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For Official US" 9!!1X- /Postmark Date: Lf Ida/13Project ID#: - - - - = - - - , ~ - - - : r = _ - - -Permit #: ___ ~ ! J c _ ~ - - ! . l / _ ~_ _ _Other #: ----r--r-::--::=_ _---Inspector: __ 0 . - l - - A ~ , - " r , - - ~ - , - I_ _ _ _

AS!:3ESros co T"v l UN:r

NOTICE: This is not a valid asbestos abatement notification for the purposes of the Asbestos Occupations Accreditation and Certification Act unlessindividuals and contractors have met the certification requirements as set forth in the Asbestos Occupations Accreditation and Certification Act, Act of1990, P.L. 805, No. 194 (63 P.S. Sections 2101-2112).REFER TO THE ATTACHED INSTRUCTIONS FOR INFORMATION AND REQUIREMENTS.1. TYPE OF NOTIFICATION (check one): o Initial o Annual Notification

[8J Revision (highlight here, and changes) o Phase of Annual Notificationo Postponement o Cancellation Date of Initial Notification or, if previously revised, date of last revision:

2. PROJECT LOCATION (check one):o Allegheny County o City of Philadelphia o Other Location in PA (specify county):3. For Allegheny County and City of Philadelphia projects only:

A. Does this project require a permit? 0 Yes 0 No (If Yes is checked, a permit application must be submitted along with thnotification and approved prior to the start of the project.)B. For City of Philadelphia projects requiring a permit: Asbestos project inspector: Certification #: Company name: Address:

City: State: Zip: Phone:4. WILL ALTERNATIVE METHODS TO ANY OF THE APPLICABLE REGULATIONS BE USED? DYes ONo(If Yes is checked, approval must be obtained prior to the start of the project. Please contact the appropriate DEP regionaoffice or local government agency (see reverse of Instruction Sheet for contact list).5. TYPE OF OPERATION (check one): o Abatement prior to Demolition

[8J Demolition o Ordered Demolition o Renovation o Emergency Renovation6. FACILITY DESCRIPTION: Job No.: 1 ~ 9 - 1 3 (see instructions)

Facility Name: CQMMERQIAL B ! . ! I L D I N ~StreetiRural Address: 2136-2138 MARKET iTCity: PHILA State: PA Zip Code: 19103Present use: COLLAPSED BUILDING Prior use: OQCUPIED COMMERCIALWill the facility be occupied during the abatement activity? 0 Yes [8J NoFacility size in square feet: 8122 SF # of floors: 2 Age in years: +1-60YRi

7. ABATEMENT CONTRACTOR:Company name:Allegheny County or City of Philadelphia License # (if applicable):StreetiRurallPOB Address:City: State: Zip:

Contact: Telephone No. (between 8:00 &4:30):

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8. DEMOLITION CONTRACTOR:Company name: GEPPERT BROS. INC.Street/Rural/POB Address: 3101 TREWIGTQWN ROADCity: COLMAR State: PA Zip: 18915Contact: BILLGAS Telephone No. (between 8:00 &4:30): 215-822-790g

9. FACILITY OWNER:Owner name: STB INVESTMENT CORPStreet/Rural/POB Address: 30Q W 4;2RD ST UITE400City: NEW YORK State: NY Zip: 10036Contact: Telephone No. (between 8:00 &4:30): 212-247-4910

10. FACILITY INSPECTION (required fo r renovation and demolition projects):Building inspector: WILLIAM OTTEN Certification # 1Q7Date of inspection: /272Q13 Is any material assumed to be asbestos? I2l Yes ONoProcedure, including analytical method, if appropriate, used to detect the presence of asbestos material:PLM181 Building is 10 and in danger of collapse. An asbestos investigator will be on site during demolition. (Philadelphia only)

11. IS ANY TYPE OF ASBESTOS PRESENT 181 Yes O No If Yes, please list in #1212. TYPE OF ACM. DESCRIPTION &LOCATION OF MATERIAL, APPROXIMATE AMOUNT OF ACM. TYPE OF ABATEMENT AFINAL AIR CLEARANCE METHOD.

PROVIDE INFORMATION IN THE SPACES BELOW, THEN CONTINUE ON ANOTHER SHEET,IF NECESSARY, USING TSAME FORMAT.Location of material Amount of Code Code CodCode * Description of material (roomlfloor/area) ACM ** *** ***

SEE ATTACHED

Code * Code** Code *** Code ..***T y ~ e ofACM Units T y ~ e of abltement Final ClearlnceFRI Friable ACM LF - Linear ft. REM - Removal PCM - Phase contrast microscopyNF1 - Cat I nonfriable ACM SF - Square ft. CAP - Encapsulation TEM - Transmission electron microscopyNF2 - Cat" nonfriable ACM CF - Cubic ft. CLO - Enclosure(Note: Allegheny Countytreats all ACM as friable) NON - None13. Is this project regulated by NESHAP I2l Yes ONo

A project that includes the demolition of any defined "facility" is regulated by NESHAP. A renovation project is also regulated by NESHAwhen the amounts of friable ACM, or ACM that may be rendered friable, are as follows: 260 LF or 160 SF or 35 CF.

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14. OPERATION SCHEDULE(S) (as applicable)A. Asbestos abatement: Start Date: Completion Date:

Daily hours of operation: OamOpm to OamOpmDays of week (check) OMo OTu OWe O Th OFr OSa O Su

B. Demolition: Start Date: 6/28/2013 Completion Date: 12/31/2013Daily hours of operation: 7:00 t81 am 0 pm to 4:00 o am t81 pmDays of week (check) t81 Mo t81 Tu t81We t81 Th t81 Fr OSa O Su

C. Renovation: Start Date: Completion Date:Daily hours of operation: OamOpm to OamOpmDays of week (check) OMo OTu OWe OTh OFr OSa O Su

COMMENTS: L & I HAS TOLD GEPPERT BROS. THIS COLLAPSED BUILDING IS PRIORITY AND TO START AS SOON AS POSSIBLE

15. DESCRIPTION OF PLANNED DEMOLITION OR RENOVATION WORK:COMPLETE DEMOLITION OF COLLAPSED COMMERCiAl BUILDING

16. DESCRIPTION OF WORK PRACTICES AND ENGINEERING CONTROLS TO BE USED TO REMOVE ACM AND TO PREVEEMISSIONS OF ASBESTOS AT THE DEMOLITION AND RENOVATION SITE:

17. WASTE TRANSPORTER(S)A. Transporter #1 name: ,Street/Rural Address: "City: State: Zip:

ontact: Telephone:B. Transporter #2 name:

Street/Rural Address:City: State: Zip:Contact: ,Telephone:

3

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18: WASTE OISPOSAL SITE(S): (any asbestos containing material)A. Landfill name: DEP permit #:

Street/Rural Address:City: State: Zip:Contact: Telephone:

B. Landfill name: DEP permit #:Street/Rural Address:City: State: Zip:Contact: Telephone:

19. AIR MONITORING FIRM(S)A. Company name/individual:

Street/Rural Address: City: State: Zip:Contact: Telephone:

B. Final clearance firm: (if different than 19A)Street/Rural Address:City: State: Zip:Contact: Telephone:Final clearance firm was hired by (check one) D Contractor DOwnerD Other Explain

20. AIR SAMPLE FIRM(S) (City of Philadelphia projects only)A. PCM company name/individual: Certification #:

Street/Rural Address:City:Contact:

State:Telephone:

Zip:

B. TEM company name:Street/Rural Address:

Certification #:

City: State: Zip:Contact: Telephone:

21. FOR EMERGENCY RENOVATIONS:Date of emergency (mm/dd/yy): Hour of emergency: Dam DpmDescription of the sudden, unexpected event:

Explanation of how the event caused unsafe conditions or would cause eqUipment damage or an unreasonable financial burdena consequence of complying with the 10 working day notification requirement:

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22. FOR ORDERED DEMOLITIONS (attach copy of order):Government agency that ordered:Name of individual who ordered: Title:Date of order (mm/dd/yy): _________ _ Date ordered to begin (mm/dd/yy):

23. DESCRIPTION OF PROCEDURES TO BE FOLLOWED IN THE EVENT THAT UNEXPECTED ASBESTOS IS FOUND PREVIOUSLY NONFRIABLE ASBESTOS MATERIAL BECOMES CRUMBLED, PULVERIZED, OR REDUCED TO POWDER:Stop work immediately and contact the Owner.

24. PENNSYLVANIA CERTIFICATIONS/LICENSES:Project designer: Certification #: ______Contractor (Individual): Certification #: ______Supervisor: Certification #: ______Contractor (Firm) Certification #: ______

* * * * * SIGN BOTH STATEMENTS * * * * *25. I HEREBY CERTIFY THAT AN INDIVIDUAL TRAINED IN THE PROVISIONS OF 40 CFR PART 61 SUBPART M (if applicab

WILL BE ON-SITE DURING THE DEMOLITION OR RENOVATION AND EVIDENCE THAT THE REQUIRED TRAINING HBEEN ACCOMPLISHED BY THIS PERSON WILL BE AVAILABLE FOR INSPECTION DURING ALL WORKING HOURS, AI CERTIFY THAT ALL WORK WILL BE DONE IN ACCORDANCE WITH ALL APPLICABLE FEDERAL, STATE AND LOCAGENCY RULES AND REGULATIONS.

(Original Signature of Owner/Operator) 7 (iSate)Printed Name of Owner/Operator: ~ W ~ I L = L : ! , ! ; I A ~ M ! . ! . . G A : = : u : S ~ S : ! . . - _____ _ Title: ADMINISTRATOR

26. I HEREBY CERTIFY THAT THE FOREGOING STATEMENTS AND THE INFORMATION CONTAINED IN THIS NOTIFICATIOFORM ARE TRUE. THIS CERTIFICATION IS MADE SUBJECT TO THE PENALTIES SET FORTH IN 18 PA C.S. 49RELATING TO UNSWORN FALSIFICATION TO AUTHORITIES.

(Original Signature of Owner/Operator) (Date)Printed Name of Owner/Operator: ...,W....,IL=L:.:.c.IA=M.,;G>

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Date e c e h ~ AMS:ate Re4:eivC\l L&I:City of PhUadelphia -Department of Public Health

AsbestosPublic Health Services -Air Management Serv.\cesAsbestos Control Unit -321 University hi 19104

Name ofBuild:ing: Address Phone#.N/A 2136-38 Market Street NfAPhlladelphia, PAName of Building Owner: Address Phone 11STB l n v e s t m e n t , ~ Corp. 300 W. 43,d Street, Suite 400 212-247-4910New York, NY 10036Name of Licensed Investigator: License # Phone 1/William Otten 0524 610-891-0114

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Scope ofWorR::A s h e s t n ~ Inspection performed following building collapse during: demolition activities. Illspection services were limited to accessible surfaces ofUledemolition debris thtough.out the sit

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2 7 ' f ) O . P M . ~ 0 0 2 1 Rev.11/2007o ~ ~ ; ; ; ; ~ ~ ' A B A T E M E N T AND D E M O L I T I O N / R E : ~ d V J t I f I & ' i r f J ' i ) , 1 ~ i C . i ( f i o N FORM ~ :...For Official Use OnlyPostmark Date: Wdl J3Project 10#: __________ Permit #: __ ......2 .___i---'-o.5,.,.........g_l..t. ____ Other #: _-,-:;__________ Inspector: ' : \ 4 Is . . l NOTICE: This is not a valid asbestos abatement notification for the purposes of the Asbestos Occupations Accreditation and Certification Act unless individuals and contractors have met the certification requirements as set forth in the Asbestos Occupations Accreditation and Certification Act, Act of 1990, P. L 805, No. 194 (63 P.S. Sections 21012112).

Date R e c e l v ~ ( : I ' 1 j , ,c., . ';' ,:,. Date Received 2f \SSEsrcs CG'iTIWL VUlT

REFER TO THE ATTACHED INSTRUCTIONS FOR INFORMATION AND REQUIREMENTS.18) Initial D Annual NotificationfPE OF NOTIFICATION (check one),o Revision (highlight here, and changes) 0 Phase of Annual Notificationo Postponement 0 Cancellation

Date of Initial Notification or, if previously revised, date of last revision:2. PROJECT LOCATION (check one):

D Allegheny County 18) City of Philadelphia o Other Location in PA (specify county):3. For Allegheny County and City of Philadelphia projects only:

A. Does this project require a permit? 0 Yes D No (If Yes is checked, a permit application must be submitted along withnotification and approved prior to the start of the project.)B. For City of Philadelphia projects requiring a permit:

Asbestos project inspector: Certification #:Company name:Address:City: State: Zip: Phone:

4. WILL ALTERNATIVE METHODS TO ANY OF THE APPLICABLE REGULATIONS BE USED? DYes 181 No(I f Yes is checked, approval must be obtained prior to the start of the project. Please contact the appropriate DEP regiffice or local government agency (see reverse of Instruction Sheet for contact list).

5. TYPE OF OPERATION (check one): o Abatement prior to Demolition181 Demolition D Ordered Demolition o Renovation D Emergency Renovat ion

6. FACILITY DESCRIPTION: Job No.: 1 ~ 9 1 3 (see instructionFacility Name: COMMERICIAL BUILDINGStreet/Rural Address: 2136-2138 MARKET STCity: PHILA State: PA- Zip Code: 19103Present use: VAQANT COMMERQIAL Prior use: OCCUPIED COMMERCIALWill the facility be occupied during the abatement activity? 0 Yes 18) NoFacility size in square feet: 8125 SF # of floors: 2 Age in years: +/-60YRS

7. ABATEMENT CONTRACTOR:Company name:Allegheny County or City of Philadelphia License # (if applicable):StreetiRurallPOB Address:City: State: Zip:

Contact: Telephone No. (between 8:00 & 4:30):

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8: DEMOLITION CONTRACTOR:Company name: GEPPERT BROS. INC.Street/Rural/POB Address: 3101 TREWIGTOWN ROADCity: COLMAR State: PA Zip: 18915Contact: BILLGASS Telephone No. (between 8:00 & 4:30): 21-822-7900

9. FACILITY OWNER:Owner name: STB INVESTMENT CORPStreet/Rural/POB Address: 300W 43RD ST SUITE 400City: NEW YORK State: NY Zip: 10036Contact: Telephone No. (between 8:00 & 4:30): 212-247-4910

10. FACILITY INSPECTION (requi red fo r renovation and demolition projects):Building inspector: KENNETH HUDSON Certification # 0321Date of inspection: 1/28/13 Is any material assumed to be asbestos? 121 Yes DNoProcedure, including analytical method, if appropriate, used to detect the presence of asbestos material:PLMo Building is ID and in danger of collapse. An asbestos investigator will be on site during demolition. (Philadelphia only)

11. IS ANY TYPE OF ASBESTOS PRESENT DYes 121 No If Yes, please list in #1212. TYPE OF ACM, DESCRIPTION & LOCATION OF MATERIAL, APPROXIMATE AMOUNT OF ACM, TYPE OF ABATEMENT AFINAL AIR CLEARANCE METHOD.

PROVIDE INFORMATION IN THE SPACES BELOW, THEN CONTINUE ON ANOTHER SHEET, IF NECESSARY, USING TSAME FORMAT.Location of material Amount of Code Code Cod. Code" Description of material (room/floor/area) ACM *" "** ....

SEE ATTACHED

Code" Code"" Code *** Code ***..TYQeofACM Units Tvoe Qf ab5!tement Final ClearanceFRI - Friable ACM LF Linear ft. REM - Removal PCM - Phase contrast microscopyNF1 Cat I nonfriable ACM SF - Square ft. CAP - Encapsulation TEM - Transmission electron microscopyNF2 Cat" nonfriable ACM CF - Cubic ft. CLO - Enclosure(Note: Allegheny County NON -Nonetreats all ACM as friable)13. Is this project regulated by NESHAP lEI Yes DNo

A project that includes the demolition of any defined ''facility'' is regulated by NESHAP. A renovation project is also regulated by NESHwhen the amounts of friable ACM, or ACM that may be rendered friable, are as follows: 260 LF or 160 SF or 35 CF.

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14. OPERATION SCHEDULE(S) (as applicable)A. Asbestos abatement:

Daily hours of operation:Days of week (check) OMo

B. Demolition:Daily hours of operation:Days of week (check) I2SI Mo

C. Renovation:Daily hours of operation:Days of week (check) DMo

COMMENTS:

Start Date:DTu OWe

Start Date: 6/21[137:00

I2SI Tu [g) WeStart Date:DTu OWe

Completion Date:Dam Dpm to D a m D p m

D Th o Fr D Sa D S uCompletion Date: 12/31/13

[g) am 0 pm to 5:00 Dam [g) pmI2J Th I2J Fr D S a D S u

Completion Date:D a m D p m to D a m D p m

DTh D F r D S a D Su

L & I HAS TOLD GEPPERT BROS. THIS COLLASPED BUILDING IS PRIORITY AND TO START IMMEDIATELY.

15. DESCRIPTION OF PLANNED DEMOLITION OR RENOVATION WORK:COMPLETE DEMOLITION OF COLLAPSED COMMERCIAL BUILDING

16. DESCRIPTION OF WORK PRACTICES AND ENGINEERING CONTROLS TO BE USED TO REMOVE ACM AND TO PREVEMISSIONS OF ASBESTOS AT THE DEMOLITION AND RENOVATION SITE:

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17. WASTE TRANSPORTER(S)A. Transporter #1 name:Street/Rural Address:

City: State: Zip:Contact: Telephone: 4B. Transporter #2 name: '\Street/Rural Address:City: State: Zip:Contact: Telephone:

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Ht WASTE DISPOSAL SITE(S): (any asbestos containing material)A. Landfill name: DEP permit #:

Street/Rural Address:City: State: Zip:Contact: Telephone:

B. Landfill name: DEP permit #:Street/Rural Address:City: State: Zip:Contact: Telephone:

19. AIR MONITORING FIRM(S)A. Company name/individual:

Street/Rural Address: City: State: Zip: Contact: Telephone:

B. Final clearance firm: (i f different than 19A)Street/Rural Address: City: . State: Zip: Contact: Telephone:Final clearance firm was hired by (check one) o Contractor DOwnero Other Explain

20. AIR SAMPLE FIRM(S) (City of Philadelphia projects only)A. PCM company name/individual: Certification #:

Street/Rural Address:City: State: Zip:Contact: Telephone:

B. TEM company name: Certification #:Street/Rural Address: City: State: Zip: Contact: Telephone:

21. FOR EMERGENCY RENOVATIONS:Date of emergency (mm/dd/yy): Hour of emergency: Dam DpmDescriplion of the sudden, unexpected event:

Explanation of how the event caused unsafe conditions or would cause equipment damage or an unreasonable financial burdena consequence of complying with the 10 working day notification requirement:

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22. FOR ORDERED DEMOLITIONS (attach copy of order):Government agency that ordered:Name of individual who ordered: Title:Date of order (mm/dd/yy): __________ _ Date ordered to begin (mm/dd/yy):

23. DESCRIPTION OF PROCEDURES TO BE FOLLOWED IN THE EVENT THAT UNEXPECTED ASBESTOS IS FOUND OPREVIOUSLY NONFRIABLE ASBESTOS MATERIAL BECOMES CRUMBLED, PULVERIZED, OR REDUCED TO POWDER:Stop work immediately ahd contact the Owner.

24. PENNSYLVANIA CERTIFICATIONS/LICENSES:Project designer: Certification #: ______ _Contractor (Individual): Certification #: _______Supervisor: Certification #: ______ _Contractor (Firm) Certification #: ______ _

* * * * * SIGN BOTH STATEMENTS * * * * *25. I HEREBY CERTIFY THAT AN INDIVIDUAL TRAINED IN THE PROVISIONS OF 40 CFR PART 61 SUBPART M (i f applicab

WILL BE ONSITE DURING THE DEMOLITION OR RENOVATION AND EVIDENCE THAT THE REQUIRED TRAINING HABEEN ACCOMPLISHED BY THIS PERSON WILL BE AVAILABLE FOR INSPECTION DURING ALL WORKING HOURS, ANI CERTIFY THAT ALL WORK WILL BE DONE IN ACCORDANCE WITH ALL APPLICABLE FEDERAL, STATE AND LOCAGENCY RULES AND REGULATIONS.

(Original Signature of OWner/Operator)

Printed Name of Owner/Operator: ....,W"""IL=L""'IA.... '-I...:::::G!...:A....S""--______ _ Title: ADMINISTRATOR26. I HEREBY CERTIFY THAT THE FOREGOING STATEMENTS AND THE INFORMATION CONTAINED IN THIS NOTIFICATIO

FORM ARE TRUE. THIS CERTIFICATION IS MADE SUB.IECT TO THE PENALTIES SET FORTH IN 18 PA C.S. 49RELATING TO UNSWORN FALSIFICATION TO AUTHORITIES.

(Original Signature of OWnerfOperator) (Date)

Printed Name of Owner/Operator: ' - ' W ' - ' 1 I L " " L = ' - ' I A . . ! ! . M ~ G " - ' A " " ' S " ' " S ______ _ Title: ADMINISTRATOR

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t : ~ L ~ C ~ S + h ~ t i g i ; r : . IL/oh License # Phone #.DSz.. ( , < Z - ~ 7 b.SS 7 / Y/Name of Certified Lab: Lieense t# PhOne #

Scope; ofWork: (include all locations)

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