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11 JOHN STREET

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000094122–000094130
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NYC 9/11 Public Portal Document

c \ ~` ~'~, NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, Floor, Corona, NY 11368-5107 i ,~~ r a Building Dept. or TRU No ONLY FOR OFFICIAL USE ONLY 'I F PE ~O~rcNru_'vao"° ASBESTOS PROJECT NOTIFICATION vww.nyt =e r t d°r (ASBESTOS INSPECTION REPORT) i _ (see fee sehedu

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.

1. FACILITY

2. Address II JOUR ST ET Borough MN Zip i0038

AKA 3. Block TJ 4. Lot IS

5. Type of Facility COMMERCIAL 6. Name of Building II. BUILDING OWNER

7. Name COLLE(i1A1E C"Ur-C L CoeP. ' 8. Contact Person

9. Tel.# (212.) 233-t%O Fax#

10. Address AS SOI4N ST 24ED r City_EiiJotu- State NY Zip 10035

III. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name CiE) AMlP KOgZAN 4 SoN (CI31R.OL INC. 13. Contact Person LAME IPNNICo

14. Federal Employer ID. # PI_I 15. Tel. # (1(8)531-2900 Fax # t?t8) 209-11308

16. Address 1246 RAt..PW AYeyiuE City B2oo wi u State NY Zip II 26

V. THIRD PARTY AIR MONITOR

17.Name W4 QE-+tt 4 PAg2ER' EN(atNEERS INC. 18. Contact Person MIC14AEL ~1OLAR

19. Federal Employer ID. P11 20. Tel. # (212) 922 - vo7t Fax # C212) 92z - 06 30 21. Address _?213 EAST 4S T►i $TREET City NEW '1O State 1NY _Zip _IOOIT

22. Sample Analysis Laboratory 23. NYS DOH ELAP # _ VI. PROJECT INFORMATION 24- Starting date for this portion of work Z Projected completion date 9I Asbestos work schedule IN Monday ® Tuesday ® Wednesday ® Thursday IN Friday ® Saturday i ~Sunday

Shift from: a o~ lB am ❑ pm to $ w O am ® pm ~ly1 If other, specify D Access to inspect the premises must be provided during the work schedule indicated in this item. LA 2002 25. Total amount of asbestos-containing material to be abated during this work

Square Feet, and/or 0 Linear Feet 1 ACP 7 ocP 212001 BUP,EAU rr PUIRONMEHTAI tEUA~ b Ek~CRCE A;.,o,c1ms C^.JRGL PnGG A'A

NYC-WTC 000094129

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NYC-WTC_000094129Source: NYC Law Department, mirrored locally

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