Invoice for exterior cleanup services, 92 Reade Street, August 2002

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued)

26. Asbestos Hauler N°,SS DEC Permit TeI. ^ ~ 7 Z - '~~ro Disposal Sites) __ ~ t i I e2N QTF -A 27. This asbestos abatement is part of a (Item a through a requires filing of this form with NYC Department of Buildings) ;~ v_~ .' a) ❑ Demolition b) ❑ Boiler Replacement C) ❑ Sprinkler Replacement d) ❑ Renovation/A(tdration e) O Fireproofing Replacement t) ❑ Other (Describe)

28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal O Enclosure ❑ Encapsulation ❑ Repair ❑ Cleanup

29. ABATEMENT PROCEDURE (Check all appropriate boxes) ❑ Full Containment ❑ Glovebag ❑ Tent ❑ DEP Variance Application

in f (CATIONS nF ARATt=RACUT V 1/13 ' )o'2 DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OF FLOOR CONTAINING ACM PERFORMED (e.g. entire, east wing, room >Y, (e.g. Pipe tagging, ceiling, plenum SQUARE LINEAR (e.g. running cable, installing fire sprinklers, boiler room, lobby, etc) ducts, storage tanks, decking, etc.) FEET FEET removing and replacing boilers, etc.

31. I hereby declare that the information provided herein is true and complete to the best of my knowledge. I am familiar with Federal, State and NYC laws and regulations applicable to asbestos related work.

Su ~t Pint N Tr 4 _cu,4f itor 5 c ) Prin Name f Asbestos Contractor , 4)(/ i/ Gsfl Print Nam of App ant (If other than Owner) r N Signature gnature Signature

Date Date Date

32. I understand that as the owner of a building where asbestos abatement activity occurs, I am responsible for the performance of the asbestos abatement activities in accordance with the Asbestos Control Program Rules. I have contracted the third party air monitor who is completely independent of all parties involved in the asbestos 'project. I hereby declare that I have authorized the fill of this notifica N n for the work specified herein. A~,_~ Print Name Owner ' Signature Date

A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE.

An modification of information rovided on this form must be re rted immediate) in writin direct) to the NYC DEP ACP. The requirements of the Asbestos Control Program Rules may not be lawfully avoided or lessened through the erformance of work in incremental or iecemeal fashion. ACPr 2!2001

NYC-WTC 000114487