NYC 9/11 Public Portal Document
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~~✓Q I NYC DEPARTMENT OF ENVIRONMENTAL
PROTECTION
Asbestos Cont``ol Program
' 59-17 Junction Boulevard, 8r FldT4!2s cue, NY 11368-5107
Building ospt. a TF
E1 lITTEN ASBESTOS PROJECT NOTIFICATION FOR OFFIC*AL USE <
ty •fMS WILL BE
A~ ~~Ct.EPTED ar:
(ASBESTOS INSPECTION REPORT)
1.
When submitting this form at the NYC Department of Buildings, the original
signatures are required. Submittal at the NYCDEP requires one copy form and three (3) copies with origin
form must be submitted to the NYC DEP not less than one week in of the form with original signatures. This
advance of the start of abatement activities .
I. FACILITY
2. Address 55 NASSAU STREET
_—_ Borough Manhattan Zip
AKA 24-26 MAIDEN LANE
3. Block 4. Lot
5. Type of Facility
6. Name of Building — '
II. BUILDING OWNER
7. Name HARRY MORGANSTERN
8. Contact Person HARRY MORGANSTER~
9. Tel.•# Fax #
10. Address
Ci _ State Zip
III. GENERAL CONTRACTOR
11. Name
-___-•_ _Tel. #
• W. ASBESTOS ABATEMENT CONTRACTOR
12. Name TRIO ASBESTOS REMOVAL CORP.
--- ----13. Contact Person STEVEN PARMIGIANI
14. Federal Employer ID. # - PII- 15. Tel. # (718) _4100
_` Fax # (718)961-4103
16. Address 14-20 129 STREET
, City COLLEGE POINT State NY Zip 11356
V. THIRD PARTY AIR MONITOR
17. Name WARREN & PANZER ENGINEERS, P.C.
---18. Contact Person MIKE NOLAN
19. Federal Employer ID. #
20. Tel. # (212) 922-0077 Fax # (212) 922-0630
21. Address 228 EAST 45 STREET
NEW_YORK .'
City —__ State NY Zip 10017
22. Sample Analysis Laboratory WARREN 8 PANZER ENG.,P.C. ----~_~ 23. NYS DOH ELAP # 11251
VI. PROJECT INFORMATION
24. Starting date for this portion of work // !' O2 Projected completion date G '1/41 2.
J
Asbestos work schedule 0 Monday 0 Tuesday 0✓ Wednesday 0 Thursday
D Friday 0 SaturdayQSunday
Shift from: 8.00 0✓ am 0 pm to 8:00 ❑ am 0 Pm
If other, g
specify -
Axes ro Inspect the pemises must be provided during the
work schedule indicatedin this Item.
OCT 111202
25. Total amount of asbestos-containing material
to be abated during this work
wt
1,600 Square Feet, ►ut
and/or 0 Linear Feet Ol
NYC-WTC 000099842
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