NYC 9/11 Public Portal Document
E/ 00 iTioirui~ NYC DEPARTMENT OF ENVIRONMENTAL PROTECT) )N
Asbestos Control Program
59-17 Junction Boulevard, 8'" Floor, Corona, NY 11368-5107 _i_/3
Building Dept. or TR p
fQR OFFICIAL USE OW~Y
TTEN ASBESTOS PROJECT NOTIFICATION
SWILL BE ;''otitHru (ASBESTOS INSPECTION REPORT)
CEPTED wwa. eYS.SO•(Cep 1.
(Ste fee schedule)
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 60 Broad Street Borougt anhattan 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, LLC 8. Contact Person
9. Tel. # 212-483-8890 Fax#
10. Address City _ State Zip
III. GENERAL CONTRACTOR
11. Name_____________________________________ ___ Tel. # ,. ,
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name Trio Asbestos Removal Corp. 13. Contact Person Chris Horan
14. Federal Employer lD.l.._._._._._._._._._PII_. _._._._. 15. Tel. # T/ i 8~9 01_ 41 0 0 Fax # 71 8 9 61 - 41 0 3
16. Address 14-20 129th Street ___CityCollege Point State NY_ Zip 11 356
V. THIRD PARTY AIR MONITOR
17. Name warren & Panzer Engineers, P . C .__18. Contact Person Michael Nolan
19. Federal Employer ID. # 20. Tel. # 21 2-922-0077_— Fax# 212-922-0630
21. Address _228 East 45th Street City New York State NY Zip 1 001 7
22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH ELAP # 11 251
VI. PROJECT INFORMATION
24. Starting date for this portion of work 16 ! . Projected completion date
Asbestos work schedule
.1/-, urday I unday
Shift from: 4j am ❑pm to E lam )pm t ~f
14
If other,
specify
7 ,~ f
Access to inspect the premises must be provided during the work schedule indicated in this item. ~r̀
"/
R D
H t 2902
25. Total amount of asbestos-containing material to be abated during this work c:; j rJNr•
21 775
Square Feet, and/or Linear Feet
ACP 7
212001
NYC-WTC 000118336
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