AHERA Asbestos Survey Report (SR25-4444) Gilliardi Logging & Construction_9819 Grove Rd SE, YelmPO Box 39220 9822 32nd Ave Ct S Lakewood, WA 98499 Phone: 253.588.0440 Fax: 253.588.0198 www.nwabatement.com
AHERA Asbestos Survey
“It’s Not What We Do,
It’s How We Do It”
Project:
Asbestos Survey
9819 Grove Rd SE,
Yelm, WA 98597
Prepared For:
Gilliardi Logging and Construction
P.O Box 16,
Elbe, WA 98330
Project Number: SR24-4444
SECTION 1 |Inspection Report
SECTION 2 |Laboratory Results
SECTION 3 |Photographs
SECTION 4 |AHERA Certification
TABLE OF CONTENTS
SECTION 1 |Inspection Report
Northwest Abatement Services, Inc. Inspection Report | 1
AHERA Certified Asbestos Survey / Inspection Report
01-14-2025
Prepared For: Gilliardi Logging & Construction
Project: Asbestos Survey
Four Structures
9819 Grove Rd SE,
Yelm, WA 98597
A. Background
On 01-14-2025 Northwest Abatement Services, Inc. performed an asbestos identification inspection which will serve as our report
for all visible Asbestos Containing Building Materials located at the address listed above. The purpose of this inspection w as to
ascertain the presence of asbestos containing materials located in the structure and provide a report to conform to WAC 296 -62-
077, PSCAA Regulation III, Section 4 and 40 CFR 763 requirements for identification of asbestos. This survey also satisfies
regulatory criteria established by OSHA’s Department of Labor and Washington State’s Department of Labor and Industries for
identifying asbestos containing materials associated with the structure for future abatement and demolition. A copy of this report
may be submitted to the appropriate agencies as proof that a survey was performed prior to any renovation or demolition. A
copy of this report should also be given to the contractor and/or be maintained onsite during any abatement and demolition
activities.
B. Sampling Methodology
Suspect materials were sampled by an AHERA (Asbestos Hazard Emergency Response Act) accredited inspector. Sample locations
for this survey were chosen in a non-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.
Friable materials are materials which can be crushed, pulverized, or reduced to powder by hand pressure or by the forces
expected to act upon the material in the course of the demolition process . Such material includes, but is not limited to, thermal
system insulation, surfacing material, sheet-vinyl flooring with paper-like backing, and cement asbestos products. These materials
were wetted with amended water prior to sampling to protect the inspector from potential exposure or accidental fiber release .
PPE (personal protective clothing) will only be utilized at the inspector ’s discretion. A particular suspect material may be located in
various separate places throughout the structure.
The EPA does not require that these materials be sampled in each location. Suspect materials of the same type, age, appearan ce
have the same date of installation, and are sampled in accordance with AHERA requirements, must provide statistically reliabl e
data which can be extrapolated on all remaining non sampled areas.
AHERA Protocol determines the number of samples of each material to be collected, depending on its category and amount of
material present. The goal of AHERA is to ensure statistically reliable data and it accomplishes this by requiring or sugges ting a
minimum number of samples to be collected, and in some cases, by using random sampling techniques to determine sampling
locations. However, in every case, AHERA relies on the judgment of the inspectors who are experienced in AHERA methodology
and the type of facilities being inspected. (see appendix A at end of the report)
After identifying the suspect materials, bulk samples were collected and taken to an asbestos laboratory to be analyzed for t he
amount of asbestos and, the type of asbestos, if any. The asbestos samples were analyzed using Polarized Light Microscopy
(PLM), stain dispersion staining techniques in accordance with the EPA Method 600/R -93/166, which has a reliable limit of
quantification of one percent asbestos by volume.
Northwest Abatement Services, Inc. Inspection Report | 2
C. AHERA Certified Inspector Information
The Certified AHERA Inspector was: Kamron Riser.
Certification #:NES-BII-20240612-06, Expiration: 06-12-2025.
