RESUB1 BLD2023-0503+ASBESTOS REPORT+5.15.2023_4.28.15_PM+3545933BLD2023-0503
RESUB
May 16 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
N1fL
INDUSTRIAL HYGIENE SERVICES
LABORATORY + MANAGEMENT + TRAINING
Good Faith
Asbestos Inspection
19515 94t" PI. W.
Edmonds, WA 98020
Prepared For
Ms. Trisha Carmack
Landsverk Quality Homes, Inc.
24113 56t" Ave. W.
Mountlake Terrace, WA 98043
Project Number
Inspection Date
Report Date
Inspected By:
AHERA Certification:
Certification Expiration Date
2023-0191
April 7, 2023
April 12, 2023
Cameron Patterson / Daniel Fyffe
# 187422 / # 187715
January 19, 2024 / February 9, 2024
TABLE OF CONTENTS
1.0 SCOPE OF WORK
2.0 INSPECTION METHOD
3.0 LABORATORY INFORMATION
4.0 BUILDING DESCRIPTION
5.0 FINDINGS
6.0 CONCLUSIONS AND RECOMMENDATIONS
7.0 LIMITATIONS
APPENDICIES
A Sample Locations (Floor Plan)
B Laboratory Analysis Results
C AHERA Certification & Laboratory Qualifications
3
4-5
6
7
8-11
12-13
14
19515 94th PI. W.
Edmonds, WA 98020
Project Number: 2023-0191
1.0 SCOPE OF WORK
A Good Faith Asbestos Inspection was conducted on the residence located at 19515 9411 PI. W.,
Edmonds, WA 98020 on April 7, 2023.
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Cameron Patterson and Daniel Fyffe (AHERA Certified Building Inspectors) conducted this inspection
at the request of Ms. Trisha Carmack of Landsverk Quality Homes.
The purpose of this inspection was to identify all suspect asbestos -containing building materials which
would be impacted by the planned demolition of the residence. Destructive sampling methods were
utilized to collect samples of suspect building materials. No soft/limited demolition was performed
during this inspection. Hidden materials may exist within the structures, and all suspect materials must
be treated as asbestos containing until testing proves otherwise.
This inspection constitutes a survey of accessible suspect ACM in the project area and was conducted
in accordance with:
The National Emission Standards for Hazardous Air Pollutants (NESHAP) 40 Code of Federal
Regulations (CFR) Part 61, Subpart M requires a survey by an accredited asbestos inspector prior to
demolition of a structures.
This asbestos survey also satisfies the requirements for "Good Faith" inspection outlined in Washington
Administrative Code (WAC) 296-62-07721 (2) Communication of hazards, which requires the owner of
a structures to provide contractors with a written report identifying the asbestos -containing materials
expected to be disturbed during renovation or demolition.
The asbestos survey section is written to comply with the AHERA asbestos sampling procedure as
stated in 40 CFR 763.86. This protocol is required under the Puget Sound Clean Air Agency (PSCAA
Regulation I II, Article IV, rev. March 26, 2009) for all asbestos surveys prior to a building demolition.
A floor plan indicating locations of samples collected by NVL personnel has been included in
Appendix A.
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98199
Phone (206) 547-0100 • Fax (206) 634-1936
3
19515 94th PI. W.
Edmonds, WA 98020
Project Number: 2023-0191
2.0 INSPECTION METHOD
Asbestos Inspection Method
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The NVL Labs field inspector is an Asbestos Building Inspector, certified under the requirements of the
United States Environmental Protection Agency (EPA) Asbestos Hazard Emergency Response Act
(AHERA) regulation 40 CFR 763, Subpart E. A copy of his certificate is provided in Appendix C.
The AHERA Guidelines dictate the following:
The inspector must determine homogeneous areas, which are defined as an area of Thermal System
Insulation, Surfacing Material, or Miscellaneous Material that is uniform in texture and color.
Once homogeneous areas have been determined, the inspector must determine whether or not
material is friable or non -friable. Friable is defined as a material, that when dry, can be crushed,
pulverized, or reduced to dust using hand pressure, and non -friable material is defined as a material,
that when dry, cannot be crushed pulverized or reduced to dust using hand pressure. Materials
normally defined as non -friable can become friable by definition if sufficiently damaged.
Once friability has been determined, the materials suspected of containing asbestos are divided into
one of three categories: Thermal System Insulation (TSI), Surfacing Material (SM), or Miscellaneous
Material (MM). Generally speaking, TSI and SM are considered to be friable, with the exception of TSI
where the structural integrity of the insulation is intact and the protective out wrap is undamaged.
Once materials are divided into one of the categories, samples are collected in the following manner:
Friable Thermal System Insulation:
1. Inspector shall collect three (3) randomly distributed samples;
2. Inspector shall collect a minimum of one sample of each TSI materials that appears to have
been used as a patch, as long as the patch is less than six linear feet or six square feet;
3. Inspector shall collect in a manner sufficient, samples from areas of TSI applied to fittings,
tees, and joints.
Friable Surfacing Material:
1. Inspector shall collect samples in statistically random manner of surfacing materials as
follows:
a. Collect three bulk samples from an area believed to be homogeneous (defined as a
material that appears to be the same or similar and was installed at the same time)
that is 1,000 square feet or less in size;
b. Collect five bulk samples from an area believed to be homogeneous that is greater
than 1,000 square feet in size, but less than 5,000 square feet in size;
c. Collect seven bulk samples from an area believed to be homogeneous that is greater
than 5,000 square feet.
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98199
Phone (206) 547-0100 • Fax (206) 634-1936
4
19515 94th PI. W.
Edmonds, WA 98020
Project Number: 2023-0191
2.0 INSPECTION METHOD (continued)
Miscellaneous Materials:
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Inspector shall collect samples in a manner and number sufficient to determine if the
material is asbestos -containing or not.
All Materials Determined to Be Non -Friable:
1. Inspector shall collect samples in a manner and number sufficient to determine if the
material is asbestos containing or not.
In addition to these sampling requirements, the AHERA Building Inspector is required to assess the
following of each material that is found to be positive for asbestos:
1. The condition of each material;
2. Accessibility;
3. Possibility for air erosion.
Once the samples have been collected, they must be analyzed by an accredited laboratory, and they
must be analyzed using polarized light microscopy methods, commonly referred to as EPA Method
600/R-93/116.
NVL Labs collected samples and obtained analytical data for suspect asbestos -containing materials
identified in the building. Once collected, each bulk sample was sealed in an unadulterated plastic bag
to eliminate the possibility of cross -contamination. "Chain -of -Custody" tracking was followed to
maintain sample integrity during handling and data reporting at NVL Labs.
A walk-through inspection of all accessible areas of these structures was performed to identify potential
asbestos -containing materials. The walk-through inspection included a review of the internal and
external aspects of these structures. The locations and types of potential asbestos -containing materials
were noted.
Homogeneous Materials
Homogeneous materials are defined as an area of asbestos -containing material or presumed asbestos -
containing material which appears similar throughout in terms of color, texture, and date of material
application. The report listing for homogenous materials will appear as follows:
Sample
Material Description by Layer
Location
Asbestos
Quantity
Friable
Number
Layer 1 is not asbestos -containing
1.
#
Location description
"X" LF/ft2
Yes/No
Layer 2 is asbestos -containing
2. %
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98199
Phone (206) 547-0100 • Fax (206) 634-1936
5
19515 94th PI. W.
Edmonds,N
�L
Project Number:
202 2023-0191
3.0 LABORATORY INFORMATION
Laboratory Analysis: Asbestos
In accordance with 40 CFR Chapter 1 (7-01-07 Edition) Part 763, Subpart E, Appendix E, asbestos
samples are analyzed at NVL Labs using polarized light microscopy (PLM) with dispersion staining. If
samples are not homogeneous, then sub -samples of the components are analyzed separately. All bulk
samples are analyzed using EPA Method 600/R-93/116 with the following measurement uncertainties
for reported % asbestos: 1%=0-3%, 5%>_1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%. Only
materials containing more than 1 % total asbestos were classified as "asbestos -containing" based on
EPA, state, and local regulations.
Findings for samples containing more than one separable layer of materials are reported for each layer.
The asbestos concentration in the sample is determined by visual estimation.
NVL Labs is accredited by the National Institute of Standards and Technology (NIST) under the National
Volunteer Laboratory Accreditation Program (NVLAP) program for bulk asbestos fiber analysis; NVLAP
Lab Code 102063-0
Laboratory Accreditation
Professional accreditations for NVL Laboratories, Inc. include the following:
NVL Laboratories, Inc. is currently accredited by the National Institute of Standards and Technology
(NIST) under the National Volunteer Laboratory Accreditation Program (NVLAP) program for bulk
asbestos fiber analysis.
NVLAP Lab Code 102063-0
NVL Laboratories, Inc. is approved by the American Industrial Hygiene Association (AIHA) Asbestos
Analysts Registry (AAR) program for airborne asbestos fiber analysis.
AAR Counter ID 7412
NVL Laboratories, Inc. is currently accredited by the American Industrial Hygiene Association (AIHA)
under the Industrial Hygiene Laboratory Accreditation Program (IHLAP). The IHLAP program is
designed specifically for laboratories involved in analyzing samples to evaluate workplace exposure.
IHLAP Certification Number 563
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98199
Phone (206) 547-0100 • Fax (206) 634-1936
0
19515 94th PI. W.
Edmonds, WA 98020
Project Number: 2023-0191
4.0 BUILDING DESCRIPTION
Parcel Number
Year of Construction
Buildings Square Footage
County
General Building Type
Primary External Components
Foundation Type
Roofing Material(s)
Window Type(s)
Flooring
Thermal Systems with Insulation
Finishing
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00434600005801
1960
2795 ft2
Snohomish
The property consists of a single-family residence of wood
framed construction.
The exterior of the residence has wood siding.
The residence has a below -grade concrete foundation.
The residence has tri-tab roofing.
The residence has aluminum windows with caulking, glass -
block windows with mortar, and wood framed windows with
no associated caulking or glazing.
