NYC 9/11 Public Portal Document
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• NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
• +~"" ' +r~ + Asbestos Control Program '-
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/ny 59-17 Junction Boulevard, 8" Floor, Corona, NY 11388-5107
ASBESTOS PROJECT NOTIFICATION
FORMS WILL BE (ASBESTOS INSPECTION REPORT) 1.
rww.a e. ar as
ACCEPTED
When srdxrdtting tNs.farm at the NYC Department of BuikBngs, the original form and three (3) copies with original
signatures are required. Submittal at the NYCDEP requires one copy of the form with original sues. This
form must be submitted to the NYC DEP not less than one week In advance of the start of abatement ac tMtles .
1. FACILITY
2. Adder 941/2 GREENWICH STREET Borough Manhattan Zip _
AKA _ 3. Block 4. Lot
5. Type of Facility 6. Name of Building
11. BUILDING OWNER
7. Name 8. Contact Person
9. Tel.# Fax#
10. Address City State Zip
IIL GENERAL CONTRACTOR
11. Name Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name TRIO ASBESTOS REMOVAL
CORP. 13. Contact Person STEVEN PARMIGIANI
14. Federal Employer ID. i ._._._._._._._._. P _ _ _ _ _ _ . 15. Tel. #
(718) 961-4100 Fax# (718) 961-4103
City COLLEGE POINT State NY Zip 11356
16. Address 14-20 129 STREET
V. THIRD PARTY AIR MONITOR
18. Contact pew MIKE NOLAN
17. Name WARREN & PANZER ENGINEERS, P.C.
19. Federal Employer ID. #_______________ 20. Tel. #
(212) 922-0077 Fax# (212) 922-0630
21. Address 228 EAST 45 STREET
City NEW YORK ' State NY Zip 10017
ENGINEERS, P.C. 23. NYS DOH ELAP # 11251
22. Sample Analysis Laboratory WARREN $PANZER
VL PROJECT INFORMATION
24. Starring date for this portion of wank f D7 2 Projected completion date / i 7/02.
Asbestos work schedule El Monday El Tuesday ® Wednesday © Thursday © Friday 0 Saturd , S1day
Shift from: 8:00 ® am D pm to 8:00 Dam ® pm
If other,
specify
Access to Inspect the premises must be provided durkrg the work schedule Indicated In this hem.
25. Total amount of asbestos-containing material to be abated during this work
1,920 Square Feet, and/or _0 Linear Feet
NYC-WTC 000128517
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