Fiber Control Inc. Invoice, 98 Chambers Street, June 2002

NYC 9/11 Public Portal Document

W / C 0, ~►ra. .NYC DEPARTMENT OF,ENVIRONMENTAL Control Program PROTECTION ~ .r . Asbestos t1 4 x1S rr,M 59-17 Junction Boulevard. 8'" Floor. Corona, NY 11368-5107 _____ or TRU No ONLY D FOR ng OspL USE oNLv rYP ASBESTOS PROJECT NOTIFICATION F f E _ (ASBESTOS INSPECTION REPORT) ea lees ule) 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 pQ .~/' O O 07 2. Address S> / ~i~ ) Borough l'__5._-- Zip

AKA --____-------- — — —_ 3. Block ---- 4. Lot

5. Type of Faci 6. Name of Building

Ii. BUILDING OWNER

7. Name _ ~~~~~1~?' ~ W 11 Z 8. Contact Person ~1 9. Tel. # . a~ l TFax # —— ----_

10. Address ~~ _ ~ L i ti City --- N- 1 ---_ State 0--I Zip _L c J 3 -

Ill. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name e)e -- 13. Contact Person _ ~ __ Ly1/_✓2 __ e 14. Federal Employer ID. # P11 15. Tel. # J l 7 L 3 9 Fax #

16. Address _ olv_ J 1 1_ ~ City / / ~ --- State /J Zip -LLZ -

V. THIRD PARTY AIR MONITOR h C~ Pcr~ 17. Name _j1~ V hTl Zc [Z •~jf~, t ~"3~ S t" ~'t^(Lf~EL f_18. 18. Contact Person _--__—__--_ G --- PII _- t ~a ~~Q =~22=Gr✓ O - 19. Federal Employer ID. #t . mo : 20. Tel. # = Fax #

21. Address —j+ City ! ~~ State N Zip

22. Sample Analysis Laboratory___~~ ( (F(C-_f A -P - ~` 't~5 — 23. NYS DOH ELAP #

VI. PROJECT INFORMATION

24.. Starting date for this portion of work 6/'3/o2_ Projected completion date

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

Shift from: __—_-- ❑ am ❑ pm to _--__ ❑ am 0 pm , 3 C b If other, specify - ------------_____ .1--- - ------------------------- Access to inspect the premises must be provided during the work schedule indicated in this item. ;1"tWaid3C ~n 1atz ~ 4 Gn 25. Total amount of asbestos-containing material to be abated during this work

Square Feet, and/or _____ -- Linear Feet l t

;a ACP 7 I'S 2,2001 w. C I ,i l

NYC-WTC 000122016