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Document / 12 pages

Asbestos work schedule and permit application, Oct 2002

Machine-extracted title · confidence 100%

Application detailing the schedule and scope for asbestos abatement work at a specified location in October 2002.

NYC-WTC_000110812–000110823

Folder label: “161/167 William Street; BN# 1001269 / 1001268

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Scanned page image, NYC-WTC_000110813
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NYC 9/11 Public Portal Document

~,,;~, . NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION L ii 3` ~ °'` • ~ - Asbestos Control Program 59-17 Junction Boulevard, 8~" Floor. Corona, NY 11368-5107 7 ~0~ USEo"`Y •~ ASBESTOS PROJECT NOTIFICATION t y ACCEPTED ITTEN .www. t:fav(0~ (ASBESTOS INSPECTION REPORT) . • (Sea fee schedule) ~ilien 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.

I. FACILITY

2. Address I65 WILLIAM 5 -I Q E ET Borough MAN Zip 1003 S

AKA 3. Block 4. Lot

5. Type of Facility 6. Name of Building 11. BUILDING OWNER

7. Name 169 EyMA0 &ssoetATES % }Act ResM1c r 4 SoNs, INc • 8. Contact Person PEtem ResMco 4

9. Tel.# (242) 421-1300 Fax# (2l2)1rse-x949

10. Address d o EAsS 59'nt 5T9Qr_-T City ,Iw Yoax State P1 Zip 10022 III. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name SEN.SAMIN KUQZAAN §t SoN 00.31 OL fie. 13. Contact Person LoutE IANM tCO

14. Federal Employer ID. # PII - 15. Tei. #. (t8) 531- 2900 Fax # ( tt8) 2O9-18 16. Address 1248 RALPtt AJ►ENUE. City 8P)0'LYN State N4 Zip 11230

V. THIRD PARTY AIR MONITOR

17. Name WARREN 4 PRMz.eit ENrc.INeeps 18. Contact Person M10AREL NokAN

19. Federal Employer ID. # _._._._._._PII -20. Tel. # (212) 922-eeoTT .Fax # c212) 922-0630 21. Address x216 EAST 45n Sr'erMT City NFW YoeK State NY Zip 10O1T

22. Sample Analysis Laboratory, 23. NYS DOH ELAP # Vt. PROJECT INFORMATION 24_ Starting date for this portion of work 10 { 40 102. Projected completion date II 110102

Asbestos work schedule ® Monday ® Tuesday © Wednesday ® Thursday IE Friday ® Saturday Sunday ,✓ Shift from: Soo ® am 0 pm to 8 '° ❑ am ® pm wk

If other, Tt specify Access to /nspet~t the premises must be provided derning the work schedule indketed!n this Item. / f.

iIv0 `

25. Total amount of asbestos-containing material to be abated during this work

Square Feet, and/or Linear Feet nt,,, r ' / ACP 7 212001 Ott OF ~

t 37

NYC-WTC 000110813

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NYC-WTC_000110813Source: NYC Law Department, mirrored locally

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