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Permit MI2000-016 - DOAK HOMES - GARAGE DEMOLITION
DOAK. HOMES LOT 40 City of Tukwila. (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 MISCELLANEOUS PERMIT WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES, APPLICANT IS PROCEEDING AT THEIR OWN RISK. Parcel No: Address: Suite No: Location: Category: Type: Zoning: Const Type: Gas /Elec.: Units: Setbacks: Water: Wetlands: 017900 -0205 12215 43 AV S LOT 40 DEMO MISCPERM 001 North: TUKWILA Fire .0 South: .0 East: Sewer: TUKWILA Slopes: Contractor License No: DOAKHI *092NZ OCCUPANT OWNER DOAK HOMES INC 12215 43 AV S, TUKWILA WA 98168 DOAK HOMES INC 11917 4 AV SW, SEATTLE WA 98146 CONTACT DARRYL DOAK SR 11917 4th AVE SW, SEATTLE WA 98146 CONTRACTOR DOAK HOMES INC. 11917 4TH AVENUE, SEATTLE, WA 98146 k•k * * * * * * * * * * * * * * ** k * * * * * ** * **- k * *•k ** k*k k *•k k** ** k* * *•k•k* k*•k* *•k** **•k ** k•k* k•k-k* * ***** *•k k•A Permit Description: REMOVE /DEMO 2 CAR GARAGE WITH T -111 AND 2 X 4 CONSTRUCTION AND 3 -TAB ROOFING and associated eras ion prevention and sediment control ****• k**• k*****• k******* k**** k***** k************** k• k*• kkkk** ** * * *** * * *k- k•k** *k* * * *** **-k** Permit No: Status: Issued: Expires: MI2000 -016 ISSUED 02/23/2000 08/21/2000 Occupancy: PRIVATE GARAGE UBC: 1997 Protection: .0 West: .0 Streams: Phone: Phone: 206 -246 -6587 Phone: 206 246 -6587 Construction Valuation: $ 600.00 PUBLIC WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng. Appr: Curb Cut /Access /Sidewalk /CSS: N Fire Loop Hydrant: N No: Sizeiin): .00 Flood Control Zone: N Hauling: N Start Time: End Time: Land Altering: N Cut: Fill: Landscape Irrigation: N Moving Oversized Load: N Start Time: End Time: Sanitary Side Sewer: N No: Sewer Main Extension: N Private: Storm Drainage: N Street Use: N Water Main Extension: N Private: kr•kkl trickle ** *k **kkkkkkkkiikkk* girt* * *kkkkk *k**** *k *kk *kkkkkk Public: Public: *•kkkkk *k*kkkk *kk * *'*A * *k *k ** TOTAL DEVELOPMENT PERMIT FEES: t 51.50 I '* k* k* 4k* k' k******* ** *k *kkk * * *k* **k ****** ** *k *• kit- kit - kkkkk Ak* kk** **•kk k kick***kk•k*k-k*k* * *k Permit Center Authorized Signature: Date :Z —a I hereby certify that I have read and examined t is permit and know the saute to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other state or local laws regulating construction or the performance of work. I am authorized to sign for and obtain this development pe•mit. Signature: i, Date: .2---a,3-0a .2--.2---a,3-0a "O Print N ame : a4rd _ eSp Q0„4:, i,.r+ L This permit shall become null and void if the work is not commenced within 180 days from the data of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. Andress: 12215 43 AV Suite: Tenant: Type: MISCPERM Parcel #: 017900 -0205 CITY OP TUKWILA Permit No: MI2000 -016 Status: ISSUED Applied: 01/24/2000 Issued: 02/23/2000 * k******• k*****• A***** k*** A• kk******k* k** k• k*• k* kk*• k*• k* •k *kkk*k•k ** *k* *k *k * * ** *A•k*' Permit Conditions: 1. No changes will be made to the plans unless approved by the Engineer and the Tukwila. Building Division. All permits, inspection records, and approved plans shall be available at the, .job site prior to the start : of any con- struction. 7hese''documents are to be maintained and avail- able until final inspection approval is granted. 3. \A11 construction to be done in conformance with approved Mans and requirements of the Uniform Building Code . (1997 Edition) ors amended, Uniform Mechanict1F.Code (1997 Edition), and Washington £ Stdte, Energy Code (1997 Edition) :Val idi'ty` of Permit. The issuance of a permit or approval of elan , - jspecrlf ications, and' domputetions shall not be con - str �kd to`.be a permit for, or an approval of, any vielatio of Dy' of the provisions of the building code or ' of any ..r otlret ' ordinance of the Jurisdiction, No permit presuming t0 g i Vi- au thar i tyi to violate or : cancel the provisions , of this coditshall be valid, F4ROO OCTOBER :1 'THROUGH APRIL 30, COVER ANY SLOPES AND 5T.oCKPILES; THAT ARC 3H:IV OR STEEPER AND HAVE A VERTICAL; RISE OF 10' FEET. OR MORE AND WILL BE UNWORKED FOR GREATER THAN. 12 :HOURS. DURING THIS TIME PER/OD, COVER OR MULCH OTHER DISTURBED AREAS, ; IF THEY WILL EBE. UNWORKED MORE THAN 2 DAYS, : COVERED MATERIAL MUST BE STOCKPILED ON SITE AT THE BEGINNING Of THIS PERIOD. INSPECT' AND MAINTAIN Ti STABILIZATION WEEKLY, AND IMMEDIATELY BEFORE, DURING AND XMM 'D1ATELY ;FOLLOWING STORMS. FROM'IIAY 1 THROUGH SEPTEMBER 30, INSPECT AND MAINTAIN TEMPORARY EROSION 'PREVENTION AND SEDIMENT AT LEAST MONTHLY. ALL DISTURBED ArE:AS OF THE SITE SHALL BE PERMANENTLY STABILIZES ;E RIOR TO FINAL CONSTRUCTION APPROVAL. 6. NOTIFY PUEILXC WQRKS UTrLTIY,' INSPFCTt R= MR. GREG VILLANUE:VA el (206)433-0179 Al LEAST 24-HOURS 'IN ADVANCE OF;•COMMENCEMENT AND COMPLETION OF r :WORK. Hauling of er 50 cy 'ot' del' r is, ,soils, ,construction materials, etc. requires -a : : :He`u1`ing- Permit prior to any associated activity. N? CITY OF T .KWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 imulasamakiMli Project Number: ti Permit Number. SZ000 -o1� Miscellaneous Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. Project Name/Tenant: �. -. 4004 �S rtJ�,. Value of Constr ction: 6ewe - Site Address : 2.// 36.oe S .,.L cf yCr Sta te/Zip: T© ;; bl oo um be o: � p s �-- (do' A...4 0 Property Owner: A � Phone: Phone: ( ) 2.5f6 6Se7 �— Street Address: u (? �� sew Sea-44-(e__ ity Stat i y� E Dow, S,R . Fax #: ( ) ZY6 �J f�7 Phone: (�6) � _ (� Sal 7 Contractor: Street Address: (0(7 est-- 4. Se /, y q ii • /� W � -t Fax #: (766) 2_q6, 6 Architect: Phone: ( ) Street Address: City State/Zip: 1. Fax #: ( ) Engineer: Phone: ( ) Street Address: ,.;, , City State/Zip: Fax #: ( ) Contact Person: DY'T y., 5� . Phone: (Zt56) 2_46 6 8? Street Address: licit 7 "1" " , 1�.✓!'4J cit y l WOE Fax #: ( ) Zcfb 6 AMAMI .._ MISCELLANEOUS PERMIT REVIEW AND APPROVAL RE UESTEDs (TO REFILLED OUT RYAPPLICANT) Description of work to be done (please be specific): , c /aiz i 4 ./ - // pt -4 '3 `t-,9-6 ' °'i' I 5•o4/ g' Will there be storage of (laminable/combustible hazardous material in t uilding? ❑ yes g no Attach list of materials and store o location on separate 8 1/2 Xpily er Indicntin uantitles & Material Safot Data Sheets U AUove Ground Tanks lJ Antennas/Sat.lilto Dishes Bulkhead/Docks Commercial Reroof a-Demolition ❑ Fence ❑ Manufactured I•lousindeplacement only ❑ Parking Lots ❑ Retainin, Walls ❑ Tern lore Facilities LJ Tree Cuttin, 11 Channollzation/Strlping ❑ Flood Control Zone ❑ Landscape Irrigation ❑ Storm Drainage ❑ Water Meter /Exempt # ❑ Water Meter /Permanent N_,,,_____ ❑ Water Meter Temp # ❑ Miscellaneous APPLICANT RE • UEST FOR MISCELLANEOUS PUBLIC WORKS PERMITS ❑ Curb cut / Access /Sidewalk Ll Firn Loop/kiydrant (main to vauit)lf Size(s): ❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft,grading/clenring ❑ Sanitary Side Sower M: ❑ Sewer Main Extension 0 Private 0 Public ❑ Street Use ❑ Water Main Extension 0 Private 0 Public Size(s): 0 Deduct 0 Water Only Slags): Sizo(s): Est. quantity: gal Schedule: C Moving Oversized Load/Hauling MONTHLY SERVICE BILLINGS TO: Name; Phone: Address: City /Sta a /Zip: 0 Water 0 Sewer 0 Metro 0 Standby WATER METER DEPOSIT/REFUND BILLING: Name: Phone: Address: City /Sta e/Zip: Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review . Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. 4/4144 udscpiar.doc • ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN qt. lr0 ;, 1BUIL[ q, 1�,,'A►NSvAND.UTILITY PLANS ARE TO BE COMBINED > ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT > STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED STRUCTURAL ENGINEER D CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) ❑ SUBMIT APP! I( n1ION ANI) RI(11JIRII) ( )1F( KI ISIS !OR PFRMII RIVIFW Submit checklist No: M -9 Above Ground Tanks/Water Tanks - Supported directly upon grade eilceeding 5,000,gallons and a ratio of height to diameter or width which oiideeds .2:1' . ❑ ,A'ntenrtas /Satellite; Dishes Submit checklist No: M -1 ❑ ''Bulkhead /Dock , .' „ Submit checklist No: M -10 ❑ .0 nitiiercial,Reroof.::.. Submit checklist No M -6 ❑ i'Dthi ilitian Submit checklist No M -3 in Fences - .Over.6.fe'et in Height . Submit checklist No: M -9 0 . Land Altering/Graifing/preloads ,. Submit checklist No M -2 ❑ Miscellaneous Pdblic Works Permits Submit checklist No: H -9 ❑ ,Manufactured HoUsing (RIiD INSIGNIA :ONLY) ' - Submit checklist No M -5 ❑ :'Moving Oversized Load /Hauling i4; ,`N,.. Submit checklist No: M -5 ;Parking Lots 'ill ; Submit checklist No: M4 ❑ Retaining Walls! Over 4 feet in height • Submit checklist No: M -1 ❑ Temporary Facilities Submit checklist No: M -7 0 ,=Tree Cutting Submit checklist No: M -2 ❑ Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit In Lieu of Contractor Registration ". 