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Asbestos Control Program correction form

Machine-extracted title · confidence 90%

Technical review form for correcting asbestos quantity or schedule data under the Asbestos Control Program.

NYC-WTC_000178387
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Scanned page image, NYC-WTC_000178387
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NYC 9/11 Public Portal Document

The Cnv of New Yom Dhutment or ENvwoNMBnu. Pioiection JOEL A MIELE, SR., PE. Commissioner ROBERT C. AVALTRONI Deputy Commissioner

PHONE (718) 595-4418 Bureau of FAX (718; ' Air, Noise, & Hazardous Materials

ASBESTOS CONTROL PROGRAM TECHNICAL REVIEW UNIT ACP-7 CORRECTION FORM

PREMISES ADDRESS 4 .S.-TV^Ve-r .

BOROUGH ZIP CODE loop G

CORRECT CORRECT START DATE COMPLETION DATE

CORRECT ACM QUANTITY: SQUARE FEET, AND/OR LINEAR FEET

Conect Method Of Abatement:

Confirmation Of Changefs) Of Date(s) and/ACM Quantity As Noted Above

The undersigned affirms that she/he has been instructed verbally to change or confirm /or ACM quantity, by Ms./Mr. '&T anr\} /______ , who is duly the organization/agency/company/corporation stated in the form ACP-7 regarding the a^i^ iote^l^cility M^^StO be the (Please check one box only): jtZf SSL 73’ [ ] Asbestos Abatement Contractor [ ] Building Owner JU I 11 2002 50 I CSP'BAMHM \ i«5EST05/LtA? , A -eVoGRAM / [ ] Applicant for the asbestos project. TRUG A

The Undersigned Is Employed by

i-fi co N-Tt?4> er tg, Cjp Organization/ Agency? Company/ Corporation

Address

Telephone #

Print Name , Signature TRO N4 8/96 > 59-17 Junction Boulevard, 11th Floor, Corona, New 11368-5107

o NYC-WTC_000178387

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NYC-WTC_000178387Source: NYC Law Department, mirrored locally

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