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HomeMy WebLinkAbout18930 66TH AVE NE_014480_2026 N � � ZJ o W Q = C13 a o 0 J � Z Y c 1 W c�`S c c c a 0 0 c� �n n- O 3 ai N ❑ O ❑ ❑ ❑ ( ) :3 .. LU O JU o r o ErW N W o Z , w c O ¢ p Z c U Z M c a� Z ` cm ❑ ❑ LU m ° w �, 0 0 V E .0z Li4- H a� d CO 'c� t 0 y co Z_ N d li 0 (n U' CC 0 0 +. c ' ❑ ❑ ❑ ❑ ❑ ❑ 0 3 � o E z a. a 0 0 0 0 ,E LL N� CL 0 IV Z —iz S a � _ Q o 0 coo Ln ` F" °o o o z U v a� 0 rnr -0 c co 0) cd Q � c o o Q) °o c £ • ❑ ❑ ❑ ❑ A C ❑ ❑ ❑ ❑ ❑ ❑ ❑ C I T Y O F' A R L I N G T O N CONSTRUCTION P E R M I T P E R M I T N O_ = 0 1 —4 4 A 0 Owner: THOMAS, CONSTRUCTION 303 N OLYMPIC ARLINGTON 98223 Value of Mork: $5, 800.00 Tax ID. 153105-4-012-0009 Phone: 360-435-2110 Describe Work: DEMOLITION OF SFR Proposed Use: Legal Description: Job Address: 18930 66TH AVE HE Contractor's Name Type Address License# THOMAS CONSTRUCTION GEN 19010 59TH DR. HE THOMACC22422 TOTALS Fee Permit Fee $100.00 SIGNATUR , TOTAL FEE. ...... .... .... .. $100.06 I HEREBY RTIF HAVE READ > AND EXAMINED THIS LICATION AND PAYMENTS.. .... ... . .. . .....$9.9 KN THE SAME TO TRUE AND COR- RE LL PROVISIONS OF LAWS AND TOTAL DUE... . ... .... ...... $100.00 OR D N NCES VERN G TH S TYPE OF WOR ILL B OMP ED W TH WHETHER SPE I IED"H• N DATE RECEIPT # f7 AAA ev (....,. 1 BU NG 0 C A V M 1.1 1 01 y -3 I L-O." r L"I f '1:7,) I Vk NIOT 9-$ I ,, qW.;- 10 r dig;- !A,If)w to 'stulav 4t- ;,wu-rttjbA d,jL jqIT e* -xojzps;IJ110", 0.�l 114- •k:F! 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Lucus Building Inspection 2219 Lakewood Road Arlington,WA 98223 (800) 248-10411 INVOICE ICBO Member/Inspector 0864001 Certified Construction Inspector CCI3515 Structural Pest Inspector License 451723 AHERA Certified Building Inspector Invoice No: 1680 992828 Date: 2/16/01 TO: Thomco Construction 303 Olympic Avenue Arlington, WA 98223 SERVICE AMOUNT Asbestos Inspection of 18930—6 Avenue NE, Arlington,WA $150.00 30 samples @ $25 per sample 750.00 Total D—u—eT $900.00 Make all checks payable to: Lucus Building Inspection. If you have any questions,please call (360) 653-1199 or 1 (800) 248-1041 RECEIVED 0-0 FEB 15 2001 k'- V"D T601VIC0 CONSTRUCTION, INC,. Gv� i I f Agency Case No, PUGFT SOUND AIR POLLtMON CON-' ') P ii2 L AGENCY Date Received �. 110 Union$ ueera Suite 500.Seatde,WA . .01-2038 NOTICE OF INTENT Agency Use only TO PERFORM: A. Pro Agency Use Only ect e: 1. Asbestos Removal 2. Asbestos Removal&Demolition 3. Demolifion No Asbestos Removal i' B. Property _ Owner: Property Owners Mailing Address: State: r C. Asbestos frEAsr rR!lvret eNerr rJJrs wrri se rorJrt JrrJrJJw wruNc weL Contractor Contractor: tf Owner/CEO: Mailin Address: Contractor Phone: Job No.: Cit : State: -zip: Fax: PD. Site ess: 1 CT .. G �' ��/ Cit : '/J ��anager orState:erson: �� /7�7/7/0 il9:S Phone:(3�a) C/ E, Asbestos Survey or No.of rvey was Was Asbestos Found? Yes Mat'I presumed; S>zuctt>Iras: ���IS�v ted: 0,5101 ❑ If No,Attac)z Survey AH)ABuilding ✓� / �r00JECa Dat4uaonInspector Name: ( /7/,- Il�t Certification No.: p / F. Demolition No.of Start Training Fire(List Fire D L2formation. Structures: / Dart: opt.as demolition eotttsaetorbclow) _ ❑ Ordered Demolition(attach co Of Order Demolition tR11-7HAMElldt9 LOT"nWIdrCAWPLESS/MBCor.JOMaAGC Jf77trUX MpVjWZVM F7ICSDETr.MUg Contraetor: Phone.{ ) pe G. Asbestos Project No.of Structures: Start Compledon Wk.Days: M-T W Th F Sa Su Wormation: sex.back if> I Date: Date: Hour: 'EDJ a„ Will all asbestos material be Yes Total Quan6ry to be Removed: Linear Ft. Square Fc J6 C 0 removed b ro ect tom lotion? O Thermal System Insulation: Boiler&F ynace Ins- Duct Ins_ Pipe Ins_ ther: 5urfacin Mat'I: fiire root3n Paints Plaster Textured Coatings tamer . Ise.Mstt'l: Cement Bd. Cesnenr pipe Flooring Mat'1 Roofipg Mari Other: H- Asbestos/Demalition Project Categories: _ Motification Waiting PerioT:7-st 1 ❑ Owner-Occu,Pied, Single-Family Residence Asbestos Removal Project Prior NoticeS ❑ Si le-Psmil Residence Demolition Project . 2. All Other Demolitions With No Asbestos Rtmovwl pro-cct 10 Dn s50 3. 10-2591inear feet or 49- 159 square feet 'see back of form for o uons 3 Days 4. 260-9991inear fee[or 160-4,999 square C feet 150 I0 Days S300 S. 1 00 I-9.999 linear feet or 5.000—49,999 uue feet 10 Days 5750 6. 