NYC 9/11 Public Portal Document
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TOTAL FEET: 1500 0
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Basis of Inspection:
_
ASBESTOS INSPECTION REPORT i TRU0954MN02
ONLY TYPEWRITTEN
FEE EXEMPT: Yes
APPLICATIONS WILL BE NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED I 1. $0.00
ACCEPTED
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE ( Variance
OF START OF THE WORK (ABATEMENT ACTIVITIES)
START DATE: 6/29/02 PROJ. COMPLETION DATE: 8/31/02
1. FACILITY
ADDRESS: 114 CHAMBERS STREET BORO: MANHATTAN ZIP: 10007
TYPE OFFACILITY: BLOCK: 136 LOT: 25
IL BUILDING OWNER
NAME: SI JEI MEI INC Contact prince ma
TEL. #: (212)267.1184 —
ADDRESS: 61 bowery street CITY: ny STATE: ny ZIP: 10013
IV. ASBESTOS ABATEMENT CONTRACTOR
NAME: FIBER CONTROL INC.
------------------- -
TEL. #: (516) 781.3000 FEDERAL EMPLOYER IDENTIFICATION N: P11
ADDRESS: 3010 BURNS AVE -
CITY: WANTAGH STATE: NY ZIP: 11793
VI. LABORATORY FOR SAMPLE ANALYSIS NAME: SCIENTIFIC LABORATORIES INC • NEW YORK CI
NYS ELAP #: 11480
ASBESTOS WORK SCHEDULE DAY .J EVENING NIGHT .-WEEKENDS Li WEEKDAYS
INSPECTOR NAME: - j c SQUAD #:I BADGE #: 4_cs Cc
DATE OF INSPECTION: (t' /
~ Z cj /OL.TIME 0 INSPECTION: From: AM
AM PM
Contact at site: prince ma
Inspection disclosed that the following sections were complied with: (Check all that apply)
1.51 - Notifications, Reports, Pla 1.71 - Air Sampling and Monitorin 1-91 - Worker Protection
1.101 - Materials and Equipment 1-116 -Work Place Preparation 1.117 -Worker Decontamination System
1-118 - Waste Decontamination System 1-126 - Engineering Controls 1-127 - Entry/Exit Procedures
1.129 - Maintenance of Barriers 1.138 • Encapsulation 1-139 - Enclosure
1.140 - Glovebag 1.141 - Tent ! 1.137 - ACM Disturbance, RemoveL, Handling
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 encapsulat
Follow up necessary on / /
Samples taken: No Yes 1 2 3
4 5 6 Photos taken: Yes No
Additional comments:
c —
Q— cAL
-- - 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
SUPERVISO I ITIALS
4 = PROJECT NOT STARTED (NO NOV) 5 = PROJECT COMPLETED (NO NOV)
NYC-WTC 000121816
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