NYC 9/11 Public Portal Document
ioWT Nr'6 15 9YF ENVIRONMENTAL PROTECtION
Asbestos Control Program
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59-17 Junction Boulevard, 8"' Floor. Corona, NY 11368-5107
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ASBESTOS PROJECT NOTIFICATION
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FORMS $ILL BE (ASBESTOS INSPECTION REPORT)
ACCEPTED i «ww.nyc.to. deo
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.
i. FACILITY
2. Address 22 Maiden Lane BorougiIanhattan Zip 10005
AKA 3 BIc
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5. Type of Facility 6. Name of Building
ii. BUILDING OWNER
4
7. Name Windsor Place Corp. 8. Contact Person
9. Tel.# Fax
10. Address City State Zip
ill. GENERAL CONTRACTOR
11. Name Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name Trio Asbestos Removal Corp. 13. Contact Person Chris Horan
14. Federal Employer iD. #_._ _ _ _ _ _P11 15. Tel # 718-961-4100 Fax# 718-961-4103
16.Address 14-20 129th Street c t ollege Point state NY Zip 11356
V. THIRD PARTY AIR MONITOR•
Warren & Panzer Engineers, P.C.
17.Name 18 Contact Person Michael Nolan
19. Federal Employer ID. # 20.Tel.# 212-922-0077 Fax# 212-922-0630
21. Address 228 East 45th Street city New York State NY 10017
Zip
22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH ELAP #_11 251
Vi. PROJECT INFORMATION
24. Starting date for this portion of work 1 ° L Projected completion date
Asbestos work schedule onday uday ci ednesd Thursday daX,,( Saturday..~Sunday
Shift from: S I m Opm to _____Dam
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If other.
specify
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Access to inspect the premises must be provided during the work schedule indicated in this item.
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25. Total amount of asbestos-containing material to be abated during this work
260
Square Feet, and/or Linear Feet
I£
ACP 7
212001
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NYC-WTC 000102135
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