20140170 Asbestos Survey - Yelm - 205 Second SE AAA _batesnent aj7td Demolftmat Asbestos Smrvey07S
AshestoslEeadlMolrUlbgeth Removes
CA
License#AAABAD909Q3 rte= General Contractor
PO Box 808
Montesano,WA 93563
ASBESTOS SURVEY
AAA Abatement and Demolition
PO Box 808, Montesano,WA 98563
Property located at: 205 Second Street SE,Yelm,WA
Owner: City of Yelm
Owner's Representative and Number: Gary Carlson, City of Yelm Building Official, 360-458-8407
On January 23, 2014, AAA Abatement personnel conducted an Asbestos Survey(per U.S.E.P.A/A.H.E.R.A.
guidelines as designated and specified by Olympic Region Clean Air Agency and Washington State) of the
property located at 205 Second Street SE, Yelm,WA. This survey purpose is to identify any Asbestos
Contained Materials that may be present and will require professional removal prior to renovation or
demolition.
NARRATIVE OF FINDINGS
This approximate 900 square foot one story, single family home was built with wood shake siding
exterior and had wood putty windows. There was a composition roof. Also present was an old and
small gas furnace with no TSI wrap or suspect material other than a small amount of duct tape—which
was sampled. Fiberglass insulation was observed and there was nothing suspect in the attic area. The
age is unknown. The property was in average to below average condition. The property is slated for a
demolition.
Page 1 of 2
Principle Contacts:June Boneirno(206)313-SW: Charlie McShane(253)297-7572
Fag: (360)249-6199; E-mail: ;(IneI@Elaarlieandiune co€s
Site Address: 205 Second SE,Yelm,WA
Date of Field Inspection: January 23, 2014
Date of Laboratory Results: January 31, 2014
11 suspect samples were taken and the results are as follows:
Sample#01— Wall Texture in Kitchen—No Asbestos Contained Material
Sample#02—Texture Coating on Chimney Filler in Kitchen—No ACM
Sample#03—Wallboard/Joint Compound- Living Rm—Composite result requested-came back<1%
Sample#04—9x9 Vinyl Tile Flooring in Kitchen—Has ACM—an approximate 300 square feet
Sample#05—WB/JC in Bedroom#2—Composite result requested-came back<1%
Sample#06—Furnace Duct Tape in Kitchen—No ACM
Sample#07— VTF/SVF in Bathroom-No ACM
Sample#08—Siding Paper—No ACM
Sample#09—Window Putty(south side sampled)—Has ACM—an approximate 8 windows
Sample#10—Mortar at Entryway—No ACM
Sample#11 —Roofing with Paper(west side)—No ACM
Respectfully mit by the Following Asbestos AHERA Building Inspector:
Charles McShane,AAA Abatement Date of Report
AHERA Asbestos Inspector License#140690 (Expires February 20, 2014)
AAA Abatement and Demolition, PO Box 808, Montesano, WA 98563
Page 2 of 2
INVIL
January 31, 2014 L A 8 S
INDUSTRIAL
HYGIrN 'c
June Bongimo S E i V I C c 5
AAA Abatement lay oratory ! M; nagrroent i Training
815 Wildwood Ct.
Montesano, WA 98563
RE: Bulk Asbestos Fiber Analysis, NVL Batch#1401436.00
Dear Ms. Bongimo,
Enclosed please find test results for the bulk samples submitted to our laboratory for
analysis. Examination of these samples was conducted for the presence of identifiable
asbestos fibers using polarized light microscopy (PLM) with dispersion staining in
accordance with both U.S. EPA 600/M4-82-020, Interim Method for Determination of
Asbestos in Bulk Insulation Samples, as found in 40 CFR, Part 763, Subpart E,Appendix E
(formerly Subpart F,Appendix A), and U.S. EPA 600/R-931116 (July 1993)Test Methods.
For samples containing more than one separable layer of materials, the report will include
findings for each layer (labeled Layer 1 and Layer 2, etc. for each individual layer). The
asbestos concentration in the sample is determined by visual estimation.
For those samples with asbestos concentrations between 1 and 10 percent based on visual
estimation, the EPA recommends a procedure known as point counting (NESHAPS, 40
CFR Part 61). Point counting is a statistically more accurate means of quantification for
samples with low concentrations of asbestos. If you would like us to further refine the
concentration estimates of asbestos in these samples using point counting, please let me
know.
This report is considered highly confidential and will not be released without your approval.
Samples are archived for two weeks following analysis. Samples that are not retrieved by
the client are discarded after two weeks.
Thank you for using our laboratory services. Please do not hesitate to call if there is
anything further we can assist you with.
Sincerely,
61cK c nical Director
r\ncq
1.88$.NVt_.I.Af3s Enc.= Sample Results �A? NVL Laboratories,Inc.
Lob code:102063-0 4703 Aurora Ave N,Seattle,VJ'A 38110
b,^ w.rtvilai�s.�oin p 206.`;=7.0100 ; 205.634.1930
_NVL Laboratories Inc a�d�
4708 Aurora Ave.N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0
Tel:206.547.01 Fax:206.634.1936
ww w.nvllabs.com Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: AAA Abatement Batch #: 1401436.00
Address: 815 Wildwood Ct. Client Project#: N-A
Montesano,WA 98563 Date Received: 1/27/2014
Samples Received: 11
Attention: Ms.June Bongirno Samples Analyzed: 11
Project Location: 205 Second SE Yelm,WA Method: EPA/600/R-93/116
&EPA/600/M4-82-020
Lab ID: 14011467 Client Sample#: YS-01
Location: 205 Second SE Yelm,WA
Layer 1 of 1 Description: White textured material with paper&paint
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Calcareous binder, Paint Cellulose 34% None Detected ND
Lab ID: 14011468 Client Sample#: YB-02
Location: 205 Second SE Yelm,WA
Layer 7 of 2 Description: Multilayered textured material with paint
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Calcareous binder, Paint, Fine grains Cellulose <1% None Detected ND
Layer 2 of 2 Description: Grey crumbly sandy cementitious material
Non-Fibrous Materials: Other Fibrous Materals:% Asbestos Type: %
Cement/Binder, Fine grains Cellulose <1% None Detected ND
Lab ID: 14011469 Client Sample#: YB-03
Location: 205 Second SE Yelm,WA
Comments: Composite result(per client request)for whole sample is less than 1% asbestos
Layer 1 of 4 Description: White textured material with paint
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Calcareous binder, Paint None Detected ND None Detected ND
Layer 2 of 4 Description: Off-white compacted powdery material with paper
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Calcareous binder Cellulose 35% Chrysofile 2%
Layer 3 of 4 Description: Off-white comapcted powdery material with paper
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Calcareous binder Cellulose 32% Chrysotile 3%
Sampled by: Client
Analyzed by: Matt Macfarlane Date:01131/2014
Reviewed by: Nick Ly Date:01/31/2014 Nic nical Dir
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
6001R-931116 and 600/M4-82-020 Methods 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 4
I- g
NVL Laboratories Inc mvdQ
470B 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
ww w.nvllabs.com
Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client: AAA Abatement Batch M 1401436.00
Address: 815 Wildwood Ct. Client Project M N-A
Montesano,WA 98563 Date Received: 1127/2014
Samples Received: 11
Attention: Ms. June Bongirno Samples Analyzed: 11
Project Location: 205 Second SE Yelm,WA Method: EPA/600/R-93{116
&EPA/600/M4-82-020
Layer 4 of 4 Description: White chalky material with paper
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Gypsum/Binder Cellulose 11% None Detected ND
Lab ID: 14011470 Client Sample M YB-04
Location: 205 Second SE Yelm,WA
Layer 1 of 2 Description: Grey vinyl the
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Vinyl/Binder, Mineral grains None Detected ND None Detected ND
Layer 2 of 2 Description: Soft sticky black asphaltic mastic
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/Binder Cellulose <1% Cnrysotlie 4%
Lab ID: 14011471 Client Sample#: YB-05
Location: 205 Second SE Yelm,WA
Comments: Composite result(per client request)for whole sample is less than 1% asbestos
Layer 7 of 3 Description: White textured material with paint
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Calcareous binder, Paint Cellulose <1% None Detected ND
Layer 2 of 3 Description: Off-white compacted powdery material with paper&paint
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Calcareous binder, Paint Cellulose 36% Chrysotiie 2%
Layer 3 of 3 Description: White chalky material with paper
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Gypsum/Binder Cellulose 11% None Detected ND
Lab ID: 14011472 Client Sample#: YB-06
Location: 205 Second SE Yelm,WA
or
Sampled by: Client
Analyzed by: Matt Macfarlane Date:01131/2014
Reviewed by: Nick Ly Date:01/31/2014 Ica (rector
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately.All bulk samples are analyzed using both EPA
600/R-93/116 and 600/M4-82-020 Methods 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 4
NVL Laboratories, Inc1�dQ �
4708 Aurora Ave.N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0
Tel:206.547.01w w.nvltabs.com Fax:206.634.1936
vuw Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client:AAA Abatement Batch #: 1401436.00
Address: 815 Wildwood Ct. Client Project#: N-A
Montesano,WA 98563 Date Received: 1/2712014
Samples Received: 11
Attention: Ms.June Bongirno Samples Analyzed: 11
Project Location: 205 Second SE Yelm,WA Method: EPA/600/R-93/116
&EPA1600/M4-82-020
Layer 1 of 1 Description: Multiple layers white woven fibers w/yellow mastic, silver plastic&white paint
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Paint, Plastic, Binder/Filler Cellulose 69% None Detected ND
