Legal preservation notice for World Trade Center documents at 114

NYC 9/11 Public Portal Document

v ASBESTOS INSPECTION REPORT(continued) 26. Asbestos Hauler 1T 1 State Transfer Assoc. NYS DEC Permit# 1 A-375 — Te.# X718)617 1 L__. Disposal sites) BF1 imperial Landfill, 11 Boggs Road, PO Box 47, Imperial, PA 15126 27. This asbestos abatement Is part of a (Item a through a requires filing of this form with NYC Department of Buildings) a) O Demolition b) ❑ Boller Replacement c) ❑ Sprinkler Replacement d) ❑ Renovation/Alteratlon 9) ❑ Fireproofing Replacement I) 0I Other (Describe) 28. TYPE OF ABATEMENT (Check all appropriate boxes) ® Removal ❑ Enclosure ❑ Encapsulation ❑ Repair ❑ Clean up 29. ABATEMENT PROCEDURE (Check all appropriate boxes) ❑ Full Containment ❑ Glovebeg ❑ Tent ® DEP Variance Application

30. LOCATIONS OF ABATEMENT DESCRIBE SECTION AFFECTED SURFACES AMOUNT OF ACM DESCRIPTION OF WORK BEING Floor(s) OF FLOOR CONTAINING ACM PERFORMED (e s. wills , east nMng, rocs #, (e.g. Pipe lagging, wing, pl nun SQUARE UNEAR . (e.g. cable,;reeling lire optimism baler eta dL=b decks etc FEET FEET I n5jfl boiI q,air 3rd Apartment VAT 3,000 ACM Removal With Variance 4th Entire VAT 6,000 ACM Removal With Variance 5th 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 11th Entire VAT 5,000 ACM Removal With Variance

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

I l MI

32. I understand that as the owner of a building where asbestos abatement activity occurs, I am responsible for the performance of the asbestos abatement activities in accordance with the Asbestos Control Program Rules. I have contracted the third party air monitor who Is completely independent of all parties in Mad in as etas Jett i hereby declare that I have authorized the filing of this notification for the work specified herein. Liberty, LLC Mr. David E. Stanke

A S AMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE.

Any modification of Information provided on this form must be reported Immediately In writing directly to the NYC OEP ACP

ACP7 712001

.00 llerA.. iJin NYC-WTC 000155260