Invoice for facade cleaning at 19 Park Place, July 2002

NYC 9/11 Public Portal Document

DEP ECB Fax:212-361-1433 Jun 28 2002 11:24 P.04

ASBESTOS INSPECTION REPORT (continued) ' 72~ 3 7 26. Asbestos Hauler -- co NYS DEC Permit Tet.q•

Disposal Site(s) NYC Department of Buildings) 27. This asbestos abatement Is part of a (Item a through a requires filing of this form with b) ❑ Boiler Replacement c) ❑ Sprinkler Rept acament • d) ❑ Renovation/Alteration a) 0 Demolition a) ❑ Fireproofing Replacement f) ❑ Other (Describe) -_

28. TYPE OF ABATEMENT (Check all appropriate boxes; ❑ Remove! ❑ Enclosure 0 Encapsulation ❑ Repair ❑ Clean up

29. ABATEMENT PROCEDURE (Check all appropriate boxes) ❑DEP Variance Application ' Q y ❑ Full Containment 0 Glovebag ❑Tent

30. LOCATIONS OF ABATEMENT 5CRIPrION OF WORK EING DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM Floor(s) OF FLOOR CONTAINING ACM LiNt:AR (e.g. runningPERFORMED cable, inilsNing firs eprinkbn. (e.g. entire. last wtnQ, room a, (e.g. pit. tagging atting. plenum SQUARE FEET ' FEET rein end r.pledn boilers etc. boiler lob C) ducts. storsee i*u ds i , etc•)

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

Print t~t or ii: Pin Nams As c~iT7 stow GontraCt Print Na of APP (if other than Owner)

mature Signature Signature

C,- 03 oa . '3-c) err responsible for the performance of s2. I understand that as the owner of a building where asbestos abatement activity occurs, I the third party air the asbestos abatement eclivities in accordance with the Asbestos Control Program Rules. I have contracted authorized the monitor who Is completely Independent of all parties Involved in the asbestos project. I hereby declare that I have filingAof this n~fication for the work specified herei — ` Date --- Print Nome or Owner Signature

A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE. to the NYC DEP ACP. [_Any modification of Information ørovided n this form must be reported immediately in writing directly lessened The requirements of the Asbestos Control Program Rules may notleceme be lawfully avoided or 1 fashion: through the oerformertce of Work in in mental or t

NYC-WTC 000115959