HomeMy WebLinkAbout5918 189th Pl Ne_BLD07-7305_2025 AM INSPECTION REPORT
PERMIT 01ic KE T 1N OF. _F
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Permit No.: 0 7- 73a5 Lot #:
Address: 52/?OContractor: /1 /� o fi h 7 Owner: �t r s b 1.h /4 r ea e-t
G Date: 8-0
APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required.
Inspector: Date: 4—AP-67
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
® Other:
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Owner: ARLIRGTON CITY OF 238 fd OLYMPIC AVE ARLI%GTOM 9822.3
Value of work: $7, 000. 00 Ta-1: SLR: '3105'200300100 ('inns—. :3C0 435- 07�4
Describe Work: COMMERCIAL RE- ROOF
Proposed Use: COMMERCIAL RE--ROOF
Legal Description:
Job Address: 5918 '89TH PLAUE ME
Contractor's Name Type Address License#
OE ROOFING, INC 0E411 1913321 SILL ROAD 0KR00283NZ
TOTALS Fee
P'Lan Fee $105. 46 II�
:�IGNATURk:� l.AV10''1
TOTAL FEE. . . . . . . . . . . . . . . . . $105. 4V I HEREBY CLH T IFY `:`HA`i` I HAVE REAL)
AN11) XAM.L,N[' I) THIS APPLI!'AT i?.1M ARD
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 €phi W THE SAME TO BE TRUE ARE, (.-,OR-
Rt: .-.' ALL OROVISIONS OF LAWS AND
TOTAL DUE.
•. . . . . . . . . . < . . . . . . $105. 46 OR '�I 'AK(._ GO, ck , !NG Tk11G TYPE, O
0 K WI: ?M IEG WITH WHETHER
I.r.. L M. t is MOT.
DATL RECEIPT N
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FUNDS TRANSFER AUTHORIZATION
Project description: Arlington airport re-roof of structure at 5918 189th Pl. NE (BP 07-7305)
TRANSFERIN
Amount
Bars#001.345.83.00 $105.46
Department Manager —
Bill Blake
Date
TRANSFER OUT
Amount
Bars# iI,:Z- S9y- q1 ( c, -c:'; $105.46
Department Manager--�mt
Dale Carman
Date
After completing this form, please send to Roxanne in Finance.
U744
RE-ROOF
PERMIT APPLICATION
Department of Community Development
City of Arlington• 238 N Olympic Ave. •Arlington, WA 98223 - Phone (360)403 3431 •FAX(380)403 3447
Type~ of permit: (check one) Residential ( ) Commercial
Project Address: 5C11g 1$CJ4
�` PL A)E- ParcellD#: 3105 ,2200 3001oo
Owner, C:� r,� A6,!2 i-c,,j/ Arl;nc 4vn A;r or}- Phone Number:
Address: IqIOH 5g+�. Dr, NF City_ rl;A +on State: W(4 Tip Code:_` 9223
Contractor: OK ,`: 7�Zn Phone Number: C ILPo) L 5;�— 50&3
Address: 199 31_ S:tl tZ 1 Cily:_ rl;. }un State WA Zip Cade;
Contractor's License:Number: (7K2p )* 43 NZ Expiration: 11510
Ail 4x-cVAJ roof�lny is 6,emq c-e,•,cvecC
Type of Roofing: 1—+ }e.L a Sk^ 1r'SNumberof Layers: 1 Number of Squares: _
-Class of Roofing; XA ( )B ( )C valuation of Re-Roof: #{ L 5 i 0. 00
Work Scheduled to Begin: La�f_ Fe Work Scheduled to End: L.a+e mcwcb. p'7
The following is required for NONAesidentiai Buildings:
( )An Non-Residential projects will require a site visit prior to the issuance of the permit for obvious signs of fatigue, condition of
existing roofing and number of existing layers.
( )Two copies of the installation specifications and U.L.listed roof assembly.
( ) Building square footage;
( )Occupancy of Building: Office
Retail
Church
Restaurant
School
I hereby certify the above information is correct and that the construction on, and the omupancy and the use of the above described
property will be accordance with the laws, rules and regulations of the State of Washington. The applicant will be responsible for
providing a method of safely accessing roof for inspection. A final inspection and approval shall be obtained when the reroofing is
complete.
Applicants ignat re Date
C"WILA '
r\ RECEIVED
Print Applicants Name
FEB 0 2 2007
FPR STAFF USE ONLY
Pemmit# A pied By Amount R oeived Receipt# Date Received
WEB Form—38 Page 1 of 1 5105 dwa
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O.K. ROOFING, ii& N° 2198
19932 SILL ROAD PROPOSAL
ARLINGTON, WA 98223
(360) 652-5068
SUBMITTED TO PHONE DATE
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STREET JOB NUMBER OR NAME
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MAIN CONTACT JOB PHONE
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WE OFFER TO FURNISH MATERIAL AND LABOR AND COMPLETE THE ABOVE IN ACCORDANCE WITH ABOVE SPECIFICATIONS FOR THE
SUM OF:
DOLLARS is
PAYMENT TO BE MADE AS FOLLOWS:
All material is guaranteed to be as specified.All work to be completed in a
workmanlike manner secordutg to standard practices.Any Mershon or devis-
tion from above epecitiealww involving extra costs will be executed only upon AUTHORIZED SIGNATURE
written orders,and will become an extra charge over and above the estimate
All agreements contingent upon strikes,accidents or delays beyond our con- OFFVA MAY BE WITHDRAWN
trol.Owner to carry fire,tornado and other necessary msuranoe- Our workers IF T AC WITHIN DAYS.
are fully covered by Workmen's Compensation Insurance
III
A The above prices,specifications and conditions are satisfactory and are hereby accepted You are authorized to do the work as specified.Pa I i a above-
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E FEB 0? 2007
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C E AUTHORIZED SIGNATURE DATE OF ACCEPTANCE %Y%M0F1MffliT
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PRO 2
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David Anderson
From: David Anderson
Sent: Tuesday, February 13, 2007 12:06 PM
To: Dale Carman
Subject: RE: Airlift Fuel Tank
Comments were sent to the applicant this morning. Basically they will have to do above ground
containment for the tank.
A copy of this email will be given to the permit techs for the asbestos requirements then your permits
can be issued.
David W. Anderson, CBO
Building Official
(360) 403-3432
danderson@ci.arlington.wa.us
-----Original Message-----
From: Dale Carman
Sent: Tuesday, February 13, 2007 9:55 AM
To: David Anderson
Subject: Airlift Fuel Tank
Hi Dave. I had two individuals stop by yesterday to talk about the Airlift Fuel Tank that they are
looking at installing along with appropriate secondary containment. When they left here they stated
they were going back to the City to get what they referred to as a "final determination" on the project.
What is the status of that project? Also, just to let you know that I am in the process of getting a
company to do that asbestos sampling on the two roofs we are looking at replacing and I will get the
results to you as soon as possible so that we can have our building permits processed. Thanks.
Dale Carman
Airport Coordinator
Arlington Municipal Airport
(360) 403-3470
(360) 435-1012 Fax
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CITY OF ARLINGTON/MUNICIPAL AIRPORT
2007 AIRPORT ROOFING PROJECT
SPECIFICATIONS
PART I PROJECT DESCRIPTION
1.01 Schedule No. 1 - AIR Roof: Description
The footprint of the building is approximately,4,500 square feet. Work included«-ith this
project consists of the removal and disposal of all existing roofing materials and flashino.
and the installation of new roofing materials and flashing per the manufacturer's
specifications. Work also includes the renim al. disposal and replacement of any and all
damaged sheeting and/or other materials that are found while in the process of replacing
the roofing and flashing (such .vork to be bid as a per hour rate).
1.02 *Schedule No. 2 - Aimort Rental House Roof. Description
The footprint of the building* is approximately 900 - 1.000 square feet. \Vork included
with this project consists of the removal and disposal of all existing rooting materials and
flashing, and the installation of new rooting materials and flashing per the manufacturers
specifications. Work also includes the removal. disposal and replacement of any and all
damaged sheetin-a and:'or other materials that are found .chile in the process of replacin�-I
the roofinu and flashing (such work to be bid as a per hour rate).
*Note: Schedule No ? ma\ or may not he a•tarded.
PART II PRODUCTS
,.01 Scheduie 'o. t - AIR Roof
All materials used must meet or exceed local building code requirements. Rooting
material to be used must be a minimum 30 year. gray or black. laminated composition
shincle roofing material with appropriate under]ayment. Flashing material used must be
compatible with the color of the rooting material.
Contractor shall provide the Airport with a copy of the product warranty and shall
provide for a 5 year warranty on workmanship.
2.02 *Schedule No. 2-Airport Rental House Roof
All materials used must meet or exceed local building code requirements. Roofing
material to be used must be a minimum 30 year, gray or black. laminated composition
shingle roofinu material with appropriate underlayment. Flashing material used must be
compatible with the color of the roofing material.
Contractor shall provide the Airport with a copy of the product warranty and shall
provide for a 5 year warranty on workmanship. RECEIVID
*Note: Schedule No.2 may or may not be awarded.
FEO 0 2 2007 t
CICE COWS", COA PERMIT CEO
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PART Ill GENERAL
• The Airport will obtain the Building Pen-nit.
• This project is subject to state prevailing wages.
• Successful bidders shall be required to file a Performance Bond in the full amount
of the contract price.
• Contractors are encouraged to visit and examine both sites prior to bidding on the
project.
RECEIVILm
FEB o 2 2007
COA PERMIT C
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PABCO PREMI]ER
LA MINA T E D FIBER G LA S S S H I N G LE S
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GIVE YOUR HOME PREMIER PROTECTION
Quality has a look that is unmistakable. Because your roof is one of the first things
people notice, it makes sense to invest in the finest product available. The top layer of
your PABCO Premier is a multi-layered laminate shingle that looks and lasts beautifully.
Shadowing and random shingle patterns add dimension to provide a rich look and feel
to your home.
A spectrum of colors to choose from add elegance to any architectural style. With 50,
40, and 30 year limited warranties, PABCO Premier'offers outstanding durability and
protection for your home and family. Our Class "A"fire rating is critical to ensuring
your family's safety in the event of fire.
1718 Thorne Road Tacoma.Washington 98421-3207
1 PABCO' Roofing Products Phone(253)272-0374 Fax(253)572-4997
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FEATURES: BENEF i i'S:
-A vailable with 50,all and 30 year FVLL)'TRAA'SFERaBLE •provides striking beauty while safeguarding your borne.
limited warranty.* *Automatically trunvfers to am_•successive owner at no cost.
*5 year.11ATERIAL&LABOR non-prorated warrmNv period."
•5)i•ar 91),NO and 71)mph limited 11ind 11 arranf.Corernge.
