Invoice for roof cleanup at 33 Rector Street, Nov 2002

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued)

26. Asbestos Hauler ASBESTOS TRANS. CO. NYS DEC Permit # 1A-371 Tel.#'(631) 924-5050

Disposal Site(s) IMPERIAL- P.O. 47, 11 BOGGS RD.,PA. I SOUTHERN ALLEGHANIES- VALLEYVIEW DR., PA.

27. This asbestos abatement Is part of a (Item a through a requires filing of this form with NYC Department of Buildings) a) ❑ Demolition b) ❑ Boiler Replacement C) ❑ Sprinkler Replacement .d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement f) ❑ Other (Describe)

28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal ❑ Enclosure ❑ Encapsulation ❑ Repair ❑ Clean up

29. ABATEMENT PROCEDURE (Check all appropriate boxes) ❑ Full Containment ❑ Giovebag ❑ Tent ❑ DEP Variance Application ~f 30. LOCATIONS OF ABATEMENT / •J ~ r at o DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OF FLOOR CONTAINING ACM PERFORMED ..' (e.g. entire. east wing. room #, (e-g. Pipe tagging, ceiling, Plenum SQUARE UNEAR (e.g. running table, installing fire sprinklers, boiler room, lobby. etc) ducts, storage tanks, decks etc.) FEET FEET and etc.) ROOF GRAVEL ROOF GRAVEL 7,600 ITEM #6

31. I hereby declare that the information provided herein is true and complete to the best of my knowledge. I am familiar with Federal, State and NYC laws and regulations applicable to asbestos related work.

WARREN & PANZER ENG., P.C. TRIO ASBESTOS REMOVAL STEVEN PARMIGIANI Print Name of Air Monitor Print Name of Asbestos Contractor Print Name of Applicant (If other than Owner)

_________

Signature s &— (g~nature

Y 2g- -O 2O -O ~J - G] [ —? — Q z —

Date Date Date

32. I understand that as the owner of a building where asbestos abatement activity occurs, I am responsible for the performance of the asbestos abatement activities In accordance with th bes C trot Pr ram Rules. I have contracted the third party air monitor who is completely independent of all parties in ye In a es roject. I hereby declare that I hive aujhorlzed the filing of this notification for the work specified herein. i i, d -Z Prat Name of Owner Signature Date

A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE. I Any modification of information provided on this form must be reported immediate!y in writing direct!y to the NYC DEP ACP. The requirements of the Asbestos Control Program Rules may not be lawfully avoided or lessened through the performance of work in incremental or piecemeal fashion. A ?!2001

NYC-WTC 000117275