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Asbestos disposal and documentation form, undated

Machine-extracted title · confidence 95%

EPA waste management log and documentation form for asbestos disposal activities involving generators and contractors.

NYC-WTC_000113262–000113271

Folder label: “53 WARREN ST 1001442, 133/21 53 WARREN STREET 1001442, 133/21

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NYC 9/11 Public Portal Document

New York City Department of Transportation

BOROUGH : MANHATTAN PERMIT 4 : M02-2002197- RECORDED 4 : NONE 1INSPECT FIST: 4 PREVIOUS 4 : NONE BUILDING OPERATION PERMIT PERMIT VALID FROM 07/17/2002 TO 08/30/2002

FEES (NON-REFUNDABLE): PERMIT TYPE 0215 ADMIN :**50'00 PAVEMENT TYPE REISSUE SIDEWALK TYPE CONCRETE ISSUE DATE 07/16/2002

TOTAL FEE $****50.00 FEE WAIVED PERMISSION HEREBY GRANTED TO I LICENSE 4 NAME ; ACTION REMEDIATION CO INC CONTACT NAME : ANTHONY COSTA LICEISTEE 4 : 11578 PER PHONE ; ( 516 ) 781 - 3000 CONTRACT 4 : 11FREM ADDRESS WANTASH MY 11793 : 3010RAL 0BURNS)IAVENUUER TO OCCUPY THE SIDEWALK IN FRONT OF HOUSE 4 :53 ON STREET : WARREN STREET FROM STREET : CHURCH STREET TO STREET : WEST BROADWAY

FOR THE PURPOSE OF: TEMPORARY SIEUALK OSINS EXTERIOR CUMUP—DECONTAMINATION TRUCK

*** SEE PAGE 2 FOR STIPULATIONS *** PERMIT ORIGINALLY PRINTED ON 07/16/2002 AT 18:17 BY CANDANCE CAVARRETTA PERMIT OFF PAGE 1 OF 2

PERMITTEES SHALL COMPLY WITH ALL APPLICABLE LAWS, RULES AND SPECIFICATIONS OF THE NEW YORK CITY COMMISSIONER DEPARTMENT OF TRANSPORTATION AND WITH THE TERMS AND CONDITIONS OF THE PERMIT. FAILURE TO COMPLY MAY RESULT IN REVOCATION OF THE PERMIT BY THE COM- MISSIONER. PER

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NYC-WTC 000113264

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NYC-WTC_000113264Source: NYC Law Department, mirrored locally

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