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20190058 201603180940501/31/2019 ORCAA Step 1: Select Payment=_ Olympic Region Clean Air Agency - Online Payments Olympic Region Clean Air Agency serving Clanam, Grays Harbor, Jefferson, Mason, Pacific, and Thurston Counties Step 2: Review and Submit Step 3: Confirmation and Receipt Step 3: Confirmation and Receipt Result: Payment Authorized Confirmation Number: 54046193 360-539-7610 800-422-5623 info@orcaa.org Your payment has been authorized successfully and payment will be processed. Olympic Region Clean Air Agency thanks you for your payment. For questions about your account, please call 360-539-7610 Please note: This permit is not valid until fees are paid and permitteo receives an approved permit from ORCAA. Thank you for using our bill payment services. Please save or print a copy of this receipt for record keeping purposes. My Bills Description of $37.00 on Permit Type Demolition Customer Information First Name: Michael Last Name: Maloney Address Line 1: PO BOX 5210 Address Line 2: City: Yelm State: Washington Zip Code: 98597 Phone Number. 3604587501 Email Address: michelleg@prairiepark.com Payment Information Payment Date: 01/31/2019 Card Type: Visa Card Number: """""'"'"'1144 Print Fee: Amount Due $37.00 $37.00 https://client.pointandpay.net/web/OlympicRegCleanAirAgencyWA 1/1 .. �-.;�EDWARDS VIR� ONMENTAL LLC SPEC RZINC fN ASBESTOS, LEAD A MOLD ABATEMENT P.O. Box 953 GCL# EDWAREL848D3 360-701-3562 TENINO, WA 98589 Specializing in Asbestos, Lead, Mold Abatement and Interior Demolition EDENVIROLLC@GMAlL.COM Letter Report Limited Scope AHERA Survey 505 E Yelm Ave Yelm, WA 98597 1.0 INTRODUCTION This letter report presents the results of the asbestos survey performed by Edwards Environmental Services, LLC, at 505 E Yelm Ave Yelm, WA 98597 on January 22nd, 2019, and the laboratory results of bulk samples of suspect building material collected during the site visit. 2.0 SCOPE OF WORK The scope of the services proposed and performed included the following: ® Perform a field survey to evaluate suspect building material and document whether or not suspect building materials contain the presence of asbestos. Collect bulk samples of friable and non -friable suspect asbestos -containing material for laboratory testing. 6 Prepare this survey report including recommendations for asbestos abatement action. 3.0 PROCEDURES All persons participating in asbestos inspections have received training as detailed in the Asbestos Hazard Emergency Response Act (AHERA), 29 CFR Part 763 and are accredited asbestos building inspectors. Sample locations for this survey were chosen in a random fashion, with emphasis being placed on obtaining samples of each type of accessible suspect material, while minimizing damage to the material being sampled. Samples were collected by carefully removing small portions of the suspect material in a non-abrasive manner. If possible, samples were collected from existing damaged areas. Immediately after collection, samples were placed in plastic containers. Sample containers were then placed in a large reseal able plastic bag for transportation to the laboratory. Data pertinent to each sample such as date, sample number, material description, and material condition was recorded on a field data sheet. Asbestos bulk samples were sent under appropriate chain -of -custody procedures to Asbestos Northwest, LLC in Federal Way, Washington for analysis. The samples were analyzed using polarized light microscopy/dispersion staining techniques in accordance with U.S. EPA Method 600/M4-82-020. Detection limits for this type of analysis are approximately one percent by volume. Materials containing one percent asbestos or more are considered to be asbestos - containing materials. Asbestos Northwest participated in the National Voluntary Laboratory Accreditation Program (NVLAP) for quality control procedures. Laboratory analysis reports are attached. 