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Document / 6 pages

Invoice for cleanup services, Fiber Control Inc., Aug 2002

Machine-extracted title · confidence 95%

Contractor billing statement for environmental remediation work performed at specified job sites.

NYC-WTC_000100489–000100494

Folder label: “75 Murray Street

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Scanned page image, NYC-WTC_000100490
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Kvk NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION N G t~ 4 Asl?whoa C9ntrol Program t>1r 59-17 Junction Boulevard. 8 Floor. Corona, NY 113685107 - ONLY DEP JUNO4 FOR OFFICYLL. USE ONLY TYPEWRITTEN ASBESTOS PROJECT NOTIFICATION FORMS WILL BE r"""0~ (ASBESTOS INSPECTION REPORT) 1. ~C ACCEPTED .!!!!! ;t..~, (s'$e feectiedate) 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 1' S Borough _t'' Zlp L c Oa r

AKA 3. Block 4. Lot

5. Type of Facility 6. Name of Building It. BUILDING OWNER ( A 7. Name C2 0 c 1 V1DRL L \ &C t .L G . ' 8. Contact Person M~

9. Tel. # Fax #

10. Address ~-~ City l State Zip _L t

III. GENERAL CONTRACTOR

11. Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name 3E'eL. C' )1it4 13. Contact Person _/C?-) tom C / 14. Federal EmPtoYer 10. # [ P11 ._._._._._._._115. Ta1. # c~ . 7ti_-300 0 Fax # 3! 3 5 dd 16. Address 3 J )OS/ City fi ~1 State Zip. 1/? ~i?

V. THIRD PARTY Al MONITOR r 17. Name t+' V i4Z12.. G r S, Pc 18. Contact Person ntt L.

19. Federal Employer ID. #____________ 20. Tel. # 9 ooh- Fax /I .2.1? -- - 06 3D

21. Address t 7t g *!K l (EEF 7 City 9 -k Tt?=~IIC State t 4 Zip 0 J 22. Sample Analysis Laboratory S~ FE 7«h r~ - a fES u c 23. NYS DOH EtAP #_(1 g -C.

PROJECT INFORMATION 24.Starting date for this portion of work O C.L Projected completion date ~~---

Asbestos work schedule ❑ Monday Q Tuesday ❑ Wednesday ❑ Thursday 0 Friday ❑ Saturday ❑ Sunday sl Shift from: 0 am ❑ pm to 0 am CI pm y, 6

If other, * specify M LLtFJ'r_D Access to Inspect the premises must be provided during the work schedule Indicated In this Item. J1t, L 3 1 2002 `t~fsasS

25. Total amount of asbestos-containing material to be abated during this work aLEh~o . P Square Feet, and/or Linear Feet TORJJG ACP 7 212001 CJ?£AlorE.p~% , * o::'•ls C.:dT9 r~cca~ra IFII

NYC-WTC 000100490

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NYC-WTC_000100490Source: NYC Law Department, mirrored locally

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