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Home My WebLink AboutSurvey for 15036 State Route 507 SE, Yelm WA 98597AFFORDABLE ABATEMENT LLC PO BOX 2046, Everett, WA 98213-0046 206-259-9552 info@affordableabatement.com Contractors License #: AFFORAL750O2 Asbestos Contractor Certification. #: ABCN00001814 / 9 Asbestos Good Faith Survey DATE: 3/4/26 PROPERTY LOCATION: 15036 State Route 507 SE, Yelm WA 98597 CLIENT: KB Home 320 120th Ave NE, Suite 202 Bellevue, WA 98005 Contact: Eric Jacobs Phone #: (425) 389-9418 Email: ewjacobs@kbhome.com AFFORDABLE ABATEMENT LLC / 9 REPORT PURPOSE: Uriel Medel (an AHERA Certified Building Inspector in Washington) conducted this inspection, conducted in accordance with the National Emission Standards for Hazardous Air Pollutants (NESHAP) and the Asbestos Hazardous Emergency Response Act (AHERA). In compliance with title 40, Part 61, subpart M, of the Code of Federal Regulations (CFR), a survey by an accredited AHERA inspector is required prior to any demolition of a structure. Therefore, the purpose is to identify Asbestos Containing Materials (ACM) that would be disturbed with planned construction, renovation, and/or demolition activities. While this report identifies ACM that was discovered by the inspector, any suspect materials that were hidden or inaccessible to the inspector must be treated as ACM unless additional testing yields different results. This survey was prepared and satisfies the requirements for a “Good Faith” Inspection as required by the 296-62-07721(2), Communication Hazards, of the Washington Administration Code (WAC). In addition, this report complies with AHERA sampling procedure requirements under 40 CFR 763.86, required as a protocol by the Puget Sound Clean Air Agency (PSCAA Regulation III, Article IV). SITE DESCRIPTION: A Good Faith Asbestos Inspection was conducted on 3/4/26, for the Burnt single-family home located at the address of 15036 State Route 507 SE, Yelm WA 98597. The structure was built in 1950 and is approximately unknown square feet. The structure was observed to have been burnt and abandoned for some time. This Good Faith Survey, in follow-up to the inspection, is being prepared to support the demolition of the burnt structure. METHODOLOGY: Uriel Medel is an asbestos building inspector whose certifications are attached to this report. The methodology for conducting this survey includes the following field procedures:  Determine what materials were required for use under the Uniform Building Code in effect at the time of construction and past renovations of the structure, if available.  Review existing data including design drawings, as-built drawings, project specifications, and any existing survey and/or laboratory information, if available.  Use equipment that will allow visual examination of all accessible spaces. AFFORDABLE ABATEMENT LLC / 9  Confirm with the owner or owner’s representative the exact area under investigation, exact nature of demolition/renovation and identify all materials that will be disturbed or accessed.  Determine whether the building will be totally or partially renovated and/or demolished.  Determine and investigate each building’s structural, mechanical, and roofing systems that are to be disturbed.  Perform a comprehensive investigation of areas to identify suspect materials to be sampled and/or assumed to contain asbestos.  Create a sampling plan based on suspect materials present and requirements of 40 CFR 763.86.  Collect bulk samples of all suspect materials that will be disturbed and not assumed to be asbestos and submit them to a certified laboratory for analysis.  Document where asbestos materials exist and record their exact location, condition and quantity (if available and/or applicable). “Condition” shall include a physical assessment to determine whether or not each asbestos material is “friable” as defined in this Agency's Regulation III, Section 4.01.  