Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
18928 59th Dr NE_077304_2026
f�l M INSPECTION REPORT peem)T :Pt 7 fY OF 1-1GE 1N G ��E'�J5 c,4 ,-� W� ¢y ?'� Permit No.: 07-7J 0 Y Lot#: Address: /$ 72 8 5 Dr. NL- O Contractor: _OK 4. Owner: - r pott �I N O Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION XCORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: _ Date: (v 33—" TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Dr inage ❑ Insulation 5d Other: i-o *ayPr ur - YY-L-rtp �4r No WE 0 ME ME mmm�lmmmm nommonshwo.-� N— ■ 1■ N� 11 i ~ — ■ ■ No ■ 1& 7 I No 0 0 0 NMI 0 IN 0 1 0 1 ■ t ■ MEN! ■ ME ■ 111 - MEMO! ■ ■ _ ME MEME No 0 0 or 0 I L mr-.L ■ ■ iti I - I I • IN - ■ - - - } - - - - - - 1 ■ -r ■■ • • r Nolen ■c■• 1 • " . I C I T1f UF= ARL I hICGTUhI CUh1STRUCT I Uhl PERM I T faF—:- RM I T' 114C7 _ _ Q11"7--73104 Owner: ARLINGTON CITY OF 238 N OLYMPIC AVE ARLINGTON 98223 Value of Work: $14, 000. 00 Tax ID; 31052200300100 Phone: 360 435-0724 Describe Work: COMMERCIAL REROOF Proposed Use: COMMERCIAL REROOF Legal Description: Job Address: 18928 59TH DRIVE NE Contractor's Name Type Address License# OK ROOFING, INC GEN 19932 SILL ROAD OKROO**283NZ TOTALS Fee Plan Fee $179. 40 SIGNATURL- TOTAL FEE. . . . . . . . . . . . . . . . . $179. 40 I HEREBY CERTIFY •THAT I HAVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KN W THE SAME TO BE TRUE AND COR- K ALL PROVISIONS OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $179. 40 O DAIL. 'NA�,T-_ - ,, "RKING THIS TYPE OF WI! MP IED WITH WHETHER I=� i N: IT. DATE RECEIPT # INE 1+.. G' �1 � �4y )K ..� �- L.fM•w� '.�. - ♦_�. - �►n.:�� �� t�'A�/f�R11.4 ��•��- r`r'�,� '4D .1 o"w M FUNDS TRANSFER AUTHORIZATION Project description: Arlington airport re-roof of structure at 18928 59th Dr. NE(BP 07-7304) TRANSFERIN Amount Bars#001.345.83.00 $179.40 Department Manager Bill Blak Date TRANSFER OUT Amount Bars# Il `,�-�i�W-ll D -6_ -US $179.40 Department Manager -P(.k :_ tf Dale Carman Date 3/s�07 After completing this form, please send to Roxanne in Finance. i RE-ROOF PERMIT APPLICATION tIN t Department of Community Development City of Arlington• 236 N Olympic Ave. -Arlington,WA 98223 • Phone (360)403 3431 •FAX(380)403 3447 Type of permit: (check one) Residential Commercial Project Address: �< 4�` 7r. °J F Parcel ID#: 10':2,t00 3cv I oci Owner: y 0� Artt%ci �n /ArI:r►q to,,% A,rrx,rj- Ph f31�o7 L103 3L170one Number. Address: 18�:a q+H-% 'I)r. N iZ City_ grit^c-ion State: WA Tip Code:_919 a a 1 contractor: QK �:nc -rexc.. Phone Number; Address: 2 City. A�1;^�,1-on States WA Zip Cade: C13az3 Contractor's License Number: Old P,00 -* K a%3 N Z Expiration: 15 T l ►-'1�tr �c�ss }QS ,AH �x.��:„ rrxarr�c� ;s he;.,q riMouecL Type of Roofing: m- Numberof Layers: �— Number of Squares: S0 Class of Roofing: o4,A ( )B O C Valuation of Re-Roof. 0, )L .U0 Work Scheduled to Begin: Lctfe. Feb, 017 Work Scheduled to End; L-4e. rnarcl_.u'7 The following is required for NON-Residential Buildings: ( )An Non-Residential projects will require a site visit prior to the issuance of the permit for obvious signs of fatigue,condition of existing roofing and number of existing layers. VTwo copies of the installation specifications and U.L.listed roof assembly. 0 Building square footage; '1 .00 0 Occupancy of Building: Office Retail Church Restaurant School I hereby certify the above information is correct and that the construction on, and the occupancy and the use of the above described property will be accordance with the laws, rules and regulations of the State of Washington. The applicant will be responsible for providing a method of safely accessing roof for inspection. A final inspection and approval shall be obtained when the re-roofing is complete. Applicants Signature Date RECEIVED Print Applicants Name FEB 0 2 200 COS PENAIT CENTER FOR STAFF USE ONLY _ 3u Permit# ACOep y Amount Received Reoeiot IF Date Received WEB Form—38 Page 1 of 1 5105 dws Aq O.K. ROOFING, i,41C. N° 2197 19932 SILL ROAD PROPOSAL ARLINGTON, WA 98223 (360) 652.5068 SUBMITTED TO Y PHONE DATE it STREET JOB NUMBER OR O p S CRY STATE ZIP JOB LOCATION /r L MAIN CONTACT JOB PHONE WE l+ewcTfuur SLOW TM FOMM a wOCOCATMW fitp47s POIL ZZ IV f ; ��4V- 'LZ�1- y ll A �•�� �jL� Go c-� - L 2 WE OFFER TO FURNISH MATERIAL AND LABOR AND COMPLETE THE ABOVE IN ACCORDANCE WITH ABOVE SPECIFICATIONS FOR THE SUM OF: DOLLARS($ 1 PAYMENT TO BE MADE AS FOLLOWS: All material is guaranteed to be as specified.All work to be completed in a workmanlike manner according to standard practices Any alteration or devia- tion Irom above specificalkme involving extra costs will be executed only upon AUTHORIZED SIGNATURE written orders,and will become an extra charge over and above the estimate All agreements contingent upon strikes,accidents or delays beyond our con. :iN R MA B trot Owner to carry fire,tornado and other necessary insurance Our workers IT, CEP AYS. ____�JVWare fully covered by Workmen's Compensation Insurance w The above prices,specifications and conditions are satisfactory and are hereby accepted You are authorized to do the work as specified Paymen TIP made as outkned above n 200, N i i ®A P RP AUTHORIZED SIGNATURE DATE OF ACCEPTANCE AUTHORIZED SIGNATURE PRO i . r-' .�� � "' _.,� r r- a +' . . �, .��� ��, ��t��`��r�i E � � 'Y:�� „' CITY OF ARLINGTON/MUNICIPAL AIRPORT 2007 AIRPORT ROOFING PROJECT SPECIFICATIONS PART I PROJECT DESCRIPTION 1.01 Schedule No. 1 — AIR Roof: Description The footprint of the building is approximately 4,800 square feet. Work included with this project consists of the removal and disposal of all existing roofing materials and flashing, and the installation of new roofing materials and flashing per the manufacturer's specifications. Work also includes the removal, disposal and replacement of any and all damaged sheeting and/or other materials that are found while in the process of replacing the roofing and flashing (such work to be bid as a per hour rate). 