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← Document results/DEP Box 51/100 CHURCH STREET Block: 125 Lot: 20 BIN: 1001409 44-80 PARK PLACE, 21-35 WEST BROADWAY, 45-75 BARCLAY ST
Document / 7 pages

Asbestos project notification form, 100 Church Street

Machine-extracted title · confidence 95%

NYC DEP form submitted to notify the department of an asbestos project at 100 Church Street prior to abatement.

NYC-WTC_000126757–000126763

Folder label: “100 CHURCH STREET Block: 125 Lot: 20 BIN: 1001409 44-80 PARK PLACE, 21-35 WEST BROADWAY, 45-75 BARCLAY ST

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NYC 9/11 Public Portal Document

7i!ENI~ - L PROTECT W NYC grarfi ona. NY 11368- 7 uNo 8ur~+Y ONL DP; OTI~ICATIO Fono o~Y TYPEWRITTEN --= l REPORT) FORMS WILL BE 1 $( 7 nn nn .yc I• un aw fee sdled ") ACCEPTED

When submitting this original form and three (3) copies with original signatures are requIred. L6bmIlt&-st-the-NYCDEP~req ilres one copy of.lha form with original sgnatuxes. This advancs,of the start of abatement activities. form must be subrtlitted to the NYC DEP not less than one week In

1. FACILITY 100 Church Street Borough Manhattan Zip 1110117 2. Address .3. Block 1 25 4. Lot 20 AKA 6. Name of Building 5. Type of Facility II. BUILDING OWNER Church, LLC. Zar Realty 8. ContactPersOrtJ 1 i ni shah 7. Name 90 Fax# (212)46 -SSS4 9. Tel.# (212)971-0111 384 Fifth Avenue City New York State NY Zip 1001R 10. Address

111. GENERAL CONTRACTOR Tel. # 11

IV. ASBESTOS ABATEMENT CONTRACTOR 192 Branch Interior Services Inc 13. Contact Person Chris Sal i ani 12. Name P11 15. Tel. # (6 31 ) 5 6 3 7 3 0 0 Fax # f6 31 )563-73R9 14. Federal Employer 10. #_._._._._ _ _ _ Colin CityHolbrook State NY Zip11 741 16. Address 101-2 Drive

V. THIRD PARTY AIR MONITOR 18. Contact Person Peter Shark 17. Name Ambient Air

20. Tel. # (212) 944-461 5 Fax # s 6 31 )563-7389_ 19. Federal Employer ID. # L._._. P11 Street City New York State NY Zip___ 21. Address 55 West 39th Ambient Air 23.NYS DOH ELAP# 10865 22. Sample Analysis Laboratory

VI. PROJECT INFORMATION 1 2 /07/ 01 1 1/ 1 4/ 01 Projected completion date 24. Starting date for this portion o••~~ftwork ~y Thursday I Friday U Asbestos work schedule l:.:r Monday ®Xfuesday ® Wednesday

Shift from: 8 :00 a am ❑ pm to 8 ' 0 0 0 am ® pm RECVE0 If other. specify 71 NOV 3 0 2001 indicated in this item. Access to inspect the premises must be provided during the work schedule

during this work 25. Total amount of asbestos-containing material to be abated 79 50 0 Square Feet. and/or _____0 Linear Feet ACP 7 212001

NYC-WTC 000126757

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NYC-WTC_000126757Source: NYC Law Department, mirrored locally

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