Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 16-027   Emergency: NO   Amendment: 0 Date Received: 1/19/2016
Site Name: Resident - 11510 NE 96th St Date Approved: 1/19/2016
Receipt No.: 30507 Date Paid: 1/19/2016
SWCAA FEE: $25.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   11510 NE 96th St
   Vancouver, WA 98662
   CLARK 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: 400 Linear Feet:
Material Type: Popcorn Ceiling, Sheet Vinyl
Controls:  

CONTRACTORS/OWNER

Abatement Contractor: Resident2 LNI Certification No:
Phone No.:
Property Owner: Bernard, Don
   11510 NE 96th St
   Vancouver, WA 98662

SIGNATURE

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