NYC 9/11 Public Portal Document
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~IRTMENT OF ENVIRONMENTAL PROTECTION
I I • ' Asbestos Control Program
'' t+_ '' 59-17 Junction Boulevard, 8th Floor, Corona. NY 11368-5107
ONLY
TYPEWRITTEN'
' '. ...P1; y ASBESTOS PROJECT NOTIFICATION
Building Dept. or TRU No
FOR OFROAL USE ONLY
FORMS WILL BE y. (ASBESTOS INSPECTION REPORT)
ACCEPTED ......,... 1.
(dee fee schedule)
When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original
signatures are required. Submittal at the NYCDEP 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 .
I. FACILITY
2. Address 26 Wall Street BoroughManhattan Zip 10005
AKA 3. Block 4 3 4. Lot 6
5. Type of Facility_ 6. Name of Building
11. BUILDING OWNER
~o,ve L~c,hsn r
7. Name United States Dept. of Interior 8. Contact Person
9. Tel. # 212-825-6990 Fax#
10. Address City State Zip
III. GENERAL CONTRACTOR
Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. NameTrio Asbestos Removal Corp. 13. Contact Person Chris Horan
14. Federal Employer ID. _._. P 15. Tel. #71 2i' 00 _ Fax#71 8-961 -41 03
16. Address_14-20 129th Street city.College Point State NY Zip 11356
V. THIRD PARTY AIR MONITOR
17. Name Warren & Panzer Engineers, P.C. Michael Nolan
1S. Contact Person
19. Federal Employer ID. # 20. Tel. #21 2-922-0077 Fax# 212-922-0630
21.Address 228 East 45th Street City New York StateNY Zip 10017
22. Sample Analysis Laboratory Warren & Panzer Engineers, P..23. NYS DOH EIAP #11 251
VI. PROJECT INFORMATION -
24. Starting date for this portion of work /1J Projected completion date /17 (d
Asbestos work schedule ❑ Monday ❑ Tuesday 0 Wednesday 0 Thursday ❑ Friday ❑ Saturday 0 Sunday
Shift from: . _Dam ❑pm to Dam ❑pm 6
specify _ ,
Access to inspect the premises must be provided during (he work schedule indicated in this item.
RECEIVED
='—th
{ J V N 1 7 2002 ~D
25. Total amount of asbestos-containing material to be abated during this work
53, 91 0 Square Feet, and/or Linear Feet ✓ ; :TJ:r
22001
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NYC-WTC 000112250
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