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← Document results/DEP Box 49/217 BROADWAY 1001232, 88/1
Document / 8 pages

DEP permit application, 217 Broadway, Aug 1988

Machine-extracted title · confidence 90%

Application form submitted to the NYC Department of Environmental Protection regarding work at 217 Broadway.

NYC-WTC_000123314–000123321

Folder label: “217 BROADWAY 1001232, 88/1”

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Scanned page image, NYC-WTC_000123321
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NYC 9/11 Public Portal Document

ou•~ ~~ TuE Cnv of NEw Yowc D PROTWnot4 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

' PREMISES ADDRESS ' t7t1-4

BOROUGH ~w,~~ ZIP CODE JO 6 • CORRECT CORRECT START DA COMPLETION DATE d 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): 4I• ~ \ [ ] Asbestos Abatement Contractor [ ] Building Owner ,' `` R

] Applicant for the asbestos project. l

The Undersigned Is Employed by

r c Organization/ Agency/ Company/ Corporation

(' -` 773 •a► Telephone # (A OjI

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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NYC-WTC_000123321Source: NYC Law Department, mirrored locally

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