Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 15-267   Emergency: NO   Amendment: 0 Date Received: 5/26/2015
Site Name: Resident - 5005 NW 189th St Date Approved: 5/28/2015
Receipt No.: 29853 Date Paid: 5/28/2015
SWCAA FEE: $25.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   5005 NW 189th St
   Ridgefield, WA 98642
   CLARK COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Maintenance, Removal
Start Date: Completion Date:
Work Days: SS Hours Worked:
SQ Feet: 5 Linear Feet:
Material Type: Sheet Vinyl
Controls:  

CONTRACTORS/OWNER

Abatement Contractor: Resident2 LNI Certification No:
Phone No.:
Property Owner: The G & S Spratt Family Trust
   13102 NW 4th Ave
   Vancouver, WA 98685

SIGNATURE

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