HomeMy WebLinkAbout7530 204th St Ne_BLD6118_2025
Permit Packet Coversheet
Community and Economic Development
City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551
Page 1 of 1
Permit Number: Permit Type:
Address/Parcel: Completed (Month/Year):
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o Confidential Documents. Contact the
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/Dedications
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Other:
BLD6118 Demolition
7530 204th St Ne December 2024
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CITY OF ARLINGTON
18204 59th Avenue NE, Arlington, WA 98223
INSPECTIONS: 360-403-3417 - Permit Center: 360-403-3551
B UILDING PERM IT
7530 204TH ST NE
Parcel #: 31051400100600
Pe rmit #: 6118
PERMIT EXPIRES 180 DAYS AFTER
DATE OF ISSUANCE.
Scope of Work: Remove existing building, surface lots, utilities, trees on south / west
property line (except large douglas fir) per plans for the new wet rabbit car wash
plans.
Valuation: 38525.00
OWNER APPLICANT CONTRACTOR
CHAFFEE CHARLES T & ELLEN Wet Rabbit Car Wash Saybr Contractors, Inc
7530 204TH ST NE 1219 State Ave 3852 S 66th St
ARLINGTON, WA 98223-8912 Marysville, WA 98270 Tacoma, WA 98409
206-284-8200 253-533-2382
LIC: 601 795 367 EXP: 08/31/2025
LIC: SAYBRCI033L7 EXP: 06/30/2026
MECHANICAL CONTRACTOR PLUMB ING CONTRACTOR
LIC #:EXP:LIC #:EXP:
JOB DESCRIPTION
PERMIT TYPE:DEMOLITION CODE YEAR:2021
STORIES:1 CONST. TYP E:VB
DWELLING UNITS:OCC GROUP :B; Business
BUILDINGS:OCC LOAD:
PERMIT APPROVAL
The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any
other ordinance or order of the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the
Governor of this State. To the extent the issuance or granting of this permit is interpreted to allow construction activity during any
period of time when such construction is prohibited or restricted by any state or federal law, or order, proclamation, guidance advice
or decision of the Governor of this State, this permit shall not authorize such work and shall not be valid. The building official is
authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this jurisdiction or
any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or
decision of the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or
on the basis of incorrect, inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or
federal law, or any order, proclamation, guidance or decision of the Governor.
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK
AUTHORIZED THEREBY; NO P ERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE
STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A P ERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEP UTY AND
ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN
MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110.
SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on
your sales tax return form and coded City of Arlington #3101.
08/22/2024
Applicant Signature Date Building Official Date
CONDITIONS
Adhere to Puget Sound Clean Air Procedures and Guidelines. The existing sewer line shall be cut and capped prior to demolition and
shall be inspected by the wastewater department. Contact the City of Arlington Public Works Department at 360-435-3526 for
notification of demolition for water and wastewater inspections.
The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations. The property
owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment or
community. The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant authorities
before commencing construction. The property owner shall ensure that the construction project complies with all applicable design
review requirements.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS P ERMIT COVERS WORK TO BE DONE ON P RIVATE
PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS,
MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date De s cription Fe e Amount
08/26/2024 Web Only - Demolition $100.00
08/26/2024 Credit Card Service $3.00
08/26/2024 Processing/Technology $25.00
08/26/2024 Inspection $75.00
Total Due :$203.00
Total Payme nt:$203.00
B alance Due :$0.00
CALL FOR INSPECTIONS
Call by 3:30 pm for ne xt day ins pe ction, allow 48 hours for Fire Ins pe ctions
Whe n calling for an ins pe ction ple as e le ave the following information:
Pe rmit Numbe r, Type of Ins pe ction be ing re que s te d, and whe the r you pre fe r morning or afte rnoon
INSPECTION INFORM ATION Pas s /Fail
PO Box 39220 9822 32nd Ave Ct S Lakewood, WA 98499 Phone: 253.588.0440 Fax: 253.588.0198 www.nwabatement.com
Asbestos Survey
“It’s Not What We Do,
It’s How We Do It”
Project:
Asbestos Survey
Previous Medical Office
(Proposed Demolition)
7530 204th St NE,
Arlington, WA 98223
Prepared For:
Wet Rabbit
1219 State Ave,
Marysville, WA 98270
Project Number: SR24-4350
SECTION 1 |Inspection Report
SECTION 2 |Laboratory Results
SECTION 3 |Photographs
SECTION 4 |AHERA Certification
TABLE OF CONTENTS
SECTION 1 |Inspection Report
Northwest Abatement Services, Inc. Inspection Report | 1
AHERA Certified Asbestos Survey / Inspection Report
06-11-2024
Prepared For: Wet Rabbit
Project: Asbestos Survey
Previous Medical Office – (Proposed Demolition)
7530 204th St NE,
Arlington, WA 98223
A. Background
On 06-06-2024 Northwest Abatement Services, Inc. performed an asbestos identification inspection which will serve as our report
for all visible Asbestos Containing Building Materials located on the roof at the address listed above. The purpose of this
inspection was to ascertain the presence of asbestos containing materials located in the structure and provide a report to conform
to WAC 296-62-077, PSCAA Regulation III, Section 4 and 40 CFR 763 requirements for identification of asbestos. This survey also
satisfies regulatory criteria established by OSHA’s Department of Labor and Washington State’s Department of Labor and
Industries for identifying asbestos containing materials associated with the structure for future abatement and demolition. A copy
of this report may be submitted to the appropriate agencies as proof that a survey was performed prior to any renovation or
demolition. A copy of this report should also be given to the contractor and/or be maintained onsite during any abatement and
demolition activities.
B. Sampling Methodology
Suspect materials were sampled by an AHERA (Asbestos Hazard Emergency Response Act) accredited inspector. Sample locations
for this survey were chosen in a non-random fashion, with emphasis being placed on obtaining samples of each type of accessible,
suspect material, while minimizing damage to the material being sampled. Samples were collected by carefully removing small
portions of the suspect material in a non-abrasive manner. If possible, samples were collected from existing damaged areas.
Friable materials are materials which can be crushed, pulverized, or reduced to powder by hand pressure. These materials were
wetted with amended water prior to sampling to protect the inspector from potential exposure or accidental fiber release. PPE
(personal protective clothing) will only be utilized at the inspector’s discretion. A particular suspect material may be located in
various separate places throughout the structure.
The EPA does not require that these materials be sampled in each location. Suspect materials of the same type, age, appearance
have the same date of installation, and are sampled in accordance with AHERA requirements, must provide statistically reliable
data which can be extrapolated on all remaining non sampled areas.
AHERA Protocol determines the number of samples of each material to be collected, depending on it’s category and amount of
material present. The goal of AHERA is to ensure statistically reliable data and it accomplishes this by requiring or suggesting a
minimum number of samples to be collected, and in some cases, by using random sampling techniques to determine sampling
locations. However, in every case, AHERA relies on the judgment of the inspectors who are experienced in AHERA methodology
and the type of facilities being inspected. (see appendix A at end of the report)
After identifying the suspect materials, bulk samples were collected and taken to an asbestos laboratory to be analyzed for the
amount of asbestos and, the type of asbestos, if any. The asbestos samples were analyzed using Polarized Light Microscopy
(PLM), stain dispersion staining techniques in accordance with the EPA Method 600/R-93/166, which has a reliable limit of
quantification of one percent asbestos by volume.
Northwest Abatement Services, Inc. Inspection Report | 2
C. AHERA Certified Inspector Information
The Certified AHERA Inspector was Paul Peters.
Certification #: BI/R-NES-10-20-23-03, Expiration 10-20-2024
D. Survey Findings
There was a total of thirty-nine suspect asbestos containing building materials (bulk samples), removed from the structure listed
above, for lab analysis. Based on the field inspection, homogenization of materials, and the results of the lab analysis, Zero of
the thirty-nine samples tested Positive for Asbestos:
Sample Number Material Asbestos Content Quantity
Northwest Abatement Services, Inc. Inspection Report | 3
E. Building Description
The commercial structure is located at – 7530 204th St NE, Arlington, WA 98223
The commercial structure has description of – Finished walls, acoustic tile ceilings, luxury vinyl plank, vinyl sheet and vinyl
composition tile flooring throughout.
Note: All suspect ACM finishes were sampled and tested according to AHERA Protocol. (See appendix A)
The suspect ACM (asbestos containing materials) sampled for analysis are as follows:
Sample Number Material Location
1 Wallboard Front Entry Waiting Room
1A Joint Compound Front Entry Waiting Room
1B Texture Front Entry Waiting Room
2 Wallboard Waiting Room Cove
2A Joint Compound Waiting Room Cove
2B Texture Waiting Room Cove
3 Wallboard Front Right Office
3A Joint Compound Front Right Office
3B Texture Front Right Office
4 Wallboard Rear Entry
4A Joint Compound Rear Entry
4B Texture Rear Entry
5 Wallboard Rear Middle Office
5A Joint Compound Rear Middle Office
5B Texture Rear Middle Office
6 Wallboard Left Middle Office
6A Joint Compound Left Middle Office
6B Texture Left Middle Office
7 Wallboard Center Office
7A Joint Compound Center Office
7B Texture Center Office
8 Vinyl Sheet Rear Entry
8A Mastic Rear Entry
9 Luxury Vinyl Plank Rear Entry
10 Vinyl Sheet Rear Right Bathroom
10A Mastic Rear Right Bathroom
11 Mastic, Cove Base Rear Middle Office
12 Vinyl Sheet Rear Middle Office
12A Mastic Rear Middle Office
13 Mastic, Cove Base Left Side Hall
14 Vinyl Sheet Front Left Bathroom
14A Mastic Front Left Bathroom
15 Vinyl Sheet Front Utility Room
15A Mastic Front Utility Room
16 Ceiling Tile Waiting Room
17 Asphalt Shingle South Roof Shingle
18 Roof Core Central Roof
Northwest Abatement Services, Inc. Inspection Report | 4
19 Roof Core South Roof
20 Roof Core North Roof
Northwest Abatement Services, Inc. Inspection Report | 5
F. Conclusion
Laboratory results did not show any asbestos in the samples tested. No abatement is required unless
discovery of suspect materials. Prior to any demolition or renovation, all friable and non-friable asbestos containing
materials (ACM) are to be removed and disposed of in accordance with applicable Federal, State and Local regulations. If there is
any asbestos containing materials left on site, that will not be disturbed during the renovation or demolition process, an Asbestos
Operational and Maintenance Program (OM) is to be developed and implemented to monitor the remaining ACM.
In the event any suspect materials are detected during the demolition of this structure, you will need to cease all demolition
activities and have these materials sampled for Asbestos.
The Puget Sound Clean Air Authority requires that all materials that contain 1% or more Asbestos, that these materials be
removed by a licensed and Certified Asbestos removal contractor, prior to any demolition or renovation.
The abatement contractor should provide the Owner with copies of all required notifications to PSCAA and the Department of Labor
and Industries.
A certification letter will need to be obtained from the abatement contractor prior to applying for a demolition permit with PSCAA.
PSCAA will also want to see a copy of the asbestos survey.
Although extreme thoroughness and expertise were exercised to ensure the completeness of this survey, existing conditions may
have prevented the discovery of other suspect asbestos containing material. NW Abatement Services, Inc. is not responsible for
materials that may be hidden from sight and cannot be discovered with reasonable diligence. Any suspect material not covered in
this survey that is encountered during the renovation or demolition procedure should be verified by analysis prior to disturbance.
This report has been prepared for the sole use of our client and its representatives for this project only. The analyses, conclusions
and recommendations presented in this report are based upon conditions encountered at the time of our survey only. The scope
of services performed during this survey may not be appropriate for the needs of others. Re-use of this document or the findings,
conclusions or recommendations presented herein, are at the sole risk of said user. NW Abatement Services, Inc. cannot be held
responsible for the interpretation by others of the data contained in this report.
The conclusions presented in this report were based on the results of sample analysis presented by a subcontracted, third party,
analytical laboratory. Northwest Abatement Services, Inc. is not responsible for variations in analytical results or inaccuracies
resulting from laboratory analysis.
This survey is not intended for use as abatement plans and/or specifications. Northwest Abatement Services, Inc. recommends
that professional plans and specifications be prepared for all large-scale projects.
No warranty, expressed or implied, is made.
If you have any questions regarding this asbestos survey/inspection report, please contact us at (253) 588-0440, or FAX: (253)
588-0198.
Respectfully submitted,
Paul Peters
Paul Peters
Certified AHERA Inspector
NORTHWEST ABATEMENT SERVICES, INC.
Northwest Abatement Services, Inc. Inspection Report | 6
Appendix A
The following AHERA protocol was used in determining the number of suspect samples to collect:
Surfacing materials:
1) Homogeneous area equal to or less than 1000 SF (minimum 3 samples).
2) Homogeneous area greater than 1000 SF but less than 5000 SF. (5 samples)
3) Homogeneous area greater than 5000 SF. (7 samples)
Thermal Systems Insulation (TSI):
1) Homogeneous area (1 per each type of suspect materials).
Miscellaneous materials:
1) Homogeneous area (1 per each type of suspect materials)
Suspect Materials are divided into 3 categories:
1) Surfacing materials – ACM sprayed or troweled on surfaces (walls, ceilings, and structural members) for acoustical,
decorative, thermal insulation or fireproofing purposes. Examples include plaster, popcorn textured ceilings, skim coat
textures, and structural fireproofing.
2) Thermal System Insulation – Insulation used to inhibit heat transfer or prevent condensation on pipes, boilers, tanks,
ducts, and various other components of hot and cold water systems, and heating, ventilation, and air conditioning (HVAC)
systems. Examples include pipe lagging, pipe wrap; block, batt, and blanket insulation; cement and “muds” and a variety of
other products such as gaskets and ropes.
3) Miscellaneous Materials – Materials not classified under surfacing materials or thermal systems insulation. Examples
include: floor tile, ceiling tile, roofing felts, concrete piping, outdoor siding and fabrics, glazing putty, wall board and
associated assembly component, various mastics, etc. such as floor tile mastics, wall board mastics, ceiling tile mastics etc.
SECTION 2 |Laboratory Results
SanAir ID#: 24031598
Project #: SR24-4350
Project Name: 7530 204th St NE, Arlington
Report Date: 6/10/2024
Analysis Report
prepared for
Northwest Abatement Services, Inc.
Page 1 of 11
Dear Paul Peters,
We at SanAir would like to thank you for the work you recently submitted. The 39 sample(s) were received on Friday,
June 07, 2024 via UPS. The final report(s) is enclosed for the following sample(s): 1, 1A, 1B, 2, 2A, 2B, 3, 3A, 3B, 4,
4A, 4B, 5, 5A, 5B, 6, 6A, 6B, 7, 7A, 7B, 8, 8A, 9, 10, 10A, 11, 12, 12A, 13, 14, 14A, 15, 15A, 16, 17, 18, 19, 20.
These results only pertain to this job and should not be used in the interpretation of any other job. This report is only
complete in its entirety. Refer to the listing below of the pages included in a complete final report.
Sincerely,
Sandra Sobrino
Asbestos & Materials Laboratory Manager
SanAir Technologies Laboratory
Final Report Includes:
- Cover Letter
- Analysis Pages
- Disclaimers and Additional Information
Sample conditions:
- 39 samples in Good condition.
10501 Trade Ct., N. Chesterfield, VA 23236 | 804.897.1177 | Fax: 804.897.0070 | www.SanAir.com | IAQ@SanAir.com
SR24-4350Project Number:
SR24-4350P.O. Number:
Project Name:7530 204th St NE, Arlington
6/6/2024Collected Date:
6/7/2024 10:00:00 AMReceived Date:
6/10/2024 12:20:12 PM
24031598
SanAir ID Number
FINAL REPORT
Northwest Abatement Services, Inc.Name:
Address:P.O. Box 39220
Lakewood, WA 98496
253-588-0440Phone:
Page 2 of 11
Analyst: Pisula, Nicholas
Asbestos Bulk PLM EPA 600/R-93/116
Stereoscopic Components
SanAir ID / Description Appearance % Fibrous % Non-fibrous Asbestos Fibers
1 / 24031598-001
Wallboard/Front Entry Waiting
Room
Grey
Non-Fibrous
Homogeneous
5% Cellulose 95% Other None Detected
1A / 24031598-002
Joint Compound/Front Entry
Waiting Room
White
Non-Fibrous
Homogeneous
100% Other None Detected
1B / 24031598-003
Texture/Front Entry Waiting Room
White
Non-Fibrous
Homogeneous
100% Other None Detected
2 / 24031598-004
Wallboard/Waiting Area Cove
Grey
Non-Fibrous
Homogeneous
5% Cellulose 95% Other None Detected
2A / 24031598-005
Joint Compound/Waiting Area
Cove
White
Non-Fibrous
Homogeneous
100% Other None Detected
2B / 24031598-006
Texture/Waiting Area Cove
White
Non-Fibrous
Homogeneous
100% Other None Detected
3 / 24031598-007
Wallboard/Front Right Office
Grey
Non-Fibrous
Homogeneous
5% Cellulose 95% Other None Detected
3A / 24031598-008
Joint Compound/Front Right
Office
White
Non-Fibrous
Homogeneous
100% Other None Detected
3B / 24031598-009
Texture/Front Right Office
White
Non-Fibrous
Homogeneous
100% Other None Detected
4 / 24031598-010
Wallboard/Rear Entry
Grey
Non-Fibrous
Homogeneous
5% Cellulose 95% Other None Detected
Analyst:
Analysis Date:6/10/2024 Date:6/10/2024
Approved Signatory:
SR24-4350Project Number:
SR24-4350P.O. Number:
Project Name:7530 204th St NE, Arlington
6/6/2024Collected Date:
6/7/2024 10:00:00 AMReceived Date:
6/10/2024 12:20:12 PM
24031598
SanAir ID Number
FINAL REPORT
Northwest Abatement Services, Inc.Name:
Address:P.O. Box 39220
Lakewood, WA 98496
253-588-0440Phone:
Page 3 of 11
Analyst: Pisula, Nicholas
Asbestos Bulk PLM EPA 600/R-93/116
Stereoscopic Components
SanAir ID / Description Appearance % Fibrous % Non-fibrous Asbestos Fibers
4A / 24031598-011
Joint Compound/Rear Entry
White
Non-Fibrous
Homogeneous
100% Other None Detected
4B / 24031598-012
Texture/Rear Entry
White
Non-Fibrous
Homogeneous
100% Other None Detected
5 / 24031598-013
Wallboard/Rear Middle Office
Grey
Non-Fibrous
Homogeneous
5% Cellulose 95% Other None Detected
5A / 24031598-014
Joint Compound/Rear Middle
Office
White
Non-Fibrous
Homogeneous
100% Other None Detected
5B / 24031598-015
Texture/Rear Middle Office
White
Non-Fibrous
Homogeneous
100% Other None Detected
6 / 24031598-016
Wallboard/Left Middle Office
Grey
Non-Fibrous
Homogeneous
5% Cellulose 95% Other None Detected
6A / 24031598-017
Joint Compound/Left Middle
Office
White
Non-Fibrous
Homogeneous
100% Other None Detected
6B / 24031598-018
Texture/Left Middle Office
White
Non-Fibrous
Homogeneous
100% Other None Detected
7 / 24031598-019
Wallboard/Center Office
Grey
Non-Fibrous
Homogeneous
5% Cellulose 95% Other None Detected
7A / 24031598-020
Joint Compound/Center Office
White
Non-Fibrous
Homogeneous
100% Other None Detected
Analyst:
Analysis Date:6/10/2024 Date:6/10/2024
Approved Signatory:
10501 Trade Ct., N. Chesterfield, VA 23236 | 804.897.1177 | Fax: 804.897.0070 | www.SanAir.com | IAQ@SanAir.com
SR24-4350Project Number:
SR24-4350P.O. Number:
Project Name:7530 204th St NE, Arlington
6/6/2024Collected Date:
6/7/2024 10:00:00 AMReceived Date:
6/10/2024 12:20:12 PM
24031598
SanAir ID Number
FINAL REPORT
Northwest Abatement Services, Inc.Name:
Address:P.O. Box 39220
Lakewood, WA 98496
