Asbestos roof cleanup invoice for 174 Broadway, Nov 2002

NYC 9/11 Public Portal Document ASBESTOS INSPECTION REPORT (continued) 26. Asbestos Hauler _ CORANO YS DEC Permit $ CT-098 Tel. 800-272-3867 Disposal siors)_ SoutheRn HllEgheNies, Villey Landfil 27. This asbestos abatement is part of a (item a through e requires filng of this form with NYC Department of Buildings) a) L Deriolition b) • Boiler Replacement e) O Sprinkler Replacement - d) • Renovation/Atteratior e) Fireproofing Replacement n •] Other (Describe) 28. TYPE OF ABATEMENT (Check all appropriate boxes) • Removal D Enclosure L Encapsulation • Repair • Cleanup 29. ABATEMENT PROCEDURE (Check all appropriate boxes) • Full Containment • Glovebag • Tent Fae to ) DERP Veriano Aposicatior 30. LOCATIONS OF ABATEMENT DESCRIBE SECTION Floor(s) OF FLOOR (eg. erlire, east wing. room #, AFFECTED SURFACES CONTAINING ACM (e.g. Pipe tagging, eeiing, plenum ducts. storage tanks, docking. etc.) Roof (Asphalt) AMOUNT OF ACM SOUARE LINEAR FEET • FEET 5610 DESCRIPTION OF WORK BEING PERFORMED (e.g. running cable, instatting fre sprinklers. removing and reolacing boiters, etc.) 21. Ihereby deciare that the information provided herein is true and complete to the best of my knowiedge. I am familiar with Federal, State and NYC laws and regulations applicable to asbestos related work BoSUN( "SGUMMAIKE Pone Name Or Air Mogitoe ANThONY COSTA estos Contracto Signature Autiu/ Corta ANIhON COSIA in Narg of Appycart (l omher then Owner) Cilhuyif Cats 06- 03-02. 6-3-02 Date Date 32. I understand that as the owner of a building where asbestos abatément activity occurs, l am responsible for the performance of the asbestos abatement activities in accordance with the Asbestos Control Program Rules. I have contracted the third party air monitor who is completely independent of all parties invoived in the asbesios project. I hereby declare that I have authorized the fling of this notification for te work specmed herein. Aphonso upre 10/01/02 A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK STIE Any modification of information provided on this form must be reported immediately in writing directly to the NYC DEP ACP. The requirements of the Asbestos Control Program Rules may not be lawfully avoided or lessened through the performance of work in incremental or piecemeal fashion. ACPT 2/2001 NYC-WTC_000122596