Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 12-299   Emergency: YES   Amendment: 0 Date Received: 9/10/2012
Site Name: Providence Centralia Hospital Date Approved: 9/10/2012
Receipt No.: 25442 Date Paid: 9/17/2012
SWCAA FEE: $500.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   914 S Scheuber Rd
   Centralia, WA 98531
   LEWIS COUNTY
Facility Type: Hospital  
Prior Use: Hospital Present Use: Hospital

PROJECT

Project Type: Removal
Start Date: Completion Date:
Work Days: Hours Worked:
SQ Feet: 1500 Linear Feet:
Material Type: Mag Pipe, Other:Mastic, VCT glue spots
Controls: Glove Bag, Mini Enclosure, Wrap & Cut, Full Face, HEPA Vac 
Comments: Emergency approved by Gerry Recvd fax on 9/21 this job to be completed on 9/24

CONTRACTORS/OWNER

Abatement Contractor: KD & S Environmental, Inc LNI Certification No:
Phone No.:
Property Owner: Providence Centralia Hospital
   914 S Scheuber Rd
   Centralia, WA 98531

SIGNATURE

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