'BdJld!na,Ot ner /Authorized Agent if the applicant,ls other thi ii•the owner, registered architect/engineer, or contractor 'hc 1,nsgd by theStato of Washington, a notarized letter froin.the property owner authorizing the agent to submit this portnit'npplicatlon and obtain the rrn pelt will be requlred.a`s part of this submittal. I HERESY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT, IUILDINGiOWNER:OR 'AUTHORIZED AGENT: Signature: Date: Print name: Phone: ( ) Fax If: ( Address: City /State /Zip: •b +I ' 9/989 ' 4) ntIscptnr d4 • T t`t M •% • Tuu1wxLA; WA 2000-0 1 lt ***A*****A* ***4 r"�►AA* *k ** t:k*ri,iiF*A. AHBP1IT Nttmbr r: R.Ot 0239 Amcuht: i'virun K Nie Chad c . CHECK Notation: DAR R`tL 14 kAAA**kk *h ***I, Ak * * *k I tj Gt N rM r T 11.40 0/23/00 13:b0 DOAit I,,it: ILO .3r41, .r 1/k II` ► t.l + : . i V { .H+.. 4 1I+ IY 1: r t• M 1ti. It •{ .II tte r {v r W .. 0.44 w or O. iv. t• w i+ r M ♦ /it.. • i• • '4. K .. 14/ Ii • — .N ..:.F {t. IL' P rns1-t fto .N12000: -)l;t 'fypv. MXUCPERM MISCELLANEOUS PERMIT � 0400, Not 017960--020$ ba 'Addes40,c 1221' 43 AN 3 O'oat t crrk LOT 40, Total Foos: 1S1 "its vmunt; t; ». 0 'Tutu! ALL Pmtu: X1..50 Ua1 artic►rs .00 #i.rk'ltk*****o**$%*4* *** A *'+ k4*** ***lk** *44 *1,4AA11+►s!l1** il* *k* * ***f f c' o u n 1i (: o tl �►i I I t; r• i Ot t 1 t)1'1 (4 M W It n t 00/32:.1.00 U1t1ILDIND - MONRES 47.00 000/100.004 STATE IIUIL0INt3 9l11tcNlallt 1Z 4.50 *I M I..I..f .. ....... I.l i v ...... " H M .• •... ..... i s 4. M k .t 1{. Yt • 1: W M1 .1 I • . .. •n {: W t . •t' {t P {t /b to W Y I ., 1049 02/24 9717 TOTAL 154.50 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, ANA 981 INSPECTION RECORD Fri.,EDC0-01 ( � Retain a copy with permit PERMIT NO. (206)431 -3670 Project: 1.1)0..x.- 4...\ 4Type , iti n is 1 1 L1/4-A, A,U S Date ca e • ; 5, 1-0 Special instructions: Q0\ 1 I hpUr " 22 c Date wanteds..2. axis p.m. Requester: ,. f Phon 2 , t " 1, • Approved per applicable codes. Corrections required prior to approval. ig 0 147.00 REINSPECTION �F REQUIRED. Prior to inspection, fee must be paid at 6300 SilydrCenter Blvd,, Suite 100. Call to sch_dule reins Receipt No; j I Date: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3670 Project: ctic,L Type of Inspection:pj %� Address: Date called: Specs. 1 instructions: Date wanted: t i a,m. .m. Requester: Phone: DApproved per applicable codes. COMMENTS: Corrections required prior to approval. MIMI Inspector: Date: Ld ED $47.00 REINSPECTION F&E REQUIRED. Prior to inspection, (eo must be paid at 6300 Southcenter Blvd. Suite 100. CaII to schedule rainspoction. Receipt No: Date: Sift re,vcc 21 -00 eje sk4 C' tiro/ xoillostrh These plans have been reviewed by the Pubes Works Department for conformance with current City standards. Acceptance Is subject to orrors and omissions which do ' not author'-. • .•Inns of adopted ^• - ~-' •c!: or ordinancc : ;bllity •fortho .f Elio design the drawcir doletion1 •38e ` dato t4;; ace snd % . rosubm" , ,�s for c .approval Final Lt:.,.,.,.,'ico Is subbecc . fie Public Works uq» inspoc,;,, Dale: •cti BY�/ (L Ave 5, 70.1c1AP'Lot etwaixessaisiainallellOall ....sn by (my orTUKWILA FEB 9 1OOo PERMIT CEN1 CORRECTION LTR# F1Izocooi a �0 ► y xoillostrh These plans have been reviewed by the Pubes Works Department for conformance with current City standards. Acceptance Is subject to orrors and omissions which do ' not author'-. • .•Inns of adopted ^• - ~-' •c!: or ordinancc : ;bllity •fortho .f Elio design the drawcir doletion1 •38e ` dato t4;; ace snd % . rosubm" , ,�s for c .approval Final Lt:.,.,.,.,'ico Is subbecc . fie Public Works uq» inspoc,;,, Dale: •cti BY�/ (L Ave 5, 70.1c1AP'Lot etwaixessaisiainallellOall ....sn by (my orTUKWILA FEB 9 1OOo PERMIT CEN1 CORRECTION LTR# F1Izocooi a February 7, 2000 City of Tukwila Department of Community Development Darryl Doak Sr. 1.1917 _ 4th Avenue SW Seattle, WA 98146 RE: CORRECTION LETTER #1 Development Permit Application Number Mi2000.016 Doak Homes - Demolition 12215 — 43rd Avenue S Dear Mr. Doak: Steven M .Mullet, Mayor Steve Lancaster, Director This letter is to inform you of corrections that must be addressed before your development permit can be approved. All correction requests from each department must be addressed at the tarns lime and reflected on your drawings. I have enclosed comments from the Public Works Department. At this time, the Building Division, Fire Department and Planning Division have no comments regarding your application for permit. The City requires that four (4) pe►gp/sts sits of revised plans be resubmitted with the appropriate revision block. If your revision does not require revised plans but requires additional reports or other documentation, please submit four (4) copies of each document. In order to bettor expedite your resubrnittal, a `revision sheet' must accompany every resubmittal. I have enclosed one for your convortionco. accepted through the mail g� -�y eueng ervice. If you have any questions, please contact me at (206)431.3672. Sincerely, idadefr 1 Brenda Holt Permit Coordinator encl xc: File No. MI2000.016 6300 Southcenter Boulevard, Suite #100 • 711kwila, Washington 98188 • Phone: 206.431.3670 • Fax: 206.431.3665 CITY OF TUKWILA PUBLIC WORKS PROJECT REVIEW COMMENTS Project Name: Doak Homes, Inc Demolitions File #: M120}0�0 -01 5 MI2000 -01 ` MI2000 -017 bate: 02.07.00 Reviewer: L. Jill Mosqueda, P.E. Please provide erosion control plan for these demolitions. Q /jiH /projects /ran short plat /L99 -0073 comm #4 1 FILE CfP� rommmrstrusimmili Asbestos Survey ..1 12211 43rd Avenue S. Tukwilla, Washington Date Prepared January 11, 2000 Prepared for: Derryl Doak Doak Home* Inc. 119174th AvenueSW Seattle, Washington 98146 Prepared By: Building Inspector Cert. #: Expiration Date: Date Inspected: Project #: Prudy Stoudt -McRae 993155 November 2, 2000 January 4, 2000 D000103 NVL Laboratories, Inc., 4708 Aurora Ave, N., Seattle, WA 98103 Phone (206) 547.0100 • Fax (206) 634.1936 MIZO yo b RECEIVED CRY OF TUKWILA JAN 2 5 2000 PERMIT CENTER • TABLE OP CONTENTS Subject Page 1.0 SCOPE OF WORK 1 2.0 SURVEY METHOD 2 3.0 LABORATORY INFORMATION 3 4.0 BUILDING DESCRIPTION 4 5.0 FINDINGS 5 -7 6.0 CONCLUSIONS AND RECOMMENDATIONS 8 7.0 LIMITATIONS OF SURVEY 9 APPENDICES Sample Locations (Map) A Laboratory Results B AHERA Certifications & Laboratory Qualifications C 1.0 SCOPE OF WORK An investigative survey for asbestos containing materials (ACM) was conducted a residential structure located at 12211 43rd Avenue South, Tukwilla, Washington. This building is owned by Derryl Doak. This inspection was conducted on January 4, 2000 by Prudy Stoudt - McRae, an AHERA certified Building inspector. This inspection was performed at the request of Derryl Doak, of Doak Homes, Inc. The purpose of this inspection was to identify asbestos containing materials that would be impacted by the planned demolition of this structure. The asbestos survey section is written to comply with the AHERA asbestos sampling procedure as stated in 40 CFR 763.86. This protocol is required for all asbestos surveys prior to a building demolition under the Puget Sound Clean Air Agency, (PSCAA), Regulation 111, revised February 12, 1998. The asbestos survey also satisfies the "Good Faith" asbestos inspection requirements as stated in Washington Administrative Code (WAC) 296-62-07221(2), "identification ". As stated in this regulation, the owner of a structure scheduled to be renovated /demolished must provide a contractor with a written report of the asbestos containing materials to be disturbed during renovation /demolition. The National Emission Standards for Hazardous Air Pollutants (NESHAP), 40 CFR Part 61 requires a survey by an accredited asbestos inspector prior to renovation /demolition of a struchtre. A floor sketch indicating sampling locations has been included in Appendix A. NV1. 12211 43th Ave. South, Tukwilla Page 1 2.0 SURVEY METHOD Asbestos Survey Method A walk - through inspection of all accessible areas of this structure was performed to identify potential asbestos - containing materials. The walk - through inspection included a review of the internal and external aspects of this structure. The locations and types of potential asbestos containing materials were noted. Sufficient bulk samples of building materials (vinyl floor tile, roofing, wall materials, etc.) were obtained of each material to satisfy the requirements of the Asbestos 1- Lazard Emergency Response Act (AFIE A) rules and regulations. These samples were placed into plastic sample bags, numbered and recorded. Homogeneous Materials Homogeneous materials are defined as an area of Asbestos - Containing Material (ACM) or Presumed Asbestos- Containing Material (PACM) which appears similar throughout in terms of color, texture, and date of material application, The report listing for homogenous materials will appear as follows: Sample Number Material Descri tion Location Asbestos % Area (ft') Friable iee/no) i ob# -01.01 white floor the kitchen ob# -01.02 white floor the kitchen ob# -01.03 white floor tile kitchen i Under OSI•IA Guidelines, a minimum of three negative analysis of a single suspect homogeneous asbestos containing material is required to prove a negative result for surfacing materials and thermal system insulation. NVL 12211 43th Ave. South, Tukwilla Page 2 1 1 t 3.0 LABORATORY INFORMATION Laboratory Analysis — Asbestos Samples are analyzed in our laboratory using polarized light microscopy (PLM) with dispersion staining . If samples are not homogeneous, then subsamples of the components were analyzed separately. All Hulk samples are analyzed using EPA Method 600/R- 93/116 with the following measurement uncertainties for reported % Asbestos (1 %=0 -3 %, 5 %= >1- 9 %,10 % =5- 15%, 20 %= 10 -30 %, 50 %- 40 -60 %). For samples containing more than one separable layer of materials, the report will include findings for each layer (labeled Layer: 1, Layer: 2, etc.). The asbestos concentration in the sample is determined by visual estimation, Laboratory Accreditation Professional accreditaHons for NVL Laboratories, Inc., include the following: NVL Laboratories, Inc., is currently accredited by the National Institute of Standards and Technology (NIST) under the National Volunteer Laboratory Accreditation Program (NVLAP) program for bulk asbestos fiber analysis. NVLAP Lab Code 102063-0. NVL Laboratories, Inc., is approved by the American Industrial Hygiene Association (AIHA) Asbestos Analysts Registry (AAR) program for airborne asbestos fiber analysis. Counter ID 7412. NVL Laboratories, Inc., is currently accredited by the American Industrial Hygiene Association (AIFIA) under the Industrial Hygiene Laboratory Accreditation Program (IHLAP). The IHLAP program is designed specifically for laboratories involved in analyzing samples to evaluate workplace exposure. Certification Number 563. NVL 12211 43th Ave. South, Tukwilla Page 3 4.0 BUILDING DESCRIPTION General Building type: Single family mobile home with a 2 car garage, RV shed and storage sheds. Primary external components: The mobile home is aluminum, the garage is wood, the RV shed is wood construction with no walls and the storage sheds are wood. Type of foundation: The mobile home and storage sheds sit on cinder blocks, the 2 car garage is poured concrete deck, and the RV shed is post and pier foundation. Roofing materials: The mobile home roof is made of altuminum with tar coating, the garage, RV shed and storage shed have 3 tab asphalt shingles. Window types: The mobile home and garage have ahuninum window frames without caulking or glazing. Flooring: The mobile home has wood, vinyl tiles, sheet vinyl and carpeting, the garage has concrete, the RV shed is dirt and the storage sheds are wood floored. Thermal systems w /insulation types: The heating system utilizes electric baseboard heaters. Water pipes are insulated with fiberglass. Finishing: The mobile home walls are wood with paint and paper, the garage and storage shed have wood board finishing. The RV shed has no walls. NVL 12211 43th Ave. South, Tukwilla Page 4 5.0 FINDINGS Inventory of Suspect Asbestos- Containing Materials Sample Number Material Description Location Asbestos % Area (ft2) Friable (yes /no) D000103- 1- black asphalt storage shed 1 south east corner ND 1 -1 2- black asphalt shingles ND D000103- 1- black asphalt storage shed 1 north east corner ND 1 -2 2- black asphalt shingles ND D000103- 1- black asphalt paper on the outside of storage ND 2 -1 . a • er sheds 2 & 3 south side D000103- 1- black asphalt paper on the outside of storage ND 2 -2 . a • er sheds 2 & 3 south side D000103- 1- asphalt shingles inside storage shed 2 on south N D 3 -1 wall D000103- _ 1- asphalt shingles inside storage shed 2 on south ND 3.2 wall � D000103- 1- 3 tab asphalt storage shed 3, west side ND 4 -1 shin : les D000103- 1. 3 tab asphalt storage shed 3, east side 4.2 shingles D000103 l- 3 tab asphalt RV shed, north center ND 5 -1 shin D000103. 1- asphalt paper RV shed, west end N D 5 -2 2- 3 tab asphalt shin :les ND D000103- 1- 3 tab asphalt RV shed, south end N D D000103. 1 -roof tar mobile home, north west corner ND 700 no 6 -1 2- sliver aint 5 D000103- 1 -roof tar mobile home , south west corner ND 6 -2 2- silver paint 5 3- tan brittle roof 3 . atchin: material D000103- 1- roof tar mobile home, north east corner ND 6 -3 2- silver 5 D000103- ,paint 1- black asphalt garage, east center ND 7 -1 paper N D 2- 3 tab asphalt shingles D000103- 1- black asphalt garage, north west comer ND 7 -2 paper ND 2- 3 tab asphalt shingles D000103- 1- black asphalt garage, south center ND 7 -3 paper ND 2- 3 tab asphalt shingles ND -- None Detected ND NVL 12211 43th Ave. South, Tukwilla Page 5 tp vsi Asbestos - continued Sample Number Material Description 1 12x12 vinyl tiles yellow /orange 2- white mastic 3- 12x12 grey /black vinyl tiles 4- black asphalt with mastic Location kitchen, at entry Asbestos % 4 ND ND ND Area (ft2) 65 Friable (yes /no) no D000103- 8 -1 D000103. 1- 12x12 vinyl tiles kitchen, south east corner 4 8 -2 yellow /orange ND 2- white mastic ND 3 -12x12 grey /black vinyl tiles ND 4- black asphalt with mastic D000103- 1- 12x12 vinyl tiles kitchen, north side in front of 4 8 -3 yellow /orange stove N D 2- white mastic N D 3.12x12 grey/ black vinyl tiles ND 4- black asphalt wit mastic D000103• 1 -brown cove base kitchen, on wall at entry N D 9.1 2- brown mastic N D D000103- 1 -brown cove base kitchen, south wall, center N D 9-2 2 -brown mnstle N D D000103. 1 -brown cove base kitchen, east wall, center N D 9 -3 2 -brown mastic N D D000103- 1- white /yellow kitchen, on wall at entry ND 10� 1 Wiper with • slot D000103- 1• white /yellow kitchen, south wall, center ND 10.2 • a cr with • slot D000103- 1- white /yellow _ kitchen, east wall, center N D 10-3 +a•er with ►slot D000103- 1• white plastic kitchen counter top, south ND 11-1 2- white mastic corner behind stove ND 3- brown linoleum N D 4- fellow mastic N D D000103- 1- white plastic kitchen, counter top, west side ND 11 -2 2- white mastic from stove N D 3 -brawn linoleum N D 4- ellow mastic ND D000103- 1- white plastic kitchen counter top, center, ND 11 -3 2- white mastic living room side N D 3- brown linoleum N D 4- yellow mastic ND ND—None Detected ND NVL 12211 43th Ave. South, Tukwilla Page 6 1§ Asbestos - continued Sample N umber Material Description Location Asbestos % Area (ft2) (yes Friable /no) D000103- 12 -1 1- white sheet vinyl 2- grey backing 3- 9x9 off -white vinyl tiles 4- yellow mastic 5- 12x12 grey vinyl tiles 6- black asphalt with brown mastic laundry room, south east corner ND N ID 2 ND ND ND 55 no D000103- 1- white sheet vinyl laundry room, north east corner ND 12 -2 2- grey backing ND 3- 9x9 off -white vinyl tiles 2 ND 4- yellow mastic ND 5- 12x12 grey vinyl tiles ND 6- black asphalt with brown mastic D000103- 1- white sheet vinyl laundry room, north west corner N D 12 -3 2- grey backing ND 3- 9x9 off -white vinyl tiles 2 ND 4- yellow mastic ND 5- 12x12 grey vinyl tiles ND 6- black asphalt with brown mastic D000103- 1- 12x12 white vinyl bathroom at entry ND 13.1 tiles ND 2- ellow mastic D000103- 1- 12x12 white vinyl _ bathroom, north ND 13-2 tiles ND 2• yclIoWmast1c D000103- 1- 12x12 white vinyl bathroom, south ND 13-3 tiles ND 2- yellow mastic ND - None Detected ND Any suspect material(s) not identified above should not be disturbed, and tested immediately, The suspect material must be treated as asbestos containing until testing proves otherwise, NVL 12211 43th Ave. South, Tukwilla Page 7 6.0 CONCLUSIONS AND RECOMMENDATIONS ASBESTOS The following summarizes the homogeneous Asbestos - Containing Materials (ACM) and Presumed Asbestos - Containing Materials (1'ACM) identified at the residence located at 12211 43rd Ave. S, Seattle, Washington. 