Roof cleanup invoice, 41 Broad Street, Nov 2002

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued)

26. Asbestos Hauler ASBESTOS TRANS. CO NYS DEC Permit # 1A371 --- Tel.# (631) 9245050 Disposal Site(s) IMPERIAL- P.O. 47, 11 BOGGS RD., PA. / SOUTHERN ALLEGHANIES - VALLEYVIEW DR., PA.

27. This asbestos abatement is part of a (Item a through e requires filing of this form with NYC Department of Buildings) a) 0 Demolition b) 0 Boiler Replacement c) ❑ Sprinkler Replacement d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement f) ❑ Other (Describe)

28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal 0 Enclosure 0 Encapsulation 0 Repair 0 Clean up 29. ABATEMENT PROCEDURE (Check all appropriate boxes) ❑ Full Containment 0 Glovebag 0 Tent 0 DEP Variance Application

30. LOCATIONS OF ABATEMENT DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OF FLOOR CONTAINING ACM PERFORMED (e.g. entire, east wing, room #, (e.g. Pipe tagging, ceiling, plenum SQUARE LINEAR (e.g. running cable, installing lire sprinklers, boiler room, lobby, etc) ducts storage tanks, decking. etc.) FEET FEET removing and replacing boilers, etc.) 1-10 FL. FACADE WINDOWS, LEDGES 3,380 ITEM #8 ROOF MAIN & SETBACK ASPHALT & DUNNAGE 9,677 ITEM #3

31. 1 hereby dedare 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 ENG., P.C. TRIO ASBESTOS REMOVAL STEVEN PARMIGIANI Print Name of Air Monitor Print Name of Asbestos Contractor Print Name of Applica (N other than Owner)

Signature ~natr.e ature

ate Date Date

32. t 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 Rules. I have contracted the third party air mpnitor who is completely independent of all parties involved in the asbestos project. I hereby declare that I have authorized the filing of thjs`notification for the work specified herein. iv'I P Print,Name of Owner ___

Signature _____- /OP/a:2 Oa

A STAMPED tCOPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE.

Any 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 lawfully avoided or lessened through the performance of work in incremental or niecemeal fashinn ACP7 2/2001

NYC-WTC 000118544