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DNS BLD2022-1090+Asbestos Report+6.7.2022_10.13.00_AM+2916676AL "It's Not What We Do, I& 'L It's How We Do It" Northwest Abatement Services, Inc. Asbestos Survey Project: Commercial Structure Pre -Demolition Survey 22730 Highway 99 Edmonds, WA 98026 Prepared For: Jae Han Boo Han Plaza IV LLC 3880 Steilacoom Blvd Lakewood, WA 98499 Project Number: SR22-4079 TABLE OF CONTENTS SECTION 1 1 Inspection Report SECTION 2 1 Laboratory Results SECTION 3 1 Photographs SECTION 4 1 AHERA Certification AHERA Certified Asbestos Survey / Inspection Report 5-19-2022 Prepared For: Boo Han Plaza IV I.I.C. Jae Han Project: Demolition Asbestos Survey COMMERCIAL STRUCTURE — Shop and Garage 22730 Highway 99 Edmonds, WA 98026 A. Background On 05-17-2022, Northwest Abatement Services, Inc. performed an asbestos identification inspection which will serve as our report for all visible Asbestos Containing Building Materials located at the address listed above. The purpose of this inspection was to ascertain the presence of asbestos containing materials located in the structure and provide a report to conform to WA( 296-62- 077, PSCAA Regulation III, Section 4 and 40 CFR 763 requirements for identification of asbestos. This survey also satisfies regulatory criteria established by OSHA's Department of Labor and Washington State's Department of Labor and Industries for identifying asbestos containing materials associated with the structure for future abatement and demolition. A copy of this report may be submitted to the appropriate agencies as proof that a survey was performed prior to any renovation or demolition. A coov of this report should also be aiven to the contractor and/or be maintained onsite durina anv abatement and demolition activities. This survey was performed for the future demolition of commercial structure located at the address above. B. Sampling Methodology Suspect materials were sampled by an AHERA (Asbestos Hazard Emergency Response Act) accredited inspector. Sample locations for this survey were chosen in a non-random fashion, with emphasis being placed on obtaining samples of each type of accessible, suspect material, while minimizing damage to the material being sampled. Samples were collected by carefully removing small portions of the suspect material in a non-abrasive manner. If possible, samples were collected from existing damaged areas. Friable materials are materials which can be crushed, pulverized, or reduced to powder by hand pressure. These materials were wetted with amended water prior to sampling to protect the inspector from potential exposure or accidental fiber release. PPE (personal protective clothing) will only be utilized at the inspector's discretion. A particular suspect material may be located in various separate places throughout the structure. The EPA does not require that these materials be sampled in each location. Suspect materials of the same type, age, appearance have the same date of installation, and are sampled in accordance with AHERA requirements, must provide statistically reliable data which can be extrapolated on all remaining non sampled areas. AHERA Protocol determines the number of samples of each material to be collected, depending on it's category and amount of material present. The goal of AHERA is to ensure statistically reliable data and it accomplishes this by requiring or suggesting a minimum number of samples to be collected, and in some cases, by using random sampling techniques to determine sampling locations. However, in every case, AHERA relies on the judgment of the inspectors who are experienced in AHERA methodology and the type of facilities being inspected. (See appendix A at end of the report) After identifying the suspect materials, bulk samples were collected and taken to an asbestos laboratory to be analyzed for the amount of asbestos and, the type of asbestos, if any. The asbestos samples were analyzed using Polarized Light Microscopy (PLM), stain dispersion staining techniques in accordance with the EPA Method 600/R-93/166, which has a reliable limit of quantification of one percent asbestos by volume. Northwest Abatement Services, Inc. Inspection Report I 1 C. AHERA