NEW YORK CITY DEPARTMENT OF EDUCATION
DIVISION OF SCHOOL FACILITIES
OFFICE OF BUILDING SERVICES
TO: Mr./Ms
. _____________________________ Custodian of _____________________ (school)
This is to inform you that Mr./Ms. ____________________________________________________ (name), is the
assigned project manager for ____________________________________________________ (Company Name) for
abatement work to be done at ____________________________________________________ (school name).
Mr./Ms. ____________________________________________________________________ (name), is the
assigned Contract Manager for DSF’s EHS Unit, and the Safe to Occupy Letter will be provided by the consultant
_____________________________________________________________ (Company Name) assigned to the
project by EHS.
The areas that wi
ll be directly and/or indirectly affected by the said work include ____________________________
_______________________________________________________________________ (list area).
The work will
start on ____________________________ (date) __________________________ (time) and the
anticipated completion date is ____________________________ (date). The work will take place during the
following hours ________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________
Signature/Date
EHS Work Notification Form
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signature
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