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Project # 11033-2021

Contractor: BuildTec Construction
Contact Person: Jason Petty
Phone: (573) 432-2482

Owner: Washington County Commission
Project Site: bridges 0790064 & 0790058
Project Address: Delbridge Rd
City: Belgrade
Regional Office: SERO
Demo Start Date: 10/16/2021
Demo Complete Date: 10/31/2021
Total # of Days: 15

Present Use: N/A
Prior Use: N/A
Asbestos Type: none
Asbestos Qty: N/A
Amendments: -
Inspections: -
Postmark Date: 10/04/2021
Date Received: 10/05/2021
Paid: Yes

Comments: concrete to be used as clean fill, location clarification received 10/6