Fine particles, Mastic/Binder, Organic debris Hair <1%
Miscellaneous particles Spider silk 2%
Lab ID: 14011473 Client Sample#: YB-07
Location: 205 Second SE Yelm,WA
Comments: Unsure of correct layer sequence
Layer 1 of 4 Description: Tan sheet vinyl
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Vinyl/Binder None Detected ND None Detected ND
Layer 2 of 4 Description: Beige fibrous backing
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Binder/Filler Cellulose 80% None Detected ND
Glass fibers 3%
Layer 3 of 4 Description: Off-white/grey patterned vinyl tile
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Vinyl/Binder, Fine grains None Detected ND None Detected ND
Layer 4 of 4 Description: Soft clear sticky adhesive
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Adhesive/Binder Cellulose <1% None Detected ND
Lab ID: 14011474 Client Sample#: YB-08
Location: 205 Second SE Yelm,WA
Layer 1 of 1 Description: Black compressed asphaltic fibrous material
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/Binder Cellulose 78% None Detected ND
Sampled by: Client
Analyzed by: Matt Macfarlane Date:01/31/2014 __
Reviewed by: Nick Ly Date:01/31/2014 Nick st>tril;al-Birsete
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600tR-931116 and 600/M4-82-020 Methods 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 4
NVL Laboratories, Inc Kyl%�
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
ww w.nvl(abs.com Bulk Asbestos Fibers Analysis
By Polarized Light Microscopy
Client:AAA Abatement Batch #: 1401436.00
Address: 815 Wildwood Ct. Client Project* N-A
Montesano,WA 98563 Date Received: 1/27/2014
Samples Received: 11
Attention: Ms. June Bongirno Samples Analyzed: 11
Project Location: 205 Second SE Yelm,WA Method: EPA1600/R-93/116
&EPA/600/M4-82-020
Lab ID: 14011475 Client Sample#: YB-09
Location: 205 Second SE Yelm,WA
Layer 1 of 1 Description: White brittle material with paint
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Encapsulant/Binder, Paint, Calcareous particles None Detected ND Chrysotile 2%
Lab ID: 14011476 Client Sample#: YB-10
Location: 205 Second SE Yelm,WA
Layer 1 of 2 Description: Glazed pink brittle material
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Ceramic/Binder, Fine grains None Detected ND None Detected ND
Layer 2 of 2 Description: Grey brittle cementitious material
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Cement/Binder, Fine grains Cellulose 5% None Detected ND
Lab ID: 14011477 Client Sample#: YB-11
Location: 205 Second SE YeIm,WA
Layer 1 of 2 Description: Black asphaltic material with granules
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/Binder, Granules, Fine grains Glass fibers 35% None Detected ND
Layer 2 of 2 Description: Compressed black asphaltic fibrous material
Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Asphalt/Binder Cellulose 79% None Detected ND
Sampled by: Client
Analyzed by: Matt Macfarlane Date:01/31/2014
Reviewed by: Nick Ly Date:01/3112014 Nick Ly
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA
600/R-93/116 and 600/M4-82-020 Methods 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 4
NVL Laboratories, Inc. CHAIN of CUSTODY NVL Batch ID `
_ 4708_Aumm Ave N,Seattle,WA W103
Tel: 206.547.0100 Emerg.Cell:206.914.4646 SAMPLE LOG 1401436
Fax:206.634.1936 1.888.NV1...lABS(685.5227)
Client AAA Abatement NVL Batch Number
street 815 Wildwood Ct. Client Job Number
MonthcanQ-_tlStA 985&3 —_-. —.- . Total Samples
--- Turn Around Time A 1-Hr 8-Hrs q 2
2-Hrs 12-Hrs 3 10
Project Manager Ms.June BanQirno 4-Hrs 24-Hrs 4
Project Location ler S1ttC /17 Please call for TAT less than 24 Flrs
Email address iune 9had1q@ndiUne.o0m _
Phone: (253)297-7572 Fax: (360)249-6199 Cell (206)313-8866
�;J Asbestos Air .;J PCM{NIOSH 7400} ;__J TEM{N10SH 7402} J TEM(AHERA) L!TEM{EPA Level U) !;Other
Asbestos_Buikl PLM(EPAI6001R-931116) ❑PLM{EPA Point Count} ❑PLM(EPA Grav_imetry) ❑TEM BULK
(-[ o unstus I. 1 Mold Air r �Mo1d Bulk � i Rotometer Calibration
METALS -�--If'J�.Limit —.�Matrix RCRA Alletala A118 �Albs
J Total Meials r FAA(ppm. Air Filter ❑Sbll _Arsenic(As} J Chromium(C !Copper(Cu}
J TCLP 3 �Drinking water ❑Paint Chips in% _Barium(Ba) _I Lead(Pb)
Cr 6 L ICP(ppl'n) Chips. ( ) ry( g) ]Nickel(Ni)
!❑GFAA(poi J Dust/wipe(Area) (_Paint Chi in on .-Cadmium Cd Menu H
- �Zinc(Zn)
-!other Types 1 Fiberglass I I Nuisance Dust : I Other(Specify)
of Analysis I Silica F_I R�crjrahla niod
Condition of Package:❑Good ❑Damaged(no spillage) ❑Severe damage(spillage)
.# Lab m Client Sample Number Comments tea Sam le 2M Sam a Volume etc A!R
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Print Below Si., el Co pane Date Time
Sampled by zr_ Ab 1,
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Received by r
Ana by
Results Called by.
Results Faxed by!
Special Instructions: Unless requested in writing,all samples will be disposed of (2)weeks after analysis. i
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