The residence has ceramic tile, carpet, sheet vinyl, vinyl floor
tile, wood laminate, and hardwood flooring.
The residence is heated by a forced air heating system, with
no visible suspect thermal insulation.
The residence is finished with drywall, and texture.
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98199
Phone (206) 547-0100 • Fax (206) 634-1936
7
19515 94th PI. W.
Edmonds, WA 98020
Project Number: 2023-0191
5.0 FINDINGS
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Sample Number
Material Description by Layer
Location
Asbestos
Quantity*"
Friable*
2023-0191-1-1
Texture on drywall
Main floor, room 12 —wall
ND
2023-0191-1-2
Texture on drywall
Main floor, room 15 —wall
ND
2023-0191-1-3
Texture on drywall
Main floor, room 14 —wall
ND
2023-0191-1-4
Texture on drywall
Main floor, room 21 —wall
ND
2023-0191-1-5
Texture on drywall
Main floor, room 17 —wall
ND
2023-0191-1-6
Texture on drywall
Basement, Room 10—wall
ND
2023-0191-1-7
Texture on drywall
Basement, Room 10—wall
ND
2023-0191-1-8
Texture on drywall
Basement, Room 10—wall
ND
1: Joint compound with paint
1: 3%
2023-0191-3-1
2: Joint compound
Main Floor, room 14 —
2: 2%
***See below
wall -joint
3: Drywall
2: ND
2023-0191-3-2
Drywall with paint
Basement, room 6 — mid -wall
ND
1: Carpet pad
1: ND
2: Yellow mastic
2: ND
2023-0191-3-3
3: Carpet
Basement, room 1 —floor
3: ND
4: Vinyl floor tile
4: ND
5: Yellow mastic
5: ND
1: Ceramic tile
1: ND
2023-0191-3-4
Basement, room 1 —windowsill
2: Grout / leveler
2: ND
2023-0191-3-5
Mortar
Basement, room 1 — glass -block
ND
windows
1: Caulking
1: ND
2023-0191-3-6
Basement, room 2 — counter
2: Grout
2: ND
1: Off-white ceramic tile
1: ND
2023-0191-3-7
2: White grout
Basement, room 3—floor
2: ND
3: Gray leveler
3: ND
1: White caulking
Basement, room 3 — shower
1: ND
2023-0191-3-8
surround2:
2: Grout
ND
ND None Detected
The friability of this material was determined at the time of this survey. Subsequent activities such as demolition, renovation,
or abatement may affect the friability of this material.
** These quantities are only an estimate of the asbestos containing material discovered on site. Accuracy of these estimates
must be verified by the asbestos abatement contractor on site.
*** As per WRD 23.30, this material is considered to be < 1 % asbestos containing when considered a part of the composite wall
system, for demolition purposes only.
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98199
Phone (206) 547-0100 • Fax (206) 634-1936
0
19515 94th PI. W.
Edmonds, WA 98020
Project Number: 2023-0191
5.0 FINDINGS (CONTINUED)
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Sample Number
Material Description by Layer
Location
Asbestos
Quantity**
Friable*
1: Carpet pad
1: ND
2: Carpet
2: ND
2023-0191-3-9
3: Tan vinyl floor tile
Basement, room 4 — floor
3: ND
4: Tan mastic
4: ND
5: Leveler
5: ND
1: Gray ceramic tile
1: ND
2023-0191-3-10
2: White grout
Basement, room 6 — hearth
2: ND
3: Gray leveler
3: ND
1: Red Brick
1: ND
2023-0191-3-11
Basement, room 6 — chimney
2: White mortar
2: ND
1: Compressed board tile
1: ND
2023-0191-3-12
2: Compressed board tile
Basement, room 7—floor
2: ND
3: Backing
3: ND
1: Brown laminate
1: ND
2023-0191-3-13
2: Tan mastic
Basement, room 7 — counter
2: ND
3: Caulking
3: ND
1: Gray filler
Basement, room 7 — closet,
1: ND
2023-0191-3-14
2: White filler
chimney penetration
2: ND
1: Gray ceramic tile
1: ND
2023-0191-3-15
2: Gray grout
Basement, room 8—floor
2: ND
3: Dark Gray leveler
3: ND
1: Off-white sheet vinyl
1: ND
2023-0191-3-16
Basement, room 9 — floor
2: Backing with mastic
2: ND
1: Light blue vinyl cove -base
1: ND
2023-0191-3-17
Basement, room 9 — wall base
2: Mastic
2: ND
1: Fiberglass insulation
1: ND
2023-0191-3-18
Basement, room 10 — ceiling cavity
2: Paper with mastic
2: ND
2023-0191-3-19
Brown vinyl floor tile
Basement, room 11 —floor
ND
1: White ceramic tile
1: ND
2: White grout
2: ND
2023-0191-3-20
3: Tan leveler
Basement, room 11 —counter
3: ND
4: Laminate
4: ND
5: Tan mastic
5: ND
ND None Detected
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98199
Phone (206) 547-0100 • Fax (206) 634-1936
19515 94th PI. W.
Edmonds, WA 98020
Project Number: 2023-0191
5.0 FINDINGS (CONTINUED)
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Sample Number
Material Description by Layer
Location
Asbestos
Quantity**
Friable*
1: ND
1: Off- white ceramic tile
2023-0191-3-21
2: White grout
Main floor, rooms 12 & 14 —
2: ND
12 ft2
NO
windowsills
o
3: 3 /o
3: Brown mastic
1: Tan ceramic tile
1: ND
2: White Grout
2: ND
2023-0191-3-22
Main floor, room 13—floor
3: Gray leveler
3: ND
4: White grout
4: ND
1: Beige ceramic tile
Main floor, room 13 — shower
1: ND
2023-0191-3-23
surround
2: Beige mastic
2: ND
1: Drywall
1: ND
2: Silicone adhesive
2: ND
2023-0191-3-24
Main floor, room 13 — counter
3: Off-white caulking
3: ND
4: Ceramic tile
4: ND
2023-0191-3-25
Black Felt
Main floor, room 14—floor (under
ND
hardwood)
2023-0191-3-26
Yellow insulation with foil and paper
Main floor, room 14 — wall cavity
ND
1: Carpet
1: ND
2023-0191-3-27
2: Backing with mastic
Main floor, room 16—floor
2: ND
3: Carpet pad
3: ND
1: Wallpaper
1: ND
2023-0191-3-28
2: Joint Compound
Main floor, room 16 — walls
2: 2%
***Same as 3-1
3: Drywall
3: ND
1: Red brick
1: ND
2023-0191-3-29
2: Beige mortar
Main floor, room 17 —fireplace
2: ND
3: Off-white leveler
3: ND
1: Backer
1: ND
2: Gray grout
2: ND
2023-0191-3-30
Main floor, room 18—floor
3: Gray slate tile
3: ND
4: White mastic
4: ND
ND None Detected
The friability of this material was determined at the time of this survey. Subsequent activities such as demolition, renovation,
or abatement may affect the friability of this material.
** These quantities are only an estimate of the asbestos containing material discovered on site. Accuracy of these estimates
must be verified by the asbestos abatement contractor on site.
*** As per WRD 23.30, this material is considered to be < 1 % asbestos containing when considered a part of the composite wall
system, for demolition purposes only.
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98199
Phone (206) 547-0100 • Fax (206) 634-1936
10
19515 94th PI. W.
Edmonds, WA 98020
Project Number: 2023-0191
5.0 FINDINGS (CONTINUED)
;1'l�
Sample Number
Material Description by Layer
Location
Asbestos
Quantity**
Friable*
1: Off- white sheet vilyl
1: ND
2: Tan mastic
2: ND
2023-0191-3-31
Main floor, room 19 — floor
3: White leveler
3: ND
4: Tan backer
4: ND
2023-0191-3-32
White Caulking
Main floor, room 19—shower
ND
surround
1: Grout
1: ND
2: White ceramic tile
2: ND
2023-0191-3-33
3: Clear glass tile
Main floor, room 19 — counter
3: ND
***Same as 3-1
4: White mesh with leveler
4: ND
5: Joint compound
5: 2%
1: White ceramic tile with adhesive
1: ND
2023-0191-3-34
Main floor, room 19—windowsill
2: Caulking
2: ND
1: Green sink undercoat
1: ND
2023-0191-3-35
Main floor, room 21 — sink
2: Black sealant
2: ND
1: Marble
1: ND
2023-0191-3-36
2: Caulking
Main floor, room 21 — counter
2: ND
3: Leveler
3: ND
1: White paper
1: ND
2023-0191-3-37
Exterior— behind wood siding
2: Black felt
2: ND
2023-0191-3-38
White caulking
Exterior —around aluminum
ND
framed windows
1: Caulking
1: ND
2023-0191-3-39
Exterior — glass -block windows
2: White mortar
2: ND
1: Tri-tab shingle
1: ND
2: Black mastic
2: ND
2023-0191-3-40
Exterior — roof
3: Tri-tab shingle
3: ND
4: Black felt
4: ND
ND None Detected
The friability of this material was determined at the time of this survey. Subsequent activities such as demolition, renovation,
or abatement may affect the friability of this material.
** These quantities are only an estimate of the asbestos containing material discovered on site. Accuracy of these estimates
must be verified by the asbestos abatement contractor on site.
*** As per WRD 23.30, this material is considered to be <1 % asbestos containing when considered a part of the composite wall
system, for demolition purposes only.
Any suspect material(s) not identified above should not be disturbed and should be tested immediately.
All suspect materials must be treated as asbestos -containing until testing proves otherwise.
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98199
Phone (206) 547-0100 • Fax (206) 634-1936
11
19515 94th PI. W.
Edmonds,N
�L
Project Number:
202 2023-0191
6.0 CONCLUSIONS AND RECOMMENDATIONS
The following is an inventory of asbestos -containing building materials identified during the Good Faith
Asbestos Inspection of the subject property:
1.
