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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 W .

S&a'9wre NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 8~ Floor, Comm. NY 11368-510 ( jl ASBESTOS PROJECT NOTIFICATION (ASBESTOS INSPECTION REPORT) 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 fore 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.

1. FACILITY

2. Address 60 Pine Street _ Borougttlanhattan zip 10005 AKA 3. Block 41 4. Lot 15

5. Type of Facility, 6. Name of Building II. BUILDING OWNER

7. Name Downtown Association 8. Contact Person 9. Tel. # 212-422-1982 Fax# 10. Address (0 6 ~,1 4 S( /`^ City State JAY Zip O O(2 / O/ Ill. GENERAL CO,1TRACTOR

11. Name___ Tel. # IV. ASBESTOS ABATEMENT CONTRACTOR

12. NameTrio Asbestos Removal Corp. 13. ContactPersonChris Horan WwPII 14. Federal Employer ID. #- --• y 15. Tel. # 71 8-961 -4100 Fax # 718-961-4103 16.Address 14-20 129th Street cityCollec~ - e Point_ state NY zip 11356 V. THIRD PARTY AIR MONITOR

17. Name Warren & Panzer Engineers, P.C. _18. Contact Person Michael Nolan 19. Federal Employer 10. # 20. Tel. #21_2-922-0077 Fax # 21 2-922-0630 228 East 45th Street City New York 21.Address State NY zip10017 22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH ELAP # 1 1 251

VI. PROJECT INFORMATION 0 a 24. Starting date for this portion of work 1 Projected completion date 7/J Z

Asbestos work schedule MUhday r sday y (~Gty2dnesday arsday ~7tttay,/Saturday ❑ Sunday -- Shift from: am ❑pm to Dam 1 / ~2 If other, specify _

L cess to inspect the premises must be provided during the work schedule indicated in this item. I ( ' Jill.RE 0 vEO 3 2002 'I'

25. Total amount of asbestos-containing material to be abated during this work f 25; 660 Square Feet. and/or Linear Feet F RO U 8 2 ACP 7 i 2/2001

NYC-WTC 000111475

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NYC-WTC_000111475Source: NYC Law Department, mirrored locally

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