Also document all sampled materials found to be negative for asbestos, including original location, condition, and quantity (if available and/or applicable). Destructive Investigation Many asbestos containing materials are in concealed areas such as wall cavities, below ground level, and other hidden spaces. PSCAA requires destructive investigation, as necessary, to gain access to these hidden spaces and to inspect them for suspect materials. The following guidelines constitute reasonable criteria for locating concealed materials:  Identify the different building systems which may involve concealed asbestos materials such as the heating/cooling system, domestic water lines, roof drainage lines, miscellaneous piping lines, underlying roofing, etc.  Open hidden areas and inspect each system in at least three (3) locations for each area of construction.  Focus the inspection on likely areas for suspect materials (i.e. where insulated pipe enters walls or ceilings, behind heating units, etc.).  Examine additional areas if results of inspection are inconsistent.  Clearly list all concealed areas which have not been inspected and explain why they were not inspected. Reasons why may include: (1) records showing recent access to such spaces and sample results, (2) safety hazards, and (3) restrictions imposed by the property owner. AFFORDABLE ABATEMENT LLC / 9  For those asbestos surveys that include inaccessible concealed spaces, a qualified person should be available during the project to address the potential of unidentified suspect materials becoming disturbed once work begins.  AHERA Building Inspectors may discuss with the property owner the possible need to disconnect electrical power or other utilities during the destructive phase of the investigation.  It may also be desirable for the property to be unoccupied. Friability Determination The AHERA Guidelines dictate that the inspector must determine homogenous areas, which are defined as an area of Thermal System Insulation, Surfacing Material, or Miscellaneous Material that is uniform in texture and color. Homogeneous materials are defined as an area of asbestos-containing material or presumed asbestos containing material which appears similar throughout in terms of color, texture, and date of material application. The report listing homogenous materials (if such exists) will appear as follows: Once homogenous areas have been determined, the inspector must determine whether material is friable or non-friable. Friable is defined as a material, that when dry, can be crushed, pulverized, or reduced to dust using hand pressure. Non-friable material is defined as a material, that when dry, cannot be crushed, pulverized or reduced to dust using hand pressure. Materials normally defined as non-friable can become friable if sufficiently damaged. Once friability has been determined, the materials suspected of containing asbestos are divided into three categories: Thermal System Insulation (TSI), Surfacing Material (SM), or Miscellaneous Material (MM). TSI and SM are considered to be friable, with the exception of TSI where the structural integrity of the insulation is intact and the protective out wrap is undamaged. For miscellaneous Materials the inspector shall collect samples in a manner and number sufficient to determine if the material is asbestos-containing or not. For all Materials Determined to Be Non-Friable, the inspector shall collect samples in a manner and number sufficient to determine if the material is asbestos containing or not. Sample ACM List AFFORDABLE ABATEMENT LLC / 9 Note: This list does not include every product that may contain asbestos. It is intended as a general guide to show which types of materials may contain asbestos.  Window Glazing  Paper Fire Box in Walls  Stucco  Fire Doors  Cement Pipes  HVAC Duct Insulation  Cement Board/Transite  Boiler/Tank Insulation  Duct Tape/Paper  Breaching Insulation  Furnace Insulation  Ductwork Flexible Connections  Vinyl sheet Flooring/Mastic  Construction Mastics  Vinyl Floor Tile/Mastic  Acoustical CeilingTexture (“popcorn”)  Poured Flooring  Electrical Panel Partitions  Pipe Insulation/Fittings  Electrical Cloth  Plaster/wall Joints  Electrical Wiring Insulation  Textured Paints/Coatings  Chalkboards  Ceiling Tiles/Panels/Mastic  Roofing Shingles  Spray-applied Insulation  Built-up Roofing  Blown-in Insulation  Base Flashing  Fireproofing  Rolled Roofing  Sink Insulation  Caulking/Putties  Packing Materials  Incandescent Light Fixture Backing  High Temperature Gaskets  Joint Compound/Wallboard  Lab Hoods/Table