156 WILLIAM STREET; 1001281, 93/20

NYC 9/11 Public Portal Document

ya NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, Floor. Corona, NY 11368-5107 ,1 1A4 Jc !/ó'.1 ) 4 ®Z Building ifept. or TRU No ONLY ✓ FOROFFICULUSEONLY 24 ASBESTOS PROJECT NOTIFICATION I (ASBESTOS INSPECTION REPORT) 1 ( e fee schedule)

When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities.

1. FACILITY

2. Address 156 William St Borough Manhattan Zip AKA 51-55 Beekman St, 73-85 Ann St 3. Block 93 4. Lot 20

5. Type of Facility 6. Name of Building

I1. BUILDING OWNER

7. Name 156 William St, LLC 8. Contact Person

9. Tel. # (212) 924-9690 Fax #

10. Address City _ State Zip

Ill. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name Benjamin Kurzban & Son Control 13. Contact Person Louie lannico

14. Federal Employer ID. _..._._._._. P1 15. Tel. # (718) 531-2900 Fax # (718) 209-1808

16. Address 1248 Ralph Avenue City Brooklyn State NY Zip 11236

V. THIRD PARTY AIR MONITOR

17. Name Warren PanzaER ENG to EER-S 18. Contact Person Mt C,ttAEL NO LAt'

19. Federal Employer ID. ------------ 1. !._._._._._._ 20. Tel. # (212) 922-0077 Fax # (212) 922-0630

21. Address 228 East 45th St City New york State NY Zip 10017

22. Sample Analysis Laboratory 23. NYS DOH ELAP #

VI. PROJECT INFORMATION 24. Starting date for this portion of work 7/g !` D Z Projected completion date > 18I' b Z

Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday 0 Thursday ❑ Friday ❑ Saturday ❑ Sunday

Shift from: __ ❑ am ❑ pm to ____ ❑ am ❑ pm ~2 1

If other, specify

Access to inspect the premises must be provided during the work schedule indicated in this item. REc iEO +~l 0 3 2002 25. Total amount of asbestos-containing material to be abated during this work '8ANHN e STGS/IE=_ 4 ST 'Square Feet, and/or 'RrGRAM 15 0 Linear Feet TRUG ACP 7 212001

NYC-WTC 000110699