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Document / 4 pages

Asbestos project notification form header, Oct 2001

Machine-extracted title · confidence 90%

Department of Environmental Protection asbestos inspection report notification form with submission instructions.

NYC-WTC_000111500–000111503

Folder label: “Zone III Originals

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Scanned page image, NYC-WTC_000111502
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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

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NYC-WTC_000111502Source: NYC Law Department, mirrored locally

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