WTC debris inspection form for World Financial Center, 2002

NYC 9/11 Public Portal Document

DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 8°' Floor, Corona, NY 11368-5107 ONLY ~' TTEN _ ID 3TOS PROJECT NOTIFICATION Buddi g Dept or TRU No FOR OFFICIAL USE ONLY

l FO Jfj'~6E fLL BE (ASBESTOS INSPECTION REPORT) 1 $1200 (See fee schedule) . C U '' VWhen submitting at'the NYbepartment of Buildings, the original form and three (3) copies wltft, k signatures are_e Submittal at the NYCDEP requires one copy of the form with original signahu . form myst-b6sU to the NYC DEP not less than one week In advance of the start of abatement

I. FAILAMY/ CP

' . 2. Address 200 Borough Manhattan Zip 10281

AKA 3 World Financial Center 3. Block 16 4. Lot 140

5. Type of Facility Office Building 6. Name of Building American Express Tower

II. BUILDING OWNER

7. Name 3 World Financial Center American Express Tower 8. Contact Person Paul Troast

9. Tel. # (917) 416-5179 Fax #

10. Address 3 World Financial Center City New York State NY Zip 10281

111. GENERAL CONTRACTOR

11. Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name Safeway Environmental Corp. 13. Contact Person Don Adler

14. Federal Employer ID. f 15. Tel. # (718) 794-4300 Fax# (718) 7941411

16. Address 1379 Commerce Avenue -- City Bronx — ! State NY Zip 10461

V. THIRD PARTY AIR MONITOR

17. Name EMTEQUE Corporation/JLC Environmental Consultants 18. Contact Person Eric Telemaque/Jennifer Care,

19. Federal Employer ID. #_._._._._._._._ P " 20. Tel. # (212) 631-9000 Fax #

21. Address 505 Eighth Avenue/200 Park Avenue South Cit y New York State NY Zip 10018

22. Sample Analysis Laboratory Final Aire/JLC Environmental Consultants, Inc. 23. NYS DOH ELAP # 11228/ 11029

VI. PROJECT INFORMATION 24. Starting date for this portion of work 9/5/01 Projected completion date 11/5/01

Asbestos work schedule 0 Monday 0 Tuesday El Wednesday 0 Thursday El Friday ❑ day 0 Sunday

Shift from: 7_ ❑✓ am ❑ pm to 5 ❑ am 0 pm 717~-1_Vci If other, specify ----_—_--- _ — uI T j`, ?` Access to inspect the premises must be provided during the work schedule Indicated In this item.

25. Total amount of asbestos-containing material to be abated during this work -- 115,100 Square Feet, and/or 0 Linear Feet Lj

212001

NYC-WTC 000112024