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Permit MI2000-017 - DOAK HOMES - MOBILE HOME AND SHED
•DOAK HOMES LOT 41 M12000-017 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: 017900 -0210 Address: 12211 43 AV S Suite No: Location: LOT 41 Category: DEMO Type: MISCPERM Zoning: LDR Const Type: Gas/Elec.: Units: Setbacks: Water: Wetlands: 001 North: TUKWILA .0 South: Sewer: Slopes: .0 TUKWILA N Contractor License No: DOAKHI *092NZ Fire East: Permit No: Status: Issued: Expires: Occupancy: UBC: Protection: .0 West: Streams: MI2000 -017 ISSUED 02/23/2000 08/21/2000 EQUIPMENT 1997 .0 OCCUPANT DOAK HOMES INC Phone: 12211 43 AV S, TUKWILA WA 98168 OWNER DOAK HOMES INC 11917 4 AV SW, SEATTLE WA 98146 CONTACT DARRYL DOAK SR Phone: 206 -246 -6587 11917 4 AV SW, SEATTLE WA 98146 CONTRACTOR DOAK HOMES INC. Phone: 206 246 -6587 11917 4TH AVENUE, SEATTLE, WA 98146 kk*' k• k***• k*• k**'**** k*** k*** k*** k* kk*'***** k***** k** k* kk**** k * * * * *k ** *kA *•k * *•k•k * *k•k * * * * ** Permit Description: MOVE MOBILE HOME UNDER SEPERATE PERMIT, # TO BE DETERMINED, DEMO ATTACHED 2 X 4 FRAMED SHED UNDER THIS PERMIT, 245 SO. FT. EROSION PREVENTION AND SEDIMENT CONTROL, CAPPING WATER AT METER AND CAPPING SEWER. •k*•k•k* k* k *•k•k**** k•k *k****** * *•*•k * ** *** k * ***•k * **•k** ** k**•k*•k ** * * ** k•k* *•kk*** *** *•**k•k•k*•k *•k *' Construction Valuation: S 400.00 PUBLIC WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng, Appr: Curb Cut /Access /Sidewalk /CSS: N Fire Loop Hydrant: N No: Sizetin): .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: Public: Storm Drainage: N Street Use: N Water Main Extension: N Private: Public: *' k**'**' k** k* k*' k** k**' k**'* k*** k* k'**' k** A***** k*• k* A* k* k* k'k kk• k*kkk•kkkkkkkkk *k *kk*k **•kkkk*k TOTAL DEVELOPMENT PERMIT FEES: 5 51.50 • k'k kk* k' k• k* k' k' kk*• kk* k.kk*• k* k* kkkkAk* kkkkkk* kk*kk'k *kkkk*k•k *kkkkkkk *k * *k** k'kk*kk•kkk*ykk*k*k Date: Permit Center Authorized Signature:_ Q::::2(LeCieg... I hereby certify that I have read and examined th s permit and know the same 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, emit. Signature: Print Name: Date: .2 :23'"D0 4q724t,$4' This permit shall become null and void 180 days from the date of issuance, or for a period of 180 days from the last if the work is not commenced within if the work is suspended or abandoned inspection. Address 12211 43 AV S Suite:: Tenant: Type: MISCPE:RM Parcel 4: 017900 -02.10 **• k********** k• k, k**• k• k• kk k* AA*• Akk• Ak* k* A**• k• kkkA* AA*• k *kkk * *f. *k * *A *k•k•kk *k•k *** **A* Permit Conditions: 1. No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. All construction to bd' done in conformance with approved plans and requirements of the Building Code (1997 Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition) ..', t,. ,Validity of Per•mit. The issuance of a permit or approval of plans, spedif :cations,° and shall not be con- strued to be a pnrmft for, or an appro'val of, any violation of any:sof the ,provisions o$ the , = =building dole or or any other,`ordinance of, the juritdiof1tin. No permit presuming to give�.reuthority to violate or cancel the provisions of.t.,this 72s code, ;sha1:1, be valid. ' A11, parml -ts inspection records, and approved plans shall be; avtilAible at ,the job psi to prior to the start of any con- struction., These documents are to " be ,maintained and eva i 1 ab ;1e until final i'nspuction; approval is granted. F OM OCTOBER d 1 . THROUGH APRIL 30, COVER ANY SLOPES AND S1� ,KPILES THAT ARE ' 3M: 1V OR STEEPER AND HAVE A VERTICAL ins OF ,10` FEET OR MORE AND WILL BE UNWORE E:D FUR GREATER TEXAN} 12 HOURS. DURING THIS TIME PERIOD, COVER OR MULCH ;OTHER DISTURBED AREAS, . IF THEY WILL BE UNWORE;ED MORE THAN. DAY;, ,. COVERED MAI ER IAL MUST BE STOCKPILED ON SITE AT THE BEGINNING OF THIS PERIOD. INSPECT AND MAINTAIN THIS STAUI L I ZATION WEEKLY AND IMMEDIATELY BEFORE, DURING AND IMMEDIATELY FOLLOWING STORMS. FROM :MAY 1 THROUGH SEPTEMBER 30, INSPECT AND MAINTAIN TEMPORARY EROSION 'PREVENTION AND SEDIMENT AT LEAST MONTHLY. ,ALL D I STUR8Et AREAS OF THE SITE ,,SHALL OE; PERMANENTLY Y :STAUILIZED` „PiIOR TO FINAI. CONSTRUCTION APPROVAL. 6. 'NOTIFY PUOE.IC;'WORKS► U'fILTIY XNSPLCTOR MR. GREG VILLANUEVA (206)433-0179 AT ''LEAST 24-HOURS lBEFORE ' COMMENCEMENT AND .......: E3EFORE COMPLETION :OED. ,.WORK, Hauling over 5O cy of debris, soils, cosntruction materials, etc. requires a hauling permit before commencement of hauling. CITY OF TUKWILA r'! Permit No: MI2000- -01.7 Status: ISSUED Applied: 01/24/2000 Issued: 02/23/2000 O L,v f CITY OF 1 WWI LA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 R Sin( I USE .ONI Y Project Number: pit Permit Number: z0000rr 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 :, E- —H�-- Val , e�� onst tion: /,%�e e 7 cis , `ife Ei°e - -� .s. 401,0 to -77 %�f' ." "r' idis11.+a .S'/> to 2, y S- ' Site Address : • City tate/Zip: J 2'� � / 3 e � , i-tt ku) f Tax Parcel 0/79M — 0210 GO eff Property Owner: s1 »c.;) kt _n 5 A/c Phone: (2c6) 2L(6 6 Street Address: t tcli 7 L 'e_S ` c I . /aityr/i 6ip: Fax #: (2�) 2 ,(6 6,5?" Contractor: Vc-E Ak- SR . Phone: (2c ?Y6 6 7 Street Address: t«, t 7 iit,t2.5(A) e.._ C, iA 5 (,t,�`fj�( Fax Fax #: (Z�) Zc(6 65_ 0 Standby Architect: Phone: ( ) Street Address: City State/Zip: Fax #: ( ) Engineer: Phone: ( ) Street Address: ,.;• , City State/Zip: Fax #: ( Contact Person: D to ao iLye.., a S t>� vz. Phone: (2a- )1 y6 6,7-0 Street Address: , LCi 1 7 SlN 5ectivc tit 5ei r i 6 Fax #: ( 2,c, )2s.(6 ` 6 wn MISCELLANEOUS PERMIT REVIEW AND APPROVAL REQUESTED: OD BE FILLED OUT BV APPLICANT) Description of work to be clone (plea a be specific): , Agra" • 4y /,%�e e 7 cis , `ife Ei°e - -� .s. 401,0 to -77 %�f' ." "r' idis11.+a .S'/> to 2, y S- ' Will there be storage of flammable/combustible hazardous material In the building? ❑ yes ❑ no Attach list of materials and story a location on se arate 8 1/2 X 11 )a er !ndicatln uantities & Material af Data Sheets Above Ground Tanks Antennas /Satellite Dishes Bulkhead/Ducks Comrnercial Reroof ❑ Demolition ❑ Fence ❑ Manufactured Housing•Replacoment only ❑ Parkin t is ❑ Retalnin, Wails ❑ Tem ora Faciiltics ❑ Tree Cuttin; ❑ Flood Control Zone ❑ Landscape Irrigation ❑ Storm Drainage Cl Water Meter /Exempt # ❑ Water Meter /Permanent I! ❑ Water Meter Temp II ❑ Miscellaneous APPLICANT RE UEST FOR MISCELLANEOUS PUBLIC WORKS PERMITS Channolizallon/Stripint _ Curb cut/Access/Sidowalk FIro Loop/Hydrant (main to vault)#: Sizo(s): Land Altering: 0 Cut cubic yards 0 FIII cubic yards 0 _sq, ft,gradirtg/clearIng 0 Private 0 Public ❑ Sanitary Side Sewer h: . ❑ Sewer Main Extension 1:3 Street Uso ❑ Water Main Extension 0 Private 0 Public Size(s): _- 0 Deduct 0 Water Only SIzo(s): Sizes) :: Est. quantity: gal CI-Moving Oversized Load/Hauling Schedule: MONTHLY SERVICE BILLINGS TO: Name: Phone: Address: City / State/Zip: 0 Water 0 Sewer 0 Metro 0 Standby WATER METER DEPOSIT/REFUND BILLING: 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. 1 e apzurizeip • • Dal icati- • •x• re • • Vs I App!' atio i itials) 9/9/99 miscpml.doc ALL MISCEL_LANtOUS PE 0 T APPIICATIONS MUST B1 SUBMIT ' WITH THE 101 LOWING: > ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN � ~ erkntoriiie'sfliiin4IND UTILITY PLANS ARE TO BE COMBINED D 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.) 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 k issued, unless the homeowner will be the builder OR submit Form H•4, "Affidavit in Lieu of Contractor Registration ". ` bill g Owner /Authorized Agent If the applicant Is other tibia the owner, registered architect/engineer, or contractor . lttertdjby the'Stnte of Washington, a notnrlied letter: from the,property owner authorizing the agent to submit this permlt•lapp►Icatlon and obtain the ermlt will be re uirod is art of this submittal. I HERESY CERTIFY THAT 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUiLDI O :b, NERjO:''AUTH ., ' !ZED AGENTS SIIBMII APPI I( A1ION ANi) R1(1tJIRI1) (_HF( KI ISiS iOR PERMIT RFVIFW Submit checklist No M -9 Above Ground Tanks/Water Tanks - Supported directly upon grade :exceeding 5,000 gallons and a ratio of height to diameter or width which. exceeds: 2:1 0 ;Antennas /Satellite,Dishes Submit checklist No: M -1 0 , BCllkhead /Dock Submit checklist. No: M -10 Submit checklist No M -6 i ;Cofilmerdial,Reroof. Cti Add7s,9/ ? — �? A 4, u/1" Siddo Abe' "olitian r Submit checklist No: M -3 Fences ,OVer= 6ifeetin Height Submit. checklist No: M -9 ..Land•Altering/Grading/Preloads ,. Submit checklist No: M -2 Miscellaneous Public Works Permits Submit checklist. No: H -9 Manufactured HbUsing (RED INSIGNIKONLY) :. Submit checklist No M -5 0-- Movirtg,Oversizod =Load /Hauling Submit checklist No M -5 0 .Parking,Lots " "° , Submit checklist No: M-4 © ;A taining Walls - Over 4 feet in height Submit checklist No: M -1 ci ':Temporary Facilitletl: Submit checklist No: M -7 ci 7PeelCutting 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 k issued, unless the homeowner will be the builder OR submit Form H•4, "Affidavit in Lieu of Contractor Registration ". ` bill g Owner /Authorized Agent If the applicant Is other tibia the owner, registered architect/engineer, or contractor . lttertdjby the'Stnte of Washington, a notnrlied letter: from the,property owner authorizing the agent to submit this permlt•lapp►Icatlon and obtain the ermlt will be re uirod is art of this submittal. I HERESY CERTIFY THAT 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUiLDI O :b, NERjO:''AUTH ., ' !ZED AGENTS • Signature: � /e , . �„ Date: Print nam ,, , / , , ate' Phone: (2,6) 2 ve, °�53.7 FAX . i Add7s,9/ ? — �? A 4, u/1" Siddo _t lv teizi : Liza 9 fete, 9/9N9 ) eaa Cxj k .+.ice is reD2 00 � w IL, w a ur< N d �o 2w mca �F tL ^ � N #�&"'ii ,...� +� �e l.. �.c. ..u;��•. 2S�'6...t � "t,'..an s °,Y �i�V}7<t�Y,`�x,..'s'"Y6.t. tF.�'�'W'� �� `�.. tai. I. t,aW�'''i'i^w�sa. ii: $.�1r **4 4;AA *A**kAAA** * **Ahkk *k *hkkA +A 4 +hh TTY OF T U V W I L» A« WA (�, f'�`�j` Art * **4**Ah AA *�4�4***A* * *rirl *Ai � A;F.1a4,1 7 AAH M; 1 ,Ntii ber : R9000239 Amount: Yeont Method: (HECK Uo.tt* ion: DARRYL A* *kA *;4 *A*4.4•,4 AAA 44*** TRANSMIT k=a**AAA. 444*** **Erik4** ** 51.50 02/23/00 14 :02 DOAK Ini tW ILO .Y )*;.r`luf.s H fM )M ii) i Mf *YIN NI .. At; If• M • as S. 64 Sr .i i M. N N S fY N • wk 0*# ., W N tr IM ■•, M M r r elk .04 40. • N f♦ fM iI I0 L' .w N fw f+ rn ;! ►.d'rI1 t4'Uo: M12000 -017 'repo: MYSit;PIiUI.l MISCELLANEOUS PER111 1 1 c.I No: 017900-0210 t t o `Addroge k 12211 43 A }1 0 tedtt.ic►nz LOT 41 . Th l %.'•VaYuiisrit; 4************* to *1,4* t:QAflf: Code OOO/172.100 Tote) Poe: 51.:i0 5J �vt Tutu' ALL Pints: V1.14 O o l•Jfco: .00 ** * #*# -$ **A*i►k************#t. *l****#*** *tktr* 1}Avor 1 pt; 1 on AIno,In t (WADING •i NONRCtI 47.00 STATE 01111.0XNQ 9LJIlClt(1ROE 4.30 MW M.6.M YY :yi:aM.).t.rfNI,.f$400*.rfwtu. ft'WMi4.i.f 4. NM.MisM MIIb4 f. wa 1849 02/24 97/7 TOTAL 1.4.50 4: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 9818 PERMIT NO. 31 -3670 Pfoject' « ,u .. -..i- Type ; wAm Ad s. Date , • Iled: ,— Special instructions: Date wante.. 1111W WEN Ardor lb liai Reque!�1ar,;, Phone: ''approved per applicable codes. COMMENTS: Corrections required prior to approval. Inspe Date. $47.00 REINSPECTION FEE REQUIRED. Prior to Inspection, fee must be paid at 6300 Southcenter Blvd, Suite 100. Call to schedule reins ' ection. INSPECTION RECORD Retain a copy with permit INSPECTION NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 47;171.4.1.11 —Of? PERMIT NO. (206)431 -3670 Project. Cr '/ Type of inspection:��� � D Address :,,/�,, Date called: 1r of Special instructions: Date wanted: V a.m. p.m, Requester: a Phone: El Approved per applicable codes. COMMENTS: Corrections required prior to approval. Inspector: 6V Date: 0 $47.00 REINSPECTION FEE REQUIRED. Prior to Inspection, feu must be paid at 6300 Southcenter Blvd. Suite 100. CaII to schedule reins ' ection, Receipt No: Date: a iP .11 DApagy/cDo 9 - 1 119/7' elP0 i2--e' e f6) Fe/V J 2c7,Q 0 74 :„.,.. . • . t,•:,---7 1 rk 11: • 1 'f:' eyiezde _ .eceee evi fi • i • ,. .•, 1 L......J.!..2_....... _ ../Ae.,.e.' • t2_ . . titA-ce21/7 4,4;141 J.../eZeon /r.frke 1741e .. • 41,404.. +4.4.4,44.044.• 7, 4., •■■ 4.17 '4.F.:1,,c • , r$. r }4,A,44 a7c.. t4 Vle...” hhha he 14 A ...V • v he /.! • t 112 3n 1p a 14CCe0 . vG�Yb W 5778 eer :O04k /7 mes /IRr 18/7- f • 4 r&SC) 'I' 79 eoA/a 1.07"1/ Block / .. ,, w ii ,,;(1,), 0 400/ f eIz r; ,47//1 - 14 k, . .5c ?o' 4D1 Sizc_32/2 , These plans have been reviewed Works Department for Public Woy standards, ent r conformancewiitth�current omission^ which do not Acceptance subject to errors and r:!:%"- or ordinance: adopptocf lor4h- desif drav'' l and of {10 design ,k `~gibility daistion�, I the dato t./,'I 'use rrosubmitt : ; ' RaoaIVari.. .1C13 :pprovai, CITY OF TUKWIL�(ng8 Final ,... Works is subject i �; _ 1Ao utllltles Inspe,� CENTER Date: I&'a' By: to to) eit ,r 43 Ave U0 ‘o .& got j Dk/(v)i CORRECTION LTR #_.____�,, l;i iY OF TQ v E APPR B 18 2000 BOIL INC DIVISION 2LY.X-Or7 CITY OF 'TUKWILA PUBLIC WORKS PROJECT REVIEW COMMENTS e• • Project Name: book Homes, Inc bemolitions File #: MI2000-015 MI2000-016 MI2000-017 bate: 02.07.00 Reviewer: L. Jill Mosqueda, P.E. Please provide erosion control plan for these demolitions. Q/jill/projects/ram short plot/09-0073 comm #4 1 C4y of Tukwila Steven M1 Mullet, Mayor February 7, 2000 Department of Community Development Steve Lancaster, Director Darryl Doak Sr. 11917 — 4th Avenue SW Seattle, WA 98146 RE: CORRECTION LETTER #1 Development Permit Application Number MI2000 -017 Doak Homes - Demolition . 12211— 43rd Avenue S Dear Mr. Doak: 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 same time 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) /,te.ssts 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 better expedite your resubmittal, a 'revision sheet' must accompany every rosubmittal. I have enclosed one for your convenience. Corrections /revisions must be maUe in person and will not be 111112 gh thj mail or by a messenger service If you have any questions, please contact me at (206)4313672. Sincerely, Brenda Holt Permit Coordinator encl xc: File No. MI2000 -017 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206. 431.3670 • Fax: 206. 431 -3665 FILE COPY understrnd that, tilt, rt,." „no ryA,� ttrp 4 Asbestos Survey 12211 43rd Avenue S. Tukwilla, Washington Date Prepared January 11, 2000 Prepared for: Derryl Doak Doak Homes,, Inc 119174th AvenueSW Seattle, W ashin : n 96146 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 t1IZOQOOf7 AIMED env OF TUKW1IA VAN 2 5 2000 PMiTCOWER My� 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 Aix Agency, (PSCAA), Regulation I11, 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 CPR Part 61 requires a survey by an accredited asbestos inspector prior to renovation /demolition of a structure. A floor sketch indicating sampling locations has been included in Appendix A. NVL 12211 43th Ave. South, Tukwilla Page 1 1 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 Hazard Emergency Response Act (AHERA) 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 Description Location Asbestos % Area (ft') Friable (yes /no) job #41.01 white floor tile white floor the kitchen )ob# -01.02 kitchen job# -01.03 white floor tile kitchen _ Under OSHA 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 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 Bulk 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 °/0= 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 accreditations for NVL Laboratories, Inc., include the following: NVL Laboratories, Inc., is currently accredited by the National Institute of Standards and Technology (NISI) 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 (AIHA) 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 aluminum with tar coating, the garage, RV shed and storage shed have 3 tab asphalt shingles. Window types: The mobile home and garage have aluminum 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 t lf, 1:. .r' 5.0 FINDINGS Inventory of Suspect Asbestos- Containing Materials Sample Number Material Descri • tion Location Asbestos % Area (f t2) Friable ( es /no) D000103- 1- black asphalt storage shed 1 south east corner NO 1 -1 2- black asphalt shin • les ND D000103- 1- black asphalt storage shed 1 north east corner ND 1 -2 2- black asphalt shingles N D 0000103- 1- black asphalt paper on the outside of storage NO 2 -1 a er sheds 2 & 3 south side D000103- 1- black asphalt paper on the outside of storage ND 2 -2 paper sheds 2 & 3 south side D000103- 1- asphalt shingles + inside storage shed 2 on south ND 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 4 -1 shingles D000103- 1- 3 tab asphalt storage shed 3, east side 4 -2 shin les D000103 1- 3 tab asphalt RV shed, north center N D 5 -1 shingles D000103- 1- asphalt paper RV shed, west end ND 5 -2 2- 3 tab asphalt shingles ND D000103- 1- 3 tab asphalt RV shed, south end ND 5-3 shingles 0000103- 1- roof tar mobile home , north west comer _ N 0 700 no _6.1 2- silver ap Int 5 0000103- 1- roof tar mobile home , south west corner ND 6-2 2- silver paint 5 3- tan brittle roof b atchin • material 3 D000103- 1- roof tar mobile home, north east corner ND 6 -3 2- silver . aint 5 D000103- 1- black asphalt garage, east center N0 7 -1 paper ND 2- 3 tab asphalt shin; les D000103- 1- black asphalt garage, north west corner ND 7 -2 paper ND 2- 3 tab asphalt shingles 1x000103- 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 3 1 1 1 Asbestos - continued Sample Number Material Description Location kitchen, at entry Asbestos .. % 4 NO ND ND Area (ft2) 65 Friable (yes /no) no D000103- 8 -1 1 12x12 vinyl tiles yellow /orange 2- white mastic 3- 12x12 grey /black vinyl tiles 4- black asphalt with mastic 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 ND 2- white mastic ND 3-12x12 grey/ black vinyl tiles ND 4- black asphalt with mastic_ D000103- 1 -brown cove base kitchen, on wall at entry ND 9.1 2- brown mastic ND D000103- 1- brown cove base kitchen, south wall, center N D 9 -2 2- brown mastic N D D000103- 1- brown cove base kitchen, east wall, center N D 9.3 2- brown mastic_ D000103- 1- white /yellow kitchen, on wall at entry ND 10-1 paper with paint D000103- 1- white /yellow _ kitchen, south wall, center ND 10-2 paper with paint D000103- 1- white /yellow kitchen, east wall, center ND 10.3 r with paint _-_,,,,,,_p„ap D000103- 1- white plastic kitchen counter top, south ND _ 11-1 2- white mastic corner behind stove ND 3- brown linoleum ND 4- yellow mastic ND D000103- 1- white plastic kitchen, counter top, west side ND 11 -2 2- white mastic from stove ND 3- brown linoleum ND 4- ellow mastic ND D000103- 1- white plastic kitchen counter top, center, ND 11 -3 2- white mastic living room side ND 3- brown linoleum ND 4- yellow mastic ND ND-None Detected ND NVL 12211 43t Ave, South, Tukwilla Page 6 A Asbestos - continued Sample Number Material Description Location Asbestos % Area (ft') Friable (yes/no) D000103- 1- white sheet vinyl laundry room, south east corner ND 55 no 12-1 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 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 0000103- 1- white sheet vinyl laundry room, north west comer ND 12-3 2- grey backing ND 3- 9x9 off-white vinyl tiles 2 ND 4- yellow mastic ND 5- 12x12 gray vinyl tiles ND 6- black asphalt with brown mastic D000103• 1- 12x12 white vinyl bathroom at entry ND 13-1 tiles ND 2- allow mastic 0000103• 1- 12x12 white vinyl bathroom, north ND 13-2 tiles ND mellow mastic 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 imxnediately. The suspect material must be treated as asbestos containing until testing proves otherwise. NVL 12211 43th Ave. South, Tukwilla Page 7 11 1 c 6.0 CONCLUSIONS AND RECOMMENDATIONS ASBESTOS The following summarizes the homogeneous Asbestos - Containing Materials (ACM) and Presumed Asbestos - Containing Materials (I'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 a 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. Washington 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 AF-IERA inspector /project manager be on site at the time of renovation /demolition to ensure that any potentially asbestos - containing materials uncovered during the process of renovation /demolition be dealt with properly. NVL 12211 43th Ave. South, Tukwilla Page 8 Ig 0§ it is ti ,,P)::454.., .,..•.....,'''.1. ,,,sii. : . : 44".... 6.j.- :.,' ,,:i'f'' '14 ,' ,I''' ..:;'''' 1:7,;(''''''''.." ,..:: .7- ' 'f: i'..::.A41:' '''''. .. c'''' ' . ' c'''' ' ''''''' :11 .. .' r's' ..A ::::: .. ,./•,.:1,.. 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V1 . e 1 „• t} 1g • 'a , t4 4.'A .. t '.• •.•r• 4 • , 4lt 0• •a iy? 4(1:f • : • 44 ;e / .• e • t , 4;4 4 '4 4 • s• • :'• i"• ;;•!i!:i';4 . .• t ) ei / 4 . ;;;I1th!; • • ra 1 „ I ' 1 1 t k74f* ! ;1,4, i .; - !,• ), • !•: ' . •• 3• ••• . , . . • • 1•••" • • • • • "`. 0 "•••'.4 ,...' • -v•'; • • t • •a •; ' . • ' • a3 . • .2 4 / 4 • • ' 4 • • ' • • . • •• , 4 - .. • ' f • "- •-• :■4. 7.1 • 2. • 5 • i • , , r t e • " ".• v t •. • ts. — 3 ■•.• •:••, ,`,„•:•., • • • -1, " .r • *v.”; • • . ' A ."1.:,Pi;•7.-.r.-L.!'' .t..„;••i;;l.,...'?;11';'..4-•;;•.;-':i", 4, • • • : 44 4. et. " • " ; ;1' • • l•-• -'•••••1•• 1:•• ' • -)'e I eat , • • "a; , , . • " • • " • •-• , ''• a: . • . ' ;" • r� NVL Laboratories, Inc. 4708 Aurora Ave. N., Seattle, 'WA 98103 Te1:206- 547 -0100, Emgrg.Pgr.206- 344 -1878 1.888.NVLLABS (685.5227) i 1 c 1. Client Address Project Manager Project Location Phone Number fax Number Pager Number 11-Mall address Condition of Package: CHAIN of CUSTODY SAMPLE LOG ‘R Lu'% Ll tk = Cood D Dante ed no splilage Severe damage (sa ilia ue n� Oct -oeoso NVL Batch Number/ - Client Job Number Vcoo JO 3 Total Samples 'Type of Analysis (check one) PCM(alr) ' ..PLM(bulk) ❑oR, specify LEAD (Pb) 1► ❑Paint Chips ❑ Soil ❑ Dust/wipe ❑Air ❑ TCLP • ❑Waste Water ?lust Around Time (check one) 1- Hr []2 -Hrs 04 Hrs ® 24 - Hrs ❑ 48 - Hrs ❑ 3 to 5 days Se . 0 Lab uu only \ r Clients Sample # A/R Beg. 0 Lab uu only tab io Clients Saatple # 1 1 900 42b -a" S)o00 /03 . 21 12 9 el/A4)0.65 D A to $-.2 �°cl l 0 3 6 -/ ' 2 3 0 BSc cVa• §7 _ 1�. 0 -X 13 c; -� Results Faxed b : ._ O�tvS '.DOO(o3 T.._ 7 -1 5 Oo�S -g D000/o 3 ` 15 6 040° "...Z. 16 17 0970 !- 7 AEG � °c .� IV - 1 _,. 0a71 8 Oca Co X. 4 ,. • 18 c_ _ --- csro 1 o 3 a - .1 i"-1, 9 0 47-6.1)01130 /o ,3 ,,, - I 19 0 ?r7 3 10 094t/ . s -a. 20 ()VP/ I _. _,....._..: P"-..- — Si gn Below Comaan Date Time , Sam... d B : alat■k y r� Relin • uished B : _ -1W472:' F` A!Je'>!t! \ r t *- ...BOO 4 :.S :;,T EE MS Received B : !�� Ir� 1 GO c; :Oa Anal zed 13 ; 1 /,.-. Ar ' Results called in b Results Faxed b : SPECIAL INSTRU pNS: &S u 1- 4 c 'Unless requested in wri�ing al samples will be disposed two (2) weeks after analysis. g o. `4kvrs*- 1 1 1 i 1 1 1 1 1 1 J 1 1 1 NVL Laboratories, Inc. '4708 Aurora Ave. N., Seattle, WA 98103 Te1: 206. 547 -0100, Emerg.Pgr.206- 3441878 1.888.NVLLABS (7.5227) Client Address Project Manager Project Location Phone Number Fax Number CHAIN of CUSTODY SAMPLE LOG Pager Number Cep ) Mall address Condition of Package: C] Good Cl Damaged no spillage Severe damage (sDiilaae NVL Batch Number 4 - n� oo. oao 66 Client Job Number c/a: 1 O Total Samples 3 .� "Type of Analysis (check one) A9H'i�09 LEAD(Pb) CI Paint Chips ❑ $oi1 ❑ Dust/wipe DAir ❑TCLP • ❑Waste Water ❑ PCM(air) `BZJ PLM(bulk) ❑OR, speafy ?turn Around Time (check one) ❑ 1- Hr ❑ 2 -Hre ❑ 4 - Hre C24 -Hrs 0 48•Hrs 0 3to5 da s Ss , N Lab use only Clients Sam • le # A/R Seg, M 11 Lab use only _ LA.1D x°/ OP 8' 6 Clients Sam WO A/R 1 -act. oa75 00c.) /0 3 ? 2 oa7` ^ 12 0p.S'C / -3 3 :4 O ! 9 13 A ' •.? ago /o3 ( _ 40A ;D O /0 ..3 (0 .1 14 Da Ks b 6 4v'�i2 GHQ, C) 13 Oc; 8, l 3 —3 16 Oa . J l'O'� _ 17 8 CA- r A // - 18 . 9 as 1r.3 if 19 10 OA y Shod &a 3 42 �� 20 Sam • led B ; Relin • uished B Received B ; Anal zed B : Results called in b Results Faxed b : Si Below "�� 1 J 7 r_ "r_..�IErr, 1 1) Com an Date Time SPECIAL INSTRUCTIQNS: Unless request • iii writi amp es will be Aic)? _At a-atO oc� Og isposed two (2) weeks after analysis. 1 1 t 1 1 J J I NVL Laboratories, Inc. Tel: 206.547.0100 Fax: 206.634.1936 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. Derry le Doak Project: 12211 43rd Ave. S., Tukwila, WA ti NVLAP #102063 J 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. S., Tukwila, WA Description: LAYER 1: Black fibrous asphaltic material, LAYER 2: Slack 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 1 Lab ID #: 20010256 Client Sample #: D000103 -1 -2 Sample Location: 12211 43rd Ave. S., Tukwila, WA Description: LAYER 1: Black fibrous asphaltic materiel, LAYER 2: Black asphaltic material with granules 1 1 1 1 1 1 7 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: AsphnIt /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. S,, 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 Tai Reviewed by: Nick Ly Date: 01/05/2000 Date: 01/05/2000 #0, -. -- '''AI" Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. M 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 %, 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 lo 0§ g NVL Laboratories Inc. 4708 Aurora Ave. N., Seattle, WA 98103 Client: Address: Attn.: Project: Tel: 206.547.0100 Pax: 206.634.1936 NVLAP Bulk Asbestos Fiber Analysis #102063 NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 Doak Homes Inc. 11917 4th Ave. SW. Seattle, WA 98146 Mr. Derryle Doak 1221143rd Ave. 5., Tukwila, WA Lab ID #: 20010258 Client Sample #: D000103 -2 -2 "1 Sample Location: 12211 43rd Ave. S., Tukwila, WA Description: Black fibrous asphaltic material F. OTHER FIBROUS MATERIALS: Cellulose 65% ASBESTOS TYPE: *None Detected NON - FIBROUS MATERIALS: Asphalt /binder, Binder do 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 OTFIER FIBROUS MATERIALS: Cellulose 3 %, Glass fibers 17% ASBESTOS TYPE: *None Detected NON - FIBROUS MATERIALS: Asphalt /binder, Sand/binder PERCENT ND Lab ID #: 20010260 Client Sample #: D000103 -3.2 { :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 Date: 01/05/2000 Reviewed by: Nick Ly Note: If samples are not homogeneous, then subsam les of the components were analyzed separa a •�••��•'� am es are analyzed using EPA p 8 P � Y P Y' '' P Y g 600/R- 93/116 Method with the following measurement uncertainties for the reprted % Asbestos (1 % = >0 -3 %, 5 % = >1 -9 %, 10%=5.15 %, 2Q % =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 Date: 01 /05 /2000 1 • NVL Laboratories, Inc. 4708 Aurora Ave. N., Seattle, WA 98103 Tel: 206.547.0100 Pax: 206.634.1936 Bulk Asbestos Fiber Analysis Client: Doak Homes Inc. Address: 11917 4th Ave. SW. Seattle, WA 98146 Attn.: Mr. Derryle Doak Project: 12211 43rd Ave. 5., Tukwila, WA 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. 5., 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 Lab ID #: 20010262 Client Sample #: D000103.4.2 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 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%, GM 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. �i%",'!' Analyzed by: Wei Long Tai Date: 01/05/2000 r / / //►J►f:1111hh-alimP• Reviewed by: Nick Ly Date: 01/05/2000 ��'�"4I`ar!�!'1'r Note; 0 samples are not homogeneous, then subsamples of the components were analyzed sepsis 1t'l�Is"'""'—samples 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 NVI. Laboratories, Inc, It shall not be used to claim product endorsement by NVLAP or any other agency of the U.S. Government. Page 3 1 1 1 3 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: Address: Attn.: Project: Doak Homes Inc. 11917 4th Ave. SW. Seattle, WA 98146 Mr. Derryle Doak 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. S., 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% NON - FIBROUS MATERIALS: LAYER 1: Asphalt /binder, Binder Re filler LAYER 2: Asphalt /binder, Sand /binder ASBESTOS TYPE: .PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND Lab ID #: 20010265 Client Sample #: D000103 -5 -3 Semple Location: 12211 43rd Ave, S,, Tukwila, WA Description: Block 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 1 OTHER FIBROUS MATERIALS: LAYER 1: Cellulose 2% LAYER 2: Cellulose 3% iJ 7 NON - FIBROUS MATERIALS: LAYER 1: Asphalt / binder LAYER 2: Paint ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: Chrysotlle a% (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 ,�'�1''��'- �!'r''r'- r1re -r Note: If samples are not homogeneous, then subsamples of the components were analyzed sep �.