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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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Scanned page image, NYC-WTC_000111485
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NYC 9/11 Public Portal Document ory Lniente | | L L£ 0 ( oath: NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION since, Nit O86 /*/00 A aia Asbestos Control Program $9-17 Junction Boulevard, 8 Floor, Corona, NY 11368-5107 Building Dept or TRU No FOR OFFICIAL USE ONLY ASBESTOS PROJECT NOTIFICATION A—n— (ASBESTOS INSPECTION REPORT) ‘ tl). ' , (See fee sctledute) When submitting this form at the NYC Department of Buildings, the original (orm and three (3) copies with original signatures are required. Submittal at the NYCDEP 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 . (. FACILITY i . ini . 100 2. Address 67 Greenwich Str./28 Trinity Pl Borough Manhattan), 06 3. Block _19 4.tot 11 AKA 6. Name of Building §. Type of Facility il. BUILDING OWNER 7. Name 67 Greenwich LLC c/o Martha Schessel, Contact Person 9. Tel. ¢ 212-787-5932 Fax # City State Zip 10. Address ill. GENERAL CONTRACTOR Tel. # 11. Name IV, ASBESTOS ABATEMENT CONTRACTOR 12.Name Trio Asbestos Removal Corp. Pil 15. Tel. #7 18-961-4100 Faxg# 718-961-4103 -13. Contact PersonChris Horan 16. Address 14-20 129th Street ciyCollege Point stateNY 7:9 11356 V. THIRD PARTY AIR MONITOR 17. Name Warren & Panzer Engineers, P.C. 20. Tel. #212-922-0077 cay y212-922-0630 Zip! 9017 18. Contact Person Michael Nolan 19. Federal Employer (D. # 21. Address 228 East 45th Street city New York - statel¥ 22. Sample Analysis Laboratory_Warren & Panzer Engineers 93 wysponetapy |1251° VI. PROJECT INFORMATION Avy _LMYA Projected completion date th 24. Starting date for this portion of work Asbestos work schedule (1) Monday | Tuesday O Wednesday O Thursday O Friday O Saturday O Sunday Olam Com to. Clam Cipm Shift from: if other, specify Access (o inspect the premises must be provided during the work schedule indicated in this item. SEPIBANIT 25. Total amount of asbestos-containing material to be abated during this work “SESTOSILE. RAM 10,815 . Square Feet, and/or Linear Feet NYC-WTC_000111485

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NYC-WTC_000111485Source: NYC Law Department, mirrored locally

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