Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 17-143   Emergency: NO   Amendment: 0 Date Received: 3/22/2017
Site Name: Resident - 139 Blankenship Rd Date Approved: 3/23/2017
Receipt No.: 30921394 Date Paid: 3/23/2017
SWCAA FEE: $100.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   139 Blankenship Rd
   Mossyrock, WA 98564
   LEWIS COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Removal
Start Date: 4/4/2017 Completion Date: 4/4/2017
Work Days: W Hours Worked:
SQ Feet: 110 Linear Feet:
Material Type: Sheet Vinyl
Controls: Water, HEPA Vac 

CONTRACTORS/OWNER

Abatement Contractor: Edwards Environmental LLC LNI Certification No:
Phone No.:
Property Owner: Tillman, John
   471 E Satsop Rd
   Elma, WA 98541

SIGNATURE

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