NYC 9/11 Public Portal Document
r oiny, \
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
GE
TYPEWRITTEN..
^~
®®
■
~c~%
Asbestos Control Program
59-17 Junction Boulevard. 8" Floor, Corona. NY 11368-5107
ASBESTOS PROJECT NOTIFICATION
Build OepL or TRU No
FOR OFF CM USE ONLY
FORMS WILL BE (ASBESTOS INSPECTION REPORT)
ACCEPTED -•~+•:.~ra.o 1.
(S ee sdwMe)
When submitting this form at the NYC Department of Buildings. the original form and three (3) copies with origins
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 30 Wall Street _ Borougt 4anhattan zip 1 0005
AKA --- 3. Block 43 4. Lot •5
5. Type of Facility_ 6. Name of Building
II. BUILDING OWNER
7. Name 30 WSLLC C/o The Pyne Companies 8. Contact Person
9. Tel. # 212-425-0588 Fax#
10. Address City State Zip
III. GENERAL CONTRACTOR
11. Name_-- Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name Trio Asbestos Removal Corp. 13. Contact PersonChris Horan
14. Federal Employer ID. # i-m-m-m-m-m-m-.P~~.-m-m-m-m-m-` 15. Tel. # 71 8 9 61- 410 0 Fax# 718-961-4103
16.Address 14-20 129th Street CityCollece Point_ State NY 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 9220077 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 # 11 251
VI. PROJECT INFORMATION I I
t0Z
J 7f1bo
24. Starting date for this portion of work 3 Projected completion date Z
Asbestos work schedule nday Tuesday Wednesday Thursday Ids Friday CI Saturday <Sunday
Shift from: 2 m ❑pm to 8 Dam pm
If other,
specify _
Access to inspect the premises must be provided during the work schedule indicated in this item.
;7 Rf J j ~,
/►rn~.fl
2
Yt
~J 002
25. Total amount of asbestos-containing material to be abated during this work
1 2, 275 Square Feet. and/or Linear Feet l TRUG
01 ACP 7
z6 22001
NYC-WTC 000111502
OCR can misread numbers and units. Confirm readings against the page image before using them.