DEP sewer use regulations excerpt, Chapter 19

NYC 9/11 Public Portal Document

SEP-12 05 21 19 FROM:DCL ACB 2123526902 T0:718 PAGE:08

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tlivieton of Safety & Health 175►'► "^"" Asbestos Control Bureau ~~Y r14 1 Bultding 12. Room 187 State Campus Albany, NY 1422240 A% 12 2005 I A. TYPE OF NOTIFICATION oAACppJJ M -~;' Check only ana type of 4alykatton below. rMew te - Complete all sections and submit 10 calendar days prior to starting date. L.D Initial _....................... Amended .................. Submit amended notification with all sections completed and amended item(S) circled. Cancelled ................. Complete Section G and attach copy of Initial notification or complete all sections. Emergency You must that can the Program Manager's office of the Asbestos Control Bureau at 518.457-1255 for prior approval of emergency status, then complete and return this form Includingt j,,,,, ........

Date ( 1!_.,,,) Time (, 1 Emergency Status Granted Authorized by: (From Asbestos Control Bureau)

R. CONTRACTOR INFORMATION Provide all informalian requarredbelow. - - ------------- -- - . FE1N ---------------P.- - ~' ... , ; • ., • 2. Asbestos Lic. No. 01 4 8 EE

3. Contractor Name and Address 4. Mailing Address (([different) Same 195H Central Avenue Farmingdale, New York

S. Duly Authorized Representative 6. yVi,ll_St t (c be used es Oyes,ea COa+plete floss below) ea Name - Name Donald told Asbestos Lic. No. Title Vice President I I I I=

Phone No, (631) 752-2898 Name Asbestos Lic. Na. [i —

7, Party for Whom Work is Being Performed: Name The C0000r Group?, Inc. Address 666 Fifth Avenue. New York, NY 10103

C. PRCUECT SITS INFORM TION: Provide all itljortmtion requested belowfor the building/sue at which the asbestos project will be conducted S. Project Location: County New York Name of building facade Room or other specific location Entire Basement, 1st and 2nd floors, roof and B-2 Street address 133 Greenwich Street_aka 25-29 Thames Street City, town or village New York, New York 10006 9. Building Information Current use Commercial Building age Commercial Building size sq. R• Prior Ust 10. Building Representative/Site Contact, Nance Chanan Rozenbaum phone No. L!1J2 208-4614

8w483(10-03)

NYC-WTC 000134437