Asbestos Project Notification form, Oct 2001

NYC 9/11 Public Portal Document

NYC DE I1YCY ENVIRONMENTAL PROTECTION ,?;' Asbestos Control Program ^ .r a. . 59-17 Junction Boulevard, 8N Floor. Corona. NY 11368-5107 f Dept. or ONLY i D P of OFFtcuL USE TYPEWRITTEN . 6/ ASBESTOS PROJECT NOTIFICATION Oi y

FORMS WILL BE ' 0"" N!µ!"0"' ACCEPTED i (ASBESTOS INSPECTION REPORT) 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 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. I. FACILITY

2. Address 29 Broadway —Borouganhattan Zip 10004 AKA 20 ---------- _3. Block 4. Lot 1 5. Type of Facility-- 6. Name of Building — - II. BUILDING OWNER

7. Name Trinity Morris Corp. 8. Contact Person 9. Tel. # 212-425-2950 Fax# 10. Address _ City State Zip 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. # L. . . !L. .J 15. Tel. # _?1.!.L9 61 4109__ Fax # 718-961-4103 16. Address 14-20 1 29th Street _— CityCollege Point -- Zip 11356 state NY V. THIRD PARTY AIR MONITOR

Warren & Panzer Engineers, 17. Name P.C._-18 Contact Person Michael Nolan 19. Federal Employer ID. # 20. Tel. # 212-922-0077 Fax # 212-922-0630 21.Address_ 228 East 45th Street Citv New York Zip 10017 State NY 22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH ELAP #j 1 251 VI. PROJECT INFORMATION

24. Starting date for this portion of work 1 _ w Jt Projected completion date

Asbestos work schedule nda uesday~Wednesday hursday Friday aturday nday

Shift from: am ❑pm to am Ll~ If other. specify _ 1{ O Access to inspect the premises must be provided during the work schedule indicated in this item. J U1 1 8 2002 25. Total amount of asbestos-containing material to be abated during this work 2 7,725 Square Feet, and/or Linear Feet '

212001

65 NYC-WTC 000111463