Invoice for environmental services, Nov 2002

NYC 9/11 Public Portal Document

E131WT 0i ! tP4Q7j;, NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 8e Floor; Corona, NY 11368-5107

tWrNRlTTEN DPI' ASBESTOS PROJECT NOTIFICATION •ruya4'~~~a FORMS WILL BE (ASBESTOS INSPECTION REPORT) ACCEPTED

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 7'S M A t DEt4 I" A M G Borough M A=ts Zip l 00=3

AKA 3. Block 4. Lot

5. Type of Facility eo#A#AeMc4At_ 6. Name of Building II. BUILDING OWNER

7. Name y 8. Contact Person

9. Tel. # _M Fax #

10. Address City State ____ Zip

Ill. GENERAL CONTRACTOR

11. Name__ -- _ —__________________________________ Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name { S oN Co ItTao L IiC __13. Contact Person Louts IANNiCo

14. Federal Employer ID. # PII 15. Tel. # C-tr 8) 53i - 2900 Fax # (1I8 209 - i 80 3____._

16. Address __ 124!3 2At-P A%J"01c w City 8a=V (413 _--_ State MY Zip, t?36

V. THIRD PARTY AIR MONITOR

17. Name praz 18. Contact Person _A eL- W0LAN

19. Federal Employer ID. # ____ ____ P 20. Tel. # ( Zt2) 921, z 'rT _ Fax # C2 t2) 9Z2-0630

21. Address e T 45M Ss T City _YO trX State Zip I90tT

22. Sample Analysis Laboratory___ ____ 23. NYS DOH ELAP #

VI. PROJECT INFORMATION 24. Starting date for this portion of work - 08 114 1 o2 Projected completion date 09 t 14 102.

Asbestos work schedule Monday 18 Tuesday ® Wednesday ® Thursday IN Friday ® Saturday ® Sunday

Shift from: _S, ® am ❑ pm to 8 ❑ am ® pm

If other, specify _ _ _ _ REctgvü Access to inspect the premises must be provided during the work schedule Indicated In this Item. AUG 1 3 2002 to P.%BANHLI 25. Total amount of asbestos-containing material to be abated during this work ~cSTGS!LEAD) PROGRAh' TAUG 46906 Square Feet. and/or 0 Linear Feet s 1. 7 A ~.=`9F tnJZ

NYC-WTC 000102267