Asbestos inspection report application, 43 Broad Street, 2002

NYC 9/11 Public Portal Document

f 22 NYC DEPA:2TMENT OF ENVIRONMENTAL PROTECTION (0 CINU +° — Qt ter Asbestos Control w'rcgram 59-17 Junction Boulevard, 6" Floor, Corona, NY 11368-5107 ,1Q04 MJOC& Building Dept or TRU No ONLY ii 4. FOR OFFICIAL USE ONLY TYPEWRITTEN ASBESTOS PROJECT NOTIFICATION FORMS WILL BE (ASBESTOS INSPECTION REPORT) 1. xxx.nr<. ovfEt ACCEPTED 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 .

1. 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 Con 4v ay 8. Contact Person V11Ce CI //e 4

9. Tel. # Fax #

10. Address City State Zip

Ili. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name TRIO ASBESTOS REMOVAL CORP. —13. Contact Person STEVEN PARMIGIANI

14. Federal Employer ID. tf. _ J.'iL.________ 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 N.Y. State NY— Zip 10017

22. Sample Analysis Laboratory WARREN & PANZER ENGINEERS, P.C. 23. NYS DOH ELAP # 11251

VI. PROJECT INFORMATION 24. Starting date for this portion of work / //' 4 / ° ?. .... Projected completion date 1/ 17 O 2-

Asbestos work schedule 0 Monday 0 Tuesday 0 Wednesday 0 Thursday 0 Friday 0 Saturday El Sunday Shift from: 8:00 0 am 0 pm to 8:00 ❑ am 0 pm i If other, 4 specify — ;' t RECEIVED Access to inspect the premises must be provided during the work schedule indicated in this Item. NOV 18 2002 25. Total amount of asbestos-containing material to be abated during this work ,~. ~ oxoxc csersros coa /'~ 19,375 Square Feet, and/or 0 Linear Feet rwi V j ( $ ACP 7 2/2001

NYC-WTC 000118602