Invoice for roof work at 15 Dutch Street, 2002

NYC 9/11 Public Portal Document

/ ` R NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 59-17 Junction Boulevard, 8 Floor, Corona. NY 11368-5107 Budding Dept. or TRU No FOR OFFICIAL USE ONLY ONLY ~ TYPEW N st,4e1wa&PROt`cc ASBESTOS PROJECT NOTIFICATION l- FOR E (ASBESTOS INSPECTION REPORT) 1, .5 /d AC schedule)

When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities.

I. FACILITY

2. Address 15 D UTC N 5'Z Borough M tA — Zip I E3 AKA 3. Block _ 4. Lot _1504

5. Type of Facility_--- — 6. Name of Building

II. BUILDING OWNER

7. Name _ -- — 8. Contact Person ' `

9. Tel. # __-- Fax #

10. Address — ------- — City State _--_ Zip _---

Ill. GENERAL CONTRACTOR

11. Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name wAMIqKV¢zC3Au So►.1 C_ot.%TRot- 1Nc- 13. Contact Person ---

P _^_ 15. Tel. # 53I =_29ota-- Fax # _t_i t S) t Era —_ 14. Federal Employer ID. # __ _._._._. I L.

16. Address t 2AS RAL P!t A~Et3L 1✓__— —_--- GRoO L -t City —_------ P —112- 3G —__ Zip State N

V. THIRD PARTY AIR MONITOR OLAN 17. Name UJ ARze►— 4 _-'PA U zr` V_ CWG I ►s>G~S 18. Contact Person _ M i CP AEL.

19. Federal Employer ID. # - -1!--------------- 20. Tel. # ('zl `922 -c:.ti77

NEtu_ yaa-w- _____ State _~ _ Zip _ OtJ I T 21. Address 7 2t 3 EAS i 4 5Tµ — SST_, City

22. Sample Analysis Laboratory--, _—_ — — 23. NYS DOH ELAP #

VI. PROJECT INFORMATION 24. Starting date for this portion of work V~ L y! ©a _ Projected completion date

work schedule ❑Monday ❑Tuesday ❑ Wednesday ❑ Thursday 0 Friday ❑ Saturday ❑ Sunday

Shift from: ❑ am ❑ pm to _ ❑ am 0 pm ~ •

If other, ,~ 4. specify --------- - r n REIEIVEU Access to inspect the premises must be provided during the work schedule indicated in this item. I jON 1 2002 c,

25. Total amount of asbestos-containing material to be abated during this work r \ 3E 0 P iRUG $ d — Square Feet, and/or Linear Feet ACP 2120C n.n

NYC-WTC 000130800