Invoice for roof cleanup, 50 Broad Street, Oct 2002

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued) , - Asbestos 26. Asbestos Hauler Transportation Co. NYS DEC Permit # 1 A-371 TEL# 631 -924-5050 DisposalSite(s) Imperial/POB 47, 11 Boggs Rd., PA: Southern Alleghenies Valleyview Dr., PAA 27. This asbestos abatement is part of a (Item a through e requires filing of this form with NYC Department of Buildings) a) ❑ Demolition b) 0 Boiler Replacement c) ❑ Sprinkler Replacement d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement I) ❑ Other (Describe)

28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal ❑ Enclosure ❑ Encapsulation ❑ Repair ❑ Clean up

29. ABATEMENT PROCEDURE (Check all appropriate boxes) ❑ Full Containment ❑ Glovebag ❑ Tent ❑ DEP Variance Applicatiol

30. LOCATIONS OF ABATEMENT DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM _7 iiriH DESCRIPTION OF WORK Floor(s) ING OF FLOOR CONTAINING ACM PERFORMED (e.g. entire, east wing, room k, (e.g. Pipe lagging, ceiling, plenum SQUARE LINEAR (e.g. running cable, installing fire sprinklers, boiler room, lobby, etc ducts, storage tanks, decking, etc, FEET FEET removing and replacing boilers, etc.) oofs Item No. 3 Partial Roofs 13500 Facades Item No. 8 Partial Facades 42120

31. 1 hereby declare that the information provided herein is true and complete to the best of my knowledge. I am familiar with Federal, State and NYC laws and regulations applicable to asbestos related work.

Warren & Panzer Trio Asbestos Rvl.Crp. NYC Print Name of Ai Monit Pri apKb( Asb Contractor Print Name of Applicant (If otter than Owner)

Signature Signature Signature

7 /_ Oat Z Date Date 32. I understand that as the owner of a building where asbestos abatement activity occurs, I am responsible for the performance of the asbestos abatement activities in accordance with the Asbestos Control,Program I have contracted the third party air monitor who is completely independent of all parties involved in the asbestos project. I hereby declare Rule's.

that I have authorized the filing of this notification for the work specified herein. 50 Broad Street, Inc./50 New Street, Inc;, Print Name of Owner Signature C o NYC Oate A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE. L...p,ny modification of information provided on this form must be reported immediately in writing directly to the NYC DEP ACP. The requirements of the Asbestos Control Program Rules may not be law }illy avoided or lessened ACP7 through the performance of work in incremental or oiecemesl fashinn 2/2001

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NYC-WTC 000118441