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20140170 Asbestos Survey - Yelm - 207 Second SE - Yellow House AAA 11 batenwnt and Demolition h Surveyors A.vh tos/Lead/MoldWeth Retnovat 1, License#AAABAD909Q3 a;. General Contractor PO Box 808 Montesano,WA 98563 ASBESTOS SURVEY AAA Abatement and Demolition PO Box 808, Montesano,WA 98563 Property located at: 207 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/ARE.R.A. guidelines as designated and specified by Olympic Region Clean Air Agency and Washington State) of the property located at 207 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 single story single family wooden exterior structure had vinyl windows and wood wrapped windows. There was a composition roof and baseboard heat. Also present was a small old gas furnace with no TSI wrap or suspect material. Fiberglass insulation was observed. The age is unknown. The property was in average condition. The property is slated for a demolition. Page 1 of 2 ]Principle Contacts:June Bon€irno(206)313-8866;Charlie McShane(253)297-7572 Fag: (360)249-6199; E-mail: i ne rr ehaa liean�&AUrae eon, Site Address: 207 Second SE, Yelm, WA Date of Field Inspection: January 23, 2014 Date of Laboratory Results: January 30, 2014 10 suspect samples were taken and the results are as follows: Sample#01-SVF(Sheet Vinyl Flooring)in Living Room-No Asbestos Contained Material Sample#02- Wallboard/Joint Compound in Living Room-No ACM Sample#03—Decorative Wall Panel with Mastic in Kitchen-No ACM Sample#04—SVF in Kitchen—No ACM Sample#05—SVF in Laundry Room—No ACM Sample#06—SVF in Bathroom—No ACM Sample#07— WB/JC in Bedroom#2—No ACM Sample#08— Window Putty(South End Exterior)—No ACM Sample#09—Roofing with Paper(North Side)—No ACM Sample#10—Porch Roofing with Paper(West Side)—No ACM There are no special instructions regarding type of analysis to be conducted (such as PLM, point counting,TEM). Respectfully SubrUAt ed by the following AHERA 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 January 30, 2014 L A B S INDUSTRIAL I June Bongimo S E R V I C E S AAA Abatement Laboratory I Management I Training 815 Wildwood Ct. Montesano,WA 98563 RE; Bulk Asbestos Fiber Analysis, NVL Batch# 1401435.00 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, Nick Ly,Technical Director 2.888.NVL.LABS Eric.: Sample Results KW�A# NVL Laboratories, Inc. 1.888.(685.5227) La,Code;102083..0 4708 Aurora Ave N,Seattle,WA 98103 www.nvilabs.com p 206.547.0100 1 f 206.634.1936 NVL Laboratories Inc ��d ® 4708 Aurora Ave. N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Tel:206.547.0100, Fax:206.6U.1936 www.nvllabs.com Bulk Asbestos Fibers Analysis www.nvllabs.com By Polarized Light Microscopy Client: AAA Abatement Batch#: 1401435.00 Address: 815 Wildwood Ct. Client Project#: N-A Montesano,WA 98563 Date Received: 1/27/2014 Samples Received: 10 Attention: Ms. June Bongimo Samples Analyzed: 10 Project Location:207 Second SE Yelm,WA Method: EPA1600/R-93/116 & EPA/6001M4-82-020 Lab ID: 14011457 Client Sample#: YY-01 Location: 207 Second SE Yelm,WA Layer 1 of 3 Description: Multi-colored foamy material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Synthetic foam, Fine particles None Detected ND None Detected ND Layer 2 of 3 Description: Red thin linoleum Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Linoleum/Binder, Fine particles Cellulose 25% None Detected ND Layer 3 of 3 Description: Black asphaltic fibrous backing with mastic and wood Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % AsphaltBinder, Binder/Filler, Mastic/Binder Cellulose 87% None Detected ND Wood flakes Lab ID: 14011458 Client Sample#: YY-02 Location: 207 Second SE Yelm,WA Layer 1 of 2 Description: White compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous binder, Fine 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,Wood flakes, Binder/Filler Cellulose 19% None Detected ND Lab ID: 14011459 Client Sample #: YY-03 Location: 207 Second SE Yelm,WA Layer 1 of 2 Description: White compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Calcareous binder, Paint Cellulose 6% None Detected ND Sampled by: Client Analyzed by: Jacob Laugeson Date:01130/2014 — 9:Reviewed by: Nick Ly Date:01/30/2014 Nick or 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%a,5%=1-9%, 10 0=5-15%, 20%=10-30%,50%=40-00%).