47 MURRAY ST 1001436, 133/8

NYC 9/11 Public Portal Document

i3 6 lc~T a.• no•AR, NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 3~1 59-17 Junction Boulevard, 8°i Floor. Corona, NY 11388-5107 taste Building Dept. or TR No FORCFFIGALIJSEONLY ASBESTOS PROJECT NOTIFICATION (ASBESTOS INSPECTION REPORT) 1 G~ ACCEPTED *•"_+5 L" t. 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.

1. FACILITY

2. Address "T Borough 1')' zip _ / b 00

AKA 3. Block 13 3 4. Lot a 5. Type of Facility 6. Name of Building I1. BUILDING OWNER

7. Name 1 •_ * A-S4's t C .c±i$ • ' 8. Contact Person ,r •

9. Tel. # Fax #

10. Address City State Zip IJ'lZip Ill. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR /'~ 12. Name • r~~l~ C am`, l/ 13. Contact Person rte ) CIS//9 _._._._._._._._.Pi.i._._._._._._.-... , 14. Federal Employer ID. # _713(0 5 15. Tel. # _J' Fax # 51 r/ 3 16. Address 0/( ) _e City U11 ?/ — State zip II?

V. THIRD PARTY A17 MONITOR p Ar 17. Name RxZEQ [, r "I _S + PC 18. Contact Person t L 19. Federal Employer ID. # ~ T 20. Tel. # a f3 - '1as- O0J' Fax # .tea -O6 -j D

21. Address. 2 g 1 1 4C '` City ((4''~ti ' '72 State } Zip(oo(

22. Sample Analysis Laboratory SCt (1(~YL k!g lc~(>=S ~rc 23. NYS DOH ELAP # II VI. PROJECT INFORMATION 24_ Starting date for this portion of work 0 '-- Projected completion date a Z-- 1(_ Asbestos work schedule ❑ Monday ❑ Tuesday 0 Wednesday ❑ Thursday ❑ Friday ❑ Saturda ❑ Sunday

Shift from: 0 am ❑ pm to ❑ am ❑ pm 10 t \ If other, specify ~. [T. ess to inspect the premises must be provided during the work schedule indicated In this Rem. I( ~~n ~'~ a 202. 25. Total amount of asbestos-containing material to be abated during this work ØØF /

Square Feet. andlor Linear Feet , ACP 7 e !rAr 7• E^7PP :V72u 2001 kEt 1"7/i 3 4r17 PFC-R;ra foil?

NYC-WTC 000100209