NYC 9/11 Public Portal Document
` Inspec ion disclosed that the following sections were complied with: (Check all that apply)
I-51 - Notifications, Reports, Plan a 1-71 - Air Sampling and Monitoring a 1-91 - Worker Protection
1-101 - Materials and Equipment EJ 1-116 - Work Place Preparation Ll 1-117 - Worker Decontamination System
1f
~~ -118 - Waste Decontamination System El 1-126 - Engineering Controls [iii 1-127 - Entry/Exit Procedures
ii -129 - Maintenance of Barriers LII 1-138 - Encapsulation EI 1-139 - Enclosure
[ii -140 - Glovebag Liii 1-141 - Tent n 1-137 - ACM Disturbance, RemoveL, Handling
-146 - Preliminary Clean-up a 1-147 - Final Clean-up
'roject not started . Inspection
evealed 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
- 1—
Follow up necessary on
Sampl ;s taken; No Yes 1 2 3
5 6 Photos taken: } Yes No
u
4 -
Additic nal comments /Yla a..,~ cY ~~!'
--
rf (d.2 O tt 4/0 _ 7_
l w«. s , Est lµ
l / ..L s' -.- l~L. ~ r s~
m . crv_ __ —
RESULT CODE
1 = MANHATTAN 2 = BRONX 3 = BROOOKLYN 4 = QUEENS 5 = STATEN ISLAND
5-
RESULT ODES 1 = VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3 = NO ACCESS
SUPERVISOR INITIALS
4 = PROJECT NOT STARTED (NO NOV) 5 = PROJECT COMPLETED (NO NOV) QQ
NYC-WTC 000112489
OCR can misread numbers and units. Confirm readings against the page image before using them.