Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 13-082   Emergency: NO   Amendment: 0 Date Received: 3/7/2013
Site Name: Resident Date Approved: 3/7/2013
Receipt No.: 26341 Date Paid: 3/7/2013
SWCAA FEE: $25.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   1915 Van Wormer St
   Centralia, WA 98531
   LEWIS COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Maintenance, Removal
Start Date: Completion Date:
Work Days: Hours Worked:
SQ Feet: 40 Linear Feet:
Material Type: Other:Drywall
Controls: Glove Bag, Half Mask 

CONTRACTORS/OWNER

Abatement Contractor: Resident2 LNI Certification No:
Phone No.:
Property Owner: Peterson, Norma
   1901 Van Wormer St
   Centralia, WA 98531

SIGNATURE

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