HomeMy WebLinkAbout18615 58TH AVE_BLD20080085_2026 " CITY OF ARLINGTON
238 N.OLYMPIC AVE.-ARLINGTON,WA.98223
PHONE:(360)403-3421
BUILDING PERMIT Permit#: BLD20080085
Project Address: 18615 59TH AVE NE, ARLINGTON
Parcel No:
PROPERTY OWNER APPLICANT CONTRACTOR
ARLINGTON MUNICIPAL AIRPORT ARLINGTON MUNICIPAL AIRPORT ARLINGTON MUNICIPAL AIRPORT
18204 59TH DRIVE NE 18204 59TH DRIVE NE 18204 59TH DRIVE NE
ARLINGTON,WA 98223 ARLINGTON,WA 98223 ARLINGTON,WA 98223
Phone:360.403 3471 Phone:360.403 3471 LICENSE 4: EXP:
Email: Email:
PLUMBING CONTRACTOR 1 1
Lic# Exp. Lick Ex :
JOB DESCRIPTION
DEMOLITION OF BUILDING AND CONCRETE FOUNDATION-Bldg 18615
VALUATION: $0
PERMIT TYPE:Commercial PERMIT GROUP:Demolition
NUMBER OF STORIES: 1 TYPE OF CONSTRUCTION:Vb
NUMBER OF DWELLING UNITS:0 OCCUPANT GROUP:S
CODE:2006 OCCUPANT LOAD:
BASEMENT:0 1ST FLOOR:0 2ND FLOOR:0 BASEMENT:0 1ST FLOOR:0 2ND FLOOR:0
3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 13RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0
FRONTSETBACK SIDE
REQUIRED: PROPOSED: RE UIRED: PROPOSED: REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
SETBACK NOTES:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,NO
PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18:27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
01
Signature Pint Name Date R le 3sed By ate
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED.UBC109/IBC1IN 1RC110.
ARCHIVE APPLICANT = ASSESSOR OTHER
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BLD20080085
CONDITIONS
• The existing supply line is still live and will need to be protected until it can be disconnected and capped by the contractor at
the main line.
PERMIT FEES
Description Fee :1nu1unl Paid Balance Due
C-Plumbing Permit Fee $0.00 $0.00 $0.00
C-Mechanical Permit Fee $0.00 $0.00 $0.00
Total Due: $0.00 $0.00 $0.00
INSPECTIONS
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ON THE
PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
CALL FOR INSPECTIONS
BUILDING/ENGINEERING/PARKS/UTILITIES/FINAL(360)435-0674
FIRE(360)403-3607
When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection
beine requested,Contact Name and Phone Number,Date Prefereed,and whether you prefer morning or afternoon.
• None
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4�`�" DEMOLITION
��, a PERMIT APPLICATION
��NG1
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360) 403 3551 • FAX(360)403 3447
THIS APPLICATION MUST BE ACCOMPANIED TWO(2)SETS OF FULLY DIMENISIONED PLOT PLANS AND SITE CLEAN-UP
PLAN, TWO(2) COPIES OF AN ASBESTOS ABATEMENT REPORT COMPLETED BY AN APPROVED AGENCY.
Type of Permit: (check one) ( ) Residential (x) Commercial
Project Address: 17910 & 17920 59TH AVE AND 18615 58TH AVE Parcel ID#: 00448200000100
Lot#: Subdivision: Valuation: $0
Building Area (Sq Ft)3168; 3233; 3920 No. of floors 1.25; 1; 1 Number of Buildings: 3
Owner: ARLINGTON MUNICIPAL AIRPORT Phone Number: (360) 403-3470
Address: 18204 59TH DRIVE NE City: ARLINGTON State: WA Zip Code: 98223
Contact Person: JOSEPH ALEXANDER Phone Number: (3600 403-3471
Cell Phone: (425) 754-1732 Fax: (360) 435-1012 E-mail: jalexander@ci.arlington.wa.us
Address: 18204 59TH DRIVE NE City: ARLINGTON State: WA Zip Code: 98223
Scope of Work:
DEMOLISH THREE OLD BUILDINGS AND CONCRETE FOUNDATIONS. THE PROJECT WILL BEGIN BY SALVAGING SOME
LUMBER FOR RE-USE, THEN A CONTRACTOR OR THE DEPT. OF CORRECTIONS WILL BE HIRED TO FINISH THE
DEMOLITION WORK. ALL ASBESTOS MATERIAL HAS BEEN REMOVED (SEE ATTACHED) . BUILDING 17910 59TH WILL
BE DISCONNECTED FROM THE SEPTIC SEWER SYSTEM. THE SEPTIC SYSTEM WILL REMAIN ACTIVE BECAUSE ANOTHER
BUILDING, 17928, IS STILL USING THE SYSTEM. BUIDLING 18615 58TH SEPTIC SYSTEM WAS DECOMMISSIONED
IN 2006. BUILDING 17920 59TH DOES NOT HAVE SEWER. ALL OTHER UTILITIES WIIL BE DISCONNECTED AND,
IF NECESSARY, DECOMMISSIONED (WATER, GAS AND ELECTRICITY) PRIOR TO THE DEMOLITION.
