NYC 9/11 Public Portal Document
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NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Basis of Inspection:
ASBESTOS INSPECTION REPORT TRU0930M.NO2
FEE EXEMPT: Yes
ONLY TYPEWRITTEN ----. —_----
APPLICATIONS WILL BE NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED 1. $0.00
ACCEPTED
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE Variance
OF START OF THE WORK (ABATEMENT ACTIVITIES)
START DATE: 6/20/02 PROJ. COMPLETION DATE: 6/30/02
1. FACILITY
ADDRESS: 114 LIBERTY ST. / 119 CEDAR ST. BORO: MANHATTAN ZIP: 10006
TYPE OFFACILITY: BLOCK: 52 LOT: 7502
II. BUILDING OWNER
NAME: BUILDING OWNER/ MANAGER Contact
-------- -------
TEL. #:
ADDRESS: N/A CITY: STATE: ZIP:
IV. ASBESTOS ABATEMENT CONTRACTOR
NAME: #Error -.--
TEL. #: (718) 961.4100 FEDERAL EMPLOYER IDENTIFICATION # : _ _ _ _ _ P11
ADDRESS:'. 14.20 129TH STREET . CITY: COLLEGE POINT STATE: ]N ZIP: 11356
VI. LABORATORY FOR SAMPLE ANALYSIS NAME: WKP LABORATORIES C/O WARREN & PANZER E
NYS ELAP #: 11251
ASBESTOS WORK SCHEDULE S DAY E EVENING a NIGHT C WEEKENDS V WEEKDAYS
INSPECTOR NAME: C_
t L L wTi: %k '_ I SQUAD #: BADGE #: fS'
DATE OF INSPECTION: C / Z l / o ti TIME OF INSPECTION: From: ~J AM PM f
To: ________ AM PM
Contact at site: Ar W OLKOtI C.'2 .+3. $t-q~-
Inspection disclosed that the following sections were complied with: (Check all that apply)
1-51 -Notifications, Reports, Pla -71 • Air Sampling and Monitorin -1-'r4I • Worker Protection
1.101 • Materials and Equipment 1 116 -Work Place Preparation [_ T:117 .Worker Decontamination System
1.118. Waste Decontamination System rJ 1.126 • Engineering Controls 27 - Entry/Exit Procedures
1.129 - Maintenance of Barriers U 1.138- Encapsulation 1.139 • Enclosure
1.140 • Glovebag 1.141 - Tent i.l37 - ACM Disturbance, RemoveL, Handling
1-146 - Preliminary Clean-up C! 1-147. Final Clean-up
Project not started . Inspection
revealed all ACM to be intact. New start date: / /
Project ongoing, expected completion date: L / 2 /u
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
4 5 6 Photos taken: Yes No
L_ '
Additional comments: 'k Mel G--
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' 1v W.A \•'i-' • w C er+i•-a ~- ( -iCv.,... ..L .,.x &a_____ _ v i
r-- - -RESULTCODE
BORO 1 = MANHATTAN 2 ='BRONX 3 = BR000KLYN 4 = QUEENS 5 = STATEN ISLAND I
RESULT CODES 1 = VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3 = NO ACCESS — ---
SUPE SOR INITIA ~~
4 = PROJECT NOT STARTED (NO NOV) 5 = PROJECT COMPLETED (NO NOV) I _-
NYC-WTC 000100835
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