Asbestos project notification and inspection report form required for NYC DEP and Department of Buildings submittal.
NYC-WTC_000102602–000102604Folder label: “SCOPE OF WORK ADDENDUMS WORK SCHEDULE”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
FEB. 26. 2003 6:02PM ETS INC, NO, 543 P. 2 NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION • "~` Asbestos Control Program 59.17 Junction Boulevard, a Floor. Corona, NY 14388.5107 ONLY . DAP 1 OR cIA ep.i,u68 ONty~ ASBESTOS PROJECT NOTIFICATION FORMS MU. SE (ASBESTOS INSPECTION REPORT) 1 ACCEPTED wwr yc.a s» (See fee ad*eyle) When suomitting this form at the NYC 0eOartment of Buildings. the original form and three (3) 000ies with original signsturce are required. Submittal at the NYC06P requires one Dopy of the form with original signahuea. This form must be submitted to the NYC 0EP not lass than one week In advance of the start of abatement activities .
I. FACILITY 2. Address _'114 Liberty Street Borough Manhattan - iZp 10006
AKA 3. 81ock 52 4. Lot 7502
5. Type of Fee Condominium 6. Name of Building 114 Liberty Street II. BUILDING OWNER 7. Name VV Contact Person B.TeI.# Fax# 10. Address State p In. GENERAL CONTRACTOR
11. Name Not Applicable Tel. #
IV. ASBESTOS ABATSMENT CONTRACTOR
12. Name E i'S Contracting. InC. 13. Contact Pelson Robert Middleton 14. Federri Employer ID. #r ----------------PII.-.-.-.-.-.-.-. , 18. Tel. # (718) 706.6300 Fax# (718) 70&1032 16. Address 180 c lay Street cy Igrooidyn State NY , 11222 V. THIRD PARTY AIR MONITOR
17. Name JLC Erivironmentai Consultants, Inc. 18. Contact Person Jeniffer Carey
19. Federal Employer ID. i PII 20. Tel. # (212) 420-9119 Fax # (212) 420-6092 21. Address 200 Park Avenue South y New York State NY zip 10003
22. Sample Analysts Laboratory JLC EnvirCnmentali, Inc. 23. NYS DQH ELAP # 11029
Vt. PROJECT INFORMATION
24. Starting date for this portion of work 3/7103 Projected completion date 4/30/03
Asbestos work schedule 0 Monday 0 Tuesday Q Wednesday 4 Thursday El Friday 0 Saturday 0 Sunday
shift from: 800 2 am 0 pm to 500 8 am 0 pm if other, specify
access to /aspect the premises must be provided dwutg the wain schedule Indicated in this nsRr.
25. Total amount of asbestoo containing material to be abated during thls work 69,000 Square Feet and/or 0 Linear Feet ACP7 ?12001
NYC-WTC 000102602
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Readers open these alongside this record — through an Ask answer, the same folder, or indexed similarity. Not a claim they are about the same event.
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