NYC 9/11 Public Portal Document
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TOTAL FEET: 7600 0
/, . NYC DEPARTMENT OF ENVIRONMENTAL
PROTECTION
ASBESTOS INSPECTION REPORT Basis of Inspection: I FL
TRU17SJMN02
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ONLY TYPEWRITTEN FEE EXEMPT: Yes (~ ~
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BE SUBMITTED
APPLICATIONS WILL BE NOTE: ASBESTOS INSPECTION REPORT SHALL
ACCEPTED ADVANCE 1. 00.00
I TO NYC DEP NOT LESS THAN ONE WEEK IN
OF START OF THE WORK (ABATEMENT ACTIVITIES)
`_/2002
START DATE: 10/22/2002 COMPLETION DATE:
L FACILITY F _ `- BORO: MANHATTAN ZIP:
ADDRESS: (/( c1 Vf:FnpTa-1
_+ Sh'ee
BLOCK: LOT:
TYPE OFFACILITY:
II. BUILDING OWNER
/J l
NAME: N/A Z(/Y / J .C
TEL. #:
N/A STATE: NIA ZIP: 11368
ADDRESS: N/A N/A N/A N/A CITY:
CONTRACTOR
IV. ASBESTOS ABATEMENT
NAME: TRIO ASBESTOS REMOVAL CORP
IDENTIFICATION/ - --------------------------------------
TEL. 8: (718)961-4100 FEDERAL EMPLOYER
CITY: COLLEGE POINT STATE: NY ZIP: 11356
ADDRESS: 14-20 129TH STREET
V. THIRD PARTY AIR MONITOR
NAME: WAREN & PANZER GROUP
TEL. #:
CITY: NEW YORK STATE: NY ZIP: 10017
ADDRESS: 228 EAST 45TH STREET
NAME: WKP LABORATORIES C/O WARREN & PANZER
VI. LABORATORY FOR SAMPLE ANALYSIS
NYS ELAP X: 11251
0 WEEKDAYS
ASBESTOS WORK SCHEDULE 0 DAY 0 EVENING ❑ NIGHT 0 WEEKENDS
SQUAD /: BADGE N: ~7F
INSPECTOR NAME: J ° RQ rn rr _1.O Ilr47 J—
DATE OF INSPECTION: /f/'.28/7.2 - /// LTIME OF INSPECTION: From: AM ® PM
To: 5~~ p 7 7 AM PM
Contact at site' ~CLV) IA~OII~WfC - p/Ktri.Ll HOB
Inspection disclosed that the following sections were complied with: (Check all that apply)
1-71 - Air Sampling and Monitoring 1-91 - Worker Protection
1-51 -Notifications, Reports, Plan
1-101 - Materials and Equipment 1.116 - Work Place Preparation 1-117 - Worker Decontamination System
1-126 - Engineering Controls fl 1-127 - Entry/Exit Procedures
1-118 - Waste Decontamination System O
1-129 - Maintenance of Barriers 1-138 - Encapsulation 1.139 - Enclosure
1-141 - Tent ix 1-137 - ACM Disturbance, RemoveL, .Handling
1-140 - Glovebag
1-146 - Preliminary Clean-up 1.147 - Final Clean-up
. Inspection
Project not started
revealed ell ACM to be intact. Now start date: /
Project ongoing. expected completion date:
visible ACM and encapsulate
/ . All surfaces, including abated surfaces are free of
a Project completed on or about:
O Follow up necessary on /
2 3
Samples taken: No O Yes 1
6 Photos taken: Yes No
4 5 El 1z
Additional comments: jO/2../O2- QM WO kOW/C r I. -n a"
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Y - -- I RESULT CODE
3 = BROOOKLYN 4 = QUEENS 5 STATEN ISLAND
BORO I = MANHATTAN 2 - BRONX
2 = NO VIOLATION ISSUED 3 = NO ACCESS stwERVISOR aim
RESULT CODES 1 = VIOLATION ISSUED
4 - PROJECT NOT STARTED (NO NOVI 6 = PROJECT COMPLETED (NO NOVI (~P
NYC-WTC 000113490
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