Letter of transmittal, ETS Contracting, 114 Liberty Street, April 2003

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued)

26. Asbestos Hauler Tri State Transfer Assoc. NYS DEC Permit # 1A375 Tel.# (718) 617-0661

Disposal Site(s) BFI Imperial Landfill, 11 Boggs Road, PO Box 47, Imperial, PA 15126

27. This asbestos abatement is part of a (Item a through e requires filing of this form with NYC Department of Buildings) a) ❑ Demolition b) ❑ Boiler Replacement c) ❑ Sprinkler Replacement d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement f) 21 Other (Describe) ACM Removal Only

28. TYPE OF ABATEMENT (Check all appropriate boxes) 0 Removal ❑ Enclosure ❑ Encapsulation ❑ Repair '` Clean up

29. ABATEMENT PROCEDURE (Check all appropriate boxes) ' ❑ Full Containment ❑ Glovebag ❑ Tent ❑DEP Variance licati n proceR pres) O n /, / o 3 (as per NYC-DEP , WTC-LBC contract 30. LOCATIONS OF ABATEMENT

I Floor(s) DESCRIBE SECTION OF FLOOR AFFECTED SURFACES CONTAINING ACM (e.g. entire, east wing, room #, boiler room, lobby, etc) AMOUNT OF ACM

(e.g. Pipe lagging, ceiling, plenum ducts, storage tanks, decking, etc.) SQUARE FEET LINEAR FEET DESCRIPTION OF WORK BEING PERFORMED (e.g. running cable, installing fire sprinklers, removing and replacing boilers, etc.)

Li 1st 2nd Entire

Entire All Surfaces

All Surfaces 6,000

6,000 ACM/Debris Clean-Up (as per WTC-LBC, NYC-DEP

3rd Entire All Surfaces 6,000 Contract Procedures)

Li 4th Entire All Surfaces 6,000 ., 5th Entire All Surfaces 6,000

6th Entire All Surfaces 6,000

7th: Entire All Surfaces 6,000 _.

I 8th .

9th- Entire

Entire All Surfaces

All Surfaces 6,000

6,000

I 10th 11th 2i :Entire Entire Eft re All Surfaces A11 surfaces All Surfaces 6,000 v,vuu 6, 000 3 ereby ec are that the information provided herein is true and complete to the best of my knowledge. I am familiarwith Federal,

I State and NYC laws and regulations applicable to asbestos related work.

JLC Environmental ns., Inc. ETS ntrac I g, Inc. ETS Con .actin , Inc. ..

I Print Name of Air Moni r tint Nang of Asbestos Contractor Print Na Ap nt (if other than Owner)

.~Sig`nature Signature Signature _

Li ~na t 0 7j Date 2/28/03 Date 2/28/03 Date .-

' 32. I understand that as the owner of a building where asbestos abatement activity occurs, I am responsible for the performance of the asbestos abatement activities in accordance with the Asbestos Control Program Rules. I have contracted the third party air - monitor who is completely independent of all parties involved in the sbestos project. I hereby declare that I have authorized the filing of this notification for the work specified herein. nn l lC _ ~DE / ZI P' [03 Liberty, LLC Print Name of Owner S lure Date

A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE.

I Any modification of information provided on this form must be reported immediately in writing directly to the NYC DEP ACP. The requirements of the Asbestos Control Program Rules may not be lawfully avoided or lessened through the performance of work in incremental or piecemeal fashion. ACP7 I 212001

G NYC-WTC 000101412