NYC 9/11 Public Portal Document
1tKhtNUy "' 7o '02
wue~ _ NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program
All 59-17 Junction Boulevard, 8t' Floor, Corona, NY 11368-5107 Building TRU No
1. FOR OFFICIAL USE ONLY
®~ ASBESTOS PROJECT NOTIFICATION I
aww.eYe.Sovldep
(ASBESTOS INSPECTION REPORT) 1 $1200
(See fee schedule)
i submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original
tures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This
must be submitted to the NYC DEP not less than one week In advance of the start of abatement activities.
2. Address 102 North End Avenue Borough Manhattan Zip 10282
AKA 3. Block 25 (SITE) 4. Lot
5. Type of Facility Theatre 6. Name of Building United Artists
11. BUILDING OWNER
7. Name Forrest City Ratner 8. Contact Person John Bowen
9. Tel. # (718) 928-2444 Fax # (718) 923-8796
10. Address I Metro Tech Center City Brooklyn State NY Zip 11203
Ill. GENERAL CONTRACTOR
11. Name Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
Doran
12. Name Pinnacle
Environmental Corp 13. Contact Person Richard
14. Federal Employer ID. - ------------P11 15. Tel. # (718) 397-9292 Fax # (718) 397-1472
City Maspeth State NY Zp 11378
16. Address 64-45 Maurice Avenue
V. THIRD PARTY AIR MONITOR
17. Name Hillman Environmental .._._ 18. Contact Person Joe Hillman
19. Federal Employer ID. # P11 _ 20. Tel. # (908) 688-7800 Fax # (908) 686-2636
City Union State NJ Zip 10926
21. Address 1600 Route 22 East
22. Sample Analysis Laboratory Hillman 23. NYS DOH ELAP # 10926
VI. PROJECT INFORMATION
24. Starting date for this portion of work 3/19/02 _ Projected completion date 4/30/02
Asbestos work schedule 0 Monday El Tuesday 0 Wednesday 0 Thursday 0 Friday 0 Saturday El Sunday
Shift from: 7.00 0✓ am 0 pm to 12.00 0 am 0 pm
If other,
specify j ' RECEIVED 0
I Access to inspect the premises must be provided during the work schedule indicated In this item. MAR 2 5 2002
C~ ~•r' GANiI ~~'. Co
25. Total amount of asbestos-containing material to be abated during this work =5T05~'LE~.
. 0GRAMA JJ
5,000 Square Feet, and/or G
0 Linear Feet '1 76 O`
I l j~' ~7
NYC-WTC 000116064
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