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Asbestos abatement invoice, Fiber Control, June 2002

Machine-extracted title · confidence 90%

Invoice from Fiber Control dated June 24, 2002, for asbestos-related services.

NYC-WTC_000126497–000126503

Folder label: “111 CHURCH ST 1001405, 124/12

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NYC 9/11 Public Portal Document

/it'f kJ-f --a t1ttUCIU ►OF ENVIRONMENTAL PROTECTION l l pr,4t DEPARTMENT .~'0 "'WM Asbestos Control Program A r■~ 59-17 Junction Boulevard, 8"' Floor, Corona. NY 11368-5107 L 4?0%AM d ONLY TYPEWRITTEN D ASBESTOS PROJECT NOTIFICATION Nr ncc°̀~ Building Dept. or TRU No FOR OFFICIAL USE ONLY

FORMS WILL BE (ASBESTOS INSPECTION REPORT) ACCEPTED ..^" !.!' . , (See fee

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 _] ?r T — 1 Borough —J[_ Zip _ --~_

AKA ` `'l L~CJ;L— ` ~ _ 3. Block r 4. Lot

5. Type of Facility. 6. Name of Building II. BUILDING OWNER

7. Name 1 L~CI✓ C (Dsi C' S G 8. Contact Person

9. Tel. Fax # _--_ --- ---- 10. Address -__ __' City — r vv `( r±. --- State J'1 Zip ---- - Ill. GENERAL CONTRACTOR

11. Name_ Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name L .3 .€' l .YJ t ,OJ --------- _13. Contact Person _ __ '. L1.. _- 14. Federal Employer ID. # P 11 ' 15. Tel. # 616 - 7>~if -306 o 5/_ 7 3cg Fax # _--------------- 16. Address _30/( >1 C~ ?, i~_-- __- -- City —___ I/ l_--_ State .&_I Zip _LL22 _

V. THIRD PARTY AIR MONITOR

17. Name 1~v 11 ~ Z pNG i-f '~ S fC-18. Contact Person _ t l!~+ r t—►'``' ----- 19. Federal Employer ID. # --II ; 20. Tel. # Q 13 . - 0 Q . — Fax

21. Address .~~g city zip ( L—~ — ~t L--/-- `~w E7?~C----- State f- -L- 22. Sample Analysis Laboratory—_~~ (fl`<</ «- G_*6 0 r- °?'1t5 1( ` — 23. NYS DOH EJ AP #

VI. PROJECT INFORMATION 24.. Starting date for this portion of work Z Projected completion date

Asbestos work schedule 0 Monday ❑ Tuesday ❑ Wednesday 0 Thursday 0 Friday ❑ Saturday Sunday 0 Shift from: ❑ am ❑ pm to _--__ ❑ am ❑ pm `I • ` - -! ! ;~ '.

If other, cam '~ rO P _-- RLCEIVC L Access to inspect the premises must be provided during the work schedule indicated in this item. JV N 1 1 2902 )11EE

25. Total amount of asbestos-containing l to abated this work _? ti $frft ::1 rd;: Square Feet• and/or '

212001

T

NYC-WTC 000126498

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NYC-WTC_000126498Source: NYC Law Department, mirrored locally

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