Facade cleaning invoice, 52 Beekman Street, Oct 2002

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued) 26. Asbestos Hauler L~ NYS DEC Permit let Disposal Site(s) C~Yt.2Nle5. ~ 27. This asbestos abatement is part of a (Item a through a requires filing of this form with NYC Department of Buildings) a) ❑ Demolition b) ❑ Boiler Replacement c) ❑ Sprinkler Replacement d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement f) ❑ Other (Describe)

28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal ❑ Enclosure ❑ Encapsulation ❑ Repair ❑ Clean up

29. ABATEMENT PROCEDURE (Check all appropriate boxes) ❑ Full Containment ❑ Glovebag 0 Tent ❑ DEP Variance Application 30. LOCATIONS OF ABATEMENT DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) I OF FLOOR CONTAINING ACM PERFORMED (e.p entire, east wing. room H. (e.g. Pot fa9oing• ceaeg. Plenum SOUARE LINEAR (e.p rovii g cable, installing fire sprinklers, boiler room. bby, etc duce, storage rinks, dedrJng. etc.) FEET ' FEET rtmovi and re laci Øj1lers etc.)

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31. 1 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.

F tN iter Name As stos Contractor Pnnt Nan of App nt (ft other Man Owner)

Sgnaturo nature Signature

oCt,- 03-0~ Date Date Date

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 monitor who is complete independent of all parties involved in the asbestos project. I hereby declare that I have authorized the ~fi ' this notificatio f the speafied herein. r 4-- t I--- Pnnt Name of 4sr SiprutAre pet

A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE. Any modification of information provided on this form must be reported immediately in writing directly to the NYC DEP ACP. The requirements of the Asbestos Control Program Rules may not be lawfully avoided or lessened through the performance of work in incremental or piecemeal fashion. III] Ate sRno+

NYC-WTC 000118785