NYC 9/11 Public Portal Document
K COY MPA NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION I
, C J o3 ~ /
Asbestos Control Program
59-17 Junction Boulevard, 8 h Floor, Corona, NY 11368-5107
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ONLY DEC ~~~ ASBESTOS PROJECT NOTIFICATION
Budding Dept. oF TRU No
FOR OFFICIAL USE ONLY
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MS WILL BE (ASBESTOS INSPECTION REPORT) 1
w .swle.p
( fee schedule)
fitting 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
4I. FACILITY
form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities .
2. Address _ 85 Nassau St Borough Manhattan Zip t003e
AKA 3. Block 79 4. Lot 2
5. Type of Facility_ CoM Me2Gl a,IL ___6. Name of Building
II. BUILDING OWNER
7. Name ChehebarAssociates YO MME2te.t[ WtGMT Coep. 8. Contact Person VAYMO►3D A. Co44EN
9.Tel.# ( -I18)4BS-3682 Fax#
10. Address 1000 PeNNsYWANiA_ dd eh1LgE _ ___ City __ 13~p 'r N __- State NV Zip -11 2-0 'r
III. GENERAL CONTRACTOR
11. Name_______ Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name Benjamin Kurzban & Son Control —13. Contact Person Louie lannico
14. Federal Employer ID. # ~._._._.PII._._._._._._._-_ 15. Tel. # (718) 531-2900 Fax # (718) 209-1808 ___
16. Address 1248 Ralph Avenue ___ ____ City Brooklyn State NY Zip _11236
V. THIRD PARTY AIR MONITOR
17. Name Warren Panz 2 E w ~, r N ¢S 18. Contact Person IA I W AEu IJOL.A1.t
19. Federal Employer ID. a _- PII__ 20. Tel. it (212) 922-0077 Fax # (212) 922-0630
21. Address 228 East 45th St City New york State NY Zip 10017
22. Sample Analysis Laboratory— 23. NYS DOH ELAP #
VI. PROJECT INFORMATION
24. Starting date for this portion of work _JO t a (02. Projected completion date I I (I g l 02
Asbestos work schedule ® Monday ® Tuesday © Wednesday I Thursday ® Friday I I Saturday ® Sunday
Shift from: ~A ® am 0 pm to __8 f' _ 0 am I pm
If other,
specify
Access to inspect the premises must be provided during the work schedule indicated in this item.
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25. Total amount of asbestos-containing material to be abated during this work
2 9,287 0 Square Feet, and/or ___ 0 Linear Feet
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212001
NYC-WTC 000099414
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