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ASB07-0021 PRJ07-0063.pdf
F�'nh�l : NftEF' I �-Hhl HEHTEh�1Et�1T I hli_ FN:�; h.lU . : ���-�'�+�-c,���5 J�_i 1 . �� ?�7i�� G3=� � ��HI°1 P:� A9� Pl�t�,�TIC�P� �VILL N �`f �� A�� ��'�°E !] IF Ih� �t�Mi�LEI°E B�R IPub��� 7,� � DDC��_ l�rojeck # : �uildir� � Perrrait #_ t �°• ���3� `�9� ��`� ��� A�hesCa�� i��rr7�ik #: � °° � � '� ��. . . . � � � ��a' � ������Q�,.�������� � p �� .,��_ � � � ����� � � � �� � F��quir�d per 4rdir�a►tc� tJcoe 't9 , ��ri�� af 'i998 75 � , F �'c� rttag� �d . ��P��t �p�ls��#itsrr u►iit not �� accyept�� w'tthout th � fe� ll ��is�c� : �� � �t � ea; c� faeio � 1 �57' 1 . Gopi�� of Cen �ral A�iatem�rlt Gertificat�a �nd State of (.:t�lc7t� do Gertific�4i� n � . A copy fl4 wrtitlen arr�nc�enierts WitYt the f�r.ility operaic� rs fr�r .� rly tEr71�70f�t'y +� iS2bll (1C� bf tPi� air { � `70 ) 4 i �3� <% 13 ` j h�ndlinc� systems, firF� s��rii:kl�r systc�m, ai�d ai�mi systerns with the n�mes and cc'nt�ct phune A� ( 5 �70 ) 4 ; 9�° % �'� � :? nu �ri3�ers of ihes� indivii�uais . 3 . Sit� pi�re7 wifh deta�is �ddressinc� � waste conta+ ner �:Pnr.�ge� lo�3tia.n_ wt� ste load uut � �� lacatian . enEry anc� exitin� de#� iis of �t�atement �r��. d�fails nf entry �r�c� exiting �)I� r�s fc�r !he orr_.i, �:�nts csf the structur� in ur�affected area� . ��1�TR�'if�l"C] f2 iFd�t��lNA7°IOP1 . - _..:_ -- -... . , __ _ .... _ _ _ _ ` C7n Sif� .Abaknmerit �nntracfor. T�wn a# V� ii Reg . No .: C�ntsc:t and Phune #'s: AI� ' '''Ca� .Z+�AT�`2LN`i' p 1P�C . 48 .3-� .Ta.m C�l�skevicl � 3,0 -��_ %' 95- � 55fl � I _.._. . ...._ e_ _. .. ---� - __ _ . . . -� � - _. . . �� �-i�aiir4ddres �: �, 7 .ai_nc� ���.��ict����.tr�r_:rrt . r4C)Yll ----�; .. �__ . � � --°- - --..__ . _ . � ...,._ - 'i __. _ --- _ _ I � Cor �tractar 5ic� natur� : � � � f.... . _ — . _ _ . -- -----� �4�t1�PLE ALU,4.TlC3N F(] FZ AS � �S�t�� ,��ATE �+i � NT � ��(�WI°f (Labor � �iaterials) __ .._ , ' � Asbestas Abat�ment � I � , t � �~ c+� _ �ontac� �ac 1� GQUnt .�ssessors �ffice af 9T0-328-8G�l0 or visit wV►!w. �at le-r.ount . com fD1' Fr� rcel # ---. . ._ . ._ .. .. _ . _ . _ _ .._ __.. . .. �arcel # t _ _... .. . . . . _ :`� � . .. _... . . _ _ f _... _ . ----- __ . . .. _ - � 1 i G i� � t-i� �i'i"� d � rt 5c`� �.J � `'�. G� M ,�.,�X�t�} a-"�"�f �� f Jc�b Name : � �-,�y.t ��,5 `� Job Addres:�: y I � f v�� � -�Jt> - e.t�1C�" � .d.� �.. � � ' � ��_ �I D ��scn t,an Lot. 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Ntariibcr '— ' -- ' - ' ---- i r FA�iitlit-? CCn%�:t �3Elepho�3lwth nr(?� C6'!s . —� � — � .._— . .__...... � ��I�Ir'x3 ContE�C t Pergprl Ryan .�:Iyrick � � 9b2 � Lan;�(ill N��77� + Owr.gf'S tVame � i�:N�rE.i�_ A.�/�i'A]-1 (iE L71':POSAL SII'� . � ,� 1 MICHF,.�,L3� ST� L"1n,�5cJ�1 _ -- � str�t c o f � � � � � sc��t �_ �_ ...�_ _— •-- — .�.. ---- . � i 35 (JCi S (.;I�N L:L.[:i� �:1� �y m � � r- __..... - --- . __. ._—. . _,. . _ . - — ,„, , 9957 �L,Ki-IG�RN �:T � I C.ily StatE Lip C�de � � C City . _ — -- _ —. � �.. tA f� UR.{ )rC,a. � , � OI SlaS? ZipC6de ,. L — . �C? �b0(� 13 � � LI'T'7`i ,F1'��hl C2 I Telrahorre Wiih kr ea t'o d e . ---- = am - . � C.'.(7 �'i) 1 , 27 � p � TFIP�rlone Witlt Area C;n�B _— . — •— .-- � 77.U- f;7b -26�0 I 3U3-47Z-497� Cufu,ar�o Prpiett Mansgzi'S I1ame Start (a3ie � �nd Da(� �' 7/3(1l07 8lX 0/[17 �� TetPUhc�nE Witn Ar?s tA�iY I �ofo. P%. 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Y N � ' Perenit #: °rastmark 4t Hatrd L"3�fiv�Yy C�ate: �:heck �, � ��SUed: Pleas� i9escribe L�efaw the wbrtc prac#ices �nd procedures to be em�loyed in cat�ductint� the abatemenY of asbestos. �� ;� Indica4� iype(� ) of ACl�Ah fc� be ab�tBd (e.g. VAT, ceil�ng trle, TSI, etc. l . Uso anvEher pa�e i# ne�essary. .�s $ rc��7t of � �'a,�c�r ��besta�. s��ii ca�tsed t��y ��c ��vner' s �e���3 �a�t�•a��or, �.CSLL s� ce�. €���rin� �vas zmpr��i��t�� reu�vvect. �'rif�cai �sra-z�i°s �ltall be f�un� �vi�th g�cely � a��I tapc�. �epa ��� set ia �l�tre a� c� �a�affieci f� r°�ea con�imua�tslyo A decon and vv� �te loadout sl�ali be e�ectec! �,�� c�ntiguaus ta t�re w�ark ����. 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