Invoice for roof cleanup, Asbestos Removal Corp, Aug 2002

NYC 9/11 Public Portal Document

~ NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION FOR OFFICIAL USE ONLY ; Asbestos Control Program !!! XN AL BE C D~

_ i 59-17 Junction Boulevard, 8 Floor, Corona, NY 11368-5107

ASBESTOS PROJECT AMENDMENT FORM _— : ........... FOR FORM-ACP- 7- i A motfrtication Is valid only it it is received by the NYCDEP prior to the previously filed i completion, except for start date changes that must be received by the original start da

,.;P7 TRU/BN# q I ti '~ adtity Address _I ~- C Q4 S T Boro;Is i ' Date ACP7 was filed Variance # (If any)

Was this ACP7 amended before? ❑ Yes ( ' No If yes, specify date

Original Start Date Original Completion Date

PLEASE ENTER THE INFORMATION THAT IS BEING CHANGED:

IV. ASBESTOS ABATEMENT

13. Contact Person 14. Federal Employer ID. # F'II 15. Tel. #' _ tQ) a G i -

16. Address I1 \ '~-o\ r - City C ~ O S- State "l Zip 14 S V. THIRD PARTY AIR MONITOR

17. Name t 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 24. Starting date for this portion. of work 7 b Z' Projected completion date ❑ Project Postponed

Asbestos work schedule Monday uesday ' Vednesday Thursday Friday Saturday, Sunday W- Shift from: 2 El am 0 pm to U 0 am pm If other, specify

25. Additional asbestos-containing material to be disturbed during this work 3 , I-Wo Square Feet, and/or Linear Feet Reduction in the amount of ACM to be disturbed during this work (& " ' _ Square Feet, and/or 'V Linear Feet 29. Abatement Procedure for Additional Material (Check all appropriate boxes) 0 Full Containment 0 Glovebag ❑ Tent 0 DEP Variance Application Other Changes

30. Locations of abatement modified by above (For each floor list ACM quantity a n3 type)

31/32. Name of Applicant / Owner(1____ Tel. # 7 7 Name of Company (If any) —T.i _ Fax # Address City tat Zip

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

Signature of Applicant /Owner Date ~pE ACP 0

NYC-WTC 000108058