DEP permit application, 217 Broadway, Aug 1988

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued)

26. Asbestos Hauler EWN&S TRANSPORT INC. NYS DEC Permit # 2A334 Tel.# (718) 273-0428

Disposal Site(s) ATHENS HOCKING RECLAMATION

27. This asbestos abatement Is part of a (Item a through a requires filing of this form with NYC Department of Buildings) a) ❑ Demolition b) ❑ Boiler Replacement c) ❑ Sprinkler Replacement d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement t) ❑ Other (Describe) EMERGENCY CLEANUP ER128-01

28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal ❑ Enclosure ❑ Encapsulation ❑ Repair ® Clean up 29. ABATEMENT PROCEDURE (Check aft appropriate boxes) ❑ Full Containment ❑ Giovebag ❑ Tent ❑ DEP Variance Application

30. LOCATIONS OF ABATEMENT DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM ,/13! leis DESCRIPTION OF WORK IEING 1

Floor(s) OF FLOOR CONTAINING ACM PERFORMED (e.g. wing, roan #. (e.g Pipe lagging, ceiling, plenum SQUARE UNEAR (e.g. running cable, Installingt lire essprinkiers. boiler room, lobby, etcl FEET FEET ________ ducta, etorege tanks. deddng, etc.) removing 10 FL.R ROOF ROOF 20,000 EMERGENCY CLEAN-UP

31. I hereby declare that the Information provided herein is true and complete to the best of my knowledge. I am familiar with Federal, State and NYC laws and regulations applicable to asbestos related work.

A.E.C.C. AA SERVICES LLC J. RENSINK ~j~~Print Name of Air Monitor Asbaft Cartrocim WON Appikant (K cater then Owned

StgneWre SlgnaWre nature

9/24MI 9/2410 9 Date ' Date Date

32. 1 understand that as the owner of a building where asbestos abatement activity occurs, I am responsible for the performance of the asbestos abatement activities in accordance with the Asbestos Control Program Rules. I have contracted the third party air monitor who Is completely Independent of all parties Involved In the a project. I hereby declare that I have authorized the tiling of this notification for the work specified herein. JOHN DI MURRO Print New or Owner Signature to

A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE.

I Any modification of Information provided on this form must be reported Immediately In wiitlnc directly to the NYC DEP ACP. The requirements of the Asbestos Control Program Rules may not be lawfully avoided or lessened through the performance of work in incremental or piecemeal fashion. AOr 1J20t11

NYC-WTC 000123315