NYC 9/11 Public Portal Document
.4 FEB. 26. 2O3 5:27PM ETS INC. O. 54C P. 2
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program
59-17 juncdon Boulevard. 3e Floor. Corona NY 11368-6107
SuHdng Dept. TR:! No
ONLY FOR OP At. use ONLY
TYPEWRITTEN ASBESTOS PROJECT NOTIFICATION
FORMS WILL SE (ASBESTOS INSPECTION REPORT)
ACCEP1EO (See INsawn*
when suluntaing G1ia form at the NYC bepanment of 8ui1dinga. the original form and three (3) copies with original
signaWnas are required. Submittal at the NYCOEP requires one copy of ire form with original signatures. This
form must be submitted to the NYC DEP rot less then one week in advance of the start of abatement aedvides . ,
1. FACILITY
2. Address 114 Ub
erty Street Borough Manhattan ZiA 10006
G1 3.9lock 52 4. Lot 7502
6. Type of Facility Condominium 6. Name of Building 114 liberty Street
11. Name Not Applicable TeL #
M. ASBESTOS ABATEMENT CONTRACTOR
12. Name ETS CQt "Cling. Inc. 13. Contact Person Robert Middleton
14. Federal Employer f0. 15. TeL # (718) 708$300 Fax# (71~ 706-9032
18. Address •160 CiSy Street C;ty Brooklyn 8tte NY Mp 11222
V. THIRD PARTY AIR MONITOR
17. Name JLC Ertvironrnental Consultants, Inc. 18. Contact Person Jeniffer Carey
19. Fedeisl Employer lb. #` P I I-._._._._._.. 20. Tel. # (212) 4208119 Fax # (212) 420-6092
21. Address 200 Park Avenue South Cky New York State NY ZIp 10003
22. Sample Apetysis Latloratory JLC trrlvironmentat, Inc. 23. NYS DOH FLAP #11029
VI. PROJECT• INFORMATION
24. Starting date for this ponion of work 317/03 Projected completion oate 4/3O/03
Asbestos work schedule ® Monday Q Tues40y Q Wednesday ® Thursday 0 Fri
Shift from: 8:00 0 am ❑ pr to 5:00 © am ®pm
if other,
spec*
Aeeess to kispoct the p emivee must be provided dwin6 afire work srhedufe endtaeted /n lbws itenv.
25. Total amount of asbestos.contair*ng material to be abated during this work
69,000
Square Feet, and/or 0 Unger Feet
7
91
NYC-WTC 000102617
OCR can misread numbers and units. Confirm readings against the page image before using them.