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NY State Dept of Labor Asbestos Notification Form, Oct 2001

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Initial asbestos notification form submitted to the New York State Department of Labor for a project at 133 Fulton Street.

NYC-WTC_000127813–000127818

Folder label: “BINDER - PHASE 1 DECONTAMINATION PLAN

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NYC 9/11 Public Portal Document D. PROJECT DETAILS Provide all information requested below relating to specifics of asbestos removal. 11. Project Dates: Starting date. - Completion date If amended: Starting date Completion date Is this a phased project: ENo • Yes (Tfyes, list scope, location, and starting and completion dates for each phase in Section F, Remarks) 12. Do You Anticipate Doing: (Provide details in Section F.) Night work Weekend work Shift work 13. Dollar Amount of Contract Between Parties Named in Item 3 and Item 7 $ 14. If work is being conducted under a variance, check appropriate box and supply variance number. Applicable Variance No. L Individual Variance Petition No. 15. Asbestos Dissemination Prevention Methods (use Section F, Remarks, and attach additional sheets if necessary) a) Type of equipment & ventilation systems used Equipment: HEPA Vacuums Portable Decon Unit Respirators Negative Air Unit Manufacturer: N/A N/A Various Various Model Number: N/A N/A N/A N/A Quantities: 8 1 Airtek Environmental Corp. b) Name of air monitoring firm Asbestos Lic. No. c) Laboratory performing the analysis Name Airtek / ATC Associates 11040 / 10879 ELAP Registration No. 16. Type of Asbestos Work (check all that apply) Pipe related Roofing/flashing • Caulking/mastic Vessel covering Siding • VAT Demolition - if site survey was previously submitted, provide Reference No. Other (specify) WTC Dust and Tar Clean-up Sprayed-on insulation 17. Type and Amount of Asbestos-Containing Material Involved Friable linear feet Non-friable linear feet Total linear feet Friable square feet Non-friable square feet Total square feet 42,378 + 45 =42,423 5 8 NYC-WTC_000127814

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NYC-WTC_000127814Source: NYC Law Department, mirrored locally

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