Invoice for facade cleaning services, July 2002

NYC 9/11 Public Portal Document

,~03G1 NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION or, ., ~M Asbestos Control Program 59-17 Junction Boulevard, 8t1 Floor, Corona, NY 11368-5107 44 JQ3S?siiiBuilding Dept, or T U No FOR OFFICIAL USE ONLY w; ~"'rNrw10f., ASBESTOS PROJECT NOTIFICATION ' MS WILL BE (ASBESTOS INSPECTION REPORT) ACCEPTED 1. ~, ee 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

2. Address t fL~ (J S ~~~ Borough ~j-- Zip

AKA —____---- ------ —_ 3. Block _----__ 4. Lot ---------- 5. Type of Facility. 6. Name of Building II. BUILDING OWNER

7. Name -F i _ ~ !i______ - 8. Contact Person `. 9. Tel. # ~W (v - S~Fax # -------------

10. Addresses Q ~,J -- S j __ City N ~__--~ State Zip

Ill. GENERAL CONTRACTOR

11. Name------------------------------------- Tel. # ---------

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name CL'.I.D.J.I./.s.~r.. ._._._._._._._._`---__-----_13. Contact Person (~.Je 7il , ? ( 14. Federal Employer ID. # I PI 15. Tel. # — 3V6 —Fax #

16. Address ~ (~oC City ~/ /1~~~ State N Zip

V. THIRD PARTY AIR MONITOR

17. Name y~t ✓~ >f~ Zc D_ ~, t ~ S ~ rj 18. Contact Person •-

19. Federal Employer ID. # —____-___—___ 20. Tel. # 0( -~a0 - CC — Fax # 3=~~~=Gs✓D --

21. Address ~ !S S~r -/-- City L^' _I"l``__--_ State Zip 1DO'(- _

22. Sample Analysis Laboratory c_( h6 G ~- l °~/t5 ((FtC-- G~ c.f c — 23. NYS DOH ELAP #

VI. PROJECT INFORMATION - 24.. Starting date for this portion of work ~ ~~ ~' Projected completion date _~ Z/ d4_ Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Saturday ❑ Sunday

Shift from: ❑ am ❑ pm to ❑ am ❑ pm

If other, specify _—

Access to inspect the premises must be provided during the work schedule indicated in this item. J+++ 0 2 2002 25. Total amount of asbestos-containing material to be abated during this work 'EP/BANHN ~l °ROGRAM~ d! Square Feet, and/or _---- Linear Feet TRUG GT ? ACP7 B;,.a P I 212001

In

NYC-WTC 000113218