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t j' ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS / <br /> NORTHWEST <br /> 30620 Pacific Hwy S Suite 103 Federal Way,WA 98003 <br /> Tel:253 9414343 Fax:253 9414175 <br /> Appendix C — Laboratory Report <br /> ASBESTOS ' Asbestos NW Batch# 202012857 <br /> NORTHWEST <br /> 30620 Pacific Hwy S.N103,Federal Way,WA 98003 1 of 7 <br /> (253)941-4343 NVLAP Lab Code:200993-0 <br /> Bulk Samples Chain of Custody (EPA 600/R-93/116) <br /> Name/Company. Ascendent LLC Date 7/21/2020 <br /> Address 219 12th St SE Puyallup,WA 98372 Phone; 253.939:4375 <br /> E-mail ova hestes@ascdemo,comSB@ascdemo. <br /> Project Manager, Sean Bova Project# YMCA <br /> Project Location 2765 Rockefeller Ave Everett WA 98201 Number of Samples 204 <br /> Turn around time 72 <br /> # Sample ID Description LocationlComments <br /> 1 1 Grey Non-Slip Coating Rooftop Deck NE <br /> 2 2 Grey Non-Slip Coating Rooftop Deck NW <br /> 3 3 Layered Asphaltic Roofing NE Roof by HVAC <br /> 4 4 Gray/Black Asphaltic Sealant NE Roof Rampart Flashing <br /> 5 5 Gray Flexible Material Rooftop Deck Pillar Trim <br /> 6 6 Grey Vinyl Tile and Black Mastic Rooftop SW Stair Landing Floor <br /> 7 7 Texture Rooftop SW Stair Landing Ceiling <br /> 8 8 Fibrous Ceiling Tile Ping Pong Area Ceiling <br /> 9 9 Tan Vinyl Tile and Black Mastic Ping Pong Area Floor <br /> 10 10 Plaster on Drywall SE Court Wall <br /> 11 11 Plaster East South Court Wall _ <br /> 12 12 Tan Mastic East Instruction Area Mirror <br /> 13 13 Black Mastic East Instruction Area Seating <br /> 14 14 Plaster Middle Court Wall <br /> 15 15 Red Floor Coating NE Court Floor <br /> 16 16 Plaster Yoga Court Wall <br /> 17 17 Plaster SW Court Wall <br /> 18 18 Cove Base Mastic Ping Pong Area Wall <br /> 19 19 Yellow Insulation and White Foil Wrap Ping Pong Area Ceiling Pipe <br /> 20 20 Yellow Insulation and White Foil Wrap Ping Pong Area Ceiling Pipe <br /> 21 21 Plaster on Drywall NW Office Wall <br /> 22 22 Plaster on Drywall NW Meeting Room Wall <br /> 23 23 Mastic on Ceramic Tile Mens Bathroom Wall <br /> 24 24 Plaster Tech Area Wall <br /> 25 25 Plaster Hallway Wall <br /> 26 26 Fibrous Ceiling Tile Hallway Ceiling <br /> 27 27 Cove Base Mastic 60's Gym Entrance Lobby <br /> 28 28 Green and White Vinyl Tiles With Black Mastic 60's Gym Small Office Wall <br /> 29 29 Fibrous Ceiling Tile and Glue Dot 60's Gym Ceiling <br /> 30 30 Brown Fibrous Board with Black Coating 60's Gym under Floor <br /> Print �. Sign Company Date Time <br /> Sampled by: Sean Butler ' ?�t 7/16/2020 <br /> Relinquished by: Asbestos <br /> ...__ _..Delivered by: Sean Butler __, 7/21/2020 8:00AM <br /> Accepted by: Dan Lafley NW 7/21/2020 8:00AM <br /> Analyzed by: <br /> 33 <br />