Contractor: CITY OF ARLINGTON, ARLINGTON MUNICIPAL AIRPORT Phone Number: (360) 403-3470
Address: 18204 59TH DRIVE NE City: ARLINGTON State: WA Zip Code: 98223
Contractor's License Number: NSA Expiration: N/A
I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the above-
described property will be in accordance with the laws, rules and regulations of the Stat of Washington.
2�� April 1,26 d 8
_J / Applicants Signature Date
,usc_Th ��cXo�n�tf
Print Applicants Name
RECEIVED
APR 012008
FOR STAFF USE ONLY COA PERMIT CENTER
Permit# Accepted By Amount Received Receipt# Date Received
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BLD20080085 - arusko Page 1 of 1
BLD - Building Permit Ver: 2008 Priority: Normal_j #BLD20080085
owner: JARLINGTON MUNICIPAL AIRPORT- status: JAPPLIED
address: 118615,59TH AVE NE, ARLINGTON post date: 4/2/2008
PERMITS data screens: Select Screen... -:j functions: Select Permit Function... -
Dernofition
REVIEWS
Add Review Remove Review Print Close
Review Description Assigned To Due Date Req? Done? ASSIGN
1026 P-Utilities Fees RSHEPARD 4/16/2008 0 Y N ASSIGN
1032 P-Utilities I LTAYLOR 4/16/20081 0 Y N ASSIGN
2000 C-Building I CYOUNG 4/16/2008 0 Y N ASSIGN
2008 C-Community Development I ARUSKO 4/16/2008 0 Y N ASSIGN
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DEMOLITIuN
PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360) 403 3551 • FAX (360)403 3447
THIS APPLICATION MUST BE ACCOMPANIED TWO(2)SETS OF FULLY DIMENISIONED PLOT PLANS AND SITE CLEAN-UP
PLAN, TWO(2) COPIES OFAN ASBESTOS ABATEMENT REPORT COMPLETED BYAN APPROVED AGENCY.
Type of Permit: (check one) ( ) Residential (x)Commercial
Project Address: - 17910 & 17920 59TH AVE AND 18615 58TH AVE 00448200000100
1 Parcel ID#:
Lot#: Subdivision: Valuation: $0
Building Area (Sq Ft)3168; 3233; 3920 No. of floors: _1.25; 1; 1 Number of Buildings: 3
Owner: ARLINGTON MUNICIPAL AIRPORT Phone Number: (360) 403-3470
Address: 18204 59TH DRIVE NE City. ARLINGTON State: WA Zip Code: 98223
Contact Person: JOSEPH ALEXANDER Phone Number: (3600 403-3471
Cell Phone: (425) 754-1732 Fax: (360) 435-1012 E-mail: jalexander@ci.arlington.wa.us
Address: 18204 59TH DRIVE NE City: ARLINGTON State: WA Zip Code: 98223
Scope of Work:
DEMOLISH THREE OLD BUILDINGS AND CONCRETE FOUNDATIONS. THE PROJECT WILL BEGIN BY SALVAGING SOME
LUMBER FOR RE-USE, THEN A CONTRACTOR OR THE DEPT. OF CORRECTIONS WILL BE HIRED TO FINISH THE
DEMOLITION WORK. ALL ASBESTOS MATERIAL HAS BEEN REMOVED (SEE ATTACHED) . BUILDING 17910 59TH WILL
BE DISCONNECTED FROM THE SEPTIC SEWER SYSTEM. THE SEPTIC SYSTEM WILL REMAIN ACTIVE BECAUSE ANOTHER
BUILDING, 17928, IS STILL USING THE SYSTEM. BUIDLING 18615 58TH SEPTIC SYSTEM WAS DECOMMISSIONED
IN 2006. BUILDING 17920 59TH DOES NOT HAVE SEWER. ALL OTHER UTILITIES WIIL BE DISCONNECTED AND,
IF NECESSARY, DECOMMISSIONED (WATER, GAS AND ELECTRICITY) PRIOR TO THE DEMOLITION.
Contractor: CITY OF ARLINGTON, ARLINGTON MUNICIPAL AIRPORT Phone Number: (360) 403-3470
Address: 18204 59TH DRIVE NE City: ARLINGTON State: WA Zip Code: 98223
Contractor's License Number: NSA Expiration: N/A
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accordance with the laws, rules and regulations of the Stat of Washington.
Applicants Signature Date
�s �, �cXanCttr
Print Applicants Name
PECEIVEV:)"
APR 012008
FOR STAFF USE ONLY CCA PERMIT CENTER
Permit# Accepted By Amount Received Receipt# Date Received
WEB Forms—14 Page 1 of 1 3/07 dwa
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DATE —/- 3 - B( --
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Permit Review Details
PERM1TTRA76 Permit: BLD2008008%6
1020-P-Sewer Complete? Y
04/04/2008 frapelyea 5 No Comments Y
Total Time: 5
1026 - P-Utilities Fees Complete? N
Total Time: 0
1028 - P-Water Complete? Y
04/07/2008 eanderson 20 #1 The water meter has been pulled at this location. Y
#2 The existing supply line is still live and will need to be protected until it can be disconected
and capped by contractor at the main line.
