94 NASSAU STREET Block: 91 Lot: 13 BIN: 1001267 129 Fulton St, 40 Ann St., 129-133 Fulton St

NYC 9/11 Public Portal Document

NYC DEPARTMENT OF EPtUIflII11mpM. PROTECTION !auu1os Cu: 59-17 J Soul vend. V Por Cororn, NY 113663107 DAP ITTEN py ASBESTOS PROJECT NOTIFICATION FORMS wlu BE " j1 (ASBESTOS INSPECTION REPORT) ACCEPTED

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 NASSAU S77-eEl- Borough MAN Zip 100313

AKA 129 fwON STREET / 40 A.tk S eT 3. Block 9 1 4. Lot 13 5. Type of Facility 6. Name of Building 11. BUILDING OWNER

7. Name CAS~.rnoN Foe TWE ItoME LESS 8. Contact Person MAQ►Au><Lq OLIVE Ri►S

9. Tel. # (2i'2) 96.4- S90O Fax# (2v2) 964 -1303

10. Address _a'JAM S 5T2EET City New Ycrztc State _N" Zip IOCro7 III. GENERAL CONTRACTOR

11. Name _ Tel. #____....._.. IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name g0tUA M! M %LUtZz6Ant 4 Soa Cow-Mot- _13. Contact Person Lou►E 1ANukCO 14. Federal Employer ID. # PII._._._._._._._._r 15. Tel. # Ct~aj. 531- 2900 _ Fax # «(S) 2 0 9 - 1808 16. Address 12 4 B R-+L.P 11 A'J UE City _Qeoo V W 1~1 State NV Zip 112 3C

V. THIRD PARTY AIR MONITOR

17. Name U3IQREld ?A mz4e NG I NEEctS 18. Contact Person W01-A14 19. Federal Employer ID. # ._._._._._._._._.P1.-._._._._._._._- 20. Tel. # C212) 922_oOTT Fax # C2t2) 922-0630 21. Address _Z2_ EAST _ 4S T►( STu_ _ _ City _E1& 1-1 State NL_ Zip 100 If 22. Sample Analysis Laboratory 23. NYS DOH ELAP # VI. PROJECT INFORMATION

24.- Starting date for this portion of work - o8 t 113 t 02 Projected completion date o 1 (02

Asbestos work schedule ® Monday ® Tuesday ® Wednesday ® Thursday IN Friday ® Saturday ®. Sunday

Shift from: 8~ 8e0 ® am O pm to O am ® pm

If other, ~~ specify _ - *CEIVED .+, I . Access to inspect the premises must be provided during the wornschedule indicated in this item. Aug20 25. Total amount of asbestos-containing material to be abated during this work ~j 12 546 Square Feet, and/or o Linear Feet t '

ACP 7

, t a•o~ h (XNTROL A59~p SS 11NIP2 '

NYC-WTC 000099006