Invoice for roof work, 70 Fulton Street, undated

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued) I

26. Asbestos Hauler IGS1, NY NYS DEC Permit # W-462 • Tel.# ('115) 522-2263

Disposal Sites) Bwe (Z..10Ge t.AND Pty PZ) box 399 SCorsDA~sr PA r-t254

27. This asbestos abatement is part of a (Item a through a requires filing of this form with NYC Department of Buildings) a) ❑ Demolition b) ❑ Boiler Replacement c) ❑ Sprinkler Replacement d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement f) ❑ Other (Describe)

28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal ❑ Enclosure 0 Encapsulation ❑ Repair ® Clean up

29. ABATEMENT PROCEDURE (Check all appropriate boxes) ❑ Full Containment ❑ Glovebag ❑ Tent ❑ DEP Variance Application

On t nrertnuc ne eae'rcUPMT Q£AF AAT-CVA-c.. : R-cOF 1642 mart ae (TM ) DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OF FLOOR CONTAINING ACM PERFORMED (e.g. Pipe lagging, ceiling, plenum SQUARE LINEAR (e.g. running cable, installing fire sprinklers, (e.g. entire, east wing. room #, FEET boiler room, lob , etc) ducts, store a tanks, decking, etc.) FEET ' removing andreplacing boilers. etc.)

ROOF QcOF SUU¢,il<*-e .1-= 6004 SK.9 UGt.Ilrs 2000

FACADE E s1 4345

31. I hereby declare that the information provided herein is true and complete to the best of my knowledge. I am familiar with Federal, State and NYC laws and regulations applicable to asbestos related work.

li7p?P,EtJ 2tr2 IJGaif3tsERS $. SON eXLOL Print Name of Air Monitor ri Namee of A tO ,JCtOr Print Name of Applicant (If other than Owner)

` signature Signmure Signature J

912,__3/Date 2t Date Date

of 32. I understand that as the owner of a building where asbestos abatement activity occurs, I am responsible for the performance the asbestos abatement activities in accordance with the Asbestos Control Program Rules. I have contracted the third party air monitor who is completely independent of all parties involved in the asbestos project. I hereby declare that I have authorized the filing of this notification for the work specified herein. 1 o~t23 id2.. / Signature Date Print Name of Owner WORK SITE. A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE

1_Any modification of information rovided on this form must bereportedimmediately in writingdirectly to the NYC DEP P. ACIIIJ lessened The requirements of the Asbestos Control Program Rules may not be lawfully avoided or through the performance of work In incremental or piecemeal fashion. I ~uioot

NYC-WTC 000129325