Invoice from Fiber Control Inc., 128 Chambers Street, Sep 2002

NYC 9/11 Public Portal Document

l/-~ J_ c c , NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 8 Floor. Corona, NY 113685107 Y iy~D~P auildng DepL of TRU No FOR OFFICW, USE ONLY ~~r RIT IOL EN MS S WIL BE ASBESTOS PROJECT NOTIFICATION iU'I r (ASBESTOS INSPECTION RgPORT) ACCEPTED 1. tee sctmeCuie) 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 NYCOEP 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 I c7►`O •r 13)- C > ,i LS Si t. ( Borough N w Zip (O++U O_ -

AKA a E5 ' __ t 1, a-o t 3 A -{ 3. Block I_ 4. Lot 5. Type of Facility 6. Name of Building IL BUILDING OWNER

7. Name D -1'T bl9~ 1 eI Po R) /~ Co e--t p • 8. Contact Person M'Y • r; g 1 S. Tel. #( ) t t"' 4 _auk-# { 10. Address t `- ~-6'_ cS__ City N • State 1 ` Zip __ III. GENERAL CONTRACTOR

11. Name Tel. # IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name t £~a~ ~~.C-' 1~O 13. Contact Person 7 ~) ( 9&/4 L c 14. Federal Employer Y ID. # P11 C 15. Tel. # c~ - 7~~' 3 ~ 00 Fax # c '~ l 3 S

16. Address ob s /7Ye City /nit State Zip_u7 T~ V. THIRD PARTY All MONITOR o 17. Name _fY~ Oj Z FrL NG r cP 18. Contact Person itC (0L/~1.

19. Federal Employer ID. #____________ 20. Tel. # ara - 902 00 Fax # P (~3 - 92a -O6 30 21. Address ~D $ 1KI ~(~{L C ( City Stat Zip 00 e' -T' 22. Sample Analysis 23. NYS DOH FLAP # 1 ~'t~ -

VI. PROJECT INFORMATION , 24_ Starting date for this portion of work Projected completion date O

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

Shift from: ❑ am ❑ pm to ❑ am ❑ pm

If other, rt specify Access to inspect the premises must be provided during the work schedule indicated in this item.

25. Total amount of asbestos-containing material to be abated during this work 51 Square Feet, and/or Unear Feet \ _ ..

lids:*85 C'JiIA,'q many

NYC-WTC 000127431