NYC 9/11 Public Portal Document
TOTAL FEET: 40805 0
NYC DEPARTMENT OF ENVIRONMENT L PROTECTION Basis of Inspection:
ASBESTOS INSPECTION REPORT TRU0929MN02
FEE EXEMPT: Yes
ONLY TYPEWRITTEN 1• $0.00
APPLICATIONS WILL BE NOTE: ASBESTOS INSPECTION REPORT SHALL B SUBMITTED
ACCEPTED TO NYC DEP NOT LESS THAN ONE WEEK I ADVANCE Variance
OF START OF THE WORK (ABATEMENT A TIVRIES)
6/20/02 PROJ. COMPLETION DATE: 6/30/02
START DATE:
1. FACILITY
ADDRESS: 120 LIBERTY ST./ 125 CEDAR ST. BORO: MANHATTAN ZIP: 10006
BLOCK: 524 LOT: 21
TYPE OFFACILITY:
II. BUILDING OWNER
Contact
NAME: 120 LIBERTY STREET, LLC
TEL. #:
CITY: ! STATE: ZIP:
ADDRESS: N/A
IV. ASBESTOS ABATEMENT CONTRACTOR
NAME: #Error
TEL. #: (718) 961-4100 FEDERAL EMPLOYER IDENTIFICATION N: PII
CITY: COLLEGE POIN STATE: NY ZIP: 11356
ADDRESS: 1420 129 STREET
VI, LABORATORY FOR SAMPLE ANALYSIS NAME: WKP LABORATORIES C/O WARREN & PANZER E
NYS ELAP #: 11251
WC, DAY EVENING W NIGHT 4t WEEKENDS W_ WEEKDAYS
ASBESTOS WO K SCHEDULE
INSPECTOR NAME: A) L h\Arc SQUAD #: — ` BADGE #:
/32./D ' TIME OF INSPECTION: From: AM M E i
DATE OF INSPECTION: b
To: AM Lii PM
Contact at site: ~~ 4l
Inspectlo isclosed that the following sections were complied with: (Check all thit apply) ,—
1.51 - Notifications, Reports, P I ii ir Sampling and M+itorin 1.91 - Worker Protection
[ 1T117 - Worker Decontamination System',
1.101 - Materials and Equipment LIII 1-116 -Work Place Preparation
1-126- Engineering Controls L i': '127 - Entry/Exit Procedures
L-i 1-118 - Waste Decontamination System
1.129 - Maintenance of Barriers [] 1.138 - Encapsulation j iII 1139- Enclosure
1-140 - Glovebag 1.141 .Tent 1.137 -ACM Disturbance, RemoveL, Handling
1-146 - Preliminary Cleanup LIII 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 / / All surfaces, including abated surfaces are free of visible ACM and encapsulat
Follow up necessary on / /
[
Samples taken: I No LIII Yes 1 2
' 3 —
4
- --- --- - - —
5
--
6 Photos taken: L-1 Yes L— ; No
Additional comments: V4 0 y
1 ~
-- - iii iiiiiiiiiii:i
RESULT CODE
BORO 1 = MANHATTAN 2 = BRONX 3 = BROOOKLYN 4 = QUE 5 = STATEN ISLAND
RESULT CODES 1 = VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3= NO ACCESS SUPS ISOR INITIALS
4 = PROJECT NOT STARTED (NO NOV) 5 = PROJECT MPLETED (NO NOV)
NYC-WTC 000107863
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