NYC 9/11 Public Portal Document
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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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