156 WILLIAM STREET; 1001281, 93/20

NYC 9/11 Public Portal Document

FROM : TONPOUSTI FAX NO. : 17187266121 Hug. Gb 11.14HI'I r'1

FOR OFFICIAL USE ONLY NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program Fee (II any) $ 59-17 Junction Boulevard. S' Floor, Corona. NY 11368-5107 ONL TYPEWRITTEN FORMS WILL 6E -- -- ASBESTOS PROJECT AMENDMENT FORM ld rmadan Only: ❑ Yes 0 No ACCEPTED .... re.~~.I~.o FOR FORM ACP 7 A modrfeation Is valid only If It is received by the NYCDEP prior to the previou y filed date of completion. except for start date changes that must be received by the original start date.

ACP7 TRU/BN# I MNOZ Facility Address 15 6 Lt:tu.l AM STIZIE • Bc h _M At..1 Zip i 00 3

Date ACP7 was filed Variance # (If any)

Was this ACP7 amended before? ❑ Yes El No If yes, specJy 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 more than twice. Ony the building owner may amend Items N and V. The original aoicard or building owner may emend an other Items. IV. ASBESTOS ABATEMENT CONTRACTOR 12. Name 13. Contact Person 14. Federal Employer ID. # 15. Tel. # ' I Fax # / 16. Address of City Z C V. THIRD PARTY AIR MONITOR a~ AU G CEIV 2002 17. Name I8. Contact Parson ►v 19. Federal Employer ID. # 20. Tel.!! Fax # r == ^i fil ~ccr • 21. Address city Z~ 22. Sample Analysis Laboratory 23. NYS DOH ELAP # S

• VL PROJECT INFORMATION ❑ Project Cancelled 24. Starting date for this portion of work Projected completion date 0 Project Postponed

Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Saturday 0 Sunday Shift from: ❑ am 0 pm to ❑ am 0 pm If other. speciy

25. Additional asbestos-containing material to be disturbed during this work 12 2.40 Square 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)

31f32. Name of Applicant / Owner Tel # Name of Company (If any) Fax # Address CRY State Zip

• I hereby declare that the Information provided herein is true and mplete. uYC.OE'P oT-3i-o2 Signature of Applicant /Owner Dote wcra

NYC-WTC 000110725