NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
1j
ONLY t>~
Asbestos Control Program
59-17 Junction Boulevard. 8th Floor. Corona. NY 11368-5107 flii4 AEI «TwJNo
MROFFrCMLU"awv
Q
ASBESTOS PROJECT NOTIFICATION L
(ASBESTOS INSPECTION REPORT)
M rreJrdlo)
When submitting this form at the NYC Department of Buildings, the original form and three (3) copies wO 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 acOvlbes .
1. FACILITY
2. Address 156 William St Borough Manhattan Zip
AKA 51-55 Beekman St. 73-85 Ann St 3. Block 93 20
4. Lot
5. Type of Facility 6. Name of Building
11. BUILDING OWNER
7. Name 156 William St, LLC 8. Contact Person
9. Tel. # (212) 924-9690 Fax #
10. Address City State Zip
III. GENERAL CONTRACTOR
11. Name " Tel. #
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 PanzaE:tt EWf EE1 18. Contact Person Mt GUAEL t0 LAO
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
f f
24. Starting date for this portion of work _7/8 ! Z Projected completion date $ / d 2^
Asbestos work schedule ❑ Monday ❑ Tuesday 0 Wednesday ❑ Thursday ❑ Friday ❑ Saturday ❑ Sunday
Shift from: ❑ am ❑ pm to ❑ am ❑ pm X121
If other. •~
specify
Access to inspect the premises must be provided during the work schedule indicated in this item. o
REwNED
Jill 03 2002
25. Total amount of asbestos-containing material to be abated during this work `'EP'BANHM
59 STOS/LEA:
154 8T Square Feet. and/or 0 Linear Feet ROG
T2G
ACP 7
_L 212001
NYC-WTC 000110702
OCR can misread numbers and units. Confirm readings against the page image before using them.