Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 15-412   Emergency: NO   Amendment: 0 Date Received: 8/18/2015
Site Name: Resident - 4137 Jackson Hwy Date Approved: 8/18/2015
Receipt No.: 30107 Date Paid: 8/18/2015
SWCAA FEE: $25.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   4137 Jackson Hwy
   Chehalis, WA 98532
   LEWIS COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Maintenance, Removal
Start Date: 8/22/2015 Completion Date: 8/23/2015
Work Days: Hours Worked:
SQ Feet: 250 Linear Feet:
Material Type: Popcorn Ceiling, Other:Flooring
Controls: Water 

CONTRACTORS/OWNER

Abatement Contractor: Resident2 LNI Certification No:
Phone No.: 3605568601
Property Owner: Moum, Mike
   PO Box 715
   Napavine, WA 98565

SIGNATURE

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