1. Silver coat: (material number D000103 -6) There is approximately 700 sf of asbestos containing sliver coat on the roof of the mobile home. There is a roofing tar over the silver coat. An asbestos containing tan brittle roof material maybe a roof patching material found under the roof tar in only one sample. 2. 12" X 12" yellow /orange vinyl tile: (material number D000103- 8) There is approximately 65 sf of asbestos containing 12" X 12" yellow /orange vinyl tiles in the kitchen. The mastic under the vinyl tiles is negative. The decking is wood. 3. 9" x 9" off white vinyl tile: (material number D000103 -12) There is approximately 55 sf of asbestos containing 9" x 9" off white vinyl tiles. This is under the white sheet vinyl in the laundry room and above n 12" x 12" grey vinyl tile layer. The decking is wood. Approximations of square footage are offered as an added service to the client. These numbers are not exact values and should be confirmed by the client and participating contractors. If discovered, all ACMs that will be disturbed as a natural part of renovation /demolition and are required to be removed and disposed of in accordance with Washington State Regulations. Washingtont State Department of Labor and Industries and PSCAA require that the abatement be performed using Certified Asbestos Workers under the direct on -site supervision of a Certified Asbestos Supervisor. Further, NVL suggests that an AHERA inspector review this property after abatement to ensure all ACM has been removed by the contractor. Hidden wall and ceiling cavities that are not accessible during the time of surveying can sometimes conceal ACM. Thus, NVL recommends that an AHERA inspector /project manager be on site at the time of renovation /demolition to ensure that any potentially asbestos - containing materials ttncovered during the process of renovation /demolition be dealt with properly. NVL 12211 43th Ave, South, Tukwilla Page 8 7.0 LIMITATIONS OF SURVEY The sole purpose of this survey report is to document asbestos - containing materials discovered in the survey of suspect materials by NVL Laboratories personnel at the residential structure located at 12211 43rd Ave. S, Seattle, Washington on January 4, 2000. This site visit consisted of a thorough visual walk - through of the building for the purpose of viewing and sampling potential ACMs. As hazardous material surveys are non - comprehensive by nature, NVL Laboratories, Inc., cannot be held liable for materials which require destructive means to access, materials which are hidden from sight (e.g. materials hidden behind walls), materials which cannot be found due to their obscure nature, or which otherwise cannot be discovered with reasonable diligence. This document is the sole property of NVL Laboratories and the property owner, or his agent, authorizing this survey. Inspected by: r ,r Reviewed by: ci Prude Stoudt -McRae AHERA Building Inspector AHERA Certification No.: 993155 AHERA Certification Expires on: Nov. 2, 2000 Benjamin T. Cook, CFIMM Hazardous Materials Specialist Certified Hazardous Materials Manager NVL 12211 43th Ave. South, Tukwilla Page 9 Z 1- .2 U 0 N W Wy O W W O W Z V2 Do PI uj F �2 N F� . . . — ,.....i 4 I . :. , . .1 : ..;. )..; -1, 001.11.1. 'I{ •••-•••••••-•■••••■•••■••••••• ••• ••• .•••.....m..-1........................' ........• i.....L.4. +1., -.a- ' • a 4 , , . , -A . a ; i • : , . a i a : . . • :',..; .1 . .. ; .; . I • ; ; a a , , . a . ........ . • . I 1. ; • ; , • ..'• I. , . ; . a a . ', 4 — . ... a.. a ... 4. .1 I i, • I -‘ • • - • • i• i - ' - • 1 • •• • ...- i•••• ,•■ .. 1 -1, i -I„ 4 44e.. • : - a .1. • . ' t ; 1 .4 t ' : a ' • • , j cAA. G:scA.v.4.5e Igwk Omi. AtAt r Lr v.Y. 1/4kMI W : a , !-+ • - - I 1. 4 1, s ... . •••••-4 as./ 1 • .. • • • , • , ' , ' •••••••••■44 4.44,44a ; ■ 1 • I- •••• • Ott • GS • ,11,11,241. LIMP • •1 i s I 8 ot.e. 1. • • • ....,...•••••••••••••• •-••• •• 1 ••••••• , • • • • • , rrilttiLL 441444 44. -a " 4,' . 44 • * I :01 • NVL Laboratories, Inc. 4708 Aurora Ave. N., Seattle, WA 98103 Tel:206.547 -0100, Emgrg.Pgr.206- 344 -1878 1.888.NVL.LABS (685.5227) CHAIN of CUSTODY SAMPLE LOG Ni 00 _ 0ooSo NVL Batch Number# Client '�ri d K 4otMOS 'Y►C� . Client Job Number V 10 3 Address Project Manager Project Location Phone Number Fax Number Pager Number ! L g / T "I �i✓• AIt �l. LL • B•Ma1I addreea _ Condition of Packkgi, D Good ci Damaged (no apt1lage Severe dama Total Samples *Type gfAnatysis (check one) C ASBESTOS ❑ PCM(air) '�-PLM(bulk) C1o�, LEAD(pt) ❑Paint Chips ❑Soil ❑Dust/wipe DAir ❑TCLP ❑ Waste Water Turn Around lime fetlock ono) 1. Hr ❑2•Mrs 0 4 -Hrs 24 -Hra ❑48 -Hra ❑3toSda Se.. 0 Lab use only . ,. Clients Sant . le # Y A/R _ Se., # Lab use only . • �� •—.• Clients Sam . le M -- A/R 1 o'lpo oas' '>4o llono'°3 r— ( — Anal zed B : 11 12 A4A(06- Oo''1 %G °16.1 i�F/`� �� MI 2 o 3 Results Faxed b : 111111111111111111111111 - 13 OP4o7 -a 4 • . - �' e2. ` oa 14 0,948' � 6 -_3 5 __._.._. a�► °a4G am ' 000 / 0 S 3 ■ 15 oACoS p of o,3 16 °a 70 17-a 7 O �p0 b it ! 1 17 Oa,'71 __.._� 9 To 'Dow to 20 soaril S 20 0?741 Sh—.5 Sign Below Sam •led 8 : Relin uiahed B : _ ■ ti),..,. r .-r 1.J. � ,..,. Wee r t -- -� 0 •w 3� ��, Y Received B : � %� LI PM �ET CX � .'C� Anal zed B : /.0 ��i1li i�F/`� �� MI Results called in b : Results Faxed b : 111111111111111111111111 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII S4.%15 ca. 5 S'.Na ' SPECIAL INSTRU QNS: "� (? -. N'S'F' 'Unless requested in wri rig, a samples will be disposed two (2) weeks after analysis. Pr- ot.-1 S. o f N Vl Lb- s 01 s NVL Laboratories, Inc. 4708 Aurora Ave. N., Seattle, WA 98103 Te1:206-547 -0100, Emerg.Pgr.206- 344 -1878 1.888.NVLLABS (6.5227) Client 1 Address I t tq 1 '3- 414 S. Li) CHAIN of CUSTODY SAMPLE LOG Project Manager Project Loudon Phone Number Fax Number Pager Number (22e. . ,2‘11 -� S37 E-Masi address Condition of Package; Good © Damaged (no splllage Severe damage n2 NVL Batch Number 4 - 0°- O°° 6O Client Job Number 0 COO j o Total Samples 3 S "Type gf Analysis (check one) r ASBESTOS LEAD E] PCM(alr) cEZI PLM(bulk) ID0171 R, ❑Paint Chips ❑Soil © Dust/wipe ❑Air OTCLP L 0 Waste Water J 1 Turn Around Time (check one) 1- Hr [❑2 -Hrs ❑4.Hrs �24 -Hrs ❑48 -Hrs ❑3to5da Ses. 0 Lab use only y Clients Sam • le # A/R Se., # tab weoniy , '�—'— Clients Sample M A/R 1 Z ecso ° " 7 ;� 77 '0OOG1O 3 %u�.ala� 11 Received B : 4.... 1 J 12 13 14 ca. S.C. Ap g 7 4,2 -3 co /o3 ( _ 3 ae, e 0A p f• a r Dodo /off l0 – !.� A8.8' % e� �� s DiaT1__. .► . 6 CO' C) 16 OAP • . -c) /03 17 SPECIAL INSTRUCTI • NS: 1�Q 8 CAA- � ! / A 1. 18 . 9 oa�'3 3 19 10 3�oc� /o 3 Ien Below Sampled By; Irv— 0 _t1M � ■ U ' EIMINNatgUiW1 � �� : t0✓ i__ Relinquished 5 s 3 ..1 j 1 r �' •. r•� %u�.ala� Received B : /K. Anal zed B : 1 Results called in b : 1 Results Faxed by SPECIAL INSTRUCTI • NS: 1�Q [� p S �-j Its. �f nless requested in writi , all samples will bektisposed two (2) weeks after analysis, NVL Laboratories, Inc. Tel: 206.547.0100 Fax: 206.634.1936 4708 Aurora Ave. N., Seattle, WA 98103 Bulk Asbestos Fiber Analysis NVLAP #102063 Client: Doak Homes Inc. Address: 11917 4th Ave. SW. Seattle, WA 98146 Attn.: Mr. Derry le Doak Project: 12211 43rd Ave. 5., Tukwila, WA NVL, Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 Lab ID #: 20010255 Client Sample #: D000103 -1 -1 Sample Location: 12211 43rd Ave, 5., Tukwila, WA Description: LAYER 1: Black fibrous asphaltic material, LAYER 2: Black asphaltic material with granules OTHER FIBROUS MATERIALS: NON - FIBROUS MATERIALS: LAYER 1: Cellulose 65% LAYER 1: Asphalt /binder, Binder & filler LAYER 2: Cellulose 4 %, Glass fibers 15% LAYER 2: Asphalt /binder, Sand /binder ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND Lab ID #: 20010256 Client Sample #: D000103 -1 -2 Sample Location: 12211 43rd Ave. 5,, Tukwila, WA Description: LAYER 1: Black fibrous asphaltic material, LAYER 2: Black asphaltic material with granules s �S OTHER FIBROUS MATERIALS: NON - FIBROUS MATERIALS: LAYER 1: Cellulose 65% LAYER 1: Asphalt /binder, hinder & filler LAYER 2: Cellulose 4 %, Glass fibers 1594 LAYER 2: Asphalt /binder, Sand /binder ASBESTOS TYPE: PERCENT LAYER 1: *None detected ND LAYER 2: *None Detected ND } Lab ID #: 20010257 Client Sample #: D000103 -2 -1 Sample Location: 12211 43rd Ave. 5., Tukwila, WA Description: Black fibrous asphaltic material OTHER FIBROUS MATERIALS: Cellulose 65% ASBESTOS TYPE: *None Detected NON - FIBROUS MATERIALS: Asphalt /binder, Binder & filler PERCENT ND (Sample results are continued on the next page) Sampled by: Prudy S. Of NVL Lab. _ !��� Analyzed by: Wei Long TM Date: 01/05/2000 `��� Reviewed b : Nick L Date: 01/05/2000.r ' . r Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. Al mples are analyzed using EPA 600/R-93/U6 Method with the following measurement uncertainties for the reprted % 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 samples were 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 U.S. Government. Page 1 NVL Laboratories Inc. Tel: 206.547.0100 Pax: 206.634.1936 4708 Aurora Ave. N., Seattle, WA 98103 Bulk Asbestos Fiber Analysis IVVLAP #102063 1 Client: Doak Homes Inc. Address: 11917 4th Ave, SW. Seattle, WA 98146 Attn,: Mr. Derry le Doak Project: 12211 43rd Ave. S., Tukwila, WA NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 Lab ID #: 20010258 Client Sample #: D000103 -2 -2 Sample Location: 12211 43rd Ave. 5., Tukwila, WA Description: Black fibrous asphaltic material OTHER FIBROUS MATERIALS: Cellulose 65% ASBESTOS TYPE: *None Detected NON - FIBROUS MATERIALS: Asphalt /binder, Binder & filler PERCENT ND Lab ID #: 20010259 Client Sample #: D000103 -3 -1 Sample Location: 12211 43rd Ave. S,, Tukwila, WA Description: Black asphaltic material with granules OTHER FIBROUS MATERIALS: Cellulose 3 %, Class fibers 17% ASBESTOS TYPE: *None Detected NON - FIBROUS MATERIALS: Asphalt /binder, Sand /binder PERCENT ND Lab ID #: 20010260 Client Sample #: D000103 -3 -2 Sample Location: 12211 43rd Ave. S,, Tukwila, WA Description: Black asphaltic material with granules OTHER FIBROUS MATERIALS: Cellulose 3 %, t: labs fibers 17% ASBESTOS TYPE: *None Detected NON - FIBROUS MATERIALS: Asphalt /binder, Sand /binder PERCENT ND (Sample results are continued on the next page.) Sampled by: Prudy S. Of NVL Lab, Analyzed by: Wei Long Tai Date: 01/05/2000 Reviewed by: Nick Ly Date: 01/05/2000 Note: If samples are not homogeneous, then subsamples of the components were analyzed separa a y. • •-��•" • atnp es are analyzed using EPA 600/R- 93/116 Method with the following measurement uncertainties for the reptted % 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 samples were 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 U.S. Government. Page 2 NVL Laboratories Inc. 4708 Aurora Ave. N., Seattle, WA 98103 Bulk Asbestos Fiber Analysis Client: Doak Homes Inc. Address: 11917 4th Ave. SW. Seattle, WA 98146 Attn.: Mr. Derryle Doak Project: 12211 43rd Ave. S., Tukwila, WA Tel: 206.547.0100 Pax: 206.634.1936 1 NVLAP #102063 ■ NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 Lab ID #: 20010261 Client Sample #: D000103 -4 -1 Sample Location: 12211 43rd Ave. S., Tukwila, WA Description: 131nck asphaltic material with granules OTHER FIBROUS MATERIALS: Cellulose 3 %, Glass fibers 17% ASBESTOS TYPE: *None Detected NON - FIBROUS MATERIALS: Asphalt /binder, Sand /binder PERCENT ND Lab ID #: 20010262 Client Sample #: D000103 -4 -2 Sample Location: 12211 43rd Ave. S., Tukwila, WA Description: Block asphaltic material with granules OTHER FIBROUS MATERIALS: Cellulose 3'y%, Glass fibers 17% AIMIM ASBESTOS TYPE: *None Detected NON - FIBROUS MATERIALS: Asphalt /binder, Sand/binder PERCENT ND Lab ID #: 20010263 Client Sample #: D000103 -5.1 Sample Location: 12211 43rd Ave. S., Tukwila, WA Description: Black asphaltic material with granules OTHER FIBROUS MATERIALS: Cellulose 3%, Glass fibers 17% ASBESTOS TYPE: *None Detected NON - FIBROUS MATERIALS: Asphalt /binder, Sand /binder PERCENT ND (Sample results are continued on the next page.) Sampled by: Prudy S. Of NVL Lab, Analyzed by: Wei Long Tai Reviewed by: Nick Ly Date: 01/05 /2000 Date: 01/05/2000 .atta .� APILSTAIW s1r Note: If samples are not homogeneous, then subsamples of the components were analyzed separa t*�ftl.. samples are analyzed using EPA 600 /R- 93/116 Method with the following measurement uncertainties for the reprted % Asbestos (1 %= >(-3 %, 5 %= >1-9 %, 10 %= 5 -15 %, 20 %= 10 -30 %, 50%= 40.60 %). This report relates only to the items tested. If samples were 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 U.S. Government. Page 3 NVL Laboratories Inc. Tel: 206.547.0100 Pax: 206.634.1936 4708 Aurora Ave. N., Seattle, WA 98103 Bulk Asbestos Fiber Analysis NVLAP #102063 Client: Doak Homes Inc. Address: 11917 4th Ave. SW. Seattle, WA 98146 Attn.: Mr. Derry le Doak Project: 12211 43rd Ave. S., Tukwila, WA NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 Lab ID #: 20010264 Client Sample #: D000103 -5 -2 Sample Location: 12211 43rd Ave, 5., Tukwila, WA Description: LAYER 1: Black fibrous asphaltic material, LAYER 2: Black asphaltic material with granules OTHER FIBROUS MATERIALS: LAYER 1: Cellulose 65% LAYER 2: Cellulose 3 %, Glass fibers 17% ASBESTOS TYPE: LAYER 1: *None Detected LAYER 2: *None Detected NON - FIBROUS MATERIALS: LAYER 1: Asphalt /binder, Binder & filler LAYER 2: Asphalt /binder, Sand /binder PERCENT ND ND Lab ID #: 20010265 Client Sample #: D000103 -5 -3 Sample Location: 12211 43rd Ave. S., Tukwila, WA Description: Brock asphaltic material with granules OTHER FIBROUS MATERIALS: Cellulose 3 %, Glass fibers 17% ASBESTOS TYPE: *None Detected NON - FIBROUS MATERIALS: Asphalt /binder, Sand /binder PERCENT ND Lab ID #: 20010266 Client Sample #: D000103.6 -1 Sample Location: 12211 43rd Ave, S., Tukwila, WA Description: LAYER 1: Black asphaltic material, LAYER 2: Silver paint OTHER FIBROUS MATERIALS: LAYER 1: Cellulose 2% LAYER 2: Cellulose 3% NON - FIBROUS MATERIALS: LAYER 1: Asphalt /binder LAYER 2: Paint ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: Chrysotile 5% (Sample results are continued on the next page.) Sampled by: Prudy S. Of NVL Lab. Analyzed by: Wei Long Tai Reviewed by: Nick Ly Date: 01/05/2000 Date: 01/05/2000 To 01•r-r iie",,.,e4diravAraw r i Note: If samples are not homogeneous, then subsamples of the components were analyzed sep'�.�•:�i im' amples are analyzed using EPA 600/R- 93/116 Method with the following measurement uncertainties for the reprted % 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 samples were 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 hull, without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the U.S. Government. Page 4 1§ 1 t NVL Laboratories, Inc. 4708 Aurora Ave. N., Seattle, WA 98103 Bulk Asbestos Fiber Analysis Tel: 206.547.0100 Fax: 206.634,1936 Client: Doak Homes Inc. Address: 11917 4th Ave. SW. Seattle, WA 98146 Attn.: Mr. Derryle Doak Project: 12211 43rd Ave. S., Tukwila, WA NVLAP #102063 J NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 Lab ID #: 20010267 Client Sample #: D000103 -6 -2 Sample Location: 12211 43rd Ave. S., Tukwila, WA Description: LAYER 1: Black asphaltic material, LAYER 2: Silver paint, LAYER 3: Ttm brittle material OTHER FIBROUS MATERIALS: LAYER 1: Cellulose 3% LAYER 2: Cellulose 4% LAYER 3: Cellulose 2% NON - FIBROUS MATERIALS: LAYER 1: Asphalt /binder LAYER 2: Paint LAYER 3: Hinder & filler ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: Chrysolite 5% LAYER 3: Chrysolite 3% Lab ID #: 20010268 Client Sample #: D000103.6 -3 Sample Location: 12211 43rd Ave. S., Tukwila, WA Description: LAYER 1: Block asphaltic material, LAYER 2: Silver point OTHER FIBROUS MATERIALS: LAYER 1: Cellulose 3% LAYER 2: Cellulose 4% NON - FIBROUS MATERIALS: LAYER 1: Anphnit /binder LAYER 2: Paint ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: Chrysolite Sp /e Lab ID #: 20010269 Client Sample #: D000103 -7.1 Sample Location: 12211 43rd Ave. S., Tukwila, WA Description: LAYER 1: Black fibrous asphaltic material, LAYER 2: Black asphaltic material with granules OTHER FIBROUS MATERIALS: NON - FIBROUS MATERIALS: LAYER 1: Cellulose 65% LAYER 1: Asphalt /binder, Hinder & filler LAYER 2: Cellulose 3 %, Glass fibers 17% LAYER 2: Asphalt /binder, Sand /binder (Sample results are continued on the next page.) Sampled by: Analyzed by: Reviewed by: Prudy S. Of NVL Lab. Wei Long Tai Nick Ly Date: 01/05/2000 Date: 01/05/2000 r Note: If samples are not homogeneous, then subsamples of the components were analyzed separa e e*�1'~ amples are analyzed using EPA 600/R- 93/116 Method with the following measurement uncertainties for the reprted % Asbestos (1%= >0 -3 %, 5% = >1 -9 %, 10 %= S•15 %, 20 %= 10.30 %, 50 %= 40 -60%). This report relates only to the items tested. If samples were 