Asbestos Project Notification form, Corona NY

NYC 9/11 Public Portal Document

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NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program ~' t~ 4 59-17 Junction Boulevard, 8"' Floor. Corona, NY 11368-5107 ONLY (( TYPEWRITTEN'~;~... *w~ DP") / ASBESTOS PROJECT NOTIFICATION Sud&v Dept• or TRU No FOR OFflCtAL USE ONLY

FORMS WILL BE Mud`•` (ASBESTOS INSPECTION REPORT) ACCEPTED (~~...~atavraeo 1. (See 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 NYCDEP 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

2. Address- 25 Trinity Place _BorougtManhattan Zip 10006 AKA--- 49 R r 1wav 3. Block 20 4. Lot 1 3

5. Type of Facility 6. Name of Building _ II. BUILDING OWNER

7. Name Stahl Midtown Property 8. Contact Person 9.Tel.# 212-425-5000 Fax# 10. Address City State Zip

Ill. GENERAL CONTRACTOR

11. Na Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name Trio Asbestos Removal Corp. 13. Contact Person Chris Horan 14. Federal Employer ID. # Phi 15. Tel. #718-961-41 00 Fax# 718-961 -4103 16. Address _1_ 0 1 29th Street City College Point State NY Zip 1 1 356 V. THIRD PARTY AIR MONITOR

17.NameWarren & Panzer Engineers, P.C. — 18. Contact Person Michael Nolan 19. Federal EmployerID.# 20.Tel.# 212-922-0077 Fax# 212-922-0630 21.Address22. ..East 45th Strppt - City New York Stat~1Y Zip 10077

22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH ELAP # 11251

VI. PROJECT INFORMATION

24. Starting date for this portion of work Projected completion date

Asbestos work schedule ❑ Monday ❑ Tuesday 0 Wednesday El Thursday El Friday ❑ Saturday ❑ Sunday

Shift from: ______Dam ❑pm to Elam ❑pm

If other. specify _---

Access to inspect the premises must be provided during the work schedule indicated in this item.

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

_5 97 5 - Square Feet, and/or Linear Feet 7 )1

NYC-WTC 000111223