EPA residential cleanup announcement, Lower Manhattan

NYC 9/11 Public Portal Document

1 11 l i1~ ~, o NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION o~- "" ' 4''!~. Asbestos Control Program t pow ~ x` 19-17 Junction Boulevard. V' Floor. Corona, NY 11368.5107 ONLY ~ ' ASBESTOS PROJECT NOTIFICATION Building Dept. or TRu No FOR OFFICIAL USE ONLY

FORM "`" 1D (ASBESTOS INSPECTION REPORT) ACC _:_:.~: .r.r. f~ (she fee schedule)

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 NYCOEP 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 ~-t 1~ 2. Address CI 7 C ITri rvl1>£2S s ( Borough Zip

AKA _19 i _p 3. Block l4-9 4. Lot

5. Type of Facility 6. Name of Building

II. BUILDING OWNER

7. Name DE E c E C_I 1Ar:r iP rZS S 1 FF T8. Contact Person

9. Tel. # ar:)::)_ Fax #

10. Address f_ C- M t!? 2. L2 S City t") ' _State ' 1Zip I &'0

Ill. GENERAL CONTRACTOR

11. Name Tel. # _

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name ~~ 1~O 13. Contact Person / 1) 1,&?'8SL/~

14. Federal Employer ID. #L PII X15. Tel. # - 7 1'30 00 Fax _i_ ?&J 16. Address 301 lie City _ State /3 ( Zip /12' T

V. THIRD PARTY Alit MONITOR

17. Name ~?v. ZE Q i ~j Pc 18. Contact Person ~1A i r '` f" " o'12 - 00f' ?± Fax # ZJa ~a - 06 3 0 19. Federal Employer IID..# 20. Tel. # a fP 00 ( . 21. Address ~~g 4L1 '` S'( ~ City _State f ' Zip

22. Sample Analysis Laboratory C(f~(Tl~(C- 4~ 23. NYS DOH ELAP # / 8~

VI. PROJECT INFORMATION V Projected completion date 24_Starting date for this portion of work

Asbestos work schedule ❑ Monday 0 Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Satyuta

Shift from: 0 am 0 pm to 0 am 0 pm

If other. specify REcF~v£0 —~ Access to inspect the premises must be pmvided during the work schedule indicated in this item.

tA 25. Total amount of asbestos-containing material to be abated during this work RjG Square Feet, and/or Linear Feet

21200 4r.:z ; —' S ~`f:%:firfAT tPn

NYC-WTC 000111078