NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL FEET: 10006 0
ASBESTOS INSPECTION REPORT Basis of Inspection: i~ SF LF
roof 3,350 0
ONLY TYPEWRITTEN
TRU1790MNO2 roof 600 0
APPLICATIONS WILL BE
ACCEPTED
NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED I FEE EXEMPT: Yes all 6,056 I 0
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE 1. S0.00
OF START OF THE WORK (ABATEMENT ACTIVITIES)
START DATE: 10/26/2002 COMPLETION DATE: 11110/2002
I. FACILITY
ADDRESS: 14 WALL STREET BORO: MANHATTAN ZIP:
TYPE OFFACILITY: BLOCK: LOT:
II. BUILDING OWNER
NAME: W 12/14 WALL ACQUISITIONS
TEL. #:
ADDRESS: 12/14 CITY: STATE: ZIP:
IV. ASBESTOS ABATEMENT CONTRACTOR
NAME: TRIO ASBESTOS REMOVAL CORP
TEL. #: 17181 961-4100 FEDERAL EMPLOYER IDENTIFICATION # : P11
ADDRESS: 14-20 129TH STREET CITY: COLLEGE POINT STATE: NY ZIP: 11356
V. THIRD PARTY AIR MONITOR
NAME: WARREN & PANZER ENGINEERS, P.C.
TEL. #: (212) 922-0077
ADDRESS: 228 EAST 45TH STREET CITY: NEW YORK STATE: NY ZIP: 10017
VI. LABORATORY FOR SAMPLE ANALYSIS NAME: WKP LABORATORIES C/O WARREN & PANZER
NYS ELAP #: 11251
ASBESTOS WORK SCHEDULE ❑d DAY I EVENING ❑ NIGHT ❑ WEEKENDS WEEKDAYS
INSPECTOR NAME: SQUAD #: BADGE #:
DATE OF INSPECTION: TIME OF INSPECTION: From: AM PM
❑
Contact at site:
To: AM ~ PM
Inspection disclosed that the following sections were complied with: (Check all that apply)
1-51 - Notifications, Reports, Plan 1-71 - Air Sampling and Monitoring O 1-91 - Worker Protection
1-101 - Materials and Equipment 1-116 - Work Place Preparation 1-11 7 - Worker Decontamination System
1-118 - Waste Decontamination System 1-126 - Engineering Controls 1-127 - Entry/Exit Procedures
1-129 - Maintenance of Barriers 1-138 -Encapsulation 1-139 - Enclosure
1-140 - Glovebag a 1-141 - Tent 1-137 - ACM Disturbance, RemoveL, -Handling
1-146 - Preliminary Clean-up 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 encapsulate
Follow up necessary on
Samples taken: = No Yes 1 2 3
4 5 6 Photos taken: O Yes = No
Additional comments:
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
SUPERVISOR INITIALS
4 = PROJECT NOT STARTED (NO NOV) 5 = PROJECT COMPLETED (NO NOV) N
NYC-WTC 000112225
OCR can misread numbers and units. Confirm readings against the page image before using them.