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Document / 4 pages

Asbestos inspection report form, June 2002

Machine-extracted title · confidence 75%

NYC DEP asbestos inspection report documenting facility assessment with variance approval for work commencing June 20, 2002.

NYC-WTC_000107869–000107872

Folder label: “120 Liberty St / 125 Cedar St - MMU -

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Scanned page image, NYC-WTC_000107871
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NYC 9/11 Public Portal Document

TOTAL FEET: 40805 0

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Basis of Inspection: ASBESTOS INSPECTION RE~ORT - I TRU0929MN02 FEE EXEMPT: Yes ONLY TYPEWRITTEN SUBMITTED 1. $0.00 APPLICATIONS WILL BE NOTE: ASBESTOS INSPECTION REPORT SHALL I ACCEPTED TO NYC DEP NOT LESS THAN ONE WEEK ADVANCE LI Variance OF START OF THE WORK (ABATEMENT A 6/20/02 PROJ. COMP DATE: 6/30/02 START DATE:

I. FACILITY 120 LIBERTY ST./ 125 CEDAR ST. BORO: MANHAT fAN ZIP: 10006 ADDRESS: BLOCK: 52 LOT: 21 TYPE OFFACILITY: 11. BUILDING OWNER —r Contac NAME: 120 LIBERTY STREET, LLC -- -- - TEL. #: CITY: STATE ZIP: ADDRESS: N/A IV. ASBESTOS ABATEMENT CONTRACTOR NAME: #Error -.-.-.-- PII TEL. #: (718)961.4100 FEDERAL EMPLOYER IDENTIFICATION #[ CITY: COLLEGE POINT STATE: NY ZIP: 11356 ADDRESS: 14-20 129 STREET VI. LABORATORY FOR SAMPLE ANALYSIS NAME: WKP LABORATORIES C/O WARREN & PANZER E NYS ELAP #: 11251 DAY EVENING NIGHT WEEKENDS IiG WEEKDAYS ASBESTOS WK SCHEDJLE c_ L SQUAD #: BADGE l5 INSPECTOR NAME: N: DATE OF INSPECTION: j / y( / 0~ TIME OF INSPECTION: From: f AM >t .PM El r—

Contact at site: ~ _C 1 91To: , • Ov AM r PM

Inspection sclosed that the following sections were complied with: (Check all thaF apply) 1.51 - Notifications, Reports, Pla 1-71 - Air Sampling and Mo itorin 91 -Worker Protection

1-101 - Materials and Equipment 1-116- Work Place Prepara ion u —Iii7 - Worker Decontamination System j LII i 1-118 - Waste Decontamination System U 1.126 - Engineering Control 127 - Entry/Exit Procedures _

1-129 - Maintenance of Barriers 1-138 - Encapsulation U 1139 -Enclosure

1-140- Glovebag 1.141 - Tent r 1137 - ACM Disturbance, RemoveL, Handling

1-146 - Preliminary Clean-up r 1-147 - Final Cleanup

Project not started . Inspection ,

revea d 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 ! 1 Yes 1 2 3 --__ 3 i_ _ ; 5 6 Photos taken: Yes [ No 4 Additional comments ,.` .~p V ~ ~ — i

RESULT CODE BORO 1 = MANHATTAN 2 = BRONX 3 = BROOOKLYN 4 = QUEEN$ 5 = STATEN ISLAND

RESULT CODES 1 = VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3 = NO ACCESS SUPER 4 = PROJECT NOT STARTED (NO NOV) 5 = PROJECT COMPLETED (NO NOV) I

NYC-WTC 000107871

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NYC-WTC_000107871Source: NYC Law Department, mirrored locally

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