NYC 9/11 Public Portal Document
NYC DEP ASBESTOS CONTROL PROGRAM
RGjwm , At,BESTOS PROJECT
NOTIFXcxON (15 RCNY Sections 6)
Written notification must be received within
48 hours via
a) Asbestos Inspection Report (ACP-7) /
1)
b) Cover letter explaining the nature of the emergency /1t -co,
Caller'
Name:
Affilia
Telepho
2) Nature of Emergency:
1) Actual Date and Time of Emergency
1) Method of Asbestos Abatement:
Removal Sq.ft. L. ft. Repair Sq• ft. L. Ft
Encapsulation Sq. ft. L. ft. Clean-upJO ft, L. ft.
Enclosure Sq. ft. L. ft.
Facility Address: ' .~4/I t'
Owner/Agent: Contact Person
Tel.
Location of Asbestos Abatement:
'_o. //
Asbest s Abatement Contractor:
Name:
Address
Telephone #:
Starting Date:
Projected Completion Date:
Verification y
by Owner/Agent: 0.
Call Taken By:
Date: ~®
C: Enforcement (Urgent) .
Form Ni 7/93
NYC-WTC 000110962
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