License agreement for exterior cleaning, 65 Liberty Street

NYC 9/11 Public Portal Document

LZ NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION 43 Asbestos Control Program 59-17 Junction Boulevard, 8'" Floor, Corona, NY 11368-5107 ~ oi9 Building Dept. TRU No FOR OFFICIAL USE ONLY JL'X EWRITTEN 11 ce ASBESTOS PROJECT NOTIFICATION . .ru.-Paon ~co FORMS WILL BE (ASBESTOS INSPECTION REPORT) 1. ACCEPTED (Se fee schedule)

copies with original When submitting this form at the NYC Department of Buildings, the original form and three (3) signatures. This signatures are required. Submittal at the NYCDEP requires one copy of the form with original 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 —1- 113 GRT~ — STV _ _— Borough MAN r Zip

3. Block —__ _ 4. Lot AKA

5. Type of Facility 6. Name of Building

II. BUILDING OWNER ' 8. Contact Person •~ /ViL' O CQ//7/~! -- 7. Name --------------------------------------------- - . _ _ _,_._._._.PII _._._._._._._._._. _ — Fax #

10. Address PII City y____ PII--- __-_ State _ _ Zip _ _LDO(7 —_

III. GENERAL CONTRACTOR

11. Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name 4j ) &Y Ca L -----13. Contact Person

14. Federal Employer !D. )j PII L15. Tel. #[S 16_78 _3_d Fax

16. Address = PII- - - - - -.-._.W._._._ ._._._._._._ _ V. THIRD PARTY AIR MONITOR

17. Name _L4r! n )'P — fir nip ! I' G_18. Contact Person i ice"

I 20. Tel. # 922 — O77 /)_—__—_--- Fax # ~2 / 2-1 9 ------ 19. Federal Employer ID. # ______- .._._._._._._._._._._._._._._._._._. — ___PII —~ /Jew ~pYk- _ Zip _ _~~ 17 21. Address --.---•-•-•-b--- City ---- --- --_ State

22. Sample Analysis Laboratory_.S i _ i -i -.a. —_— 23. NYS DOH ELAP # ?

VI. PROJECT INFORMATION Projected completion date L~ 4k 24. Starting date for this portion of work O ~ S~U3 _

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

Shift from: _ -_ ® am ❑ pm to _ 3 _ ❑ am ® pm r~

If other, r/ specify _--------------- ------------------ — — C CE;r~fD Access to inspect the premises must be provided during the work schedule indicated in this item. F C j '-03 25. Total amount of asbestos-containing material to be abated during this work B"R~uorf4j,_ aQ)pjpl '^' M/ h0 ~~~ — Square Feet, and/or ___ — Linear Feet ° '" ♦'~~ ACP 7 P C!~ _,./ 2/2001 9UR01)OFftw1RCIRL=NiAL ( N, ORCLU'Un ,.~ ~ REMEDIAUOr2 G rRCCR;M IRO 2

NYC-WTC 000093409