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Instructions for Filing DEQ Form ASN-1 Notice for Removal or Encapsulation of Asbestos Is notification requiredl Yes, under Ore~on law, wrttten notifica'tion must be given to the Department of Environmental Quality (DEQ1 when removing or encapsulatin~ asbestos-containing material {OAR 340- 32-5630}. The notice must be come on forms provided by the DEQ and be accompanied by the appropriate Fee. Are there deadiines for notifyinq7 Yes, OEQ must receive the compieted notification 10 days before the start date of the asbestos removal project.~ The 10-day waiting period will not start until the completed notification and fee have been received by the .DEa. You wiil not receive a copy of the form or a receipt. Keep a copy of the form for you~ files. Uniess notified otherwise, you may begin your project as scheduled on the notification. ~ILLING OUT THE FORM Be sure you fiil in all lines that apply to your project. The foliowinp a~e some guidelines for providing the required information: is this a notiflcation revision? Check "yes", if this is nonfiction revision. ~heck "no" if this is a new notice. Project startf~~ and compietion dates: The dates you ente~ here must accurate so the 10 day waiting requtreme~t can be met. Project site address: Include all buiiding numbers, school names or any other identifying information. What do 1 do if there are chanyes in the project7 DEQ must be notified in w~iting if there are project chanpes. The simplest way to do this is to fax DEQ a copy of the original notice, highlighting or circling all changes. If you fill out a new form, you must still highlight or circie any ~evisions, so they can be identified. Can I FAX the form to DEQ? 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 (541) 776-6262. Remember to circle aii changes, instead of highlighting them so they can be easily found. Who do I send tha feo tol Send a chgck vr money order along with your notifitc~tton to D~Q. Make the check payable to "DEQ" or "Department of Environmental ¢uality." The amount of the notification fee depends on the Project Category (as shown on the front side of the AS~-1 form~. Rules ~equire a 50 percent fee increase for emergency projeCts and proJects where apprqv~~ h~Q t~een g1v~n to waive the 10 day waiting period. ~ Send the ASN-1 Form and project fee to: DEPARTMENT OF ENVIRONMENTAL QUAIITY Al'TNs ~I~~IN~~~ Q '~- ~ ~~ ~ C1FSii ~il~tt~`r~i riii '"' a~ PORTLAND OR 972 ' If you need more inforr~nation Cali the DEQ at 1-800-452-4011 and ask for the phone number and location of your loc~il ~egional DEQ office. Descriptions of the facility, type and quantity of. asbestos, and the method of removal: Be specific and compiete in providinp this informatio~. Attach an additionai sheet with special work practices or disposal techniques which require prior approval from DEQ, whe~ necessary. Asbestos Abatement Contractor: Give the name, address, telephone number, and license number of the contractor fo~ the proJect. Work shift lnformation: List the days of the week and the hours of the day when asbestos work will take place. Certifiod $uRer'~+tsor: Give the name, c~rtificatlon number, and social aecur(ty~ number of tMe supervisor. Property Owner: Give the name, address, and phone number of the property owner. Site Contact: Give the ~ama and phone numbe~ of the pe~son ~Q contact repardtnp 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 wast~ site a~d name of hauler, ~i~n ~to torm! Wrlta~ in the ~ame and phone number of person tlling the form, (property owner, operator, or . abatement contractor) THEN SIGN THE FORMI (3/97)