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

NYC 9/11 Public Portal Document . •.r ...... ....r ..., r../VW.vv.awNN 1 diM4 LM1~1 tft) Z1{BS I{HNS~YNS~H {}W~I~s[1Il M •t. 5~~~}: ~'

NYC DEP ASBESTOS CONTROL PROGRA2[

4 AGENCY ASBESTOS PROJECT NOTIFIGTION (15 RCNY Section ] 56) written notification must be received within 48 hours via "~ a)

b) Asbestos Inspection Report (ACP-7)

Cover letter explaining the nature of the emergency _7/ / 0 /

1) Caller's Name: 12 Affiliation:

Telephone #: ( ) P11 12/2-) L< - QSYC

2) Nature of Emergency:

3) Actual Date and Time..of Emergency

4) Method of Asbestos Abatement:

Removal S Sq.ft. L. ft. Repair Sq. ft. L. Ft Encapsulation Sq. ft. L. ft. Clean-up l/?ôi q. ft. L. ft_ Enclosure Sq. ft. L. ft.

5) Facility Address : 61 ~~r v`

Owner/Agent: Contact Person Tel. Location of Asbestos Abatement: I C,tA.1

6) Asbestos Abatement Cont

Name:

Address:

Telephone #: _ /4; 7) Starting Date: Projected Completion Date:

8) Verification ye by Owner/Agent: No.

& Call Taken By: .

Xc: Enforcement (Urgent). Date: // Form N7 7/93

NYC-WTC 000126925