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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 / 5 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_000126767–000126771

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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Scanned page image, NYC-WTC_000126770
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NYC 9/11 Public Portal Document ag NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION ~~ : VJ ss te Asbestos Control Program ; (Nb ; WO. ¢ ‘ ow * 59-17 Junction Boulevard, 8° Floor, Corona, NY 11368-5107 ‘ os Kid \ D m Building Dept or TRUNO NLY : = « FOR OFFICAL USE ONY Os reewnrren Ke” = ASBESTOS PROJECT NOTIFICATION FORMS WILLBE _ NERO (ASBESTOS INSPECTION REPORT) /. ACCEPTED | RCS Ce ot hen submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original ° o > AF signatures are required. Submittal al the NYCDEP requires one copy of the form with original signatures. This OS form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities . ve” E SBFACILITY , . 2. Address | 00,” CHURCH S [REE { Borough NS : X Zp {ooo AKA 3. Block 4. Lot 5. Type of Facility 6. Name of Building il. BUILDING OWNER 7.Name GO CHULCH LLC ZAR REALTY. B. Contact Person_W Stein ae 9. Tel. # Fax# y A, 10. Address >SU ttt A VEenn Kity NS! site NY Loolgs Ill. GENERAL CONTRACTOR : 4A IV. ASBESTOS ABATEMENT CONTRACTOR 12. Name Fibek CorST£o[ 13. Contact Person Tory CofA 14. Federal Employer ID. # _| Pil 15. Tel. # S16 - 2§1-3200 Fax # Sié- Z2EL-SBS 16. Address SoOlO PvEK fe City LIBS AS 4 State A) ¥ zip UIP G3 V. THIRD PARTY aR MONITOR yo name _Wineeent & Prizee Lucinares, PC 40 comactPerson Micwer Nourr. 19. Federal Employer ID. # 20. Tel. # DID- 999-9027 rack UP -992-0630 21. Address PIS EMT LU[cet STRLET City Kew Tazk. State AL'7 zip [00( ar 22. Sample Anatysis Laborstocy_ SC HEN THEE baperareries, [ere 23. NYS DOH Bars 4&0 | VI. PROJECT INFORMATION . oS 24. Starting date for this portion of work _|O | | b loa Projected completion date \\ ih 0 2~ Asbesios work schedule [) Monday C Tuesday [J wednesday 1) thursday 1) Friday 0 saturday O) sunday Dam pm Shin from: DamO pm to If other, specify Access to inspect the premises must be provided during the work schedule indicated in this Kem. 25. Total amount of asbestos-containing material to be abated during this work a 29,632 Square Feet, and/or Linear Feet ND ee nett ne ee —— eee eee ee Hee NYC-WTC_000126770

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NYC-WTC_000126770Source: NYC Law Department, mirrored locally

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