NYC 9/11 Public Portal Document
FOR OFFICIAL USE ONLY
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NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program Fee (if any) $
59-17 Junction Boulevard, 8'" Floor, Corona. NY 11368-5107
7NLY V D D ,1 +'
YPEWRITTEN '`~% AmendmenA"_2&1? 91/
FORMS WILL BE vw v?? ASBESTOS PROJECT AMENDMENT FORM Information Only: ❑ Yes 0 No
ACCEPTED +.~r~.w+/der• .: FOR FORM ACP 7
A modification is valid only if it is received by the NYCOEP prior to the previously filed date of
completion, except for start date changes that must be received by the original start date.
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ACP7 TRU N# I ~ 2$MNJZ Facility Address Cf 4 W a Borough
7 "
7 was filed I Variance # (If any)
Was this ACP7 amended before? ❑ Yes t10 If yes, specify date R€c€rvED
1 0 'L Original Completion Date
n Ov from ACP 7, #24.
QUG 3 0 2002
Original Start Date 1
PLEASE ENTER THE INFORMATION THAT IS BEING CHANGED: A notification may be modifi no
llUIIIS e
Ohe originalapplicant or building rq~l 11r ay ar nd all o r'
IV. ASBESTOS ABATEMENT CONTRACTO
12. Name 1 l' 6 a P PA Cot' 13. Contact Person
14. Federal Employer ID. # i.-.-.-.-.-.-.--.-PII _._._._._._._._ _ 15. Te . # "11 f 96 f 4f 0 `~ Fax# ~7 > $9
16. Address 14'''
V. THIRD PARTY AIR MONITOR
'
~F^
7t' City
'r State Zip % - -
17. Name `~ a y ~ to. ' ~ ~ 18. Contact Person 1 ~~ J
19. Federal Employer ID. # 20. Tel. # -1 ' 1 '32,, `~ o-) _Fax # t ~' 2 cY G ? v
21. Address 2.'- % L Lf ~ d~ City f State Zip 1 Ou 17
22. Sample Analysis Laboratory' ' '' ~9^ 23. NYS DOH ELAP # i '"k 1 )
VI. PROJECT INFORMATION 0 Project Cancelled
24. Starting date for this portion of work 1 9 ' Projected completion date ` 0 ❑ Project Postponed
Asbestos work schedule onday Tuesda Wednesday Thursday Friday ~}'S~aturday unday
Shift from: 'b m 0 pm toff ❑ am L% m If other, specify
25. Additional asbestos-containing material to be disturbed during this work 3 JJ O Square Feet, and/or Linear Feet
)
Reduction in the amount of ACM to be disturbed during this work Square Feet, and/or Linear Feet
29. Abatement Procedure for Additional Material (Check all appropriate boxes)
❑ Full Containment 0 Glovebag ❑ Tent ❑ DEP Variance Application
~
Other Changes
30. Locations of abatement modified by above
(For each floor list ACM quantity and type)
N_ -A C C-{'
31/32. Name of Applicant I Owner ___ _ Tel
Name of •'""'I' ' y (If an) C 'L~ Fax #
y
Address City _ State __Zip _
I hereby declare that the information provided herein is true and complete. 11Z
Signature of Applicant /O er Da
ACP 8
2/2001
NYC-WTC 000112392
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