NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program
59-17 Junction Boulevard, 8th Floor, Corona, NY 11368-5107
W.o ` I
Building Dept. TRU No
ov
FOR OFFICIAL USE ol&Y
ASBESTOS PROJECT NOTIFICATION
(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 90 Maiden Lane _ Borough Manhattan Zip 10005
AKA 3. Block 42 4. Lot 36
5. Type of Facility_ 6. Name of Building
II. BUILDING OWNER
7. Name AM Property Holding Co. 8. Contact Person
9. Tel. # Fax #
10. Address City State Zip
Ill. GENERAL CONTRACTOR
11 Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name Trio Asbestos Removal Corp. 13. Contact Person Chris Horan
14. Federal Employer ID. #._._._._._._._._.P _._._._._._._._.; 15. Tel. # 718-961-4100 Fax # 718-961-4103
16.Addressl4_20 1 29th Street City College Point State_NY Zip11356
V. THIRD PARTY AIR MONITOR
Warren & Panzer Engineers, P.C. Michael Nolan
17. Name 18. Contact Person
• 19. Federal Employer ID. # 20. Tel. # 212-922-0077 Fax #212-922-0630
21.Address 228 East 45th Street City New York State NY Zip10017
22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH FLAP # 11251
VI. PROJECT INFORMATION
24. Starting date for this portion of work L Z Projected completion date 7 3 c% L
Asbestos work schedule v1onday I(1,Tuesday ' Wednesday 3 Thursday I Friday C6aturday ® Sunday
Shift from: " __Oam ❑pm to Dam Vpm
If other,
/
// RFl`~71RD
Access to inspect the premises must be provided during the work schedule indicated in this item. Ui~
.- J O
2 5 20
25. Total amount of asbestos-containing material to be abated during this work f~NVH
~ .5~~6 BEAD
M
1 0, 600 Square Feet, and/or Linear Feet
6
!~ Ot ACP 7
NYC-WTC 000093687
OCR can misread numbers and units. Confirm readings against the page image before using them.