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Project #:
Job Location:
PO #:CCD/ASI:
Change of conditions
Removal of actual sheet vinyl flooring with cementitious leveling compound by mechanical means.
Removal conducted in regulated work area with appropriate PPE.
Air monitoring performed per the regulations.
Disposal of removed materials at approved landfill accepting asbestos debris.
Estimated Extra Work Order Cost
(Add) X (Deduct) (No Change)
3 Kings Representative: Title: Date:
Customer Approval: Title: Date:
EXTRA WORK ORDER #01
City of Renton
O: 425-430-6670, M: 206-475-0662
Egrube@Rentonwa.gov
PM / Project Contact
Carpet Asbestos Abatement
222039
Renton, WA
Customer:
Contact:
Phone:
E-mail:
$4,101.21
COST SUMMARY
WORK DESCRIPTION
REASON FOR EXTRA WORK ORDER
N/A N/A
Project ManagerEmily Weiss 3/23/2022