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B23-1285 - 27691 ROLLING WOOD LNFINAL 08/27/2025 TAYLOR JENSEN, TRUSTEE of the TEN TINY TOES TRUST932600REO PRO SERVICES INCSOUTH COUNTY RESTORATION 2 CORTE LA CEREZA SAN CLEMENTE, CA 92673 SCOTT SCHAFFER - OLIVOS DESIGN STUDIO 5319 UNIVERSITY DRIVE, #3025, CA 92612 07/20/22 X 949-709-3372 / 27691 ROLLING WOOD LANE, SAN JUAN CAPISTRANO, CA 92675112 INTERIOR KITCHEN AND BATHROOM REMODEL OF EXISTING GUEST HOUSE. RELOCATE EXISTING FRENCH DOORS. NEW DOOR, WINDOW. CONTRACTOR: SHIPP GROUP, 1160 NORTH COAST HIGHWAY, LAGUNA BEACH, CA 92651. CONTACT: DAVE SHIPP - 949-715-0741 CONTACT: DAVE KOWALESKI - 909-238-7946 07/01/22 01/01/23 INTERIOR REMODEL AND INFILL ADDITION AT EXISTING KITCHEN. INFILL ADDITION AT EXISTING BEDROOM AND DECK ABOVE, WITHIN EXISTING ROOF. \,<'. SUBMISSION CHECKLIST Use checkmark to show compliance; if not applicable, enter "N/A". 1. Plot Plan a. b. c. Show lot lines accurately, including length, angles and amount of curve. Show all improvements, both existing and proposed, including fences, walls, setbacks, sidewalks, top and toe of slopes, street right-of-way, and outline of structures on adjacent properties. Show all dimensions of improvements to be reviewed (including heights of walls and perimeter improvements), distances be- tween existing structures and proposed improvements, distances between proposed improvements and property lines, toe of slope, top of slope and height matrix. 2. Roof Plan a. Show plan of all proposed and existing roof systems with slope pitches noted. b. Show physical materials of all proposed and existing roof systems. c. Indicate any unusual conditions or construction resulting from the proposed work. 3. Floor Plan a. Indicate all walls, columns, openings, and any condition or feature that will affect exterior design of proposed or existing im- provements. b. c. Dimension accurately all items and parts of plans and details, including balconies, decks, atriums, garages, pools, spas, recre- ation areas, patio structures or covers, sunshades and gazebos. Note square footage of area under roof of existing and proposed improvements. ExJnbitB 2ol5 rwt:i.'"" . N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A ALL COLORS AND FINISHES ARE TO MATCH THE EXISTING HOME. 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ScRWW TXUneU Aug 25, 2022 !!"# $ %!!"# &'% ()$*+(*,)'-(.(/(01 2-%23 4 -(%$&5$6&$&&&78(&&4 .79":$;<38=& ? ?6- ' (0( @' ()$*+(*,)'-(.(/(01 !!"##%A!% 4 (00- !!,'*/(0. -3 !!"##%A!%7# 4 B0=C@'- !!,'*/(0 !!"#%7A%! 4 23 - !!,'*/(0 0-33-/2(4 !!"#%#!%! 4 (0-3@'/2(4 +- !!,'*/(01 23 %!!"#%#!%!A 4402 (%- = 3 0(0/ !!"#%#!%!A 4 1 Building Department From:Parkinson, Elizabeth <betsyp@smwd.com> Sent:Tuesday, September 19, 2023 9:43 AM To:Scott Schaffer; Building Department Cc:Webster, Tanner; engcounter Subject:Sanitation Clearance - 27691 Rolling Wood Lane, SJC [The e-mail below is from an external source. Please do not open attachments or click links from an unknown or suspicious origin.] Good morning, This address has been cleared by SMWD. There are no impacts to Public Water and Sewer. Thank you, Betsy Parkinson Administrative Assistant O: 949-459-6612 M: 949-433-6933 smwd.com From: Scott Schaffer <scott@olivosdesignstudio.com> Sent: Monday, September 18, 2023 10:03 AM To: engcounter <engcounter@smwd.com> Subject: Re: SMWD: 27691 Rolling Wood Lane, SJC ATTENTION: This email was sent from an external source. Please be careful when clicking links or attachments. Yes please see attached. Kind Regards, Scott Schaffer. OLIVOS DESIGN 2 STUDIO E. scott@olivosdesignstudio.com T. 949-709-3372 W. www.olivosdesignstudio.com House Design Orange County | Olivos Design Studio | United States Residential Design Studio specializing in coastal California lifestyle and clean, contemporary aesthetics. The Schaffer Group, LLC dBA Olivos Design Studio CONFIDENTIALITY NOTE: Please treat this e-mail message as confidential. This email message is for the sole use of the intended recipients named above, any unauthorized use dissemination, distribution or copying is strictly prohibited. If you are not the intended recipient, please notify the sender by reply email immediately. We ask you destroy all copies of the original e-mail and any attached documents. DISCLAIMER: Discloser is not a registered broker-dealer or investment adviser and does not advise on the raising of capital through securities offerings or recommend or otherwise suggest any investment or investor. Discloser takes no part in the negotiation or execution of transactions for the purchase or sale of securities, and at no time has possession of funds or securities relating to the purchase or sale of securities. Discloser does not verify the terms of any prospective sale of securities or the accuracy of any information provided and assumes no responsibility for the truthfulness of any information provided or the integrity of any deal or any party involved. Discloser makes no representation or warranties regarding the legality or compliance of any securities offering. Any investor should consult with their legal financial advisers before making any investment. On S ep 18, 2023, at 10:01 AM, engcounter <engcounter@smwd.com> wrote: Hi Scott, I do not show any record of your Sanitation Clearance application. Can you please resend? Thanks, <image005.png> Catherine Aamodt Administrative Assistant O: 949-459-6505 M: 949-540-5342 smwd.com <image006.png> <image007.png> <image008.png> 3 From: Scott Schaffer <scott@olivosdesignstudio.com> Sent: Monday, September 18, 2023 9:48 AM To: engcounter <engcounter@smwd.com> Subject: Re: SMWD: 27691 Rolling Wood Lane, SJC Good morning, Just following up to receive approval on this project? Please let me know if you have any questions. Thank you. Kind Regards, Scott Schaffer. OLIVOS DESIGN STUDIO E. scott@olivosdesignstudio.com T. 949-709-3372 W. www.olivosdesignstudio.com House Design Orange County | Olivos Design Studio | United States Residential Design Studio specializing in coastal California lifestyle and clean, contemporary aesthetics. The Schaffer Group, LLC dBA Olivos Design Studio CONFIDENTIALITY NOTE: Please treat this e-mail message as confidential. This email message is for the sole use of the intended recipients named above, any unauthorized use dissemination, distribution or copying is strictly prohibited. If you are not the intended recipient, please notify the sender by reply email immediately. We ask you destroy all copies of the original e-mail and any attached documents. DISCLAIMER: Discloser is not a registered broker-dealer or investment adviser and does not advise on the raising of capital through securities offerings or recommend or otherwise suggest any investment or investor. Discloser takes no part in the negotiation or execution of transactions for the purchase or sale of securities, and at no time has possession of funds or securities relating to the purchase or sale of securities. Discloser does not verify the terms of any prospective sale of securities or the accuracy of any information provided and assumes no responsibility for the truthfulness of any information provided or the integrity of any deal or any party involved. Discloser makes no representation or warranties regarding the legality or compliance of any securities offering. Any investor should consult with their legal financial advisers before making any investment. 4 On Sep 12, 2023, at 11:48 AM, Scott Schaffer <scott@olivosdesignstudio.com> wrote: Good morning, Please find attached Sanitation Clearance letter for our remodel/addition project at 27691 Rolling Wood Lane, San Juan Capistrano. Thank you. Kind Regards, Scott Schaffer. OLIVOS DESIGN STUDIO E. scott@olivosdesignstudio.com T. 949-709-3372 W. www.olivosdesignstudio.com House Design Orange County | Olivos Design Studio | United States Residential Design Studio specializing in coastal California lifestyle and clean, contemporary aesthetics. The Schaffer Group, LLC dBA Olivos Design Studio CONFIDENTIALITY NOTE: Please treat this e-mail message as confidential. This email message is for the sole use of the intended recipients named above, any unauthorized use dissemination, distribution or copying is strictly