NYC 9/11 Public Portal Document
7624206030 NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program
• ~~"^I, 5417 Junction Badevwd. 8th.Floor. FtuaNng, NY 113735108 _
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~ ,U ASBESTOS PROJECT NOTIFICATION
ACCEPTED (ASBESTOS INSPECTION REPORT)
When submitting this form at the NYC Oepwtment of Buildings. the original loan and truce t3) copes ebb origin
signatures we repured. Submittal at the NYCOEP regLres one copy of the form iota original signatures. This form 1 1 $1200--
- -w be submitted to the NYC DEP not less_thin one used in advance of the start or abatemere ectiv files. ;on. ten aCMau:al
1. FACILITY
2. Address 23 Thames Street Borough Manhattan, Zip 10006
Pfenso a Preta Saes Nara
21 Thames Street 38lock 52 4 Lot 8
AKA
5. Type of Facility Commercial 6. Name of Building
II- BUILDING OWNER
7•Nams Greenwich Street Project, LLC. 8.ContactPerson Chanan Rozembaum
9. Tel.* (347) 643-9960 Fax* (212) 208-4614
10.Address 666 Fifth Avenue city New York State NY Zip 10103
III. GENERAL CONTRACTOR
11. Name Tel. 9
IV. ASBESTOS ABATEMENT CONTRACTOR
Hazardous Elimination Corp. Ernie Carranza
12 Name 13. Contact Person
14. Federal Employer ID. 0; PII 15.Tel.t (631) 752-2898 Fax is (631) 752-2910
16.Address 195 H Central Avenue City Farmingdale State NY Zip 11735
V. THIRD PARTY AIR MONITOR
17 Name Airtek Environmental Corp.
18. Contact Person Benn Lewis
19. Federal Employer 10 P11 20, Tel.* (212) 768-0516 Fax* (212) 768-0759
21.Address 39 west 3 6 th Street City New York State NY ZIP 10018
22. Sample Analysis Laboratory Airtek / ATC Associates 23. NYS DOH ELAP * 11040/10879
VI. PROJECT INFORMATION
24. Starting date for this portion of work Projected completion date
Asbestos work schedule: ® Monday m Tuesday ® Wednesday ® Thursday m Friday m Saturday ® Sunday
Shift From:
❑ am ❑ pm to 0 am Q pm
If other,
specify
I Access to inspect the premises most Do provided dunng the wont schedule Indicated in this item.
25. Total amount of asbestos containing material to be abated during this work
18, 322 Square Feet, and/or 57 Linear Feet
NYC-WTC 000134922
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