NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL FEET: 7600 0
ASBESTOS INSPECTION REPORT Basis of Inspection: FL I F LF
RO4 0
TRU :MNO27 Faca~19~375
ONLYTYPEWRIT7EN
APPL/CA"ON$ WILL QE' - FEE EXEMPT: Yes
NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED
ACCEPTED 1 • 10•00
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE
OF START OF THE WORK (ABATEMENT ACTIVITIES)
START DATE: 1) f 1.4,/2002 COMPLETION DATE: iii I i/2002
L FACILITY S
ADDRESS: — ' ` 3 rOusf Sfree BORO: MANHATTAN ZIP:
.43
TYPE OFFACILITY: BLOCK: LOT:
11. BUILDING OWNER
NAME: N/A
TEL. I:
ADDRESS: NIA 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 S : _ _ _ _ _ P11
ADDRESS: 14-20 129TH STREET CITY: COLLEGE POINT STATE: NY ZIP: 11356
V. THIRD PARTY AIR MONITOR
NAME: WAREN & PANZER GROUP
TEL. is
ADDRESS: 228 EAST 45TH STREET CITY: NEW YORK STATE: NY ZIP: 10017
V1. LABORATORY FOR SAMPLE ANALYSIS NAME: WKP LABORATORIES C/O WARRENS PANZER
NYS ELAP Y: 11251
ASBESTOS WORK SCHEDULE R DAY R EVENING 0 NIGHT R WEEKENDS R WEEKDAYS
INSPECTOR NAME: R. R6Y 77)7t,'7c2m SQUAD 9: J BADGE N: 4<:r7'
DATE OF INSPECTION:../ 02--- 1///q/)2 TIME OF INSPECTION: From: AM PM 0
To: AM PM
Contact at site: ye»P11S Ii)nnro C i+„ lhe.L .- ,s I_! l.- _ i_ , 4 n
Inspection disclosed that the following sections were complied with: (Check all that apply)
a 1-51 - Notifications, Reports, Plan ED 1.71 - Air Sampling end Monitoring 0 1-91 -Worker Protection
1-101 - Materials and Equipment El 1.116 - Work Place Preparation [11 1-117 - Worker Decontamination System
1-118 - Waste Decontamination System a 1-126 - Engineering Controls O 1.127 - Entry/Exit Procedures
a 1-129 - Maintenance of Barriers a 1-138 - Encapsulation O 1-139 - Enclosure
1-140 - Glovebag Ej 1-141 - Tent 1-137 -ACM Disturbance, RemovaL, -Handling
1-148 - Preliminary Clean-up 1-147 - Final Clean-up
a 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
!f
O Follow i t necessary on
Samples taken: No Yes 1 2 3
[I]
4 5 6 Photos taken: = Yea o No
Additional comments: ! ien k,s ct v J I ve cn t(e rr ph'f /'
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RESULT CODE
BORO I - MANHATTAN 2 - BRONX 3 - BROOOKLYN 4 - QUEENS 5 - STATEN ISLAND
RESULT CODES 1 - VIOLATION ISSUED 2 - NO VIOLATION ISSUED 3 - NO ACCESS s sos iNmALs
4 - PROJECT NOT STARTED (NO NOV)' b M ROJECT COMPLETED (NO NOV)
NYC-WTC 000118576
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