D. Survey Findings
There was a total of Nine suspect asbestos containing building materials (bulk sample), removed from the structure listed above,
for lab analysis. Based on the field inspection, homogenization of materials, and the results of the lab analysis , Zero of the nine
samples tested Positive for Asbestos:
Sample Number Material Asbestos Content Quantity
Northwest Abatement Services, Inc. Inspection Report | 3
E. Building Description
The structures are located at – 9819 Grove Rd SE, Yelm, WA 98597.
Note: All suspect ACM finishes were sampled and tested according to AHERA Protocol. (See appendix A)
The suspect ACM (asbestos containing materials) sampled for analysis are as follows:
Sample Number Material Location
1 Mastic, Paper 1
2 Roof Shingle 1
3 Wallboard 1
3A Joint Compound 1
3B Texture 1
4 Vapor Barrier 1
5 Insulation 2
6 Mastic 2
7 Insulation 2
Northwest Abatement Services, Inc. Inspection Report | 4
F. Conclusion
Laboratory results did not show any asbestos in the samples tested. No abatement is required unless
discovery of suspect materials. Prior to any demolition or renovation, all friable and non-friable asbestos containing
materials (ACM) are to be removed and disposed of in accordance with applicable Federal, State and Local regulations. If the re is
any asbestos containing materials left on site, that will not be disturbed during the renovation or demolition process, an Asbestos
Operational and Maintenance Program (OM) is to be developed and implemented to monitor the remaining ACM .
In the event any suspect materials are detected during the demolition of this structure, you will need to cease all demolitio n
activities and have these materials sampled for Asbestos.
The Puget Sound Clean Air Authority requires that all materials that contain 1% or more Asbestos, that these materials be
removed by a licensed and Certified Asbestos removal contractor, prior to any demolition or renovation.
The abatement contractor should provide the Owner with copies of all required notifications to PSCAA and the Department of La bor
and Industries.
A certification letter will need to be obtained from the abatement contractor prior to applying for a demolition permit with PSCAA.
PSCAA will also want to see a copy of the asbestos survey.
Although extreme thoroughness and expertise were exercised to ensure the completeness of this survey, existing conditions may
have prevented the discovery of other suspect asbestos containing material. NW Abatement Services, Inc. is not responsible f or
materials that may be hidden from sight and cannot be discovered with reasonable diligence. Any suspect material not covered in
this survey that is encountered during the renovation or demolition procedure should be verified by analysis prior to disturb ance.
It should be noted that this survey was conducted only to ascertain the presence of asbestos containing materials.
There was no survey conducted by NW Abatement Services, Inc. to determine the presence of PCB material (ballast, etc.), UST’s ,
radon gas or any other hazardous material that may be present onsite.
This report has been prepared for the sole use of our client and its representatives for this project only. The analyses, co nclusions
and recommendations presented in this report are based upon conditions encountered at the time of our survey only. The scope
of services performed during this survey may not be appropriate for the needs of others. Re -use of this document or the findings,
conclusions or recommendations presented herein, are at the sole risk of said user. NW Abatement Services, Inc. cannot be he ld
responsible for the interpretation by others of the data contained in this report.
The conclusions presented in this report were based on the results of sample analysis presented by a subcontracted, third par ty,
analytical laboratory. Northwest Abatement Services, Inc. is not responsible for variations in analytical results or inaccuracies
resulting from laboratory analysis.
This survey is not intended for use as abatement plans and/or specifications. Northwest Abatement Services, Inc. recommends
that professional plans and specifications be prepared for all large -scale projects.
No warranty, expressed or implied, is made.
If you have any questions regarding this asbestos survey/inspection report, please contact us at (253) 588 -0440, or FAX: (253)
588-0198.
Respectfully submitted,
Kamron Riser
Kamron Riser.
Certified AHERA Inspector
NORTHWEST ABATEMENT SERVICES, INC.
