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Home My WebLink AboutBLD2015-00255 Cancelled Demo and Asbestos Survey - BLD Permit / Conditions - 8/31/2016 Ap- Inspection Line(JbU)421-/2b2 ��6oN �oU�rF MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar Shelton, WA 98584 1854 RESIDENTIAL BUILDING PERMIT BLD2015-00255 OWNER: FRANK MILETTE RECEIVED: 4/10/2015 CONTRACTOR: MORGAN BUILT HOMES 1.360.830-50 LICENSE: MORGABH876LC EXP.- 6/3/2015 ISSUED: 4/10/2015 SITE ADDRESS: 330 NE LAKE DR TAHUYA EXPIRES: 10/10/2015 PARCEL NUMBER: 223305000198 LEGAL DESCRIPTION: HAVEN LAKE TR. 198 PROJECT DESCRIPTION: E S TO SITE: DEMO PERMIT FOR THE SINGLE FAMILY RESIDENCE T TO BELFAIR, L ON ST RT 300/ NORTH SHORE RD, R ON BELFAIR TA Y D, R ON TAHUYA BLACKSMITH RD, R ON LAKE DR TO SITE AD S ON THE RIGHT General Information Construction &Occup In ation Square Footage Information No. of Bedrooms: Type o tr.: Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Gro Lot Size: Deck: Type of Work: DEM Fire Dist.: 2 No. of Stories: c. L Building: Valuation: Building Height: O atu Basement: Manufactured Home Information Setback Informati Shoreline&Planning Information Make: Length: Ft. Front: Ft. �oreli Ft. Water Body: Rear: Ft. Slop Ft SEPA?: . Model: Width: Ft. Shoreline Desig.: Side 1: Ft. Year: Serial No.: Side 2: Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Type By Date Amount Receipt Building State Fee GMM 4/10/2015 $4.50 S1 2 01 500000001 Demolition Fee GMM 4/10/2015 $ 117.50 S1201500000001 Total $ 122.00 QL BLD2015-00255 Please refer to the following pages for conditions of this permit. Page 1 of 3 "" CASE NOTES FOR BLD2015-00255 CONDITIONS FOR BLD2015-00255 1) Contractor registration la are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential ris and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647 98VTperson signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency (ORCAA). It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have been identified and removed from thp area to be demolished. Work shall not commence on an asbestos project or demolition project unless the owner or operator has obtai / d writte approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org X / 3) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a fin I inspectio or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason Coun or nc and building regulations. X I /. 4) All permits expire 180 day fter permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not a eeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have revente action from being taken. No more than one extension may be granted. X BLD2015-00255 Please refer to the following pages for conditions of this permit. Page 2 of 3 OWNER/ BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s) for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is sus .ended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT AP P ICATI OF 180 DAY ILL INVALIDATE THE APPLICATION. Sign ure Date ��' �" `�✓� n OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BLD2015-00255 Please refer to the following pages for conditions of this permit. Page 3 of 3 W o CONCRETE (MECHANICAL MANUFACTURED HOME 3 N r Footings!Setbacks Date By Ribbons m T Gas Piping o Interior Date By Interior-Date By Date By m �.M Cn Extenor Date By Exterior-Date By Set-may .n. . Point Lead I Isolated Footings INSULATION Date By BG I SLAB INSULATION - — Z Date. By Data By FIRE DEPARTMENT X Foundation Wails Floors Date By Date By Data By DECKS FRAMING Walls Date By Date By Data By PROPANE TANKS PLUMBING Paul! Data _ By Date By OTHER Groundwork Attic Tyke. Date By Data BY Date By D.W.V DRYWALL Type= InL Brad Wall � Date Date 6y CD Date By FINAL INSPECTION 0 v y Water Line Fire Separation IV CD Date By Date By Date By CD m CA g Pass or Request Inspect. c CD E Type of Insp. Fail Date Date Done By Comments CD o � o cn cn m U) 0 0 0 a o' 0 Cn O in fD 1 3 cn71 m I 0 i INI LK. TEN AR.,U25 Mrn 10,1804 of RESIDENTIAL DESIGN: INBEX DRAYANGS 96 €g smiur 0"6 LONE MAPLE LANE NW FRPtGSE01Ne11WC_A•r A�. ?rulnicd Rnz NpertaW,:Im`_�_ Alchitecturd t�pA m MUM WA"'" Laney Nab Ebpr of l lrvY: w d t t Np. OettriPibn Y�� re MALT: TOO MITER evel: %%%sl ---- pN PlNIXE: (]60)271-Sc0 Uppc,flow Leal'. in d AT C-,Shml-511n Plm t ggS gq roinlTlapnn,le -'-fir ag �f6 6hs LL FAA (Jde 607-6U75 A2 F,AnMpCan Rm Pi BEL AIR y}k a1Alt: dBMgI.a4MxpdacYelmpl.cam A5 LpM Fm k MOin Flea Cron �NN{ 1 AA Upper Flaa k Rap(Pim �eQb� ��oy� JDE^JFR7ICN: LRI kea: AS Glcrla aennlbrs R GdG kclmn 6byW� a EU:LONG NEW 2 BEDROW SFR M RH Im rosraerr Attu a sr IO.IRD st Ee� WC -TdWyp Rd, ApowAb 1pl Canrmn(RR-5.Olt 'In x IO.IM•%,GM s1 ;. PROJECT 770 HE LME CRNE — iii ADDRESS: HAVENA`RE 985PA Pr dOttkda rDwe pden#' %1I%sl / l- tuldvs�InhmaM lol Cge-�— I PARfII l: 2e53}-50-MI98 MIpH lb tm[* PARIEL �-"' -- -- SI Fa i,P1 R Tyktl pNpas .�, DESa✓�RON: %'%X%/10.:Rc a 0%%%%a 7M.mC%% %%h(% S2 Fondelim Plm R 0e14s rR P' 1 ,kus Calalallnnt: SS Mai k U-Rlaa pran:ng Plms dS p _ P AAASPCiIfIl: N45CH COJNTY Pmse bmM— lea k NWd DZ 6 .,d a'•t UnreaoY�Ciiewdk+ i- %'� Rml haning%m R Delncs o $ Nd4 OD .� XMNO RR-5 WI ImPauiws Arm: MAX d � YY ME: AS F.OIRON ti C ATEROr WASt OTONNEWDMAL CMC (n A5 LOCA1 BY&C STATE W WASNINGIpI ZLS/ .__-_-_.-...__.-_.__-.-. AND Larx J1Nnv%cnax ils L 1 Q) Z'CONIC. BLKH'D 1 I 11 ADD. HOUSE 1 / � 1� I —mac---- ` ppp ��¢ �N333031"E 212.81'�---------"- 76.00' ------- WATER'S EDGE 70.00' -_ - ------ - Line of Site Setback �o- t r----- AA � Y Q PROPOSED NEW �, Stocked Block B o i LDG. ENVELOPE D'b.W-y L �` r Retain'g Wall, Typ. j`�I�I ( ExlWting aro r- ,r ` EXIST. WELL (05^`e N L--------------- --------- S - -------- �LrSY'$tEQ�'k•---- i "`=- I ------------ 75.00' 100 86' - 53.00' - --- I'M. Coon it V'Cl` oCD Q a cQ ADJ. HOUSE \ U , 02-21-15 `� u� a 1 w tLl o q --——— F- ---------- SCALE•t'•W-M yy .. ------- --------- I SITE PLAN --------------------- ————————— ALR sNZE sENEEr. ��m � SCALE:r.w•-o• L� E+� 1-- ! SCALE: 1.=20'-On IN PROGRESS - CER —1— Al f ae cam°~�r MASON COUNTY PERMIT NO. l 'C0 DEPARTMENT OF COMMUNITY DEVELOPMENT C30 BUILDING•PLANNING•FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. 111,426 West Cedar Street (360)275-4467 Belfair ext. 352 rRu PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352 DEMOLITION PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: 11 NAME: A ILX-_L TT NAME:Ge6& 000Au 00WAP 8U(1--C MAILING ADDRESS: Se 1.9s f MAILING ADDRESS:!O CITY:t► OLE %/A TATE: W ZIP: CITY: N STATE: IP:q 312 PHONE: CELL: 371' PHONE: $3U" 0� CELL: 3(o0 90 40 EMAIL: 4@ "i� c4 A (o , eoM EMAIL : U L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) -0 -001gb FIRE DISTRICT !d LEGAL DESCRIPTION(ABBR VIATED : Z S-ta(LY O SG SF SITE ADDRESS ' J_A CITY DIRECTIONS TO SITE ADDRESS: IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE RIVER/CREEK❑ POND❑ WETLAND[] SEASONAL RUNOFF[] STREAM ❑ DOES PROPERTY HA SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES NO ❑ IF YOUR PROJECT IS LOCATED ADJACENT TO OR WITHINANAREA THAT IS LISTED ABOV- .PLEASE CONTACT THE PLANNING DIVISION OF COMMUNITY DEVELOPMENT PRIOR TO DEMOLITION TO ENSURE REDEVELOPMENT. USE OF STRUCTURE BEING DEMOLISHED(RESIDENCE,GARAGE E-TC.) 2661 HOW WILL THE DEBRIS BE DISPOSED OF? 1_JftppF L'L op Wye PROVIDE A PLOT PLAN INDICATING LOCATION OF STRUCTURE TO BE DEMOLISHED OWNER/CONTRACTOR acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becom s null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended fora gwft of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVI THI PER APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X S,ig n,��ture of Appllkddlrt Date X MOR4?&O OWNER/REPRESENTATIVE(LO TRACTOR Print Name (CIRCLE TO INDICATE) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT April 9, 2015 Frank Milette 24307 SE 182"d St Maple Valley, WA 98038 Good Faith Asbestos Survey 330 Lake Dr. Tahuya,WA 98588 SSC, Inc. Project No: ASBMILETTE0401 Dear Frank Milette: SSC, Inc. is pleased to present our Good Faith Asbestos Survey for the home located at, 330 Lake Dr.Tahuya,WA 98588. This survey was authorized and performed for Frank Milette. We trust this report provides you with the information you require at this time. If you have any questions about the information presented within this report, please call us at (360) 275-0818 office or (360) 509-1342 cell. Sincerely, X44Z'10� SSC, Incorporated Richard Moore-President AHERA Building Inspector Certificate Number 150161 11Page Contents EXECUTIVESUMMARY.......................................................................................................................3 1.0 INTRODUCTION............................................................................................................................3 1.1 OBJECTIVE....................................................................................................................................4 1.2 SCOPE OF WORK..........................................................................................................................4 1.3 LIMITING CONDITIONS.................................................................................................................4 1.4 LIMITATIONS OF THE ASSESSMENT...............................................................................................4 2.0 PROJECT SUMMARY.....................................................................................................................5 2.1 ASBESTOS SURVEY METHODOLOGY..............................................................................................5 3.0 CONCLUSIONS AND RECOMMENDATIONS ....................................................................................6 SUMMARY OF ASBESTOS SAMPLING AND ANALYTICAL RESULTS.........................................................7 TABLE................................................................................................................................................8 Appendix A AHERA BUILDING INSPECTOR CERTIFICATION...................................................................9 Appendix B EMLab ASBESTOS ANALYSTICAL REPORTS AND CHAIN OF CUSTODY...............................11 2 1 P a g e EXECUTIVE SUMMARY SSC was retained by Frank Milette to conduct a Good Faith Asbestos Survey of a home located at 330 Lake Dr.Tahuya, WA 98588 prior to a demolition project. SSC collected a total of four (04) bulk samples from this home and one (01) of the four(04) samples collected were found to contain a regulated level of asbestos. The asbestos containing material is the white vinyl that is located in the kitchen. Current regulations require that asbestos-containing building materials (ACBMs) be removed from the structure if the material would be disturbed by remodeling, demolition, or other building maintenance activities.The asbestos-containing material must be removed by a licensed asbestos abatement contractor. The (material)was found to contain (what%) Chrysotile and the (any other material) was found (or also found)to contain (what %) Chrysotile.The basic asbestos work practice must be applied as given in WAC-62-17712 (2). Particularly, use of wet, non-aggressive methods and prompt clean up.Vacuums used must be HEPA filtered. Worker training must include asbestos awareness and hands on training as given in WAC 292-62-07722 (5). Respiratory protection must be based on overall dust levels.A competent person must be assigned and trained under the requirements of WAC 296-62-07728. The owner should also use caution when performing demolition activities within the project areas. Concealed materials may be encountered during the demolition project. ACBMs may be located between walls, above ceilings, underneath floor, in pipe chases, or other inaccessible areas.A copy of the asbestos survey document should be on site during all demolition activities. 1.0 INTRODUCTION SSC was retained by Frank Milette to conduct a Good Faith Asbestos Survey of a home located at 330 Lake Dr.Tahuya, WA 98588 prior to a demolition project. Sampling was conducted in accordance with sampling and analytical procedures required by Asbestos Hazard Emergency Response Act(AHERA), Puget Sound Clean Air Agency(PSCAA), and the Asbestos Survey Requirements of the State of Washington Department of Labor and Industries(L&I) WAC 296- 62-077 3 1 P a g e 1.1 OBJECTIVE The objective of SSC's assessment work was to evaluate the presence of asbestos materials at this home prior to demolition project. 1.2 SCOPE OF WORK The scope of services for the asbestos materials assessment included, and was limited to, the following tasks: Perform an asbestos inspection to identify asbestos-containing building materials(ACBM) present at this home including roofing materials. Sampling was conducted in accordance with the AHERA sampling requirements and analyzed by a NVLAP accredited laboratory for the presence of asbestos using Polarized Light Microscopy(PLM). Prepare a summary report documenting the findings of the assessment and providing tables summarizing material, analytical results, comments, and recommendations. 1.3 LIMITING CONDITIONS SSC's sited inspection included a physical inspection of accessible areas. 1.4 LIMITATIONS OF THE ASSESSMENT The conclusions of the report are professional opinions based solely upon visual observations and interpretations of analyses as described in our report. Common construction techniques render portions of the building inaccessible. As a result, additional ACBM may be present in inaccessible area (e.g. crawl spaces, above ceiling, and behind walls) at the site. The opinions presented herein apply to the site conditions existing at the time of our investigation, and interpretation of current regulations pertaining to asbestos.Therefore, our opinion and recommendations may not apply to future conditions that may exist at the site. Future regulations pertaining to asbestos material may impose stricter restrictions on demolition work. 4 1 P a g e 2.0 PROJECT SUMMARY Information concerning the subject property was obtained from site inspections conducted by Richard Moore of SSC on April 1st, 2015.This section provides a sampling methodology and a brief discussion of SSC's assessment results. Supporting documentation provided within the survey report includes material summary tables and Appendices section that includes the staff certification and laboratory analysis reports with chain of custody documentation. 