1.02 *Schedule No. 2 —Airport Rental House Roof: Description The footprint of the building is approximately 900— 1,000 square feet. Work included ,,vith this project consists of the removal and disposal of all existing rooting materials and flashing, and the installation of nexv roofing materials and flashing per the manufacturer's specifications. Work also includes the removal, disposal and replacement of any and all dannaged sheetin_ and/or other materials that are found while in the process of replacing the rooting and flashing (such work to be bid as a per hour rate). *Note: Schedule No.? may or may not be aN%arded. PART II PRODUCTS 2.01 Schedule No. 1 — AIR Roof All materials used must meet or exceed local building code requirements. Roofing material to be used must be a minimum 30 year, gray or black, laminated composition shingle roofing material with appropriate underlayment. Flashing material used Must be compatible with the color of the roofing material. Contractor shall provide the Airport with a copy of the product warranty and shall provide for a 5 year warranty on workmanship. 2.02 *Schedule No. 2—Airport Rental House Roof All materials used must meet or exceed local building code requirements. Roofing material to be used mast be a minimum 30 year, gray or black, laminated composition shingle roofing material with appropriate t.tnderlayment. Flashing material used must be compatible with the color of the roofing material. Contractor shall provide the Airport with a copy of the product warranty andqr.,41VE0 provide for a 5 year warranty on workmanship. :'. �? 2007 p. 'Note: Schedule No.2 may or may not be awarded. COA PE , .> •� .� � � 3�.��.t A`V i ��F � �;' � �� l �� � �hi', r I � V �rJ PART III GENERAL • The Airport will obtain the Building Permit. • This project is subject to state prevailing wages. ' • Successful bidders shall be required to file a Performance Bond in the full amount of the contract price. • Contractors are encouraged to visit and examine both sites prior to bidding on the project. '?E'CEIVED FEB 0' 2007 COA PERMIT��y ri- t .F r- � ,. i . '-,.ti� . 0 0 PABC PREMI]ER LAMINATED FIBERGLASS SHINGLES I���y�y�ppp 7" IN w. GIVE YOUR .HOME PREMIER PROTECTION Quality has a look that is unmistakable. Because your roof is one of the first things people notice, it makes sense to invest in the finest product available. The top layer of your PABCO Premier" is a multi-layered laminate shingle that looks and lasts beautifully. Shadowing and random shingle patterns add dimension to provide a rich look and feel to your home. A spectrum of colors to choose from add elegance to any architectural style. With 50, 40, and 30 year limited warranties, PABCO Premier'offers outstanding and protection for your home and family. Our Class "A"fire rating is crificd, WED your family's safety in the event of fire. FEB 0,2 1718 Thorne Road a - U7 (l PABCO' Roofing Products Phone(253) 272-0374 Fax( 5 �� www.pabcoroofiin-.com �s � '� �,t�. . ,.• �• � � �.•�' i •,q r FEATURES: BENEP.1'S: •Available with 50,40 and 30 year FULLY TRANSFERABLE •Provides striking beauty while safeguarding your home. limited warranty.* •Automatically transfers to any successive owner at no cost. •5 year MATERIAL&LABOR non-prorated warranty period. •5 Year 90,80 and 70 mph Limited Hind Ritrranly Coverage.'k TECHNICAL INFORMATION: r PREMIER'50 PREMIER'40 PRE:b/IER°30 Applicable to PREMIER':50,40 and 30 Shingles/Bundle:16 .Shingles/Bundle:16 Shingles/Bundle:16 ASTM Shingle Standards: D3462 Bundles/Square:4 Bundles/Square:4 Bundles/Square:4 D3018 Squares/Pallet:12 Squares/Pallet:14 Squares/Pallet:15 ASTM Wind Evaluation: D3161 Weight/Square:320lbs Weight/Square:2901b.s Weight/Square:260 lbs ASTAI Fire Evaluation: E 108 Weight/Pallet:3840 Weight/Pallet:4060 Weight/Pallet:3900 UL Wind Rating: UL Standard 997 Exposure:5-5/8"* Exposure:5-5/8"* Exposure:5-5/8"* UL Class A Fire Rating. UL Standard 790 Offset:5-5/8"* Offset:5-5/8"* Offset:5-5/8"* CSA Shingle Standard. A 123.5 Warranty:50 Year Limited* Warranty:40 Year Limited* Warranty:30 Year Limited* ICBO Approval: NER 5600 Wind Resistance:90 mph* Wind Resistance:80 rnph* Wind Resistance:70 mph* e See Pabco's limiled warranty for details, limits and conditions. ,1- ANTIQUE BLACK ® BLUE SLATE irtntavaifableinP501 BUCKSKIN TAN ©G DRIFTWOOD ®® HARVEST BROWN ®® PEWTER GREY ®® y , 't•:j 'r� ''11St,� �i: h SHERWOOD GREEN ® WEATHERED WHITE MO WEATHERED WOOD MO Scotchgard'"f Availability: ® PABCO PREWER'40 0 PABCO PRENlERi 30 The hick colors are avaita a rail '1)l' taut Roofing System i a , r 30. Scotchgard-Algae Resistant Roofing System PRAIRIE WOOD ® MOCHA (nor available in P50) ® is nwevail�T i�OR grarite Uj; i 1 r 1718 Thorne Ro' o (rl PABCO® Roofing Products Phone(253)272-0374 Fax(253)5ii-4'00 1111111111re a dhisinn of PABCO' www.pabcoroofing.com PR024d 25.000 AL 03/21/06 "'_003 PABCO"Roofing Product,,All trademarks OO are registered trademarks.Pabco Premier`,Precise`,SG-30`and GG-20"are trademarks of Pahco°Roofing Products Printed colors shown in this brochure may vary fmm actual shingle colors.We recommend color selection he made from actual shingle samples. �^ .�:� • � '1 � ' 1 �� � y R.ECEIVEL`' MAR 01 1001, ASBESTOS ,SAMPLING REPORT Arlington Municipal Airport—Roofing Materials of Two B'u' ' Arlington, Washington �ldcngs Shaw ProjectNo. .125629 February 2007 Prepared for: City of Arlington Arlington Municipal Airport 18204 59 h Drive N.E. Arlington, WA. 98223 Prepared by: L\ 6aW"Shaw Environmental,Inc. 19909 120°i Avenue NE, Suite 101 Bothell, Washington 98011-8233 i t�S c a Asbestos Sampling Report Arlington Airport—Roofing Materials of Two Buildings Arlington, Washington Date of Report: February 27, 2007 Prepared by: Patrick Moore, CIH Reviewed by: Kent Wiken,P.E. ii i Executive Summary Shaw Environmental, Inc. (Shaw) was contracted by the City of Arlington (City) on behalf of the Arlington Municipal Airport (Airport) to conduct sampling and analysis of roofing materials on two buildings located at the Airport for the presence of asbestos-containing materials (ACM). A total of twelve (12) bulk samples of roofing materials were