•wenew " —samples 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 4 l "r 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: Address: Attn.: Project: Doak Homes Inc. 11917 4th Ave. SW. Seattle, WA 98146 Mr. Derryle Doak 12211 43rd Ave. S., Tukwila, WA 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: Tan 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: Binder & filler ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: Chrysolite 5e/a 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 paint OTHER FIBROUS MATERIALS: LAYER 1: Cellulose 3% LAYER 2: Cellulose 4% NON - FIBROUS MATERIALS: LAYER 1: Asphalt /binder LAYER 2: Paint ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: Chrysolite 5Q/o Lab ID #: 20010269 Client Sample #: D00010344 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: LAYER 1: Cellulose 65% LAYER 2: Cellulose 3 %, Glass fibers 17% NON - FIBROUS MATERIALS: LAYER 1: Asphalt /binder, Binder & filler LAYER 2: Asphalt /binder, Sand /binder (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 jAp- r 1 Note: If samples are not homogeneous, then subsamples of the components were analyzed separate 11 • • • samples are analyzed using EPA 600/R- 93/116 Method with the following measurement uncertainties for the reprted 9b 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 5 ("§ ig • fi: • 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 1 NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND Lab ID #: 20010270 Client Sample #: D0001034-2 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% 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 ND LAYER 2: *None Detected ND Lab ID #: 20010271 Client Sample #: D000103 -7 -3 Sample Location: 12211 43rd Ave. S. Tukwila, WA 1. I Description: LAYRR 1: Bieck fibrous asphaltic material, LAYER 2: Black asphaltic material with granules OTHER FIBROUS MATERIALS: NON - FIBROUS MATERIALS: F : LAYER 1: Cellulose 65% LAYER 1: Asphalt /binder, Binder & filler LAYER 2: Cellulose 3 %, Class fibers 17% LAYER 2: Asphalt /binder, Sand /binder ASBESTOS TYPE: PERCENT Si 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 1 g r Note: If samples are not homogeneous, then subsamples of the components were analyzed sep�p a°�'��- i'�``" samples are analyzed using EI'A 600/R•93/116 Method with the following measurement uncertainties for the reprted To Asbestos (1 %= >0.3 %, 5 %= >1 -9 %, 10 %= 5.15 %, 20 %= 10•.109 °, .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 lit nited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of Laboratories, Inc, It shall not be used to claim product endorsement by NVLAP or any other agency of the U.S. Government. Page 6 i NVL Laboratories, Inc. 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, Derry le Doak 12211 43rd Ave. S., Tukwila, WA 1 Tel: 206.547.0100 Pax: 206.634.1936 NVLAP #102063 1 NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 Lab ID #: 20010272 Client Sample #: D000103 -8 -1 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 #: 20010273 Client Sample #: D000103.8 -2 Sample Location: 12211 43rd Ave. S., Tukwila, WA Description: LAYER 1: Yellow /orange patterned vinyl tile, LAYER 2: White mastic, LAYER 3: Cray /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: C©Ilulose 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 Date: 01/05/2000 ��/�'///.91 AIL 41 Y g `Reviewed by: Nick Ly Date: 01/05/2000 ir�'— Note: If samples are not homogeneous, then subsamples of the components were analyzed separate y. wittuo!inples 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 %3= 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 i 7 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. Derry le Doak Project: 12211 43rd Ave. S., Tukwila, WA Tel: 206.547.0100 Fax: 206.634.1936 NVLAP #102063 NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 Lab ID #: 20010274 Client Sample #: D000103-8-3 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 93rd Ave. S.,'htkwiln, WA Description: LAYER 1: Brown Ant 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 (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 No• te: ▪ If samples are not homogeneous, then subsamples of the components were analyzed separatel II samples 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 8 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. 5., Tukwila, WA Tel: 206.547.0100 Pax: 206.634.1936 NVLAP #102063 J NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 Lab ID #: 20010276 Client Sample #: D000103 -9 -2 Sample Location: 12211 43rd Ave. S., Tukwila, WA Description: LAYER 1: Brown flat rubbery material, LAYER 2: Brown mastic IOTHER FIBROUS MATERIALS: LAYER 1: "None Detected LAYER 2: Cellulose 4% 1 Lab ID #: 20010277 Client Sample #: D000103 -9 -3 Sample Location: 12211 43rd Ave, 5,, Tukwila, WA 1 Description: LAYER 1: Brown flat rubbery material, LAYER 2: Brown mastic NON - FIBROUS MATERIALS: LAYER 1: Rubber /binder LAYER 2: Mastic /binder ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND 1 1 1 1 J 1 OTHER FIBROUS MATERIALS: LAYER 1: *None Detected LAYER 2: Cellulose 4% NON - FIBROUS MATERIALS: LAYER 1: Rubbar /bindur 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- FIBROLIS MATERIALS: BInder & filler, Paint 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 Nic / /_%'= twr - • r 1 Note: If samples are not homogeneous, then subsamples of the components were analyzed separa e y. ` mples are analyzed using EPA 600/R- 93/116 Method with the following measurement uncertainties for the reprted % Asbestos (1%.