Tan mastic (Non -friable)
Sample number: 2023-0191-3-21
Materials Containing <1% Asbestos
1. Joint compound with paint
Sample number: 2023-0191-3-1, 3-28 & 3-33
J
There is approximately 12 square feet of
asbestos containing tan mastic associated with
the tile windowsills in rooms 12 and 14 on the
main floor.
There is an unknown quantity of asbestos
containing joint -compound with paint associated
with the interior GWB wall/ceiling system of the
residence.
However, as per in WRD 23.30, this material is
a part of the composite wall system and is
considered to be less than 1 % asbestos
containing, for demolition purposes only.
Regulatory Requirements for Materials Containing <1 % Asbestos
• If less than 1 % asbestos is found in asbestos containing building material (ACBM), the EPA and
Local Clean Air Agencies (LCAAs) do not regulate it as "asbestos containing material."
• Abatement of <1 % asbestos is considered "non -classified" work by Washington State Department
of Labor and Industries covered in WAC 296-62-07712 (2, 4, & 5), WAC 296-62-07722 (5), and
WAC 296-62-07728.
• Competent Person (with no set training requirements, however the Competent Person must have
appropriate knowledge and authority to take necessary action to ensure safe work place) to conduct
an exposure assessment/negative exposure assessment (NEA), as per WAC 296-62-07709-3-b.
• Wet Methods (WAC 296-62-07712-2).
• HEPA Vacuum (WAC 296-62-07712-2).
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98199
Phone (206) 547-0100 • Fax (206) 634-1936
12
19515 94th PI. W.
Edmonds, WA 98020
Project Number: 2023-0191
6.0 CONCLUSIONS AND RECOMMENDATIONS (continued)
• Prompt clean up and disposal (WAC 296-62-07712-2).
• Protective clothing and equipment is required if NEA is not performed (WAC 296-62-07717).
• Respiratory Protection (WAC 296-62-07715 and WAC 296-842).
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Contractors should be aware that concealed suspect asbestos -containing building materials may be
uncovered during the course of demolition or renovation work. Contractors should have contingency
plans that include stopping work, evacuation of the immediate area and sampling by a certified AHERA
Building Inspector whenever these materials are found. Concealed suspect materials may include, but
are not limited to: non -fiberglass pipe or roof drain insulation; spray -applied coatings; cement board;
asphalt or paper vapor barriers; floorings and adhesives.
If discovered, all asbestos -containing materials that will be disturbed as a natural part of renovation
and/or demolition are required to be removed and disposed of in accordance with Washington State
regulations. Washington State Department of Labor and Industries and PSCAA require that the
abatement be performed using Certified Asbestos Workers under the direct on -site supervision by a
Certified Asbestos Supervisor.
NVL recommends that an AHERA inspector/project manager be on site at the time of
renovation/demolition to ensure that any potentially asbestos -containing materials uncovered during
the process of renovation/demolition be dealt with properly. NVL Labs, Inc. is making the following
recommendations regarding asbestos:
1. A copy of this inspection report should be maintained at the project site during the duration of
renovation / demolition.
2. A copy of this inspection report should be provided to the General Contractor and any Sub
Contractors working on the renovation / demolition project.
3. The inspection report is not intended to serve as a design / bidding document, or scope of
work prior to renovation / demolition.
4. Abatement specifications should be prepared by a Hazardous Materials Consulting firm
covering the regulated building materials that will be impacted by the renovations / demolition,
and these specifications should be part of any contract documents prepared for this project.
5. A licensed asbestos abatement contractor must be utilized to remove any asbestos -containing
materials that will be impacted by the planned renovation / demolition.
6. A Hazardous Materials Consulting Firm should provide project oversight and air monitoring
during the removal of the asbestos -containing materials.
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98199
Phone (206) 547-0100 • Fax (206) 634-1936
13
19515 94th PI. W.
Edmonds, WA 98020
Project Number: 2023-0191
7.0 LIMITATIONS
;1'l�
The sole purpose of this Good Faith Asbestos Inspection report is to document asbestos -containing
building materials discovered at 19515 94th PI. W., Edmonds, WA 98020.
The purpose of this inspection was to identify all suspect asbestos -containing building materials which
would be impacted by the planned demolition of the residence. Destructive sampling methods were
utilized to collect samples of suspect building materials. No soft/limited demolition was performed
during this inspection. Hidden materials may exist within the structures, and all suspect materials must
be treated as asbestos containing until testing proves otherwise.
This site visit consisted of a thorough visual walk-through of the building for the purpose of viewing and
sampling potential asbestos -containing material. As hazardous material surveys are non -
comprehensive by nature, NVL Laboratories, Inc. cannot be held liable for materials which require
destructive means to access, materials which are hidden from sight (e.g. materials hidden behind
walls), materials which cannot be found due to their obscure nature, or which otherwise cannot be
discovered with reasonable diligence.
This document is the sole property of NVL Laboratories and the property owner, or his agent,
authorizing this inspection.
Inspected By
Cameron Patterson
AHERA Building Inspector
AHERA Certification: # 187422
Expiration Date: January 19, 2024
Inspected By
Daniel Fyffe
AHERA Building Inspector
AHERA Certification: # 187715
Expiration Date: February 9, 2024
Reviewed By
Syed Hasan
Manager Field Services
AHERA Certification: # 185713
Expiration Date: July 13, 2023
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98199
Phone (206) 547-0100 • Fax (206) 634-1936
14
NVL
L A B 5
Appendix,A
Sample Locations (Floor Plan)
NVLINDNSTNIAI
LAJOEATORY + WARUNE41 � TRAIMI46
NVL Project # 2023-0191
Client Landsverk Quality Homes, Inc. - Trisha
Location 19515 94th Ave W
City Edmonds
Page of
Date 4/7/2023
Made by Cameron Patterson
of 0 "hI----
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Phone: 206 547.0100 I Fax: 206 634.1936 j Toll Free: 1.888.NVL.LABS (685.5227)
4708 Aurora Avenue North Seattle, WA 98103-6516
NVL
L A B S
Appendix B
Laboratory Analysis Results
April 12, 2023
Cameron Patterson
NVL Field Services Division
4708 Aurora Ave. N.
Seattle, WA 98103
RE: Bulk Asbestos Fiber Analysis; NVL Batch # 2305603.00
Client Project: 2023-0191
Location: 19515 94th Ave W
Dear Mr. Patterson,
NVL
INDUSTRIAL HYGIENE SERVICES
LABORATORY - MANAGEMENT + TRAINING
Enclosed please find test results for the 30 sample(s) submitted to our laboratory for analysis on
4/7/2023.
Examination of these samples was conducted for the presence of identifiable asbestos fibers using
polarized light microscopy (PLM) with dispersion staining in accordance with U. S. EPA 40 CFR
Appendix E to Subpart E of Part 763, Interim Method for the Determination of Asbestos in Bulk
Insulation Samples and EPA 600/R-93/116, Method for the Determination of Asbestos in Bulk Building
Materials.
For samples containing more than one separable layer of materials, the report will include findings for
each layer (labeled Layer 1 and Layer 2, etc. for each individual layer). The asbestos concentration in
the sample is determined by calibrated visual estimation.
For those samples with asbestos concentrations between 1 and 10 percent based on visual estimation,
the EPA recommends a procedure known as point counting (NESHAPS, 40 CFR Part 61). Point
counting is a statistically more accurate means of quantification for samples with low concentrations of
asbestos.
The detection limit for the calibrated visual estimation is <1 %, 400 point counts is 0.25% and 1000 point
counts is 0.1 %
Samples are archived for two weeks following analysis. Samples that are not retrieved by the client are
discarded after two weeks.
Thank you for using our laboratory services. Please do not hesitate to call if there is anything further we
can assist you with.
Sincerely,
2ie�OL�
Nick Ly, Technical Director
Enc.: Sample Results
IKIW�I%f
Testing
Lab Code 102053-0
Phone: 206 547.0100 1 Fax: 206 634.1936 Toll Free: 1.888.NVL.LABS (685.5227)
4708 Aurora Avenue North Seattle, WA 98103-6516
page 1 of 16
Bulk Asbestos Fibers Analysis HVL
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 2305603.00
Address: 4708 Aurora Ave. N. Client Project #: 2023-0191
Seattle, WA 98103 Date Received: 4/7/2023
Samples Received: 30
Attention: Mr. Cameron Patterson Samples Analyzed: 30
Project Location: 19515 94th Ave W Method: EPA/600/R-93/116
Lab ID: 23034196 Client Sample #: 2023-0191-1-1
Location: 19515 94th Ave W
Layer 1 of 2 Description: White compacted powdery material
with paint
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Calcareous binder, Calcareous particles, Paint
None Detected ND
None Detected ND
Layer 2 of 2 Description: White chalky material with paper
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Gypsum/Binder, Binder/Filler, Fine grains
Cellulose 24%
None Detected ND
Lab ID: 23034197 Client Sample #: 2023-0191-1-2
Location: 19515 94th Ave W
Layer 1 of 1 Description: White chalky material with paper and paint
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Gypsum/Binder, Paint, Fine grains
Cellulose 29%
None Detected ND
Lab ID: 23034198 Client Sample #: 2023-0191-1-3
Location: 19515 94th Ave W
Layer 1 of 2 Description: White compacted powdery material
with paint
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Calcareous binder, Calcareous particles, Paint
None Detected ND
None Detected ND
Layer 2 of 2 Description: White chalky material with paper
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Gypsum/Binder, Binder/Filler, Fine grains
Cellulose 31 %
None Detected ND
Lab ID: 23034199 Client Sample #: 2023-0191-1-4
Location: 19515 94th Ave W
Sampled by: Client
Analyzed by: Hieu Ta Date:04/10/2023
Reviewed by: Nick Ly Date:04/12/2023 Nick Ly, Technical Director
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 2 of 16
Bulk Asbestos Fibers Analysis HVL
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 2305603.00
Address: 4708 Aurora Ave. N. Client Project #: 2023-0191
Seattle, WA 98103 Date Received: 4/7/2023
Samples Received: 30
Attention: Mr. Cameron Patterson Samples Analyzed: 30
Project Location: 19515 94th Ave W Method: EPA/600/R-93/116
Layer 1 of 1 Description: White chalky material with paper and paint
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Gypsum/Binder, Paint, Fine grains Cellulose 27%
None Detected ND
Lab ID: 23034200 Client Sample #: 2023-0191-1-5
Location: 19515 94th Ave W
Layer 1 of 1 Description: White chalky material with paper and paint
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Gypsum/Binder, Paint, Fine grains Cellulose 24%
None Detected ND
Lab ID: 23034201 Client Sample #: 2023-0191-1-6
Location: 19515 94th Ave W
Layer 1 of 3 Description: White compacted powdery material with paint and fibrous mesh
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Calcareous binder, Calcareous particles, Paint Glass fibers 18%
None Detected ND
Layer 2 of 3 Description: White compacted powdery material with paper
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Calcareous binder, Calcareous particles, Fine grains Cellulose 22%
None Detected ND
Layer 3 of 3 Description: White chalky material with paper
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Gypsum/Binder, Binder/Filler, Fine grains Cellulose 31 %
None Detected ND
Lab ID: 23034202 Client Sample #: 2023-0191-1-7
Location: 19515 94th Ave W
Layer 1 of 2 Description: White compacted powdery material with paint
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Calcareous binder, Calcareous particles, Paint None Detected ND
None Detected ND
Sampled by: Client
Analyzed by: Hieu Ta Date:04/10/2023
Reviewed by: Nick Ly Date:04/12/2023 Nick Ly, Technical Director
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 3 of 16
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division
Address: 4708 Aurora Ave. N.
