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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_000111699
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document APPLICATION FOR CONTRACT PERMIT wean of Permit Mevoramet and Construction Cantrot “1 (Rev.9-98) FRONT [PERMIT NUMBER: | PEFMITIEE(IEM#: | (S32 . cowrract #: “Ror -REmM 4 Borouce: iM OB Clo Ox Os Cec OBNec Ooec CBxec OREcC ocmce SPONSORING AGENCY: ore Dppe Chor Ciersnec Liwysenc (Caen Clparxs Cisca Chera Diva of nyenz PROJECT ENGINEER waME: “R, RAGHAKRISHNEN PE reece ¢: (71%) S45 - 3218 NAME OF cowtractor: Action Remecliatian Tne Leber cont thrzpnoe #:_( Si) 731- 3000 BUSINESS aDDRESS:_4O!IO “Burns Avenue | Wantaqh NY 11793 : RESIDENT ENGINEER NAME: : TELEPHONE #:_( ) PROJECT DESCRIPTION: CONTRACT START DATE: TYPE OF PAVEMENT: IYPE OF PERMIT(S) REQUESTED (Check All Applicable) : O111-MAJOR INSTALLATION-SEWER [1126-TEST PITS, CORES OR BORING CRANE/SHOVEL ON STREET O1112-RAPID TRANSIT CONSTRUCTION (132-INSTALL FENCE O1205-PLACE SHANTY/TRAILER on 0113-REPAIR WATER 0135-FINAL RESTORATION STREET O114-REPAIR SEWER 0136-DEP-MAJOR INSTALLATIONS- 0208-TEMPORARY PEDESTRIAN WALK O115-REPAIR WATER/SEWER WATER O1211-TEMPORARY ROADWAY CLOSING O116-FUEL OIL LIE 0137-DEP-MAJOR INSTALLATIONS- 01214-PLACE CONTAINER ON STREET 0118-RESET,REPATR OR REPLACE SEWER 0215-TEMPORARY SIDEWALK CLOSING CURB 0201-PLACE MATERIAL ON STREET 0401-REPAIR SIDERALK O119-PAVE STREET 01202-CROSSING SIDEWALK 0402-CONSTRUCT NEW SIDEWALK 0120-TREE PIT 1203-PLACE CRANE/SHOVEL ON 0403-REPLACE SIDEWALK 0121-CONSTRUCT OR ALTER MANHOLE STREET “eo VENTILATORS AND/OR CASTING 01204-PLACE EQUIEMENT OTHER THAN OTHER TYPE OF PERMIT: Os sTREeT FROM STREET To STREET ty pie pi S Paerw Place hie Brag dway lo tt f PrArrtc . : STIPULATIONS: PTRAETIC ISSTPCLATIONS : TRAST I¢ STIPULATIONS : TRAST IC STIFCLASIONS: TTRAESIC ISTIPULAS IONS: SPECIAL STIPULATIONS: OCMC APPROVAL BY: DATE: [_Jvore Locations on REVERSE THE PERMIT TO BE GRANTED SUBJECT TO THE FOLLOWING CONDITIONns: NO PERMEE conn Rees TO COMPLY WITH ALL LAWS AND RULES OF THE DEPARTMENT AND OTHER APPLICAELE LAWS AND RULES. NO PERGIT SHALL BE ISSUED UIZESS THE APPLICANT HAS ON FILE ALL INSURANCE (wonDay APPROVED FOR THE COMMISSIONER BY: SUBLE.TTED i Suc DES Ace pate:_lo [17 loz b a en. 118 54S -R6SH <_< “4 DATE: . SIGNED BYy NYC-WTC_000111699

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NYC-WTC_000111699Source: NYC Law Department, mirrored locally

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