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Home My WebLink About18204 59th Ave Ne_BLD239_2026 ell ENVIRONMENTAL SERVICES I N VO I C E------ CORRECTIONAL INDUSTRIES 801 88TH AVENUE SE Invoice SLIP0278 ► TUMWATER,WA 98501 Date 1 /31 2012 REcENE® Pace: Bill To: BAN - Ship To: ARLINGTON AIRPORT CCV Of ARE D ON ARLINGTON AIRPORT 238 NORTH OLYMPIC AVE. FW 238 NORTH OLYMPIC AVE. ARLINGTON WA 98223 ARLINGTON WA 98223 JOB #AW-1262 Customer Order No. I Customer ID Territo lD Dellve Method Payment Terms Req Ship Date ` Master No. 906C INTERNAL NET 30 DAYS 12/31/2012 1,599 UN Ordered Shipped Item Number Description of Item Total 1 1 1.00 FIXED ABATEMENT FIXED COSTS/ASBESTOS ABATEMENT/TWO STRUCTURES $6.683.00 BARS# AMOUNT$ APPROVED---- RECEIVE NOV 14 2013 COA Engineering Dept. CONTACT:DALE CARMEN REMIT TO: Subtotal $6,683.00 6006 189TH PLACE NE&5918 189TH PLACE NE Cl ACCOUNTING Freight $0.00 ARLINGTON,WA 98223 PO BOX 41116 MS:41116 OLYMPIA,WA 98504-1116 Tax $574.74 Total $7,257.74 IAP AGENCY CODE:SWV0003872-00,DOC/CI Thank You For You •'Hess! j RABANCO Cont# WASTE SHIPMENT RECORD Wos*Generated Sit N f gqp Ad U Owner's Name: f Owner's Phone No.: a *L 6onb d � r k � Cj'j'40a 1N mf�� Gb, i 2, Operators Name and A dress; Operator's Phone No.: BE 3, Waste Disposal Site(WDS)Nome,Address.and Physical Site Location:+%■!��'JL WDS Phone No.: RABANCO REGIONAL LANDFILL 500 Roosevelt Grade Rd. 1-800-927,%41 4, Responsible Local,State or EPA Agency Name and Address: CORRECTIONAL NRlJIWJS HQ 110 Union Street Seattle,WA 98101 r 5, Description of Waste Materials: 6, containers 7. Total 61uantity 3 a Asbestos Containing Material g, Special Handling Instructions and Additional Information: I DOUBLE BAGGED & LABELED j 9. OPERATOR'S CERTIFICATION: I hereby declare that the c ents of this consig r nt are fully and accurately described above by proper shipping name and are classified, po d, marked nd I d. and are in ail respects In proper condition for transport by highway according to oppifab e Internotion an go ernment regulations. i PrintedlTyped N ure Month Day Yeca tz� 10. Transporter 1 Acknowledgment of Recel t of Moteri I Inted/Typea Namd Sigra r Month Day Year I n 11. Transporter 2 Acknowledgment of Receipt of Mate(als _ Printed/Typed Nome Signature Month Day Year Rabanco Transfer 2733 3rd Ave, S, y Seattle, WA 206-646-2566 12. Discrepancy Indication Space Waste Disposal RRLC 13. Authorized Waste Disposal Site Owner or Operator: Certification of receipt of asbestos materials covered by this manifest except as noted In Item 12 Printed/Typed Name Signature Month Day Year Vicky Read G f TRUX Coordinator 2z �- f WHITE: lWum to Operator YELLOW: Waste Site PINK: Transporter WHITE: Operator t I i is L A 14T December 26.2012 4f•S 1'.RIAIw: M Y to 1< 614'E ', � ER.vICikS (eery Baldwin laborstaq I'Mi mgrr� Trairinrs Washington State Correctional Industries p0 Box 519 Monroe,WA 98272 Asbestos er Fiber Analysis, NVIL Batch Dear Mr.Baldwin, Enclosed please find test results for the air samples submitted to our laboratory for analysis. Examination of these samples was conducted In accordance with the NIOSH 7400 method. Results are reported in fibers per cubic centimeter (fibers/cc) and in fibers per square millimeter (fibers/mma).- The working range for the NIOSH 7400 method is between 100 and 1300 fibers per square millimeter.Test results not blank corrected unless field blanks were provided. Washington State Department of Labor and Industries requires that an employer provide airborne asbestos concentrations less than 0.1 fibers per cubic centimeter of air as an average for eight hours, and less than 1.0 fibers per cubic centimeter of air over a sampling period of thirty minutes to the employees (WAC 29M2-07705). For recent regulation updates please call the regulatory agencies. Washington State Department of Labor and Industries also requires that post-abatement (clearance)area samples must•not exceed the pro-abatement fiber concentration or 0.1 fibers per cubic centimeter whichever is lower(WAG 29662-07709). The EPA definition of clean air Is less than 0,01 fibers per cubic centimeter. Inter and intra-laboratory relative standard deviations can be made available upon request. We are pleased to have been of service and hope to work with you again. If you should have any questions regarding the NIOSH 7400 method or the results please feel free to call. Sincerely, Nick Ly,Technical Director ` ulrr rr _ 86 P _ �..BB$,I�t.yLAl�� :,------,�•-. '; P A1VL Whq';pCafts,frtc; I : 273 'sy ,c 4708-Auro(A Avg N,Swtdi ,WA 59103 Eno.:Sample results ''��tr:iI% ` rwv.rivll ss.roi :- p-206.547,01 1 f 20. 'a.41w NVL Laboratories, Inc. _ AIHA-IH AW 4708 Aurora Ave.N.,Seattle,WA 98103 #101861 Tel:206.647.0100, Fax.206.634.1936 wwAnalysis warol�UlQt eQ w.nvllaba-cam Asbestos And Other Fibers Anal sis LABORkTO V by Phase Contrast Microscopy Client:Washington State Correctional Industries Batch#: 1220098.00 Addres:PO Box 519 Method::NIOSH 7400 Monroe, WA 98272 Ciient Project#:AW 12621 PO#ES 12428 Date Received:12/1912012 Attention:Mr.Gary Baldwin Samples Received: 14 Project Location:Arlington Airport Samples Analyzed: 14 'Lake ID:12135403 Client's Sample#: 1 Date sampled:12117/2012 Time Flow Rate Sample type:Pre Abatement start 09:30 AM 20.00 Location:6006 TSI End 10:30 AM 20.00 Activity:Pre abatement Worktsr. Minutes 60 Ave.20.00 Comments;"Rush sample analyzed by KM on 12J19/2012 at 13:50 Liters Pump ID LOQfibers/cc FlbersMda Fiberslmmx RLflcc Fibers/CC 1200 min 0.032 max 0.417 71100 8.9 0.002 0.003 Lab 10.12135404 Client's Sample#: 2 Date sampled:12118/2012 Time Flow Rats Sample type:STEL Start 09:15 AM 2.00 Location:6006 End 09A5 AM 2.00 Activity:PAPR I TYVEK Minutes 30 Ave.2.00 Worker:Metcalfe Comments: Liters Pump ID LOG fiberaioe 1Fiberslflds Fiberslmma -RL f/cc Fibers/cc 60 min 0.642 max 8.342 41100 t7.0 0.045 <0-045 Lab ID:12135405 Client's Sample#: 3 Date sampled:12118/2012 Tlme v Flow Rats Sample type:Personal Start 09:15 AM 2,00 LocatIOW 6006 Personal End 10:15 AM 2.00 Activity:PAPR/TYVEK Minutes 60 Ave.2.00 Wank Norris Comments:: Liters Pump ID LOQ fibers/cc Fibers/fads FliberslmW RL f/co Fibers/cc 120 min 0.321 max 4.171 31100 47.0 0.022 C 0.022 J) Lab lD: 12135406 Client's Sample#. 4 Date sampled:12/1812012 Time Flaw Rat® Swnple type:STEL Start 11:00 AM 2.00 location:B006 End 11:30 AM 2.00 Activill 112 Mask I TYVEK Minutes 30 Ave.2.00 CommeenWntts:s. Coates Liters Pump ID LOQ flberalce Fibers/fills Fibers/me RI_f/cc Fiberslcc 60 min 0.642 max 8.342 21100 <7.0 0.045 -40.045 Blanl<ave.