Seattle, WA 98103
Attention: Mr. Cameron Patterson
Project Location: 19515 94th Ave W
00
ds NVL
Batch #: 2305603.00
Client Project #: 2023-0191
Date Received: 4/7/2023
Samples Received: 30
Samples Analyzed: 30
Method: EPA/600/R-93/116
Layer 2 of 2 Description: White chalky material with paper
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Gypsum/Binder, Binder/Filler, Fine grains Cellulose 25% None Detected ND
Lab ID: 23034203 Client Sample #: 2023-0191-1-8
Location: 19515 94th Ave W
Layer 1 of 1 Description: White chalky material with paper and paint
Non -Fibrous Materials: Other Fibrous Materials:%
Gypsum/Binder, Paint, Fine grains Cellulose 36%
Lab ID: 23034204 Client Sample #: 2023-0191-3-1
Location: 19515 94th Ave W
Comments: Composite result (per client request) for whole sample is less than 1 % asbestos.
Layer 1 of 3 Description: Off-white compacted powdery material with paint
Non -Fibrous Materials: Other Fibrous Materials:%
Calcareous binder, Calcareous particles, Paint None Detected ND
Layer 2 of 3 Description: Off-white compacted powdery material with paper
Non -Fibrous Materials: Other Fibrous Materials:%
Calcareous binder, Calcareous particles, Fine grains Cellulose 17%
Layer 3 of 3 Description: White chalky material with paper
Non -Fibrous Materials: Other Fibrous Materials:%
Gypsum/Binder, Binder/Filler, Fine grains Cellulose 33%
Lab ID: 23034205 Client Sample #: 2023-0191-3-2
Location: 19515 94th Ave W
Layer 1 of 1 Description: White chalky material with paper and paint
Non -Fibrous Materials: Other Fibrous Materials:%
Gypsum/Binder, Paint, Fine grains Cellulose 26%
Asbestos Type: %
None Detected ND
Asbestos Type: %
Chrysotile 3%
Asbestos Type: %
Chrysotile 2%
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Sampled by: Client
Analyzed by: Hieu Ta Date:04/10/2023
Reviewed by: Nick Ly Date:04/12/2023 Nick Ly, Technical Director
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 4 of 16
Bulk Asbestos Fibers Analysis HVL
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 2305603.00
Address: 4708 Aurora Ave. N. Client Project #: 2023-0191
Seattle, WA 98103 Date Received: 4/7/2023
Samples Received: 30
Attention: Mr. Cameron Patterson Samples Analyzed: 30
Project Location: 19515 94th Ave W Method: EPA/600/R-93/116
Lab ID: 23034206 Client Sample #: 2023-0191-3-3
Location: 19515 94th Ave W
Layer 1 of 5 Description: White foamy material with coating
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Synthetic/Binder, Synthetic foam, Debris
None Detected ND
None Detected ND
Layer 2 of 5 Description: Yellow mastic
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Debris, Fine particles
None Detected ND
None Detected ND
Layer 3 of 5 Description: White woven fibrous material with backing
and plastic mesh
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Synthetic/Binder, Plastic, Debris
Synthetic fibers 84%
None Detected ND
Layer 4 of 5 Description: Tan vinyl
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Vinyl/Binder, Debris, Fine particles
None Detected ND
None Detected ND
Layer 5 of 5 Description: Yellow mastic with debris
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Debris, Fine particles
None Detected ND
None Detected ND
Lab ID: 23034207 Client Sample #: 2023-0191-3-4
Location: 19515 94th Ave W
Layer 1 of 2 Description: White ceramic the
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Ceramic/Binder, Mineral grains, Fine particles
None Detected ND
None Detected ND
Layer 2 of 2 Description: White crumbly material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Mineral grains, Fine particles
None Detected ND
None Detected ND
Sampled by: Client
Analyzed by: Hieu Ta Date:04/10/2023
Reviewed by: Nick Ly Date:04/12/2023 Nick Ly, Technical Director
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 5 of 16
Bulk Asbestos Fibers Analysis HVL
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 2305603.00
Address: 4708 Aurora Ave. N. Client Project #: 2023-0191
Seattle, WA 98103 Date Received: 4/7/2023
Samples Received: 30
Attention: Mr. Cameron Patterson Samples Analyzed: 30
Project Location: 19515 94th Ave W Method: EPA/600/R-93/116
Lab ID: 23034208 Client Sample #: 2023-0191-3-5
Location: 19515 94th Ave W
Layer 1 of 1 Description: White crumbly material
Non -Fibrous Materials:
Binder/Filler, Mineral grains, Fine particles
Other Fibrous Materials:%
None Detected ND
Asbestos Type: %
None Detected ND
Lab ID: 23034209 Client Sample #: 2023-0191-3-6
Location: 19515 94th Ave W
Layer 1 of 2 Description: White soft material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Synthetic/Binder, Debris, Fine particles
None Detected ND
None Detected ND
Layer 2 of 2 Description: White compacted powdery material
with paint
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Calcareous binder, Calcareous particles, Paint
None Detected ND
None Detected ND
Lab ID: 23034210 Client Sample #: 2023-0191-3-7
Location: 19515 94th Ave W
Layer 1 of 3 Description: Off-white ceramic the
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Ceramic/Binder, Mineral grains, Debris
None Detected ND
None Detected ND
Layer 2 of 3 Description: White crumbly material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Mineral grains, Fine particles
None Detected ND
None Detected ND
Layer 3 of 3 Description: Gray crumbly material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Mineral grains, Fine particles
None Detected ND
None Detected ND
Sampled by: Client
Analyzed by: Hieu Ta Date:04/10/2023
Reviewed by: Nick Ly Date:04/12/2023 Nick Ly, Technical Director
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 6 of 16
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division
Address: 4708 Aurora Ave. N.
Seattle, WA 98103
Attention: Mr. Cameron Patterson
Project Location: 19515 94th Ave W
Lab ID: 23034211 Client Sample #: 2023-0191-3-8
Location: 19515 94th Ave W
Layer 1 of 2 Description: White soft material
Non -Fibrous Materials: Other Fibrous Materials:%
Synthetic/Binder, Debris, Fine particles None Detected ND
Layer 2 of 2 Description: White compacted powdery material with paint
Non -Fibrous Materials: Other Fibrous Materials:%
Calcareous binder, Calcareous particles, Paint None Detected ND
Lab ID: 23034212 Client Sample #: 2023-0191-3-9
Location: 19515 94th Ave W
Layer 1 of 5 Description: White foamy material with coating
Non -Fibrous Materials: Other Fibrous Materials:%
Synthetic/Binder, Synthetic foam, Debris None Detected ND
Layer 2 of 5 Description: White woven fibrous material with backing and plastic mesh
Non -Fibrous Materials: Other Fibrous Materials:%
Synthetic/Binder, Plastic, Debris Synthetic fibers 85%
Layer 3 of 5 Description: Tan vinyl
Non -Fibrous Materials: Other Fibrous Materials:%
Vinyl/Binder, Debris, Fine particles None Detected ND
Layer 4 of 5 Description: Tan mastic
Non -Fibrous Materials: Other Fibrous Materials:%
Mastic/Binder, Debris, Fine particles None Detected ND
Layer 5 of 5 Description: White crumbly material
Non -Fibrous Materials: Other Fibrous Materials:%
Binder/Filler, Debris, Fine particles None Detected ND
00
ds NVL
Batch #: 2305603.00
Client Project #: 2023-0191
Date Received: 4/7/2023
Samples Received: 30
Samples Analyzed: 30
Method: EPA/600/R-93/116
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Sampled by: Client
Analyzed by: Hieu Ta Date:04/10/2023
Reviewed by: Nick Ly Date:04/12/2023 Nick Ly, Technical Director
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 7 of 16
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division
Address: 4708 Aurora Ave. N.