10.000-49.999 linear feu or 50,000-99.999 square feet 10 Days _ 52,000 7_ Sump-99.999 linear feet or 100,000- 1g9.999 s uaia feet 10 Days 8. I00,000+linter foot or 130,000+square foci SS.� IO Days 510,000 Ether enc Asbestos Projector nc Demolition Project Prior Notice Twice Project Fee 10. Alternate Means of Com Iiancc for friable materials or Demolitions 10-Da Review Perim Twice Project Fu 11. Alternate Means of Compliance for nonfriablc asbestos mateials Concurrent aztti Pe'd Twice Proiecc Fee L I do hueby certify dial sew infonna don contained in this notification.and supplemental data dceceined hfteia.is to dke best of my C0-plearr c Review imowledp'Am"and Complete. I shall not cmue or allow any ashertgs ptC M or demolition aetivities to be uaal the apptopciate ps Waitioa period hm dapaed ►IonriedJ9y_ Sisnaiutn; Regasantiog DsDa 1 encti Ure Only PSAPCA Form No.66.160(Revised at)AM H • Joe 1r1 T _ -- — •,� "w1l MiKNCY 1 Date Received 'Puget Sound Air PolluUon Control Agency (PSAPCA) is the local air potauuot, wu„,), ,U, -_, - ,itsap Counties. PSAPCA's Rea on III, Article 4, requires advance notificat. be submitted to PSAPCA, on Agency- approved form no.66-160 (Revised 10/96),for any asbestos project involving materials equal to or greater in size than 10 linear feet or.49 square feet and for any demolition project, regardless of asbestos content, involving structures with a projected roof area greater than 120 square feet. Nodcts of Intent should be mailed or hand delivered to PSAPCA (address on reverse side) with the appropriate.projecE fee. A PSAPCA representative will review the notification, and if it is completed correctly a copy will be returned by mail within 3 to 5 days to the trailing address entered in box C and box J. The returned copy will be your valid notification. As estos and de olit n orojccu involving materials and structures below the notification thresholds listedabove are still subject to all other reoulrernenr_ off APCA gulatigp III Article4. J .Demolition cr a ILO Coutractor: ner/tE0:Mailiatg Address: ne_{ ) Conaactoes lobCit : State: Zi : GUIDELINES FOR SUBMITTING A NOTICE OF INTENT Enter all applicable Inforr'nation accurately and completely. Incomplete Notices of lntgnt will be raturned, Box A. Check the appropriate project type. Box B. Enter the legal property owner information Box C. Enter the asbestos contractor information, or "not applicable" (N/A) for demolition projects when no asbestos- containing materials are present. For an Owner Occupied, Single-Family Residence asbestos removal project (project category HI), list the asbestos removal contractor or property owner doing the asbestos removal (include property owner's mailing address). Box D. 'Enter the asbestos removal or demolition site address.' For an Owner-Occupied, Single-Family Residence asbestos removal project(project category H3)where the property owner's mauling address differs from the site address listed In Box D,a letter must accompany the Notice of Intent verifAug that the structure.located at the site address is currently being used as the property owner's domicile. Multiple asbestos/demolition projects involving more than one structure (project category H2 through H8):must be submitted in accordance with PSAPCA Regulation I, Section 4.03(a)(7).. BOX E. Enter the asbestos survey information or check material presumed(for asbestos projects only). An AHER.A building inspector must conduct an asbestos survey prior to any demolition project (,e., the wrecking, razing, leveling, dismantling or burning of a structure,making the structure permanently uninhabitable or unusable). Box F. Enter the demolition project information. If the Structure is to be used in a training fire, list the fire department responsible for conducting the buraj as the demolition contractor in Box J. If the property owner has been ordered to perform a demolition by a govemtneait official,submit a copy of the order from the appropriate official. Box G. Enter all asbestos project information or'enter "N/A"for demolition projects with no asbestos removal required All multiple structure asbestos projects(project category H10 and H11)must be submitted witlt___ a worv_lan, ma of s t res compWe site ad es s tvoe and amount O_f a bestos material ro h rnmnvr p��-��-u- work schedule .,� d frort�eLach structure ,gjjAbestos su�yev and Box H. Check one project category in boxes 1 through 8. The project fee includes the demolition fee. Asbestos removal projects and demolitions with an asbestos removal involving less than 10 linear feet or 4g square feet may be filed sas project category 3. An emergency asbestos project or demolition may be requested by checking the appropriate job size category in boxes 2 through 9 and then checking the applicable emergency box in category 9. Emergency asbestos project notifications must be submitted with a letter from the property owner explaining the necessity for the emergency. Emergency demolition notifications must be submitted with a.letter from an authorized government official or a licensed stru documenting that the structure is,its imminent danger of collapse. To request an alternative means of compliance ctural engineer for friable or nonfriable materials, check the appropriate job size category in addition to the applicable box in categories 10 and I. A work plan must be.submitted by an appropriately[rained individual along with the notification. Box I. Sign the notification certifying the accuracy and completeness of the infonnatiou'provided on the form' Box J• Enter demolition contractor mailing information (on back). an orr amendment..q are required for changes chat increase the project type, job sits category, the types of asbestos materials to be removed and work schedule changes. No fee is required for work schedule changes if the contractor is participadog in the Agency work schedule fax program. A$50.00 processing fee is required for all other amendments_ For technical assistance, contact Tom Hudson at (206) 689-4058, Larry Vaughn (206) 689-4035 or Kwarne*Agyei (206) 689- 4034. For inquiries concerning notification and amendmnnr status contact Anne Morgan at(206)689-4090. PSAPCA Form Ira.: 66-100(Revised Q98)ACM ;� . , I A. A. Servic s Inc. PROPOSAL 20404 - 69th Avenue' F P.O. Box 3278 Arlington, WA 9822, DATE PH(360) 435-6682 FAX (360) 435-7246 2/20/01 NAME/ADDRESS RECEIVED Thomco Construction MAR 13 2001 307 N. Olympic Ave., Ste. 210 Arlington, WA 98223 CITY OF ARLINGTON TERMS PROJECT NAME JOBSITE ADDRESS Net 30 66th Ave. 18930 -66th Ave,Arlington DESCRIPTION CITY RATE TOTAL Asbestos Abatement Services for the removal and 1 14,082.00 14,082.00T' dipsosal of approx. 1,355 sf VAT& mastic, 2,000 sf popcorn ceiling, 2,300 sf sheetrock&tape, 1 sf roof chimney caulk and 10 sf shower surround per survey by Lucas Building Inspection dated 2/15/01. 3101 -Arlington Sales Tax 8.20% 1,154.72 RECEIVF—D DEB 2 2 2001 (huwwil uu,y5[RUCTION INCo CONDITIONS: Power and water to be provided by others. All furnishings,fixtures and misc,items shall be removed from our work area by others. AAS makes no representation pertaining to the asbestos content of materials to be abated.All work to be performed by Certified Asbestos Workers,strictly following all local,state and federal regulations. This proposal includes abatement permits,disposal fees and required air sampling. A late charge of 1 1/.2% per month will be charged on all past due accounts plus collection and/or Attorney's Fees. Washington State Contractor's License#AASIN**021P3 Asbestos Abatement Certification#1247 Our proposal is good for 60 days. Please sign below and return to our office upon acceptance. TOTAL � $15,236.72 ACCEPTANCE -SIGNATURE -- . ! i i Z IC� o0 0 0 I i >- C- Z Z Z Z Ij} � 0 04 Cl) LO T T T v T T T T T T T O _ O O O_ _ p N O _ O N N N N N N j i O O O O O O 0 i I O O O O O O 0 C� 0 0 C) 0 � F- Q O LL d U) d (n fn L o o F- L H � ~ (14 N � TLL � U- NLL TLL (OIL Thy U >- Z Z Z Z Z z 1 f I I w U- Y UoW � �O — E- QLLL�LtfU � LLJclZ0 ZJ wVwZZwwwwa wLu� � 5o : U > = L = LUW mL ww �ww LL W2 - 002 - c a0a } 0 — Fcna o F d- 0 LL 1W � 0UmwQOmm < wzmw02CDDD u) oOn0U LL LL a I o 0 O V 0 X O o � W ~ Fn H QU_ QV_ LLZ ZJ 2 O J 5 ZU) } V U � � m � U >> 2 > < _m � m m _m _m m 2 N M_ LO ti N N 04 N N 04 j 0 a Q z 0 wo woo wo O wo wo w � wo Z } -T >- Ln z } N z } N } N } N >- N ti V v U � LO LO � CIO r r r T r r r r r r (1 N r O Orr Orr Orr OrT Orr O Tr Or ON N N r r N NrLc� r E 1 I I I I I� c I WNN _ < w < 0 0 0 0 0 0 0 o w IUO o 0 I U w 0 0 O O O O O 0 w 0 O O O o o O O > O O 0 0 o O O O O O 0 000 C) 6 0 0 0 0 0 0 0 0 U a a d X ' �- Q F- Cl ° c p Cl) LL Q LL Q Q CO Q Q Q O 0 00 CD U) CO U) aQ U � OF- OQOF- � OH LOF- OF- OF- OF- OH LL N U) CM LL V r LL r LL V LL r LL f,- LL I,- U- a) I Li C� } I} } z z z I} } >. } >- I } 7 ~ cn co 0 co � Z co � C!) � (jaw W c0 a WaU a a0a0aoa cp >- cnm (n co Om } = W = W � = z = w = w = w = wW � aUQC7 � U' LU 0 W L- O IxF- UH _UO I- J _ f- F- H F- w a � � zaz Uaz U cm E O F- = LLWLLUO = -i -� _ _ = F- -i _ � — F- - = F- - = _ U a) a — DF- � F- MF- OOU m � a .� � mJF- LLCO F- LL 00 � Z0 ►�L0LLW00 w oaoaoao -J � CLaF- aWCLW0LLCLW0LL J = Q wwoz0wa cW ; U cnmcnmcnmcnUY � 2cn2U � UmO � UmO a a a z a a a la CD U U DUw mY Y Y Y Y o Ow 0wz � OwQ wzo O O O O wR' F- � O (9LLamUw BCD w (� wC� W � wF=- U J } � } F- � Mw F- F-wZ F- M cc = w = w0Lu ? Z ? a �� = = a = a = a = a U) F- W F- a U > a > W F- W F- U)IL I I E _m my U) U) cn U) c a a a a a a a E a a a m U _ m CO CV ON N N N N N O 0 `p N N N N N N N CO Z Z >- N Z Z � ,-w o w o , �LO - LO L o 0 0 0 0 0 0 0 0 0 N N Cl. N :v N C N O O O O O O O 0 0 0 0 0 0 0 d Q U I U) CO d U) 0 - off CD off off OH off N LL N LL v LL N U- LL m LL S LL m Z Z } Z Z Z Z O O W Z Z U Z 0J 0J Z 3Q Z F- U- ¢ F- _ ¢_ _ ¢_ w = w w w0 ww U U U AIL J U U) H F- Um Z O ZO Oct LL0 -jQ � Q Y U)02Y UW 31. 0U w Z a w � ° YQwz > > H0V00 ¢ 0U0 Z � WQ? oHQZ VULLWLL J w H J UJ W -j Q w Q w m m w m ¢ Z Z Z U` LLU ¢ m >- w IN2 » > U) U) _Cl) Q Q Q Q U) Q Q 0 0 0 0 0 0 0 (Y) C) M M (Y) C7 CM 0 I A on O W O 00 0 3 U = T W N O L N 0 C (n N = IA E M a +' E � N CD Un N r\� N 60j Q Y M `00� rj �p M N U w m o a O o c - > 0 = � ' t,+ cro Q I C) °u Uo _ N C t W M N C OL N 00 c c fOtn C o s (V o_ C a) N c 0 C 3 c M U u QQ in M 8 o g a N O U Tel: 206.547.0100 NVL Laboratories, Inc. Fax: 206.634.1936 4708 Aurora Ave.N.,Seattle,WA 98103 NVLAP Bulk Asbestos Fiber Analysis #102063 Client: Lucus Building Inspection NVL Batch Number: 21-01019.00 Address: 2219 Lakewood Road �v Client Project#:xxxx Arlington,WA 98223 �✓ Number of samples:30 Attn.: Mr.Chuck Lucus Project: 18930-66th Ave. NE., Arlington, WA MAR 1 a NO' Lab ID#: 21021135 Client Sample #: 206A CITy OV pRI-INGTON Samp a Location: 18930-66th Ave.NE.,Arlington,WA 0 ( -qq Va Description: LAYER 1: Black fibrous asphaltic material,LAYER 2: Black asphaltic material with granules OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: LAYER 1:Cellulose 65% LAYER 1:Binder&filler,Asphalt/binder LAYER 2: Cellulose 3%, Glass fibers 20% LAYER 2:Binder&filler,Sand/binder ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND Lab ID#: 21021136 Client Sample #: 207A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: LAYER 1: Black mastic,LAYER 2: Black asphaltic material with granules OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: LAYER 1:Cellulose 3% LAYER 1: Mastic/binder LAYER 2: Cellulose 2%, Glass fibers 25% LAYER 2:Asphalt/binder,Sand/binder ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND Lab ID#: 21021137 Client Sample #: 208A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: Black fibrous asphaltic material OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: Cellulose 65% Binder&filler,Asphalt/binder ASBESTOS TYPE: PERCENT *None Detected ND (Sample results are continued on the next page.) Sampled by: Client Analyzed by: Wei Long Tai Date: 02/08/2001 Reviewed by: Nick Ly Date: 02/08/2001 N' echnic for Note: If samples are not homogeneous,then subsamples of the components were analyzed separately. All samples are analyzed using EPA 600/R-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 samples were 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 U.S.Government. Page 1 • u Tel: 206.547.0100 NVL Laboratories, Inc. Fax: 206.634.1936 4708 Aurora Ave.N.,Seattle,WA 98103 NVLAP Bulk Asbestos Fiber Analysis #102063 Client: Lucus Building Inspection NVL Batch Number: 21-01019.00 Address: 2219 Lakewood Road Client Project#:xxxx Arlington,WA 98223 Number of samples:30 Attn.: Mr.Chuck Lucus Project: 18930-66th Ave. NE., Arlington, WA Lab ID#: 21021138 Client Sample #: 209A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: Black fibrous asphaltic material OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: Cellulose 65% Binder&filler,Asphalt/binder ASBESTOS TYPE: PERCENT *None Detected ND Lab ID#: 21021139 Client Sample #: 210A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: Black asphaltic material with granules OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: Cellulose 3%,Glass fibers 20% Asphalt/binder,Sand/binder ASBESTOS TYPE: PERCENT *None Detected ND Lab ID#: 21021140 Client Sample #: 211A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: Black asphaltic material with granules OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: Cellulose 3%,Glass fibers 20% Asphalt/binder,Sand/binder ASBESTOS TYPE: PERCENT *None Detected ND (Sample results are continued on the next page.) 01 Sampled by: Client Analyzed by: Wei Long Tai Date: 02/08/2001 Reviewed by: Nick Ly Date: 02/08/2001 1 Technic ctor Note: If samples are not homogeneous,then subsamples of the components were analyzed separately. All bu samples are analyzed using EPA 600/R-93/116 Method with the following measurement uncertainties for the reported%Asbestos(1%=>0-3%,5%=>1-90%,10%=5-15%,20%=10-30%, 50%=40-60%). 'Ibis report relates only to the items tested. If samples were 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 U.S.Government. Page 2 Y Tel: 206.547.0100 NVL Laboratories, Inc. Fax: 206.634.1936 4708 Aurora Ave.N.,Seattle,WA 98103 NVLAP Bulk Asbestos Fiber Analysis #102063 Client: Lucus Building Inspection NVL Batch Number: 21-01019.00 Address: 2219 Lakewood Road Client Project#:xxxx Arlington,WA 98223 Number of samples:30 Attn.: Mr.Chuck Lucus Project: 18930-66th Ave. NE., Arlington, WA Lab ID#: 21021141 Client Sample #: 212A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: Black asphaltic material OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: Cellulose 7% Asphalt/binder ASBESTOS TYPE: PERCENT Chrysotile 2% Lab ID#: 21021142 Client Sample #: 213A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: Black asphaltic material OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: Cellulose 7%,Synthetic fiber 15% Asphalt/binder,Granules ASBESTOS TYPE: PERCENT *None Detected ND Lab ID#: 21021143 Client Sample #: 214A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: Black asphaltic material OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: Cellulose 7%,Synthetic fiber 15% Asphalt/binder,Granules ASBESTOS TYPE: PERCENT *None Detected ND (Sample results are continued on the next page.) Sampled by: Client Analyzed by: Wei Long Tai Date: 02/08/2001 Reviewed by: Nick Ly Date: 02/08/2001 N' ec is i or Note: If samples are not homogeneous,then subsampies 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%=>1-9%,10%=5-15-Y0,20%=10-301/0, 50°/a=40-60%). This report relates only to the items tested. If samples were 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 U.S.Government. Page 3 Tel: 206.547.0100 NVL Laboratories, Inc. Fax: 206.634.1936 4708 Aurora Ave.N.,Seattle,WA 98103 NVLAP Bulk Asbestos Fiber Analysis #102063 Client: Lucus Building Inspection NVL Batch Number: 21-01019.00 Address: 2219 Lakewood Road Client Project#:xxxx Arlington,WA 98223 Number of samples:30 Attn.: Mr.Chuck Lucus Project: 18930-66th Ave. NE., Arlington,WA Lab ID#: 21021144 Client Sample #: 215A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: Black asphaltic material with paint OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: Cellulose 20% Asphalt/binder,Paint ASBESTOS TYPE: PERCENT *None Detected ND Lab ID#: 21021145 Client Sample #: 216A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: LAYER 1: Brown vinyl tile,LAYER 2:Yellow mastic,LAYER 3:Tan fibrous material OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: LAYER 1:Cellulose 2% LAYER 1: Vinyl/binder,Granules LAYER 2:Cellulose 3% LAYER 2: Mastic/binder LAYER 3:Cellulose 80% LAYER 3: Binder&filler ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND LAYER 3: *None Detected ND Lab ID#: 21021146 Client Sample #: 217A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: LAYER 1:Tan vinyl tile,LAYER 2: Black fibrous asphaltic material OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: LAYER 1:Cellulose 3% LAYER 1: Vinyl/binder LAYER 2:Cellulose 65% LAYER 2:Asphalt/binder,Binder&filler ASBESTOS TYPE: PERCENT (Sample results are continued on the next page.) Sampled by: Client Analyzed by: Wei Long Tai Date: 02/08/2001 Reviewed by: Nick Ly Date: 02/08/2001 echn' ctor 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°k,51/6=>1-9%,10%=5-15%,20%=10-30%, 50%--40-60'Y0). This report relates only to the items tested. If samples were 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 U.S.Government. Page 4 �r � Tel: 206.547.0100 NVL Laboratories, Inc. Fax: 206.634.1936 4708 Aurora