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Acoustic Ceiling 650 Linoleum 0 Insulation 0 Fire Proonng � µ 0 <br /> Ducting 0 Dry WO 70 FIEPA Vacuum&wet wipe 0 Porous Personal Possessions 0 <br /> Mastic(Non-friable) 0 Floor Tiles(Non-friable) 300 Transite 0 Roofing 0 <br /> Stucco 0 Plaster 0 Other(Friable) 0 Coal'Tar Wrap 0 <br /> Mastic(Friable) 0 Floor Toe(Friable) 0 Other(Non-friable) 0 CcitaminatedSoil 0 <br /> Transite(Damaged) 0 <br /> Asbestos Anraunt to be Removed in Sq.Ft <br /> FRIABLE 720 <br /> CLASS I 300 <br /> CLASS ti 0 <br /> Total 1020 <br /> Asbestos Removal From Surfaces Control Procedures 1,3 <br /> Asbestos Detection Procedure(s) Survey <br /> .Survey Information <br /> Certified Asbestos Inspector Name MICHAEL S CUSHNER Certification Expiration gate 7/20/2022 12,00=AM <br /> Survey Plan Date 10/2512021 12:00,00 AM Phone Number (949)753-7070 <br /> Email mcushnerLaninyoandmoore.com <br /> Emergency <br /> Sudden Unexpected Event(s) Vandalism <br /> Name of Persan/Derlaring DAVID RAMIREZ Phone (714)647-5643 <br /> Authorizing the Emergency <br /> Date of Emergency 2/3/2022 <br /> Waste Information <br /> Waste Trmrw sorter BDC SPECIAL WA57TE SERVICE'S <br /> Address 1211 WEST GLADST0NE AVENUE City AZUSA <br /> State CA Zip 91702 <br /> Landfill Azusa Land Reclamation <br /> Address 1211 W Gladstone Sat City Azusa <br /> State CA Zip 91702 <br /> Fee Payment <br /> Total Amount of Asbestos to be Removed in sq.ft. 1020 <br /> Track4ig Number 5949415 <br /> Project Size Fee 208.18 <br /> Addltional Fee 68.07 <br /> Total Fec <br /> $27G.25 <br /> Payment Made $276.25 <br /> l Manco Due 0 <br /> By clicking the Sign&Submit button,I certify that an individual trained in the provisions of SCAQMD hula L403 and the Asbestos NESHAP(CFR Title <br /> 40,Part 61,Subpart M)will be onsite during the demolition or renovation and evidence that the required training has been accomplished by this <br /> person will be available for inspection during normal business hours.In addition,I certify that all of the information contained herein and information <br /> submitted with this Notification is true and correct. <br />