NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL FEET: 7600 0
ASBESTOS INSPECTION REPORT Basis of Inspection: I FL SF LF
IRO 0
TRUI1$'rMN02
O PLICATIONSSTYEN FEE EXEMPT: Yes I( ~'
APPLICATIONS WILL BE NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED
ACCEPTED
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE 1. $0.00
OF START OF THE WORK (ABATEMENT ACTIVITIES)
START DATE: tc :/:'12002 COMPLETION DATE: '{'' 'V2002
1. FACILITY
ADDRESS: go W YJ' ireee. BORO: MANHATTAN ZIP:
TYPE OFFACILITY: BLOCK: LOT:
1I. BUILDING OWNER
NAME: N/A
TEL. I:
ADDRESS: N/A N/A N/A N/A CITY: NIA STATE: N/A ZIP: 11368
N. ASBESTOS ABATEMENT CONTRACTOR
NAME: TRIO ASBESTOS REMOVAL CORP
TEL. I: (718) 961-4100 FEDERAL EMPLOYER IDENTIFICATION I: P11
ADDRESS: 14-20 129TH STREET CITY: COLLEGE POINT STATE: NY ZIP: 11356
V. THIRD PARTY AIR MONITOR
NAME: WAREN & PANZER GROUP
TEL. I:
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 I: 11251
ASBESTOS WORK SCHEDULE I0 DAY EVENING ❑ NIGHT 9 WEEKENDS © WEEKDAYS
INSPECTOR NAME: SQUAD I: BADGE I:
DATE OF INSPECTION: / TIME OF INSPECTION: From: AM 0 PM ❑
To: AM PM
Contact at site:
Inspection disclosed that the following sections were complied with: (Check all that apply)
1-51 - Notifications, Reports, Plan 1-71 - Air Sampling and Monitoring = 1-91 - Worker Protection
1-117 - Worker Decontamination System
LI 1-101 - Materials and Equipment O 1-116 - Work Place Preparation ED
1-118- Waste Decontamination System O 1.126 - Engineering Controls O 1-127 - Entry/Exit Procedures
1.139 - Enclosure
El 1-129 - Maintenance of Barriers 1-138 - Encapsulation
1.137 -ACM Disturbance. RemoveL, handling
El 1-140 - Glovebag a 1-141 - Tent El
El 1-146 - Preliminary Clean-up 1-147 - Final Clean-up
. Inspection
El Project not started
revealed all ACM to be intact. New start date: /
C 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 a Yes 1 2 3
4 5 6 Photos taken: Yee = No
[=1
Additional comments: r P_.tIS 81
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II 7 RESULT CODE
BORO 1 - MANHATTAN 2 - BRONX 3 - BR000KLYN 4 = QUEENS 5 - STATEN ISLA D
RESULT CODES 1 - VIOLATION ISSUED 2 — NO VIOLATION ISSUED 3 - NO ACCESS SUPERVISOR INmALs
4 = PROJECT NOT STARTED (NO NOVA 5 - PROJECT COMPLETED (NO NOV)
NYC-WTC 000113491
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