Invoice for Environmental Services, 83 Nassau Street, 2002

NYC 9/11 Public Portal Document

y FOR OFFICIAL USE ONLY ENVIRONMENTAL PROTECTION -KEliv a°Akr ' NYC DEPARTMENT OF Fee (if any) $ Asbestos Control Program i 59-17 Junction Boulevard, 8th Floor, Corona, NY 11368-5107 Amendment ~~ Z— ONLY D~P FORM ASBESTOS PROJECT AMENDMENT Information Only: ❑ Yes ❑ No FORMS I BE +MNuiv ~cc` FORMS WILL BE ri FOR FORM ACP 7 CEPTED ~v =io+

= Modification alid only if it is received by the for start date changes NYCDEP prior to the previously filed that must be received by the original start date of date. 1 N ' s'rtz Borough MAN —Zip Facility Address 83 ACP7 TRU/BN# 1(28nnNO2 k O2 Variance # (If any) _____-- Date ACP7 was filed %O1 ' Yes ® No If yes, specify date Was this ACP7 amended before? ❑ 02 from ACP 7, #24. Original Completion Date It 2-t Original Start Date I O~ 2110 2 A notification may be modified no more than twice. CHANGED: Only the buildingow y mend items IV and V. PLEASE ENTER THE INFORMATION THAT IS BEING applicantrmabuilding a owner may amend all other items. The original IV. ASBESTOS ABATEMENT CONTRACTOR 13. Contact Person 12. Name F 15. Tel. # -- — 14. Federal Employer ID. # _-- rr11̀` ffcc((~~ -- State City 16. Address — a 24~~

V. THIRD PARTY AIR MONITOR % c ~"!N~•~ 18. Contact Pers . -- 17. Name --- — / r nTRU Fax - ------ 19. Federal Employer ID. # 20. Tel. # Stat ~ $ i City - 21. Address — -- 23. NYS DOH ELAP # _ 22. Sample Analysis Laboratory_— _ 0 Project Cancelled VI. PROJECT INFORMATION ❑ Project Postponed Projected completion date 24. Starting date for this portion of work Wednesday ❑ Thursday 0 Friday ❑Saturday ❑Sunday Asbestos work schedule 0 Monday ❑ Tuesday 0

0 am ❑ pm If other, specify __— Shift from: 0 am ❑ pm to o Linear Feet j Square Feet, and/or 25. Additional asbestos-containing material to be disturbed during this work Linear Feet Square Feet, and/or Reduction in the amount of ACM to be disturbed during this work appropriate boxes) Additional Material (Check all 29. Abatement Procedure for ❑ Tent ❑ DEP Variance Application ❑ Full Containment ❑ Glovebag

Other Changes modified by above 30. Locations of abatement quantity and type) ca (For each floor list ACM Tel. 31/32. Name of Applicant / Owner _----- Fax # : Name of Company (If any) - City — State Address ----------

complete. information provided herein is true and I hereby declare that the — -- ~icant /Owner Date Signature of App ACP8 . _N` ~►1~ 212001 E~~0.0

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NYC-WTC 000100647