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15) All information must be provided if a building was ordered to be detnolislied. To qualify for a waiver of the 10-day notification requirement, the building MUST be detern►ined to be structurally unsound and in danger of imminent collapse by a qualified person, as defined in the NESHAP rules. Attach a copy of the demolition order to the notification. ] 6) lf ACBM is to be removed before a building is to be demolished or renovated, enter the removal dates (start and completion) in this section. Asbestos abatement work includes any activity which will disturb ACBM. The asbestos abatement start date is the date that asbestos will be disturbed. The asbestos abatement activiry stop date is the date upon which air monitoring clearance has been achieved. In no event shall an abatement start or be comnleted on a date ot6er than the dates entered in this section (see Section 295.61(fl). Refer to Section 7 for information on notifying of any change in the start and completion dates. 17) Enter the scheduled dates for the siarl and completion of the building demolition. ln no event shall a demolition start or be completed on a date other than the dates entered in this section. Refer to Section 7 for infonration on notifying of any changes in the start or completion dates. When the building will not be demolished, but an abatement will be performed, the dates of the total renovation (remodeling) project can be provided in this section. The notification will remain active, if the renovation dates are provided. 18) The notificatio» for the abatement in a nublic buildinQ shall onlv be siQned bv the leQal owner, his designated lesal representative, the DSHS licensed abatement contractor or Ihe DSHSlicensed consultant. The TAHPR allows for this task to be delegated to the DSHS licensed cantractor or the DSHS licensed consultant IN WRITING, however, the responsibility continues to be shazed with the owner. For a NESHAP abatement or demolition, the notification form may be signed by the legal owner or the operator of the site. The name must also be printed and the date and telephone number must be provided. The signature must be an original, a copied signature will not be accepted. Please Sign in blue or red ink to avoid confusion. MAIL TO: ENVIRONMENTAL HEALTH NOTIFICATIONS GROUP DEPARTMENT OF STATE HEALTH SERVICES PO BOX 143538 AUSTIN, TEXAS 78714-3538 An invoice for the notification fee will be sent to the facility owner (c/o the person identified in Section 3) after the project has been completed. DO NOT submit the fee with the notification. Revised 10/01/2004 4 1 DUL1211