Invoice from Fiber Control Inc., August 2002

NYC 9/11 Public Portal Document

~~ O f tGfT t 'NYC DEPARTMENT~OF ENVIRONMENTAL PROTECTION Asbestos Control Program I .~~ A0 4 siyt 59-17 Junction Boulevard. 8a Floor. Corona. NY 11368-5107 A or TRU No ONLY F 9 USE ONLY • TYPEWRITTEN o ASBESTOS PROJECT NOTIFICATION FORMS Wt -i"""0 (ASBESTOS INSPECTION REPORT) 1 wv..iyc. oT/der • ,

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.

1. FACILITY 1--t n 2. Address 1 15 t~~O 1AS F Borough __t_ f zip (o ®o

AKA 3. Block 4. Lot

5. Type of Facility 6. Name of Building It. BUILDING OWNER

7. Name C-its! t ((Z_ ` ( ea e. i C 8. Contact Person

9. Tel.# j~— ~ ~7 10. Address 14" fu '?'` Fax# ~ , City „1A_v ' State ,~'~ Zip / 00 sr ill. GENERAL CONTRACTOR 11. Name Tei. #

IV. ASBESTOS ABATEMENT CONTRACTOR -

12. Name _ k3E? ~~ I -Co—o 13. Contact Person /C?J~- ) C .~

14. Federal Employer !D. # _ P 11 . 5. Tel. # 16 - 713460 Fax # t> f` <` 16. Address _ ~ City! "='974 State N Zip /1? T~

V. THIRD NITOR y~ ~,~,( ~`tG{ i_ t's(OL Ar4. PARTY~Z~: ~ 17. Name ZE2 6t XS , nr C 18. Contact Person d

19. Federal Employer ID. # 20. Tel. # a f as - 00 Fax # 21? a -O 30 21. Address s2 g (. J `` SEE % City L`L~+ 1~~ State jam_ Zip oo / 22. Sample Analysis Laboratory S_ l (/amt"- h Ai3 t !7 _S$( 23. NYS DOH ELAP #

VI. PROJECT INFORMATION t ! 24.Starting date for this portion of work 18` 0 2— Projected completion date 7) j Z00

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

Shift from: ❑ am ❑ pm to 0 am ❑ pm ~

If other. specify RECEIVED \:i I Access to inspect the premises must be provided during the work schedule indicated in this Item. ' JUN r 7 2002 25. Total amount of asbestos-containing material to be abated during this work S Square Feet, and/or Linear Feet - / or CJA„rAv E?r'V :P- 4t1-EXA9@ 3 Ewfm 4'+8e&GC C".lJrlK3 PkGu0tt1 iP1i ~

NYC-WTC 000122624