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11921 SILVER LAKE DR 2022-04-05
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11921 SILVER LAKE DR 2022-04-05
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4/5/2022 1:37:24 PM
Creation date
4/5/2022 1:28:53 PM
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Address Document
Street Name
SILVER LAKE DR
Street Number
11921
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• • <br /> 5.0 ASBESTOS AND LEAD TESTING RESULTS <br /> Batch#:WAT2008782 <br /> 11200 Kirkland Way#340A <br /> Kirkland,WA 98033 <br /> w a„,wt«a�inioatiennreia:e:. CHAIN OF CUSTODY Te25ngLLCc rn <br /> WATestingLLC.eom <br /> BULK ASBESTOS TEST x POINT COUNT(400/600/1000) TAPE LEAD MOLD_ <br /> Client Name: Wrecking.Bail Demolition,LLC <br /> Address:3310 Chestnut St,Everett,WA 98201 <br /> Phone#:425-339-3111 <br /> Project Manager: Joseph M,Newland Email:Joen@n wreckingbalidemo.com <br /> Project Manager Phone#: (425)32a-4076 <br /> Job Name/Number; Parcelfl00574900000200 Survey <br /> Address:11921 Silver Lake Drive,Everett WA 98208 <br /> SAMPLES:Turnaround Time: Number of Samples: 51 <br /> Condition:Good x Damaged Severe Damage <br /> SEQ# Sample Location Sample Description SEQ# Sample Location Sample Description <br /> 1 1-1 Laundry Vinyl/Mastic 16 6-2 Kitchen Countertop/Mastic <br /> 2 1-2 Laundry Vinyl/Mastic 17 7-1 Kitchen Countertop/Mastic <br /> 3 2-1 Kitchen Vinyl/Mastic(Multi-Layer) 18 7-2 Kitchen Countertop/Mastic <br /> 4 2.2 Kitchen Vinyl/Mastic(Multi-Layer) 19 8-1 Bath. Shower Caulking <br /> 5 3-1 Living Hardwood Tar Paper 20 8-2 Bath Shower Caulking <br /> 6 3-2 Living Hardwood Tar Paper 21 9-1 Living Brick/Mortar <br /> 7 4-1 Kitchen Wall-Paint/Texture/Wallboard 22 9-2 Living Brick/Mortar <br /> a 4-2 Kitchen Wall-Paint/Texture/Wallboard 23 10-1 Attic Paper/Mastic/Insulation <br /> 9 4-3 Bath Wall-Paint/Texture/Wallboard 24 10-2 Attic Paper/Mastic/insulation <br /> 10 S-1 Bed 2 Wall-Paint/Texture/Wallboard 25 11-1 Exterior Siding Caulking <br /> 11 5-2 Laundry Wall-Paint/Texture/Wallboard 26 11-2 Exterior Siding Caulking <br /> 12 5-3 Living Wall-Paint/Texture/Wallboard 27 12-1 Exterior Foam Insulation <br /> 13 5-4 Living Wall-Paint/Texture/Wallboard 28 12-2 Exterior Foam Insulation <br /> 14 5-5 Bed 1 Wall-Paint/Texture/Wallboard 29 13-1 Exterior Cement Siding <br /> 15 6-1 Kitchen Countertop/Mastic 30 13-2 Exterior Cement Siding <br /> Print Name pig g re Company Name Date Time <br /> Sampled Ben Peterson iri .W.,, WAT 9/30/2020 12:35 PM <br /> Relinquished Ben Peterson (`I WAT 9/30/2020 12:35 PM <br /> Delivered Ben Peterson r ~s WAT 9/30/2020 -.vet <br /> Received Ben Peterson ft . - WAT 9/30/2020 '''oJ;'at <br /> Analyzed 1 1PASrt7_4;al WAT loft/fit -u L:SaA)ph <br /> Reported -may, ^ >: WAT 10 l i Zoe 1'_ CrYt <br /> How would you like to be notified? Email x Phone <br /> Washington Asbestos Testing LLC guarantees the test results provided are of a precision normal with the type of methods recognized in <br /> asbestos analysis.Washington Asbestos Testing LLC accepts no legal responsibility for the purpose for which the client uses the test <br /> results.By signing on this Chain of Custody form the client agrees to relieve Washington Asbestos Testing LLC of any and all liability that <br /> may arise from the test results- <br />
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