Tops  Brick Mortar  Fire Blankets  Vinyl Wall Coverings  Fire Curtains/Hose  Vapor Barrier  Sink Insulation  Cement Roofing Shingles  Elevator Brake Shoes  Gray Roofing Paint  Asphalt Flooring  Nicolet (white) Roofing paper  Paper on backside of Fiberglass Insulation  Sub-flooring Slip Sheet  Laboratory Fume Hoods  Mudded Pipe Elbow Insulation Laboratory Once the samples have been collected, they must be analyzed by an accredited laboratory, and they must be analyzed using polarized light microscopy methods, commonly referred to as EPA Method600/R-93/116. Washington Asbestos Testing analyzed samples and obtained analytical data for suspect asbestos-containing materials identified in the building. Once collected by AHERA AFFORDABLE ABATEMENT LLC / 9 certified inspectors, each bulk sample was sealed in an unadulterated plastic bag to eliminate the possibility of cross-contamination. “Chain-of-Custody” tracking was followed to maintain sample integrity during handling and data reporting the laboratory. In accordance with 40 CFR Chapter 1 (7-01-07 Edition) Part 763, Subpart E, Appendix E, asbestos samples are analyzed at the laboratory using polarized light microscopy (PLM) with dispersion staining. If samples are not homogeneous, then sub-samples of the components are analyzed separately. All bulk samples are analyzed using EPA Method 600/R-93/116. LIMITATIONS: There are limitations to any survey:  Surveys are designed to have the inspector take samples at random spots in the property.  The inspection and report follow the general guidance recommended by AHERA, and no other warranty, expressed or implied, is made. Any unauthorized use or use of this report beyond the scope is strictly prohibited.  Sampling locations were chosen to be representative of the homogeneous materials. Samples of friable surfacing material were collected in a statistically random manner. In general, the EPA random sampling protocol outlined in the EPA publication, “Asbestos in Buildings: Simplified Sampling Scheme for Friable Surfacing Materials” (EPA 560/5-85-030a, October 1985) was followed. Sample locations for non-friable materials were taken in a manner that would best represent the sampling group, while minimizing potential fiber releases.  All asbestos sampling performed is carried out pursuant to 40 CFR 763.86 as required by both AHERA and ASHARA. All Samples will be collected by an AHERA accredited asbestos building inspector and analyzed by polarized light microscopy by a laboratory accredited by the National Bureau of Standards (NBS). All asbestos samples are taken under wet-removal methods to limit the likelihood of airborne particles being released.  Destructive sampling was limited to accessible materials. No samples were taken that would cause damage to the structural integrity of the building or endanger the inspector.  If any materials not covered in this report are discovered when work begins, they are to be assumed to contain asbestos until further testing has been proven otherwise. AFFORDABLE ABATEMENT LLC / 9 SURVEY RESULTS SAMPLE 001 ASBESTOS TYPE Gray cementitious material with paint None Detected Siding Material – Front Side SAMPLE 002 ASBESTOS TYPE White compact powdery texture with paint None Detected White chalky material with paper None Detected Drywall & Compound – Only standing room SAMPLE 003 ASBESTOS TYPE White compact powdery texture with paint None Detected White compact powdery joint compound with paper None Detected White chalky material with paper None Detected Drywall & Compound – Only standing room SAMPLE 004 ASBESTOS TYPE Gray cementitious material with paint None Detected Siding Material – Back side SAMPLE 005 ASBESTOS TYPE Black asphaltic material with granules None Detected Black asphaltic material None Detected Black asphaltic material with granules None Detected Black asphaltic fibrous material None Detected Roofing material – Only standing room SAMPLE 006 ASBESTOS TYPE Black asphaltic material with granules None Detected Black asphaltic material with granules None Detected Black asphaltic material with granules None Detected Roofing Felt SAMPLE 007 ASBESTOS TYPE AFFORDABLE ABATEMENT LLC / 9 White and blue vinyl None Detected Yellow mastic None Detected Brown wood None Detected