Invoice from Fiber Control Inc., 183 Broadway, Oct 2002

NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION v" ~,a Asbestos Control Program 8th 59-17 Junction Boulevard. Floor. Corona NY 11368-5107 Building Dept. or TRU No FOR OFFICIAL USE ONLY Y W'EWRITTEN rEl ASBESTOS PROJECT NOTIFICATION S WILL BE O (ASBESTOS INSPECTION REPORT) EPTED ..y° .:r.4 t . - —' — fee adhedute) -

When submitting this form at the NYC Department of Buildings. the original tarn and three (3) copies with original signatures are required. Submittal at the NYCD£P 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 ~ pp t 2. Address ' ` L'O' Borough Nll' Tip 1 ~~

AKA 3. Block 6 c:N 4. Lot

5. Type of Facility 6. Name of Building

IL BUILDING OWNER

7. Name= Q-'a S ` • ' 8. Contact Person

9. Tel.#~, 9 6 4 - Fax#

10. Address : t 1 '€ City N Staten Zip t @-tomO

III. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR ~r-- 12. Name 1 k7'ell. p 13. Contact Person / /.,9_

14. Federal Employer 10. #~~~_._.p._._._._.P....I.__._._._._._._.115. Tel. # c7 ! G - 7 S' I .. 3oo0 Fax # 51 ` ?d1 ✓ S . ' } 18. Address ' 0 / ~1y5 /f , S! r ~`/ ~' _City _State /t~'r State Zip _I1? (?

V. THIRD PARTY AIJ MONITOR

17. Name {r ~~ Q •.t S 2 gZEf2 GI4 S, Pc 18. Contact Person ' tC44 t- ,~ r 19. Federal Employer ID. # 20. Tel. # a (r 9912- DO• Fax # PYa --' 22 -O(1 -/ , 21. Address 2 g s1 H-O E City_State Zip t

22. Sample Analysis Laboratory ~1 7t~~ h fS,Z c 23. NYS DOH ELAP # t1

VI. PROJECT INFORMATION , D 24_Starting date for this portion of work OL Projected completion date

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

Shift from: 0 am ❑ pm to ❑ am ❑ pm

If others speci`y i I ECELVED Access to Inspect the premises must be provided during the work schedule Indicated in this item. p 16 2002 25. Total amount of asbestos-containing material to be abated during this work

4 _1_717 Square Feet. and/or linear Feet `• O~ :• ACP 7 fftP 212001

3 'd ~•S>:Iddt•7r ' vF++~

NYC-WTC 000123000