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t <br /> 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 /> ASBESTOS "` <br /> NORTHWEST Asbestos NW Batch# 202012857 <br /> 30620 Pacific Hwy S.#103,Federal Way,WA 98003 3 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' 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 /> 61 61 Yellow Insulation and White Foil Wrap Overhead Pipe by Mech Room S Door <br /> 62 62 Black Rubbery Material Mezzanine Duct Bellows <br /> 63 63 Yellow Insulation and White Foil Wrap Mezzanine South Elbow <br /> 64 64 Yellow Insulation and White Foil Wrapii Pool Mech Room South Pipe <br /> 65 65 White Brittle Materialdf✓ Pool Mech Room South Elbow <br /> 66 66 Drywall Ceiling Tile q• Pool Ceiling over Spa <br /> 67 67 Yellow Foam Insulation and White Cover Pool Ceiling Noise Baffles <br /> 68 68 White Fire Proofing Small Pool Ceiling SE <br /> 69 69 White Fire Proofing Small Pool Ceiling SW <br /> 70 70 White Fire Proofing Small Pool Ceiling NW <br /> 71 71 White Fire Proofing Small Pool Ceiling NE <br /> 72 72 White Fire Proofing Small Pool Ceiling over Entrance <br /> 73 73 Fibrous Ceiling Tile Small Pool Hallway Ceiling <br /> 74 74 White Woven Material Small Pool Mech Room Duct Bellows <br /> 75 75 White Brittle Material Small Pool Mech Room Boiler <br /> 76 76 White Brittle Material Small Pool Mech Room South Elbow <br /> 77 77 Yellow Insulation and White Foil Wrap Small Pool Mech Room N Vertical Pipe <br /> 78 78 Vermiculite In Wall Outside Main Mech Room <br /> 79 79 Vermiculite In North Wall of 80's Gym <br /> 80 80 White Woven Paper Roof of 20's Building Under Flashing, <br /> 81 81 Brown Vinyl Tile and Black Mastic 5th Floor Hall Floor <br /> 182 82 Green Vinyl Tile and Black Mastic 5th Floor SW Room Floor <br /> ' 83 83 Red Vinyl Tile and Black Mastic 5th Floor NE Room Floor <br /> 84 84 Plaster 5th Floor NW Room Wall <br /> 85 85 Plaster 5th Floor East Room Ceiling <br /> 86 86 Plaster 5th Floor Bath Ceiling <br /> 87 87 Plaster 5th Floor West Room Wall <br /> 88 88 Plaster 5th Floor Stairwell Wall <br /> 89 89 Black Asphaltic Vapor Barrier 5th Floor Below Kitchen Wood Floor <br /> 90 90 Joint Compound 5th Floor Hall Wall <br /> Print Sign Company Date Time <br /> Sampled by: Sean Butler ---- 7/16/2020 <br /> Relinquished by:, Asbestos <br /> Delivered by: Sean Butler 7/21/2020 8:OOAM <br /> Accepted by: Dan Lafley iv ' NW <br /> 7/21/2020 8'00AM <br /> Analyzed by: <br /> 35 <br />