WTC Site Data Form for Building Inspection

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 - APPLICATIONS WILL BE OTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED I iN 1. $0.00 ACCEPTED ---- TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE [1 Variance OF START OF THE WORK (ABATEMENT ACTIVITIES) START DATE: 6/20/02 PROJ. COMPLETION DATE: 6/30/02 I. 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. #: (718)961.4100 FEDERAL EMPLOYER IDENTIFICATION #: P11 ADDRESS: 14.20 129 STREET CITY: COLLEGE P01NT STATE: NY ZIP: 11356 VI, LABORATOR)' FOR SAMPLE ANALYSIS NAME: WKP LABORATORIES C/O WARREN & PANZER E NYS ELAP #: 11251 ASBESTOS WORK SCHE ULE R DAY 1 EVENING eC NIGHT nG WEEKENDS R WEEKDAYS i c Ir A*%. INSPECTOR NAME: C V "I SQUAD #: -- ]— — BADGE #: DATE OF INSPECTION: / ,)6L TIME OF INSPECTION: From: AM PM To: ~` — AM L i PM, ,J Contact at site: jif1JW 0 L Kb t~ t G Z # p f ---- -------------- ----------- ---------- --- ------- lnspec p..dtfclosed that the following sections were complied with: (Check all that apply) Notifications, Reports, Pla 1-71 - Air Sampling and Monitorin ' Worker Protection 1-101 _Materials and Equipment U 1116 -Work Place Preparation (J 1-117 -Worker Decontamination System { L.J 1.118- Waste Decontamination System 1_126 -Engineering Controls 1 127_Entry/Exit Procedures I 1.129 Maintenance of Barriers ~~ 1-138- Encapsulation F- 1, 1-139- Enclosure JI i ! 1-140- Glovebag 1.141 - Tent i.137_-ACM Disturbance, RemoveL, Handling 1-146- Preliminary Clean-up [iii 1-147 - Final Clean-up Project not started Inspection revealed all ACM to be intact. New start date: / / ---- -- _ j 1 Project ongoing, expected completion date: / / —J ! Project completed on or about / / . All surfaces, including abated surfaces are free of visible ACM and encapsulat t Follow up necessary on / / Samples taken: No I Yes 1 2 3 5 6 Photos taken: Yes j— No El Additional comments: ro4.4t.4 tM U.eA.k _ ---- -- - --------- i fi e- _i~ _ ,,-.."' ! ---- - ---"' ' ~"•~'

BORO 1 = MANHATTAN 2 = BRONX RESULT 3 = BR000KLYN 4 = QUEENS 5 = STATEN ISLAND RESULT CODES 1 = VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3 = NO ACCESS L —~ i SUPERVI MIT 4 = PROJECT NOT STARTED (NO NOV) 5 = PROJECT COMPLETED (NO NOV) _ __

NYC-WTC 000108288