NYC 9/11 Public Portal Document
BENJAIIN KIJRZBAN
& SON/Ofr1TROL, INC.
1J48 alph Ave.
BRO ,kLY/ , N.Y. 11236
1162
{'1l 531-2900
SHIP TO
TO
Dept of Environmental Protection Contract .., ROE-REM2
59-17 Junction Blvd
.Corona, NY 11368
*LESPERSON ,5 DATE SHIPPED At SHIPPED V •
<. .. °r, . . ....
QUA .' r , DESCRIPTION
> Registration # CT 82620020015280
Pine 82602WTCR00F2
For work .._..._.._._.....__.._
completed at 127 Fulton
._..............._._....._..._.._..._._.._._....._.___._......_..._..._ St
__... __................
7287 SF @ 2/SF
Total Amount due this Invoice I I !$14.574J00
ORIGINAL —
0 4w
22. Sample Analysis Laboratory _ , — _--~ 23. NYS DOH ELAP #
VI. PROJECT INFORMATION
24. Starting date for this portion of work _ i 2 - C. '2- Projected completion date 22-c.)'2.
Asbestos work schedule Monday Tuesday f Wednesday Thursday Friday ci Saturday Sunday
Shift from: am 0 pm to S 0 am pm
If other,
specify _ A t~
JG
Access to inspect the premises must be provided during the work schedule indicated in this item. I
25. Total amount of asbestos-containing material to be abated during this work `>
2E r Square Feet, and/or 0 Linear Feet \ t _
NYC-WTC 000127920
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