164 WILLIAM STREET; 1001282, 93/24

NYC 9/11 Public Portal Document ff

r— ~~ -~— NYC DEPARTMENT OE ENVIRONMENTAL PROTECTION )' t;~.1 . ,~''`~ ":"`'a Asbestos Control Program u r2 C/Cf /V , )L 5811Junction Boulevard. 8°i Floor. Corona. NY 11368-5107

ONLY DA tt»e1 ASBESTOS PROJECT NOTIFICATION F o t t ot~y

E~ (ASBESTOS INSPECTION REPORT) 1, www.~ <pe+Jde~ I"tCIIBdYte)

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 with nal fm submitted the NYC DEP not less than one week In advance of e th mstart of abatement activities

1. FACILITY

2. Address 164 (U l LLl f1 m S-r e e er Borough MN Zip I CX 38

3. Block 93 4. Lot 24 AKA

5. Type of Facility Mt x e o ust= 6. Name of Building

11. BUILDING OWNER

7. Name SALJA T 0%r_. Po u TO ' 8. Contact Person

9. Tel. # _ ~_._._._._.PII ____ _,-.-._PII _ _ _ _ _._._._._._._._._._._._._._ .~-- PII City ._._._._._._._._._._._._._._._._.~---- State µ`~ 10. Address;

Ili. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR ue2t3A►J4 Sufi ( Nc 13. Contact Person Louse I Ate!CQ 12. Name _ ~ .* I•4 Si?Ol_

20- I8os3 14. Federal Employer ID. # P11 L.-15. Tel. # ( -ttB) 534 - 22.22_.... . Fax# S1cb)

f 248 R 9 ASEt3c,G -- City -1A State _l Zip jj3 36 16. Address

V. THIRD PARTY AIR MONITOR

I 17. Name a4E_ __PAAZEW Eu6, a-Eas __18. Contact Person U►cMAeL (Jc .AM

PII 19. Federal Employer IQ. # y-.-_._._._._._._._._._._._._._._._._._._._._-O.Tet.# C2t2' 922-Oo'rr _Fax#_(2r2) 922-0630

EAST 45 1 S rtr4M'T City 1,19N Yoau. N _ State ►' _ Zip t 00 4 7 21. Address _ 22 R

22. Sample Analysis Laboratory _ 23. NYS DOH ELAP #

VI. PROJECT INFORMATION 24..Starting date for this portion of work _ O$ t04 _0 Z Projected completion date o9 04 02.

Asbestos work schedule ® Monday ® Tuesday ® Wednesday ® Thursday ® Friday I Saturday ® Sunday

I 8o0 ❑ am ®pm g 1Q Shift from: 8 am 0 pm to

If other, ~. RE 'p specify Access to inspect the premises must be provided during the work schedule Indicated in this item. A, fG 5 2002 -. Jnt1H1.t 25. Total amount of asbestos-containing material to be abated during this work 2230 Square Feet, and/or 0 Linear Feet _ TA1UGbt ti ACP 2=

NYC-WTC 000110924