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17-105457 • RESUBMITTED PERMIT APPLICATION , Ahh. CITY OF N0V 0 9 2017 / PERMIT CENTER+33325 8,"Avenue South+Federal Way,WA 98003-6325 • � ra Way 253-835-2607+FAX 253-835-2609+permitcenter�citvoffederalway.com CIrfY OF FEDERAL WAY COMMUNITY DEVELOPMENT /� PERMIT NUMBER I 1 _ L / J 5 - / ) _'I/- SG _9_57 �/ LLL1�L_ TARGET DATE r '''''''''''''''''''',...„.._} SITE ADDRESS SUITE/UNIT# 336aO '') (s+ 4_;),„.„..e 5u) PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# aDI I(9 If ! D 3 - Q © i TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 14DEMOLITION ❑ ENGINEERING D FIRE PREVENTION NAME OF PROJECT I-0 i;,,.?t 4161*e`4464' j 5 i-o:e ))r VA Lt.,(ml '"Pev0-011' tth.4 i9 Ad,evt et' it.1Sed/-506,0 Sf,,. ;IA e 1A.dr 1 PROJECT DESCRIPTION S Detailed description of work to 5 C� c-i-co Foo 4 -1 5 be included on this permit only 'I 1 _ J PRIMARY{ PHONEO�✓ (� NAMECA V- 1 "' y ' \ivii g(,!1"�' -1 aL - 1 1 1/ PROPERTY OWNER MAILING ADDRESS E-MAIL I:31 $. 300 5;,,,l-t len CITY ,-, STATE ZIP I4 -e r z co.•'k 1-0 k' k U7 Li ov j ( / PHONE �] `� ` NAME 1�.�i_7C�v1 l�e VTOL.Ay S - '-C I 1 MAILING ADDRESSr }� / E- L ; t CONTRACTOR 331 ' .S: E t19,ne ?`�4-IG�-t ,. ew pv�Qdt'CkSc`;1r✓It`t CITY STATE ZIP FAX `1 r CO.V\(/\ ‘/J/- e1$Li L"i WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME ,. PRIMARY PHONE 5G'^A^t- a 5 L 0,-(;rw�4o r APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX NAME PROJECT FINANCING OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person,including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. 7 SIGNATURE: --"e------6D . DATE I / 79-0 i 'T PRINT NAME: ) vV\\a in +.A Lit Bulletin#100-January 29,2016 Page 1 of 2 k:AHandouts\Permit Application _ , RE S U B M ITT E POMMUNITY DEVELOPMENT DEPARTMENT A. 33325 8`h Avenue South NOV �� Federal Way,WA 98003 CITY OF ---- 253-835-2607;Fax 253-835-2609 Federal Way www.citvoftederalway.com CfTY OF FEDERAL WAY COMMUNITY DEVELOPMENT DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove any structure on a subject property. Demolition of separate structures may require separate permits. Ulf Address of Demolition: .S.-3 b J 0 a 1 4 Ue v.v.e_ Sk,'kil ❑ Prior to submitting a demolition permit,the following items must be signed by the respective agency or their approvals attached. Items not applicable to your project should be marked N/A. ❑ A completed Construction Permit Application form is also required. 1.ASB TOS ABATEMENT (Prof : espy of Notic- •f Intent from Puget Sound Clean Air Agency 5. ELECTRICITY and ,.4'of inspe. .port by AHERA-certified inspector) LC m-I-:e on t c9 ,\;/.'C 6 - e c...,et-t-t4Avtc,,,4 ? . (Puget Sound Energy/Tacoma Power) 1# 11111161 �oPFederal Building Official) 2. FUEL STORAGE TANKS 6. NATURAL GAS o Under grade tank(s)is/are present �/ o Above grade tank(s)are present -5'4-t l�— G C It t ,t✓-t- ❑Tank(s)has been pumped or removed under South King Fire&Rescue (Puget Sound Energy) permit prior to any dismantlingnor excavation (Sout King Fire and Rescue) 7.WATER- Public Source T (� 4 . J l0 r_EN u-N + iti c"'R�F-T (Lakehaven Utility District) 3.SEPTIC SYSTEMDECCOMISSIONING I/Psn 7 { \ / i 8.WATER-Private Well (King County Environmental Services) (King Count Enh/vvironmental Services) 4.SANITARY SEWER (Lake n Utili District)2 XPlease Note: Erosion control measures must be in place during the demolition and through completion of the site clean-up. Applicant) Bulletin 4122—March 16,2017 Page 1 of 1 k:\Handouts\Demolition Permit Requirements Approved Transaction Page 1 of 1 RESUBMITTED NOV 09 2017 pscleanair.org Puget Sound Clean Air Agency CITY OF FEDERAL WAY Notification Case #: 201705381 COMMUNITY DEVELOPMENT 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 $105.00 Credit Card Transaction #AQOFF09AE663 Transaction Date 11/08/17 Owner's Name CH Realty VII WSPPhone (801)692-1474 Project Street Address 33620 21st Ave SW City Federal Way Zip 98023 Contact Person Demian Hinkle Phone (253)472-4489 Mailing Address 131 S 700 E,Suite 102 American Fork,UT 84003 This project includes a demolition. Demolition Start Date 11/13/17 Completion Date 12/30/17 Demolition will be completed by a demolition contractor Demo Contractor Wm. Dickson Co. Contractor Job# Contact Demian Hinkle Phone (253)472-4489 Mailing Address 3315 South Pine Street Tacoma,WA 98409 This is an emergency project. The emergency reason: The project must proceed to avoid imposing an unreasonable burden. (1) I certify that the information I have provided is to the best of my knowledge true and accurate. (2) I understand that I must file an Amendment to this Notification if: • The type of project has changed.The project types are asbestos and demolition. • The quantity of friable asbestos to be removed meets a larger project category. • The project's start or completion date has changed. (3) I understand one Notification must be filed for each structure. The only exception is for a single-family residence that includes multiple ancillary structures, such as a detached garage or other outbuildings having the same street address. If there is no street address, I have used a building number. (4) I understand the fees for this Notification are nonrefundable. Create Another Notification View History Loa Out If you have questions,contact us at asbestos@pscleanair.org or 206.689.4058. https://secure.pscleanair.org/Asbestos/Approved.aspx 11/8/2017 • Demian Hinkle From: Justin Barnes <jbarnes@wasatchstoragepartners.com> Sent: Friday, November 3, 2017 9:27 AM RESUBMITTED To: Demian Hinkle Subject: FW: PSE Project Completion Letter NOV 0 9 2017 Demian, CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT Here is the email noting the disconnection in case you need it for any records. I'll shoot over the abatement certificate in a couple of minutes. Thanks Justis Barnes Development Manager WASATCH D: 801 - 692- 1474 SY* &nt P..;PI,NS_ C: 801 - 597- 9312 From: Construction-Southwest Gas--mail-- [mailto:construction_southwest_gas@pse.com] Sent: Friday, November 3, 2017 9:38 AM To:Justin Barnes<jbarnes@wasatchstoragepartners.com> Subject: PSE Project Completion Letter PSE PUGET SOUND ENERGY November 3, 2017 Dear Justin, We have successfully completed the construction work involving natural gas service to your location. Please note, any needed street restoration is typically completed within 30 days, but the time frame may vary depending on the overall volume of paving needs and weather conditions. 1 _ It was a pleasure working with you on this successful project; we're delighted to have you as a Puget Sound Energy • customer. It is our goal to provide service that exceeds our customers' expectations. To help us achieve this goal and continue to improve our processes, we would like your feedback on your recent work with us. At your convenience, please use the following link to provide feedback, referencing the Project ID number below. www.pse.com/constructionsurvey Project ID#: 505008492 If you have any comments or concerns, please feel free to reach out to your project manager or myself at the contact information below. Best Regards, Jeff Horton Terry Brentin Project Manager Supervisor 253 476-6018 253 476-6478 ieff.horton@pse.com terry.brentin@pse.com • 2 11111. RESUBMITTED CITY OF NOV 0 9 2017 Federal WayCITY OF FEDERAL WAY COMMUNITY DEVELOPMENT DETERMINATION OF NONSIGNIFICANCE (DNS) Federal Way Self Storage File No: 17-102958-00-SE Proposal: Demolition of an existing 41,000 sq.ft. building and construction of four self-storage buildings totaling 160,000 sq.ft. Proponent: Ryan Givens,AHBL,Inc. 2215 North 30th St., Suite 300,Tacoma, WA 98403,ph: 253-383-2422 Location: 33620 21st Ave SW, Federal Way, WA 98023 Lead Agency: City of Federal Way Staff Contact: Senior Planner Dave Van De Weghe,253-835-2638 The lead agency for this proposal has determined that it does not have a probable significant adverse impact on the environment,and an environmental impact statement(EIS)is not required under RCW 43.21C.030(2)(c).This decision was made after review of a completed environmental checklist,Federal Way Comprehensive Plan, and other municipal policies,plans,rules,and regulations designated as a basis for exercise of substantive authority under the State Environmental Policy Act pursuant to RCW 43.21C.110. This information is available to the public on request. Further information regarding this action is available to the public upon request from the Department of Community Development(address below). This DNS is issued under WAC 197-11-340(2); the lead agency will not act on this proposal for 14 days from the date below. Comments must be submitted by 5:00 p.m. on August 4,2017. Unless modified by the city,this determination will become final following the above comment deadline. Any person aggrieved of the city's final determination may file an appeal. Anyone may appeal this determination to the Federal Way City Clerk(address below),no later than 5:00 p.m. on August 25, 2017, by a written letter stating the reason for the appeal of the determination.You should be prepared to make specific factual objections. Responsible Official: Brian Davis Title: Director of Community Development Address: 33325 8t1i Avenue South, Federal Way, WA 98003 Phone: 253-835-2601 Date Issued: July 21,2017 Signature: 17-102958-00-SE Doc LD 76206 AilMERICAN P.O. Box 81005 Seattle, WA 98108- 1005 Environmental Construction LLC Phone: (206)267-0746 Asbestos-Lead-Mold- Demolition Fax: (206)267-0753 September 26, 2017 Name: Wasatch Storage Partners Attn: Justin Barnes 131 S, 700 E. Suite 102 American Fork, UT 84003 Email: jbarnes@wasatchstoragepartners.com --- Letter of Completion -- (17440) Re: Asbestos Abatement Services at: 33620 21st Ave SW Federal Way, WA 98023 This is to certify that American Environmental Construction LLC has removed the asbestos containing material from the above referenced address per our Proposal & Contract dated August 15, 2017. Clearance Air Monitoring (Sample Type=CL) as reported on the Air Sample Data Sheet (available upon request) indicates that the airborne asbestos level is below the EPA established standard of .01 fibers/cubic centimeter for clean air after an abatement project. Accordingly, the work area is safe, regarding asbestos exposure, for demolition. Please call me at 206-267-0746 if you have any questions or comments regarding this Letter of Completion. Respectfully submitted, American Environmental Construction, LLC deb 1117_. 