prohibited. If you are not the intended recipient, please notify the sender by reply email immediately. We ask you destroy all copies of the original e- mail and any attached documents. DISCLAIMER: Discloser is not a registered broker-dealer or investment adviser and does not advise on the raising of capital through securities offerings or recommend or otherwise suggest any investment or investor. Discloser takes no part in the negotiation or execution of transactions for the purchase or sale of securities, and at no time has possession of funds or securities relating to the purchase or sale of securities. Discloser does not verify the terms of any prospective sale of securities or the accuracy of any information provided and assumes no responsibility for the truthfulness of any information provided or the integrity of any deal or any party involved. Discloser makes no representation or warranties regarding the legality or compliance of any securities offering. Any investor should consult with their legal financial advisers before making any investment. <Sanitation%20Clearance%20Application%2001.11.23_202301111731519585.pdf> 5 ***** Please note that email correspondence with the City of San Juan Capistrano, along with attachments, may be subject to the California Public Records Act, and therefore may be subject to disclosure unless otherwise exempt. NVLAP Lab Code: 200548-0 Inspection Date: Report Date: Limited Asbestos Survey Customer:Allison Kennedy Job Location:Allison Kennedy 27691 Rolling Wood Lane 27691 Rolling Wood Lane San Juan Capistrano, CA 92675 San Juan Capistrano, CA 92675 1.0 Introduction/ Laboratory Summary: Please read entire report prior to initiating any action. •None Positive Results: #Notes Friable Condition Sq. Ft.* No asbestos detected in the samples tested Negative Results: #Notes 1.1 N/A 1.2 N/A 2.1 N/A 2.2 N/A 2.3 N/A 2.4 N/A 3 N/A 4.1 N/A 4.2 N/A This report presents the analytical results of the Limited Asbestos Survey of specified materials and locations as requested and directed by the client that was performed at the subject property listed above by Envirocheck, Inc. If suspect asbestos materials are uncovered and/or discovered during the renovation and/or repair activities, suspend all activities, secure, stabilize the area until the newly discovered suspect materials are tested. Unless noted, this survey excludes sampling of the concrete slab/foundation, ceramic tile systems and masonry products. Kitchen Drywall Kitchen Drywall Mud Kitchen Drywall Kitchen Drywall Mud Kitchen Drywall Mud Kitchen Drywall Mud Kitchen Drywall Mud Den Drywall Mud Den Drywall 2211 West Orangewood Avenue Orange, CA 92868 Tel: (714) 937-0750 Fax: (714) 937-0755 www.envirocheck.com (800) 665-7586 Location Material MaterialLocation Total % Asbestos The sampled materials that exceeded the EPA definition of Asbestos Containing Material (ACM) of >1% and/or the Cal-OSHA definition of Asbestos Containing Construction Material (ACCM) of >0.1% and/or found as Trace for asbestos content were: 2/2/20241/31/2024 Types of Asbestos Present 5.1 N/A 5.2 N/A 5.3 N/A Den Drywall Mud Den Drywall Mud Den Drywall 2.0 Background, Sampling Protocol, and Test Methods Testing by: Engaged by Representative: Survey by: Purpose of inspection: Structure: Exterior: Roof: Occupied?:Yes Roof Condition: Year Built:1990 Exterior Debris Pile(s): No. of Stories:2 Debris Pile Location(s): Approx. SQ FT:10,000 Debris Pile Size: Foundation: Debris Pile Contents: Air Handling: ● ● ● ● ● ● ● ● ● Single Family Purpose of inspection was to test certain building materials that will be impacted due to planned renovation. Wood Shake GoodGood N/A Exterior Condition: When Non-Friable Asbestos Containing Material (ACM) has suffered Damage and/or Disturbance, the Debris that is the result of the damage and/or disturbed ACM will be considered to be Friable ACM and shall be disposed of as Asbestos Containing Waste Material (ACWM). Each asbestos sample collected was analyzed utilizing the methods specified in EPA – Appendix E to Subpart E of 40 CFR Part 763: "Interim Method of the Determination of