Invoice for work at 116 Nassau Street, July 2002

NYC 9/11 Public Portal Document

A. ip. ~~p PROTECTION V NYC DEPARTMENT OF ENVIRONMENTAL Asbestos Control Program 11368-5107 59-17 JunctIon Bot rd. 8" Floor, Corona, NY Building Dept. or TRU M

E.DAP FOR OFFICIAL USE ONLY

' EWRITTEN ASBESTOS PROJECT NOTIFICATION FORMS WILL 8E ?owMchra (ASBESTOS INSPECTION REPORT) 1. fees~ V ACCEPTED with al Buildings, the original form When submitting this form at the NYC Department of of the fora tr with nginal e(3) copies ongin signatures are required. Submittal at the NYCOEP requires one copy abatement activities. than one week in advance of the start of form must be submitted to the NYC DEP not less

I. FACILITY 5 ruET _— Borough - ZIP 2. Address i 16 NASS .0 — 3. Block 4. Lot AKA -- 4 5 ---ANN 5 ~ ---- 6. Name of Building 5. Type of Facility_ C'Oir`^NE { ~-

1I. BUILDING OWNER 8. Contact Person 7. Name _--- ----- -

9. Tel. # ____________ Fax # City State _-_____ Zip ---__--- 10. Address _------

Ill. GENER4L CONTRACTOR KtI-g.Z (3AN S'IS C — Tel. # 1~idttA 11. Name_-----____— ----

CONTRACTOR IV. ASBESTOS ABATEMENT ►CA Contact Person LOU►E— ,,tt — 'ANN --------- _ So___~tSi~o 4 — 12. Name _ `GU2ZE;Ai3 Sp_~! _._._._._._._._._. -------~; #_.____PII-- 15. Tel # ~ -1t~ 5 31 290 0 —Fax # 14. Federal Employer ID. State — N L Zip tt 2 3 BPoGK-~-~N 16. Address i 2 4 $__f2~~~— ,vENt3 _ ---- City Y ------

V. THIRD PARTY AIR MONITOR pgNz~t~ 18. Contact Person ~~t ~- ---- 17. Name f~-_'a~c~-~_ -------------------- PII - 20. Tel. # C2t2~ 922 -ooZ7 — Fax # ~zt2~ 922 -0630 —_ 19. Federal Employer ID. >`_______ City _t _ state NiL Zip _I i I_ 21. Address __ __ST _-`tST 23. NYS DOH ELAP # 22. Sample Analysis Laborato

VI. PROJECT INFORMATION a Projected completion date 24. Starting date for this portion of work Thursday 0 Friday 0 Saturday ❑ Sunday Asbestos work schedule 0 Monday 0 Tuesday 0 Wednesday 0 1 ti c3! / . Shift from: --_— ❑ am ❑ pm to -- 0 am ❑ pm

If other, specify ---------------- --- --- 24>' Rt work schedule indicated in this item. L JUN 0 7 Access to inspect the premises must be provided during the 2002 -P'BANHM ''~cSTpS/lE~; be abated during this work 25. Total amount of asbestos-containing material to TRUE o — Linear Feet '~. > i L__ Square Feet, and/or C \~ ACP7 IL► 2/2001 y~.;12; FUI:C o~ia f~U.Uti;7 S E~ pSL pµUGaFM SaU 2

NYC-WTC 000098848