Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 04-350   Emergency: NO   Amendment: 0 Date Received: 10/28/2004
Site Name: Resident Date Approved: 3/8/2010
Receipt No.: 12741 Date Paid: 11/8/2004
SWCAA FEE: $25.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   1613 W Mellen St
   Centralia, WA 98531
   LEWIS COUNTY
Facility Type: Residential  
Prior Use: Present Use:

PROJECT

Project Type:
Start Date: Completion Date:
Work Days: Hours Worked:
SQ Feet: 0 Linear Feet: 0
Material Type:
Controls:  

CONTRACTORS/OWNER

Abatement Contractor: LNI Certification No:
Phone No.:
Property Owner:
   
   ,  

SIGNATURE

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