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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_000123327
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document 7 an a =P ‘THe Crry oF New York DEPARTMENT OF ENVIRONMENTAL PROTECTION JOEL A. MIELE, SR,, PE. Commissioner ROBERT C. AVALTRONI —_— Deputy Commissioner PHONE (718) 595-4418 Bureau of FAX (718) 595-4422, Air, Noise, & Hazardous B6yy Materials ASBESTOS CONTROL PROGRAM TECHNICAL REVIEW UNIT - ACP-7 CORRECTION FORM PREMISES ADDRESS eal Dood “ nae porouci _ /Nenhtk. : zp cope__/02° 7 CORRECT oF : CORRECT START DATE, = COMPLETION DATE, CORRECT ACM QUANTITY: _7V,000 __ 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-noted facility address to be the (Please check one box only): <é vty, [ ] Asbestos Abatement Contractor [ ] Building Owner a Recened @) ; + Applicant for the asbestos project. Is q SEP 28 2001 =] The Undersigned Is Employed by ti OQ Hage Organization/ Agency/ Company/ Corporation 7 /) a [20d ws Dut Ge ode mit OF Tart. Address oe Telephone # A . = . - Litho Nowi eG Cow GS iz Teint Name Signature PRU NA 8:96 59-17 Junction Boulevard, 11th Floor, Corona, New York 11368-5107 * eS NYC-WTC_000123327 = i —

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NYC-WTC_000123327Source: NYC Law Department, mirrored locally

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