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Project # 10966-2021

Contractor: City of Mexico
Contact Person: Rita Jackson
Phone: (573) 581-2100

Owner: Beverly Clark MacFarlane
Project Site: residential structure
Project Address: 1405 Paris Rd
City: Mexico
Regional Office: NERO
Demo Start Date: 08/19/2021
Demo Complete Date: 09/20/2021
Total # of Days: 32

Present Use: vacant
Prior Use: residential
Asbestos Type: n-f cement siding, n-f window glaze, n-f floor tile, n-f sheet flooring
Asbestos Qty: N/A
Amendments: -
Inspections: -
Postmark Date: 08/06/2021
Date Received: 08/12/2021
Paid: Yes

Comments: confirmation of ACM removal requested