Asbestos Project Notification form, Oct 2001

NYC 9111 Public Portal Document + Ly

O( -~' utr ocnuy: NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION to VV t~ ~:~'O`•T' '"+.4 Asbestos Control Program ti 59-17 Junction Boulevard, 8 Floor. Corona, NY 11368-5107 ONLY TYPEWRITTEN . D-~ P 4' ASBESTOS PROJECT NOTIFICATION Butdwg Dept. or TRU No FOR OFFICUL USE ONLY

FORMS WILL BE (ASBESTOS INSPECTION REPORT) ACCEPTED I ~.+..rcciaer ) 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_ 25 Trinity Place —BorougtManhattan Zip 10006 AKA 4g_B.raad wiy --- 3. Block 20 _ 4. lot 13 5. Type of Facility—, 6. Name of Building II. BUILDING OWNER

7. Name Stahl Midtown Property .8. Contact Person 9.Tel.# 212-425-5000 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. # j ._._._._.P 1- 15. Tel. #718 9 61 41 0 0 _ Fax # 71 8-961 -4103 16. Address 1 4_20 1 29th Street City College Point _ State NY Zip 1 1 356 V. THIRD PARTY AIR MONITOR

17. NameWarren & Panzer Engineers, P.C. ~ - 18. Contact Person Michael Nolan

19. Federal Employer ID. # 20. Tel. # 212-922 0 077 Fax 21 2-922-0630 21. Address22.asi -_ 4 ,t - h SI- rapt- City New York — Stat'1Y Zip 1 0017 22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH ELAP # 11251 VI. PROJECT INFORMATION 24. Starting date for this portion of work _ ' / /?— Projected completion date 1 7/C Z Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Saturday ❑ Sunday

Shift from: —+— ❑am ❑pm to Dam ❑pm u t j J/

If other, 4 / < specify ----- -- -- ,.\J' RECEIVED Access to inspect the premises must be provided during the work schedule indicated in this item. .~h ~ 6 2002 25. Total amount of asbestos-containing material to be abated during this work CDR' Square Feet, and/or Linear Feet ,\ 'R.Ju 2 ~• ,OTT k ACP7

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NYC-WTC 000111479