Invoice for work at 112 Fulton Street, Oct 2002

NYC 9/11 Public Portal Document NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program • DP~. p9.17 Junction Boulevard. 8 Floor. Carona. NY 11368-5107 SuUding Dope. or Tau No ON`s itYPEINRJ ASBESTOS PROJECT NOTIFICATION FOR OFFIOAL USE OILY 1 (ASBESTOS INSPECTION REPORT) 1.

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.

1. FACILITY

2. Address Lam-- E A L'T o filar 3 T 1L E E T Borough N Zip Io0 _ AKA 3. Block 4. Lot % ~_____

5. Type of Facility 6. Name of Building It. BUILDING OWNER

7. Name 11'-- lL T o N S T t---L-C • ' S. Contact Person

9. Tel.# Fax

10. Address 1 '{ E ' 11-'T city . _ State t' Zip _I 111. GENERAL CONTRACTOR

11. Name _ Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name -Bee G 13. Contact Person 7 ) L >1t 14. Federal Employer ID. # , -_-_-_-_-_-_---- _P -1 C rG - 7 15. Tel. # c7 3 ' QC Fax # 5t' - / V 3 S ,4~ 16. Address -3olb ~t~~'it1S ~ City J/7f ; State Zip I!? 9? ?

V. TI :iw P.'.RTY AI t MONITOR K P.,_'`_ ~t'kri Z-E t.t6 I S PC 18. Contact Person Y t ' * (0Lper4. 17. Name 19. Federal Employer ID. # 20. Tel. # a 13 - 9as - C)R Z Fax # 2J 06 ?j O

21.Address.2P AT q dEE7 City W& State j Zip 0 l 1 22. Sample Analysis Laboratory SG( 11 - h 1 tLI- f£Su c 23. NYS DOH ELAP #_(f S -O.

VI. PROJECT INFORMATION o y. 24..Starting date for this portion of work '1' ~ Z' Projected completion date l

Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ turday ❑ Sunday

Shift from: ❑ sm ❑ pm to ❑ am ❑ pm K other, i y, specify tCEtVED Access to Inspect the prendses must be provided during the work schedule indicated in this Rem. SE? 27 2002 25. Total amount of asbestos-containing material to be abated during this work 35'D Square Feet, and/or Linear Feet ACP1 2=1 e ri 8~t r x E sgsy+,

.i fA:uC.7J tpre ~

NYC-WTC 000128773