NYC 9/11 Public Portal Document
ABATEMENT CONTRACTOR
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PERSONNEL ROSTER Page of
1. Client: 2. Project Name 3. Project Address: 4. Project Number.
5. Ab ement Contractor: . Abatement Contractor Foreman: ATC R ntative: 8. Starting Date
9. 1 11. 12. 13. 14. 15.
CERTIFICATE
SOCIAL SECURITY RESPIRATOR DATE
NAME ADDRESS CAPACITY
p. A. B. NUMBER TYPE
,~ Agency Number MONTH: YEAR: )
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KEY: H: Asbestos Handler 1. Half face Air Purifying Respirator w/HEPA NOTE:
S: Asbestos Supervisor 2. Full face Air Purifying Respirator w/HEPA
A: NYC 3. Powered Air Purifying Respirator w/HEPA
B: NYS 4. Type C. Supplied Air Respirator (SAR) w/HEPA
C: Other 5. Type C. SAR w/SCBA
SPECIFY
NYC-WTC 000129721
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