NYC 9/11 Public Portal Document
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NYC DEPARTMENT OF ENVbRONMENTAL PROTECTION
Asbestos Control Program
~~ Q js 59-17 Junction Boulevard. 8" Floor. Corona. NY 11368-5107
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TYPEWRITTEN -4 ASBESTOS PROJECT NOTIFICATION
FORMS WILL BE (ASBESTOS INSPECTION REPORT)
C ACCEPTED ti -~•~n.r~•/a.o 1.
(S ee schedule)
When submitting this form at the NYC Department of Buildups, the original form and three (3) copies with origins
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 30 Wall Street Borougllanhattan Zip10005
AKA 3. Block 43 4. Lot .5
5. Type of Facility 6. Name of Building
II. BUILDING OWNER
7. Name 30 WSLLC C/o The Pyne Companies 8. Contact Person
9. Tel.#.212-425-0588 Fax#
, 10. Address City State Zip
Ill. GENERAL CONTRACTOR
11. Name Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name Trio Asbestos Removal Corp. 13. Contact PersonChris Horan
14. Federal Employer ID. #J P11 15. Tel. #71 8-961-41 00 Fax # 71 8-961 -4103
C 16.Address 1 4-20 1 29th Street CityColl e Point StateNY Z;p 11356
V. THIRD PARTY AIR MONITOR
17. Name Warren. & Panzer Engineers, p.c. 18. Contact Person Michael Nolan
19. Federal Employer ID. # 20. Tel. 2l_2-922-0077 Fax# 212-922-0630
21. Address 228 East 45th. Street y New York
Car State NY Zip 10017
22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH ELAP# 1 1 251
VI. PROJECT INFORMATION
24. Starting date for this portion of work Projected completion date ` O Z
Asbestos work schedule ' nday Tuesday f2 Wednesday Thursday Friday esalurday ' Sunday
Shift from: 2 m ❑pm to U Dam m
If other,
specify
Access to inspect the premises must be provided during the work schedule indicated in this item.
/7 REi" 0 I
r
JUN Z
7 2002
25. Total amount of asbestos-containing material to be abated during this work
1 2, 275 Square Feet. and/or Linear Feet
6 ACP T
2 OO1
NYC-WTC 000112326
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