Asbestos inspection report header, unknown date

NYC 9/11 Public Portal Document

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NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Basis of Inspection: ASBESTOS INSPECTION REPORT I TRU0929MN02 FEE EXEMPT: Yes ONLY TYPEWRITTEN TED 1. $0.00 APPLICATIONS WILL BE NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMIT ACCEPTED TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE ( ; Variance OF START OF THE WORK (ABATEMENT ACT1VITIES)

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

1. FACILITY BORO: MANHATTAN ZIP: 10006 ADDRESS: 120 LIBERTY ST./ 125 CEDAR ST. BLOCK: 52 LOT: 21 TYPE OFFACILITY:

Ii. BUILDING OWNER —mss -- NAME: 120 LIBERTY STREET, LLC Contact TEL. #: CITY: STATE: ZIP: - ADDRESS: N/A

IV. ASBESTOS ABATEMENT CONTRACTOR NAME: #Error --- --; FEDERAL EMPLOYER IDENTIFICATION #: L---------- TEL. #: (718) 961.4100 CITY: COLLEGE POINT STATE: NY ZIP: 11356 ADDRESS: 14.20 129 STREET NAME: WKP LABORATORIES C/O WARREN & PANZER E VI. LABORATORY FOR SAMPLE ANALYSIS NYS ELAP #: 11251

V DAY IV EVENING eC NIGHT K WEEKENDS I✓ WEEKDAYS ASBESTOS WORK SCHEDULE

INSPECTOR NAME: CA4 .- SQUAD #: 1 BADGE #: S

/ 0 2 TIME OF INSPECTION: From: dT AM - PM DATE OF INSPECTION: To: b AM PM J'`'-+- t'A - . I IN - Contact at site: Dom! Q~w` ti v. 1

Inspection disclosed that the following sections were complied with: (Check all that apply) -

1-51 - Notifications, Reports, Pla ..r<1-71 - Air Sampling and Monitonn 91 - Worker Protection

1.101 - Materials and Equipment 1.116 - Work Place Preparation 1.117 - Worker Decontamination System

1-126 - Engineering Controls r~ 1.127 - Entry/Exit Procedures 1-118 - Waste Decontamination System _ 1-129 Maintenance of Barriers 1-138 - Encapsulation 1.139 Enclosure t F 1 1-141 - Tent 1.137 - ACM Disturbance, RemoveL. Handling 1.140 - Glovebag

1-146 - Preliminary Clean-up 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: , No Yes 1 2 3

5 6 Photos taken: Yes No 4

Additional comments: G 1 1 , Lf L,btL~' 1(1' tlpla % • dM Ct S _1

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

RESULT CODES 1 = VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3 = NO ACCESS L SUPER ZR

4 = PROJECT NOT STARTED (NO NOV) 5 = PROJECT COMPLETED (NO NOV)

NYC-WTC 000107873