Flooring underneath pile SAMPLE 008 ASBESTOS TYPE Black asphaltic material with granules None Detected Black asphaltic material with granules None Detected Black asphaltic material with granules None Detected Black asphaltic material with granules None Detected Black asphaltic material with granules None Detected Roofing in debris SAMPLE 009 ASBESTOS TYPE Black and brown brittle material None Detected Material in Debris SAMPLE 010 ASBESTOS TYPE Gray elastic material with paint None Detected Gray brittle material None Detected Caulking on chimney SAMPLE 011 ASBESTOS TYPE Gray sandy/brittle material None Detected Chimney grout SAMPLE 012 ASBESTOS TYPE Brown brittle material None Detected Gray fibrous insulation None Detected Paper on duct SAMPLE 013 ASBESTOS TYPE Brown woven fibrous material None Detected AFFORDABLE ABATEMENT LLC / 9 Black and gray vinyl None Detected Yellow mastic None Detected Brown wood None Detected Flooring underneath debris END OF SAMPLES SUMMERY: Per attached LAB # WATE2601323 NVLAP Lab Code 600040-0, THIRTEEN samples were taken from the described structure of which ZERO samples came back detecting asbestos material. Per WAC 296-65, asbestos containing material must be removed by an asbestos certified contractor. If any suspected materials that were hidden and are found during demolition, all work must stop and an AHERA Building inspector must be called before any work continues. Uriel Medel Inspector AHERA Building Inspector #000EPA76015312 Expires 02/03/2027 WiC Batch #\Nv9,·l;,:t[ <) \)7-> lab use only CHAIN OF CUSTODY Client/Company Name : Affordable Abatement LLC Address: 6309 Rockefeller Ave, Everett, WA 98203 Office Phone#: 206-259-9552 Project Manager : Uriel Medel Email: affordableabatementllc@gmail .com Project Manager Phone#: Project Name: Project/PO Number: --------.,-----=----------,--.---,------ Project Address:~l ..... S'.~· O ..... ~~,&~· --"-S ~t-~--..5 .c....J ~J --d~~-..---City Y-cttq Asbestos PLM Bulk As be stos PLM Tape Lift PLM 400 Poin t Count PLM 1000 Point Count Lead Paint Chi p Wip e separa t e form required for air samples Mold Bulk Tape Li f t Swab Turnaround Time : Number of Samples : SEQ# Sample ID/Location Sample Descript_ion SEQ# Sample ID/Location 1 00( (\.k~ 45-;J,f\,1 lf-All't t-16 2 Oo2 l)i.'J'4 v. vt.11' .I f 17 3 bo'1, ,( I f.ef w"'<l I 18 4 oo.:i f-1-()-) • 1 tA ,M i &c-11-, 19 5 005 ~¼vv ~~, 20 6 Oo6 fZ~·hl1t1 Pel~ 21 7 (9,,1 f L~~i.r vw1: ofehl'i-, 22 8 i§oi i 6'V h vvr i I\. rWl't S 23 9 C ",, (V\~ct{ ;"-rl~ 24 10 oJO (3(1.Z.-M ttrt f :\-)~lli.iJrM 25 11 Oll Ct,1 ,ho/;¼ . Ci'fi!;J ~.., 26 12 Ol1-Darur-/411 .:,rhlf"'_, -27 13 ft')! 2, 'F'leor,vw ; V'\ brilf'ir 28 ,_ J 14 29 15 30 Print Name Sign_ature Company Name Sampled tf rit/ ~,~( /&vnt'tez IM//4_ Affordable Abatement LLC Relinquished (J (t:t1 ~ iM~l-f/11,f L , Affordable Abatement LLC Delivered Affordable Abatement LLC Received ~~---~ ~-------, /_ WAT ./ -~ ,,--~,,.,,,,-Analyzed ~ _ ... -~-:) .•. _ . .-_:::'.r•• . -· -? ___ . ·---~~· WAT Reported / ,. __ :::=-~ ~=--~:? WAT - How wouldyou like to be notifie ~ Email ✓ Phone Sample Condition Good Damaged Severe Damage Sample Description _Date Time 13/U 3/U/li -, I/ s/~\-,L /: -io 45 t <; 1-2-c t1! ~,,:_.,_ 3 /r/2t ;1;_, ·~-.... ::,. --- Was hin gton Asbestos Testing LLC guarantees the test results provided are of a precision normal with the type of methods recognized in asbestos analysis . Washington Asbestos Tes ting LLC accepts no legal responsibility for the purpose for w hi ch the client uses the t est r esu lts. By signing this Chain of Custody form the client agrees to re lieve Wash ington Asbestos Testing LLC of any and all liability that may arise from th e test results . 11200 Kirkland Way Ste . 340A, Kirkland, WA 98033 • (425) 658-7286 128118th Ave W Ste . B101, Everett, WA 98204 • (425) 374-8706 watestingllc .com 15 S Oregon Ave Ste . 204, Tacoma, WA 98409 1308 Main St, Vancouver, WA 98660 (253) 301-1852 (360) 258-0074 wr Willf"'flll'\ .