Asbestos project notification form, 90 Church Street area, Oct 2001

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued)

26. Asbestos Hauler ATC _--______r—__—_— NYS DEC Permit # t A=371 TEL.# (631) 924-5050 Hollsopple, PA 15935 _ Disposal Site(s)Southern Alleghenies Disposal Service_Road 3, Box 310, Valleyview Drive,

27. This asbestos abatement is part of a (Item a through e requires filing of this form with NYC Department of Buildings) a) Demolition b) Boiler Replacement c) Sprinkler Replacement d) Renovation/Alteration e) Fireproofing Replacement f) Ir Other (Describe) Ac!4PJ&t_c1 P__---------------

28. TYPE OF ABATEMENT (Check all appropriate boxes) Removal Enclosure Encapsulation Repair ✓ Clean up

29. ABATEMENT PROCEDURE (Check all appropriate boxes)

9n Full Containment I Af`ATIA\1C AC Glovebag

ADATC\ACAIT Tent DEP Variance Application 1 -7 Imo `` ,`/ N D / DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OF FLOOR CONTAINING ACM PERFORMED (e.g. entire, east wing, room #, (e.g. Pipe lagging, ceiling, plenum SQUARE LINEAR (e.g. running cable, installing fire sprinklers, boiler room. lobby, etc) ducts, storage tanks, decking, etc.) FEET FEET removing and replacing boilers. etc)

7 Storage World Trade Center dust 7,000 Clean-up

31. I hereby declare that the information provided herein is true and complete to the best of my knowledge. I am familiar with Federal, State and NYC laws and regulations applicable to asbestos related work.

Airtek Environmental Corp. National Abatem orp. Airtek Environ ntal Corp. Print Na of Air Monitor Print Name ontr or Print Vf cant (H other than Owner)

Sign~nore Sig ture Signature

1__ Da

32. I understand that as. the owner of a building where asbestos abatement activity occurs, I am responsible for the performance of the asbestos abatement activities in accordance with the Asbestos Control Program Rules. I have contracted the third party air monitor who is completely independent of all parties involved i estos project. I hereby declare that I have authorized the filing of this notification for the work specified herein. Thomas L. Hill, Sr. VP for Boston Properties LP _ _J_3 / L/ Print Name of Owner $ nature T Date as agent for 90 Church St. LP A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE.

Any modification of information provided on this form must be reported immediately in writing directly to the NYC DEP ACP._ The requirements of the Asbestos Control Program Rules may not be lawfully avoided or lessened ACP7 through the performance of work in incremental or piecemeal fashion.

NYC-WTC 000126924