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Project # 11047-2021

Contractor: David Rensch
Contact Person: David Rensch
Phone: (417) 844-3930

Owner: Rita Baron
Project Site: commercial structure
Project Address: 3167 E Sunshine St
City: Springfield
County: GREENE
Regional Office: SDES
Demo Start Date: 11/03/2021
Demo Complete Date: 12/20/2021
Total # of Days: 47

Present Use: vacant
Prior Use: Computers Beyond
Asbestos Type: n-f roof edge tar
Asbestos Qty: N/A
Amendments: -
Inspections: -
Postmark Date: N/A
Date Received: 10/18/2021
Paid: Yes

Comments: roof tar has been removed, error on form for start date, see phone log.