NYC 9/11 Public Portal Document
UOb /b04 PAGE 02
NYC DEPARTMENT OP ENVIRONMENTAL PROTECTION
Asbestos Control Program
50-17 JwscU si Sou ayvrd, V'lyvor Corw NY 113685107
bu t1ngOral. r1RUNo
ASBESTOS PROJECT NOTIFICATION sat0s uIL0+r
(ASBESTOS INSPECTION REPORT)
1.
(Sea tw adadua)
Whatt $0 Iatt $tta tons at the NYC Oap.rtn,rnt of 80040, the adpkW tons
bud One (3) conies with
alptt~tteb we regttlted. Stdanlrnal at n,o NYCOEP
torn msM lla submitted to the NYC OEP net toss Oranreaukes one copy of the torn with atnumt slpaeturesoriptgat
one week In advance of the stoat of ebatotaent cct<vuat'this
.
L FACIUTY
2.Addreras ; 11 .104 freenwjch Street-
Borough ~~
Marsha tan • Ztp-lrf(tbb
AKA
4 3. Block ~,~_ 4. Lot 3 7
5. Type ofFacluly liatxdware Store /Restaurant:
8,NOSTIOof8upding • n/a_
It. BUILDING OWI R
7. Name?l)?.:.3 t1 ~=s~11Vjh..S>:.Md arran >+n~ ...--r _- 8. Contact Parson E
",...~Sa• Bateh
9. Tel. U 78--439 -5555. Fox g 718-439-7878
10. Addrnaa 25 14thStreet
c 1 y_ Ny . 11220
Zip
IU. GENERAL. COrnflCTOR
11. Natno Clr+ast rbors
732-248-1997
_ Tel. u _..
IV. AS8ESTO5 Aa/11r1 NT CONTRACTOR
12. Name AE12 LLC
13. Contact poison Bernard McKenna
14. Federal EmploiqrjD.11 ^ P11 15 Tot. u $5b--7 6, x Q(L Fax a __SI.rZSt.$
16.Addrass 43 Jefferson Avenue
,. _Clty Berlin _—_- _ Stara NJ -~
zip 08009
V. THIRD PARTY AIR MONITOR ---
17. Name Ril; t sn Ettvironuteutail Group, LLC
Contact Person Mike Nelson
10• Fodord EtnplWAVID. 8 L P-1-1
----•.----• 20, Tel. a --..--•-.-._.._.._._.,.
908.-686-3335 Fax tt: 908-686-2636
21, Address 1601. Route 22 East • CUy Union
State N3 07083
22. Sampla Analyflt treboraterY__ Hillmann An
irotLp.+rat Groun , LC-
23.. NYS OOH ELArP u 10926
Vi. PROJECT INFORMATION ~`
24. Starting data totem portion of work 12/3/01
-- ----~--..;. Projected completion data 12/24/01
-/
nsposlos ofkrlaheduto I1 Monday 12 Tuesday El Wednesday
Q Thursday L Fri
shirt from Cl am Qc pm to _ 2 : d0 IN
am Q pm
If other.
specify
L °
to lnspasf fw proartsos moat yepeovtdod daldny
the work sa;laaduro +nd+cotvd is this tons.
25. Tout amount Oi $$ oatos oontainln0
mattedat to ho abated during this work
.2.6.000 Sklraro Foot, and/or __ 0 t.irteac Foet
NYC-WTC 000104849
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