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Invoice from contractor to DEP for environmental services

Machine-extracted title · confidence 90%

Invoice submitted by a contractor to the Department of Environmental Protection for services rendered.

NYC-WTC_000101848–000101868

Folder label: “9 MAIDEN LANE 1001098, 65/10”

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Scanned page image, NYC-WTC_000101851
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

EMERG '~' NYC DEPARTMENT OF ENVIRONME,krAL PROTECTION -~ Asbestos Coribyoi Pr m 59-1.7 Junction Boulevard, 8th Floor. Coro ; NY 11368-5107 1'.1t-QNLy TYPEWRITTEN ASBESTOS PROJECT NOTIFICATION Building Dept. or TRU No FOR OFFICIAL USE ONLY

FORMS WILL BE f%O+cvraivdos``c°a (ASBESTOS INSPECTION RpORT) ACCEPTED """: •r • ^rc•6.°"!°" 1.

When submitting this form at the NYC Department of Buildings, the on final 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 adv nce of the start of abatement activities.

1. FACILITY

2. Address _91L...M A 10 E Lb E ____ — Borough JA Zip 10O38

AKA 3. Block 65 4. Lot 10

5. Type of Facility. 6. Name of Building

II. BUILDING OWNER •

7. Name P I I 8. Contact Person

9. Tel. # L.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-. . . . .-.-.-.-.-.-.-.> # --- — 10. Address City State --_ Zip

Ill. GENERAL CONTRACTOR

11. Name_-----------_-------- ----- Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name BEta►M.t lm _ VUJIM3AN 4 5~t~,—Cr,tATT-oL — Y —_13. Contact Person _1~oINE ( FNJV11Cc P11 ` ---__ 15. Tel. # -- 14. Federal Employer ID. #'i .-.-.-.-.-.-.-.-.-.-.-.-.-.r tYt9) 531 a 29OO ------- — __ Fax # C-tt6) 2C9•- i808 — __

16. Address 1248 _ 2Ri!_ I N]i_ W !E — City __— State .J ±L. Zip _ II

V. THIRD PARTY AIR MONITOR

17. Name W ? PAt~•+•ZE~ EN6.fMir~Q_S - --_18. Contact Person CNAAEL _NCL.Am

19. Federal Employer ID. # P11 --_ 20. Tel. # _C2i2) 922- 6O77 -- Fax #- (2t2) 922-0630

21. Address _ 2L3 EAS,e15 tN ST9. ~— — City t4 y2 - ---_ State ~+Y _ Zip _Icclr ____-

22. Sample Analysis Laboratory_____... ..________ 23. NYS DOH ELAP #

VI. PROJECT INFORMATION 24.. Startingdate for this portion of work o91oS1C2 Projected completion date !c4 es 1C2 Asbestos work schedule ® Monday Z Tuesday ® Wednesday ® Thursday Friday ® Saturday ® Sunday

Shift from: __-- ®.'am ❑ pm to ~~ ❑ am [@ pm

If other, specify ---- ---------~-- --~-- _ Access to inspect the premises must be provided during the work schedule indicated in this item. SIP u _

25. Total amount of asbestos-containing material to be abated during this work 4O COO Square Feet, and/or 0 Linear Feet ~, l

y2001

NYC-WTC 000101851

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NYC-WTC_000101851Source: NYC Law Department, mirrored locally

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