Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 16-488   Emergency: NO   Amendment: 0 Date Received:
Site Name: Adna Elem Schl - 220 Dieckman Rd Date Approved: 9/30/2016
Receipt No.: Date Paid:
SWCAA FEE: $0.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   220 Dieckman Rd
   Chehalis, WA 98532
   LEWIS COUNTY
Facility Type: School  
Prior Use: Present Use:

PROJECT

Project Type:
Start Date: Completion Date:
Work Days: Hours Worked:
SQ Feet: Linear Feet:
Material Type:
Controls:  

CONTRACTORS/OWNER

Abatement Contractor: LNI Certification No:
Phone No.:
Property Owner:
   
   ,  

SIGNATURE

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