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BLD2021-1554+ASBESTOS +11.15.2021_1.55.18_PM+2520780Batch #: / ,j/v'—/7/0� VVA r 11200 Kirkland Way #340A Kirkland, WA 98033 Washington Asbestos Testing LLC. Cj H A I N OF CUSTODY (425) 496-4819 WATestingLLC.com BULK ASBESTOS TEST POINT COUNT (400/600/1000) TAPE LEAD MOLD Client Na� Address: `✓:.0 Cj City�I Vl � P � �Op j ST Phone #:.� Z5 Z .y� Project Manager: Project Manager Phone #: h,� l,Q Email: ,SegD (P -0 3QCI J Project Location/Job Name: Address: 3 , 5 D yj� �.-I- Vh/ E cityC'( IM m't 5 ST C-�P SAMPLES: Turn Around Time: Z t� Number of samples:; Condition: Good L Damaged Severe Damage SEQP Sample Location Sample Description SEQ# Sample Location Sample Description 0 16 l C{ .dYlf1 l,1 C 2 • 17 3 18 4 5 19� rr ,•� �_- ! I l h -. 7 8 22 `j I,IQ 9 1L L foU 23 CWV k) '1�?`, 24 Dti 10 L{ 'eif�l W 25 5 1 1 I G 11 �LI `P✓V 26 12 Mks ' ki 27 13 S.Pl��'. V I 28 5 14 VECO_1 29 15 30 Print Name Signature Company Name Date Sampled Relinquished Delivered --� WAT sL Received Analyze ,? WAT .� I Reported _— / WAT Time � vim How would you like'to be notified? Email x Phone Washington Asbestos Testing LLC guarantees the test results provided are of a precision normal with the type of methods recognized in asbestos analysis. Washington Asbestos Testing LLC accepts no legal responsibility for the purpose for which the client uses the test results. By signing on this Chain of Custody form the client agrees to relieve Washington Asbestos Testing LLC of any and all liability that may arise from the test results. Washington Asbestos Testing LLC 11200 Kirkland Way #340A, Kirkland, WA 98033 VVAX(425) 658-7286 NVLAP Lab Code 600040-0 WATestingLLC@gmail.com Batch #: WAT2109551 Asbestos Analysis of Bulk Materials by App. E to Sub. E of 40 CFR Part 763 and EPA 600/R-93/116 Methods Using Polarized Light Microscopy ' Attn: Bobbie Page Seattle Asbestos of Washington Office Phone: (425) 362-3484 PO Box 5515, Lynnwood, WA 98046 Date Received: 10/4/2021 Date Analyzed: 10/4/2021 Project: CBI Hotel LLC Samples Received: 25 332 Sunset Ave. Edmnndc_ We Samples Analyzed: 25 SEQ# CLIENT ID Analyzed By > __ - David Henry LAYER DESCRIPTION % Approved By NON -ASBESTOS FIBERS Approved Signatory (If Necessary) % NON -FIBROUS % ASBESTOS TYPE 1 Living Rm 1 White compact powdery texture with paint 3% Cellulose 97% Non -fibrous (Other) None Detected 2 Off-white chalky material with paper 20% Cellulose 80% Non -fibrous (Other) None Detected 2 Dining Rm 1 White compact powdery texture with paint 3% Cellulose 97% Non -fibrous (Other) None Detected 2 Off-white chalky material with paper 20% Cellulose 80% Non -fibrous (Other) None Detected 3 Dining Rm 1 White compact powdery texture with paint 3% Cellulose 97% Non -fibrous (Other) None Detected 2 Off-white chalky material with paper 20% Cellulose 80% Non -fibrous (Other) None Detected 1 Silver plastic None Detected 100% Non -fibrous (Other) None Detected 2 Beige paper 75% Cellulose 25� Non -fibrous (Other) None Detected 4 Hallway 3 Clear mastic 2% Cellulose 98% Non -fibrous (Other) None Detected 4 White compact powdery texture with paint 3% Cellulose 97% Non -fibrous (Other) None Detected 5 Off-white chalky material with paper 20% Cellulose 80 . Non -fibrous (Other) None Detected 5 Bed 1 1 White compact powdery texture with paint 3% Cellulose 97% Non -fibrous (Other) None Detected 2 Off-white chalky material with paper 20% Cellulose 80% Non -fibrous (Other) None Detected 6 Bed 1 1 White compact powdery texture with paint 3% Cellulose 97% Non -fibrous (Other) None Detected 2 Off-white chalky material with paper 20% Cellulose 80% Non -fibrous (Other) None Detected 7 Bed 2 (M) 1 White compact powdery texture with paint 3% Cellulose 97� Non -fibrous (Other) None Detected 