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WTC exterior inspection form for 112-114 Chambers Street

Machine-extracted title · confidence 100%

Inspection record documenting facade and roof assessments for hazardous materials at the specified Chambers Street location.

NYC-WTC_000121859–000121874

Folder label: “114 CHAMBERS ST 1079160, 136/25

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Scanned page image, NYC-WTC_000121860
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NYC 9/11 Public Portal Document

TOTAL FEET: 1500 0 NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Basis of Inspection: ASBESTOS INSPECTION REPORT TRU0954MN02 ONLY rYPEWRMrffN FEE EXEMPT: Yes APPUCAT1ONs KILL 6E NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED ACCEPTED 1. $0.00 TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE OF START OF THE WORK (ABATEMENT ACTIVITIES) ❑ Variance 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 — II. BUILDING OWNER NAME: SI JEI MEI INC Contact Jprince ma I TEL. #: (212) 267.1184 ADDRESS: 61 bowery street CITY: fly STATE: ny ZIP: 10013 IV. ASBESTOS ABATEMENT CONTRACTOR NAME: FIBER CONTROL INC. TEL. #: (516) 781.3000 FEDERAL EMPLOYER IDENTIFICATION #: 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 L DAY Li EVENING L-_'' NIGHT CJ WEEKENDS ❑ WEEKDAYS INSPECTOR NAME: . Q SQUAD #: BADGE #: DATE OF INSPECTION: / 2 /O.TIME 0 INSPECTION: From: 5O AM I PM

Contact at site: prince ma To: 1 "0 AM _ J PM

Inspection disclosed that the following sections were complied with: (Check all that apply) 1.51 Notifications, Reports Pla 1.71 • Air Sampling and Monitorin f - 1 1.91 • Worker Protection Li 1.101 •Materials and Equipment 1 116 - Work Place Preparation 1.117 •Worker Decontamination System 1.118 • Waste Decontamination System L._ j 1 126 - Engineering Controls L 1 127 Entry/Exit Procedures 1.129 • Maintenance of Barriers L 1.138 • Encapsulation r 1.139 -Enclosure 1.140 Glovebag 1.141 •Tent C 1.137 • ACM Disturbance, RemoveL, Handling 1.146 • Preliminary Clean-uP ~~ 1.147 •Final Clean up i 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 epcapsulat I Follow up necessary on / / Samples taken. No Yes 1 2 3

4 5 6 Photos taken: Yes No Additional comments:

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BORO 1 MANHATTAN 2 =BRONX 3 = BROOOKLYN 4 RESULT CODE QUEENS 5 = STATEN ISLAND RESULT CODES 1 = VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3 = NO ACCESS i- --- -~- i SUPERVISO I ITT S 4 = PROJECT NOT STARTED (NO NOV) 5 = PROJECT COMPLETED (NO NOV) i

NYC-WTC 000121860

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NYC-WTC_000121860Source: NYC Law Department, mirrored locally

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