if found return to:
STATE OF NEW YORK
of DEPARTMENT OF LABOR
New4I City Dept.Protection DIVISION OF SAFETY AND HEALTH
Envi ntal
AsbeSt G0flt10i Program
69-17 JUngt1O Blvd. 8th ASBESTOS HANDLING CERTIFICATE
Floor Cor • Y 11368 AUTHORIZED CLASS
I G - SUPERVISOR (01/03)
This certifiC Mt Lt be
shown to a Dep1fttent
P11
representative
r. request. Report LôS _._._._._._.__._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._.-.,-,
Immediately. Renew
license 60 days prior to
expiration date.
Tampering and or
alteration of this
PII J
.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.
ertificate is a CRIMINAL RICHARD CUCOLO, Director- For the-Commissionee of Labor
offense.
P11
with
THIS PERMIT has been Issued in accordance
Asbestos
and subject to the provisions of the
Control and Licensing Act N.J.S.A. 34:5A-32 et
you on
seq. You MUST have THIS PERMIT with
the'job.
tolollow
THIS PERMIT may be revoked if you fail
established asbestos safety and health practices.
revoked It It is loaned.
THIS PERMIT may be
abandoned or allowed to pass from the personal
control of the owner.
THIS PERMIT Is Invalid It It Is altered, defaced.
mutilated, or tampered with in any manner. asbestos
Any person performing the duties of an expired
worker or supervisor after this permit
shall be subject to the penalty provisions of
N.J.S.A. 34:5A•32 at seq., as shall his employer.
direct all
For information, corrections, or changes.
Inquires to the following:
State of New Jersey
Dept. of Community Affairs
Division of Codes & Standards
Asbestos Contractor/ ct tue WAfr
Worker Program qR
P.O. Bone 818 1.
Trenton, NJ 08825-0818
(808) 833-3760
a
. COMMISSIONER
i
1.
NYC-WTC 000094978
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000094978Source: NYC Law Department, mirrored locally