Invoice for roof cleaning, 92 Warren Street, Aug 2002

NYC 9/11 Public Portal Document

,aocm°f4l7 NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION • Asbestos Control Program 59-17 Junc ion-Friulevard. u" Floor. Corona. NY 11368-5107 jNI - ~ip• ASBESTOS PROJECT NOTIFICATION Budding DspL or TRU No FOR OFFIOAL USE ONLY

ILL BE (ASBESTOS INSPECTION REPORT) 1. TED 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 w 2. Address C7I n .l2 E - S T F- T Borough NM C. Zip _ I 0 ~~

AKA 3. Block 13 4. Lot

5. Type of Facility 6. Name of Building II. BUILDING OWNER

7. Name G-11 iJ•Ai 2 1 ~~A1&$ LLX__ ' 8. Contact Person t> 4 1.1 Nhkl 1~ '_ 9. Tel. # -6 ax # Id I ' & 5

10. Address _ jA J l ot4 .S' (Q V1) €S I City __t _J State' Zip U O oJ? III. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name l.CJd~-~ 1,6O 13. Contact Person 7 l _

14. Federal Employer ID. #[ ._._._._._._._._._.P 11 5. Tel. #

16. Address _1~1v~vb/) 1~e — City / /! ( State /v Zip IL2

V. THIRD PARTYAIR MONITOR

17. Name k ~~ { ~ _ 2E2 Gi~Fc T?S h PC 18. Contact Person A114k*fL t1f0L-P~r~ . , r

19. Federal Employer ID. # ---_ 20. Tel. # a ~~-~aa - 00~ Fax # 1a - 9aa -O 3 21. Address g i 1 — S(✓~FE —/_ City State ~ _Zip O

22. Sample Analysis Laboratory__ - (qc«- h A6 d 7A ~` '-t~S v 23. NYS DOH ELAP # (1 ~f

VI. PROJECT INFORMATION 24. Starting date for this portion of work ,-- D a- Projected completion date 2- ' J J

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

Shift from: ❑ am ❑ pm to 0 am ❑ pm 8,

If other, 7 "9

specify ------ — -- — _"BCD Access to inspect the premises must be provided during the work schedule indicated in this item. LO Jll 2 c J A ~Q? : ocp'Bgry 25. Total amount of asbestos-containing material to be abated during this work rRU~gly 8 5 Square Feet, and/or Linear Feet \ ~v~ el I", ACP 7 2/2001 SC.r44• 3'.>,r

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NYC-WTC 000112926