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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_000129021
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NYC 9/11 Public Portal Document ✓-.. v_...__. _. .8.s 1 1S resat t7d

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59.17 Jrsrcdon Bordevant.. 8" Floor. C0tena, NY 113886107 ONLY ~lNRrrftnr ASBESTOS PROJECT NO71FICA71ON a Oct• ir0 -aarN FORMS W LL BE ACCEPT fl (ASBESTos INSPECTION REPORT) (see rm du►e) When sdmfefng t% form at the NYC Department of Biitngs. the orlgkl torn signatwes are required. Submittal at the NYCDEP requires one copy of the tamend three (3) ooptes with ortgtnal form must be steed to the NYC DEP not less than one week aufth o d sfnati,esi. This in advanoa of the start of abatement adMties . L FACWTY

2. Address 150 Franklin Street _—_ gb h Manhattan — Zip 10013 AKA N/A _ •_ .._. .___ 3. Block..1 4. Lot 7 5. Type of Facility t~1(S — — — 6. Name of Bulking N/A IL BUILDING OWNER

7. Name 150 Franklin Owners Corp. 8. Contact Person Emir Sorkln 9. Tel. s (212) 941-7858 Fax # (845)255-7976 10. Address 150 Franklin Street Oty New York State .... Zp 10013 IlL GENERAL CONTRACTOR

11. Name wA . . . Tel. # IV. ASBESTOS ABATEMENT CONTRACTOR 12. Name D.S.A Setvitxts, Inc. _______,....,-___13. Contact Person Anthony Frassetli 14. Federal Employer ID. ._ L-. , ._--- 15. Tat. # (718} 422-0500 ____— Fax # (718) 422-1065 16. Address P.O. Box 60547 —. ___-- citI Staten island — _ __.. Stets - Zip V. T IRD PARTY AIR MONITOR

17. Name Donohoe Envmanmental, Inc. __18. contact PersonTim Donohoe 19. Federal Employer lD. # _ P I !._._._._._... . .. 20. Tal. # (212) 260-9818 # (212) 673-7215 F 21. Address 39 Bowery #685 city New York State NY Zip 10002 22. Sample Analysis Laboratory Scientific Labs — 23. NYS DOH ELAP a 11480 Vi. PROJECT INFORMA7~'ION '

24. Starting date for this portion of work 4!18/02 Peed completion date 4120/02

Asbestos work schedule 0 Mlonday El Tuesday 0 Wednesday O Thursday 0 Friday O Saturday 0 Sunday Shift fr+ tn: 8 _ ___ ~✓ am ❑ pm to 4 ❑ am l pm if other, specify

Access to inspect the premises must bepm d dmf»g the ►vn+k schedule Indicated M this Date.

25. Total amount of asbestos-oonlaining material to be abated during this work 8,500 Square Feet, and/or 0 Linear Feet

NYC-WTC 000129021

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NYC-WTC_000129021Source: NYC Law Department, mirrored locally

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