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ASBESTOS NOTICE TO CONTRACTOR
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Date: 8 I J I I � 1
Contractor Name: Gl-(� g Y It t
Business Name: Gjf\R Cn-Wc vl:;� G0yNt-MC1Or } RoL(-C
Address: J O¢-% Vctto -G S+.
City: 6 k c. c _c (�ctb e State: F L
Zip Code: 3�l�iUt
Re: Job Address: LGE?i S}. L uCm'?A\)d Lv� 2S
It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes
and to notify the Department of Environmental Protection of any intentions to remove
asbestos when applicable in accordance with state and federal law.
Sign re & Date