Northwest Abatement Services, Inc. Inspection Report | 5
Appendix A
The following AHERA protocol was used in determining the number of suspect samples to collect:
Surfacing materials:
1) Homogeneous area equal to or less than 1000 SF (minimum 3 samples).
2) Homogeneous area greater than 1000 SF but less than 5000 SF. (5 samples)
3) Homogeneous area greater than 5000 SF. (7 samples)
Thermal Systems Insulation (TSI):
1) Homogeneous area (1 per each type of suspect materials).
Miscellaneous materials:
1) Homogeneous area (1 per each type of suspect materials)
Suspect Materials are divided into 3 categories:
1) Surfacing materials – ACM sprayed or troweled on surfaces (walls, ceilings, and structural members) for acoustical,
decorative, thermal insulation or fireproofing purposes. Examples include plaster, popcorn textured ceilings, skim coat
textures, and structural fireproofing.
2) Thermal System Insulation – Insulation used to inhibit heat transfer or prevent condensation on pipes, boilers, tanks,
ducts, and various other components of hot and cold-water systems, and heating, ventilation, and air conditioning (HVAC)
systems. Examples include pipe lagging, pipe wrap; block, batt, and blanket insulation; cement and “muds” and a variety of
other products such as gaskets and ropes.
3) Miscellaneous Materials – Materials not classified under surfacing materials or thermal systems insulation. Examples
include: floor tile, ceiling tile, roofing felts, concrete piping, outdoor siding and fabrics, glazing putty, wall board and
associated assembly component, various mastics, etc. such as floor tile mastics, wall board mastics, ceiling tile mastics etc .
SECTION 2 |Laboratory Results
SanAir ID#: 25003212
Project #: SR25-4444
Project Name: 9819 Grove Rd SE, Yelm
Report Date: 1/17/2025
Analysis Report
prepared for
Northwest Abatement Services, Inc.
Page 1 of 5
Dear Kamron Riser,
We at SanAir would like to thank you for the work you recently submitted. The 7 sample(s) were received on
Thursday, January 16, 2025 via UPS. The final report(s) is enclosed for the following sample(s): 1, 2, 3, 3A, 3B, 4, 6.
These results only pertain to this job and should not be used in the interpretation of any other job. This report is only
complete in its entirety. Refer to the listing below of the pages included in a complete final report.
Sincerely,
Sandra Sobrino
Asbestos & Materials Laboratory Manager
SanAir Technologies Laboratory
Final Report Includes:
- Cover Letter
- Analysis Pages
- Disclaimers and Additional Information
Sample conditions:
- 7 samples in Good condition.
10501 Trade Ct., N. Chesterfield, VA 23236 | 804.897.1177 | Fax: 804.897.0070 | www.SanAir.com | LabReports@SanAir.com
SR25-4444Project Number:
SR25-4444P.O. Number:
Project Name:9819 Grove Rd SE, Yelm
1/14/2025Collected Date:
1/16/2025 10:40:00 AMReceived Date:
1/17/2025 10:00:46 AM
25003212
SanAir ID Number
FINAL REPORT
Northwest Abatement Services, Inc.Name:
Address:P.O. Box 39220
Lakewood, WA 98496
253-588-0440Phone:
Page 2 of 5
Analyst: Forman, Sydney
Asbestos Bulk PLM EPA 600/R-93/116
Stereoscopic Components
SanAir ID / Description Appearance % Fibrous % Non-fibrous Asbestos Fibers
1 / 25003212-001
Mastic, Paper/Debris Pile 1, Mastic
White
Non-Fibrous
Homogeneous
100% Other None Detected
1 / 25003212-001
Mastic, Paper/Debris Pile 1, Paper
Black
Non-Fibrous
Heterogeneous
60% Cellulose 40% Other None Detected
1 / 25003212-001
Mastic, Paper/Debris Pile 1,
Membrane
Black
Non-Fibrous
Homogeneous
100% Other None Detected
2 / 25003212-002
Roof Shingle/Debris Pile 1
Various
Non-Fibrous
Heterogeneous
15% Glass 85% Other None Detected
3 / 25003212-003
Wallboard/Debris Pile 1
White
Non-Fibrous
Heterogeneous
10% Cellulose 90% Other None Detected
3A / 25003212-004
Joint Compound/Debris Pile 1
White
Non-Fibrous
Homogeneous
100% Other None Detected
3B / 25003212-005
Texture/Debris Pile 1
White
