Asbestos project notification form for 250 Vesey Place, 2002

NYC 9/11 Public Portal Document

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26. Asbestos Hauler Tristate Transfer / ATC NYS DEC Permit # 1A375/1A371 Disposal Stte(s)Meadowffll Landfill, Rte 2, Box 68, TEL.# (718) 617-0771 Bridgeport, WV / Greenridge Landfill, 1 Landfill Rd, Scottsdale, 27. This asbestos abatement is part of a (Item a through a requires filing of this form a) ❑Demolition b) ❑Boiler Replacement with NYC Department of Buildings) e) ❑ Fireproofing Replacement c) ❑Sprinkler Replacement d) ❑ RenovatioNAlteration 0 El Other (Describe) Emergency Clean-Up 28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal ❑ Enclosure ❑ Encapsulation ❑ Repair P El Clean up 29. ABATEMENT PROCEDURE (Check all appropriate boxes) ❑ Full Containment ❑ Glovebag ❑ Tent ❑ DEP Variance Application 30. LOCATIONS OF ABATEMENT DESCRIBE SECTION AFFECTED Floor(s) OF FLOOR CONTAINING SURFACES ACM AMOUNT OF ACM (e.g. entire' east wing' room ~Y, DESCRIPTION OF WORK BEING toiler morn, lob ,etc (e.g. Pipe lagging, ceiling, plenum SQUARE PERFORMED ducts, a tanks, deckin , etc. UNEAR te. r running cable, Installing fire FEET FEET sprinklers, Lobby Entire removi and lad toiler;, etc. All Surfaces 48,445 Hepa Vac, Wet Wipe 1st Fir Entire All Surfaces 48,445 Hepa Vac, Wet Wipe 2nd Fir Entire All Surfaces 48,445 Hepa Vac, Wet Wipe 3rd Fir Entire All Surfaces 48,445 Hepa Vac, Wet Wipe 4th Fir Entire All Surfaces 48,445 Hepa Vac, Wet Wipe 5th Fir Entire All Surfaces 48,445 Hepa Vac, Wet Wipe 6th Fir Entire All Surfaces 48,445 Hepa Vac, Wet Wipe 7th Fir Entire All Surfaces 48,445 Hepa Vac, Wet Wipe 8th Fir Entire All Surfaces 48,445 Hepa Vac, Wet Wipe 9th Fir Entire All Surfaces 48,445 Hepa Vac, Wet Wipe 31. I hereby declare that the information provided herein is true and State and NYC laws and complete to the best of my knowledge. I regulations applicable to asbestos related am familiar with Federal, work. mental Corp. Pinnacle Environmental Corp. F7PPnM ofAirMonitor Pinnacle Environmental Corp. Print Name of Asbestos Contractor p~rint Name of Applicant^(H ot~thwwner) G/ y re Signature --T~ Signature isf • lr ci -~~ Date Date 32. I understand that as the owner of a the asbestos abatement activities building where asbestos abatement activity occurs, I am in accordance with the monitor who is completely Asbestos Control Program Rules. Iresponsible for the performance of have contracted the third party air independent filing of this notification for the of all parties involve 'n the asbe tos project. I work specified herein. hereby declare that I have authorized the W.F.C. Tower D Co., LP r Print Name of owner /O /G ~. Signature A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE.

requirements of the Asbestos Control utr At;r. Program throw h the erformance of work in Rules may not be lawfully avoided or lessened incremental or iecemeal fashion. ACP7 2/2001

NYC-WTC 000112049