Contract specifications for decontamination, 53 Park Place, Nov 2001

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued) 26. Asbestos Hauler Td State Transfer/ATC NYS DEC Permit # 1A-375/1A-371 TEL.# Disposal Sita(s)Greenrldge Landfill. 1 Landfill Rd. Scottsdale, PA! Me'adowfif Landfill, Rte 2, Box 68, Bridgeport 27. This asbestos abatement Is part of a (Item a through e requires filing of this form•with NYC Department of Buildings) e) ❑ Demolition b) ❑ Boiler Replacement c) 0 Sprinkler Replacement d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement 9 ❑✓ Other.(Describe) Environmental Clean Up

28. TYPE OF ABATEMENT (Check all appropriate boxes) 0 Removal ❑ Enclosure ❑ Encapsulation 0 Repair 0 Clean up• 29. ABATEMENT PROCEDURE (Check all appropriate boxes) Li ❑ Full Containment ❑ Glovebag ❑ Tent ❑ DEP Variance Application 30. LOCATIONS OF ABATEMENT DESCRIBE S CTION AFFECTED SURFACES AMOU OF ACM V 04 t~. u 7D v I DESCRIPTION OF WORK BEING Floor(s) OF FLOOR CONTAINING ACM PERFORMED te.g, entire. oast wing. room a. (e-g• Pipe legging, ceiling, pteawn SQUARE LWEAR (e.g. naming cable. 4ietel8gg 14e sptnrwten, bolar room, lobby, atcp ducts. atoraqg tanks. tied[ , etc.) FEET FEET removing and r clng boilers. etc PH . ntire Debris Clean-Up -. •9,200 Environmental Clean Up I 11 ntire Debris Clean Up 9,200 Environmental Clean Up 10 Entire • Debris Clean Up 9.200 Environmental Clean Up 9 Entire Debris Clean Up 9,200 Environmental Clean Up 8 Entire Debris Clean Up 9,200 Environmental Clean Up

LI 7 6 - Entire Entire Debris Clean Up Debris Clean Up 12,000 12,000 Environmental Clean Up Environmental Clean Up 5 Entire Debris Clean Up 12.000 Environmental Clean Up I Entire 4 Debris Clean Up 12,000 Environmental Clean Up 3 •... - Entire - • '— _ •• Debris Clean Up 12.000 Environmental Clean Up I 31. 1 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.

I EM & CA Pinnacle Environmental Corp Pinnacle Environmental Corp Print Name of Al? Monitor

ya Print sots of AsbcsLas Contractor Print Name of App5Kant (K other then duet)

/ Signature 9a3na►kaa Signature

Due - Oa tote I 32. t understand that as the owner of a building where asbestos abatement activity occurs. I am the asbestos abatement activities In accordance with the Asbestos Control Program Rules. Iresponsible have for the performance of contracted monitor who is Completely independent of all parties involved in the the third party air

I tos jOct. I hereby declare that I have authorized the filing of this notification for the work specified herein_ •.. Lfonshead 110 Development LLC.c/o Worldwide P,bd Name or Owner twat ue l/-' f/ - o! Holdings Inc Pate

1 A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE. L_Any modification f information provided on this form must be reported immediately In writing directly o the NYC DEP ACP. The requltements of the Asbestos Control Program Rules may not be lawfully avoided or lessened AC.P7 through the performance of work In Incremental of piecemeal fashion, V21

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