Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 21-395   Emergency: NO   Amendment: 0 Date Received: 6/3/2021
Site Name: Resident - 1040 16th Ave Date Approved: 6/8/2021
Receipt No.: 95036831 Date Paid: 6/3/2021
SWCAA FEE: $319.00 SWCAA Staff: Leonard Tato

SITE INFORMATION

Site Address:
   1040 16th Ave
   Longview, WA 98632
   COWLITZ COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Removal
Start Date: 6/14/2021 Completion Date: 6/15/2021
Work Days: MT Hours Worked:
SQ Feet: 873 Linear Feet:
Material Type: VAT, Other:
Controls: NP Enclosure, Water, HEPA Vac, Other: 

CONTRACTORS/OWNER

Abatement Contractor: Keystone Contracting, Inc. LNI Certification No:
Phone No.:
Property Owner: Clark, Don
   1040 16th Ave
   Longview, WA 98642

SIGNATURE

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