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 i of 4 NVL Laboratories IncI�dL��® 4708 Aurora Ave. N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Tel:206.547.0100, tn Fax:206.634.1936 www.nvllabs.co Bulk Asbestos Fibers Analysis By Polarized Light Microscopy Client: AAA Abatement Batch #: 1401435.00 Address: 815 Wildwood Ct. Client Project#: N-A Montesano,WA 98563 Date Received: 1/27/2014 Samples Received: 10 Attention: Ms.June Bongirrto Samples Analyzed: 10 Project Location: 207 Second SE Yelm,WA Method: EPA/600/R-93/116 &EPA/600/M4-82-020 Layer 2 of 2 Description: Black asphaltic fibrous backing with brown mastic Non-Fibrous Materials: Other Fibrous Materials:%a Asbestos Type: Asphalt/Binder, Binder/Filler, Mastic/Binder Cellulose 89% None Detected ND Lab ID: 14011460 Client Sample#: YY-04 Location: 207 Second SE Yelm,WA Layer 1 of 2 Description: White sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder, Synthetic foam None Detected ND None Detected ND Layer 2 of 2 Description: White fibrous backing with soft mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Mastic/Binder Cellulose 51% None Detected ND Glass fibers 22% Lab ID: 14011461 Client Sample#: YY-05 Location: 207 Second SE Yelm,WA Layer 1 of 2 Description: White sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder, Synthetic foam None Detected ND None Detected ND Layer 2 of 2 Description: Off-white fibrous backing with mastic and wood Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Mastic/Binder, Wood flakes Cellulose 45% None Detected ND Glass fibers 17% Lab ID: 14011462 Client Sample* YY-06 Location: 207 Second SE YeIm,WA Layer 1 of 2 Description: White sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type. % Vinyl/Binder, Synthetic foam None Detected ND None Detected ND Sampled by: Client Analyzed by: Jacob Laugeson Date:01130/2014 Reviewed by: Nick Ly Date:01/30/2014 Nick , Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-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 2 of 4 NVL Laboratories, -Inc ��a�f 4708 Aurora Ave.N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063- Tel:20fi.547A Fax:20S_fi34.1936 www.nvilabs.com Bulk Asbestos Fibers Analysis ww. By Polarized Light Microscopy Client:AAA Abatement Batch #: 1401435.00 Address: 815 Wildwood Ct. Client Project#: N-A Montesano,WA 98563 Date Received: 1/27/2014 Samples Received: 10 Attention: Ms. June Bongirno Samples Analyzed: 10 Project Location: 207 Second SE Yelm,WA Method: EPA/600/R-93/116 & EPA/600/M4-82-020 Layer 2 of 2 Description: Off-white fibrous backing with mastic and wood Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % BinderlFiller, Mastic/Binder,Wood flakes Cellulose 47% None Detected ND Glass fibers 15% Lab ID: 14011463 Client Sample#: YY-07 Location: 207 Second SE Yelm,WA Layer 1 of 4 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous binder, Calcareous particles, Paint Cellulose 6% None Detected ND Layer 2 of 4 Description: Brown woven fibrous mesh with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % BinderlFiller, Fine particles Cellulose 90% None Detected ND Layer 3 of 4 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Gypsum/Binder, Binder/Filler Cellulose 9% None Detected ND Layer 4 of 4 Description: Gray brittle material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type. % Calcareous binder, Fine grains Cellulose 3% None Detected ND Lab ID: 14011464 Client Sample#: YY-08 Location: 207 Second SE Yelm,WA