Asbestos Removal Invoice, 26 Wall Street, June 2002

NYC 9/11 Public Portal Document

sESTOS INSPECTION REPORT (continued)

26. Asbestos Hauler NYS DEC Permit # TEL.# Disposal Site(s)

27. This asbestos abatement is part of a (Item a through e requires filing of this form with NYC Department of Buildings) a) ❑ Demolition b) ❑ Boiler Replacement c) ❑ Sprinkler Replacement d) ❑ RenovatioNAiteration e) ❑ Fireproofing Replacement I) ❑ Other (Describe)

28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal ❑ Enclosure ❑ Encapsulation 0 Repair ❑ Clean up 29. ABATEMENT PROCEDURE (Check all appropriate boxes) ❑ Full Containment ❑ Glovebag ❑ Tent ❑ DEP Variance Application

30. LOCATIONS OF ABATEMENT DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OF FLOOR CONTAINING ACM PERFORMED (e.g. entire, east wing. room II, (e.g. Pipe lagging, ceiling, plenum SQUARE LINEAR (e.g. running cable, installing enk)ers, boiler room, lobby. etc duds, storage tanks, decking.etc FEET FEET removi and re d boilers. balers, etc. oof Item No. 3 30,11 ?acadt Item No. 8 23,80

-31. I'hereby declare that the information provided herein is true and complete to the best of my knowledge. I am familiar with Federal, State and NYC laws and regulations applicable to asbestos related work.

Warren & Panzer Trio Asbestos Removal New York City Pa Name of Air Monitor P' Name of As s contractpSOr p . Print Name of Applicant (If other than Owner) ll

~! Signature Signature Signature

i v Date Dale Date

32. I understand that as the owner of a building where asbestos abatement activity occurs, I am responsible for the performance of the asbestos abatement activities in accordance with the Asbe s C trol Program Rules. I have contracted the third party air monitor who is completely independent of all parties involved i t e a est pr ject. I hereby declare that I have uthprized the filing of this notification for the work specified herein. Il United States Dept. of Interior Print Name of Owner Signature ate co / NYC A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE.

Any modification of information provided on this form must be reported immediately in writing directly to the NYC DEP ACP. The requirements of the Asbestos Control Program Rules may not be lawfully avoided or lessened ACP7 a.. through the performance of work in incremental or piecemeal fashion. 22001

NYC-WTC 000112251