Asbestos inspection report notification form submitted to NYC DEP for 102-104 Greenwich Street.
NYC-WTC_000128594–000128599Folder label: “102 GREENWICH 1001054, 53/37”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
DEPARTMENT OP ENVIRONMENTAL PROTECTION .1 Asbestos Control Program 59-17 Junction Boulevard, 8h Floor. Carona. NY 11368,5107
WILL PROJECT NOTIFICATION COS INSPECTION REPORT)
When loan at the NYC Department of 8updirlgs, the original form and e required. Submittal at the NYCDEP requires one copy be submitted to the NYC Wee (3) cc of the form with original s I)EP not loss than one week In advance of the start of abatem, of 102-104 , reenw; eh Bvrvugh Jaanhattdn ip_1sJu n 3. Block _53 _ 4. Lot 37 ~. S. Type of Fagitity Hardware Store /Restaurant g, Name of Building n/ a II. BUILDING OWNER
7. Name _109-104 Greenwich St M^nh^ ran Inc. 8. Contact Poison •ssa• Batehi 9. Tel. it;. 718-439-5555 Fax # 718-439-7878 10.Addross 255 47th Street City Brooklyn State 11220 Ill. GENERAL CONTRACTOR
11. Name Clean Harbors ToL # 732-248-1997 IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name ,- AE i2, LLC _ 13. Contact parson Bernard McKenna 14. Federal Employer In. # P11 15. Tel. # $5 7$8-92Q Fax # 8567k8599_ 16. Address 43 Jefferson Avenue - City Berlin __ ______State NJ V. THIRD PARTY AIR MONITOR zip 08009
17. Name Hillmann Environmental Group, LLC ~48. Contact person Mike Nelson 19. Federal Employer ID. U _ P11 _ L.,, 2p, Tel, 908-686- 3335 Fax # 908-686-2636 21. Address1600 Route 22 East Union city State NJ zip 07083 22. Sample Analysis Laboratory_ Hillmann nvironmental Group, LLC 23. NYS 00H air' # 10926 VL PROJECT INFORMATION 24. Starting date for this portion of work 12L1 . 1 Projected completion data / 01 Asbestos work schedulq I@ Monday Tuesday Q Wednesday Q Thursday 1 Friday ❑ Saturday ❑ Sunday Shift from: h : QQ,.,. Q am l!1 pm to . —,2: QQ [ am 0 pm ,/3 If other, $ specify
Access fa inspect the promises must be provided during the work ~ schedule indicated in this iron.
25. Total amount of asbostos-containing material to DEC be abated during this work ^ 8AN,Ht. c57 ••~ -~~Tus Z 6.000 l3i --Square Foot, and/or _ 0 Linear Poet "RUG 'ACrr 7 212001
NYC-WTC 000128594
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