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Y <br /> ASBESTOS NORTHWEST LLC SURVEY REPORT A S B E S T O S <br /> NORTHWEST <br /> 30620 Pacific Hwy S Suite 103 Federal Way,WA 98003 <br /> Tel:253 9414343 Fax:253 9414175 <br /> NoRBHwEST` Asbestos NW Batch# 202012857 <br /> 30620 Pacific Hwy S.#103,Federal Way,WA 98003 5 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@a3cdemo.comSBova@ascdeme. <br /> Protect 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 /> 121 121 Yellow Insulation 4th Floor Bathroom Wall Pipe <br /> 122 122 Yellow Insulation 4th Floor Utility Closet Pipe <br /> 123 123 White Brittle Pipe Wrap 4th Floor Utility Closet Pipe Elbow <br /> 124. 124 Gray Corrugated Pipe Wrap 4th Floor Small Bathroom Wall Pipe <br /> 125 125 Joint Compound 4th Floor Hall Wall <br /> 126 126 Texture 4th Floor Hall Wall <br /> 127 127 Joint Compound 4th Floor West Room Wall <br /> 128 128 Texture 4th Floor West Room Wall <br /> 129 129 Joint Compound 4th Floor Common Room Wall <br /> 130 130 Texture 4th Floor Common Room Wall <br /> 131 131 Plaster 3rd Floor Tech Room Wall <br /> 132 132 Fibrous Ceiling Tile 3rd Floor Tech Room Ceiling <br /> 133 133 Green Vinyl Tile and Black Mastic 3rd Floor Tech Room Lobby <br /> 134 134 Plaster 3rd Floor Conference Room Wall <br /> 135 135 White Woven Pad 3rd floor conference Room Floor <br /> 136 138 Plaster 3rd Floor SE Corner Room Wall <br /> 137 137 Joint Compound 3rd Floor SE Area Office Wall <br /> 138 138 Texture 3rd Floor SE Area Office Wall <br /> 139 139 Cove Base Mastic 3rd Floor Hall Wall <br /> 140 140 Joint Compound 3rd Floor Office Wall <br /> 141 141 Texture 3rd Floor Office Wall <br /> 142 142 Plaster 3rd Floor East Mid Office Wall <br /> 143 143 Plaster 3rd Floor East North Office Wall <br /> 144 144 Plaster 3rd Floor N/S Hall Wall <br /> 145 145 Plaster 3rd Floor North Hall Wall <br /> 146 146 Layered Vinyl 3rd Floor Middle Stairwell Landing <br /> 147 147 Mastic on Flexible Coating 3rd Floor Middle Stairs Under Tread <br /> 148 148 Tan Vinyl Tile and Black Mastic 3rd Floor East North Office Floor <br /> 149 149 Dark Tan Vinyl Tile and Black Mastic 3rd Floor North Office Floor <br /> 150 150 Light Gray Vinyl Tile and Black Mastic 3rd Floor Bathroom Floor <br /> Print ,- Sig�n�J Company Date Time <br /> Sampled by: Sean Butler 7/16/2020 <br /> Relinquished by: <br /> Asbestos <br /> a. _ <br /> Delivered by: Sean Butler 7/21/2020 8.00AM <br /> Accepted by: Dan Lafley N V\/ 7/21/2020 800AM <br /> Analyzed by: Y <br /> 37 <br />