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 U.S. Government. Page 5 NVL Laboratories, Inc. Tel: 206.547.0100 Fax: 206.634.1936 4708 Aurora Ave. N., Seattle, WA 98103 Bulk Asbestos Fiber Analysis Client: Address: Attn.: Project: Doak Homes Inc. 11917 4th Ave. SW. Seattle, WA 98146 Mr. Derryle Doak 12211 43rd Ave. S., Tukwila, WA NVL 1 NVLAP #102063 Batch Number: 00- 00050.00 Client Project #: 13000103 Number of samples: 35 ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND Lab ID #: 20010270 Client Sample #: D000103 -7 -2 Sample Location: 12211 43rd Ave. S., Tukwila, WA Description: LAYER 1: Black fibrous asphaltic material, LAYER 2. Black asphaltic material with granules OTHER FIBROUS MATERIALS: NON - FIBROUS MATERIALS: LAYER 1: Cellulose 65 "/d LAYER 1: Asphalt /binder, Binder & filler LAYER 2: Cellulose 3 %, Glass fibers 17% LAYER 2: Asphalt /binder, Sand /binder ASBESTOS TYPE: PERCENT LAYER 1: *None Detected LAYER 2: *None Detected ND ND Lab ID #: 20010271 Client Sample #: D000103 -7 -3 Sample Location: 12211 43rd Ave. S., Tukwila, WA Description: LAYER]: Black fibrous asphaltic material, LAYER 2: Black asphaltic material with granules OTHER FIBROUS MATERIALS: NON - FIBROUS MATERIALS: LAYER 1: Cellulose 65% LAYER 1: Asphalt /binder, Binder & filler LAYER 2: Cellulose 3 "/u, Glass fibers 17% LAYER 2: Asphalt /binder, Sand /binder ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND (Sample results are continued on the next page.) Sampled by: Prudy S. Of NVL Lab. Analyzed by: Wei Long Tai Reviewed by: Nick Ly Date: 01/05/2000 Date: 01/05/2000 r 1 Note: If samples are not homogeneous, then subsamples of the components were analyzed s"..epa�"•niwssamples are analyzed using EPA 600 /R- 93/116 Method with the following measurement uncertainties for the reprted % 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 samples were 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 U.S. Government. Page 6 __J NVL Laboratories Inc. Tel: 206.547.0100 Fax: 206.634.1936 4708 Aurora Ave, N., Seattle, WA 98103 Bulk Asbestos Fiber Analysis NVLAP #102063 Client: Doak Homes Inc. Address: 11917 4th Ave. SW. Seattle, WA 98146 Attn,: Mr. Derry le Doak --� Project: 12211 43rd Ave. 5,, Tukwila, WA • NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 Lab ID #: 20010272 Client Sample #: Sample Location: 12211 43rd Ave, 5., Tukwila, WA Description: LAYER 1: Yellow /orange patterned vinyl tile, LAYER 2: White mastic, LAYER 3: Gray /black patterned vinyl material, LAYER 4: Black fibrous asphaltic material with brown mastic D000103 -8 -1 OTHER FIBROUS MATERIALS: LAYER 1: Cellulose 2% LAYER 2: Cellulose 3% LAYER 3: Cellulose 15% LAYER 4: Cellulose 60% ASBESTOS TYPE: LAYER 1: Chrysotile LAYER 2: *None Detected LAYER 3: *None Detected LAYER 4: *None Detected NON - FIBROUS MATERIALS: LAYER 1: Vinyl /binder LAYER 2: Mastic/binder LAYER 3: Vinyl /binder LAYER 4: Binder & filler, Asphalt /binder, Mastic /binder PERCENT 4% ND ND ND Lab ID #: 20010273 Client Sample #: D00010343-2 Sample Location: 12211 43rd Ave, 5., Tukwila, WA Description: I ..AVER 1: Yellow /orange patterned vinyl tile, LAYER 2: White mastic, LAYER 3: Cray /black patterned vinyl material, LAYER 4: Block fibrous asphnittc material with brown mastic OTHER FIBROUS MATERIALS: LAYER 1: Cellulose 2% LAYER 2: Cellulose 3% LAYER 3: Cellulose 15% LAYER 4: Cellulose 60% ASBESTOS TYPE: LAYER 1: Chrysotile LAYER 2: *None Detected LAYER 3: *None Detected LAYER 4: *None Detected NON - FIBROUS MATERIALS: LAYER 1: Vinyl /binder LAYER 2: Mastic /binder LAYER 3: Vinyl /binder LAYER 4: Binder & filler, Asphalt /binder, Mastic /binder PERCENT 4% ND ND ND (Sample results are continued on the next page.) Sampled by: Prudy S. Of NVL Lab. Analyzed by: Wei Long Tai Reviewed by: Nick Ly Date: 01/05/2000 Date: 01/05 /2000 Or— a_kir.inow._ 451,7". h".11111ill■ Ni 11 Wr"�`�. Note: If samples are not homogeneous, then subsamples of the components were analyzed separate y. : '!mples are analyzed using EPA 600 /R -93 /116 Method with the following measurement uncertainties for the reprted % Asbestos (1 %= >0 -3 %, 5 %= >1 -9%, 10%= 5.15%, 50%= 40.60%), This report relates only to the items tested. If samples were 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 U.S. Government. Page 7 NVL Laboratories, Inc. 4708 Aurora Ave. N., Seattle, WA 98103 Bulk Asbestos Fiber Analysis Tel: 206.547.0100 Fax: 206,634.1936 Client: Doak Homes Inc. Address: 11917 4th Ave. SW. Seattle, WA 98146 Attn.: Mr. Derryle Doak Project: 12211 43rd Ave. S., Tukwila, WA NVLAP #102063 NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 Lab ID #: 20010274 Client Sample #: D000103 -5 -3 Sample Location: 12211 43rd Ave. 5., Tukwila, WA Description: LAYER 1: Yellow /orange patterned vinyl tile, LAYER 2: White mastic, LAYER 3: Gray /black patterned vinyl material, LAYER 4: Black fibrous asphaltic material with brown mastic OTHER FIBROUS MATERIALS: LAYER 1: Cellulose 2% LAYER 2: Cellulose 3% LAYER 3: Cellulose 15% LAYER 4: Cellulose 60% ASBESTOS TYPE: LAYER 1: Chrysotile LAYER 2: *None Detected LAYER 3: "None Detected LAYER 4: *None Detected NON - FIBROUS MATERIALS: LAYER 1: Vinyl /binder LAYER 2: Mastic /binder LAYER 3: Vinyl /binder LAYER 4: Binder & filler, Asphalt /binder, Mastic /binder PERCENT 4% ND ND ND Lab ID #: 20010275 Client Sample #: D000103 -9.1 Sample Location: 12211 43rd Ave, 5., Tukwila, WA Description: LAYER 1: Drown flat rubbery material, LAYER 2: Brown mastic OTHER FIBROUS MATERIALS; LAYER 1: "None Detected LAYER 2: Cellulose 4% NON - FIBROUS MATERIALS: LAYER 1: Rubber /binder LAYER 2: Mttstic / binder ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND (Sample results are continued on the next page.) Sampled by: Prudy S. Of NVL Lab. Analyzed by: Wei Long Tai Reviewed by: Nick Ly Date: 01/05/2000 Date: 01/05/2000 ctor Note: If samples are not homogeneous, then subsamples of the components were analyzed separate' eg1'•r"` so mples are analyzed us'ng EPA 600 /R- 93/116 Method with the following measurement uncertainties for the reprted % Asbestos (1 o = >0 -3 %, 5 %= >1.9 %, 10%=5.15%, 20°A,=10-30%, 50 %40 -60 %). This report relates only to the items tested. If samples were 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 U.S. Government. Page 8 a NVL Laboratories Inc. 4708 Aurora Ave. N., Seattle, WA 98103 Bulk Asbestos Fiber Analysis Tel: 206.547.0100 Fax: 206.634.1936 NVLAP #102063 Client: Doak Homes Inc. Address: 11917 4th Ave. SW, Seattle, WA 98146 Attn.: Mr. Derryle Doak Project: 12211 43rd Ave. S., Tukwila, WA NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 Lab ID #: 20010276 Client Sample #: D000103 -9 -2 Sample Location: 1221143rd Ave, 5,, Tukwila, WA Description: LAYER 1: Brown fIM rubbery material, LAYER 2: Brown mastic OTHER FIBROUS MATERIALS: LAYER 1: "None Detected LAYER 2: Cellulose 4% NON - FIBROUS MATERIALS: LAYER 1: Rubber /binder LAYER 2: Mastic /binder ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND Lab ID #: 20010277 Client Sample #: D000103 -9 -3 Sample Location: 12211 43rd Ave, S., Tukwila, WA Description: LAYER 1: Brown flat rubbery material, LAYER 2: Brown mastic OTHER FIBROUS MATERIALS: LAYER 1: *None Detected LAYER 2: Cellulose 4% - NON - FIBROUS MATERIALS: LAYER 1: Rubber /binder LAYER 2: Mastic /binder ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND Lab ID #: 20010278 Client Sample #: D000103 -10.1 Sample Location: 12211 43rd Ave, S., Tukwila, WA Description: White paper with yellow /white paint OTHER FIBROUS MATERIALS: Cellulose 75% ASBESTOS TYPE: *None Detected NON - FIBROUS MATERIALS: Binder & filler, Paint PERCENT ND (Sample results are continued on the next page.) Sampled by: Prudy S. Of NVL Lab, /Pry Analyzed b : Wei Long Tai Date: 01/05/2000 / /_j�� /,�y Y Y � Reviewed by; Nick Ly Date: 01/05/2000 ,040-; Iftera `�"%ir •r 1 Note: If samples are not homogeneous, then subsamples of the components were analyzed separa e y. - '^^' re analyzed using EPA 600/R- 93/116 Method with the following measurement uncertainties for the reprted % 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 samples were 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 U.S. Government. Page 9 0§ I NVL Laboratories Inc. 4708 Aurora Ave. N., Seattle, WA 98103 Bulk Asbestos Fiber Analysis Tel: 206.547.0100 Fax: 206.634,1936 NVLAP #102063 Client: Doak Homes Inc. Address: 11917 4th Ave. SW. Seattle, WA 98146 Attn.: Mr. Derryle Doak Project: 12211 43rd Ave. 5., Tukwila, WA Lab ID #: 20010279 Client Sample #: D000103 -10 -2 Sample Location: 12211 43rd Ave. 5., Tukwila, WA Description: White paper with yellow /white paint OTHER FIBROUS MATERIALS: Cellulose 75% ASBESTOS TYPE: *None Detected NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 NON - FIBROUS MATERIALS: Binder & filler, Paint PERCENT ND Lab ID #: 20010280 Client Sample #: D000103 -10 -3 Sample Location: 12211 43rc1 Ave. 5., Tukwila, WA Description: White paper with yellow /white paint OTHER FIBROUS MATERIALS: Cellulose 75% ASBESTOS TYPE: *None Detected NON - FIBROUS MATERIALS: Binder & (filer, Paint PERCENT ND Lab ID #: 20010281 Client Sample #: D000103 -11 -1 Sample Location: 12211 43rd Ave. 5., Tukwila, WA Description: LAYER 1: White soft material, LAYER 2: White mastic, LAYER 3: Brown brittle material, LAYER 4: Yellow mastic OTHER FIBROUS MATERIALS: LAYER 1: Cellulose 1% LAYER 2: Cellulose 3% LAYER 3: Cellulose 70% LAYER 4: Cellulose 5% ASBESTOS TYPE: NON - FIBROUS MATERIALS: LAYER 1: Binder & filler LAYER 2: Mastic /binder LAYER 3: Binder & filler LAYER 4: Mastic /binder PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND (Sample results are continued on the next page.) '^ Sampled by: Prudy S. Of NVL Lab. "'� Analyzed by: Wei Long Tai Date: 01/05/2000 �,/!