NYC 9/11 Public Portal Document
..rowurr ~►ak NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION FOR OFFICIAL USE ONLY
f( Pit t Asbestos Control Program Fee (if any) $
i l 59-17 Junction Boulevard, 8"' Floor, Corona, NY 11368-5107
ONLY iMr/
TYPEWRITTEN Amendment 6
FORMS WILL BE _ MAL ASBESTOS PROJECT AMENDMENT FORM Information Only: ❑ Yes ❑ No
ACCEPTED i www.ayc.gav/aep ) FOR FORM ACP 7
A modification Is valid only If It Is received by the NYCDEP prior to the previously filed date of
completion, except for start date changes that must be received by the original start date.
ACP7 TRU/BN# t ' 1-f ' IPJO1jaciIity Address _I C1 I& (ZC> Borough N ' i ZipL 8 "~
Date ACP7 was filed 1I O Y' Variance # (If any)
Was this ACP7 amended before? 0 Yes IM No If yes, specify date
Original Start Date //2/C2- Original Completion Date /1 128/d 2- from ACP 7, #24.
PLEASE ENTER THE INFORMATION THAT IS BEING CHANGED: A notification may be modified no more than twice.
Only the building owner may amend Items IV and V.
The original applicant or building owner may amend all other Items.
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name _ %€ C. 'a 1 Q-a C— 13. Contact Person _ to N C..ts►S ! A
14. Federal Employer ID. L. . y 15. Tel. ~ b~ ~g " " C' 0DFax u~ ^ I I
16. Address 3Q t t I -d V $ /~,1 u E. City W4 .ti t A~Ct K State s • Zip_ 7 Cj 3
17. Name W P' '"c `' ~. 1 C 18. Person ►JM t C Et 1r
Ct1PP-eA2.% Contactt~
19. Federal Employer ID. # 20. Tel. #Y7L~r12 " 0 O 7 / Fax # 0-4 )') '1 Oho
21. Address • cG • 4 City _t.% StateN I_ Zip E 00% T
22. Sample Analysis Laboratory SCtz N l t o C. 4r"--1't f o Qty W3tE3. NYS DOH ELAP # 1 t l_ç
VI. PROJECT INFORMATION ❑ Project Cancelled
24. Starting date for this portion of work __I~ % a2 Projected completion date //J2 B o 2 ❑ Project Postponed
Asbestos work schedule K Monday ( ' Tuesday 9 Wednesday K Thursday ❑ Friday ❑ Saturday 0 Sunday
Shift from: ❑ am 19 pm to I 1am ❑ pm If other, specify
/~ctc 7rarlac Acade
25. Additional asbestos-containing material to be disturbed during this work 1~ Square Feet, and/or Linear Feet
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 ❑ Glovebag 0 Tent 0 DEP Variance Application
Other Changes
30. Locations of abatement modified by
(For each floor list ACM quantity
31/32. Name of Applicant / Own Tel. # IKS S' (- 34'2
Name of Company (If any) Fax #
Address State Zip
I hereby declare that the
Signature of Applicant /Owner Date
ACP 8
?12001
NYC-WTC 000123053
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