Asbestos in Bulk Insulation Samples" and EPA/600/R-93/116: "Method for the Determination of Asbestos in Bulk Building Materials", by a NVLAP-accredited laboratory. Jack B. Mann, CSST# 23-7376 Envirocheck, Inc. NVLAP Lab Code: 200548-0. Siding Wood N/A The samples were submitted to Envirocheck's in-house laboratory, located at 2211 W. Orangewood Avenue, Orange, CA 92868, (800) 665-7586. Modified AHERA (Asbestos Hazard Emergency Response Act) sampling methods and protocols were used. The inspector is Cal/OSHA certified and conformed to procedures outlined in the EPA Building Inspector Course. N/A Michael Powers, CAC# 11-4750 No Slab Asbestos testing and inspection was performed by Jack B. Mann, CSST# 23-7376, of Envirocheck, on 1/31/2024, under the direction of Michael Powers, CAC# 11-4750. HVAC Envirocheck personnel identified all accessible and recognizable types of suspect ACM and PACM that were anticipated to be impacted by the renovation and/or repair. Suspect materials which were not anticipated to be impacted were not sampled. The inspector performed an inspection for suspect asbestos containing materials listed above following the provisions of 40 CFR Part 763.86. South County Restoration 3.0 Applicable Actions: ● ● ● ● ● ● Periodic surveillance for materials found in Good Condition As applicable, materials found to be in Good Condition can be left and managed in place under a proper Operations and Maintenance (O & M) Plan Removal for materials found in Significant Damage Removal prior to renovation activities that may cause disturbance Prior to any renovation or planned disturbance of any ACM, the contractor should be furnished with a copy of this survey report Note: Interpretations of the regulatory language regarding wall system (i.e., drywall, gypsum board, wallboard, plaster and stucco) multi-layer composite sampling vary; therefore, it is important to be familiar with the local NESHAP (South Coast AQMD) enforcement and local OSHA enforcement agencies' individual interpretations of the standards to avoid citation and fines. Notice 3: Asbestos NESHAP Requirement to Perform Point Counting (May 8, 1991) – This applies to all regulated asbestos containing materials (RACM) as defined in 40 CFR Section 61.141. • “First, a sample in which no asbestos is detected by polarized light microscopy (PLM) does not have to be pointed counted. However, a minimum of three slide mounts should be prepared and examined in their entirety by PLM to determine if asbestos is present. This process should be carefully documented by the laboratory.” • “Second, if the analyst detects asbestos in the sample and estimates the amount by visual estimation to be less than 10%, the owner or operator of the building may (1) elect to assume the amount be greater than 1% and treat the material as asbestos-containing material or (2) require verification of the amount by point counting.” If no election is made, then the materials shall be presumed to be ACM. • “Third, if a result obtained by point count is different from a result obtained by visual estimation, the point count result will be used.” • It is the responsibility of the building owner, operator, and/or owner representative to determine the desired course of action and communicate the information to the relevant parties and request the laboratory to perform additional point count analysis as applicable. Point count laboratory analysis is not part of the standard procedure of PLM analysis and is considered an additional service. Notice 1: According to AHERA, 40 CFR, 763.87 (c)(1),(2) - (1) A homogeneous area is considered not to be Asbestos Containing Material (ACM) only when all required samples collected from a homogeneous area indicate levels below regulated limits and (2) a homogeneous area is considered ACM when at least one of the required samples collected indicates levels above regulated limits. According to AHERA, 40 CFR , 763.83 - A homogeneous area means an area of surfacing material, thermal system insulation material, or miscellaneous material that is uniform in color and texture. Notice 2: Cal-OSHA (DOSH) defines asbestos containing construction materials (ACCM) as manufactured materials containing asbestos in amounts greater than 0.1% by weight. Cal-OSHA requires that contractors be registered with DOSH when disturbing ACCM. Note that if "any level" of asbestos is detected, Cal- OSHA still requires applicable worker protections, training, communication, notification and engineering controls in accordance with CCR Title 8 Section 1529, even if it is determined to be less than or equal to 0.1% asbestos by weight, however the contractor would not be required to be "registered" with DOSH if the level is at or below 0.1% asbestos by weight. The EPA defines asbestos containing materials (ACM) as materials containing asbestos in amounts greater than 1%. Polarized Light Microscopy (PLM) analysis has a limit of quantification of <1%. PLM samples determined to contain levels of less than or equal to 1% can be presumed to contain levels greater than 1% or can be submitted for 400 point count for a more accurate result (Limited to a qualified <1%). In order to determine if materials are less than or equal to 0.1%, the 1000 point count method and/or Transmission Electron Microscopy (TEM) method will be needed to determine levels with quantification limits of a minimum of 0.1% in accordance with EPA/600/R-93/116. The 400 point counting method assists in determining proper waste handling and appropriate jurisdiction of regulatory agencies (such as: EPA, NESHAP, APCD, AQMD) and cannot be used to determine DOSH registration requirements (where a combination of 1000 point counting and/or TEM analysis will be required as per EPA 600/93-R/116 Method). Request for additional types of analysis must be made by the client and additional analytical costs will apply. Repair or removal for materials found in Damaged Condition 4.0 Asbestos-Related Terms 4.1 Laboratory Report Terms 4.2 Laboratory Accreditation NIST/NVLAP National Institute of Standards and Technology National Voluntary Laboratory Accreditation Program NVLAP Lab Code: 200548-0 NVLAP Lab Code: 200548-0 For a detailed explanation of our accreditations and quality assurance program, contact Envirocheck. California Water Boards ELAP Certificate 2723 Negative – No asbestos detected, however it doesn't mean that there isn't any asbestos. CAL-OSHA a.k.a. (DOSH) Division of Occupational Safety and Health (California governing body regulating worker protection) PACM – Presumed Asbestos Containing Materials (Materials considered asbestos containing without laboratory analysis) AHERA – Asbestos Hazard Emergency Response Act (Regulates school facilities) ASHARA – Asbestos School Hazard Reauthorization Act (Includes public and commercial buildings under AHERA regulation) ACCM – Asbestos Containing Construction Materials (CAL-OSHA’s term for materials containing greater than one tenth of one (0.1) percent by weight) ACM – Asbestos Containing Materials (Materials containing greater than one (1) percent by weight) CSST – Certified Site Surveillance Technician (Allowed to perform all aspects of asbestos related inspection, management, and work under the direction of a CAC) CAC – Certified Asbestos Consultant (State of California certified individual allowed to perform all aspects of asbestos related inspection, management, planning, and design work and to direct CSST(s) and review and execute asbestos reports under state law) RACM – Regulated Asbestos-Containing Material (40 CFR Section 61.141) P – Personal Sample (Employee monitoring type sample) AA – Area After (Clearance type sample) EX – Excursion (Employee monitoring type of sample during peak activities) A – Area Sample (Air monitoring) AIHA – American Industrial Hygiene Association PCM – Phase Contrast Microscopy NVLAP – National Voluntary Laboratory Accreditation Program AQMD – Air Quality Management District (Local division of NESHAP) Trace – Asbestos was detected in the PLM analysis, but not in the point count. OSHA – Occupational Health and Safety Administration NIOSH – National Institute of Occupational Safety and Health DOT – Department of Transportation EPA – Environmental Protection