Legal preservation notice for World Trade Center documents at 114

NYC 9/11 Public Portal Document

♦ ASBESTOS INSPECTION REPORT (conUnued) 26. Asbestos Hauler ^ri State Transfer Assoc. NYS DEC Permit# TbI # (718)617-0661

Disposal Site{8) BFI Imperial Landfill, 11 Boggs Road, PO Box 47, Imperia!, PA 15128

27. This asbestos abatement is part of a (Item a through e requires filing of this form with NYC Department of Buildings) a) □ Demollton b) Q Boiler Replacement c) D Sprinkler Replacement d) D Renovatlon/Alteraton »} □ Fireproofing Replacement f) El OSw (Describe) ACM Removal Only

28. TYPE OF ABATEMENT (Check all appropriate boxes) 0 Removal Q Enclosure Q Encapsulation Q Repair n Clean up 29. ABATEMENT PROCEDURE (Check all appropriate boxes) D Full Containment O Glovebag □ Tent 0 DEP Variance Application

30. LOCATIONS OF ABATEMENT DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Ftoor(8) OF FLOOR CONTAINING ACM PERFORMED (AS- tent wins, room#, (a.Q. Pipe lagfling, oaBlng, planum SCXJARE LINEAR. (teg. rufming oabte, Installing tra sprinklers, boiter mom, tabby, ate) dudg, atorawlanta. declnnn, ate.) FEET FEET TOtnovIno and remadna baitera, ete.) 3fd Apartment VAT 3,0001 ACM Removal With Variance 4th Entire VAT 6,000 ACM Removal With Variance Sth Entire VAT 5,000 ACM Removal With Variance 6th Entire VAT 5,000 ACM Removal With Variance 7th Entire VAT 5,000 ACM Removal With Variance 8th Entire VAT 5,000 ACM Removal With Variance 9th Entire VAT 5,000 ACM Removal With Variance 10th Entire VAT 5,000 ACM Removal With Variance nth Entire VAT 5,000 ACM Removal With Variance

31. I hereby declare that the Information provided herein Is true and complete to ths best of my knowledge. I am familiar with Federal. State and NYC laws and ragulatons applicable to asbestos rel; work.

lAmblent Group, I Mcf«or ETS Inc. ETS PS nc.

» Signstuie

18/03 *9/18/03 Date

32. I understand that as foe owner of a blowing where esbestos abatement activity occurs, I am responsible (or foe performance of the asbestos abatement activities in accordance with the Asbestos Control Pr^ram Rules. I have contracted the third party air monitor who is completely Independent of all parties Inysived In a^stos project I hereby declare that I have authorized the filing of tWs notiftcafion for the work specified herein. /. | • k 11 / / Liberty, LLC Mr. David E. Stanke >

A STAMPED COPY OF TMS FORM IHCLUDIHO AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE.

I Any rTKXjfflcatlon of Informatics provided on this form must be retorted immecBatelv In writing directly to the NYC OEP ACP. ! The requirements of tile Asbestos Control Program Rules may not be lawfully avoided or lessened __________ through the performance of work In incremental or piecemeal fashion.__________ ACP7 a«ooi

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