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Permit application Part III, health Jan 2006

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Part III of a permit application dated January 10, 2006 regarding health and safety for remediation at 30 West Street.

NYC-WTC_000095781–000095833

Folder label: “30 West Broadway

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NYC 9/11 Public Portal Document

Regulatory Submittal Part 111— Health & Safety Plan Fiterman Hall— 30 West Broadway, New York, New York Airtek Project 05-0867 — January 10, 2006

Attachment 2

Contractor/Sub-Contractor/Visitor HASP Acknowledgement

HASP Received by: Date:

Print Name

Affiliation:

Address Phone

is the designated Contractor Safety Officer (CSO) for this project. His contact numbers are as indicated in Attachment 1.

These are the primary Contractor emergency contact phone numbers, and both are 24-hour contact numbers. The CSO's base of operations will be the Contractor's field office (trailer). In the event that Mr. is not on site, an alternate CSO will be designated and will be responsible for ensuring proper implementation of this HASP.

Signature Date

48

NYC-WTC 000095828

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NYC-WTC_000095828Source: NYC Law Department, mirrored locally

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