NYC 9/11 Public Portal Document
NYC DEP ASBESTOS CONTROL
PROGRAM
EMERGENCY AS E PR gX ec oa 1-56
itten notification must be
received within 48 hours via.
Fa) Asbestos Inspection Report (ACP-7)
Cover letter explaining the nature of the emergency 4 /cuiL>2,/b)
Caller's
Name:
Affiliation:
Telephone #:
Nature of Emergency:
Actual Date and Time of Emergency
Method of Asbestos Abatement:
Removal Sq.ft. L. ft. Repai Sq. ft L. Ft
Encapsulation Sq. ft. L. ft. Cle q• t. L. ft.
Enclosure __Sq. ft. L. ft. -
-
Facility Address: —Z I.+u_ed iY` . l
Owner/Agent: Contact Person
Tel
Location of Asbestos Abatement: it
f?vi .
Asbestos Abatemen Contractor:
Name:
Address: _. s' ~•
k
Telephone 4 :
— Z Z
Starting Date: los`'~ Projected Completion Da e~ 1
Verification Yes
by Owner/Agent: No.
Call Taken By:
Date : ~D s
Enforcement (Urgent) .
Form N7 7/93
NYC-WTC 000112052
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