NYC 9/11 Public Portal Document
LNULRUUU,1
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program
rrt 59'17 Junction Boulevard, 8"' Floor. Corona. NY 11368-,5107
( I ti BunRPL I A U No
ONLY FOR OFFICIAL USE ONLY
TYPEWRITTEN ~;+,o. ASBESTOS PROJECT NOTIFICATION
FORMS WILL BE O- (ASBESTOS INSPECTION REPORT)
ACCEPTED (--- •r.:e•/a.o 1. ~n
( ee tee
When submitting this form at the NYC Department of Buildings. the original form and three (3) copies with original
signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This
form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities.
1. FACILITY
2. Address 44 New Street _Borough Manhattan,Zip10004
AKA —_--- _ 3. Block 24 4. Lot
5. Type of Facility 6. Name of Building
II. BUILDING OWNER
7. Name 8. Contact Person
9. Tel. # Fax #
10. Address City State Zip
III. GENERAL CONTRACTOR
11. Name__ Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name Trio Asbestos Removal Corp. _13. Contact Person Chris Horan
PII
i4. Federal Employer ID. w._._._._._._._._._._._._._._._._._._; 15. Tel. #71 8961-4 100 Fax # 718-961-4103
16.Address 14-20 129th Street CityCollegePoint _State NY Zip 1 1356
V. THIRD PARTY AIR MONITOR
17. NameWarren & Panzer Engineers, P.C. 18. Contact Person Michael Nolan
19. Federal Employer ID. # 20. Tel. # 21 2-922-0077 Fax# 21 2-922-0630
21.Address 22 8 East 45th Street city New York State NY Zip 10017
22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH ELAP # 11251
V1. PROJECT INFORMATION -
1 7)
24. Starting date for this portion of work 7 4 Projected completion date
Asbestos work schedule ivfonday Tuesday Wednesday (Thursday ®'rriday &Saturday Sunday
Shift from: a _ram ❑pm to % ❑am pm , L i
If other.
specify _ ' RF/tintc
t?
`'`~2' 7 2902
Access to inspect the premises must be provided during the work schedule indicated in this item. JUN
1J
N
25. Total amount of asbestos-containing material to be abated during this work SBE lNHM
!
PTOGR4MEA
6, 050 Square Feet. and/or Linear Feet ! 2NG
01 6 ACP 7
2/2001
N
NYC-WTC000098654
OCR can misread numbers and units. Confirm readings against the page image before using them.