Asbestos Case Details
This page shows the details for an Asbestos Case.
CASE
| Case No.: 00-000 Emergency: NO Amendment: 0 |
Date Received: |
| Site Name: Void |
Date Approved: 9/11/2023 |
| Receipt No.: |
Date Paid: |
| SWCAA FEE: $0.00 |
SWCAA Staff: Not Yet Assigned |
SITE INFORMATION
Site Address:
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| Facility Type: |
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| Prior Use: |
Present Use: |
PROJECT
| Project Type: |
| Start Date: |
Completion Date: |
| Work Days: |
Hours Worked: |
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| SQ Feet: |
Linear Feet: |
| Material Type: |
| Controls: |
CONTRACTORS/OWNER
| Abatement Contractor: |
LNI Certification No: |
| Phone No.: |
Property Owner:
,
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SIGNATURE
| Submitted by: - |
Representing: |
| Email: |
Phone No.: |
