Asbestos project notification form, 45 Wall Street

NYC 9/11 Public Portal Document

~~ tea . Asbestos Control Program 59-17 Junction Boulevard, 8t° Floor, Corona, NY 11368-5107 • Tip €s'iWt'2 Building Dept. or TRU No FOR OFFICIAL USE ONLY \..~, ,PE'WRITTEN \ _— . ASBESTOS PROJECT NOTIFICATION 'FORMS WILL BE `'"~~ _ (ASBESTOS INSPECTION REPORT) ACCEPTED 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 - 1 0005 AKA -------------------------------- 3. Block 26 4. Lot 1

5. Type of Facility_' j LJ 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 _---- Ci ty 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 PI I —_—__ 15. Tel. # (_— 14. Federal Employer ID. #1-.........-_.-I.- 516)_741-17 77 —_—_—_____—_— Fax # (516) 741-5807 --

16. Address 1 94 ATLANTIC AVE _—_—_—__—_—_—___ City GARDEN CITY PARK State NY — Zip _11040

V. THIRD PARTY AIR MONITOR

17. Name COLE CONSULTANTS 18. Contact Person JOHN ANUFORO PII 19. Federal Employer ID. # _- _—_—__ 20. Tel. # (914) 345-6000 —_—_— Fax # 914 345-0045

21. Address 2269 SAW MILL RIVER ROAD BLDG 5 _--- City ELMSFORD -- State NY -- Zip 10523

22. Sample Analysis LaboratoryEMSL --------------------------- 23. NYS DOH ELAP #

VI. PROJECT INFORMATION

24. Starting date for this portion of work _11/25/02 __ Projected completion date 12/3/02

Asbestos work schedule El Monday El Tuesday ❑r Wednesday El Thursday ❑✓ Friday ❑ Saturday ❑ 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. ECEIVED NOV 25 2002 er p1~UR~c~4u r1~ 25. Total amount of asbestos-containing material to be abated during this work ~p~~~.~CO~NfltQl ;w —_-- 3,309 Square Feet, and/or _—_—_—_ 0 Linear Feet

ACP 7 2/2001

NYC-WTC 000112387