(f/mm2)0.0 Micro.field area(mmz)0.00785 Effe.filtration area(mm')385 Precision+/-20% Accuracy 4 9% Sampled by: Client Analyzed by: Sarah Khan Date Analyzed:12/26/2012 Reviewed by: Nick Ly Date Issued;12/26/2012 l�lck I_y, Technical Director "Samples are analyzed In accordance Nvlth t;1e NIOSH 7400(Issuo 2: 15 August 1994). If the samples were not collected by NVL Laboratories,the"I the socunacy of the results is limited by the methodology and aculty of the sample collector. The LOQ, LJmhs of Quantification, are the fiber concentrations,for the given volume of the sampled air,above and below which the results may be unreliable. The RL, Reporting L1mlt defined,in Method 7406 as Loo,Is the fiberstcc below which the results may not be confidently distinguished from background levels. This report relates only to the Items Jested.It shall not be reproduced,except In full,without written approval of NVL Laboratories,Inc.. Unless otherwise indicated,the condition of all samples was acceptable at time of receipt. Average Sr values for fiber count load range Low�.259;medium=0.151;high - -- - Pago 1 of 4' i NVL Laboratories, Inc. AIHA-IH 4708 Aurora Ave.N., Seattle,WA 98103 #101861 Tok 206.647.0100, Fax-206.634.1930 �►CRl www.nvllabs.00m Asbestos And Other Fibers Analysis by Phase Contrast Microscopy Client:Washington State Correctional Industries Batch #: 1220098.00 Addres:PO Box 519 Method:NIOSH 7400 Monroe, WA 98272 Client Project#:AW 12621 PO#ES 12428 Date Received: 12/19/2012 Attention;Mr. Gary Baldwin Samples Received: 14 Project Location:Arlington Airport Samples Analyzed: 14 Lab ID:12136407 Client's Sample#: 5 Data sampled:12118/2012 Time Flow Rate sample type:Personal Start 11:00 AM 2.00 Location:6006 Personal End 02;.00 PM 2.00 Activity: 1/2 Mask/TYVEK Minutes 180 Ave,2.00 Worker:Mllls Comments: 00 Liters. Pump ID LOQ fiibersicc Flbers/fIds Fiberslmm' RL flee < . - 360 min 0.107 max 1.390 21100 t7.0 0.007 07 Lab ID:1213540i$ Client's Sample#: 6 Date sampled.1211812012 Time Flow Rate Sample type:Pre Abatement start 10:00 AM 20.00 Location:5918 End 11:00 AM 20.00 Activity:Pre abatement Worker. Minutes 80 Ave.20.00 comments:"Rush sample analyzed byM.M on 12J19/2012 at 13:60 Liters Pump ID LOQ fibers/cc Flbersfflds Fibers/mm' ILL.floe �IbBt'S�CC 1200 min 0.032 max 0.417 61100 7.6 0.002 0.002 Lab iD:12135409 Client's Sample#: 7 Date sampled:12/18/2012 Time Flow Rat® Sample type:STEL Start 11:45 AM 2.00 Location:5916 End 12:15 PM 2.00 Activity.1/2 Mask/TYVEK Minutes 30 Ave.2.00oo Worker:Berriault Comments: ersicc Liters pump ID LOQ fibers/cc Fibersffids Fibers/MM2 RL flee <0.045 60 min 0.642 max 8.342 21100 47.0 0,045 d18045 i Lab ID:12135410 Client's Sample#: 5 Date sampled:12118/2012 Time Flour Rate Sample type:Personal Start 11:45 AM 2.00 Location:5918 End 02:15 PM 2.00 Activity:112 Maskl.TYVEK Minutes 150 Ave.2.00 11 Worker:Derrer _ J Comments: Liters pump ID LOQ ommets Fibers/flds Fibers/mm= RL,flee Fibers/cc 300 min 0.128 max 1.668 1/100 47.0 0.009 C0.009 Blank ave.f/mml)0.0 Mlcro:field area mr( 0.00785 Effe.filtration area mm' 385 Precision+1-20% Accuracy+1-9% Sampled by: Client Analyzed by: Sarah Khan Date Analyzed:12/26/2012 Reviewed by: Nick Ly Date Issued:12126/2012 Nick Ly,Technical Director "Samples are analyzed In accordance with the NIOSH 7400(Issue 2:15 August 1994). If the samples were not collected Laboratories,ten the accuracy.pf the results Is limited by the methodology and acuity of the sample collector. The LQQ, Limits of.Quantification, are the fiber concenfialions,for the given volume of the sampled air, above and below which the results may be unreliable, The RL;Reporting Limit defined In Method 7400 as LOD,Is the ffbers/cc below which the results may not be conndently distinguished from background levels. This report relates only to the Items tented.It shall not be reproduced,except in full,without written approval of NVL Laboratories,Inc.. Unless otherwise Indicated,the conditidn of all samples was acceptable at time of receipt. Average Sr values for fiber count load range"(Low=0.259;medium-0.151:high-0.122). w- w �' Page 2 of 4 NVL laboratories, Inc. AIHA-IH A 4708 Aurora Ave.N.,Seattle,WA 98103 #101861 , Tel:206.547.0100, Fax:206.634.1936 AOO�j �o www.nvllabs.com Asbestos And other Fibers Analysis �wsotawraorr by Phase Contrast M[croscopy Client:Washington State Correctional Industries Batch #: 1220098.00 Addres:PO Box 519 Method: NIOSH 7400 Monroe,WA 98272 Client Project M AW 1262/PA#ES 12428 Date Received:12119/2012 Attention:Mr, Gary Baldwin Samples Received: 14 Project Location:Arlington Airport Samples Analyzed: 14 Lab ID:12135411 Client's Sample M 9 Date sampfed.12/19/2012 Time Flow Rate Sample type:Clearance Start 08:20 AM 20.00 Location:6006 TSI End 09:20 AM 20.00 Activity:Clearance Worker: Minutes 60 Ave.20.00 Camm®nts:'*Rush sample analyzed by NfJN on 12119/2012 at 13:50 Liters Pump ID 1_00flberelcc Fiberslftds Fiberslrrinf RLf1cc Fibera/cc 1200 rnln 0.032 max 0.417 21100 <7.0 0.002 <0.002 L.ab ID:12135412 Client's Sample#: 10 bate sampled:1211912012 Time Flow Rat® Sample type:STEL Start 08:30 AM 2.00 Location:5918 End 09,00 AM 2.00 Activity:1/2 Mask/TYVEK Minutes 30 Ave.2.00 Warker.I3errlault Cornrnents: i Liters Pump ID LOQ fibers/cc Fiberslflds Flbere/mm' RL f/cc Fibers/cc { 60 min 0.642 max 8.342 31100 c7.Q 0.045 <0.045 Lab ID:12135413 Client's Sample#: 11 Date sampled;1211912012 Time Flow Rate Sample type:Personal Start 08:30 AIDS 2.00 Location:5918 Personal End 09:00 AM 2.00 Activity:1/2 Mask/TYVEK Worker:Norris Minutes 30 Ave.2.00 Comments: Liters Pump ID LOQ flbersicc Fiberalfids Flberalmm" RL flce [Fibersicc 60 min 0.642 max 8.342 41100 47.0 0,045 0-045 Lab ID: 12135414 Client's Sample M 12 Date sampled:12/19/2012 Time Flow Rate N Sarhple type:STEL Start 09:45 AM 2.00 Locatlon:6006 End 10:16 AM 2.00 Activity:1.12 Mask/TYVEK Minutes 30 Ave.2.00 Worker Coates Cammenfs: Liters Pump ID LOQ fiberslce Fiberslfids Fiberslmmz RL f1CC LFibers/cc60 min 0.642 max 8,342 3.51100 <7.0 0.045 45 Blank ave,(f/mm')0.0 Micro.field area(mm`)0.00785 Effe.flltrafian area mm`)385 Precision+/-20% Accuracy+1-9% Sampled by: Client Analyzed by: Sarah Khan Date Analyzed-12/2612012 ,�_ Reviewed by. Nick Ly Date issued:12/2612012 `, Nick echnlcal Director "Samplos are analyzed in accordance with the NIOSH 7400(issue 2: 15 Augu.;t 1994). If the samples were not collected by NVL Laboratories,then the accuracy of the results Is limited by the methodology and acuity of the sample collocier. The LOQ, Limits of Quantification, Era the fiber concentrations,for the given volume of the sarnptod air, above and below which the results may be unrotlable. The RL, Reporting Limit defined in hAethod 7400 as LOD,Is the fibers/cc below whlch the results may not be confldontly dlstingu€shed irom background levels. This report relates only to the items tested.It shall not be reproduced,except In full,without written approval of NVL Laboratodes,Inc.. Unless otherwise indioated,the condition of all san les was acceptable at time of receipt. Average Sr values for fiber count load range(L.ow=0.259;medlum=0.161;high=0.122), __ _ _ _ _ _ —. _ -- -- Page 3 of 1 NVL Laboratories, Inc. AIHA-IH 4708 Aurora Ave.N.,Seattle,WA 98103 #101861 AR Tel:206.547.0100, Fax:206.634,1936 LAB IIN� _ www.nvllabs.cwm Asbestos And Other Fibers Analysis °O T°"" by Phase Contrast Microscopy Client:Washington State Correctional