑`Days L A B 5 p {� � /^� �+'�r��/ u 2 Hours U 2 Days [ 3 Qays INDUSTRIAL CHAIN OF CUSTODY 04 Hours C N Y G 1 E FI E Please tall foe TAT f 1616932 3 2 SERVICES , tabmtory 1 ManapRwat I IrW*v Company Address ... ...... Phone '^ - OOi• Project Manager I n �.KR 4C ss Cell yZ� CK ©a 6, Email _:0—rt_'� &e1n – ok C50A-. ........ _ Fax r 1 j 1 Project Name/Number--7070"j I Project Location is I u PCM Air (NIOSH 7400) ❑ TEM (NIOSH 7402) ❑ TEM (AHERA) ❑ TEM (EPA Level 11 Modified) • PLM (EPA 600/11-93-116) ❑ EPA 400 Points (600/R-93-116) ❑ EPA 1000Points (600/R-93-116) ❑ PLM Gravimetry (600/R-93-116) ❑ Asbestos in Vermiculite (EPA 600/R-04/004) ❑ Asbestos in Sediment (EPA 1900 Points) ;)--'A'sbestos Friable/Non-Friable (EPA 600/R-93/116) ❑ Other Reporting Instructions :?tom i._..T, �. -.-a- t!*! 0 Fax Total Number of Samples A Ib Print Name Signature Company Date Time . — .-. _ n Sampled by uucverrtreP_r — zop Relinquish by P- 5vrrf'�/t?fly. office Use Only Received by Analyzed by Called by Faxed/Email by C♦ �,. �_. rt � rte._ �.�.- a favi/^.� page 19 of 19 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal 9 • August 25, 2016 Eric Koltes Environmental Partners, Inc. 1180 NW Maple Street, Suite 310 Issaquah, WA 98027 RE Bulk Asbestos Fiber Analysis; NVL Batch # 1616941.00 Client Project- 70703 Location: Federal Way, WA Dear Mr. Koltes, L A B S INDUSTRIAL H Y G I E N E SERVICES Laboratory I Management I Training Enclosed please find test results for the 38 sample(s) submitted to our laboratory for analysis on 8118/2016. Examination of these samples was conducted for the presence of identifiable asbestos fibers using polarized light microscopy (PLM) with dispersion staining in accordance with both EPA 6001M4-82-020, Interim Method for the Determination of Asbestos in Bulk Insulation Samples and EPA 600/R-931116 Method for the Determination of Asbestos in Bulk Building Materials. For samples containing more than one separable layer of materials, the report will include findings for each layer (labeled Layer 1 and Layer 2, etc. for each individual layer),. The asbestos concentration in the sample is determined by calibrated visual estimation. For those samples with asbestos concentrations between 1 and 10 percent based on visual estimation, the EPA recommends a procedure known as point counting (NESHAPS, 40 CFR Part 61). Point counting is a statistically more accurate means of quantification for samples with low concentrations of asbestos. The detection limit for the calibrated visual estimation is <1 %, 400 point counts is 0.25% and 1000 point counts is 0.1 % Samples are archived for two weeks following analysis. Samples that are not retrieved by the client are discarded after two weeks. Thank you for using our laboratory services. Please do not hesitate to call if there is anything further we can assist you with. Sincerely, Nick Ly, Technical Director 1.8$8.1NV1LlA$S Enc.: Sample Results J11Af NVL Laboratories, Inc. u ... Lob Cade: 102063-0 4708 Aurora Ave lit, Seattle, WA 98103 www.nvllabs.com p 206.547.0100 i f 206.634.1936 page 1 of 20 Provided to Builders Exchange of WA, Inc. For usage conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. �� 4768 AwoE a Atr: N, Seatt e, WA 9E_i 3 p20,6,547,01100 ( f206,6341916 i wwu1:rsv1iabs.cn r3 L A. 8.,,,. $ Bulk Asbestos Fibers Analvsis By Polarized Liqht Microscopv Client: Environmental Partners, Inc. Batch # 1616941.00 Address: 1180 NW Maple Street, Suite 310 Client Project#: 70703 Issaquah, WA 98027 Date Received: 8/18/2016 Samples Received: 38 Attention: Mr. Eric Koltes Samples Analyzed: 38 Project Location: Federal Way, WA Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Lab ID: 16255999 Client Sample #: 61-G-31 Location: Federal Way, WA Layer 1 of 2 Description: Black rubbery material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Rubber/Binder, Binder/Filler None Detected ND None Detected ND Layer 2 of 2 Description: Trace yellow soft mastic Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder Synthetic fibers 2% None Detected ND Lab ID: 16255910 Client Sample#: BI -G-32 Location: Federal Way, WA Layer 1 of 3 Description: Black rubbery material Non -Fibrous Materials.- Other Fibrous Materials:%o Asbestos Type: % Rubber/Binder, Binder/Filler None Detected ND None Detected ND Layer 2 of 3 Description: Cream soft mastic with wood flakes Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder, Wood flakes Wood fibers 8% None Detected ND Layer 3 of 3 Description: Brown brittle mastic Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder Synthetic fibers 1 % None Detected ND Lab ID: 16255911 Client Sample #: 61-H-33 Location: Federal Way, WA Layer 1 of 2 Description: Black flat hard compressed fibrous material with black surface Non -Fibrous Materials:Other Fibrous Materials:% Asbestos Type: % Binder/Filler Cellulose 70% None Detected ND Sampled by: Client Analyzed by: Christina Molnar Date:08/23/2016 Reviewed by: Nick Ly Date:08/25/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 0/6=0-3%, 5%=1-9%, 10%=5-15%t 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy or the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shalt not be used to claim product endorsement by NVLAP or artyher other agency of the US Government page 2 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. 470T k irofa Ave N, See;'t e, WA 98'0 a m, `s47.G '10 w;wvf vv(fabs.cnrn Bulk Asbestos Fibers Analysis Client: Environmental Partners, Inc. Address: 1180 NW Maple Street, Suite 310 Issaquah, WA 98027 Attention: Mr. Eric Koltes Project Location: Federal Way, WA I ll U , L A Q 8 Batch #: 1616941.00 Client Project #: 70703 Date Received: 8/18/2016 Samples Received: 38 Samples Analyzed: 38 Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Layer 2 of 2 Description: Yellow soft mastic (on wood) Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder, Wood flakes Wood fibers 13% None Detected ND Lab ID: 16255912 Client Sample #: Bi -1-34 Location: Federal Way, WA Layer 1 of 3 Description: Gray rubbery material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Rubber/Binder, Binder/Filler None Detected ND None Detected ND Layer 2 of 3 Description: Cream soft mastic Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder Synthetic fibers 2% None Detected ND Layer 3 of 3 Description: Brown brittle mastic with paint Non -Fibrous Materials: Other. Fibrous'Materials:% Asbestos Type: % Mastic/Binder, Paint Syntheticfibers <1% None Detected ND Lab ID: 16255913 Client Sample #: B1-1-35 Location: Federal Way, WA Layer 1 of 2 Description: Gray rubbery material Non -Fibrous Materials: Other Fibrous Materials:%o Asbestos Type: % Rubber/Binder, Binder/Filler Synthetic fibers <1% None Detected ND Layer 2 of 2 Description: Cream soft mastic Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder None Detected ND None Detected ND Lab ID: 16255914 Client Sample#: 81-.1-36 Location: Federal Way, WA Sampled by: Client Analyzed by: Christina Molnar Date:08/23/2016 .......... _ .. -- -- .._. _......... - ..---._..- - .._..._... Reviewed by: Nick Ly Date:08/25/2016 Nick Ly, Technical Director 10 Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%, 5%=1-9%, 10%=5-15%, 20%=10.30%a, 50%=40-60%)- This report relates only to the items tested- If sample was not collected by NVL personnel, then the accuracy or the results is lirnited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 3 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal IISIVL Laboratories, Inc. IN IL, 470N Aurora Atte N, SEa3' E, WA 98103 _0,&S47,0100 I f 20F,6'34143f; I www_rsvlfatss,xwa ,, L A 8 S Bulk Asbestos Fibers Analvsis By Polarized Light Microscopy Client: Environmental Partners, Inc. Batch #: 1616941.00 Address: 1180 NW Maple Street, Suite 310 Client Project #: 70703 Issaquah, WA 98027 Date Received 8/18/2016 Samples Received: 38 Attention: Mr. Eric Koltes Samples Analyzed: 38 Project Location: Federal Way, WA Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Layer 1 of 2 Description: Gray vinyl tile Non -Fibrous Materials Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder, Mineral grains Synthetic fibers 1% None Detected ND Layer 2 of 2 Description: Trace black asphaltic mastic Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder, Asphalt/Binder Cellulose 1% Chrysotile r/o Lab ID: 16255915 Client Sample#: 81.1-37 Location: Federal Way, WA Layer 1 of 2 Description: Gray vinyl tile Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder, Mineral grains None Detected ND None Detected ND Layet 2 of 2 Description: Black asphaltic mastic Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder, Asphalt/Binder Syntheticfibers <1% Chrysotile 3% Lab ID: 16255916 Client Sample#: B1 -K-38 Location: Federal Way, WA Layer 1 of 2 Description: Black vinyl tile Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: Vinyl/Binder, Mineral grains Wollastonite 1% Chrysotile 2°/0 Layer 2 of 2 Description: Black asphaltic mastic Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder, Asphalt/Binder Synthetic fibers 1 % Chrysotile 31/6 Lab ID: 16255917 Client Sample #: 61-K-39 Location: Federal Way, WA Sampled by: Client Analyzed by: Christina Molnar Date:08/23/2016 ..... _....... _____ Reviewed by: Nick Ly Date:08/25/2016 Nick Ly, Technical Director Note: If Samples are not homogeneous, then subsarmles of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-931116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (10/6=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50°10=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 4 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. WIL „, 4708 A o A_=e N Sea :e, vv 48163 �7:<.54 547.0-100 1 f 2Cr; fiU,19ati, I ivsvar.rvl€aESs.cc-rn L A.. 8 S Bulk Asbestos Fibers Analysis By Polarized Light Microscopy Client: Environmental Partners, Inc. Batch #: 1616941.00 Address: 1180 NW Maple Street, Suite 310 Client Project * 70703 Issaquah, WA 98027 Date Received: 8/18/2016 Samples Received: 38 Attention: Mr. Eric Koltes Samples Analyzed: 38 Project Location: Federal Way, WA Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Layer 1 of 2 Description: Black vinyl tile Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder, Mineral grains Cellulose 1% Chrysotile T/6 Layer 2 of 2 Description: Black asphaltic mastic Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder, Asphalt/Binder Synthetic fibers 3% Chrysotile 20/6 Lab ID: 16255918 Client Sample#: 81-1-40 Location: Federal Way, WA Layer 1 of 1 Description: Gray fibrous material with paint Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Perlite, Paint Cellulose 38% None Detected ND Glass fibers 20% Lab ID: 16255919 Client Sample #: 81-1-41 Location: Federal Way, WA Layer 1 of 1 Description: Gray fibrous material with paint Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Perlite, Paint Cellulose 40% None Detected ND Glass fibers 18% Lab ID: 16255920 Client Sample #: B1 -M-42 Location: Federal Way, WA Layer 1 of 2 Description: Brown flat hard compressed fibrous material with green surface Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Cellulose 72% None Detected ND Sampled by: Client Analyzed by: Christina Molnar Date:08/23/2016 ...................................................................... .._........_..._..- Reviewed by: Nick Ly Date:08/25/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-931116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 0/6=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested_ If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 5 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal 0 • NVL Laboratories, Inc. 4?08 Aorojri Avcr h Seat.le. WA q81.03 3 p 06547.0 0 1 r206,634J936 I v,,wvrr=.vl[abs,cnm Bulk Asbestos Fibers An By Polarized Light Microscopy Client: Environmental Partners, Inc. Address:1180 NW Maple Street, Suite 310 Issaquah, WA 98027 Attention: Mr. Eric Koltes Project Location: Federal Way, WA is IN I w L A B S Batch #: 1616941.00 Client Project #: 70703 Date Received: 8/18/2016 Samples Received: 38 Samples Analyzed: 38 Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Layer 2 of 2 Description: Yellow brittle mastic with wood flakes Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type % Mastic/Binder, Wood flakes Wood fibers 11%o None Detected ND Lab ID: 16255921 Client Sample #: 131-M-43 Location: Federal Way, WA Layer 1 of 2 Description: Brown flat hard compressed fibrous material with green surface Non -Fibrous Materials: Other Fibrous Materials:'% Binder/Filler Cellulose 70% Layer 2 of 2 Description: Yellow brittle mastic with wood flakes Non -Fibrous Materials: Other Fibrous Materials:% Mastic/Binder, Wood flakes Wood fibers 13% Asbestos Type: % None Detected ND Asbestos Type: % None Detected Nb Lab ID: 16255922 Client Sample#: B1 -N-44 Location: Federal Way, WA Layer 1 of 2 Description: Brown ceramic tile with white surface Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Ceramic/Binder None Detected ND None Detected ND Layer 2 of 2 Description: White sandy/brittle material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, Mineral grains Cellulose 3% None Detected ND Lab ID: 16255923 Client Sample #: B1 -N-45 Location: Federal Way, WA Layer 1 of 2 Description: Brown ceramic tile with white surface Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Ceramic/Binder None Detected ND None Detected ND Sampled by: Client � Analyzed by Christina Molnar Date:08/23/2016 Reviewed by: Nick Ly Date:08/25/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk sarnples are analyzed using both EPA 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 %0=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50°/6=40-60%)_ This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall riot be reproduced except in full, without written approval of NVL Laboratories, Inc. it shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 6 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. 47018 P:uraea Ace h, Seatve. 4Vh 981.0 'NES47.(�_00 f2r&.E34.193f, ( �vwvr.rsvllahs.rta'n A 8S Bulk Asbestos Fibers Analysis Client: Environmental Partners; Inc. Address: 1180 NW Maple Street, Suite 310 Issaquah, WA 98027 Attention: Mr. Eric Koltes Project Location Federal Way, WA Batch #: 1616941.00 Client Project #: 70703 Date Received: 8/18/2016 Samples Received: 38 Samples Analyzed: 38 Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Layer 2 of 2 Description: White sandy/brittle material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, Mineral grains Cellulose 2% None Detected ND Lab 1D: 16255924 Client Sample #: B1-0-46 Location: Federal Way, WA Layer 1 of 3 Description: Brown ceramic the with gray surface Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Ceramic/Binder None Detected ND None Detected ND Layer 2 of 3 Description: White sandy/brittle material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type, % Binder/Filler, Sand, Mineral grains Cellulose 5% None Detected ND Layer 3 of 3 Description: Gray sandy/brittle material Non -Fibrous Materials: Other Fibrous 'Materials:% Asbestos Type: % Binder/Filler, Sand, Mineral grains Synthetic fibers <1 % None Detected ND Lab ID: 16255925 Client Sample #: B1-0-47 Location: Federal Way, WA Layer 1 of 2 Description: Brown ceramic tile with gray surface Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Ceramic/Binder None Detected ND None Detected ND Layer 2 of 2 Description: White sandy/brittle material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, Mineral grains Cellulose 2% None Detected ND Lab ID: 16255926 Client Sample#: 81-1`48 Location:. Federal Way, WA Sampled by: Client Analyzed by: Christina Molnar Date:08/23/2016 . ...... ..... . . ......... ............. lir,� . . .... . ..... . ....................... . Reviewed by: Nick Ly Date:08/25/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using moth EPA 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 500/6=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Govemment page 7 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL. Laboratories, Inc. 470 , AEJ ci i Avc h, Sea t c. WA 48103 p 20G,S47.G ,)lJ I f206.614.19.16 I wwwxvl[abxnm Bulk Asbestos Fibers Analysis Client: Environmental Partners, Inc. Address: 1180 NW Maple Street, Suite 310 Issaquah, WA 98027 Attention: Mr. Eric Koltes Project Location: Federal Way, WA I IUti,. L A B,. S Batch #: 1616941.80 Client Project#` 70703 Date Received: 8/18/2016 Samples Received: 38 Samples Analyzed: 38 Method: EPA/6001R-93/116 & EPA/600/M4-82-020 Layer 1 of 1 Description: White compacted powdery material with paint Non -Fibrous Materials Other Fibrous Materials:% Asbestos Type: % Calcareous binder, Binder/Filler, Paint Synthetic fibers <1% None Detected ND Lab ID: 16255927 Client Sample #: 81-1`49 Location: Federal Way, WA Layer 1 of 2 Description: White bumpy compacted powdery material with paint Non -Fibrous Materials: Other Fibrous'Materials:% Calcareous binder, Binder/Filler, Paint Cellulose 2% Asbestos Type: %p None Detected ND Layer 2 of 2 Description: White compacted powdery material Non -Fibrous .Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous binder, Binder/Filler Synthetic fibers 1 % None Detected ND Lab ID: 16255928 Client Sample#: B1 -P-50 Location: Federal Way, WA Layer 1 of 2 Description: White compacted powdery material with paint Non -Fibrous Materials: Other Fibrous Materials:% Calcareous binder, Binder/Filler, Paint Cellulose 2% Asbestos Type: % None Detected ND Layer 2 of 2 Description: White chalky material with paper Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Gypsum/Binder, Binder/Filler Cellulose 28% None Detected ND Lab ID: 16255929 Client Sample #: B4-4-51 Location: Federal Way, WA Layer 1 of 1 Description: White soft material Non -Fibrous Materials: Binder/Filler, Fine grains Other Fibrous Materials:% Cellulose 2% Asbestos Type: % None Detected ND Sampled by: Client Analyzed by: Christina Molnar Date•08/23/2016 Reviewed by: Nick Ly Date:08/25/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-931116 aux{ 6001M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (10/6--0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the item tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector, This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 8 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. IN V,L 470$Amoa.4vcN,Sea,ve.WA981.6-3 e,. �c.s4i.ii it"1 J f 20F.634.7.93t> ww+rr.r�•Itakis,�n;n. L A B S Bulk Asbestos Fibers Analvsis By Polarized Light Microscopy Client: Environmental. Partners, Inc. Address: 1180 NW Maple Street, Suite 310 Issaquah, WA 98027 Attention: Mr. Eric Koltes Project Location: Federal Way, WA Batch #: 1616941.00 Client Project* 70703 Date Received: 8/18/2016 Samples Received: 38 Samples Analyzed: 38 Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Lab ID: 16255930 Client Sample#: 61-0-52 Location: Federal Way, WA Layer 1 of 2 Description: Trace white compacted powdery material with paint and paper Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous binder, Binder/Filler, Paint Cellulose 12% None [Detected ND Layer 2 of 2 Description: White soft material Non -Fibrous Materials Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Fine grains Cellulose 0%o None Detected ND Lab ID:/6255931 Client Sample #: B1 -R-53 Location: Federal Way, WA Layer 1 of 3 Description: Gray woven fibrous carpet material with mastic and plastic Non -Fibrous Materials: Other Fibrous Materials:%o Asbestos Type: % Binder/Filler, Mastic/Binder, Plastic Synthetic fibers 68% None Detected ND Layer 2 of 3 Description: Black rubbery material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Rubber/Binder, Binder/Filler Synthetic fibers <1% None Detected ND Layer 3 of 3 Description: Trace yellow soft mastic Non -Fibrous Materials: Other Fibrous Materials %o Asbestos Type: % Mastic/Binder Cellulose 1% None Detected ND Lab ID: 16255932 Client Sample#: B1 -S-54 Location: Federal Way, WA Layer 1 of 2 Description: White fibrous material with paint Non -Fibrous Materials: Binder/Filler, Glass beads, Paint Other Fibrous Materials:% Asbestos Type: % Glass fibers 80% None Detected ND Sampled by: Client Analyzed by: Christina Molnar Date:08/23/2016 _. _...._ _.._.... -- Reviewed by: Nick Ly Date:0812512016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (10/6--0-3%, 5%=1-9%, 10%=5-15°%, 20%=10-30%, 50%=40-60%), This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy or the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 9 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal ITL Laboratories, Inc. 1N 47OR Auroa.: Ave N, Sea:' e. WA 9$1.03 " DES47.01.30 I f206.6'34.1.936 i wwvr.nvliass,Cwn L A B S Bulk Asbestos Fibers Analysis Client: Environmental Partners, Inc., Batch #: 1616941.00 Address: 1180 NW Maple Street, Suite 310 Client Project#: 70703 Issaquah, WA 98027 Date Received: 8/18/2016 Samples Received: 38 Attention: Mr. Eric Koltes Samples Analyzed: 38 Project Location: Federal Way, WA Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Layer 2 of 2 Description: Brown brittle mastic Non -Fibrous Materials: Mastic/Binder Other Fibrous Materials:% Cellulose 2% Asbestos Type: % None Detected ND Lab ID: 16256933 Client Sample #: 131-S-65 Location: Federal Way, WA Layer 1 of 2 Description: White fibrous material with paint Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Glass beads, Paint Glass fibers 82% None Detected ND Layer 2 of 2 Description: Brown brittle mastic Non -Fibrous Materials: Other Fibrous Materials:%Q Asbestos Type: % Mastic/Binder Glass fibers <1 % None Detected ND Lab ID: 16255934 Client Sample #: 131-R-56 Location: Federal Way, WA Layer 1 of 5 Description: Gray woven fibrous carpet material with mastic and plastic Non -Fibrous Materials: Other Fibrous Materials:%o Binder/Filler, Mastic/Binder, Plastic Layer 2 of 6 Description: Black rubbery material Non -Fibrous Materials: Rubber/Binder, Binder/Filler Layer 3 of 5 Description: Cream soft mastic Non -Fibrous Materials: Mastic/Binder Layer 4 of 5 Description: White brittle material Non -Fibrous Materials: Binder/Filler Synthetic fibers 70% Other Fibrous Materials:% None Detected ND Other Fibrous Materials:% Synthetic fibers 1 % Other Fibrous Materials:% Cellulose <1% Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND Sampled by: Client Analyzed by: Christina Molnar Date:08/23/2016__....-----.-------.--..---.....:....:......................... Reviewed by: Nick Ly Date:08/25/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-93/116 and 6001M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1%--0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested, If sample was not collected by NVL personnel, then the accuracy of the results is lirnited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NUL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 10 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. 47� . Awoia Ave: N, Seait e.''NA 9810 " E Z06,54?.f1�Q I f206,634_1936 vrti-vl_nvl's, be.cC o L A 8 ., S Bulk Asbestos Fibers Analvsis By Polarized Light Microscopy Client: Environmental Partners, Inc. Address:1180 NW Maple Street, Suite 310 Issaquah, WA 98027 Attention: Mr. Eric Koltes Project Location: Federal Way, WA Batch #: 1616941.00 Client Project #: 70703 Date Received: 8/18/2016 Samples Received: 38 Samples Analyzed: 38 Method: EPA/6001R-93/116 & EPA/600/M4-82-020 Layer 5 of 5 Description: Gray sandy/brittle material Non -Fibrous Materials: Other Fibrous Materials.% Asbestos Type: % Binder/Filler, Sand, Mineral grains Synthetic fibers 2% None Detected ND Lab ID: 16255935 Client Sample #: EX -13-57 Location: Federal Way, WA Layer 1 of 1 Description: Brown brick Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Synthetic fibers <1 % None Detected ND Lab ID: 16255936 Client Sample #: HX -G-68 Location: Federal Way, WA Layer 1 of 2 Description: Brown brick Non -Fibrous Materials: Other Fibrous Materials:%o Asbestos Type: % Binder/Filler None Detected ND None Detected ND Layer 2 of 2 Description: Trace tan sandy/brittle material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, Mineral grains Glass fibers 1 % None Detected ND Lab ID: 16255937 Client Sample #: EX -H-59 Location: Federal Way, WA Layer 1 of 1 Description: Gray sandy/brittle material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, Mineral grains Glass fibers <1 % None Detected ND Lab ID: 16255938 Client Sample#: EX -H-60 Location: Federal Way, WA Sampled by: Client Analyzed by: Christina Molnar Date:08123/2016 .................... ....... .......- ............... ....... __............ _ ............ _................ .......... Reviewed by: Nick Ly Date:08/25/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-931116 and 6001M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (10/6=0-3%, 5%=1-9%, 10%=5-15%, 20%=10.30%, 50%=40.60%0}. This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is lirmted by the methodology and acuity of the sample collector. This report shall not be reproduced except in full; without written approval of NUL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 11 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. 4700 Aurar,, AA K1,Se t' e, 'WA 9$'.{i3 �� z�. h an+n54710103 I r2E6.634_1935 i wwvr.i<.vilabs,rom 1_ A B S Bulk Asbestos Fibers Analvsis By Polarized Light Microscopy Client: Environmental Partners. Inc. ' Batch # 1616941.00 Address: 1180 NW Maple Street, Suite 310 Client Project #: 70703 Issaquah, WA 98027 Date Received: 8/18/2016 Samples Received: 38 Attention: Mr. Eric Koltes Samples Analyzed: 38 Project Location: Federal Way, WA Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Layer 1 of 1 Description: Gray sandylbrittle material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, Mineral grains None Detected ND None Detected ND Lab ID: 16255939 Client Sample#: EX -H-61 Location: Federal Way, WA Layer 1 of 2 Description: Gray sandy/brittle material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, Mineral grains Synthetic fibers 1 % None Detected ND Layer 2 of 2 Description: Trace gray brittle material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler None .Detected ND None Detected ND Lab ID: 16255940 Client Sample#: EX -D-62 Location: Federal Way, WA Layer 1 of 3 Description: White sandy/brittle material with paint Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, Mineral grains Cellulose 1% None Detected ND Paint Layer 2 of 3 Description: Gray crumbly material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Wollastonite 3% None Detected ND Layer 3 of 3 Description: Gray sandy/brittle material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, Mineral grains None Detected ND None Detected ND Lab ID: 16255941 Client Sample#: EX -D-63 Location: Federal Way, WA Sampled by: Client Analyzed by: Christina Molnar Date:08/2312016 _ _ Reviewed by: Nick Ly Date:08125/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 °l0=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is lirnted by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc, It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 12 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. 4708 k 1w; a Ave fv, 98'.C3 ;.206. 47,01, f+0 I f 2Q6, 134.1.936 I wwvf.nv11abx.co4r; • Bulk Asbestos Fibers An Client: Environmental Partners, Inc. Address: 1180 NW Maple Street, Suite 310 Issaquah, WA 98027 Attention: Mr. Eric Koltes Project Location: Federal Way, WA sis 4 IN 6,. L A 8 S Batch #: 1616941.00 Client Project #: 70703 Date Received: 8/18/2016 Samples Received: 38 Samples Analyzed: 38 Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Layer 1 of 2 Description: White sandy/brittle material with paint Non -Fibrous Materials Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, Mineral grains Syntheticfibers <1% None Detected ND Layer 2 of 2 Description: Gray crumbly material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Wollastonite 2% None Detected ND Lab ID: 16255942 Client Sample #: EX -1-64 Location: Federal Way, WA Layer 1 of 1 Description: Black sof /elastic material Non -Fibrous Materials Binder/Filler Other Fibrous Materials-% Asbestos Type: % None Detected ND None Detected ND Lab ID: 16255943 Client Sample #: EX -1.65 Location: Federal Way, WA Layer 1 of 1 Description: 'Black soft/elastic material Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Synthetic fibers <1% None Detected ND Lab ID: 16255944 Client Sample#: EX -I-66 Location: Federal Way, WA Layer 1 of 1 Description: Black soft/elastic material Non -Fibrous Materials: Binder/Filler Lab 1D: 16255945 Client Sample #: EX -H-67 Location: Federal Way, WA Other Fibrous Materials:%o Asbestos Type: % None Detected ND None Detected ND Sampled by: Client Analyzed by: Christina Molnar Date:08/23/2016__..... .._......:._........_.___...._._.................._. . ...._........................................ Reviewed by: Nick Ly Date:08/25/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPR 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (10/6=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 13 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. 1 L 47€ 8 kjmi a Ave N, Sea �e�..'d+.1F g8103 INVI s• �" p _0ES470100 I f206,634,1936 I www.rw11ah xam L A D S Bulk Asbestos Fibers Analvsis By Polarized Light Microscopy Client: Environmental Partners, Inc. Batch #: 1616941.00 Address: 1180 NW Maple Street, Suite 310 Client Project #: 70703 Issaquah, WA 98027 Date Received: 8/18/2016 Samples Received: 38 Attention: Mr. Eric Koltes Samples Analyzed: 38 Project Location: Federal Way, WA Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Layer 1 of 1 Description: Gray sandy/brittle material with paint and granules Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, Mineral grains Synthetic fibers 2% None Detected ND Paint, Granules Lab ID: 16255946 Client Sample #: EX -H-68 Location: Federal Way, WA Layer 1 of 1 Description: Gray sandy/brittle material with paint and granules Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, Mineral grains Glassfibers <1% None Detected ND Paint, Granules Sampled by: Client Analyzed by: Christina Molnar Date:08/23/2016 ...------ - -........................ ............. _.............. Reviewed by: Nick Ly Date:08/25/2016 Nick Ly, Technical Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. AJI bulk samples are analyzed using both EPA 600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%, 5%=1-9%, 10%=5-15%n, 20%=10-30%, 50%=40-60°x). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is lirnited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government page 14 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal NVL Laboratories, Inc. ASBESTOS LABORATORY SERVICE 47£8 Awota Ave, N, Seattle, WA 98104 �i AD&S47.0100. 1 6 206,634:1936 I www,rivitabs.com Company Environmental Partners, Inc. NVL Batch Number 1.616941.00 Address 1180 NW_ Maple Street, Suite 310 TAT 5_ Days ____ AH No Issaquah,WA 98027 Rush TAT ...... Project Manager Mr. _Eric Koltes .... _ Due Date 8/25/2016 Time 1:00 PM________ Phone (425) 395-0010 Email erick@epi-wa.com cell: (425) 922-5666 Fax (425) 395-0011 'roject Name/Number: 70703_ Project Location: Federal Way, WA Subcategory PLM.Bulk item Code ASB -02 EPA 600/R-93-116 Asbestos by PLM <bulk> INVI L A B S Total Number of Samples . ........ _ Rush samples ... .................... Lab 0 Sample ID Description A/R 1 16255909 B1 -G-31 A 2 16255910 61-G•32 A 3 16255911 B1 -H-33 A 4 16255912 B1-1-.34 A 5 16255913 B1-1-35 I A 6 16255914 131-J-36 A 7 16255915 B1 -J-37 A 8 16255916 B1 -K-38 ` A 9 16255917 131-K-39 A 10 16255918 B1 -L-40 A 11 16255919 131-L-41 A 12 16255920 B1 -M-42 ± A 13 16255921 61-10-43 1 A 14 16255922 131-N-44 A 15 16255923 131-N-45 s A 16 16255924 B1-0-46 A 17 16255925 B1-0-47 A 18 116255926 B1 -P-48 i A page 15 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal 0• NVL Laboratories, Inc, ASBESTOS LABORATORY ERVICES 4708 Aunira-Aur. N, Seattlr., JIA9$1:03 p206,547.0100 1 'f 206.634-1936 I wwvw.nvitab&cnm L A B S Company Environmental Partners, Inc. NVL Batch Number 1616941_,00 Address 1180 NW Maple Street, Suite 310 TAT 5 Days __ AH __ No Issaquah, WA 98027 Rush TAT Project Manager Mr. Eric Koltes _ _ Due Date 8/25/2016 Time 1:00 PfVI__ Phone (425) 395-0010 Email Brick@epi-wa,com Cell: (425) 922-5666 Fax (425) 395-0011 1roject Name/Number: 70703 Project Location: Federal Way, WA Subcategory PLM Bulk item Code ASB -02 EPA 6001R-93-116 Asbestos by PLM <bulk> Total Number of Rush samples _.__.._......_...... 19 Lab €D _.._........................... 16255927 Sample ID Description _._.._........__......................_......__....._......_..._ ._._._�.. _... __�.._.. ...... __..._.......-... B1 -P-49 A/R _ _....... _.._..__._............... __......... _.............. ......___ A 20 16255928 B1 -P-50 l A 21 16255929 B1-0-51 A 22 16255930 131-Q-52 A 23 16255931 B1 -R-53 A 24 16255932 81-S-54 A 25 16255933 B1 -S-55 A 26 27 16255934 16255935 B1 -R-56 ; EX -G-57 A A 28 16255936 EX -G-58 A 29 16255937 EX -H-59 A 30 16255938 EX -H-60 A 31 16255939 EX -H-61 A 32 33 34 16255940 16255941 16255942 EX -D-62 EX -D-63 ! EX -1-64 A A A 35 f16255943 6255944 EX -1-65 ? EX -f-66 � A A Print Name SignatL __ ...._.. ................................................._ ..... .. ............... Sampled by Giient _........__......_.....__............._..._.._. Relinquished by Federal Express i Office Use Only Print Name SignatL Received by Fatima Khan Analyzed by i Christina Molnar Results Called by 1.7 Faxed Flnailed — Special Instructions: liYit': 4,--i24,--i2 ! ; �y t S 3fiaKae'% [late Time Company Date Time NVL 8/18/16 1300 NVL 8/23/16 page 16of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal J NVL Laboratories, Inc. ASBESTOS LABORATORY SERVICES 4)(JS Amota Avci N, Seattle, WA 933.03 p,06.547,0100 I f206,63419M I wwwmyllabsxom Company Environmental Partners, Inc. NVL Batch Number 1616941.00 Address 1180 NW Maple Street, Suite 310 TAT 5. Days AH No Issaquah, WA 98027 Rush TAT Project IManager Mr. Eric Koltes Due Date 8/25/2016 Time '1:00 PM Phone (425) 395-0010 Email erick@epi-wa,com Cell: (425) 922-5666 Fax (425) 395-0011 Project Name/Number: 70703 Project Location: Federal Way, WA Subcategory PLM Bulk item Code ASB -02 EPA 600/R-93-116 Asbestos by PLM <bulk> L A B S Total Number of Samples _ 36,......., . Rush Samples-_ __, Lab ID Sample ID Description .............................................-............... ...........A/R .......... .. ............... --------.......................................... ......... 