Invoice for roof cleanup, Asbestos Removal Corp, Aug 2002

NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION FOR OFFICIAL USE ONLY D 4 Asbestos Control Program (rfan $ 59-17 Junction Boulevard, 8N Floor, Corona, NY 11368-5107

AL BE ASBESTOS PROJECT AMENDMENT FORM 9 .....i . FOR-FORM-ACP7 . Ma~teBon Only tL çs 1No

A modification Is valid only it it is received by the NYCDEP prior to the previously filed da completion. except for start date changes that must be received by the original start date

..;P7 TRU/BN# q 2 Facility Address _1 - 5 C e JA a S Borough ), R CE~VED Date ACP7 was filed Variance # (If any) 'JUL 11 ?O21JT tr or Was this ACP7 amended before? 0 Yes ( aterucuTim & ni 0M i No If yes, specify date yy PROGRAM •v

Original Start Date Original Completion Date from ACP 7, #24. PLEASE ENTER THE INFORMATION THAT IS BEING CHANGED: A notification may be modified no moreThan twice. Only the building owner may amend items IV and V. N. ASBESTOS ABATEMENT CONT~►RAC The original applicant or building owner may amend all other items. { 12. Name t~ le' --`~ --- .-- (O 13. Contact Person 14. Federal Employer ID. # _._ P 15. Tel. # g) a 6 i - 4t y Fax# 16. Address I 1-I 1 -°\ r - City C ~ S 1- State V. THIRD PARTY AIR MONITOR

17. Name ~` ~^ 'r 18. Contact Person 19. Federal Employer ID. # 20. Tel. # Fax # 21. Address City State Zip 22. Sample Analysis Laboratory 23. NYS DOH ELAP # VI. PROJECT INFORMATION ❑ Project Cancelled bZ 24. Starting date for this portion of work Projected completion date _ ~`~ C Z ❑ Project Postponed Asbestos work schedule Monday uesday ednesday Thursday 'Frfday Saturday, Sunday

Shift from: R7J am ❑ pm to ❑ am pm If other, speciy

25. Additional asbestos-containing material to be disturbed during this work 3 ,4O Square Feet, and/or Linear Feet Reduction in the amount of ACM to be disturbed during this work (D ' 'd_ > Square Feet, and/or Linear Feet 29. Abatement Procedure for Additional Material (Check all appropriate boxes) 0 Full Containment 0 Glovebag 0 Tent 0 DEP Variance Application Other Changes 30. Locations of abatement modified by above (For each floor list ACM quantity a type)

31/32. Name of Applicant / Owner Tel. # -7 3 Name of Company (If any) T! E Fax # Address City tat Zip

I hereby declare that the information provided herein is true and complete.

oE'M~~N.i~S Signature of Applicant /Owner Date "per ~pEF~41QGOp~1 ACP 0 V2001

V NYC-WTC 000108058