NYC 9/11 Public Portal Document
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NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION FOR OFFICIAL USE ONLY
Asbestos Control Program Fee (if any) $
59-17 Junction Boulevard, 8"' Floor, Corona, NY 11368-5107
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Y t@ZITTEN Amendment~~ ~ 2 7 7 ht
FO S WILL BE ASBESTOS PROJECT AMENDMENT FORM Information Only: ❑ Yes 0 No
T
AAC TED ~ nr ta /o FOR FORM ACP 7
A modification is valid only if it is received by the NYCDEP prior to the previously filed date of
completion, except for start date changes that must be received by the original start date.
li ACP7 TRUBN# '59 7Mtiba Facility Address -57 w " r Zip
Date ACP7 was filed Variance # (If any) ~~
S
Was this ACP7 amended before? 0 Yes W No If yes, specify date iEY 1`t O
Original Start Date Original Completion Date D2__ ACRK" ?.
PLEASE ENTER THE INFORMATION THAT IS BEING CHANGED: A notfficti ay more p
Only the b it bfler:M- end rte Ib7 nd V
The origina pl' buiIa,y1goclQr a mend all other items.
N. ASBESTOS ABATEMENT CONTRACTOR
12. Name Fe 13. Co rson fJ C T
14. Federal Employer ID. #nn._,_._,_._._._._.__ P~~ 15. Tei. # Tb' I
16. Address ZC) I ( - ~S -~- City W-Pr- ~ lPr ft State ~ Zip
V. THIRD PARTY AIR MONITOR
17 Name Q 'ç f Ee- (1$ PC.. 18. Contact Person _q CLkQl
19 Federal Employer ID. # 20. Tel. # ILY9 0 Z^o071 Fax#
21 Address City N` State f \Zip 1tt
22 Sample Analysis Laboratory tJ~ C. ~f~l NC-23. NYS DOH ELAP #
VI. PROJECT INFORMATION ❑ Project Cancelled
24. Starting date for this portion of work )— Projected completion date I' 3~ o2 ❑ Project Postponed
Asbestos work schedule 0 Monday 0 Tuesday 0 Wednesday 0 Thursday 0 Friday 0 Saturday 0 Sunday
Shift from: ❑ am ❑ pm to ❑ am ❑ pm If other, specify
25. Additional asbestos-containing material to be disturbed during this work Square Feet, and/or Linear Feet
,1
Reduction in the amount of ACM to be disturbed during this work 40 Qy Square Feet, and/or Linear Feet
29. Abatement Procedure for Additional Material (Check all appropriate boxes)
❑ Full Containment 0 Glovebag 0 Tent ❑ DEP Variance Application
Other Changes
30. Locations of abatement modified by above `" it O `.
(For each floor list ACM quantity and type)
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31/32. Name of Applicant /Owner / f I--T S~ fL/,'7P/ ~C. Tel. #I7IK I S r — 3~
Name cf Company (If any) l L-Id~ Fax #
Address City State Zip
I hereby declare that the information prcvid.td herein is true and complete.
Sign ure of Applicant /Owner Date
ACP 8
o RE MJ M EWRM1ME11rAE 22001
'b•_r A1,'M: L EHFOP.GEMEM
& OS SC'Jr TROT
'M.7
NYC-WTC 000113293
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