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Document / 6 pages

NY State Dept of Labor Asbestos Notification Form, Oct 2001

Machine-extracted title · confidence 95%

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

~~It D. PROJECT DETAILS

Pro%ich' all inlirrunrvhrn recllwsVIcLl below rek;tirr,g, rrr spec rlk s ul 1S/'&L/OS rrnroI l.

1 I . Project Dates: Starting date Completion date

II' amended: Starting date Completion date

Is tills al phased project: Ej No 0 Yes fl/,ivs. 1isr .ce ope', locanon, amislurring; rrncicc,nrpletunr darc.c for ('erch phu.c<' in So'rlion F, lfuntarks)

12. Do You Anticipate Doing: ❑ Night work Weekend work ~✓ Shift work (Prcmidc cictoils in Section F.)

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. 0 individual Variance °etition No.

15. Asbestos Dissemination Prevention A'lethods a,w S,'ctinn F, Remarks. and ottuch nulditiorxal.,heats it in', ,cssrari,)

a) Type of equipment & ventilation systems used

Equipment: Manufacturer: Model Number: Quantities: HEPA Vacuums N/A N/A 2 Portable Decon Unit N/A N/A 1 Respirators Various N/A Negative Air Unit Various N/A 1

Airtek Environmental Corp. b) Name of air monitoring firm hestos Lic. No. 9 0 5 9

c) Laboratory performing the analysis 11040 f 10879 Name Airtek 1 ATC Associates FLAP Registration No.

16. 'l's pe of Asbestos Work (cheek all rhea ,ippli'I

Pipe related Q Roofing. fl ashing Caulking mastic Clean-up D Vessel covering ' Siding 0 VAT Sprayed-on insulation Demolition - if site survey was previously submitted, provide Reference No. Other (specify) WTC Dust, window caulking and coping stone caulking

17. 1'ype and Amount of Asbestos-Containing Material Involved

Friable linear feet 57 Friable square feet 17,651

Non-friable linear feet + Non-friable square feet + 671

Total linear feet Total square feet _ 18,322

NYC-WTC 000127817

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NYC-WTC_000127817Source: NYC Law Department, mirrored locally

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