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Asbestos project notification form for NYC DEP

Machine-extracted title · confidence 95%

Application form submitted to the Department of Environmental Protection for notification of an asbestos inspection project.

NYC-WTC_000154680–000154700

Folder label: “Buildings 105 Duane 80 John Gateway etc. 75 Park 200 Rector Trinity Church

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NYC 9/11 Public Portal Document NYC DEP ASBESTOS CONTROL PROGRAM V EMERGENCY ASBESTOS PROJECT NOTIFICATIOy (15 RCNY Section 1 - 56) Written notification must be received within 48 hours via a) Asbestos Inspection Report (ACP-7)

b) Cover letter explaining the nature of the emergency

1) Caller's Name: Affiliation: Telephone #: rblV) /7 2) Nature of Emergency: L)rcL 77^ 7^ ro 3) Actual Date and Time of Emergency

4) Method of Asbestos Abatement: Removal Sq.ft. L. ft. Repair L. Pt Encapsulation Sq. ft. D. ft. Clean-up, L. ft. Enclosure .Sq. ft. L. ft.

5) Facility Address:

Owner/Agent: Contact Person Pll Pll Location of Asbestos AMtement: 7-^ 6) Asbestos Aba t^^tyContra^or: / f Name: Address: — o'! (7 Telephone #:

7) Starting Date: Projected Completion Date:

8) Verification Yes. by Owner/Agent: No.

Call Taken By: Date:

XC: Enforcement (Urgent). Form N7 7/93

NYC-WTC_000154681

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NYC-WTC_000154681Source: NYC Law Department, mirrored locally

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