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Invoice from Fiber Control Inc for DEP, Sep 2002

Machine-extracted title · confidence 90%

Invoice dated September 25, 2002, from Fiber Control Inc to the New York City Department of Environmental Protection for services at multiple job sites.

NYC-WTC_000126236–000126240

Folder label: “5 DEY STREET 1001071, 63/12

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Scanned page image, NYC-WTC_000126237
OCR text

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NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard. 81" Floor. Corona. NY 113685107 7 ii /5o/IAIo21 Building Dept. or TRU No FOR OFFICIAL USE ONLv ASBESTOS PROJECT NOTIFICATION FORMS WILL BE (ASBESTOS INSPECTION REPORT) ACCEPTED '1 '!"-~ (Sed1ee scfledule)

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.

1. FACILITY

2. Address S ( .S 7 Q— Borough (' Zip________

AKA 3. Block 3 4. Lot I I- 5. Type of Facility 6. Name of Building

II. BUILDING OWNER

7. Name .a R-KS- ^0- L LL. 8. Contact Person rcs&Q4Sv 9. Tel. k ~J ~h-- Fax #

10. Address E) l -Q-1 S I(2 -1- City 1~ State ft Zip I 00 III. GENERAL CONTRACTOR

11. Name TeI. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name 13. Contact Person s 9

14. Federal Employer /!f..._._._._._._._._. PI I X15. TeI. # J - -(.3ao C Fax #_5Ifff &- 3d s•;5 10. "/ 7) r 16. Address 3O/(D ~l )O/?, t City _ '* u State Zip II? T~

V. THIRD PARTY AIR MONITOR ~j &P kM Z.E2 l t r 5, ,f 18. Contact Person V (..(o (^ ftc 4 17. Name_(AJ P

19. Federal Employer ID. # 20. Tel. # f3 ' Fax# - P2 ' O 3 O

21. Address .I2Pg ~1ES1 . 1{ S ir2.fE7 City t fr ). uel '(~ State _ oo Zip // 22. Sample Analysis Laboratory SG( 7(f!~- F f !1 S1 tc 23. NYS DOH ELAP # _(1 i1

VI. PROJECT INFORMATION 2 24.Starting date for this portion of work9 0L Projected completion date /J1 0 )-+

Asbestos work schedule 0 Monday ❑ Tuesday 0 Wednesday 0 Thursday 0 Friday 0 Saturday J Sunday

Shift from: 0 am 0 pm to ❑ am ❑ pm

K other. specify

I Access to inspect the premises must be provided during the work schedule indicated in this item. I

25. Total amount of asbestos-containing material to be abated during this work

80 Square Feet, and/or Linear Feet ACP 7 2/2001 fiJ!!*l r1 [ lit f(Cin.JJ

NYC-WTC 000126237

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NYC-WTC_000126237Source: NYC Law Department, mirrored locally

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