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Asbestos Project Notification form, Oct 2001

Machine-extracted title · confidence 90%

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

Lci4oWTe JUN-19-2002 1326 P.03 EN ERGENCy NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION —+a •• Asbeatos control Program • r/ I.11JYnt6e ta Be Mvard. 8 clear. Corona. NY 1 t388-6107 ,V ONtY T>rF'EH?FR7S FOPJIS I4 .L ACCEPTED •. «__.e____ ' ASBESTOS PROJECT NOTIFICATION (ASBESTOS INSPECTION REPORT) ~' ___ a'PIorTRlltb " Or`Y

Wteen :vpminyig a term at the NYC aepa sl9natems arts regained Seramitt d at eM of Budd np. t1►e original form and three (3) copies (orm RtOsl be Wbnlated (a the NYC DEP the NYCOEP r res one with oripicnl not less than a< the Conn rvittt ori4t~! t lpnskRes. Tt1 one: week ir, asilvan- I. FACILITY

2.Addrrss.120 ibex _ 125 Cedpr St.

5. Type of Fa iUty 6. Name of Built U. BUILDING OWNER

7•rlame 120 Liberty Street LLC P. tel. # (7 1) 830-0131 Faxtp 111. Address

Ill. GENERAL, CONTRACTOR _ _ 11. Name

IV. ASBESTOS ABATEMENT Tel. d T CANRCTOR A 12. Name Trio Asbesto_ _s_ .Remgyl carp . 14. Fed<rral EmRloyer ID. # P II i 13. CdntSCt Person Chri S. Horan is. yet. tt 7_18-9b -410 16.Address 14-20 129th Street Fax t9 18-9 t _ 103^ City COL Zse p V. THIRD PARTY AIR MONITOR Slatil 1 135 6 Zip ---

17. Name Warren & Pa zer Enginers C_ 19. Federal Erhptoyer,10. # 18. Centict personpt rh e I Nolan 20. Tel. t: 212-922-0077 2t.AaarIss_228 East 45th Street Fax# 212-922_06 ^0 City New York 2Z Sample Analysis ~~ Stale „~lY 2;p1_t Z51 —_ Laboratory Warren & Pan2er En5ineers • Vt. PROJECT 23• NYS OOH ELM # 11251 • INFORMATION 24. Slacring date for this portion of twri, >0 0 Z Projected ComptelM date Asbestos work schedule %Mon Y >4uesday edneSday Q ,,~ ucsdaY ~Rnday Saturday Sunday Shit (torn `x7am Dom to ___, (Jam m If other, specify

Access ro mspecr tno prvrses rtwst be Povided during Mew * -Rule kwicatee IA 1&s item, RECEJEO "= 25. Total amount o t~.r~n ni Material to be abated during this JUN 2 O 2002 ~- work — Square Feet, andlor _____ Linear Feet 4), o'6 ACPI 71 212001

NYC-WTC 000111489

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NYC-WTC_000111489Source: NYC Law Department, mirrored locally

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