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: FL SF _ __-LF
TRU _MN02 RD 7,600 0
ONLY7YPEWR/ITEN ~
APPLICATIONS WILL BE FEE EXEMPT: Yee
NOTE; ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED
ACCEPTED 1. 00•00
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE
OF START OF THE WORK (ABATEMENT ACTIVITIES)
START DATE: CS 5/?12002 COMPLETION DATE: y'. /2002
L FACILITY
ADDRESS: J 30 (4 Y ,HIV BDRO: MANHATTAN ZIP:
TYPE OFFACILITY: BLOCK: LOT:
II. BUILDING OWNER
NAME: N/A WPC &0ajA
TEL. #:
ADDRESS: N/A N/A N/A N/A CITY: N/A STATE: N/A ZIP: 11368
IV. ASBESTOS ABATEMENT CONTRACTOR
NAME: TRIO ASBESTOS REMOVAL CORP
TEL. /: (718) 961-4100 FEDERAL EMPLOYER IDENTIFICATION 1: PII
ADDRESS: 14-20 129TH STREET CITY: COLLEGE POINT STATE: NY ZIP: 11358
V. THIRD PARTY AIR MONITOR
NAME: WAREN & PANZER GROUP
TEL r:
ADDRESS: 228 EAST 45TH STREET CITY: NEW YORK STATE: NY ZIP: 10017
VI. LABORATORY FOR SAMPLE ANALYSIS NAME: WKP LABORATORIES CIO WARREN & PANZER
NYS ELAP F: 11251
ASBESTOS WORK SCHEDULE 0 DAY 9 EVENING ❑ NIGHT 0 WEEKENDS ® WEEKDAYS
INSPECTOR NAME: Q. R NiryrLOlGM SQUAD r: / BADGE ar: ,4o7g •
DATE OF INSPECTION: f0~28fi,L — TIME OF INSPECTION: From: AMfl PM
To: , 3p . AM PM ❑
Contact at site: 'rerle uc wDIVIkJC I RU 2 4 r~'..,.. i /
Inspection disclosed that the following sections were complied with: (Check all that apply)
1.51 - Notifications, Reports, Plan El 1-71 - Air Sampling end Monitoring El 1-91 - Worker Protection
0 1-101 - Materials and Equipment El 1-116 - Work Place Preparation [1 1-117 - Worker Decontamination System
1-118 - Waste Decontamination System El 1-126 - Engineering Controls fl 1-127-Entry/Exit Procedures
El 1-129 - Maintenance of Barriers 1-138 - Encapsulation [] 1-139 - Enclosure
El 1-140 - Glovebag El 1-141 -Tent a 1-137 - ACM Disturbance, RemoveL, -Handling
El 1-146 - Preliminary Clean-up El 1-147 - Final Clean-up
El Project not started . Inspection
revealed all ACM to be intact. New start date: /
El Project ongoing, expected completion date:
El Project completed on or about: / . All surfaces, including abated surfaces are free of visible ACM and encapsulate
O Follow up necessary on / /
Samples taken: No El Yes 1 2 3
4 5 6 Photos taken: LI] Yes No
Additional comments: .
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RESULT CODE
DORO 1 = MANHATTAN 2 = BRONX 3 = BROOOKLYN 4 = QUEENS 5 = STATEN ISLAND
RESULT CODES 1 = VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3 = NO ACCESS SUPEFFk INMALS
4 = PROJECT NOT STARTED (NO NOVI 5 = PROJECT COMPLETED (NO NOV)
NYC-WTC 000113702
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