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2006, 04-26 Permit: 06001551 Demo - Asbestos RptV-.. cV; cuVV 11. 1:J :J CJ7�J�1 u7:i L; Located ate Demolition of House & Out Building 14422 E. 4`' Avenue Spokane Valley, Washington Owner: Mike Manos 144091✓_ 6h Avenue Spokane Valley, Washington (509) 216-8096 ]Prepared for: H & S Construction 11817 E. Valleyway Spokane Valley, WA 99206 (509) 953-1611 Phil Berg, President AHER.A►, Building Inspector ®nr.rose s ��®sv Asbestos Abatement -Surveys -Inspections (509) 891-7575 — 910 ISI. Lake Road — Spokane, Washington 99212 PAGE ©2!11 _�cV�.VVV 11.1J ..JU JJJJlIlJJ PAGE 03111 11 Fable of Contents X. Summery of Findings/Acknowledgment 2. Introduction, Scope, Building Description, Lab Information, Methodology, & Results. 3. Chart A — Asbestos Containina Materials ty 4. Chart ID —Pilon Asbestos Containing ]Materials 5. Chart C — Definitions 6. Chart D — SCAPCA Checklist 7. SCA -PCA Compliance .Assistance Info re. Renovation, Demolition, & Asbestos 3. Chart E — Sample Material ]List 9. Chart I• — Asbestos In Rome 10. Appendix 1 — Lab Certifications and Lala Results 11. Appendix 2 — Inspector Certifications Ute; GU; LUUO 11. 1J 0 U70.D016Jj C PAGE 'age -1- Summary of Findings 1. ,ASBESTOS CONTADUNG MATERIALS: YES - See Chart A 2. NON -ASBESTOS CONTAINING MATERIALS: YES - See Chart B 3. PRESUMED ASBESTOS CONTAINING MATERIALS. NO Conclusion: Based on our technical inspection; which included destructive means, we did in fact find asbestos. Property owner or contractor may proceed with demolition after a Certified Asbestos Abatement Contractor has removed all of the ACM (Asbestos Containing Materials). NO Tom: All of the ACM has been removed by Affordable Asbestos Abatement. Aelmowiedgment " Z acknowledge that I have read and understand this report_ I further acknowledge that hidden asbestos materials may exist in concealed areas that may be exposed during my work. If suspect materials (refer to page C) are discovered, I will treat the material as asbestos containing until. testing proves otherwise." Firm Name: Signature: Name: (Print or Type: Title: Address.- Phone ddress: Phone Number: AAA is not responsible for hidden asbestos that cannot be found using destructive means. 2. This survey is limited to the scope of the project as stated by owner, or the owner's representative. 3. Anyone having questions about this report please do not hesitate to contact AAA or S.C..A.P.C_A. @ 1101 W. College Avenue, 403 Spokane, WA 99203 Phone: (509) 477-4727, www.scapea.org Thank you, (5i 61itr Phil L. Berg U4 Lbi ZUUb 11: 15 50958518933 C PAGE 05x"11 Page -2 - 1. Introduction On April 07, 2006 Affordable Asbestos Abatement (A.A.A.), was contracted by, Mike Marcos to conduct an asbestos survey for the demolition of a house & out building located at: 14422 E_ 0 Avenue, Spokane Valley, Washington. Only the house and the out building are included in this survey. No other structures on the Property are included in this survey. 2. Scope DEMOLITION OF HOUSE & OUT BUILDING The property at: 14422 E. e Avenue, Spokane Valley, Wasbi.ngton, was first inspected on April 07, 2006, as requested by Mike Manos. The ABERA Inspector was Mr. Phil Berg, of Affordable Asbestos Abatement. Mr. Bergs AHERA Inspector Certification Number is: 3509-05-22-04, Expiration Date: 10-26-06, Affordable Asbestos Abatement is located at: 910 N_ Lake Road Spokane Valley, WA, 99212 Phone: (509) 891-7575 Fax: (509) 535-1893 3. Building Description HOUSE & OUT BUILDING 4, Lab Information A. Global Industries Corporation, 6515 East Main Street, Suite #128, Mesa, AZ 85205. ISOlIEC 17025:1999, ISO 9002:1994, NVLAP I.D.#101890-0, NVLAP Code: 18/AOL Phone: 1-(480)-497-0280. B. Samples we analyzed, using an EFA recommended polarized light microscope method with dispersion staining. The lab results are included. Survey Methodology The sampling was in accordance with, 40 CER 7686. As requested per S.C.A.P.C.A. Reg. 1, Article IX, Section 9.02.G and 9.03. Using destructive methods, forty samples of suspect ACM's were taken from forty homogenous areas. 5. Results A. ACM - (ACM is any materials containing grater than I% asbestos.) YES - A,C.M - Listed on Chart A, B. Non -ACM: YIDS -Listed on Chart B C. Presumed AC.M: NO D. Assumed Non-YEACM: Metal, Wood, Glass, Fiberglass, Insulation, and Concrete. 0411'26/2006 11:15 509595100893 C PAGE 06/11 CHART ,A. .Asbestos Containing Materials # Suspect Materials Location Friability Damage Sample ID Lab Results Type Square Feet A VTNn (TAN) BA'T'HROOM HOUSE NO YES 41HVB POSITIVE NUSC H ADURSIVE BA7TMOOFV HOUSE NO YES WHIVB pOSn7vE MISC C FURNACE PAPER HOUSE YES YES # lHFP POSITIVE ASC D CAB HOUSE NO YES #IHCAB POSMYE MSC E CAB HOUSE BAG NO YES #IHBAG POSITIVE MISC F G H T( J K L • Friable, Non Friable Category I (unlikely to become friable if disturbed), Non Friable Category H (Likely to become friable if disturbed) + No damage, Significant Damage # TSI . _ . _ _ _ _Thermal System Insulation # Misc......Miscellaneous Material # Surf. ......Surfacc.. atcrial # Ln. Ft.....Lineal Feet # Sq_ rt. _Square Square Feet 04/26112006 11:15 5©95951009 C PAGE 07/11 Cbart - B Summary of Non -Asbestos Containing Materials # Suspect Materials ]Location Sample ID Lab Results 1 Plaster #1. Shed #1SP1 Negative 2 Plaster #2 Shed #1.SP2 Nc alive 3 Plaster 43 Shed #1 SP3 Negative 4 Roofina #1 Shcd #1SR1 Negative S Roofina #2 Shed #1 SR2 Negative 6 Roofing #3 Shed #1SR3 Negative 7 Roofing, #4 Shed 1 41 SR4 Negative R 1 Vinyl (Top Loose House / Kitchen #IHVTK Negative 9 Vinyl #1 House / Kitchen #1HF1K Negative 10 11 Adhesive Vinyl #2 House / Kitchen _ House / Kitchen #1HF1K Negative #J.HF2K Ne ative 12 Adhesive House / Kitchen #1HF2K Negative 13 Vinyl 10 House / Kitchen #11-IF3K Negative 14 Adhesive House / Kitchen #1HF3K Ne ative 15 Floorin Yellow House / liec Room #1HF1R Ne ative 16 Adhesive On Flooring) House / Rec Room 9111F1R Negative 17 Flovrin Yellow House / Rec Room #1HF2R. Negative 18 Flooring Green House / Entry #IHFL- Negative 19 Shectrock House Thru-out #1HSR Ne ative 20 1 Vinyl House Thru-out #1HV2 N'e ative 21 Adhesive House Thru-out #1HV2 Negative 22 Vint 1 Tan House Thzu-out #1HV3 Negative 23 Vinyl (Tan) House Middle Room #1HFMR Negative 24 Adhesive House Middle Room #1HFMR _ Negative 25 26 Vinyl (Tan) Adhesive House Back Bedroom House Back Bedroom 91BFBB Ne ative #1HFBB Ne ative 27 Adhesive House Tile Bathroom #1HAD Negative 28 Wallboard House Thru-out #Iliuw Negative 29 Paper OlacD,, House Thru-out #11USP 30 —Paper gown House Exterior #1HXSP _Negative NC alive 31 Paper Gra House Exterior #1HWSP Negative 32 Shim Pa er On CAIS #1HPOC Negative 33 Roofing #1 Roof #11-IR1 Ne ative 34 Roofing 92 Roof 911JR2 Negative 35 Roofing #3 Roof #1H1t3 Negative 04/26/2006 11:15 5095351293 C PAGE 08;`11 Chart - C According to OSHA and WISHA standards, the following definitions apply: ® "Asbestos -containing material (ACM) " mans any material containing more than one percent ashestos. • `Presumed asbestos -containing material (PA CM) " means thermal system insulation and surfacing material found in buildings built before the EPA Asbestos Regulations concerning these materials went into effect. • "Thermal system insulation" includes any material applied to pipes, fittings, boilers, breaching, tanks, ducts, or other structural components to prevent heat loss or gain_ "S"afacing rnaterial" means material that is sprayed, trawled -on or otherwise applied to surfaces (such as acoustical plaster on ceilings or fireproofing materials on other structural memhera.) • `Miscellaneous Material" means any suspect asbestos -containing material on structural components, structural members or fixtures, such as .floor and ceiling tiles. A miscellaneous material does not include surfacing material or thermal system insulation, • "Suspecr asbestos -containing material" means material that has — historically contained asbestos, excluding thermal and surfacing materials. It includes, but is not limitcd to: roofing material, fire barriers, gaskets, flooring material and siding. • "Friable materials" are those asbestos -containing materials that, when dry, can be crumbled, disintegrated, or reduced to power by hand pressure or by the forces expected to act upon the material in the course — of demolition, renovation, or disposal. 04:126:'2006 11:15 5095351893 C PAGE 091'11 Chart -.D ASBESTOS SUB.VEX CHECKLIST The follov%ing is a checklist to help an AHERA Building Inspector perform a thorough Asbestos Survey: 1. Qualfficarions: Yes No Does your survey include... Inspector name Phone # Certification # . CCrtifxcation cxpimtion dato / Laboratory name Address Certification #� .U. Survey Preparation and Building Description Have yOn reviewed... Prcvious 9!!ycys / Specifications Budding drawings f Other Have ycm included the lmildin -.. _ Approxinime age J . Size (sq. A. Use Number of floors Other Does your Fgyey include... HVAC Mechanical spaces Plumbin gpia chases Floors, walls, & ceilings Roofing & siding lnsulation & :Far oo.fin CauUdnr, mastics. putty, lee mise. / Otber Have you identified... .Areas deemed "inaccessible" Other areas not inspected Have ycni taken the correct number of cam les...* 041,1261'20106 11:15 5095351099 C Cba rt E Sample Asbestos -Containing Material List s Window Glazing ® HVAC duct insulation • Stucco S Cement Pipes 0 Boiler/tank insulation 0 Cement Board/transit ® Breaching insulation Y Duct tape/paper • DucTwork flexible connections • Furnace insulation ® Construction mastics Vinyl Sheet Flooring/Mastic ® Acoustical ceiling texture Vinyl Floor Tile/Mastic ("popcorn") • Poured Flooring ® Electrical panel partitions • Pipe Insulation/Fittings ® Electrical wiring insulation • Plaster/ Wall Joints 0 Chalkboards • Textured paints/Coatings ® Roofing shingles 0 Ceiling Tiles/Panels/Mastic 0 Built-up roofing Spray -Applied insulation Blown --in Insulation® Base Flashing Fireproofing e Rolled roofing S Sink insulation ® Caulking/putties • Packing Materials ® Incandescent light fixture backing • High Temperature Gaskets Joint compound/tivallboard m Lab Hoods/Table Tops Brick mortar A Fire Blankets ® Fire Curtains/hose ® Vinyl wall coverings ® Elevator brake shoes ® Vapor barrier Asphalt flooring ® Cement roofing shingles S Paper on backside of fiberglass ® Gray roofing paint insulation ® Nicolet (white) roofing paper O Erkot roofing material 0 Sub flooring slip sheet ® Laboratory fume hoods a Mudded pipe elbow insulation m Paper fire box in walls • Fire doors Dote: This list dose not include, eveiy.product that may contain asbestos. It is intended as a genual guide to show which