Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 17-360   Emergency: NO   Amendment: 0 Date Received: 7/24/2017
Site Name: Resident - 118 Lake Terrace Pl Date Approved: 7/25/2017
Receipt No.: 34183132 Date Paid: 7/27/2017
SWCAA FEE: $250.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   118 Lake Terrace Pl
   Mossyrock, WA 98564
   LEWIS COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Removal
Start Date: 8/4/2017 Completion Date: 8/4/2017
Work Days: SA Hours Worked:
SQ Feet: 250 Linear Feet:
Material Type: Sheet Vinyl
Controls: Mini Enclosure, Water, HEPA Vac 

CONTRACTORS/OWNER

Abatement Contractor: Edwards Environmental LLC LNI Certification No:
Phone No.:
Property Owner: Forsmen, Ann Marie
   118 Lake Terrace Pl
   Mossyrock, WA 98564

SIGNATURE

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