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Project # 11005-2021

Contractor: A&D Construction Services LLC
Contact Person: Anthony Francis
Phone: (573) 690-2311

Owner: Blue Creek Capital LLC
Project Site: former Dennys restaurant
Project Address: 1105 NW Hwy 7
City: Blue Springs
Regional Office: KCRO
Demo Start Date: 11/01/2021
Demo Complete Date: N/A
Total # of Days: N/A

Present Use: vacant
Prior Use: restaurant
Asbestos Type: none
Asbestos Qty: N/A
Amendments: revd strt 11/1/2021;
Inspections: -
Postmark Date: N/A
Date Received: 09/15/2021
Paid: Yes

Comments: complete report received 9/20/2021