Asbestos notification form, Oct-Sep 2002

NYC 9/11 Public Portal Document

OCT-24-2002 11 :27 AM CENGLER BALDWIN 908 753 6264 P.03 ;59 cc.K 1'yELLA SAri P.01

bm o , ' llaf da.t rn. rw~ NYC DEPARTMISHT O W AL.PROTeCT1ON.•• l DP n Att~et0os.~~01;~rOftTlt+tt wi? J•rndlon 5"Iftetvt,e"'F1oer, Ceionm` NY iivltr*VM I ) I4YCWft%WO t+ Wx

rpewAIfTfN ~,••~^`'` RIOT AN AS&TQ5•;;PROJECT FORM1W I.& ...øI l-tl-tt SE ACGCrrED lW t2lrq iils.form et the NYC lt" yet inj! tam wo f~ee (s) move vttth

Ll CG - •------- fiac~lgn 1 ~ZMtC811 Zlp 100 2. Fat:luty Aoofess _?2 1\ AM__ ..._~_ 0 Block 9 __.__.~»---- a1b 1 tlty --- - j-- _~ _~ - ------- 2120349.0015 S. 911ldtnp oume►_ Tot. a

e. AdUtew__ 113.OeCieL C _--•---_----- ---------- •--••-- 8tstr~. LY..._ __. z+a _>t.00Z...._._ I. coma.? Pdrrsrrn _ _ ____ _ e. TAI. ,,..,112-349-0015

0. oeseripUon of the ErUrs Goofs c' Work wixdpw L!'J1adt ant.

10. Est 3101 Dote --- As soon es permll apiuv EsL Cornplettor Qa s of the Enflre 600pm of Weak.

11. 1, AWO >W iC nave conductOd an ago s Inveat;yrt1cn or _ — in aatmisnoe wlth No SCW.I Nbro.Yw"w... 51a;tlorc 1.16 and 1.27 of the NYC QEP Aibeates Coro I F►Ogtirn RUiSS and 4eclare Ith1l At sAd ladiity eddree, the M. premise to be defrtel1she0 Is lreo of any esasros conts+nlnp material (ACM). Eta, praynlee to be demolished contains 10 square feet or less er 25 IU4or feet or Iese of ACM. ®c cumulallve surtaxes of faruCiur0($) affected by (h9 work art" free of ACM. ❑ o. exXnWativtl IIYIOCOS of str lcltxtr(e) *f( Zed by the Mork cartlekt ! 0 Satalio tool or team or 25 linear feel of lose of ACM ❑n rxfrrnatly non frlahlr ACM melt be fnSWrpedlramered. 5Oetl Y emtwf't : __ ---- e0tlere el ❑i. ACM vri11 not DO disturbed auring the ecnpe nl work. Sped:Ily antwtd i t ACM prWO^.t: - $CUere tees Ibaor fiat

All ACM specified In -b", "d". or °e" must bm enioved.ln saoMsnce with the DEP Aab.spsAulee or MYS DOL IGR04.' 12. RESULTS Cr 8ULD1N0 IUIIVRY AND HALAAO Aa5lr55Eft1T: A96UME0 ar Mt Oft FLOOR (.5 ullb., wu.rp, . kAIN. w,,; ACMI SAM0656 I A ALYZ&1) I YF.9 NO I _ PRESENT ACM

A N n -..!L... . i I

13. Msh1ice{ Laboratory — -----•- NEW 11. FLAP p 10, 0010(5) Sarnplea Artal)red ins sort etcsnT~c. o: 16. I by dlnformat{On provided heroin to true and eemplmta.

• I AMiM 'IMN)ru i II n L tl ~1~t7 "_' "Ypyjq~try M+~wr

Any ffadAc ien or ds laO lino Infonnalon pr exhdi0 4n VIS toms T•_11øe. tepOAid'tmmeelatly In OP TNh Mfliro drerly 10 thm NTWEP. the r00ulrs+Nt4s of r bsew Ct: oiid.P!UW/I11 1$ee mvi nei be NTGMp leettffy mwreletl s tsei*'i i 11uO0h the peflormmfu4Of we t vt brae mertst w cleSeetd P4BNOIt cEJtT~fED A ESTC • i►Mw.W~► h OMYSI b 163. I d IetW . w .wl Mir ^ INVE3I SA V,. d~~s..nnri .

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NYC-WTC 000092871