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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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Scanned page image, NYC-WTC_000102544
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NYC 9/11 Public Portal Document _ ee an / — EMERGENCY | P.81 | . NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION . a Eins, Asbestos Controt Frogram f (DE >} 59-17 Jumetion Seutevand, 6 Floor, Corona, NY 11388-5107 if } . Preewarmw ® ASBESTOS PROJECT NOTIFICATION “3 INSPECTION REPORT} FORMS WILL BE \ onel A Gear (ASBESTOS t When this form at the NYC of the original form and three (3) with original signatures are toques, Submitiel at Bat NYCOEE faq Si sa a Be a eignatres, hs Sm must be submited ta the NYC DEP nat less han enn week h sdvance ef fre atatet ee oe 1. FACWITY 2. Address 114 Liberty str./119 cedar str. SoroughManhattan 7 10006 AKA 3. Block 52 4,Lot 7502 &. Type af Facility, - 6. Name of Buliding i. BUILDING OWNER 7.Name Building Owner /Manager 8. Contact Person ‘9. Tel. # Fax 10. Address _ City State Zip Ut. GENERAL CONTRACTOR 11. Name__ Tal, # \V. ASBESTOS ABATEMENT CONTRACTOR 12.Name Txio Asbestos Removal Corp, 13..Contact Persan CALS: Horan $4, Federal Employer 10. # Pil 18. Tet 778-961-4100 —_ c944718-961-4103 16. Address 14-20 129th Street cr#follege Point _. State N¥_ 9, 11356 _ "V. THIRD PARTY AIR MONITOR . | 17. Name Warxen & Panzer Engineers, P.c, 18. Co ct Pe Michael Nolan 20. Yet ¢# 212-922-0077 212-922-0630 zp 11251 19. Federal Employer 1D. @____ : 21. Address 228 East 45th Street ___ Gly New York - State NY 22. Samote Analysis Laboratory Warren & Panzer Engineers — 23. NYS DOH ELAS # 112517. - Vi. PROJECT INFORMATION : . ot 6/3o/o 2 24. Starting date for this portion of work : Projected completion date 76. Total amount of eagstos-containing material ta be abated during this work Square Peet. andor Linear Feet rT aA OF ; fontegy ee . 2, ae NYC-WTC_000102544

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NYC-WTC_000102544Source: NYC Law Department, mirrored locally

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