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Document / 29 pages

Asbestos abatement invoice, 196 Broadway, Aug 2002

Machine-extracted title · confidence 95%

Invoice for roof asbestos abatement work completed at 196 Broadway covering over 32,000 square feet.

NYC-WTC_000123131–000123159

Folder label: “196 BROADWAY 1001219, 79/16

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NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 8 Floor, Corona. NY•11368-5107 ct t.(WNc or &Asp OF R OFFICNL USE ~Yb i ONLY ASBESTOS PROJECT NOTIFICATION FORE ILf~ SE (ASBESTOS INSPECTION REPORT) 1. eve / ter

When submitting this form at the NYC Department of Buildings, the original 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. /ta I. FACILITY

2. Address (96 BitCAOU AY Borough MAN Zip

AKA 3. Block T9 4. Lot 16

5. Type ofFacility__C0 ME ¢ c t At-- 6. Name of Building

I1. BUILDING OWNER

7. Name 8. Contact Person

9. Tel. # Fax #

10. Address ____ _ ` City ____________________ State Zip

III. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name 3►JAMca ituR2 Ai3 9, oK tier20l. 13. Contact Person_ LOUIE IANPICO

14. Federal Employer ID. P11 15. Tel. # ('1l8) 5'3%- 2900 — Fax # (1I ) 209- 18018

16. Address 1246 1ALPta AVEµUE City 8>~00KL.YIt State 11Y Zip 11236

V. THIRD PARTY AIR MONITOR

17. Name _ WRcta.~u ._._.Q9. 2i (t_._. .N. ~.tlEERS 18. Contact Person MIC.uAEL NCLAM

19. Federal Employer ID. # ._ _._._._._._ P I I _._ _ _._._.; 20. Tel. # (212) 22 -0O71 — Fax # (212) 922 -0630

21. Address _?28 EAST 45 Ttt :3ZRrcET —^ City N+Ew Yeate _ State _W`_ Zip _it1OIT

22. Sample Analysis Laboratory — 23. NYS DOH ELAP # _

VI. PROJECT INFORMATION [~ q 24_ Starting date for this portion of work 1 0 Z Projected completion date _ 1 f02' Asbestos work schedule ® Monday © Tuesday ® Wednesday 1 Thursday © Friday © Saturday f1 Sunday

Shift from: _8 ® am 0 pm to 8 0 am IN pm gal, y

If other, specify R",rrl 'p N Access to inspect the premises must be provided during the work schedule Indicated in this item. I 4U60 2002 25. Total amount of asbestos-containing material to be abated during this work 32l5 Square Feet, and/or c Linear Feet S tUg ACP 7

NYC-WTC 000123132

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NYC-WTC_000123132Source: NYC Law Department, mirrored locally

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