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← Document results/DEP Box 49/176 BROADWAY 1001100, 65/17
Document / 29 pages

Asbestos abatement invoice, 176 Broadway, Aug 2002

Machine-extracted title · confidence 95%

Invoice for roof asbestos abatement work completed at 176 Broadway covering over 77,000 square feet.

NYC-WTC_000122659–000122687

Folder label: “176 BROADWAY 1001100, 65/17

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Scanned page image, NYC-WTC_000122661
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NYC 9/11 Public Portal Document 5095WTC jond CrY oteAM NCY DEP CATAPROE TED ww.nyc.govlgee: NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program • 59-17 Junction Boulevard, 8" Floor, Corona, NY 11368-5107 ASBESTOS PROJECT NOTIFICATION (ASBESTOS INSPECTION REPORT) .Ta11089MN02 Bultding Dept. or TRU No FOR OFFICIAL USE ONLY 1. LuADERe (See fee schedule) When submitting this form at the NYC Department of Buildings, the original fom 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 2. Address AKA 5. Type of Facility 176 BROADWAY 3-% MAIDEN LANE RESIDENTIAL II. BUILDING OWNER 7. Name _ 9. Tel.# 10. Address Ill. GENERAL CONTRACTOR _ Borough _ _3. Block_ _6. Name of Building MN 65 _Zip 4. LotIT :• 8. Contact Person Fax# . City _ _ State. _Zip _. 11. Name_ Tel. #_ IV. ASBESTOS ABATEMENT CONTRACTOR 12. Name _BENJAMIN KURZBAN & SON 14. Federal Employer ID. #! PII 16. Address 1248 RALPH AVENUE CONTROL INC _13. Contact Person _LOVIE lANNICO 15. Tel. # (718)531-2900 _Fax# (718) 209-1808 - City BROOKLYN _State _N4_ Zip_11236 V. THIRD PARTY AIR MONITOR 17. Name WARREN & PANZER ENGINEERS INC. _18. Contact Person_MICHAEL NOLAN 19. Federal Employer ID.# PII L20.Tel.#5212)922-007T _Fax#_(212) 932-0630 21. Address 228 EAST 45TH STREET CityNEws YoRK _State_NY_ Zip_10017 22. Sample Analysis Laboratory. . 23. NYS DOH ELAP #_ VI. PROJECT INFORMATION 24. Starting date for this portion of work_ 7/8/2002 Projected completion date _ 8/8/2002 Asbestos work schedule Monday E Tuesday l Wednesday Xl Thursday [ Friday Saturday X Sunday Shift from: 800 X am •pm to 8°0am 2pm TOLA If other. specify RRDEVED Access to inspect the premises must be provided during the work schedule indicated in this item. JUL 1 1 2002 NHti 25. Total amount of asbestos-containing material to be abated during this work 71086Square Feet, and/or -. O Linear Feet ACP 7 212001 NYC-WTC_000122661

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NYC-WTC_000122661Source: NYC Law Department, mirrored locally

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