collected and analyzed for the presence of asbestos. Most of the bulk samples had multiple layers of materials due to the built- up roofing construction that was used. For samples containing more than one separable layer of materials, the laboratory analyzed each layer (labeled Layer 1 and Layer 2, etc.) and provided findings as to the asbestos content of each layer. The analytical laboratory determined that all of the bulk asbestos samples were non-detectable (ND)for the presence of asbestos fibers. Refer to Table 1.0—Summary of Asbestos Sampling Results for a summary of the results from the Arlington Airport roofing materials asbestos survey. iii i 00 41 cq w x x x x b U w w w _n 0 v� 0 0 0 H z z z a a C r 00 CD o0 0 0 Cl., vcl� °° o0 000 0 00 2 i i C o0 00 00 a E pq o. C40 c ro 0\ w : . .c 0 0 0 (D o `' 4-4 n Z o ° ° zo i w zo o °� o u Z o r o. �r Ncli a i-r o o N .0 t ❑ N - C w Cto cc C� CC ai ..Vi cu co 13 cu LV Ei r, CN (41 r 1 O O O N M w � v U A CA x x a . 0 `c° -- U Cd w w ° 0 o w z z z z z z H _ cii N N N N N oyf O O O O O O O O CO r ° O O O Gn C/) i cn H � 0 �C O O v O O p 4- ..`+ O 4-4 b .� N O o O ° cn O y + — .mob. _ L7 O F�. U U �O N w O +' O a+ O OEll 0 4i O.-, O 4) 1 v 3 c 3 3 .� °' V 0 0 0 0 t�T 0 3 o � r.; ° • y r a 3 ° co 0 o a 3 -'� 3 c° Y � o U co cc ca m E ca Qt:• ro a`i m ro �? ro cocc. G LV r+, M cots cc N N „';_ O 0 w t O O 0 W O u � a x x x x x x .o .�,=... •[ Z 0 O O O O w z z z z z z 44 N N C= N N a CDO O O CD r►� CDO O p O O �v. d - O O O O O r t r •-� •,� .--� O a t r r t : o, o 00 H cn O `" H o o ° °o O °0 •�, �, 0 0 0 bo 0 CA 4° o 0 0 a a 7 C4n3 r 3 i °' �" .o 0 0 0 0 0 0 o � `" w o C3 O � U rn U OR W 3 (� . -...Q... ., caca .� Em cd ca Ol N' o p `° � a i .� W `•, F" a w G4 Aa w 1-4 � , N N N cy it �Y ri. 4-4 4-4c M en M O CO-4 4 i M en M d .� O 4-4 O 0 N cn CO y�. O�o�Qo:^ O O p O O O i C o° a. a: 4-4 o 0 0 z z z °' g � Q N � � C9 N N L7 O p N H V► . �. � o 0 o A � a 40 r t z o v � � O H 0 4-1 0 �a o o 3 3 4 W o o o 4) ° cu -O 4 b cl O O C;4 14 O cd 4-i N 00 N i a1 2 v] H ckJ . O o° to W � � w a� H x U 3 9 ° a) ca ti U UCU 4-4 t4 �� cn r+ ,� � tv , H 7 cd cccq N a y �L M �k o M W �I� O p 4-4 4a d R. CAN U .�., H Table of Contents Executive Summary.................................................... Table of Contents ............................. ...m ......................... .................. ............................................................. ... Tables............. ....................... vm ..................................................................................... ... Appendices ...vm 1.0 Introduction............................................................................................................................viii 2.0 Applicable Definitions """""""""1 3.0 Asbestos Sampling Methodology............................................................................................2 3.1 Identifying Sampling '2 fY 9 Areas............ ................................ 3.2 Selection of the Sample Locations .............................................. 3.3 Sample Procedure...................... .........................3 3.4 Quality Assurance..................... ................................................................................3 3.5 References........................ ...........................................................................3 4.0 Bulk Asbestos Sample Analysis5.0 . ...................................................................................3 ........................................ FacilityD ...............4 Description ............ ........................................... 5.1 Suspected ACM Homogenous Areas..................................................................... 5.2 Estimated Quantities of Suspected ACM.... 4 5.3 Physical Condition of Suspected ACM. 5........................................ 6.0 Sample A nalysis Results ..............................5 ....................................................................... 7.0 Limitations .................................7 Tables Table 1.0:Summary of Asbestos Survey Results Table 5.1: Suspected ACM Homogenous Areas Table 5.2:Quantities of Suspected ACM by Functional Area Table 5.3:Physical Conditions Summary Table 6.0:Asbestos Analysis Results ADDendices Appendix A:Analytical Results Appendix B: Inspector Certificate Appendix C: Inspection Photos viii i 1,0 Introduction Shaw Environmental, Inc. (Shaw) was contracted by the City of Arlington (City) on behalf of the Arlington Municipal Airport (Airport) to conduct sampling and analysis of roofing materials on two buildings located at the Airport for the presence of asbestos-containing materials(ACM). Mr.Patrick Moore, a Certified Industrial Hygienist(CIH) with Shaw, an "Asbestos Hazard Emergency Response Act"(AHERA) Asbestos Building Inspector, certificate number 1025143 (Expiration date of January 24, 2008), conducted the sampling on February 15, 2007. The purpose of this asbestos sampling was to identify the presence of any asbestos-containing materials (ACM) within the roofing materials used on the A.I.R. Building (Building # 49) and the "Rental House". This was accomplished by the collection of bulk samples of building roofing materials for analysis. The Arlington Airport supplied the use of a bucket truck for access to the roofs of the two structures. All samples were taken near the edge of the roof lines so that fall protection equipment was not needed. There were no indications that the roofing materials located in other areas of the roofs would be any different in their construction, and the potential for inclusion of ACM, then those near the roof lines. According to the U.S. Environmental Protection Agency (EPA) sampling requirements under the Asbestos Hazard and Emergency Response Act (40 CFR 763.86) the following number of samples need to be taken of surfacing materials in order to confirm that a suspected material is not asbestos: • At least five (5) bulk samples shall be collected from each homogeneous area that is greater than 1,000 ft2; and • At least seven (7) bulk samples shall be collected from each homogeneous area that is greater than 5,000 ft2. A total of twelve bulk samples of roofing materials were collected and analyzed for the presence of asbestos, seven (7) from the A.I.R. Building (approximately 4,800 ft2 of roof surface area) and five (5) from the"Rental House"(approximately 1,000 ft2 of roof surface area). Most of the bulk samples had multiple layers of materials due to the built-up roofing construction that was used. For samples containing more than one separable layer of materials, the laboratory analyzed each layer(labeled Layer 1 and Layer 2, etc.) and provided findings as to the asbestos content of each layer. 