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19023 47TH AVE NE_035324_2026
C I TY QF AFZL I MC3-rU 1 CC3NST RUCT I UN PE FtM I T PE F?M I T NO_ _ 103-5324 owner: CITY OF ARLINGTON 238 N. OLYMPIC ARLINGTON 98223 Value of Work: $75, 000. 00 Tax ID: 153105-4-012-009 Phone: 435-5785 Describe Work: REMOVE ALL BLDGS, CONCRETE & ASPHALT Proposed Use: Legal Description: Job Address: 19023 47TH AVE Contractor's Mane Type Address License# CORNERSTONE GEN TOTALS Fee Permit Fee 5100. 00 State fee $4. 50 SIGNATURE: TOTAL FEE. . . . . . . . . . . . . . . . . $104. 50 I EBY CERTIFY THAT I HAVE READ (KOW AMINED THIS APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 HE SAME TO BE TRUE AND COR- T LL PROVISIONS OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $104. 50 INANCCS jyE NG T IS TYPE OF K ILL IED ITH WHETHER CIIED [ R rui DATE RECEIPT #k /� - 1 r "u -rc m I ._.1st " ---A" Y'T I :, -1- I M SS .A Ca N O I `1-:3 U Sa -r Ea"C)Z) +� SFZ E:14 c _CJM -F' I M" :c4 C:&C-ae MOTOMIJRA OI9MYJCI .M &✓ St M0TDWIJRA 0 YTIO :z-qnwO 26 C.-20J; :s+no(i9 E'N61- Jd P 2NIE t :4I xr.'T am .ON& 'C�i? :A70W 3o sulav TJAHgE!A 3 3T3RJACIJ .20GJH .JJA 3VOM3R :A-ioW sdi-mssa :sEsU b9sogo7q nolJgiqus-qa is3psj :3VA HTVP CSOCil :sse-=bbA duT Igan'331A aagTbbA sgyT "Mam s'-ro.tu6.11noJ K 30 SHI URAOJ 9gR 2JATOT Nm .&rj 1 'ay9 1IM 799 QP- s.t2 :2HUTANaIa !3AJH 3VAh I TAHT Y9ITA30 Yd3R3H 1 Se .JPAIii . . . . . . . . . . . . . . . . .33-4 JATOT J14A MCIITAJIJ99A 2IHT a3HIMAX3 GMA :103 AMA :iUAT 38 CIT :3MA2 3HT wCaM}i as .Be- . . . . . . . . . . . . . . . . . .27'N3MYA9 (]MA 2WAJ O 2HO12IVORq JJA T;J3R =ICI :39YT ti IHT JMI95MV00 -:3:714AHI!JHQ se .kwie . . . . . . . . . . . . . . . . .3ua JATOT Yi:J}J fliHw H'i'Tw a3IJ'3MOJ ,3Ei J.I1W )iAflw .Tum RAJ 413A3}! 133I'qI33, 2 i1 'J'4Ia'0;3R JTA(J Transfer In: 001.322.10.00 $200.00 001.345.83.00 $9.00 Signature: ` David Anderson I Transfer Out: $209.00 Signature: Dale Carmen Reference Building Permit Number#03-5338, 03-5324 1� OEB-20-2003 11:00AM FRM-PREZANT r ZIATES 2062019022 T-769 P.001 F-064 ?LeG ex\j eD —S Fie Gt' Prezant Associates, In 330 tie'Avenue North , Suite 10200 Seattle,WA 981019 Voice 20&281.8858 x 1 Fur Coe's Direct 206.269.8304 �. P Fax 206.281.8922 s-mail-chalgh@prem http://`tw w.prount.wr al To: Piper Roelen Fax#: (425)486-9766 Phone 9: (425)485-5000 From: Chuck Haigh Date: 02/20/2003 10:48 AM Re: Arlington[_umber Mill Pam: 21 Q tk9elt x For Review Q Please Commit ❑Pima Reply 0 Pam Recycle This fax rnessaga in for the sole use of the Intended recipients)and may contain coMiMntial and privileged Information.Any unauthorb*d review,use,disclosure of distribution is prohibited.If you are not the intended recipient,please contact the sender by reply fax and destroy all copies of the original message. A hard copy of this report Is being mailed to you today. Please feel free W call with any questions. plank you, I I - ;w : ice Is s., r ti ■ 1 •1 M-d- -orrW p; .91, L 4 nn -- :A--- « mid - G . . No tit K, I Im .WAI • M ■ • - _� ■ •: I. � - L n it _ 1 FEB-20-2003 11:07AM FROM-PREZANT 1 ,CIATES 2002810922 T-709 P.002/010 F-004 February 20,2003 Mr.Piper Roelen Shaw Environmental, Inc. 1990912CP Ave NE suite 101 Bothell,WA 98011 Re: Asbestos Survey Report for Coastal Fiber Lumberyard located at 19023 471'Ave NE In Arlington,WA Dear Mr.Roelen: Prezant Associates, Inc.(Prezant)is pleased to present this survey reports for suspect asbestos-containing building materials conducted at Coastal Fiber lumberyard located at 10023 47"'Ave NE in Arlington, WA We appreciate the opportunity to have been of service to you. If you have any questions regarding report, please feel free to contact Chuck Haigh or myself at(206)281-8868. Sincerely, Gam ✓w Loc Van Tran Prezant Associates, Inc. Enclosures:(4) Asbestos Survey Report Laboratory Results Field Notes Certifications Asbestos Survey Report Coastal Fiber Lumberyard Page 1 of 5 I I - ' W:;,f 114 r- ■ +0 In I lima r: ■ m n leg g / r- pi■ 11 ■ � i ■ A- 1 FES-20-2003 11:07AM FROM-PREZANT i__XIATES 2062810022 T-769 P.003/010 F-004 Section 1 - Introduction On February 13, 2003 Loc Van Tran of Prezant Associates, Inc.conducted an inspection for suspected asbestos-containing building materials at Coastal Fiber Lumberyard located at 19023 47`ti Ave NE in Arlington, WA. Mr.Tran is a Environmental Protection Agency(EPA)Accredited Building Inspectors. Accessible areas were visited and samples were taken of building metwilails suspected to contain asbestos(vinyl floor tles,gypsum wallboard, etc.).The samples were analyzed for the presence of asbestos,as applicable. In addition,the quantities of asbestos- containing materials were estimated. Please see Table 2 for an inventory of sampled building materials.Sample locations are Indicated on attached site drawings. Section 2 - Executive Summary Asbestos Please we Table 1 for a summary of asbestos containing building materials found at Coastal Fiber Lumberyard located at 19023 470 Ave NE in Arlington, WA. Please see Table 2 for an inventory of sampled building materials. TABLE 9-Summary of Asbestos-Containing Building Materials Found at Coastal Fiber Lumberyard located at 19023 47"'Ave NE In-Arlington,WA 'Mateiia)s; �^ a ;)_pc tlorr. sbest6s.' ?.*Frlabil w•' ll s'ti-mEjfi'atea)•`. .Estimate �:r'� `Q i Ibmovai,Crist Silver coating Mobile#1 roof S%Chrysotile Friable depending 1100 square feet $3.300.00 on metal roof on method of removal Foam material Debris pile#2 (Layer 1)foam Friable 13 square feet $60,00 with black material:No asphaltic asbestos covering detected (Layer 2)black asphaltic covering:7% Chrysotile Total Estimate: S 3,350.00 The total removal estimate of asbestos-containing materials Identified in building area at Coastal Fiber Lumberyard located at 19023 47"Ave NE in Arlington, WA is$3.360.00. The estimated casts do not include:consultant services,sales tax,or any other additional cost which owner may Incur during the project. The cost estimates are based on market conditions that exist In the State of Washington at this time. Prices many vary with market fluctuations, The estimated costs for this project have been developed based upon our knowledge of the proposed project,our past experience with similar projects,and the level of effort required to satisfactorily complete this project.The estimated costs provided for each option are considered to be informational only,for use as budgetary estimates,and not contractually binding. The estimated costs are"best-effort"estimates, but are subject to many variables beyond the control of Prezant. Such variables include, but are not limited to:project duration,contractor work schedule, hour of work allowed by the owner,contractor performance,regulatory agency interpretation of changing regulations,and project delays. Asbestos Survoy Report Coastal Fier Lumberyard Page 2 of 5 � -f 1 I r� �Rr�f • '' t' �Ily'IC 1 1 1 - . 