Invoice for exterior cleanup services, October 2002

NYC 9/11 Public Portal Document

3 ~Gp NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 'igrgo~ ow 59-17 Junction Boulevard, 8 Floor. Corona, NY 11368-5107 A B Od7wO t]ept or TRU No ONLY ti,~ ~ FOR FFICIAL USE ONLY TYPEWRITTEIti 't'~wtn:.on``d` ASBESTOS PROJECT NOTIFICATION FORMfS (ASBESTOS INSPECTION REPORT) 1 wk (Se lee ecrledue) When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original 1 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 _t1') ' N aSScul 11c_E -I Borough Zip________

AKA _ _ ' , I ~1 E % f 3. Block ~= 4. Lot______

5. Type of Facility 6. Name of Building 11. BUILDING OWNER p n 7. Name 1"T G 1,1 L /_~_ Q1 C0 2-P 8. Contact Person t'A \CLOQO

9. Tel,# Fax #

10. Address _ a li\~b~t,J ~~' Cit~ State Zip 1c)

111. GENERAL CONTRACTOR

11. Name S Tel.*

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name L el` G>' -)--13. Contact Person /9

14. F eral Em to er PII . T 1. # J 1~ - 7~I-'3c?00 Fax # 5(1 —

16. Address es s( )() j51 V City ) Z . f _ State Zip r

V. THIRD PARTY AIR MONITOR

17. Name f& 4 i4 E Gi j- S . FC 16. Contact Person Ae-4+ rEL 19. Federal Employer ID. # 20. Te►. # ar3 - 99a- 00J? Fax # .2J 22 -off 3O

21. Address ,PP € H- i< ( City fY' - t.. State Zip oo

22. Sample Analysis Laboratory C(f 1 lG j t ~K'/fS c r c l 23. NYS DOH ELAP # (f S d

VI. PROJECT INFORMATION , 24. Starting date for this portion of work i ~ > Projected completion date 2

Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Saturday ❑Sunday

Shift from: _} am ❑ pm to ❑ am ❑ pm

If other, specify

Access to inspect the premises must be provided during the work schedule indicated in this kern.

25. Total amount of asbestos-containing material to be abated during this work

t. 10 -S Square Feet. and/or Linear Feet

Ott 1""A*1'r :i .;FY 3 cyi 6G t r"~.;1d• tFn

NYC-WTC 000099113