NYC 9/11 Public Portal Document
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VVV y tm' --- NYC DEPARTMENT OF ENVIR6t4.. ~ AL PROTECTION
Asbestos Control Program.
59-17 Junction Boulevard, 8~' Floor, Corona, NY 11368-5107
Building Dept or TRU No
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7YFEVP141TTEN
or
ASBESTOS PROJECT NOTIFICATION
FOR OFFICIAL USE ONLY
V ~`'O`Mt'xru
.F' 00S WILL BE (ASBESTOS INSPECTION REPORT)
,6)fECEPTED " ,c .O°%':°
(See 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 52 WIILIAM STREET Borough Manhattan -- Zip
AKA 47-49 PINE STREET, CLUB QUARTERS 3. Block 4. Lot
5. Type of Facility--__---__—__—__—__—__—_ 6. Name of Building
II. BUILDING OWNER
7. Name FINANCIAL DISTRICT ASSOCIATES LLC do MAST 8. Contact Person
9. Tel. # (212) 626-9392— — Fax #
10. Address City — - ------ State Zip
III. GENERAL CONTRACTOR
11. Name---------------- — — — — — Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name TRIO ASBESTOS REMOVAL CORP.
__—__---_ _ _ 13. Contact Person STEVEN PARMIGIANI
14. Federal Employer ID. P11 15. Tel # (718) 961-4100 Fax # (718) 961-4103
16. Address 14-20 129 STREET—_ —_ — — — — City COLLEGE POINT __—__ State NY _ Zip 11356
V. THIRD PARTY AIR MONITOR
17. Name WARREN & PANZER ENGINEERS, P. C. 18. Contact Person MIKE NOLAN
19. Federal Employer ID. # 20. Tel. # (212)_922-0077_ —_—_ Fax # (212) 922-0630 _--
21. Address 228 EAST 45ty STREET —_ -- — — City N.Y.______-__—__—__ State NY-- Zip 10017
22. Sample Analysis Laboratory_wARREN & PANZER ENGINEERS, P.C. — 23. NYS DOH ELAP # 111251 _-_
VI. PROJECT INFORMATION
24. Starting date for this portion of work __ LO D Projected completion date
Asbestos work schedule 0 Monday 0 Tuesday 0 Wednesday 0 Thursday 0 Friday 0 Satulday-Q.sunday
Shift from: 8:00 ❑✓ am ❑ pm to 8_00 __ ❑ am 0 pm
If other, • `,
specify ------- -------------- --- ------- -- -- -
( /
E/y
Access to inspect the premises must be provided during the work schedule indicated in this item. ~C/
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*
25. Total amount of asbestos-containing material to be abated during this work .
4 ;
____ O_ Square Feet, and/or --_— 0 Linear Feet
ACP 7
212001
NYC-WTC 000113704
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