types of materials may contain asbestos. PAGE 101' l l 04:'261'2©©6 11:15 5095951999 A IN C E S PAGE 11;' 11 TOS YOUR HOME CALL SCAPCA BEFORE REMODELING OR DEMOLISHING. Don't put yourself or others at risk of exposure. EXTERIOR SURFACES Cement Asbestos Siding Cement Asbestos Roofing & felt Window Putty –1 4 INTERIOR SURFACES Sprayed -on Popcorn Ceilings Acoustical Tiles — Sheetrock Tape Mud rA Spokane County Air Pollution Control Authority 1101 W9st College, Se e 4L3 R, Spokane. WA n201 o rc n ni e (509) 47-/ L. 41 o n r n: Z MISCELLANEOUS Woodstoves Flooring. Vinyl Asbestos Sheets, Tiles, and Undersheeting Old Built -In Items: Dishwashers and Ranges HEATING & VENTILATION �Heat Source Covering Pipe Insulation Door and Cover Gaskets Air Duct Covering -N -E-©4/26:'2006 11:10 5095351893 ®MM0N ■ W l Asbestos; Lead, & Mold. Abatement TO � FROM: Phil L. Berg, Owner PHONE: (509) 891-7575 - DATE: G PAGE 01:`05 PhU L.'Berg, Owner ga/ FAX: A�-� FAX (509) 535-1893 Number of pages including transmittal cover sheet: COMMENTS: 16190 N. West Newman Lake Drive, Newman Lake, WA 99025 Office - (509) 891-7575 FAX - (599) 535-1893 U4/2b/2U86 11:18 5095351189'3 C P -`GE 021/05 APPI+;NDIX -1 LAB CERTIFICATIONS & LAB RESULTS Cc: nicely Name: Canted: Phone i Fax;-: Email AFFORDABLE ASBESTOS 990 DI Lake Rd. Spokane Valley, oda. x9212 PHIL BERG (508) 891-7575 FA:41569)535 189,3 CHAIN OF CUSTODY Global Industrial Corp. 8545 E &lain Si. A129 Mesa, AZ 85205 Pitons 4480)497-132 ©Fax 0801497450 Turnaround Tine: RUSH 24 Hour(5,:3,2) 3Day 5Day Spacial gnstructions: Type e Of Analysis: PL&1(Polrnt Count j1d000 Pls.]) PIM (Paint Count [400 Pis.D PCki Analysis Instructions: CraEyzg ALL Layers Step at first POS. (>110 Composite Sample: " Payment teras ere Net 30 Days Send Results Via: Email D'esposal iristuctions: Return to Client (At Clients Expense) ,..- -.0Ba Dr ac Li Project Marna: l \Q. L 1 1 1Cu3"t 0 N9 Project #: t 4 `1 ( 0- E 4',Q1 2 PO/. c 1 1 -• u. GIC Sam °e Plumber Client Sarapte Number Locaden and Type of NlaterlaJ -or- - SSIl, Name, and Location (PCM) Date 8 Time Sampled o st-6 r-oY/ Sanpl'es Accepted? Y or 11 PCPA info: - O N OFF FLOW 7OTAL L VOL J IS sh1.. a 4-- P 61 S P 1LS R P 1(i.� e C_S _ cl. P rks ell.t. (S 1 can1 --3 I, c ik iC R. -d-) 8 - S Ae,RIA itoojn,'i "mug ti -t - •krA th- a F ` I '� r .. i — -� ��, .. - t. T - - •, i 1.p & F1no r i n .4 3- 1-4 1+c.in r, (\ ' i- B F K u� e 4 L H --;R r• _Rccr1\ ; ou5e- 41 .. F. iiip r' Iii- H q '{ . T - „1-_ Sample Collector: Relnquistled Hy: Rellitgsrisfted By: Rei'snquJshed 8y: our 0 l e__14/1 / /j �2St�lalura: U Date/Time: ' -07-0 lecavEd 5y:—� ----- i)aleJTinie: —'7 r� Datelnisne: fTaceived By: DatefTlme: DateJ T ime: Received By: DatejTLrne: 9©R7. /97 /bA 04/26/2006 11:18 5095951999 C PAGE 04/05 APPEI DJD - 2 INSPECTOR CERTIFICATIONS U4/ Zb/ 2UUb 11:18 Rpr" 25 06 11!14a 5095351893 PHTI 13ERG 500 226 0186. z 09 Od z ® 0 fL o 0 A Q(n AJ ulU 10 a kEt 0 A u QgF . Z S ,LIT CL � ® Z rm p, �"" � Qty PAGE 05/05 P. 1 TTI/TO 119•Jd APPENDIX -1 LAD CERTIFICATIONS & LAB RESULTS CF,PTQPQPMC n7'TT Onn7 .n7 i. n�0 Rd f _ f= National Institute National Voluniary of Standards and Technology LaboratoryAccreditation Program <0,V OF co 4r" 150/IEC 17025:1999 ISO 9002.1894 Scope of Accreditation � r U srAr�s of � Revised Scope 04/08/2005 BULK ASBESTOS 11B)Gi R ANALYSIS Page: I of 1 NVLA,P EA -8 CODE 200670-0 GLOBAY. INDUST UAI, CORP. 1855 E. Southem Avenue #108 Mesa, AZ 85204 Mr. Shawn Kearney Phone: 480-497-0280 Fax: 480-497-0540 F --Mail: customerservice globalindu:i rialcc,rp.com URL: http://www.glo6alindustrialcorp-com . AVLAP Cade Designation 18/A0I EPA -600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples TT/Z0 �J~d ;,,-(: �+�,r,rur.li l.•-li:ul� ^i �e-lt 'drUS XV; 0 6621565605 07 : T T 90A7. i 97. /bn APPENDIX - 2 INSPECTOR CERTIFIC.A.TIONS TT/C0 3DVd 0 'fRRTgl'gRAG A7 : TT qMn7 /47 ;na Uc4 Lb/ LUUb Mete, `rte • rs• �Tdir„ r :Cn•• ru.mi u.... G 41, _ A �^\V l r• CERTIFICATE OF COMPLETION PRESENTED BY: - COLE AND ASSOCIATES, TRAINING AND CONSULTING, INC. THIS IS TO CERTIF'YTHAT. PHILIP L. BE.RG: MEI t Z PE -MIC H A DR, N. INItawami LAKE, WA Sores HAS SUCCESSFULLY COMPLETED THE ASBESTOS BUILDING INSPECTOR REFRESHER TRAINING COURSE as recplied by 40 CFR 763, Subpart E, Appendix STARTING ON WEDNESDAY, OCTOBER 26, ZOOS, AND. ENDING ON WEDNESDAY, OCT©sER26, 2005, Rd SPcKANE, iu��y x``41 Cole & Ass.nciers,1'raioinl & ConsulLing, Inc., I.8000 72nd Avcouc S, Sudo 160 K&u, WA 48412 (425) 593-S5OS F fiX (425) 743-5552 1472-455-HE_iR& i-868-41.4-8008 nwx'.xc1 ir.oan ir3 z3 1 4.. 1'J •.. t• moi.= T1& r• 2' <a.4z:Si'�1 424 la iP • +H.ful '�$111c1l4;.11 +�l�d:.1`u• cGl C ,�"i:9:,0 �, L 4 9J�E 1IHd cn 0 m en0 m 07 TRAINING T INISTRAtOf41 TRA LNG ❑IRECTOR . 350 -05-22-04 - - 10/26/2006 , C6RTIFiCAmJN NOM©ER ❑Am OF EXPIRATION ' iu��y x``41 Cole & Ass.nciers,1'raioinl & ConsulLing, Inc., I.8000 72nd Avcouc S, Sudo 160 K&u, WA 48412 (425) 593-S5OS F fiX (425) 743-5552 1472-455-HE_iR& i-868-41.4-8008 nwx'.xc1 ir.oan ir3 z3 1 4.. 1'J •.. t• moi.