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Asbestos Removal Company Interior Demolition, Date of Asbestos Removal 2/7/2022 <br /> Amount Of Asbestos Removed 1020 <br /> (sq,ft) <br /> Survey Information <br /> Certified Asbestos Inspector Name MIC14AEL S CUSHNER Certification Expiration Date 7/20/2022 12WO-.00 AM <br /> Survey Plan Date 10/25/202112:00,00 AM Phone Number (945)7S3.7070 <br /> EMtail MCUSHNERONINYOANDMOOREXOM <br /> Size of Demolition Project in sq.ft 1862 Work Practices at Demolition Ste Spray Water <br /> Contingency Demolition plan Stop Work,Isolate Work Area,Notify <br /> Owner,Stabllize,Secure,Characterize <br /> Waste,Survey <br /> Ordered Information <br /> Agency Name CITY OF SANTA ANA Phone (714)647-5641 <br /> Date of Order 2/3/2022 Date of Order to Begin 2/1012022 <br /> Authorizing Person DAVID RAMIRF2 Title ASSOCIATE ENGINEER <br /> Waste Information <br /> Waste Transporter INTERIOR DEMOLITION,INC. <br /> Address 2621 HONOLULU AVE. City MONTROSE <br /> State CA Zip 51020 <br /> Landfill AZUSA LAND RECLAMATXON <br /> Address 1211 W GLADSTONE ST City AZUSA <br /> Sta to CA Zip 91702 <br /> Revision HIS(Orr <br /> Notification# Project-Start-Date �ro7ect End Data Size of Demolition Revision Comments Revised Date <br /> e_ ---- <br /> 588111____.__ /17/2U22� �ZI ZOZ2 �� 1862 lReviseDates 2115/2022104�J,4 AM <br /> AM <br /> 2/1G/2422 2/2S 2t122 1862 _.._.. 2I15 ZR22]U 49 9:2 AM <br /> Fee Payment <br /> Size of Demolition Project in sq.it 1$62 <br /> Tracking Number 3950142 <br /> Project Size Fee 0 <br /> Additional Fee 25.22 <br /> Total Fee <br /> $25.22 <br /> Payment Made $25,22 <br /> Balance Due. <br /> $0 <br /> 0y clicking the Sign&submit button,I certify that an Individual trained in the provisions of 5CAQMD Rule 1403 and the Asbestos NESHAP(CPR 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 lac 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 />