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HomeMy WebLinkAboutPermit File BLD-2022-0074 2307 37th Street (2) Asbestos Inspection Northwest 20675 State Route 534 Mount Vernon WA 98273 425.443.2031 Survey No. 3.30.21.1 Today's Date: 3.30.21 Client: Craig Bergfalk Email: craigberfalk@gmail.com RE: Asbestos Survey: 2307 37th St Anacortes WA On March 25th 2021, I inspected a single story residential building(828 sq ft) located at the above address,for the purpose of determining the presence or absence of building materials that might contain asbestos. The purpose for the survey was for demolition. Only the materials listed were sampled and tested. No other materials were sampled. Title 40 Code of Federal Regulations (40 CFR), subpart M, section 61.141, established the allowable limit of asbestos in building materials at 1% by weight. Materials containing more than 1% asbestos are regulated and must be handled in accordance with Federal, State, and Local regulations. Surveys are based on "visible and accessible materials" and although reasonable effort was made to locate and test all suspect materials, some suspect materials may remain hidden in walls or below floor underlayment or other areas until demolition or renovation work makes them accessible. If other suspect materials are discovered during the course of demolition or remodel activities, they will require testing prior to continuing work. All square footages are estimates and should be verified by a contractor prior to bidding. #13 BULK SAMPLES were collected, and #12 samples was subsequently analyzed for asbestos content by Polarized Light Microscopy(PLM) at CEI Labs in Cary North Carolina. Samples HM2 (white multilayer kitchen vinyl with square pattern, 25% chrysotile in vinyl, 2% in mastic), HM 3 (beige bathroom sheet vinyl, 25% chrysotile in vinyl, 2% in mastic), HM 5-2 (drywall with heavy troweled on surfacing texture, 2% chrysotile in texture, none in drywall, noted in utility room/bedrooms walls and ceiling) and HM 7 (painted green cement board siding located on exterior SW corner and South end of home, and additional unpainted pieces found under gables on east and west sides of home by roof edge, 10% chrysotile) were positive for asbestos. These materials will need to be removed by an abatement company prior to demolition that would otherwise disturb said materials. This letter along with the attached material list and lab report will comprise the "Asbestos Survey". Please call or email if you have questions. All the best, Douglas Boze AHERA Building Inspector Certification # 178366 (expires June 24th, 2021) Enclosure '77. �. -\-,-- -,. .,..,,, \ '�.I , \ ,1 1 \, 1 \ 7 ,, if� \ \ / � _ \, f I1 ti� �i C ( `'� lagEtT. -. :-.N':::‘ 4___ '` _ �l s� ,�:_ 1; y - . lit ] a _, �La _ f. l. ' j \ 7,/ ti �� ,,- ::-.‘.,, Certiftrate of omptetton ..... ,. ., \ i ,,--, .„ . c I� .i 7,,:, This is to certify that Douglas E . Boze it,,,/ \ ,,,,, t.,: has satisfactorily completed ' ' 4 hours of online refresher training as an 7 \ ` AHERA Building Inspector I ).( • ,.._4.-__:., - ' ' to comply with the training requirements of "' TSCA Title II, 40 CFR 763 (AHERA) 1�� ` 178366 `\ EPA Provider # 1085 Certificate Number D Jun 24, 2020 Expires in 1 year. , s ARGUS n Dates of Training 9 :k /v ) ` TRAINING•CONSULTING n _aii,44,_ nlrerr,conCOMPANY Exam Score: N/A (t (if applicable) Instructor: Sue Maas ARGUS PACIFIC,INC/21905 64th AVE W,SUITE 100/MOUNTLAKETERRACE,WASHINGTON 98043/206.285.3373/ARGUSPACIFIC.COM � \ w l (.... -�Y`'i li' '�,-Y, _ - ‘�i 71�,, `� ,.yam ...