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Project # 10993-2021

Contractor: Central MO Excavation Contracting, Inc.
Contact Person: Justin Smith
Phone: (573) 291-9459

Owner: KMAC Enterprises, Inc.
Project Site: former Hardee's Building
Project Address: 503 E Lincoln Ave
City: Owensville
Regional Office: SLRO
Demo Start Date: 09/20/2021
Demo Complete Date: 11/20/2021
Total # of Days: 61

Present Use: vacant
Prior Use: restaurant
Asbestos Type: none
Asbestos Qty: N/A
Amendments: -
Inspections: -
Postmark Date: N/A
Date Received: 09/03/2021
Paid: Yes

Comments: report includes paragraph which prohibits use by any other than owner, report revision in progress.