Pest control invoice, Kurzban & Son, WTC debris removal

NYC 9/11 Public Portal Document t wtuL.tp,M ASBESTOS INSPECTION REPORT (contfnuod) 6. Asbestos Hauler IESI.NY ~ Disposal Site(s) BlueRidge Landfill PO Box 399 Sootsdale, Pa 17254 NYS DEC Permit io NJ-462 - Tel.# (718) 522-2263

27. This asbestos abatement is part of a (Item a through e requires filing of this to with NYC Department of Buildings) a) 0 Demolition b) ❑ Boiler Replacement c) 0 Sprinkler Replacement d) ❑ Renovation/Atteration e) 0 Fireproofing Replacement f) O Other (Describe) 28. TYPE OF ABATEMENT (Check all appropriate boxes) 0 Removal 0 Enclosure 0 Encapsulation 0 Repair 0 Clean up 29. ABATEMENT PROCEDURE (Check all appropriate boxes) ❑ Full Containment 0 Glovebag ❑ Tent ❑ DEP Variance Application 30. LOCATIONS OF ABATEMENT DESCRIBE SECTION /9O/~-1 J 'c7 2 — AFFECTED SURFACES I AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OF FLOOR CONTAINING ACM (e g enure, east wing. room a (e g Pipe lagging. ceding, plenum SOUARE LINEAR PERFORMED Ogler room, lobby etc) to g running ca ble. installing fire ducts, storage tanks decking, etc) FEET FEET sprinklers.

ROOF I i Roo F suar-AaE 124 c ! It ! I BULYIEAD WALLS 1 620 FAAOE EAST FtiCADE 2150 Sa:C~g0 ; tt i Soo 1140 AL ~ n t~ ! it ) 2000 FA .acE Sb(fil ICADE tAce of 121oa

31. 1 hereby declare that the information provided herein is true and complete to the best of my knowledge. I am familiar State and NYC laws and regulations applicable to asbestos related with Federal. work.

WIIRP.E13—~ANzeR ,~;,tNEEQS I ~._Ku¢zBpN{ I Say% Print Name Art b►3rEOt_~NC~ I _ _ Monitor Print Name of MOe Contractor Print Name of Applicant (Homer than Owner) r

Sgnature Signature ----- ----- ---------- Signature

_ 11-Is_o —is—o2

32. I understand that as the owner of a building where asbestos abatement activity occurs. I am responsible for the asbestos abatement activities in accordance with the the performance of Asbestos Control Program Rules. I have contracted the monitor who is completely independent of all parties involved in third party air filing of this notification for the work specified herein. the asbestos project. I hereby declare that I have authorized the

Print Name of Owner NYCDEP U— (s —e2 Signature Oats A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE. [TMv modification of information provided on this form must be reported immediately in writing direct) to the NYC DEP ACP. The requirements of the Asbestos Control Program Rules may not be lawfully through the performance of work in incremental or piecemeal avoided or lessened fashion. ACPi ?12001

NYC-WTC 000110554