Asbestos inspection report, 102-104 Greenwich Street

NYC 9/11 Public Portal Document

Is A: ESTOS INSPECTION REPORT (continued) 28. Asbestos Hauler DJM Company, Inc. NYS DEC pmt# NJ344 Tel.# 973-344-6447 W

Disposal Site(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 Buildings) a) 0 Demolition b) ❑ Boiler Replacement c) 0 Sprinkler Replacement ,d) ❑ Ranovation/Aiteration e) ❑ Fireproofing Replacement f) [a Other(Describe) WTC Attack Directive

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

29. ABATENENT PROCEDURE (Check all appropriate boxes) ❑ Full Containment ❑ Giovebag ❑ Tent ❑ DEP Variance Application TI Other — WTC Directive - -In t nrertn m f -------------- -- -AnerGMmtar ------------ - - 1' ' DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OF FLOOR CONTAINING ACM PERFORMED (e.g en re, seat wing, rooms (e4 Pipe tsgg8. ceiling. plenum ~I RE (e.g. nidng cede. g Poe app . boiler etc lenka eta S FEET r ingnt regiacing bd .

2 Dust Cleanuv 1st Entire All 2nd Entire All ,32O Dnst.Clenup

3rd Entire 4th Entire. All 3ZO _____ mist Clenrtup

5th Entire All 32O flttt ('.l innp

31. 1 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.

Hillmann Environmental AEi2, LLC AEi2, LLC Print Name of * 1v ltor Pant Name ciAsbaslcaCcWmd or (If other then

Signature slgnehxe A Signature

1 (o 1 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 involve ilIe asbest p ect. I hereby declare that I have autbqiiized the filing of this notification for the work specified herein. Essa Bateh .— 2. Hirt Name of Owner tte

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 be reported immediately in writing directly to the NYC DEP ACP. The requirements of the Asbestos Control Program Rules may not be lawfully avoided or lessened through the performance of wi k in incremental or piecemeal fashion. 212001

NYC-WTC 000128595