Invoice for roof gravel cleanup, 250 South End Ave, Mar

NYC 9/11 Public Portal Document

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p2 pL ~, a;,. ARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Contra Program /~ t ~ jJ~ •r 4 C (/ I% I) O ~' ' >~-t7.kamc8on Boulevard. s" floor. Canons. NY „3883107 - Da.,P: i i>ca.arTmft WNTYMN ASBESTOS PROJECT NOTIFICATION ltOF"`" ONLY FORMS LEE (ASBESTOS INSPECTION REPORT) . e When submitting this form at the NYC Department of Buildings, the original tam and three (3) copies with original signahares are required. Submittal at the NYCOEP requires one copy d the tam with original signatures. This form must be submitted to the NYC DEP not teas than one week in advance of the stag of abatement activities.. V I.FACILITY - 2. Address 3- 27 - ~ lt 4I NI~ n FTu ~.- 8arough iJ • ZIP I

AKA 3. Bloat l• 4. Lot • 8. Type of Facility 6. Name of Building - LL BUILDING 7.Name - t V1C. ' 8. CortePerson 9. Tot.B fax 9 • _ 10. Address y - .. State ., . .t

_ _-- Ili. GENERAL CONTRACTOR _-. 11. Name Tel.B IV. ASBESTOS ABATEMENT CONTRACTOR t p L.Te1L ~ 4 j 13. Contact Person -- 7c*j t 14.FederalEmppto er10.# P11 _-$.Tel.# 16 7~l +•3 0 00 Fax# -- 16. Address 3o/c) doy Ale City JT1Vl state /3'( Zip 10 V

V. THIRD PARTY AI MONITOR -

•37. Name IjtjAlZ.E e kr4 ZErt, 6r S C 18. Contact Person 1M1'~tc. fi,. f4 t:.hr4 . 19. Federal Employer 10.0 - - - V V V V PII L 2o.TeL9 ara - g9?-OO Fax# 9)a-06'3O 21. Address , g JKf s !rZ c -( City l~ T - State Zip OO! . Sample Analysis Laboratory. Cf t7(~Y++ teal6?-'1Esf t 23. NYS DOH ELAP 3 / l4HrO VI. PROJECT INFORMATION 24.Starting date for this portion of work -- 3 Projected domptetion date

Asbestos work schedule D Monday ❑ Tuesday ❑ Wednesday D Thursday ❑ Friday U saturgay.D V VV

Shift iron: V D emI] pm to _CI amT0 pm V S

* • VV V

6 other. specify t/ !1Fc4jk Access to hrspea are premises must be provided dwfn9 are wok schedule 1ne8cated in I* bra 1 P ~O yrl 49

25. Total amount of asbestos-containing material to be abated dwkg lids wok aQfp , _ f~ C1 Square Feel. wxft Linear Fee! __ _ ~ACPI K1v£i:3lrfll i Kai

NYC-WTC 000117328