Asbestos Project Notification form, Oct 2001

NYC 9/11 Public Portal Document

E 1W Ej •°ii. Cl~fou.! yi NYC 0 ENVIRONMENTAL PROTECTION Y Asbestos Control Program 59-17 Junction Boulevard, 8° Floor, Corona. NY 11368-5107 1, 8uddug Dept. or Tttu No ONLY FOROFFICKuseONLY TYPEWRITTEN FORMS WILL BE ~ !^µ!•O ~ ASBESTOS PROJECT NOTIFICATION ACCEPTED !' .....r<.t.•/~e~ (ASBESTOS INSPECTION REPORT) 1 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 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 45 Wall Street Borougt~lanhattan Zip 10005 AKA 3. Block 26 4. Lot 21

5. Type of Facility__ 6. Name of Building II. BUILDING OWNER Development 7. Name 45 Wall Street, LLC c/o Rockrose 8. Contact Person 9. Tel. # 212-375-1155 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. # PH 15. Tel # 71 61 - 41 00 Fax # 71 8 - 9 61 - 410 3 16. Address 14-20 129th Street __ Ci tyCollege POlnt __State NY Zip 11356 V. THIRD PARTY AIR MONITOR

17.Name Warren & Panzer Engineers, P.C. Michael Nolan 18. Contact Person 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 # 11251 VI. PROJECT INFORMATION 24. Starting date for this portion of work .7 /1 o Z- Projected completion date Z' , /~ 1 Asbestos work schedule nda esda8 dnesda Thursday~'Friday I Saturday .nday

Shift from: %am opm to Dam, 'm , TTiJi, If other. specify

Access to inspect the premises must be provided during the work schedule indicated in this item. RECENEU "S \'\ l U L 18 21392 f 25. Total amount of asbestos-containing material to be abated during this work •%~S1 ti -:~ 40, 730 Square Feet. and/or Linear Feet *PJC, ACP 7 z 2/2001

5) NYC-WTC 000111465