Certified Inspector Information The Certified AHERA Inspector was Ethan Cortez Certification #: BI/R-NES-0325-22-01, Expiration 03-25-2023 D. Survey Findings There was a total of 9 suspect asbestos containing building materials (bulk samples), removed from the structure listed above, for lab analysis. Based on the field inspection, homogenization of materials, and the results of the lab analysis, 0 of the 9 samples tested Positive for Asbestos: Sample Number Material Asbestos Content Quantity Northwest Abatement Services, Inc. Inspection Report 1 2 E. Building Description The commercial structure is located 22730 Highway 99, Edmonds, WA 98026. The commercial structure is a metal and wood framed building with a flat sheet metal roof on a concrete slab. Note: Allsuspect ACM finishes were sampled and tested according toAHMRAProtocol (See appendix A) The suspect ACM (asbestos containing materials) sampled for analysis are as follows: Sample Number Material Location 01 Silver sealant Roof 02 Black Sealant Roof 03 Asphalt Shingle Roof 04 Trim Glue Exterior 05 Ceramic Tile Grout Right Bathroom 06 1" x 1" Ceramic Tile Grout Left Bathroom 07 07A- Sheet Flooring 07B- Vinyl Floor The Shop 08 07A- Sheet Flooring 07B- Vinyl Floor Tile Shop 09 Lay -In Ceiling Tile Shop Northwest Abatement Services, Inc. Inspection Report 3 F. Conclusion Laboratory results show all materials sampled were negative for asbestos. No asbestos abatement precautions need to be taken prior to the demolition of the structure on site. If any additional materials not found in the survey are discovered, additional sampling will need to occur to determine if asbestos is present. Prior to any demolition or renovation, all friable and flan -friable asbestos containing materials (ACM) are to he removed and disposed of in accordance with applicable Federal, State and Loral regulations. if there is any asbestos containing materials left on site, that will flat be disturbed during the renovation or demolition process, an Asbestos Operational and Maintenance Program (OR) is to be developed and implemeflted to monitor the remaining ACM. /n the event any suspect materials are detected during the demolition of this structure, you will need to cease all demolition activities and have these materials sampled for Asbestos. The Puget Sound Clean Air Authority requires that all materials that contain I % or more Asbestos, that these materials be removed by a licensed and Certified Asbestos removal contractor, prior to any demolition or renovation. The abatement contractor should pro vide the Owner with copies of all required notifications to PSCAA and the Department of Labor and Industries. A certification letter will need to be obtained from the abatement contractor prior to applying for a demolition permit with PSCAA. PSCAA will also want to see a copy of the asbestos survey. Although extreme thoroughness and expertise were exercised to ensure the completeness of this survey, existing conditions may have prevented the discovery of other suspect asbestos containing material. NW Abatement Services, Inc. is not responsible for materials that may be hidden from sight and cannot be discovered with reasonable diligence. Any suspect material not covered in this survey that is encountered during the renovation or demolition procedure should be verified by analysis prior to disturbance. It should be noted that this survey was conducted only to ascertain the presence of asbestos containing materials. There was no survey conducted by NW Abatement Services, Inc. to determine the presence of PCB material (ballast, etc.), UST's, radon gas or any other hazardous material that may be present onsite. This report has been prepared for the sole use of our client and its representatives for this project only. The analyses, conclusions and recommendations presented in this report are based upon conditions encountered at the time of our survey only. The scope of services performed during this survey may not be appropriate for the needs of others. Re -use of this document or the findings, conclusions or recommendations presented herein, are at the sole risk of said user. NW Abatement Services, Inc. cannot be held responsible for the interpretation by others of the data contained in this report. The conclusions presented in this report were based on the results of sample analysis presented by a subcontracted, third party, analytical laboratory. Northwest Abatement Services, Inc. is not responsible for variations in analytical results or inaccuracies resulting from laboratory analysis. This survey is not intended for use as abatement plans and/or specifications. Northwest Abatement Services, Inc. recommends that professional plans and specifications be prepared for all larger scale projects. No warranty, expressed or implied, is made. Northwest Abatement Services, Inc. Inspection Report 1 4 Appendix A The following AHERA protocol was used in determining the number of suspect samples to collect: Surfacing materials: 1) Homogeneous area equal to or less than 1000 SF (minimum 3 samples). 2) Homogeneous area greater than 1000 SF but less than 5000 SF. (5 samples) 3) Homogeneous area greater than 5000 SF. (7 samples) Thermal Systems Insulation (TSI): 1) Homogeneous area (1 per each type of suspect materials). Miscellaneous materials: 1) Homogeneous area (1 per each type of suspect materials) Suspect Materials are divided into 3 categories: 1) Surfacing materials — ACM sprayed or troweled on surfaces (walls, ceilings, and structural members) for acoustical, decorative, thermal insulation or fireproofing purposes. Examples include plaster, popcorn textured ceilings, skim coat textures, and structural fireproofing. 2) Thermal System Insulation — Insulation used to inhibit heat transfer or prevent condensation on pipes, boilers, tanks, ducts, and various other components of hot and cold -water systems, and heating, ventilation, and air conditioning (HVAO systems. Examples include pipe lagging, pipe wrap; block, butt, and blanket insulation; cement and "muds" and a variety of other products such as gaskets and ropes. 3) Miscellaneous Materials — Materials not classified under surfacing materials or thermal systems insulation. Examples include: floor tile, ceiling tile, roofing felts, concrete piping, outdoor siding and fabrics, glazing putty, wall board and associated assembly component, various mastics, etc. such as floor tile mastics, wall board mastics, ceiling tile mastics etc. If you have any questions regarding this asbestos survey/inspection report, please contact us at (253) 588-0440, or FAX: (253) 588-0198. Respectfully submitted, gtaK &�&4 Ethan Cortez Certified AHERA Inspector NORTHWEST ABATEMENT SERVICES, INC. Northwest Abatement Services, Inc. Inspection Report 1 5 sanATi*r* Technologies Laboratory The IdeMif Analysis Report prepared for Northwest Abatement Services, Inc. Report Date: 5/19/2022 Project Name: Boo Han Plaza IV Demo Survey Project #: SR22-4079 SanAir ID#: 22024361 TESTING r"'2T NVLAP LAB CODE 200870-0 Page 1 of 6 SanAir Technologies Laboratory Name: Northwest Abatement Services, Inc. Address: P.O. Box 39220 Lakewood, WA 98496 Phone: 253-588-0440 Dear Ethan Cortez, SanAir ID Number 22024361 FINAL REPORT 5/19/2022 2:29:26 PM Project Number: SR22-4079 P.O. Number: SR22-4079 Project Name: Boo Han Plaza IV Demo Survey Collected Date: 5/17/2022 Received Date: 5/18/2022 10:45:00 AM We at SanAir would like to thank you for the work you recently submitted. The 11 sample(s) were received on Wednesday, May 18, 2022 via UPS. The final report(s) is enclosed for the following sample(s): 01, 02, 03, 04, 05, 06, 07A, 07B, 08A, 08B, 09. These results only pertain to this job and should not be used in the interpretation of any other job. This report is only complete in its entirety. Refer to the listing below of the pages included in a complete final report. Sincerely, Sandra Sobrino Asbestos & Materials Laboratory Manager SanAir Technologies Laboratory Final Report Includes: - Cover Letter - Analysis Pages - Disclaimers and Additional Information Sample conditions: - 11 samples in Good condition. 10501 Trade Ct., N. Chesterfield, VA 23236 1804.897.1177 1 Fax: 804.897.0070 1 www.SanAir.com I IAQ@SanAir.com Page 2 of 6 SanAir ID Number 22024361 A�:.. i r FINAL REPORT Technologies Laboratory 5/19/2022 2:29:26 PM Name: Northwest Abatement Services, Inc. Project Number: SR22-4079 Address: P.O. Box 39220 P.O. Number: SR22-4079 Lakewood, WA 98496 Project Name: Boo Han Plaza IV Demo Survey Phone: 253-588-0440 Collected Date: 5/17/2022 Received Date: 5/18/2022 10:45:00 AM Analyst: Pisula, Nicholas Asbestos Bulk PLM EPA 600/R-93/116 .- 01 / 22024361-001 Silver 100% Other None Detected Sealant/ Roof Non -Fibrous Homogeneous 02 / 22024361-002 Silver 100% Other None Detected Sealant/ Roof Non -Fibrous Homogeneous 03 / 22024361-003 Black 100% Other None Detected Asphalt Shingle/ Roof Non -Fibrous Homogeneous 04 / 22024361-004 Tan 100% Other None Detected Trim Glue/ Exterior Non -Fibrous Homogeneous 05 / 22024361-005 White 100% Other None Detected Ceramic Tile Grout/ Right Non -Fibrous Bathroom Homogeneous 06 / 22024361-006 Grey 100% Other None Detected 1" X 1" Ceramic Tile Grout/ Left Non -Fibrous Bathroom Homogeneous 07A / 22024361-007 Brown 100% Other None Detected Sheet Flooring Non -Fibrous Homogeneous 07B / 22024361-008 Grey 100% Other None Detected Vinyl Floor Tile, Floor Tile Non -Fibrous Homogeneous 07B / 22024361-008 Tan 100% Other None Detected Vinyl Floor Tile, Mastic Non -Fibrous Homogeneous 08A / 22024361-009 Brown 100% Other None Detected Sheet Flooring Non -Fibrous Homogeneous Analyst: 6_4 Approved Signatory: �/-later Analysis Date: 5/19/2022 Date: 5/19/2022 Page 3 of 6 A i r Technologies Laboratory Name: Northwest Abatement Services, Inc. Address: P.O. Box 39220 Lakewood, WA 98496 Phone: 253-588-0440 Analyst: Pisula, Nicholas SanAir ID Number 22024361 FINAL REPORT 5/19/2022 2:29:26 PM Project Number: SR22-4079 P.O. Number: SR22-4079 Project Name: Boo Han Plaza IV Demo Survey Collected Date: 5/17/2022 Received Date: 5/18/2022 10:45:00 AM Asbestos Bulk PLM EPA 600/R-93/116 08B / 22024361-010 Grey 100% Other None Detected Vinyl Floor Tile, Floor Tile Non -Fibrous Homogeneous 08B / 22024361-010 Tan 100% Other None Detected Vinyl Floor Tile, Mastic Non -Fibrous Homogeneous 08B / 22024361-010 White 100% Other None Detected Vinyl Floor Tile, Leveling Non -Fibrous Compound Homogeneous 09 / 22024361-011 White Lay -In Ceiling Tile/ Shop Fibrous Homogeneous Analyst: 'lam. &- Analysis Date: 5/19/2022 60% Cellulose 10% Other None Detected 30% Min. Wool Approved Signatory: A-k-- 4444 Date: 5/19/2022 10501 Trade Ct., N. Chesterfield, VA 23236 1804.897.1177 1 Fax: 804.897.0070 1 www.SanAir.com I IAQ@SanAir.com Page 4 of 6 Disclaimer This report is the sole property of the client named on the SanAir Technologies Laboratory chain - of -custody (COC). Results in the report are confidential information intended only for the use by the customer listed on the COC. Neither results nor reports will be discussed with or released to any third party without our client's written permission. The final report shall not be reproduced except in full without written approval of the laboratory to assure that parts of the report are not taken out of context. The information provided in this report applies only to the samples submitted and is relevant only for the date, time, and location of sampling. The accuracy of the results is dependent upon the client's sampling procedure and information provided to the laboratory by the client. SanAir assumes no responsibility for the sampling procedure and will provide evaluation reports based solely on the sample(s) in the condition in which they arrived at the laboratory and information provided by the client on the COC, such as: project number, project name, collection dates, po number, special instructions, samples collected by, sample numbers, sample identifications, sample type, selected analysis type, flow rate, total volume or area, and start stop times that may affect the validity of the results in this report. Samples were received in good condition unless otherwise noted on the report. SanAir assumes no responsibility or liability for the manner in which the results are used or interpreted. This report does not constitute and shall not be used to claim product certification, approval, or endorsement by NVLAP, NIST, or any other U.S. governmental agencies and may not be certified by every local, state, and federal regulatory agencies. Samples are held for a period of 60 days. Fibers smaller than 5 microns cannot be seen with this method due to scope limitations. For NY state