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Financial- Oregon State DEQ
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Financial- Oregon State DEQ
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Last modified
9/19/2012 3:46:33 PM
Creation date
9/1/2011 3:32:58 PM
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Building
RecordID
10211
Title
Financial- Oregon State DEQ
Company
Marion County
BLDG Date
1/1/1999
Building
Courthouse Square
BLDG Document Type
Finance
Project ID
CS9801 Courthouse Square Construction
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Instructions for Filing DEQ Form ASN-1 <br />Notice for Removal or Encapsulation of Asbestos <br />!s notif(cation requiredT Yes, unde~ Orepon (aw, written <br />notifica`tion must be given to the Department of <br />Environmental Quality (DEQ) when removing or <br />encapsulating asbestos-containing material {OAR 340- <br />32-5630}. The notice must be come on forms provided <br />by the DEQ and be accompanied by the appropriate Fee. <br />Are there deadlines for notifyinq7 Yes, DEQ must <br />receive the completed notification 10 days before the <br />start date of the asbestos removal project. The 10-day <br />waiting period will not start until the completed <br />notification and fee have been received by the DEQ. <br />You will not receive a copy of the form or a receipt. <br />Keep a copy of the form for your tiles. Unless notified <br />otherwise, you may begin your project as scheduled on <br />the notification. <br />FILLING OUT THE FORM <br />Be sure you fill in all lines that appiy to your project. <br />The followi~g are some guidelines for providing the <br />required information: <br />Is this a notlficatton revtsion7 Check "yes", if this is <br />nonfiction revision. Check "no" if this is a new notice. <br />Project startin~ and completion dates: The dates you <br />enter here must accurate so the 10 day waiting <br />requirement can be met. <br />Project slte address: Include all building numbers, <br />school names or any other identifying information. <br />What do 1 do if there are chan9es in the project7 DEQ <br />must be notified in writing if there are project chan~es. <br />The simplest way to do this is to fax DEQ a copy of the <br />original notice, highlighting or circling all changes. If <br />you fill out a new form, you must still highlight or circle <br />any revisions, so they can be identified. <br />Can I FAX the form to DEQ7 Yes, send faxed <br />notification revisions to the Northwest Region at (503) <br />229-6957, the Eastern Region at (541) 388-8283, and <br />the Western Region at (541) 776-6262. Remember to <br />circle all changes, instead of highlighti~g them so they <br />can be easily found. <br />Who do 1 send the fee to7 Send a check or money <br />order along with your notification to DEQ. Make the <br />check payable to "DEQ' or "Department of <br />Environmental Quality." The amount of the notification <br />fee depends on the Project Category (as shown on the <br />front side of the ASN-1 form). Rules requi~e a 50 <br />percent fee increase for emergency projects and <br />projects where approvat has been given to waive the 10 <br />day waiting period. ~ <br />Send the ASN-1 Form and project fee to: <br />DEPARTMENT OF ENVIRONMENTAL QUALITY <br />ATTN: BUSINESS OFFICE <br />811 SW SIXTH AVENUE <br />PORTLAND OR 97204 <br />If you need more information <br />Call the DEQ at 1-800-452-4011 and ask for the phone <br />number and location of your local regional DEQ office. <br />Descriptions of the facility, type and quantity of <br />asbestos, and the method of removal: Be specific and <br />complete in providing this information. Attach an <br />additional sheet with special work practices or disposal <br />techniques which require prior approval from DEQ, <br />when necessary. <br />Asbestos Abatement Contractor: Give the name, <br />address, telephone number, and license number of the <br />contractor for the p~oject. <br />Work shift information: List the days of the week and <br />the hours of the day when asbestos work will take <br />place. <br />Certified Supervisor: Give the name, certification <br />number, and social security number of the supervisor. <br />Property Owner: Give the name, address, and phone <br />number of the property owner. <br />Site Contact: Give the name and phone number of the <br />person to contact regarding the job site. (Note: The <br />site contact can't be an employee of the asbestos <br />contractor.) <br />Disposal site and waste hauler: Include the name and <br />address of waste site and name of hauler. <br />Si~n the form! Write in the name and phone number of <br />person filing the form. {property owner, operator, or <br />abatement contractor) THEN SIGN THE FORM! <br />(3/971 <br />
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