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Instructions for Filing DEQ Form ASN-6 Notice for Removat of Non-friable Asbestos What notice is required? Under Oregon law, written notification must be givea to the Dzpartment of Environmentai Quality (DEQ) for removal of aon-friabl~ asbestos {OAR 340-32-5620(4)}. Notice must be submittecl on forrns providec! by tha Department and musi be accompanieci by the requirecl Notification F~e. What are the deadtines for notifying DEQ? How~ to fill out the form. Be sura you complzta all linas that apply to your project. H~r~ are some guidelines for providing tha required infortnation: Is this a revision to a notification': Check "yes" if this is an amendment to a previous notice. Check "no" if this is a naw notice and a new fee. DEQ must receive written notification no less than 5 days prior to the stnrting date of the asbestos abatemant projact. Th~ 5-clay Advance Notification Period will not be~in until th~ fully completecl ASN-6 Form und the Notification Fee have b~n received by the Department. You will not receive a confirmation of receipt from DEQ. Keep a copy of the completecl form for your files. Unl~ss notified otherwise, you may begin your project on the schecluleci starting date. What if there ure changes in the project? DEQ must be aotifiecl in writing if ther~ are projact chan~es. Th~ simplest way to do this is to sead DEQ a copy of the original notice, highlighting or circling ail chang~s. If you fill out a new Form ASN-6, all the revisecl s~ctions must still be highlighted or circled so they can be identifiacl. Can the form be FAXED to DEQ? Don't use FAX machines to send original notices. Send original notification to address below. You may s~ad amended notification forms by FAX. If sending by fax, circle all changes, instead of highlighting them. Se~ the asbestos contact inforulation sheet for the appropriate DEQ FAX aumbers. What about the Notification Fee'? Send a check for the Notification Fe~ when you send th~ original notice to DEQ. Make the check payable to "DEQ" or "Department of Environmental Quality." For emergency notifications, the amount of the fee is increased by 50 percent. Where to send the noti~cation form? ~ Send Completed ASN-6 Form and Fea to: DEPARTMENT OF EIVVIROIYMENTAL QUALITY ATTN: BUSINESS OFFICE 811 SW SIXTH AVENUE PORTLAND OR 97204 ~ Bz sure to include a check for the appropriate Notitication F~. Project startinfi and completion dates: The daces you enter her~ must bz consistent with thz Advanca Notitication P~riod required by Oregon law. (DEQ must receive notic~ of the project 5 days prior to tha starting date.) Project site uddress: Includa all building numbers, school names, county, and any other identifying information. Descriptions of the facility, the type of asbestos material, the quantity and the method of removal or encapsulittion: Ba specitic and complete in providing this information. Attach to tha form additional inforniation on specia! work practicas or disposa( t~chniques which r~quir~ prior approval from DEQ. Contractor: Give the n~me, address, tel~phone number and CCB rzgistcation (if applicabla) number of tha contractor for • the project. Days of week und hours of day to be worked (work shift): List the clays of the week and the hours of the day that abatement will take place. Property Owner: Giv~ tha name and address of the property ownzr. Site Contact: Gives tha namz and telephone number of the person to contact regardiag the job site. Disposal site and waste hauler: B~ specific and complece. Signing the form: Indicate the name and phona number of the propeRy owner, operator or abat~mant contractor completing th~ form. This would be th~ same p~rson who signs tha form. If you need more information ... Rafer.to thz asb~stos contact sh~t or call 1-800-45?-4011 and ask for the appropriate ragional DEQ offic~. (1/97)