Invoice for facade and roof cleaning, 141 Greenwich Street, December

NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Ashes+ Control Program ,' />7Wwo; 59.17 Junction BouleJd. B Floor. Corona, NY 11368-5107 Building Dept. or TRU No FOR OFFICIAL USE ONLY TYPEWRI ASBESTOS PROJECT NOTIFICATION FORM -r"` (ASBESTOS INSPECTION REPORT) 1. schedule)

Al e 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 ci 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.

I. FACILITY P n ~r 0006v 2. Address l~~ cal ~~ l ~( . ~ t2 Borough r" 1 Zrp _ _/ r7 AKA 7 C~I4I2 S' 77 1/ f /1/.JIG, Std 3. Block _5 vZ- 4. Lot

5. Type of Facility 6. Name of Building

11. BUILDING OWNER

7. Name F , RE ,1 //'17FJ\/ 8. Contact Person S.

9. Tel. # Fax # nWn 10. Address NI 7O / C— C C - - City &C E;'O~L`//y State ~p // o

111. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name la elf c2no-) 11CO ( 13. Contact Person 7 -' Co L#

14. Federal Employer ID. #~~ P.1 ._._._._._._._. . 15. Tel # 1 _79, -( Sf 3oo 0 Fax # / / , -; 16. Address ~.? ar )yE/~ L' City KJ State Zip I!? ? V. THIRD PARTY A1J MONITOR

17. Name c&`5 (_~ ~E -F G f f J PC 18. Contact Person

19. Federal Employer ID. # 20. Tel. # a /3 - 9as - O0 Fax # 212 — a - 06,3 0 21. Address, € ( ~_rf_J ( F City fl E1^~ 1~ State Zip

22. Sample Analysis Laboratory L,tgt a_/1<SI y~ 23. NYS DOH ELAP # (i £f

VI. PROJECT INFORMATION , 24_ Starting date for this portion of work 1/ 02 Projected completion date

Asbestos work schedule D Monday ❑ Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Saturday ❑ Sunday

Shift from: ❑ am ❑ pm to CI am ❑ pm If other, specify

Access to inspect the premises must be provided during the work schedule indicated in this item. NOV 15 200

0E ENYIROrdRlftl 25. Total amount of asbestos-containing material to be abated during this work ATIONt ASBESTOS CONTROL 14 Square Feet, and/or Linear Feet REEIVEI PROGRAM 1RII I

ACP 7 2/2001 z_':u c-..;

NYC-WTC 000134462