Asbestos inspection report form, June 2002

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 8E NOTE: ASBESTOS INSPECTION REPORT SHALL B SUBMITTED I ACCEPTED TO NYC DEP NOT LESS THAN ONE WEEK II ADVANCE ❑ Variance — OF START OF THE WORK (ABATEMENT A ITIVRIES)

6/20/02 PROJ. COMPLETION DATE: 6/30/02 START DATE:

I. FACILITY BORO: MANNA' W ZIP: 10006 ADDRESS: 120 LIBERTY ST./ 125 CEDAR ST. BLOCK: 52 LOT: 21 TYPE OFFACILITY:

1I. BUILDING OWNER Conta 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: CITY: COLLEGE POIP STATE: NY ZIP: 11356 ADDRESS: 1420 129 STREET VI. LABORATORY FOR SAMPLE ANALYSIS NAME: WKP LABORATORIE C/O WARREN & PANZER E NYS ELAP #: 11251

W, DAY W, EVENING NIGHT WEEKENDS hG WEEKDAYS ASBESTOS W K SCHE LE C' INSPECTOR NAME: £ L 5.A_ ~ C9 1 td SQUAD #: BADGE #~?— S d

/ ( / O1 ' TIME OF INSPECTION: From: AM i,g~PM r j DATE OF INSPECTION:

t Tc: 1. Os AM r i PM Contact at site: ) W 0 (— k

Inspection sclosed that the following sections were i lied with: (Check all tha

501 • HOTiTICdIIIMIS, rceNui w, rya _. r t~ I • 71 - Air Sampling and Mohitorin ~ •91 - Worker Protection 1TIi7 •Worker Decontamination System 1-101 • Materials and Equipment LIIu 1.116 - Work Place Preparation 1-118. Waste Decontamination System 1-126- Engineering Control Lj}'S~127 -Entry/Exit Procedures

1-139 • Enclosure -- 1.129 Maintenance of Barriers LIII 1.138. Encapsulation 1.140 - Glovebag 1.141 - Tent 1 1.1 1 - ACM Disturbance, RemoveL_ Handling

1-146 Preliminary Clean-up ri 1-147 • Final Clean-up Inspection J Project not started revea d all ACM to be intact. New start date: / /_

Protect 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 ' 1 Yes 1 2 3

5 6 Photos taken: Yes j 1; No 4

Additional comments_~}„p e -r a V 1

RESULT CODE

BORO 1 = MANHATTAN 2 = BRONX 3 = BR000KLYN 4 = QUEENS 5 = STATEN ISLAND

RESULT CODES I = VIOLATION ISSUED 2 = NO VIOLATION ISSUED z 3 = NO ACCESS SUPER R es~ / 4 = PROJECT NOT STARTED (NO NOV) 5 = PROJECT C0r(+IPLETED (NO NOV)

NYC-WTC 000107869