NYC 9/11 Public Portal Document
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NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION FOR OFFICIAL USE ONLY
Asbestos Control Program Fee (if any) $
59-17 Junction Boulevard, 8"' Floor, Corona, NY 11368-5107
ONLY l /~
TYPEWRITTEN ~ N a? Amendment
FORMS WILL BE ASBESTOS PROJECT AMENDMENT FORM Information Only. ❑ Yes ❑ No
ACCEPTED i wv w.nyc.gov /tlep 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# ( ((APJO..Facility Address b~j f`~-~ t Borough N ' 1 ZipL&O D
-f
Date ACP7 was filed t I 1 Y Variance # (If any)
Was this ACP7 amended before? 0 Yes N No If yes, specify date
Original Start Date ' 25/o2 Original Completion Date /1/28/o a-- from ACP 7, #24.
PLEASE ENTER THE INFORMATION THAT IS BEING CHANGED: I.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 j
12. Name _ I — -- 13. Contact Person ; w y I CAS ! A
14. Federal Employer ID. P1 ._._._._._._._._._ --15. Tel. 4(Si b)7Z I 3 00b Fax I.$J -`•tg I "" ~~gs
7 I3
16. Address _3 t t &a t€ City WA,s. t f Cc H State L i Zipt
V. THIRD PARTY AIR MONITOR
17. Name ~"'~ ` U i— Ct tNf-eAA 1 C. 18. Contact Person 4 1 C,.WPrE
19. Federal Employer ID. # 20. Tel. 92Z. — 00") 7 Fax # k'4 y) 1 } ) " D~D
21. Address A • E. ' 4S <xa City Statet I Zip 1001
22. Sample Analysis Laboratory tt t tom'+ C_ \r~~rl~ss( ti o (g! 03-23. NYS DOH ELAP #_11
VI. PROJECT INFORMATION ❑ Project Cancelled
24. Starting date for this portion of work ///25/a2- Projected completion date /112 0 ❑ Project Postponed
Asbestos work schedule , Monday Tuesday 9 Wednesday K Thursday ❑ Friday 0 Saturday ❑ Sunday
Shift from: ❑ am M pm to am ❑ pm If other, specify
'H J F?cade
25. Additional asbestos-containing material to be disturbed during this work 1 Jr, -t 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 ❑ Tent ❑ DEP Variance Application
Other Changes
30. Locations of abatement modified by above (c (Z-E'o t eta.-e-#ri 'c
(For each floor list ACM quantity
31132. Name of Applicant / Own Tel. #
Name of Company (If any) r' Fax #
T
Address City State Zip
I hereby declare that the informat vi ce
PR(T
a`ct>"T Signature of Applicant /Owner Date
ACP 8
212001
NYC-WTC 000123064
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