Non-Fibrous
Homogeneous
100% Other None Detected
4 / 25003212-006
Vapor Barrier/Debris Pile 1, Vapor
Barrier
White
Fibrous
Homogeneous
85% Synthetic 15% Other None Detected
4 / 25003212-006
Vapor Barrier/Debris Pile 1, Tar
Paper
Black
Fibrous
Homogeneous
65% Cellulose 35% Other None Detected
6 / 25003212-007
Mastic/Debris Pile 2
Black
Non-Fibrous
Homogeneous
5% Cellulose 95% Other None Detected
Analyst:
Analysis Date:1/17/2025 Date:1/17/2025
Approved Signatory:
10501 Trade Ct., N. Chesterfield, VA 23236 | 804.897.1177 | Fax: 804.897.0070 | www.SanAir.com | LabReports@SanAir.com
SR25-4444Project Number:
SR25-4444P.O. Number:
Project Name:9819 Grove Rd SE, Yelm
1/14/2025Collected Date:
1/16/2025 10:40:00 AMReceived Date:
1/17/2025 10:00:46 AM
25003212
SanAir ID Number
FINAL REPORT
Northwest Abatement Services, Inc.Name:
Address:P.O. Box 39220
Lakewood, WA 98496
253-588-0440Phone:
Page 3 of 5
Disclaimer and Additional Information:
Asbestos Bulk PLM EPA 600/R-93/116
This report is the sole property of the client named on the chain-of-custody (COC) submitted to SanAir
Technologies Laboratory, Inc. (SanAir). Results in the report are confidential information intended only for
the use by the customer listed on the COC. Neither results nor reports will be discussed with or released to
any third party without our client's written permission. The final report shall not be reproduced, except in
full, without written approval of the laboratory to assure that parts of the report are not taken out of context.
This report and any information contained within shall not be edited, altered, or modified in any way by any
persons or agencies receiving, viewing, distributing, or otherwise possessing a copy of this final report. The
laboratory reserves the right to perform amendments to any finalized report, of which shall supersede and
make obsolete any previous editions. Such changes, modifications, additions, or deletions shall be
effective immediately upon notice thereof, which may be given by means including but not limited to
posting on the SanAir client portal website, electronic or conventional mail, or by any other means.
The information provided in this report applies only to the samples submitted and is relevant only for the
date, time, and location of sampling. The accuracy of the results is dependent upon the client’s sampling
procedure and information provided to the laboratory by the client on the COC. SanAir assumes no
responsibility for the sampling procedure and will provide evaluation reports based solely
on the sample(s) in the condition received at the laboratory and information provided by the client on the
COC, such as: project number, project name, collection dates, P.O. number, special instructions, samples
collected by, sample numbers, sample identifications, sample type, selected analysis type, flow rate, total
volume or area, and start-stop times that may affect the validity of the results in this report. Samples were
received in good condition unless otherwise noted on the report. When the client requires samples to be
tested that deviates from a specific method or condition, all reported results may be affected by the
deviation. SanAir assumes no responsibility or liability for the manner in which the results are used or
interpreted.
This report does not constitute nor shall not be used by the client to claim product, process, system, or
person certification, approval, or endorsement by NVLAP, NIST, NELAC, AIHA LAP, LLC or any other U.S.
governmental agencies; all or somet tests contained in this report may not be accredited by every local,
state, and federal regulatory agencies. Refer to the SanAir website at www.sanair.com for copies of
current certificates and scopes of various accreditations, certifications, and licenses or contact the
laboratory for inquiries regarding the status or scope of an accreditation or certification.