253-588-0440Phone:
Page 4 of 11
Analyst: Pisula, Nicholas
Asbestos Bulk PLM EPA 600/R-93/116
Stereoscopic Components
SanAir ID / Description Appearance % Fibrous % Non-fibrous Asbestos Fibers
7B / 24031598-021
Texture/Center Office
White
Non-Fibrous
Homogeneous
100% Other None Detected
8 / 24031598-022
Vinyl Sheet/Rear Entry
Grey
Non-Fibrous
Homogeneous
100% Other None Detected
8A / 24031598-023
Mastic/Rear Entry
Tan
Non-Fibrous
Homogeneous
100% Other None Detected
9 / 24031598-024
LVP/Rear Entry
Grey
Non-Fibrous
Homogeneous
100% Other None Detected
10 / 24031598-025
Vinyl Sheet/Rear Right Bathroom
Grey
Non-Fibrous
Homogeneous
100% Other None Detected
10A / 24031598-026
Mastic/Rear Right Bathroom
Tan
Non-Fibrous
Homogeneous
100% Other None Detected
11 / 24031598-027
Mastic, Cove Base/Rear Middle
Office
Tan
Non-Fibrous
Homogeneous
100% Other None Detected
12 / 24031598-028
Vinyl Sheet/Rear Middle Office
Tan
Non-Fibrous
Homogeneous
100% Other None Detected
12A / 24031598-029
Mastic/Rear Middle Office
Tan
Non-Fibrous
Homogeneous
100% Other None Detected
13 / 24031598-030
Mastic, Cove Base/Left Side Hall
Tan
Non-Fibrous
Homogeneous
100% Other None Detected
Analyst:
Analysis Date:6/10/2024 Date:6/10/2024
Approved Signatory:
10501 Trade Ct., N. Chesterfield, VA 23236 | 804.897.1177 | Fax: 804.897.0070 | www.SanAir.com | IAQ@SanAir.com
SR24-4350Project Number:
SR24-4350P.O. Number:
Project Name:7530 204th St NE, Arlington
6/6/2024Collected Date:
6/7/2024 10:00:00 AMReceived Date:
6/10/2024 12:20:12 PM
24031598
SanAir ID Number
FINAL REPORT
Northwest Abatement Services, Inc.Name:
Address:P.O. Box 39220
Lakewood, WA 98496
253-588-0440Phone:
Page 5 of 11
Analyst: Pisula, Nicholas
Asbestos Bulk PLM EPA 600/R-93/116
Stereoscopic Components
SanAir ID / Description Appearance % Fibrous % Non-fibrous Asbestos Fibers
14 / 24031598-031
Vinyl Sheet/Front Left Bathroom
Grey
Non-Fibrous
Homogeneous
100% Other None Detected
14A / 24031598-032
Mastic/Front Left Bathroom
Tan
Non-Fibrous
Homogeneous
100% Other None Detected
15 / 24031598-033
Vinyl Sheet/Front Utility Room
Beige
Non-Fibrous
Homogeneous
100% Other None Detected
15A / 24031598-034
Mastic/Front Utility Room
Tan
Non-Fibrous
Homogeneous
100% Other None Detected
16 / 24031598-035
Ceiling Tile/Waiting Room
White
Fibrous
Homogeneous
60% Cellulose
30% Min. Wool
10% Other None Detected
17 / 24031598-036
Asphalt Shingle/South Roof,
Shingle
Brown
Non-Fibrous
Heterogeneous
100% Other None Detected
17 / 24031598-036
Asphalt Shingle/South Roof,
Shingle
Black
Non-Fibrous
Heterogeneous
100% Other None Detected
17 / 24031598-036
Asphalt Shingle/South Roof,
Shingle
Brown
Non-Fibrous
Heterogeneous
100% Other None Detected
17 / 24031598-036
Asphalt Shingle/South Roof, Tar
Paper
Black
Fibrous
Homogeneous
60% Cellulose 40% Other None Detected
18 / 24031598-037
Roof Core/Central Roof, Coating
Silver
Non-Fibrous
Homogeneous
100% Other None Detected
Analyst:
Analysis Date:6/10/2024 Date:6/10/2024
Approved Signatory:
10501 Trade Ct., N. Chesterfield, VA 23236 | 804.897.1177 | Fax: 804.897.0070 | www.SanAir.com | IAQ@SanAir.com
SR24-4350Project Number:
SR24-4350P.O. Number:
Project Name:7530 204th St NE, Arlington
6/6/2024Collected Date:
6/7/2024 10:00:00 AMReceived Date:
6/10/2024 12:20:12 PM
24031598
SanAir ID Number
FINAL REPORT
Northwest Abatement Services, Inc.Name:
Address:P.O. Box 39220
Lakewood, WA 98496
253-588-0440Phone:
Page 6 of 11
Analyst: Pisula, Nicholas
Asbestos Bulk PLM EPA 600/R-93/116
Stereoscopic Components
SanAir ID / Description Appearance % Fibrous % Non-fibrous Asbestos Fibers
18 / 24031598-037
Roof Core/Central Roof, Tar
Black
Non-Fibrous
Homogeneous
100% Other None Detected
18 / 24031598-037
Roof Core/Central Roof, Felt
