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20080625072326.pdfDate, April 9, 2008 r 8152 Department of Labor and industries g .. ASBESTOS ABATEMENT PROJECT Asbestos Certification Program NOTICE'OF INTENT PO Box 44614 Olympia WA. 98504-4614 L&I DOSH ,ASBESTOS PROGRAM This notice must be received no later than 10 calendar days prior to the start date. C Ie aT1 ApPlxr"bo s—Anoompk* wfflzgWenetiomvOmWbeamt&— . QxlzZhalges M amendera Mb= Wa to tom a &ab s veor fax to (10) 9M -44K Submit this form online or get more inforrma6m at http://www.lni.wa.gov/TradesLicensingILicensingReq/Asbestos/ Notice date: 04109/08 Initial Q Amended ❑ Site Work Hours Su Mo Tu We Th Fr Sa Startdate: 04 121/08 • On Hold ® OffRold o 8:30 am to am X X X X X 17 -- Completion: 04 / 30108 Emergency ❑ pm 3:00 pm Project Dates and Work Hours must be Exact OUANTITY OF ASBESTOS TO BE:. O REMOVED El ENCAPSULATED Quantity 325 square feet CONTRACTOR [3 Fireproofing ❑ Boiler insulation PROPERTY'OWNER Company Name © Duet paper Neg. pres. enclosure Name ❑ CAB American Environmental Construction, LLC ❑ Glove bag Antonio Ramirez Contractor Certification Number QJ Roofing Owner's Agent ❑ HEPA vacuum 1338 Q Other ® Critical barriers✓[, Manual methods Quantity linear feet re j ❑ Mag• pipe insulation CompRnY RESPM&TORY PROTECTION ❑ Air cell pipe insulation ❑ Mudded pipe ins. Y, mask APIC ❑ Type C oontinudus flow © Ducting/duct insulation 1inted arae ® Full face APIC ❑ Type C pressure demand Address ❑ Other Lind ' irtfuot 0 Other 15514 E Shore Drive P one Number City state ZIP+4 206-267-0746 Lynnwood WA 98087 Job Site C.A.S. Phone number John Asselin 1425-218-9960 JOB SITE FACILITY Address Type 23904 Hwy 99 Building Name Room Age Size Taco Time City ,WA []Remodel Q Demolition Edmonds Repair ❑ Maintenance Z>p + 4 County 98020 Snohomish OUANTITY OF ASBESTOS TO BE:. O REMOVED El ENCAPSULATED Quantity 325 square feet Q Indoors ED Outdoors [3 Fireproofing ❑ Boiler insulation CONTROL MEASURES Q Popcorn ceiling © Duet paper Neg. pres. enclosure ❑ Wrap & cut ❑ CAB ❑ VAT ❑ Glove bag ❑ Wet methods ❑ Sheet vinyl QJ Roofing Q Muni, enclosure ❑ HEPA vacuum ❑ Asbestos paper Q Other ® Critical barriers✓[, Manual methods Quantity linear feet Other regulated area ❑ Other ❑ Mag• pipe insulation ❑ Cement asbestos pipe RESPM&TORY PROTECTION ❑ Air cell pipe insulation ❑ Mudded pipe ins. Y, mask APIC ❑ Type C oontinudus flow © Ducting/duct insulation ❑ Duct tape ® Full face APIC ❑ Type C pressure demand © Other ❑ Other ❑ PAPR 0 Other POO Cl'earr Mpies 90 to QP-:/ }ini. ASMO =0 Aalternative t "Business Built on Relationships" March 24, 2008 Anthony Ramirez Lynn Tac Inc. 1010164` St. SW Lynnwood, WA 98087 Re Asbestos Survey — 23904 Hwy 99, Edmonds, WA 98026 Dear Mr. Ramirez, Introduction. Alternative Environmental Technologies (AET) conducted an asbestos survey of the subject site on 3118108 and follow-up sampling on 03/24/08. Mr. Anthony Ramirez was the site contact and provided access and authorized the survey. The purpose for the survey was to voluntarily comply with permit and notification requirements necessary for building demolition._ inspection: Brian Hunt, AET Project Manager, inspected the subject site and took bulk samples for analysis of suspect asbestos containing materials in the Taco Time Restaurant located at the subject address (See Photographs). Sampling & Analysis. Brian Hunt took a total of 4 samples from various building materials on 3118108. Since the roof sample was positive and suspected of being heterogeneous, two additional room samples were taken on 03/24/08. Modified AHERA methods were used including strict chain of custody procedures for labeling, recording, transporting and release of the samples to Seattle Asbestos Test for analysis. The samples were subsequently analyzed for asbestos using Polarized tight Microscopic (PLM) methods. AET building inspectors are AHERA certified_ The user requested five-day tum around for the initial analyses and rush analysis on the two additional samples. The materials sampled included, roofing material, a gypsum wallboard composite, storage room wall surfacing material & 2' x 4' suspended ceiling tile. Results: The results can be found attached with the chain of custody and analytical reports. The total materials sampled are listed below in Table 1. The only asbestos containing material reported by the laboratory for samples taken at the subject site was the built up asphalt roofing material above the drive through and over the storage area. Discussion: Any contractors working with the asbestos containing material should be provided a copy of this report prior to starting work activity. Asbestos -containing materials refers to any material containing more than 1% asbestos. 