NYC 9/11 Public Portal Document
NYC DSP A$UESTOS CONTROL PROGRAM
EMEROBNCY AS$EBTos PRQ '~' XDTXP'Y~►T'rOM [15 RCNT Section
is
::?/1
Written notification must be received
within 48 hours via
a) Asbestos Inspection Report (ACP-7) D
fJ
b) Cover letter explaining the nature of the
emergency
1) Caller's
Name:
Affilia
Telepho
2)
3) Actual Date and Time.of Emergency
4) Method of Asbestos Abatement:
Removal Sq.ft. L. ft. Repair ft. L. Ft
Encapsulation Sq. ft. L. ft. ~~`~~f q.
-CI37S5
Clean-up ft. L. ft.
Enclosure Sq. ft. L. ft.
5) Facility Address: _LE
Owner/Agent: Contact Person
Location of Asbestos Abatement:
Tel -; ..—?7 71
6) Asbestos Abatement Contractor:
Name:
Address OSl 0
Telephone #:
7) Starting Date:
Projected Completion Date:
8) Verification Yes.
by Owner/Agent: No.
Call Taken By:
Date: ~~ O
XC: Enforcement (Urgent).
Form N7 7/93
NYC-WTC 000117413
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