Fiber Control invoice for facade work, 143 Chambers St, Jul

NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program o?' 58-17 Junction Boulevard, 8e Floor, Corona. NY 11368-5107 or TRU No tar USE ONLY Nru±+~o°c ASBESTOS PROJECT NOTIFICATION L_ S WILL BE (ASBESTOS INSPECTION REPORT) 1. ACCEPTED •• vwM: aYc _>~err0 ep. The 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 i "T C *7S 1 12 ( Borough Zip _~ 00

AKA 3. Block _tq 4. Lot

5. Type of Facility 6. Name of Building

Ii. BUILDING OWNER ~ n /~ 7. Name 1 {~-+l ~1` 1̀~ i~ C_K, OL ~' 8. Contact Person f'\ p, 9. Tel. #[ )- ] 1 25 — U ! " Fax #

10. Address uD S©~ ~~2 City _ +" State d 0) .

III. GENERAL CONTRACTOR

11. Name i Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name iL ( 2v3 —_ _ 13. Contact Person d1`~ C~ ~/f c 14. Federal Employer ID. #!! _._._._._._._._. ._._ P11 5 I # _ 1u - 2 ;15. Tel. I - 3 0 00 ~_d — .5 Fax# _5i .. 7

16. Address _+ i0 e2 AaM 1&! City J IL State —~ Zip jl

V. THIRD PARTY AIR MONITOR

17. Name 1r~~ ~~ ZErL~tG t~~~ S }, r~jC 18. Contact Person f1~1~I C:~- ~ (mot fl (..P~! .

19. Federal Employer ID. #_______________ 20. Tel. # a(~ - g492- OO' ' Fax # 2Ja '063 D

City _1 State Zip 00 ( . 21. Address 19 1 F % f 22. Sample Analysis Laboratory_s ( '.11 1 C_ r^16 Z ~ ~`~'f_~ a" 23. NYS DOH ELAP #_I r' S1 9~

VI. PROJECT INFORMATION 24_ Starting date for this portion of work 1 0 Z_ Projected completion date 0

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

Shift from: ❑ am ❑ pm to ❑ am ❑ pm 1 If other, .4 specify _ M J Rtp ""' FLU Lr Access to inspect the premises must be provided during the work schedule Indicated in this Item. UN

25. Total amount of asbestos-containing material to be abated during this work PRO~q ~0 Square Feet, and/or Linear Feet /n! AI10 ? V ACP' 6 2/200 e'JPtA'17r E',^.7MryF' RFb•».C'nTFV 3 E!~',-V P6r.Ca~tr ~ TPi t y

NYC-WTC 000127240