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Project # 11036-2021

Contractor: JT Holman Construction
Contact Person: James T. Holman
Phone: (660) 385-7888

Owner: Macon Elks Lodge
Project Site: vacant commercial property
Project Address: 104 Butler St
City: Macon
County: MACON
Regional Office: NERO
Demo Start Date: 10/20/2021
Demo Complete Date: 10/29/2021
Total # of Days: 9

Present Use: vacant
Prior Use: commercial
Asbestos Type: n-f linoleum
Asbestos Qty: N/A
Amendments: -
Inspections: -
Postmark Date: N/A
Date Received: 10/07/2021
Paid: Yes

Comments: missing portions of report in progress from inspector