1 % jj�1 I S ■ _ - - N ■ . 1 ■ r - �.i - _ 11 111 _ — IN I f5 Y ■ 1 • 1� 1 11 N M I A 1 1 - - I n t• ■ ■ - � ' I t � ■ - I - IZj I 1 1 1 .\ K ■1 �NQ 1 ■ ■ I 1 I ■ 1 • - 1 1 W • - 1 I r ' \ - � y II • II II 1 J IFti 1 � ■_ � :1 �♦� MIN ■- 1 I`I - ■Y - K �I ■ A j.- ■ V■ ■ y 1 ' I 11% ■ g I I I. f• 1■ I ■ 11111& r4i f FEB-20-2003 11:07AM FROM-PREZANT Aa. MATES 2062818922 T-769 P.004/010 F-004 Section 3 - Regulatory Compliance Asbestps The intent of the asbestos survey is to comply with governing asbestos regulations required by the State of Washington and Northwest Air Pollution Authority(NWAPA). Currently, the State of Washington requires a written"good faith inspection"for identification of asbestos-containing materials prior to any remodeling or demolition work. During demolition and construction work It Is the responsibility of the owner and the contractors to make this survey document available to all concerned parties who may be handling the building materials. In addition, NWAPA requires that a copy of the written asbestos survey be made available on- site for inspection by a NWAPA Control Ofticer during construction and demolition work.The survey is required to be performed in accordance with 40 CFR 703.88.These federal standards require inspections to be conducted by an EPA Accredited Building Inspector with analysis to be provided by an asbestos laboratory certified by the National Bureau of Standards. The requirements are described in Regulation 570, of NWAPA's Asbestos Control Standards.All survey work was conducted in compliance with the above mentioned standards, Section 4 - Sampling Plan and Laboratory Analysis Asbestos QJ)Jec Ives The objective of the survey was to determine the quantity and location of building materials(vinyl floor tile,roofing,gypsum wallboard,etc.)that contain asbestos. Asbestos Sampling Plan Protocol This survey was conducted using a protocol adapted from the Asbestos Hazard Emergency Response Act(AHERA). The protocol is as follows: I. Group materials into homogeneous sampling areas. 2. Quantify each homogeneous sampling area and collect samples from each area using the"3-5-7"criteria for surfacing material to determine the number of samples needed. Quantify and collect a minimum of three samples of each thermal system Insulation(the number of samples collected of miscellaneous materials was determined by the Inspector). 3. Samples of each material were taken to the substrate,ensuring that all components of the material were Included. 4. Sampling was performed by at Certified Building Inspector,and the use of proper protective equipment and procedures was followed. Asbestos Sampling Procedure 1. Spread the plastic drop cloth(if needed)and set up other equipment,e.g., ladder. 2. Put on protective equipment(respirator and protective clothing if needed). 3. Label sample container with Its Identification number and record number. Record sample location,and type of material sampled on a sampling data form. 4. Moisten area where sample is to be extracted(spray the immediate area with water). 5. Extract sample using a clean knife, drill capsule, or cork-boring tool to Cut out or scrape off approximately one tablespoon of the material. Penetrate all layers of material. 8. Place sample in a container and tightly seal It. 7. Wipe the exterior of the container with a wet wipe to remove any material that may have adhered to it during sampling. 8. Clean tools with wet wipes and wet mop or vacuum area with HEPA vacuum to clean all debris. g. Seal the sampling location with caulking compound,spackle, or duct tape. Asbestos Sinvey Report Coastal Fiber Lumberyard Page 3 of 5 �Lj1,1 111� isi-r♦ 44 fh la"I Oil - Ili obis, !.-■I,`. I ' "11 I% L 1 -M 1 1 ■ J` NM - ■ - �1■ - - 1. �1- n 1 u • �� _ - - 1 - r - ■ -l� 31 1 1 ON 0 al III AM 1 `" _1 f ■ YIN t 1 1 ti 1 1 II • 1 j1a i3Or f r o-o . . • A { III ■•- -1 HIP II 1 _ y h1 Q •.11 .110 Dome ■ 11 0■l ■ 1r CAN 0 IN 04 I I rn ' 1171 AN 'r r ' ■ 1 OR �I 1 ■ p 11 n ■ � 1 r IN _ I I ■11 I - 1 _ ■ _ _Z ■ � ■ II� �_ _ n in IL 1 1 ■ - ' 1 1 1 1 -1 1_ _ ► �? IN IN 1 i ■ 11■ . ■ . - - v \II ■ _ � 1 1 ■ I ■ ' FEB-20-2002 11:07AM FROM-PREZANT A54v�IATES 2062018022 T-760 P.005/010 F-004 10. Discard protective clothing,wet wipes and rags, cartridge filters,and drop oloth in a labeled plastic waste bag. Asbestos Laboratory Analysis The bulk samples were analyzed in our laboratory using polarized light microscopy(PLM)with dispersion staining in accordance with US EPA method 600/R-93/116 as specified in 40 CFR Chapter 1 (7-1-93 edition)Part 763, Subpart F,Appendix A, pages 499-504. Polarizing light microscopy quantifies asbestos concentrations at between 100% and 1%detection levels. Levels below 1% can only be stated as "trace." For samples containing more than one separable layer of materials,the report will Include findings for each layer(labeled L-1 for layer one and L-2 for layer two, etc.)and a total percentage for the entire sample. The asbestos concentration in the sample Is determined by visual estimation. For those samples wlth asbestos concentrations between 1 and 10 percent based on visual estimation,the EPA recommends a procedure known as point counting(NESHAPS, 40 CFR Part 61). Point counting is a statistically more accurate means of quantification for samples with low concentrations of asbestos. Section 5 - Survey Results Asbestos Please see Table 2 for bulk sampling results of suspect materials found at Coastal Fiber Lumberyard located at 19023 47h'Ave NE In Arlington,WA TABLE 2-Summary of suspect Asbestos-Containing Materials sampled at Coastal Fiber Lumberyard located at 19023 47th Ave NE in Arlin ton WA �;Sa '�u�h1S�aTer a� •escri tlort✓,� :��,�'"�,`i's:l• 't o�?.: ;_ •'•�,•.• .`/Asta�sto�'Cotit�'rrt:� :;Frialiillta:•:; 1101 Silver coating on metal Mobile#1 roof 5%Chrysotile Friable through gh roof depending on method of removal 2.01 Vinyl floor sheeting, Mobile 01 hallway No asbestos Friable white with 121x12" detected square design with floral pattern in the center,paper backing and mastic. 3-01 Vinyl floor sheeting, Mobile#1 kitchen, No asbestos Friable yellow with 10`xl0" bathroom and Utility detected square design with room embedded floral prints, paper backing and mastic. 4-01 Gypsum wallboard(no Mobile 41 office#1 No asbestos Friable through mud or tape), detected 4-02 "I Gray window sealant Mobile#1 exterior No asbestos Nan• windows detected friable 6 01 Slack rolled rooting Office bldg. No asbestos Non- over green granule detected friable roofing material 7-01 Vinyl floor Tile,12"xl2" Office 62 No asbestos Non- Cray and no mastic. detected friable Asbestos Survey Report Coastat Fiber Lumberyard Page 4 of 5 1 ' ■1 ' Utica l i �''' I � r t 1 y'N - 1 . �r •. 