Asbestos cleanup scope letter, 65 Nassau Street, Sep 2001

NYC 9/11 Public Portal Document

;BESTOS INSPECTION REPORT (continued)

6. Asbestos Hauler ATC NYS DEC Permit # 1A-371 TEL# (516) 924-5050 Disposal (s)S. Alleghinies landfill, RD3 P.O. Box 310. Hollsopple, PA 27. This asbestos abatement is part of a (Item a through a requires filing of this form with NYC Department of Buildings) a) 0 Demolition b) ❑ Boller Replacement c) ❑ Sprinkler Replacement d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement t) El Other (Describe) Emergency Asbestos clean up

28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal ❑ Enclosure ❑ Encapsulation ❑ Repair El Clean up 29. ABATEMENT PROCEDURE (Check all appropriate boxes) ~. t '/ / v ~ K ❑ Full Containment ❑ Glovebag 0 Tent El DEP Variance Application J~~ 30. LOCATIONS OF ABATEMENT DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OF FLOOR CONTAINING ACM PERFORMED (eg entire, east wing. room#, (e•g. Pipe lagging, Ong. Plenum SQUARE LINEAR (e.g. running cable, installing boiler room duds tanks FEET FEET boilers. eta. reri bigand g etc.) 10th lallway & APT A,B,C all affected surfaces 4,500 0 ACM clean up only

31. I hereby declare that the Information provided herein Is true and complete to the best of my knowledge. I am familiar with Federal, State and NYC laws and regulations applicable to asbestos related work.

Central Environmental Inc. Black Rock Construction Co. Tony Brown Print Name of Air Monitor Print Name of Asbestos Contractor Print Name of App) (K other than Owner)

v v% Q A Signature Sl9 Signature 12/10/01 12/10/01 12/10/01 Date Date Date 32. 1 understand that as the owner of a building where asbestos abatement activity occurs, I am responsible for the performance of the asbestos abatement activities kt accordance with the As Control Program Rules. I have contracted the third party air monitor who Is completely Independent of all parties in ad the asbestos project. I hereby declare that I have authorized the filing of this notification for the work specified herein. 65 Nassau Owners Corp. 12/10/01 Print Name of owner Signature Date A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE. I Any modification of information provided on this form must be reported immediately in writing directly to the NYC DEP ACP. The requirements of the Asbestos rol Program Rules may not be lawfully avoided or lessened of work in incremental or piecemeal fashion. ACP~ I 2/1001

NYC-WTC 000098008