�j�� /� /�r Reviewed by: Nick Ly Date: 01/05/2000 . yf'%:_a1 tor Note: If samples are not homogeneous, then subsamples of the components were analyzed s��� vs "� samples are analyzed using PPA 600/R•93/116 Method with the following measurement uncertainties for the reprted % Asbestos (1 %= >0.3 %, 5 %= >1.9 %, 10 %= 5.15 %, 20 (70= 10.30 %, 50 %= 40 -60 %). This report relates only to the items tested. If samples were 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 U.S. Government. Page 10 • NVL Laboratories, Inc. 4708 Aurora Ave. N., Seattle, WA 98103 Tel: 206.547.0100 Fax: 206.634,1936 Bulk Asbestos Fiber Analysis Client: Doak Homes Inc. Address: 11917 4th Ave. SW. Seattle, WA 98146 Attn.: Mr. Derry le Doak Project: 12211 43rd Ave. 5., Tukwila, WA NVLAP #102063 i NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 (Lab ID#: 20010281 Client Sample #: D000103 -11 -1 results continued from previous page) LAYER 3: *None Detected ND LAYER 4: *None Detected ND Lab ID #: 20010282 Client Sample #: D000103 -11 -2 Sample Location: 12211 43rd Ave. S., Tukwila, WA Description: LAYER 1: White soft material, LAYER 2: White mastic, LAYER 3: Brown brittle material, LAYER 4: Yellow mastic OTHER FIBROUS MATERIALS: LAYER 1: Cellulose 1% LAYER 2: Cellulose 3% LAYER 3: Cellulose 70% LAYER 4: Cellulose 5% ASBESTOS TYPE: LAYER 1: *None Detected LAYER 2: *None Detected LAYER 3: *None Detected LAYER 4: *None Detected NON - FIBROUS MATERIALS: LAYER 1: Binder & filler LAYER 2: Mnstic /binder LAYER 3: Binder & filler LAYER 4: Mastic /binder PERCENT ND ND ND ND Lab ID #: 20010283 Client Sample #: D000103 -11 -3 Sample Location: 12211 43rd Ave. S., Tukwila, WA Description: LAYER 1: White soft material, LAYER 2: White mastic, LAYER 3: Brown brittle material, LAYER 4: Yellow mastic OTHER FIBROUS MATERIALS: LAYER 1: Cellulose 1% LAYER 2: Cellulose 3% LAYER 3: Cellulose 70% LAYER 4: Cellulose 5% ASBESTOS TYPE: NON- FIBROUS MATERIALS: LAYER 1: Binder & filler LAYER 2: Mastic /binder LAYER 3: Binder & filler LAYER 4: Mantic /binder PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND (Sam.phl results are continued on the next page.) Ad, Sampled by: Prudy S. Of NVL Lab. ,- Analyzed by: Wei Long Tai Date: 01/05/2000 �'� /�/�i1111111` Reviewed by: Nick Ly Date: 01/05/2000 Nic . .9 ntca ., tree • Note: If samples are not homogeneous, then subsamples of the components were analyzed • ,,,,, or•'. es are analyzed using EPA 600 /R- 93/116 Method with the following measurement uncertainties for the reprted % Asbestos (1 % = -17 0,, 5 %= >1 -9 %, 10 %= 5.15 %, 20 %= 10 -30 %, 50%=40-60%). This report relates only to the items tested. If samples were 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 U.S. Government. Page 11 °§ t NVL Laboratories, Inc. 4708 Aurora Ave. N,, Seattle, WA 98103 Bulk Asbestos Fiber Analysis Tel: 206,547,0100 Fax: 206.634.1936 NVLAP #102063 Client: Doak Homes Inc, Address: 11917 4th Ave. SW, Seattle, WA 98146 Attn.: Mr. Derryle Doak Project: 12211 43rd Ave, S., Tukwila, WA NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 (Lab ID #: 20010283 Client Sample #: D000103 -11 -3 results continued from previous page) LAYER 3: *None Detected ND LAYER 4: *None Detected ND Lab ID #: 20010284 Client Sample #: D000103 -12 -1 Sample Location: 12211 43rd Ave. 5., Tukwila, WA Description: LAYER 1: White sheet vinyl, LAYER 2: Gray fibrous material, LAYER 3: Off -white vinyl tile, LAYER 4: Yellow mastic, LAYER 5: Gray vinyl material, LAYER 6: Black fibrous asphaltic material with brown mastic OTHER FIBROUS MATERIALS: LAYER 1: *None Detected LAYER 2: Cellulose 65% LAYER 3: Cellulose 1% LAYER 4: Cellulose 3% LAYER 5: Cellulose 10% LAYER 6: Cellulose 60% ASBESTOS TYPE: LAYER 1: *None Detected LAYER 2: *None Detected LAYER 3: Chrysotile LAYER 4: *None Detected LAYER 5: *None Detected LAYER 6: *None Detected NON - FIBROUS MATERIALS: LAYER 1: Vinyl /binder LAYER 2: Binder & filler LAYER 3: Vinyl /binder LAYER 4: Mnstic /binder LAYER 5: Vinyl /binder LAYER 6: Asphalt /binder, Binder & filler, Mastic /binder PERCENT ND ND 2% ND ND ND (Sample results; are continued on the next page. Sampled by: Prudy S. Of NVL, Lab. Analyzed by: Wei Long Tai Reviewed by: Nick Ly Date: 01/05/2000 Date: 01/05 /2000 #11 Agfr Ly,ri %tea- Dir • or Note: If samples are not homogeneous, then subsamples of the components were analyzed sepap ra e • rKnamples are analyzed using EPA 600/R- 93/116 Method with the following measurement uncertainties for the reprted % Asbestos (1 ,0= >0.3 %, 5%=>I-9%,10%=5-15%, 20 %= 10.30%, 5070=40-60%), This report relates only to the items tested. If samples were 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 U.S. Government. Page 12 1 1 g �.i NVL Laboratories, Inc. Tel: 206.547.0100 Fax: 206,634.1936 4708 Aurora Ave. N., Seattle, WA 98103 Bulk Asbestos Fiber Analysis Client: Address: Attn.: Project: Doak Homes Inc. 11917 4th Ave. SW. Seattle, WA 98146 Mr. Derryle Doak 12211 43rd Ave. S., Tukwila, WA NVLAP #102063 1 NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 Lab ID #: 20010285 Client Sample #: D000103 -12 -2 Sample Location: 12211 43rd Ave. 5., Tukwila, WA Description: LAYER 1: White sheet vinyl, LAYER 2: Gray fibrous material, LAYER 3: Off -white vinyl tile, LAYER 4: Yellow mastic, LAYER 5: Gray vinyl material, LAYER 6: Black fibrous asphaltic material with brown mastic OTHER FIBROUS MATERIALS: LAYER 1: "None Detected LAYER 2: Cellulose 65% LAYER 3: Cellulose 1% LAYER 4: Cellulose 3% LAYER 5: Cellulose 10 "/n LAYER 6: Cellulose 60% ASBESTOS TYPE: LAYER 1: *None Detected LAYER 2: *None Detected LAYER 3: Chrysotile LAYER 4: *None Detected LAYER 5: *None Detected LAYER 6: *None Detected NON- FIBROUS MATERIALS: LAYER 1: Vinyl /binder LAYER 2: Binder & filler LAYER 3: Vinyl /binder LAYER 4: Mastic/binder LAYER 5: Vinyl /binder LAYER 6: Asphalt /binder, Binder & filler, Mastic /binder PERCENT ND ND 2% ND ND ND Lab ID #: 20010286 Client Sample #: D000103-12-3 Sample Location: 12211 43rd Ave, S., Tukwila, WA Description: LAYER 1: White sheet vinyl, LAYER 2: Gray fibrous material, LAYER 3: Off -white vinyl tile, LAYER 4: Yellow mastic, LAYER 5: Cray vinyl material, LAYER 6: Black fibrous asphaltic material with brown mastic OTHER FIBROUS MATERIALS: LAYER 1: "None Detected LAYER 2: Cellulose 65% LAYER 3: Cellulose 1% LAYER 4: Cellulose 3% LAYER 5: Cellulose 10% LAYER 6: Cellulose 60% NON - FIBROUS MATERIALS: LAYER 1: Vinyl /binder LAYER 2: Binder & filler LAYER 3: Vinyl /binder LAYER 4: Mastic /binder LAYER 5: Vinyl /binder LAYER 6: Asphalt /binder, Binder & filler, Mastic /binder (Sample results are continued on the next page.) Sampled by: Prudy 5, Of NVL Lab. ��r Analyzed by: Wei Long Tai Date: 01/05/2000 Reviewed by: Nick Ly Date: 01/05/2000 J .11,2,, r , Note: If samples are not homogeneous, then subsamples of the components were analyzed separa e . "�•��^�'�. mp es are analyzed using EPA 600/R•93 /116 Method with the following measurement uncertainties for the reprted % Asbestos (1 % = >0 -3 %, 5 %= >1.9 %, 10% =545 %, 20 %= 10.30 %, 50 %= 40.60 %). This report relates only to the items tested. If samples were 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 U.S. Government. Page 13 1 0§ ig r NVL Laboratories, Inc. 4708 Aurora Ave. N., Seattle, WA 98103 