BLD20180263olf ED4f
Al
1P CITY OF EDMONDS
121 5TH A VENUE NORTH - EDM ONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
ig I NN—
STATUS: ISSUED 03/02/2018 Pennit#: BLD20180263
Expiration Date: 09/02/2018
Parcel No: 00580700000201
Project Address: 7416 212TH ST SW, EDMONDS
PLIOWFATV ffVTT;-n APPLICATIT CONTRACTOR
NORTHPOINT RECOVERY NORT14POINT RECOVERY VENTURE GENERAL CONTRCTNG LLC
C/0212 EDMONDS HOLDING LLC 7416 212TI-1 ST SW CIO WILLIAM PARENT
8044 MONTGOMERY ROAD STE 4522 EDMONDS, WA 98026 15 18 FIRST AVENUE S
CINCINATTI, OH 4S236 SUITE 400
SEATTLE, WA 98134
(8SS) 402-5016 (206) 582-4500
LICENSE #: VENTUGC899LZ EXP:06/09/2019
INTERIOR DEMOLITION ONLY. NO EXTERIOR, STRUCTURAL OR ROOF DEMO TO OCCUR AT THIS TIME
VALUATION: $0
PERMIT TYPE: Commercial
PERMIT GROUP: 23 - Demolition
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY:
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: 0 X 0 FT.)
CODE:
JOTHER: ------- OTHER DESC-
lZONE:
INUMBER OF STORIES: 0
IVESTED DATE�
INUMBER OF DWELLING UNITS: 0
ILOT #:
EMSTING AREA
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
PRO PO S ED ARFA
BASEMENT:O I ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK:O OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK:O OTHER: 0
BEDROOMS: 0 BATHROOMS: 0
1BEDROOMS: 0 BATHROOMS: 0
FRONT S L-I'BACK SIDESETBACK RLARSETRACK
REQUIRED: PROPOSED: =�-REQUIRED: PROPOSED- IREQUIRED: PROPOSED:
HEIGHT ALLOWED:0 PROPOSED:O IREQUIRED: PROPOSED:
SETBACK NOTES:
IAGREETO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THEWORK AUTHORIZED THEREBY, NO
PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMENS COMPENSATION
INSURANCE AND RCW 18:27.
('�IS API�IITION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISIHER DEPUTY AND ALL FEES ARE PAID.
J4, hNA-1� \/�c& -stqle Z-z�� 312-12-019
Signature Print Narne
Released By
Date
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR SIRUCTUREUN111- A FINAL INSPECT10N HAS BEEN MADE AND APPROVAL ORA CER11FICAIF OF
OCCUPANCY HAS BEEN GRANTFD.UBC]09/IBC] 10/ 1 RC 1 10.
nRE APPLICANT = ASSESSOR CITY
DO
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or
STATUS: ISSUED BLD20180263
CONDITIONS i
• Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Check thejob card for all required City inspections including final project approval and final
occupancy inspections.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
• Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
• Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, aris ing directly or indirectly from the issuance for this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT
TIME LIMIT: SEE ECDC 19.00.005(A)(6)
BUILDING
ENGINEERING (425) 771-0220 EXT. 1326
1. Go to: www.edmondswa.gov
Building Department Inspections
2. Then: SeNces
are now scheduled online. If you
FIRE (425) 775-7720
3. Tben: Perm its/Development
have difficulties, please call the
4. Then: Online Permit Info
Building Department front desk for
PUBLIC WORKS (425) 771-0235
5: If you don't haw one already, create a
assistance during office hours.
login (upper right hand corner)
(425) 771-0220
RECYCLING (425) 275-4801
6: Schedule your inspection
EiN
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
— being requested, Contact Name and Phone Number, Date Preferred, and whether you prefer morning or afternoon.
• B-Preconstruction meeting
• B-Final Demolition
_A0%
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4
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4&
DEVELOPMENT SERVICES
PLUMBING, MECHANICAL, TANK, & DEMOLITION
PERMIT APPLICATION
121 5"' Avenue N, Edmonds, WA 98020
t. 1 SV3 Phone 425.771.0220 2 Fax 425.771.0221
City of Edmonds
PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLISTFOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
Parcel #:
Iq I & 2,12:t'k-q e, v4 110.26 - 7;01
00616 70000 0 2.*1
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? Yes No
Associated Permit #:
APPLICANT: AIVIKA,4�
Af -
I Fax:
Address Street, City9tate in):
W�'w , '�- P"O'al P�f 0024
'714V -S&- 'd
�-Mail Address: -
TW,,!h±�4-A014i wti 0AWY-60
a
PROPERTY. QWNER-
U1,, 0d~,j;Zj d4,6!H,
Phone:
Fax:
Address (Stree� Cit State, Zip)-
LfIf go; C.4 �'t
iiVA"14,
-Mail Address:
Vp
LENDING AGEN4!Y:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CON:r,RAC,TOR -
�""t
Phone:
Z*4 - 02- — YVO
Fax:
50z� y5p
Ad Iress (SIr t' City, S e, Zvl':if
4 4w:� A
E-Mail Address:
44f tb
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'4 V it
*Contractor must have a valid City of Edmonds business license prior to doing work
WA State Li0ense #/Exp. Date:
eV4f*fV4:-e,#fqj*11C1111,?
in the City. Contact the City Clerk's Office at 425.775.2525
siness Lice a
_11,5e #/Exp.;)
0 It7l
TPLUMBING MECHANICAL L_f— TANK
DEMOLITIONX,
DETAIL THE SCOPE OF WORK:
-4 Lf
Ale
I declare under penalty ofperjury laws that the information I have provided on thisformlapplication istrue, correct and complete,
and that I am the property owner or duly authorized agent of the property owner to submit a permit application to the City of
Edmonds.
Print Name: ADA-Ak OwnerE] Agent/Other 1?T'('S`pecify):
Signature: Date: N6 t w
0_6
FORM C LABUILDING DIVISION FILES\DONE & x-ferred to L-Building-New driveTonn C 2014.docx Updated: 1/17/2014
PLUMBING
FIXTURE COUNT
Fixture Type (new and relocated)
Total #
Fixture Type (new and relocated)
Total
Water Closet (Toilet)
Pressure Reduction Valve/Pressure Regulator
Sink (kitchen, laundry, lavatory, bar, eye wash, etc.)
Water Service Line
Tub/Shower
Drinking Fountain
Dishwasher
Clothes Washer
Hose Bib
Backflow Prevention Device (e.g. RBPA, DCDA, AVB)
Water Heater Tankless? YesE] Noo
Hydronic Heat in: Floor E] Wall E]
Floor Drain/Floor Sink
Other:
Refrigerator water supply (for water/ice dispenser)
Other:
MECIIANICAL
M
Equipment Type
Appliance/Equipment Information (new and relocated)
Total #
Furnace
Gas #—Elec
#—Other:—
# BTUs: <100k >100k—
Location(s)
Air Handier / VAV
Gas #
Elec #
Other: # CFM: <10k >10k
Location(s)
(circle selected)
AC / Compressor
Boiler / Heat Pump
Gas #—Elec
#—Other:
#— BTUs:—<100k,
_100k-500k 500k-IMil
Roof Top Unit
HP:
<3,_3-15,_15-30
Location(s)
(circle selected)
Hydronic Heating
Gas #—Elec
#—In-Floor
—Wall Radiant— Boiler BTUs:
Location
Exhaust Fans (single
Bath #
Vitchen # Laundry #
#
ouct)
_Other:
Fireplace
Gas #—Elec
I
#—Other:
# Location(s)
Dryer Duct
FUEL GAS
M
Appliance Type
Appliance/Equipment Information (new and relocated)
Total #
AC Unit
BTUs: Location(s):
Furnace
BTUs: Location(s):
Water Heater
BTU[s: Location(s):
Boiler
BTUs: Location(s):
Other:
BTUs: Location(s):
Fireplace/Insert
BTU[s: Location(s):
Stove/Range/Oven
Dryer
Outdoor BBQ
r-
TOTAL OUTLETS
FORMC LABUtLDING DIVISION FILES\DONE &x-ferredto L-Building-New driveTonn C 2014.docx Updated: 1/17/2014
MEDICAL GAS, AIR, VACUUM
Type of Gas/AirNacuum System (new and relocated)
Total#
Oxygen
Nitrous Oxide
Medical Air
Carbon Dioxide
Helium
Medical — Surgical Vacuum
Other:
ITOTAL OUTLETS
TANK #1
TANK #2
Method of Abandonment
Method of Abandonment
Fill in Place Fill Material
Fill in PlaceE]
Fill Material
Removal
Removal El
Number of Gallons:
Number of Gallons:
Critical Areas Determination: Study RequiredEl
Conditional WaiverE]
Waiver 0
Type of structure to be demolished (e.g. house, shed, garage, etc.):
Floor area of structure to be demolished: it tlu- SP sq. ft.
Critical Areas Determination: Study Required El Conditional WaiverEl Waiver E
PSCAA Case No.
AHERA Survey done? (required) 2'
Additional comments:
FORM C LABUILDING DWISION FILESOONE & x-ferred to L-Building-New driveTonn C 2014.docx Updated: 1/17/2014
2/15/2018
Asbestos / Demolition Notification
psc lean a i r.org
Puget Sound Clean Air Agency
Asbestos / Demolition Notification
You do NOT need to notify the Puget Sound Clean Air Agency if you are:
• performing the project outside of King, Kitsap, Pierce and Snohomish County
• removing nonfriable asbestos
You need to notify the agency if your project is within our four county jurisdiction and includes any of the following:
removing 10 or more linear feet of friable asbestos
removing 48 or more square feet of friable asbestos
performing a demolition with a projected roof area greater than 120 square feet
To submit a notification to the Puget Sound Clean Air Agency, you will need:
• an asbestos survey
• a MasterCard or Visa card
• Internet Explorer or Firefox as your browser
To begin the notification process, please answer the following question.
Are you the homeowner who will be conducting a renovation or demolition project at your single-family residence where you currently
live?
If this is a condominium, rental or multiple unit residence, you must select "No."
If this property is owned by a business, government entity or organization, you must select "No."
(7) Yes
OF N o
ri�eTx
If you have questions, contact us by e-mail ma ilto: asbestos-@ pLclea nai r. org)_or phone at 206.689.4058.
F 3 o
https://secure.pscleanair.org/asbestos/
'�W -2
INVILTY
L A B S
I N D U S T R I A L
H Y G I E N E
S E R V I C E S
Laboratory I Management I Training
Hazardous
Materials Survey
7416 2121h Street SW
Edmonds, WA 98026
Prepared For
Mr. Jason Roudabush
212 Edmonds Holdings, LLC
8044 Montgomery Road, Suite 522
Cincinnati, OH 45236
Project Number:
Inspection Date:
Report Date:
Inspected By
AHERA Certification
Certification Expiration Date
2017-0955 f%DV
November 20 & 21, 2017 CITY OUJ- I
November 27, 2017
Tanveer Khan / Jason Lindahl
# 1626915 / 1627469
May 10, 2018 / June 2, 2018
F F=, 0' ?
TABLE OF CONTENTS
1.0 SCOPE OF WORK
2.0 SURVEY METHOD
3.0 LABORATORY INFORMATION
4.0 BUILDING DESCRIPTION
5.0 FINDINGS
6.0 CONCLUSIONS AND RECOMMENDATIONS
7.0 LIMITATIONS OF SURVEY
APPENDICIES
A Sample Locations (Floor Plan)
B Laboratory Analysis Results
C AHERA Certifications & Laboratory Qualifications
4-6
6
7
8-16
16-19
20
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
1.0 SCOPE OF WORK
A Hazardous Materials Survey was conducted on the commercial building located at 7416 212th
Street SW Edmonds, WA 98026 on November 20 & 21, 2017.
Tanveer Khan (an AHERA Certified Building Inspector and a Washington Department of Commerce -
Certified Lead Risk Assessor), and Jason Linclahl (an AHERA Certified Building Inspector) conducted
this inspection at the request of Mr. Jason Roudabush of 212 Edmonds Holdings, LLC.
The purpose of this survey was to identify suspect asbestos containing building materials, lead paint
coatings, and Mercury (Hg) I PCB containing devices which would be impacted by the planned
demolition of the building. Destructive sampling methods were utilized to collect samples of suspect
building materials. No soft/limited demolition was performed during this inspection. Please note that
hidden materials may exist within the structure, and all suspect materials must be treated as
hazardous until testing proves otherwise.
This survey 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 structure.
This asbestos survey also satisfies the requirements for "Good Faith" inspection outlined in
Washington Administrative Code (WAC) 296-62-07221(2), Identification, which requires the owner of
a structure 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 111, Article IV, rev. March 26, 2009) for all asbestos surveys prior to a building demolition.
Recommendations have been included for compliance with WAC 296-155-176 "Lead in Construction"
and WAC 173-090 "Waste Disposal Regulations". The Lead in Construction regulations are designed
to protect workers from lead hazards during construction and demolition activities.
Fluorescent light tubes, HID lamps, and thermostats contain Mercury (Hg) are classified as universal
waste by the EPA and Washington Department of Ecology. Recommendations have been included
for compliance with WAC 173-303-573, "The Universal Waste Rule for Dangerous Waste".
A floor plan indicating locations of samples collected by NVIL personnel has been included in
Appendix A.
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98103
Phone (206) 547-0100 - Fax (206) 634-1936
3
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
2.0 SURVEY METHOD
Asbestos Survey Method
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 homogenous areas, which are defined as an area of Thermal System
Insulation, Surfacing Material, or Miscellaneous Material that is uniform in texture and color.
Once homogenous 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 6 linear feet or 6 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 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 98103
Phone (2D6) 547-0100 - Fax (206) 634-1936
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
2.0 SURVEY METHOD (continued)
Miscellaneous Materials:
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-contam i nation. "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 the structures was performed to identify potential
asbestos -containing materials. The walk-through inspection included a review of the internal and
external aspects of the 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
Number
Material Description by Layer
Location
Asbestos
Quantity
Friable
Layer 1 is not asbestos -containing
%
#
Location description
"X" LF/ft2
Yes/No
Layer 2 is asbestos -containing
2. %
Lead Survey Method
NVIL Labs collected representative samples of paint from the interior and exterior of the building within
the project scope. 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. Sampling was representative of all
layers of paint. Copies of laboratory reports and field data forms for lead paint are in Appendix B.
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98103
Phone (206) 547-0100 - Fax (206) 634-1936
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
2.0 SURVEY METHOD (continued)
TCLP Sampling Method
A representative composite sample of the proportionate components which make up the areas to be
demolished was collected and analyzed according to ASTM Standard. E 1908-97, as suggested by the
Washington State Department of Ecology. Waste Characterization Plan number three of this standard,
"Composite Sample and Demolish", was used to access the lead (Pb) content of the total debris.
3.0 LABORATORY INFORMATION
Laboratory Analysis: Asbestos
In accordance with 40 CFR Chapter 1 (1-1-87 edition) Part 763, Subpart F, Appendix A, asbestos
samples are analyzed at NVIL 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%2!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 Analysis: Lead (Pb)
Samples are analyzed for the presence of inorganic lead using atomic absorption spectroscopy (AAS)
in accordance with method EPA 3051/700013. This method reports results in milligrams per kilogram
(mg/kg) or its equivalent, parts per million (ppm).
Laboratory Accreditation
Professional accreclitations 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 lHLAP program is
designed specifically for laboratories involved in analyzing samples to evaluate workplace exposure.
iHLAP Certification Number 563
NVIL Laboratories, Inc,
4708 Aurora Ave N
Seattle, WA 98103
Phone (206) 547-0100 - Fax (206) 634-1936
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
4.0 BUILDING DESCRIPTION
General Building Type The property consists of a two-story commercial building of
load bearing masonry construction.
Primary External Components The exterior of the building has stucco siding.
Foundation Type The building has an on -grade concrete foundation.
Roofing Material(s) The building has built-up asphaltic roofing with silver paint.
Window Type(s) The building has aluminum framed windows with associated
caulking.
Flooring The flooring of the building is carpet, sheet vinyl, ceramic
tiles, and vinyl floor tiles.
Thermal Systems with Insulation The building is heated through forced air heating system with
no visible suspect thermal insulation.
Finishing The building is finished with drywall, and acoustic ceiling
panels.
