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, "�'—' <br /> � M 1 N N E S O T A <br /> Minne ota Minnesota Pollution Control Agency / <br /> Pollution , <br /> Control Minnesota Dept of Health <br /> Agency DEPARTMENToFHEALTH <br /> AMENDED NOTICE OF INTENT TO PERFORM ASBESTOS RELATED WORK <br /> OR <br /> NOTIFICATION OF ASBESTOS RELATED WORK UNDER AN ANNUAL NOTICE <br /> (CIRCLE "ANNUAL" IF APPLICABLE) <br /> AMENDMENT# 4 and/or ANNUAL PERMIT # <br /> 1 ASBESTOS ABATEMENT CONTRA BUILDING INFORMATION <br /> � Company Name: Veit Environmental Building Name: Residence <br /> Address: 23801 Industrial Blvd. Address: 1125 SNrin, Hill Road <br /> City, State, Zip: Rogers, MN 55374 City, State, Zip: Long Lake, MN <br /> � Telephone Number: (763)428-2819 Telephone Number: <br /> ' AMOUNT OF RACM TO BE ABATED ASBESTOS ABATEMENT ACTIVITY DATES <br /> Lmear Feet on Pipes: 400 Start Date: /16/02 <br /> Square Feet: End Date: 12/31/0 <br /> � Cubic Feet: Work Times/Days: -4PM, MON-FRI <br /> See Below <br /> Description and Location of RACM to be abated (include floor#and room#): <br /> Removat of asbestos insulated i e and fittin s from lower and sub level of residence. <br /> � Emission Control Procedures to be used: <br /> 1 <br /> Ot r Changed or Additional Information (including waste t nsporter of landfill): <br /> d date has chan ed to 12/31/02. <br /> Off site until further notice as of 12:30PM 9/20/20. <br /> Landfill Chan e: Su erior FCR Landfill, Inc. <br /> � 175 Coun Road 37NE <br /> Buffalo, MN 55313 Phone: 32 3-3158 <br /> 1 certify t the above information is corre am a bonafide representative of the asbestos abatemen <br /> � contractor or ve the authority to enter into agreeme ts for my employer. <br /> Signature of ContractoNOwner: E�7U '�-�� Dat : 09/20/02 <br /> � Roger kken, Project Manager <br /> MPCA FAX - (651) 215-1593 MDH FAX - (651) 215-0975 <br /> ' <br /> � <br />