Invoice from Kurzban & Son Control, Inc., 120 Fulton Street,

NYC 9/11 Public Portal Document E.D20WT БРА СУТ ВРАНИНЕ NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION ONLY DEP Asbestos Control Program 59-17 Junction Boulevard, 8" Floor, Corona, NY 11368-5107 • JYP Thи.0864MNO2 ALL BE CHAMA NOTENОЯ ASBESTOS PROJECT NOTIFICATION Buiding Dept, or TRU No FOR OFFICIAL USE ONLY www.axc.gov/dep (ASBESTOS INSPECTION REPORT) 1._ Dep (See fee schy Jule) 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. l. FACILITY 2. Address 120 Fulton St AKA Borough_Manhattan _ 3. Block 78 _Zip -. LotL 45 5. Type of Facility II. BUILDING OWNER 7. Name 120 Fulton St Realty LLC 9.Tel.# Fax# 10. Address IIII. GENERAL CONTRACTOR 11. Name. IV. ASBESTOS ABATEMENT CONTRACTOR 12. Name _Benjamin Kurzban & Son Control 14. Federal Employer ID.#. PII 16. Address_1248 Ralph Avenue V.THIRD PARTY AIR MONITOR 17. Name Warren & PanzeR 19. Federal Employer ID. #L ENGIVEERS PII 21. Address _228 East 45th St 6. Name of Bullding 8. Contact Person - Clty _State _Zip_ - Tel.#_ 15. Tel. # (718) 531-2900 _ City Brooklyn _ 13. Contact Person Louie lannico _ Fax # (718) 209-1808 _State NY _Zip 11236 _18. Contact Person_ MIKE NOLAN 20. Tel.# (212) 922-0077 _ Fax# (212) 922-0630 _City New York _State _NY 22. Sample Analysis Laboratory. - Zip- 10017 VI. PROJECT INFORMATION _ 23. NYS DOH ELAP#... 24.Starting date forthis portion of work_ 6/14/02 Asbestos work schedule •Monday •Tuesday , • Wednesday Projected completion date 7/14/02 Thursday •Friday Shift from: •am •pm to • am •pm If other, specify Access to inspect the promises must be provided during the work schedule indicated in this itom. 25. Total amount of asbestos-containing matorial to be abated during this work 5175 8 Square Feet, andlor O Linear Feet Saturday Sunday BTLL1STE9 RECEiVED JUN 12 2002 OSPIBANHM 4SBESTOS/LEAL PROGRAM TRUG ACP7 212001 NYC-WTC_000128928