Invoice for roof cleanup at 118 Fulton Street, Jul 2002

NYC 9/11 Public Portal Document

! i$ Fu em N SIVABE-r V. ESTOS INSPECTION REPORT (continued) ti ' 26. Asbestos Hauler IESIXY • • NYS DEC Permit # 462 Tei.# _(T18) 522-2263 Disposal Site(s) BiueRidge Landfill PO Box 39.9 Sc otsdale, Pa 17254 27. This asbestos abatement is part of a (Item a through e requires filing of this form with NYC a) ❑ Demolition Department of Buildings) b) ❑ Boller Replacement c) ❑ Sprinkler Replacement e) ❑ Fireproofing Replacement 0 El d) 0 RenovatloNAtteration Other (Describe) 28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal ❑ Enclosure 0 Encapsulation ❑ Repair RI Clean up 29. ABATEMENT PROCEDURE (Check all appropriate boxes) ❑ Full Containment 0 Glovebag ❑ Tent ❑ DEP Variance Application 30. LOCATIONS OF ABATEMENT Boor DESCRIBE SECTION M AT•E .lA L AFFECTED SURFACES rLooF µ EM g 0a b3 1, ) ) 2.. Floor(s) OF FLOOR AMOUNT OF ACM DESCRIPTION OF WORK BEING (e.g. entire, east wing. room #. (e.g.CONTAINING Pipe lagging. ACM Ong, plenum wm SQUARE LINEAR gPERFORMED colter room etc) ducts, tanks etc.) FEET FEET (e.g. cable, hretgping fire skiers. ab ng hoifers RQOF ROOF SUQA( 2025 It RRAPET `Z5 ti cxac Q,, D S 50 if SET B C pc~U.= 4O 5 SE~t BIiCK bici VNTtS (r-$ } Soo

tt No¢iIt Wi3)NCys 500 SIGH

-31. I hereby declare that the information provided State and NYC laws and regulations applicableherein Is true and complete to the best of my knowledge. to asbestos related work. I am familiar with Federal,

Print Name 0 A Monitor Q Print Name of Applicant pother than Owner)

Signature Signature

32. I understand that as the owner of a building where asbestos abatement activity occurs, I am the asbestos abatement activities In accordance with the Asbestos Control Program Rules. Iresponsible for the performance of monitor who Is completely independent of all have contracted the third party air filing of this notification for the work specified parties involved in the as project. I hereby declare that I have authorized the herein.

Print Name of Owner Q 6 1O6 f o2. Signature Date A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE. modfficatlon of Information provided on this form must be reported immediately in writing directs to the NYC DEP ACP. "'- requirements of the Asbestos Control ram ituies may not be lawfully avoided or lessened in incremental nr nt.,~..,esi ;—w-.. ACP7 212001

NYC-WTC 000128894