__,_UC Washington Asbestos Testing LLC 128118th Ave W Ste . Bl0l, Everett, WA 98204 (425) 374-8706 watestingllc.com Batch#: WATE2601323 Asbestos Analysis of Bulk Materials by App. E to Sub. E of 40 CFR Part 763 and EPA 600/R-93/116 Methods Using Polarized Light Microscopy Attn : Uriel Medel Affordable Abatement LLC 6309 Rockefeller Ave, Everett, WA 98203 Project: 15036 SR 507 SE, Yelm, WA 98597 Analyzed Bv~~ David Henry SEQ# SAMPLE ID LAYER DESCRIPTION 1 001 1 Gray cementitious material with paint 1 White compact powdery texture with 2 002 paint 2 White chalky material with paper 1 White compact powdery texture with paint 3 003 2 White compact powdery joint compound with paper 3 White chalky material with paper 4 004 1 Gray cementitious material with paint 1 Black asphaltic material with granules 2 Black asphaltic material 5 005 3 Black asphaltic material with granules 4 Black asphaltic fibrous material 1 Black asphaltic material with granules 6 006 2 Black asphaltic material with granules 3 Black asphaltic material with granules 1 White and blue vinyl 7 007 2 Yellow mastic 3 Brown wood 1 Black asphaltic material with granules 2 Black asphaltic material with granules 8 008 3 Black asphaltic material with granules 4 Black asphaltic material with granules 5 Black asphaltic material with granules % 25% 3% 20% 3% 35% 20% 25% 25% 2% 25% 55% 25% 25% 25% 2% 25% 25% 25% 25% 25% Date Received: 3/4/2026 Date Analyzed: 3/5/2026 Date Issued: 3/5/2026 Samples Received : 13 Samples Analyzed : 13 Approved By ____________ _ Approved Signatory (If Necessary) NON-ASBESTOS FIBERS % NON-FIBROUS MATERIALS % ASBESTOS TYPE Cellulose 75% Cement/Binder, Paint None Detected Cellulose 97% Carbonate/Binder, Paint None Detected Cellulose, Fiberglass 80% Gypsum, Binder/Filler None Detected Cellulose 97% Carbonate/Binder, Paint None Detected Cellulose 65% Carbonate/Binder None Detected Cellulose, Fiberglass 80% Gypsum, Binder/Filler None Detected Cellulose 75% Cement/Binder, Paint None Detected Fiberglass 75% Asphalt/Binder, Granules None Detected Cellulose 98% Asphalt/Binder None Detected Fiberglass 75% Asphalt/Binder, Granules None Detected Cellulose 45% Asphalt/Binder None Detected Fiberglass 75% Asphalt/Binder, Granules None Detected Fiberglass 75% Asphalt/Binder, Granules None Detected Fiberglass 75% Asphalt/Binder, Granules None Detected None Detected 100% Vinyl/Binder None Detected Cellulose 98% Mastic/Binder None Detected None Detected 100% Wood None Detected Cellulose 75% Asphalt/Binder, Granules None Detected Cellulose 75% Asphalt/Binder, Granules None Detected Cellulose 75% Asphalt/Binder, Granules None Detected Cellulose 75% Asphalt/Binder, Granules None Detected Cellulose 75% Asphalt/Binder, Granules None Detected The results given relate only to the items tested. The results apply to the sample(s) as received. Reports must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government. Page 1 of 2 /Attn: Project : SEQ# 9 10 11 12 13 Wash ington Asbestos Testing LLC 128118th Ave W Ste . Bl0l, Everett, WA 98204 (425) 374-8706 watestingllc .com Batch#: WATE2601323 Asbestos Analysis of Bulk Materials by App. E to Sub. E of 40 CFR Part 763 and EPA 600/R-93/116 Methods Using Polarized Light Microscopy Uriel Medel Date Received: 3/4/2026 Affordable Abatement LLC Date Analyzed: 3/5/2026 6309 Rockefeller Ave, Everett, WA 98203 Date Issued : 3/5/2026 Samples Received : 13 15036 SR 507 SE, Yelm, WA 98597 Samples Analyzed: 13 / Analyzed By .4'"J . _, L Approved By DavicrHenr~ Approved Signatory (If Necessary) SAMPLE ID LAYER DESCRIPTION % NON-ASBESTOS FIBERS % NON-FIBROUS MATERIALS % ASBESTOS TYPE 009 1 Black and brown brittle material None Detected 100% Binder/Filler None Detected 1 Gray elastic material with paint None Detected 100% Binder/Filler, Paint None Detected 010 2 Gray brittle material 2% Cellulose 98% Binder/Filler None Detected 011 1 Gray sandy/brittle material 2% Cellulose 98% Sand, Carbonate/Binder None Detected 1 Brown brittle material 2% Cellulose 98% Binder/Filler None Detected 012 2 Gray fibrous insulation 90% Fiberglass 10% Binder None Detected 1 Brown woven fibrous material 85% Cellulose 15% Binder /Filler None Detected 2 Black and gray vinyl None Detected 100% Vinyl/Binder None Detected 013 3 Yellow mastic 2% Cellulose 98% Mastic/Binder None Detected 4 Brown wood None Detected 100% Wood None Detected The results given relate only to the items tested . The results apply to the sample(s) as received . Reports must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government . Page 2 of 2