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Asbestos project notification form, Corona NY, Oct 2001

Machine-extracted title · confidence 90%

Project notification form for asbestos abatement activities submitted to the NYC Department of Environmental Protection.

NYC-WTC_000109630–000109642

Folder label: “115 West Broadway

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Scanned page image, NYC-WTC_000109639
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NYC 9/11 Public Portal Document

J.C. Broderick & Associates, Inc. Asbestos Certification

r STATE OF NEW YORK -DEPARTMENT OF LABOR A • DIVISION OF SAFETY AND HEALTH License and Certificate Unit BUR.DINS 12, Room 161 STATE CAMPUS ALBANY. NY 12240 ASBESTOS HANDLING LICENSE RESTRICTED LICENSE — NO ASBESTOS REMOVAL PER4fl UCENSENOMNER. P

Contractor: J.C. Broderick & Associ ates, Inc. ExPBtATao wr` OG,1301gz

Address: 101-4 Colin Drive Holbrook, NY 11741

Duly Authorized Representative: Brendan Broderick This license has been issued in accordance with applicable provisions New York State and of the New York State Codes, Rules and Regulations (12ofNYCRR Article 30 of the Labor Law of Part 56). suspension or revocation for a (1) serious violation of state, federal or local laws with regard to theItconduct is subject to of an asbestos project, or (2) demonstrated lack of responsibility in the conduct of any job involving asbestos or asbestos

This license is valid only for the contractor named above and this license or photocopy must be prominently displayed at the asbestos project worksite. The licensee verifies that all personsaemployed by the licensee on an asbestos project in New York State have been issued an Asbestos Certificate, appsoprnate for the type of perform, by the New York State Department of Labor. work they

Richard Cucolo, Director SH 432 {10-00) FOR THE COMIIDSSIONER OF LABOR

Brendan G. Broderick

pen CERTIRCATE NUMBER

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• STATE QF NEW YORIO LAa OION 0$ SAFE 1Wfl OF OWRA DIVISION OF SAFETY ANO NEALTM

ASBESTOS HANDLING CERTIFICATE IZED SES C - SAHPLINGOTECHNICI A►SI eB/Oil H - PROJECT MONITOR COR/Al)

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NYC-WTC 000109639

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NYC-WTC_000109639Source: NYC Law Department, mirrored locally

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