Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 15-472   Emergency: NO   Amendment: 0 Date Received: 10/8/2015
Site Name: Resident - 18216 NE 221st Avenue Date Approved: 10/8/2015
Receipt No.: 30244 Date Paid: 10/8/2015
SWCAA FEE: $25.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   18216 NE 221st Avenue
   Brush Prairie, WA 98606
   CLARK COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Maintenance, Removal
Start Date: 10/8/2015 Completion Date: 10/8/2015
Work Days: TH Hours Worked:
SQ Feet: 10 Linear Feet:
Material Type: Sheet Vinyl
Controls: Water 

CONTRACTORS/OWNER

Abatement Contractor: Resident2 LNI Certification No:
Phone No.:
Property Owner: Everett, Robby
   PO Box 463
   Brush Prairie, WA 98606

SIGNATURE

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