1 Alc—ma. Dee Surface-Office Manager RESUBMITTED NOV 09 2017 CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT Asbestos-Containing Building Materials Survey 33620 21st Avenue SW Federal Way, King County, Washington November 15, 2016 Terracon Project No. 81167605 • i c y3 Prepared for: Wasatch Storage Partners 131 South 700 East Suite 102 American Fork, Utah 84003 Prepared by: Terracon Consultants, Inc. Mountlake Terrace, Washington Offices Nationwide ?: an : tablishd in 1965 Employee-Owned om 1Ijrr'acc,,1i Geotechnical 8 Environmental 8 Construction Materials t Facilities V November 15, 2016 llerracon Wasatch Storage Partners 131 South 700 East Suite 102 American Fork, Utah 84003 Attn: Scott Wyckoff P: (801) 692-1474 Email: swyckoff@wasatchstoragepartners.corn Re: Asbestos-Containing Building Materials Survey 33620 21st Avenue SW Federal Way, King County, Washington Project No. 81167605 Dear Mr. Wyckoff: The purpose of this report is to present the results of an asbestos-containing building materials survey performed on November 2 and 3, 2016, at the above referenced building in Federal Way, Washington. This survey was conducted in general accordance with our proposal P81165143, dated October 20, 2016. Asbestos was identified in six of the 35 materials sampled. Please refer to the attached report for details. Terracon appreciates the opportunity to provide this service to Wasatch Storage Partners. If you have any questions regarding this report, please contact the undersigned at 425-771-3304. Sincerely, Terracon Consultants, Inc. Scott Rinear for Kyle Fitzpatrick c7 ' ' r.rker Environmental Technician Department Manager AHERA Building Inspector Terracon Consultants, Inc. 21905 64th Avenue West, Suite 100 Mountlake Terrace, WA 98043 P [425]771-3304 F [425] 771-3549 terracon.com Geotechnical • Environmental a Construction Materials i Facilities TABLE OF CONTENTS 1.0 INTRODUCTION 1 1.1 Project Objective 1 2.0 BUILDING DESCRIPTION 2 3.0 ASBESTOS FIELD ACTIVITIES 2 3.1 Visual Assessment 2 3.3 Sample Collection 3 3.4 Sample Analysis 3 4.0 ASBESTOS REGULATORY OVERVIEW 3 5.0 FINDINGS AND RECOMMENDATIONS 5 6.0 GENERAL COMMENTS 5 APPENDICES APPENDIX A—NON-ASBESTOS-CONTAINING-MATERIALS SUMMARY TABLE APPENDIX B—ASBESTOS-CONTAINING-MATERIALS SUMMARY TABLE APPENDIX C—CHAIN OF CUSTODY AND LABORATORY ANALYTICAL REPORTS APPENDIX D—SAMPLE LOCATION PLAN APPENDIX E—TRAINING CERTIFICATES t ASBESTOS-CONTAINING BUILDING MATERIALS SURVEY 33620 21ST AVENUE SW FEDERAL WAY, KING COUNTY, WASHINGTON Terracon Project No. 81167605 November 15 2016 1.0 INTRODUCTION Terracon conducted an asbestos survey of the building located at 33620 21st Avenue SW in Federal Way, King County, Washington. The survey was conducted November 2 and 3, 2016 by AHERA-accredited asbestos inspectors in general accordance with Terracon's Proposal No. P81165143, dated October 20, 2016. Interior, exterior, and roof building components (project area) were surveyed and homogeneous areas of suspect asbestos-containing materials (ACM) were visually identified and documented. Although reasonable effort was made to survey inaccessible suspect materials, additional suspect but unsampled ACM could be located in walls, in voids or in other concealed areas. Suspect ACM samples were collected in general accordance with the sampling protocols outlined in United States Environmental Protection Agency (EPA) 40 Code of Federal Regulations (CFR) 763.86. Samples were delivered to an accredited laboratory for analysis by polarized light microscopy (PLM). 1.1 Project Objective We understand this asbestos survey was requested to locate and identify ACM that may be present in the site building and may be disturbed during proposed demolition activities. EPA regulation 40 CFR 61, Subpart M, National Emission Standards for Hazardous Air Pollutants (NESHAP), prohibits the release of asbestos fibers to the atmosphere during renovation or demolition activities. The asbestos NESHAP requires that potentially regulated asbestos- containing building materials be identified, classified and quantified prior to planned disturbances or demolition activities. The NESHAP authority for Pierce County is the Puget Sound Clean Air Agency (PSCAA). This assessment will assist Wasatch Storage Partners with communicating the presence, location, and quantity of ACM to employees, vendors, and contractors working in the project area and to meet the requirements for an asbestos survey for the Puget Sound Clean Air Agency (PSCAA) and a good faith inspection as required by Washington State Department of Labor and Industries' Division of Occupational Safety and Health (DOSH) regulations prior to demolition of the project area. Regulations require that a complete copy of this assessment be kept in a I Air Asbestos Survey Asbestos-Containing Building Materials Survey r Federal Way, Washington ir erracon November 15, 2016 Terracon Project No. 81167605 conspicuous location on-site at all times during activities that may impact known and suspect ACM. 2.0 BUILDING DESCRIPTION The building is an unoccupied two-story former grocery store building consisting of offices, large open space (selling floor), restrooms, kitchen areas, food prep areas, deli, video rental area, mechanical areas, and electrical areas. The building is an approximate 43,016 square- foot that is slab-on-grade and includes a mezzanine mechanical area. The partial second floor consists of offices and the employee break room. Roofing materials consist of primarily asphaltic built-up roofing with a gravel ballast on a wood substrate. Horizontal interior finishes consisted of ceramic tile, vinyl tile, sheet vinyl, ceiling tile, carpet, and gypsum. Vertical finishes consisted of gypsum, fiber-reinforced paneling, CMU, laminate walls panels, and ceramic tile. Fiberglass batt insulation was observed in perimeter wall cavities, and observed piping is insulated with paper-wrapped fiberglass insulation. The group of retail spaces located adjacent to the north side of the building were not included in the scope of work. 3.0 ASBESTOS FIELD ACTIVITIES The survey was conducted by AHERA-accredited asbestos inspectors Kyle Fitzpatrick and Filmon Embaye. Copies of Mr. Fitzpatrick and Mr. Embaye's asbestos inspector training certificates are attached as Appendix E. The survey was conducted in general accordance with the sample collection protocols established in EPA regulation 40 CFR 763, the Asbestos Hazard Emergency Response Act (AHERA). A summary of survey activities is provided below. 3.1 Visual Assessment Survey activities began with visual observation of the interior, exterior, and roof of the buildings that would reportedly be disturbed during demolition or renovation activities in order to locate and identify homogeneous areas of suspect ACM. A homogeneous area consists of building materials that appear similar throughout in terms of color, texture and if known, date of application. The assessment was conducted throughout visually accessible areas of the building's interior, exterior, and roof components that would reportedly be disturbed during demolition activities. Building materials identified as concrete, glass, wood, masonry, metal or rubber were not considered suspect ACM. Responsive Resourceful 0 Reliable .{ r Asbestos Survey Asbestos-Containing Building Materials Survey ri Federal Way, Washington wirerracon November 15, 2016 r Terracon Project No. 81167605 3.3 Sample Collection Based on results of the visual observation, bulk samples of suspect ACM were collected in general accordance with AHERA sampling protocols. Random samples of suspect materials were collected in each homogeneous area. The surveyor collected bulk samples using wet methods, as applicable, to reduce the potential for fiber release. Samples were placed in sealable containers and labeled with unique sample numbers using an indelible marker. Terracon collected 116 bulk samples from 35 homogeneous areas of suspect ACM. A summary of non-asbestos-containing materials sampled is included as Appendix A, and a summary of all asbestos-containing materials sampled is included as Appendix B. 3.4 Sample Analysis Bulk ACM samples were submitted under chain of custody to EMSL Analytical, Inc. of Seattle, Washington for analysis by polarized light microscopy (PLM) with dispersion staining techniques per EPA methodology (600/R-93/116). The percentage of asbestos, where applicable, was determined by microscopic visual estimation. EMSL Analytical, Inc. is accredited under the National Voluntary Laboratory Accreditation Program (NVLAP Accreditation No. 102063-0). 