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PLBG (11-0167) Separate asbestos testP.O. BOX BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00000167 Property Address: 52681 AVENIDA MENDOZA APN: 773-302-020-7 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 2100' c&t!t440" Applicant: Architect or Engineer: IY ` BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: A B C36 C4 License No.: 793482 Date• � ntr OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a.permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-70121, FAX (760) 777-7011 a INSPECTIONS (760) 777-7153 Date: 2/15/11 Owner: LA QUINTA REDEVELOPMENT AGENCY 78495 CALLE TAMPICO LA QUINTA, CA 92253 i' n ° Contractor: F ZGiI SO CAL & ASSOCI PLM P.O. BOX 955 YUCCA VALLEY, 922891TYOFLAQUINTA (760)369-4104 FWAN,1.EDEPT. Lic. No.: 793482 ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 1820769-2010 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become sub'sworkers' compensation provisions of Section // 370 of tthhe Labo Orth ' /Date 47 /l WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT' ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work'is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building constructio esentatives of this county to t upon th above-mentioned pr spection purposes. 11 ate��ature (Applic Application Number . . . . . 11-00000167 Permit . . . PLUMBING SEWER " Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .'. .00 Issue Date . . . . Valuation . . . . 2100 Expiration Date 8/14/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SEPTIC ABANDON, SEWER CONNECT. 2010 CODES. -------------------------- Other Fees . . . . . ------------------------------------ . . . . BLDG STDS ADMIN (SB1473) -------------- .1.00 Fee summary Charged Paid Credited Due --------------------------- Permit Fee Total ---=-------------------------- 30.00 '00 .00 30.00 Plan Check Total 00 00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 31.00 .00 .00 31.00 LQPERMIT Feb 15 11 01:21p Socal & Associates Plumbi r,,e.� . ..4111111111,1111111 Mu7 IM"d o ASSOGiATES PLl� M B � N B ■Nc. $peu'siizing in Sewer -Water Works-StormDrallns State License AIB/C36/C42 #793482 Proposal / Contract February 15, 2011 City Of La Quinta Tel: 760-777-7016 Fax: 760-777-7011 Att: Kirk Subject: Sewer Connection 52681 Avenida Mendoza La Quinta, CA 92253 Scope of Work- Abandon Septic System Connect Property To City Sewer System Price Includes Pumping And Fill Dirt Does Not Include Coachella Valley Water District Fees Does Not Include City Permits Cost of Work Provided: Respectfully Submitted Michael S. Hildebrand SoCal & Associates Plumbing, Inc. License: A / B/C36 l C42 #793482 7603286607, p.1 -jot - . 2100.00 ACCEPTANCE OF PROPOSAL CONTRACT Bin # City of LQ Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: s _ (o Qj Ave- . e.. o Owner's Name: L p A. P. Number: Address: Legal Description: - --- City, ST, Zip: Contractor:�. a►_' 1 S CJ Telephone: Address: Project Description: . City, Si, Zip: hone: Telephone: :fy ri:Y'f::':'v•lJ,.+n ..YyvMi X'- /:Tele City Lic. #.: State Lic. # : 3 $ pZ, Arch., Engr., Designer: Address: City, ST, Zip: Telephone: to �:il .. ..�.:.ii'...v• : "'.�.'.. aZ: d �c<s r..' Y' a^• R,., c•'.'�,ty.'t: `i:!•`Ttut/.t'6.�t£;yt`+ x s. z> -•»` � , �' 'f< ` ' Construction Type: State Lic. #: Pro's circle one New Addn Alter Re J type � )� ' air Demo P Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: C=)? Q Q APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Tide 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'' Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: Review, ready for correetionstissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees ,ATIlR. COACHELLA VALLEY WATER DISTRICT Oe1C;t P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 INVOICE Date: 2/22/2011 SUBJECT: 52681 AVENIDA MENDOZA, SCC ONLY, LA QUINTA CITY OF LA QUINTA Project: 11-2785 78495 CALLE TAMPICO Project Date: 2/22/2011 Amount Due: $4,231.00 LA QUINTA, CA 92253 GEO: 06-06-12-1 Planner: DAVID MCGEE TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK 1.00 FF SCC -COLLECTION $1,836.00 $1,836.00 1.00 FJ SCC -TREATMENT $2,395.001 $2,395.00 PA'® $4,231.00 ----�—/ FEB 2 2 2011 COACHELLA VALLEY WATER DISTRICT BY SUBJECT: 52681 AVENIDA MENDOZA, SCC ONLY, LA QUINTA COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 Pagel C,il of a Quinta CHECK NO. COACHELLA VALLEY WATER DISTRICT 267 DATE INVOICE ACCOUNT DESCRIPTION 02/16/11 52681MENDOZA 401-1853-551-45.01 SANITATION CAP 90774 02/18/2011 AMOUNT 4,231.00 4,231.00 ANAP P. UMPING, ' Inc. 7Rfl Q70_7007 . 