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1 ' <br /> �z� <br /> � M I 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# 2 and/or ANNUAL PERMIT# <br /> SBESTOS ABATEMENT CONTRACTOR BUILDING INFORMATION <br /> Company Name: Veit Environmental Building Name: Residence <br /> Address: 23801 Industrial Blvd. Address: 1125 S rin Hill Road <br /> City, State, Zip: Rogers, MN 55374 City, State, Zip: Lon Lake, MN <br /> Telephone Number: (763)428-2819 Telephone Number: <br /> AMOUNT OF RACM TO BE ABATED ASBESTOS ABATEMENT ACTIVITY DATES <br /> Linear Feet on Pipes: 400 Start Date: 09/16/02 <br /> Square Feet: End Date: 09/20/02 <br /> Cubic Feet: Work Times/Days: 7AM -4PM, MON-FRI <br /> See Below <br /> Description and Location of RACM to be abated (include floor#and room#): <br /> Removal of asbestos insulated i e and fittin s from lower and sub level of residence. <br /> Emission Control Procedures to be used: <br /> r Changed or Additional Information (including was ran porter of landfill): <br /> On site from TUE, 9/17/02 from 7AM -3:30PM until further n ' <br /> I certify that the above information is correct and I am a bonafide representative of the asbestos abatement <br /> contractor or building owner and I have the authority to enter into agreements for my employer. <br /> Signature of Contractor/Owner: /'�,(�fi /Gis—� Date: 09/16/02 <br /> Rog Dokken, Project Manag <br /> MPCA FAX - (651) 215-1593 MDH FAX - (651) 215-0975 <br /> ' <br />