NYC 9/11 Public Portal Document
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NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
Asbestos Control Program
PAID
89-17 Junction Boufevard, 8* Floor, Corona, NY 11369-6107
ONLY D£P ASBESTOS PROJECT NOTIFICATION
' BuAdlRsDqrlor'mUMo
roawRCM. USE only
TYf^EWFim^N
FORMS WILL Be (ASBESTOS INSPECTION REPORT) $120)
ACCePTB) (SesfsesOiedulB)
When aubmittirrg thb form at the NYC Department of Buildings, the original form and three (3) copies with original
signahses are required. Sitomittal at the NYCDEP requires one copy of the form with original aignaturas. This
form must ba submitted to the NYC DEP not less than one week in advance of the start of abatement activities.
1. FACILiTY
2. Address 114 Liberty Street . Borough Marthattan Zip 10006
AKA 3. Block ___ 4. Lot ,7502
5. Type of Facility Condominiutn/Commercial 6. Name of Building 114 Llber^ Sfreet
IL BUILDING OWNER
7. Name Liberty. LLC c/o Epic, LLC 8 Confect Person Ms. Denise Sweeney
9 Tei # (212)633-6500 Pgx# (212)727-8989
10. Address 12 East 44th Street qty New York State NY. Zip 1OO1_7
Ui. GENERAL CONTRACTOR
11. Nam9 f^A Tc».«
IV, ASBESTOS ABATEMENT CONTRACTOR
12. Name Contracting, Inc. 13. Contact Person Mr. Robert Middleton
14. Federal Employer ID. # 13-3891797 IS.Tat.# (718)706-6300 (718)706-1032
16. Address 180 Clay Street qty Brooklyn State NY 210 11222
V. THIRD PARTY AIR MONITOR
17, Name Ambient Group, Inc. 18. Confect Person Mr. Jack Sprlngston
18. Federal Employer ID.# 13-3365713 20.Tei.# (212)944-4615 Fax# (212)944-4818
21 Adfeess 39th Street City New York State NY Zip 10018
22. Sample Analysis Laboratory Ambient Group, Inc. 23. NYS DOH ELAP # 10885
VL PROJECT INFORMATION
24. Starting data for this portion of work 10/2/03 Projected completton date 11/3P/Q3
Asbestos work schedule El Monday EI Tuesday El Wednesday QI Thursday El Friday 0 Saturggy Sunday
SNftfrom; .7-00 0 am D pm to ^92_ Q am Q pm
If other, '' /
//
specify
Access to Inap9a Ute pnrt^a nwet ba prmUM tkxbtg Via wort< aaiadola IfKttcatad In Wa item.
^4 aia? • Il
26. Total amount of asbestos-containing material to bo abated during this work
43.000 Square Feet, and/or £ Linear Feel
' ACP7
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NYC-WTC_000155261
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