Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 16-339   Emergency: NO   Amendment: 0 Date Received: 7/8/2016
Site Name: Resident - 776 Koontz Rd Date Approved: 7/13/2016
Receipt No.: 25261026 Date Paid: 7/8/2016
SWCAA FEE: $25.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   776 Koontz Rd
   Winlock, WA 
   LEWIS COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Maintenance, Removal
Start Date: 7/12/2016 Completion Date: 7/19/2016
Work Days: SS Hours Worked:
SQ Feet: 100 Linear Feet:
Material Type: Sheet Vinyl
Controls: Glove Bag 

CONTRACTORS/OWNER

Abatement Contractor: Resident2 LNI Certification No:
Phone No.:
Property Owner: Silvernail, Tina
   PO Box 315
   Napavine, WA 98565

SIGNATURE

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