BLD2021-0184_Asbestos_2.17.2021_1.45.07_PM_2051768EMSL Analytical, Inc.
5900 4th Avenue S, Suite 100, 1st Floor Seattle, WA 98108
Phone/Fax: (206) 269-6310 / (206) 900-8789
M http://www.emsi.com / seattlelab@emsl.com
EMSL Order: 512100229
Customer ID: FVMR42 RECEIVED
Feb 17 2021
Customer PO:
Project ID:
Attention: Pascal Jean -Baptiste Phone: (425) 440-8787
5 Microns, Inc. Fax:
7100 Fort Dent Way, Ste. 100 Received: 01/25/2021 12:00 PM
Tukwilla, WA 98180 Analysis Date: 01/25/2021 - 01/28/2021
Collected:
Project: 521-0037 / Keith Forde / 7528 215th St SW, Edmonds, WA 98026
Test Report: Asbestos Analysis of Bulk Material via EPA 600/R-93/116. Quantitation using
the 1,000 Point Count Procedure
Sample Description Appearance
% Fibrous
Non -Asbestos
Asbestos
% Non -Fibrous % Type
03-Texture Joint compound WB White 99.40% Non -fibrous (Other) 0.6%Chrysotile
512100229-0003 Apt 2 Non -Fibrous
Homogeneous
03-Joint Compound Joint compound WB Tan 99.20% Non -fibrous (Other) 0,8%Chrysotile
512100229-0003B Apt 2 Non -Fibrous
Homogeneous
Analyst(s)
Ehrin Stephens (2)
Rudy Baum, Interim Laboratory Manager
or other approved signatory
EMSL maintains liability limited to cost of analysis. Interpretation and use of test results are the responsibility of the client. This report relates only to the samples reported above, 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. The report reflects the samples as
received. Results are generated from the field sampling data (sampling volumes and areas, locations, etc.) provided by the client on the Chain of Custody. Samples are within quality control
criteria and met method specifications unless otherwise noted. The above analyses were performed in general compliance with Appendix E to Subpart E of 40 CFR (previously EPA
600/M4-82-020 "Interim Method") but augmented with procedures outlined in the 1993 ("final') version of the method. 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. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample.
Estimation of uncertainty is available on request.
Samples analyzed by EMSL Analytical, Inc. Seattle, WA NVLAP Lab Code 200613
Initial report from: 01 /26/2021 11:40:42
Printed 1/28/2021 9:25:50AM Page 1 of 1
OrderID: 512100229
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Asbestos Chain of Custody
EMSL Order Number (Lab use Only):
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EMSL ANALYTICAL, INC.
5900 4r" AvE S
SUITE 100
SEATTLE , WA 98108
PHONE: (206)269-6310
FAX: (206)900-8789
Company: S%'1
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EMSL-Blll to:, - ame ❑ Different
If Bill to is Different note instructions in Comments"
Third Paq Billing requires written authorization from third party
Street:
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City: -TL-
State/Province: c uV-4-
Zip/Postal Code: c'7VI
Country: 'U
Report To (Name):
Fax #:
Telephone#: �— �-( -- b''�.5,`T
Email Address:2-1—1 64..rf T
Project Name/Number: -o
Please Provide Results: ❑ Fax;
mail I Purchase Order: U.S. State Samples Taken:
Turnaround Time (TAT) Options* -- Please Check
❑ 3 Hours I ❑ 6 Hours I Cn4
Hrs I ❑ 48 Hrs I ❑ 3 Days J ❑ 4 Days I ❑ 5 Days ❑ 10 Days
`For TEM Air 3 hours16 hours, please ca flahead to schedule. 'There is a premium charge for 3 Hour TEM AHE'RA or EPA Level/1 TAT. You will be asked to sign
an authorization form for this service. Analysis com feted in accordance with EMSL's Terms and Conditions locatedin the Analytical Price Guide. -
PCM - Air
❑ NIOSH 7400
❑ w/ OSHA 8hr. TWA
TEM - Air
❑ AHERA 40 CFR, Part 763
❑ NIOSH 7402
❑ EPA Level II
❑ ISO 10312
TEM- Dust
❑ Microvac - ASTM D 5755
❑ Wipe - ASTM D6480
❑ Carpet Sonication (EPA 600/J-93/167)
PCM - Bulk (reporting limit) u +
23�51_M EPA 600/R-93/116 (<1%) UJ
❑ PLM EPA NOB (<1 %)
Point Count '
❑ 400 (<0.25%)0 1000 (<0.1%).')
Point Count w/Gravimetric
❑ 400 (<0.25%) ❑ 1000 (<0.1%) ;j
❑ NYS 198.1 (friable i(i, NY) I �I
NYS=198.6-NOB(n on-friable=NY)-' --
❑ NIOSH 9002 (<l%)
Soil/Rock(Vermiculite
❑ PLM CARB 435 - A (0.25% sensitivity)
ElPLM CARB 435 - B (0.1,% sensitivity)
❑ TEM CARB 435 - B.(0 1%° sensitivity)
El TEM CARB 435 - C (0.01%sensitivity):
❑ EPA Protocol (Semi -Quantitative)-
El EPA Protocol (Quantitative)
TEM - Bulk
ElTEM EPA NOB
❑-NYS NOB 198.4 (non -friable -NY)
El Chatfield SOP
❑ TEM Mass Analysis -EPA 600 sec. 2.5 .
TEM -- Water: EPA 100.2
Fibers>10µm -El-Waste ❑,Drinking
All Fiber Sizes ❑ Waste ❑ Drinking
-Other:— --- — - --
❑
❑ Check For Positive Stop -- Clearly Identify Homogenous Group
j
Samplers Name:
Sam piers Signature:
Sample #
Sample Description
Volume/Area (Air)
HA # (Bulk)
Date/Time
Sampled
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Client Sample # (s):
- Total # of Samples:
Relinquished (Client): SN;
/ jG, Date: Time:
Received (Lab): ;;
Date: t 2Z Time:
Comments/Special Instructions:
S iS Zf S &I - t u6 0
Convo11e0 Documni —Asbestos COC — R1 — 3/182009
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Paqe 1 Of
OrderID: 512100229
Asbestos Chain of Custody EMSLAr�ACrilcA�, INC.
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AVE
EMSL Order Number (Lab use only): 5900 4"su" A
SEATrLE , WA 98108
.anest-4ruocYTrcw�, vac. — -
uea,.,va....o=wc...,.�,.... PHONE: (206)269-6" +„
FAX: (206)900-81
Additional Pages of the Chain of Custody are only necessary if needed for additional sample information
Sample #
Sample Description
Volume/Area (Air)
HA # (Bulk)
Date/Time
Sampled
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•Comments/Special instructions:
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CuramWA Docur nl—Asbestos COC—A7-9+t WO09
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