Black
Non-Fibrous
Homogeneous
20% Glass 80% Other None Detected
18 / 24031598-037
Roof Core/Central Roof, Tar
Black
Non-Fibrous
Homogeneous
100% Other None Detected
18 / 24031598-037
Roof Core/Central Roof, Felt
Black
Non-Fibrous
Homogeneous
20% Glass 80% Other None Detected
18 / 24031598-037
Roof Core/Central Roof, Tar
Black
Non-Fibrous
Homogeneous
100% Other None Detected
19 / 24031598-038
Roof Core/South Roof, Coating
Silver
Non-Fibrous
Homogeneous
100% Other None Detected
19 / 24031598-038
Roof Core/South Roof, Tar
Black
Non-Fibrous
Homogeneous
100% Other None Detected
19 / 24031598-038
Roof Core/South Roof, Felt
Black
Non-Fibrous
Homogeneous
20% Glass 80% Other None Detected
19 / 24031598-038
Roof Core/South Roof, Tar
Black
Non-Fibrous
Homogeneous
100% Other None Detected
19 / 24031598-038
Roof Core/South Roof, Felt
Black
Non-Fibrous
Homogeneous
20% Glass 80% Other None Detected
Analyst:
Analysis Date:6/10/2024 Date:6/10/2024
Approved Signatory:
10501 Trade Ct., N. Chesterfield, VA 23236 | 804.897.1177 | Fax: 804.897.0070 | www.SanAir.com | IAQ@SanAir.com
SR24-4350Project Number:
SR24-4350P.O. Number:
Project Name:7530 204th St NE, Arlington
6/6/2024Collected Date:
6/7/2024 10:00:00 AMReceived Date:
6/10/2024 12:20:12 PM
24031598
SanAir ID Number
FINAL REPORT
Northwest Abatement Services, Inc.Name:
Address:P.O. Box 39220
Lakewood, WA 98496
253-588-0440Phone:
Page 7 of 11
Analyst: Pisula, Nicholas
Asbestos Bulk PLM EPA 600/R-93/116
Stereoscopic Components
SanAir ID / Description Appearance % Fibrous % Non-fibrous Asbestos Fibers
19 / 24031598-038
Roof Core/South Roof, Tar
Black
Non-Fibrous
Homogeneous
100% Other None Detected
20 / 24031598-039
Roof Core/North Roof, Coating
Silver
Non-Fibrous
Homogeneous
100% Other None Detected
20 / 24031598-039
Roof Core/North Roof, Tar
Black
Non-Fibrous
Homogeneous
100% Other None Detected
20 / 24031598-039
Roof Core/North Roof, Felt
Black
Non-Fibrous
Homogeneous
20% Glass 80% Other None Detected
20 / 24031598-039
Roof Core/North Roof, Tar
Black
Non-Fibrous
Homogeneous
100% Other None Detected
20 / 24031598-039
Roof Core/North Roof, Felt
Black
Non-Fibrous
Homogeneous
20% Glass 80% Other None Detected
20 / 24031598-039
Roof Core/North Roof, Tar
Black
Non-Fibrous
Homogeneous
100% Other None Detected
Analyst:
Analysis Date:6/10/2024 Date:6/10/2024
Approved Signatory:
10501 Trade Ct., N. Chesterfield, VA 23236 | 804.897.1177 | Fax: 804.897.0070 | www.SanAir.com | IAQ@SanAir.com
SR24-4350Project Number:
SR24-4350P.O. Number:
Project Name:7530 204th St NE, Arlington
6/6/2024Collected Date:
6/7/2024 10:00:00 AMReceived Date:
6/10/2024 12:20:12 PM
24031598
SanAir ID Number
FINAL REPORT
Northwest Abatement Services, Inc.Name:
Address:P.O. Box 39220
Lakewood, WA 98496
253-588-0440Phone:
Page 8 of 11
Disclaimer
This report is the sole property of the client named on the SanAir Technologies Laboratory chain-
of-custody (COC). Results in the report are confidential information intended only for the use by
the customer listed on the COC. Neither results nor reports will be discussed with or released to
any third party without our client's written permission. The final report shall not be reproduced
except in full without written approval of the laboratory to assure that parts of the report are not
taken out of context. This report and any information contained within shall not be edited, altered,
or modified in any way by any persons or agencies receiving, viewing, distributing, or otherwise
possessing a copy of this final report. The laboratory reserves the right to perform amendments to
any finalized report, of which shall supersede and make obsolete any previous editions. Such
changes, modifications, additions, or deletions shall be effective immediately upon notice thereof,
