Permit application for remediation work, 80 Nassau Street, Aug 2002

NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION FOR QFFICIAL USE ONLY Asbestos =Program 59-17 Junction Boulevard, 8m Floor, Corona, NY 11368-5107 ONLY DAI~/ TYPEWRITTEN `~'►y~,___ / 'Amendment FORMS WILL BE - -- ASBESTOS PROJECT AMENDMENT FORM Information Only: ❑ Yes ❑ No ACCEPTED ....^r~•~"•/a•c FOR FORM ACP 7 A modification Is valid only If it is received by the NYCDEP prior to the previously filed date of completion, except for start date changes that must be received by the original start date.

ACP7 TRUBN# IO 13 MI.102 Facility Address e0 OASSAJ ST 2E E'T Borough MN Zip i0038

Date ACP7 was filed 07-01- 02 Variance # (If any)

Was this ACP7 amended before? ❑ Yes ® No . If yes, specify date

Original Start Date O'(-0m-02 Original Completion Date UT -3i -o2. from ACP 7, #24.

PLEASE ENTER THE INFORMATION THAT IS BEING CHANGED: A notification may be modified no more than twice. Only the building owner may amend Hems IV and V. The original applicant or building owner may amend all other Items. IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name 13. Contact Person

14. Federal Employer ID. #_ 15. Tel. # Fax #

16. Address City a 'Z

V. THIRD PARTY AIR MONITOR -*JUL 22 22 17. Name 18. Contact Person -

19. Federal Employer ID. #_ 20. Tel. # Fax #

City State r 21. Address

22. Sample Analysis Laboratory 23. NYS DOH ELAP #

VI. PROJECT INFORMATION ❑ Project Cancelled 24. Starting date for this portion of work Projected completion date ❑ Project Postponed

Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday 0 Thursday 0 Friday 0 Saturday 0 Sunday

Shift from: ❑ am 0 pm to ❑ am 0 pm If other, specify

25. Additional asbestos-containing material to be disturbed during this work 20CC) Square Feet, and/or 0 Linear Feet

Reduction in the amount of ACM to be disturbed during this work Square Feet, and/or Linear Feet

29. Abatement Procedure for Additional Material (Check all appropriate boxes) 0 Full Containment 0 Glovebag 0 Tent ❑ DEP Variance Application

Other Changes

30. Locations of abatement modified by above (For each floor list ACM quantity and type)

31/32. Name of Applicant / Owner Tel. #

Name of Company (If any) Fax #

Address City State Zip

I hereby declare that the information provided herein is true and complete yc 0- iT- 02 Signature of Applicant /Owner Date ACP e

NYC-WTC 000099462