Asphalt and gravel roof cleanup invoice, 43-47 Broad Street, Nov

NYC 9/11 Public Portal Document

f1-- 22 F- NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION on etrgg rM Asbestos Control Program ( (' p \ 59-17 Junction Boulevard, 8" Floor, Corona, NY 11368-5107 Building Dept. or TRU No ONLY t FOR OFFICIAL USE ONLY TYPEWRITTEN ! ASBESTOS PROJECT NOTIFICATION FORMS WILL BE (ASBESTOS INSPECTION REPORT) 1. C ti ACCEPTED w• e"'' (She fee schedule)

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.

I. FACILITY

2. Address 43-45 BROAD STREET Borough Manhattan Zip

AKA 3. Block 4. Lot

5. Type of Facility --_-__----_ 6. Name of Building

II. BUILDING OWNER

7. Name 8. Contact Person V1 t ce Sr'/fe t r'

9. Tel. # Fax #

10. Address City State Zip

III. GENERAL CONTRACTOR

11 Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name TRIO ASBESTOS REMOVAL CORP. mm _13. Contact Person STEVEN PARMIGIANI PI I .!~ 14. Federal Employer ID. # L~._.___ —_ _ 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 # 212 922-0630 __

21. Address 228 EAST 45 STREET —_ — —_,— City NAY_ State NY Zip 10017 -

22. Sample Analysis LaboratoryWARREN & PANZER ENGINEERS, P.C. 23. NYS DOH ELAP # 11251 —__T

VI. PROJECT INFORMATION

24. Starting date for this portion of work _ / 7fJ' ___ Projected completion date

Asbestos work schedule ❑✓ Monday O Tuesday 0 Wednesday ❑✓ Thursday 121 Friday 10 Saturday O Sunday

Shift from: 8:00 _____ ~✓ am ❑ pm to 8: — 00 am Q pm

If other, J '', 4, specify ---_____-___-__-_---------------------_____--_—______ -_-_-_-_. RECEIVED cr Access to inspect the premises must be provided during the work schedule indicated in this item.

a', NOV 18 2002 U eua Au or ury 1 25. Total amount of asbestos-containing material to be abated during this work O,,na, c Asarsros coarsot r V 19,375 Square Feet, and/or __-^ -----0 Linear Feet repceiM y © i ( L~ ' ACP 7 2/2001

NYC-WTC 000118574