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, VVA 98103
Phone (206) 547-0100 - Fax (206) 634-1936
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
5.0 FINDINGS
inventory of Suspect Asbestos -Containing Materials
Floor 1
Sample Number
Material Description by Layer
Location
Asbestos
Quantity"
Friable]*
1: Joint compound
1: ND
2017-0955-FL1-3-1
Room 2, wall joint
2: Drywall
2: ND
1: Joint compound
1: ND
2017-0955-FL1-3-2
Room 25, wall joint
2: Drywall
2: ND
1: Joint compound
1:ND
2017-0955-FLI-3-3
Room 6, wall joint
2: Drywall
2: ND
2017-0955-FL1-3-4
Drywall
Room 13, ceiling
ND
2017-0955-FL1-3-5
Drywall
Room 13, wall
ND
2017-0955-FL1-3-6
Acoustical ceiling panel
Room 1, false ceiling
ND
2017-0955-FL1-3-7
Acoustical ceiling panel
Room 24, false ceiling
ND
2017-0955-FLI-3-8
Acoustical ceiling panel
Room 26, false ceiling
ND
1: Tan paper with mastic
1:ND
2017-0955-FL1-3-9
Room 1, ceiling cavity
2: White fiberglass insulation
2: ND
1: Tan paper with mastic
1: ND
2017-0955-FLI-3-10
Room 25, wall cavity
2: Pink fiberglass insulation
2: ND
1: Tan paper with mastic
1:ND
2017-0955-FL1-3-11
Room 10, ceiling cavity
2: Black fiberglass insulation
2: ND
1: Gray carpet
I : ND
2017-0955-FLI-3-12
Room 9, floor
2: White mastic
2: ND
1: Gray carpet
1:ND
2017-0955-FL1-3-13
Room 5, floor
2: Yellow mastic
2: ND
1: Tan vinyl cove base
1: ND
2017-0955-FLI-3-14
Room 3, wall base
2: White mastic
2: ND
2017-0955-FLI-3-15
Black sink undercoat patch
Rooms 1 & 2, sinks
ND
1: White laminate
1: ND
2017-0955-FL1-3-16
Room 1 & 2, counters
2: Yellow mastic
2: ND
ND None Detected
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98103
Phone (206) 547-0100 - Fax (206) 634-1936
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
5.0 FINDINGS (continued)
Floor 1 (continued)
Sample Number
Material Description by Layer
Location
Asbestos
Quantity"
Friable*
1: Beige vinyl floor tile
1: ND
2017-0955-FLI-3-17
Room 1, floor
2: Black mastic
2: ND
1: Beige vinyl floor tile
1: ND
2017-0955-FLI-3-18
Room 2, floor
2: Black mastic
2: ND
1: White window caulking
1: ND
2017-0955-FLI-3-19
2: Brown window caulking
Room 5, windows
2: ND
3: Tan window caulking
3: ND
1: Gray carpet
1: ND
2017-0955-FL1-3-20
Room 10, floor
2: Yellow mastic
2: ND
11: Beige vinyl cove base
1: ND
2017-0955-FL1-3-21
Room 10, wall base
2: White mastic
2: ND
1: Gray carpet
1: ND
2017-0955-FLI-3-22
Room 15, floor
2: Yellow mastic
2: ND
1: Beige laminate
1: ND
2017-0955-FL1-3-23
2: Clear mastic
Room 19 & 20,
2: ND
counter & partition walls
3: Yellow mastic
3: ND
1: Brown sheet vinyl
1: ND
2017-0955-FLI-3-24
2: Gray backing with mastic
Room 19 & 20, floor
2: ND
3: Leveler
3: ND
1: Gray vinyl cove base
1: ND
2017-0955-FL1-3-25
Room 19 & 20, wall base
2: White mastic
2: ND
1: Gray carpet
1: ND
2017-0955-FL1-3-26
Room 23, floor
2: White mastic
2: ND
1: Yellow vinyl cove base
1: ND
2017-0955-FL1-3-27
2: White mastic
Room 22, wall base
2: ND
3: Yellow mastic
3: ND
1: Gray carpet
1: ND
2017-0955-FL1-3-28
Room 29, floor
2: Gray mastic
2: ND
ND None Detected
NVI- Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98 103
Phone (206) 547-0100 - Fax (206) 634-1936
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
5.0 FINDINGS (continued)
Floor 1 (continued)
Sample Number
Material Description by Layer
Location
Asbestos
Quantity"
Friable*
1: White laminate
1: ND
2017-0955-FL1-3-29
Room 27, counter
2: Yellow mastic
2: ND
1: Brown carpet
1: ND
2017-0955-FLI-3-30
Room 31, floor
2: Gray mastic
2: ND
1: Wallpaper
1: ND
2017-0955-FL1-3-31
Room 30 & 31, on the walls
2: Tan paper with mastic
2: ND
1: Gray carpet
1 : ND
2017-0955-FLI-3-32
2: Gray mastic
Room 32, floor
2: ND
3: Yellow mastic with woven backing
3: ND
1: Yellow mastic
1: ND
2017-0955-FL1-3-33
2: Gray vinyl tile
Room 33 & 34, floor
2: ND
3: Yellow mastic
3: ND
2017-0955-FLI-3-34
Acoustical ceiling tile
Room 34, false ceiling
ND
1: Gray vinyl cove base
1: ND
2017-0955-FL1-3-35
2: Yellow mastic
Room 33, wall base
2: ND
1
3: Brown mastic
3: ND
Floor 2
Sample Number
Material Description by Layer
Location
Asbestos
Quantity"
Friable*
1: Joint compound
1: ND
2017-0955-FL2-3-1
Room 8, wall joint
2: Drywall
2: ND
1: Joint compound
1: ND
2017-0955-FL2-3-2
Room 27, wall joint
2: Drywall
2: ND
1: Joint compound
1: ND
2017-0955-FL2-3-3
Room 22, wall joint
2: Drywall
2: ND
2017-0955-FL2-3-4
Drywall
Room 17, mid wall
ND
2017-0955-FL2-3-5
Drywall
Room 30, mid wall
ND
2017-0955-FL2-3-6
Acoustical ceiling tile
Room 1, false ceiling
ND
ND None Detected
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98103
Phone (206) 547-0100 - Fax (206) 634-1936
10
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
5.0 FINDINGS (continued)
Floor 2 (continued)
Sample Number
Material Description by Layer
Location
Asbestos
Quantity"
Friable*
2017-0955-FL2-3-7
Acoustical ceiling tile
Room 20, false ceiling
NO
2017-0955-FL2-3-8
Acoustical ceiling tile
Room 43, false ceiling
NO
1: Paper with black mastic
1: NO
2017-0955-FL2-3-9
Room 6, wall & ceiling cavity
2: Black fiberglass
2: NO
1: Paper with black mastic
1: NO
2017-0955-FL2-3-10
Room 27, wall cavity
2: Yellow fiberglass
2: NO
1: Beige mastic with carpet
1: NO
2017-0955-FL2-3-11
Room 1, floor
2: Yellow mastic with carpet
2: NO
1: Brown vinyl cove base
1: NO
2017-0955-FL2-3-12
Room 1, wall base
2: Beige mastic
2: NO
1.- White laminate
1: NO
2017-0955-FL2-3-13
Room 2, counter
2: Yellow mastic
2: NO
2017-0955-FL2-3-14
Black sink undercoat
Room 2, sink
NO
1: Beige vinyl tile
1: NO
2017-0955-FL2-3-15
Room 2, floor
2: Black mastic
2: NO
1: Beige mastic with carpet
1: NO
2017-0955-FL2-3-16
Room 5, floor
2: Yellow mastic with carpet
2: NO
1: Beige mastic with carpet
1: NO
2017-0955-FL2-3-17
Room 9, floor
2: Yellow mastic with carpet
2: NO
1: Wall paper
1: NO
2017-0955-FL2-3-18
Room 9, walls
1: Beige mastic with paint
2: NO
1: Beige mastic with carpet
1: NO
2017-0955-FL2-3-19
Room 10 & 14, floor
2: Gold mastic with carpet
2: NO
1: Brown ceramic tile
1: NO
2017-0955-FL2-3-20
2: Red grout
Room 11 & 12, floor
2: NO
3: Leveler
3: NO
1: Brown ceramic tile
1: NO
2017-0955-FL2-3-21
2: Red grout
Room 11 & 12, wall base
2: NO
3: Clear mastic
3: NO
NO None Detected
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98103
Phone (206) 547-0100 - Fax (206) 634-1936
11
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
5.0 FINDINGS (continued)
Floor 2 (continued)
Sample Number
Material Description by Layer
Location
Asbestos
Quantity"
Friable*
1: Brown laminate
1: ND
2017-0955-FL2-3-22
Room 11 & 12, counter
2: Yellow mastic
2: ND
1: White sheet vinyl
1: ND
2017-0955-FL2-3-23
Room 13, floor
30 ft2
Yes
2: Gray backing with mastic
2: 49%
1: Off white vinyl cove base
1: ND
2017-0955-FL2-3-24
Room 13, wall base
2: Beige mastic
2: ND
1: Beige mastic with carpet
1: ND
2017-0955-FL2-3-25
Room 15, floor
2: Carpet pad
2: ND
1: Beige mastic with carpet
1: ND
2017-0955-FL2-3-26
Room 17, floor
2: Yellow mastic
2: ND
1: Beige mastic with carpet
1: ND
2017-0955-FL2-3-27
Room 23, floor
2: Yellow mastic with carpet
2: ND
1: Beige mastic with carpet
1: ND
2017-0955-FL2-3-28
Room 33, floor
2: Yellow mastic with carpet
2: ND
1: Brown vinyl cove base
1: NO
2017-0955-FL2-3-29
Room 35, wall base
2: Beige mastic
2: ND
1: Beige mastic with carpet
1: ND
2017-0955-FL2-3-30
Room 30, floor
2: Yellow mastic with carpet
2: ND
1: Beige mastic with carpet
1: ND
2017-0955-FL2-3-31
Room 40, floor
2: Yellow mastic with carpet
2: ND
1: Beige mastic with carpet
1: ND
2017-0955-FL2-3-32
Room 38 & 39, floor
2: Yellow mastic with carpet
2: ND
1: Brown laminate
1: ND
2017-0955-FL2-3-33
Room 39, counter
2: Yellow mastic
2: ND
1: Beige mastic with carpet
1: ND
2017-0955-FL2-3-34
Room 42, floor
2: Yellow mastic
2: ND
ND None Detected
The friability of this material was determined at the time of this inspection. 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.
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98103
Phone (206) 547-0100 - Fox (206) 634-1936
12
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
5.0 FINDINGS (continued)
Floor 2 (continued)
Sample Number
Material Description by Layer
Location
Asbestos
Quantity"
Friable*
2017-0955-FL2-3-35
Beige mastic with carpet
Room 44, floor
ND
1: Brown vinyl cove base
1: ND
2017-0955-FL2-3-36
Room 45, wall base
2: White mastic
2: ND
2017-0955-FL2-3-37
White sink undercoat
Room 43, sink
3%
1 sink
No
2017-0955-FL2-3-38
Black interior window caulking
Room 43, around windows
ND
1: White window caulking
1: ND
2017-0955-FL2-3-39
2: Tan window caulking
Room 24, on window casings
2: ND
3: Brown window caulking
3: ND
Exterior
Sample Number
Material Description by Layer
Location
Asbestos
Quantity"
Friable*
1: Gray stucco
1: ND
2017-0955-EXT-1-1
Siding, south
2: White stucco
2: ND
1: Gray stucco
1: ND
2017-0955-EXT-1-2
Siding, east
2: White stucco
2: ND
1: Gray stucco
1: ND
2017-0955-EXT-1-3
Siding, north
2: White stucco
2: ND
2017-0955-EXT-3-1
GWB acoustical panel
East entry, false ceiling
ND
2017-0955-EX T-3-2 I
Black window caulking
Around aluminum window frames
ND
ND None Detected
The friability of this material was determined at the time of this inspection. 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.
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98103
Phone (206) 547-0100 - Fax (206) 634-1936
13
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
5.0 FINDINGS (continued)
Roof
Sample Number
Material Description by Layer
Location
Asbestos
Quantity"
Friable*
1: Silver paint
1: ND
2: Black asphaltic material
2: ND
2017-0955-Roof-I
3: Black asphaltic material with tar
Flat roof
3: ND
4: Tan paper with asphalt
4: ND
6: Black asphaltic material
5: 19%
1: Silver paint
1: ND
2: Black asphaltic material
2: ND
2017-0955-Roof-2
3: Black asphaltic material with tar
Flat roof
8900 ft,
No
3: ND
4: Black layered asphaltic
4:29%
material
1: Silver paint
1: ND
2: Black asphaltic material
2: ND
2017-0955-Roof-3
3: Black asphaltic material with tar
Flat roof
3: ND
4: Black layered asphaltic
4:24%
material
ND None Detected
The friability of this material was determined at the time of this inspection. 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.
Any suspect material(s) not identified above should not be disturbed and should be tested immediately.
The suspect material must be treated as asbestos -containing until testing proves otherwise.
Inventory of Suspect Lead -Containing Paint Coatings
Sample Number
Material Description
Location
Lead in mglkg
Lead in %
2017-0955-Pb-1
Green paint on GWB
Floor 1, interior walls & ceilings
<46
<0,0046
2017-0955-Pb-2
White paint on GWB
Floor 1, interior walls & ceilings
<46
<O.OG46
2017-0955-Pb-3
White paint on concrete
Floor 1, interior, columns
<50
<0.0050
2017-0955-Pb-4
White paint on GWB
Floor 2, interior walls & ceilings
<48
<0.0048
2017-0955-Pb-5
White paint on GWB
Floor 2, interior walls & ceilings
<47
<0.0047
Lead content of material analyzed is below the Lower Detection Limit.
Samples in bold contain lead in excess of detectable levels
NVIL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98103
Phone (206) 547-0100 - Fax (206) 634-1936
14
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
5.0 FINDINGS (continued)
Inventory of Suspect Lead -Containing Paint Coatings (continued)
Sample Number
Material Description
Location
Lead in mg/kg
Lead in %
2017-0955-Pb-6
White paint on stucco
Exterior siding
<46
<0.0046
2017-0955-Pb-7
Beige paint on wood
Exterior beam & window components
120
O.M
2017-0955-Pb-8
Beige paint on concrete
Exterior walls
<46
<0.0046
2017-0955-Pb-9
White paint on concrete
Exterior columns
<52
<0.0052
Lead content of material analyzed is below the Lower Detection Limit,
Samples in bold contain lead in excess of detectable levels
TCLP Sampling
NVL Laboratories personnel collected a sample for Toxicity Characteristic Leaching Procedures (TCLP)
testing to determine the Total Leachable Lead (Pb) content on November 21, 2017.
The Toxicity Characteristic Leachate Procedure (TCLP) determines the potential for construction debris
to leach lead (Pb) into the groundwater. A material "fails" the TCLP when there is 5.0 parts per million
or greater of lead (Pb) in the leachate.
TCLP Results
Sample Number
Sample Location
Results in
ppm
2017-0955-TCLP
7416 212th St SW Edmonds, WA 98026
< 0.5
Mercury
NVL personnel performed a visual inspection of the structure for materials that may contain mercury.
This includes Mercury thermostats and florescent light tubes (including the newer "green tubes" which
still contain low levels of Mercury. Four hundred fifty-six (456) Mercury containing florescent light
tubes and four (4) thermostats were identified at the property during the visual inspection.
Fluorescent light tubes, HID lamps, and thermostats contain mercury (Hg) are classified as universal
waste by the EPA and Ecology. The Universal Waste Rule for Dangerous Waste Lamps (WAC 173-
303-573) included the following requirements:
• Immediately place lamps showing evidence of leakage, damage, etc. in a container following
removal;
• Containerize in closed, structurally sound, compatible containers;
• Cardboard containers may be used for inside storage only-,
• Labeling container required: "Waste Lamps," or "Universal Waste Lamps;"
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98103
Phone (206) 547-0100 - Fax (206) 634-1936
15
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
5.0 FINDINGS (continued)
• Track the length of time since waste lamp generation. Acceptable methods of proof include:
date on label, inventory system, etc.
• Respond immediately to potential releases. If determined to be a release, contain and
determine if it designates as a dangerous waste. If so, manage the release as specified in
WAC 173-303;
• Disposal of universal waste as general or construction debris is not permitted-,
• The crushing of fluorescent light tubes on -site is not allowed. In addition, measures should be
taken to prevent breakage of fluorescent light tubes while the light tubes are in transit to their
destination.
• Provide training to employees on the proper handling and emergency procedures of universal
waste lamps;
• Track shipments of universal waste lamps with records (invoice, manifest, etc.) kept for a
minimum of 3 years.
Poly Chlorinated Biphenyls (PCB) Light Ballasts
One hundred and fifty two (152) PCB -containing light ballasts were identified during the visual
inspection at the property.
The Washington statutes definition of a PCB -containing material require that any material with more
than 2 parts per million (ppm) to be treated as PCB -containing material. Federal regulations dictated
that any material with less than 50 ppm PCBs could be labeled as a non-PC13 containing material.
Because of this regulatory change, NVL recommends that all light ballasts be observed, removed,
handled, and disposed of in an appropriate manner. The ballasts labeled with "PCB Free" and "Non -
PCB" shall be packaged for recycle by an approved recycling facility.
6.0 CONCLUSIONS AND RECOMMENDATIONS
The following is an inventory of asbestos -containing building materials identified during the
Hazardous Materials Survey of the subject property.
Floor 2
1. White sheet vinyl backing / mastic (Friable)
Sample number: 2017-0955-FL2-3-23
There is approximately 30 square feet of
asbestos containing gray backing with mastic
associated with white sheet vinyl flooring
located in room 13 (floor 2) of the building.
The substrate is wood.
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98103
Phone (206) 547-0100 - Fax (206) 634-1936
16
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
6.0 CONCLUSIONS AND RECOMMENDATIONS (continued)
FInnr 2
2. White sink undercoat (Non -friable)
Sample number.- 2017-0955-FL2-3-37
Roof
3. Built-up roofing (Non -friable)
Sample number: 2017-0955-Roof-1 to Roof-3
There is one (1) aluminum sink with asbestos
containing white undercoat located in room 43
(floor 2) of the building.
There is approximately 8900 square feet of
asbestos containing black asphaltic built-up
roofing located on the building. The substrate
is wood.
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 requires that the
Abatement be performed using Certified Asbestos Workers under the direct on -site supervision by a
Certified Asbestos Supervisor. Further, NVL suggests that an AHERA inspector review this property
after abatement to ensure all asbestos -containing materials have been removed by the contractor.
NVL Laboratories, Inc,
4708 Aurora Ave N
Seattle, WA 98103
Phone (206) 547-0100 - Fax (206) 634-1936
17
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
6.0 CONCLUSIONS AND RECOMMENDATIONS (continued)
NVL recommends that an AHERA inspector/project manager be on site at the time of 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.
Lead (Pb)
Lead-containinq paint was identified in the following paint sample collected from the subject property.
0 Beige paint on exterior wood beam and window components of the structure.
The Federal Occupational Safety & Health Administration's (OSHA) interim lead safety standard (29
CFR 1926.59) for the construction industry became effective on June 3, 1993. Lead exposure in
construction is regulated in Washington State by WAC 296-155-176, These regulations protect
workers disturbing building surfaces with lead containing paints. Paint with "any detectable level" of
lead is classified as a lead containing paint by federal and state regulations and the applicable worker
safety provisions must be implemented.
WORKER EXPOSURE
WAC 296-155-176, Lead (Pb), applies to all construction work where an employee may be
occupationally exposed to Lead (Pb). Construction work includes activities such as demolition or
salvage, removal or encapsulation, and renovation of materials that contain Lead (Pb). When an
employee may be occupational exposed to Lead (Pb), the employer must perform an exposure
assessment according to WAC 296-155-176.
The exposure assessment consists of personal air monitoring to determine Lead (Pb) exposure levels
for the work being performed. During the assessment, the employer must provide the following:
As a minimum, a half mask air purifying respirators equipped with high efficiency particulate
air (HEPA) filters in accordance with WAC 296-155-17613.
NVL Laboratories, Inc,
4708 Aurora Ave N
Seattle, WA 98103
Phone (206) 547-0100 - Fax (206) 634-1936
18
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
6.0 CONCLUSIONS AND RECOMMENDATIONS (continued)
• Appropriate personal protective clothing / equipment in accordance with WAC 296-155-17615.
• A designated change area which allows for separate storage areas for work and street
clothing to prevent cross contamination in accordance with WAC 296-155-17619(2).
Hand washing facilities to wash their hands and faces WAC 296-155-17619(5).
• Biological monitoring in the form of blood survey and analysis for Lead (Pb) and zinc
protoporphyrin levels in accordance with WAC 296-155-17621 (1) (a).
• Training to include hazard communication, safety, and the limitations, proper use, and
maintenance of respirators in accordance with WAC 296-155-100.
In addition to the protective equipment and hygiene requirements, the employer must attempt to
reduce the levels of airborne Lead (Pb) through engineering controls such as ventilation and wet
methods.
TCLP
A solid waste exhibits the characteristic of toxicity if, using the Toxicity Characteristic Leaching
Procedure (TCLP) testing method, as incorporated in WAC 173-303-090, the extract from a
representative sample of the waste contains lead (Pb) contaminants equal to or greater than 5.0 ppm.
The TCLP sample result is below the threshold of 5.0 ppm. Thus, the solid waste stream of the
demolition debris from the structure is considered as regular demolition debris.
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle, WA 98103
Phone (206) 547-0100 - Fax (206) 634-1936
19
7416 212th St SW
Edmonds, WA 98026
Project Number: 2017-0955
7.0 LIMITATIONS OF SURVEY
The purpose of this hazardous materials survey report is to document asbestos containing building
materials, lead paint coatings and Mercury / PCB containing devices discovered at 7416 212th Street
SW, Edmonds, WA 98026.
The purpose of this survey was to identify suspect asbestos containing building materials, lead paint
coatings, and Mercury (Hg) / PCB containing devices which would be impacted by the planned
demolition of the building. Destructive sampling methods were utilized to collect samples of suspect
building materials. No soft/limited demolition was performed during this inspection. Please note that
hidden materials may exist within the structure, and all suspect materials must be treated as
hazardous 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 survey.
Prepared By Reviewed By
JOW-d"161
Jason Lindahl Tanveer Khan
AHERA Building Inspector AHERA Building Inspector
Certification # 1627469 Certification # 1626915
Expiration Date: June 2, 2018 Expiration Date: May 10, 2018
NVL Laboratories, Inc.
4708 Aurora Ave N
Seattle. WA 98103
Phone (206) 547-0100 - Fax (206) 634-1936 20
IN IL
L A aB 5
Appendix A
Sample Locations (Floor Plan)
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L A B S
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L A B S Client 212 Edmonds Holdings, LLC - Jason
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INDUSTRIAL
H Y G I E N E
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Phone: 206 5AZO100 I Fax: 206 63-4.1936 Toll Free: 1.888.NVL.LABS (685.5227)
A708 Aurora Avenue North Seattle, WA 98103-6516
IN IL
L A , B S
Appendix B
Laboratory Analysis Results
November 22, 2017
Tanveer Khan
NVL Field Services Division
4708 Aurora Ave. N.
Seattle, WA 98103
RE: Bulk Asbestos Fiber Analysis; NVIL Batch # 1721048.00
Client Project: 2017-0955
Location: 7416 212th St. SW Edmonds. WA 98026
Dear Mr. Khan,
............
INVIL�,�
L A B S
I N D U S T R I A L
H Y G I E N E
S E R V I C E S
Laboratory , Management 1 Training
Enclosed please find test results for the 35 sample(s) submitted to our laboratory for analysis on
11120/2017.
Examination of these samples was conducted for the presence of identifiable asbestos fibers using
polarized light microscopy (PLM) with dispersion staining in accordance with both EPA 600/M4-82-020,
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 CFIR 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,
Nick Ly, Technical Director
1.888.NVL.LABS Enc.: Sample Results
www.nvllabs.com
r\ncW
Lab Code: 102063-0
NVL Laboratories, Inc.
4708 Aurora Ave N, Seattle, WA 98103
p 206�547.0100 1 f 206.634.1936
page 1 of 19
NVL Laboratories, Inc.
