Document GmNvmeQp0yXYZpGZ4Vg8K2R9m

PLAINTIFF'S EXHIBIT / / / Certified Hail No. P 141 458 643 Texas Air Control Board ASBESTOS DEMOLITION/RENOVATION NOTIFICATION FORM 11 - / (=' r1 [ ] ADD [ ] CHANGE [ ] DELETE (THIS SECTION FOR TACB USE ONLY) * ASTERISKED ITEMS TO BE FILLED IN BY TECHNICAL SERVICES DISTRIBUTION Blue - Region/Local Green Region/Local Canary - Data Entry Pink - Dept. pfvHealth 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: Industrial Specialists, Inc. Mailing Address: P. 0. Box 1630 Phone: (409) 265-4709 City: Lake Jackson State: Texas Zip: 77566 TDH License No.: 80-0089 Job Site Phone: (on site) Project Supv.: Johnny Carrales TDH License No.: 80-2576 2) Other Contractor: 3 Mailing Address: City: State: 3) Facility Ovner: The Dov Chemical Company Phone: ( Zip: BL-0082-R ) & & Mailing Address: c/o Environmental Services 0C-7O8 Phone: (409) 238-1267 City: Freeport State: Texas Zip: 77541 # Principal Business: Chemical Manufacturing 4) Description of Facility Name: Dow Park. % Address: Highway 332. City: Lake Jackson County: Brazoria State: Texas Zip: 77566 Size: 1500 sq. ft. Age: 30 years Prior Use: A park pavillion constructed of asbestos-cement material (transite). 5) Demolition: _X_ 6) Notification Type: Renovation: ___ ___ Planned Encapsulation: _____ _X_ 10 Day Non-Friable: _X_ : ___ 20 Day ___ Renovation ___ Emergency Ordered Ordered By: 7) Amount Asbestos: linear feet (pipes) 2000 sq. ft. (other) 8) Method Of Removal: Appropriate area will be barricaded and proper signs will be posted. The proper safety equipment will be used. The sheets will' be wet down, then placed in impermeable containers. Proper labeling will be attached. The buildings will be demolished. 9) Scheduled Start Date: 10) Scheduled Completion Date: 6/18/90 7/31/90 11) Disposal Site: The Dov Chemical Company Address: c/o Environmental Services^ City: Freeport , County: Brazoria " State: TexasZi*p7:7541 Phone: (409) 238-1506 TVC Registration No: 30106 (Signature// Title of Contact) N. S. Chrrstain, Chemist D.9007 bcc: K. Jordan, B-5401 R. L. Hansen, APB June 4, 1990 (Date) D. E. Cragar, B-101 J. Heard, APB (409) 238-1267 (Telephone Number) __ ______ACRt:99S. L. Smith, B-10B ST0408435