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35 Ann Street 104-108 Nassau St. BN# 1001273

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000116527–000116533
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NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program s P p 59-17 Junction Boulevard, 8°i Floor. Corona. NY 11368-5107 0 Building Dept. or TRU I FOR OFFICIAL USE ONL ASBESTOS PROJECT NOTIFICATION ILL BE ""'AL (ASBESTOS INSPECTION REPORT) 1. TED .. r .i> /e See fees

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 __35 Ann S t Borough Manhattan Zip

AKA 104-108 Nassau St 3. Block 92 4.Lot 23 5. Type of Facility 6. Name of Building

11. BUILDING OWNER (. O V (( : f 7. Name Abacus Federal Savings Bank 8. Contact Person:. Z-( Z , 2 Sc~ S `t(1 10 9.Tel.# (212) 285-4770 Fax L'G) CIt-,e'' ', XLiD7 10. Address City M State Zip V III. GENERAL CONTRACTOR

11 Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name Benjamin Kurzban & Son Control 13. Contact Person Louie lannico

14. Federal Employer ID. #~_._ _ _ .P11_ 15. Tel. if (718) 531-2900 Fax # (718) 209-1808

16. Address 1248 Ralph Avenue City Brooklyn State NY Zip 11236

V. THIRD PARTY AIR MONITOR

17. Name Warren & Panza 18. Contact Person

19. Federal Employer ID. # L _ _PI _; 20. Tel. # (212) 922-0077 Fax # (212) 922-0630

21. Address 228 East 45th St City New York State NY Zip 1'0017

22. Sample Analysis Laboratory. 23. NYS DOH ELAP #

VI. PROJECT INFORMATION

24. Starting date for this portion of work _(E.J/2 /Oa Projected completion date i 2 ' UZ

Asbestos work schedule 0 Monday ❑ Tuesday ❑ Wednesday 0 Thursday 0 Friday ❑ Saturday

Shift from: ❑ am ❑ pm to ❑ am ❑pm -` r" $t V If other, specify _ co ' `"W"

Access to inspect the premises must be provided during the work schedule indicated in this item. JUN 0 7 2002 '3ANNt' 25. Total amount of asbestos-containing material to be abated during this work ! GROGRAM - TRUG 8 Ig Square Feet, and/or 0 Linear Feet 2

ACP7 212001

NYC-WTC 000116528

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NYC-WTC_000116528Source: NYC Law Department, mirrored locally

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