- _. - - `- j ` .1 tiff eurofins CEI March 30, 2021 Asbestos Inspection NorthWest 20675 State Route 534 Mount Vernon, WA 98274 CLIENT PROJECT: 2307 37th St, Anacortes CEI LAB CODE: A213474 Dear Customer: Enclosed are asbestos analysis results for PLM Bulk samples received at our laboratory on March 29, 2021. The samples were analyzed for asbestos using polarizing light microscopy (PLM) per the EPA 600 Method. Sample results containing >1% asbestos are considered asbestos-containing materials (ACMs) per EPA regulatory requirements. The detection limit for the EPA 600 Method is <1 asbestos by weight as determined by visual estimation. Thank you for your business and we look forward to continuing good relations. Kind Regards, ,t,0 6=1-- Tianbao Bai, Ph.D., CIH Laboratory Director NVLApTESTING NVLAP LAB CODE 101768- 730 SE Maynard Road • Cary, NC 27511 • 919.481 .1413 % eurofins ASBESTOS ANALYTICAL REPORT By: Polarized Light Microscopy Prepared for Asbestos Inspection NorthWest CLIENT PROJECT: 2307 37th St, Anacortes LAB CODE: A213474 TEST METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020 REPORT DATE: 03/30/21 TOTAL SAMPLES ANALYZED: 12 # SAMPLES >1% ASBESTOS: 6 • Asbestos Report Summary % e u rof i n S By: POLARIZING LIGHT MICROSCOPY CEI PROJECT: 2307 37th St, Anacortes LAB CODE: A213474 METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020 ASBESTOS Client ID Layer Lab ID Color Sample Description cyo HM 1-1 Layer 1 A49798 White Texture None Detected Layer 2 A49798 White Drywall None Detected HM 1-2 Layer 1 A49799 White Texture None Detected Layer 2 A49799 White Drywall None Detected HM 1-3 Layer 1 A49800 White Texture None Detected Layer 2 A49800 White Drywall None Detected HM 2 A49801A White Vinyl None Detected A49801 B Yellow Mastic None Detected A49801C Yellow Vinyl Chrysotile 25% A49801D Yellow Mastic Chrysotile 2% HM 3 A49802A Beige Vinyl Chrysotile 25% A49802B Brown Mastic Chrysotile 2°/a HM 4 A49803 White,Gray Ceiling Tile None Detected HM 5-1 Layer 1 A49804 White Texture None Detected Layer 2 A49804 White Drywall None Detected HM 5-2 Layer 1 A49805 White,Gray Texture Chrysotile 2% Layer 2 A49805 White Drywall None Detected HM 5-3 A49806 Sample Not Analyzed per COC HM 6 A49807 Gray Caulk None Detected HM 7 A49808 Green,Gray Cement Board Chryso le 10% HM 8 A49809 Black Tarpaper None Detected HM 9 A49810 Black Roof Shingle None Detected Page 1 of 1 ASBESTOS BULK ANALYSIS . e u rof i n s By: POLARIZING LIGHT MICROSCOPY CEI Client: Asbestos Inspection NorthWest Lab Code: A213474 20675 State Route 534 Date Received: 03-29-21 Mount Vernon, WA 98274 Date Analyzed: 03-30-21 Date Reported: 03-30-21 Project: 2307 37th St, Anacortes ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS I Lab ID Description Attributes Fibrous Non-Fibrous HM 1-1 Texture Heterogeneous 10% Paint None Detected Layer 1 White 40% Binder A49798 Non-fibrous 50% Calc Carb Bound Layer 2 Drywall Heterogeneous 10% Cellulose 90% Gypsum None Detected A49798 White Fibrous Bound HM 1-2 Texture Heterogeneous 10% Paint None Detected Layer 1 White 40% Binder A49799 Non-fibrous 50% Calc Carb Bound Layer 2 Drywall Heterogeneous 10% Cellulose 