NYC 9/11 Public Portal Document
FOR OFFICIAL USE ONLY
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
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IP~ Asbestos CN ontrol.Program F ~ s
I 517 Junction Boulevard, 8 Floor, Comma, NY 11368-5107
ASBESTOS PROJECT AMENDMENT FORM Infa'netion•On~y:'Q•Yes ❑ No
"' ••~ ••• ••• • FOR FORM ACP 7
A modrSeadon is valid only If 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
4'
.,;P7 TRU/BN# q ti O ?acdity Address J 25 C 2a A S Borod ~VED .•'.
Oate ACP7 was filed Variance # (If any) JUL .11 2002
Was this ACP7 amended before? ❑Yes ( No If yes, specify date ~secrRUUKWraoc
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 aid V.
IV. ASBESTOS ABATEMENT CONTRACJQR The original applicant or building owner may amend aU other items.
12. Name F~~ be.>7 P .~~ l° 13. Contact Person ~ce Qo~~:p .
14. Federal Employer ID. ~._._._. . .. . 15. Tel. # f]:i t) i ' '}t'' Fax #
91
16. Address _I 't-t ' ~' J 11 0 City (.011r L 1 State P'( Zip )1 3 S
V. THIRDPARTY AIR MONITOR
17. Name ~`'d`V t g'~ k 18. Contact Person
19. Federal Employer ID. # 20. Tgl. # Fax #
21. Address City State Zip
22. Sample Analysis Laboratory 23. NYS DOH ELAP #
VI. PROJECT INFORMATION ❑ Project Canceled
7 0/a Z
24. Starting date for this portion of work
Asbestos work schedule Monday
/ Projected completion date
uesday 'Wednesday-Thursday l
1 O Z ❑ Project Postponed
rtday Saturday,Sunday
_
Shift from: RZt am ❑ pm to ❑ am 7'i5iiF If other, specify
25. Additional asbestos-containing material to be disturbed during this work 3 ~, Square Feet, and/or Unear Feet
Reduction In the amount of ACM to be disturbed during this work '______Square Feet, and/or Unear Feet
29. Abatement Procedure for Additional Material (Check all appropriate boxes)
❑ Full Containment ❑ Glovebag ❑ Tent ❑ DEP Variance Application
Other Changes
30. Locations of abatement modified by above ow mac a
(For each floor list ACM quantity and type)
31/32. Name of Applicant / Owner l/ ~1 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
NYC-WTC 000108081
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