Seattle, WA 98103
Attention: Mr. Cameron Patterson
Project Location: 19515 94th Ave W
Lab ID: 23034213 Client Sample #: 2023-0191-3-10
Location: 19515 94th Ave W
Layer 1 of 3 Description: Gray ceramic tile
Non -Fibrous Materials:
Ceramic/Binder, Mineral grains, Fine particles
Layer 2 of 3 Description: White crumbly material
Non -Fibrous Materials:
Binder/Filler, Mineral grains, Fine particles
Layer 3 of 3 Description: Gray crumbly material
Non -Fibrous Materials:
Binder/Filler, Mineral grains, Fine particles
Lab ID: 23034214 Client Sample #: 2023-0191-3-11
Location: 19515 94th Ave W
Layer 1 of 2 Description: Red brittle material
Non -Fibrous Materials:
Binder/Filler, Brick, Mineral grains
Layer 2 of 2 Description: White crumbly material
Non -Fibrous Materials:
Binder/Filler, Mineral grains, Fine particles
Lab ID: 23034215 Client Sample #: 2023-0191-3-12
Location: 19515 94th Ave W
Other Fibrous Materials:%
None Detected ND
Other Fibrous Materials:%
None Detected ND
Other Fibrous Materials:%
None Detected ND
Other Fibrous Materials:%
None Detected ND
Other Fibrous Materials:%
None Detected ND
Layer 1 of 3 Description: Brown compressed fibrous material with surface
Non -Fibrous Materials: Other Fibrous Materials:%
Binder/Filler, Debris, Fine particles Cellulose 94%
00
ds NVL
Batch #: 2305603.00
Client Project #: 2023-0191
Date Received: 4/7/2023
Samples Received: 30
Samples Analyzed: 30
Method: EPA/600/R-93/116
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Sampled by: Client
Analyzed by: Hieu Ta Date:04/10/2023
Reviewed by: Nick Ly Date:04/12/2023 Nick Ly, Technical Director
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 8 of 16
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division
Address: 4708 Aurora Ave. N.
Seattle, WA 98103
Attention: Mr. Cameron Patterson
Project Location: 19515 94th Ave W
00
ds NVL
Batch #: 2305603.00
Client Project #: 2023-0191
Date Received: 4/7/2023
Samples Received: 30
Samples Analyzed: 30
Method: EPA/600/R-93/116
Layer 2 of 3 Description: Brown flat hard compressed fibrous material with surface
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Debris, Fine particles Cellulose 97% None Detected ND
Layer 3 of 3 Description: White fibrous material with foam and plastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Synthetic/Binder, Synthetic foam, Plastic Synthetic fibers 33% None Detected ND
Lab ID: 23034216 Client Sample #: 2023-0191-3-13
Location: 19515 94th Ave W
Layer 1 of 3 Description: Brown flat hard compressed fibrous material with surface
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Debris, Fine particles Cellulose 92% None Detected ND
Layer 2 of 3 Description: Tan mastic with debris
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Debris, Fine particles Cellulose 8% None Detected ND
Layer 3 of 3 Description: White soft material with paint
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Synthetic/Binder, Paint, Debris None Detected ND None Detected ND
Lab ID: 23034217 Client Sample #: 2023-0191-3-14
Location: 19515 94th Ave W
Layer 1 of 2 Description: Gray crumbly material
Non -Fibrous Materials: Other Fibrous Materials:%
Binder/Filler, Debris, Fine particles Wollastonite 4%
Mineral fibers 2%
Asbestos Type: %
None Detected ND
Sampled by: Client
Analyzed by: Hieu Ta Date:04/10/2023
Reviewed by: Nick Ly Date:04/12/2023 Nick Ly, Technical Director
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 9 of 16
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division
Address: 4708 Aurora Ave. N.
Seattle, WA 98103
Attention: Mr. Cameron Patterson
Project Location: 19515 94th Ave W
00
ds NVL
Batch #: 2305603.00
Client Project #: 2023-0191
Date Received: 4/7/2023
Samples Received: 30
Samples Analyzed: 30
Method: EPA/600/R-93/116
Layer 2 of 2 Description: White crumbly material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Debris, Fine particles Mineral fibers 3% None Detected ND
Lab ID: 23034218 Client Sample #: 2023-0191-3-15
Location: 19515 94th Ave W
Layer 1 of 3 Description: Gray ceramic tile
Non -Fibrous Materials:
Ceramic/Binder, Mineral grains, Debris
Layer 2 of 3 Description: Light gray crumbly material
Non -Fibrous Materials:
Binder/Filler, Mineral grains, Fine particles
Layer 3 of 3 Description: Dark gray crumbly material
Non -Fibrous Materials:
Binder/Filler, Mineral grains, Fine particles
Other Fibrous Materials:% Asbestos Type: %
None Detected ND None Detected ND
Other Fibrous Materials:% Asbestos Type: %
None Detected ND None Detected ND
Other Fibrous Materials:% Asbestos Type: %
None Detected ND None Detected ND
Lab ID: 23034219 Client Sample #: 2023-0191-3-16
Location: 19515 94th Ave W
Layer 1 of 2 Description: White patterned sheet vinyl
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Vinyl/Binder, Synthetic foam, Debris None Detected ND None Detected ND
Layer 2 of 2 Description: White fibrous backing with mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Debris, Fine particles Cellulose 52% None Detected ND
Glass fibers 23%
Lab ID: 23034220 Client Sample #: 2023-0191-3-17
Location: 19515 94th Ave W
Sampled by: Client
Analyzed by: Hieu Ta Date:04/10/2023
Reviewed by: Nick Ly Date:04/12/2023 Nick Ly, Technical Director
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 10 of 16
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division
Address: 4708 Aurora Ave. N.
Seattle, WA 98103
Attention: Mr. Cameron Patterson
Project Location: 19515 94th Ave W
00
ds NVL
Batch #: 2305603.00
Client Project #: 2023-0191
Date Received: 4/7/2023
Samples Received: 30
Samples Analyzed: 30
Method: EPA/600/R-93/116
Layer 1 of 2 Description: Blue rubbery material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Rubber/Synthetic Binder, Debris, Fine particles Cellulose 3% None Detected ND
Layer 2 of 2 Description: Tan mastic with trace paint and debris
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Paint, Debris Cellulose 2% None Detected ND
Lab ID: 23034221 Client Sample #: 2023-0191-3-18
Location: 19515 94th Ave W
Layer 1 of 2 Description: Yellow fluffy fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Debris, Fine particles Glass fibers 97% None Detected ND
Layer 2 of 2 Description: Black asphaltic material with paper
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/Binder, Asphaltic Particles, Debris Cellulose 33% None Detected ND
Lab ID: 23034222 Client Sample #: 2023-0191-3-19
Location: 19515 94th Ave W
Layer 1 of 1 Description: Brown wood -patterned vinyl
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Vinyl/Binder, Debris, Fine particles Glass fibers 8% None Detected ND
Lab ID: 23034223 Client Sample #: 2023-0191-3-20
Location: 19515 94th Ave W
Layer 1 of 5 Description: White ceramic tile
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Ceramic/Binder, Mineral grains, Fine particles None Detected ND None Detected ND
Sampled by: Client
Analyzed by: Hieu Ta Date:04/10/2023
Reviewed by: Nick Ly Date:04/12/2023 Nick Ly, Technical Director
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 11 of 16
Bulk Asbestos Fibers Analysis HVL
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 2305603.00
Address: 4708 Aurora Ave. N. Client Project #: 2023-0191
Seattle, WA 98103 Date Received: 4/7/2023
Samples Received: 30
Attention: Mr. Cameron Patterson Samples Analyzed: 30
Project Location: 19515 94th Ave W Method: EPA/600/R-93/116
Layer 2 of 5
Description: White crumbly material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Mineral grains, Fine particles
None Detected ND
None Detected ND
Layer 3 of 5
Description: Tan crumbly material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Mineral grains, Fine particles
None Detected ND
None Detected ND
Layer 4 of 5
Description: Brown flat hard compressed fibrous
material with surface
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Debris, Fine particles
Cellulose 91 %
None Detected ND
Layer 5 of 5
Description: Tan mastic
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Debris, Fine particles
None Detected ND
None Detected ND
Lab ID: 23034224 Client Sample #: 2023-0191-3-21
Location: 19515
94th Ave W
Layer 1 of 3 Description: Off-white ceramic the
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Ceramic/Binder, Mineral grains, Fine particles None Detected ND None Detected ND
Layer 2 of 3 Description: White crumbly material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Mineral grains, Fine particles None Detected ND None Detected ND
Layer 3 of 3 Description: Brown mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Debris, Fine particles None Detected ND Chrysotile 3%
Lab ID: 23034225 Client Sample #: 2023-0191-3-22
Location: 19515 94th Ave W
Sampled by: Client
Analyzed by: Hieu Ta Date:04/10/2023
Reviewed by: Nick Ly Date:04/12/2023 Nick Ly, Technical Director
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 12 of 16
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division
Address: 4708 Aurora Ave. N.
Seattle, WA 98103
Attention: Mr. Cameron Patterson
Project Location: 19515 94th Ave W
Layer 1 of 4 Description: Tan ceramic tile with debris
Non -Fibrous Materials:
Ceramic/Binder, Mineral grains, Debris
Layer 2 of 4 Description: White crumbly material
Non -Fibrous Materials:
Binder/Filler, Mineral grains, Fine particles
Layer 3 of 4 Description: Gray crumbly material
Non -Fibrous Materials:
Binder/Filler, Mineral grains, Fine particles
Layer 4 of 4 Description: White brittle material
Non -Fibrous Materials:
Binder/Filler, Mineral grains, Fine particles
00
ds NVL
Batch #: 2305603.00
Client Project #: 2023-0191
Date Received: 4/7/2023
Samples Received: 30
Samples Analyzed: 30
Method: EPA/600/R-93/116
Other Fibrous Materials:% Asbestos Type: %
Synthetic fibers 2% None Detected ND
Cellulose 2%
Other Fibrous Materials:% Asbestos Type: %
None Detected ND None Detected ND
Other Fibrous Materials:% Asbestos Type: %
None Detected ND None Detected ND
Other Fibrous Materials:% Asbestos Type: %
None Detected ND None Detected ND
Sampled by: Client
Analyzed by: Hieu Ta Date:04/10/2023
Reviewed by: Nick Ly Date:04/12/2023 Nick Ly, Technical Director
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 13 of 16
ASBESTOS LABORATORY SERVICES _
'14 NVL
Company NVL Field Services Division
Address 4708 Aurora Ave. N.
