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← Document results/DEP Box 49/189 BROADWAY 1001072, 63/13
Document / 8 pages

Permit application for subway entrance closure at 189 Broadway, Nov

Machine-extracted title · confidence 90%

Letter from an asbestos contractor requesting MTA approval to close a subway entrance for exterior building cleaning at 189 Broadway.

NYC-WTC_000123057–000123064

Folder label: “189 BROADWAY 1001072, 63/13

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Scanned page image, NYC-WTC_000123062
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NYC 9/11 Public Portal Document

3I ) ... .. ......

? . Asbestos Control Program i V

Y DP ~ cr ASBESTOS PROJECT OTI ICATION _ TYPEWRITTEN ~POw~frora n~ FORMS WILL BE (ASBESTOS INSPECTION REPORT; 1. Lb1 ACCEPTED (See tee scti ule)

When submitting this form at the NYC Department of Buildings, the onginal 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.

FACILITY

2. Address R zD AP u . _ _ _Borough _±L ` Zip

AKA D S % I __ 3. Block (o d. Lot f

5. Type of Facility____ 6. Name of Building

II. BUILDING OWNER Y` 7. Name V, &4 , GU/r'J _ 8. Contact Person _w_

9. Tel. # Fax #

10, Address ~^ 6" Stets L Zip

III. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name E1~-1zW~ 12 t " .. .M,..._~_ 13. Contact Person _____

14. Federal Employer ID. # P11 15, Tel. # : - c1eo f2t S \' 16 gd&e5s > vA_1J E... - __ City •, AI StateiiLZlpIL 3 . V. THIRD PARTY AIR MONITOR L__t'1 &44 17. Name I ► ! trlv l ii S I c 18. Contact Person l C_

19. Federal Employer ID. # 20. Tel. (' d Fax

21. Address ~_ City /N State _-±_ Zip Jf 22. Sample Analysis Laboratory=S.~% err f t '"r G -F.rrE`t',L}I2fi fD/c~(L~ L nf' ^ X23. NYS DOH ELAP # ~r t

VI. PROJECT INFORMATION 24. Starting date for this portion of work t ~-) ~~-- Projected completion date _..,

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

Shift from. _ am pm to D am pm

If other,

Access to inspect the premises must be provided during the work schedule indicated fn this item. t ~~

25. Total amount of asbestos-containing material to be abated during this work

J 0 Square Feet, and/or Linear Feet B ACR ~, a V200 ,pr rr

NYC-WTC 000123062

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NYC-WTC_000123062Source: NYC Law Department, mirrored locally

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