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Asbestos abatement permit application, 100 Church St, Jun 2002

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DEP form for asbestos abatement activities at 100 Church Street dated June 2002.

NYC-WTC_000126863–000126866

Folder label: “100 CHURCH ST 1001409, 125/20

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NYC 9/11 Public Portal Document

ENTAL PROTECT / ~~~ Iltro1 Moir. , NY 11 oF o"Ic" %&Ye TYPEWRITTEN `. ' •~_ ..- 1 .CT OTIFICAT10 FORMS WILL BE =" ="' wp REPORT) 1. _$1,2110 _ LLO ACCEPTED •• ••` ••• ••• (Si. f's •dNd~I.)

When submitting this fo t r i OaDldmentp ~~ngs a original form and tiiree (3) copies with original we required. llt&at-the-NYCDE one copy dthe form with original signatures. This form must be submitted to the NYC DEl' not less than one week in advance 0f the dad of abatement activltles .

I. FACILITY 100 Church Street Borough Manhattan Zipl nnn*7 2 Address 3. Block 12 5 4. Lot 20 AKA 6. Name of Building 5. Type of Fadlity N. BUILDING OWNER LLC. Zar Realty 8. Contact PerSortJ 1 i n i shah 7. Name 90 Church, 9.Tel.# (212)9710111 Fax# (212)41;S-RSg4

3 8 4 Fifth Avenue City New York State _NY Zip 1 n n 1 R 10. Address

Ill. GENERAL CONTRACTOR Tel. # 11. Name

IV. ASBESTOS ABATEMENT CONTRACTOR Services. Inc_ 13.ContadPerson Chris Saliani 12.Name 192 Branch Interior

15. Tet. # (6 31 ) 5 6 3 7 3 0 0 Fax # (i; q1 )S63-71l9

Colin Drive City Holbrook State NY Zip11741 16. Address 101-2

V. THIRD PARTY AIR MONITOR 18. Contact Person Peter Shork 17. Name Ambient Air ...... ...... .PIT 19. Federal Employer ID. fi` ------- ---- ------1 20. Tel. # ( 212) 944-4615 Fax# (631)563-7389 _ Street_ city New York State NY Zip 21. Address 55 West 39th Ambient Air 23. NYS DOH ELAP # 10865 22. Sample Analysis Laboratory

Vt. PROJECT INFORMATION 12/07/01 1 1 /1 4 / 01 Projected completion date 24. Starting date for this portion of work

Asbestos work schedule 9 Monday MyTuesday ® Wednesdays Thursday [2 Friday )0 Shift from: 8 0 0 U am [] pm to 8 0 0 ❑ am ®pm

If other. RECEVED specify NOV 3 0 2001 item. Access to inspect the premises must be provided during the work schedule indicated in this

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 vt001

NYC-WTC 000126863

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NYC-WTC_000126863Source: NYC Law Department, mirrored locally

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