NYC 9/11 Public Portal Document
BENJAMIN KURZBAN
& SON CONTROL, INC.
1248 Ralph Ave.
BROOKLYN, N.Y. 11236
• DATE ORDER NO.
(718) 531-2900
8/14/02
SHIP TO
TO
Dept of_ Environmental Protection ,_ Re: Contract REM-ROF2
59-17 Junction Blvd
REVISED
Corona New York 11368 ...
DATESHIPPED. , m .'~-: z',.w.'d'- SHIPPEDVIA_ P.a.6 Pa1Nr TERMS
QUNTIty I., . .- .: DESCRIPTIOiY' .._ ___ ._ .__ __ . .. .. . . . . _UNiTPR10E -t_.... . ...........TOTAL
> Registration I CT 82620020015280
... .........
Pin# 82602WTCR00F2
For
2/SF
Fr
Tot..- --.Amours.t ... _Due _th s..._..Invo_ice.._....-....--._......._......._. __.. ). .... $ .5_g..:..794:00
**This invoice supercedes previously submitted
ORIGINAL .n"
c.JLJi C~
6,670 Square Feet, and/or Linear Feet
25. Additional asbestos-containing material to be disturbed during this work
Reduction in the amount of ACM to be disturbed during this work Square Feet, and/or Linear Feet
29. Abatement Procedure for Additional Material (Check all appropriate boxes)
❑ Full Containment 0 Giovebag 0 Tent ❑ DEP Variance Application
Other Changes
30. Locations of abatement modified by above facade
(For each floor list ACM quantity and type)
31/32. Name of Applicant! Owner Louie lannico Tel. # (718) 531-2900
Name of Company (if any) Benjamin Kurzban & Son
Control Fax # (718) 209-1808
city BrooWyn State Zip 11236
Address 1248 Ralph Ave
I hereby declare that the information provided herein is true and complete.
Signature of Applicant /Owner Date
ACP S
=2001
NYC-WTC 000122946
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