TECHNICAL INFORMATION:
r PRE.111ER 50 1'RE111ER 40 PN:.)111iX 30 I pplicable to PREMIER :50, 40 and 30
Shingle.c/llundle:16 .Shingles/Bundle:16 Shinglev/Handle:16 ASTV Shingle Standards: D3461
BundletdSquare:a Bundles/Square:a Bundles/Square:a D3018
Squares/faller: 1' SquareWl'aller:14 Squares/Pallet 15 ASTV 117nd Evaluation: D3161
lU iehl,�Sgoarc:3201h: lleighl;::ouar :'90 Il,c {Wei,GIir,Sgnarv. 260 th, AS7.11 Fire Evaluation: E 1ox
ll eight/'Palley:3840 Height/Pallet:4060 11 ighfll ullet:3900 UL►rind Raring: Ch.Standard 997
Exposure:5-518", Exposure:5-518"::: Exposure:5-518"* UL Class A Fire Rating: UL.Standard 790
Offset:5-518"* Offset:5-518"* Offset.5-518"* C'SA Shingle Standard: A 123.5
ll'arran[v:50)'ear Limited ►larranh':all Year Limited' 11arranty:30 Year Limited" 1CBO Approval: #ER 5600
117nd Resistance:90 mph" Rind Resistance:80 mph* Mind Resistance:70 ntph*
See l'ahttl'.\ liuturil I&ar;'i-0 J01 i:,,rr liuun and Canditinu�
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ANTIQUE BLACK 0 BLUE SLATE h,,,t„,r,i4.1,1,i„Pit,, BUCKSKIN TAN I3(D
DRIFTWOOD CC) HARVEST DROWN M PEWTER GREY 00
SHERWOOD GREEN 0 WEATHERED WHITE 00 WEATHERED WOOD 00
Scotchgard`e Availabilirr:
1'.4BCO PRE.1IIF.R as
PaBCOPREMIER 30
The symhrrI rn ore
available in 1
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Snerthgard'",ttgar Nnictaur RnnfinX Syrstai
PRAIRIE WOOD 0 MOCHA (nwr u,„iluble n,Pin) not mwil4htr iRLf Irkels.;v 2007
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1718 Thorne Road ago r• 1
PABCO0 Roofing Products Phone (253) 272-0374 Fax(253)572-4997
wHw.pabcoroofin—com PRO24d 253N)O AL 03/21/06
2IM)3 PARCO'Rnnlini Pn+ducl,All Iotdcinark,')arc reewered Irademark, Pat—)'lancer'.P—i..SG-30'and CC,-20'are Irademark,id Puhco'Roo in;Product,Printed coho ,ho—in thi,brochure
nd ,any from aqua),hing)a colon.\\e recommend color,election tx made from-t-),hi.,•Ic,dnlplc%
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RECEIVED
MAR411
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ASBESTOS SAMPLING REPORT
Arlington Municipal Airport--Roofing Materials of Two Buildings
Arlington, Washington
Shaw Project No. 125629
February 2007
Prepared for:
City of Arlington
Arlington Municipal Airport
18204 59`t' Drive N.E.
Arlington, WA. 98223
Prepared by:
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�haW Shaw Environmental, Inc.
19909 120°i Avenue NE, Suitc 101
Bothell,Washington 98011-8233
!L. 0FFiGE COPY
Asbestos Sampling Report
Arlington Airport—Roofing Materials of Two Buildings
Arlington,Washington
Date of Report: February 27, 2007
Prepared by: Patrick Moore, CIH
Reviewed by: Kent Wiken, P.E.
ii
Execufrve Summary
Shaw Environmental, Inc. (Shaw) was contracted by the City of Arlington (City) on behalf of the
Arlington Municipal Airport (Airport) to conduct sampling and analysis of roofing materials on
two buildings located at the Airport for the presence of asbestos-containing materials(ACM).
A total of twelve (12) bulk samples of roofing materials were collected and analyzed for the
presence of asbestos. Most of the bulk samples had multiple layers of materials due to the built-
up roofing construction that was used. For samples containing more than one separable layer of
materials, the laboratory analyzed each layer (labeled Layer 1 and Layer 2, etc.) and provided
findings as to the asbestos content of each layer.
The analytical laboratory determined that all of the bulk asbestos samples were non-detectable
(ND)for the presence of asbestos fibers.
Refer to Table 1.0— Summary of Asbestos Sampling Results for a summary of the results from
the Arlington Airport roofing materials asbestos survey.
iii
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Table of Contents
ExecutiveSummary...........................................................................................................................iii
Tableof Contents.............................................................................................................................viii
Tables..............................................................................................................................................viii
Appendices......................................................................................................................................viii
1.0 Introduction..............................................................................................................................1
2.0 Applicable Definitions..............................................................................................................2
3.0 Asbestos Sampling Methodology............................................................................................2
3.1 Identifying Sampling Areas.........................................................................................3
3.2 Selection of the Sample Locations.............................................................................3
3.3 Sample Procedure......................................................................................................3
3.4 Quality Assurance............................................
3.5 References.................................................................................................................3
4.0 Bulk Asbestos Sample Analysis..............................................................................................4
5.0 Facility Description..................................................................................................................4
5.1 Suspected ACM Homogenous Areas.........................................................................4
5.2 Estimated Quantities of Suspected ACM....................................................................5
5.3 Physical Condition of Suspected ACM.......................................................................5
6.0 Sample Analysis Results.........................................................................................................7
7.0 Limitations...............................................................................................................................9
Tables
Table 1.0:Summary of Asbestos Survey Results
Table 5.1:Suspected ACM Homogenous Areas
Table 5.2:Quantities of Suspected ACM by Functional Area
Table 5.3: Physical Conditions Summary
Table 6.0:Asbestos Analysis Results
Appendices
Appendix A:Analytical Results
Appendix B: Inspector Certificate
Appendix C: Inspection Photos
viii
1.0 Introduction
Shaw Environmental, Inc. (Shaw) was contracted by the City of Arlington (City) on behalf of the
Arlington Municipal Airport (Airport) to conduct sampling and analysis of roofing materials on two
buildings located at the Airport for the presence of asbestos-containing materials (ACM).
Mr.Patrick Moore, a Certified Industrial Hygienist (CIH)with Shaw, an"Asbestos Hazard Emergency
Response Act" (AHERA)Asbestos Building Inspector, certificate number 1025143 (Expiration date of
January 24,2008), conducted the sampling on February 15, 2007.
The purpose of this asbestos sampling was to identify the presence of any asbestos-containing
materials (ACM) within the roofing materials used on the A.I.R. Building (Building # 49) and the
"Rental House". This was accomplished by the collection of bulk samples of building roofing
materials for analysis.
The Arlington Airport supplied the use of a bucket truck for access to the roofs of the two structures.