4703 Amord Ave N, Se,t1e. WA 981013
p 206 547.0100 1 f 206.634 1936 1 ww"mivilabs coin
Bulk Asbestos Fibers Analysis
L A B S
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 1721048.00
Address: 4708 Aurora Ave. N. Client Project #: 2017-0955
Seattle, WA 98103 Date Received: 11/20/2017
Samples Received: 35
Attention: Mr. Tanveer Khan Samples Analyzed: 35
Project Location: 7416 212th St. SW Edmonds, WA 98026 Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Lab ID: 17116856 Client Sample #: 2017-0955-FLI-3-1
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: White compacted powdery material with paint
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Calcareous particles, Paint, Binder/Filler Cellulose 3% None Detected ND
Layer 2 of 2 Description: White chalky material with paper
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Gypsum/Binder Cellulose 23% None Detected ND
Glass fibers 3%
Lab ID: 17115856 Client Sample #: 2017-0955-FL1-3-2
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: White compacted powdery material with paint
Non -Fibrous Materials: Other Fibrous Materials,% Asbestos Type: %
Calcareous particles, Paint, Binder/Filler Cellulose 3% None Detected ND
Layer 2 of 2 Description: White chalky material with paper
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Gypsum/Binder Cellulose 26% None Detected ND
Glass fibers 4%
Lab ID: 17115857 Client Sample #: 2017-0956-FL1-3-3
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: White compacted powdery material with paint
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Calcareous particles, Paint, Binder/Filler Cellulose 3% None Detected ND
Sampled by: Client
Analyzed by: Lori Tseng Date: 11/22/2017
Reviewed by: Nick Ly Date: 11/22/2017 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-931116 and 600IM4-82-020 Methods 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 NVIL 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
page 2 of 19
NVL Laboratories, Inc. INVIL.
4708 Amori Ave [\)�SP.V11e,WA98103
p 206 547 0100 1 f 206.6311 1936 1 %vYvemwhabs (.0m L A B S
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division Batch M 1721048.00
Address: 4708 Aurora Ave. N. Client Project #� 2017-0955
Seattle, WA 98103 Date Received: 11/20/2017
Samples Received: 35
Attention: Mr. Tanveer Khan Samples Analyzed: 35
Project Location.- 7416 212th St. SW Edmonds, WA 98026 Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Layer 2 of 2 Description: White chalky material with paper
Non -Fibrous Materials:
Other Fibrous Materials,%
Asbestos Type: %
Binder/Filler, Gypsum/Binder
Cellulose
25%
None Detected ND
Glass fibers
4%
Lab ID: 17115858 Client Sample#: 2017-0955-FLI-3-4
Location: 7416 212th St, SW Edmonds, WA 98026
Layer I of I Description: White chalky material with paper and
paint
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Gypsum/Binder, Paint
Cellulose
25%
None Detected ND
Glass fibers
7%
Lab ID: 17115859 Client Sample#: 2017-0955-FLI-3-5
Location: 7416 212th St, SW Edmonds, WA 98026
Layer I of I Description: White chalky material with paper and
paint
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Gypsum/Binder, Paint
Cellulose
26%
None Detected ND
Glass fibers
5%
Lab ID: 17115860 Client Sample#: 2017-0965-FL1-3-6
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 1 Description: Gray fibrous material with paint
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Paint, Perlite
Cellulose
57%
None Detected ND
Glass fibers
5%
Lab ID: 17115861 Client Sample #: 2017-0955-FL1-3-7
Location: 7416 212th St. SW Edmonds, WA 98026
Sampled by: Client
Analyzed by: Lori Tseng Date: 11 /22/2017
Reviewed by: Nick Ly Date: 11/22/2017 Nick Ly, Technical Director
Note: If samples are not homogeneous, then subsampfes of the components were analyzed separately. All bulk samples are analyzed using both EPA
600113-93/116 and 600IM4-82-020 Methods 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
page 3 of 19
NVL Laboratories, Inc. INVIL.
4/08 Auwfa Ave N, Seatliv, WA 98103
[)206,547.0100 1 (206,6341936 1 vvqwrivllab�.com L A B S
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division Batch M 1721048.00
Address: 4708 Aurora Ave. N. Client Project #: 2017-0955
Seattle, WA 98103 Date Received: 11/20/2017
Samples Received: 35
Attention: Mr. Tanveer Khan Samples Analyzed: 35
Project Location: 7416 212th St. SW Edmonds, WA 98026 Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Layer I of I Description: Gray fibrous material with paint
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Paint, Perlite Cellulose 58% None Detected ND
Glass fibers 7%
Lab ID: 17116862 Client Sample#: 2017-0955-FL1-3-8
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of I Description: Gray fibrous material with paint
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Paint, Perlite Cellulose 68% None Detected ND
Glass fibers 6%
Lab ID: 17115863 Client Sample #: 2017-0955-FLI-3-9
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Tan paper with asphalt
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Asphalt/Binder, Binder/Filler
Cellulose 74%
None Detected ND
Layer 2 of 2 Description: White fibrous material
Non -Fibrous Materials.-
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler
Glass fibers 78%
None Detected ND
Lab ID: 17116864 Client Sample#: 2017-0955-FLI-3-10
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Tan/red paper with asphalt
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Asphalt/Binder, Binder/Filler
Cellulose 75%
None Detected ND
Sampled by: Client
Analyzed by: Lori Tseng Date: 11/22/2017
Reviewed by: Nick Ly Date:11/22/2017 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 600/M4-82-020 Methods 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
page 4 of 19
NVL Laboratories, Inc.
4108 Atifoi,i AvL N Sedule. WA '1810
p 206 547.0100 1 f 206-634-1936 1 vivioi.n0abs cum L A B S
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client.- NVL Field Services Division Batch #: 1721048.00
Address: 4708 Aurora Ave. N. Client Project* 2017-0955
Seattle, WA 98103 Date Received: 11/20/2017
Samples Received: 35
Attention: Mr. Tanveer Khan Samples Analyzed: 35
Project Location: 7416 212th St. SW Edmonds, WA 98026 Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Layer 2 of 2 Description: Pink fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler Glass fibers 79% None Detected ND
Lab ID: 17115866 Client Sample#: 2017-0956-FL1-3-11
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 2 Description: Tan paper with asphalt
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/Binder, Binder/Filler Cellulose 75% None Detected ND
Layer 2 of 2 Description: Gray fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Glass beads Glass fibers 77% None Detected ND
Lab ID: 17116866 Client Sample#: 2017-0956-FL1-3-12
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 2 Description: Gray/white woven fibrous carpet material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler Synthetic fibers 65% None Detected ND
Layer 2 of 2 Description: White/yellow soft mastic with woven fibrous backing
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Binder/Filfer Synthetic fibers 47% None Detected ND
Lab ID: 17116867 Client Sample#: 2017-0955-FL1-3-13
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Gray/white woven fibrous carpet material
Non -Fibrous Materials: Other Fibrous Materials:%
Binder/Filler Synthetic fibers 63%
Asbestos Type: %
None Detected ND
Sampled by: Client
Analyzed by: Lori Tseng Date: 11 /22/2 017
Reviewed by: Nick Ly Date: 11/22/2017 Nick Ly, Technical Director
Note: If samples are not homogeneous, then subsemples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and 600IM4-82-020 Methods 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
page 5 of 19
NVL Laboratories, Inc, JN\v
,1708 Aui ora Avt 14. Seattle. WA 98'03' \V
p206,5470100 I f-"066341936 I wkv* nvilabs corn L A B S
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division Batch M 1721048.00
Address: 4708 Aurora Ave. N. Client Project* 2017-0955
Seattle, WA 98103 Date Received: 11/20/2017
Samples Received: 35
Attention: Mr. Tanveer Khan Samples Analyzed: 35
Project Location: 7416 212th St. SW Edmonds, WA 98026 Method: EPA/600/R-93/116
& EPA/600IM4-82-020
Layer 2 of 2 Description: Yellow soft mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder Synthetic fibers 4% None Detected ND
Cellulose 3%
Lab ID: 17116868 Client Sample#: 2017-0966-FL1-3-14
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Gray rubbery material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Rubber/Binder None Detected ND None Detected ND
Layer 2 of 2 Description: White soft mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder Cellulose 2% None Detected ND
Lab ID: 17115869 Client Sample#: 2017-0955-FL1-3-15
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 1 Description: Brown soft material with black surface
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Fine grains Cellulose 4% None Detected NID
Lab ID: 17115870 Client Sample#: 2017-0955-FL1-3-16
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Brown flat hard compressed fibrous material with white surface and paint
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Laminate/binder, Paint Cellulose 36% None Detected ND
Layer 2 of 2 Description: Yellow soft mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder Cellulose 3% None Detected ND
Sampled by: Client
Analyzed by: Lori Tseng Date: 11/22/2017
Reviewed by: Nick Ly Date: 11 /22/2017 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 600/M4-82-020 Methods 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
page 6 of 19
NVL Laboratories, Inc. INVI
4708 Auroya Ave. 'J, Speltie, WA 98103
p 206 547 0iou I f 1-06.634,1936 1 www ilVildbs.coin L A B S
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division Batch M 1721048.00
Address: 4708 Aurora Ave. N. Client Project * 2017-0955
Seattle, WA 98103 Date Received.- 11/20/2017
Samples Received: 35
Attention: Mr. Tanveer Khan Samples Analyzed: 35
Project Location: 7416 212th St. SW Edmonds, WA 98026 Method: EPAt6GO/R-93/116
& EPA/600/M4-82-020
Synthetic fibers 2%
Lab ID: 17115871 Client Sample #: 2017-0955-FLI-3-17
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 2 Description: Brown vinyl tile
Non -Fibrous Materials� Other Fibrous Materials:% Asbestos Type: %
Vinyl/Binder, Mineral grains Cellulose 2% None Detected ND
Layer 2 of 2 Description: Black asphaltic mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/Binder Cellulose 4% None Detected ND
Lab ID: 17116872 Client Sample#: 2017-0966-FLI-3-18
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Brown vinyl tile
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Vinyl/Binder, Mineral grains
Cellulose 1 %
None Detected ND
Layer 2 of 2 Description: Black asphaltic mastic
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Asphalt/Binder
Cellulose 3%
None Detected ND
Lab ID: 17115873 Client Sarrl 2017-0956-FL1-3-19
Location: 7416 212th St, SW Edmonds, WA 98026
Layer I of 3 Description: White soft/elastic material with paint
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Paint, Caulking compound
Cellulose 3%
None Detected ND
Layer 2 of 3 Description: Brown soft/elastic mastic
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder
Cellulose 4%
None Detected ND
Sampled by: Client
Analyzed by: Lori Tseng Date: 11/22/2017
Reviewed by: Nick Ly Date: 11/22/2017 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 600IM4-82-020 Methods 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
page 7 of 19
NVL Laboratories, Inc.
4/08 Aufora Ave N Sea0e 1,N'A IMM
p2065470100 1 f-'06.6341936 1 vww.nv11absc.ojn
Bulk Asbestos Fibers Analysis
L A B S
Client: NVL Field Services Division Batch M 1721048.00
Address: 4708 Aurora Ave. N. Client Project #-. 2017-0955
Seattle, WA 98103 Date Received: 11/20/2017
Samples Received: 35
Attention: Mr. Tanveer Khan Samples Analyzed: 35
Project Location: 7416 212th St. SW Edmonds, WA 98026 Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Layer 3 of 3 Description: Yellow soft mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder Cellulose 3% None Detected ND
Lab ID: 17115874 Client Sample#: 2017-0966-FLI-3-20
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 2 Description: Gray woven fibrous carpet material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filter Synthetic fibers 67% None Detected ND
Layer 2 of 2 Description: Yellow soft mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder Synthetic fibers 3% None Detected ND
Cellulose 2%
LabID:17115875 Client Sample#: 2017-0965-FLI-3-21
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Gray rubbery material
Non -Fibrous Materials.- Other Fibrous Materials:% Asbestos Type: %
Rubber/Binder None Detected ND None Detected ND
Layer 2 of 2 Description: White soft mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder Cellulose 3% None Detected ND
Lab ID: 17115876 Client Sample#: 20117-0955-FILI-3-22
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Gray/white woven fibrous carpet material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler Synthetic fibers 66% None Detected ND
oo
Sampled by: Client
Analyzed by: Lori Tseng Date: 11/22/2017
Reviewed by: Nick Ly Date: 11/22/2017 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 600/M4-82-020 Methods 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
page 8 of 19
NVL Laboratories, Inc.
INVII
L� -
4708 Aw ova Avt N, Seattle WA 9810;
p 206 547 0-'(10 1 1206 634 1936 1 www.rivilabs.com
L A B S
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division
Batch #: 1721048.00
Address: 4708 Aurora Ave. N.
Client Project #: 2017-0955
Seattle, WA 98103
Date Received: 11/20/2017
Samples Received: 35
Attention: Mr. Tanveer Khan
Samples Analyzed: 35
Project Location: 7416 212th St. SW Edmonds, WA 98026
Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Layer 2 of 2 Description: Yellow/white brittle mastic with woven fibrous backing
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Mastic/Binder Synthetic fibers 45%
None Detected ND
Lab ID: 17116877 Client Sample #: 2017-0966-FLI-3-23
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 3 Description: Brown flat hard compressed fibrous material with light brown surface
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Laminate/binder Cellulose 35%
None Detected ND
Layer 2 of 3 Description: Clear soft mastic
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder Synthetic fibers 2%
None Detected ND
Cellulose 1 %
Layer 3 of 3 Description: Yellow trace soft mastic
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder Cellulose 3%
None Detected NID
Lab ID: 17115878 Client Sample #: 2017-0955-FLI-3-24
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 3 Description: Gray/brown sheet vinyl
Non -Fibrous Materials: Other Fibrous Materials %
Asbestos Type: %
Vinyl/Binder, Binder/Filler None Detected ND
None Detected ND
Layer 2 of 3 Description: Gray fibrous backing with mastic
Non -Fibrous Materials.- Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Mastic/Binder Cellulose 56%
None Detected ND
Sampled by: Client
Analyzed by: Lori Tseng Date: 11/22/2017
Reviewed by: Nick Ly Date: 11 /22/2017 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-931115 and 600/M4-82-020 Methods 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
page 9 of 19
NVL Laboratories, Inc.
4!08 Noma Ave. N, S,�.Wfe. WA I)BIC',
p2065470100 I Q013634,936 : www nvl labs com
Bulk Asbestos Fibers Analysis
Client: NVL Field Services Division
Address: 4708 Aurora Ave. N.
Seattle, WA 98103
Attention: Mr. Tanveer Khan
Project Location: 7416 212th St, SW Edmonds, WA 98026
INVIL�"
L A 8 S
Batch M 1721048.00
Client Project* 2017-0955
Date Received: 11/2012017
Samples Received: 35
Samples Analyzed: 35
Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Layer 3 of 3 Description: White compacted powdery material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Calcareous particles, Binder/Filler Synthetic fibers 6% None Detected ND
LabID:17115879 Client Sample#: 2017-0965-FLI-3-26
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 2 Description: Gray rubbery material
Non -Fibrous Materials: Other Fibrous Materials:%
Rubber/Binder None Detected ND
Layer 2 of 2 Description: White soft mastic
Non -Fibrous Materials: Other Fibrous Materials:%
Mastic/Binder Cellulose 3%
LabID:17115880 Client Sample#: 2017-0955-FL1-3-26
Location: 7416 212th St SW Edmonds, WA 98026
Layer I of 2 Description: Gray/white woven fibrous carpet material
Non -Fibrous Materials: Other Fibrous Materials:%
Binder/Filler Synthetic fibers 64%
Layer 2 of 2 Description: White/yellow soft mastic
Non -Fibrous Materials: Other Fibrous Materials:%
Mastic/Binder, Binder/Filler Cellulose 3%
Synthetic fibers 2%
Lab ID: 17116881 Client Sample#: 2017-0955-FL1-3-27
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 3 Description: Gray rubbery material
Non -Fibrous Materials: Other Fibrous Materials:%
Rubber/Binder 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: Lori Tseng Date: 11/22/2017
Reviewed by: Nick Ly Date: 11/22/2017 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 600/M4-82-020 Methods 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
page 10 of 19
NIVL Laboratories, Inc.
4/Ob Auiw.A Ave N. Serittle MX 98.0i 1 N V i
.11
p2065,170100 I f206.634.1936 I www.uvIlabs coin L A B S
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 1721048.00
Address: 4708 Aurora Ave. N. Client Project #: 2017-0965
Seattle, WA 98103 Date Received: 11/20/2017
Samples Received: 35
Attention: Mr. Tanveer Khan Samples Analyzed: 35
Project Location: 7416 212th St. SW Edmonds, WA 98026 Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Layer 2 of 3 Description: White soft mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder Cellulose 2% None Detected ND
Layer 3 of 3 Description: Yellow brittle mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder Cellulose 4% None Detected ND
Lab ID: 17116882 ClientSample#: 2017-0955-FL1-3-28
Location.- 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 2 Description' Gray/brown woven fibrous carpet material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler Synthetic fibers 65%
None Detected ND
Layer 2 of 2 Description: Gray/yellow brittle mastic with woven fibrous backing
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Binder/Filler Synthetic fibers 44%
None Detected ND
Cellulose 3%
Lab ID: 17115883 Client Sample #: 2017-0956-FL1-3-29
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Brown flat hard compressed fibrous material with white surface
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Laminate/binder Cellulose 34%
None Detected ND
Layer 2 of 2 Description: Yellow soft mastic with debris
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Wood flakes Cellulose 3%
None Detected ND
Wood fibers 5%
Sampled by: Client
Analyzed by: Lori Tseng Date: 11/22/2017
Reviewed by: Nick Ly Date: 11/22/2017 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 600/M4-82-020 Methods 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
page 11 of 19
NVL Laboratories, Inc. INVIL
4708 Amora A,,e N. Se.-Wle, WA 1?8-.C?, .e-
p"06.5,170100 ' fAbb"41936 vwv),nv11Asco[71 L A B S
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division Batch M 1721048.00
Address: 4708 Aurora Ave. N. Client Project #: 2017-0955
Seattle, WA 98103 Date Received: 11/20/2017
Samples Received: 35
Attention: Mr. Tanveer Khan Samples Analyzed: 35
Project Location: 7416 212th St. SW Edmonds, WA 98026 Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Lab ID: 17115884 Client Sample#: 2017-0955-FL1-3-30
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Brown/black woven fibrous carpet material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler Synthetic fibers 66% None Detected ND
Layer 2 of 2 Description: Gray brittle mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder Synthetic fibers 2% None Detected ND
Cellulose 1%
Lab ID: 17115885 ClientSample#: 2017-0965-FL1-3-31
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 2 Description: Brown wall vinyl with interwoven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler Cellulose 66% None Detected ND
Layer 2 of 2 Description: Tan paper with white paint and mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Paint, Mastic/Binder Cellulose 75% None Detected ND
Lab ID: 17115886 ClientSample#: 2017-0955-FL1-3-32
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 3 Description: Gray woven fibrous carpet material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler Synthetic fibers 66% None Detected ND
Layer 2 of 3 Description: Gray soft mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder Synthetic fibers 2% None Detected ND
Sampled by: Client
Analyzed by: Lori Tseng Date: 11/22/2017
Reviewed by: Nick Ly Date: 11 /22/2017 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 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1%=0-3%, 5%=11-9%, 10%=5-15%,
20%=1 0-30%, 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
page 12 of 19
NVL Laboratories, Inc.
4108 Amoia Ave N, SLdttle VIA ()810.;
p2065470'00 I f2O66341936 I wwwfivi�aos.coni L A B S
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division Batch M 1721048.00
Address: 4708 Aurora Ave. N. Client Project #: 2017-0955
Seattle, WA 98103 Date Received: 11/20/2017
Samples Received.- 35
Attention: Mr. Tanveer Khan Samples Analyzed: 35
Project Location: 7416 212th St. SW Edmonds, WA 98026 Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Cellulose 3%
Layer 3 of 3 Description: Yellow soft mastic with woven fibrous backing
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Binder/Filler Synthetic fibers 48%
None Detected ND
Lab ID: 17116887 ClientSample#: 2017-0955-FL1-3-33
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 3 Description: Yellow soft mastic
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder Cellulose 3%
None Detected ND
Layer 2 of 3 Description: Gray vinyl tile
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Vinyl/Binder, Mineral grains Cellulose 1%
None Detected ND
Layer 3 of 3 Description: Yellow soft mastic
Non -Fibrous Materials.- Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder Cellulose 4%
None Detected ND
Synthetic fibers 2%
Lab ID: 17115888 Client Sample#: 2017-0955-FL1-3-34
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of I Description: Gray fibrous material with paint
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Paint, Perlite Cellulose 35%
None Detected ND
Glass beads Glass fibers 33%
Lab ID: 17115889 Client Sample#: 2017-0955-FL1-3-35
Location: 7416 212th St. SW Edmonds, WA 98026
Sampled by: Client
Analyzed by: Lori Tseng Date: 11/22/2017
Reviewed by: Nick Ly Date: 11/22/2017 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 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1%=0-3%, 5%=11-9%, 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
page 13 of 19
NVL Laboratories, Inc.
