Project # 8549-2017

Contractor: Bo Eilenstine Excavating
Contact Person: Bo Eilenstine
Phone: (417) 532-5977

Owner: Tony Jackson
Project Site: Car Lot
Project Address: 219 Brice
City: Lebanon
Regional Office: SWRO
Demo Start Date: 06/29/2017
Demo Complete Date: 07/04/2017
Total # of Days: 5

Comments: No Inspector Certificate with Inspection Report

Present Use: none
Prior Use: Car Lot
Asbestos Type: Floor Tile
Asbestos Qty: 2574 sf
Amendments: N/A
Inspections: N/A
Postmark Date: 06/15/2017
Date Received: 06/15/2017

Paid: Yes