HomeMy WebLinkAboutPermit File BLD-2020-0245 1509 10th Street City of Anacortes
Invoice/Permit #: BLD-2020-0245
904 6th Street
Applied date: 05/05/2020
P.O.Box 547 issue date: 05/05/2020
:: Anacortes, WA 98221-0547
1891 Expire date: 04/30/2021
,, 1: (360) 293-1901
Job Address: 1509 10TH ST Permit Type: Residential Demolition Permit
ANACORTES WA 98221-1925 Project:
APN: P55825
Remarks: DEMOLITION OF AN OLD GARAGE ON PROPERTY. IT'S ABOUT 342 SF. MATERIALS WILL BE RECYCLED WITH
LAUTENBACH.
Owner: SCHEETZ MAUREEN K Contractor: MICHAEL'S STONE AND WOOD CREATIONS
Address: PO BOX 1717 Address: 12150 HAVEKOST RD
ANACORTES WA 98221-6717 ANACORTES WA 98221
Phone: Phone: (360) 202-2777
License #:
General Information: Fees:
Dwelling Units 0 State Building Code Fee Resi 6.50
Demolition permit 60.00
Total Calculated: 66.50
Deposits/Receipts: 0.00
Total Due: 66.50
6 V2.
• 6— .,_TA n 155-d e-s'
The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of
the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or
granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or
federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be
valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this
jurisdiction or any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of
the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,
inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or
decision of the Governor. This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction work is
suspended or abandoned for a period of 180 days at any time after work is commenced. I have read and exam' is application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED
. X . Cityof Anacortes In ."°' .'n__-_-< - _
,..:- .: .. ,
;�►�`;; #o BLB 2024 0245_
904 6th Street e o 05/05/2020
''. P.O.Box 547
: 05/05/2020
; Anacortes, WA
~¢ 1891 -�M f.•.y •:.�., ,r m: 04130/2021
•1 (360) 293-1901 -�"� °- ,_
, tt -`e j trey -'2r
Job Address: 1509 10TH ST I s� volition Permit
ANACORTES WA 98221-192! P1. + ►
\4111011rit:V/
APN: P558254<1C 0 St,
Remarks: DEMOLITION OF AN OLD GAF _S WILL BE RECYCLED WITH
LAUTENBACH.
Finance Department
Owner: SCHEETZ MAUREEN K E AND WOOD CREATIONS
Address: PO BOX 1717 020171 -0048 Erin W . 05/06/2020 04:04PM RD
ANACORTES WA 98221-6717 PERMITS AND INSPECTIONS 98221
SCHEETZ MAUREEN K
Phone: BLD-2020-0245
Residential Demolition
Permit
General Information: DEMOLITION OF AN OLD
Dwelling Units o GARAGE ON PROPERTY . 6.50
issued 60.00
2020 Item: BLD-2020-0245
State Building Code Fee ted: 66.50
Resi 0 50pts: 0.00
Demolition permit
60 .0o ue: 66.50
Payment Id: 281451 ____.... ..-.._...... .-..._.. -
66.50
66.50
fll ,- cI! .A Ph rigt.ai 66.50
O3FTN DEBIT NOT FEE 66 ,50
V'i sa ****: *** **6556
Ref441907454555
Auth=0B0455
6556
1
Change due 0.00
p0
The issuance or granting of this permit shall not be constru Paid by �� �Z rills+ N `' or any other ordinance or order of
the City, of any state or federal law, or of any order, procla ate. To the extent the issuance or
granting of this permit is interpreted to allow construction a+ 'bited or restricted by any state or
federal law, or order, proclamation, guidance advice or de f prize such work and shall not be
valid. The building official is authorized to prevent occup, t1141411111111111111111111E11111111�����������'I !ny other City ordinances of this
jurisdiction or any other ordinance or executive order of the n, guidance advice or decision of
the Governor. The building official is authorized to susper ror or on the basis of incorrect,
inaccurate or incomplete information, or in violation of any + order, proclamation, guidance or
