WTC Site Data Form for Building Inspection

NYC 9/11 Public Portal Document

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TOTAL FEET: 40805 0

NYC ^EP" TMF.NT OF ENVIRONMENTAL PROTECTION Basis of Inspection: ASBESTOS INSPECTION REPORT Lr- TRU0929MN02 FEE EXEMPT: Yes ONLY TYPEWRITTEN 1 • $0.00 APPLICATIONS WILL BE NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED 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

II. BUILDING OWNER NAME: 120 LIBERTY STREET, LLC Contact I

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

IV. ASBESTOS ABATEMENT CONTRACTOR NAME: #Error - - TEL. #: (718)961.4100 FEDERAL EMPLOYER IDENTIFICATION N: P11 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 WORK SCHEDULE hC DAY bL EVENING EG NIGHT Fe WEEKENDS F WEEKDAYS INSPECTOR NAME: (A ac.. I~a1C14wC!St~rl'- SQUAD #: 1 BADGE #:

DATE OF INSPECTION: / o -4 TIME OF INSPECTION: From: 6 AM PM

c+~ (~ To: AM PM Contact at site: ut ~a►w.ltav — `\ ~w

Inspection disclosed that the following sections were complied with: (Check all that apply) 51 • Notifications, Reports, Pla 1.71 - Air Sampling and Monitorin 1.91 - Worker Protection

1.101 - Materials and Equipment 1-116 -Work Place Preparation 1-117. Worker Decontamination System

!11.118 -Waste Decontamination System 11.126 - Engineering Controls 1.127 - Entry/Exit Procedures

TI -129 - Maintenance of Barriers 1.138 • Encapsulation 1.139 - Enclosure

1.140 - Glovebag 1.141 -Tent C. .4137 - ACM Disturbance, RemoveL, Handling

1.146 - Preliminary Clean-up Cf 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

U Follow up necessary on /-- /

Samples taken: iZ No n Yes 1 2 3

4 5 6 Photos taken: Ej Yes No

f Additional comments: y4 t4py4•e4~tr t ttf t! tibt~~ 1(► tio.6 W N cGc~'1

r•' I l ip, ia....-t, i~,c.,r,E I } ~~w.- "~ ✓4 or b t,k~ C eo+~...• t~ sus

1, cw. 'w~r~~... • Mia, ,. I.~.a r,

RESULt COOL BORO 1 = MANHATTAN 2 = BRONX 3 = BROOOKLYN 4 = QUEENS 5 = STATEN ISLAND RESULT CODES 1 = VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3 = NO ACCESS SUPS oR I —~ 4= PROJECT NOT STARTED (NO NOV) 5= PROJECT COMPLETED (NO NOV)

NYC-WTC 000108287