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Asbestos Project Notification form, Oct 2001

Machine-extracted title · confidence 90%

NYC DEP Asbestos Project Notification form for an inspection report submission.

NYC-WTC_000111504–000111507

Folder label: “Zone III Originals

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NYC 9/11 Public Portal Document

s-~1T1C tMtKLi I M Y NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program "- i 59-17 Junction Boulevard, 8"' Floor, Corona, NY 11368-5107 Building Dept. TRU No ONLY t ( ®^ 1 FOR OFFICIAL USE ONLY P)'/.% ASBESTOS PROJECT NOTIFICATION FORMS WILL BE - !"O (ASBESTOS INSPECTION REPORT) ACCEPTED f .-..~. i24'& 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 NYCOEP 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 44 New Street _ Borough Manhattan zip1 0004 AKA 3. Block 24 4. Lot

5. Type of Facility 6. Name of Building It. BUILDING OWNER

7. Name 8. Contact Person

9. Tel. # Fax #

10. Address .City State Zip_

III. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name Trio Asbestos Removal Corp. 13. Contact Person Chris Horan 15. Tel. #71 8-961 -4100 Fax# 718-961-4103 16. Address 14-20 129th Street cityCollege_Point _State NY Zip 11356 V. THIRD PARTY AIR MONITOR

17. NameWarren & Panzer Engineers, P.C. 18. Contact Person Michael Nolan 19. FederalEmployertD.# 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 / '' Projected completion date 7 ,/ 0Z

Asbestos work schedule R< onday /Tuesday ,' Wednesday hursday ®'riday &Saturday Sunday

Shift from: _ am ❑pm to 3 ❑am%m

If other, 4 specify R IY 1J

Access to inspect the premises must be provided during the work schedule indicated in (his item. JUN 2 7 !J 2002 25. Total amount of asbestos-containing material to be abated during this work HM S8ESTOS PROGRgM~~ 6, 050 Square Feet, and/or Linear Feet 2uG to I 01 6 ACP 7 2/2001

c~ NYC-WTC 000111504

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NYC-WTC_000111504Source: NYC Law Department, mirrored locally

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