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← Document results/DEP Box 49/217 BROADWAY 1001232, 88/1
Document / 5 pages

Asbestos abatement project notification form for 217 Broadway, 2002

Machine-extracted title · confidence 95%

NYC DEP Project Notification Form detailing the owner, contractor, and third-party air monitor for asbestos work at 217 Broadway.

NYC-WTC_000123325–000123329

Folder label: “217 BROADWAY 1001232, 88/1

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Scanned page image, NYC-WTC_000123325
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NYC 9/11 Public Portal Document NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION 59-17 Junction Boulevard, 8" Floor, Cbrona, NY 11968-5107 Asbestos Control Program Building Dept. or TRU ONLY. Pe oe a 3 8 FOR OFFICIAL USE ONE TYPEWRITTE La Kasbes TOs PR JECT NOTIFICATION FORMS 2 sa ea “| AS RECTION REPORT) 4, . $1200 (See feo schedule) signatures: are. quired. Submittal at the NYCDEP requ As 4 _ When submitting this form Sine neo Dope of ses the original form and three (3) copies with original one copy of the form with original signatures. This week in advance of the start of abatement activities . form must bes ie ahead DEP not less than on l | Borough Manhattan Zip _ 10007 3. Block 88 4-Lot 1 \> Address 217 BROADWAY ' AKA 5. Type of Facility. Commercial 6. Name of Building 1. BUILDING OWNER ” Name Columbus Properties 8. Contact Person J. DiMurro 9. tat. # (212) 732-0916 eax y (212) 732-1157 40. Address 217 Broadway zip 10007 li. GENERAL CONTRACTOR ~ 11. Name... Tal # IV. ASBESTOS ABATEMENT CONTRACTOR 12, Name AA SERVICES, LLC 43. Contact Person J- RENSINK 14. Federal Employer 1D. # Pil 15. Tel. # (845) 782-4443 Fax # (845) 782-1872 City MONROE state NY _ zip 10950 V. THIRD PARTY AIR MONITOR 17. Name A-E.C.C. 18. Contact Person Anthony Nowicki Jr. 19. Federal Employer ID. # crc:cccccnecnsnsnae: 20. Tet, # (631) 589-3666 Fax # (631) 589-4004 24. Address .1302 Wainut Avenue zip 11716 City Bohemia State NY 23. NYS DOH ELAP # 17480 22. Sample Analysis Laboratory Scientific Laboratories VI. PROJECT INFORMATION 24. Starting date for this portion of work 9/2501 Asbestos work schedule Shift from: 7 am Cl pm. to - Cc] am 2) pm if other, specify CJ Monday Tuesday kJ Wednesday Ww Thursday Friday Saturday fa) Sunday Access to inspect the premises must be provided during the work schedule indicated in this item. 25. Total amount of asbestos-containing material to be abated during this work 2500 Square Feet, and/or 0 Linear Feet NYC-WTC_000123325

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NYC-WTC_000123325Source: NYC Law Department, mirrored locally

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