NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
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'`~+A Asbestos Control Program
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59-17 Junction Boulevard. 8 i Floor. Corona. NY 11368-5107
ASBESTOS PROJECT NOTIFICATION
Building Dept or TRU No
FOR OFFICIAL USE ONLY l9
FOR MIL
(ASBESTOS INSPECTION REPORT)
1
fee
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 33 Liberty Street Manhattan 10005
Borough
9 Zip
AKA 3. Block 66 - 4. Lot 1
5. Type of Facility 6. Name of Building
II. BUILDING OWNER
7. Name Federal Reserve Bank
8 Contact Person
9. Tel. # 212-720-5000 Fax #
10. Address
City State Zip
Ill. GENERAL CONTRACTOR
11. Name Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. NameTrio Asbestos Removal Corp.
_._._._._._._._._._._._._._._._._. 13. Contact Person Chris- Horan
14. Federal Employer ID. #._.~_ P !I 15. Tel. # 718 9 61- 41 0 0 Fax # 718-961-4103
16.Addressl4-20 1 29th Street
City College Point . State NY Zip 11356
V. THIRD PARTY AIR MONITOR
Warren & Panzer Engineers, P.C.
17.Name 18. Contact Person Michael Nolan
19. Federal Employer ID. # 20. Tel. # 21 2-922-0077 Fax # 212-922-0630
21.Address 228 East 45th Street City New York 10017
State NY Zip
22. Sample Analysis Laboratory Warren & Panzer Engineers ' 23. NYS DOH ELAP # 1 1 251
VI. PROJECT INFORMATION
24. Starting date for this portion of work 6 o Projected completion date ~]
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Asbestos work schedule tAonday g~Tuesday 'Wednesday. -Thursday I Friday IN Saturday %unday
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Shift from: V $am ❑pm to U Dam Xm
If other,
specify
Access to inspect the premises must be provided during the work schedule indicated in this item.
2002
25. Total amount of asbestos-containing material to be abated during this work
t7Q AN1461)
15, 10 0 Square Feet, and/or
• Linear Feet
28001
NYC-WTC000093681
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