NYC 9/11 Public Portal Document
Inspection disclosed that the following sections were complied with: (Check all that apply)
E] 1-51 - Notifications, Reports, Plan a 1-71 - Air Sampling and Monitoring a 1-91 - Worker Protection
0 1-101 - Materials and Equipment LI 1-116 - Work Place Preparation 1-117 - Worker Decontamination System
1-118 - Waste Decontamination System [ 1-126 - Engineering Controls 1-127 - Entry/Exit Procedures
u
E] 1-129 - Maintenance of Barriers 1-138 - Encapsulation El 1-139 - Enclosure
U
El 1-140 - Glovebag 1-141 - Tent 1-137 - ACM Disturbance, RemoveL, Handling
1-146 - Preliminary Clean-up 1-147 - Final Clean-up
[II
El 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
ElI]
LII Follow up necessary on
Samples taken: No [J Yes 1 2 3
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4 5 6 Photos taken: Yes El No
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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)
NYC-WTC 000112433
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