Storage Notice Details for Case No.: 07-433 Amendment No.: 0

This page shows the details for a Storage Notice Case.

APPLICANT

Applicant Name: Chinook Ventures Phone No.:
Applicant Address: 4029 Industrial Way Date Received: 7/11/2007
Applicant Extra Address: Date Approved:
City/State/Zip/County: Longview, WA  98632   COWLITZ COUNTY Date Paid: 7/11/2007


STORAGE FACILITY DESCRIPTION

Storage Facility Name: Storage on site
Storage Facility Site Address: 4029 Industrial Way
Storage Facility Site Extra Address:
City/State/Zip: Longview, WA  98632
The exact location of stored Asbestos Containing Material (ACM) at the facility:


PROJECT DATES

Effective Date:
Expiration Date:


SIGNATURE

Submitted By: Dated:
Email Address: Phone No.: