Asbestos project notification form, 30 West Broadway, Aug 2002

NYC 9/11 Public Portal Document

FOR OFFICIAL USE ONLY NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program Feg (If any) 59-17 Junction Boulevard. 8"' Floor. Corona, NY 11368-5107 ONLY TYPEWRITTEN RMS WILL B ASBESTOS PROJECT AMENDMENT FORM Information Only: ❑ Yes ❑ No CCEPTED FOR FORM ACP 7

A modification is valid only If it Is received by the NYCDEP prior to the previously flied date of completion, except for start date changes that must be received by the original start date.

ACP7 TRU/BN# 1121 a 01'M'lFacitity Address ≥t). %$ ES1 Borough _ t zip O c

Date ACP7 was filed I Variance # (If any)

Was this ACP7 amended before? ❑ Yes ❑ No If yes, specify date

Original Start Date 9-- D.)-Original Completion Date 0)— from ACP 7, #24. ii A notification may be modified no more than twice. PLEASE ENTER THE INFORMATION THAT IS BEING CHANGED: 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 FI &Q..L CAD to t e -m ~— 13. Contact Person t o N' I Cq t A

14. Federal Employer ID. _._._._._._._._._._. P I I_ — 15. Tel. kEI L) g " I 3D b Fax SI g I — 3D$~

16. Address 30 I '4-d Y$ A,1R -#-W E City WA+ t AC5 H State L'i Zip 3

V. THIRD PARTY AIR MONITOR ~+iNEfe. f G 18. Contact Person M 1 C.1"t"rE`. L A 17. Name J> N ` ZZ K`~•~1, 19. Federal Employer ID. # 20. Tel. #Y a ~,~ 0 07 7 Fax # 44) c7 11 — Oro '' 11 21. Address• 4 3~ City N - StatJ I_ Zip I OO1

• 22. Sample Analysis Laboratory SCirs.lN_tiçs L r:l , _1. (zptr o Q1ES Q3. NYS DOH ELAP # 'i t t-i' g~

VI. PROJECT INFORMATION 0 Project Cancelled 24. Starting date for this portion of work Projected completion date 0 Project Postponed

Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Saturday 13 Sunday

Shift from: ❑ am ❑ pm to ❑ am ❑ pm If other, specify

Square a Li Feet 25. Additional asbestos-containing material to be disturbed during this work Reduction in the amount of ACM to be disturbed during this work .2' '9 I .2 Sq~uar t, a r -Line t

29. Abatement Procedure for Additional Material (Check all appropriate boxes) 1. ,, ~•. )

❑ Full Containment ❑ Glovebag ❑ Tent ❑ DEP Variance Application , roscohr~

Other Changes

30. Locations of abatement modified by above nJø (For each floor list ACM quantity and ) C 2 S~ 31/32. Name of Applicant / Owner r'_ 7 1 l Tel. #~- 3 `Q o

Name of Company (If any) C-bt_ i Fax #

Address City State ZIP

• I hereby declare that the information provided herein is true and complete. 3~ O~ o~~ Signatu of Applicant /Owner D to 2=01

NYC-WTC 000109853