NYC 9/11 Public Portal Document
uWRL NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program
59-17 Junction Boulevard, 80' Floor. Corona, NY 11368-5107
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FOR OFFICW. USE ONL
ASBESTOS PROJECT NOTIFICATION
1r - FORMS WILL BE (ASBESTOS INSPECTION REPORT)
ACCEPTED
(S fee Schedule
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
form 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 Broadway Borouga4anhattan Zip10004
AKA _ 3. Block 22 _4. Lot 24
5. Type of Facility________________________________ 6. Name of Building
II. BUILDING OWNER Colliers ABI
7. Name 50 Broadway Realty Corp. c/o 8. Contact Person
9. Tel. # 212-758-0800 Fax#
10. Address City State Zip
111. GENERAL CONTRACTOR
11. Name Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name Trio Asbestos Removal Corp. 13. Contact Person Chris Horan
14. Federal Employer ID. # PII L. 15. Tel. # 71 8-961-41 00 Fax # 71 8-961-41 03
16. Address 14-20 129th Street CityCollege Point StateNY Zip 11356
V. THIRD PARTY AIR MONITOR
17. Name Warren & Panzer Engineers, P.C. _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 # 1 1 251
VI. PROJECT INFORMATION
—/
24. Starting date for this portion of work / Z? t1 Projected completion date Z7 (J Z
Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday 0 Friday 0 Saturday ❑ Sunday
Shift from: _❑am ❑pm to Dam ❑pm 1 I 1r ~
If other,
specify
[hC,f~L
Access to inspect the premises must be provided during the work schedule indicated in this item.
,~, JUL 2 6 2u~2
DEP/BAfltit.'
25. Total amount of asbestos-containing material to be abated during this work SgESTOS/l.c
51 770 PaoGaHt:
Square Feet, and/or Linear Feet \\...s,>.>. TRUG
f ACP 7
NYC-WTC 000111461
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