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Document / 5 pages

Emergency asbestos abatement notification form, undated

Machine-extracted title · confidence 85%

Form for reporting emergency asbestos abatement actions related to WTC debris, including location and method details.

NYC-WTC_000129018–000129022
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Scanned page image, NYC-WTC_000129018
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trey NYC 9/11 Public Portal Document Written notification must be received within 48 hours via a) Asbestos Inspection Report (ACP-7) b) Cover letter explaining the nature of the emergency 7 , 2 ‘L) Caller’s Name : : , /)) A££iliation: | Cnysha eben l Telephone #: ) 2) Nature of Emergency: Ww TC. LasntrDene7 CR GA. Chica a wf for | (- 3) Actual Date and Time-of Emergency 4 |) / . 4) Method of Asbestos Abatement: Removal . Sq.ft. Le £t. Repair Sq. ft. L. Ft Encapsulation Sq. £t. L. fit. Clean-wu ep . £¢. L. £t. Pp oe OT — Pea gq —___. Enclosure Sq. ft. L. ft. 5) Facility Address: { SU Firm Con Yel uy Owner/Agent: Contact Person a p fie. Location of Asbestos Abatement: Pog, Fo tons re. 5} Asbestos aRRenieNt Te Name: Address: Telephone #: ( 7) Starting Date: Ai st 4 a t 8) Verification Cos by Owner/Agent: ©. O Projected Completion Date: 422 _— Call Taken By: hx / xc: Enforcement (Urgent). Form N7 7/93 NYC-WTC_000129018

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NYC-WTC_000129018Source: NYC Law Department, mirrored locally

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