Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 05-099   Emergency: NO   Amendment: 0 Date Received: 3/11/2005
Site Name: Resident Date Approved: 3/8/2010
Receipt No.: 13512 Date Paid: 3/14/2005
SWCAA FEE: $250.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   523 Woodland Ave., Apt. #K
   Centralia, WA 98531
   LEWIS COUNTY
Facility Type: Residential  
Prior Use: Present Use:

PROJECT

Project Type:
Start Date: 3/25/2005 Completion Date: 3/31/2005
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.: