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t <br /> ASBESTOS NORTHWEST LLC SURVEY REPORT A S B E$T 0 5 <br /> NORTHWESTidtrak <br /> 30620 Pacific Hwy S Suite 103 Federal Way,WA 98003 <br /> Tel:253 9414343 Fax:253 9414175 <br /> ASBESTOS. <br /> NORTHWEST Asbestos NW Batch# 202012857 <br /> 30620 Pacific Hwy S.#103.Federal Way,WA 98003 2 of 7 <br /> (253)941-4343 NVLAP Lab Code:200993-0 1 <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 hestes@ascdemo.comSBova@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 Location/Comments <br /> 31 31 Yellow Insulation and White Foil Wrap 60's Gym Ceiling Duct <br /> 32 32 Brown Glue Dot 60's Gym Cove Base Mastic <br /> 33 33 Joint Compound Lobby Office Wall <br /> 34 34 Texture Lobby Office Wall <br /> 35 35 Cove Base Mastic Lobby Office Wall <br /> 36 36 Texture Middle East Office Wall <br /> 37 37 Joint Compound North East Office Wall <br /> 38 38 Texture Break Room Wall <br /> 39 39 Joint Compound Store Room Wall <br /> 40 40 Green Vinyl Tile and Black Mastic Store Room Floor <br /> 41 41 Cove Base and Mastic Hall by Locker Room Entrance <br /> 42 42 Plaster Hall by Locker Room Entrance <br /> 43 43 Cove Base Mastic Hall by East Stairs <br /> 44 44 Brown Vinyl Tile and Black Mastic Hall by Locker Room Entrance <br /> 45 45 Mortar on Ceramic Tile Mens Locker Room Wall <br /> 46 46 Fibrous Ceiling Tile Break Room Ceiling <br /> 47 47 Cove Base and Mastic 80's Gym Wall <br /> 48 48 White Fire Proofing 80's Gym SW Ceiling <br /> 49 49 White Fire Proofing 80's Gym West Ceiling <br /> 50 50 White Fire Proofing 80's Gym NW Corner Ceiling <br /> 51 51 White Fire Proofing 80's Gym North Ceiling <br /> 52 52 White Fire Proofing 80's Gym NE Corner Ceiling <br /> 53 53 White Fire Proofing 80's Gym East Ceiling <br /> 54 54 White Fire Proofing 80's Gym SE Corner Ceiling <br /> 55 55 Black Stair Tread and Mastic NW Corner Stairs <br /> 56 56 Gray Vinyl Tile and Black Mastic NW Maintenance Office Floor <br /> 57 57 Silver Paint West Wall Ducting in Mech Room <br /> 58 58 Yellow Insulation and White Foil Wrap Center Vertical Pipe in Mech Room <br /> 59 59 Yellow Insulation and Plastic Casing Nest Wall Small Elbow in Mech Roon <br /> 60 60 Yellow Insulation and White Foil Wrap South Large Boiler in Mech Room <br /> Print Sign Company Date Time <br /> Sampled by: Sean Butler --� ��___,.— 7/16/2020 <br /> Relinquished by: <br /> Asbestos <br /> Delivered by: Sean Butler 7/21/2020 8:00AM <br /> Accepted by: Dan Lafley rJNW 7/21/2020 8 00AM <br /> Analyzed by: <br /> 34 <br />