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Asbestos project notification form, 114 Liberty Street, 2003

Machine-extracted title · confidence 100%

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

NYC-WTC_000102548–000102552

Folder label: “SCOPE OF WORK ADDENDUMS WORK SCHEDULE

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Scanned page image, NYC-WTC_000102552
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NYC 9/11 Public Portal Document • • t •~ ` .,, "~•~ S~OS ty0I11'RpL'~~ROI~A~t' "

. . t, .. tj tten notification must be received within 40 hours via

a) Asbestos Inspection Report (ACP-7) 77/ D ~ b) Cover letter explaining the nature of the emergency %z5

1) Caller's

Affiliation: a' ~f

Telephone 5: ) (, , 2) Nature of Emergency: ^ t i2 iLc -o-~- ~

Actual Date and Tine.of Emergency

Method of Asbestos Abatement:

Removal Sq.ft. L. ft. Repair Sq. ft. L. Ft Encapsulation Sq. ft. L. ft. Clean-up O O Sq. ft. L. ft. Enclosure Sq. ft_ L. ft.

5) Facility Address: L4 - -__L_!~_~ Owner/Agent: Contact Person Location of Asbestos Abatemen

6) Asbestos Abatement Contract

Name: £2-~it £2it Address:

Telephone #: ( )

7) Starting Date: li Projected Completion Date: 7 __ ,6

8) verification Yes. by Owner/Agent:

Call Taken By:

Date:

rc: Enforcement Form N7 7/93

NYC-WTC 000102552

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NYC-WTC_000102552Source: NYC Law Department, mirrored locally

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