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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

W • V

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION a`O`~ Asbestos Control Program 59-17 Junction Boulevard, 8" Floor, Corona, NY 11368-51 _R 1 ~~ ONLY (D AIM J ASBESTOS PROJECT NOTIFICAA 1 i UFOR OFFICIAL USE ONLY TYPEWRITTEN µ FORMS WILL BE (ASBESTOS INSPECTION REPORT); yr 1 (See esthedule) $800 3 www.n r ACCEPTED av Co V

O . 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 114 Liberty Street Borough Manhattan ZJp 10008 AKA 3. Block 52 4. Lot 7502

5. Type of Facility Condominium/Commerciai 6. Name of Building 114 Liberty Street 11. BUILDING OWNER

7. Name Liberty, LLC do Epic. LLC 8. Contact person Ms. Denise Sweeney 9. Tel. # (212) 633-6500 — Fax# (212) 729.8969 10. Address 12 East 44th Street city New York State NY zip 10017 Ill. GENERAL CONTRACTOR

11. NamewA Tel. # IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name ETS Contracting, Inc 13. Contact Person Mr. Robert Middleton 14. Federal Employer ID. # `-- - - - - - P.11-- - - - - - 15. Tel. # (718) 706-6300 Fax# (718) 706-1032 16. Address 160 Clay 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. $i - P° 20. Tel # ( 908) 688-7800 Fax # ~ 908 _ ~ 686.2636 21. Address 1200 Route 22 East City Union State NJ zip 07083 22. Sample Analysis Laboratory Hilimann Environmental Co., Inc. 23. NYS DOH ELAP # 10926 VI. PROJECT INFORMATION 24. Starting date for this portion of work 8/6103 Projected completion date 9/30/03

Asbestos work schedule 0 Monday 0✓ Tuesday 0 Wednesday 0 Thursday 0✓ Friday 0 Saturday. Sunday

Shift from: 7:00 El am 0 pm to 6:00 ❑ am 0 pm

If specify____________ Access to inspect the premises must be provided during the work schedule indicated In this Item.

25. Total amount of asbestos.contalning material to be abated during this work 968 Square Feet, andor 328 Linear Feet

212007

NYC-WTC 000102546

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NYC-WTC_000102546Source: NYC Law Department, mirrored locally

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