= T1& r• 2' <a.4z:Si'�1 424 la iP • +H.ful '�$111c1l4;.11 +�l�d:.1`u• cGl C ,�"i:9:,0 �, L 4 9J�E 1IHd cn 0 m en0 m 07 5©95351893 Company Name: Contact: Phone t Fax#: Email CHAIN OF CUSTODY Global industrial Corp. 6515 E Frlaltt SL #128 Mesa, AZ 65205 Phone (480)497-0280 Fax {480)497-0540 RECEIVEfl APR 1 n n8 604-k-69 AFFORDABLE ASBESTOS 910 N Lake Rd, Spokane Valley, Wa. 99212 PHIL BERG (549) 894-7575 FAX (599}S35-9893 Turnaround Time: RUSH 24 Hovr(/ 3 Day S Day Special Instructions: l}(7t�Q L .4) 3 Type Of Analysis: PLM (Pinot Count ['FOOD Pts Jl PLM (Point Count [40D Pts.j) PCM Send Results Via: F� Email Analysis Instructions: Disposal Instructions; Cinaly l avers Stop at First POS. (>1%I Cnmpnalte Samples - Payment terms are Nei 30 Days Return to Chert (At Glints Expanse) DtspOtt 0 Protect Name: ► "l l I,_ 1 U to..h 0 Project #: 1 4 Li 0 C. 4 PO tkr4tn @ 4 0 A 1/1-'1X1 GIC Sample Number Client Sample Number Location and Type of Material or- SS41, Name, and Location wen} Data 8 Time Sampled C16 -6 T -"Y SampTea AccaptEd? Y Ur N PCM Info: TOTAL ON OFF FLOW VOL ais PI, P alsfe t- t L (S(,c.d) 11 -.SPL Ptas.te- S ti Sh d') 1iIP1r/5 YLS R1I Rio• L Csit, a) k# S R 41_SR3 ' i S R 2 1k VT D In a - D__, C sh, ,k) 00rn 1 (3-w) 0 i tro, FPq ilx [-t,( 4 iii CSilx ;d l hLt i J-' Ki ke (I.R ri. = �o LcOSE) C wise. ' 14 -nri#'+ - Ki d )1,9 No se..`) _'t.14 1' .K -lourirq - — K.:ifiNiun C\- Dr S6 1- H 1='3 K Roti ri 4 — id14-06vr, Cut) se� 4 .L H [ k1 1 cox i rt A L— Ri.c_R C, • to 5e_ - 1 irE 14 F F�-. I ori n Fvb- c� (N_0is .(.j �y( { y I., n , Sample Collector: c Jam. Relinquished By: Ckf n_ Refliqulehed. By: StgOat re: �. Date/Time: 6 -07-'[) (i !Received 6y: DatefTine: itaceived By: Relinquished ay; Date/Time: q -1-0—C26 Date/Time: Datefiime Received By: Date/lime: VJ4i Lb/ LYJYJb 04/12/2006 12:21 FAX 4804970540 Company Name: AFFORDABLE ASBESTOS 940 N Lake R. Spokane Valley, 6PIa. 98212 Contact: PE -11L BERG Phone) Pahl: (509) 891.7575 FAX (519}535-1593 Email : CHAIN OF CUSTODY Global tndustrial Corp.. 651-5EMain St. t'i28 [Mesa, AZ I1 2fl5 Phone (480)4-97-0280 Filx (4B0)497-0540 Turnaround Time: Type Of Analysis: RUSH 24 Hour 2 Da PLh9 3 Day 6 Day PLM (Point Count [1006 Pts.j !� PLI'ct(Point Count 0400 Pts.]l Special Instructions: ��4'�:Q Of 3 PCm Anakysis Instructions: Halali e ALL Levers Stop at FIrat POS. (>1Ye1 Composite Sampic-z Payment terms are lei 30 Days Send Results Via: Fak Email Disposal/ 6rtstruet:eocts: Return to Client (At Chants Expense) �©ispose of at GIC Proje fume: V 16 Mon DS Project n: �4 /4 ,aa_ E 4' 7`i i Rd PO g: C s ou S S I b? Yui GIC Sada Number Client Sample Number Location and Type of Material -or- SS#, Mame, and Locafon (PCIl1) Date & Time Sampled - eAl - 0r D� Samples AccegrodT Y or N PCM Info: ON OF FLOW DOTAL VOL �� q- a ! ` V1 >; ui t 11::;--)11::;--)5 ,ah u - ra,f ( RD 1A +) k4 i Nil 11 3 til r it --1)t; t 6- t?;,°it. 1 g'L t V 114 IP Cs 1 61► is 9 lO+.a (.- • is Se Ft_QP Y 1 ri i)-11.Lr°<,_ Pvt.; k-ry,re, . , - 1 k L k e_ w. 4 A ._ ? 0' - �- 7C9n� ' . - ee,,- PQ• • - 1., �- i . —1111 - , 7 l� �i Fr l) a t lir ( e 1p a r. 1S! e- A- �! 1#' 1 at6_C3 . .. t. (.Ci Sample Call actor: Relinqu#stwed&y: f.tf0111 Relinquished By: ReAluqulshed By: Signet Daterrirne: Di/ -Q7 -0/i �eceseedlay; Date/Time; Oaten -hoe: fjleceiaed By: Date/Tame: Dale/Tote; rne; Received By: DatetTime: el -f,„0 -06:7 04/ 26:20©6 04/12/2006 Phone Company Name; AFFORDABLE ASBESTOS 910 N Lake Rd. Spokane Va11sy, We. 99212 Contact PHIL BERG PlIonel NO: (5119' 991-7575 FAX(509)53E-1893 Email : CHAIN OF CUSTODY GioSai Industrial, Corp. 6515 E Main Si. #128 Masa., AZ 85205 (480)497-0280 Fax (46O)497 0540 Turnaround Time: RUSH 24 Hour 3 Day Specisi Instructions: 6 Day ? ,0 3 ©t- . Type Of Analysis: rt�ll PLM (Point Count MOD Raj) PLM (Point Count [400 Pis.)) PCN Analysis Instructions: Perts o ALL }�Yerc Stop at First POS. (>Y%) Composite Samples Send Resutba Via: Email Disposal (instructions: Return bo Client (At Ciieais Expense) ispose of at GIG " Payment terms are tet 30 Days Proje-ct Name: VII p v MO OS P #1: 1.414a -a. ° E 441 AV PO #: C� DUAP p Jr) Ell Lie `Mb 61C Sample Number Clisnt•Sample Number Location end Type of Material -Or- SS#l, Name, area Location (PCM)tq Date & Time Sat -anted —b?—ACP Samples Accepted? Y or Id PCXR info: TOTAL ON ORFLOW VOL LiIA Ra., btu?i_ 4 ' C \3e._ ra II t : DD L. ) ('Ao�1Sr<_ G.Yee • I Sample Collector: Relinquished ay: l /� Ctrn ittp Data/Time: (A— Ote Relinquished By: Date/Time: Relinquished By: Dateltlime: t Signature: *te✓eived By: �Y /� -- Date/Time: itrGM"$ ereivad By: Date/Tlme: lio3eivad By: Date/Tlrne: 04/12/Z006 12:20 FAX 460aa7054O Client: AFFOIRDASLF- ASBESTOS Project: MIKE MANOS Cellulose 14422 E 4TH AVE Non Fibrous HOUSE & SHED DEMO Cellulose Sample Client # L(>cation #16 P1 Shed #1S P2 Shed ;EIS P3 Shed ?1S R1 Shed 01$ R2 Shed *18 R3 Shed #1S R4 Shed Material Description Plaster, Tan Plaster, Tan Plaster, Tan Roofing, Cray Roofing, Black Kooring. ,Black Roofing, Black Report t'i: Date of Receipt: Report Date: Date of Analysis: DLAnctlon None Detected None Detected None Detected None Detewd None Detected None Detected None Detected #IHVTK KAchen Top Louse House Vinyl, Tan None Detected (No Adhesive W/Sample) 6515 a !thin 5t Suffe 928 Mesa A2 85205 Phone (480)491.0280 Fax(480)497-OW NVLAP CODE 2006770°0 06 -CIO -0921 4/10/2006 4/12/2006 411112006 Cotrlposition Cellulose 4% Non P11)Cou6 991/0 Cellulose 4% Non Fibrous 96% Cellulose 4% Non Fibrous 960/6 Cellulpse 20% Non Mbroub 60% Cellulose 20% Non Fibrous a0% Cellulose 20% Non Fibrous 80% Cellulose 20% Non FiUrout, 80% Cellulose 20% Non Fibrous 80010 Page 1 TT/'2(3 666T56S605 ©Z : T T 900Z /9Z /'t A 04/12/2008 12:2n FAX 4804970540 GIC 10008 i sample Client Location #1HF1K Kltch®n House Layer 1 None Detected /tIH1=1K Kitchen House Laytar z None Detected #1HF2K i Kitchen House i Layer 601/0 91HF2K Mohen House Layer 2 #1HF3K Kitchen House Layer 1 &1HF3K Kifrhen HousA Layer 2 01HF1R Rec Room House Layer 1 41hLF1R Rec Room House Layer 2 -#1HF2R Rec Room House *IWFE Entry Mote :AIHSR Thru Out House #1HV2 Thru Out House L.aycr 1 #1HVR2 Thru Out House Dyer 2 Matorial None Detected Description Defection Vinyl, Gray None Detected Adhesive, Brown None Detected Vinyl, Grzy None Detected Adhesive, Brown None Detected Vinyl, Gray None Detected Adheiilw, Brown None Detected Flooring, Yellow None Detected Adhesive, Tan Nono Dsgoo ©d Flooring, Yellow None Detected (No Adhesive W/Sample) 20% Flooring, Green None Detactcd (No Adhesive Wisemple) 100% Sheetrook, Gray None Detected Vinyl, Brown None Detected Adhesive, Brown None Detemd 6515 E Main 3t 3uke 128 Messy AZ B,1205 Phone (480)497.0280 Fax(460)497.0540 NVLAP CODE 200670-0 Composition Cellulose 20% Non Fibrous 00% Non Fibrous 100% Cellulose 20% Non Fibrous 80% Non Fibrous 100% Cellulosa 20% Non Fibrous 80°!0 Non Fibrous 10095 Non Fibrous 100% Non Fibrous 10096 Cellulose 20% Non Fibrous Enol, cellulose 301/9 Non Fibrous 70% Cellulose 10% Non Fibrous 90% Synthetlo Fibers 20% Non Fibrous 601/0 Non Fibrous 100% Page 2 dr-GIG0921 TT:`6© 39"d 668T56566� 9Z TT 99©Z;`9Z;'b© 04/12/2006 12:20 FAX 4804970340 Sample - Client # Location 31HV3 Thru Out House GIC Material Description Detection Vinyl, Tan None Detected (No Adhesive W/Somplc) #iHFMR Middle Room Houee Vinyl, Tan None Detocied Layer 1 #1HFMR Middl@ Room House Adheslvo, Black Nono Detected Lnyai 2 #1HFBa Back Bedroom Houee Vinyl, Tan None Detected Layer 1 01HF68 Back Bedroom Mouse Adhesive, White None Detected Layer2 #114VB Bathroom House Vinyl, Tan Layer I a1HVe Bathroom House Adhasive, Black Layer 2 Q 007 Composition Cellulose 20% Non Fibrous 80% Cellulose 20% Non Fibrous 80%, Non Fibrous 100% Synthetic Fibers 20% Non Fibrous 80% Non Fibrous 100% Chrysotile 10°/a Cellulose 10% Non Fibrous 80% Chrysiotlle 20/a Non Fibrous 98% 41 HAD On Tile Bathroom Hou6e Adhesive, Brown None DetecMd Non Fibrous 1001/0 $1HFP Furnace House Paper, 'fan Chrysotile 40% Cellulose 60% #1HCW House Thru out Wallboard, Brown None U0 Woted Ce0u105e 90% Non f=ibrous 10% 0ii-uer Thru out Houno Paper, 81ack None Detected Cellulose 30% Non Fibrous 70% O1HXSP Exterior Thru Out House Paper, Brawn None Detected Cellulose 30% Non ribroue 70°x6 #i HWSP Exterior Hou6e Paper, Gray None Detected Cellulose 100% 6575 ,E Main St supe 128 Mesa AZ 80'Z05 Phone (480)497-0280 Fax (480)497-0540 NVLBP CODE 200670-0 Page 3 06yGIG0921 TT/©T 39V8 E62TSE563S ©Z:TT gAA7,,/97./tA 04/12/2006 12!20 FAX 4804970540 GIC 008 Sample Material Client # LOCation Description Detection Comisosttion 61HP00 On Cab Material, Black None Detected Cellulose 40`74 Non Fibrous bUYo StHCAB House Material, Cray Chrysotile 40°/a Non Fibrous 60% MftAe CAB House MaWrlal, Grsy chrysotile 20% Non Fibrous 80°Ju 41HR1 House Roofing, Black None Detected Cellulose 20% Nen Fibrous 80475 WHR2 House Roofing, Gray None Detected Cellulose 20% Non Fibrous 80% #11HR3 House Roofing, Green None Detected Collulase 20% Non Fibrous 80% ASBESTOS T ES: Chrysotile, Crocidolite Anthophyllite, Tremolite, Amosite, AWnolite The samples listed above svere suapcct of containing asbestos. A result of "Nom Dettet" means a thorough search using appropriate to¢hniquos was conducted and no typo of asbestos was discovered. Samples submitted to this facility will he disposed of uule9e the I client reque4N the-raples he returned. Rnporfo will he archived ibr a period of no more then 3 years, The onnlysiu parformcd is in accordance with EPA 600/M4-82.020 with a detection limit of 1%. Test Molts apply only to the darnples submitted. It is not our policy to distribute the customer's information without the written consent of the customer. The test report shall not be reproduced except in Full, without the written ApDroval of the 121)Orltory. Shawn K arney Angels Kearney L2borstory Director president 6595 E Main St SUite 928 Mesa Az 85.205 Phone (480)497-0280 Far (480)497-0540 ,nll/LAP CODE 200610-0 TT/TT 39Nd 0 I Page 4 i 06 -GIC -0921 i c62TSES609 (3Z: TT 99©Z/9Z/b© mmmmOd '/26 '.,"20Q6 11:29 5095351899 ■ N mom I PAGE 011/07 unci' �idud�. �' �,a�zry J�e.�, A -L 04/26/2006 11:29 5095351893 C PAGE 021'07 Located at.- Demolition t:Demolition of House 14324 E. 4"' Avenue Spokane Valley, Washington Owner: Mike Maros 14409 E. 6t' Avenue Spokane Valley, Washington (509) 2168069 Prepared for: H & S Construction 11817 E. Valleyway Spokane Valley, WA 99206 (509) 953-1611 Phil Berg, President AHERAnildin spector m—®stim�-ARS �ImwislpAagO�IJ RkY11P I renr� � nn.omr Asbestos Abatement -Surveys -Inspections (509) 891-7575 -- 910 N. bake Road — Spokane, Washington 99212 0 2G/2©©G 11:29 5095351293 C PAGE Fable of Contents t. Summery of Findings/Acknowledgment 2. Introduction, Scope, Building Description, Lab Information, Methodology, � Results. 3. Chart A, -- asbestos Containing Materials 4. Chart B — Non Asbestos Containing Materials 5. Chart C -- Derinitions G. Chart 1) -- SCAPCA Checidist 7. SCAPCA Compliance Assistance Info ire: Renovation, .Demolition, & Asbestos S. Chart E -- Sample Material hist 9. Chart li — Asbestos In Home 10. Appendix I — Lab Certifications and Lab Results 11_ Appendix 2 — Inspector Certifications 04;1'26/2006 11:29 5095951899 C PAGE 04%0.' Page - I Summary of Findings 1. ASBESTOS CONTAINING MA.TERJALS: NO - See Chart ,A. 2. NON -.ASBESTOS CONTAINING MATERIALS: YES - See Chart B 3, PRESUMED ASBESTOS CONTADU NG MATERIALS: NO Conclusion: Based on our technical inspection; which included destructive means, we did not find asbestos. Property owner or contractor may proceed with demolition. Acknowledgment "I acknowledge that I have read and understand this report. I further acknowledge that hidden asbestos materials may exist in concealed areas that may be exposed during my work. If suspect materials (refer to page C) are discovered, I will treat the material as asbestos containing until testing proves otherwise." Firm Name: Signature: Name: (Print or Type: Title: Address: Phone Number: L AAA is not responsible for hidden asbestos that cannot be found using destructive means. 2. This survey is limiter] to the scope of the project. as stated by owner, or the o'wner's representative. 3. Anyone having questions about this report please do not hesitate to contact AAA or S.C.A.P.C.A. @ 1101. W. College Avenue, 403 Spokane, WA 99203 Phone: (509) 477-4727, www,scapca,org Thank you, v Phil L_ Berg 04:'26:'2006 11:29 50953513933 C PAGE � 1. Introduction On April 07, 2006 Affordable Asbestos Abatement (A.A.A.), was contracted by, Mike Manos to conduct an asbestos survey for the demolition of a house located at: 14324 E. 4th Avenue, Spokane Valley, Washington. Only the house is included in this survey. No other structures on the property are included in this survey. 2, Scope DEMOLITION OF HOUSE The property at: 14324 E. 4!' Avenue, Spokane Valley, Washington, was first inspected on April 07, 2006, as requested by Mike Manos. The AHERA Inspector was Mr. Phil Berg, of Affordable Asbestos Abatement. W. Bergs AHER.A. Inspector Certification Number is: 3509-05-22-04, Expiration Date: 10-26-06. Affordable Asbestos Abatement is located at: 910 N. Lake Road Spokane Valley, WA 99212 Phone: (509) 891-7575 Fax: (509) 535-1893 3. Building Description HOUSE 4. Lab Information A. Global Industries Corporation, 6515 East Main Street, Suite #128, Mesa, AZ 85205. ISO/JEC 17025:1999, ISO 9002:1994, NVf..AP T,D.#101890-0, NVLAP Code: 18/AOL Phone: 1-(480)-497-0280, B. Samples we analyzed, using an EPA recommended polarized light microscope method with dispersion staining. The lab results are included. Survey Methodology The sampling was in accordance with, 40 CER 7686. As requested per S.C.A.P.C.A.. Reg. 1, Article IX, Section 9.02.G and 9.03. Using destructive methods, eighteen samples of suspect ACM's were taken from eighteen homogenous areas, 5. Results A ACM - (ACM is any materials containing grater than 1% asbestos.) -NO - ACM - Listed on Chart A B. Non -ACM: YES - :Listed on Chart B C. Presumed ACM: NO D. Assumed Non-YEACM: Metal, Wood, Glass, Fiberglass, Insulation, and Concrete. 0.4/261.1'2006 11:29 50953511099 C PAGE 06/0 CHART -A Asbestos Containing Materials # Suspect Materials Location Friability Damage $ample ID Lab Results Type Square Feet A B C D L F G H i J K L Friable, Non Friable Category Z (unlikely to become friable if disturbed), Non Friable Category H (Likely to become friable if disturbed) + No damage, Significant Damage # TSI .. _ _ ...Thermal System Insulation 1# Mise...... Miscellaneous Material # Surf ......Surface Material # Ln. Ft.....L.ineal Feet # Sq. Ft.... Square Feet 1 1'26/2006 11:29 5095351893 C PAGE 01/01 Chart o H Summary of Non -Asbestos Containing Materials # Suspect Materials Location Sample IIS Lab Results 1 Adhesive Bathroom Wall Tile #2 -ADB Negative 2 ViAxyl Taa Bathroom #2 -VB Negative 3 Adhesive On Bathroom Vin I #2 -VB Negative 4 Ta in Mud Thru-out #2 -TM Negative 5 Sheetrock Thru-out #2 -SR Negative 6 Texhire it Thm-out #2 -WTI Ne ative 7 Texture 112 Thru-out #2-WT2 Negative S Texture #3 Thio -out #2-WT3 Negative 9 Po corn #X Ceilin #2 -PC 1 Negative 10 Po m #I2 Ceiling 92-PC2 Negative 11 Po com #3 Ceika #2-PC3 Negative 12 Texture 41 Walls 42 -Tl Negative 13 Texture #2 Walls #242 Negative 1A Texture #3 Walls #2-T3 Negative 15 Glue On Formica #2 -GF Negative 16 Roofing #1 Roof #2 -RI Negative 17 Roofing #2 Roof #2-R2 Nc ativc IS Roofing #3 Roof #2-R3 Negative 19 20 21 22 23 ......... ---- 24 25 26 27 28 ® ®®N04/26,''2006 ®oe ®I® 11:31 5095351293 C Chart - C According to OSHA, and WZSHA standards, the following definitions apply: PAIGE 01/11 "Asbestos�containing material (ACRS " means any material containing more than one percent asbestos. • "Presumed asbestos -containing material (PACM) "means thermal system insulation and surfacing material found in buildings built before the EPA Asbestos Regulations concerning these materials went into effect. ® "Thermal system insulation" includes any material applied to pipes, fittings, boilers, breaching, tanks, ducts, or other structural components to prevent heat loss or gain. ® "Siirfacilag material' means material that is sprayed, trawled-oan or othervvisc applied to surfaces (such as acoustical plaster on ceilings or fireproofing materials on other structural inembers.) • "Miscellav�eot�sMaterial" means any suspect asbestos -containing material on structural components, structural members or fixtures, such as floor and ceiling tiles. A miscellaneous material does not include surfacing material or thermal system insulation. ® "Suspect asbestos-co»taitliiig material" means material that has — historically contained asbestos, excluding thermal and surfacing materials. It includes, but is not limited to: rooting material, fire barriers, gaskets, flooring material and siding. e 'Friable materials" are those asbestos -containing materials that, when dry, ca.n be crumbled, disintegrated, or reduced to power by hand pressure or by the forces expected to act upon the material in the course — of demolition, renovation, or disposal. 0426,''2006 11:91 5095351293 C PAGE 02:'11 Chart - D ASBESTOS SURVEY CHECKLIST The following is a checklist to help an AHEP.A Building inspector perform a thorough Asbestos Survey: T rn..ftlMn finnv- I Yes I NO Does your survey include... Jn5pectnr name _ Phone # ✓ Certification ## CcWfluation ex iration date Laboralmy name Address Certification # II. Survey Preparation and Building Descri 'on Have you rcvicwcd... Previous serve s Specilications Building drawings Other Have you included the buildi s-.. -- - A rotimate age Size (-,,q-:ft.) Use Number of floors Other Does your survey include... HVAC / Mecl>.3nicat 5 �xs Plumbic ipe chases Floors. walls, & ceilings - Roofing & sidin hisulation &roof►n / CauUdn& mastics, u . & znise- Other l Have you identified... Areas deemed "inaccessible" Older areas not . Have you taken the correct. number of samples...* 04%2612006 11:31 5095351893 C Chart - E Sample Asbestos -Containing Material hist • Window Glazing • Stucco • Cement Pipes • Cement Board/transit • Duct tape/paper • Furnace insulation • Vinyl Sheet Flooring/Mastic • Vinyl Floor Tile/Mastic • Poured Flooring • Pipe Insulation/Fittings • Plaster/ Wall Joints • 'Textured paints/Coatings • Ceiling Tiles/Panels/.Mastic • Spray -Applied insulation • Blown -in Insulation • Fireproofing ® Sink insulation • Packing Materials • High Temperature Gaskets • Lab Hoods/Table Tops • Fire Blankets • Fire Curtains/hose e Elcvator brake shoes ® Asphalt flooring • Paper on backside of fiberglass insulation • Erkot roofing material Laboratory fume hoods �+ Paper fire box in walls ® Fire doors a HVAC duct insulation ® Boiler/tank insulation ® Breaching insulation s Ductwork flexible connections e Construction mastics e Acoustical ceiling texture ("popcorn") e Electrical panel partitions ® Electrical wiring insulation ® Chalkboards e Roofing shingles ® Built-up roofing ® Rase Flashing ® Rolled roofing e Caulking/putties Incandescent light fixture backing • Joint c;onipound/wallboard o Brick mortar ® Vinyl wall coverings • Vapor barrier ® Cement roofing shingles o Gray roofing paint ® Nicolet (white) roofing paper e Sub flooring slip sheet 9 Mudded pipe elbow insulation PAGE 03;'11 Note: This list dose not include, evefy product that may contain asbestos. It is intended as a general guide to show which types of materials may contain asbestos. 694/2612©©6 11:31 5095351^93 na 1�{ C ASB.E.S PAGE 6411'11 TOS IN YO R OM CALL SCAPCA BEFORE REMODELING OR DEMOLISHING. Don't put yourself or others at risk of exposure. EXTERIOR SURFACES Cement Asbestos Siding Cement Asbestos Roofing &Felt Window Putty —i r INTERIOR SURFACES Sprayed -on Popcorn Ceilings Acoustical Tiles Sheet'rock Tape Mud --- Spokane County Air Pollution Control Authority 1101 West College, S"i e L 3 r Spmne, WA ?92C1 za p Q r o N e (509) 4T7-727 MISCELLANEOUS Woodstoves Flooring: Vinyl Asbestos Sheets, Tiles, and Undershoeting Old Built -In Items: Dishwashers and Manges HEATING & ,,VENTILATION \Heat —Source Covering Pipe Insulation Door and Cover Gaskets Air Duct Covering 04i'26i2006 11:31 5095351393 C PAGE 05/11 APPENDED T1 LAB CERTIFICATIONS & LAD RESULTS Company Name: Contact: Phone 1 Fax#: Email AFFORDABLE ASBESTOS 910 N take Rd. Spokane Valley, Via. 99212 PHIL BERG (509) 891-7575 FAX (509)535-1893 CHAIN OF CUSTODY Gimbal industrial Corp. 851:5 E Masa St. 1128 Mesa, AZ 852055 Phone (480)497-0280 Fax (480)497.0.540 1' 'REeriWil AlpT 1 o C'7�43 23 Turnaround Tine: RUSH 24 Hou 2 0 3Day 6Day Special lnatrucftons: Type Of lysis: PLlyl RIM (Pont Count (1000 PIS.)) PLM (Pofrrt Count 1400 pts.]) PCM , Analysis Instructions: Analpz ALL Layers C t4B3LFrat-PQM (>1%) Composite Samples Send Results Via: Fax Em II Disposal instructions: .Sefim to Client (At Clients Expense) ( Dispose of at GIC ) "Payment i`srms are Net 30 hays Palled Mune: 1 MILL a-noG Project At: - 4 , 44, ki,Q. PO#: 11t7t],r->< e' o. GIC Sample Number Client Sampre Number Locattoa and Type of Material • -or- - 3S#, Name, and Location (PCM) ! a Off r l rCr') \ff n YY1 osif Q, (l?�ra) Date & Tirne Sampled 014 -07 -O(f T I- Q Samples Accepted? V or N PGM info: ON OFF FLOW TOTAL VOL '4,9-4- i\i) � !i" s - V B 2-+ S S e� r`�5e - 7'�.r - ( • 9. `vkii L Ala Lk .'<*— f -1-- 4•=1,. a.,- ` '• , • fur e. -!1<- ( ett- 3 t ,-W 3 g- -Pc!L o rir,,A1 l- PC a) Pop �oP r,. 2 AD, - PC 3 Ar)....