Invoice from Fiber Control, Inc., July 2002

NYC 9/11 Public Portal Document DEP ECB Fax:212-361-1433 Jun 28 2002 11:26 P.07

ASBESTOS INSPECTION REPORT (continued) 9'Ot~ 28. Asbestos Hauler NYS DEC Permit —Z .& 7

Disposal Sites) ~2 !tE ~ * "O1t0ru

27. This asbestos abatement Is part of a (item a through a requires filing of this form with NYC Department of Buildings) a) ❑ Demolition b) ❑ Boiler Replacement c) ❑ Sprinkler Replacement • d) ❑ Renovation/Atteration a) 0 Fireproofing Replacement fl ❑ Other (Describe)

28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal ❑ Enclosure ❑ Encapsulation ❑ Repair ❑ Clean up

29. ABATEMENT PROCEDURE (Check aU appropriate boxes) 0 Fun Containment ❑ Gtovebag ❑ Tent ❑ DEP Variance Application 30 LOCATIONS OF ABATEMENT a/ / DESCRIBE SEC !ON AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OF FLOOR CONTAINING ACM PERFORMED SOUARB LINEAR tag. running cable, inet$iling itro sp.nklers, (a.y. entire, Baal wing. room #. (e.g. pipe lagging. cesng, plenum FEET reiwvine sf4 rpIacfng boOera eta baser room,1 aueti, storage tanksdSøcfrO, t0 P55?

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Federal, 31. ! hereby declare that the information provided herein Is true and complete to the beat of my knowledge. I am familiar with State and NYC laws and regulations applicable to asbestos related work.

P1nt N Itor Pri Name As aloe conlraetor Print Nam of Ap t (H oNer than Owner)

neturo Sgneturs Signature

t for the performance of 32. 1 understand that as the owner of a building whore asbestos abatement aotivity occurs. I am responsible contracted the third party air the asbestos abatement activities In accordance with the Asbestos Control Program Rules. I have project. I hereby declare that i have authorized the monitor who is completely independent of all parties involved in the asbestos filing of this notification for the work specified herein. bale Print N of Owner $ipnavre AT THE WORK SIZE. A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE directly to the NYC PEP ACP. I Any modification of in on provided on this form must be reported Immediately In writing requirements or N( 1 21001

NYC-WTC 000127309