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18-102045City of Federal Way Commwiity Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: AKINLOSOTU Project Address: 33532 18TH AVE S Project Description: Demolition of detached garage. M1 Demolition Permit #:18 -102045 -00 -DE Inspection Request Line: (253) 835-3050 Parcel Number: 412940 0050 Owner Applicant Contractor KENNEDY AKINLOSOTU KENNEDY AKINLOSOTU OWNER IS CONTRACTOR 19415 INTERNATIONAL BLVD SUITE 304 19415 INTERNATIONAL BLVD SUITE 304 SEATAC WA 98188 SEATAC WA 98188 Additional Permit Information PERMIT EXPIRES Wednesday, 7 November, 2018 Permit Issued on Friday, May 11, 2018 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 ashi ton and the City of Federal Way. Q' Owner or agent: Date: J U ` THIS CARD IS TO REMAIN ON-SITE CITY OF Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 18 102045 00 Address: 33532 18TH AVE S Project: DORIS AKINLOSOTU FEDERAL WAY WA 98003-6822 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. ® Final - Building (4050) Approved By ti , Date aS 4 — f Q. ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY OFVA�1& RECEIVED PERMIT APPLICATION Federal Way PERMIT CENTER + 33325 811,Avenue South + Federal Way, WA 98003-6325 MAY 11 20% 253-835-2607 + FAX 253-835-2609 + permitcente acityoffederalway.com PERMIT NUMBER L E TARGET DATE SITE ADDRESSSUITE/UNIT # �.3353] nn PNC PROJECT VALUATION ZONING ASSESSOR'S TAX/PAD- -- $ID90_5® TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ICJ llEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT — n PROJECT DESCRIPTION Detailed description of work to be included on this permit only N E ,j r 1 I �� PRIMARY PHONE 2 -2✓' PROPERTY OWNER ��k MAILING ADDRESS_ E -MAI pp CITY STATE I \ n ZIP Y NAME "LoPHONE n o MAILING ADDRESS , ^ V` E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # N PRIMARY PHONE 23- APPLICANT MAILING ADDRESS`S fo E- L C TY STATE "l ZIPFAX N ME PRIMARY PHONE PROJECT CONTACT�WmLsuiq MAILING ADDRES E-MAIL (The individual to receive and respond to all correspondence CITY `} �`jvl C- STATE ZIP , FAX concerning this application) PROJECT FINANCING NAME ❑ OWNER -FINANCED When value is $5,000 or more (RCW 19.27.095) MAILING ADDRESS, CITY, STATE, ZIP PHONE 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 o t of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the ci of this application. SIGNATU V' DATE PRINT NAME: KowAhi Bulletin #100 — January 29, 2016 Page 1 of 2 Ul-landoutsTermit Application n 41k CITY OFwrww� Fedemoar l Way COMMUNITY DEVELOPMENT DEPARTMENT 333258 1h Avenue South Federal Way, WA 98003 253-835-2607; Fax 253-835-2609 www.cityoffederalway.com DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove any structure on a subject property. Demolition of separate structures may require separate permits. Address of Demolition: ❑ Prior to submitting a demolition permit, the following items must be signed by the respective agency or their approvals attached. Items not applicable to your project should be marked N/A. ❑ A completed Construction Permit Application form is also required. 1. ASBESTOS ABATEMENT (Provide copy of Notice oflntentfrom Puget Sound Clean Air Agency and cop Af inspection report by AHERA-certified inspector) (City of Federal Wa Bilding Official) 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 S. ELECTRICITY (Puget Sound Energy/Tacoma Power) 6. NATURAL GAS I P, (Puget Sound Energy) N�yo�- (South King Fire and Rescue) 7. WATER - Public Source 3. SEPTIC SYSTEM DECOMISSIONING N►A- (King Cou ty Environmental Services) 4. SANITARY SEWER NIR- (Lakehaven Utility District) NJA (Lakehaven Utility District) 8. WATER - Private Well ❑ Please Note: Erosion control measures must be in p completion of the site clean-up. N]i� (King County E vironmental Services) demolition and through Bulletin # 122 — May 13, 2015 Page 1 of I k:\Handouts\Demolition Permit Requirements 5/10/2018 Approved Transaction pscIeanair.org Puget Sound Clean Air ,Agency Single -Family Notification Case #: 201802086 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 # AI0F797784E2 Transaction Date 05/10/18 Owner's Name Kennedy Akinlosotu Project Street Address 33534 18th Ave S City Federal Way Contact Person Kennedy E Akinlosotu Mailing Address 23411 14th Ave. S Des Moines, WA 98198 This project includes a demolition. Demolition Start Date 05/10/18 Completion Date 05/12/18 Demolition will be completed by the home owner Phone (206) 423-9999 Zip 98003 