decision of the Governor. This permit becomes null and voi, 30 days or if construction work is
suspended or abandoned for a period of 180 days at any tii 1.b • i �i�l9r v �.�..n...-.---.. .__. __.�_. ..._ pplication and know the same to
be true and correct. '
Thank ;you for your payment
SIGNATURE OF OWNER OR AUTHORIZED AGENT COPY
DUPLICATE RECEIPT
-g r PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEP T
- Mailing Address: P.O. Box 547, Anacortes, WA 98221 �(
e _ Office Location:904 6t"Street, Anacortes WA 98821
° - `' Phone: (360) 293-1901 MAY 0 1 2020
DECONSTRUCTION/DEMOLITION PERMIT APPLICATION EP
1. PROPERTY INFORMATION
Project Address(Street,Suite#): Assessor Parcel Number:
15-0 .- /0 .1" 4� i 55`g 2 5
2. TYPE OF STRUCTURE
'Single Family El Multifamily,#of Dwelling Units ❑ Commercial/Industrial
(Other Use Type:hed /
❑ Duplex 4:re"°;_ci ❑ Underground Fuel Tank
3. STRUCTURE INFORMATION
FOR BUILDINGS:
Description of Work: Size of structure: 3 f Z sq.ft.
��►�tfish Pe7C,,bRed >e
Method of Disposal:ezl - ;•f-f-, Date of original construction of structure:
Historic Resources Information:
Is the structure listed on the City of Anacortes Local, If identified prior to demolition, are you willing
State, or National register of historic places? to salvage from the structure historically
❑ YES* NO significant architectural features?
Designation: LAY
*If yes,SEPA review is required prior to issuing a demolition permit. ES ❑ NO
Note:Check with the City of Anacortes Museum and/or the WA State Dept.
of Archaeological and Historic Preservation's WISSARD system to answer
this question.
Utility&services disconnection I interruption information 7\eVil
------------------
Identify which City services you would like to disconnect/stop:
Water ❑ Disconnect ❑ Retain Storm ❑ Disconnect ❑ Retain
Sewer ❑ Disconnect ❑ Retain Garbage j ❑ Discontinue ❑ Retain
For private utilities (gas, electricity, cable, etc.),you will need to contact the applicable companies if their
services are to be interrupted or disconnected.
FOR UNDERGROUND STORAGE TANKS: TV/#14-
Decommissioning type:
❑ Abandonment in place (Fire Dept.Approval required) ❑ Removal
Date of pump & rinse: Disposal Location:
Type of inert fill:
Approximate age of tank: ICC Certification#:
Deconstruction/Demolition Permit Application Submittal Checklist
Updated October 9,2019
Page 3 of 4
‘1'y 0 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT_ ,
Mailing Address: P.O. Box 547, Anacortes, WA 98221 ! 11 1
-6,,
Office Location:904 6th Street,Anacortes WA 98821
11 0 Phone: (360)293-19010
MAY Q 1 2020
DECONSTRUCTION/DEMOLITION PERMIT APPLICATION - EP
1. PROPERTY INFORMATION
Project Address(Street,Suite#): Assessor Parcel Number:
5-0 7 .— /6 .r1.4 S ��j 2
2. TYPE OF STRUCTURE
Single Family ❑ Multifamily,#of Dwelling Units D Commercial/Industrial
L�
❑ Duplex Other Use Type: ❑ Underground Fuel Tank
3. STRUCTURE INFORMATION
FOR BUILDINGS:
Description of Work: Size of structure: 3 9Z sq.ft.
O 3Ofish AfQ,��ied Crew eLs€ -
Method of Disposal:,,efl. Date of original construction of structure:
Historic Resources Information:
Is the structure listed on the City of Anacortes Local, If identified prior to demolition, are you willing
State, or National register of historic places? to salvage from the structure historically
❑ YES* LTNO significant architectural features?
Designation:*If yes,SEPA review is required prior to issuing a demolition permit. �—Ly YES ❑ NO
Note:Check with the City of Anacortes Museum and/or the WA State Dept.
of Archaeological and Historic Preservation's WISSARD system to answer
this question.
