Certtificate of Abatement.pdfCertification Of Abatement
May 25, 2017
Attention: Michael Gallavan
Project: 8710 184th ST. SW Edmonds, WA 98026
This letter is to certify that approximately 1 sq. Ft of flue mortar packing material on chimney,
260 sq ft of floor tile in kitchen, 3 sq ft of floor tile in front of back entry door in kitchen /dining
room, 80 sq ft of sheet vinyl floor in bathroom, 80 sq ft of floor the in bathroom hall, 30 sq ft of
mastic in west hall, 525 sq ft of sprayed acoustic ceiling, 2 metal framed windows containing as-
bestos material was removed and disposed of from the property located above per the
customers request.
All work was performed in strict compliance with all federal, state and local regulations.
If you have any questions, please do not hesitate to give us a call.
Sincerely,
A'j.. ..... .. . 4",
Annemari Kallai
Above & Beyond Asbestos Removal, LLC
CC ABOVEBA842PE
ABOVE & BEYOND ASBESTOS REMOVAL LLC
1023 DALEY STREEET EDMONDS, WA 98020
OFFICE 425.245.4121 CELL 206.383.6297
A. T
Asbesto-Test,
Inc.
1429Ave. D. #187, Snohomish. WA 98290
425_489-4040
ASBESTOS SURVEY
H,ou.ve aiid Ciir trrt ,Vlased i� 88"7101840 sVt Sl Filnit)ntlsFi✓4 98026
Page I of 10
April 20, 2017
B2170416
Michael Gallavan
8710184th St SW., Edmonds, WA
98026
425-774-4524;425-245-3776
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On April 19, 2017, Asbesto-Test personnel conducted an Asbestos survey (per
U.S.E.P.A./A.H.E.R.A. guidelines as designated and specified by Puget Sound Clean Air
Agency and Washington State) of the house and ca ,wrt/sheilea, 8710 184".,St ,S" W., P,drrioniis
Snohomish Coun(L W"t ALa tori 980114. This survey purpose is to identify asbestos
containing materials, prior to demolition.
FROM PUBLIC RECORD: 8710184th St S W is a house in Edmonds, WA 98026. This 2,060
square foot house sits on a 0.85 acre lot and features 4 bedrooms and 1 bathroom. This
property was built in 1952.
NARRATIVE OF FINDINGS
BASIC CONSTRUCTION: The house is a single -story on a post and beam foundation. The
siding is wood. The roofmg is composition. The composition roofing materials were sampled.
INTERIOR CONSTRUCTION, FINISHES, AND FLOORINGS: The interior is drywall
and wood. The drywall and taping compounds were sampled. The vinyl and file flooring
materials with associated backing and mastics were sampled. The masonry file flooring with
relating mortar/mastic materials were sampled. The misc. mastic materials were sampled. The
"popcorn" ceiling materials were sampled.
INSULATION: The insulation materials were sampled.
ELECTRICAL SYSTEM: The electrical wiring insulation did not appear to be the kind to be
ACM. The power may have been "on" at the time of the inspection, thus sampling was not safe.
Any suspect electrical wiring insulation or any suspect TSI (Thermal System Insulation) found
in, around or behind any located fuse or breaker boxes should be considered to be ACM
(Asbestos Containing Material), unless determined otherwise by laboratory analysis,
continue to page 2
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Page 2 of 10
B2170416
April 30, 2017
Asbesto-Test, Inc. 425-489-4040
House and CarporilShed * 871018,0 S"t. Sl ,'tbnon s'A 98026
HEATING AND VENTILATION SYSTEM: There is a gas forced air furnace in the house.
There was no visible relating suspect ACM located except the flue mortar packing materials that
were sampled. THERE MAY BE ADDITIONAL ACM TSI PRESENT (ASSOCIATED WITH THE FURNACE
AND/OR DUCTING) IN THE STRUCTURE THAT IS CONCEALED FROM VIEW (i.e. within the walls,
ceilings, and/or floors, inside additional ducting areas, or within the furnace unit itself). ALL TSI
THAT MAY BE LOCATED THAT IS NOT VISIBLY FIBERGLASS AND/OR FOAM MATERIAL IS
PRESUMED ASBESTOS CONTAINING. Note: It was not possible to dismantle the furnace and
ducting to locate and/or evaluate any additional suspect ACM which may be concealed, inside
the unit, or associated in hidden areas. It is our opinion any further handling of the furnace
system should be coordinated by the project manager and/or abatement contractor. If any
additional relating suspect asbestos containing materials are located prior to and/or during any
demolition or renovation, any and all additional related suspect materials should be considered
to be ACM (Asbestos Containing Material), unless determined to be otherwise by laboratory
analysis.
The brick and mortar materials on the front of the fireplace and hearth were sampled.
MISC.: The window glazing materials were sampled.
ADDITIONAL STRUCTURES ON SITE INCLUDED IN SURVEY: There is a wood
frame carport/shed. The siding is wood. The siding vapor barrier materials were sampled. The
roofing is composition. The composition roofing materials and sealants were sampled.
# of structures included in survey: one house; one carport/shed
Requested by: Michael Gallavan
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William R. Hutson II
Inspector, Certified A.H.E.R.A.
Accred. # 161243 exp. Feb. 22, 2018
continue to page 3
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1429Ave. D. #187, Snohomish, WA 98290
425-489-4040;f775-665-0420
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Page 3 of 10
B2170416
April 30, 2017
Asbesto-Test, Inc. 425-489-4040
House and CarLwrtAlted Lw 8710 1841' V. SW, Ednwnr!y WA 98(/26
ANALYSIS ID ASRESTOSHTY1'"E// LIANTITY OTHER MATERIAL
THE ASBESTOS CONTAINING MATERIALS LISTED AS "NON -FRIABLE" REMAIN NON -FRIABLE (NOT EASILY AIRBORNE) UNTIL FORCES
EXPECTED TO ACT ON THE MATERIAL WILL RENDER THE ACM AS FRIABLE (EASILY AIRBORNE). SUCH FORCES INCLUDE, BUT ARE
NOT LIMITED TO, EQUPMENT USED IN THE DEMOLITON PROCESS, WEATHER INCIDENTS, AND OTHER DAMAGES THAT RENDER
THE ACM FROM NON -FRIABLE TO FRIABLE
ANYAND ALL MATERIALS IDENTIFIED AS ACM OR PACM IN THIS REPORT (AND/OR ADDITIONAL MATERIALS ASSOCIATED WITH
THE STRUCTURE THAT MAY BE DISCOVERED AND LATER IDENTIFIED AS ACM OR PALM), MUST BE PROFESSIONALLY ABATED
PRIOR TO DEMOLITION. ASSESSMENT AND QUANTIFICATION OF ACM FOR ABATEMENT PURPOSES AND/OR PRICING FOR
REMOVAL SHOULD BE DETERMINED BY ON SITE EVALUATION.
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ANALYSIS ID ASBESTOS//”"I'YPEH IJANT1'1TY OTHER MATERIAL
1.0 FLUE MORTAR PACKING yes H chrysotile H 2% non-fibrous materials
NON -FRIABLE ACM
CIRCLE OF PACKING MATERIAL ON CHIMNEY AT FURNACE EXHAUST PENETRAION
COLOR: GRAY & WHITE -LESS THAN 1 SQ. FT.
2.0 FLOOR TILE yes // chrysotile H 2% non-fibrous materials
TILE IS NON -FRIABLE ACM
KITCHEN SURFACE LAYER — COLOR: WHITE W/BLACK LINE PATTERN
APPROX. 260 SQ. FT.
2.1 FLOOR TILE yes // chrysotile H 2% non-fibrous materials
TILE IS NON -FRIABLE ACM
IN FRONT OF BACK ENTRY DOOR @ KITCHEN/DINING ROOM
COLOR: WHITE W/DOTS-APPROX. 3 SQ. FT.
3.0 mastic
beneath previous sample listed
4.0 SHEET VINYL FLOORING yes H chrysotile H 38%
FRIABLE ACM
HALL BATHROOM SURFACE LAYER — COLOR: GREEN & WHITE
cellulose, adhesive
non-fibrous materials,
cellulose
NOTE: THE ASBESTOS IS IN THE GRAY/WHITE VINYL BACKING. THE MASTIC IS ALSO ACM AS IT
CANNOT BE SEPARATED FROM THE FRIABLE VINYL BACKING MATERIAL.
APPROX. 80 SQ. FT. ON ACM FLOOR TILE AS LISTED NEXT
continue to page 4
1429Ave. D. #187, Snohomish, WA 98290
425-489-4040;f775-665-0420
t
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Page 4 of 10
B2170416
April 30, 2017
Asbesto-Test, Inc. 425-489-4040
1lartxse and l °ar ortlVied,� 8"710180 180V. S141., tJmont& WA 98026
ANALYSIS ID ASBESTOSHTYPE// [, ANTI:TY OTHER MATERIAL
5.0 FLOOR TILE yes H chrysotile // 3%
TILE IS NON -FRIABLE ACM
BENEATH PREVIOUS SAMPLE — COLOR: TAN
HALL BATHROOM IS APPROX. 80 SQ. FT.
6.0 mastic
beneath previous sample listed
NAD
7.0 MASTIC yes H chrysotile // 2%
MASTIC IS NON -FRIABLE ACM
WEST HALL HOLDING BASE COVE
APPROX. 30 LN. FT.
non-fibrous materials
cellulose, adhesive
adhesive, cellulose
8.0 "POPCORN" CEILING yes H chrysotile H 3% non-fibrous materials,
FRIABLE ACM cellulose, foam
LIVING ROOM & EAST HALL
ALL OF THE "POPCORN" CEILING MATERIAL INSIDE THE STRUCTURE IS PRESUMED TO
CONTAIN ASBESTOS. SAMPLED PER AHERA PROTOCOL.
APPROX. 525 SQ. FT.
9.0 WINDOW GLAZING yes H chrysotile H 3% non-fibrous materials,
NON -FRIABLE ACM cellulose
ON 2 METAL FRAMED WINDOWS
NOTE: ANY ADDITIONAL COLORS OR KINDS OF VINYL FLOORING AND/OR TILE WITH ANY
RELATING MASTICS/BACKINGS THAT WERE NOT DISCOVERED IN THIS SURVEY AND MAY
LATER BE LOCATED IN THIS STRUCTURE ARE ALSO PRESUMED TO CONTAIN ASBESTOS UNLESS
TESTED OTHERWISE BY LABORATORY ANALYSIS
r
HOUSE:
10.0 linoleum flooring NAD
loose roll next to chimney in furnace room — color: green
11.0 masonry tile NAD
kitchen countertops — color: white
12.0 mortar/mastic
holding previous sample
OW
continue to page 5
W,
1429Ave. D. #187, Snohomish, WA 98290
425-489-4040; f775-665-0420
non-fibrous materials,
cellulose, tar
non-fibrous materials
adhesive, cellulose,
non-fibrous materials
ear