Asbestos abatement invoice, 21-23 Maiden Lane roof project, July 2002

NYC 9/11 Public Portal Document

.4 NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION a, div ora Asbestos Control Program aS~ 59-17 Junction Boulevard, 8°i Floor, Corona, NY 11368-5107 f~ FOR USE ONLY 7TE•N o~ ASBESTOS PROJECT NOTIFICATION ORMS WILL BE ACCEPTED "`"rAL. . Mww. c: y%ciao::• (ASBESTOS INSPECTION REPORT) 1.')4. e: (Se When submitting this form at the NYC Department of Buildings, the original 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 advance of the start of abatement activities.

1. FACILITY

2. Address 2.1 23 M Al DEN LANE Borough MAtit Zip : 1.0038

AKA 3. Block 4. Lot

5. Type of Facility 6. Name of Building 11. BUILDING OWNER

7. Name 8. Contact Person

9. Tel.# Fax#

10. Address City State _ Zip

111. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name iEl& M1N 2(3AN u 4 Som Cs wTQot, INC 13. Contact Person Lou E. tANNico 14. Federal Employer ID. # L._._,_._,_._PIL.~_._ _. __ 15. Tel. #. (1 ') 53t - 29t70 Fax # t tt S) 209- t $OS _

16. Address 124 6 •ô4_p JENU City BV—c~- -4 PI State _Y Zip it 23G

V. THIRD PARTY AIR MONITOR

17. Name _U-) AI N ~t swe I .pt G t a 18. Contact Person _M t C.FlAEL NOLAN 19. Federal Employer ID. #i P! ^ 20. Tel. # (212)922- OOT T Fax # C2 t2) 92? -0630

21. Address _ 2 2 3 EAST 415nt S-r-rzc-~-r City _W taR4e. State N Zip (0D C(

22. Sample Analysis Laboratory 23. NYS DOH ELAP #

VI. PROJECT INFORMATION 24_ Starting date for this portion of work 101(8 o -L t 1 to 2 Projected completion date tt 15

Asbestos work schedule ® Monday ® Tuesday ® Wednesday ® Thursday I Friday Sunday

Shift from: 150 IN am 0 pm to e ° ❑ am ® pm

If other, , specify

Access to inspect the premises must be provided during the work schedule indicated in this item. OCT ii 200,2 25. Total amount of asbestos-containing material to be abated during this work

Square Feet, and/or Linear Feet ~ t ), ACP 7 / 2/2001 Ot . a1:1a~~ ~petlaW. in?

NYC-WTC 000102100