4.0 MELD OBSERVATIONS Building being surveyed is residential home. Construction is stick built, wood siding, trussed roof system with 3 tab roofing, and a full basement. Building was constructed in 1946 and has approximately 1000 square feet living space. Interior finishes were textured gypsum wallboard on walls, popcorn ceiling texture, ceilings tiles, carpeting throughout with exception to the bathroom, kitchen, and basement area. These areas had rolled vinyl sheet goods, 12 x 12 and 9 x 9 floor tiles. Suspect building materials included in scope were sheet rock with joint compound and texture, popcorn ceiling texture, ceiling tiles, fiber board, sheet vinyl flooring, floor tiles, cove base glue, window glazing, roofing and duct tape associated with the heating system. All three out buildings had no suspect building materials with the exception of window glazing. All suspect building materials were identified and inspected. These materials were then paced into one of two categories, either suspect for presence of asbestos or non -suspect for the presents of asbestos. Roofing was asphalt 3 -tab shingles, and building was insulated with fiberglass batt, and other cellulose blown in insulation. No pipe insulation or other TSI's were found. Suspect building materials were identified as suspect for presence of asbestos and bulk samples were collected. Each material is listed with field identification number, material description, samples(s) number and laboratory result. 5.0 FIELD OBSERVATIONS Edwards Environmental Services collected seventeen samples of materials considered suspect for the presence of asbestos. All materials were sampled following AHERA protocol. Of the seventeen samples taken ten tested positive for asbestos that were sample # BE 01 sheet vinyl in the bath room, sample # BE 02 9 x 9 floor tiles and mastic, samples # BE 04, 05, 06, & 07 all popcorn ceiling texture, samples # BE 09, 010, & 011 dry wall with joint compound 2 % chrysotile( recommend to have these samples point counted) and sample # BE 012 duct tape associated with the heating system. All out buildings had no suspect building materials with the exception of window glazing and that has tested negative for asbestos. 600 RECOMMENDATIONS A copy of this report must be provided to any employee or contractor conducting renovation or demolition activities at the subject property. Regulated ACM are required to be handled in accordance with Washington State Regulations prior to any demolition, renovation, or remodeling that would disturb these materials. Washington State Department of Labor and Industries require that the abatement be performed using a certified asbestos abatement contractor, workers, and the supervision of an AHERA supervisor. The only exemption of this is for the residential owner occupiers to perform removal of asbestos materials them self only. The requirements for handling, packaging, and disposing of asbestos containing materials can be found in WAC Chapter 296-62, Volume I, Part 1-1 ACM with less than 1% asbestos is not required to be abated by certified contractors or workers. However, ACM with less than 1 % does require all workers to have asbestos awareness training prior to handling or abatement work. Exception to this is the full structure demolition with machinery. This Asbestos Survey Report has been prepared for the exclusive use of Prairie Park Holdings, and those hired to assist in structure renovation. A reasonable effort was made to identify all suspect containing building materials (ACBNI) within the interior of the unit only; however, this does not imply a guarantee that all possible asbestos - containing materials were identified because certain building materials may have been inaccessible at the time of the inspections. Newly identified materials should be sampled and confirmed as non -asbestos containing before activities resume. We trust this report meets your current requirements. Edwards Environmental Services appreciates assisting you with the project. Please contact us if you have any questions or require additional information. EDWARDS � L F R ILVIR.,*NM1.+3' NITEf'1�,LLC .YI SAECI'A LINO M ASBESTOS, LEAD & HOLD ABATEMENT P.O. ®ox 953 GCL# EDWAREL848D3 360-701-3562 TENINO, WA 98589 Specializing in Asbestos, Lead, Mold Abatement and Interior Demolition EDENV IROLLC@GM AlL.COM Respectfully submitted, Blaine Edwards, Edwards Environment Services, LLC AHERA Building Inspector # BI/R-NES-050718-07 Expiration: 05-07-2019 ASSESTOS. NORTHWEST TESTING wve� ws zoos 7009s3-0 30620 Pacific Hwy S, #103, Federal Way, WA 98003 (253)941-4343 Attn: Edwards Environmental Enclosed please find the analytical report for one or more samples submitted for analysis by Polarized Light Microscopy. The six types of asbestos fibers are chrysotile, amosite, crocidolite, tremolite, anthophyllite and actinolite. A sample which contains more than 1% asbestos is considered positive and is defined by the EPA as an Asbestos Containing Material (ACM). The samples were analyzed in accordance with EPA method 600/R-93/116 and 600/M4-82-020. The analyst used a stereomicroscope to visually inspect the sample to determine homogeneity and material descriptions. The sample was then viewed under a polarized light microscope to determine the presence and percentage of asbestos and non -asbestos fibers. After analysis is complete, all paperwork will be filed together, and kept in a secure locked filing cabinet away from other clients and laboratory staff. Asbestos Northwest ensures that the files will not be tampered with at any time, and will be removed from the filing cabinet only if the client requests a modification on the report or reanalysis. If you have any concerns or comments, contact us at feedback(a),asbestosnw.com or fill out our survey at asbestosnw.com/survey Thank you, r"N Fuful -These results are only applicable to the samples enclosed, and may not be reproduced, except in full, without the approval of the laboratory. This report may not be used to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S. Government.- ASBESTOS x M®RTHWEST Asbestos NWBaicch# �ry`O\ 30620 Pacific Hwy S. #103, Federal Way, WA 99003 (253) 9414M3 NVL.AP Lab Code: 20099343 Bulk Sa pies Chain of Custody (EPA 60018-93/116) NelrTBeic 'orr-party 4u,'6A S ��'t � �'ft ��'st�'i� � � LLL Dale: Address., t' 7 i `' Phone: .��L' - ` 3:J .� C; L j A q.� -mash: e.�"Y V i �C t �� :k f Project ?v4anager Project Prosect Location: Toy tF A-V4zs Number of Samples: f � Print _ *e nl %ori x"IVY _ ns Sampled by: Relinquished by. Delivered by: La Accepted by: Dan 112 ASBESTOS `••,' r\n o NORTHWEST TESTING Asbestos Northwest, LLC NVLAP las CODE 20993.0 30620 Pacific Hwy S, #103, Federal Way, WA 98003 Ph: (253) 941-4343 Fax: (253) 941-4175 Batch Number: 201910193 PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116 This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S. Government. Attn: Blaine Edwards Date Received: 1/23/2019 Edwards Environmental Date Analyzed: 1/23/2019 PO Box 953 Tenino WA 98589 Samples Received: 17 Samples Analyzed: 17 Location: 505 E Yelm Ave Yelm, Wa Client Sample Lab Sample% Layer Description Matrix Non -Asbestos % Asbestos Fibers ID ID Fibers and Type BE -1 1 Gray sheet vinyl Vinyl/binder None detected None Detected Mastic/binder 2 Clear mastic I% Cellulose None Detected None detected 3 Orange sheet vinyl Vinyl/binder None Detected Gray fibrous material with Filler, 65% Chrysotile 20% Cellulose, 4 mastic Mastic binder Glass fibers BE -2 1 White sheet vinyl Vinyl/binder None detected None Detected 2 Clear mastic Masticibinder 1% Cellulose None Detected 1 Red tile Vinyl binder, 2% Cellulose, 5% Chrysotile BE -3 Mineral grains Wollastonite 2 Black mastic Mastic/binder 1% Cellulose 2% Chrysotile R1-6�7 'ort Page 1 Analyzed by: Cathy Butler P ASBESTOS.,'`_ NORTHWEST TESTING Asbestos Northwest, LLC NVLAV LAB CODE 200993.0 30620 Pacific Hwy S, #103, Federal Way, WA 98003 Ph: (253) 941-4343 Fax: (253) 941-4175 Batch Number: 201910193 PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116 This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S. Government. Attn: Blaine Edwards Date Received: 1/23/2019 Edwards Environmental Date Analyzed: 1/23/2019 PO Box 953 Tenino WA 98589 Samples Received: 17 Samples Analyzed: 17 Location: 505 E Yelm Ave Yelm, Wa ent Sample Lab Sample Layer Description Matrix % Non -Asbestos Fibers % Asbestos Fibers and Type ID ID White soft/lumpy material Binder/filler, 3% Cellulose, 7% Chrysotile BE- 1 with paint Paint Polyethylene White soft/lumpy material Binder/filler, 2% Cellulose, 4% Chrysotile BE -5 1 with paint Paint Polyethylene White soft/lumpy material Binder/filler, 3% Cellulose, 4% Chrysotile BE -6 1 with paint, glitter Paint Polyethylene White soft/lumpy material Binder/filler, 3% Cellulose, 4% Chrysotile BE -7 1 with paint, Paint Polyethylene BE -8 1 Tan rubbery material Rubber/binder None Detected None Detected r2T Beige mastic Mastic binder 1% Cellulose None Detected BE -9 I I 1 I White powdery material withI Binder/filler, I 10% Cellulose I 2% Chrysotile paint and paper Paint �N i l/,� / Re ort Page 2 Analyzed by: Cathy Butler P ASBESTC35 NORTHWEST MY Asbestos Northwest LLC TESTING � NVLAP LAB CODE 2UD993•0 30620 Pacific Hwy S, #103, Federal Way, WA 98003 Ph: (253) 941-4343 Fax: (253) 9414175 Batch Number: 201910193 PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116 This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S. Government. Attn: Blaine Edwards Date Received: 1/23/2019 Edwards Environmental Date Analyzed: 1/23/2019 PO Box 953 Tenino WA 98589 Samples Received: 17 Samples Analyzed: 17 Location: 505 E Yelm Ave Yelm, Wa Client Sample Lab Sample Layer Description Matrix % Non -Asbestos % Asbestos Fibers ID ID Fibers and Type 2 White chalky material with Filler/binder, 15% Cellulose None Detected paper Gypsum/binder BE -10 1 Tan powdery material with Binder/filler, 10% Cellulose 2% Chrysotile paint and paper Paint 2 White chalky material with Filleribinder, 15% Cellulose None Detected paper Gypsum/binder BE -11 1 Tan powdery material with Binder/filler, 10% Cellulose 2% Chrysotile paint and paper Paint Filler/binder, 15% Cellulose 2 White chalky material with None Detected paper Gypsum/binder BE -12 1 Gray fibrous material Filler Mineral Woo50% Cellulose Mineral30% Chrysotile BE -13 1 Brown fibrous material with Filler, Paint 90% Cellulose None Detected paint I Analyzed by: Cathy ButlerAP Report Page 3 ASBESTOS r %, LiV�� NO RTHWE5T •'- `�' TESTING Asbestos Northwest, LLC NVLAP LAB CODE 200993.0 30620 Pacific Hwy S, #103, Federal Way, WA 98003 Ph: (253) 941-4343 Fax: (253) 941-4175 Batch Number: 201910193 PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116 This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S. Government. Attn: Blaine Edwards Date Received: 1/23/2019 Edwards Environmental Date Analyzed: 1/23/2019 PO Box 953 Tenino WA 98589 Samples Received: 17 Samples Analyzed: 17 Location: 505 E Yelm Ave Yelm, Wa Client Sample Lab Sample% Layer Description Matrix Non -Asbestos Fibers % Asbestos Fibers and Type ID ID BE -14 1 Brown fibrous material with Filler, Paint 90% Cellulose None Detected paint and glitter 1 Gray brittle material with Binder/filler, 3% Cellulose/Talc None Detected BE -15 paint paint 50% Cellulose, 1 Black asphaltic material with Asphalt/binder, Glass fibers. None Detected BE -16 sand Sand Polyethylene 1 Gray brittle material with Binder/filler, 3% Cellulose/Talc None Detected BE -17 paint paint Analyzed by: Cathy Butlea� I U � / Report Page 4 r !I �: 0 Ci 7.0 POINT COUNTING Samples # BE 09, 010, 011 that had 2 % chrysotile were point counted by Asbestos Northwest and the results were less than 1 %. ACM with less than 1 % is non asbestos and can be demoed in place and can go as general debris. The copy of the PLM Point Count is attached. ACM with less than 1 % asbestos is not required to be abated by certified contractors or workers if the structure will be demolished with machinery. ASBESTOS. � NORTHWESTNORTHWESTAgBatch # 201910251 30620 Pacific Hwy S, #103, Federal Way, WA 98003 Ph: (253) 941-4343 Fax: (253) 941-4175 NVLAP Lab Code: 200993-0 FLM Point Count 400 Points This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S. Government. Attn•. Blaine Edwards Date Received: 1/29/2019 Edwards Environmental Date Analyzed: 1/29/2019 PO Bog 953 Tenino WA 98589 Samples Received: 17 Samples Analyzed: 3 Project: 505 E Yelm Ave Yelm, Wa Previous Batch Number: 201910193 Previous Analytical Information: Client Sample Lab Sample Layer Description I'D ED Tan powdery material BE -11 11 1 with uaint and paper Asbestos Points Counted: 2 Non -asbestos Points Counted: 398 Total Points Counted: 400 Matrix % Non -Asbestos % Asbestos Fibers Binder/filler, 10% Cellulose 2% Chrysotile Paint New Percentage: 0.50% Chrysotile Analyzed By: Dan Lafley Page 5 ASBESTOS �°�� NORTHWEST Batch# 201910251 30620 Pacific Hwy S, #103, Federal Way, WA 98003 Ph: (253) 941-4343 Fax: (253) 941-4175 NVLAP Lab Code: 200993-0 PLM Point Count 400 Points This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S. Government. Attn•• Blaine Edwards Date Received: 1/29/2019 Edwards Environmental Date Analyzed: 1/29/2019 PO Box 953 Tenino WA 98589 Samples Received: 17 Samples Analyzed: 3 Project: 505 E Yelm Ave Yelm, Wa Previous Batch Number: 201910193 Previous Analytical information: Client Sample Lab Sample Layer Description Matrix %Nop-Asbestos % Asbestos Fibers ID White powdery Binder/filler, 10% Cellulose 2% Chrysotile BE -9 9 1 material with paint and Paint Asbestos Points Counted: 1 New Percentage: Non -asbestos Points Counted: 399 0.25% Chrysotile Total Points Counted: 400 Previous Analytical information: Client Sample Lab Sample %Non -Asbestos Layer Description Matrix Eihers % Asbestos Fibers ID ID Tan powdery material Binder/filler, 10% Cellulose 2% Chrysotile BE -10 10 1 with paint and paper Paint Asbestos Points Counted: 3 New Percentage: Non -asbestos Points Counted: 397 Q®75% Chrysotile Total Points Counted: 400 Analyzed By: Dan Lafley Page 4