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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 1C WWRNGY NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION " tforr~~ y.~~ Asbestos Control Program ~Q , 59-17 Junction Boulevard, 8th Floor, Corona, NY 11368-5107 p l Bulldog Oept. TRU No FOR OFFICtAL USE ONI.Y TYPEWRITTEN J%' . ,~ ASBESTOS PROJECT NOTIFICATION FORMS WILL BE ACCEPTED MµMo— ; •-•..r<.:.•/aeo (ASBESTOS INSPECTION REPORT) e 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 44 New Street _ Borough Manhattan Zip1 0004 AKA 3. Block ______________ 24 4. Lot

5. Type of Facility_ 6. Name of Building II. 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 ---------PI- ----------I 14. Federal Employer 10. 1/ 15. TeL #71 8-961 -4100 Fax# 718961-4103 16. Address 14-20 129th Street CityCollegee_P J.nt _State NY Zip1 1356 V. THIRD PARTY AIR MONITOR

17.NameWarren & Panzer Engineers, P.C. 18. Contact Person Michael Nolan 19. Federal Employer ID. # 20.Tel.# 212-922-0077 Fax# 2129220630 21.Address228 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 7i Q Z Projected completion date 7 OZ

Asbestos work schedule Ponday #4Tuesday Wednesday 1i hursday riday &Saturday

Shift from: _am Dpm to 3 ❑am pm

If other, y specify —

Access to inspect the premises must be provided during the work schedule indicated in this item.

JUOEP2 7 2002 25. Total amount of asbestos-containing material to be abated during this work SBE~TOSLA~ PTRGbOM 6, 050 Square Feet, and/or Linear Feet !! 2 0[ 6 ACP 7 212001

NYC-WTC_00011150

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NYC-WTC_000111506Source: NYC Law Department, mirrored locally

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