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Project # 11010-2021

Contractor: Perkins Dozing
Contact Person: Luke Perkins
Phone: (660) 247-0801

Owner: Agri Services Of Brunswick
Project Site: bulk fertilizer storage building
Project Address: 1010 E Broadway
City: Brunswick
Regional Office: NERO
Demo Start Date: 10/04/2021
Demo Complete Date: 12/01/2021
Total # of Days: 58

Present Use: vacant
Prior Use: fertilizer storage
Asbestos Type: none
Asbestos Qty: N/A
Amendments: -
Inspections: -
Postmark Date: N/A
Date Received: 09/21/2021
Paid: Yes

Comments: non-complaint start (10/1/2021) revised to 10/4/2021, form not signed;