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Project # 11002-2021

Contractor: Little Dixie Construction
Contact Person: Nate Moenkhoff
Phone: (573) 864-6319

Owner: River Region Credit Union
Project Site: former church
Project Address: 104 & 106 Henry Clay Blvd
City: Ashland
County: BOONE
Regional Office: NERO
Demo Start Date: 09/29/2021
Demo Complete Date: 10/15/2021
Total # of Days: 16

Present Use: abandoned
Prior Use: church
Asbestos Type: sink undercoat
Asbestos Qty: N/A
Amendments: -
Inspections: -
Postmark Date: N/A
Date Received: 09/14/2021
Paid: Yes

Comments: corrected chain of custody, quantity, and friability of material requested from inspector, corrected report and chain of custody received 9/17