NYC 9/11 Public Portal Document
T e Curt oo NEw Yosic
JOEL A:MIELE, SR., P.E.DWAUMa~nc.oF'NvptoMiENW
Commjsioner
PAORrcrtON
ROBERT C. AVAI.TRONI
Deputy Commissioner
(718) 595-4418
8) S9S- Bureau of
3(SP Air, Noise, & Hazardous
Materials
ASBESTOS CONTROL PROGRAM
TECHNICAL REVIEW UNIT
ACP-7 CORRECTION FORM
PREMISES ADDRESS Ak, z, £,,
IC2-
BOROUGH V~ t,
ZIP- CODE (O2'h
CORRECT
START DATE "C 1G+-;t~2 CORRECT
COMPLETION DATE 2 —
CORRECT ACM QUANTITY:
SQUARE FEET, AND/OR
LINEAR FEET
Correct Method Of Abatement:
The undersigned affirms that
she/he has been instructed verbally
quantity, by Ivls./Mr. to change or confirm the date(s) and/or ACM
organi who is duly authorized to esent the
zation/agency/company/corporation stated in the form ACP-7 regarding
be the (Please check one box the above-noted facilityraddress to
only):
[ Asbestos Abatement Contractor
[ ] Applicant for the asbestos project.
The Undersigned Is Employed by
%P
Organization/ uy, L.vrporation
0 ` a
------------- -Lq
4 ?c,4
Address
ç 7 6^ -2 &/— 3tc
Telephone #
Print Name
s 11
59-17 )unction Bouleva rd, 11th Floor, Corona, New York 11368.5107 TI`LN1 C,9
NYC-WTC 000116070
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