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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