Utility&services disconnection/interruption information
Identify which City services you would like to disconnect/stop:
Water ❑ Disconnect ❑ Retain Storm 0 Disconnect 0 Retain
I `
Sewer j ❑ Disconnect 0 Retain Garbage ❑ Discontinue 0 Retain
For private utilities (gas, electricity, cable, etc.),you will need to contact the applicable companies if their
services are to be interrupted or disconnected.
FOR UNDERGROUND STORAGE TANKS: ryl/o'
Decommissioning type:
0 Abandonment in place (Fire Dept.Approval required) D Removal
Date of pump & rinse: Disposal Location:
Type of inert fill:
Approximate age of tank: ICC Certification#:
Deconstruction/Demolition Permit Application Submittal Checklist
Updated October 9,2019
Page 3 of 4
os? 1--
r z_
ASN 4 ASBESTOS WASTE SHIPMENT REPORT FORM
PLEASE PRINT OR TYPE! If you have any questions, contact your local DEQ Regional Office in Portland�` 2g'�5` { ' y�
at 503-378-8140 ext.272, Medford at 541-776-6010 ext.235, or Bend at 541-388-6146 ext_226. OR call 8Q0-452-401Tfot'theioca /
of your local regional DEQ office.
�;-- 1 SAY � l 20� ��:��'�
WASTE GENERATOR: (Contractor, Facility, or Operator) 'residential 0 Commercial job#0
Asbestos removal site name and address: )51,i9 _��= � . I, R.- � 'TY OF ANAC01; ; q
0
Street/City/State/ZIP/County
Contact person/phone: j/t'eJ< CL3&0)�1!�- ± g i
2. Operator's name and address: Environmental Abatement Services, Inc. Phone:360-755-1085
PO Box 2503/18365 W. Lincoln St. Mount Vernon, WA Skagit 98284
Street City/State County Zip
3. Waste disposal site: Northern Wasco County Landfill Phone:541-269-4082
250 Steele Road the Dalles, OR Wasco 97058
Street City/State County Zip
4 Describe asbestos materials: 0
5. Containers: Number: / Type: (c-/i?o, ,
6 Total quantity(cubic yards): ;e/
7 OPERATOR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and Accurately described
above by proper shipping membname and are classified, packaged, and labeled,and are in all repects in proper condition
for transport according to all government regualtions. All movement of this asbestos-containing material is recorded on this
Waste Shipment Record Form.
Name:Catherine Marquez Company:Environmental Abatement Services, Inc.
77
�
Signature �'� Date: O '
1
TRANSPORTER(S):
8 Transporter#1: (Acknowledgement of receipt of materials) a
Agent: Company:D&B Trucking
Address: 1905 E lincoin Ave.Tacoma,WA 98421 Phone:253-383-3826
Signature: Date:
9 Transporter#2:•(Acknowwledgement of receipt of materials)
•
Agent: Company:
Address: Phone:
Signature: Date:
Disposal: (Cet6ficaton of receipt of asbestos materials covered by this manifest, except as noted in item 11 below.)
10 Waste Disposal; Site:
Name and Title: Date:
Signature: • Phone:
11 DISCREPANCY SPACE:(Add attachments as needed)
-loherit H. Welch
IEnvirronnnenttal/Safety Management Training & Consulting
ilp 11 (t T r \17 ,F)1111'
MAY 01 2020
April 7, 2020
?TY OF ANACORTF
Ms. Maureen Sheetz
1509-10th
Anacortes, WA 98221
(360) 299-3781
Dear Ms. Sheetz:
This letter and the attached documentation will comprise the Asbestos Inspection Report
for a single-family residence detached garage located at 1509-10th in Anacortes, WA.
This structure was built—1950.
On April 3, 2020 I personally conducted a limited inspection of the above-mentioned
property for the specific purpose of identifying the presence or absence of asbestos-
containing building materials that might be in the path of a planned limited demolition.
In addition to conducting a visual assessment I collected samples of a `suspect' nature for
having historically contained more than 1% asbestos.