1 2.0 Applicable Definitions AHERA Building Inspector means a person who has successfully completed the training requirements for a building inspector established by EPA Asbestos Model Accreditation Plan; Interim Final Rule(40 CFR Part 763, Appendix C) and whose certification is current. Asbestos means the asbestiforn varieties of actinolite, amosite, tremolite, chrysotile, crocidolite, or a.nthophyllite. Asbestos-Containing Material (ACM) means any material containing more than one percent (1%) asbestos as determined using the method specified in U.S. Environmental Protection Agency (EPA) regulations Appendix E, Subpart E,40 CFR Part 763, Section 1,Polarized Light Microscopy. Asbestos Survey means a written report describing an inspection using the procedures contained in EPA regulations (40 CFR 763.86) to determine whether materials or structures to be worked on, renovated,removed, or demolished contain asbestos. Friable, Asbestos-Containing Material means asbestos-containing material that, when dry, can be crumbled, pulverized, or reduced to powder by hand pressure or by the forces expected to act upon the material in the course of demolition, renovation, or disposal. Such materials include, but are not limited to, thermal system insulation, surfacing material, and cement asbestos products. Homogeneous Area means an area of material that is uniform in color and texture. Miscellaneous Material means interior building material on structural components, structural members or fixtures, such as floor and ceiling tiles, and does not include surfacing material or the rmal system insulation. Surfacing Material means material that is sprayed-on, troweled-on, or otherwise applied to surfaces including, but not limited to, acoustical plaster on ceilings, paints, fireproofing materials on structural members, or other materials on surfaces for decorative purposes. Suspect Asbestos-Containing Material means material that has historically contained asbestos including but not limited to, surfacing material, thennal system insulation, roofing material, fire barriers,gaskets, flooring material, and cement siding. Thermal System Insulation means material applied to pipes, fittings, boilers, tanks, ducts, or other structural components to prevent heat loss or gain. 3.0 Asbestos Sampling Methodology Shaw conducted the asbestos bulk sampling in accordance with the procedures contained in the EPA regulations (40 CFR 763.86). 2 3.1 Identifying Sampling Areas The asbestos sampling followed protocol as per AHERA 40 CFR Part 763. Therefore al ACM are identified as unique "homogeneous sampling areas." homogeneous 1 suspect material like in color, texture and serves a similar function. The material og then udiv dimatvided is any categories, "surfacing material" SM d into three material" M ( )� thermal system insulation" (TSI), and "miscellaneous ( ), and a determination as to whether the material is friable or non-friable is made. Roofing materials are normally considered surfacing materials. The roof of each build' considered a single "homogeneous sampling area." xng was 3.2 Selection of the Sample Locations Access to the roofs of the two buildings was accomplished using a bucket truck furnished by the Arlington Airport. Due to the use of the bucket truck for access, and the lack of roof anchorage for fall protection equipment, the bulk samples of roofing materials were all taken within a f points t or two of the edges of roofs. An inspection of the roofs did not denote any indications that the materials located further from the roof lines were constructed any differently than those near the ed Ls. ges. 3.3 Sample Procedure A certified EPA asbestos building inspector performed the sampling. Proper procedures were f during the sampling activity. The safety and health of the asbestos inspector were considered samples were collected. d before Bulk samples were collected and placed in plastic bags, sealed, and given a unique sam lin All samples were recorded on chain of custody forms. Thnumber ese forms were signed by both the i . taking the sample and by the laboratory when delivered for analysis. If one sample of a homogeneous nspector area were to test positive, the entire homogeneous area would be considered positive. geneous 3.4 Quality Assurance Asbestos sample analyses are routinely cross-checked by NVL Laboratories, Inc. with laboratories for quality assurance purposes. These quality uality (QA)assurance c(I to ensure reliable results for analyses of bulk samples. Procedures are erl�ployd 3.5 References The following regulatory standards were utilized in the performance of this asbestos survey. • 40 CFR Part 763, "AHERA"; • Puget Sound Clean Air Agency Regulation III,Article 4,Asbestos; • Washington State Department of Labor and Industries, Asbestos Regulations (WAC 296-6 5 & 3 296-62-077). 4.0 Bulk Asbestos Sample Analysis Bulk asbestos sample analysis was performed by NVL Laboratories, Inc. (NVL) located at 4708 Aurora Avenue North in Seattle, Washington. Examination of these samples was conducted presence of identifiable asbestos fibers using staining in accordance with U.S. EPA/600/R-93/11161T for the e t Method microscopy (PLM) with dispersion NVL supplied a detailed report which includes findings for each layer of the bulk samples obtained (labeled Layer 1 and Layer 2, etc. for each individual layer). 5.0 Facility Description The A.I.R. Building is a metal-sided two-story warehouse with an attached office space. The roof of the structure measures approximately 4,800 ftZ and is constructed of asphalt"three-tab"shingles. The "Rental House" is a wood-frame building with an asphalt "three-tab" shingles roof that measures approximately 1,000 ft2. The interior of the buildings were not entered or inspected as part of this project. 51 Suspected ACM Homogenous Areas The following table describes the suspected ACM homogenous (Functional) areas related to the roof structures of the two buildings inspected. A homogeneous area means an area of material that is uniform in color and texture. Since the roofs of both structures appeared intact, with no obvious areas where different building materials may have used, each roof was selected as a homogeneous area for the purposes of this report. TABLE 51—SUSPECTED ACM HOMOGENOURS AREAS Room Description Functional Area l D# Description of Materials A.I.R.Building 1 Asphalt"three-tab"shingles. Samples found up to three of materials. 1)Black asphaltic fibrous material with granules layers) Black asphaltic fibrous felt;and 3)Multi-layered black asphaltic material with mineral grains. "Rental House" 2 Asphalt"three-tab"shingles. Samples found up to four(4)layers of materials: 1)Layered black asphaltic fibrous material with granules;2)Black asphaltic mastic; 3)Black asphaltic fibrous felt; and 4)Tan fibrous materials. 4 5.2 Estimated Quantities of Suspected ACM The following table provides estimated quantities of the roofing materials, i.e., suspected ACM that were encountered during the sampling of the A.I.R. Building and the "Rental House" at the Arlington Municipal Airport: TABLE 5.2—QUANTITIES OF SUSPECTED ACM by FUNCTIONAL AREA Functional Suspected ACM Estimated Quantity Area TD#: 1 Asphalt"three-tab"shingles. Samples found up to 4,800 ftZ three(3)layers of materials: 1)Black asphaltic fibrous material with granules;2)Black asphaltic fibrous felt;and 3)Multi-layered black asphaltic material with mineral grains. 2 Asphalt"three-tab"shingles. Samples found up to 1,000 ftZ four(4)layers of materials: 1)Layered black asphaltic fibrous material with granules; 2)Black asphaltic mastic;3)Black asphaltic fibrous felt; and 41 Tan fibrous materials. 5,3 Physical Condition of Suspected ACM The physical condition of the suspect ACM was documented in accordance with AHERA regulations as described below. Friable - The term "friable" for the purposes of this survey refers to materials that generate a powder when rubbing your hand across the materials or if the material can be crushed by hand pressure. Physical Condition - The term "Physical Condition" provides an estimate of the extent and type of damage/deterioration to the suspected ACM as Good, Fair or Poor. Poor Condition ("Significantly Damaged" as defined in AHERA) are materials with one or more of the following characteristics: • Surfacing Materials -The surface crumbling or blistered over at least one tenth of the surface if the damage is evenly distributed (one quarter of the damage is localized). One tenth (one quarter, if localized) of material hanging from the surface, deteriorated, or showing adhesive failure. Water stains, gouges, or mars over at least one tenth of the surface if the damage is evenly distributed (one quarter if the damage is localized). • TSI Materials — Missing jackets on at least one tenth of the piping or equipment. Crushed or heavily gouged or punctured insulation on at least one tenth of pipe runs / risers, boiler, tank, duct, etc., if the damage is evenly distributed (one quarter if the damage is localized). 5 i Accumulations of powder, dust, or debris similar in appearance to the suspect material on surfaces beneath the material can be used as confirmatory evidence. Fair Condition ("Damaged") are materials with the following characteristics: Surfacing Materials - The surface crumbling, blistered, water-stained, gouged, marred or otherwise abraded over less than one tenth of the surface if the damage is evenly distributed (one quarter if the damage is localized). Accumulation of powder, dust, or debris similar in appearance to the suspect material on surfaces beneath the material can be used as confirmatory evidence. • TSI Materials — A few water stains or less than one"tenth of insulation with missing jackets. Crushed insulation or water stains, gouges, punctures, or mars on up to one tenth of the insulation if the damage is evenly distributed (or up to one quarter if the damage is localized). Good Condition — Materials with no visible damage or deterioration, or showing only very limited damage or deterioration. Potential for Disturbance — The term "Potential for Disturbance" refers to the potential for disturbance of suspect materials (High,moderate, or low), based on the following factors: • Potential for contact with the material: High—Service workers in the vicinity more than once a week; material is in a public area and accessible to building occupants. Moderate — Service workers in the area once per month to once per week; material in a room or office and accessible to occupants. Low—Service workers in the area less than once per month; material is visible but not within reach of building occupants. • Influence of Vibration: High — Loud motors or engines present (e.g., fan rooms); intrusive noises or easily sensed vibrations (e.g., major airports a major highway). Moderate—Motors or engines present but not obtrusive e. ducts vibrating but no n)the area); occasional ( g•, g loud sounds. Low/None—None of the above. • Potential for A it Erosion: High—High velocity air(e.g., elevator shaft, fan above. room). Moderate— Noticeable movement of air (e.g., air shaft, ventilator air stream; Low/None — None of the The following table provides a summary of the physical conditions, per the AHERA terminology discussed above, of the suspected ACM encountered during the inspection of the roofing materials for the two buildings at the Arlington Municipal Airport. 