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Asbestos project notification form

Machine-extracted title · confidence 90%

NYC DEP Asbestos Project Notification form submitted for official review regarding environmental inspection or removal activities.

NYC-WTC_000116312–000116314

Folder label: “300 ALBANY ST 1000436, 16/7504

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Scanned page image, NYC-WTC_000116314
OCR text

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NYC 9/11 Public Portal Document

BUREAU OF AIR, NOISE, & HAZARDOUS MATERIALS Department of Environmental Protection ASBESTOS CONTROL PROGRAM TECHNICAL REVIEW UNIT 59-17 Junction Boulevard ACP-7 CORRECTION FORM Htuhkng, New York 11373-5108 PREMISES ADDRESS c 7aie

•Chr(stopher O. Ward BOROUGH ZIP CODE Coniw1ssIoner { J CORRECT START DATE /-2Y-O3 COMPLETION CORRECT DATE/ — ?

CORRECT ACM QUANTITY: i SQ. FT, AND/OR: ' LN. FT. Correct Method of Abatement: -Q cl/

4 The undersigned affirms that she/he has been instructed verball, and/or ACM quantity, by MsJMr. .Lie.4 "y % , who is Organization/agency/company/corporation stated in the form i facility address to be the (Please Check one box only):

[ ]' Asbestos Abatement Contractor [] Building Owner

[ ] Applicant for the asbestos project. U~o The Undersigned is Employed by

J C3 tit i¢Z J 7 /.' C C v ritR . vc . Organization/ Agency/ Company/ Corporation

Address )' -Do ?7 2 s-V Telephone #

Print Name Signa ure

Telephone: (718) 595-3652 Fax: (718) 595-3648

~4O"arcvr*1 www.ayc.6ov/deo

(718) 01P -HELP $

NYC-WTC 000116314

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NYC-WTC_000116314Source: NYC Law Department, mirrored locally

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