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Asbestos inspection report form, 120 Liberty St, Jun 2002

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NYC DEP asbestos inspection report form for 120 Liberty/125 Cedar Streets with a start date of June 20, 2002.

NYC-WTC_000108219–000108222

Folder label: “120 LIBERTY STREET; 1001040, 52/21

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Scanned page image, NYC-WTC_000108220
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NYC 9/11 Public Portal Document

1_. TOTAL FEET: 40805 0

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Basis of Inspection: ASBESTOS INSPECTION REPORT r TRU0929MN02 FEE EXEMPT: Yes ONLY TYPEWRITTEN _ APPLICATiONS Y ILL irE NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED 1. $0.00 ACCEPTED TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE I EJ Variance OF START OF THE WORK (ABATEMENT ACTIVRIE3) START DATE: 6/20/02 PROD. COMPLETION DATE: 6/30/02

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

11. BUILDING OWNER NAME: 120 LIBERTY STREET, LLC Contact J

TEL. #: ADDRESS: N/A CITY: STATE: ZIP:

IV. ASBESTOS ABATEMENT CONTRACTOR NAME: #Error TEL. #: (718)961.4100 FEDERAL EMPLOYER IDENTIFICATION #:: PHI ADDRESS: 14.20 129 STREET CITY: COLLEGE POINT STATE: NY ZIP: 11356 VI. LABORATORY FOR SAMPLE ANALYSIS NAME: WKP LABORATORIES C/O WARREN & PANZER E NYS ELAP #: 11251 ASBESTOS W K SCHE9JLE (ft: DAY hZ EVENING WG NIGHT WL WEEKENDS tIG WEEKDAYS

INSPECTOR NAME: L- ETC * D ( SQUAD #: ( BADGE #:

DATE OF INSPECTION: ( / O-2' TIME OF INSPECTION: From: _ AM j, PM L 1 • 0V /G jC Contact at site: ✓l L 0 t- k' D%^'O CZ `CR I o To- AM PM

_Inspectio sclosed that the following sections were complied with: (Check all that apply) i I.51 Notifications, Reports, Pla U 1.71 • Air Sampling and Monitorin 91 • Worker Protection

1.101 - Materials and Equipment 1.116 - Work Place Preparation —Ir7 - Worker Decontamination System

1.118 - Waste Decontamination System Q 1.126 - Engineering Controls I 1T127 - Entry/Exit Procedures

Ei 1.129. Maintenance of Barriers O 1.138 - Encapsulation I 1.139. Enclosure

1.140 - Glovebag 1.141 'Tent 1.137 - ACM Disturbance, RemoveL, Handling L. J 1.146 -Preliminary Clean-up 1.147. Final Clean-up

Imo __ Project not started . Inspection revea d all ACM to be intact. New start date: / / Project ongoing, expected completion date:

I I Project completed on or about / / . All surfaces, including abated surfaces are free of visible ACM and encapsulat Follow up necessary on Samples taken: 1— ! No Yes 1 2 3 4 5 6 Photos taken: O Yes Nom Additional comments , -

RESULT CODE BORO 1 = MANHATTAN 2= BRONX 3 = BROOOKLYN 4= QUEENS 5 = STATEN ISLAND RESULT CODES I = VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3 = NO ACCESS 4= PROJECT NOT STARTED (NO NOV) 5 = PROJECT COMPLETED (NO NOV)

NYC-WTC 000108220

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NYC-WTC_000108220Source: NYC Law Department, mirrored locally

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