6 i TABLE 5.3—PHYSICAL CONDITIONS SUMIvIARy Functional Material Description Type of Friable Physical Potential for Area ID# BM' l Condition Disturbance Asphalt"three-tab" SM No Fair shingles. High 2 Asphalt"three-tab" SM No Fair High shingles. 1 Type of Building Material-Surfacing material(SM), thermal system insulation (MM). (TSI), miscellaneous materials 6.0 Sample Analysis Results A total of twelve (12) bulk samples of roofing materials suspected of potentially containing asbestos were submitted to NVL for analysis. None of the samples were positive for the presence of asbestos fibers. The following table provides a summary of the results of the samples taken of the suspected ACM, i.e., roofing materials, encountered during the inspection of the two buildings at the Arlington Municipal Airport. TABLE 6.0`-ASBESTOS AN RESUTLS Sample ID Layer- FA'# Material Descri lon p Sample.Location %ACM2.. A.I.R.Building(Building#49)—Samples 01 through 07 01 1 of 3 1 Black asphaltic fibrous material North-west side of roof; — I with nules ND foot from ed e 01 2 of 3 1 Black asphaltic fibrous felt North-west side of roof,—I ND foot from edge _ 01 3 of 3 1 Multi-layered black asphaltic p North-west side of roof;— 1 ND material with mineral grains foot from ed e 02 1 of 2 1 Multi-layered black asphaltic P North side of roof;— 1.5 ND material with mineral grains feet from edLye 02 2 of 2 I Black asphaltic fibrous felt North side of roof;— 1.5 ND feet from edge 03 1 of 1 1 Multi-layered black asphaltic P North-east side of roof;— 1 ND material with mineral grains foot from ed e 04 1 of 1 1 Multi-la ered black as haltic West side of roof;— 1 foot ND 7 TABLE 6.0=ASBESTOS ANALySIS RE,SUTLS Sample 1D Layer FA'# Materjblak criptionFSo ample Location /o ACIVI # # 0 2 material with al grainsedge OS 1 of 1 I Multi-layeredas halticP west side of roof; 1 ND material with l rainsom ed e 06 1 of 1 1 Multi-layered black asphaltic P South side of roof; 1.5 ND material with mineral rains f=edgc Q7 1 of 1 1 Multi-layered black asphaltic P ND material with mineralgrains Rental House (Samples 08 through 12) 08 1 of 4 2 Layered black asphaltic fibrous P North-west side of roof;— 1 ND material with anules foot from ed e 08 2 of 4 2 Black asphaltic mastic North-west side of roof;— 1 ND foot from edge 08 3 of 4 2 Black asphaltic fibrous felt North-west side of roof;— 1 ND foot from edge 08 4 of 4 2 Tan fibrous material North-west side of roof;— 1 ND foot from ed e 09 1 of 4 2 Layered black asphaltic fibrous P West side of roof;— 1.5 feet ND material with granules from ed e 09 2 of 4 2 Black asphaltic mastic West side of roof; — 1.5 feet ND from ed e 09 3 of 4 2 Black asphaltic fibrous felt West side of roof; —1.5 feet ND from ed e 09 4 of 4 2 Tan fibrous material West side of roof; — 1.5 feet ND from edge 10 1 of 3 2 Layered black asphaltic fibrous P South-west side of roof;...1 ND material with anules foot from ed e 10 2 of 2 Black asphaltic mastic South-west side of roof;—1 ND foot from ed e 10 3 of 3 2 Black asphaltic fibrous felt South-west side of roof;—1 ND foot from edge 11 1 of 3 2 Layered black asphaltic fibrous South side of roof;— 1 foot ND 8 TABLE 6.0—ASBESTOS ANALYSIS RESUTLS Sample.ID Layer FA'# Material Descri tion # #. p Sample Location %ACM2 material with granules from ed e r 11 2 of 3 2 Black asphaltic mastic South side of roof;— 1 foot ND ' from edge 11 3 of 3 2 Black asphaltic fibrous felt South side of roof;— 1 foot ND _ from ed e 12 1 of 3 2 Layered black asphaltic fibrous p South-east side of roof; — 1 ND material with granules foot from edge 12 2 of 3 2 Black asphaltic mastic South-east side of roof; — 1 ND foot from edge 12 3 of 3 2 Black asphaltic fibrous felt South-east side of roof;— 1 ND foot from edge Functional Area Number; Percent Asbest os-Containing Material (ND—None Detected). 7.0 Limitations The services described in this report were performed consistent with generally accepted professional consulting principles and practices and federal, state and local regulations. No other warranty, expressed or implied, is made. This report is solely for the use and information of our client unless otherwise noted. ,Any reliance on this report by a third party is at such party's sole risk. Opinions and recommendations contained in this report apply to conditions existing when services were performed and are intended only for the client, purposes, locations, time frames, and project parameters indicated. We are not responsible for the impacts of any changes in environm ental standards,practices, or regulations subsequent to performance of services. 9 APPENDIX A ANALYTICAL RESULTS 10 F VL Laboratories Inc.8 Aurora Ave. N., Seattle,WA 98103 :206.547.0100, Fax:206.634,1936 #102063 www.nvilabs_com Bulk Asbestos Fibers Analysis By Polarized Light Microscopy — Client: Shaw Environmental Address: 19909 120th Avenue NE, Suite 101 Batch #: 2702601.00 Bothell, WA 98011 Client Project#: 116777.99999992 Date Received: 02/15/2007 Attention: Mr. Pat Moore Samples Received: 7 Project Location: Arlington Municipal Airport Samples Analyzed: 7 A.I.R. Building(#49) Method: EPA/600R-93/116 Lab ID: 27015183 Client Sample#: 01 — --- Location: Arlington Municipal Airport Layer 1 of 3 Description: Black asphaltic fibrous material with granules Non-Fibrous Materials: Other Fibrous Materials:% Asbestos T Asphalt/binder, Mineral rains ° Type: Layer 2 of 3 Description: Black asphaltic fibrous felt Glass fibers 15/° None Detected ND Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/binder Cellulose 60% None Detected ND Layer 3 of 3 Description: Multi-layered black asphaltic material with mineral grains Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/binder, Mineral grains Glass fibers 15% None Detected ND Lab ID: 27015184 Client Sample#: 02 Location: Arlington Municipal Airport Layer 1 of 2 Description: Multi-layered black asphaltic material with mineral grains Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/binder Glass fibers 10% None Detected ND Layer 2 of 2 