Phone (206) 423-9999 This is an emergency project. The emergency reason: There was a sudden, unexpected event that resulted in a public health or safety hazard. I certify that: (1) This is a single-family residence project. The structure is used by one family who owns the property as their domicile. (2) The information I have provided is to the best of my knowledge accurate and complete. (3) I understand the fee for this Notification is nonrefundable. Create Another Notification If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. https://secure.pscleanair.org/Asbestos/Approved.aspx 1/1 LIMITED ASBESTOS SURVEY 33534 18" Ave S. Federal Way, WA 98003 Prepared for: Kennedy Akinlosotu 2228 S. 312t" St. Federal Way, WA 98003 Cole & Associates Training and Consulting, Inc. 8657 South 190t" St. Kent, WA 98031 Phone: (425) 793-5505 Project #2018-05013 May 11, 2018 33534 18" Ave S. Federal Way, WA 98003 TABLE OF CONTENTS Limited Asbestos Survey 05.08.2018 EXECUTIVE SUMMARY.................................................................................................1 SCOPEOF SERVICES...................................................................................................1 WARRANTY....................................................................................................................2 ASBESTOSSURVEY.....................................................................................................3 Methodology........................................................................................................3 General References..................................................................................3 VisualInspection.................................................................................................3 Homogeneous Material Classifications..................................................3 Sampling Procedures.........................................................................................3 Laboratory Procedures.......................................................................................4 Methodof Analysis..................................................................................4 Laboratory Quality Control Program......................................................4 Findings and Observations................................................................................5 SurveyFindings.......................................................................................5 REPORTSUMMARY......................................................................................................6 APPENDICES...............................................................................................................10 Appendix A — LABORATORY BULK SAMPLE ANALYSIS REPORT Appendix B — INSPECTOR & LABORATORY CERTIFICATIONS 33534 18" Ave S. Federal Way, WA 98003 EXECUTIVE SUMMARY Limited Asbestos Survey 05.08.2018 Cole & Associates Training and Consulting, Inc. (hereafter "Cole & Associates") was retained by Kennedy Akinlosotu to conduct an Asbestos Spot Sampling Survey to determine the presence of Asbestos -Containing Building Materials (ACBM) at 33534 18th Ave S., Federal Way, WA 98003. The garage is partially collapsed and targeted spot sampling was conducted in the areas that inspector had safe access to; it is believed the garage will be demolished. The survey was conducted on Wednesday, May 8, 2018, beginning at 12:00 pm by AHERA-Certified Building Inspector David Thulin, and included the testing of each material as specified by the client. At the request of the client, a visual inspection was conducted and samples were collected and tested. Samples were transported to and analyzed by the EMSL Analytical Inc. a certified laboratory in Seattle, WA. One or more Homogenous Groups tested CSV&jjjjNWuiJ&g M ", (AC (See "photos" Section and Appendix A for specific details) SCOPE OF SERVICES This survey is limited to the testing and approximate quantification of materials requested by the client. A visual inspection was conducted in accordance with general Environmental Protection Agency & Asbestos Hazard Emergency Response Act (EPA/AHERA) sampling guidelines to determine the presence of exposed or accessible suspect ACM (Asbestos Containing Material) and/or ACBM. A physical hand pressure test was conducted to determine the friability of selected suspect materials. Bulk samples were obtained from the suspect materials. Bulk samples were analyzed by EMSL Analytical Inc. by Polarized Light Microscopy (PLM). The analytical results are presented in Appendix A. Page 1 33534 18" Ave S. Federal Way, WA 98003 WARRANTY Limited Asbestos Survey 05.08.2018 Cole & Associates Training and Consulting, Inc. warrants that the findings contained herein have been assessed and reported in general accordance with accepted professional practices as applied by similar professionals in the community at the time of this report preparation. Changes in state of the art or in applicable regulations cannot be anticipated and have not been addressed in this report. The field and laboratory results reported herein are considered sufficient in detail and scope to determine the presence, condition and hazard potential of the suspect ACBM at the time of this survey. Test results are valid only for the materials tested. This report is prepared for the express use and benefit of Isaac Marat. The information in this report or portions thereof may be required to be included in notifications to employees, contractors or other visitors to the building(s). This report is not intended to be used by the owner or its agents as a specification contract document or work plan for any work suggested or recommended in the report. This report is based upon conditions observed at the property and information made available to the inspector. This report does not intend to identify all environmental hazards, nor is it intended to indicate that other hazards do not exist at the premises. There is a distinct possibility that conditions may exist that could not be identified within the scope of the survey or that were not apparent during the site visit. Conclusions cannot be drawn regarding the presence or absence of other ACBM on the subject structure due to the fact that this survey covered only those areas that were exposed, visible or physically and/or readily accessible to the inspector and as specified in the scope of services. All areas as specified in the scope of services were inspected and sampled to the extent practical. Quantities of materials observed are estimates only and should be verified prior to any abatement work. Sampling of most materials was accomplished using a bulk sampling method. During renovations, abatement or demolition, if additional suspect material is discovered it should be assumed to be ACBM until sampled, analyzed and determined to be non - asbestos containing material. The survey was limited to the information available from the client at the time the survey was conducted. No other warranties are implied or expressed. Page 2 33534 18" Ave S. Federal Way, WA 98003 ASBESTOS SURVEY Methodology General References Limited Asbestos Survey 05.08.2018 Inspection, sampling, and assessment procedures were performed in general accordance with the guidelines published by the EPA in 40 CFR Part 763 Subpart E, October 30, 1987. The inspection consisted of the following major activities: visual inspection and bulk sampling of suspect materials. Visual Inspection The visual inspection was performed by David Thulin, an AHERA-Certified Asbestos Building Inspector. A preliminary walk-through was conducted to determine homogeneous areas and the presence of suspect materials that were accessible or exposed and included in the scope of work. Materials that were similar in general appearance were grouped into homogeneous sampling areas. Homogeneous Material Classifications The walk-through of the structure was also conducted to determine areas of materials that were visually similar in color, texture, and general appearance and that appeared to have been installed at the same time. These are termed "homogeneous materials" by the EPA. During this walk- through, the approximate quantities and locations of these homogeneous materials were noted. Only materials that were accessible or exposed, included in the scope of work and suspected to contain asbestos were identified. Sampling Procedures Following the walk-through, the inspectors collected selected samples of exposed or accessible materials identified as suspect ACBM. Destructive sampling was limited to accessible materials. No samples were taken that would cause damage to the structural integrity of the item being tested. EPA guidelines were used to determine the sampling protocol. Sampling_ locations were chosen to be representative of the homogeneous materials. Samples of surfacing material were collected in general accordance with the EPA