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 ONLYTYPEWRITEN APPLICATIONS WILL BE OTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED iN 1. $0.00 ACCEPTED TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE [j 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 I1. 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 POINT STATE: -NY ZIP: 11356 VI. LABORATORY FOR SAMPLE ANALYSIS NAME: WKP LABORATORIES C/O WARREN & PANZER E NYS ELAP #: 11251 ASBESTOS WORK R DAY W, EVENING eG NIGHT nG WEEKENDS R WEEKDAYS INSPECTOR NAME: SCHEtLnrr C EFw1f;'DI A'Rli SQUAD #: BADGE #: DATE OF INSPECTION: TIME OF INSPECTION: From: AM PM To: —I '~— AM L I PM, .J Contact at site:SA'J 0 L l •~~~ G Z 8 V9 (

Inspecti closed that the following sections were complied with: (Check all that apply) 1.51• Notifications, Reports, Pla r i l 1.71 • Air Sampling and Monitorin [ Worker Protection 1.101 - Materials and Equipment J 1.116. Work Place Preparation j L J 1-117- Worker Decontamination System 1 1.118 - Waste Decontamination System fI t] 1.126 • Engineering Controls 1127 • Entry/Exit Procedures 1.129 -Maintenance of Barriers 1.138 • Encapsulation 1.139. Enclosure 1.140 • Glovebag 1.141 - Tent J 1.137 - ACM Disturbance, RemoveL. Handling 1.146 - Preliminary Clean-up (J 1.147 • Final Clean-up Project not started Inspection -- - --- — --.. -- — — revealed all ACM to be intact. New start date: / / -- -- j — Project ongoing, expected completion date: / / — --J I i Project completed on or about / / . All surfaces, including abated surfaces are free of visible ACM and encapsulat' r ] Follow up necessary on / / Samples taken: t No I ] Yes 1 2 3 4 5 6 - photos taken: Yes j No EI Additional comments: tM ~ •tom ~~ r~ 4

-i , - --4 t _ _ 1

BORO 1 = MANHATTAN 2 = BRONX 3 = BROOOKLYN 4 = QUEENS l aEsuu 5 = STATEN ISLAND RESULT CODES 1 = VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3 = NO ACCESS i_ • I SUPERVI MITI -

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

NYC-WTC 000108288