Total Time: 20
1032 - P-Utilities I Complete? Y
04/08/2008 Itaylor 5 No comments Y
Total Time: 5
1034- P-Utilities II Complete? Y
04/03/2008 jewing 0 No Comment Y
Total Time: 0
1036 - P-Utilities III Complete? Y
04/04/2008 gschlagel 5 No Comment Y
Total Time: 5
2000 - C-Building I Complete? Y
04/03/2008 cyoung 30 Contained asbestos abatement report. OK to issue Y
Total Time: 30
2008 -C-Community Development I Complete? N
Total Time: 0
Total Reviews: 8 Total Time: 65
4/8/2008 9:32:19 AM Page 1 of 1
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ABATEMENT DOCUMENTS
BUILDINGS 17910 & 17920 59T" AVENUE NE (AIR TRANSPORT BUILDINGS)
MEMO-GARY BROCK, CORRECTIONAL INDUSTRIES/ENVIRONMENTAL SERVICES 10/29/2007
ASBESTOS WASTE SHIPMENT REPORT 11/04/2007
POLARIZED LIGHT MICROSCOPY TEST REPORT 08/30/2007
POLARIZED LIGHT MICROSCOPY TEST REPORT 12/26/2006
BUILDING 18615 59T" AVENUE NE (OLD FIREHALL BUILDING)
MEMO-GARY BROCK, CORRECTIONAL INDUSTRIES/ENVIRONMENTAL SERVICES 01/15/2002
ASBESTOS AIR MONITORING ANALYSIS REPORT 08/08/2000
ASBESTOS AIR MONITORING ANALYSIS REPORT 08/09/2000
ASBESTOS WASTE SHIPMENT RECON 08/24/2000
BUILDING ASSESSMENT REPORT 11/30/1999
ANALYSIS REPORT- LEAD IN PAINT 10/26/1999
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• 10/28/2007 09:48 FAX 360 586 0036 FFC li E/S la002/004
Correctionfal
Industries
Memo
71011 Dale Cemtian 2
Fmnu Gary Brock l
Dot 10/29/07
Rec Abatement Project
On 8/27/07 Correctional Industries/Environmental Services removed approx. 1,500 of of asbestos
containing exterior siding board from the Air TrlansporlJOld firehouse building located at Arlington
Alrport.This removal was performed using certified asbestos workers under the direct Supervision of a
certMed asbestos supervisor. AN materials were properly containerized and delivered to an authorfaed
transporter for disposal at Northam Waseo Co.Landflll In Oregon.(See attached disposal manifest)
During the removal a secondary layer of material was observed under the CAB. Two bulk samples of
this material was cdlected and forwarded to an accredited laboratory for analysis. Results were
negative for asbestos content. (See attached test report)
The cement asbestos board was the only material removed. Based upon the good falth survey dated
12/2W6 no other asbestos containing materials were Identified In this bulding. However, care must be
taken to insure that during any demoMon, renovation or other ectivities, should any materials not
addressed In the survey report be encountered, said materials not be dleturbed until assessed by a
certified AHERA building Inspector.
•Pagel
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1V1ZU/[VVf Vy:4y hAA 360 566 0036 FFC & E/S 12 004/004
ASN 4 )LAL.3TOS WASTE SHIPMENT i kjc PORT FORM
PLBASE PR NT OR TYPEI Hyou bave quesdom,contad yaw local DEQ ROpoval 0ma In Portland at(503)229-
3364,Salem at(J03)3784240 aft 272,Medford at(341)776.6010 on 233,or Bend at(541)391-6146 z=226,OR
• • call(200)432.4011 for the loadan of your local mgiaiW DEQ office.
WASTE GENERATOR:(Contractor,Facility,or Operator)
1. Asbestos removal site name wnd address: Chy Of AyIhWon aWoft
61111 Lath place no Arlinmon Wes Snohomish 99223
strwt Chymme COMY ZIP
Comet Person: Dale Ccrmen Phone: 425-754-7723
2. Operaar's nun and addttlss; Correctional IndustriesEnWmnmcnW Service* Phone:(253)589-7370
P.O.Box 981059 StU18040111/Wa PIG= 99499
Street CiW/sm Cormty zip
3, Wane disposal aim: Northern Wasco Co.Lam Mll Phone: (341)993-N89_
2530 Stal Rd. The Dallm/Or. wasoo 9705e
Sleet Chy/so" Comw zip
4. Describe asbestos materials:
S. Containers, Number: 5berr*10 bass Type: barrols/beso
6. Total quantity(cubic yards): 5
7,0PERATOR'6 Cl IT'1FICATIOIV:I hereby declare dw the aoetmr of this cooaipmxm am fully and atxv.m ly
described above by proper shipping name and an clw ode pw!R# d,mashed and labele4 and am In all tespeea in
proper owdnion for muport according to all apvenmm rraLdsidam. All movement of this ubeatoacamunuj
mxww is r000rdod on this Waste ShjFn=tttitffd POW.
