Invoice from Fiber Control Inc for DEP, Sep 2002

NYC 9/11 Public Portal Document

FP"1P,+ra FOR OFFICIAL USE ONLY NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program Fee (if any) $ 59-17 Junction Boulevard, 8'" Floor, Corona, NY 11368-5107 ONLY D~ TYPEWRITTEN Am ment _ __________—

FORMS WILL BE ASBESTOS PROJECT AMENDMENT FORM Information Only: ❑ Yes 0 No ACCEPTED w«w.nr .. . ... .. . .....: . .....r......_.. FOR FORM ACP 7 A modification is valid only if it is received by the NYCDEP prior to the previously filed date of completion, except for start date changes that must be received by the original start date.

ACP7 TRUBN# TRu I SO~WNo zFacility Address S- 1 Dc Sr RAE T — Borough MN Zip - I DO

Date ACP7 was filed CPT. I(o ?.00Z Variance # (If any)

Was this ACP7 amended before? ❑ Yes ® No If yes, specify date

Original Start Date 91 ______ Original Completion Date 2502 from ACP 7, #24.

PLEASE ENTER THE INFORMATION THAT IS BEING CHANGED: A notification may be modified no more than twice. Only the building owner may amend items IV and V. The original applicant or building owner may amend all other items. IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name 13. Contact Person —

14. Federal Employer ID. # 15. TeI. # — Fa

16. Address —City co Statefp EIy P~~~~2~~f~0VV V. THIRD PARTY AIR MONITOR SE 2002 17. Name 18. Contact P

19. Federal Employer ID. # — 20. Tel.#

21. Address _— City

22. Sample Analysis Laboratory. 23. NYS DOH ELAP #

VI. PROJECT INFORMATION 0 Project Cancelled 24. Starting date for this portion of work _ Projected completion date ❑ Project Postponed

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

Shift from: 0 am 0 pm to _ ❑ am ❑ pm If other, specify_ —_____________________________

25. Additional asbestos-containing material to be disturbed during this work Square Feet, and/or Linear Feet

Reduction in the amount of ACM to be disturbed during this work 100 Square Feet, and/or Linear Feet

29. Abatement Procedure for Additional Material (Check all appropriate boxes) ❑ Full Containment 0 Glovebag 0 Tent ❑ DEP Variance Application

Other Changes —_— —

30. Locations of abatement modified by above t= (ASP L R V uh L o t I /L-t 2uoc (For each floor list ACM quantity and type) ~n 31/32. Name of Applicant / Owner S&KELE P A.oT H e R. S~ LL C. Tel. IZ r G4

Name of Company (If any) -- Fax # —_

Address ~E~~'riLE ET City 14.( . _— State _j ,. - _Zip Zip lO0 b 7

I hereby declare that1the information provided herein is true and complete.

*rif ti fhi ant pic i nature of Applicant / ner --- gL~ - 22

Date ,O 2

ACP 8 2/2001

NYC-WTC 000126239