Invoice for asbestos sample analysis, 44 Wall Street

NYC 9/11 Public Portal Document

05/28/2001 12: 08 1 PAGE 01

FOR OFInGtA& USE ONLY ~'uTM NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION v Asbestos Control Program I i.______________________ 59-ITT Junction Boulevard, 8r' Floor, Corona, NY 11368-5107 NYC Bq+a.,y. ow~..er Ada a

rYP TYPEWRITTEN NOT AN ASBESTOS PROJECT ] ACP b Fee E--, __ _ FORMS WILL wwirwLi.~e:Tiip~ BE ACCEPTED When eubmtttlnp this form at the NYC Deparhent of Buildings, the original form and three (3) copies with original sfonaturs and seal am rocuired. Submittal at the NYCDEP reouiree one coov of the form with orloinal sionature and seal.

2. Facility Address 44 Wall Sb" --- —_— Borough Manhattan ---- Zip 1919

AKA ------ — 3. Block 43---- 4. Lot -, ,

5. Bullding<Owrter LANDLEASE REAL ESTATE T _- Tel. # (212) 425-7915 --_-

6. Address 787 Seventh Avenue ------------_-- State NY _-_ • .^_ Zip _10019 7. Contact Person Ronald Forth 8. Tel. #

9. Description of the Entire Scope of Work ASBESTOS REMOVAL

10, Est. Start Date 40/1/01 ❑ As soon as permit approved Est. Completion Date 1 0! 80! 1 of the Entire Scope of Work

1 1. I, Famood 8AlamI ,have conducted an asbestos Investigation on _ in accordance with Mar'. of c wee As s bwws for owA

Sections 1-18 and 1-27 of the NYC DEP Asbestos Control Program Rules and declare that at said facility address, the ❑ a. premise to be demolished is free of any asbestos containing material (ACM). ❑ b. premise to be demolished contains 10 square feet or less or 25 linear feet or less of ACM. ❑ c. cumulative surfaces of structure(s) affected by the work are free of ACM. ❑ d. cumulative surfaces of structure(s) affected by the work contain 10 square feet or less or 25 linear feet or less of ACM El e. normally non-friable ACM shall be disturbed/removed. Specify amount: _ — 600 square feet ❑ f. ACM will not be disturbed during the scope of work. Specify amount of ACM present: --__— square feet -,_ linear feet Alt ACM speolfled In "b", •d", or "e" must be removed In accordance with the DEP Asbestos Rules or NYS Dal ICR56.'

12. RESVI.TB OF BVILDIN3 8URWY MO HAZARD ASSESSMENT. FLOOR DESCRIBE SECTION ALL MATERIALS NUMBER OF ASBEST 5 (+ +v OF FLOOR ASSUMED TO CONTAIN ACM SAMPLES PRESENT ASSUMED OWIM and (•'a ' "~ "~''O01^a• OaYer r0°sti 1e°°I'•'~'y AND/OR SAMPLED ANALYZED YES NO ACM Basema

Prof. NY-421-01

13 Analytical Laboratory NA

14. ELAP # NA 15. Date(a) Samples Analyzed — NM eon PERTMAn V 16. 1 hereby dealers t r attlon provided heroin Is true and complete. _ I G`~ ^~.,r• 4 43 9/28/01 (732) 729-1800 O P Opieae EM kwamloS '. at'rsaw ova dlA.b.~ DIN Pey"m, TUew" NmS. SEAL Any modlrtcatlon.or 0ovl5tlu+l rroru GdurnuiUwr pmMed on UUa form must ae reported Immeahuwly In OP THE writing directly to the NYCOEP. Tfn rsgi eem.nta of the Mbeetoe Control Program Rules may not be NYC DEP lawfully avoided or lessened through the psrfwrnanos of wort In Incremental or piecemeal fashion. CER77FIE • rn.pt1ra O I«*. Se eanNin $554.1a Icsme, am ra pare turf katy. ASSESTC INVESTIC

NYC-WTC 000094949