Ave.N.,Seattle,WA 98103 NVLAP Bulk Asbestos Fiber Analysis #102063 Client: Lucus Building Inspection NVL Batch Number: 21-01019.00 Address: 2219 Lakewood Road Client Project#:xxxx Arlington,WA 98223 Number of samples:30 Attn.: Mr.Chuck Lucus Project: 18930-66th Ave. NE., Arlington,WA LAYER 1: Chrysotile 5% LAYER 2: *None Detected ND Lab ID#: 21021147 Client Sample #: 218A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: White chalky material with paper and paint OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: Cellulose 25% Binder&filler,Gypsum/binder,Paint ASBESTOS TYPE: PERCENT *None Detected ND Lab ID#: 21021148 Client Sample #: 219A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: White chalky material with paper and paint OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: Cellulose 25% Binder&filler,Gypsum/binder,Paint ASBESTOS TYPE: PERCENT *None Detected ND Lab ID#: 21021149 Client Sample #: 220A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: White lumpy foamy material OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: Cellulose 3% Binder&filler,Synthetic foam ASBESTOS TYPE: PERCENT Chrysotile 4% (Sample results are continued on the next page.) Sampled by: Client Analyzed by: Wei Long Tai Date: 02/08/2001 Reviewed by: Nick Ly Date: 02/08/2001 echn'� cb r 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(I%=>0-30/6,5%=>1-9%,100/6=5-15%20%=10-300/o, 500/*=40-60%). This report relates only to the items tested. If samples were 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 U.S.Government. Page 5 Tel: 206.547.0100 NVL Laboratories, Inc. Fax: 206.634.1936 4708 Aurora Ave.N.,Seattle,WA 98103 NVLAP Bulk Asbestos Fiber Analysis #102063 Client: Lucus Building Inspection NVL Batch Number:21-01019.00 Address: 2219 Lakewood Road Client Project#:xxxx Arlington,WA 98223 Number of samples:30 Attn.: Mr.Chuck Lucus Project: 18930-66th Ave. NE., Arlington,WA Lab ID#: 21021150 Client Sample #: 221A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: LAYER 1:Off-white sheet vinyl,LAYER 2:Gray fibrous material with yellow mastic OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: LAYER 1:*None Detected LAYER 1: Vinyl/binder LAYER 2: Cellulose 25% LAYER 2:Binder&filler,Mastic/binder ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: Chrysotile 50% Lab ID#: 21021151 Client Sample #: 222A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: LAYER 1:White flat rubbery material,LAYER 2:Brown mastic OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS:. LAYER 1:Cellulose 1% LAYER 1:Rubber/binder,Paint LAYER 2:Cellulose 3% LAYER 2: Mastic/binder ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND Lab ID#: 21021152 Client Sample #: 223A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: LAYER 1:White hard brittle material,LAYER 2:Yellow mastic OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: LAYER 1:*None Detected LAYER 1:Binder&filler LAYER 2:Cellulose 4% LAYER 2: Mastic/binder ASBESTOS TYPE: PERCENT (Sample results are continued on the next page.) Sampled by: Client Analyzed by: Wei Long Tai Date: 02/08/2001 Reviewed by: Nick Ly Date: 02/08/2001 a tc rector Note: If samples are not homogeneous,then subsamples of the components were analyzed separately. All bu samples are analyzed using EPA 600/R-93/116 Method with the following measurement uncertainties for the reported%Asbestos(1%=>0-3%,5%=>1-9%,10%=5-150/o,200/o=10-30%, 50%=40-60%). This report relates only to the items tested. If samples were 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 U.S.Government. Page 6 c Tel: 206.547.0100 NVL Laboratories, Inc. Fax: 206.634.1936 4708 Aurora Ave.N.,Seattle,WA 98103 NVLAP Bulk Asbestos Fiber Analysis #102063 Client: Lucus Building Inspection NVL Batch Number:21-01019.00 Address: 2219 Lakewood Road Client Project#:xxxx Arlington,WA 98223 Number of samples:30 Attn.: Mr.Chuck Lucus Project: 18930-66th Ave. NE., Arlington, WA LAYER 1: *None Detected ND LAYER 2: Chrysotile 2% Lab ID#: 21021153 Client Sample #: 224A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: White chalky material with paper and paint OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: Cellulose 25% Binder&filler,Gypsum/binder,Paint ASBESTOS TYPE: PERCENT *None Detected ND Lab ID #: 21021154 Client Sample #: 225A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: LAYER 1:Off-white powdery material with paint,LAYER 2:White chalky material with paper OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: LAYER 1:Cellulose 3% LAYER 1:Binder&filler,Paint LAYER 2:Cellulose 25% LAYER 2:Binder&filler,Gypsum/binder ASBESTOS TYPE: PERCENT LAYER 1: Chrysotile 2% LAYER 2: *None Detected ND Sample comments: Composite result for whole sample equals<1%Asbestos (Sample results are continued on the next page.) Sampled by: Client Analyzed by: Wei Long Tai Date: 02/08/2001 Reviewed by: Nick Ly Date: 02/08/2001 ec ctor Note: If samples are not homogeneous,then subsamples of the components were analyzed separately. A samples are analyzed using EPA 600/R-93/116 Method with the following measurement uncertainties for the reported%u Asbestos(I%=>0-30/.,5%=>1-9%,10%=5-15%,20%=10-30%, 50%=40-60%). This report relates only to the items tested. If samples were 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 U.S.Government. Page 7 Tel: 206.547.0100 NVL Laboratories, Inc. Fax: 206.634.1936 4708 Aurora Ave.N.,Seattle,WA 98103 NVLAP Bulk Asbestos Fiber Analysis #102063 Client: Lucus Building Inspection NVL Batch Number: 21-01019.00 Address: 2219 Lakewood Road Client Project#:xxxx Arlington,WA 98223 Number of samples:30 Attn.: Mr.Chuck Lucus Project: 18930-66th Ave. NE., Arlington,WA Lab ID#: 21021155 Client Sample #: 300A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: LAYER 1:White powdery material with paint,LAYER 2:White chalky material with paper OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: LAYER 1:Cellulose 3% LAYER 1:Binder&filler,Paint LAYER 2:Cellulose 25% LAYER 2:Binder&filler,Gypsum/binder ASBESTOS TYPE: PERCENT LAYER 1: Chrysotile 2% LAYER 2: *None Detected ND Sample comments: Composite result for whole sample equals<1%Asbestos Lab ID#: 21021156 Client Sample #: 301A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: LAYER 1:Blue vinyl material,LAYER 2: Black fibrous asphaltic material with mastic OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: LAYER 1:Cellulose 20% LAYER 1: Vinyl/binder LAYER 2: Cellulose 65% LAYER 2:Binder&filler,Asphalt/binder, Mastic/binder ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND (Sample results are continued on the next page.) Sampled by: Client Analyzed by: Wei Long Tai Date: 02/08/2001 Reviewed by: Nick Ly Date: 02/08/2001 N' ec ica or -00 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%=>0-30/6,5%=>1-99/6,10%=5-159'0,20%=10-30%, 50%=40-60%). This report relates only to the items tested. If samples were 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 U.S.Government. Page 8 Tel: 206.547.0100 NVL Laboratories, Inc. Fax: 206.634.1936 4708 Aurora Ave.N.,Seattle,WA 98103 NVLAP Bulk Asbestos Fiber Analysis #102063 Client: Lucus Building Inspection NVL Batch Number: 21-01019.00 Address: 2219 Lakewood Road Client Project#:xxxx Arlington,WA 98223 Number of samples:30 Attn.: Mr.Chuck Lucus Project: 18930-66th Ave. NE., Arlington, WA Lab ID#: 21021157 Client Sample #: 302A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: LAYER 1:Yellow mastic,LAYER 2: Black soft material OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: LAYER 1:Cellulose 3% LAYER 1: Mastic/binder LAYER 2:Cellulose 1% LAYER 2:Binder&filler,Synthetic foam ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND Lab ID#: 21021158 Client Sample #: 303A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: LAYER 1:Tan powdery material with paint,LAYER 2:White chalky material with paper OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: LAYER 1:Cellulose 4% LAYER 1:Binder&filler,Paint LAYER 2:Cellulose 25% LAYER 2:Binder&filler,Gypsum/binder ASBESTOS TYPE: PERCENT LAYER 1: Chrysotile 2% LAYER 2: *None Detected ND Sample comments: Composite result for whole sample equals<1%Asbestos Lab ID#: 21021159 Client Sample #: 304A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: Gray fibrous material with white coating OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: Cellulose 65% Binder&filler ASBESTOS TYPE: PERCENT (Sample results are continued on the next page.) Sampled by: Client Analyzed by: Wei Long Tai Date: 02/08/2001 Reviewed by: Nick Ly Date: 02/08/2001 ec is ctor Note: If samples are not homogeneous,then subsamples of the components were analyzed separately. Al bulk samples are analyzed using