Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 17-396   Emergency: NO   Amendment: 0 Date Received: 8/9/2017
Site Name: Resident - 1109 W Plum St Date Approved: 8/10/2017
Receipt No.: 34643525 Date Paid: 8/10/2017
SWCAA FEE: $25.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   1109 W Plum St
   Centralia, WA 98531
   LEWIS COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Removal
Start Date: 8/14/2017 Completion Date: 8/18/2017
Work Days: MTWTF Hours Worked:
SQ Feet: 200 Linear Feet:
Material Type: Sheet Vinyl
Controls: Glove Bag 

CONTRACTORS/OWNER

Abatement Contractor: Resident LNI Certification No:
Phone No.:
Property Owner: Peregrino, Hugo
   PO Box 981
   Chehalis, WA 98532

SIGNATURE

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