Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 21-308   Emergency: NO   Amendment: 1 Date Received: 5/17/2021
Site Name: Resident - 8417 NE 109th Ave Date Approved: 5/19/2021
Receipt No.: 93611857 Date Paid: 5/5/2021
SWCAA FEE: $319.00 SWCAA Staff: David Joyner

SITE INFORMATION

Site Address:
   8417 NE 109th Ave
   Vancouver, WA 98662
   CLARK COUNTY
Facility Type: ResidentiL  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Removal
Start Date: 5/17/2021 Completion Date: 5/17/2021
Work Days: M Hours Worked:
SQ Feet: 255 Linear Feet:
Material Type: Sheet Vinyl, Other:
Controls: NP Enclosure, Water, HEPA Vac, Other: 
Comments: A1 date change

CONTRACTORS/OWNER

Abatement Contractor: Keystone Contracting, Inc. LNI Certification No:
Phone No.:
Property Owner: Tomberlin, Gary & Randi
   8417 NE 109th Ave
   Vancouver, WA 98662

SIGNATURE

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