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CITY OF ORONO v" 6124730510 05/18/98 15:35 5 :05/05 N0:816 <br /> • <br /> 3. Company and/or individual that conducted the building inspection and the procedure used to determine the <br /> presence or absence of ACM (including analytic method): *Prior to demolition all buildings must be Inspected by an EPA <br /> accredited Inspector. <br /> • <br /> • <br /> • <br /> 4. Description of planned demolition and the specific methods)that will be used: <br /> 5. If the demolition was ordered by a government agency,please identify the agency and attach a copy of the <br /> order: <br /> erg nP! itie: . <br /> Authority: <br /> Date of Order(M/D/Y): Date Ordered to Begin <br /> to Notification for en emergency demolition must be submitted as early as possible befog demolitionmmtiegins,but not later than the <br /> following working day. A demolition is considered an emergency ONLY when the facility has been deemed structurally unsound and <br /> In danger of imminent collapse. If the structurally unsound building is known to contain any regulated ACM or Is suspected to <br /> contain any regulated ACM,special procedures MUST be followed. If you are unaware of the special procedures, <br /> instructions/regulations can be obtained by contacting the MICA at the address or phone number listed below. <br /> 6. Description of procedure to be followed in the event that unexpected RACAL is found or Cat.II nonfriable <br /> ACM becomes crumbled, pulverized or reduced to powder: <br /> 7. Waite Transporter Information: 8. Waste Disposal Information: <br /> TrumportedNune. Landfill Name: <br /> Transporter Contacts <br /> Owner/Operator: <br /> Transporter Address: Address/Location: <br /> City,State,Zip: <br /> a..�. �..._..®.mom- �...r.. C .v,Stan, <br /> Zip <br /> Phone Number. • Phone Number. —, - <br /> 9. I certify that the above information is correct and I am a bonafide representative of the demolition <br /> contractor or building owner and have authority to enter into agreements for my employer. <br /> Signature of Contractor/Owner Date <br /> Send or Fax to: <br /> For questions call: <br /> Asbestos Coordinator-Air Quality Division 612-296.7300 <br /> MN Pollution Control Agency 1-$00-657-3864 <br /> 520 Lafayette Road North Fix: 612-215-1593 <br /> St.Paul, MN 55155-4194 <br /> • <br /> RECEIVED TIME MAY. 19. 3:35AM <br />