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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 | | \W «Git Gira NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION A ¢ pEAE Seen Asbestos Control Program Apu. 0) Gm) Mi, ° yy Na - i * 1368-51 J ad N \ 59-17 Junction Boutevard, 8 Floor, Corona, NY 11366-5107 Suing Dep & TRCN LY A } FOR OFFICIAL USE ONLY Waser scot” ASBESTOS PROJECT NOTIFICATION “Sedan ee (ASBESTOS INSPECTION REPORT) %) rs (See fee jute) When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with originat signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This form must be submitted to the NYC OEP not less than one week in advance of the start of abatemént activities . |. FACILITY 2. Address 90 Maiden Lane Borough fanhattan Zip 10005 AKA 3. Block 42 | 4tot 36 6. Name of Building 5. Type of Facility Ul. BUILDING OWNER 7.Name AM Property Holding Co. 8. Contact Person 9. Tel. # Fax # City State Zip 10. Address fll. GENERAL CONTRACTOR 11. Name_ Tel. # : tV. ASBESTOS ABATEMENT CONTRACTOR 12.Name EE LO Asbestos Removal Corp. 13. Contact Person 14. Federal Employer 10. Hb! 45, tee 718-961-4100 5, 718-961-4103 State NY yi11356 16. Address 14-20 129th Street City College Point Chris Horan ~ V. THIRD PARTY AIR MONITOR . Warren & Panzer Engineers, P.C. g ' 18. Contact Person 20. Tet # 212-922-0077 —_¢,, 212-922-0630 zip 10017 Michael Nolan 17. Name 19. Federal Employer IO. # 21. Address 228 East 45th Street city New York State NY ‘22. Sample Anatysis Laboratory_Warren & Panzer Engineers 23. NYS OOH ELap #11251 Vi. PROJECT INFORMATION 24. Starting date for this portion of work b py, | o2 Projected completion date 2 Y, or Asbestos work schedule PE Monday Gt tuesday wednesday A thursday oF Friday (saturday Sunday =. Shift from: g Mam Com to g Olam Shom If other, specify Access to inspect the premises must be provided during the work schedule indicated in this item. 25. Total amount of asbestos-containing material to be abated during this work 10,600 square Feet, and/or ___ Linear Feet NYC-WTC_000111496

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NYC-WTC_000111496Source: NYC Law Department, mirrored locally

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