4.0 ASBESTOS REGULATORY OVERVIEW The asbestos NESHAP (40 CFR Part 61, Subpart M) regulates asbestos fiber emissions and asbestos waste disposal practices. It also requires the identification and classification of existing building materials prior to demolition or renovation activities. Under NESHAP, asbestos-containing building materials are classified as either friable, Category I non-friable or Category II non-friable ACM. Friable materials are those that, when dry, may be crumbled, pulverized or reduced to powder by hand pressure. Category I non-friable ACM includes packings, gaskets, resilient floor coverings and asphalt roofing products containing more than 1% asbestos. Category II non-friable ACM are any materials other than Category I materials that contain more than 1% asbestos. Friable ACM along with Category I and Category II non-friable ACM which is in poor condition that have become friable or which will be subjected to drilling, sanding, grinding, cutting or abrading and could be crushed or pulverized during anticipated renovation or demolition activities are considered regulated ACM (RACM). Washington Administrative Code (WAC) 173-400-075 adopts the federal NESHAP rule by reference. Responsive E Resourceful E Reliable 3 IP Asbestos Survey Asbestos-Containing Building Materials Survey Federal Way,ay, Washing1r November 15, 2016 t Terracon Project No. 81167605 In the State of Washington, authority to administer NESHAP requirements is delegated to the regional air pollution authorities (e.g., the local Clean Air Agency or the Washington State Department of Ecology). In King, Snohomish, Pierce, and Kitsap Counties, the NESHAP requirements are administered by the Puget Sound Clean Air Agency (PSCAA). As provided in PSCAA's Regulation III, Article 4: Asbestos Control Standards, the PSCAA must be notified at least 10 working days prior to the demolition of any structure with a projected roof area greater than 120 square feet, regardless of whether or not any asbestos was identified. Notification is not required for renovation projects, unless the project involves the disturbance of friable asbestos containing materials. The owner or operator must also provide the Washington State Department of Labor and Industry (L&I) with written notification at least 10 working days prior to the commencement of asbestos removal projects involving at least 10 linear feet or 48 square feet of RACM. Removal of ACM must be conducted by a State of Washington-certified asbestos abatement contractor. In the State of Washington, worker exposures to asbestos are governed by L&I's Division of Occupational Safety and Health (DOSH). The administrative rule WAC 296-62-07705 requires that employee exposure to airborne asbestos fibers be maintained below 0.1 asbestos fibers per cubic centimeter of air (0.1 f/cc) as an eight hour time weighted average. State of Washington Occupational Safety and Health rules also classify construction and maintenance activities which could disturb ACM, and specify work practices and precautions which employers must follow when their employees engage in each class of regulated work. Responsive m Resourceful E Reliable 4 Asbestos Survey Asbestos-Containing Building Materials Survey Federal Way, Washington 1rerracon November 15, 2016 r Terracon Project No. 81167605 5.0 FINDINGS AND RECOMMENDATIONS Asbestos Laboratory analyses of bulk building material samples collected indicated that the following was identified as an asbestos-containing material: • FWA-1: Black mastic on12"x12" white vinyl tile with streak pattern • FWA-10: Black mastic beneath sheet vinyl flooring • FWA-11: Black/yellow mastic beneath sheet vinyl flooring • FWA-16: Black mastic on 12"x12" red vinyl tile • FWA-25: Black residual sign mastic FWA-29: Silver paint on black roofing Terracon recommends these materials be removed prior to demolition activities by a qualified asbestos abatement contractor. Appendix A and Appendix B identify the homogeneous areas sampled, sample identification numbers, material descriptions, analytical results, and approximate ACM quantities (Appendix B only). Laboratory analytical reports and chains of custody are included in Appendix C. Appendix D contains the sample location diagrams, and Appendix E contains the training certificates and laboratory accreditation. In the event that unsampled, suspect ACM is discovered during demolition activities, Terracon recommends that the demolition contractor contact Wasatch Storage Partners and Terracon immediately upon discovery, so that samples of the suspect ACM can be collected and analyzed in order to classify, and/or quantify the material. 6.0 GENERAL COMMENTS This asbestos-containing building materials survey was conducted in a manner consistent with the level of care and skill ordinarily exercised by members of the profession currently practicing under similar conditions in the same locale. The results, findings, conclusions and recommendations expressed in this report are based on conditions observed during our survey of the building. The information contained in this report is relevant to the date on which this survey was performed, and should not be relied upon to represent conditions at a later date. This report has been prepared on behalf of and exclusively for use by Wasatch Storage Partners for specific application to their project as discussed. This report is not a bidding document. Contractors or Responsive Resourceful Reliable 5 R Asbestos Survey Asbestos-Containing Building Materials Survey r Federal Way, Washington sirerracon November 15, 2016 g3 Terracon Project No. 81167605 consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. Terracon does not warrant the work of regulatory agencies, laboratories or other third parties supplying information which may have been used in the preparation of this report. No warranty, express or implied is made. Responsive 0 Resourceful 0 Reliable 6 APPENDIX A NON-ASBESTOS-CONTAINING-MATERIALS HOMOGENEOUS AREA LAB SAMPLE NO. SAMPLE LOCATION AND DESCRIPTION RESULTS FWA- 2-01 ND FWA- 2-02 ND FWA-2: 2'x4' white FWA- 2-03 ND Suspended ceilings throughout majority of suspended ceiling tile FWA- 2-04 ND building FWA- 2-05 ND FWA- 2-06 ND FWA-3-01 ND FWA-3: 2"x2" ceramic wall FWA-3-02 ND tiles, beige grout, and yellow FWA-3-03 ND Walls in places in deli mastic FWA-3-04 ND FWA-4: White fiber- FWA-4-01 ND reinforced paneling with FWA-4-02 ND Walls in food prep areas mastic FWA-4-03 ND FWA-5: 2'x4'white gypsum FWA-5-01 ND Suspended ceilings in suspended ceiling tile FWA-5-02 ND kitchen, deli, and food prep FWA-5-03 ND area FWA-6-01 ND FWA-6-02 ND FWA-6: White joint compound FWA-6-03 ND Gypsum walls throughout and white gypsum wallboard FWA-6-04 ND building FWA-6-05 ND FWA-7: Grey concrete FWA-7-01 ND Interior and exterior masonry unit(CMU)with grey FWA-7-02 ND perimeter walls mortar FWA-7-03 ND FWA-8-01 ND FWA-8: Brown vinyl sheeting FWA-8-02 ND Behind ceramic wall tiles in deli FWA-8-03 ND FWA-9-01 ND FWA-9: 6" black rubber cove FWA-9-02 ND Employee restrooms and base and yellow mastic FWA-9-03 ND food prep rooms FWA-12-01 ND FWA-12: Paper-wrapped FWA-12-02 ND Predominant pipe fiberglass pipe insulation insulation FWA-12-03 ND FWA-13: Decorative wall FWA-13-01 ND Walls in places paneling and tan mastic FWA-13-02 ND HOMOGENEOUS AREALA AND DESCRIPTION SAMPLE NO. RESUBTS SAMPLE LOCATION FWA-13-03 ND FWA-14-01 ND FWA-14-02 ND FWA-14: Tan paper FWA-14-03 ND Interior of fire doors FWA-14-04 ND FWA-15: 12"x12" greyvinyl FWA-15-01 ND y FWA-15-02 ND Floor at south end of floor tile and yellow mastic selling floor FWA-15-03 ND FWA-17: Blue carpet and FWA-17-01 ND yellow mastic FWA-17-02 ND Floor in video rental area FWA-17-03 ND FWA-18-01 ND FWA-18: 6"x6" red ceramic Floor in kitchen and food floor tile and grey grout/mortar FWA-18-02 ND prep areas FWA-18-03 ND FWA-19-01 ND Mechanical ducting in FWA-19: White duct tape FWA-19-02 ND mezzanine mechanical FWA-19-03 ND area FWA-20: Black vibration FWA-20-01 ND Mechanical system in isolator FWA-20-02 ND mezzanine mechanical FWA-20-03 ND area FWA-21: Red laminate FWA-21-01 ND Floor in mezzanine FWA-21-02 ND flooring mechanical area FWA-21-03 ND FWA-22: Red wall laminate, FWA-22-01 ND white mastic, and white joint FWA-22-02 ND 1St floor south office area compound FWA-22-03 ND FWA-23-01 ND FWA-23: Grey coating FWA-23-02 ND Exterior CMU walls at west FWA-23-03 ND side entrance FWA-24-01 ND FWA-24: White gypsum Exterior ceiling area at wallboard with texture FWA-24-02 ND FWA-24-03 ND entrance FWA-26-01 ND FWA-26: Grey stucco FWA-26-02 ND Exterior fascia at store FWA-26-03 ND front FWA-27-01 ND FWA-27: Yellow sealant FWA-27-02 ND Base of aluminum wall FWA-27-03 ND panel in deli FWA-28: Black asphaltic built- FWA-28-01 ND Predominant roofing HOMOGENEOUS AREA LAB AND DESCRIPTION SAMPLE NO. RESULTS SAMPLE LOCATION up roofing with insulation FWA-28-02 ND board, foam, vapor barrier ND and gravel ballast FWA-28-03 FWA-30: White sealant FWA-30-01 ND Associated with metal FWA-30 02 ND coping/flashing on roof FWA-31-01 ND FWA-31: White sealant FWA-31-02 ND Associated with seams of FWA-31-03 ND rooftop HVAC units FWA-32: Black asphaltic FWA-32-01 ND sealant FWA-32-02 ND Roof drains FWA-32-03 ND FWA-33-01 ND FWA-33: Grey wall laminate Walls in customer service and yellow mastic FWA-33-02 ND FWA-33-03 ND area FWA-34: Fiberglass batt FWA-34-01 ND insulation with paper/foil FWA-34-02 ND Insulation in perimeter wall backing FWA-34-03 ND cavities FWA-35-01 ND At seams associated with FWA-35: Black sealant FWA-35-02 ND entry doors and CMU wall FWA-35-03 ND seams in places APPENDIX B ASBESTOS-CONTAINING-MATERIALS HOMOGENEOUS AREA MATERIAL LOCATION LAB RESULTS QUANTITY AND DESCRIPTION APPROX. FWA-1: 12"x12" white vinyl Predominant flooring ND—Tile, floor tile and black mastic throughout selling floor 4-8% Chrysotile— Mastic 30,000 SF FWA-10: Grey sheet vinyl flooring with paper backing Floor in employee ND— Sheet vinyl, and black mastic 90 SF restrooms 2% Chrysotile— Mastic FWA-11: Grey sheet vinyl flooring with paper backing, ND— Sheet vinyl, white leveler, and Floor in deli ND— Leveler, 250 SF black/yellow mastic <1% Chrysotile' — Mastic FWA-16: 12"x12" red vinyl Accent tile flooring in ND—Tile, Included FWA- floor the and black mastic places with < o with predominant floor tile 1 /° Chrysotile — Mastic 1 FWA-25: Black mastic Residual mastic for o sign on exterior fascia 2/o Chrysotile 5 SF Roofing at curbs in FWA-29: Silver paint and places and parapet 3% Chrysotile— Silver black asphaltic roofing walls at south and west paint, 1,000 SF edges of roof ND— Roofing Due to black mastic being found to contain greater than one percent asbestos below adjacent flooring, this mastic is being considered ACM ND— None Detected SF—Square Feet LF— Linear Feet N/A— Not Applicable APPENDIX C CHAIN OF CUSTODY AND LABORATORY ANALYTICAL REPORTS • EMSL Analytical, Inc. EMSL Order: 511601718 Customer ID: TCWA25 EMSL 3317 3rd Ave S,Suite D 2nd floor Seattle,WA 98134 Tel/Fax:(206)269-6310/(206)900-8789 Customer PO: 81167605 .. http://www.emsl.com/seattlelab@emsl.com Project ID: Attention: Scott Rinear Phone: (425)771-3304 Terracon Consultants, Inc. Fax: (425)771-3549 21905 64th Ave.W. Received Date: 11/04/2016 9:30 AM Suite 100 Analysis Date: 11/09/2016- 11/11/2016 Mountlake Terrace,WA 98043 Collected Date: Project: 81167605/FW Albertsons Test Report:Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance %Fibrous %Non-Fibrous %Type FWA-1-01-Floor Tile White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0001 Homogeneous FWA-1-01-Mastic Black 92%Non-fibrous(Other) 8%Chrysotile Non-Fibrous 511601718-0001A Homogeneous FWA-1-02-Floor Tile White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0002 Homogeneous FWA-1-02-Mastic Orange 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0002A Homogeneous FWA-1-03-Floor Tile White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0003 Homogeneous FWA-1-03-Mastic Black 92%Non-fibrous(Other) 8%Chrysotile Non-Fibrous 511601718-0003A Homogeneous FWA-1-04-Floor Tile White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0004 Homogeneous FWA-1-04-Mastic Black 92%Non-fibrous(Other) 8%Chrysotile Non-Fibrous 511601718-0004A Homogeneous FWA-1-05-Floor Tile White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0005 Homogeneous FWA-1-05-Mastic Black 94%Non-fibrous(Other) 6%Chrysotile Non-Fibrous 511601718-0005A Homogeneous FWA-1-06-Floor Tile White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0006 Homogeneous FWA-1-06-Mastic Black 96%Non-fibrous(Other) 4%Chrysotile Non-Fibrous 511601718-0006A Homogeneous FWA-2-01 Tan 50%Cellulose 20%Perlite None Detected Fibrous 10%Glass 20%Non-fibrous(Other) 511601718-0007 Homogeneous FWA-2-02 Tan 50%Cellulose 20%Perlite None Detected Fibrous 10%Glass 20%Non-fibrous(Other) 511601718-0008 Homogeneous FWA-2-03 Tan 50%Cellulose 20%Perlite None Detected Fibrous 10%Glass 20%Non-fibrous(Other) 511601718-0009 Homogeneous FWA-2-04 Tan 50%Cellulose 20%Perlite None Detected Fibrous 10%Glass 20%Non-fibrous(Other) 511601718-0010 Homogeneous (Initial report from:11/11/2016 11:56:00 1 ASB_PLM_0008-1.71 Printed:11/11/2016 8:56 AM Page 1 of 11 . EMSL Analytical, Inc. EMSL Order: 511601718 Customer ID: TCWA25 EMSL 3317 3rd Ave S,Suite D 2nd floor Seattle,WA 98134 Tel/Fax:(206)269-6310/(206)900-8789 Customer PO: 81167605 • - http://www.emsl.com/seattlelab@emsl.com Project ID: Test Report:Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance %Fibrous %Non-Fibrous %Type FWA-2-05 Tan 50%Cellulose 20%Perlite None Detected Fibrous 10%Glass 20%Non-fibrous(Other) 511601718-0011 Heterogeneous FWA-2-06 Tan 50%Cellulose 20%Perlite None Detected Non-Fibrous 10%Glass 20%Non-fibrous(Other) 511601718-0012 Homogeneous FWA-3-01-Ceramic Tile White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0013 Homogeneous FWA-3-01-Grout Beige 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0013A Homogeneous FWA-3-01-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-00138 Homogeneous FWA-3-02-Ceramic Tile White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0014 Homogeneous FWA-3-02-Spackle White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0014A Homogeneous FWA-3-02-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0014B Homogeneous FWA-3-03-Ceramic Tile White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0015 Homogeneous FWA-3-03-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0015A Homogeneous FWA-3-04-Qeramic Tile White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0016 Homogeneous FWA-3-04-Grout White 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0016A Homogeneous FWA-3-04-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0016B Homogeneous FWA-4-01-Paneling White 10%Glass 90%Non-fibrous(Other) None Detected Non-Fibrous 511 601 71 8-001 7 Homogeneous FWA-4-01-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0017A Homogeneous FWA-4-02-Paneling White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0018 Homogeneous FWA-4-02-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0018A Homogeneous FWA-4-03-Paneling White 10%Glass 90%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0019 Homogeneous FWA-4-03-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0019A Homogeneous Initial report from:11/11/2016 11:56:00 ASB_PLM 0008-1.71 Printed:11/11/2016 8:56 AM Page 2 of 11 EMSL Order: 511601718 EMSL Analytical, Inc. Customer ID: TCWA25 EMSL 3317 3rd Ave S,Suite D 2nd floor Seattle,WA 98134 Customer PO: 81167605 Tel/Fax:(206)269-6310/(206)900-8789 http://ww.emsl.com/seattlelab@emsl.com Project ID: w Test Report:Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance %Fibrous %Non-Fibrous %Type FWA-5-01 White 10%Cellulose 50%Gypsum None Detected Fibrous 40%Non-fibrous(Other) 511601718-0020 Homogeneous Inseparable paint/coating layer included in analysis FWA-5-02 White 10%Cellulose 50%Gypsum None Detected Fibrous 40%Non-fibrous(Other) 511601718-0021 Homogeneous Inseparable paint/coating layer included in analysis FWA-5-03 White 10%Cellulose 50%Gypsum None Detected Fibrous 40%Non-fibrous(Other) 511601718-0022 Homogeneous FWA-5-04 White 10%Cellulose 50%Gypsum None Detected Fibrous 40%Non-fibrous(Other) 511601718-0023 Homogeneous Inseparable paint/coating layer included in analysis FWA-6-01-Joint White 100%Non-fibrous(Other) None Detected Compound Non-Fibrous Homogeneous 511601718-0024 FWA-6-01-Drywall White 10%Cellulose 50%Gypsum None Detected Fibrous 40%Non-fibrous(Other) 511601718-0024A Homogeneous FWA-6-02-Joint White 100%Non-fibrous(Other) None Detected Compound Non-Fibrous Homogeneous 511601718-0025 FWA-6-02-Drywall White 10%Cellulose 50%Gypsum None Detected Fibrous 40%Non-fibrous(Other) 511601718-0025A Homogeneous FWA-6-03-Joint White 100%Non-fibrous(Other) None Detected Compound Non-Fibrous Homogeneous 511601718-0026 FWA-6-03-Drywall White 10%Cellulose. 50%Gypsum None Detected Fibrous 40%Non-fibrous(Other) 511601718-0026A Homogeneous FWA-6-04-Joint White 100%Non-fibrous(Other) None Detected Compound Non-Fibrous Homogeneous 511601718-0027 FWA-6-04-Drywall White 10%Cellulose 50%Gypsum None Detected Fibrous 40%Non-fibrous(Other) 511601718-0027A Heterogeneous FWA-7-01-Coating Gray/Tan 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0028Homogeneous FWA-7-01-Stucco Gray 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0028A Homogeneous FWA-7-02 Gray 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0029 Homogeneous FWA-7-03-Coating Gray/Tan 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0030 Homogeneous FWA-7-03-Stucco Gray 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0030A Homogeneous (Initial report from:11/11/2016 11:56:00 ASB_PLM_0008-1.71 Printed:11/11/2016 8:56 AM Page 3 of 11 EMSL Order: 511601718 EMSL Analytical, Inc. EMSL 3317 3rd Ave S,Suite D 2nd floor Seattle,WA 98134 Customer ID: TCWA25 Tel/Fax:(206)269-6310/(206)900-8789 Customer PO: 81167605 http://www.emsl.com/seattlelab@emsl.com Project ID: Test Report:Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance %Fibrous %Non-Fibrous %Type FWA-8-01 Brown 30%Cellulose 70%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0031 Homogeneous FWA-8-02 Brown 30%Cellulose 70%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0032 Homogeneous FWA-8-03 Brown 30%Cellulose 70%Non-fibrous(Other) None Detected Fibrous 511601718-0033 Heterogeneous FWA-9-01-Cove Base Black 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0034 Homogeneous FWA-9-01-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0034A Homogeneous FWA-9-02-Cove Base Brown 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0035 Homogeneous FWA-9-02-Mastic Brown 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0035A Homogeneous FWA-9-03-Cove Base Black 100%Non-fibrous(Other) None Detected Non-Fibrous 511 601 718-003 6 Homogeneous FWA-9-03-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0036A Homogeneous FWA-10-01 Gray 30%Cellulose 70%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0037 Homogeneous FWA-10-02 Gray 30%Cellulose 70%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0038 Homogeneous FWA-10-03-Sheet Gray/White 30%Cellulose 70%Non-fibrous(Other) None Detected Flooring Fibrous Heterogeneous 511601718-0039 FWA-10-03-Mastic Black 98%Non-fibrous(Other) 2%Chrysotile Non-Fibrous 511601718-0039A Homogeneous FWA-11-01-Floor Tile Various 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511 601 718-004 0 Homogeneous FWA-11-01-Leveler Gray 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0040A Homogeneous Result includes a small amount of inseparable attached material FWA-11-02-Floor Tile Various 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0041 Homogeneous FWA-11-02-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0041A Homogeneous FWA-11-03-Floor Tile Gray 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0042 Homogeneous Initial report from:11/11/2016 11:56:00 ASB_PLM 0008-1.71 Printed:11/11/2016 8:56 AM Page 4 of 11 EMSL Order: 511601718 EMSL Analytical, Inc. EMSL 3317 3rd Ave S,Suite D 2nd floor Seattle,WA 98134 Customer ID: TCWA25 Tel/Fax:(206)269-6310/(206)900-8789 Customer PO: 81167605 .- http://www.emsl.corn/seattlelab@emsl.com Project ID: Test Report:Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance %Fibrous %Non-Fibrous %Type FWA-11-03-Mastic Yellow 100%Non-fibrous(Other) <1%Chrysotile Non-Fibrous 511601718-0042A Homogeneous Result includes a small amount of inseparable attached material FWA-12-01White/Silver 40%Cellulose 40%Non-fibrous(Other) None Detected Fibrous 20%Glass 511601718-0043 Homogeneous FWA-12-02 White/Silver 40%Cellulose 40%Non-fibrous(Other) None Detected Fibrous 20%Glass 511601718-0044 Homogeneous FWA-12-03White/Silver 40%Cellulose 40%Non-fibrous(Other) None Detected Fibrous 20%Glass 511601718-0045 Heterogeneous FWA-13-01-Mastic Tan 100%Non-fibrous(Other) None Detected Non-Fibrous 511601 718-004 6 Homogeneous F WA-13-01-Particle Tan 100%Cellulose None Detected Board Fibrous Homogeneous 511601718-0046A FWA-13-02 Brown 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0047 Homogeneous FWA-13-03 Brown 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0048 Homogeneous FWA-14-01 Tan 90%Cellulose 10%Non-fibrous(Other) None Detected Fibrous 511601718-0049 Homogeneous Result includes a small amount of inseparable attached material FWA-14-02 Tan 90%Cellulose 10%Non-fibrous(Other) None Detected Fibrous 511601718-0050 Homogeneous Result includes a small amount of inseparable attached material FWA-14-03 Tan 90%Cellulose 10%Non-fibrous(Other) None Detected Fibrous 511601718-0051 Homogeneous Result includes a small amount of inseparable attached matenal FWA-14-04 Tan 90%Cellulose 10%Non-fibrous(Other) None Detected Fibrous 511601718-0052 Homogeneous Result includes a small amount of inseparable attached material FWA-15-01 White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0053 Homogeneous FWA-15-02-Floor Tile White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0054 Homogeneous FWA-15-02-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-00544 Homogeneous FWA-15-03-Floor Tile White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0055 Homogeneous FWA-15-03-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-00554 Homogeneous (Initial report from:11/11/2016 11:56:00 ASB_PLM_0008-1.71 Printed:11/11/2016 8:56 AM J Page 5 of 11 . EMSL Analytical, Inc. EMSL Order: 511601718 Customer ID: TCWA25 EMSL 3317 3rd Ave S,Suite D 2nd floor Seattle,WA 98134 Customer PO: 81167605 Tel/Fax:(206)269-6310/(206)900-8789 .Mhttp://www.emsl.com/seattlelab©emsl.com Project ID: Test Report:Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance %Fibrous %Non-Fibrous %Type FWA-16-01 Tan 100%Non-fibrous(Other) None Detected Non-Fibrous 511 601 718-005 6 Homogeneous FWA-16-02-Floor Tile Tan 100%Non-fibrous(Other) None Detected Non-Fibrous 511 601 718-005 7 Homogeneous FWA-16-02-Mastic Black/Yellow 100%Non-fibrous(Other) <1%Chrysotile Non-Fibrous 511601718-0057A Homogeneous FWA-16-03-Floor Tile Tan 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0058 Homogeneous FWA-16-03-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0058A Homogeneous FWA-17-01-Carpet Various 90%Synthetic 10%Non-fibrous(Other) None Detected Fibrous 511601718-0059 Homogeneous FWA-17-01-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0059A Homogeneous FWA-17-02-Carpet Various 90%Synthetic 10%Non-fibrous(Other) None Detected Fibrous 511601718-0060 Homogeneous FWA-17-02-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0060A Homogeneous FWA-17-03-Carpet Various 90%Synthetic 10%Non-fibrous(Other) None Detected Fibrous 511601718-0061 Homogeneous FWA-17-03-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0061A Homogeneous FWA-18-01-Brick Red 100%Non-fibrous(Other) None Detected Non-Fibrous 511 601 718-0062 Homogeneous FWA-18-01-Mortar Gray 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0062A Homogeneous FWA-18-02-Brick Red 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0063 Homogeneous FWA-18-02-Mortar Gray 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0063A Homogeneous FWA-18-03-Brick Red 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0064 Homogeneous FWA-18-03-Mortar Gray 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0064A Homogeneous FWA-19-01 White 60%Cellulose 40%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0065 Homogeneous FWA-19-02 White 60%Cellulose 40%Non-fibrous(Other) None Detected Fibrous 511 601 718-006 6 Homogeneous (Initial report from:11/11/2016 11:56:00 1 J ASB_PLM 0008-1.71 Printed:11/11/2016 8:56 AM Page 6 of 11 MSL Order: 511601718 EMSL Analytical, Inc.�nC. • Customer ID: TCWA25 EMSL 3317 3rd Ave S,Suite D 2nd floor Seattle,WA 98134 Customer PO: 81167605 Tel/Fax:(206)269-6310/(206)900-8789 ' .. http://www.emsl.com/seattlelab@emsl.com Project ID: Test Report:Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance %Fibrous %Non-Fibrous %Type FWA-19-03 White 60%Synthetic 40%Non-fibrous(Other) None Detected Fibrous 511601718-0067 Homogeneous FWA-20-01 Black 20%Synthetic 80%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0068 Homogeneous FWA-20-02 Black 20%Synthetic 80%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0069 Homogeneous FWA-20-03 Black 20%Synthetic 80%Non-fibrous(Other) None Detected Fibrous 511601718-0070 Homogeneous FWA-21-01 Brown 60%Cellulose 40%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0071 Homogeneous FWA-21-02 Brown 60%Cellulose 40%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0072 Homogeneous FWA-21-03 Brown 60%Cellulose 40%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0073 Homogeneous FWA-22-01-Laminate Red 70%Cellulose 30%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0074 Homogeneous FWA-22-01-Mastic White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0074A Homogeneous FWA-22-01-Spackle White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-00748 Homogeneous FWA-22-03-Laminate Red 70%Cellulose 30%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0075 Homogeneous FWA-22-03-Mastic White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0075A Homogeneous FWA-22-03-Spackle White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-00758 Homogeneous FWA-22-04-Laminate Red 70%Cellulose 30%Non-fibrous(Other) None Detected Fibrous 511601718-0076 Homogeneous FWA-22-04-Mastic White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0076A Homogeneous FWA-22-04-Spackle White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-00768 Homogeneous FWA-23-01-Coating Gray/Tan 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0077 Homogeneous FWA-23-01-Stucco Gray 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0077A Homogeneous FWA-23-02-Coating Gray/Tan 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0078 Homogeneous Initial report from:11/11/2016 11:56:00 1 ASB_PLM_0008-1.71 Printed:11/11/2016 8:56 AM Page 7 of 11 . • EMSL Analytical, Inc. EMSL Order: 511601718 Customer ID: TCWA25 EMSL 3317 3rd Ave S,Suite D 2nd floor Seattle,WA 98134 Customer PO: 81167605 Tel/Fax:(206)269-6310/(206)900-8789 - .Mhttp://www.emsl.com/seattlelab@emsl.com Project ID: Test Report:Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance %Fibrous %Non-Fibrous %Type FWA-23-02-Stucco Gray 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0078A Homogeneous FWA-23-03-Coating Gray/Tan 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0079 Heterogeneous FWA-23-03-Stucco Gray 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0079A Homogeneous FWA-24-01-Paint Gray 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0080 Homogeneous FWA-24-01-Plaster White 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0080A Homogeneous FWA-24-01-Drywall White 10%Cellulose 50%Gypsum None Detected Fibrous 40%Non-fibrous(Other) 511601718-00808 Homogeneous FWA-24-02-Paint Gray 100%Non-fibrous(Other) None Detected Non-Fibrous 511 601 718-0081 Homogeneous FWA-24-02-Plaster White 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0081A Homogeneous FWA-24-03-Paint Gray 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0082 Homogeneous FWA-24-03-Plaster White 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0082A Homogeneous FWA-24-04-Paint Gray 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0083 Homogeneous FWA-24-04-Plaster White 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0083A Homogeneous FWA-25-01 Black 98%Non-fibrous(Other) 2%Chrysotile Non-Fibrous 511601718-0084 Homogeneous FWA-26-01-Skim Coat White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0085 Homogeneous FWA-26-01-Base Coat Gray 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0085A Homogeneous FWA-26-02-Skim Coat White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0086 Homogeneous FWA-26-02-Base Coat Gray 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0086A Homogeneous FWA-26-03 White 5%Quartz None Detected Non-Fibrous 95%Non-fibrous(Other) 511601718-0087 Homogeneous Inseparable paint/coating layer included in analysis Initial report from:11/11/2016 11:56:00 J ASB_PLM_0008-1.71 Printed:11/11/2016 8:56 AM Page 8 of 11 EMSL Order: 511601718 EMSL Analytical, Inc. Customer ID: TCWA25 EMSL 3317 3rd Ave S,Suite D 2nd floor Seattle,WA 98134 Tel/Fax:(206)269-6310/(206)900-8789 Customer PO: 81167605 http://www.emsl.com/seattlelab@emsl.com Project ID: Test Report:Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance %Fibrous %Non-Fibrous %Type FWA-27-01 Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0088 Homogeneous FWA-27-02 Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0089 Homogeneous FWA-27-03 Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0090 Homogeneous FWA-28-01-Shingle Black 20%Glass 80%Non-fibrous(Other) None Detected Fibrous 511601718-0091 Homogeneous FWA-28-01-Brown Brown 60%Cellulose 20%Perlite None Detected Insulation Fibrous 20%Non-fibrous(Other) Homogeneous 511601718-00914 FWA-28-01-Yellow Yellow 100%Non-fibrous(Other) None Detected Insulation Non-Fibrous Homogeneous 511601718-00918 FWA-28-02-Shingle Black 20%Glass 80%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0092 Homogeneous FWA-28-02-Brown Brown 60%Cellulose 20%Perlite None Detected Insulation Fibrous 20%Non-fibrous(Other) Homogeneous 511601718-0092A FWA-28-02-Yellow Yellow 100%Non-fibrous(Other) None Detected Insulation Non-Fibrous Homogeneous 511601718-00928 FWA-28-03-Shingle Black 20%Glass 80%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0093 Homogeneous FWA-28-03-Flashing Black 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0093A Homogeneous FWA-28-03-Brown Brown 60%Cellulose 20%Perlite None Detected Insulation Fibrous 20%Non-fibrous(Other) Homogeneous 511601718-00938 FWA-28-03-Yellow Yellow 100%Non-fibrous(Other) None Detected Insulation Non-Fibrous Homogeneous 511601718-0093C FWA-28-04-Shingle Black 20%Glass 80%Non-fibrous(Other) None Detected Fibrous 511601718-0094 Homogeneous FWA-28-04-Flashing Black 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0094A Homogeneous FWA-28-04-Brown Brown 60%Cellulose 20%Perlite None Detected Insulation Fibrous 20%Non-fibrous(Other) Homogeneous 511601718-00948 FWA-28-04-Yellow Yellow 100%Non-fibrous(Other) None Detected Insulation Non-Fibrous Homogeneous 511601718-0094c (Initial report from:11/11/2016 11:56:00 ASB_PLM_0008-1.71 Printed:11/11/2016 8:56 AM Page 9 of 11 EEMSL Order: 511601718 MSL Analytical, Inc. Customer ID: TCWA25 EM►ASL 3317 3rd Ave S,Suite D 2nd floor Seattle,WA 98134 ■v� Customer PO: 81167605 Tel/Fax:(206)269-6310/(206)900-8789 http://www.emsl.com/seattlelab@emsl.com Project ID: • Test Report:Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance %Fibrous %Non-Fibrous %Type FWA-29-01-Silver Paint Silver 97%Non-fibrous(Other) 3%Chrysotile Non-Fibrous 511601718-0095 Homogeneous FWA-29-01-Roofing Black 10%Glass 90%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0095A Homogeneous FWA-29-02-Silver Paint Silver 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0096 Homogeneous FWA-29-02-Roofing Black 10%Glass 90%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0096A Homogeneous FWA-29-03-Silver Paint Silver 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0097 Homogeneous FWA-29-03-Roofing Black 20%Glass 80%Non-fibrous(Other) None Detected Fibrous 511601718-0097A Homogeneous FWA-30-01 Gray 100%Non-fibrous(Other) None Detected Non-Fibrous 511 601 718-009 8 Homogeneous FWA-30-02 Gray 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0099 Homogeneous FWA-31-01 White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0100 Homogeneous FWA-31-02 White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0101 Homogeneous FWA-31-03 White 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0102 Homogeneous FWA-32-01 Black 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0103 Homogeneous FWA-32-02 Black 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0104 Homogeneous FWA-32-03 Black 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0105 Homogeneous FWA-33-01-Laminate White 100%Non-fibrous(Other) None Detected Non-Fibrous 511 601 718-010 6 Homogeneous FWA-33-01-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0106A Homogeneous FWA-33-02-Laminate White 100%Non-fibrous(Other) None Detected Non-Fibrous 511 601 718-010 7 Homogeneous FWA-33-02-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0107A Homogeneous FWA-33-03-Laminate White 100%Non-fibrous(Other) None Detected Fibrous 511 601 718-0108 Homogeneous Initial report from:11/11/2016 11:56:00 ASB_PLM_0008-1.71 Printed:11/11/2016 8:56 AM Page 10 of 11 MSL Order: 511601718 EMSL Analytical, Inc.�nc Customer ID: TCWA25 EMSL 3317 3rd Ave S,Suite D 2nd floor Seattle,WA 98134 Tel/Fax:(206)269-6310/(206)900-8789 Customer PO: 81167605 http://www.emsl.com/seattlelab@emsl.com Project ID: Test Report:Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance %Fibrous %Non-Fibrous %Type FWA-33-03-Mastic Yellow 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0108A Homogeneous FWA-34-01 Tan/Silver 40%Cellulose 50%Non-fibrous(Other) None Detected Fibrous 10%Glass 511601718-0109 Homogeneous Result includes a small amount of inseparable attached matenal FWA-34-02 Tan/Silver 40%Cellulose 50%Non-fibrous(Other) None Detected Non-Fibrous 10%Glass 511601718-0110 Homogeneous Result includes a small amount of inseparable attached material FWA-34-03 Tan/Silver 40%Cellulose 50%Non-fibrous(Other) None Detected Fibrous 10%Glass 511601718-0111 Heterogeneous Result includes a small amount of inseparable attached material FWA-35-01 Brown 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0112 Homogeneous FWA-35-02 Brown 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0113 Homogeneous FWA-35-03 Brown 100%Non-fibrous(Other) None Detected Non-Fibrous 511601718-0114 Homogeneous FWA-6-05-Joint White 100%Non-fibrous(Other) None Detected Compound Non-Fibrous Homogeneous 511601718-0115 FWA-6-05-Drywall White 10%Cellulose 50%Gypsum None Detected Fibrous 40%Non-fibrous(Other) 511601718-0115A Homogeneous Analyst(s) Rudy Baum(127) ��// Lauren Kerber,Laboratory Manager Rebecca Ferrell(61) or Other Approved Signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced,except in full,without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP, NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy,precision and uncertainty data available upon request.Unless requested by the client,building materials manufactured with multiple layers(i.e.linoleum,wallboard,etc.)are reported as a single sample.Reporting limit is 1% Samples analyzed by EMSL Analytical,Inc.Seattle,WA NVLAP Lab Code 200613 Initial report from:11/11/2016 11:56:00 ASB_PLM_0008-1.71 Printed:11/11/2016 8:56 AM Page 11 of 11 OrderlD: 5116017. 518 4 Etvl �--. - .^ �� Analyzing Quality Lynnwood Lab:19701 Scriber Lake Road,Suite 103,WA 98036,Tel:425.673.9850,Fax 425.673.9810 Bellevue Lab:12727 Northup Way.Suite 1,Bellevue,WA 98005,Ter:425.861.1111,Fax:425.861.1118 Seattle Lab:4500 9th Ave.NE,Suite 300,Seattle,WA 98105,Te1:206.633.1111,Fax:206.633.4747,Email:admin@seattleasbestostest.com CHAIN OF CUSTODY 5 0 ` ,5 ulk Asbestos ❑Point Count 400 ❑Point Count 1000 Di Point Count Gravimetric 0 Other(Specify) 7 ❑1 Hour ❑2 Hours ❑Same day(4 to 6 Hrs.) ❑1 Day ❑ Days Argus Pacific 21905 64th Ave W,1 Suite 100 Mountlake Terrace, WA 980434206.285.33773 Fax: 206.285.3927 Number of Samples 1.1.0 PO#.. .I.!..4:i.i(Q5 Project Location '►"-S Fl L T}V N S Project Manager(Check one or more): ❑ Christina Buce 360.303.7452 chnstina@arquspacfic-cor ❑ Conor Foley 650.743.4363 con or(sarquspacific.com 1 Kyle Fitzpatrick 253.709.8258 kyle(4arquspacdic.com ❑ Mike Kosoft 206.730.3127 mi ke(cnarquspaafic.com ❑ Peter Snider 206.499.4714 peterparquspacific corn ❑ Scott Parker 206.714.7152 spark ert�arquspacific.mm_ , Scott Rinear 206.571.5591 snnear@arpuspacific.com ❑ SEco CLIENT SAMPLE# SAMPLE DESCRIPTION LOCATION NOTES 1 � (A, f (;; 2 I - 07, 3 14V7 4 • 1 0� 6 1 - 0(9- 7 2,- 01 8 2- v�- 9 2-p 10 Z-D1 12 7-b++k7 13 7 'r% 1 14 3-0-2-- 15 -13 16 3 -0�'1 17 1-1 — () 1 18 / LI - o 2_, 19 Li __V7 20 �,/ 5•-0 I Print Name Signature Company Date Time Sampled: ._...: Argus Pacific 1 1- f .Z l_'. Refingutshed: 11NIifIJiI Argus Pacific Delivered: F Argus PaciFo Received: ,tom - t 6-m5 C 11.4 41 :r 3C?evt.�_ iy Seattle Asbestos Test Reported: Seattle Asbestos Test Seattle Asbestos Test wan-ants the test results to be of a preasion normal for the type and methodology employed for each sample submitted and disclaims any other warrants,expressed or Implied, including warranty of fitness for a partcutar purpose end warranty of merchantability.Seattle Asbestos Test accepts no legal responsibility for the purpose for which the client uses the test results.By signing on this form,the clients agree to relieve Seattle Asbestos Test of arty habhty that may arise from the test results.It is the client's responsibility to make sure the samples are appropriately taken according to federal and local regulations,Invoices paid late may be charged of interest,and Invoices go to collection may be charged 17%to 25%of collection fee.NSF checks will be charged of$50. Results reporting method: ❑Phone ❑ respI:St ❑Pick-up D Composite all wallboard samples ❑Text result to phone ❑Point count %or less asbestos Page(I)of(i Page 1 Of 6 E OrderlD: 511601718 SEATTLE ASBESTOS TEST, LLC Analyzing Quality Lynnwood Lab.19701 Scriber Lake Road,Suite 103,WA 98036,Te1:425.673.9850,Pax:425.673.9810 Bellevue Lab:12727 Northup Way,Suite 1,Bellevue,WA 98005,Te1:425.861 1111,Fax:425.861.1118 Seattle Lab:4500 9th Ave.NE,Suite 300,Seattle,WA 98105,Tel:206.633.1111,Fax:206.633.4747,Email:admin@seattleasbestostest corn CHAIN OF CUSTODY /� ulk Asbestos ❑Point Count 400 ,❑Point Count 1000 ❑2 Hours ❑Same day(4 to 6 Hrs.) ❑❑Point1Day Count Gravimetric ❑Other(Specify) �/ U 1tl Hour ❑ .......