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Document / 4 pages

Asbestos abatement invoice, Corona site, June 2002

Machine-extracted title · confidence 95%

Invoice from a contractor for asbestos cleanup work at a Corona location completed in June 2002.

NYC-WTC_000119632–000119635

Folder label: “55 Ann Street BN# 1001271

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Scanned page image, NYC-WTC_000119633
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NYC 9/11 Public Portal Document

(Jill W / NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 841 Flow, Corona, NY 113885101 ft DPI BuSdingDept. crtRU No FOR OFFICIAL. USE ONLY 7-rPEwwT 8V ~ ASBESTOS PROJECT NOTIFICATION FORMS WILL BE (ASBESTOS INSPECTION REPORT) 1. ACCEPTED w••e c. ovIore

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.

I. FACILITY

2. Address 55 Ann St Borough Manhattan Zip

AKA 3. Block 92 . • 4. Lot 13 5. Type of Facility 6. Name of Building

II. BUILDING OWNER

7. Name 5 5 Ann St Co c/ o Schus s e l 8. contact Person 9. Tel. # Fax #

10. Address city State Zip

III. GENERAL CONTRACTOR

11. Name Tei. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name Benjamin Kurzban & Sort Control 13. Contact Person Louie latnico

14. Federal Employer ID. # __P.11 15. Tel # (718) 531-2900 Fax # (718) 209-1808

16. Address 1248 Ralph Avenue Brooklyn State NY Zip 11236

V. THIRD PARTY AIR MONITOR

17. Name Warren & Panza 18. Contact Person

19. Federal Employer ID. 9.._._._._. 20. Tel # (212) 922-0077 Fax # (212) 922-0630

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

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

VL PROJECT INFORMATION 24. Starting date for this portion of work • 3 LO2 Projected completion date - - i/i?j(Y2 Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday 0 Thursday ❑ Friday 0 Saturd~ Sunday

Shift from: 0 am ❑ pm to ❑ am 0 pm

If other, specify

I Access to inspect the premises must be provided during the work schedule indicated in this Item. I

25. Total amount of asbestos-containing material to be abated during this work 4 290 Square Feet, and/or 0 Linear Feet

NYC-WTC 000119633

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NYC-WTC_000119633Source: NYC Law Department, mirrored locally

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