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Project # 10891-2021

Contractor: Kevin Williams
Contact Person: Kevin Williams
Phone: (275) 837-2280

Owner: Robert Cork
Project Site: former McDonald's Restaurant
Project Address: 2783 N Westwood Blvd
City: Poplar Bluff
County: BUTLER
Regional Office: SERO
Demo Start Date: 08/02/2021
Demo Complete Date: 08/06/2021
Total # of Days: 4

Present Use: restaurant
Prior Use: restaurant
Asbestos Type: linoleum
Asbestos Qty: N/A
Amendments: revd strt 8/2/2021
Inspections: -
Postmark Date: 06/18/2021
Date Received: 06/21/2021
Paid: Yes

Comments: ACM to be removed prior to demo by Midwest Environmental Studies