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Project # 11004-2021

Contractor: Branco Enterprises, Inc.
Contact Person: Jack Brown
Phone: (417) 456-1716

Owner: Missouri Department of Transportation
Project Site: box culvert over Ingalls Creek
Project Address: Rte HH
City: Halfway
County: POLK
Regional Office: SWRO
Demo Start Date: 09/28/2021
Demo Complete Date: 10/02/2021
Total # of Days: 4

Present Use: box culvert
Prior Use: box culvert
Asbestos Type: none
Asbestos Qty: N/A
Amendments: -
Inspections: -
Postmark Date: N/A
Date Received: 09/15/2021
Paid: Yes

Comments: map or diagram requested to clarify location