Invoice for facade cleanup, multiple Broadway locations, September 2002

~ NYC 9/1 1 Public Portal Document NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION ” , Asbestos Control Program ; §9-17 Junction a 8" Floor, Gonna. RY HiseeSTOT LHI + yO? ASBESTOS PROJECT NOTIFICATION | eee (ASBESTOS INSPECTION REPORT) 1, VUE pet (Sée fee schedule) When submitting this form at the NYG 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 lb BAec LAL Si¢decT Borough Ww: a Zip [ood tr aca_ST PETER’ cHuech ReEcTo@t 3.Block S84 tot 1 o- §. Type of Facility, 6. Name of Building {l. BUILDING OWNER 7.Name hE CH ID LOCESE OF NEU YORE g contact Person FATHER MADICAS 9. Tel. #(2-12) 233-8255, Fax # 10. Address 1S VeEset ST. City w- ~f State Naat Zip [pos Hi. GENERAL CONTRACTOR 11. Name, Tel. # IV. ASBESTOS ABATEMENT CONTRACTOR 12. Name Fi Bek CormTeol 13. Contact Person TERRY Cos/# 14. Federal Employer ID. #! Pil ; Tel. # g/6 ~ él ~3°60 Fax # sié- 29f-3OES 16. Address Kio) 2) BES Ly € City we. TG h State A) ¥ zip If Z C3 V. THIRD PARTY AIR MONITOR 17.name__WAppeesmt & Pin Ze. ENG Nes, PC 48. contact Person _MicHxEL Nourr : 19. Federal Employer ID. # 20. Tel. # gtd ~ vEL -O0OF-F _Fax# Alo - 992 ~O€b 30 21. Address JP CERT cet QTREET City Kew Tek, state ‘7 Zip (00! C: 22. Sample Analysis Laboratory__ GENTE (C habs Pareees, [ore 23. NYS DOH i a 4S | Vi. PROJECT INFORMATION . ; 24..Starting date for this portion of work & | 2| o oa. Projected completion date O)alor Asbestos work schedule [1 Monday Oo Tuesday oO Wednesday 0 Thursday Oo Friday Oo Saturday Ss] am (1 pm to DO amO pm Shift from: 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 a ah / G3 | . Square Feet, and/or___________s Linear Feet e . IPs BUPEAY OF Eonips weusrestein sa pe reels §S8E2295 CoutRGL PROGRAM Tait 9 vr NYC-WTC_000119814