NYC 9/11 Public Portal Document
BENJAMIN/4(URZBAN
& SON 0 ROL, INC. ~J ~J ~~// O
1 j 8 R ph Ave.
BROOJLYN11N.Y. 11236
1183
TO
pt of' 'vironmental Protection
59-17 Junction Blvd
Corona, ..........
NY 11368
_............................................................................................. .........................
•.• .. ,.. SHIPPED VIA
1
DA' •
.. , P.OB. POINT TERMS
...,: .._,. _.. . .... . ... .. ~DESR1.PTAON ..... , ... .... .. ,
.. . .. _ f. : : CINIT PRICE.", ~~..:.:1 TOTAL .. :.
Registration 1/ CT 82620020015280
......... .......................................................................-...............
Pint 82602WTCR00F2
For work completed at 101 Maiden Lane
... .. ... .. ...... . ...........
27,433 SF @ 2/SF
Total Amount due this ....................................................._......................_...............................
............................................................................................... Invoice I$54 86600
ORIGINAL l
~4J 1 c y0 1 A
22. Sample Hnaiysus L L)U
VI. PROJECT INFORMATION
03 c 2 P, _'ed ,n?:e'.C. da e
24. Starting date icr :his Cc~.:c^ c` .vcr<
Mcrday ® Tuesday ®'~:adres~a. T^ursda•, ❑ Crda" ❑ Sa _'~a;..~_S ^day
Asbestos work scr.ecu~e 0
~cu
Shift from: _ ® an ❑ pm to _ ~_ 0 am © pm 1~
If other,
speciry ---
Access to inspect tre premises must be provided durng the
---------------
work schedule :rd:ca!ed in this "ter
/. R~v
~,
~C •
abated during this work
25. Total amount of asbestos-containing material to be
Square Feet. and/or _—_— a — Linear Feet
AC=
2.2C
NYC-WTC 000099966
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