Project # 8422-2017

Contractor: Ozark Mountain Excavating, LLC
Contact Person: Bud York
Phone: (573) 759-2186

Owner: Waynesville R-VI School District
Project Site: Waynesville Middle School
Project Address: 1001 Historic Route 66
City: Waynesville
Regional Office: SERO
Demo Start Date: 05/09/2017
Demo Complete Date: 05/12/2017
Total # of Days: 3

Comments: No Report, Revised start date to 5/9/17 to meet 10 day waiting period;report rcvd 5/2/17;

Present Use:
Prior Use:
Asbestos Type: -
Asbestos Qty: -
Amendments: N/A
Inspections: N/A
Postmark Date: 04/26/2017
Date Received: 05/01/2017

Paid: Yes