Asbestos inspection report application, 41 Broad Street, 2002

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued)

26. Asbestos Hauler ASBESTOS TRANS. co. NYS DEC Permit # 1A-371 Tel.# (631) 924-5050 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) ❑ Demolition b) ❑ Boiler Replacement c) ❑ Sprinkler Replacement d) ❑ Renovation/Alteration e) 0 Fireproofing Replacement f) 0 Other (Describe)

28. TYPE OF ABATEMENT (Check all appropriate boxes) 0 Removal 0 Enclosure 0 Encapsulation 0 Repair 0 Clean up 29. ABATEMENT PROCEDURE (Check all appropriate boxes) ❑ Full Containment ❑ Glovebag ❑ Tent ❑ 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 rt, (e.g. Pipe lagging, ceiling, plenum SQUARE LINEAR (e.g. running cable, installing fire sprinklers, boiler room, lobby, etc) ducts storage tanks deddn etc) FEET FEET removing and refacing refadng boilers, etc.) 1-10 FL. FACADE WINDOWS, LEDGES 3,380 ITEM #8 ROOF MAIN & SETBACK ASPHALT & DUNNAGE 9,677 ITEM #3

31. t 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 ENG., P.C. TRIO ASBESTOS REMOVAL STEVEN PARMIGIANI Print Name of AirMonitor Print Name of Asbestos Contractor Print Name of Applica (If other than Owner)

L Signature i nature S#lature

_ I t -- -ô2---- ____ z~ ate Date Data

32. 1 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 fiIng of ttijs`notification for the work specified herein.

Print Name of Owner Signature Oat

ACP7 2/2001

NYC-WTC 000118564