which may be given by means including but not limited to posting on the SanAir client portal
website, electronic or conventional mail, or by any other means. The information provided in this
report applies only to the samples submitted and is relevant only for the date, time, and location of
sampling. The accuracy of the results is dependent upon the client’s sampling procedure and
information provided to the laboratory by the client on the COC. SanAir assumes no responsibility
for the sampling procedure and will provide evaluation reports based solely on the sample(s) in
the condition in which they arrived at the laboratory and information provided by the client on the
COC, such as: project number, project name, collection dates, po number, special instructions,
samples collected by, sample numbers, sample identifications, sample type, selected analysis
type, flow rate, total volume or area, and start stop times that may affect the validity of the results
in this report. Samples were received in good condition unless otherwise noted on the report.
SanAir assumes no responsibility or liability for the manner in which the results are used or
interpreted. This report does not constitute nor shall not be used by the client to claim product,
process, system, or person certification, approval, or endorsement by NVLAP, NIST, NELAC,
AIHA LAP, LLC or any other U.S. governmental agencies and may not be accredited by every
local, state, and federal regulatory agencies. Samples are held for a period of 60 days. Fibers
smaller than 5 microns cannot be seen with this method due to scope limitations. For NY state
samples, method EPA 600/M4-82-020 is performed.
NYELAP Disclaimer:
Polarized- light microscopy is not consistently reliable in detecting asbestos in floor covering and
similar non-friable organically bound materials. Quantitative transmission electron microscopy is
currently the only method that can be used to determine if this material can be considered or
treated as non-asbestos containing.
Asbestos Accreditations
National Voluntary Laboratory Accreditation Program (NVLAP) Lab Code 200870-0
City of Philadelphia Department of Public Health Air Management Services, Certification#ALL-460
Commonwealth of Pennsylvania Department of Environmental Protection Number 68-05397
California State Environmental Laboratory Accreditation Program Certificate Number 2915
Colorado Department of Public Health and Environment Registration Number AL-23143
Connecticut Department of Public Health Environmental Laboratory Registration Number PH-0105
Massachusetts Department of Labor Standards Asbestos Analytical Services License Number:
AA000222
State of Maine Department of Environmental Protection License Number: LB-0075, LA-0084
New York State Department of Health Laboratory ID: 11983
State of Rhode Island Department of Health Certification No.: PCM00126, PLM00126, TEM00126
Texas Department of State Health Services License Number: 300440
Commonwealth of Virginia Department of Professional and Occupational Regulation Number:
3333000323
State of Washington Department of Ecology Laboratory ID: C989
State of West Virginia Bureau for Public Health Analytical Laboratory Number: LT000616
Vermont Department of Health License Number: Asb-Co-An-000006
Louisiana Department of Environmental Quality AI Number 212253, Certificate #05088
Revision Date: 4/18/2023 Page 9 of 11
Page 10 of 11
Page 11 of 11
SECTION 3 |Photographs
SURVEY PHOTOS
7530 204th St NE, Arlington, WA 98223
SURVEY PHOTOS
7530 204th St NE, Arlington, WA 98223
SURVEY PHOTOS
7530 204th St NE, Arlington, WA 98223
SURVEY PHOTOS
7530 204th St NE, Arlington, WA 98223
SECTION 4 |AHERA Certification