The only area inspected/sampled was the detached garage (no sampling was done on
the residence). No other areas/materials were sampled.
Collected samples were delivered to an accredited laboratory by U.S. Mail for analysis by
Polarized Light Microscopy (PLM).
Samples collected included the following:
Sample# Homogeneous Area Location Asbestos
MS-001a Roofing Exterior ND
MS-001b Roofing Exterior ND
MS-002a Wallboard Interior ND
MS-002b Wallboard Interior ND
MS-003a Window Putty Interior/Exterior 3%
MS-003b Window Putty Interior/Exterior NT
MS-004a Vinyl Sheet Interior(loose piece) ND
ND: Non-detect for asbestos.
NT: Not tested as the first sample in that series tested positive.
Summary of Asbestos-Containing MlatterriaJis (more than 1%)
The Window Putty at 3%.
Conclusion:
The only asbestos-containing material found in/on this structure was the Window
Putty.
Any building materials found to contain more than one percent asbestos are considered
`Asbestos-containing materialszin-accordance-with Title 40 Code-of Federal Regulations
(40 CFR), Subpart M, Section 61.141 and typically must be removed from a structure
prior to any demolition, renovation or remodeling that would disturb those materials.
Laboratory reports, laboratory certification and Inspector Accreditation attached.
It is understood that the purpose of this inspection was to accommodate a demolition of
the structure (detached garage).
This will conclude the Asbestos Inspection Report for the detached garage located at
1509-10th in Anacortes, WA.
Sincerely,
Robert H. Welch,
AHERA Building Inspector
A copy of this report must be on the premises during asbestos
abatement and/or demolition activities.
4017 Ridge Way Mt. Vernon,WA 98273 (360) 333-7500 rhwelch05Aamail.com
i
F
Seattle Laboratory:
aboratory: 4500 9th
Ave. NE, Suite
u<te 30 t1, Seattle, WA 98105,. Tel[. 2N .f ? >. 1 ! II , Fax: vr L 6 33 .4Z 47, NV APLat Code: 20 105v
.0
a'At• r.• ,. h, . l >. :•9s'• }r. . ♦ a:i:£ y�r' •< 6 sb t ', }a •.••q•..a•• ' ,,. :
��< Yt v�f•.r£. fjt�tf:..t;'>..13..�i�,.. .r��:.)t. •...�3f'f :, ::..c��f£fY' �3'�f:rt; -1tt�{' %� "»•,xA}:..
Pfc jest fvial;%i Aei : Robert Wet ch [Date Analyzed: jfif8121i20
client: R . H . Welch Client Maureen Sheetz
Address: W
4017 Ridge Way, Mt. Vernon, WA 98273 Project je4 ,, , 1509 9 1001 An3C0I'll3S,WA987, 1
€el : n0 .333 . 7500 Laboratory ba tch : 20201 )872
S(irrples Received : iY
Enclosedplease fit d ♦he r x h t y 3
the test results� •{. the bulk samples
! submitted � ♦♦ ,• � 1...` .,. � < � .•a
,..3e, w�a� �a a�3t' .A..taFl� ,.<:;�t�l•1�3 f�:<:� to �3�.,�' laboratory �?'3t'� asbestos analysis , .t-`�t :�,� � was
performed
erfo2med using polarized light
ig t microscopy (l.,M ) in
acco
rdance with Test. Method US EPA
•• 40 C R. Appendix
ppendav 17 of Y a t
•jf">a' Interim
Method �' f.£b d 5 Zr b of Asbestos
in � ' Samples Y£:<!. .., ). f' g US 3" ��;'.� �`i /" i
f 633 : lnta r fa �3 of Deterniina€ton < \sbestos Bulk insulation S amples and Test Method PAr6ODIRM3i 1
Percentages for this report are done by visual estimate arm relate to the suggested acceptable error ranges by the
method . Since variation in data increases as the quantity of asbestos decreases toward the limit of detection , the EPA
r� C @ k containing
sl e\ asbestos
f\ � <'� CFR •t
recommends point counting for samples conta€ning between < 1 <c3 and '10% asbestos ( l\IESHAP , 4 CFR Part 6 ; .
