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South Coast Air Quality Management District Facility ID Notification Number <br />21865 Copley Orive, Diamond Bar, CA 91765-4182 l�g% 12 C18%2fi7 <br />Phone: (969) 395-2336 <br />www.agmd.gov <br />Rule 1403 Notification of Emergency Procedure 13 Asbestos Removal <br />Please maintain a copy of this Notification at the job site, either electronic or paper. <br />Project Type <br />Project Type <br />Asbestos Removal <br />Project Urgency <br />Emergency <br />Origin Date <br />2/8/2022 2,42:25 PM <br />Completed By <br />Michelle Alba <br />Phone Number <br />(818) 249-4932 <br />User Email <br />michelle.interiordemo@gmail.com <br />Contractor Information <br />Company Name <br />INTERIOR DEMOLITION, INC <br />Address <br />2621 HONOLULU AVE <br />City <br />MONTROSE <br />State <br />GA <br />Zip <br />91020 <br />CSLB license # <br />603409 <br />OSHA REG # <br />00771 <br />Supervisor #1 <br />ALE]ANDRO CARO <br />Phone <br />(562) 528-2436 <br />Supervisor #2 <br />LUIS FREG0SO <br />Phone <br />(626) 536-6853 <br />Supervisor #3 <br />FRANK MEDINA <br />Phone <br />(760) 680-3502 <br />Site Information <br />Site Name <br />ABATEMENT @ 905 E WARNER <br />Project # <br />2203-A <br />Site Street # <br />905 <br />Street Name <br />E WARNER AVE <br />Cross Street <br />S HALLADAY ST <br />Site County <br />ORANGE COUNTY <br />City <br />SANTA ANA <br />State <br />CA <br />Zip <br />92707 <br />Contact Name <br />DAVID RAMIREZ <br />Contact Phone <br />(714)647-5641 <br />Site Owner <br />CITY OF SANTA ANA <br />Owner Address <br />20 Civic Center Plaza <br />City <br />Santa Ana <br />State <br />CA <br />Zip <br />91701 <br />Project Start Date <br />2/10/2022 <br />Project End Date <br />2/15/2022 <br />Project Work Shift(s) <br />Day <br />Building Size in Sq.ft <br />1863 <br />Number of Floors <br />1 <br />Building Age (years) <br />67 <br />Number of Building/Dwelling Units <br />2 <br />Building Prior Use <br />House <br />Asbestos Survey <br />Yes <br />Asbestos Found <br />Yes <br />Asbestos Removed <br />No <br />Building to be Demolished <br />Yes <br />Describe Work <br />ABATEMENT OF HOUSE <br />Describe Work Location <br />HOUSE <br />Project Information <br />Asbestos Information <br />Amount of Asbestos in each type in Sq.Ft <br />