Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 21-236   Emergency: NO   Amendment: 0 Date Received: 4/5/2021
Site Name: Resident - 119 Chief Umptux Rd Date Approved: 4/6/2021
Receipt No.: 91806988 Date Paid: 4/6/2021
SWCAA FEE: $64.00 SWCAA Staff: David Joyner

SITE INFORMATION

Site Address:
   119 Chief Umptux Rd
   Mossyrock, WA 98564
   LEWIS COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Removal
Start Date: 4/9/2021 Completion Date: 4/17/2021
Work Days: MTFSS Hours Worked:
SQ Feet: 2 Linear Feet:
Material Type: Other:
Controls: Other: 

CONTRACTORS/OWNER

Abatement Contractor: Resident LNI Certification No:
Phone No.:
Property Owner: Stewart, Jay
   14515 134th Ave East
   Puyallup, WA 98374

SIGNATURE

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