NYC 9/11 Public Portal Document
NYC DEP ASSFSTOS CONTROL PROOP.M
y RMERdENCY ASSESTAS pRO,~r~ r~~OR (15 RCNY
Section 1 56)
Written notification must be received
within 48 hours via
a) Asbestos Inspection Report (ACP-7)
2:74:;) /
b) Cover letter explaining the nature of the emergency
1) Caller's 1/ -Q-c~ --Q~~~ -~
Name : ~
Affiliation: 4I2._ LLG
~
Telephone #: (8' (j~
2) Nature of Emergency: !lam ?C
3) Actual Date and Time.of Emergency
4) Method of Asbestos Abatement:
Removal Sq.ft. L. ft. Repair Sq. ft. L. t
Encapsulation sq. ft. L. ft.
~~yy
Clean-up'7 Sq.
c
. ft.
—
L. ft.
Enclosure• Sq. ft. L. ft.
5) Facility Address: ~2. /©
Owner/Agent: Contact Person AL -~
Location of Asbestos Abatement: -- (~ / l
6) Asbestos Abatement Contractor:
Name:
Address
Telepho
7) Starting Date: /z 3 0f Projected Completion Date: i/%/
off 9(
B) Verification Yes.
by Owner/Agent: o,
Call Taken By: OV _
Date: /c/S7 '9 /
cc: Enforcement (Urgent:) .
Form Ni 7/93
NYC-WTC 000128596
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