NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL FEET: 7800 0
• ASBESTOS INSPECTION REPORT Basis of Inspection: FLjjLii~ ._ Q
ONLY TYPEWRIYTEX
TRUG$laflr1t~,~ RD
APPLIGITIONS WIDE FEE EXEMPT: Yes ~,j r Q,. - 7
NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED
ACCEPTED
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE 1. *0.00
START OF THE WORK (ABATEMENT ACTIVITIES)
START DATE: , /2002 COMPLETION DATE: 4.. x2002
L FACILITY
ADDRESS: 4/ 4ex . ' BORO: MANHATTAN ZIP:
TYPE OFFACILITY: BLOCK: LOT:
II. BUILDING OWNER
NAME: N/A (/°CtSlW i t tc C S'
TEL. 0:
ADDRESS: NIA N/A N/A N/A CITY: N/A STATE: N/A ZIP: 11368
N. ASBESTOS ABATEMENT CONTRACTOR
NAME: TRIO ASBESTOS REMOVAL CORP
TEL. 8: (718) 961-4100 FEDERAL EMPLOYER IDENTIFICATIONS: 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 S: 11251
ASBESTOS WORK SCHEDULE W DAY ® EVENING ❑ NIGHT (] WEEKENDS ® WEEKDAYS
INSPECTOR NAME: _ cwiz SQUADS: / BADGE 5: !
DATE OF INSPECTION: 11 /O — i21 pZ.TIME OF INSPECTION: From: a'. AM PM
To: gc„ . AM PM
Contact at site: -,`Ly~Cn [1
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Inspection disclosed that the following sections were complied with: (Check all that apply)
O 1-51 - Notifications, Reports, Plan 1-71 - Air Sampling and Monitoring
[1] 1.91 - Worker Protection
1-101 - Materials and Equipment 1-116 - Work Place Preparation n 1-117 - Worker Decontamination System
L l
1.118 - Waste Decontamination System a 1-126 - Engineering Controls 1-127 - Entry/Exit Procedures
O 1-129 - Maintenance of Barriers 1-138 - Encapsulation 1.139 - Enclosure
1-140 - Glovebag O 1-141 -Tent 1-137 - ACM Disturbance, Removal, -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:
fl 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 / l
Samples taken: ' No Yes 1 2 3
4 5 6 Photos taken: Yes No
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BORO 1 = MANHATTAN 2 = BRONX 3 = BROOOKLYN 4 = QUEENS 5 e STATEN ISLAND
RESULT CODES 1s VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3 = NO ACCESS
SUPERVISOR armus
4 = PROJECT NOT ST)H FED END NOV) 5 = PROJECT COMPLETED (NO NOV) r
NYC-WTC 000118562
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