4708 Aimot a Avt,. N, Seattle. WA 981M
p2G65470100 1 t206.634,1936 wwwaidabs,com
Bulk Asbestos Fibers Anal
Client: NVL Field Services Division
Address: 4708 Aurora Ave. N.
Seattle, WA 98103
Attention: Mr. Tanveer Khan
Project Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 3 Description: Gray rubbery material
Non -Fibrous Materials: Other Fibrous Materials.%
Rubber/Binder None Detected ND
Layer 2 of 3 Description. Yellow soft mastic with paint
Non -Fibrous Materials: Other Fibrous Materials:%
Mastic/Binder, Paint Cellulose 4%
Layer 3 of 3 Description: Brown soft mastic
Non -Fibrous Materials: Other Fibrous Materials:%
Mastic/Binder Cellulose 5%
INVY I
L A B S
Batch #: 1721048.00
Client Project #: 2017-0955
Date Received: 11/20/2017
Samples Received: 35
Samples Analyzed: 35
Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Sampled by: Client
Analyzed by: Lori Tseng Date: 11/22/2017
Reviewed by: Nick Ly Date: 11/22/2017 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 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%,
20%=10-30%. 50%=40-600/.), 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
page 14 of 19
NVL Laboratories, Inc. ASBESTOS LABORATORY SERVICES
INVIL,.
4708 Aw ci a Ave N, Seattle. 1#VA 98iO3
1)2065470100 1 f206k341936 I wwwmvilabs,com L A B S
Company NVL Field Services Division NVLBatchNumber 1721048.00
Address 4708 Aurora Ave. N. TAT 2.DaVs AH No
S.eattle—WA-9-8-1-03 Rush TAT
Project Manager Mr.-Tanve.er Khan Due Date 11/22/2017 Time 5:15 PM
Phone (206),54,770100 Email tanveer.k@n-vllabs.com
Cell (206) 799:2916 Fax (206) 634-193.6
Project Name/Number: 2017-0955 Project Location: 7416 212th.St..SW_Edmonds,_ WA 98026
Subcategory PLM-Bulk
Item Code ASB-02 EPA 600/R-93-116 Asbestos-by-PLM <bulk>--.
Total Number of Samples 35 Rush Samples
Lab ID Sample ID Descriotion A/R
1
117115855
12017-0955-FL1-3-1
Composite
A
2
17115856
2017-0955-FL1-3-2
Composite
A
3
17115857
2017-0955-FL1-3-3
Composite
A
4
17115858
2017-0955-FL1-3-4
A
5
17115859
2017-0955-FL1-3-5
A
6
17115860
2017-0955-FL1-3-6
A
7
17115861
2017-0955-FL 1 -3-7
A
8
17115862
2017-0955-FLI-3-8
A
9
17115863
2017-0955-FL1-3-9
A
10
17115864
2017-0955-FL1-3-10
A
11
17115865
2017-0955-FL1-3-11
A
12
17115865
2017-0955-FLI-3-12
A
13
17115867
2017-0955-FL1-3-13
A
14
17115868
2017-0955-FL1-3-14
A
15
17115869
2017-0955-FL1-3-15
A
16
17115870
2017-0955-FL1-3-16
A
17
17115871
2017-0955-FL1-3-17
A
�78-11711115872
2017-0955-FL1-3-18
A
Print Nqmp Sionature
rnmnanv
Date Time
Sampled by
Client
Relinquished by �Client
Office Use 0nIv Print Name Siqnature Comoanv Date Time
Received by
Nicholas Dossegger
JNVL
11/20/17
1715
Analyzed by
Lori Tseng
NVL
11/22/17
Results Called by
0 Faxed F-1 Emailed
i Special
Instructions:
Date: 11/20/2017
Time: 5:21 PM
Entered By: Nicholas Dossegger
page 15 of 19
NVL Laboratories, Inc. ASBESTOS LABORATORY SERVICES
4708 Aum a Ave N, Seattle, WA 98103
p 206 547,0100 1 f 206.634 1936, 1 wwwxvilabs,cum
Company NVL Field Services Division NVI-BatchNumber 1721048.00
Address 47.08 Aurora Ave. N. TAT 2 DaVs AH. No
S.e.attle,-WA-98-1.0.3-- Rush TAT
Project Manager Mr. Tanveer Khan Due Date 11122/2017 Time 515 PM
Phone (206) 547-0100 Email tanveer.k@nvilabs.com
Cell (206) 799-2916 Fax (206) 634-1936
Project Name/Number: 20.17--0955 Project Location: 7416 212th St. SW Edmonds, W.A 98026
Subcategory PLM Bulk -
item Code ASB-02 — EPA 600/R-93n-1 16-Asbestos by PLM 5b.ulk>
Total Number of Samples 35
Lab ID Sample ID Description
Rush Sampfes
IN\VIL,,
L A B S
A/R
19
17115873
2017-0955-FL1-3-19
A
20
17115874
2017-0955-FL1-3-20
A
21
17115875
TO� 7-09553�!FL 1 -3-21
A
22
17115876
2017-0955-FL1-3-22
A
23
17115877
2017-0955-FLI-3-23
A
24
17115878
2017-0955-FL1-3-24
A
25
17115879
2017-0955-FL1-3-25
A
26
117115880
2017-0955-FL1-3-26
--T
27
117115881
2017-0955-FL1 -3-27
A
28
17115882
2017-0955-Ft 1-3-28
A
29
17115883
2017-0955-FL1-3-29
A
30
17115884
2017-0955-FL1-3-30
A
31
17115885
2017-0955-FL1-3-31
A
32
17115886
2017-0955-FL1-3-32
A
33
17115887
2017-0955-FL1-3-33
A
34
17115888
2017-0955-FL1-3-34
A
35]17115889
2017-0955-FL1-3-35
A
Print Name Sicinature
('nrnnanu
Date Time
Sampled by_
JClient
JClient
Relinquished by _
Office Use Onlv Print Name Sionature Comnanv Date Time
Received by
Nicholas Dossegger
NVL
11/20/17 1715
Analyzed by
Lori Tseng
NVL
11/22/17
Results Called by
Faxed 0 Emailed
Special
Instructions:
Date: 11120/2017
Time: 5:21 PM
Entered By: Nicholas Dossegger
page 16 of 19
NVL, Laboratories, Inc. CHAIN of CUSTODY 11 1 L
4708 Aurora Ave N, Seatile, WA 98193 SAMPLE LOG I S
p 206 5470100 1 f 206 634 1936 � wvvw nvlld.)s com 1721048
Client NVL Laboratories Inc
Street 4708 Aurora Ave N
Seattle, WA 98103
Project Manager Sved Hasan
Project Location 7416 212th St SW -
Edmonds, WA 98026
NVIL Batch Number
ClIentJobNumber 2�017-0955
Total Samples 35
Turn Around Time L2 1 Hr 6 Hrs E] 3 Days E] 10 Days
2 Hrs '1 Day E] 4 Days
4 hrs . V 2 Days -El 5 Days
�Iease call for TAT less than 24 Hr!
Email address iroudabushoorchardholdinqsqrour)
Phone: (515) 754-3500 Fax:
F]AsbestosAir
�--PCM(NIOSI-17400) EITEM(NIOSH7402) F-JTEM(AHERA) - TEM(EPALevelll) LOther
't'Asbestos Bulk PLIVI (EPA/600/R-93/116) (-I PLM (EPA Point Count) U PLM (EPA Gravimetry)
1 'TEM BULK
Mold/Fungus
Mold Air 71 Mold Bulk n Rotometer Calibration
METALS
Total Metals
Dot, Limit Matrix RCRA Metals
FAA (ppm) 0 Air Filter Soil El Arsenic (As)
(]All 8
Chromium (Cr
Other Metals
All 3
TCLP
ICp (ppm) 7 Drinking water Paint Chips in % L, Barium (Be)
Lead (Pb)
Copper (Cu)
Cr 6
GFAA (ppb) El Dust/wipe (Area) Paint Chips in crr E I Cadmium (Cd)
L-: Mercury (Hg)
U Nicke((Ni)
[i Zinc (Zn)
,F.�Other Types
LJ Fiberglass [— -
Nuisance Dust [--]Other (Specify)
of Analysis
171 siiir.A F- RP..cznir:;hi,-, nimt
Condition of Package: [7, Good Ll Damaged (no spillage) �] Severe damage (spillage)
Seq. Lab ID
Client Sample Number Comments
I
uti-oI55411-34 Ca m Psit 7-c-
2
M P0 - re
3
3-3 CotqojlT*05�
4
3-Y
5
3-5
6
340
7
3-1
3�i
10
11
341
12
3-12.
13
4
.345
14
3-1q,
1.5
3,151
Sampled by'
Print Below
71-+N &W
Relinquished by I
low k*"
Received by.
1010K. D
Analyzed by
Results Called by;
I Results Faxed by
Sion Below
�IA"WW OAA,-
I Company
4
U
.A/R
I Date Tillie
Iff-2047 '6-'30 44
4
Special Instructions: Unless requested in writing, all samples will be disposed of two (2) weeks after analysis
Results report to rIA #4
page 17 of 19
NVL Laboratories, Inc. CHAIN of CUSTODY �IL
4708 Aurora Ave N, Seattle, WA 98103 SAMPLE LOG a S
p 206 547 0100 1 f 206,634 1936 1 www.nvilabs com 1721048
Client INVL Laboratories Inc
Street 4708 Aurora Ave N
Seattle, WA 981103
Project Manager Sved Hasan
Project Location 7416 2.12th S,t SVV
Edmonds, WA 98026
NVIL Batch Number I -
Client Job Number 2017-0955
Total Samples 35
Turn Around Time 1 Hr 6 HrS J 3 Days 10 Days
2 Hrs I Day 7 4 Days
4 Hrs V 2 Days 7 5 Days
:'lease call for TAT less than 24 Hr-
Email address iroudabush4orchardholdinqsqroup.
Phone: (515) 754-3500
Fax:
Asbestos Air
PCM (NIOSH 7400) 1 A TEM (NIOSH 7402) [1 TEM (AHERA) [I TEM (EPA Level 11) E] Other
A Asbestos Bulk,
PLM (EPA/600/R-93/1 16) ---'PLM (EPA Point Count)
[:] PLM (EPA Gravirnetry) TEM BULK
Mold/Funaus
;0 Mold Air 71
Mold Bulk Ll Rotometer Calibration
METALS
Det. Limit �'Matrix
RCRA Metals 'All 8 Other Metals,
All 3
n Total Metals
r-1 FAA (ppm) i
Air Filter Soil
Arsenic (As) �-;Chromium(Ct '
Ej TCLP
Ej ICP (ppm)
Drinking water Paint Chips in %
Barium (Be) Lead (Pb) Copper (Cu)
Cr 6
GFAA (ppb)
Dust/wipe (Area) E Paint Chips in cry
Nickel (Ni)
Cadmium (Cd) Mercury (Hg)
,F�
Zinc (Zn)
DOther Types Fiberglass 0 Nuisance Dust El Other (Specify)
of Analysis 1 lsiiir-p F-1 Rpsnimhip. niist
Condition of Package:
Good Damaged (no spillage) El Severe damage (spillage)
Seq. # Lab ID
Client Sample Number, Comments
1
20(1-0955411-3441
2
3-17.
3
4
.5
3 -;4
6
3-11
7
3-; 2.
9
10
11
12
13
14
15
.AIR
Print Below Sion Below Compally Date Tillie
Sampled by: 1*-N effqW �Pa44� KAaA,- AWL� 111-20-17 8,3044
Relinquished by A N Il-;C-a f !tf
Received by (ID
4/ 'J 26
-11 5:15 MA'
Analyzed by,
Results Called by
Results Faxed by,
Special Instructions: Unless requested in writing, all samples will be disposed of two (2) weeks after analysis
Results report to fA N
page 18 of 19
NVL Laboratories, Inc. CHAIN of CUSTODY IL
4708 Aurora Ave N, Seattle, WA 98103 SAMPLE LOG 8 S
p206.547.0100 1 (206.6341936 1 wwwnvilabscom 1721048
Client NVL Laboratories Inc NVL Batch Number
Street 4708 Aurora Ave N Client Job Number 2017-0955
Seattle. WA 98103 Total Samples 35
: 1 Hr 61-Irs 3 Days ' 10 Days
Project Manager Sved Hasan Turn Around Time .,
2 Hrs 1 Day 4 Days
Project Location 7416 212th St SW
E., 4 H rs; Fj� 2 Days 1', 5 Days
Edmonds, VVA 98026 Jlease call for TAT less than 24 Hr,
Email address irc)udabush(cDorchardholdinqsqroup.
Phone: (515) 754-3500 Fax:
L-1 Asbestos Air PCM (NIOSH 7400) TEM (NIOSH 7402) [j TEM (AHERA) EJ TEM (EPA Level 11) Other
Asbestos Bulk,:)t PLM (EPA/600/R-93/116) PLM (EPA Point Count) 71 PLIVI (EPA Gravimetry) F1 TEM BULK
U MoldlFunqus I[] Mold Air Mold Bulk 0 Rotometer Callbratior
METALS Det. Limit Matrix RCRA Metals ;JAII 8 Other Metals
F� Total Metals FAA (ppm) Air Filter soil Arsenic (As) 1 0 All 3
-J Chromium (Cr D Copper (Cu)
Ll TCLP lCp (pprn) Drinking water Paint Chips in % 11 Barium (Ba) I"! Lead (13b) El Nickel (Ni)
�]CrB GFAA (ppb) Dust/wipe (Area) Paint Chips in crr Cadmium (Cd) F1 Mercury (Hg)
D Zinc (Zn)
�Other Types Fiberglass Ndisance Dust — 1 Other (Specify)
of Analysis Riltrn I --'RP-,#mr;;hlP rbmi
Condition of Package: I I Good U Damaged (no spillage) El Severe damage (spillage)
Seq. Lab ID Client Sample Number Comments AIR
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Print Below Sian Below Company Date Time
Sampled by, 7&4 &W "?4"W'v t4VL 11-20-17 840
W by Af
Relinquishe
Received by.
0L
Analyz d by
Results Call:d by
Results Faxed by
Special Instructions: Unless requested in writing, all samples will be disposed of two (2) weeks after analysis.
Results report to
page 19 of 19
November 27, 2017
Tanveer Khan
NVIL Field Services Division
4708 Aurora Ave. N.
Seattle, WA 98103
RE: Bulk Asbestos Fiber Analysis; NVL Batch # 1721047.01
Client Project: 2017-0955
Location: 7416 212th St. SW Edmonds, WA 98026
Dear Mr. Khan,
L A B S
I N D U S T R I A L
H Y G I E N E
S E R V I C E S
Laboratory I Management I Training
Enclosed please find test results for the 39 sample(s) submitted to our laboratory, for analysis on
11/20/2017.
Examination of these samples was conducted for the presence of identifiable asbestos fibers using
polarized light microscopy (PLM) with dispersion staining in accordance with both EPA 600/M4-82-020,
Interim Method for the Determination of Asbestos in Bulk Insulation Samples and EPA 6001R-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 I 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,
Nick Ly, Technical Director
1.888.NVL.LABS Enc.: Sample Results
8
www.nvllabs.com
Lr\ncW
M1 '�J �Af
Lekb Code: 102063-0
NVL Laboratories, Inc.
4708 Aurora Ave N, Seattle, WA 98103
p 206,547.0100 1 f 206.634.1936
page 1 of 20
NVL Laboratories, Inc.
INVIL
4708 A,wovi Ave N, WA 98:(,3
11
p 2ft 547 0100 1 f 206 634 19,16 1 www.rivilabs corn
L A B 5
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division
Batch #: 1721047.01
Address: 4708 Aurora Ave. N.
Client Project #: 2017-0955
Seattle, WA 98103
Date Received: 11/20/2017
Samples Received: 39
Attention: Mr. Tanveer Khan
Samples Analyzed: 39
Project Location: 7416 212th St. SW Edmonds, WA 98026
Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Lab ID: 17115816 Client Sample #: 2017-0965-FL2-3-1
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: White compacted powdery material with paint
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Calcareous binder, Mineral grains, Paint Cellulose <1%
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 Cellulose 22%
None Detected ND
Glass fibers 9%
Lab ID: 17115817 Client Sample #: 2017-0955-FL2-3-2
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 2 Description: White compacted powdery material with paint
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Mineral grains, Paint Cellulose 4%
None Detected ND
Layer 2 of 2 Description: White chalky material with paper and paint
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type". %
Gypsum/Binder, Binder/Filler, Paint Cellulose 27%
None Detected ND
LabID:17115818 Client Sample #: 2017-0955-FL2-3-3
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: White compacted powdery material with paint
Non -Fibrous Materials: Other Fibrous Materials.,%
Asbestos Type: %
Calcareous binder, Mineral grains, Paint Cellulose 3%
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 Cellulose 26%
None Detected ND
--7
Sampled by: Client
Analyzed by: Robert Letchworth Date, 11 /21/2 017
Reviewed by: Nick Ly Date: 11/27/2017 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
6001R-931116 and 600/M4-82-020 Methods 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
page 2 of 20
NVL Laboratories, Inc. y I
4/0.8 Atoof a Aw N� �,Iat Ile. WA 9810., N
p 20t, 547 0100 1 f 206 624 1936 1 wwwaivIlak-com L A B S
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 1721047.01
Address: 4708 Aurora Ave. N. Client Project #: 2017-0955
Seattle, WA 98103 Date Received: 11/20/2017
Samples Received: 39
Attention: Mr. Tanveer Khan Samples Analyzed: 39
Project Location: 7416 212th St. SW Edmonds, WA 98026 Method: EPA/600IR-93/116
& EPA/600/M4-82-020
Lab ID: 17115819 Client Sample #: 2017-0955-FL2-3-4
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of I Description: White chalky material with paper and paint
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Gypsum/Binder, Binder/Filler Cellulose 25% None Detected ND
Lab ID: 17115820 Client Sample #: 2017-0955-FL2-3-5
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 1 Description: White chalky material with paper and paint
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Gypsum/Binder, Binder/Filler Cellulose 26% None Detected ND
Lab ID: 17115821 Client Sample #: 2017-0955-FL2-3-6
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 1 Description: Tan compressed fibrous material with paint
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Glass beads, Paint Cellulose 38% None Detected ND
Glassfibers 21%
Lab ID: 17115822 Client Sample #: 2017-0955-FL2-3-7
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of I Description: Tan compressed fibrous material with paint
Non -Fibrous Materials-, Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Glass beads, Paint Cellulose 41 % None Detected ND
Glass fibers 18%
Lab ID: 17115823 Client Sample #: 2017-0955-FL2-3-8
Location: 7416 212th St. SW Edmonds, WA 98026
Sampled by: Client
Analyzed by: Robert Letchworth Date: 11/21/2017
Reviewed by: Nick Ly Date: 11/27/2017 Nick Ly, Technical Director
Note: it 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 600IM4-82-020 Methods 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
page 3 of 20
NVL Laboratories, Inc.
4 f08 Awor,i Ave N, Se.)J Ile.. WA 148'� C3 INVIL,
p2065470100 I f206634B36 I www,nv1Iabs,roiTi L A B 5
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 1721047.01
Address: 4708 Aurora Ave, N. Client Project #: 2017-0955
Seattle, WA 98103 Date Received: 11/20/2017
Samples Received: 39
Attention: Mr. Tanveer Khan Samples Analyzed: 39
Project Location: 7416 212th St. SW Edmonds. WA 98026 Method: EPA/600/R-93/116
& EPA/600IM4-82-020
Layer I of I Description: Tan compressed fibrous material with paint
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Glass beads, Paint Cellulose 40% None Detected ND
Glass fibers 22%
Lab ID: 17115824 Client Sample #: 2017-0965-FL2-3-9
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Black asphaltic mastic (on paper)
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Asphalt/Binder, Fine particles Cellulose 7% None Detected ND
Layer 2 of 2 Description: Brown fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Glass beads, Fine particles Glass fibers 82% None Detected ND
Lab ID: 17115825 Client Sample#: 2017-0955-FL2-3-10
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Black asphaltic mastic (on paper)
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Asphalt/Binder, Fine particles Cellulose 3% None Detected ND
Layer 2 of 2 Description: Yellow fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Fine particles Glass fibers 97% None Detected ND
Lab ID: 17116826 Client Sample #: 2017-0965-FL2-3-11
Location: 7416 212th St. SW Edmonds, WA 98028
Layer 1 of 2 Description: Beige soft mastic with gray woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine grains . Synthetic fibers 84% None Detected ND
Sampled by: Client
Analyzed by: Robert Letchworth Date: 11/21/2017
Reviewed by: Nick Ly Date: 11/27/2017 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 600/M4-82-020 Methods 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 NVIL
Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
page 4 of 20
N1VL Laboratories, Inc.