Statistically,y, point counting is a more accurate method . It you feel a point count might be beneficial : please feet free to
halt and request one.
The results refer only to the samplesitems submitted and tested. f f e accuracyw, \ 5 which these samples
test t �� aly or submitted > . � with � is li�� �f
represent the actual materials is totally dependent on the acuity of the person Who took the samples , This report must
st
not be used 2 r the • i-a� 3 •\ � -a }^' >^ r•• certification
< '� a.rZ approval ,
i � A"
used b�< the client toclaim roduct certification. a proval , or endorsement by Seattle Asbestos Test , l...1... , NVLAP,
Y iS, ,. or any, agency
( �rc t of the
Federal
{ fa government . Thetest report or calibration certificate shall not be reproduced except
in fall, without written approval of the laboratory.
s report is highly confidential and will
; l not be released without your consent . Samples are archived for 30 da
ys after
the analysis, and disposed of as hazardous wastethereafter,
thank you for using our service and let us know if we can further ziss st you .
Sincerely
. , •
Steve (Fanyao) Zhsng
President
,.. J...,•.'. . ....Jr/A I .Y..„ -Y•.
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1
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Ff tir>i2I .giV:;f novil t
ANALYTICAL ICAL LABORATORY REPORT
PLM by Method EPA 600/ -93111 $
ARP.; r' JY : )<• S ; ! Welch
^ +f Ridge
> J v e >� t I f e A `, � 2..
f��i'. .. Robe • , Welch i�E�,'?1 ��tL'ttg/ H. �"' . �L�.�f:•2S:R; >'��� ! f l4 , t �' Way,\I �f ' Y c< -i
Job Mau m i Sheet'% F atcJh#: 202019872 €r`= to Rece.ivvd: 4 ;6/20 20
Samples Rt• d: 7 Date Analyzed; 4/6/202 i:Sf33pks Analyzed: 6
?mint Loc.: 1509 10th Ana€ior1esNAL982 1 f i v.ottJJ ,
•.:W WNIMAVnWa ..1..«�A.Y/NI • wV v..11:nvA, �{
ij) ?f 7 • i •.J .r ; .) >y: <^<. . > :.,.. »n!. ,•. i� f.`•li ,!
.<Z: �[.'-l. : �' •.Fv ; s"ff. �. .a :`;. 'Y4!, a :v . s♦. :2. •./ :d'.'r�l:.<'i' f.}..r. )'
).........•.•.«/r......fl yu.,.NN'mr ..+......N..........................v......-.... .v..'/,.nr,/xNy
Lab1' . • !.. `: t^ • iJ, p.re ' - e: t t , 3 � . "` Icy• sT •1 <; + • i. eh.. J.<
i ` E s?£'i ?f2', ?. E.. : S ' F E )�/#ir3;t€ 3u £ fa �f?frl '«s Fibers 3 ifl > T' 3i E E. . j3� I i„ `itv.s Fiber!?
(( .. •; : C; �?• L L ! .. t .?• e,',: £�?:lC3 s,f p !:. ic1f.£'.!
�.-•..,•H..AL ,.0 .....e... f N.J.AYA.»V. N,...... o..................._....w... .........•1....««,»www..... ««nw...Ynr.Ilx. t• .«,.1./•••/rr,Aax ..........::A•.L
alali Asphalt/binder, r
' 25 Glass s fibers
{ f rr ate:riat with sand detectedI Sand
Nt Black
2{e •• e` asphaltic
}fj�Ojam'){ [512{- _A....wet ... l /Il,. ,LIQrrl t'.,Y:.Y.NN1M A!VH/AVJJ.%w ..«...a.
' / •...........0.« . • • . . f V \<Ji '�l� Lr, \M1E/'{ nW \\ 'W M...N«W. ..v F .. .
