NYC 9/11 Public Portal Document
• ' NYC DEPARTMENT QF ENVIRONMENTAL .PROTECTION:
Program}
. -"' 59-17 Junction I3oufovate
k6na; -NY 1136&5107 ant
Building Dept. or TR No
FOR OFFICIAL USE ONLY
etvR SBESTOS PROJECT NOTIFICATION)
.
'1 1200
M $ 4er1Wubmitting this form at the NYYDepartment 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.
form must be submitted to the NYC DEP not less than one week in advance of the start of abateme
i
1. FACILITY
2. Address 53 Park Place
9 Manhattan
Borough Zip 10007
_._......._.......
_......_. _
3. Block 126 4. Lot 13
5. Type of Facility Commercial Building 6. Name of Building
I1. BUILDING OWNER
7. Name Uonshead 110 Development LLC.Worldwide Holdings Inc 8. Contact Person Je111 Cohen
9. Tel. # (212) 486-2000 Fax # (212) 486-4665
10. Address 150 East 58h Street City New York State NY Zip 10155
Ill. GENERAL CONTRACTOR
11. Name Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name Pinnacle Environmental Corp 13. Contact Person Robert Ryan
14. Federal Employer ID.; PII 15. Tel. # (718) 397-9292 Fax # (718) 397-1472
16. Address 64-54 Maurice Avenue City Maspeth State NY Zip 11378 _
V. THIRD PARTY AIR MONITOR
17. Name 18. Contact Person George Russell
19. Federal Employer ID. # P
II _____ 20. Tel. # (732) 249-3005 Fax # (732) 249-33___
21. Address PO Box 872 City Sommerville State NJ Zip 08876
22. Sample Analysis Laboratory EM & CA 23. NYS DOH ELAP # 1i.Q58-01
V1. PROJECT INFORMATION
24. Starting date for this portion of work _ 11/28/01 Projected completion date .1/31/02 _
Asbestos work schedule El Monday 0 Tuesday El Wednesday El Thursday El Friday ❑ Saturday ❑ Sunday
Shift from: 7.00 Dam ❑pm to 8.30 Dam Elpm
Lj~.!. ••--• ••.r 71~
If other,
specify
Access to inspect the premises must be provided during the work schedule indicated In this item. s ,t` P
25. Total amount of asbestos-containing material to be abated during this work
118.,000 Square Feet, and/or 0 Linear Feet \ I ;r, ALE. ,
M
7
l b t 2/2001
NYC-WTC 000115822
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