Invoice for fiber control services, 12 Vesey Street, Sep 2002

NYC 9/11 Public Portal Document

NYC.DEPARTMEN't OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard. 8* Floor. Corona. NY 11368-5107 FOROFFICM USE ONLY vEN ~,,"° ~rNr~i±~~c JTT ASBESTOS PROJECT NOTIFICATION %ORMSWILL BE (ASBESTOS INSPECTION REPORT) ACCEPTED "►C i, ld 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.

I. FACILITY

2. Address ` I `~' E S S T'- £ T Borough Zip I O

AKA 3. Block 4. Lot ~Z-

5. Type of Facility—_ 6. Name of Building

II. BUILDING OWNER p ~_ A' ,. n c /~ ~, 7. Name C~ `^' l U~ MT 2 • 8. Contact Person

Tel. # Fax #

10. Address UL S ( — City --lam State P I Zip________

Ill. GENERAL CONTRACTOR

11. Name______________________________________________Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name 113ei` o`' __13. Contact Person _~2 C 0 S/,9 ~----C_j j 1 . P1~ 4FederalEmployer ID. #;_._._._._,_._._._._._._._._._._._._._._._._, 15. Ta1. # ---- ~t V - ( - 3o6O Fax # ----- 5l 7d 3d~5 ~ 16. Address a2L2 1 — —City J /! / _Y( _ State N ZipIL? 9_

V. THIRD PARTY AIj<t MONITOR f 17. Name ~4 ij krl -EtZ j~IG r P( 18. Contact Person V%it4hEt~ t O L kr•f . 19. Federal Employer ID. # r— 20. Tel. # —-- 0 — Fax # .2.L& -' 2 - 06 30 21. Address .22.t ii4 Si 7 City _f(fr 7 672 State Zip oo

22. Sample Analysis Laboratory .._ -( 7(Ft'L L- A75 23. NYS DOH ELAP # f iL g - C

VI. PROJECT INFORMATION ~ 24_ Starting date for this portion of work e't ` 0 Z Projected completion date I 0 Z

Asbestos work schedule ❑ Monday ❑ Tuesday 0 Wednesday ❑ Thursday ❑ Friday ❑ Sa ay.

Shift from: ❑ am ❑ pm to ❑ am ❑ pm >'" ~< \ If other, specify —_

Access to inspect the premises must be provided during the work schedule indicated in this item. JQN 2 8 `~uL 2002 O! 25. Total amount of asbestos-containing material to be abated during this work OGAF~'

g .1 Square Feet. and/or Linear Feet ACP 7 2/2001 4rS'fC°.r~•v 3 fX'''94M7 <B•'.)Sis-ci oll .l IFii

NYC-WTC 000111964