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, <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 /> NORTHWEST B �� ERIV[A <br /> TESTING <br /> Asbestos Northwest.LLC Nvtav LAB CODE Rio <br /> 30620 Pacific Hwy S.#103. Federal Way.WA 98003 <br /> Ph:(253)941-4343 Fax:(2253)941-4175 Batch Number: 202012857 <br /> PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116 <br /> Ties report must not be used by the[bent to claim product certit cation,approval,or endorsement by NVLA°,NIST,or any <br /> agency of the U.S.Government. <br /> Attn: Sean Bova Date Received: 7/21/2020 <br /> Ascendent LLC Date Analyzed: 7/24/2020 <br /> 219 12th St SE Puyallup,WA 98372 Samples Received: 204 <br /> Samples Analyzed: 204 <br /> Project: YMCA <br /> Location: 2765 Rockefeller Ave Everett WA 98201 <br /> Client Sample Lab Sample "/"Non-Asbestos "/"Asbestos Fibers <br /> ID ID Layer Description Matrix Fibers and Type <br /> Vinyl/binder. 1U%o Cellulose, Chrysotile <br /> 3"/° <br /> 175 1 Red tile Mineral grains Wollastonite <br /> 2 Black mastic Mastic/hinder 2%Cellulose 2%Chrysotile <br /> 176 I Gray rubbery material Rubber/binder None Detected None Detected <br /> ` 2%Cellulose. <br /> Yellow mastic Mastic/binder None Detected <br /> Wollastonite <br /> . <br /> 177 I Brown fibrous material++ith Filler. Paint 90%Cellulose None Detected <br /> paint <br /> 4%Cellulose. <br /> Brown mastic Mastic/hinder WollastoniteNone Detected <br /> 178 1 Black rubbery material Rubber/hinder None Detected None Detected <br /> 2%Cellulose. <br /> 2 White mastic Mastic/hinder None Detected <br /> Wollastonite <br /> 179 I Gray fibrous material Filler 10%Cellulose 60"/0 Chrysotile <br /> 180 I Gray sandy/brittle material Filler.Binder, 5:°of Cellulose None Detected <br /> with paint Sand.Paint <br /> 181 I Yellow mastic Mastic/binder 1%Cellulose None Detected <br /> Vim I/hinder. 2%Cellulose. <br /> 2 Tan tile 5"/"Chrvsotile <br /> Mineral grains \ ollastonite <br /> 3 Black mastic Mastic/hinder 2Uo Cellulose 5%Chrvsotile <br /> Analyzed by:Dan Lafley c---- Report Page 26 Reviewed by:Cathy Butler <br /> 65 <br />