Asbestos Project Notification form, Oct 2001

NYC 9/11 Public Portal Document

I NYC DEPARTMENT OF ENVIRONM1IPLaMMU LPROTECTION I Vi . p1 . ~ Asbestos Control Program 59-17 Junction Boulevard, 8th Floor, Corona, NY 11368-5107 !,Lo44dUo Budding or TRU No ONLY : D r~ P) FOR OFFICIAL USE ONLY TYPEWRITTEN FORMS WILL gyp% ASBESTOS PROJECT NOTIFICATION (ASBESTOS INSPECTION REPORT) L 1. ~ (See lee ~hn submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original I signatures are required. Submittal at the NYCOEP requires one copy of the form with original signatures. This I 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 _ 104 Trinity Place eorougl~'lanhattan Zip10006

AKA 109 Cedar Street 3. Block 52 4. Lot 15 5. Type of Facility 6. Name of Building I1. BUILDING OWNER

7.Name Nick Spyreas Enterprises, LLC 8. Contact Person

9. Tel. # 914-273-4652 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. # PH 15. Tel. # 718-961 -4100 Fax# 718-961-4103 16. Address 14_20 129th Street CityCollege Point State NY Zip 11356 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 city New York state NY Zip 10017

22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH ELAP # 1 1 251 VI. PROJECT INFORMATION 24. Starting date for this portion of work /. O'3101 Projected completion date 8/6+1,02-

Asbestos work schedule ,® Monday Tuesday 0 Wednesday Thursday , Friday Saturday Sunday

Shift from: g _ ® am ❑ pm to Dam RIpm I 9/

If other. specify Rrrr „ Vr0 0 ~ C iY 1 Access to inspect the premises must be provided during the work schedule indicated in this item. A)J r O 2002 25. Total amount of asbestos-containing material to be abated during this work _ r. .' 5 r 275 Square Feet, and/or 3 Linear Feet • . i / £ Z` 22001

~l NYC-WTC 000111455