Asbestos project notification form, 114 Liberty Street, 2003

NYC 9/11 Public Portal Document

i-19-2a 13:25 P.02 v ASBESTOS INSPECTION REPORT (coattnued} l~sbestos Transportatio 28. r4sbeslost avw,•, A= .—._..OVSOM SIA-371 631-924-5050 s)zinperial/BOB 47, 11 Boggs Rd., PA; Southern Alle henie3/xd 3 27. This asbestos amt sox 310, is part at* (item a through a requires Bing of tt,is tone with NYC Department vane~y7Vvie+w, PA of Su dings) a) Q DemoAticn b) U Delar Raptaoernent a) ❑ Spe**ler Replacement d) ❑ Renovad0fVAMra.tbn a} ciFaeproofing Replacement i t Other (oesa1be} 28. TYPE OF ABATEMENT (Check alt appropriate boxes) Q Remover 0 Enclosure D Bncapsufeoit 0 Repair 0 Crean up 29. ABATEMENT PROCEDURE (Check all appropriate. boxes) 0 Full containment 0 Gbvehag 0 Tent C? OEP Valiance Application 1&( aga 0R&D-z_. '

Flow(s) J OF FLOOR CONTAINING ACM tee• essevrLlg„ ngta r►. PERFORMED EAR FEET FEET tat" wore 1 pmkJj [enveein4snd reafaoiro ee, EL :Roof Item No. 3 12,43 Roof Item No. 6 19,40

31. I hereby declare that the; fomtati n provided herein Is true and complete State and NYC haws acid re actors applicable to asbestos related work. to the best cf my Vi e. I am•famlIisr with Federal,

Warren & Panzer Trio bestos Removal NYC wHetarseotur "~ co ncaxp POReh~nsaf/~p tnrelherlhaaGoner} • '.

12. I understand that as the owner Cf a building where asbestos asbestos sug"nt acdvlWes in atvcard rtce with the Asbestos abatement activity ucurs. tam responsible for the performance of the moo ho abc Control Program Rules. I hav contracted the third party air lndepandent of all patties Involved asbestos project. t her@byQeclare that I have authorized the filing of this notilestion for the work speoMed herein. Building Owner/Manager c/o NYC ~~ b Z Net►tearOwner -- ~.... -.. era A STAMPL CQPY OF THIS FORM INCWDZNG AMENDMENTS MUST SE AVAILABLE AT TFtM WORK SITI?. EAny t0d1f1c250fl of intormatlot, provIded on this fomi mi tbe mpoeted immedIately to w NYC . me ^equirentetcs of the Asbestos Control Program Rules may not b&e ided or lessened th ouph thopa nttance of work in ft crememal or Piecemeal fashion. 1

NYC-WTC 000102545