>0.3%, 5°/0=>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 Og 1 1 1 1 1 1 NVL Laboratories, Inc. 4708 Aurora Ave. N., Seattle, WA 9EA03 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 #: 20010279 Client Sample #: Sample Location: 12211 43rd Ave. S., Tukwila, WA Description: White paper with yellow /white paint D000103 -10-2 OTHER FIBROUS MATERIALS: Cellulose 75% ASBESTOS TYPE: *None Detected NON - FIBROUS MATERIALS: Binder & filler, Paint PERCENT ND Lab ID #: 20010280 Client Sample #: D000103 -10 -3 Sample Location: 12211 43rd Ave. 5., 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 ILab ID #: 20010281 Client Sample #: D000103 -11 -1 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 i 1 1 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 Reviewed by: Nick Ly Date: 01/05 /2000 Date: 01/05/2000 / % %ifI'I'�r��'�► ��� � �:- rns'"'tor Note: If samples are not homogeneous, then subsamples of the components were analyzed s • • .s:��• "'`samples 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 10 i; • •r. 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, Derryle Doak Project: 12211 43rd Ave. S., Tukwila, WA 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) ND ND LAYER 3: *None Detected LAYER 4: *None Detected Lab ID #: 20010282 Client Sample #: D000103 -11 -2 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% NON - FIBROUS MATERIALS: LAYER 1: Binder & filler LAYER 2: Mastic /binder LAYER 3: Binder & filler LAYER 4: Mastic /binder ASBESTOS TYPE: PERCENT LAYER 1: *None Detected ND LAYER 2: *None Detected ND LAYER 3: *None Detected ND LAYER 4: *None Detected ND Lab ID #: 20010283 Client Sample #: D000103 -11 -3 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% NON-FIBROUS MATERIALS: LAYER 1: Binder & filler LAYER 2: Mastic /binder LAYER 3: Binder & filler LAYER 4: 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 Date: 01/05/2000 41/7,,e1121111- Reviewed by: Nick L Date: 01/05/2000 ,e!;_""" : . Y� y Nic,_,.� Note: If samples are not homogeneous, then subsamples of the components were analyzed 'W o* es are analyzed using EPA 600/R- 93/116 Method with the following measurement uncertainties for the reprted % Asbestos (1% 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 is 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: Address: Attn.: Project: Doak Homes Inc. 11917 4th Ave. SW. Seattle, WA 98146 Mr. Derryle Doak 12211 43rd Ave. 5., 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. 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: 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% ,'P • l• ' 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 (Sample results are continued on the next page.) Sampled by: Prudy S. Of NVL Lab, Analyzed by: Wei Long Tai Reviewed by: Nick Ly Note: If samples are not homogeneous, then subsamples of the components were analyzed separa !:'R""samples are analyzed using EM 600/R- 93/116 Method with the following measurement uncertainties for the reprted % Asbestos (1' 0= >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 12 Date: 01/05 /2000 Date: 01/05 /2000 1 e 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. Derryle Doak Project: 12211 43rd Ave. S., Tukwila, WA NVL Batch Number: 00- 00050.00 Client Project #: D000103 Number of samples: 35 Lab ID #: 20010285 Client Sample #: Sample Location: 12211 43rd Ave. S., Tukwi!. .., 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 D00010342 -2 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% u4 ASBESTOS TYPE: LAYER 1: *None Detected LAYER 2: *None Detected LAYER 3: Chryeotile 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: Mantic /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 S. Of NVL Lab. Analyzed by: Wei Long Tai Reviewed by: Nick Ly Date: 01/05/2000 Date: 01/05/2000 1 el/ 7.114111,"":" ' -01 milµ Note: If samples are not homogeneous, then subsamples of the components were analyzed separ' -a e�'���` n" 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% =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 13 • 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. Derryle Doak Project: 12211 43rd Ave. S., Tukwila, WA 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 NVL Batch Number: 00- 00050,00 Client Project #: D000103 Number of samples: 35 PERCENT ND ND 2% ND ND ND Lab ID #: 20010287 Client Sample #: D000103 -13 -1 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 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 mastic OTHER FIBROUS MATERIALS: LAYER 1: Cellulose 5% LAYER 2: Cellulose 2% ASBESTOS TYPE: LAYER 1: *None Detected LAYER 2: *None Detected NON - FIBROUS MATERIALS: LAYER 1: Vinyl /binder, Granules LAYER 2: Mastic /binder PERCENT ND 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�j /"�/2'�_` Reviewed by: Nick Ly Date: 01/05/2000 Niy��� • Note: If samples are not homogeneous, then subsamples of the components were analyzed • : . • pies 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%, 509%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 i NVL Laboratories, Inc. Tel: 206.547,0100 Pax: 206.634.1936 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 NVLAP #10206 3 NVL Batch Number: 00- 00050.00 Client Project 0: D000103 Number of samples: 35 Lab ID #: 20010289 Client Sample #: D00010343 -3 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 Sampled by: Prudy S, Of NVL Lab. Analyzed by: Wei Long Tai Reviewed by: Nick Ly Date: 01/05/2000 Date: Q1/05/2000 er:407 Ntckii'iiir�'�riiiriiv tttt► Note: If samples are not homogeneops, then subsamples of the components were analyzed 'o'r's are analyzed using I:PA 600/R- 93/116 Method with the following measurement uncertainties for the reprted % Asbestos (1 % =>U- /o, 59'°= >1- 9 %,10 %= 5.15 %, 209'0=10.30%, i - 509%= 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 It: YU4l.Vj d � �Miir NN iva r (J/ , * • A M� �nn.rt.!gNnw,m«NN?NJlrt.ny rtn «frwAni.ny.Knrtm.ry I non nna.4enti Irrt. Irn.n.I.