Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 14-395   Emergency: NO   Amendment: 0 Date Received: 8/15/2014
Site Name: Resident Date Approved: 8/15/2014
Receipt No.: 28476 Date Paid: 8/15/2014
SWCAA FEE: $25.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   1172 Birch St
   Kalama, WA 98625
   COWLITZ 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: 108 Linear Feet:
Material Type: Other:9" floor tiles
Controls:  

CONTRACTORS/OWNER

Abatement Contractor: Resident2 LNI Certification No:
Phone No.:
Property Owner: Chapman, Larry
   PO Box 436
   Kalama, WA 98625

SIGNATURE

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