1 — if �5� 1 � ■ ■ I —1 - ■ 1 i ■9 G ' Ac • — :�I I— 1 ti 1 •1► 1 - 11 ■ rr ■ - - 11 1 • I I II — M J r 1 • '1 1 .I % 1 ' .10 .�elrYl' GI ic �1.7—1 f y 1 ■ U#11 W1 ■ ■11 To i9 C ' r �r - mm yr 1 n 1 I 1 I . . . II ■� I I 11JL _ 1 1 I 1 — r/ ■ — ■ i 1 16-- 1, J1 ■ SO11'11 — rt'1 1 ■ IT — 1 ► M. IOU - I ■ - , 0 u 1 SIMON _ _ - FEB-20-2009 11:06AM FROM-PREZANT R. 00IATES 2062816922 T-769 P.006/010 F-084 8-01 silver insulation cloth Debris pile#2 No asbestos Non- material detected frlable "I Black rubbery flooring Debris pile 02 No asbestos Non- material detected friable 10-01 Foam material with Debris pile#2 (Layer 1)foam Friable black asphaltic material: No covering asbestos detected (Layer 2)black asphaltic covering: 7%Chrysotile 11-01 Cloth covering over Debris pile#4,#5 and No asbestos Non- rubber mat #8 detected friable Section 6 - Conclusions and Recommendations Prezant Associates is not responsible for materials which require destructive means to access, or materials which are hidden from sight,those materials hidden behind walls,or materials which cannot be found with reasonable diligence. Extreme caution should be used during renovation or demolition to ensure that additional materials are not uncovered. In the event that additional materials are discovered, the material should be sampled and analyzed to determine rf it contains asbestos prior to disturbance. Asbestos Asbestos-orntaining materials are required to be removed and disposed of in accordance with Washington State Regulations prior to any demolition, renovation, or remodeling that would disturb these materials.Washington State Department of Labor and Industries and NWAPA require that the abatement be performed using Certified Asbestos Workers under the direct on- site supervision of a Certified Asbestos Supervisor.The only exemption is for resident owners performing removal of asbestos-containing materials other than furnace interiors and direct applied mudded asbestos Insulation. Prezant Associates recommends that a Certified Asbestos Project Designer design any asbestos abatement project to ensure that the job is completed according to regulatory standards. Section 7 - Limits of Survey Asbestos sampling is non-omprehensive by nature and subject to many limitations including those presented below. Our assessment has considered risks pertaining to asbestos In dust samples and air monitoring for the presence of fibers in the above stated areas. This sampling was not designed to identify all potential concerns or eliminate all risk associated with asbestos. Other risks were not evaluated with this survey. Risks such as 1) toxic and hazardous substances in (or In contact with) soil or ground water; 2) risks associated with structural, electrical, or mechanical working of the building; 3) risks associated with radon gas, slope stability, building settlement, moisture, or site drainage 4) Lead in paint coatings, and flooding have not been evaluated during this survey. No warranty,expressed or implied, Is made. Prezant Associates, Inc.performed this sampling in accordance with the generally accepted standards of care that exist in the industrial hygiene profession in Washington State at the time of this study. Asbestos Survey Report Coastal Fiber Lumberyard Page 5 of 5 3 1 I ■ L�■ 1 % i ■ ■ ti -ram■ � - 1 Il ■ .Em 1 ■ - - - - VI - - - - - I I ■ ■ ' 7 I 1 - � ■ � u I 1 ` � ■ ■n ME ■ JIB ■ w■ al {■�m Mr •1 -. if ■■1-1 A or 1 0- m. WIN ■1 I► ■ ti ■. tr • ■1� _r'7lL� ■ ■ w ■ IN ■ 1 ■ ■ L E;1 ■ R ■1 R ■ ■ ■/fi ■ 1 ■ %7 11 1 ■ ■ L - I r ■ ■ ■ �■ }{ 1 ru ■ ■ • ■ LI IN ■ ■ ■ 1 ■ ■ NO ■ - ■ lam ■M IN f1 11 1 1 ■t■11 q '- . ■ . ■ J, - R E-0 ■JI II L Er 1 - No i{ r 3 1 ' Y ■ ■ ■ + � a ;• ■ic 1 ' ■ 1 p 1 - J h - - R 1■ yj ■. �' ■ 111 1 1 � ■ NE E.• - • ■ 1 0: 11 WIN ■ ■ 7 ■ ■ T1 ■ - ■ 1� ■ ■ ■ ■ A I" - 11 ■ ■ NOr ■ .1 1 ■ 1 .71 FEB-20-2003 11:08AM FROM-PREZANT AS—.IATES 2062818922 T-769 P.007/010 F-084 rc cn Ilk. Q.di IL z CL -- ii . i iI r i i � i i i _ _ i � � ' .i i i i 7 - _ � i FEB-20-2003 11:08AM FROWPREZANT A,r.JCIATES 2062016922 T-780 P•000/010 F-004 fT 13 IPR i IN I I ; • 1 I • 1 • � : : r r r : ; I (S JZ6 c 'U) • • 1 • 1 , ' : . . . . • If• : ; ' , 1 U) 1 1 : : ?mil ;u� : •L, i : : i i ; ; ; ; o L. 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E■■■■ ■......■� C■0 f �a SN ■■ r �` ■■■" ■■■■■■■ ■■■■ ■ M� ■� ■�� ■ l� 'e I1 7 ■■■■■■w BEEN EC:C■ ■mmaaa:L1 maaa�iaaiamaa � : a � ama as■xa�immma==:: aaa�ee ��_■ ■.. l ■�i 11 1 Ill ■��i��i��� � _ � 1�m�=s� E aoami ��� �°Nr■rI� ■■■�u■w, ■■E.fCw"ri■'�■�L�■■■ U:■f L :_■■■■■ (Has w.�w NE� E���■.�_� 1 m iii jai 69■m. i 35i � ..■.. B■■CIS I N ■ _.■. ■ ■■ a aie ! ■ ■ilrs ONN�•ww��I moos C■ON■■■N ENROL ��� iiQ E; A■��■B�� 03 ■ ��C ■ ■C CCL. API CLACCC C � �� C■. = C■�1D_ � ��rn►: p�, 0 4■■� ■■�■� ■�■B■1r3 ►S��IBB■EN■���� ■�� ■i�. g■NE�■ BE��N■ s .�n`�■B�■L■NB■ ■ ■ ■ �►�y e� r._� ■E ■E ■ ■ ■E■�w ■��jfffr■ w■ �■■:e ■ ■rrr■■■w■N■ ■■ ■mwm.E . =■NB��r '� si a iam a a .■�.■ ;a . �i .. .. ..■:■: a .■.� �"�■NMI �► �! ■s . ■ E � � �'��C ■■N■r�.■ ■E � .C■ ,.■..■.L..E. .. f. ■ . . C �.�.,..�..+. ■ �'i�NM ■■gwrr ■ : rr ■ispill i NEB mills s ■■■ ■ ■. ■an ONE ■■ ■ �. G■■C.'� _ ■ R■ ■ s ■ . �■z�■El I IIs a Imo, on s w ■� Brij t Puy P 1 INES CHI EAD i NEW rrr■�■ ■r ■ ■ Ere E■■ rr�■■�tK�r4.�N■N■■. 1MHMO �i 1■ EE L �■ �� � ,ja r.fa ��ae ■■ ■ ■ i r■■Bul m�Ell I �i �0■,iifr r G.15 I Ma ai . ■■■w■ww■■ riE■. .f■■ww ■ • EN ■ ■B■U' �1�w rti■ Bw■w■r �NC■E■■■■Ne,w"�r � ,■■ . CC■C■L ■■!.■I ■� ee�0 �CN■,r��.���',z, �1C�C■CCC1CCCCan ©�ie■ir■ir���i ■ w r'e' ii1�� _ �w�.41ww aMr'r [ .rt;P 1 J I - I t FEB-20-2003 11:00AM FROM-PREIANT itoodCIATES 2062818922 T-769 P•010/010 F-084 INW l NVL Lna Cora Z00613 0 330 5t>?Ave.North,Suite 200 Seattle,%A 48109 *Prezant OFFCCE:(206)281-8858 FAX;(206)281-8922 Bulk Asbestos Fiber Analysis Shaw Environmental PAY Batch Number: 03-0366 3350 Monte Villa Ftarkwxy Client Job Number. S440-0001 Bothell,WA 98021- Number of Samples: 1.7 Project Location: 19023 47th Ave NE Turn Around Time; 5 day Arlington,WA Batch Number; 03-0366 Sbuw Fnvlroameatal Lab Sample Number: 03001653 5440.0001 I9023 47rh Ave NE Client Sample Number: 1-01 Arringwn,WA Silver shiny paint with green moss Asbestos Srbrous Components: Lyon-Asbestos Fibrous Components: Non-Fibrous Components: 5% Chrysoiile 92% Paint 1% Mineral Fragments 2% Plant Debris Coma-'its., The chrysolile Nbar bundles are visible using the steroom[oroscope along the edges of the silver paint chips. Batch Number: 03-0366 Shaw Euviranmanrnl Lab Sample Number: 03001654 S4404)001 I9W 471h Aft NE Client Sample Number: 1-02 Arlingron,WA Silver shiny paint with green moss Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: 5% Chrysotile 92% Paint 2/o Plant Debris Mineral Fragmeots Comtnentsi Tile chrysotile floor bundles are viSlble using the stareomicroscope along the edges of the sliver paint chips. Sampled By: Loc VaD Tran /f Received By: John McCaslin 2113r-003 �•��{ Reviewed By: George McCaslin 2/14/2003 Atlalyzed By: Deirric Haman W140-003 N801 of 11 i 'tip _ � � i I � - � ' r I - - FEB-20-2003 11:14AM FROM-PREZANT ASa.,,,IATES 2062818922 T-771 P.002 F-066 U\j NVU LgaCAD5SOOfiI3-0 t�;Rrezant 330 6rh Ave-North,Suite 200 5earr]e,QUA 98109 OPPlC&(206)281-8858 FAX(206)281-9922 Bulk Asbestos Fiber Analysis Batch Number: 03-0366 Shaw Eavironmeotal Lab Sample Number: 030016SS S440-0001 I9023 471h Ave NE Client Sample Number: 1-03 A.tingw%SPA Silver shiny paint with green moss Asbestos Fibrous Components, Non-Asbrst®s Fibrous Components: IVon-Fibrous Components: 5% Chrysotile 92% Paint 2% Plant Debris 1% Mineral Fragments Comments- The chrywils fiber bundles are vislble using the stareomicroscope along thO edges of the sllvor paint chip5. Batch Number: 03-0366 ShawEmIronmi:ntal Lab Sample Number: 03001656 S440-0001 10023 67rh Ave NE Client Sample Number: 1-04 Alliftion.WA Silver shiny paint with green moss Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Mbrous Components: 5% Chrysotile 92% Paint 2% Plant Debris t% Mineral Fragments Comments: The chrysotil*fiber bundles aro visibla using the stercomicroscope along the edges of the silver paint chips. Batch Number: 03.0366 ShawEnvimamental Lab Sample Number: 03001657 Sa40-0001 19023 47rh Ave NE Client Sample Number: 1-05 A.ftgwm WA Sampled By: Loc Van Tian Received By: John McCaslin 2113r00.3 Reviewed By: Gcorgc McCaslin 2rM4/2003 Analyzed By: Deitrie Hanson 2/14/2003 Page 2 of i 1 .: i . - - - i _ _ � FEB-20-2003 11:14AM FROM-PREZANT',,__MATES 2062818922 � T-771 P 003/012 F-086 Nn, lA8 C(1Da r60613-0 330 6th AVG.North,Suite 200 Seattle,WA 98109 OPrezant 4EMCC:(206)281-8858 FAX (206)281-022 Bulk Asbestos Fiber Analysis Silver shiny paint with green moss Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: 9% Chty50tlie 92% Paint 2% Plant peWs 1% Mineral Fragments Comments-, The chrysotile fiber bundles are visible using the stereomicroscope along Ina edges of the silver paint chips. Bated Number: 03-0366 Shaw Eavimnmtal 1-ab Sample Number: 03001658 S440-oao1 .1023 476 Avs NE Client Sample Number: 2-01 AALagma,WA L-1 Toupe,and tan mosaic opaque sheet vinyl tile material Asbestos F'ibrom Components: Non-Asbestos Mbrous Components: Non-Fibrous Components: No Asbestos Detected 900/0 Plastic Partiolas 10% Vinyl Flller and Binder Comments: L-2 Toupe fibrous backing Asbestos Fibrous Components: Non-Asbestos Fibrosis Components: Non-Fibrous Components- No Aslssstos Detected 451/6 Callulose 5°/6 Flllor and Bidder 40% Cotton 10% Synthetlo Courmen[st Sampled By: Loc Van Tran Received By: John McCaslin 2313Ft003 Reviewed By: George McCwslin 2/102003 Analyzed By: Deiti e H mson 2/14/2003 Page 3 of I I i i `"� i FEB-20-2003 11:15AM FROM-PREZANT ASvvIATES 2002818022 T-771 P-004/012 F-086 Hv� NVLiP LAB CAAf'200613.0 OM-lezant 330 6th Ave.Notttr,Suite 200 Seattle,WA 98109 OFEClE;(206)281-8859 PAY_(206)281.8922 Bulk Asbestos Fiber Analysis L-3 White opaque resinous mastic Asbestos fibrous Components: Non-Asbestos Pibrous Components: lion-fibrous Components: No Asbestd5 P®tected 80% Resln and Binder 20% Calcite tiller and Binder Comments: Batch Number: 03-0366 Shaw Bnvironment*1 Lab Sample Number: 03001659 S44041001 Z9023 474 Ara NE Client Sample Number: 3-01 Aditrmh WA L l Palc yellow,green,and.brown mosaic sheet vinyl the material Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 95% Vinyl Filler and Binder 5% Plastid Particles Comments. L-2 Toupe fibrous backing Asbestos fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 35°Je Cotton 5% Filler and Binder 30%, Callolose 30% Synthetic Comments: L-3 Dark brown brittle opaque m9Stic Asbeslw Fibroas Components: Non-Asbestos Fibrous Components; Non-Fibrous Components: No Asbestos Detected 98°A Resin and Binder 2% Mineral Fragments C4MM Ats. Sampled By: Loc Van IYan Received By; John McCaslin 2/13/ M —� Reviewed By: Gcorge MaCastin 2114/2003 Analyzed By' Deirrie Hanson 2/14/2003 Page 4 of 11 ,, I I ' FEB-20-2003 11:15AM FROM-PREZANT d_.IATES 2062818022 T-771 P.006/012 F-086 e NVLAPLAB 00VV 7M13.0 330 61h Ave.North,Suite 200 Seanle,WA 98109 * Prezant ORXCr:(206)261.8$58 FAX:(206)UI-9922 Bulk Asbestos Fiber Analysis L-4 Orange resinous material with wooden chips Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous;Components: No Asbestos Detected 80°h Cellulose 20% Resin and binder Comments: Batch Number: 03-0366 Shaw Environmental Lab Sample Number: 0300166D S440-0001 19023 47rh Ave NE Client Sample Number: 4-01 Minsift WA L-1 Tan fibrous tape-like material Asbestos Fibrous Components: Non�Asbestos Fibrous Components: Nan-Fibrous Components: No Asbestos Detected 9996 Cellulose 390 Filler and Binder Comments: Lr2 Brown fibrous papery material Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 99% Cellulaso 1% Filler and Binder Comments: L-3 White powdery fibrous material Asbestos Fibrous Components: Non-Asbesros Fibrous Components: Non-Fibrous Comgooenrs: No Asbestos Detected 10% Cellulose go% Talc Filler and Binder Curuments: Batch Number: 03-0366 ShawEavitonmsntal Lab Sample Number: 03001661 S440-Ml 1003 d7rh Ave NE Client Sample Number: 4-02 .4rlrn8+an,WA Sampled'Sy, Lac Win Tran Received By: rohn MuCaslin Reviewed By: George McCaslin 2/102003 Analyzed By: peitcie Hanson 2114/2003 Pages of 11 - , ' ' I I I I 1 I i . I I I _ N • u I FEB-20-2003 11:15AM FROM-PREZANT`n- OCIATES 2062818022 T-771 P-006/012 F-086 V PN1A!I.AO 00f�6�L0613 0 Pezant 330 6th Avc.North,Suite 2i10 Sea[tk,WA 98109 OFFICE;(206)2$1-8858 FAX:(206)281-8922 ' Sulk Asbestos Fiber Analysis Tart fibrous papery material Asbastos Fibrous Componeust Non-Asbestos Fibrous Components: 'lore-Fibraas Components: - No Asbestos Detected 96% Cellulose 4°k Fillor and Binder Comments: L-2 Brown fibrous papery material Asbehio3 Fibrous Components: Non-Asbestos lPibrous Components: Non-Fibrous Components; No Asbestos Detected 99% Cellulose 1% Fillor and Binder Couuueuts: L-3 White powdery fibrous marcrial Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected t 2% Cellulose 85% TWO Filler and Binder 3% Mineral Fragments Cotttmeatst Satch Number: 03-0366 Shaw Environmental Lab Sample Number: 03001662 S440-WO1 19023 47th Ave N& Client Sample Number: 4-03 A.ikkpm WA L-1 Tan fibrous tape-like material AsWtos Fibrous Components: Non-Asbestos Fibrous Components: Nora-Fibroas Components: No Asbestos Detected 97% Cellulose 3Y'o Filler and Binder Cummcnl9: Sampled By: Loc Van Trap Raccived By: John Mr.Caulin D13l2003 Reviewed By: George MCCaskt 3t1412003 Analr=d 13y' Aeirrie Hanson 2/14/2003 Paoc 6 of 11 �� �- I FEB-20-2003 11:15AM FROM-PREZANT Ah..00IATES 2062818022 1 T-TV P-007/012 F-006 h1Vr.AP L.n1][aODH�DO¢l�-8 MO 6th Ave.North,Suite 200 Seanle,WA 98109 Prezant -OFFICE:(206)281-8858 PAX;(206)281-9922 Sulk Asbestos Fiber Analysis L-2 Brown fibrous papery material Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-fibrous Components: No Asbestos Detected 98% Cellulose t% Fillet and Binder Continents: L-3 White powdery fibrous material Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components; No Asbestos Detected 12% Cellulose 85% Tatc Filler and Binder 3% Mineral Fragments Comments: Batch Number: 03-0366 Straw Environmentil Lab Sample Number: 03001663 S440-0001 19023 47th Ave NE Client Sample Number: 5-01 Arlirs4lon,WA DAU transparent pliable ru bcry material AsWstos Fibrous Componeutet Non-Asbestos Fibrous Components: Non-Fbrous Components: No Asbestos Detected 08% Rubber Particles 21r= Sand Comments: Batch Number: 03-0366 Shaw Bnvironrncntal lab Sample Number: 03001664 5440-0001 1903 4Ah Ave NE Client Sample Number: 6-01 Arrlagron,WA Sampled By: Lac Van Tray► Received By: JohnMCCaslin 2/13/2003 Reviewed By: George McCastin V14/2003 Anslyzed 13y: Deinie Hanson 2/14/2003 Page 7 of l l ,. • I � - I j I J � I /� _ I - y � FEB-20-2003 11:15AM FROM-PREZANT A C.IATES 2062919022 T-771 P-008/012 F-080 mwaA NVL Y AB COD6760619 0 330 6th Ave.North,3UhQ 200 Seattle,WA 98109 Oprezard OFFICE:(206)281-9958 FAX:(206)291-8022 Bulk Asbestos Fiber Analysis L-1 White od green painkad rocks Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non�Fibrous Components.- No Asbestos Detected 9B1Ya Rocks 2% PAW Cutuaads: L-2 Black asphaltic fibrous material Asbestos Fibrous Components: Non-Asbestos Fibrous Components, Non-Pibrous Components: No Asbe$Ws 13890oted 10% Class Fiber 87% Asphalt Filler and Binder 30/0 Mineral Particles Comments: L-3 Black asphaltic granular material Asbestos Fibrous Components: Non-Asbestos Fibrous Components., Non-Fibrous Components: No Asbestos Dctoctod 5% P*ursthane 80% Asphalt Filler and Pinar 15% Moral Granules Comments: Batch Number: 03-0366 Sbaw tteviroummul Lab Sample Number: 03001665 S440-Ml 10023 47A4ye NB Client Sample Number: 7-01 ArtfnS:oe,WA L-1 Gray opaque shed vinyl tilt material Asbestos Fibrous Components: Non-Asbestos Fibrous Components; Non-Fibrous Components: No Asbestos Detected 95% Plastic Particle$ 50/0 Vinyl Filler and Binder Comments5: Ssmplad 10y, Los oar.Tran �D." Rcecivnci By: Sohn McCaslin ?J13/2003J----- - - ReNmewed By: George McCaslin 2/14/2003 Analymd Say- peitrie Hanson 2/1412003 page 8 of 1I ii i .i _ _ . r I :� FEB-20-2003 11:15AN1 FROM-PREZANT ArIATES 2002818022 T-771 P.009/012 F-086 �WR� -Q NYLAF IAS CofiR 2flO411G 330 6th Ave.North.Sure 200 Seattle,WA 98109 ®PF(CB:(206)281-8858 FAX:(206)281-8912 Bulk Asbestos Fiber Analysis L-2 Off-white hard tile backing Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-FibN is Components: No Asbestos Detected 80% calcite Filler and hinder 207a Went!Particles Comments: L-3 Transparent sticky resinous mastic Asbestos Fibrous Compwmuts: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 9696 Resin and Binder 4% Mineral Fragments Comments, Batch Number: 03-0366 ShawEuvirtraamemul Lab Sample Number: 03001666 s440-col 19M 47ra Ave NE Client Sample Number: 8-01 AriMpm,,WA L-1 Black and shiny silver foil material Asbestos Fibrous Components: Non-Asbestos Fibrous Component-: Non-Fibrous Components: No Asbestos POtectod Wet. Metal 30/0 Miscellaneous Particles Comments: L-2 Transparentresinotis mastic Asbestos Fibrous Components: Non-Asbestos Fibrous Components; Non-Fibrous Components: No Asbestos Detected W1. Rosin and Bln4 ar 4% Mineral Fragments Cnmtuents: Sampled By., Loc Van Tran Raeived by: John McCaslin 2/13/2003 Reviewed By: George McCaslin 2r14r003 Analyzed By: Deitrin Hanson 7114/2003 Page 9of11 FEB-20-2003 11:16AM FROM-PREZANT ,_.JCIATES 2062818922 T-771 P-010/012 F-080 away NvLw Gib ERR200613A Prezant 330 6tb Ave.North,Saito 200 Seattle,WA 98109 OFFICE:(206)2$1-8858 NA7(_(206)28I-8922 Bulb Asbestos Fiber Analysis L-3 Shiny silver foil material Asbestos Fibrous Components: Non-Asbestos Fibrous Componcnts: Non-Fibrous Components: No Asbestos Detected 98% Metal 4'/0 Mineral Fragments Comments'. Batch Number: 03-0366 sbaw environmental Lab Sample Number: 03001667 5440�1401 19023 47r8 Ave NE Client Sample Number: 9-01 ArHnseon,WA L-1 Black opaque thick rubbery material Asbestos llbrous Components: Non-Asbestos Fibrous Components; Non-Fibrous Components- No Asbestos 176tacted 50/ Polyurothano 80% Rubber Particles 15% Gypsum Filler and Binder Comments: Tnis Is cove base material. L-2 Tan opaque resinous mastic Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Componenm No Asbestos Detected 3% Cellulose 92% R9Sin and Binder 5% Mineral Fragments Cumnents: Batch Number: 03-0366 ShawRnvirdne21 !ab Sample Number: 03001668 S440-0001 J9023 o7rh Ave NE Client Sample Number 10-01 Arlinsr—,WA Sampled By; Loc Van Tran Received By: John McCaslin 2/13t3003 - R,aviewed By:. George MoCaslin 2/14/2003 Analyzed 13y; Deitric'Armsoa 2l14/2003 Arga 10 of 11 J. � �. ' � ._ • FEB-20-2003 11:10AM FROM-PREZANT A( .IATES 2062818022 T-771 P-011/012 F-086 [44w � NVLAPlAB CODE=13-0 � �� 330 6th Ave.No:tli.Suite 200 Sranle,WA 49109 OOFFICE:(206)281-8858 PAX:(406)281-842.2 Bulk Asbestos Fiber Analysis L-1 Goldon orange textured hard resinous mastia Asbestos Fibrous Components: Non-Asbestos]Fibrous Components: Non-Fibrous Components: No Asbestos Detected 980/0 Resin and Sinaar 2% Mineral Fragmenk Comments: L-2 Black and bark gray hard brittle material Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: 70/6 Chrysotile 90% Asphalt Filler and Binder 31/6 Moral Fragments Comments: Batch Number: 03-0366 SMWw Rnvirmrorrtal Lab Sample Number 03001669 S440-WOO ]9033 47jh Ave NE Client Sample Number. 11-01 AdtRsron,WA L-1 T!ransparent wiry fibers Asbestos Ia lbrous Components: Non-Asbesws Fibrous Component-: Non-Fibrous Components_ No Asbestos Detected 08% Synthetic 2% Plastlo Particles Comments: L-2 Black asphaltic material with sandy material Asbestos Fibrous Components: Non-Asbrs". Fibrous Componenrs: Non-Fibrous Components: No Asbestos Detected 92% Asphalt Filler and Binder 4% Mineral Fragments 4% Filler and Bindor Comments: Sampled By: Loc Van Iran Deceived By: John McCaslin Reviewed By: George McCaslin 2/14/2001 ?611alyzed By: Dsitaie Hanson 2114r2D03 PW11of11 - . - v .. _ � - " ` - - i i FEB-20-2008 11:16AM FROM-PREZANT(-�CIATES 2062818022 T-771 P•012/O12 F-086 {{ .,,y >1•• ++', f �i ,• rye. p { �� :�� co fn Wv im S•_�'. `S7��. '�,.�;y y�. ', � �%Ei�,.<rcl'x�'�'` •� gafn qr�+''� , � v".'�� .�. �i ,fir.,N 2tN ��'d ��3r�itf,A...� � .�� • I�;i�'•`'17f�• z.� 1_, `!''�'fi /1 '� r:_a .1 P• t — s�r`�'e�°' --' J fst+'H� •.:�T7. .�� a co a M o �V 0 U) 70 w n _ LLI .L N ( tz/ 05 U cn N O :S, �i co cq ci I RV Iv —I CL ,}. ASH a � '� � CV m, u§'+Q-•�/ i P _ � �fiC' .�f•n :�w w::�...ri ;... ..,.....°•.-. .: ..u`�.s0°�u�'%s'�w:.'S,Y�.4t�?.' - `.:'L`, ••G O< I' J ` �`` >� c r, �S• c, s' 4Lvk�Jf 7;,c. T �{ . ' Il. �Ltn'� b":. 's.�. •!•!. \:-'1 :{9a 1:.4t�{ t7J7i I�� �4iY1 'U�°'.7��x �w:' ,n•Vc �ta!, y rlli>N�`,I 'Yj}i, '4,, 1., a. '"d✓"• f. �?�'r :x" `:arc' t r � t v ..s••,.t .!'.i a� .k.,�y� �.'�'rs. 1 �Y�j;�Fe c PF�jf�, 7 q ! q iljN ' s 4i,_' `\l d I{"i S. �✓ i a y.• l4C / �7Arlington Municipal Airport d Memo To: Scott Black From:Rob Putnam, Airport Manager Date: 5/1/2003 Re: Coastal Fibre Closure Scott, I believe Earl has talked to you about the water at Coastal Fibre and that everything is okay as far as the Water Department goes. Snohomish County does not have any records for this site. When the search was done the only one found was for the Enterprise site. The tank that was decommissioned was located about 30 north of the mobile home trailer. Attached you will find the invoices for the pumping and filling of the tank. That is all Snohomish County requires, some documentation that it was accomplished. 0 Page 1 i n i c _ i i .� � �. I i — — �� ■ � Documentation of Decommissioned Septic Field, Coastal Fiber Site Page 1 of 2 Robert Putnam From: Wiken, Kent W. [Kent.Wiken@shawgrp.com] Sent: Tuesday, April 29, 2003 1:50 PM To: 'Robert Putnam' Cc: Avila, L. John Subject: RE: Documentation of Decommissioned Septic Field, Coastal Fiber Site That explains our earlier confusion. We requested the all files at the address, and received that file. We actually went back to the Snohomish Health district to get more files and none of the plans for the site or address exactly matched where we found the septic tank. We noted that the tank we were to decommission was at a different location than that described on the forms, but thought it was just a clerical error. Nevertheless, we only decommissioned the tank that was 30 feet north of the double wide trailer/office on the site. Kent W. Wiken, P.E. Shaw Environmental, Inc. 19909 120th Avenue NE, Ste 101 Bothell, WA 98011 (425)485-5000 (425)402-3202 direct (206)604-6167 mobile (425)486-9766 fax -----Original Message----- From: Robert Putnam [mailto:rputnam@email.ci.arlington.wa.us] Sent: Tuesday,April 29, 2003 1:53 PM To: Wiken, Kent W. Subject: RE: Documentation of Decommissioned Septic Field, Coastal Fiber Site Received your a-mail. Just for the record the Snohomish Health District permit is for the site further north (the other site). I hope that is not the one we decommissioned. Rob Putnam Airport Manager 360-403-3472 360-435-1012 Fax rputnam ci.arlington.wa.us -----Original Message----- From: Wiken, Kent W. [mailto:Kent.Wiken@shawgrp.com] Sent: Tuesday,April 29, 2003 11:06 AM To: 'Robert Putnam' Subject: Documentation of Decommissioned Septic Field, Coastal Fiber Site As requested, attached is the documentation of decommissioning the septic field at coastal fiber. I understand you will forward this on to the City of Arlington building inspector so he can complete the demolition permit. The attachment contains: . two pages of as-built information from Snohomish Health district we requested to find the tank, • one page invoice from Ace Acme Septic Service for pumping the septic tank(on October 28, 2002) nnc nonc invinirc from r`-Iaricr Gn%Arnnmcnfnl fnr hor rfillinn fhn Ccnfir fon4 AA1ifh ncn I • 1 V I1 � 1 r� - • _ _ - 1 - r - � 1 • 1 t 1 ■ ■ 41 • 1 I1 1 ■ Al - r � � - 1t -Ira: n - i. ■� - - ►I 1 1 II i i ■ 1 • 1 AN Ili - 1 u 1 1 1 1 I • \•- 1 in, 1 i 1 - N liocumentationofLecommissionea septicrieia, Loastairiver bite ragez ofz gravel on �ber 29, 2002) t . one page of excerpts from Shaw Environmental's field noses which documents the septic tank decommissioning. <<septicfilldoc.pdf>> Please let me know if you need any other information. Thank you Kent W. Wiken, P.E. Shaw Environmental, Inc. 19909 120th Avenue NE, Ste 101 Bothell, WA 98011 (425)485-5000 (425)402-3202 direct (206)604-6167 mobile (425)486-9766 fax i ■ i I mocumentation or Lecomrrussionea bepuc riem, koastal rioer bite rage i or i Robert Putnam From: Wiken, Kent W. [Kent.Wiken@shawgrp.com] Sent: Tuesday, April 29, 2003 11:06 AM To: 'Robert Putnam' Subject: Documentation of Decommissioned Septic Field, Coastal Fiber Site As requested, attached is the documentation of decommissioning the septic field at coastal fiber. I understand you will forward this on to the City of Arlington building inspector so he can complete the demolition permit. The attachment contains: . two pages of as-built information from Snohomish Health district we requested to find the tank, . one page invoice from Ace Acme Septic Service for pumping the septic tank(on October 28, 2002) one page invoice from Glacier Environmental for backfilling the Septic tank (with pea gravel on October 29, 2002) • one page of excerpts from Shaw Environmental's field notes which documents the septic tank decommissioning. <<septicfilldoc.pdf>> Please let me know if you need any other information. Thank you Kent W. Wiken, P.E. Shaw Environmental, Inc. 19909 120th Avenue NE, Ste 101 Bothell, WA 98011 (425)485-5000 (425)402-3202 direct (206)604-6167 mobile (425)486-9766 fax �. r ' .; I I I %PVO/22/02 TUE 16:10 FAa 425 a 5254 ENVIRON HLTH DIV I�001 SNOHOMISH ENVIRONMENTAL HEALTH DIVISION HEALTH 3020 Rucker Avenue, Suite 104 Everett,WA 96201-3900 DISTRICT 426.339.6250 FAX 426-339.5254 HealthyLlreaty/es,HealthyCornmunitlea The Facsimile you are receiving was sent on a Canon Laser Class 5500. TIM INFORMATION CONTAINED IN THIS COMMUNICATION IS INTENDED ONLY FOR THE USE OF THE ADDRESSEE AND MAY BE CONFIDENTIAL, MAY BE PROFESSIONAL-APPLICANT PRIVILEGED AND MAY CONSTITUTE INSIDE INFORMATION, UNAUTHORIZED USE, DISCLOSURE OR COPYING 1S STRICTLY.PROHIBITED,AND MAY BE UNLAWFUL. IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR,PLEASE 0MVIEDIATELY NOTIFY US AT 425.339.5250. DATE: ` NUUMER OF PAGES: TO: J� ] din this co cr s t PAX NUMB R. DEFT: f FROM: Snohomish Health District DM.' Water and Wastewater Section PRONE N JUMER/EXT: 425.339.5250 MESSAGE: Property Tax Account No.: 41 05/ 80"--P 0,0 Site Address: 49 c4-3 Year House Built: >r L SP#/Lot# Call Back Phone Number: Asrested, the following items are faxed: l7 Copy of the existing drairfield"as-built"on file. Cl Copy of the approved(proposed) septic design on file. ❑ Copy of the current certified septic installer/pumper list. ❑ Other: With the information provided above, we have searched our records and are unable to locate the drainfield as-built that you requested. You must secure the services of an On-site Wastewater Treatment System Designer or Professional Engineer. Both. are licensed by the State of Washington Depart of Licensing (DOL). You can refer to your telephone directory. A complete listing of licensed designer is available on the DOL Web site (_www.wa,gov/do�/bpd/onsitefront.htm) or call 360.664.1568 for DOL Customer Service. rev 013001as EH/OA/WWW/MASTERS/WASTEWATER 1 �i� .• •. io/22/02 TUE 16:10 FAX 42� /8 6264% ENVIRON BLTS Div �I002 SNOHOWiN HEALTH M,_;RICT 163105-009-0� Environmental Health Division (Property Tax Account Number) 3020 Rucker, #102. Everett, WA 98201 Water & Wasteweter Section 339-6270 New ❑Renewal ❑Redesign APPLICATION FOR AN ONSITE 66WAGE DISPOSAL PERMIT ® Repair �Alteratfon []Revision Applicant Entervrise Lumber c/o Brian Abbott pie 435-031L_ Malling Address P.O. Box 1617 _ City Granite Falls 7jp 98252 For Installation at ± 47th Avenue N.E. City Arlinxton 9eo_ljtwp 31 Rg 5 1/4 Sec_ Subdivision Name (or attach legal):-Liberty Lumber LotA Bik Water Supply: ❑individual well Et Public (more than one connection): Name Arlington City Water SEWAGE DISPOSAL SYSTEM 0E31ON INFORMATION Attach 4 copies of the onalte sewage disposal plan with a minimum of 5 soil log descriptions. Type of Bulidtng: NewO: Existing®;SFR❑; Duplex[]: 0 of Bedrooms Commercial _X_ Other 58 employees SYSTEM TYPE($): Gravity ®: LPD❑;Sand Filter❑. Mound❑; Other ❑ _ Lot al—,[' a A^'•�_ Depth to Water Table/Restrictive Layer: 60+ Inches. Slope in Draintield/Reserve: _Q_-% / Q % Boll Texture Type (1.0): 2-111 Appiloation Rate: 1 -D gaVsq ft/day. Dally Flow Rate: ..QQA gallons/day. Absorption Area: 998 sq it Trench Depth: 24 inches Trench Width. 24 Inches Data Solis Logged: 7122/97 1000 � k xistin9/10Q0 R" oPVse --_ Septic an Slze: gotump��ia er ire: gel Pump gpm/Mead --- / - 58 employees x 1 Required Sandy Loam Cover Soil:no pth----- inc a•/Volume - cubic yards G.F.D. 998 G.P.D. -• 1.0 = 998 eq.ft:. D/F Signature of Designer 217 Designer's Name Jim S Certificate# 55829 Phone No. 435-5551 Address F•0. Box 326 City Arij-n�an—ap 98223 Date FOR HEALTH DI T IC US NLY APPLICATION APPROVED. Sanitarian: _ Date: Comments/Conditions: "See reverse side and enclosed memo(s) for additional Information r APPLICATION APPROVAL EXPIRES ON: Approval of this application is based solely on Information provided in this application and does not constitute a Permit to begin construction of the system or any other improvements on the !TOTAL 210.00 she. This approval shall NOT be considered an assurance, either expressed or implied, that TOTAL 210.00 development permits for this alto will be issued. CLK 4 c30.0G CHANGE 0.00 APPLICATION DIS ee�ROVnlai IED� Sa tada Date: ITEM 1 09 1CL 7!510 •10.c 1 PERMIT ISSUANCE APPROVED/by; ate: PERMIT NUMBER: �� �nstaltb Final Inspection request by: �✓A^ w Date: r Final Inspection approved by: ate: HD-14 0432193Jo ,. 1 I •04/29/2003 09:23 ACE ACME INC PAGE 01 Ace Acme Seoc Service,Inc. Invoice 17924 67th Aveme NE Arlington,WA 98223 Date Invoice X 10130/20M 6429 W BIII To ship To Shaw E&1 Shww E&I 19023 47th Ave NE 19M 47th Avc NF- Arlingrm WA 98223 Arlingum.WA 98223 P.O.Number Terms Rep Ship Via F.O.B. T'�1 Dec upon receipt RWP 10/29/2002 quantity Item Code Description Price Each Amount Septic Tank Pomp... 350.00 330.001' Paid Mamma Card 10.30.02 S379.75 Auth#050413 9sles Tax &50'Ys 29.75 Cirsec Period of 7 days 5vm Tnvoicc Date-Thca sutjed to Anmml 19%Flnanoe Charges- Total �379,75 Min.of910.0 ., �. I I 1 WOVOICE 1 ENVIRONMENTAL DATE 10/31/2002 12521 EVERGREEN DRIVE SUITE A NUMBER 7445 MUKILTEO WA.98275 JOB 02-044 (425)355.2820 fax (425)290.9186 TO:Attn: Russell Thompson JOB SITE: Coastal Fber Shaw E&I,Inc. Arlington,.WA 3350 Monte Villa,Pkwy Bothell,WA 98021 Project Manager Terms P.O.# Item Del�Stieplif}un/Steve Mlles Net 30 Oada�y Unit 203118 Price Amount Shaw E&I Project No.839362-Order No.203118 OP BMr,gjfqLLemQuLUQVeqlround storage tsift excavation of contaminated soil d septic tank; xcavated 4 411fferent locations for:sofl samples: Wot completed onl0/29/02 As per quote $ 10,977.00 Sub-total $ 10,977.00 WA State Sales Tax 0 6.5% $ 713.51 Local 3101 Sales Tax® 2.0% $ 219.54 Total State and Local Sales Taxes $ 933.05 Total Due Thla Invoice $ 11.910.05 FOR YOUR APPROVAL INIT. DATE: PROJ.# SK_.___ 83`13�2..eZAo.os� Corn ants Da{e Due: 11/30102 Thank You. WHITE—Original • VVHITE—Copy • PINK—Job Copy _.. �.. `� I' ~ � 1 ` _ ems:.• , I 41 E fi I f 1 1 l 1 - I t: r.�°Sa� A: .�t;/��. :7sG a+-•,J�: ,r Yr %fr�tt *j.> r '• r `� i Y ' _ ��bo ,v �•'C �'r wt.`,-� yL / N I •'r7r �'- �(Rr' -y rn �y RECEIVED �C'cl� JNN 14 2003 CITY OF ARLINGTON o-� -53c)y ALL THAT PORTION OF THE EAST HALF OF THE SOUTHEAST QUARTER OF SECTION 16, TOWNSHIP 31 NORTH, RANGE 5 EAST, W.M. DESCRIBED AS FOLLOWS : COMMENCING AT THE NORTHWEST CORNER OF SAID SUBDIVISION; THENCE S 00 58 ' 45 " E A DISTANCE OF 1199 . 73 FEET; THENCE S 88° 41 ' 41" E, PARALLEL WITH THE SOUTH LINE OF SAID SUBDIVISION, A DISTANCE OF 224 . 62 FEET TO THE TRUE POINT OF BEGINNING; THENCE CONTINUE S 88 ° 41 ' 41" E FOR A DISTANCE OF 42 . 00 FEET; THENCE N 700 30 ' 25 " E FOR A DISTANCE OF 424 . 54 FEET; THENCE S 30 05 ' 28" E A DISTANCE OF 112 . 01 FEET; THENCE S 881 41' 41" E PARALLEL WITH THE SOUTH LINE OF SAID SUBDIVISION, A DISTANCE OF 207 . 50 FEET TO A POINT ON THE NORTHERLY PROJECTION OF THE EAST EDGE OF A FORMER ASPHALT PAVED AIRCRAFT TAXIWAY, NOW USED AS A ROAD; THENCE S 10 23 ' 26" E ALONG SAID NORTHERLY PROJECTION OF THE EAST EDGE OF SAID TAXIWAY AND ALONG THE EAST EDGE OF SAID TAXIWAY, AND ALONG THE SOUTHERLY PROJECTION OF SAID EAST EDGE OF TAXIWAY, A DISTANCE OF 1463 . 85 FEET TO A POINT 20 . 00 FEET NORTH OF, AS MEASURED PERPENDICULAR TO, THE SOUTH LINE OF THE AFOREMENTIONED SUBDIVISION, WHICH POINT IS ON THE NORTH LINE OF THE ARLINGTON AIRPORT WEST GATE ROAD; THENCE N 880 41' 41" W, PARALLEL WITH THE SOUTH LINE OF SAID SUBDIVISION AND ALONG THE NORTH LINE OF SAID WEST GATE ROAD, A DISTANCE OF 751 . 54 FEET TO A POINT 140 FEET EAST OF THE WEST LINE OF SAID SUBDIVISION; THENCE N 0° 58 ' 45 " W PARALLEL WITH AND 140 FEET EAST OF THE WEST LINE OF SAID SUBDIVISION WHEN MEASURED AT RIGHT ANGLES FOR A DISTANCE OF 1017 . 85 FEET; THENCE N 2 4° 0 0 ' 2 5" E FOR A DISTANCE OF 109 . 89 FEET; THENCE N 160 01 ' 35 " E FOR A DISTANCE OF 100 . 68 FEET; THENCE N 1° 23 ' 34 " E FOR A DISTANCE OF 207 . 36 FEET TO THE TRUE POINT OF BEGINNING. SITUATE IN THE CITY OF ARLINGTON, COUNTY OF SNOHOMISH, STATE OF WASHINGTON. EXHIBIT "An i JAN 1 4 ZOO I�I ;1T(of ARUNGTON C:�A F6L9 0o O;TCI S oirs'11" W — 3,SLdQO gy99 S9 — '- I ;tt.t�fOS�M rt tL1iN a I yl2 �I I_ y I� h � I u bl m I V i01 a I ( I C 8 a pO I O b ! I n o PPj(% . �. .: ' �• I ir, AUG-07-2002 03:51PM FROM-PRE: )ASSOCIATES 206281E- T-770 P.002/003 F-784 Prezant 330 6th Ave.North,Suire 200 Sauttln,WA 98109 0FPLCE:(206)281-8858 1;AX;(206)281-8922 Bulk Asbestos Fiber Analysis LKWl1gqP Shaw Environmental PAI Batch Number; 02-2246 3350 Monte Villa Parkway Client rob Number: COC#r`1738 Bothell,WA 98021- Number of Samples: 2 Projcet Location, Arlington Turn Around Time: 5 day Coastal Fibre Batch Number: 02-2246 Shaw Environmental Lab Sample Number: 02009641 COC#1738 Arlington Client Sample Number: #1- Floor Tile Coavral Fibre L-1 Gray dda sheet vinyl coating Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-fibrous Componcnts: No Asbestos Detected 90% Plastic Particles 10% Vinyl Filler and Binder Comments: This sample is a brittle sheet vinyl tile piece with a vinyl top layer and a granular tile backing. L-2 White hard granular brittle sheet vinyl backing Asbestos)<+ibrous Components; Non-Asbestos Fibrous Components: Non-Fibrous Componcnts: No Ashestos Detected 87% Gypsum Filler and Binder 10% Mineral Particles 3'/e Mineral Fragments Comments: L-3 Transparent mastic with wooden splinter material Asbestos Fibrous Components-. Non-Asbestos Fibrous Components: Noti-Fibrous Components; No Asbestos Detected 4% Cellulose 90% Resin and Binder 6% Mineral Particles Comments: Batch Number: 02-2246 Shaw Environmental Lab Sample Number: 02009642 COC#1738 Arlineron Client Sample Number: #2-Roofing Cvartal Fibre Sampled By: Client - — _ .,._.. .... Receiyed Tay: John MCCasLin 8/5/20022 �s Reviewed By; Gcorbc McCaslin 8nl2o(R E C E I v ed By: Deitrie Hanson 8i7/2002 Page 1 of? 'BAN 15 Z003 c) $ 3 2- CITY OF ARLINGITOIV i _ - ,, _ n ,; _. �. -AUG-07-2002 03:51PM FROM-PRE',C—)ASSOCIATES Z08281' T-770 P.003/003 F-784 Pr zant 330 6th Ave.North,Suita 200 SCUITIe,WA 98109 OFFICE:(206)281-8858 FAX:(206)281-8922 Bulk Asbestos Fiber Analysis a-V'Qn „,Key L-1 Tan and orange painted rocks Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components; No Asbestos Detected 991/6 Rocks 1% Paint Corn mertts: This sample contains two different roofing materials.One contains tan painted rocks. The other piece contains green painted rocks on top of asphaltic papery material, L-2 Black asphaltic fibrous material Asbestos IF ibmw Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 20% Polyurethane 57% Asphalt Filler and Binder 10% Glass Fiber 10°k ROCKS 3% Vermiculite Comments: L-3 Green painted rocks Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components; No Asbestos Detected 99% hocks 1% Paint Comments: L•4 Black fibrous asphaltic papery material Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Cntnponents: No Asbestos Detected 60'/0 Cellulose 37% Asphalt Filler and Binder 39b Spider Silk Comments; SamplcdBy: Client Rtceived By: John McCwlin 8/5/2002 Reviewed Tay: George McCaslin 817/2002 Analyzed By: Deirric Hutson 8/7/2002 Riga 2 of 2 � �• �i�u � �� _ �� � �1 � - � I I ~ , I City of Arlington Building Dept PUBLIC WORKS CHECKLIST PERMIT # DATE LEGAL Plat Lot Tax ID# NAME 14 & 11061719 ADDRESS �� .7 Tie—, BUILDING USE ��m,Q # of BUILDING UNITS Existing Required Signature Date Water Meter Fire Hydrant Side Sewer Permit Monitoring Manhole Cross-Connection Control Sewer: Off site On site Water: Off site On site Pretreatment Discharge Permit Water/Sewer Fees Date received Date Yellow returned Date Pink returned . � ' - � _ ._ � L � - _ . ' � '' ICI I _ 5 � �� _ ,� �� � ' � � � � _. - � � � �: ' � �:� -� _ �_ � � _ v � � r City of Arlington Building Dept PUBLIC WORKS CHECKLIST PERMIT # �' /3 ''-� �I �3- DATE ��J'✓� LEGAL Plat Lot Tax ID# NAME0-JI(Idk 110erkn ADDRESS Eca 1 07 yl �V e BUILDING USE �'W) Q # of BUILDING UNITS Existing Required Signature Date Water Meter Fire Hydrant Side Sewer Permit Monitoring Manhole Cross-Connection Control Sewer: Off site On site Water: Off site On site Pretreatment Discharge Permit Water/Sewer Fees Date received Date Yellow returned •� •' Date Pink returned MEN ■■•" -, , • M J i 0% >r ml �� ' ■ _ ■ � I ■ ■ ■ ■ ■ I-lN ■ ■ ■ ■ ■ ' mm ■ ■ ■ ■ ■ ■ NE-70 ■ ■ ■ - - - MO MEN - - ■ ■ - � , ■ - � • � •■ ON I ■ i ■ ME MIN - IN ' ■ m7 ■ M , ■ No ' 1 � ■ ■ 1 MIN A N No I - Ll -T E so r% lot% ■ ■ ■ momm mm � � ■ ■ ■ ■ mom ■ mom_ t I- - � I M% milmom ME " momm ■ � � ■ ■ ■ ■ ■ ■ ■ ■ 71 1 4jlr l E. mr � ■ No ■ ' NO ■ ■ � IM04 ImM' To ■loom- IMEM -of � ' ■ ■ mm ti ■ -■, ■ -■mr ■ ■ ■ 7m--� •mom L 0 - "Sommo ■ AE ■ Ii mlE 01 Memo Date: 2/3/2003 To: City of Arlington,Airport Division Cc: File From: Scott Black RE: Demolition At 19023 47th Ave Prior to the start of the building demolition you must locate all services and main lines. These must be capped off and inspected. Notify Earl Anderson in the Water Department and Virgil Renfroe in the Wastewater Department for inspections pertaining to the capping of these services. These items must be completed prior to final sign off of permit by Building Department. Thank you, Scott Black, Building Inspector i i i ,. C� CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWN MAIL3 ADDRESS RS/S CII1Y., PHON�z - `t 7 ARCHI IACT OR OLSIGNL R MAIL ADDRESS I Ll CITY ZIP PHONE GLNLRALLONIRAC[OR VNf�`�� MAIL ADDRESS CILY / LIP PHONE LIC NSE/ C ,c'34 r /�!�r 2� (� :j c� �t �l�a l `11S= 30`/�__ 's—c4 MLCHANICAL CONTRACTOR ' MAIL ADDRESS CITY ZIP PHONE LICENSE I PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I CLASS Of WORK ❑NLW ❑AUDITION ❑ALTERATION ❑REPAIR H DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK $ -2 d a U DESCRIBE WORK PRUPOSI U USE Of BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL ULSCRIPHUN Of PROPERTY(SHOWN BELOW OR ATTACH fOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOI BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO 00 O VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF A � r �� �� CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. 1)B,%OURI SS SIt;NATURE NT CTORORAUTHORIZEDA NT DATE (OFFICE USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILEI) AIR COND. UNITS -H.P. EA. BAIIIIUB REFRIGERATION UNITS-H.P.EA. LAVATORY(WASH BASIN) BOILERS- H.P.EA SITOW'LR GAS FIRED A.C.UNITS-TONNAGE EA. KI ICIfLN SINK& DISP. FORCED AIR SYSTEMS- B.T.U. MEA UISHWASHE.R WALL HEATERS- B.T.U. M LAUNDRY 1 RAY UNI1 HEATERS- B.T.U. M CLOI IILS WASHER EVAPORAI IVE COOLERS WA I LR HEATLR CLOTHES DRYERS URINAL VENTILATION FAN DRINKING FOUNIAIN RANGE FLOOD COMMERCIAL I'LOOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS RAINLEADERS METAL FIREPLACE &CHIMNEY SINK ISERVICE - BAR,EfC.) WATER HEATER GAS PIPING SUB TOTAL f SUBTOTAL f PERMIT S PERMIT f TOTALFEE f TOTALFEE f SIULYARUSL1BACK STRLLISLTBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. IJSI /ONI LOT AREA VACANT SITE ❑YES ❑NO FEES VALUATION FEE I YPL Of CONS OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG SIZE Of SLUG. NO.Of STORIES MAX.000.LOAD BU'LDING S Q v o a PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE t� ENERGY CODE SURCHARGE T 50 PENALTY U.B.C. SEC.303(a) RECEIVED WATER/SEWER FEES TOTAL ��l� 20C� PERMIT VALIDATION cITY OF ARLIN(aTON WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT PAID CRq BY cc: ASSESSOR.APPLICANT, "r'\SURER, f1' OG 0CPT. OUILnINGt+rnr;'L DATE ^- 203 (� 204 _ �1 20111 - 202 I 7 201 c � ; ? o _ ❑ � y 3 3 ( � _ CATE RD. ti 2 '� 0 �, �- ut- DATE L&LESS APPROVED BY THE i BUILDING {NSPE--ToR '< 3 v I RECEIVED CITY OF ARLINGTON I � -