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San Joaquin Valley Unified Air Pollution Control District <br /> Asbestos Notification <br /> Ooarator Project I �Postmerk Diu*Received. Fee Received S Netif:e <br /> L TYPE OF NOTIFICATION: (PLEASE CIRCLE ONE) Or gine ) Revived Canoalod Covrtcey <br /> M FACILITY OWNER INFORMATION: <br /> OWNER NAME- Mr. Jim Langston <br /> ADDRESS: P.O. Box 97 <br /> CITY* _ Lathrop STATE• CA z)P- 95330 <br /> CONTACT' Jim Langston TELEKIom : (209) 858-4388 <br /> REMOVAL CONTRACTOR: Bynums Asbestos Consult_ ng Service <br /> ADDRESS: 652 E. Lockeford Street <br /> QTY., Lodi STATE: - CA ZIP, 95242 <br /> coxrwct: _ Mr: Shane Janes: - TELePttoNe:(209) 333-6157stTe suPfERVISOR• Shane Jones <br /> OTHER CONTRACTOR: SEMCO - <br /> ADD8Ess: 1217 S. 7th Street <br /> ertYt Modesto 11TATEr CA z,P• 95351 <br /> CONTACT: Mr. Terry--Hamilton TMEPHOME!(209) 524:9653frm suPeRwsoR: Terry Hamilton <br /> III. TYPE OF OPERATION: (O-Deme O-Ordamd Demo R-Ranevadon FEnerQancy Renovation): <br /> IV. IS ASBESTOS PRESENT? (d Yes { I NO <br /> V. FACILITY DESCRIPTION; (Include bultatng name.nw(oer,arta floor or room numbers <br /> GUILOING VAMC: Langston's Market <br /> AOOREsst 15615 Seventh Street <br /> CTy: Lathrop COUNTY- ,2. D joaQuin z(c 95330 <br /> SME LOCATION: 15615 Seventh Street _ <br /> BUILDING SIZE: 616' SQ. NUMBER OF FLOORS 1 AGE: _Unknown _ <br /> PResENTUsm Market . MtORuse; Market / Gas Station <br /> VI. A COPY OF THE INSPECTION REPORT WITH PROCEDURE. INCLUDING ANALYTICAL METHOD USED TO DETECT <br /> THE PRESENCE OF ASBESTOS MATERIAL MUST BE INCLUDED WITH THIS REPORT! <br /> VII. Approximate amount of iebaame.indnt6ng: <br /> 1.RegWatad ACM to be removed. RACM Nonwftieble ACM Nowirinble ACM <br /> 2.Cetegoty fill ACM not removed. lobe removed, t to h n tmmnva to be rotnevsd_ <br /> 3.Mort-frisWo ACM to be raved. Cateoory1 Category a (Courtesy) <br /> PIPES R3neerFeetic Transite <br /> SURFACE AREA(Square Feat) < 1' sq. 5' sq. <br /> VOLUME(Cubio Fant-If(.oft or S tt eoutd nut be mossuredl <br /> V))I. REMOVAL DATES: (MM/DD/YY) START: COMPLETE. <br /> IK. DEMO/RE-NOVATION DATES: (FNM/001YY) I START- 5/1Z95 coMPLETE: 7/1/95 <br /> 04-14-1995 09:28AM 209 545 e652 P.07 <br />