License agreement for exterior cleanup, 104 Reade Street

NYC 9/11 Public Portal Document

4 NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program { 59-17 Junction Boulevard. 8e Floor, Corona, NY 11368-5107 ogrr Building Dept. or TRU N FOR OFFICIAL USE ONLY ITTEN ,~ Mrtiriio~~cdt ASBESTOS PROJECT NOTIFICATION MS WILL BE (ASBESTOS INSPECTION REPORT) 1. ACCEPTED -"'•~r~.~.•t4~

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 _ I O ~~~ ~~ €_T Borough Zip 1. 0 0

AKA 3. Block _I y' 4. Lot 7 3 5. Type of Facility 6. Name of Building

II. BUILDING OWNER

7. Name I ©g 1- ett - t ~ -,,o_ • Contact Person 9. Tel.# ~©~— Fax#

10. Address L fl~ --eS` City — IJ ~_ State N' Zip Ob

III. GENERAL CONTRACTOR

11. Name __----- --_ Tel. # — —

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name _ ___ (____________ 13. Contact Person -----P11 --d ~/ 1 ✓ dU 14. Federal Employer ID. # L.L ,_ __ - , 15. Tel. # __--_---- p Fax # _ Ls

16. Address o1c~ (> v~_------ City J / l~T _ State N 1 Zip IL? ~r

V. THIRD PARTY AIR MONITOR

V41tLt{~-E(, t~°L j , r 17. Name t-v~ Zt LZ Gi l?S rC ~h 18. Contact Person

19. Federal Employer ID. # ___--- 20. Tel. # 13~a2 - 0 O ' Fax # 2a 2,92 -06 30

21. Address FE 7 City State L- Zip 0o(~1 22. Sample Analysis Laboratory__ -( i7 L _' E ~a ES cf 23. NYS DOH ELAP # _ if ~y

VI. PROJECT INFORMATION

24.. Starting date for this portion of work _ 02_ Projected completion date QI 0 2. 30J_ Asbestos work schedule ❑ Monday ❑ Tuesday 0 Wednesday ❑ Thursday ❑ Friday ❑ Saturday ❑ Sunday

Shift from: ❑ am ❑ pm to ❑ am ❑ pm S If other, specify CV ~7VFD J Access to inspect the premises must be provided during the work schedule indicated in this item. .1UN ? 4 2002 4Sj RANNM cb 25. Total amount of asbestos-containing material to be abated during this work r ROCMNf ~' Linear Feet 211C SO Square Feet, and/or ... o

F7 J AI E' l I ?- : 7OC

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NYC-WTC 000114557