Invoice for cleanup services, 101 Maiden Lane, 2002

NYC 9/11 Public Portal Document

1 ~ ) ~~ +00.0„y Of,,~r NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION 1 1 v" rw Asbestos,Control Program 1 ~~"tF ~~~~ r~ 59-17 Junction Boblevard, 8" ?-Ioor, Corona. NY 11368-5107 BuddingOePt. or E D ti P FOR OFFICIAL ONLY ONLY

ASBESTOS PROJECT NOTIFICATION (ASBESTOS INSPECTION REPORT) 1 w ww yc.Sor lE~, (S fee schedule)

When submitting 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 form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities.

I. FACILITY

2. Address _~a~MA~OEN— lA1Jt------- ------ Borough MAN -- Zip _ i __ 3. Block 4. Lot 10 AKA ------------------------------- 68----

5. Type of Facility__ f~1►Lt 6. Name of Building

1I. BUILDING OWNER

7. Name 8. Contact Person

9. Tel. # Fax # City State _____ Zip 10. Address

III. GENERAL CONTRACTOR

11. Name —------ -------------------------------- Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name kwzzBAN 4 SaN cfJ_fAMIN CON-MOI._ (►W_--- -13. Contact Person IQ►Jh11C0—____-

-------------- ---------------- 2og_1 — _____ 14. Federal Employer ID. # _._._._._._._. P11 15 Tel. # _ '7I) 531_2900__-- Fax # _t r1r3~

------ City __6eoc K. _______ State NL. Zip 11236 --_ 16. Address _I241

V. THIRD PARTY AIR MONITOR

17. Name _LUARREW _ f1*Nzee EaGoOeea S __---- __--- _18. Contact Person !ia _ _Nom*►—______— 007 T __— Fax # _LiL2) 922- c6_ o______ 19. Federal Employer ID. .-__=__~Pn ___~3_____ 20. Tel. # _(_1L2__22- City NaA=Yve* ------ -- State _N~' _ Zip _ Ioo!T__—_ 21. Address ??E+ tcAss _ 45171 Ss¢CET ------ ELAP # 22. Sample Analysis Laboratory_.__...____..._______..--------------- 23. NYS DOH

VI. PROJECT INFORMATION 24.. Starting date for this portion of work __!_!_' I9_ 2 Projected completion date

m Monday ® Tuesday ® Wednesday ® Thursday © Friday I Saturday. _Sunday Asbestos work schedule

Shift from: 8 ® am 0 pm to _8!_ ❑ am I I pm

If other, `' specify -------------------- ----------------- ~~y~A Access to inspect the premises must be provided during the work schedule indicated in this item. ~~ q9• ~W" A iil 25. Total amount of asbestos-containing material to be abated during this work __ 2T4 33 — Square Feet, and/or ____2._.... Linear Feet _ ~. ACP 21200

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NYC-WTC 000099967