Asbestos Air Monitoring Results 100 Trinity Place, Oct-Nov 2001

NYC 9/11 Public Portal Document M

ASBESTOS INSPECTION REPORT (continued) 26. Asbestos Hauler Service Transport Group NYS DEC Permit # PA - 317 Tel.# (877) 999-9400 Disposal Site(s) Greenridge Reclamation, Inc. R.D.#1 Box 717, Landfill Road Scottsdale,PA 15683 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) ❑ miler Replacement c) ❑ Sprinkler Replacement d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement f) 0 Other (Describe) ACM Clean Up only

28. TYPE OF ABATEMENT (Check all appropriate boxes) ❑ Removal ❑ Enclosure ❑ Encapsulation ❑ Repair ❑ Clean up 29. ABATEMENT PROCEDURE (Check all appropriate boxes) ~~ / ❑ Full Containment ❑ Glovebag ❑ Tent 0 DEP Variance Application e 1j ? V

30. LOCATIONS OF ABATEMENT I^ DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OF FLOOR CONTAINING ACM PERFORMED (e.g. entire, east wing, room #, (e.g. Pipe lagging, ceiling. plenum SQUARE UNEAR (e.g. running cable, installing fire sprinklers, boiler room, lobby, etc) ducts, storage tanks, decking, etc.) FEET FEET removing and replacing bone etc.) 3rd Office Office Space 7,000 ACM clean up/removal of carpet

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.

Tiger Environmental MARCOR Remediation, Inc. V &M Restro n, Print Name Ntnito Print Name of ntractor fNaeo Pil:( nOwler) T

Signature Signature Si to

1t 1 Dar, of <l S D to l tF" 01 Date

32. I understand that as the owner of a building where asbestos abatement activity occurs, I am responsible for the performance of 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. Capital Properties ... t 1 Print Name of owner Date 6 AA,. sture A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE.

Any modification of information provided on this form must be reported immediately in writing directly to the NYC DEP ACP. The requirements of the Asbestos Control Program Rules may not be lawfully avoided or lessened through the performance of work in incremental or piecemeal fashion. Aca7 2J2001

NYC-WTC 000132532