Laserfiche WebLink
+ _ � <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 building�must be inspected by an EPA <br /> accredited inspector. <br /> 4. Description of planned demolition and the specific method(s) 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 /> Name: Title: Authority: <br /> Date of Order(M/D/�: Date Ordered to Begin (M/D/I�: <br /> * Notification for an emergency demolition must be submitted as early as possible before demolition begins,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 ACN1 or is suspected to <br /> contain any regulated ACNI,special procedures i�NST be followed. If you are unaware of the special procedures, <br /> instructions/regulations can be obtained by contacting the NIPCA at Ehe address or phone number listed below. <br /> 6. Description of procedure to be followed in the event that unespected RACNI is found or Cat. II nonfriable <br /> ACM becomes crumbled,pulverized or reduced to powder: <br /> 7. Waste Transporter Information: 8. �Vaste Disposal Information: <br /> Transported Name: Landfill Name: <br /> Transporter Contact: OwnedOperator: <br /> Transporter Address:_ Address/Location: <br /> City,State,Zip: City,State,Zip: <br /> Phone Number: Phone Number: <br /> 9. I certify that the above information ' correct and I am a bonafide representative of the demolition <br /> contractor or building owner a ve authority to e ter into agreements for my employer. <br /> Signature of Contractor/Owner / � � Date �� `���—'� <br /> Send or Fa.Y to: For questions call: <br /> Asbestos Coordinator-Air Quality Division 612-296-7300 <br /> MN Pollution Control Agency 1-800-657-3864 <br /> 520 Lafayette Road North Fax: 612-215-1593 <br /> St. Paul, I�1'�i T 55155-4194 <br />