Invoice for facade remediation, 110 Reade Street, July 2002

NYC 9/11 Public Portal Document

DEPI ECB Fax:212-361-1433 Jun 28, 2002 11:26 P.08

ASBESTOS INSPECTION REPORT (continued) CQ NYS DEC Permit CO 1 . Tel. 7?— 7 26. Asbestos Hauler

Disposal Site(s) e2 ~'eNte l.fri" ~ i 27. This asbestos abatement is part of a (Item a through e requires fi ling of this form with NYC Department of Buildings) a) ❑ Demolition b) ❑ Boiler Replacement c) ❑ Sprinkler Replacement d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement f) n Other (Describe) .,^_------- —___-----

28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal ❑ Enclosure ❑ Encapsulation 0 Repair ❑ Clean up

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

vv. i Do i• 01/

I,v^DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DE5CRIPTION OF WORK BEING Floor(s) I I OF FLOOR CONTAINING ACM PERFORMED SQUARE LINEAR (e.g. running cable. installing lira sprinklers. (e.g. entire. east wing, roan C. (e.g. Pipe legging, ceiling. plenum FEET Moiler room . etc) dude, etegs k*, IdvV5,ate, FEET l5i4 •n0 replacing pollen. alt

H . ______ l

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

Parr N itoe Pnn Nama Asb stoe Contractor Print Nøfl otApp nt (If olitc than Qwner)

..~ Signature Signature gneturo

pits Date

for the performance of 32. 1 understand that as the owner of a building where asbestos abatement activity occurs, I am responsible contracted the third party air the asbestos abatement activities in accordance with the Asbestos Control Program Rules. I have have authorized the monitor who is completely Independent of all parties involved In the asbestos project. I hereby declare that I filing of t1ry~ notifi on for the work epeead horein~ -~ —w-- ~•7, oats Print Name Of Owner Signilvro AT THE WORK SITE. A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE inwritlndirectly to the NYC DEP ACP. can modification of information rovided on this form must be re rted imrnedlatel be lawfully avoided or lessened The requirements of the Asbestos Control Program Rules may notieC8maa1 ertormance of work in incremental or fashion. thro h the mac,

NYC-WTC 000114685