Asbestos Project Notification form, Oct 2001

NYC 9/11 Public Portal Document

/3 7 C,vIT~--- I dun uayr•. .. ~t' NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 8°i Floor. Corona, NY. 11368-5107 Building Dept. or TRU No ONLY DP ),I pr ~ FOR OFFICIAL USE ONLY TYPEWRI ASBESTOS PROJECT NOTIFICATION L FORM ' (ASBESTOS INSPECTION REPORT) ACC ' . .. .<. .teo i 1 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 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.

. FACILITY

2. Address 55 Liberty Stree Borougtfanhattan Zip 10005 AKA - 3. Block 64 _ 4. Lot 8 5. Type of Facility 6. Name of Building It. BUILDING OWNER

7. Name 55 Liberty Owners Corp. Olo e. <'Q.?c'Acry Contact Person Fax #

10. Address (O E AST 4S lk STRcET City E0 gt~IL V State Zip 100 I III. 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~- .-•---•--- -- 15. Tel. # 71 8 9 61 - 41 00 Fax # 718 9 61- 41 03 16.Address 14-20 129th Street CityCollege Point State NY Zip 11356 V. THIRD PARTY AIR MONITOR

Warren & Panzer Engineers, P.C. 17. Name 18 Contact Person Michael Nolan 19. Federal Employer ID. # _ 20. Tel. # 212-922-0077 Fax # 21 2-922-0630 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 Z b t Projected completion date q I C DZ

Asbestos work schedule onday Tuesday ( ednesdar6 Thursday I1 day i2iaturday 4E Sunday

Shift from: m ❑pm to L Dam 5ppt

If other, specify

Access to inspect the premises must be provided during the work schedule indicated in this item. RECEIVED AU6'22 ?00`1 25. Total amount of asbestos-containing material to be abated during this work IUURUU or V4tRO10R'rU s.< i PiNFO'AI'rw 1[N?ORCU. I . AEST CNUL 40, 000 f Square Feet. and/or Linear Feet TGI11 ,

/' ACP7 / 22001 UobEOpMENta A ROL UBEp~ 1,019

NYC-WTC 000111380