NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL FEET: 12678 0
ASBESTOS INSPECTION REPORT Basis of Inspection: FL.. Sr I LF
root 5,509 0
ONLY TYPEWRITTEN
TRU1103MN02 acal 7,169 0
APPLICATIONS WILL BE 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/113117 CEDER ST BORO: MANHATTAN ZIP: 10004
TYPE OFFACILITY: BLOCK: LOT:
II. BUILDING OWNER
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) 9614100 FEDERAL EMPLOYER IDENTIFICATION #: . .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
ASBESTOS WORK SCHEDULE V DAY '' EVENING V NIGHT V WEEKENDS V WEEKDAYS
INSPECTOR NAME: 2, R_0 y yTZc SQUAD #: / BADGE #: 4o7'
DATE OF INSPECTION: 7 / 2-0 /c 2 TIME OF INSPECTION: From: con AM I PM i
To: AM PM
Contact at site: scJl< Si rr~i c Dip ~/e »w
Inspection disclosed that the following sections were complied with: (Check all that apply)
1 1.51 • Notifications, Reports, Pla 1-71 . Air Sampling and Monitorin 1.91 - Worker Protection
1-101 - Materials and Equipment 1-116 -Work Place Preparation j 1-117 - Worker Decontamination System
1.118 - Waste Decontamination System 1-126 Engineering Controls 1-127 . Entry/Exit Procedures
1129 . Maintenance of Barriers 1-138- Encapsulation 1-139 - Enclosure
1-140 - Glovebag 1.141 - Tent 1137 - ACM Disturbance, RemoveL, Handling
1.146 - Preliminary Clean-up 1-147 • Final Cleanup
Project not started . Inspection
revealed all ACM to be intact. New start date:
Project ongoing, expected completion date:
Project completed on or about / / . All surfaces, including abated surfaces are free of visible ACM and encapsulat,
Follow up necessary on
Samples taken: ; No i Yes 1 2 3
4 5 6 Photos taken: Yes x No
Additional comments:
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RESULT CODE
BORO 1 = MANHATTAN 2 = BRONX 3 = BROOOKLYN 4 = QUEENS 5 = STATEN ISLAND i
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) ,1 I
NYC-WTC 000100565
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