License agreement for exterior cleaning, 65 Liberty Street

NYC 9/11 Public Portal Document

L'Z 4 AC/ NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION aoay,tiir O(v4g74 , Asbestos Control Program 59-17 Junction Boulevard, 8'" Floor, Corona, NY 11368-5107 LL P4 x)03 Building Dept. TRU No ON FOR OFFICIAL USE ONLY

- .I, PEWRITTEN keNMiHru vaR" ASBESTOS PROJECT NOTIFICATION . FORMS WILL BE (ASBESTOS INSPECTION REPORT) 1. dip . (Se fee schedule) ACCEPTED with original When submitting this form at the NYC Department of Buildings, the original form and three (3) copies This signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. activities . form must be submitted to the NYC DEP not less than one week in advance of the start of abatement

I. FACILITY

2. Address _S~1-t1gER1T1' %— -- Borough fr1AN r Zip

3. Block -- — 4. Lot AKA

5. Type of Facili 6. Name of Building

II. BUILDING OWNER

7. Name ~ f 1`L— O &5_ _CDP.1' --_ 8. Contact Person

9. Tel. # L 2-7373 -- Fax # _--- ---- L ee --- City —~ yO yk — State _YY._ Zip JDO(J —_ 10. Address _ (0 Ef —a~—TI

III. GENERAL CONTRACTOR

11. Na Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name _ —C) CC L ------13. Contact Person TG!/ —____—

-P11 _._._._._._._._ 15. Tel. # 4J_7 3 -- Fax# 5— 1~ —7 g 14. Federal Employer ID. f

16. Address 3o Ic 1 rhS Ave —_------ City --_ State _ Zip _-----_

V. THIRD PARTY AIR MONITOR

17. Name _W! ! 7~'t — ~y_ nce i, I' G_18. Contact Person ,J1 ' 19. Federal Employer ID. # ____ PIIL_ .— —_ 20. Tel # ---------— Oo7 7 X12.)922 Fax # -1 ------

S- SVr ----- City ~e~ ~Ork. --- - State JW_ Zip _J 0t17 21. Address 22$ C---

22. Sample Analysis Laborato _ --- 23. NYS DOH ELAP # --_

VI. PROJECT INFORMATION 24. Starting date for this portion of work D2OSU3 _ Projected completion date _ zg- SS 3_

Asbestos work schedule ❑ Monday 0 Tuesday 0 Wednesday ❑ Thursday 0 Friday ❑ Saturday ❑ Sunday

Shift from: ... L__ ® am ❑ pm to _ 3 — ❑ am ® pm r~

If other, rr specify ------------------------------- -- . . ~E/VED ^I Access to inspect the premises must be provided during the work schedule indicated in this item. + F C C~

25. Total amount of asbestos-containing material to be abated during this work OURFA to _m A4 W 1Nf41 Square Feet, and/or = Linear Feet °' v "

P Q ~a 2/2001 URU 1 ENFURCEt Jt1 REMEVIU'Uy COUIRUL ....•^"' f

r (RU y

NYC-WTC 000093409