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Project # 10989-2021

Contractor: Steve Ross
Contact Person: Steve Ross
Phone: (417) 270-0855

Owner: Ridge Investment Group, LLC
Project Site: Old Woods Conoe Rental
Project Address: Jct Hwy 160 and Hwy 19
City: Alton
County: OREGON
Regional Office: SERO
Demo Start Date: 09/15/2021
Demo Complete Date: 09/20/2021
Total # of Days: 5

Present Use: vacant
Prior Use: retail
Asbestos Type: floor tile/mastic
Asbestos Qty: N/A
Amendments: -
Inspections: -
Postmark Date: N/A
Date Received: 08/31/2021
Paid: Yes

Comments: ACM to be removed prior to demo