-.... Days Argus Pacific 121905 64th Ave W, Suite 100 Mountlake Terrace, WA 98043(206.285.3373 Fax: 206.285.3927 Number of Samples PO# Project Location Project Manager(Check one or more): ❑ Christina Buce 360.303.7452 chnsunu arguspacitic corn ❑ Conor Foley 650.743.4363 conor@arguspecrsc corn Kyle Fitzpatrick 253.709.6258 kylcitita guspacdic.00m ❑ Mike Kosoff 206.730.3127 mike Calar uspacitccons •.. eterSnider 206.499.4714 pefer(aaauspacificeam I:: Scott Parker 206.714.7152 sparker(oarguspacitc.tom R. Scott Rinear 206.571.5591 srineara'�arguspacitic corn ❑ SEQ# CLIENT SAMPLE# SAMPLE DESCRIPTION LOCATION NOTES 1 fi,m;- 5-0Z_ 2 S0:, 3 J1 4 - (° 5 (.) -O7. 6 - (0 7 6 064 8 1 ,...,01 9 `o7. 10 7 -0 11 % 1 122 -D L 13 .0) 14 1-0 f 15 `telr '()2- 16 q e,5 17 C`G i 18 10-02. 19 i0-. 20 }1I-C[ Print Name � Signature Company Date Time Sampled: K1iW �i� -^-7�. Argus Pacific J1fZ Reshed; �/ r��jArgus Pantile j- �� Delivered: Argus Pacific Received: Seattle Asbestos Test Analyzed: Seattle Asbestos Test Reported: Seattle Asbestos Test Seattle Asbestos Test warrants the test results to be of a precision normal for the type and methodology employed for each sample submitted and disclaims any other warrants,expressed or implied, including warranty of fitness for a particular purpose and warranty of merchantability.Seattle Asbestos Test accepts no legal responsibility for the purpose for which the client uses the test results.fly signing on this form,the clients agree to relieve Seattle Asbestos Test of any!lability that may arise from the test results.It Is the client's responsibility to make sure the samples are appropnately taken according to federal and local regulations.Invoices paid lata may be charged of Interest,and Invoices go to collection may be charged 17%to 25%of collection fee.NSF checks will be charged of$50. Results reporting method: ❑Phone IIFax `Email ❑Pick-up ❑Composite all wallboard samples fJ Text result to phone ❑Point count %or less asbestos Page( )of( ) 10 Page 2 Of 6 OrderlD: 511601718 SEATTLE ASBESTOS TEST, LLC Analyzing Quality Lynnwood Lab:19701 Scriber Lake Road,Suite 103,WA 98036,Tel:425.673.9850,Fax:425.673.9810 Bellevue Lab.12727 Northup Way,Suite 1,Bellevue,WA 98005,Te1.425.861.1111,Fax:425.861.1118 Seattle Lab:4500 9th Ave.NE,Suite 300,Seattle,WA 98105,Te1:206.633.1111,Fax:206.633.4747,Email:admin@seattieasbestostestcom CHAIN OF CUSTODY Bulk Asbestos o Point Count 400 ❑Point Count 1000 ❑Point Count Gravimetric ❑Other(Specify) 1 Hour 12 2 Hours ❑Same day(4 l0 6 Hrs.) ❑1 Day ❑ Days Argus Pacific 21905 64th Ave W, Suite 100 Mountlake Terrace, WA 98043 206.285.3373 Fax: 206.285.3927 Number of Samples PO# Project Location Project Manager(Check one or more): ❑ Christina Buce 360.303.7452 chrfssnaparquspacificcom ❑ Conor Foley 650.743.4363 conorearguspacific.com [l Kyle Fitzpatrick 253.709.8258 kyteparguspacific.cam 0 Mike Kosoff 206.730.3127 mikeaarnuspacificcom ❑ Peter Snider 206.499.4714 peter(arguspacificcom ❑ Scott Parker 206.714.7152 sparker(a?arguspaclrc.com 12 Scott Rinear 206.571.5591 snnear@arquspacificcom 0 SEQ# ] LIENT SAMPLE# SAMPLE DESCRIPTION LOCATION NOTES 1 '-(A.)+4.' 1 /"cz 2 S I f-03 3 1.1.--G 1 412 -D2, 5 l. ,z.-03 6 I '5-0i 7 13 oz- 9 z8 i'3-v3 10 1W-02 11 [Li-03 12 i4.-Ly 13 //5.-6i 14 /5-0 `02 15 J 3 5-v 16 1 (c.._U i 17 I t;;--OL 18 19 I_]LJ—e 20 \/ '7 f -0 Z 1 !Print Name Signature Company Date Time Sampled: 7 ss,...--,-7 Argus Pacific Relinquished: / �_ --- Argus Pacific Delivered: J Argus Pacific Received: Seattle Asbestos Test Analyzed: Seattle Asbestos Test Reported: Seattle Asbestos Test Seattle Asbestos Test warrants the test results to be of a precision normal for the type and methodology employed for each sample submitted and disclaims arty other warrants,expressed or implied, Including warranty of fitness for a particular purpose acd warranty of merchantability.Seattle Asbestos Test accepts no legal responsibility for the purpose for which the client uses the test results.By signing on this form,the clients agree to relieve Seattle Asbestos Test at any liability that may arise from the test results.It Is the clients responsibility to make sure the samples are appropriately taken according to federal and local regulations.Invoices paid Tale may be charged of interest,end Invoices go to collection may be charged 17%to 25%of collection fee.NSF checks will be charged of$50. Results reporting method: ❑Phone ❑Fax ❑Email ❑Pick-up 7 r ❑Composite all wallboard samples ❑Text result to phone El Point count . %or less asbestos Page,)of i() Page 3 Of 6 OrderlD: 511601718 SEATTLE ASBESTOS TEST, LLC Analyzing Quality Lynnwood Lab:19701 Scriber Lake Road,Suite 103,WA 98036,Tet:425.673.9850,Fax:425.673.9810 . Bellevue Lab:12727 Northup Way,Suite 1,Bellevue,WA 98005,Te1:425.861.1111,Fax:425.851.1118 Seattle Lab:4500 9th Ave.NE,Suite 300,Seattle,WA 98105,Te1:206.633.1111,Fax:206.633.4747,Email:admin a@seatteasbestostest corn MCHAIN OF CUSTODY Buck Asbestos ❑Point Count 400 ❑Point Count 1000 El 2 Hours ❑Same day(4 to 6 Hrs.) ❑❑Po1Da'nty Count Gravimetric ❑Other(Specify) 1 Hour El Days Argus Pacific 121905 64th Ave W, Suite 100 Mountlake Terrace, WA 980431206.285.3373 Fax: 206.285.3927 Number of Samples PO# Project Location Project Manager(Check one or more): ❑ Christina Buce 360.303.7452 chrisuna@arquspaciEc.com ❑ Conor Foley 650.743.4363 conorrarquspaafic corn Kyle Fitzpatrick 253.709.8258 kyte@arquspacific corn ❑ Mike Kosoff 206.730.3127 mike@arguspapfic.com ❑ Peter Snider 206.499.4714 peter@arquspacificcam ❑ Scott Parker 206.714.7152 s ache p rtci)arquspacific.com R Scott Rinear 206.571.5591 srinear@arquspacific corn ❑ SEQ# CLIENT SAMPLE# SAMPLE DESCRIPTION LOCATION NOTES I Flo Pr — I-7-075 2 1 iC- 0I 3 I 1 $ GZ 4 1$,03 5 / 9-0/ 6 1 ci-L' 7 i q -U.7 8 7.0 .12$ 9 z -0 2. 10 ,_;,5 1i ?i_0i 12 Zf-DI- 13 21 _01) 14 22—v I 15 '2_2-03 Z-2--64 17 Zai-0) 18 L27_ p^t 19 23-03 20 4/ 2-LI'0( Print Name Signature Company Date Time Sampled: Argus Pacific Relinquished: Argus Pacific Delivered: Argus Pacific Received: Seattle Asbestos Test Analyzed Seattle Asbestos Test Reported: Seattle Asbestos Test Seattle Asbestos Test warrants the test results to be of a precision normal for the type and methodology employed for each sample submitted and disclaims any other warrants,expressed or implied, including warranty of fitness for a particular purpose and warranty of merchantability.Seattle Asbestos Test accepts no legal responsibility for the purpose far which the client uses the test results By signing on this form,the clients agree to relieve Seattle Asbestos Test of any liability that may arise from the test results.It is the client's responsibility to make sure the samples are appropnately taken according to federal and local regulations.Invoices paid late may be charged of interest,and invoices go to collection may be charged 17%to 25%of collection fee.NSF checks will be charged of$50. Results reporting method: 0 Phone ❑Fax 0 Email []Pick-up ❑Composite all wallboard samples ❑Text result to phone ❑Point count %or less asbestos Page j)of (...1 Page 4 Of 6 OrderlD: 511601718 SEATTLE ASBESTOS TEST, LLC Analyzing Quality Lynnwood Lab:19701 Scriber Lake Road,Suite 103,WA 98036,Tel:425.673.9850,Fax:425.673.9810 Bellevue Lab.12727 Northup Way,Suite 1,Bellevue,WA 98005,Tel:425.861.1111,Fax:425.861.1118 Seattle Lab:4500 9th Ave.NE,Suite 300,Seattle,WA 98105,Te1:206.633.1111,Fax:206.633.4747,Email:adminla�seattleasbestostest.com CHAIN OF CUSTODY LiBulk Asbestos ❑Point Count 400 D Point Count 1000 0 Point Count Gravimetric 0 Other(Specify) Di Hour ❑2 Hours 0 Same day(4 to 6 Hrs.) ❑1 Day C Days Argus Pacific 21905 64th Ave W, Suite 100 Mountlake Terrace, WA 98043 206.285.3373 Fax: 206.285.3927 Number of Samples PO# Project Location Project Manager(Check one or more): fl Christina Buce 360.303.7452 chastrnaaarquspacific.com 0 Conor Foley 650.743.4363 cenor@arguspadfic.corn . ❑ Kyle Fitzpatrick 253.709.8258 kyfe@arquspactfic.com ❑ Mike Kosoff 206.730.3127 mkefo?arguspecifie.com 0 Peter Snider 206.499.4714 peter@arguspacfic.com 0 Scott Parker 206.714.7152 sparker@arguspaclfie.com O Scott Rinear 206.571.5591 srneari orguspacdic corn ❑ SEQ# CLIENT SAMPLE# SAMPLE DESCRIPTION LOCATION NOTES 1 rt,JA- ?.tf"V2- 2 2,(--1 •G 21 3 ZH-I -0q 4 2_5-0 5 Zk-0 6 Z(;•-L2_ 7 Z.C,'05 8 '') ,---7_(Ji 9 2,-1-0Z 10 -L7-O5 11 7Ui . 12 2J- 0-L. 13 2, -vi��_ 14 Z 0 15 2c1 _Oi 16 --02- 17t- ()G 17 �i!-oj 16 -joI 19 �jC�-Uac, 20 7)/—0/ PrintJName Signature Company Date Time Sampled: Argus Pacific Refrtqulshed: Argus Pacific Delivered: Argus Pacific Received: Seattle Asbestos Test Yz�; Seattle Asbestos Test Reported: Seattle Asbestos Test Seattle Asbestos Test warrants the test results to be of a precision normal for the type and methodology employed for each sample submitted and disclaims any other warrants,expressed or implied, including warranty of fitness far a parbcu'ar purpose and warranty of merchantability.Seattle Asbestos Test accepts no legal responsibility for the purpose for which the client uses the lest results.By signing on this form,the clients agree to relieve Seattle Asbestos Test of any liability that may arise from the test results.It is the client's responsibility to make sure the samples are appropriately taken according to federal and local regulations.Invoices paid late may be charged of interest,and Invoices go to collection may be charged 17%to 25%of collection fee.NSF checks will be charged of$50. Results reporting method: []Phone 0 Fax Li Email Li Pick-up [[ rr El Composite all wallboard samples ❑Text result to phone ElPo'.nt count %or less asbestos Page t7)of(f Page 5 0f 6 OrderlD: 511601718 I SEATTLE ASBESTOS TEST, LLC Analyzing Quality Lynnwood Lab:19701 Scriber Lake Road,Suite 103,WA 98036,Te1:425.673,9850,Fax:425.673.9810 Bellevue Lab:12727 Northup Way,Suite 1,Bellevue,WA 98005,Te1:425.861.1111,Fax:425.861.1118 Seattle Lab:4500 9th Ave.NE,Suite 300,Seattle,WA 98105,Te1:206.633.1111,Fax:206.633.4747,Email:admin@seattleasbestoste$Lcom CHAIN OF CUSTODY ❑Bulk Asbestos ❑Point Count 400 ❑Point Count 1000 ❑Point Count Gravimetric El Other(Specify) ❑1 Hour ❑2 Hours ❑Same day(4 to 6 Hrs.) ❑1 Day Ill Days Argus Pacific 121905 64th Ave W, Suite 100 Mountlake Terrace, WA 980431206.285.3373 Fax: 206.285.3927 Number of Samples PO# Project Location Project Manager(Check one or more): D Christina Buce 360.303.7452 christina(aiarcuspacific coin ❑ Conor Foley 650.743.4363 conor(rilarquspacific cam ❑ Kyle Fitzpatrick 253.709.8258 kylee.arguspactfic.com ❑ Mike Kosoff 206.730.3127 mike@arguspadflc.com ❑ Peter Snider 206.499.4714 petergarguspacifc.com ❑ Scott Parker 206.714.7152 sparker(ro,arquspadfc.com ❑ Scott Rinear 206.571.5591 srinear(aarguspacific.com ❑ SEQ# CLIENT SAMPLE# SAMPLE DESCRIPTION LOCATION NOTES 1 l~6k}(=\ — i"Ol. 2 "5i- o)) 3 -2).D:)2.70 S 6 _'i —moi 1 7 3.4-o L 9 -)LI-OI - 10 -2)4.C , 11 2Y+-U 12 26ti) 13 `02. 