Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 21-138   Emergency: NO   Amendment: 0 Date Received: 3/1/2021
Site Name: Resident - 921 M St Date Approved: 3/3/2021
Receipt No.: 89914308 Date Paid: 3/3/2021
SWCAA FEE: $32.00 SWCAA Staff: David Joyner

SITE INFORMATION

Site Address:
   921 M St
   Centralia, WA 98531
   LEWIS COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Removal
Start Date: 2/25/2021 Completion Date: 2/25/2021
Work Days: Hours Worked:
SQ Feet: 100 Linear Feet:
Material Type: Other:
Controls: Other: 

CONTRACTORS/OWNER

Abatement Contractor: Resident LNI Certification No:
Phone No.:
Property Owner: Gomez, Juan
   4401 37th Ave SE
   Unit 10
   Lacey, WA 98503

SIGNATURE

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