156 WILLIAM STREET; 1001281, 93/20

NYC 9/11 Public Portal Document

FAX NO. : 17187266120 Hug. eb eeee 11.14HI•I rt FROM : TONPOUSTI

FOR OFFICIAL USE ONLY av OF ENVIRONMENTAL PROTECTION IMP) ) NYC DEPARTMENT Asbestos Control Program 59-17 JunWm Boulevard. 8°i Floor, Comm, NY 11368-5107 Fee (If any) S ONLY k TYPEWRI77EN FORMS WILL BE ASBESTOS PROJECT AMENDMENT FORM lnfamadon Onyx. ❑ Yes 0 No ACCEPTED tti~•o FOR FORM ACP 7 A modification Is valid only If It is received by the NYCDEP prior to the previously Bled date of completion, exr apt for stars date changes that must be received by the original start date.

ACP7 TRU SN# IOtHMNOZ Faality Address A 5 E L& tu.l AfA STR EIFT Borough M A la Zip i ttri0 3 S

Date ACP7 was fled Variance U(Ifany)

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

Original Start Date Original Completion Date from ACP 7.124.

PLEASE ENTER THE INFORMATION THAT IS BEING ED: A notification may be modified no mare than twice. Only the building owner may amend items IV and V. The ongnal apOicard or bulid1n owner may emend all omen•items. IV. ASBESTOS ABATEMENT CONTRACTOR 12. Name 13. Contact Person 14. Federal Employer ID. # 15. Tel. le Fax # \,— ii'. 16. Address City ____2ip4.

• V. THIRD PARTY AIR MONITOR CEI E fl 17. Name 18. Contact Person 7AUG 2002 19. Federal Employer ID. # 20. Tel. # Fax # iF. \cv 21. Address c çJ ti t 22. Sample Analysis Laboratory 23. NYS DOH ELAP # S r'

VL PROJECT INFORMATION ❑ Project Cancelled 24. Starting date for this portion o work Projected completion date ❑ Project Postponed

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

Shift from ❑ am ❑ pm to ❑ em ❑ pm If tither. specify_________________________________

25. Additional asbestos-containing material to be disturbed during this work 12 24 O Square 2 Feet. and/or Linear Feet Reduction In the amount of ACM to be disturbed during this work Square Feet. and/or Linear Feet 29. Abatement Procedure for Additional Material (Check all appropriate boxes) ❑ Full Containment ❑ Glovebag ❑ Tent ❑ DEP Variance Application Other Changes

30. Locations of abatement modified by above (For each floor list ACM quantity and type)

31132. Name of Applicant! Owner Tel. # Name of Company (if any) Fax # Address CIty State Zip

I hereby declare that the Information provided herein Is true and complete. uYCOcP Signature of Applicant /Owner mow ^CPS 7Y1001

NYC-WTC 000110698