Storage Notice Details for Case No.: 14-566 Amendment No.: 0

This page shows the details for a Storage Notice Case.

APPLICANT

Applicant Name: Phone No.:
Applicant Address: Date Received: 12/11/2014
Applicant Extra Address: Date Approved:
City/State/Zip/County: , WA     LEWIS COUNTY Date Paid: 12/11/2014


STORAGE FACILITY DESCRIPTION

Storage Facility Name:
Storage Facility Site Address:
Storage Facility Site Extra Address: 913 Big Hanaford Rd
City/State/Zip: Centralia, WA  98531
The exact location of stored Asbestos Containing Material (ACM) at the facility:


PROJECT DATES

Effective Date:
Expiration Date:


SIGNATURE

Submitted By: Robert Nelson Dated: 12/9/2014
Email Address: Phone No.: