Exterior Debris Survey Notice, 120 Liberty Street, May 2002

NYC 9/11 Public Portal Document ASBESTOS INSPECTION REPORT (continued) 26. Asbestos Hauler Logano NYS DEC Pemit# CT-098 Tel.#800-272-3867 Disposal Site(s) Southern Alleghenies Valley Landfill 27. This asbestos abatement is part of a (ltem a through e requires filing of this form with NYC Department of Buildings) a) • Demolition b) • Boiler Replacement c) Sprinkler Replacement d) Renovation/Alteration o) L Fireproofing Replacement n •] Other (Describe) 28. TYPE OF ABATEMENT (Check all appropriate boxes) • Removal • Enclosure • Encapsulation •Repair • Clean up 29. ABATEMENT PROCEDURE (Check all appropriate boxes) • Full Containment •Glovebag C Tent • DEP Variance Application 30. LOCATIONS OF ABATEMENT DESCRIBE SECTION Floor(s) OF FLOOR (e.g. entire, east wing, room #. boiler roomn. lobby, etc) ENTIRE BUILDING AS AFFECTED SURFACES AMOUNT OF ACM CONTAINING ACM (e.g. Pipe lagging, ceiling, plenum SQUARE LINEAR ducts, storage tanks, decking, etc.) FEET FEET PER DEP SPECIFICATIONS DESCRIPTION OF WORK BEING PERFORMED 1e.g. running cable, installing fire sprinklers, removing and replacing boilers. elc.) 31. I hereby deciare that the information provided herein is true and complete to the best of my knowledge. I am familiar with Federal, State and NYC laws and regulations applicable to asbestos related work. A.T.C. Associates Print Nemo, af Air Monitor thes Signature Fiber Controt, InC. Pete o Print Name of Asbestos Contractor Fiber Control, Inc. Print Name of Applicant (If other than Owner) 9/17/02 Date 9/17/02 9/17/02 32. I understand that as the owner of a building where asbestos abatement activity occurs, I am responsible for the performance of the asbestos abatement activities in accordance with the Asbestos Control Program Rules. I have contracted the third party air monitor who is completely independent of all parties involved in the asbestos project. I hereby declare that I have authorized the As per cleaning request form Date Print Name of Owner Signature A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE. Any modification of information provided on this form must be reported immediately in writing directiy to the NYC DEP ACP. The requirements of the Asbestos Control Program Rules may not be lawfully avoided or lessened through the performance of work in incremental or piecemeal fashion. NYC-WTC_000107430