Description: Black asphaltic fibrous felt Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % —� Asphalt/binder Cellulose 60% None Detected ND Lab ID:27015185 Client Sample#: 03 — Location: Arlington Municipal Airport Layer 1 of 1 Description: Multi-layered black asphaltic material with mineral grains Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: Asphalt/binder Glass fibers 10% None Detected ND Lab ID: 27015186 Client Sample#: 04 Location: Arlington Municipal Airport =Reviewed lient ubair Ahmed Date:02/19/2007 ick Ly Date:02/19/2007 Nick Ly,4Tecica trector Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/11 -93/116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40 -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories,Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 1 of 2 NVL Laboratories Inc. 4708 Aurora Ave.N.,Seattle,WA 98103 Te 1:206.547.0100, Fax:206.634.1936 4102063 www.nvllabs.com _ Bulk Asbestos Fibers Anal sis By Polarized Light Microscopy Client: Shaw Environmental Address: 19909 120th Avenue NE, Suite 101 Batch #: 2702601.00 Bothell, WA 98011 Client Project#: 116777.99999992 Date Received: 02/15/2007 Attention: Mr. Pat Moore Samples Received: 7 Project Location: Arlington Municipal Airport Samples Analyzed: 7 A.I.R. Building (#49) Method. EPA/600R-93/116 Layer 1 of 1 Description: Multi-layered black asphaltic material with mineral grains Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: Asphalt/binder Glass fibers 10% Lab ID: 27015187 Client Sample#. 05 `None Detected ND Location: Arlington Municipal Airport Layer 1 of 1 Description: Multi-layered black asphaltic material with mineral grains Non-Fibrous Materials: Other Fibrous Materials:% °/° Asbestos Type: Asphalt/binder Glass fibers 10% Lab ID: 27015188 -- — — None Detected ND Client Sample#: 06 - ---- Location: Arlington Municipal Airport Layer 1 of 1 Description: Multi-layered black asphaltic material with mineral grains Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: Glass_ Asphaltlbinder Yp Lab ID: 270151$9 ass fibers 10% None Detected ND Client Sample#: 07 -- Location: Arlington Municipal Airport Layer 1 of 1 Description: Multi-layered black asphaltic material with mineral grains Non-Fibrous Materials. Other Fibrous Materials:% Asbestos Type: Asphalt/binder Glass fibers 10% None Detected ND Sampled by: Client Analyzed by: Zubair Ahmed Reviewed b Nick L Date: 02/19/2007 Y. Y Date:02/19/2007 Nick Ly, c or Note: If samples are not homogeneous, then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 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 sample was not collected by NVL personnel,then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories,Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 2 of 2 i NVL Laboratories Inc. 4708 Aurora Ave. N., Seattle,WA 98103 a� TO 206.547.0100, Fax:206,634.1936 www.nvllabs.com Bulk Asbestos Fibers Anal sis #102063 Client: Shaw Environmental By Polarized Light Microscopy Address: 19909 120th Avenue NE, Suite 101 Batch M 2702602.00 Bothell, WA 98011 Client Project#: 116777.99999992 Date Received: 02/15/2007 Attention: Mr. Pat Moore Samples Received: 5 Project Location: Arlington Municipal Airport Samples Analyzed: 5 Rental House Method: EPA/600R-93/116 070LID Location: Arl5t9 Client Sample#: 08 — Municipal Airport Layer 1 of 4 Description: Layered black asphaltic fibrous material with granules Non-Fibrous Materials: Other Fibrous Materials:% o/°Asphalt/binder, Granules Asbestos Type: Layer 2 of 4 Description: Black Cellulose 45% None Detected ND 4sphaltic mastic Non-Fibrous Materials: Other Fibrous Materials:% ° Asphalt/binder, Mastic/binder Asbestos Type: /o Layer 3 of 4 Description: Black asphaltic fibrous felt None Detected ND None Detected ND Non-Fibrous Materials: Other Fibrous Materials:% o /o Asbestos Type: Asphalt/binder Cellulose 75% Layer 4 of 4 Description: Tan fibrous material None Detected ND Non-Fibrous Materials: Other Fibrous Materials:% o/o Fine particles, Asphalt/binder Asbestos Type: Cellulose 98% Lab ID: 27015191 _ None Detected ND Client Sample M 09 — Location: Arlington Municipal Airport Layer 1 of 4 Description: Layered black asphaltic fibrous material with granules Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/binder, Granules Layer 2 of 4 Description: Black asphaltic mastic Cellulose 45% None Detected ND Non-Fibrous Materials: Other Fibrous Materials:% o/0 Asphalt/binder, Mastic/binder Asbestos Type: Layer 3 of 4 Description: Black asphaltic fibrous felt None Detected ND None Detected ND Non-Fibrous Materials: Other Fibrous Materials:% °/a Asbestos Type: Asphalt/binder Cellulose 75% None Detected ND =by: syazhnyuk Date:02/16/2007 Date:02/16/2007 Nick L , j Note: If samples are not homogeneous, then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/R -931116 Method with the following measurement uncertainties for the reported %Asbeslos (1%=0-3%, 5%=1-9%, 10%=5.15%, 20%=10-30°b, 50%=40 -60%). 'This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without writt not be used to claim product endorsement by NVLAP or any other agency of the US Government, en ap proval of NVL Laboratories,Inc. It shall Page 1 of 3 NVL Laboratories inc. 4708 Aurora Ave. N.,Seattle,WA 98103 Tel:206.547.0100, Fax:206.634.1936 #102063 www.nvilabs.com Bulk Asbestos Fibers Analysis By Polarized Light Microscopy Client: Shaw Environmental Address: 19909 120th Avenue NE, Suite 101 Batch #: 2702602.00 130thdl, WA 98011 Client Project#: 116777.99999992 Date Received: 02/15/2007 Attention: Mr. Pat Moore Samples Received: 5 Project Location: Arlington Municipal Airport Samples Analyzed: 5 Rental HOUse Method: EPA/600R-93/116 Layer 4 of 4 Description: Tan fibrous material Non-Fibrous Materials: Other Fibrous Materials:% Fine particles,Asphalt/binderAsbestos Type; % Cellulose 98% None Detected ND Lab ID:27015192 Client Sample#: 10 -- Location: Arlington Municipal Airport Layer 1 of 3 Description: Layered black asphaltic fibrous material with granules Non-Fibrous Materials: Other Fibrous Materials:% Asbestos