HomeMy WebLinkAbout2008-6-5 - 21 Hillsdale Road - Asbestos Removaloww/&779pMyshcA1?@ahty Con§u1t611t~s inc
1204 North Road (Rt 1 17)Groton Connecticut D6340
InneS 2008
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Communications (24 hours):
FAX:(860)449-336(1
website:www.myst!cair.com
Office:(860)449-8903
e-mail:maqc2@aol.com ‘
Toll Free:1 (800)247—7746
My§tic Air Qgality CQnsultant§1204 Nbrth Rnad
Gxoton,CT 06340
Date:_MSiteLbéation:Bdilding Identification;Cont "me t Location:
[rinal Inspectian Passed
[1 Inspectian.Indicates Mare
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Residual dust an:YES
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FIELD NOTES :
(Rt.1.17)
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Renovation,and Demolition Pnoj.ect
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work to be Done'
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surfaces
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Sample #sample #$amp1e #
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Sample #Sample #
INSPE CTOR :
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My§tic Air Qgauty Consultanta
1204 north RDad (Rt.117)
Gratan,CT 06340
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Telecommunicatiana—_-—-n—--Office:360 449 8903Nights&Weekends:-850 464 2050F%X:860 449 8860TollFree:1 800 247 7746
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SIGNATURE
TIME ON SITE:TIHE OFF SITE:
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STAVENS BROTHERS,INC
P.O-BOX 406
WILLINGTON,CT 06279—0406
(860)429—51 58 (800)303-3879
Bill To
Marie Westbrook
41 Hillsdale Rd
South Windsor,CT 06074
Date 8/1/2008
Invoice #
Balance Due
Amount Enclosed
Retum this portion with your payment
Complete Installations Pump and Tank SINCE 1947
Remit to P.0r Box 406 Willington,CT 06279 KEEP THIS PORTION FOR YOUR RECORDS
STAVENS BROTHERS Inc.Water Wells (860)429-5158 (800)303—3879
Invoice
l 0447
$150000 1l
-P.O.Number Terms Location
41 Hillsdale Rd
Quantity Description Price Each Amount
1 Well Abandonment
l
x
1,500.00 1,500.00
A service of 1%per month,12%per annum will be applied to that portion ofyour account
over 30 days‘Total $1,500.00
Environmental Services,Inc.INVOICE90BrookfieldStreetSouthWindsor.CT 06074
06/02/08 34993
DESCRIPTION
21 Hillsdale Street
Attention:Marie West South Windsor,CT
Hillsdale Water Company
11 Mountain View Road
South Windsor,CT 06074 Asbestos Removal &Disposal
Account Manager:
Additional charges/adjustments MAY be reflected in future billings
Asbestos Removal &Disposal
Contract Fee $2,750.00
Bill Units Rate Charge
Billing Group Subtotal:$2,750.00
Total :$2,750.00
Please reference Invotce and Project Number an check.
Phone 860-528-9500 Fax.860-289-0138 Fed.Tax ID#06-1330595
To Assist in Payment We Accept
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