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111 READE STREET Block: 145 Lot: 16 BIN: 1001586 AKA's:

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000114742–000114745
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Scanned page image, NYC-WTC_000114743
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NYC 9111 Public Portal Document

PROTECTION O NYC DEPARTMENT OF ENVIRONS• Asbestos Control Program 11368.3107 59.17 .unction Boulevard. 6" Floor, Corona, NY sup Dept, er TRU 14 FOR OFrom. UK ONLY

EtNRi7TEK ASBESTOS PROJECT NOTIFICATION t (ASBESTOS INSPECTION REPORT) 1. C FORMS W11.L SE f$ tchoa+ilel ACCEPTED ••• ^.rS:iL+~itr. v4th orteinal • (he Original forth and three (3) copies When submitthig this form at the NYC Qepertatent of Buildings; 01 the 100m 'M1h odgkia) srgnatUfst. This Submittal at the NYCOEP requires one copy signatures are required. week In advance of the start of abatement aclMtles . form must be submitted to the NYC DEP not less than one

1. FACILITY `_ r~ Borough — ___ Zip 2. Address _~ l '~ 3. Block 4. Lot AKA _L

5. Type of Facility___— — .—~..8. Name of Building _______-__-

8• Contact Person 7. Name 9. Tel. # ___--_.— — Fax # _ __.__.-

City State __,.-.~ Zip ..--- 10. Address

Ill. GENERAL CONTRACTOR -- Tel. # 11. Name___--____—_--- - ------

IV. ASBESTOS ABATEMENT CONTRACTOR -Tam ,n ~ 13. Contact Person — 12. Name Wf ` ' G-1- ------- `" _ 30 J Fax # __-~--- rw% S 14. Federal Employer ID # ' P'~ _ 15. Tel. # I r 7i ~-_— 0 0 City 1/L' -- State (~ Zip IL? 1 - 16 Address

V. THIRD PARTY AI MONITOR ____ 17. Name .J& ltf) R~•f .w.__ Gr S+,L_18.ContactPerson ,tr q 3D c1a -- Fax # —r f 22_ Employer 1Q. #_..________. 20. Tel. # f o - 1 19, Federal -- State i zip 21. Address 8~ ------ City ~- ~ A 7~(~S arc ^ 23. NYS OOH ELAP # 22. Sample Analysis Laboratory—_ It7`~~(«-1~ 0

VI. PROJECT INFORMATION Q Z Projected completion date 24.Starting date for this portion of work

0 Monday 0 Tuesday 0 Wednesday 0 Thursday 0 Friday ❑.Saturday Asbestos work schedule

Shift from, __ D em ❑ pm to ©am ❑ Pm

If other. specify _--------- -- — .._ - . R~vEO work schedule indicated in this item. JUN 28 Access to inspect the premises must be provided during the 2002 `P/BANHM abated during this work ~. 25. Total amount of asbestos-containing material to be MOGRAM Square Feet, and/or Linear Feet ACP 7 212001

unr ~LtrT-t9~-ZIZ: Xl?J i3J3 d34 TT •a P7: T T OOZ 8' NYC-WTC 000114743

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NYC-WTC_000114743Source: NYC Law Department, mirrored locally

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