NYC 9/11 Public Portal Document
; E& r O7/ (oT, EMERGENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program
fal t1Sledo
rox e 59-17 Junction Boulevard, 8" Floor, . NY 11368-5107
(| D= vs lunction levard, 8" Floor, Corona, 11368-510' Dept or TRU NS
ONLY 5, Sa Peat A! FOR OFFICIAL USE ONLY
TYPEWRITTEN “iif ASBESTOS PROJECT NOTIFICATION
FORMS WILL BE ~"eiitias ¢608 ON REPOR
ACCEPTED = «"SewnyegeeT@ee) peeten tis res n WC BEP
(dee 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 .
l. FACILITY
2.Address_ 211 Broadway . BoroughManhattan Zip 10038
AKA St. Paul's Church C204 Broadway ) 3. Block 4. Lot
5. Type of Facility 6. Name of Building .
Il BUILDING OWNER ;
7. Name Th ArT { Cru te tt '8.:Contact Person ‘Dowueure iS ‘| wh bars
o.te.# 212 $02 'a670 Fax#
10. Address 74 Trivety Kal ‘ City My state NT zip. [od ¢
Ill. GENERAL CONTRACTOR
11. Name. Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR :
12.Name Trio Asbestos Removal Corp.. 13. Contact Person Chris: Horan
14. Federal Employer ID. # Pll __ L 15. Tel. # 718-961-4100 ax 718-961-4103
16. Address 14-20 129th Street ciyCollege Point stateN¥ zp) 11356
V. THIRD PARTY AIR MONITOR
Warren & Panzer Engineers, P.C. 18. Contact Person Michael Nolan
20. Tel. # 212-922-0077 Fax # 212-922-0630
17. Name
19. Federal Employer ID. #
21.Address_228 East 45th Street City New York state N¥ jp 10017
22. Sample Analysis Laboratory_Warren & Panzer Engineers 23. NYS DOH ELAP #_11251
VI. PROJECT INFORMATION
24. Starting date for this portion of work zo ot Projected completion date ? 3! 9%
Asbestos work schedule [1 Monday C Tuesday a Wednesday O Thursday O Friday Saturday Sunday
Shift from: _$ am Lipm fo 7 an Clam Jom
If other,
specify
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
24,300 _ Square Feet, and/or
Linear Feet
ey
~ NYC-WTC_000123627
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000123627Source: NYC Law Department, mirrored locally
Invoice from Fiber Control, Inc. dated July 18, 2002, billing the Department of Environmental Protection for facade cleaning services at multiple job sites.