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Asbestos Project Notification and Inspection Report, Dec 2002

Machine-extracted title · confidence 95%

DEP asbestos project notification form and inspection report dated December 12, 2002.

NYC-WTC_000149432–000149535

Folder label: “ASBESTOS

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NYC 9/11 Public Portal Document P.02 Fax:718-595-3525* * Dec 12 2002 11:46 DEP COMB. OFFICE P.02/03 ftOMlMlSTRATIUE OPERATIONS dec-12-2002 U:39 'I “' * NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION AsBestoE Control Program JS-tr Junciwh Beulaverd. 0* Oteor. Corona. N* n3€6-S107 ONLY DSP BullSinj □SBl'or TRu nb FOR OFFid.n USE tWLt YYPEiWftn^N Sm. -dX asbestos PROJECT NOTIFICATION POfiUS l^iLLVe f/^BESTOS INSPECTION REPORT) ACC&»rEO 1____ ___________ (San ha KhadulO

When sufimtBiriB this form at (he NTC Ospurtmeni of GuildnB*- die orlBlna' fMm □no three O] copies wih original signatures ere required. SubmlBel at ths NVC06P naquires one copy of ihe fonn with onglnel ugnatures. This form must be submifisd to the NYC DEP net less than one wees in advance ef the tiah of ehatcmwit acfivlUes.

i, FACIUTY

? Aridr«ms 1 qty H9» Park Bomuoh Manhattan Zip 1P0Q7

aka City Hall 3. Block ___ 4 Lot _1

5 Type of Facility Mayor Offices 6, Name oJ Building City Hall

11. BUILQIMG OWNER

7 Name City of New York. OCAS 8. Contact Person Vazquez 9. Tei. a (212)669-7245 Pa«# (312)669-2897

10 Address 1 Centre Streot, 16 th Floor-North. Qjty Manhattan State NX__ Zip 20007 in. GENERAL CONTRACTOR

11. Name Tei. a

IV. asbestos ABATEMENT CONTRACTOR 1? Name & S Abatement. Inc. 13. Contact Person Chris Berkusanin

14, Federal Employer ID » 133g43248 IS. Tel, a (973)345-^685 Fat a (9^3) 345-9338

16. Address Resengren Ave. Citv Totowa. Slate Zip 07512

V. THIRO PARTY AIR MONITOR 17 Namn Consultants IB. Contact Person PWWMcIt^

19. Federal Employer IO. # 1130SB253 20. Tel. a (718)729-1597 FMd (718) 728-1122_____

21. Address 35-40 36 th Street. State Zip -LU®.® 22 Sample Analysis Laboratonr Consultants 23. NV5 OOM ELAP a 1'1273

VI, PROJECT INFORMATION 24. Starting dale for this portion of work Projaoled completion date

Asdasioe work schedule Cl Monday D Tuesday Cl Wednesday D Thursday 0 Friday 0 Saturday B Sunday

Shift from; Q am CI pm ta Q ant D pm

If Other, specif P^*’ Hall schBflulB.

Access Io InsBort me firvmSses must bs lim i»afk MIcatsa in this Item

25. Total amount of asbesios'cantaining material to be abated during mis work *50 Square Feet, and/or 1®. Linear Feet

NYC-WTC_OOO 149432

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NYC-WTC_000149432Source: NYC Law Department, mirrored locally

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