2.1 ASBESTOS SURVEY METHODOLOGY SSC's asbestos survey was performed following the sampling protocol for the renovation/demolition areas as outlined under AHERA, 40 CFR 763,the Puget Sound Clean Air Agency(PSCAA), and the State of Washington Department of Labor and Industries WAC 296-62- 077. Sample locations were chosen in a random fashion,with emphasis being placed on obtaining samples of each type of accessible suspect material. SSC's survey was conducted by Asbestos Hazard Response Act (AHERA) accredited building inspector, an accreditation through training AHERA, 29 CFR 763, Richard Moore (Certificate Number: 141497) during the asbestos inspection. Copy of the building inspector certificate is provided in Appendix A. Samples were collected in a non-abrasive manner by carefully removing small portions of the suspect material with a sharp knife or other hand tool suitable to the material being sampled. Each sample was placed in a pre-labeled plastic container immediately after collection. Sample containers were then placed in a large resealable plastic bag for transportation to the laboratory.The sampling instrument was subsequently wiped with a clean moist cloth to decontaminate the tool and prevent the potential release of asbestos fibers or contamination of subsequent samples. Data pertinent to each sample (e.g., date, sample number, material description, and material condition)were recorded on a field data sheet.The field data forms are kept on file at SSC's office. Asbestos bulk samples, copies of the field data sheet, and chain of custody submittal sheets were delivered to Environmental Microbiology Laboratory(EMLab) at San Bruno, California. EMLab Participates in the National Voluntary Laboratory Accreditation Program (NVLAP)for quality control procedures. As specified in 40 CFR Chapter I, Part 763, Subpart E, Appendix E, each sample was analyzed using polarized light microscopy(PLM)/dispersion staining techniques, in accordance with U.S. EPA Method 600/M4-82-020. Detection limits for this type of analysis are approximately one percent(by volume). Materials containing more than one percent (1%) of asbestos are considered to be asbestos containing materials (ACM). 5 1 P a g e 3.0 CONCLUSIONS AND RECOMMENDATIONS SSC collected a total of four (04) bulk samples from this home and one (01) of the four(04) samples collected were found to contain a regulated level of asbestos. The asbestos containing material is the white vinyl that is located in the kitchen. The owner should also use caution when performing demolition activities with the project areas. Concealed materials may be encountered during the demolition project. ACBMs may be located between walls, above ceilings, underneath floor, in pipe chases,or other inaccessible areas. A copy of the asbestos survey document should be on site during all demolition activities. Supporting documentation for the asbestos samples, including a copy of the laboratory analysis reports with the chain of custody documents are provided in Appendix B. 6 1 P a 6 e TABLE SUMMARY OF ASBESTOS SAMPLING AND ANALYTICAL RESULTS 7 1 P a g e TABLE Sample Material Location Analytical Number Results A01 White Vinyl Kitchen 20% Chrysotile A02 White Vinyl Bathroom ND A03 White Carpet Stairs ND A04 Asphalt Whole House ND Roofing 8 I Appendix A AHERA BUILDING INSPECTOR CERTIFICATION 9 1 P a g e v on Ow 0 f , �Cerrtt,frcate of �Co lYetton This is to certify that " a ` ± Richard B. Moore !, a 'ti I has satisfactorily completed 4 hours of refresher training as an Asbestos Building Inspector � + to comply with the training requirements of , TSCA Title 11 / 40 CFR 763 (AHERA) i Y 150161 a ' Certificate Number R Feb-1812015 Instructor ®n Date(s)of Training EPA Provider Cert.Number: 1085 ��'Cl Exam Score: NA r�wuarcrc•co.nu..., Expiration Date: Feb 18,2016 Argus Pacific.Inc.• 1900 W.Nickerson.Suite 315•Seattle,Washington•98119•206.285.337!