179 BROADWAY 1001076, 63/18

NYC 9/11 Public Portal Document

+ N C.Q ARTMENT-OF ENVIRONMENTAL PROTECTION FOR OFFICIAL. USE • O-W Asbestos Control Program • #" } 59.17 yundion Boulevard, 8"' Fbor, Corona, NY 11388-5107 $________

-- ONLY TYPEWR FORMS ITT E1 ASBESTOS PROJECT AMENDMENT FORM gL`CEp wwr.•rt.f•__ FOR FORM ACP 7 Information Only Yes ❑ No

TOT I completion, A modification Is valid only ifIt Is received by the NYCDEP prior to the previously filed date at except for start date changes that must be received by the original start date.

ACP7TRUIBN# D iSPSt .b2FacilityAddress Boro h - Zip Date ACP7 was filed 11 O'- Variance # (if any)

Was this ACP7 amended before? ❑ Yes 10 if yes, specify date Original Start Date I 0)— Original Completion Date o2 from ACP 7, #24. PLEASE ENTER THE INFORMATION THAT IS BEING HANGED: 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 1 &V—E. C~ fa t Q-m L 13. Contact Person _ 1 P4 I Cs~►S 1 A 14. Federal Employer ID. P11 , _.15. Tel. 34 It 7$ " 3DDbFax 1 ) 1g 3a$~ 16. Address City A4+. tPIC4 }{ State H Zip_____ V. THIRD PARTY AIR MONITOR

17. Name WAQ P ""~ P ,Z. crN~'t $?. S Z.A~b C. 18. Contact Person Mt t C.14-c 'EL ? at.. A ii ODD34 19. Federal Employer ID. # 20. Tei. ZZ'"' 0 0 7 7 Fax # C'7 Y) 9 ) '' tt 21. Address• ~C. • •T' City _t' ' M StatJ1' I Zip 00% 22. Sample Analysis Laboratory .tC.t!J i tai G 2fr AAt o Q IES aC23. MIS DOH ELAP #

VI. PROJECT INFORMATION - ❑ Project Cancelled 24. Starting date for this portion of work I2.- Co')-Projected completion date _1_31_02., ❑ Project Postponed

Asbestos work schedule 0 Monday ❑ Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Saturday 0 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 ,ECEIVEO Unear Feet Reduction In the amount of ACM to be disturbed during this work Squire Feet, aAiAi 1 4 2Q ear Feet 29. Abatement Procedure for Additional Material (Check all appropriate boxes) ; =E S TC S;.'; . -= _ ❑ Full Containment ❑ Glovebag aa;~c ❑ Tent ❑ DEP Variance Application T f: ,; 2 Other Changes 30. Locations of abatement modified by above Fife E - (For each floor list ACM quantity a d ) 31/32. Name of Applicant! Owner 1- Tel. #~~. 1__&K ' Name of Company (If any) C- Fax # Address City State Zip

I hereby declare that the information provided herein Is true and complete. A ~ e _2— Signature of Applicant /Owner Da V200'

Fill

NYC-WTC 000122785