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← Document results/DEP Box 52/102 GREENWICH 1001054, 53/37
Document / 44 pages

Asbestos inspection report, 102-104 Greenwich Street

Machine-extracted title · confidence 95%

Asbestos inspection report notification form submitted to NYC DEP for 102-104 Greenwich Street.

NYC-WTC_000128550–000128593

Folder label: “102 GREENWICH 1001054, 53/37

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NYC 9/11 Public Portal Document Fa estos INSPECTION REPORT (continued) . 1 Asbestos Hauler__DJM Company, Inc. NYS DEC Permit #_NJ344 Tel.ft_973-344-6447 Disposal Site(s) Greenridge Reclamation Landfi11, : 27, This asbestos abatement is part of a (Item a through @ requires filing of this form with NYC Department of Buildings) a) C] pemotition ») I Boller Repiacement c) CJ Sprinkter Replacement _«) [C} Renovation/Alteration e) C1 Fireproofing Replacement 9 El Other (Describe)_WTC Attack Directive _ 28, TYPE OF ABATEMENT (Check all appropriate boxes) C1 Removal 8 Enclosure | Encapsulation | Repair Clean up 29. ABATEMENT PROCEDURE (Check all appropriate boxes) Ct Fut Containment [I Giovebag Cl tent [1 ner variance Appiication TRI Other.- WIC Directive’ 30, LOGATIONS OF ABATEMENT _ 14LT Hast. | "| DESCRIBE SECTION | AFFECTED SURFAGES | AMOUNT OF AGM |. DESCRIPTION OF WORK BEING nadie (ox. 5a cor, cr (Pe macs pe ee ee | ee nein etn eg ee Hasementl Entire ALL 4.320 Dust Cleanup ist_ | Entire ALL |..320 Dust Cleanup 2nd Entire All A 2320 Dust Cleanup rd Entire All + 320 | Dust Cleanup 4th Entire All 3.320 Dust Cleanup th Entire_ AlJ A 320 Dust Cleanup 31. | hereby declare that the information provided herein is true and complete to the best of my knowledge. I am famillar with Federal, State and NYC laws and regulations applicable to asbestos related work. Hillmann Environmental AEi2, LLC AEi2, LLC . Print Name of Air Monitor Print Nama of Asbestos { of (tf other than ) Litefete_ \\S>>vroey ESS ended. [2-05-0 [23 [or j2-[03/e, 32, | 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 trol Rules. ! have contracted the third party air monitor who is completely independent of all parties involved4 asbes ject. | hereby declare that | have ed the filing of this notification for tha work specified herein. oN. Essa Bateh Ez {z /3 Of Print Name of Owner “ "Dit A STAMPED COPY OF THIS FORM INCLUDING MUST BE AVAILABLE AT THE WORK SITE. |__Any modification of information provided on this form must be reported immediately in wiling diractly to the NYC DEP ACP. | The requirements of the Asbestos Control Program Rules may not be lawlully avoided or lessened through the performance of work in incremental or plecameal fashion. ACPI 272001 NYC-WTC_000128551

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NYC-WTC_000128551Source: NYC Law Department, mirrored locally

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