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215 PEARL STREET 1001118, 68/4

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000115189–000115194
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Scanned page image, NYC-WTC_000115190
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NYC 9/11 Public Portal Document

'NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 8"' Floor, Corona, NY 11368-5107 .--•----- auwng Dept. or TRU No FOROFFICN.USEONIY -

EWRITTEN ~°a ASBESTOS PROJECT NOTIFICATION I tAirm r~ S WILL BE ..... (ASBESTOS INSPECTION REPORT) 1 ACCEPTED .wn.er~.:crtecr. (see fee )

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

2.1 S PEA tz.L 51 2 e~T Borough MAN _ Zip it)03t3 2. Address 3. Block 68 4. Lot 4 AKA

5. Type of Facility 6. Name of Building

11. BUILDING OWNER

7. Name ~ 8. Contact Person

9. Tel. # Fax #

10. Address _ City State ______ Zip

Ill. GENERAL CONTRACTOR

11. Name_ ._._---_— Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name ~wArvt t N kt1 R 7 BAu 4 _Sc:a C c INC 13. Contact Person s t L P T

14. Federal Employer ID. #J------------ P11 15. Tel. # ~t f,~ a3i - ~gcP Fax#_o~i? 2o9N t e5ofi____

flv EN `' c _ City _ LN — State NY— Zip 112 -- 16. Address 12 QI

V. THIRD PARTY AIR MONITOR

17. Name CLAtZiL tJ $ Pao zr`re. ~ ~,t N aas 18. Contact Person ~OtAN

19. Federal Employer ID. # P11_._._._._._., — 20. Tel # C2 t2) _922-oO ii — Fax # _ C2t2) 022-

21. Address 2 2 £s EAST 4S Tr•t ET City !o£. e- _ State !3Y _ Zip _ IZUi'C

22. Sample Analysis Laboratory, 23. NYS DOH ELAP #

VI. PROJECT INFORMATION 24. Starting date for this portion of work C 9 {} to JO 7- _ Projected completion date J.2' 1_02

Asbestos work schedule ® Monday ® Tuesday ® Wednesday 0 Thursday 0 Friday 0 Saturda, ® Sunday

Shift from: -- ® am ❑ pm to ❑ am I pm

If other, specify __ ____ _ FECEJVED t Access to inspect the premises must be provided during the work schedule indicated in this item. SEP 6 '? z 25. Total amount of asbestos-containing material to be abated during this work 9960 0 Linear Feet Square Feet, and/or ACP 2=

NYC-WTC 000115190

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NYC-WTC_000115190Source: NYC Law Department, mirrored locally

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