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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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Scanned page image, NYC-WTC_000129036
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NYC 9/11 Public Portal Document NYC DEP ASBESTOS C0BTROL PROGEMI • ESERGENCT AS STOS PROiTECT NOw' CATION (is Remy Section 1-sib written notification must be received within 48 hours via

'a) Asbestos Inspection Report (ACP-7)

b) Cover letter explaining the nature of the emergency Ss"V L) Caller's Name:

Affilia

Telepho

t) Nature of Emergency: W 1 C _t4 OO. A it P „,I /

3) Actual Date and Tinle..of Emergency

1) Method of Asbestos Abatement:

Removal Sq.ft. L. ft. Repair Sq. ft. L. Ft Encapsulation Sq. ft. L. ft. Clean-up q. ft. L. ft. Enclosure Sq. ft. L. ft.

3) Facility Address: I SU

5) Asbestos Abatement Contrac

Name:

Address:

Telephone #: ( ) / 4t7 77 \ _/2 _

7) Starting Date: O v Projected Completion Date: w 0 Z -- B) Verification Yes by Owner/Agent: o"

♦ Call Taken By:

Date:

rc: Enforcement (Urgent) . Form N7 7/93 4

NYC-WTC 000129036

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NYC-WTC_000129036Source: NYC Law Department, mirrored locally

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