90% Gypsum None Detected A49799 White Fibrous Bound HM 1-3 Texture Heterogeneous 10% Paint None Detected Layer 1 White 40% Binder A49800 Non-fibrous 50% Calc Carb Bound Layer 2 Drywall Heterogeneous 10% Cellulose 90% Gypsum None Detected A49800 White Fibrous Bound HM 2 Vinyl Heterogeneous 25% Cellulose 50% Vinyl None Detected A49801A White <1% Fiberglass 25% Binder Fibrous Bound Page 1 of 4 ASBESTOS BULK ANALYSIS ti•. e u rof i n s By: POLARIZING LIGHT MICROSCOPY CEI Client: Asbestos Inspection NorthWest Lab Code: A213474 20675 State Route 534 Date Received: 03-29-21 Mount Vernon, WA 98274 Date Analyzed: 03-30-21 Date Reported: 03-30-21 Project: 2307 37th St, Anacortes ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non-Fibrous A49801B Mastic Homogeneous 2% Cellulose 98% Mastic None Detected Yellow Fibrous Bound A49801C Vinyl Heterogeneous 50% Vinyl 25%Chrysotile Yellow 25% Binder Fibrous Bound A49801D Mastic Homogeneous 98% Mastic 2%Chrysotile Yellow Fibrous Bound Lab Notes: Probable contamination from adjacent vinyl HM 3 Vinyl Heterogeneous 50% Vinyl 25%Chrysotile A49802A Beige 25% Binder Fibrous Bound A49802B Mastic Homogeneous 3% Cellulose 95% Mastic 2%Chrysotile Brown Fibrous Bound Lab Notes: Probable contamination from adjacent vinyl HM 4 Ceiling Tile Heterogeneous 35% Cellulose 5% Paint None Detected A49803 White,Gray 35% Fiberglass 25% Perlite Fibrous Loosely Bound HM 5-1 Texture Heterogeneous 5% Paint None Detected Layer 1 White 35% Binder A49804 Non-fibrous 60% Calc Carb Bound Page 2 of 4 ASBESTOS BULK ANALYSIS ti•. e u rof i n s By: POLARIZING LIGHT MICROSCOPY CEI Client: Asbestos Inspection NorthWest Lab Code: A213474 20675 State Route 534 Date Received: 03-29-21 Mount Vernon, WA 98274 Date Analyzed: 03-30-21 Date Reported: 03-30-21 Project: 2307 37th St, Anacortes ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non-Fibrous Layer 2 Drywall Heterogeneous 10% Cellulose 90% Gypsum None Detected A49804 White Fibrous Bound HM 5-2 Texture Heterogeneous 5% Paint 2%Chrysotile Layer 1 White,Gray 38% Binder A49805 Fibrous 55% Calc Carb Bound Layer 2 Drywall Heterogeneous 10% Cellulose 90% Gypsum None Detected A49805 White Fibrous Bound HM 5-3 Sample Not Analyzed A49806 per COC HM 6 Caulk Homogeneous 100% Caulk None Detected A49807 Gray Non-fibrous Bound HM 7 Cement Board Heterogeneous 2% Paint 10%Chrysotile A49808 Green,Gray 73% Binder Fibrous 15% Silicates Tightly Bound HM 8 Tarpaper Homogeneous 75% Cellulose 25% Tar None Detected A49809 Black Fibrous Bound HM 9 Roof Shingle Homogeneous 20% Fiberglass 45% Tar None Detected A49810 Black 35% Silicates Fibrous Bound Page 3 of 4 tiff eurofins CEI LEGEND: Non-Anth = Non-Asbestiform Anthophyllite Non-Trem = Non-Asbestiform Tremolite Calc Carb = Calcium Carbonate METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020 REPORTING LIMIT: <1% by visual estimation REPORTING LIMIT FOR POINT COUNTS: 0.25% by 400 Points or 0.1% by 1,000 Points REGULATORY LIMIT: >1% by weight Due to the limitations of the EPA 600 method, nonfriable organically bound materials (NOBs) such as vinyl floor tiles can be difficult to analyze via polarized light microscopy (PLM). EPA recommends that all NOBs analyzed by PLM, and found not to contain asbestos, be further analyzed by Transmission Electron Microscopy (TEM). Please note that PLM analysis of dust and soil samples for asbestos