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Invoice for Environmental Services, 83 Nassau Street, 2002

Machine-extracted title · confidence 90%

Invoice submitted to NYC DEP for environmental services or inspection work performed at 83 Nassau Street.

NYC-WTC_000100641–000100647

Folder label: “83 NASSAU STREET 1001213, 79/3

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Scanned page image, NYC-WTC_000100642
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NYC 9/11 Public Portal Document

, D CINOEPA*- . N% DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program ~o 7 e D/1dp •`~.o 59-17 Junction Boulevard, 8th Floor, Corona, NY 11368-5107 / Building De or TRU No ONLY ~ FOR OFFICIAL USE ONLY 1YPEWRITTEN f4~4p^MA` ~ Q 6 ASBESTOS PROJECT NOTIFICATION FORMS WILL BE (ASBESTOS INSPECTION REPORT) 1. P w nvr.R~olneP (Se fee schedule)

y, I~ 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 I 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 83 Nassau St Borough Manhattan Zip p0313 AKA 3. Block 79 4. Lot 3

5. Type of Facility C6 LAMeeGAL 6. Name of Building LER NEe II. BUILDING OWNER

7. Name S46tQ ASBet VB & -ME UMITEt7, tic 8. Contact Person ROB SOt-An30

9. Tel.# 614 — 4t5 —T000 Fax#

10. Address TNR.ee LIM I?ED ~Ii+axwiaY City CoL Umf5yS State ON Zip 432 30

III. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name Benjamin Kurzban & Son Control 13. Contact Person Louie lannico

14. Federal Employer ID. #'L._._._._.P... _._._._ 15. Tel. # (718) 531-2900 Fax # (718) 209-1808

16. Address 1248 Ralph Avenue City Brooklyn State NY Zip 11236

V. THIRD PARTY AIR MONITOR

17. Name Warren Panz P EuG,M1aERs G NC . 18. Contact Person Ma CURE. IJttl 9 19. Federal Employer ID. # l._._._.__P-.-._._._._., 20. Tel. # (212) 922-0077 Fax# (212) 922-0630 21. Address 228 East 45th St City New york State NY Zip 10017

22. Sample Analysis Laboratory I 23. NYS DOH ELAP #

VI. PROJECT INFORMATION

24. Starting date for this portion of work __I 0 I 2. 102. Projected completion date I1 1 ZI 102

Asbestos work schedule ® Monday ® Tuesday I@ Wednesday ® Thursday ® Friday Sunday 00 Shift from: B ® am ❑ pm to ❑ am ® pm

If other, specify _

Access to inspect the premises must be provided during the work schedule indicated in this item.

25. Total amount of asbestos-containing material to be abated during this work 'al

7363 '*Square Feet, and/or 0 Linear Feet ACP 7 212001

NYC-WTC 000100642

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NYC-WTC_000100642Source: NYC Law Department, mirrored locally

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NYC-WTC_000100669 · Box DEP Box 34

Form recording inspection results for facade and setback debris, including ACM presence and air monitoring at 83 Nassau Street.

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