Invoice for fiber control services, 154 Chambers St, July 2002

NYC 9/11 Public Portal Document

79(ô7 qn rx.,k NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION a, Asbestos Control Program

ic# %WrPEWRITrEN DPow y ter 59-17 Junceon Sou!evard, e" Floor, Corona, NY 113tk-5101

ASBESTOS PROJECT NOTIFICATION Iu In9Os$sr P40 rca offIcw. use or&v FORMS WILL SE (ASBESTOS INSPECTION REPORT) ACCEPTED _tom" 1.

when submitting Ihia form at the NYC Department of Buildings, the original form and three (3) copies with original signatures are required. Submittal at the NYCDEP requires one copy of the form with orlgInal signatures. This form must be submitted to the NYC DEP not foss then one week in advance of the s:aft of sbatamsnt activities.

I. FACILITY 2. Address ~ ~ ~Q~ ~ T/1- Lj eorouQh N ~ Zip OD O - AI(A` -------------- t -- -------- 3. Block —S 4. Lot 5. Type of Facility__,_ —__—__ 6. Name of Building — II. BUILDING OWNER

7. Name ~~- .~ s _ . Contact Person _•• _--- _- 9. Tel, # Q {o " t4 -bFax # _ ...-------- 10. Address LSLCdQ _.... __eg- _— _City ---t y F-r--- State E'I Zip _.L+t III. GENERAL CONTRACTOR

11. Name--- -- --- ----- IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name _ l.C' J 1 i bL - -----__—„t3. Contact Person 14. Federal Employer ID. fl — PIS _-- i5. Tel. P tti. Address OC .8 t~i --' -- City IT I --- State zip _LLL. L~ V. THIRD PARTY AIjt MONITOR I,,A 17. Name Q Arl Zc fL .tG r i+ C— _18. Contact Person _ ►t , tGi _ (~ _~° t- ~frl 19. Federal Employer ID. # ---------- _.....`_ 20. Tel. # ?• l~~aa _2P1_ Fax # 21. Address ~ 1 —/~ City___ 2 -y-- state (`-~ _ Zip LSO {_ 22. Sample Analysis Latsoratory__— c:/fh'~~~- G- 17~R7~1f$ 23. NYS DOH ELAP Si VI. PROJECT INFORMATION 24,. Starting date for this portion of work _~~ ~~ 2.4 Projected completion date __2..4 I5T t Z ' Asbestos work schedule 0 Monday ❑ Tuesday ❑ Wednesday 0 Thursday ❑ Friday 0 Saturday - Shift from; „ _— ❑ am ❑ pm to _,— ❑ am ❑ pin If other. specify -------_— —~__ S7 Rti Access to inspect the paroses must be provMed duAng the work schedule indicated in this item. JUN 28 2002 25. Total amount of asbestos-containing material to be abated during this work ,' ESOS/LAr Square Feet, andlor Linear Feet , ~'r"•u~I~v 6 ACP7 •-~'~;is 2ngip(q

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