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• <br /> Batch#:WAT2008782 <br /> iAlAr 11200 Kirkland Way#340A <br /> Kirkland,WA 98033 <br /> waslungio„nswslos Tmaq LLC. CHAIN OF CUSTODY 1425)658-7286 <br /> WATestingLLC.com <br /> BULK ASBESTOS TEST x POINT COUNT(400/600/1000) TAPE_LEAD MOLD_ <br /> Client Name:,Wrecking Ball Demolition,LLC <br /> Address:3310 Chestnut St,Everett,WA 98201 <br /> Phone#:425-339-3111 <br /> Project Manager: Joseph M.Newland Email:Joen@wreckingbalidemo.com <br /> Project Manager Phone#: (425)328-4076 <br /> Job Name/Number: Parcel#00574900000200 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 /> 31 14-1 Exterior Siding Tar Paper 46 Pb-4 Exterior Beige Paint Chip <br /> 32 14-2 Exterior Siding Tar Paper 47 Pb-5 Kitchen White Paint Chip <br /> 33 15-1 Exterior Window Caulking 48 Pb-6 Bath Lavender Paint Chip <br /> 34 15-2 Exterior Window Caulking 49 Pb-7 Bed 2 Light Blue Paint Chip <br /> 35 16-1 Garage Roofing Materials 50 Pb-8 Bed 1 Aqua Paint Chip <br /> 36 16-2 Garage Roofing Materials 51 Pb-9 Living Gray-Green Paint Chip <br /> 37 17-1 Roof Roofing Materials 52 <br /> 38 17-2 Roof Roofing Materials 53 <br /> 39 18,1 Roof Vent Tar 54 <br /> 40 18.2Roof Vent Tar 55 <br /> 41 19-1 Garage Paper/Mastic/insulation 56 <br /> 42 19-2 Garage Paper/Mastic/Insulation 57 <br /> 43 Pb-1 Exterior Blue Paint Chip- 58. <br /> 44 Pb-2 Exterior White Paint Chip 59 <br /> 45 Pb-3 Exterior Red.Paint Chip 60 <br /> Print Name Sig re Company Name Date Time <br /> Sampled Ben Peterson WAT 9/30/2020 12:35 PM <br /> Relinquished Ben Peterson WAT 9/30/2020 12:35 PM <br /> Delivered Ben Peterson WAT 9/30/2020 ,:e-ei-enet <br /> Received Ben Peterson WAT 9/30/2020 5-,wo , <br /> Analyzed 5c WAT 10 N Arco %•. <br /> Reported 'beak Y .t-Q,Cktes ' WAT 10 1 i'W 4) 1 7fLt <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 /> Page 22 of 30 <br />