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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_000111453–000111499

Folder label: “Zone III Originals

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NYC 9/11 Public Portal Document

Eloo . ,. NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard. 8'" Floor. Corona, NY 11368-5107 II Building Oepl. or TR o FOR OFFICIAL USE ONLY TEN nn ... ASBESTOS PROJECT NOTIFICATION LL BE` ~! ru . (ASBESTOS INSPECTION REPORT) *CEPTED ti c.___ar to•r_e0 1. 1.I2T1c 7(1 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 60 Broad Street Borougt4anhattan Zip 10004

AKA _- 3. Block 24 4. Lot 1 5. Type of Facility__ 6. Name of Building II. BUILDING OWNER

7. Name 60 Broad Street LLC 8. Contact Person

9. Tel. # 212-483-8890 Fax #

10. Address _ City State Zip Ill. GENERAL CONTRACTOR

11 Tel. # IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name Trio Asbestos Removal Corp. 13. Contact Person Chris Horan 14. Federal Employer ID. P_" _. 15. Tel. # _718-961 - 41 0 0 _ Fax # 718-961-4103

16. Address 14-20 129th Street CityCollege Point ~StateNY Zip 11356 V. THIRD PARTY AIR MONITOR

17. Name Warren & Panzer Engineers, 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 city New York State NY Zip 10017 22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH ELAP # 1 1 251 VI. PROJECT INFORMATION vv 24. Starting date for this portion of work 16 0 Z Projected completion date rrss Asbestos work schedule 4day Lzrsday 4 1riday aturday 21 unday

Shift from: O Exam []pm to Dam 5Xm , 'ç~: ' ld

If other, R~F((''~ specify 7' EtEiV U Access to inspect the premises must be provided during the work schedule indicated in this item. f, ' J 2002 25. Total amount of asbestos-containing material to be abated during this work s ' PISAIJHni r STpS,LE_ 21 , 775 kOGiG Square Feet, and/or Linear Feet RJG ,'>.. ACP 7 2rzoo1

U NYC-WTC 000111469

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NYC-WTC_000111469Source: NYC Law Department, mirrored locally

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