NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL-PROTECTION FOR OFFICIAL USE ONLY
Asbestos Control Program Fee (if any) $
59-17 Junction Boulevard, 8°f Floor. Corona, NY 11368-5107
ONLY
FORMS WILL BE
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ASBESTOS PROJECT AMENDMENT FORM
2)1
Amendment 2017
ACCEPTED ..•.ovc.s..i..v
Information Only. 0 Yes ❑ No
FOR FORM ACP 7
A modification Is valid only if It Is received by tare NYCDEP prior to the previously filed date of
completion, except for start date changes that must be received by the original start date.
ACP7 TRU/BN#Q MAWF cility Address W ( J IW~ WM Borough ___ Zip
Date ACP7 was filed 0 - Variance # (If any)
Was this ACP7 amended fore? 1<s 0 No If yes, specify date
Original Start Date D riginal Completion Date a m ACP 7, #24.
PLEASE ENTER THE INFORMATION THAT IS BEING CHANGED: A notification may be modified no more than twice.
Only the building owner may amend Items IV and V.
The original applicant or building owner may amend all other items.
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name Ft Lam- - C -` 13. Contact Person t { -Cc 1 1
r
14. Federal Employer ID. #_. ._._._._._._.P.11._._._._._._._.___ 15. Tel. # 1b0 7 I
16. Address Vic)l 1- -w-. ---- city W-Pri "TPr tk state ~' Zip
V. THIRD PARTY AIR MONITOR
17. Name %r {" ~1JZ - — Cw~X;1~2~C 1?-S i f L.,. 18. Contact Person -A C i*
19. Federal Employer ID. # 20. Tel. # { >~~ _- fl Fax# t ) 27-
21. Address City N` State _Zip t 319
22. Sample Analysis Laboratory L oR(~- C-23. NYS DOH ELAP # LJ ~~
VI. PROJECT INFORMATION ❑ Project Cancelled
24. Starting date for this portion of work - Projected completion date 0 ❑ Project Postponed
Asbestos work schedule 0 Monday ❑ Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Saturday ❑ Sunday
Shift from: ❑ am ❑ pm to ❑ am ❑ pm If other, specify
25. Additional asbestos-containing material to be disturbed during this work 1 mare eet4h ear Feet
Reduction In the amount of ACM to be disturbed during this work uar e- 1nfc
a
s) r Feet
29. Abatement Procedure for Additional Material (Check all appropriate boxes)
❑ Full Containment 0 Glovebag 0 Tent ❑ DEP Variance Application V
Other Changes
30. Locations of abatement modified by above L_-es ---C
(For each floor list ACM quantity a
31/32. Name of Applicant / Owner
J~,~ ~~
r _ Tel. t)c'i p
o
Name of Company (If any) f" 1 LJ f~ L% Fax #
Address City State Zip
I hereby declare that the information provided herein is true and complete.
Sign tune of Applicant /Owner Date
a,,,,RREW 01 ACP 8
ENMt= 212001
iS2EpST~0's C~ONNTROL
NYC-WTC 000109777
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