164 WILLIAM STREET; 1001282, 93/24

NYC 9/11 Public Portal Document

NYC OIPAWTM __ Mj AL MdIiC'TION 59.17 .hnolion Bou tetd. a PIOM. NY tt3i61U7

r,iri DP ASBESTOS PROJECT NOTIFICA1 III - (A~ESTOS INSPQCflON REPORT) 1. `rww.ete.1 tsar. ACCEPTED of Bum• the'original form and three (3) copies *0 odghrel When submitting this form at the NYC Department requires one copy of the form with odgkW signatures. This signatures are required. Submittal at the NYCDEP than one week In advance of the start of abatement activities. form must be submitted to the NYC DEP not less

I. FACILITY Borough MN __— ZIP 1ao38 2. Address 164 w ILLfam -SYQg. •r -- 3. Block 9 —_ 4. Lot 2_ AKA --- ----- 4 .E- __ 6. Name of Building —.~.--- 5. Type of FacilitY--M L x Eo ---

U. BUILDING OWNER re 8. Contact Person _--------- 7. Name SAL V A T C f2 c i'c El . . . .~ Fax # --- ------------ ------- =_ PII Nr City J_._._._._._._._._P11._._._._._._._._. 10. —_._._._._._._._._._._._._._._._._._.: —

III. GENERAL CONTRACTOR Tel. # 11. Name __—____----------------- — - CONTRACTOR IV. ASBESTOS ABATEMENT 13. Contact Person _~~ aLa - ---__— Sc.~—CAN due --------- 12. Name ~~AµL~ kygz~9~i PII 15. Tel. # t z rt f~) 3 r - g 9 eo_-- Fax # 14. Federal Employer 10. # b__._._._._._._._._._._._._._._._•.--- - ►+j__ Zip _n 2 3E _ S:t City -_ -Y N -_---•-- State 16. Address i 24Is A QV ------------- --

V. THIRD PARTY AIR MONITOR ~ ----------_18. Contact Person ~~►rAs~ _cN ---- c _ __tokN__~u — - 17. Name —aja► ----- 2 max:C t — Fax # 30--- 20. Tel. # _--_71 9?--= 19. Federal Employer I0. # 1 City --. fo `=---------- State _ ZiP - t rc . ____ Zz f Cpl ; ci ~t --------------- 21. Address --------- 23 NYS OC~I =LA? x 22. Sample Analysts Laborato ----"-"'-

VI. PROJECT INFORMATION ; _____________ __ Projected completicn dare _ =% ~' --- 24.. Starting date for ih:s portion of work =rt;a; Saturday 12 Sunday © Wednesday~ 0 Thursday Asbestos work schedule ©htcnday ~ Tuesday ck. 10 © am ❑ pm to _ _— Dams pm ?1 • 1/ Shift from: _ '__ 4 $ iry ----------------------------------------- RECEIVEO If other. ___

this item. ' ~Ac~cess inspect t ~p rer*S~esmusr~prmavtd~eddudng be the work schedule indicated in _ AUG 0 5 2007 material to be abated during this work :: 25. Total amount of asbestos-containing C rvJ C 2230 _ Square Feet. andlor _.^__.—.- Linear Feet ! Ac.

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NYC-WTC 000110917