NYC 9/11 Public Portal Document
t.
u / ' car timnar NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program
59-17 Junction Boulevard, 8th Floor, Corona, NY 11368-5107 If
{DP
/rf
Bolding Dept. or TR o
FOR OFFICIAL USE ONLY
TEN
LLBE
ASBESTOS PROJECT NOTIFICATION
(ASBESTOS INSPECTION REPORT)
L
P .... y .r re P 1
Fee
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
60 Broad Street
2. Address _Borougt ianhattan Zip 10004
AKA 3. Block 24 4. Lot 1
5. Type of Facility___ 6. Name of Building
II. BUILDING OWNER
7. Name 60 Broad Street 8. Contact Person
9. Tel. # 212-483-8890 Fax #
10. Address _ City _ State Zip
III. GENERAL CONTRACTOR
Hi Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name Trio Asbestos Removal Corp 13. Contact Person Chris Horan
14. Federal Employer ID. # P11 r -- 15. Tel. # _718-961
. 1 -4100 , Fax# 718-961-4103
16.Address 14-20 129th Street CityCollege Point State NY 2ip _11356
V. THIRD PARTY AIR MONITOR
Warren & Panzer Engineers, P. C.
17. Name _18 Contact Person Michael Nolan
19. Federal Employer ID. # 20. Tel. # 212-922-0077 Fax# 212-922-0630
21.Address_ 228 East 45th Street City New York State NY Zip 10017
22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH ELAP # 1 1 251
VI. PROJECT INFORMATION
24. Starting date for this portion of work ,~ Projected completion date 2//s/b Z.
Asbestos work schedule day esday Nednesda rsday 'Friday aturday funday
Shift from: 2 —[ am Opm to _t Dam 5pm f 1
If other,
specify _ % •
z
Access to inspect the premises must be provided during the work schedule indicated in this item. j ._
[ ...fir ' h
4
25. Total amount of asbestos-containing material to be abated during this work
21 775
Square Feet, and/or Linear Feet
7
~f ~/ )2/2001
NYC-WTC 000118330
OCR can misread numbers and units. Confirm readings against the page image before using them.