Bulk Asbestos Fiber Analysis Tel: 206,547.0100 Pax: 206.634.1936 NVLAP #102063 Client: Doak Homes Inc. Address: 11917 4th Ave. SW. Seattle, WA 98146 Attn.: Mr. Derry le Doak Project: 12211 43rd Ave. S., Tukwila, WA NVL ASBESTOS TYPE: PERCENT LAYER 1: LAYER 2: LAYER 3: LAYER 4: LAYER 5: LAYER 6: *None Detected *None Detected Chrysotile *None Detected *None Detected *None Detected ND ND 2% ND ND ND Batch Number: 00- 00050.00 Client Project H: 0000103 Number of samples: 35 Lab ID #: 20010287 Client Sample #: D000103 -13 -1 Sample Location: 12211 43rd Ave. S., Tukwila, WA Description: LAYER 1: White vinyl tile, LAYER 2: Yellow mastic OTHER FIBROUS MATERIALS; LAYER 1: Cellulose 5% LAYER 2: Cellulose 2% NON - FIBROUS MATERIALS: LAYER 1: Vinyl /binder, Granules LAYER 2: Mastic /binder ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND Lab ID #: 20010288 Client Sample #: D000103.13 -2 Sample Location: 12211 43rd Ave, S., Tukwila, WA Description: LAYER 1: White vinyl tile, LAYER 2: Yellow mantic OTHER FIBROUS MATERIALS; LAYER 1: Cellulose 5% LAYER 2: Cellulose 2% NON - FIBROUS MATERIALS; LAYER 1: Vinyl /binder, Granules LAYER 2: Mastic /binder ASBESTOS TYPE; PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND (Sample results are continued on the next page.) Sampled by: Prudy S. Of NVL Lab. Analyzed by; Wei Long Tai Reviewed by: Nick Ly Date: 01/05/2000 Date: 01/05/2000 f)).070■- Ni y/..r.� Note: If samples are not homogeneous, then subsamples of the components were analyzed • :"-'—p es are analyzed using EPA 600 /R- 93/116 Method with the following measurement uncertainties for the reprted % Asbestos (1 %= >0 -3 %, 5 %= >1.9 %, 1.0%.5-15%, 20 %= 10.30%, 50 %= 40.60 %). This report relates only to the items tested. If samples were 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 U.S. Government. Page 14 l NVL Laboratories Inc. 4708 Aurora Ave. N., Seattle, WA 98103 Bulk Asbestos Fiber Analysis Tel: 206,547.0100 Fax: 206,634,1936 NVLAP #102063 Client: Doak Homes Inc. Address: 11917 4th Ave. SW. Seattle, WA 98146 Attn.: Mr. Derryle Doak Project: 12211 43rd Ave. S,, Tukwila, WA NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 Lab ID #: 20010289 Client Sample #: D000103 -13 -3 Sample Location: 12211 43rd Ave. 5,, Tukwila, WA Description: LAYER 1: White vinyl tile, LAYER 2: Yellow mastic OTHER FIBROUS MATERIALS: LAYER 1: Cellulose 5% LAYER 2: Cellulose 2% NON - FIBROUS MATERIALS: LAYER 1: Vinyl /binder, Granules LAYER 2: Mastic /binder ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND Sampled by: Prudy S. Of NVL Lab. Analyzed by: Wei Long Tai Reviewed by: Nick Ly Date: 01 /05/2000 Date: 01/05/2000 0.....„,,,,,,,, Nick , :,. Note; If samples are not homogeneous, then subsamples of the components were analyzed ���"�s are analyzed using EPA 600/R- 93/116 Method with the following measurement uncertainties for the reprted % Asbestos (1 % = >U- Y°, 5 %= >1 -9 %, 10%= 5•15 %, 20 %= 10.30 %, 50%.-.40-60%). This report relates only to the items tested. If samples were 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 U.S. Government. Page 15 Z a uo 22 ow II° 03 �w z P Dc P. r ^ •••:.. �r�' ' f�� Y N(aM:tiui/ry: y �? j.. /' - 'arl.wr , F, t .{ ir.aa..rii.n,1 1Ii }3 *,�.�Aa., .v..�H;r, S • 3 ��� .`"� � t „,J \ ' c 1:4: mil► =. ► i IM�. f .M ► �s _ ,A . , _ 40104A ...,..071.11,..1,11. ��.� . �. �..... ^.. ,*..... ,,..n.a., Certificate of QComptctton Q5bW to to certify that Prudence Stoudt -McRae !ja atilifacturtCp conrpCeteD 241juur% of training ass an Asbestos Building Inspector to tom* tvitrj trje traiutiilU rcgttireittcitto of UNA Litre / 40 ejf3ft 703 (aperczo Certificate Number 993155 nw . . Date(s) of Training SAFETY •TRAINING • INDUSTRIAL HYGIENE n Expiration Date: Nov 2, 2000 Argos Pacific, Inc. • 424 3rd Ave W • Suite 101 • Seattle, Washington • 98119 • (206) 285.3373 • fax (206) 285.3927 .uw Vi. LWaw. LUYUWW4• N.. ru.. lu44r. W4iLO. YYW..W..,...N.••'••••••r....,.. rYY4.✓W %1■4wuvT4ur..W.L•aaWY OJOY .4.4.aso 3.ilu. air � i� & ,i� y��� tiF 44, A �L "_:: .. /LYnVIWi1M.. N ±L/)W14� �lYMN4 • • United States Department of Commerce National Institute of Standards and Technology 18O /IEC GUIDE 25:1990 180 9002:1987 Certificate of Accreditation NVL LABORATORIES, INC. SEATTLE, WA is recognized under the National Voluntary Laboratory Accreditation Program for satisfactory compliance with criteria established in Title 15, Part 285 Code of Federal Regulations. These criteria encompass the requirements of ISO /1EC Guide 25 and the relevant requirements of ISO 9002 (ANSI /ASQC Q92 -1987) as suppliers of calibration or test results. Accreditation is awarded for specific services, listed on the Scope of Accreditation for: BULK ASBESTOS FIBER ANALYSIS September 30, 1999 NVLAP•01C (11.95) Effective through et 1 For the National Institute of Standards and Technology NVLAP Lab Code: 102063-0 National Institute of Standards and Technology National Voluntary Laboratory Accreditation Program 180 :ID8 25:1990 90 180 9002:1987 Scope of Accreditation BULK ASBESTOS FIBER ANALYSIS ����it OF co y i 41. * mot'; -rr.Yi fit Page: 1 of 1 N'VLAP LAB CODE 102063 -0 NVL LABORATORIES, INC. 4708 Aurora Avenue N. Seattle, WA 98103 Mr, Nghiep Vi Ly Phone: 206 - 547 -0100 Fax: 206-634-1936 NVLAP Code Designation 18/A01 U.S. EPA's "Interim Method for the Determination of Asbestos in Bulk Insulation Samples" as found in 40 CFR, Part 763, Subpart F, App. A, or the current U.S. EPA method for the analysis of asbestos in building material. September 30, 1999 Effective through For the National Institute of Standards and Technology NVLAP -01 S (11.95) Dk) PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: MI2000 -01.6 DATE: 2 -9 -2000 PROJECT NAME: DOAK HOMES -DEMO. Qriginal Plan Submittal Response to Incomplete Letter # _r...,.. Response to Correction Letter # � . ,,.,___,Revision # After Permit Is Issued DEPARTMENTS: Building Division ❑ Fire Prevention P}�bljc Will t,ite Structural 1 "1111 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Ef Comments: Incomplete Planning Division ❑ Permit Coordinator DUE DATE: 2-10 -2000 Not Applicable ❑ TUES /THURS ROUT G: Please Route 1011 Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALLQR_CORRECTIONS: (ten days) Approved ❑ Approved with Conditions DUE DA`L'E 3:9-2000 Not Approved (attach comments) ❑ REVIEWER'S INITIALS: DATE: CORRECTION DETERMINATION: DUE DATE Approved ❑ Approved with Conditions E Not Approved (attach comments) REVIEWER'S INITIALS: _ DATE: \PRROUTE.000 5/99 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP TIVITY NUMBER: M12000 -016. DATE: 1- 25-2000 PROJECT NAME: _DOAK _BIOMES - LOT. 40 _,,_Original Plan Submittal Response to Incomplete Letter # ...,...._ __Response to Correction Letter # „„_,,,,Revision # After Permit Is Issued DEPARTMENTS: Build�ng Division III AP Pu l is Works d Fire Prevention °IA, 141-N Structural ■ Planning Division . -M Permit Coordinator • DETERMINATION OF COMPLETENESS: (Tues., Thurs,) Complete Comments: Incomplete DUE DATE: 1-27 -2000 Not Applicable ❑ TUES /THURS ROUTINGS Please Route Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS; DATE: APPROVALS OR CORRECTIONS: (ten days) DUE DATE, 2- 24 -200Q Approved Ej Approved with Conditions ❑ Not Approved (attach comments) Cav ratci Li*( kaAfIl d REVIEWER'S INITIALS: CORRETION. PITERMI.NATION: Approved El Approved with Conditions E DATE: DUE DATE Not Approved (attach comments) ❑ REVIEWER'S INITIALS: DATE: WRROUTE.DOC 5/99 City of Tukwila Department of Community Development - Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 (206)431 -3670 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mall, fax, etc. Date: Plan Check/Permit Number: M12000 -016 O Response to Incomplete Letter # ® Response to Correction Letter # 1 ❑ Revision # Mier Permit is Issued Project Name: Project Address: 1A P I Contact Person: Darrvl Doak Phone Number: ZI4(rw Summary of Revision: ■ r d vCE or\se, RECEIVED 9 luau PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision \\ 74140 Received at the City of Tukwila Permit Center by: Entered in Sierra on `'q^'QQ 0 02/07/00 Itigt!*414210-*-4AV'ettla,"?.-T4'W'r.gr rt. :)..tr »tkOf r.*, grEMP...4*7.141.417117,4117.41.41 ••-• '• • • :••• :742.1; • !!/ • • •=b--r-lt.1.4.-te: ...; • t2+ .4.1. • 17:2•1.. • ta. V..; •• ...• 2 • . .: • 4 ‘ .."..14 ....1..,•414. *64 • " • 44 4 ....4••„:„. !: • , ti • r• . t 7••,•••* • • . • „ . • . ...• a 6:4.•:•:4444,..,,,•:..".4.,1•24.•• - "' " . 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