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← Document results/Asbestos - BOX 18/102 GREENWICH 1001054, 53/37
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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_000128594–000128599

Folder label: “102 GREENWICH 1001054, 53/37”

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Scanned page image, NYC-WTC_000128595
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

AS ESTOS INSPECTION REPORT (continued) 28. Asbestos Hauler DJM Company, NYS DEC PemYt# NJ344 Tel.# 973-344-6447

DisposalSite(s) Greenridge Reclamation Landfill

27. This asbestos abatement Is part of a (Item a through e requires filing of this form with NYC Department of Bulklings) a) 0 Demolition b) ❑ Boiler Replacement c) 0 Sprinkler Replacement ,d) ❑ RenovattonAteration e) El goofing Replacement (I D Other(Describe) WTC Attack Directive

28. TYPE OF ABATEMENT (Check all appropriate bootee) ❑ Removal ❑ Enclosure ❑ Encapsulation ❑ Repair ® Clean up

29. ABATEMENT PROCEDURE (Check all appropriate boxes) ❑ Full Containment ❑ Glo mbag ❑ Tent C]DEP Variance Application tI Other — WTC Directive

30_ LOCATIONS OF ABATEMENT ••~ DESCRIBE SECTION AFFECTED SURFACES AMOUNT' OF ACM DESCRIPTION OF WORK BEING Poor(s) OF FLOOR CONTAINING ACM PERFORMED (e.g entire, east wing, mom #, (e g Pipe tsgghig.ceiling, Plenum ~T RE LNEM (e9. cep. file > . boiler etc tarots eta S

2 Dust CleanuD

1st Erttixe.. All

3rd Entire

31. 1 hereby declare that the information provided herein is true and complete to the best of my knowledge. I am farniliar with Federal. State and NYC laws and regulations applicable to asbestos related work.

Hillmann Environmental AEi2, LLC AEi2, LLC print Name of Air rt x*r print Name nt MbestceC raoi her then

Signature Signature 3 N4- Signature

/2-d3-. e-7f Oats j 2 3 Gf flats 1L-/ 1i 32. 1 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 Asbesjp,ControI m Rules. I have contracted the third party air monitor who is completely independent of all parties involva ilIe asbest p ect. I hereby declare that 1 have auth91z0d the filing of this notification for the work specified herein. / Essa Batch - 2- J / Hint Name of Owner

A STAMPED COPY OF TWS FORM INCLUDING AM MENTS MUST BE AVAILABLE AT THE WORK SITE.

I Any modification of information provided on this form must berepqrted immediate!y in writing direct!y to the NYC DEP ACP. The requirements of the Asbestos Control Program Rules may not be lawfully avoided or lessened through the performance of in incremental or piecemeal fashion. „ moos

NYC-WTC 000128595

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NYC-WTC_000128595Source: NYC Law Department, mirrored locally

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