Samples are held for a period of 60 days. Fibers smaller than 5 microns cannot be seen with this method
due to scope limitations. For NY state samples, method EPA 600/M4-82-020 is performed.
NYELAP Disclaimer:
Polarized-light microscopy is not consistently reliable in detecting asbestos in floor covering and similar
non-friable organically bound materials. Quantitative transmission electron microscopy is currently the only
method that can be used to determine if this material can be considered or treated as non-asbestos
containing.
Asbestos Accreditations, Certifications, and Licenses
National Voluntary Laboratory Accreditation Program (NVLAP) Lab Code 200870-0
City of Philadelphia Department of Public Health Air Management Services, Certification#ALL-460
Commonwealth of Pennsylvania Department of Environmental Protection Number 68-05397
California State Environmental Laboratory Accreditation Program Certificate Number 2915
Colorado Department of Public Health and Environment Registration Number AL-23143
Connecticut Department of Public Health Environmental Laboratory Registration Number PH-0105
Massachusetts Department of Labor Standards Asbestos Analytical Services License Number:
AA000222
State of Maine Department of Environmental Protection License Number: LB-0075
New York State Department of Health Laboratory ID: 11983
State of Rhode Island Department of Health Certification No.: PLM00126
Texas Department of State Health Services License Number: 300440
Commonwealth of Virginia Department of Professional and Occupational Regulation Number:
3333000323
State of Washington Department of Ecology Laboratory ID: C989
State of West Virginia Bureau for Public Health Analytical Laboratory Number: LT000616
Vermont Department of Health License Number: Asb-Co-An-000006
Louisiana Department of Environmental Quality AI Number 212253, LELAP Lab ID #05088
Revision#03, 10/3/2024 Page 4 of 5
Page 5 of 5
SanAir ID#: 25003219
Project #: SR25-4444
Project Name: 9819 Grove Rd SE, Yelm
Report Date: 1/20/2025
Analysis Report
prepared for
Northwest Abatement Services, Inc.
Page 1 of 6
Dear Kamron Riser,
We at SanAir would like to thank you for the work you recently submitted. The 2 sample(s) were received on Friday,
January 17, 2025 via UPS. The final report(s) is enclosed for the following sample(s): 5, 7.
These results only pertain to this job and should not be used in the interpretation of any other job. This report is only
complete in its entirety. Refer to the listing below of the pages included in a complete final report.
Sincerely,
Sandra Sobrino
Asbestos & Materials Laboratory Manager
SanAir Technologies Laboratory
Final Report Includes:
- Cover Letter
- Analysis Pages
- Disclaimers and Additional Information
Sample conditions:
- 2 samples in Good condition.
10501 Trade Ct., N. Chesterfield, VA 23236 | 804.897.1177 | Fax: 804.897.0070 | www.SanAir.com | LabReports@SanAir.com
SR25-4444Project Number:
SR25-4444P.O. Number:
Project Name:9819 Grove Rd SE, Yelm
1/14/2025Collected Date:
1/17/2025 8:00:00 AMReceived Date:
1/20/2025 3:37:52 PM
25003219
SanAir ID Number
FINAL REPORT
Northwest Abatement Services, Inc.Name:
Address:P.O. Box 39220
Lakewood, WA 98496
253-588-0440Phone:
Page 2 of 6
SanAir ID Number 25003219-001 25003219-002
Sample Number 5 7
Sample Identification Insulation/ Debris Pile
2
Insulation/ Debris Pile
2
Sample Type Asbestos Bulk Asbestos Bulk
Analyte
Asbestos None Detected None Detected
Asbestos Type None Detected None Detected
Analyst: Pisula, Nicholas
Asbestos PLM Qualitative
Analyst:
Analysis Date:1/20/2025 Date:1/20/2025
Approved Signatory:
10501 Trade Ct., N. Chesterfield, VA 23236 | 804.897.1177 | Fax: 804.897.0070 | www.SanAir.com | LabReports@SanAir.com
SR25-4444Project Number:
SR25-4444P.O. Number:
Project Name:9819 Grove Rd SE, Yelm
1/14/2025Collected Date:
1/17/2025 8:00:00 AMReceived Date:
1/20/2025 3:37:52 PM
25003219
SanAir ID Number
FINAL REPORT
Northwest Abatement Services, Inc.Name:
Address:P.O. Box 39220
Lakewood, WA 98496
253-588-0440Phone:
Page 3 of 6
Disclaimer and Additional Information:
