NYC 9/11 Public Portal Document
P .I .MVC DI PARTMENT OF ENVIRONMENTAL PROTECTION
N 4 Jri S 8
Si 17 Joaxtton Bocesvard, s"' Floor, Carona. NY 113685107 aurakg or No
w
oTY ASBESTOS PROJECT NOTIFICATION" Y
FORI WILL rm a.nvt.s»t r
(ASBESTOS INSPECTION REPORT) 1,
• A
'
NYC Qeparhnent of Bulk gs, the odginal farm and three (3) copies withorigbeal
signatures are required. Subrrtal at tt)e NYCDEP requires one copy of the farm with original signatures. TMs
form must be submitted to the NYC DElla'not less than one week In advance of the start dabatemerd activities.
I. FACILITY
Ber g h Manhattan Tp 10006
2. Address 115 Broadway
3. Block 50 4. Lot 1
AKA
5. Type of Facility Office building 6. Name of Building
11. BUILDING OWNER
7. Name Trinity Center LLC 8. Contact Person Kevin Hoey
385-1883
9. Tel. # (212) 385-1200 Fax # (212)
10. Address 527 Madison Avenue
q ty Manhattan State NY Zip 10022
III. GENERAL CONTRACTOR'
11. Name Tel. #
IV. ASBESTOS ABATEMENT CONTRACTOR
12. Name Complete Environmental
Services, Inc. 13. Contact Person Brian Griffiths
14. Federal Employer ID. # _ _ _ _P _ _ _ _ 15. Tel. # (516) 766-7900 Fax# (516) 785-7901
City Oceanside State NY Zip 11572
16. Address 3500-A Hampton Road
• V. THIRD PARTY AIR MONITOR
17. Name CTSI ------------------
18. Contact Person Frank Salami
r ---
19. Federal Employer ID. #
P '.I. . 20. Tel. # (732) 729-1800 Fax # (n2) 729-1803
21. Address 622 Georges Road Suite 301
city North Brunswick store NJ Zip 08902
22. Sample Analysis Laboratory EMSL 23. NYS DOH ELAP # 11506
VL PROJECT INFORMATION
24. Starting date for this portion of work 9/19101 wed completion date 10/1/01
Asbestos work schedule 0 Monday 0 Tuesday 0 Wednesday 0 Thursday 0 Friday 0 Saturday._ Sunday
Shift from: 6 ®am ❑ pm to 6 0 am Cl pm
s ottrerr,
..,! RECEIVED
, ,)
aaaass in me ss atbep th k ehdicotedinth m OCT 1 5 2001
25. Total amount of asbestos-containing material to be abatedduring this work r - -r -, :t:nn~.'
:-
3 4'T'Za 0 Square Feet, a ndlor 0 Linear Feet \'91 ' bJ' '`1\ w ACP7
• 2rzow
NYC-WTC 000132942
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