2 Off-white chalky material with paper 20% Cellulose 80% Non -fibrous (Other) None Detected 8 Bed 2 (M) 1 White compact powdery texture with paint 3% Cellulose 97� Non -fibrous (Other) None Detected 2 Off-white chalky material with paper 20% Cellulose 80% Non -fibrous (Other) None Detected 9 Kitchen 1 White compact powdery texture with paint 3% Cellulose 97% Non -fibrous (Other) None Detected 2 1 Off-white chalky material with paper 20% Cellulose 80% Non -fibrous Irt.1 ., None Detected The results given relate only to the items tested. The results apply to the sample(s) as received. Reports must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NiST, or any agency of the Federal Government. Page 1 of 4 Washington Asbestos Testing LLC 11200 Kirkland Way #340A, Kirkland, WA 98033 VVAIV(425) 658-7286 NVLAP Lab Code 600040-0 WATestingLLC@gmail.com Batch #: WAT2109551 Asbestos Analysis of Bulk Materials by App. E to Sub. E of 40 CFR Part 763 and EPA 600/R-93/116 Methods Using Polarized Light Microscopy Attn: Bobbie Page Office Phone: (425) 362-3484 Seattle Asbestos of Washington PO Box 5515, Lynnwood, WA 98046 Date Received: 10/4/2021 Date Analyzed: 10/4/2021 Project: CBI Hotel LLC Samples Received: 25 332 Sunset Ave. Edrnnndc We Samples Analyzed: 25 Analyzed By r -" 7 _ Approved By David Henry Approved Signatory (If Necessary) SEQ# CLIENT ID LAYER ESCRIPTION % NON -ASBESTOS FIBERS % NON -FIBROUS % ASBESTOS TYPE 1 White plastic None Detected 100% Non -fibrous (Other) None Detected 2 Beige paper 75% Cellulose 25% Non -fibrous (Other) None Detected 10 Kitchen 3 Clear mastic 2% Cellulose 98% Non -fibrous (Other) None Detected 4 White compact powdery texture with paint 3% Cellulose 97% Non -fibrous (Other) None Detected 5 Off-white chalky material with paper 20% Cellulose 80% Non -fibrous (Other) None Detected 11 1 Gray brittle/rigid material 60% Cellulose 40% Non -fibrous None Detected Kitchen (Other) 2 Yellow mastic 2% Cellulose 98% Non -fibrous (Other) None Detected 1 White plastic with paint None Detected 100% Non -fibrous (Other) None Detected 2 Off-white paper 75% Cellulose 25% Non -fibrous 12 Master Bth (Other) None Detected 3 Clear mastic 2% Cellulose 98% Non -fibrous None Detected (Other) 4 White chalky material with paint and paper 20% Cellulose 80% Non -fibrous White sheet vinyl None Detected 100% (Other) Non -fibrous None Detected None Detected 1 (Other) 13 Master Bth 2 Gray fibrous material 65% Cellulose, Glass 35% Non -fibrous (Other) None Detected 3 Yellow mastic 2% Cellulose 98% Non -fibrous None Detected (Other) 4 Brown wood debris 5% Cellulose 95% Non -fibrous None Detected (Other) 14 Attic 1 Pink fibrous insulation 90% Glass 10% Non -fibrous (Other) None Detected 1 White compact powdery texture with paint 3% Cellulose 97% Non -fibrous (Other) None Detected 15 Main Bth 2 Trace compact powdery texture with paint 3% Cellulose 97% Non -fibrous (Other) None Detected 3 Off-white chalky material with paper 20% Cellulose 80% Non -fibrous �� , None Detected The results iven relate only to the ) as received. Reports must not be used by the client to claim Items aim produ c certificationapp oval, olr endorsement by NVLAP NSTe results apply to the sorr any agency of the Federal Government. Page 2 of 4 Washington Asbestos Testing LLC VVA"*r 11200 Kirkland Way #340A, Kirkland, WA 98033 NVLAP Lab Code 600040-0 (425)658-7286 WATestingLLC@gmail.com Batch #: WAT2109551 Asbestos Analysis of Bulk Materials by App. E to Sub. E of 40 CFR Part 763 and EPA 600/R-93/116 Methods Using Polarized Light Microscopy Attn: Bobbie Page Seattle Asbestos of Washington Office Phone: (425) 362-3484 PO Box 5515, Lynnwood, WA 98046 Date Received: 10/4/2021 Date Analyzed: 10/4/2021 Project: CBI Hotel LLC Samples Received: 25 332 Sunset Ave, Edmonds, WA