INVIL.
4708AuiniaAveN.�Pallle WA9�103
p2065470100 I t206.(611936 i wwwtivIlab�.corri
L A B S
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division
Batch #: 1721047.01
Address: 4708 Aurora Ave. N.
Client Project #: 2017-0955
Seattle, WA 98103
Date Received: 11/20/2017
Samples Received: 39
Attention: Mr. Tanveer Khan
Samples Analyzed: 39
Project Location'. 7416 212th St. SW Edmonds, WA 98026
Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Layer 2 of 2 Description: Yellow brittle mastic with beige woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Fine grains Cellulose 78%
None Detected ND
Lab ID: 17115827 Client Sample #: 2017-0955-FL2-3-12
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 2 Description., Brown rubbery material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Rubber/Binder, Fine grains None Detected ND
None Detected ND
Layer 2 of 2 Description: Beige soft mastic
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Fine grains None Detected ND
None Detected ND
Lab ID: 17116828 Client Sample#: 2017-0955-FL2-3-13
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 2 Description: Brown flat hard compressed fibrous material with surface
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Fine particles Cellulose 63%
None Detected ND
Layer 2 of 2 Description: Yellow soft mastic (on wood)
Non -Fibrous Materials: Other Fibrous Materials�%
Asbestos Type: %
Mastic/Binder, Fine grains Cellulose 7%
None Detected ND
Lab ID: 17115829 Client Sample #: 2017-0955-FL2-3-14
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of I Description: Black flaky loose material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Mineral grains Cellulose 2%
None Detected ND
Sampled by: Client
Analyzed by: Robert Letchworth Date: 11 /21/2017 .6
Reviewed by: Nick Ly Date: 11/27/2017 Nick Ly, Technical Director
Note: It 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 600/M4-B2-020 Methods 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
page 5 of 20
NVL Laboratories, Inc.
4708 Am or a Avo N. Seattle.. WA 9810",
p206,5470i00 I (20b,6311-1936 i www,mllab�,oin L A B S
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 1721047.01
Address: 4708 Aurora Ave, N. Client Project #: 2017-0955
Seattle, WA 98103 Date Received: 11/20/2017
Samples Received: 39
Attention: Mr. Tanveer Khan Samples Analyzed: 39
Project Location: 7416 212th St. SW Edmonds, WA 98026 Method: EPA/600/R-93/116
& EPA/600/M4-82-020
LabID:17116830 Client Sample #: 2017-0955-FL2-3-15
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Beige vinyl tile
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Vinyl/Binder, Mineral grains Cellulose 3% None Detected ND
Layer 2 of 2 Description: Black asphaltic mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine particles Cellulose 6% None Detected ND
Lab ID: 17116831 Client Sample #: 2017-0955-FL2-3-16
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Beige soft mastic with brown woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials,%
Asbestos Type: %
Mastic/Binder, Fine grains Syntheticfibers 83%
None Detected ND
Layer 2 of 2 Description: Yellow brittle mastic with tan woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Fine grains Cellulose 77%
None Detected ND
Lab ID: 17116832 Client Sample #: 2017-0955-FL2-3-17
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Beige soft mastic with red woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Fine grains Syntheticfibers 82%
None Detected ND
Layer 2 of 2 Description: Yellow soft mastic with tan woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Fine grains Cellulose 74%
None Detected ND
Sampled by: Client
Analyzed by: Robert Letchworth Date: 11 /21/2017 .4
Reviewed by: Nick Ly Date: 11/27/2017 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 600IM4-82-020 Methods 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
page 6 of 20
NVL Laboratories, Inc.
4109 Amma Ave N. Seittle, WA9?,1Cj
p2065470_00 , f--06.6341936 I v,,v,,vnv1absc.om
Bulk Asbestos Fibers Analysis
INVIL,-
L A B S
Client: NVL Field Services Division Batch #: 1721047.01
Address: 4708 Aurora Ave. N. Client Project #: 2017-0955
Seattle, WA 98103 Date Received: 11/20/2017
Samples Received: 39
Attention: Mr. Tanveer Khan Samples Analyzed: 39
Project Location: 7416 212th St. SW Edmonds, WA 98026 Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Lab ID: 17115833 Client Sample #: 2017-0955-FL2-3-18
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 2 Description: White woven fibrous material with mastic and paint
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Mastic/Binder, Paint Cellulose 58% None Detected ND
Layer 2 of 2 Description: Beige brittle mastic with paint (on paper)
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine grains, Paint Cellulose 6% None Detected NID
Lab ID: 17115834 Client Sample #: 2017-0955-FL2-3-19
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Beige soft mastic with brown and black woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine grains Synthetic fibers 88% None Detected ND
Layer 2 of 2 Description: Gold soft mastic with beige woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine grains Cellulose 64% None Detected ND
Lab ID: 17115835 Client Sample #: 2017-0956-FL2-3-20
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 3 Description: Brown ceramic tile
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Ceramic/Binder, Mineral grains None Detected ND None Detected ND
Layer 2 of 3 Description: Red grout material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Mineral grains Cellulose 3% None Detected ND
Sampled by: Client
V
Analyzed by: Robert Letchworth Date: 11/21/2017 'A'96Z>
Reviewed by: Nick Ly Date: 11 /27/2017 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 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%, 5%=1-9%, 1 0%=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
page 7 of 20
NVL Laboratories, Inc,
INVIL'_
11108 Aomi,i Aw N Sv,Wle VVA Q?
,103
p2Q654701,00 I fW624193-, w,v nvllab�.cum
L A B S
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVIL Field Services Division
Batch #: 1721047.01
Address: 4708 Aurora Ave. N.
Client Project #: 2017-0955
Seattle, WA 98103
Date Received: 11/20/2017
Samples Received: 39
Attention: Mr. Tanveer Khan
Samples Analyzed: 39
Project Location: 7416 212th St. SW Edmonds, WA 98026
Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Layer 3 of 3 Description: Gray brittle material with white woven fibers (on wood)
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Mineral grains Cellulose 28%
None Detected ND
Lab ID: 17115836 Client Sample #: 2017-0956-FL2-3-21
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 3 Description. Brown ceramic tile
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Ceramic/Binder, Mineral grains None Detected ND
None Detected ND
Layer 2 of 3 Description: Red grout material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Mineral grains Cellulose 2%
None Detected ND
Layer 3 of 3 Description: Clear soft mastic with white woven fibrous material and paper
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Fine grains Cellulose 56%
None Detected ND
Lab ID: 17115837 Client Sample #: 2017-0955-FL2-3-22
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Brown flat hard compressed fibrous material with surface
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Fine particles Cellulose 61 %
None Detected ND
Layer 2 of 2 Description: Yellow soft mastic
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Fine grains Cellulose 4%
None Detected ND
Lab ID: 17115838 Client Sample #: 2017-0955-FL2-3-23
Location: 7416 212th St. SW Edmonds, WA 98026
Sampled by: Client
Analyzed by: Robert Letchworth Date: 11/21/2017
Reviewed by: Nick Ly Date: 11/27/2017 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 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1 %=0-3%, 5%= 1 -9%, 1 0%=5-15%,
20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVIL 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 NVI_
Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
page 8 of 20
NVL Laboratories, Inc.
.1 AM A ... ora Ave N. Seof fiv INA 98103
p 206,S,17_0:00 I f `06,��4_Mb 1 wvvw,nv11abs,cujn
Bulk Asbestos Fibers Analysis
INV],
L A B S
By Polarized Light Microscopy
Client: NVL Field Services Division
Batch #: 1721047.01
Address-, 4708 Aurora Ave. N.
Client Project #: 2017-0955
Seattle, WA 98103
Date Received: 11/20/2017
Samples Received: 39
Attention: Mr. Tanveer Khan
Samples Analyzed: 39
Project Location: 7416 212th St. SW Edmonds, WA 98026
Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Layer 1 of 2 Description: Beige sheet vinyl
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Vinyl/Binder, Synthetic foam None Detected ND
None Detected ND
Layer 2 of 2 Description: Light gray fibrous backing with mastic
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Fine particles, Mastic/Binder Cellulose 34%
Chrysotile 49%
Lab ID: 17115839 Client Sample #: 2017-0966-FL2-3-24
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Tan rubbery material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Rubber/Binder, Fine grains None Detected ND
None Detected ND
Layer 2 of 2 Description: Beige brittle mastic
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Fine grains None Detected ND
None Detected ND
Lab ID: 17115840 Client Sample #: 2017-0955-FL2-3-25
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Beige brittle mastic with beige woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Fine grains Synthetic fibers 78%
None Detected ND
Layer 2 of 2 Description: Yellow foamy material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Synthetic foam, Fine particles None Detected ND None Detected ND
Lab ID: 17115841 Client Sample 9: 2017-0965-FL2-3-26
Location, 7416 212th St. SW Edmonds, WA 98026
Sampled by: Client
Analyzed by: Robert Letchworth Date: 11/21/2017
Reviewed by: Nick Ly Date: 11/27/2017 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 600/M4-82-020 Methods 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
page 9 of 20
NVL Laboratories, Inc.
4/08 Amwi Ave N Sedllt�� WA 98M
p 206 547 010C I f M6.634 1936 wwwrivi.abs.com L A B S
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division Batch M 1721047.01
Address: 4708 Aurora Ave. N. Client Project #: 2017-0955
Seattle, WA 98103 Date Received: 11/20/2017
Samples Received: 39
Attention: Mr. Tanveer Khan Samples Analyzed: 39
Project Location: 7416 212th St. SW Edmonds, WA 98026 Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Layer I of 2 Description: Beige soft mastic with brown woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine grains Synthetic fibers 83% None Detected ND
Layer 2 of 2 Description: Yellow brittle mastic with tan woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine grains Cellulose 67% None Detected ND
Lab ID: 17115842 Client Sample #: 2017-0955-FL2-3-27
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 2 Description: Beige soft mastic with brown woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine grains Synthetic fibers 83% None Detected ND
Layer 2 of 2 Description: Yellow soft mastic with clear woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine grains Synthetic fibers 48% None Detected ND
Cellulose 5%
LabID:17115843 Client Sample#: 2017-0965-FL2-3-28
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Beige soft mastic with brown woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine grains Synthetic fibers 82% None Detected ND
Layer 2 of 2 Description: Yellow brittle mastic with beige woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine grains Cellulose 57% None Detected ND
Lab ID: 17115844 Client Sample #- 2017-0955-FL2-3-29
Location: 7416 212th St. SW Edmonds, WA 98026
Sampled by: Client
Analyzed by: Robert Letchworth Date: 11/21/2017
Reviewed by: Nick Ly Date; 11/27/2017 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-931116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%,
20%=10-30W 50%=40-600/6). 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
page 10 of 20
NVL Laboratories, Inc,
4708 Am ora Ave N. S�at:lc WA. 98103
p�06,5470)r) I f206.6_34_1936 I �,wmvfl�i�)s.rum
Bulk Asbestos Fibers Ana
IN I
L A B S
-"arized Light Microscopy
Client: NVL Field Services Division
Batch #: 1721047.01
Address: 4708 Aurora Ave. N.
Client Project #: 2017-0955
Seattle, WA 98103
Date Received: 11/20/2017
Samples Received: 39
Attention: Mr. Tanveer Khan
Samples Analyzed: 39
Project Location: 7416 212th St. SW Edmonds, WA 98026
Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Layer I of 2 Description: Brown rubbery material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Rubber/Binder, Fine grains None Detected ND
None Detected ND
Layer 2 of 2 Description: Beige soft mastic
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Fine grains None Detected ND
None Detected ND
Lab ID: 17115846 Client Sample #: 2017-0965-FL2-3-30
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 2 Description: Beige soft mastic with brown woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Fine grains Synthetic fibers 84%
None Detected NID
Layer 2 of 2 Description: Yellow soft mastic with beige woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Fine grains Cellulose 59%
None Detected ND
Lab ID: 17115846 Client Sample #: 2017-0955-FL2-3-31
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 2 Description: Beige soft mastic with brown woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine grains Syntheticfibers, 81% None Detected ND
Layer 2 of 2 Description: Yellow soft mastic with clear woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine grains Synthetic fibers 57% None Detected ND
Lab ID: 17115847 Client Sample #: 2017-0956-FL2-3-32
Location: 7416 212th St. SW Edmonds, WA 98026
Sampled by: Client
Analyzed by: Robert Letchworth Date: 11/21/2017
Reviewed by: Nick Ly Date: 11/27/2017 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 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%,
20%= 10-30%, 50%=40-609/6). 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
page 11 of 20
NVL Laboratories, Inc. IN\VIL
4708 Amoia Ave J �Peqdc WA 981C3
p 206 547,0100 1 -,06.631 P36 1 ww,v n0abs.Lom L A B S
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 1721047.01
Address: 4708 Aurora Ave. N. Client Project #: 2017-0955
Seattle, WA 98103 Date Received: 11/20/2017
Samples Received: 39
Attention: Mr. Tanveer Khan Samples Analyzed: 39
Project Location: 7416 212th St. SW Edmonds, WA 98026 Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Layer I of 2 Description: Beige soft mastic with brown woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine grains Synthetic fibers 79% None Detected ND
Layer 2 of 2 Description: Yellow brittle mastic with beige woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine grains Cellulose 59% None Detected ND
Lab ID: 17115848 Client Sample #: 2017-0965-FL2-3-33
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 2 Description: Brown flat hard compressed fibrous material with surface
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Fine particles Cellulose 62% None Detected ND
Layer 2 of 2 Description; Yellow soft mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine grains Cellulose 3% None Detected ND
Lab ID: 17115849 Client Sample #: 2017-0955-FL2-3-34
Location: 7416 212th St, SW Edmonds, WA 98026
Layer I of 2 Description: Beige soft mastic with brown woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine grains Synthetic fibers 82% None Detected ND
Layer 2 of 2 Description: Yellow brittle mastic
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Mastic/Binder, Fine grains None Detected ND None Detected ND
Lab ID: 17115850 Client Sample #: 2017-0955-FL2-3-35
Location: 7416 212th St. SW Edmonds, WA 98026
Sampled by: Client
Analyzed by: Robert Letchworth Date: 11/21/2017
Reviewed by: Nick Ly Date: 11/27/2017 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 600IM4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%,
20%=10-30%, 5D%=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
page 12 of 20
NVL Laboratories, Inc.
,-.03
4!08 Aupow Ave N. 'eeittlp. WA9? INVILY�
"I
p 206 547-0100 1 f _206�63i 1936 1 www rivilabs com L A B S
Bulk Asbestos Fibers Ana I lysis
By Polarized Light Microscopy
Client: NVL Field Services Division Batch M 1721047.01
Address: 4708 Aurora Ave. N. Client Project #: 2017-0955
Seattle, WA 98103 Date Received: 11/20/2017
Samples Received: 39
Attention: Mr. Tanveer Khan Samples Analyzed: 39
Project Location: 7416 212th St. SW Edmonds, WA 98026 Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Layer I of I Description: Beige brittle mastic with brown woven fibrous material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Fine grains Syntheticfibers 79%
None Detected ND
Lab ID: 17115851 Client Sample#: 2017-0955-FL2-3-36
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 2 Description: Brown rubbery material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Rubber/Binder, Fine grains None Detected ND
None Detected ND
Layer 2 of 2 Description: White brittle mastic (with paper)
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Mastic/Binder, Fine grains Cellulose 4%
None Detected ND
Lab ID: 17115852 Client Sample #: 2017-0955-FL2-3-37
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of I Description: White flaky loose material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Mineral grains Cellulose 6%
Chrysotile 3%
Lab ID: 17116853 Client Sample #: 2017-0965-FL2-3-38
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of I Description: Gray soft elastic material (on wood)
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Fine particles Cellulose 5%
None Detected ND
Lab ID: 17115864 Client Sample #: 2017-0955-FL2-3-39
Location: 7416 212th St. SW Edmonds, WA 98026
Comments: Unsure of correct layer sequence.
Sampled by: Client
Analyzed by: Robert Letchworth Date: 11/21/2017
Reviewed by: Nick Ly Date: 11/27/2017 Nick Ly, Technical Director
Note: It samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
6001R-931116 and 600/M4-82-020 Methods 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 NVIL
Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government
page 13 of 20
NVL Laboratories, Inc.
4,108 Aum. Ave N, Soottle� WA q310'
p2065470100 i (206,634.1)35 1 www.milabs.com
Bulk Asbestos Fibers Analvsi
Light Microscopy
Client: NVL Field Services Division
Address: 4708 Aurora Ave. N.
Seattle, WA 98103
Attention: Mr. Tanveer Khan
Project Location: 7416 212th St, SW Edmonds, WA 98026
Layer 1 of 3 Description: White soft material
Non -Fibrous Materials: Other Fibrous Materials:%
Binder/Filler, Fine grains Cellulose 4%
Layer 2 of 3 Description: Yellow soft mastic with paint
Non -Fibrous Materials: Other Fibrous Materials:%
Mastic/Binder, Fine grains, Paint None Detected ND
Layer 3 of 3 Description. Brown soft mastic
Non -Fibrous Materials: Other Fibrous Materials:%
Mastic/Binder, Fine grains Cellulose 2%
IN\VIL.v
L A B S
Batch #: 1721047.01
Client Project #: 2017-0955
Date Received: 11/20/2017
Samples Received: 39
Samples Analyzed: 39
Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Sampled by: Client
Analyzed by: Robert Letchworth Date: 11/21/2017
Reviewed by: Nick Ly Date: 11/27/2017 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 600/M4-82-020 Methods 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
page 14 of 20
NVL Laboratories, Inc. ASBESTOS LABORATORY SERVICES
4708 Auict a Ave N, Seattle, WA 98103 INVIle
p206547.0100 1 1206�634]1936 i wwwnv11abs,com L A B S
Company NVL Field Services Division NVI-BatchNumber 1721047.00
Address 4708 Aurora Ave. N. TAT 2 Days - - AH No
Seattle, WA 98103 Rush TAT
Project Manager Mr. Tanveer Khan Due Date 11/22/2017 Time 5:15 PM
Phone (206) 547-0100. Email tanveer.k@nvilabs.com --
Cell (206) 799-29.16 Fax (206).634A936.
