NYC 9/11 Public Portal Document
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y, / YC DEPARTMENT OF ENVIRONMENTAL PROTEC
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r•4 +r Asbestos Control Program
59-17 Junction Boulevard. tip F'toor. Corona. NY I13Gt15707
)Q►SBESTOS PROJECT NOTIFICATIOI
wlu ag, \\ ':(ASBESTOS INSPECTION REPORT)
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form acute NYC t nest of Buildings. the anginal form and thn
i a required. Submittal at the NYCtEP requires one copy of the form whit
6k&r*ust be submitted to the NYC DEP not loss than one week In advance of the start 01
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3. Block _ 53 4. Lot 37
5. Type of Facltity Hardware Store /Restaurant 6. Nam of Building n/a
11. BUILDING OWNER
7. Name L2- 1n4 Greenwich St Manhattan. Inc. 8. Contact Pesos Essa Bateb
9. Tel. # 718-439-5555 Fax# 718-439-7878
10. Address i.A7th Street city Brooklyn State NY zip •1
III. GENERAL CONTRACTOR
11.Namo Clean Harbors T&.# 7322481997_ -
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name AE12, LLC 13. Contact person Bernard McKenna
14. Federal Employer 1D. U PII __ 15. Tot. # 856 768-9200 Fax # 856-758-5499
16. Address 43 Jefferson Avenue _ City Berlin State NJ zip 08009
V. THIRD PARTY AIR MONITOR
17. Name Hilimann Environmentail Group, LLC 1g, Contact p Mike Nelson
19. Federal Employer ID. l PII L. 20. Tel. # _908686_3335 Fax # 908-686-2636
21. Address 1600 Route 22 East Cay Union Slate NJ Zip 07083
22. Sample Analysis t.aboratory Ij llmann Environmental Group, LLC 23. NYS DOH FLAP # 10926
VL PROJECT INFORMATION
24. Starting data for this portion of work 12/3/01 projected completion data 12 /244 01
Asbestos work schedule 1i Monday O Tuesday I Wednesday Q Thursday 1B Friday Q Saturday ❑ Sunday
Shift from i 00 Q am pm to OQ Q am ❑ pm 9 10
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specify p
Access to inspect the promises must he pmvidat during the work schedule indicated in this flora C
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9 1 2001
25. Total amount of asbestos-containing material to be abated during this work `q - =P.rEArCNL'
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26_000 .._ Square Foot, and/or r Linear Foot Ta, u
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NYC-WTC 000128550
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