Industries Batch#: 1220098.00 Addres:PO Box 519 Method: NIaSH 7400 Monroe,WA 98272 Client Project#:AW 12621 PO#ES 12428 Date Received: 12/19/2012 Attention:Mr.Gary Baldwin Samples Received: 14 Project Location:Arlington Airport Samples Analyzed: 14 Lab ID:12135415 Client's Sample#: 13 Date sampled:1211912012 Time Flow Rate Sample type:STEL Start 09:45 AM 2.00 Location:6006 Personal End 11:15 AM 2.00 Activity:112 Mask/TYVEK Minutes 90 Ave.2.00 Worker:Mills Comments, Liters Pump ID LOQ flberWcc Fibers/ficis Flbera/mm2 RL fica FIbArSICC 180 min 0,214 max 2.781 21100 a7.0 0.015 <0.015 1_ab ID:12135416 Clients Sample#: 14 Date sampled:12119M12 Time Flow Rate Sample type:Clearance Start 10:00 AM 20.00 Location:59t8 End 11:00 AM 20.00 Activity:Clearance Worker. Minutes 60 Ave.20.00 Comments:**Rush sample analyzed by M.M on 12/19/2012 at 13:50 Liters Pump lD LCIQ fibers/cc Fibers/flds Fibers/mmz RL f/co �ibQtS/cc 1200 min 0.032 max 0.417 4.51100 <7.0 0,002 <0.002 1 Blank ave, f/mm2 0.0 Micro.field area mm')0.00785 Ells,filtration arse mm' 385 Precision+/20% Accuracy+1-9% Sampled by: Client Analyzed by; Sarah Khan Date Analyzed:12/2612012 Roviewed by: Nick Ly Date Issued:1212612012 ,\Nick Ly,Technics Directo *Samples are analyzed in accordance with the NIOSH 7400(Issue 2: 15 August 1994),If the samples were not collected by NVL Laboratories,then the accuracy of the results Is limited by the methodology and acuity of the sample cgllector. The LOQ, Limits of Quentiflcation, are the fiber concentrations, for the given volume of the sampled a1r,above and below which the results may be unrefiiable. The RL, Reportfng Limit defimad In Method 7400 as LOD,Is the fibersicc Wow which the results may not be conflderrUy distinguished from background levels. This report•relates only to the Isms tested.It shall not be reproduced,except In full,without written approval of NVL Laboratories,Inc.. Unless otherwise indloated,the condition of all samples was acceptable at time of receipt...Average Sr values for fiber count load range(Low-0.269;medium-0.151;high=0,122)_ --- ----- - --- -- - --- - :Page 4 of 4 eov J CD Co -F- AA;L- 1. J,6 1-z I r) -W p t-7 .7 Cc, C5 I'D 2h .9 , 'M > p 37 ,fp" co 4 In c tj r LJ co 41 �C6 s I lr� %r IzJ 7-51— Op Lj� i Tj r f/ cn ID { �dM ENVIRONMENTAL SERVICES INVOICE ^'X' CORRECTIONAL INDUSTRIES 801 88TH AVENUE SE '0 FfiV cq <<SLIP0232 �► TUMWATER,WA 98501 // �fl ' Deta;F 9/28/2012 b, f/oc e�� cj:r�%+��.^, Page: 1 Bill To: Ship To: ARLINGTON AIRPORT ARLINGTON AIRPORT 238 NORTH OLYMPIC AVE. 238 NORTH OLYMPIC AVE. ARLINGTON WA 98223 ARLINGTON WA 98223 JOB # BW-183 Customer Order No. I Customer ID ITerritory ID Delivery Method eit�t_ii� ' Req Ship Date Master,No. 906C INTERNAL NET 30 DAYS 9/28/2012 1,553 UN Ordered Shipped Item Number Description of Item Total 1 1 1.00 FIXED ASSESSMENT ASSESSMENT-6006 189TH PLACE N.E $1,000,00 2 24 24.00 AIR SAMPLES SAMPLES $600.00 3 1 1.00 FIXED ASSESSMENT ASSESSMENT-5918 189TH PLACE N.E. $1,000.00 4 14 14.00 AIR SAMPLES SAMPLES $350.00 5 5 5.00 LEAD SAMPLES LEAD SAMPLES-5918/6006 189TH PLACE N.E. $125.00 6 1.00 1.00 TCLP SAMPLES TCLP SAMPLES-5918 189TH PLACE N.E. $130.00 oL Zead Saz ni f,�� a 1.7d ATTN;DALE CARMEN REMIT TO: Subtotal $3,205.00 6006/5819 ARLINGTON AIRPORT Cl ACCOUNTING Freiaht $0.00 PO BOX 41116 MS:41116 Tax $275.63 OLYMPIA,WA 98504-1116 Tr%tai AR 4Rn 63 _NVL Laboratories, Inc. 4708 Aurora Ave. N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Tel:206.547.www. Fax: 34.1936 Bulk Asbestos Fibers Analysis www,nvllabs.com By Polarized Light Microscopy Client: Correctional Industries Batch M 1209788.00 Address: P.O. Box 41115 Client Project#:Arlington Airport/PO#ES12286 Olympia, WA 98504 Date Received: 06/26/2012 Samples Received: 24 Attention: Mr, Gary Brock Samples Analyzed:24 Project Location: Arlington, WA Method: EPA/600R-93/116 Lab ID: 12058164 Client Sample#: 6006-01-001 Location: Arlington, WA Layer 1 of 2 Description: Gray/brown vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder Cellulose 6% None Detected ND Layer 2 of 2 Description: Tan woven fibrous backing with yellow mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Mastic/Binder Cellulose 65% None Detected ND Lab ID: 12058165 Client Sample#: 6006-02-001 Location: Arlington, WA Layer 1 of 2 Description: Off-white vinyl the Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder, Mineral grains Cellulose 3% None Detected ND Layer 2 of 2 Description: Clear soft mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder Cellulose 4% None Detected ND Synthetic fibers 2% Lab ID: 12058166 Client Sample#: 6006-02-002 Location: Arlington, WA Layer 1 of 2 Description: Beige sheet vinyl Nan-Fibrous Materials: Other Fibrous Materials.% Asbestos Type: % 3 Vinyl/Binder None Detected ND None Detected ND Layer 2 of 2 Description: White fibrous backing with mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Mastic/Binder Cellulose 72% None Detected ND Sampled by: Client Analyzed by: Lori Tseng Date:06/2712012 Reviewed by: Nick Ly Date:06/27/2012 Nic l or Note: If samples are not homogeneous,then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/M4 -82-020 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 7 NVL Laboratories, Inc. a 4708 Aurora Ave.N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Te1:206.547.0100, Fax: 34.1936 www.nvllabs Bulk Asbestos Fibers Analysis By Polarized Light Microscopy Client: Correctional Industries Batch M 1209788.00 Address: P.O. Box 41115 Client Project#:Arlington Airport/PO#ES12286 Olympia, WA 98504 Date Received: 06/26/2012 Samples Received: 24 Attention: Mr. Gary Brock Samples Analyzed: 24 Project Location: Arlington,WA Method: EPA/600R-93/116 Lab ID: 12058167 Client Sample#: 6006-03-001 Location: Arlington, WA Layer 1 of 2 Description: Beige sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder None Detected ND None Detected ND Layer 2 of 2 Description: Black asphaltic fibrous backing with mastic and paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Mastic/Binder, Paint Cellulose 75% None Detected ND Lab ID: 12058168 Client Sample#: 6006-04-001 Location: Arlington, WA Layer 1 of 2 Description: Gray tile Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder Cellulose 6% None Detected ND Layer 2 of 2 Description: Black asphaltic fibrous backing with brown mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Mastic/Binder Cellulose 61% None Detected ND Synthetic fibers 13% Lab ID: 12058169 Client Sample M 6006-05-001 Location: Arlington,WA Layer 7 of 2 Description: Red tile Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder Cellulose 7% None Detected ND Layer 2 of 2 Description: Black asphaltic fibrous backing with brown mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Mastic/Binder Cellulose 72% None Detected ND Sampled by: Client Analyzed by: Lori Tseng Date:06/27/2012 Reviewed by: Nick Ly Date:06127/2012 Nlc , Note:If samples are not homogeneous,then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/M4 -82-020 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 7 NVL Laboratories, Inc. aW 4708 Aurora Ave. N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Te1:206.547.vvww. Fax: 34.1936 sulk Asbestos Fibers Analysis www.nvllabs.com By Polarized Light Microscopy Client: Correctional Industries Batch M 1209788.00 Address: P.O. Box 41115 Client Project*:Arlington Airport/PO#ES12286 Olympia, WA 98504 Date Received.06/26/2012 Samples Received: 24 Attention: Mr.Gary Brock Samples Analyzed: 24 Project Location:Arlington, WA Method: EPA/600R-93/116 Lab ID: 12068170 Client Sample#: 6006-06-001 Location: Arlington, WA Layer 1 of 3 Description. Green tile Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder Cellulose 5% None Detected ND Layer 2 of 3 Description: Van fibrous material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Cellulose 76% None Detected ND Layer 3 of 3 Description: Black asphaltic fibrous backing with brown mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Mastic/Binder Cellulose 60% None Detected ND Synthetic fibers 13% Lab ID: 12058171 Client Sample#: 6006-07-001 Location: Arlington,WA Layer 1 of 2 Description: Gray tile Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder Cellulose 6% None Detected ND Layer 2 of 2 Description: Black asphaltic fibrous backing with brown mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Mastic/Binder Cellulose 63% None Detected ND Synthetic fibers 11% Lab ID: 12058172 Client Sample#: 6006-08-001 Location: Arlington,WA Layer 1 of 2 Description: Off-white/gold sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder None Detected ND None Detected ND Sampled by: Client Analyzed by: Lori Tseng Date:06/27/2012 Reviewed by: Nick Ly Date:06/27/2012 Nic it Note: If samples are not homogeneous,then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/M4 -82-020 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 3 of 7 NVL Laboratories, Inc. aLV 4708 Aurora Ave.N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Tel:206.547. Fax 206'.634.1936 www.nvllabs.com Bulk Asbestos Fibers Analysis www.nvilabs.com By Polarized Light Microscopy Client: Correctional Industries Batch M 1209788.00 Address: P.O. Box 41115 Client Project#: Arlington Airport/PO#E612286 Olympia, WA 98504 Date Received: 06/26/2012 Samples Received: 24 Attention: Mr.Gary Brock Samples Analyzed: 24 Project Location: Arlington,WA Method: EPA/600R-93/116 Layer 2 of 2 Description: Gray fibrous backing with mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Mastic/Binder Cellulose 23% Chrysotile 51% Lab ID: 12058173 Client Sample#: 6006-09-001 Location: Arlington,WA Layer 1 of 1 Description: White chalky material with paper and paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Gypsum/Binder, Binder/Filler, Paint Cellulose 33% None Detected ND Lab ID: 12058174 Client Sample#: 6006-09-002 Location: Arlington, WA Layer 1 of 1 Description: White chalky material with paper and paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Gypsum/Binder, Binder/Filler, Paint Cellulose 35% None Detected ND Lab ID: 12058175 Client Sample#: 6006-09-003 Location: Arlington, WA Layer 1 of 1 Description: White chalky material with paper and paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Gypsum/Binder, Binder/Filler, Paint Cellulose 32% None Detected ND Lab ID: /2058176 Client Sample#: 6006-10-001 Location: Arlington, WA Layer 1 of 1 Description: White chalky material with paper and paint �� Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Gypsum/Binder, Binder/Filler, Paint Cellulose 34% None Detected ND Lab ID: 12058177 Client Sample M 6006-10-002 Location: Arlington, WA . i Sampled by: Client Analyzed by: Lori Tseng Date:06/27/2012 x4fw� Reviewed by: Nick Ly Date:06/27/2012 Nick L Note: If samples are not homogeneous,then subsemples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/M4 -82-020 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 4 of 7 NVL Laboratories, Inc. a� 4708 Aurora Ave.N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Tel:206.547.0 w. Fax 34.1936 rww.v nvllabs.com Bulk Asbestos Fibers Analysis com By Polarized Light Microscopy Client: Correctional Industries Batch M 1209788.00 Address: P.O. Box 41115 Client Project M Arlington Airport/PO##ES12286 Olympia, WA 98504 Date Received: 06/26/2012 Samples Received:24 Attention: Mr. Gary Brock Samples Analyzed: 24 Project Location: Arlington, WA Method: EPA/600R-93/116 Layer 1 of 1 Description: White chalky material with paper and paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Gypsum/Binder, Binder/Filler, Paint Cellulose 31% None Detected ND Lab ID: 12058178 Client Sample#: 6006-10-003 Location: Arlington, WA Layer 1 of 1 Description: White chalky material with paper and paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Gypsum/Binder, Binder/Filler, Paint Cellulose 36% None Detected ND Lab ID: 12058179 Client Sample#: 6006-11-001 Location: Arlington,WA Comments: No joint compound present Layer 1 of 1 Description: Tan paper with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % i Binder/Filler, Paint Cellulose 75% None Detected ND Lab ID: 12058180 Client Sample#: 6006-12-001 Location: Arlington, WA Layer 1 of 1 Description: Light brown cementitious material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Cement/Binder, Paint Cellulose 4% None Detected ND Lab ID: 12058181 Client Sample#: 6006-13-001 Location: Arlington, WA Layer 1 of 2 Description: Black asphaltic with fibrous material and sand Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Binder/Filler, Sand Glass fibers 27% None Detected ND Sampled by: Client Analyzed by: Lori Tseng Date:06/2712012 Reviewed by: Nick Ly Date:06/27/2012 Nick Ly, Note: If samples are not homogeneous,then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 600IM4 -82-020 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 6 of 7 NVL Laboratories, Inc. __ a 4708 Aurora Ave.N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Te1:206.547.0100, 6.634.1936 nvllabsabs.com Bulk Asbestos Fibers Analysis www. co By Polarized Light Microscopy Client: Correctional Industries Batch M 1209788.00 Address: P.O. Box 41115 Client Project#:Arlington Airport/PO#ES12286 Olympia, WA 98504 Date Received: 0 6126/2 0 1 2 Samples Received: 24 Attention: Mr.Gary Brock Samples Analyzed: 24 Project Location: Arlington,WA Method: EPA160OR-93/116 Layer 2 of 2 Description: Black asphaltic fibrous felt Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % AsphalVBinder, Binder/Filler Cellulose 65% None Detected ND Synthetic fibers 11% Lab ID: 12068182 Client Sample M 6006-14-001 Location: Arlington, WA Layer 1 of 1 Description: Black asphaltic fibrous felt Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Binder/Filler Cellulose 60% None Detected ND Synthetic fibers 15% Lab ID: 12058183 Client Sample#: 6006-15-001 Location: Arlington, WA Layer 1 of 1 Description: Gray fibrous material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler Cellulose 23% Chrysotile 62% Lab ID: 12068184 Client Sample#: 6006-16-001 Location: Arlington, WA Layer 1 of 1 Description: White chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Gypsum/Binder, Binder/Filler Cellulose 34% None Detected ND Lab ID: 12068185 Client Sample#: 6006-17-001 Location: Arlington, WA Layer 1 of 2 Description: Black asphaltic fibrous material with sand and paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Sand, Paint Cellulose 33% None Detected ND Sampled by: Client Analyzed by: Lori Tseng Date:06/27/2012 Reviewed by: Nick Ly Date:06/27/2012 Nick L. Note: If samples are not homogeneous,then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/M4 -82-020 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 6 of 7 NVL Laboratories, Inc. 4708 Aurora Ave.N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Te1:206.547. Fax:208.634.1936 www.nvllabs.com Bulk Asbestos Fibers Analysis www.nvllabs.com By Polarized Light Microscopy Client: Correctional Industries Batch #: 1209788.00 Address: P.O. Box 41115 Client Project#:Arlington Airport/PO#ES12286 Olympia, WA 98504 Date Received: 0612612012 Samples Received: 24 Attention: Mr.Gary Brock Samples Analyzed:24 Project Location: Arlington, WA Method: EPA/600R-93/116 Layer 2 of 2 Description: Black asphaltic fibrous felt Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Binder/Filler Cellulose 71% None Detected ND Lab ID: 12068186 Client Sample#: 6006-18-001 Location: Arlington, WA Layer 1 of 1 Description: Gray cementitious/fibrous material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Cement/Binder, Paint, Binder/Filler Synthetic fibers 36% None Detected ND Cellulose 35% Lab ID: 12058187 Client Sample#: 6006-19-001 Location: Arlington, WA Layer 1 of 1 Description: Gray brittle material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Putty Compound, Paint Cellulose 3% None Detected ND Sampled by: Client Analyzed by: Lori Tseng Date:06/27/2012 Reviewed by: Nick Ly Date:06/27/2012 N' Note: if samples are not homogeneous, then subsamples of the components were analyzed separately,A bulk samples are analyzed using EPA 600/M4 -82-020 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 7 of 7 JI00. Aqe 44- Aoc 0.RRECTIONAL INDUSTRIES Enviror ill ental Services/Building Assessment SLIP 801 88th Ave.SE r T umwater WA.98512 1115 Fax: (360)59�66 S v� Phone: (360)� 6'c / C Chain of Custody TO:(Lab) NVL Batch ID SAMPLE: TYPE NUMBER TURN AROUND TIME 1 AIR 1..124 Hour X�3ULK IL) 1 148 Hour l 1 SOIL Other 5� 1 LEAD NOTIFICATION OF ANALYSIS: Iy-Telephone Fax 1 Wrillen ATTENTION: 6 *emt— PROJECT NAME: /-621-4 � LOCATION: / 2.�'�:. 7 Ae JOB NUMBER: SAMPLE# SAMPLE DESCRIPTION SAMPLED BY CERT.# AQL ClL�- _ Vic FLy 'AT1`� 0oeo'gZ� 00 TO �C Q m Z- r�atYT'I►>�tZ J r 6 -05-001 boo d2 T e RELINQUISHED BY: Correctional Industries RECEIVED BY: PRINTED NAME: �� PRINTED NAME: SIGNA' FI-. SIGNATURE: IME: �!r DATE: TIME. ,& �'-'j�DATE: 3 LABORATORY-PLEASE RETURN ONE COPY OF THE CHAIN OF CUSTODY WITH WRIT-FEN ANALYTICAL RESULTS. 140TE:slop testing as soon as you get 1 positive sample In any one sample catauory please. CORRECTIONAL INDUSTRIES 1_11vir oill ulit"ll Services I BLlllding ASsessIlIWIt SLIP NVL Bauch ID 801 88lil Ave-SE 400 1209 � TL1 IMIter WA.98512-1115 Phone: (360)586-0031 / Fax: (360)586-0036 Chain of Custocl� TO:(Lab) SAMPLE: TYPE NUMBER TURN AROU_NCl TIME AIR I I 21Iloui / 148 HOW lUllier SOIL LEAD I � fulcl;lwne I Fax I Wrill�n NOI'Ir:IGA1'ION OF- ANALYSIS: All I=N I I(')N: Ijko,IF(:I NAW: LOCATION: - J(aE3 NLJMBE K: SAMI'L SAMPLED BY CERT. #E 8 SAMPLE DESCRIPTION -- cZoh i RECEIVED BY: f1L-1 INQUISHED By: Correctional Industries PRINTED NAME: vv��✓"� PRINThD NAME' SIGNATURE:- SI(;NATIj L:: � DATE: 'I'I TIME: i5-/5 L als KAllil<Y I'LF.:ASE RL.TLIFZN ON[ CC)F�Y OF TIIL: CHAIN OF GUSI� DY WI I'H WFtI'ITEN ANAL_YTIC:AL. FtL--SLILlS. Fdy - III L.A8 teUlin�l as suou as yuu get 1 positive sample In ally one Sample cataijuiy please. NVL Laboratories Inc. 4708 Aurora Ave.N.,Seattle,WA 98103 For the scope of sccredltatlon under NVLAP Lab Code 102063-0 Tel:20ti.547.www. Faxabo.co 6.634.1936 Bulk Asbestos Fibers Analysis vvww.nvllabs.com' By Polarized Light Microscopy - Client: Correctional Industries atch #: 1209789.00 Address: P.O, Box 41115 . Client Project M Arlin 'ton Alrport/PO#ES 12286 Olympia,WA 98504 Date Received:06/26/2012 Samples Received: 14 Attention; Mr.Gary Brock Samples Analyzed: 14 Project Location:Arlington, WA Method:EPA160OR-931116 Lab ID, 12058188 Client Sample#: 6918-01-001 Location: Arlington, WA Layer 1 of 2 Description: Green/gray sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder None Detected ND None Detected ND Layer 2 of 2 Description: Clear soft mastic with debris Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder,Wood debris Cellulose 7% None Detected ND Lab ID: 12058189 Client Sample#: 6918-02-001 Location: Arlington,WA Layer 1 of 2 Description; Brown/white vinyl tile Non-Fibrous Materials: Other Fibrous Materials:%a Asbestos Type: % VinyVBinder, Mineral grains Cellulose 4°/a None Defected PAD Layer 2 of 2 Description; Clear soft mastic Non-Fibrous Materials, tither Fibrous Materials:% Asbestos Type, % Mastic/8lnder Cellulose 3% Norte Detected ND Lab ID: 12058190 Client sample#: 5918-03-001 Location: Arlington,WA Layer 1 of 4 Description: Whlte/dark green sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder None Detected ND None Detected Nil Layer 2 of 4 Description: Gray fibrous backing with mastic Non-Fibrous Materials: Other Fibrous Materials;% Asbestos Type: % �f Binder/Filler, Mastic/Binder Cellulose 60% None Detected ND Glass fibers 13% Sampled by: Client Analyzed by: Lori Tseng Date:0 6/2712 0 1 2 __ Reviewed by. Nick Ly Date;06/2712012 Nic . Q;Mi��2 Note:If samples are not homogeneous,then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 500/M4 -82-020 Method with the following measurement uncertainties for the reported %Asbestos(1%=0-3%, 5%=1-9%, 10%=8-15%. 20%=10.30%,50%=40 -80%). This report'refat6a 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,wlthbut written apprbval'of NVL Laboratories,Inc, Itshall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 1 of 6 NVL Laboratories, Inc. 4708 Aurora Ave.N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 7e1:209.547A100, For.205.634.1938 www.nvllabs.aam Bulk Asbestos Fibers Analysis By Polarized light Microscopy Client: Correctional Industries Batch #: 1209789.00 Address: P,O, Box 41115 Client Project#:Arlington Airport/PO#ES 12286 Olympia,WA 98504 Date Received: 06/26/2012 Samples Received: 14 Attention: Mr.Gary Brock Samples Analyzed: 14 Project Location: Arlington, WA Method: EPA160OR-93/116 Layer 3 of a Description: Beige sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder None Detected ND Norte Detected ND Layer 4 of 4 description: Gray fibrous backing with mastic Non-Fibrous Materials; Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Mastic/Binder Cellulose 62% Norte Detected ND Synthetic fibers 10% Lab ID: 12058191 Client Satmple#: 5918-04-001 Location: Aelingtort,WA Comments: Unable to separate yellow brittle mastic for analysis Layer 7 of 4 Description: IBeigelbrown vinyl tile Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder, Mineral grains Cellulose 2% Chryaotile 2% Layer 2 of 4 Description: Clear soft mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder Cellulose 5% Nome Detected ND _ ._._...Layer•-3=of•-4--______Descr-pt on>..Beige-viny-tl E_._....