NYC 9/11 Public Portal Document
,60 9/ NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONLY
Asbestos Control Program
59-17 Junction Boulevard, 8s' Floor, Corona, NY 11368-5107 #/fi44 ~Ljz or TpuNo
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ASBESTOS PROJECT NOTIFICATION L i1Oi`""`NONLV
(ASBESTOS INSPECTION REPORT)
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When submitting this form at the NYC Department of Buildings, the original form and three (3) copies wMi original
signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatues. This
form must be submitted to the NYC DEP not less than one week in advance of the start of abatement sWNbes .
I. FACILITY
2. Address 156 William St
AKA 51-55 Beekman St, 73-85 Ann St
5. Type of Faculty
II. BUILDING OWNER
7. Name 156 William St. LLC
9. Tel. # (212) 924-9690 Fax #
10. Address
III. GENERAL CONTRACTOR
11. Name "
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name Benjamin Kurzban & Son Control 13. Contact Person Louie lannioo
_
14. Federal Employer ID. # ------ - 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 Panzas EN. tto EEtZS 18. Contact Person NI CLLAEL t1O LAt3
19. Federal Employer ID. # _._._._._.P!!.._._._._. 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 _7/8
/
` 0 Z Projected completion date 1 8 1 6d Z
Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Saturday ❑ Sunday
Shift from 0 am 0 pm to 0 am 0 pm
c~
If other,
specify
Access to inspect the promises must be provided during the work schedule indicatedIn this item.
REt !EO
JW 03 2002
25. Total amount of asbestos-containing material to be abated during this work r=P,BANHM
-'_ STOS/1E4,
154 ST Square Feet, and/or 0 Linear Feet fROGRAM
TR2G AcI
r
ACP 7
L 28001
NYC-WTC_00011070
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