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Asbestos project notification form, 114 Liberty Street, 2003

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NYC DEP asbestos project notification form for inspection and abatement activities at 114 Liberty Street.

NYC-WTC_000102542–000102547

Folder label: “SCOPE OF WORK ADDENDUMS WORK SCHEDULE

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NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program ~~ •\ o 59-17 Junction Boulevard, 8t' Fk or, Corona, NY 11368-5107 B id1/~~ Yw d DeptorTRUpL ONLY 1~9if FOR OFFICIAI USE OHI.Y TYPEWRITTEN ASBESTOS PROJECT NOTIFICA FORMS WILL BE "`"` (ASBESTOS INSPECTION REPORT) 1 $800 ACCEPTED •"•." ' '• `• . It/ O3 (Seeteeecfsbute) When submitting this form at the NYC Department of Buildings, the original tom, 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 activitles .

1. FACILITY

2. Address 114 Liberty Street Borough Manhattan Zip 10006 AKA 3. Block 52 4. Lot 7502

5. Type of Facility Condominium/Commercial 6. Name of Building 114 Liberty Street II. BUILDING OWNER

7. Name Liberty. LLC clo Epic, LLC 8. Contact person Ms. Denise Sweeney

9. Tel. # (212) 633-6500 _ Fax # (212) 729-6969

10. Address 12 East 44th Street City New York State NY Zip 10017 Ill. GENERAL CONTRACTOR

11. NamewA Tel. # IV. ASBESTOS ABATEMENT CONTRACTOR (9 1) 335. t 12. Name ETS Contracting,-Inc. _ 13. Contact Person Mr. Robert Middlet~ti-7) 9'7 4 • -) 303 14. Federal Employer ID. #~. _-.-._-.PI1 .........._.' 15. Tel. # (718) 706-6300 Fax# (718) 706-1032 16. Address 60 C18Y Street City Brooklyn State NY Zip 11222 V. THIRD PARTY AIR MONITOR

17. Name Hillman Environmental Co., Inc. ___18. Contact person Mr. Michael Nehisen 19. Federal Employer ID. # P I I -— 20. Tel. # (908) 688-7800 Fax # (908) 686-2636 21. Address 1200 Route 22 East City Union State NJ Z p 07083 22. Sample Analysis Laboratory Hillmann Environmental Co.. Inc. 23. NYS DOH ELAP # 10926 VI. PROJECT INFORMATION 24. Starting date for this portion of work 816103 Projected completion date 9/30/03

Asbestos work schedule 0 Monday 0 Tuesday 0 Wednesday 0 Thursday 0 Friday 0 Satutday®...Sunday Shift from 7:00 ©am ❑ pm to 6'00 ❑ am 0✓ pm

If other, Ij

Access to Inspect the premises oust be provided during the work schedule Indicated In this Item.

25. Total amount of asbestos-containing material to be abated during this work

~- 968 Square Feet, and/or 328 Linear Feet ~y

NYC-WTC 000102542

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NYC-WTC_000102542Source: NYC Law Department, mirrored locally

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