14 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.994
machine-extracted · confidence unavailable · Check page ↗Document / 19 pages
Invoice for roof cleanup, 125 Fulton Street
Machine-extracted title · confidence 95%Invoice from Benjamin Kurzban & Son Control Inc. for roof decontamination work at 125 Fulton Street.
NYC-WTC_000127880–000127898Folder label: “44 ANN STREET 125 FULTON STREET 1079214, 91/11”
Page image
OCR text
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
1Q" [t i «ems. NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program Junction Boulevard. 8°i Floor. Comm NY 14368-5107 A r tS 'fPEWRITTEN ASBESTOS PROJECT NOTIFICATION FORMS WILL ee • (ASBESTOS INSPECTION REPORT) ACCEPTED w...,yr2 ~id.~,
When 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 must be submitted to the NYC DEP rot less than one week in advance of the start of abatement activities.
1. FACILITY
2. Address 12 5 FUL10 N SrR.EET Borough Zip
AKA 3. Block 4. Lot
5. Type of Facility 6. Name of Building
II. BUILDING OWNER
7. Name G etN ' 8. Contact Person _ 'EC V6 E D I M 0%)
9. Tel.# tit8 3 72G-tTO© Fax#
10. Address r2's FOLT0A ST City t'4 State _ % Zip
III. GENERAL CONTRACTOR
11. Name Tel. #____________________
IV. ASBESTOS ABATEMENT CONTRACTOR 'Be3.. P '. , m I-csrtzt3Ats 4 sOI too-rl2.o t. 13. Contact Person L aui (A t.~ u I CO 12. Name
14. Federal Employer ID. # _________________ 15. Tel. #. (118)531-2900 Fax# (1(8) 209 -1808 8R•o0%LL'~ 0 State N' Zip (1236 16. Address 1246 P.-AL,PA ~4~i NCE. City
V. THIRD PARTY AIR MONITOR
17. Name_ u A PAtPzeI Eo6+N€eS los 18. Contact Person UlCRArcl.. 13at~.t.1
19. Federal Employer ID. # 20. Tel. # (212.) 9 0OTt Fax # 2-12 922• - 2630 228 EAST 45'it4 SflEE City N State N9 Zip IDOIT • 21. Address
22. Sample Analysis Laboratory 23. NYS DOH ELAP # _
VI. PROJECT INFORMATION „ 24_ Starting date for this portion of work xo sz Projected completion date 01I 20L
Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday 0 Thursday ❑ Friday 0 Saturday ❑ Sunday
Shift from: ❑ am 0 pm to ❑ am 0 pm
If specify ( JUt' U Access to Inspect the premises must be provided during the work schedule Indicated in this item. 8 zu©Z Co 25. Total amount of asbestos-containing material to be abated during this work 38 2 . Square Feet, and/or _0 Linear Feet i Z~ titi ACP 7 212001
~. .L. ...
NYC-WTC 000127881
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NYC-WTC_000127881Source: NYC Law Department, mirrored locally
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