Asbestos project notification form, Oct 2002

NYC 9111 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Q Asbestos Control Program 59-17 Junction Boulevard, 8th Floor. Corona. NY 11368-5107 Building Dept. or TRU Ni FOR OFFICIAL USE ONLY ( 71 ,~~ ASBESTOS PROJECT NOTIFICATION ED i f3E "` (ASBESTOS INSPECTION REPORT) www.0 c.rov!de =0

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.

1. FACILITY

2. Address 135 GREENWICH STREET Borough Manhattan Zip AKA 21-23-25-29 THAMES STREET 3. Block 4. Lot

5. Type of Facility__ 6. Name of Building

II. BUILDING OWNER

7. Name YSGF REALITY, LLC 8. Contact Person YAIR LEVY

9. Tel. # (212) 233-0910 Fax it 10. Address City State _—_ Zip

III. GENERAL CONTRACTOR

11 Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name TRIO ASBESTOS REMOVAL CORP._ _._._._._._._._._._._._._._._._._._._._._ 13. Contact Person STEVEN PARMIGIANI

14. Federal Employer ID. # ._._._._._._._._._P I I._._._._._._._._. - 15. Tel. # (718) 096-1041 Fax # (718) 961-4103

16. Address 1420 129 STREET City COLLEGE POINT State!Y_ Zp 11356

V. THIRD PARTY AIR MONITOR

17. Name WARREN & PANZER ENGINEERS, P. C. 18. Contact Person MIKE NOLAN 19. Federal Employer ID. # 20. Tel. # (212) 922-0077 Fax # (212) 922-0630 21. Address 228 EAST 45 STREET City NEW YORK State NY Zip 10017

22. Sample Analysis Laboratory WARREN & PANZER ENGINEERS, P.C. 23. NYS DOH ELAP # 11251 VI. PROJECT INFORMATION 24. Starting date for this portion of work I 10 2 Projected completion date / I O 2-

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

Shift from: 8;00 0 am 0 pm to 8;00 ❑ am 0 pm

If other, specify _ _—

Access to inspect the premises must be provided during the work schedule indicated in this item. ~p~r ~AyFO 25. Total amount of asbestos-containing material to be abated during this work r3 ~ 6,812 Square Feet, and/or Linear Feet ACP 7 2/2001

NYC-WTC 000134035