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3217 LOMBARD AVE 2024-03-05
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3217 LOMBARD AVE 2024-03-05
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3/5/2024 9:37:08 AM
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2/11/2024 10:21:10 AM
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Address Document
Street Name
LOMBARD AVE
Street Number
3217
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Reports must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government. <br />Page 2 of 9 <br />Washington Asbestos Testing LLC NVLAP Lab Code 600040-0 <br />11200 Kirkland Way Ste. 340A, Kirkland, WA 98033 • (425) 658-7286 <br />W12811 Sth Ave W Ste. B101, Everett, WA 98204 • (425) 374-8706 <br />watestingllc.com Batch #: WATK2304035 <br />Asbestos Analysis of Bulk Materials by App. E to Sub. E of 40 CFR Part 763 and EPA 600/R-93/116 <br />Methods Using Polarized Light Microscopy <br />'-Attn: Bob Goodmark Office Phone: <br />3217 Lombard Ave, Everett, WA, 98201 Date Received: 6/2/2023 <br />Date Analyzed: 6/2/2023 <br />Samples Received: 69 <br />Project: TEMPLE BETH OR, Parcel #00439076300900, Survey Samples Analyzed: 53 <br />3217 Lombard Ave, Everett, WA, 98201 <br />Analyzed By Approved By <br />Cooper Belisle Approved Signatory (If Necessary) <br />SEQ# SAMPLE ID <br />LAYER <br />DESCRIPTION <br />% NON -ASBESTOS FIBERS <br />% <br />NON -FIBROUS <br />% ASBESTOS TYPE <br />1 <br />Brown vinyl covering <br />None Detected <br />100% <br />Non -fibrous <br />(Other) <br />None Detected <br />2 <br />Gray vinyl tile <br />2% Cellulose <br />98% <br />Non -fibrous <br />(Other) <br />None Detected <br />3 <br />Clear mastic <br />2% Cellulose <br />98% <br />Non -fibrous <br />(Other) <br />None Detected <br />4 <br />Red vinyl tile <br />2% Cellulose <br />98% <br />Non -fibrous <br />(Other) <br />None Detected <br />5 <br />Yellow mastic <br />2% Cellulose <br />98% <br />Non -fibrous <br />(Other) <br />None Detected <br />6 <br />Brown wood debris <br />5% Cellulose <br />95% <br />Non -fibrous <br />(Other) <br />None Detected <br />7 <br />Green vinyl tile <br />2% Cellulose <br />98% <br />Non -fibrous <br />(Other) <br />None Detected <br />10 <br />5-2 Kitchen <br />8 <br />Yellow mastic <br />2% Cellulose <br />98% <br />Non -fibrous <br />(Other) <br />None Detected <br />9 <br />Yellow vinyl tile <br />2% Cellulose <br />98% <br />Non -fibrous <br />(Other) <br />None Detected <br />10 <br />Gray fibrous material <br />65% Cellulose <br />35% <br />Non -fibrous <br />(Other) <br />None Detected <br />11 <br />Green fibrous material <br />65% Cellulose <br />35% <br />Non -fibrous <br />(other) <br />None Detected <br />12 <br />Brown mastic <br />2% Cellulose <br />98% <br />Non -fibrous <br />(Other) <br />None Detected <br />13 <br />Brown wood debris <br />5% Cellulose <br />95% <br />Non -fibrous <br />(Other) <br />None Detected <br />11 <br />6-1 Pantry <br />1 <br />Brown sheet vinyl <br />None Detected <br />100% <br />Non -fibrous <br />(Other) <br />None Detected <br />2 <br />Non -fibrous <br />White fibrous material 65% Cellulose 35% (Other) <br />None Detected <br />12 <br />6-2 Pantry <br />1 <br />Brown sheet vinyl <br />None Detected <br />100% <br />Non -fibrous <br />(Other) <br />None Detected <br />2 <br />Non -fibrous <br />White fibrous material 65% Cellulose 35% (Other) <br />None Detected <br />The results given relate only to the items tested. The results apply to the sample(s) as received. <br />Reports must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government. <br />Page 29 of 39 <br />
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