NYC 9/11 Public Portal Document
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NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program
59-17 Junction Boulevard, 8s' Floor, Corona, NY 11368-5107
Building Dept. orTRU 0
FOR OFFICIAL USE ONLY
EN ASBESTOS PROJECT NOTIFICATION
U I FORMS W1t4 (ASBESTOS INSPECTION REPORT) 1.
(See tee schedule)
"1111 ifting this form at the NYC Department of Buildings, the original form and three (3) copies
A sig re required. Submittal at the NYCDEP requires one copy of the form with original signor tt*ffiGENCY
heFt e submitted to the NYC DEP not less than one week in advance of the start of abatement i Nfes.
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2. Address 250 _ South_ End_ A_vnue BoroughManhattan_ Zip
AKA --------------------------------------------------------3. Block 16 4. Lot 7503 -------
5. Type of Facility_ Apartment Building __ 6. Name of Building _N/A -------------------------- ------
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II. BUILDING OWNER
7. Name RY Management________________________________ 8. Contact Person John Piastra
9. Tel. # 212_ 534-7771 Fax # 21 2_534 _6140 _
10. Address - 161_9__3rd Avenue_________________ City New York ---------- StateN----Zip 101 28 ---
Ill. GENERAL CONTRACTOR
11. Name -.--N/A--.._ _ _-. ----- --- ----- - - _ -- - -- -- ----------Tel. # -N/-A ------ •- -
IV. ASBESTOS ABATEMENT CONTRACTOR
Fried/
l3 Contact Person -Bob ---------------------
12. Name - Environmental_ Manageme----Sol
14. Federal Employer ID. # .'-------------PIII----------- ~__-- 15. Tel. # 9 14 3 3 3-_----- Fax # 91 4_7_6---578
7 2 6 33
____-__6
16. Address _6.7__yZoQd;z 1yQ 1> -------------City Braircliff Mandate NY zip 10510
V. THIRD PARTY AIR MONITOR
17. Name - EnKinowatgh---------- - ------------------------18. Contact Persorpon -Perez --------------
19. Federal Employer ID. # --------------------20. Tel. #91 4 - 632 3362 _____ Fax #9 14_ 328__1734______
21. Address 1 3 &_NQrth_ Y Bud_ quite_ 206City New_Rochelle ____ StateNY-__ zip10804 __-_-
22. Sample Analysis Laboratory_We.-t_ L-&.-------------------------------- 23. NYS DOH ELAP # _!_i_&5_ _______
VI. PROJECT INFORMATION
24. Starting date for this portion of work _1f22 0.2____ Projected completion date __1 24 / 02___
Asbestos work schedule ❑ Monday ® Tuesday ® Wednesday ® Thursday ❑ Friday ❑ Saturday ❑ Sunday
01
Shiftfrom0 7 ~-_ ® am ❑ pm to 1 2QQ_ ®am ❑ pm
If other,
specify ------------------------------------------------------------------
REcEr O _
Access to Inspect the premises must be provided during the work schedule indicated in this item.
JAN Sgt 8 2002
ST AtlttfM
25. Total amount of asbestos-containing material to be abated during this work •SSf b/lEAO
Square Feet, and/or -__-__-_---- Linear Feet TRLJ
ACPT
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NYC-WTC 000117411
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