Fiber Control Inc. invoice for 114 Chambers Street, July 2002

NYC 9/11 Public Portal Document

T c sy" NYC DEPARTMENT Of ENVIRONMENTAL PROTECTION EO N,tiir any r4•

DAr Asbestos Control Program 59-17 Junction Boulevard, 8"' Floor, Corona, NY 11368-5107 a /1 1 u

ONLY w AI/ P Building Dept or TRU No FOR OFFICIAL USE ONLY TYPEWRITTEN +"o ~~ ASBESTOS PROJECT NOTIFICATION FOR V rM `"'"` "`O (ASBESTOS INSPECTION REPORT) 1 j nyc.~ev,+4ep (Se 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 form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities .

FACILITY

2. Address L —5_~ 2 ~-1_ Borough __~~ --Zip 10O' n / 3. Block _4. Lot 2 —

5. Type of Facility _ 6. Name of Building

It. BUILDING OWNER

7. Name ~ , ~~ 8. Contact Person ~~-- `-- IYI ` 9. Tel. # '2f.iiLIbFax # __—_ -

10. Address ? ►~?~ `~ i~ L s \ —_ __ City -- N _---~ State [J -4_ Zip I0 o _

Ill. GENERAL CONTRACTOR

11. Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name _rf~J~ll._ l~~J U -- ------------_ _.-_ 13. Contact Person

_._._:_:_:_ 14. Federal Employer ID. #=,~ ~~_-- ~~ 35. Tel. # sl~?~i 3d~s__ Fax # __—__~ 16. Address old_ v 1 ►!~ city / —_ State zip .1L2 L-

V. THIRD PARTY AIR MONITOR

17. Name ~ ! T h-P~ 2 E p N +r^ 18. Contact Person

19. Federal Employer ID. # --- -------- —_ 20. Tel. # =~a ~aQ - Fax # ~L

21. Address g L_ iE —//-- City 1~ ~ ----- State Y_ Zip LDO 6 _P_A 7 `rf C ~_c1 22. Sample Analysis Laboratory_- _~ ( ( « f , ,- — 23. NYS DOH ELAP # _ _

VI. PROJECT INFORMATION 24.. Starting date for this portion of work _ j2_ .J.O.2.. Projected completion date

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

Shift from: __ ❑ am ❑ pm to_____ ❑ am ❑ pm ~

If other. r specify ------------------------- - -- --- - ------ J Access to inspect the premises must be provided during the work schedule indicated in this item. Jul ' 42002 25. Total amount of asbestos-containing material to be abated during this work ` rQS W :~~flllftn L .___ Square Feet, and/or _—_-- Linear Feet a0G h J 81^rA11 Or E'~:?yvc77TA1 j t7T0 `! ACP :

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NYC-WTC 000121808