NYC 9/11 Public Portal Document
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A2 13:26
E MUGENCY
NYC DEPARTMENT OF ENVIRONMENTAL. PROTECTION
. ____ P.03
Asbestos CoMrot Program
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iM' D...~~1 Etas ruexfion Boutea~rd S~ r-Mm. Cww4. w 1131 t07 NO
nrx -- ASBESTOS PROJECT NOTIFICATION
FORMS ED
ACCET &E (ASBESTOS INSPECTION REPORT)
Whin he ~
the a+Ye aep.raneM of
st ore w. erquifeØ.fOn Nthm at
R orfp~ar tarn •o tree (3) copen
the NYCOEP requ rag aye espy d the loran wdt► orcpfnd
rorni awst be sutknittad 1.s"
the M'C'lOEP not Ies thji1 one week in wOr, wigle. ms
edwnoa of the stag dbetem.,ii ikWee.s. 7Nr
I. FACILITY
2Addreis120 ibc 125
• r noroughManhattan Zp 10006
S. Type of Fac~riy
3. Block 52 4. Lot 21
6. hams of QutldinQ
U. BUILDING OWN
?.Name_! 9j'iberty Street LLC
9. Tet. # t 7 7 81 8 30-0131 a COf1t Pew'
FaxaDt
10. Address
Ill. GCNBRAL CONTRACTOR
—__- ______~
11. N
IV. ASBESTOS Tel. >X
ABATImENT CO NTRACTOR
12. Name Trio Asbestos
Removal corp.
14. Federal Errrp• toyer t0 13. Contact Person Chri S 1Oran
. >- PII
16. Address Ji Q'~Raxtt -g 10
O12 j ret 1 1-
city Co I e _P i ra t
V. THIRD PARTY AIR stalky 71 `
MONITOR
1?. Name Warren &
Panzer C r
19. Federal Employer 10. a: .~18. Cantaa pecso
2t). Tel. a 212-922-007
21.M&ess 22 8 East 45th Stre t Fax# 212--9?2-0 _0
_City New York
2 . Sample Analysis Laboral .._.
Warren & PAn2er
Engineers .
VI. PROJECT 23. NYS 000 ELM d 11251 •
INFORMATION
24. Sbrdn9 date /or this
Portion of work
Protected conIptetion date
Asbestos work schedule if3j'._!.
y esday
A ad~+esdsy lh y -.,,[[
~criday C1Sal ,y QSSunday
Shm from- `a__l am Dpm to am
Mother
NPecily 5 / ~J
Across 10 k:0ect mePrerrsss 4
awsrIk vro►idkd tn. worlr RECEIVED •
a'
su►edr~re:~dgresln Iti=iter~,
25. Total arnwN of ter,tak*W rrlateriat
to be abateddurisg this w JUN 2 ) 2CO2
k ;
~~ Sure Feet• andlor
f
~..~ Linear Feet BE
gO
ACP I
Et?AE~i~ e~tiu":t,
NYC-WTC 000108079
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