Asbestos Case Details

This page shows the details for an Asbestos Case.

CASE

Case No.: 22-776   Emergency: NO   Amendment: 1 Date Received: 11/1/2022
Site Name: Resident - 21709 NE 399th St Date Approved: 11/2/2022
Receipt No.: 122940721 Date Paid: 10/20/2022
SWCAA FEE: $323.00 SWCAA Staff: Stephanie Hungerford

SITE INFORMATION

Site Address:
   21709 NE 399th St
   Amboy, WA 98601
   CLARK COUNTY
Facility Type: Residential  
Prior Use: Residence Present Use: Residence

PROJECT

Project Type: Removal
Start Date: 11/2/2022 Completion Date: 11/9/2022
Work Days: MTWTF Hours Worked: 8-430
SQ Feet: 4000 Linear Feet:
Material Type: Popcorn Ceiling, VAT
Controls: NP Enclosure, Other: 
Comments: A1 date change 11/9/22 completed

CONTRACTORS/OWNER

Abatement Contractor: Keystone Contracting, Inc. LNI Certification No:
Phone No.:
Property Owner: Fire District 10
   PO Box 309
   Amboy, WA 98601

SIGNATURE

Submitted by: S Van Vessem - Office Manager Representing: Keystone
Email: Phone No.: