NYC 9/11 Public Portal Document
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NYC DEPARTMENT G IRONMENTAL PROTECTION
Asbestos Control Program
59-17 Junction Boulevard, 8th Floor. Corona, NY 11368-5107 V
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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
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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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