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Invoice for environmental services, 102-104 Fulton Street

Machine-extracted title · confidence 95%

Invoice from Benjamin Kurzban & Son Control Inc. dated August 1, 2002, for work at 102-104 Fulton Street.

NYC-WTC_000128658–000128664

Folder label: “102-104 FULTON STREET 1001196, 78/21

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Scanned page image, NYC-WTC_000128659
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NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION J Asbestos Control Pro__. 59-17 Junction Boulevard, 8th Floor, Corona, NY 11368-5107 tll 14N1 Building Dept. or TRU No ONLY FOR OFFICIAL USE ONLY TYP '0b",~uhruvxon°`~o ASBESTOS PROJECT NOTIFICATION L (ASBESTOS INSPECTION REPORT) 1 fee schedule)

When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities .

I. FACILITY

2. Address 102-104 —FULTOW STREET-- ---__ Borough — MIJ Zip _ I O3S

F 3. Block 76 ___ 4. Lot _2 1

5. Type of Facility_COM ~^ERCt ~- _ — 6. Name of Building -- ----_-----____

II. BUILDING OWNER

7. Name LEG S't-12e eT CeeP_------ 8. Contact Person YAI R --- ~_

9. Tel.#_t5i6)46-6-490)2 --Fax# tS(6)466=4952

10. Address III h1Fcu= Qp2__ sn 2 C S City ~CIQc-AT i1}>=C --_ State N Y _Zip _ i l ?L___

III. GENERAL CONTRACTOR

Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name Br-w~A~LN kt+2Z5AN 4 5oN OCOT20L_ --_13. Contact Person _IRNNIeo ------------------------------- 14. Federal Employer ID. #l_ _. ____ __ 15. Tel. # =2920 — Fax # C i 2 -J '.

16. Address _L2g_ 2A~PN _Ave NuE-- __------ City __~rz~I« rN _--_ State . L_ Zip _I 12 36---

V. THIRD PARTY AIR MONITOR

17. Name _WQMEN @ PF►N2tQ ENE. I µ~tzs --18. Contact Person _MICR NE L NCL.AO

19. Federal Employer ID. # P.~~ `—_ 20. Tel. # C 212) 922-007 L_____ Fax #

21. Address _ Ttit S TTaa T City __N 1- _____--_ State _ P! _ Zip _J_00!7_ _

22. Sample Analysis Laboratory 23. NYS DOH ELAP #

VI. PROJECT INFORMATION

24.. Starting date for this portion of work _ 0r_z?~u2 Projected completion date

Asbestos work schedule ® Monday 13 Tuesday ® Wednesday ® Thursday ® Friday ® Saturday EI Sunday

Shift from: — i_ ®am ❑ pm to _ 8 ff " ❑ am ®pm

If other, specify ------------------------------------ _ REcEIVEO Access to inspect the premises must be provided during the work schedule indicated in this item. j U1 2 2 2002 „~Mn 25. Total amount of asbestos-containing material to be abated during this work ^ro' ti TAL, —C __ Square Feet, and/or_ o Linear Feet ACP 7 212001

~A,.z s 1140. 1PJ 2 .

NYC-WTC 000128659

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NYC-WTC_000128659Source: NYC Law Department, mirrored locally

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