___...__.___ ......._.__._.._._•...._.__.__._�._..___.._�..__._.__.__._______..._.__..._...__._______..___..__.__.__._..._. .._. Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder, Mineral grains Cellulose 4% Chryaotiie 3% Layer 4 of 4 Description: Clear soft mastic with yellow brittle mastic and paint Non-Fibrous Materials: Other Fibrous Materials;% Asbestos Type: % Mastic/Binder, Paint, Wood flakes Synthetic fibers 5% None Detected ND Cellulose 2% Lab iD: 12058192 Client Sample#: 6919-05-001 Location: Arlington,WA Sampled by: Client Analyzed by: Lori Tseng Date:06/27/2012 Reviewed by: Nick Ly Date:06/27/2012 Ni , Note;if samples are not homogeneous,then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 600/M4 -82-020 Method with the following measurement uncertainties for the repotted %Asbestos (1%=0-3%, 5%=1-g%, 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 and orsement by NVLAP or any other agency of the US Government. Page 2 of 5 NVL Laboratories Inc. 4708 Aurora Ave.N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Tel:206.647,0100, Fax:201.634.1936 Bulk Asbestos Fibers Analysis www,nvilabs.com By Polarized Light Microscopy Client: Correctional industries Batch#: 1209789.00 Address: P.O. Box 41115 Client Project A Arlington Airport/PO#ES 12286 Olympia,WA 98504 Date Received:06/26/2012 Samples Received: 14 Attention: Mr, Gary Brock Samples Analyzed: 14 Project Location:Arlington, WA Method: EPA/600R-93/116 Layer 1 of 2 Deswiption: White textured powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type; % Calcareous particles, Paint Cellulose 4% None Detected ND Layer 2 of 2 Description: White chalky material with paper Nan-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % .Gypsum/Binder, Binder/Filler Cellulose 32% None Detected ND Lab ID: 12068123 Client Sample#: 5918-05.002 Location: Arlington,WA Layer 1 of 2 Description: White textured powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,'Paint Cellulose 3% None Detected ND Layer 2 of 2 Description: White chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Gypsum/Binder, Binder/Filler Cellulose 31% None Detected ND Lab ID: 12DB8194 Client Sample#: 6918.05-003 � Location: Arlington,WA Layer-4.-of_.z._._.-_..tjescrtptlort:-V1White-textured powdery material with paint-— Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type; % Calcareous particles, Paint Cellulose 4% Alone Detected ND Layer 2 of 2 Description: White chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Gypsum/Binder, Binder/Filler Cellulose -34% None Detected ND Lab ID: 12058195 Client Sample#: 6918-06-001 Location: Arlington,WA Sampled by: Client Analyzed by: Lori Tseng Date:06127/2012 Reviewed by: Nick Ly Date:06/27/2012 Nl Note;if samples are not homogeneous,then subsamples of the components were analyzed separately.All bulk 6bmples are analyzed using SPA 6001M4 -82-020 Method with the following measurement uncertainties for the reported.%Asbestos(1%4-3%, 206=1040%,50%m40 -60%). This report relates only to the Items tested. if sample was not collected by NVL personner, theft 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,wllhoutvrrltten:approval of WL Laboratories,Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 3 of 5 I NVL Laboratories, Inc. 4708 Aurora Ave.N.,Seattle,WA 96103 For the scope of accradltatlon under NVLAP Lab Cade 102063-0 Tel:Zt?6.547.www www.nvilabq.com Bulk Asbestos Fibers Anal sis ' wvvw.nvtlabs.com By Polarized Light Microscopy Client: Correctional Industries Batch #: 1209789.00 Address: P.O, Box 41115 Client Project :Arlington Airport/PO#ES 12286 Olympia,WA 98504 Date Received: 0 6/2 612 0 1 2 Samples Received: 14 Attention: Mr.Gary Brock Samples Analyzed: 14 Project Location: Arlington, WA Method: EPA/600R-93/116 Layer 1 of 2 Description:.White textured powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Paint Cellulose 3% None Detected NO Layer 2 of 2 Description: White chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: 0/6 Gypsum/Sirider, Binder/Filler Cellulose 31% None Detected ND Lab 1D., /2068196 Client Sample#: 6918-06-002 Location: Arlington,WA Layer 1 of 2 Description; White textured powdery material with paint . Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Paint Cellulose 4% None Detected ND Layer 2 of 2 Description. White chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Gypsum/Binder, Binder/Filler Cellulose 23% None Detected NO Glass fibers 10% Lab ID: 12058197 Client$ample#: 5918-06-003 r -..---Location--Arlington;-WA----.__._.--•_----------..___-._..__._.__...._._--_..______....__...._.__.-�_..._._._.._--..-_---..-_.-__._---_..._.____.__.._...__------_�.�. - `'J� Layer 1 of 2 Description: White textured powdery material with paint / Non-Fibrous Materials: Other Fibrous Materials:% Asbes#o.s Type: % Calcareous particles, Paint Cellulose 5% None Detected NO Layer 2 of 2 Description: White chalky materlal with paper - - Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Gypsum/Binder, Binder/Filler Cellulose 21% None Detected ND Glass fibers 15% Lab iD: 12068198 Client Sample#: 591847-001 Location: Arlington,WA Sampled by: Client Analyzed by: Lori Tseng Date:06/27/2012 _ Reviewed by: Nick Ly Date:06127/2012 Nlck n r Note:If samples are not homogeneous,then suhsamples of the components were analyzed separately.All bulk samples.are analyzed using EPA 800/M4 62-020 Method wlth the following measurement uncertainties for the reported %Asbestos(1%=0-3%, 5%�1-9%, 10%=5-15%,20%=10-30%,50%=40 Bq%), This report relates only to the Items tested, If sample wosi not collected by NVL personnel, then the accuracy of the results is fimfted by the mothodofogy and acuity of the sample collector. This report shall not be reproduced except in full,wlthcpt 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 4 of 5 NVL Laboratories, Inc, 1117 4708 Aurora Ave:N:,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063=0 Tel;206,547,0100, Fax;206,634.1936 www.nvllabs.cam Bulk Asbestos Fibers Analysis By Polarized Light Microscopy Client: Correctional Industries Batch #: 1209789.00 Address: P.O. Box 41115 Client Project#:Arlington Airport/PO#ES 12288 Olympia,WA 98504 Date Received:06/26/2012 Samples Received: 14 Attention: Mr.Gary Brock Samples Analyzed: 14 Project Location: Arlington, VVA Method: EPA160OR-931116 Layer 1 of 2 Description: Black asphaltic material with sand Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % AsphaltlBinder;Sand Glass fibers 28% None Deflected ND Layer 2 of 2 Description: Black asphaltic fibrous felt Nan-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Binder/Filler Cellulose 60% None Detected NO Synthetic fibers 21% Lab ID: 12068199 Client Sample 0: 6918-08-001 - I v Location: Arlington,WA I Layer 1 of 1 Description: Tan paper with asphalt Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler,Asphalt/Binder Cellulose 77% None Detected ND Lab lD: 12068200 Client Sample M 8918-09-001 - I Location: Arlington,WA Comments: Unable to separate cream brittle materiell for analysis Layer 1 of 1 Description: Cream soft/elastic material with brittle material &paint Materials:.... -_-_.Other-Fibrous-Materials:°/n- -.