Invoice for remediation services, 45 Park Place, Nov 2002

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued) 26. Asbestos Iirauter~, g Jf" t0 Z72-3 ' Disposal Site(s)

27. This asbestos abatement is part of a (item a through a requires filing of this form w6 NYC Department of BulicTings) a) ❑ Demolition b) ❑ Boiler Replacement C) ❑ Sprtnkler Replacement • d) ❑ RenovatioNAtteration e) 0 Fireproofing Replacement .1) ❑ Othef (Describe)

28. TYPE OF ABATEMENT (Check all appropriate boxes) 4 ❑ Removal ❑ Enclosure ❑ Encapsulation ❑ Repair ❑ Clean up 29. ABATEMENT PROCEDURE (Check all appropriate boxes) ❑ Fur Containment ❑ Glovebag 30. LOCATIONS OF ABATEMENT ❑ Tent ❑ DEP variance Application 17,2,,t.)02w DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OF FLOOR . CONTAINING ACM wing. (e.g. plenum LiNEAR PERFORMED to ballet room (e.g. n v*ig cable, installing Gne spiinklerL a S. stor c. . EEMM T • SQUARE and boilers. etc M ~ b3a

31. 1 hereby declare that the Information provided herein Is true and complete to the best of my knowledge. I am familiar with Federal, State and NYC laws and regulations applicable to asbestos related work.

p' / c ' Name ) ci; Asbestos Contractor c Print Na . of Ai4ant (n other than Owner)

. r S Signature

Date Date Date 32. 1 understand that as the owner of a building where asbestos abatement activity occurs, tam responsible for the performance of the asbestos abatement activities in accordance with the Asbestos Control Program • monitor who is completely independent of all parties Inyolved In the bestos project.Rules. I have contracted the third party air I hereby declare that I have authorized the filing of tfiii$ notification for the work specif' red ` ' , µ~_ f W7C Pant Name of owner h v4'dL fo eye7. Ana ~ . -i U A $TAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE. [ilAnY modification of information provided on this form must be reported immediately In writing directly to the NYC DEP ACP. i ne requirements of the Asbestos Control Program Rules may not be lawfully avoided or AGP7 arloot

NYC-WTC 000115837