Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 17-513   Emergency: NO   Amendment: 0 Date Received: 10/6/2017
Site Name: Resident - 202 Pleasant Valley Rd Date Approved: 10/6/2017
Receipt No.: 36315879 Date Paid: 10/6/2017
SWCAA FEE: $25.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   202 Pleasant Valley Rd
   Winlock, WA 98596
   LEWIS COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Maintenance, Removal
Start Date: 10/7/2017 Completion Date: 10/8/2017
Work Days: Hours Worked:
SQ Feet: 12 Linear Feet: 4
Material Type: Sheet Vinyl
Controls: Glove Bag 

CONTRACTORS/OWNER

Abatement Contractor: Resident LNI Certification No:
Phone No.:
Property Owner: Macrae, Tom
   PO Box 372
   Tenino, WA 98589

SIGNATURE

Submitted by:  -  Representing:
Email: Phone No.: