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Asbestos Project Notification form, Oct 2001

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NYC DEP Asbestos Project Notification form for an inspection report submission.

NYC-WTC_000111374–000111381

Folder label: “Zone I Copies

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NYC 9/11 Public Portal Document

E 1 6 ,ay ~rtr uinkr NYC DEPARTMENT G IRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 8th Floor. Corona, NY 11368-5107 V v ONLY TYPEWRITTEN I ` i ~A!_____C AY Ji ASBESTOS PROJECT NOTIFICATION Budding DepL or T U No FOR OFFICUL USE ONLY

FO lvju BE (ASBESTOS INSPECTION REPORT) (S1e fee 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 9 signatures. 9 This form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities.

FACILITY

2.Address 95 Maiden Lane Borough Manhattanzip 10038 AKA _3. Block__________ 4. Lot 5. Type of Facility___ 6. Name of Building II. BUILDING OWNER

7. Name Federal Reserve Bank 8. Contact Person 9. Tel- # 212-720-5000 Fax# 10. Address _ City State Zip Ill. GENERAL CONTRACTOR

11. Name Tel.#__ IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name Trio Asbestos Removal Corp. 13. Contact Person Chris Horan 14. Federal Employer ID- # P.11 _._._._. . 15 Tel # _7.i!.2. .1- 41 00 Fax # 71 8-961 410 3 16. Address 14-20 129th Street CityCollege Point _-State NY zip 11356 V. THIRD PARTY AIR MONITOR

17. Name Warren & Panzer Engineers, P.C. i Contact Person Michael Nolan 19. Federal Employer ID. # 20. Tel. # 212-922-0077 Fax# 212-922-0630 _____________________

21.Address_228 East 45th Street city New York State NY Zip 10017 22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH ELAP # 1 1 251 VI. PROJECT INFORMATION 24. Starting date for this portion of work J I3 1Z o Projected completion date 9 13 Jo Z- Asbestos work schedule ❑ Monday 0 Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Saturday ❑ Sunday

Shift from: ______Dam ❑pm to Dam ❑pm Q

If other, y / JJ specify _

Access to inspect the premises must be provided during the work schedule indicated in this item. ~` RECEIVED N ' ~,UG t <OR2 25. Total amount of asbestos-containing material to be abated during this work 11 , 700 Square Feet, and/or Linear Feet

NYC-WTC 000111378

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NYC-WTC_000111378Source: NYC Law Department, mirrored locally

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