Invoice from Fiber Control Inc for facade work at 22

NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 8°i Floor. Corona, NY 11368-5107 ONL x P ASBESTOS PROJECT NOTIFICATION (ASBESTOS INSPECTION REPORT)

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 L` 2- W A ak S i EE ( Borough N• I Zip 1300"+'

AKA 3. Block 1 3 E 4. Lot l 0

5. Type of Facility 6. Name of Building

II. BUILDING OWNER , n 7. Name') t? AVIZ ( Ou ( LL C ' 8. Contact Person

9. Tel. # Fax #

10. Address 23I ) M O1 ISc t ks-) C_ _ City 1 '1 State ~`._- Zip 0 0

III. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR 1 12. Name J1 k1 e ~~`' t ~O ( 13. Contact Person __/ ?'- ~/ /i

14. Federal Employer ID. # ' PII 15. Tel. # - 7/ - 30 0 0 Fax # —J/ ?&' 3dc95

16. Address PC ~L ~ — City J State Zip I I ? ]'_?

V. THIRD PARTY AIR MONITOR

17. Name _&2 R&f t 2 EP— - i&l4 S rh C 18. Contact Person Alt L (`tr O f^

19. Federal Employer ID. # 20. Tel. # OO Fax # -I — ' oW

21. Address ~~ g 1 — S' (I FE City !V'/£1 ~'~l~ State Zip 00 ( .

22. Sample Analysis Laboratory C(~K1'11(C— h *75t rZA TcX'/>=S try 23. NYS DOH ELAP #

VI. PROJECT INFORMATION 24_ Starting date for this portion of work Projected completion date O 7`

Asbestos work schedule 0 Monday 0 Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Saturday 0 Sunday

Shift from: ❑ am ❑ pm to 0 am 0 pm 10 If other. specify ~~ >~E4CEIVED 1 Access to inspect the premises must be provided during the work schedule indicated in this item.

i?NIRO~ / . ti• BIIREA,!1(K 25. Total amount of asbestos-containing material to be abated during this work '~ ''~"bislEstoscoN~i01 j PROOR~ / T taa 1 . O Square Feet, and/or Linear Feet // ACP 7 P_?A 1T E a N 22001 :'.- 3 E•~ 'a'Flr.4l 3'r:4t1,7 i t'.:rBGI tFi l

NYC-WTC 000112717