Invoice for roof work, 121 Fulton Street, July 2002

NYC 9/11 Public Portal Document ASBESTOS INSPECTION REPORT (continued) "VNsI PH8 ANNST 26. Asbestos Hauler IESI,NY _ NYS DEC Polmit # NJ-462 Disposal Sito(s) BlueRidge Landfill PO Box 399 Sooisdale, Pa 17254 _ Tol# (718) 522-2263 27. This asbestos abatement is part of a (Item a through e requires fltng of this form with AMC Department of Buildings) a) • Demolition b) L Boiler Replacement e) Fireproofing Replacement n El Other (Describe)_ c) U Sprinkler Roplacoment d) Renovation/Alteration 28. TYPE OF ABATEMENT (Check all appropriate boxes) • Removal • Enclosure Encapsulation Repair Clean up 29. ABATEMENT PROCEDURE (Check all appropriate boxes) • Full Containment L Glovebag • Tent 30. LOCATIONS OF ABATEMENT RODF MATERIAL: DESCRIBE SECTION Floor(s) OF FLOOR AFFECTED SURFACES ogr eibre, east wing, room #. CONTAINING ACM boiler room, lobby, etc) (e.g. Pipe lagging, ceiling, plenum ducts, storage tanks, decking. etc.) FACADE DEP Variance Application Tru 0882 MN02 ROOF MEMBRANE (TAR) AMOUNT OF ACM DESCRIPTION OF WORK BEING SQUARE LINEAR PERFORMEO FEET FEET (e.g. running cable, installing fire sprinklers. removing and replacing boilers, etc.) SOUTHI FReADE NORTH FACADE (UDGE) WEST FACADE BULKHEAD ALUNING ROOF ROOF PARAPET WiAUL 2006 50 2620 375 500 3000 500 ( 31. Ihereby 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. WARRE E PANZER TULNO D KYURZBAN +SON rint Name of Air Monito PrinkNameor Asbeflos Contractor fur fu Print Name of Applicant (if other than Owner) 6/13/02 5/12/02 Signature Dắte Date 32. I understand that as the owner of a building where asbestos abatement activity occurs, I am responsible for the performance of the asbestos abatementactivities in accordance with the Asbestos Control Program Rules. I have contracted the third party air monitor who is completely independent of all parties involved in the asbestos project. I hereby declare that 1 have authorized the filing of this notification for the work specified herein. Print Name of Owner BitentalsDEe Signature 06/12/02 Date 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 Rufes may not be lawfully avoided or lessened through the performance of work in incremental or piecemeal fashion 14901 NYC-WTC_000119503