NYC 9/11 Public Portal Document
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NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
" tforr~~ y.~~ Asbestos Control Program
~Q , 59-17 Junction Boulevard, 8th Floor, Corona, NY 11368-5107
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FOR OFFICtAL USE ONI.Y
TYPEWRITTEN J%'
. ,~ ASBESTOS PROJECT NOTIFICATION
FORMS WILL BE
ACCEPTED
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; •-•..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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