is not covered under NVLAP accreditation. Estimated measurement of uncertainty is available on request. This report relates only to the samples tested or analyzed and may not be reproduced, except in full, without written approval by Eurofins CEI. Eurofins CEI makes no warranty representation regarding the accuracy of client submitted information in preparing and presenting analytical results. Interpretation of the analytical results is the sole responsibility of the client. Samples were received in acceptable condition unless otherwise noted. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. Government. Information provided by customer includes customer sample ID and sample description. ANALYST: APPROVED BY: ‘t,„A"-tc> G��G Greg Ru Tianbao Bai, Ph.D., CIH Laboratory Director NVIIA TESTING NVLAP LAB CODE 101768-0 Page 4 of 4 Q.' eurofins CHAIN OF CUSTODY CE I LAB USE ONLY: 730 SE Maynard Road, Cary, NC 27511 CEI Lab Code: /421 4 714 •� Tel: 866-481-1412; Fax: 919-481-1442 CEI Lab I.D. Range: f-tic1 � /t, - -t95i COMPANY INFORMATION PROJECT INFORMATION CEI CLIENT#: Job Contact: 7 • J)JZe Company:A sberils / pe G)bi N 1Z� r�ki Email /Tel: J i 3 -U. 3 7 Address: 20b75 j f(.� ( Project Name:2`367 37 S•�- �-/- V t,10A. W `/7 0 z'741 Project ID#:/4-11ACQT'4-Cr Email:a(i-PeS Si)'epee-7onne✓Pliot e ;(. Goy PO#: Ver, Al K Tel: 'J Z— —44(3-Zo3 ( Fax: STATE SAMPLES COLLECTED IN: 1,J l r IF TAT IS NOT MARKED STANDARD 3 DAY TAT APPLIES. TURN AROUND TIME ASBESTOS METHOD 4 HR 8 HR }1 DAY 2 DAY 3 DAY 5 DAY PLM BULK EPA 600 1_ I ❑ PlR I I ❑ ❑ PLM POINT COUNT(400) EPA 600 ❑ ❑ ❑ ❑ ❑ ❑ PLM POINT COUNT(1000) EPA 600 ❑ ❑ ❑ ❑ ❑ El PLM GRAV w POINT COUNT EPA 600 _ ❑ ❑ ❑ CI DI PLM BULK CARB 435 1 I ❑ ❑ ❑ ❑ PCM AIR NIOSH 7400 ❑ 1 I 1 1 ❑ ❑ ❑ TEM AIR EPA AHERA ❑ ❑ ❑ I I ❑ ❑ TEM AIR NIOSH 7402 ❑ ❑ ❑ ❑ ❑ ❑ TEM AIR (PCME) ISO 10312 ❑ ❑ ❑ ❑ ❑ ❑ TEM AIR ASTM 6281-15 ❑ ❑ Cl ❑ ❑ ❑ TEM BULK CHATFIELD ❑ ❑ ❑ ❑ ❑ TEM DUST WIPE ASTM D6480-05(2010) ❑ Cl ❑ ❑ ❑ ❑ TEM DUST MICROVAC ASTM D5755-09(2014) ❑ ❑ 1 1 ❑ ❑ ❑ TEM SOIL ASTM D7521-16 ❑ ❑ ❑ ❑ TEM VERMICULITE CINCINNATI METHOD ❑ ❑ ❑ ❑ TEM QUALITTATIVE IN-HOUSE METHOD ❑ ❑ ❑ ❑ Cl OTHER: El ❑ ❑ ❑ ❑ ❑ REMARKS 1 SPECIAL INSTRUCTIONS: E1-o ) fi-J!- p -j-iv( 6 v0 r 1 � / a ei C( /4p1 5— ( se,n e S IL Accept Samples I (_ (i I I Reject Samples Relinquished By: Date/Time _ Received By: Date/Time Samples will be disposed of 30 days after analysis Page of Version: CCOC.01.18.112.LD 'ti% e u rof i n S SAMPLING FORM CEI COMPANY CONTACT INFORMATION Company:,- 1 V ti Job Contact: Ooze Project Name:2:301 3 7 ;S7` Project ID#: 54(!G%t r 0! $ Tel: I Z 5--'414(7,2 VOLUME/ SAMPLE ID# DESCRIPTION 1 LOCATION AREA TEST 1'1 ) ( D(ly Wit/( Lit 1-0/-VPe- PLM TEM I 1 pit f-Z PLM I I TEM I 1 /1L i'1 (_3 PLM I I TEM I 1 I/ jii Z Vi n j PLM I I TEM I I (4 vv 3 Vi N t PLM I I TEM I I lT,/\tt ) - e, PLM I I TEM I I !T YlAc ( .) (( 'f,-`� )q j� PLM TEM I I 1•-1.