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

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued) .t Asbestos Hauler NYS DEC Permit Disposal Site(s) 27. This asbestos abatement is part of a (Item a through a requires tiling of this form with NYC Department of Buildings) I a) ❑ Demnodtion b) ❑ Softer Replacement c) ❑ Sprinkler Replacement. d) ❑ RernotratioNAlteratton - e)❑ Fireproofing Replacement t) ❑ Other (Describe)

28. TYPE OF ABATEMENT (Check all appropriate boxes) .- ❑ Removal ❑ Enclosure ❑ Encapsulation ❑ Repair D Mean UP

29. ABATEMENT PROCEDURE (Check ad appropriate boxes) Cl Full Containment ❑ Giovebag D Tent 0 DEP variance Application sn r nnA4nnPS nc ABATEMFNT DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) - OF FLOOR CONTAINING ACM PERFORMED (e.g Met Ong. mom A (tg. Pipe legging. caning. plenum 5QI (e.g. ^O aO ens. _________ boler mom. lobby, sic) ducts, itoraQe tunics, dedcinQ, sic.) FEET . FEET teD4ack1 bo&ie5, eic.l

3t -1 hereby declare that the Information provided herein Is true and complete to the best of my knowledge. lam familiar with Federal. - State and NYC laws and regulations applicable to asbestos related work.

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32. 1 understand that as the owner of a building where asbestos abatement activity occurs. lam responsible for the performanceof the asbestos abatement activities In accordance with the Asbestos Control Program Rules. I have contracted the third party air monitor who Is complet independent of all parties involved in the asbestos project. I hereby declare that I have authorized the this notifica specified herein.

Pont Named tt -__E LtO s ' A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SRE

-- I My modification of information provided on this form must be reported Immediately In wntinO directly to the NYC DEP ACP. The requirements of the Asbestos Control Program Rules may not be lawfully avoided or lessened siam

NYC-WTC 000117329