Asbestos inspection report application, 41 Broad Street, 2002

NYC 9/11 Public Portal Document

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,~+ ,ti NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program /g? 1-4y0 CJ 1 ` 59-17 Jun Lion Boulevard, 8" Floor, Corona, NY 11368-5107 Building Dept. orTRU No ON(Y .rr FOR OFFICIAL USE ONLY r 7yFN 7YQ ,I7E~ ;EWf311'TEN .. ASBESTOS PROJECT NOTIFICATION FORMS WILL BE — (ASBESTOS INSPECTION REPORT) 1. ACCEPTED t'. : .'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 _—___

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 TRIO ASBESTOS REMOVAL CORP. 13. Contact Person STEVEN PARMIGIANI 12. Name P 14. Federal Employer ID. # ---- II —__ 15. Tel # ~718 961-4100 Fax # (718) 961-4103

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. # --_—_ 20. Tel. # (212) 922-0077 ®—_--_ Fax # (212) 9220630 10017 21. Address 228 EAST 45 SIL__ __ City NEW YORK ®__-...____ State !Y__ Zip

22. Sample Analysis laboratory WARREN & PANZER ENG., P_C~____------- 23. NYS DOH ELAP # 251—__

VI. PROJECT INFORMATION 24. Starting date for this portion of work __fllJCJ 8~02___ Projected completion date _® /1f S/Q -

Asbestos work schedule 0 Monday /El Tuesday El Wednesday El Thursday 0 Friday 0 r y--M:,Sund~ SaturF(a

Shift from: 8:00 — 0 am ❑ 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 2/2001

0!? ENTAL BUREAU Of AATIOII T REME~t

NYC-WTC 000118565