Asbestos inspection report form, 130 Water Street

NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL FEET: 7600 0 ASBESTOS INSPECTION REPORT Basis of Inspection: FL sF LF

ONLYTYPEWR/1TEN TRU • _,MN02 RO 7,600 0

APPLJCATIONS WILL AE FEE EXEMPT: Yes NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBNn1E1 ACCEPTED TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE 1. $0.00 OF START OF THE WORK (ABATEMENT ACTIVITIES)

START DATE: J/.?12002 COMPLETION DATE: "tiV "/2002 s L FACILITY ADDRESS: 3D 1, t45/p - BORO: MANHATTAN ZIP: TYPE OFFACILITY: BLOCK: LOT: ( 1I. BUILDING OWNER NAME: N/A W PG (ZeJL~'/ TEL. is 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. 0: (718) 961-4100 FEDERAL EMPLOYER IDENTIFICATION / : L P11 ADDRESS: 14-20 129TH STREET CITY: COLLEGE POINT STATE: NY ZIP: 11356

V. THIRD PARTY AIR MONITOR NAME: WAREN & PANZER GROUP TEL. 0: 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 S: 11251

ASBESTOS WORK SCHEDULE R1 DAY I] EVENING ❑ NIGHT © WEEKENDS 0 WEEKDAYS INSPECTOR NAME: Lja' SQUADS: f BADGES: 1407g. DATE OF INSPECTION:10~2$jZ — /O,~j//c Z TIME OF INSPECTION: From: , AM PM

To: 4'3O/?- AM PM Contact at site:1Erey)eUS3 W OrnOc / R-cl R',A q Tt — 1 / . e.

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

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

1-118 - Waste Decontamination System [] 1-126 - Engineering Controls O 1-127 - Entry/Exit Procedures

1-129 - Maintenance of Barriers 1-138 - Encapsulation 1-139 - Enclosure [] 1-140 - Glovebag 1-141 - Tent O 1-137 -ACM Disturbance, RemoveL, 1-landling

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

Project not started . Inspection

revealed 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

Follow up necessary on / /

Samples taken: No fl Yes 1 2 3

4 5 6 Photos taken: Yes No u Additional comments: O 28 O2 & J. i mcv3L

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RESULT CODE IlORO 1 - MANHATTAN 2 - BRONX 3 - BROOOKLYN 4 = QUEENS 5 = STATEN ISLAND

RESULT CODES I = VIOLATION ISSUED 2 - NO VIOLATION ISSUED J— 3 = NO ACCESS sunEmn n wm.us 4 = PROJECT NOT . TARTI•D iNO NOV) zl - PROJECT COMPLETED INO NOVI

NYC-WTC 000113740