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Asbestos project notification form for 18 Vesey Street

Machine-extracted title · confidence 100%

Official notification form submitted to the Department of Environmental Protection regarding asbestos inspection activities at 18 Vesey Street.

NYC-WTC_000111905–000111909

Folder label: “18 VESEY STREET 1001234, 88/4

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Scanned page image, NYC-WTC_000111905
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NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 8ei Floor, Corona, NY 11368-5107 kl DP ASBESTOS PROJECT NOTIFICATION (- Building Dept. or TRU No FOR OFFICIAL USE ONLY ITTEN ~raiiion~iA~ , MS WILL BE (ASBESTOS INSPECTION REPORT) 1. ACCEPTED '"-!-`!-°•t"r fee schedule)

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.

1. FACILITY , / 2. Address _L _V S I __ I Borough N ' —( Q s Zip 1 O O'D

AKA --- 3. Block (> y 4. Lot

5. Type of Facility, 6. Name of Building

II. BUILDING OWNER

7. Name A~2Ct_Pt~{ VESc = r LC o 8. Contact Person

9. Tel.# 3— x# _ \'- 10. Address 1 e~'D wV\ l~M ~P -- City N — tale N" lzip _1 Q C

Ill. GENERAL CONTRACTOR

11. Name___.. .....____ ____________________ Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

1.2. Name j 1—ICO_L------------13. Contact Person _L— .~. ._.-_~._._._ 14. Federal Employer ID. /#~= .-._.I ~ ._.._._.5. Tel. # J _- 7 ' 3 —06 _ C ~j -- F a x # _-- 3dC~s 7~1 ---- PI / n t1 16. Address ~(. O -- City J /7 - State N Zip LL22 3 ) J' t --

V. THIRD PARTY AIRMONITOR

17. Name ) kid Z t e2 G r' Ft~ S rh C 18. Contact Person _~' l! L ~ 0 ("

19. Federal Employer ID. # — 20. Tel. # 12 (~=1aa OO Fax # a~=42 C

21. Address 2{EZ--- City _State i -~ Zip .j 2 1

22. Sample Analysis Laboratory— SC ( (« e `~(£S "r c 23. NYS DOH ELAP # _ L r o

VI. PROJECT INFORMATION

24_ Starting date for this portion of work a O2 _ Projected completion date _ 071 0

Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday 0 Friday 0 Saturda p..$&nday

Shift from: __ ❑ am ❑ pm to ❑ am ❑ pm ... If other, specify RIB I Access to inspect the premises must be provided during the work schedule indicated in this item. t` Ju1 28 2002 v P/1ANHM 25. Total amount of asbestos-containing material to be abated during this work TRUG t5.SD Square Feet, and/or Linear Feet

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NYC-WTC 000111905

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NYC-WTC_000111905Source: NYC Law Department, mirrored locally

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