NYC 9/11 Public Portal Document
FEB, 26. 2003 6:02PM ETS INC, NO, 543 P. 2
NYC DEPARTMENT OF ENVIRONMENTAL, PROTECTION
• '> ' "k4s Asbestos Control Program
59.17 Junction 5ouieveed, 3' Floor. Corona, NY 14388.5107
Cep. OrTRU
ONLY 1 QI u68 ON&Y
TYPEWRITTEN ASBESTOS PROJECT NOTIFICATION
meets w" BE 4" k~"" (ASBESTOS INSPECTION REPORT)
ACCEPTED rwwr sYc.Qa. s» t
t {See eameuI.}
When subml tng this form at the NYC Department of 8ufdings. the oetginet form and three (3) co0ias with original
elgnaturee we regvl►ed. Submittal at the NYCC6P requires one Dopy of the torn» with original 519nabsre5. This
L form must be submitted to the NYC 0EP not less than one week In advance of the start of abatement aedvities .
I. FACILITY
2. Adder _114 Liberty Street Borough Manhattan Zip 10006
AKA 3. Block b2 4. Lot 7502
S. Type of Facility Condominium 6. Name of Building 114 Liberty Street
11. Name Not Applicable Tel. #
IV. ASBESTOS ASATSMENT CONTRACTOR
12. Name ETS Cotmecting, Inc. 13. Contact Pelson Robert Middleton
----------------PEI.-.-.-.-.--.- ,
14. Federrt Employer ID. # 18. Tel. # (718) 706-6300 Fex# (718) 708-1032
16. Address •1 f.'ley Street Cy ~rooidyn State NY ZP
T1222 -
V. THIRD PARTY AIR MONITOR
17. Name JLC Environmental Consultants, Inc. 18. Contact Person Jeniffer Carey
19. Federet Employer !D. -PI 20. Tel. # (212) 420-8119 Fax # (212) 420-6092
21. Address 200 Park Avenue South city New York state Mr zip 10003
22. Sample Analysts Laboratory JLC Environmental, Inc. 23. NYS DOH FLAP a 11029
Vt. PROJECT INFORMATION
24.Statting date for this portion of work 3/7/03 Projected completion date 4130/03
Asbestos work schedule 0 Monday 0 Tuesday 0 Wednesday 4 Thursday 0 Friday 0 Saturday 0 Sunday
Shift from: 8: 0 0 am 0 pm to 500 0 am 0 pm
If other,
specify
Access to Inspect the premises must be provided diu9ttg the wmtc schedule Indicated +n this Item.
26. Total amount of asbestos-containing material to be abated during this work
69 ' °0 _ Square Feet and/or 0 Linear Feet J
ACP7
?120C1
NYC-WTC 000102602
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