Project # 8781-2017

Contractor: IPES, Inc.
Contact Person: Paul Scheetz
Phone: (573) 696-3333

Owner: Pendurthi Properties, LLC
Project Site: Randy's Market
Project Address: 5950 N Wagon Trail Rd
City: Columbia
County: BOONE
Regional Office: NERO
Demo Start Date: 10/23/2017
Demo Complete Date: 11/20/2017
Total # of Days: 28

Comments: no ACM will be removed from the slab;

Present Use: vacant
Prior Use: convenience store
Asbestos Type: mastic,vinyl
Asbestos Qty: m-2786sf,v-792sf
Amendments: N/A
Inspections: N/A
Postmark Date: N/A
Date Received: 10/10/2017

Paid: Yes