Invoice for facade cleanup, 200 Church Street and Duane Street

NYC 9/11 Public Portal Document

FOR OFFICIAL USE ONLY NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program Fee Of any) $ 59-17 Junction Boulevard, 8" Floor, Corona. NY 11368-5107 ONLY TYPEWRITTEN Amendmer2w2!20R4 FORMS WILL BE ASBESTOS PROJECT AMENDMENT FORM Information Only 0 Yes ❑ No ACCEPTED FOR FORM ACP 7

ACK7 TRU/BN# Address OO CAW -"S I Borough

Date ACP7 was filed

Was this ACP7 amended before? 0 Yes ( No If yes, specify date

Original Start Date L 1D o 3'"'Original Completion Date 1O 0 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 anginal applicant or building owner may amend all other items. N. ASBESTOS ABATEMENT CONTRACTOR

12. Name _ C~ ^~ 1 ~~ ` 13. Contact Person t a N 'I C.~.4 1 / 14. Federal Employer 10. P -1- 1 I ._._._._._._._._._._.r 15. Tel. tr~~16 1$ 3 Fax +1L S~~ 1g 3 D g~

16. Address 30 I O J&"4 %X Ali au E City WA-•Jt a4 H State r1' 1 Zip %%1d13 V. THIRD PARTY AIR MONITOR

17. Name W '& f, p. '~ ` 0- EP3 t13£€4Lt PG 18. Contact Person M 1 C M 4 1 — OCO 3rd 19. Federal Employer ID. # 20. Tel. ?!') 9 22 7 Fax # y })

21. Address ,• S • t44SiSt city _t State' Zip 00 % }

22. Sample Analysis Laboratory St C-P 1 % %G e Qf ►3 Q3. NYS DOH EIAP # 11 "

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

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

Shift from ❑ am ❑ pm to ❑ am ❑ pm If other. specify 10 ll 25. Additional asbestos-containing material to be disturbed during this work .~-500 Squ or r Feet

Reduction in the amount of ACM to be disturbed during this work Sq t. a _ eet

29. Abatement Procedure for Additional Material (Check all appropriate boxes) f ❑ Full Containment 0 Glovebag ❑ Tent 0 DEP Variance Application AUG 3 Q 2Q02 -EPIBANRM ti Other Changes EA: TRUG 30. Locations of abatement modified by above Sc & "H (For each floor list ACM quantity and type)

31/32. Name of Applicant I Owner / r ~-,+ ~~5~ fLumP L K~ Tel. # () ELI j!LL Name of Company (If any) ' J 1/ C— () E P rW'1' Fax #_____________________

Address City State Zip

I hereby declare that the information provided herein is true and complete.

a<<ar Signature of Applicant/Owner /_a.is/o'... Date dE4)~'. ACP• mooi

NYC-WTC 000126455