All samples were taken near the edge of the roof lines so that fall protection equipment was not
needed. There were no indications that the roofing materials located in other areas of the roofs would
be any different in their construction, and the potential for inclusion of ACM, then those near the roof
lines.
According to the U.S. Environmental Protection Agency (EPA) sampling requirements under the
Asbestos Hazard and Emergency Response Act (40 CFR 763.86) the following number of samples
need to be taken of surfacing materials in order to confirm that a suspected material is not asbestos:
• At least five (5) bulk samples shall be collected from each homogeneous area that is greater
than 1,000 ftz; and
• At least seven (7) bulk samples shall be collected from each homogeneous area that is greater
than 5,000 ft2.
A total of twelve bulk samples of roofing materials were collected and analyzed for the presence of
asbestos, seven (7) from the A.I.R. Building (approximately 4,800 ft2 of roof surface area) and five (5)
from the"Rental House"(approximately 1,000 f12 of roof surface area).
Most of the bulk samples had multiple layers of materials due to the built-up roofing construction that
was used. For samples containing more than one separable layer of materials, the laboratory analyzed
each layer (labeled Layer 1 and Layer 2, etc.) and provided findings as to the asbestos content of each
layer.
1
2.0 Applicable Definitions
AHERA Building Inspector means a person who has successfully completed the training
requirements for a building inspector established by EPA Asbestos Model Accreditation Plan; Interim
Final Rule(40 CFR Part 763,Appendix C) and whose certification is current.
Asbestos means the asbestiform varieties of actinolite, amosite, tremolite, chrysotile, crocidolite, or
anthophyllite.
Asbestos-Containing Material (ACM) means any material containing more than one percent (1%)
asbestos as determined using the method specified in U.S. Environmental Protection Agency (EPA)
regulations Appendix E, Subpart E,40 CFR Part 763, Section 1,Polarized Light Microscopy.
Asbestos Survey means a written report describing an inspection using the procedures contained in
EPA regulations (40 CFR 763.86) to determine whether materials or structures to be worked on,
renovated,removed,or demolished contain asbestos.
Friable, Asbestos-Containing Material means asbestos-containing material that, when dry, can be
crumbled,pulverized, or reduced to powder by hand pressure or by the forces expected to act upon the
material in the course of demolition, renovation, or disposal. Such materials include, but are not
limited to, thermal system insulation, surfacing material, and cement asbestos products.
Homogeneous Area means an area of material that is uniform in color and texture.
Miscellaneous Material means interior building material on structural components, structural
members or fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal
system insulation.
Surfacing Material means material that is sprayed-on, troweled-on, or otherwise applied to surfaces
including, but not limited to, acoustical plaster on ceilings, paints, fireproofing materials on structural
members,or other materials on surfaces for decorative purposes.
Suspect Asbestos-Containing Material means material that has historically contained asbestos
including but not limited to, surfacing material, thermal system insulation, roofing material, fire
barriers, gaskets, flooring material, and cement siding.
Thermal System Insulation means material applied to pipes, fittings, boilers, tanks, ducts, or other
structural components to prevent heat loss or gain.
3.0 Asbestos Sampling Methodology
Shaw conducted the asbestos bulk sampling in accordance with the procedures contained in the EPA
regulations (40 CFR 763.86).
2
3.1 Identifying Sampling Areas
The asbestos sampling followed protocol as per AHERA 40 CFR Part 763. Therefore, all suspect
ACM are identified as unique "homogeneous sampling areas." A homogeneous material is any
material like in color, texture and serves a similar function. The material is then divided into three
categories, "surfacing material" (SM), "thermal system insulation" (TSI), and "miscellaneous
material" (M), and a determination as to whether the material is friable or non-friable is made.
Roofing materials are normally considered surfacing materials. The roof of each building was
considered a single "homogeneous sampling area."
3.2 Selection of the Sample Locations
Access to the roofs of the two buildings was accomplished using a bucket truck furnished by the
Arlington Airport. Due to the use of the bucket truck for access, and the lack of roof anchorage points
for fall protection equipment, the bulk samples of roofing materials were all taken within a foot or two
of the edges of roofs. An inspection of the roofs did not denote any indications that the roofing
materials located further from the roof lines were constructed any differently than those near the edges.
3.3 Sample Procedure
A certified EPA asbestos building inspector performed the sampling. Proper procedures were followed
during the sampling activity. The safety and health of the asbestos inspector were considered before
samples were collected.
Bulk samples were collected and placed in plastic bags, sealed, and given a unique sampling number.
All samples were recorded on chain of custody forms. These forms were signed by both the inspector
taking the sample and by the laboratory when delivered for analysis. I£one sample of a homogeneous
area were to test positive, the entire homogeneous area would be considered positive.
3.4 Quality Assurance
Asbestos sample analyses are routinely cross-checked by NVL Laboratories, Inc. with other
laboratories for quality assurance purposes. These quality assurance(QA) procedures are employed to
ensure reliable results for analyses of bulk samples.
3.5 References
The following regulatory standards were utilized in the performance of this asbestos survey.
• 40 CFR Part 763, "AHERA";
• Puget Sound Clean Air Agency Regulation III,Article 4,Asbestos;
• Washington State Department of Labor and Industries, Asbestos Regulations (WAC 296-65 &
3
296-62-077).
4.0 Bulk Asbestos Sample Analysis
Bulk asbestos sample analysis was performed by NVL Laboratories, Inc. (NVL) located at 4708
Aurora Avenue North in Seattle, Washington. Examination of these samples was conducted for the
presence of identifiable asbestos fibers using polarized light microscopy (PLM) with dispersion
staining in accordance with U.S. EPA/600/R-93/116 Test Method.
NVL supplied a detailed report which includes findings for each layer of the bulk samples obtained
(labeled Layer 1 and Layer 2, etc. for each individual layer).
5.0 Facility Description
The A.I.R. Building is a metal-sided two-story warehouse with an attached office space. The roof of
the structure measures approximately 4,800 ft2 and is constructed of asphalt"three-tab"shingles.
