NYC 9/11 Public Portal Document
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program
P 59-17 Junction Boulevard, 8m Floor,.Corona, NY 11368-5107
. Qy Derr Building D t. or TRU No
FOR OFFICIAL USE ONLY
ASBESTOS PROJECT NOTIFICATION
BE WAL (ASBESTOS INSPECTION REPORT)
wwr.n c. or ~t 1. •
(See ee schedule)
When submitting this form at the NYC Department of Buildiings, the original form and three (3) copies with original
signatures are required. Submittal at the NYCOEP requires one copy of the form with original signatures. This
form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities .
1. FACILITY
2. Address 14 WALL STREET Borough Manhattan Zip
AKA 3. Block 4: Lot
5. Type of Facility 6. Name of Building
II. BUILDING OWNER
W 124(14 allManCCttgemenllons
7. Name C/o - e l lW 3 t 8. Contact Person
9. Tel. # Fax#
10. Address City __ State Zip
111. GENERAL CONTRACTOR
11. Name Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name TRIO ASBESTOS REMOVAL CORP. STEVEN PARMIGIANI
13. Contact Person
14. Federal Employer ID. PI 15. Tel. # (718) 961-4100 Fax# (718) 961-4103
16. Address 14-20 129 STREET City COLLEGE POINT State NY Zip 11356
V. THIRD PARTY AIR MONITOR
17. Name WARREN & PANZER ENGINEERS, P.C. 18. Contact Person MIKE NOLAN
19. Federal Employer ID. # 20. Tel. # (212) 922-0077 Fax # (212) 922-0630
21. Address 228 EAST 45 STREET City NEW YORK . State NY Zip 10017
22. Sample Analysis Laboratory WARREN 8h PANZER ENG., P.C. 23. NYS DOH ELAP # 11251
VI. PROJECT INFORMATION
24. Starting date for this portion of work f(.'/2/(2?-. Projected completion date I i c Ji
Asbestos work schedule 0 Monday , 0 Tuesday El Wednesday 21 Thursday ❑r Friday ❑✓ Saturday 0 Sunday
Shift from: 8:00 ❑✓ am ❑ pm to 8:00 ❑ am [a pm
If other,
specify
' R,fCEIVED ~
L Access to Inspect the premises must be provided during the work schedule indicated in this item.
' OCT 29 ?002
25. Total amount of asbestos-containing material to be abated during this work SURE OFEtNI110104 t %
f, n0u s Ewntcar-4
MLST05 CO MU
10,006 Square Feet, and/or 0 Linear Feet
2/200
NYC-WTC 000112183
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