Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 21-222   Emergency: NO   Amendment: 0 Date Received: 3/31/2021
Site Name: Resident - 12218 NE 192nd Ave Date Approved: 4/1/2021
Receipt No.: 91499819 Date Paid: 3/31/2021
SWCAA FEE: $319.00 SWCAA Staff: Leonard Tato

SITE INFORMATION

Site Address:
   12218 NE 192nd Ave
   Brush Prairie, WA 98606
   CLARK COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Removal
Start Date: 4/12/2021 Completion Date: 4/12/2021
Work Days: M Hours Worked:
SQ Feet: 265 Linear Feet:
Material Type: Sheet Vinyl, Other:
Controls: NP Enclosure, Water, Other: 

CONTRACTORS/OWNER

Abatement Contractor: Keystone Contracting, Inc. LNI Certification No: R-I-128533-19-00573
Phone No.:
Property Owner:
   
   ,  

SIGNATURE

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