Invoice for roof and facade cleaning, Dec 2002

NYC 9/11 Public Portal Document

C~ 3~ ( 7RL. r•u,y a,,,;r.. NYC DEPARTMENY OF ENVIRONMENTAL PROTECTION 1EEIvC. ~+~ yam Asbestos Control Program 59-17 Junction Boulevard, 801 Floor, Corona, NY 11368-5107 ITRt / /7// /"I ~r DPW . Building Dept. «TRU No FOR OFFICIAL USE ONLY to O"Mr:.nuraan~ ASBESTOS PROJECT NOTIFICATION OF * BE (ASBESTOS INSPECTION REPORT) w»».nyc.Serl~el' 1. ~ fee schedule) 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 ~c n 2. Address 55 (rJ_ (~ I (` c-~ Borough Zip D D O AKA Tub — — _-- -- _ 3. Block , ' 3 -- 4. Lot 5. Type of Facility—_-- _ — 6. Name of Building II. BUILDING OWNER

7. Name t~ T~_ 1~j I-tA 0 F~ r 8. Contact Person 9. Tel. # ------------ Fax # ---- ___ 10. Address - ~~--L~~--------- C~~' ----- ►JState--- Zip Q O III. GENERAL CONTRACTOR

11. Name_--- Tel. # ---- ------------------------ -- ------- IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name [ 'el~, _~C'~~ (~U ___----`---__13. Contact Person _ Cam8Lf 4 P11 5. Tel. # J 16_ 2f:3 V6 __. c 14. Federal Employer ID. # ----- Fax # _ JLiT_2~// 3dcs 16. Address ~ J~ j/yz-------- ~J /!~i ~7 City ------- -- State -- /V Zip _~~~.Z--- V. THIRD PARTY AIR MONITOR

17. Name f!'\t ------ ~ ! ---- - hT(ZcO ------- & P- rC ------+--- h 18. Contact Person --------------- 19. Federal Employer ID. # __--_ 20. Tel. # ( =~aa = ~0 — Fax # ZL 2=0& O 21. Address --- -- --- City _)w~ — G---- State —~ - Zip / 22. Sample Analysis Laboratory___ ~( ((( « h46c - rTI( ~-t — 23. NYS DOH ELAP # ....L" VI. PROJECT INFORMATION 24_ Starting date for this portion of work _I ~cP3 -- Projected completion date

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

Shift from: _ ❑ am ❑ pm to _ ❑ am ❑ pm ' If other, g ,'1

Access to inspect the premises must be provided during the work schedule indicated in this item. t •NOV 20 , 002., ~, 25. Total amount of asbestos-containing material to be abated during this work ; I Square Feet, and/or _—_ Linear Feet l •~ -_- ACP7 •1tP

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NYC-WTC 000113125