NYC 9/11 Public Portal Document
18
—2002 13,25
R GENCY
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
P. 01
Asbestos Control P
S-17 Jur►dion gam s'" Floor. Coi ia. NY V 3 V
Cl4LY 11366-510?
D o~aaTRu~
r1Pr;uvRrrreiv~.'
FORMS ED , . x: .
%l` ASBESTOS PROJECT NOTIFICATION FOROffIUAI.lJ!.Q GHt.Y
it. BE
ACCEPYEt7 C rw.. oe.• ... (ASBESTOS INSPECTION REPORT)
When tubmttltnp mi: torn at (ho NYC Department
slgnatums are required. Submittet at the of B iidmgs. th. orfgb%a( torn uaM erne
NYCDEP wes a
forth must be submitted to the NYC OEP not less than one copy of sown 4th orbat e t d this al
one
week in advancethe
of the start of abatement
*cavi0es .
I. FACILITY
2.Address 114 Liberty Str./119 Cedar Str.
Borough Manhzt P 10006
Zip
AKA
3. clock 5 2 4. tat 7 5 0 2
5. Type of Faclfiiy
6. Name of Building _
U. BUILDING OWNER
7.Name Building Owner/Manager
8. Contact Person
9. ?el. ax Fax#
10. Address
City State `
Zip
(71. GENERAL CONTRACTOR
11. Narne
Tat.#
IV. ASBESTOS ABATEMENT CONTRACTOR ~1— ~~~'
12.Nama Trio Asbestos Removal Corp.
_,..,13.-CpntaetPerson Chris Horan
14. Federal Employer ID. _._._._._._._._ PII
15. Tel. 9 778-961-4100 Fax d 21 8 - 9 61- 410 3
16. Address 1 4-20 129th St ree t
CityCollege Point `State NY
Zip 1 1 3 5 6
V. TIRD PARTY AIR MONITOR
17 Name Warren & Panzer Engineers, P.C.
18. Contact PersonMichael Nolan
19. FederalEmployBrlD.ft
20. Tel.# 212-922-0077 tax#212-922-0630
2,.Address 228 East 45th Street New York
City state.Ny _ Zp 11251
22 Sample Analysis Laboratory Warren & Panzer Engineers
23. NYS DON ELAP d 1 1251
VI. PROJECT INFORMATION
24. Starting date far this portion of work tS Z Cs
Proleded completion date 30 Z
Asbestos work schedule ?~Wnday ,r u t uesday ~ 1 dnesday Ufa n a turd unday
Sh(1t from: Qpm to r7 rt
cam
-?
ym
((other
specify
re :Vea vrc pro~ruras must ae
anvided w'o~ scr~at~e indicrue0 rn mia rren. REcEivEO
2002
26. Total amount of a ltos-containUV material to be abated during
Quaaaree this wane _ R,,aldF ,t:
Feet. and/Or ~, '~PRtjGagM^
~lf9
2 Linear Feet ~
TauG
ACP7
Z 2/!001
REMC6A ONi R Tut
ASQ r iM:•rCNr
rRpr,
DRAM
2
NYC-WTC 000100817
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