- -r3, P6 p rot' N. IA 3 'Via L e r- ,, . VI a..1 \exk-uv'e' i`-� eu - .4i- 7.1 , - --r1 i<14 •\P }l+t�r e. N ea 4 {0 its CIF 1u ((>- \--t)rmin 1 ,J - R L 00 k+ n9 4- L ( fr,own- Sample Collector; Reltnquisheci By: _ @ Cly Q't3r �aterilme: Relinquished By: DatefTlme: Relinquished By: Date/Time: ,t y Signature: 0 `t' U 1 - o tQ Rerelved By; Oatellitne: 1 ;;Receivaii By: Date/Time: Received By: DateiTime: c24-10-t>lr' 4804070540 Company Name: Contact: Phone / Fax#: Ernall ; AFFORDABLE ASBESTOS 910 N Lake Rd. Spokane Valley, Via. 99212 PH& BERG (509) 891-7575 FAX (509)535-1893 Phone CHAIN OF CIbSTODY Global indust a1 Corp. 6518 E Main L #128 Mesa, AZ 95205 (480)497-0291 Fax (480)497-0549 Turnaround Time: Type Of Analysis: RUSH 24 Maur ay:::) 3 Day 5 Day 5peclai Instructions: Pao, -a PLM {Point Coual (1000 Pts.)l PLM (Paint Count (40OO Pts.] PC1t9 r Analysis Instructions: Ar tpa ALL Layers Stop at rad POS. (>1%) Composite Samples tri 1 ,. Send Results Via: Fax Emal3 Disposal lnstruc1ions: Return to Cilent (At Clients Expenee) ➢1ap'asa uP at Sample Collerlar: Relinqu1shed By: (' $X0 (LI t } Relinquished By: Relinquished By: Slr urez( Datefiime: ()4 -117 -06 :Received ay: Date/Time: y -it) -04' GatExFii�t� Received By: DatetTIma: Dale/Time;:Received By: Date/Time: Project Name: GIC • _ tLR an Project 44: -5 d Se//77,0 Sample Humber Client Sample Nisnber Location and Type at FrTatarfal -or- SSA Nana, and Local'®n (PCM) : tate & Time Sampled 6,1`t _07 « Samples Accepted? Y or Pi PCN Info: ON OFF FLOW TOTAL VOL - 2 - R) Rooe rt At %r ) --©1-R Rioc-6n 3 Gr n) 1 1-.)6 ------_-_:- Sample Collerlar: Relinqu1shed By: (' $X0 (LI t } Relinquished By: Relinquished By: Slr urez( Datefiime: ()4 -117 -06 :Received ay: Date/Time: y -it) -04' GatExFii�t� Received By: DatetTIma: Dale/Time;:Received By: Date/Time: 04/26:''2006 11:61 5095651896 C PAGE 0^0%11 ol/12/'2006 12:19 FAX 4804970540 GIC ��- �j,� t� iia ,;� 1i �r ,,• ..:,co ,,,:�� KraClient: WPM AFFORDABLE ASBESTOS Fiepori iF: 06 6160923 Date of Receipt: 4/10/2006 Report Date: 4/12/2006 Project; MIKE MANOS Date of Analysis: 4/11/2006 14324 E 4TH AVE HOU5E DEMO Sample Material Client #' I„oeatlon Description . Detection composition *2apg 9aUttoom Wall Tia Adhesive. Yellow None Detected Non Fibrous 100% 92 -VB Bathroom vinyl, Tan None DatWed Cellulose 20% layer 1 Non Fibrous 60% 0WS Bathroom Adhesive, Yellow None Detected Non Fibrous 1009/0 Layar 2 92 -TM Thr, Out Mud, White None Detected Non Fibrous 1001/0 #2 -SR Thru Out Sheetrock, White None Detected Cellulose 10% Non Fibrous 90% #a.vvT1 Wall Texture, Tan None Detected Non Fibrous 100% a#2•WTP Wall Texture, Tan None Detected Non Fibrous 100% oz -W» VVVI Texture, Tan None Detected Non Fibrous 100% 2•PC7 Popcorn, WI -lite NDnc Dete-ct� Cellulose 1% Non Fibrous 99% v2-PC2 Popcorn, White Now Ntecte❑ Cellulose 1% Non Fibrous 990;10 #2•PC3 Popcorn, White None Detected Cellulose 1% Non Fibrous 99% 6615 E Main St Safte 128 Mesa AZ 56206 Phone (490)497-0280 Fax (488)497-0:40 N12AP CODE 200670.0 Page 1 04;'26;`2006 11:31 50953510193 C PAGE 09/11 04/12/2008 12:19 ,FAX 4804970540 SIC q&j uuf. Sample Material Client # Location Description Detection Composition A2 -T1 Wall Textwru, Tan CEtrynotile <1% cellulose 1 Non Fibrous 93% 02-T2 wall Texture, Tan chrysotile 0% Cvilulose 1% Non Fibrous 98% 02 -TS Wall Textum, Tan Chrysotile <1% Cellulose 1"/0 Non Fibrous 93% i72 -GF On Formica Glue. Yellow None Detoctad Non Fibrous 100% 97"R1 Roof ROofig, Brown None Detected celluloso 200/6 Non Fibrous 50% 12-R2 Roof Roofing, Cray None Oemcied Cellulose 20% Non Flbrous 800/6 #2-R3 Roof Roofing, Grain None Detected Cellulose 20% Non Fibrous 80% ASBESTOS nTE9: Chrysotile, Crocidolite, Aathophyllite, Tremolite, Amasite, Linolite The samples listed above were suspect of containing mbastos. A rclult of "Non Delccl" means A thorough starch using appropriate rte8n111ue% WAR conducted and no typr of nsbe5tos -sty discoverod..rmples snbmlttcd to this facility will be disposed of union the client requests the samples be returned_ Report,% will be arablved r a period of no more than 3 yens. The analyels performed Is in Aecordan" with LPA 600IM4-87-020 with a detection limit of 1%.est MOOS appiY %Illy to the 32mplessubmitted. It is not our policy to di9tneute the eastalner's inforiaAtion withoilt E110 written nsont of the cuntomiar. The teat report shall not be reproduced except In full, without the written appruvA of'the laboratory, Shawn Kearney Angela Kearn6y — Laboretory Airector Pra9ldent 6515 E Main St Suite 28 Mesa AZ 85205 Phone (480)497.0 BO Fax (480)487-0540 NVLAP COD 200670-P Page 2 06 -GIC -0923 04�26�2�06 lI��I 5095351893 C P -"-GE l0/lI APPENDIX _2 INSPECTOR CERTIFICATIONS iSao I W.r.; • SF s vi\`i tf - ,1`q -J 4,477 CERTIFICATE OF COMPLETION PR+ ESENT5D ®Y.' COLE AND AssoCIAMS, TEAMIING AZID C© SULTING, INC. THIS IS TO CERTIFY THAT I +BERG 2e l Z PENtNsth ADX. N. Newman LAKE, WA 89025 HAS SUCCESSFULLY COMPLETED THE ATCs EUILDIINEG NEP21CTOR as required by 40 CFR 763, Subpart E, Appendix C STARTING ON WEDNESDAY, OCTOBER 26, 2006, AND - ENDING ON WEDNESDAY, OCTOBER 26, 2005, ;IN SPOKANE, WA. 1 ' TRAINING hUNISTRATOR ...47THAI MG. DIRECTOR 350 05-22-04 • 10!2612006 _ CERTIFICATION NUMBER . DATg O= EXPIRATION Cole & Agoeialas, Training & Consulting, Inc., 18.00 72nd Avenue SS S. utte Keit, WA 98432 ,425) 793.5505 Psi (425) 793.5552 1 -$77.155 -SEAR k 1-885-4148008 visvw.ctc@car.caa r �...-rxs _.�:.•' II,., Yl1x.,.o•w�r�. aI t7 t77 r m 74 98TO 932 sag 900Z/9Z/b0 w F-' E68ISES605 -13 m