Storage Notice Details for Case No.: 18-704 Amendment No.: 0

This page shows the details for a Storage Notice Case.

APPLICANT

Applicant Name: Phone No.:
Applicant Address: Date Received: 12/26/2018
Applicant Extra Address: Date Approved:
City/State/Zip/County: , WA     COWLITZ COUNTY Date Paid: 12/26/2018


STORAGE FACILITY DESCRIPTION

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


PROJECT DATES

Effective Date:
Expiration Date:


SIGNATURE

Submitted By: Gunner Warren Dated: 12/17/2018
Email Address: Phone No.: