Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 21-740   Emergency: NO   Amendment: 0 Date Received: 10/7/2021
Site Name: Resident - 1011 Marsh Ave Date Approved: 10/13/2021
Receipt No.: 101802170 Date Paid: 10/13/2021
SWCAA FEE: $32.00 SWCAA Staff: David Joyner

SITE INFORMATION

Site Address:
   1011 Marsh Ave
   Centralia, WA 98531
   LEWIS COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Removal
Start Date: 8/28/2021 Completion Date: 8/28/2021
Work Days: SA Hours Worked: 10-4
SQ Feet: Linear Feet: 6
Material Type: Other:
Controls:  

CONTRACTORS/OWNER

Abatement Contractor: Resident2 LNI Certification No:
Phone No.:
Property Owner: Acevedo, Jackie
   289 Middle Fork Rd
   Chehalis, WA 98532

SIGNATURE

Submitted by: Jackie Acevedo - Owner Representing:
Email: Phone No.: