NYC 9/11 Public Portal Document
ti
JUhl-19-2002 13:26 P.04
AS5ESTO$ INSPECTION REPORT (continued)
Asbestos TransPortation
2a Asbestos Hauzer 3
NYS 06C Permiti11 A• 71 631-9Z4-5050
Dispowsim(s) Imperial/POB 47, 11 Boggs Rd., PA; Southern
Alleghenies/ltd 3
V. TMs asbestos abatement b part
of a (Hema tfi ~zwgh a requires fd' of Box 310 , Va eyv @W,
a) s CentotiP,on this fornf with NYC Department d buadings)
b) ClQ Qokr Rep►aeauzent c) Q Sprinkler Replacement
e) ❑ Fk%prooting Replacement d) ❑ Retfo+rrtionfAacraGon
9 Q Other (Oe$crik)
28. TYPE OF ABATEMENT (Chick all
approPtine boxes)
Cl Removal Q Enclosure ❑ Encapsulation ❑ Repair 0 Clean up
29. ABATEMENT PROCEDURE
(Cheek a9 appropreate. boxes)
Q Fufl Containment Cl. Glovebl9 Cl Tent ❑
atlance AppfigGon
30. OCAT)ONS OP
ABATEMENT 2
F
-C JON O I ~IJO
~oor(s) AFFECTED SU AC 3 AMOUNT F ACM
OF FLOOR CONTAINING ACM ESC lPTION OF WORK BEING
N a fi
DESCRIBEr. ea.z ~.,,4 ,00mi, tai. t prM" s PERFORMED
e4 re FEET fr.:. ftreirq culr.:w"
v rw sp lnw&.
Roof Item No. 3 "#
11 56
walls Item No. 8
-- _ 3 , 63
I=I Item No. 3
lls Item No. 8 1 50
24,70-
d -iJ
31, thereby declare that the
infonttatio„
State and NYC taws and regulations App ad herein c os and completeto the best of my krwaAe
applicoable b asbestos rotated tge, I b
amfamiliar with Federal,
work
Warren & Panzer
antI~ M- dA*Mo~sar
Trio Asbestos Removal
1ip 1 NYC
r„'r,`Corp
0.2. e sew.`
32 1understand that as the
owner eta
the asbestos abatement activities inbnildbig w4 ere asbestos abatement activity oocurY, I am r
s000r>ianca w th the Asbestos p ea0onsible forum performan y of
n~ ` ft s fompletety independent of al parties involved ^09 Rules, 1 haute eontraded the third
m ^g Ovation for the work spedrood herein. CL t reby declare party air
a have a horned the
120 Liberty Str. LLC c/o NYC
Pfr Man,. of O.msr 0 2
Siijt
A STAMPED Copy OF THM FORJA
INCLUDING AMENDMENTS MUST BE AVAMAgLE AT INg YYo
My mne9r.rH ....f ~._ __.-
. - - -- . - SITE.
requi►emer+ts
may not be tawfuly awl ed or
nf1 or oiectm fig` tash lessened
~__
107
NYC-WTC 000108080
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