1-37 11-625,EX-H-67 5945 F A 1 — A -3-8 --- 116255946 EX -H -68-H-68 7 Relinquished by Office Use Only Received by Results Called by Faxed Emailed Special Instructions: Print Name ............................................................... Client .......................................................... Federal Express Print Name Fatima Khan Christina Molnar NVL__ . ....... . NVL Date Time Date Time 8/18/16 1 1 -- ---- - 1300 8/23/16 page 17 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal LaborMSM I M-0gonud I Tn"V Company Address 4 R ,_k . .. . ........ .................. 9% .. . .. ....... Phone 0 Turn Around Time 0 1 Hour LJ 24 Hours LJ 4 4ys 1616941 U ID Days Project Manager f�7't- . .......... .. ... Cell (14Z.; ) s9sr - I � ............ Emil ex.Or,,Kaef .. ........ .......... Fax ( Project Name/Number-70-7<>S Project Location Fr-gaxJ W4 ... . ....... .................... • PCM Air (NIOSH 7400) 0 TEM (NIOSH 7402) L) TEM (AHERA) Q TEM (EPA Level 11 Modified) • PLM (EPA 600/R-93-116) U EPA 400 Points (600/R-93-116) El EPA 100OPoints (600/R-93-116) U " Gravimetry(600/R-93-116) 0 Asbestos in Vermiculite (EPA 600/R-04/004) LJ Asbestos in Sediment (EPA 1900 Points) Y L'Asbestos Friable/Non-Friable (EPA 600/R-93/116) 0 Other Reporting Instructions ;S�:4 --fe, Er-zZ, Ko,(ks-........... . ............. ...... .. ......... .. ...........------- ccv/",,, sf;s Q Fax .......... I ....._rrsarl ... Total Number of Samples _ 69 A lb 0. Sampled by Relinquish by Office Use Onlj Received by Analyzed by Called by Faxed/Ernail by MORON page 18 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal 4 I I N" VIL. ') ,01 ASBESTOS L A B S INDUSTRIAL CHAIN OF CU H Y 6 1 E N E ,SERVICES LAbontory I Manaiismom I TrWr&g Company Address 11ow', Phone. . ....... .... ............. . ..... ..... . ......... 0 Turn Around 'ime XDays sTODY 1616941 � 3.0 Days Project Manager -Crl— t x --- , Cell Email Fax . . . ........ Project Name/Number-70705 I Project Location F,- &,r. i we.,q, wA I El PCM Air (NIOSH 7400) U TEM (NIOSH 7402) Ll TEM(AHERA) L3 TEM (EPA Level 11 Modified) • PLM (EPA 600/R-93-116) 0 EPA 400 Points (600/R-93-116) U EPA 100OPoints (600/R-93-116) • PLMGravimetry(600/R-93-116) D Asbestos in Vermiculite (EPA 600/R-04/004) U Asbestos in Sediment (EPA 1900 Points) U -'Asbestos Friable/Non-Friable (EPA 600/R-93/116) C3 Other I Reportin Instructions 0�--Kp ...... ............... 14�'11.11 ,Am, 4% 1:1 Fax ... . . ..... ..... . .. . ...... . ...... ............ Total Number of Samples ARD Print Name Signature Company Date Time Sampled by Relinquish by Office Use Only Received by Analyzed by Called by Faxed/Email by . ... . .... .................... eE �..... . .... page 19 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal 0 0 IN, Turn Around Time VIL � ASBESTOS ays L A 8 S says INDUSTRIAL CHAIN OF CUSTODY 1616941 J 10 Days HYGIENE 'S S F R v I C F Project Manager cell Email t k& 4Li0i%- Fax Project Narne/Number Project Location Fe"f LA _tL (AA4 U PCM Air (NIOSH 7400) U TEM (NIOSH 7402) L) TEM(AHERA) 0 TEM (EPA Level 11 Modified) LJ PLM (EPA 600/R-93-116) Ll EPA 400 Points (600/R-93-116) El EPA 1000Points (600/R-93-116) U PL.M G ravilmetry (600/R-93-116) LJ Asbestos in Vermiculite (EPA 600/R-04/004) U Asbestos in Sediment (EPA 1900 Points) CP4sbestos Friable/Non-Friable (EPA 600/R-93/116) U Other Reporting Instructions !!!ii�OP )7� ............... . .... - JF fax ............... . . .... . .... ....... . . ........ -- .. . ............ . ................................................. . . ................... ........... . .... . . . ........... Total Number of Samples C-11- 1r% A J6 Print Name Signature i Company 1 Date Time Sampled by Relinquish I<, ,tA--t(- V4F-e-4 4 9/(7 Received by Analyzed by Called by Faxed/lEnnall by page 20 of 20 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal 6 41k CITY OF Federal Way PERMIT NUMBER 1 & _ PERMIT WPLICA'TION PERMIT CENTER + 33325 811, Avenue South + Fed WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitc I cit .,IVey.com NOV 03 2016 TARGET DATE FEDERAL wnv SITE ADDRESS / F'f_ I SUITE/ ISO, oPeze4 PROJECT VALUATION� � `. ZONING ASSESS TAX/ ?# ^ z O � O rr-��1IVV OIJ 0 o -!3-O -yoV�{ - - - TYPE OF PERMIT UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT nCe Aa4o ?4i'k 5 Il `t V C—I,L—, A PROJECT DESCRIPTION Detailed description of work to n ' be included on this permit only NAME wrs c w SAA L c PRIMARY PHONE ),a'3 76? PROPERTY OWNER MAILING ADDRESS C 6'`m E-MAIL OO J6 1 I L' `( 1 g.7L� CITY STATE ZIP GLeWOOA 0111A C, NAME PHONE MAILING ADDRESS r 1C110 E-MAIL CONTRACTOR CITY S o 0 mks 3 TE ZIP g 0 FAX WA STATE CONTRACTOR'S LIC S # c� K EXPIRATION DATE �� / FEDERAL WAY BUSINESS LICENSE # -J� 003_ - NAME ' PRIMARY PHONE 33 MAILING ADDRESS ) u n Ut E-MAIL APPLICANT CITY� �� 3TATE Ikkx// ZIP � O / / FAX N CQ PRIMARY PHONE OV PROJECT CONTACT Ra i2 � j 01g MAILING ADDFASS E-MAIL (The individual to receive and respond to all correspondence CITY STATE ZIP FAX concerning this application) PROJECT FINANCING NAME 9'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, incl rs and employees, upon the accuracy of the information supplied to the city as a part of this applicati SIGNATURE: DATE PRINT NAME: A Bulletin #100 -January 29, 2016 Page 1 of 2 kAliandoutsTermit Application 1--�L ' VALUE OF MECHANICAL WORK MECHANICAL PERMIT Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial) BOILERS FURNACES HOT WATER TANKS glias) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF PLUMBING WORK PLUMBING PERMIT # of Stories Additional Information NEW BUILDING EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) $ Indicate how many of each type o ixture to be installed or relocated as part of this project. Do not include existing res to remain. BATHTUBS (or Tub/Shower combo) LAVS (Hand Sinks) TOILETS WATER PIPING TITSHWASHF.RS RAINWATER SYSTEMS URINALS nTT4F.R (Describe) DRAINS SHOWERS VACUUM BREAKERS TOTAL BUILDING DRINKING FOUNTAINS SINKS (Kitchen/ Utility) WATER HEATERS (Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS # of Stories Additional Information NEW BUILDING EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ADDITION ❑ Yes ❑ No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT ............................................ .............. ....................._....................................... .......................... .................... ..... FIRST FLOOR (or Mobile Home) SECOND FLOOR _....... _ _.................................................................................................................................................................... COVERED ENTRY .......... ............... _................................... ................................................ ....... _.................................. ........................ _........... DECK ......... _..... ._.._.... ........................................................................... ..._........_........................... ....................... _....... ........ GARAGE ❑ CARPORT ❑ _......... ...... ........................ ............................... ......... _.................._.......................... ............ ................................. OTHER (describe) ............................................................................................................................................................................................... Area Totals EXISTING PROPOSED TOTAL **NEW HOMES ONLY" ESTIMATED SELLING PRICE $ # OF BEDROOMS COMMERCIAL — NEW/ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction Type # of Stories Additional Information NEW BUILDING ADDITION COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction Type # of Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin #100 - January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application 4kCOMMUNITY DEVELOPMENT DEPARTMENT 33325 8h Avenue South Federal Way, WA 98003-6325 CITY OFr'r 253-835-2607; Fax 253-835-2609 r�� —way Fedem DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove any structure on a subject property. Demolition of separate structures may require separate permits. / ddress of Demolition: 33370 BAGWI C Hwy s ❑ 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 PermitAppiication form is also required. 1. ASBESTOS ABATEMENT (Provide copy of Notice oflntentfrom Puget Sound Clean Air Agency andFVV Lggpy inspection t�U i b CFM ed inspe (City of Federal Way Building Offiicial�� (o- 2. FUEL STORAGE TANKS ❑ Under grade tank(s) is/are present ❑ Above grade tank(s) are present ❑ Tank(s) has been pumped or removed under South King Fire & Rescue permit prior to any dismantling or excavation (South King Fire and Rescue) 3. SEPTIC SYSTEM l f \ (King County Environmiantal Services) 4. SANITARY SEWER (Lakehaven Utility District) S. ELECTRICITY 6. GAS SUPPLY (Puget Sound Energy) (Puget Sound Energy) 7. WATER - Public Source (Water Supplier) 8. WATER - Private Well (King County Environmental Services) RECEIVED NOV 03 2016 CITY OF FEDERAL WAY CDS Bulletin #122— May 13, 2015 Page I of 1 k:\Handouts\Demolition Permit Requirements 41k CITY OF Federal Way DEPARTMENT OF L.OMMUNITY DEVELOPMENT SERVICES 33325 81h Avenue South Federal Way, WA 98003-6325 253-835-2607; Fax 253-835-2609 w-,vw.ci tvoffederalway.com DEMOLITION PERMIT CONTACT LIST This list of agencies may assist you in expediting the demolition permit process. Refer to the demolition permit requirements for signature blocks. All applicable signatures are required prior to permit approval. 1. Asbestos Removal: Puget Sound Clean Air Agency 110 Union Street, Suite 500 Seattle, WA 98101-2038 206-343-8800 —OR— 800-552-3565 www.pscleanair.org 2. Electricity: Puget Sound Energy Tacoma Public Utilities Attn: Construction Coordinator Customer Service 22828 68`h Avenue South, Suite #102 —OR— 747 Market Street Kent, WA 98032 Tacoma, WA 98402 888-225-5773 253-383-9600 or 253-383-2471 3. Gas: Puget Sound Energy 805 156'h Avenue NE Bellevue, WA 98004 888-225-5773 4. Telephone: Qwest Communications 801-962-2475 (phone) / 801-237-6491 (fax) 5. Water: Lakehaven Utility District Tacoma Public Utilities Technical Service Division Customer Service 31623 First Avenue South —OR— 747 Market Street Federal Way, WA 98003 Tacoma, WA 98402 253-941-2288 253-383-9600 or 253-383-2471 6. Garbage: Waste Management 655 Second NW Auburn, WA 98071 253-833-3333 (residential) — OR — 253-939-9792 (commercial) 7. Sewer: Lakehaven Utility District Technical Services Division 31623 First Avenue South Federal Way, WA 98003 253-941-2288 8. Septic: King County Environmental Services 14350 SE Eastgate Way Bellevue, WA 98007 206-296-4932 9. Fire Department: South King Fire & Rescue 33325 8h Avenue South Federal Way, WA 98003 253-946-7248 Bulletin #109 —January 1, 2011 Page 1 of 1 k:\Handouts\Demolition Permit Contact List 10/25M6 Approved Transaction psclear air.org Puget Sound Clean Air Agency Notification Case #: 201605240 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 # AS11FECDE58BA Transaction Date 10/25/16 Owner's Name Advanced Auto Parts Phone (612) 382-7091 Project Street Address 33370 Pacific Highway South City Federal Way Zip 98029 Contact Person Brad Erdahl Phone (425) 327-0892 Mailing Address 5008 Airport Rd. NW Roanoke,WA 24012 This project includes asbestos removal. Project Size linear feet / 75 square feet Project Start Date 11/07/16 Completion Date 11/11/16 Asbestos will be removed by a licensed asbestos abatement contractor Contractor wrecking ball demolition Contractor Job # Contact Cody Chestnut Phone (425) 339-3111 Mailing Address 3310 Chestnut St Everett, WA 98201 (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 If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. ft"://secure.psdeanair.org/Asbestos/Approved.aspx Loa Out RECEIIVED NOV 0 3 2016 CITY OF FEDERAL WAY CDS 1!1