Seattle, WA 98103
Project Manager Mr. Cameron Patterson
Phone (206) 547-0100
Project Name/Number: 2023-0191
NVL Batch Number 2305603.00
TAT 3 Days AH No
Rush TAT
Due Date 4/12/2023 Time 12:50 PM
Email cameron.panvllabs, com
Fax (206) 634-1936
Project Location: 19515 94th Ave W
Subcategory PLM Bulk
Item Code ASB-02 EPA 600/R-93-116 Asbestos by PLM <bulk>
Total Number of Samples 30
Lab ID Sample ID Description
Rush Samples
A/R
1
23034196
2023-0191-1-1
A
2
23034197
2023-0191-1-2
A
3
23034198
2023-0191-1-3
A
4
23034199
2023-0191-1-4
A
5
123034200
2023-0191-1-5
A
6
23034201
2023-0191-1-6
A
7
23034202
2023-0191-1-7
A
8
23034203
2023-0191-1-8
A
9
23034204
2023-0191-3-1
Composite
A
10
23034205
2023-0191-3-2
A
11
23034206
2023-0191-3-3
A
12
123034207
2023-0191-3-4
A
13
23034208
2023-0191-3-5
A
14
23034209
2023-0191-3-6
A
15
23034210
2023-0191-3-7
A
16
23034211
2023-0191-3-8
A
17
23034212
2023-0191-3-9
A
18
23034213
2023-0191-3-10
A
Print Name Signature Company Date Time
Sampled by Client
Relinquished by Client
Office Use Onlv Print Name Sianature Comoanv Date Time
Received by
Fatima Khan
NVL
4/7/23
1250
Analyzed by
Hieu Ta
NVL
4/10/23
Results Called by
❑ Faxed ❑ Emailed
Special
Instructions:
Date: 4/7/2023
Time: 12:51 PM
Entered By: Kelly AuVu
page 14 of 16
ASBESTOS LABORATORY SERVICES _
'14 NVL
Company NVL Field Services Division
Address 4708 Aurora Ave. N.
Seattle, WA 98103
Project Manager Mr. Cameron Patterson
Phone (206) 547-0100
Project Name/Number: 2023-0191
NVL Batch Number 2305603.00
TAT 3 Days AH No
Rush TAT
Due Date 4/12/2023 Time 12:50 PM
Email cameron.panvllabs, com
Fax (206) 634-1936
Project Location: 19515 94th Ave W
Subcategory PLM Bulk
Item Code ASB-02 EPA 600/R-93-116 Asbestos by PLM <bulk>
Total Number of Samples 30
Lab ID Sample ID Description
Rush Samples
A/R
19
23034214
2023-0191-3-11
A
20
23034215
2023-0191-3-12
A
21
23034216
2023-0191-3-13
A
22
23034217
2023-0191-3-14
A
23
123034218
2023-0191-3-15
A
24
23034219
2023-0191-3-16
A
25
23034220
2023-0191-3-17
A
26
23034221
2023-0191-3-18
A
27
23034222
2023-0191-3-19
A
28
23034223
2023-0191-3-20
A
29
23034224
2023-0191-3-21
A
30
23034225
2023-0191-3-22
A
Print Name Signature Company Date Time
Sampled by Client
Relinquished by Client
Office Use Onlv Print Name Sianature Comoanv Date Time
Received by
Fatima Khan
NVL
4/7/23
1250
Analyzed by
Hieu Ta
NVL
4/10/23
Results Called by
❑ Faxed ❑ Emailed
Special
Instructions:
Date: 4/7/2023
Time: 12:51 PM
Entered By: Kelly AuVu
page 15 of 16
Client NVL Laboratories Inc
Street 4708 Aurora Ave N
Seattle. WA 98103
Project Manager S ed Hasan
Project Location 19515 94th Ave W
CHAIN of CUSTODY
SAMPLE LOG
2305603
NVL Batch Number
Client Job Number 2023-0191
Total Samples
d
Turn Around Time ❑ 1 Hr ❑ 6 Hrs [3 Days ❑ 10 Days
❑ 2 Hrs ❑ 1 Day ❑ 4 Days
❑ 4 Hrs ❑ 2 Days ❑ 5 Days
Please call for TAT less than 24 Hn
Email address trisha ._Iqh-inc.com
Phone: (425) 742-2742 Fax:
❑ Asbestos Air ❑ PCM (NIOSH 7400) ❑ TEM (NIOSH 7402) ❑ TEM (AHERA) ❑ TEM (EPA Level II) ❑ Other
Asbestos Bulk
P.LM (EPA/600/R-93/11.6) ❑ PLM (EPA Point Count)
❑ PLM (EPA Gravimetry) ❑ TEM BULK
❑ Mold/Fungus
ILI Mold Air ❑ Mold Bulk ❑ Rotometer Calibration
Det. Limit Matrix
RCRA Metals
All 8
Other Metals
❑ All 3
METALS
❑ Total Metals
❑ Soil
❑ FAA (ppm) Air Filter ❑
❑Arsenic (As)
El (Cr
❑ Copper (Cu)
❑ TCLP
❑ ICP (ppm) ❑ Drinking water ❑ Paint Chips in %
❑ Barium (Ba)
❑ Lead (Pb)
❑ Nickel (Ni)
❑ Cr 6
GFAA(ppb)❑Dust/wi a (Area) ❑ Paint Chips in crr❑Cadmium (Cd)
❑Mercu
❑ Zinc (Zn)
❑Other Types ❑ Fiberglass ❑ Nuisance Dust ❑ Other (Specify)
of Analysis i] Silica F-1 RPsnimhlP Dij-t
Condition of Package: ❑ Good ❑ Damaged (no spillage) ❑Severe damage (spillage)
Seg. #
Lab ID
Client Sample Number
Comments
AIR
--3$
2
I -Z
5- `1
3
4
5
I-5
3-12-
6
3-r
7
ItA
8
9
3-\
10
11
12
13
14
3- (v
2\
15
�-I
V3-1.2
Sampled b
'NrE4ZorJ
NVIr
r'J_c70
Relin uished bK
N\J
71
Received b
Analyzed b
Results Called b
Results Faxed by
Sp�strr: Unless requested in writing, all samples will be disposed of two (2) weeks after analysis.
R
page 16 of 16
April 12, 2023
Cameron Patterson
NVL Field Services Division
4708 Aurora Ave. N.
Seattle, WA 98103
RE: Bulk Asbestos Fiber Analysis; NVL Batch # 2305604.00
Client Project: 2023-0191
Location: 19515 94th Ave W
Dear Mr. Patterson,
NVL
INDUSTRIAL HYGIENE SERVICES
LABORATORY - MANAGEMENT + TRAINING
Enclosed please find test results for the 18 sample(s) submitted to our laboratory for analysis on
4/7/2023.
Examination of these samples was conducted for the presence of identifiable asbestos fibers using
polarized light microscopy (PLM) with dispersion staining in accordance with U. S. EPA 40 CFR
Appendix E to Subpart E of Part 763, Interim Method for the Determination of Asbestos in Bulk
Insulation Samples and EPA 600/R-93/116, Method for the Determination of Asbestos in Bulk Building
Materials.
For samples containing more than one separable layer of materials, the report will include findings for
each layer (labeled Layer 1 and Layer 2, etc. for each individual layer). The asbestos concentration in
the sample is determined by calibrated visual estimation.
For those samples with asbestos concentrations between 1 and 10 percent based on visual estimation,
the EPA recommends a procedure known as point counting (NESHAPS, 40 CFR Part 61). Point
counting is a statistically more accurate means of quantification for samples with low concentrations of
asbestos.
The detection limit for the calibrated visual estimation is <1 %, 400 point counts is 0.25% and 1000 point
counts is 0.1 %
Samples are archived for two weeks following analysis. Samples that are not retrieved by the client are
discarded after two weeks.
Thank you for using our laboratory services. Please do not hesitate to call if there is anything further we
can assist you with.
