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← Document results/DEP Box 47/57 ANN ST BIN# 1001270 57 ANN STREET 1001270, 92/10
Document / 26 pages

Invoice for asbestos work, 57 Ann Street, November 2002

Machine-extracted title · confidence 98%

Invoice from Benjamin Kurzban & Son Control Inc. for asbestos removal work completed at 57 Ann Street in November 2002.

NYC-WTC_000119704–000119729

Folder label: “57 ANN ST BIN# 1001270 57 ANN STREET 1001270, 92/10

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Scanned page image, NYC-WTC_000119705
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NYC 9111 Public Portal Document

EJ WTC NYC DEPARTMENT OF ENVIRONMENTAL PROTEC Asbestos Control Program 59-17 Junction Boulevard, 8°1 Floor, Corona, NY 11368-5107 N1PP ASBESTOS PROJECT NOTIFICATION L. BE (ASBESTOS INSPECTION REPORT) 1. w+vw. ,c.gaJdep }

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 5T Ap lg 5'ercE-r Borough Mara Zip 10098 AKA 3. Block 4. Lot

5. Type of Facility ?A9v-%f4c2 6. Name of Building

II. BUILDING OWNER

7. Name• LI1TLE MA0 ?l A - t NG_ Uh C. 8. Contact Person

9. Tel. # Fax# p.

10. Address 2V2. fitTt AaersuF- 4n4 r-u.CR City I EU. /c izx State N1i Zip 1 O00 t

Ill. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name '8E31A54I N __Zt3AW 4 SM CO T(Zc)L INC 13. Contact Person LcwE I ANNiCO

14. Federal Employer lD. # PII v 15. Tel. # (11$)_531-2900 Fax# f '1t8)209-t€08

16. Address 1248 R pr- AVON UE City eCCV-i-4 State NY Zip 11236

V. THIRD PARTY AIR MONITOR

17. Name tx:~3.I 4 PANrrZ eI 6WEEuS 18. Contact Person alt CttAa. t..tcu

19. Federal EmployerID.#, ___ 20. Tel.# (212)922 Fax# (212)922 —O D -------- L 21. Address 22 8 irs s •T A Tit Stu T City wee Yc'Z.u- State lay Zip r OO tT

22. Sample Analysis Laboratory 23. NYS DOH ELAP #

VI. PROJECT INFORMATION 24. Starting date for this portion of work II 103 ( 0 2• Projected completion date ii 1og (02 I

Asbestos work schedule ® Monday 0 Tuesday 0 Wednesday IN Thursday 0 Friday 0 Saturday ®'Sunday Shift from: 8 El pm to 8 ❑am® pm

If other, specify . Access to Inspect the premises must be provided during the work schedule Indicated in this Item.

25. Total amount of asbestos-containing material to be abated during this work 15.4 0 Square Feet, and/or 0 Linear Feet ACP 7 2/2001

NYC-WTC 000119705

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NYC-WTC_000119705Source: NYC Law Department, mirrored locally

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