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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

n NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 8°i Floor. Corona, NY 11368-5107 Building Dept. or TRU No FOR OFFICW.USE ONLY ASBESTOS PROJECT NOTIFICATION (ASBESTOS INSPECTION REPORT) /t1 tYf ( e fee schedule) form at the NYC Department of Buildings, the original form and three (3) copies with original 3d. Submittal at the NYCOEP requires one copy of the form with original signatures. This sd to the NYC DEP not less than one week in advance of the start of abatement activities.

I. FACILITY

2.Address 33 Liberty Street Manhattan Borough Zip 10005

AKA 3. Block 66 4. Lot 1 5. Type of Facility 6. Name of Building II. BUILDING OWNER

7. Name Federal Reserve Bank 8. Contact Person

9.Tel.# 212-720-5000 Fax #

10. Address - City State Zip III. GENERAL CONTRACTOR N

11. Name Tel. # IV. ASBESTOS ABATEMENT CONTRACTOR

12. NameTrio Asbestos Removal Corp. 13. Contact Person Chris Horan 14. Federal Employer ID. # '_._._._._._.P~!_._._._._._ 15. Tel. # 718 - 9 61 - 41 0 0 Fax# 718-961-4103 16. Address1 4-20 1 29th Street CilyCollege Point State NY Zi 1 1 356 P V. THIRD PARTY AIR MONITOR

17.Name Warren & Panzer Engineers, P.C. Michael Nolan 18 Contact Person 20.Tel.#21 2-922-0077 19. Federal Employer ID. # Fax# 212-922-0630 21.Address228 East 45th Street City New York State NY Zip10017 22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH ELAP #11_251 VI. PROJECT INFORMATION ~j 24. Starting date for this portion of work 61 O' Projected completion date `~ / , / e z.

Asbestos work schedule D'RAonday `Tuesday I'Wednesday• 'Thursday I Friday ®`Saturday Sunday ' rk Shift from: ~+ $am Dpm to vQ Dam %m

If other, Spec" R 0 Access to inspect the premises must be provided during the work schedule indicated in this item. CV 2 Z JUN 5OA9 L 1 01E

25. Total amount of asbestos-containing material to be abated during this work t'A 1 5, 1 00 Square Feet, and/or Linear Feet '2

ll 7 1

NYC-WTC 000111498

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NYC-WTC_000111498Source: NYC Law Department, mirrored locally

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