NYC 9/11 Public Portal Document
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trowP JOEL A. MIELE, SR., P.E. inàr ROBERT C. AVALTRONI
Deputy Commissioner
PHONE (718) 595-4418 Bureau of
FAX (718) 595-4422 Air, Noise, & Hazardous
36 5/F Materials
ASBESTOS CONTROL PROGRAM TECHNICAL REVIEW UNIT
ACP-7 CORRECTION FORM
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PREMISES ADDRESS ' t7t1-4
BOROUGH ~w,~~ ZIP CODE JO 6
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CORRECT CORRECT
START DA COMPLETION DATE
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CORRECT ACM QUANTITY?- u vJ SQUARE FEET, AND/OR LINEAR FEET
Correct Method Of Abatement:
Confirmation Of Change(s) Of Date(s) and/ACM Quantity As Noted Above
The undersigned affirms that she/he has been instructed verbally to change or confirm the date(s) and/or ACM
quantity, by Ms./Mr. , who is duly authorized to represent the
organization/agency/company/corporation stated in the form ACP-7 regarding the above-not dress to
be the (Please check one box only):
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[ ] Asbestos Abatement Contractor [ ] Building Owner ,' `` R
] Applicant for the asbestos project. l
The Undersigned Is Employed by
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Organization/ Agency/ Company/ Corporation
(' -` 773
•a► Telephone #
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Print Name
J (2J Signature
TRU N4 8/96
59-17 Junction Boulevard, 11th Floor, Corona, New York 11368-5107
NYC-WTC 000123321
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