NYC 9/11 Public Portal Document
£o7 L572- „ OA NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program
~`~•4.
~r w 59-17 Junction Boulevard, 8°i Floor. Corona, NY 11368-5107
Building Dept. or TRU N,
FOR OFFICIAL USE ONLY
ASBESTOS PROJECT NOTIFICATION
(ASBESTOS INSPECTION REPORT)
I. FACILITY
2. Address( V E5EL c r ~EE ( Borough ' 1 Zp
p-
AKA 3. Block R ' 4. Lot —
5. Type of Facility 6. Name of Building
II. BUILDING OWNER
7.NameCAS t; A - O VaS£^f 8. Contact Person
9. Tel. # 4) -1 ~J a —7 Fax #
10. Address ~ ~~ S 12 _ ( City _N3 ' State Zip c O
III. GENERAL CONTRACTOR
11. Name_ — Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name — ------------------------- — — __13. Contact Person ~~ C.ocSI~
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14. Federal Employer ID. # _._._._._._,_ _ P. 1
G c
15. Tel. # 1
v - 7~~ J~° D Fax # _ JI ~d J ICJ S
~ ~
16. Address C ~~ —City ~J /~~/~ State /U~ Zip ! 17 at
V. THIRD PARTY AIR MONITOR
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17. Name lL~ V R S4kt42 E1Z /~f~~4 _S rh C 18. Contact Person Y4tC4
19. Federal Employer ID. #____ ...._______ 20. Tel. # 2(P 0 - o0 - Fax # 2! - ? 9 2 -0(3O
21. Address ~~ g 1 S ,Z E 7 City _I4z1
^' cl~ State L-2/ Zip 00
22. Sample Analysis Laboratory_ (£ 71 (' - t! 47 6 771+<S Jc 23. NYS DOH ELAP # if f
VI. PROJECT INFORMATION
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24_ Starting date for this portion of work I Projected completion date a a 1[0?
Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Saturday 0 Sunday
Shift from: ❑ am ❑ pm to ❑ am ❑ pm ~=-- -i j
If other.
specify RF D
Access to inspect the premises must be provided during the work schedule indicated in this item. N ? p 2002
(( DES/#µHM ) )
25. Total amount of asbestos-containing material to be abated during this work 'BES7BS/IEAD
P
TR~~QAM
~a00 Square Feet, and/or 'Linear Feet
A
CJp. Ay ~. dev
O!
6 D ACP 7
2/2001
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NYC-WTC 000112135
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