Administrative record page, 90 Fulton Street, 2002

NYC 9/11 Public Portal Document

ASBESTOS;INSPECTION REPORT (continued) _ 462. • Tel.# '(Zt8) 522-2263 26. Asbestos Hauler Est, N? NYS DEC Permit #_I'

Disposal Sites) BP.x:E 2.t D6E. LAs F'iu. 90 Box '399 Sccri s aAt.e PA lT2S4 } 27. This asbestos abatement is part of a (Item a through e requires filing of this form with NYC Department of Buildings) a) ❑ Demolition b) ❑ Boiler Replacement c) ❑ Sprinkler Replacement d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement t) ❑ Other (Describe) __ _

28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal ❑ Enclosure 0 Encapsulation ❑ Repair IZI Clean up

29. ABATEMENT PROCEDURE (Check all appropriate boxes) / /5 'L 1 2_ ❑ Full Containment ❑ Glovebag ❑ Tent ❑ SDEP Variance Application /~

sn_ LOCATIONS OF ABATEMENT 2eC'F 1dAi>:l2iA` 2CoF memeeAfat DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OF FLOOR CONTAINING ACM PERFORMED (e.g. entire, east wing. room #. (e.g. Pipe lagging, ceiling. plenum SQUARE UNEAR (e.g. running cable. Installing fire sprinklers, baler room. lobby, etc) ducts, storage tanks. decking, etc.) FEET ' FEET removing and replacing boilers. etc.)

QnOt ROOF .FACE 12 tG r PA IZA'P zr ts= A'u..S ii 13t3Lt< lP€ M S ✓ 0C

2t. v tt ST SET 'BAcxt Roof S;>z..FAce. 90 0

,t ft DuctS µdc A/G (t o0 P CI Cc. nCX S.xt.F.rct-S 2000

, lac i'TP~ SteA 1140 u T" m oo: S„ s 665 H Maa.nt Fite e•scaPE- 4 Aw;ilNG i Sa0

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

WAtttZ" A PANzc EN4.,ttsttatS 't- kt;G.2i3P.N R So1j CeNTi2ot I M Name of Air Ptint Name ' sbestos Print Name of Applicant (If other than Owner)

Signature Signature Signature

ti -2S-°2 e9 -2S -v2. Date Date Date

32. 1 understand that as the owner of a building where asbestos abatement activity occurs, I am responsible for the performance of the asbestos abatement activities in accordance with the Asbestos Control Program Rules. I have contracted the third party air monitor who is completely independent of all parties involved in the asbestos project. I hereby declare that I have authorized the filing-of..this•notification for the work specified herein. ~'' --- Print Name of Owner Signature Date

A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE.

IT Any modification of information provided on this form must be reported immediately in writing directly to the NYC DEP ACP. The requirements of the Asbestos Control Program Rules may not be lawfully avotoea or iesseneu thrntinh the nerfnrmanne of work in incremental or piecemeal fashion. ACP1 2yoot

NYC-WTC 000127506