License agreement, 211 Pearl Street, Aug 2002

NYC 9/11 Public Portal Document

orn,R N, NYC DEPARTMENT. OF ENVIRONMENTAL PROTECTION Asbestos Control Program

; t•P : ASBESTOS PROJECT NOTIFICATION 59-17 Junction Boulevard, 8"' Floor, Corona. NY 11368-5107

ILL BE (ASBESTOS INSPECTION REPORT) Ig , w ww.nc.~rorreer PTED with original When submitting this form at the NYC Department of Buildings, the original form and three (3) copies signatures. This signatures are required. Submittal at the NYCDEP requires one copy of the form with original abatement activities. form must be submitted to the NYC DEP not less than one week in advance of the start of

1. FACILITY S , e~~z Borough MAM Zip 10038 2. Address 2 u PEARL _ _ 3. Block 69 4. Lot 6 AKA —

5. Type of Facility 6. Name of Building

II. BUILDING OWNER

7. Name _ 8. Contact Person

9. Tel. # Fax # ______ City ------- State ______ Zip — 10. Address _—

Ill. GENERAL CONTRACTOR —_ ______ Tel. # _ 11. Name rN

IV. ASBESTOS ABATEMENT CONTRACTOR 1asr~ttic.► kcicxt3~ts Soli ~ ~ t14C 13. Contact Person ou ig I 3b t Cu 12. Name [_15. Tel. # _CttL~1 53i-29co —Fax#_ t1 C l2____ 14. Federal Employer ID. # P11

16. Address {24$ — ~..>~ v Nuc _—_ — City __— o L __--_ State uY _ Zip i123b _

V. THIRD PARTY AIR MONITOR 9Ao e E t t~s _ 18. Contact Person Ji i± 13cs __— 17. Name u%Qa PII 20.Tei.# C2ta) 922-00 Fax # (212) 922-c=30 19. Federal Employer iD. # -- — ?~~ t~1 4S'M SST City N-- YoPx 1~u __ State _'L. Zip COi7 21. Address 23. NYS DOH ELAP # 22. Sample Analysis Laboratory___________________________

VI. PROJECT INFORMATION 24. Starting date for this portion of work _.2!i to 1 ° z Projected completion date

I ] Saturday ® Sunday Asbestos work schedule ® Monday ® Tuesday ® Wednesday ® Thursday ® Friday

Shift from: 8 © am ❑ pm to ❑ am In pm $ a

If other, specify — —___ — ____— __— _ ' r i i 4'lfl h Q A/-h ir~ i / Access to inspect the premises must be provided during the work schedule indicated in this item.

25. Total amount of asbestos-containing material to be abated during this work 1022 __ Square Feet, and/or b Linear Feet `: \. 4 ACP 2W

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NYC-WTC 000115318