samples, method EPA 600/M4-82-020 is performed. NYELAP Disclaimer: Polarized- light microscopy is not consistently reliable in detecting asbestos in floor covering and similar non -friable organically bound materials. Quantitative transmission electron microscopy is currently the only method that can be used to determine if this material can be considered or treated as non -asbestos containing. Asbestos Certifications NVLAP lab code 200870-0 City of Philadelphia: ALL-460 PA Department of Environmental Protection Number: 68-05397 California License Number: 2915 Colorado License Number: AL-23143 Connecticut License Number: PH-0105 Massachusetts License Number: AA000222 Maine License Number: LB-0075, LA-0084 New York ELAP lab ID: 11983 Rhode Island License Number: PCM00126, PLM00126, TEM00126 Texas Department of State Health Services License Number: 300440 Commonwealth of Virginia 3333000323 Washington State License Number: C989 West Virginia License Number: LT000616 Vermont License: AL166318 Louisiana Department of Environmental Quality: 212253, Cert 05088 Revision Date: 8/14/2020 Page 5 of 6 ,..-•�� 10501 Trade Ct., Suite 100 SanAir ID Number N. Chesterfield, VA 23236 Asbestos San804.897.1177 / 888.895.1177 Chain of Custody ir Fax 804.897.0070 Form 140, Rev 6,1126/2022 Technologies Laboratory sanair.com Northwest Abatement Services, Inc. SR22-4079 Cortez Company: Project4: ollected bv:Ethan Address- P.O. Box 39220 Project Frame: Boo Han Plaza IV Demo Survey Phone 4: 253-588-0440 City, St., Zip. Lakewood, WA 98496 Date Collected: 05/17/2022 _ Fax 4. 253-583-0277 State of Collection WA Accountfl' 1587 P.O. Number: SR22-4079 Email: ethan@nwabatement.Com Milk Air Soil ABB PLM EPA 6001R-931116 ❑✓ ABA PCM NIOSH 7400 E I [71B_!E777] PLM EPA 600IR-93/116 (Qua].} Positive Stop ABA-2 OSHA w/ TWA- 01Soil ABSP PLM CARB 435 (LOD <1%} ABEPA PLM EPA 400 Point Count El ABTEM TEM AHERA F--J ABB IK PLM EPA 1000 Point Count ABATN TEM NIOSH 7402 El ABSPI ABSP2 PLM CARB 435 (LOD 0.25%) PLM GARB 435 (LOD 0.1%) ABBEN PLM EPA NOES** E AB12 TEM Level lI ABBCH TEM Chatfield** Other: Dust ABBTM TEM EPA NOB** New York ELAP ABWA TEM Wipe ASTM D-6480 ABQ PLM Qualitative ABEPA2 I NY FLAP 198.1 F-1 ABDMV TEM Microvae ASTM D-5755 ** Available on 24-hr. to 5-day TAT ABENY NY ELAP 198.6 PLM NOB ABBNY NY FLAP 198.4 TEM NOB Water Matrix Other All] IE EPA 1002 0 Turn Around 3 MR (4 HR TEM) ❑ 6 HR (8HR TEM) ❑ 12 RR ❑ 1 Day I] ❑ 2 pays ❑ 3 Days ❑ 4 Days ❑ 5 bays Times Special Instructions Sample # Sample Identiflieation/Location Volume or Area Sample Date Flow Rate, Start— Stop Time* 01 Silver Sealant/ Roof Throughout ABB 02 Black Sealant/ Roof Throughout ABB 03 Asphalt Shingle/ Roof Throughout ABB 04 Trim Glue/ Exterior Throughout ABB 05 Ceramic Tile Grout/ Right Bathroom Throughout ABB 06 1" x T' Ceramic Tile Grout/ Left Bathroom Throughout ABB 07 07A - Sheet Flooring 07B- Vinyl Floor Tile Throughout ABB 08 08A - Sheet Flooring 08B- Vinyl Floor Tile Throughout ABB 09 Lay -In Ceiling Tile/ Shop Throughout ABB Relinquished by Date Time Received by Date Time Ethan Cortez 5/17/2022 11:45AM 152f.La ,M it no technician is provided, then the primary contact for your account will be selected. Unless scheduled, the turnaround time for all samples recervea aver a pm zb r will be logged in the next business day. Weekend or holiday work must be scheduled ahead of time and is charged at 150% of the 3hr TAT or a minimum charge or $150. A courier charge will be applied for same day and one -day turnaround times for offshe work. SanAir covers Ground and Next Day Air shipping. Shipments billed to SanAir with a faster shipping rate will result in additional charges. 1 1 Page °� age 6 of 6 y w ems- SURVEY PHOTOS 22730 Highway 99, Edmonds, WA 98026 AHERA BUILDING INSPECTOR REFRESHER CERTIFICATE This is to certify that E-fhall c6ril ez, has attended and satisfactorily completed all requirements to maintain accreditation as an AHERA Building Inspector in accordance with the Toxic Substance Control Act Title (Section 206) and 40 CFR 763. Accreditation No. BIIR-NES-0325-22-01 Course Date: Mar. 25, 2022 Valid through: Mar. 25, 2023 c NOW Environmental Services, Inc. 34004 — 9t" Avenue South, Suite # 12 Federal Way, Washington 98003 (253) 927-5233