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Western Kentucky University

Environmental Health and Safety - Asbestos Management Request Form

ASBESTOS MANAGEMENT REQUEST

Maintenance/Renovation/Demolition Planning

~PRIOR TO DISTURBING SUSPECT ASBESTOS CONTAINING MATERIALS~

 

DEPARTMENTAL ASBESTOS COORDINATOR INFORMATION

PROJECT INFORMATION

Specific location: Project start date:

 
Type of Material Quantity of Materials
Sq. Ft.  
Sq. Ft.  
Sq. Ft.  
Sq. Ft.  
Sq. Ft.  
Sq. Ft.  
Sq. Ft.  
 
(if different from the Coordinator Name above)


Please direct questions, concerns, or additional information pertaining to this Asbestos Management Request to laura.tomlin@wku.edu.

Clicking the "Send it in!" button below will e-mail a copy of this form to Laura Tomlin and will display a copy of the form that you can print for your records.

 

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 Last Modified 9/24/14