Samples Analyzed: 25 Analyzed By _� I Approved By D2VId Henry SEQ# CLIENT ID LAYER DESCRIPTION Approved Signatory (If Necessary) % NON -ASBESTOS FIBERS % NON -FIBROUS % ASBESTOS TYPE 1 Beige vinyl covering None Detected 100% Non -fibrous (Other) None Detected 2 White vinyl tile 2% Cellulose 98% Non -fibrous (Other) None Detected 3 Yellow mastic 2% Cellulose 983 Non -fibrous (Other) None Detected 16 Basement Entry 4 Brown vinyl covering None Detected Non -fibrous 100% (Other) None Detected 5 Brown vinyl tile 2% Cellulose 98% Non -fibrous (Other) None Detected 6 Yellow mastic 2% Cellulose 98% Non -fibrous (Other) None Detected 7 White -yellow soft material 25% Glass, Cellulose 75% Non -fibrous (Other) None Detected 1 White paper with paint 75% Cellulose 25% Non -fibrous (Other) None Detected 17 Basement Entry 2 Clear mastic 2% Cellulose Non -fibrous 98% (Other) None Detected 3 White chalky material with paint and paper 20% Cellulose 80% Non -fibrous (Other) None Detected 1 Yellow mastic 2% Cellulose 98% Non -fibrous None Detected (Other) 2 Brown fibrous material with paint 85% Cellulose 15% Non -fibrous (Other) None Detected 3 Yellow mastic 2% Cellulose 98% Non -fibrous None Detected (Other) 4 18 White paper with paint 75% Cellulose 25% Non -fibrous Basement Entry (Other) None Detected 5 Clear mastic 2% Cellulose 98% Non -fibrous None Detected (Other) 6 White paper with paint 75% Cellulose 25� Non -fibrous (Other) None Detected 7 Clear mastic 2% Cellulose 98% Non -fibrous (Other) None Detected 8 White chalky material with paper 20% Cellulose 80% Non -fibrous (Other) None Detected 19 Basement Entry 1 Brown fibrous material with perlite and Non -fibrous paint 85% Cellulose 15% (Other) None Detected 20 Furnace Rm 1 White chalky material with paint and paper 20% Cellulose Non -fibrous 80% (Other) None Detected 1 White compact powdery texture with woven 21 Workshop mesh and paint o 25/o Glass, Cellulose Non -fibrous 75% (Other) None Detected 2 White chalky material with paper 20% Cellulose 80% Non -fibrous (Other) None Detected 22 Attic 1 White fibrous insulation 90% Glass o Non -fibrous 10/ (Other) None Detected The results given relate only to the items tested. The results apply to the sample(s) as received. Reports must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government, Page 3 of 4 WAwrWashington Asbestos Testing LLC 11200 Kirkland Way #340A, Kirkland, WA 98033 (425) 658-7286 :': , � WATestingLLC@gmail.com Asbestos Analysis of Bulk Materials by App. E to Sub. E of 40 CFR Part 763 and EPA 600/R-93/116 Methods Using Polarized Light Microscopy NVLAP Lab Code 600040-0 Batch #: WAT2109551 Attn: Bobbie Page Office Phone: (425) 362-3484 Seattle Asbestos of Washington Date Received: 10/4/2021 PO Box 5515, Lynnwood, WA 98046 Date Analyzed: 10/4/2021 Project: CBI Hotel LLC Samples Received: 25Samples Analyzed: 25 1— 332 Sunset Ave, Edmonds. WA Analyzed By Approved By David Henry �' sitn... !14 ! SEQ# CLIENT ID LAYER ESCRIPTION % NON -ASBESTOS FIBERS % NON -FIBROUS % ASBESTOS TYPE 23 Window 1 White elastic material 2% Cellulose 99% Non -fibrous None Detected (Other) 1 Black asphaltic material with fibrous material Non -fibrous 24 Roof and sand 45% Synthetic 55% (Other) None Detected 2 Black asphaltic material 2% Cellulose 98% Non -fibrous None Detected (Other) 1 Black asphaltic material with fibrous material Non -fibrous 25 Skylight and sand 45% Synthetic 55% (Other) None Detected 2 Black asphaltic material 2% Cellulose 98% Non -fibrous None Detected (Other) The results given relate only to the items tested. The results apply to the sample(s) as received. Reports must not be used by the client to claim product certification, approval, or endorsement by NVLAP, N1ST, or any agency of the Federal Government. Page 4 of 4