NYC 9/11 Public Portal Document
•, NYC DEPARTMENT OF ENVIRONMEN ROTECTION
17t Asbestos Control Program ' . r
®~` 59-17 Junction Boulevard, 8 Floor, Corona. NY 11368-5107
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ASBESTOS PROJECT NOTIFICATION
RMlS EN \' 4 k"'~NrM:r"° f (ASBESTOS INSPECTION REPORT) 1
ACCEPTED ::o.la<a
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( tee chedule)
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
50 Broad Street BorougnManhattan Zip
. 10004
2. Address _
24 36
AKA 3- Block 4. Lot
5. Type of Facility___ ____ 6. Name of Building
II. BUILDING OWNER
7. Name 50 Broad Str., Inc. /50 New Str., Inc
Contact Person
9. Tel. # 21 2-425-1 0S8 Fax#
10. Address City State Zip
Ill. GENERAL CONTRACTOR
11. Name Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12, Name Trio Asbestos Removal Corp. 13. Contact Person Chris Horan
14. Federal Employer ID. #L P -I! 15. Tel. # 718-961-4100 Fax# 718961-4103
16. Address 14` 20 129th Street w cit ollege Point _StateNY Zip 11356
V. THIRD PARTY AIR MONITOR
17. Name Warren & Panzer Engineers, P . C. 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 # 11251
VI. PROJECT INFORMATION
24. Starting date for this portion of work ' 2q 0 Z Projected completion date
Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Saturday ❑ Sunday
Shift from: _____,_❑am ❑pm to Elam ❑pm
If other,
specify _ _
Access to inspect the premises must be provided during the work schedule indicated in this item.
25. Total amount of asbestos-containing material to be abated during this work
55 , 620 Square Feet, and/or Linear Feet
.. f
)'CP 7
2/2001
NYC-WTC 000118440
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