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2720 ROCKEFELLER AVE 2022-01-31
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2720 ROCKEFELLER AVE 2022-01-31
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Last modified
1/31/2022 9:13:39 AM
Creation date
1/25/2022 1:14:32 PM
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Address Document
Street Name
ROCKEFELLER AVE
Street Number
2720
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ASBESTOS NORTHWEST LLC SURVEY REPORT A S B E S T O S i <br /> NORTHWEST <br /> 30620 Pacific Hwy S Suite 103 Federal Way,WA 98003 <br /> Tel:253 9414343 Fax:253 9414175 <br /> ASBESTOS �' ' <br /> N .ORTHWEST Asbestos NW Batch# 202012857 <br /> 30620 Pacific Hwy S.0103,Federal Way,WA 98003 6 Of 7 <br /> (253)941-4343 NVLAP Lab Code:200993-0 <br /> Bulk Samples Chain of Custody (EPA 600/R-931116) <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 /> .n <br /> Turn around time.• 72 . <br /> # Sample ID Description Location/Comments <br /> 151 151 Layered Vinyl over Black Bnttle Material 2nd Floor SE Room Floor <br /> 152 152 Joint Compound 2nd Floor SE Room Wall <br /> 153 153 Texture 2nd Floor SE Room Wall <br /> 154 154 Plaster 2nd Floor Lobby Wall <br /> 155 155 Fibrous Ceiling Tile 2nd Floor Lobby Suspended Ceiling <br /> 156 156 Fibrous Ceiling Tile with Black Mastic 2nd Floor Lobby Original Ceiling <br /> 157 . 157 Tan Vinyl Tile and Black Mastic over Black Brittle Material 2nd Floor Lobby Office Floor <br /> 158 158 Plaster 2nd Floor Kitchen Wall <br /> 159 159 Plaster 2nd Floor Kitchen Lobby Wall <br /> 160 160 Layered Vinyl over Black Brittle Material 2nd Floor Playroom Floor <br /> 161 161 Plaster 2nd Floor Stage Wall <br /> 162 162 Fibrous Ceiling Tile 2nd Floor Play Area Ceiling <br /> 163 163 Layered Vinyl over Black Brittle Matenal 2nd Floor Play Area NE Floor <br /> 164 164 Layered Vinyl 2nd Floor Stage <br /> 165 165 Layered Vinyl over Black Brittle Material 2nd Floor Office Outside Classroom <br /> 166 166 Joint Compound 2nd Floor Middle Classroom Wall <br /> 167 167 Texture 2nd Floor Middle Classroom Wall <br /> 168 168 Plaster 2nd Floor Middle Classroom Ceiling <br /> 169 169 Layered Vinyl 2nd Floor North Classroom Floor <br /> 170 170 Texture 2nd Floor North Classroom Wall <br /> 171 171 Joint Compound , 2nd Floor North Classroom Wall <br /> 172 172 Plaster 2nd Floor North Classroom Wall <br /> 173 173 Texture 2nd Floor Center Office Wall <br /> 174 174 Joint Compound 2nd Floor Center Office Wall <br /> 175 175 Tan Vinyl Tile and Black Mastic 2nd Floor Small Center Office Floor <br /> 176 176 Cove Base Mastic 2nd Floor Play Area Wall <br /> 177 177 Fibrous Ceiling Tile with Black Mastic 2nd Floor Play Area Original Ceiling <br /> 178 178 Cove Base Mastic 20's Pool Area Wall <br /> 179 179 Corrugated Pipe Wrap 20's Pool Area South Hallway <br /> 180 180 Plaster Basement SW Corner Office <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 b Dan Lafle 1 N <br /> V\/ 7/21/2020 8:00AM <br /> Analyzed by: <br /> 38 <br />
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