T o/o AsphalUbinder, Granules Type: Layer 2 of 3 Description: Black asphaltic mastic Cellulose 45% None Detected ND Non-Fibrous Materials: Other Fibrous Materials:% Asphalt/binder, Mastic/binder Asbestos Type: % Layer 3 of 3 Description: Black asphaltic fibrous felt None Detected ND None Detected ND Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: AsphalUbinder Cellulose 75% Lab ID:27015193 Client Sample#: 11 None Detected ND Location: Arlington Municipal Airport Layer 1 of 3 Description: Layered black asphaltic fibrous material with granules Non-Fibrous Materials: Other Fibrous Materials:% o/o AsphalUbinder, Granules Asbestos Type: Layer 2 of 3 Description: Black asphaltic mastic Cellulose 45% None Detected ND Non-Fibrous Materials: Other Fibrous Materials:% o/o Asphalt/binder, Mastic/binder Asbestos Type: Layer 3 of 3 Description: Black asphaltic fibrous felt None Detected ND None Detected ND Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/binder Cellulose 75% None Detected ND Lab ID:27015194 Client Sample#: 12 Location: Arlington Municipal Airport =Reviewed lient adia Prysyazhnyuk Date: 0211 6/2 0 0 7 ick Ly Date:02/16/2007 Nick Ly, Tec mica Director Note: If samples are not homogeneous, then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/R -93/116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%. 5o%=40 -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories,Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 2 of 3 M NVL Laboratories Inc. 4708 Aurora Ave. N.,Seattle,WA 98103 Tel:206.547.0100, Fax:206.634.1936 #102063 +Nww.nvllabs.corn Bulk Asbestos Fibers Analysis By Polarized Light Microscopy Client: Shaw Environmental Address: 19909 120th Avenue NE, Suite 101 Batch #: 2702602.00 Bothell, WA 98011 Client Project#: 116777.99999992 Date Received:02/15/2007 Attention: Mr. Pat Moore Samples Received: 5 Project Location: Arlington Municipal Airport Samples Analyzed: 5 Rental Howe Method: EPA/600R-93/116 Layer 1 of 3 Description: Layered black asphaltic fibrous material with granules Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type; % Asphalt/binder, Granules Cellulose 45% Layer 2 of 3 Description: Black asphaltic mastic None Detected ND Non-Fibrous Materials: Other Fibrous Materials:% Asbestos T Asphalt/binder, Mastic/binder Type: % Layer 3 of 3 Description: Black.asphaltic fibrous felt None Detected ND None Detected ND Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/binder Cellulose 75% None Detected ND Sampled by: Client Analyzed by: Nadia Prysyazhnyuk Date:02/16/2007 Reviewed by: Nick Ly Date:02/16/2007 Nic Note: If samples are not homogeneous, then subsamples of the components were analyzed separately.All'bulk samples are an 600/R 5-15%alyzed using EPA, 20%=10-30%, A 600/R -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories,Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 3 of 3 _ NVL Laboratories, Inc. BATCH ID 4708Aurora Ave N, Seattle, WA98103 CHAIN Of CUSTODY 27Q260 Tel: 206-547.0100 Emerg.Pager:206.344.1878 SAMPLE LOG .00 Fax: 206,634.1936 1.888.NVL.LABS (686.5227) Client � Street�g 5�, —J —r L Batch Number 16 Client Job Number 167-7 y ! Total Samples !Z Project Manager �-. Turn Around Time ❑1-Hr X24-11rs ❑4 Days s Project Location Q 02-Hrs 02Da Y ❑5 Days ❑4Hrs ❑3 Days p 6 to 10 Days Please call for TAT less than 24 Hrs Phone: Email address pc>�-;crr,,.�cu�� �.c Fax: ❑Asbestos Air ❑PCM(NIOSH 7400) ❑TEM(NlOSH 7402 sbestos Bulk LM(EPA/600/R-93/116 ) ❑TEM(AHERA) ❑TEM (EPA Level II) ❑Others_ ❑Mold/Fungus us _ ) ❑PLM(EPA Point Count) ❑PLM (EPA Gravimetry) ❑TEM Bulk 9 ❑Mold Air El Mold Bulk ❑Rotometer Calibration METALS Inst./Det Llrni Matrix ❑Total Metals RCRA Metals er Jas ❑TCLP ❑FAA(ppm) ❑Air FUter ❑Paint Chips in cm ❑❑ICP ) ❑Drinkin water ❑Arsenic (As) ❑Mercu (Hg) ��7r3(PPrn 9 ❑Waste Water ❑Barium(Ba) ❑Selenium Se ❑Copper ❑GFAA(ppb) ❑Dust/wipe(Area) ❑Other ❑Cadmium Cd ( g) ) (( )❑Soil ( ) ❑Silver A ❑Nicke! N ❑Paint Chips in % ❑Chromium(Cr) ❑Zinc(Zn) ❑Lead(Pb) ❑Other Types ❑Fiberglass ❑Nuisance Dust ❑Other(Spe of Analysis ❑ Silica El Respirable Respirable Dust_ Condition of Package:❑Good ❑Damaged(no spillage) ❑Severe damage(spillage) Seq.# Lab ID Client Sample Number omments (e.g Sample area,Sample Volume,etc) 1 —7 A/R 2Q� 3 5 Q �1 6 � rt 7 C37 g tc 9 10 13 14 Prin Below Sign Below Sampled by �� � Company Date Time _ Relinquished by -:�S _qL Vz/s 07 Received by Analyzed by /5 07 /y/r Results Called by Results Faxed by Special Instructions: Unless requested in writing, all samples will be disposed of two (2)weeks after analysis. i O u v p a y7 � H � � U w J Z •00 v �`3 0 c 41 c Qj � a w � n• �"y� ems, ( + y " � o ou T} as ° � u O ZM zz cl 02 s � o l i+ O � •v �o on o =w OO 3 b s o a+ V] Q e O tr _� e d o $ e P z O go ad z z a E � VJ 0 3 a C lr vl s a t O w �+ E L � O � a 0 o — C/) CL12 C A a v1 a0 O U U C zt e r �h a o 05Cd c L � L •U F � C Q o y 4 ci 9 ` o _ L z ca z Qj ❑ ❑ L Cam. \ •� y S `r N 3 z o L e,CA d L Sca E U, w - E f APPENDIX B INSPECTOR CERTIFICATION 11 i i _ 1900 W. Nickerson, Suite 315 • ' n Seattle, WA 98119 � .r (206) 285-3373 SAFETY•TRAfN1NG•INDUSTRIAL HYGIEIV[� This certifies that Patrick T. Moore has satisfactorily completed 4 hours of refresher training as an Asbestos Building Inspector complies with TSCA Title 11 / 40 CFR 763 (AHERA) Cert. Num: 1025143 Instructor Class Date: Jan 24, 2007 EPA Provider Cert. Number: 1085 Expires: Jan 24, 2008 I - - - - - APPENDIX C INSPECTION PHOTOS 12 1 1•1 1 1 —`�-'� ;3b:`:.�" ,'t.4 'I:-C - .Z � 4 rR a� � fff�N2 / ;K` r bY.�»''� "r •y �L"o s2��'c��-s•c"r i'` � ��'<� "i h a � �' } Cam'`������� �•co � � �M^t{. '��Y X � � n`;t ��z'� Cev .Ys'r'�4. .:uU�c ,.•.L `y'N'dr L �'•` - S Suspect ACM Roofing materials. Sampled Structure: "Rental House" • '� '; t Jam. 5yi , 7" Direction: Looking east V. Comments: Wood- frame construction with an asphalt "three-tab"roof Suspect ACM Sim= 8 Sri Roofin-materials. .:•A� ,p _ Krt�—-r�'JC�yw^.�fy',��/•�4/`Y !•^-t•�^-�jfi•' � '� .��:.�K -,� 'A p- '~~2:~9aP��'IY:'T�b�i..GY.GifY��' S.. f _ ` ,l`�' •.t ..f D - r.