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Invoice for asbestos abatement, 49 Ann Street, September 2002

Machine-extracted title · confidence 96%

Invoice from Kurzban & Son Control Inc. for roof asbestos removal work completed at 49 Ann Street.

NYC-WTC_000119534–000119553

Folder label: “49 Ann Street 1079092, 92/14

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Scanned page image, NYC-WTC_000119540
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NYC 9/11 Public Portal Document

g0 LA1fC - t NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program '"\ 59-17 Junction Boulevard, 8°i Floor, Corona, NY 11388-5107

-TYPEWRITTEN ASBESTOS PROJECT NOTIFICATION FORMS WILL BE "` (ASBESTOS INSPECTION REPORT) ACCEPTED •," cev

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 49 Ann St Borough Manhattan Zip

AKA 3. Block 92 4. Lot 14

5. Type of Facility 6. Name of Building

II. BUILDING OWNER

7.Name 49-51 Realty Company. LLC 8. Contact Person 9. Tel. # Fax #

10. Address City State Zip

111. GENERAL CONTRACTOR

11. Name TeI. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name Benjamin Kurzban & Son Control 13. Contact Person Louie lanni(o

14. Federal Employer ID. E.__._._.__._ _._._PI ._._._. _._._ _ _ 15. Tel. # (718) 531-2900 Fax # (718) 209-1808

16. Address 1248 Ralph Avenue - City Brooklyn State NY Zip 11236

V. THIRD PARTY AIR MONITOR

17. Name Warren 8' ParuA._._._._._._._._._._._._._._._._._._., —18. Contact Person ____--

19. Federal Employer ID. i _._._._._._._ .I.I._. 20. Tel. # (212) 922-0077 T Fax # (212) T 922-0630

21. Address 228 East 45th St City New York State NY Zip 10017

22. Sample Analysis Laboratory _„ 23. NYS DOH ELAP #

VI. PROJECT INFORMATION

24. Starting date for this portion of work / / Q Z- Projected completion date ?Lo L 0 -2----

Asbestos work schedule 0 Monday 0 Tuesday ❑ Wednesday ❑ Thursday ❑ Friday 0 Saturday 0 Sunday

Shift from: ______ ❑ am ❑ pm to __ ❑ am ❑ pm

If other, . >U I~ECE►11ED specify C„r[ Access to inspect the premises must be provided during the work schedule indicated in this item. i UN 1 0 2002 25. Total amount of asbestos-containing material to be abated during this work

9034 "Square Feet, and/or 0 Linear Feet t RU 5 2 ~. ACP 7 - ~r 2/2001

NYC-WTC 000119540

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NYC-WTC_000119540Source: NYC Law Department, mirrored locally

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