NYC 9/11 Public Portal Document
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MY RTMENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program
59-17 Junction Boulevard, 8'" Floor, Corona, NY 11368-5107
Building Dept. or TRU No
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TYPEWRITTEN `'!ey.
FORMS WILL BE
a` ASBESTOS PROJECT NOTIFICATION
(ASBESTOS INSPECTION REPORT)
FOR OFFICIAL USE ONLY
ACCEPTED - +~.erc.se.la<o ) 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 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
26 Wall Street Borougt anhattan Zip 10005
AKA 3. Block 43 4. Lot 6
5. Type of Facility 6. Name of Building
II. BUILDING OWNER
L) &ve uo Sl
7. Name United States Dept. of Interior 8.ContactPerson
9. Tel. # 212-825-6990 Fax#
10. Address City State_____ Zip
III. GENERAL CONTRACTOR
11 Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. NameTrio Asbestos Removal Corp. 13. Contact Person
Chris Horan
14. Federal Employer ID. 4 PI 15. Tel. #718 - 9 61 - 41 0 _ Fax #718-961 -41 03
16. Address - 14-20 1 29th Street cilyCollege Point . State NY Zip 1 1 356
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# 21 2-922-0630
21. Address 228 East 45th Street City New York StateNY Zip 10017
22. Sample Analysis Laboratory Warren & Panzer Engineers, P. 23. NYS DOH ELAP #1 1 251
V1. PROJECT INFORMATION
24. Starting date for this portion of work I7j Projected completion date
Asbestos work schedule ❑ Monday 0 Tuesday 0 Wednesday ❑ Thursday 0 Friday ❑ Saturday 0 Sunday
Shift from: __ Dam ❑pm to Dam ❑pm Cn \ 6 J
If other,
specify -.
Access to inspect the premises must be provided during the work schedule indicated in this item.
RECOVER
JUN 1 7 2002 -~
25. Total amount of asbestos-containing material to be abated during this work :1W ' JzJ
53,91 0 - Square Feet, and/or Linear Feet
M
yr ACP 7
\r il ` 2!2001
NYC-WTC 000111483
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