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Asbestos project notification, 102 North End Avenue

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Application form submitted to DEP notifying of an asbestos inspection and abatement project at 102 North End Avenue.

NYC-WTC_000116064–000116070

Folder label: “102 NORTH END av 1085867, 16/7512

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NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 4 59-17 Junction Boulevard, 8th Floor, Corona, NY 11368-5107 BuBdt Dept. or TRU No ASBESTOS PROJECT NOTIFICATION CO S (ASBESTOS INSPECTION REPORT) ~ ~ ~~ 1. a01(See See fee ea,eaule) form at the NY6 Department of Bt8dings, the original form and three (3) copies with gnat red. Submittal at the NYCDEP requires one copy of the form with original signatures. This to the NYC DEP not less than one week in advance of the start of abatement actwites • l.F

2. Address 102 North End Avenue Borough_ Manhattan Zip 10280 AKA Lilies Noodle 3. Block 16 4. Lot 1001 5. Type of Facility Restaurant 6. Name of Building n/a II. BUILDING OWNER

7. Name LII;es B.P.C. 25 Inc. 8. Contact person Mr. Ken Yin 9. Tel. # Fax# (212) 786-1213

10. Address 102 North End Avenue City Manhattan State M' Zip 10280 III. GENERAL CONTRACTOR

11. Name n/a Tel. #_________________ IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name Fiber Control, Inc. 13. Contact Person Mr. Richard Daly 14. Federal Employer ID. # 15. Tel. # (516) 781-3000 Fax # (516) 781-3085

16. Address 3010 Bums Avenue City Wantagh State NY Zip 11793

V. THIRD PARTY AIR MONITOR

17. Name Clean Air Testing Labs 18. contact person Mr. Lance Tuckruskye 19. Federal Employer ID. 9 P II 20. Tel. # (516) 546-2640 Fax # (516) 546-2640 21. Address 1111 Steele Blvd City Baldwin State iY Zip 11510 22. Sample Analysis Laboratory same 23. NYS DOH ELAP # 11242 VI. PROJECT INFORMATION 24. Starting date for this portion of work 1 1l 01... Projected completion date it

Asbestos work schedule El Monday © Tuesday El Wednesday 10 Thursday El Friday © Saturday ❑ Sunday

Shift from: 6:30 dam ❑ pm to 3:00 Dam ©pm I \ -•---- .,~,~ If other, fO specify ~j D J "' l Access to Inspect the promises must be provided during the work schedule Indicated In this item. ' 0 s 2QQ2 25. Total amount of asbestos-containing material to be abated during this work 4,000 Square Feet, and/or 0 Linear Feet 6

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NYC-WTC 000116066

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NYC-WTC_000116066Source: NYC Law Department, mirrored locally

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