-----_-Asbestoa Type:-%-- -_- Putty Compound, Paint Cellulose 5% None Detected NO Lab ID: 1,2ti88201 Client Sample#: 8918-10-001 Location: Arlington,-WA Layer 1 of 1 oesariptwon: White textured powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Paint Cellulose 4% None Detected NO Sarnpled by: Client Analyzed by: Lori Tseng Date:00/2712012 Reviewed by: Nick Ly Datr~:06/27/2012 Nic a rector Note:if samples are not homogeneous,then subsamples of the components were analyzed separately.All bulk samples are analyzed using EPA 6001M4 -82-020 Method with the following measurement uncertalntles for the reported%Asbestos(1%=0-3%, 5%=11-9%, 10%=5-15%,20%=10-30%, 60%=40 -Bo%). This report ielates 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 5 of 5 CORRECTIONAL N D U S T W E S n �,t,fiVlfltflfflt.ilWl 5r fvlcs f Bcfllcllfic�Assnssftfelft NVL Batch IQ SLID , 801 Oh Ave.SE f utilvvaler.1NA.08512-1 1 1 5 1209789 Phone; (360)861--C. 31-tfW (360)5Wlm3lT��d1a J f,(v" (W Chain of CustOdy TO:(Lab) 5Afu1Pl.E: TYPE NUMBER TURN AROUND TIME AN 124HOL11- ` I 01her I I OIL 4 I.rr.0 NbI'IFW'.I'IQN OF NALYtSIS: Xulvf+huur. Fax An L=N 1 I0N: /�. X12�d& NAME: Als ,t4elf LOCATION: IC. 5 NUME3ERZ: � ANI E 4 SAMPLE DESCRIPTION SAMPLEI) BY CER f.� Ile I�l_,I INQUISHED BY: Correctional In €-ISlnes RECEIVED BY: y NAME;- � PRIN7f,-.D NAME: E•(SIN-I-I�f.� �L � tiIGNA:I' -E: � �%r� SIGNATURE: TIME: • .€P,lit�h:ril C)!tY•I'I_f-r4:�F hL'-'f"l.U?N C)NL C;ilNt"CIF l•I�IE GtIAiN Qi^c:lJ�f�)€JY 4`�f'I fl l• FBI•I'I'�:hl.��N/a4;:`1-IL.>�{l_ftk €il.;15. NOTE: slop as you g6Lt 1�]DrI(IVi �€i1371)1L€I7 L1.0y pr}!;s�ritPl� i.ptNUury PIoof;o. NVL Laboratories, Inc. AIHN 4708 Aurora Ave. N.,Seattle,WA 98103 AIHA -IH#101861 Tel:206.547.0100, Fax:206,634.1936 Analysis Report AdC ib-1- i6 www.nvilabs.com WA-DOE#C1765 LABORATORY Total Lead (Pb) Client: Correctional Industries Batch #: 1209781.00 Address: P.O. Box 41115 Matrix: Paint Chips Olympia, WA 98504 Method: EPA 7000B Client Protect#: Arlington Airport/PO#ES 12286 Attention: Mr.Gary Brock Date Received: 06/26/2012 Project Location: Arlington, WA Samples Received: 5 D1 qb- A Sample RL in Results Results in Lab ID Client Sample# Weight(g) mg/Kg in mg/Kg percent r 12058121 L-6006-01-001 0.1936 47.0 8600.0 0.8600 12058122 _ L-6006-02-001 0.2049 45.0 490.0 0.0490 12058123 L-6006-03-001 0.1911 48.0 110.0 0.0110 C� 12058124 L-5918-01-001 0.1924 48.0 46000.0 4.6000 12058125 L-5918-02-001 0.1838 50.0 74.0 0,0074 Sampled by: Client Analyzed by: Aaron Brown Date Analyzed: 06/29/2012 Reviewed by: Nick Ly Date Issued: 06/29/2012 r mg/Kg=Milligrams per kilogram RL= Reporting Limit Percent=Milligrams per kilogram/10000 '<' = Below the reporting Limit Note: Method QC results are acceptable unless stated otherwise. Unless otherwise indicated, the condition of all_samples was acceptable at time of receipt. Bench Run No: 32-0629-07 Page 1 of 1 CORRECTIONAL INDUSTRILS E_nvilunn�r:ul�tl SI;IVICt;S 1 Bl.lilding Assessnit=rlt SLIP %C 801 881h Ave SE L� TUinwaler WA. 08512-1115 Phone; (360),58fr—fit Fax: (360)5��?ft NVL Batch ID 5R(-0/zo od U/�z 120,9781 Chain of Cust V T®:(Lab) ADDRESS: SAMPLE: TYPE NUMBER TURN AROUND TIME. Alf: � � 24 Boor l3UUC Oft Hour j SOIL 4 Olhei LLAD Nt_t l I IG 1 ION OF ANALYSIS: I I��il�%liINIIC IC i �3k 1 f WIIIIL-'fl os A I I LN-1 IUN' cam` (� 7 NA.M.F:14 Lf tl/7 l f471 ,,,4- /! 1111 LOCATION: tplz/'� 1 / JOB NUMBI.-R: SAMI'I E SAMPLE DESCRIPTION SAMPLED BY CER-(. # 00 RH INOUISHED BY: Correctional Industries RECEIVED BY: PRINTED NAME; L� PRINTED NAME: 11W/ V-�l . 51c.NA;EII .I -1�.�L SIGNATURE: IIME;3: IS OA L-- a(0 '�`�(I rIMF: /,575' DATE- l.Ali�%1:r11 UI.Y I''l L:ASE: I:k_TUfzPJ l)Nf_1::�:�t'1" CrF I HE CHAIN OF CU5TOl")Y wl7ti wr<It-I'ErJ ANALYIICAI.I1L-�;UL-I S. NOTE_Stop tusliily as smin as you ttul 1 positive sample In any one sampie catagory please. NVL-La r�s, imc. -- — AIHA 4708 Aurora Ave. N., Seattle,WA 98103 Tel: 206.547.0100, Fax:206.634.1936 AIHA -IH#101861 ACCREDITED www.nvllabs.com Analysis Report WA-DOE#C1765 LABORATORY Toxicity Characteristic Leaching Procedure - Lead (Pb) Client: Correctional Industries Batch M 1214202.00 Address: PO Box 41115 Matrix: Bulk Olympia, WA 98504 Method: EPA 1311/7000B Client Project#: BW-185 Attention: Mr.Gary Baldwin Date Received: 09/06/2012 Project Location: Arlington Airport-Arlington,WA Samples Received: 1 Samples Analyzed: 1 R1 r]_s.LLi.11,. DtisiiiTfri" Lab ID Client Sample# mg/L in mg7l/L ppm 12083105 5918-T 0.5 < 0.5 < 0.5 Sampled by: Client DRAFT Analyzed by: Aaron Brown Date Analyzed: 09/13/2012 mg/L=Milligrams per liter RL= Reporting Limit ppm =parts per million '<' = Below the reporting Limit Note : Method QC results are acceptable unless stated otherwise. Unless otherwise indicated, the condition of all samples was acceptable at time of receipt. Bench Run No: 32-0912-08 Page 1 of 1 BATCH ID 1214202.00 CORRECTIONAL INDUSTR , Environmental Services 1 Building Assessment SLIP 801 88th Ave-SE - TUmwater WA- 98512-1115 Phone:(360)725-91.441 Fax: (360)725-9170 Chain- Of CuStOd TO:(Lab) ADDRESS: SAMPLE: TYPE NUMBER TURN AROUNb TIME ' ❑AIR ❑24 Hour ® L 48 Hour BULK [ _ � v ❑SOIL Other S .`"i-ii tf o rz ra .❑LEAD — --- - - — - .� NOTIFICATION OF ALYSIS: ❑Telephone Fax= fl Written ATTENTION: PROJECT NAME: a - LOCATION: JOB NUMBER: SAMPLE SAMPLE# LE DESCRIPTION. SAMPLED BY CERT.,# fi= .jA 35o�-/z - r RELINQUISHED BY: ec on s RECEIVED BY. U�- -&7 L PRINTED NA PRINTED NAME: SIGNATURE: SIGNATURE: T--1ME:•I��. --DATE„ TAM - LABORATORY-PLEASE RETURN ONE COPY OF THE CHAIN OF CUSTODY WITH WRITTEN ANALYTICAL RESULTS, ' fiFare�ar�P3e•i�eny-ane'serr�le-�9°r�'pleas� -- - Arlington Airport Wednesday, November 28, 2012 Correctional Industries Environmental Services 801 88th Ave.SE Tumwater,WA MI2-1116 Phone#(360)726-9143 i Fax#(360)726-9170 ; Prowed by: --Gorraatlonal•lr�duatries/Aat�estoa•Wr40r2m— _...__--__--—._... ..._-._..---... _..__..__ .._--•-• PegeTNUMber - - - z Corrsationai Industries Jab dumber;AW-1262 Estimate Scope-of-Work Scope of Work: Correctional Industries/Environmental Services will provide labor and materials to; Obtain Puget Sound Clean Air and 1,&I asbestos parmits. Abate, remove, and properly dispose of the following Material. 