WTC building inspection form, 50 Broadway

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT

PREMISE NO. /" S REET INSP CTIO DATE 7 2~s o z FLOOR ZIP BORO CODE BLOCK LOT SQUAD' GE u

T I s~ IN 4 BLD J g. BASIS OF INSPECT 1jL4 I `93/ ,t/ > PHOTOS TAKEN NO

CONTRACTORS NAME SAMPLE NO

ADDRESS CITY t_ SAMPLE NO. ti q l1 ' STATE ) ZIP /r PHONE SAMPLE NO 1. 1

LABORATORY NAME OWNERS NAME iji Gv~j — r 01n ADDRESS ITY ADDRESS CITY

STATE ZIP PHONE STATE ZIP PHONE

CONTACT PERSON. TIME OF INSPECTION FROM.g TO ,xnit~

Inspection disclosed that the following Requirements, Specifications, and rocedures were complied with . Section 1-51 Notifications, Reports, Plans, and Fees Section 1-71 Air Sampling, Monitoring, and Analysis ❑ Section 1-91 Worker Protection ❑ Section 1-101 Materials and Equipment ,'--Section 1-116 Work Place Preparation 0 Section 1.117 Worker Decontamination Enclosure System ❑ Section 1-118 Waste Decontamination Enclosure System 0 Section 1-126 Engineering Controls ❑ Section 1-127 Entry/Exit ❑ Section 1-128 Equipment, Waste Decontamination & Removal - ❑ Section 1-129 Maintenance of Decontamination System & Barriers Section 1-137 ACM Disturbance, Handling, & Removal ❑ Section 1-138 Encapsulation 0 Section 1-139 Enclosure ❑ Section 1-140 Glovebag ❑ Section 1-141 Tent ^ rninary Clean Up ❑ Section 1-147 Final Clean Up ❑ Project ongoing, expected completion date I ❑ Project completed on or about f All surfaces, including abated surfaces are free of visible ACM debris and Encapsulated ❑ No Accesa Premise 0 Locked, No response to bell or knocks ❑ Abandoned ❑ Inspection based on complaint, no ACM being disturbed or present 0 Variance Inspection-Approved/Disapproved. Section (s) ❑ Follow Up Necessary Contact person at the site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Additional Comments

Ci' p"x V •~ V:~ W tG LA

NOV N INFRACTIONS

jjj J RESULT CODE

NOV I I I SUPERytSORS INITIALS

BORO t - MANHATTAN 2 • BRONX 3 • BROOKLYN 4 - QUEENS CHMOND BLDG TYPE A > 6 Stones 8 < 6 Stones C Single Family D School E Hospital F Public Owned Property RESULT CODES 1 = Violation Issued 2 • No Violations Issued 3 = No Access 4 = Protect not Started 'No NOVI 5 = Protect Completed rNc NOVA ACP 30:32

NYC-WTC 000118193