Sincerely,
R,1%f
A - O [K]NOMA
Kunga Woser, Senior Laboratory Analyst Testing
Lab Code 102053-0
Enc.: Sample Results
Phone: 206 547.0100 1 Fax: 206 634.1936 Toll Free: 1.888.NVL.LABS (685.5227)
4708 Aurora Avenue North Seattle, WA 98103-6516
page 1 of 11
Bulk Asbestos Fibers Analysis HVL
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 2305604.00
Address: 4708 Aurora Ave. N. Client Project #: 2023-0191
Seattle, WA 98103 Date Received: 4/7/2023
Samples Received: 18
Attention: Mr. Cameron Patterson Samples Analyzed: 18
Project Location: 19515 94th Ave W Method: EPA/600/R-93/116
Lab ID: 23034226 Client Sample #: 2023-0191-3-23
Location: 19515 94th Ave W
Layer 1 of 2 Description: Beige ceramic tile
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Ceramic/Binder, Fine particles
None Detected ND
None Detected ND
Layer 2 of 2 Description: Beige brittle material with granules
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Granules, Mineral grains
Cellulose <1 %
None Detected ND
Lab ID: 23034227 Client Sample #: 2023-0191-3-24
Location: 19515 94th Ave W
Layer 1 of 4 Description: White compacted powdery material with paper & paint
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Calcareous binder, Fine particles, Paint
Cellulose 21 %
None Detected ND
Layer 2 of 4 Description: Clear rubbery material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Rubber/Binder
None Detected ND
None Detected ND
Layer 3 of 4 Description: Off-white rubbery material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Rubber/Binder
None Detected ND
None Detected ND
Layer 4 of 4 Description: White hard brittle material with granules
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Granules, Mineral grains
None Detected ND
None Detected ND
Lab ID: 23034228 Client Sample #: 2023-0191-3-25
Location: 19515 94th Ave W
Sampled by: Client
Analyzed by: Alex Shea Date:04/11/2023
Reviewed by: Kunga Woser Date:04/12/2023 Kunga Woser, Senior Laboratory Analyst
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 2 of 11
Bulk Asbestos Fibers Analysis HVL
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 2305604.00
Address: 4708 Aurora Ave. N. Client Project #: 2023-0191
Seattle, WA 98103 Date Received: 4/7/2023
Samples Received: 18
Attention: Mr. Cameron Patterson Samples Analyzed: 18
Project Location: 19515 94th Ave W Method: EPA/600/R-93/116
Layer 1
of 1 Description: Black asphaltic fibrous felt
Non -Fibrous Materials:
Asphalt/Binder, Asphaltic Particles
Other Fibrous Materials:%
Cellulose 43%
Asbestos Type: %
None Detected ND
Lab ID: 23034229 Client Sample #: 2023-0191-3-26
Location:
19515 94th Ave W
Layer 1
of 1 Description: Yellow fluffy fibrous material with paper and foil
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Metal foil, Fine particles
Glass fibers 31 %
None Detected ND
Cellulose 23%
Lab ID:
23034230 Client Sample #: 2023-0191-3-27
Location:
19515 94th Ave W
Layer 1
of 3 Description: White fibrous material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler
Synthetic fibers 96%
None Detected ND
Layer 2 of 3 Description: White fibrous/plastic mesh with brittle mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Mastic/Binder, Plastic Synthetic fibers 23% None Detected ND
Fine particles
Layer 3 of 3 Description: Multi -colored foamy material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Synthetic foam, Fine particles None Detected ND None Detected ND
Lab ID: 23034231 Client Sample #: 2023-0191-3-28
Location: 19515 94th Ave W
Sampled by: Client
Analyzed by: Alex Shea Date:04/11/2023
Reviewed by: Kunga Woser Date:04/12/2023 Kunga Woser, Senior Laboratory Analyst
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 3 of 11
Bulk Asbestos Fibers Analysis HVL
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 2305604.00
Address: 4708 Aurora Ave. N. Client Project #: 2023-0191
Seattle, WA 98103 Date Received: 4/7/2023
Samples Received: 18
Attention: Mr. Cameron Patterson Samples Analyzed: 18
Project Location: 19515 94th Ave W Method: EPA/600/R-93/116
Layer 1 of 3 Description: Beige fibrous mesh with paint and paper
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Fine particles, Paint
Cellulose 45%
None Detected ND
Glass fibers 18%
Layer 2 of 3 Description: Beige compacted powdery material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Calcareous binder, Fine particles
Cellulose 2%
Chrysotile 2%
Layer 3 of 3 Description: White chalky material with paper
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Gypsum/Binder, Fine particles
Cellulose 21 %
None Detected ND
Lab ID: 23034232 Client Sample #: 2023-0191-3-29
Location: 19515 94th Ave W
Layer 1 of 3 Description: Red brick
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Brick, Mineral grains
Cellulose <1 %
None Detected ND
Layer 2 of 3 Description: Beige brittle material with granules
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Granules, Mineral grains
Cellulose <1 %
None Detected ND
Layer 3 of 3 Description: Light tan/white hard brittle material with debris
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Mineral grains, Granules
None Detected ND
None Detected ND
Debris
Lab ID: 23034233 Client Sample #: 2023-0191-3-30
Location: 19515 94th Ave W
Comments: Unsure of correct layer sequence.
Sampled by: Client
Analyzed by: Alex Shea Date:04/11/2023
Reviewed by: Kunga Woser Date:04/12/2023 Kunga Woser, Senior Laboratory Analyst
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 4 of 11
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division
Address: 4708 Aurora Ave. N.
Seattle, WA 98103
Attention: Mr. Cameron Patterson
Project Location: 19515 94th Ave W
00
ds NVL
Batch #: 2305604.00
Client Project #: 2023-0191
Date Received: 4/7/2023
Samples Received: 18
Samples Analyzed: 18
Method: EPA/600/R-93/116
Layer 1 of 4
Description: Beige fibrous material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Fine particles
Cellulose 56%
None Detected ND
Layer 2 of 4
Description: Gray cementitious material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Cement/Binder, Fine particles
Cellulose <1 %
None Detected ND
Layer 3 of 4
Description: Gray stony material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Fine particles
Cellulose <1 %
None Detected ND
Layer 4 of 4
Description: White brittle mastic
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Fine particles
None Detected ND
None Detected ND
Lab ID: 23034234 Client Sample #: 2023-0191-3-31
Location: 19515 94th Ave W
Layer 1 of 4 Description: Off-white sheet vinyl
Non -Fibrous Materials
Vinyl/Binder, Foamy material
Layer 2 of 4 Description: Tan soft mastic with debris
Non -Fibrous Materials:
Mastic/Binder, Debris, Fine particles
Layer 3 of 4 Description: White thin brittle material
Non -Fibrous Materials:
Binder/Filler, Fine particles, Fine grains
Other Fibrous Materials:%
Glass fibers 3%
Other Fibrous Materials:%
Cellulose 7%
Other Fibrous Materials:%
Cellulose 5%
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Sampled by: Client
Analyzed by: Alex Shea Date:04/11/2023
Reviewed by: Kunga Woser Date:04/12/2023 Kunga Woser, Senior Laboratory Analyst
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 5 of 11
Bulk Asbestos Fibers Analysis HVL
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 2305604.00
Address: 4708 Aurora Ave. N. Client Project #: 2023-0191
Seattle, WA 98103 Date Received: 4/7/2023
Samples Received: 18
Attention: Mr. Cameron Patterson Samples Analyzed: 18
Project Location: 19515 94th Ave W Method: EPA/600/R-93/116
Layer 4 of 4 Description: Tan compressed fibrous material
Non -Fibrous Materials:
Binder/Filler, Wood flakes
Other Fibrous Materials:%
Cellulose 85%
Asbestos Type: %
None Detected ND
Lab ID: 23034235 Client Sample #: 2023-0191-3-32
Location: 19515 94th Ave W
Layer 1 of 1 Description: White rubbery material with debris
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Rubber/Binder, Debris, Fine particles
Cellulose <1 %
None Detected ND
Lab ID: 23034236 Client Sample #: 2023-0191-3-33
Location: 19515 94th Ave W
Comments: Unsure of correct layer sequence.
Layer 1 of 5 Description: White hard brittle material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler
None Detected ND
None Detected ND
Layer 2 of 5 Description: White ceramic border
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Ceramic/Binder, Fine particles
None Detected ND
None Detected ND
Layer 3 of 5 Description: Clear glass the
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Glass
None Detected ND
None Detected ND
Layer 4 of 5 Description: Off-white brittle material with granules and fibrous mesh
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Granules, Mineral grains
Glass fibers 12%
None Detected ND
Sampled by: Client
Analyzed by: Alex Shea Date:04/11/2023
Reviewed by: Kunga Woser Date:04/12/2023 Kunga Woser, Senior Laboratory Analyst
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 6 of 11
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division
Address: 4708 Aurora Ave. N.
Seattle, WA 98103
Attention: Mr. Cameron Patterson
Project Location: 19515 94th Ave W
00
ds NVL
Batch #: 2305604.00
Client Project #: 2023-0191
Date Received: 4/7/2023
Samples Received: 18
Samples Analyzed: 18
Method: EPA/600/R-93/116
Layer 5 of 5 Description: Beige compacted powdery material with paper & paint
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Calcareous binder, Calcareous particles, Paint Cellulose 25% Chrysotile 2%
Lab ID: 23034237 Client Sample #: 2023-0191-3-34
Location: 19515 94th Ave W
Layer 1 of 2 Description: White ceramic tile with adhesive
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Ceramic/Binder, Adhesive/Binder, Fine particles None Detected ND None Detected ND
Layer 2 of 2 Description: White rubbery material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Rubber/Binder, Fine particles None Detected ND None Detected ND
Lab ID: 23034238 Client Sample #: 2023-0191-3-35
Location: 19515 94th Ave W
Comments: Unsure of correct layer sequence.
Layer 1 of 2 Description: Green thin brittle material
Non -Fibrous Materials: Other Fibrous Materials:%
Binder/Filler, Fine particles Cellulose <1 %
Layer 2 of 2 Description: Black soft fibrous asphaltic mastic with plastic
Non -Fibrous Materials: Other Fibrous Materials:%
Asphalt/Binder, Asphaltic Particles, Mastic/Binder Glass fibers 16%
Plastic
Lab ID: 23034239 Client Sample #: 2023-0191-3-36
Location: 19515 94th Ave W
Comments: Unsure of correct layer sequence.
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Sampled by: Client
Analyzed by: Alex Shea Date:04/11/2023
Reviewed by: Kunga Woser Date:04/12/2023 Kunga Woser, Senior Laboratory Analyst
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 7 of 11
Bulk Asbestos Fibers Analysis HVL
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 2305604.00
Address: 4708 Aurora Ave. N. Client Project #: 2023-0191
Seattle, WA 98103 Date Received: 4/7/2023
Samples Received: 18
Attention: Mr. Cameron Patterson Samples Analyzed: 18
Project Location: 19515 94th Ave W Method: EPA/600/R-93/116
Layer 1 of 3 Description: Gray clear brittle material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Fine particles
None Detected ND
None Detected ND
Layer 2 of 3 Description: Gray rubbery material with debris
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Rubber/Binder, Debris, Fine particles
Cellulose <1 %
None Detected ND
Layer 3 of 3 Description: White brittle material with granules
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Granules, Mineral grains
Cellulose <1 %
None Detected ND
Lab ID: 23034240 Client Sample #: 2023-0191-3-37
Location: 19515 94th Ave W
Layer 1 of 2 Description: White compressed fibrous material with adhesive
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Adhesive/Binder, Fine particles
Synthetic fibers 66%
None Detected ND
Layer 2 of 2 Description: Black asphaltic fibrous felt
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Asphalt/Binder, Asphaltic Particles
Cellulose 47%
None Detected ND
Lab ID: 23034241 Client Sample #: 2023-0191-3-38
Location: 19515 94th Ave W
Layer 1 of 1 Description: Beige rubbery material with paint
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Rubber/Binder, Paint, Fine particles
None Detected ND
None Detected ND
Lab ID: 23034242 Client Sample #: 2023-0191-3-39
Location: 19515 94th Ave W
Sampled by: Client
Analyzed by: Alex Shea Date:04/11/2023
Reviewed by: Kunga Woser Date:04/12/2023 Kunga Woser, Senior Laboratory Analyst
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 8 of 11
Bulk Asbestos Fibers Analysis HVL
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 2305604.00
Address: 4708 Aurora Ave. N. Client Project #: 2023-0191
Seattle, WA 98103 Date Received: 4/7/2023
Samples Received: 18
Attention: Mr. Cameron Patterson Samples Analyzed: 18
Project Location: 19515 94th Ave W Method: EPA/600/R-93/116
Layer 1 of 2
Layer 2 of 2
Description: Clear rubbery material with debris
Non -Fibrous Materials:
Rubber/Binder, Debris, Fine particles
Description: White brittle material with granules
Non -Fibrous Materials:
Binder/Filler, Granules, Mineral grains
Other Fibrous Materials:%
None Detected ND
Other Fibrous Materials:%
Cellulose <1 %
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Lab ID: 23034243 Client Sample #: 2023-0191-3-40
Location: 19515 94th Ave W
Comments:
Unsure of correct layer sequence.
