NYC 9/11 Public Portal Document
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JUN-L9-2002 13:26 ", -
P.04
eSTOSINSPECTION REPORT
(confnued)
24 keestios ~ ASbeatos Transportation
NYSO%CPenrrts 1 A-17 t 631-924-SOSO >~y
Dispo of silo(s) 'Imperial/COB 47, 11 Boggs Rd.,
PA; Southern
n• This asbestos abatement is pact of a Clem
Alleghenies/Rd 3
a through a requires &Gng 310 , Va eyv
of this tam with N Cx ew,
a) OemoliC,on b) ❑ Baler Replacement d) of Buildings)
e) 0 Firoproor'ng Replacement c) ❑ Spri kur Replacement
9 Cl other (Describe) ~ ~ ❑ ~^ ~nfluteration
26.1YPE OF ABATEMENT (Check all
a Removal ❑ Enclosure
appropriate boxes)
❑ Encapsulation Q
Repair 0 Clean up
29. ABATEMENT PROCEDURE
(Cheek an approtugte boxes)
Ch
Q Full Containment ❑.Giovebs9 d Tent ❑ DEP Variance
gppligGon
30. LOCATIONS OF
ABATEMENT T
OESCR18C SECTION /~
FrooKs)
(4.
OF FLOOR
east ..ins
beau room.,00e . eoofn
e
KJ AFFECTED SLIRl:ACSS
CONTAINING ACM
tag. Piss
duct, elo ~'"
~r 7. oknwn
clank dtekj . efe
AMOUtJT
sotww
FEET
LJN
ACM
-
FEET
OESCR1PTfON OF WORK
PERFORMED
U
tC.9.1LMIf10 able. jnsts0
/ 7~O 2 "
Roof Item No. 3 andro „°""w`K•
Walls Item No. g 11 56
3.63
Item No. 3
I IIij (:
:Walls Item No. g 7 SO
_____ 24,10
31. 1 hereby daclare
that the infonna6on Pli abl ~ ' F
State and NYC Paws and ra herein is rose
gulations applicable to asbestos and oomp,k. to the best of my knowledge.
9 I am fbm~+ar with
related FodCral,
Warren & panzer
Trio Asbestos
tNaneofArMpfiq~
P Removal NYC
t.envYcysr
Corp
32. 1 understand that as the o' er
the asbestos dbat th owner of a building where asbestos st>aterltent activity Oa n R
activities in
monitor ` W s Completely independent ofaeoontanca with the o , l s. respons;ble for the performance of
Asbestos P
alt
hung of cation for the wait specified parties
herein.involved as "0Q
I
1 eve oordracted the third party air
febY declare that! have a horiZed the
f
120 Liberty t3tr.
►~• w.f.d
LLC C/o NYC (,rte ~c,
5onatun
0 2
A STAMPRO COPY OF THIS FORM or.
INCLUDING AMENDMENTS Be
MUST AVAtt.AB AT THE WoRJc SITE.
modlfaption of ,.—...r--. - - -
ACP7
2!!001
NYC-WTC 000108180
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