Name: Company. Correctional IndustriaiTtv.Ser.
S9 Date: 8,129,?M7
TRANSPORTUM
B. Tnmsportar#1: led o of materials)
Apmt: COMM.'
Addrea&: ,t l^IX Phone: J &
Sipawre: Date: 30 0'7
9. Trtnaportur#2:( ledgment of receipt of materials)
Agent: Company:
Address; Phone:
Signature: Date:
DISPOSAL:(Cmtii6oaliao of receipt of ubeatos materials covered by this manifest,wwopt ore rooted in item I 1 below.)
10.waste Disposal site: WMCO C 1 It 0 Soil RD.The Dallas Or.97058
Name and Title: ell SbMangW/ SEP 0 4 2007
Signaturc:
11.DISCREPANCY SPACE.(Add suachmeats u needed)
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1u1Zallvvr 03:48 FAX 360 586 0036 FFC & E/S 12 003/004
Aul. 30. 2001 1,3brW, N"' tnvironmentnl Services No, 5232 F. 2/2
ORIONEnvironmental Services
A>a XuAronmentxl Compliance Consubing Firm
Polarized Light Microscopy Test Report
EPA Method 600/R-98/116
Client Correctional Indwtzies Environmental Services Date August 30,2007
PO Box 41115 Page Page 1 of I
Tlmawatar,WA 98504 Invoice 073997
.ilia:Gary Brock Date Received August 30,2607
Project Number N/A
P"Ct Name Arlington Airport
Old Firchouse
Client Orion Sample Asbestos Other
aulka Nmmbqr Sterea&oue Ext;m Ttuitngnt 451 1�= Fibers
AT007-001 70830.18 Exterlor Wallboard Crush ND - Cellulose
Y�omogeneous
AT007-002 70830-19 Exterior Wallboard Crush ND - Cellulose
Hotnoganeous
Dup:L#boratory QA/QC Duplicate;M;Mastic((a),(b),(c),eto.l:Semple layer`numbered fronn front to beck.
Covnments: For layered pamples,each companent hse been an*lynd seperataly. ND means non-detect for
asbestos fibers by EPA Method 600/R-98/116.Naclairnus: PLM has been known to miss asbestos in a small
percentage of samples that contain asbestos. 7bus,these laboratoryresulrs mpreaent due diligence,honvor
negative or<I %PLM results can not be guaranteed, Por EPA guidolmes samples will be archived ibr 30 days
dm will be dlvposed of.This report may only be reproduced in Nil with wrimn approval of ORION
lrnvironazantat Services.
Analyzed By old S/t ,�,,,�' Reviewed By
Nelson H.Miles III A.I cn Clark
Sr. Industrial Hygienist Laboratory Analyat
ir natantaCCOMP&nCS CWUUA ng 1XW t&211,Cent soy
34004.91"Avenue South ♦ Suite 5 ♦ Federal Way, WAahingttm 98003,6740
s Tacoma(253)952-6717 • Seattle(253) 874-8119 ♦ Facsimile(253)927.4714 • Email Info@0rionES.net
WBE W2F9219763
'ORION
Environmental Services
An Environmental Compliance Consulting Firm
Polarized Light Microscopy Test Report
EPA Method 600/R-98/116
Client Correctional Industries Environmental Services Date December 26, 2006
PO Box 41115 Page Page 1 of 2
Tumwatcr,WA 98504 Invoice 065532
,Attu- Gary Brock Date Received December 19, 2006
Project Number PO # ES000422
Project Name Arlington Airport
Air Transportation Office
Client Orion Sample Asbestos Other
Number Number Stereo Scope Exam Treatment Percent Twe Fibers
ATO-01-01a 61219-58a Wall Texture ND _
Assoc. w/ATO-01-01c
7, ATO-01-01b 61219-58b Joint Compound - <1 Chrysotile Cellulose
Assoc. w/ATO-01-01c
ATO-01-01c 61219-58c Vl'allboard _ ND
Homogeneous
ATO-01-02a 61219-59a Wall Texture _ ND _
Assoc.w/ATO-01-02c
ATO-01-02b 61219-59b Joint Compound ND - Cellulose
Assoc.w/ATO-01-02c
ATO-01-02c 61219-59c Wallboard
- ND
Homogeneous
ATO-02-01 a 61219-60a Ceiling Texture _ ND _
Assoc. w/ATO-02-0Ic
V ATO-02-01b 61219-60b Joint Compound _ ND _
Assoc. w/ATO-02-01c
ATO-02-01 c 61219-60c Wallboard - ND - Cellulose
Homogeneous
1�D ATO-03-01a 61219-61a hoofing Ash ND
Homogeneous
( ATO-03-01b 61219-61b Roofing Ash ND _
Assoc.w/ATO-03-01a
I(,ATO-03-01 c 61219-61 c Roofing Ash ND - Cellulose
Assoc.w/ATO-03-01 a
34004-91h Avenue South ♦ Suite 5 ♦ Federal Way, Washington 98003-6740
♦ Tacoma(253)952-6717 • Seattle(253) 874-8118 ♦ Facsimile(253)9274714 ♦ Email 111f0@0rionES.11et
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ORION-
Environmental Services
An Environmental Compliance Consulting Firm
Polarized Light Microscopy Test Report
EPA Method 600/R-98/116
Client Correctional Industries Environmental Services Date December 26,2006
PO Box 41115 Page Page 2 of 2
Tumwater,WA 98504 Invoice 065532
Attn: Gary Brock Date Received December 19,2006
Project Number PO#ES000422
Project Name Arlington Airport
Air Transportation Office
Client Orion Sample Asbestos Other
Number Number Stereo Scope Exam Treatment Percent Tine Fibers
ATO-03-01d 61219-61d Roofing Ash ND _
Assoc. w/ATO-03-01 a
i ATO-04-01a 61219-62a Ceiling Texture _ ND
Assoc. w/ATO-04-01 c
/ ATO-04-01b 61219-62b Joint Compound ND Cellulose
Assoc. w/ATO-04-01 c
ATO-04-01 c 61219-62c Wallboard ND
Homogeneous
ATO-05-01 61219-63 Window Putty _ ND
Homogeneous
ATO-06-01 61219-64 Black/Light Gray Rolled Asks ND - Cellulose
Roofing Fiberglass
Homogeneous
Dup: Laboratory QA/QC Duplicate;M;Mastic [(a),(b), (c),etc.]:Sample layers cumbered from front to back.
