Invoice for facade cleanup, 150 Chambers Street

NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard-31h Floor. £orona. NY 11368-5107 ?CI /2O2A4 ONLY • i. " D,I,I,P •~ Building Dept. or TRU No FOR OFFICIAL USE ONLY TYPEWRITTEN ASBESTOS PROJECT NOTIFICATION FORMS WILL BE (ASBESTOS INSPECTION REPORT) 1. Ci ACCEPTED _~! t"!c. (See ee schedule)

When submitting this 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 original signatures. This form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities.

1. FACILITY

2. Address f15° C—"- 1 -{LS R-1 Borough Ilw ~ 1 Zip t tJ O~~

AKA 3. Block _33 _ 4. Lot

5. Type of Facility 6. Name of Building IL BUILDING OWNER

7. Name t 5 I~ - CN'A1MP~t2S S . Contact Person i - 1 US~~ 9. Tel.# Fax#

10. Address t -- (~B tJ I ~l•t l ST City ~`'' ^'f State= Zip <<

Ill. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR p ~. 12. Name e a1L C%2. `:1,CO 13. Contact Person /cr -) ( 5!

14. Federal Employer ID. # P 11 _ 5. Tel. # _ — 7~ 1 340 0 Fax # Jc I ?d1/ * S

16. Address _o1C~fv, e Cit_L)J (4f State Zip II?

V. THIRD PARTY AIRMONITOR 1 A 17. Name zg _ AT-(ZE2 6 PC 18. Contact Person

19. Federal Employer ID. # 20. Tel. # 2r~-'192- OOjL7 Fax # 21a '22 -06 30 21. Address 2~ g AT H TW Si'Z { ( City ([ I - ~~7t.. State Zip 00 ( . / 22. Sample Analysis Laboratory Cffl~ ~(~lL t% t r rES J c 23. NYS DOH ELAP #

VI. PROJECT INFORMATION cc1~ 24_ Starting date for this portion of work I 3I Projected completion date b g ~

Asbestos work schedule 0 Monday 0 Tuesday ❑ Wednesday 0 Thursday 0 Friday 0 Saturday ❑ Sunday

Shift from: ❑ am ❑ pm to ❑ am ❑ pm

If other, .4. specfy REt VEO +~ U l 3 1 2002 Access to inspect the premises must be provided during the work schedule indicated in this item.

GEP;BAPJHM 25. Total amount of asbestos-containing material to be abated during this work ESTOSILEF•- PROGRAM Square Feet, andlor Linear Feet TRU G

~' P 212001 k..•_L .7F•Y 3: f.. God r o 4llf -t f3iFA7 . PFf;,q,•,RI IFI

NYC-WTC 000127166