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← Document results/DEP Box 51/150 DUANE STREET Block: 146 Lot: 7502 BIN: 1001599 AKA's: 115 WEST BROADWAY, 152 DUANE ST, 115-123 WEST BROADWAY
Document / 11 pages

Asbestos project notification form, 150 Duane Street

Machine-extracted title · confidence 98%

An asbestos project notification and inspection report form for 150 Duane Street requiring signatures.

NYC-WTC_000126053–000126063

Folder label: “150 DUANE STREET Block: 146 Lot: 7502 BIN: 1001599 AKA's: 115 WEST BROADWAY, 152 DUANE ST, 115-123 WEST BROADWAY

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Scanned page image, NYC-WTC_000126061
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NYC 9/11 Public Portal Document

J.C. Broderick & Associates, Inc. Asbestos Certification

STATE Of NEW YORK. DEPARTMENTOF LABOR • DMSION OF SAFETY AND HEALTH License and Certificate Unit • aU1LDING 12,Room 151 • STATE CAMPUS ALBANY, NY 12240 ASBESTOS HANDLING LICENSE RESTRICTED LICENSE — NO ASBESTOS Rfl10VAL PER14TrEJ j' LICENSE Nwap; DATE OF+O lAF ObyQLA1 Contractor: J.C. Broderick & Associates. Inc. ~ PnA ~ I ` OG130~02

Address: 101-4 Colin Drive Rolbrook, NY 11741

Duly AutharizedRepresentative: Brendan Broderick This license has been issued in accordance with provisions of Article 30 of the Labor Law of New York State and of the New York State Code&, Rulesapplicable and Regulations (12 NYCRR Part 56). It is subject to suspension or revocation for a (1) serious violation of state, federal or local laws asbestos project, or (2) demonstrated lack of responsibility in the conduct of any jobwith regard to the conduct of an involving asbestos or asbestos material. This license is valid only for the contractor named above and this license or a photocopy must be displayed at the asbestos project workaite. The licensee verifies that all persons prominently employed by the licensee on an asbestos project in New York State have been iuued an Asbestos Certificate, appropriate perform, by the New York State Department of Labor. for the type of work they

Richard Cucolo, Director SN482(10.00) FOR THE COMMISSIONER OF LABOR

Brendan G. Broderick

P11 v. STATE OF NEW r OVL rl ' OF Las0.1 MLSIOe OF SAFETY MO HEALTH

ASBESTOS HANDLING CERTIFICATE AUTH C - D - SAMPLINGOTECHNICIANSE(ea/O1) INSPECTOR H _PROJECT MONITOR,_,. fe8/~31)

PII .-.-.-.-.-.-.--- --.-.-.-.-... 11801 L AICWtAO CUCOLO. O++nor - J Fa A Co^..rrorr A taco, —Le1C ALA Aa- LAA lei1.l

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NYC-WTC 000126061

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NYC-WTC_000126061Source: NYC Law Department, mirrored locally

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