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Project # 12786-2025

Contractor: Ramboldt Excavating
Contact Person: Jamison Ramboldt
Phone: (573) 480-7236


Owner: Headley Energy, Inc
Project Site: Value Tire Center
Project Address: 1840 W Elm St
City: Lebanon
County: LACLEDE
Regional Office: SWRO
Demo Start Date: 08/28/2025
Demo Complete Date: 09/11/2025
Total # of Days: 14

Present Use: vacant
Prior Use: commercial
Asbestos Type: n-f mastic, n-f floor tile &mastic
Asbestos Qty: 180sf, 30sf
Amendments: -
Inspections: -
Postmark Date: 08/07/2025
Date Received: 08/12/2025
Paid: Yes

Comments: no report, see related C4491-2025; report received 8/13;