Asbestos removal invoice, 96 Greenwich Street, Nov 2002

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued) , w 26. Asbestos Hauler ASBESTOS TRANS. CO. NYS DEC Permit # IA-371 TeL# (631) 924-5050 Disposal Site(s) IMPERIAL- P.O.47,11 BOGGS RD.,PAJ SOUTHERN ALLEGHANIES- VALLEYVIEW DR., PA.

27. This asbestos abatement is part of a (Item a through a requires filing of this form with NYC Department of Buildings) a) ❑ Demolition b) ❑ Boiler Replacement c) ❑ Sprinkler Replacement d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement t) ❑ Other (Describe)

28. TYPE OF ABATEMENT (Check ail appropriate boxes) ❑ Removal ❑ Enclosure ❑ Encapsulation ❑ Repair ❑ Cleanup 29. ABATEMENT PROCEDURE (Check all appropriate boxes) ❑ Full Containment ❑ Giovebag ❑ Tent ❑DEP Variance Application 30. LOCATIONS OF ABATEMENT DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OF FLOOR CONTAINING ACM (e.g. enStu, eastWing, room S, (e.g. Pipe lagging. SQUARE PERFORMED m (a9. sunning ~ l Ste sp► 's, _______ boiler room. tabby. e4c ducts. ks. dedcfrmn etc.) ~F sumovkxi cladna boilers, etc.) ROOF MAIN & SETBACKS ASPHALT ROOF 1,920 ITEM #1 ROOF FACADE 1.500 ITEM #7

31. 1 hereby declare that the Information provided herein is true and complete to the best of my knowledge. I am familiar with Federal, State and NYC laws and regulations applicable to asbestos related work.

WARREN & PANZER ENG., P.C. TRIO ASBESTOS REMOVAL STEVEN PARMIGIANI Print Name d Alr MonQor Print Name baslos contractor / (if o>twrStan Owner) Print Name of App C Signature nature nature

Date Date 32. 1understand that as the owner of a building where asbestos abatement activity occurs, I am responsible for the performance of the asbestos abatement activities In accordance with the Asbestos Control Program Rules. I have contracted the third party air monitor who Is completely independent of all parties involved In the asbestos project I hereby declare filing of this notification for the work specified herein. that I have authorized the

iyVe .CEP lun 1 Print Namedowner signature Date A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE. I Any modification of Information provided on this form must be reported Immediately in writing directly to the NYC DEP ACP. i ne requirements of the Asbestos Control Program Rules may not be lawfully avoided or lessened L through the performance of work in incremental or piecemeal fashion_

NYC-WTC 000128482