Asbestos Project Notification form, Oct 2001

NYC 9/11 Public Portal Document J Eiii c NYC DEPARTMEt ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 8'" Floor, Corona, NY 11368-5107 uwasn9 UePt. or TRU No FOR OFFICIAL USE ONLY RITTEN `';ii~ NruNORCP/: ASBESTOS PROJECT NOTIFICATION L RMS WILL BE (ASBESTOS INSPECTION REPORT) ACCEPTED («...~.~.:e•~ao 1 fee When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This (omi must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities.

I. FACILITY

2. Address 50 Broad Street BorougnManhattan Zip10004 2 36 AKA 3. Block 4 4. Lot

5. Type of Facility___ 6. Name of Building II. BUILDING OWNER

7. Name 50 Broad Str. , Inc. /50 New Str., Inc Contact Person 9. Tel.# 212-425-1058 Fax# 10. Address City _ State Zip

III. GENERAL CONTRACTOR 11. Name___ N _ Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name Trio Asbestos Removal Corp. __ 13. Contact Person Chris Horan 14. Federal Employer IO. #._._._._._._P 1._._._._._._.__ 15. Tel. # 718-961 - 41 0 0 _Fax # 718-961-4103

16. Address 1 4-20 1 29th Street Cit~College Point _State NY Zip 11356

V. THIRD PARTY AIR MONITOR

17.Name Warren & Panzer Engineers, P.0 _18 Contact Person Michael Nolan 19. Federal Employer ID. # 20. Tel. # 212-922-0077 Fax# 212-922-0630 21.Address_228 East 45th Street city New York State NY Zip 10017 22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH ELAP # 11251

VI. PROJECT INFORMATION 24. Starting date for this portion of work ' Z 9 Lo Z Projected completion date

Asbestos work schedule ❑ Monday ❑ Tuesday 0 Wednesday ❑ Thursday ❑ Friday ❑ Saturday ❑ Sunday

Shift from: _❑am ❑pm to Dam Opm 9 If other, IO. 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 5 5 ,, 620 Square Feet, and/or Linear Feet ACP 7 22001

NYC-WTC 000111459 3