NYC 9/11 Public Portal Document
FAL PROTECTION
- Asbestos Control Program
59-17 Junction Boulevard, 8“’ Floor, Corona, NY 11368-5107
(wp; ASBESTOS PROJECT NOTIFICATION
Building Dept or TRU No
FOR OFFICIAL USE ONLY
(ASBESTOS INSPECTION REPORT) 1.
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(See fee schedule)
>When rmfting this form at the NYC Department of Buildings, the original form and three (3) copies with original
>signpfi /are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This
be submitted to the NYC DEP not less than one week in advance of the start of abatement activities .
2. Address 130 Liberty Street Borough Manhattan Zip 10006
AKA _3. Block _____ 4. Lot _J_
5. Type of Facility Commercial _____6. Name of Building
II. BUILDING OWNER
7. Name Cushman & Wakefield a/a/f Deutsche Bank 8. Contact Person Marino Prodan
9.Tel.# (212)618-3902 Fax# (312) 618-2208
10. Address 14 Wall Street City New York State NY zip 10005
III. GENERAL CONTRACTOR
11. Name Tishman Construction Tel # (212)399-3600
IV. ASBESTOS ABATEMENT CONTRACTOR
12; Name PAL Environmental Safety Cor^ 13. Contact Person P^ul Mast
14. Federal Employer ID. Pll 15.Tel.# (718) 349-0900 Fax#„(718)J49-2800
16. Address 43-09 Vernon Boulevard City Long Island City State NY zip 11101
V. THIRD PARTY AIR MONITOR
17. Name Ambient Group, Inc. 18. Contact Person Jo^n Leitner
19. Federal Employer ID. #t----------
Pll 20. Tel.# (212)944-4615 Fax# (212)944-4618
21. Address 35 West 39th Street Citv New York state NY 10018
22. Sample Analysis Laboratory Ambient Group, Inc. 23. NYS DOH ELAP # 11732
VI. PROJECT INFORMATION
24. Starting date for this portion of work _4/^/02 Projected completion date 7/31/02
Asbestos work schedule 0 Monday 0 Tuesday 0 Wednesday 0 Thursday 0 Friday 0 Saturday 0 Sunday
Shift from: 8 0 am 0 pm to 0 am 0 pm 1111
if other,
specify
1
Access to inspect the premises must be provided during the work schedule indicated in this item.
^PR * V.
25. Total amount of asbestos-containing material to be abated during this vizork
''A/
1.
103.000 Square Feet, and/or 0 Linear Feet
Al
2/:
NYC-WTC_000154680
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