Permit application transmittal, 102 Greenwich Street, Dec 2001

NYC 9/11 Public Portal Document pt omwrn moe - ee 73JESTOS INGFECTION REPORT (continued) . 'g, Asbestos Mauler__DJM Company, Inc. NYS DEC Permit #_NJ344 Tol. 973-344-6447 ‘ < Disposal Stati. Greanridge Reclamation Landf4J1 27. ‘This asbestos abatement is part of a (Item @ through e requires filing of this form with NYC Department of Bulidings) e) C] pamotiton +) C1 Boller Replacement c) C) sprinkior Replacement a C1 Renovation/Aiteration e) CF Firaprdafing Replacement 1) Gd other (Describe) WIC Attack Directive 26, TYPE OF ABAVEMENT (Check all appropriate boxes) Tl Remove! E) Enciosure CI Encepsutation [7 repair EI clean up 29, ABATEMENT PROCEDURE (Check ail approprists boxes) C Fun containenent [J Giovenag EC rem 0) np variance Application TXI Other - WIC Directive 30. LOCATIONS If ABATEMENT _ _ _ _ BE SECTION AFFECTED SURFACES | AMOUNT OFACM | DESCRIPTION OF WORK BEING Floor legere, dexteny. toon ws, (20 Poe mae sn pr SUE UR | tes. neneg ta rast te coriehdors, Basement) Entire A.J. 320 Dust Cleanup list | Entire All b, 320 Dust Cleanup and Entire All. 320 Dust Cleanup 3rd Entire ALL 2320 Nust Cleanup 4th Entire All: 320 Duss Cleaniun ch Entire Ail 320 Dusr Cleanup 31. | hereby declese that the information provided herein Is true and complete to the bast of my knowledge. | am famillar with Federal, State and NYG tews and reguiations eppiicabie to asbestos related work. Hillmann Environmental AEi2, LLC AEi2, LLG Pir atv of Ale Monitor Prira Name of Asbestos om Of chor than Owner) Vassmasy CSS heey 32. Lunderstand tel as the owner of 2 building where asbestos abatement activity occurs, | am responsible for the performance of the asbestos abstement aciivilies in accordance with the Asbestos Control Program Rules. | have contractad the third party air monitor who le:compiately Independent of all parties involved in the asbestos project. | hereby declare that ! have authorized the fillng of thie aeliGcalion for tha work spegfied herein. ; Essa Bateh A BYAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE. (Any moditibetion of Information provided on this form must be reported immediately in writing directly lo the NYGOEP ACP. __| The requirements of the Asbestos Control Program Rules may not be lawlully avoided or lessened through the performance of work in incremental or plecemesl fashion. NYC-WTC_000104850