Agency (Regulates environment and waste stream) NESHAP – National Emissions Standards for Hazardous Air Pollutants ND – None Detected TEM – Transmission Electron Microscopy BK – Blank (Used for quality assurance) APCD – Air Pollution Control District (Local division of NESHAP) CFR – Code of Federal Regulations PLM – Polarized Light Microscopy (also known as “Bulk” sample) CCR –California Code of Regulations 5.0 Limitations 6.0 Certified Asbestos Consultant Signature Any individual performing services as an asbestos consultant or site surveillance technician as referenced and defined in section 1529(b) of Title 8 of the California Code of Regulations must be certified by the State of California, Division of Occupational Safety and Health (DOSH). Asbestos consultant shall maintain copies of AHERA training certificates for management planner, abatement project designer, abatement contractor and supervisor, and all subsequent annual refresher courses. The complete abatement project designer course certificate is only required for certifications provided after July 1, 1994. Site surveillance technician applicants shall maintain copies of AHERA training completion certificates for inspector, and abatement contractor and supervisor, and all subsequent annual refresher courses. Certificates for abatement worker and abatement project designer may be utilized in lieu of the abatement contractor and supervisor certificate. Specific qualifications are required pursuant to section 1529(o) of Title 8 of the California Code of Regulations for certification. The educational qualifications, (diploma, official transcript, or other proof), and qualifying work experience as specified in Business and Professions Code sections 7184 and 7185 have been met by the individual(s) performing asbestos related consulting activities or activities. Qualifying work experience includes technical work associated with asbestos consulting activities. Written site surveillance technician references attesting to the applicant's qualifying work experience which are certified under the penalty of perjury as required. Michael Powers, CAC# 11-4750 ______________________________ The findings set forth in this report are strictly limited to the time, date and scope of the investigation. The results presented in this report are based on the analytical testing performed by the certified laboratory. The results from the sampled locations are representative of the entire homogeneous material/areas and not just the locations sampled. According to AHERA, 40 CFR, 763.87 (c)(1),(2) - A homogeneous area is considered not to be Asbestos Containing Material (ACM) only when all required samples collected from a homogeneous area indicate levels below regulated limits and a homogeneous area is considered ACM when at least one of the required samples collected indicates levels above regulated limits. This report does not guarantee that all inaccessible, hidden, or indistinguishable materials will be identified or sampled. Samples were limited to the materials and locations listed on the chain of custody. Materials/areas that were not sampled shall be presumed to be asbestos containing until proven otherwise by appropriate sampling procedures. Square footages are estimates only and should not be used for bidding purposes. mike@envirocheck.com NVLAP Lab Code: 200548-0 Customer:Allison Kennedy Job Location:Allison Kennedy 27691 Rolling Wood Lane 27691 Rolling Wood Lane San Juan Capistrano, CA 92675 San Juan Capistrano, CA 92675 1124012232 1124012232 Sub-sample 1124012232 Sub-sample 1124012233 1124012233 Sub-sample 1124012233 Sub-sample 1124012233 Sub-sample 1124012233 Sub-sample 1124012234 1124012235 Sample #1 1.1 1.2 2 2.1 2.2 2.3 2.4 3 4Point Asbestos No No No No No No No No No No Total N.D.N.D.N.D.N.D.N.D.N.D.N.D.N.D.N.D.N.D. 1o Type 2o Type 3o Type Location Kitchen Kitchen Kitchen Kitchen Kitchen Kitchen Kitchen Kitchen Kitchen Den Material Drywall & Mud Composition Drywall Mud Drywall Drywall & Mud Composition Drywall Mud Drywall Mud Drywall Mud Drywall Drywall Mud Drywall & Mud Composition Notes Color White White White White White White White White White White Homogeneous No No No No No No No No Yes No Components: Non-fibrous Material x x x x x x x x x x Paint x x x x x x x x Tar Cellulose 3%3%5%2%3%4%3% Fiberglass 1%1%1%1% Synthetic Fibers Other 1 Paper Paper Paper Paper Paper Paper Other 2 Comments/ Method Departures None None None None None None None None None None Received:1/31/2024 Analyzed:2/1/2024 Analyst:Admin QC:VG Javier Osorio Lab QC:EE **Various sample locations combined for composite purposes. ***Not covered by NVLAP accreditation. Standard Deviation is ± 1.5% for mean concentrations of 2-10% asbestos and ± 1.9% for mean concentrations of >10% asbestos (1 Standard Deviation). Report Date: 02/01/2024 California Water Boards ELAP Certificate 2723 Samples were analyzed in accordance with EPA - Appendix E to Subpart E of 40 CFR Part 763: "Interim Method of the Determination of Asbestos in Bulk Insulation Samples" and EPA/600/R-93/116: "Test Method for the Determination of Asbestos in Bulk Building Materials". The limit of detection for asbestos is <1%, and the limit of quantification is 1.0% or greater. The State of California defines an asbestos-containing construction material as having more than 0.1% asbestos. All samples are disposed of after 30 days unless the customer requests otherwise. This report shall not be reproduced except in full, without the written approval of the laboratory. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S. Government. Test results apply to the sample as received. Asbestos percentage obtained through calibrated visual estimate. Components of inhomogeneous samples not analyzed separately unless listed as a sub-sample. 2211 West Orangewood Avenue Orange, CA 92868 Tel: (714) 937-0750 Fax: (714) 937-0755 www.envirocheck.com (800) 665-7586Asbestos Laboratory Report, Page 1 of 2 PLM Report GDriveNS ver 4.3, RAM 1/31/2024 NVLAP Lab Code: 200548-0 Customer:Allison Kennedy Job Location:Allison Kennedy 27691 Rolling Wood Lane 27691 Rolling Wood Lane San Juan Capistrano, CA 92675 San Juan Capistrano, CA 92675 1124012235 Sub-sample 1124012235 Sub-sample 1124012236 1124012236 Sub-sample 1124012236 Sub-sample 1124012236 Sub-sample Sample #4.1 4.2 5 5.1 5.2 5.3Point Asbestos No No No No No No Total N.D.N.D.N.D.N.D.N.D.N.D. 1o Type 2o Type 3o Type Location Den Den Den Den Den Den Material Drywall Mud Drywall Drywall & Mud Composition Drywall Mud Drywall Mud Drywall Notes Color White White White White White White Homogeneous No No No No No No Components: Non-fibrous Material x x x x x x Paint x x x x Tar Cellulose 3%4%1%3% Fiberglass Synthetic Fibers Other 1 Paper Paper Paper Paper Other 2 Comments/ Method Departures None None None None None None **Various sample locations combined for composite purposes. ***Not covered by NVLAP accreditation. Standard Deviation is ± 1.5% for mean concentrations of 2-10% asbestos and ± 1.9% for mean concentrations of >10% asbestos (1 Standard Deviation). California Water Boards ELAP Certificate 2723 2211 West Orangewood Avenue Orange, CA 92868 Tel: (714) 937-0750 Fax: (714) 937-0755 www.envirocheck.com (800) 665-7586 Samples were analyzed in accordance with EPA - Appendix E to Subpart E of 40 CFR Part 763: "Interim Method of the Determination of Asbestos in Bulk Insulation Samples" and EPA/600/R-93/116: "Test Method for the Determination of Asbestos in Bulk Building Materials". The limit of detection for asbestos is <1%, and the limit of quantification is 1.0% or greater. The State of California defines an asbestos-containing construction material as having more than 0.1% asbestos. All samples are disposed of after 30 days unless the customer requests otherwise. This report shall not be reproduced except in full, without the written approval of the laboratory. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S. Government. Test results apply to the sample as received. Asbestos percentage obtained through calibrated visual estimate. Components of inhomogeneous samples not analyzed separately unless listed as a sub-sample. Asbestos Laboratory Report, Page 2 of 2 PLM Report GDriveNS ver 4.3, RAM 1/31/2024