Asbestos analysis report, 22 Maiden Lane, June 2002

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION- REPORT (continued) t ' Asbestos 26. Asbestos Hauler _ Transportation Co. NYS DEC Permit# 1 A-371 TEL.# 631-924-5050

DisposalSite(s) Imperial/POB 47, 11 Boggs Rd., PA: Southern Alleghenies Valleyview Dr., PA 27. This asbestos abatement is part of a (Item a through a requires filing of this form with NYC Department of Buildings) a) ❑ Demolition b) 0 Boiler Replacement c) 0 Sprinkler Replacement d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement f) ❑ Other (Describe)

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

29. ABATEMENT PROCEDURE (Check alt appropriate. boxes) ❑ Full Containment ❑ Glovebag ❑ Tent ❑ DEP Variance Application

30. LOCATIONS OF ABATEMENT DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OF FLOOR CONTAINING ACM PERFORMED (e.g. entire, east wing, room#, (e.g. Pipe lagging, ceiling. plenum SQUARE LINEAR (e.g. running cable, Installing fire sprinklers, boiler room, lobby. etc) ducts, storage tanks, decking, etc.) FEET FEET removing and repladng boilers. etc.

oof [tern No. 1 oof/Ducts/HVAC 2260 acadeItem No. 7 Walls/Facade 1000

31. I hereby declare that the information provided herein is true and complete to the best of my knowledge. I am familiar with Federal, State and NYC laws and regulations applicable to asbestos related work.

Warren & Panzer Trio Asbestos Rvl.Crp. NYC rint Name of Air Monitor P' Nof os Contractor Print Name of Applicant (tf other than Owner)

Signature Signature Signature

Date Date Date

32. l understand that as the owner of a building where asbestos abatement ai ity occurs, I am responsible for the performance of the asbestos abatement activities in accordance with the Asbe s rc Program R les. I have contracted the third party air monitor who is completely independent of all parties involved n t e b s s p ject. { ereby declare that I have authorized the filing of this notification for the work specified herein. Windsor Place Corp. c/o NYC Print Name of Owner Sigma ure D

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

Mv 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 ACP7 through the performance of work in incremental or piecemeal fashion. 212001

NYC-WTC 000102139