Document 3bbvrRawbq72vboeDqB7jj46

:$?>& %<* l&:jy W.K. tfKi & OJ. WbbSfeM^ H.ttl Qr^ACe' AM7ZH& GRADE Policyand OrganizationGuide 'Ot Asbestos-Containing Materials in Grace Premises toerno. 422 Q* DOtap0'OV*0 July 14, 1981 5 of 6 002153 /ffl' Asbestos Action Notification Information F11*1 -' r inlV 1. Date of notification /<, 2. Group 3. Division G$C RECEIVED DC 0 g 1989 * C. FINKE 4. Facility involved v , a. name Jv'+Ut-yZZ* fl***<>~*-*' b. street address 77 >4 J2 e. diy f d. county e. state t country g. postal code zto 5. Facility Manas a. name b. business phone number (?*/) Hi ~ *f6 6. Primary Contact a. name A4~o*-e b. business phone number ' . 6*' J ~c. facsimile phone number ' \ 63' 7. IVpe of material--check all applicable: a. Rreproofing b. Boiler insulation c. Pipe insulation d. Corrugated siding ASSSSSSv -use riu^ g. Ceiling dies L Floor tiles L WaUboard J. Other, _ 8. Location within facility - LfBtiAt/- !7( 9. Approximate date of installation (if known) 12/11/1969 15:39 U.R. GRACE & CO. 10/16/1969 16:00 FROM U.R. GRACE COfcF Ntw York3 TO 06662675 P.02 913015314141 H.*4 GRACE Policyand OrgcnfcationGuide VOfiCt Asbestos-Containing Materials in Once Premiss Pdcyno. 422 6ar*aporove July 14. 12i 6 of 6 10. Approximatequantity/extenrofmaterial fS# 11. Resent condition; description^ ^ 12. Action is (cheek onc)y6otyct commence^in progress* completed, not wwwwiija) 13. Description of scope and cost of action taken^Itnned to be taken 14. Date(s) action taken/planned to be taken - ^3ojt^ 0 ^C-~ 15. Rea*on(s) for action (checkoff with added description): t Product performance failure Quality/appearance deterioration c. Replacement of machinery d. Building demolition e. Renovation (ACM removal mandatory) t Renovation (ACM removal optional) g. Emergency repair 16. Other evidence attached (e.g. photographs, inspection reports, tut results, x p. o. &*7< 'to vj (5 *l) Jfi'-ZSZS it 3 -* j -i Kb KM- Am -2d 002904