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ASBESTOS NORTHWEST LLC SURVEY REPORT ASBESTOS <br /> NORTHWESTaitaiii <br /> 30620 Pacific Hwy S Suite 103 Federal Way,WA 98003 <br /> Tel:253 9414343 Fax:253 9414175 <br /> NORTHWEST Asbestos NW Batch# 202012857 <br /> 30620 Pacific Hwy S.#103.Federal Way,WA 98003 7 Of t <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 /> Pro ect 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 /> 181 181 Tan Vinyl Tile and Black Mastic Basement Lobby Floor <br /> 182 182 Yellow Carpet Mastic With Black Mastic Remnant Basement Fitness Room Floor SW <br /> 183 183 Green Vinyl Tile and Black Mastic Basement Fitness Room Floor NE <br /> 184 184 Texture Basement Fitness Office Wall <br /> 185 185 Joint Compound Basement Fitness Office Wall <br /> 186 186 Plaster Basement Fitness Office Ceiling <br /> 187 187 Tan and Red Vinyl Tiles With Black Mastic Basement Fitness North Hall Floor <br /> 188 188 White Brittle Pipe Wrap Large Pipe Down to North Boiler <br /> 189 189 White Brittle Pipe Wrap East Large Pipe <br /> 190 190 Corrugated Pipe Wrap Horizontal Pipe over South Door <br /> 191 191 Tan Brittle Sealant South Boiler Back Door Seal <br /> 192 192 Woven Grey Gasket North Boiler Back Door Gauge <br /> 193 193 Gray Fibrous Insulation North Boiler Under Cladding <br /> 194 194 Woven Wiring Insulation Basement Small Utility Office <br /> 195 195 Yellow Fibrous Insulation with Silver Wrap Center Vertical Pipe <br /> 196 196 White Brittle Pipe Wrap Center Vertical Pipe Elbow <br /> 197 197 Asphaltic Shingles South Roof Edge <br /> 198 198 Rolled Asphaltic Roofing South Flat Roof <br /> 199 199 Rolled Asphaltic Roofing 20's Gym Roof NE <br /> 200 200 Rolled Asphaltic Roofing 20's Gym Roof West <br /> 201, 201 Rolled Asphaltic Roofing 60's Roof East <br /> 202 202 Rolled Asphaltic Roofing 60's Roof SW <br /> 203 203 Gray Brittle Window Glazing HVAC South Doghouse Window <br /> 204, 204 Gray Asphaltic Sealant HVAC Duct Sealant <br /> Print �,- Sign Company Date Time <br /> Sampled by: Sean Butler G 7/16/2020 <br /> Relinquished by: <br /> _A bestos <br /> Delivered by: Sean Butler ., 7/21/2020 8:00AM <br /> Accepted by: Dan Lafley 1 � NV'I 7/21/2020 8:00AM <br /> Analyzed by: <br /> 39 <br />