NYC 9/11 Public Portal Document
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NYC DEPARTi1 EN & ENVIR~1M l # e't1ôM
t°°s~te6° Asbestos Control Program •
59-17 Junction Bouliward, 8th Floor, Corona, NY 11368-5107
r l~ Building Dept. or TRU o
T FOR OFFICIAL USE ONLY
TYPEWRITTEN
YPE ASBESTOS PROJECT NOTIFICATION
FORMS WILL BE .t
www.evc. ovloe
(ASBESTOS INSPECTION REPORT) 1. 14C P
ACCEPTED
When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original
signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This
form must be submitted to the NYC DEP not less than one week In advance of the start of abatement activities .
I. FACILITY
2. Address 300 ALBANY STREET Borough Manhattan Zip _--
AKA A _— ____—___ _`— 3. Block 4. Lot
5. Type of Facility 6. Name of Building
II. BUILDING OWNER
7. Name._ _— 8. Contact Person
9. Tel. # _.— Fax # —_ _ f _ ___
10. Address — —_ _—__— _—__—_ City _-- _—__—__ State ___~ Zip ______
III. GENERAL CONTRACTOR
11. Name__—___ ______
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name TRIO ASBESTOS REMOBVAL CORP. 13. Contact Person STEVEN PARMIGIANI
14. Federal Employer ID. #L ! J 15. Tel. # (718) 096-1410 -_—_ Fax # (718) 961-4103
16. Address 14-20 129 STREET __ —_ City COLLEGE POINT___ State NY _ Zip 11356 —
V. THIRD PARTY AIR MONITOR
17. Name WARREN & PANZER ENGINEERS, P.C. — —18. Contact Person MIKE NOLAN
19. Federal Employer ID. # —_ 20. Tel. # (212) 922-0077 _____ Fax # (212) 922-0630
21. Address 228 EAST 45 STREET - City NEW YORK ____ State NY - Zip 10017 _-
22. Sample Analysis Laboratory WARREN & PANZER ENGINEERS, P.C. 23. NYS DOH ELAP # 11251 _____—
VI. PROJECT INFORMATION
24. Starting date for this portion of work !I .2o OZ _— Projected completion date ~_ oZ
s
Asbestos work schedule 0 Monday 0 Tuesday 0 Wednesday 0 Thursday El Friday 0 Saturdy ~✓ Sunday
Shift from: 8:00 0✓ am ❑ pm to 8:00 ❑ am 0✓ pm
s other, I
specify --______---
EIYFID
Access to Inspect the premises must be provided during the work schedule Indicated In this item.
ffUI 19 2002
25. Total amount of asbestos-containing material to be abated during this work &
__ 11,280 Square Feet, and/or 0 Linear Feet v ;f
ACP 7
212001
NYC-WTC 000116316
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