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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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NYC 9/11 Public Portal Document

3UN-i9-2002 13:26 EME RGENCY NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION P.03

Asbestos COW01 Program • 66.11' Jundron Boutewrrd. a fleet. Corona. NY 11368-6107 ~V I ._ % ASBESTOS PROJECT NOTIFICATION (ASBESTOS INSPECTION REPORT) T, C/4

When :uomiaV es stpnaures are requutcdFein N the NYC aepan+neM of Buddmgs, Me original form en0 three Subrntw at the ) copper with aipit s () form RtLst be submitted b the NYC OEP rotNYCOEP re~wres one a Cwf o the form kss than one week in tdranct of the vah ov tNl yau• ft stag of abatement i loos . t. FACILITY

2. Address.120 ibe s 1 25 r s ' •. _~ eorot,ghManhattan Zip 10006 AKA 3.8lock 52 4. Lot 2 i 5. Type of faculty 6. Name of Building I1. BUILDING OWNER

7.Name 120 Liberty Street, LLC 8. Contact Person — ( 7 7 8) 8 30-0131 Fax 10. Address ~"` • (U. GENERAL CONTRACTOR City— State

11. Name

N. ASBESTOS Tel. # ABATEMENT CONTRACTOR 12. Name Trio Asbestos Removal Corp. 14. Federal Employer 13. Contact Person Chris, Horan 10.E P 11 16. Address 14-20 129th Street ~~ Fa r 118-961 _41_03 City Co Ie Po , V. THIRD PARTY AIR Statiq Zip JJ3 6 MONITOR 17. Name Warren & Panzer £ni fleerS —C- __,e. Contact PersonM Ch a e t 19. Federal Emptoysrl0. ar No t d n _ 20. Tel. w 2j_ -922 Q77 21.Address 228 East Fax# 212-922-063.0 45th Stre t City New York 22. Sample Analysis laboratory Warren & Pan2er — State NY 1,ip121 1 Engines. 23. NYS t]OH ELM # 11251 Vi.PROJECT INFORMATION 24. Starling date (or this /)0/t portion of work PrWected completion 3 a d dateJLI_ 2 Asbestos work schedule r daY uesday eanesQay may &Friday I$Saturday Sunday Shift from, m Qpm to Dam m N other, specify

Recess rp btsp rho Premises must be provided dwr '1D me Work acAeduk indicdfedIn this item. RECEEO a' 25. Total amount of .i li N 20 2002 tos.contalnln9 material to be abated during this work Square Feet and/or linear Feet #0, goi' c irsnol

1MSt1 '•~!PP~ 8~!iEt'etd~~ bt~0~~fit.

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NYC-WTC 000111490

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NYC-WTC_000111490Source: NYC Law Department, mirrored locally

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