EPA 600/R-93/116 Method with the following measurement uncertainties for the reported%Asbestos(1%=>0-3%,5%=>1-9%,10%=5-15q°,20%=10-30%, 50%=40-601/6). This report relates only to the items tested. If samples were 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 U.S.Government. Page 9 Tel: 206.547.0100 NVL Laboratories, Inc. Fax: 206.634.1936 4708 Aurora Ave.N.,Seattle,WA 98103 NVLAP Bulk Asbestos Fiber Analysis #102063 Client: Lucus Building Inspection NVL Batch Number:21-01019.00 Address: 2219 Lakewood Road Client Project#:xxxx Arlington,WA 98223 Number of samples:30 Attn.: Mr.Chuck Lucus Project: 18930-66th Ave. NE., Arlington,WA *None Detected ND Lab ID#: 21021160 Client Sample #: 305A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: Tan fibrous material with paint OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: Cellulose 80% Binder&filler,Paint ASBESTOS TYPE: PERCENT *None Detected ND Lab ID#: 21021161 Client Sample #: 306A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: LAYER 1: Black vinyl tile,LAYER 2: Black mastic OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: LAYER 1:Cellulose 2% LAYER 1: Vinyl/binder LAYER 2:Cellulose 4% LAYER 2: Mastic/binder ASBESTOS TYPE: PERCENT LAYER 1: Chrysotile 3% LAYER 2: *None Detected ND Lab ID#: 21021162 Client Sample #: 307A Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: LAYER 1:Black vinyl tile,LAYER 2:Black mastic OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: LAYER 1:Cellulose 2% LAYER 1: Vinyl/binder LAYER 2:Cellulose 4% LAYER 2: Mastic/binder ASBESTOS TYPE: PERCENT LAYER 1: Chrysotile 3% (Sample results are continued on the next page.) Sampled by: Client Analyzed by: Wei Long Tai Date: 02/08/2001 Reviewed by: Nick Ly Date: 02/08/2001 ec nic Note: If samples are not homogeneous,then subsamples of the components were analyzed separately. samples are analyzed using EPA 600/R-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 samples were 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 U.S.Government. Page 10 • a Tel: 206.547.0100 NVL Laboratories, Inc. Fax: 206.634.1936 4708 Aurora Ave.N.,Seattle,WA 98103 NVLAP Bulk Asbestos Fiber Analysis #102063 Client: Lucus Building Inspection NVL Batch Number: 21-01019.00 Address: 2219 Lakewood Road Client Project#:xxxx Arlington,WA 98223 Number of samples:30 Attn.: N1r.Chuck Lucus Project: 18930-66th Ave. NE., Arlington,WA (Lab ID#:21021162 Client Sample#:307A results continued from previous page) LAYER 2: *None Detected ND Lab ID#: 21021163 Client Sample #: 300B Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: LAYER 1:Off-white powdery material with paint,LAYER 2:White chalky material with paper OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: LAYER 1:Cellulose 4% LAYER 1:Binder&filler,Paint LAYER 2:Cellulose 25% LAYER 2:Binder&filler,Gypsum/binder ASBESTOS TYPE: PERCENT LAYER 1: Chrysotile 2% LAYER 2: *None Detected ND Sample comments: Composite result for whole sample equals<1%Asbestos Lab ID#: 21021164 Client Sample #: 300C Sample Location: 18930-66th Ave.NE.,Arlington,WA Description: LAYER 1:Off-white powdery material with paint,LAYER 2:White chalky material with paper OTHER FIBROUS MATERIALS: NON-FIBROUS MATERIALS: LAYER 1:Cellulose 4% LAYER 1:Binder&filler,Paint LAYER 2: Cellulose 25% LAYER 2:Binder&filler,Gypsum/binder ASBESTOS TYPE: PERCENT LAYER 1: Chrysotile 2% LAYER 2: *None Detected ND Sample comments: Composite result for whole sample equals<1%Asbestos Sampled by: Client Analyzed by: Wei Long Tai Date: 02/08/2001 Reviewed by: Nick Ly Date: 02/08/2001 Nick Note: If samples are not homogeneous,then subsamples of the components were analyzed separately. W1178101 camp es are analyzed using EPA 600/R-93/116 Method with the following measurement uncertainties for the reported%Asbestos(1%=>0-30/6,5%=A-90/6,10%=5-15%,20%=10-30%, 50%=40-60%). This report relates only to the items tested. If samples were 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 U.S.Government. Page 11 RECEIVED 'a City of Arlington Building Dept PUBLIC WORKS CHECKLIST MAR 14 2001 � I PERMIT # � � .M �'�"'I �U DATE � 3 113101 LEGAL • Plat Lot Tax ID# NAME ' . 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F > O in O < C rs F V y , Cvu L) �3 z 3i Z �ac = Y m W N A < z ? j 3 r - p O L < z < tp a < c _ < J 7 - V O SMOatlV N33M139 S3NIl T1V 3131dWOO •-