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Asbestos project notification, 15 Maiden Lane

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NYC DEP asbestos project notification form submitted for an inspection report at 15 Maiden Lane.

NYC-WTC_000102072–000102075

Folder label: “15 MAIDEN LANE 1001097, 65/7

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Scanned page image, NYC-WTC_000102072
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NYC 9/11 Public Portal Document

EMEPcNCy z iv.,., " NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59- 7 Junction Boulevard, 8m Floor, Corona, NY 11368-5107 SWIft or TRU No rASB USE ONLY ONLY ASBESTOS PROJECT NOTIFICATION FO WJLL BE~ 9 I (ASBESTOS INSPECTION REPORT) 1 $1200 (See tee schedule)

~►l1 When submitting this form at a NYC Department of Buildings, the original form and three (3) copies with original lttai at the NYCDEP requires one copy of the form with original signatures. This form must be submitt not less than one week in advance of the start of abatement activities.

1. FACILITY

2. Address 15 Maiden Lane Borough Manhattan Zip 10038 —

AKA Atlantic Bank 3. Block 65 4. Lot 7 __

5. Type of Facility-Commercial -- 6. Name of Building If. BUILDING OWNER

7. Name Relied Realty Corp. 8. Contact Person Fran

9. Tel. # (212) 964-3180 Fax #

10. Address 15 Maiden Lane City N.Y. State NY — Zip 10038

111. GENERAL CONTRACTOR

11. Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR Corp. Stevenson Contracting --------~-------_—_ 12. Name ----_—__-- 13. Contact Person Enos Stevenson ----_--

14. Federal Employer ID. #i.-.-.-.------ !1!- L_ 15. Tel. # (718) 433-4633 Fax# (718) 729-0614

16. Address 37-38 13th Street --~—__ -- City L.I.C. State NY Zip 11101

V. THIRD PARTY AIR MONITOR

17. Name Commercial Lab Enterprises ^__—__ __-18. Contact Person Victor Escalona

19. Federal Employer ID. _ _ _ _ _ _ _ PII 20. Tel. # (718) 392-2832 Fax # (718) 904-9117

21. Address 270 Swinton Avenue -- City Bronx State NY Zip 10465

22. Sample Analysis Laboratory_Commercial Lab Enterprises 23. NYS DOH ELAP # 11708

V1. PROJECT INFORMATION 24. Starting date for this portion of work 9/28/01 .~ Projected completion date 9/30/01 ---

Asbestos work schedule ❑ Monday ❑ Tuesday 0 Wednesday ❑ Thursday 0 Friday 0 Saturday 0 Sunday

Shift from: 6:00 p✓ am 0 pm to :2 00 ❑ am El pm

if other, • ,;`. . ,, specify — ----- -- n I~CFIV D Access to Inspect the premises must be provided during the work schedule Indicated In this Item. _ OCT n 2001 25. Total amount of asbestos-containing material to be abated during this work r' ~• 7,000 Square Feet, and/or 0 Linear Feet \'\\ r r( p.

ACP 7 212001

NYC-WTC 000102072

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NYC-WTC_000102072Source: NYC Law Department, mirrored locally

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