1. PSCAA Notification: The Puget Sound Clean Air Agency (€'SCAA, Regulation Ili, Article 4) requires notification for asbestos removal and demolition and dust control measures for building demolition and remodeling. Questions regarding PSCAA requirements should be directed to the asbestos staff at 800.552.3555, or for a notification form and regulations go online at www.pscleanair.org. Notification is completed on line. 2. Safe : For interpretation of policy and the Department of Labor & Industry regulations contact John Stebbins (360.902.5514 or go to www.1nLwa.q2y). Where power tools are to be used on non -asbestos containing materials, dust control measures need to be observed_ For general information call tabor & Industry at 206.515.2800 for guidelines on the proper use of power tools and dust suppression_ For a copy of the regulatory requirements, WAG 296-62, Part 1-1, go to: :Ilwww.ini.wa. ovNVISHAIRuleg eneraloccu ationalhealthlHTMU621-1 l.htm ENTERPRISE, ENVIRONMENTAL CONSTRUCTION MANAGEMENT Phone/Fax: 425.514.0444 4917 EveTgrelm Way -49 Everett, WA 98243 brian@alternative-technologies.com www_alternative-technologies.com Taco Time Restaurant AET 2665 Asbestos Survey — 23904 Hwy 99, Edmunds, SNA 98026 2 of 2 03/24/08 3. Contractors. Unless asbestos containing materials are going to be removed by the homeowner, certified asbestos workers are required for removal of asbestos containing materials as identified in this survey. Recommended asbestos abatement contractors are listed below. Company Contact Telephone Superior Mike Miller 206-380-80179 EMIR Eric Maughan 425.867.3269 American Environmental Construction Herman Husen 206.730.3461 4. Lead The: building was reported built prior to 1978. The paint on the buildings was not sampled for lead analysis and therefore painted surfaces should be assumed to contain lead_ In the state of Washington any level of lead is regulated. Therefore, contractors should be notified prior to demolition for worker protection and the use of lead safe work practices. 5. Biohazards` None observed. Limitations: Contractors will need to do their own asbestos containing material take offs for bid purposes. Work activities that create dust, regardless if conducted by the owner or contracted out, may require respiratory protection, training and if done by a contractor, air monitoring to demonstrate that there has been no worker exposure to asbestos or lead in construction during demolition activities. Although this survey is considered a complete inspection of all visible and accessible building materials, the survey did not involve destructive or invasive sampling techniques of all ceiling & wall spaces as the business was occupied and operational. Therefore, if any suspect asbestos containing materials are uncovered in hidden spaces during demolition they should be sampled to determine if they are regulated, prior to disturbance. The contacts and regulations provided herein should not be considered comprehensive and have been included for user review and use if there are any questions concerning worker safety and notification requirements. Summary: Asbestos containing materials were reported for the subject site for the roofing material over the Drive Through and the storage room. The sample of the main roof reportedly installed in 1995 was negative for asbestos. The material was determined to be in poor condition and it may become friable (turn to dust) upon removal with power tools. Asbestos is regulated and the information for completion of the required notification has been provided herein. You have been provided a digital copy and hard copy of this report A copy of this report should be given to any contractors working in this building. If you have any questions regarding this report, you can contact me at 425.232.9860. Sincerely, tBrian4untVAETIP9miect Man er, Sr. Environmental Consultant AHERA Building InspectorCeditiication #40267952, exp. 9,'18108 Encl. SAT Analytical Results & Chain of Custody, BI Certification