Invoice for roof work, 29 Park Row, Nov 2002

NYC 9/11 Public Portal Document

"NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION S Asbestos Control Program 59-17 Junction Boulevard, 8°i Floor, Corona, NY 11368-5107 1 OOi,.) a

fftL)p 1 ASBESTOS PROJECT NOTIFICATION 3ullding Dept. or TRU No FOR OFFICIAL USE ONLY

FORMS 1N (ASBESTOS INSPECTION REPORT) 1. ACCEPTED arw.nyC.Oy rdep }

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. 1. FACILITY

2. Address 29 PARK Pou) Borough MAO Zip 10038

3. Block 90 4. Lot 10

5. Type of Facility COMMERCIAL . 6. Name of Building 11. BUILDING OWNER

7. Name 8. Contact Person /

9. Tel. # Fax#

10. Address City State Zip

111. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name 8E UAMtW VutazOAN 4 Stet CoaTeGL 13. Contact Person Louie 1 ANr3 iCo

14. Federal Employer ID. #._._._._,_._._._.P1I 15. Tei. # (zt8) 5,3t- 290c7 Fax# (at$) tag- t8o8

16. Address 1246 ?-At put A%JE;W0E City U0014-40 State NY Zip 11236

V. THIRD PARTY AIR MONITOR

17. Name WAee %3 4 'PANz iz.. *K"G4wF-- vM I►.tc . 18. Contact Person Mtcu,e:t.. IJac.At3

19. Federal Employer ID. 11 P11 L. 20. Tel. # (2r2) 922-00YT Fax #_(2t ) 92.2-0630

21. Address 228 LEAST 4519 S-i TT City 1E o2 L State _t.)9_ ZIp tOOt *(

22. Sample Analysis Laboratory 23. NYS DOH ELAP #

VI. PROJECT INFORMATION 24. Starting date for this portion of work II ! ( 6102 Projected completion date ii l 30102

Asbestos work schedule ® Monday ® Tuesday ® Wednesday ® Thursday IN Friday CO Shift from: ' © am pm to T ❑ am 1 i pm

If other, specify RECEIVED . Access to inspect the premises must be provided during the work schedule ind ated ki this Item. NOV 159 i art ' 25. Total amount of asbestos-containing material to be abated during this work i

8 50 0 Square Feet, and/or 0 Unear Feet

SD AMp ryByg Et' NrnNTAt,

NYC-WTC 000115537