-(-- P/1 PLM TEM I I 1- .3 PLM I I TEM I ] 14 yvk 6 G rG r a v i K ,} PLM I TEM I 1 f —7 re&r, w t- Ga /)06, PLM TEM 1 I I .1-04 g- -Far ry PLM TEM 1 I /4- I g.,/y S ;),61 'L PLM TEM I I PLM R TEM I I PLM II I TEM I I PLM I ` I TEM I I PLM I ' 1 TEM I 1 PLM i TEM I 1 PLM I I I TEM I 1 PLM I l l TEM I I PLM I i 1 TEM I I PLM 11 I TEM I I PLM 11 I TEM I 1 PLM I i f TEM I I PLM I I TEM [ I PLM I TEM I i PLM I I TEM I I PLM I I TEM I I Page of Version: CCOC.01.18.212.LD Asbestos Inspection Northwest 20675 State Route 534 Mount Vernon WA 98274 425.443.2031 Client: Craig Bergfalk Survey Number: 3.30.21.1 Date of Survey: 3.25.21 Asbestos Survey Address: 2307 37th St Anacortes WA Homogenous Materials List: Materials that are positive for asbestos will be listed first. Material # Location Type Friable? Condition Quantity Sample Asbestos and of area Location Description HM 2 Kitchen Misc Yes Intact 144 sq ft Center Yes,25% white vinyl and under in vinyl,2 w/square kitchen %in pattern sink mastic. Chrysotile HM 3 Bathroom Misc Yes Intact 35 sq ft Entry to Yes,25% beige vinyl bathroom in vinyl, 2%in mastic. Chrysotile HM 5-2 Utility Surfacing Yes Same 1417 sq ft East wall Yes,2% heavy room and damage (walls and of middle chrysotile troweled bedrooms ceiling sq bedroom in on texture walls and footage) surfacing with ceilings material, drywall, none in white drywall HM 7 SW corner Misc Yes Some 580 sq ft SE corner Yes, 10% cement and South damage chrysotile siding, end of blue. exterior, Unpainted, and white East/west under side of gable. home by roof gable. HM 5-1 Utility Surfacing Yes Some 1417 sq ft At water N/D but heavy room and damaged heater should be NOTE: Friability assessments were made on these materials in their present, undisturbed condition on the survey date,AS IS. Damage or disturbance of any kind may cause some non-friable materials to become friable. troweled bedrooms, considered on texture walls and positive with ceiling due to drywall, same HM white 5-2 testing positive HM 5-3 Same as Surfacing Yes Some 1417 sq ft South N/T due to heavy above damage bedroom previous troweled south wall sample on texture testing with positive. drywall, white HM 1-1 Living Surfacing Yes Damaged 1220 sq ft East wall ND drywall room and (walls and of living with kitchen ceiling room orange walls and total) peel ceiling texture, white HM 1-2 Living Surfacing Yes Damaged 1220 sq ft Kitchen ND drywall room and south wall with kitchen orange walls and peel ceiling texture, white HM 1-3 Living Surfacing Yes Damaged 1220 sq ft Living ND drywall room and room with kitchen ceiling orange walls and peel ceiling texture, white HM 4 Bathroom Misc Yes Damaged 35 sq ft Debris ND white pile on ceiling tile, floor stapled HM 6 gray Exterior Misc No Intact 100 lineal South ND caulk windows feet window HM 8 black Under Misc Yes Intact 828 sq ft SW corner ND tar paper shingles on roof HM 9 3 tab Entire roof Misc No Intact 828 sq ft SW corner ND roofing, black NOTE: Friability assessments were made on these materials in their present, undisturbed condition on the survey date,AS IS. Damage or disturbance of any kind may cause some non-friable materials to become friable. N/D= None Detected N/T=Not Tested-previous sample(s)tested positive All quantities are approximate-field verification recommended Material # Location Type Friable? Condition Quantity Sample Asbestos and of area Location Description NOTE: Friability assessments were made on these materials in their present, undisturbed condition on the survey date, AS IS. Damage or disturbance of any kind may cause some non-friable materials to become friable. NOTE: Friability assessments were made on these materials in their present, undisturbed condition on the survey date,AS IS. Damage or disturbance of any kind may cause some non-friable materials to become friable.