Asbestos inspection report header, unknown date

NYC 9/11 Public Portal Document

TOTAL FEET: 40805 0

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

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

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

H. 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 #: 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

K SCHE LE W DAY n/ EVENING N NIGHT 1 WEEKENDS WEEKDAYS ASBESTOS W C_ INSPECTOR NAME: ~ TC SQUAD #: ( BADGE #: S tS

TIME OF INSPECTION: From: AM PM DATE OF INSPECTION: / Z / O' To: rI ' w AM PM Contact at site: 4.)k' L5)0 L k'O1~< < Z ] ~~15 Inspection isclosed that the following sections were complied with: (Check all that apply) 1-51 - Notifications, Reports, Pla . f71 - Air Sampling and Monitorin 91 -Worker Protection

1.101 - Materials and Equipment i 1.116 -Work Place Preparation - 17 - Worker Decontamination System

1.118 - Waste Decontamination System r 1.126 - Engineering Controls f-1 127 - Entry/Exit Procedures

1-129. Maintenance of Barriers 1-138 - Encapsulation 1-139 - Enclosure

1-140 Glovebag 1-141 -Tent 1.137 - ACM Disturbance, RemoveL, Handling

1.146 - Preliminary Cleanup 1-147 - Final Clean-up

Project not started . Inspection

reve 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 Yes 1 2 3

4 5 6 Photos taken: Yes No

Additional comments a.._ d

RESULT CODE BORO 1 = MANHATTAN 2 = BRONX 3 = BROOOKLYN 4 = QUEENS 5 = STATEN ISLAND , r__ Z— RESULT CODES 1 = VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3 = NO ACCESS SUPER~ =-jiIA:CS l 4 = PROJECT NOT STARTED (NO NOV) 5 = PROJECT COMPLETED (NO NOV)

NYC-WTC 000107875