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← Document results/DEP Box 46/17 ANN STREET 1001261, 90/23 BN# 1001261
Document / 3 pages

Invoice for facade cleanup services, 21 Ann Street, Jul 2002

Machine-extracted title · confidence 95%

Billing document from a contractor for asbestos-related work completed at the specified address in July 2002.

NYC-WTC_000116460–000116462

Folder label: “17 ANN STREET 1001261, 90/23 BN# 1001261

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Scanned page image, NYC-WTC_000116461
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NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTIO 4tIl . uTM ~~~ fi r® ~~ Asbestos Control Program r 59-17 Junction Boulevard, 8"' Floor, Corona, NY 11368-5107 09t1P 106L Building Dept. or TRU No ArI■ FOR OFFICIAL USE ONLY

EN ASBESTOS PROJECT NOTIFICATION BE r"' (ASBESTOS INSPECTION REPORT) OCEPTED

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.

1. FACILITY

2. Address — 2-1 A N t4 S T 2E T Borough . Zip

AKA ----_-- --- -- ______________3. Block 4. Lot 2 1

5. Type of Facility___--- 6. Name of Building __________-

II. BUILDING OWNER

7. Name _ _ t ANN ST QEET p. 8. Contact Person

9. Tel. # Fax #

10. Address City State _--_ Zip

III. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name -mAAM'N kV22 E3AN 5 So N e0L 13. Contact Person -_ Lou raNN r co --------------- 14. Federal Employer ID. #;._._._._,_._. PIA 15. Tel. # (it )53 292 __— Fax # _C1lra)_209- jBO8

16. Address .J2 __------City BaCot ' - State N4__ Zip _11236 — _

V. THIRD PARTY AIR MONITOR

17. Name WARQEN _-PANDER t`n►G~►acEUS -- --- 18.ContactPerson MICt-tAEL ~oLA►.~ ---

19. Federal Employer ID. #; _ PII -(T __- 20. Tel. # (212)922_co Fax

21. Address 221B EAST4 5 Tu S -rr-=-eT City u 'f ----- State _ _ Zip _ 1 oO l 7

22. Sample Analysis Laboratory-- ___-- __ ------ 23. NYS DOH ELAP #

VI. PROJECT INFORMATION 24_ Starting date for this portion of work _.2i_ !2 i Projected completion date

Asbestos work schedule ❑ Monday 99 Tuesday Wednesday I Thursday I Friday ® Saturday ® Sunday gco Shift from: g~ am ❑ pm to 0 am M pm 2 3

If other, ~\' 4 ---- - ;,~ SpeGy -------------- REc p Access to inspect the premises must be provided during the work schedule indicated in this item.J ( ( ,uN 2 8 2002 25. Total amount of asbestos-containing material to be abated during this work - i fib NHh ?CGRAN -__ b t6 — Square Feet, and/or - o Linear Feet `. , RUG ti r 1 2/200

•. q1., f

►-Wiv IC.,?

NYC-WTC 000116461

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NYC-WTC_000116461Source: NYC Law Department, mirrored locally

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