NYC 9/11 Public Portal Document
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(•. . NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
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0 Asbestos Control Program
59-17 Junction Boulevard, 8' Floor, Corona, NY 11368-5107 ~iy0
Building Dept. or TRU No
A FOR OFFICIAL USE ONLY
/ TYt;EWgItTEN Mrµ~~E~ ASBESTOS PROJECT NOTIFICATION
FORMS WILL BE (ASBESTOS INSPECTION REPORT)
ACCEPTED www.n . uvicc 1.
(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
II. 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
12. Name TRIO ASBESTOS REMOVAL CORP. 13. Contact Person STEVEN PARMIGIANI
14. Federal Employer ID. #--__ __PII ____ 15. Tel. # (718) 961-4100 Fax#
16. Address 14-20 129 STREET --i— __ 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. # —__ 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 _JJ! 0 $/_2 Projected completion date
Asbestos work schedule El Monday 0 Tuesday 0 Wednesday 1] Thursday 0 Friday 0 Saturj 4a unday
Shift from: 8:00 0 am 0 pm to 8:00 __ 0 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
212001
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A48ESTOS CONTROL
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NYC-WTC 000118563
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