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Asbestos inspection report form, 90 Washington Street, Oct 2002

Machine-extracted title · confidence 100%

Form documenting an asbestos inspection at the facility with a start date of October 4, 2002.

NYC-WTC_000113540–000113541

Folder label: “90 WASHINGTON STREET; 1000793, 17/29

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Scanned page image, NYC-WTC_000113540
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NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL FEET: 7600 0 ASBESTOS INSPECTION REPORT Basis of Inspection: FL sF LF TRU/7 MN02 IRO I t) ONLY rrPEwRifTEN APPUCAI1ONS WILL BE NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED1 FEE EXEMPT: Yes it, ACCEPTED TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE 1. $0.00 OF START OF THE WORK (ABATEMENT ACTIVITIES)

START DATE: 10 j2$'/2002 COMPLETION DATE: /20O2

1. FACILITY ADDRESS: C1Q t/JaX-1%Cr; uN - BORO: MANHATTAN ZIP:

TYPE OFFACILITY: BLOCK: LOT:

II. BUILDING OWNER /J ~^ NAME: N/A Zyr Re -J ,. J . c. { TEL. #: ADDRESS: N/A N/A N/A N/A CITY: N/A STATE: N/A ZIP: 11368

N. ASBESTOS ABATEMENT CONTRACTOR NAME: TRIO ASBESTOS REMOVAL CORP ._._._._ ._._._. TEL. #: (718) 961-4100 FEDERAL EMPLOYER IDENTIFICATION t: [ P11 ADDRESS: 14-20 129TH STREET CITY: COLLEGE POINT STATE: NY ZIP: 11356

V. THIRD PARTY AIR MONITOR NAME: WAREN & PANZER GROUP TEL. #: 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 DAY 9 EVENING ❑ NIGHT 0 WEEKENDS W WEEKDAYS

INSPECTOR NAME: R o RO,Jy )3Yl ohaY7 SQUAD I: /— BADGE #: ,4'o7& DATE OF INSPECTION: /0/.28~D2 — /~~057 02_TIME OF INSPECTION: From: AM ® PM

To: 5p7'7 AM PM Contact at site: Jan WofkQu /)--,J/a , ,,,/A4.', ,, nL h_,,,, Iii, ' Inspection disclosed that the following sections were complied with: (Check all that apply) Ej 1-51 - Notifications, Reports, Plan J j 1-71 - Air Sampling and Monitoring) 1-91 - Worker Protection

Ej 1-101 - Materials and Equipment J0 1-116 - Work Place Preparation 1-117 - Worker Decontamination System

L] 1-118 - Waste Decontamination System ED 1-126 - Engineering Controls EJ 1-127 - Entry/Exit Procedures

1-129 - Maintenance of Barriers 1-138 - Encapsulation E] 1-139 - Enclosure

1-140 - Glovebag 1-141 - Tent 1-137 - ACM Disturbance, RemoveL, -Handling

1-146 - Preliminary Clean-up 1-147 - Final Clean-up

a Project not started - Inspection

revealed all ACM to be intact. New start date: /

Project ongoing, expected completion date: /

O 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: = Yes No [ J Additional comments: IO .2 OZ M-aN Lwl wof t<OLrl/C //. 4r a.

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3 oZ t4 a YI.P~vs Ce l 'r ofoi Ica rev 6~ 1 12

RESULT CODE BORO I = MANHATTAN 2 — BRONX 3 = BR OOKLYN 4 = QUEENS 5 = STATEN ISLAND 5- RESULT CODES 1 = VIOLATION ISSUED 2 — NO VIOLATION ISSUED 3 = NO ACCESS SUPERVISOR INITIALS 4 = PROJECT NOT STARTED (NO NOV) 5 - PROJECT COMPLEIED (NO NOV) 1`

NYC-WTC 000113540

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NYC-WTC_000113540Source: NYC Law Department, mirrored locally

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