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~ Instructions for Filing DEQ Form ASN-1 Notice for Removal or Encapsulation of Asbestos Is notiftcation required7 Yes, under Orepon law, written notifica'tion must be ~iven to the Department of Environmental Quality (DEQ) when ~emoving or encapsulating asbestos-containing material {OAR 340- 32-5630}. The notice must be come on fo~ms provided by the DEQ and be accompanied by the apprap~iate Fee. Are there deadlines for notifyinq? Yes, DEQ must receive the compieted notification 10 days before the start date of the asbestos removai project. The 10-day waiting period will not start until the compieted notification and fee have been received by the DEQ. You will not receive a copy of the form or a receipt. Keep a copy of the form for your files. Uniess notified otherwise, you may begin your project as scheduled on the notification. FILLING OUT THE FORM Be sure you fill in all lines that appiy to your project. The following are some guidelines for providing the ~equired information: Is this a notffication revisionl Check "yes", if this is nonfiction revision. Check "no" if this is a new ~otice. Project startiny a~d compietion dates: The dates you enter here must accurate so the 10 day waiting requirement can be rriet. Project slte address: include all building numbers, school names or any oiher identifying information. What do I do if there are changes in the project? DEQ must be notified in writing if there are project changes. The simplest way to do this is to fax DEQ a copy of the original ~otice, highlighting or circling all changes. If you fill out a new form, you must still highlight or circle any revisions, so they can be identified. Can I FAX the form to DEQ7 Yes, send faxed notification revisions to the Northwest Region at (503) 229-6957, the Eastern Region at (541) 388-8283, and the Western Region at 1541) 776-6262. Remember to circle all changes, instead of highlighting them~ so they can be easily found. Who do 1 send the fee tot Send a check or money order along with your notification to DEQ. Make the check payable to "DEQ" or "Department of Environmental Quality." The amount of the notification fee depends on the P~oject Category (as shown on the front side of the ASN-1 form). Rules require a 50 percent fee increase for emergency projects and projects where approval has been given to waive the 10 day waiting period. - Send the ASN-1 Form and project fee to: DEPARTMENT OF ENVIRONMENTAL QUALITY ATTN: BUSINESS OFFICE 811 SW SIXTH AVENUE PORTLAND OR 97204 If you need more information Call the DEQ at 1-800-452-4011 and ask for the phone number and location of your local regional DEQ office. Descriptions of the facility, type and quantity of asbestos, and the method of removal: Be specific and complete in p~oviding this information. Attach an additional sheet with special work practices or disposal techniques which require prior approval from DEQ, when necessary. Asbestos Abatement Contractor: Give the name, address, telephone number, and license number of the contractor for the project. Wark shift information: List the days of the week and the hours of the day when asbestos work will take place. ~ Certified Superviso~: Give the name, certification number, and social security number of the supervisor. Property Owner: Give the name, address, and phone number of the property owner. Site Contact: Give the name and phone number of the person to contact regarding the job site. (Note: The site contact can't be an employee of the asbestos contractor.) Disposal site and waste hauler: Include the name and address of waste site and name of hauler. Si~n the form! Write in the name and phone number of person filing the form. (Property owner, operator, or abatement contractor) THEN SIGN THE FORM! ~~s~~