6018-189th-150 elf sheet vinyl-Kitchen 6006-189th-'140 slf sheet vinyf-Kitchen, approximately 150 Ilf of TSI under crawl space of house. Any additional work requested or change to scope of work will require a written change order signed by authorized representative of both Cl/Envlronmental Samoa and the oustomer. f .i Any additional work requested or changes to the scope of work will require a written change order signed by authorized representatives of both CllEnAronmental Servloes and the customer. r ' l l=stimate Type ( FixedCost C�l Timomotodds L]facllltyaontract Total Estimato Amount: $8,fi88.00 4 I 1 E RLO C.H1L AG.[1.,ENK \,L RE: ASBESTOS REMOVAL AT FORMER AIRPORT RENTAL HOUSES ' i r This agreement is entered into onDecember 7,2012,by and between the City o Arlington/Arlington Municipal Airport and the State of Washington,Department of Corrections. 3 1 Scgpo of Work The Department of Corrections is being contracted to provide labor and materials to � xemo•ve and properly dispose of the following material containing asbestos discovered in f the former airport rental houses: • R.ental House at 5018'i89th Place NE-.approximately 150 s!f sheet vinyl- kitchen • Rental House at 6006180t"Place NE•-•approximately 140 sif sheet vinyl kitchen, approximately 150 ilf of TSI under crawl space of house. Asbestos removal shall be done in accordance with all Federal, State and local rules and. regulations.The Depmtinent of Corr"tions will obtain Puget Sound C1ean,A.ir Agency and Department of Labor and Industries abatement permits. All work to be completed as per the attached scope of work, The cost of all work shall not.exceed 725 7.74. ' t -- - - --- -- --This-agreement*apart oF-the-existing general-intexlocal a�eernenteuaxently�n-----------_.----------•-----. ��__ existence between.the City of Arlington laid the Washington State,Department of corrections. Date: -- : Rob Putnam, Airport Director Arlington unicipal Airport C r Date: Depiri=4 of Conectio -' DEMOLITION PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3551 • FAX (360)403 3418 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) (B Residential ®Commercial Project Address 5918 189th Place NE &6006 189th Place NE Parcel ID#: 153105-4-012-0009 Lot#: Subdivision: Valuation $20,000 Building Area ( q t o. of floors NE-iffiffe—rOT buildings Owner: City of Arlington -Airport Phone Number: 360-403-3470 Address: 18204 59th Ave NE City: Arlington State: WA Zip Code: 98223 Contact Person: Dale Carman Phone Number: 360-403-3474 Cell Phone: 425-754-1553 Fax: E-mail: dcarman@arlingtonwa.gov Address: 18204 59th Ave NE City: Arlington State: WA IIZip Code: 98223 Scope of Work: '�GNIC�:�aQ(1 C3 '�t UC�S�igj S�45(lt �GtM+1� o1W211ir1� txa-�S and- o>'qo_ �e+ac_ke_oL 30-ra�-&d. 5'+e WAI be Ie✓eleA PoLt aaJ I^c?strved- � develof rne✓ i- . -t'1-.e C;1-� f ��I:�c�-Fon I5 fetforinIn% 4kP- WOrK, Contractor: City of Arlington - M&O Phone Number: 360-403-3459 Address: 238 N. Olympic Ave City: Arlington State: WA Zip Code: 98223 Contractor's License Number: In House Demolition Work Expiration 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. 11/13/13 Applicants Signature Date Dale Carman Print Applicants Name RECEIVED FOR STAFF USE ONLY NOV 14 2013 -4 Permit# Acc to y Amount Received Receipt# C t. WEB Forms-125 V Page 1 of 1 7/10CJY I ' T ..��•� rr HOC; NI •�1i Google earth � � 1 � r CITY OF ARLINGTON ` 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 BUILDING PERMIT 18204 59TH AVE NE Permit#:239 PERMIT EXPIRES 180 DAYS AFTER Parcel#: 31052200200100 DATE OF ISSUANCE. Scope of Work: Valuation: 20000.00 OWNER APPLICANT CONTRACTOR CITY OF ARLINGTON Arlington Airport 18204 59TH AVE NE 18204 59th Avenue NE ARLINGTON,WA 98223 Arlington,WA 98223 425-403-3474 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: DEMOLITION CODE YEAR: 2012 STORIES: 1 CONST.TYPE: DWELLING UNITS: 2 OCC GROUP: BUILDINGS: 3 OCC LOAD: PERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation, guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO 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. 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.IBC 110/IRC 110. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. 11/14/2013 Applicant Signature Date Building Official Date CONDITIONS The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations.The property owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment or community.The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant authorities before commencing construction.The property owner shall ensure that the construction project complies with all applicable design review requirements. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS 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. PERMIT FEES Date Description Fee Amount 09/08/2026 Demolition $100.00 09/08/2026 State Surcharge-1st DU $4.50 Total Due: $104.50 Total Payment: $104.50 Balance Due: $0.00 CALL FOR INSPECTIONS Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon INSPECTION INFORMATION I Pass/Fail Date: 09/08/2026 Permit#: 239 Permit Date: 11/14/2013 Review Date: 11/14/2013 Permit Type: DEMOLITION Review Type: Residential Demolition Target Date: 11/20/2013 Scheduled Time: Completed Date: 11/14/2013 Description: Received asbestos survey and abatement report. Ok to issue Review Status: Assigned To: z.Christopher Young Time In: Time Out: Hours: Property Information Parcel#: 31052200200100 CITY OF ARLINGTON CITY OF ARLINGTON 18204 59TH AVE NE 18204 59TH AVE NE ARLINGTON, WA 98223 Zoning: 431 Airports & Flying FieldsLot: Block: Permit#: 239 Permit Date: 11/14/13 Permit Type: DEMOLITION Project Name: Airport Demolition Applicant Name: Arlington Airport Applicant Address: 18204 59th Avenue NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Dale Carman Phone: 425-403-3474 Email: dcarman@arlingtonwa.gov Scope of Work: Valuation: 20000.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 11/21/2013 Permit Expires: Permit Form Type: Civic Plus Number: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31052200200100 18204 59TH AVE NE CITY OF 431 Airports& ARLINGTON Flying Fields Plan Reviews Date Review Type Description Assigned To Review Status Received asbestos survey and abatement report.Ok to 11/14/2013 Residential Demolition z.Christopher Young issue 11/14/2013 Residential Demolition Launa Black 11/14/2013 Residential Demolition PW-ADMIN-GIS 11/14/2013 Residential Demolition PW Storm Rev 11/14/2013 Residential Demolition PW-WAT-REV 11/14/2013 Residential Demolition PW-SEW-REV Fees Fee Description Notes Amount Demolition $100.00 State Surcharge- 1st DU Residential- 1st Unit $4.50 Total $l 04.50 Attached Letters Date Letter Description 11/14/2013 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 11/21/2013 Airport Interfund transfer Launa Black $104.50 Outstanding Balance $0.00 Notes Date Note Created By: 11/14/2013 2 houses on Airport Property to be demolished by M&O Crew. Launa Black Uploaded Files Date File Name 11/14/2013 239-Asnestos Abatement.pdf 11/14/2013 BLD-239 Applicaiton Map.pdf