Asbestos Removal Invoice, 30 Wall Street, June 2002

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued) Asbestos 26. Asbestos Hauler Transportation Co. NYS DEC Permit II 1A-371 631 -924-5050 TEL.# • Disposal Siz(s) Imperial/POB 47, 11 Boggs Rd. , PA: Southern Alleghenies/Rd 3 Valleyview Dr., PA 27. This asbestos abatement is part of a (Item a through e requires filing of this form with NYC Department of Buildings) +) ❑ Demolition b) 0 Boiler Replacement c) ❑ Sprinkler Replacement d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement I) ❑ Other (Describe) .

28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal ❑ Enclosure ❑ Encapsulation ❑ Repair ❑ Clean up 29. ABATEMENT PROCEDURE (Check all appropriate. boxes) ❑ Full Containment 0 Glovebag ❑ Tent ❑ DEP Variance Application n 30. LOCATIONS OF ABATEMENT DESCRIBE SECTION I AFFECTED SURFACES ~&. AMOUNT OF ACM O ,ef~ (^,J 2-_ Floor(s) OF FLOOR DESCRIPTION OF WORK EING CONTAINING ACM PERFORMED (e.g. entire, east wing. room fr. (e.g. Pipe lagging. ceiling, plenum SQUARE LINEAR boiler room, lobby. etc) (e.g. Nang cable, insfalfing fire sprinklers, ducts, story a tanks. decking. etc.) FEET FEET removinQ and replacing boilers. etc.) Facad Item No. 8 Partial Facade 12275

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 rrio Asbestos Rvl.Corp NYC Print Name of Air Monitor s Contractor Print,Name of App is th than Owner)

vrv. ~k t Sign ure

Date 1 MA 4 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 Asbesto o oI Program Rules. I have contracted the third party air monitor who is completely independent of all parties invol d r t s stos prof ct. I hereby declare that I have authorized the filing of this notification for the work specified herein. /J 1 30 WSLLC c/o NYC Print Name of Owner Signature Date 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 OEP ACP. requirements of the As Control Program Rules may not be lawfully avoided or lessened ACP7 ance of work in incremental or piecemeal fashion. 212001

NYC-WTC 000112327