The "Rental House" is a wood-frame building with an asphalt "three-tab" shingles roof that measures
approximately 1,000 ftZ.
The interior of the buildings were not entered or inspected as part of this project.
5.1 Suspected ACM Homogenous Areas
The following table describes the suspected ACM homogenous (Functional) areas related to the roof
structures of the two buildings inspected. A homogeneous area means an area of material that is
uniform in color and texture. Since the roofs of both structures appeared intact, with no obvious areas
where different building materials may have used, each roof was selected as a homogeneous area for
the purposes of this report.
TABLE 51—SUSPECTED ACM HOMOGENOURS AREAS
Room Description 1i anctional Description of Materials
Area 1D#
A.I.R.Building 1 Asphalt"three-tab"shingles. Samples found up to three(3) layers
of materials: 1)Black asphaltic fibrous material with granules; 2)
Black asphaltic fibrous felt;and 3)Multi-layered black asphaltic
material with mineral grains.
"Rental House" 2 Asphalt"three-tab"shingles. Samples found up to four(4)layers
of materials: 1)Layered black asphaltic fibrous material with
granules;2)Black asphaltic mastic; 3)Black asphaltic fibrous felt;
and 4)Tan fibrous materials.
4
1.
5.2 Estimated Quantities of Suspected ACM
The following table provides estimated quantities of the roofing materials, i.e., suspected ACM, that
were encountered during the sampling of the A.I.R. Building and the "Rental House" at the Arlington
Municipal Airport:
TABLE 5.2—QUANTITIES OF SUSPECTED ACM by FUNCTIONAL AREA
Functional Suspected ACM Estimated Quantity
Area ID#,
1 Asphalt"three-tab"shingles. Samples found up to 4,800 ft2
three(3)layers of materials: 1)Black asphaltic
fibrous material with granules;2)Black asphaltic
fibrous felt; and 3)Multi-layered black asphaltic
material with mineral grains.
2 Asphalt"three-tab"shingles. Samples found up to 1,000 ft2
four(4)layers of materials: 1)Layered black
asphaltic fibrous material with granules; 2)Black
asphaltic mastic; 3)Black asphaltic fibrous felt; and
4)Tan fibrous materials.
5.3 Physical Condition of Suspected ACM
The physical condition of the suspect ACM was documented in accordance with AHERA regulations
as described below.
Friable - The term "friable" for the purposes of this survey refers to materials that generate a powder
when rubbing your hand across the materials or if the material can be crushed by hand pressure.
Physical Condition - The term "Physical Condition" provides an estimate of the extent and type of
damage/deterioration to the suspected ACM as Good, Fair or Poor.
Poor Condition ("Significantly Damaged" as defined in AHERA) are materials with one or more of
the following characteristics:
• Surfacing Materials -The surface crumbling or blistered over at least one tenth of the surface if
the damage is evenly distributed (one quarter of the damage is localized). One tenth (one
quarter, if localized) of material hanging from the surface, deteriorated, or showing adhesive
failure. Water stains, gouges, or mars over at least one tenth of the surface if the damage is
evenly distributed(one quarter if the damage is localized).
• TSI Materials — Missing jackets on at least one tenth of the piping or equipment. Crushed or
heavily gouged or punctured insulation on at least one tenth of pipe runs / risers, boiler, tank,
duct,etc., if the damage is evenly distributed(one quarter if the damage is localized).
5
Accumulations of powder, dust, or debris similar in appearance to the suspect material on surfaces
beneath the material can be used as confirmatory evidence.
Fair Condition ("Damaged") are materials with the following characteristics:
• Surfacing Materials - The surface crumbling, blistered, water-stained, gouged, marred or
otherwise abraded over less than one tenth of the surface if the damage is evenly distributed
(one quarter if the damage is localized). Accumulation of powder, dust, or debris similar in
appearance to the suspect material on surfaces beneath the material can be used as confirmatory
evidence.
• TSI Materials — A few water stains or less than one tenth of insulation with missing jackets.
Crushed insulation or water stains, gouges, punctures, or mars on up to one tenth of the
insulation if the damage is evenly distributed(or up to one quarter if the damage is localized).
Good Condition — Materials with no visible damage or deterioration, or showing only very limited
damage or deterioration.
Potential for Disturbance — The term "Potential for Disturbance" refers to the potential for
disturbance of suspect materials (High,moderate,or low),based on the following factors:
• Potential for contact with the material: High— Service workers in the vicinity more than once a
week; material is in a public area and accessible to building occupants. Moderate — Service
workers in the area once per month to once per week; material in a room or office and
accessible to occupants. Low— Service workers in the area less than once per month; material
is visible but not within reach of building occupants.
• Influence of Vibration: High — Loud motors or engines present (e.g., fan rooms); intrusive
noises or easily sensed vibrations (e.g., major airports, a major highway). Moderate—Motors
or engines present but not obtrusive (e.g., ducts vibrating but no fan in the area); occasional
loud sounds. Low/None—None of the above.
• Potential for Air Erosion: High—High velocity air(e.g., elevator shaft, fan room). Moderate—
Noticeable movement of air (e.g., air shaft, ventilator air stream; Low/None — None of the
above.
The following table provides a summary of the physical conditions, per the AHERA terminology
discussed above, of the suspected ACM encountered during the inspection of the roofing materials for
the two buildings at the Arlington Municipal Airport.
6
TABLE 5.3—PHYSICAL CONDITIONS SUMMARY
functional Ma.terial )cscrip6on.- Type of Rriable Physical Potential for
Area 10 4 BM' Condition Disturbance
1 Asphalt"three-tab" SM No Fair High
shingles.
2 Asphalt"three-tab" SM No Fair High
shingles.
' Type of Building Material-Surfacing material(SM), thermal system insulation(TS1),miscellaneous materials
(MM).
6.0 Sample Analysis Results
A total of twelve (12) bulk samples of roofing materials suspected of potentially containing asbestos
were submitted to NVL for analysis. None of the samples were positive for the presence of asbestos
fibers.
