Document DMQry8QRZ4O34XZEnnZOkDLdo
union :ak3;:e corporation TEXAS c:TV p.ant
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NC'!C OR *NTENT10N TQ OEMCLISR SR PENCVAT; A S'R'JC'UR:
PACEw ITT CONTAINING ASBESTOS MA'SRI A_
Description of the facility: A'c / /jiL ?
.JZUtL*
o s
u.
Estimate of approx-imate amount cf friable ascestos materials c.-esj^t:
(Area in
ft. o' ii'ear ct.) /
Est'mat'cn technique used:
Estimated age cf ascestos materia': Location of facility: yyy,- /
yp 7
S'-?'*
Sc"'e:w'ed completion cay- ,-Z
^ C/^
Nadu'S Ce c'annec demc-t i t:cn or rsnovat'on: jA
/<. Z ,
Zl
"/.... (
Method to be used (negative pressure enclosure, glove tag, et: > -
j(ZName of perso.. that prepared the form:
Location and telephone number: P/p /
C<J-
/, :
r
3"y, r
Date: /y~ij- ~~
NOTE:
This form must be completed and delivered to the EP Department
(Bi<Jg. #D at least 30 days ahead of the scheduled starting day of
the plannee demolit'cn or enevat'on. or 3: vcn
possi., a
following an emergency rj'iovat'on operation, .
April 1985/Revised November 198?
UCTC 18180
Texas Air Control Board ASBESTOS DEMOLITION/RENOVATION NOTIFICATION FORM
(THIS SECTION FOR TACB USE ONLY)
ADD CHANGE DELETE
* ASTERISKED ITEMS TO BE FILLED IN BY TECHNICAL SERVICES
DISTRIBUTION Blue - Region/Local Green * Region/Local Canary - Data Entry Pink - Dept, of Health
CNTY: *
SOURCE: *
PTNO: *
APST: *
TACB ACCOUNT:
--
FEDERAL FACILITY:
(Y/N)
CMST: *
NOTIFICATION RECEIVED DATE (MMDDYY): / /_____
POSTMARK:
//
INVESTIGATION DATE:
//
INVESTIGATOR STAFFCODE:
INVESTIGATOR JURISCODE: ____________
INVESTIGATION TYPE: _________
NOV SENT DATE:
//
COMPLAINT: / /
PSDB INV NO:
COMPLIANCE STATUS (C,N,U): ____ _ REVIEWER:
1) Removal Contractor:
Catalytic Industrial Maintenance Company
Mailing Address:
P. 0. Box 35
Phone:: (409) 948-5723
City:
La Marque
State:
Texas
Zip:
77568
TDH License No.:
Job Site Phone: ( 409 ) 948-5723
Project Supv.:
C. L. Snell
TDH License No.:
2) Other Contractor: Mailing Address:
n/a
Phone:
( )_______________ :
City:
State:
Zip:
3) Faci1ity Owner: Mailing Address:
Union Carbide . Drporation
P. 0. Box 471
Phone:
(409) 945-7411
City: Texas City
State: Texas
Zip:
77592-0471
Principal Business::
Chemical Plant
4) Description of Facility Name: Union Carbide Corporation
Address: 3301 5th Avenue South
City:
Texas City
County:
Galveston
State:
Texas
Zip:
77590
Size:
________ sq. ft.
Age: 48_ yrs.
Prior Use: S3 Deaerator and storage tank
5) Demolition: X Renovation: _ Encapsulation: _ Non-Friable:
5) Noti ficat' on Type: _ Planned
__ 10 Day
___ 20 C:y
X__ Renovation
___ Emergency
____ Ordered
Ordered By:
7) Amount Asbestos: ___ linear feet (pipes) 500_ sq. ft. (other)
8) Method of Removal: negative pressure enclosure
9) Scheduled Start Date: 01-05-90
10) Scheduled Completion Date: 01-25-90
11) Disposal Site: Gulf Coast Waste Disposal Site
Address: __ Campbell Bayou Road off Loop 197___ City:
Texas City
County:
Galveston
State:
Texas
Zip:
775%
Phone: (409) 935-4783
TDH/TWC Permit No. :
39035___
Andrew F. Jackson Industrial Hygienist
i 2^14 %9 (Date)
_ (409) 948-5589 (Telephone Number)
APY:IW:ASC10590
UCTC 18181
Texas Air Control Board ASBESTOS DEMOLITION/RENOVATION NOTIFICATION FORM
(THIS SECTION FOR TACB USE ONLY)
ADO CHANGE DELETE
* ASTERISKED ITEMS TO JE FILLED IN BY TECHNICAL SERVICES
DISTRIBUTION Blue - Region/Local Green - Region/Local Canary - Data Entry Pink - Dept, of Health
CNTY: *
SOURCE: *
PTNO: *
APST: *
TACB ACCOUNT:
--
FEDERAL FACILITY:
NOTIFICATION RECEIVED OATE (MMDDYY): / /
(Y/N)
CMST: *
POSTMARK: ___ l___ /
INVESTIGATION DATE:
/ /________
INVESTIGATOR STAFFCODE: _____
INVESTIGATOR JURISCODE: _____
INVESTIGATION TYPE:
NOV SENT DATE:
//
COMPLAINT: / /
PSDB INV NO:
COMPLIANCE STATUS (C,N,U): _________
REVIEWER:
1) Removal Contractor:
Catalytic Industrial Maintenance Company
Mailirq Address:
City:
La Marque
P. 0. Box 35 State:
Phone:: (409) 948-5723
Texas
Zip:
77568
TDH License No.:
Job Site Phone: ( 409 ) 948-5723
Project Supv.:
C. L. Snel 1
TDH License No.:
2) Other Contractor: Mailinq Address:
City:
n/a State:
Phone:
( )________________ Zip:
3) Facility Owner: Mailinq Address:
Union Carbide Corporation
P. 0 . Box 471
Phone::
(409) 945-7411
City: Texas City
State: Texas
Zip:
77592-0471
Principal Business:
Chemical PI ant
4) Description of Facility Name: Union Carbide Corporation
Address: 3301 5th Avenue South
City:
Texas City
County:
Galveston
State:
Texas
Zip:
77590
ize:
_____ sq. ft.
Age: 48_ yrs.
Prior Use: Steam 1ines to and from #1 Powerhouse.
5) Demolit ion: X Renovation:
Encapsulation:
Non-Friable:
6) Notification Type: _ Planned
_ 10 Day
20 Da\
X__ Renovation
Emergency
Ordered
Ordered By:_________________________________________________ __ ________
7) Amount Asbestos: 200 linear feet (pipes) ____ sq. ft. (other) S) Method of Removal: negative pressure enclosure 9) Scheduled Start Date:__ 01-20-90 ` 10) Scheduled Completion Date: 02-20-90
Disposal Site: Gulf Coast Waste Disposal Site_
Address: County:
Campbell Bayou Road off Loop 197
Galveston
State: _____ Texas
City: Zip:
Jexas_Citv 7 7 590
Phone:
935-4783
TDH/TWC Permit No.:
39036
Oa A. Andrew F. Jadkson Industrial Hygienist
12-14-39 (Date)
(409) 948^5589 (Telephone Number)
APY:IW:AS012090
UCTC 18183
JhN I'd '30 1!:I4
FROM K I MM I NS -r-lOUS TON
Texas Air Control Board ASBESTOS DEMOLITION/RHNC ATION
NOTIFICATION FORM
PhGc . >302
ADD I |CHANGE DELETE
(THIS SECTION FOR TACB USE ONLY)
DISTRIBUTION
Blue - Region/Local
ASTERISKED ITEMS TO BE FILLED GtSen " R^^zon/Loosl
IN BY TECHNICAL SERVICES
Canary - Data Entry
Pink - Dept, of Health
. * cAiiDfp. * TACB'ACCOUNT: ____--__
PTNO t *
APST: *
FEDERAL FACILITY: ___(Y/N) CMST: *
NOTIFICATION RECEIVED DATE (MMDDYY) :____/ /____ POSTMARK:____/ ~"7
INVESTIGATION DATE:____/____ /___
INVESTIGATOR STAFFCODE: ________
INVESTIGATOR JURISCODE: _________ INVESTIGATION TYPE: _
NOV SENT DATE:____/ /
COMPLAINT:____/ /___ PSDB INV NO: ____
COMPLIANCE STATUS (C,N,U): ___ _ REVIEWER:____________________ ____________
1) r'emoval Centractor:_Kimmitis Abatement Corp. Mailing Address: 3555 Timiaons , Suite 1250
City: Hocston.
S fca _ : tx
Phone: (713 ) 623-0282 _Zip:_7_Z'32_7
TDH License No.: 80-0053 Pro}ect supv. : Linda Francis
Job Site Phone:(____ )
iuH license no. :
i ri
2) Other Contractor:______ Mailing Address:______
_Fhone: (_
City
State:
____ _Zip:^
3) Facility Owner: Union Carbide Coi-p. Mailing Address: p.o. Box 8361
Phone: ( 304 )
-3-4 7 1
City: South Charleston
State: wv
Zip: 25303
Principal Business: Petro-Chenical Manufac
\z Facility
4) Description of Facility
Name: Union Carbide Texas City Plant /Address: p.o. Box 4 7 1___________________________
_Clty: _Tgx3.5 . City
County: Gal vase on,S tate: tx_ Size:sq.ft.
Age: 5Q
yrs.
Zip: 7 7 59,2
Prior Use:
________________________
5) Demolition: _x_ Renovation: ____ Encapsulation: ___
6) Notification Type: _____ Planned
x 10 Day
Renovation
____ Emerg /icy
_____ Ordered
Non-Friable: _____ 2 0 Day
Ordered By: ______________ 7) Amu .nt Asbestos: 9500. linear feet (pipes) ___ 3) /Method Of Removal: Glover Sag with Secondary Enelosu:
sq.ft. (other) Double Bagged,___
end. Trlr._____________________________________
3) Sch -.duled Start Date:
01 / 18 / 90
10) Scheduled Completion Date:
11) Disposal Site: Gulf Coast Was: r Di no-sal
Address: !60G Cambdl Hav<`u Rd
City: ~exas Citv
County: r-dv^i-
State: tx
Zip: 7d9u
Phone: (
) bid-
TDH/TWC Permit No: HWV i
(Signature, Title of Contact)
0 1 <'03/90 (Date)
I 31 62 7-0282 (Telephone Number)
ACB-99
UCTC 18185