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

NYC 9/11 Public Portal Document

` NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION :ova Asbestos Control Program 59-17 Junction Boulevard, 8°t Floor. Corona, NY 11368-5107 3uikHng Dept. or TRU N4 FOR OFFICIAL USE ONLY EH f ' c• ASBESTOS PROJECT NOTIFICATION S WIU 8E (ASBESTOS INSPECTION REPORT) 1. ACCEPTED wrw.nye.=erjeep

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.

I. FACILITY

2. Address 1 L -3 C- 41k-o g€ S (fLnn ( Borough eci ' ll Zip

AKA 3. Block l` 4. Lot

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

7. Name 'F(G U` 1 l _P-0 LJ L sSoL' 8. Contact Person 9. Tel. #t )11 \ p 25— tl S Fax# AJ n, 10. Address Si uDSor T(t City _! "~ State 'v Lip 13

Ill. GENERAL CONTRACTOR

11. Na Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name JL -~.' ~----- Q. ._._._._._._._._._~ __ ___13. Contact Person L/%t / ~ mployer ID. # ;._._._._._._._._._._._. 14. FederalE p P11 1 # _._._._._._._._.~ 5. Tel. i110'7j1'3 _ 00 0 Fax# __~ L.7d ?5 } ,~ , ` ~, _~—(' 16. Address 01 ~ ~ _ City I /J~ State ~/ Zip _II? 3

V. THIRD PARTY AIRMONITOR ~r 17. Name Z * N ZEV- 6 L i . PC 18. Contact Person ~~t ` ` OL.4 .

19. Federal Employer ID. # 20. Tel. # a - 0O' ' Z- Fax # Lid -2 O6:30 21. Address 2~ 1 City _T'7=~ State Zip oo t J 22. Sample Analysis Laboratory C(El~t(/~tG- LAi C rwraet-S ctc 23. NYS DOH ELAP # t1S VI. PROJECT INFORMATION 24. Starting date for this portion of work _ Projected completion date 1_(51_0 Z

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

Shift from: ❑ am ❑ pm to ❑ am ❑ pm , iI111TT `1 4" If other, specify Ri~/1t'lvrn & "1 2 Gu Access to inspect the premises must be provided during the work schedule indicated in this Item. " 25. Total am~ouunnt of asbestos-containing material to be abated during this work = pESTpsj~E40

~ d~~~ _ Square Feet, and/or Linear Feet /~ ! T? 2 V ACP, E BOO IMJP.rA9 :jr at_~asc• A ? SRQI TLI Fi~

NYC-WTC 000127242