Invoice from Fiber Control Inc., Aug 2002

NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program • 4 59-17 Junction Boulevard. 8°i Floor. COMM. NY 11368-5107 ONLY , Dow ASBESTOS PROJECT NOTIFICATION Building Dept. or TRU No FOR OFFIcIAL USE ONLY 7YPEVA Nrg FOR — (ASBESTOS INSPECTION REPORT) 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.

I. FACILITY tt 2. Address _c(1• CT"Ar l~~ l2s Borough I*A ' zip t OD Cpp AKA 19 EM? S 3. Block 9 — 4. Lot

5. Type of Facility 6. Name of Building

II. BUILDING,OWNER UILDINGG 7. Name 1} E E _ c C N-t'rrn~€ f2.S S T7 T8. Contact Person

9. Tel. # `~3 ' Fax #

10. Address p7 C i~ i S City t ' State N " IZip t & 7 ft j

III. GENERAL CONTRACTOR

11. Name Tel. #____________________

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name ( 13. Contact Person s ?5~1./~ G tom/ 14. Federal Employer ID. # __~~- --- I15 Tel. # ~!6 - 7~ff'3©o0 Fax # _ Sid?&1 385

16. Address Q1~%j >y~l~_ e City k?.Y State Zip 1

V. THIRD PARTY MONITOR v)) Al 17. Name QL€ *rt ZD E G i4a r~jC 18. Contact Person

19. Federal Employer ID. # 20. Tel. # `1as - O0 Fax #_— — F a - 06 3 O

21. Address g [ H J S( ~ [ City ~ t~ State Zip 00 J 22. Sample Analysis Laboratory SC(f1(?~(1lL h A E ~A ~'f~$~ u c 23. NYS DOH ELAP # , / -

VI. PROJECT INFORMATION Projected completion date O 24_ Starting date for this portion of work ~-

Asbestos work schedule ❑ Monday ❑ Tuesday 0 Wednesday 0 Thursday ❑ Friday ❑ Sat cda .Sunday

Shift from: ❑ am 0 pm to ❑ am ❑ pm ! I

If other, specify _ REcEP) ti

~(.L Access to inspect the premises must be provided during the work schedule indicated in this hem. AU G lJ

25. Total amount of asbestos-containing material to be abated during this work - 0 Square Feet. and/or Linear Feet 1 Act'

1Fi )

NYC-WTC 000122218