_imaterial with on . # Glass fibers
i1 bi € -f
a {
' fibrous material detected Filler, paint Cellulose
and paint f
I.. WIrP?, fleet.W V A-.:L,•.<L.NNN„ . L_-n 1 •YM «««..«.... ..�.«w w.w,v'•Y•viv . u• loVu V. _•ww...
s Black asphaltic j None As b lbinder ,• fibers
material with sand _ detected Sane
l
• M1. ... ..•• . .. PyNf ' NNN1u .r WIYH/Nl/A1 }j) ,ooq..•»•\M+..
el) C' /,r .< . Blac;k< asphaltic €
e: ft. ; � 3 j ,t .t 1 '.1
►'rtater€a) with I None Asphalt/binder, r, .s Glass fibers,
i fibrous material € detected Filer, pain I i Cellulose
� r � •
3
I and paint F
N,Y.N\YNi±«".. ,»Vr/r A»\N.»< ..«•«.v......__.•.-.....•�•�r.y«Iw,.;- •.w I .w'WAY.MVA l/lrM<. .y .s_a...------...n rn:.+ .
_ White chalky e f €
} �{a` . 4 if ft r None 3 t f { f £iT n Cellulose, Glass.) f tvIS ' .i02a '` f b' t 3 •.% i F Tn s 1 „ f
L i
! i c c material with
� • •Y. .e £ � J f i •�'\ ;� � 8 > ! ! f:.LY ` r•,
t �» . « . .« « ma e .« Y l . !fit. 1 : 1 € etect a lkt _I � : b= € a er fibers
Fr
_ ..__ w
1 .»\O.•(MA.«`.A••,.. chalkyA/MwrfN•IMMMM MN„ ' None
�`�• $'�',�t - v, 9[<''�t y]"'t �' f}{ { /• ;1 �� i( 2
I �'" f� {r?j. t White I N n € Binderifi l �rr< w....»A. { / +` ...5 h 11 ul se . A. .:) ff2\ss
A4 2s ...002f.t t F i ]7Ci ; F , A j +,J.;
material with paper t ,>• ••eect .\ t[ 3 € t� rif !r w.... i 'r<\ _ _' _.._..... . . .• AV" /A'AL:V:.:.t..........I......«.•. V K fit,.« Y �Y ./♦lC N J „.! � V.... � .•�V�� 1 Y \I •.?
G\ r f I'd vi Yt( it brit le V.2 • f••• ' ) t•
a MS-003a i . 13 I Chr sotile Filler, Binder, Paint 2 Cellulose,
Lmaterial with paint
..v V.•V/vlN/N'A':d A•1.•M1!•l!V V.V.VIlrNLSN,YC.Y:.::::.Yh '" •\!'A•l \\N\M\w,w.•..a.. p WxfIJN PIPMAI/AR.YA S. ' •.e MYM•
Sample1
! a n a /ze€
l f
• ' •.•w..._u....•W..•- • yrynwJJ/• • \ IIAYNYA»„AWAV"•.•.N t _
'} y.... l v.L.N vinyl
s y� +•� ««.. ! ...Y..{ �^N.,N....«... ,»,.W.JA,»N».•« ... .
£/ I
f 1 1 Beige sheet V ii y J "^ '+.al £ i d i 2 bi �ef S None.) detected
r d
i sheet
i � � s } � :5�2� i� \ #\ tea• F l�lE.�iy i.r i..E� iS:I L.ct�J
7 j 1 m A { etect _ ... L
{ }}�� �-JJ�� ,# ...........r�,�•«.« ..{wwN//rrrrlNlANL.\.n•..«•••.•••••••••.•..f....i..VnM.,u -4— A.
{} #'fi�� '.< « �ll. Gray y f i r t <. S)i �•
-
€ >material
► tl p j t Not , I
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Definitions
AHERA Inspector: EPA credential required to conduct Asbestos Inspections. Credential must
be current as of the date of the inspection.
Asbestos: a natural occurring fibrous, crystalline mineral. Most common forms are Chrysotile,
Amosite and Crocidolite (also, Tremolite,Actinolite and Anthophyllite).
