Invoice for asbestos abatement, 49 Ann Street, September 2002

NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION E ,C , C~ / , 1'i t W t ,, «„ . *°"f'" "'~' Asbestos Control Program 59-17 Junction Boulevard, Ss' Floor. Corona, NY 11368-5107 j, 7i ,J'g Building . or TRU No ~P , FOROFFICtAL USE ONLY ONLY ASBESTOS PROJECT NOTIFICATION (ASBESTOS INSPECTION REPORT) _n (ee 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 F 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 - _49 Amta Siveeer _ ~_ Borough MAN___ _ Zip i00'5 =3 _ __ __ _ __ _

AKA _-- _ __ ______—__ _ ~_—_ — —_ 3. Block 92 _ 4. Lot 14 __

5. Type of Facility_______ ----- __________ — 6. Name of Building

11. BUILDING OWNER

7. Name 't9 -- Si QscaaL--rY EAC4 LLC ___ y 8. Contact Person EWUNit -TAM_AM

9. Tel. # -C 91T) Too^ 82! _ Fax # ----------

10. Address ------------ ------ City __ _ ---____ State ____ Zip

Ill. GENERAL CONTRACTOR

11. Name _------~__—__— __------_— Tel. # _---- r--_ IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name GE'WAM*t KuP 0 S Jµ9^ _____13. Contact Person ►E 14. Federal Employer ID. # _.-.-sz.T.PII Y 15. Tel. # C t 18) 531-2992______ Fax # i ____

A%iEUu~ — City 8 ~ N --_.....- State N %~ -_ Zip t123G —_ 16. Address 12A g-2d4'.P-

V. THIRD PARTY AIR MONITOR

17. Name ------ Contact Person M1c~t1A~t_ 1Jot n~ta----

19. Federal Employer ID. PII--- _ 20. Tel. # ( ~t 2) 922-oot3 _ y_ Fax# _C212) 922- 0G30 21. Address 2s CASs 451u 5rt ->=T ~____— City _ N ya~+~ _ _ State Nei Zip 1! ___

22. Sample Analysis Laboratory__,,,...________...________ 23. NYS DOH ELAP #

VI. PROJECT INFORMATION 24.. Starting date for this portion of work _2$_ 25 _c2 Projected completion date

Asbestos work schedule 0 Monday ❑ Tuesday 0 Wednesday ❑ Thursday 0 Friday ❑ Sat.urday ❑ Sunday

ov Shift from: ® am 0 pm to _g-- ex; ❑ am ® pm

If other, f E1VE0 Access to inspect the premises must be provided during the work schedule indicated in this item. j AUS 23 ~Wi[ 9

25. Total amount of asbestos-containing material to be abated during this work a A+

8380_ Square Feet, and/or _—_ __ Linear Feet ACP 7 212001

i '. -fiC,RZA1 saU1

NYC-WTC 000119535