Project Name/Number: 2017-0955 Project Location: 7416 212th St. SW Edmonds, WA 98026
Subcategory PLM Bulk
item Code ASB-02 -EPA-6.00/R-9.3-116 Asbestoz by PLM <bulk>
Total Number of Samples 39 Rush Samples
Lab ID Sample ID Description A/R
1
17115816
2017-0955
Composite
A
2
17115817
2017-0955-FL2-3-2
composite
A
3
17115818
2017-0955-FL2-3-3
Composite
A
4
17115819
2017-0955-FL2-3-4
A
5
17115820
2017-0955-FL2-3-5
A
6
17115821
2017-0955-FL2-3-6
A
7
117115822
2017-0955-FL2-3-7
A
8
117115823
12017-0955-FL2-3-8
A
9
117115824
2017-0955-FL2-3-9
A
10
17115825
2017-0955-FL2-3-10
A
11
17115826
2017-0955-FL2-3-11
A
12
17115827
2017-0955-FL2-3-12
A
13
17115828
2017-0955-FL2-3-13
A
14
17115829
-- T
2017-0955-FL2 3-14
A
15
17115830
.2017-0955-FL2-3-15
A
16
17115831
2017-0955-FL2-3-16
A
17
1
2017-0955-FL2-3-17
117115132
18
2-3-18
A
Print Name Siqnature
Cnmnanv
Date Time
by lClient
Client
�ampled
Rel!nquished by -
Office Use Onlv Print Name Sionature Comoanv Date Time
Received by
Mohammed Jamal
NVL
11/20/17
1715
Analyzed by
Robert Letchworth
NVL
11/21/17
Results Called by
F-1 Faxed 1-1 Emailed
Special
Instructions:
Date: 11/20/2017
Time: 5:16 PM
Entered By: Nlohammed Jamal
page 15 of 20
NVL Laboratories, Inc. ASBESTOS LABORATORY SERVICES
4708 AU I ci a Ave 14, Seattle, WA 98103 INVIL,�-
p206547,0100 I f206.6341936 I www.iivllat)s.coni L A B S
Company NVIL Field Services Division NVI-BatchNumber 1721047.00
Address 4708 Aurora Ave. N. TAT 2 DaVs AH No
Seattle, WA 98103, Rush TAT
Project Manager Mr. Tanveer Khan Due Date 11/22/2017 Time 5:15 PM
Phone (206) 547-0100 Email tanveer, k@nvilabs.com
Cell (206) 79,9-2916 Fax (206) 634-1936
Project Name/Number: 2017-0955 Project Location: 74.16 212th St. SW Edmonds, WA 98026
Subcategory PLM Bulk
Item Code ASB-02 EPA 60.0/R-93-1.1 6 Asbestos by PLM <bulk>
Total Number of Samples 39
Lab ID Samole ID Describtion
Rush Samples
A/R
1�-117115834
12017-0955-FL2-3-19
I
A
20
117115835
2017-0955- 1-2-3-�O
A
21
[17115836
2017-0955-FL2-3-21
A
22
17115837
2017-0955-FL2-3-22
A
23
17115838
2017-0955-FL2-3-23
A
24
17115839
12017-0955-FL2-3-24
A
25
17115840
2017-0955-FL2-3-25
A
26
17115841
2017-0955-FL2-3-26
A
27
17115842
2017-0955-FI-2-3-27
A
28
17115843
2017-0955-FL2-3-28
A
29
17115844
12017-0955-FL2-3-29
A
30
17115845
12017-0955-FL2-3-30
A
31
17115846
2017-0955-FL2-3-31
A
32
17115847
2017-0955-FL2-3-32
A
33
17115848
2017-0955-FL2-3-33
A
34
17115849
2017-0955-FL2-3-34
A
35
17115850 12017-0955-FL2-3-35
A
36
17115851 12017-0955-FL2-3-36
I
A
Print N;;mp Sionature
rnmnnnv
Date Time
pled by
lClient
lChent
T7
�am
RelSinquislhed by
Office Use Onlv Print Name Sionature ComDanv Date Time
Received by
Mohammed Jamal
NVL
11/20/17
1715
Analyzed by
Robert Letchworth
NVL
11/21/17
Results Called by
Faxed D Emalled
Special
Instructions:
Date: 11/20/2017
Time: 5:16 PM
Entered By: Moharnmed Jamal
page 16 of 20
NVL Laboratories, Inc. ASBESTOS LABORATORY SERVICES INVIL)
4708 Aum a Ave N, Seattle. WA 98103
p206.54T0100 I f206-6341936 I www-ii0abs,com L A B S
Company NVL- Field Services Division NVL Batch Number 17210.47.01
Address 4708-Aurora-Ave,-N,-----.- TAT 2 Da.vs. - - ------- - - .-AH No
Seattle,-W.A- -981.G3-.-- Rush TAT
Project Manager Mr. Tanveer Khan Due Date 11/22/2017 Time 5:15 PM
Phone (206) 547-0100 Email tanveer.k@nvllabs.com
Cell (206) 79.9.-29.16. Fax (206) 634-1936
Project Name/N umber: 2017--0955 - --- Project Location: 7-4-1-6-212th St. -SW Edmonds, WA98026
Subcategory PLM-Bulk-
ItemCode ASB-02---.-------- EPA 6GOI.R-93-11-6-Asbestos-b.y-PLM..!sbulk;�
ToW Number of Samples - 39 , Rush Samples
Lab ID Samole ID Desr-rintinn AIP
37
38
17115852 12017-0955-FL2-3-37
17115853 12017-0955-F] -3-38
A
A
39
17115854 12017-0955-FL2
1
A
Print KJAMA Sionaturp
nntp Timo
Sampled by
JClient
T
I
Relinquished �i:-_]Client
Office Use Oniv Print Name Sionaturp rnrnnnnu n2fa Tima
Received by
Mohammed Jamal
NVL
11/20/17
1715
Analyzed by
Robert Letchworth
NVL
11/21/17
Results Called by
Faxed F1 Emalled
Special
Instructions:
Date: 11/20/2017
Time: 5:16 PM
Entered By: Mohammed Jamal
page 17 of 20
NVL Laboratories, Inc.
4708 Aurora Ave N, Seattle, WA 98103
p 206 547 0100 1 f 206.634 1936 WWW nvliaos com
Client NVL Laboratories Inc
Street 4708 Aurora Ave N
Seattle. WA 98103
Project Manager Sved Hasan
Project Location 7416 212th St SW
Edmonds, WA 98026
CHAIN of CUSTODY 1721047
SAMPLE LOG
NVIL Batch Number
Client Job Number 201770955
Total Samples .31
01 Hr 6 Hrs 17 3 Days E 10 Days
Turn Around Time (_I 2 Hrs 1 Day 7 4 Days
[--14 Hrs JQ, 2 Days f-� 5 Days
3lease call for TAT less than 24 Hrc
Email address iroudabush(a)orchai-dholdinqsqroup,
Phone: (515) 754-3500 Fax:
I 1AsbestosAir
LjPCM(NlOSH7400) I TEM(NIOSH7402) l'ITEM(AHERA)
(EPA Level 11) []Other
Asbestos Bulk yi- PLM (EPA/600/R-93/116) E, PLM (EPA Point Count) [I PLM (EPA Gravimetry) F� TEM BULK
irl Mold/Funqus
Mold Air 0 Mold Bulk Rotometer Calibratior
METALS
F 1 Total Metals
Det. Limit Matrix RCRA Metals
0 FAA(ppm) 0 Air Filter El Soil El Arsenic (As)
DAII 8 Other Metals
�J All 3
LJ Chromium (Cr --
D TCLP
D lCp (ppm) Drinking water E] Paint Chips in % [-I Barium (8a)
El Lead (Pb) I � Copper (Cu
LCr6
El GFAA (ppb) Dust/wipe (Area) j' Paint Chips in crr F1 Cadmium (Cd)
7J Nickel (Ni)
El Mercury (Hg)
Zinc (Zn)
i Other Types
Fibei glass 1. NLOSance Dust
I . __J Other (Specify)
of Anaiy§is
sir, I'' RP.rnlrqhiP nimt
Condition of Package: L i Good LJ Damaged (no spillage) Pi Severe damage (spillage)
Seq. Lab ID
Client Sample Number Comments
AIR
2
Cd*L4.Wt*rC
3
3�3, C*W,00% I rr
4
5
3-5
6
7
8
9
10
11
12
3-a
13
3-13
14
3 -W
15
Print Below S`cn Bal.G%, Company Time
Sampled by -r*.q 4 t/ L� (1-20-IT 6;30
Relinquished by' roW 444, laW I'll
14(IL- 0
Received by
Analyzed by
Results Called by
Results Faxed by
Special Instructions: Unless requested in writing, all samples will be disposed of two (2) weeks after analysis.
Results report to
page 18 of 20
NVL Laboratories, Inc. CHAIN of CUSTODY
4708 Aurora Ave N, �ealtle. WA 98103 SAMPLE LOG 1721047
p 206 5470100 (206.6341936 1 wwwrivIlabscom
Client NVL Laboratories Inc NVL Batch Number -
Street 4708 Aurora Ave N Client Job Number 2017-0955
Seattle, WA 98103 Total Samples 3 4?
Project Manager S�ved Hasan Turn Around Time I H( 6 Hrs ' 3 Days 10 Days
2 Hrs 1 Day 4 Days
Project Location 7416 212th St SW 4 Hrs 2 Days 5 Days
Edmonds, WA 98026 3lease call for TAT less then 24 HP
Email address i roudabushAoTchard hold i nq sq rou p.
Phone: (515) 754-3500 Fax:
Asbestos Air LI PCM (NIOSH 7400) TEM (NIOSH 7402) Ll TEM (AHERA) [J TEM (EPA Level 11) Other
5C Asbestos Bulk -93/116) U PLIVI (EPA Point Count) I PLM (EPA Gravimetry) 0 TEM BULK
. I PILM (EPA/600/R
[J Mold/Funpus JU Mold Air �IMold Bulk 'I El Rotometer Calibration
METALS Det. Limit Matrix 'RCRA Metals I 'All 8 Other Metals
'� Total Metals FAA (ppm) Air Filter U soil Ai-senic (As) I ChronliUrl) (Cl OA113
L
TCLP E] ICp (ppm) Drirking water Paint Chips in % Batium (Ba) I I -cad (PI)) [I Copper (Cu)
Cr 6 'U GFAA (ppb)'f1J Dust/w,pe (Area) ! I Paint Chips in cry Cadmium (Cd) I Merctiry (1-19) J Nickel (Ni)
Zinc (Zn)
I ]Other Types I Fiberglass I—INuisanceDust J Other (Specify)
of Analysis Silir-q F 1 RF-.Rn;r;;hlp. ni mt
Condition of Package- I Good [-1 Damaged (no spillage) Ll Severe damage (spillage)
Seq. # Lab to Client Sample Numberi Comments AIR
t
2
3
4
5
6
7
8
9 5 4q
12
13
14 3 ; di
15
Print Below Sion Below Company Date Time
Sampled by, r*f4 &W �9a"W4-1 KI%OA— .11-20-IT 16:30
Relinquished bv 1
R e c e i v- —e —d, b- y Iq "V.
_&nAlyAed by
Results Called by,
Results Faxed by,
Special Instructions: Unless requested n writing, all samples will be disposed of two (2) weeks after analysis.
Results report to tr
At4
page 19 of 20
NVL Laboratories, Inc. CHAIN of CUSTODY
4708 Aurora Ave N, Seattle, WA 98103 SAMPLE LOG 1721047
p206S470100 1 12066341936 1 wwwrivilabscor,
Client NVI- Laboratories Inc NVIL Batch Number
Street 4708 Aurora Ave N Client Job Number 2017-0955
Seattle, WA 98103 Total Samples _3,q -
E] 3 Days L] 10 Days
Project Manager Sved Hasan Turn Around Time 1 Hr 6 Hrs
Project Location 7416 212th St SW 2 Hrs 1 Day [14 Days
4 Hrs 2 Days El 5 Days
Edmonds, WA 98026 3lease call for TAT less than 24 Hr
Email address irou-dabush(a-)orchardholdinqsqroup
Phone: (515) 754-3500 Fax:
r PCM (NIOSH 7400) TEM (NIOSH 7402) [] TEM (AHERA) - TEM (EPA Level 11) F-1 Other
Asbestos All
Asbestos Bulk.,� PLIVI (EPA/600/R-93/116) I i PLM W-PA Point Count) E, PLM (EPA Gravimetrv) F1 TEM BULK
r-' Rotometer Calibratior
L-jMoldtFunqus ii-IMoIdAir I- Mold Bulk
Other Metals
METALS Det. Limit Matrix RCRA Metals `A1(8 All 3
I[] Total Metals FAA (ppM) Air Filter soil Arsenic (As) Chromium (Cr Copper (Cu)
TCLP i 1CP (ppm) Drinking water Point Chips in % Barium (8a) Lead (Pb)
Cr6 GFAA (ppb! Dust/wipe (Area) Point Chips in crT Nickel (Ni)
Cadmium (Cd) i Mercury (Hg) Zinc (Zn)
-70ther Types
I ' Fiberglass F] Nuisance Dust Other (Specify)
of Analysis i silir-.m F-1 Rp�,nirs;hip. misf
Condition of Package: Good [I Damaged (no spillage) El Severe damage (spillage)
,Seq.#, LabID Client Sample Number, Comments
'AIR
2
3 3-31
4 3-34.
5 3-35
6 5-36 1 1
7 3-31
9 -31
10
11
12
13
14
15
Print below Sion Below Company Date ime
Sampled by. aN 440-11, :�44u"Al OAO(^- if-.,0-17 8:30 A401
A i1114
Relinquished by OW III(*" ow -f 1, 5;15
Received by,
Analyzed by
Results Called by
Results Faxed by
Special Instructions: Unless requested in writing, all samples will be disposed of two (2) weeks after analysis.
Results report to
(A N
page 20 of 20
November 27, 2017
Tanveer Khan
NVL Field Services Division
4708 Aurora Ave, N.
Seattle, WA 98103
RE: Bulk Asbestos Fiber Analysis; NVI- Batch # 1721187.00
Client Project: 2017-0955
Location: 7416 212th St. SW Edmonds, WA 98026
Dear Mr. Khan,
INVIL
L A B S
INDUSTRIAL
H Y G I E N E
5 E R V I C E S
Laboratory ! Management I Training
Enclosed please find test results for the 8 sample(s) submitted to our laboratory for analysis on
11/21/2017.
Examination of these samples was conducted for the presence of identifiable asbestos fibers using
polarized light microscopy (PLM) with dispersion staining in accordance with both EPA 600/M4-82-020,
Interim Method for the Determination of Asbestos in Bulk Insulation Samples and EPA 600/R-931116
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,
Nick Ly, Technical Director
1.888.NVL.LABS Enc.: Sample Results
www.nvllabs.com
F"�icw
U\J �Af
Lob Code: 102063-0
NVIL Laboratories, Inc.
4708 Aurora Ave N, Seattle, WA 98103
p 206.547.0100 1 f 206.634.1936
page 1 of 7
NVL Laboratories,
Inc.
4i08AL11(-,mAvt -N Se,j1JIv,WA98W!
p2065470-00 C206634193C I vqwvv,nv11a0&coin
L A B 5
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division
Batch M 1721187.00
Address: 4708 Aurora Ave. N.
Client Project #: 2017-0955
Seattle, WA 98103
Date Received: 11/21/2017
Samples Received: 8
Attention: Mr. Tanveer Khan
Samples Analyzed: 8
Project Location: 7416 212th St. SW Edmonds, WA 98026
Method: EPAt6OO/R-93/116
& EPA/600/M4-82-020
Lab ID: 17117368 ClientSample#: 2017-0965-EXT-1-1-1
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 2 Description: Gray sandy/brittle material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Mineral grains, Sand Cellulose 2%
None Detected ND
Layer 2 of 2 Description: White sandy/brittle material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Sand, Mineral grains, Binder/Filler Cellulose 1 %
None Detected ND
Lab ID: 17117369 Client Sample#: 2017-0955-EXT-1-1-2
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description: Gray sandy/brittle material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Mineral grains, Sand Cellulose 3%
None Detected ND
Layer 2 of 2 Description: White sandy/brittle material
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Sand, Mineral grains, Binder/Filler Cellulose 2%
None Detected ND
LabID:17117370 Client Sample #: 2017-0956-EXT-1-1-3
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 2 Description- Gray sandy/brittle material
Non -Fibrous Materials.- Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Mineral grains, Sand Cellulose <1%
None Detected ND
Layer 2 of 2 Description: White sandy/brittle material with paint
Non -Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Binder/Filler, Mineral grains, Sand Cellulose 3%
None Detected ND
Paint
Sampled by: Client �7
Analyzed by: Galen Richards Date: 11/24/2017
Reviewed by: Nick Ly Date: 11/27/2017 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 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%,
20%=10-30%, 50%=40-600/6). 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
page 2 of 7
"I - - I
NVL Laboratories, Inc. I N \V IL,
4708 Autora Ave N, Seattle -WA 98103
p 206 547 010C I f 206.634 1936 1 wwww/lIaLs com L A B S
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division Batch M 1721187.00
Address: 4708 Aurora Ave. N. Client Project #: 2017-0955
Seattle, WA 98103 Date Received: 11/21/2017
Samples Received: 8
Attention: Mr. Tanveer Khan Samples Analyzed: 8
Project Location: 7416 212th St. SW Edmonds, WA 98026 Method: EPA/600/R-93/116
& EPA/600/M4-82-020
LabID:17117371 Client Sample#: 2017-0956-EXT-1-3.1
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of 1 Description: White chalky material with paper and paint
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Gypsum/Binder, Binder/Filler, Paint Cellulose 23% None Detected ND
Mica Glass fibers 5%
Lab ID: 17117372 Client Sample#: 2017-0955-EXT-1-3-2
Location: 7416 212th St. SW Edmonds, WA 98026
Layer 1 of I Description: Brown soft elastic material with debris
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler, Caulking compound, Wood flakes Cellulose 3% None Detected ND
Wood fibers 6%
Lab ID: 17117373 Client Sample #: 2017-0955-Roof-I
Location: 7416 212th St. SW Edmonds, WA 98026
Comments: Unsure of correct layer sequence.
Layer I of 5 Description, Silver paint
Non -Fibrous Materials: Other Fibrous Materials:%
Metallic paint Cellulose 2%
Layer 2 of 6 Description: Black soft asphaltic material with fibrous material
Non -Fibrous Materials: Other Fibrous Materials:%
Asphalt/Binder, Binder/Filler Synthetic fibers 43%
Layer 3 of 5 Description: Black asphaltic fibrous material with tar and debris
Non -Fibrous Materials: Other Fibrous Materials:%
Asphalt/Binder, Binder/Filler, Wood flakes Glass fibers 68%
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Sampled by: Client
Analyzed by: Galen Richards Date: 11 /24/2017
Reviewed by: Nick Ly Date: 11 /27/2017 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 600/M4-62-020 Methods 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
page 3 of 7
NVL Laboratories, Inc.
4708 Abroo Ave N Seattle, WA 98103
p206.5,17011LIC 1 12066341936 1 vvwvnv1Jd)s,cotn
Bulk Asbestos Fibers Ana
Client: NVL Field Services Division
Address: 4708 Aurora Ave. N.
Seattle, WA 98103
Attention: Mr. Tanveer Khan
Project Location: 7416 212th St. SW Edmonds, WA 98026
is
iNvILL.
L A B S
Batch #: 1721187.00
Client Project #-. 2017-0955
Date Received: 11/21/2017
Samples Received: 8
Samples Analyzed: 8
Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Wood fibers 6%
Layer 4 of 6 Description: Tan paper with asphalt
Non -Fibrous Materials: Other Fibrous Materials.% Asbestos Type: %
Asphalt/Binder, Binder/Filler Cellulose 74% None Detected ND
Layer 5 of 5 Description: Black asphaltic fibrous material with brown fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/Binder, Binder/Filler Cellulose 15% Chrysotile 19%
Lab ID: 17117374 Client Sample #: 2017-0955-Roof-2
Location: 7416 212th St. SW Edmonds, WA 98026
Layer I of 4 Description: Silver paint
Non -Fibrous Materials: Other Fibrous Materials:%
Metallic paint Cellulose 1%
Layer 2 of 4 Description: Black soft asphaltic with fibrous material
Non -Fibrous Materials: Other Fibrous Materials:%
Asphalt/Binder, Binder/Filler Syntheticfibers 41%
Layer 3 of 4 Description: Black layered asphaltic fibrous material with tar and debris
Non -Fibrous Materials: Other Fibrous Materials:%
Asphalt/Binder, Binder/Filler, Wood flakes Glass fibers 74%
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Asbestos Type: %
None Detected ND
Wood fibers 8%
Layer 4 of 4 Description: Black layered asphaltic fibrous material with brown fibrous material
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/Binder, Binder/Filler Cellulose 22% Chrysotile 29%
Lab ID: 17117375 Client Sample #: 2017-0955-Roof-3
Location., 7416 212th St. SW Edmonds, WA 98026
Sampled by: Client 7
Analyzed by: Galen Richards Date: 11/2412017
Reviewed by: Nick Ly Date: 11/27/2017 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-931116 and 600/M4-82-020 Methods 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
page 4 of 7
NVL Laboratories, Inc. IN \11,�f I L'
,1708 Amom Ave N, S�atlle_ VVA'j8J')3
p20654701100 1 (206.624.1936 J www nvllabs.com L A B S
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: NVL Field Services Division Batch #: 1721187.00
Address: 4708 Aurora Ave. N. Client Project #: 2017-0955
Seattle, WA 98103 Date Received: 11/21/2017
Samples Received: 8
Attention: Mr. Tanveer Khan Samples Analyzed: 8
Project Location: 7416 212th St. SW Edmonds, WA 98026 Method: EPA/600/R-93/116
& EPA/600/M4-82-020
Layer I of 4 Description: Silver paint
Non -Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Metallic paint Cellulose 2% None Detected ND
Layer 2 of 4 Description: Black soft asphaltic with fibrous material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Asphalt/Binder, Binder/Filler
Synthetic fibers 47%
None Detected ND
Layer 3 of 4 Description: Black layered asphaltic fibrous material with tar and debris
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Asphalt/Binder, Binder/Filler, Wood flakes
Glass fibers 71%
None Detected ND
Wood fibers 5%
Layer 4 of 4 Description: Black layered asphaltic fibrous material with brown fibrous material
Non -Fibrous Materials:
Other Fibrous Materials:%
Asbestos Type: %
Asphalt/Binder, Binder/Filler
Cellulose 26%
Chrysotile 24%
Sampled by: Client
Analyzed by: Galen Richards Date: 11 /24/2 017
Reviewed by: Nick Ly Date: 11/27/2017 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 600/M4-82-020 Methods 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
page 5 of 7
NVL Laboratories, Inc, ASBESTOS LABORATORY SERVICES
4708 Autoia Ave i%, Seode. WA 98103
p2065470100 1 (?1)().6341936 1 www,w1fabscont
Company NVL Field Services Division NVLBatchNumber 1721187.00
Address 4708 Aurora Ave. N. TAT 2 Days __AH_ -No
Seattle, WA 98103 Rush TAT
Project Manager Mr. Tanveer Khan Due Date 11/27/2017 Time 4:30 PM
Phone (206)547-0100 Email tanveer.k@nvllabs,com
Cell (206) 799:.2916, Fax (206) 634-1936
Project Name/Number: 2017-0955 Project Location: 7416.212th St. SW Edmonds, WA.-98026
Subcategory PLM Bulk
item Code ASB:M EPA 600/R-93-116 Asbestos by PLM <bulk>
Total Number of Samples 8 Rush Samples
Lab ID SamDle ID DescriDtion
INVIL.
L A B S
A/R
1
17117368
12017-0955-EXT-1-1-1
A
2
17117369
7017-09 5 �T-1-�-2
A
3
'_______72017-0955-EXT-1
17117370
-1 -3
A
A
4
17117371
12017-0955-EXT-1-3-1
5
17117372
2017-0955-EXT-1-3-2
:!AJ
6
17117373
2017-0955-Roof-I
A
7
8 J17117375
17117374
2017-0955-Roof-2
A
2017-0955-Roof-3
A
Print Namp Sionature
rnmn.qnv
Date Time
L Sampled by
JClient
lClient
I Relinquished by
Office Use Onlv Print Name Sianature Comr)anv Date Time
Received by
Mohammed Jamal
NVL
11/21/17 1630
Analyzed by
Galen Richards
NVL
11/24/17
Results Called by
n Faxed FJ Emailed
Special
Instructions:
Date: 11/21/2017
`Firne� 5:30 PM
Entered By� Mohammed Jamal
page 6 of 7
NVL Laboratories, Inc. CHAIN of CUSTODY
4708 Aurora Ave N, Seattle, WA 98103 SAMPLELOG 1721187
p 206 547.0100 1 1206.634.1936 1 www.rivilabs com
Client NVIL Laboratories Inc NVIL Batch Number -
Street 4708 Aurora Ave N Client Job Number 2017-0955
Seattle, WA W03 Total Samples — 6
Project Manager SYed H?Pqn Turn Around Time 1 Hr — i 6 Hrs 3 Days I 110 Days
7416 212th St SW 2 Hrs .-' I Day 4 Days
Project Location Edmonds, WA 98026 4 Hrs :)i 2 Days 5 Days
3lease call for TAT less than 24 Hr-
Email address ro uda bush �Dorcha rd hold inci sqrou
__P
Phone: (515) 754-3500 Fax:
Asbestos Air PCM (NIOSH 7400) 1 1 TEM (NIOSH 7402) 1--il TEM (AHERA) TEM (EPA Level 11) Other
Asbestos Bulk )( PLM (EPA/600/R-93/116) PLM (EPA Point Count) L . PLM (EPA Gravimetry) [J TEM BULK
El Mold/Fungus IP Mold Air i JI Mold Bulk Rotometer Calibration
METALS 'Det. Limit Matrix RCRA Metals t—All 8 Other Metals
Total Metals E FAA (ppm) LJ Air Filter n Soil F1 Arsenic (As) Chromiu (Cr All 3
TCLP 0 iGP (ppm) !� Drinking water F- Paint Chips in % IF I Barium (Ba) Lead (Pbm) Copper (Cu)
F Cr 6 GFAA (ppb) f-1 Dust/wipe (Area) 1 �-7' Paint Chips in crT I !Cadmium (Cd) Mercury (Hg) Nickel (Ni)
Zinc (Zn)
f-Other Types [JFiberglass ['INuisanceDust _] Other (Specify)
of Analysis 117-1 1;ilir..q F-1 Pp..-nir:;hlp nimt
Condition of Package: El Good n Damaged (no spillage) El Severe damage (spillage)
Seq. #, Lab ID Client Sample Number� Comments A/R
1 biSS - E*T-I-t-t
2
3
4
t I
6 ..U(7-0455 Rw -1
7 ROOF-2
8 3
9
10
12
13
14
15
SamVed by
Print Below Sian Below
'r nou,
Company.. Date
NW� It-;/.
Time
I . ev AW
Relinquished by
A(11L�
Received by'
fv\ a-�,
Anply;eq by
Results Called by,
Results Faxed by
Special Instructions: Unless requested in writing, all samples will be disposed of two (2) weeks after analysis.
Results report to
011-
(AN
page 7 of 7
November 27, 2017
Tanveer Khan
NVL Field Services Division
4708 Aurora Ave. N.
Seattle, WA 98103
RE: Metals Analysis; NVL Batch # 1721186.00
Dear Mr. Khan,
INVIL,
L A B S
I N D U S T R I A L
H Y G I E N E
S E R V I C E S
Laboratory I Management I Training
Enclosed please find the test results for samples submitted to our laboratory for analysis.
Preparation of these samples was conducted following protocol outlined in EPA Method SW 846
-3051 unless stated otherwise. Analysis of these samples was performed using analytical
instruments in accordance with U.S. EPA, NIOSH, OSHA and other ASTM methods.
For matrix materials submitted as paint, dust wipe, soil or TCLP samples, analysis for the presence
of total metals is conducted using published U.S. EPA Methods. Paint and soil results are usually
expressed in mg/Kg which is equivalent to parts per million (ppm). Lead (Pb) in paint is usually
expressed in mg/Kg (ppm) , Percent (%) or Mg/CM2 by area, Dust wipe sample results are usually
expressed in ug/wipe and Ug/ft2 . TCLP samples are reported in mg/L (ppm). For air filter samples,
analyses are conducted using NIOSH and OSHA Methods. Results are expressed in ug/filter and
Ug/M3. Other matrix materials are analyzed accordingly using published methods or specified by
client. The reported test results pertain only to items tested and are not blank corrected.
For recent regulation updates pertaining to current regulatory levels or permissible exposure
levels, please call your local regulatory agencies for more details.
This report is considered highly confidential and will not be released without your approval.
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. if you need further assistance please feel free to call
us at 206-547-0100 or 1-888-NVLLABS.
Sincerely,
Nick Ly, Technical Director
AlHA LAP, LW
V.�
ACMEOMUMTORY
1.888.NVL.LABS
I
AW."AW9*1 �IUX
www.nvllabs.com
LA 114 MOM
NVL Laboratories, Inc.
4708 Aurora Ave N, Seattle, WA 98103
p 206.547.0100 1 f 206.634.1936
page 1 of 4
NVL Laboratories, Inc,
4708 Aufnia Avp N� Seatflo, WA 98101
p 206,547,0100 ' f 206.634 1936 1 vww-n01abs com
Analysis Report
Total Lead (Pb)
Client: NVL Field Services Division
Address: 4708 Aurora Ave. N.
Seattle, WA 98103
Attention: Mr. Tanveer Khan
Project Location: 7416 212th St. SW Edmonds, WA 98026
Sample RL in
Lab ID Client Sample Weight (g) mg/Kg
INVILL"
L A B S
Batch #: 1721186.00
Matrix: Paint
Method: EPA 3051/7000B
Client Project #: 2017-0955
Date Received: 11/21/2017
Samples Received: 9
Samples Analyzed.- 9
Results Results in
in mg/Kg percent
17117369
2017-0955-Pb-1
0.2180
46
< 46
<0.0046
17117360
2017-0955-Pb-2
0.2163
46
<46
<0.0046
17117361
2017-0955-Pb-3
0,1994
50
<50
< 0.0050
17117362
2017-0955-Pb-4
0.2074
48
<48
< 0.0048
17117363
2017-0955-Pb-5
0.2111
47
<47
<0.0047
17117364
2017-0955-Pb-6
0.2177
46
<46
<0.0046
17117365 2017-0955-Pb-7 0.2177 46 120 0,012
17117366 2017-0955-Pb-8 0.2181 46 <46 <0.0046
17117367 2017-0955-Pb-9 0.1907 52 < 52 <0.0052
r %
Sampled by: Client
Analyzed by: Shalini Patel Date Analyzed: 11/24/2017
Reviewed by: Nick Ly Date Issued: 11/27/2017 Nick Ly, Technical Director
mgl Kg =Milligrams per kilogram RL = Reporting Limit
Percent = Milligrams per kilogram / 10000 '<' =Below the reporting Limit
Note : Method QC results are acceptable unless stated otherwise.
Unless otherwise indicated, the condition of all samples was acceptable at time of receipt.
Bench Run No: 2017-1124-03
page 2 of 4
NVL Laboratories, Inc. LEAD LABORATORY SERVICES
4708AuioiaAve,1, Se?1de.WA99103 INVIL
p206.547.0100 ; f2-06,6341936 L A B S
Company NVIL Field Services Division NVI-BatchNumber 1721186.00
Address 4708 Aurora Ave. N. TAT 2 Days AH. - No
Seattle, WA 9810,3. Rush TAT
Project Manager Mr. Tanveer Khan Due Date 11/27/2017 Time C3Q-PM----
Phone (206) 5477:0100 Email tanveer.k@nvllabs.com
Cell (206) 799-2916 Fax (20-6).-634m-1936---
Project Name/Number: 2017-:0955- Project Location: 7416 212th St. SW Edmonds, WA-98026
Subcategory Flame AA (FAA)
item Code FAA-02 - - — . - - — EPA 70.0.013-1-ead by FAA <paint>
Total Number of Samples 9
Lab ID Sample ID Description
Rush Samples
A/R
1
17117359
2017-0955-Pb 1
--A
2
17117360
2017-0955-Pb-2
A
3
17117361
2017-0955-Pb-3
A
4
17117362
2017-0955-Pb-4
A
5
17117363
2017-0955-Pb-5
A
6 -
17117364
2017-0955-Pb-6
A
7
117117365
2017-0955-Pb-7
A
8
117117366
2017-0955-Pb-8
A
9 J1
17117367
2017-0955-Pb-9
A
Print Nnmc- Sionature
r.nrnn�nv
Date Time
Sampled by
Client
Relinquished bHClient
Office Use Onlv Print Name Sionature ComDanv Date Time
Received by
Umer Khan
NVL
11/21/17
1630
Analyzed by
Shalini Patel
NVL
11/24/17
Results Called by
r� Faxed [—] Emailed
Special
Instructions:
Date: 11/21/2017
Tirne: 529 PM
Entered By: Umer Khan
page 3 of 4
NVL Laboratories, Inc. CHAIN of CUSTODY IL
4708 Aurora Ave N, Seattle, WA 98103 SAMPLE LOG a S
p 206 5470100 1 f 206 634 1936 1 www nvh a bs com 17 2 118 6"
Client NVL Laboratories Inc
Street 4708 Aurora Ave N
Seattle, WA 98103
Project Manager Sved Hasan
Project Location 7416 212th St SW
Edmonds, WA 98026
NVL Batch Number
Client Job Number 2017-0955
Total Samples q
Turn Around Time I Hr 6 Hrs 3 Days I � 10 Dayc
2 Hrs i 1 Day 4 Days
4 Hrs 2 Days 5 Days
3lease call for TAT less than 24 Hr!
Email address iroudabush(o)orchardholdinqsqroup.
Phone: (515) 754-3500 Fax:
Asbestos Air A
--' PCM (NIOSH 7400) L', TEM (NIOSH 7402) R TEM (AHERA) --� TEM (EPA Level 11) Other
-JAsbestos Bulk L PLM (EPA/600/R-93/116) 1-PLM (EPA Point Count)
I PLM(EPAGravimeti-Y) LITEMBULK
[J Mold/Funqus Mold Air D Mold Bulk Rotometer Calibration
METALS Det. Limit Matrix
RCRA Metals All 8 Other Metals
D All 3
it Total Metals
FAA (ppm) [:1 Air Filter Soil
F
Arsenic (As) 1. ChrOMKIM (Cl
' [ Copper (Cu)
TCLP
1CP (ppm) [j Drinking water Paint Chips in %
�-iDust/wipe
r
Barium (Ba) I)c Lead (Pb)
L: Nickel (Ni)
Cr6
GFAA(ppb) (Area) Paint Chips in crr
CadnilUir (Cd) Mercury (Hg)
[,'Zinc (Zn)
'10ther Types
Fiberglass Nuisance Dust Other (Specify)
of Analysis
RilirA 'RpsnirnhIp. r)imt
Condition of Package: Good 0 Damaged (no spillage) [I Severe damage
(spillage)
Sect. #. Lab ID
Client Sample Number Comments
AIR
1
6-1
2
rb-Z
I
3
Pb - -4
4
th Ll
5
P6 5
6
f6 - G
7
8
Pb - 9
9
fb - ei
10
11
12
13
14
15
Sampled by
Print Below Sion J�elow
7AN 1�� �/44440, ttkam'
Company Date,,,.,, Time
N J!M f4
Relinquished by
VAN 4*N
Received by!
(Awv-, Y-
NW 16 3 p
Analyzed by
Results Called by.
Results Faxed by
Special Instructions: Unless requested in writing, all samples will be disposed of Iwo (2) weeks after analysis.
Results report to
I,—
(AW
page 4 of 4
November 28, 2017
Tanveer Khan
NVL Field Services Division
4708 Aurora Ave. N.
Seattle, WA 98103
RE: Metals Analysis; NVIL Batch # 1721188.00
Dear Mr. Khan,
7-
L A B S
INDUSTRIAL
H Y G I E N E
S E R V I C E S
Laboratory I Management I Training
Enclosed please find the test results for samples submitted to our laboratory for analysis.
Preparation of these samples was conducted following protocol outlined in EPA Method SW 846
-3051 unless stated otherwise. Analysis of these samples was performed using analytical
instruments in accordance with U.S. EPA, NIOSH, OSHA and other ASTM methods.
For matrix materials submitted as paint, dust wipe, soil or TCLP samples, analysis for the presence
of total metals is conducted using published U.S. EPA Methods, Paint and soil results are usually
expressed in mg/Kg which is equivalent to parts per million (ppm). Lead (Pb) in paint is usually
expressed in mg/Kg (ppm) , Percent (%) or rri by area. Dust wipe sample results are usually
expressed in ug/wipe and Ugjft2 . TCLP samples are reported in mg/L (ppm). For air filter samples,
analyses are conducted using NIOSH and OSHA Methods. Results are expressed in ug/filter and
Ug/M3. Other matrix materials are analyzed accordingly using published methods or specified by
client. The reported test results pertain only to items tested and are not blank corrected.
For recent regulation updates pertaining to current regulatory levels or permissible exposure
levels, please call your local regulatory agencies for more details.
This report is considered highly confidential and will not be released without your approval.
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. if you need further assistance please feel free to call
us at 206-547-0100 or 1-888-NVLLABS.
Sincerely,
Shalini Patel, Laboratory Analyst
4 AIHA LAP, LLC
1.888.NVL.LABS
1.888.(685.5227)
www.nvllabs,com
LAW01861
NVL Laboratories, Inc,
4708 Aurora Ave N, Seattle, WA 98103
p 206.547-0100 1 f 206.634.1936
page 1 of 5
NVL Laboratories, Inc.
IN\VVFIL
4708 Amora Ave N, Seattle, WA 98103 01
p206.547,0100 1 f206.634.1936 I wwwn0labs.com Analysis Report L A B 5
Toxicity Characteristic Leaching Procedure - Lead (Pb)
Client: NVIL Field Services Division Batch #: 1721188.00
Address: 4708 Aurora Ave. N. Matrix: Bulk
Seattle, WA 98103 Method: EPA 1311/7000B
Client Project #: 2017-0955
Aftention: Mr. Tanveer Khan Date Received: 11/2112017
Project Location: 7416 212th St. SW Edmonds, WA 98026 Samples Received: 1
Samples Analvzed: 1
RL Results tesults in
Lab ID Client Sample # mg/ L in mg/L ppm
17117376 2017-0955-TCLP 0.5 < 0.5 < 0.5
Sampled by: Client
Analyzed by: Yasuyuki Hida Date Analyzed: 11/28/2017
—Reviewed by: Shalini Patel Date Issued: 11/2812017 Shalini Patel, Laboratory Analyst
mg/ L =Milligrams per liter
ppm = parts per million
Note: Method OC results are a
Unless otherwise indicat
unless stated otherwise.
RL = Reporting Limit
Below the reporting Limit
ofrecei
Bench Run No: 2017-1127-6
page 2 of
NVL Laboratories, Inc. LEAD LABORATORY SERVICES
4708 Aurora Ave. N, Seattle, WA 98103
p206.547.0100 1 (206.6341936 1 wwwrivllabs,com
Company NVL Field Services Division NVLBatchNumber 1721188.00
Address 47AMAurQra Ave- N- TAT 2 DaVs AH No
Seattle, WA 98103 Rush TAT
Project Manager Mr. Tanveer Khan Due Date 11/27/2017 PM
Phone (206) 547-0100 Email tanveer.k@nvilabs.com
Cell (206) 799-2916 Fax (206) 634-1936
i Project Name/Number: 2017-0955 Project Location: 7416 212th St. SW Edmonds, WA 98026
Subcategory Flame AA (FAA)
item Code TCLP-1 EPA 131117000B Lead by FAA <TCLP>
Total Number of Samples 1
Lab ID Sample ID Description
t � 1-417117376 Ljj�17-0955-TCLP
Rush Samples
INVL
L A B S
A/R
.... T " - [�
I A
Print Name Signature Co nk gy Date Time
Samp-1
ed by__,.Client
Relinquished by lient
A
Office Use Only Print Name Signature Company Date Time
--Fec�lird by i Mohammed Jamal NVL 1/21/17 1� 1630
Analyzed by Yasuyuki Hida NVL '11/28/17
+
Results Called by
-n. I - — t
F
axed Emalled�
Special
i Instructions:
Date: 11/21/2017
Time: 5:36 PM
Entered By: Mohammed Jamal
page 3 of 5
NVL Laboratories, Inc.
4708 Aurora Ave N, Seattle, WA 98103
p2065470100 1 f2066341936 I wwwndabscorn
Client NVL Laboratories Inc
Street 4708 Aurora Ave IN
Seattle, WA 98103
Project manager Syed Hasan
Project Location 7416 21.2th St SW -
Edmonds, WA 98026
CHAIN of CUSTODY
SAMPLELOG
WV188 �
NVL Batch Number —
Client Job Number 2017-0955
Total Samples I
Turn Around Time 1 Hr !--16 Hrs 3 Days 10 Days
2 Hrs ,
. J 1 Day IL7 4 Days
4 Hrs �x 2 Days 0 6 Days
3lease call for TAT less than 24 Hr-
Email address Iroudabush(cDorchardholdingsqroup.
Phone: (515) 754-3500 Fax:
AsbestosAir 11 PCM(NIOSH7400) OTEM(NIOSH7402) RTEM(AHERA) FITEM(EPALeveill) DOther
�AsbestosBulk� PLM(EPA/600/R-93/116) PLIVI (EPA Point Count) F PLM (EPA Gravimetrv) 0 TEM BULK
F1 Mold/Funaus Mold Air Mold Bulk Rotometer Calibration
METALS Det. Limit Matrix RCRA Metals I �All 8
Other Metals
[—, All 3
L Total Metals 1� FAA (ppm) Air Filter Arsenic (As) 1 Chromiurn (Cr
El Copper (Cu)
j-� TCLP 1CP (ppm) Drinking water Paint Chips in % Barium (Ba) Lead (Pb)
Cr 6 Dust/wipe (Area) Paint Chips in cry :Cadmium (Cd) Mercury (Hg)
GFAA (ppbl
I I Nickel (Ni)
F-1 Zinc (Zn)
iLjOther Types I Fiberglass Nuisance Dust i Other (Specify)
of Ana�ys�ls F;Tt�R
Condition of Package: Good Li Damaged (no spillage) L-- Severe damage (spillage)
Seq. # Lab ID Client Sample Number Comments
AIR
2011-0+56— re-0
2
3
4
5
9
12
13
14
15
Print Below Sion Below Company Date . Time
Sampled by gm &W KIAO� It-2#- 17 6,'3044
Af
Relinquished by AN �)qyvt&v ((&atA- 14 UL Il-.20-17 If , 3 o
Received by LA_
46 17—
Analyzed by,
Results Ca lied by
Results Faxed by
Special Instructions: Unless requested in writing, all samples will be disposed of two (2) weeks after analysis.
Results report to /111.�
(A14
page 4 of 5
AIHA
tory Accreditation
Programs. LLC
AIHA Laboratory Accreditation Programs, LLC
acknowledges that
NVL Laboratories, Inc.
4708 Aurora Avenue N., Seattle, WA 98103
Laboratory ID: 10 1861
along with all premises from which key activities a -re performed, as listed above, has fulfilled the requirements of the AIHA Laboratory Accreditation
Programs (AIHA-LAP), LLC accreditation to the ISOAEC 17025-2005 international standard, General Requirementsfor the Competence of Testing
and Calibration Laboratories in the following:
LABORATORY ACCREDITATION PROGRAMS
INDUSTRIAL HYGIENE Accreditation Expires: 05/01/2017
ENVIRONMENTAL LEAD Accreditation Expires: 05/01/2017
ENVIRONMENTAL MICROBIOLOGY Accreditation Expires: 05/01/2017
E3 FOOD Accreditation Expires-
V UNIQUE SCOPES Accreditation Expires: 05/01/2017
Specific Field(s) of Testing (FoT)/Method(s) within each Accreditation Program for which the above named laboratory maintains accreditation is
outlined on the attached Scope of Accreditation. Continued accreditation is contingent upon successful on -going compliance with IS01IEC
17025:2005 and AIHA-LAP, LLC requirements. This certificate is not valid without the attached Scope of Accreditation- Please revic-,v the AMA -
LAP, LLC website (%,,,.vxv.aihaaccreditedlabs.or,-? for the most current Scope.
Gerald Schultz, CIH Z�h-e-r—yl 0. Jworlon
Chairperson, Analytical Accreditation Board Managing Director, AIHA Laboratory Accreditation Programs, LLC
Revision 14: 03/26/2014 Date Issued: 04!30/2015
United States Department of Commerce
National Institute of Standards and Technology
11vt
Certificate of Accreditation to ISO/1EC 17025:2005
NVLAP LAB CODE: 102063-0
NVL Laboratories, Inc.
Seattle, WA
is accredited by the National Voluntary Laboratory Accreditation Program for specific serWces,
listed on the Scope of Accreditation, for
Asbestos Fiber Analysis
This laboratory is accredited in accordance with the recognized International Standard ISOVIEC 17025.2005.
This accreditation demonstrates technical competence for a defined scope and the operation of a laboratory quality
management system (refer to joint ISO-ILAG-IAF Communique dated January 2009).
2016-10-01 thmugh 2017-09-30
Effec Dafes For the National Volun!��G-rat��Awreddatbn Program
";-;ATjS C*
- *%I Or
National Voluntary
Laboratory Accreditation Program
SCOPE OF ACCREDITATION TO ISO/IEC 17025:2005
NVL Laboratories, Inc.
4708 Aurora Avenue N.
Seattle, WA 98103
Mr. Nghiep Vi Ly
Phone- 206-547-0100 Pax-206-634-1936
Email: nick. I@nvllabs,com
http://www,nvllabs.com
ASBESTOS FIBER ANALYSIS
NVLAP LAB CODE 102063-0
Bulk Asbestos Analysis
Code pescr-Wan
I 8/A0 I EPA 600IM4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples
IS/AO3 EPA 600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials
For the Nat voluntnik JL�)orai�w
V pwroditation Program
Effective 2016-10-01 through 2017-09-30 Page I of I
STATE OF WASHINGTON
Department of Commerce
Lead -Based Paint Abatement Program
Tanveer E Khan
Has ju,filled the certiflcation requirements of
WAC 365-230
and has been certified to conduct lead-basedpaint activities as a
Risk Assessor New
Certificadon N Issuance Date Expiration Da
6110 01/13/2017 01/13/2020
A -N
lot-
Nq In
N- Wir
k�
Certtf t" rate of vIleompletton
7:� This is to certify that
Jason Lindahl
has satisfactorily completed
24 hours of training as an
AHERA Building Inspector
to comply with the training requirements of
TSCA Title 11, 40 CFR 763 (AHERA)
1627469
Cerfificate, Number
May 31 Jun 2,2017 Expires in I year.
n Date(s) of Training
W AV
TRMNING-CONSUL-nNG r)
Exam Score:
AWftraCMC0MMW If appropriate:
'�'-nstructor
ARGUS PACIFIC,IINC/ 1900WEST NICKERSON S:T.SUrTE 315 /SENTTI-F-WASHINGTON 981191206285-3373 IARGUSPAOFIC-COM
EDMONDS RECOVERY CENTER,
NORTHPOINT RECOVERY
7416 212TH ST SW, EDMONDS WA, 98026,
SYMBOLS AND FILL PATTERNS
SLOPE —
MODIFIER
S—HEIE-TINITUMBER
,�A WALL TAG
A
--i-im-sr-nou
STUD SIZE
ASSEMBLY
GRO Up
SM
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111NITE
DOOR NUMBER -
REF DOOR $0.
DRAW,.G NUMBER
IMOR FLFVA11I0N
DOORTAG
NUMBER
FINISH TAG
DRAWING NUMBER
WINDOW TYPE
REF WINDOW S�Et
r-E-0.
WINDOW TAG
SHEET NUMBER
it_ CEILING MATERIAL
DIMENSION TO FINISH
CEILING TAG
FACE OR AS NOTED.
CEILING HEIGHT ABOVE
FINISHED FLOOR- ALL
CEILINGS 9`0' UNLESS
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NAME ELEVATION TAG
$l,
ELEVATION
NORTH ARROW
PROJECT NORTH
Room name
(SEE CIVIL FOR
' E ROOM TAG
�I. �F
TRUE NORTH)
ROOM NUMBER
EXISTING SPOT ELEV
C�kIIRAWINGREVSION
REVISION NUMBER
NEW SPOT EL_
ABBREVIATIONS
A
FTG
FOOTING
ACOUS
ACOUST�C L
FURR
FURRING
ACT
ACOUST CAL TILE
FUT
FUTURE
AO
AREA DRAIN
ADU
ADJUSTABLE
GA
GAUGE
AFF
ABOVE FINISH FLOOR
GALV
GALVANIZE
AGGR
AGGREGATE
GB
GRAB BAR
ALUM
ALUMINUM
GIL
GLASS
APPROX
APPROXIMATE
GND
GROUND
ARCH
ARCHITECTURAL
GR
GRADE
ASPH
AS HALT
GWB
GYPSUM WALL BOARD
J1
1,
BCS
BABY CHANGING STATION
ELB
HOSE BIB
ED
BOARD
HC
HOLLOW CORE
BITUM
BITUMINOUS
HDWD
HARDWOOD
BLDG
BUILDING
HDWR
HARDWARE
BUK
BE CK
HIM
HOLLOW METAL
BUKG
BLOCKING
HORIZ
HORIZONTAL
8 R
BUMPERRAIL
FIT
KEIG14T
SW
BLANKET WARMER
I
f
IBC
INTERNATIONAL BUILDING CODE
CAB
CABINET
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NSIDE DIAMETER
CB
CATCH BASIN
NSUL
INSULATION
CER
CERAMIC
INT
INTERIOR
C,
CAST IRON
a
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CORNER GUARD
JAN
JANITO
CPT
CARPET
JT
JOINT
CR
CHAIR RAIL
L
G.
CIENTERILINE
LAB
LABORATOR
CEO
CLOSE
LAM
LAMINATE
CLR
CLEAR
LAV
LAVATO Y
C.)
CONTROL JOINT
LT
LIGHT
COE
COLUM
M
CONIC
CONCRETE
MAX
MAXIMUM
CONSTR
CONSTRUCTIO
MECH
MECHANICAL
GO NT
r
-ONTINUOUS
MEMB
MEMBRANE
CORR
CORRIDOR
MIER
MANUFACTURER
2
MH
MANHOLE
DEL
DOUBLE
MIN
MINIMUM
DEPT
DEPARTMENT
MIR
MIRROR
DF
DRINKING FOUNTAIN
MISC
I (
M SCELLANEOVS
DET
DETAIL
MO
MASONRY OPENING
D�A
D�AMETER
MTD
MOUNTED
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D MENSION
MUL
MULLION
DISP
DISPENSER
ki
ON
DOWN
N
NORTH
DWR
DRAWER
(N)
NEW
DS
DOWNSPOUT
NIC
NOT IN CONTRACT
DWG
DRAWING
INS
NURSE STATION
NITS
NOT TO SCALE
E
EAST
2
(E)
EXISTING
OA
OVERALL
EA
EACH
OC
ON CENTER
EJ
=XPANSION JOINT
r
OCC
OCCUPANT
ELEC
ELECTRICAL
OD
OUTSIDE DIAMETER
ELEV
ELEVATION
OFCI
OWNER FURNISHED.
EMER
EMERGENCY
CONTRACTOR INSTALLED
ENCL
ENCLOSURE
OFOI
OWNER FURNISHED
Ep
ELECTRICAL PANEL
OWNER INSTALLED
EO
EQUAL
OPNG
OPENING
EQUIP
EQUIPMENT
OPP
OPPOSITE
EWC
ELECTRIC WATER COOLER
ORD
OVERFLOW ROOF DIMN
EXP
EXPOSED
p
EXT
EXTERIOR
PIE
PLASTIC LAMINATE
E
PT
PATIENT TOILET
FA
FIRE ALARM
ENT
PAINT
ED
F OOR DRAIN
L
It
FDN
F UNDATION
(R)
RELOCATE
FE
FIORE EXTINGUISHER
RAD
RAD US
0 FEC
FIRE EXTINGUISHER CA13INET
RS
RUB:ER BASE
FHC
F RE HOSE CABINET
RCP
REFLECTED CEILING PLAN
FIN
FIN ISH
RD
ROOF DRAIN
FIL
FLOOR
REF
REFRIGERATOR
Fe
FACE OF CONCRETE
REFER
REFERENCE
FF
F/O
FAC 0
FACE OF FINISH
EOF
REQ
RM
REQUIRED
ROOM
FS
FACE F STUDS
RO
ROUGH OPENING
FT
FOOT/ FEET
ASPHALT
CONCRETE
EA RTH
GLASS
GRAVEL
GYPSUM WALL BOARD
INSULAT�ON - ACOUSTICAL
INSULAT ON - 13ATT
INSULATI ON - RIGID
INSULATION - SEMI
RIGID
MASONRY - BRICK
MASONRY _ CONCRETE BLOCK
METAL-ALLIMINUM
METAL _ STEEL
SAND
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WOOD - FINISH
WOOD - PARTICLE BOARD
WOOD . PLYWOOD
a
S SOUTH
SCIN SOLID CORE WOOD
SCD SEAT COVER DISPENSER
SCH SCHEDULE
SO SOAP DISPENSER
SECT SECTION
SF SQUARE FOOT/ FEET
BHT SHEET
Sim SIMILAR
SIND SAN
SANITARY NAP N D SPENSER
KI I'
SNR TARY NAPKIN R�CBPTACLE
SET SPECIMEN PASS THROUGH
so SQUARE
ss SOLID SURFACE
ST STAFF TOILET
SST STAINLESS STEEL
STA STATION
STC SOUND TRANSMISSION CLASS
STD STANDARD
STIE ST EL
STRUCT STRUCTURAL
SU SIR SUSPENDED
SV SHEET VINYL
SYM SYMMETRICAL
I
Ta TOWELBAR
TBD To BE DETERMINED
TC Top OF CURB
TEL TELEPHONE
T&G TONGUE AND GROOVE
THK THICK
TOP Top OFIRAVEMENT
TPD TOILET PAPER DISPENSER
TV TELEVISION
TOW TOP OF WALL
TYP TYPICAL
U
UL UNDERWRITERS LABORATORY
LINE UNFINISHED
UNO UNLESS NOTED OTHERWISE
X
VERT VERTICAL
VEST VESTIBULE
VIF VERIFY IN FIELD
W
W WEST
W/ WITH
WC WATER CLOSET
WD WOOD
WE W
WINDOW FILM
W/o TROUT
WP WATERPROOF
WPR WALL PROTECTION
WRB WEATHER RESISTANT BARRIER
PROJECT CONTACTS
Owner: NORTHPOINT RECOVERY
1650 S. Top- Way,
Meridian, ID 83642
TEL: (208) 87"175
A TTN: Teresa McClure, Project Manager
EMAIL: tmccIure@ro:P0intrecoverYcom
Architect: SAJ US ARCHITFC 1 F
C'
1402 3rd Ave., Suil, 200
Seattle, WA 98101
TEL: (206) 662-0722
FAX: (206) 652-0720
ATTN: Farama, Mantaghl, Project Architect
n.ma
EMAIL: famum antaghl@salus.erchl
VENT[ IRE r
Contractor: �PNPRAL CTINQ ILLC
is, a tat Ave. S, Suite 400
1.1tol. WA 98134
TEL: (2)6) 582-4500
FAX: (206) 582-4501
ATTN: JJ Engler, Project Manager
EMAIL: jenglerQventureseattle.corn
GENERAL NOTES
1. CONTRACTOR TO VERIFY ALL EXISTING CONDITIONS AND DIMENSIONS PRIOR TO PROCEEDING
WITH THE WORK.
2. DIMENSIONS TAKE PRECEDENCE OVER DRAWINGS. DO NOT SCALE DRAWINGS. NOTIFY THE
ARCHITECT OF ANY DISCREPANCIES PRIOR TO PROCEEDING WITH THE WORK.
3. CONTRACTOR IS RESPONSIBLE FOR CONSTRUCTION MEANS AND METHODS.
4. CONTRACTOR IS RESPONSIBLE FOR VERIFICATION AND COORDINATION OF SUBCONTRACTOR'S
WORK, COMPLIANCE WITH THE DRAWINGS AND SPECIFICATIONS, ACCURATE LOCATION OF
STRUCTURAL MEMBERS, AND OPENINGS FOR MECHAMCAL, ELECTRICAL, AND MISCELLANEOUS
EQUIPMENT.
5. CONTRACTOR SHALL VERIFY DIMENSIONS AND CLEARANCES FROM MANUFACTURER PRIOR TO
THE CONSTRUCTION AND INSTALLATION OF ALL EQUIPMENT, FURNISHINGS, AND
ACCESSORIES.
6. CONTRACTOR IS RESPONSIBLE FOR THE COMPLETE SECURITY OF THE SITE DURING
CONSTRUCTION AND UNTIL PROJECT COMPLETION.
7. CONTRACTOR SHALL LOCATE AND PROTECT EXISTING UTILITIES, WHETHER INDICATED IN
DRAWINGS OR NOT.
8. PROVIDE BACKING, BLOCKING, OR STRAPPING AS REQUIRED FOR GRAB BARS, SHELVING,
EQUIPMENT, HANDRAILS, ACCESSORIES, AND CABINETS.
9. COORDINATE LOCATIONS OF IN -WALL ITEMS TO AVOID BACK TO BACK INSTALLATION.
10. ALL SAFETY GLAZING SHALL BE PERMANENTLY LABELED WITH THE MANUFACTURER'S NAME
AND TEST APPROVAL INFORMATION.
11. SEE STRUCTURAL FOR REQUIRED SPECIAL INSPECTIONS.
12. SEE MECHANICAL AND ELECTRICAL DRAWINGS FOR ADDITIONAL ELECTRICAL AND EQUIPMENT
INFORMATION
VICINITY MAP
;TOW, 5,VW;W07 '7,,7
7
77 T.
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PROJECT SITE
4 212TH ST SW
T
T
T :W
EDM A 98.�2.
. . . . . . . . . .
-GENERAL-
GODO GENERAL NOTES, SYMBOLS, ABBREVIATIONS & FINISH CODE
-ARCHITECTURAL-
D2.01 LEVEL I � DEMOLITION PLAN ARC H:TECTURAL
D2.02 LEVEL 2 - DEMOLITION PLAN ARCH TECTURAL
CITY OF EDMONDS
BUILDING DEPARTMENT
WORK 12eko
ADDRESS 741 :;k_1!22
OWNER AJ20±Witf
APPROVED DATE:
L
BLDG. OFFICIAL:
1L
City of Edmos& MWimg Department
PROJECT INFORMATION
ROJECTNAME: EDMONDS RECOVERY CENTER
SJTEADDRESS: 7416 212TH STREET SW, EDMONDS, WA9802r�7609
PARCEL NUMBER: 00580700DO0201
LEGAL DESCR PTION: SOUNERS 5 ACRE TRACTS BUK 000 D-01 - TH PTN TR 2 LY NLY
& WILY OF A LNWH BAAP ON N LN OF SO TR 2 S88*52 14E 585FT FR NW COR OF
LOT 3 OF FORSHEE'S UPLAND TRS TH $00*25 10W PEW W LN OF TR 2 125FT TH
SI 51W 291.38FT TO W UNOF SO TR 2 AT BE CDR OF LOT 1 OF SO
FORSHEE'S UPLAND TRS & TERM OF UN HEREINAFTER DESC.
ZONING: CG - GENERAL COMMERCIAL
CONSTRUCTION TYPE: V-B
PROPERTY OWNER: NORTHPOINT RECOVERY
ROJECT OVERVIEW: DEMOLITION PLAN FOR TENANT IMPROVEMENT
FI RST FLOOR: 6 435 SOEFT
SECOND FLOOR 8:030 SCEFT
(1) PROJECT NORTH
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SYMBOLS,
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GENERAL NOTES
1. CONTRACTOR SHALL VERIFY LIMITS OF
DEMOLITION WORK.
2. THIS DRAWING IDENTIFIES ONLY MAJOR Im
WORK FOR DEMOLITION AND REMOVAL. ALL _j
AREAS OF DEMOLITION SHALL BE CLEARED
OF ALL ITEMS MAJOR AND MINOR TO <
RECEIVE INSTALLATION OF NEW
CONSTRUCTION AND FINISHES. <
3. LOCATE ALL WIRES, PIPES, UTILITIES, <
E LU
STRUCTURAL MEMBERS, TC.PRIORTOANY Z:
DEMOLITION. SEVER ELECTRICAL, WATER
AND SEWER AT THEIR ORIGIN POINTON
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4. CARE NOT TO DAMAGE EXTERIOR WALLS.
SPECIAL CARE SHOULD BE GIVEN TO
PRESERVE WINDOWS AND FRAMES.
T T LEGEND
EXISTING DOOR TO BE REMOVED
EXIST�NG PARTITION TO BE REMOVED
- — - — - — - — — - — - — - — -- -- — - — - — --- - — - — - — - — — - — - — - — - E. S ING PARTITION
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D.3 REMOVE (E) PLUMBING FIXTURE(S). FLOOR
DRAINS AND CAP PLUMBING LINES.
0.4 REMOVE (E) CASEWORK (LOWER AND UPPER
- - - - - - - - AS OCCURS) AND COUNTERTOPS. ui
D.5 REM E (E) ACT, GRID AND GWB SOFFITS
ANDOFRAMING.
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PLUMBING FIXTDRE$.
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:D
DEMOLITION WORK.
2. THIS DRAWING IDENTIFIES ONLY MAJOR
0<
cc
WORK FOR DEMOLITION AND REMOVAL. ALL
AREAS OF DEMOLITION SHALL BE CLEARED
OF ALL ITEMS MAJOR AND MINOR TO
w
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RECEIVE INSTAL TION OF NEW
LAAND
<
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3. LOCATE ALL WIRES, PIPES, UTILITIES,
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STRUCTURAL MEMBERS, ETC, PRIOR TO ANY
x
DEMOLITION. $EVER ELECTRICAL, WATER
AND SEWER AT THEIR ORIGIN POINT ON
EACH FLOOR.
4� CARE NOT TO DAMAGE EXTERIOR WALLS.
SPECIAL CARE SHOULD BE GIVEN TO
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LEGEND
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EXISTING PARTITION TO BE REMOVED
EX PARTITION
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