EPA residential cleanup announcement, Lower Manhattan

NYC 9/11 Public Portal Document

,l NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION pC L1 IXJ/ .'` ~•. Asbestos Control Program t 59-17 Junction Boulevard, 8" Floor. Corona. NY 11368-510T r Building 0p. or TRU No % FOR OFFICIAL USE ONLY ~tv ASBESTOS PROJECT NOTIFICATION f lN~f1BE ""''""i0 (ASBESTOS INSPECTION REPORT) 1. LD ACCEPTED (S1ée fee sehedu

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 N_ 2. Address 1"4 Vl 2fJ} S T Borough Zip I 30

AKA 3. Block 13 3 4. Lot _

5. Type of Facility 6. Name of Building

II. BUILDING OWNER

7. Name `L--~a t C- '~'F 1 TI E I4 ' 8. Contact Person

9. Tel.# Fax#

10. Address s City 1'3 _ _\ State ) Zip O OO __4 III. GENERAL CONTRACTOR

11. Name TeI. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name , kJ eIL ~O 13. Contact Person tp5/ ? c 14. Federal Em'ployer to P11 15. Tel. # — ID. #J._._._._._._._._._._._._._._._._._._._._._._., 61 - 7513a00 Fax # —5I i 3 5 ' ,~ , t 16. Address OLDC~ -& E' City J /&'J State Zip 112

V. THIRD PARTY AIR MONITOR

17. Name y y k?"(ZE2 C,rth_' "T ~C 18. Contact Person `t ~- (Ar `°t "

19. Federal Employer ID. # 20. Tel. # - as - OD' Fax # 2Ia - 92a - 06 3 0 21. Address 4L S (I& : City 9+ ~ t - State _ Zip OO // 22. Sample Analysis Laboratory SC( ~ L h 1'ti3t (171'C /ES vc 23. NYS DOH ELAP #_(1 d

VI. PROJECT INFORMATION 24_ Starting date for this portion of work S 0 Projected completion date 9') SI ~-►

Asbestos work schedule 0 Monday 0 Tuesday ❑ Wednesday 0 Thursday 0 Friday ❑ Saturda .. Sunday

Shift from: ❑ am ❑ pm to ❑ am ❑ pm

If other, specify RECEIVED Access to inspect the premises must be provided during the work schedule indicated in this item. A 02 AUG 2CO2 _,

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

2. 0 0 Square Feet, and/or Linear Feet ACP

ci:• .0 c-~:ai~c~a

NYC-WTC 000111080