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

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT (continued) 26. Asbestos Hauler Astowa Trucking Co. NYS DEC Permit #_1 '365 Tel..# (516) 447-0006

Disposal Site(s) Kelly Run Snaitation PO Box 333 Rte.515, Elizabeth, Pa 15037

27. This asbestos abatement is part of a (Item a through a requires filing of this form with NYC Department of Buildings) a) 0 Demolition b) ❑ Boiler Replacement C) 0 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 ❑ DEP Variance Application

zfl t ACATIANS AF ABATEMENT DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OF FLOOR CONTAINING ACM PERFORMED (e.g. Pipe lagging, coiling, plenum SQUARE LINEAR (e.g. running cable. it ng are sprinklers. (e.g. entire, east wing. room #. toiler room etc tanks. . . etc FEET FEET removing and replacing boilers, etc 3rd Floor Office - -- - - Office Space 8,000 - acm clean up only

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 regWaWps applicable to asbestos related work. -- - w 4iL Asbestos or Print Name of Ifr - othe r rrt Name of Air Mofiitor P ' tN .~-.-.—._...,f

Signatur ignature Signature

v i D ecc tc '7c~ Date Date

responsible for the performance of 32. 1 understand that as the owner of a building where asbestos abatement activity occurs, I am 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. 5 M€1 -r-- \A I I 1 j ,-- t o it Date Print Name of Owner T gn cure --""

AVAILABLE AT THE WORK SITE. A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MU writing directly to the NYC DEP ACP. 1 Any modification of information provided on this form must be reported immediately in or lessened The requirements of the Asbestos Control Program Rules may not be lawfully avoided through the performance of work in incremental or piecemeal fashion. i maci

NYC-WTC 000132526