NYC 9/11 Public Portal Document
THE Cmr of NEW YORK DEPARTMENT of EAtvtRONMENTAt PROrECitON
JOEL A. MIELE, SR., P.E. Commissioner ROBERT C. AVALTRONI
YitU~ Deputy Commissioner
,Y'R~MfNTAL
PHONE (718) 595-4418 Bureau of
FAX (718) Air, Noise, & Hazardous
Materials
ASBESTOS CONTROL PROGRAM TECHNICAL REVIEW UNIT
ACP-7 CORRECTION FORM
PREMISES ADDRESS L L ly
ZIP CODE k O O O' Co
CORRECT CORRECT
START DATE COMPLETION DATE
CORRECT ACM QUANTITY: SQUARE FEET, AND/OR LINEAR FEET
Correct Method Of Abatement:
Confirmation Of Change(s) Of Date(s) and/ACM Quantity As Noted Above
The undersigned affirms that she/he has been instructed verbally to change or confirm or ACM
quantity, by Ms./Mr. S't ~g7 'pN , who is duly au R e t the
organization/agency/company/corporation stated in the form ACP-7 regarding the =note cility s to
be the (Please check one box only): R 4
[ ] Building Owner ltl l.. J 12002
[ ] Asbestos Abatement Contractor
[ ] Applicant for the asbestos project.
ti
The Undersigned Is Employed by T7H
L.f cE co Nc c$ C CZ
Organization/ Agen& Company/ Corporation
Address
Telephone #
ó U\AJV
Print Name Signature
exo E. TRU N4 8/96
11368-5107
5917 Junction Boulevard, 11th Floor, Corona, New Yo
NYC-WTC 000102550
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