7L:A QR1Z_A179Z Lic #C42 855 851 Fax 760 365-4118.1-800-334-7255 P.O. Box 2318 • Cathedral City, CA 92235 asappumping@aol.com ESCROW# DATE AMOUNT BILL TO O PHONE , ADDRESS �2 FAX CITY TECHNICI JOB NAME AND LOCATION DESCRIPTION OF WORK' / D� IA?C) Ci QUANT. DESCRIPTION OF SERVICES PRICE AMOUNT 1 Pumping Fee per 1000 gal. 6 SD Rooter Service ' Camera - Labor ,A $75/HR Septic Inspection Locating / Opening Fee $75/HR Jetting Service Out of Area Fee ,After Hours Fee Comments: f • `X SYSTEM FAILING' ❑ YES ❑ NO A FAILING SYSTEM MAY FILL BACK UP WITHIN A FEW DAYS ANDMATERIALS + CONTINUE TO HAVE PROBLEMS IF NOT RECTIFIED. FUEL CHARGE $25 0 0 TOTAL TOTAL LABOR WAIVER: Not responsible for secondary damage such as water damage, chipped concrete, mark on street or driveways or trees. _SIGNATURE DATE COMPLETED TAX TOTAL SC� 0 CITY OF LA QUINTA ,BUILDING & SAFETY DEPARTMENT (760) 777-7012 INSPECTION REQUEST LINE f (760) 777-7153-1w Owner 1f OF LA QUINTA REDEVELOP. Contractor SO CAL PLUMBING ASSOC. !Perniit Number 11-0167 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIG N,ALLAPPLICABLE SPACES JOB ADDRESS '�I52-681 AVENDA MENDOZA SEPTIC ABANDON, SEWER CONNECT. 2010 CODES. TYPE OF INSPECTION I DATE I INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF OKAY TO WRAP FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS DECK BONDING FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED t ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING v MASTERS 1Ebd01aGbP&1EMu%0- ASBESTOS_S_UR- V -E? DATE OF SURVEY: February 15, 2011 LOCATION: 52681 Avenida Mendoza La Quinta, CA BY: Gregory Masters California Certified Asbestos Consultant # 03-3365 Masters Environmental 44719 Alexandria Vale Indio, CA 92201 760-200-2900 Survey authorized by: Tom Hartung, City of La Quinta Methods: Selected materials in the structure that were suspected of containing asbestos were sampled according to specified protocols. Samples were sent to a NAVLAP accredited laboratory, Patriot Laboratories, Garden Grove, CA — Lab code 200358-0. They were analyzed by Polarized Light Microscopy according to Bulk Analysis Protocol EPA 600/R-93/116. The laboratory report is attached to this message for your inspection Site: This structure is a single family residence. The scope of work is to determine the asbestos content of the textured ceiling, of the roofing, the drywall, the taping compound, the stucco, and the heater closet insulation. Sampling Table: Sample Location Description Friable Quantity Condition Asbestos 001 Stucco Stucco NF 1400 sq.ft Good ND 002 Roof BL-roll-rfg NF 1500 sq.ft Good ND 003 Cei ings Textured F 600 sq.ft Good ND ceiling 004 Textured F Good ND ceiling 005 Textured F Good ND ceiling 006 Walls Wallbd & T.C. F 5000 sq.ft Good ND 007 F Good ND 008 IF F Good ND 009 Htr closet Friable ins. F 100. Good ND 52681 Mendoza, La Quinta, CA Masters Environmental 44719 Alexandria Vale Indio, CA 92201 760-200-2900 760-200-2901 FAX gmasters@sonic.net p. 3 RESULTS: All suspect materials that were sampled and analyzed by Patriot Environmental Services Laboratories tested negative for asbestos. We are not able to locate any asbestos containing materials in the structure. No guarantees are offered or implied. We appreciate the opportunity to serve your asbestos needs, and look forward to working with you again. P56ESTOS C w W �Q FN q No. 03-3365 4 01'4-lJFO SRN e. Masters Environmental 760-200-2900 44719 Alexandria Vale 760-200-2901 FAX Indio, CA 92201 P-masters(a)sonic.net d Masters Environmental 44719 Alexandria Vale Indio, CA 92201 760-200-2900 760-200-2901 FAX gmasters(-)sonic.net 4 Ili p. 5 MASTERS 1Ebd91a0raP&1EbuAa 1—IDEMERMRATEDLEAD BASED P-AI�NT SURVEY DATE OF SURVEY: January 4, 2011 LOCATION: 52681 Avenida Mendoza La Quinta, CA BY: Gregory Masters California Certified Lead Inspector/Assessor 18638 Masters Environmental 44719 Alexandria Vale Indio, CA 92201 760-200-2900 Survey authorized by: City of La Quinta Methods: All painted surfaces on the structure are examined for paint that has in some way failed: chipping, cracking, peeling, flaking, chalking. Failed paint is carefully identified, sampled, and analyzed in the laboratory. Paint is identified as Lead Based Paint when the lead content is above 5000 mg/kg (5000 ppm) (0.5%).. Site: This is a single family residence, in fair condition. The paint is for the most part, in good condition, with some minor deterioration outside on the roof supports. LEAD CONCENTRATIONS SAMPLE LOCATION DESCRIPTION HIGH (reference) LEAD CONTENT NUMBER LBP —01 Exterior posts Brown, flaking 5000 mg/kg ND roof supports This flaking paint has no lead content. Other paint in the structure is in good condition, and therefore was not sampled for analysis. That paint is not scheduled for removal or disturbance and was therefore not examined for lead content. 1 � t_c_� 77 Gregory Masters, California Lead Inspector/Assessor 21683 PATRIOT ENVIRONMENTAL LABORATORY SVCS, INC. Page of CHAIN OF CUSTODY y �,►,�;�� cab use oftl r www.patriotiab.com Report Number: Client : /V S T� C sr t.'t rocrrv�e�-t—�( Pro act #: (% f' tY Client lf q-7!. /c=xandr� 4 Va l-� Pro'ect Name: C i o 1-,t Q u i r✓t�'Q Address: 11ic4i o "I A C1Zzd! Location: Client Contact: Sam le Collection Date: Contact Phone: 74e O -- Z 0 p -� p p Preservative: flontact Cell: Authorized o : Tom r�l-u K Contact Fax: & D -200 —j � O / P0#: Claim #: Special Instructions: na PCM (bbercound NIOSH 7400A PLM (bulk asbestos) EPA 60018-93/116 CARS 435 Point Count 400 Point Count 1000 13 Gravimetric Reduction Turnaround Time Rush (Same Da) 0 Other El 24HR (specify): -sTLC/CAL WET requires a minimum of 52 hrs tumaround -TCLP requires a minimum of 22 hrs turnaround -Cultures requite 5-7 days turnaround ...,...�„au n uished By. (print) re s ers C6C403-335 sin o-yy 4 -0 -lee -,r- (date) 2 _/S^/ &;by. tP11111)(Si n)% (date) Received By. (print) (si4n) (date) Relinquished By: - (print) (sinnl (date) teceived By: (pant) (sign) (date) Certificate of Analysis Total Lead in Paint �+ EPA Method 3050B/7000A Tel: 714.899,8900 Free 888.743.0998 Fax: 714.899.7098 httpV/www.patriotiarb.COM 7271 Garden Grove Blvd., Suite Garden Grove, CA 9284t Patriot'Environmental Laboratory Services, fnc. Masters Environmental Report Number: 406487 44719 Alexandria Vale Project Number: 1714 Indio, CA 92201 Project Name: City of La Quinta Project Location: 52681 Mendoza La Quinta, CA Date Collected: 2/15/2011 Collected By: Date Received: 2/16/2011 Claim Number: Date Analyzed: 2/16/2011 PO Number: Date Reported: 2/16/2011 Number of Samples: 1 Lab/Client ID Location Material Description Result (mg/kg) 406487-001 Roof Supports Brown Flaking None LBP -01 Detected Reporting Limit: 0.005% or 50 mg/kg; Detection Limit: 0.100mg/L. A result is considered none detected when a spectrophotometric result is <0.I00mg/L Layered paints are analyzed as composite to minimize risk of cross -contamination. Condition of samples as received is fair unless otherwise noted David Espique - Analyst Ian Reyes - Approved By This report was issued by a DOHS ELAP (Lab No.I-2540) accredited laboratory and may not be reproduced without the expressed written consent of Patriot Environmental Laboratory Services, Inc. This report must not be used to claim product certification, approval or endorsement by DOHS ELAP or any government agency. Page 1 of 1 •� PATRIOT ENVIRONMENTAL LABORATORY SVCS, INC. CHAIN OF C T N U S 0 DY Lab Use Only www.patriotlab.com Report Number. (3 f Client :_r c. vi rrc, E s- a Project #: jLf f j) Client '{'{ 71 - Pro'ect Name: ,' cT a (e Address: [' C Z.Z,L' 1 location: M4ejj 0Z Client Contact: Sam le Collection Date: c-� � Contact Phone: Preservative: Coritact Cell: C Authorized By: Contact Fax: o -- zz9of PO#: Claim #: Special Instructions: Analysis Requested L � a-� P, I, ne 1 Turnaround Time Rush (Same Oa) 101her 24HR _ (speclty): -STLCCAL WET requires a minimum of 52 his rumaround -TCl.P requires a minimum of 22 his tumaround -Cultures require 5-7 days tumaiwrnd of Relinciuished BY: Received By: Relinquished By: Received By: Relinquished By: Received By: 2.