«./• Nnrt.. Trai AHir 1! r et • N«t:4� /Mj.L� ` 01- • 411140L+ 4 INHNw4fti..ay . • ll/ • ,.44 ► 4Y141411. nm «n,..nP.....nM,.,,I....nn.ML,.. ..n....M..nno...44,4 ../rnn.n4ongtm lr.OnO,mA.7.I.9..0 n.,,..Li 1 'Crrtttitatt of QComptction 0j6:4 lei to certify tijat Prudence Stoudt -McRae ija atissfactoriCp cornpCeteD 24 »oiiv of training afS an 4 Asbestos Building Inspector to comply tuft!) trac training rrgtiit'Giirc$rto of M e Mittc 311 / 40 eft 703 (S OC 3R() 1.40940, dor FA • t • trail= ' . Certified: M09907012 Certificate Number 993155 AMA S we ar" SAFETY • TRAINING • INDUSTRIAL HYGIENE n Nov 1.- 3, 1999 Date(s) of Training Expiration Date: Nov 2, 2000 Argus Pacific, Inc. • 424 3rd Ave W • Suite 101 • Seattle, Washington • 98119 • (206) 285,3373 • fax (206) 285,3927 .I.«w «r��� y :.. «u«:w.n ,,« «w ,« «� 1..u,, �. �N..M u,W.* "Iv .M1 4841.4.4444• M1.1a 0000000 �., «. w ,... , .n4....M144.....0414.4(44.4. ■.« nni...n.•..,.... M«,.w. a,.4...4,.4,«,n...,4u«w. ,ii! y / fl f �L �... .a_ 5l �.. - 1 [ I t, ,! c`l% t «- •gy\.•.V, t S)`t( S �� , 91,1)+j* ) t te W., . V,../ ,.�-.'.•�.V!�� ��t . ; i� /�p �y 11 1M + bti h+. �ti` �.- �+�,'�' %u�'. �,i' F .1i i t + + t, 1 1 �/ y k in W +o" p1 • 41.4W W,0.W tr ( � t.': � 1 r + . utb?'��• , + '+ '!hi+ / +t. �uKKWtw!w�7!NL'P.A" J ,(' { +,SILUW V WW "7f.- is IMMO 1111. ism Mil ler o iii NW tM istarna 6111111•41 United States Department of Commerce National Institute of Standards and Technology icSS% t OF co*� ite °•To 180/1E0 GUIDE 26 :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 !SO /!EC 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 for the National Institute of Standards and Technology NVLAP Lab Code: 102063 -0 4,' National Institute of Standards and Technology National Voluntary Laboratory Accreditation Program ISO /IEC GUIDE 25:1990 Scope of Accreditation ISO 9002:1987 * BULK ASBESTOS FIBER ANALYSIS or co* Av't `s A it 9n Fa '9 4tss of Oi Page: 1 of 1 NVLAP 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 I 8 /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. NVLAP•01 S (11.95) September 30, 1999 Effective through For the National Institute of Standards and Technology I§ r**1 '44) PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: M12000 -017 DATE: 2 -9 -2000 PROJECT NAME: DONS HOMES -DEMO. Original Plan Submittal Response to Incomplete Letter # j.X Response to Correction Letter # 1 Revision # After Permit Is Issued DEPARTMENTS: Building Division El P W#W i 2 -((o Fire Prevention Structural ❑ Planning Division ❑ ❑ Permit Coordinator 3 DETERMINAT ON OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete ❑ Comments: _ DUE DATE; 2-10-2000 Not Applicable ❑ TUES/THURS ROUTING: Please Route ❑/ Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: (ten days) Approved ❑ Approved with Conditions REVIEWER'S INITIALS: COIRECT ON DETERMINATION: DUE DATE 3- 9 -200Q Not Approved (attach comments) EJ DATE: DUE DATE Approved ❑ Approved with Conditions Li Not Approved (attach comments) El REVIEWER'S INITIALS: WRROUTE.DOC 5/99 DATA:: 0494 -0) PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: _MI2000 -017. DATE: 1 -25 -2000 PROJECT NAME: DOAK HOMES - LOT 41 XX_ .Original Plan Submittal Response to Incomplete Letter # __Response to Correction Letter # ..._, Revision # After Permit Is Issued DEPARTMENTS: B� ,Id1ing'Division • Fire ention • Plann-ing Division �N 14.1 it) I. 414 I • n hSL ( -L-1 4°3 Public Works. A �-D0 Structural Permit Coordinator I- - (Y/.�7tt RMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Er Comments: Incomplete • DUE DATE: - Not Applicable ❑ TUES /THURS ROUTI Cs Please Route Structural Review Required EJ No further Review Required El REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: (ten days) DUE DATE_4 -200 1 Approved ❑ Approved with Conditions El Not App�ved (attach comments) COV rQ641ein 41/ I M ai ld 2.1- 00 REVIEWER'S INITIALS: DATE: CORRECTION DETERMINATION: DUE DATE _ Approved E Approved with Conditions ❑ Not Approved (attach comments) E. REVIEWER'S INITIALS: WRROUTE.POC 5/99 DATE: i; 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: Mt2aQO % Response to Incomplete Letter # _. S Response to Correction Letter 11 1 Q Revision 11 _ tiller Permit is Issued Project Name: DOA K I IOM S - DE1V1OIJI'['ION Project Address: 12211 — 43rd Avenue S %C1 �- \ Contact Person: DArry L Doak Summary of Revision: I r■ • Phone Number: 2Li1�• 11� ri Y` a o r1 _ +0 RECUIVUO 00 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in Sierra on 2 (� 02/07/00 • -•••i..s,,t;....• . - • '• ..- • ••• r"" ' .4. - ''' .' -le '3-'6'4 ." -.... - -"."--.. .-'1.*-2. ' ''' -11..;4 '...--"."'‘i' t..4' liji'''''''''. 4.4'4."42.4"4 -.1'' '......'''' "1.4-$4t' 1......,::.::::1".-It''-ti.'14:.: lar4.•t.: • '' :I '''..11.1.?lt-4.1....f.-....::;q: •l:. •••"...1.6.'•■ •••••:ift. :!.., •• • . , t . , . ttio i.e., i,..40,.eif,.;*,..t..1 „ . 1;:',:•:Avit. nAu•aitiz f "er?iii,/*Firi ?..4 :IA iiiii6iFt5-16. 1-44' '1:7•41.617. f. 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