Asbestos inspection report form, 49 Broadway, July 2002

NYC 9/11 Public Portal Document

;oo ✓ 's- W ` t_ parr ovn p 1 MENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard. a Floor. Corona, NY 11368-5107 ONLY rrnFwrzrr7 ; JlY ASBESTOS PROJECT NOTIFICATION \' FORMS WILL BE +!~ (ASBESTOS INSPECTION REPORT) ACCEPTED i www. rt.Es, sea

When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities.

I. FACILITY

2. Address 49 Broadway BoroughManhattan Zip 10006 AKA 25 Trinity Place 3. Block 20 4. Lot 13 5. Type of Facility 6. Name of Building 11. BUILDING OWNER ...1_~.

7. Name Stahl Midtown Property 8. Contact Person 2tZ C. ___ S000 9. Tel.# 212-425-5000 Fax# 10. Address City State Zip Ill. GENERAL CONTRACTOR

11. Name Tel. #____________________ IV. ASBESTOS ABATEMENT CONTRACTOR

12. NameTri-o AGheg•rng Rr~mOM;; l rL2rp 13. Contact Person Chris Horan 14. Federal EmployerID.# P11 15. Tel.#718-961-4100 Fax#718-961-410 16. Address 1 4-20 129th Street City College Poi n _ State_NY Zip 1 1 356 V. THIRD PARTY AIR MONITOR

17. NameWarren & Panzer Engineers P.. C. 18. contactPersonMiehael Nolan 19. Federal Employer1D.# 20.TeL#212-922-007 Fax# 212-922-0630 21.Address 228 East 45th Street city New York stateNY zip10017 22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH ELAP #11251 VI. PROJECT INFORMATION 24. Starting date for this portion of work -- (.7 f ~ 162— Projected completion date 1p~ Asbestos work schedule 0 Monday ❑ Tuesday 0 Wednesday ❑ Thursday ❑ Friday ❑ Saturday ❑ Sunday

Shift from: ______Dam ❑pm to Dam ❑pm

sp~fy REMAD Access to inspect the premises must be provided during the work schedule Indicated In this item. i N 0 6 2002 JUN- `?•3ANNLi.' L " 25. Total amount of asbestos-containing material to be abated during this work ;~STOSiI'c ;,' ROGRAM 5, 51 0 . Square Feet, and/or Linear Feet , TR2 G

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NYC-WTC 000118064