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Asbestos Project Notification Form

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NYC DEP Asbestos Project Notification form for abatement activities at a facility in the Phase 1 Decontamination Plan binder.

NYC-WTC_000127779–000127790

Folder label: “BINDER - PHASE 1 DECONTAMINATION PLAN

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NYC 9/11 Public Portal Document

7624206030 NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 8th Floor, Flushing, NY 11373-5108 Building Dept. or TRU No For OFFICIAL USE ONLY ONLY • O L BE ~t~~ery»i ASBESTOS PROJECT NOTIFICATION ACCEPTED rai e 'tit`'`JY (ASBESTOS INSPECTION ti6sORT)

Nhen 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 $1200 rust be submitted to the NYC DEP not less than one week in advance of the start of abatement activities. (See fee schedule) i 1i 4IIl11 2. Address 133 Greenwich Street Borough Manhattan Zip 10006 Promise # Prefix Street Name

25-29 Thames Street 52 4. Lot 8 AKA 3.Block

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

7.Name Greenwich Street Project, LLC. B.Contact Person Chanan Rozenbaum

9.Tel.# (347) 643-9960 Fax# (212) 208-4614 10103 10. Address 666 Fifth Avenue city New York State NY Zip III. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR Hazardous Elimination Corp. 12 Name 13. Contact Person Ernie Carranza

• 14. Federal Employer ID. # PII 15.Tel.# (631) 752-2898 Fax# (631) 752-2910

16. Address 195 H Central Avenue City Farmingdale State NY Zip 11735 V. THIRD PARTY AIR MONITOR

Airtek Environmental Corp. 18 Contact Person Benn Lewis 17. Name . (212) 768-0759 19. Federal EmployerID.# P11 20.Tel.# (212) 768-0516 Fax#

21.Address 39 West 38th Street City New York State NY Zip 10018

22. Sample Analysis Laboratory Airtek / ATC Associates 23. NYS DOH ELAP # 11040/10879 VI. PROJECT INFORMATION

24. Starting date for this portion of work Projected completion date

Asbestos work schedule: m Monday m Tuesday ® Wednesday m Thursday m Friday m Saturday ® Sunday Shift From: Dam ❑ pm to am ❑ pm

If other, 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

42, 423 Square Feet, and/or 0 Linear Feet '02

L NYC-WTC 000127779

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NYC-WTC_000127779Source: NYC Law Department, mirrored locally

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Asbestos Project Notification Form · Box DEP Box 52

NYC-WTC_000127792

NYC DEP Asbestos Project Notification form for abatement activities at a facility in the Phase 1 Decontamination Plan binder.

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