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Document / 11 pages

Asbestos lead transmission log, Oct 2002

Machine-extracted title · confidence 95%

Fax transmission confirmation log for asbestos and lead analysis results from the DEP Bureau of Air.

NYC-WTC_000111694–000111704

Folder label: “NO LICENSE AGREEMENTS

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Scanned page image, NYC-WTC_000111703
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OCR status: ocr · source: ours

NYC 9/11 Public Portal Document > STiNew York City APPLICATION FOR CONTRACT PERMIT SS ae ; Mil (REV.8-88) FRONT |PERMIT NUMBER: | PERMITIEE(IEM#: | ZU Fo . " cowmpact #: ROE -Rem 2 norovch: Hm Op Oo Ox Os Omec Opnec Ooec OBxeEc OREC OCMCE SPONSORING AGENCY: Mipee Qppe Cipor Cierspec Ciezsenc [Japp Clparxs Cisca Cowra Clea of nro PROJECT ENGINEER NAME: _RK. Ra DHAKaSHNEN PE _RK. Ra DHAKaSHNEN PE TELEPHONE #:_(7I8 ») 5QS- Sus NAME OF CONTRACTOR: Benjamin Kurzhan @son ContrOler=paone #:_(TIB) S3\- 2900 BUSINESS ADDRESS: RESIDENT ENGINEER NAME: : TELEPHONE #:_( ) PROJECT DESCRIPTION: itd: i ivicti i ay : olla of WTC CONTRACT START DATE: P2 CONTRACT COMPLETION DATE: Stele 11/38/02 TYPE OF PAVEMENT: ROADWAY: SIDEWALK: . TYPE OF PERMIT(S) REQUESTED (Check All licable) : O111-MAJOR INSTALLATION-SEWER O126-TEST PITS, CORES OR BORING CRANE/SHOVEL ON STREET 01112-RAPID TRANSIT CONSTRUCTION 0132-INSTALL FENCE O120S-PLACE SHANTY/TRAILER ON 0113-REPAIR WATER 0135-FINAL RESTORATION STREET O114-REPAIR SEWER 0136-DEP-MAJOR INSTALLATIONS- 00208-TEMPORARY PEDESTRIAN WALK O115-REPAIR WATER/SEWER WATER 0211-TEMPORARY ROADWAY CLOSING 0116-FUEL OIL LOE 0137-DEP-MAJOR INSTALLATIONS- 01214-PLACE CONTAINER ON STREET (0118-RESET,REPAIR OR REPLACE _ SEWER 01215-TEMPORARY SIDEWALK CLOSING CURB 0201-PLACE MATERIAL ON STREET O401-REPAIR SIDEWALK 0119-PAVE STREET 12202-CROSSING SIDEWALK 13402-cONSTRUCT NEW SIDEWALK 0120-TREE PIT 0)203-PLACE CRANE/SROVEL ON 0403-REPLACE SIDEWALK 0121-CONSTRUCT OR ALTER MANHOLE STREET “ VENTILATORS AND/OR CASTING 0204-PLACE EQUIPMENT OTHER THAN OTHER TYPE OF PERMIT: OW STREET FROM STREET to STREET FEET stant = QS Nassau ST. Fucut on STREET Doun STREET tol24) W ly low TRAETIC STIPULATIONS : TRAES IC ISS IPULAS IONS : TRAST 2C IST IPULAS IONS : TRAST IC ISTIFTLALS IONS: TTRAETIC ISTIPT_ASTONS = ain SPECIAL STIPULATIONS: OCMC APPROVAL BY: \_DaTE: . [_]mors LOCATIONS ON REVERSE THE PERMIT TO BE GRANTED SUBJECT TO THE FOLLOWING CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL LAWS AND RULES OF THE DEPARTMENT AND OTHER APPLICABLE LAWS AND RULES. NO PERMIT SHALL BE ISSUED UNLESS THE APPLICANT HAS ON FILE ALL INSURANCE (BONDS) . APPROVED FOR THE COMMISSIONER BY: SUBMITTED N EP Ace _ DATE: of z[oz “THEO oped.» G8 995 3657 DATE: SIGNED BY: NYC-WTC_000111703

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NYC-WTC_000111703Source: NYC Law Department, mirrored locally

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