NYC 9/11 Public Portal Document
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Asbestos Control Program
59-17 Junction Boulevard, 8th Floor, Corona, NY 11368-5107 7NN19c'9,i, J"z
Building Dept or TRU No
FOR OFFICIAL USE ONLY
7,YvEWRITTEN ASBESTOS PROJECT NOTIFICATION
• FORMS WILL BE —"`="'~'~ (ASBESTOS INSPECTION REPORT)
ACCEPTED 1
fee
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 45 WALL STREET—_—_----------_---------- Borough Manhattan Zip - 10005
AKA ---- -------------------------------- 3. Block 26--- ---- 4. Lot _ _
5. Type of Facility_ JP APT. BUILDING _—_ 6. Name of Building
II. BUILDING OWNER
7. Name ROCKROSE DEVELOPMENT CORP--------------- 8. Contact Person DAVID PIANE _--
9. Tel. # (212) 984-1734 Fax # (212) 375-1195
10. Address 2 90 PARK AVE SOUTH 14TH FLOOR __--- City NEW YORK State NY -- Zip 10010
Ill. GENERAL CONTRACTOR
11. Name Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name JBH ENVIRONMENTAL, INC. 13. Contact Person BORIS MIRKIN
14. Federal Employer ID. # t_ '__ 15. Tel. # (516) 741-1777_—__—_— Fax # (516) 741-5807 --_
16. Address 194 ATLANTIC AVE City GARDEN CITY PARK State iL__ Zip _11040
V. THIRD PARTY AIR MONITOR
17. Name COLE CONSULTANTS ---------_---_—_------18 Contact Person JOHN ANUFORO _--
19. Federal Employer ID. #L--------.P-- .--------` ____—__ 20. Tel. # (914) 345 6000------ Fax # (914) 345_0045 _--
21. Address 2269 SAW MILL RIVER ROAD BLDG 5 City ELMSFORD _—__—_-- State NY
L. Zip 10523
22. Sample Analysis Laboratory_EMSL ------ 23. NYS DOH ELAP # 11506
VI. PROJECT INFORMATION
24. Starting date for this portion of work _11 2___._ Projected completion date 12/3/02 ----
Asbestos work schedule El Monday ❑✓ Tuesday 0 Wednesday El Thursday ❑✓ Friday ❑ Saturday 0 Sunday
Shift from: 8:00__ ❑✓ am 0 pm to 5:00-- ❑✓ am ❑ pm
If other,
specify
Access to inspect the premises must be provided during the work schedule indicated in this item.
25. Total amount of asbestos-containing material to be abated during this work
—_-- 3,309 Square Feet, and/or _—_—_—_ 0 Linear Feet
ACP 7
2/2001
NYC-WTC 000112385
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