License agreement for exterior cleaning, 65 Liberty Street

NYC 9/11 Public Portal Document

. I ASBESTOS INSPECTION REPORT (continued) .--. Asbestos 26. Asbestos Hauler Transportation CO. NYS DEC Permit# 1 A-371 *TEL.# 631 -924-5050 DisposalSite(s) Imperial/POB 47, 11 Boggs Rd., PA: Southern Alleghenies 27. This asbestos abatement is part of a (Item a through e requires filing of this form with Valleyview Dr., PA NYC Department of Buildings) a) ❑ Demolition b) ❑ Boiler Replacement c) ❑ Sprinkler Replacement d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement t) ❑ Other (Describe)

28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal ❑ Enclosure ❑ Encapsulation ❑ Repair ❑ Clean up 29. ABATEMENT PROCEDURE (Check all appropriate. boxes) ❑ Full Containment ❑ Glovebag ❑ Tent ❑ DEP Variance Application 30. LOCATInNS n1= AFtATFner=r.MT ECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OR CONTAINING ACM ing, room #,. (e.g. Pipe lagging, ceiling, plenum SQUARE LINEAR PERFORMED (e.g. running cable. installing fire sprinklers, lobby, etc) ducts, storage tanks, decking. etc.) FEET FEET removing and replacing boilers, etc. acad M.IteMNO. 8 Partial Facade 40000 .I

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rE. 31. I hereby declare that the information provided herein is true and complete to the best of my knowledge. I amfamiliar with Federal, State and NYC laws and regulations applicable to asbestos related work.

Warren & Panzer Trio Asbestos Rvl.Crp. i C. Print Name of Air Monitor Pri Pri 'Name f li nt er n Owner)

t Signature Signal e

Date Date Date

32. I understand that as the owner of a building where asbestos abatement activity occurs, I.am responsible for the performance of the asbestos abatement activities in accordance with the Asbestos Control Program Rules. I have contracted the third party air monitor who is completely independent of all parties involved in the asbestos project. I hereby declare that I have authorized the filing of this notification for the work specified herein. 55 Liberty Owners .Corp. c/o NYC Print Name or Owner Signature Date A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE. Any modification of information provided on this form must be reported immediately in writing directly to the NYC DEP ACP. The requirements of the Asbestos Control Program Rules may not be lawfully avoided or lessened ACP7 through the performance of work in incremental or piecemeal fashion. 2/2001

NYC-WTC 000093413