WTC Site Data Form for Building Inspection

NYC 9/11 Public Portal Document

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TOTAL FEET: 40805 0

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

START DATE: 6/20/02 PROJ. 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

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

IV. ASBESTOS ABATEMENT CONTRACTOR NAME: #Error TEL. #: (798)961.4100 FEDERAL EMPLOYER IDENTIFICATION U: P 11 ADDRESS: 14-20 129 STREET CITY: COLLEGE POINT STATE: NY ZIP: 11356 VI. LABORATORY FOR SAMPLE ANALYSIS NAME: WKP LABORATORIES C/0 WARREN & PANZER E NYS ELAP #: 11251

ASBESTOS WK SCHEEjJLE W DAY S EVENING GG NIGHT Wl WEEKENDS tlG WEEKDAYS

INSPECTOR NAME: '' SQUAD #: t BADGE #:

DATE OF INSPECTION: ( / . OZ ' TIME OF INSPECTION: From: _ AM ) " PM Liii 1 , ` To: 1 • Oy AM ~L I~PM Contact at site: ✓ W 0 L k' D~ L Z * `C9 ( q

Inspection sclosed that the following sections werecomplied with: (Check all that apply) 1-51 - Notifications, Reports, Pla U'l 1.71 • Air Sampling and Monitorin 91 • Worker Protection

1.101 • Materials and Equipment O 1.116 - Work Place Preparation , • 17 - Worker Decontamination System

1.118 -Waste Decontamination System O 1.126 - Engineering Controls T127 • Entry/Exit Procedures u 1-129- Maintenance of Barriers O 1.138 - Encapsulation C 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

rev jedaIIACMtobeintact. New start date: Project ongoing, expected completion date:

L .JProiect completed on or about / / . All surfaces, including abated surfaces are free of visible ACM and encapsulat

ET Follow up necessary on Samples taken: [Ii No !` ii Yes 1 2 3

4 5 6 Photos taken: O Yes Lii No

Additional com~ments_ f_ a~ }

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

NYC-WTC 000108285