random sampling protocol outlined in the EPA publication, "Asbestos in Buildings: Simplified Sampling Scheme for Friable Surfacing Materials" (EPA560/5-85-030a, October, 1985). Samples of miscellaneous materials were taken as randomly as possible, while attempting to sample already damaged areas so as to minimize disturbance of the material. Page 3 33534 18" Ave S. Federal Way, WA 98003 Laboratory Procedures Method of Analysis Limited Asbestos Survey 05.08.2018 Analysis was performed by visually observing the bulk sample and preparing slides for microscopic examination and identification. The samples were mounted on slides and then analyzed for asbestos (chrysotile, amosite, crocidolite, anthophyllite, actinolite, and tremolite), fibrous non -asbestos constituents (mineral wool, paper, etc.) and non- fibrous constituents. Asbestos was identified by refractive indices, morphology, color, pleochroism, birefringence, extinction characteristics, and signs of elongation. The same characteristics were used to identify the non -asbestos constituents. The microscopist used a stereoscope to visually estimate relative amounts of each constituent using a stereoscope to determine the volume of each constituent in proportion to the total volume of the sample. All bulk samples were analyzed by Polarized Light Microscopy (PLM) as described by the "Interim Method of Determination of Asbestos in Bulk Samples, EPA 600/R-93/116 Method." This is a standard method of analysis in optical mineralogy and the current accepted method for the determination of asbestos in bulk samples. A suspect material is immersed in a solution of known refractive index and subjected to illumination by polarized light. The characteristic color displays that result enable mineral identification. It should be noted that some ACBM may not be accurately identified or quantified by PLM if the building material involved milling of asbestos fibers to extremely small fibers. As a result, these fibers may go undetected under the standard polarized light microscopy method. Transmission Electron Microscopy (TEM) analysis is available for a more definitive analysis of these very small sized asbestos fibers in those types of building materials. Laboratory Quality Control Program EMSL is certified by NVLAP and maintains an in-house quality control program. This program involves blind reanalysis of ten percent of all samples, precision and accuracy controls, and use of standard bulk reference materials. Page 4 33534 18" Ave S. Limited Asbestos Survey Federal Way, WA 98003 05.08.2018 Findings and Observations A material is considered by the EPA to be asbestos containing if at least one sample collected from the area shows asbestos present in an amount greater than one percent (>1 %). Please refer to the sample analysis sheets for a more detailed description of the microscopic analysis of these samples. The EPA National Emission Standards for Hazardous Air Pollutants (NESHAP) requires an inspection for asbestos be done on facilities that are to undergo demolition or renovation work. Materials found to contain asbestos may need to be removed prior to the start of such demolition or renovation work. NESHAP defines Category 1, 2, 3, and 4 non -friable asbestos -containing materials such as gaskets, resilient floor covering, and asphalt roofing products that contain more than one percent asbestos, and Category II non -friable as any materials, except for Category I non -friable, that contain more than one percent asbestos and cannot be reduced to a powder by hand pressure when dry. NESHAP defines a Regulated Asbestos Containing Material (RACM) as: (a) friable ACM, (b) Category I non -friable that has become friable, (c) Category non -friable that has or may be subject to sanding, grinding, cutting, or abrading, and (d) Category II non -friable that may or has become friable during demolition or renovation. Survey Findings Samples were collected on May 8, 2018 and grouped together by homogenous materials found in the table below. Laboratory analysis data sheets can be found in Appendix A. Page 5 33534 18" Ave S. Federal Way, WA 98003 Limited Asbestos Survey 05.08.2018 Sample No. 1 Photo(s) Result(s): =' - Description: Grey Roofing Tri -tab Location(s): Exterior Roof Comments:"~ i Rim � 1Fr P y � •b� 6, i µrt Sample No. 2 Photo(s) Result(s): Description: Black Roofing Paper Location(s): Exterior Roof 7 Comments: li S Sample No. 3 Photo(s) Result(s): Description: Wood