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Project # 10973-2021

Contractor: Fulkerson Excavating Co.
Contact Person: Bruce Fulkerson
Phone: (417) 588-7423

Owner: Kelly Rogers
Project Site: former convenience store
Project Address: 1535 N Jefferson
City: Lebanon
Regional Office: SWRO
Demo Start Date: 08/30/2021
Demo Complete Date: 09/01/2021
Total # of Days: 2

Present Use: vacant
Prior Use: convenience store
Asbestos Type: none
Asbestos Qty: N/A
Amendments: -
Inspections: -
Postmark Date: N/A
Date Received: 08/19/2021
Paid: Yes

Comments: waiver requested, ordered demo