156 WILLIAM STREET; 1001281, 93/20

NYC 9/11 Public Portal Document

156 UJ I LU A M S -TIZ~,ET • OS INSPECTION REPORT (continued)

26.fsbeetos f IafAer IESI.NY NYS DEC Permit # NJ462 TeL#_(718) 52222~ sposal Site(s) BlueRidge Landfill P0 Box 399 Scotsdale, Pa 17254

27. hIs asbestos abatement Is part of a (Item a through a requires filing of this form with NYC Department of Buildings) ) ❑ Demolition b) ❑ Boiler Replacement c) ❑ Sprinkler Replacement d) ❑ Renovation/AReratlon ) ❑ Fireproofing Replacement f) 0 Other (Describe)

28. YPE OF ABATEMENT (Check all appropriate boxes) Removal ❑ Enclosure ❑ Encapsulation ❑ Repair Clean up 29. BATEMENT PROCEDURE (Check all appropriate boxes) Z Full Containment ❑ Glovebag ❑ Tent ❑ DEP Variance Application 1644rf4/O V 30. OCATION S OF At3Arcaat=a1 2OO F IA &'rC o- r --- Al co ut= S A r ... ~q IY-~GV

DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING FI r(s) OF FLOOR CONTAINING ACM PERFORMED (e.g. entire. east wing, room N. (e.g. Pipe lagging, ceiling. plenum SQUARE LINEAR (e.g. running cable. installing lire sprinklers, boiler room, lobby. etc) ducts Storage tanks, decking,etc.) FEET FEET removing and repladng boilers etc.) T P t= gooP a`7UQ.FAC 8881 -~roa GlL • (Loop So cw(E 52.S tt METAL 1.O0RK 740 ft Wtuooca (..EDGE. 16 'fl . FL . aoOF F -tc 335 4

o f QooF Su 914

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

?f zeR (_TlEir 1j S "L iA)ILzBAM F SoN_gLoTacL Name of Air Monitor Print Name of Asbestos Contractor Print Name of Applicant (If other than Owner)

gnature Signature --- Signature

O6 130(02

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

P~6 13O IOZ Print Name of Owner Signature Onte

A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE.

The requirements of the Asbestos may not be lawfully avoided or lessened ACP7 X1001

NYC-WTC 000110682