NYC 9/11 Public Portal Document
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NYC DEPARTMENT OF ENVIRONMENTAL PROTECTIO
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I Asbestos Control Program
59-17 Junction Boulevard, 80' Floor, Corona, NY 11368-5107
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Buil?ng or TRU No
ONLY ~. ®~ FOR OFFICIAL USE ONLY
TYPEWRITTEN ~~. ASBESTOS PROJECT NOTIFICATION
FORMS WILL Bfa~ENut fR~ '
(ASBESTOS INSPECTION REPORT) 1 .i
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'Nhen 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
(See fee
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 104 Trinity Place Borougt anhattan Zip10006
AKA
109 Cedar Street 3. Block 52 4. Lot 15
5. Type of Facility___ 6. Name of Building _________—
II. BUILDING OWNER
7. Name Nick Spyreas Enterprises, LLC 8. Contact Person
914-273-4652
9. Tel. # Fax #
10. Address City State Zip
III. GENERAL CONTRACTOR
11. Na Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name Trio Asbestos Removal Corp. 13. Contact Person Chris Horan
-------------------------------,
14. Federal Employer lD. # P11 15. Tel. # 718-961-4100 Fax # 718-961-4103
16. Address 14-20 1 29th Street CityCollege Point State NY Zip 11356
V. THIRD PARTY AIR MONITOR
17. Name Warren & Panzer Engineers, P.C. 18. Contact Person Michael Nolan
19. FederalEmployerlD.# 20.Tel.# 212-922-0077 Fax# 212-922-0630
21.Address_228 East 45th Street city New York State NY Zip 10017
22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH ELAP # 1 1 251
VI. PROJECT INFORMATION
24. Starting date for this portion of work '9103 /02. Projected completion date $ a4'/O 2..
Asbestos work schedule ,® Monday 0 Tuesday ~' Wednesday Thursday ,( Friday . 'Saturday Of Sunday
Shift from: _®am ❑pm to Dam ®pm 111iLi)
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If other.
specify _
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Access to inspect the premises must be provided during the work schedule indicated in this item. 41J L 0 i ~n1t10
25. Total amount of asbestos-containing material to be abated during this work
5, 275 Square Feet, and/or Linear Feet > 7`
ACP 7
£ 7. ?12001
NYC-WTC 000116583
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