Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 04-399   Emergency: YES   Amendment: 0 Date Received: 12/22/2004
Site Name: Resident Date Approved: 3/8/2010
Receipt No.: 12863 Date Paid: 12/22/2004
SWCAA FEE: $250.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   18513 NE Lucia Falls Rd
   Yacolt, WA 98675
   CLARK COUNTY
Facility Type: Residential  
Prior Use: Present Use:

PROJECT

Project Type:
Start Date: 12/27/2004 Completion Date: 12/28/2004
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.: