Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 17-512   Emergency: YES   Amendment: 0 Date Received: 10/5/2017
Site Name: Resident - 22509 NE Poyner Rd Date Approved: 10/6/2017
Receipt No.: 33190 Date Paid: 10/13/2017
SWCAA FEE: $500.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   22509 NE Poyner Rd
   Brush Prairie, WA 98606
   CLARK COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Removal
Start Date: 10/6/2017 Completion Date: 10/6/2017
Work Days: SA Hours Worked:
SQ Feet: 185 Linear Feet:
Material Type: Sheet Vinyl
Controls: NP Enclosure, Water, HEPA Vac 
Comments: GS approved emergency

CONTRACTORS/OWNER

Abatement Contractor: Rose City Contracting, Inc LNI Certification No:
Phone No.:
Property Owner: Robbins, Noah
   22509 NE Poyner Rd
   Brush Prairie, WA 98606

SIGNATURE

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