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2222 106TH ST SW 2020-07-01
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2222 106TH ST SW 2020-07-01
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Last modified
7/1/2020 2:46:47 PM
Creation date
7/1/2020 2:46:11 PM
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Address Document
Street Name
106TH ST SW
Street Number
2222
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4.1 STATEMENT OF COMPLIANCE <br /> In accordance with W.A.C. 296-62-00721 and PSCAA Regulation III, Article 4, Washington Asbestos <br /> Testing LLC performed an asbestos survey for property address 2222 106th St SW, Everett, WA <br /> 98204. Should employees or contract personnel encounter any suspect ACM (asbestos containing <br /> 1. Contact a representative of the owner or the owner themselves. <br /> 2. Consult the inspection report (survey)to determine whether or not the suspect material <br /> contains asbestos. <br /> 3. If the suspect material was not sampled and analyzed in the inspection report (survey), then <br /> the material must be presumed to contain asbestos until proven otherwise by sampling the <br /> new material and undergoing PLM analysis. <br /> 4. Make sure to notify all employees and contractors working on this project of the location and <br /> type of materials found to contain asbestos. <br /> The black roofing material on the barn on the property tested positive for asbestos.^' <br /> 350 sf. <br /> I hereby attest: <br /> The inspection report (survey) has been made available to me. I will inform all subcontractors of the <br /> location of any materials that contain asbestos. I am authorized to sign on the behalf of my company. <br /> Contractor: Owner's Rep: <br /> Signature: Signature: <br /> Print Name: Print Name: <br /> Title: Title: <br /> Date: Date: <br /> Page 16 of 23 <br />
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