Invoice from Fiber Control Inc., August 2002

NYC 9/11 Public Portal Document

NY'C DEPARTMENT OF ENVIRONI LTA. PROTECTION R OFFICIAL UsE ONLY Asbestos Control Program F ONLY t` If" 59-17 Junction Boulevard, 8'" Floor, Corona, NY 11368-5107 is „ 7YPE'WR/7TEN ♦ FORMS WILL BE x Øf ASBESTOS PROJECT AMENDMENT FORM ~~" -• l~ ACCEP : w w.•K.t,vI, •y FOR FORM ACP 7 Infamatfon Only ❑Yes ❑ No

{{ ~ A modification Is valid only If it Is received by the NYCDEP prior to the previously fled date of completion, except for start date changes that must be received by the original start date.

ACP7 TRUBN# O 8n3MJb?acliity Address Borough Zip______ Date ACP7 was filed 0 `. - Variance # (If any)

Was this ACP7 amended before? ❑ Yes C<No If yes, specify date

Original Start Date 441 ¶'JO Original Completion Date_7 I& from ACP 7, #24. PLEASE ENTER THE INFORMATION THAT IS BEING CHANGED; A notification may be modified no more than twice. Only the building owner may amend items iV and V. IV. ASBESTOS ABATEMENT CONTRACTOR The original applicant or building owner may amend all other Items.

12. Name _ I C.- ' t lfZm 13. Contact Person t r —1 C. t jA 14. Federal Employer ID. ! --II 15.T&. #~5IT 1_pax Su) 1J~ _I '__ 16. Address 3Q O JLS i % I & 81~1U e City _ V►Sii1w1 at=c ~{ State tH Zip 7ciB, V. THIRD PARTY AIR MONITOR

17. Name WL 1J _.c ` M3Z 9. __t'tts_fr f C. 18. Contactt Person Mt S H t.. tRll.1`''t,, 19. Federal Employer ID. # 20. Tel. #1~ ,) 2 .1 " O o 7 ! Fax # C i)) 9 ).) Orp 21. Address • ~t City StatJ ._''l_ Zap toot ' f 22. Sample Analysis Laboratory SC _ NYS DOH ELAP # 9 g~ U_9 VI. PROJECT INFORMATION ❑ Project Cancelled 24. Starting date for this portion of work 1 ' 2 -Projected completion date 3) ' 0 2.._ ❑ Project Postponed

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

Shift from: ❑ am ❑ pm to ❑ am ❑ pm if other, specify

25. Additional asbestos-containing material to be disturbed during this work ,~ Square Feet, and/or Ear Feet Reduction In the amount of ACM to be disturbed during this work Square Feet, and/or li~rti' teet 29. Abatement Procedure for Additional Material (Check all appropriate boxes) DE? `A A,SBESTOSiLE-- ❑ Full Containment 0 Glovebag ❑ Tent ❑ DEP Variance Application PROGRAM TfhUG Other Changes ' 2

30. Locations of abatement modified by above e c4-4€ (For each floor list ACM quantity and.ty ) ,, 31/32. Name of Applicant I Owner ` , ~-- Tel. # 1~ ~'"" 344 Name of Company (if any) G Fax # Address City State Zip

I hereby declare that the information provided herein Is true and complete.

Signature of Applicant /Owner Da g yros '" Acps

NYC-WTC 000122629