Qualitative Polarized Light Method
This report is the sole property of the client named on the chain-of-custody (COC) submitted to SanAir
Technologies Laboratory, Inc. (SanAir). Results in the report are confidential information intended only for
the use by the customer listed on the COC. Neither reports nor results will be discussed with or released
to any third party without our client’s written permission. The final reports shall not be reproduced, except
in full, without written authorization of the laboratory to assure that parts of the report are not taken out of
context. This report and any information contained within shall not be edited, altered, or modified in any
way by any persons or agencies receiving, viewing, distributing, or otherwise possessing a copy of this
final report. The laboratory reserves the right to perform amendments to any finalized report, of which
shall supersede and make obsolete any previous editions. Such changes, modifications, additions, or
deletions shall be effective immediately upon notice thereof, which may be given by means including but
not limited to posting on the SanAir client portal website, electronic or conventional mail, or by any other
means.
The information provided in this report applies only to the samples submitted and is relevant only for the
date, time, and location of sampling. The accuracy of the results is dependent upon the client’s sampling
procedure and information provided to the laboratory by the client. SanAir assumes no responsibility for
the method of sample procurement and will provide evaluation reports based solely on the sample(s) in
the condition received at the laboratory and information provided by the client on the COC. SanAir
assumes no responsibility for information provided by the client on the COC such as project number,
project name, collection dates, P.O. number, special instructions, samples collected by name, sample
numbers, sample identifications, sample type, selected analysis type, flow rate, total volume or area, and
start - stop times that may affect the validity of the results in this report. Samples were received in good
condition unless otherwise noted. When the client requires samples to be tested that deviates from a
specific method or condition, all reported results may be affected by the deviation. SanAir assumes no
responsibility or liability for the manner in which the results are used or interpreted. Samples are held for
a period of 60 days.
This report does not constitute and shall not be used to claim product, process, system, or person
certification, approval, or endorsement by NVLAP, NIST, NELAC, AIHA LAP, LLS or any other U.S.
governmental agencies; all or some tests contained in this report may not be accredited by every local,
state, and federal regulatory agency. Refer to the SanAir website at www.sanair.com for copies of current
certificates and scopes of various accreditations, certifications, and licenses or contact the laboratory for
inquiries regarding the status or scope of an accreditation or certification.
This method is a modified method of EPA 600/R-93/116. Detection is reported for only the absence or
presence of the analyte. Due to the nature of the media or material, percentages based on visual
estimation or point counting are not provided.
Revision#03, 10/3/2024
Page 4 of 6
Page 5 of 6
Page 6 of 6
SECTION 3 |Photographs
SURVEY PHOTOS
9819 Grove Rd SE, Yelm, WA 98597
SECTION 4 |AHERA Certification
CERTIFICATE OF COMPLETION
AHERA Building .hispector
This is to certify that
Kamron B Rises
has attended and satisfactorily completed all rNuiremcnts to obtain accreditation as an
AHERA Building Inspector. This 24-hour initial training has been successfully completed in accordance
with the Toxic Substance Control Act Tide (Section 206) and 40 CFR 763_
Accreditation Number, NE-EII-20240612-06
Coarse Date June 12, 2024
Certiticatinn ExpiradolM JUne 1Z 2025
' Now Environmental Scrvices, Inc
34004 - 9th Avenue South, Ste A5 l�
Federal Way, WA 99003
253.927.5233
Rick Cola
eti vi ROW swan 1. gr:RWi[:L5 MC.