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From: Marco Molina Fax: 18182494932 To: C81OSHA LA <br />Fax: (213) 576.7461 Page: 1 of 1 0210812022 2:57 PM <br />l <br />MWCRr�Rrdt'S <br />OJ�f1CC <br />1"7Z V40,M ZPR" fL.J77C7)V,, 1NrC_ <br />2621 <fe ra/tafu /5't�erx�e <br />M60M& <br />/19o17trvse, CA 91020 <br />[�r+�a[Irraw :4e.a r�M!'7�Fr•�aRIP#waFrN <br />uEwcv^lrJier�i�7/'t/elP7Dfitirsla •!7B �' <br />NOTIFICATION OF ASSEST05 RELEATED WORK <br />As per California Code of Regulations, TitleB, Section 341.9 <br />Date: February 8, 2022 I.D.I. SITE ID: 2203 <br />To Cal -OSHA - District Compliance Office <br />To Whom This May Concert. <br />This is a Fax notifying your office of an Abatement Project to be performed at: <br />JOB SITE ADDRESS; <br />905 E Warner St. Scents Ana CA 90707 <br />NEAREST MOSS STREET: <br />$_i-ac�iEadcay ,St_ <br />STARTING Date: COMPLETION DATE: WORK SHIFT: <br />2/10I2022 2015_2022 DAY <br />LOCATION OF ABATEMENT AT JOB SITE: <br />INTERIOR <br />NAME OF COMPETENT PERSON: <br />Luis Fragoso, Frank Medina. Alejandro Caro <br />DISCRIPTION OF JOB: <br />REMOVAL. OF_IVON.FFAl3E Acotistc_celinFl,00a° til,„sheet fiocsringz,,Joint Goft<pounc. <br />WORK PRACTICES: <br />Wet removal, respiratory protection and protective clothing. <br />Double bag all material and label_ <br />POTENTIAL FOR EXPOSURE: <br />High <br />ESTIMATED NUMBER OF EMPLOYEES AT THIS JOB SITE: 5 <br />FAX TO, <br />ACCORDING TO TITLE 8 SECTIONS 341.9 AND 1529 [R] THI5 NOTIFICATION IS PROVIDED TO THE NEAREST <br />DISTRICT OFFIC, NOT TO DOSH HEADQUARTERS, PRIOR TO COMMENCEMENT OF ANY SUCH WORK ACTIVITY, ANDY <br />CHANGE IN THE INFORMATION PROVIDED TO THE DIVISIN BY THIS WRITTEN NOTICE SHALL BE REPORTED TO <br />THE DIVISION WITHIN 24 HOURS OF SUCH CHANGE. <br />