Hazardous Material(s) Abatement Notification

Hazardous Material(s) Abatement Notification

Project Name and Project Number*

Brief Description of Material(s) Being Abated

Project Manager and Contact Information*

Location: Building Name and Number*

If Building Name and Number is not found in drop down list select 'Other' and enter below.

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Location - Building Name and Number - Other

Room(s) or Exterior Location*

Abatement START Date*

Anticipated END Date*

Number of Anticipated Shift(s)*

Shift(s) Hours*

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General Contractor*

Abatement Contractor*

Submitter's Name and Contact Information*

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