Comments: For layered samples,each component has beon analyzed separately. ND weans ucn-det"-t for
asbestos fibers by EPA Method 600/R-98/116_Disclaimers: PLM has been known to miss asbestos in a small
percentage of samples that contain asbestos. Thus negative PLM results cannot be guaranteed.Per EPA
guidelines samples will be arcbived for 36 days then disposed of.This report may only be reproduced in full
with written approval of ORION Environmental Services.
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Analyzed By M J' Ag Reviewed By &—AJ _
Nelson B.Miles III Allen Clark
Sr.Industrial Hygienist Laboratory Analyst
Geadmg EnvirvnmensafCo"TCww Consulting Into tha 211t Century
34004 - 9`h Avenue South • Suite 5 ♦ Federal Way, Washington 98003-6740
♦ Tacoma(253)952-67I7 ♦ Seattle(253) 874-8118 ♦ Facsimile(253)927-4714 ♦ Email Info@OrionES.net
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Memorandum
To: Dale Carman R
From: Gary Brock
Date: 01/1 S/02
Re: Old Firehall Abatement
On 8/7i00 and &8100 Correctional Industries Environmental Services removed asbestos containing
ceiling texturing, flooring tiles.cementinous wall board and pipe insulation from the"Old Firehall",
located at Arlington Airport as identified on the Building Assessment Report dated 1 l.30 99.Based
on the initial survey,abatement records and post abatement inspection, I am of the opinion that all
identified asbestos containing materials have been removed from this building.
Should any suspect materials not previously identified be encountered,they must not be disturbed
until anal}-zed for asbestos content and if asbestos containing be properly removed
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NOWICKI & ASSOCIATtS, INC.
ASBESTOS AIR MONITORING
ANALYSIS REPORT
Lab Number: 00812 Project: Arlington Firehouse PO #763 282
Page: 1 of 1
Client; Correctional Industries
Date Sampled: 8-7-0t? Date Analyzed: 8-8-00
Submitted By; Sid Corter
Date: 8-8-00 Received By: REN
FampleDescription Type Time Stl3rt Flow
OfA, PA Time End Rate Fiber
Sample P0, P, C Total Time Total Per Fiber/CC
Fields
CLEARANCE C E: 4:00R: 15.0 Um
On type C 211100 0.009
T: 80 min V- 1200 L.
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S: R:
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T: V:
(A) Area Sample (PA) Pre Abatement (PO) Post Abatement (P) Personal
(C)Clearance
Comments:
-�------ Analyst: •-�VA
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Phase Contrast Microscopy(PCM): NIOSH Analytical Method 7400, A Rules
Minimum Dejection Limit:2 FJBERS/100 FIELDS
Lower Ouanitltaion Limit(LQL): 10 FIBERSM00 FIELDS
Proficiency In Analytical Testing (PAT)PROGRAM ID NUMBER: 980030 11
3351.E 9"'Avenue South, Bldg #6 ° Federal Way, ►ryA 98003 0 (253) 927-5233 (253) 924-0323 FAX
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-ov na :34 PA HOWICKIANDA550CIATES
- —'%39240323 P. 81
NOWiCKI & ASSOCIATES, INC.
ASBESTOS AIA; MONITORING
ANALYSIS REPORT
Lab Number. 00814
Pmloct: Arlington Fire Hour AW.200
Pape: 1 of 3
Client; Correctional Industries Da6e Sampled: 8-718.00
Submitted 13y: Sidney Carter Date Analyzed: 5.9.00
Date: 8-9-00 Received By: PAC;
Sample Description
� Of Type Time Start A Flow Fiber
Sample , PA Time End Rate
P�, P, C Total Time Tod) Per Fiber/CC
Funonlalnment-Calling 9uepe Fields
C,001 Pre Abatement S: 9:00 R: 15.0 Um
(1)A,I,P PA E: 10.29
T: 89 min V: 1335 L 34/100 0.012
002 Regulntod Ares-Floor Tile TSI/CAB +
Pro Abatement i °q E: 10:3 S' 0.3 3 R: 15.0 Um
� (1)A,l,p 38/100 OA14
Rg J T: 84 min V: 1260 L
3 filed Area-Floor T11e TSI/CAB
003 I Randy Fa l P ea 53 .75.9837 S: 12:00 R: 2.0 Um
1 e.1,TwA (2)t:,H,M E: 3:00 Overload
T. 180 min V: 360 L I w/dirt N/A
I Regulated Area-floor Tile TSI/CAB
004 Justin Ahlbom 537.68-2641 I S: 12:00 R: 2.0 Um I
020373-00 P I E: 3:36 ! Overload I
(1) e I,TWA (2)C,H,M ' T: 210 min V: 432 L + w/dirt N/A
RogutAted Area Floor Tile TSI/CAB
005 ROYmond Jackson 574-58.9107 + P I S, 12:06 R: 2,0 Um
02100s_00 ( sTEL I E, 12:39 I
(1) B,I.STEL(2) C,H,M T: 33 min V: 66 L 37/20 1,373
Rep ulaled Area-Floor T11e TSI/CAB
006 JORopn War 535-784447 P IS: 12:06 R: 2.0 Urn
020381-00 STEL E: 12:40
(1)8.1,STEL (2)C,H,M T: 34 min V., 66 L 22/100 0,158
(A)Area Sample (PA) Pre Abatement (PO) Post Abatement P Pe
Comments:
( ) Personal (C) Clearance
Analyst: �9 -
Phare Contrast Microscopy(PCM): NIOSH Analytical Method 7400,A Rulea
MIrimum Detection Limit: 2 FIBERS/100 FIELDS Lower Ousnilltelon LIm11 (LQL): 10 FIBERS/100 FIELDS
Proficiency In Analytical Testing (PAT)PROGRAM ID NUMBER: 04003001
33516 9"'Avenue South, BidQ;96 • Federal Wa • . ....__..._....._._..._ . .._._._..._._. ._._ . _•_ _ . _._._..._._ _
Y� WA 98003 (253) 927-5233 • (253) 924.0323 FAX
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on HB :s0 PM NOWICKIANDASSOCIATES
• —539246323 P. 92
NOWICKI a ASSOCIATES, INC,
AS13ESTOS AIR MONITORING
ANALYSIS REPORT
Lab Number; 00814
Protect: Arlington Flre House AW-2oo
Pape: 2 of 3
Client: Correctional Industries
Date Sampled: 8-7/8.00
Submitted By: Sidney Carter Date Analyzed: 8.9.00
Date: 8.9-00 Received By: PAG
Sample Description Type Tuna StartOf flow
A. PA Time End Rate Fiber
Sample PO, P. C Total Time Total per Fiber/CC
Full Containment—Cellln j Per
007 Charles Upmeyor 532.72-653, t! S: 1:20
0203e0-0o F R. 2.0 L/m l
(1) B.H,l, VEL (2)C,H,M STEL E: 1:58 I 211100
T; 38 min V; 72 L I 1 0,142
I Full ContsinmenI—Coiling Scrape
008 Kenneth Driscoll 531-e8-4820 I S; 1:22 R: 2.0 LJm
020377.00 P E: 3:12
f1) B.H,1,TUNA(2)C.H.M T. 110 min 13/100 0.028
Full Cor tainrent—Ce)Iing Scrape
V: 220 L
009 Entrance to oecon S; 1:17 R: 15.0 L/m
(1)A,o A E: 2:38 j 29/100
T: 81 min V: 1215 L 0,011
010 I Full Contair,.nent— Ceuirg Scrape
I Negative Air Machine ExSfuct S: 1:00 R: 15.0 Um I I
(1)A.0 A ' E: 2:20 2/100 I 0
c
T: 80 min V: 1200 L .001
012 Fieid Biank I S' R:
� E' 1/100
T: V. N/A
013 Control Blank S' R;
E: 0/100
T: V; NIA
(A)Area Sample (PA) Pre Abatement (PO) post Abatement (P) Perso nal (C)Clearance
Comments:
Analyst:4
i
Phase Contreat Miuost:opy(PCM): NIOSH Anal Minfrnum Detection Limlt: 2 FIBERS/100 FIELDS el Mothod T400,A RUIes
Lower Quenilitaion L(mlt(LQL): 10 FIBERS/100 FIELDS
Prondency In Analytical Testing (PAT)PROGRAhI ID NUMBER: eWm()01
� • Federal Way, WA 6 . .-•--- -•--- -•---•-•-•-•-•- .._._ _.-•---._._ _._ -._ ..-
8003 • (253) 927-5233 0 (253)924
33518 8"'Avenue South, Bldg -0323 FAX
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-UNICKIANDASSOCIATES
'S39240323
P- 03
NOWICKI 3 ASSOCIATES, INC.
ASBESTOS AIR MONITORING
ANALYSIS REPORT
Lab Number:00814
Page: 3 of 3
Project: Arlington Fire HOUio AW-200
Date Sampled: 8.7/8-00 Client: Correctional Industrllli:
Date Analyzed: 8.9.00
Subrhitted By: Sidney Carter
Date: 8-0.00 Received By: PAG
Sample Description Typeor Time
Flow A, PA Time End Rate Fiber
Sample P0. P, C Total Time Tonal Per Fiber/CC
Regulated Area-Floor Tile TSl/CAB Fields
014 Randy Ferguson.pp-78.9837 P S: 8:30 R: 2.5 Um
(1) 6.1,TwA c.H,nn E: 10;15 Overload
T: 105 min V: 262.5 L w/dirt N/A
Regulated Area-Flow Tlie TS1/CAB
015 I Joeaph Wolf 535-76.9447 p S: 8:35 R: 2.0 Um i
020381-oo STEL E. 9:08 Overload
iT) 8,1-VEL (2) C,H,M T: 31 min V: 62 L w/dirt N/A
01 S I Regulated A►oa-Floor Tile T31/CAB S: 10:20
CLEARANCE Sample C R: 15.0 Llm
.I(I)A ,C E. It:40 I I T: 80 min V: 1200 L 43/100 0.017
017
Full Contatrim"t- Ceiling Scrape S: 10:40
CLEARANCE Sample I R: 15.0 L/m
(1)A.1.0 C E, 12:00 1 No analysis necessary
T: 80 min V: 1200 L
018 Conlrol Blank S: R:
--� ( T: V: 0/100 i NIA
S: R:
E;
T: V;
(A) Area Sample (PA) Pre Abatement (PO) Post Abatement P p
' ( ) arsenal (C) Clearance
Comments:
Analyst:_
Pheae Contrast Microscopy(PCM): NIOSH Analytical Method 7400,A Rules
Minimum Detection Limit:2 FIBERS/100 FIELDS Lower Quanitltalon Limit(LQL): 10 FIBERS/100 FIELDS
Prof«ncy In Malytical Testing (PAT) PROGRAM ID NUMBER;
_ 98003001
South, Bldg *6 • Federal Way. WA 98003 • (253) 827-5233 • (253
924.0323 FAX
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Asbestos Waste Shipment Rey
1.Work Site Name and Mailing Address: Owner's Name: Owners
Telephone:
Arlington Airport Fire House Arlington Municipal Airport
18204- 59th Drive NE (360)435-8554
G Arlington, WA 98223
E 2.Operator's Name and Address: Operators
N Correctional Industries, Services Section/Asbestos Program Telephone:
E Lakewood Industrial Park (253) 589-7370
R 9704-47th. Avenue S.W., Tacoma , Wa. 98499
A 3.Waste Disposal Site (WDS) Name, Mailing Address, and Physical WDS
T Site Location: Oregon Waste Systems, Inc. Telephone:
O Columbia Ridge Landfill & Recycling Center (541) 454-3318
R 18177 Cedar Springs Lane. Arlington,Oregon 97812
4. Name and Address of Responsible Agency: Puget Sound Air Pollution Control Authority
110 Union Street, Suite 500
Seattle, WA 98101-2038
5. Description of Materials: 6.Containers: 7. Volume (cu. yds.)
VAT,TSI,CAB,Acoustic Ceiling No.: Type 2.8
40 Bags
R.Srecia! Handing tnstructiors and Additional !r,forfration
Thorou hly Wetted and Double Bagged.
9.Operator's Certification:I hereby declare that the contents of this consignment are fully and accurately described above by
proper shipping narne and are classified, packed, marked,and labeled,and are in all respects in proper condition for Cansport
by highway according to applicable international and government regulations.
017
Printed/Typed Name and Title: j/S'�gnatu e: Date:
Roy Syrovy; CIS-A LL•r �-r�, 8/8/00
T 1 C.Transporter 1 (Acknowledgement of receip f rr^ erials
R Printed/Typed NarT)e and Title: Pnntid/Typgd Name of Driver: Date:
A �/�, 6 x,"e- 'C/A��
N Signature:
S Address and Telephone Number:
P y.s3 03r-3�1D
O 11 Transporter 2 (Acknowledgement of receipt of materials)
R Printed/Typed Name and Title: Pdnted/Typed Name of Driver: Date:
T
E Signature-
R Address and Telephone Number:
D 12.Discrepancy Indication Space:
I
S 13.Waste Disposal Site Owner and Operator: Certification of receipt of asbestos materials covered
P by this manifest except as noted in Item 12.
O Printed/Typed Name and Title: Signature: Date:
L
msoffice\excer%forms\wstman.xls Form WSR-2\20\91
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correctional Industries/Eovlro,..dental Services
lsA'+fra�jsbsrld Pent
97Mt 41a A M W JVPO Sox 9i9ds.
1' SOM QS.V Jdl-M fax:(75.1)Sd9-73111
Building Assessment Report
�lr3al�se
Dal.Carman
PIW Manager
Arlir4t"Muaioipd Airport Authority
1 SU4 59" Drive N.P., Arfingtcz,WA 98223
Re:Old Fire Stitioa located on Arlington Airport Lot 35.
CI 3lnv1ronaieatal SWC61 Job #BW 075
Dtar Mr.Cum":
Per your requw toproceed of 100/99,we have condwwd a "good faith" limitwi asbestos anal lea.i building
survey uaaummt io determine the presence,condition end quantities of acbe tos and/or lead cortaining mwrials
found in the old tin station at the Arl W&Airport, Our rCport is submitted on t time A materials'not-tc--xreed
basis. Your osniration will be invoiced for laho-:. tery cox,, tir^e and w"- costs and supplies.
17 Bulk asrnplss of potential asbactm coo nin; mitarisla were taken for teninf in addition to 1 p,; s��.cies to
be tsstsd for iead content. ,Materials umpied included: sh"uock, plaxwr, buitdmg paper, .�indo� �utt1, ax-urcd
ceilin= surfscinL s�uariar siditu liner,floor tits, roofing materials and krtt.
Mveriale found t4 6clude asbestos wvm:
1. Tsndrx-od Ceiling Owned In a small office on North side of building).
2. Floor Tits(locrtod in a tool room/stwige arcs on Sotuh side of bw,*IdiW
3. PWW(c+ mentitioul material located Westb dteetrock on sentries wall of the old shcnverlbrdroorn,
SE oonm of baildhW
4. TSI(pipe insulation)was premt in unaU quantities (located in the old ahvwtAadnwm arm)and is
preswr+ed to eoetaia ACM
Matotille found$o hcfads lead were;
1. Y?xtcriar Paint(scattuad location over the exterior of building)
21 Exterior-(Yim Paint(locations rwh as windows tit door frames on exterior of buil&j,1
We have visus.4 identified suspsrtid ubestos and lead wiWning building materials,collected beak mmp:es of
suspend materials,and contructed a gwdiried laboratory to analyze samples. The laboratory anal;,sis report
am includes sple colsction detLIU and laba sto7 analysis of susprct mxtsrie!s, All sampling, wct wndLi:tcd
under the dared svpawision of Mr_Cary Brock,an EPA accredited AHEFA Inrpsctor,eertifc►tior.a mher LIW-
NA1-94-09.
S In ty,
Gary Bradt
AURA Building Impe ctor I/MP-NAI.99.09
Convotional Industrlss/finwoommtal Setvius
9704 47th Avwuua SW PO)gore OWS,Tu ma WA 91499
Phone:(253)519-7370 Fax:(2S3)519.7389
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MACS Labs `%.
Arrafysfs Report
2070A Walsh r venue
Santa Clara, CA 95050.2542
(408) 727•9727 Lead In PaInt
USEPA 7000/7420
Nowicki & Associates. Inc. Person to contact: Gary Brock
33516 9th Avenue S. - Bldg. 6 Contact phone: (253)927-5233
FAX phone: (253)924-0323
Federal Way WA 98003 Samples received on: October 25, 1999
Report prepared on: October 26. 1999 at:09:25
,lob Number BW075 C:crtesponding invoice number. 82203
Charles Bond
Analyst: Laboratory trwfwg4au __
t7N (aignaturo) (s;ignattre)
Job Description: DOC/C/Arlington Airport-Old Fire Station
Lab Sample Client Sample Number Calib Revd At.- l� Lead
Number and Description # I OK Icptdl PPm I �4_ I PPm I mg�cm2
P82203.1 AFL-01-01 4904 4,050 7.61 76,100 N/A
Exterior paint
P82203-2 AFL-02.01 4904 ',� ,$I 3,650 7.86 78,800 NfA
Exterior paintArim
End of report.
R�GLIVSD
NOV 0 2 1999
Cl TRgNSPORTATION
AFF
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ThIc report may not be reproduced ozcept in full and with tlyd vwmii;slon of MACS Lab, Inc.This report relates only
to the items)tested.For Cuali y Control date rater to Calibration Number GA Report MACS Lab K a=Qdited by
'1 the American lnduatri&I I lyglens Association (All-IA)for the enaly34 of leod in paint and coil (laboradory ID#11172).
Some paint samples submitted contain substrate material that can't be removed trout the paint layer.Thu may
ocuoo orronoouc result.c. Propor ficld sampling tcchniquot must be used. Sarnploc aro hot plats dpseted in Nitric
AIHK Acid and Hydrogen Peroxide. Analysis is performed on a flame Atomic Absorption Spoctrometet, LOD.Limit Of
ACCREDITED De4sirctfom ppm-puts per million & 10.000 ppm 1.114 Natw: 1 r jAcg .I ppm NOTICE: FOR XAF Confirmation:
LABORATORY When the actual sampled area is provided to the laboratory, the results can be calculated in rrgt r2 exactly like
an XRF irts!rument resulL Oth6nv'se NO XRF comparison can ever be made because the lab analyzes orly a
Page 1 por,ion of a normal 6arrple and,he area of a scrap.can't be known after the tad. 1lrnhout the area N/A Is repored.
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