Storage Notice Details for Case No.: 16-036 Amendment No.: 0

This page shows the details for a Storage Notice Case.

APPLICANT

Applicant Name: Phone No.:
Applicant Address: Date Received: 1/22/2016
Applicant Extra Address: Date Approved:
City/State/Zip/County: , WA     COWLITZ COUNTY Date Paid: 1/22/2016


STORAGE FACILITY DESCRIPTION

Storage Facility Name:
Storage Facility Site Address: Emerald Kalama - 1296 NW Third Ave
Storage Facility Site Extra Address: 1296 NW Third Ave
City/State/Zip: Kalama, WA  98625
The exact location of stored Asbestos Containing Material (ACM) at the facility:


PROJECT DATES

Effective Date: 1/22/2016
Expiration Date:


SIGNATURE

Submitted By: Christopher Wrobel Dated: 1/13/2016
Email Address: Phone No.: