NYC DEP form for notifying the department of an asbestos inspection project at a facility.
NYC-WTC_000111267–000111272Folder label: “Zone II Originals”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
2j o ~ d y,dry UE►A'tr~ NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION r Asbestos Control Program 59-17 Junction Boulevard, 8'" Floor, Corona, NY 11368-5107
RITTEN P ASBESTOS PROJECT NOTIFICATION Building Dept. or TRU No FOR OFFICIAL USE ONLY
EMA _ ORMS WILL BE ACCEPTED www.nyt, ov/Oe (ASBESTOS INSPECTION REPORT) 1. ( 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 111 Nassau Street Borough Manhattan Zip AKA 4 Theater Alley 3. Block 90 4. Lot 18
5. Type of Facility_ 6. Name of Building II. BUILDING OWNER
7.NameJamidaro Partners C/o Pilades Bros. 8.ContactPerson
9.Tel.# 212-227-9895 Fax #
10. Address City State Zip
Ill. GENERAL CONTRACTOR
11. Name Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name Benjamin Kurzban & Son Control 13. Contact Person Louie lannico
14. Federal Employer ID. >k P II 15. Tel. # (718) 531-2900 Fax # (718) 209-1808
16. Address 1248 Ralph Avenue Citv Brooklyn State NY Zip 11236
V. THIRD PARTY AIR MONITOR
17. Name Warren & PanzER F" t tJL s ~ w— __ 18. Contact Person ICI t f AEL NOt.A t.t
19. Federal Employer ID. # PI ______ 20. Tel. # (212) 922-0077 Fax # (212) 922-0630
21. Address 228 East 45th St City New York State NY Zip 10017
22. Sample Analysis Laboratory 23. NYS DOH ELAP #
VI. PROJECT INFORMATION
24. Starting date for this portion of work 0 6128 I0 2 Projected completion date OV 130102. 10 Z 3 Asbestos work schedule V1 Monday 0 Tuesday Wednesday (A Thursday V1Friday 1% Satua
Shift from: ❑ am ❑ pm to ___ ❑ am ❑ 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
14 185 Z Square Feet, and/or 0 Linear Feet
NYC-WTC 000111269
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NYC-WTC_000111279
NYC DEP form for notifying the department of an asbestos inspection project at a facility.
8 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000111229
NYC DEP Asbestos Project Notification form for inspection report submission.
8 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.997
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000111346
NYC DEP Asbestos Project Notification form for facility at Nassau Street.
9 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.995
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000111275
NYC DEP form for notifying the department of an asbestos inspection project at a facility.
8 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.994
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000111453
NYC DEP Asbestos Project Notification form for an inspection report submission.
8 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.994
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000111318
NYC DEP form for notifying the department of an asbestos inspection project at a facility.
8 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000111529
Header page of an Asbestos Project Notification form for a facility at 17 [name] submitted to the NYC DEP.
8 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.993
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000111304
NYC DEP Asbestos Project Notification form for an inspection report submission.
7 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000111090
Standard DEP form notifying authorities of an asbestos inspection project at a specific facility.
8 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000111138
Permit application submitted to the NYC DEP regarding asbestos inspection and abatement activities.
7 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000111374
NYC DEP Asbestos Project Notification form for an inspection report submission.
7 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.992
machine-extracted · confidence unavailable · Check page ↗NYC-WTC_000111205
DEP form notifying the department of an asbestos project at a Corona facility prior to abatement work.
7 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.991
machine-extracted · confidence unavailable · Check page ↗No available related records indexed in this group.
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Administrative record label for original documents from Zone II of the World Trade Center site in the DEP archive.
Filed in the same folder
NYC DEP Asbestos Project Notification form for inspection report submission.
Filed in the same folder
NYC DEP form notifying the department of an asbestos inspection project at a facility on 111 [name].
Filed in the same folder
NYC DEP form for notifying the department of an asbestos inspection project at a facility.
Filed in the same folder
NYC DEP form for notifying the department of an asbestos inspection project at a facility.
Filed in the same folder