HomeMy WebLinkAboutACKNOWLEDGEMENT OF CERTIFICATIONS SECTION 1
ACKNOWLEDGEMENT OF CERTIFICATIONS
ASBESTOS
To Inspect: Iowa License 06-27191
Illinois License 100-08285
Wisconsin License A11-04364
To: Manage: Iowa License 06-2720MP
To Design Removal Projects: Iowa License 06-729PD
The physical act of bulk sampling, chain of custody and the submissions of
the final report was performed or prepared under my direct supervision. I
am an accredited Asbestos Inspector
Stephen J. Intlekofer, President
American Testing and Training, Inc.
MOLD
CEI - Certified Environmental Inspector - EAA
CEC - Certified Environmental Contractor - EAA
CMR - Certified Mold Remediator - IAQA
Environmental
CAQS - Certified Air Quality Specialist - EAA -Assessment Association
ENVIRONMENTAL
Assess/nen:Assoc/at/on
Certification Number Designation
9423 CEI, CEC, CAQS
Stephen James Intlekofer
3/1/08
Executive irector
PAY ESTIMATE NO. I VENDOR #
AMrULM
k.; 1;L: 4 Trai.n1 Ir,,C , EXPENSE CODE
CONTRACTOR BG _ 224 32 5850 1327
Lead _224 32 5853 1327
121 e. OizTA q . HOME 224 32 5870
ADDRESS EDI 224 32 5851
0t,��ttl1 o Other Bo
S231 o
CITY, STATE, ZIP PROJECT CODE
OWNER CLS (ALL I I et BG
ADDRESS 1 IS tii Lerry S't 4 HM
CONTRACT DATE [Z S Other
jhS C�+
'LAW.1!104,11 44,
jtsLe3103
DESCRIPTION Qa Q :_ 1- DATE OF BILL b- I S `Or(
220 74- rs°"CI"• INVOICE NO. S& — O1
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ 9Co
CHANGE ORDER NUMBERS $ Viti —
TOTAL CONSTRUCTION COST $ qa)•
\)%
fY
LESS AMOUNT PREVIOUSLY PAID / e $! 0. On
BALANCE STILL IN CONTRACTY,u -fi ( l $ 900.
o ,Y
PAYMENT REQUESTED / $ 9c:°
LESS 10% RETAINED ) $ ow—
TOTAL DUE CONTRACTOR THIS ESTIMATE $ elQ o cI)
I have made a progress inspection of the property being rehabilitated at the above address. The
construction work for which payment has been requested has been satisfactorily completed in
accordance with the construction contract. 9
to —26 -07
tkA,-.. )LALa
DATE COMPL T 0i BY STAFF SPECIALIST
1ct '
DATE APPROV D O PAYMENT COMMUNIT NEVELOPMENT DIRECTOR OR DESIGNEE