Layer 1 of 1 Description: Gray crumbly material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Putty Compound, Fine particles, Paint Cellulose 4% None Detected ND Lab ID: 14011465 Client Sample#: YY-09 Location: 207 Second SE Yelm,WA Sampled by: Client Analyzed by: Jacob Laugeson Date:01130/2014 Reviewed by: Nick Ly Date:01/30/2014 Nic a irecto Note: ff samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA 600/R-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 4708 Aurora Ave. N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 206.547.0100. Fax: 34.1936 Bulk Asbestos Fibers Analysis www.nvllabs.com By Polarized Light Microscopy Client:AAA Abatement Batch #: 1401435.00 Address: 815 Wildwood Ct. Client Project#: N-A Montesano, WA 98563 Date Received: 1/27/2014 Samples Received: 10 Attention: Ms.June Bongirno Samples Analyzed: 10 Project Location: 207 Second SE Yelm,WA Method: EPA/600/R-931116 $EPA/600/M4-82-020 Layer 1 of 3 Description: Black layered asphaltic fibrous material with granules Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Binder/Filler, Granules Cellulose 38% None Detected ND Layer 2 of 3 Description: Black asphaltic fibrous material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Binder/Filler Cellulose 45% None Detected ND Layer 3 of 3 Description: Black asphaltic mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Mastic/Binder, Fine particles Cellulose 8% None Detected ND Lab ID: 14011466 Client Sample#: YY-10 Location: 207 Second SE Yelm,WA Layer 1 of 1 Description: Black asphaltic fibrous felt Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Asphalt/Binder, Binder/Filler Cellulose 90% None Detected ND Sampled by: Client Analyzed by: Jacob Laugeson Date:01/3012014 Reviewed by: Nick Ly Date:01/3012014 Ni or 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 1/o, 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 methodolcgy 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 U5 Government Page 4 of 4 NVL Laboratories, Inc. NVL Batch 4706 Aurare Ave N,Seattle,WA 98103 CHAIN of CUSTODY ID Tel: 205.547.0100 Emerg.Cell:206.914-4646 SAMPLE LOG Fax:206.634.1936 1.888.NVL.LABS(685.5227) 14,014,35 j Client AAA Abatement NVL Batch Number Street 816 Wildwood Ct. Client Job Number ------ Total Samples Turn Around Around Time 1-Hr &Hrs 2 5 2-Hr, -Hrs 3 10 Project Manager Ms.June Bonglmo 4-Hrs 24-Hrs ,I Project Location';20 7 Please call for TAT less than 24 Hrs yy/—/" , Email address iunec(;).charlieandj_une.com Phone: (253)297-7572 Parr: (360)249-6199 Cell (206)313-8866 - - bestos Air .:_J PCM(NIQSH 7400) `J TEM(NIOSH 7402) J TEM(AHERA) E TEM (EPA Level II) `J Other Asbestos Bulk' PLM(EPA16001R-93!116) Ll PLM(EPA Point Count) [j PLM(EPA Gravimetry) LJ TEM BULK r Mold un�us r Mold Air `-I Mold Bulk 1 i- Rotometer Calibration METALS Limit Matrix- - - RCRA Metals _All 8 tither Metals ]Total Metals i FAA(Rpm Air Filter ]Soil _Arsenic(As) ]Chromium(C I i All 3 TCLP L ICP ]Drinking water [Paint Chips in% _Barium(13a) ]Lead(Pb) ❑Copper(Cu) (Ppm) ]Nickel(Ni) Cr6 .]Dustlwipe(Area) (_Paint Chips in cn _Cadmium(Cd) .]Mercury(Hg) GFAA(ppi Zinc fZn) I JOther Types i; [Fiberglass [ J Nuisance Dust Other(Specify) of Analysis [I I Silira I I RPRnirihlP D1mt Condition of Package:❑Good ❑Damaged(no spillage) ❑Severe damage(spillage) # Lab ID Client Sample Number Comments(e.g Sample are Sample Volume ate AIR 1 t — --- , — 2 - W TC - Lrv • -- 3 ' 6 ©� U 1L 7 -d It W&3-c 0`z 8 U T *-- u 7f Ali 9 _oq Am!�I 10 - U G!d Xevl< 11 13 14 Print Below'^ 4Sj B Comp any Date Time Sampled by �� �3 !�RelijR_h:uish q /� -- —--—---—o b +Ma+.a7 Analyzed bv TW,,4 r+� _ /Ls� 1 jv q Ciro Results Called bx=---- - - - -- - -- - - - -- ---- - 1- ------ Results Faxed by _ __-_-- Special Instructions: Unless requested in writing,all samples will be disposed of twq(2)weeks after analysis. 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