Pest control invoice, Benjamin & Son Control, Nov 2002

NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION I o` 1 Asbestos Control Program 59-17 Junction Boulevard, 8"' Floor, Corona, NY 11368-5107 Building Dept. or TRU No ONLY~ , ,,+~'S' E~` FOR OFFICIAL USE ONLY r~~ TYr I.,,.►/tT A( ~Q~NMFMAL ASBESTOS PROJECT NOTIFICATION PM°~4~ FiR{vfS WlL E (ASBESTOS INSPECTION REPORT) 1. ww w.nyt.svv lCep 2.., titi ( fee schedule)

When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities .

I. FACILITY

2. Address 39 John St Borough Manhattan _— Zip 10003E3 -- AKA 72-78 Nassau St 3. Block 78 4. Lot 35

5. Type of Facility— — 6. Name of Building

II. BUILDING OWNER 6Au8- eeArY Asz-uArES 7. Name 1J/ o $gtDwi N PeAc.TV 8. Contact Person PAZ GAt AiteLee

9. Tel. Fax #

10. Address Ii 3_ c eDAe- 5 P.EE'r City__________________ State!Y — Zip 10006

III. GENERAL CONTRACTOR

11. Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name Benjamin Kurzban & Son Control 13. Contact Person Louie lannico

14. Federal Employer ID. # ._.__ ! 15. Tel. it (718) 531-2900 Fax # (718) 209-1808

16. Address 1248 Ralph Avenue —_-` City Brooklyn State NY Zip 11236

V. THIRD PARTY AIR MONITOR

17. Name Warren & Panzap- EWE, lme EQ„S ___________18. Contact Person I~11A 14CL.A4 ------.-PII.-.-.-.-. Fax # (212) 922-0630 19. Federal Employer ID. # 20. Tel. # (212) 922-0077

21. Address 228 East 45th St City New York State NY_ Zip 10017

22. Sample Analysis Laboratory___ — 23. NYS DOH ELAP #

VI. PROJECT INFORMATION A r 24. Starting date for this portion of work 11( 104~ 0 Z Projected completion date _ 111:30 0 2_

Asbestos work schedule ® Monday I Tuesday ® Wednesday ® Thursday ® Friday ® Saturday ® Sunday

CC Shift from: -7 El am ❑ pm to —7___ ❑ am J pm

If other, specify --- ----- -- ----- Access to inspect the premises must be provided during the work schedule indicated in this item.

25. Total amount of asbestos-containing material to be abated during this work I5346 9 Square Feet, and/or 0 Linear Feet ACP 7 I~ 2/2001

NYC-WTC 000092820