Invoice for roof cleanup services, 44 New Street, Jul 2002

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued) Asbestos 26. Asbestos Hauler Transportation C'c NS DEC Permit# 1A....37 1 ')-EL.#63'1 -924-5050 •DisposalSite(s)Imperial/POB 47, 11 Boggs Rd., PA: Southern Alleahenies/Rd 3 Valleyview Dr., PA 27. This asbestos abatement is part of a ((tem a through e requires filing of this form with NYC Department of Buildings) a) ❑ Demolition b) ❑ Boiler Replacement c) ❑ Sprinkler Replacement d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement 0 0 Other (Describe)

28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal 0 Enclosure ❑ Encapsulation ❑ Repair ❑ Cleanup

29. ABATEMENT PROCEDURE (Check all appropriate boxes) ❑ Full Containment ❑ Glovebag ❑ Tent ❑ DEP Variance Application

30. LOCATIONS OF ABATEMENT .- r6 -O &. too DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BlNG Floor(s) OF FLOOR CONTAINING ACM' PERFORMED (e.g. entire, east wing, room x, (e.g. Pipe lagging, ceiling, plenum SQUARE LINEAR (e.g. running cable, installing fire sprinklers. boiler room, lobby etc) storage tanks, decking. etc.t FEET FEET removing and replacing boilers, etc.) Roof Item No. 2 Roof and uncov- 3000 ered surfaces

Wall Item No. 7 prtjp1 Bulkhead 800 ri & Parapet Walls

Facadt Item No. 7 Partial West 2250 Facade

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.

Warren & Panzer Trio Asbestos Rvl.Cor1 NYC Print Name of Air Monitor Prin ame b ntraaor Print Name of Applicant (If other than Owner)

Signature Signature Signature

(/2 ae o (;I2 X72_.-- Date Oate

32. I understand that as the owner of a building where asbestos abatement activity occurs. I am responsible for the performance of -the asbestos abatement activities in accordance with the Asbestos Control Program Rules. I have contracted the third party air monitor who is completely independent of all parties in d in t a estos project. I hereby declare that I have authorized the filing of this notification for the work specified herein.

Print Name of Owner v I Signature r) Ci Oate

A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE.

[ 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 Control Program Rules may not be lawfully avoided or lessened ACP7 I through the performance of work in incremental or piecemeal fashion. J 212001

NYC-WTC 000098655