Invoice for roof cleanup, 94 1/2 Greenwich Street, Nov 2002

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued) 26. Asbestos Hauler ASBESTOS TRANS. CO. NYS DEC Permit # 1A371 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 co ❑ Renovation/Alteration e) ❑ Fireproofing Replacement t) 0 Other (Describe)

28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal ❑ Enclosure ❑ Encapsulation ❑ Repair ❑ Clean up 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 PERFORMED (e.g. eim, east wing, room 0, (e.g. Pipe togging. fi g. plenum SQUARE LM' (e.g. running cable, Mataung *9 sprinklers, boiler room ducts tanks otci FEET FEET and boilers etc ROOF MAIN & SETBACKS ASPHALT ROOF 1,920 ITEM #1 ROOF FACADE 1,500 ITEM #7

31. I 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 Pint Name at Air Monitor Print Name of Asbestos Contractor Print Nave of Applicant Of oiher'than Owner)

ignebre

Dale Dale Date

32. I understand 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 whois completely Independent of all parties involved In the asbestos project. I hereby declare that I have authorized the filing of this notification for the work specified herein. /l/yC 29L P Print Nape Owner Signature Data A STAII)I'ED 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. requirements of the Asbestos Control ProgramRules may not be lawfully avoided or throuoh the Derformance of work In innremanfal nr nianamssa1 fn¢hinn

NYC-WTC 000128518