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Document / 5 pages

Asbestos project notification form, DEP, 2002

Machine-extracted title · confidence 95%

DEP form requiring submission of asbestos inspection reports and emergency details prior to abatement activities.

NYC-WTC_000129034–000129038
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NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION EPA 41, Of v °" '`1•,~ Asbestos Control Program S v /~ 58-17 Junction BoUevard, 8" Floor. Carona. NY 11 euudbg Dept. or wo REC : ASBESTOS PROJECT NOTIFICA N ~ (ASBESTOS INSPECTION REPORT) 1. • ~~ c. o ° leesd~edute) d C form at the NYC Depanmernt of Bui MP. the original (3) copies wlth a WW * Le red:' Submittal at the NYCDEP requfres one copy of the odgirtel sigrtahres. This `REVI , to the NYC DEP not less than one week In advance of the start of abatement actNtfes .

9 FA W

2. Address 150 Franklin Street Borough Manhattan Zap 10013 AKA N/A 3. Block 189 4. Lot 7 5. Type of Facility Apartments 6. Name of Bu ding N/A

U. BUILDING OWNER 7. Name 150 Franklin Owners Corp. 8. Contact Person Emily Sorkin 9. Tel. # (212) 9414858 Fax# (845) 255-7976 10. Address 150 Franklin Street City New York State NY Zip 10t3

IIL GENERAL CONTRACTOR 11. Name N/A _ Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name D.S.A. Services, Inc. 13. Contact Person Andy Frassetti

14. Federal Employer ID. 15. Tel. # (718) 422-0500 Fax # (718) 422-1065 16. Address P.O. Box 60547 City Staten Island State NY Zip 10306

V. THIRD PARTY AIR MONITOR

17. Name Donohoe Environmental, Inc. 18. Contact Person Tim Donohoe

19. Federal Employer ID. A. _ _ _ _ _P ~_~__ _ _ _ 20. Tel. # (212) 260-9818 Fax U_(212)673-7215

21. Address 39 Bowery #685 c ty New York State NY Zap 10002

22. Sample Analysis Laboratory S ientifc Labs 23. NYS DOH ELAP # 11480

VL PROJECT INFORMATION 24. Starting date for this portion of work 4/18/02 Projected completion date 4/20102

Asbestos work schedule 0 Monday 0 Tuesday 0 Wednesday 0 Thursday 0 Friday 0 aturday 0 Sunday. _. ._ Shift from: 8 0 am O pm to 4 O am 0 pm , Of ENltl ,r~ If other, y RECEIVED Ate; Access to hispect the premises must be MvAded ding the work sdnethie Indicated In this Item. APR 2 6 1OU 25. Total amount of asbestos-containing material to be abated during this work * TECM1 C C 8,500 Square Feet, and/or 0 Linear Feet REVIEW -UMT

NYC-WTC 000129034

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NYC-WTC_000129034Source: NYC Law Department, mirrored locally

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