•fax 206.285.3927 Appendix B EMLab ASBESTOS ANALYSTICAL REPORTS AND CHAIN OF CUSTODY 111 Page EM Lab P&K A TestAmerica Company Report for: Mr. Rich Moore South Shore Construction, Inc. 230 East Hillside Drive Belfair,WA 98528 Regarding: Project: Milette 0401; Asbestos EML ID: 1347682 Approved by: Dates of Analysis: Asbestos PLM:04-09-2015 Approved Signatory Dr. Kamashwaran Ramanathan Service SOPs:Asbestos PLM (EPA Methods 600/R-93/116&600/M4-82-020,SOP EM-AS-S-1267) All samples were received in acceptable condition unless noted in the Report Comments portion in the body of the report.The results relate only to the items tested.The results include an inherent uncertainty of measurement associated with estimating percentages by polarized light microscopy. Measurement uncertainty data for sample results with>1%asbestos concentration can be provided when requested. EMLab P&K("the Company")shall have no liability to the client or the client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall the Company be liable to the client with respect to the Test Results except for the Company's own willful misconduct or gross negligence nor shall the Company be liable for incidental or consequential damages or lost profits or revenues to the fullest extent such liability may be disclaimed by law,even if the Company has been advised of the possibility of such damages, lost profits or lost revenues. In no event shall the Company's liability with respect to the Test Results exceed the amount paid to the Company by the client therefor. EMLab P&K,LLC EMLab ID: 1347682, Page 1 of 2 EMLab P&K 6000 S. Eastern Ave, Suite 5E,Las Vegas,NV 89119 702-467-8592 Fax 650-829-5852 www.emlab.com Client: South Shore Construction,Inc. Date of Sampling: 04-01-2015 C/O: Mr. Rich Moore Date of Receipt: 04-06-2015 Re: Milette 0401;Asbestos Date of Report: 04-09-2015 ASBESTOS PLM REPORT: EPA-600/M4-82-020 & EPA METHOD 600/R-93-116 Total Samples Submitted: 4 Total Samples Analyzed: 4 Total Samples with Laver Asbestos Content>1%: 1 Location:A01,White vinyl Lab ID-Version$:6171613-1 Sample Layers Asbestos Content White Sheet Flooring with Fibrous Backing 20%Chrysotile Yellow Mastic ND Sample Composite Homogeneity:,Moderate Location: A02,White vinyl Lab ID-Version::6171614-1 Sample Layers Asbestos Content White Sheet Flooring with Fibrous Backing ND Yellow Mastic ND Composite Non-Asbestos Content: 15%Cellulose Sample Composite Homogeneity: Moderate Location: A03,White carpet Lab ID-Version::6171615-1 / Sample Layers Asbestos Content White Carpet ND Beige Mastic ND Composite Non-Asbestos Content: 90°/u Synthetic Fibers Sample Composite Homogeneity:I Moderate Location: A04,Asphalt roofing Lab ID-Versiont:6171616-1 Sample Layers Asbestos Content Black Roofing Shingle with Brown Pebbles ND Composite Non-Asbestos Content: 15%Glass Fibers Sample Composite Homogeneity:,Moderate The test report shall not be reproduced except in full,without written approval of the laboratory.The report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,MST,or any agency of the federal government.EMLab P&K reserves the right to dispose of all samples after a period of thirty(30)days,according to all state and federal guidelines,unless otherwise specified. Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually.ND means no fibers were detected.When detected,the minimum detection and reporting limit is less than 1%unless point counting is performed.Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification. $A"Version"indicated by-"x"after the Lab IN with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of"x". EMLab P&&LLC EMLab ID: 1347682,Page 2 of 2 CHAIN OF CUSTODY EM Lab P&K Fag Rah, 9novr E�ww-PMLabPK-com None ?..'_ ''�,f., 00134 fib$ _. , Light _ _ ten Cullurnb Cukurabl�. Cherry Hill,NJ; 1936 Olney Avenue,Cherry Hill,NJ 0$003 ` 1866)87'1-19S4 !Moderate _ _ Tape 41h9r Phoenix,A2; 1501 West Knudsen drlVe,Ph09nix.AZ 85¢27 `(801)1 5$1-48fl2 'Heavy `� --- Spero b Swat. 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