Document identifier page for Liberty Street records

NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION FOR OFFICIAL USE ONLY Asbestos Control Program to s 59-17 Junction Boulevard, 8m Floor, COMM, NYe 136851Q7

ASBESTOS PROJECT AMENDMENT FORM krfay~afibii 9 1(es ❑ No FOR FORM ACP 7 A modification Is valid only If it is received by the NYCDEP prior to the previously fad dete'of completion, except for start date changes that must be received by the original start dater

..P7 TRU/BN# q :- N O?acility Address \ -5 C e A- ST gpaj~ )J It Date ACPT was filed Variance # (If any) 'JUL 11 2002 &r' ! Was this ACP7 amended before? 0 Yes ( No If yes, specify date "sets' as

Original Start Date Original Completion Date from ACP 7, #24. PLEASE ENTER THE INFORMATION THAT IS BEING CHANGED: I A notification may be modified no more than twice. Only the building owner may amend items IV arid V. IV. ASBESTOS ABATEMENT CONTRA R Tt1e original applicant or building owner may amend all other items. I 12. Name t~ \' e1 co 13. Contact Person 14. Federal Employer ID. # _._. P I 1 _•_• 15. Tel. # eit) a 6 i ''it'- Fax # ~-/ 16. Address I't•t '~ ~-°► ~h - City 1`e ` State I Zip ), S V. THIRD PARTY AIR MONITOR

17. Name wd` t ~^ k °"'7 t `- 18. Contact Person 19. Federal Employer ID. # 20. Tel. # 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 ` 6 i<_ Projected completion date d ❑ Project Postponed

Asbestos work schedule JErMonday Tuesday ' VVednesdayfl-Thursday DFriday WSaturday, Sunday Shift from: (fn ❑ pm to 0 am pm If other, specify f7 s t 25. Additional asbestos-containing material to be disturbed during this work 3 i-(° Square Feet, and/or Linear Feet Reduction in the amount of ACM to be disturbed during this work ~' ' ~_ Square Feet, and/or '0 Linear 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 ° a a-'t. (For each floor list ACM quantity a type) 31/32. Name of Applicant I Owner Tel. # uT 3 t; 7 Name of Company (If arty) ~ G c/ 1 Fax # Address City tat Zip

I hereby declare that the information provided herein is true and complete.

Signature of Applicant /Owner Date ~: pp cc•d`

2 2/2001

NYC-WTC 000108181