Invoice for fiber control services, 181 Broadway, August 2002

NYC 9/11 Public Portal Document

OO ! W r~ .. cmoa, NYC `bEPARTMENT OF !ENVIRONMENTAL PROTECTION ~ tti 1A ¢ Asbestos Control Program 59-17 Junction Boulevard, 8 Floor, Corona. NY 11368.5107 ?i iuo / Vo2 eultdlng Dept. orTRU No FOR OFFICIAL USE ONLY C$t ' VPJrrEN L . oaf*`` ASBESTOS PROJECT NOTIFICATION FORMS WILL BE (ASBESTOS INSPECTION REPORT) ACCEPTED .00't; 1.

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.

I. FACILITY

2. Address _3 9 .1 &, O A b tt A -( Borough N - Zip Ca ©

AKA 3. Block 4. Lot 5. Type of Facility, 6. Name of Building 11. BUILDING OWNER tCk< :• _..~.tr i - N 710 7. Name t _ O f4- Ate`{ ~t'~~ o C 8. Contact Person tfj t,i ) - `,2. `<8 .t `s

^^ tt 10. Address li SE. '( S City ~ 1~-- State !v•--1 _ZIP_ ~JO Ill. GENERAL CONTRACTOR

11. Name_--__- --- Tel. # IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name _E ell ~ _~ C_____ _ ._13. Contact Person C C~ Lj 14. Federal Employer ID. # ' _._.Jl 15. Tel. # 6 Ij 6 - 7L 2._ Fax # _ I ?~/ 16. Address - P ~ ~ ? rc >E~ -- - City k J/[-n!/~ Ir -_ State Zip 1112 L V. THIRD PARTY AIR MONITOR ,,A A 17. Name __ 1~"fir R *T't ZE2 L t }_ 18. Contact Person M1C4 Z `'+ mi l^ 19. Federal Employer ID. #L._- 20. Tel. # OO • ~-__ Fax # J22.2 -0630

21.Address i 4L iTZ j City _fl- 1A L State •~ ..̀~- Zip OO /~ ) 22. Sample Analysis Laboratory _ l c' lid (( «- G-Ai3 8 7K! t( 23. NYS DOH ELAP # _ I f • C Vt. PROJECT INFORMATION 24. Starting date for this portion of work (h i O/QooZ.- Projected completion date

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

Shift from: 0 am 0 pm to _0 am 0 pm BI 1 19 If other, specify R vC Access to inspect the premises must be provided during the work schedule indicated In this item. I (. JUN 0 5 2002 ^ENBAN14V ,~ 25. Total amount of asbestos-containing material to be abated during this work d:.5TOS/lis PROGRAM 13 a Square Feet, and/or Linear Feet TRUG 2 4rP j TT1 Z ACPV1 /20 8:'EAti ttr E~r. • .-T7~E 1 ~ /' 2/2001

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NYC-WTC 000122891