—/5— 441k441ki 00�:3brl - Certificate of Analysis PLM Asbestos Identification Tel: 714.899.8900 a Frft:888.743.0998 Fant: 714.899.7098 httP:,//w%ov ^'.patriotlab.com 7271 Garden Grove Blvd, Suite A Garden Grove. CA 92841 Patriot Environmental Laboratory Services, Inc. Masters Environmental Report Number: 406492 44719 Alexandria Vale Project Number: 1714 Indio, CA 92201 Project Name: City of La Quinta Project Location: 52681 Mendoza La Quinta, CA Date Collected: 2/15/2011 Collected By: Date Received: 2/16/2011 Claim Number: Date Analyzed: 2/16/2011 PO Number: Date Reported: 2/16/2011: Number of Samples: 9 Lab/Client ID/Layer Location Material Description Color Composition (%) 406492-001 Stucco Stucco White Gray 70% Minerals 001 27% Carbonate 3% Paint Total Asbestos None Detected 406492-002 002 Total Asbestos Roof None Detected BL -Roll; -Roofing Black 58% Minerals 40% Tar 2% Glass Fibers 406492-003 Ceiling BR 1 Textured Ceiling White 72% Carbonate 003 25% Foam 3% Paint Total Asbestos None Detected 406492-004 004 Total Asbestos 406492-005 005 Total Asbestos Ceiling BR 2 None Detected Ceiling BR 3 None Detected Textured Ceiling White 72% Carbonate 25% Foam 3% Paint Textured Ceiling White 72% Carbonate 25% Foam 3% Paint 406492-006 Walls Wallboard and White 92% Carbonate 006 Taping Compound 8% Paint . 1\ Total Asbestos None Detected Page 1 of 2 Total Asbestos None Detected 406492-008 Walls Wallboard and White Certificate of Analysis 008 PLM Asbestos Identification 13% Carbonate Tel: 714.899.8900 Fmc., 888,743,0998 Fax, 714.899.7098 4% Paint Total Asbestos tnv://Www.paviottAb.com Patriot Environmental Laboratory Services, Inc. 406492-009 7271 Garden Grove Blvd.; Suite A Garden Grove, CA 92841 Masters Environmental Report Number: 406492 44719 Alexandria Vale Project Number: 1714 Indio, CA 92201 3% Paint Project Name: City of La Quinta Project Location: 52681 Mendoza La Quinta, CA Date Collected: 2/15/201.1 Collected By: Date Received: 2/16/2011 Claim Number. Date Analyzed: 2/16/2011 PO Number: Date Reported: 2/16/2011 Number of Samples: 9 Lab/Client ID/Layer Location Material Description Color Composition (%) 406492-007 Walls Wallboard and White 76% Sulfate 007 Taping Compound 13% Carbonate 7% Cellulose 4% Paint Total Asbestos None Detected 406492-008 Walls Wallboard and White 76% Sulfate 008 Taping Compound 13% Carbonate 7% Cellulose 4% Paint Total Asbestos None Detected 406492-009 Heater Closet Fireproofing White 71% Carbonate 009 26% Foam 3% Paint Total Asbestos None Detected 406492-009 Sample appears to be acoustic ceiling. Bulk sample(s) submitted was (were) analyzed in accordance with the procedure outlined in the US Federal Register 40 CFR 763, Subpart F, Appendix A; EPA -600/R-93/116 (Method for Determination of Asbestos in Building Materials), and EPA -600/M4-82-020 (US EPA Interim Method for the Determination of Asbestos in Bulk Insulation Samples). Samples were analyzed using Calibrated Visual Estimations (CVES); therefore, results may not be reliable for samples of low asbestos concentration levels. Samples of wall systems containing discrete and separable layers are analyzed separately and reported as composite unless specifically requested by the customer to report analytical results for individual layers. This report applies only to the items tested. Results are representative of the samples submitted and may not represent the entire material from which the samples were collected. "None Detected" means that no asbestos was observed in the sample. "<10/o" (less than one percent) means that asbestos was observed in the sample but the concentration is below the quantifiable level of 1%. Elaine Wai - Analyst Ian Reyes - Approved By This report was issued by aNIST/NVLAP (Lab Code 200358-0) and CADOHS- ELAP (Cert. No. 2540) accredited laboratory and may not be reproduced without the expressed written consent of Patriot Environmental Laboratory Services, Inc. This report may not be used to claim product certification, approval or endorsement by NIST, NVLAP, ELAP or any government agency. Page 2 of 2