BOSH: Also referred to as`Labor and Industries'. Requires-asbestos inspections prior to-any-
demolition, remodeling or renovation.
Friable Asbestos: can be crumbled, crushed or pulverized by hand pressure when dry.
Fair (condition): Some damage and/or not totally in stable condition(less than 10%evenly
distributed or less than 25%localized damage).
Good (condition): No (or minimal) damage and/or in a stable condition.
Homogeneous Area: Type of material based on size, color, shape, application. Samples are
collected based on Homogeneous Area...regardless of how many locations 'it' may be found in.
LCAA: Local Clean Air Agency (also requires asbestos inspections prior to demolition,
remodeling or renovation activities.
M: Miscellaneous (one of 3 Asbestos Categories, usually non-friable). Examples include:
Floor Tile, Roofing, Cement Asbestos, Wallboard,Vinyl Sheet, Window Putty, etc.
SM: Surfacing Material (one of 3 Asbestos Categories, usually friable).
`Popcorn', Attic Insulation, Plaster,Fire Proofing, etc.
TSI: Thermal System Insulation(one of 3 Asbestos Categories,usually friable).
Pipe/Boiler Insulation,Attic Insulation, etc.
NF:Non-friable. Breakable, but not easily or pulverized ulverized by hand pressure.
ND: None (asbestos) detected...as in the laboratory process.
NT: Not tested(as when the first sample in a series has tested positive).
PACM: Material that is presumed to contain asbestos. Even if not tested, it must therefore be
treated as Asbestos.
Poor(condition): Not intact, falling apart or already in a damaged or friable condition(more
than 10%evenly distributed or more than 25% localized damage).
Wood, Glass and Metal should NOT be sampled/tested.
(OF,,,,,,,,,y
a) National Voluntary o '`of it
["I1VitrA Laboratory Accreditation Program '3 IL.i. :
p'4rlsof•
SCOPE OF ACCREDITATION TO ISO/IEC 17025:2005
Seattle Asbestos Test Seattle
4500 9th Ave.NE, Suite 300
Seattle, WA 98105
Mr. Steve(Fanyao)Zhang .
Phone: 206-369-6421 Fax: 425-673-9810
Email: admin@seattleashestostest.com
http:llwww.seattleasbestostest.com
ASBESTOS FIBER ANALYSIS N /LAP LAB CODE 201057-0
Bulk Asbestos Analysis .
Code Description,,;-'
I8/A01 EPA--40 CFR Appendix E to Subpart E of Part 763, Interim Method of the Determination of
Asbestos in Bulk Insulation Samples
18/A03 EPA 600/R-93/116:Method for the Determination of Asbestos in Bulk Building Materials
•
( >04. 1
•. For the National Volunta L borat Accreditation Program
Effective 2018-07-01 through 2019-06-30 Page 1 of I
United States Department of Commerce
National Institute of Standards and Technology
. . Accreditation '17025 :2005
Certificate of
NVLAP LAB CODE: 200768-0
Seattle Asbestos Test, LLC
Lynnwood, WA
is accredited by the National Voluntary Laboratory Accreditation Program for specific services,
listed on the Scope of Accreditation, for:
Asbestos Fiber Analysis
This laboratory is accredited in accordance with the recognized International Standard ISO/lEC 17025:2005_
This accreditation demonstrates technical competence for a defined scope and the operation of a laboratory quality
management system (refer to joint ISO-ILAC-IAF Communique dated January 2009)•
Q.4e1 OF coat,"
•
2018-10-01 through 2019-09-30 u V
Effective Dates yFo For the National Voluntary Laboratory Accreditation Program
��
SATES OF
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FfCertificateof Completion
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This is to certify that on
r,,` July 10, 2019 `.
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= RobertH. Welch
,, Did attend and satisfactorily complete the training requirements in accordance with _ �a
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``;'' Missouri State RSMo 643.230
s.s" a'; For designation as an '
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Certificate No. RHW-BIR-19-141 ,..',, u
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= July lo, 2020 , �`
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