Document 6RMDa1jL1OYvqpwbgrRB4274R

8 lo Plant Procedure SH-5.6 NOTICE OF INTENTION TO DEMOLISH OR PFNOVATE A STRUCTURE OR FACILITY CONTAINI I A: JEsIOS MATERIAL 1. Description of the facility and prior use: T7.C . :!'rr7. . S 2. Location of facility: . . .2^/rP.Cc-. . .! (=>............................................................ 3. Approximate size of facility (unit, bldg, etc.): ........../r."7......... sq ft 4. Estimate of approximate amount of asbestos containing materials to be removed: (Area in sq. ft. or linear ft.): . ................................................................ Estimation technique used: .eUc-TV- 5. Estimated age of asbestos material: ......... T?t.0.y.'^7$.............................. 6. To be removed by (UCC or Contractor): .............................................................. 7 77. Scheduled starting day: ............................... ./. . //.?.(................................. 7/7 /a/ Scheduled completion day: ............................. :/./.././/.................................. 8. Nature of planned demolition or renovation: . Q.Txti!>'!?-.. ,2o s..To.. m. .. B.<r.. ........... ......................... Method to be used (negative pressure enclosure, glove bag, etc.): .... ................. ....................................................................................................................... Form completed by: . pO.-. 1-7.-.. A-.^tV................................................. 9. Location and telephone number: .STiB.y. Date: ............................... 7/7/#/.................................... ^............................... il ' NOTE: This form must be completed and delivered to the Industrial Hygiene Department at least 30 days prior to scheduled starting date of the planned demolition or renovation, or as soon as possible following an emergency renovation operation. Revised:!!/90 \JCTC 18075