NYC 9/11 Public Portal Document
.; NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION FOR OFFICIAL USE ONLY
AD ' , Asbestos Control Program
58-17 Junction Boulevard, 8 Floor. Corona. NY 11368-5107
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4.L ASBESTOS PROJECT AMENDMENT FORM
.D ~............., inf au l J.yes❑ No
FOR FORM-ACP7 - —
A mod'rfcadon Is valid only it it is received by the NYCDEP prior to the previously filed
completion, except for start date changes that must be received by the original start d+
..P7 TRU/BN# q ti acility Address J -5 C e _q _ S_ Borotl JQ 9 ED
Date ACP7 was filed Variance # (If any) 'JUL 112002 El
'RrOroOIArlON Z Ehr011W
Was this ACP7 amended before? 0 Yes ( No If yes, specify date ROL
ASOFSTOSCO 4
cau
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.
IV. ASBESTOS ABATEMENT R The original applicant or building owner may amend all other items.
CONTR`AC7j
12. Name 'I ' 1Z'~t>l^--
-
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13. Contact Person ~Ge QOv\1p
14. Federal Employer ID. # II 15. Tel. # (1 g) C1 C i - ~Ft O \4 Fax #________________
16. Address l -1 "~ J \ - City
`
S ~- # `
State_'
Zip ) S
V. THIRD PARTY AIR MONITOR
17. Name ~` t ° `^ k
18. Contact Person
19. Federal Employer ID. # 20. TI. # 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 0Z /1/0 Z
Projected completion date ❑ Project Postponed
.Asbestos work schedule Monday uesday ' Wednesday —Thursday 'riday turday~Sunday
Shift from: d;ZZ1 am ❑ pm to ❑ am pm If other, specify
25. Additional asbestos-containing material to be disturbed during this work 3 ' , t-W A Square Feet, and/or Linear Feet
Reduction in the amount of ACM to be disturbed during this work _ Square Feet, and/or Linear Feet
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29. Abatement Procedure for Additional Material (Check all appropriate boxes)
❑ Full Containment 0 Glovebag ❑ Tent 0 DEP Variance Application
Other Changes
30. Locations of abatement modified by above c-
(For each floor list ACM quantity a l type)
31/32. Name of Applicant / Owner VT >(~ 7
Tel #
Name of Company (If any)
Fax #
Address City tat Zip
I hereby declare that the information provided herein is true and complete.
Signature of Applicant /Owner Date
ACP 8
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NYC-WTC 000108069
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