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ta%_ <br />Tel (818) 249-4932 <br />2621 Honolulu Avenue Fax (818) 249.4937 <br />Montrose. CA91020 interlorDEMOLITIONine wrvw.interiordemolition.net <br />DemoPtion • Eorihwork • Asbestos Removal <br />State Lic #603409 <br />NOTIFICATION OF ASBESTOS RELATED WORK <br />As per California Code of Regulations. Title 8, Section 341.9 <br />Date: March 10, 2017 <br />To: Cal -OSHA - District Compliance Office <br />To Whom It May Concern: <br />This is a FAX notifying your office of an abatement project to be performed at: <br />ADDRESS OF JOB: <br />1301 W. Glenwood Place, Santa Ana, CA 92704 <br />NEAREST INTERSECTION: <br />Bristol <br />STARTING DATE: COMPLETION DATE: WORK SHIFT: <br />03/24/2017 04/21/2017 DAY <br />LOCATION OF ABATEMENT AT JOB SITE: <br />Interior and Exterior <br />NAME OF COMPETENT PERSON: <br />FRANK MEDINA <br />DESCRIPTION OF JOB: <br />Removal of 360 S/F Friable and 9,470 S/F Class 1 Non -Friable Asbestos. <br />WORK PRACTICES: <br />Wet removal / respiratory protection / and protective clothing. Double bagging & labels. <br />POTENTIAL FOR EXPOSURE: <br />Low <br />ESTIMATED NUMBER OF EMPLOYEES ON THIS JOB: 3 <br />Reference 1713-3 <br />.1O.ORDING TO TITI.1: H til:(:CEUNti 3419 AND 1529 !r), 1111S N(71'IPU:1'FRIN IS 111{(AlIN D 'I'() 'r111? Nf?ARFS"I <br />tilql'RIl:1 t11fI(:1(.Nll'I'l'()DUSIIIIL:117OL'1'I'l;l2S,I'I{I(1R'I'{7f:(1\3\fT:NCK\IIiN'I'(11 1N1'SI!i'll1C'ORF: jC'I11'171'- 1NY <br />CII1NGF I1'1'1IF IN]-ORA XIlON PROVIDI:E710]'Ill,, DIVISION R1 I1115 V('RI'['I'I:N ti(UICH• AL%1.1. BE 1614 t'11:1)'1'11 <br />TJ IF I)I1'NON 1C']'1'I IIN 24 1 IOURS Ol SLIS_:1I Cl L1NGl-. <br />Fax to: Faxed on: <br />