Form for submitting an asbestos inspection report to the NYC Department of Buildings as part of a STOS project notification.
NYC-WTC_000099921–000099926Folder label: “65 Nassau St”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document CITY
THE GTY OF NEW YORK DEPARTMENT OF c'N' 'IROTYMENTAL PROTECTION W JOEL A. MIELE, SR., P.E. Commissiot'(er ROBERT C. AVALTRONI Deputy Commissioner t~ NMENfAL
PHONE (718) 595-4418 Bureau of FAX (718) 595-4443 Air, Noise, & Hazardous 3G V? Materials
ASBESTOS CONTROL PROGRAM TECHNICAL REVIEW UNIT ACP-7 CORRECTION FORM
PREMISES ADDRESS (S N S IY t) BOROUGH/ J }-"C ZIP CODE
CORRECT CORRECT START DATE COMPLETION DATE
CORRECT ACM QUANTITY: `'1 9.7 c0 SQUARE FEET, AND/OR LINEAR FEET
Correct Method Of Abatement:
Confirmation Of Changes) Of Date(s) and/ACM Quantity As Noted Above
The undersigned affirms that she/he has been instructed verbally to change or confirm thedat s} and/or ACM quantity, by Ms./Mr. , who is duly auth i. zed to represent the organization/agency/company/corporation stated in the form ACP-7 regarding the above-noted*cilityaddress to be the (Please check one box only): ~. RECEIVE ] Asbestos Abatement Contractor [ ] Building Owner 1V [ ] Applicant for the asbestos project.
The Undersigned Is Employed by ~---'..;...i......
Ci Organization/ Agency/ Company/ Corporation
85- /.S / T4 ~,-- Address
( /4)2 Telephone # • /°' bOLV P int Name Signature TRU N-$ 8/96 59-17 junction Boulevard, 11th Floor, Corona, New York 11368-5107 I1 "U,
NYC-WTC 000099924
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NYC DEP Asbestos Project Notification form for an inspection report submission.
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NYC-WTC_000099916
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Survey form documenting facade inspection results and air monitoring status for a residential building in the WTC area.
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