NYC 9/11 Public Portal Document
L037WI
FEME!
DEP
sowarsgovicec:
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program
59-17 Junction Boulevard, 8* Floor, Coronă, NY 11368-5107
ASBESTOS PROJECT NOTIFICATION
(ASBESTOS INSPECTION REPORT)
TRuo9,9MN02
ullding Dept. os TRUN
OR OFFICIAL USE ONL
1._
TUCDEL
See iee schedule
When submitting this form at the NYC Department of Bulldings, 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 must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities.
1. FACILITY
2. Address123 FULTON STREET
AKA
_ Borough _MN
3. Block_
91
_Zip _
_4. Lot 2
5. Type of Facility
6. Name of Building
Il. BUILDING OWNER
7. Name CEDAR MANAGEMENT CORP.
• • 8. Contact Person
9. Tel.#(212) 732-7653
Fax#
10. Address
20 VESSEY STREET
City
NY
_State_NYZip.
IllI. GENERAL CONTRACTOR
11. Name_*
Tel.#
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name_BENSAMIN
KURZBAN $ SON CONTROL
13. Contact Person _. LOuIE lANNICO.
14. Federal Employer ID.#
PII
15. Tel. # (718) 531-2900
Fax#_(318) 209-1808
16. Address 1248 RAUPH AVENUE
_City BROOKLYN
_ State _N$
_Zip_
11236
V. THIRD PARTY AIR MONITOR
17. Name WARREN & PANZER ENGINEERS INC
—18. Contact Person_MICHAEL NOLAN
19. Federal Employer ID.#
PII
— 20. Tel.# (212) 222-0017
_Fax#(212) 922-0630
21. Address_ 228 EASI
A5TU STRKET
_City New toek
_State _N4 Zip_10017
22. Sample Analysis Laboratory_
23. NYS DOH ELAP #-
VI. PROJECT INFORMATION
24. Starting date for this portion of work_ 06/23/02
Projected completion date 01 /23/02
Asbestos work schedule
L Monday
•Tuesday Wednesday Thursday
• L Friday L Saturday
•
Sunday
Shift from:.
800
pm
_ •am Xpm
51116
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
4120
_ Square Feet, and/or
O Linear Feet
RECEiVED
JUN 18 2002
DEP/BANH!!
:SSESTOS/L
PROGRAN
TRUG
2
Addition
to
ntl
ACP 7
2/2001
TRu 883 mNo2
-
NYC-WTC_000127828
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000127828Source: NYC Law Department, mirrored locally