Asbestos project notification form, 53 Park Place, undated

NYC 9/11 Public Portal Document 10 002

FOR OFFICIAL USE ONLY • °"—°P='~ ,;,, NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Mo Asbestos Control Program Fee (if any) S } 59-17 Junction Boulevard. 6 Floor. Corona. NY 11368-5107 ONLY 1, AmendmerK21 "-) 33 FORMS Witt. B 8E J ASBESTOS PROJECT AMENDMENT FORM brformation Only: ❑ Yes ❑ No A CEPTED FOR FORM ACP T A modification is valid only If it is received by the NYCDEP prior to the previously f led date of completion, except for start date changes that must be received by the original start date.

ACP7 TRU/BN# 1415MN01 Facility Address 53 Park Place Borough Manhattan Zip 07 100

Date ACP7 was filed 11/29/01 Variance # (If any)

Was this ACP7 amended before? 0 Yes 2 No If yes. specify date

Original Start Date 11/28/01 Original Completion Date 1131102 from ACP 7. #24. A notitiption may be modifed no more titan Mice. PLEASE ENTER THE INFORMATION THAT IS BEING CHANGED: Only the building owner may amend hails IV and V. The ongmal applicant or building owner may amend all other items. IV. ASBESTOS ABATEMENT CONTRACTOR 12. Name 13. Contact Person

14. Federal Employer ID. #,_, ; _.1 `I..Tel. # Fax #

16. Address City _ State To

V. THIRD PARTY AIR MONITOR 1j

17. Name 18. Contact Person

19. Federal Employer 1D. # — 'NOV 30 ei. # ' ' Fax #

21. Address ty State __Zip

22. Sample Analysis Laboratoi 23. NYS DOH ELAP #

VI. PROJECT INFORMATION `'~ -;% ❑ Project Cancelled 24. Starting date for this portion of work 11128lTt4 ••' ...- 0i j ted completion date 1/31/02 ❑ Project Postponed

Asbestos work schedule © Monday El Tuesday El Wednesday C] Thursday El Friday ❑ Saturday 0 Sunday Shift from: 7.00 © am 0 pm to 3.30 _ ❑ am 2 pm if other, specify

25. Additional asbestos-containing material to be disturbed during this work Square Feet, and/or Linear Feet

Reduction in the amount of ACM to be disturbed during this work Square Feet, and/or Linear Feet

29. Abatement Procedure for Additional Material (Check all appropriate boxes) 0 Full Containment ❑ Glovebag ❑ Tent ❑ DEP Variance Application

Other Changes 30. Locations of abatement modified by above (For each floor list ACM quantity and type) 31132. Name of Applicant ,owner Robert Ryan Tel. # (718) 397-9292

Name of Company (If any) Pinnacle Environmental Corp. Fax # (718) 397-1472 — City Maspeth state NY Zip 11378 Address 64-54 Maurice Avenue

I hereby declare that the information provided herein is true and complete. Signature licant/Owner Date Acae 2J2001

NYC-WTC 000115827