Document header page for 20 Vesey Street records, Jan 2002

NYC 9/11 Public Portal Document

CITY OCIyj; DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 1 59-17 Junction Boulevard, 8th Floor, Corona, NY 11368-5107 Buildin9 DePt. or U FOR OFFICIAL USE ONLY 3TOS PROJECT NOTIFICATION f$4 WILL BE (ASBESTOS INSPECTION REPORT) 1 $200 A CEPTED (See lee sch I l

When submitting this form at he NYC:Department of Buildings, the original form and three (3) copies signatures are re ittal atsthe NYCDEP requires one copy of the form with original sign form m eIbm1ed to the NYC DEW not less than one week in advance of the start of abatement a i

I. FA

2. Address 20 Vesey Street — -----__—_-___— Borough Manhattan — Zip - 10007

AKA --- ------------------ 3. Block 8 8 ---- 4. Lot 5 ----

Commercial _ 5. Type of Facility_-- Office ace ~—__--- 6. Name of Building __ II. BUILDING OWNER

7. Name Cedar Management Corp. 8. Cot

9. Tel. # (212) 732-7653 Fax # (212) 962-1825 0 10. Address 20 Vesey Street City New York

III. GENERAL CONTRACTOR

11. Name N/A ----------------------------

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name ACSI-

14. Federal Employer ID. #._._._._._. r II } 15. Tel. # (201) 946-0080

16. Address 350 Warren Street City Jersey City•

V. THIRD PARTY AIR MONITOR

17. Name R. A. West Associates, Inc. Art Mal tt -- -------------------------------------------r---------------18. Contact Person - -- le

19. Federal Employer ID. --------------- - P11 20. Tel. # (215) 860_5026------ Fax # (215) 860-0883 ---

21. Address 2865 South Eagle Road ----_----- City Newtown _--_ State PA Zip _I8940 22. Sample Analysis Laboratory Sci Lab --------- --------- 23. NYS DOH ELAP # 11L_

VI. PROJECT INFORMATION

24. Starting date for this portion of work Projected completion date 1 2/1/01

Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday El Friday ❑r Saturday ❑ Sunday -, ll Shift from: 4-00_— ❑ am 12] pm to 12:00 - ❑✓ am ❑ pm

If other, //t. -Y' 41 specify --------------------------------------- C RECEIVED Access to inspect the premises must be provided during the work schedule indicated in this item. _ 3 0 NOV 2001 ~~' :ar9ArJHM 25. Total amount of asbestos-containing material to be abated during this work ~> SOS/t EP' GROGRAM -10 Square Feet, and/or _ Linear Feet TRUG \) ACP 7 2/2001

NYC-WTC 000112113