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 TRU0929MN02 FEE EXEMPT: Yes ONLY TYPEWRITTEN _ ---- - ----- ----- -- -- ---- - -----~ SUBMITTED 1. $0.00 - APPLICATIONS WILL BE NOTE: ASBESTOS INSPECTION REPORT SHALL BE 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 BORO: MANHATTAN ZIP: 10006 ADDRESS: 120 LIBERTY ST./ 125 CEDAR ST. — BLOCK: 52 LOT: 21 TYPE OFFACILITY: — II. BUILDING OWNER Contact NAME: 120 LIBERTY STREET, LLC TEL. #: ADDRESS: N/A CITY: STATE: ZIP: I IV. ASBESTOS ABATEMENT CONTRACTOR NAME: #Error TEL. #: (718) 961-4100 FEDERAL EMPLOYER IDENTIFICATION # : _ PII CITY: COLLEGE POINT STATE: NY ZIP: 11356 ADDRESS: 1420 129 STREET V1. LABORATORY FOR SAMPLE ANALYSIS NAME: WKP LABORATORIES C/O WARREN & PANZER E NYS ELAP #: 11251

ASBESTOS WO$IK SCHEDULE IV DAY EVENING !~ NIGHT 1 WEEKENDS WEEKDAYS

INSPECTOR NAME: C A~ L (k1C t1y+t E'O r A'l— SQUAD #: - BADGE #:

TIME OF INSPECTION: From: O AM 7 -PM DATE OF INSPECTION: / ' . j / 0 To: AM PM ~qN WOLk'0W~IFr1. (G)I Contact at site:

Inspectio isclosed that the following sections were complied with: (Check all that apply) Notifications, Reports, Pla 1.71 - Air Sampling and Monitorin J 1.91 - Worker Protection

1-101 -Materials and Equipment i ; 1.116 -Work Place Preparation 17 - Worker Decontamination System [ 1-126 - Engineering Controls r. '1127 -Entry/Exit Procedures 1.118 . Waste Decontamination System

1.129 Maintenance of Barriers _ii 1.138 - Encapsulation 1-139 Enclosure

1.140 - Glovebag 1-141 - Tent 1-137 . ACM Disturbance, RemoveL, Handling

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:

Protect 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: 1 Yes No 4

Additional comments: VAO 4

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

RESULT CODES 1 = VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3 = NO ACCESS sure ISOR INITIALS 4 = PROJECT NOT STARTED (NO NOV) 5 = PROJECT COMPLETED (NO NOV)

NYC-WTC 000107879