Chain of custody form for asbestos samples, 33 Liberty Street

NYC 9/11 Public Portal Document

• NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL FEET: 15100 0 ASBESTOS INSPECTION REPORT Basis of Inspection: IF.L9I~SF~~LF~1 • cool 7,0001I ONLYTYPEWRITTEN TRU0968PAN02 r 0 APPLICATIONS WILL BE NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED FEE EXEMPT: Yes ! 7,600 0 ACCEPTED TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE 1• $0.00 u ro; 500i 0 OF START OF THE WORK (ABATEMENT ACTIVITIES)

START DATE: 6/27/02 COMPLETION DATE: 7/27/02 I. FACILITY ADDRESS: 33 LIBERTY STREET BORO: MANHATTAN ZIP: 10005 TYPE OFFACILITY: BLOCK: 66 LOT: I II. BUILDING OWNER NAME: FEDERAL RESERVE BANK TEL. #: ADDRESS: 33 LIBERTY STREET CITY: NEW YORK STATE: NY ZIP: 10045 IV. ASBESTOS ABATEMENT CONTRACTOR NAME: TRIO ASBESTOS REMOVAL CORPORATION TEL. #: (718) 961.4100 FEDERAL EMPLOYER IDENTIFICATION #: PII ADDRESS: 14-20 129TH STREET CITY: COLLEGE POINT STATE: )N ZIP: 11356 V. THIRD PARTY AIR MONITOR NAME: WARREN & PANZER ENGINEERS, P.C. TEL. #: (212) 9220077 ADDRESS: 228 EAST 45TH STREET CITY: NEW YORK STATE: NY ZIP: 10017 VI. LABORATORY FOR SAMPLE ANALYSIS NAME: WKP LABORATORIES C/O WARREN & PANZER E NYS ELAP #: 11251 ASBESTOS WORK SCHEDULE Vi DAY I EVENING V NIGHT V WEEKENDS V4 WEEKDAYS

INSPECTOR NAME: , h.c . SQUAD #: i BADGE #: 7k DATE OF INSPECTION: - / /0 2_ TIME OF INSPECTION: From: 5 AM , PM To: I1 AM ' PM Contact at site: ~cV W (, eov r~ e / ~~r n be, ro c 2an •~ rn1Q { / 11 / Inspection disclosed that the following sections were complied with: (Check all that apply) , U 1.51 . Notifications, Reports, Pla j ; 1.71 . Air Sampling and Monitorin 1.91 . Worker Protection 1.101 - Materials and Equipment I 1.116 . Work Place Preparation 1.117 . Worker Decontamination System

I 1.118 . Waste Decontamination System I 1.126 . Engineering Controls I I 1-127 - Entry/Exit Procedures

1 1129 . Maintenance of Barriers I I 1.138 . Encapsulation I 1.139. Enclosure 1140 . Glovebag I 1.141 . Tent 1 I 1.137 . ACM Disturbance. RemoveL, Handling 1-146 . Preliminary Cleanup I 1-147 . Final Clean-up

Project not started Inspection revealed all ACM to be intact. New start date: Project ongoing, expected completion date:

Project completed on or about / /9 boy. All surfaces, including abated surfaces are tree of visible ACM and encapsulat Follow up necessary on Samples taken: No I Yes 1 2 3 4 5 6 Photos taken: Yes No ,.< Additional comments: 1 ~ ~ ?~ Cie_ 6~ G,. . j Ffc 4 (ns)

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NYC-WTC 000093365