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

NYC 9/11 Public Portal Document

1 p ASBESTOS INSPECTION REPORT (continued) 26. Asbestos Hauler Cc NYS DEC Permit $c --272- 3& 7 Disposal Site(s) 70U ( 11€ 27. This asbestos abatement Is part of a (Item a through e requires filing of this form with NYC Department of Buildings) a) ❑ Demolition b) 0 Boiler Replacement c) 0 Sprinkler Replacement d) ❑ Renovation/Alteration e) ❑ Fireproofing Replacement f) ❑ Other (Describe)

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

30. LOCATIONS OF ABATEMENT DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) JOF FLOOR (e.g. entire, eau wing, mom M. CONTAINING ACM (e.g. Pipe lagging• caging• pMnurn SQUARE FEET • LINEAR FEET PERFORMED (e.g. nmelg cable. Ytstatiulg fire sprinklers, haler room , etc) ducts, tanks. dsdI Q, etc.) ismovrng and replacing boilers, eta

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31. 1 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 regulations applicable to asbestos related work.

s~rs P.roN t~M itor E ,terj Name CorWactor 7ci Pant Na. of App cal (Mother than Owner)

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oC -o • ____ __ Date Date Date

32. 1 understand that as the owner of a building where asbestos abatement activity occurs, I am responsible for the performance of the asbestos abatement activities in accordance with the Asbestos Control Program Rules. I have contracted the third party air or who is compl ly independent of all parties involved in the asbestos project I hereby declare that I have authorized the I' L f this notifi or the specified herei

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A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE.

[IlAn modification of information provided on this form must be reported immediately in writing directly to the NYC DEP ACP

F ` ~ u ments of the Asbestos Control Program Rules may not be lawfully avoided or lessened through the performance of work In incremental or piecemeal fashion. I *ZP7 2@001

NYC-WTC 000134463