W/ Black Tar Location(s): Exterior Roof Comments: 3. Page 6 33534 18" Ave S. Federal Way, WA 98003 Limited Asbestos Survey 05.08.2018 Sample No. 4 Photo(s) Result(s): Description: White Gypsum Board$ Location(s): Interior Garage Comments: Sample No. 5 Photo(s) Result(s): Photo Not Legible Description: Brown Wood Material Location(s): Exterior Comments: Sample No. 6 Photo(s) Result(s): Description: Brown Wall Paper Location(s): Interior Garage 'E Comments: J Page 7 33534 18" Ave S. Federal Way, WA 98003 Limited Asbestos Survey 05.08.2018 Sample No. 7 Photo(s) Result(s): ' µ Description: White Window Putty Location(s): Exterior Garage Comments: r. ' Sample No. 8 Photo(s) Result(s): ., k C F Description: White Ceiling Texture r4 n Location(s): Interior Comments: Page 8 3353418 th Ave S. Federal Way, WA 98003 REPORT SUMMARY Project Number Inspector: Survey Date: Location: 2018-0513 David Thulin May 8, 2018 3353418 1h Ave S. Federal Way, WA 98003 Limited Asbestos Survey 05.08.2018 This survey is limited to the testing & approximate quantification of the areas specified by the client. One or more Homogenous Groups testea Containing Building Material (ACBM). /f9 "f /' x�L . David Thuliln AHERA Certified Building Inspector (CERTIFICATE #18 -BI -2355) Cole & Associates Training and Consulting, Inc. Page 9 33534 18" Ave S. Federal Way, WA 98003 APPENDICES Limited Asbestos Survey 05.08.2018 Appendix A — LABORATORY BULK SAMPLE ANALYSIS REPORT Appendix B — INSPECTOR & LABORATORY CERTIFICATIONS Page 10 APPENDIX A LABORATORY BULK SAMPLE ANALYSIS REPORT EMSL Analytical, Inc. 3317 3rd Ave S, Suite D 2nd floor Seattle, WA 98134 Tel/Fax: (206) 269-6310 / (206) 900-8789 http://www.emsl.com / seattlelab@emsl.com Attention: Taunya Qualls Cole & Associates Training & Consulting 8657 South 190th St Kent, WA 98031 Project: EMSL Order: 511801276 Customer ID: COLE21 Customer PO: Project ID: Phone: (425) 793-5505 Fax: (425) 793-5552 Received Date: 05/08/2018 2:00 PM Analysis Date: 05/09/2018 Collected Date: % Fibrous Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized Light Microscopy Analyst(s) Rudy Baum (8) Lauren Kerber, Laboratory Manager 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: 05/09/2018 13:21:40 ASS—PLM-0008-0001 - 1.78 Printed: 5/9/2018 10:21 AM Page 1 of 1 Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type S-1 Gray tri -tab roofing Black 15% Glass 10% Quartz None Detected Fibrous 75% Non-fibrous (Other) 511801276-0001 Homogeneous S-2 Black roofing paper Black 40% Cellulose 60% Non-fibrous (Other) None Detected Fibrous 511801276-0002 Homogeneous S-3 Wood with black tar Black 100% Non-fibrous (Other) None Detected Non -Fibrous 511801276-0003 Homogeneous S-4 Gypsum, white Brown/White 10% Cellulose 60% Gypsum None Detected Fibrous 30% Non-fibrous (Other) 511801276-0004 Homogeneous S-5 Brown wool material Brown 95% Glass 5% Non-fibrous (Other) None Detected Fibrous 511801276-0005 Homogeneous S-6 Brown wall paper Brown/Black 50% Cellulose 50% Non-fibrous (Other) None Detected Fibrous 511801276-0008 Homogeneous S-7 White window putty Gray 98% Non-fibrous (Other) 2% Chrysotile Non -Fibrous 511801276-0007 Homogeneous S-8 Ceiling texture, white Beige 98% Non-fibrous (Other) 2% Chrysotile Non -Fibrous 511801276-0008 Homogeneous Analyst(s) Rudy Baum (8) Lauren Kerber, Laboratory Manager 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: 05/09/2018 13:21:40 ASS—PLM-0008-0001 - 1.78 Printed: 5/9/2018 10:21 AM Page 1 of 1 APPENDIX B INSPECTOR & LABORATORY CERTIFICATIONS 0 N O _ _ a y • w a m C5 mm n p- C7• R1 ti cy O E3 O O tD �& cog CD z m O tQ N ' 0 C> m�Cl co ca •�-�. a Q Obi CD 0 rA � � CD ooj rA s -It � (1)o� o co t r t-' ro, 0 CL O cx Q 1��+ 1 o M� � Cl) CL O =1m o roCDC/ rnh o_ m C a G CL a Co O C) gvm0 CD N n14 CTI a C; kyr( OF ® National Voluntary ate` VLf. - - - I Laboratory Accreditation Program oo Sr#' ArIS SCOPE OF ACCREDITATION TO ISOIIEC 17025:2005 ENISL Analytical, Inc. 3317 3rd Avenue S, Suite D Seattle, WA 98134 Ms. Lauren Kerber Phone: 206-269-6310 Fax:206-900-8789 Email: lkerber@emsl.com emsl.com http://www.emsi.coin ASBESTOS FIBER ANALYSIS Bulk Asbestos Analysis NVLAP LAB CODE 200613-0 Code Description 18/A01 EPA -- Appendix E to Subpart E of Part 763 -- Interim Method of 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 18/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. Effective 2017-10-01 through 2018-09-30 For the National Volunta L borat ccreditation Program Page I of I