Layer 1 of 4
Description: Black asphaltic fibrous material with
granules
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Asphalt/Binder, Asphaltic Particles, Granules
Glass fibers 23%
None Detected ND
Layer 2 of 4
Description: Black asphaltic mastic
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Asphalt/Binder, Asphaltic Particles
Cellulose 3%
None Detected ND
Layer 3 of 4
Description: Black asphaltic fibrous material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Asphalt/Binder, Asphaltic Particles
Cellulose 43%
None Detected ND
Layer 4 of 4
Description: Black asphaltic fibrous felt
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Asphalt/Binder, Asphaltic Particles
Synthetic fibers 36%
None Detected ND
Glass fibers 13%
Sampled by: Client
Analyzed by: Alex Shea Date:04/11/2023
Reviewed by: Kunga Woser Date:04/12/2023 Kunga Woser, Senior Laboratory Analyst
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and EPA 40 CFR Appendix E to Subpart E of Part 763 with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%,
5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the
accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written
approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
ASB-02
page 9 of 11
ASBESTOS LABORATORY SERVICES _
'14 NVL
Company NVL Field Services Division
Address 4708 Aurora Ave. N.
Seattle, WA 98103
Project Manager Mr. Cameron Patterson
Phone (206) 547-0100
Project Name/Number: 2023-0191
NVL Batch Number 2305604.00
TAT 3 Days AH No
Rush TAT
Due Date 4/12/2023 Time 12:50 PM
Email cameron.panvllabs, com
Fax (206) 634-1936
Project Location: 19515 94th Ave W
Subcategory PLM Bulk
Item Code ASB-02 EPA 600/R-93-116 Asbestos by PLM <bulk>
Total Number of Samples 18
Lab ID Sample ID Description
Rush Samples
A/R
1
23034226
2023-0191-3-23
A
2
23034227
2023-0191-3-24
A
3
23034228
2023-0191-3-25
A
4
23034229
2023-0191-3-26
A
5
123034230
2023-0191-3-27
A
6
23034231
2023-0191-3-28
A
7
23034232
2023-0191-3-29
A
8
23034233
2023-0191-3-30
A
9
23034234
2023-0191-3-31
A
10
23034235
2023-0191-3-32
A
11
23034236
2023-0191-3-33
A
12
123034237
2023-0191-3-34
A
13
23034238
2023-0191-3-35
A
14
23034239
2023-0191-3-36
A
15
23034240
2023-0191-3-37
A
16
23034241
2023-0191-3-38
A
17
23034242
2023-0191-3-39
A
18
23034243
2023-0191-3-40
A
Print Name Signature Company Date Time
Sampled by Client
Relinquished by Client
Office Use Onlv Print Name Sianature Comoanv Date Time
Received by
Fatima Khan
NVL
4/7/23
1250
Analyzed by
Alex Shea
NVL
4/11/23
Results Called by
❑ Faxed ❑ Emailed
Special
Instructions:
Date: 4/7/2023
Time: 12:55 PM
Entered By: Kelly AuVu
page 10 of 11
Client NVL Laboratories Inc
Street 4708 Aurora Ave N
Seattle, WA 98103
Project Manager Syed Hasan
Project Location 19515 94th Ave W
Phnna• (4951 749-9742 Fay-
CHAIN )f CUSTODY
SAR PLE LOG
2305604
NVL Batch Number
Client Job Number 2023-0191
Total Samples i3
Turn Around Time ` I Hr ❑'$ Hrs [><3 Days ❑ 10 Days
❑2Hrs ❑1 Day ❑4Days
❑ 4 Hrs ❑ 2 Days ❑ 5 Days
Please call for TAT less than 24 Hn
Email address trisha(cD_lgh-inc.com
❑ Asbestos Air
❑ PCM (NIOSH 7400) ❑TEM (NIOSH 7402) ❑ TEM (AHERA) [:ITEM (EPA Level II) ❑ Other
X Asbestos Bulk[❑ELM
(EPA/600/R-93/116) ❑ PLM (EPA Point Count) ❑ PLM (EPA Gravimetry) ❑ TEM BULK
❑ Mold/Fungus
IF Mold Air ❑ Mold Bulk I ❑ Rotometer Calibration
Det. Limit Matrix RCRA Metals
❑All 8
Other Metals
❑ All 3
METALS
❑ Total Metals
❑ FAA (pp m) ❑ Air Filter ❑ Soil ❑ Arsenic (As)
❑ Chromium (Cr
❑ Copper (Cu)Lead
❑ TCLP
❑ ICP (ppm) ❑Drinking water ❑Paint Chips in % ❑Barium (Ba)
❑(Pb)
❑ Nickel (Ni)
❑ Cr 6
❑ GFAA (ppb) ❑ Dust/wipe (Area) ❑ Paint Chips in crr ❑ Cadmium (Cd)
❑ Mercury (Hg)
❑ Zinc (Zn)
[7]Other Types
�Ejl Fiberglass ❑ Nuisance Dust ❑ Other (Specify)
of Analysis
F-f Silica n RPsnirahlP Dii-t
Condition of Package: ❑ Good ❑ Damaged (no spillage) ❑ Severe damage (spillage)
Seg. #
Lab ID
Client Sam le Number
Comments
AIR
1
'02 -oci 5-23
01c11- 3-3
2
4
3-Z4
5
3�2�
6
7
�- z�►
8
v
9
3-31
10
3-31
11
`, ^33
12
3-3
13
3 -3�
14
-3.(.
15
-3.3-1
�L
Relinquished
Received
Analyzed
Results Called
Results Faxed
Special Instructions: Unless requested in writing, all samples will be disposed of two (2) weeks after analysis.
Results report to
l2 9=dv
-11
page 11 of 11
NVL
L A B S
Appendix C
AHERA Certifications &
Laboratory Qualifications
United States Department of Commerce
National Institute of Standards and Technology
7NIlipt
Certificate of Accreditation to ISO/IEC 17025:2017
NVLAP LAB CODE: 102063-0
NVL Laboratories, Inc.
Seattle, WA
is accredited by the National Voluntary Laboratory Accreditation Program for specific services,
listed on the Scope of Accreditation, for:
Asbestos Fiber Analysis
This laboratory is accredited in accordance with the recognized International Standard ISO/IEC 17025:2017.
This accreditation demonstrates technical competence for a defined scope and the operation of a laboratory quality
management system (refer to joint ISO-ILAC-IAF Communique dated January 2009).
F�O OF C i
2022-10-01 through 2023-09-30
Effective Dates x1 For the National Volunt4y LaboratociAccreditation Program
,as
Tarzg OF P��,
National Voluntary
Laboratory Accreditation Program
SCOPE OF ACCREDITATION TO ISO/IEC 17025:2017
NVL Laboratories, Inc.
4708 Aurora Avenue N.
Seattle, WA 98103
Mr. Nghiep Vi Ly
Phone:206-547-0100 Fax:206-634-1936
Email: nick.l@nvllabs.com
http://www.nvllabs.com
ASBESTOS FIBER ANALYSIS
NVLAP LAB CODE 102063-0
Bulk Asbestos Analysis
Code Description
18/A01 EPA -- 40 CFR Appendix E to Subpart E of Part 763, Interim Method of the Determination of
Asbestos in Bulk Insulation Samples
18/A03 EPA 600/R-93/ l 16: Method for the Determination of Asbestos in Bulk Building Materials
eta C
For the National Voluntary Laboratory Accreditation Program
EJfeclive 2022-10-01 through 2023-09-30 Page l of 1
Certificate of Completion
This is to certify that
Cameron C. Patterson
has satisfactorily completed
4 hours of online refresher training as an
AHERA Building Inspector
to comply with the training requirements of
TSCA Title H. 40 CFR 763 (AH ERA)
EPA Provider # 1085
187422
Certificate Number
Instructor: Andre Zwanenburg
ierracon
Explore with us
■ Facilities
■ Environmental
■ Geotechnical
■ Materials
Jan 19, 2023 Expires in 1 year.
Date(s) of Training
Exam Score: N/A
(if applicable)
Certificate of Completion
This is to certify that
Daniel R. Fyffe
has satisfactorily completed
24 hours of training as an
AHERA Building Inspector
to comply with the training requirements of
-n -VOf�o
- � ��rj
Instruct : Tracy Greene
Wrerracon
Explore wit us
TSCA Title H. 40 CFR 763 (AH ERA)
EPA Provider # 1085
Facilities
Environmental
■ Geotechnical
E Materials
187715
Certificate Number
Feb 7 - 9, 2023 Expires in 1 Year.
Date(s) of Training
Exam Score: 7-EX
(if applicable)