The following table provides a summary of the results of the samples taken of the suspected ACM, i.e.,
roofing materials, encountered during the inspection of the two buildings at the Arlington Municipal
Airport.
TABLE 6.0-ASBESTOS ANALYSIS RESUTLS-
Sample ID Layer FA'#- Materi'I Description Sample Location %ACMZ
A.I.R.Building(Building#49)—Samples 01 through 07
01 1 of 3 1 Black asphaltic fibrous material North-west side of roof;— 1 ND
with granules foot from edge
01 2 of 3 1 Black asphaltic fibrous felt North-west side of roof;— 1 ND
foot from edge
01 3 of 3 1 Multi-layered black asphaltic North-west side of roof,—1 ND
material with mineral grains foot from ed e
02 1 of 2 I Multi-layered black asphaltic North side of roof;— 1.5 ND
material with mineral grains feet from edge
02 2 of 2 1 Black asphaltic fibrous felt North side of roof;—1.5 ND
feet from edge
03 1 of 1 1 Multi-layered black asphaltic North-east side of roof;— 1 ND
material with mineral Eains foot from edge
04 1 of 1 1 Multi-layered black asphaltic I West side of roof,— 1 foot ND
7
TABLE 6.0-ASBESTOS ANALYSIS RESUTLS
Sample 1D Layer FA1 # Material Description Sample Location % ACrvl'
# #
material with mineral ains from edge
05 1 of 1 1 Multi-layered black asphaltic South-west side of roof;— 1 ND
material with mineral grains foot from edge
06 1 of 1 1 Multi-layered black asphaltic South side of roof;— 1.5 ND
material with mineral grains feet from ed e
07 1 of 1 1 Multi-layered black asphaltic South-east side of roof;— 1 ND
material with mineral grains foot from edge
Rental House(Samples 08 through 12)
08 1 of 4 2 Layered black asphaltic fibrous North-west side of roof;— 1 ND
material with granules foot from edge
08 2 of 4 2 Black asphaltic mastic North-west side of roof; 1 ND
foot from edge
08 3 of 4 2 Black asphaltic fibrous felt North-west side of roof;— 1 ND
foot from edge
08 4 of 4 2 Tan fibrous material North-west side of roof;— 1 ND
foot from edge
09 1 of 4 2 Layered black asphaltic fibrous West side of roof;— 1.5 feet ND
material with granules from edge
09 2 of 4 2 Black asphaltic mastic West side of roof;—1.5 feet ND
from edge
09 3 of 4 2 Black asphaltic fibrous felt West side of roof;— 1.5 feet ND
from edge
09 4 of 4 2 Tan fibrous material West side of roof;—1.5 feet ND
from edge._
10 1 of 3 2 Layered black asphaltic fibrous South-west side of roof;— 1 ND
material with granules foot from edge
10 2 of 3 2 Black asphaltic mastic South-west side of roof;—1 ND
foot from edge
10 3 of 3 2 Black asphaltic fibrous felt South-west side of roof;— 1 ND
foot from edge
11 1 of 3 2 La ered black asphaltic fibrous South side of roof;— 1 foot ND
8
TABLE 6.0—ASBESTOS ANALYSIS RESUTLS
Sample 11) , Layer FA'# Material Description Sample Location %o ACM'
# #
material with granules from edge
11 2 of 3 2 Black asphaltic mastic South side of roof;— 1 foot ND
from edge
11 3 of 3 2 Black asphaltic fibrous felt South side of roof;— 1 foot ND
from edge
12 1 of 3 2 Layered black asphaltic fibrous South-east side of roof,— 1 ND
material with granules foot from edge
12 2 of 3 2 Black asphaltic mastic South-east side of roof;— 1 ND
foot from edge
12 3 of 3 2 Black asphaltic fibrous felt South-east side of roof,-- 1 ND
foot from.edge
Functional Area Number; Percent Asbestos-Containing Material(ND—None Detected).
7.0 Limitations
The services described in this report were performed consistent with generally accepted professional
consulting principles and practices and federal, state and local regulations. No other warranty,
expressed or implied, is made. This report is solely for the use and information of our client unless
otherwise noted. Any reliance on this report by a third party is at such party's sole risk.
Opinions and recommendations contained in this report apply to conditions existing when services
were performed and are intended only for the client, purposes, locations, time frames, and project
parameters indicated. We are not responsible for the impacts of any changes in environmental
standards,practices, or regulations subsequent to performance of services.
9
APPENDIX A
ANALYTICAL RESULTS
10
NVL Laboratories Inc. _ a�
4708 Aurora Ave. N.,Seattle,WA 98103 #102063
Tel:206.547.0 Fax;206.634.1936 Bulk Asbestos Fibers Analysis
www.ww.nvllabs_com
By Polarized Light Microscopy
Client: Shaw Environmental Batch #: 2702601.00
Address: 19909 120th Avenue NE, Suite 101 Client Project#: 116777.99999992
Bothell, WA 98011 Date Received: 02/15/2007
Samples Received: 7
Attention: Mr. Pat Moore Samples Analyzed: 7
Project Location: Arlington Municipal Airport Method: EPA/600R-93/116
A.I.R. Building(#49)
Lab ID: 27015183 Client Sample#: 01
Location: Arlington Municipal Airport
Layer 1 of 3 Description: Black asphaltic fibrous material with granules
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder, Mineral grains Glass fibers 15% None Detected ND
Layer 2 of 3 Description: Black asphaltic fibrous felt
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder Cellulose 60% None Detected ND
Layer 3 of 3 Description: Multi-layered black asphaltic material with mineral grains
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder, Mineral grains Glass fibers 15% None Detected ND
Lab ID: 27015184 Client Sample#: 02
Location: Arlington Municipal Airport
Layer 1 of 2 Description: Multi-layered black asphaltic material with mineral grains
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder Glass fibers 10% None Detected ND
Layer 2 of 2 Description: Black asphaltic fibrous felt
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder Cellulose 60% None Detected ND
Lab ID: 27015185 Client Sample#: 03
Location: Arlington Municipal Airport
Layer 1 of 1 Description: Multi-layered black asphaltic material with mineral grains
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder Glass fibers 10% None Detected ND
Lab ID: 27015186 Client Sample#: 04
Location: Arlington Municipal Airport
Sampled by: Client
Analyzed by. Zubair Ahmed Date:02/19/2007
Reviewed by: Nick Ly Date:02/19/2007 Nick Ly,Tec nlca (rector
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/11
-93/116 Method 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 1 of 2
NVL Laboratories, Inc.
