NYC 9/11 Public Portal Document
- NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program Ui! 6 A #JO
pp 59-17 Junction Boulevard, 8 Floor, Corona, NY 11368-5107
Building Dept. or TRU No
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FOR OFFICIAL USE ONLY
' TYPE NRl.17EN TE '~p~-,..._ c~ ASBESTOS PROJECT NOTIFICATION
FORMS WILL BE (ASBESTOS INSPECTION REPORT) 1
ACCEPTED www.sYc.f • p
(See 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 .
1. FACILITY
2. Address 41 BROAD STREET Borough Manhattan Zip —_
AKA 3. Block 4. Lot
5. Type of Facility___.____.. .. 6. Name of Building
11. BUILDING OWNER
7. Name WALWIHAL ASSOCIATES 8. Contact Person
9. Tel. # ------------------ Fax # -------------
10. Address --__ ~__—__—__ __ City State Zip
III. GENERAL CONTRACTOR
11. Name__ ______...----------._______.---------- Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
TRIO ASBESTOS REMOVAL CORP._—__ —! 13. Contact Person STEVEN PARMIGIANI
12. Name
.___._PI.I_ __ __ „—__ Fax # (718) 961-4103 i-
14. Federal Employer ID. # 15. Tel. # (718) 961-4100
16. Address _ 14_20 129 STREET —__—__—__—__—_ City COLLEGE POINT __ _ State NY _ Zip _11356
V. THIRD PARTY AIR MONITOR
17. Name WARREN & PANZER ENGINEERS, P.C.__—__—__® 18. Contact Person MIKE NOLAN _ _
19. Federal Employer ID. # _..__.~__a_______—__ 20. Tel. # (212)
922-0077 Fax # 212 922-0630
21. Address 228 EAST 45 STREET_—__—_~__ --_ City NEW YORK__ _ State NY Zip 10017
22. Sample Analysis Laboratory WARREN & PANZER ENG_, P_C.—__ ___ ___ _ 23. NYS DOH ELAP # 11251 _____
VI. PROJECT INFORMATION
24. Starting date for this portion of work _ X1_04© 2— Projected completion date __ LL 5./~ -
Asbestos work schedule 0 Monday 0 Tuesday ❑ Wednesday 121 Thursday 0 Friday 0 Satur .Sundal
Shift from: 8.00 __ 0 am 0 pm to 8.00 _- ❑ am 0 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
_-- 13,057 Square Feet, and/or —_— --0 Linear Feet
ACP 7
22001
R IMAEDSATION & EN~
ASBESTOS CONTROE
PROGRAM
NYC-WTC 000118543
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