NYC 9/11 Public Portal Document
E ?; `/ pk CITY
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
Of1.4T494'4.
Asbestos Control Program
59-17 Junction Boulevard, 8' Floor, Corona, NY 11368-5107 7 'tI/ o4
;fir
C *I
ONLY
TYPEWRITTEN ''h,,b
DAP 49 ASBESTOS PROJECT NOTIFICATION
Building Dept. or TRU No
FOR OFFICIAL USE ONLY
FORMS WILL BE 'rNtwru
(ASBESTOS INSPECTION REPORT)
ACCEPTED e. 1. C
l (See schedule)
When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original
signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This
form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities.
LJ
I. FACILITY
2. Address 125 Cedar Street Borough Manhattan Zip 11201
3. Block 52 4. Lot 21
5. Type of Facility residential 6. Name of Building
II. BUILDING OWNER
7. Name •120 Liberty LLC 8. Contact Person Mr. Joe Messino
9. Tel. # (718) 830-0131 Fax #
10. Address 97-77 Queens Blvd City Flushing State NY Zip 11374
Ill. GENERAL CONTRACTOR
11. Name n/a Tel.#
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name Fiber Control Inc._ 13. Contact Person Mr. Anthony Costa
14. Federal Employer ID. f P 11 15. Tel. # (516) 781-3000 Fax # (516) 781-3085
16. Address 3010 Bums Avenue City Wantagh State NY _ Zip 11793
V. THIRD PARTY AIR MONITOR
17. Name A.T.C. Associates 18. Contact Person Mr. Fred Burkhardt
19. Federal Employer ID.1 P11 _ 20. Tel. it (212) 353-8280 Fax# (212) 353-8306
21. Address 104 East 25th Street City New York state NY zip 10010
22. Sample Analysis Laboratory A.T.C. Associates 23. NYS DOH ELAP # 10879
VI. PROJECT INFORMATION
•24. Starting date for this portion of work 10/5/02 Projected completion date 10/7/02
Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday 0 Friday ❑ Saturday Sunday
Shift from: ______Dam ❑pm to Dam ❑pm
If other,
specify
Access to Inspect the premises must be provided during the work schedule indicated in this Rem.
25. Total amount of asbestos-containing material to be abated during this work
- 2.346 Square Feet, and/or 0 Linear Feet
*1
Oj
ACP 7
~•-'J 2!2001
NYC-WTC 000108266
OCR can misread numbers and units. Confirm readings against the page image before using them.