49 WARREN STREET; 1079151, 133/22

NYC 9/11 Public Portal Document

D 7% NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION (,,)j Control Pogram JunctionAsSwIevtaord, . Coroor NY 11368-5107 Building Dept. or TRU No ONLY ~~ • FOR OFFICK USE O►t;Y TYPEWRITTEN f4~ ASBESTOS PROJECT NOTIFICATION FORMS l (ASBESTOS INSPECTION REPORT) 1 lee tthsdule) 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.

1. FACILITY

2. Address _y-9 — 51 W A•Q 1 tJ SE- -T Borough N' ' 1 Zip (D o o~- AKA _S I 1r.1PcQ-1Z- s i 3. Block 1 3 `3 4. Lot 5. Type of Facility 6. Name of Building 11. BUILDING OWNER

7. Name I E4t- 1 L-_ G ' 8. Contact Person 9. Tel. # Fax # 10. Address 7 - f -+I A- -( City' N State N ' Zip IO Ill. GENERAL CONTRACTOR

11. Name Tel. # IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name .~.xQ. ._.-.-.-.-.-.-.-. 13. Contact Person /c'i'-)y 14. Federal Employer 1D. # _ ._._._._._._._. r I I ._._._~W~~ 15. Tel. # 7>~i 3" o 0 Fax # 51 ~~~ J 5 16. Address ~l )y~/1 / /Y L' City ~J J` — State Zip 1(? ? V. THIRD PARTY AIR MONITOR

17. Name Q$`! ¶kN7_E__&s4r3c')f , P C 18. Contact Person `t - 19. Federal Employer ID. # 20. Tel. Fax # a a 21. Address ~_~Y ( S (~fE (_City _ 1~ State Zip 7 22. Sample Analysis laboratory SC(fT-(((1!C *6c P-A7?'/£Sf (cry 23. NYS DOH ELAP # -d VI. PROJECT INFORMATION 24. Starting date for this portion of Projected completion date I O

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

Shift from: ❑ em ❑ pm to ❑ am ❑ pm /'1- >N. If other• specify

SEP 21 2002 Access to inspect the premises must be prw;ded during the work schedule indicated in this Item.

25. Total amount of asbestos-containing material to be abated during this work eUat►u S~ 6~0 \ ,~ t t V J 1 t ` Square Feet, and/or Linear Feet ACP 7 W001

1 .. ~,vE; `• +'• fib

non ~

NYC-WTC 000113291