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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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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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5.0 ASBESTOS TESTING RESULTS <br /> Batch#:WAT1904894 <br /> Marl 11200 Kirkland Way#340A <br /> Kirkland,WA 98033 <br /> CHAIN OF CUSTODY (425) <br /> wasn�uH,Asbestos Testing L.o. WATestingLLC.ngLLC.com <br /> BULK ASBESTOS TEST x POINT COUNT(400/600/1000) TAPE LEAD MOLD <br /> Client Name: RGSS Construction,LLC <br /> Address:419 Mcrae Rd,Arlington,WA 98223 <br /> Phone#:(425)357-1278 <br /> Project Manager: Tony Edwards Email: tedwards1469@gmail.com <br /> Project Manager Phone#: (425)218-6733 <br /> Job Name/Number: Murphy Frank M Survey <br /> Address:2222 106th St SW,Everett,WA 98204 <br /> SAMPLES:Turnaround Time: Number of Samples: 33 <br /> Condition:Good x Damaged Severe Damage <br /> SEQ# Sample Location Sample Description SEQ# Sample Location Sample Description <br /> 1 1-1 Barn Roof Roofing Materials 26 13-2 Living Wall-Paint/Texture/Wallboard <br /> 2 1-2 Barn Roof Roofing Materials 27 13-3 Bath Ceiling-Paint/Texture/Wallboard <br /> 3 2-1 Shed Roof Shingles/Tar Paper 28 13-4 Bed 2 Wall-Paint/Texture/Wallboard <br /> 4 2-2 Shed Roof Shingles/Tar Paper 29 13-5 Bed 1 Wall-Paint/Texture/Wallboard <br /> 5 3-1 Exterior Roof Shingles/Tar Paper 30 14-1 Bed 3 (Yellow)Foil/Paper/Mastic/Inso <br /> 6 3-2 Exterior Roof Shingles/Tar Paper 31 14-2 Living (Yellow)Foil/Paper/Mastic/Inso <br /> 7 4-1 Porch Overhang Shingles/Tar Paper 32 15-1 Living (Pink)Foil/Paper/Mastic/Inso <br /> 8 4-2 Porch Overhang Shingles/Tar Paper 33 15-2 Living (Pink)Foil/Paper/Mastic/Inso <br /> 9 5-1 Bed 2 Joint Compound Patch 34 <br /> 10 5-2 Bed 2 Joint Compound Patch 35 <br /> 11 6-1 Exterior Siding Tar Paper 36 <br /> 12 6-2 Exterior Siding Tar Paper 37 <br /> 13 7-1 Basement Hall Flooring Tar Paper 38 <br /> 14 7-2 Basement Hall Flooring Tar Paper 39 <br /> 15 8-1 Kitchen Backsplash/Mastic 40 <br /> 16 8-2 Kitchen Countertop/Mastic 41 <br /> 17 9-1 Kitchen VCT/Mastic 42 <br /> 18 9-2 Bath VCT/Mastic 43 <br /> 19 10-1 Bath Window Sill Formica/Mastic 44 <br /> 20 10-2 Bath Window Sill Formica/Mastic 45 <br /> 21 11-1 Bath Tub Caulk 46 <br /> 22 11-2 Bath Tub Caulk 47 <br /> 23 12-1 Bath Shower Surround/Mastic 48 <br /> 24 12-2 Bath Shower Surround/Mastic 49 <br /> 25 13-1 Living Wall-Paint/Texture/Wallboard 50 <br /> Print Name Signature Company Name Date Time <br /> Sampled Ben Peterson A d� WAT 6/10/2019 11:00 AM <br /> Relinquished Ben Peterson jA _r WAT 6/10/2019 11:00 AM <br /> Delivered Ben Petersonj• WAT 6/10/2019 1:00 PM <br /> Received Ben Pet 4 rson . d WAT 6/10/2019 1:00 PM <br /> Analyzed --- WAT L I I'Il 4 I I•;OJ4 t—^% <br /> Reported _ <br /> WAT l`4( I 1 0o.,,,.-, <br /> How would you like t• be notified? Email x Phone <br /> Washington Asbestos Testing LLC guarantees the test results provided are of a precision normal with the type of methods recognized in <br /> asbestos analysis. Washington Asbestos Testing LLC accepts no legal responsibility for the purpose for which the client uses the test <br /> results.By signing on this Chain of Custody form the client agrees to relieve Washington Asbestos Testing LLC of any and all liability that <br /> may arise from the test results. <br /> Page 17 of 23 <br />
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