44 JOHN STREET 1001110, 67/30

NYC 9/11 Public Portal Document

J SUv 1 v 3yoW'.titr Ocrypt NYC DEPARTMENT.OF ENVIRONMENTAL PROTECTION Asbestos Control 59-17 Junction Boulevard, 8e Floor, Corona, NY 11368-5107 Building Dept. or TRU No FOR OFFICIAL USE ONLY

~ r ViR ~t n ~ NM(Nf1LL VR~~G oa ASBESTOS PROJECT NOTIFICATION .~f (ASBESTOS INSPECTION REPORT) 1. 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 44 JON tJ S rQ.ee r Borough MN --- Zip _ 10038

AKA 3. Block 6 t --__ 4. Lot _90

5. Type of Facility__. C4W2c-W 6. Name of Building II. BUILDING OWNER

7. Name CL.D JOHN STeEE:T UI.J%TEO ME'TNOo11sT C►iuRCW 8. Contact Person _V-Ev _ J _ Mc !±±_ __—

9. Tel. # (212') 269- 0014 Fax #

10. Address 44 j'0" N S Ti2E.c r City Nrw Y cry —__—_ State N 00 3 Zip _1

Ill. GENERAL CONTRACTOR

11. Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name a AM1N te.Ur~zac.N Sor.I C.,N TLOL. 1►.1C- 13. Contact Person _Lcu,t J __

14. Federal Employer ID. # P11 ; 15. Tel. # c~~8) 531__?~0U_—__ Fax # (116)_209- 11606

16. Address -1:24BI`AL,FN _RVrNUE__ —-- ____-- City __61 t"-LN__ --_ State NY __ Zip _!1236--_

V. THIRD PARTY AIR MONITOR

W are 4 PAN zee- ta-wG i W ee e s ---------- 17. Name ------------------------------- 18. Contact Person f~II ~+A'Z ~'~

19. Federal Employer ID. #y.~._._._._.__ J 20. Tel. # (?i2) 922 - DoT T Fax # 1?I??922 - ob 30

21. Address 229 eA,STASTl•t 5Tre •r ------ City /oex ______ State !L... Zip _ iCOt-( _—_ __---

22. Sample Analysis Laboratory—__—__—__—_ -------------23. NYS DOH ELAP #_____________

VI. PROJECT INFORMATION 24.. Starting date for this portion of work _°91 11? 102- Projected completion date __ro J L IO2 __

Asbestos work schedule ® Monday © Tuesday © Wednesday © Thursday El Friday ® Saturda`y19*'8'uhday. 10 Shift from: 8 °G ® am ❑ pm to S6~_ ❑ am ® pm /

If other,

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 L

tS 4 S3 — Square Feet, and/or _____ 0 — Linear Feet s _ •?•' ACP i 2/200' kVPr i; °F `bPn/;ar;

PFC,P6M " Ol t 1I~

NYC-WTC 000092955