14 �-'v�, 15 16 17 18 19 20 Print Name Signature Company Date Time Sampled: �..r Argus Pacfic Relinquished: Argus Pacific Dallvered:'1 Argus Pacific Received: Seattle Asbestos Test Seattle Asbestos Test Reported: Seattle Asbestos Test Seattle Asbestos Test warrants the test results to be of a precision normal for the type and methodology employed for each sample submitted end disclaims any other warrants,expressed or Implied, including warranty of fitness for a particular purpose and warranty of merchantability.Seattle Asbestos Test accepts no legal responsibility for the purposo for which the client uses the test results.By signing on this form,the clients agree to relieve Seattle Asbestos Test of any liability that may arise from the test results.It is the clients responsibility to make sure the samples are appropriately taken according to federal and local regulations Invoices paid late may be charged of interest,and invoices go to collection may be charged 17%to 25%of collection fee.NSF checks will be charged of$50. Results reporting method: 0 Phone D Fax ❑ ❑Pick-up ❑Composite all wallboard samples 0 Text result to phone ❑Point count %or less asbestos Page( of Page 6 Of 6 APPENDIX D SAMPLE LOCATION PLAN Figure Main Flo1 o 33600 21st r Sample AvenueLocations SW,Federal Way,Washington 1rC�rrc7con Bulk N �J 3.1-05 t- k �a� 6„a 245 1.6 1,43 1144 *It Vile Not to scale " [—., I Al,,_ , f x,i-o) ' 1...'...:' . i 1 ,' L;; ;?' -N �t —Ia 1. N-.04 yf� ; 4'02 rpm . I 'idwe et-*. li,-oi .`e6.01 . y ' 7.02.I;ek -., l '" ,: o�, --_ Qt., -'=--t9.-0 st S. 0 ^'� ` , ` 1j-d2 a! 11/4114 044 S`Y .Ob .4l 1`o \'°l 1 ab Terracan Consultants,Inc. 21905 64.Avenue W.Suite 100 Mountlake Terrace.WA 98043 P(425)771 3304 F(425)771 3549 terrecon.00m • • Figure 2 33600 21st Avenue SW,Federal Way,Washington 1r�t't'C�C®n Second Floor/Mezzanine Bulk Sample Locations N G1 Not to scale I _- �'g. .a, , •,c"\--,, 111111 ' ell 2J-bi ',-4 -a1_ . „,„, ! .' w- h` . /vn . 'moiffi PM1 e el 1 Tenacon Consultants,Inc. 21905 54th Avenue 1,Suite 100 Mountlake Terrace,WA 98043 P(4251 771 3304 F(425)771 3549 terracon.00m Figure 3 33600 2151 Avenue SW,Federal Way,Washington lt'erracon Exterior Bulk Sample Locations N Not to scale^ f '"- ° ala gIt u LJ +.y�1! 1 .',.'n,;."y • yi tTZ: t 3 , x 4' c 4 mff....*:•:.,,,4,,,,,:,i,..„\.?r, it ,. „... ^..,..‘, L �. 5, .r/A), } .r. 44.4 ottof 1,0,1 : t Terracon Consultants,Inc. 21905 64(s Avenue W.,Suite 100 Mountlake Terrace,WA 98043 P(425)771 3304 F(425)771 3549 terrecon.com Figure 4 33600 21st Avenue SW,Federal Way,Washington Roof lierracon Bulk Sample Locations N 3f Ak SJ Not to scale ,to- �' el az , amt t �. x 31-or , Oltioiiii. . . -_� 0# k,' pp tii•.,A F1 [i,-) } Nisi il* 1 € '.` a US0,2 1.14-14 2,-0.1 Terracon Consultants,Inc. 21905 641k Avenue W.,Suite 100 Mountlake Terrace,WA 98043 P(425)771 3304 F)425)771 3549 terrecen.com APPENDIX E TRAINING CERTIFICATES • i/1 \.�/,� .-.�\/ , "',"µ r � ^fie' a.�ra -'"",...+. �\ `�. �sas+R� `tet 1 "f ab \ 7 P , :. .. .,a .at, .o..::�r"aAi£Y:_��e�'•'�• �zba'dY '•A .vn. � ,...eu c a a+�3s t+wu c1lCcrttf ir to of (Comptetton7:7 iii - , ., , _A--3 ':l This is to certify that �� '` :"':: Kyle T. Fitzpatrick -r---,,,L'''''''''''';',1 s,` Y has satisfactorily completed j ,--iffiT:r: 4 hours of refresher training as an :, !rq� �;: Asbestos Budding Inspector ��' to comply with the training requirements of co TSCA Title II / 40 CFR 763 (AHERA) f ,. ,::,_ '� Certificate# �, :, 157998\li /Lili ff A44/,.... ARGUS r) cul 13,2016 t-� W-',„, 411•1111111111111= �-n Dates of Trainingjam'2 6f �'_ Instructor THAINING•CONSULTING n Exam Score: NA ;a -, 1 A 3ferraCOn COMPANY `r _ EPA Provider Certificate#1085 t ;, Expiration Date: Jul 13,2017 n ARGUS PACIFIC INC.• 1900 W NICKERSON ST SUITE 315•SEATTLE WASHINGTON 98119•206 2853373•WWW.ARGUSPACIFIC.COM zs� r /? tel/�� y g � .,.., ;..n :��a ._\.c.:;,, � ° _ •� �'(s�YT= .. 1 \� � }�4 ".1�lFT\‘-'---,4 ? � '3l)1�� A 3 �- '�*' �`� x-s kms`^ (� .� A� •„4 Af '^ Y•,,,:-.., ,..,. '_: �'`. jA f/\ -1l i �y.t.�"[Al^ Soft ssf 11 - . • • �� L,1\/��// x• �\ �� w`. ^ 9��r��ri? AA &JfA • i\k °L..ii .� f1 „ V /{.7i4\ . \` f:•'`l vJlr/ � +?Vie'.. 'J?.S,'w'A .w ue,,.a,:w... s.;�...r, 7�µ. (crttftcatep.sof (omptcttou �, i This is to certify that \, '1 1 I r Filmon A. Embaye -�. f %c(' y \ has satisfactorily completed 24 hours of training as an iii` .. Asbestos Building Inspector `} k,', v to comply with the training requirements of TSCA Title II / 40 CFR 763 (AHERA) ), `' f_ tql w , oi, Certificate# ? � 156940 -� -/ D Ma 2-4,2016 1� �'::._,"„l).:9:.:1 Ins .--.r ARGUS n Dat(s)of Training n rw21 ,.. EPA Provider Certificate#1085 w ��T Exam Score: !y `�-~ TRAI NI NG•CONSULTING n . -- _.... **2_75, � >l./ `. .) ,,a� ,' AVOITDmflCOMPMK Expiration Date: May 4,,2017 f,.^ , rfi"1J c �"'” ARGUS PACIFIC INC.•1900 W NICKERSON ST SUITE 315•SEATTLE WASHINGTON•981 19•206 285 3373•WWWARGUSPACIFICCOM 1 � i �u r, ,'.� �y �-3 y ., fir ev uwexar v.+,.t�...0 www ' i ! \�1 it 1I/\A If �y `i '4t. I e ,' '`, '` f`�, k �' I£t � Yu Ir# ' y.5, � tsar .I. -. 1k',YS.X* "`E4 �} �„ �:<,... � `. 4-;r�a},y',,�;.•;�*t'� 'I*1�'� • '`s. •t�t5�'�> aSCWl4�,�,y�"' v-*�tJ�"�`« United States Department of Commerce National Institute of Standards and Technology 0 MW[1:7 Certificate of Accreditation to ISO/IEC 17025:2005 NVLAP LAB CODE: 200613-0 EMSL Analytical, Inc. Seattle, WA is accredited by the National Voluntary Laboratory Accreditation Program for specific servicest fisted on the Scope of Accreditation, for Asbestos Fiber Analysis This laboratory is accredited in accordance with the recognized International Standard ISO/IEC 17025:2005. This accreditation demonstrates technical competence for a defined scope and the operation of a laboratory quality 2016-10-01 throtrritga hn2a og le 7in me 3t()system(refer to joint ISO-ILAC-IAF Communique dated January 2009). Effective Dates .cofficr OF cos, 1 6; ; ( \411; For the National Volunt ry:63borat* Accreditation Program FATE$ eve'OFC , ® National Voluntary ier w.. 04_ . a& . .. . RIV A Laboratory Accreditation Program 03 I. 7-f 47 , ov -,41-Esot SCOPE OF ACCREDITATION TO ISO/IEC 17025:2005 EMSL Analytical, Inc. 3317 3rd Avenue S. Suite D Seattle, WA 98134 Ms. Lauren Kerber Phone: 206-269-6310 Fax: 206-900-8789 Email: Ikerbergemsl.com Imp://www.emsl.com ASBESTOS FIBER ANALYSIS NVLAP LAB CODE 200613-0 Bulk Asbestos Analysis Code Description Is/Aol EPA 600/M4-82-020:Interim Method for the Determination of Asbestos in Bulk Insulation Samples 18/A03 EPA 600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials Airborne Asbestos Analysis Code Description I 8/A02 U.S.EPA's "Interim Transmission Electron Microscopy Analytical Methods-Mandatory and Nonmandatory-and Mandatory Section to Determine Completion of Response Actions"as found in 40 CFR, Part 763,Subpart E,Appendix A. ? ri 1, For the National VoluntakL borat• Accreditation Program Effective 2016-10-01 through 2017-09-30 Page 1 of I �' @€ ; V Mil !!! pm>SVvs q 4il 1a' " P -A - !!MI 2a sQB aat �� RAs. m s>s 1x z a s= 44 i€_A1 aaP €R 4 � RR AR q of"� m o € a^ n RP@ ern - o - , „ 4 $ B aa @" m y� -a @ -R€0'pg ae b le IQPgi4A .-b Ax s m 2 IR R=2 .. 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I I I • I 1 " CP 4 i. mnwVf r s !k' ' 1�4 a rt.''', ' �- �� I I : ' !;;, $ gq In D�,y � =x� '` I e=$e€ R " RI 92£ "N@ $ $ 3 � I�I 5k `$� g y$ B „ 0 0 A 5 1 g P j.. a-,m j-IT "I Sg4 �aBv O o O " e1 t 1.g6 G RS C�^ xo Ea �D� r z gala O � 7 ' MM11 A g' A � a "Q'oBB i, Z C ! id7. 0 B 8 9 : e cn 7' Demolition City of Federal Way Permit #:17-105457-00-DE Community Development Dept. 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: FEDERAL WAY SELF STORAGE Project Address: 33620 21ST AVE SW Parcel Number:242103 9001 Project Description: Complete demolition of former Albertsons building. Owner Applicant Contractor JUSTIN BARNESWASATCH STORAGE DICKSON COMPANY DICKSON COMPANY PARTNERS 3315 S PINE ST DICKSC*858RZ(12/9/17) 131 S 700 E SUITE 102 TACOMA WA 98409-5718 AMERICAN FORK UT 84003 3315 S PINE ST TACOMA WA 98409-5718 Additional Permit Information CONDITIONS: Erosion control measures shall be in place during and at the completion of the demolition work. PERMIT EXPIRES Tuesday,8 May,2018 Permit Issued on Thursday,November 9,2017 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 ashington and the City of Federal Way. Owner or agent: �_ Date: I Villg-t9 17" • THIS CARD IS TO REMAIN ON-SITE CRY OF - '- Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 17 105457 00 Address: 33620 21ST AVE SW Project: JUSTIN BARNES FEDERAL WAY WA 98023-7761 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. 0 Final Erosion Control(4375) ® Final-Building(4050) Approved Approved By ,.-, I Date (2( ( I ( " - By Date (y Rough Electrical El Final Electrical E Right of Way Approved Approved Approved By Date By Date By Date