Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 12-142   Emergency: NO   Amendment: 1 Date Received: 6/4/2012
Site Name: Resident Date Approved: 6/5/2012
Receipt No.: 25117 Date Paid: 5/17/2012
SWCAA FEE: $250.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   12204 NW 15th Ave
   Vancouver, WA 98685
   CLARK COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Removal
Start Date: 6/7/2012 Completion Date: 6/8/2012
Work Days: MT Hours Worked:
SQ Feet: 875 Linear Feet:
Material Type: Popcorn Ceiling
Controls: NP Enclosure, Water, Cont Flow, HEPA Vac 
Comments: A1 date change Recvd fax 6/7 changed supervisor

CONTRACTORS/OWNER

Abatement Contractor: Performance Abatement Services - Tigard LNI Certification No:
Phone No.:
Property Owner: Dugan, Bob & Debbie
   12204 NW 15th Ave
   Vancouver, WA 98685

SIGNATURE

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