4708 Aurora Ave.N.,Seattle,WA 98103 #102063
Tel:206`547.www. Faxwww.nvilabs.com
Bulk Asbestos Fibers Analysis
www.nvllabs,com
By Polarized Light Microscopy
Client: Shaw Environmental Batch #: 2702601.00
Address: 19909 120th Avenue NE, Suite 101 Client Project#: 116777.99999992
Bothell,WA 98011 Date Received: 02/15/2007
Samples Received: 7
Attention: Mr. Pat Moore Samples Analyzed: 7
Project Location: Arlington Municipal Airport Method: EPA/600R-93/116
A.I.R. Building (#49)
Layer 1 of 1 Description: Multi-layered black asphaltic material with mineral grains
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder Glass fibers 10% None Detected ND
Lab ID: 27015187 Client Sample#: 05
Location. Arlington Municipal Airport
Layer 1 of 1 Description: Multi-layered black asphaltic material with mineral grains
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder Glass fibers 10% None Detected ND
Lab ID: 27015188 Client Sample#: 06
Location: Arlington Municipal Airport
Layer 1 of 1 Description: Multi-layered black asphaltic material with mineral grains
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder Glass fibers 10% None Detected ND
Lab ID: 27015189 Client Sample#: 07
Location: Arlington Municipal Airport
Layer 1 of 1 Description: Multi-layered black asphaltic material with mineral grains
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder Glass fibers 10% None Detected ND
el
Sampled by: Client
Analyzed by: Zubair Ahmed Date:02/19/2007 _
Reviewed by: Nick Ly Date:0 211 9/2 0 0 7 Nick Ly, c or
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 600IR
-931116 Method 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 2
NVL Laboratories Inc. ImVn--�'p
4708 Aurora Ave.N.,Seattle,WA 98103 #102063
Te1:206.547.wm. Fbs.com.634.1936 Bulk Asbestos Fibers Analysis
www.nvllabs.com
By Polarized Light Microscopy
Client: Shaw Environmental Batch M 2702602.00
Address: 19909 120th Avenue NE, Suite 101 Client Project#: 116777.99999992
Bothell,WA 98011 Date Received: 02/15/2007
Samples Received: 5
Attention: Mr.Pat Moore Samples Analyzed: 5
Project Location: Arlington Municipal Airport Method. EPA160OR-93/116
Rental House
Lab ID: 27015190 Client Sample M 08
Location: Arlington Municipal Airport
Layer 1 of 4 Description: Layered black asphaltic fibrous material with granules
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder, Granules Cellulose 45% None Detected ND
Layer 2 of 4 Description: Black asphaltic mastic
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder, Mastic/binder None Detected ND None Detected ND
Layer 3 of 4 Description: Black asphaltic fibrous felt
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder Cellulose 75% None Detected ND
Layer 4 of 4 Description: Tan fibrous material
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Fine particles, Asphalt/binder Cellulose 98% None Detected ND
Lab ID:27015191 Client Sample M 09
Location: Arlington Municipal Airport
Layer 1 of 4 Description: Layered black asphaltic fibrous material with granules
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder, Granules Cellulose 45% None Detected ND
Layer 2 of 4 Description: Black asphaltic mastic
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder, Mastic/binder None Detected ND None Detected ND
Layer 3 of 4 Description: Black asphaltic fibrous felt
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder Cellulose 75% None Detected ND
Sampled by: Client
Analyzed by: Nadia Prysyazhnyuk Date:02116/2007
Reviewed by: Nick Ly Date:02/16/2007 Nick L ,
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/R
-93/116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%wl-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 1 of 3
NVL Laboratories, Inc.
4708 Aurora Ave. N.,Seattle,WA 98103 #102063
Tel:206.547.0100,wm.nvllabs.com Fax 34.1936 Bulk Asbestos Fibers Analysis
www. com
By Polarized Light Microscopy
Client: Shaw Environmental Batch #: 2702602.00
Address: 19909 120th Avenue NE, Suite 101 Client Project#: 116777.99999992
Bothell, WA 98011 Date Received: 02/15/2007
Samples Received: 5
Attention: Mr.Pat Moore Samples Analyzed: 5
Project Location: Arlington Municipal Airport Method: EPA/600R-93/116
Rental House
Layer 4 of 4 Description: Tan fibrous material
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Fine particles, Asphalt/binder Cellulose 98% None Detected ND
Lab ID:27015192 Client Sample#: 10
Location: Arlington Municipal Airport
Layer 1 of 3 Description: Layered black asphaltic fibrous material with granules
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder, Granules Cellulose 45% None Detected ND
Layer 2 of 3 Description: Black asphaltic mastic
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder, Mastic/binder None Detected ND None Detected ND
Layer 3 of 3 Description: Black asphaltic fibrous felt
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder Cellulose 75% None Detected ND
Lab ID:27015193 Client Sample#: 11
Location: Arlington Municipal Airport
Layer 1 of 3 Description: Layered black asphaltic fibrous material with granules
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder, Granules Cellulose 45% None Detected ND
Layer 2 of 3 Description: Black asphaltic mastic
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder, Mastic/binder None Detected ND None Detected ND
Layer 3 of 3 Description: Black asphaltic fibrous felt
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder Cellulose 75% None Detected ND
Lab ID:27015194 Client Sample#: 12
Location: Arlington Municipal Airport
Sampled by: Client
Analyzed by: Nadia Prysyazhnyuk Date:02/16/2007
Reviewed by: Nick Ly Date:02/16/2007 Nick Ly,Tec n ca Director
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/R
-931116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40
-W%). 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 U5 Government.
Page 2 of 3
NVL Laboratories, Inc. 7
4708 Aurora Ave.N.,Seattle,WA 98103 #102063
Ye1:206.547.www. Fax.com 34.1936 Bulk Asbestos Fibers Analysis
www.nvllabs.com
By Polarized Light Microscopy
Client: Shaw Environmental Batch M 2702602.00
Address: 19909 120th Avenue NE, Suite 101 Client Project#: 116777.99999992
Bothell, WA 98011 Date Received: 02/15/2007
Samples Received: 5
Attention: Mr.Pat Moore Samples Analyzed: 5
Project Location: Arlington Municipal Airport Method: EPA160OR-93/116
Rental House
Layer 1 of 3 Description: Layered black asphaltic fibrous material with granules
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder, Granules Cellulose 45% None Detected ND
Layer 2 of 3 Description: Black asphaltic mastic
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder, Mastic/binder None Detected ND None Detected ND
Layer 3 of 3 Description: Black asphaltic fibrous felt
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/binder Cellulose 75% None Detected ND
Sampled by: Client
Analyzed by: Nadia Prysyazhnyuk Date:02/1612007 _ l
Reviewed by: Nick Ly Date:02/16/2007 Nic
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/R
-93/116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 59/6=1-9%, 10%=5-15%a, 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 3
NVL Laboratories. Inc. BATCH ID
4708 Aurora Ave N, Seattle, WA 98103 CHAIN of CUSTODY 270260 1 .00
Tel: 206.547.0100 Emerg.Pager:206.344.1878 SAMPLE LOG
Fax:206,634.1936 1.888.NVL.LABS (685.5227) �....,.,,,...m.,,
Client S'r\a� Eill-S NVL Batch Number
Street w-&ObL Client Job Number L l 6�7�. 7 Z,
Total Samples /z
Project Manager c Turn Around Time ❑1-Hr `jSL24-Hrs ❑4 Days
❑2-Hrs ❑2 Days ❑5 Days
Project Location �c �uC� ❑4-Hrs ❑3 Days ❑6 to 10 Days
Please call for TAT less than 24 Hrs
Email address o� crrr,C ? tgs1
Phone: � - V
Fax:
❑Asbestos Air ❑PCM(NIOSH 7400) ❑TEM(NIOSH 7402) ❑TEM(AHERA) ❑TEM (EPA Level II) p Other
sbestos BulkLM (EPA/600/R-93/116) ❑PLM(EPA Point Count) ❑PLM (EPA Gravimetry) ❑TEM Bulk
,,__I --
❑Mold/Fungus ❑Mold Air ❑Mold Bulk ❑Rotometer Calibration
METALS Inst./Det Limi Matrix RCRA Metals F qll g t>t er bite a s
❑TCL Metals ❑FAA(PPm) ❑Air Filter ❑Paint Chips in cm ❑Arsenic (As) ❑Mercury(Hg) i1T 3
❑TCLP ❑ICP rn ❑Drinking water ❑Waste Water ❑ Copper(Cu)(PP ) ❑Barium(Ba) El (Se) PPe (
❑GFAA(ppb) ❑Dust/wipe(Area) ❑Other ❑Cadmium(Cd) ❑Silver(Ag) ❑Nickel(Ni)
❑Soil ❑Chromium(Cr) ❑Zinc(Zn)
❑Paint Chips in% ❑Lead(Pb)
EFE:]Olherfi
pes ❑Fiberglass ❑Nuisance Dust ❑Other(Specify)
f Analysis ❑ Silica ❑Respirable Dust
Condition of Package:O Good ❑Damaged (no spillage) ❑Severe damage(spillage)
Seq.# Lab ID Client Sample Number Comments (e.g Sample area,Sample Volume,etc) A/R
1 � s d O-
4 it
5
6 (o u
7 -- (5-7
8
10
12
13
14
Print Below _ Sign below _ Company Date Time
2-/S
Sampled by
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Received by r' ! e/.v/s � ---� Nl/G M 07 JX9
Analyzed by
Results Called by IV
Results Faxed by L
Special Instructions: Unless requested in writing, all samples will be disposed of two(2) weeks after analysis.
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APPENDIX B
INSPECTOR CERTIFICATION
11
_ 1900 W. Nickerson, Suite 315 n
Seattle, WA 98119
(206) 285-3373 SAFETY•TRAININGINDUSTRIAL HYGIENE n
This certifies that
Patrick T. Moore
has satisfactorily completed
4 hours of refresher training as an
Asbestos Building Inspector
complies with TSCA Title II 140 CFR 763 (AHERA)
wt/attze' Cert. Num: 1025143
instructor Class Date: Jan 24, 2007
EPA Provider Cert. Number: 1085 Expires: Jan 24, 2008
APPENDIX C
INSPECTION PHOTOS
12
Shaw Environmental,Inc.
Photographic Record
Client/Project Site:Arlington Municipal Airport Project Number: 125629
Photographer: Patrick Moore Site Location:Arlington,WA Date: February 15,2007
Sampled Structure:
A.I.R.Building
(Build.#49)
Direction: Looking
northeast
Comments: Metal-
sided construction .
with an asphalt
"three-tab"roof
r:
Suspect ACM
Sampled: r��.�,.fi.�� 3r4�r4,.�; rrb�;. •,Ss;� •Ks r• , RY'�� a �ic��'Afd r, �'''y� ��.K�
Roofing materials.
Sampled Structure:
"Rental House"
Direction: Looking z, �
east
Comments: Wood- }
frame construction
with an asphalt
"three-tab"roof -� Y _
Suspect ACM
Sampled:
Roofing materials.