Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 17-558   Emergency: NO   Amendment: 0 Date Received: 11/2/2017
Site Name: Resident - 12201 NE 192nd Ave Date Approved: 11/2/2017
Receipt No.: 37171892 Date Paid: 11/2/2017
SWCAA FEE: $25.00 SWCAA Staff: Not Yet Assigned

SITE INFORMATION

Site Address:
   12201 NE 192nd Ave
   Brush Prairie, WA 98606
   CLARK COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Maintenance, Removal
Start Date: 11/2/2017 Completion Date: 11/4/2017
Work Days: TH F S Hours Worked:
SQ Feet: 500 Linear Feet:
Material Type: Sheet Vinyl
Controls: Wrap & Cut, Water 

CONTRACTORS/OWNER

Abatement Contractor: Resident LNI Certification No:
Phone No.:
Property Owner: JAM Real Estate
   PO Box 821658
   Vancouver, WA 98682

SIGNATURE

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