NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL FEET: 12678 0
ASBESTOS INSPECTION REPORT Basis of Inspection: FL I SF LF
roof 5,509 1 0
TRU1103MN02 I i a a 7,169 0
ONLY TYPEWRITTEN
APPLICATIONS WILL EE • NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED FEE EXEMPT: Yes
ACCEPTED
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE 1• $0.00
OF START OF THE WORK (ABATEMENT ACTIVITIES)
START DATE: 7/16/02 COMPLETION DATE: 7/30/02
I. FACILITY
ADDRESS: 110 LIBERT STREET/113-117 CEDER ST BORO: MANHATTAN ZIP: 10004
TYPE OFFACILITY: BLOCK: LOT:
II. BUILDING OWNER 'f +
NAME: BALDWIN REALTY, C/O CHARLES GANLER
TEL. #:
ADDRESS: n/a n/a CITY: n/a STATE: n/a ZIP: n/a
IV. ASBESTOS ABATEMENT CONTRACTOR
NAME: TRIO ASBESTOS REMOVAL CORPORATION
TEL. #: (718) 961-4100 FEDERAL EMPLOYER IDENTIFICATION B: [ P1.
ADDRESS: 1420 129TH STREET CITY: COLLEGE POINT STATE: ]N ZIP: 11356
V. THIRD PARTY AIR MONITOR
NAME: WARREN & PANZER ENGINEERS, P.C.
TEL. #: (212) 922-0077
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
!' DAY V EVENING V NIGHT V WEEKENDS ', WEEKDAYS
ASBESTOS WORK SCHEDULE
INSPECTOR NAME: ' - R ./s? 1')-r I lln,r/ SQUAD #: / BADGE #: 4p",ç'
DATE OF INSPECTION: l f0 2 TIME OF INSPECTION: From: $~ AM PM
To: Cj AM j PM
Contact at site: S' s -. c' c ,,; I L / ~~ s
Inspection disclosed that the following sections were complied with: (Check all that apply)
1 51 - Notifications, Reports, Pla 1-71 . Air Sampling and Monitorin 1.91 • Worker Protection
i t
1 1101 • Materials and Equipment i 1-116. Work Place Preparation 1117 - Worker Decontamination System
1118 - Waste Decontamination System j 1-126 - Engineering Controls I 1127 - Entry/Exit Procedures
1 I 1.129 - Maintenance of Barriers 1-138 - Encapsulation 1-139 - Enclosure
I j 1-140 - Glovebag i 1-141 - Tent j j 1137 - ACM Disturbance, RemoveL, Handling
1.146 - Preliminary Clean-up j 1.147 - Final Clean-up
Project not started . Inspection
revealed all ACM to be intact. New start date:
ongoing, expected completion date:
Y~I Project
Project completed on or about / / . All surfaces, including abated surfaces are free of visible ACM and encapsulat
Follow up necessary on
Samples taken: No Yes 1 2 3
1
4 5 6 Photos taken: j Yes No
Additional comments:
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RESULT CODE
BORO 1 = MANHATTAN 2 = BRONX 3 = BROOOKLYN 4 = QUEENS 5 = STATEN ISLAND
RESULT CODES 1 = VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3 = NO ACCESS SUPERVISOR INITIALS
4 = PROJECT NOT STARTED (NO NOV) 5 = PROJECT COMPLETED (NO NOV)
NYC-WTC 000100564
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