NYC 9/11 Public Portal Document
NYC DEPARTMENT OF'ENVIIfONMENTAL PROTECTION TOTAL FEET: 7600 0
ASBESTOS INSPECTION REPORT Basis of Inspection: I FL s j LF
TRUIS661 NO2
RO o
ONLYTYPEWRRIEN
FEE EXEMPT: Yes 7
APPUCA77ONS WIL1i!E
ACCEPTED
I
NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE
/3,
i
I 1. *0.00
OF START OF THE WORK (ABATEMENT ACTIVITIES)
START DATE: d'!',420O2 COMPLETION DATE: 4". ')/2002
1. FACILITY /~~
ADDRESS: Lf Fj 2C/ .:SOY BORO: MANHATTAN ZIP:
TYPE OFFACILITY: BLOCK: LOT:
II. BUILDING OWNER
I
NAME: N/A (l/ W i Y7 oCl e.4
TEL. s:
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 # : l 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 RDAY © EVENING ❑ NIGHT WEEKENDS ® WEEKDAYS
INSPECTOR NAME: R• /(Col yr) yyjc /[can SQUAD is f BADGE #: 14 &-.
DATE OF INSPECTION: ///OB/02-. — //// TIME OF INSPECTION: From: S - Clu1 AM PM
To: AM PM
Contact at site:J e,)eUS;j, W07tLc' - a L - ct L't- -
Inspection disclosed that the following sections were complied with: (Check all that apply)
1-51 - Notifications, Reports, Plan 1-71 - Air Sampling and Monitoring El 1.91 -Worker Protection
[jr] 1-101 - Materials and Equipment 1-116 - Work Place Preparation 1.117. Worker Decontamination System
1-118 - Waste Decontamination System El 1.126. Engineering Controls El 1-127 - Entry/Exit Procedures
O 1-129 - Maintenance of Barriers a 1.138. Encapsulation O 1-139 - Enclosure
El 1-140 - Glovebag a 1-141 - Tent O 1-137 - ACM Disturbance, RemoveL, -Handling
El 1-146 - Preliminary Clean-up El 1.147 -Final Clean-up
Project not started . Inspection
revealed all ACM to be intact. New start date: /
El Project ongoing, expected completion date: /
a Project completed on or about: / . All surfaces, including abated surfaces are free of visible ACM and encapsulate
El Follow up necessary on / /
Samples taken: No LI Yes 1 2 3
4 5 6 Photos taken: El Yes ' No
Additional comments: 6 // decd /,~~
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BORO 1 = MANHATTAN 2 - BRONX 3 = BROOOKLYN 4 = QUEEN$ 5 - STATEN ISLAND
RESULT CODES I - VIOLATION ISSUED 2 - NO VIOLATION ISSUED 3 - NO ACCESS
Supt os uNmals
4 - PROJECT NOT STARTED %NO NOV) 5 = PROJECT COMPLETED (NO NOV) (a Q1
NYC-WTC 000118549
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