NYC 9/11 Public Portal Document
ciioiv r4 NYC DE
MERGANCY ENVIRONMENTAL PROTECTION
ONLY
'?'
{{
t
;~.• •
' i
$
~`
1
Asbestos Control Progt°am
59-17 Junction Boulevard, 8°i Floor, Corona, NY 11368-5107 aç E. TRU No
Foaor•Ftcvu trseonnr
lYPEWRrTTEN ti' . /%t ASBESTOS PROJECT NOTIFICATION a
FORMS WILL BE ° cvrLmO- r
ACCEPTED (ASBESTOS INSPECTION REPORT)
s:.w...i~.;.. eeo 1. wc.Z
(See fee schedule)
When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with
original
signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This
form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities.
I. FACILITY
2. Address 29 Broadway nhattan Zip 10004
Borougi
AKA ----- 3. Block 20 4. Lot 1
5. Type of Facility___ 6. Name of Building
It. BUILDING OWNER
7. Name Trinity Morris Corp.
8. Contact Person
9. Tel. # 212-425-2950 Fax#
10. Address City State Zip
Ili. GENERAL CONTRACTOR
11. Name
Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name Trio Asbestos Removal Corp • 13. Contact Person Chris Horan
14. Federal Employer ID. #
._._._._._._P.11._._._._._ 15. Tel # 718-9 61-4100 Fax# 718-961-4103
16. Address 14-20 129th Street c;t College Point Zip 11356
State NY
V. THIRD PARTY AIR MONITOR
17.Name Warren & Panzer Engineers, P.C. 18 ContactPerson Michael Nolan
19. Federal Employer ID. # _ 20.TeL# 212-922-0077 Fax# 212-922-0630
21. Address 228 East 45th Street City New York State NY Zip 10017
22. Sample Analysis Laboratory Warren & Panzer Engineers 23. NYS DOH ELAP # 11 251
VI. PROJECT INFORMATION
~ y0 i+ '"
24. Starting date for this portion of work 1 t` Projected completion date
Asbestos work schedule onda uesday,.~Wednesday ursday Friday Saturday nday
Shift from: am ❑pm to ~ Elam m
If other.
specify
Access to inspect the premises must be provided during the work schedule indicated In this item. 1 2001
t!
JUL 61
25. Total amount of asbestos-containing material to be abated during this work ""
~- ~ fl3&' i '
27 725 Square Feet. s
and/or Linear Feet GA
\' ACP7
212001
NYC-WTC 000123542
OCR can misread numbers and units. Confirm readings against the page image before using them.